BRONSON METHODIST HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: BRONSON METHODIST HOSPITAL (EIN 38-1359087)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-09
IRS object ID: 201803139349302935
Schema version: 2017v2.3
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	2018-11-09T16:28:28-06:00	ReturnTs
Tax Period End	2017-12-31	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	2017-01-01	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	2018-11-07	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	2018-11-07	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.59.56.31	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-07	IPDt
IP Tm	12:53:58	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	10D40757338076D52CC4237D125AC571E9019363	AtSubmissionCreationDeviceId
At Submission Filing Device Id	75C7EC6AC54A61BA087900A4F9B91D17BA572CD0	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$890,187,967	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	22	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	5408	TotalEmployeeCnt
Total Volunteers	333	TotalVolunteersCnt
Total Gross UBI	$13,709,447	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$37,629	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$612,650	PYContributionsGrantsAmt
CY Contributions Grants	$609,622	CYContributionsGrantsAmt
PY Program Service Revenue	$818,442,411	PYProgramServiceRevenueAmt
CY Program Service Revenue	$867,052,673	CYProgramServiceRevenueAmt
PY Investment Income	$9,538,452	PYInvestmentIncomeAmt
CY Investment Income	$14,295,562	CYInvestmentIncomeAmt
PY Other Revenue	$6,097,192	PYOtherRevenueAmt
CY Other Revenue	$7,979,669	CYOtherRevenueAmt
PY Total Revenue	$834,690,705	PYTotalRevenueAmt
CY Total Revenue	$889,937,526	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,200,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,659,057	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$435,319,626	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$476,571,775	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$336,309,515	PYOtherExpensesAmt
CY Other Expenses	$348,911,264	CYOtherExpensesAmt
PY Total Expenses	$775,829,141	PYTotalExpensesAmt
CY Total Expenses	$830,142,096	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,861,564	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$59,795,430	CYRevenuesLessExpensesAmt
Total Assets BOY	$914,985,316	TotalAssetsBOYAmt
Total Assets EOY	$977,842,382	TotalAssetsEOYAmt
Total Liabilities BOY	$325,155,409	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$302,844,291	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$589,829,907	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$674,998,091	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	$546,401,798	ExpenseAmt
Grant	$4,659,057	GrantAmt
Revenue	$728,455,613	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 91,000 VISITS PER YEAR. BMH TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. BMH WAS THE RECIPIENT OF THE 2005 MALCOLM BALDRIDGE NATIONAL QUALITY AWARD, THE NATION'S HIGHEST PRESIDENTIAL HONOR FOR QUALITY AND ORGANIZATIONAL PERFORMANCE EXCELLENCE. IN 2009, THE HOSPITAL RECEIVED THE AHA MCKESSON QUEST FOR QUALITY PRIZE AWARDED ANNUALLY TO ONLY ONE U.S. HOSPITAL, AND JOINED THE TOP FIVE PERCENT OF HOSPITALS IN THE NATION TO BE DESIGNATED A MAGNET HOSPITAL FOR NURSING EXCELLENCE.BMH PROVIDES A DISPROPORTIONATE AMOUNT OF CARE TO THE SEGMENT OF THE POPULATION USING MEDICAID. BMH IS THE LARGEST MEDICAID PROVIDER OF ANY LARGE HOSPITAL IN MICHIGAN OUTSIDE OF THE DETROIT AREA (ON A PERCENATAGE BASIS). IN 2017, APPROXIMATELY 19% 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 2017, IN FURTHERANCE OF ITS MISSION, BMH PROVIDED $11,230,934 IN CHARITY CARE EXPENSE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$155,469,995	ExpenseAmt
Revenue	$125,713,470	RevenueAmt
Desc	IN 2017, BMH'S MEDICAID COST WAS $155,469,995 AND MEDICAID NET REVENUE WAS $125,713,470.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$24,901,272	ExpenseAmt
Desc	IN 2017, IN FURTHERANCE OF ITS MISSION, BMH INCURRED $24,901,272 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$726,773,065	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	188	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5408	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	22	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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 (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PARFET DONALD
CHAIRPERSON	1.00	8.00	Yes (X)	Yes (X)	$0	$998	$0
EBERTS RANDALL
VICE CHAIRPERSON	1.00	8.00	Yes (X)	Yes (X)	$0	$2,283	$0
KARRE NELSON
VICE CHAIRPERSON	1.00	8.00	Yes (X)	Yes (X)	$0	$0	$0
JAMES BARBARA
TREASURER	1.00	8.00	Yes (X)	Yes (X)	$0	$1,830	$0
NYBERG NEIL
SECRETARY	1.00	8.00	Yes (X)	Yes (X)	$0	$987	$0
LAWLOR JOHN
CHIEF OF STAFF	1.00	8.00	Yes (X)	Yes (X)	$436,671	$0	$30,155
ALLEN RICHARD
DIRECTOR	1.00	8.00	Yes (X)		$0	$0	$0
ATKINSON MARK B
DIRECTOR	1.00	8.00	Yes (X)		$0	$2,196	$0
FINK KATY
DIRECTOR	1.00	8.00	Yes (X)		$0	$0	$0
GIBSON SCOTT
DIRECTOR	1.00	8.00	Yes (X)		$43,225	$0	$0
GONZALEZ JORGE G
DIRECTOR	1.00	8.00	Yes (X)		$0	$0	$0
GREENE JAMES E
DIRECTOR	1.00	8.00	Yes (X)		$0	$2,309	$0
HUNT BRENDA
DIRECTOR	1.00	8.00	Yes (X)		$0	$0	$0
JOHNSTON WILLIAM
DIRECTOR	1.00	8.00	Yes (X)		$0	$0	$0
KARAMCHANDANI MAHESH C
DIRECTOR	1.00	8.00	Yes (X)		$723,489	$0	$30,724
LANE-DAVIES AARON
PAST CHIEF OF STAFF	1.00	8.00	Yes (X)		$262,868	$0	$35,412
LIGGINS JAMES L
DIRECTOR	1.00	8.00	Yes (X)		$0	$2,557	$0
LINS STEVEN J
DIRECTOR	1.00	8.00	Yes (X)		$0	$1,176	$0
MONTGOMERY TABRON LA JUNE
DIRECTOR	1.00	8.00	Yes (X)		$0	$0	$0
ODAR MICHAEL
DIRECTOR	1.00	8.00	Yes (X)		$0	$1,116	$0
ZELLER CHARLES
DIRECTOR	1.00	8.00	Yes (X)		$0	$736	$0
SARDONE FRANK J
PRESIDENT AND CEO	23.60	16.40	Yes (X)	Yes (X)	$0	$1,455,276	$414,238
EAST REBECCA L
SR VP CFO BHG	23.60	16.40		Yes (X)	$0	$627,307	$167,915
FALAHEE JAMES
SR VP LEGAL & LEG. AFFAIRS	23.60	16.40		Yes (X)	$0	$666,937	$168,771
HARRELSON KATHLEEN M
SR VP, CLINICAL OPERATIONS	23.60	16.40		Yes (X)	$0	$673,301	$183,984
HAYDEN JOHN
VP & CHIEF HR OFFICER	23.60	16.40		Yes (X)	$0	$537,234	$143,416
JONES JR JOHN L
SR. VP, REG. & PHYS. SVS.	23.60	16.40		Yes (X)	$0	$667,296	$184,862
LARSON SCOTT
SR VP MEDICAL AFFAIRS/CMO	23.60	16.40		Yes (X)	$0	$743,968	$155,712
GOEL ASHUTOSH
CHIEF MED INFORMATICS OFFI	23.60	16.40			$0	$453,912	$95,562	Yes (X)
SANGALLI-DAVIS CHRISTINE
VP CHIEF COMPLIANCE OFFICER	23.60	16.40			$0	$207,167	$57,531	Yes (X)
TRELLA REBECCA
VP POST ACUTE CARE	23.60	16.40			$0	$300,210	$69,453	Yes (X)
WAY MICHAEL S
VP MAT. MGT. & FACILITY SV	23.60	16.40			$0	$290,739	$81,321	Yes (X)
FABI ALAIN
PHYSICIAN	40.00				$3,121,257	$0	$34,365		Yes (X)
KASTEN MICHAEL
PHYSICIAN	40.00				$1,703,571	$0	$34,193		Yes (X)
ROBERTS JASON
PHYSICIAN	40.00				$1,341,428	$0	$33,534		Yes (X)
SYTSMA MARK
PHYSICIAN	40.00				$1,321,208	$0	$32,650		Yes (X)
WIGGINS GREGORY
PHYSICIAN	40.00				$1,891,259	$0	$34,159		Yes (X)
KEN TAFT
FORMER EXECUTIVE VICE PRESIDENT	0.00	0.00			$0	$190,311	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,844,976	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,829,846	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,987,957	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	429	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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	$2,153,232
KALAMAZOO ANESTHESIOLOGY PC
900 PEELER	KALAMAZOO	MI	49008	MEDICAL SERVICES	$1,770,605
HAYES LOCUMS LLC
6700 N ANDRE STREET 600	FORT LAUDERDALE	FL	33309	MEDICAL SERVICES	$1,623,024
COMPHEALTH MEDICAL STAFFING
PO BOX 972670	DALLAS	TX	753972670	MEDICAL SERVICES	$1,547,887
SW MI EMERGENCY SERVICES PC
125 S KALAMAZOO MALL SUITE 204	KALAMAZOO	MI	49007	MEDICAL SERVICES	$1,358,926

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Related Organizations	$590,665	RelatedOrganizationsAmt
All Other Contributions	$18,957	AllOtherContributionsAmt
Total Contributions	$609,622	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$846,646,368	$846,646,368
LABORATORY REVENUE	541380	$7,637,864		$7,637,864
PHARMACY REVENUE	446110	$6,001,069		$6,001,069
MEANINGFUL USE & PGIP REVENUE	900099	$4,832,936	$4,832,936
OUTSIDE SERVICE REVENUE	900099	$1,901,472	$1,901,472

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,964	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32,964	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$867,052,673	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,140,690	TotalRevenueColumnAmt
Exclusion	$14,140,690	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$580,921	RealAmt
Personal	$160,886	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$91,457	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$580,921	RealAmt
Personal	$69,429	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$650,350	TotalRevenueColumnAmt
Unrelated Business Revenue	$69,429	UnrelatedBusinessRevenueAmt
Exclusion	$580,921	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$313,856	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$158,984	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$154,872	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$154,872	TotalRevenueColumnAmt
Exclusion	$154,872	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA EMPLOYEE REVENUE	722310	$4,786,979	$1,085	$4,785,894
GIFT SHOP REVENUE	453220	$794,952		$794,952
CLASS INSTRUCTION REVENUE	900099	$755,343			$755,343

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$992,045	TotalRevenueColumnAmt
Exclusion	$992,045	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,329,319	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$889,937,526	TotalRevenueColumnAmt
Related Or Exempt Func Income	$854,169,083	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$13,709,447	UnrelatedBusinessRevenueAmt
Exclusion	$21,449,374	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,659,057	TotalAmt
Program Services	$4,659,057	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,466,253	TotalAmt
Management And General	$1,466,253	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$393,474,323	TotalAmt
Program Services	$336,058,608	ProgramServicesAmt
Management And General	$57,415,715	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,675,000	TotalAmt
Program Services	$6,585,324	ProgramServicesAmt
Management And General	$89,676	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$55,328,765	TotalAmt
Program Services	$49,795,888	ProgramServicesAmt
Management And General	$5,532,877	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,627,434	TotalAmt
Program Services	$19,611,733	ProgramServicesAmt
Management And General	$15,701	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,143,356	TotalAmt
Management And General	$3,143,356	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$58,732,133	TotalAmt
Program Services	$58,593,056	ProgramServicesAmt
Management And General	$139,077	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$67,959	TotalAmt
Program Services	$67,959	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,019,522	TotalAmt
Program Services	$15,973,785	ProgramServicesAmt
Management And General	$45,737	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,060	TotalAmt
Program Services	$10,060	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,374,266	TotalAmt
Program Services	$14,300,469	ProgramServicesAmt
Management And General	$73,797	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,062,913	TotalAmt
Program Services	$1,055,500	ProgramServicesAmt
Management And General	$7,413	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$708,021	TotalAmt
Program Services	$708,021	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,693,051	TotalAmt
Program Services	$10,693,051	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,686,960	TotalAmt
Program Services	$30,372,581	ProgramServicesAmt
Management And General	$314,379	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,100,378	TotalAmt
Program Services	$3,386,030	ProgramServicesAmt
Management And General	$714,348	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$139,564,973	$139,564,973
BHG ALLOCATION EXPENSE	$35,569,920	$1,170,571	$34,399,349
BAD DEBT EXPENSE	$24,901,272	$24,901,272
EQUIPMENT MAINTE/REPAIR	$8,189,977	$8,189,977

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,086,503	TotalAmt
Program Services	$1,075,150	ProgramServicesAmt
Management And General	$11,353	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$830,142,096	TotalAmt
Program Services	$726,773,065	ProgramServicesAmt
Management And General	$103,369,031	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,306	BOYAmt
EOY	$77,264,485	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$463,921,401	BOYAmt
EOY	$443,457,477	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$100,829,687	BOYAmt
EOY	$111,599,718	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,734,028	BOYAmt
EOY	$10,135,927	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$705,212	BOYAmt
EOY	$846,420	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$683,140,790	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$412,184,458	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$275,070,320	BOYAmt
EOY	$270,956,332	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$35,822,797	BOYAmt
EOY	$36,378,327	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	$684,869	BOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$914,985,316	BOYAmt
EOY	$977,842,382	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$54,394,868	BOYAmt
EOY	$50,313,213	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$253,210,076	BOYAmt
EOY	$246,725,512	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,872,156	BOYAmt
EOY	$3,059,378	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,678,309	BOYAmt
EOY	$2,746,188	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$325,155,409	BOYAmt
EOY	$302,844,291	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$589,829,907	BOYAmt
EOY	$674,998,091	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$589,829,907	BOYAmt
EOY	$674,998,091	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$914,985,316	BOYAmt
EOY	$977,842,382	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$59,795,430	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$24,845,162	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$527,592	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,152,699	OtherCostOrOtherBasisAmt
Book Value	$11,152,699	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$404,528,046	OtherCostOrOtherBasisAmt
Depreciation	$207,308,090	DepreciationAmt
Book Value	$197,219,956	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$871,902	OtherCostOrOtherBasisAmt
Depreciation	$367,131	DepreciationAmt
Book Value	$504,771	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$253,104,510	OtherCostOrOtherBasisAmt
Depreciation	$204,509,237	DepreciationAmt
Book Value	$48,595,273	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,483,633	OtherCostOrOtherBasisAmt
Book Value	$13,483,633	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$270,956,332	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$1,725,077
THIRD PARTY CONTRACTUAL SETTLEMENTS	$1,021,111

Field	Value	IRS element (for citing)
Total Liability	$2,746,188	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$864,841,000	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$24,901,423	OtherRevenueAmt
Revenue Not Reported	-$24,901,423	RevenueNotReportedAmt
Revenue Subtotal	$889,742,423	RevenueSubtotalAmt
Other Revenues Not Included	$195,103	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$195,103	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$889,937,526	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$800,314,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$726,824	OtherExpensesIncludedAmt
Expenses Not Reported	-$726,824	ExpensesNotReportedAmt
Expenses Subtotal	$801,040,824	ExpensesSubtotalAmt
Other Expenses Not Included	$29,101,272	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$29,101,272	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$830,142,096	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT RECLASS TO EXPENSE -24,901,272. ROUNDING -151.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENT EXPENSE -91,457. GAIN ON SALE OF ASSETS RECLASS TO REVENUE 154,872. CONTRIBUTION FROM BHF BOOKED AS REDUCTION OF EXPENSE 131,688.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	JOINT VENTURE GAIN/(LOSS) -531,792. RENT EXPENSE 91,457. GAIN ON SALE OF ASSETS RECLASS TO REVENUE -154,872. ROUNDING 71. CONTRIBUTION FROM BHF BOOKED AS REDUCTION OF EXPENSE -131,688.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT RECLASS TO EXPENSE 24,901,272. NET ASSET TRANSFER AFFILIATE 4,200,000.

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	BRONSON METHODIST HOSPITAL INVESTED IN A FOREIGN INSURANCE COMPANY	TypeOfActivitiesConductedTxt
Region Total Expenditures	$88,575	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	$88,575	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$88,575	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

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	$4,247,786	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,247,786	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	131331	PersonsServedCnt
Total Community Benefit Expns	$155,469,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$125,713,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,756,525	NetCommunityBenefitExpnsAmt
Total Expense	0.03720	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	131331	PersonsServedCnt
Total Community Benefit Expns	$159,717,781	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$125,713,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,004,311	NetCommunityBenefitExpnsAmt
Total Expense	0.04250	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	117	ActivitiesOrProgramsCnt
Persons Served	32161	PersonsServedCnt
Total Community Benefit Expns	$764,015	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$764,015	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	57	ActivitiesOrProgramsCnt
Persons Served	1601	PersonsServedCnt
Total Community Benefit Expns	$40,972,006	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,923,784	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,048,222	NetCommunityBenefitExpnsAmt
Total Expense	0.04130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	3701	PersonsServedCnt
Total Community Benefit Expns	$1,928,269	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,928,269	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	212	ActivitiesOrProgramsCnt
Persons Served	37463	PersonsServedCnt
Total Community Benefit Expns	$43,664,290	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,923,784	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,740,506	NetCommunityBenefitExpnsAmt
Total Expense	0.04470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	212	ActivitiesOrProgramsCnt
Persons Served	168794	PersonsServedCnt
Total Community Benefit Expns	$203,382,071	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$133,637,254	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,744,817	NetCommunityBenefitExpnsAmt
Total Expense	0.08720	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	800	PersonsServedCnt
Total Community Benefit Expns	$5,546	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,546	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$48,679	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,679	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$22,814	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,814	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	71	PersonsServedCnt
Total Community Benefit Expns	$99,001	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$99,001	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	871	PersonsServedCnt
Total Community Benefit Expns	$176,040	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$176,040	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,901,272	BadDebtExpenseAmt
Bad Debt Expense Attributable	$486,463	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$129,121,295	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$130,783,609	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,662,314	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	16	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	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
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	HTTPS://WWW.BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE-POLICY	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/FINANCIAL-ASSIST	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/PLAIN-LANGUAGE-P	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
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BRONSON METHODIST HOSPITAL	PART V, SECTION B, LINE 5: BRONSON METHODIST HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENTED THE COMMUNITY USING THREE METHODS; FOCUS GROUPS, SURVEYS, AND KEY INFORMANT INTERVIEWS. FIVE DEMOGRAPHIC-SPECIFIC FOCUS GROUPS WERE CONDUCTED WITH OLDER ADULTS, SENIORS, LOW INCOME FAMILIES, MEN WITH CHILDREN AND INDIVIDUALS WITH DISABILITIES TO GAIN A DEEPER INSIGHT INTO COMMUNITY HEALTH NEEDS AMONG VULNERABLE POPULATIONS. A COMMUNITY WIDE SURVEY SEEKING INPUT FROM COMMUNITY MEMBERS PERTAINING TO HEALTH NEEDS AND BARRIERS WAS CONDUCTED JANUARY 7, 2016 AND JANUARY 31, 2016. THE SURVEY WAS AVAILABLE IN BOTH ON-LINE AND WRITTEN FORM AND WAS WIDELY PROMOTED AND AVAILABLE THROUGHOUT THE COMMUNITY. FOCUSED EFFORTS WERE UNDERTAKEN TO INCREASE PARTICIPATION BY VULNERABLE POPULATIONS. AS A RESULT, 3190 COMPLETED SURVEYS WERE RECEIVED AND ANALYZED. IN ADDITION, 13 KEY INFORMANT INTERVIEWS WERE CONDUCTED ASSESSING STAKEHOLDER PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE KEY INFORMANTS INCLUDED PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY AND KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH. KEY INFORMANTS INCLUDED: -LISA MARSHALL, DIRECTOR SINDECUSE MEDICAL CENTER-LARRY SCHAFFER, MANAGER CITY OF PORTAGE-GRACE LUBWAMA, CEO YWCA-RACHEL VILLANUEVA, GOSPEL MISSION HOMELESS SHELTER-YASAMAN BLACK, KALAMAZOO HEALTH DEPARTMENT-JEFF PATTON, CEO KCMHSAS-GITTI ROSSI, LEADER LOY NORRIX HIGH SCHOOL CHILDCARE CENTER-DALE ANDERSON, OWNER CONFECTIONS WITH CONVICTIONS-LISA FULLER, CEO SENIOR SERVICES-MICHELLE SMITH, CLINICAL NURSE LEADER BRONSON METHODIST HOSPITAL EMERGENCY DEPARTMENT-DR. BILL MAYER, CEO FEDERATION CARE NETWORK-LISA AILSTOCK, DIRECTOR STUDENT HEALTH KALAMAZOO COLLEGE-THOMAS HARWOOD, DEPUTY SUPERINTENDENT KRESA
BRONSON METHODIST HOSPITAL	PART V, SECTION B, LINE 6A: BRONSON LAKEVIEW HOSPITALBRONSON BATTLE CREEK HOSPITAL
BRONSON METHODIST HOSPITAL	PART V, SECTION B, LINE 6B: KALAMAZOO FAMILY HEALTH CENTERKALAMAZOO COMMUNITY MENTAL HEALTH & SUBSTANCE ABUSE SERVICES
BRONSON METHODIST HOSPITAL	PART V, SECTION B, LINE 11: THE CHNA PROCESS INCLUDED A PRIORITIZATION OF HEALTH NEEDS BASED UPON CONSENSUS CRITERIA, INCLUDING: MAGNITUDE OF NEED, MEASURABLE OUTCOMES, BRONSON CAPABILITIES, EVIDENCE FOR EFFECTIVE INTERVENTIONS, COMMUNITY COMMITMENT, AND CONSISTENCY WITH BRONSON STRATEGY. AT THE CONCLUSION OF THIS PRIORITIZATION PROCESS, IMPROVING ACCESS TO CARE WAS SELECTED AS THE FOCUS FOR COMMUNITY HEALTH ACTIVITIES IN 2016-2019. THIS FOCUSED EFFORT WILL REQUIRE SUBSTANTIAL FINANCIAL AND STAFFING RESOURCES AS WELL AS SIGNIFICANT COLLABORATIONS WITH COMMUNITY ORGANIZATIONS. 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 LIMIT OUR INITIAL FOCUS TO THIS TOP PRIORITY HEALTH NEED. OTHER NEEDS IDENTIFIED INCLUDE OBESITY, LACK OF MENTAL HEALTH SUPPORT, CHRONIC DISEASE MANAGEMENT, ADDICTION PREVENTION, SAFETY, SOCIAL HEALTH, AND SEXUAL HEALTH. WHILE THESE HEALTH NEEDS WERE NOT THE PRIORITY AREA, BRONSON CONTINUES TO COLLABORATE AND PARTNER WITH THOSE AGENCIES BETTER SUITED TO HAVE AN IMPACT IN THESE AREAS AND BRONSON ANTICIPATES THAT IMPROVING ACCESS TO QUALITY CARE WILL IMPACT AND IMPROVE OUTCOMES FOR MANY OF THE OTHER NEEDS IDENTIFIED IN THE CHNA. THE ACCESS OF CARE PLAN IS ATTACHED TO THE 990 FOR REFERENCE OF AREAS NOT BEING ADDRESSED AT THIS TIME.
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 7A	WWW.BRONSONHEALTH.COM/APP/FILES/PUBLIC/2302/BMH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDF
PART V, SECTION B, LINE 10A	WWW.BRONSONHEALTH.COM/APP/FILES/PUBLIC/5040/BMH-ACCESS-TO-CARE-IMPLEMENTATION-2017.PDF

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 (14 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% OF FPL IS ENTITLED TO A 100% REDUCTION250% OF FPL IS ENTITLED TO A 90% REDUCTION300% OF FPL IS ENTITLED TO A 75% REDUCTION350% OF FPL IS ENTITLED TO A 65% 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.(F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A),BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE INTHIS COLUMN IS $24,901,272
PART II, COMMUNITY BUILDING ACTIVITIES:	BRONSON METHODIST HOSPITALS COMMUNITY BUILDING ACTIVITIES GENERALLY FALL WITHIN ONE OF THE THREE AREAS: COMMUNITY SUPPORT, COALITION BUILDING, OR COMMUNITY HEALTH IMPROVEMENT. IN COMMUNITY SUPPORT, BRONSON SUPPORTED EARLY CHILDHOOD LITERACY BY PROVIDING THE FAMILIES OF EVERY NEWBORN A BOOK TO PROMOTE READING; 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. BRONSON'S COALITION BUILDING ACTIVITIES INCLUDE SUPPORTING A YOUTH RESIDENT READING PROGRAM AT THE KALAMAZOO COUNTY JUVENILE HOME. COMMUNITY HEALTH IMPROVEMENT HAS INVOLVED PATIENT ADVOCACY THROUGH CASE MANAGEMENT, ENROLLMENT OUTREACH AND COLLABORATION WITH COMMUNITY AGENCIES TO SERVE VULNERABLE POPULATIONS LIKE THE VETERAN COMMUNITY ACTION TEAM HEALTHCARE SUBCOMMITTEE AND VIOLENCE PREVENTION TASK FORCE. IN ADDITION, BRONSON FINANCIALLY SUPPORTS THE COUNTY MEDICAL CONTROL AUTHORITY, OFFENDER SUCCESS TASK FORCE, CRADLE KALAMAZOO TO REDUCE INFANT MORTALITY, THE SUBSTANCE ABUSE TASK FORCE AND SITS ON THE WEST MICHIGAN CANCER CENTER INSTITUTIONAL REVIEW BOARD EVALUATING CANCER RESEARCH PROTOCOLS INVOLVING PATIENTS.BRONSON METHODIST HOSPITAL (AND THE OTHER HOSPITALS THAT ARE PART OF THE BRONSON HEALTHCARE GROUP) CONDUCTED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016. PLEASE REFER TO SCHEDULE H, PART V, SECTION B, COMMUNITY HEALTH NEEDS ASSESSMENT, ALONG WITH SCHEDULE H, PART V, SECTION C SUPPLEMENTAL INFORMATION, FOR A FULL DESCRIPTION OF THE CHNA. THE CHNA PROCESS INCLUDED A PRIORITIZATION OF HEALTH NEEDS BASED UPON CONSENSUS CRITERIA, INCLUDING: MAGNITUDE OF NEED, MEASURABLE OUTCOMES, BRONSON CAPABILITIES, EVIDENCE FOR EFFECTIVE INTERVENTIONS, COMMUNITY COMMITMENT, AND CONSISTENCY WITH BRONSON STRATEGY. AT THE CONCLUSION OF THIS PRIORITIZATION PROCESS, IMPROVING ACCESS TO CARE WAS SELECTED AS THE FOCUS FOR COMMUNITY HEALTH ACTIVITIES IN 2016-2019.
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:	AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA RELATED TO THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES 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 A SIGNIFICANT PROVISION FOR BAD DEBTS 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. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. THIS 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 7: BRONSON METHODIST HOSPITAL EXPERIENCES ADDITIONAL COMMUNITY BENEFIT EXPENSE OF $98,798,948 AND DIRECT OFFSETTING REVENUE OF $79,349,023 FOR A NET COMMUNITY BENEFIT OF $19,449,925 RELATED TO SERVICES PROVIDED TO MEDICARE ADVANTAGE INSUREDS.
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. 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.
PART VI, LINE 2:	BRONSON METHODIST HOSPITAL 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. SEVERAL SOURCES ARE UTILIZED TO PERFORM THIS ASSESSMENT. THE SOURCES FOR THE LATEST STRATEGIC INPUT DOCUMENT ARE LISTED BELOW.STATISTICAL SOURCES FOR DETERMINING COMMUNITY HEALTH NEEDS INCLUDED:- U. S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY- MICHIGAN INPATIENT DATABASE- MICHIGAN RESIDENT INPATIENT FILES, DIVISION FOR VITAL RECORDS AND HEALTH STATISTICS- MICHIGAN CAMPAIGN TO END HOMELESSNESS- 2015 COUNTY HEALTH RANKINGS- MICHIGAN DEPARTMENT OF COMMUNITY HEALTH- BEHAVIORAL RISK FACTOR SURVEY, EPIDEMIOLOGY COUNTS FOR SEXUALLY TRANSMITTED INFECTIONS, 2013 GEOCODED MICHIGAN DEATH REGISTRY, MICHIGAN RESIDENT BIRTH FILE, REPORTABLE INFECTIOUS DISEASES, SURVEY OF PHYSCIANS- KALAMAZOO DEPARTMENT OF COMMUNITY HEALTH, KALAMAZOO BEHAVIORAL RISK FACTOR SURVEY- CENTER FOR DISEASE CONTROL AND PREVENTION, YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM- MICHIGAN DEPARTMENT OF EDUCATION, THE MICHIGAN PROFILE FOR HEALTHY YOUTHIN ADDITION, A COMMUNITY SPECIFIC SURVEY WAS DEVELOPED AND DEPLOYED TO COLLECT REAL-TIME DATA AND ALLOW FOR INPUT FROM THE COMMUNITY ON ISSUES RELATED TO HEALTH. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH LEADERS, COMMUNITY MEMBERS, AND REPRESENTATIVES OF ORGANIZATIONS SERVICING VULNERABLE AND MINORITY POPULATIONS. FOCUS GROUPS WERE HELD WITH DEMOGRAPHIC-SPECIFIC POPULATIONS, PARTICULARLY THE VULNERABLE, IN AN EFFORT TO GAIN DEEPER INSIGHT INTO COMMUNITY HEALTH NEEDS. THESE INCLUDED SENIORS, FAMILIES WITH LOW INCOME, AT-RISK YOUTH, AND MINORITIES.THE COMMUNITY ASSESSMENT IS SHARED WITH THE BOARD EVERY THREE YEARS USING OUR COMMUNITY LEADERSHIP MODEL. THREE YEAR PRIORITIES ARE THEN SET FOR OUR COMMUNITY HEALTH AND AN IMPLEMENTATION PLAN IS DEVELOPED.BRONSON METHODIST HOSPITAL ALSO COLLABORATES WITH THE KALAMAZOO COUNTY HEALTH AND HUMAN SERVICES FOR THE GATHERING OF HEALTH STATISTICS. IN ADDITION, BRONSON HAS BEEN A LEADER IN THE FOLLOWING COMMUNITY HEALTH COLLABORATIVES: HEALTHY FUTURES, IMMUNIZE-BY-TWO, HEALTHY BABY/HEALTHY START, READY TO READ, AFRICAN-AMERICAN HEALTH INITIATIVE, YOUTH VIOLENCE COALITION, HEALTH CONNECT, CRADLE KALAMAZOO, ENROLL KALAMAZOO, CHILDREN'S HEALTH ACCESS PROGRAM (CHAP), FREQUENT USER STSTEM ENGAGEMENT (FUSE) AND EMERGENCY PRESCRIPTION PROGRAM.
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 69% OF PATIENTS SERVED COME FROM WITHIN KALAMAZOO COUNTY AND THE OTHER 31% COME FROM THE REGIONAL COUNTIES OF: ALLEGAN, BARRY, BERRIEN, BRANCH, CASS, VAN BUREN, CALHOUN, EATON AND ST. JOSEPH. PATIENT DEMOGRAPHICS 14.13% <21 YEARS OF AGE 21.73% 21-39 YEARS OF AGE 35.92% 40-64 YEARS OF AGE 28.22% 65 YEARS OF AGE AND OLDER PATIENT DIVERSITY DEMOGRAPHICS 80.15% CAUCASIAN12.17% AFRICAN-AMERICAN 0.87% ASIAN 6.81% OTHER PATIENT INSURANCE DEMOGRAPHICS 45.81% PRIVATE INSURANCE 17.75% MEDICARE 14.48% MEDICARE AND SUPPLEMENTAL INSURANCE 19.15% MEDICAID OR OTHER PUBLIC ASSISTANCE 2.81% NO COVERAGE
PART VI, LINE 5:	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 22 MEMBERS OF THE COMMUNITY. FOUNDED IN 1900, BMH HAS AS ONE OF ITS FIVE CORE VALUES, COMMITMENT TO OUR COMMUNITY AND HAS HISTORICALLY DEMONSTRATED THIS VALUE BY CONTINUING TO DELIVER THE FULL CONTINUUM OF NEEDED MEDICAL SERVICES AND WORKING WITHIN COMMUNITY COLLABORATIVES TO ADDRESS COMMUNITY NEEDS. BMH PROVIDES A DISPROPORTIONATE AMOUNT OF CARE TO THE SEGMENT OF THE POPULATION USING MEDICAID. WE ARE THE LARGEST MEDICAID PROVIDER OF ANY LARGE HOSPITAL IN MICHIGAN OUTSIDE OF THE DETROIT AREA (ON A PERCENTAGE BASIS). IN 2017, APPROXIMATELY 19% 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 RESOURCESMUCH OF BMHS SERVICE TO THE COMMUNITY IS DIRECTED AT WOMENS AND CHILDRENS NEEDS. BRONSON IS THE ONLY CHILDRENS 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 CHILDRENS HOSPITAL ARE MEDICAID RECIPIENTS. AS A REGIONAL PERINATAL CENTER, BMH IS ALSO THE REGIONAL DESTINATION FOR HIGH-RISK PREGNANCY CARE. BMH'S 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.SERVICE TO COMMUNITYIN RECENT YEARS, BMH COLLABORATIVES HAVE INCLUDED HEALTHY FUTURES (BROAD COMMUNITY INITIATIVE TO ADDRESS HEALTH AND ECONOMIC ISSUES), HEALTHY BABY/ HEALTHY START (REDUCE INFANT MORTALITY), IMMUNIZE-BY-TWO, HEALTH CONNECT (PROVIDE COMMUNITY-WIDE PRIMARY CARE ACCESS) AND THE AFRICAN-AMERICAN HEALTH INITIATIVE (HEALTH PROMOTION AND SCREENING PROGRAM OFFERED THROUGH KALAMAZOOS AFRICAN-AMERICAN FAITH COMMUNITY).IN 2017, BMH DOCUMENTED IN EXCESS OF 200 EVENTS IN PROVIDING COMMUNITY BENEFIT ACTIVITIES WITH A NET VALUE OF APPROXIMATELY $70,000,000 IN COMMUNITY BENEFIT ACTIVITIES. ACTIVITIES INCLUDED BUT NOT LIMITED TO: ENROLL KALAMAZOO COUNTY, CHAP, FUSE AND NEONATAL ABSTINENCE SYNDROME COLLABORATIVE.ADRESSING DISPARITIESBMH IS LOCATED IN THE HEART OF DOWNTOWN KALAMAZOO, MICHIGAN AND IS THE CITY'S LARGEST EMPLOYER. BMH OPENED A NEW, REPLACEMENT HOSPITAL IN DECEMBER OF 2000 ACROSS THE STREET FROM ITS PREVIOUS FACILITY. THIS LOCATION WAS CHOSEN BECAUSE OF ANOTHER OF BRONSON'S CORE VALUES, CARE AND RESPECT FOR ALL PEOPLE. BMH IS LOCATED WHERE PERSONS MOST IN NEED CAN UTILIZE OUR SERVICES AND ACCESS US THROUGH PUBLIC TRANSPORTATION. THE ALIGNMENT OF OUR MISSION, VISION AND VALUES CREATES AN ENVIRONMENT WHERE ALL PERSONS ARE WELCOME AND PATIENTS ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY. FOR EXAMPLE, BRONSON'S TRAUMA AND EMERGENCY DEPARTMENT SEES MORE THAN 90,000 PATIENT VISITS PER YEAR. IN ADDITION, BMHS OUTREACH SERVICES WITH THE FEDERALLY QUALIFIED FAMILY HEALTH CENTER PROVIDE FOR AN IMPROVED CONTINUUM OF CARE FOR PATIENTS WHO ARE ON MEDICAID OR ARE UNDER-INSURED. BRONSON ALSO LEAD THE ENROLL KALAMAZOO COUNTY TO ENSURE INSURANCE ACCESS AND LEAD AND COLLABORATE WITH CRADLE KALAMAZOO TO DECREASE INFANT MORTALITY.COMMUNITY HEALTH STATUSBMH COLLABORATES WITH KALAMAZOO COUNTY HEALTH AND HUMAN SERVICES, WMED, BORGESS, THE FAMILY HEALTH CENTER AND THE COUNTY MEDICAL OFFICER AND REGULARLY DISCUSS HEALTH NEEDS AND EMERGING HEALTH TRENDS. THIS COLLABORATIVE, AN OFF-SHOOT OF HEALTHY FUTURES, MONITORS KALAMAZOO COUNTYS PERFORMANCE AGAINST HEALTHY PEOPLE 2010 GOALS. IT WAS THESE COMMUNITY HEALTH INDICATORS THAT INITIATED HEALTHY BABY/HEALTHY START, IMMUNIZE-BY-TWO AND THE AFRICAN-AMERICAN HEALTH INITIATIVE.COLLABORATION WITH COMMUNITY STAKEHOLDERSAS PREVIOUSLY MENTIONED, BMH SEEKS COMMUNITY COLLABORATORS AND STAKEHOLDERS AS PARTNERS IN MEETING COMMUNITY HEALTH NEEDS. TOWARDS THIS END, BMH ADMINISTRATORS SERVE ON SEVERAL COMMUNITY BOARDS INCLUDING: THE FAMILY HEALTH CENTER, SALVATION ARMY, MINISTRY WITH COMMUNITY, NEIGHBORHOOD ASSOCIATIONS, GREATER KALAMAZOO UNITED WAY, FAMILY AND CHILDRENS SERVICES, HOSPICE CARE OF SOUTHWEST MICHIGAN, HOSPITALITY HOUSE, GIRLS ON THE RUN, COMMUNITIES IN SCHOOLS, GREAT START COLLABORATIVE, DOUGLAS COMMUNITY ASSOCIATION AND THE SAFE KIDS COLLABORATIVE, WHICH BMH STAFFS. BMH HAS A THREE-PRONG APPROACH FOR COMMUNITY LEADERSHIP FOCUSING ON COMMUNITY HEALTH, COMMUNITY SERVICE AND ECONOMIC DEVELOPMENT.COMMUNITY HEALTH INITIATIVES:(SEE IMPLMENTATION PLAN)- IMPROVING ACCESS TO HEALTHCARE, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, AND COMPLEX CARE COORDINATION- IMPROVING OVERALL COMMUNITY HEALTH- CITIZEN-BASED EDUCATION AND RESEARCH ON HEALTH OUTCOMES- REDUCE DISPARITIES IN HEALTH OUTCOMES -THE RECENT FOCUS WAS ON CHILDHOOD SAFETY AND PREVENTION AND ACCESS/SCREENING/EDUCATION, INFANT MORTALITY, FREQUENT UTILLIZERS OF THE EMERGENCY DEPARTMENT WHO ARE HOMLESS AND CHAP- COLLABORATE WITH SOCIAL SERVICE AGENCIESAN EXAMPLE OF IMPROVING ACCESS: BMH HAS WORKED WITH COMMUNITY AGENCIES TO REDUCE BARRIERS AND IMPROVE ACCESS FOR UNDERSERVED POPULATIONS. THE HOSPITAL CO-FUNDS A GRADUATE MEDICAL RESIDENCY PROGRAM WITH NINE SUBSPECIALTIES AND AN AMBULATORY CLINIC WITH 90,000 PATIENT VISITS ANNUALLY. IN ADDITION, BMH HAS A LEADERSHIP ROLE AT KALAMAZOO'S FAMILY HEALTH CENTER THAT HAS 150,000 VISITS EACH YEAR.BRONSON ALSO LEADS ENROLLMENT OUTREACH ACROSS SOUTHWEST MICHIGAN AND STAFFS A FULL TIME MOBILE OUTREACH PERSON AND STAFFS DHS WORKERS IN BMH.COMMUNITY SERVICE:- PARTICIPATE ON PUBLIC AND NOT-FOR-PROFIT COMMITTEES AND BOARDS- PARTICIPATE IN IMPORTANT COMMUNITY ISSUES- LEAD DISASTER/EMERGENCY EFFORTS- PROVIDE FINANCIAL SUPPORT AND SPONSORSHIPS FOR ARTS AND HUMAN SERVICE ORGANIZATIONSAN EXAMPLE OF AN EMPLOYEE-DRIVEN EFFORT REFLECTIVE OF OUR VALUES, BMH EMPLOYEES DONATE MONIES TO THE UNITED WAY, WHICH IMPACTS CHARITIES THROUGHOUT THE GREATER KALAMAZOO AREA. IN 2017 THE BRONSON EMPLOYEES RAISED $91,866.73ECONOMIC DEVELOPMENT:- SUPPORT GRASSROOTS NEIGHBORHOOD DEVELOPMENT- STIMULATE ECONOMIC VITALITY- INVEST IN EDUCATIONAL INSTITUTIONS TO ENSURE ACCESS TO HEALTHCARE CURRICULUM (WMU BRONSON SCHOOL OF NURSING)- COMMIT TO LOCAL VENDORS AND BUSINESSESAN ECONOMIC DEVELOPMENT EXAMPLE WOULD BE OUR BRONSON HOME OWNERSHIP PROGRAM (BHOP). SINCE 1998, BRONSON HAS INVESTED APPROXIMATELY $357,525 TO HELP EMPLOYEES PURCHASE HOMES, DOWNTOWN, CLOSE TO THE BRONSON CAMPUS. OUR PROGRAM IS A LOAN, EMPLOYEES START PAYING US BACK IN YEAR SIX, AT NO INTEREST. WHAT IS COLLECTED IS THEN RE-LOANED.BMH PARTICIPATES IN THE BAN THE BOX INITIATIVE TO REDUCE EMPLOYMENT BARRIERS FOR PEOPLE WITH FELONIES.THUS FAR, OUR $357,525 HAS RESULTED IN APPROXIMATELY $460,000 BEING LOANED TO OVER 55 EMPLOYEES. THIS IS ECONOMIC DEVELOPMENT AT THE NEIGHBORHOOD LEVEL.BRONSON HAS A VOLUNTEER TIME OFF PROGRAM WHERE EACH EMPLOYEE CAN GET UP TO FOUR HOURS OF PAID VOLUNTEER TIME TO SUPPORT COMMUNITY NONPROFITS.BMH IDENTIFIES WAYS TO TREAT THE DISEASES FACED BY THOSE WE SERVE, AND ALSO SEEK WAYS TO FOSTER AN ENVIRONMENT IN WHICH WE CAN CREATE HEALTH AND PREVENTION MEASURES. THIS INCLUDES LOOKING AT OUR COMMUNITIES ECONOMIC ISSUES, SUCH AS PEOPLE WITHOUT HEALTH INSURANCE, AND ENVIRONMENTAL ISSUES, SUCH AS CLEAN AIR AND WATER. BMH HAS BEEN ACKNOWLEDGED BY PRACTICE GREENHEALTH (FORMERLY HOSPITALS FOR A HEALTHY ENVIRONMENT) AWARDS FOR 10 YEARS IN A ROW, IN RECOGNITION OF SIGNIFICANT PROGRESS IN REDUCING WASTE, PREVENTING POLLUTION AND ELIMINATING MERCURY. BMH ALSO HOLDS THE ENERGY STAR LABEL FOR ENERGY EFFICIENCY FROM THE ENVIRONMENTAL PROTECTION AGENCY, AND HAS BEEN NAMED ONE OF AMERICAS TOP 10 HOSPITALS BY THE GREEN GUIDE PUBLICATION. BECAUSE OF THIS, WE ALSO PLAY A SIGNIFICANT ROLE IN MANY COMMUNITY ORGANIZATIONS THAT HAVE A BROADER FOCUS THAN HEALTHCARE.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 ALSO AVAILABLE THROUGH BRONSONHEALTH.COM. EXAMPLES INCLUDE QUALITY REPORT, NURSING OUTCOMES, PATIENT SATISFACTION DATA, AND LINKS TO PUBLIC REPORTING WEBSITES.
PART VI, LINE 6:	BRONSON METHODIST HOSPITAL IS PART OF AN AFFILIATED SYSTEM THAT INCLUDES THREE OTHER HOSPITALS, BRONSON BATTLE CREEK HOSPITAL,BRONSON LAKEVIEW HOSPITAL AND BRONSON SOUTH HAVEN HOSPITAL. ALL OF THESE HOSPITALS ARE CONTROLLED BY BRONSON HEALTHCARE GROUP, WHICH IS A COMMUNITY-OWNED AND GOVERNED NOT-FOR-PROFIT HOLDING COMPANY. THE BRONSON HEALTHCARE GROUP (BHG) BOARD IS COMPRISED OF 22 MEMBERS OF THE COMMUNITY. EACH OF THE THREE HOSPITALS IN THE BHG SYSTEM ADMITS PATIENTS REGARDLESS OF ABILITY TO PAY AND PROVIDES OUTREACH SERVICES TO THEIR RESPECTIVE COMMUNITIES. BRONSON METHODIST HOSPITAL IS THE LARGEST OF THE THREE HOSPITALS IN THE BHG SYSTEM. AS SUCH, IT HAS A LARGER ROLE IN PROVIDING SERVICES AND PROMOTING THE HEALTH OF THE MANY COMMUNITIES IT SERVES. THE HEALTH PROMOTION ACTIVITIES OF BRONSON METHODIST HOSPITAL ARE DESCRIBED IN #5 ABOVE. IN ADDITION TO THE FOUR HOSPITALS, THE BHG SYSTEM INCLUDES SEVERAL SMALLER ENTITIES WHOSE EFFECTS SUPPORT THE HOSPITALS AND THEIR MISSION OF PROVIDING EXCELLENT HEALTHCARE TO THEIR COMMUNITIES. THESE ENTITIES INCLUDE: BRONSON HEALTHCARE GROUP, BRONSON COMMONS, BRONSON LIFESTYLE IMPROVEMENT & RESEARCH CENTER, BRONSON HEALTH FOUNDATION, BRONSON AT HOME, VBEMS, & BRONSON PROPERTIES CORPORATION.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI

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)	$4,200,000	GENERAL SUPPORT
BRONSON HEALTH FOUNDATION
301 JOHN STREET	KALAMAZOO	MI	49007	382415081	501(C)(3)	$459,057	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	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
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 (20 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
LAWLOR JOHN
CHIEF OF STAFF	$407,024	$0	$10,800	$0	$18,847	$0	$13,400	$0	$16,755	$0	$466,826	$0	$0	$0
KARAMCHANDANI MAHESH C
DIRECTOR	$635,400	$0	$64,929	$0	$23,160	$0	$13,400	$0	$17,324	$0	$754,213	$0	$0	$0
LANE-DAVIES AARON
PAST CHIEF OF STAFF	$249,404	$0	$13,013	$0	$451	$0	$16,809	$0	$18,603	$0	$298,280	$0	$0	$0
SARDONE FRANK J
PRESIDENT AND CEO	$0	$852,504	$0	$361,576	$0	$241,196	$0	$401,226	$0	$13,012	$0	$1,869,514	$0	$361,576
EAST REBECCA L
SR VP CFO BHG	$0	$400,643	$0	$132,538	$0	$94,126	$0	$150,689	$0	$17,226	$0	$795,222	$0	$132,538
FALAHEE JAMES
SR VP LEGAL & LEG. AFFAIRS	$0	$392,730	$0	$128,146	$0	$146,061	$0	$149,687	$0	$19,084	$0	$835,708	$0	$198,273
HARRELSON KATHLEEN M
SR VP, CLINICAL OPERATIONS	$0	$427,654	$0	$145,934	$0	$99,713	$0	$166,766	$0	$17,218	$0	$857,285	$0	$145,934
HAYDEN JOHN
VP & CHIEF HR OFFICER	$0	$327,567	$0	$101,056	$0	$108,611	$0	$132,362	$0	$11,054	$0	$680,650	$0	$145,677
JONES JR JOHN L
SR. VP, REG. & PHYS. SVS.	$0	$358,124	$0	$131,397	$0	$177,775	$0	$165,757	$0	$19,105	$0	$852,158	$0	$179,412
LARSON SCOTT
SR VP MEDICAL AFFAIRS/CMO	$0	$445,889	$0	$124,504	$0	$173,575	$0	$143,262	$0	$12,450	$0	$899,680	$0	$210,211
GOEL ASHUTOSH
CHIEF MED INFORMATICS OFFI	$0	$369,079	$0	$65,497	$0	$19,336	$0	$94,541	$0	$1,021	$0	$549,474	$0	$63,054
SANGALLI-DAVIS CHRISTINE
VP CHIEF COMPLIANCE OFFICER	$0	$175,548	$0	$30,609	$0	$1,010	$0	$50,782	$0	$6,749	$0	$264,698	$0	$30,609
TRELLA REBECCA
VP POST ACUTE CARE	$0	$257,619	$0	$41,507	$0	$1,084	$0	$57,232	$0	$12,221	$0	$369,663	$0	$41,507
WAY MICHAEL S
VP MAT. MGT. & FACILITY SV	$0	$213,467	$0	$56,888	$0	$20,384	$0	$64,515	$0	$16,806	$0	$372,060	$0	$56,888
FABI ALAIN
PHYSICIAN	$953,730	$0	$2,146,974	$0	$20,553	$0	$13,400	$0	$20,965	$0	$3,155,622	$0	$0	$0
KASTEN MICHAEL
PHYSICIAN	$1,670,009	$0	$7,085	$0	$26,477	$0	$13,400	$0	$20,793	$0	$1,737,764	$0	$0	$0
ROBERTS JASON
PHYSICIAN	$1,331,464	$0	$7,965	$0	$1,999	$0	$13,550	$0	$19,984	$0	$1,374,962	$0	$0	$0
SYTSMA MARK
PHYSICIAN	$1,258,638	$0	$43,161	$0	$19,409	$0	$12,321	$0	$20,329	$0	$1,353,858	$0	$0	$0
WIGGINS GREGORY
PHYSICIAN	$1,871,874	$0	$0	$0	$19,385	$0	$13,400	$0	$20,759	$0	$1,925,418	$0	$0	$0
KEN TAFT
FORMER EXECUTIVE VICE PRESIDENT	$0	$2,500	$0	$116,681	$0	$71,130	$0	$0	$0	$0	$0	$190,311	$0	$116,681

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	TAFT, KENNETH L $71,130 SERP DISTRIBUTION HARRELSON, KATHLEEN $79,023 SERP CONTRIBUTION FALAHEE JR.,JAMES B $70,127 SERP DISTRIBUTION FALAHEE JR.,JAMES B $70,609 SERP CONTRIBUTION SARDONE,FRANK J $201,160 SERP CONTRIBUTION JONES JR, JOHN $48,015 SERP DISTRIBUTION JONES JR, JOHN $73,095 SERP CONTRIBUTION LARSON,SCOTT D $85,707 SERP DISTRIBUTION LARSON,SCOTT D $78,088 SERP CONTRIBUTION EAST, REBECCA $75,672 SERP CONTRIBUTION HAYDEN,JOHN T $44,621 SERP DISTRIBUTION HAYDEN,JOHN T $61,014 SERP CONTRIBUTION INCLUDED IN PART II, COLUMN (B) (III) AND (F) ARE AMOUNTS THAT WERE PAID TO THE EXECUTIVE UNDER THE BRONSON HEALTHCARE GROUP, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THESE AMOUNTS WERE CREDITED TO AN ACCOUNT FOR THE EXECUTIVE IN PRIOR YEARS AND WERE PREVIOUSLY REPORTED IN COLUMN C IN THE PRIOR YEAR, BUT THE EXECUTIVE WAS REQUIRED TO REMAIN EMPLOYED UNTIL THE YEAR FOR WHICH THIS FORM IS BEING FILED IN ORDER TO BECOME VESTED IN HIS OR HER ACCOUNT. AMOUNTS HAVE BEEN CREDITED TO THESE EXECUTIVES' ACCOUNTS EACH YEAR SINCE THE SERP WAS ADOPTED IN 1994, AND THE ACCOUNTS HAVE ALSO BEEN ADJUSTED FOR GAINS AND LOSSES SINCE THAT TIME. THEREFORE, THESE AMOUNTS SHOULD BE VIEWED AS HAVING BEEN EARNED OVER THE EXECUTIVE'S ENTIRE PERIOD OF EMPLOYMENT AS AN EXECUTIVE OF BRONSON. THE AMOUNT CREDITED TO EACH EXECUTIVE'S ACCOUNT IN THE SERP EACH YEAR AND EACH EXECUTIVE'S TOTAL COMPENSATION PACKAGE WAS APPROVED BY AN INDEPENDENT CONSULTANT TO ENSURE THAT THESE AMOUNTS ARE COMPARABLE TO OR LESS THAN THE AMOUNTS AWARDED TO EXECUTIVES OF COMPARABLE HEALTH CARE ORGANIZATIONS.

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	483233LQ3	2008-04-30	$93,622,103	SEE SUPPLEMENTAL INFORMATION	0	0	0
CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY
B	386004627	483233MA7	2010-09-28	$192,508,168	SEE SUPPLEMENTAL INFORMATION	Yes (1)	0	0
CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY
C	386004627	483233NY4	2016-10-25	$110,169,643	SEE SUPPLEMENTAL INFORMATION	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Bond DefeasedBondDefeasedAmt	Capital ExpendituresCapitalExpendituresAmt	Refunding EscrowRefundingEscrowAmt
A	$39,600,000	$93,622,103	$718,703	$92,903,400	2003	Yes (1)	0	Yes (1)	Yes (1)
B	$11,940,000	$192,871,900	$2,389,449	$176,118,719	2010	Yes (1)	0	Yes (1)	Yes (1)	$93,720,000	$14,363,732
C	$212,800	$110,169,643	$890,529		2016	0	Yes (1)	Yes (1)	Yes (1)			$109,279,114

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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	0.00250		0.00250	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	0.00250		0.00250	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)
B	0	Yes (1)	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BOND ISSUE A, PART I, LINE (F) DESCRIPTION OF PURPOSE	BOND ISSUE A WAS ISSUED TO CURRENTLY REFUND A PRIOR ISSUE WITH AN ORIGINAL ISSUE DATE OF 11/13/03. THE BONDS ISSUED ON 11/13/03 WERE ISSUED TO REFUND A PRIOR ISSUE THAT WAS ISSUED BEFORE 1/1/03
BOND ISSUE B, 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 A, PART I, LINE (D) DATE ISSUED	BOND ISSUE A WAS ORIGINALLY ISSUED ON 11/13/2003, AND WAS REISSUED FOR FEDERAL INCOME TAX PURPOSES ON 4/30/08. THE INFORMATION REPORTED IN SCHEDULE K FOR BOND ISSUE A IS FOR THE BONDS AS REISSUED ON 4/30/2008.
BOND ISSUE B, 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 B 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 C, PART I, LINE (F) - DESCRIPTION OF PURPOSE	PROCEEDS OF BOND ISSUE C WERE USED TO ADVANCE REFUND PORTIONS OF BOND ISSUE B.
BOND ISSUE B, PART II, LINE 3	TOTAL PROCEEDS OF BOND ISSUE B INCLUDE INVESTMENT EARNINGS IN THE AMOUNT OF $363,731
PART III, COLUMN A	THIS IS NOT APPLICABLE DUE TO THE SPECIAL RULES FOR REFUNDING OF PRE 2003 ISSES; HOWEVER, DUE TO SOFTWARE LIMITATIONS WE ARE UNABLE TO LEAVE BLANK.
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	$90,097	TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL	0
MARLA ATKINSON
SPOUSE OF BOARD MEMBER MARK ATKINSON	$149,057	TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL	0
JAIDEEP KARAMCHANDANI
SON OF BOARD MEMBER MAHESH KARAMCHANDANI	$68,929	TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	KENNETH TAFT, 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 ON OCTOBER 9TH, 2018 TO REVIEW THE PREPARED FORM 990 AND SCHEDULES. THE FINANCE COMMITTEE OF THE BOARD REVIEWED THE PREPARED FORM 990S AT ITS REGULARLY SCHEDULED MEETING ON OCTOBER 22ND, 2018. 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 DECISIONS 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 2017. 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.
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) 531,792. ROUNDING -4,200.
FORM 990, PART XII, LINE 2C:	BRONSON HEALTHCARE GROUP HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTING FIRM. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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 (4 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 HEALTHCARE SERVICESLLC
6212 AMERICAN AVE	PORTAGE	MI	49002	300057075	SUPPORT SERVICES	MI	N/A
HOSPITAL NETWORK VENTURES LLC
6212 AMERICAN AVE	PORTAGE	MI	49002	383302979	SUPPORT SERVICES	MI	N/A
HOSPITAL NETWORK SUPPORT SVC
6212 AMERICAN AVE	PORTAGE	MI	49002	383627704	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	0	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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRONSON HEALTHCARE GROUP
M	$101,907,764	METHOD BASED ON ACTUAL COST
BRONSON HEALTHCARE GROUP
O	$72,402,957	METHOD BASED ON ACTUAL COST
BRONSON HEALTHCARE GROUP
L	$21,453,559	METHOD BASED ON ACTUAL COST
BRONSON HEALTHCARE GROUP
B	$4,200,000	CASH TRANSFER
BRONSON SOUTH HAVEN HOSPITAL
M	$2,187,348	METHOD BASED ON ACTUAL COST
BRONSON SOUTH HAVEN HOSPITAL
L	$681,395	METHOD BASED ON ACTUAL COST
BRONSON PROPERTIES CORPORATION
M	$7,142,477	METHOD BASED ON ACTUAL COST
BRONSON PROPERTIES CORPORATION
R	$2,087,131	METHOD BASED ON ACTUAL COST
BRONSON PROPERTIES CORPORATION
L	$1,141,409	METHOD BASED ON ACTUAL COST
BRONSON BATTLE CREEK HOSPITAL
M	$14,287,110	METHOD BASED ON ACTUAL COST
BRONSON BATTLE CREEK HOSPITAL
L	$8,092,891	METHOD BASED ON ACTUAL COST
BRONSON BATTLE CREEK HOSPITAL
O	$2,239,661	METHOD BASED ON ACTUAL COST
BRONSON COMMONS
M	$338,361	METHOD BASED ON ACTUAL COST
BRONSON HEALTH FOUNDATION
M	$2,799,833	METHOD BASED ON ACTUAL COST
BRONSON HEALTH FOUNDATION
C	$590,665	CASH TRANSFER
BRONSON HEALTH FOUNDATION
B	$459,057	CASH TRANSFER
BRONSON LAKEVIEW HOSPITAL
M	$5,663,917	METHOD BASED ON ACTUAL COST
BRONSON LAKEVIEW HOSPITAL
L	$732,532	METHOD BASED ON ACTUAL COST
BRONSON LAKEVIEW HOSPITAL
O	$890,072	METHOD BASED ON ACTUAL COST
BRONSON LIFESTYLE IMPROVEMENT AND RESEARCH CENTER
M	$5,044,068	METHOD BASED ON ACTUAL COST
BRONSON LIFESTYLE IMPROVEMENT AND RESEARCH CENTER
L	$95,813	METHOD BASED ON ACTUAL COST
BRONSON NETWORK LLC
R	$738,088	METHOD BASED ON ACTUAL COST