BRONSON METHODIST HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: BRONSON METHODIST HOSPITAL (EIN 38-1359087)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-04
IRS object ID: 202543089349303964
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-04T16:59:26+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	331498605	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 SOUTH 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	2024-01-01	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	2825 AIRVIEW BLVD	AddressLine1Txt
City	KALAMAZOO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49002	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BILL MANNS	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Signature	2025-11-04	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LOWENTHAL CPA	PreparerPersonNm
PTIN	P00378651	PTIN
Phone	3122071040	PhoneNum
Preparation	2025-11-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BILL MANNS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2825 AIRVIEW BLVD	AddressLine1Txt
City	KALAMAZOO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49002	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,468,226,412	GrossReceiptsAmt
Group Return For Affiliates	false	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	18	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	6071	TotalEmployeeCnt
Total Volunteers	64	TotalVolunteersCnt
Total Gross UBI	$32,513,321	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$457,024	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,752,247	PYContributionsGrantsAmt
CY Contributions Grants	$2,352,451	CYContributionsGrantsAmt
PY Program Service Revenue	$1,271,510,906	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,378,245,458	CYProgramServiceRevenueAmt
PY Investment Income	$22,333,149	PYInvestmentIncomeAmt
CY Investment Income	$78,427,581	CYInvestmentIncomeAmt
PY Other Revenue	$9,522,280	PYOtherRevenueAmt
CY Other Revenue	$9,200,922	CYOtherRevenueAmt
PY Total Revenue	$1,307,118,582	PYTotalRevenueAmt
CY Total Revenue	$1,468,226,412	CYTotalRevenueAmt
PY Grants And Similar Paid	$39,312,817	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$43,335,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$666,808,417	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$678,295,170	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$524,866,810	PYOtherExpensesAmt
CY Other Expenses	$642,067,916	CYOtherExpensesAmt
PY Total Expenses	$1,230,988,044	PYTotalExpensesAmt
CY Total Expenses	$1,363,698,086	CYTotalExpensesAmt
PY Revenues Less Expenses	$76,130,538	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$104,528,326	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,457,051,970	TotalAssetsBOYAmt
Total Assets EOY	$1,549,484,971	TotalAssetsEOYAmt
Total Liabilities BOY	$420,629,331	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$411,488,967	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,036,422,639	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,137,996,004	NetAssetsOrFundBalancesEOYAmt
Mission	TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,209,621,158	ExpenseAmt
Grant	$43,335,000	GrantAmt
Revenue	$1,347,561,273	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 COMPREHENSIVE 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 93,500 VISITS PER YEAR. BMH TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$50,618,704	ExpenseAmt
Desc	IN 2024, IN FURTHERANCE OF ITS MISSION, BRONSON METHODIST HOSPITAL INCURRED $50,618,704 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	IN 2024, BMH'S MEDICAID COST WAS $249,285,512 AND MEDICAID NET REVENUE WAS $233,073,238.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,260,239,862	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	177	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6071	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	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	2693417654	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2825 AIRVIEW BLVD	AddressLine1Txt
City	KALAMAZOO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49002	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bill Manns
President and CEO	4.6	35.4	Yes (X)	Yes (X)	$0	$2,056,207	$1,513,385
James Jr Liggins
Vice Chair	1.0	8.0	Yes (X)	Yes (X)	$0	$0	$0
Michael Odar
Treasurer	1.0	8.0	Yes (X)	Yes (X)	$0	$0	$0
Neil Nyberg
Secretary	1.0	8.0	Yes (X)	Yes (X)	$0	$0	$0
Nelson Karre
Chair	1.0	8.0	Yes (X)	Yes (X)	$0	$0	$0
Brenda Hunt
Director	1.0	8.0	Yes (X)		$0	$0	$0
Donald Parfet
Director	1.0	8.0	Yes (X)		$0	$0	$0
Erick Stewart
Director	1.0	8.0	Yes (X)		$0	$0	$0
Jorge Gonzalez
Director	1.0	8.0	Yes (X)		$0	$0	$0
Katy Fink
Director (THRU 12/2024)	1.0	8.0	Yes (X)		$0	$0	$0
La June Montgomery Tabron
Director (THRU 12/2024)	1.0	8.0	Yes (X)		$0	$0	$0
Lynn Chen-Zhang
Director	1.0	8.0	Yes (X)		$0	$0	$0
Mahesh C Karamchandani
Director (THRU 12/2024)	4.6	41.4	Yes (X)		$798,414	$0	$38,120
Marshall L Washington
Director	1.0	8.0	Yes (X)		$0	$0	$0
Namita Sharma
Director	1.0	8.0	Yes (X)		$0	$1,440	$0
Randall Eberts
Director	1.0	8.0	Yes (X)		$0	$1,440	$0
Richard Allen
Director	1.0	8.0	Yes (X)		$0	$0	$0
Robert IV Nicholson
System Vice Chief of Staff	1.0	8.0	Yes (X)		$0	$0	$0
Scott Gibson MD
Director	1.0	8.0	Yes (X)		$7,090	$0	$0
Steven J Lins MD
Director/System Chief of Staff	1.0	8.0	Yes (X)		$0	$0	$0
William Workman
Director/System Vice Chief of Staff	4.6	36.8	Yes (X)		$214,606	$315,333	$38,435
Cheryl Johnson
Sr VP Chief People Officer	4.6	35.4		Yes (X)	$0	$588,602	$292,220
James Falahee
Sr VP Legal & Leg. Affairs	4.6	35.4		Yes (X)	$0	$746,547	$338,911
Michael S Way
Sr VP Mat. Mgt. & Facility Svs.	4.6	35.4		Yes (X)	$0	$433,722	$215,563
Rebecca L East
Sr VP CFO	4.6	35.4		Yes (X)	$0	$886,744	$405,311
Scott Larson MD
Sr VP Medical Affairs/CMO	4.6	35.4		Yes (X)	$0	$535,686	$37,160
Susan Reinoehl
Sr VP Strategy & Comm	4.6	35.4		Yes (X)	$0	$458,262	$212,571
Christine Sangalli-Davis
VP Chief Compliance Officer	4.6	35.4			$0	$296,753	$76,107	Yes (X)
Kimberly Hatchel
SVP BMH COO	40.0	0.0			$0	$625,246	$261,654	Yes (X)
Alain Fabi
Neurosurgery	40.0	0.0			$2,666,736	$0	$38,331		Yes (X)
Jason Roberts
Orthopedic Trauma	40.0	0.0			$1,657,873	$0	$43,321		Yes (X)
Joshua Ellwitz
Spine & Scoliosis	40.0	0.0			$1,762,666	$0	$43,385		Yes (X)
Michael Kasten
Spine & Scoliosis	40.0	0.0			$2,026,652	$0	$46,931		Yes (X)
Parth Amin
Physician	40.0	0.0			$1,653,424	$0	$39,075		Yes (X)
John Jones JR
Former Sr VP Community Care (THRU 2020)	0.0	0.0			$0	$122,357	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,787,461	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,068,339	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,640,480	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	880	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PORTAGE PHYSICIANS PC
1151 WEST MILHAM 758	PORTAGE	MI	49081	PHYSICIAN SERVICES	$22,054,466
BESPOKE WORKFORCE LLC
PO BOX 646068	PITTSBURGH	PA	152646068	STAFFING AGENCY	$14,594,768
KALAMAZOO ANESTHESIOLOGY PC
PO BOX 4095	KALAMAZOO	MI	49003	PHYSICIAN SERVICES	$7,878,913
HAYES LOCUMS LLC
PO BOX 88122	CHICAGO	IL	606801122	LOCUM TENENS	$6,562,093
CSM GROUP INC
600 E MICHIGAN AVENUE	KALAMAZOO	MI	49007	CONSTRUCTION	$4,731,057

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	48	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,352,451	RelatedOrganizationsAmt
Total Contributions	$2,352,451	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	900099	$1,353,055,495	$1,321,028,952	$32,026,543
OUTSIDE SERVICE REVENUE	900099	$12,142,536	$12,142,536
MEANINGFUL USE & PGIP REVENUE	900099	$11,765,371	$11,765,371
MEDICAID DED/CO CONTRACTUAL	900099	$1,282,056	$1,282,056

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,378,245,458	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$78,121,952	TotalRevenueColumnAmt
Exclusion	$78,121,952	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,020,663	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,020,663	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,020,663	TotalRevenueColumnAmt
Related Or Exempt Func Income	$533,885	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$486,778	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$305,629	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$305,629	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$305,629	TotalRevenueColumnAmt
Exclusion	$305,629	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA EMPLOYEE REVENUE	900099	$5,770,948	$5,770,948
GIFT SHOP REVENUE	459420	$980,072	$980,072
BORGESS PHYSICIAN CALL COVERAGE	900099	$471,608		$471,608

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$957,631	TotalRevenueColumnAmt
Related Or Exempt Func Income	$336,865	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$620,766	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,180,259	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,468,226,412	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,347,561,273	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$32,513,321	UnrelatedBusinessRevenueAmt
Exclusion	$85,799,367	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$43,335,000	TotalAmt
Program Services	$43,335,000	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$575,665,954	TotalAmt
Program Services	$518,643,275	ProgramServicesAmt
Management And General	$57,022,679	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$74,611,898	TotalAmt
Program Services	$69,623,095	ProgramServicesAmt
Management And General	$4,988,803	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$28,017,318	TotalAmt
Program Services	$27,833,456	ProgramServicesAmt
Management And General	$183,862	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,752,919	TotalAmt
Program Services	$5,497,677	ProgramServicesAmt
Management And General	$255,242	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$119,835,624	TotalAmt
Program Services	$114,571,088	ProgramServicesAmt
Management And General	$5,264,536	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$49,781	TotalAmt
Program Services	$49,781	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,395,353	TotalAmt
Program Services	$15,115,107	ProgramServicesAmt
Management And General	$280,246	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$61,863	TotalAmt
Program Services	$61,863	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,859,953	TotalAmt
Program Services	$21,096,138	ProgramServicesAmt
Management And General	$763,815	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$891,369	TotalAmt
Program Services	$879,392	ProgramServicesAmt
Management And General	$11,977	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$807,910	TotalAmt
Program Services	$800,112	ProgramServicesAmt
Management And General	$7,798	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,030,850	TotalAmt
Program Services	$9,585,808	ProgramServicesAmt
Management And General	$445,042	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,068,091	TotalAmt
Program Services	$24,593,708	ProgramServicesAmt
Management And General	$474,383	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,667,041	TotalAmt
Program Services	$7,175,396	ProgramServicesAmt
Management And General	$5,491,645	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$303,888,066	$303,867,970	$20,096
BHG ALLOCATION EXPENSE	$53,679,425	$29,174,757	$24,504,668
BAD DEBT EXPENSE	$50,618,704	$50,618,704
UBTI	$1,206,221	$1,206,221

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,254,746	TotalAmt
Program Services	$16,511,314	ProgramServicesAmt
Management And General	$3,743,432	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,363,698,086	TotalAmt
Program Services	$1,260,239,862	ProgramServicesAmt
Management And General	$103,458,224	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$203,263,062	BOYAmt
EOY	$247,966,049	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$620,316,620	BOYAmt
EOY	$679,961,545	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$182,506,576	BOYAmt
EOY	$199,188,380	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$25,335,870	BOYAmt
EOY	$28,341,283	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,633,712	BOYAmt
EOY	$4,695,380	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$794,747,688	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$472,485,572	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$319,535,827	BOYAmt
EOY	$322,262,116	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$21,760,471	BOYAmt
EOY	$22,639,175	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$52,496,136	BOYAmt
EOY	$17,227,347	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,457,051,970	BOYAmt
EOY	$1,549,484,971	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$73,317,025	BOYAmt
EOY	$77,296,398	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$293,500,414	BOYAmt
EOY	$282,326,135	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$53,811,892	BOYAmt
EOY	$51,866,434	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$420,629,331	BOYAmt
EOY	$411,488,967	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,036,422,639	BOYAmt
EOY	$1,137,996,004	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,036,422,639	BOYAmt
EOY	$1,137,996,004	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,457,051,970	BOYAmt
EOY	$1,549,484,971	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$104,528,326	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$4,779,875	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,824,914	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	$13,312,854	OtherCostOrOtherBasisAmt
Book Value	$13,312,854	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$549,039,433	OtherCostOrOtherBasisAmt
Depreciation	$315,884,419	DepreciationAmt
Book Value	$233,155,014	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$919,610	OtherCostOrOtherBasisAmt
Depreciation	$778,258	DepreciationAmt
Book Value	$141,352	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$213,241,928	OtherCostOrOtherBasisAmt
Depreciation	$155,822,895	DepreciationAmt
Book Value	$57,419,033	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,233,863	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$18,233,863	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$322,262,116	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Federal Income Taxes
DEFERRED COMPENSATION	$1,407,293
THIRD PARTY SETTLEMENTS	$19,705,663
RIGHT TO USE LIABILITY	$13,926,823
MEDICAID POOLED PAYMENTS	$16,127,458
DEFERRED INCOME SHORT TERM LIABILITIES	$699,197

Field	Value	IRS element (for citing)
Total Liability	$51,866,434	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,345,729,022	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$50,618,704	OtherRevenueAmt
Revenue Not Reported	-$50,618,704	RevenueNotReportedAmt
Revenue Subtotal	$1,396,347,726	RevenueSubtotalAmt
Other Revenues Not Included	$71,878,686	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$71,878,686	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,468,226,412	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,308,816,233	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$1,530,072	OtherExpensesIncludedAmt
Expenses Not Reported	-$1,530,072	ExpensesNotReportedAmt
Expenses Subtotal	$1,310,346,305	ExpensesSubtotalAmt
Other Expenses Not Included	$53,351,781	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$53,351,781	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,363,698,086	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	BAD DEBT RECLASS TO EXPENSE - -50618704
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	GAIN ON SALE OF ASSETS RECLASS TO REVENUE - 305629 INVESTMENT INCOME - 68839980 BHF REIMBURSEMENT TRANSFER - 2733077
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	GAIN ON SALE OF ASSETS RECLASS TO REVENUE - -305629 JOINT VENTURE GAIN/(LOSS) - -1224443
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	BAD DEBT RECLASS TO EXPENSE - 50618704 BHF REIMBURSEMENT TRANSFER - 2733077

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investment in a foreign insurance company	TypeOfActivitiesConductedTxt
Region Total Expenditures	$110,402	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$110,402	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$110,402	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part V 123	FormAndLineReferenceDesc
Explanation	This is some info	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,468,125	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,468,125	NetCommunityBenefitExpnsAmt
Total Expense	0.00328	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	171199	PersonsServedCnt
Total Community Benefit Expns	$249,285,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$233,073,238	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,212,274	NetCommunityBenefitExpnsAmt
Total Expense	0.01189	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	171199	PersonsServedCnt
Total Community Benefit Expns	$253,753,637	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$233,073,238	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,680,399	NetCommunityBenefitExpnsAmt
Total Expense	0.01516	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	19990	PersonsServedCnt
Total Community Benefit Expns	$1,041,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,915	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,005,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00074	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	1564	PersonsServedCnt
Total Community Benefit Expns	$32,093,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,950,085	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,143,408	NetCommunityBenefitExpnsAmt
Total Expense	0.01770	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Persons Served	34	PersonsServedCnt
Total Community Benefit Expns	$250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$250	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	9989	PersonsServedCnt
Total Community Benefit Expns	$3,355,022	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,270,651	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,084,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00153	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	31577	PersonsServedCnt
Total Community Benefit Expns	$36,490,520	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,256,651	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,233,869	NetCommunityBenefitExpnsAmt
Total Expense	0.01997	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	202776	PersonsServedCnt
Total Community Benefit Expns	$290,244,157	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$242,329,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,914,268	NetCommunityBenefitExpnsAmt
Total Expense	0.03514	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,052	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,052	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$176	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$176	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	2392	PersonsServedCnt
Total Community Benefit Expns	$68,382	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68,382	NetCommunityBenefitExpnsAmt
Total Expense	0.00005	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,102	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,102	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	574	PersonsServedCnt
Total Community Benefit Expns	$26,775	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,775	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	2971	PersonsServedCnt
Total Community Benefit Expns	$131,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$131,487	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$50,618,704	BadDebtExpenseAmt
Bad Debt Expense Attributable	$410,182	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$135,502,112	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$131,030,394	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,471,718	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	2825 Airview Blvd	AddressLine1Txt
City	KALAMAZOO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49002	ZIPCd

Field	Value	IRS element (for citing)
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	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.bronsonhealth.com/about/community-health-needs-assessment/bronson-methodist-hospital/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.bronsonhealth.com/about/community-health-needs-assessment/bronson-methodist-hospital/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.0	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 (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	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 (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.bronsonhealth.com/services/medical-financial-assistance/financial-assistance-policy/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://tinyurl.com/yxa75shf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.bronsonhealth.com/services/medical-financial-assistance/plain-language-policy-summary/	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - BRONSON METHODIST HOSPITAL:. BRONSON METHODIST HOSPITAL COMPLETED A CHNA IN 2022 THAT WAS APPROVED BY THE BHG BOARD OF DIRECTORS ON NOVEMBER 18, 2022. BRONSON METHODIST HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT A BROAD RANGE OF INTERESTS OF THE COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. MICHIGAN PUBLIC HEALTH INSTITUTE AND KALAMAZOO COUNTY HEALTH AND COMMUNITY SERVICES HAVE EXPERTISE IN PUBLIC HEALTH. THE KALAMAZOO CHNA COLLABORATIVE, COMPOSED OF BRONSON METHODIST HOSPITAL, ASCENSION BORGESS HOSPITAL, AND FAMILY HEALTH CENTER OF KALAMAZOO, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND THE HEALTH CONCERNS AND NEEDS IN KALAMAZOO COUNTY. THIS CHNA RELIED HEAVILY ON COMMUNITY PARTNERS AND THOSE IN THE COMMUNITY. RECOGNIZING ITS VITAL IMPORTANCE IN UNDERSTANDING THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY, THE CHNA COLLABORATIVE CONSULTED WITH A RANGE OF PUBLIC HEALTH AND SOCIAL SERVICE PROVIDERS THAT REPRESENT THE BROAD INTERESTS OF KALAMAZOO COUNTY. A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE CHNA ADVISORY GROUP INCLUDED: ASCENSION BORGESS, BRONSON HEALTHCARE, CITY OF KALAMAZOO. FAMILY HEALTH CENTER OF KALAMAZOO, INTEGRATED SERVICES OF KALAMAZOO (ISK), KALAMAZOO COUNTY CONTINUUM OF CARE, KALAMAZOO COUNTY HEALTH AND COMMUNITY SERVICES, KALAMAZOO COUNTY SHERIFF'S DEPARTMENT, KALAMAZOO REGIONAL EDUCATIONAL SERVICE AGENCY (KRESA), MICHIGAN WORKS! SOUTHWEST, MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI), THE KALAMAZOO PROMISE, UNITED WAY OF THE BATTLE CREEK AND KALAMAZOO REGION, W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH, WESTERN MICHIGAN UNIVERSITY HOMER STRYKER MD SCHOOL OF MEDICINE (WMED). BOTH PRIMARY AND SECONDARY DATA WERE COLLECTED AND ANALYZED TO INFORM THIS UNIFIED CHNA. MICHIGAN PUBLIC HEALTH INSTITUTE HIGHLIGHTED COMMUNITY VOICE THROUGH ANALYSIS OF KEY INFORMANT INTERVIEWS AND RECENT COMMUNITY REPORTS AND ASSESSMENTS. W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH COMPILED AND ANALYZED SOCIAL DETERMINANTS OF HEALTH INDICATORS TO HIGHLIGHT THE HEALTH STATUS AND SOCIAL DETERMINANTS OF HEALTH FOR INDIVIDUALS LIVING IN KALAMAZOO COUNTY. INDIVIDUALS REPRESENTING PARTNER AGENCIES IN THE COMMUNITY WERE INVITED TO SHARE THEIR THOUGHTS AND EXPERIENCES IN A KEY INFORMANT INTERVIEW. A TOTAL OF 23 KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN THE MONTHS OF JANUARY AND FEBRUARY 2022, WITH PARTICIPANTS REPRESENTING A DIVERSE RANGE OF AGE, RACE, ETHNICITY, SEXUAL ORIENTATION, AND LIVED EXPERIENCE. KEY INFORMANT INTERVIEW ORGANIZATIONS: AREA AGENCY ON AGING - KALAMAZOO ASCENSION MEDICAL GROUP BORGESS BRONSON HEALTHCARE COMMUNITIES IN SCHOOLS EL CONCILIO INTEGRATED SERVICES OF KALAMAZOO KALAMAZOO COMMUNITY FOUNDATION KALAMAZOO COUNTY CONTINUUM OF CARE KALAMAZOO COUNTY HEALTH & COMMUNITY SERVICES KALAMAZOO COUNTY SHERIFF DEPARTMENT KALAMAZOO DEFENDER KALAMAZOO GOSPEL MISSION KALAMAZOO LOAVES AND FISHES KALAMAZOO MINISTERIAL ALLIANCE KALAMAZOO REGIONAL EDUCATIONAL SERVICE AGENCY KALAMAZOO VALLEY COMMUNITY COLLEGE MICHIGAN WORKS SOUTHWEST MINISTRY WITH COMMUNITY OUTFRONT KALAMAZOO THE CITY OF KALAMAZOO THE KALAMAZOO PROMISE UNITED WAY OF THE BATTLE CREEK & KALAMAZOO REGION WESTERN MICHIGAN UNIVERSITY DEPARTMENT FOR DIVERSITY AND INCLUSION WESTERN MICHIGAN UNIVERSITY SCHOOL OF MEDICINE WESTERN MICHIGAN UNIVERSITY WALKER INSTITUTE THE ADVISORY GROUP GATHERED TO REVIEW DATA COLLECTED THROUGH THE CHNA PROCESS. THE GROUP WAS SENT A DATA SUMMARY DOCUMENT THAT INCLUDED THE MOST COMMONLY IDENTIFIED COMMUNITY HEALTH NEEDS AND FINDINGS FROM RECENT COMMUNITY REPORTS AND ASSESSMENTS, KEY INFORMANT INTERVIEWS, AND HEALTH INDICATOR DATA. DURING THE PRIORITIZATION MEETING, THE ADVISORY GROUP REFLECTED ON THE DATA AND IDENTIFIED HEALTH NEEDS. FACILITATORS THEN ASKED THE GROUP TO RATE EACH NEED ON THREE LIKERT SCALES: LEVEL OF DISPARITIES IN HEALTH OUTCOMES, FEASIBILITY OF POSSIBLE INTERVENTIONS, AND URGENCY TO ADDRESS. BRONSON, ASCENSION BORGESS, FAMILY HEALTH CENTER, MICHIGAN PUBLIC HEALTH INSTITUTE, AND W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH MET TO DISCUSS THE RESULTS OF THE PRIORITIZATION MEETING AND CONSIDERED ALL SUGGESTIONS FROM THE ADVISORY GROUP. THEY REVIEWED IDENTIFIED NEEDS AND COMBINED ITEMS TO ESTABLISH FOUR (4) PRIORITY AREAS: SYSTEM NAVIGATION (COORDINATION OF CARE ACROSS HEALTH AND SOCIAL SERVICE SECTORS, THE IMPORTANCE OF COMMUNITY CONNECTION TO RESOURCES/SERVICES AND ONE ANOTHER, ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH IN ADDITION TO CLINICAL HEALTH CARE), MENTAL HEALTH (THE NEED FOR MENTAL HEALTH SUPPORTS WAS EXACERBATED BY COVID-19), SYSTEM CHANGE EFFORTS TO ADDRESS DEEP-ROOTED INEQUITIES (CULTURALLY COMPETENT AND TRAUMA-INFORMED CARE AND COMMUNICATION, LACK OF TRUST IN THE HEALTHCARE SYSTEM, HEALTHCARE AND SERVICES WORKFORCE NOT REPRESENTATIVE OF THE COMMUNITY, EQUITABLE DISTRIBUTION OF SERVICES AND RESOURCES), LIVING CONDITIONS (NECESSITY OF PROVIDING CAREER PATHWAYS AND A LIVABLE WAGE FOR ALL, HEALTHCARE AND SERVICES WORKFORCE NOT REPRESENTATIVE OF THE COMMUNITY, COST OF CARE-HEALTHCARE, MENTAL HEALTH SERVICES, THE NEED FOR AFFORDABLE AND RELIABLE TRANSPORTATION AND HOUSING, ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH IN ADDITION TO CLINICAL HEALTH CARE).
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - BRONSON METHODIST HOSPITAL:. ASCENSION-BORGESS HOSPITAL, BRONSON LAKEVIEW HOSPITAL, BRONSON SOUTH HAVEN HOSPITAL, BRONSON BATTLE CREEK HOSPITAL,
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - BRONSON METHODIST HOSPITAL:. BRONSON HEALTHCARE GROUP FAMILY HEALTH CENTER KALAMAZOO COUNTY HEALTH DEPARTMENT MICHIGAN PUBLIC HEALTH INSTITUTE W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - BRONSON METHODIST HOSPITAL:. BRONSON IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH ITS COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE BHG BOARD APPROVED THE 2023-2025 CHIP IN APRIL 2023. BRONSON RECOGNIZES THREE YEARS IS AN INSUFFICIENT PERIOD TO NOTICE VISIBLE IMPROVEMENT IN THE HEALTH OF A COMMUNITY. THE RESULTS OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONFIRMED THIS BELIEF. THE COMMUNITIES BRONSON SERVES REMAINED CONCERNED ABOUT HEALTH NEEDS THAT WERE IDENTIFIED IN THE PREVIOUS CHNA, SPECIFICALLY, ACCESS TO HEALTHCARE/HEALTH SERVICES, FOOD INSECURITY, AND MENTAL/BEHAVIORAL HEALTH. THE 2022 CHNA ALSO BROUGHT ADDITIONAL HEALTH NEEDS THAT COMMUNITY MEMBERS FELT IMPACTED THEIR HEALTH TO THE FOREFRONT; DISCRIMINATION/RACISM, VIOLENCE AND CRIME, AND HOUSING. AS A RESULT, THE 2023-2025 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) CONTINUES TO FOCUS ITS EFFORTS UPSTREAM, ACKNOWLEDGING THE ROOT CAUSES OF BEHAVIORS, DEATH, AND DISEASE. THE CHIP IS BUILDING UPON THE PROGRESS OF THE 2020-2022 CHIP. THIS CHIP REMAINS A STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY'S MOTHERS, BABIES, AND FAMILIES. THERE REMAINS A SHARED DESIRE AND URGENCY TO BUILD COMMUNITY TRUST IN THE 2023-2025 CHIP. AS SOUTHWEST AND SOUTHCENTRAL MICHIGAN'S ONLY CHILDREN'S HOSPITAL, BRONSON RECOGNIZES THE RESPONSIBILITY AND OPPORTUNITY TO BUILD THIS TRUST FROM THE START. AS A RESULT, BRONSON COMMITS TO ENGAGE AND BUILD TRUST WITH FAMILY SUPPORT TO ELIMINATE RACIAL/ETHNIC DISPARITIES AMONG MOTHERS AND BABIES ACROSS THE REGION (VAN BUREN, KALAMAZOO, CALHOUN COUNTIES). GIVEN THE EXTRAORDINARY CHALLENGE OF SUBSTANTIALLY AND MEASURABLY IMPROVING ACCESS TO CARE IN AN ENVIRONMENT OF LIMITED RESOURCES, BRONSON LEADERS AND COMMUNITY HEALTH BOARD COMMITTEE MEMBERS HAVE CHOSEN TO FOCUS ON TWO FOCUSED HEALTH NEEDS: WORKFORCE EQUITY AND HEALTHCARE EQUITY. TO ACT ON THIS, BRONSON HAS DEPLOYED SEVERAL TACTICS FOCUSED ON ELIMINATING RACIAL/ETHNIC DISPARITIES IN A FAMILY'S PERINATAL EXPERIENCE AND CLINICAL OUTCOMES AND ELIMINATING RACIAL/ETHNIC DISPARITIES IN BRONSON'S WORKFORCE AT EVERY LEVEL TO SUPPORT FAMILIES: ESTABLISH NEW, AND IMPROVE ON EXISTING, SOCIAL AND DEMOGRAPHIC DATA INFRASTRUCTURE AND IMPROVE SDOH SCREENING COLLECTION, IMPROVE PATIENTS' CONNECTION TO COMMUNITY RESOURCES BY ENHANCING COMMUNITY ENGAGEMENT, EXPAND INTERCULTURAL DEVELOPMENT TO IMPROVE QUALITY OF CARE, EXPAND IMPLEMENTATION OF EVIDENCE-BASED MODELS TO IMPROVE MATERNAL/INFANT HEALTH (E.G., CULTURALLY APPROPRIATE BIRTH EDUCATION, CENTERING PREGNANCY, COMMUNITY HEALTHCARE WORKERS, STRONG FATHERS' PROGRAMS, BREASTFEEDING INITIATIVES, NUTRITION EDUCATION, AND FOOD SUPPORTS), ESTABLISH NEW, AND IMPROVE ON EXISTING, SOCIAL AND DEMOGRAPHIC DATA INFRASTRUCTURE, EXPAND INTERCULTURAL DEVELOPMENT TO IMPROVE QUALITY OF CARE, CREATE AND PROMOTE INTERNAL OPPORTUNITIES THAT ALLOW EMPLOYEES TO THRIVE (E.G., CAREER PATHWAYS, SUPPORT FOR HOME OWNERSHIP, CONNECTION TO RESOURCES, ETC.), REVIEW AND REVISE ORGANIZATIONAL POLICIES AND PRACTICES USING AN EQUITY LENS TO SUPPORT THE HEALTH AND WELLBEING OF EMPLOYEES. THE 2023-2025 CHIP SERVES AS A NEXT STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY'S MOTHERS, BABIES, AND FAMILIES. BRONSON CONTINUES TO COLLABORATE AND PARTNER WITH AGENCIES WHOSE MISSIONS AND EXPERTISE ALLOW THEM TO HAVE AN IMPACT IN THE OTHER AREAS IDENTIFIED BY THE CHNA. BECAUSE OF THE INTERSECTIONALITY OF THE NEEDS IDENTIFIED, BRONSON ANTICIPATES THAT IMPROVING TRUST & ACCESS TO CARE AND EMPLOYMENT WILL IMPACT AND IMPROVE OUTCOMES FOR MANY OF THE OTHER COMMUNITY NEEDS.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - BRONSON METHODIST HOSPITAL:. THE ORGANIZATION USES THE FOLLOWING FPL TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS: 200% OR BELOW OF FPL IS ENTITLED TO 100% REDUCTION 250% OF FPL IS ENTITLED TO A 90% REDUCTION 300% OF FPL IS ENTITLED TO A 80% REDUCTION 350% OF FPL IS ENTITLED TO A 75% REDUCTION
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - BRONSON METHODIST HOSPITAL:. THE HOSPITAL MADE PRESUMPTIVE ELIGIBILITY DETERMINATIONS REGARDING PATIENTS WHO ARE HOMELESS AS WELL AS PATIENTS WHO ARE REFERRED TO FROM GRACE HEALTH AND FAMILY HEALTH CENTER OF KALAMAZOO (FHC) AND QUALIFIED FOR FINANCIAL ASSISTANCE AT THOSE FACILITIES. THE HOSPITAL ALSO PROVIDED PRESUMPTIVE ELIGIBILITY DETERMINATIONS REGARDING PATIENTS WHO ARE DETERMINED OVER INCOME FOR MEDICAID, HAVE MEDICARE PART A ONLY OR MEDICAID ESO.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - BRONSON METHODIST HOSPITAL:. THE HOSPITAL ACKNOWLEDGES THAT ALL INDIVIDUALS ARE NOT EQUALLY CAPABLE OF PAYING FOR HEALTHCARE SERVICES, EITHER BY THEMSELVES OR THROUGH A THIRD PARTY INSURANCE CARRIER. THE HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO OFFER CARE FOR PERSONS IN NEED,AND THEREFORE PROVIDES 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).

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
BRONSON VICKSBURG OUTPATIENT CENTER
601 JOHN STREET	KALAMAZOO	MI	49007	THERAPIES, LAB AND RADIOLOGY
BRONSON OUTPATIENT SURGERY CENTER
125 W WALNUT ST	KALAMAZOO	MI	49007	OUTPATIENT SURGERY

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	THE ORGANIZATION USES THE FOLLOWING FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS: 200% OR BELOW OF FPL IS ENTITLED TO A 100% REDUCTION 250% OF FPL IS ENTITLED TO A 90% REDUCTION 300% OF FPL IS ENTITLED TO A 80% REDUCTION 350% OF FPL IS ENTITLED TO A 75% REDUCTION
Schedule H, Part I, Line 7	(A) - (C) COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS INSTRUCTIONS FOR LINES A-C. (E) - (I) COSTING METHODOLOGY IS ACTUAL COSTS PER THE HOSPITAL ACCOUNTING SYSTEM FOR LINES E-I.
Schedule H, Part I, Line 7f	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS: 50,618,704.
Schedule H, Part II COMMUNITY BUILDING ACTIVITIES:	INSURANCE ENROLLMENT OUTREACH AND SUPPORT: BRONSON PROVIDED OPEN ENROLLMENT ASSISTANCE FOR THE MARKETPLACE INSURANCE FROM NOVEMBER 1, 2024, TO JANUARY 15, 2025, WITH A CERTIFIED APPLICATION COUNSELOR (CAC). CAC CONTACT INFORMATION WAS AVAILABLE ON THE HOME PAGE FOR THE MARKETPLACE AS WELL AS SHARED WITH MANY COMMUNITY ORGANIZATIONS. COMMUNITY MEMBERS WERE ABLE TO CALL THE CAC AND ASK QUESTIONS TO GET A BETTER UNDERSTANDING OF THEIR OPTIONS FOR HEALTH INSURANCE. PATIENT FINANCIAL COUNSELORS ASSISTED PATIENTS THROUGHOUT THE 2024 FISCAL YEAR ASSISTING OVER 5000 PATIENTS SYSTEM WIDE TO APPLY FOR MEDICAID THROUGH THE STATE. IF THE PATIENT WAS FOUND NOT ELIGIBLE FOR STATE ASSISTANCE, THE PATIENT FINANCIAL COUNSELORS WOULD THEN REFER THE PATIENT TO THE CERTIFIED APPLICATION COUNSELOR TO ASSIST THE PATIENT WITH THE FEDERALLY FACILITATED MARKETPLACE WEBSITE. CRADLE KALAMAZOO: BRONSON CONTINUED TO SUPPORT THIS COLLABORATION IN 2024 INCLUDING SERVING ON THE GOVERNANCE COMMITTEE. INFANT MORTALITY CONTINUES TO BE A FOCUS OF COALITION BUILDING. THE MISSION OF THIS PARTNERSHIP WITH CRADLE KALAMAZOO, YWCA, AND THE WESTERN MICHIGAN UNIVERSITY HOMER STRYKER M.D. SCHOOL OF MEDICINE (WMED) IS TO REDUCE BLACK INFANT MORTALITY. THE TEAM EXAMINED PROCESSES TO UNDERSTAND WHERE DISPARITIES IN OUTCOME AND OPPORTUNITIES FOR IMPROVEMENT EXISTED. SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE (SWMPQIC): BRONSON CONTINUES TO PARTICIPATE IN THE MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES (MDHHS) MOTHER INFANT HEALTH & EQUITY IMPROVEMENT PLAN, A STATEWIDE EFFORT TO IMPROVE THE HEALTH OF MOMS AND BABIES IN MICHIGAN. BRONSON EMPLOYEES SERVE AS SWMPQIC LEADERSHIP AND ADMINISTRATIVE SUPPORT. THROUGH SWMPQIC, THE SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE, BRONSON STAFF WORKED WITH MULTIPLE MEMBERS ACROSS SEVEN COUNTIES TO CREATE "A LOCALLY LINKED AND COORDINATED NETWORK OF SERVICES FOR BIRTHING PARENTS AND THEIR BABIES COMMITTED TO THE HIGHEST ATTAINABLE STANDARD OF HEALTH AVAILABLE IN MICHIGAN" WITH THE VISION OF "ZERO PREVENTABLE DEATHS. ZERO DISPARITIES." THIS COLLABORATIVE PROVIDES FREE VIRTUAL CHILDBIRTH EDUCATION TO BIRTHING PERSONS WHERE IT IS MOST CONVENIENT FOR THEM. INSTRUCTORS EDUCATED ON LABOR, MEDICAL INTERVENTIONS, CESAREAN SECTIONS, COMFORT TECHNIQUES, AND POSTPARTUM (PHYSICAL AS WELL AS EMOTIONAL). BIRTHING PERSONS HAVE ACCESS TO INSTRUCTORS VIA EMAIL AND ARE ENCOURAGED TO REACH OUT WITH QUESTIONS OR CONCERNS. MICHIGAN TRANSFORMATION COLLECTIVE: IN RESPONSE TO THE VIOLENCE AND CRIME NEEDS IDENTIFIED IN THE 2022 CHNA, BRONSON SUPPORTED THE KALAMAZOO BLUEPRINT FOR PEACE IN ITS GOAL TO STOP THE SHOOTING, STOP THE VIOLENCE. COMMUNITY HEALTH ADVANCEMENT TEAM MEMBERS AS WELL AS BRONSON SOCIAL WORKERS PARTICIPATED IN IMPLEMENTATION PLAN MEETINGS AND CONVENINGS.
Schedule H, Part I, Line 6a	LOCATED ON THE WEBSITE (WWW.BRONSONHEALTH.COM) BRONSON METHODIST HOSPITAL COMMUNITY OUTREACH AND BENEFITS (BRONSONHEALTH.COM) ANNUALLY, EACH HOSPITAL IN THE BRONSON HEALTHCARE SYSTEM DOCUMENTS ITS SERVICE TO THE COMMUNITY AND PRODUCES A COMMUNITY BENEFIT REPORT. THE REPORT TRACKS THE DOLLAR VALUE OF SERVICES TO THE UNDERSERVED, COMMUNITY OUTREACH AND LEADERSHIP; AND TIME AND RESOURCES DONATED TO HEALTH PROFESSIONAL EDUCATION.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH	SAFE FIREARM STORAGE: IN 2023 AND 2024, BRONSON TRAUMA SERVICES COLLABORATED WITH THE BRONSON CHILDREN'S HOSPITAL TO DISTRIBUTE GUN LOCKS. IN 2024, THEY LAUNCHED A REGIONAL GUN SAFE INITIATIVE, SECURING A GRANT TO DISTRIBUTE SAFES ACROSS FOUR BRONSON FACILITIES, IN PARTNERSHIP WITH THE MICHIGAN STATE POLICE, AS WELL AS PROVIDING HUNDREDS OF GUN LOCKS AND EDUCATION TO THE GENERAL POPULATION OF AT RISK FAMILIES IN THE COMMUNITY. STOP THE BLEED: A NATIONAL PROGRAM DESIGNED TO TRAIN THE PUBLIC IN LIFE-SAVING BLEEDING CONTROL, DEVELOPED BY THE DEPARTMENT OF DEFENSE AND THE AMERICAN COLLEGE OF SURGEONS. BRONSON TRAUMA SERVICES PROMOTED THIS AT THE MICHIGAN STATE CAPITAL TO IMPROVE SURVIVAL RATES FROM ACTIVE SHOOTER INCIDENTS. OLDER ADULT FALL PREVENTION: FALLS ARE THE LEADING CAUSE OF INJURY-RELATED DEATHS FOR THOSE OVER 65. BRONSON TRAUMA SERVICES OFFERS EDUCATIONAL PROGRAMS TO HELP SENIORS REDUCE THEIR FALL RISK. IN 2023 AND 2024, THEY EXPANDED PARTNERSHIPS, DELIVERING 26 FALL PREVENTION COURSES AT SENIOR CENTERS, CHURCHES, AND ASSISTED LIVING FACILITIES. MOTOR VEHICLE COLLISION PREVENTION: TARGETING TEENS, PARENTS, AND ADULTS OVER 60, BRONSON TRAUMA SERVICES PROVIDES PROGRAMS AIMED AT REDUCING MOTOR VEHICLE ACCIDENTS. THEIR INJURY PREVENTION EFFORTS EXTEND BEYOND COLLISIONS, INCLUDING OPIOID OVERDOSE HARM REDUCTION AND PARTICIPATION IN 31 COMMUNITY EVENTS, REACHING THOUSANDS OF PEOPLE. THROUGH THESE DIVERSE INITIATIVES, BRONSON TRAUMA SERVICES CONTINUES TO LEAD IN PROMOTING SAFETY AND REDUCING PREVENTABLE INJURIES IN THE COMMUNITY. SAFE KIDS KALAMAZOO: SAFE KIDS KALAMAZOO COUNTY BRINGS TOGETHER THE EXPERTISE OF INDIVIDUALS IN OUR COMMUNITY WHO ARE DEDICATED TO REDUCING CHILDHOOD INJURIES. SAFE KIDS KALAMAZOO COUNTY COALITION MEMBERS INCLUDE, BUT ARE NOT LIMITED TO: EMS, LAW ENFORCEMENT, FIRE DEPARTMENTS, SERVICE GROUPS, CHILDCARE PROVIDERS, SCHOOL PERSONNEL, GOVERNMENT AGENCIES, CITY PERSONNEL, PARENTS, WESTERN MICHIGAN UNIVERSITY STAFF AND BRONSON METHODIST HOSPITAL STAFF. SAFE KIDS KALAMAZOO COUNTY HAS AN EXTENSIVE COALITION NETWORK THAT PROVIDES PROGRAMMING IN THE SAME SERVICE AREA. SAFE KIDS KALAMAZOO COUNTY FOCUSES ON A NUMBER OF SAFETY INITIATIVES BOTH IN THE HOME AND IN THE COMMUNITY. * WATER SAFETY * BICYCLE SAFETY * CHILD PASSENGER SAFETY * WINTER SPORTS SAFETY * MEDICATION SAFETY * FIRE SAFETY SAFE KIDS ORGANIZES CAR SEAT SAFETY CHECKS AT THE BRONSON METHODIST HOSPITAL AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. CERTIFIED CAR SEAT CHECK SPECIALISTS WILL ATTEND THESE EVENTS TO HELP ENSURE YOUR CHILD IS IN THE CORRECT CAR SEAT. IMAGING SERVICES EDUCATIONAL PARTNERSHIPS: THE IMAGING SERVICES DEPARTMENT AT BRONSON HEALTHCARE SYSTEM MAINTAINS ACTIVE PARTNERSHIPS WITH MULTIPLE ACCREDITED EDUCATIONAL INSTITUTIONS ACROSS THE STATE OF MICHIGAN. THESE COLLABORATIONS ARE ESSENTIAL IN SUPPORTING THE DEVELOPMENT OF THE NEXT GENERATION OF MEDICAL IMAGING PROFESSIONALS. AS PART OF THESE PARTNERSHIPS, THE DEPARTMENT PROVIDES HANDS-ON CLINICAL TRAINING EXPERIENCES FOR STUDENTS PURSUING CAREERS IN VARIOUS IMAGING MODALITIES. THESE INCLUDE, BUT ARE NOT LIMITED TO: * RADIOLOGIC TECHNOLOGY (X-RAY) * MAGNETIC RESONANCE IMAGING (MRI) * NUCLEAR MEDICINE TECHNOLOGY * DIAGNOSTIC MEDICAL SONOGRAPHY (ULTRASOUND) EACH YEAR, APPROXIMATELY 80 STUDENTS ARE ACCEPTED INTO THE IMAGING DEPARTMENT'S CLINICAL EDUCATION PROGRAM ACROSS THE BRONSON SYSTEM. THESE STUDENTS ARE ENROLLED IN PROGRAMS FROM COMMUNITY COLLEGES AND UNIVERSITIES SUCH AS KALAMAZOO VALLEY COMMUNITY COLLEGE, FERRIS STATE UNIVERSITY, GRAND VALLEY STATE UNIVERSITY, AND OTHERS WITH ACCREDITED ALLIED HEALTH PROGRAMS. DURING THEIR CLINICAL ROTATIONS, STUDENTS WORK UNDER THE SUPERVISION OF REGISTERED TECHNOLOGISTS AND CLINICAL INSTRUCTORS, GAINING ESSENTIAL REAL-WORLD EXPERIENCE IN PATIENT CARE, IMAGING PROTOCOLS, AND HEALTHCARE OPERATIONS WITHIN A HOSPITAL SETTING. STUDENTS ROTATE THROUGH VARIOUS FACILITIES WITHIN THE BRONSON SYSTEM, INCLUDING BRONSON METHODIST HOSPITAL, BRONSON BATTLE CREEK, BRONSON LAKEVIEW, AND BRONSON SOUTH HAVEN. THESE CLINICAL OPPORTUNITIES NOT ONLY SUPPORT THE ACADEMIC REQUIREMENTS OF THE STUDENTS' DEGREE OR CERTIFICATION PROGRAMS BUT ALSO SERVE AS A VALUABLE RECRUITMENT PIPELINE FOR THE ORGANIZATION. MANY STUDENTS GO ON TO APPLY FOR EMPLOYMENT WITHIN THE BRONSON SYSTEM FOLLOWING GRADUATION AND CREDENTIALING. BY OFFERING THESE STRUCTURED CLINICAL EXPERIENCES, THE IMAGING SERVICES DEPARTMENT CONTRIBUTES SIGNIFICANTLY TO THE TRAINING OF HEALTHCARE PROFESSIONALS IN OUR REGION AND HELPS ENSURE A HIGHLY SKILLED WORKFORCE FOR THE FUTURE OF MEDICAL IMAGING IN MICHIGAN. RESPIRATORY CARE EDUCATION: AT BRONSON, THE RESPIRATORY CARE DEPARTMENT COLLABORATES WITH LOCAL PROGRAMS TO PROVIDE STUDENTS WITH ESSENTIAL HANDS-ON EXPERIENCE AS THEY WORK TOWARDS BECOMING RESPIRATORY THERAPISTS. THESE THERAPISTS PLAY A CRUCIAL ROLE IN EVALUATING, TREATING, AND CARING FOR PATIENTS WITH HEART AND LUNG DISEASES, AS WELL AS MANAGING ADVANCED LIFE-SUPPORT SYSTEMS FOR ADULTS, CHILDREN, AND PREMATURE INFANTS. CLINICAL EXPERIENCE IS A VITAL COMPONENT OF THEIR TRAINING, AND BRONSON'S REGISTERED RESPIRATORY THERAPISTS (RRTS) DEDICATE SIGNIFICANT TIME TO OFFERING THIS COMMUNITY BENEFIT. IN 2024, BRONSON EDUCATED APPROXIMATELY 54 STUDENTS, PROVIDING OVER 1,296 HOURS OF CLINICAL TRAINING AND MENTORSHIP. MANY OF THESE STUDENTS GO ON TO SERVE THE COMMUNITY AS RESPIRATORY THERAPISTS, AND THOSE WHO JOIN BRONSON CONTINUE THE CYCLE BY MENTORING AND TRAINING THE NEXT GENERATION. BRONSON COMMUNITY HEALTH WORKER PROGRAM IN 2024, BRONSON LAUNCHED A NEW COMMUNITY HEALTH WORKER INITIATIVE IN THE ONCOLOGY SPACE. TWO CHWS WERE ONBOARDING WITH THE GOAL OF INCREASING CANCER PREVENTION AND SCREENING. THROUGH THE INTENTIONAL ENGAGEMENT OF COMMUNITY ORGANIZATIONS AND ADVOCATES, BEGINNING TO BUILD TRUST AND ACCESS TO CANCER INFORMATION. CHWS ATTENDED 64 EVENTS WITH OVER 1000 1-ON-1 INTERACTIONS WITH COMMUNITY MEMBERS TO BUILD TRUST AND SHARE INFORMATION ABOUT CANCER PREVENTION AND SCREENING. DISTRIBUTED OVER 150 TAKE-HOME COLON CANCER SCREENING KITS TO MEDICALLY UNDERSERVED COMMUNITY MEMBERS. DESIGNED A TESTICULAR CANCER SHOWER SCREENING CARD. EXPANDED TRANSLATION OPTIONS FOR CANCER CENTER SCREENING MATERIALS. WORKED TO INCREASE FREE CANCER SCREENING EVENT ATTENDANCE. EXPAND IMPLEMENTATION OF EVIDENCE-BASED MODELS TO IMPROVE MATERNAL/INFANT HEALTH (E.G., CULTURALLY APPROPRIATE BIRTH EDUCATION, CENTERING PREGNANCY, COMMUNITY HEALTHCARE WORKERS, STRONG FATHERS' PROGRAMS, BREASTFEEDING INITIATIVES, NUTRITION EDUCATION, AND FOOD SUPPORTS). SEXUAL ASSAULT SERVICES PROGRAM IN 2024, SEXUAL ASSAULT SERVICES (SAS) STAFF CONTINUED TO EXPAND SERVICES TO UNDER-RESOURCED COMMUNITIES BY RAISING AWARENESS, CONDUCTING TARGETED OUTREACH, AND STRENGTHENING PARTNERSHIPS WITH LOCAL ORGANIZATIONS. AS PART OF THIS EFFORT, GRANT FUNDING WAS USED TO TRANSLATE INFORMATIONAL RACK CARDS INTO SPANISH, BURMESE, AND SWAHILI. THESE MATERIALS WERE DISTRIBUTED ACROSS CALHOUN COUNTY TO AGENCIES, BUSINESSES, AND COMMUNITY GROUPS THAT SERVE DIVERSE POPULATIONS. THIS INITIATIVE IS ONGOING, WITH A NEW ROUND OF TRANSLATED RACK CARDS SCHEDULED FOR DISTRIBUTION INTO 2025 TO FURTHER EXTEND THE PROGRAM'S REACH. SEXUAL ASSAULT NURSE EXAMINER (SANE) INCREASED ACCESS TO SERVICES ACROSS THE STATE FOR ALL SURVIVORS. THE SANE PROGRAM SUPERVISOR AND ONE OF THE FORENSIC NURSE EXAMINERS WERE ASKED TO HELP TRAIN OTHER NURSES AT THE MSU SANE SKILLS LAB AS PART OF AN EFFORT TO INCREASE THE NUMBER, ACCESSIBILITY, AND SUSTAINABILITY OF ADULT/ADOLESCENT SANES IN UNDERSERVED, RURAL AREAS OF MICHIGAN. BRONSON SEXUAL ASSAULT SERVICES (SAS) SEXUAL ASSAULT NURSE EXAMINER (SANE) TEAM MET WITH MEDICAL STAFF FROM CARES SEXUAL WELLNESS SERVICES, THE SECOND-LARGEST HIV SERVICE PROVIDER IN MICHIGAN, TO STRENGTHEN FOLLOW-UP CARE FOR SEXUAL ASSAULT SURVIVORS AND STREAMLINE REFERRALS FOR MEDICAL FORENSIC CARE. CARES PLAYS A VITAL ROLE IN PROVIDING MEDICAL SERVICES TO THE LGBTQ+ COMMUNITY, INDIVIDUALS LIVING WITH HIV, AND OTHER UNDERSERVED POPULATIONS IN SOUTHWEST MICHIGAN. THEY HAVE AGREED TO SERVE AS A REFERRAL PARTNER FOR SANE PATIENTS, OFFERING LOW- OR NO-COST TESTING. ADDITIONALLY, CARES OPERATES A MOBILE CLINIC, AND BOTH ORGANIZATIONS ARE EXPLORING THE POSSIBILITY OF SCHEDULING REGULAR VISITS TO THE SAS OFFICE. THIS INITIATIVE AIMS TO REDUCE TRANSPORTATION AND FINANCIAL BARRIERS FOR SURVIVORS SEEKING FOLLOW-UP CARE. IN CASES WHERE A SURVIVOR TESTS POSITIVE FOLLOWING AN ASSAULT, CARES WILL PROVIDE ESSENTIAL SUPPORT AND RESOURCES, ENSURING CONTINUITY OF CARE AND ACCESS TO TREATMENT.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH	MOTHERS MILK BANK: BEGINNING IN 2024 WE HAVE DONATED BREASTMILK TO BABIES WHO HAVE A MOM WHO IS ACTIVELY UNDERGOING CANCER TREATMENTS. THIS WAS SO IMPACTFUL FOR THE FAMILIES - ONE VERY LOCAL WHO RECEIVED CANCER CARE AT BRONSON. THIS ALLOWED THE BABIES TO RECEIVE ALL OF THE HEALTH BENEFITS AND ALSO ALLOWED THE MOMS TO FOCUS ON THEIR HEALTHCARE JOURNEY. THIS IS IMPACTFUL AND THE NOURISHMENT OF BABIES GOES MUCH FURTHER THAN THAT. THE WEIGHT THAT HAS BEEN TAKEN OFF OF FAMILIES DURING DIFFICULT TIMES WHILE ALSO PROVIDING LIQUID GOLD FOR THESE BABIES. WE ARE SO PROUD TO BE ABLE TO CONNECT AND IMPACT THE COMMUNITY WITH THE HELP OF OUR INCREDIBLE MILK BANK DONORS. BRONSON ONCOLOGY SERVICES: BRONSON ONCOLOGY SERVICE LINE STANDS AS A PILLAR OF COMPASSIONATE CARE AND PROACTIVE COMMUNITY INVOLVEMENT IN THE FIGHT AGAINST CANCER. BEYOND PROVIDING CUTTING-EDGE TREATMENT AND SUPPORT TO PATIENTS. BRONSON'S ONCOLOGY TEAM IS COMMITTED TO EDUCATING, EMPOWERING, AND UPLIFTING THE COMMUNITY THROUGH A VARIETY OF OUTREACH INITIATIVES AND EVENTS. BRONSON CONNECTS WITH THE COMMUNITY THROUGH ACTIVE PARTICIPATION IN THE RELAY FOR LIFE. THIS ANNUAL EVENT BRINGS TOGETHER SURVIVORS, CAREGIVERS, FAMILIES, AND HEALTHCARE PROFESSIONALS IN A DEMONSTRATION OF SOLIDARITY AND HOPE. BRONSON'S PRESENCE AT RELAY FOR LIFE NOT ONLY RAISES AWARENESS AND FUNDS CANCER RESEARCH BUT ALSO FOSTERS A SENSE OF UNITY AND RESILIENCE AMONG PARTICIPANTS. STAFF MEMBERS WALK ALONGSIDE PATIENTS AND FAMILIES, SHARING STORIES, OFFERING SUPPORT AND REINFORCING THE MESSAGE THAT NO ONE FACES CANCER ALONE. BRONSON ONCOLOGY TAKES A HANDS-ON APPROACH TO LOCAL HEALTH EDUCATIONS AND EARLY DETECTION. THE SERVICE LINE REGULARLY HOSTS SCREENING EVENTS, INCLUDING PROSTATE SCREENINGS AND BREAST HEALTH CLINICS. THESE CLINICS PROVIDE OPPORTUNITIES FOR INDIVIDUALS TO RECEIVE PREVENTIVE CARE AND LEARN ESSENTIAL SKILLS SUCH AS BREAST SELF-EXAMS. BY MAKING THESE SERVICES AVAILABLE IT HELPS INDIVIDUALS TO TAKE CHARGE OF THEIR HEATH AND FOSTERS A CULTURE OF PROACTIVE WELLNESS. BRONSON AT HOME: BRONSON AT HOME, A JOINT COMMISSION ACCREDITED HOME CARE AGENCY, SERVES PATIENTS IN THE COMMUNITIES OF CALHOUN, KALAMAZOO, AND VAN BUREN COUNTIES, EXTENDING BRONSON'S HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE TO THEIR HOME ENVIRONMENT. OUR TEAM INCLUDES REGISTERED NURSES, HOME HEALTH AIDES, PHYSICAL THERAPISTS, PHYSICAL THERAPIST ASSISTANTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, AND MEDICAL SOCIAL WORKERS. WE PROMOTE HEALING IN A SAFE AND COMFORTABLE ENVIRONMENT, HELPING WITH PROVIDER COORDINATION WHEN NEEDED. ALONG WITH OTHER BRONSON ENTITIES, OUR GOAL IS TO PREVENT REHOSPITALIZATION AND PROMOTE SAFETY IN THE COMMUNITY. MEASURES OF SUCCESS ARE TIMELY INITIATION OF CARE, FALL PREVENTION, ACCURATE MEDICATION RECONCILIATION, AND DISEASE MANAGEMENT IN THE HOME. WE DO THIS BY ESTABLISHING A SEAMLESS TRANSITION FROM THE ACUTE SETTING TO THE PATIENT'S HOME WITH FOLLOW-UP SESSIONS AND EDUCATION WITH BOTH THE PATIENT AND THEIR CAREGIVERS. BRONSON AT HOME PARTICIPATES WITH SYSTEM AND COMMUNITY EVENTS, SUCH AS TRAUMA DAY AND AREA SENIOR EXPOS, TO SUPPORT COMMUNITY HEALTH AND EDUCATION.
Schedule H, Part II, Line 5 THE MEDICARE COST REPORT ADDITIONAL MEDICARE COSTS	AS PER THE INSTRUCTIONS, SCHEDULE H PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. ADDITIONAL MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANGE HOSPITAL AND BOTH FFS & HMO FOR PHYSICIANS) ARE SUMMARIZED AS FOLLOWS: TOTAL COST - $327,386,211 TOTAL REIMBURSEMENT - $225,306,952 COST IN EXCESS OF REIMBURSMENT ($102,079,259)
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BAD DEBT WRITEOFFS SUPPORT THE COMMUNITY BY PROVIDING A PORTION OF SERVICES WITHOUT PAYMENT. THE AMOUNT OF BAD DEBT EXPENSES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS ESTIMATED BY REVIEWING THE BAD DEBT DETAIL FOR A SPECIFIC WRITE-OFF CODE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THIS INFORMATION CAN BE FOUND IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER NOTE 2, SIGNIFICANT ACCOUNTING POLICIES FOR ACCOUNTS RECEIVABLE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO ITS REPRESENTATION OF COST OF A PORTION OF SERVICES PROVIDED TO THE COMMUNITY WITHOUT PAYMENT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE POLICY REQUIRES THE COLLECTION AGENCY BE NOTIFIED AND ACTIVITY SUSPENDED WHEN A REQUEST FOR FINANCIAL ASSISTANCE IS MADE AND A PATIENT SUBMITS AN APPLICATION ON A PREVIOUSLY LISTED ACCOUNT. THE COLLECTION AGENCY IS NOTIFIED THE SAME DAY THE APPLICATION IS RECEIVED. IF A PATIENT QUALIFIES FOR FULL FINANCIAL ASSISTANCE, THE ACCOUNT IS RETURNED TO BRONSON FROM THE AGENCY AND ANY INITIATED ECA IS REVERSED. IF THE PATIENT QUALIFIES FOR PARTIAL FINANCIAL ASSISTANCE, A DETERMINATION IS SENT TO THE AGENCY INDICATING THE NEW BALANCE AND ANY INITIATED ECA IS REVERSED. IF THE PATIENT DOES NOT PROVIDE COMPLETE APPLICATION INFORMATION OR IS DETERMINED TO BE INELIGIBLE, A DENIAL LETTER IS ISSUED AND THE AGENCY RESUMES COLLECTION ACTIVITY. FURTHERMORE, THE POLICY REQUIRES THAT BRONSON SEND A RESPONSE TO PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE WITHIN 30 BUSINESS DAYS (45 DAYS). IF THE APPLICATION IS APPROVED, THE APPLICATION WILL WORK THROUGH THE FINAL PROCESSES. IF BRONSON NEEDS MORE INFORMATION, BRONSON MUST REQUEST IT FROM THE PATIENT WITHIN THE 45 DAY TIME FRAME. IF REQUESTED INFORMATION IS NOT RECEIVED WITHIN 15 DAYS OF THE LETTER, BRONSON WILL DENY THE APPLICATION AND A DENIAL LETTER SENT TO THE PATIENT. BRONSON WILL HOLD THE APPLICATION FOR 60 DAYS IN CASE THE REQUESTED INFORMATION COMES IN AFTER THE 15 DAYS. IF THE APPLICATION IS 60 DAYS OLD, AND REQUESTED INFORMATION IS NOT RECEIVED, THE APPLICATION IS DECLINED, AND THE PATIENT WOULD NEED TO SUBMIT A NEW APPLICATION. IF THE APPLICATION IS DECLINED, BRONSON THEN NOTIFIES THE COLLECTION AGENCY TO RESUME COLLECTIONS. SIGNATURES ARE ONLY GOOD FOR 60 DAYS WHEN BRONSON IS REQUESTING ADDITIONAL INFORMATION. ONCE AN APPLICATION IS APPROVED, THE COLLECTION AGENCY IS NOTIFIED VIA EMAIL OF THE APPROVAL PERCENTAGE OR DENIED ON THE SAME DAY THE APPLICATION IS COMPLETED.
Schedule H, Part V, Section B, Line 16a FAP website	- BRONSON METHODIST HOSPITAL: Line 16a URL: https://www.bronsonhealth.com/services/medical-financial-assistance/financial-assistance-policy/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- BRONSON METHODIST HOSPITAL: Line 16b URL: https://tinyurl.com/yxa75shf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- BRONSON METHODIST HOSPITAL: Line 16c URL: https://www.bronsonhealth.com/services/medical-financial-assistance/plain-language-policy-summary/;
Schedule H, Part VI, Line 2 Needs assessment	BRONSON HEALTHCARE GROUP UTILIZES A STRATEGIC MANAGEMENT MODEL TO DEVELOP BOTH A LONG TERM (3 YEAR) AND ANNUAL STRATEGIC PLAN. INPUTS INTO THE PLAN ARE DOCUMENTED IN OUR STRATEGIC INPUT DOCUMENT. ONE OF THE IMPORTANT INPUTS INTO THIS PLAN IS THE HEALTH OF OUR COMMUNITY. IN ADDITION TO THE CHNA DATA SOURCES LISTED IN PART V SECTION B LINE 5, THE FOLLOWING SOURCES ARE USED TO INFORM OUR STRATEGIC PLAN: 1. SG2 MARKET ESTIMATES 2. SG2 IP/OP FORECAST 3. SG2 AMBULATORY MARKET STRATEGIST 4. SG2 MARKET DEMOGRAPHICS FROM CLARITAS
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE EMERGENCY ROOM, THE ADMITTING DEPARTMENT, THE PATIENT FINANCIAL COUNSELING OFFICE, AND THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM). THE PLAIN LANGUAGE SUMMARY IS ALSO INCLUDED IN THE PATIENT'S DISCHARGE DOCUMENTS, ON PATIENT STATEMENTS AND THE HOSPITAL'S WEBSITE. BOTH THE POLICY AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST.
Schedule H, Part VI, Line 4 Community information	BRONSON METHODIST HOSPITAL IS LOCATED IN THE CITY OF KALAMAZOO IN KALAMAZOO COUNTY AND IS PART OF THE BRONSON HEALTHCARE SYSTEM. BRONSON METHODIST HOSPITAL SERVES A NINE-COUNTY REGION IN SOUTHWEST MICHIGAN. ABOUT 47.4% OF PATIENTS SERVED COME FROM WITHIN KALAMAZOO COUNTY AND THE OTHER 52.6% COME FROM THE REGIONAL COUNTIES OF: ALLEGAN, BARRY, BERRIEN, BRANCH, CASS, VAN BUREN, CALHOUN, AND ST. JOSEPH. FOR THE PURPOSES OF THE 2022 CHNA REPORTS, THE COMMUNITY SERVED WAS DEFINED AS KALAMAZOO COUNTY. KALAMAZOO COUNTY HAD AN ESTIMATED POPULATION SIZE OF 266,365 IN 2022. 13% OF THE POPULATION WAS AGE 0-20; 19.5% WAS 20-39, 34.3% WAS 40-64 AND 33.1% WAS AGE 65 AND OVER. MALES COMPRISE 49.0% OF THE POPULATION, WHEREAS FEMALES COMPRISE 51.0% OF THE POPULATION. KALAMAZOO COUNTY'S 2022 POPULATION WAS 85.20% WHITE AND 9.9% BLACK OR AFRICAN AMERICAN. BRONSON METHODIST HOSPITAL SERVES A NINE-COUNTY REGION IN SOUTHWEST MICHIGAN. PATIENT DEMOGRAPHICS 12.1% < 21 YEARS OF AGE 17.4% 21-39 YEARS OF AGE 29.2% 40-64 YEARS OF AGE 41.3% 65 YEARS OF AGE AND OLDER PATIENT DIVERSITY DEMOGRAPHICS 82.6% CAUCASIAN 10.4% AFRICAN AMERICAN 1.4% ASIAN 0.1% HISPANIC 5.5% OTHER PATIENT INSURANCE DEMOGRAPHICS 37.0% PRIVATE INSRUANCE 14.1% MEDICARE 30.3% MEDICARE AND SUPPLEMENTAL INSURANCE 17.3% MEDICAID OR OTHER PUBLIC ASSISTANCE 1.3% NO COVERAGE
Schedule H, Part VI, Line 5 Promotion of community health	STAKEHOLDERS BRONSON LEADERS SERVE ON NON-PROFIT BOARDS, COMMUNITY COALITIONS, AND HEALTH-RELATED COMMITTEES THROUGHOUT THE COMMUNITY INCLUDING CRADLE KALAMAZOO, FETAL INFANT MORTALITY REVIEW (FIMR), FAMILY HEALTH CENTER, SOUTHWEST MICHIGAN FIRST, WESTERN MICHIGAN UNIVERSITY HOMER STRYKER M.D. SCHOOL OF MEDICINE, KALAMAZOO TECHNOLOGY TRAINING PARTNERSHIP VIA THE KALAMAZOO PROMISE, AND EPIC MICHIGAN USER GROUP. CRADLE KALAMAZOO IS A MULTI-AGENCY COMMUNITY INITIATIVE THAT AIMS TO IDENTIFY AND IMPLEMENT EVIDENCE-BASED AND HOLISTIC INTERVENTIONS TO REDUCE INFANT DEATH AND PROMOTE RESPECT FOR FAMILIES, WOMEN, AND THEIR CHILDREN. CRADLE KALAMAZOO'S SCOPE HAS BEEN MATERNAL-INFANT HEALTH, AS PREGNANT WOMEN HAVE BEEN A PRIORITY FOCUS FROM ITS INCEPTION. STRATEGIES ARE DATA-DRIVEN BY THE FETAL INFANT MORTALITY REVIEW TEAM (FIMR) TO CREATE BEST PRACTICE RECOMMENDATIONS THAT ARE SPECIFIC TO THE NEEDS OF THE COMMUNITY. FETAL INFANT MORTALITY REVIEW (FIMR) IS AN EVIDENCE-BASED PROCESS OF IDENTIFICATION AND ANALYSIS OF FACTORS THAT CONTRIBUTE TO FETAL AND INFANT DEATH THROUGH CHART REVIEW AND INTERVIEW OF INDIVIDUAL CASES. FIMR COMPLEMENTS OTHER STUDIES OF INFANT DEATH BUT USES AN APPROACH THAT IS COMMUNITY-BASED, ACTION-ORIENTED, AND DESIGNED TO BRING TOGETHER LOCAL HEALTH PROVIDERS, CONSUMERS, ADVOCATES, AND LEADERS. FIMR IDENTIFIES STRENGTHS AND AREAS FOR IMPROVEMENTS IN OVERALL SERVICE SYSTEMS AND COMMUNITY RESOURCES FOR WOMEN, CHILDREN, AND FAMILIES. FIMR ALSO PROVIDES DIRECTION TOWARD THE DEVELOPMENT OF NEW POLICIES TO SAFEGUARD THEM. FAMILY HEALTH CENTER IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT SERVES THE CITIZENS OF KALAMAZOO COUNTY. FHC PROVIDES QUALITY HEALTH CARE TO SOME 45,000 HISTORICALLY UNDERSERVED PATIENTS, ENSURING THAT ALL PEOPLE WHO ENTER THEIR FACILITIES ARE TREATED WITH DIGNITY, RESPECT AND A WELCOMING SPIRIT. SOUTHWEST MICHIGAN FIRST-ECONOMIC DEVELOPMENT AS SOUTHWEST MICHIGAN'S COMMUNITY AND ECONOMIC DEVELOPMENT ORGANIZATION, THEY COMMITTED TO FULFILLING THE MISSION TO INCREASE ECONOMIC PROSPERITY FOR ALL IN OUR COMMUNITIES THROUGH INCLUSIVE AND EQUITABLE ACTIONS THAT SUPPORT BUSINESSES, ENTREPRENEURS, AND RESIDENTS OF ALL RACES, ETHNICITIES, AGES, SEXUAL ORIENTATIONS, GENDER IDENTIFICATIONS, BELIEFS DISABILITIES, AND BACKGROUNDS. WMU HOME STRYKER MD SCHOOL OF MEDICINE- MEDICAL EDUCATION THE MISSION IS TO SUPPORT, EDUCATE, AND INSPIRE ALL MEMBERS OF THE MEDICAL SCHOOL COMMUNITY TO NURTURE MIND-BODY-SPIRIT WELLNESS FOR THEMSELVES, OTHERS, AND THE COMMUNITY AS A WHOLE. TO TRAIN COMPETENT AND COMPASSIONATE PHYSICIANS WHO SEEK TO TREAT THE WHOLE PATIENT. BY BRINGING WELLNESS TO THE FOREFRONT. COMMUNITY EDUCATION- SAFETY AND PREVENTION TRAUMA SERVICES: INJURY PREVENTION EDUCATION AND ACTIVITIES ARE HELD IN THE COMMUNITY OR FOR THE GENERAL PUBLIC BY THE TRAUMA PROGRAMS, PROMOTING HEALTHIER LIVING IN THE COUNTY. SUBJECTS INCLUDED ADULT FALL PREVENTION, MOTOR VEHICLE COLLISIONS, TRAUMA AND ASSAULT, AND OPIOID OVERDOSE. WORKFORCE SUPPORT IN THE COMMUNITY AREAS OF FOCUS FOR 2024 AND BEYOND: BRONSON IS COMMITTED TO HELPING AND GUIDING EMERGING TALENT FROM LOCAL INSTITUTIONS TO START THEM ON THEIR CAREER JOURNEYS. STRENGTHENED RELATIONSHIPS WITH THE KALAMAZOO PROMISE IN HOSTING HIGHER PROMISE INTERNS WHICH WILL ALLOW THEM TO EXPLORE FUTURE OPPORTUNITIES WITHIN HEALTHCARE. BUILDING STRONGER RELATIONSHIPS WITH LOCAL COMMUNITY GROUPS SUCH AS EL CONCILLIO AND THE NORTHSIDE ASSOCIATION FOR COMMUNITY DEVELOPMENT (NACD) TO TAILOR OPPORTUNITIES FOR THE GROUPS THEY SERVE. ENGAGING WITH LOCAL HIGH SCHOOLS TO PROMOTE CAREER OPPORTUNITIES IN HEALTHCARE EARLY IN A STUDENT'S DEVELOPMENT. WORKFORCE ENGAGEMENT - 2024 RECRUITMENT AND RETENTION OF TOP TALENT WITHIN THE REGION REMAINS A FOCUS AT BRONSON SHOWING A STRONG COMMITMENT TO THE LOCAL COMMUNITY, OUR PATIENTS, AND STAFF. OUR ORGANIZATION IS JUST OVER 9,300 EMPLOYEES STRONG WHILE CONSISTENTLY HIRING NEARLY 2,000 NEW STAFF MEMBERS AND FACILITATING JUST AS MANY INTERNAL MOBILITY EFFORTS EACH YEAR. CONTINUED FOCUS ON IN-PERSON EVENTS AND BUILDING STRONGER RELATIONSHIPS WITH LOCAL UNIVERSITIES, COLLEGES, AND TECHNICAL SCHOOLS. BRONSON IS COMMITTED TO GUIDING EMERGING TALENT FROM THESE INSTITUTIONS AND HELPING THEM START THEIR CAREER JOURNEYS. STRENGTHENING RELATIONSHIPS WITH MULTIPLE COMMUNITY GROUPS TO FURTHER ADVANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. A FEW EXAMPLES ARE THE HIGHER PROMISE INTERNS, PROJECT SEARCH, JETERS LEADERS, GVSU PIPELINE SCHOLARS, LPN APPRENTICESHIP ETC. ENGAGING WITH K-12 IN PARTNERSHIP WITH THE CENTER FOR LEARNING TO PROMOTE HEALTHCARE CAREERS AND EDUCATION EARLY IN STUDENTS' DEVELOPMENT. WORKFORCE SUPPORT IN THE COMMUNITY (ERGS) IN 2024, BRONSON HEALTHCARE LAUNCHED EMPLOYEE RESOURCE GROUPS (ERGS) ACROSS BMH, BBC, BLH, AND BSH, INCLUDING; AFRICAN AMERICAN, LATINX, MILITARY VETERANS & ALLIES, WOMEN, YOUNG PROFESSIONALS, LGBTQ+ ALLIES, AND PERSONS WITH DISABILITIES, WITH A PROVIDER ERG SHORTLY THEREAFTER. THE ERGS HAVE GIVEN EMPLOYEES THE OPPORTUNITY TO CONVERT CONNECTIONS INTO IMPACT, HELPING US IMPROVE ENGAGEMENT, INNOVATION, AND BUILD STRONGER COMMUNITY TIES. IN 2024, EVENTS SUCH AS THE YOUNG PROFESSIONALS MIXER AT THE CRAFTED COPPER, THE AFRICAN AMERICAN ERG MEET-AND-GREET AT TWINE URBAN WINERY SHOWCASED THE ONGOING COMMITMENT OF OUR EMPLOYEE RESOURCE GROUPS TO BUILDING MEANINGFUL CONNECTIONS ACROSS THE BRONSON SYSTEM. ENGAGING OVER 165 EMPLOYEES, ERGS EMPOWER BRONSON EMPLOYEES TO COME TOGETHER AND SHARE EXPERIENCES, AS WELL AS ALL THE WAYS OUR WORK IMPACTS THE DAILY LIVES OF OUR STAFF AND COMMUNITY. HEALTH EDUCATION PROGRAMS AND SOCIAL NEEDS INITIATIVES IN 2024, BRONSON METHODIST HOSPITAL'S COMMITMENT TO IMPROVING COMMUNITY HEALTH WAS DEMONSTRATED THROUGH A VARIETY OF IMPACTFUL INITIATIVES AND EDUCATIONAL PROGRAMS DESIGNED TO ADDRESS KEY HEALTH NEEDS AND FOSTER WELL-BEING. COMMUNITY SUPPORT RESOURCES BRONSON HEALTH EDUCATORS DEVELOPED AND DISTRIBUTED A WIDE RANGE OF HEALTH EDUCATION MATERIALS TO SUPPORT THE COMMUNITY. THESE RESOURCES INCLUDED INFOGRAPHICS, RECIPE BOOKS, MENTAL HEALTH TIPS, GUIDES FOR FAMILY PHYSICAL ACTIVITIES, SAFETY INFORMATION, AND HEALTHY LIVING VIDEOS. MANY OF THESE RESOURCES ARE AVAILABLE ONLINE AT BRONSONHEALTH.COM/BRONSONEATS AND ON YOUTUBE. THIS INITIATIVE HAD AN ESTIMATED REACH OF OVER 3,000 INDIVIDUALS. COMMUNITY HEALTHY LIVING CLASSES BRONSON OFFERED 22 HEALTHY LIVING CLASSES TO COMMUNITY MEMBERS THROUGHOUT THE YEAR, HELD AT LEAST TWICE A MONTH. HEALTH EDUCATORS COLLABORATE WITH CLINICAL DEPARTMENTS TO OFFER THE CLASSES, AND THESE CLASSES COVERED TOPICS SUCH AS HEALTHY EATING, HEART-HEALTHY BEHAVIORS, STRESS RELIEF, AND BUILDING CONNECTIONS WITHIN THE COMMUNITY. WITH A FOCUS ON PROMOTING HEALTHIER LIFESTYLES, THESE CLASSES REACHED OVER 370 PARTICIPANTS. HEALTHY COOKING WITH BRONSON VIRTUAL SERIES: BRONSON COMMUNITY HEALTH'S COLLABORATION AND RELATIONSHIP WITH REGION IV AREA AGENCY ON AGING (AAA) CONTINUED THROUGHOUT 2024. IN 2024, 18 VIRTUAL COOKING CLASSES WERE OFFERED AND REACHED MORE THAN 738 PEOPLE. THESE HEALTHY COOKING CLASSES OFFER IDEAS ON HOW TO EAT HEALTHY IN A QUICK, CONVENIENT, LOW-COST MANNER THAT IS APPROPRIATE FOR ALL AGES, REACHING OVER 738 COMMUNITY MEMBERS. DIABETES COOKING CLUB: IN 2024, THE COMMUNITY HEALTH EDUCATION TEAM STARTED A NEW SERIES WITH DIABETES EDUCATION TO OFFER FREE, VIRTUAL DIABETES COOKING CLUBS. PARTICIPANTS RECEIVE EDUCATION FROM A REGISTERED DIETITIAN AND CERTIFIED DIABETES CARE & EDUCATION SPECIALIST AND LEARN TIPS ON HEALTHY EATING FOR MANAGING STABLE BLOOD SUGARS WHILE LIVING WITH DIABETES OR PRE-DIABETES. THERE WERE TEN DIABETES COOKING CLUBS IN 2024, REACHING OVER 216 COMMUNITY MEMBERS. FURTHER COMMUNITY ENGAGEMENT WITH SEVERAL ADDITIONAL VIRTUAL AND IN-PERSON CLASSES AND EVENTS IN COLLABORATION WITH OTHER COMMUNITY PARTNERS HAS ASSISTED OVER 19,000 COMMUNITY MEMBERS WITH EDUCATION ON ADDITIONAL HEALTHY EATING TIPS, AS WELL AS PROVIDING BASIC KITCHEN EQUIPMENT AND SHELF-STABLE PANTRY CHOICES. FAMILY AND COMMUNITY ENGAGEMENT EVENTS/INITIATIVES THE 2022 CHNA IDENTIFIED: VIOLENCE AND TRAUMA- CRIME AS A COMMUNITY CONCERN ALONG WITH A DECREASED FEELING OF SAFETY: TRAUMATIC INJURIES ARE A LEADING CAUSE OF DEATH AND DISABILITY, WITH PROFOUND PHYSICAL, EMOTIONAL, AND FINANCIAL EFFECTS ON OUR COMMUNITY. BRONSON TRAUMA SERVICES INJURY PREVENTION AIM IS TO REDUCE THESE IMPACTS THROUGH EDUCATION, COLLABORATION, AND COMMUNITY PARTNERSHIPS. FIREARM INJURY PREVENTION: BRONSON TRAUMA INJURY PREVENTION IS DEDICATED TO REDUCING FIREARM-RELATED INJURIES THROUGH COMPREHENSIVE INTERVENTIONS. THINKFIRST FOR TEENS: THIS NATIONAL INJURY PREVENTION FOUNDATION PROGRAM EDUCATES YOUTH ON THE CONSEQUENCES OF RISKY DECISIONS AND HOW TO STAY SAFE.
Schedule H, Part VI, Line 6 Affiliated health care system	BMH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON BATTLE CREEK HOSPITAL, BRONSON SOUTH HAVEN HOSPITAL, AND BRONSON LAKEVIEW HOSPITAL. ALL OF THESE HOSPITALS ARE CONTROLLED BY BRONSON HEALTHCARE GROUP, WHICH IS A COMMUNITY-OWNED AND GOVERNED NOT-FOR-PROFIT HOLDING COMPANY. THE BRONSON HEALTHCARE GROUP (BHG) BOARD IS COMPRISED OF 20 MEMBERS FROM THE COMMUNITY IT SERVES. EACH OF THE THREE HOSPITALS IN THE BRONSON HEALTHCARE SYSTEM ADMITS PATIENTS, REGARDLESS OF ABILITY TO PAY, AND PROVIDES OUTREACH SERVICES TO THEIR RESPECTIVE COMMUNITIES. IN ADDITION TO THE FOUR HOSPITALS, THE BHG SYSTEM INCLUDES SEVERAL SMALLER ENTITIES WHOSE ACTIVITIES SUPPORT THE HOSPITALS AND THEIR MISSION OF "TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES." THESE ENTITIES INCLUDE BRONSON HEALTHCARE GROUP, BRONSON COMMONS, BRONSON LIFESTYLE IMPROVEMENT & RESEARCH CENTER, BRONSON HEALTH FOUNDATION, BRONSON AT HOME, VANBUREN EMERGENCY MEDICAL SERVICES AND BRONSON PROPERTIES CORPORATION.
Schedule H, Part VI, Line 7 State filing of community benefit report	MI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	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	2825 Airview Blvd	AddressLine1Txt
City	KALAMAZOO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49002	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	382418383	RecipientEIN
IRC Section	501 (C) (3)	IRCSectionDesc
Cash Grant	$43,335,000	CashGrantAmt
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	THERE IS NO FORMAL PROCEDURE. GRANTS ARE MADE BY THE ORGANIZATION ON A DISCRETIONARY BASIS FOR PURPOSES CONSISTENT WITH THE ORGANIZATION'S MISSION. GRANTS ARE UNRESTRICTED.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
Bill Manns
President and CEO	$0	$1,257,645	$0	$494,033	$0	$304,529	$0	$1,491,952	$0	$21,433	$0	$3,569,592	$0	$778,523
Mahesh C Karamchandani
Director (THRU 12/2024)	$687,064	$0	$71,723	$0	$39,627	$0	$21,900	$0	$16,220	$0	$836,534	$0	$0	$0
William Workman
Director/System Vice Chief of Staff	$205,402	$251,419	$9,000	$45,106	$204	$18,808	$2,000	$14,950	$9,692	$11,793	$226,298	$342,076	$0	$0
Rebecca L East
Sr VP CFO	$0	$556,026	$0	$170,570	$0	$160,148	$0	$383,329	$0	$21,982	$0	$1,292,055	$0	$328,607
James Falahee
Sr VP Legal & Leg. Affairs	$0	$500,645	$0	$148,090	$0	$97,812	$0	$323,598	$0	$15,313	$0	$1,085,458	$0	$239,151
Cheryl Johnson
Sr VP Chief People Officer	$0	$390,489	$0	$122,205	$0	$75,908	$0	$276,993	$0	$15,227	$0	$880,822	$0	$193,796
Scott Larson MD
Sr VP Medical Affairs/CMO	$0	$267,384	$0	$153,443	$0	$114,859	$0	$25,224	$0	$11,936	$0	$572,846	$0	$265,156
Susan Reinoehl
Sr VP Strategy & Comm	$0	$327,318	$0	$105,024	$0	$25,920	$0	$205,027	$0	$7,544	$0	$670,833	$0	$100,024
Michael S Way
Sr VP Mat. Mgt. & Facility Svs.	$0	$305,780	$0	$99,376	$0	$28,566	$0	$195,264	$0	$20,299	$0	$649,285	$0	$94,376
Kimberly Hatchel
SVP BMH COO	$0	$517,740	$0	$105,062	$0	$2,444	$0	$247,631	$0	$14,023	$0	$886,900	$0	$105,063
Christine Sangalli-Davis
VP Chief Compliance Officer	$0	$252,434	$0	$41,171	$0	$3,148	$0	$69,272	$0	$6,835	$0	$372,860	$0	$41,171
Parth Amin
Physician	$1,487,379	$0	$141,029	$0	$25,016	$0	$16,950	$0	$22,125	$0	$1,692,499	$0	$0	$0
Joshua Ellwitz
Spine & Scoliosis	$1,656,792	$0	$78,919	$0	$26,955	$0	$21,900	$0	$21,485	$0	$1,806,051	$0	$0	$0
Alain Fabi
Neurosurgery	$2,635,410	$0	$1,000	$0	$30,326	$0	$21,900	$0	$16,431	$0	$2,705,067	$0	$0	$0
Michael Kasten
Spine & Scoliosis	$1,890,234	$0	$98,794	$0	$37,624	$0	$26,850	$0	$20,081	$0	$2,073,583	$0	$0	$0
Jason Roberts
Orthopedic Trauma	$1,582,449	$0	$71,733	$0	$3,691	$0	$21,900	$0	$21,421	$0	$1,701,194	$0	$0	$0
John Jones JR
Former Sr VP Community Care (THRU 2020)	$0	$0	$0	$0	$0	$122,357	$0	$0	$0	$0	$0	$122,357	$0	$122,357

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL IS AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE TRAVEL IS TREATED AS A TAXABLE FRINGE BENEFIT.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	BRONSON HEALTHCARE GROUP, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND/OR STUDY AND APPROVAL BY BOARD AND/OR COMPENSATION COMMITTEE TO ESTABLISH THE COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND/OR COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN DURING 2024: FALAHEE JR., JAMES B $91,061 SERP DISTRIBUTION EAST, REBECCA $158,037 SERP DISTRIBUTION JONES JR, JOHN $122,357 SERP DISTRIBUTION LARSON, SCOTT D $111,713 SERP DISTRIBUTION MANNS, BILL $284,490 SERP DISTRIBUTION JOHNSON, CHERYL $71,591 SERP DISTRBUTION THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A CONTRIBUTION TO THE PLAN. UNDER THE PLAN, CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AND VEST FIVE YEARS AFTER AMOUNTS ARE INITIALLY CONTRIBUTED. WAY, MICHAEL $60,805 SERP CONTRIBUTION REINOEHL, SUSAN $63,845 SERP CONTRIBUTION FALAHEE JR., JAMES B $92,043 SERP CONTRIBUTION EAST, REBECCA $105,388 SERP CONTRIBUTION MANNS, BILL $795,073 SERP CONTRIBUTION JOHNSON, CHERYL $67,702 SERP CONTRIBUTION HATCHEL, KIMBERLY $79,181 SERP CONTRIBUTION

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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	483233NY4	2016-10-25	$110,169,643	See supplemental information	false	false	false
CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY
B	386004627		2018-02-15	$47,975,000	See supplemental information	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$9,358,944	$110,169,643	$890,529	$109,279,114	2016	false	Yes (true)	Yes (true)	Yes (true)
B	$36,540,000	$47,975,000	$138,250	$47,836,750	2018	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	false	0.25	0.0	0.25	false	false	0	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	0.25	0.0	0.25	false	false	0	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	0	false	false	false	0	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	false	0	false	false	false	0	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I BOND ISSUES	(A) ISSUER NAME: CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY (B) ISSUER NAME: CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY
Schedule K, Part I BOND ISSUE A, LINE (F) - DESCRIPTION OF PURPOSE	PROCEEDS OF BOND ISSUE A WERE USED TO ADVANCE REFUND PORTIONS OF TAX-EXEMPT BONDS ISSUED OR REISSUED ON 9/28/2010.
Schedule K, Part I BOND ISSUE B, LINE (F) - DESCRIPTION OF PURPOSE	PROCEEDS OF BOND ISSUE B WERE USED TO CURRENTLY REFUND PORTIONS OF BOND ISSUED ON 4/30/2008. THE BONDS ISSUED ON 4/30/2008 WERE ISSUED TO REFUND, THROUGH A SERIES OF REFUNDINGS, BONDS ORIGINALLY ISSUED PRIOR TO 1/1/2003.
Schedule K, Part II, Line 3 BOND ISSUE A	TOTAL PROCEEDS OF BOND ISSUE A INCLUDE INVESTMENT EARNINGS IN THE AMOUNT OF $363,731.
Schedule K, Part IV, Line 2c BOND ISSUE A	DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2020.
Schedule K, Part IV, Line 2c BOND ISSUE B	DATE THE REBATE COMPUTATION WAS PERFORMED: 02/15/2018.
Schedule K, Part V Procedures To Undertake Corrective Action	WE HAVE GENERAL WRITTEN PROCEDURES THAT WE WILL COMPLY WITH ALL TAX LAWS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
STEPHANIE NELSON
SISTER-IN-LAW OF BOARD MEMBER SCOTT GIBSON	$117,027	TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL	false
CYNTHIA WORKMAN
SPOUSE OF BOARD MEMBER WILLIAM WORKMAN	$16,800	TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS:	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 2024, 17.3% OF BMH'S 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 2024, IN FURTHERANCE OF ITS MISSION, BMH PROVIDED $11,835,214 IN CHARITY CARE EXPENSE.
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	STEVEN J. LINS, M.D. AND SCOTT C. GIBSON, M.D. HAVE A BUSINESS RELATIONSHIP. ALL BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP WITH ALL BRONSON SUBSIDIARIES DUE TO BEING ON BRONSON HEALTHCARE GROUP BOARD OF DIRECTORS.
Form 990, Part VI, Line 15	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 2024. THE CONSULTANT USES THREE TO FIVE NATIONAL HEALTHCARE-BASED SURVEYS FOR COMPARABILITY DATA, EACH ONE OF LIKE REVENUE SIZED HEALTHCARE SYSTEMS TO THE BRONSON HEALTHCARE GROUP. THE CONSULTANT PREPARES A DETAILED REPORT WITH RECOMMENDATIONS FOR PAY AND/OR BENEFIT ADJUSTMENTS, AND PRESENTS THE INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS (WHEN THE CEOS SURVEY DATA AND RECOMMENDATIONS ARE PRESENTED, THE CEO AND STAFF ARE EXCUSED FROM THE DELIBERATIONS). AFTER ALL QUESTIONS OF THE BOARD MEMBERS ARE ANSWERED, FORMAL MOTIONS ARE PROPOSED, SECONDED AND VOTED ON (FOR ANY PAY ADJUSTMENTS AND FOR RECEIPT OF THE CONSULTANT'S REPORT). AT THE SUBSEQUENT MEETING OF THE FULL BOARD OF DIRECTORS, THE CHAIR DISCLOSES THE RESULTS AND APPROVED MOTIONS OF THE EXECUTIVE COMMITTEE.
Form 990, Part VI, Line 6 Classes of members or stockholders	BRONSON HEALTHCARE GROUP IS THE SOLE MEMBER OF BRONSON METHODIST HOSPITAL.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON METHODIST HOSPITAL (BMH) AND AS SUCH MEMBER IT ELECTS 10-15 OF THE TOTAL 20-24 MEMBERS OF THE BMH BOARD. COMMUNITY PARTNERS SHALL, AFTER CONSULTING WITH AND SEEKING INPUT FROM THE NOMINATING COMMITTEE OF BHG, APPOINT 6 MEMBERS TO THE BOARD. THE REMAINING 3 MEMBERS OF THE BOARD SHOULD BE EX OFFICIO, WITH VOTE, AND SHALL CONSIST OF THE PRESIDENT, THE CHIEF OF STAFF, AND IMMEDIATE PAST CHIEF OF THE MEDICAL STAFF OF THE HOSPITAL.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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, Line 11b Review of form 990 by governing body	THE SR VP/CFO & CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE CHAIR OF THE FINANCE COMMITTEE TO REVIEW THE PREPARED FORM 990 AND SCHEDULES PRIOR TO PROVIDING A COPY TO THE FULL FINANCE COMMITTEE. THE FINANCE COMMITTEE OF THE BOARD REVIEWED THE PREPARED FORM 990S AT ITS REGULARLY SCHEDULED MEETING ON OCTOBER 20, 2025. THE REVIEW WAS LED BY THE SR VP/CFO AND PLANTE MORAN. THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY WERE PROVIDED THE FINAL FORM 990 FOR REVIEW.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY AND ITS ACCOMPANYING QUESTIONNAIRE ARE REVIEWED, AND REVISED, IF NECESSARY, ON AN ANNUAL BASIS BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE BOARDS EXECUTIVE COMMITTEE. ALL BOARD MEMBERS AND ALL EMPLOYEES HOLDING THE TITLE OF VICE PRESIDENT AND ABOVE ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ANNUALLY COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE. ALL COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. DETERMINATIONS AS TO WHETHER A CONFLICT EXISTS ARE MADE BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. ACTUALCONFLICTS ARE REVIEWED BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODYS DELIBERATIONS AND DECISION ON THE TRANSACTION IN QUESTION.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC BY POSTING THEM ON THE ORGANIZATION'S WEBSITE AND PROVIDING COPIES ON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS, OTHER THAN THE FORM 990, ARE NOT AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1a	THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	CLASS INSTRUCTION REVENUE - Total Revenue: 336865, Related or Exempt Function Revenue: 336865, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; All other revenue - Total Revenue: 310383, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 310383; All other revenue - Total Revenue: 310383, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 310383;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO/FROM AFFILIATES - 600471; JOINT VENTURE - 1224443; Total - 1824914;

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BRONSON HEALTHCARE GROUP
2825 AIRVIEW BLVD	KALAMAZOO	MI	49002	382418383	PROVIDE SUPPORT SERVICES FOR HEALTHCARE SUBSIDIARIES	MI	501(c)(3)	Type III-FI	NA	false
BRONSON HEALTH FOUNDATION
2825 AIRVIEW BLVD	KALAMAZOO	MI	49002	382415081	SUPPORTS HEALTHCARE ORGANIZATION	MI	501(c)(3)	7	BRONSON HEALTHCARE GROUP	false
BRONSON LAKEVIEW HOSPITAL
408 HAZEN ST	PAW PAW	MI	49079	381359218	HOSPITAL	MI	501(c)(3)	3	BRONSON HEALTHCARE GROUP	false
BRONSON COMMONS
23332 RED ARROW HWY	MATTAWAN	MI	49071	382842451	SKILLED NURSING FACILITY	MI	501(c)(3)	10	BRONSON HEALTHCARE GROUP	false
VBEMS INC
39338 W RED ARROW HWY	PAW PAW	MI	49079	382745910	AMBULANCE SERVICE	MI	501(c)(3)	10	BRONSON HEALTHCARE GROUP	false
BRONSON PROPERTIES CORPORATION
2825 AIRVIEW BLVD	KALAMAZOO	MI	49002	386052573	PROVIDE SUPPORT SERVICES FOR HEALTHCARE SUBSIDIARIES	MI	501(c)(3)	Type II	BRONSON HEALTHCARE GROUP	false
BRONSON BATTLE CREEK HOSPITAL
300 NORTH AVENUE	BATTLE CREEK	MI	49017	382776791	HOSPITAL	MI	501(c)(3)	3	BRONSON HEALTHCARE GROUP	false
BRONSON AT HOME
2825 AIRVIEW BLVD	KALAMAZOO	MI	49002	383298476	NURSING, HOSPICE, EQUIP SALES	MI	501(c)(3)	10	BRONSON HEALTHCARE GROUP	false
BRONSON SOUTH HAVEN HOSPITAL
955 S BAILEY AVE	SOUTH HAVEN	MI	49090	381676780	HOSPITAL	MI	501(c)(3)	3	BRONSON HEALTHCARE GROUP	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
HNI LEASING LLC
6212 AMERICAN AVE	PORTAGE	MI	49002	383638430	SUPPORT SERVICES	MI	NA	N/A	false	false
HOSPITAL NETWORK VENTURES
6212 AMERICAN AVE	PORTAGE	MI	49002	263302979	SUPPORT SERVICES	MI	NA	N/A	false	false
BRONSON AMBULATORY SURGERY CENTER LLC
2825 AIRVIEW BLVD	KALAMAZOO	MI	49002	842884815	SUPPORT SERVICES	MI	NA	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
BRONSON MANAGEMENT SERVICES CORPORATION
2825 AIRVIEW BLVD	KALAMAZOO	MI	49002	382415032	OTHER MEDICAL SERVICES	MI	NA	C Corporation	false
BRONSON LIFESTYLE IMPROVEMENT AND RESEARCH CENTER
2825 AIRVIEW BLVD	KALAMAZOO	MI	49002	383552556	REHABILIATION SERVICES	MI	NA	C Corporation	false

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