2018-11-09T16:27:09-06:00 2017-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2017-01-01 381359218 BRONSON LAKEVIEW HOSPITAL BRON 2693416000 601 JOHN STREET KALAMAZOO MI 49007 REBECCA EAST SENIOR VP/CFO 2693416000 2018-11-07 1 DAVID LOWENTHAL P00378651 3122071040 2018-11-07 67.59.56.31 2018-11-07 12:33:54 CS P D6D028B83EC7BAE48696A0FE418AC7215527A94E 75C7EC6AC54A61BA087900A4F9B91D17BA572CD0 2017 2019-02-21 02:37:17Z FRANK SARDONE 301 JOHN STREET KALAMAZOO MI 49007 56128197 0 X BRONSONHEALTH.COM X 2007 MI OPERATION OF A GENERAL ACUTE CARE HOSPITAL 22 15 435 35 0 0 0 5849 55296336 55837743 42848 36558 244789 248047 55583973 56128197 6000000 1250000 0 0 31133011 31523046 0 0 0 20324252 18746223 57457263 51519269 -1873290 4608928 20931861 24227991 5338481 4025683 15593380 20202308 TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES 0 0 29818348 1250000 46136719 BRONSON LAKEVIEW HOSPITAL (BLH)IS A 35-BED CRITICAL ACCESS HOSPITAL, INCLUDING 25 CRITICAL ACCESS AND 10-BED GERIATRIC PSYCHIATRIC UNIT. BLH OFFERS A FULL RANGE OF ACUTE CARE FOR INPATIENTS AND IS A WELL-ESTABLISHED DESTINATION FOR SURGERY, GERIATRIC PSYCHIATRY AND EMERGENCY CARE. BLH OPERATES A FULL-SERVICE, 24/7 EMERGENCY DEPARTMENT THAT TREATS ABOUT 18,656 PATIENT VISITS ANNUALLY, REGARDLESS OF THEIR ABILITY TO PAY. OUTPATIENT SERVICES ARE PROVIDED AT THE HOSPITAL, AS WELL AS AT RURAL HEALTH CLINICS IN PAW PAW, DECATUR, AND MATTAWAN. IN 2017, IN FURTHERANCE OF ITS MISSION, BLH INCURRED NET COMMUNITY BENEFIT EXPENSE OF $2,957,882 12228183 9949071 IN 2017, BLH'S MEDICAID COST WAS $12,228,183 AND MEDICAID NET REVENUE WAS $9,949,071 2710047 IN 2017, IN FURTHERANCE OF ITS MISSION, BLH INCURRED $2,710,047 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS. 44756578 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 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 32 0 1 435 1 0 0 0 0 0 0 0 0 0 0 X 22 15 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 CHAIRPERSON 1.00 8.00 X X 0 998 0 EBERTS RANDALL VICE CHAIRPERSON 1.00 8.00 X X 0 2283 0 KARRE NELSON VICE CHAIRPERSON 1.00 8.00 X X 0 0 0 JAMES BARBARA TREASURER 1.00 8.00 X X 0 1830 0 NYBERG NEIL SECRETARY 1.00 8.00 X X 0 987 0 LAWLOR JOHN CHIEF OF STAFF 1.00 8.00 X X 0 436671 30155 ALLEN RICHARD DIRECTOR 1.00 8.00 X 0 0 0 ATKINSON MARK B DIRECTOR 1.00 8.00 X 0 2196 0 FINK KATY DIRECTOR 1.00 8.00 X 0 0 0 GIBSON SCOTT DIRECTOR 1.00 8.00 X 0 43225 0 GONZALEZ JORGE G DIRECTOR 1.00 8.00 X 0 0 0 GREENE JAMES E DIRECTOR 1.00 8.00 X 0 2309 0 HUNT BRENDA DIRECTOR 1.00 8.00 X 0 0 0 JOHNSTON WILLIAM DIRECTOR 1.00 8.00 X 0 0 0 KARAMCHANDANI MAHESH C DIRECTOR 1.00 8.00 X 0 723489 30724 LANE-DAVIES AARON PAST CHIEF OF STAFF 1.00 8.00 X 0 262868 35412 LIGGINS JAMES L DIRECTOR 1.00 8.00 X 0 2557 0 LINS STEVEN J DIRECTOR 1.00 8.00 X 0 1176 0 MONTGOMERY TABRON LA JUNE DIRECTOR 1.00 8.00 X 0 0 0 ODAR MICHAEL DIRECTOR 1.00 8.00 X 0 1116 0 ZELLER CHARLES DIRECTOR 1.00 8.00 X 0 736 0 SARDONE FRANK J PRESIDENT AND CEO 3.00 37.00 X X 0 1455276 414238 EAST REBECCA L SR VP CFO BHG 3.00 37.00 X 0 627307 167915 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 3.00 37.00 X 0 666937 168771 HARRELSON KATHLEEN M SR VP, CLINICAL OPERATIONS 3.00 37.00 X 0 673301 183984 HAYDEN JOHN VP & CHIEF HR OFFICER 3.00 37.00 X 0 537234 143416 JONES JR JOHN L SR. VP, REG. & PHYS. SVS. 3.00 37.00 X 0 667296 184862 LARSON SCOTT SR VP MEDICAL AFFAIRS/CMO 3.00 37.00 X 0 743968 155712 GOEL ASHUTOSH CHIEF MED INFORMATICS OFFI 3.00 37.00 X 0 453912 95562 RICHARDSON KIRK VP COO BLH 32.00 8.00 X 0 272513 74802 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 3.00 37.00 X 0 207167 57531 TRELLA REBECCA VP POST ACUTE CARE 3.00 37.00 X 0 300210 69453 WAY MICHAEL S VP MAT. MGT. & FACILITY SV 3.00 37.00 X 0 290739 81321 DOMMER MATTHEW PHYSICIAN 40.00 X 320960 0 62438 DUPUIS PEARCE PHYSICIAN 40.00 X 257380 0 29396 KHAIRALLAH NAJI PHYSICIAN 40.00 X 247918 0 27777 LEKOVIC MIRSEN PHYSICIAN 40.00 X 376530 0 26517 MIRZA NADEEM M PSYCHIATRIST 40.00 X 364075 0 32836 TAFT KENNETH L FORMER EXECUTIVE VICE PRESIDENT 0.00 0.00 X 0 190311 0 1566863 8568612 2072822 28 1 1 0 SW MI EMERGENCY SERVICES PC 125 S KALAMAZOO MALL SUITE 204 KALAMAZOO MI 49007 MEDICAL SERVICES 505347 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE 402018 2 5849 5849 NET PATIENT REVENUE 621110 55321643 55321643 PGIP REVENUE 900099 623922 623922 RENTAL REVENUE FROM AFFILIATED OR 532000 5252 5252 MEANINGFUL USE REVENUE 900099 -113074 -113074 55837743 2252 2252 34306 0 34306 34306 34306 CAFETERIA EMPLOYEE REVENUE 722310 163203 163203 OUTSIDE SERVICE REVENUE 900099 67312 67312 17532 17532 248047 56128197 56085790 0 36558 1250000 1250000 25585517 21204428 4381089 4498643 4318697 179946 1438886 1390866 48020 2287199 2283304 3895 7191 7191 1748077 1720474 27603 2948214 2732361 215853 58815 57662 1153 69849 68800 1049 2391382 2363598 27784 264996 208327 56669 MEDICAL SUPPLIES 3814474 3814474 BAD DEBT EXPENSE 2710047 2710047 ALLOCATION EXPENSE 1894684 76960 1817724 EQUIPMENT MAINT/REPAIR 605144 603368 1776 -53849 -53979 130 51519269 44756578 6762691 0 260419 730625 1845742 6117309 7256147 564233 595585 107548 140868 55392130 41733106 13882352 13659024 20931861 24227991 2636340 2171374 2702141 1854309 5338481 4025683 X 15593380 20202308 15593380 20202308 20931861 24227991 4608928 0 X 0 1 X 1 0 X 818892 818892 28031548 20417516 7614032 22141399 18582386 3559013 4400291 2733204 1667087 13659024 COST REPORT SETTLEMENTS 1854309 1854309 1 1 X 1 X 1 X 1 1 0 1 1 516004 516004 0.01060 18463 12228183 9949071 2279112 0.04670 18463 12744187 9949071 2795116 0.05730 6 47 105469 105469 0.00220 4 15 36355 36355 0.00070 11 20942 20942 0.00040 21 62 162766 162766 0.00330 21 18525 12906953 9949071 2957882 0.06060 2 1 2435 2435 0.00000 2 2460 2460 0.00000 4 1 4895 4895 0.00000 1 2710047 67433 10846289 11336082 -489793 X 1 1 1 1 BRONSON LAKEVIEW HOSPITAL 408 HAZEN STREET PAW PAW MI 49079 BRONSONHEALTH.COM X X X X BRONSON LAKEVIEW HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 1 0 1 X SEE PART V, PAGE 8 X 1 16 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 350.000000000000 X X X X X X 1 1 X X X X 1 X BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/ X BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/FINANCIAL-ASSIST X BRONSONHEALTH.COM/MEDICAL-FINANCIAL-ASSISTANCE/PLAIN-LANGUAGE-P X X X X X X 1 X 0 X 1 X 0 0 BRONSON LAKEVIEW HOSPITAL PART V, SECTION B, LINE 5: BRONSON LAKEVIEW TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENTED THE COMMUNITY USING THREE METHODS; RESIDENT SURVEYS, KEY INFORMANT SURVEYS AND KEY INFORMANT INTERVIEWS. A PAPER-BASED SURVEY SEEKING INPUT FROM COUNTY RESIDENTS PERTAINING TO HEALTH NEEDS AND BARRIERS WAS DISTRIBUTED AT COMMUNITY AGENCIES AND VAN BUREN COMMUNITY MENTAL HEALTH. 3190 COMPLETED SURVEYS WERE COLLECTED AND ANALYZED. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS BASED ON THEIR EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES, EXPERIENCE WITH VULNERABLE POPULATIONS OR STAKEHOLDER PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE KEY INFORMANTS INCLUDED PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY AND KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH. KEY INFORMANTS INCLUDED:-DOUG CULTRA, ADMINISTRATOR VAN BUREN COUNTY-KIRK RICHARDSON, VICE PRESIDENT BRONSON LAKEVIEW HOSPITAL-JOESEPH GOEPFRICH, DIRECTOR CHILD & FAMILY SERVICES OF SOUTHWEST MICHIGAN INC.-VERA TANIER, CEO VAN BUREN COUNTY UNITED WAY-CHRISTINE VANLANDINGHAM, DIRECTOR AREA AGENCY ON AGING -DEBRA HESS, CEO VAN BUREN COMMUNITY MENTAL HEALTH -MARK POMPEY, LEADER POKAGON TRIBAL SOCIAL SERVICES-VELMA HENDERSHOTT, DIRECTOR INTERCAREFOCUS GROUPS WITH VULNERABLE POPULATIONS WERE ALSO CONDUCTED BY AN INDEPENDENT CONSULTANT, AND WERE HELD AT THE FOLLOWING LOCATIONS:-FIRST CONGREGATIONAL CHURCH-VAN BUREN COMMUNITY MENTAL HEALTH HOPE CENTER-BANGOR HEALTH CLINIC BRONSON LAKEVIEW HOSPITAL PART V, SECTION B, LINE 6A: BRONSON METHODIST HOSPITALBRONSON BATTLE CREEK HOSPITAL BRONSON LAKEVIEW 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 2016-2019. 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 LAKEVIEW 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 7A WWW.BRONSONHEALTH.COM/APP/FILES/PUBLIC/2304/BLH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT.PDF PART V, SECTION B, LINE 10A WWW.BRONSONHEALTH.COM/APP/FILES/PUBLIC/5041/BLH-ACCESS-TO-CARE-IMPLEMENTATION-2017-.PDF PART I, LINE 3C: THE ORGANIZATION USES THE FOLLOWING FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS:250% OF FPL IS ENTITLED TO A 90% REDUCTION300% OF FPL IS ENTITLED TO A 75% REDUCTION350% OF FPL IS ENTITLED TO A 65% 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 $2,710,047 PART II, COMMUNITY BUILDING ACTIVITIES: BRONSON LAKEVIEW HOSPITAL (BLH) IS LOCATED IN THE COUNTY SEAT AND GENERATES EMPLOYMENT FOR OVER 430 EMPLOYEES. THE EMPLOYEES ARE ENCOURAGED TO BE INVOLVED IN VOLUNTEERISM WITHIN THE COMMUNITIES AND MOST NON PROFIT AGENCIES HAVE A BLH REPRESENTATIVE WORKING WITH THEM IN SOME CAPACITY. BRONSON HAS A VOLUNTEER TIME OFF PROGRAM WHERE EACH EMPLOYEE CAN GET UP TO FOUR HOURS OF PAID VOLUNTEER TIME TO SUPPORT COMMUNITY NONPROFITS. LOCATED ON MAPLE LAKE, THE ORGANIZATION MAKES ALL DECISIONS WITH THE ENVIRONMENT IN MIND AND UTILIZES GREEN TECHNOLOGY WHENEVER POSSIBLE.COMMUNITY HEALTH STAFF ARE INVOLVED WITH SEVERAL KEY COUNCILS INCLUDING THE HEALTH AND HUMAN SERVICES COUNCIL, GREAT START COLLABORATIVE AND OFFENDER SUCCESS TASK FORCE.BRONSON LAKEVIEW HOSPITAL (AND THE OTHER HOSPITALS THAT ARE PART OF THE BRONSON HEALTHCARE GROUP) CONDUCTED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016. 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: AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENTS ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA RELATED TO THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. 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 HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS 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. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. THIS 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 LAKEVIEW HOSPITAL IS A CRITICAL ACCESS HOSPITAL THAT HAS AN INPATIENT PSYCHIATRIC FACILITY AS WELL AS THREE RURAL HEALTH CLINICS. THE INPATIENT PSYCHIATRIC FACILITY HAD A MEDICARE SHORTFALL OF $123,385, AND THE RURAL HEALTH CLINICS HAD A MEDICARE SHORTFALL OF $347,687. THE REMAINING SHORTFALL OF $18,721 IS DUE TO SEQUESTRATION REDUCING INPATIENT AND OUTPATIENT PAYMENTS. THE SHORTFALL IS COUNTED TOWARDS THE COMMUNITY BENEFIT.PART III, LINE 7: BRONSON LAKEVIEW HOSPITAL EXPERIENCE ADDITIONAL COMMUNITY BENEFIT EXPENSE OF $6,699,084 AND DIRECT OFFSETTING REVENUE OF $5,485,879 FOR A NET COMMUNITY BENEFIT OF $1,213,205 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 LAKEVIEW HOSPITAL (BLH) 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 LAKEVIEW HOSPITAL (BLH) SERVES VAN BUREN COUNTY WHICH IS APPROXIMATELY 75,000 RESIDENTS. THE COUNTY IS AGRICULTURAL AND HAS HIGHER THAN STATE AVERAGE UNEMPLOYMENT. FIVE PROVIDER BASED HEALTH CLINICS ARE STRATEGICALLY PLACED THROUGHOUT EASTERN VAN BUREN COUNTY TO PROVIDE ACCESS TO CARE. THE CLINICS ACCEPT PATIENTS REGARDLESS OF ABILITY TO PAY AND HAVE CHARITY CARE PROCESSES IN PLACE. PART VI, LINE 5: BRONSON LAKEVIEW HOSPITAL (BLH) 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. BRONSON LAKEVIEW HOSPITAL IS THE ONLY HOSPITAL IN THE BRONSON SYSTEM THAT HAS CRITICAL ACCESS HOSPITAL (CAH) DESIGNATION. BLH 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 SUPPORT GROUPS FOR THOSE WHO ARE ALZHEIMERS CAREGIVERS. BLH 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, GREAT START COLLABORATIVE, OFFENDER SUCCESS TASK FORCE, HEALTH AND HUMAN SERVICES COUNCIL AND PAW PAW KIWANIS. THE HOSPITAL ALSO WORKS WITH LOCAL SCHOOL SYSTEMS TO PROVIDE CAREER DAY PROGRAMS AND VOCATIONAL TECH SCHOOL-TO-WORK INITIATIVESS AND DOES AN INSURANCE ENROLLMENT OUTREACH. PART VI, LINE 6: BRONSON LAKEVIEW HOSPITAL (BLH) IS PART OF AN AFFILIATED SYSTEM THAT INCLUDES THREE OTHER HOSPITALS, BRONSON METHODIST HOSPITAL, BRONSON SOUTH HAVEN 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 PROVIDING EXCELLENT HEALTHCARE TO THEIR COMMUNITIES. THESE ENTITIES INCLUDE: BRONSON HEALTHCARE GROUP, BRONSON COMMONS, BRONSON LIFESTYLE IMPROVEMENT & RESEARCH CENTER, BRONSON HEALTH FOUNDATION, BRONSON AT HOME, VBEMS, & BRONSON PROPERTIES CORPORATION. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 BRONSON HEALTHCARE GROUP 601 JOHN STREET KALAMAZOO MI 49007 382418383 501(C)(3) 1250000 GENERAL SUPPORT 1 0 PART I, LINE 2: THERE IS NO FORMAL PROCEDURE. GENERALLY GRANTS ARE UNRESTRICTED. THE GRANTS ARE MADE BY THE ORGANIZATION ON A DISCRETIONARY BASIS FOR PURPOSES CONSISTENT WITH THE ORGANIZATIONS'S MISSION. X X 1 1 0 1 0 0 0 0 0 0 0 LAWLOR JOHN CHIEF OF STAFF 0 407024 0 10800 0 18847 0 13400 0 16755 0 466826 0 0 KARAMCHANDANI MAHESH C DIRECTOR 0 635400 0 64929 0 23160 0 13400 0 17324 0 754213 0 0 LANE-DAVIES AARON PAST CHIEF OF STAFF 0 249404 0 13013 0 451 0 16809 0 18603 0 298280 0 0 SARDONE FRANK J PRESIDENT AND CEO 0 852504 0 361576 0 241196 0 401226 0 13012 0 1869514 0 361576 EAST REBECCA L SR VP CFO BHG 0 400643 0 132538 0 94126 0 150689 0 17226 0 795222 0 132538 FALAHEE JAMES SR VP LEGAL & LEG. AFFAIRS 0 392730 0 128146 0 146061 0 149687 0 19084 0 835708 0 198273 HARRELSON KATHLEEN M SR VP, CLINICAL OPERATIONS 0 427654 0 145934 0 99713 0 166766 0 17218 0 857285 0 145934 HAYDEN JOHN VP & CHIEF HR OFFICER 0 327567 0 101056 0 108611 0 132362 0 11054 0 680650 0 145677 JONES JR JOHN L SR. VP, REG. & PHYS. SVS. 0 358124 0 131397 0 177775 0 165757 0 19105 0 852158 0 179412 LARSON SCOTT SR VP MEDICAL AFFAIRS/CMO 0 445889 0 124504 0 173575 0 143262 0 12450 0 899680 0 210211 GOEL ASHUTOSH CHIEF MED INFORMATICS OFFI 0 369079 0 65497 0 19336 0 94541 0 1021 0 549474 0 63054 RICHARDSON KIRK VP COO BLH 0 212429 0 41371 0 18713 0 55850 0 18952 0 347315 0 33371 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 0 175548 0 30609 0 1010 0 50782 0 6749 0 264698 0 30609 TRELLA REBECCA VP POST ACUTE CARE 0 257619 0 41507 0 1084 0 57232 0 12221 0 369663 0 41507 WAY MICHAEL S VP MAT. MGT. & FACILITY SV 0 213467 0 56888 0 20384 0 64515 0 16806 0 372060 0 56888 DOMMER MATTHEW PHYSICIAN 290265 0 12413 0 18282 0 56496 0 5942 0 383398 0 0 0 DUPUIS PEARCE PHYSICIAN 240545 0 16677 0 158 0 12414 0 16982 0 286776 0 0 0 KHAIRALLAH NAJI PHYSICIAN 240809 0 5677 0 1432 0 15651 0 12126 0 275695 0 0 0 LEKOVIC MIRSEN PHYSICIAN 352873 0 23364 0 293 0 10551 0 15966 0 403047 0 0 0 MIRZA NADEEM M PSYCHIATRIST 339716 0 13159 0 11200 0 13401 0 19435 0 396911 0 2632 0 TAFT KENNETH L FORMER EXECUTIVE VICE PRESIDENT 0 2500 0 116681 0 71130 0 0 0 0 0 190311 0 116681 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 EXPLANATION: 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 HARRELSON, KATHLEEN $79,023 SERP CONTRIBUTION FALAHEE JR.,JAMES B $70,127 SERP DISTRIBUTION FALAHEE JR.,JAMES B $70,609 SERP CONTRIBUTION TAFT, KENNETH L $71,130 SERP DISTRIBUTION SARDONE,FRANK J $201,160 SERP CONTRIBUTION JONES JR, JOHN $48,015 SERP DISTRIBUTION JONES JR, JOHN $73,095 SERP CONTRIBUTION LARSON,SCOTT D $85,707 SERP DISTRIBUTION LARSON,SCOTT D $78,088 SERP CONTRIBUTION EAST, REBECCA $75,672 SERP CONTRIBUTION HAYDEN,JOHN T $44,621 SERP DISTRIBUTION HAYDEN,JOHN T $61,014 SERP CONTRIBUTION PART II, COLUMN (B) (III) AND (F) EXPLANATION: INCLUDED IN PART II, COLUMN (B) (III) AND (F) ARE AMOUNTS THAT WERE PAID TO THE EXECUTIVE 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 COMPENSATION 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 90097 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 MARLA ATKINSON SPOUSE OF BOARD MEMBER MARK ATKINSON 149057 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 JAIDEEP KARAMCHANDANI SON OF BOARD MEMBER MAHESH KARAMCHANDANI 68929 TOTAL COMPENSATION FOR BEING AN EMPLOYEE OF BRONSON METHODIST HOSPITAL 0 FORM 990, PART VI, SECTION A, LINE 2 KENNETH TAFT, 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 LAKEVIEW HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON METHODIST HOSPITAL (BMH) AND AS SUCH MEMBER IT ELECTS 10-15 OF THE TOTAL 20-24 MEMBERS OF THE BMH BOARD. COMMUNITY PARTNERS SHALL, AFTER CONSULTING WITH AND SEEKING INPUT FROM THE NOMINATING COMMITTEE OF BHG, APPOINT 6 MEMBERS TO THE BOARD. THE REMAINING 3 MEMBERS OF THE BOARD SHOULD BE EX OFFICIO, WITH VOTE, AND SHALL CONSIST OF THE PRESIDENT, THE CHIEF OF STAFF, AND IMMEDIATE PAST CHIEF OF THE MEDICAL STAFF OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B BRONSON HEALTHCARE GROUP (BHG) IS THE SOLE MEMBER OF BRONSON LAKEVIEW HOSPITAL (BLH) AND HAS CERTAIN RESERVED POWERS OVER THE ACTIONS OF BLH. 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 9, 2018 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 22ND, 2018. 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 2017. 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. 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. BRONSON HEALTHCARE GROUP 601 JOHN STREET KALAMAZOO MI 49007 382418383 PROVIDE SUPPORT SERVICES MI 501(C)(3) LINE 12C, III-FI N/A 0 BRONSON METHODIST HOSPITAL 601 JOHN STREET KALAMAZOO MI 49007 381359087 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 BRONSON HEALTH FOUNDATION 601 JOHN STREET KALAMAZOO MI 49007 382415081 SUPPORTS HEALTHCARE ORGANIZATION MI 501(C)(3) LINE 11 BRONSON HEALTHCARE GROUP 0 BRONSON COMMONS 23332 RED ARROW HWY MATTAWAN MI 49071 382842451 SKILLED NURSING MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 VBEMS 39338 W RED ARROW HWY PAW PAW MI 49079 382745910 AMBULANCE SERVICES MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 BRONSON PROPERTIES CORPORATION 601 JOHN STREET KALAMAZOO MI 49007 386052573 PROVIDE SUPPORT SERVICES MI 501(C)(3) LINE 12B, II BRONSON HEALTHCARE GROUP 0 BRONSON BATTLE CREEK HOSPITAL 300 NORTH AVE BATTLE CREEK MI 49016 382776791 HOSPITAL MI 501(C)(3) LINE 3 BRONSON HEALTHCARE GROUP 0 BRONSON AT HOME 165 N WASHINGTON AVE BATTLE CREEK MI 49037 383298476 NURSING, HOSPICE, & EQUIP SALES MI 501(C)(3) LINE 10 BRONSON HEALTHCARE GROUP 0 BRONSON SOUTH HAVEN HOSPITAL 955 S BAILEY AVE SOUTH HAVEN MI 49090 381676780 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 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 1 0 BRONSON BATTLE CREEK HOSPITAL O 71455 METHOD BASED ON ACTUAL COST BRONSON HEALTHCARE GROUP L 1632854 METHOD BASED ON ACTUAL COST BRONSON HEALTHCARE GROUP M 2984931 METHOD BASED ON ACTUAL COST BRONSON HEALTHCARE GROUP O 9070469 METHOD BASED ON ACTUAL COST BRONSON HEALTHCARE GROUP B 1250000 CASH TRANSFER BRONSON METHODIST HOSPITAL L 5663917 METHOD BASED ON ACTUAL COST BRONSON METHODIST HOSPITAL O 890072 METHOD BASED ON ACTUAL COST BRONSON METHODIST HOSPITAL M 732532 METHOD BASED ON ACTUAL COST BRONSON PROPERTIES CORP M 2364541 METHOD BASED ON ACTUAL COST BRONSON PROPERTIES CORP L 63146 METHOD BASED ON ACTUAL COST