BRONSON METHODIST HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BRONSON METHODIST HOSPITAL (EIN 38-1359087)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-10
- IRS object ID
- 201713149349303321
- Schema version
- 2016v3.0
- 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 | 2017-11-10T15:22:14-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | 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 | 2017-11-07 | 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 | 2017-11-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.73.21.99 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-07 | IPDt |
| IP Tm | 23:13:41 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BF9D7D99261A9F87F2634A04C53CF2C7827B7599 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 75C7EC6AC54A61BA087900A4F9B91D17BA572CD0 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | 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 | $840,051,380 | 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 | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 5260 | TotalEmployeeCnt |
| Total Volunteers | 330 | TotalVolunteersCnt |
| Total Gross UBI | $14,083,933 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $576,040 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $236,748 | PYContributionsGrantsAmt |
| CY Contributions Grants | $612,650 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $708,507,224 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $818,442,411 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,461,862 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,538,452 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,399,263 | PYOtherRevenueAmt |
| CY Other Revenue | $6,097,192 | CYOtherRevenueAmt |
| PY Total Revenue | $726,605,097 | PYTotalRevenueAmt |
| CY Total Revenue | $834,690,705 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $24,700,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,200,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $331,802,337 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $435,319,626 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $301,058,984 | PYOtherExpensesAmt |
| CY Other Expenses | $336,309,515 | CYOtherExpensesAmt |
| PY Total Expenses | $657,561,321 | PYTotalExpensesAmt |
| CY Total Expenses | $775,829,141 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $69,043,776 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $58,861,564 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $839,849,711 | TotalAssetsBOYAmt |
| Total Assets EOY | $922,160,918 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $329,572,677 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $332,331,011 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $510,277,034 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $589,829,907 | 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 | $511,908,249 | ExpenseAmt |
| Grant | $4,200,000 | GrantAmt |
| Revenue | $673,742,289 | 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 98,000 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 2016, approximately 20% 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 2016, in furtherance of its mission, BMH provided $9,761,951 in charity care expense. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $142,747,197 | ExpenseAmt |
| Revenue | $130,626,124 | RevenueAmt |
| Desc | In 2016, BMH's Medicaid cost was $142,747,197 and Medicaid net revenue was $130,626,124. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $29,645,257 | ExpenseAmt |
| Desc | In 2016, In furtherance of its mission, BMH incurred $29,645,257 in bad debt to provide care to its patients. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $684,300,703 | 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 | 193 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5260 | 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Donald Parfet | |||||||||
| chairperson | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $2,119 | $0 | ||
| Randall Eberts | |||||||||
| Vice-Chair | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $2,467 | $0 | ||
| Nelson Karre | |||||||||
| vice Chairperson | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Barbara James | |||||||||
| Treasurer | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $2,100 | $0 | ||
| Geoffrey Wardwell | |||||||||
| President | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $962 | $0 | ||
| La June Montgomery Tabron | |||||||||
| director | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| Eileen Wilson-Oyelaran | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| James Gunderson | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $0 | $1,615 | $0 | |||
| James E Greene | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $0 | $1,863 | $0 | |||
| Charles Zeller MD | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $0 | $1,751 | $0 | |||
| Mark B Atkinson MD | |||||||||
| director | 1.00 | 8.00 | Yes (X) | $0 | $1,921 | $0 | |||
| William Richardson | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $0 | $1,549 | $0 | |||
| William Johnston | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| Scott Gibson MD | |||||||||
| director | 1.00 | 8.00 | Yes (X) | $73,540 | $0 | $0 | |||
| Brenda Hunt | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| Steven J Lins MD | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $0 | $150 | $0 | |||
| Neil Nyberg | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $0 | $1,471 | $0 | |||
| Mahesh C Karamchandani | |||||||||
| director | 1.00 | 8.00 | Yes (X) | $785,883 | $0 | $28,745 | |||
| Aaron Lane-Davies | |||||||||
| Director | 1.00 | 8.00 | Yes (X) | $267,643 | $0 | $35,444 | |||
| John Lawlor | |||||||||
| director | 1.00 | 8.00 | Yes (X) | $420,294 | $0 | $28,103 | |||
| James Liggins Jr | |||||||||
| director | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Odar | |||||||||
| director | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| Frank J Sardone | |||||||||
| President and CEO | 23.60 | 16.40 | Yes (X) | Yes (X) | $0 | $1,583,818 | $401,445 | ||
| Kenneth L Taft | |||||||||
| Executive Vice President | 23.60 | 16.40 | Yes (X) | $0 | $749,450 | $156,989 | |||
| James Falahee | |||||||||
| Sr VP Legal & Leg. Affairs | 23.60 | 16.40 | Yes (X) | $0 | $624,777 | $174,097 | |||
| Scott Larson MD | |||||||||
| Sr VP Medical Affairs/CMO | 23.60 | 16.40 | Yes (X) | $0 | $687,269 | $151,899 | |||
| John Hayden | |||||||||
| SR. VP & Chief HR Officer | 23.60 | 16.40 | Yes (X) | $0 | $531,240 | $128,510 | |||
| Rebecca East | |||||||||
| Sr VP CFO | 23.60 | 16.40 | Yes (X) | $0 | $528,562 | $164,887 | |||
| Kathleen M Harrelson | |||||||||
| Sr VP, Clinical Operations | 23.60 | 16.40 | $0 | $504,933 | $187,565 | Yes (X) | |||
| John L Jones Jr | |||||||||
| Sr. VP, Reg. & Phys. Svs. | 23.60 | 16.40 | $0 | $467,239 | $173,331 | Yes (X) | |||
| Michael S Way | |||||||||
| SR. VP Mat. Mgt. & Facilit | 23.60 | 16.40 | $0 | $280,413 | $98,206 | Yes (X) | |||
| Denise Neeley | |||||||||
| VP CNO | 23.60 | 16.40 | $0 | $322,925 | $87,626 | Yes (X) | |||
| REBECCA TRELLA | |||||||||
| VP POST ACUTE CARE | 23.60 | 16.40 | $0 | $262,274 | $55,376 | Yes (X) | |||
| Alain Y Fabi | |||||||||
| Physician | 40.00 | $3,079,633 | $0 | $33,559 | Yes (X) | ||||
| Gregory C Wiggins | |||||||||
| Physician | 40.00 | $1,775,842 | $0 | $33,353 | Yes (X) | ||||
| Michael Kasten | |||||||||
| Physician | 40.00 | $1,521,453 | $0 | $34,201 | Yes (X) | ||||
| Jason Roberts | |||||||||
| Physician | 40.00 | $1,207,677 | $0 | $33,440 | Yes (X) | ||||
| Mark Sytsma | |||||||||
| Physician | 40.00 | $1,251,752 | $0 | $33,819 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,383,717 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,560,868 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,040,595 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 404 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ADVANCED CARDIAC HEALTHCARE PLC | |||||
| 601 John Street Suite 100 | KALAMAZOO | MI | 49007 | Medical Services | $1,944,747 |
| KALAMAZOO ANESTHESIOLOGY PC | |||||
| 900 PEELER | CHICAGO | IL | 60689 | Medical Services | $1,625,000 |
| SW MI EMERGENCY SERVICES PC | |||||
| 125 S KALAMAZOO MALL SUITE 204 | KALAMAZOO | MI | 49007 | Medical Services | $1,547,481 |
| Hayes Locums LLC | |||||
| 6700 N Andre Street 600 | Fort Lauderdale | FL | 33309 | Medical Services | $777,281 |
| Pathology Services | |||||
| 555 W Crosstown Parkway | KalaMAZOO | MI | 49008 | medical Services | $525,837 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $598,850 | RelatedOrganizationsAmt |
| All Other Contributions | $13,800 | AllOtherContributionsAmt |
| Total Contributions | $612,650 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 621500 | $801,252,057 | $801,252,057 | |
| Pharmacy Revenue | 446110 | $7,083,700 | $7,083,700 | |
| Laboratory Revenue | 541380 | $6,990,298 | $6,990,298 | |
| Outside Service Revenue | 900099 | $2,761,982 | $2,761,982 | |
| Meaningful Use Revenue | 900099 | $354,374 | $354,374 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $818,442,411 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,538,452 | TotalRevenueColumnAmt |
| Exclusion | $9,538,452 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,152,166 | RealAmt |
| Personal | $50,044 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,312,571 | RealAmt |
| Personal | $48,104 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$4,160,405 | RealAmt |
| Personal | $1,940 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,158,465 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,940 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$4,160,405 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $4,685,301 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $7,995 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,677,306 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,570,356 | TotalRevenueColumnAmt |
| Exclusion | $5,570,356 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,255,657 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $834,690,705 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $804,368,413 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $14,083,933 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,625,709 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,200,000 | TotalAmt |
| Program Services | $4,200,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,547,360 | TotalAmt |
| Management And General | $1,547,360 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,574,133 | TotalAmt |
| Program Services | $340,645,426 | ProgramServicesAmt |
| Management And General | $17,928,707 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,134,000 | TotalAmt |
| Program Services | $1,070,100 | ProgramServicesAmt |
| Management And General | $6,063,900 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,077,048 | TotalAmt |
| Program Services | $44,169,343 | ProgramServicesAmt |
| Management And General | $4,907,705 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,987,085 | TotalAmt |
| Program Services | $17,503,009 | ProgramServicesAmt |
| Management And General | $1,484,076 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,930,667 | TotalAmt |
| Management And General | $2,930,667 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,671,277 | TotalAmt |
| Program Services | $49,204,149 | ProgramServicesAmt |
| Management And General | $5,467,128 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,267 | TotalAmt |
| Program Services | $47,267 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,860,423 | TotalAmt |
| Program Services | $89,874,381 | ProgramServicesAmt |
| Management And General | $9,986,042 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,140 | TotalAmt |
| Program Services | $1,026 | ProgramServicesAmt |
| Management And General | $114 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,146,732 | TotalAmt |
| Program Services | $9,132,059 | ProgramServicesAmt |
| Management And General | $1,014,673 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $849,106 | TotalAmt |
| Program Services | $849,106 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $737,067 | TotalAmt |
| Program Services | $737,067 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,995,231 | TotalAmt |
| Program Services | $10,795,708 | ProgramServicesAmt |
| Management And General | $1,199,523 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,818,922 | TotalAmt |
| Program Services | $29,818,922 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,953,802 | TotalAmt |
| Program Services | $4,258,951 | ProgramServicesAmt |
| Management And General | $694,851 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Unrelated Business Inco | $195,854 | $195,854 | |
| Pharmacy Expense | $45,807,559 | $45,807,559 | |
| BHG Allocation Expense | $38,399,863 | $38,399,863 | |
| Bad Debt Expense | $29,645,257 | $29,645,257 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,249,348 | TotalAmt |
| Program Services | $6,345,519 | ProgramServicesAmt |
| Management And General | -$96,171 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $775,829,141 | TotalAmt |
| Program Services | $684,300,703 | ProgramServicesAmt |
| Management And General | $91,528,438 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,261 | BOYAmt |
| EOY | $13,310 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $412,993,398 | BOYAmt |
| EOY | $463,921,401 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,905,343 | BOYAmt |
| EOY | $108,005,284 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,374,472 | BOYAmt |
| EOY | $10,734,027 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $917,686 | BOYAmt |
| EOY | $701,013 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $664,241,363 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $389,171,043 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,438,813 | BOYAmt |
| EOY | $275,070,320 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,660,786 | BOYAmt |
| EOY | $35,822,797 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,571,142 | BOYAmt |
| EOY | $27,203,696 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,977,810 | BOYAmt |
| EOY | $689,070 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $839,849,711 | BOYAmt |
| EOY | $922,160,918 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,067,680 | BOYAmt |
| EOY | $54,394,868 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,838,209 | BOYAmt |
| EOY | $257,082,232 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,666,788 | BOYAmt |
| EOY | $20,853,911 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,572,677 | BOYAmt |
| EOY | $332,331,011 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,277,034 | BOYAmt |
| EOY | $589,829,907 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,277,034 | BOYAmt |
| EOY | $589,829,907 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $839,849,711 | BOYAmt |
| EOY | $922,160,918 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $58,861,564 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $10,407,030 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $10,284,279 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,152,699 | OtherCostOrOtherBasisAmt |
| Book Value | $11,152,699 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $389,312,235 | OtherCostOrOtherBasisAmt |
| Depreciation | $192,934,586 | DepreciationAmt |
| Book Value | $196,377,649 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $871,902 | OtherCostOrOtherBasisAmt |
| Depreciation | $305,341 | DepreciationAmt |
| Book Value | $566,561 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $251,325,838 | OtherCostOrOtherBasisAmt |
| Depreciation | $195,931,116 | DepreciationAmt |
| Book Value | $55,394,722 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,578,689 | OtherCostOrOtherBasisAmt |
| Book Value | $11,578,689 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $275,070,320 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Compensation | $1,611,138 |
| Third Party Contractual settlements | $19,242,773 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,853,911 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $809,807,000 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $809,807,000 | RevenueSubtotalAmt |
| Other Revenues Not Included | $24,883,705 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $24,883,705 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $834,690,705 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $746,375,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$29,454,141 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$29,454,141 | ExpensesNotReportedAmt |
| Expenses Subtotal | $775,829,141 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $775,829,141 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 4b - Other Adjustments: | rent expense -5,360,675. bad debt reclass to expense 29,645,257. Contribution reclass 598,850. rounding 273. |
| Part XII, Line 2d - Other Adjustments: | Joint Venture Gain/(Loss) -965,284. Office Rental Expense 5,360,675. Bad debt expense -29,645,257. GENERAL SUPPORT TO RELATED ORGANIZATION -4,200,000. Rounding -4,275. |
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 foriegn insurance company | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $109,864 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $109,864 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $109,864 | 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 | $3,758,649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,758,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 115147 | PersonsServedCnt |
| Total Community Benefit Expns | $152,235,943 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $130,626,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,609,819 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02900 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 115147 | PersonsServedCnt |
| Total Community Benefit Expns | $155,994,592 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $130,626,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,368,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 130 | ActivitiesOrProgramsCnt |
| Persons Served | 8903 | PersonsServedCnt |
| Total Community Benefit Expns | $565,833 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $565,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 895 | PersonsServedCnt |
| Total Community Benefit Expns | $21,439,084 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,702,572 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,736,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01840 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 37 | ActivitiesOrProgramsCnt |
| Persons Served | 27 | PersonsServedCnt |
| Total Community Benefit Expns | $1,430,532 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,430,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 192 | ActivitiesOrProgramsCnt |
| Persons Served | 9825 | PersonsServedCnt |
| Total Community Benefit Expns | $23,435,449 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,702,572 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,732,877 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 192 | ActivitiesOrProgramsCnt |
| Persons Served | 124972 | PersonsServedCnt |
| Total Community Benefit Expns | $179,430,041 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $138,328,696 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,101,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05510 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $708 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 652 | PersonsServedCnt |
| Total Community Benefit Expns | $15,397 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 262 | PersonsServedCnt |
| Total Community Benefit Expns | $863 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 914 | PersonsServedCnt |
| Total Community Benefit Expns | $16,968 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $29,645,257 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,113,074 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $124,082,571 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $132,532,946 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,450,375 | 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 Covictions-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). |
| Line 7A | www.bronsonhealth.com/app/files/public/2302/BMH-Community-Health-Needs-Assessment-Report.pdf |
| 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 (15 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.250% 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.Part I, Line 7: (E-I)- Costing methodology is actual costs per the hospital accounting system for lines E-I. |
| Part I, Ln 7 Col(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 $ 29,645,257. |
| 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 reimburesment 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 on page 6 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 $87,510,488 and direct offsetting revenue of $67,643,341 for a net community benefit of $19,867,147 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 posted on the hospital's website, and 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 66% of patients served come from within Kalamazoo County and the other 33% come from the regional counties of: Allegan, Barry, Berrien, Branch, Cass, Van Buren, Calhoun, Eaton and St. Joseph. Patient Demographics 14.60% <21 years of age 23.18% 21-39 years of age 36.22% 40-64 years of age 26.01% 65 years of age and older Patient Diversity Demographics 79.05% Caucasian12.47% African-American 0.73% Asian 7.75% Other Patient Insurance Demographics 44.54% Private insurance 17.15% Medicare 12.36% Medicare and supplemental insurance 20.12% Medicaid or other public assistance 5.83% 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 21 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 2016, approximately 20% 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 2016, BMH documented in excess of 201 events in providing community benefit activities with a net value of approximately $55,000,000 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 99,000 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 mortalityCommunity 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 120,000 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 2016 the Bronson Employees raised $118,875Economic 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 initivie 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 two other hospitals, Bronson Battle Creek Hospital and Bronson LakeView 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 of providing excellent healthcare to their communities. These entities include: Bronson Healthcare Group, Bronson Medical 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
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bronson Healthcare Group | 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) |
|---|---|---|
| Recipient EIN | 382418383 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $4,200,000 | CashGrantAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
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) |
|---|---|---|
| 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 (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mahesh C Karamchandani | ||||||||||||||
| director | $726,349 | $0 | $34,762 | $0 | $24,772 | $0 | $13,250 | $0 | $15,495 | $0 | $814,628 | $0 | $0 | $0 |
| Aaron Lane-Davies | ||||||||||||||
| Director | $225,585 | $0 | $40,448 | $0 | $1,610 | $0 | $16,773 | $0 | $18,671 | $0 | $303,087 | $0 | $0 | $0 |
| John Lawlor | ||||||||||||||
| director | $357,170 | $0 | $42,966 | $0 | $20,158 | $0 | $13,250 | $0 | $14,853 | $0 | $448,397 | $0 | $0 | $0 |
| Frank J Sardone | ||||||||||||||
| President and CEO | $0 | $821,008 | $0 | $313,794 | $0 | $449,016 | $0 | $388,076 | $0 | $13,369 | $0 | $1,985,263 | $0 | $217,342 |
| Kenneth L Taft | ||||||||||||||
| Executive Vice President | $0 | $389,703 | $0 | $161,920 | $0 | $197,827 | $0 | $141,843 | $0 | $15,146 | $0 | $906,439 | $0 | $77,646 |
| James Falahee | ||||||||||||||
| Sr VP Legal & Leg. Affairs | $0 | $373,899 | $0 | $112,620 | $0 | $138,258 | $0 | $154,646 | $0 | $19,451 | $0 | $798,874 | $0 | $65,507 |
| Scott Larson MD | ||||||||||||||
| Sr VP Medical Affairs/CMO | $0 | $422,437 | $0 | $104,558 | $0 | $160,274 | $0 | $139,079 | $0 | $12,820 | $0 | $839,168 | $0 | $77,408 |
| John Hayden | ||||||||||||||
| SR. VP & Chief HR Officer | $0 | $309,950 | $0 | $96,950 | $0 | $124,340 | $0 | $118,281 | $0 | $10,229 | $0 | $659,750 | $0 | $83,769 |
| Rebecca East | ||||||||||||||
| Sr VP CFO | $0 | $347,116 | $0 | $96,304 | $0 | $85,142 | $0 | $149,763 | $0 | $15,124 | $0 | $693,449 | $0 | $0 |
| Kathleen M Harrelson | ||||||||||||||
| Sr VP, Clinical Operations | $0 | $357,002 | $0 | $79,401 | $0 | $68,530 | $0 | $172,434 | $0 | $15,131 | $0 | $692,498 | $0 | $0 |
| John L Jones Jr | ||||||||||||||
| Sr. VP, Reg. & Phys. Svs. | $0 | $328,319 | $0 | $72,000 | $0 | $66,920 | $0 | $153,922 | $0 | $19,409 | $0 | $640,570 | $0 | $0 |
| Michael S Way | ||||||||||||||
| SR. VP Mat. Mgt. & Facilit | $0 | $205,537 | $0 | $55,468 | $0 | $19,408 | $0 | $83,388 | $0 | $14,818 | $0 | $378,619 | $0 | $0 |
| Denise Neeley | ||||||||||||||
| VP CNO | $0 | $255,438 | $0 | $47,700 | $0 | $19,787 | $0 | $75,046 | $0 | $12,580 | $0 | $410,551 | $0 | $0 |
| REBECCA TRELLA | ||||||||||||||
| VP POST ACUTE CARE | $0 | $233,417 | $0 | $27,900 | $0 | $957 | $0 | $42,871 | $0 | $12,505 | $0 | $317,650 | $0 | $0 |
| Alain Y Fabi | ||||||||||||||
| Physician | $953,080 | $0 | $2,106,000 | $0 | $20,553 | $0 | $13,250 | $0 | $20,309 | $0 | $3,113,192 | $0 | $0 | $0 |
| Gregory C Wiggins | ||||||||||||||
| Physician | $1,756,458 | $0 | $0 | $0 | $19,384 | $0 | $13,250 | $0 | $20,103 | $0 | $1,809,195 | $0 | $0 | $0 |
| Michael Kasten | ||||||||||||||
| Physician | $1,479,937 | $0 | $15,961 | $0 | $25,555 | $0 | $13,250 | $0 | $20,951 | $0 | $1,555,654 | $0 | $0 | $0 |
| Jason Roberts | ||||||||||||||
| Physician | $1,193,051 | $0 | $13,421 | $0 | $1,205 | $0 | $13,250 | $0 | $20,190 | $0 | $1,241,117 | $0 | $0 | $0 |
| Mark Sytsma | ||||||||||||||
| Physician | $1,211,753 | $0 | $20,787 | $0 | $19,212 | $0 | $13,250 | $0 | $20,569 | $0 | $1,285,571 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | HEALTH CLUB DUES ARE AVAILABLE FOR 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 $77,646 SERP Distribution Taft,Kenneth L $87,018 SERP Contribution Falahee Jr.,James B $65,507 SERP Distribution Falahee Jr.,James B $67,724 SERP Contribution Sardone,Frank J $217,342 SERP Distribution Sardone,Frank J $190,920 SERP Contribution Larson,Scott D $77,408 SERP Distribution Larson,Scott D $74,846 SERP Contribution Hayden,John T $83,769 SERP Distribution Hayden,John T $38,389 SERP Contribution East,Rebecca L $66,751 SERP Contribution Harrelson,Kathleen M $48,820 SERP Contribution Jones Jr., John L $44,861 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 | $110,163,643 | 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 | $34,600,000 | $93,622,103 | $718,703 | $92,903,400 | 2003 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| B | $9,910,000 | $192,871,900 | $2,389,449 | $176,118,719 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | $93,720,000 | $14,363,732 | |
| C | $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 | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | ||
| B | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0.00250 | 0.00250 |
| C | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0.00250 | 0.00250 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 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 | bond issue b consists of two series bonds: series 2006 and series 2010. 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 | $86,152 | Total compensation for being an employee of Bronson Methodist Hospital | 0 |
| Marla Atkinson | |||
| spouse of board member Mark Atkinson | $136,953 | Total compensation for being an employee of Bronson Methodist Hospital | 0 |
| jaideep Karamchandani | |||
| son of board member mahesh Karamchandani | $17,091 | Total compensation for being an employee of Bronson Methodist Hospital | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | 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 of the total 19 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 5TH, 2017 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 23RD, 2017. 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 2016. 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 consultants report). At the subsequent meeting of the full Board of Directors, the Chair presents recommendations of the Executive Committee, and the full Board acts on a formal motion that is seconded and voted on. |
| 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 XI, line 9: | Joint Venture Gain/(loss) 965,283. Loss on Extinguishment of Debt -13,173,666. Transfer of Equity 22,492,662. |
| 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 | |||||||||||
| 601 John Street | Kalamazoo | MI | 49007 | 381359218 | Hospital | MI | 501(c)(3) | Line 3 | 0 | Bronson Healthcare Group | |
| Bronson Commons | |||||||||||
| 601 John Street | Kalamazoo | MI | 49007 | 382842451 | Skilled Nursing Facility | MI | 501(c)(3) | Line 10 | 0 | bronson Healthcare Group | |
| VBEMS Inc | |||||||||||
| 601 John Street | Kalamazoo | MI | 49007 | 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 Healthcare Midwest | |||||||||||
| 601 John Street | Kalamazoo | MI | 49007 | 462134675 | Physician Services | MI | 501(c)(3) | Line 3 | 0 | Bronson Healthcare Group | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Hospital Network Inc Leasing | |||||||
| 6212 American Ave | Portage | MI | 49002 | 383638430 | support services | MI | N/A |
| Hospital Network Healthcare Services | |||||||
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 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 |
| Bronson Practice Management | |||||||||
| 601 John Street | kalamazoo | MI | 49007 | 382511179 | other medical 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 | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (25 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Bronson Healthcare Group | ||
| M | $85,300,751 | method based on actual cost |
| bronson Healthcare Group | ||
| O | $49,956,454 | method based on actual cost |
| bronson Properties Corporation | ||
| M | $5,445,929 | method based on actual cost |
| Bronson Battle Creek Hospital | ||
| M | $15,162,282 | method based on actual cost |
| Bronson Lakeview Hospital | ||
| M | $841,375 | method based on actual cost |
| Bronson Lakeview Hospital | ||
| O | $536,640 | method based on actual cost |
| Bronson Lifestyle Improvement and Research Center | ||
| M | $4,717,361 | method based on actual cost |
| Bronson healthcare Group | ||
| L | $20,259,141 | method based on actual cost |
| bronson healthcare Group | ||
| B | $4,200,000 | cash transfer |
| bronson healthcare Group | ||
| P | $526,934 | method based on actual cost |
| Bronson Properties Corporation | ||
| L | $1,242,785 | method based on actual cost |
| Bronson Battle Creek Hospital | ||
| L | $3,281,480 | method based on actual cost |
| Bronson Commons | ||
| O | $52,027 | method based on actual cost |
| Bronson Health Foundation | ||
| M | $2,257,003 | method based on actual cost |
| Bronson Battle Creek Hospital | ||
| O | $2,722,143 | method based on actual cost |
| Bronson At Home | ||
| L | $85,667 | cash transfer |
| bronson lifestyle Improvement and Research Center | ||
| L | $74,994 | method based on actual cost |
| bronson Properties Corporation | ||
| I | $225,571 | cash transfer |
| Bronson Commons | ||
| M | $65,517 | method based on actual cost |
| BRONSON Health Foundation | ||
| C | $598,850 | Cash transfer |
| bronson lakeview Hospital | ||
| L | $432,047 | method based on actual cost |
| bronson health Foundation | ||
| L | $54,687 | method based on actual cost |
| bronson health Foundation | ||
| O | $88,733 | method based on actual cost |
| bronson health Foundation | ||
| P | $399,926 | method based on actual cost |
| bronson management services corp | ||
| O | $437,813 | method based on actual cost |