2024-11-05T15:17:30-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2023-01-01 382776791 BRONSON BATTLE CREEK HOSPITAL BRON 2692458496 300 NORTH AVE BATTLE CREEK MI 49017 REBBECA EAST SENIOR VP/CFO 2693416000 2024-10-30 1 1 DAVID LOWENTHAL P00378651 3122071040 2024-10-30 2023 2024-10-15 13:58:12Z BILL MANNS 301 JOHN STREET KALAMAZOO MI 49007 340515345 0 X WWW.BRONSONHEALTH.COM X 1987 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 20 16 1780 39 2870813 185390 4101597 15215539 311670845 320827466 -426012 -234647 3724761 4437714 319071191 340246072 21297 2847439 0 0 190113333 189691513 0 0 0 150664161 153116823 340798791 345655775 -21727600 -5409703 140005665 148416496 26992161 30839258 113013504 117577238 TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 0 0 302800513 2847439 320041920 BRONSON BATTLE CREEK HOSPITAL (BBCH) IS A MEDICAL CENTER PROVIDING ACUTE CARE MEDICAL AND SURGICAL SERVICES. BBCH HAS 228 BEDS AND PROVIDES SERVICES TO THE GREATER BATTLE CREEK ARE AND SURROUNDING COMMUNITIES. BBCH FEATURES SERVICES SUCH AS BEHAVIORAL HEALTH, CANCER CARE, ROBOTIC SURGERY, WORLD-CLASS DIAGNOSTICS, AND WOUND HEALING. IN APRIL OF 2023 BBCH'S 39 LICENSED BEDS IN THE PSYCHIATRIC UNIT DECREASED TO 35; THOSE 35 BEDS WERE ACQUIRED BY A JOINT VENTURE, BRONSON BEHAVIORAL HEALTH HOSPITAL, AND ON 7/19/23 THE 35 BEDS WERE DELICENSED FROM BBCH. IN 2023, BBCH'S MEDICAID COST WAS $64,555,028 MEDICAID NET REVENUE WAS $45,687,624. 18081416 IN FURTHERANCE OF ITS MISSION, BBCH INCURRED $18,081,416 IN BAD DEBT EXPENSE TO PROVIDE CARE TO ITS PATIENTS. 320881929 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 171 0 1 1780 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 16 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X REBECCA EAST SENIOR VPCFO 2693417654 301 JOHN STREET KALAMAZOO MI 49007 X MANNS BILL PRESIDENT AND CEO 4.60 35.40 X X 0 2172985 1337326 KARAMCHANDANI MAHESH C DIRECTOR 4.60 35.40 X 0 819002 38493 WORKMAN WILLIAM DIRECTOR/SYSTEM VICE CHIEF OF STAFF 4.60 35.40 X 0 496177 38471 GIBSON SCOTT MD DIRECTOR 1.00 8.00 X 0 5650 0 LIGGINS JAMES JR VICE CHAIR 1.00 8.00 X X 0 3201 0 EBERTS RANDALL DIRECTOR 1.00 8.00 X 0 2899 0 ALLEN RICHARD DIRECTOR 1.00 8.00 X 0 1787 0 NYBERG NEIL SECRETARY 1.00 8.00 X X 0 1769 0 ODAR MICHAEL TREASURER 1.00 8.00 X X 0 1705 0 PARFET DONALD DIRECTOR 1.00 8.00 X 0 1555 0 FINK KATY DIRECTOR 1.00 8.00 X 0 1416 0 GONZALEZ JORGE DIRECTOR 1.00 8.00 X 0 1407 0 JAMES BARBARA THRU 102023 DIRECTOR 1.00 8.00 X 0 1380 0 SHARMA NAMITA DIRECTOR 1.00 8.00 X 0 1380 0 LINS STEVEN J MD DIRECTOR/SYSTEM CHIEF OF STAFF 1.00 8.00 X 0 1102 0 KARRE NELSON CHAIR 1.00 8.00 X X 0 0 0 CHEN-ZHANG LYNN DIRECTOR 1.00 8.00 X 0 0 0 HUNT BRENDA DIRECTOR 1.00 8.00 X 0 0 0 JOHNSTON WILLIAM DIRECTOR 1.00 8.00 X 0 0 0 MONTGOMERY TABRON LA JUNE DIRECTOR 1.00 8.00 X 0 0 0 STEWART ERICK DIRECTOR 1.00 8.00 X 0 0 0 WASHINGTON L MARSHALL DIRECTOR 1.00 8.00 X 0 0 0 EAST REBECCA L SR VP CFO 4.60 35.40 X 0 788426 366305 LARSON SCOTT MD SR VP MEDICAL AFFAIRS/CMO 4.60 35.40 X 0 808546 319866 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 4.60 35.40 X 0 721190 306488 JOHNSON CHERYL SR VP CHIEF PEOPLE OFFICER 4.60 35.40 X 0 552153 217558 REINOEHL SUSAN SR VP STRATEGY & COMM 4.60 35.40 X 0 500502 218200 WAY MICHAEL S SR VP MAT. MGT. & FACILITY SVS. 4.60 35.40 X 0 418610 198531 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 4.60 35.40 X 0 289706 69875 DU LAC JOSEPH SR VP, COO BBC 4.60 35.40 X 0 487171 181364 BARTHOLOMEW DAVID PHYSICIAN 40.00 0.00 X 905630 0 44186 BURKHARDT JOSEPH PHYSICIAN 40.00 0.00 X 1711710 0 46864 DABROWSKI PHILLIP PHYSICIAN 40.00 0.00 X 1039358 0 39916 MURRAY KERRI PHYSICIAN 40.00 0.00 X 950013 0 41579 RUSSELL MARK PHYSICIAN 40.00 0.00 X 1067322 0 23562 JONES JR JOHN THRU 2020 FORMER SR VP COMMUNITY CARE 0.00 0.00 X 0 148316 0 HARRELSON KATHLEEN M THRU 2019 FORMER SR VP CLINICAL OPERATIONS 0.00 0.00 X 0 102626 0 5674033 8330661 3488584 176 1 1 0 BESPOKE WORKFORCE LLC PO BOX 358153 PITTSBURGH PA 152515153 HEALTHCARE STAFFING 20561380 SHIELDS HEALTH SOLUTIONS HOLDINGS LLC 100 TECHNOLOGY CENTER DRIVE STOUGHTON MA 02072 SPECIALTY PHARMACY MANAGEMENT SERVICES 6745589 HAYES LOCUMS LLC PO BOX 88122 CHICAGO IL 606801122 PHYSICIAN SERVICES 4083840 ANESTHESIA ASSOCIATES OF BATTLE CREEK PC 7240 MACKENZIE LANE PORTAGE MI 49024 PHYSICIAN SERVICES 1797105 ALLIANCE-HNI LLC PO BOX 772550 DETROIT MI 482772550 MEDICAL SERVICES 1249849 22 14715539 500000 15215539 NET PATIENT SERVICE REVENUE 621400 283370716 283370716 PHARMACY 456110 35540619 32815254 2725365 PGIP REVENUE 900099 1673522 1673522 RENTAL REVENUE FROM AFFILIATED OR 532000 242609 242609 320827466 34626 34626 536873 0 536873 536873 536873 269273 -269273 -269273 -269273 CAFETERIA REVENUE 900099 1713885 50671 1663214 OUTSIDE SERVICES-AFFILIATED 900099 529754 529754 SERVICES TO SELECT MEDICAL 900099 427333 427333 1229869 982732 94777 152360 3900841 340246072 320041920 2870813 2117800 2847439 2847439 158685679 144793941 13891738 24129354 22549046 1580308 6876480 6826636 49844 31825 31825 337878 101025 236853 26649002 26590531 58471 2849 2849 4352265 4263909 88356 6025 6025 5712789 5711911 878 187938 186236 1702 150995 150969 26 7365143 6095623 1269520 3398059 1876180 1521879 MEDICAL SUPPLIES 74001243 73995044 6199 BAD DEBT EXPENSE 18081416 18081416 BHG ALLOCATION 8306277 3120226 5186051 MAINTENANCE EXPENSE 3187461 3186153 1308 1345658 496770 848888 345655775 320881929 24773846 0 13603337 5120526 385317 214635 43627944 42327135 7070841 7261449 1369962 1594775 176260419 103521613 69194858 72738806 4753406 19159170 140005665 148416496 23757255 24531907 3234906 6307351 26992161 30839258 X 112435212 116998946 578292 578292 113013504 117577238 140005665 148416496 X -5409703 9973437 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 2830421 2830421 88299108 46241355 42057753 283146 122608 160538 80423981 56331547 24092434 4423763 826103 3597660 72738806 ASSETS LIMITED TO USE (DONOR FUNDS) 363657 ALTERNATE ELECTRICITY LT ASSET 200591 RIGHT TO USE ASSET 520521 COST REPORT SETTLEMENT RECEIVABLE 8445240 OTHER CURRENT ASSETS 9629161 19159170 RIGHT TO USE LIABILITY 2152475 OTHER ACCRUED LIABILITIES 4154876 6307351 1 1 X 1 X 1 X 1 1 0 1 1 903436 903436 0.00310 72212 64555028 45687624 18867404 0.06510 72212 65458464 45687624 19770840 0.06820 19284 3191537 1343862 1847675 0.00640 504 3979373 1468237 2511136 0.00870 5818 5818 0.00000 19788 7176728 2812099 4364629 0.01510 92000 72635192 48499723 24135469 0.08330 5396 5396 0.00000 5396 5396 0.00000 1 18081416 32761 48047936 49998688 -1950752 X 1 1 1 1 BRONSON BATTLE CREEK HOSPITAL 300 NORTH AVE BATTLE CREEK MI 49017 WWW.BRONSONHEALTH.COM X X X X BRONSON BATTLE CREEK HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X TINYURL.COM/YCX3FWNH X X 1 23 1 TINYURL.COM/4W6D3ZB8 0 1 X 200.000000000000 350.000000000000 X X X X X X 1 1 X X X X 1 X TINYURL.COM/2DJUUBTY X TINYURL.COM/3XE3Y5EM X TINYURL.COM/Y4LSXXC7 X X X X X X 1 X 0 X X X X X 1 X 0 0 BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 5: BRONSON BATTLE CREEK HOSPITAL COMPLETED A CHNA IN 2022 THAT WAS APPROVED BY THE BHG BOARD OF DIRECTORS ON NOVEMBER 18, 2022. BRONSON BATTLE CREEK HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT A BROAD RANGE OF INTERESTS OF THE COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THE CALHOUN COUNTY PUBLIC HEALTH DEPARTMENT AND CONDUENT HEALTHY COMMUNITIES INSTITUTE HAVE EXPERTISE IN PUBLIC HEALTH. THE DEVELOPMENT OF THE 2022 CHNA WAS A COLLECTIVE EFFORT THROUGH A COLLABORATION OF SIX PARTNER ORGANIZATIONS (BRONSON HEALTH, CALHOUN COUNTY PUBLIC HEALTH DEPARTMENT, CAREWELL SERVICES AREA AGENCY ON AGING, THE COORDINATING COUNCIL, OAKLAWN, AND POPULATION HEALTH ALLIANCE) AND AN EXTERNAL CONSULTING FIRM (CONDUENT HCI) WHICH FORMED THE CHNA ADVISORY COMMITTEE. THIS COMMITTEE MET WEEKLY FOR FIVE MONTHS TO GUIDE THE PROCESS, DISCUSS BEST PRACTICES, MONITOR THE SURVEY DASHBOARD, IDENTIFY GAPS IN REPRESENTATION, IMPLEMENT MARKETING STRATEGIES, AND IDENTIFY TRUSTED ORGANIZATIONAL LEADERS TO ASSIST WITH SURVEY DISTRIBUTION ACROSS THE COUNTY. THE COMMITTEE MEMBERS ALSO REVIEWED THE DATA TO ILLUMINATE MAJOR HEALTH CONCERNS BY AGE, RACE, ETHNICITY, SOCIO-ECONOMIC STATUS AND GENDER IDENTITY. THE CHNA EFFORTS FOCUSED ON SPECIFIC COMMUNITIES INCLUDING ALBION, BATTLE CREEK, MARSHALL, HOMER, SPRINGFIELD, TEKONSHA, AND ATHENS. THE TEAM REVIEWED BOTH QUALITATIVE AND QUANTITATIVE DATA WHICH WERE SYNTHESIZED TO REVEAL THE HIGHEST PRIORITY NEEDS. THE TEAM THEN CONDUCTED MULTIPLE PUBLIC PRIORITIZATION SESSIONS TO ENSURE INCLUSIVITY AND INCREASE PARTICIPATION ACROSS THE COUNTY ON UNDERSTANDING THE COMMUNITY HEALTH NEEDS. THE CALHOUN COUNTY CHNA WOULD NOT HAVE BEEN POSSIBLE WITHOUT THE SUPPORT AND GUIDANCE OF THOSE INDIVIDUALS THAT WERE ABLE TO SHARE THEIR EXPERTISE AND INSIGHT IN THE PLANNING, DEVELOPMENT, AND IMPLEMENTATION OF THIS ASSESSMENT. WE ARE INDEBTED TO OUR COMMUNITY PARTNERS WHO SHARED THEIR STORIES AND EXPERTISE; THESE INDIVIDUALS TRULY EMBODY OUR VISION FOR IMPROVING HEALTH THROUGH PARTNERSHIPS WITH THE COMMUNITY.THE GROUP COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT PREPARATION FOR ITS 2022 CHNA AND TO PROVIDE PUBLIC HEALTH EXPERTISE. HCI WORKS WITH CLIENTS ACROSS THE NATION TO DRIVE COMMUNITY HEALTH OUTCOMES BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CALHOUN COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF AN ONLINE COMMUNITY SURVEY AVAILABLE IN ENGLISH, SPANISH AND 4 DIALECTS OF BURMESE (BURMESE, HAKHA, FALAM, AND ZOMI). THESE FINDINGS EXPANDED UPON INFORMATION GATHERED FROM THE SECONDARY DATA ANALYSIS TO INFORM THIS CALHOUN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. AS THE ASSESSMENT WAS CONDUCTED DURING THE COVID-19 PANDEMIC, PRIMARY DATA COLLECTION METHODS WERE CONDUCTED IN A WAY TO MAINTAIN SOCIAL DISTANCING AND PROTECT THE SAFETY OF PARTICIPANTS BY MINIMIZING IN-PERSON DATA COLLECTION. TO HELP INFORM AN ASSESSMENT OF COMMUNITY ASSETS, COMMUNITY MEMBERS WERE ASKED TO LIST AND DESCRIBE RESOURCES AVAILABLE IN THE COMMUNITY.IT WAS DETERMINED THAT THE BEST COURSE OF ACTION DURING THE COVID-19 PANDEMIC WAS TO MAKE EVERY ATTEMPT TO MEET PEOPLE WHERE THEY WERE BY REACHING OUT TO THEM INDIVIDUALLY RATHER THAN CONGREGATING AT A SPECIFIED TIME AND PLACE FOR DISCUSSION GROUPS. SAFETY WAS OF THE HIGHEST CONSIDERATION AS THE COVID-19 VIRUS WAS BECOMING MORE AGGRESSIVE IN OUR COMMUNITY. A SURVEY WAS DETERMINED TO BE THE BEST METHOD TO REACH THE COMMUNITY AND ATTAIN A COLLECTIVE VOICE ON CURRENT HEALTH NEEDS. THE SURVEY WAS A CAREFULLY DESIGNED QUESTIONNAIRE INTENDED TO BE SIMPLE, UNDERSTANDABLE, TAKE MINIMAL TIME, AND ATTEMPTED TO ENCOMPASS IMPORTANT HEALTH AND SOCIAL DETERMINANTS OF HEALTH NEEDS AND CONCERNS. THE COMMITTEE MADE A CONCERTED EFFORT TO GET INPUT DIRECTLY FROM MEDICALLY UNDERSERVED, LOW-INCOME, AND UNDERREPRESENTED POPULATIONS, GIVING A SPECIAL EMPHASIS ON REACHING BLACK, INDIGENOUS, AND PEOPLE OF COLOR POPULATIONS. THE COMMITTEE CENTERED ON CORE VALUES THAT INCLUDED HIGHLY RESPECTING ALL PEOPLE, VALUING DIVERSITY AND AN UNWAVERING COMMITMENT TO EQUITY AND INCLUSION. THE COMMITTEE SPENT A SIGNIFICANT AMOUNT OF TIME, ENERGY, AND EFFORT TO ENSURE ALL RESIDENTS WITHIN THE COUNTY REGARDLESS OF RACE, ETHNICITY, LANGUAGE, AGE, EDUCATION LEVEL, AND INTERNET ACCESS HAD THE OPPORTUNITY TO COMPLETE THIS ASSESSMENT. SEVERAL COMMITTEE MEETING SESSIONS WERE DEDICATED TO REVIEWING RESPONSE RATES OF VARIOUS ZIP CODES ACROSS THE COUNTY TO ENSURE THAT ADDITIONAL STEPS WERE TAKEN IN AREAS WITH INITIAL LOW RESPONSE RATES. AS A RESULT OF THIS REVIEW, ALTERNATIVE METHODS OF OUTREACH WERE DEPLOYED WORKING WITH COMMITTEE PARTNERS. CAREFUL CONSIDERATIONS AND EFFORTS WERE MADE TO REACH SPECIFICALLY INTO ZIP CODE AND CENSUS-TRACT AREAS THAT ARE MORE RACIALLY DIVERSE OR THAT ARE HIGHER ON THE SOCIAL VULNERABILITY INDEX.PARTNERS WHO ACTIVELY ASSISTED IN THE ONLINE SURVEY DISTRIBUTION INCLUDED BUT WERE NOT LIMITED TO: BATTLE CREEK CHAMBER OF COMMERCE BATTLE CREEK COMMUNITY FOUNDATION AND AFFILIATE COMMUNITY FOUNDATIONS CALHOUN COUNTY INDEPENDENT SCHOOL DISTRICT (CISD) GRACE HEALTH (FQHC) HOMELESS COALITION HOUSING SOLUTIONS BOARD INTEGRATED HEALTH PARTNERS KELLOGG COMMUNITY COLLEGE MIWORKS! EMPLOYMENT AGENCY NOTTAWASEPPI HURON BAND OF THE POTAWATOMI HEALTH DEPARTMENTPINE CREEK RESERVATION SUMMIT POINTE (CMH) UNITED WAY OF BATTLE CREEK AND KALAMAZOO. THE COMMITTEE CLOSELY PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO ASSIST IN THE EFFORT TO REACH THE MOST UNDERSERVED AND UNDERREPRESENTED POPULATIONS. ALBION HEALTH CARE ALLIANCE DISTRIBUTED AT FOOD DISTRIBUTION SITES. BATTLE CREEK HOMELESS SHELTER DISTRIBUTED TO THE HOMELESS POPULATION. BURMA CENTER DISTRIBUTED TO THE BURMESE POPULATION AND CONDUCTED SURVEYS WITH A TRANSLATOR. CALHOUN COUNTY PUBLIC HEALTH DEPARTMENT DISTRIBUTED AT VACCINATION CLINICS AND TO CCPHD CLIENTS AT APPOINTMENTS. CHARITABLE UNION DISTRIBUTED AT SCHOOLS DURING BACK-TO-SCHOOL EVENTS. COMMUNITY ACTION AGENCY DISTRIBUTED AT HEADSTART PARENT ORIENTATION EVENTS. SHARE DROP-IN CENTER DISTRIBUTED TO UNHOUSED POPULATION. HAVEN OF REST MINISTRIES - DISTRIBUTED TO UNHOUSED POPULATION. THE FOUNTAIN CLINIC DISTRIBUTED TO UNINSURED/UNDERINSURED PATIENTS OF THEIR CLINIC AND AT THE LOCAL COUNTY FAIR VOCES CAREWELL SERVICES SOUTHWEST PROVIDED A TRANSLATOR FOR VOCES HEALTH AND HOUSING FAIR. PRIMARY AND SECONDARY DATA WERE COLLECTED, ANALYZED AND SYNTHESIZED TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN CALHOUN COUNTY. IN ORDER TO BETTER TARGET ACTIVITIES TO ADDRESS THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITY, CALHOUN COUNTY CONVENED A GROUP OF COMMUNITY LEADERS TO PARTICIPATE IN A PRESENTATION OF DATA ON SIGNIFICANT HEALTH NEEDS FACILITATED BY HCI. DURING THE PRESENTATION AND DISCUSSION SESSION, PARTICIPANTS WERE GIVEN ACCESS TO AN ONLINE LINK TO COMPLETE A SCORING EXERCISE TO RANK THE SIGNIFICANT HEALTH NEEDS BASED ON A SET OF CRITERIA. THE PROCESS WAS CONDUCTED VIRTUALLY IN ORDER TO MAINTAIN SOCIAL DISTANCING AND SAFETY GUIDELINES RELATED TO THE COVID-19 PANDEMIC. CALHOUN COUNTY'S CHNA PLANNING COMMITTEE REVIEWED THE SCORING RESULTS OF THE SIGNIFICANT COMMUNITY NEEDS AND DETERMINED PRIORITIZED HEALTH NEEDS BASED ON THE SAME SET OF CRITERIA USED IN THE SCORING EXERCISE. THE FOLLOWING WERE IDENTIFIED AS COMMUNITY HEALTH NEEDS: BEHAVIORAL HEALTH (MENTAL HEALTH & MENTAL HEALTH ORDERS, AND ALCOHOL & DRUG USE), ACCESS TO HEALTH SERVICES, HEALTH EQUITY (DISCRIMINATION OR INEQUITY BASED ON RACE/ETHNICITY, GENDER, AGE, SEX AND DISABILITY), WEIGHT STATUS, NUTRITION & HEALTHY EATING, AND DIABETES, CHILDREN'S HEALTH, OLDER ADULTS, MATERNAL, FETAL AND INFANT HEALTH, CRIME AND CRIME PREVENTION. BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 6A: BRONSON LAKEVIEW HOSPITALBRONSON SOUTH HAVEN HOSPITALBRONSON METHODIST HOSPITALOAKLAWN HOSPITAL BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 6B: ALBION HEALTH CARE ALLIANCEBATTLE CREEK COMMUNITY FOUNDATIONCALHOUN COUNTY HEALTH DEPARTMENTCAREWELL SERVICES SOUTHWESTGRACE HEALTHCOORDINATING COUNCIL OF CALHOUN COUNTYOAKLAWN HOSPITALPOPULATION HEALTH ALLIANCE OF CALHOUN COUNTYSUMMIT POINTE BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 7D: TINYURL.COM/VMYMBXE4 BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 11: BRONSON IS ADDRESSING THE SIGNFICANT NEEDS IDENTIFIED IN ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT BY UPDATING ITS COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE BHG BOARD APPROVED THE 2023-2025 CHIP IN APRIL 2023. BRONSON RECOGNIZES THREE YEARS IS AN INSUFFICIENT PERIOD TO NOTICE VISIBLE IMPROVEMENT IN THE HEALTH OF A COMMUNITY. THE RESULTS OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONFIRMED THIS BELIEF. THE COMMUNITIES BRONSON SERVES REMAINED CONCERNED ABOUT HEALTH NEEDS THAT WERE IDENTIFIED IN THE PREVIOUS CHNA, SPECIFICALLY, ACCESS TO HEALTHCARE/HEALTH SERVICES, FOOD INSECURITY, AND MENTAL/BEHAVIORAL HEALTH. THE 2022 CHNA ALSO BROUGHT ADDITIONAL HEALTH NEEDS THAT COMMUNITY MEMBERS FELT IMPACTED THEIR HEALTH TO THE FOREFRONT; DISCRIMINATION/RACISM, VIOLENCE AND CRIME, AND HOUSING. AS A RESULT, THE 2023-2025 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WILL CONTINUE TO FOCUS ITS EFFORTS UPSTREAM, ACKNOWLEDGING THE ROOT CAUSES OF BEHAVIORS, DEATH, AND DISEASE. THE CHIP WILL BUILD UPON THE PROGRESS OF THE 2020-2022 CHIP; HOWEVER, IT WILL ALSO ADDRESS ADDITIONAL NEEDS IDENTIFIED IN THE 2022 CHNA. THIS CHIP REMAINS A STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY'S MOTHERS, BABIES, AND FAMILIES. THERE REMAINS A SHARED DESIRE AND URGENCY TO BUILD COMMUNITY TRUST IN THE 2023-2025 CHIP. AS SOUTHWEST AND SOUTHCENTRAL MICHIGAN'S ONLY CHILDREN'S HOSPITAL, BRONSON RECOGNIZES THE RESPONSIBILITY AND OPPORTUNITY TO BUILD THIS TRUST FROM THE START. AS A RESULT, BRONSON COMMITS TO ENGAGE AND BUILD TRUST WITH FAMILY SUPPORT TO ELIMINATE RACIAL/ETHNIC DISPARITIES AMONG MOTHERS AND BABIES ACROSS THE REGION (VAN BUREN, KALAMAZOO, CALHOUN COUNTIES). GIVEN THE EXTRAORDINARY CHALLENGE OF SUBSTANTIALLY AND MEASURABLY IMPROVING ACCESS TO CARE IN AN ENVIRONMENT OF LIMITED RESOURCES, BRONSON LEADERS AND COMMUNITY HEALTH BOARD COMMITTEE MEMBERS HAVE CHOSEN TO FOCUS ON TWO FOCUSED HEALTH NEEDS: WORKFORCE EQUITY AND HEALTHCARE EQUITY. TO ACT ON THIS, BRONSON HAS DEPLOYED SEVERAL TACTICS FOCUSED ON ELIMINATING RACIAL/ETHNIC DISPARITIES IN A FAMILY'S PERINATAL EXPERIENCE AND CLINICAL OUTCOMES AND ELIMINATING RACIAL/ETHNIC DISPARITIES IN BRONSON'S WORKFORCE AT EVERY LEVEL TO SUPPORT FAMILIES: ESTABLISH NEW, AND IMPROVE ON EXISTING, SOCIAL AND DEMOGRAPHIC DATA INFRASTRUCTURE AND IMPROVE SDOH SCREENING COLLECTION, IMPROVE PATIENTS' CONNECTION TO COMMUNITY RESOURCES BY ENHANCING COMMUNITY ENGAGEMENT, EXPAND INTERCULTURAL DEVELOPMENT TO IMPROVE QUALITY OF CARE, EXPAND IMPLEMENTATION OF EVIDENCE-BASED MODELS TO IMPROVE MATERNAL/INFANT HEALTH (E.G., CULTURALLY APPROPRIATE BIRTH EDUCATION, CENTERING PREGNANCY, COMMUNITY HEALTHCARE WORKERS, STRONG FATHERS' PROGRAMS, BREAST FEEDING INITIATIVES, NUTRITION EDUCATION, AND FOOD SUPPORTS), ESTABLISH NEW, AND IMPROVE ON EXISTING, SOCIAL AND DEMOGRAPHIC DATA INFRASTRUCTURE, EXPAND INTERCULTURAL DEVELOPMENT TO IMPROVE QUALITY OF CARE, CREATE AND PROMOTE INTERNAL OPPORTUNITIES THAT ALLOW EMPLOYEES TO THRIVE (E.G., CAREER PATHWAYS, SUPPORT FOR HOME OWNERSHIP, CONNECTION TO RESOURCES, ETC.), REVIEW AND REVISE ORGANIZATIONAL POLICIES AND PRACTICES USING AN EQUITY LENS TO SUPPORT THE HEALTH AND WELLBEING OF EMPLOYEES. THE 2023-2025 CHIP SERVES AS A NEXT STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY'S MOTHERS, BABIES, AND FAMILIES. BRONSON CONTINUES TO COLLABORATE AND PARTNER WITH AGENCIES WHOSE MISSIONS AND EXPERTISE ALLOW THEM TO HAVE AN IMPACT IN THE OTHER AREAS IDENTIFIED BY THE CHNA. BECAUSE OF THE INTERSECTIONALITY OF THE NEEDS IDENTIFIED, BRONSON ANTICIPATES THAT IMPROVING TRUST & ACCESS TO CARE AND EMPLOYMENT WILL IMPACT AND IMPROVE OUTCOMES FOR MANY OF THE OTHER COMMUNITY NEEDS. BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 13B: THE ORGANIZATION USES THE FOLLOWING FPL TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS:200% OR BELOW OF FPL IS ENTITLED TO 100% REDUCTION250% OF FPL IS ENTITLED TO A 90% REDUCTION300% OF FPL IS ENTITLED TO A 80% REDUCTION350% OF FPL IS ENTITLED TO A 75% REDUCTION BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 20E: THE HOSPITAL ACKNOWLEDGES THAT ALL INDIVIDUALS ARE NOT EQUALLY CAPABLE OF PAYING FOR HEALTHCARE SERVICES, EITHER BY THEMSELVES OR THROUGH A THIRD-PARTY INSURANCE CARRIER. THE HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO OFFER CARE FOR PERSONS IN NEED, AND THEREFORE PROVIDES AN PROMOTES ACCESS TO EMERGENCY OR MEDICALLY NECESSARY SERVICES WITHOUT REGARD TO ABILITY TO PAY.THE HOSPITAL HAS SIGNS AT ENTRANCES TO THE EMERGENCY DEPARTMENT THAT INFORM PATIENTS OF THE FINANCIALS COUNSELING DEPARTMENTS. THE POLICY IS ALSO ON THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM). THE PLAIN LANGUAGE SUMMARY IS INCLUDED ON ALL PATIENT STATEMENTS.PATIENTS MAY REQUEST AN APPLICATION TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE BY CALLING A PATIENT FINANCIAL COUNSELOR OR BRONSON'S BILLING DEPARTMENT. THE APPLICATION IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM) 3 1 - FIELDSTONE CENTER 165 N WASHINGTON AVE BATTLE CREEK MI 49037 PSYCHIATRIC SERVICES 2 - BRONSON BATTLE CREEK URGENT CARE 5352 BECKLEY RD BATTLE CREEK MI 49015 URGENT CARE AND MRI 3 - OCCUPATIONAL MEDICINE & HEALTH CENTER 265 FREMONT BATTLE CREEK MI 49017 OCC. MEDICINE, EMPLOYED PHYSICIANS PART I, LINE 3C: THE ORGANIZATION USES THE FOLLOWING FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS:200% OR BELOW OF FPL IS ENTITLED TO A 100% REDUCTION250% OF FPL IS ENTITLED TO A 90% REDUCTION300% OF FPL IS ENTITLED TO A 80% REDUCTION350% OF FPL IS ENTITLED TO A 75% REDUCTION PART I, LINE 7: (A) - (C) COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS INSTRUCTIONS FOR LINES A-C.(E) - (I) COSTING METHODOLOGY IS ACTUAL COSTS PER THE HOSPITAL ACCOUNTING SYSTEM FOR LINES E-I. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 18,081,416. PART II, COMMUNITY BUILDING ACTIVITIES: ACADIA HEALTH: BRONSON CONTINUED A JOINT VENTURE PARTNERSHIP WITH ACADIA HEALTH TO DEVELOP A NEW BEHAVIORAL HEALTH HOSPITAL IN BATTLE CREEK, PROVIDING MUCH NEEDED BEHAVIORAL HEALTH SERVICES TO BATTLE CREEK AND THE SOUTHWEST MICHIGAN COMMUNITY. THE NEW VENTURE EXPANDS THE MENTAL HEALTH SERVICES PROVIDED IN THE COMMUNITY. INSURANCE ENROLLMENT OUTREACH AND SUPPORT: BRONSON PROVIDED OPEN ENROLLMENT ASSISTANCE FOR THE MARKETPLACE INSURANCE FROM NOVEMBER 1, 2023, TO JANUARY 15, 2024, WITH A CERTIFIED APPLICATION COUNSELOR (CAC). CAC CONTACT INFORMATION WAS AVAILABLE ON THE HOME PAGE FOR THE MARKETPLACE AS WELL AS SHARED WITH MANY COMMUNITY ORGANIZATIONS. COMMUNITY MEMBERS WERE ABLE TO CALL THE CAC AND ASK QUESTIONS TO GET A BETTER UNDERSTANDING OF THEIR OPTIONS FOR HEALTH INSURANCE. PATIENT FINANCIAL COUNSELORS ASSISTED PATIENTS THROUGHOUT THE 2023 FISCAL YEAR ASSISTING OVER 5000 PATIENTS SYSTEM WIDETO APPLY FOR MEDICAID THROUGH THE STATE. IF THE PATIENT WAS FOUND NOT ELIGIBLE FOR STATE ASSISTANCE, THE PATIENT FINANCIAL COUNSELORS WOULD THEN REFER THE PATIENT TO THE CERTIFIED APPLICATION COUNSELOR TO ASSIST THE PATIENT WITH THE FEDERALLY FACILITATED MARKETPLACE WEBSITE.SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE (SWMPQI): BRONSON CONTINUES TO PARTICIPATE IN THE MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES (MDHHS) MOTHER INFANT HEALTH & EQUITY IMPROVEMENT PLAN, A STATEWIDE EFFORT TO IMPROVE THE HEALTH OF MOMS AND BABIES IN MICHIGAN. BRONSON EMPLOYEES SERVE AS SWMPQIC LEADERSHIP AND ADMINISTRATIVE SUPPORT. THROUGH SWMPQIC, BRONSON STAFF WORKED WITH MULTIPLE MEMBERS ACROSS SEVEN COUNTIES TO CREATE "A LOCALLY LINKED AND COORDINATED NETWORK OF SERVICES FOR BIRTHING PARENTS AND THEIR BABIES COMMITTED TO THE HIGHEST ATTAINABLE STANDARD OF HEALTH AVAILABLE IN MICHIGAN" WITH THE VISION OF "ZERO PREVENTABLE DEATHS. ZERO DISPARITIES." THIS COLLABORATIVE PROVIDES FREE VIRTUAL CHILDBIRTH EDUCATION TO BIRTHING PERSONS WHERE IT IS MOST CONVENIENT FOR THEM. INSTRUCTORS EDUCATED ON LABOR, MEDICAL INTERVENTIONS, CESAREAN SECTIONS, COMFORT TECHNIQUES, AND POSTPARTUM (PHYSICAL AS WELL AS EMOTIONAL). BIRTHING PERSONS HAVE ACCESS TO INSTRUCTORS VIA EMAIL AND ARE ENCOURAGED TO REACH OUT WITH QUESTIONS OR CONCERNS. PART III, LINE 2: UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. BAD DEBT EXPENSE IS DISCLOSED BASED ON GROSS CHARGES. PART III, LINE 3: BAD DEBT WRITE OFFS SUPPORT THE COMMUNITY BY PROVIDING A PORTION OF SERVICES WITHOUT PAYMENT. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS ESTIMATED BY REVIEWING THE BAD DEBT DETAIL FOR A SPECIFIC WRITE-OFF CODE. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.THIS INFORMATION CAN BE FOUND IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER NOTE 2, SIGNIFICANT ACCOUNTING POLICIES FOR ACCOUNTS RECEIVABLE. PART III, LINE 8: COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO ITS REPRESENTATION OF COST OF A PORTION OF SERVICES PROVIDED TO THE COMMUNITY WITHOUT PAYMENT. PART III, LINE 9B: THE POLICY REQUIRES THE COLLECTION AGENCY BE NOTIFIED AND ACTIVITY SUSPENDED WHEN A REQUEST FOR FINANCIAL ASSISTANCE IS MADE AND A PATIENT SUBMITS AN APPLICATION ON A PREVIOUSLY LISTED ACCOUNT. THE COLLECTION AGENCY IS NOTIFIED THE SAME DAY THE APPLICATION IS RECEIVED. IF A PATIENT QUALIFIES FOR FULL FINANCIAL ASSISTANCE, THE ACCOUNT IS RETURNED TO BRONSON FROM THE AGENCY AND ANY INITIATED ECA IS REVERSED. IF THE PATIENT QUALIFIES FOR PARTIAL FINANCIAL ASSISTANCE, A DETERMINATION IS SENT TO THE AGENCY INDICATING THE NEW BALANCE AND ANY INITIATED ECA IS REVERSED. IF THE PATIENT DOES NOT PROVIDE COMPLETE APPLICATION INFORMATION OR IS DETERMINED TO BE INELIGIBLE, A DENIAL LETTER IS ISSUED AND THE AGENCY RESUMES COLLECTION ACTIVITY. FURTHERMORE, THE POLICY REQUIRES THAT BRONSON SEND A RESPONSE TO PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE WITHIN 30 BUSINESS DAYS (45 DAYS). IF THE APPLICATION IS APPROVED, THE APPLICATION WILL WORK THROUGH THE FINAL PROCESSES. IF BRONSON NEEDS MORE INFORMATION, BRONSON MUST REQUEST IT FROM THE PATIENT WITHIN THE 45 DAY TIME FRAME. IF REQUESTED INFORMATION IS NOT RECEIVED WITHIN 15 DAYS OF THE LETTER, BRONSON WILL DENY THE APPLICATION AND A DENIAL LETTER SENT TO THE PATIENT. BRONSON WILL HOLD THE APPLICATION FOR 60 DAYS IN CASE THE REQUESTED INFORMATION COMES IN AFTER THE 15 DAYS. IF THE APPLICATION IS 60 DAYS OLD, AND REQUESTED INFORMATION IS NOT RECEIVED, THE APPLICATION IS DECLINED, AND THE PATIENT WOULD NEED TO SUBMIT A NEW APPLICATION. IF THE APPLICATION IS DECLINED, BRONSON THEN NOTIFIES THE COLLECTION AGENCY TO RESUME COLLECTIONS. SIGNATURES ARE ONLY GOOD FOR 60 DAYS WHEN BRONSON IS REQUESTING ADDITIONAL INFORMATION. ONCE AN APPLICATION IS APPROVED, THE COLLECTION AGENCY IS NOTIFIED VIA EMAIL OF THE APPROVAL PERCENTAGE OR DENIED ON THE SAME DAY THE APPLICATION IS COMPLETED. PART VI, LINE 2: BRONSON HEALTHCARE GROUP UTILIZES A STRATEGIC MANAGEMENT MODEL TO DEVELOP BOTH A LONG TERM (3 YEAR) AND ANNUAL STRATEGIC PLAN. INPUTS INTO THE PLAN ARE DOCUMENTED IN OUR STRATEGIC INPUT DOCUMENT. ONE OF THE IMPORTANT INPUTS INTO THIS PLAN IS THE HEALTH OF OUR COMMUNITY. IN ADDITION TO THE CHNA DATA SOURCES LISTED IN PART V SECTION B LINE 5, THE FOLLOWING SOURCES ARE USED TO INFORM OUR STRATEGIC PLAN:1. SG2 MARKET ESTIMATES2. SG2 IP/OP FORECAST3. SG2 AMBULATORY MARKET STRATEGIST4. SG2 MARKET DEMOGRAPHICS FROM CLARITAS PART VI, LINE 3: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE EMERGENCY ROOM, THE ADMITTING DEPARTMENT, THE PATIENT FINANCIAL COUNSELING OFFICE, AND THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM). THE PLAIN LANGUAGE SUMMARY IS ALSO INCLUDED IN THE PATIENT'S DISCHARGE DOCUMENTS, ON PATIENT STATEMENTS AND THE HOSPITAL'S WEBSITE. BOTH THE POLICY AND THE PLAIN LANGUAGE SUMMARYARE AVAILABLE UPON REQUEST ARE AVAILABLE UPON REQUEST. PART VI, LINE 4: BRONSON BATTLE CREEK HOSPITAL IS LOCATED IN THE CITY OF BATTLE CREEK IN CALHOUN COUNTY AND IS PART OF THE BRONSON HEALTHCARE SYSTEM. BRONSON BATTLE CREEK HOSPITAL SERVES A NINE COUNTY REGION IN SOUTHWEST, SOUTH-CENTRAL MICHIGAN. ABOUT 79.5% OF PATIENTS SERVED COME FROM WITHIN CALHOUN COUNTY. FOR THE PURPOSES OF THE 2019 AND 2022 CHNA REPORTS, THE COMMUNITY SERVED WAS DEFINED AS CALHOUN COUNTY. CALHOUN COUNTY HAD AN ESTIMATED POPULATION SIZE OF 133,980 IN 2021. THIS REPRESENTS A DECREASE OF 1.6% SINCE 2010. 4.9% OF THE POPULATION WAS AGE 0-20, 15.4% WAS 21-39, 35.1% WAS AGE 40-64 AND 43.6% WAS AGE 65 AND OVER. MALES COMPRISE 49.0% OF THE POPULATION, WHEREAS FEMALES COMPRISE 51.0% OF THE POPULATION. CALHOUN COUNTY'S 2022 POPULATION WAS 83.4% WHITE, 12.3% BLACK OR AFRICAN AMERICAN, AND 1.34% ASIAN.PATIENT DEMOGRAPHICS7.6% < 21 YEARS OF AGE16.8% 21-39 YEARS OF AGE35.1% 40-64 YEARS OF AGE40.5% 65 YEARS OF AGE AND OLDERPATIENT DIVERSITY DEMOGRAPHICS81.30% CAUCASIAN12.7% AFRICAN AMERICAN1.5% ASIAN1.8% HISPANIC2.7% OTHERPATIENT INSURANCE DEMOGRAPHICS31.4% PRIVATE INSRUANCE19.9% MEDICARE25.6% MEDICARE AND SUPPLEMENTAL INSURANCE21.9% MEDICAID OR OTHER PUBLIC ASSISTANCE1.2% NO COVERAGE PART VI, LINE 5: BBCH SEEKS COMMUNITY COLLABORATORS AND STAKEHOLDERS AS PARTNERS ON MEETING COMMUNITY HEALTH NEEDS, ADDRESSING MULTI-SECTOR ISSUES, AND LEADING DISASTER/EMERGENCY EFFORTS. TOWARD THIS END, BBCH LEADERS SERVE ON SEVERAL COMMUNITY BOARDS INCLUDING: CALHOUN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN STEERING COMMITTEE, CALHOUN COUNTY MEDICAL CONTROL AUTHORITY, POPULATION HEALTH ALLIANCE, TCC LEADERSHIP, LAKEVIEW FOUNDATION, COMMUNITY PARTNERS, IHP, ROTARY, BURMA CENTER, BCCF, AND GRACE HEALTH.REPORTING TO THE COMMUNITYBBCH CONDUCTS AN ANNUAL COMMUNITY BENEFIT INVENTORY TO AGGREGATE THE NON-MISSION MANDATED SERVICES WE PROVIDE TO THE COMMUNITY. THIS INVENTORY IS SHARED WITH BRONSON STAKEHOLDERS AND REPORTED TO THE COMMUNITY. INFORMATION IS AVAILABLE TO ALL THROUGH BRONSONHEALTH.COM.21ST CENTURY HEALTH CAREERS PROGRAM: A PROGRAM DESIGNED TO INTRODUCE HIGH SCHOOL JUNIORS AND SENIORS TO POTENTIAL CAREER PATHS IN THE HEALTHCARE INDUSTRY. THE PROGRAM IS A PARTNERSHIP BETWEEN BRONSON BATTLE CREEK, KELLOGG COMMUNITY COLLEGE, AND THE CALHOUN AREA CAREER CENTER. STUDENTS WILL RECEIVE AN INTRODUCTION TO A VARIETY OF HEALTH CAREER SKILLS INCLUDING: CLINICAL SKILLS, MEDICAL ETHICS, HUMAN ANATOMY, COMMUNICATION, MEDICAL TERMINOLOGY, EMERGENCY PROCEDURES, AND MANY MORE. DURING THE TWO YEARS IN THE PROGRAM, STUDENTS WILL TAKE THREE (3) KELLOGG COMMUNITY COLLEGE CLASSES, FOR A POTENTIAL TOTAL OF ELEVEN (11) COLLEGE CREDITS. FOLLOWING THE INTRODUCTION, STUDENTS SPEND A PORTION OF EACH MONTH IN A HOSPITAL OR OTHER MEDICAL SETTING. STUDENTS BECOME PART OF AN INTERESTING AND CHALLENGING TEAM, LEARNING NEW SKILLS WITH PROFESSIONALS IN THE MEDICAL FIELD. WORKFORCE SUPPORT IN THE COMMUNITY AREAS OF FOCUS FOR 2023 AND BEYOND: BRONSON IS COMMITTED TO HELPING AND GUIDING EMERGING TALENT FROM LOCAL INSTITUTIONS TO START THEM ON THEIR CAREER JOURNEYS. BUILDING STRONGER RELATIONSHIPS WITH LOCAL COMMUNITY GROUPS SUCH AS; BURMA CENTER TO TAILOR OPPORTUNITIES FOR THE GROUPS THEY SERVE. ENGAGING WITH LOCAL HIGH SCHOOLS TO PROMOTE CAREER OPPORTUNITIES IN HEALTHCARE EARLY IN A STUDENT'S DEVELOPMENT. HEALTH EDUCATION PROGRAMS AND SOCIAL NEEDS INITIATIVESCOMMUNITY SUPPORT RESOURCES BRONSON HEALTH EDUCATORS DEVELOPED AND DISTRIBUTED A WIDE RANGE OF HEALTH EDUCATION MATERIALS TO SUPPORT THE COMMUNITY. THESE RESOURCES INCLUDED INFOGRAPHICS, RECIPE BOOKS, MENTAL HEALTH TIPS, GUIDES FOR FAMILY PHYSICAL ACTIVITIES, SAFETY INFORMATION, AND HEALTHY LIVING VIDEOS. MANY OF THESE RESOURCES ARE AVAILABLE ONLINE AT BRONSONHEALTH.COM/BRONSONEATS AND ON YOUTUBE. THIS INITIATIVE HAD AN ESTIMATED REACH OF OVER 3,000 INDIVIDUALS. THE 2022 CALHOUN COUNTY CHNA IDENTIFIED CRIME AND CRIME PREVENTION BEING AS A COMMUNITY CONCERN: TRAUMATIC INJURIES ARE A LEADING CAUSE OF DEATH AND DISABILITY, WITH PROFOUND PHYSICAL, EMOTIONAL, AND FINANCIAL EFFECTS ON OUR COMMUNITY. BRONSON TRAUMA SERVICES INJURY PREVENTION AIM IS TO REDUCE THESE IMPACTS THROUGH EDUCATION, COLLABORATION, AND COMMUNITY PARTNERSHIPS. FIREARM INJURY PREVENTION: BRONSON TRAUMA INJURY PREVENTION IS DEDICATED TO REDUCING FIREARM-RELATED INJURIES THROUGH COMPREHENSIVE INTERVENTIONS. THINKFIRST FOR TEENS: THIS NATIONAL INJURY PREVENTION FOUNDATION PROGRAM EDUCATES YOUTH ON THE CONSEQUENCES OF RISKY DECISIONS AND HOW TO STAY SAFE. SAFE FIREARM STORAGE: IN 2023, BRONSON TRAUMA INJURY PREVENTION LAUNCHED A REGIONAL GUN SAFE INITIATIVE, SECURING A GRANT TO DISTRIBUTE 160 SAFES ACROSS FOUR BRONSON FACILITIES, IN PARTNERSHIP WITH THE MICHIGAN STATE POLICE, AS WELL AS PROVIDING HUNDREDS OF GUN LOCKS AND EDUCATION TO THE GENERAL POPULATION OF AT RISK FAMILES IN THE COMMUNITY. STOP THE BLEED: A NATIONAL PROGRAM DESIGNED TO TRAIN THE PUBLIC IN LIFE-SAVING BLEEDING CONTROL, DEVELOPED BY THE DEPARTMENT OF DEFENSE AND THE AMERICAN COLLEGE OF SURGEONS. BRONSON TRAUMA SERVICES PROMOTED THIS AT THE MICHIGAN STATE CAPITAL TO IMPROVE SURVIVAL RATES FROM ACTIVE SHOOTER INCIDENTS. OLDER ADULT FALL PREVENTION: FALLS ARE THE LEADING CAUSE OF INJURY-RELATED DEATHS FOR THOSE OVER 65. BRONSON TRAUMA SERVICES OFFERS EDUCATIONAL PROGRAMS TO HELP SENIORS REDUCE THEIR FALL RISKMOTOR VEHICLE COLLISION PREVENTION: TARGETING TEENS, PARENTS, AND ADULTS OVER 60, BRONSON TRAUMA SERVICES PROVIDES PROGRAMS AIMED AT REDUCING MOTOR VEHICLE ACCIDENTS. THEIR INJURY PREVENTION EFFORTS EXTEND BEYOND COLLISIONS, INCLUDING OPIOID OVERDOSE HARM REDUCTION AND PARTICIPATION IN 31 COMMUNITY EVENTS, REACHING THOUSANDS OF PEOPLE. THROUGH THESE DIVERSE INITIATIVES, BRONSON TRAUMA SERVICES CONTINUES TO LEAD IN PROMOTING SAFETY AND REDUCING PREVENTABLE INJURIES IN THE COMMUNITY. BRONSON MATERNAL COMMUNITY HEALTH WORKER PROGRAMIN 2023, BRONSON OB-GYN & MIDWIFERY SPECIALISTS LAUNCHED A MATERNAL COMMUNITY HEALTH WORKER (CHW) PROGRAM. TWO CERTIFIED CHWS WERE RECRUITED TO ESTABLISH A PROGRAM FRAMEWORK TO ADDRESS THE NEEDS OF THE PATIENT POPULATION. THE BRONSON OB-GYN CHWS FACILITATE CONNECTIONS BETWEEN PREGNANT INDIVIDUALS AND COMMUNITY RESOURCES AND ADDRESS BARRIERS TO ACCESSING HEALTHCARE SERVICESSEXUAL ASSAULT SERVICES PROGRAM IN 2023, SEXUAL ASSAULT SERVICES CONTINUED A PARTNERSHIP WITH S.A.F.E. PLACE AND BATTLE CREEK PUBLIC SCHOOLS TO PREVENT DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING. DURING THE YEAR, PREVENTION EDUCATION WAS PROVIDED TO ALL YOUTH, KINDERGARTEN THROUGH 12TH GRADE IN THE DISTRICT. IN ADDITION, SAS LAUNCHED A NEW PROJECT IN PARTNERSHIP WITH VOCES, BURMA CENTER, AND THE SOUTHWESTERN MICHIGAN URBAN LEAGUE TO PROVIDE BYSTANDER INTERVENTION TRAINING TO UNDER-RESOURCED YOUTH IN CALHOUN COUNTY. SEXUAL ASSAULT NURSE EXAMINER (SANE) INCREASED ACCESS TO SERVICES ACROSS THE STATE FOR ALL SURVIVORS. THE SANE PROGRAM SUPERVISOR AND ONE OF THE FORENSIC NURSE EXAMINERS WERE ASKED TO HELP TRAIN OTHER NURSES AT THE MSU SANE SKILLS LAB AS PART OF AN EFFORT TO INCREASE THE NUMBER, ACCESSIBILITY, AND SUSTAINABILITY OF ADULT/ADOLESCENT SANES IN UNDERSERVED, RURAL AREAS OF MICHIGAN. PART VI, LINE 6: BBCH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON BATTLE METHODIST HOSPITAL, BRONSON SOUTH HAVEN HOSPITAL, AND BRONSON LAKEVIEW HOSPITAL. ALL OF THESE HOSPITALS ARE CONTROLLED BY BRONSON HEALTHCARE GROUP, WHICH IS A COMMUNITY-OWNED AND GOVERNED NON-FOR-PROFIT HOLDING COMPANY. THE BRONSON HEALTHCARE GROUP (BHG) BOARD IS COMPRISED OF 22 MEMBERS FROM THE COMMUNITY'S IT SERVES. EACH OF THE THREE HOSPITALS IN THE BRONSON HEALTHCARE SYSTEM ADMITS PATIENTS, REGARDLESS OF ABILITY TO PAY, AND PROVIDES OUTREACH SERVICES TO THEIR RESPECTIVE COMMUNITIES. IN ADDITIONAL TO THE FOUR HOSPITALS, THE BHG SYSTEM INCLUDES SEVERAL SMALLER ENTITIES WHOSE ACTIVITIES SUPPORT THE HOSPITALS AND THEIR MISSION OF "TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES." THESE ENTITIES INCLUDE: BRONSON HEALTHCARE GROUP, BRONSON COMMONS, BRONSON LIFESTYLE IMPROVEMENT & RESEARCH CENTER, BRONSON HEALTH FOUNDATION, BRONSON AT HOME, VANBUREN EMERGENCY MEDICAL SERVICES AND BRONSON PROPERTIES CORPORATION. PART VI, LINE 7, REPORTS FILED WITH STATES MI 0 BRONSON HEALTHCARE GROUP 601 JOHN STREET KALAMAZOO MI 49007 382418383 501(C)(3) 2847439 0 GENERAL SUPPORT 1 0 X X 1 1 0 1 0 0 0 0 0 0 0 MANNS BILL PRESIDENT AND CEO 0 1139092 0 476836 0 557057 0 1313220 0 24106 0 3510311 0 476836 BURKHARDT JOSEPH PHYSICIAN 1601889 0 79132 0 30689 0 25150 0 21714 0 1758574 0 0 0 EAST REBECCA L SR VP CFO 0 523970 0 167643 0 96813 0 342793 0 23512 0 1154731 0 167643 LARSON SCOTT MD SR VP MEDICAL AFFAIRS/CMO 0 540281 0 154769 0 113496 0 303800 0 16066 0 1128412 0 147730 RUSSELL MARK PHYSICIAN 995901 0 57029 0 14392 0 20575 0 2987 0 1090884 0 0 0 DABROWSKI PHILLIP PHYSICIAN 962240 0 53487 0 23631 0 16000 0 23916 0 1079274 0 0 0 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 0 475671 0 154284 0 91235 0 290639 0 15849 0 1027678 0 149284 MURRAY KERRI PHYSICIAN 809598 0 115196 0 25219 0 20575 0 21004 0 991592 0 0 0 BARTHOLOMEW DAVID PHYSICIAN 767866 0 112207 0 25557 0 20575 0 23611 0 949816 0 0 0 KARAMCHANDANI MAHESH C DIRECTOR 0 719652 0 66858 0 32492 0 20575 0 17918 0 857495 0 0 JOHNSON CHERYL SR VP CHIEF PEOPLE OFFICER 0 385183 0 138834 0 28136 0 202075 0 15483 0 769711 0 109015 REINOEHL SUSAN SR VP STRATEGY & COMM 0 320730 0 104479 0 75293 0 209951 0 8249 0 718702 0 104479 DU LAC JOSEPH SR VP, COO BBC 0 431639 0 52923 0 2609 0 161046 0 20318 0 668535 0 0 WAY MICHAEL S SR VP MAT. MGT. & FACILITY SVS. 0 296286 0 93862 0 28462 0 178751 0 19780 0 617141 0 93862 WORKMAN WILLIAM DIRECTOR/SYSTEM VICE CHIEF OF STAFF 0 453177 0 42192 0 808 0 16000 0 22471 0 534648 0 0 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 0 245721 0 40947 0 3038 0 63052 0 6823 0 359581 0 40947 JONES JR JOHN THRU 2020 FORMER SR VP COMMUNITY CARE 0 0 0 0 0 148316 0 0 0 0 0 148316 0 0 HARRELSON KATHLEEN M THRU 2019 FORMER SR VP CLINICAL OPERATIONS 0 0 0 0 0 102626 0 0 0 0 0 102626 0 0 PART I, LINE 1A THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT. PART I, LINE 3 BRONSON HEALTHCARE GROUP, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND/OR STUDY AND APPROVAL BY BOARD AND/OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN OF A RELATED ENTITY, BRONSON HEALTHCARE GROUP, AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN DURING 2023: REINOEHL, SUSAN $72,497 SERP DISTRIBUTION FALAHEE JR., JAMES B $78,801 SERP DISTRIBUTION EAST, REBECCA $95,326 SERP DISTRIBUTION JONES JR, JOHN $148,316 SERP DISTRIBUTION LARSON, SCOTT D $100,300 SERP DISTRIBUTION MANNS, BILL $534,739 SERP DISTRIBUTION HARRELSON, KATHLEEN $102,626 SERP DISTRIBUTION THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN OF A RELATED ENTITY, BRONSON HEALTHCARE GROUP, AND RECEIVED A CONTRIBUTION TO THE PLAN. UNDER THE PLAN, CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AND VEST FIVE YEARS AFTER AMOUNTS ARE INITIALLY CONTRIBUTED. WAY, MICHAEL $59,326 SERP CONTRIBUTION REINOEHL, SUSAN $62,277 SERP CONTRIBUTION FALAHEE JR., JAMES B $87,399 SERP CONTRIBUTION LARSON, SCOTT D $96,527 SERP CONTRIBUTION EAST, REBECCA $99,148 SERP CONTRIBUTION MANNS, BILL $773,187 SERP CONTRIBUTION JOHNSON, CHERYL $63,870 SERP CONTRIBUTION DU LAC, JOSEPH $64,500 SERP CONTRIBUTION STEPHANIE NELSON SISTER-IN-LAW OF BOARD MEMBER SCOTT GIBSON 125144 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 KIMBERLY JAMES DAUGHTER OF BOARD MEMBER BARBARA JAMES 68904 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON AT HOME 0 CYNTHIA WORKMAN SPOUSE OF BOARD MEMBER WILLIAM WORKMAN 23008 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 FORM 990, PART VI, SECTION A, LINE 2 STEVEN J. LINS, M.D. AND SCOTT C. GIBSON, M.D. HAVE A BUSINESS RELATIONSHIP. ALL BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP WITH ALL BRONSON SUBSIDIARIES DUE TO BEING ON BRONSON HEALTHCARE GROUP BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 BRONSON HEALTHCARE GROUP (BHG) IS THE CLASS A MEMBER OF THE HOSPITAL. BBCH COMMUNITY PARTNERS IS THE CLASS B MEMBER OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A BRONSON HEALTHCARE GROUP (BHG) AND BBCH COMMUNITY PARTNERS ARE THE SOLE MEMBERS OF BRONSON BATTLE CREEK HOSPITAL (BBCH). BBCH COMMUNITY PARTNERS, AFTER CONSULTING WITH AND SEEKING INPUT FROM THE NOMINATING COMMITTEE OF BHG, APPOINTS 6 MEMBERS TO THE BBCH AND BHG BOARDS. FORM 990, PART VI, SECTION A, LINE 7B BRONSON HEALTHCARE GROUP (BHG) IS THE CLASS A MEMBER OF THE BRONSON BATTLE CREEK HOSPITAL (BBCH) AND HAS CERTAIN RESERVED POWERS OVER THE ACTIONS OF BBCH. THE BOARD OF DIRECTORS HAS THE POWER TO: -AMENDMENT, RESTATEMENT, OR REPEAL OF BBCH'S ARTICLES OF INCORPORATION OR BYLAWS. -ADOPTION, EXECUTION, REVOCATION, OR ABANDONMENT A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, REORGANIZATION, OR OTHER MAJOR CHANGE IN CORPORATE STRUCTURE INVOLVING BBCH. -SALE, LEASE EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF BBCH'S PROPERTY AND ASSETS. -ACQUISITION OF ANY OTHER ENTITY OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE. -ADOPTION OF ALL OPERATING AND CAPITAL EXPENDITURE BUDGETS. -INCUR OPERATING OR CAPITAL EXPENDITURES WHICH CAUSE AGGREGATE OPERATING OR CAPITAL EXPENDITURES TO EXCEED BUDGETED AGGREGATES AND/OR THE DOLLAR AMOUNT SPECIFIED BY BHG. -SECURE BORROWINGS WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTEREST APPROVED AS A PART OF A BUDGET. -CHANGE THE MISSION STATEMENT, PURPOSES, OR STRATEGIC GOALS OF BBCH -ANY SIGNIFICANT CHANGE IN THE SCOPE OF SERVICES OR PROGRAMS. -APPOINTMENT, REMOVAL, OR COMPENSATION OF THE PRESIDENT OR ANY DIRECTOR OR OFFICER. FORM 990, PART VI, SECTION B, LINE 11B THE SR VP/CFO & CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE VICE CHAIR OF THE FINANCE COMMITTEE TO REVIEW THE PREPARED FORM 990 AND SCHEDULES PRIOR TO PROVIDING A COPY TO THE FULL FINANCE COMMITTEE. THE FINANCE COMMITTEE OF THE BOARD REVIEWED THE PREPARED FORM 990S AT ITS REGULARLY SCHEDULED MEETING ON OCTOBER 21, 2024. THE REVIEW WAS LED BY THE SR VP/CFO AND PLANTE MORAN. THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY WERE PROVIDED THE FINAL FORM 990 FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY AND ITS ACCOMPANYING QUESTIONNAIRE ARE REVIEWED AND REVISED, IF NECESSARY, ON AN ANNUAL BASIS BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE BOARD EXECUTIVE COMMITTEE. ALL BOARD MEMBERS AND ALL EMPLOYEES HOLDING THE TITLE OF VICE PRESIDENT AND ABOVE ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ANNUALLY COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE. ALL COMPLETED CONFLICT OF INTERST QUESTIONNAIRES ARE REVIEWED BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. DETERMINATIONS AS TO WHETHER A CONFLICT EXISTS ARE MADE BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. ACTUAL CONFLICTS ARE REVIEWED BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY DELIBERATIONS AND DECISIONS ON THE TRANSACTION IN QUESTION. FORM 990, PART VI, SECTION B, LINE 15 FOR THE CEO, OFFICERS AND OTHER KEY EMPLOYEES, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH FUNCTIONS AS THE COMPENSATION COMMITTEE FOR BRONSON HEALTHCARE GROUP, RETAINS THE SERVICES OF AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT (SULLIVAN, COTTER AND ASSOCIATES) WHO CONDUCTS A THOROUGH COMPENSATION AND BENEFIT SURVEY PROCESS THAT IS USED TO DETERMINE THE APPROPRIATE ADJUSTMENT IN CASH COMPENSATION AND BENEFITS PROVIDED. THIS PROCESS IS DONE ANNUALLY AND WAS UNDER TAKEN IN 2023. THE CONSULTANT USES THREE TO FIVE NATIONAL HEALTHCARE-BASED SURVEYS FOR COMPARABILITY DATA, EACH ONE OF LIKE REVENUE SIZED HEALTHCARE SYSTEMS TO THE BRONSON HEALTHCARE GROUP. THE CONSULTANT PREPARES A DETAILED REPORT WITH RECOMMENDATIONS FOR PAY AND/OR BENEFIT ADJUSTMENTS, AND PRESENTS THE INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS (WHEN THE CEOS SURVEY DATA AND RECOMMENDATIONS ARE PRESENTED, THE CEO AND STAFF ARE EXCUSED FROM THE DELIBERATIONS). AFTER ALL QUESTIONS OF THE BOARD MEMBERS ARE ANSWERED, FORMAL MOTIONS ARE PROPOSED, SECONDED AND VOTED ON (FOR ANY PAY ADJUSTMENTS AND FOR RECEIPT OF THE CONSULTANT'S REPORT). AT THE SUBSEQUENT MEETING OF THE FULL BOARD OF DIRECTORS, THE CHAIR DISCLOSES THE RESULTS AND APPROVED MOTIONS OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC BY POSTING THEM ON THE ORGANIZATION'S WEBSITE AND PROVIDING COPIES ON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS, OTHER THAN THE FORM 990, ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, LINE 1A: THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE 9,973,437. 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