2023-11-09T15:11:32-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2022-01-01 381359218 BRONSON LAKEVIEW HOSPITAL BRON 2693416000 601 JOHN STREET KALAMAZOO MI 49007 REBECCA EAST SENIOR VP/CFO 2693416000 2023-11-07 1 REBECCA EAST 999009999 0 DAVID LOWENTHAL P00378651 3122071040 2023-11-03 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BILL MANNS 301 JOHN STREET KALAMAZOO MI 49007 77156008 0 X BRONSONHEALTH.COM X 2007 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 22 17 437 34 0 7576 1966254 1335180 75255365 75565341 -22231 1902 408662 233526 77608050 77135949 0 0 0 0 37261983 38632393 0 0 0 23591892 25829917 60853875 64462310 16754175 12673639 57372816 71877677 8547719 10273562 48825097 61604115 TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 0 0 53873623 75650454 BRONSON LAKEVIEW HOSPITAL (BLH) IS A 26-BED CRITICAL ACCESS HOSPITAL, INCLUDING 16 CRITICAL ACCESS AND 10-BED GERIATRIC PSYCHIATRIC UNIT. BLH OFFERS A FULL RANGE OF ACUTE CARE FOR INPATIENTS AND IS A WELL-ESTABLISHED DESTINATION FOR SURGERY, GERIATRIC PSYCHIATRY AND EMERGENCY CARE. BLH OPERATES A FULL-SERVICE, 24/7 EMERGENCY DEPARTMENT THAT TYPICALLY TREATS OVER 18,000 PATIENT VISITS ANNUALLY, REGARDLESS OF THEIR ABILITY TO PAY. OUTPATIENT SERVICES ARE PROVIDED AT THE HOSPITAL, AS WELL AS AT RURAL HEALTH CLINICS IN PAW PAW, DECATUR, AND MATTAWAN. IN 2022, IN FURTHERANCE OF ITS MISSION, BLH INCURRED NET COMMUNITY BENEFIT EXPENSE OF $1,360,041. IN 2022, BLH'S MEDICAID COST WAS $12,270,631 AND MEDICAID NET REVENUE WAS $11,885,330. 5919318 IN 2022, IN FURTHERANCE OF ITS MISSION, BLH INCURRED $5,919,318 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS. 59792941 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 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 63 0 1 437 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 KARRE NELSON CHAIR 1.00 8.00 X X 0 0 0 NYBERG NEIL SECRETARY 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 KARAMCHANDANI MAHESH C DIRECTOR 1.00 8.00 X 0 773390 38883 SHARMA NAMITA DIRECTOR (BEG. 11/2022) 1.00 8.00 X 0 0 0 PARFET DONALD DIRECTOR 1.00 8.00 X 0 0 0 MONTGOMERY TABRON LA JUNE DIRECTOR 1.00 8.00 X 0 0 0 LINS STEVEN J MD DIRECTOR 1.00 8.00 X 0 0 0 LIGGENS JAMES JR DIRECTOR 1.00 8.00 X 0 1320 0 WASHINGTON L MARSHALL DIRECTOR 1.00 8.00 X 0 0 0 STEWART ERICK J DIRECTOR 1.00 8.00 X 0 0 0 HUNT BRENDA DIRECTOR 1.00 8.00 X 0 0 0 ODAR MICHAEL TREASURER 1.00 8.00 X 0 0 0 JOHNSTON WILLIAM DIRECTOR 1.00 8.00 X 0 0 0 WORKMAN WILLIAM BEG 072022 DIRECTOR/SYSTEM VICE CHIEF OF STAFF 1.00 8.00 X 0 515907 38442 JAMES BARBARA DIRECTOR 1.00 8.00 X 0 1320 0 ATKINSON MARK B MD DIRECTOR (THRU 10/2022) 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 GONZALEZ JORGE DIRECTOR 1.00 8.00 X 0 0 0 GIBSON SCOTT MD DIRECTOR 1.00 8.00 X 0 6898 0 DAVIDSON SCOTT DIRECTOR (THRU 10/2022) 1.00 8.00 X 0 543634 43259 FINK KATY DIRECTOR 1.00 8.00 X 0 0 0 ALLEN RICHARD DIRECTOR 1.00 8.00 X 0 0 0 REINOEHL SUSAN SR VP STRATEGY & COMM 4.60 35.40 X 0 523887 221617 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 JOHNSON CHERYL SR VP CHIEF PEOPLE OFFICER 4.60 35.40 X 0 541461 141384 LARSON SCOTT MD SR VP MEDICAL AFFAIRS/CMO 4.60 35.40 X 0 870069 314739 WAY MICHAEL S SR VP MAT. MGT. & FACILITY SVS. 4.60 35.40 X 0 475526 246509 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 NEELY DENISE SR VP COO (THRU 10/2022) 4.60 35.40 X 0 400390 75572 KOUSOUROU HARITON PHYSICIAN 40.00 0.00 X 334326 0 35666 MIRZA NADEEM PSYCHIATRY 40.00 0.00 X 403286 0 41043 KHAIRALLAH NAJI INTERNAL MEDICINE 40.00 0.00 X 315055 0 43574 FOSSITT DEXTER INTERNAL MEDICINE 40.00 0.00 X 283519 0 41591 DOMMER MATTHEW VICE PRESIDENT, COO/VPMA 40.00 0.00 X 482551 0 92293 JONES JR JOHN FORMER SR VP COMMUNITY CARE 0.00 0.00 X 0 108500 0 HAYDEN JOHN FORMER SR VP CHIEF HR OFFICER 0.00 0.00 X 0 130831 0 1818737 9735505 3304502 50 1 1 0 ALLIANCE-HNI LLC 100 BAYVIEW CIRCLE NEWPORT BEACH CA 92660 MEDICAL SERVICES 1139838 C & A INDUSTIRES INC 1010 N 102ND STREET 300 OMAHA NE 68114 HEALTHCARE STAFFING 605218 SW MI EMERGENCY SERVICES PC 125 S KALAMAZOO MALL KALAMAZOO MI 49007 MEDICAL SERVICES 550591 KALAMAZOO ANESTHESIOLOGY 900 PEELER STREET KALAMAZOO MI 49003 MEDICAL SERVICES 506121 GE PRECISION HEALTHCARE LLC 3000 N GRANDVIEW BOULEVARD WAUKESHA WI 53188 MEDICAL SERVICES 392594 6 291627 1043553 1335180 NET PATIENT REVENUE 621110 74114440 74114440 PGIP REVENUE 900099 1442539 1442539 RENTAL REVENUE FROM AFFILIATES 532000 8362 8362 75565341 21961 21961 20059 -20059 -20059 -20059 GAIN/LOSS ON SUBS OR JOINT VENTUR 900099 95931 95931 OUTSIDE SERVICE REVENUE 900099 79103 79103 CAFETERIA EMPLOYEE REVENUE 900099 52482 52482 6010 6010 233526 77135949 75650454 0 150315 31940143 28948074 2992069 5017693 4705091 312602 1674557 1630402 44155 4154984 4117790 37194 2000 1818 182 794228 764690 29538 2500 2500 2787147 2718935 68212 37831 37081 750 42730 42528 202 28012 25463 2549 1835123 1807919 27204 666913 417821 249092 MEDICAL SUPPLIES 5936728 5921612 15116 BAD DEBT EXPENSE 5919318 5919318 BHG ALLOCATION 2131620 1335460 796160 EQUIPMENT MAINT/REPAIR 1086521 1084871 1650 404262 311568 92694 64462310 59792941 4669369 0 3280593 11408625 31766903 37775293 6989234 7546082 934084 1085032 587621 630657 52551454 40380244 12341663 12171210 1217893 1085823 254825 174955 57372816 71877677 3470749 3456238 2337592 0 1101731 1015715 1637647 5801609 8547719 10273562 X 48825097 61604115 48825097 61604115 57372816 71877677 X 12673639 105379 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 818892 818892 29555355 21286791 8268564 17935994 15278014 2657980 4241213 3815439 425774 12171210 COST REPORT SETTLEMENTS 5801609 5801609 1 1 X 1 X 1 X 1 1 0 1 1 194666 194666 0.00330 19923 12270631 11885330 385301 0.00660 19923 12465297 11885330 579967 0.00990 4 4000 129481 129481 0.00220 2 111 650593 650593 0.01110 0 6 4111 780074 780074 0.01330 6 24034 13245371 11885330 1360041 0.02320 1 5919318 24548 8359828 9485028 -1125200 X 1 1 1 1 BRONSON LAKEVIEW HOSPITAL 408 HAZEN STREET PAW PAW MI 49079 BRONSONHEALTH.COM X X X X BRONSON LAKEVIEW HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X TINYURL.COM/5264MXFD X 1 20 1 TINYURL.COM/3NXRUHSS 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 LAKEVIEW HOSPITAL PART V, SECTION B, LINE 5: BRONSON LAKEVIEW 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.BRONSON CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND THE HEALTH CONCERNS AND NEEDS IN VAN BUREN COUNTY. THIS CHNA RELIED HEAVILY ON COMMUNITY PARTNERS AND THOSE IN THE COMMUNITY. DATA WERE COLLECTED AND ANALYZED TO IDENTIFY GREATEST HEALTH NEEDS OF THE COMMUNITY. RECOGNIZING ITS VITAL IMPORTANCE IN UNDERSTANDING THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY, BRONSON CONSULTED WITH A RANGE OF PUBLIC HEALTH AND SOCIAL SERVICE PROVIDERS THAT REPRESENT THE BROAD INTERESTS OF VAN BUREN COUNTY. BOTH PRIMARY AND SECONDARY DATA WERE COLLECTED AND ANALYZED TO INFORM THIS CHNA. MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) HIGHLIGHTED COMMUNITY VOICE THROUGH ANALYSIS OF KEY INFORMANT INTERVIEWS, COMMUNITY SURVEY RESULTS, AND RECENT COMMUNITY REPORTS AND ASSESSMENTS. W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH COMPILED AND ANALYZED SOCIAL DETERMINANTS OF HEALTH INDICATORS TO HIGHLIGHT THE HEALTH STATUS AND SOCIAL DETERMINANTS OF HEALTH FOR INDIVIDUALS LIVING IN VAN BUREN COUNTY.BRONSON HEALTHCARE, MICHIGAN PUBLIC HEALTH INSTITUTE, AND W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH MET WEEKLY TO FACILITATE THE CHNA PROCESS. THE VAN BUREN CHNA ADVISORY GROUP WAS ENGAGED WITH A CONCERTED EFFORT TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE NEEDS AND PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE AND RESEARCH 2) THOSE WHO SERVE BIPOC AND GROUPS THAT HAVE BEEN MARGINALIZED 3) THE BROADER COMMUNITY AT LARGE AND REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED. THE ADVISORY GROUP MET WITH THE CORE WORKGROUP MULTIPLE TIMES INCLUDING A PRIORITIZATION SESSION, AND MANY MEMBERS PARTICIPATED IN KEY INFORMANT INTERVIEWS (KII) FOR THIS REPORT.THE FOLLOWING ORGANIZATIONS MADE UP THE ADVISORY GROUP AND KEY INFORMANT INTERVIEW PARTICIPANTS: BRONSON HEALTHCARE. MICHIGAN PUBLIC HEALTH INSTITUTE. REGION IV AREA AGENCY ON AGING. VAN BUREN CASS DISTRICT HEALTH DEPARTMENT. VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY. W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH. ORGANIZATIONS THAT JOINED THE ADVISORY GROUP MEMBERS IN THE COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS, & NEEDS PRIORITIZATION: ADVISORY GROUP MEMBERS & CONTRIBUTORS. BRONSON FAMILY CARE. BRONSON WELLNESS CENTER. DISABILITY NETWORK OF SW MICHIGAN. GREAT START COLLABORATIVE. HUMAN SERVICES COLLABORATIVE COUNCIL. MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. MSU EXTENSION. OUTCENTER SOUTHWEST MICHIGAN. POKAGON BAND OF POTAWATOMI- TRIBAL HEALTHCARE AND SERVICES. REGION IV AREA AGENCY ON AGING, INC. SENIOR SERVICES OF VAN BUREN COUNTY. SOUTH HAVEN PUBLIC SCHOOLS. VAN BUREN-CASS DISTRICT HEALTH DEPARTMENT. VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY. VAN BUREN COUNTY COMMISSION. VAN BUREN INTERMEDIATE SCHOOL DISTRICT. WE CARE COMMUNITY RESOURCE CENTER.KEY INFORMANT INTERVIEWS (KII): INDIVIDUALS REPRESENTING PARTNER AGENCIES IN THE COMMUNITY WERE INVITED TO SHARE THEIR THOUGHTS AND EXPERIENCES IN A KEY INFORMANT INTERVIEW. A TOTAL OF 14 KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN THE MONTHS OF MAY THROUGH JULY 2022, WITH PARTICIPANTS REPRESENTING DIVERSE POPULATIONS IN THE COUNTY INCLUDING GOVERNMENTAL PUBLIC HEALTH, MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY GROUPS.THE ADVISORY GROUP ALSO CREATED A COMMUNITY SURVEY TO BETTER UNDERSTAND THE HEALTH NEEDS IN VAN BUREN COUNTY. QUESTIONS ASKED FOR INPUT IN A VARIETY OF AREAS INCLUDING: TOP HEALTH CONCERNS AND PROBLEMS. HEALTH AND HEALTHCARE. COMMUNITY AND NEIGHBORHOODS. TRANSPORTATION. INCOME, MONEY AND JOBS. HOUSING. FOOD RESOURCES AND FOOD ACCESS. COVID-19. THE ONLINE COMMUNITY SURVEY WAS PROGRAMED IN AN ONLINE SOFTWARE TO COLLECT RESPONSES. THE ONLINE SURVEY HAD AN OPTION TO VIEW AND TAKE THE SURVEY IN ENGLISH OR SPANISH. THE SURVEY WAS DISTRIBUTED MAY AUGUST 2022. THE SURVEY WAS SHARED BY COMMUNITY PARTNERS WHO WORK CLOSELY WITH THOSE IN VAN BUREN COUNTY. PAPER COPIES OF THE SURVEY IN ENGLISH OR SPANISH WERE AVAILABLE UPON REQUEST. BRONSON LAKEVIEW HOSPITAL PART V, SECTION B, LINE 6A: BRONSON SOUTH HAVEN HOSPITALBRONSON METHODIST HOSPITALBRONSON BATTLE CREEK HOSPITAL BRONSON LAKEVIEW HOSPITAL PART V, SECTION B, LINE 6B: MICHIGAN PUBLIC HEALTH INSTITUTE REGION IV AREA AGENCY ON AGINGVAN BUREN-CASS DISTRICT HEALTH DEPARTMENTVAN BUREN COMMUNITY MENTAL HEALTH AUTHORITYW.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH BRONSON LAKEVIEW 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. IN 2022, BRONSON CONTINUED 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 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 IN VAN BUREN COUNTY 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 LAKEVIEW 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 LAKEVIEW 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. PART I, LINE 3C: THE ORGANIZATION USES THE FOLLOWING FPG TO DETERMINE ELIGIBILITY FORPROVIDING 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 $ 5,919,318. PART II, COMMUNITY BUILDING ACTIVITIES: 1. COMMUNITY SUPPORT A. COMMUNITY OUTREACH AND SUPPORT: THE EMPLOYEES AT BLH HOLD FOOD DRIVES FOR THE LOCAL FOOD PANTRIES AND ADOPT SEVERAL IN NEED FAMILIES EACH HOLIDAY SEASON. EMPLOYEES ARE ABLE TO PROVIDE MEDICAL SUPPORT TO MANY COMMUNITY ACTIVITIES AS PART OF THEIR SCHEDULED WORK TIME. BLH IS THE ONLY HOSPITAL IN THE BRONSON SYSTEM THAT HAS CRITICAL ACCESS HOSPITAL (CAH) DESIGNATION. BLH PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH A HOST OF EDUCATIONAL PROGRAMS AND ACTIVITIES, INCLUDING CPR CLASSES, BLOOD PRESSURE SCREENINGS, MAMMOGRAPHY SCREENINGS AND SUPPORT GROUPS FOR CAREGIVERS OF PATIENTS WITH ALZHEIMER'S DISEASE.B. 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). BECAUSE OF COVID AND IN-PERSON ASSISTANCE NOT BEING POSSIBLE, WE MADE CAC CONTACT INFORMATION AVAILABLE ON THE HOME PAGE FOR THE MARKETPLACE AS WELL AS TO 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. 2. COALITION BUILDING A. SOUTHWEST MICHIGAN PERINATAL COLLABORATIVE: 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 WORKED WITH MULTIPLE MEMBERS ACROSS SEVEN COUNTIES TO CREATE "A LOCALLY LINKED AND COORDINATED NETWORK OF SERVICES FOR BIRTHING PERSONS 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. B. VAN BUREN COMMUNITY HEALTH COMMITTEE: FORMED IN 2018, THE FOCUS OF THIS COLLABORATIVE HAS BEEN TO ELEVATE COMMUNITY VOICE TO ADDRESS THE ROOT CAUSES OF HEALTH DISPARITIES IN VAN BUREN COUNTY. BRONSON HEALTHCARE SERVES IN A LEADERSHIP CAPACITY AND HAS CONTINUED TO SUPPORT THE COLLABORATIVE WITH VARIOUS COMMUNITY HEALTH INITIATIVES. IN RESPONSE THE CHNA, THE COLLABORATIVE APPLIED AND WAS REWARDED A $200,000 PLANNING GRANT FROM MICHIGAN HEALTH ENDOWMENT FUND. PROJECT STARTED FALL OF 2021. THE AGING HEALTH EQUITY & POLICY PLANNING PROJECT IS A COMMUNITY-INFORMED AND DATA-DRIVEN PLAN DEVELOPMENT PROCESS TO IDENTIFY AND ADDRESS THE ROOT CAUSES OF DISPARATE HEALTH OUTCOMES AMONG MINORITY OLDER ADULTS LIVING IN VAN BUREN COUNTY AND DEVELOP AN ACTIONABLE STRATEGIC PLAN TO BUILD COMMUNITY CAPACITY AND CONNECTEDNESS IN ORDER TO IMPACT SYSTEMS-LEVEL POLICY CHANGE THEREBY IMPROVING THE HEALTH OF OLDER ADULTS AND REDUCING HEALTH CARE COSTS3. WORKFORCE DEVELOPMENT A. WORKFORCE ENGAGEMENT AND DIVERSITY NEEDS: THE RECRUITMENT AND RETENTION OF STAFF CONTINUES TO BE A CHALLENGE FOR BRONSON AS WE DEAL WITH NATIONAL SHORTAGES IN VARIOUS HEALTHCARE OCCUPATIONS AND A LOW UNEMPLOYMENT RATE. THE MULTI-YEAR RECRUITMENT AND RETENTION PLAN IMPLEMENTED IN EARLY 2018 WAS DESIGNED TO MEET THESE CHALLENGES WITH THE FOLLOWING AREAS OF FOCUS: ENGAGED IN CAREER PREPARATION THROUGH SCHOOL AND PROFESSIONAL PARTNERSHIPS (COMPASS HIGH SCHOOL, CNA PROGRAM, WOMEN'S CO-OP, MICHIGAN REHABILITATION SERVICES, YOUTH OPPORTUNITIES UNLIMITED, MICHIGAN CAREER & TECHNICAL INSTITUTE) PARTNERED WITH NORTHSIDE ASSOCIATION FOR COMMUNITY DEVELOPMENT AND THE KALAMAZOO PROMISE TO PILOT A LOW BARRIER, NEIGHBORHOOD-FOCUSED CERTIFIED NURSING ASSISTANT (CNA) TRAINING EXPANDED DIGITAL AND SOCIAL MEDIA RECRUITMENT TACTICS (E.G. HANDSHAKE ALLOWS US TO BE INTENTIONAL WITH ADVERTISING POSITIONS/EVENTS AT HISTORICALLY BLACK COLLEGES AND UNIVERSITIES) CONTINUED TO HOST RECRUITMENT EVENTS SUCH AS TEST DRIVES AND OPEN INTERVIEW/OPEN HOUSES FOR RELEVANT OPENINGS AT TARGETED LOCATIONS AS WELL AS COMMUNITY AGENCIES USED RETENTION AND SIGN ON BONUSES FOR HARD TO FILL POSITIONS ENHANCED INTERNAL CAREER DEVELOPMENT PATHWAYS DEVELOPED AND DELIVERED AN IMPLICIT BIAS COMPUTER BASED LEARNING MODULE. PART III, LINE 2: UNCOLLECTIBLE AMOUNTS ARE WRITEN 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 WRITEOFFS SUPPORT THE COMMUNITY BY PROVIDING A PORTION OF SERVICES WITHOUT PAYMENT. THE AMOUNT OF BAD DEBT EXPENSES 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 SUMMARY ARE AVAILABLE UPON REQUEST. PART VI, LINE 4: BRONSON LAKEVIEW HOSPITAL IS LOCATED IN THE VILLAGE OF PAW PAW IN VAN BUREN COUNTY AND IS PART OF THE BRONSON HEALTHCARE SYSTEM. BLH HAS BEEN SERVING THE PEOPLE OF VAN BUREN COUNTY SINCE 1939. AS A 26-BED CRITICAL ACCESS HOSPITAL, IT OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES. THIS INCLUDES EMERGENCY CARE, WHICH IS AVAILABLE 24/7. BLH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON METHODIST HOSPITAL, BRONSON BATTLE CREEK HOSPITAL, AND BRONSON SOUTH HAVEN HOSPITAL. EACH OF THE HOSPITALS IN THE BRONSON HEALTHCARE SYSTEM ADMITS PATIENTS REGARDLESS OF ABILITY TO PAY AND PROVIDES OUTREACH SERVICES THEIR RESPECTIVE COMMUNITIES. THIS PARTNERSHIP ALSO HELPS ENSURE THAT EVERYONE HAS ACCESS TO THE HIGHEST QUALITY CARE. BRONSON LAKEVIEW HAS A FULL SERVICE EMERGENCY DEPARTMENT IN PAW PAW AND A DIRECT CONNECTION TO THE REGION'S ONLY LEVEL 1 TRAUMA CENTER AT BRONSON METHODIST HOSPITAL IN KALAMAZOO. IN ADDITION 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 AND RESEARCH CENTER, BRONSON HEALTHCARE FOUNDATION, BRONSON AT HOME, VAN BUREN EMERGENCY MEDICAL SERVICES, AND BRONSON PROPERTIES CORPORATION. APPROXIMATELY 74.3% OF PATIENTS SERVED COME FROM WITHIN VAN BUREN COUNTY. FOR THE PURPOSES OF THE 2019 AND 2022 CHNA REPORTS, THE COMMUNITY SERVED WAS DEFINED AS VAN BUREN COUNTY. VAN BUREN COUNTY HAD AN ESTIMATED POPULATION SIZE OF 75,658 IN 2022. 15.8% OF THE POPULATION WAS AGE 0-20; 15.6% WAS 20-39, 36.1% WAS AGE 40-64, 65 AND OVER WAS 32.4%. MALES COMPRISE 50% OF THE POPULATION, AND FEMALES COMPRISE 50% OF THE POPULATION. VAN BUREN COUNTY'S 2022 POPULATION WAS 91.0% WHITE AND 3.3% BLACK OR AFRICAN AMERICAN. .461% OF RESIDENTS IDENTIFY AS HISPANIC OR LATINX. PATIENT DEMOGRAPHICS15.8% < 21 YEARS OF AGE15.6% 21-39 YEARS OF AGE36.1% 40-64 YEARS OF AGE32.4% 65 YEARS OF AGE AND OLDERPATIENT DIVERSITY DEMOGRAPHICS91.0% CAUCASIAN3.3% AFRICAN AMERICAN.65% ASIAN3.25% OTHERPATIENT INSURANCE DMEOGRAPHICS43.9% PRIVATE INSRUANCE11.6% MEDICARE19.7% MEDICARE AND SUPPLEMENTAL INSURANCE24.9% MEDICAID OR OTHER PUBLIC ASSISTANCE8.9% NO COVERAGE PART VI, LINE 5: COLLABORATION WITH COMMUNITY STAKEHOLDERSBLH SEEKS COMMUNITY COLLABORATORS AND STAKEHOLDERS AS PARTNERS IN MEETING COMMUNITY HEALTH NEEDS, ADDRESSING MULTI-SECTOR ISSUES, AND LEADING DISASTER/EMERGENCY EFFORTS. TOWARDS THIS END, BRONSON EMPLOYEES ACTIVELY PARTICIPATE IN AND PROVIDE SUPPORT TO MANY COMMUNITY ORGANIZATIONS. THESE INCLUDE PARTICIPATION IN THE 5TH DISTRICT MEDICAL RESPONSE COALITION, VAN BUREN COUNTY MEDICAL CONTROL AUTHORITY, VAN BUREN EMERGENCY OPERATIONS AND LOCAL EMERGENCY PLANNING COMMITTEES, HEALTH FAIRS AND EXPOS, UNITED WAY OF SOUTHWEST MICHIGAN, VAN BUREN COMMUNITY HEALTH COMMITTEE, VAN BUREN HUMAN SERVICES COLLABORATIVE, KIWANIS LEADERSHIP, LAKEVIEW FOUNDATION, GIRLS ON THE RUN OF SOUTHWEST MICHIGAN ADVISORY BOARD, AREA AGENCY ON AGING, AND PAW PAW CORPORATE COLLABORATIONS.HEALTH EDUCATION PROGRAMS AND SOCIAL NEEDS INITIATIVESCOMMUNITY HEALTHY LIVING CLASSES (20+ PER YEAR): HEALTHY LIVING CLASSES OFFERED TO COMMUNITY MEMBERS AT LEAST 2X 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 2X 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 ORGS 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. 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.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 ASSOCIATE, NATIONAL ASSOCIATION OF HISPANIC NURSES, AND HIRE OUR HEROES. PART VI, LINE 6: BLH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON BATTLE CREEK 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 22 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 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 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 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 0 463700 0 170231 0 142946 0 290879 0 15925 0 1083681 0 170231 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 DOMMER MATTHEW VICE PRESIDENT, COO/VPMA 385669 0 74678 0 22204 0 89744 0 2549 0 574844 0 74678 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 MIRZA NADEEM PSYCHIATRY 350706 0 30000 0 22580 0 25100 0 15943 0 444329 0 0 0 KOUSOUROU HARITON PHYSICIAN 322910 0 7191 0 4225 0 20351 0 15315 0 369992 0 0 0 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 0 238769 0 45907 0 3353 0 68935 0 8734 0 365698 0 45907 KHAIRALLAH NAJI INTERNAL MEDICINE 293224 0 19772 0 2059 0 28364 0 15210 0 358629 0 0 0 FOSSITT DEXTER INTERNAL MEDICINE 278058 0 4662 0 799 0 19752 0 21839 0 325110 0 0 0 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 IS THE SOLE MEMBER OF BRONSON LAKEVIEW HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON LAKEVIEW HOSPITAL (BLH) AND AS SUCH MEMBER IT ELECTS 10-15 OF THE TOTAL 20-24 MEMBERS OF THE BLH BOARD. COMMUNITY PARTNERS SHALL, AFTER CONSULTING WITH AND SEEKING INPUT FROM THE NOMINATING COMMITTEE OF BHG, APPOINT 6 MEMBERS TO THE BOARD. THE REMAINING 3 MEMBERS OF THE BOARD SHOULD BE EX OFFICIO, WITH VOTE, AND SHALL CONSIST OF THE PRESIDENT, THE CHIEF OF STAFF, AND IMMEDIATE PAST CHIEF OF THE MEDICAL STAFF OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON LAKEVIEW HOSPITAL (BLH) AND HAS CERTAIN RESERVED POWERS OVER THE ACTIONS OF BLH. THE BOARD OF DIRECTORS HAS THE POWER TO: -AMENDMENT, RESTATEMENT, OR REPEAL OF THE HOSPITALS ARTICLES OF INCORPORATION OR BYLAWS. -ADOPTION, EXECUTION, REVOCATION, OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, REORGANIZATION, OR OTHER MAJOR CHANGE IN CORPORATE STRUCTURE INVOLVING THE HOSPITAL. -SALE, LEASE EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITALS 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 INTERESTS APPROVED AS A PART OF A BUDGET. -CHANGE THE MISSION STATEMENT, PURPOSES, OR STRATEGIC GOALS OF THE HOSPITAL. -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 BOARDS 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 INTEREST 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 BODYS DELIBERATIONS AND DECISION 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: TRANSFER TO/FROM AFFILIATES 27,204. LOSS ON REFUNDED DEBT 78,175. BRONSON HEALTHCARE GROUP 601 JOHN STREET KALAMAZOO MI 49007 382418383 PROVIDE SUPPORT SERVICES MI 501(C)(3) LINE 12C, III-FI N/A 0 BRONSON METHODIST HOSPITAL 601 JOHN STREET KALAMAZOO MI 49007 381359087 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 BRONSON HEALTH FOUNDATION 601 JOHN STREET KALAMAZOO MI 49007 382415081 SUPPORTS HEALTHCARE ORGANIZATION MI 501(C)(3) LINE 11 BRONSON HEALTHCARE GROUP 0 BRONSON COMMONS 23332 RED ARROW HWY MATTAWAN MI 49071 382842451 SKILLED NURSING MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 VBEMS 39338 W RED ARROW HWY PAW PAW MI 49079 382745910 AMBULANCE SERVICES MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 BRONSON PROPERTIES CORPORATION 601 JOHN STREET KALAMAZOO MI 49007 386052573 PROVIDE SUPPORT SERVICES MI 501(C)(3) LINE 12B, II BRONSON HEALTHCARE GROUP 0 BRONSON BATTLE CREEK HOSPITAL 300 NORTH AVE BATTLE CREEK MI 49017 382776791 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 BRONSON AT HOME 601 JOHN STREET KALAMAZOO MI 49007 383298476 NURSING, HOSPICE, & EQUIP SALES MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 BRONSON SOUTH HAVEN HOSPITAL 955 S BAILEY AVE SOUTH HAVEN MI 49090 381676780 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 HNI LEASING LLC 6212 AMERICAN AVE PORTAGE MI 49002 383638430 SUPPORT SERVICES MI N/A 0 0 HOSPITAL NETWORK VENTURES 6212 AMERICAN AVE PORTAGE MI 49002 263302979 SUPPORT SERVICES MI N/A 0 0 BRONSON AMBULATORY SURGERY CENTER LLC 601 JOHN STREET KALAMAZOO MI 49007 842884815 SUPPORT SERVICES MI N/A 0 0 BRONSON MANAGEMENT SERVICES CORPORATION 601 JOHN STREET KALAMAZOO MI 49007 382415032 OTHER MEDICAL SERVICES MI N/A C 0 BRONSON LIFESTYLE AND IMPROVEMENT RESEARCH CENTER 601 JOHN STREET KALAMAZOO MI 49007 383552556 REHABILITATION SERVICES MI N/A C 0 0 0 1 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0