2017-11-13T10:01:34-06:00 2016-12-31 381357951 PLANTE & MORAN PLLC 10 S Riverside Plaza 9th Floor Chicago IL 60606 990 2016-01-01 383298476 BRONSON AT HOME BRON 2693416000 601 John Street Kalamazoo MI 49007 REBECCA EAST Senior VP/CFO 2693416000 2017-11-07 1 David Lowenthal P00378651 3122071040 2017-11-07 73.73.21.99 2017-11-07 21:14:41 CS P 9ECD6B0A05325886FC282FEEB9EB1904C833506E 75C7EC6AC54A61BA087900A4F9B91D17BA572CD0 2016 2021-01-29 14:40:06Z Frank Sardone 301 John Street Kalamazoo MI 49007 13171503 0 X bronsonhealth.com X 1996 MI Together, we advance the health of our communities 19 12 348 73 0 0 245928 90562 20343988 12982854 96870 71342 14776 26745 20701562 13171503 2500 0 0 0 14831470 17144875 0 0 0 5909713 6992505 20743683 24137380 -42121 -10965877 15973267 14293968 3904776 13108873 12068491 1185095 Together, we advance the health of our communities 0 0 21358910 13009599 Hospice Care for the terminally ill including medical, nursing and personal care in both patients' home and in our hospice residence. Provision of Skilled Home Care Services under direct supervision of a Physician. Rental and sales of home and durable medical equipment and supplies to patients. Immunization programs and private duty nursing including health screening, immunization and pediatric waiver care. 642387 IN 2016, IN FURTHERANCE OF ITS MISSION, BAH INCURRED $642,387 IN BADDEBT TO PROVIDE CARE TO ITS PATIENTS. BAH ALSO INCURRED $278,108 IN CHARITY CARE EXPENSE. 22001297 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 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 19 0 1 348 1 0 0 0 0 0 0 0 0 0 0 X 19 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X REBECCA EAST Senior VPCFO 2693416000 301 John Street Kalamazoo MI 49007 Parfet Donald Chairperson 1.00 8.00 X X 0 2119 0 Eberts Randall Vice Chairperson 1.00 8.00 X X 0 2467 0 Karre Nelson Vice Chairperson 1.00 8.00 X X 0 0 0 James Barbara Treasurer 1.00 8.00 X X 0 2100 0 Wardwell Geoffrey Secretary 1.00 8.00 X X 0 962 0 Atkinson Mark B MD Director 1.00 8.00 X 0 1921 0 Gibson Scott MD Director 1.00 8.00 X 0 73450 0 Greene James E Director 1.00 8.00 X 0 1863 0 Gunderson James Director 1.00 8.00 X 0 1615 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 785883 28745 Lane-Davies Aaron Director 1.00 8.00 X 0 267643 35444 Lawlor John Director 1.00 8.00 X 0 420294 28103 Liggins James L Director 1.00 8.00 X 0 0 0 Lins Steven J MD Director 1.00 8.00 X 0 150 0 Montgomery Tabron La June Director 1.00 8.00 X 0 0 0 Nyberg Neil Director 1.00 8.00 X 0 1471 0 Odar Michael Director 1.00 8.00 X 0 0 0 Richardson William Director 1.00 8.00 X 0 1549 0 Wilson-Oyelaran Eileen Director 1.00 8.00 X 0 0 0 Zeller Charles MD Director 1.00 8.00 X 0 1751 0 Sardone Frank J President and CEO 0.30 39.70 X X 0 1583818 401445 Taft Kenneth L Executive Vice President 0.30 39.70 X 0 749450 156989 East Rebecca L Sr VP CFO BHG 0.30 39.70 X 0 528562 164887 Falahee James Sr VP Legal & Leg. Affairs 0.30 39.70 X 0 624777 174097 Hayden John VP & Chief HR Officer 0.30 39.70 X 0 531240 128510 Larson Scott MD Sr VP Medical Affairs/CMO 0.30 39.70 X 0 687269 151899 Harrelson Kathleen M Sr VP, Clinical Operations 0.30 39.70 X 0 504933 187565 Jones Jr John L Sr. VP, Reg. & Phys. Svs. 0.30 39.70 X 0 467239 173331 Neeley Denise VP CNO 0.30 39.70 X 0 322925 87626 Way Michael S VP Mat. Mgt. & Facility Svs. 0.30 39.70 X 0 280413 98206 Trella Rebecca VP Post Acute Care 0.30 39.70 X 0 262274 55376 Highlander-Ellefson Nancy K Physical Therapist 40.00 0.00 X 125446 0 6957 Holt Vicki L Physical Therapist 40.00 0.00 X 150449 0 26144 Mehta Vimal Physical Therapist 40.00 0.00 X 135764 0 20538 Messecar Kimberly J HH Clinical Rehab Supervisor 40.00 0.00 X 124993 0 25053 Switzer James W Registered Nurse 40.00 0.00 X 123674 0 24322 660326 8108138 1975237 13 0 1 0 PT SOLUTIONS 201 WEST WASHINGTON ZEELAND MI 49464 CONTRACT PT SERVICES 357260 SIMIONE HEALTHCARE CONSULTANTS 4130 WHITNEY AVE HAMDEN CT 06518 INTERIM LEADERSHIP SERVICE 163882 2 40574 49988 90562 Net Patient Srv Rev 621400 12982854 12982854 12982854 71342 71342 12800 0 12800 12800 12800 OUTSIDE SERVICE REVENUE 900099 12966 12966 NON OPERATING MISC REVENUE 900099 979 979 13945 13171503 13009599 0 71342 14481422 13297263 1184159 1727811 1727811 935642 935642 520500 520500 5519 5519 872634 872634 8841 8841 458897 458897 653907 653907 10422 10422 674435 674435 31833 31833 MEDICAL SUPPLY 1921598 1921598 BHG SERVICE ALLOCATION 951924 951924 Bad Debt Expense 642387 642387 Equipment Rental/Mainte 187799 187799 51809 51809 24137380 22001297 2136083 0 279454 1396585 2317914 1961426 5967289 4573780 258332 214980 5390 8100098 2196296 6053241 5903802 1097037 238005 15973267 14293968 1126798 1285293 2777978 11823580 3904776 13108873 X 11742167 858771 141324 141324 185000 185000 12068491 1185095 15973267 14293968 -10965877 82481 0 X X 0 1 X 1 0 X 51872 152226 53330 245928 90563 593919 17205314 16816278 16095730 20343989 12982854 83444165 17257186 16968504 16149060 20589917 13073417 84038084 0 0 0 84038084 132100 110208 190900 96870 84142 614220 132100 110208 190900 96870 84142 614220 2411 848 14775 13946 31980 17389286 17081123 16340808 20701562 13171505 84684284 0.99240 0.99200 0.00730 0.00730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2710000 2710000 1919608 369821 1549787 223889 223889 3199346 1825936 1373410 47255 539 46716 5903802 COST REPORT SETTLEMENT 5071658 ACCOUNTS PAYABLE BHG 6751922 11823580 X 1 1 0 1 0 0 0 0 0 0 0 Karamchandani Mahesh C Director 0 726349 0 34762 0 24772 0 13250 0 15495 0 814628 0 0 Lane-Davies Aaron Director 0 225585 0 40448 0 1610 0 16773 0 18671 0 303087 0 0 Lawlor John Director 0 357170 0 42966 0 20158 0 13250 0 14853 0 448397 0 0 Sardone Frank J President and CEO 0 821008 0 313794 0 449016 0 388076 0 13369 0 1985263 0 217342 Taft Kenneth L Executive Vice President 0 389703 0 161920 0 197827 0 141843 0 15146 0 906439 0 77646 East Rebecca L Sr VP CFO BHG 0 347116 0 96304 0 85142 0 149763 0 15124 0 693449 0 0 Falahee James Sr VP Legal & Leg. Affairs 0 373899 0 112620 0 138258 0 154646 0 19451 0 798874 0 65507 Hayden John VP & Chief HR Officer 0 309950 0 96950 0 124340 0 118281 0 10229 0 659750 0 83769 Larson Scott MD Sr VP Medical Affairs/CMO 0 422437 0 104558 0 160274 0 139079 0 12820 0 839168 0 77408 Harrelson Kathleen M Sr VP, Clinical Operations 0 357002 0 79401 0 68530 0 172434 0 15131 0 692498 0 0 Jones Jr John L Sr. VP, Reg. & Phys. Svs. 0 328319 0 72000 0 66920 0 153922 0 19409 0 640570 0 0 Neeley Denise VP CNO 0 255438 0 47700 0 19787 0 75046 0 12580 0 410551 0 0 Way Michael S VP Mat. Mgt. & Facility Svs. 0 205537 0 55468 0 19408 0 83388 0 14818 0 378619 0 0 Trella Rebecca VP Post Acute Care 0 233417 0 27900 0 957 0 42871 0 12505 0 317650 0 0 Holt Vicki L Physical Therapist 142023 0 750 0 7676 0 7446 0 18698 0 176593 0 0 0 Mehta Vimal Physical Therapist 134966 0 750 0 48 0 7095 0 13443 0 156302 0 0 0 Messecar Kimberly J HH Clinical Rehab Supervisor 120314 0 4369 0 310 0 6423 0 18630 0 150046 0 0 0 Part I, Line 1a HEALTH CLUB DUES ARE AVAILABLE FOR 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 PARTICIPATED IN OR RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FROM RELATED ENTITY BRONSON HEALTHCARE GROUP: TAFT,KENNETH L $77,646 SERP DISTRIBUTION TAFT,KENNETH L $87,018 SERP CONTRIBUTION FALAHEE JR.,JAMES B $65,507 SERP DISTRIBUTION FALAHEE JR.,JAMES B $67,724 SERP CONTRIBUTION SARDONE,FRANK J $217,342 SERP DISTRIBUTION SARDONE,FRANK J $190,920 SERP CONTRIBUTION LARSON,SCOTT D $77,408 SERP DISTRIBUTION LARSON,SCOTT D $74,846 SERP CONTRIBUTION HAYDEN,JOHN T $83,769 SERP DISTRIBUTION HAYDEN,JOHN T $38,389 SERP CONTRIBUTION EAST, REBECCA $66,751 SERP CONTRIBUTION HARRELSON, KATHLEEN $48,820 SERP CONTRIBUTION JONES JR, JOHN $44,861 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 COMPENSATION PACKAGE WAS APPROVED BY AN INDEPENDENT CONSULTANT TO AWARDED TO EXECUTIVES OF COMPARABLE HEALTH CARE ORGANIZATIONS. EXECUTIVE'S ACCOUNT IN THE SERP EACH YEAR AND EACH EXECUTIVES TOTAL 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 86152 Total compensation for being an employee of Bronson Methodist Hospital 0 Marla Atkinson spouse of board member Mark Atkinson 136953 Total compensation for being an employee of Bronson Methodist Hospital 0 jaideep Karamchandani son of board member mahesh Karamchandani 17091 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 At Home. Form 990, Part VI, Section A, line 7a Bronson Healthcare Group (BHG) is the sole member of Bronson At Home and as such member it elects 10 of the total 19 members of the Bronson At Home 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 At Home and has certain reserved powers over the actions of Bronson At Home. The Board of Directors has the power to: - Amendment, restatement, or repeal 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 5TH, 2017 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 23RD, 2017. 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 organizations general counsel/corporate compliance officer and the Boards executive committee. All board members and all employees holding the title of Vice President and above are covered by the conflict of interest policy and annually complete the conflict of interest questionnaire. All completed conflict of interest questionnaires are reviewed by the organizations 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 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 2016. 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 consultants report). At the subsequent meeting of the full Board of Directors, the Chair presents recommendations of the Executive Committee, and the full Board acts on a formal motion that is seconded and voted on. 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 XII, LINE 2C BRONSON AT HOME HAS AN AUDIT COMMITTEE THAT ASSUMES responsibility FOR OVERSIGHT 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 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 Lakeview Hospital 408 Hazen St Paw Paw MI 49079 381359218 hospital MI 501(c)(3) Line 3 bronson Healthcare Group 0 VBEMS Inc 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 Health Foundation 601 John Street kalamazoo MI 49007 382415081 supports healthcare organization MI 501(c)(3) Line 7 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 Commons 23332 Red Arrow Hwy Mattawan MI 49071 382842451 skilled nursing MI 501(c)(3) Line 10 bronson Healthcare Group 0 Bronson Healthcare Midwest 601 John Street Kalamazoo MI 49007 462134675 Physician services 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 inc 6212 American Ave portage MI 49002 383302797 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 Lifesyle Improvement and Research Center 601 John Street kalamazoo MI 49007 383552556 rehabiliation services MI N/A C 0 Bronson Practice Management 601 John Street kalamazoo MI 49007 382511179 other medical 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 0 1 0 1 0 0 0 0 Bronson Healthcare Group M 814424 method based on actual cost Bronson Methodist Hospital M 85667 method based on actual cost BRONSON BATTle Creek Hospital M 764112 METHod based on actual cost BRONSON HEalthcare Group O 2855742 method based on actual cost BRONSON BATTle Creek Hospital O 79547 method based on actual cost