2023-11-10T08:20:23-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2022-01-01 381359087 BRONSON METHODIST HOSPITAL BRON 2693416000 601 JOHN STREET KALAMAZOO MI 49007 REBECCA EAST SENIOR VP/CFO 2693416000 2023-11-08 1 REBECCA EAST 999009999 0 DAVID LOWENTHAL P00378651 3122071040 2023-11-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BILL MANNS 301 JOHN STREET KALAMAZOO MI 49007 1220080998 0 X BRONSONHEALTH.COM X 1920 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 22 17 5992 81 26321562 310650 26356735 20363473 1116523997 1173015409 50828282 18261473 7636680 8292568 1201345694 1219932923 26500 25800000 0 0 578542853 625265386 0 0 0 467981073 509568250 1046550426 1160633636 154795268 59299287 1466876153 1340713322 471600441 403864178 995275712 936849144 X TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES 0 0 1038945087 25800000 1147847095 BRONSON METHODIST HOSPITAL (BMH) IS THE FLAGSHIP OF BRONSON HEALTHCARE GROUP, A NOT-FOR-PROFIT HEALTHCARE SYSTEM SERVING ALL OF SOUTHWEST MICHIGAN. BMH PROVIDES CARE IN VIRTUALLY EVERY SPECIALTY WITH ADVANCED CAPABILITIES IN BURN TREATMENT AND CRITICAL CARE AS A LEVEL I TRAUMA CENTER; IN NEUROLOGICAL CARE AS A JOINT COMMISSION CERTIFIED PRIMARY STROKE CENTER; IN CARDIAC CARE AS THE REGIONS FIRST ACCREDITED CHEST PAIN EMERGENCY CENTER; IN OBSTETRICS AS THE LEADING BIRTHPLACE AND ONLY HIGH-RISK PREGNANCY CENTER IN SOUTHWEST MICHIGAN, AND IN PEDIATRICS AS ONE OF THE ONLY SIX CHILDRENS HOSPITALS IN THE STATE AND THE ONLY INPATIENT PEDIATRIC CARE PROVIDER IN THE AREA. THE BMH EMERGENCY DEPARTMENT WHICH IS OPEN 24 HOURS PER DAY, HANDLES OVER 75,000 VISITS PER YEAR. BMH TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. BMH WAS THE RECIPIENT OF THE 2005 MALCOLM BALDRIDGE NATIONAL QUALITY AWARD, THE NATION'S HIGHEST PRESIDENTIAL HONOR FOR QUALITY AND ORGANIZATIONAL PERFORMANCE EXCELLENCE. IN 2009, THE HOSPITAL RECEIVED THE AHA MCKESSON QUEST FOR QUALITY PRIZE AWARDED ANNUALLY TO ONLY ONE U.S. HOSPITAL, AND JOINED THE TOP FIVE PERCENT OF HOSPITALS IN THE NATION TO BE DESIGNATED A MAGNET HOSPITAL FOR NURSING EXCELLENCE.BMH PROVIDES A DISPROPORTIONATE AMOUNT OF CARE TO THE SEGMENT OF THE POPULATION USING MEDICAID. BMH IS THE LARGEST MEDICAID PROVIDER OF ANY LARGE HOSPITAL IN MICHIGAN OUTSIDE OF THE DETROIT AREA (ON A PERCENATAGE BASIS). IN 2022, 19.45% 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 2022, IN FURTHERANCE OF ITS MISSION, BMH PROVIDED $8,657,589 IN CHARITY CARE EXPENSE. IN 2022, BMH'S MEDICAID COST WAS $197,691,588 AND MEDICAID NET REVENUE WAS $168,184,937. 50333142 IN 2022, IN FURTHERANCE OF ITS MISSION, BRONSON METHODIST HOSPITAL INCURRED $50,333,142 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS. 1089278229 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 286 0 1 5992 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 22 17 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X REBECCA EAST SENIOR VPCFO 2693417654 301 JOHN STREET KALAMAZOO MI 49007 X EBERTS RANDALL VICE CHAIR 1.00 8.00 X X 0 1320 0 MANNS BILL PRESIDENT AND CEO 4.60 35.40 X X 0 1718738 1016747 KARRE NELSON CHAIR 1.00 8.00 X X 0 0 0 ODAR MICHAEL TREASURER 1.00 8.00 X X 0 0 0 NYBERG NEIL SECRETARY 1.00 8.00 X X 0 0 0 LIGGENS JAMES JR DIRECTOR 1.00 8.00 X 0 1320 0 LINS STEVEN J MD DIRECTOR 1.00 8.00 X 0 0 0 MONTGOMERY TABRON LA JUNE DIRECTOR 1.00 8.00 X 0 0 0 WASHINGTON L MARSHALL DIRECTOR 1.00 8.00 X 0 0 0 PARFET DONALD DIRECTOR 1.00 8.00 X 0 0 0 SHARMA NAMITA DIRECTOR (BEG. 11/2022) 1.00 8.00 X 0 0 0 STEWART ERICK J DIRECTOR 1.00 8.00 X 0 0 0 JOHNSTON WILLIAM DIRECTOR 1.00 8.00 X 0 0 0 DAVIDSON SCOTT DIRECTOR (THRU 10/2022) 1.00 8.00 X 543634 0 43259 JAMES BARBARA DIRECTOR 1.00 8.00 X 0 1320 0 KARAMCHANDANI MAHESH C DIRECTOR 1.00 8.00 X 773390 0 38883 ATKINSON MARK B MD DIRECTOR (THRU 10/2022) 1.00 8.00 X 0 0 0 CHALASANI SRIDHAR DIRECTOR (THRU 10/2022) 1.00 8.00 X 600218 0 43470 CHEN-ZHANG LYNN DIRECTOR (BEG. 11/2022) 1.00 8.00 X 0 0 0 HUNT BRENDA DIRECTOR 1.00 8.00 X 0 0 0 FINK KATY DIRECTOR 1.00 8.00 X 0 0 0 WORKMAN WILLIAM BEG 072022 DIRECTOR/SYSTEM VICE CHIEF OF STAFF 1.00 8.00 X 0 515907 38442 GIBSON SCOTT MD DIRECTOR 1.00 8.00 X 6898 0 0 GONZALEZ JORGE DIRECTOR 1.00 8.00 X 0 0 0 ALLEN RICHARD DIRECTOR 1.00 8.00 X 0 0 0 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 4.60 35.40 X 0 776877 306804 REINOEHL SUSAN SR VP STRATEGY & COMM 4.60 35.40 X 0 523887 221617 EAST REBECCA L SR VP CFO 4.60 35.40 X 0 868827 347897 JOHNSON CHERYL SR VP CHIEF PEOPLE OFFICER 4.60 35.40 X 0 541461 141384 WAY MICHAEL S SR VP MAT. MGT. & FACILITY SVS. 4.60 35.40 X 0 475526 246509 LARSON SCOTT MD SR VP MEDICAL AFFAIRS/CMO 4.60 35.40 X 0 870069 314739 NEELY DENISE SR VP COO (THRU 10/2022) 4.60 35.40 X 0 400390 75572 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 4.60 35.40 X 0 288029 77669 HATCHEL KIMBERLY SVP BMH COO 40.00 0.00 X 0 285091 104585 KASTEN MICHAEL SPINE & SCOLIOSIS 40.00 0.00 X 1926594 0 48710 ROBERTS JASON ORTHOPEDIC TRAUMA 40.00 0.00 X 1567222 0 43679 WIGGINS GREGORY NEUROSURGERY 40.00 0.00 X 1779762 0 48093 ELLWITZ JOSHUA SPINE & SCOLIOSIS 40.00 0.00 X 1832872 0 48640 FABI ALAIN NEUROSURGERY 40.00 0.00 X 2696318 0 48093 HAYDEN JOHN FORMER SR VP CHIEF HR OFFICER 0.00 0.00 X 0 130831 0 JONES JR JOHN FORMER SR VP COMMUNITY CARE 0.00 0.00 X 0 108500 0 11726908 7508093 3254792 724 1 1 0 C & A INDUSTRIES INC DBA FOCUSONE SOLUTI 1010 N 102ND STREET OMAHA NE 68114 HEALTHCARE STAFFING 24592751 PORTAGE PHYSICIANS PC 1151 W MILHAM 758 PORTAGE MI 49081 PHYSICIAN SERVICES 16272350 ADVANCED CARDIAC HEALTHCARE PLC 601 JOHN STREET SUIT 100 KALAMAZOO MI 49007 CARDIAC HEALTHCARE SERVICES 15298014 DAWSON HEALTHCARE PO BOX 358153 PITTSBURGH PA 15251 HEALTHCARE STAFFING 14813542 MAYO CLINIC ARIZONA PO BOX 9146 MINNEAPOLIS MN 554809146 HEALTHCARE SERVICES 3553545 53 2448497 17911876 3100 20363473 NET PATIENT REVENUE 900099 1121706346 1121706346 LABORATORY REVENUE 541380 14572480 14572480 OUTSIDE SERVICE REVENUE 900099 13202012 13202012 MEANINGFUL USE & PGIP REVENUE 900099 12089617 12089617 PHARMACY REVENUE 456110 11444954 11444954 1173015409 18003110 18003110 995766 0 995766 995766 691638 304128 406438 148075 258363 258363 258363 CAFETERIA EMPLOYEE REVENUE 900099 5142079 5142079 GIFT SHOP REVENUE 459420 1057227 1057227 CLASS INSTRUCTION REVENUE 900099 157482 157482 940014 940014 7296802 1219932923 1147847095 26321562 25400793 25800000 25800000 527819143 488638628 39180515 73025910 68501160 4524750 24420333 24277159 143174 5105465 4859703 245762 90898435 85620865 5277570 37512 37512 14881840 14485825 396015 50388 50388 18001024 17327059 673965 800626 772761 27865 692941 686472 6469 9994089 9513004 481085 29897030 29102602 794428 11767591 7372432 4395159 MEDICAL SUPPLIES 225039624 225010119 29505 BAD DEBT EXPENSE 50333142 50333142 BHG ALLOCATION EXPENSE 35976632 22539360 13437272 EQUIPMENT MAINTENANCE/R 11677420 11623339 54081 4414491 2726699 1687792 1160633636 1089278229 71355407 0 268434590 120781099 610703556 624712720 156211136 176939344 13948630 17960860 1108752 1680267 796026997 472146912 336679720 323880085 27456552 25680988 27203696 27203696 25129521 21874263 1466876153 1340713322 77023744 68681662 40662568 0 316564861 304358071 37349268 30824445 471600441 403864178 X 995275712 936849144 995275712 936849144 1466876153 1340713322 X 59299287 -120642523 2916668 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13605671 13605671 539699992 287356721 252343271 843938 647453 196485 232570210 184142738 48427472 9307186 9307186 323880085 DEFERRED COMPENSATION 1426640 THIRD PARTY SETTLEMENTS 17412285 RIGHT TO USE LIABILITY 11260699 RIGHT TO USE EQUIPMENT 724821 30824445 1149881000 -50333000 -50333000 1200214000 19718923 19718923 1219932923 1081264000 -788000 -788000 1082052000 78581636 78581636 1160633636 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT RECLASS TO EXPENSE -50,333,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON SALE OF ASSETS RECLASS TO REVENUE 258,000. INVESTMENT INCOME 17,013,000. BHF REIMBURSEMENT TRANSFER 2,448,000. ROUNDING -77. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN ON SALE OF ASSETS RECLASS TO REVENUE -258,000. JOINT VENTURE GAIN/(LOSS) -530,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT RECLASS TO EXPENSE 50,333,000. TRANSFER TO AFFILIATE 25,800,000. BHF REIMBURSEMENT TRANSFER 2,448,000. ROUNDING 636. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENT IN A FOREIGN INSURANCE COMPANY 331720 0 0 0 0 0 0 331720 0 331720 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 1 X 1 1 0 1 1 3189906 0 3189906 0.00270 186420 197691588 168184937 29506651 0.02540 186420 200881494 168184937 32696557 0.02810 18 5598 581059 0 581059 0.00050 8 1043 50023740 7860759 42162981 0.03630 1 3751 3751 0.00000 4 1500 1257849 1257849 0.00110 31 8141 51866399 7860759 44005640 0.03790 31 194561 252747893 176045696 76702197 0.06600 1 1 41821 41821 0.00000 12820 12820 0.00000 2 54641 54641 0.00000 1 50333142 471410 128319452 121270995 7048457 X 1 1 1 1 BRONSON METHODIST HOSPITAL 601 JOHN STREET KALAMAZOO MI 49007 BRONSONHEALTH.COM X X X X X BRONSON METHODIST HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X TINYURL.COM/VMYMBXE4 X 1 20 1 TINYURL.COM/3NXRUHSS 0 1 X 200.000000000000 350.000000000000 X X X X X X 1 1 X X X X 1 X TINYURL.COM/4SFRNW7B X TINYURL.COM/TCM6V6KS X TINYURL.COM/Y4LSXXC7 X X X X X X 1 X 0 X X X X 1 X 0 0 BRONSON METHODIST HOSPITAL PART V, SECTION B, LINE 5: THE KALAMAZOO CHNA COLLABORATIVE, COMPOSED OF BRONSON METHODIST HOSPITAL, ASCENSION BORGESS HOSPITAL, AND FAMILY HEALTH CENTER, 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 MAKE UP THE CHNA ADVISORY GROUP: 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). 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, GENDER 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. BRONSON METHODIST HOSPITAL PART V, SECTION B, LINE 6A: ASCENSION-BORGESS HOSPITALBRONSON LAKEVIEW HOSPITALBRONSON SOUTH HAVEN HOSPITALBRONSON BATTLE CREEK HOSPITAL BRONSON METHODIST HOSPITAL PART V, SECTION B, LINE 6B: BRONSON HEALTHCARE GROUPFAMILY HEALTH CENTER KALAMAZOO COUNTY HEALTH DEPARTMENTMICHIGAN PUBLIC HEALTH INSTITUTE W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH BRONSON METHODIST HOSPITAL PART V, SECTION B, LINE 11: THE CHNA DISCUSSED IN THE BELOW DISCLOSURES WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019, AND THE FOLLOWING NEEDS HAVE BEEN ADDRESSED THROUGH 2022. THE LATEST CHNA WAS ADOPTED AT THE END OF 2022, AND WILL BE ADDRESSED IN 2023-2025. THE IMPLEMENTATION PLAN RELATED TO THE 2022 CHNA WAS APPROVED IN APRIL OF 2023.IN 2022, BRONSON CONTINUED TO FOCUS EFFORTS UPSTREAM TO ACKNOWLEGE THE ROOT CAUSES OF BEHAVIORS, DEATH, AND DISEASE. AS A RESULT, THERE WAS SHARED DESIRE AND URGENCY TO BUILD COMMUNITY TRUST IN OUR 2020-2022 CHIP. AS SOUTHWEST AND SOUTHCENTRAL MICHIGAN'S ONLY CHILDREN'S HOSPITAL, WE RECOGNIZE THE RESPONSIBILITY AND OPPORTUNITY TO BUILD THIS TRUST FROM THE START. AS A RESULT, BRONSON COMMITS TO ENGAGE AND BUILD TRUST WITH FAMILY SUPPORTS TO ELIMINATE RACIAL/ETHNIC DISPARITIES AMONG MOTHERS AND BABIES ACROSS OUR 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 TARGETED HEALTH NEEDS: WORKFORCE EQUITY AND HEALTHCARE EQUITY. TO ACT ON THIS, BRONSON HAS DEPLOYED SEVERAL TACTICS FOCUSED ON ELIMINATING RACIAL/ETHNIC DISPARITIES THROUGHOUT THE PERINATAL EXPERIENCE AND EMPLOYMENT EXPERIENCE AT BRONSON: ESTABLISH COMMUNITY ENGAGEMENT & SOCIAL DEMOGRAPHIC DATA INFRASTRUCTURE. IMPROVE PATIENTS' CONNECTION TO COMMUNITY RESOURCES (E.G. FOOD SUPPORTS, PERINATAL MENTAL HEALTH SCREENING). IMPROVE SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING COLLECTION AND REFERRAL PROCESS FOR BABIES AND EXPECTING FAMILIES. EXPAND INTERCULTURAL DEVELOPMENT AND QUALITY IMPROVEMENT. DEVELOP AND DELIVER CULTURALLY APPROPRIATE BIRTH EDUCATION AND NUTRITION RESOURCES. EXPAND EVIDENCE BASED MODELS (E.G., CENTERING PREGNANCY, COMMUNITY HEALTHCARE WORKERS, STRONG FATHER PROGRAMS, AND BREAST-FEEDING INITIATIVES). CREATE CAREER PATHWAYS TO BUILD OPPORTUNITIES FOR STRONG FAMILIES. CREATE INTERNAL LATTICES/OPPORTUNITIES TO BUILD WEALTH FOR STRONG FAMILIES. POLICIES/GOVERNANCE/LEADERSHIP TO SUPPORT THE HEALTH AND WELL-BEING OF FAMILIES AT WORK. THE 2020-2022 CHIP SERVES AS A FIRST STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF OUR 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. BRONSON METHODIST HOSPITAL PART V, SECTION B, LINE 13B: 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% REDUCTION250% OF FPL IS ENTITLED TO A 90% REDUCTION300% OF FPL IS ENTITLED TO A 80% REDUCTION350% OF FPL IS ENTITLED TO A 75% REDUCTION BRONSON METHODIST HOSPITAL PART V, SECTION B, LINE 20E: THE HOSPITAL ACKNOWLEDGES THAT ALL INDIVIDUALS ARE NOT EQUALLY CAPABLE OF PAYING FOR HEALTHCARE SERVICES, EITHER BY THEMSELVES OR THROUGH A THIRD PARTY INSURANCE CARRIER. THE HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO OFFER CARE FOR PERSONS IN NEED, AND THEREFORE PROVIDES AND PROMOTES ACCESS TO EMERGENCY OR MEDICALLY NECESSARY SERVICES WITHOUT REGARD TO ABILITY TO PAY.THE HOSPITAL HAS SIGNS AT ENTRANCES TO THE EMERGENCY DEPARTMENT THAT INFORM PATIENTS OF THE FINANCIAL ASSISTANCE POLICY AS WELL AS THE ADMITTING AND FINANCIAL COUNSELING DEPARTMENTS. THE POLICY IS ALSO ON THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM). THE PLAIN LANGUAGE SUMMARY IS INCLUDED ON ALL PATIENT STATEMENTS.PATIENTS MAY REQUEST AN APPLICATION TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE BY CALLING A PATIENT FINANCIAL COUNSELOR OR BRONSON'S BILLING DEPARTMENT. THE APPLICATION IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM). PART V, SECTION B, LINE 20D THE HOSPITAL MADE PRESUMPTIVE ELIGIBILITY DETERMINATIONS REGARDING PATIENTS WHO ARE HOMELESS AS WELL AS PATIENTS WHO ARE REFERRED TO FROM GRACE HEALTH AND FHC AND QUALIFIED FOR FINANCIAL ASSISTANCE AT THOSE FACILITIES. 2 1 - BRONSON VICKSBURG OUTPATIENT CENTER 601 JOHN STREET KALAMAZOO MI 49007 THERAPIES, LAB AND RADIOLOGY 2 - BRONSON OUTPATIENT SURGERY CENTER 125 W WALNUT ST KALAMAZOO MI 49007 OUTPATIENT SURGERY 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% REDUCTION250% OF FPL IS ENTITLED TO A 90% REDUCTION300% OF FPL IS ENTITLED TO A 80% REDUCTION350% OF FPL IS ENTITLED TO A 75% REDUCTION PART I, LINE 7: (A) - (C) COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS INSTRUCTIONS FOR LINES A-C.(E) - (I) COSTING METHODOLOGY IS ACTUAL COSTS PER THE HOSPITAL ACCOUNTING SYSTEM FOR LINES E-I. PART II, COMMUNITY BUILDING ACTIVITIES: ACCESS TO HEALTHY FOODS & LOCAL REGIONAL SOURCING: BMH CONTINUED TO OPERATE THE BRONSON MARKET, A GIFT SHOP AND MICRO-GROCERY STORE, MAKING IT EASY AND CONVENIENT FOR VISITORS AND OTHER COMMUNITY MEMBERS TO BUY FRESH, HEALTHY FOOD TO EAT OR TAKE HOME TO PREPARE. A VARIETY OF FRESH, LOCALLY GROWN AND PRODUCED FOODS NORMALLY FOUND AT THE LOCAL FARMER'S MARKETS IS AVAILABLE. BMH CONTINUES TO PRIORITIZE LOCAL FOOD SOURCING.INSURANCE ENROLLMENT OUTREACH AND SUPPORT: BRONSON PROVIDED OPEN ENROLLMENT ASSISTANCE FOR THE MARKETPLACE INSURANCE FROM NOVEMBER 1, 2022, TO DECEMBER 15, 2022, 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. CRADLE KALAMAZOO: BRONSON CONTINUED TO SUPPORT THIS COLLABORATIVE IN 2022. 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: 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. THROUGH 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. PROJECT SEARCH: KALAMAZOO'S PROJECT SEARCH AT BMH IS DESIGNED TO HELP YOUNG ADULTS WITH DISABILITIES DEVELOP MARKETABLE SKILLS FOR THE WORKPLACE AND OBTAIN GAINFUL EMPLOYMENT. MORE THAN 75% OF PARTICIPANTS WERE PLACED IN EMPLOYMENT AT THE COMPLETION OF THE PROGRAM, AND BRONSON RECEIVED AN EXCELLENT EMPLOYMENT OUTCOME AWARD FOR THE 2021-22 COHORT. NORTHSIDE ASSOCIATION FOR COMMUNITY DEVELOPMENT (NACD): IN RESPONSE TO SOME OF THE LOCAL WORKFORCE NEEDS IDENTIFIED IN THE CHNA, BRONSON ENGAGED WITH THE NACD HEALTHCARE TRAINING PARTNERSHIP, THE KALAMAZOO PROMISE, NORTHSIDE ASSOCIATION FOR COMMUNITY DEVELOPMENT (NACD), MICHIGAN CAREER AND TECHNICAL INSTITUTE, MIWORKS SW! AND YOUTH OPPORTUNITIES UNLIMITED TO HELP INCREASE THE REPRESENTATION OF BLACK/AFRICAN AMERICANS IN THE PATIENT CARE ASSISTANT (PCA) PROFESSION. PART III, LINE 2: UNCOLLECTIBLE AMOUNTS ARE WRITEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. BAD DEBT EXPENSE IS DISCLOSED BASED ON GROSS CHARGES. PART III, LINE 3: BAD DEBT WRITEOFFS SUPPORT THE COMMUNITY BY PROVIDING A PORTION OF SERVICES WITHOUT PAYMENT. THE AMOUNT OF BAD DEBT EXPENSES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS ESTIMATED BY REVIEWING THE BAD DEBT DETAIL FOR A SPECIFIC WRITE-OFF CODE. PART III, LINE 4: 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. PART III, LINE 8: COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO ITS REPRESENTATION OF COST OF A PORTION OF SERVICES PROVIDED TO THE COMMUNITY WITHOUT PAYMENT. PART III, LINE 9B: THE POLICY REQUIRES THE COLLECTION AGENCY BE NOTIFIED AND ACTIVITY SUSPENDED WHEN A REQUEST FOR FINANCIAL ASSISTANCE IS MADE AND A PATIENT SUBMITS AN APPLICATION ON A PREVIOUSLY LISTED ACCOUNT. 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. PART VI, LINE 2: 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 ESTIMATES2. SG2 IP/OP FORECAST3. SG2 AMBULATORY MARKET STRATEGIST4. SG2 MARKET DEMOGRAPHICS FROM CLARITAS PART VI, LINE 3: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE EMERGENCY ROOM, THE ADMITTING DEPARTMENT, THE PATIENT FINANCIAL COUNSELING OFFICE, AND THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM). THE PLAIN LANGUAGE SUMMARY IS ALSO INCLUDED IN THE PATIENT'S DISCHARGE DOCUMENTS, ON PATIENT STATEMENTS AND THE HOSPITAL'S WEBSITE. BOTH THE POLICY AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST. PART VI, LINE 4: BRONSON METHODIST HOSPITAL 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 2019 AND 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 DEMOGRAPHICS13.00% < 21 YEARS OF AGE19.5% 21-39 YEARS OF AGE34.3% 40-64 YEARS OF AGE33.1% 65 YEARS OF AGE AND OLDERPATIENT DIVERSITY DEMOGRAPHICS85.20% CAUCASIAN9.90% AFRICAN AMERICAN1.48% ASIAN2.34% OTHERPATIENT INSURANCE DEMOGRAPHICS43.90% PRIVATE INSRUANCE11.6% MEDICARE19.7% MEDICARE AND SUPPLEMENTAL INSURANCE14.4% MEDICAID OR OTHER PUBLIC ASSISTANCE8.9% NO COVERAGE PART VI, LINE 5: 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, 2022 KALAMAZOO HEART WALK, WESTERN MICHIGAN UNIVERSITY HOMER STRYKER M.D. SCHOOL OF MEDICINE, KALAMAZOO TECHNOLOGY TRAINING PARTNERSHIP VIA THE KALAMAZOO PROMISE, EPIC MICHIGAN USER GROUP, AND MINISTRY WITH COMMUNITY.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 OUR INCEPTION. OUR STRATEGIES ARE DATA-DRIVEN FROM OUR FETAL INFANT MORTALITY REVIEW TEAM (FIMR) TO CREATE BEST PRACTICE RECOMMENDATIONS THAT ARE SPECIFIC TO THE NEEDS OF OUR 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 TOWARDS THE DEVELOPMENT OF NEW POLICIES TO SAFEGUARD THEM.FAMILY HEALTH CENTER IS DESIGNATED A PATIENT-CENTERED MEDICAL HOME BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. FHC DEDICATES THEMSELVES TO MEETING HEALTH CARE NEEDS WITH RESOLVE TO PROVIDE THE HIGHEST QUALITY HEALTH CARE EXPERIENCE; WITH EAGERNESS TO DELIVER THEIR BEST EFFORT EVERY DAY; WITH PERSONAL OWNERSHIP OF THEIR WORK AND CONDUCT; WITH KINDNESS FOR PATIENTS, COLLEAGUES AND COMMUNITY. FAMILY HEALTH CENTER (FHC) IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WHICH SERVES THE CITIZENS OF KALAMAZOO COUNTY. FHC PROVIDES QUALITY HEALTH CARE TO SOME 36,000 HISTORICALLY UNDERSERVED PATIENTS, ENSURING THAT ALL PEOPLE WHO ENTER THEIR FACILITIES ARE TREATED WITH DIGNITY, RESPECT AND A WELCOMING SPIRIT. FHC BASES ITS CARE ON QUALITY. OUR PROVIDERS USE EVIDENCE-BASED GUIDELINES WHEN TREATING YOU AND YOUR FAMILY TO ENSURE THE BEST CARE AVAILABLE. FHC ALSO TRACKS PERFORMANCE, DISCUSS RESULTS WITH PROVIDERS AND STAFF, AND SUBMIT REPORTS TO THE FEDERAL GOVERNMENT ON OUR QUALITY OF CARE.SOUTHWEST MICHIGAN FIRST-ECONOMIC DEVELOPMENTAT SOUTHWEST MICHIGAN FIRST, THEY ARE WORKING TO CREATE A MORE PROSPEROUS FUTURE FOR ALL, TOGETHER WITH THE COMMUNITY PARTNERS AND CREATING AN ENVIRONMENT WHERE BUSINESS THRIVE AND MEANINGFUL JOBS ARE CREATED. 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. WHEN WE FEEL FREE TO BE OURSELVES, WE ALL THRIVE.WMU HOME STRYKER MD SCHOOL OF MEDICINE- MEDICAL EDUCATIONTHE 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 ENGAGEMENT AND DIVERSITY NEEDS: AREAS OF FOCUS FOR 2022 AND BEYOND:RENEWED FOCUS OF IN-PERSON EVENTS AND DIALOG WITH LOCAL UNIVERSITIES, COLLEGES, AND VO-TECH SCHOOLS. BRONSON IS COMMITTED TO HELPING AND GUIDING EMERGING TALENT FROM LOCAL INSTITUTIONS TO START THEM ON THEIR CAREER JOURNEYS. STAYING ABREAST AND AHEAD OF NEW TECHNOLOGY SOLUTIONS TO EXPAND BRONSON'S DIGITAL RECRUITING MARKETING FOOTPRINT AND ENSURING THAT QUALIFIED JOB SEEKERS ARE AWARE OF BRONSON OPPORTUNITIES.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.ESTABLISHING AND STRENGTHENING PARTNERSHIPS WITH NATIONAL ORGANIZATIONS SUCH AS THE NATIONAL BLACK NURSES ASSOCIATE, NATIONAL ASSOCIATION OF HISPANIC NURSES, AND HIRE OUR HEROES.HEALTH EDUCATION PROGRAMS AND SOCIAL NEEDS INITIATIVESCOMMUNITY HEALTHY LIVING CLASSES (20+ PER YEAR): HEALTHY LIVING CLASSES OFFERED TO COMMUNITY MEMBERS AT LEAST 2X PER MONTH. TOPICS INCLUDE HEALTHY EATING, HEART-HEALTHY BEHAVIORS, STRESS RELIEF, INCREASING COMMUNITY CONNECTION AND MORE.COOKING WITH BRONSON (10-18 PER YEAR): VIRTUAL HEALTHY COOKING CLASSES OFFERED 2X PER MONTH FOR OLDER ADULTS. RECIPES ADAPTED FOR SMALL HOUSEHOLDS. OFFERED VIRTUALLY, VIA A PARTNERSHIP WITH THE AREA AGENCY ON AGING.COMMUNITY SUPPORT RESOURCES: A VARIETY OF HEALTHY LIVING RESOURCES INCLUDING HEALTHY RECIPE BOOKS, TIP SHEETS, FAMILY PHYSICAL ACTIVITY GUIDES, HEALTHY LIVING VIDEOS AND MORE. ACCESS RESOURCES AT BRONSONHEALTH.COM/BRONSONEATS AND YOUTUBE.FAMILY AND COMMUNITY ENGAGEMENT EVENTS/INITIATIVES: ONE-TIME PRESENTATIONS, HEALTH EDUCATION FOR COMMUNITY ORGS AND GROUPS, HEALTH AND EQUITY EDUCATION FOR HIGHER EDUCATION, HEALTH FAIRS, COMMUNITY CONNECTION EVENTS, HEALTH ED AND SAFETY EVENTS, FARMER'S MARKET EDUCATION STATIONS, YOUTH ENGAGEMENT ACTIVITIES AND EDUCATION, COMMUNITY COOKING CLASSES, LIBRARY AND FOOD PANTRY PARTNERSHIP PROJECTS AND MORE FOR MORE THAN 6000 ATTENDEES. PART VI, LINE 6: 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 NON-FOR-PROFIT HOLDING COMPANY. THE BORONSON HEALTHCARE GROUP (BHG) BOARD IS COMPRISED OF 22 MEMBERS FROM THE COMMUNITY'S 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 ADDITIONAL 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 HEALTHCARE FOUNDATION, BRONSON AT HOME, VANBUREN EMERGENCY MEDICAL SERVICES AND BRONSON PROPERTIES CORPORATION. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 BRONSON HEALTHCARE GROUP 601 JOHN STREET KALAMAZOO MI 49007 382418383 501(C)(3) 25800000 0 GENERAL SUPPORT 1 0 PART I, LINE 2: 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 1 1 0 1 0 0 0 0 0 0 0 FABI ALAIN NEUROSURGERY 2671045 0 0 0 25273 0 25100 0 22993 0 2744411 0 0 0 MANNS BILL PRESIDENT AND CEO 0 1009320 0 452304 0 257114 0 997586 0 19161 0 2735485 0 452304 KASTEN MICHAEL SPINE & SCOLIOSIS 1792459 0 99611 0 34524 0 25100 0 23610 0 1975304 0 0 0 ELLWITZ JOSHUA SPINE & SCOLIOSIS 1720711 0 89055 0 23106 0 25100 0 23540 0 1881512 0 0 0 WIGGINS GREGORY NEUROSURGERY 1756659 0 0 0 23103 0 25100 0 22993 0 1827855 0 0 0 ROBERTS JASON ORTHOPEDIC TRAUMA 1463695 0 100753 0 2774 0 20750 0 22929 0 1610901 0 0 0 EAST REBECCA L SR VP CFO 0 513685 0 193762 0 161380 0 329275 0 18622 0 1216724 0 193762 LARSON SCOTT MD SR VP MEDICAL AFFAIRS/CMO 0 527702 0 162551 0 179816 0 298597 0 16142 0 1184808 0 162551 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 0 463700 0 170231 0 142946 0 290879 0 15925 0 1083681 0 170231 KARAMCHANDANI MAHESH C DIRECTOR 677834 0 65440 0 30116 0 25100 0 13783 0 812273 0 0 0 REINOEHL SUSAN SR VP STRATEGY & COMM 0 310249 0 114978 0 98660 0 215183 0 6434 0 745504 0 114978 WAY MICHAEL S SR VP MAT. MGT. & FACILITY SVS. 0 257363 0 108486 0 109677 0 228701 0 17808 0 722035 0 108486 JOHNSON CHERYL SR VP CHIEF PEOPLE OFFICER 0 343120 0 119700 0 78641 0 125919 0 15465 0 682845 0 119700 CHALASANI SRIDHAR DIRECTOR (THRU 10/2022) 528059 0 42340 0 29819 0 25100 0 18370 0 643688 0 0 0 DAVIDSON SCOTT DIRECTOR (THRU 10/2022) 445981 0 94026 0 3627 0 25100 0 18159 0 586893 0 0 0 WORKMAN WILLIAM BEG 072022 DIRECTOR/SYSTEM VICE CHIEF OF STAFF 0 459265 0 56161 0 481 0 20750 0 17692 0 554349 0 0 NEELY DENISE SR VP COO (THRU 10/2022) 0 221712 0 96393 0 82285 0 67651 0 7921 0 475962 0 96393 HATCHEL KIMBERLY SVP BMH COO 0 204734 0 80000 0 357 0 101250 0 3335 0 389676 0 0 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 0 238769 0 45907 0 3353 0 68935 0 8734 0 365698 0 45907 HAYDEN JOHN FORMER SR VP CHIEF HR OFFICER 0 0 0 0 0 130831 0 0 0 0 0 130831 0 0 JONES JR JOHN FORMER SR VP COMMUNITY CARE 0 0 0 0 0 108500 0 0 0 0 0 108500 0 0 PART I, LINE 1A THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT. PART I, LINE 3 BRONSON HEALTHCARE GROUP, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND/OR STUDY AND APPROVAL BY BOARD AND/OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN OF A RELATED ENTITY, BRONSON HEALTHCARE GROUP, AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN DURING 2022: NEELY, DENISE $65,462 SERP DISTRIBUTION WAY, MICHAEL $106,105 SERP DISTRIBUTION REINOEHL, SUSAN $96,394 SERP DISTRIBUTION FALAHEE JR., JAMES B $131,582 SERP DISTRIBUTION JONES JR, JOHN $108,500 SERP DISTRIBUTION EAST, REBECCA $160,450 SERP DISTRIBUTION LARSON, SCOTT D $163,523 SERP DISTRIBUTION HAYDEN, JOHN $130,831 SERP DISTRIBUTION THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN OF A RELATED ENTITY, BRONSON HEALTHCARE GROUP, 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. NEELY, DENISE $65,462 SERP CONTRIBUTION WAY, MICHAEL $57,889 SERP CONTRIBUTION REINOEHL, SUSAN $60,754 SERP CONTRIBUTION FALAHEE JR., JAMES B $85,145 SERP CONTRIBUTION LARSON, SCOTT D $94,417 SERP CONTRIBUTION EAST, REBECCA $95,532 SERP CONTRIBUTION MANNS, BILL $737,315 SERP CONTRIBUTION JOHNSON, CHERYL $55,620 SERP CONTRIBUTION A CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY 386004627 483233NY4 2016-10-25 110169643 SEE SUPPLEMENTAL INFORMATION 0 0 0 B CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY 386004627 2018-02-15 47975000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 4630528 110169643 890529 109279114 2016 0 1 1 1 B 24385000 47975000 138250 47836750 2018 1 0 1 1 A 0 1 1 1 0 0.00250 0.00000 0.00250 0 0 1 B 0 0 1 1 0 0.00250 0.00000 0.00250 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 0 B 0 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 9/28/10. 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. PART II, BOND ISSUE A, LINE 3: TOTAL PROCEEDS OF BOND ISSUE A INCLUDE INVESTMENT EARNINGS IN THE AMOUNT OF $363,731. PART IV, BOND ISSUE A, LINE 2C: DATE THE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2020. PART V: WE HAVE GENERAL WRITTEN PROCEDURES THAT WE WILL COMPLY WITH ALL TAX LAWS. MARLA ATKINSON SPOUSE OF BOARD MEMBER MARK ATKINSON 325724 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON HEALTHCARE GROUP 0 STEPHANIE NELSON SISTER-IN-LAW OF BOARD MEMBER SCOTT GIBSON 121068 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 NICOLE ATKINSON DAUGHTER OF BOARD MEMBER MARK ATKINSON 70380 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 KIMBERLY JAMES DAUGHTER OF BOARD MEMBER BARBARA JAMES 56056 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 MELISSA DAVIDSON SPOUSE OF BOARD MEMBER SCOTT DAVIDSON 68018 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 CYNTHIA WORKMAN SPOUSE OF BOARD MEMBER WILLIAM WORKMAN 20400 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 FORM 990, PART VI, SECTION A, LINE 2 STEVEN J. LINS, M.D. AND SCOTT C. GIBSON, M.D. HAVE A BUSINESS RELATIONSHIP. ALL BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP WITH ALL BRONSON SUBSIDIARIES DUE TO BEING ON BRONSON HEALTHCARE GROUP BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 BRONSON HEALTHCARE GROUP IS THE SOLE MEMBER OF BRONSON METHODIST HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON METHODIST HOSPITAL (BMH) AND AS SUCH MEMBER IT ELECTS 10-15 OF THE TOTAL 20-24 MEMBERS OF THE BMH BOARD. COMMUNITY PARTNERS SHALL, AFTER CONSULTING WITH AND SEEKING INPUT FROM THE NOMINATING COMMITTEE OF BHG, APPOINT 6 MEMBERS TO THE BOARD. THE REMAINING 3 MEMBERS OF THE BOARD SHOULD BE EX OFFICIO, WITH VOTE, AND SHALL CONSIST OF THE PRESIDENT, THE CHIEF OF STAFF, AND IMMEDIATE PAST CHIEF OF THE MEDICAL STAFF OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF THE BRONSON METHODIST HOSPITAL (BMH) AND HAS CERTAIN RESERVED POWERS OVER THE ACTIONS OF BMH. THE BOARD OF DIRECTORS HAS THE POWER TO: -AMENDMENT, RESTATEMENT, OR REPEAL OF THE HOSPITALS ARTICLES OF INCORPORATION OR BYLAWS. -ADOPTION, EXECUTION, REVOCATION, OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, REORGANIZATION, OR OTHER MAJOR CHANGE IN CORPORATE STRUCTURE INVOLVING THE HOSPITAL. -SALE, LEASE EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITALS PROPERTY AND ASSETS. -ACQUISITION OF ANY OTHER ENTITY OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE. -ADOPTION OF ALL OPERATING AND CAPITAL EXPENDITURE BUDGETS. -INCUR OPERATING OR CAPITAL EXPENDITURES WHICH CAUSE AGGREGATE OPERATING OR CAPITAL EXPENDITURES TO EXCEED BUDGETED AGGREGATES AND/OR THE DOLLAR AMOUNT SPECIFIED BY BHG. -SECURE BORROWINGS, WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTERESTS APPROVED AS A PART OF A BUDGET. -CHANGE THE MISSION STATEMENT, PURPOSES, OR STRATEGIC GOALS OF THE HOSPITAL. -ANY SIGNIFICANT CHANGE IN THE SCOPE OF SERVICES OR PROGRAMS. -APPOINTMENT, REMOVAL OR COMPENSATION OF THE PRESIDENT OR ANY DIRECTOR OR OFFICER. FORM 990, PART VI, SECTION B, LINE 11B THE SR VP/CFO & CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE VICE 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 23, 2023. 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, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY AND ITS ACCOMPANYING QUESTIONNAIRE ARE REVIEWED, AND REVISED, IF NECESSARY, ON AN ANNUAL BASIS BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE BOARDS EXECUTIVE COMMITTEE. ALL BOARD MEMBERS AND ALL EMPLOYEES HOLDING THE TITLE OF VICE PRESIDENT AND ABOVE ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ANNUALLY COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE. ALL COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. DETERMINATIONS AS TO WHETHER A CONFLICT EXISTS ARE MADE BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. ACTUAL CONFLICTS ARE REVIEWED BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODYS DELIBERATIONS AND DECISION ON THE TRANSACTION IN QUESTION. FORM 990, PART VI, SECTION B, LINE 15 FOR THE CEO, OFFICERS AND OTHER KEY EMPLOYEES, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH FUNCTIONS AS THE COMPENSATION COMMITTEE FOR BRONSON HEALTHCARE GROUP, RETAINS THE SERVICES OF AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT (SULLIVAN, COTTER AND ASSOCIATES) WHO CONDUCTS A THOROUGH COMPENSATION AND BENEFIT SURVEY PROCESS THAT IS USED TO DETERMINE THE APPROPRIATE ADJUSTMENT IN CASH COMPENSATION AND BENEFITS PROVIDED. THIS PROCESS IS DONE ANNUALLY AND WAS UNDER TAKEN IN 2022. THE CONSULTANT USES THREE TO FIVE NATIONAL HEALTHCARE-BASED SURVEYS FOR COMPARABILITY DATA, EACH ONE OF LIKE REVENUE SIZED HEALTHCARE SYSTEMS TO THE BRONSON HEALTHCARE GROUP. THE CONSULTANT PREPARES A DETAILED REPORT WITH RECOMMENDATIONS FOR PAY AND/OR BENEFIT ADJUSTMENTS, AND PRESENTS THE INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS (WHEN THE CEOS SURVEY DATA AND RECOMMENDATIONS ARE PRESENTED, THE CEO AND STAFF ARE EXCUSED FROM THE DELIBERATIONS). AFTER ALL QUESTIONS OF THE BOARD MEMBERS ARE ANSWERED, FORMAL MOTIONS ARE PROPOSED, SECONDED AND VOTED ON (FOR ANY PAY ADJUSTMENTS AND FOR RECEIPT OF THE CONSULTANT'S REPORT). AT THE SUBSEQUENT MEETING OF THE FULL BOARD OF DIRECTORS, THE CHAIR DISCLOSES THE RESULTS AND APPROVED MOTIONS OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC BY POSTING THEM ON THE ORGANIZATION'S WEBSITE AND PROVIDING COPIES ON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS, OTHER THAN THE FORM 990, ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, LINE 1A: THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT. FORM 990, PART XI, LINE 9: JOINT VENTURE GAIN/(LOSS) 529,953. LOSS ON REFUNDED DEBT 1,190,161. TRANSFER TO AFFILIATE FOR CAPITAL LEASE 1,196,554. 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