2018-11-09T16:32:33-06:00 2017-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2017-01-01 381676780 BRONSON SOUTH HAVEN 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 13:10:04 CS P 4869E5F49B9973F149F13A18DEB0F85868CD0247 75C7EC6AC54A61BA087900A4F9B91D17BA572CD0 2017 2019-02-21 02:37:17Z X FRANK SARDONE 301 JOHN STREET KALAMAZOO MI 49007 40278729 0 X BRONSONHEALTH.COM X 2017 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES 22 15 431 77 0 0 55861 38182784 -24153 2029419 40243911 0 0 24063889 0 0 17309821 41373710 -1129799 22991219 5416753 17574466 X TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES 0 0 26169640 32417807 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 TREATS ABOUT 13,429 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. 9364567 7520933 IN 2017, BSH'S MEDICAID COST WAS $9,364,567 AND MEDICAID NET REVENUE WAS $7,520,933 2496277 IN 2017, IN FURTHERANCE OF ITS MISSION, BSH INCURRED $2,496,278 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS. 38030484 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 32 0 1 431 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 LAWLOR JOHN CHIEF OF STAFF 1.00 8.00 X X 0 436671 30155 JAMES BARBARA TREASURER 1.00 8.00 X X 0 1830 0 NYBERG NEIL SECRETARY 1.00 8.00 X X 0 987 0 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 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 3.00 37.00 X 0 207167 57531 TRELLA REBECCA VICE PRESIDENT 3.00 37.00 X 0 300210 69453 WAY MICHAEL S VP MAT. MGT. & FACILITY SV 3.00 37.00 X 0 290739 81321 AKRAMI BRIAN PHYSICIAN 40.00 X 391650 0 25089 CAUDILL ALLAN PHYSICIAN 40.00 X 584103 0 19225 KOSTIUK THEODORE PHYSICIAN 40.00 X 521593 0 25232 LOAFMAN NICHOLAS PHYSICIAN 40.00 X 721442 0 27461 NIKKEL MARK PHYSICIAN 40.00 X 547380 0 27538 TAFT KENNETH L FORMER EXECUTIVE VICE PRESIDENT 0.00 0.00 X 0 190311 0 2766168 8296099 1943601 27 1 1 0 MAKANDE DANIEL 61087 34TH AVENUE BANGOR MI 49013 PHYSICIAN PROFESSIONAL FEES 234365 EMERGENCY PHYSICIANS MEDICAL GROUP 2000 GREEN ROAD ANN ARBOR MI 48105 EMERGENCY DEPARTMENT MANAGEMENT FEES 158321 2 55861 55861 NET PATIENT REVENUE 621110 37517187 37517187 MEANINGFUL USE REVENUE 900099 468685 468685 PGIP REVENUE 900099 172749 172749 RENTAL REVENUE FROM AFFILIATED OR 532000 24163 24163 38182784 7415 7415 35218 0 35218 35218 35218 3250 34818 -31568 -31568 -31568 WELLNESS CENTER REVENUE 713940 1748267 1748267 CAFETERIA EMPLOYEE REVENUE 722310 125842 125842 PURCHASE DISCOUNTS 900099 7689 7689 112403 112403 1994201 40243911 39938740 0 249310 X 20139241 17749276 2389965 2868539 2638704 229835 1056109 951824 104285 -1694 -1694 4557316 4242736 314580 207808 207808 1045225 899713 145512 797801 797801 76948 76449 499 19432 19432 1401752 1395790 5962 -145718 -145718 MEDICAL SUPPLY 5380938 5380938 BAD DEBT EXPENSE 2496277 2496277 EQUIPMENT MAINT/REPAIR 1205986 1205986 BHG SERVICE ALLOCATION 300000 300000 -32250 -32250 41373710 38030484 3343226 0 0 0 5380887 588225 26992 18439774 1444659 0 16995115 0 22991219 3260554 18055 0 2138144 0 5416753 X 0 17574466 0 17574466 0 22991219 X -1129799 18704265 X X 0 1 X 1 0 X 1494522 1494522 12601030 409578 12191452 4168395 994345 3174050 175827 40736 135091 16995115 COST REPORT SETTLEMENTS 1533472 ACCOUNTS PAYABLE BHG 556615 FUTURE INSURANCE CLAIMS PAYABLE 50000 OTHER LIABILITIES -1943 2138144 1 1 X 1 X 1 X 1 1 0 1 1 122417 122417 0.00310 20755 9364567 7520933 1843634 0.04740 20755 9486984 7520933 1966051 0.05050 15 692 111650 111650 0.00290 6 3974 3974 0.00010 21 692 115624 115624 0.00300 21 21447 9602608 7520933 2081675 0.05350 1 2496278 38464 5193472 8132224 -2938752 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:150% OR BELOW OF FPL IS ENTITLED TO A 100% REDUCTION200% OF FPL IS ENTITLED TO A 75% REDUCTION250% OF FPL IS ENTITLED TO A 50% REDUCTION300% OF FPL IS ENTITLED TO A 25% REDUCTION400% OF FPL IS ENTITLED TO A 10% 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 $2,496,278 PART II, COMMUNITY BUILDING ACTIVITIES: BRONSON SOUTH HAVEN HOSPITAL (BSHH) GENERATES EMPLOYMENT FOR OVER 400 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: AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT 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 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 $2,168,712, AND THE RURAL HEALTH CLINICS HAD A MEDICARE SHORTFALL OF $183,807. THE REMAINING SHORTFALL OF $586,233 IS DUE TO SEQUESTRATION REDUCING OUTPATIENT PAYMENTS. THE SHORTFALL IS COUNTED TOWARDS THE COMMUNITY BENEFIT.PART III, LINE 7: BRONSON SOUTH HAVEN HOSPITAL HOSPITAL EXPERIENCE ADDITIONAL COMMUNITY BENEFIT EXPENSE OF $5,501,377 AND DIRECT OFFSETTING REVENUE OF $3,714,533 FOR A NET COMMUNITY BENEFIT OF $1,786,844 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. WELLNESS CENTER WAS AWARDED WITH THE GRANT TO FUND THE EAT HEALTHY, BE ACTIVE PROGRAM FROM THE STATE, WHICH PROVIDES COMMUNITY FOOD DEMO'S, THIS SERVED ABOUT 3,200 PEOPLE DURING 20172. THE SCHOLARSHIP PROGRAM SERVED 68 ADULTS WITH FULL ONE YEAR SCHOLARSHIPS ($52,719)A. MEMBERSHIP FOR 12 MONTHSB. PRE ASSESSMENT, MID-YEAR ASSESSMENT AND YEAR END ASSESSMENTC. FIVE PERSONAL TRAINING SESSIONS TO GET STARTED3. WELLNESS CENTER PARTICIPATED IN CASCO HEALTH FAIR (ALLEGAN COUNTY)4. WELLNESS CENTER PARTNERED WITH SOUTH HAVEN PUBLIC SCHOOLS ON THEIR USDA FARM TO SCHOOL GRANT AND PROVIDED NUTRITION EXPERTISE TO THE FOOD SERVICE DEPARTMENT RELATED TO STUDENT HEALTH NEEDS AND FRUIT AND VEGETABLE CONSUMPTIONS. WE ALSO CO-TAUGHT LESSONS IN THE GARDEN.5. WELLNESS CENTER PROVIDES 2-3 ONE HOUR NUTRITION EDUCATION CLASSES PER MONTH AT THE WELLNESS CENTER AVAILABLE TO ALL COMMUNITY MEMBERS FOR FREE. 6. WELLNESS CENTER HOSTS BOY SCOUTS OF AMERICA FOR SCOUT TESTING AND RECREATIONS DAYS.7. WELLNESS CENTER PARTNERED WITH SOUTH HAVEN PUBLIC SCHOOL TO PROVIDE THE POOL TO THE HIGH SCHOOL GIRLS SWIM TEAM WHEN THEIR REMODEL WAS DELAYED.8. WELLNESS CENTER WAS A FIELD TRIP SITE FOR PRESCHOOLS IN THE AREA.9. WELLNESS CENTER PROVIDES WELLNESS AND NUTRITION EDUCATION TO A VARIETY OF COMMUNITY ORGANIZATIONS INCLUDING THE SCOTT'S CLUB, TEEN HOPE PARENT RECOURSE CENTER, WECARE, ROTARY, KIWANIS, BOY SCOUTS, GIRL SCOUTS, GIRLS ON THE RUN, SHPS SPORT TEAMS AND OTHERS.10. WELLNESS CENTER PROVIDES STAFF FOR SOUTH HAVEN SCHOOL WELLNESS POLICY COMMITTEE.11. WELLNESS CENTER PARTNERS WITH COVERT SENIOR CENTER AND SOUTH HAVEN SENIOR CENTER TO PROVIDE PROGRAM OUTSIDE OF THE GRANT PROGRAMMING PROVIDED. THIS PROGRAMMING IS ALWAYS FREE TO THE SENIOR CENTERS. 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 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 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 SANGALLI-DAVIS CHRISTINE VP CHIEF COMPLIANCE OFFICER 0 175548 0 30609 0 1010 0 50782 0 6749 0 264698 0 30609 TRELLA REBECCA VICE PRESIDENT 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 AKRAMI BRIAN PHYSICIAN 373020 0 0 0 18630 0 8100 0 16989 0 416739 0 0 0 CAUDILL ALLAN PHYSICIAN 550215 0 9800 0 24088 0 8100 0 11125 0 603328 0 0 0 KOSTIUK THEODORE PHYSICIAN 520811 0 0 0 782 0 8100 0 17132 0 546825 0 0 0 LOAFMAN NICHOLAS PHYSICIAN 702713 0 0 0 18729 0 7947 0 19514 0 748903 0 0 0 NIKKEL MARK PHYSICIAN 528002 0 0 0 19378 0 8100 0 19438 0 574918 0 0 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 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 TAFT, KENNETH L $71,130 SERP DISTRIBUTION HARRELSON, KATHLEEN $79,023 SERP CONTRIBUTION FALAHEE JR.,JAMES B $70,127 SERP DISTRIBUTION FALAHEE JR.,JAMES B $70,609 SERP CONTRIBUTION 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) 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 SOUTH HAVEN 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 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 9TH, 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. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,693,820. MANAGEMENT AND GENERAL EXPENSES 314,580. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,008,400. RECRUITMENT EXPENSE: PROGRAM SERVICE EXPENSES 24,016. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,016. PHYSICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,524,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,524,900. FORM 990, PART XI, LINE 9: INHERENT CONTRIBUTION OF ACQUISITION 18,758,884. CONTRIBUTION FROM BHF -55,861. ROUNDING ON AUDITED FINANCIAL STATEMENT 1,242. FORM 990, PART XII, LINE 2C: BRONSON HEALTHCARE GROUP HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTING FIRM. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 180804 METHOD BASED ON ACTUAL COST BRONSON METHODIST HOSPITAL L 2187348 METHOD BASED ON ACTUAL COST BRONSON HEALTHCARE GROUP M 429843 METHOD BASED ON ACTUAL COST BRONSON METHODIST HOSPITAL M 681395 METHOD BASED ON ACTUAL COST BRONSON HEALTHCARE GROUP O 3592876 METHOD BASED ON ACTUAL COST BRONSON HEALTH FOUNDATION C 55861 CASH TRANSFER