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BRONSON METHODIST HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
BRONSON METHODIST HOSPITAL (EIN 38-1359087)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-05
IRS object ID
202103099349304065
Schema version
2020v4.1
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)
Return2021-11-05T15:07:31-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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
Signature2021-11-01SignatureDt
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
Preparation2021-11-01PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
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$949,790,544GrossReceiptsAmt
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 Body22VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee5629TotalEmployeeCnt
Total Volunteers152TotalVolunteersCnt
Total Gross UBI$15,752,685TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$86,251NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,695,451PYContributionsGrantsAmt
CY Contributions Grants$29,247,894CYContributionsGrantsAmt
PY Program Service Revenue$911,747,342PYProgramServiceRevenueAmt
CY Program Service Revenue$898,127,109CYProgramServiceRevenueAmt
PY Investment Income$28,364,782PYInvestmentIncomeAmt
CY Investment Income$16,108,588CYInvestmentIncomeAmt
PY Other Revenue$10,971,651PYOtherRevenueAmt
CY Other Revenue$6,238,047CYOtherRevenueAmt
PY Total Revenue$952,779,226PYTotalRevenueAmt
CY Total Revenue$949,721,638CYTotalRevenueAmt
PY Grants And Similar Paid$69,162,717PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,689,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$510,729,641PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$486,653,606CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$370,213,585PYOtherExpensesAmt
CY Other Expenses$377,004,264CYOtherExpensesAmt
PY Total Expenses$950,105,943PYTotalExpensesAmt
CY Total Expenses$878,347,370CYTotalExpensesAmt
PY Revenues Less Expenses$2,673,283PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$71,374,268CYRevenuesLessExpensesAmt
Total Assets BOY$1,118,333,750TotalAssetsBOYAmt
Total Assets EOY$1,306,162,209TotalAssetsEOYAmt
Total Liabilities BOY$422,078,762TotalLiabilitiesBOYAmt
Total Liabilities EOY$499,571,442TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$696,254,988NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$806,590,767NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIESMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$606,377,362ExpenseAmt
Grant$14,689,500GrantAmt
Revenue$749,371,302RevenueAmt
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 92,700 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 2020, 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 2020, IN FURTHERANCE OF ITS MISSION, BMH PROVIDED $8,209,768 IN CHARITY CARE EXPENSE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$166,093,340ExpenseAmt
Revenue$133,604,580RevenueAmt
DescIN 2020, BMH'S MEDICAID COST WAS $166,093,340 AND MEDICAID NET REVENUE WAS $133,604,580Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$31,820,529ExpenseAmt
DescIN 2020, IN FURTHERANCE OF ITS MISSION, BMH INCURRED $31,820,529 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$804,291,231TotalProgramServiceExpensesAmt
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 Contri0DeductibleNonCashContriInd
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 Document162IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5629EmployeeCnt
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 Members22GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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)
Phone2693416000PhoneNum

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 (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MANNS BILL
PRESIDENT AND CEO4.6035.40Yes (X)Yes (X)$0$798,193$428,287
FALAHEE JAMES
SR VP LEGAL & LEG. AFFAIRS4.6035.40Yes (X)Yes (X)$0$880,935$212,229
KARAMCHANDANI MAHESH C MD
DIRECTOR4.6035.40Yes (X)$716,627$0$20,784
DAVIDSON SCOTT MD
DIRECTOR4.6035.40Yes (X)$535,784$0$27,805
CHALASANI SRIDHAR MD
DIRECTOR4.6035.40Yes (X)$455,481$0$22,994
LAWLOR JOHN MD
DIRECTOR (THRU 8/20)4.6035.40Yes (X)$370,186$0$30,072
GIBSON SCOTT MD
DIRECTOR1.008.00Yes (X)$5,740$0$0
KARRE NELSON
CHAIR1.008.00Yes (X)Yes (X)$0$0$0
EBERTS RANDALL PHD
VICE CHAIR1.008.00Yes (X)Yes (X)$0$482$0
JAMES BARBARA
TREASURER1.008.00Yes (X)Yes (X)$0$482$0
NYBERG NEIL
SECRETARY1.008.00Yes (X)Yes (X)$0$0$0
ALLEN RICHARD J MD
DIRECTOR1.008.00Yes (X)$0$0$0
ATKINSON MARK B MD
DIRECTOR1.008.00Yes (X)$0$0$0
FINK KATY
DIRECTOR1.008.00Yes (X)$0$0$0
GONZALEZ JORGE PHD
DIRECTOR1.008.00Yes (X)$0$0$0
GREENE JAMES E
DIRECTOR1.008.00Yes (X)$0$482$0
HUNT BRENDA
DIRECTOR1.008.00Yes (X)$0$0$0
JOHNSTON WILLIAM
DIRECTOR1.008.00Yes (X)$0$0$0
LIGGINS JAMES JR
DIRECTOR1.008.00Yes (X)$0$0$0
LINS STEVEN J MD
DIRECTOR1.008.00Yes (X)$0$0$0
MONTGOMERY TABRON LA JUNE
DIRECTOR1.008.00Yes (X)$0$0$0
ODAR MICHAEL
DIRECTOR1.008.00Yes (X)$0$0$0
PARFET DONALD
DIRECTOR1.008.00Yes (X)$0$0$0
LARSON SCOTT MD
SR VP MEDICAL AFFAIRS/CMO4.6035.40Yes (X)$0$740,329$194,638
EAST REBECCA L
SR VP CFO BHG4.6035.40Yes (X)$0$693,393$207,182
HAYDEN JOHN
SR VP & CHIEF HR OFFICER4.6035.40Yes (X)$0$550,895$151,155
REINOEHLSUSAN
SR VP STRATEGY & COMM BHG4.6035.40Yes (X)$0$429,209$131,347
JONES JR JOHN
SENIOR VP (THRU 2/20)4.6035.40Yes (X)$0$466,415$29,068
NEELY DENISE
SR. VP COO BMH/SYSTEM CNO BHG4.6035.40$0$449,861$118,234Yes (X)
WAY MICHAEL S
SR VP MAT. MGT. & FACILITY4.6035.40$0$402,022$133,219Yes (X)
SANGALLI-DAVIS CHRISTINE
VP CHIEF COMPLIANCE OFFICE4.6035.40$0$229,946$64,693Yes (X)
FABI ALAIN
NEUROSURGERY40.000.00$2,596,365$0$45,516Yes (X)
WIGGINS GREGORY
NEUROSURGERY40.000.00$1,653,277$0$41,456Yes (X)
KASTEN MICHAEL
SPINE & SCOLIOSIS40.000.00$1,615,918$0$42,424Yes (X)
ELLWITZ JOSHUA
SPINE & SCOLIOSIS40.000.00$1,448,993$0$41,674Yes (X)
ROBERTS JASON
ORTHOPEDIC TRAUMA40.000.00$1,402,626$0$41,189Yes (X)
SARDONE FRANK
PRESIDENT & CEO - FORMER0.000.00$0$896,730$16,448Yes (X)
HARRELSON KATHLEEN
SENIOR VP - FORMER0.000.00$0$499,567$5,995Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,800,997TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,038,941TotReportableCompRltdOrgAmt
Total Other Compensation$2,006,409TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K457IndivRcvdGreaterThan100KCnt
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
ADVANCED CARDIAC HEALTHCARE PLC
601 JOHN STREET SUITE 100KALAMAZOOMI49007MEDICAL SERVICES$10,404,105
PORTAGE PHYSICIANS PC
7901 ANGLING ROAD STE 210BPORTAGEMI49024MEDICAL SERVICES$7,884,359
GENEMARKERS LLC
126 E SOUTH STREETKALAMAZOOMI49007MEDICAL SERVICES$3,910,200
HAYES LOCUMS LLC
6700 N ANDRE STREET 600FORT LAUDERDALEFL33309HEALTHCARE STAFFING AND PHYSICIAN RECRUI$2,119,995
KALAMAZOO ANESTHESIOLOGY PC
900 PEELERKALAMAZOOMI49008MEDICAL SERVICES$1,829,530
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K32CntrctRcvdGreaterThan100KCnt
Related Organizations$4,197,893RelatedOrganizationsAmt
Government Grants$25,039,851GovernmentGrantsAmt
All Other Contributions$10,150AllOtherContributionsAmt
Total Contributions$29,247,894TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE622110$874,192,528$874,192,528
PHARMACY REVENUE446110$8,218,192$8,218,192
MEANINGFUL USE & PGIP REVENUE900099$7,306,135$7,306,135
LABORATORY REVENUE541380$7,222,729$7,222,729
OUTSIDE SERVICE REVENUE900099$1,177,911$1,177,911

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,614TotalRevenueColumnAmt
Related Or Exempt Func Income$9,614RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$898,127,109TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,532,837TotalRevenueColumnAmt
Exclusion$15,532,837ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$724,833RealAmt
Personal$190,335PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$68,906PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$724,833RealAmt
Personal$121,429PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$846,262TotalRevenueColumnAmt
Unrelated Business Revenue$121,429UnrelatedBusinessRevenueAmt
Exclusion$724,833ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$575,751OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$575,751OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$575,751TotalRevenueColumnAmt
Exclusion$575,751ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA EMPLOYEE REVENUE900099$3,491,492$3,491,492
GIFT SHOP REVENUE453220$813,816$813,816
CLASS INSTRUCTION REVENUE900099$289,694$289,694

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$796,783TotalRevenueColumnAmt
Unrelated Business Revenue$190,335UnrelatedBusinessRevenueAmt
Exclusion$606,448ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,391,785OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$949,721,638TotalRevenueColumnAmt
Related Or Exempt Func Income$882,975,882RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$15,752,685UnrelatedBusinessRevenueAmt
Exclusion$21,745,177ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$14,689,500TotalAmt
Program Services$14,689,500ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$406,104,736TotalAmt
Program Services$375,888,917ProgramServicesAmt
Management And General$30,215,819ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$59,536,505TotalAmt
Program Services$38,926,232ProgramServicesAmt
Management And General$20,610,273ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,012,365TotalAmt
Program Services$20,902,365ProgramServicesAmt
Management And General$110,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,359,915TotalAmt
Program Services$3,184,639ProgramServicesAmt
Management And General$175,276ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$70,378,243TotalAmt
Program Services$66,342,499ProgramServicesAmt
Management And General$4,035,744ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,372TotalAmt
Program Services$30,372ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,950,360TotalAmt
Program Services$13,574,397ProgramServicesAmt
Management And General$375,963ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$279,101TotalAmt
Program Services$279,101ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,726,099TotalAmt
Program Services$15,830,987ProgramServicesAmt
Management And General$895,112ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$317,674TotalAmt
Program Services$315,576ProgramServicesAmt
Management And General$2,098ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$467,247TotalAmt
Program Services$466,618ProgramServicesAmt
Management And General$629ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,441,925TotalAmt
Program Services$8,004,802ProgramServicesAmt
Management And General$437,123ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,571,134TotalAmt
Program Services$28,535,941ProgramServicesAmt
Management And General$1,035,193ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,362,766TotalAmt
Program Services$9,049,710ProgramServicesAmt
Management And General$4,313,056ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$150,817,224$150,817,224
BAD DEBT EXPENSE$31,820,529$31,820,529$0
BHG ALLOCATION EXPENSE$31,159,320$19,521,314$11,638,006
EQUIPMENT MAINTENANCE/R$8,409,621$8,352,005$57,616

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$2,087,266TotalAmt
Program Services-$2,241,497ProgramServicesAmt
Management And General$154,231ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$878,347,370TotalAmt
Program Services$804,291,231ProgramServicesAmt
Management And General$74,056,139ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$161,383,334BOYAmt
EOY$348,625,071EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$391,049,423BOYAmt
EOY$407,091,120EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$121,997,973BOYAmt
EOY$105,210,115EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,407,404BOYAmt
EOY$12,364,135EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,969,152BOYAmt
EOY$1,375,944EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$778,743,275LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$435,862,326LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$294,066,948BOYAmt
EOY$342,880,949EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$24,254,656BOYAmt
EOY$23,718,569EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$84,001,164BOYAmt
EOY$37,692,610EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,118,333,750BOYAmt
EOY$1,306,162,209EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$72,939,566BOYAmt
EOY$65,628,203EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$68,917,590EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$338,061,200BOYAmt
EOY$327,000,580EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,174,683BOYAmt
EOY$510,484EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,903,313BOYAmt
EOY$37,514,585EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$422,078,762BOYAmt
EOY$499,571,442EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$696,254,988BOYAmt
EOY$806,590,767EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$696,254,988BOYAmt
EOY$806,590,767EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,118,333,750BOYAmt
EOY$1,306,162,209EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$71,374,268ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$39,252,901NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$291,390OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 Performed0FederalGrantAuditPerformedInd

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$12,497,126OtherCostOrOtherBasisAmt
Book Value$12,497,126BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$474,942,484OtherCostOrOtherBasisAmt
Depreciation$256,525,684DepreciationAmt
Book Value$218,416,800BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$869,094OtherCostOrOtherBasisAmt
Depreciation$549,324DepreciationAmt
Book Value$319,770BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$224,409,752OtherCostOrOtherBasisAmt
Depreciation$178,787,318DepreciationAmt
Book Value$45,622,434BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,024,819OtherCostOrOtherBasisAmt
Book Value$66,024,819BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$342,880,949TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$1,966,440
THIRD PARTY SETTLEMENTS$18,023,450
RIGHT TO USE LIABILITY$11,897,912
DEFERRED TAX LIABILITY$5,626,783
FieldValueIRS element (for citing)
Total Liability$37,514,585TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$897,936,000TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$31,762,450OtherRevenueAmt
Revenue Not Reported-$31,762,450RevenueNotReportedAmt
Revenue Subtotal$929,698,450RevenueSubtotalAmt
Other Revenues Not Included$20,023,188OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$20,023,188RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$949,721,638TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$829,456,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$2,408,083OtherExpensesIncludedAmt
Expenses Not Reported-$2,408,083ExpensesNotReportedAmt
Expenses Subtotal$831,864,083ExpensesSubtotalAmt
Other Expenses Not Included$46,483,288OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$46,483,288ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$878,347,371TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT RECLASS TO EXPENSE -31,820,529. RELATED PARTY NET ASSET TRANSFER 58,079.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTION FROM BHF BOOKED AS REDUCTION OF EXPENSE 4,255,972. GAIN ON SALE OF ASSETS RECLASS TO REVENUE 575,751. INVESTMENT INCOME 15,259,662. RENT EXPENSE -68,906. ROUNDING 709.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CONTRIBUTION FROM BHF BOOKED AS REDUCTION OF EXPENSE -1,825,990. GAIN ON SALE OF ASSETS RECLASS TO REVENUE -575,751. JOINT VENTURE GAIN/(LOSS) -75,248. RENT EXPENSE 68,906.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT RECLASS TO EXPENSE 31,820,529. NET ASSET TRANSFER AFFILIATE 14,663,000. ROUNDING -241.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENT IN A FOREIGN INSURANCE COMPANYTypeOfActivitiesConductedTxt
Region Total Expenditures$75,418RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$75,418SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$75,418TotalSpentAmt
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$3,041,095TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,041,095NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served144733PersonsServedCnt
Total Community Benefit Expns$166,093,340TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$133,604,580DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,488,760NetCommunityBenefitExpnsAmt
Total Expense0.04280TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served144733PersonsServedCnt
Total Community Benefit Expns$169,134,435TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$133,604,580DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,529,855NetCommunityBenefitExpnsAmt
Total Expense0.04680TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served7809PersonsServedCnt
Total Community Benefit Expns$442,609TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$442,609NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served852PersonsServedCnt
Total Community Benefit Expns$52,029,165TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,834,528DirectOffsettingRevenueAmt
Net Community Benefit Expns$45,194,637NetCommunityBenefitExpnsAmt
Total Expense0.05960TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,595,915TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$962,947DirectOffsettingRevenueAmt
Net Community Benefit Expns$632,968NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs33ActivitiesOrProgramsCnt
Persons Served8661PersonsServedCnt
Total Community Benefit Expns$54,067,689TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,797,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,270,214NetCommunityBenefitExpnsAmt
Total Expense0.06100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs33ActivitiesOrProgramsCnt
Persons Served153394PersonsServedCnt
Total Community Benefit Expns$223,202,124TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$141,402,055DirectOffsettingRevenueAmt
Net Community Benefit Expns$81,800,069NetCommunityBenefitExpnsAmt
Total Expense0.10780TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$230TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$230NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served156PersonsServedCnt
Total Community Benefit Expns$20,453TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,453NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$17,873TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,873NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served156PersonsServedCnt
Total Community Benefit Expns$38,556TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,556NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$31,820,529BadDebtExpenseAmt
Bad Debt Expense Attributable$327,802BadDebtExpenseAttributableAmt
Reimbursed By Medicare$119,445,824ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$114,172,712CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$5,273,112MedicareSurplusOrShortfallAmt

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 MOTHERS AND BABIES ACROSS OUR REGION (VAN BUREN, KALAMAZOO, CALHOUN COUNTIES). GIVEN THE EXTRAORDINARY CHALLENGE OF SUBSTANTIALLY AND MEASURABLY IMPROVING ACCESS TO CARE IN AN ENVIRONMENT OF LIMITED RESOURCES, BRONSON LEADERS AND COMMUNITY HEALTH BOARD COMMITTEE MEMBERS HAVE CHOSEN TO FOCUS ON TWO TARGETED HEALTH NEEDS (WORKFORCE EQUITY AND HEALTHCARE EQUITY). TO ACT ON THIS, BRONSON 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 MOTHERS, 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 (17 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 I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 31,820,529.
PART II, COMMUNITY BUILDING ACTIVITIES:1. PHYSICAL IMPROVEMENTS AND HOUSING A. 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 DURING THE PANDEMIC, THE HOSPITAL'S SOURCING AND INVESTMENT DECREASED IN 2020. B. MOBILITY INNOVATION: A COMPREHENSIVE PARKING PLAN FOR THE BMH CAMPUS WAS DEVELOPED THAT WILL RESULT IN IMPROVED ACCESS FOR PATIENTS/VISITORS AND EMPLOYEES. THIS IS THE FOUNDATION FOR OUR MOBILITY STRATEGY WITH THE AIM OF NOT REQUIRING AN INVESTMENT IN STRUCTURED PARKING IN THE FUTURE. DUE TO THE PANDEMIC RESTRICTIONS, AND LIMITATIONS, THE BUS 2 WORK PROGRAM WAS PLACED ON HOLD THROUGHOUT THE FISCAL YEAR OF 2020.C. HOUSING: A CONCEPT PLAN WITH STRATEGIC PARTNERS WAS CREATED TO DEVELOP ATTAINABLE HOUSING CLOSE TO BMH FOR EMPLOYEES. SINCE 1998, BRONSON HAS INVESTED TO HELP EMPLOYEES PURCHASE HOMES, DOWNTOWN, CLOSE TO THE HOSPITAL CAMPUS. THE PROGRAM IS A LOAN, EMPLOYEES START PAYING BACK IN YEAR SIX, AT NO INTEREST. WHAT IS COLLECTED IS THEN RE-LOANED. THROUGH 2020, BRONSON'S INVESTMENT OF $577,525 HAS RESULTED IN APPROXIMATELY $ 775,549 BEING LOANED TO 89 EMPLOYEES.D. HOSPITAL HOSPITALITY HOUSE OF SOUTHWEST MICHIGAN: HOSPITAL HOSPITALITY HOUSE OF SOUTHWEST MICHIGAN CONSTRUCTED TWO NEW HOUSES TO REPLACE ITS COSTLY AND OUTDATED HISTORIC HOUSE ON SOUTH STREET. BRONSON DONATED LAND AND MADE FINANCIAL AND IN-KIND CONTRIBUTIONS TO THE CAMPAIGN INCLUDING A $15,000 SPONSORSHIP OF ITS RECEPTION AREA BY THE BRONSON EXECUTIVE TEAM. EACH YEAR, BRONSON ALSO CONTRIBUTES $26,500 TO HELP SUSTAIN HOUSE OPERATIONS. THE BURDICK STREET HOUSE NEAR BMH OPENED IN 2020 PROVIDED 2,680 GUEST NIGHTS TO FAMILIES OF BRONSON FAMILIES, REPRESENTING 66% OF THE TOTAL GUEST NIGHTS FOR 2020.2. 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, 2020 TO DECEMBER 15, 2020 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. WE ASSISTED 64 COMMUNITY MEMBERS DURING THE OPEN ENROLLMENT PERIOD.4. COALITION BUILDING A. CRADLE KALAMAZOO & SOUTHWEST MICHIGAN PERINATAL COLLABORATIVE: 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 MOTHERS 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 MOTHERS 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 MOTHERS WHERE IT IS MOST CONVENIENT FOR THEM. INSTRUCTORS EDUCATED ON LABOR, MEDICAL INTERVENTIONS, CESAREAN SECTIONS, COMFORT TECHNIQUES, AND POSTPARTUM (PHYSICAL AS WELL AS EMOTIONAL). MOTHERS HAVE ACCESS TO INSTRUCTORS VIA EMAIL AND ARE ENCOURAGED TO REACH OUT WITH QUESTIONS OR CONCERNS. LAST YEAR, 40 WOMEN FROM SEVEN COUNTIES COMPLETED THE VIRTUAL CHILDBIRTH EDUCATION SERIES.5. COMMUNITY HEALTH IMPROVEMENT ADVOCACY A. FREQUENT USER SYSTEMS ENGAGEMENT (FUSE): THE FREQUENT USER SYSTEM ENGAGEMENT (FUSE) IS COMPLETING ITS 4TH YEAR IN A COLLABORATIVE PILOT OF BRONSON HEALTHCARE GROUP, KALAMAZOO COUNTY HOUSING COMMISSION, AND INTEGRATED SERVICES OF KALAMAZOO. FUSE 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 2019, BRONSON SUPPORTED SEVEN INTERNS, WHO ARE NOW GAINFULLY EMPLOYED. OVER 32 DIFFERENT BUSINESSES HAVE HIRED 60 INTERNS OVER THE PAST SEVEN YEARS, INCLUDING 14 AT BRONSON WITH 11 STILL WORKING HERE.
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 $120,000 SNAP-ED GRANT TO FUND COMMUNITY FIT!, A NUTRITION AND PHYSICAL ACTIVITY EDUCATION AND HEALTH PROMOTION PROGRAM THAT REACHED OVER 5,000 INCOME-ELIGIBLE ADULTS, YOUTH, AND FAMILIES. COMMUNITY BENEFIT ACTIVITIES AND INITIATIVES IN RESPONSE TO COVID-19 THAT WERE FUNDED VIA THIS GRANT AND NOT INCLUDED IN THE BRONSON CBISA ACCOUNTING SYSTEM INCLUDE:HEALTHY AT HOME TIP SHEETS: 21 DOWNLOADABLE TIP SHEETS FOR FAMILIES ENCOURAGING AND TEACHING RESOURCE MANAGEMENT, HEALTHY EATING, AND PHYSICAL ACTIVITY WHILE QUARANTINING. DISTRIBUTED DIRECTLY TO SHPS FAMILIES AND MORE BROADLY TO OTHERS VIA THE WEB AT BRONSONHEALTH.COM. MS. ISABEL EATS: 52, 2-3 MINUTE, HEALTH PROMOTING VIDEOS DISTRIBUTED ON OUR BRONSON WEB SITE AND THROUGH SOUTH HAVEN PUBLIC SCHOOLS TO STUDENTS AND FAMILIES VIA THEIR SCHOOL WEB AND FACEBOOK PAGES. FARMERS TO FAMILIES: A 28-PAGE, EMERGENCY NUTRITION, RESOURCE MANAGEMENT AND RECIPE BOOK DISTRIBUTED TO FAMILIES WHO QUALIFIED FOR AND RECEIVED USDA FARMERS TO FAMILIES FOOD BOXES, THROUGH LOCAL SCHOOL MEALS DISTRIBUTION PROGRAMS (KALAMAZOO, SOUTH HAVEN, VAN BUREN COUNTY) THROUGHOUT SUMMER 2020. HEALTHIER FOOD FOR A HEALTHIER YOU: A 34- PAGE EMERGENCY FOOD BOOKLET DISTRIBUTED TO OLDER ADULTS WHO QUALIFIED FOR AND RECEIVED EMERGENCY USDA-FUNDED PRODUCE AND DAIRY BOXES VIA LOCAL SENIOR SERVICES OFFICES (KALAMAZOO, BATTLE CREEK, VAN BUREN COUNTY) DISTRIBUTED IN PRINT AND VIA THE WEB. PARIS'S KITCHEN: SIX VIDEOS FOR FAMILIES, THAT PROVIDED EDUCATION ON HOW TO USE AND PREPARE ADDITIONAL FOOD THAT FAMILIES RECEIVED WHILE QUARANTINING, THROUGH THEIR LOCAL SCHOOL MEALS DISTRIBUTION PROGRAMS (KALAMAZOO, COMSTOCK, PARCHMENT). DISTRIBUTED VIA KVCC'S FACEBOOK PAGE, THROUGH A PARTNERSHIP WITH BRONSON. SNAP-ED COMMUNITY NUTRITION EDUCATION SERIES: THREE DIFFERENT NUTRITION EDUCATION PROGRAMS, EAT HEALTHY, BE ACTIVE (ADULTS), EAT SMART, LIVE STRONG (OLDER ADULTS) AND THE LEARNING KITCHEN (TEENS) WERE PROVIDED TO 44 PARTICIPANTS. THESE TO FACE CLASSES PAUSED IN MARCH 2020 AND RESUMED VIRTUALLY, IN AUGUST 2021. SNAP-ED HEALTHY SCHOOLS, HEALTHY COMMUNITIES FOR YOUTH: TWENTY-FOUR NUTRITION EDUCATION SERIES CONSISTING OF 4-5 LESSON EACH WERE TAUGHT BY BRONSON NUTRITION AND HEALTH EDUCATORS TO OVER 500 SOUTH HAVEN PUBLIC SCHOOLS STUDENTS K-8 THROUGH A COMBINATION OF FACE-TO-FACE, HYBRID, AND VIRTUAL INSTRUCTION METHODS. 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 21 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 2020, APPROXIMATELY 19.15% 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: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 HEALTHCARE TRAINING AND PREPARES INDIVIDUALS FOR GOOD CAREER PATHWAY JOBS IN HEALTHCARE. 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. SINCE THE START OF THE PROGRAM IN 2019, THE ACADEMY COMPLETED FOUR COHORTS FROM KALAMAZOO'S URBAN CORE. BRONSON HAS AVERAGED A 50% HIRING RATE OF PROGRAM GRADUATES AND IS EXPLORING FUTURE PATHWAY OPPORTUNITIES WITHIN IT, FOOD SERVICE, AND OTHER CLINICAL ROLES. POSITIONS WERE OFFERED TO 100% OF PROGRAM PARTICIPANTS IN THE 2020 COHORT. 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: -MAINTAINED OUR AVERAGE TIME TO FILL POSITIONS OF 36 DAYS -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 STAFF RECRUITMENT AND RETENTION CONTINUES TO BE A CHALLENGE AS WE EXPERIENCE NATIONAL SHORTAGES IN VARIOUS HEALTHCARE OCCUPATIONS AS WELL AS COVID IMPACTS. BRONSON HAD TO PIVOT RECRUITMENT EFFORTS QUICKLY DURING THE PANDEMIC. WE HOSTED OUTDOOR DRIVES, VIRTUAL EVENTS, GROUP INTERVIEW SESSIONS, DRIVE-THRU INTERVIEWS AND PARTICIPATED IN COMMUNITY INITIATED EVENTS (I.E. MICHIGAN WORKS! OPEN HOUSES AND OTHER COMMUNITY AGENCIES). WE TRANSITIONED FROM ON-SITE NEW HIRE ORIENTATION TO DIGITAL NEW HIRE ORIENTATION. WE SAW A 38% INCREASE IN OVERALL HIRES IN 2020 ATTRIBUTED, IN PART, TO THE ADDITION OF PROVIDERS AND STAFF FOR BPCP AND THE NEW BRONSON CANCER CENTER IN KALAMAZOO. BY YEAR-END, APPLICATIONS WERE ALSO UP 4% IN 2020. 7. OTHER A. 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 AT LEAST SEVEN 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, 2021, IC HAD BEEN OPEN FOR 325 DAYS AND REMAINS OPEN TODAY.B. 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. WE EXPENDED $500,000 TO SECURE THE EQUIPMENT NEEDED TO TEST FOR THE VIRUS, WITH ANOTHER $3M FOR SUPPLIES AND AN ADDITIONAL $5.7M IN OUTSOURCED TESTING COSTS. TO COLLECT COVID SAMPLES FOR TESTING, FOUR CURBSIDE TESTING LOCATIONS WERE SET UP ACROSS OUR SYSTEM AND SUPPORTED BY 11 ADDITIONAL FTES. APPROXIMATELY 140,000 SAMPLES WERE OBTAINED THROUGH THESE COLLECTION SITES, WITH 13,131 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, THE GOVERNOR ISSUED AN EO THAT REQUIRED US TO SET UP SCREENING FOR PATIENTS AND VISITORS AT LIMITED ENTRANCES AT ALL FOUR HOSPITALS. WE QUICKLY DEVELOPED A SCREENER WORKFORCE (CONSISTING OF REDEPLOYED EMPLOYEES, LOW CENSUS STAFF AND EMPLOYEE VOLUNTEERS) TO STAFF THE ENTRANCES. WE DEVOTED 55,644 HOURS TO THIS EFFORT AND 706,000 EMPLOYEES SCREENED THEMSELVES UTILIZING A NEW ONLINE TOOL THAT BRONSON DEPLOYED IN MARCH. C. COVID-19 PPE: A MAJOR CHALLENGE DURING 2020 WAS ACQUIRING ADEQUATE SUPPLIES OF PPE TO CARE FOR OUR PATIENTS SAFELY. PPE UTILIZATION INCREASED IN ALMOST EVERY AREA. FOR EXAMPLE, USE OF EXAM ISOLATION GOWNS INCREASED BY 250,000, ISOLATION MASK USAGE INCREASED BY 2 MILLION, GLOVE USAGE INCREASED BY 7 MILLION PAIRS. IN ORDER TO SOURCE THESE CRITICAL PPE SUPPLIES DURING AN UNPRECEDENTED GLOBAL SUPPLY CHAIN SHORTAGE, WE INCREASED OUR SUPPLIERS FROM SIX IN 2019 TO 42 IN 2020. WE ALSO DEVELOPED NEW SUPPLY CHAIN PARTNERSHIPS FOR GOWNS, MASKS AND FACE SHIELDS WITH U.S. AND MICHIGAN-BASED MANUFACTURERS. OUR TOTAL SPEND FOR PPE INCREASED 224% FROM 2019 TO $1.54M. WE RECEIVED GENEROUS DONATIONS OF PPE FROM OUR COMMUNITY, WHICH HELPED ALLEVIATE WHAT WOULD HAVE OTHERWISE BEEN A SEVERE SHORTAGE OF PPE.D. 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, 770 BRONSON EMPLOYEES TESTED POSITIVE FOR COVID, 3,214 BRONSON EMPLOYEES QUALIFIED FOR UNEMPLOYMENT BENEFITS, AND 3,102 BRONSON EMPLOYEES QUALIFIED FOR QUARANTINE LEAVE PAY, WHICH TOTALED $3M. WE GRANTED 121 PANDEMIC-RELATED MEDICAL AND/OR PERSONAL LEAVES TO THOSE THAT WERE HIGH RISK FOR COMPLICATIONS FROM COVID AND/OR HAD OTHER EXTENUATING HEALTH CIRCUMSTANCES RESULTING IN A NEED FOR TIME AWAY FROM WORK. ADDITIONAL SUPPORT PROVIDED TO STAFF INCLUDED: CHILDCARE: WE QUICKLY PARTNERED WITH LOCAL PROVIDERS FOR EMERGENCY CHILDCARE FOR OUR STAFF WHEN SCHOOLS SHUT DOWN IN MARCH. WE ALSO ASSISTED EMPLOYEES WITH THE UNEXPECTED COST OF ADDITIONAL CHILDCARE DUE TO THE SCHOOL CLOSURES. BHF REIMBURSED 232 EMPLOYEES OVER $549,000 TO SUPPORT CHILDCARE COSTS FOR 310 CHILDREN.CRITICAL INCIDENT STRESS MANAGEMENT (CISM): THE CISM TEAM WAS INSTRUMENTAL IN PROVIDING EMOTIONAL SUPPORT TO OUR FRONTLINE HEALTHCARE WORKERS. THEY FACILITATED 292 INTERVENTIONS AND SUPPORTED 2,000 EMPLOYEES THROUGH CRITICAL INCIDENT STRESS DEBRIEFINGS, DEFUSING, ROUNDING ON UNITS, ONE-ON-ONE SUPPORT, AND "CODE LAVENDER" CARTS (THIS CODE IS UTILIZED WHEN A TEAM NEEDS IMMEDIATE SUPPORT DURING A CRISIS OR STRESSFUL SITUATION). THE TEAM ALSO ASSISTED 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.
PART II, COMMUNITY BUILDING ACTIVITIES CONTINUATION:NEW 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. TOGETHER, WE AWARD: DURING THE PANDEMIC, THE EXECUTIVE TEAM COMMUNICATED THROUGH EMAILS, VIDEOS, VIRTUAL TOWN HALLS, WEBINARS AND ROUNDING THROUGHOUT THE HOSPITALS AND PRACTICES TO ANSWER QUESTIONS AND SHOW APPRECIATION FOR OUR STAFF'S HARD WORK, COMMITMENT AND RESILIENCY. BRONSON EMPLOYEES WERE GIFTED "BRONSON HERO" T-SHIRTS, "BRONSON HERO" BADGE REELS, HAND SANITIZERS AND A FACEMASK WITH THE BRONSON LOGO. THE T-SHIRTS WERE SO POPULAR, WE CHANGED OUR APPEARANCE STANDARDS TO ALLOW EMPLOYEES TO WEAR BRONSON APPROVED T-SHIRTS AT WORK. BRONSON ALSO UTILIZED OUR WEBSITES, INTRANET, SOCIAL MEDIA POSTS, ADS, BILLBOARDS AND YARD SIGNS TO THANK OUR STAFF, AS WELL AS PRODUCED THANK-YOU VIDEOS INCLUDING ONE FROM OUR BOARD. IN OCTOBER, ONCE WE RECOVERED FINANCIALLY, WE WERE ABLE TO PROVIDE A "TOGETHER, WE AWARD" OF $500 TO EACH EMPLOYEE AND BRONSON MEDICAL GROUP (BMG) PROVIDER TO RECOGNIZE THEIR EXCEPTIONAL TEAMWORK, RESILIENCE AND SACRIFICES. E. 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 HAVE INCREASED AMBULATORY OFFICES STAFF 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 THE PATIENT EXPERIENCE SURVEY THAT SHOWED A VERY LOW RESPONSE RATE FOR MINORITY PATIENTS AND A REMARKABLE DISPARITY IN SATISFACTION WITH PAIN MANAGEMENT AMONG ETHNIC GROUPS. SPECIFICALLY, BLACK PATIENTS WERE IN THE 14TH PERCENTILE FOR "HOW WELL WAS YOUR PAIN CONTROLLED" WHILE WHITE PATIENTS SCORED AT THE 49TH PERCENTILE. RECOGNIZING THAT THE 2020 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, 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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BRONSON HEALTHCARE GROUP
601 JOHN STREETKALAMAZOOMI49007382418383501(C)(3)$14,663,000GENERAL SUPPORT
HOSPITAL HOSPITALITY HOUSE
828 S BURDICK STKALAMAZOOMI49001382540700501(C)(3)$26,500GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
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 PaymentYes (1)SeverancePaymentInd
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 (21 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$904,492$0$1,667,832$0$24,041$0$18,350$0$27,166$0$2,641,881$0$0$0
WIGGINS GREGORY
NEUROSURGERY$1,631,256$0$500$0$21,521$0$14,412$0$27,044$0$1,694,733$0$0$0
KASTEN MICHAEL
SPINE & SCOLIOSIS$1,520,055$0$68,634$0$27,229$0$14,832$0$27,592$0$1,658,342$0$0$0
ELLWITZ JOSHUA
SPINE & SCOLIOSIS$1,366,560$0$61,349$0$21,084$0$14,150$0$27,524$0$1,490,667$0$0$0
ROBERTS JASON
ORTHOPEDIC TRAUMA$1,334,005$0$67,038$0$1,583$0$14,150$0$27,039$0$1,443,815$0$0$0
MANNS BILL
PRESIDENT AND CEO$0$577,752$0$1,000$0$219,441$0$417,830$0$10,457$0$1,226,480$0$0
FALAHEE JAMES
SR VP LEGAL & LEG. AFFAIRS$0$463,202$0$328,113$0$89,620$0$191,150$0$21,079$0$1,093,164$0$138,514
LARSON SCOTT MD
SR VP MEDICAL AFFAIRS/CMO$0$478,554$0$155,606$0$106,169$0$180,345$0$14,293$0$934,967$0$155,606
SARDONE FRANK
PRESIDENT & CEO - FORMER$0$18,901$0$587,669$0$290,160$0$15,870$0$578$0$913,178$0$0
EAST REBECCA L
SR VP CFO BHG$0$436,313$0$150,084$0$106,996$0$193,376$0$13,806$0$900,575$0$150,084
KARAMCHANDANI MAHESH C MD
DIRECTOR$618,792$0$68,638$0$29,197$0$10,785$0$9,999$0$737,411$0$0$0
HAYDEN JOHN
SR VP & CHIEF HR OFFICER$0$359,289$0$116,585$0$75,021$0$141,968$0$9,187$0$702,050$0$116,585
NEELY DENISE
SR. VP COO BMH/SYSTEM CNO BHG$0$342,434$0$82,968$0$24,459$0$104,358$0$13,876$0$568,095$0$82,968
DAVIDSON SCOTT MD
DIRECTOR$449,173$0$84,723$0$1,888$0$14,177$0$13,628$0$563,589$0$0$0
REINOEHLSUSAN
SR VP STRATEGY & COMM BHG$0$259,794$0$91,774$0$77,641$0$126,253$0$5,094$0$560,556$0$91,774
WAY MICHAEL S
SR VP MAT. MGT. & FACILITY$0$238,862$0$86,592$0$76,568$0$119,916$0$13,303$0$535,241$0$86,592
HARRELSON KATHLEEN
SENIOR VP - FORMER$0$0$0$0$0$499,567$0$0$0$5,995$0$505,562$0$0
JONES JR JOHN
SENIOR VP (THRU 2/20)$0$78,913$0$141,526$0$245,976$0$16,575$0$12,493$0$495,483$0$0
CHALASANI SRIDHAR MD
DIRECTOR$392,910$0$41,196$0$21,375$0$9,413$0$13,581$0$478,475$0$0$0
LAWLOR JOHN MD
DIRECTOR (THRU 8/20)$318,611$0$31,218$0$20,357$0$17,098$0$12,974$0$400,258$0$0$0
SANGALLI-DAVIS CHRISTINE
VP CHIEF COMPLIANCE OFFICE$0$191,001$0$37,775$0$1,170$0$56,586$0$8,107$0$294,639$0$37,775

Supplemental Information Detail SupplementalInformationDetail (4 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 4A:THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR 2020: KATHLEEN HARRELSON, $502,394 JOHN JONES, $154,470
PART I, LINE 4B:THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FROM RELATED ENTITY BRONSON HEALTHCARE GROUP: SARDONE, FRANK J $273,964 SERP DISTRIBUTION FALAHEE JR., JAMES B $88,343 SERP DISTRIBUTION HAYDEN, JOHN T $83,641 SERP DISTRIBUTION LARSON, SCOTT D $98,917 SERP DISTRIBUTION THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN BUT DID NOT RECEIVE A PAYMENT FROM THE PLAN: JONES JR., JOHN EAST, REBECCA WAY, MICHAEL REINOEHL, SUSAN MANNS, BILL

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$785,000$110,169,643$109,279,114$890,52920160Yes (1)Yes (1)Yes (1)
B$12,445,000$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
A0Yes (1)0Yes (1)0000Yes (1)
B0Yes (1)000000Yes (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
KIMBERLY JAMES
DAUGHTER OF BOARD MEMBER BARBARA JAMES$86,325TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL0
MARLA ATKINSON
SPOUSE OF BOARD MEMBER MARK ATKINSON$150,766TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL0
NICOLE ATKINSON
DAUGHTER OF BOARD MEMBER MARK ATKINSON$59,980TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL0
MELISSA DAVIDSON
SPOUSE OF BOARD MEMBER SCOTT DAVIDSON$78,321TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL0
STEPHANIE NELSON
SISTER-IN-LAW OF BOARD MEMBER SCOTT GIBSON$111,579TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 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 25, 2021. 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 2020. 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) 75,248. LOSS ON REFUNDED DEBT -424,717. RELATED PARTY NET ASSET TRANSFER 58,079.
FORM 990, PART XII, LINE 3B:THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE CALENDAR YEAR-END 12/31/20, BUT PLANS TO BE COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN OMB M-20-26.

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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
HNI LEASING LLC
6212 AMERICAN AVEPORTAGEMI49002383638430SUPPORT SERVICESMIN/A00
HOSPITAL NETWORK VENTURES LLC
6212 AMERICAN AVEPORTAGEMI49002383302979SUPPORT SERVICESMIN/A00

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