2025-11-04T16:52:31+00:00 2024-12-31 331498605 Plante & Moran PLLC 10 SOUTH RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2024-01-01 381359218 Bronson Lakeview Hospital BRON 2693416000 2825 AIRVIEW BLVD KALAMAZOO MI 49002 BILL MANS PRESIDENT AND CEO 2025-11-04 true true DAVID LOWENTHAL CPA P00378651 3122071040 2025-11-04 2024 2025-03-06 01:10:19Z X BILL MANS 2825 AIRVIEW BLVD KALAMAZOO MI 49002 94013516 false X BRONSONHEALTH.COM X 2007 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 18 16 425 29 14479 13479 285620 44548 89866221 91507223 1019333 1975436 424250 486309 91595424 94013516 10000000 15000000 0 31695841 42312224 0 0 27939230 31160434 69635071 88472658 21960353 5540858 84853879 91489621 11289411 12360781 73564468 79128840 TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. false false 76391302 15000000 91603994 BRONSON LAKEVIEW HOSPITAL (BLH) IS A 26-BED CRITICAL ACCESS HOSPITAL, INLCUDING 16 CRITICAL ACCESS ACUTE CARE BEDS, 10 OF WHICH ARE DESIGNATED AS SWING BEDS, AND 10- BED GERIATRIC PSYCHIATRIC UNIT. IN DECEMBER OF 2024, THE 10-BED GERIATRIC PSYCHIATRIC UNIT RELOCATED TO BRONSON BEHAVIORAL HEALTH HOSPITAL. BLH OFFERS A FULL RANGE OF ACUTE CARE FOR INPATIENTS AND IS A WELL-ESTABLISHED DESTINATION FOR SURGERY, AND EMERGENCY CARE. BLH OPERATES A FULL SERVICE, 24/7 EMERGENCY DEPARTMENT THAT TYPICALLY TREATS OVER 25,000 PATIENT VISITS ANNUALLY, REGARDLESS OF THEIR ABILITY TO PAY. OUTPATIENT SERVICES ARE PROVIDED AT ATHE HOSPITAL, AS WELL AS AT RURAL HEALTH CLINICS IN PAW PAW, DECATUR, AND MATTAWAN. 5435754 IN 2024, IN FURTHERANCE OF ITS MISSION, BLH INCURRED $5,435,754 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS. IN 2024, BLH'S MEDICAID COST WAS $15,066,423 AND MEDICAID NET REVENUE WAS $17,532,332. 81827056 true true false false false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true false false false false true 39 0 true 425 true true true false false false false false false false false false false false X 18 16 true false false false true true true true true false false false true true true true true true false false true true X REBECCA EAST SENIOR VPCFO 2693417654 2825 AIRVIEW BLVD KALAMAZOO MI 49002 Bill Manns President and CEO 4.6 35.4 X X 0 2056207 1513385 James Jr Liggins Vice Chair 1.0 8.0 X X 0 0 0 Michael Odar Treasurer 1.0 8.0 X X 0 0 0 Neil Nyberg Secretary 1.0 8.0 X X 0 0 0 Nelson Karre Chair 1.0 8.0 X X 0 0 0 Brenda Hunt Director 1.0 8.0 X 0 0 0 Donald Parfet Director 1.0 8.0 X 0 0 0 Erick Stewart Director 1.0 8.0 X 0 0 0 Jorge Gonzalez Director 1.0 8.0 X 0 0 0 Katy Fink Director (THRU 12/2024) 1.0 8.0 X 0 0 0 La June Montgomery Tabron Director (THRU 12/2024) 1.0 8.0 X 0 0 0 Lynn Chen-Zhang Director 1.0 8.0 X 0 0 0 Mahesh C Karamchandani Director (THRU 12/2024) 4.6 41.4 X 0 798414 38120 Marshall L Washington Director 1.0 8.0 X 0 0 0 Namita Sharma Director 1.0 8.0 X 0 1440 0 Randall Eberts Director 1.0 8.0 X 0 1440 0 Richard Allen Director 1.0 8.0 X 0 0 0 Robert IV Nicholson System Vice Chief of Staff 1.0 8.0 X 0 0 0 Scott Gibson MD Director 1.0 8.0 X 0 7090 0 Steven J Lins MD Director/System Chief of Staff 1.0 8.0 X 0 0 0 William Workman Director/System Vice Chief of Staff 4.6 36.8 X 0 529939 38435 Cheryl Johnson Sr VP Chief People Officer 4.6 35.4 X 0 588602 292220 James Falahee Sr VP Legal & Leg. Affairs 4.6 35.4 X 0 746547 338911 Michael S Way Sr VP Mat. Mgt. & Facility Svs. 4.6 35.4 X 0 433722 215563 Rebecca L East Sr VP CFO 4.6 35.4 X 0 886744 405311 Scott Larson MD Sr VP Medical Affairs/CMO 4.6 35.4 X 0 535686 37160 Susan Reinoehl Sr VP Strategy & Comm 4.6 35.4 X 0 458262 212571 Christine Sangalli-Davis VP Chief Compliance Officer 4.6 35.4 X 0 296753 76107 Matthew Dommer Vice President, COO/VPMA - BLH/BSHH 10.0 30.0 X 494695 0 98030 Dexter Fossitt Internal Medicine 40.0 0 X 291353 0 34187 Hariton Kousourou Physician 40.0 0 X 354979 0 31369 Nadeem Mirza Psychiatry 40.0 0 X 341907 0 36060 Nilay Gandhi Physician 40.0 0 X 302375 0 20759 Tamayi Bwititi Physician 40.0 0 X 293785 0 29797 John Jones JR Former Sr VP Community Care (THRU 2020) 0.0 0.0 X 0 122357 0 2079094 7463203 3417985 62 true true false KALAMAZOO ANESTHESIOLOGY PC PO BOX 4095 KALAMAZOO MI 49003 PHYSICIAN SERVICES 2353293 SW MI EMERGENCY SERVICES PC 125 S KALAMAZOO MALL SUITE 204 KALAMAZOO MI 49007 PHYSICIAN SERVICES 539811 CSM GROUP INC 600 E MICHIGAN AVENUE SUITE A KALAMAZOO MI 49007 CONSTRUCTION 515686 MALL CITY MECHANICAL INC 7184 DOUGLAS AVE KALAMAZOO MI 49009 MECHANICAL CONTRACTOR 373608 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 554809146 MEDICAL SERVICES 217990 10 44548 44548 NET PATIENT REVENUE 621110 89652459 89652459 PGIP REVENUE 900099 1839199 1839199 RENTAL REVENUE FROM AFFILIATES 532000 15565 15565 0 0 0 0 91507223 1869137 1869137 0 0 106299 0 0 106299 106299 106299 0 CAFETERIA EMPLOYEE REVENUE 900099 114476 114476 OUTSIDE SERVICE REVENUE 900099 85389 85389 GAIN/LOSS ON SUBS OR JOINT VENTUR 900099 275062 14479 260583 11382 11382 0 0 486309 94013516 91603994 14479 2350495 15000000 15000000 592725 592725 34706384 31170096 3536288 5161376 4818072 343304 1851739 1805279 46460 6876911 6853438 23473 0 1700 1700 927515 900991 26524 3016802 2939758 77044 45473 42956 2517 63508 63366 142 45873 42789 3084 1417551 1416229 1322 757154 411513 345641 MEDICAL SUPPLIES 7868093 7865962 2131 BAD DEBT EXPENSE 5435754 5435754 BHG ALLOCATION 3581201 1946382 1634819 EQUIPMENT MAINT/REPAIR 983530 982742 788 139369 131729 7640 0 88472658 81827056 6645602 0 32010043 53824840 26700666 7358077 8584373 9207304 0 0 0 0 1129560 1023282 671874 1307430 46630971 31531816 12298677 15099155 1107108 1156982 0 2351578 2512551 84853879 91489621 3743373 4418193 1013368 1011022 0 0 6532670 6931566 11289411 12360781 X 73564468 79128840 73564468 79128840 84853879 91489621 X 5540858 23514 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 818892 818892 27652158 20118270 7533888 12178023 8230749 3947274 5981898 3182797 2799101 15099155 Federal Income Taxes COST REPORT SETTLEMENTS 5968844 OTHER ACCRUED LIABILITIES 962722 6931566 0 0 0 0 0 0 0 0 0 0 0 0 true true X true X true X 319497 319497 0.00361 18075 15066423 17532332 0 0.0 0 0.0 0 18075 15385920 17532332 319497 0.00361 1675 63748 63748 0.00072 39 160019 160019 0.00181 0 0.0 0 0.0 100 100 0.00000 0 1714 223867 0 223867 0.00253 0 19789 15609787 17532332 543364 0.00614 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 214 214 0.00000 3919 3919 0.00004 0 0.0 0 0.0 0 0 4133 0 4133 0.00005 true 5435754 46043 6895635 7247617 -351982 X true true 1 1 BRONSON LAKEVIEW HOSPITAL 408 HAZEN STREET PAW PAW MI 49079 1060000168 X X X X BRONSON LAKEVIEW HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X https://www.bronsonhealth.com/about/community-health-needs-assessment/bronson-lakeview-hospital/ X true 23 true https://www.bronsonhealth.com/about/community-health-needs-assessment/bronson-lakeview-hospital/ false true X 200.0 350.0 X X X X X X true true X X X X true X https://www.bronsonhealth.com/services/medical-financial-assistance/financial-assistance-policy/ X https://tinyurl.com/yxa75shf X https://www.bronsonhealth.com/services/medical-financial-assistance/plain-language-policy-summary/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BRONSON LAKEVIEW HOSPITAL:. BRONSON LAKEVIEW HOSPITAL COMPLETED A CHNA IN 2022 THAT WAS APPROVED BY THE BHG BOARD OF DIRECTORS ON NOVEMBER 18, 2022. BRONSON LAKEVIEW HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT A BROAD RANGE OF INTERESTS OF THE COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. MICHIGAN PUBLIC HEALTH INSTITUTE AND VAN BUREN-CASS DISTRICT HEALTH DEPARTMENT HAVE EXPERTISE IN PUBLIC HEALTH. BRONSON CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND THE HEALTH CONCERNS AND NEEDS IN VAN BUREN COUNTY. THIS CHNA RELIED HEAVILY ON COMMUNITY PARTNERS AND THOSE IN THE COMMUNITY. DATA WERE COLLECTED AND ANALYZED TO IDENTIFY THE GREATEST HEALTH NEEDS OF THE COMMUNITY. RECOGNIZING ITS VITAL IMPORTANCE IN UNDERSTANDING THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY, BRONSON CONSULTED WITH A RANGE OF PUBLIC HEALTH AND SOCIAL SERVICE PROVIDERS THAT REPRESENT THE BROAD INTERESTS OF VAN BUREN COUNTY. BOTH PRIMARY AND SECONDARY DATA WERE COLLECTED AND ANALYZED TO INFORM THIS CHNA. MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) HIGHLIGHTED COMMUNITY VOICE THROUGH ANALYSIS OF KEY INFORMANT INTERVIEWS, COMMUNITY SURVEY RESULTS, AND RECENT COMMUNITY REPORTS AND ASSESSMENTS. W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH COMPILED AND ANALYZED SOCIAL DETERMINANTS OF HEALTH INDICATORS TO HIGHLIGHT THE HEALTH STATUS AND SOCIAL DETERMINANTS OF HEALTH FOR INDIVIDUALS LIVING IN VAN BUREN COUNTY. BRONSON HEALTHCARE, MICHIGAN PUBLIC HEALTH INSTITUTE, AND W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH MET WEEKLY TO FACILITATE THE CHNA PROCESS. THE VAN BUREN CHNA ADVISORY GROUP WAS ENGAGED WITH A CONCERTED EFFORT TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE NEEDS AND PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE AND RESEARCH 2) THOSE WHO SERVE BIPOC AND GROUPS THAT HAVE BEEN MARGINALIZED 3) THE BROADER COMMUNITY AT LARGE AND REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED. THE ADVISORY GROUP MET WITH THE CORE WORKGROUP MULTIPLE TIMES INCLUDING A PRIORITIZATION SESSION, AND MANY MEMBERS PARTICIPATED IN KEY INFORMANT INTERVIEWS (KII) FOR THIS REPORT. THE FOLLOWING ORGANIZATIONS MADE UP THE ADVISORY GROUP AND KEY INFORMANT INTERVIEW PARTICIPANTS: BRONSON HEALTHCARE. MICHIGAN PUBLIC HEALTH INSTITUTE. REGION IV AREA AGENCY ON AGING. VAN BUREN CASS DISTRICT HEALTH DEPARTMENT. VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY. W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH. ORGANIZATIONS THAT JOINED THE ADVISORY GROUP MEMBERS IN THE COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS, & NEEDS PRIORITIZATION: ADVISORY GROUP MEMBERS & CONTRIBUTORS. BRONSON FAMILY CARE. BRONSON WELLNESS CENTER. DISABILITY NETWORK OF SW MICHIGAN. GREAT START COLLABORATIVE. HUMAN SERVICES COLLABORATIVE COUNCIL. MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. MSU EXTENSION. OUTCENTER SOUTHWEST MICHIGAN. POKAGON BAND OF POTAWATOMI- TRIBAL HEALTHCARE AND SERVICES. REGION IV AREA AGENCY ON AGING, INC. SENIOR SERVICES OF VAN BUREN COUNTY. SOUTH HAVEN PUBLIC SCHOOLS. VAN BUREN-CASS DISTRICT HEALTH DEPARTMENT. VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY. VAN BUREN COUNTY COMMISSION. VAN BUREN INTERMEDIATE SCHOOL DISTRICT. WE CARE COMMUNITY RESOURCE CENTER. KEY INFORMANT INTERVIEWS (KII): INDIVIDUALS REPRESENTING PARTNER AGENCIES IN THE COMMUNITY WERE INVITED TO SHARE THEIR THOUGHTS AND EXPERIENCES IN A KEY INFORMANT INTERVIEW. A TOTAL OF 14 KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN THE MONTHS OF MAY THROUGH JULY 2022, WITH PARTICIPANTS REPRESENTING DIVERSE POPULATIONS IN THE COUNTY INCLUDING GOVERNMENTAL PUBLIC HEALTH, MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY GROUPS. THE ADVISORY GROUP ALSO CREATED A COMMUNITY SURVEY TO BETTER UNDERSTAND THE HEALTH NEEDS IN VAN BUREN COUNTY. QUESTIONS ASKED FOR INPUT IN A VARIETY OF AREAS INCLUDING: TOP HEALTH CONCERNS AND PROBLEMS. HEALTH AND HEALTHCARE. COMMUNITY AND NEIGHBORHOODS. TRANSPORTATION. INCOME, MONEY AND JOBS. HOUSING. FOOD RESOURCES AND FOOD ACCESS. COVID-19. THE ONLINE COMMUNITY SURVEY WAS PROGRAMED IN AN ONLINE SOFTWARE TO COLLECT RESPONSES. THE ONLINE SURVEY HAD AN OPTION TO VIEW AND TAKE THE SURVEY IN ENGLISH OR SPANISH. THE SURVEY WAS DISTRIBUTED MAY AUGUST 2022. THE SURVEY WAS SHARED BY COMMUNITY PARTNERS WHO WORK CLOSELY WITH THOSE IN VAN BUREN COUNTY. PAPER COPIES OF THE SURVEY IN ENGLISH OR SPANISH WERE AVAILABLE UPON REQUEST. DATA WERE COLLECTED AND ANALYZED TO IDENTIFY GREATEST HEALTH NEEDS OF THE COMMUNITY. THE ADVISORY GROUP AND CONTRIBUTING ORGANIZATIONS GATHERED TO REVIEW DATA COLLECTED THROUGH THE CHNA PROCESS. THE GROUP WAS SENT A DATA SUMMARY DOCUMENT THAT INCLUDED THE MOST COMMONLY IDENTIFIED COMMUNITY HEALTH NEEDS AND FINDINGS FROM RECENT COMMUNITY REPORTS AND ASSESSMENTS, KEY INFORMANT INTERVIEWS, COMMUNITY SURVEY RESULTS, AND SOCIAL DETERMINANTS OF HEALTH INDICATOR DATA. DURING THE PRIORITIZATION MEETING, THE GROUP REFLECTED ON THE DATA AND IDENTIFIED HEALTH NEEDS. FACILITATORS THEN ASKED THE GROUP TO RATE EACH NEED ON THREE LIKERT SCALES: FEASIBILITY OF POSSIBLE INTERVENTIONS, LEVEL OF DISPARITIES IN HEALTH OUTCOMES, AND URGENCY TO ADDRESS. THE CORE WORKGROUP MET TO DISCUSS THE RESULTS OF THE PRIORITIZATION MEETING AND CONSIDERED ALL SUGGESTIONS FROM THE ADVISORY GROUP. PRIORITIZATION OF THOSE NEEDS RESULTED IN FOUR CATEGORIES OF NEED WITH SPECIFIC NEEDS LISTED BELOW: SYSTEMS NAVIGATION (NAVIGATING REFERRALS, PROXIMITY OF SERVICES AND CARE, HIGH COST OF CARE, SHORTAGE OF HEALTHCARE PROVIDERS AND SUPPORTING STAFF, LACK OF CONNECTION TO COMMUNITY RESOURCES), BEHAVIORAL HEALTH (MENTAL HEALTH AND COVID-19 IMPACTS, SUBSTANCE MISUSE, LACK OF CONNECTEDNESS AMONG COMMUNITY MEMBERS), SYSTEMIC RACISM AND DISCRIMINATION (RACISM, AGISM, CLASSISM, AND DISCRIMINATION BASED ON GENDER AND SEXUAL ORIENTATION), AND LIVING CONDITIONS (FOOD INSECURITY, INCOME AND POVERTY, HOUSING). Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - BRONSON LAKEVIEW HOSPITAL:. BRONSON SOUTH HAVEN HOSPITAL BRONSON METHODIST HOSPITAL BRONSON BATTLE CREEK HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - BRONSON LAKEVIEW HOSPITAL:. MICHIGAN PUBLIC HEALTH INSTITUTE REGION IV AREA AGENCY ON AGING VAN BUREN-CASS DISTRICT HEALTH DEPARTMENT VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - BRONSON LAKEVIEW HOSPITAL:. BRONSON IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH ITS COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE BHG BOARD APPROVED THE 2023-2025 CHIP IN APRIL 2023. BRONSON RECOGNIZES THREE YEARS IS AN INSUFFICIENT PERIOD TO NOTICE VISIBLE IMPROVEMENT IN THE HEALTH OF A COMMUNITY. THE RESULTS OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONFIRMED THIS BELIEF. THE COMMUNITIES BRONSON SERVES REMAINED CONCERNED ABOUT HEALTH NEEDS THAT WERE IDENTIFIED IN THE PREVIOUS CHNA, SPECIFICALLY, ACCESS TO HEALTHCARE/HEALTH SERVICES, FOOD INSECURITY, AND MENTAL/BEHAVIORAL HEALTH. THE 2022 CHNA ALSO BROUGHT ADDITIONAL HEALTH NEEDS THAT COMMUNITY MEMBERS FELT IMPACTED THEIR HEALTH TO THE FOREFRONT; DISCRIMINATION/RACISM, VIOLENCE AND CRIME, AND HOUSING. AS A RESULT, THE 2023-2025 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) CONTINUES TO FOCUS ITS EFFORTS UPSTREAM, ACKNOWLEDGING THE ROOT CAUSES OF BEHAVIORS, DEATH, AND DISEASE. THE CHIP IS BUILDING UPON THE PROGRESS OF THE 2020-2022 CHIP; HOWEVER, IT WILL ALSO ADDRESS ADDITIONAL NEEDS IDENTIFIED IN THE 2022 CHNA. THIS CHIP REMAINS A STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY'S MOTHERS, BABIES, AND FAMILIES. THERE REMAINS A SHARED DESIRE AND URGENCY TO BUILD COMMUNITY TRUST IN THE 2023-2025 CHIP. AS SOUTHWEST AND SOUTH CENTRAL MICHIGAN'S ONLY CHILDREN'S HOSPITAL, BRONSON RECOGNIZES THE RESPONSIBILITY AND OPPORTUNITY TO BUILD THIS TRUST FROM THE START. AS A RESULT, BRONSON COMMITS TO ENGAGE AND BUILD TRUST WITH FAMILY SUPPORT TO ELIMINATE RACIAL/ETHNIC DISPARITIES AMONG MOTHERS AND BABIES ACROSS THE REGION (VAN BUREN, KALAMAZOO, CALHOUN COUNTIES). GIVEN THE EXTRAORDINARY CHALLENGE OF SUBSTANTIALLY AND MEASURABLY IMPROVING ACCESS TO CARE IN AN ENVIRONMENT OF LIMITED RESOURCES, BRONSON LEADERS AND COMMUNITY HEALTH BOARD COMMITTEE MEMBERS HAVE CHOSEN TO FOCUS ON TWO FOCUSED HEALTH NEEDS: WORKFORCE EQUITY AND HEALTHCARE EQUITY. TO ACT ON THIS, BRONSON HAS DEPLOYED SEVERAL TACTICS FOCUSED ON ELIMINATING RACIAL/ETHNIC DISPARITIES IN A FAMILY'S PERINATAL EXPERIENCE AND CLINICAL OUTCOMES AND ELIMINATING RACIAL/ETHNIC DISPARITIES IN BRONSON'S WORKFORCE AT EVERY LEVEL TO SUPPORT FAMILIES: ESTABLISH NEW, AND IMPROVE ON EXISTING, SOCIAL AND DEMOGRAPHIC DATA INFRASTRUCTURE AND IMPROVE SDOH SCREENING COLLECTION, IMPROVE PATIENTS' CONNECTION TO COMMUNITY RESOURCES BY ENHANCING COMMUNITY ENGAGEMENT, EXPAND INTERCULTURAL DEVELOPMENT TO IMPROVE QUALITY OF CARE, EXPAND IMPLEMENTATION OF EVIDENCE-BASED MODELS TO IMPROVE MATERNAL/INFANT HEALTH (E.G., CULTURALLY APPROPRIATE BIRTH EDUCATION, CENTERING PREGNANCY, COMMUNITY HEALTHCARE WORKERS, STRONG FATHERS' PROGRAMS, BREASTFEEDING INITIATIVES, NUTRITION EDUCATION, AND FOOD SUPPORTS), ESTABLISH NEW, AND IMPROVE ON EXISTING, SOCIAL AND DEMOGRAPHIC DATA INFRASTRUCTURE, EXPAND INTERCULTURAL DEVELOPMENT TO IMPROVE QUALITY OF CARE, CREATE AND PROMOTE INTERNAL OPPORTUNITIES THAT ALLOW EMPLOYEES TO THRIVE (E.G., CAREER PATHWAYS, SUPPORT FOR HOME OWNERSHIP, CONNECTION TO RESOURCES, ETC.), REVIEW AND REVISE ORGANIZATIONAL POLICIES AND PRACTICES USING AN EQUITY LENS TO SUPPORT THE HEALTH AND WELLBEING OF EMPLOYEES. THE 2023-2025 CHIP SERVES AS A NEXT STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY'S MOTHERS, BABIES, AND FAMILIES. BRONSON CONTINUES TO COLLABORATE AND PARTNER WITH AGENCIES WHOSE MISSIONS AND EXPERTISE ALLOW THEM TO HAVE AN IMPACT IN THE OTHER AREAS IDENTIFIED BY THE CHNA. BECAUSE OF THE INTERSECTIONALITY OF THE NEEDS IDENTIFIED, BRONSON ANTICIPATES THAT IMPROVING TRUST & ACCESS TO CARE AND EMPLOYMENT WILL IMPACT AND IMPROVE OUTCOMES FOR MANY OF THE OTHER COMMUNITY NEEDS. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - BRONSON LAKEVIEW HOSPITAL:. THE ORGANIZATION USES THE FOLLOWING FPL TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS: 200% OR BELOW OF FPL IS ENTITLED TO 100% REDUCTION 250% OF FPL IS ENTITLED TO A 90% REDUCTION 300% OF FPL IS ENTITLED TO A 80% REDUCTION 350% OF FPL IS ENTITLED TO A 75% REDUCTION Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - BRONSON LAKEVIEW HOSPITAL. THE HOSPITAL MADE PRESUMPTIVE ELIGIBILITY DETERMINATIONS REGARDING PATIENTS WHO ARE HOMELESS AS WELL AS PATIENTS WHO ARE REFERRED TO FROM GRACE HEALTH AND FAMILY HEALTH CENTER OF KALAMAZOO (FHC) AND QUALIFIED FOR FINANCIAL ASSISTANCE AT THOSE FACILITIES. THE HOSPITAL ALSO PROVIDED PRESUMPTIVE ELIGIBILITY DETERMINATIONS REGARDING PATIENTS WHO ARE DETERMINED OVER INCOME FOR MEDICAID, HAVE MEDICARE PART A ONLY OR MEDICAID ESO. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - BRONSON LAKEVIEW HOSPITAL:. THE HOSPITAL ACKNOWLEDGES THAT ALL INDIVIDUALS ARE NOT EQUALLY CAPABLE OF PAYING FOR HEALTHCARE SERVICES, EITHER BY THEMSELVES OR THROUGH A THIRD PARTY INSURANCE CARRIER. THE HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO OFFER CARE FOR PERSONS IN NEED, AND THEREFORE PROVIDES AN PROMOTES ACCESS TO EMERGENCY OR MEDICALLY NECESSARY SERVICES WITHOUT REGARD TO ABILITY TO PAY. THE HOSPITAL HAS SIGNS AT ENTRANCES TO THE EMERGENCY DEPARTMENT THAT INFORM PATIENTS OF THE FINANCIALS COUNSELING DEPARTMENTS. THE POLICY IS ALSO ON THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM). THE PLAIN LANGUAGE SUMMARY IS INCLUDED ON ALL PATIENT STATEMENTS. PATIENTS MAY REQUEST AN APPLICATION TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE BY CALLING A PATIENT FINANCIAL COUNSELOR OR BRONSON'S BILLING DEPARTMENT. THE APPLICATION IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM) 0 Schedule H, 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% REDUCTION 250% OF FPL IS ENTITLED TO A 90% REDUCTION 300% OF FPL IS ENTITLED TO A 80% REDUCTION 350% OF FPL IS ENTITLED TO A 75% REDUCTION Schedule H, 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(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,435,754. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES: INSURANCE ENROLLMENT OUTREACH AND SUPPORT: BRONSON PROVIDED OPEN ENROLLMENT ASSISTANCE FOR THE MARKETPLACE INSURANCE FROM NOVEMBER 1, 2024, TO JANUARY 15, 2025, WITH A CERTIFIED APPLICATION COUNSELOR (CAC). CAC CONTACT INFORMATION WAS AVAILABLE ON THE HOME PAGE FOR THE MARKETPLACE AS WELL AS SHARED WITH MANY COMMUNITY ORGANIZATIONS. COMMUNITY MEMBERS WERE ABLE TO CALL THE CAC AND ASK QUESTIONS TO GET A BETTER UNDERSTANDING OF THEIR OPTIONS FOR HEALTH INSURANCE. PATIENT FINANCIAL COUNSELORS ASSISTED PATIENTS THROUGHOUT THE 2024 FISCAL YEAR ASSISTING OVER 5000 PATIENTS SYSTEM WIDE TO APPLY FOR MEDICAID THROUGH THE STATE. IF THE PATIENT WAS FOUND NOT ELIGIBLE FOR STATE ASSISTANCE, THE PATIENT FINANCIAL COUNSELORS WOULD THEN REFER THE PATIENT TO THE CERTIFIED APPLICATION COUNSELOR TO ASSIST THE PATIENT WITH THE FEDERALLY FACILITATED MARKETPLACE WEBSITE. SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE (SWMPQIC): BRONSON CONTINUES TO PARTICIPATE IN THE MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES (MDHHS) MOTHER INFANT HEALTH & EQUITY IMPROVEMENT PLAN, A STATEWIDE EFFORT TO IMPROVE THE HEALTH OF MOMS AND BABIES IN MICHIGAN. BRONSON EMPLOYEES SERVE AS SWMPQIC LEADERSHIP AND ADMINISTRATIVE SUPPORT. THROUGH SWMPQIC, BRONSON STAFF WORKED WITH MULTIPLE MEMBERS ACROSS SEVEN COUNTIES TO CREATE "A LOCALLY LINKED AND COORDINATED NETWORK OF SERVICES FOR BIRTHING PARENTS AND THEIR BABIES COMMITTED TO THE HIGHEST ATTAINABLE STANDARD OF HEALTH AVAILABLE IN MICHIGAN" WITH THE VISION OF "ZERO PREVENTABLE DEATHS. ZERO DISPARITIES." THIS COLLABORATIVE PROVIDES FREE VIRTUAL CHILDBIRTH EDUCATION TO BIRTHING PERSONS WHERE IT IS MOST CONVENIENT FOR THEM. INSTRUCTORS EDUCATED ON LABOR, MEDICAL INTERVENTIONS, CESAREAN SECTIONS, COMFORT TECHNIQUES, AND POSTPARTUM (PHYSICAL AS WELL AS EMOTIONAL). BIRTHING PERSONS HAVE ACCESS TO INSTRUCTORS VIA EMAIL AND ARE ENCOURAGED TO REACH OUT WITH QUESTIONS OR CONCERNS. Schedule H, Part I, Line 6a LOCATED ON THE WEBSITE (WWW.BRONSONHEALTH.COM) BRONSON LAKEVIEW HOSPITAL COMMUNITY OUTREACH AND BENEFITS (BRONSONHEALTH.COM) ANNUALLY, EACH HOSPITAL IN THE BRONSON HEALTHCARE SYSTEM DOCUMENTS ITS SERVICE TO THE COMMUNITY AND PRODUCES A COMMUNITY BENEFIT REPORT. THE REPORT TRACKS THE DOLLAR VALUE OF SERVICES TO THE UNDERSERVED, COMMUNITY OUTREACH AND LEADERSHIP; AND TIME AND RESOURCES DONATED TO HEALTH PROFESSIONAL EDUCATION. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH BRONSON AT HOME: BRONSON AT HOME, A JOINT COMMISSION ACCREDITED HOME CARE AGENCY, SERVES PATIENTS IN THE COMMUNITIES OF CALHOUN, KALAMAZOO, AND VAN BUREN COUNTIES, EXTENDING BRONSON'S HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE TO THEIR HOME ENVIRONMENT. OUR TEAM INCLUDES REGISTERED NURSES, HOME HEALTH AIDES, PHYSICAL THERAPISTS, PHYSICAL THERAPIST ASSISTANTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, AND MEDICAL SOCIAL WORKERS. WE PROMOTE HEALING IN A SAFE AND COMFORTABLE ENVIRONMENT, HELPING WITH PROVIDER COORDINATION WHEN NEEDED. ALONG WITH OTHER BRONSON ENTITIES, OUR GOAL IS TO PREVENT REHOSPITALIZATION AND PROMOTE SAFETY IN THE COMMUNITY. MEASURES OF SUCCESS ARE TIMELY INITIATION OF CARE, FALL PREVENTION, ACCURATE MEDICATION RECONCILIATION, AND DISEASE MANAGEMENT IN THE HOME. WE DO THIS BY ESTABLISHING A SEAMLESS TRANSITION FROM THE ACUTE SETTING TO THE PATIENT'S HOME WITH FOLLOW-UP SESSIONS AND EDUCATION WITH BOTH THE PATIENT AND THEIR CAREGIVERS. BRONSON AT HOME PARTICIPATES WITH SYSTEM AND COMMUNITY EVENTS, SUCH AS TRAUMA DAY AND AREA SENIOR EXPOS, TO SUPPORT COMMUNITY HEALTH AND EDUCATION. SEXUAL ASSAULT SERVICES PROGRAM: IN 2024, SEXUAL ASSAULT SERVICES (SAS) STAFF CONTINUED TO EXPAND SERVICES TO UNDER-RESOURCED COMMUNITIES BY RAISING AWARENESS, CONDUCTING TARGETED OUTREACH, AND STRENGTHENING PARTNERSHIPS WITH LOCAL ORGANIZATIONS. AS PART OF THIS EFFORT, GRANT FUNDING WAS USED TO TRANSLATE INFORMATIONAL RACK CARDS INTO SPANISH, BURMESE, AND SWAHILI. THESE MATERIALS WERE DISTRIBUTED ACROSS CALHOUN COUNTY TO AGENCIES, BUSINESSES, AND COMMUNITY GROUPS THAT SERVE DIVERSE POPULATIONS. THIS INITIATIVE IS ONGOING, WITH A NEW ROUND OF TRANSLATED RACK CARDS SCHEDULED FOR DISTRIBUTION INTO 2025 TO FURTHER EXTEND THE PROGRAM'S REACH. SEXUAL ASSAULT NURSE EXAMINER (SANE) INCREASED ACCESS TO SERVICES ACROSS THE STATE FOR ALL SURVIVORS. THE SANE PROGRAM SUPERVISOR AND ONE OF THE FORENSIC NURSE EXAMINERS WERE ASKED TO HELP TRAIN OTHER NURSES AT THE MSU SANE SKILLS LAB AS PART OF AN EFFORT TO INCREASE THE NUMBER, ACCESSIBILITY, AND SUSTAINABILITY OF ADULT/ADOLESCENT SANES IN UNDERSERVED, RURAL AREAS OF MICHIGAN. BRONSON SEXUAL ASSAULT SERVICES (SAS) SEXUAL ASSAULT NURSE EXAMINER (SANE) TEAM MET WITH MEDICAL STAFF FROM CARES SEXUAL WELLNESS SERVICES, THE SECOND-LARGEST HIV SERVICE PROVIDER IN MICHIGAN, TO STRENGTHEN FOLLOW-UP CARE FOR SEXUAL ASSAULT SURVIVORS AND STREAMLINE REFERRALS FOR MEDICAL FORENSIC CARE. CARES PLAYS A VITAL ROLE IN PROVIDING MEDICAL SERVICES TO THE LGBTQ+ COMMUNITY, INDIVIDUALS LIVING WITH HIV, AND OTHER UNDERSERVED POPULATIONS IN SOUTHWEST MICHIGAN. THEY HAVE AGREED TO SERVE AS A REFERRAL PARTNER FOR SANE PATIENTS, OFFERING LOW- OR NO-COST TESTING. ADDITIONALLY, CARES OPERATES A MOBILE CLINIC, AND BOTH ORGANIZATIONS ARE EXPLORING THE POSSIBILITY OF SCHEDULING REGULAR VISITS TO THE SAS OFFICE. THIS INITIATIVE AIMS TO REDUCE TRANSPORTATION AND FINANCIAL BARRIERS FOR SURVIVORS SEEKING FOLLOW-UP CARE. IN CASES WHERE A SURVIVOR TESTS POSITIVE FOLLOWING AN ASSAULT, CARES WILL PROVIDE ESSENTIAL SUPPORT AND RESOURCES, ENSURING CONTINUITY OF CARE AND ACCESS TO TREATMENT. MOTHERS MILK BANK: BEGINNING IN 2024 WE HAVE DONATED BREAST MILK TO BABIES WHO HAVE A MOM WHO IS ACTIVELY UNDERGOING CANCER TREATMENTS. THIS WAS SO IMPACTFUL FOR THE FAMILIES - ONE VERY LOCAL WHO RECEIVED CANCER CARE AT BRONSON. THIS ALLOWED THE BABIES TO RECEIVE ALL OF THE HEALTH BENEFITS AND ALSO ALLOWED THE MOMS TO FOCUS ON THEIR HEALTHCARE JOURNEY. THIS IS IMPACTFUL AND THE NOURISHMENT OF BABIES GOES MUCH FURTHER THAN THAT. THE WEIGHT THAT HAS BEEN TAKEN OFF OF FAMILIES DURING DIFFICULT TIMES WHILE ALSO PROVIDING LIQUID GOLD FOR THESE BABIES. WE ARE SO PROUD TO BE ABLE TO CONNECT AND IMPACT THE COMMUNITY WITH THE HELP OF OUR INCREDIBLE MILK BANK DONORS. Schedule H, Part II, Line 5 THE MEDICARE COST REPORT ADDITIONAL MEDICARE COSTS AS PER THE INSTRUCTIONS, SCHEDULE H PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. ADDITIONAL MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANGE HOSPITAL AND BOTH FFS & HMO FOR PHYSICIANS) ARE SUMMARIZED AS FOLLOWS: TOTAL COST - $17,961,143 TOTAL REIMBURSEMENT - $12,716,104 COST IN EXCESS OF REIMBURSMENT ($5,245,039) Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. BAD DEBT EXPENSE IS DISCLOSED BASED ON GROSS CHARGES. BAD DEBT WRITE-OFFS 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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 ARE 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. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - BRONSON LAKEVIEW HOSPITAL: Line 16a URL: https://www.bronsonhealth.com/services/medical-financial-assistance/financial-assistance-policy/; Schedule H, Part V, Section B, Line 16b FAP Application website - BRONSON LAKEVIEW HOSPITAL: Line 16b URL: https://tinyurl.com/yxa75shf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BRONSON LAKEVIEW HOSPITAL: Line 16c URL: https://www.bronsonhealth.com/services/medical-financial-assistance/plain-language-policy-summary/; Schedule H, Part VI, Line 2 Needs assessment 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 ESTIMATES 2. SG2 IP/OP FORECAST 3. SG2 AMBULATORY MARKET STRATEGIST 4. SG2 MARKET DEMOGRAPHICS FROM CLARITAS Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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. Schedule H, Part VI, Line 4 Community information BRONSON LAKEVIEW HOSPITAL IS LOCATED IN THE VILLAGE OF PAW PAW IN VAN BUREN COUNTY AND IS PART OF THE BRONSON HEALTHCARE SYSTEM. BLVH HAS BEEN SERVING THE PEOPLE OF VAN BUREN COUNTY SINCE 1939. AS A 26-BED CRITICAL ACCESS HOSPITAL, IT OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES. THIS INCLUDES EMERGENCY CARE, WHICH IS AVAILABLE 24/7. BLVH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON METHODIST HOSPITAL, BRONSON BATTLE CREEK HOSPITAL, AND BRONSON SOUTH HAVEN HOSPITAL. EACH OF THE HOSPITALS IN THE BRONSON HEALTHCARE SYSTEM ADMITS PATIENTS REGARDLESS OF ABILITY TO PAY AND PROVIDES OUTREACH SERVICES THEIR RESPECTIVE COMMUNITIES. THIS PARTNERSHIP ALSO HELPS ENSURE THAT EVERYONE HAS ACCESS TO THE HIGHEST QUALITY CARE. BRONSON LAKEVIEW HAS A FULL-SERVICE EMERGENCY DEPARTMENT IN PAW PAW AND A DIRECT CONNECTION TO THE REGION'S ONLY LEVEL 1 TRAUMA CENTER AT BRONSON METHODIST HOSPITAL IN KALAMAZOO. IN ADDITION TO THE FOUR HOSPITALS, THE BHG SYSTEM INCLUDES SEVERAL SMALLER ENTITIES WHOSE ACTIVITIES SUPPORT THE HOSPITALS AND THEIR MISSION OF "TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES." THESE ENTITIES INCLUDE BRONSON HEALTHCARE GROUP, BRONSON COMMONS, BRONSON LIFESTYLE IMPROVEMENT AND RESEARCH CENTER, BRONSON HEALTHCARE FOUNDATION, BRONSON AT HOME, VAN BUREN EMERGENCY MEDICAL SERVICES, AND BRONSON PROPERTIES CORPORATION. APPROXIMATELY 74.3%OF PATIENTS SERVED COME FROM WITHIN VAN BUREN COUNTY. FOR THE PURPOSES OF THE 2019 AND 2022 CHNA REPORTS, THE COMMUNITY SERVED WAS DEFINED AS VAN BUREN COUNTY. VAN BUREN COUNTY HAD AN ESTIMATED POPULATION SIZE OF 75,658 in 2022. 15.8% OF THE POPULATION WAS AGE 0-20; 15.6% WAS 20-39, 36.1% WAS AGE 40-64, 65 AND OVER WAS 32.4%. MALES COMPRISE 50% OF THE POPULATION, AND FEMALES COMPRISE 50% OF THE POPULATION. VAN BUREN COUNTY'S 2022 population WAS 91.0% WHITE AND 3.3% BLACK OR AFRICAN AMERICAN. .461% OF RESIDENTS IDENTIFY AS HISPANIC OR LATINX. PATIENT DEMOGRAPHICS 10.9% < 21 YEARS OF AGE 15.9% 21-39 YEARS OF AGE 35.3% 40-64 YEARS OF AGE 37.9% 65 YEARS OF AGE AND OLDER PATIENT DIVERSITY DEMOGRAPHICS 90.3% CAUCASIAN 2.6% AFRICAN AMERICAN 0.1% HISPANIC 0.7% ASIAN 6.3% OTHER PATIENT INSURANCE DEMOGRAPHICS 41.7% PRIVATE INSRUANCE 13.1% MEDICARE 27.3% MEDICARE AND SUPPLEMENTAL INSURANCE 16.0% MEDICAID OR OTHER PUBLIC ASSISTANCE 1.9% NO COVERAGE Schedule H, Part VI, Line 5 Promotion of community health COLLABORATION WITH COMMUNITY STAKEHOLDERS BLH SEEKS COMMUNITY COLLABORATORS AND STAKEHOLDERS AS PARTNERS IN MEETING COMMUNITY HEALTH NEEDS, ADDRESSING MULTI-SECTOR ISSUES, AND LEADING DISASTER/EMERGENCY EFFORTS. TOWARDS THIS END, BRONSON EMPLOYEES ACTIVELY PARTICIPATE IN AND PROVIDE SUPPORT TO MANY COMMUNITY ORGANIZATIONS. THESE INCLUDE PARTICIPATION IN THE 5TH DISTRICT MEDICAL RESPONSE COALITION, VAN BUREN COUNTY MEDICAL CONTROL AUTHORITY, VAN BUREN EMERGENCY OPERATIONS AND LOCAL EMERGENCY PLANNING COMMITTEES, HEALTH FAIRS AND EXPOS, UNITED WAY OF SOUTHWEST MICHIGAN, VAN BUREN COMMUNITY HEALTH COMMITTEE, VAN BUREN HUMAN SERVICES COLLABORATIVE, KIWANIS LEADERSHIP, LAKEVIEW FOUNDATION, GIRLS ON THE RUN OF SOUTHWEST MICHIGAN ADVISORY BOARD, AREA AGENCY ON AGING, AND PAW PAW CORPORATE COLLABORATIONS. WORKFORCE ENGAGEMENT - 2024 RECRUITMENT AND RETENTION OF TOP TALENT WITHIN THE REGION REMAINS A FOCUS AT BRONSON SHOWING A STRONG COMMITMENT TO THE LOCAL COMMUNITY, OUR PATIENTS, AND STAFF. OUR ORGANIZATION IS JUST OVER 9,300 EMPLOYEES STRONG WHILE CONSISTENTLY HIRING NEARLY 2,000 NEW STAFF MEMBERS AND FACILITATING JUST AS MANY INTERNAL MOBILITY EFFORTS EACH YEAR. CONTINUED FOCUS ON IN-PERSON EVENTS AND BUILDING STRONGER RELATIONSHIPS WITH LOCAL UNIVERSITIES, COLLEGES, AND TECHNICAL SCHOOLS. BRONSON IS COMMITTED TO GUIDING EMERGING TALENT FROM THESE INSTITUTIONS AND HELPING THEM START THEIR CAREER JOURNEYS. STRENGTHENING RELATIONSHIPS WITH MULTIPLE COMMUNITY GROUPS TO FURTHER ADVANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. A FEW EXAMPLES ARE THE HIGHER PROMISE INTERNS, PROJECT SEARCH, JETERS LEADERS, GVSU PIPELINE SCHOLARS, LPN APPRENTICESHIP ETC. ENGAGING WITH K-12 IN PARTNERSHIP WITH THE CENTER FOR LEARNING TO PROMOTE HEALTHCARE CAREERS AND EDUCATION EARLY IN STUDENTS' DEVELOPMENT. WORKFORCE SUPPORT IN THE COMMUNITY (ERGS) IN 2024, BRONSON HEALTHCARE LAUNCHED EMPLOYEE RESOURCE GROUPS (ERGS) ACROSS BMH, BBC, BLH, AND BSH, INCLUDING AFRICAN AMERICAN, LATINX, MILITARY VETERANS & ALLIES, WOMEN, YOUNG PROFESSIONALS, LGBTQ+ ALLIES, AND PERSONS WITH DISABILITIES, WITH A PROVIDER ERG SHORTLY THEREAFTER. THE ERGS HAVE GIVEN EMPLOYEES THE OPPORTUNITY TO CONVERT CONNECTIONS INTO IMPACT, HELPING US IMPROVE ENGAGEMENT, INNOVATION, AND BUILD STRONGER COMMUNITY TIES. IN 2024, EVENTS SUCH AS THE YOUNG PROFESSIONALS' MIXER AT THE CRAFTED COPPER, THE AFRICAN AMERICAN ERG MEET-AND-GREET AT TWINE URBAN WINERY SHOWCASED THE ONGOING COMMITMENT OF OUR EMPLOYEE RESOURCE GROUPS TO BUILDING MEANINGFUL CONNECTIONS ACROSS THE BRONSON SYSTEM. ENGAGING OVER 165 EMPLOYEES, ERGS EMPOWER BRONSON EMPLOYEES TO COME TOGETHER AND SHARE EXPERIENCES, AS WELL AS ALL THE WAYS OUR WORK IMPACTS THE DAILY LIVES OF OUR STAFF AND COMMUNITY. HEALTH EDUCATION PROGRAMS AND SOCIAL NEEDS INITIATIVES IN 2024, BRONSON LAKEVIEW HOSPITAL'S COMMITMENT TO IMPROVING COMMUNITY HEALTH WAS DEMONSTRATED THROUGH A VARIETY OF IMPACTFUL INITIATIVES AND EDUCATIONAL PROGRAMS DESIGNED TO ADDRESS KEY HEALTH NEEDS AND FOSTER WELL-BEING. COMMUNITY SUPPORT RESOURCES BRONSON HEALTH EDUCATORS DEVELOPED AND DISTRIBUTED A WIDE RANGE OF HEALTH EDUCATION MATERIALS TO SUPPORT THE COMMUNITY. THESE RESOURCES INCLUDED INFOGRAPHICS, RECIPE BOOKS, MENTAL HEALTH TIPS, GUIDES FOR FAMILY PHYSICAL ACTIVITIES, SAFETY INFORMATION, AND HEALTHY LIVING VIDEOS. MANY OF THESE RESOURCES ARE AVAILABLE ONLINE AT BRONSONHEALTH.COM/BRONSONEATS AND ON YOUTUBE. THIS INITIATIVE HAD AN ESTIMATED REACH OF OVER 3,000 INDIVIDUALS. HEALTHY COOKING WITH BRONSON VIRTUAL SERIES: BRONSON COMMUNITY HEALTH'S COLLABORATION AND RELATIONSHIP WITH REGION IV AREA AGENCY ON AGING (AAA) CONTINUED THROUGHOUT 2024. IN 2024, 18 VIRTUAL COOKING CLASSES WERE OFFERED AND REACHED MORE THAN 738 PEOPLE. THESE HEALTHY COOKING CLASSES OFFER IDEAS ON HOW TO EAT HEALTHY IN A QUICK, CONVENIENT, LOW-COST MANNER THAT IS APPROPRIATE FOR ALL AGES, REACHING OVER 738 COMMUNITY MEMBERS. DIABETES COOKING CLUB: IN 2024, THE COMMUNITY HEALTH EDUCATION TEAM STARTED A NEW SERIES WITH DIABETES EDUCATION TO OFFER FREE, VIRTUAL DIABETES COOKING CLUBS. PARTICIPANTS RECEIVE EDUCATION FROM A REGISTERED DIETITIAN AND CERTIFIED DIABETES CARE & EDUCATION SPECIALIST AND LEARN TIPS ON HEALTHY EATING FOR MANAGING STABLE BLOOD SUGARS WHILE LIVING WITH DIABETES OR PRE-DIABETES. THERE WERE TEN DIABETES COOKING CLUBS IN 2024, REACHING OVER 216 COMMUNITY MEMBERS. FURTHER COMMUNITY ENGAGEMENT WITH SEVERAL ADDITIONAL VIRTUAL AND IN-PERSON CLASSES AND EVENTS IN COLLABORATION WITH OTHER COMMUNITY PARTNERS HAS ASSISTED OVER 19,000 COMMUNITY MEMBERS WITH EDUCATION ON ADDITIONAL HEALTHY EATING TIPS, AS WELL AS PROVIDING BASIC KITCHEN EQUIPMENT AND SHELF-STABLE PANTRY CHOICES FAMILY AND COMMUNITY ENGAGEMENT EVENTS/INITIATIVES THE 2022 CHNA IDENTIFIED: VIOLENCE AND TRAUMA- CRIME AS A COMMUNITY CONCERN ALONG WITH A DECREASED FEELING OF SAFETY: TRAUMATIC INJURIES ARE A LEADING CAUSE OF DEATH AND DISABILITY, WITH PROFOUND PHYSICAL, EMOTIONAL, AND FINANCIAL EFFECTS ON OUR COMMUNITY. BRONSON TRAUMA SERVICES INJURY PREVENTION AIM IS TO REDUCE THESE IMPACTS THROUGH EDUCATION, COLLABORATION, AND COMMUNITY PARTNERSHIPS. FIREARM INJURY PREVENTION: BRONSON TRAUMA INJURY PREVENTION IS DEDICATED TO REDUCING FIREARM-RELATED INJURIES THROUGH COMPREHENSIVE INTERVENTIONS. THINKFIRST FOR TEENS: THIS NATIONAL INJURY PREVENTION FOUNDATION PROGRAM EDUCATES YOUTH ON THE CONSEQUENCES OF RISKY DECISIONS AND HOW TO STAY SAFE. SAFE FIREARM STORAGE: IN 2023 AND 2024, BRONSON TRAUMA SERVICES COLLABORATED WITH THE BRONSON CHILDREN'S HOSPITAL TO DISTRIBUTE GUN LOCKS. IN 2024, THEY LAUNCHED A REGIONAL GUN SAFE INITIATIVE, SECURING A GRANT TO DISTRIBUTE SAFES ACROSS FOUR BRONSON FACILITIES, IN PARTNERSHIP WITH THE MICHIGAN STATE POLICE, AS WELL AS PROVIDING HUNDREDS OF GUN LOCKS AND EDUCATION TO THE GENERAL POPULATION OF AT RISK FAMILES IN THE COMMUNITY. STOP THE BLEED: A NATIONAL PROGRAM DESIGNED TO TRAIN THE PUBLIC IN LIFE-SAVING BLEEDING CONTROL, DEVELOPED BY THE DEPARTMENT OF DEFENSE AND THE AMERICAN COLLEGE OF SURGEONS. BRONSON TRAUMA SERVICES PROMOTED THIS AT THE MICHIGAN STATE CAPITAL TO IMPROVE SURVIVAL RATES FROM ACTIVE SHOOTER INCIDENTS. OLDER ADULT FALL PREVENTION: FALLS ARE THE LEADING CAUSE OF INJURY-RELATED DEATHS FOR THOSE OVER 65. BRONSON TRAUMA SERVICES OFFERS EDUCATIONAL PROGRAMS TO HELP SENIORS REDUCE THEIR FALL RISK MOTOR VEHICLE COLLISION PREVENTION: TARGETING TEENS, PARENTS, AND ADULTS OVER 60, BRONSON TRAUMA SERVICES PROVIDES PROGRAMS AIMED AT REDUCING MOTOR VEHICLE ACCIDENTS. THEIR INJURY PREVENTION EFFORTS EXTEND BEYOND COLLISIONS, INCLUDING OPIOID OVERDOSE HARM REDUCTION AND PARTICIPATION IN 31 COMMUNITY EVENTS, REACHING THOUSANDS OF PEOPLE. THROUGH THESE DIVERSE INITIATIVES, BRONSON TRAUMA SERVICES CONTINUES TO LEAD IN PROMOTING SAFETY AND REDUCING PREVENTABLE INJURIES IN THE COMMUNITY. SAFE KIDS SOUTH HAVEN: COMMUNITY OUTREACH FOR VAN BUREN COUNTY TO REVIEW AND WORK ON PREVENTION STRATEGIES AND RECOMMENDATIONS TO BE IMPLEMENTED TO PREVENT CHILD DEATHS. THE MAJORITY OF SKSH'S WORK IS IN EDUCATING THE COMMUNITY - AND PROVIDING RESOURCES TO PROMOTE - SAFETY AS IT RELATES TO CHILD PASSENGER SAFETY, WATER SAFETY, AND HELMET SAFETY. SKGSH PARTNERS WITH MANY LOCAL COMMUNITY PARTNERS TO PROVIDE ADDITIONAL EDUCATION, INCLUDING FIRE SAFETY, SMOKE AND CO ALARMS, AND SAFE SLEEP PRACTICES. SAFE KIDS GREATER SOUTH HAVEN (SKGSH) PROVIDED MORE THAN 190 SEAT CHECKS, WITH MORE THAN 110 NEW SEATS DISTRIBUTED; HELMET AND BIKE SAFETY EDUCATION AT 3 EVENTS; MORE THAN 50 HELMETS DISTRIBUTED; WATER SAFETY EDUCATION - 8 DAYS OF 6 HOURS EACH DAY AT THE SH FARMERS MARKET. SAFE KIDS ALSO PROVIDED 15 LIFE JACKET LOANER STATIONS GIFTED TO THE CITY OF SOUTH HAVEN, WITH ADDITIONAL LIFE JACKETS PROVIDED FOR RESTOCKING. BRONSON COMMUNITY HEALTH WORKER PROGRAM IN 2024, BRONSON COMMUNITY HEALTH WORKER (CHW) PROGRAM. THREE CERTIFIED CHWS WERE RECRUITED TO ESTABLISH A PROGRAM FRAMEWORK TO ADDRESS THE NEEDS OF THE COMMUNITY AND PROVIDE COMMUNITY RESOURCES AS WELL AS ADDRESS BARRIERS TO ACCESSING HEALTHCARE SERVICES. Schedule H, Part VI, Line 6 Affiliated health care system BLH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON BATTLE CREEK HOSPITAL, BRONSON SOUTH HAVEN HOSPITAL, AND BRONSON METHODIST HOSPITAL. ALL OF THESE HOSPITALS ARE CONTROLLED BY BRONSON HEALTHCARE GROUP, WHICH IS A COMMUNITY-OWNED AND GOVERNED NON-FOR-PROFIT HOLDING COMPANY. THE BRONSON HEALTHCARE GROUP (BHG) BOARD IS COMPRISED OF 22 MEMBERS FROM THE COMMUNITIES IT SERVES. EACH OF THE THREE HOSPITALS IN THE BRONSON HEALTHCARE SYSTEM ADMITS PATIENTS REGARDLESS OF ABILITY TO PAY AND PROVIDES OUTREACH SERVICES TO THEIR RESPECTIVE COMMUNITIES. IN ADDITIONAL TO THE FOUR HOSPITALS, THE BHG SYSTEM INCLUDES SEVERAL SMALLER ENTITIES WHOSE ACTIVITIES SUPPORT THE HOSPITALS AND THEIR MISSION OF "TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES." THESE ENTITIES INCLUDE: BRONSON HEALTHCARE GROUP, BRONSON COMMONS, BRONSON LIFESTYLE IMPROVEMENT & RESEARCH CENTER, BRONSON HEALTH FOUNDATION, BRONSON AT HOME, VAN BUREN EMERGENCY MEDICAL SERVICES, AND BRONSON PROPERTIES CORPORATION. Schedule H, Part VI, Line 7 State filing of community benefit report MI false BRONSON HEALTHCARE GROUP 2825 AIRVIEW BLVD KALAMAZOO MI 49002 382418383 501(C)(3) 15000000 GENERAL SUPPORT 1 0 X X true true false true false false false false false false false Bill Manns President and CEO 0 1257645 0 494033 0 304529 0 1491952 0 21433 0 3569592 0 778523 Mahesh C Karamchandani Director (THRU 12/2024) 0 687064 0 71723 0 39627 0 21900 0 16220 0 836534 0 0 William Workman Director/System Vice Chief of Staff 0 456821 0 54106 0 19012 0 16950 0 21485 0 568374 0 0 Rebecca L East Sr VP CFO 0 556026 0 170570 0 160148 0 383329 0 21982 0 1292055 0 328607 James Falahee Sr VP Legal & Leg. Affairs 0 500645 0 148090 0 97812 0 323598 0 15313 0 1085458 0 239151 Cheryl Johnson Sr VP Chief People Officer 0 390489 0 122205 0 75908 0 276993 0 15227 0 880822 0 193796 Scott Larson MD Sr VP Medical Affairs/CMO 0 267384 0 153443 0 114859 0 25224 0 11936 0 572846 0 265156 Susan Reinoehl Sr VP Strategy & Comm 0 327318 0 105024 0 25920 0 205027 0 7544 0 670833 0 100024 Michael S Way Sr VP Mat. Mgt. & Facility Svs. 0 305780 0 99376 0 28566 0 195264 0 20299 0 649285 0 94376 Christine Sangalli-Davis VP Chief Compliance Officer 0 252434 0 41171 0 3148 0 69272 0 6835 0 372860 0 41171 Matthew Dommer Vice President, COO/VPMA - BLH/BSHH 389318 0 81358 0 24019 0 78096 0 19934 0 592725 0 68777 0 Tamayi Bwititi Physician 264579 0 27353 0 1853 0 9317 0 20480 0 323582 0 0 0 Dexter Fossitt Internal Medicine 267089 0 23754 0 510 0 13760 0 20427 0 325540 0 0 0 Nilay Gandhi Physician 264973 0 28767 0 8635 0 13646 0 7113 0 323134 0 0 0 Hariton Kousourou Physician 325393 0 25317 0 4269 0 16247 0 15122 0 386348 0 0 0 Nadeem Mirza Psychiatry 285927 0 31000 0 24980 0 20964 0 15096 0 377967 0 0 0 John Jones JR Former Sr VP Community Care (THRU 2020) 0 0 0 0 0 122357 0 0 0 0 0 122357 0 122357 Schedule J, Part I, Line 1a Travel for companions THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL IS AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE TRAVEL IS TREATED AS A TAXABLE FRINGE BENEFIT. Schedule J, Part I, Line 1a Health or social club dues or initiation fees THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. HEALTH DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN DURING 2024: FALAHEE JR., JAMES B $91,061 SERP DISTRIBUTION EAST, REBECCA $158,037 SERP DISTRIBUTION JONES JR, JOHN $122,357 SERP DISTRIBUTION LARSON, SCOTT D $111,713 SERP DISTRIBUTION MANNS, BILL $284,490 SERP DISTRIBUTION JOHNSON, CHERYL $71,591 SERP DISTRBUTION THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A CONTRIBUTION TO THE PLAN. UNDER THE PLAN, CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AND VEST FIVE YEARS AFTER AMOUNTS ARE INITIALLY CONTRIBUTED. WAY, MICHAEL $60,805 SERP CONTRIBUTION REINOEHL, SUSAN $63,845 SERP CONTRIBUTION FALAHEE JR., JAMES B $92,043 SERP CONTRIBUTION EAST, REBECCA $105,388 SERP CONTRIBUTION MANNS, BILL $795,073 SERP CONTRIBUTION JOHNSON, CHERYL $67,702 SERP CONTRIBUTION Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS 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, Line 15 GOVERNANCE, MANAGEMENT, AND DISCLOSURE THE SR VP/CFO & CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE VICE CHAIR OF THE FINANCE COMMITTEE TO REVIEW THE PREPARED FORM 990 AND SCHEDULES PRIOR TO PROVIDING A COPY TO THE FULL FINANCE COMMITTEE. THE FINANCE COMMITTEE OF THE BOARD REVIEWED THE PREPARED FORM 990S AT ITS REGULARLY SCHEDULED MEETING ON OCTOBER 21, 2024. THE REVIEW WAS LED BY THE SR VP/CFO AND PLANTE MORAN. THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY WERE PROVIDED THE FINAL FORM 990 FOR REVIEW. 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, Line 6 Classes of members or stockholders BRONSON HEALTHCARE GROUP IS THE SOLE MEMBER OF BRONSON LAKEVIEW HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON LAKEVIEW HOSPITAL (BLH) AND AS SUCH MEMBER IT ELECTS 10-15 OF THE TOTAL 20-24 MEMBERS OF THE BLH BOARD. COMMUNITY PARTNERS SHALL, AFTER CONSULTING WITH AND SEEKING INPUT FROM THE NOMINATING COMMITTEE OF BHG, APPOINT 6 MEMBERS TO THE BOARD. THE REMAINING 3 MEMBERS OF THE BOARD SHOULD BE EX OFFICIO, WITH VOTE, AND SHALL CONSIST OF THE PRESIDENT, THE CHIEF OF STAFF, AND IMMEDIATE PAST CHIEF OF THE MEDICAL STAFF OF THE HOSPITAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON LAKEVIEW HOSPITAL (BLH) AND HAS CERTAIN RESERVED POWERS OVER THE ACTIONS OF BLH. THE BOARD OF DIRECTORS HAS THE POWER TO: -AMENDMENT, RESTATEMENT, OR REPEAL OF THE HOSPITALS ARTICLES OF INCORPORATION OR BYLAWS. -ADOPTION, EXECUTION, REVOCATION, OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, REORGANIZATION, OR OTHER MAJOR CHANGE IN CORPORATE STRUCTURE INVOLVING THE HOSPITAL. -SALE, LEASE EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITALS PROPERTY AND ASSETS. -ACQUISITION OF ANY OTHER ENTITY OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE. -ADOPTION OF ALL OPERATING AND CAPITAL EXPENDITURE BUDGETS. -INCUR OPERATING OR CAPITAL EXPENDITURES WHICH CAUSE AGGREGATE OPERATING OR CAPITAL EXPENDITURES TO EXCEED BUDGETED AGGREGATES AND/OR THE DOLLAR AMOUNT SPECIFIED BY BHG. -SECURE BORROWINGS, WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTERESTS APPROVED AS A PART OF A BUDGET. -CHANGE THE MISSION STATEMENT, PURPOSES, OR STRATEGIC GOALS OF THE HOSPITAL. -ANY SIGNIFICANT CHANGE IN THE SCOPE OF SERVICES OR PROGRAMS. -APPOINTMENT, REMOVAL OR COMPENSATION OF THE PRESIDENT OR ANY DIRECTOR OR OFFICER. Form 990, Part VI, Line 11b Review of form 990 by governing body THE SR VP/CFO & CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE CHAIR OF THE FINANCE COMMITTEE TO REVIEW THE PREPARED FORM 990 AND SCHEDULES PRIOR TO PROVIDING A COPY TO THE FULL FINANCE COMMITTEE. THE FINANCE COMMITTEE OF THE BOARD REVIEWED THE PREPARED FORM 990S AT ITS REGULARLY SCHEDULED MEETING ON OCTOBER 20, 2025. THE REVIEW WAS LED BY THE SR VP/CFO AND PLANTE MORAN. THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY WERE PROVIDED THE FINAL FORM 990 FOR REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy 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 BODY'S DELIBERATIONS AND DECISION ON THE TRANSACTION IN QUESTION. Form 990, Part VI, Line 19 Required documents available to the public 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 VIII, Line 11d Other Miscellaneous Revenue NON OPERATING MISCELLANEOUS REVENUE - Total Revenue: 6984, Related or Exempt Function Revenue: 6984, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PURCHASE DISCOUNTS - Total Revenue: 4398, Related or Exempt Function Revenue: 4398, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO/FROM AFFILIATE - 23514; Total - 23514; BRONSON HEALTHCARE GROUP 2825 AIRVIEW BLVD KALAMAZOO MI 49002 382418383 PROVIDE SUPPORT SERVICES MI 501(c)(3) Type III-FI NA false BRONSON METHODIST HOSPITAL 2825 AIRVIEW BLVD KALAMAZOO MI 49002 381359087 HOSPITAL MI 501(c)(3) 3 BRONSON HEALTHCARE GROUP false BRONSON HEALTH FOUNDATION 2825 AIRVIEW BLVD KALAMAZOO MI 49002 382415081 SUPPORTS HEALTHCARE ORGANIZATION MI 501(c)(3) 11 BRONSON HEALTHCARE GROUP false BRONSON COMMONS 23332 RED ARROW HWY MATTAWAN MI 49071 382842451 SKILLED NURSING MI 501(c)(3) 10 BRONSON HEALTHCARE GROUP false VBEMS 39338 W RED ARROW HWY PAW PAW MI 49079 382745910 AMBULANCE SERVICES MI 501(c)(3) 10 BRONSON HEALTHCARE GROUP false BRONSON PROPERTIES CORPORATION 2825 AIRVIEW BLVD KALAMAZOO MI 49002 386052573 PROVIDE SUPPORT SERVICES MI 501(c)(3) Type II BRONSON HEALTHCARE GROUP false BRONSON BATTLE CREEK HOSPITAL 300 NORTH AVE BATTLE CREEK MI 49017 382776791 HOSPITAL MI 501(c)(3) 3 BRONSON HEALTHCARE GROUP false BRONSON AT HOME 2825 AIRVIEW BLVD KALAMAZOO MI 49002 383298476 NURSING, HOSPICE, & EQUIP SALES MI 501(c)(3) 10 BRONSON HEALTHCARE GROUP false BRONSON SOUTH HAVEN HOSPITAL 955 S BAILEY AVE SOUTH HAVEN MI 49090 381676780 HOSPITAL MI 501(c)(3) 3 BRONSON HEALTHCARE GROUP false HNI LEASING LLC 6212 AMERICAN AVE PORTAGE MI 49002 383638430 SUPPORT SERVICES MI NA N/A false false HOSPITAL NETWORK VENTURES 6212 AMERICAN AVE PORTAGE MI 49002 263302979 SUPPORT SERVICES MI NA N/A false false BRONSON AMBULATORY SURGERY CENTER LLC 2825 AIRVIEW BLVD KALAMAZOO MI 49002 842884815 SUPPORT SERVICES MI NA N/A false false BRONSON MANAGEMENT SERVICES CORPORATION 2825 AIRVIEW BLVD KALAMAZOO MI 49007 382415032 OTHER MEDICAL SERVICES MI NA C Corporation false BRONSON LIFESTYLE AND IMPROVEMENT RESEARCH CENTER 2825 AIRVIEW BLVD KALAMAZOO MI 49007 383552556 REHABILITATION SERVICES MI NA C Corporation false false true true false false false false true false false true true true false true false false false false