2019-11-08T12:04:32-06:00 2018-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2018-01-01 381676780 BRONSON SOUTH HAVEN HOSPITAL BRON 2693416000 601 JOHN STREET KALAMAZOO MI 49007 REBECCA EAST SENIOR VP/CFO 2693416000 2019-10-30 1 DAVID LOWENTHAL P00378651 3122071040 2019-10-30 67.59.56.30 2019-10-30 10:56:19 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 23D9C3BAD3C11415BCA5E3AEE50D281DF37E870F 2018 2020-03-31 21:24:44Z FRANK SARDONE 301 JOHN STREET KALAMAZOO MI 49007 40950933 0 X BRONSONHEALTH.COM X 2017 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES 21 14 398 77 0 0 55861 375269 38182784 38666536 -24153 -64167 2029419 1903908 40243911 40881546 0 0 0 0 24063889 26243743 0 0 0 17309821 18169386 41373710 44413129 -1129799 -3531583 22991219 22314252 5416753 4065456 17574466 18248796 X TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES 0 0 26866103 33246926 BRONSON SOUTH HAVEN HOSPITAL (BSHH)IS A 29-BED HOSPITAL. BSHH OFFERS A FULL RANGE OF ACUTE CARE FOR INPATIENTS AND IS A WELL-ESTABLISHED DESTINATION FOR SURGERY AND EMERGENCY CARE. BSHH OPERATES A FULL-SERVICE, 24/7 EMERGENCY DEPARTMENT THAT HANDLES OVER 14,000 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. 11074791 7200106 IN 2018, BSH'S MEDICAID COST WAS $11,074,791 AND MEDICAID NET REVENUE WAS $7,200,106. 2659747 IN 2018, IN FURTHERANCE OF ITS MISSION, BSH INCURRED $2,659,747 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS. 40600641 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 49 0 1 398 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X REBECCA EAST SENIOR VPCFO 2693416000 301 JOHN STREET KALAMAZOO MI 49007 X PARFET DONALD R CHAIRPERSON 1.00 8.00 X X 0 1291 0 EBERTS RANDALL W VICE CHAIRPERSON 1.00 8.00 X X 0 2422 0 KARRE NELSON VICE CHAIRPERSON 1.00 8.00 X X 0 0 0 JAMES BARBARA L TREASURER 1.00 8.00 X X 0 1849 0 NYBERG NEIL SECRETARY 1.00 8.00 X X 0 1389 0 ALLEN RICHARD J DIRECTOR 1.00 8.00 X 96514 0 4998 ATKINSON MARK B DIRECTOR 1.00 8.00 X 0 1913 0 DAVIDSON SCOTT B BMH CHIEF OF STAFF 1.00 8.00 X 0 580156 30948 FINK KATY DIRECTOR 1.00 8.00 X 0 0 0 GIBSON SCOTT C DIRECTOR 1.00 8.00 X 0 6400 0 GONZALEZ JORGE G DIRECTOR 1.00 8.00 X 0 942 0 GREENE JAMES E DIRECTOR 1.00 8.00 X 0 1910 0 HUNT BRENDA L DIRECTOR 1.00 8.00 X 0 0 0 JOHNSTON WILLIAM D DIRECTOR 1.00 8.00 X 0 0 0 KARAMCHANDANI MAHESH C DIRECTOR 1.00 8.00 X 0 674083 27587 LANE-DAVIES AARON DIRECTOR (THRU 6-2018) 1.00 8.00 X 0 317402 36841 LAWLOR JOHN R DIRECTOR 1.00 8.00 X 0 391208 26279 LIGGINS JAMES L DIRECTOR 1.00 8.00 X 0 2281 0 LINS STEVEN J DIRECTOR 1.00 8.00 X 0 900 0 MONTGOMERY TABRON LA JUNE DIRECTOR 1.00 8.00 X 0 0 0 ODAR MICHAEL F DIRECTOR 1.00 8.00 X 0 723 0 ZELLER CHARLES DIRECTOR (THRU 9-2018) 1.00 8.00 X 0 1178 0 SARDONE FRANK J PRESIDENT AND CEO 3.00 37.00 X X 0 1772072 382180 EAST REBECCA L SR VP CFO BHG 3.00 37.00 X 0 662571 167522 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 3.00 37.00 X 0 706813 172795 HARRELSON KATHLEEN M SR VP CLINICAL OPERATIONS 3.00 37.00 X 0 700836 156393 HAYDEN JOHN VP & CHIEF HR OFFICER 3.00 37.00 X 0 582819 128798 JONES JR JOHN L SR VP REG. & PHYS. SVS. 3.00 37.00 X 0 647426 169725 LARSON SCOTT SR VP MEDICAL AFFAIRS/CMO 3.00 37.00 X 0 793665 177944 GOEL ASHUTOSH CHIEF MED INFORMATICS OFFI 3.00 37.00 X 0 515339 100830 TRELLA REBECCA VP POST ACUTE CARE 3.00 37.00 X 0 319318 66155 RICHARDSON KIRK VP COO BLH 32.00 8.00 X 0 301630 62724 WAY MICHAEL S VP MAT. MGT. & FACILITY SV 3.00 37.00 X 0 310517 92345 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 3.00 37.00 X 0 226802 63714 CAUDILL ALLAN PHYSICIAN 40.00 0.00 X 581309 0 22725 AKRAMI BRIAN PHYSICIAN 40.00 0.00 X 388510 0 27022 SPRINGSTEEN CALEB PHYSICIAN 40.00 0.00 X 306925 0 31329 NIKKEL MARK PHYSICIAN 40.00 0.00 X 559061 0 33904 KOSTIUK THEODORE PHYSICIAN 40.00 0.00 X 527050 0 0 2459369 9525855 1982758 27 0 1 0 EMERGENCY PHYSICIANS MEDICAL GROUP 125 S KALAMAZOO MALL KALAMAZOO MI 49007 EMERGENCY DEPARTMENT MANAGEMENT FEES 681329 PARKWAY ELECTRIC 11952 JAMES ST HOLLAND MI 49424 CONTRACT FEES 294142 SYSMEX AMERICA INC 28241 NETWORK PLACE CHICAGO MI 60673 SERVICES 187700 NORTH SIDE MEDICAL LLS 731 NORTH SHORE DRIVE SOUTH HAVEN MI 49090 CONTRACT FEES 180186 RITSEMA ASSOCIATES 3000 DORMAX SW GRAND RAPIDS MI 49418 CONTRACT FEES 173564 7 375269 375269 NET PATIENT REVENUE 621110 38353238 38353238 PGIP REVENUE 900099 172420 172420 RENTAL REVENUE FROM AFFILIATED OR 532000 89878 89878 MEANINGFUL USE REVENUE 900099 51000 51000 38666536 5220 5220 7195 0 7195 7195 7195 69387 -69387 -69387 -69387 WELLNESS CENTER REVENUE 713940 1731475 1731475 CAFETERIA EMPLOYEE REVENUE 722310 90011 90011 PURCHASE DISCOUNTS 900099 2331 2331 72896 46690 26206 1896713 40881546 40447032 0 59245 21600121 20041688 1558433 3466955 2203007 1263948 1176667 1136683 39984 4323543 4312289 11254 10070 8590 1480 920494 812635 107859 1015138 1001700 13438 47268 45214 2054 35479 35343 136 2071309 1911914 159395 222977 142203 80774 MEDICAL SUPPLY 4725560 4723948 1612 BAD DEBT EXPENSE 2659747 2659747 BHG SERVICE ALLOCATION 1368372 784800 583572 EQUIPMENT MAINT/REPAIR 883683 877913 5770 -114254 -97033 -17221 44413129 40600641 3812488 0 5380887 4815648 588225 389019 26992 95403 20589161 3574979 16995115 17014182 22991219 22314252 3260554 2280815 18055 20733 2138144 1763908 5416753 4065456 X 17574466 18248796 17574466 18248796 22991219 22314252 X -3531583 4205913 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1025312 1025312 13843630 1576399 12267231 5467130 1982572 3484558 253089 16008 237081 17014182 COST REPORT SETTLEMENTS 379955 ACCOUNTS PAYABLE BHG 1383953 1763908 1 1 X 1 X 1 X 1 1 0 1 1 268343 268343 0.00640 20755 10806449 7200106 3606343 0.08640 20755 11074792 7200106 3874686 0.09280 42 1664 62793 62793 0.00150 1 5 12203 12203 0.00030 11 5069 5069 0.00010 54 1669 80065 80065 0.00190 54 22424 11154857 7200106 3954751 0.09470 1 382 382 0.00000 1 382 382 0.00000 1 2659747 40983 4988355 7021452 -2033097 X 1 1 1 1 BRONSON SOUTH HAVEN HOSPITAL 955 S BAILEY AVE SOUTH HAVEN MI 49090 BRONSONHEALTH.COM X X X BRONSON SOUTH HAVEN HOSPITAL 1 0 1 1 X X X X X X X X X 15 0 0 0 1 X 1 15 0 1 0 1 X 200.000000000000 350.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/FINANCIAL-ASSIST X HTTPS://WWW.BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/PLAIN-LANGUAGE-P X X X X X X 1 X 0 X 1 X 0 0 BRONSON SOUTH HAVEN HOSPITAL PART V, SECTION B, LINE 2: EFFECTIVE JAN 1, 2017, BRONSON HEALTHCARE GROUP (BHG) ACQUIRED BRONSON SOUTH HAVEN HOSPITAL (BSH), AN ENTITY IN WHICH BHG PREVIOUSLY HELD NO OWNERSHIP INTEREST. THE ACQUISITION WAS APPROVED BY BHG BOARD AT THE JULY 28, 2016 BOARD OF DIRECTORS MEETING. BRONSON SOUTH HAVEN HOSPITAL PART V, SECTION B, LINE 11: THE CHNA PROCESS INCLUDED A PRIORITIZATION OF HEALTH NEEDS BASED UPON CONSENSUS CRITERIA, INCLUDING: MAGNITUDE OF NEED, MEASURABLE OUTCOMES,BRONSON CAPABILITIES, EVIDENCE FOR EFFECTIVE INTERVENTIONS, COMMUNITY COMMITMENT, AND CONSISTENCY WITH BRONSON STRATEGY. AT THE CONCLUSION OF THIS PRIORITIZATION PROCESS, IMPROVING ACCESS TO CARE WAS SELECTED AS THE FOCUS FOR COMMUNITY HEALTH ACTIVITIES IN 2017-2019. THIS FOCUSED EFFORT WILL REQUIRE SUBSTANTIAL FINANCIAL AND STAFFING RESOURCES AS WELL AS SIGNIFICANT COLLABORATIONS WITH COMMUNITY ORGANIZATIONS. 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 LIMIT OUR INITIAL FOCUS TO THIS TOP PRIORITY HEALTH NEED. OTHER NEEDS IDENTIFIED INCLUDE OBESITY, LACK OF MENTAL HEALTH SUPPORT, CHRONIC DISEASE MANAGEMENT, ADDICTION PREVENTION, SAFETY, SOCIAL HEALTH, AND SEXUAL HEALTH. WHILE THESE HEALTH NEEDS WERE NOT THE PRIORITY AREA, BRONSON CONTINUES TO COLLABORATE AND PARTNER WITH THOSE AGENCIES BETTER SUITED TO HAVE AN IMPACT IN THESE AREAS AND BRONSON ANTICIPATES THAT IMPROVING ACCESS TO QUALITY CARE WILL IMPACT AND IMPROVE OUTCOMES FOR MANY OF THE OTHER NEEDS IDENTIFIED IN THE CHNA. THE ACCESS OF CARE PLAN IS ATTACHED TO THE 990 FOR REFERENCE OF AREAS NOT BEING ADDRESSED AT THIS TIME. 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 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 70% 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.(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 $2,659,747 PART II, COMMUNITY BUILDING ACTIVITIES: BRONSON SOUTH HAVEN HOSPITAL (BSHH) GENERATES EMPLOYMENT FOR OVER 375 EMPLOYEES. THE EMPLOYEES ARE ENCOURAGED TO BE INVOLVED IN VOLUNTEERISM WITHIN THE COMMUNITIES. BRONSON HAS A VOLUNTEER TIME OFF PROGRAM WHERE EACH EMPLOYEE CAN GET UP TO FOUR HOURS OF PAID VOLUNTEER TIME TO SUPPORT COMMUNITY NONPROFITS. BRONSON SOUTH HAVEN HOSPITAL CONDUCTED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2015. PLEASE REFER TO SCHEDULE H, PART V, SECTION B, COMMUNITY HEALTH NEEDS ASSESSMENT, ALONG WITH SCHEDULE H, PART V, SECTION C SUPPLEMENTAL INFORMATION, FOR A FULL DESCRIPTION OF THE CHNA. THE CHNA PROCESS INCLUDED A PRIORITIZATION OF HEALTH NEEDS BASED UPON CONSENSUS CRITERIA, INCLUDING: MAGNITUDE OF NEED, MEASURABLE OUTCOMES, BRONSON CAPABILITIES, EVIDENCE FOR EFFECTIVE INTERVENTIONS, COMMUNITY COMMITMENT, AND CONSISTENCY WITH BRONSON STRATEGY. AT THE CONCLUSION OF THIS PRIORITIZATION PROCESS, IMPROVING ACCESS TO CARE WAS SELECTED AS THE FOCUS FOR COMMUNITY HEALTH ACTIVITIES IN 2016-2019. 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 GROUP'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE GROUP RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THIS INFORMATION CAN BE FOUND IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER NOTE 2, SIGNIFICANT ACCOUNTING POLICIES FOR ACCOUNTS RECEIVABLE. PART III, LINE 8: WE UTILIZED THE ALLOWABLE COST AMOUNT FROM THE MEDICARE COST REPORT SCHEDULE D-1, PART II FOR INPATIENT AND SCHEDULE E, PART B FOR OUTPATIENT AND SCHEDULE M-SERIES. ALLOWABLE COST REPORT COST IS DETERMINED BASED ON THE PROVIDER REIMBURSEMENT MANUAL (PUBLICATION 15-1) AS ESTABLISHED BY CENTER FOR MEDICARE AND MEDICAID SERVICES. BRONSON SOUTH HAVEN HOSPITAL 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. THE INPATIENT FACILITY HAD A MEDICARE SHORTFALL OF $1,236,892 AND THE RURAL HEALTH CLINICS HAD A MEDICARE SHORTFALL OF $226,519, THE REMAINING SHORTFALL OF $569,686 IS DUE TO MEDICARE OUTPATIENT PAYMENTS. THE SHORTFALL IS COUNTED TOWARDS THE COMMUNITY BENEFIT.PART III, LINE 7: BRONSON SOUTH HAVEN HOSPITAL EXPERIENCED ADDITIONAL COMMUNITY BENEFIT EXPENSE OF $6,373,791 AND DIRECT OFFSETTING REVENUE OF $3,563,528 FOR A NET COMMUNITY BENEFIT OF $2,810,263 RELATED TO SERVICES PROVIDED TO MEDICARE ADVANTAGE INSUREDS. 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 PREVIOUSLY LISTED ACCOUNTS. 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. PART VI, LINE 2: BRONSON SOUTH HAVEN HOSPITAL (BSHH) WORKS WITH VAN BUREN COUNTY HEALTH DEPARTMENT, THE MICHIGAN OFFICE OF RURAL HEALTH, AND MANY LOCAL SOCIAL SERVICE AGENCIES IN RESPONDING TO THE HEALTHCARE NEEDS OF ITS RESIDENTS. THE AREAS IDENTIFIED ARE INCORPORATED INTO STRATEGIC PLANNING. AS A PART OF THE ANNUAL BUDGETING PROCESS, TRENDS IN SERVICE UTILIZATION ARE UTILIZED FOR RESOURCE PLANNING. 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: BRONSON SOUTH HAVEN HOSPITAL (BSHH) HAS AN OPEN MEDICAL STAFF AND HAS MANY SPECIALISTS FROM NEIGHBORING KALAMAZOO THAT HAVE HOSPITAL BASED CLINICS TO PROVIDE EASY ACCESS TO RESIDENTS. THE EMPLOYEES HOLD FOOD DRIVES FOR THE LOCAL FOOD PANTRIES AND ADOPT SEVERAL IN NEED FAMILIES EACH HOLIDAY SEASON. EMPLOYEES ARE ABLE TO PROVIDE MEDICAL SUPPORT TO MANY COMMUNITY ACTIVITIES AS PART OF THEIR SCHEDULED WORK TIME. BSHH 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. BSHH AND ITS EMPLOYEES ACTIVELY PARTICIPATE IN AND PROVIDE SUPPORT TO MANY COMMUNITY ORGANIZATIONS. THESE INCLUDE PARTICIPATION IN THE 5TH DISTRICT MEDICAL RESPONSE COALITION, VANBUREN COUNTY MEDICAL COUNTRY AUTHORITY, VANBUREN EMERGENCY OPERATIONS AND LOCAL EMERGENCY PLANNING COMMITTEES, HEALTH FAIRS AND EXPOS, VAN BUREN COUNTY UNITED WAY. THE HOSPITAL ALSO WORKS WITH LOCAL SCHOOL SYSTEMS TO PROVIDE CAREER DAY PROGRAMS AND VOCATIONAL TECH SCHOOL-TO-WORK INITIATIVES AND DOES AN INSURANCE ENROLLMENT OUTREACH. BRONSON SOUTH HAVEN'S WELLNESS CENTER PROVIDES THE FOLLOWING COMMUNITY HEALTH IMPROVEMENT INITIATIVES ANNUALLY:1. NUTRITION GRANT - THE BRONSON HEALTH FOUNDATION/BRONSON WELLNESS CENTER WAS AWARDED A 90,000 GRANT FROM THE MICHIGAN FITNESS FOUNDATION TO FUND COMMUNITY FIT! A NUTRITION EDUCATION PROGRAM FOR ADULTS, YOUTH, AND FAMILIES. THE PROGRAM INCLUDED FOOD DEMONSTRATIONS AND EDUCATION AT LOCAL GROCERY STORES, GROUP NUTRITION EDUCATION, AND POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE WORK TO IMPACT COMMUNITY MEMBERS IN THE BRONSON SOUTH HAVEN SERVICE AREA. DIRECT CONTACTS: 70 YOUTH AGES 5-11, 43 YOUTH AGES 11-16 AND 144 ADULTS COMPLETED NUTRITION EDUCATION SERIES (4 OR MORE LESSONS= SERIES). INDIRECT CONTACTS (COMMUNITY FOOD DEMOS AND PSE WORK) = EST. 3200.2. SCHOLARSHIP PROGRAM - THE BRONSON WELLNESS CENTER SCHOLARSHIP PROGRAM AWARDED 64 ADULTS WITH FULL ONE-YEAR SCHOLARSHIPS. ($50,549.00). THIS PROGRAM INCLUDED: - MEMBERSHIP FOR 12 MONTHS - PRE ASSESSMENT, MID-YEAR ASSESSMENT AND YEAR-END ASSESSMENT - FIVE PERSONAL TRAINING SESSIONS3. COMMUNITY EDUCATION - NO-COST COMMUNITY NUTRITION EDUCATION AND HEALTHY COOKING CLASSES WERE OFFERED TO COMMUNITY MEMBERS 2-3 TIMES PER MONTH. ADDITIONAL, NO COST HEALTH-RELATED PRESENTATIONS WERE PROVIDED FOR MULTIPLE COMMUNITY ORGANIZATIONS INCLUDING THE ROTARY CLUB, KIWANIS CLUB, SCOTT CLUB, BOY AND GIRL SCOUTS, WE CARE, TEEN HOPE, LAKE MICHIGAN COLLEGE, AND MORE.4. COMMUNITY COALITIONS, PARTNERSHIPS AND BOARDS - BRONSON STAFF MEMBERS ARE ACTIVE ON A VARIETY OF COALITIONS AND BOARDS INCLUDING THE SOUTH HAVEN PUBLIC SCHOOL WELLNESS POLICY COMMITTEE AND THE GIRLS ON THE RUN OF SOUTHWEST MICHIGAN ADVISORY BOARD.5. SENIOR HEALTH PROGRAMMING - NUTRITION AND HEALTH EDUCATION WAS PROVIDED TO SENIORS AT TWO SENIOR CENTERS, VAN BUREN UNITED CIVIC ORGANIZATION IN COVERT AND THE CITY OF 76TH STREET IN SOUTH HAVEN.6. FIELD TRIPS - FIELD TRIPS WERE PROVIDED AT NO CHARGE FOR AREA PRESCHOOLS AND BOY SCOUT TROOPS.7. COMMUNITY HEALTH FAIRS/OUTREACH EDUCATION - BRONSON WELLNESS CENTER STAFF PARTICIPATED IN MULTIPLE COMMUNITY HEATH/HEALTH EDUCATION FAIRS INCLUDING THE CASCO HEALTH FAIR, KINDERGARTEN ROUND UP, AND THE SOUTH HAVEN HEALTH FAIR.8. FARM TO SCHOOL/COMMUNITY EXPLORATION - BRONSON PARTNERED WITH SOUTH HAVEN PUBLIC SCHOOLS TO ASSIST WITH DELIVERING A FARM TO SCHOOL GRANT, AND EXPLORING - THROUGH FOCUS GROUPS - THE NEEDS OF LOCAL MIGRANT FAMILIES RELATED TO HEALTHY EATING AND PHYSICAL ACTIVITY. PART VI, LINE 6: BRONSON SOUTH HAVEN HOSPITAL (BSH) IS PART OF AN AFFILIATED SYSTEM THAT INCLUDES THREE OTHER HOSPITALS, BRONSON METHODIST HOSPITAL, BRONSON LAKEVIEW HOSPITAL AND BRONSON BATTLE CREEK HOSPITAL. THE HOSPITALS ARE CONTROLLED BY BRONSON HEALTHCARE GROUP, WHICH IS COMMUNITY-OWNED AND GOVERNED NOT-FOR-PROFIT HOLDING COMPANY. THE BRONSON HEALTHCARE GROUP (BHG) BOARD IS COMPRISED OF 22 MEMBERS OF THE COMMUNITY. THE FOUR HOSPITALS IN THE BRONSON SYSTEM COLLABORATE TO PROMOTE THE HEALTH OF THE COLLECTIVE COMMUNITIES WE SERVE.IN ADDITION TO THE FOUR HOSPITALS, THE BHG SYSTEM INCLUDES SEVERAL SMALLER ENTITIES WHOSE EFFECTS SUPPORT THE HOSPITALS AND THEIR MISSION OF TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITY. THESE ENTITIES INCLUDE: BRONSON HEALTHCARE GROUP, BRONSON COMMONS, BRONSON LIFESTYLE IMPROVEMENT & RESEARCH CENTER, BRONSON HEALTH FOUNDATION, BRONSON AT HOME, VBEMS, AND BRONSON PROPERTIES CORPORATION. PART VI, LINE 7, REPORTS FILED WITH STATES MI X X 1 1 0 1 0 0 0 0 0 0 0 DAVIDSON SCOTT B BMH CHIEF OF STAFF 0 493030 0 82942 0 4184 0 17700 0 13248 0 611104 0 0 KARAMCHANDANI MAHESH C DIRECTOR 0 598141 0 51086 0 24856 0 13650 0 13937 0 701670 0 0 LANE-DAVIES AARON DIRECTOR (THRU 6-2018) 0 300092 0 14741 0 2569 0 17700 0 19141 0 354243 0 0 LAWLOR JOHN R DIRECTOR 0 336127 0 34433 0 20648 0 13650 0 12629 0 417487 0 0 SARDONE FRANK J PRESIDENT AND CEO 0 887624 0 376175 0 508273 0 368078 0 14102 0 2154252 0 635164 EAST REBECCA L SR VP CFO BHG 0 430410 0 133314 0 98847 0 154140 0 13382 0 830093 0 133314 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 0 415769 0 123037 0 168007 0 153072 0 19723 0 879608 0 211118 HARRELSON KATHLEEN M SR VP CLINICAL OPERATIONS 0 455422 0 140116 0 105298 0 144944 0 11449 0 857229 0 140116 HAYDEN JOHN VP & CHIEF HR OFFICER 0 346826 0 114987 0 121006 0 119901 0 8897 0 711617 0 166237 JONES JR JOHN L SR VP REG. & PHYS. SVS. 0 407545 0 143082 0 96799 0 149976 0 19749 0 817151 0 143082 LARSON SCOTT SR VP MEDICAL AFFAIRS/CMO 0 471827 0 128687 0 193151 0 164560 0 13384 0 971609 0 229755 GOEL ASHUTOSH CHIEF MED INFORMATICS OFFI 0 392578 0 81141 0 41620 0 93727 0 7103 0 616169 0 81141 TRELLA REBECCA VP POST ACUTE CARE 0 273913 0 44241 0 1164 0 57755 0 8400 0 385473 0 44241 RICHARDSON KIRK VP COO BLH 0 239046 0 43500 0 19084 0 19224 0 43500 0 364354 0 383074 WAY MICHAEL S VP MAT. MGT. & FACILITY SV 0 220930 0 67771 0 21816 0 79630 0 12715 0 402862 0 37771 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 0 194068 0 31582 0 1152 0 56247 0 7467 0 290516 0 31582 CAUDILL ALLAN PHYSICIAN 427749 0 72967 0 80593 0 13650 0 9075 0 604034 0 0 0 AKRAMI BRIAN PHYSICIAN 369880 0 0 0 18630 0 13650 0 13372 0 415532 0 0 0 SPRINGSTEEN CALEB PHYSICIAN 229377 0 77379 0 169 0 12420 0 18909 0 338254 0 0 0 NIKKEL MARK PHYSICIAN 528694 0 10480 0 19887 0 13650 0 20254 0 592965 0 0 0 KOSTIUK THEODORE PHYSICIAN 526367 0 0 0 683 0 0 0 0 0 527050 0 0 0 PART I, LINE 1A THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT. PART I, LINE 3 BRONSON HEALTHCARE GROUP, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND/OR STUDY AND APPROVAL BY BOARD AND/OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FROM RELATED ENTITY BRONSON HEALTHCARE GROUP: SARDONE, FRANK J $260,526 SERP DISTRIBUTION SARDONE, FRANK J $206,295 SERP CONTRIBUTION FALAHEE JR., JAMES B $88,081 SERP DISTRIBUTION FALAHEE JR., JAMES B $74,246 SERP CONTRIBUTION HAYDEN, JOHN T $51,250 SERP DISTRIBUTION HAYDEN, JOHN T $64,075 SERP CONTRIBUTION JONES JR., JOHN $74,987 SERP CONTRIBUTION HARRELSON, KATHLEEN $83,164 SERP CONTRIBUTION EAST, REBECCA $79,612 SERP CONTRIBUTION LARSON, SCOTT D $101,068 SERP DISTRIBUTION LARSON, SCOTT D $82,174 SERP CONTRIBUTION PART II, COLUMN (B) (III) AND (F): INCLUDED IN PART II, COLUMN (B) (III) AND (F) ARE AMOUNTS THAT WERE PAID TO THE EXECUTIVES UNDER THE BRONSON HEALTHCARE GROUP, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THESE AMOUNTS WERE CREDITED TO AN ACCOUNT FOR THE EXECUTIVE IN PRIOR YEARS AND WERE PREVIOUSLY REPORTED IN COLUMN C IN THE PRIOR YEAR, BUT THE EXECUTIVE WAS REQUIRED TO REMAIN EMPLOYED UNTIL THE YEAR FOR WHICH THIS FORM IS BEING FILED IN ORDER TO BECOME VESTED IN HIS OR HER ACCOUNT. AMOUNTS HAVE BEEN CREDITED TO THESE EXECUTIVES' ACCOUNTS EACH YEAR SINCE THE SERP WAS ADOPTED IN 1994, AND THE ACCOUNTS HAVE ALSO BEEN ADJUSTED FOR GAINS AND LOSSES SINCE THAT TIME. THEREFORE, THESE AMOUNTS SHOULD BE VIEWED AS HAVING BEEN EARNED OVER THE EXECUTIVE'S ENTIRE PERIOD OF EMPLOYMENT AS AN EXECUTIVE OF BRONSON. THE AMOUNT CREDITED TO EACH EXECUTIVE'S ACCOUNT IN THE SERP EACH YEAR AND EACH EXECUTIVES TOTAL OMPENSATION PACKAGE WAS APPROVED BY AN INDEPENDENT CONSULTANT TO ENSURE THAT THESE AMOUNTS ARE COMPARABLE TO OR LESS THAN THE AMOUNTS AWARDED TO EXECUTIVES OF COMPARABLE HEALTH CARE ORGANIZATIONS. KIMBERLY JAMES DAUGHTER OF BOARD MEMBER, BARBARA JAMES 93714 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 MARLA ATKINSON SPOUSE OF BOARD MEMBER MARK ATKINSON 150551 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 JAIDEEP KARAMCHANDANI SON OF BOARD MEMBER MAHESH KARAMCHANDANI 66259 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 FORM 990, PART VI, SECTION A, LINE 2 FRANK SARDONE, 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 ON OCTOBER 15, 2019 TO REVIEW THE PREPARED FORM 990 AND SCHEDULES. THE FINANCE COMMITTEE OF THE BOARD REVIEWED THE PREPARED FORM 990S AT ITS REGULARLY SCHEDULED MEETING ON OCTOBER 21, 2019. 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 2018. 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: CONTRIBUTION FROM AFFILIATE 4,207,154. NET ASSET ADJUSTMENT -1,241. 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 BRONSON HEALTHCARE GROUP 0 BRONSON LAKEVIEW HOSPITAL 408 HAZEN ST PAW PAW MI 49079 381359218 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 BRONSON COMMONS 23332 RED ARROW HWY MATTAWAN MI 49071 382842451 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 VBEMS INC 39338 W RED ARROW HWY PAW PAW MI 49079 382745910 AMBULANCE SERVICE MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 BRONSON PROPERTIES CORPORATION 601 JOHN STREET KALAMAZOO MI 49007 386052573 PROVIDE SUPPORT SERVICES FOR HEALTHCARE SUBSIDIARIES MI 501(C)(3) LINE 12B, II BRONSON HEALTHCARE GROUP 0 BRONSON BATTLE CREEK HOSPITAL 300 NORTH AVENUE BATTLE CREEK MI 49016 382776791 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 BRONSON AT HOME 601 JOHN STREET KALAMAZOO MI 49007 383298476 NURSING, HOSPICE, EQUIP SALES MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 BRONSON METHODIST HOSPITAL 601 JOHN STREET KALAMAZOO MI 49007 381359087 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 HOSPITAL NETWORK INC LEASING 6212 AMERICAN AVE PORTAGE MI 49002 383638430 SUPPORT SERVICES MI N/A HOSPITAL NETWORK VENTURES LLC 6212 AMERICAN AVE PORTAGE MI 49002 383302979 SUPPORT SERVICES MI N/A 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 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 BRONSON HEALTHCARE GROUP L 848103 METHOD BASED ON ACTUAL COST BRONSON METHODIST HOSPITAL L 634591 METHOD BASED ON ACTUAL COST BRONSON HEALTHCARE GROUP M 4875427 METHOD BASED ON ACTUAL COST BRONSON METHODIST HOSPITAL M 1474861 METHOD BASED ON ACTUAL COST BRONSON HEALTHCARE GROUP O 3299164 METHOD BASED ON ACTUAL COST BRONSON HEALTH FOUNDATION C 375269 CASH TRANSFER BRONSON HEALTHCARE GROUP C 4000000 CASH TRANSFER BRONSON LAKEVIEW HOSPITAL O 71967 METHOD BASED ON ACTUAL COST BRONSON LAKEVIEW HOSPITAL L 507957 METHOD BASED ON ACTUAL COST BRONSON PROPERTIES CORPORATION K 173401 METHOD BASED ON ACTUAL COST