2023-11-09T14:16:01-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2022-01-01 382776791 BRONSON BATTLE CREEK HOSPITAL BRON 2692458496 300 NORTH AVE BATTLE CREEK MI 49017 REBBECA EAST SENIOR VP/CFO 2693416000 2023-11-07 1 REBBECA EAST 999009999 1 DAVID LOWENTHAL P00378651 3122071040 2023-11-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BILL MANNS 301 JOHN STREET KALAMAZOO MI 49007 320125153 0 X WWW.BRONSONHEALTH.COM X 1987 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 22 17 1803 102 2120190 2581 5461204 4101597 304848952 311670845 107566 -426012 3427913 3724761 313845635 319071191 35371 21297 0 0 172835696 190113333 0 0 0 143389207 150664161 316260274 340798791 -2414639 -21727600 180297723 140005665 55650677 26992161 124647046 113013504 TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 0 0 302667597 21297 311053556 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 AREA AND SURROUNDING COMMUNITIES. BBCH FEATURES SERVICES SUCH AS BEHAVIORAL HEALTH, CANCER CARE, ROBOTIC SURGERY, WORLD-CLASS DIAGNOSITCS, AND WOUND HEALING. IN 2022, BBCH'S MEDICAID COST WAS $60,361,277 MEDICAID NET REVENUE WAS $44,413,995. 18038088 IN FURTHERANCE OF ITS MISSION, BBCH INCURRED $18,038,088 IN BAD DEBT EXPENSE TO PROVIDE CARE TO ITS PATIENTS. 320705685 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 1 175 0 1 1803 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 22 17 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 JAMES BARBARA DIRECTOR 1.00 8.00 X X 0 1320 0 NYBERG NEIL SECRETARY 1.00 8.00 X X 0 0 0 ODAR MICHAEL TREASURER 1.00 8.00 X X 0 0 0 EBERTS RANDALL VICE CHAIR 1.00 8.00 X X 0 1320 0 MANNS BILL PRESIDENT AND CEO 4.60 35.40 X X 0 1718738 1016747 KARRE NELSON CHAIR 1.00 8.00 X X 0 0 0 LINS STEVEN J MD DIRECTOR 1.00 8.00 X 0 0 0 MONTGOMERY TABRON LA JUNE DIRECTOR 1.00 8.00 X 0 0 0 PARFET DONALD DIRECTOR 1.00 8.00 X 0 0 0 SHARMA NAMITA DIRECTOR (BEG. 11/2022) 1.00 8.00 X 0 0 0 STEWART ERICK J DIRECTOR (BEG. 11/2022) 1.00 8.00 X 0 0 0 WASHINGTON L MARSHALL DIRECTOR (BEG. 11/2022) 1.00 8.00 X 0 0 0 JOHNSTON WILLIAM DIRECTOR 1.00 8.00 X 0 0 0 LIGGENS JAMES JR DIRECTOR 1.00 8.00 X 0 1320 0 HUNT BRENDA DIRECTOR 1.00 8.00 X 0 0 0 KARAMCHANDANI MAHESH C DIRECTOR 1.00 8.00 X 0 773390 38883 WORKMAN WILLIAM BEG 072022 DIRECTOR/SYSTEM VICE CHIEF OF STAFF 1.00 8.00 X 0 515907 38442 ATKINSON MARK B MD DIRECTOR (THRU 10/2022) 1.00 8.00 X 0 0 0 GONZALEZ JORGE DIRECTOR 1.00 8.00 X 0 0 0 CHALASANI SRIDHAR DIRECTOR (THRU 10/2022) 1.00 8.00 X 0 600218 43470 CHEN-ZHANG LYNN DIRECTOR (BEG. 11/2022) 1.00 8.00 X 0 0 0 GIBSON SCOTT MD DIRECTOR 1.00 8.00 X 0 6898 0 FINK KATY DIRECTOR 1.00 8.00 X 0 0 0 DAVIDSON SCOTT DIRECTOR (THRU 10/2022) 1.00 8.00 X 0 543634 43259 ALLEN RICHARD DIRECTOR 1.00 8.00 X 0 0 0 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 4.60 35.40 X 0 776877 306804 EAST REBECCA L SR VP CFO 4.60 35.40 X 0 868827 347897 REINOEHL SUSAN SR VP STRATEGY & COMM 4.60 35.40 X 0 523887 221617 JOHNSON CHERYL SR VP CHIEF PEOPLE OFFICER 4.60 35.40 X 0 541461 141384 WAY MICHAEL S SR VP MAT. MGT. & FACILITY SVS. 4.60 35.40 X 0 475526 246509 LARSON SCOTT MD SR VP MEDICAL AFFAIRS/CMO 4.60 35.40 X 0 870069 314739 NEELY DENISE SR VP COO (THRU 10/2022) 4.60 35.40 X 0 400390 75572 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 4.60 35.40 X 0 288029 77669 RICHARDSON KIRK SVP, COO BBC 8.00 32.00 X 0 588363 137343 MURRAY KERRI PHYSICIAN 40.00 0.00 X 1112438 0 47925 RUSSELL MARK PHYSICIAN 40.00 0.00 X 1217458 0 28163 BURKHARDT JOSEPH PHYSICIAN 40.00 0.00 X 1617658 0 52833 BARTHOLOMEW DAVID PHYSICIAN 40.00 0.00 X 973846 0 39562 DABROWSKI PHILLIP PHYSICIAN 40.00 0.00 X 1095315 0 39873 HAYDEN JOHN FORMER SR VP CHIEF HR OFFICER 0.00 0.00 X 0 130831 0 JONES JR JOHN FORMER SR VP COMMUNITY CARE 0.00 0.00 X 0 108500 0 6016715 9735505 3258691 172 1 1 0 C & A INDUSTRIES INC DBA FOCUSONE SOLUTI 1010 N 102ND STREET 300 OMAHA NE 68114 HEALTHCARE STAFFING 15364619 DAWSON HEALTHCARE PO BOX 358153 PITTSBURGH PA 15251 HEALTHCARE STAFFING 13267286 SHIELDS HEALTH SOLUTIONS HOLDINGS LLC 100 TECH DRIVE SUITE 600 STOUGHTON MA 02072 CONTRACTED SERVICES 5400558 ANESTHESIA ASSOCIATES OF BATTLE CREEK PC 7240 MACKENZIE LANE PORTAGE MI 49024 MEDICAL SERVICES 2602512 HAYES LOCUMS LLC P O BOX 88122 CHICAGO IL 606801122 CONTRACTED SERVICES 2061072 27 2448497 1653100 4101597 NET PATIENT SERVICE REVENUE 621400 270557051 270557051 PHARMACY 456110 38380094 36366347 2013747 PGIP REVENUE 900099 2382221 2382221 RENTAL REVENUE FROM AFFILIATED OR 532000 351479 351479 311670845 39584 39584 510567 0 510567 510567 510567 588366 1053962 -465596 -465596 -465596 CAFETERIA REVENUE 900099 1608353 20215 1588138 OUTSIDE SERVICES-AFFILIATED 900099 480323 480323 SERVICES TO SELECT MEDICAL 900099 443408 443408 682110 472727 86228 123155 3214194 319071191 311053556 2120190 1795848 21297 21297 161670096 150514094 11156002 21784261 20431606 1352655 6658976 6597714 61262 14385 14385 266123 116538 149585 26348857 26282924 65933 4680394 4576669 103725 18096 18096 5084726 5083075 1651 240428 231647 8781 150548 149799 749 9505346 8120715 1384631 3152136 1974813 1177323 MEDICAL SUPPLIES 70847434 70837952 9482 BAD DEBT EXPENSE 18038088 18038088 0 BHG ALLOCATION 7735449 3676282 4059167 MAINTENANCE EXPENSE 3326061 3323731 2330 1256090 710645 545445 340798791 320705685 20093106 0 57765531 13603337 827143 385317 38851453 43627944 6395055 7070841 662180 1369962 172475196 103280338 74069512 69194858 1726849 4753406 180297723 140005665 26755632 23757255 15626903 13268142 3234906 55650677 26992161 X 123785151 112435212 861895 578292 124647046 113013504 180297723 140005665 X -21727600 10094058 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 2830421 2830421 87938369 44765437 43172932 408195 300227 107968 78776159 57315100 21461059 2522052 899574 1622478 69194858 DEFERRED COMP LIABILITY 693600 RIGHT TO USE LIABILITY 1860576 COST REPORT LIABILITIES 680730 3234906 1 1 X 1 X 1 X 1 1 0 1 1 1053749 1053749 0.00330 66939 60361277 44413995 15947282 0.04940 66939 61415026 44413995 17001031 0.05270 11 14717 948234 948234 0.00290 5 511 6511971 1222799 5289172 0.01640 2 27 11177 11177 0.00000 18 15255 7471382 1222799 6248583 0.01930 18 82194 68886408 45636794 23249614 0.07200 1 20 578 578 0.00000 1 330 330 0.00000 1 82 82 0.00000 1 12 124 124 0.00000 4 32 1114 1114 0.00000 1 18038088 20982 46924786 51025815 -4101029 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 1 20 1 TINYURL.COM/5N7UMTME 0 1 X 200.000000000000 350.000000000000 X X X X X X 1 1 X X X X 1 X TINYURL.COM/4SFRNW7B X TINYURL.COM/TCM6V6KS X TINYURL.COM/Y4LSXXC7 X X X X X X 1 X 0 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. THE NEEDS DESCRIBED IN THIS DOCUMENT REFER TO THE NEEDS IDENTIFIED IN THE 2019 CHNA AND ADDRESSED IN THE 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) THAT WAS IN EFFECT IN 2022. 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.CALHOUN COUNTY 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 COVID19 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. BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 6A: BRONSON LAKEVIEW HOSPITALBRONSON SOUTH HAVEN 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 COUNTYPOPULATION HEALTH ALLIANCE OF CALHOUN COUNTYSUMMIT POINTE BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 11: THE CHNA DISCUSSED IN THE BELOW DISCLOSURES WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019, AND THE FOLLOWING NEEDS HAVE BEEN ADDRESSED THROUGH 2022. THE LATEST CHNA WAS ADOPTED AT THE END OF 2022, AND WILL BE ADDRESSED IN 2023-2025. THE IMPLEMENTATION PLAN RELATED TO THE 2022 CHNA WAS APPROVED IN APRIL OF 2023.BRONSON CONTINUES TO FOCUS EFFORTS UPSTREAM TO ACKNOWLEGE THE ROOT CAUSES OF BEHAVIORS, DEATH, AND DISEASE. AS A RESULT, THERE WAS SHARED DESIRE AND URGENCY TO BUILD COMMUNITY TRUST IN OUR 2020-2022 CHIP. AS SOUTHWEST AND SOUTHCENTRAL MICHIGAN'S ONLY CHILDREN'S HOSPITAL, WE RECOGNIZE THE RESPONSIBILITY AND OPPORTUNITY TO BUILD THIS TRUST FROM THE START. AS A RESULT, BRONSON COMMITS TO ENGAGE AND BUILD TRUST WITH FAMILY SUPPORTS TO ELIMINATE RACIAL/ETHNIC DISPARITIES AMONG MOTHERS AND BABIES ACROSS OUR 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 TARGETED HEALTH NEEDS: WORKFORCE EQUITY AND HEALTHCARE EQUITY. TO ACT ON THIS, BRONSON HAS DEPLOYED SEVERAL TACTICS FOCUSED ON ELIMINATING RACIAL/ETHNIC DISPARITIES THROUGHOUT THE PERINATAL EXPERIENCE AND EMPLOYMENT EXPERIENCE AT BRONSON: ESTABLISH COMMUNITY ENGAGEMENT & SOCIAL DEMOGRAPHIC DATA INFRASTRUCTURE. IMPROVE PATIENTS' CONNECTION TO COMMUNITY RESOURCES (E.G. FOOD SUPPORTS, PERINATAL MENTAL HEALTH SCREENING). IMPROVE SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING COLLECTION AND REFERRAL PROCESS FOR BABIES AND EXPECTING FAMILIES. EXPAND INTERCULTURAL DEVELOPMENT AND QUALITY IMPROVEMENT. DEVELOP AND DELIVER CULTURALLY APPROPRIATE BIRTH EDUCATION AND NUTRITION RESOURCES. EXPAND EVIDENCE BASED MODELS (E.G., CENTERING PREGNANCY, COMMUNITY HEALTHCARE WORKERS, STRONG FATHER PROGRAMS, AND BREAST-FEEDING INITIATIVES). CREATE CAREER PATHWAYS TO BUILD OPPORTUNITIES FOR STRONG FAMILIES. CREATE INTERNAL LATTICES/OPPORTUNITIES TO BUILD WEALTH FOR STRONG FAMILIES. POLICIES/GOVERNANCE/LEADERSHIP TO SUPPORT THE HEALTH AND WELL-BEING OF FAMILIES AT WORK.THE 2020-2022 CHIP SERVES AS A FIRST STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF OUR 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). PART V, SECTION B, LINE 20D THE HOSPITAL MADE PRESUMPTIVE ELIGIBILITY DETERMINATIONS REGARDING PATIENTS WHO ARE HOMELESS AS WELL AS PATIENTS WHO ARE REFERRED TO FROM GRACE HEALTH AND FHC AND QUALIFIED FOR FINANCIAL ASSISTANCE AT THOSE FACILITIES. 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 $ 18,038,088. PART II, COMMUNITY BUILDING ACTIVITIES: ACADIA HEALTH: BRONSON FORMED 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. BRONSON CONTRIBUTED THE LAND AND THE BED LICENSES (CURRENTLY HOUSED AT ITS FIELDSTONE FACILITY) WHILE ACADIA PROVIDED THE CAPITAL FOR THE FACILITY DEVELOPMENT AND WOULD MANAGE THE OPERATION. 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, 2022, TO DECEMBER 15, 2022, WITH A CAC (CERTIFIED APPLICATION COUNSELOR). 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. SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE (SWMPQI) & CALHOUN MATERNAL INFANT HEALTH COMMISSION: 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. THROUGH THE SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE, BRONSON STAFF COLLABORATED 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 DEMOGRAPHICS4.9% < 21 YEARS OF AGE15.4% 21-39 YEARS OF AGE35.1% 40-64 YEARS OF AGE43.6% 65 YEARS OF AGE AND OLDERPATIENT DIVERSITY DEMOGRAPHICS83.40% CAUCASIAN12.3% AFRICAN AMERICAN1.34% ASIAN2.38% OTHERPATIENT INSURANCE DEMOGRAPHICS32.60% PRIVATE INSRUANCE18.1% MEDICARE20.9% MEDICARE AND SUPPLEMENTAL INSURANCE16.70% MEDICAID OR OTHER PUBLIC ASSISTANCE9.8% 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, GRACE HEALTH, AND WEST MICHIGAN AIR CARE.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 ENGAGEMENT AND DIVERSITY NEEDS: AREAS OF FOCUS FOR 2022 AND BEYOND:RENEWED FOCUS OF IN-PERSON EVENTS AND DIALOG WITH LOCAL UNIVERSITIES, COLLEGES, AND VO-TECH SCHOOLS. BRONSON IS COMMITTED TO HELPING AND GUIDING EMERGING TALENT FROM LOCAL INSTITUTIONS TO START THEM ON THEIR CAREER JOURNEYS. STAYING ABREAST AND AHEAD OF NEW TECHNOLOGY SOLUTIONS TO EXPAND BRONSON'S DIGITAL RECRUITING MARKETING FOOTPRINT AND ENSURING THAT QUALIFIED JOB SEEKERS ARE AWARE OF BRONSON OPPORTUNITIES.BUILDING STRONGER RELATIONSHIPS WITH LOCAL COMMUNITY GROUPS SUCH AS THE 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.ESTABLISHING AND STRENGTHENING PARTNERSHIPS WITH NATIONAL ORGANIZATIONS SUCH AS THE NATIONAL BLACK NURSES ASSOCIATION, NATIONAL ASSOCIATION OF HISPANIC NURSES, AND HIRE OUR HEROES.HEALTH EDUCATION PROGRAMS AND SOCIAL NEEDS INITIATIVESCOMMUNITY HEALTHY LIVING CLASSES: HEALTHY LIVING CLASSES ARE OFFERED TO COMMUNITY MEMBERS AT LEAST TWICE PER MONTH. TOPICS INCLUDE HEALTHY EATING, HEART-HEALTHY BEHAVIORS, STRESS RELIEF, INCREASING COMMUNITY CONNECTION AND MORE.COOKING WITH BRONSON (10-18 PER YEAR): VIRTUAL HEALTHY COOKING CLASSES OFFERED TWICE PER MONTH FOR OLDER ADULTS. RECIPES ADAPTED FOR SMALL HOUSEHOLDS. OFFERED VIRTUALLY, VIA A PARTNERSHIP WITH THE AREA AGENCY ON AGING.COMMUNITY SUPPORT RESOURCES: A VARIETY OF HEALTHY LIVING RESOURCES INCLUDING HEALTHY RECIPE BOOKS, TIP SHEETS, FAMILY PHYSICAL ACTIVITY GUIDES, HEALTHY LIVING VIDEOS AND MORE. ACCESS RESOURCES AT BRONSONHEALTH.COM/BRONSONEATS AND YOUTUBE. FAMILY AND COMMUNITY ENGAGEMENT EVENTS/INITIATIVES: ONE-TIME PRESENTATIONS, HEALTH EDUCATION FOR COMMUNITY ORGANIZATIONS AND GROUPS, HEALTH AND EQUITY EDUCATION FOR HIGHER EDUCATION, HEALTH FAIRS, COMMUNITY CONNECTION EVENTS, HEALTH ED AND SAFETY EVENTS, FARMER'S MARKET EDUCATION STATIONS, YOUTH ENGAGEMENT ACTIVITIES AND EDUCATION, COMMUNITY COOKING CLASSES, LIBRARY AND FOOD PANTRY PARTNERSHIP PROJECTS AND MORE. PART VI, LINE 6: BBCH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON LAKEVIEW HOSPITAL, BRONSON SOUTH HAVEN HOSPITAL, AND BRONSON METHODIST 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 19 MEMBERS FROM THE COMMUNITIES 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 HEALTHCARE FOUNDATION, BRONSON AT HOME, VAN BUREN EMERGENCY MEDICAL SERVICES, AND BRONSON PROPERTIES CORPORATION. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 CALHOUN INTERMEDIATE SCHOOL DISTRICT 17111 G DRIVE NORTH MARSHALL MI 49068 386062816 115 15000 0 GENERAL SUPPORT BATTLE CREEK AREA CHAMBER OF COMMERCE ONE RIVERWALK CENTRE SUITE 3A 34W BATTLE CREEK MI 49017 380331530 501(C)(6) 6297 0 GENERAL SUPPORT 1 1 PART I, LINE 2: DONATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. X X 1 1 0 1 0 0 0 0 0 0 0 MANNS BILL PRESIDENT AND CEO 0 1009320 0 452304 0 257114 0 997586 0 19161 0 2735485 0 452304 BURKHARDT JOSEPH PHYSICIAN 1514406 0 78632 0 24620 0 29450 0 23383 0 1670491 0 0 0 RUSSELL MARK PHYSICIAN 1140589 0 59529 0 17340 0 25100 0 3063 0 1245621 0 0 0 EAST REBECCA L SR VP CFO 0 513685 0 193762 0 161380 0 329275 0 18622 0 1216724 0 193762 LARSON SCOTT MD SR VP MEDICAL AFFAIRS/CMO 0 527702 0 162551 0 179816 0 298597 0 16142 0 1184808 0 162551 MURRAY KERRI PHYSICIAN 799415 0 112046 0 200977 0 25100 0 22825 0 1160363 0 0 0 DABROWSKI PHILLIP PHYSICIAN 1021040 0 52575 0 21700 0 20750 0 19123 0 1135188 0 0 0 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 0 463700 0 170231 0 142946 0 290879 0 15925 0 1083681 0 170231 BARTHOLOMEW DAVID PHYSICIAN 870524 0 79632 0 23690 0 20750 0 18812 0 1013408 0 0 0 KARAMCHANDANI MAHESH C DIRECTOR 0 677834 0 65440 0 30116 0 25100 0 13783 0 812273 0 0 REINOEHL SUSAN SR VP STRATEGY & COMM 0 310249 0 114978 0 98660 0 215183 0 6434 0 745504 0 114978 RICHARDSON KIRK SVP, COO BBC 0 398892 0 103000 0 86471 0 115383 0 21960 0 725706 0 103000 WAY MICHAEL S SR VP MAT. MGT. & FACILITY SVS. 0 257363 0 108486 0 109677 0 228701 0 17808 0 722035 0 108486 JOHNSON CHERYL SR VP CHIEF PEOPLE OFFICER 0 343120 0 119700 0 78641 0 125919 0 15465 0 682845 0 119700 CHALASANI SRIDHAR DIRECTOR (THRU 10/2022) 0 528059 0 42340 0 29819 0 25100 0 18370 0 643688 0 0 DAVIDSON SCOTT DIRECTOR (THRU 10/2022) 0 445981 0 94026 0 3627 0 25100 0 18159 0 586893 0 0 WORKMAN WILLIAM BEG 072022 DIRECTOR/SYSTEM VICE CHIEF OF STAFF 0 459265 0 56161 0 481 0 20750 0 17692 0 554349 0 0 NEELY DENISE SR VP COO (THRU 10/2022) 0 221712 0 96393 0 82285 0 67651 0 7921 0 475962 0 96393 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 0 238769 0 45907 0 3353 0 68935 0 8734 0 365698 0 45907 HAYDEN JOHN FORMER SR VP CHIEF HR OFFICER 0 0 0 0 0 130831 0 0 0 0 0 130831 0 0 JONES JR JOHN FORMER SR VP COMMUNITY CARE 0 0 0 0 0 108500 0 0 0 0 0 108500 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 2022: NEELY, DENISE $65,462 SERP DISTRIBUTION WAY, MICHAEL $106,105 SERP DISTRIBUTION REINOEHL, SUSAN $96,394 SERP DISTRIBUTION FALAHEE JR., JAMES B $131,582 SERP DISTRIBUTION JONES JR, JOHN $108,500 SERP DISTRIBUTION EAST, REBECCA $160,450 SERP DISTRIBUTION LARSON, SCOTT D $163,523 SERP DISTRIBUTION HAYDEN, JOHN $130,831 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. NEELY, DENISE $65,462 SERP CONTRIBUTION WAY, MICHAEL $57,889 SERP CONTRIBUTION REINOEHL, SUSAN $60,754 SERP CONTRIBUTION FALAHEE JR., JAMES B $85,145 SERP CONTRIBUTION LARSON, SCOTT D $94,417 SERP CONTRIBUTION EAST, REBECCA $95,532 SERP CONTRIBUTION MANNS, BILL $737,315 SERP CONTRIBUTION JOHNSON, CHERYL $55,620 SERP CONTRIBUTION MARLA ATKINSON SPOUSE OF BOARD MEMBER MARK ATKINSON 325724 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON HEALTHCARE GROUP 0 STEPHANIE NELSON SISTER-IN-LAW OF BOARD MEMBER SCOTT GIBSON 121068 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 NICOLE ATKINSON DAUGHTER OF BOARD MEMBER MARK ATKINSON 70380 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 KIMBERLY JAMES DAUGHTER OF BOARD MEMBER BARBARA JAMES 56056 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 MELISSA DAVIDSON SPOUSE OF BOARD MEMBER SCOTT DAVIDSON 68018 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 CYNTHIA WORKMAN SPOUSE OF BOARD MEMBER WILLIAM WORKMAN 20400 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 23, 2023. 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 2022. 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: PENSION RELATED CHANGES 10,028,023. TRANFER TO AFFILIATE 66,035. 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