2018-11-09T16:23:13-06:00 2017-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2017-01-01 382776791 BRONSON BATTLE CREEK HOSPITAL BRON 2692458496 300 NORTH AVE BATTLE CREEK MI 49016 REBBECA EAST SENIOR VP/CFO 2693416000 2018-11-07 1 DAVID LOWENTHAL P00378651 3122071040 2018-11-07 67.59.56.31 2018-11-07 12:19:51 CS P E6E6B1DEE2C3A01552DA3A94E9AF66566F60AB34 75C7EC6AC54A61BA087900A4F9B91D17BA572CD0 2017 2019-02-21 02:37:17Z FRANK SARDONE 301 JOHN STREET KALAMAZOO MI 49007 244870361 0 X WWW.BRONSONHEALTH.COM X 1987 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 22 15 2079 425 1333751 -115347 1375853 2021898 237608118 238652697 995770 44749 4158785 4151017 244138526 244870361 185162 221984 0 0 142865162 156633937 0 0 0 99418014 104392707 242468338 261248628 1670188 -16378267 151515462 136410306 48705512 54829306 102809950 81581000 TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 0 0 181687045 221984 198340293 BRONSON BATTLE CREEK HOSPITAL (BBCH) IS A MEDICAL CENTER PROVIDING ACUTE CARE MEDICAL AND SURGICAL SERVICES. BBCH HAS 218 BEDS AND PROVIDES SERVICES TO THE GREATER BATTLE CREEK AREA AND SURROUNDING COMMUNITIES. BBCH FEATURES SERVICES SUCH AS BEHAVIORAL HEALTH, CANCER CARE, ROBOTIC SURGERY, WORLD-CLASS DIAGNOSITCS, AND WOUND HEALING. 49011730 41173193 IN 2017, BBCH'S MEDICAID COST WAS $49,011,730 AND MEDICAID NET REVENUE WAS $41,173,193. 10622697 IN FURTHERANCE OF ITS MISSION, BBCH INCURRED $10,622,697 IN BAD DEBT EXPENSE TO PROVIDE CARE TO ITS PATIENTS. 241321472 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 176 0 1 2079 1 1 1 0 0 0 0 0 0 0 0 0 X 22 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X REBECCA EAST SENIOR VPCFO 2693416000 301 JOHN STREET KALAMAZOO MI 49007 X DONALD PARFET CHAIRPERSON 1.00 8.00 X X 0 998 0 RANDALL EBERTS VICE CHAIRPERSON 1.00 8.00 X X 0 2283 0 NELSON KARRE VICE CHAIRPERSON 1.00 8.00 X X 0 0 0 BARBARA JAMES TREASURER 1.00 8.00 X X 0 1830 0 NEIL NYBERG SECRETARY 1.00 8.00 X X 0 987 0 LA JUNE MONTGOMERY TABRON DIRECTOR 1.00 8.00 X 0 0 0 JAMES E GREENE DIRECTOR 1.00 8.00 X 0 2309 0 MARK B ATKINSON MD DIRECTOR 1.00 8.00 X 0 2196 0 SCOTT GIBSON MD DIRECTOR 1.00 8.00 X 0 43225 0 MAHESH C KARAMCHANDANI DIRECTOR 1.00 8.00 X 0 723489 30724 AARON LANE-DAVIES DIRECTOR 6.80 33.20 X 0 262868 35412 JOHN LAWLOR DIRECTOR 1.00 8.00 X 0 436671 30155 JAMES LIGGINS JR DIRECTOR 1.00 8.00 X 0 2557 0 RICHARD ALLEN DIRECTOR 1.00 8.00 X 0 0 0 KATY FINK DIRECTOR 1.00 8.00 X 0 0 0 JORGE GONZALEZ DIRECTOR 1.00 8.00 X 0 0 0 BRENDA HUNT DIRECTOR 1.00 8.00 X 0 0 0 WILLIAM JOHNSTON DIRECTOR 1.00 8.00 X 0 0 0 STEVEN J LINS MD DIRECTOR 1.00 8.00 X 0 1176 0 MICHAEL ODAR DIRECTOR 1.00 8.00 X 0 1116 0 CHARLES ZELLER MD DIRECTOR 1.00 8.00 X 0 736 0 FRANK J SARDONE PRESIDENT & CEO 6.80 33.20 X X 0 1455276 414238 JAMES FALAHEE SR VP LEGAL & LEG. AFFAIRS 6.80 33.20 X 0 666937 168771 SCOTT LARSON MD SR VP MEDICAL AFFAIRS/CMO 6.80 33.20 X 0 743968 155712 JOHN HAYDEN SR VP CHIEF HR OFFICER 6.80 33.20 X 0 537234 143416 REBECCA EAST SR VP CFO 6.80 33.20 X 0 627307 167915 KATHLEEN M HARRELSON SR VP, CLINICAL OPERATIONS 6.80 33.20 X 0 673301 183984 JOHN L JONES JR SR VP, REG & PHYS SVS 6.80 33.20 X 0 667296 184862 MICHAEL S WAY SR VP SUP CHAIN FAC & RE B 6.80 33.20 X 0 290739 81321 JAMES E MCKERNAN SR VP COO BBCH 6.80 32.20 X 0 384836 94214 CHRISTINE SANGALLI-DAVIS VP CCO 6.80 33.20 X 0 207167 57531 REBECCA TRELLA VP POST ACUTE CARE 6.80 33.20 X 0 300210 69453 ASHUTOSH GOEL VP CHEIF MEDICAL INFORMATICS OFFICER 6.80 33.20 X 0 453912 95562 TAREK EL SHAARAWY MD PHYSICIAN 40.00 X 1787329 0 33968 JOSEPH BURKHARDT PHYSICIAN 40.00 X 1435983 0 41313 KERRI MURRAY PHYSICIAN 40.00 X 949481 0 33668 RANDY MUDGE PHYSICIAN 40.00 X 838318 0 33936 MARK RUSSELL PHYSICIAN 40.00 X 1117673 0 17197 KEN TAFT FORMER OFFICER 0.00 0.00 X 0 190311 0 6128784 8680935 2073352 106 1 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURG PA 16170 CONTRACTED SERVICES 1677545 ANESTHESIA ASSOCIATES OF BATTLE CREEK PC 7240 MACKENZIE LANE PORTAGE MI 49024 CONTRACTED SERVICES 1611886 PINE REST CHRISTIAN MENTAL HEALTH 300 68TH STREET SE GRAND RAPIDS MI 49501 CONTRACTED SERVICES 1268679 COMPHEALTH MEDICAL STAFFING PO BOX 972670 DALLAS TX 75397 STAFFING SERVICES 528721 COOK JACKSON COMPANY 4560 WAYNE ROAD BATTLE CREEK MI 49016 CONTRACTED SERVICES 468836 22 2021898 2021898 NET PATIENT SERVICE REVENUE 622110 236586977 236586977 PHARMACY 446110 2065720 827104 1238616 238652697 545108 0 545108 545108 545108 44749 0 44749 44749 44749 CAFETERIA REVENUE 722210 1514982 1514982 SERVICES TO SELECT MEDICAL 900099 835347 825243 10104 PGIP REVENUE 900099 796458 796458 459122 374091 85031 3605909 244870361 239409873 1333751 2104839 221984 221984 130054281 117699124 12355157 -917535 -830369 -87166 20787560 18812742 1974818 6709631 6072216 637415 18449570 16609695 1839875 257080 257080 153791 153791 3464 3464 1332531 1205941 126590 5490135 4968572 521563 18859 17067 1792 11703026 11703026 1210555 1210555 MEDICAL SUPPLIES 45301518 45301518 BAD DEBT EXPENSE 10622846 10622846 PHYSICIAN PROFESSIONAL 5986107 5417427 568680 MAINTENANCE EXPENSE 3307298 2993105 314193 555927 503114 52813 261248628 241321472 19927156 0 3466449 532127 770975 308268 43671665 42364213 6793759 6536243 844084 650086 155285872 70510020 86531015 84775852 6912070 0 1838746 585642 686699 657875 151515462 136410306 18104598 19075137 30600914 35754169 48705512 54829306 X 99821950 78936000 2773000 2430000 215000 215000 102809950 81581000 151515462 136410306 X -16378267 -4850683 X 0 1 X 1 0 X 1 5554066 5554066 75577362 27413817 48163545 1506513 939987 566526 70732491 42156216 28576275 1915440 1915440 84775852 PENSION LIABILITIES 34969441 DEFERRED COMP 457 LIABILITY 784728 35754169 232736000 -12089912 -12089912 244825912 44449 44449 244870361 249113000 0 249113000 12135628 12135628 261248628 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -10,622,846. ROUNDING 688. REIMBURSED EXPENSES -1,467,754. PART XI, LINE 4B - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED CONTRIBUTIONS -300. GAIN OR LOSS ON SALE OF ASSETS 44,749. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 10,622,846. ROUNDING 279. GAIN OR LOSS ON SALE OF ASSETS 44,749. REIMBURSED EXPENSES 1,467,754. 1 1 X 1 X 1 X 1 1 0 1 1 1383624 1383624 0.00550 62845 49004209 41173193 7831016 0.03130 62845 50387833 41173193 9214640 0.03680 98 35011 734890 734890 0.00290 19 360 357389 357389 0.00140 52 24 286726 286726 0.00110 169 35395 1379005 1379005 0.00540 169 98240 51766838 41173193 10593645 0.04220 6 8515 8515 0.00000 14 10 38409 38409 0.00020 1 203 203 0.00000 13 23780 23780 0.00010 7 4 6783 6783 0.00000 41 14 77690 77690 0.00030 1 10622846 146657 62977305 68160029 -5182724 X 1 1 1 PHYSICIAN HOSPITAL ORGANIZATION OF BATTLE CREEK CONTRACTING SERVICES 0.50000 0.50000 1 1 BRONSON BATTLE CREEK HOSPITAL 300 NORTH AVE BATTLE CREEK MI 49016 WWW.BRONSONHEALTH.COM X X X BRONSON BATTLE CREEK HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X SEE PART V PAGE 8 X 1 16 1 SEE PART V PAGE 8 0 1 X 200.000000000000 350.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE-POLICY/ X HTTPS://WWW.BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/FINANCIAL-ASSIST X HTTPS://WWW.BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/PLAIN-LANGUAGE-P X X X X X X 1 X 0 X 1 X 0 0 BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 5: BRONSON BATTLE CREEK HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENTED THE COMMUNITY USING FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. EIGHT DEMOGRAPHIC AND GEOGRAPHIC SPECIFIC FOCUS GROUPS WERE CONDUCTED WITHIN THE ALBION COMMUNITY, BATTLE CREEK NEIGHBORHOODS, FAMILIES WITH YOUNG CHILDREN, LOCAL GOVERNMENT STAFF, NHBP TRIBAL POPULATION, RURAL COMMUNITIES, AND WITH SENIORS AND TEENAGERS TO GAIN A DEEPER INSIGHT INTO COMMUNITY HEALTH NEEDS AMONG VULNERABLE POPULATIONS. IN ADDITION, 17 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: -MARY JO BYRNE, FOUNTAIN CLINIC-THERESA DAWSON, DIRECTOR OF NURSING OAKLAWN HOSPITAL-JEANNIE GOODRICH, CEO SUMMIT POINTE-JAMES RUTHERFORD, HEALTH OFFICIAL CALHOUN COUNTY HEALTH DEPARTMENT-MARCUS GLASS, CHAIRMAN CALHOUN COUNTY REGIONAL HEALTH ALLIANCE-MARTHA THAWNGHMUNG, EXECUTIVE DIRECTOR BURMESE CENTER-BILL GREER, KELLOGG COMPANY-AJ JONES, EXECUTIVE DIRECTOR GRACE HEALTH-KYRA WALLACE, EXECUTIVE DIRECTOR URBAN LEAGUE-BARBARA TRAVIS, EXECUTIVE DIRECTOR COMMUNITY HEALTHCARE CONNECTIONS-JOSH DUNN, EXECUTIVE DIRECTOR VOCES-BRENDA HUNT, PRESIDENT/CEO BATTLE CREEK COMMUNITY FOUNDATION-RUTH CLARK, EXECUTIVE DIRECTOR INTEGRATED HEALTH PARTNERS-MARK CRAWFORD, VICE PRESIDENT COMMUNITY HEALTH SERVICES BRONSON BATTLE CREEK-ROSALIND JOHNSTON, HEALTH DIRECTOR NOTTAWASEPPI BAND OF THE POTAWATOMI-TED DEARING, ASSISTANT CITY MANAGER CITY OF BATTLE CREEK-DR. SKUPIEN, DIRECTOR BATTLE CREEK VA BRONSON BATTLE CREEK HOSPITAL PART V, SECTION B, LINE 6A: BRONSON METHODIST HOSPITALBRONSON LAKEVIEW HOSPITALOAKLAWN HOSPITAL BRONSON BATTLE CREEK 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 BATTLE CREEK 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). LINE 7A WWW.BRONSONHEALTH.COM/APP/FILES/PUBLIC/2303/BBC-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDF LINE 10A WWW.BRONSONHEALTH.COM/APP/FILES/PUBLIC/5042/BBC-ACCESS-TO-CARE-IMPLEMENTATION-2017.PDF 4 1 - FIELDSTONE CENTER 165 N WASHINGTON AVE BATTLE CREEK MI 49037 PSYCHIATRIC SERVICES 2 - BRONSON BATTLE CREEK URGENT CARE 5352 BECKLEY RD BATTLE CREEK MI 49015 URGENT CARE AND MRI 3 - OCCUPATIONAL MEDICINE & HEALTH CENTER 265 FREMONT BATTLE CREEK MI 49017 OCC. MEDICINE, EMPLOYED PHYSICIANS 4 - BRONSON LABORATORY 175 COLLEGE STREET BATTLE CREEK MI 49017 LABORATORY TESTING 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 80% REDUCTION350% OF FPL IS ENTITLED TO A 70% 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 $10,622,846. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX,LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $10,622,846. PART II, COMMUNITY BUILDING ACTIVITIES: BRONSON BATTLE CREEK (BBCH) IS PROUD OF ITS EXTENSIVE COLLABORATION WITH HEALTH CARE ORGANIZATIONS IN THE REGION. WE ARE ACTIVE PARTICIPANTS IN DOZENS OF LOCAL HEALTH INITIATIVES AND FIND PARTICULAR FOCUS THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES OF ACCESS TO CARE AND HEALTHY LIFESTYLES. ONGOING AND FREQUENT PARTNERS IN COLLABORATION INCLUDE CALHOUN COUNTY HEALTH DEPARTMENT, REGIONAL HEALTH ALLIANCE, GRACE HEALTH, SUMMIT POINTE, BATTLE CREEK COMMUNITY FOUNDATION AND OAKLAWN HOSPITAL.BRONSON OPERATION FIT: BBCH LED THE RESEARCH, DEVELOPMENT, AND NOW PARTNERS IN THE OPERATION OF A COLLABORATIVE EFFORT TO FIGHT OBESITY AMONG CHILDREN. OPERATION FIT IS FOCUSED ON (1) PROMOTING PHYSICAL ACTIVITY, (2) ENCOURAGING BETTER NUTRITION AND IMPROVED LUNCHROOM ENVIRONMENT AND (3) ASSURING SUPPORT SYSTEMS THROUGH EDUCATION OF STUDENTS, PARENTS, TEACHERS AND ADMINISTRATORS. OPERATION FIT IS CURRENTLY AT WORK IN EIGHT BATTLE CREEK ELEMENTARY SCHOOLS.EMERGENCY MANAGEMENT: BBCH IS ACTIVE WITH REGIONAL EMERGENCY PLANNERS AND HOMELAND SECURITY TO ASSURE THE COMMUNITY UNDERSTANDS AND TRUSTS OUR PREPAREDNESS FOR DISASTER (PERCEPTION AND TRUST).SILENT OBSERVER: A KEY COMPONENT OF A HEALTHY COMMUNITY IS SAFETY.BBCH SUPPORTS THE LOCAL SILENT OBSERVER AND EFFORTS TO ASSURE BOTH SAFETY AND CRIME REDUCTION. MOST OFTEN THESE EFFORTS IMPACT OUR FINANCIALLY CHALLENGED NEIGHBORHOODS, WHERE CRIME IS TRULY A HEALTH ISSUE.URBAN LEAGUE: BBCH SUPPORTS A UNIQUE SUMMER PROGRAM THAT ASSISTS YOUTH (MANY AFRICAN AMERICANS FROM FINANCIALLY AT-RISK FAMILIES)IN THE ACHIEVEMENT OF SOCIAL AND ECONOMIC EQUALITY. PROGRAMMING INCLUDESEDUCATION, JOB TRAINING AND PLACEMENT, CRIME PREVENTION, HEALTH PROGRAMSAND CHARACTER BUILDING AND FITS WELL WITH ALL FOUR OF OUR COMMUNITY NEEDSASSESSMENT PRIORITIES.CALHOUN COUNTY CANCER CONTROL COALITION: FOUNDED BY A PHYSICIAN WHO SERVES IN BBCH GOVERNANCE, THE CALHOUN COUNTY CANCER CONTROL COALITION WORKS HARD TO EDUCATE THE COUNTY ON CANCER, ENCOURAGE HEALTHY LIFESTYLES AND OFFER SPECIAL ACCESS TO CARE FOR THOSE FINANCIALLY AT-RISK. KEY PROGRAMMING INCLUDED A BBC HOSTED HEALTH FAIR AND SEVERAL DOZEN FREE COLONOSCOPIES ANNUALY FOR FINANCIALLY AT-RISK COMMUNITY MEMBERS.THE REGIONAL HEALTH ALLIANCE BRINGS TOGETHER BBCH, OAKLAWN HOSPITAL, THE CALHOUN COUNTY HEALTH DEPARTMENT, GRACE HEALTH AND SUMMIT POINT (COMMUNITY MENTAL HEALTH) TO IMPROVE MINORITY HEALTH, INFANT MORTALITY, SCHOOL WELLNESS, TEEN PREGNANCY, HEALTHY LIFESTYLES, AND ACCESS TO CARE.HEALTH IMPROVEMENT ADVOCACY: BBCH SHARES OUR COMMUNITY NEEDS ASSESSMENT AND COMMUNITY BENEFIT PROGRAMMING WITH OUR LEGISLATORS AND COMMUNITY. A KEY STRATEGY FOR BBBC HAS BEEN LEADERSHIP IN ENROLLMENT EFFORTS FOR UNDER AND UNINSURED.WORKFORCE DEVELOPMENT: BBCH, CALHOUN AREA TECHNOLOGY CENTER, AND KELLOGG COMMUNITY COLLEGE FOUNDED THE 21ST CENTURY HEALTH CAREERS PROGRAM TO ENGAGE AND ENCOURAGE HIGH SCHOOL JUNIORS AND SENIORS TO CONSIDER CAREERS IN THE MEDICAL FIELD. THIS UNIQUE PROGRAM ALLOWS IN-DEPTH EXPERIENCE WORKING SIDE-BY-SIDE WITH SKILLED PROFESSIONALS IN A RANGE OF HEALTH CARE SETTINGS. OUR 21ST CENTURY PROGRAM WAS RECOGNIZED BY THE WALL STREET JOURNAL AS A NATIONAL CAREER MODEL AND BY THE STATE OF MICHIGAN WITH ITS GOVERNOR'S EXCELLENCE IN PRACTICE AWARD FOR ACHIEVEMENT IN CAREER PREPARATION. OVER THE PAST 15 YEARS, MORE THAN 1,000 HIGH SCHOOL STUDENTS BEGAN THEIR EXPLORATION AND THEN MAPPED THEIR CAREER COURSES IN HEALTH CARE RIGHT HERE.BBCH MANAGERS ARE ACTIVE SERVANT/ LEADERS WITH A VARIETY OF HEALTH CARE ORGANIZATIONS WORKING IN OUR COMMUNITY. FROM LIFECARE AMBULANCE TO THE UNITED WAY, TO OUR SENIOR CARE CONTINUUM NORTHPOINTE WOODS- BRONSON BATTLE CREEK LEADERS HELP ASSURE OUR COMMUNITY NEEDS ASSESSMENT PRIORITIES OF HEALTHY LIFESTYLES, ACCESS TO CARE, PERCEPTION AND TRUST, AND CHRONIC DISEASE PROGRAMMING ARE SIGNIFICANT CONSIDERATIONS WITH OTHER MAJOR HEALTH CARE ORGANIZATIONS. BRONSON HAS A VOLUNTEER TIME OFF PROGRAM WHERE EACH EMPLOYEE CAN GET UP TO FOUR HOURS OF PAID VOLUNTEER TIME TO SUPPORT COMMUNITY NONPROFITS.OTHER IMPORTANT PROGRAMMING CONNECTIONS AT BCHS INCLUDE: EDUCATING ELEMENTARY SCHOOL KIDS IN A PROFESSIONAL HEALTH CARE ENVIRONMENT WHILE ACTING AS MENTORS IN THE HOSPITAL SETTING WITH BIG BROTHERS/ BIG SISTERS;SUPPORTING CARE FOR BABIES BORN TO FINANCIALLY AT-RISK TEEN MOTHERS THROUGH NURSE FAMILY PARTNERSHIP; AND SHARING LEARNING, COORDINATION AND EXCHANGE OF INFORMATION EVERY MONTH WITH LOCAL NON-PROFIT GROUPS IN THE COORDINATING COUNCIL. PART III, LINE 2: UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. BAD DEBT EXPENSE IS DISCLOSED BASED ON GROSS CHARGES. PART III, LINE 3: BAD DEBT WRITE OFFS SUPPORT THE COMMUNITY BY PROVIDING A PORTION OF SERVICES WITHOUT PAYMENT. THE AMOUNT OF BAD DEBT EXPENSE 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 UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED FOR INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. SEE "ACCOUNTS RECEIVABLE" ON PAGE 8 OF THE NOTES TO THE AUDITED FINANCIAL STATEMENTS FOR MORE INFORMATION. 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 BATTLE CREEK EXPERIENCES ADDITIONAL COMMUNITY BENEFIT EXPENSE OF $33,757,447 AND DIRECT OFFSETTING REVENUE OF $24,789,707 FOR A NET COMMUNITY BENEFIT OF $8,967,740 RELATED TO SERVICES PROVIDED 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 PREVIOUSLY LISTED ACCOUNTS. 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 BATTLE CREEK HOSPITAL (BBCH) ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS AN IMPORTANT INPUT INTO BRONSON BATTLE CREEK HOSPITAL'S STRATEGY AND COMMUNITY HEALTH PLANNING. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.BBCH'S COMMUNITY NEEDS ASSESSMENT PROVIDES THE OPPORTUNITY TO:-GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED-IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THECOMMUNITY-ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FORCOLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS,PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS, AND PANELS-PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGBBCH'S COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF HUMAN AND CAPITAL RESOURCES FOR THE COMMUNITY. BBCH'S COMMUNITY NEEDS ASSESSMENT BEGAN IN 2015 AND WAS COMPLETED IN 2016. THE ASSESSMENT WAS CONDUCTED BY BBCH AND INCLUDED SIGNIFICANT REVIEW OF COMMUNITY DATA, INTERVIEWS WITH KEY COMMUNITY LEADERS, ANALYSIS AND SUMMARY BY AN INDEPENDENT COMMUNITY WRITER, AND ASSESSMENT AND REVIEW BY OUR COMMUNITY BENEFIT MINISTRY TEAM. THE ASSESSMENT WAS SHARED WITH OUR BOARD OF DIRECTORS AND KEY STAKEHOLDERS. PART VI, LINE 3: THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM), IS AVAILABLE IN THE EMERGENCY ROOM, THE ADMITTING DEPARTMENT, AND THE PATIENT FINANCIAL COUNSELING OFFICE.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 BATTLE CREEK HOSPITAL'S ACUTE CARE HOSPITAL IS LOCATED IN THE CITY OF BATTLE CREEK, A MEDIUM-SIZED COMMUNITY THAT IS BEST KNOWN AS HOME TO THE KELLOGG COMPANY. BRONSON BATTLE CREEK HOSPITAL IS PART OF THE BRONSON HEALTHCARE SYSTEM, AND IS A PARTNERSHIP BETWEEN BRONSON HEALTH CARE GROUP (51% MEMBER AND OPERATING PARTNER) AND THE BBCH COMMUNITY PARTNERS (49% MEMBER).BRONSON BATTLE CREEK HOSPITAL SERVES A NINE COUNTY REGION IN SOUTHWEST, SOUTH-CENTRAL MICHIGAN. ABOUT 89% OF PATIENTS SERVED COME FROM WITHIN CALHOUN COUNTY. PATIENT DEMOGRAPHICS 9.95% <21 YEARS OF AGE 16.94% 21-39 YEARS OF AGE 38.22% 40-64 YEARS OF AGE 34.89% 65 YEARS OF AGE AND OLDER PATIENT DIVERSITY DEMOGRAPHICS 79.24% CAUCASIAN12.72% AFRICAN-AMERICAN 1.23% ASIAN 2.23% HISPANIC 4.58% OTHER PATIENT INSURANCE DEMOGRAPHICS 32.97% PRIVATE INSURANCE30.70% MEDICARE 13.40% MEDICARE AND SUPPLEMENTAL INSURANCE 20.97% MEDICAID OR OTHER PUBLIC ASSISTANCE 1.96% NO COVERAGE PART VI, LINE 5: BRONSON BATTLE CREEK HOSPITAL (BBCH) MAINTAINS AN OPEN MEDICAL STAFF. OUR STANDARDS FOR ACCEPTANCE TO THE MEDICAL STAFF ARE VERY HIGH, BUT ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE ENCOURAGED AND WELCOME TO JOIN.THE BBCH EMERGENCY DEPARTMENT (ED) IS AN ACTIVE SERVICE THAT CARES FOR OVER 54,000 PATIENTS EACH YEAR. THE ED CARES FOR ANYONE, REGARDLESS OF ABILITY TO PAY. 5% OF OUR ED PATIENTS ARE UNINSURED, AND AN ADDITIONAL 40% ARE ON MEDICAID. THE ED TRULY SERVES AS THE FINAL SAFETY NET FOR BOTH EMERGENT AND PRIMARY CARE IN THE COMMUNITY.CONSISTENT WITH THE NON-PROFIT STATUS, BBCH USES OPERATING MARGIN AS A CATALYST FOR REINVESTMENT IN FACILITIES, TECHNOLOGY, STAFF, AND MEDICAL SERVICES FOR THE COMMUNITY. PART VI, LINE 6: BRONSON BATTLE CREEK HOSPITAL (BBCH) IS PART OF AN AFFILIATED SYSTEM THAT INCLUDES THREE OTHER HOSPITALS: BRONSON METHODIST 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 21 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 THREE HOSPITALS, THE BHG SYSTEM INCLUDES SEVERAL SMALLER ENTITIES WHOSE EFFECTS SUPPORT THE HOSPITALS AND THEIR MISSION OFPROVIDING EXCELLENT HEALTHCARE TO THEIR COMMUNITIES. THESE ENTITIESINCLUDE: BRONSON HEALTHCARE GROUP, BRONSON MEDICAL GROUP, BRONSON COMMONS, BRONSON LIFESTYLE IMPROVEMENT & RESEARCH CENTER, BRONSON HEALTH FOUNDATION, BRONSON AT HOME,BRONSON PROPERTIES CORPORATION. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 SENIOR HEALTH PARTNERS 200 W MICHIGAN AVE STE 104 BATTLE CREEK MI 49017 383013991 501(C)(3) 89633 CONTRIBUTION FOR SENIOR SERVICES BATTLE CREEK HOT AIR BALLOON CHAMPIONS 3140 5TH AVE BATTLE CREEK MI 490377902 382287342 501(C)(3) 7500 SPONSORSHIP CALHOUN INTERMEDIATE SCHOOL DISTRICT 17111 G DRIVE NORTH MARSHALL MI 49068 386062816 115 63263 GENERAL SUPPORT GENERAL SUPPORT 3 0 PART I, LINE 2: DONATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. X X 1 1 0 1 0 0 0 0 0 0 0 MAHESH C KARAMCHANDANI DIRECTOR 0 635400 0 64929 0 23160 0 13400 0 17324 0 754213 0 0 AARON LANE-DAVIES DIRECTOR 0 249404 0 13013 0 451 0 16809 0 18603 0 298280 0 0 JOHN LAWLOR DIRECTOR 0 407024 0 10800 0 18847 0 13400 0 16755 0 466826 0 0 FRANK J SARDONE PRESIDENT & CEO 0 852504 0 361576 0 241196 0 401226 0 13012 0 1869514 0 361576 JAMES FALAHEE SR VP LEGAL & LEG. AFFAIRS 0 392730 0 128146 0 146061 0 149687 0 19084 0 835708 0 198273 SCOTT LARSON MD SR VP MEDICAL AFFAIRS/CMO 0 445889 0 124504 0 173575 0 143262 0 12450 0 899680 0 210211 JOHN HAYDEN SR VP CHIEF HR OFFICER 0 327567 0 101056 0 108611 0 132362 0 11054 0 680650 0 145677 REBECCA EAST SR VP CFO 0 400643 0 132538 0 94126 0 150689 0 17226 0 795222 0 132538 KATHLEEN M HARRELSON SR VP, CLINICAL OPERATIONS 0 427654 0 145934 0 99713 0 166766 0 17218 0 857285 0 145677 JOHN L JONES JR SR VP, REG & PHYS SVS 0 358124 0 131397 0 177775 0 165757 0 19105 0 852158 0 179412 MICHAEL S WAY SR VP SUP CHAIN FAC & RE B 0 213467 0 56888 0 20384 0 64515 0 16806 0 372060 0 56888 JAMES E MCKERNAN SR VP COO BBCH 0 299212 0 66214 0 19410 0 75252 0 18962 0 479050 0 66214 CHRISTINE SANGALLI-DAVIS VP CCO 0 175548 0 30609 0 1010 0 50782 0 6749 0 264698 0 30609 REBECCA TRELLA VP POST ACUTE CARE 0 257619 0 41507 0 1084 0 57232 0 12221 0 369663 0 41507 ASHUTOSH GOEL VP CHEIF MEDICAL INFORMATICS OFFICER 0 369079 0 65497 0 19336 0 94541 0 1021 0 549474 0 63054 TAREK EL SHAARAWY MD PHYSICIAN 1390495 0 374720 0 22114 0 13550 0 20418 0 1821297 0 0 0 JOSEPH BURKHARDT PHYSICIAN 1377893 0 37660 0 20430 0 19949 0 21364 0 1477296 0 0 0 KERRI MURRAY PHYSICIAN 745281 0 185558 0 18642 0 13400 0 20268 0 983149 0 0 0 RANDY MUDGE PHYSICIAN 771662 0 65000 0 1656 0 13400 0 20536 0 872254 0 0 0 MARK RUSSELL PHYSICIAN 1080429 0 28361 0 8883 0 13400 0 3797 0 1134870 0 0 0 KEN TAFT FORMER OFFICER 0 2500 0 116681 0 71130 0 0 0 0 0 190311 0 116681 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 - FORMER OFFICER 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. KIMBERLY JAMES DAUGHTER OF BOARD MEMBER BARBARA JAMES 90097 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 MARLA ATKINSON SPOUSE OF BOARD MEMBER MARK ATKINSON 149057 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 JAIDEEP KARAMCHANDANI SON OF BOARD MEMBER MAHESH KARAMCHANDANI 68929 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 FORM 990, PART VI, SECTION A, LINE 2 FRANK SARDONE, STEVEN J. LINS, M.D. AND SCOTT C. GIBSON, M.D. HAVE A BUSINESS RELATIONSHIP. ALL BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP WITH ALL BRONSON SUBSIDIARIES DUE TO BEING ON BRONSON HEALTHCARE GROUP BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 BRONSON HEALTHCARE GROUP (BHG) IS THE CLASS A MEMBER AND HOLDS 51% OF THE MEMBERSHIP INTEREST IN THE HOSPITAL. BBCH COMMUNITY PARTNERS IS THE CLASS B MEMBER AND HOLDS 49% OF THE MEMBERSHIP INTEREST IN THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A BRONSON HEALTHCARE GROUP (BHG) AND BBCH COMMUNITY PARTNERS ARE THE SOLE MEMBERS OF BRONSON BATTLE CREEK HOSPITAL (BBCH) AND AS SUCH MEMBERS 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 CLASS A MEMBER OF THE BRONSON BATTLE CREEK HOSPITAL (BBCH) AND HAS CERTAIN RESERVED POWERS OVER THE ACTIONS OF BBCH. THE BOARD OF DIRECTORS HAS THE POWER TO: -AMENDMENT, RESTATEMENT, OR REPEAL OF THE HOSPITAL'S ARTICLES OF INCORPORATION OR BYLAWS. -ADOPTION, EXECUTION, REVOCATION, OR ABANDONMENT 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 HOSPITAL'S 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 INTEREST 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 BOARD 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 INTERST QUESTIONNAIRES ARE REVIEWED BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. DETERMINATIONS AS TO WHETHER A CONFLICT EXISTS ARE MADE BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. ACTUAL CONFLICTS ARE REVIEWED BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY 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. FORM 990, PART VII SECTION A, LINE 1A THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES -7,017,085. TRANSFER FROM AFFILIATE 2,509,121. NET ASSETS RELEASE FROM RESTRICTION -342,567. ROUNDING -152. BRONSON HEALTHCARE GROUP INC 601 JOHN ST KALAMAZOO MI 49007 382418383 PROVIDE SUPPORT SERVICES MI 501(C)(3) LINE 12C, III-FI N/A 0 BRONSON HEALTH FOUNDATION 601 JOHN ST KALAMAZOO MI 49007 382415081 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 7 BRONSON HEALTHCARE GROUP 0 BRONSON LAKEVIEW HOSPITAL 601 JOHN ST KALAMAZOO MI 49007 381359218 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 BRONSON COMMONS 601 JOHN ST KALAMAZOO MI 49007 382842451 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 VBEMS 601 JOHN ST KALAMAZOO MI 49007 382745910 AMBULANCE SERVICE MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 BRONSON PROPERTIES CORPORATION 601 JOHN ST KALAMAZOO MI 49007 386052573 PROVIDE SUPPORT SERVICES MI 501(C)(3) LINE 12B, II BRONSON HEALTHCARE GROUP 0 BRONSON AT HOME 601 JOHN ST KALAMAZOO MI 49007 383298476 NURSING, HOSPICE, & EQUIP SALES MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 BRONSON METHODIST HOSPITAL 601 JOHN ST KALAMAZOO MI 49007 381359087 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 HOSPITAL NETWORK LEASING 6212 AMERICAN AVE PORTAGE MI 49002 383638430 SUPPORT SERVICES MI N/A HOSPITAL NETWORK VENTURES LLC 6212 AMERICAN AVE PORTAGE MI 49002 383302979 SUPPORT SERVICES MI N/A BRONSON MGMT SERVICES CORP 601 JOHN ST KALAMAZOO MI 49007 382415032 OTHER MEDICAL SERVICES MI N/A C 0 BRONSON LIFESTYLE IMPROVEMENT & RESEARCH 601 JOHN ST KALAMAZOO MI 49007 383552556 REHABILITATION SERVICES MI N/A C 0 BRONSON PRACTICE MGMT 601 JOHN ST KALAMAZOO MI 49007 382511179 OTHER MEDICAL SERVICES MI N/A C 0 WESTLEY DEVELOPMENT COMPANY 301 JOHN ST KALAMAZOO MI 49007 383619232 REAL ESTATE OWNERSHIP MI N/A C 0 PHYSICIAN HOSPITAL ORGANIZATION DBA IHP 165 N WASHINGTON BATTLE CREEK MI 49017 383252060 MEDICAL STAFF MI BRONSON BATTLE CREEK HOSPTIAL C 33447 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 BRONSON HEALTHCARE GROUP M 29725322 COST BRONSON HEALTHCARE GROUP O 19333910 COST BRONSON METHODIST HOSPITAL M 8092891 COST BRONSON METHODIST HOSPITAL O 2239661 COST BRONSON METHODIST HOSPITAL L 14287110 COST BRONSON PROPERTIES CORPORATION M 417692 ACTUAL CASH AMOUNT BRONSON HEALTHCARE GROUP L 5185150 ACTUAL CASH AMOUNT BRONSON HEALTH FOUNDATION C 2021898 ACTUAL CASH AMOUNT BRONSON LAKVIEW O 120181 ACTUAL CASH AMOUNT BRONSON AT HOME L 273742 ACTUAL CASH AMOUNT BRONSON PROPERTIES CORPORATION L 1628947 ACTUAL CASH AMOUNT BRONSON PROPERTIES CORPORATION R 258450 ACTUAL CASH AMOUNT