BRONSON METHODIST HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: BRONSON METHODIST HOSPITAL (EIN 38-1359087)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-11
IRS object ID: 202003169349304440
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-11T15:13:45-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10 S RIVERSIDE PLAZA 9TH FLOOR	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381359087	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRONSON METHODIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BRON	BusinessNameControlTxt
Phone	2693416000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 JOHN STREET	AddressLine1Txt
City	KALAMAZOO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49007	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	REBECCA EAST	PersonNm
Person Title	SENIOR VP/CFO	PersonTitleTxt
Phone	2693416000	PhoneNum
Signature	2020-11-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LOWENTHAL	PreparerPersonNm
PTIN	P00378651	PTIN
Phone	3122071040	PhoneNum
Preparation	2020-11-08	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	99.137.156.52	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-08	IPDt
IP Tm	22:39:35	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	23D9C3BAD3C11415BCA5E3AEE50D281DF37E870F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	FRANK SARDONE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 JOHN STREET	AddressLine1Txt
City	KALAMAZOO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49007	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$953,508,870	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	BRONSONHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1920	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	5522	TotalEmployeeCnt
Total Volunteers	244	TotalVolunteersCnt
Total Gross UBI	$12,286,935	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$272,889	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$751,547	PYContributionsGrantsAmt
CY Contributions Grants	$1,695,451	CYContributionsGrantsAmt
PY Program Service Revenue	$891,782,175	PYProgramServiceRevenueAmt
CY Program Service Revenue	$911,747,342	CYProgramServiceRevenueAmt
PY Investment Income	$38,466,579	PYInvestmentIncomeAmt
CY Investment Income	$28,364,782	CYInvestmentIncomeAmt
PY Other Revenue	$8,258,741	PYOtherRevenueAmt
CY Other Revenue	$10,971,651	CYOtherRevenueAmt
PY Total Revenue	$939,259,042	PYTotalRevenueAmt
CY Total Revenue	$952,779,226	CYTotalRevenueAmt
PY Grants And Similar Paid	$57,336,914	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$69,162,717	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$489,602,500	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$510,729,641	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$369,884,409	PYOtherExpensesAmt
CY Other Expenses	$370,213,585	CYOtherExpensesAmt
PY Total Expenses	$916,823,823	PYTotalExpensesAmt
CY Total Expenses	$950,105,943	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,435,219	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,673,283	CYRevenuesLessExpensesAmt
Total Assets BOY	$942,999,197	TotalAssetsBOYAmt
Total Assets EOY	$1,118,333,750	TotalAssetsEOYAmt
Total Liabilities BOY	$298,132,271	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$422,078,762	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$644,866,926	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$696,254,988	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$678,100,721	ExpenseAmt
Grant	$69,162,717	GrantAmt
Revenue	$764,997,005	RevenueAmt
Desc	BRONSON 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 2019, APPROXIMATELY 18% OF BMHS 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 2019, IN FURTHERANCE OF ITS MISSION, BMH PROVIDED $13,154,876 IN CHARITY CARE EXPENSE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$161,120,388	ExpenseAmt
Revenue	$135,270,130	RevenueAmt
Desc	IN 2019, BMH'S MEDICAID COST WAS $161,120388 AND MEDICAID NET REVENUE WAS $135,270,130.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$32,582,888	ExpenseAmt
Desc	IN 2019, IN FURTHERANCE OF ITS MISSION, BMH INCURRED $32,582,888 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$871,803,997	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	216	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5522	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REBECCA EAST SENIOR VPCFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2693416000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 JOHN STREET	AddressLine1Txt
City	KALAMAZOO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49007	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
FABI ALAIN
NEUROSURGERY	40.00	0.00	Yes (X)	$2,762,535	$0	$38,328
SARDONE FRANK J
PRESIDENT AND CEO	4.60	35.40		$0	$1,751,463	$84,866	Yes (X)	Yes (X)
WIGGINS GREGORY
NEUROSURGERY	40.00	0.00	Yes (X)	$1,735,150	$0	$38,200
KASTEN MICHAEL
SPINE & SCOLIOSIS	40.00	0.00	Yes (X)	$1,668,341	$0	$34,752
ROBERTS JASON
ORTHOPEDIC TRAUMA	40.00	0.00	Yes (X)	$1,451,588	$0	$34,252
ELLWITZ JOSHUA
SPINE & SCOLIOSIS	40.00	0.00	Yes (X)	$1,403,494	$0	$34,585
LARSON SCOTT MD
SR VP MEDICAL AFFAIRS/CMO	4.60	35.40		$0	$737,723	$192,177		Yes (X)
EAST REBECCA L
SR VP CFO BHG	4.60	35.40		$0	$692,570	$180,811		Yes (X)
FALAHEE JAMES
SR VP LEGAL & LEG. AFFAIRS	4.60	35.40		$0	$645,555	$185,338		Yes (X)
JONES JOHN
SR VP REG. & PHYS. SVS.	4.60	35.40		$0	$643,158	$184,261		Yes (X)
KARAMCHANDANI MAHESH C MD
DIRECTOR	1.00	8.00		$752,964	$0	$26,722	Yes (X)
HARRELSON KATHLEEN M
SR VP CLINICAL OPERATIONS	4.60	35.40		$0	$698,188	$31,082		Yes (X)
HAYDEN JOHN
SR VP & CHIEF HR OFFICER	4.60	35.40		$0	$540,101	$143,021		Yes (X)
DAVIDSON SCOTT
DIRECTOR	1.00	8.00		$513,837	$0	$30,513	Yes (X)
WAY MICHAEL S
SR VP MAT. MGT. & FACILITY SVS.	4.60	35.40		$0	$319,232	$125,999			Yes (X)
LAWLOR JOHN
DIRECTOR	1.00	8.00		$368,398	$0	$25,831	Yes (X)
SANGALLI-DAVIS CHRISTINE
VP CHIEF COMPLIANCE OFFICER	4.60	35.40		$0	$243,074	$67,420			Yes (X)
TRELLA REBECCA
VP POST ACUTE CARE	4.60	35.40		$0	$234,840	$20,329			Yes (X)
ALLEN RICHARD
ALLEN, RICHARD	1.00	8.00		$0	$55,551	$1,895	Yes (X)
GIBSON SCOTT MD
DIRECTOR	1.00	8.00		$5,500	$0	$0	Yes (X)
JAMES BARBARA
TREASURER	1.00	8.00		$0	$1,231	$0	Yes (X)	Yes (X)
EBERTS RANDALL
VICE CHAIR	1.00	8.00		$0	$1,231	$0	Yes (X)	Yes (X)
LIGGINS JAMES JR
DIRECTOR	1.00	8.00		$0	$1,231	$0	Yes (X)
PARFET DONALD
CHAIR	1.00	8.00		$0	$0	$0	Yes (X)	Yes (X)
KARRE NELSON
VICE CHAIR	1.00	8.00		$0	$0	$0	Yes (X)	Yes (X)
ATKINSON MARK B MD
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)
FINK KATY
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)
GONZALEZ JORGE
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)
GREENE JAMES E
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)
HUNT BRENDA
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)
JOHNSTON WILLIAM
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)
LINS STEVEN J MD
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)
MONTGOMERY TABRON LA JUNE
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)
NYBERG NEIL
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)
ODAR MICHAEL
DIRECTOR	1.00	8.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,661,807	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,565,148	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,480,382	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	519	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ADVANCED CARDIAC HEALTHCARE PLC
601 JOHN STREET SUITE 100	KALAMAZOO	MI	49007	MEDICAL SERVICES	$1,883,653
KALAMAZOO ANESTHESIOLOGY PC
900 PEELER	KALAMAZOO	MI	49008	MEDICAL SERVICES	$1,775,000
HAYES LOCUMS LLC
6700 N ANDRE STREET 600	FORT LAUDERDALE	FL	33309	HEALTHCARE STAFFING AND PHYSICIAN RECRUI	$1,657,662
SW MI EMERGENCY SERVICES PC
125 S KALAMAZOO MALL SUITE 204	KALAMAZOO	MI	49007	MEDICAL SERVICES	$1,068,501
PATHOLOGY SERVICES OF KALAMAZOO
2545 MOMENTUM PLACE	CHICAGO	IL	60689	MEDICAL SERVICES	$679,405

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,678,451	RelatedOrganizationsAmt
All Other Contributions	$17,000	AllOtherContributionsAmt
Total Contributions	$1,695,451	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$892,626,555	$892,626,555
LABORATORY REVENUE	541380	$7,601,140		$7,601,140
MEANINGFUL USE & PGIP REVENUE	900099	$5,314,391	$5,314,391
PHARMACY REVENUE	446110	$4,548,529		$4,548,529
OUTSIDE SERVICE REVENUE	900099	$1,417,759	$1,417,759

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$238,968	TotalRevenueColumnAmt
Related Or Exempt Func Income	$238,968	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$911,747,342	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,671,229	TotalRevenueColumnAmt
Exclusion	$26,671,229	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$717,463	RealAmt
Personal	$213,399	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$76,133	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$717,463	RealAmt
Personal	$137,266	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$854,729	TotalRevenueColumnAmt
Unrelated Business Revenue	$137,266	UnrelatedBusinessRevenueAmt
Exclusion	$717,463	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,347,064	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$653,511	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$1,693,553	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,693,553	TotalRevenueColumnAmt
Exclusion	$1,693,553	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
CAFETERIA EMPLOYEE REVENUE	722310	$4,843,617	$1,515	$4,842,102
GIFT SHOP REVENUE	453220	$857,470		$857,470
CLASS INSTRUCTION REVENUE	900099	$667,947	$667,947

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,747,888	TotalRevenueColumnAmt
Exclusion	$3,747,888	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,116,922	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$952,779,226	TotalRevenueColumnAmt
Related Or Exempt Func Income	$900,267,135	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,286,935	UnrelatedBusinessRevenueAmt
Exclusion	$38,529,705	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$69,162,717	TotalAmt
Program Services	$69,162,717	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$425,742,365	TotalAmt
Program Services	$394,240,519	ProgramServicesAmt
Management And General	$31,501,846	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$63,713,050	TotalAmt
Program Services	$41,623,900	ProgramServicesAmt
Management And General	$22,089,150	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,274,226	TotalAmt
Program Services	$21,194,702	ProgramServicesAmt
Management And General	$79,524	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,326,140	TotalAmt
Management And General	$3,326,140	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$59,283,372	TotalAmt
Program Services	$54,748,146	ProgramServicesAmt
Management And General	$4,535,226	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$45,272	TotalAmt
Program Services	$45,260	ProgramServicesAmt
Management And General	$12	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,773,457	TotalAmt
Program Services	$15,421,966	ProgramServicesAmt
Management And General	$351,491	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,480	TotalAmt
Program Services	$6,709	ProgramServicesAmt
Management And General	$12,771	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,812,713	TotalAmt
Program Services	$15,419,595	ProgramServicesAmt
Management And General	$393,118	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$839,342	TotalAmt
Program Services	$819,024	ProgramServicesAmt
Management And General	$20,318	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$770,379	TotalAmt
Program Services	$761,241	ProgramServicesAmt
Management And General	$9,138	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,060,434	TotalAmt
Program Services	$8,766,513	ProgramServicesAmt
Management And General	$293,921	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,182,644	TotalAmt
Program Services	$29,430,981	ProgramServicesAmt
Management And General	$751,663	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,380,770	TotalAmt
Program Services	$10,318,728	ProgramServicesAmt
Management And General	$2,062,042	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$157,954,716	$157,944,104	$10,612
BHG ALLOCATION EXPENSE	$34,238,472	$21,450,403	$12,788,069
BAD DEBT EXPENSE	$32,582,888	$32,582,888
UBI TAX	$57,307	$57,307	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$2,113,801	TotalAmt
Program Services	-$2,190,706	ProgramServicesAmt
Management And General	$76,905	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$950,105,943	TotalAmt
Program Services	$871,803,997	ProgramServicesAmt
Management And General	$78,301,946	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$89,125,666	BOYAmt
EOY	$161,383,334	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$406,021,084	BOYAmt
EOY	$391,049,423	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$119,231,594	BOYAmt
EOY	$121,997,973	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,034,329	BOYAmt
EOY	$12,407,404	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,776,187	BOYAmt
EOY	$1,969,152	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$705,582,256	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$411,515,308	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$266,593,450	BOYAmt
EOY	$294,066,948	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$22,013,191	BOYAmt
EOY	$24,254,656	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,203,696	BOYAmt
EOY	$27,203,696	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$84,001,164	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$942,999,197	BOYAmt
EOY	$1,118,333,750	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,424,080	BOYAmt
EOY	$72,939,566	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$237,937,802	BOYAmt
EOY	$338,061,200	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,820,565	BOYAmt
EOY	$1,174,683	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,949,824	BOYAmt
EOY	$9,903,313	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$298,132,271	BOYAmt
EOY	$422,078,762	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$644,866,926	BOYAmt
EOY	$696,254,988	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$644,866,926	BOYAmt
EOY	$696,254,988	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$942,999,197	BOYAmt
EOY	$1,118,333,750	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,673,283	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$46,175,586	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,539,193	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,487,594	OtherCostOrOtherBasisAmt
Book Value	$11,487,594	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$428,973,232	OtherCostOrOtherBasisAmt
Depreciation	$241,056,104	DepreciationAmt
Book Value	$187,917,128	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$869,094	OtherCostOrOtherBasisAmt
Depreciation	$487,681	DepreciationAmt
Book Value	$381,413	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$216,466,863	OtherCostOrOtherBasisAmt
Depreciation	$169,971,523	DepreciationAmt
Book Value	$46,495,340	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,785,473	OtherCostOrOtherBasisAmt
Book Value	$47,785,473	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$294,066,948	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
BOND PROJECT FUND ASSETS	$80,603,848
BOND ESCROW ACCT	$2,900,463
RIGHT TO USE ASSET	$496,853

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$84,001,164	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$1,790,350
THIRD PARTY SETTLEMENTS	$7,616,510
RIGHT TO USE LIABILITY	$496,453

Field	Value	IRS element (for citing)
Total Liability	$9,903,313	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$891,169,000	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$32,582,888	OtherRevenueAmt
Revenue Not Reported	-$32,582,888	RevenueNotReportedAmt
Revenue Subtotal	$923,751,888	RevenueSubtotalAmt
Other Revenues Not Included	$29,027,338	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$29,027,338	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$952,779,226	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$842,917,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$5,469,550	OtherExpensesIncludedAmt
Expenses Not Reported	-$5,469,550	ExpensesNotReportedAmt
Expenses Subtotal	$848,386,550	ExpensesSubtotalAmt
Other Expenses Not Included	$101,719,393	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$101,719,393	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$950,105,943	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT RECLASS TO EXPENSE -32,582,888.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CONTRIBUTION FROM BHF BOOKED AS REDUCTION OF EXPENSE 1,678,451. GAIN ON SALE OF ASSETS RECLASS TO REVENUE 1,693,553. INVESTMENT INCOME 25,731,529. RENT EXPENSE -76,133. ROUNDING -62.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	CONTRIBUTION FROM BHF BOOKED AS REDUCTION OF EXPENSE -1,312,937. GAIN ON SALE OF ASSETS RECLASS TO REVENUE -1,693,553. JOINT VENTURE GAIN/(LOSS) -2,539,193. RENT EXPENSE 76,133.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT RECLASS TO EXPENSE 32,582,888. NET ASSET TRANSFER AFFILIATE 69,136,217. ROUNDING 288.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENT IN A FOREIGN INSURANCE COMPANY	TypeOfActivitiesConductedTxt
Region Total Expenditures	$74,787	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$74,787	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$74,787	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III ACCOUNTING METHOD:	FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,849,966	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,849,966	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	126173	PersonsServedCnt
Total Community Benefit Expns	$161,120,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,270,130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,850,258	NetCommunityBenefitExpnsAmt
Total Expense	0.02820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	126173	PersonsServedCnt
Total Community Benefit Expns	$165,970,354	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,270,130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,700,224	NetCommunityBenefitExpnsAmt
Total Expense	0.03350	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	15975	PersonsServedCnt
Total Community Benefit Expns	$599,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$597,044	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1547	PersonsServedCnt
Total Community Benefit Expns	$50,307,489	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,702,246	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,605,243	NetCommunityBenefitExpnsAmt
Total Expense	0.04750	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	268	PersonsServedCnt
Total Community Benefit Expns	$573,945	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$573,945	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	17790	PersonsServedCnt
Total Community Benefit Expns	$51,480,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,704,246	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,776,232	NetCommunityBenefitExpnsAmt
Total Expense	0.04880	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	143963	PersonsServedCnt
Total Community Benefit Expns	$217,450,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$141,974,376	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,476,456	NetCommunityBenefitExpnsAmt
Total Expense	0.08230	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,721	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,721	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	378	PersonsServedCnt
Total Community Benefit Expns	$49,897	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,897	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$50,208	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,208	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	378	PersonsServedCnt
Total Community Benefit Expns	$105,826	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$105,826	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$32,582,888	BadDebtExpenseAmt
Bad Debt Expense Attributable	$347,657	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$140,529,380	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$126,632,323	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$13,897,057	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRONSON METHODIST HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 JOHN STREET	AddressLine1Txt
City	KALAMAZOO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49007	ZIPCd

Field	Value	IRS element (for citing)
Website Address	BRONSONHEALTH.COM	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BRONSON METHODIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	TINYURL.COM/YYAQ6LW8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	TINYURL.COM/Y297KPPG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	TINYURL.COM/Y2BCHGMO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	TINYURL.COM/Y4LSXXC7	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BRONSON METHODIST HOSPITAL	PART 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 HOSPITAL	PART V, SECTION B, LINE 6A: BRONSON LAKEVIEW HOSPITALBRONSON SOUTH HAVEN HOSPITALBRONSON BATTLE CREEK HOSPITAL
BRONSON METHODIST HOSPITAL	PART V, SECTION B, LINE 6B: KALAMAZOO FAMILY HEALTH CENTERKALAMAZOO COUNTY HEALTH DEPARTMENT
BRONSON METHODIST HOSPITAL	PART 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 ONE TARGETED HEALTH NEED. 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 WILL IMPACT AND IMPROVE OUTCOMES FOR MANY OF THE OTHER COMMUNITY NEEDS.
BRONSON METHODIST HOSPITAL	PART V, SECTION B, LINE 20E: THE HOSPITAL ACKNOWLEDGES THAT ALL INDIVIDUALS ARE NOT EQUALLY CAPABLE OF PAYING FOR HEALTHCARE SERVICES, EITHER BY THEMSELVES OR THROUGH A THIRD PARTY INSURANCE CARRIER. THE HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO OFFER CARE FOR PERSONS IN NEED, AND THEREFORE PROVIDES 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.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - BRONSON VICKSBURG OUTPATIENT CENTER
601 JOHN STREET	KALAMAZOO	MI	49007	THERAPIES, LAB AND RADIOLOGY
2 - BRONSON OUTPATIENT SURGERY CENTER
125 W WALNUT ST	KALAMAZOO	MI	49007	OUTPATIENT SURGERY

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $ 32,582,888.
PART II, COMMUNITY BUILDING ACTIVITIES:	1. PHYSICAL IMPROVEMENTS AND HOUSING A. ACCESS TO HEALTHY FOODS & LOCAL REGIONAL SOURCING: BMH OPENED 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 SOURCED 45% OF FOOD SERVICE PRODUCTS AND INGREDIENTS LOCALLY RESULTING IN A $1.7 MILLION INVESTMENT IN THE REGIONAL ECONOMY. COMMUNITY HEALTH EDUCATORS DELIVERED HEALTH AND NUTRITION EDUCATION TO APPROXIMATELY 6,800 ADULTS, YOUTH AND SENIORS. WE ALSO ESTABLISHED PARTNERSHIPS WITH TWO FOOD PANTRIES, LOVE INC. IN PULLMAN AND LOAVES AND FISHES IN KALAMAZOO, CONTINUED PARTNERSHIP WITH THE FOOD PANTRY AT METHODIST CHURCH IN SOUTH HAVEN, AND ESTABLISHED BRONSON AS THE GO-TO EXPERT FOR HELP WITH NUTRITION EDUCATION FOR PANTRY STAFF MEMBERS AND CLIENTS. 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. THE BUS 2 WORK PROGRAM SUPPORTED OVER 200 EMPLOYEES, TAKING 4,000 RIDES TO AND FROM WORK.C. HOUSING: A CONCEPT PLAN WITH STRATEGIC PARTNERS WAS CREATED TO DEVELOP ATTAINABLE HOUSING CLOSE TO BMH FOR EMPLOYEES. SINCE 1998, BRONSON HAS INVESTED APPROXIMATELY $497,525 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. THUS FAR, OUR INVESTMENT OF $497,525 HAS RESULTED IN APPROXIMATELY $711,913 BEING LOANED TO OVER 80 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 FEBRUARY 2019 AND PROVIDED 3,100 GUEST NIGHTS TO FAMILIES OF BRONSON PATIENTS FROM THROUGHOUT THE REGION IN 2019.2. 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), RECEIVED THE 2019 AMERICAN ASSOCIATION OF COMMUNITY COLLEGES OUTSTANDING COLLEGE/CORPORATE PARTNERSHIP AWARD. THE AWARD HONORS LOCAL, REGIONAL AND NATIONAL COLLABORATIONS BETWEEN A COLLEGE AND CORPORATE PARTNER THAT HAS ACHIEVED DEMONSTRABLE, MULTI-YEAR SUCCESS IN ADVANCING THE MISSION OF THE INSTITUTIONS, THE ECONOMIC PROSPERITY OF A COMMUNITY AND THE LEARNING EXCELLENCE OF STUDENTS. IN 2013, THE THREE ORGANIZATIONS 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: THE BRONSON CERTIFIED APPLICATION COUNSELORS ARE AN IMPORTANT COMMUNITY SERVICE PROVIDED THROUGH THE COMMUNITY HEALTH, EQUITY AND INCLUSION OF BRONSON HEALTHCARE GROUP. THE CHEI SPECIALIST PROVIDES HEALTH COVERAGE ENROLLMENT ASSISTANCE TO CONSUMERS IN SOUTHWEST MICHIGAN FOR THE PERIOD OF JANUARY 1, 2019-DECEMBER 31, 2019. OVER THE PROJECT PERIOD, TARGETED OUTREACH AND ENROLLMENT SERVICES WERE PROVIDED, TO BOTH CONSUMERS ENROLLING IN THE HEALTH INSURANCE MARKETPLACE AND IN THE HEALTHY MICHIGAN PLAN, MICHIGAN'S EXPANDED MEDICAID PROGRAM, AS WELL AS IN OTHER MEDICAID/CHIP PROGRAMS. ASSISTANCE WAS PROVIDED DURING ONE OPEN ENROLLMENT PERIOD IN THE HEALTH INSURANCE MARKETPLACE (NOVEMBER 1, 2019-DECEMBER 15, 2019). ASSISTANCE WITH MARKETPLACE APPLICATIONS TO CONSUMERS WHO WERE ELIGIBLE FOR COVERAGE OUTSIDE OF THE ANNUAL ENROLLMENT DUE TO ELIGIBILITY FOR A SEP (SPECIAL ENROLLMENT PERIOD) WAS OFFERED ALL YEAR. DURING THE YEAR, ASSISTANCE WAS GIVEN TO CONSUMERS WITH ENROLLMENT AND ANNUAL REDETERMINATION IN THE HEALTHY MICHIGAN PLAN AND OTHER MEDICAID PROGRAMS.4. ENVIRONMENTAL IMPROVEMENTS A. ENVIRONMENTAL ACHIEVEMENTS: EACH YEAR SINCE 2014, BMH HAS RECEIVED THE PRACTICE GREEN HEALTH PARTNER FOR CHANGE AWARD RECOGNIZING HEALTHCARE ORGANIZATIONS ACROSS THE NATION THAT MADE SIGNIFICANT STRIDES TOWARD MORE ENVIRONMENTALLY FRIENDLY, SUSTAINABLE PRACTICES. IN 2019, THE HOSPITAL WAS ALSO ONE OF THREE HOSPITALS IN THE STATE RECOGNIZED BY GOVERNOR WHITMER FOR OUR FOCUS ON THE HEALTH OF THE ENVIRONMENT AND COMMUNITY HEALTH AS A WHOLE. 5. COALITION BUILDING A. CRADLE KALAMAZOO & SOUTHWEST MICHIGAN PERINATAL COLLABORATIVE: INFANT MORTALITY CONTINUES TO BE A FOCUS THROUGH THE CRADLE KALAMAZOO COLLABORATIVE. BRONSON IS THE OPERATIONAL PARTNER AND WE EMPLOY THE CRADLE KALAMAZOO EXECUTIVE DIRECTOR AND PROGRAM COORDINATOR, WHO WORK WITH CRADLE PARTNERS TO EXECUTE THE STRATEGIC PLAN. IN 2019, WE FOCUSED ON STANDARDIZATION OF PROCESS OF ENTRY TO PRENATAL CARE AND FIRST TRIMESTER ULTRASOUNDS. THE IMPACT OF THESE INITIATIVES LED TO MORE ACCURATE DATING OF PREGNANCIES AND APPROPRIATE PRENATAL CARE IN THE FIRST TRIMESTER. IN ADDITION, CLINICAL EQUITY WORKGROUPS HAVE ENGAGED TEAMS AT WESTERN MICHIGAN UNIVERSITY HOMER STRYKER M.D. SCHOOL OF MEDICINE (WMED), BRONSON, ASCENSION BORGESS AND FAMILY HEALTH CENTER FOCUSED ON ESTABLISHING EQUITABLE STANDARD WORK. THE INFANT MORTALITY RATE FOR BLACK INFANTS IMPROVED AND IS NOW BELOW THE MICHIGAN AVERAGE. WHILE WE CONTINUE TO SEE A DISPARITY RATIO (BLACK INFANTS ARE 2.8X MORE LIKELY TO DIE THAN WHITE INFANTS IN KALAMAZOO), IT IS THE LOWEST IT HAS EVER BEEN. OUR FOCUS REMAINS ON BOTH OVERALL INFANT MORTALITY (GOAL OF 3.0/1000) AND THE ELIMINATION OF DISPARITIES. 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." 6. COMMUNITY HEALTH IMPROVEMENT ADVOCACY A. FREQUENT USER SYSTEMS ENGAGEMENT (FUSE): FUSE IS A COMMUNITY COLLABORATIVE THAT STRIVES TO CREATE EQUITABLE HEALTH OUTCOMES TO FREQUENT USERS OF THE EMERGENCY DEPARTMENT WHO ARE HOMELESS. IT PROVIDES PARTICIPANTS WITH WRAPAROUND SERVICES THROUGH BRONSON PRIMARY CARE, INTEGRATED SERVICES OF KALAMAZOO AND KALAMAZOO COUNTY PUBLIC HOUSING COMMISSION. FROM 2016 TO 2018, THE PROGRAM SERVED 11 HOMELESS INDIVIDUALS WHOSE EMERGENCY VISITS DECREASED BY APPROXIMATELY 60% FROM THE PREVIOUS 18 MONTHS. MEDICAL CARE COSTS FOR THESE INDIVIDUALS DECREASED BY ABOUT 20% EVERY SIX MONTHS. BRONSON IS NOW IN ITS SECOND PHASE OF THE FUSE PROGRAM, WITH 12 PARTICIPANTS CURRENTLY ENROLLED. THE FUSE PROGRAM WAS HONORED WITH THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION'S (MHA) 2019 LUDWIG COMMUNITY BENEFIT AWARD. 7. 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. BRONSON METHODIST HOSPITAL SERVES A NINE COUNTY REGION IN SOUTHWEST MICHIGAN. ABOUT XX% OF PATIENTS SERVED COME FROM WITHIN KALAMAZOO COUNTY AND THE OTHER XX% 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 AT BMH - (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION) THE BRONSON HEALTH FOUNDATION RECEIVED A $100,000 SNAP-ED GRANT TO FUND COMMUNITY FIT!, A NUTRITION AND PHYSICAL ACTIVITY EDUCATION AND HEALTH PROMOTION PROGRAM FOR INCOME-ELIGIBLE ADULTS, YOUTH, AND FAMILIES. COMMUNITY BENEFIT ELIGIBLE ACTIVITIES INCLUDED: HEALTH AND NUTRITION EDUCATION AT FOOD PANTRIES: SIX NUTRITION EDUCATION AND HEALTHY FOOD TASTINGS WERE PROVIDED THROUGH A PARTNERSHIP WITH KALAMAZOO LOAVES AND FISHES--LOCAL FOOD PANTRIES. REACH: APPROX. 80-100 FAMILIES. COMMUNITY NUTRITION EDUCATION SERIES: EAT SMART, LIVE STRONG A FREE, 4 LESSON, COMMUNITY NUTRITION AND PHYSICAL ACTIVITY EDUCATION PROGRAM WAS HELD AT TWO KALAMAZOO LOCATIONS: CITY VIEW APARTMENTS AND THE ECUMENICAL CENTER. REACH: APPROX. 40 PARTICIPANTS. KVCC PARTNERSHIP IN COMMUNITY NUTRITION EDUCATION: BRONSON AND KVCC'S MEDICAL CULINARY PROGRAM FORMED A PARTNERSHIP TO DESIGN AND DELIVER SNAP-ED TO KPS STUDENTS AND SENIORS. 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 COLLABORATIVE TO ADDRESS COMMUNITY NEEDS. BMH IS THE LARGEST MEDICAID PROVIDER OF ANY LARGE HOSPITAL IN MICHIGAN OUTSIDE OF THE DETROIT AREA (ON A PERCENTAGE BASIS). IN 2019, APPROXIMATELY 18% 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 STATES	MI
PART II, COMMUNITY BUILDING ACTIVITIES CONTINUATION:	8. OTHER A. IMPLEMENTATION OF THE AHA EQUITY PLEDGE PLAN: BRONSON CREATED AN EQUITY OF CARE FRAMEWORK TO PROVIDE SYSTEM GOALS AND TACTICS FOR THE AHA EQUITY OF CARE PLEDGE. ADDITIONALLY, WE CREATED A HEALTH EQUITY OF CARE PERFORMANCE IMPROVEMENT COMMITTEE TO GUIDE THE ORGANIZATION IN THIS WORK. THERE ARE FOUR HEALTH EQUITY OF CARE GOALS: 1) BUILD AND STRENGTHEN COMMUNITY RELATIONSHIPS AND PARTNERSHIPS TO ADVANCE HEALTH EQUITY; 2) INCREASE THE COLLECTION, REPORTING AND ANALYSIS OF ACCURATE SOCIAL DEMOGRAPHIC DATA TO PRIORITIZE AND DETERMINE INTERVENTIONS; 3) IMPROVE OUR KNOWLEDGE, SKILLS AND BEHAVIORS TO MEET THE SOCIAL, CULTURAL AND LINGUISTIC NEEDS OF OUR EMPLOYEES, PATIENTS AND FAMILIES; AND 4) INCREASE THE DIVERSITY OF LEADERSHIP AND GOVERNANCE TO SUPPORT, ASSIST, AND ADVOCATE FOR EMPLOYEES, PATIENTS AND FAMILIES. BRONSON EXPANDED COLLECTION OF RACE, ETHNICITY AND LANGUAGE DATA AND BEGAN STRATIFYING PATIENT EXPERIENCE DATA BY AGE, GENDER, RACE AND ETHNICITY. WE CONTINUE TO IMPROVE OUR KNOWLEDGE, SKILLS AND BEHAVIORS TO MEET THE SOCIAL, CULTURAL AND LINGUISTIC NEEDS OF OUR EMPLOYEES, PATIENTS AND FAMILIES IN SEVERAL WAYS. WE INCREASED AMBULATORY SELF-SCHEDULING OF INTERPRETERS AND A NEW EQUITY OF CARE COMPUTER-BASED LEARNING MODULE WAS REQUIRED FOR ALL BRONSON EMPLOYEES. THE COMMUNITY HEALTH, EQUITY AND INCLUSION TEAM EDUCATED OVER 2,400 EMPLOYEES AS WELL AS 3,300 PEOPLE IN OUR PRIMARY SERVICE AREA.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BRONSON HEALTHCARE GROUP
601 JOHN STREET	KALAMAZOO	MI	49007	382418383	501(C)(3)	$69,136,217	GENERAL SUPPORT
HOSPITAL HOSPITALITY HOUSE
828 S BURDICK ST	KALAMAZOO	MI	49001	382540700	501(C)(3)	$26,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THERE 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

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FABI ALAIN
NEUROSURGERY	$950,478	$0	$1,788,284	$0	$23,773	$0	$17,850	$0	$20,478	$0	$2,800,863	$0	$0	$0
SARDONE FRANK J
PRESIDENT AND CEO	$0	$897,063	$0	$560,928	$0	$293,472	$0	$70,891	$0	$13,975	$0	$1,836,329	$0	$340,928
WIGGINS GREGORY
NEUROSURGERY	$1,714,025	$0	$0	$0	$21,125	$0	$17,850	$0	$20,350	$0	$1,773,350	$0	$0	$0
KASTEN MICHAEL
SPINE & SCOLIOSIS	$1,627,261	$0	$14,823	$0	$26,257	$0	$13,800	$0	$20,952	$0	$1,703,093	$0	$0	$0
ROBERTS JASON
ORTHOPEDIC TRAUMA	$1,431,650	$0	$17,825	$0	$2,113	$0	$13,800	$0	$20,452	$0	$1,485,840	$0	$0	$0
ELLWITZ JOSHUA
SPINE & SCOLIOSIS	$1,373,463	$0	$10,450	$0	$19,581	$0	$13,800	$0	$20,785	$0	$1,438,079	$0	$0	$0
LARSON SCOTT MD
SR VP MEDICAL AFFAIRS/CMO	$0	$495,585	$0	$141,460	$0	$100,678	$0	$178,856	$0	$13,321	$0	$929,900	$0	$141,460
EAST REBECCA L
SR VP CFO BHG	$0	$453,260	$0	$136,440	$0	$102,870	$0	$167,934	$0	$12,877	$0	$873,381	$0	$136,440
FALAHEE JAMES
SR VP LEGAL & LEG. AFFAIRS	$0	$436,158	$0	$125,922	$0	$83,475	$0	$165,814	$0	$19,524	$0	$830,893	$0	$125,922
JONES JOHN
SR VP REG. & PHYS. SVS.	$0	$418,776	$0	$122,826	$0	$101,556	$0	$164,744	$0	$19,517	$0	$827,419	$0	$122,826
KARAMCHANDANI MAHESH C MD
DIRECTOR	$656,240	$0	$68,138	$0	$28,586	$0	$13,800	$0	$12,922	$0	$779,686	$0	$0	$0
HARRELSON KATHLEEN M
SR VP CLINICAL OPERATIONS	$0	$141,071	$0	$117,794	$0	$439,323	$0	$23,402	$0	$7,680	$0	$729,270	$0	$117,794
HAYDEN JOHN
SR VP & CHIEF HR OFFICER	$0	$364,992	$0	$102,201	$0	$72,908	$0	$134,435	$0	$8,586	$0	$683,122	$0	$102,201
DAVIDSON SCOTT
DIRECTOR	$495,184	$0	$16,738	$0	$1,915	$0	$17,850	$0	$12,663	$0	$544,350	$0	$0	$0
WAY MICHAEL S
SR VP MAT. MGT. & FACILITY SVS.	$0	$244,792	$0	$52,480	$0	$21,960	$0	$113,710	$0	$12,289	$0	$445,231	$0	$52,480
LAWLOR JOHN
DIRECTOR	$334,631	$0	$15,065	$0	$18,702	$0	$13,800	$0	$12,031	$0	$394,229	$0	$0	$0
SANGALLI-DAVIS CHRISTINE
VP CHIEF COMPLIANCE OFFICER	$0	$208,255	$0	$33,542	$0	$1,277	$0	$60,004	$0	$7,416	$0	$310,494	$0	$33,542
TRELLA REBECCA
VP POST ACUTE CARE	$0	$175,697	$0	$55,818	$0	$3,325	$0	$10,264	$0	$10,065	$0	$255,169	$0	$44,105

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT.
PART I, LINE 3	BRONSON HEALTHCARE GROUP, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND/OR STUDY AND APPROVAL BY BOARD AND/OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FROM RELATED ENTITY BRONSON HEALTHCARE GROUP: SARDONE, FRANK J $272,141 SERP DISTRIBUTION FALAHEE JR., JAMES B $88,630 SERP DISTRIBUTION HAYDEN, JOHN T $73,898 SERP DISTRIBUTION LARSON, SCOTT D $96,228 SERP DISTRIBUTION THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN BUT DID NOT RECEIVE A PAYMENT FROM THE PLAN: JONES JR., JOHN EAST, REBECCA HARRELSON, KATHLEEN REINOEHL, SUSAN

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY
A	386004627	483233MA7	2010-09-28	$192,508,168	SEE SUPPLEMENTAL INFORMATION	Yes (1)	0	0
CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY
B	386004627	483233NY4	2016-10-25	$110,169,643	SEE SUPPLEMENTAL INFORMATION	0	0	0
CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY
C	386004627		2018-02-15	$47,975,000	SEE SUPPLEMENTAL INFORMATION	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$16,765,000	$93,720,000	$192,871,900	$2,389,449	$14,363,732	$176,118,719	2010	Yes (1)	0	Yes (1)	Yes (1)
B	$580,000		$110,169,643	$890,529			2016	0	Yes (1)	Yes (1)	Yes (1)	$109,279,114
C	$6,680,000		$47,975,000	$138,250		$47,836,750	2018	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	0.00250	0.00250	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	0.00250	0.00250	Yes (1)
C	0	Yes (1)	Yes (1)	0.00250	0.00250	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2018
BOND ISSUE A, PART I, LINE (F) DESCRIPTION OF PURPOSE:	PROCEEDS OF BOND ISSUE B WERE USED TO CURRENTLY REFUND PRIOR ISSUES ORIGINALLY ISSUED ON 5/13/98, 6/14/06, AND 3/25/09. ADDITIONAL PROCEEDS OF BOND ISSUE B WERE USED FOR BUILDING RENOVATIONS, AND OTHER MEDICAL TECHNOLOGY EQUIPMENT.
BOND ISSUE B, PART I, LINE (F) - DESCRIPTION OF PURPOSE:	PROCEEDS OF BOND ISSUE B WERE USED TO ADVANCE REFUND PORTIONS OF BOND ISSUE A.
BOND ISSUE C, PART I, LINE (F) - DESCRIPTION OF PURPOSE:	PROCEEDS OF BOND ISSUE C 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.
BOND ISSUE A, PART I, LINE (D) DATE ISSUED:	THE SERIES 2006 BONDS WERE ORIGINALLY ISSUED ON 6/14/06 AND WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON 9/28/10. THE INFORMATION REPORTED ON SCHEDULE K FOR THE BOND ISSUE A IS FOR THE SERIES 2006 BONDS AS REISSUED ON 9/28/10 AND THE SERIES 2010 BONDS AS ORIGINALLY ISSUED ON 9/28/10.
BOND ISSUE B, PART II, LINE 3:	TOTAL PROCEEDS OF BOND ISSUE A INCLUDE INVESTMENT EARNINGS IN THE AMOUNT OF $363,731.
SCHEDULE K PART V:	WE HAVE GENERAL WRITTEN PROCEDURES THAT WE WILL COMPLY WITH ALL TAX LAWS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KIMBERLY JAMES
DAUGHTER OF BOARD MEMBER BARBARA JAMES	$87,786	TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL	0
MARLA ATKINSON
SPOUSE OF BOARD MEMBER MARK ATKINSON	$141,939	TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL	0
JAIDEEP KARAMCHANDANI
SON OF BOARD MEMBER MAHESH KARAMCHANDANI	$11,346	TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	FRANK SARDONE, STEVEN J. LINS, M.D. AND SCOTT C. GIBSON, M.D. HAVE A BUSINESS RELATIONSHIP. ALL BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP WITH ALL BRONSON SUBSIDIARIES DUE TO BEING ON BRONSON HEALTHCARE GROUP BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6	BRONSON HEALTHCARE GROUP IS THE SOLE MEMBER OF BRONSON METHODIST HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	BRONSON 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 7B	BRONSON 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 11B	THE 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 19, 2020. 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 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY AND ITS ACCOMPANYING QUESTIONNAIRE ARE REVIEWED, AND REVISED, IF NECESSARY, ON AN ANNUAL BASIS BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE BOARDS EXECUTIVE COMMITTEE. ALL BOARD MEMBERS AND ALL EMPLOYEES HOLDING THE TITLE OF VICE PRESIDENT AND ABOVE ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ANNUALLY COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE. ALL COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. DETERMINATIONS AS TO WHETHER A CONFLICT EXISTS ARE MADE BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. ACTUAL CONFLICTS ARE REVIEWED BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODYS DELIBERATIONS AND DECISION ON THE TRANSACTION IN QUESTION.
FORM 990, PART VI, SECTION B, LINE 15	FOR THE CEO, OFFICERS AND OTHER KEY EMPLOYEES, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH FUNCTIONS AS THE COMPENSATION COMMITTEE FOR BRONSON HEALTHCARE GROUP, RETAINS THE SERVICES OF AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT (SULLIVAN, COTTER AND ASSOCIATES) WHO CONDUCTS A THOROUGH COMPENSATION AND BENEFIT SURVEY PROCESS THAT IS USED TO DETERMINE THE APPROPRIATE ADJUSTMENT IN CASH COMPENSATION AND BENEFITS PROVIDED. THIS PROCESS IS DONE ANNUALLY AND WAS UNDER TAKEN IN 2019. THE CONSULTANT USES THREE TO FIVE NATIONAL HEALTHCARE-BASED SURVEYS FOR COMPARABILITY DATA, EACH ONE OF LIKE REVENUE SIZED HEALTHCARE SYSTEMS TO THE BRONSON HEALTHCARE GROUP. THE CONSULTANT PREPARES A DETAILED REPORT WITH RECOMMENDATIONS FOR PAY AND/OR BENEFIT ADJUSTMENTS, AND PRESENTS THE INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS (WHEN THE CEOS SURVEY DATA AND RECOMMENDATIONS ARE PRESENTED, THE CEO AND STAFF ARE EXCUSED FROM THE DELIBERATIONS). AFTER ALL QUESTIONS OF THE BOARD MEMBERS ARE ANSWERED, FORMAL MOTIONS ARE PROPOSED, SECONDED AND VOTED ON (FOR ANY PAY ADJUSTMENTS AND FOR RECEIPT OF THE CONSULTANT'S REPORT). AT THE SUBSEQUENT MEETING OF THE FULL BOARD OF DIRECTORS, THE CHAIR DISCLOSES THE RESULTS AND APPROVED MOTIONS OF THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC BY POSTING THEM ON THE ORGANIZATION'S WEBSITE AND PROVIDING COPIES ON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS, OTHER THAN THE FORM 990, ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, SECTION A, LINE 1A:	THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT.
FORM 990, PART XI, LINE 9:	JOINT VENTURE GAIN/(LOSS) 2,539,193.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BRONSON HEALTHCARE GROUP
601 JOHN STREET	KALAMAZOO	MI	49007	382418383	PROVIDE SUPPORT SERVICES FOR HEALTHCARE SUBSIDIARIES	MI	501(C)(3)	LINE 12C, III-FI	N/A	0
BRONSON HEALTH FOUNDATION
601 JOHN STREET	KALAMAZOO	MI	49007	382415081	SUPPORTS HEALTHCARE ORGANIZATION	MI	501(C)(3)	LINE 7		0	BRONSON HEALTHCARE GROUP
BRONSON LAKEVIEW HOSPITAL
408 HAZEN ST	PAW PAW	MI	49079	381359218	HOSPITAL	MI	501(C)(3)	LINE 3		0	BRONSON HEALTHCARE GROUP
BRONSON COMMONS
23332 RED ARROW HWY	MATTAWAN	MI	49071	382842451	SKILLED NURSING FACILITY	MI	501(C)(3)	LINE 10		0	BRONSON HEALTHCARE GROUP
VBEMS INC
39338 W RED ARROW HWY	PAW PAW	MI	49079	382745910	AMBULANCE SERVICE	MI	501(C)(3)	LINE 10		0	BRONSON HEALTHCARE GROUP
BRONSON PROPERTIES CORPORATION
601 JOHN STREET	KALAMAZOO	MI	49007	386052573	PROVIDE SUPPORT SERVICES FOR HEALTHCARE SUBSIDIARIES	MI	501(C)(3)	LINE 12B, II		0	BRONSON HEALTHCARE GROUP
BRONSON BATTLE CREEK HOSPITAL
300 NORTH AVENUE	BATTLE CREEK	MI	49016	382776791	HOSPITAL	MI	501(C)(3)	LINE 3		0	BRONSON HEALTHCARE GROUP
BRONSON AT HOME
601 JOHN STREET	KALAMAZOO	MI	49007	383298476	NURSING, HOSPICE, EQUIP SALES	MI	501(C)(3)	LINE 10		0	BRONSON HEALTHCARE GROUP
BRONSON SOUTH HAVEN HOSPITAL
955 S BAILEY AVE	SOUTH HAVEN	MI	49090	381676780	HOSPITAL	MI	501(C)(3)	LINE 3		0	BRONSON HEALTHCARE GROUP

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
HNI LEASING LLC
6212 AMERICAN AVE	PORTAGE	MI	49002	383638430	SUPPORT SERVICES	MI	N/A
HOSPITAL NETWORK VENTURES LLC
6212 AMERICAN AVE	PORTAGE	MI	49002	383302979	SUPPORT SERVICES	MI	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
BRONSON MANAGEMENT SERVICES CORPORATION
601 JOHN STREET	KALAMAZOO	MI	49007	382415032	OTHER MEDICAL SERVICES	MI	N/A	C	0
BRONSON LIFESTYLE IMPROVEMENT AND RESEARCH CENTER
601 JOHN STREET	KALAMAZOO	MI	49007	383552556	REHABILIATION SERVICES	MI	N/A	C	0
WESTLEY DEVELOPMENT COMPANY
301 JOHN STREET	KALAMAZOO	MI	49007	383619232	REAL ESTATE OWNERSHIP	MI	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRONSON HEALTHCARE GROUP
B	$69,136,217	CASH TRANSFER
BRONSON HEALTH FOUNDATION
C	$1,678,451	METHOD BASED ON ACTUAL COST
BRONSON PROPERTIES CORPORATION
K	$5,315,986	METHOD BASED ON ACTUAL COST
BRONSON HEALTHCARE GROUP
L	$30,194,522	METHOD BASED ON ACTUAL COST
BRONSON LAKEVIEW HOSPITAL
L	$789,379	METHOD BASED ON ACTUAL COST
BRONSON BATTLE CREEK HOSPITAL
L	$6,396,166	METHOD BASED ON ACTUAL COST
BRONSON HEALTHCARE GROUP
M	$58,430,840	METHOD BASED ON ACTUAL COST
BRONSON LAKEVIEW HOSPITAL
M	$770,598	METHOD BASED ON ACTUAL COST
BRONSON SOUTH HAVEN HOSPITAL
M	$853,061	METHOD BASED ON ACTUAL COST
BRONSON HEALTH FOUNDATION
M	$4,870,679	METHOD BASED ON ACTUAL COST
BRONSON BATTLE CREEK HOSPITAL
M	$5,913,951	METHOD BASED ON ACTUAL COST
BRONSON COMMONS
M	$235,150	METHOD BASED ON ACTUAL COST
BRONSON LAKEVIEW HOSPITAL
O	$701,792	METHOD BASED ON ACTUAL COST
BRONSON SOUTH HAVEN HOSPITAL
O	$618,685	METHOD BASED ON ACTUAL COST
BRONSON HEALTHCARE GROUP
O	$138,242,866	METHOD BASED ON ACTUAL COST
BRONSON BATTLE CREEK HOSPITAL
O	$1,819,612	METHOD BASED ON ACTUAL COST
BRONSON HEALTHCARE GROUP
S	$189,216	METHOD BASED ON ACTUAL COST
BRONSON PROPERTIES CORPORATION
S	$311,635	METHOD BASED ON ACTUAL COST