BRONSON SOUTH HAVEN HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BRONSON SOUTH HAVEN HOSPITAL (EIN 38-1676780)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-05
- IRS object ID
- 202113099349304066
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-05T15:10:45-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S RIVERSIDE PLAZA 9TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381676780 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRONSON SOUTH HAVEN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRON | BusinessNameControlTxt |
| Phone | 2693416000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 JOHN STREET | AddressLine1Txt |
| City | KALAMAZOO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49007 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | REBECCA EAST | PersonNm |
| Person Title | SENIOR VP/CFO | PersonTitleTxt |
| Phone | 2693416000 | PhoneNum |
| Signature | 2021-11-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | REBECCA | PersonFirstNm |
| Person Last | EAST | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2021-11-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BILL MANNS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 JOHN STREET | AddressLine1Txt |
| City | KALAMAZOO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $36,584,235 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BRONSONHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2017 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 329 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,406,089 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,217,729 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $34,472,451 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,277,554 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$56,280 | PYInvestmentIncomeAmt |
| CY Investment Income | -$14,782 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,013,674 | PYOtherRevenueAmt |
| CY Other Revenue | $1,087,736 | CYOtherRevenueAmt |
| PY Total Revenue | $44,835,934 | PYTotalRevenueAmt |
| CY Total Revenue | $36,568,237 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,417,439 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,419,916 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,996,905 | PYOtherExpensesAmt |
| CY Other Expenses | $15,604,834 | CYOtherExpensesAmt |
| PY Total Expenses | $42,414,344 | PYTotalExpensesAmt |
| CY Total Expenses | $37,024,750 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,421,590 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$456,513 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $47,482,191 | TotalAssetsBOYAmt |
| Total Assets EOY | $51,926,465 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,811,805 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,820,534 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,670,386 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,105,931 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,740,769 | ExpenseAmt |
| Revenue | $26,923,738 | RevenueAmt |
| Desc | BRONSON SOUTH HAVEN HOSPITAL (BSHH) IS A 49-BED HOSPITAL. BSHH OFFERS A FULL RANGE OF ACUTE CARE FOR INPATIENTS AND IS A WELL-ESTABLISHED DESTINATION FOR EMERGENCY CARE. BSHH OPERATES A FULL-SERVICE, 24/7 EMERGENCY DEPARTMENT THAT TYPICALLY HANDLES OVER 15,000 PATIENT VISITS ANNUALLY, REGARDLESS OF THEIR ABILITY TO PAY. OUTPATIENT SERVICES ARE PROVIDED AT THE HOSPITAL, AS WELL AS AT RURAL HEALTH CLINICS IN SOUTH HAVEN AND BANGOR, MICHIGAN. BSHH ALSO PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE USE OF ITS WELLNESS CENTER. THE WELLNESS CENTER HOSTS EDUCATIONAL CLASSES THAT PROMOTE A HEALTHY ACTIVE LIFESTYLE. THESE CLASSES RANGE FROM EATING HEALTHIER AND PROMOTING PHYSICAL ACTIVITY. THE WELLNESS CENTER ALSO PROVIDES SCHOLARSHIPS TO THOSE IN THE COMMUNITY THAT NEED FINANCIAL ASSISTANCE AND THOSE THAT ARE IN NEED ARE GIVEN PRIORITY IN THE CLASSES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,717,992 | ExpenseAmt |
| Revenue | $4,368,154 | RevenueAmt |
| Desc | IN 2020, BSH'S MEDICAID COST WAS $7,717,992 AND MEDICAID NET REVENUE WAS $4,368,154. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,003,081 | ExpenseAmt |
| Desc | IN 2020, IN FURTHERANCE OF ITS MISSION, BSH INCURRED $3,003,081 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $33,461,842 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 329 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REBECCA EAST SENIOR VPCFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2693416000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 JOHN STREET | AddressLine1Txt |
| City | KALAMAZOO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MANNS BILL | ||||||||||
| PRESIDENT AND CEO | 4.60 | 35.40 | Yes (X) | Yes (X) | $0 | $798,193 | $428,287 | |||
| FALAHEE JAMES | ||||||||||
| INTERIM CEO - JAN -MARCH/SR VP LEGAL & LEG. AFFAIR | 4.60 | 35.40 | Yes (X) | Yes (X) | $0 | $880,935 | $212,229 | |||
| KARAMCHANDANI MAHESH C | ||||||||||
| DIRECTOR | 4.60 | 35.40 | Yes (X) | $0 | $716,627 | $20,784 | ||||
| DAVIDSON SCOTT MD | ||||||||||
| DIRECTOR | 4.60 | 35.40 | Yes (X) | $0 | $535,784 | $27,805 | ||||
| CHALASANI SRIDHAR MD | ||||||||||
| DIRECTOR | 4.60 | 35.40 | Yes (X) | $0 | $455,481 | $22,994 | ||||
| LAWLOR JOHN MD | ||||||||||
| DIRECTOR (THRU 8/20) | 4.60 | 35.40 | Yes (X) | $0 | $370,186 | $30,072 | ||||
| GIBSON SCOTT MD | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $5,740 | $0 | ||||
| KARRE NELSON | ||||||||||
| CHAIR | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| EBERTS RANDALL PHD | ||||||||||
| VICE CHAIR | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $482 | $0 | |||
| JAMES BARBARA | ||||||||||
| TREASURER | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $482 | $0 | |||
| NYBERG NEIL | ||||||||||
| SECRETARY | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ALLEN RICHARD J MD | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| ATKINSON MARK B MD | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| FINK KATY | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| GONZALEZ JORGE PHD | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREENE JAMES E | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $482 | $0 | ||||
| HUNT BRENDA | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHNSTON WILLIAM | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| LIGGINS JAMES JR | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| LINS STEVEN J MD | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| MONTGOMERY TABRON LA JUNE | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| ODAR MICHAEL | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| PARFET DONALD | ||||||||||
| DIRECTOR | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| LARSON SCOTT MD | ||||||||||
| SR VP MEDICAL AFFAIRS/CMO | 4.60 | 35.40 | Yes (X) | $0 | $740,329 | $194,638 | ||||
| EAST REBECCA L | ||||||||||
| SR VP CFO BHG | 4.60 | 35.40 | Yes (X) | $0 | $693,393 | $207,182 | ||||
| HAYDEN JOHN | ||||||||||
| SR VP & CHIEF HR OFFICER | 4.60 | 35.40 | Yes (X) | $0 | $550,895 | $151,155 | ||||
| REINOEHLSUSAN | ||||||||||
| SR VP STRATEGY & COMM BHG | 4.60 | 35.40 | Yes (X) | $0 | $429,209 | $131,347 | ||||
| JONES JR JOHN | ||||||||||
| SENIOR VP (THRU 2/20) | 4.60 | 35.40 | Yes (X) | $0 | $466,415 | $29,068 | ||||
| NEELY DENISE | ||||||||||
| SR. VP COO BMH/SYSTEM CNO BHG | 4.60 | 35.40 | $0 | $449,861 | $118,234 | Yes (X) | ||||
| WAY MICHAEL S | ||||||||||
| SR VP MAT. MGT. & FACILITY SVS. | 4.60 | 35.40 | $0 | $402,022 | $133,219 | Yes (X) | ||||
| SANGALLI-DAVIS CHRISTINE | ||||||||||
| VP CHIEF COMPLIANCE OFFICER | 4.60 | 35.40 | $0 | $229,946 | $64,693 | Yes (X) | ||||
| NIKKEL MARK | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $787,159 | $0 | $38,372 | Yes (X) | ||||
| CAUDILL ALLAN | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $399,752 | $0 | $18,627 | Yes (X) | ||||
| SPRINGSTEEN CALEB | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $305,620 | $0 | $27,811 | Yes (X) | ||||
| LISCOW DAVID | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $249,210 | $0 | $15,378 | Yes (X) | ||||
| BLEIL GORDON | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $234,164 | $0 | $14,662 | Yes (X) | ||||
| SARDONE FRANK | ||||||||||
| PRESIDENT AND CEO - FORMER | 0.00 | 0.00 | $0 | $896,730 | $16,448 | Yes (X) | ||||
| HARRELSON KATHLEEN | ||||||||||
| SENIOR VP - FORMER | 0.00 | 0.00 | $0 | $499,567 | $5,995 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,975,905 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,122,759 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,909,000 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SW MI EMERGENCY SERVICES PC | |||||
| 125 S KALAMAZOO MALL | KALAMAZOO | MI | 49007 | MEDICAL SERVICES | $995,075 |
| SYSMEX AMERICA INC | |||||
| 28241 NETWORK PLACE | CHICAGO | IL | 60673 | MEDICAL SERVICES | $123,224 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $321,205 | RelatedOrganizationsAmt |
| Government Grants | $4,896,524 | GovernmentGrantsAmt |
| Total Contributions | $5,217,729 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $29,341,085 | $29,341,085 | |
| PGIP REVENUE | 900099 | $881,597 | $881,597 | |
| RENTAL REVENUE | 532000 | $71,872 | $64,065 | $7,807 |
| MEANINGFUL USE REVENUE | 900099 | -$17,000 | -$17,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,277,554 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,216 | TotalRevenueColumnAmt |
| Exclusion | $1,216 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,998 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$15,998 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,998 | TotalRevenueColumnAmt |
| Exclusion | -$15,998 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| WELLNESS CENTER REVENUE | 713940 | $856,821 | $856,821 |
| MISC. INCOME | 812900 | $90,818 | $90,818 |
| OUTSIDE SERVICE REVENUE-AFFILIATE | 900099 | $73,627 | $73,627 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,470 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $879 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $65,591 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,087,736 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,568,237 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,291,892 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $58,616 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,092,916 | TotalAmt |
| Program Services | $15,854,524 | ProgramServicesAmt |
| Management And General | $1,238,392 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,369,591 | TotalAmt |
| Program Services | $2,173,724 | ProgramServicesAmt |
| Management And General | $1,195,867 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $957,409 | TotalAmt |
| Program Services | $920,721 | ProgramServicesAmt |
| Management And General | $36,688 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,108,399 | TotalAmt |
| Program Services | $3,077,370 | ProgramServicesAmt |
| Management And General | $31,029 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,101 | TotalAmt |
| Program Services | $7,726 | ProgramServicesAmt |
| Management And General | $1,375 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,242 | TotalAmt |
| Program Services | $399,981 | ProgramServicesAmt |
| Management And General | $36,261 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $936,245 | TotalAmt |
| Program Services | $925,648 | ProgramServicesAmt |
| Management And General | $10,597 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,520 | TotalAmt |
| Program Services | $19,368 | ProgramServicesAmt |
| Management And General | $152 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,706 | TotalAmt |
| Program Services | $12,525 | ProgramServicesAmt |
| Management And General | $181 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,443,203 | TotalAmt |
| Program Services | $3,063,289 | ProgramServicesAmt |
| Management And General | $379,914 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $498,136 | TotalAmt |
| Program Services | $312,082 | ProgramServicesAmt |
| Management And General | $186,054 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $3,003,081 | $3,003,081 | $0 |
| MEDICAL SUPPLY | $2,310,010 | $2,307,735 | $2,275 |
| BHG SERVICE ALLOCATION | $1,133,730 | $710,282 | $423,448 |
| EQUIPMENT MAINT/REPAIR | $622,038 | $614,826 | $7,212 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,423 | TotalAmt |
| Program Services | $58,960 | ProgramServicesAmt |
| Management And General | $13,463 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,024,750 | TotalAmt |
| Program Services | $33,461,842 | ProgramServicesAmt |
| Management And General | $3,562,908 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,008,473 | BOYAmt |
| EOY | $11,126,398 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,401,403 | BOYAmt |
| EOY | $3,516,434 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,314 | BOYAmt |
| EOY | $265,218 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,391 | BOYAmt |
| EOY | $203,806 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,253,191 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,787,766 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,554,926 | BOYAmt |
| EOY | $31,465,425 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,031,684 | BOYAmt |
| EOY | $5,349,184 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,482,191 | BOYAmt |
| EOY | $51,926,465 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,382,692 | BOYAmt |
| EOY | $3,972,227 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,844 | BOYAmt |
| EOY | $2,919,174 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,976,489 | BOYAmt |
| EOY | $21,905,955 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,431,780 | BOYAmt |
| EOY | $3,023,178 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,811,805 | BOYAmt |
| EOY | $31,820,534 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,670,386 | BOYAmt |
| EOY | $20,105,931 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,670,386 | BOYAmt |
| EOY | $20,105,931 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,482,191 | BOYAmt |
| EOY | $51,926,465 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$456,513 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$107,942 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,025,312 | OtherCostOrOtherBasisAmt |
| Book Value | $1,025,312 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,186,321 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,222,863 | DepreciationAmt |
| Book Value | $6,963,458 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,869,314 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,494,133 | DepreciationAmt |
| Book Value | $2,375,181 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,172,244 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,770 | DepreciationAmt |
| Book Value | $21,101,474 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,465,425 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BOND PROJECT FUND ASSETS | $5,024,296 |
| COST REPORT SETTLEMENTS | $324,888 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,349,184 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| COST REPORT SETTLEMENTS | $672,874 |
| COST REPORT LIABILITIES | $2,097,936 |
| DEFERRED TAX LIABILITY | $252,368 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,023,178 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $269,669 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $269,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12370 | PersonsServedCnt |
| Total Community Benefit Expns | $7,448,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,368,154 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,080,169 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12370 | PersonsServedCnt |
| Total Community Benefit Expns | $7,717,992 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,368,154 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,349,838 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10970 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 460 | PersonsServedCnt |
| Total Community Benefit Expns | $13,856 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,856 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 3 | PersonsServedCnt |
| Total Community Benefit Expns | $12,499 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,499 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $35,452 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,452 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 463 | PersonsServedCnt |
| Total Community Benefit Expns | $61,807 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $61,807 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 12833 | PersonsServedCnt |
| Total Community Benefit Expns | $7,779,799 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,368,154 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,411,645 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11180 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,003,080 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $15,812 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,887,417 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,656,030 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$768,613 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRONSON SOUTH HAVEN HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 955 S BAILEY AVE | AddressLine1Txt |
| City | SOUTH HAVEN | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49090 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | BRONSONHEALTH.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRONSON SOUTH HAVEN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | TINYURL.COM/Y5V9WR8O | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | TINYURL.COM/Y297KPPG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | TINYURL.COM/Y2BCHGMO | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | TINYURL.COM/Y4LSXXC7 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BRONSON SOUTH HAVEN HOSPITAL | PART V, SECTION B, LINE 5: BRONSON SOUTH HAVEN HOSPITAL (BSHH):AT BRONSON, THE CHNA PROCESS HAD OVERSIGHT FROM A SYSTEM-WIDE ADVISORY COMMITTEE WHOSE ANALYSIS AND RECOMMENDATIONS WERE BROUGHT TO THE EXECUTIVE TEAM AND TO THE BRONSON HEALTHCARE BOARD COMMUNITY HEALTH COMMITTEE FOR FINAL DELIBERATION AND APPROVAL.THE PROCESS INCLUDED A REVIEW OF BRONSON'S PREVIOUS ASSESSMENTS, ANALYSIS OF OVER 150 CURRENT INDICATORS IN EACH COUNTY AND DISCUSSION OF THE SECONDARY DATA AVAILABLE AT THE COUNTY LEVEL. BRONSON ALSO SOUGHT PERSPECTIVE FROM MICHIGAN PUBLIC HEALTH INSTITUTE AND W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH TO PROVIDE CONSULTANT SUPPORT FOR THE PROJECT. BECAUSE THERE ARE INHERENT LIMITATIONS AND GAPS IN SECONDARY DATA, THERE WAS A HEAVY EMPHASIS ON COMMUNITY VOICE AND INPUT TO IDENTIFY THE GREATEST NEEDS IN OUR COMMUNITIES. THE ANALYSIS IN THIS DOCUMENT REPRESENTS THE MOST IMPORTANT ISSUES FROM 10 FOCUS GROUPS AND 10 INTERVIEWS AND 223 COMMUNITY VOICES. THE FOLLOWING INDIVIDUALS AND ORGANIZATIONS WERE ENGAGED IN THE CHNA TO REPRESENT THE INTERESTS OF THE COMMUNITY:VAN BUREN/CASS DISTRICT HEALTH DEPARTMENTVAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY VAN BUREN INTERMEDIATE SCHOOL DISTRICTREGION IV AREA AGENCY ON AGING, INC.MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESH.O.P.E. PARENT RESOURCE CENTERUNITED CHRISTIAN SERVICESVAN BUREN UNITED CIVIC CENTERBRONSON WELLNESS CENTER VAN BUREN SUBSTANCE ABUSE TASK FORCESENIOR SERVICES OF VAN BUREN COUNTY OUTCENTER SOUTHWEST MICHIGANUNITED WAY OF SOUTHWEST MICHIGANVAN BUREN COUNTY 36TH JUDICIAL CIRCUIT COURTTRI-COUNTY HEAD START SOUTH HAVEN PUBLIC SCHOOLSCITY OF SOUTH HAVENMICHIGAN WORKFORCE DEVELOPMENT AGENCY, FIELD SERVICESTO NARROW DOWN THE PRIMARY DATA RESULTS, MICHIGAN PUBLIC HEALTH INSTITUTE RAN THE FREQUENCY OF REFERENCES ACROSS EACH TOPIC BELOW. BRONSON DECIDED TO MAKE THE CUT OFF FOR THE TOP 10 MAJOR TOPICS FROM FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. FOR THE PURPOSES OF THE FINAL REPORT, THE COMMUNITY STAKEHOLDERS AGREED TO NOT RANK THE TOPICS, SO THAT ALL OF THESE ISSUES CAN BE ELEVATED COLLECTIVELY. THIS ALSO EMPHASIZES THAT THE NEEDS BELOW DID NOT EMERGE INDEPENDENTLY. TOP 10 TOPICS (IN NO RANKING ORDER): LAWS & POLICIES PERSONAL EXPERIENCES OF CLASSISM SOCIAL SUPPORTS PROXIMITY TO HEALTHY FOOD & FOOD SECURITY MENTAL HEALTH & SUBSTANCE ABUSE COMMUNITY CONNECTEDNESS COMMUNITY DEVELOPMENT & CAPACITY BUILDING HEALTHCARE SOCIAL SERVICES INCOME & POVERTY IN AN EFFORT TO HONOR THE LIVED EXPERIENCE, THE MAJORITY OF THIS REPORT REFLECTS THE PRIMARY RESULTS FROM FOCUS GROUPS AND INTERVIEWS THROUGHOUT THE COUNTY. THEREFORE, THE QUANTITATIVE DATA PRESENTED ALONGSIDE THE THEMES IS TO SUPPORT AND AUGMENT COMMUNITY VOICE. BRONSON ALSO WANTS TO RECOGNIZE THE DIFFERENCES IN THE LIVED EXPERIENCE IN RURAL AND URBAN AREAS. IN ORDER TO LOOK AT THESE DIFFERENCES, WE INCLUDED DATA AT THE COUNTY, SUB-COUNTY, AND NEIGHBORHOOD LEVEL, WHEN POSSIBLE. SOURCES INCLUDE: U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY MICHIGAN DEPARTMENT OF COMMUNITY HEALTH CENTER FOR DISEASE CONTROL & PREVENTION MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES MICHIGAN SCHOOL DATA UNITED WAY OF MICHIGAN ALICE DATA |
| BRONSON SOUTH HAVEN HOSPITAL | PART V, SECTION B, LINE 6A: BRONSON LAKEVIEW HOSPITALBRONSON METHODIST HOSPITALBRONSON BATTLE CREEK HOSPITAL |
| BRONSON SOUTH HAVEN HOSPITAL | PART V, SECTION B, LINE 6B: VAN BUREN COUNTY HEALTH DEPARTMENT |
| BRONSON SOUTH HAVEN HOSPITAL | PART V, SECTION B, LINE 11: THE RESULTS OF THE 2019 CHNA, COMPOUNDED BY THE STARK REALITIES OF COVID-19, HAVE URGED BRONSON TO FOCUS EFFORTS UPSTREAM TO ACKNOWLEDGE 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 ONE TARGETED HEALTH NEED. BRONSON CONTINUES TO COLLABORATE AND PARTNER WITH AGENCIES BETTER SUITED 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 WILL IMPACT AND IMPROVE OUTCOMES FOR MANY OF THE OTHER COMMUNITY NEEDS. |
| BRONSON SOUTH HAVEN 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 DOES NOT MAKE ANY PRESUMPTIVE ELIGIBILITY DETERMINATIONS. |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE ORGANIZATION USES THE FOLLOWING FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS: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 I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,003,080. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | 1. PHYSICAL IMPROVEMENTS AND HOUSINGA. HOSPITAL HOSPITALITY HOUSE OF SOUTHWEST MICHIGAN: HOSPITAL HOSPITALITY HOUSE OF SOUTHWEST MICHIGAN CONSTRUCTED TWO NEW HOUSES TO REPLACE ITS COSTLY AND OUTDATED HISTORIC HOUSE ON SOUTH STREET. BRONSON DONATED LAND AND MADE FINANCIAL AND IN-KIND CONTRIBUTIONS TO THE CAMPAIGN INCLUDING A $15,000 SPONSORSHIP OF ITS RECEPTION AREA BY THE BRONSON EXECUTIVE TEAM. THE BURDICK STREET HOUSE NEAR BMH OPENED IN 2020 PROVIDED 2,680 GUEST NIGHTS TO FAMILIES OF BRONSON FAMILIES, REPRESENTING 66% OF THE TOTAL GUEST NIGHTS FOR 2020.2. COALITION BUILDING A. SOUTHWEST MICHIGAN PERINATAL 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 MOTHERS 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 MOTHERS WHERE IT IS MOST CONVENIENT FOR THEM. INSTRUCTORS EDUCATED ON LABOR, MEDICAL INTERVENTIONS, CESAREAN SECTIONS, COMFORT TECHNIQUES, AND POSTPARTUM (PHYSICAL AS WELL AS EMOTIONAL). MOTHERS HAVE ACCESS TO INSTRUCTORS VIA EMAIL AND ARE ENCOURAGED TO REACH OUT WITH QUESTIONS OR CONCERNS. LAST YEAR, 40 WOMEN FROM SEVEN COUNTIES COMPLETED THE VIRTUAL CHILDBIRTH EDUCATION SERIES.B. VAN BUREN COMMUNITY HEALTH COMMITTEE: FORMED IN 2018, THE FOCUS OF THIS COLLABORATIVE HAS BEEN TO ELEVATE COMMUNITY VOICE TO ADDRESS THE ROOT CAUSES OF HEALTH DISPARITIES IN VAN BUREN COUNTY. BRONSON HEALTHCARE SERVES IN A LEADERSHIP CAPACITY AND HAS CONTINUED TO SUPPORT THE COLLABORATIVE WITH VARIOUS COMMUNITY HEALTH INITIATIVES. IN RESPONSE THE CHNA, THE COLLABORATIVE APPLIED AND WAS REWARDED A $200,000 PLANNING GRANT FROM MICHIGAN HEALTH ENDOWMENT FUND. PROJECT WILL START IN THE FALL OF 2021. THE AGING HEALTH EQUITY & POLICY PLANNING PROJECT IS A COMMUNITY-INFORMED AND DATA-DRIVEN PLAN DEVELOPMENT PROCESS TO IDENTIFY AND ADDRESS THE ROOT CAUSES OF DISPARATE HEALTH OUTCOMES AMONG MINORITY OLDER ADULTS LIVING IN VAN BUREN COUNTY AND DEVELOP AN ACTIONABLE STRATEGIC PLAN TO BUILD COMMUNITY CAPACITY AND CONNECTEDNESS IN ORDER TO IMPACT SYSTEMS-LEVEL POLICY CHANGE THEREBY IMPROVING THE HEALTH OF OLDER ADULTS AND REDUCING HEALTH CARE COSTS.3. COMMUNITY SUPPORTA. INSURANCE ENROLLMENT OUTREACH AND SUPPORT BRONSON PROVIDED OPEN ENROLLMENT ASSISTANCE FOR THE MARKETPLACE INSURANCE FROM NOVEMBER 1, 2020 TO DECEMBER 15, 2020 WITH A CAC (CERTIFIED APPLICATION COUNSELOR). BECAUSE OF COVID AND IN-PERSON ASSISTANCE NOT BEING POSSIBLE, WE MADE CAC CONTACT INFORMATION AVAILABLE ON THE HOME PAGE FOR THE MARKETPLACE AS WELL AS TO 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. WE ASSISTED 64 COMMUNITY MEMBERS DURING THE OPEN ENROLLMENT PERIOD.4. WORKFORCE DEVELOPMENT A. VOCATIONAL INITIATIVE: BSHH WORKS WITH LOCAL SCHOOL SYSTEMS TO PROVIDE CAREER DAY PROGRAMS AND VOCATIONAL TECH SCHOOL-TO-WORK INITIATIVES AND DOES AN INSURANCE ENROLLMENT OUTREACH. B. WORKFORCE ENGAGEMENT AND DIVERSITY NEEDS: THE RECRUITMENT AND RETENTION OF STAFF CONTINUES TO BE A CHALLENGE FOR BRONSON AS WE DEAL WITH NATIONAL SHORTAGES IN VARIOUS HEALTHCARE OCCUPATIONS AND A LOW UNEMPLOYMENT RATE. THE MULTI-YEAR RECRUITMENT AND RETENTION PLAN IMPLEMENTED IN EARLY 2018 WAS DESIGNED TO MEET THESE CHALLENGES WITH THE FOLLOWING AREAS OF FOCUS:-MAINTAINED OUR AVERAGE TIME TO FILL POSITIONS OF 36 DAYS -ENGAGED IN CAREER PREPARATION THROUGH SCHOOL AND PROFESSIONAL PARTNERSHIPS (COMPASS HIGH SCHOOLCNA PROGRAM, WOMEN'S CO-OP, MICHIGAN REHABILITATION SERVICES, YOUTH OPPORTUNITIES UNLIMITED, MICHIGAN CAREER & TECHNICAL INSTITUTE)-EXPANDED DIGITAL AND SOCIAL MEDIA RECRUITMENT TACTICS (E.G. HANDSHAKE ALLOWS US TO BE INTENTIONAL WITH ADVERTISING POSITIONS/EVENTS AT HISTORICALLY BLACK COLLEGES AND UNIVERSITIES) -CONTINUED TO HOST RECRUITMENT EVENTS SUCH AS TEST DRIVES AND OPEN INTERVIEW/OPEN HOUSES FOR RELEVANT OPENINGS AT TARGETED LOCATIONS AS WELL AS COMMUNITY AGENCIES-USED RETENTION AND SIGN ON BONUSES FOR HARD TO FILL POSITIONS -ENHANCED INTERNAL CAREER DEVELOPMENT PATHWAYS 5. OTHER A. COVID-19 RESPONSE: IT IS HARD TO IDENTIFY ANY BRONSON DEPARTMENT OR STAFF MEMBER NOT IMPACTED PHYSICALLY, EMOTIONALLY, PERSONALLY, PROFESSIONALLY OR FINANCIALLY BY THE COVID PANDEMIC. WE FACED WORKFORCE-RELATED ISSUES LIKE EVERY EMPLOYER, YET, AS THE REGION'S LARGEST HEALTHCARE PROVIDER, OUR COMMUNITIES WERE DEPENDING ON US TO CARE FOR PATIENTS WITH AND WITHOUT COVID. BRONSON HAS MANAGED AT LEAST SEVEN MAJOR CYCLES (AND STILL COUNTING) OF "PREPARE-RESPOND-IMPROVE-RECOVER" SINCE THE GOVERNOR ISSUED EXECUTIVE ORDER (EO) 2020-4, DECLARING A STATE OF EMERGENCY ON MARCH 10, 2020. MANY OF THESE CYCLES OCCURRED SIMULTANEOUSLY. WE MOBILIZED OUR INCIDENT COMMAND (IC) AND INCIDENT COMMAND CLINICAL CONSULTANTS (ICCC) ON MARCH 12 TO GUIDE THE SYSTEM'S RESPONSE TO THE COVID PANDEMIC. AS OF JANUARY 31, 2021, IC HAD BEEN OPEN FOR 325 DAYS AND REMAINS OPEN TODAY.B. COVID-19 TESTING AND SCREENING: IN ORDER TO RESPOND TO THE URGENT NEED FOR COVID TESTING, NEW TESTING PLATFORMS NEEDED TO BE SET UP IN OUR CORE LABORATORY. FOUR DIFFERENT PLATFORMS WERE PROCURED TO HANDLE THE INCREASED VOLUME OF TESTING, ALL WHILE THE LABORATORY WAS RELOCATING TO ITS NEW BUILDING. SINCE TESTING SUPPLIES WERE NOT CONSISTENLY AVAILABLE, WE ALSO NEEDED TO SOURCE A DIVERSE GROUP OF SUPPLIERS. WE EXPENDED $500,000 TO SECURE THE EQUIPMENT NEEDED TO TEST FOR THE VIRUS, WITH ANOTHER $3M FOR SUPPLIES AND AN ADDITIONAL $5.7M IN OUTSOURCED TESTING COSTS. TO COLLECT COVID SAMPLES FOR TESTING, FOUR CURBSIDE TESTING LOCATIONS WERE SET UP ACROSS OUR SYSTEM AND SUPPORTED BY 11 ADDITIONAL FTES. APPROXIMATELY 140,000 SAMPLES WERE OBTAINED THROUGH THESE COLLECTION SITES, WITH 13,131 RESULTING POSITIVE. WE CREATED A COVID TESTING DASHBOARD SO WE COULD SEE AND TREND TESTING VOLUMES AND RESULTS ON A DAILY BASIS BY LOCATION, RACE, AGE AND PAYER IN REAL TIME. THE DYNAMIC AND INTERACTIVE NATURE OF THE DASHBOARD ALLOWED US TO SEE DISPARITIES AND ADDRESS THE RAPIDLY EMERGING QUESTIONS THROUGH THE EARLY AND MIDDLE PART OF THE PANDEMIC. ON MARCH 13, THE GOVERNOR ISSUED AN EO THAT REQUIRED US TO SET UP SCREENING FOR PATIENTS AND VISITORS AT LIMITED ENTRANCES AT ALL FOUR HOSPITALS. WE QUICKLY DEVELOPED A SCREENER WORKFORCE (CONSISTING OF REDEPLOYED EMPLOYEES, LOW CENSUS STAFF AND EMPLOYEE VOLUNTEERS) TO STAFF THE ENTRANCES. WE DEVOTED 55,644 HOURS TO THIS EFFORT AND 706,000 EMPLOYEES SCREENED THEMSELVES UTILIZING A NEW ONLINE TOOL THAT BRONSON DEPLOYED IN MARCH. C. COVID-19 PPE: A MAJOR CHALLENGE DURING 2020 WAS ACQUIRING ADEQUATE SUPPLIES OF PPE TO CARE FOR OUR PATIENTS SAFELY. PPE UTILIZATION INCREASED IN ALMOST EVERY AREA. FOR EXAMPLE, USE OF EXAM ISOLATION GOWNS INCREASED BY 250,000, ISOLATION MASK USAGE INCREASED BY 2 MILLION, GLOVE USAGE INCREASED BY 7 MILLION PAIRS. IN ORDER TO SOURCE THESE CRITICAL PPE SUPPLIES DURING AN UNPRECEDENTED GLOBAL SUPPLY CHAIN SHORTAGE, WE INCREASED OUR SUPPLIERS FROM SIX IN 2019 TO 42 IN 2020. WE ALSO DEVELOPED NEW SUPPLY CHAIN PARTNERSHIPS FOR GOWNS, MASKS AND FACE SHIELDS WITH U.S. AND MICHIGAN-BASED MANUFACTURERS. OUR TOTAL SPEND FOR PPE INCREASED 224% FROM 2019 TO $1.54M. WE RECEIVED GENEROUS DONATIONS OF PPE FROM OUR COMMUNITY, WHICH HELPED ALLEVIATE WHAT WOULD HAVE OTHERWISE BEEN A SEVERE SHORTAGE OF PPE.D. COVID-19 STAFF SUPPORT: THE IMPACT AND SIGNIFICANT STRESS THE PANDEMIC HAS HAD ON OUR STAFF IS IMMEASURABLE. MANY PICKED UP EXTRAS SHIFTS, WERE QUARANTINED AWAY FROM THEIR FAMILIES, TOOK LIMITED VACATION TIME, VOLUNTEERED FOR SCREENING AND VACCINES, WERE FURLOUGHED, OR PROVIDED SUPPORT FOR PATIENTS WHOSE OWN FAMILIES WERE NOT ALLOWED TO VISIT. AT THE SAME TIME, MANY EMPLOYEES WERE ALSO FACING THEIR CHILDREN'S SCHOOLS SHIFTING TO VIRTUAL LEARNING OR HAD A FAMILY EMPLOYMENT OR HEALTH CRISIS. |
| 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 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 SOUTH HAVEN HOSPITAL (BSHH) SERVES VAN BUREN COUNTY WHICH HAS APPROXIMATELY 75,000 RESIDENTS. THE COUNTY IS AGRICULTURAL AND HAS HIGHER THAN STATE AVERAGE UNEMPLOYMENT. BSHH PROVIDES TWO RURAL HEALTH CLINICS IN BOTH SOUTH HAVEN AND BANGOR, AS WELL AS 5 OTHER PRIMARY AND SPECIALTY PRACTICES IN SOUTH HAVEN TO PROVIDE ACCESS TO CARE. BSHH PRACTICES ALSO SERVE ALLEGAN COUNTY, WHICH IS WITHIN SEVERAL MILES OF THE MAIN HOSPITAL CAMPUS. ALL CLINICS ACCEPT PATIENTS REGARDLESS OF ABILITY TO PAY AND HAVE CHARITY CARE PROCESSES IN PLACE. |
| PART VI, LINE 5: | COLLABORATION WITH COMMUNITY STAKEHOLDERSAS PREVIOUSLY MENTIONED, BSHH SEEKS COMMUNITY COLLABORATORS AND STAKEHOLDERS AS PARTNERS ON MEETING COMMUNITY HEALTH NEEDS, ADDRESSING MULTI-SECTOR ISSUES, AND LEADING DISASTER/EMERGENCY EFFORTS. TOWARDS THIS END, BSHH AND ITS EMPLOYEES ACTIVELY PARTICIPATE IN AND PROVIDE SUPPORT TO MANY COMMUNITY ORGANIZATIONS. THESE INCLUDE PARTICIPATION IN THE 5TH DISTRICT MEDICAL RESPONSE COALITION, VAN BUREN COUNTY MEDICAL COUNTRY AUTHORITY, VAN BUREN EMERGENCY OPERATIONS AND LOCAL EMERGENCY PLANNING COMMITTEES, HEALTH FAIRS AND EXPOS, UNITED WAY OF SOUTHWEST MICHIGAN, VAN BUREN COMMUNITY HEALTH COMMITTEE, VAN BUREN HUMAN SERVICES COLLABORATIVE, SOUTH HAVEN PUBLIC SCHOOL WELLNESS POLICY COMMITTEE, AND GIRLS ON THE RUN OF SOUTHWEST MICHIGAN ADVISORY BOARD. HEALTH PROMOTIONBSHH PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH A HOST OF EDUCATIONAL PROGRAMS AND ACTIVITIES, INCLUDING CPR CLASSES, BLOOD PRESSURE SCREENINGS, MAMMOGRAPHY SCREENINGS AND HEALTHY LIVING CLASSES TO THE COMMUNITY. HEALTHY LIVING EDUCATIONSNAP-ED (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION) THE BRONSON HEALTH FOUNDATION RECEIVED A $120,000 SNAP-ED GRANT TO FUND COMMUNITY FIT!, A NUTRITION AND PHYSICAL ACTIVITY EDUCATION AND HEALTH PROMOTION PROGRAM THAT REACHED OVER 5,000 INCOME-ELIGIBLE ADULTS, YOUTH, AND FAMILIES. COMMUNITY BENEFIT ACTIVITIES AND INITIATIVES IN RESPONSE TO COVID-19 THAT WERE FUNDED VIA THIS GRANT INCLUDE:HEALTHY AT HOME TIP SHEETS: 21 DOWNLOADABLE TIP SHEETS FOR FAMILIES ENCOURAGING AND TEACHING RESOURCE MANAGEMENT, HEALTHY EATING, AND PHYSICAL ACTIVITY WHILE QUARANTINING. DISTRIBUTED DIRECTLY TO SHPS FAMILIES AND MORE BROADLY TO OTHERS VIA THE WEB AT BRONSONHEALTH.COM. MS. ISABEL EATS: 52, 2-3 MINUTE, HEALTH PROMOTING VIDEOS DISTRIBUTED ON OUR BRONSON WEB SITE AND THROUGH SOUTH HAVEN PUBLIC SCHOOLS TO STUDENTS AND FAMILIES VIA THEIR SCHOOL WEB AND FACEBOOK PAGES. FARMERS TO FAMILIES: A 28-PAGE, EMERGENCY NUTRITION, RESOURCE MANAGEMENT AND RECIPE BOOK DISTRIBUTED TO FAMILIES WHO QUALIFIED FOR AND RECEIVED USDA FARMERS TO FAMILIES FOOD BOXES, THROUGH LOCAL SCHOOL MEALS DISTRIBUTION PROGRAMS (KALAMAZOO, SOUTH HAVEN, VAN BUREN COUNTY) THROUGHOUT SUMMER 2020. HEALTHIER FOOD FOR A HEALTHIER YOU: A 34- PAGE EMERGENCY FOOD BOOKLET DISTRIBUTED TO OLDER ADULTS WHO QUALIFIED FOR AND RECEIVED EMERGENCY USDA-FUNDED PRODUCE AND DAIRY BOXES VIA LOCAL SENIOR SERVICES OFFICES (KALAMAZOO, BATTLE CREEK, VAN BUREN COUNTY) DISTRIBUTED IN PRINT AND VIA THE WEB. PARIS'S KITCHEN: SIX VIDEOS FOR FAMILIES, THAT PROVIDED EDUCATION ON HOW TO USE AND PREPARE ADDITIONAL FOOD THAT FAMILIES RECEIVED WHILE QUARANTINING, THROUGH THEIR LOCAL SCHOOL MEALS DISTRIBUTION PROGRAMS (KALAMAZOO, COMSTOCK, PARCHMENT). DISTRIBUTED VIA KVCC'S FACEBOOK PAGE, THROUGH A PARTNERSHIP WITH BRONSON. SNAP-ED COMMUNITY NUTRITION EDUCATION SERIES: THREE DIFFERENT NUTRITION EDUCATION PROGRAMS, EAT HEALTHY, BE ACTIVE (ADULTS), EAT SMART, LIVE STRONG (OLDER ADULTS) AND THE LEARNING KITCHEN (TEENS) WERE PROVIDED TO 44 PARTICIPANTS. THESE TO FACE CLASSES PAUSED IN MARCH 2020 AND RESUMED VIRTUALLY, IN AUGUST 2021. SNAP-ED HEALTHY SCHOOLS, HEALTHY COMMUNITIES FOR YOUTH: TWENTY-FOUR NUTRITION EDUCATION SERIES CONSISTING OF 4-5 LESSON EACH WERE TAUGHT BY BRONSON NUTRITION AND HEALTH EDUCATORS TO OVER 500 SOUTH HAVEN PUBLIC SCHOOLS STUDENTS K-8 THROUGH A COMBINATION OF FACE-TO-FACE, HYBRID, AND VIRTUAL INSTRUCTION METHODS. REPORTING TO THE COMMUNITYBSHH CONDUCTS AN ANNUAL COMMUNITY BENEFIT INVENTORY TO AGGREGATE THE NON-MISSION MANDATED SERVICES WE PROVIDE TO THE COMMUNITY. THIS INVENTORY IS SHARED WITH BRONSON STAKEHOLDERS AND REPORTED TO THE COMMUNITY. INFORMATION IS AVAILABLE TO ALL THROUGH BRONSONHEALTH.COM |
| PART VI, LINE 6: | BSHH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON BATTLE CREEK HOSPITAL, BRONSON LAKEVIEW HOSPITAL, AND BRONSON METHODIST HOSPITAL. ALL OF THESE HOSPITALS ARE CONTROLLED BY BRONSON HEALTHCARE GROUP, WHICH IS A COMMUNITY-OWNED AND GOVERNED NON-FOR-PROFIT HOLDING COMPANY. THE BRONSON HEALTHCARE GROUP (BHG) BOARD IS COMPRISED OF 21 MEMBERS FROM THE COMMUNITIES 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, VAN BUREN EMERGENCY MEDICAL SERVICES, AND BRONSON PROPERTIES CORPORATION. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MI |
| PART II, COMMUNITY BUILDING ACTIVITIES CONTINUATION: | CONTACT TRACING WAS REQUIRED FOR EVERY EMPLOYEE AND PATIENT WHO TESTED POSITIVE FOR COVID. OVER THE COURSE OF THE YEAR, 770 BRONSON EMPLOYEES TESTED POSITIVE FOR COVID, 3,214 BRONSON EMPLOYEES QUALIFIED FOR UNEMPLOYMENT BENEFITS, AND 3,102 BRONSON EMPLOYEES QUALIFIED FOR QUARANTINE LEAVE PAY, WHICH TOTALED $3M. WE GRANTED 121 PANDEMIC-RELATED MEDICAL AND/OR PERSONAL LEAVES TO THOSE THAT WERE HIGH RISK FOR COMPLICATIONS FROM COVID AND/OR HAD OTHER EXTENUATING HEALTH CIRCUMSTANCES RESULTING IN A NEED FOR TIME AWAY FROM WORK. ADDITIONAL SUPPORT PROVIDED TO STAFF INCLUDED: CHILDCARE: WE QUICKLY PARTNERED WITH LOCAL PROVIDERS FOR EMERGENCY CHILDCARE FOR OUR STAFF WHEN SCHOOLS SHUT DOWN IN MARCH. WE ALSO ASSISTED EMPLOYEES WITH THE UNEXPECTED COST OF ADDITIONAL CHILDCARE DUE TO THE SCHOOL CLOSURES. BHF REIMBURSED 232 EMPLOYEES OVER $549,000 TO SUPPORT CHILDCARE COSTS FOR 310 CHILDREN.CRITICAL INCIDENT STRESS MANAGEMENT (CISM): THE CISM TEAM WAS INSTRUMENTAL IN PROVIDING EMOTIONAL SUPPORT TO OUR FRONTLINE HEALTHCARE WORKERS. THEY FACILITATED 292 INTERVENTIONS AND SUPPORTED 2,000 EMPLOYEES THROUGH CRITICAL INCIDENT STRESS DEBRIEFINGS, DEFUSING, ROUNDING ON UNITS, ONE-ON-ONE SUPPORT, AND "CODE LAVENDER" CARTS (THIS CODE IS UTILIZED WHEN A TEAM NEEDS IMMEDIATE SUPPORT DURING A CRISIS OR STRESSFUL SITUATION). THE TEAM ALSO ASSISTED IN CREATING TOOLS TO SUPPORT EMPLOYEES EXPERIENCING BURNOUT. RESOURCES SUCH AS RESPITE ROOMS AND RESILIENCE BUDDIES HELPED CREATE AN ENVIRONMENT WHERE STAFF FELT SAFE, ACKNOWLEDGED, VALIDATED AND CARED FOR.NEW RESPITE AREAS: RESPITE AREAS AT THE HOSPITALS PROVIDED A RELAXING, RESTORATIVE SPACE THAT STAFF USED TO STEP AWAY, REGROUP AND RE-CENTER. BHF STEPPED FORWARD TO FUND THESE AREAS, UNDERSTANDING THAT CARING FOR PATIENTS DURING THE PANDEMIC IS STRESSFUL AND TAKES AN ADDITIONAL TOLL ON FRONTLINE STAFF. ALL RESPITE AREAS INCLUDE REFRIGERATORS, COFFEEMAKERS, SNACKS, BEVERAGES, PERSONAL CARE AND SUPPORT ITEMS FOR MIND AND BODY. TOGETHER, WE AWARD: DURING THE PANDEMIC, THE EXECUTIVE TEAM COMMUNICATED THROUGH EMAILS, VIDEOS, VIRTUAL TOWN HALLS, WEBINARS AND ROUNDING THROUGHOUT THE HOSPITALS AND PRACTICES TO ANSWER QUESTIONS AND SHOW APPRECIATION FOR OUR STAFF'S HARD WORK, COMMITMENT AND RESILIENCY. BRONSON EMPLOYEES WERE GIFTED "BRONSON HERO" T-SHIRTS, "BRONSON HERO" BADGE REELS, HAND SANITIZERS AND A FACEMASK WITH THE BRONSON LOGO. THE T-SHIRTS WERE SO POPULAR, WE CHANGED OUR APPEARANCE STANDARDS TO ALLOW EMPLOYEES TO WEAR BRONSON APPROVED T-SHIRTS AT WORK. BRONSON ALSO UTILIZED OUR WEBSITES, INTRANET, SOCIAL MEDIA POSTS, ADS, BILLBOARDS AND YARD SIGNS TO THANK OUR STAFF, AS WELL AS PRODUCED THANK-YOU VIDEOS INCLUDING ONE FROM OUR BOARD. IN OCTOBER, ONCE WE RECOVERED FINANCIALLY, WE WERE ABLE TO PROVIDE A "TOGETHER, WE AWARD" OF $500 TO EACH EMPLOYEE AND BRONSON MEDICAL GROUP (BMG) PROVIDER TO RECOGNIZE THEIR EXCEPTIONAL TEAMWORK, RESILIENCE AND SACRIFICES. E. IMPLEMENTATION OF THE AHA EQUITY PLEDGE PLAN: BRONSON CREATED AN EQUITY OF CARE FRAMEWORK TO PROVIDE SYSTEM GOALS AND TACTICS FOR THE AHA EQUITY OF CARE PLEDGE. ADDITIONALLY, WE CREATED A HEALTH EQUITY OF CARE PERFORMANCE IMPROVEMENT COMMITTEE TO GUIDE THE ORGANIZATION IN THIS WORK. THERE ARE FOUR HEALTH EQUITY OF CARE GOALS: 1) BUILD AND STRENGTHEN COMMUNITY RELATIONSHIPS AND PARTNERSHIPS TO ADVANCE HEALTH EQUITY; 2) INCREASE THE COLLECTION, REPORTING AND ANALYSIS OF ACCURATE SOCIAL DEMOGRAPHIC DATA TO PRIORITIZE AND DETERMINE INTERVENTIONS; 3) IMPROVE OUR KNOWLEDGE, SKILLS AND BEHAVIORS TO MEET THE SOCIAL, CULTURAL AND LINGUISTIC NEEDS OF OUR EMPLOYEES, PATIENTS AND FAMILIES; AND 4) INCREASE THE DIVERSITY OF LEADERSHIP AND GOVERNANCE TO SUPPORT, ASSIST, AND ADVOCATE FOR EMPLOYEES, PATIENTS AND FAMILIES. BRONSON EXPANDED COLLECTION OF RACE, ETHNICITY AND LANGUAGE DATA AND BEGAN STRATIFYING PATIENT EXPERIENCE DATA BY AGE, GENDER, RACE AND ETHNICITY. WE CONTINUE TO IMPROVE OUR KNOWLEDGE, SKILLS AND BEHAVIORS TO MEET THE SOCIAL, CULTURAL AND LINGUISTIC NEEDS OF OUR EMPLOYEES, PATIENTS AND FAMILIES IN SEVERAL WAYS. WE HAVE INCREASED AMBULATORY OFFICES STAFF SCHEDULING OF INTERPRETERS AND A NEW EQUITY OF CARE COMPUTER-BASED LEARNING MODULE WAS REQUIRED FOR ALL BRONSON EMPLOYEES. THE COMMUNITY HEALTH, EQUITY AND INCLUSION TEAM EDUCATED OVER 2,400 EMPLOYEES AS WELL AS 3,300 PEOPLE IN OUR PRIMARY SERVICE AREA. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MANNS BILL | ||||||||||||||
| PRESIDENT AND CEO | $0 | $577,752 | $0 | $1,000 | $0 | $219,441 | $0 | $417,830 | $0 | $10,457 | $0 | $1,226,480 | $0 | $0 |
| FALAHEE JAMES | ||||||||||||||
| INTERIM CEO - JAN -MARCH/SR VP LEGAL | $0 | $463,202 | $0 | $328,113 | $0 | $89,620 | $0 | $191,150 | $0 | $21,079 | $0 | $1,093,164 | $0 | $138,514 |
| LARSON SCOTT MD | ||||||||||||||
| SR VP MEDICAL AFFAIRS/CMO | $0 | $478,554 | $0 | $155,606 | $0 | $106,169 | $0 | $180,345 | $0 | $14,293 | $0 | $934,967 | $0 | $155,606 |
| SARDONE FRANK | ||||||||||||||
| PRESIDENT AND CEO - FORMER | $0 | $18,901 | $0 | $587,669 | $0 | $290,160 | $0 | $15,870 | $0 | $578 | $0 | $913,178 | $0 | $0 |
| EAST REBECCA L | ||||||||||||||
| SR VP CFO BHG | $0 | $436,313 | $0 | $150,084 | $0 | $106,996 | $0 | $193,376 | $0 | $13,806 | $0 | $900,575 | $0 | $150,084 |
| NIKKEL MARK | ||||||||||||||
| PHYSICIAN | $695,656 | $0 | $68,529 | $0 | $22,974 | $0 | $11,375 | $0 | $26,997 | $0 | $825,531 | $0 | $0 | $0 |
| KARAMCHANDANI MAHESH C | ||||||||||||||
| DIRECTOR | $0 | $618,792 | $0 | $68,638 | $0 | $29,197 | $0 | $10,785 | $0 | $9,999 | $0 | $737,411 | $0 | $0 |
| HAYDEN JOHN | ||||||||||||||
| SR VP & CHIEF HR OFFICER | $0 | $359,289 | $0 | $116,585 | $0 | $75,021 | $0 | $141,968 | $0 | $9,187 | $0 | $702,050 | $0 | $116,585 |
| NEELY DENISE | ||||||||||||||
| SR. VP COO BMH/SYSTEM CNO BHG | $0 | $342,434 | $0 | $82,968 | $0 | $24,459 | $0 | $104,358 | $0 | $13,876 | $0 | $568,095 | $0 | $82,968 |
| DAVIDSON SCOTT MD | ||||||||||||||
| DIRECTOR | $0 | $449,173 | $0 | $84,723 | $0 | $1,888 | $0 | $14,177 | $0 | $13,628 | $0 | $563,589 | $0 | $0 |
| REINOEHLSUSAN | ||||||||||||||
| SR VP STRATEGY & COMM BHG | $0 | $259,794 | $0 | $91,774 | $0 | $77,641 | $0 | $126,253 | $0 | $5,094 | $0 | $560,556 | $0 | $91,774 |
| WAY MICHAEL S | ||||||||||||||
| SR VP MAT. MGT. & FACILITY SVS. | $0 | $238,862 | $0 | $86,592 | $0 | $76,568 | $0 | $119,916 | $0 | $13,303 | $0 | $535,241 | $0 | $86,592 |
| HARRELSON KATHLEEN | ||||||||||||||
| SENIOR VP - FORMER | $0 | $0 | $0 | $0 | $0 | $499,567 | $0 | $0 | $0 | $5,995 | $0 | $505,562 | $0 | $0 |
| JONES JR JOHN | ||||||||||||||
| SENIOR VP (THRU 2/20) | $0 | $78,913 | $0 | $141,526 | $0 | $245,976 | $0 | $16,575 | $0 | $12,493 | $0 | $495,483 | $0 | $137,444 |
| CHALASANI SRIDHAR MD | ||||||||||||||
| DIRECTOR | $0 | $392,910 | $0 | $41,196 | $0 | $21,375 | $0 | $9,413 | $0 | $13,581 | $0 | $478,475 | $0 | $0 |
| CAUDILL ALLAN | ||||||||||||||
| PHYSICIAN | $374,908 | $0 | $500 | $0 | $24,344 | $0 | $9,427 | $0 | $9,200 | $0 | $418,379 | $0 | $0 | $0 |
| LAWLOR JOHN MD | ||||||||||||||
| DIRECTOR (THRU 8/20) | $0 | $318,611 | $0 | $31,218 | $0 | $20,357 | $0 | $17,098 | $0 | $12,974 | $0 | $400,258 | $0 | $0 |
| SPRINGSTEEN CALEB | ||||||||||||||
| PHYSICIAN | $266,269 | $0 | $37,920 | $0 | $1,431 | $0 | $6,882 | $0 | $20,929 | $0 | $333,431 | $0 | $0 | $0 |
| SANGALLI-DAVIS CHRISTINE | ||||||||||||||
| VP CHIEF COMPLIANCE OFFICER | $0 | $191,001 | $0 | $37,775 | $0 | $1,170 | $0 | $56,586 | $0 | $8,107 | $0 | $294,639 | $0 | $37,775 |
| LISCOW DAVID | ||||||||||||||
| PHYSICIAN | $220,440 | $0 | $25,500 | $0 | $3,270 | $0 | $14,140 | $0 | $1,238 | $0 | $264,588 | $0 | $0 | $0 |
| BLEIL GORDON | ||||||||||||||
| PHYSICIAN | $202,906 | $0 | $18,470 | $0 | $12,788 | $0 | $5,980 | $0 | $8,682 | $0 | $248,826 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| KIMBERLY JAMES | |||
| DAUGHTER OF BOARD MEMBER, BARBARA JAMES | $86,325 | TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL | 0 |
| MARLA ATKINSON | |||
| SPOUSE OF BOARD MEMBER MARK ATKINSON | $150,766 | TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL | 0 |
| NICOLE ATKINSON | |||
| DAUGHTER OF BOARD MEMBER MARK ATKINSON | $59,980 | TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL | 0 |
| MELISSA DAVIDSON | |||
| SPOUSE OF BOARD MEMBER SCOTT DAVIDSON | $78,321 | TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL | 0 |
| STEPHANIE NELSON | |||
| SISTER-IN-LAW OF BOARD MEMBER SCOTT GIBSON | $111,579 | TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 SOUTH HAVEN HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON SOUTH HAVEN HOSPITAL (BSH) AND AS SUCH MEMBER IT ELECTS 10-15 OF THE TOTAL 20-24 MEMBERS OF THE BSH 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 BRONSON SOUTH HAVEN HOSPITAL (BSH) AND HAS CERTAIN RESERVED POWERS OVER THE ACTIONS OF BSH. THE BOARD OF DIRECTORS HAS THE POWER TO: - AMENDMENT, RESTATEMENT, OR REPEAL OF THE HOSPITALS ARTICLES OF INCORPORATION OR BYLAWS. - ADOPTION, EXECUTION, REVOCATION, OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, REORGANIZATION, OR OTHER MAJOR CHANGE IN CORPORATE STRUCTURE INVOLVING THE HOSPITAL. - SALE, LEASE EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITALS PROPERTY AND ASSETS. - ACQUISITION OF ANY OTHER ENTITY OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE. - ADOPTION OF ALL OPERATING AND CAPITAL EXPENDITURE BUDGETS. - INCUR OPERATING OR CAPITAL EXPENDITURES WHICH CAUSE AGGREGATE OPERATING OR CAPITAL EXPENDITURES TO EXCEED BUDGETED AGGREGATES AND/OR THE DOLLAR AMOUNT SPECIFIED BY BHG. - SECURE BORROWINGS, WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTERESTS APPROVED AS A PART OF A BUDGET. - CHANGE THE MISSION STATEMENT, PURPOSES, OR STRATEGIC GOALS OF THE HOSPITAL. - ANY SIGNIFICANT CHANGE IN THE SCOPE OF SERVICES OR PROGRAMS. - APPOINTMENT, REMOVAL OR COMPENSATION OF THE PRESIDENT OR ANY DIRECTOR OR OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE SR VP/CFO & CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE FINANCE COMMITTEE CHAIRPERSON 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 BOARD'S 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 BODY'S DELIBERATIONS AND DECISIONS ON THE TRANSACTION IN QUESTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR THE CEO, OFFICERS AND OTHER KEY EMPLOYEES, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH FUNCTIONS AS THE COMPENSATION COMMITTEE FOR BRONSON HEALTHCARE GROUP, RETAINS THE SERVICES OF AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT (SULLIVAN, COTTER AND ASSOCIATES) WHO CONDUCTS A THOROUGH COMPENSATION AND BENEFIT SURVEY PROCESS THAT IS USED TO DETERMINE THE APPROPRIATE ADJUSTMENT IN CASH COMPENSATION AND BENEFITS PROVIDED. THIS PROCESS IS DONE ANNUALLY AND WAS UNDER TAKEN IN 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: | RELATED PARTY NET ASSET TRANSFER -107,942. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BRONSON HEALTHCARE GROUP | |||||||||||
| 601 JOHN STREET | KALAMAZOO | MI | 49007 | 382418383 | PROVIDE SUPPORT SERVICES FOR HEALTHCARE SUBSIDIARIES | MI | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| BRONSON HEALTH FOUNDATION | |||||||||||
| 601 JOHN STREET | KALAMAZOO | MI | 49007 | 382415081 | SUPPORTS HEALTHCARE ORGANIZATION | MI | 501(C)(3) | LINE 7 | 0 | BRONSON HEALTHCARE GROUP | |
| BRONSON LAKEVIEW HOSPITAL | |||||||||||
| 408 HAZEN ST | PAW PAW | MI | 49079 | 381359218 | HOSPITAL | MI | 501(C)(3) | LINE 3 | 0 | BRONSON HEALTHCARE GROUP | |
| BRONSON COMMONS | |||||||||||
| 23332 RED ARROW HWY | MATTAWAN | MI | 49071 | 382842451 | SKILLED NURSING FACILITY | MI | 501(C)(3) | LINE 10 | 0 | BRONSON HEALTHCARE GROUP | |
| VBEMS INC | |||||||||||
| 39338 W RED ARROW HWY | PAW PAW | MI | 49079 | 382745910 | AMBULANCE SERVICE | MI | 501(C)(3) | LINE 10 | 0 | BRONSON HEALTHCARE GROUP | |
| BRONSON PROPERTIES CORPORATION | |||||||||||
| 601 JOHN STREET | KALAMAZOO | MI | 49007 | 386052573 | PROVIDE SUPPORT SERVICES FOR HEALTHCARE SUBSIDIARIES | MI | 501(C)(3) | LINE 12B, II | 0 | BRONSON HEALTHCARE GROUP | |
| BRONSON BATTLE CREEK HOSPITAL | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49017 | 382776791 | HOSPITAL | MI | 501(C)(3) | LINE 3 | 0 | BRONSON HEALTHCARE GROUP | |
| BRONSON AT HOME | |||||||||||
| 601 JOHN STREET | KALAMAZOO | MI | 49007 | 383298476 | NURSING, HOSPICE, EQUIP SALES | MI | 501(C)(3) | LINE 10 | 0 | BRONSON HEALTHCARE GROUP | |
| BRONSON METHODIST HOSPITAL | |||||||||||
| 601 JOHN STREET | KALAMAZOO | MI | 49007 | 381359087 | HOSPITAL | MI | 501(C)(3) | LINE 3 | 0 | BRONSON HEALTHCARE GROUP | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL NETWORK INC LEASING | |||||||||
| 6212 AMERICAN AVE | PORTAGE | MI | 49002 | 383638430 | SUPPORT SERVICES | MI | N/A | 0 | 0 |
| HOSPITAL NETWORK VENTURES LLC | |||||||||
| 6212 AMERICAN AVE | PORTAGE | MI | 49002 | 383302979 | SUPPORT SERVICES | MI | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BRONSON MANAGEMENT SERVICES CORPORATION | |||||||||
| 601 JOHN STREET | KALAMAZOO | MI | 49007 | 382415032 | OTHER MEDICAL SERVICES | MI | N/A | C | 0 |
| BRONSON LIFESTYLE AND IMPROVEMENT RESEARCH CENTER | |||||||||
| 601 JOHN STREET | KALAMAZOO | MI | 49007 | 383552556 | REHABILITATION SERVICES | MI | N/A | C | 0 |
| WESTLEY DEVELOPMENT COMPANY | |||||||||
| 301 JOHN STREET | KALAMAZOO | MI | 49007 | 383619232 | REAL ESTATE OWNERSHIP | MI | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments