2021-11-05T15:05:46-05:00 2020-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2020-01-01 382418383 BRONSON HEALTHCARE GROUP BRON 2693416000 601 JOHN STREET KALAMAZOO MI 49007 REBECCA EAST SENIOR VP/CFO 2693416000 2021-11-01 1 REBECCA EAST 999009999 DAVID LOWENTHAL P00378651 3122071040 2021-11-01 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BILL MANNS 601 JOHN STREET KALAMAZOO MI 49007 270857935 0 X BRONSONHEALTH.ORG X 1982 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 22 13 1472 13 4828077 297003 71103165 16903995 259465007 243989662 3622716 4445924 4613353 5518354 338804241 270857935 107568949 3984616 0 0 205180786 192040503 320336 304540 304540 64842798 61415219 377912869 257744878 -39108628 13113057 311077682 333347703 308867548 274801143 2210134 58546560 TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 0 0 183566084 244560229 BRONSON HEALTHCARE GROUP (BHG) PROVIDES SUPPORT SERVICES TO ITS SUBSIDIARIES. THE SUBSIDIARIES ARE ACTIVELY INVOLVED IN THE DELIVERY OF HEALTHCARE SERVICES AND PROVIDE SUBSTANTIAL BENEFITS TO THE COMMUNITIES THEY SERVE. 3984616 3984616 BRONSON HEALTHCARE GROUP (BHG) DONATES MONEY TO NOT FOR PROFIT COMPANIES IN THE COMMUNITY THAT PROMOTE HEALTH IN THE COMMUNITY. THESE COMPANIES PROMOTE HEALTH IN THE COMMUNITIES BY INVESTING IN THE ARTS AND HELPING THE INDIGENT AND IMPOVERISHED IN SOUTHWEST MICHIGAN. 1435463 BRONSON HEALTHCARE GROUP (BHG) PROVIDES ACCESS TO EPIC TO OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO PROMOTE USE OF ELECTRONIC HEALTH RECORDS. 188986163 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 207 0 1 1472 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 22 13 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X REBECCA EAST SENIOR VPCFO 2693416000 301 JOHN STREET KALAMAZOO MI 49007 X MANNS BILL PRESIDENT AND CEO 4.60 35.40 X X 798193 0 428287 FALAHEE JAMES INTERIM CEO - JAN-MARCH/SR VP LEGAL 4.60 35.40 X X 880935 0 212229 KARAMCHANDANI MAHESH C MD DIRECTOR 4.60 35.40 X 0 716627 20784 DAVIDSON SCOTT MD DIRECTOR 4.60 35.40 X 0 535784 27805 CHALASANI SRIDHAR MD DIRECTOR 4.60 35.40 X 0 455481 22994 LAWLOR JOHN MD DIRECTOR (THRU 8/20) 4.60 35.40 X 0 370186 30072 GIBSON SCOTT MD DIRECTOR 1.00 8.00 X 0 5740 0 KARRE NELSON CHAIR 1.00 8.00 X X 0 0 0 EBERTS RANDALL PHD VICE CHAIR 1.00 8.00 X X 482 0 0 JAMES BARBARA TREASURER 1.00 8.00 X X 482 0 0 NYBERG NEIL SECRETARY 1.00 8.00 X X 0 0 0 ALLEN RICHARD J MD DIRECTOR 1.00 8.00 X 0 0 0 ATKINSON MARK B MD DIRECTOR 1.00 8.00 X 0 0 0 FINK KATY DIRECTOR 1.00 8.00 X 0 0 0 GONZALEZ JORGE PHD DIRECTOR 1.00 8.00 X 0 0 0 GREENE JAMES E DIRECTOR 1.00 8.00 X 482 0 0 HUNT BRENDA DIRECTOR 1.00 8.00 X 0 0 0 JOHNSTON WILLIAM DIRECTOR 1.00 8.00 X 0 0 0 LIGGINS JAMES JR DIRECTOR 1.00 8.00 X 0 0 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 ODAR MICHAEL DIRECTOR 1.00 8.00 X 0 0 0 PARFET DONALD DIRECTOR 1.00 8.00 X 0 0 0 LARSON SCOTT MD SR VP MEDICAL AFFAIRS/CMO 4.60 35.40 X 740329 0 194638 EAST REBECCA L SR VP CFO BHG 4.60 35.40 X 693393 0 207182 HAYDEN JOHN SR VP & CHIEF HR OFFICER 4.60 35.40 X 550895 0 151155 REINOEHL SUSAN SR VP STRATEGY & COMM BHG 4.60 35.40 X 429209 0 131347 JONES JR JOHN SENIOR VP (THRU 2/20) 4.60 35.40 X 466415 0 29068 GOEL ASHUTOSH SR VP IT AND CIO 4.60 35.40 X 501570 0 146642 NEELY DENISE SR. VP COO BMH/SYSTEM CNO BHG 4.60 35.40 X 449861 0 118234 ARNAN MARTINSON VASCULAR NEUROLOGY 40.00 0.00 X 508343 0 30320 WAY MICHAEL S SR VP MAT. MGT. & FACILITY 4.60 35.40 X 402022 0 133219 BARBER LAUREL VICE PRESIDENT 40.00 0.00 X 319486 0 97313 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICE 4.60 35.40 X 229946 0 64693 KNAPP CHERYL VICE PRESIDENT 40.00 0.00 X 329863 0 92552 BENNETT TODD DIRECTOR CLINICAL INFORMATICS 40.00 0.00 X 369964 0 37723 VANNEST NANCY VICE PRESIDENT 40.00 0.00 X 339183 0 21073 BUECHELE KENNETH VICE PRESIDENT 40.00 0.00 X 293062 0 62651 HORN RYAN VP REVENUE CYCLE 40.00 0.00 X 249232 0 58262 SARDONE FRANK PRESIDENT & CEO - FORMER 0.00 0.00 X 896730 0 16448 HARRELSON KATHLEEN M SENIOR VP - FORMER 0.00 0.00 X 499567 0 5995 9949644 2083818 2340686 126 1 1 0 MILLER JOHNSON ATTORNEYS AND COUNSELORS PO BOX 306 BATTLE CREEK MI 49016 LEGAL 3780553 PLANTE & MORAN PLLC 16060 COLLECTIONS CENTER DRIVE KALAMAZOO MI 49002 AUDITING AND CONSULTING 540945 AFFIRMANT HEALTH PARTNERS 950 TRADE CENTER WAY MILWAUKEE WI 53288 CONSULTING 510242 WARNER NORCROSS JUDD LLP 150 OTTAWA AVE NW SUITE 1500 GRAND RAPIDS MI 49503 LEGAL 403894 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 SOFTWARE 350841 20 16903995 16903995 MANAGEMENT SRVCS REVENUE 561000 243989662 240223317 3766345 243989662 4436692 4436692 9232 0 9232 9232 9232 PGIP REVENUE 900099 3030823 3030823 OUTSIDE SERVICE REVENUE 900099 2249744 1188012 1061732 CLASS INSTRUCTION 900099 108845 108845 128942 128942 5518354 270857935 244560229 4828077 4565634 3984616 3984616 12203239 12203239 72991051 49681780 23309271 4365108 4081509 283599 96809755 84658601 12151154 5671350 3936830 1734520 1533593 1533593 441002 441002 304540 304540 7783733 4535890 3247843 1812849 1279925 532924 3960422 3269164 691258 16728846 15726962 1001884 2504683 2039729 464954 131843 82490 49353 52306 26674 25632 3727189 1997128 1730061 7557140 6831239 725901 13406753 6295287 7111466 DUES/SUBSCRIPTIONS 3494545 799558 2694987 RECRUITMENT EXPENSE 718393 125542 592851 SPECIAL EVENTS/PROJECTS 108808 77311 31497 UBI TAX 62371 62371 0 -2609257 -506443 -2102814 257744878 188986163 68454175 304540 39020 99570 565905 788724 12233383 17360826 6450416 7757193 97589670 76185800 25727969 21403870 74525218 95889873 190070949 189215353 1464822 832294 311077682 333347703 68597084 76115868 202790 292666 92820976 92374334 147246698 106018275 308867548 274801143 X 2210134 58546560 2210134 58546560 311077682 333347703 X 13113057 5644630 37578739 X X 0 1 X 1 1 0 X X 8 BRONSON METHODIST HOSPITAL 381359087 3 1 0 0 BRONSON LAKEVIEW HOSPITAL 381359218 3 1 0 0 BRONSON NURSING & REHAB CENTER 382842451 10 1 2200000 0 BRONSON HEALTH FOUNDATION 382415081 7 1 0 0 VBEMS 382745910 10 1 0 0 BRONSON BATTLE CREEK HOSPITAL 382776791 3 1 0 0 BRONSON AT HOME 383298476 10 1 700000 0 BRONSON SOUTH HAVEN HOSPITAL 381676780 3 1 0 0 8 2900000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 SECTION A, LINE 1: ALL SUPPORTED ORGANIZATIONS EXCEPT FOR BRONSON AT HOME ARE LISTED IN THE GOVERNING DOCUMENTS. ANY SUPPORTED ORGANIZATION NOT LISTED IS SUPPORTED BECAUSE OF THEIR CONTINUING RELATIONSHIP WITH BRONSON HEALTHCARE GROUP (BHG). SECTION E, LINE 3A: BHG IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND HAS RESERVED POWERS OVER THE ACTIONS OF THE SUPPORTED ORGANIZATIONS THAT INCLUDE ELECTING A MAJORITY OF THE SUPPORTED ORGANIZATIONS BOARD MEMBERS. SECTION E, LINE 3B: BRONSON HEALTHCARE GROUP IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND HAS RESERVED POWERS OVER THE ACTIONS OF THE SUPPORTED ORGANIZATIONS THAT INCLUDE: -ADOPTION OF ALL OPERATING AND CAPITAL 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 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 14560 0 0 14560 0 PART II-B, LINE 1: EXPENSES INCURRED RELATED TO DIRECT CONTACT WITH LEGISLATURES, SEMINARS, CONVENTIONS, SPEECHES, LECTURES OR ANY OTHER MEANS. 204194 204194 11706994 7390401 4316593 12786 6992 5794 85053032 68788407 16264625 612664 612664 21403870 BRONSON PROPERTIES CORPORATION 52352800 C HOSPITAL NETWORK INCORPORATED 13016489 F BRONSON MANAGEMENT SERVICES CORPORATION 15187245 C BRONSON BATTLE CREEK HOSPITAL 68657482 C BRONSON AT HOME 16293819 C SURGERY CENTER OF KALAMAZOO 1286152 C KALAMAZOO ENDOSCOPY CENTER 135670 F WEST MICHIGAN AIR CARE 519175 F BRONSON METHODIST HOSPITAL 21132585 C FEDERATION CARE NETWORK -68755 F ZIEGLER LINK-AGE FUND II 452759 C INVESTMENT IN ARCH DEVELOPMENT 249932 C 189215353 POST RETIREMENT BENEFITS 30203399 MINIMUM PENSION LIABILITY 74134783 DEFERRED TAX LIABILITY 1680093 106018275 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES BRONSON HEALTHCARE GROUP PAYS INSURANCE PREMIUMS TO A FOREIGN INSURANCE COMPANY 2814975 0 0 0 0 0 0 2814975 0 2814975 0 0 0 0 0 0 PART III ACCOUNTING METHOD: X X X X X X X 1 COMMUNITY COUNSELING SERVICE CO LLC 527 MADISON AVENUE 5TH FLOOR NEW YORK NY 10022 FUNDRAISING CONSULTANT 0 0 304540 -304540 304540 -304540 MI 1 BRONSON HEALTH FOUNDATION 601 JOHN STREET KALAMAZOO MI 49007 382415081 501(C)(3) 738629 GENERAL SUPPORT JUNIOR ACHIEVEMENT 2775 WEST DICKMAN RD SUITE C BATTLE CREEK MI 49037 381348535 501(C)(3) 10000 GENERAL SUPPORT WMU FOUNDATION 1903 W MICHIGAN AVENUE KALAMAZOO MI 49008 382138856 501(C)(3) 15000 SPONSORSHIP SOUTHWEST MICHIGAN FIRST PO BOX 50827 KALAMAZOO MI 49005 382853785 501(C)(3) 75000 GENERAL SUPPORT UNITED WAY OF SOUTHWEST MICHIGAN 2015 LAKEVIEW AVENUE ST JOSEPH MI 49085 381358411 501(C)(3) 5000 SPONSORSHIP UNITED WAY OF BATTLE CREEK 34 WEST JACKSON STREET SUITE 4B BATTLE CREEK MI 49017 381359193 501(C)(3) 200000 SPONSORSHIP BRONSON AT HOME 601 JOHN STREET KALAMAZOO MI 49007 383298476 501(C)(3) 700000 GENERAL SUPPORT BRONSON COMMONS 601 JOHN STREET KALAMAZOO MI 49007 382842451 501(C)(3) 2200000 GENERAL SUPPORT 8 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 X X X X 1 1 0 0 0 0 0 0 0 MANNS BILL PRESIDENT AND CEO 577752 0 1000 0 219441 0 417830 0 10457 0 1226480 0 0 0 FALAHEE JAMES INTERIM CEO - JAN-MARCH/SR VP LEGAL 463202 0 328113 0 89620 0 191150 0 21079 0 1093164 0 138514 0 LARSON SCOTT MD SR VP MEDICAL AFFAIRS/CMO 478554 0 155606 0 106169 0 180345 0 14293 0 934967 0 155606 0 SARDONE FRANK PRESIDENT & CEO - FORMER 18901 0 587669 0 290160 0 15870 0 578 0 913178 0 0 0 EAST REBECCA L SR VP CFO BHG 436313 0 150084 0 106996 0 193376 0 13806 0 900575 0 150084 0 KARAMCHANDANI MAHESH C MD DIRECTOR 0 618792 0 68638 0 29197 0 10785 0 9999 0 737411 0 0 HAYDEN JOHN SR VP & CHIEF HR OFFICER 359289 0 116585 0 75021 0 141968 0 9187 0 702050 0 116585 0 GOEL ASHUTOSH SR VP IT AND CIO 381444 0 91348 0 28778 0 115313 0 31329 0 648212 0 91348 0 NEELY DENISE SR. VP COO BMH/SYSTEM CNO BHG 342434 0 82968 0 24459 0 104358 0 13876 0 568095 0 82968 0 DAVIDSON SCOTT MD DIRECTOR 0 449173 0 84723 0 1888 0 14177 0 13628 0 563589 0 0 REINOEHL SUSAN SR VP STRATEGY & COMM BHG 259794 0 91774 0 77641 0 126253 0 5094 0 560556 0 91774 0 ARNAN MARTINSON VASCULAR NEUROLOGY 423280 0 83600 0 1463 0 4155 0 26165 0 538663 0 0 0 WAY MICHAEL S SR VP MAT. MGT. & FACILITY 238862 0 86592 0 76568 0 119916 0 13303 0 535241 0 86592 0 HARRELSON KATHLEEN M SENIOR VP - FORMER 0 0 0 0 499567 0 0 0 5995 0 505562 0 0 0 JONES JR JOHN SENIOR VP (THRU 2/20) 78913 0 141526 0 245976 0 16575 0 12493 0 495483 0 137444 0 CHALASANI SRIDHAR MD DIRECTOR 0 392910 0 41196 0 21375 0 9413 0 13581 0 478475 0 0 KNAPP CHERYL VICE PRESIDENT 254738 0 53760 0 21365 0 87608 0 4944 0 422415 0 53760 0 BARBER LAUREL VICE PRESIDENT 249629 0 49192 0 20665 0 71588 0 25725 0 416799 0 49192 0 BENNETT TODD DIRECTOR CLINICAL INFORMATICS 302450 0 57627 0 9887 0 14483 0 23240 0 407687 0 0 0 LAWLOR JOHN MD DIRECTOR (THRU 8/20) 0 318611 0 31218 0 20357 0 17098 0 12974 0 400258 0 0 VANNEST NANCY VICE PRESIDENT 144318 0 53847 0 141018 0 8631 0 12442 0 360256 0 53847 0 BUECHELE KENNETH VICE PRESIDENT 245662 0 43155 0 4245 0 61299 0 1352 0 355713 0 43155 0 HORN RYAN VP REVENUE CYCLE 218886 0 29322 0 1024 0 56104 0 2158 0 307494 0 29322 0 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICE 191001 0 37775 0 1170 0 56586 0 8107 0 294639 0 37775 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 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 4A: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR 2020: KATHLEEN HARRELSON, $502,394 JOHN JONES, $154,470 PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FROM RELATED ENTITY BRONSON HEALTHCARE GROUP: SARDONE, FRANK J $273,964 SERP DISTRIBUTION FALAHEE JR., JAMES B $88,343 SERP DISTRIBUTION HAYDEN, JOHN T $83,641 SERP DISTRIBUTION LARSON, SCOTT D $98,917 SERP DISTRIBUTION THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN BUT DID NOT RECEIVE A PAYMENT FROM THE PLAN: JONES JR., JOHN EAST, REBECCA WAY, MICHAEL REINOEHL, SUSAN MANNS, BILL A CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY 386004627 483233PW6 2011-11-03 5433646 SEE SUPPLEMENTAL INFO 1 0 0 B CITY OF KALAMAZOO HOSPITAL FINANCE AUTHORITY 386004627 483233NY4 2016-10-25 4633545 SEE SUPPLEMENTAL INFO 0 0 0 C MICHIGAN FINANCE AUTHORITY 800596186 59447TWP4 2019-09-11 299289464 SEE SUPPLEMENTAL INFO 0 0 0 A 961913 3839625 5433646 104982 5328664 2011 0 0 1 1 B 60201 4633545 4596091 37454 2016 0 1 1 1 C 1920000 299659464 2345213 106576593 162690971 28046687 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 1 0.13820 1 1 B 0 1 1 1 0 0.00250 0.00000 0.00250 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 1 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 0 B 0 C 0 PART I, BOND ISSUE A, LINE (E): THE TOTAL ISSUE PRICE WAS $22,564,973. BRONSON HEALTHCARE GROUP, INC. HAS BEEN ALLOCATED $5,433,646 OF SUCH AMOUNT. THIS IS FOR ACQUISITION OF CAPITAL ASSETS OF LIFESPAN, INC. BRONSON NURSING AND REHABILITATION CENTER HAS BEEN ALLOCATED THE REMAINING $17,131,328 ON THEIR BOOKS FOR THE CONSTRUCTION, FURNISHING AND EQUIPPING OF A NEW 75,000 SQ. FOOT NURSING HOME. PART I, BOND ISSUE A, LINE (F) - DESCRIPTION OF PURPOSE: ACQUISITION OF CAPITAL ASSETS OF LIFESPAN, INC. PART I, BOND ISSUE B, LINE (F) - DESCRIPTION OF PURPOSE: PROCEEDS OF BOND ISSUE B WERE USED TO ADVANCE REFUND A PORTION OF BOND ISSUE A. PART I, BOND ISSUE C, LINE (D) AND LINE (E) BOND ISSUE C CONSISTS OF THE SERIES 2019A BONDS, THE SERIES 2019B BONDS, THE SERIES 2019C BONDS (COLLECTIVELY, THE "SERIES 2019 BONDS") AND THE SERIES 2020A BONDS. THE SERIES 2019 BONDS WERE ISSUED ON SEPTEMBER 11, 2019. THE SERIES 2020A BONDS WERE ISSUED ON FEBRUARY 18, 2020. THE SERIES 2019 BONDS AND THE SERIES 2020A BONDS WERE (I) SOLD ON THE SAME DATE, (II) PURSUANT TO THE SAME PLAN OF FINANCE, AND (III) ARE EXPECTED TO BE PAID FROM SUBSTANTIALLY THE SAME SOURCE OF FUNDS, AND THEREFORE ARE A SINGLE ISSUE FOR TAX PURPOSES PURSUANT TO TREAS. REG. SEC. 1.150-1(C)(1). THE INFORMATION REPORTED ON SCHEDULE K FOR BOND ISSUE C IS FOR THE SINGLE ISSUE COMPRISED OF THE SERIES 2019 BONDS AND THE SERIES 2020A BONDS, CONSISTENT WITH THE INFORMATION REPORTED ON FORM 8038 FOR BOND ISSUE C. PART I, BOND ISSUE C, LINE (F): PROCEEDS OF BOND ISSUE C WERE OR WILL BE USED TO: (I) PAY A PORTION OF THE COSTS OF ACQUIRING LAND, LAND IMPROVEMENTS, CERTAIN BUILDINGS, BUILDING IMPROVEMENTS AND EQUIPMENT OF THE FORMER BATTLE CREEK HEALTH SYSTEM; (II) PAY A PORTION OF THE COSTS OF TERMINATING A "QUALIFIED HEDGE," AS THAT TERM IS DEFINED IN TREAS. REG. 1.148-4(H)(2); (III) PAY RELOCATION COSTS FOR FAMILY MEDICINE PRACTICES AND INFRASTRUCTURE IMPROVEMENTS FOR AND EQUIPPING OF PHYSICAL THERAPY AND RADIOLOGY DEPARTMENTS AND THE COSTS OF RENOVATING, FURNISHING AND EQUIPPING FACILITIES FOR BRONSON LAKEVIEW HOSPITAL; (IV) PAY THE COSTS OF ACQUIRING, CONSTRUCTING AND EQUIPPING A NEW FREESTANDING LABORATORY FACILITY; (V) PAY THE COSTS OF ACQUIRING, CONSTRUCTING AND EQUIPPING A NEW CANCER PAVILION; (VI) PAY THE COSTS OF ACQUIRING, CONSTRUCTING, FURNISHING AND EQUIPPING NEW FREESTANDING MEDICAL OFFICE BUILDINGS, AND THE RENOVATION, FURNISHING AND EQUIPPING OF CERTAIN OTHER MEDICAL OFFICE BUILDINGS; (VII) PAY THE COSTS OF ELECTRICAL UPGRADES FOR PARKING AREAS; (VIII) PAY THE COSTS OF RENOVATING, IMPROVING, FURNISHING AND EQUIPPING OF HOSPITAL FACILITIES, INCLUDING THE ACQUISITION AND INSTALLATION OF CLINICAL EQUIPMENT, INFORMATION TECHNOLOGY HARDWARE AND SOFTWARE, AND FIXTURES, FURNISHINGS AND EQUIPMENT; (IX) PAY THE COSTS OF ACQUIRING, FURNISHING AND EQUIPPING A REPLACEMENT HOSPITAL ON THE BRONSON SOUTH HAVEN CAMPUS; AND (X) CURRENTLY REFUND PORTIONS OF TAX-EXEMPT BONDS ISSUED OR REISSUED ON 9/28/2010. PART II, BOND ISSUE C, LINE 3: TOTAL PROCEEDS OF BOND ISSUE C INCLUDE INVESTMENT EARNINGS IN THE AMOUNT OF $370,000. PART IV, BOND ISSUE A, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 05/15/2021. PART IV, BOND ISSUE B, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2020. PART V: WE HAVE GENERAL WRITTEN PROCEDURES THAT WE WILL COMPLY WITH ALL TAX LAWS. KIMBERLY JAMES DAUGHTER OF BOARD MEMBER BARBARA JAMES 86325 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 MARLA ATKINSON SPOUSE OF BOARD MEMBER MARK ATKINSON 150766 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 NICOLE ATKINSON DAUGHTER OF BOARD MEMBER MARK ATKINSON 59980 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 MELISSA DAVIDSON SPOUSE OF BOARD MEMBER SCOTT DAVIDSON 78321 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 STEPHANIE NELSON SISTER-IN-LAW OF BOARD MEMBER SCOTT GIBSON 111579 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 B, LINE 11B THE SR VP/CFO & CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE FINANCE COMMITTEE CHAIRPERSON 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 25, 2021. THE REVIEW WAS LED BY THE SR VP/CFO AND PLANTE MORAN. THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY WERE PROVIDED THE PREPARED FORM 990 FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY AND ITS ACCOMPANYING QUESTIONNAIRE ARE REVIEWED, AND REVISED, IF NECESSARY, ON AN ANNUAL BASIS BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE BOARDS EXECUTIVE COMMITTEE. ALL BOARD MEMBERS AND ALL EMPLOYEES HOLDING THE TITLE OF VICE PRESIDENT AND ABOVE ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ANNUALLY COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE. ALL COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE ORGANIZATION'S GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. DETERMINATIONS AS TO WHETHER A CONFLICT EXISTS ARE MADE BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. ACTUAL CONFLICTS ARE REVIEWED BY THE GENERAL COUNSEL/CORPORATE COMPLIANCE OFFICER AND THE EXECUTIVE COMMITTEE. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODYS DELIBERATIONS AND 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 2020. 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: RETIREE HEALTH ADJUSTMENT 54,063,987. MINIMUM PENSION LIABILITY ADJUSTMENT -20,137,669. GAIN ON JOINT VENTURES -160,114. CONTRIBUTION FROM BHF -808,649. PENSION BENEFIT COST 3,148,872. POST-RETIREMENT BENEFIT COST 1,472,312. FORM 990, PART XII, LINE 3B: THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE CALENDAR YEAR-END 12/31/20, BUT PLANS TO BE COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN OMB M-20-26. 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