2025-11-04T16:59:26+00:00 2024-12-31 331498605 Plante & Moran PLLC 10 SOUTH RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2024-01-01 381359087 Bronson Methodist Hospital BRON 2693416000 2825 AIRVIEW BLVD KALAMAZOO MI 49002 BILL MANNS PRESIDENT AND CEO 2025-11-04 true true DAVID LOWENTHAL CPA P00378651 3122071040 2025-11-04 2024 2025-03-06 01:10:19Z X BILL MANNS 2825 AIRVIEW BLVD KALAMAZOO MI 49002 1468226412 false X BRONSONHEALTH.COM X 1920 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 18 16 6071 64 32513321 457024 3752247 2352451 1271510906 1378245458 22333149 78427581 9522280 9200922 1307118582 1468226412 39312817 43335000 0 0 666808417 678295170 0 0 524866810 642067916 1230988044 1363698086 76130538 104528326 1457051970 1549484971 420629331 411488967 1036422639 1137996004 TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES false false 1209621158 43335000 1347561273 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. 50618704 IN 2024, IN FURTHERANCE OF ITS MISSION, BRONSON METHODIST HOSPITAL INCURRED $50,618,704 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS. IN 2024, BMH'S MEDICAID COST WAS $249,285,512 AND MEDICAID NET REVENUE WAS $233,073,238. 1260239862 true true false false false false false false false false true false false false true false true true false false true false false false false false true true true false true true false false false false false false false false true false false false false false false true false false false false true 177 0 true 6071 true true true false false false false false false false false false false false X 18 16 true false false false true true true true true false false false true true true true true true false false true true X REBECCA EAST SENIOR VPCFO 2693417654 2825 AIRVIEW BLVD KALAMAZOO MI 49002 Bill Manns President and CEO 4.6 35.4 X X 0 2056207 1513385 James Jr Liggins Vice Chair 1.0 8.0 X X 0 0 0 Michael Odar Treasurer 1.0 8.0 X X 0 0 0 Neil Nyberg Secretary 1.0 8.0 X X 0 0 0 Nelson Karre Chair 1.0 8.0 X X 0 0 0 Brenda Hunt Director 1.0 8.0 X 0 0 0 Donald Parfet Director 1.0 8.0 X 0 0 0 Erick Stewart Director 1.0 8.0 X 0 0 0 Jorge Gonzalez Director 1.0 8.0 X 0 0 0 Katy Fink Director (THRU 12/2024) 1.0 8.0 X 0 0 0 La June Montgomery Tabron Director (THRU 12/2024) 1.0 8.0 X 0 0 0 Lynn Chen-Zhang Director 1.0 8.0 X 0 0 0 Mahesh C Karamchandani Director (THRU 12/2024) 4.6 41.4 X 798414 0 38120 Marshall L Washington Director 1.0 8.0 X 0 0 0 Namita Sharma Director 1.0 8.0 X 0 1440 0 Randall Eberts Director 1.0 8.0 X 0 1440 0 Richard Allen Director 1.0 8.0 X 0 0 0 Robert IV Nicholson System Vice Chief of Staff 1.0 8.0 X 0 0 0 Scott Gibson MD Director 1.0 8.0 X 7090 0 0 Steven J Lins MD Director/System Chief of Staff 1.0 8.0 X 0 0 0 William Workman Director/System Vice Chief of Staff 4.6 36.8 X 214606 315333 38435 Cheryl Johnson Sr VP Chief People Officer 4.6 35.4 X 0 588602 292220 James Falahee Sr VP Legal & Leg. Affairs 4.6 35.4 X 0 746547 338911 Michael S Way Sr VP Mat. Mgt. & Facility Svs. 4.6 35.4 X 0 433722 215563 Rebecca L East Sr VP CFO 4.6 35.4 X 0 886744 405311 Scott Larson MD Sr VP Medical Affairs/CMO 4.6 35.4 X 0 535686 37160 Susan Reinoehl Sr VP Strategy & Comm 4.6 35.4 X 0 458262 212571 Christine Sangalli-Davis VP Chief Compliance Officer 4.6 35.4 X 0 296753 76107 Kimberly Hatchel SVP BMH COO 40.0 0.0 X 0 625246 261654 Alain Fabi Neurosurgery 40.0 0.0 X 2666736 0 38331 Jason Roberts Orthopedic Trauma 40.0 0.0 X 1657873 0 43321 Joshua Ellwitz Spine & Scoliosis 40.0 0.0 X 1762666 0 43385 Michael Kasten Spine & Scoliosis 40.0 0.0 X 2026652 0 46931 Parth Amin Physician 40.0 0.0 X 1653424 0 39075 John Jones JR Former Sr VP Community Care (THRU 2020) 0.0 0.0 X 0 122357 0 10787461 7068339 3640480 880 true true false PORTAGE PHYSICIANS PC 1151 WEST MILHAM 758 PORTAGE MI 49081 PHYSICIAN SERVICES 22054466 BESPOKE WORKFORCE LLC PO BOX 646068 PITTSBURGH PA 152646068 STAFFING AGENCY 14594768 KALAMAZOO ANESTHESIOLOGY PC PO BOX 4095 KALAMAZOO MI 49003 PHYSICIAN SERVICES 7878913 HAYES LOCUMS LLC PO BOX 88122 CHICAGO IL 606801122 LOCUM TENENS 6562093 CSM GROUP INC 600 E MICHIGAN AVENUE KALAMAZOO MI 49007 CONSTRUCTION 4731057 48 2352451 2352451 NET PATIENT REVENUE 900099 1353055495 1321028952 32026543 OUTSIDE SERVICE REVENUE 900099 12142536 12142536 MEANINGFUL USE & PGIP REVENUE 900099 11765371 11765371 MEDICAID DED/CO CONTRACTUAL 900099 1282056 1282056 0 0 0 0 1378245458 78121952 78121952 1020663 0 1020663 0 1020663 533885 486778 305629 0 0 305629 305629 305629 0 CAFETERIA EMPLOYEE REVENUE 900099 5770948 5770948 GIFT SHOP REVENUE 459420 980072 980072 BORGESS PHYSICIAN CALL COVERAGE 900099 471608 471608 957631 336865 0 620766 8180259 1468226412 1347561273 32513321 85799367 43335000 43335000 0 0 575665954 518643275 57022679 74611898 69623095 4988803 28017318 27833456 183862 5752919 5497677 255242 119835624 114571088 5264536 0 49781 49781 15395353 15115107 280246 61863 61863 21859953 21096138 763815 891369 879392 11977 807910 800112 7798 10030850 9585808 445042 25068091 24593708 474383 12667041 7175396 5491645 MEDICAL SUPPLIES 303888066 303867970 20096 BHG ALLOCATION EXPENSE 53679425 29174757 24504668 BAD DEBT EXPENSE 50618704 50618704 UBTI 1206221 1206221 20254746 16511314 3743432 0 1363698086 1260239862 103458224 0 203263062 247966049 620316620 679961545 182506576 199188380 0 0 0 0 25335870 28341283 4633712 4695380 794747688 472485572 319535827 322262116 21760471 22639175 0 27203696 27203696 52496136 17227347 1457051970 1549484971 73317025 77296398 293500414 282326135 0 0 53811892 51866434 420629331 411488967 X 1036422639 1137996004 1036422639 1137996004 1457051970 1549484971 X 104528326 -4779875 1824914 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13312854 13312854 549039433 315884419 233155014 919610 778258 141352 213241928 155822895 57419033 18233863 0 18233863 322262116 Federal Income Taxes DEFERRED COMPENSATION 1407293 THIRD PARTY SETTLEMENTS 19705663 RIGHT TO USE LIABILITY 13926823 MEDICAID POOLED PAYMENTS 16127458 DEFERRED INCOME SHORT TERM LIABILITIES 699197 51866434 1345729022 -50618704 -50618704 1396347726 71878686 71878686 1468226412 1308816233 -1530072 -1530072 1310346305 53351781 53351781 1363698086 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 Central America and the Caribbean 0 0 Investment in a foreign insurance company 110402 0 0 0 0 0 0 110402 0 110402 false false true false false false Schedule F, Part V 123 This is some info true true X true X true X 4468125 4468125 0.00328 171199 249285512 233073238 16212274 0.01189 0 0.0 0 171199 253753637 233073238 20680399 0.01516 19990 1041755 35915 1005840 0.00074 1564 32093493 7950085 24143408 0.01770 0 0.0 34 250 250 0.00000 9989 3355022 1270651 2084371 0.00153 0 31577 36490520 9256651 27233869 0.01997 0 202776 290244157 242329889 47914268 0.03514 0 0.0 0 0.0 12052 12052 0.00001 5 176 176 0.00000 0 0.0 2392 68382 68382 0.00005 24102 24102 0.00002 0 0.0 574 26775 26775 0.00002 0 2971 131487 0 131487 0.00010 true 50618704 410182 135502112 131030394 4471718 X true true 1 1 BRONSON METHODIST HOSPITAL 2825 Airview Blvd KALAMAZOO MI 49002 X X X X X BRONSON METHODIST HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X https://www.bronsonhealth.com/about/community-health-needs-assessment/bronson-methodist-hospital/ X true 23 true https://www.bronsonhealth.com/about/community-health-needs-assessment/bronson-methodist-hospital/ false true X 200.0 350.0 X X X X X X true true X X X X true X https://www.bronsonhealth.com/services/medical-financial-assistance/financial-assistance-policy/ X https://tinyurl.com/yxa75shf X https://www.bronsonhealth.com/services/medical-financial-assistance/plain-language-policy-summary/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BRONSON 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). 2 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 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 true BRONSON HEALTHCARE GROUP 2825 Airview Blvd KALAMAZOO MI 49002 382418383 501 (C) (3) 43335000 GENERAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. X X true true false true false false false false false false false Bill Manns President and CEO 0 1257645 0 494033 0 304529 0 1491952 0 21433 0 3569592 0 778523 Mahesh C Karamchandani Director (THRU 12/2024) 687064 0 71723 0 39627 0 21900 0 16220 0 836534 0 0 0 William Workman Director/System Vice Chief of Staff 205402 251419 9000 45106 204 18808 2000 14950 9692 11793 226298 342076 0 0 Rebecca L East Sr VP CFO 0 556026 0 170570 0 160148 0 383329 0 21982 0 1292055 0 328607 James Falahee Sr VP Legal & Leg. Affairs 0 500645 0 148090 0 97812 0 323598 0 15313 0 1085458 0 239151 Cheryl Johnson Sr VP Chief People Officer 0 390489 0 122205 0 75908 0 276993 0 15227 0 880822 0 193796 Scott Larson MD Sr VP Medical Affairs/CMO 0 267384 0 153443 0 114859 0 25224 0 11936 0 572846 0 265156 Susan Reinoehl Sr VP Strategy & Comm 0 327318 0 105024 0 25920 0 205027 0 7544 0 670833 0 100024 Michael S Way Sr VP Mat. Mgt. & Facility Svs. 0 305780 0 99376 0 28566 0 195264 0 20299 0 649285 0 94376 Kimberly Hatchel SVP BMH COO 0 517740 0 105062 0 2444 0 247631 0 14023 0 886900 0 105063 Christine Sangalli-Davis VP Chief Compliance Officer 0 252434 0 41171 0 3148 0 69272 0 6835 0 372860 0 41171 Parth Amin Physician 1487379 0 141029 0 25016 0 16950 0 22125 0 1692499 0 0 0 Joshua Ellwitz Spine & Scoliosis 1656792 0 78919 0 26955 0 21900 0 21485 0 1806051 0 0 0 Alain Fabi Neurosurgery 2635410 0 1000 0 30326 0 21900 0 16431 0 2705067 0 0 0 Michael Kasten Spine & Scoliosis 1890234 0 98794 0 37624 0 26850 0 20081 0 2073583 0 0 0 Jason Roberts Orthopedic Trauma 1582449 0 71733 0 3691 0 21900 0 21421 0 1701194 0 0 0 John Jones JR Former Sr VP Community Care (THRU 2020) 0 0 0 0 0 122357 0 0 0 0 0 122357 0 122357 Schedule J, Part I, Line 1a Travel for companions THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL IS AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE TRAVEL IS TREATED AS A TAXABLE FRINGE BENEFIT. Schedule J, Part I, Line 1a Health or social club dues or initiation fees THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. HEALTH 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 A CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY 386004627 483233NY4 2016-10-25 110169643 See supplemental information false false false B CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY 386004627 2018-02-15 47975000 See supplemental information false false false A 9358944 110169643 890529 109279114 2016 false true true true B 36540000 47975000 138250 47836750 2018 true false true true A false true true true false false 0.25 0.0 0.25 false false 0 false true B false false true true false false 0.25 0.0 0.25 false false 0 false true A false false false true false false 0 false false false 0 false false true B false false false true true false 0 false false false 0 false false true A false B false 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. STEPHANIE NELSON SISTER-IN-LAW OF BOARD MEMBER SCOTT GIBSON 117027 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL false CYNTHIA WORKMAN SPOUSE OF BOARD MEMBER WILLIAM WORKMAN 16800 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL false 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; 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 HNI LEASING LLC 6212 AMERICAN AVE PORTAGE MI 49002 383638430 SUPPORT SERVICES MI NA N/A false false HOSPITAL NETWORK VENTURES 6212 AMERICAN AVE PORTAGE MI 49002 263302979 SUPPORT SERVICES MI NA N/A false false BRONSON AMBULATORY SURGERY CENTER LLC 2825 AIRVIEW BLVD KALAMAZOO MI 49002 842884815 SUPPORT SERVICES MI NA N/A false false BRONSON MANAGEMENT SERVICES CORPORATION 2825 AIRVIEW BLVD KALAMAZOO MI 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 false true true false false false false false false false true true true false true false false false true