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BRONSON METHODIST HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BRONSON METHODIST HOSPITAL (EIN 38-1359087)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-07
IRS object ID
202223119349301012
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-07T16:33:12-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381359087EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRONSON METHODIST HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBRONBusinessNameControlTxt
Phone2693416000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 JOHN STREETAddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49007ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREBECCA EASTPersonNm
Person TitleSENIOR VP/CFOPersonTitleTxt
Phone2693416000PhoneNum
Signature2022-11-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstREBECCAPersonFirstNm
Person LastEASTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone3122071040PhoneNum
Preparation2022-11-01PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBILL MANNSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 JOHN STREETAddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49007ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,201,345,694GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressBRONSONHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1920FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee5812TotalEmployeeCnt
Total Volunteers143TotalVolunteersCnt
Total Gross UBI$24,336,955TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$68,341NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$29,247,894PYContributionsGrantsAmt
CY Contributions Grants$26,356,735CYContributionsGrantsAmt
PY Program Service Revenue$898,127,109PYProgramServiceRevenueAmt
CY Program Service Revenue$1,116,523,997CYProgramServiceRevenueAmt
PY Investment Income$16,108,588PYInvestmentIncomeAmt
CY Investment Income$50,828,282CYInvestmentIncomeAmt
PY Other Revenue$6,238,047PYOtherRevenueAmt
CY Other Revenue$7,636,680CYOtherRevenueAmt
PY Total Revenue$949,721,638PYTotalRevenueAmt
CY Total Revenue$1,201,345,694CYTotalRevenueAmt
PY Grants And Similar Paid$14,689,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$26,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$486,653,606PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$578,542,853CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$377,004,264PYOtherExpensesAmt
CY Other Expenses$467,981,073CYOtherExpensesAmt
PY Total Expenses$878,347,370PYTotalExpensesAmt
CY Total Expenses$1,046,550,426CYTotalExpensesAmt
PY Revenues Less Expenses$71,374,268PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$154,795,268CYRevenuesLessExpensesAmt
Total Assets BOY$1,306,162,209TotalAssetsBOYAmt
Total Assets EOY$1,466,876,153TotalAssetsEOYAmt
Total Liabilities BOY$499,571,442TotalLiabilitiesBOYAmt
Total Liabilities EOY$471,600,441TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$806,590,767NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$995,275,712NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIESMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$944,378,112ExpenseAmt
Grant$26,500GrantAmt
Revenue$1,092,679,609RevenueAmt
DescBRONSON METHODIST HOSPITAL (BMH) IS THE FLAGSHIP OF BRONSON HEALTHCARE GROUP, A NOT-FOR-PROFIT HEALTHCARE SYSTEM SERVING ALL OF SOUTHWEST MICHIGAN. BMH PROVIDES CARE IN VIRTUALLY EVERY SPECIALTY WITH ADVANCED CAPABILITIES IN BURN TREATMENT AND CRITICAL CARE AS A LEVEL I TRAUMA CENTER; IN NEUROLOGICAL CARE AS A JOINT COMMISSION CERTIFIED PRIMARY STROKE CENTER; IN CARDIAC CARE AS THE REGIONS FIRST ACCREDITED CHEST PAIN EMERGENCY CENTER; IN OBSTETRICS AS THE LEADING BIRTHPLACE AND ONLY HIGH-RISK PREGNANCY CENTER IN SOUTHWEST MICHIGAN, AND IN PEDIATRICS AS ONE OF THE ONLY SIX CHILDRENS HOSPITALS IN THE STATE AND THE ONLY INPATIENT PEDIATRIC CARE PROVIDER IN THE AREA. THE BMH EMERGENCY DEPARTMENT WHICH IS OPEN 24 HOURS PER DAY, HANDLES OVER 75,000 VISITS PER YEAR. BMH TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. BMH WAS THE RECIPIENT OF THE 2005 MALCOLM BALDRIDGE NATIONAL QUALITY AWARD, THE NATION'S HIGHEST PRESIDENTIAL HONOR FOR QUALITY AND ORGANIZATIONAL PERFORMANCE EXCELLENCE. IN 2009, THE HOSPITAL RECEIVED THE AHA MCKESSON QUEST FOR QUALITY PRIZE AWARDED ANNUALLY TO ONLY ONE U.S. HOSPITAL, AND JOINED THE TOP FIVE PERCENT OF HOSPITALS IN THE NATION TO BE DESIGNATED A MAGNET HOSPITAL FOR NURSING EXCELLENCE.BMH PROVIDES A DISPROPORTIONATE AMOUNT OF CARE TO THE SEGMENT OF THE POPULATION USING MEDICAID. BMH IS THE LARGEST MEDICAID PROVIDER OF ANY LARGE HOSPITAL IN MICHIGAN OUTSIDE OF THE DETROIT AREA (ON A PERCENATAGE BASIS). IN 2021, 19.15% OF BMH'S PATIENTS WERE MEDICAID RECIPIENTS. WE HAVE THREE MEDICAID ENROLLERS ON SITE TO HELP THOSE WITHOUT INSURANCE ENROLL IN MEDICAID, OR REFER THEM TO COMMUNITY RESOURCES. EXPENDITURES RELATED TO THE OPERATION OF THE HOSPITAL.IN 2021, IN FURTHERANCE OF ITS MISSION, BMH PROVIDED $8,209,768 IN CHARITY CARE EXPENSE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescIN 2021, BMH'S MEDICAID COST WAS $175,343,880 AND MEDICAID NET REVENUE WAS $159,592,146.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$35,489,920ExpenseAmt
DescIN 2021, IN FURTHERANCE OF ITS MISSION, BMH INCURRED $35,489,920 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$979,868,032TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document256IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5812EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REBECCA EAST SENIOR VPCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2693417654PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 JOHN STREETAddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49007ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
FABI ALAIN
NEUROSURGERY40.000.00Yes (X)$2,389,507$0$41,424
WIGGINS GREGORY
NEUROSURGERY40.000.00Yes (X)$2,168,198$0$41,371
MANNS BILL
PRESIDENT AND CEO4.6035.40$0$1,582,613$484,548Yes (X)Yes (X)
KASTEN MICHAEL
SPINE & SCOLIOSIS40.000.00Yes (X)$1,966,632$0$42,089
ELLWITZ JOSHUA
SPINE & SCOLIOSIS40.000.00Yes (X)$1,881,670$0$42,094
SYTSMA MARK
SPORTS MEDICINE40.000.00Yes (X)$1,475,326$0$41,741
EAST REBECCA L
SR VP CFO BHG4.6035.40$0$805,758$229,727Yes (X)
LARSON SCOTT MD
SR VP MEDICAL AFFAIRS/CMO4.6035.40$0$810,039$199,673Yes (X)
FALAHEE JAMES
SR VP LEGAL & LEG. AFFAIRS4.6035.40$0$739,991$207,140Yes (X)
KARAMCHANDANI MAHESH C
DIRECTOR4.6035.40$736,875$0$26,214Yes (X)
NEELY DENISE
SR VP COO4.6035.40$0$510,057$128,793Yes (X)
REINOEHL SUSAN
SR VP STRATEGY & COMM BHG4.6035.40$0$489,448$144,000Yes (X)
WAY MICHAEL S
SR VP MAT. MGT. & FACILITY4.6035.40$0$458,119$147,956Yes (X)
DAVIDSON SCOTT MD
DIRECTOR4.6035.40$551,401$0$35,583Yes (X)
CHALASANI SRIDHAR MD
DIRECTOR4.6035.40$506,757$0$31,228Yes (X)
SANGALLI-DAVIS CHRISTINE
VP CHIEF COMPLIANCE OFFICE4.6035.40$0$275,522$73,157Yes (X)
JOHNSON CHERYL
SR VP CHIEF PEOPLE OFFICER4.6035.40$0$207,354$132,796Yes (X)
HAYDEN JOHN
SR VP CHIEF PEOPLE OFFICER - FORMER4.6035.40$0$251,608$11,943Yes (X)
GIBSON SCOTT MD
DIRECTOR1.008.00$8,498$0$0Yes (X)
EBERTS RANDALL PHD
VICE CHAIR1.008.00$0$1,284$0Yes (X)Yes (X)
GONZALEZ JORGE
DIRECTOR1.008.00$0$1,284$0Yes (X)
GREENE JAMES E
DIRECTOR1.008.00$0$1,284$0Yes (X)
JAMES BARBARA
TREASURER1.008.00$0$1,284$0Yes (X)Yes (X)
LIGGINS JAMES JR
DIRECTOR1.008.00$0$1,284$0Yes (X)
KARRE NELSON
CHAIR1.008.00$0$0$0Yes (X)Yes (X)
NYBERG NEIL
SECRETARY1.008.00$0$0$0Yes (X)Yes (X)
ALLEN RICHARD J MD
DIRECTOR1.008.00$0$0$0Yes (X)
ATKINSON MARK B MD
DIRECTOR1.008.00$0$0$0Yes (X)
FINK KATY
DIRECTOR1.008.00$0$0$0Yes (X)
HUNT BRENDA
DIRECTOR1.008.00$0$0$0Yes (X)
JOHNSTON WILLIAM
DIRECTOR1.008.00$0$0$0Yes (X)
MONTGOMERY TABRON LA JUNE
DIRECTOR1.008.00$0$0$0Yes (X)
LINS STEVEN J MD
DIRECTOR1.008.00$0$0$0Yes (X)
ODAR MICHAEL
DIRECTOR1.008.00$0$0$0Yes (X)
PARFET DONALD
DIRECTOR1.008.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,684,864TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,136,929TotReportableCompRltdOrgAmt
Total Other Compensation$2,061,477TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K657IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PORTAGE PHYSICIANS PC
1151 W MILHAMPORTAGEMI49081MEDICAL SERVICES$14,960,894
ADVANCED CARDIAC HEALTHCARE PLC
601 JOHN STREETKALAMAZOOMI49007MEDICAL SERVICES$14,350,586
FOCUSONE SOLUTIONS LLC
PO BOX 310861DES MOINESIA503310861HEALTHCARE STAFFING$6,123,982
MAYO CLINIC ARIZONA
PO BOX 9146MINNEAPOLISMN554809146MEDICAL SERVICES$3,831,838
HAYES LOCUMS LLC
PO BOX 88122CHICAGOIL606301122HEALTHCARE STAFFING$2,905,281
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K44CntrctRcvdGreaterThan100KCnt
Related Organizations$3,556,787RelatedOrganizationsAmt
Government Grants$22,766,948GovernmentGrantsAmt
All Other Contributions$33,000AllOtherContributionsAmt
Noncash Contributions$30,000NoncashContributionsAmt
Total Contributions$26,356,735TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE622110$1,080,893,476$1,080,893,476
LABORATORY REVENUE541380$15,771,360$15,771,360
PHARMACY REVENUE446110$8,565,595$8,565,595
MEANINGFUL USE & PGIP REVENUE900099$8,096,724$8,096,724
OUTSIDE SERVICE REVENUE900099$3,196,620$3,196,620

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$222TotalRevenueColumnAmt
Related Or Exempt Func Income$222RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,116,523,997TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,694,503TotalRevenueColumnAmt
Exclusion$50,694,503ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,015,272RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,015,272RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,015,272TotalRevenueColumnAmt
Exclusion$1,015,272ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$133,779OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$133,779OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$133,779TotalRevenueColumnAmt
Exclusion$133,779ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA EMPLOYEE REVENUE900099$4,129,369$4,129,369
GIFT SHOP REVENUE453220$1,082,295$1,082,295
OTHER INCOME900099$917,177$917,177

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$492,567TotalRevenueColumnAmt
Related Or Exempt Func Income$492,567RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,621,408OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,201,345,694TotalRevenueColumnAmt
Related Or Exempt Func Income$1,092,679,609RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$24,336,955UnrelatedBusinessRevenueAmt
Exclusion$57,972,395ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$26,500TotalAmt
Program Services$26,500ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$476,965,114TotalAmt
Program Services$440,866,659ProgramServicesAmt
Management And General$36,098,455ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$349TotalAmt
Program Services$237ProgramServicesAmt
Management And General$112ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$78,049,847TotalAmt
Program Services$73,211,219ProgramServicesAmt
Management And General$4,838,628ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,527,543TotalAmt
Program Services$23,409,727ProgramServicesAmt
Management And General$117,816ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,791,239TotalAmt
Program Services$3,608,740ProgramServicesAmt
Management And General$182,499ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$85,215,513TotalAmt
Program Services$80,255,210ProgramServicesAmt
Management And General$4,960,303ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$41,665TotalAmt
Program Services$41,665ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,025,858TotalAmt
Program Services$14,607,764ProgramServicesAmt
Management And General$418,094ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$65,766TotalAmt
Program Services$65,766ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,069,594TotalAmt
Program Services$17,491,545ProgramServicesAmt
Management And General$578,049ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$306,823TotalAmt
Program Services$306,007ProgramServicesAmt
Management And General$816ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$596,692TotalAmt
Program Services$592,867ProgramServicesAmt
Management And General$3,825ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,474,406TotalAmt
Program Services$9,970,200ProgramServicesAmt
Management And General$504,206ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,351,765TotalAmt
Program Services$29,403,663ProgramServicesAmt
Management And General$948,102ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,467,696TotalAmt
Program Services$7,185,527ProgramServicesAmt
Management And General$4,282,169ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$211,935,622$211,867,633$67,989
BHG ALLOCATION EXPENSE$36,456,244$22,839,837$13,616,407
BAD DEBT EXPENSE$35,489,920$35,489,920
EQUIPMENT MAINTENANCE/R$11,346,949$11,299,788$47,161

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$2,654,679TotalAmt
Program Services-$2,672,442ProgramServicesAmt
Management And General$17,763ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,046,550,426TotalAmt
Program Services$979,868,032ProgramServicesAmt
Management And General$66,682,394ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$348,625,071BOYAmt
EOY$268,434,590EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$407,091,120BOYAmt
EOY$610,703,556EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$105,210,115BOYAmt
EOY$156,211,136EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,364,135BOYAmt
EOY$13,948,630EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,375,944BOYAmt
EOY$1,108,752EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$784,413,939LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$447,734,219LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$342,880,949BOYAmt
EOY$336,679,720EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$23,718,569BOYAmt
EOY$27,456,552EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$27,203,696BOYAmt
EOY$27,203,696EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$37,692,610BOYAmt
EOY$25,129,521EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,306,162,209BOYAmt
EOY$1,466,876,153EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$65,628,203BOYAmt
EOY$77,023,744EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$68,917,590BOYAmt
EOY$40,662,568EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$327,000,580BOYAmt
EOY$316,564,861EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$510,484BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,514,585BOYAmt
EOY$37,349,268EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$499,571,442BOYAmt
EOY$471,600,441EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$806,590,767BOYAmt
EOY$995,275,712EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$806,590,767BOYAmt
EOY$995,275,712EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,306,162,209BOYAmt
EOY$1,466,876,153EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$154,795,268ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$28,723,248NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,166,429OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,894,311OtherCostOrOtherBasisAmt
Book Value$12,894,311BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$537,517,995OtherCostOrOtherBasisAmt
Depreciation$273,299,941DepreciationAmt
Book Value$264,218,054BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$851,407OtherCostOrOtherBasisAmt
Depreciation$593,279DepreciationAmt
Book Value$258,128BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$223,125,565OtherCostOrOtherBasisAmt
Depreciation$173,840,999DepreciationAmt
Book Value$49,284,566BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,024,661OtherCostOrOtherBasisAmt
Book Value$10,024,661BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$336,679,720TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$2,019,869
THIRD PARTY SETTLEMENTS$9,607,475
RIGHT TO USE LIABILITY$11,552,547
STIMULUS FUNDING - COVID$13,261,876
RIGHT TO USE EQUIPMENT$907,501
FieldValueIRS element (for citing)
Total Liability$37,349,268TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,111,242,968TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$35,574,691OtherRevenueAmt
Revenue Not Reported-$35,574,691RevenueNotReportedAmt
Revenue Subtotal$1,146,817,659RevenueSubtotalAmt
Other Revenues Not Included$54,528,035OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$54,528,035RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,201,345,694TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,004,516,323TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$7,696,471OtherExpensesIncludedAmt
Expenses Not Reported-$7,696,471ExpensesNotReportedAmt
Expenses Subtotal$1,012,212,794ExpensesSubtotalAmt
Other Expenses Not Included$34,337,632OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$34,337,632ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,046,550,426TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT RECLASS TO EXPENSE -35,728,667. RELATED PARTY NET ASSET TRANSFER 153,976.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTION FROM BHF BOOKED AS REDUCTION OF EXPENSE 3,556,787. GAIN ON SALE OF ASSETS RECLASS TO REVENUE 133,779. INVESTMENT INCOME 50,683,494. RENT EXPENSE -90,489. TRANSFER OF CAPITAL LEASE 244,464.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CONTRIBUTION FROM BHF BOOKED AS REDUCTION OF EXPENSE -1,078,757. GAIN ON SALE OF ASSETS RECLASS TO REVENUE -133,779. JOINT VENTURE GAIN/(LOSS) -6,574,424. RENT EXPENSE 90,489.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT RECLASS TO EXPENSE 35,489,920. NET ASSET TRANSFER AFFILIATE 73,529. TRANSFER OF CAPITAL LEASE -1,225,817.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENT IN A FOREIGN INSURANCE COMPANYTypeOfActivitiesConductedTxt
Region Total Expenditures$324,280RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$324,280SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$324,280TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,735,610TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,735,610NetCommunityBenefitExpnsAmt
Total Expense0.01740TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served187806PersonsServedCnt
Total Community Benefit Expns$175,343,880TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$159,592,146DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,751,734NetCommunityBenefitExpnsAmt
Total Expense0.01570TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served187806PersonsServedCnt
Total Community Benefit Expns$177,079,490TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$159,592,146DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,487,344NetCommunityBenefitExpnsAmt
Total Expense0.03310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served1446PersonsServedCnt
Total Community Benefit Expns$799,938TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$799,938NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1101PersonsServedCnt
Total Community Benefit Expns$76,844,463TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,339,458DirectOffsettingRevenueAmt
Net Community Benefit Expns$69,505,005NetCommunityBenefitExpnsAmt
Total Expense0.06920TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,877,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$977,245DirectOffsettingRevenueAmt
Net Community Benefit Expns$900,110NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served2547PersonsServedCnt
Total Community Benefit Expns$79,521,756TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,316,703DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,205,053NetCommunityBenefitExpnsAmt
Total Expense0.07090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served190353PersonsServedCnt
Total Community Benefit Expns$256,601,246TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$167,908,849DirectOffsettingRevenueAmt
Net Community Benefit Expns$88,692,397NetCommunityBenefitExpnsAmt
Total Expense0.10400TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,857TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,857NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served12PersonsServedCnt
Total Community Benefit Expns$4,904TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,904NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served12PersonsServedCnt
Total Community Benefit Expns$6,761TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,761NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$35,489,920BadDebtExpenseAmt
Bad Debt Expense Attributable$217,310BadDebtExpenseAttributableAmt
Reimbursed By Medicare$132,215,838ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$125,741,095CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,474,743MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRONSON METHODIST HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 JOHN STREETAddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49007ZIPCd
FieldValueIRS element (for citing)
Website AddressBRONSONHEALTH.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BRONSON METHODIST HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLTINYURL.COM/YYAQ6LW8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLTINYURL.COM/Y297KPPGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLTINYURL.COM/Y2BCHGMOFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLTINYURL.COM/Y4LSXXC7FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BRONSON METHODIST HOSPITALPART V, SECTION B, LINE 5: AT BRONSON, THE CHNA PROCESS HAD OVERSIGHT FROM A SYSTEM-WIDE ADVISORY COMMITTEE WHOSE ANALYSIS AND RECOMMENDATIONS WERE BROUGHT TO THE EXECUTIVE TEAM AND TO THE BRONSON HEALTHCARE BOARD COMMUNITY HEALTH COMMITTEE FOR FINAL DELIBERATION AND APPROVAL.THE PROCESS INCLUDED A REVIEW OF BRONSON'S PREVIOUS ASSESSMENTS, ANALYSIS OF OVER 150 CURRENT INDICATORS IN EACH COUNTY AND DISCUSSION OF THE SECONDARY DATA AVAILABLE AT THE COUNTY LEVEL. BRONSON ALSO SOUGHT PERSPECTIVE FROM MICHIGAN PUBLIC HEALTH INSTITUTE AND W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH TO PROVIDE CONSULTANT SUPPORT FOR THE PROJECT. BECAUSE THERE ARE INHERENT LIMITATIONS AND GAPS IN SECONDARY DATA, THERE WAS A HEAVY EMPHASIS ON COMMUNITY VOICE AND INPUT TO IDENTIFY THE GREATEST NEEDS IN OUR COMMUNITIES. THE ANALYSIS IN THIS DOCUMENT REPRESENTS THE MOST IMPORTANT ISSUES FROM 29 FOCUS GROUPS AND 23 INTERVIEWS AND 386 COMMUNITY VOICES. THE FOLLOWING INDIVIDUALS AND ORGANIZATIONS WERE ENGAGED IN THE CHNA TO REPRESENT THE INTERESTS OF THE COMMUNITY: EL CONCILIOKALAMAZOO CONTINUUM OF CAREASCENSION BORGESS HOSPITALPREVENTION WORKSKALAMAZOO LOAVES AND FISHESTHE CITY OF KALAMAZOOKALAMAZOO VALLEY COMMUNITY COLLEGEWMU LGBT STUDENT SERVICESCOMMUNITIES IN SCHOOLS OF KALAMAZOOURBAN ALLIANCEKALAMAZOO COMMUNITY FOUNDATIONMIWORKS!, SWERNBRONSON HEALTHCARETHE KALAMAZOO PROMISE KALAMAZOO COMMUNITY FOUNDATIONUNITED WAY OF THE BATTLE CREEK & KALAMAZOO REGIONCOUNTY LAW ENFORCEMENTYWCA KALAMAZOOOUTFRONT KALAMAZOOBRONSON BOARD MEMBERKALAMAZOO COUNTY LEADERSHIPKALAMAZOO PUBLIC HOUSING COMMISSIONINTEGRATED SERVICES OF KALAMAZOOTHE CITY OF KALAMAZOO, PARKS & RECTHE CITY OF KALAMAZOO LEADERSHIPKALAMAZOO METRO TRANSITFAMILY HEALTH CENTER ISAACKRESASENIOR SERVICES SOUTHWEST MICHIGANKALAMAZOO LITERACY COUNCIL LEGAL AID OF WESTERN MICHIGAN LISC-STATEWIDE DEPUTY DIRECTORDOUGLAS COMMUNITY ASSOCIATIONKALAMAZOO EDUCATION LEADERS & REPRESENTATIVESKALAMAZOO FRONTLINE HOME VISITATION HOMELESSNESS/SAFETY-NET PROVIDERSCOMMUNITY MEMBERS WITH DISABILITIESKALAMAZOO BUSINESS & UNIVERSITY LEADERS MINORITY BUSINESS OWNERSYOUTH DEVELOPMENT ORGANIZATIONS EASTSIDE NEIGHBORHOOD WMED RESIDENTSCOMMUNITY PHYSICIANSHISPANIC LATINX COMMUNITYBRONSON EMPLOYEES WHO RESIDE IN KALAMAZOO COUNTYVICKSBURG SOCIAL SERVICES & SENIOR SERVICESWMU SINDECUSE MEDICAL DIRECTOR WESTERN MICHIGAN UNIVERSITYNORTHSIDE MINISTERIAL ALLIANCECOMMUNITY MEMBERS WITH EMPLOYMENT BARRIERS TO NARROW DOWN THE PRIMARY DATA RESULTS, MICHIGAN PUBLIC HEALTH INSTITUTE RAN THE FREQUENCY OF REFERENCES ACROSS EACH TOPIC BELOW. BRONSON DECIDED TO MAKE THE CUT OFF FOR THE TOP 11 MAJOR TOPICS FROM FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. FOR THE PURPOSES OF THE FINAL REPORT, THE COMMUNITY STAKEHOLDERS AGREED TO NOT RANK THE TOPICS, SO THAT ALL OF THESE ISSUES CAN BE ELEVATED COLLECTIVELY. THIS ALSO EMPHASIZES THAT THE NEEDS BELOW DID NOT EMERGE INDEPENDENTLY. TOP 11 TOPICS (IN NO RANKING ORDER): LAWS & POLICIES PERSONAL EXPERIENCES OF RACISM TRANSPORTATION LAND USE, PARKS & RECREATION/GREENSPACE PROXIMITY TO AFFORDABLE, HEALTHY FOOD MENTAL HEALTH & SUBSTANCE ABUSE COMMUNITY CONNECTEDNESS QUALITY EDUCATION HEALTHCARE SOCIAL SERVICES CAREER PATHWAYS, INCOME, POVERTY IN AN EFFORT TO HONOR THE LIVED EXPERIENCE, THE MAJORITY OF THIS REPORT REFLECTS THE PRIMARY RESULTS FROM FOCUS GROUPS AND INTERVIEWS THROUGHOUT THE COUNTY. THEREFORE, THE QUANTITATIVE DATA PRESENTED ALONGSIDE THE THEMES IS TO SUPPORT AND AUGMENT COMMUNITY VOICE. BRONSON ALSO WANTS TO RECOGNIZE THE DIFFERENCES IN THE LIVED EXPERIENCE IN RURAL AND URBAN AREAS. IN ORDER TO LOOK AT THESE DIFFERENCES, WE INCLUDED DATA AT THE COUNTY, SUB-COUNTY, AND NEIGHBORHOOD LEVEL, WHEN POSSIBLE. SOURCES INCLUDE: U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY MICHIGAN DEPARTMENT OF COMMUNITY HEALTH CENTER FOR DISEASE CONTROL & PREVENTION MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES MICHIGAN SCHOOL DATA UNITED WAY OF MICHIGAN ALICE DATA
BRONSON METHODIST HOSPITALPART V, SECTION B, LINE 6A: BRONSON LAKEVIEW HOSPITALBRONSON SOUTH HAVEN HOSPITALBRONSON BATTLE CREEK HOSPITAL
BRONSON METHODIST HOSPITALPART V, SECTION B, LINE 6B: KALAMAZOO FAMILY HEALTH CENTERKALAMAZOO COUNTY HEALTH DEPARTMENT
BRONSON METHODIST HOSPITALPART V, SECTION B, LINE 11: THE RESULTS OF THE 2019 CHNA, COMPOUNDED BY THE STARK REALITIES OF COVID-19, HAVE URGED BRONSON TO FOCUS EFFORTS UPSTREAM TO ACKNOWLEDGE 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 BIRTHING PERSONS 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 WILL DEPLOY SEVERAL TACTICS FOCUSED ON ELIMINATING RACIAL/ETHNIC DISPARITIES THROUGHOUT THE PERINATAL EXPERIENCE AND EMPLOYMENT EXPERIENCE AT BRONSON. THE CHIP 2020-2022 WILL SERVE AS A FIRST STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF OUR BIRTHING PERSONS, BABIES, AND FAMILIES. BRONSON CONTINUES TO COLLABORATE AND PARTNER WITH AGENCIES BETTER SUITED 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 METHODIST HOSPITALPART 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 AND 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 FINANCIAL ASSISTANCE POLICY AS WELL AS THE ADMITTING AND FINANCIAL 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 DOES NOT MAKE ANY PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - BRONSON VICKSBURG OUTPATIENT CENTER
601 JOHN STREETKALAMAZOOMI49007THERAPIES, LAB AND RADIOLOGY
2 - BRONSON OUTPATIENT SURGERY CENTER
125 W WALNUT STKALAMAZOOMI49007OUTPATIENT SURGERY

Supplemental Information Detail SupplementalInformationDetail (16 entries)

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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 II, COMMUNITY BUILDING ACTIVITIES:1. PHYSICAL IMPROVEMENTS AND HOUSINGA. ACCESS TO HEALTHY FOODS & LOCAL REGIONAL SOURCING: BMH CONTINUED TO OPERATE THE BRONSON MARKET, A GIFT SHOP AND MICRO-GROCERY STORE, MAKING IT EASY AND CONVENIENT FOR STAFF AND VISITORS TO BUY FRESH, HEALTHY FOOD TO EAT OR TAKE HOME TO PREPARE. A VARIETY OF FRESH, LOCALLY GROWN AND PRODUCED FOODS NORMALLY FOUND AT THE LOCAL FARMER'S MARKETS IS AVAILABLE. BMH CONTINUES TO PRIORITIZE LOCAL FOOD SOURCING, BUT AS A RESULT OF LOCAL SUPPLY CHAIN LIMITATIONS THAT HAVE CONTINUED DURING THE PANDEMIC, THE HOSPITAL'S SOURCING AND INVESTMENT HAVE REMAINED BELOW PRE-PANDEMIC LEVELS IN 2021. B. MOBILITY INNOVATION: MEMBERS OF BRONSON STAFF WORKED CLOSELY WITH EMPLOYEES AT THE CITY OF KALAMAZOO AS THEY DESIGNED AND IMPLEMENTED STRATEGIES TO CREATE MORE COMPLETE STREETS THROUGHOUT AND BEYOND DOWNTOWN KALAMAZOO. IN MOST INSTANCES, THIS MEANT NARROWING AND/OR REDUCING THE DRIVING LANES TO CREATE MORE SPACE FOR BICYCLING FACILITIES, SIDEWALKS / PATHWAYS, ON-STREET PARKING, TRAFFIC CALMING INFRASTRUCTURE, AND OTHER AMENITIES. THESE MEASURES MAKE IT EASIER AND SAFER FOR PATIENTS, VISITORS, AND EMPLOYEES TO ACCESS THE HOSPITAL AND THE AREAS AROUND IT. C. HOUSING: SINCE 1998, BRONSON HAS INVESTED TO HELP EMPLOYEES PURCHASE HOMES IN CORE DOWNTOWN NEIGHBORHOODS CLOSE TO THE HOSPITAL CAMPUS. THE PROGRAM PROVIDES A LOAN, WHICH EMPLOYEES START PAYING BACK IN YEAR SIX AT NO INTEREST. THE MONEY COLLECTED IS THEN PUT BACK INTO THE LOAN POOL TO BE LOANED OUT AGAIN. THROUGH 2021, BRONSON'S INVESTMENT OF $577,525 HAS RESULTED IN $775,549 BEING LOANED TO 89 EMPLOYEES. IN ADDITION, A VACANT HOME THAT WAS PURCHASED BY BRONSON DUE TO ITS PROXIMITY TO CAMPUS BUT WAS NO LONGER OF STRATEGIC INTEREST WAS SOLD TO KALAMAZOO NEIGHBORHOOD HOUSING SERVICES TO BE IMPROVED AND SOLD TO A QUALIFIED BRONSON EMPLOYEE THAT HAD COMPLETED ITS FINANCIAL READINESS PROGRAM. D. 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 WOULD CONTRIBUTE THE LAND AND THE BED LICENSES (CURRENTLY HOUSED AT ITS FIELDSTONE FACILITY) WHILE ACADIA WOULD PROVIDE THE CAPITAL FOR THE FACILITY DEVELOPMENT AND WOULD MANAGE THE OPERATION. THE NEW VENTURE WILL EXPAND THE SERVICES MENTAL HEALTH SERVICES PROVIDED IN THE COMMUNITY. 2. ECONOMIC DEVELOPMENT A. NATIONAL RECOGNITION FOR BRONSON HEALTHY LIVING CAMPUS: THE BRONSON HEALTHY LIVING CAMPUS, A PARTNERSHIP BETWEEN KALAMAZOO VALLEY COMMUNITY COLLEGE (KVCC), BRONSON AND INTEGRATED SERVICES OF KALAMAZOO (FORMERLY KCMHSAS) CAME TOGETHER WITH THE AMBITIOUS GOALS OF URBAN REVITALIZATION, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT THROUGH SUSTAINABLE FOOD, EDUCATION AND TRAINING. BRONSON DONATED UNUSED LAND ADJACENT TO BMH, WHICH NOW INCLUDES THE MARILYN J. SCHLACK CULINARY AND ALLIED HEALTH BUILDING, THE FOOD INNOVATION CENTER (WITH A FOOD HUB AND INDOOR AND OUTDOOR GROWING SPACES) AND AN INTEGRATED HEALTH SERVICES CLINIC FOR KCMHSAS CUSTOMERS.3. COMMUNITY SUPPORT A. COMMUNITY HEALTH LITERACY: BRONSON SUPPORTED EARLY CHILDHOOD LITERACY BY PROVIDING THE FAMILIES OF EVERY NEWBORN A BOOK TO PROMOTE READING; SUPPORTING THE YOUTH READING PROGRAM AT THE COUNTY JUVENILE HOME; BY TRAINING AREA CLERGY IN PASTORAL CARE FOR ILL AND END-OF-LIFE PATIENTS; BY STAFFING THE COUNTY SAFE KIDS COALITION AND BY OFFERING HEALTH-RELATED EDUCATIONAL SEMINARS THROUGHOUT THE COMMUNITY.B. INSURANCE ENROLLMENT OUTREACH AND SUPPORT: BRONSON PROVIDED OPEN ENROLLMENT ASSISTANCE FOR THE MARKETPLACE INSURANCE FROM NOVEMBER 1, 2021 TO DECEMBER 15, 2021 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. 4. COALITION BUILDING A. CRADLE KALAMAZOO & SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE (SWMPQIC): INFANT MORTALITY CONTINUES TO BE A FOCUS THROUGH THE CRADLE KALAMAZOO COLLABORATIVE. THE MISSION OF THIS PARTNERSHIP WITH CRADLE KALAMAZOO, YWCA AND THE WESTERN MICHIGAN UNIVERSITY HOMER STRYKER M.D. SCHOOL OF MEDICINE (WMED) IS TO REDUCE BLACK INFANT MORTALITY. THE TEAM EXAMINED PROCESSES TO UNDERSTAND WHERE DISPARITIES IN OUTCOME AND OPPORTUNITIES FOR IMPROVEMENT EXISTED. THE FOCUS IS ON INCREASING THE NUMBER OF FIRST TRIMESTER ULTRASOUNDS, IMPROVING ENGAGEMENT WITH PARENTS IN PRENATAL CARE, IMPROVING DUE DATE ESTIMATES AND EARLY IDENTIFICATION OF MEANINGFUL CLINICAL FINDINGS. BRONSON ALSO 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 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. B. IN 2021. A FEW ADDITIONAL EFFORTS INCLUDE: COVID-19 VACCINATION OUTREACH; A COMMUNITY SURVEY TO UNDERSTAND VACCINATION EFFORTS AND BARRIERS, A VIRTUAL PANEL OF PROVIDERS ANSWERING QUESTIONS THE AROSE FROM SURVEY RESPONSES, SOCIAL MEDIA AND BROADCAST MEDIA MESSAGES. A PILOT PROJECT CONNECTING FIVE BIRTHING PERSONS OF COLOR TO LOCAL DOULAS TO ENHANCE WRAP AROUND SERVICES TO IMPROVE MATERNAL AND INFANT OUTCOMES AND POSITIVE BIRTH EXPERIENCE. VIRTUAL BREASTFEEDING EDUCATION CLASSES.5. COMMUNITY HEALTH IMPROVEMENT ADVOCACY A. HOMELESS EMERGENCY RESPONSE SYSTEM (HERS): THE HOMELESS EMERGENCY RESPONSE SYSTEM (HERS) AND CONTINUES AS A COLLABORATIVE PILOT OF BRONSON HEALTHCARE GROUP, KALAMAZOO COUNTY HOUSING COMMISSION, AND INTEGRATED SERVICES OF KALAMAZOO. HERS IS DESIGNED TO RESPOND TO THE MOST ACUTE NEED OF CHRONICALLY HOMELESS INDIVIDUALS HOUSING AND THROUGH THE PROVISION OF HOUSING, TO RESPOND TO THE OTHER SERVICES THE PARTICIPANT MAY NEED TO MAINTAIN THAT HOUSING AND TO IMPROVE THEIR LEVEL OF HEALTH AND FUNCTIONING. THE GOALS OF FUSE ARE TO INCREASE THE RESIDENTIAL STABILITY AND OVERALL HEALTH STATUS OF CHRONICALLY HOMELESS INDIVIDUALS WHILE REDUCING THE UTILIZATION AND COSTS OF EMERGENCY SERVICES BEING PROVIDED TO CHRONICALLY HOMELESS PERSONS. SINCE 2016, THE PROGRAM HAS FOUND PERMANENT HOUSING SOLUTIONS FOR 25 INDIVIDUALS AND HAS DEMONSTRATED PROMISING OUTCOMES AND KEY LEARNINGS. OF THE LAST COHORT INCLUDED IN BRONSON'S HEALTH CARE UTILIZATION ANALYSIS, THERE WAS A 55% DECREASE IN ED VISITS AND AN EXPONENTIAL SHIFT IN MORE STABLE APPROPRIATE PRIMARY CARE. IN ADDITION TO THE POSITIVE IMPACTS ON COSTS AND RESOURCE ALLOCATION IN OUR ED, WE ALSO CONFIRMED THERE IS A POSITIVE IMPACT ON QUALITY OF CARE FOR OUR PATIENTS. AS WE TRANSITION FROM THIS PILOT, BRONSON WILL USE OUR LEARNINGS FROM THIS PILOT TO EXPAND ITS PARTNERSHIP WITH ISK AND LOCAL EMERGENCY RESPONSE SYSTEMS IN KALAMAZOO. 6. WORKFORCE DEVELOPMENT A. PROJECT SEARCH RECOGNITION: KALAMAZOO'S PROJECT SEARCH AT BMH IS DESIGNED TO HELP YOUNG ADULTS WITH DISABILITIES DEVELOP MARKETABLE SKILLS FOR THE WORKPLACE AND OBTAIN GAINFUL EMPLOYMENT. BMH RECEIVED INTERNATIONAL RECOGNITION FOR ITS COLLABORATIVE WORK TO BETTER THE LIVES OF YOUTH WITH DISABILITIES IN OUR COMMUNITY. THE PROGRAM AT BRONSON WAS HONORED WITH THE 2019 SPOTLIGHT ON TRANSFORMATIVE COLLABORATION AWARD FROM PROJECT SEARCH. IN 2021, BRONSON SUPPORTED SIX INTERNS, WHO ARE NOW GAINFULLY EMPLOYED. OVER 32 DIFFERENT BUSINESSES HAVE HIRED 60 INTERNS OVER THE PAST NINE YEARS, INCLUDING 14 AT BRONSON WITH 11 STILL WORKING HERE.B. NORTHSIDE ASSOCIATION FOR COMMUNITY DEVELOPMENT (NACD): IN RESPONSE TO SOME OF THE LOCAL WORKFORCE NEEDS IDENTIFIED IN THE CHNA AND IN OUR OWN AFFIRMATIVE ACTION PLANS, BRONSON ENGAGED WITH THE NACD HEALTHCARE TRAINING PARTNERSHIP, THE KALAMAZOO PROMISE, NORTHSIDE ASSOCIATION FOR COMMUNITY DEVELOPMENT (NACD), MICHIGAN CAREER AND TECHNICAL INSTITUTE, MIWORKS SW! AND YOUTH OPPORTUNITIES UNLIMITED TO HELP INCREASE THE REPRESENTATION OF BLACK/AFRICAN AMERICANS IN THE PATIENT CARE ASSISTANT (PCA) PROFESSION. THE PCA TRAINING PROGRAM PROVIDES RESIDENTS OF KALAMAZOO WITH EQUITABLE ACCESS TO HEALTHC
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 METHODIST HOSPITAL SERVES A NINE COUNTY REGION IN SOUTHWEST MICHIGAN. ABOUT 64% OF PATIENTS SERVED COME FROM WITHIN KALAMAZOO COUNTY AND THE OTHER 36% COME FROM THE REGIONAL COUNTIES OF: ALLEGAN, BARRY, BERRIEN, BRANCH, CASS, VAN BUREN, CALHOUN, EATON AND ST. JOSEPH. PATIENT DEMOGRAPHICS15.60% <21 YEARS OF AGE22.30% 21-39 YEARS OF AGE34% 40-64 YEARS OF AGE28.10% 65 YEARS OF AGE AND OLDERPATIENT DIVERSITY DEMOGRAPHICS82.76% CAUCASIAN9.82% AFRICAN-AMERICAN0.95% ASIAN3.75% OTHERPATIENT INSURANCE DEMOGRAPHICS43.79% PRIVATE INSURANCE18.84% MEDICARE17.31% MEDICARE AND SUPPLEMENTAL INSURANCE18.34% MEDICAID OR OTHER PUBLIC ASSISTANCE1.72% NO COVERAGE
PART VI, LINE 5:COLLABORATION WITH COMMUNITY STAKEHOLDERSAS PREVIOUSLY MENTIONED, BMH SEEKS COMMUNITY COLLABORATORS AND STAKEHOLDERS AS PARTNERS ON MEETING COMMUNITY HEALTH NEEDS, ADDRESSING MULTI-SECTOR ISSUES, AND LEADING DISASTER/EMERGENCY EFFORTS. TOWARDS THIS END, BMH LEADERS SERVE ON SEVERAL COMMUNITY BOARDS INCLUDING: CRADLE KALAMAZOO, SOUTHWEST MICHIGAN PERINATAL STEERING COMMITTEE, FAMILY AND CHILDREN SERVICES OPERATIONS COMMITTEE, KIDS HOPE MENTORING, KALAMAZOO COLLEGE BOARD OF TRUSTEES, KALAMAZOO DOWNTOWN PARTNERSHIP, EDISON NEIGHBORHOOD ASSOCIATION, W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH, KALAMAZOO VALLEY COMMUNITY COLLEGE GROVES ADVISORY BOARD, FAMILY HEALTH CENTER BOARD OF DIRECTORS AND QUALITY ASSURANCE, SENIOR CARE PARTNERS PACE, GIFT OF LIFE ADVISORY BOARD, HOSPITAL HOSPITALITY HOUSE OF KALAMAZOO, KALAMAZOO LITERACY COUNCIL, WMU HOMER STRYKER M.D. SCHOOL OF MEDICINE, YOUTH SUICIDE PREVENTION WEST MICHIGAN COALITION, KALAMAZOO SENIOR CARE PARTNERS, KALAMAZOO PUBLIC LIBRARY READING TOGETHER, MINISTRY WITH COMMUNITY, UNITED WAY OF THE BATTLE CREEK AND KALAMAZOO REGION, COMSTOCK COMMUNITY CENTER BOARD OF DIRECTORS, COMMUNITIES IN SCHOOLS, RESIDENTIAL OPPORTUNITIES INC., SENIOR SERVICES, AND WMU INTERNSHIP SELECTION COMMITTEE. HEALTHY LIVING EDUCATIONSNAP-ED (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION) THE BRONSON HEALTH FOUNDATION RECEIVED A $153,742.00 SNAP-ED GRANT TO FUND COMMUNITY FIT!, A NUTRITION AND PHYSICAL ACTIVITY EDUCATION AND HEALTH PROMOTION PROGRAM FOR INCOME-ELIGIBLE ADULTS, YOUTH, AND FAMILIES IN VAN BUREN COUNTY, KALAMAZOO AND BATTLE CREEK.SNAP-ED COMMUNITY NUTRITION EDUCATION SERIES EAT SMART, LIVE STRONG: EAT SMART, LIVE STRONG (OLDER ADULTS) WAS PROVIDED VIRTUALLY TO PARTICIPANTS. THE CLASSES INCLUDED ENGAGING LESSONS AND DISCUSSION, A LIVE FOOD DEMONSTRATION, AND PHYSICAL ACTIVITY OPPORTUNITIES. REACH: > 25SNAP-ED HEALTHY SCHOOLS, HEALTHY COMMUNITIES FOR YOUTH: - BRONSON HEALTH EDUCATORS TAUGHT 30 NUTRITION EDUCATION SERIES IN GRADES K-5, CONSISTING OF 4-5 LESSONS EACH TO SOUTH HAVEN PUBLIC SCHOOLS STUDENTS THROUGH A COMBINATION OF FACE-TO-FACE, HYBRID, AND VIRTUAL INSTRUCTION METHODS. REACH: > 550 LINKING LESSONS. STUDENTS RECEIVED NUTRITION EDUCATION IN REGARDS TO THE IMPORTANCE OF BREAKFAST, HEALTHY SNACKS, AND MY PLATE, PARTICIPATED IN ENGAGING ACTIVITIES, AND RECEIVED A HEALTHY SNACK RELATED TO THE LESSON. REACH: > 70THE LEARNING KITCHEN. TAUGHT A COOKING AND HEALTHY LIVING PROGRAM, VIRTUALLY THROUGH KVCC CULINARY CENTER TO STUDENTS AND FAMILIES IN JR. HIGH. REACH: > 70COOK, CHOMP, CHAT - COOK, CHOMP AND CHAT WAS A FREE, -DAY NUTRITION EDUCATION AND HANDS-ON COOKING EXPERIENCE THAT STUDENTS COULD ENROLL IN AS PART THE SCHOOL DISTRICT'S SUMMER CAMP-TYPE EDUCATIONAL OFFERINGS. STUDENTS LEARNED ABOUT MY PLATE, PRACTICED BASIC KITCHEN AND FOOD SAFETY SKILLS, AND PREPARED AND RECIPES. REACH: 20 STUDENTS SOCIAL MEDIA - MS. ISABEL EATS 27, 2-3 MINUTE, HEALTH PROMOTING VIDEOS DISTRIBUTED THROUGH SOUTH HAVEN PUBLIC SCHOOLS TO STUDENTS AND FAMILIES VIA THE SD WEB SITE AND FACEBOOK PAGES. REACH: > 3,500 VIEWSSOCIAL MEDIA - PARIS'S KITCHEN COOKING VIDEOS - VIRTUAL VIDEOS POSTED ON FACEBOOK TO COMPLEMENT THE LEARNING KITCHEN. 12 VIDEOS WERE CREATED. REACH > 30, 000 VIEWSZOOM-BASED EVENTS - LET'S MAKE DINNER! A ZOOM-BASED FAMILY COOKING CLASS FEATURING LOCAL HEROES AS GUEST CHEFS. 3 COMMUNITY EVENTS. VIRTUAL EDUCATION - HEALTH THROUGH LITERACY - ASYNCHRONOUS LEARNING, VIA MFF'S HEALTH THROUGH LITERACY PROGRAM, OFFERED TO STUDENTS LEARNING AT HOME DUE TO THE PANDEMIC. 25 VIDEOS WITH A BOOK READING AND CONNECTION QUESTIONS WERE CREATED AND DISTRIBUTED. REACH > 100 STUDENTS WEB-BASED RESOURCE - COMMUNITY FAMILY FUN GUIDES TWO COMMUNITY-SPECIFIC DOWNLOADABLE RESOURCE BOOKLETS DESIGNED FOR FAMILIES THAT ENCOURAGES THEM TO BE MORE ACTIVE AND INFORM THEM OF LOW AND NO COST PHYSICAL ACTIVITY OPPORTUNITIES AVAILABLE THEIR COMMUNITIES. REACH COMMUNITY WIDE AVAILABILITY VIA THE WEBWEB BASED RESOURCE EAT SMART, LIVE STRONG COOKBOOK. THIS OLDER-ADULT FOCUSED COOKBOOK PROVIDES HEALTHY, QUICK, AND BUDGET FRIENDLY RECIPES DESIGNED FOR SMALL HOUSEHOLDS. REACH COMMUNITY WIDE AVAILABILITY VIA THE WEBFOOD EXPLORERS BOOK BAGS TAKE HOME FAMILY BOOK BAGS TO INSPIRE INCREASED READING TIME AND HEALTHY EATING BEHAVIORS WERE CREATED AND DONATED TO TWO LOCAL LIBRARIES (SOUTH HAVEN AND COVERT). THE BAGS LINK NUTRITION EDUCATION WITH READING. EACH BAG CONTAINED BOOKS AND TAKE HOME RESOURCES FOR FAMILIES TO KEEP. REACH: > 50 FAMILIESLOCAL WELLNESS POLICY IMPROVEMENT. STRUCTURED COMMITTEE MEETINGS WITH 15+ COMMUNITY MEMBERS TO REVIEW AND EDIT THE SCHOOL DISTRICT'S LWP AND CREATE AN ACTION PLAN. REACH: HPS DISTRICTPRODUCE FOR PANTRIES. GRASS ROOTS INITIATIVE TO INCREASE AND IMPROVE THE AMOUNT OF HIGH QUALITY PRODUCE OFFERED TO CLIENTS AT A FOOD PANTRY. REACH: > 300 PEOPLEFOOD ENVIRONMENT SCAN. AN ASSESSMENT TO UNCOVER STUDENT/FAMILY NEED RELATED TO FOOD INSECURITY IN KALAMAZOO AND COMSTOCK SCHOOL DISTRICTS. REACH: TWO SCHOOL DISTRICTSFARMERS AS PARTNERS - DEVELOPED A UNIQUE RELATIONSHIP WITH SEVERAL FARMERS TO PROVIDE HIGH QUALITY PRODUCE TO THE LOCAL FOOD PANTRY IMPROVING FOOD PANTRY OFFERINGS AND INCREASING FINANCIAL STABILITY OF FARMERS. CHALK THE WALK - AN EVENT WHERE FAMILIES WERE ENCOURAGED TO WALK THE VAN BUREN TRAIL, AND CHALK THEIR OWN ARTWORK ON THE TRAIL WITH INSPIRING AND POSITIVE MESSAGES FOR THOSE WALKING THE TRAIL TO ENJOY, AS WELL AS RECEIVE INFORMATION AND GIVEAWAYS FROM DIFFERENT STATIONS. REACH: >100WALK TO SCHOOL DAYS - THIS INITIATIVE WAS A PARTNERSHIP WITH SAFE ROUTES TO SCHOOL AND FAMILIES WERE ENCOURAGED TO PARTICIPATE IN THE "WALKING SCHOOL BUS". STUDENTS WALKED ABOUT A MILE TO SCHOOL IN ORDER TO START THEIR DAY OFF RIGHT WITH SOME PA AND OUTDOOR TIME. REACH: > 30 STUDENTS AND PARENTS FINANCIAL SUPPORT & INSURANCE ACCESS BRONSON METHODIST HOSPITAL (BMH) IS A COMMUNITY-OWNED AND GOVERNED NOT-FOR-PROFIT HOSPITAL WITH 434 LICENSED BEDS AND AN OPEN MEDICAL STAFF. IT IS GOVERNED BY THE BRONSON HEALTHCARE GROUP BOARD COMPRISED OF 19 MEMBERS OF THE COMMUNITY. FOUNDED IN 1900, BMH HAS DEMONSTRATED ITS COMMITMENT TO OUR COMMUNITY BY CONTINUING TO DELIVER THE FULL CONTINUUM OF NEEDED MEDICAL SERVICES AND WORKING WITHIN COMMUNITY COLLABORATIVES TO ADDRESS COMMUNITY NEEDS. THE PERCENTAGE OF MEDICAID PATIENTS SERVED BY BMH IS ONE OF THE HIGHEST OF ANY HOSPITAL OUTSIDE OF SOUTHEAST MICHIGAN. IN 2021, APPROXIMATELY 19.33% OF BMH'S INPATIENTS WERE MEDICAID RECIPIENTS. WE HAVE THREE MEDICAID ENROLLERS ON SITE TO HELP THOSE WITHOUT INSURANCE ENROLL IN MEDICAID, OR REFER THEM TO COMMUNITY RESOURCES. MUCH OF BMH'S SERVICE TO THE COMMUNITY IS DIRECTED AT MEETING THE HEALTHCARE NEEDS OF WOMEN AND CHILDREN. BRONSON IS THE ONLY CHILDREN'S HOSPITAL IN SOUTHWEST MICHIGAN AND, THEREFORE, THE SOLE PROVIDER OF INPATIENT PEDIATRICS INCLUDING PEDIATRIC INTENSIVE CARE AND NEONATAL INTENSIVE CARE. IN FACT, OVER HALF THE PATIENTS IN THE HOSPITALIZED AT BRONSON IN THE CHILDREN'S HOSPITAL ARE MEDICAID RECIPIENTS. AS A REGIONAL PERINATAL CENTER, BMH IS ALSO THE REGIONAL DESTINATION FOR HIGH-RISK PREGNANCY CARE. BMH LEVEL I TRAUMA CENTER AND BURN CENTER, ALONG WITH ADVANCED CAPABILITIES IN NEUROVASCULAR AND CARDIOVASCULAR CARE, SERVE ALL PATIENT POPULATIONS REGARDLESS OF ABILITY TO PAY.REPORTING TO THE COMMUNITYBMH 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.
PART VI, LINE 6:BMH 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 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 21 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 STATESMI
PART II, COMMUNITY BUILDING ACTIVITIES CONTINUATION:THE NACD HEALTHCARE TRAINING PARTNERSHIP'S PCA TRAINING PROGRAM TARGETS INDIVIDUALS WHO LIVE IN THE CORE NEIGHBORHOODS OF KALAMAZOO (I.E. NORTHSIDE, EASTSIDE AND EDISON) AND OFFERS BRONSON A UNIQUE OPPORTUNITY TO INCREASE LOCAL HIRING AND HELP DEVELOP A MORE DIVERSE FRONTLINE WORKFORCE THAT REFLECTS ITS COMMUNITY OF PATIENTS. THE PARTNERSHIP IS LEVERAGING THE EXPERTISE OF ITS MEMBERS TO ENSURE PROGRAM COMPLETERS HAVE THE SKILLS, ABILITIES AND SUPPORT NEEDED TO BE SUCCESSFUL ON THE JOB. C. 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 SCHOOLCNA 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. 7. OTHER A. SWMPIQCBRONSON ALSO 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 BIRTHING PERSON 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 PERSON 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. IN 2021. A FEW ADDITIONAL EFFORTS INCLUDE COVID-19 VACCINATION OUTREACH (A COMMUNITY SURVEY TO UNDERSTAND VACCINATION EFFORTS AND BARRIERS, A VIRTUAL PANEL OF PROVIDERS ANSWERING QUESTIONS THE AROSE FROM SURVEY RESPONSES, SOCIAL MEDIA AND BROADCAST MEDIA MESSAGES). A PILOT PROJECT CONNECTING FIVE BIRTHING PERSONS OF COLOR TO LOCAL DOULAS TO ENHANCE WRAP AROUND SERVICES TO IMPROVE MATERNAL AND INFANT OUTCOMES AND POSITIVE BIRTH EXPERIENCE. VIRTUAL BREASTFEEDING EDUCATION CLASSES.B. COVID-19 RESPONSE: IT IS HARD TO IDENTIFY ANY BRONSON DEPARTMENT OR STAFF MEMBER NOT IMPACTED PHYSICALLY, EMOTIONALLY, PERSONALLY, PROFESSIONALLY OR FINANCIALLY BY THE COVID PANDEMIC. WE FACED WORKFORCE-RELATED ISSUES LIKE EVERY EMPLOYER, YET, AS THE REGION'S LARGEST HEALTHCARE PROVIDER, OUR COMMUNITIES WERE DEPENDING ON US TO CARE FOR PATIENTS WITH AND WITHOUT COVID. BRONSON HAS MANAGED SEVERAL MAJOR CYCLES (AND STILL COUNTING) OF "PREPARE-RESPOND-IMPROVE-RECOVER" SINCE THE GOVERNOR ISSUED EXECUTIVE ORDER (EO) 2020-4, DECLARING A STATE OF EMERGENCY ON MARCH 10, 2020. MANY OF THESE CYCLES OCCURRED SIMULTANEOUSLY. WE MOBILIZED OUR INCIDENT COMMAND (IC) AND INCIDENT COMMAND CLINICAL CONSULTANTS (ICCC) ON MARCH 12 TO GUIDE THE SYSTEM'S RESPONSE TO THE COVID PANDEMIC. AS OF JANUARY 31, 2022, IC HAD BEEN OPEN FOR 690 DAY.C. COVID-19 TESTING AND SCREENING: IN ORDER TO RESPOND TO THE URGENT NEED FOR COVID TESTING, NEW TESTING PLATFORMS NEEDED TO BE SET UP IN OUR CORE LABORATORY. FOUR DIFFERENT PLATFORMS WERE PROCURED TO HANDLE THE INCREASED VOLUME OF TESTING, ALL WHILE THE LABORATORY WAS RELOCATING TO ITS NEW BUILDING. SINCE TESTING SUPPLIES WERE NOT CONSISTENLY AVAILABLE, WE ALSO NEEDED TO SOURCE A DIVERSE GROUP OF SUPPLIERS. TO COLLECT COVID SAMPLES FOR TESTING, FOUR CURBSIDE TESTING LOCATIONS WERE SET UP ACROSS OUR SYSTEM AND SUPPORTED BY 11 ADDITIONAL FTES. APPROXIMATELY 58,177 SAMPLES WERE OBTAINED THROUGH THESE COLLECTION SITES, WITH 10,465 RESULTING POSITIVE. WE CREATED A COVID TESTING DASHBOARD SO WE COULD SEE AND TREND TESTING VOLUMES AND RESULTS ON A DAILY BASIS BY LOCATION, RACE, AGE AND PAYER IN REAL TIME. THE DYNAMIC AND INTERACTIVE NATURE OF THE DASHBOARD ALLOWED US TO SEE DISPARITIES AND ADDRESS THE RAPIDLY EMERGING QUESTIONS THROUGH THE EARLY AND MIDDLE PART OF THE PANDEMIC. ON MARCH 13 2020, THE GOVERNOR ISSUED AN EO THAT REQUIRED US TO SET UP SCREENING FOR PATIENTS AND VISITORS AT LIMITED ENTRANCES AT ALL FOUR HOSPITALS THAT REMAINED THROUGH 2021. WE QUICKLY DEVELOPED A SCREENER WORKFORCE (CONSISTING OF REDEPLOYED EMPLOYEES, LOW CENSUS STAFF AND EMPLOYEE VOLUNTEERS) TO STAFF THE ENTRANCES. WE DEVOTED 28,110 HOURS TO THIS EFFORT AND 32 EMPLOYEES DEDICATED THEMSELVES TO THE SCREENING PROCESS. 818,370 EMPLOYEES SCREENED THEMSELVES, 9,012 DISTINCT EMPLOYEES USED THE SCREENING TOOL AND 39,456 NON-EMPLOYEE (CONTRACTOR, NON-EMPLOYED PROVIDER, STUDENT, ETC.) UTILIZING A NEW ONLINE TOOL THAT BRONSON DEPLOYED IN MARCH 2020D. COVID-19 STAFF SUPPORT: THE IMPACT AND SIGNIFICANT STRESS THE PANDEMIC HAS HAD ON OUR STAFF IS IMMEASURABLE. MANY PICKED UP EXTRAS SHIFTS, WERE QUARANTINED AWAY FROM THEIR FAMILIES, TOOK LIMITED VACATION TIME, VOLUNTEERED FOR SCREENING AND VACCINES, WERE FURLOUGHED, OR PROVIDED SUPPORT FOR PATIENTS WHOSE OWN FAMILIES WERE NOT ALLOWED TO VISIT. AT THE SAME TIME, MANY EMPLOYEES WERE ALSO FACING THEIR CHILDREN'S SCHOOLS SHIFTING TO VIRTUAL LEARNING OR HAD A FAMILY EMPLOYMENT OR HEALTH CRISIS. CONTACT TRACING WAS REQUIRED FOR EVERY EMPLOYEE AND PATIENT WHO TESTED POSITIVE FOR COVID. OVER THE COURSE OF THE YEAR, 1366 BRONSON EMPLOYEES TESTED POSITIVE FOR COVID AN INCREASE OF 56% FROM THE PREVIOUS YEAR 2020. ADDITIONAL SUPPORT PROVIDED TO STAFF INCLUDED: CRITICAL INCIDENT STRESS MANAGEMENT (CISM): THE BRONSON CISM TEAM PLAYED A VITAL ROLE IN SUPPORTING THE EMOTIONAL WELL-BEING OF EMPLOYEES ACROSS THE SYSTEM. THE TEAM FACILITATED 286 INTERVENTIONS AND SERVED 2,145 INDIVIDUALS THOUGH CRITICAL INCIDENT STRESS DEBRIEFINGS, DEFUSINGS, ONE-ON-ONE SUPPORT AND DROP-IN SESSIONS. THE CISM TEAM ALSO PROVIDED CODE LAVENDER CARTS TO UNITS THAT WERE IN NEED OF IMMEDIATE SUPPORT DURING STRESSFUL OR TRAUMATIC SITUATIONS. IN ADDITION TO THESE INTERVENTIONS, THE CISM TEAM ALSO CREATED THE BE WELL TAB ON THE BRONSON INTRANET WHICH IS A COMPREHENSIVE RESOURCE PAGE THAT PROVIDES EMPLOYEES, PROVIDERS AND LEADERS WITH EASY ACCESS TO THE INFORMATION, TOOLS AND SERVICES NEEDED TO PROMOTE AND ENHANCE EMPLOYEE HEALTH AND WELL-BEING. THE CISM TEAM ALSO ASSISTED WITH THE DEPLOYMENT OF RESPITE ITEMS TO UNITS SUCH AS MASSAGE CHAIRS AND SELF-CARE PACKAGES FOR FRONTLINE STAFF. IN CREATING TOOLS TO SUPPORT EMPLOYEES EXPERIENCING BURNOUT. RESOURCES SUCH AS RESPITE ROOMS AND RESILIENCE BUDDIES HELPED CREATE AN ENVIRONMENT WHERE STAFF FELT SAFE, ACKNOWLEDGED, VALIDATED AND CARED FOR.RESPITE AREAS: RESPITE AREAS AT THE HOSPITALS PROVIDED A RELAXING, RESTORATIVE SPACE THAT STAFF USED TO STEP AWAY, REGROUP AND RE-CENTER. BHF STEPPED FORWARD TO FUND THESE AREAS, UNDERSTANDING THAT CARING FOR PATIENTS DURING THE PANDEMIC IS STRESSFUL AND TAKES AN ADDITIONAL TOLL ON FRONTLINE STAFF. ALL RESPITE AREAS INCLUDE REFRIGERATORS, COFFEEMAKERS, SNACKS, BEVERAGES, PERSONAL CARE AND SUPPORT ITEMS FOR MIND AND BODY.E. COVID-19 VACCINATION DISTRIBUTION:BRONSON DEVELOPED A DASHBOARD TO TRACK THE GEOGRAPHIC DISTRIBUTION OF COVID-19 VACCINATIONS TO HELP UNDERSTAND IF DISPARITIES EXISTED IN BRONSON'S SERVICE AREA. FILTERS AVAILABLE FOR GEOSPATIAL ANALYSIS ALLOWED US TO IDENTIFY DISPARITIES BASED, NOT JUST ON GEOGRAPHIC LOCATION, BUT ALSO BY THE CDC SOCIAL VULNERABILITY INDEX, AGE, RACE, GENDER, ETHNICITY, LANGUAGE, AND FINANCIAL CLASS. RISKS AND COMORBID MEDICAL CONDITIONS WERE ALSO INCLUDED TO ALLOW THE IDENTIFICATION OF POPULATIONS THAT PRESENTED A GREATER RISK OF HOSPITALIZATION OR SEVERE SYMPTOMS FROM A COVID-19 INFECTION. BRONSON PARTNERED WITH AGENCIES AND ORGANIZATIONS TO PROVIDE ACCESS TO COVID-19 VACCINES FOR THE DISPROPORTIONATELY IMPACTED POPULATIONS AND UNDERSERVED COMMUNITIES WITHIN OUR REGION. THROUGH A GRANT, SEVERAL CLINICS PROVIDED
PART II, COMMUNITY BUILDING ACTIVITIES CONTINUATION:MULTIPLE DOSES AT CHURCHES, BUSINESSES AND SCHOOLS. AN ADDITIONAL 30 CLINICS WERE HELD BEFORE THE START OF THE GRANT. BRONSON ASSISTED WITH THESE CLINICS BY PROVIDING EITHER STAFF, VACCINES OR VOLUNTEERS. MHA ADVANCING SAFE CARE AWARD WAS AWARDED TO BRONSON FOR OUR COMMUNITY VACCINATION CLINICS. THIS AWARD IDENTIFIES HEALTH SYSTEMS THAT DEMONSTRATE A FIERCE COMMITMENT TO PROVIDING CARE TO DIFFERENT PATIENT POPULATIONS, SHOW EVIDENCE OF AN IMPROVED SAFETY CULTURE, LEAD THE CHARGE FOR QUALITY IMPROVEMENT, AND DEMONSTRATE TRANSPARENCY IN THEIR EFFORTS TO IMPROVE HEALTHCARE. WE WORKED DILIGENTLY TO EDUCATE AND PROMOTE APPROPRIATE SAFETY PRECAUTIONS AND THE IMPORTANCE OF GETTING VACCINATED. BRONSON MEDICAL EXPERTS PARTICIPATED IN HUNDREDS OF MEDIA INTERVIEWS, SEVERAL PUBLIC SERVICE ANNOUNCEMENTS WERE CREATED, AND NUMEROUS PRESS CONFERENCES WERE HELD WITH COUNTY HEALTH DEPARTMENTS AND COMMUNITY PARTNERS IN CALHOUN, KALAMAZOO AND VAN BUREN COUNTIES. 204,000 PEOPLE TURNED TO BRONSONHEALTH.COM FOR COVID-19 INFORMATION IN 2021 AN INCREASE OF 72.6% OVER 2020. 135,000 OF THEM VISITED THE COVID-19 VACCINE PAGE WHICH LINKED THEM TO MYCHART AND INSTRUCTIONS ON HOW AND WHERE TO SCHEDULE VACCINE APPOINTMENTS. NUMEROUS VIDEOS WERE CREATED WITH BRONSON'S CEO AND PROVIDERS WHICH PRESENTED FACTS TO HELP DISPEL MYTHS ABOUT VACCINE SAFETY AND EFFICACY. 249 SOCIAL MEDIA MESSAGES WERE CREATED AND SHARED ACROSS ALL HOSPITAL FACEBOOK PAGES, TWITTER, LINKEDIN AND INSTAGRAM.F. IMPLEMENTATION OF THE AHA EQUITY PLEDGE PLAN: BRONSON CREATED AN EQUITY OF CARE FRAMEWORK TO PROVIDE SYSTEM GOALS AND TACTICS FOR THE AHA EQUITY OF CARE PLEDGE. ADDITIONALLY, WE CREATED A HEALTH EQUITY OF CARE PERFORMANCE IMPROVEMENT COMMITTEE TO GUIDE THE ORGANIZATION IN THIS WORK. THERE ARE FOUR HEALTH EQUITY OF CARE GOALS: 1) BUILD AND STRENGTHEN COMMUNITY RELATIONSHIPS AND PARTNERSHIPS TO ADVANCE HEALTH EQUITY; 2) INCREASE THE COLLECTION, REPORTING AND ANALYSIS OF ACCURATE SOCIAL DEMOGRAPHIC DATA TO PRIORITIZE AND DETERMINE INTERVENTIONS; 3) IMPROVE OUR KNOWLEDGE, SKILLS AND BEHAVIORS TO MEET THE SOCIAL, CULTURAL AND LINGUISTIC NEEDS OF OUR EMPLOYEES, PATIENTS AND FAMILIES; AND 4) INCREASE THE DIVERSITY OF LEADERSHIP AND GOVERNANCE TO SUPPORT, ASSIST, AND ADVOCATE FOR EMPLOYEES, PATIENTS AND FAMILIES. BRONSON EXPANDED COLLECTION OF RACE, ETHNICITY AND LANGUAGE DATA AND BEGAN STRATIFYING PATIENT EXPERIENCE DATA BY AGE, GENDER, RACE AND ETHNICITY. WE CONTINUE TO IMPROVE OUR KNOWLEDGE, SKILLS AND BEHAVIORS TO MEET THE SOCIAL, CULTURAL AND LINGUISTIC NEEDS OF OUR EMPLOYEES, PATIENTS AND FAMILIES IN SEVERAL WAYS. WE INCREASED AMBULATORY SELF-SCHEDULING OF INTERPRETERS AND A NEW EQUITY OF CARE COMPUTER-BASED LEARNING MODULE WAS REQUIRED FOR ALL BRONSON EMPLOYEES. THE COMMUNITY HEALTH, EQUITY AND INCLUSION TEAM EDUCATED OVER 2,400 EMPLOYEES AS WELL AS 3,300 PEOPLE IN OUR PRIMARY SERVICE AREA. IN JULY, THE QUALITY OVERSIGHT BOARD COMMITTEE (QOBC) HEARD A STORY FROM A PATIENT THAT ILLUSTRATED AN OPPORTUNITY IN OUR LABOR AND DELIVERY UNIT TO ACKNOWLEDGE AND ADDRESS IMPLICIT BIASES THAT LED TO INEQUITIES IN CARE AND THE PATIENT EXPERIENCE REGARDING PAIN MANAGEMENT. IN LIGHT OF THIS PATIENT STORY, THE QOBC SUBSEQUENTLY REVIEWED. PATIENT EXPERIENCE SURVEYS FROM PATIENTS DISCHARGED FROM BRONSON OB UNITS IDENTIFIED A DISPARITY IN PATIENTS' PERCEPTION OF HOW WELL THEY WERE "INFORMED ABOUT PAIN CONTROL OPTIONS" WHEN COMPARING MEAN SCORES OF WHITE/CAUCASIAN PATIENTS TO NON-WHITE/CAUCASIAN PATIENTS. THERE CONTINUES TO BE AN OPPORTUNITY TO IMPROVE REPRESENTATION WITHIN THE SURVEY RESPONSES; WHITE/CAUCASIAN PATIENTS COMPLETE THE SURVEY AT A HIGHER RATE THAN THEIR ACTUAL OB ENCOUNTERS.RECOGNIZING THAT THE 2020-2022 CHIP FOCUSES ON ADDRESSING PERINATAL HEALTH DISPARITIES, THE QOBC ESTABLISHED A TASK FORCE TO ADDRESS RACIAL BIAS IN PAIN ASSESSMENT AND MANAGEMENT AMONG MOTHERS IN LABOR. THE TASK FORCE IS IDENTIFYING CURRENT CLINICAL PRACTICES AND POLICIES FOR PAIN ASSESSMENT AND MANAGEMENT OF BRONSON LABOR AND DELIVERY PATIENTS AS WELL AS ASSESSING PROVIDER PERCEPTION OF AND PATIENT SATISFACTION WITH PAIN MANAGEMENT ACROSS RACIAL, ETHNIC AND LANGUAGE DIMENSIONS. HEALTH EQUALITY INDEX: IN EARLY 2020 AND CONTINUING FOR 2021, EACH BRONSON ENTITY PARTICIPATED IN THE HEALTH EQUALITY INDEX (HEI) FOR THE FIRST TIME. THIS SURVEY SCORES HOSPITALS BASED ON ESTABLISHED CRITERIA FOR LGBTQ+ INCLUSIVE PATIENT SERVICES AND EMPLOYMENT PRACTICES. THE CRITERIA ARE NON-DISCRIMINATION AND STAFF TRAINING, PATIENT SERVICES AND SUPPORT, EMPLOYEE BENEFITS AND POLICIES, AND PATIENT AND COMMUNITY ENGAGEMENT. THIS BASELINE ASSESSMENT HELPED US IDENTIFY OPPORTUNITIES FOR IMPROVEMENT AND ESTABLISH A BENCHMARK TO MONITOR PROGRESS TOWARDS CLOSING THE IDENTIFIED GAPS. ADDITIONALLY, HEI PARTICIPANTS HAVE ACCESS TO A LIBRARY OF RESOURCES AND TRAINING MATERIALS. A GAP ANALYSIS WAS CONDUCTED ON THE 2020 HEI SURVEY AND AN HEI WORKGROUP WAS FORMED WITH THE PURPOSE OF REVIEWING, PRIORITIZING AND ADDRESSING THE IDENTIFIED OPPORTUNITIES PRIOR TO SUBMISSION OF THE 2022 SURVEY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL HOSPITALITY HOUSEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1828 S BURDICK STAddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49001ZIPCd
FieldValueIRS element (for citing)
Recipient EIN382540700RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$26,500CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHERE IS NO FORMAL PROCEDURE. GRANTS ARE MADE BY THE ORGANIZATION ON A DISCRETIONARY BASIS FOR PURPOSES CONSISTENT WITH THE ORGANIZATION'S MISSION. GRANTS ARE UNRESTRICTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FABI ALAIN
NEUROSURGERY$2,364,234$0$1,000$0$24,273$0$18,675$0$22,749$0$2,430,931$0$0$0
WIGGINS GREGORY
NEUROSURGERY$2,145,051$0$1,000$0$22,147$0$18,675$0$22,696$0$2,209,569$0$0$0
MANNS BILL
PRESIDENT AND CEO$0$923,445$0$417,830$0$241,338$0$466,704$0$17,844$0$2,067,161$0$417,830
KASTEN MICHAEL
SPINE & SCOLIOSIS$1,850,562$0$82,091$0$33,979$0$18,675$0$23,414$0$2,008,721$0$0$0
ELLWITZ JOSHUA
SPINE & SCOLIOSIS$1,782,692$0$77,279$0$21,699$0$18,675$0$23,419$0$1,923,764$0$0$0
SYTSMA MARK
SPORTS MEDICINE$1,374,010$0$80,239$0$21,077$0$18,675$0$23,066$0$1,517,067$0$0$0
EAST REBECCA L
SR VP CFO BHG$0$513,250$0$179,078$0$113,430$0$212,437$0$17,290$0$1,035,485$0$179,078
LARSON SCOTT MD
SR VP MEDICAL AFFAIRS/CMO$0$538,421$0$162,458$0$109,160$0$185,501$0$14,172$0$1,009,712$0$162,458
FALAHEE JAMES
SR VP LEGAL & LEG. AFFAIRS$0$476,056$0$170,273$0$93,662$0$193,181$0$13,959$0$947,131$0$170,273
KARAMCHANDANI MAHESH C
DIRECTOR$629,048$0$79,075$0$28,752$0$14,400$0$11,814$0$763,089$0$0$0
NEELY DENISE
SR VP COO$0$393,510$0$91,077$0$25,470$0$115,068$0$13,725$0$638,850$0$91,077
REINOEHL SUSAN
SR VP STRATEGY & COMM BHG$0$299,726$0$109,503$0$80,219$0$137,928$0$6,072$0$633,448$0$109,503
WAY MICHAEL S
SR VP MAT. MGT. & FACILITY$0$275,326$0$103,320$0$79,473$0$131,436$0$16,520$0$606,075$0$103,320
DAVIDSON SCOTT MD
DIRECTOR$459,423$0$88,907$0$3,071$0$18,675$0$16,908$0$586,984$0$0$0
CHALASANI SRIDHAR MD
DIRECTOR$442,866$0$42,510$0$21,381$0$14,400$0$16,828$0$537,985$0$0$0
SANGALLI-DAVIS CHRISTINE
VP CHIEF COMPLIANCE OFFICE$0$230,349$0$42,368$0$2,805$0$64,599$0$8,558$0$348,679$0$42,368
JOHNSON CHERYL
SR VP CHIEF PEOPLE OFFICER$0$171,532$0$15,000$0$20,822$0$125,515$0$7,281$0$340,150$0$0
HAYDEN JOHN
SR VP CHIEF PEOPLE OFFICER - FORMER$0$13,935$0$128,674$0$108,999$0$11,504$0$439$0$263,551$0$128,674

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE 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 3BRONSON 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 A VESTED CONTRIBUTION TO THE PLAN: FALAHEE JR., JAMES B $82,956 SERP CONTRIBUTIONS LARSON, SCOTT D $91,959 SERP CONTRIBUTIONS EAST, REBECCA $93,041 SERP CONTRIBUTIONS MANNS, BILL $218,468 SERP CONTRIBUTIONS REINOEHL, SUSAN $59,276 SERP CONTRIBUTIONS WAY, MICHAEL $56,494 SERP CONTRIBUTIONS

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY
A386004627483233NY42016-10-25$110,169,643SEE SUPPLEMENTAL INFORMATION000
CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY
B3860046272018-02-15$47,975,000SEE SUPPLEMENTAL INFORMATION000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$2,580,000$110,169,643$109,279,114$890,52920160Yes (1)Yes (1)Yes (1)
B$18,435,000$47,975,000$138,2502018Yes (1)0Yes (1)Yes (1)$47,836,750

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)00.002500.000000.0025000Yes (1)
B00Yes (1)Yes (1)00.002500.000000.0025000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
BYes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, BOND ISSUE A, LINE (F) - DESCRIPTION OF PURPOSE:PROCEEDS OF BOND ISSUE A WERE USED TO ADVANCE REFUND PORTIONS OF TAX-EXEMPT BONDS ISSUED OR REISSUED ON 9/28/10.
PART I, BOND ISSUE B, LINE (F) - DESCRIPTION OF PURPOSE:PROCEEDS OF BOND ISSUE B WERE USED TO CURRENTLY REFUND PORTIONS OF BOND ISSUED ON 4/30/2008. THE BONDS ISSUED ON 4/30/2008 WERE ISSUED TO REFUND, THROUGH A SERIES OF REFUNDINGS, BONDS ORIGINALLY ISSUED PRIOR TO 1/1/2003.
PART II, BOND ISSUE A, LINE 3:TOTAL PROCEEDS OF BOND ISSUE A INCLUDE INVESTMENT EARNINGS IN THE AMOUNT OF $363,731.
PART IV, BOND ISSUE A, LINE 2C:DATE THE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2020.
PART V:WE HAVE GENERAL WRITTEN PROCEDURES THAT WE WILL COMPLY WITH ALL TAX LAWS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MARLA ATKINSON
SPOUSE OF BOARD MEMBER MARK ATKINSON$285,047TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON HEALTHCARE GROUP0
STEPHANIE NELSON
SISTER-IN-LAW OF BOARD MEMBER SCOTT GIBSON$131,883TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL0
NICOLE ATKINSON
DAUGHTER OF BOARD MEMBER MARK ATKINSON$71,243TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL0
KIMBERLY JAMES
DAUGHTER OF BOARD MEMBER BARBARA JAMES$65,371TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL0
MELISSA DAVIDSON
SPOUSE OF BOARD MEMBER SCOTT DAVIDSON$45,393TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescPANTHER ANALYZERDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$30,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2STEVEN 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 6BRONSON HEALTHCARE GROUP IS THE SOLE MEMBER OF BRONSON METHODIST HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7ABRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON METHODIST HOSPITAL (BMH) AND AS SUCH MEMBER IT ELECTS 10-15 OF THE TOTAL 20-24 MEMBERS OF THE BMH 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 7BBRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF THE BRONSON METHODIST HOSPITAL (BMH) AND HAS CERTAIN RESERVED POWERS OVER THE ACTIONS OF BMH. 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 11BTHE SR VP/CFO & CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE FINANCE COMMITTEE CHAIRPERSON 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 24, 2022. THE REVIEW WAS LED BY THE SR VP/CFO AND PLANTE MORAN. THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY WERE PROVIDED THE PREPARED FORM 990 FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15FOR 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 2021. 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 19THE 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:JOINT VENTURE GAIN/(LOSS) 5,320,405. LOSS ON REFUNDED DEBT 0. RELATED PARTY NET ASSET TRANSFER -153,976.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BRONSON HEALTHCARE GROUP
601 JOHN STREETKALAMAZOOMI49007382418383PROVIDE SUPPORT SERVICES FOR HEALTHCARE SUBSIDIARIESMI501(C)(3)LINE 12C, III-FIN/A0
BRONSON HEALTH FOUNDATION
601 JOHN STREETKALAMAZOOMI49007382415081SUPPORTS HEALTHCARE ORGANIZATIONMI501(C)(3)LINE 70BRONSON HEALTHCARE GROUP
BRONSON LAKEVIEW HOSPITAL
408 HAZEN STPAW PAWMI49079381359218HOSPITALMI501(C)(3)LINE 30BRONSON HEALTHCARE GROUP
BRONSON COMMONS
23332 RED ARROW HWYMATTAWANMI49071382842451SKILLED NURSING FACILITYMI501(C)(3)LINE 100BRONSON HEALTHCARE GROUP
VBEMS INC
39338 W RED ARROW HWYPAW PAWMI49079382745910AMBULANCE SERVICEMI501(C)(3)LINE 100BRONSON HEALTHCARE GROUP
BRONSON PROPERTIES CORPORATION
601 JOHN STREETKALAMAZOOMI49007386052573PROVIDE SUPPORT SERVICES FOR HEALTHCARE SUBSIDIARIESMI501(C)(3)LINE 12B, II0BRONSON HEALTHCARE GROUP
BRONSON BATTLE CREEK HOSPITAL
300 NORTH AVENUEBATTLE CREEKMI49017382776791HOSPITALMI501(C)(3)LINE 30BRONSON HEALTHCARE GROUP
BRONSON AT HOME
601 JOHN STREETKALAMAZOOMI49007383298476NURSING, HOSPICE, EQUIP SALESMI501(C)(3)LINE 100BRONSON HEALTHCARE GROUP
BRONSON SOUTH HAVEN HOSPITAL
955 S BAILEY AVESOUTH HAVENMI49090381676780HOSPITALMI501(C)(3)LINE 30BRONSON HEALTHCARE GROUP

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
HNI LEASING LLC
6212 AMERICAN AVEPORTAGEMI49002383638430SUPPORT SERVICESMIN/A00
HOSPITAL NETWORK VENTURES LLC
6212 AMERICAN AVEPORTAGEMI49002383302979SUPPORT SERVICESMIN/A00
BRONSON-ACADIA JOINT VENTURE LLC
6100 TOWER CIRCLE STE 1000FRANKLINTN37067862362291SUPPORT SERVICESTN00BRONSON HEALTHCARE GROUPRELATED

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
BRONSON MANAGEMENT SERVICES CORPORATION
601 JOHN STREETKALAMAZOOMI49007382415032OTHER MEDICAL SERVICESMIN/AC0
BRONSON LIFESTYLE IMPROVEMENT AND RESEARCH CENTER
601 JOHN STREETKALAMAZOOMI49007383552556REHABILIATION SERVICESMIN/AC0
WESTLEY DEVELOPMENT COMPANY
301 JOHN STREETKALAMAZOOMI49007383619232REAL ESTATE OWNERSHIPMIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd