2025-11-04T15:55:51+00:00 2024-12-31 331498605 Plante & Moran PLLC 10 SOUTH RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2024-01-01 382776791 Bronson Battle Creek Hospital BRON 2692458496 2825 AIRVIEW BLVD KALAMAZOO MI 49002 BILL MANNS PRESIDENT AND CEO 2025-11-04 true true DAVID LOWENTHAL CPA P00378651 3122071040 2025-11-04 2024 2025-03-06 01:10:19Z X BILL MANNS 2825 AIRVIEW BLVD KALAMAZOO MI 49002 373636305 false X WWW.BRONSONHEALTH.COM X 1987 MI TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. 18 16 1865 72 4297110 259402 15215539 18827962 320827466 349316057 -234647 -583130 4437714 5282497 340246072 372843386 2847439 81986 0 0 189691513 194653819 0 0 153116823 163158833 345655775 357894638 -5409703 14948748 148416496 158283252 30839258 25825855 117577238 132457397 TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES. false false 314390865 81986 347484140 BRONSON BATTLE CREEK HOSPITAL (BBCH) IS A MEDICAL CENTER PROVIDING ACUTE CARE MEDICAL AND SURGICAL SERVICES. BBCH HAS 189 BEDS AND PROVIDES SERVICES TO THE GREATER BATTLE CREEK AREA AND SURROUNDING COMMUNITIES. BBCH FEATURES SERVICES SUCH AS CANCER CARE, ROBOTIC SURGERY, WORLD-CLASS DIAGNOSTICS, AND WOUND HEALING. 16129197 IN FURTHERANCE OF ITS MISSION, BBCH INCURRED $16,129,197 IN BAD DEBT EXPENSE TO PROVIDE CARE TO ITS PATIENTS. IN 2024, BBCH'S MEDICAID COST WAS $70,470,657 AND MEDICAID NET REVENUE WAS $63,181,525. 330520062 true true false false false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true false false false false true 135 0 true 1865 true true true false false false false false false false false false false false X 18 16 true false false false true true true true true false false false true true true true true true false false true true X REBECCA EAST SENIOR VPCFO 2693417654 2825 AIRVIEW BLVD KALAMAZOO MI 49002 Bill Manns President and CEO 4.6 35.4 X X 0 2056207 1513385 James Jr Liggins Vice Chair 1.0 8.0 X X 0 0 0 Michael Odar Treasurer 1.0 8.0 X X 0 0 0 Neil Nyberg Secretary 1.0 8.0 X X 0 0 0 Nelson Karre Chair 1.0 8.0 X X 0 0 0 Brenda Hunt Director 1.0 8.0 X 0 0 0 Donald Parfet Director 1.0 8.0 X 0 0 0 Erick Stewart Director 1.0 8.0 X 0 0 0 Jorge Gonzalez Director 1.0 8.0 X 0 0 0 Katy Fink Director (THRU 12/2024) 1.0 8.0 X 0 0 0 La June Montgomery Tabron Director (THRU 12/2024) 1.0 8.0 X 0 0 0 Lynn Chen-Zhang Director 1.0 8.0 X 0 0 0 Mahesh C Karamchandani Director (THRU 12/2024) 4.6 41.4 X 0 798414 38120 Marshall L Washington Director 1.0 8.0 X 0 0 0 Namita Sharma Director 1.0 8.0 X 0 1440 0 Randall Eberts Director 1.0 8.0 X 0 1440 0 Richard Allen Director 1.0 8.0 X 0 0 0 Robert IV Nicholson System Vice Chief of Staff 1.0 8.0 X 0 0 0 Scott Gibson MD Director 1.0 8.0 X 0 7090 0 Steven J Lins MD Director/System Chief of Staff 1.0 8.0 X 0 0 0 William Workman Director/System Vice Chief of Staff 4.6 36.8 X 315333 214606 38435 Cheryl Johnson Sr VP Chief People Officer 4.6 35.4 X 0 588602 292220 James Falahee Sr VP Legal & Leg. Affairs 4.6 35.4 X 0 746547 338911 Michael S Way Sr VP Mat. Mgt. & Facility Svs. 4.6 35.4 X 0 433722 215563 Rebecca L East Sr VP CFO 4.6 35.4 X 0 886744 405311 Scott Larson MD Sr VP Medical Affairs/CMO 4.6 35.4 X 0 535686 37160 Susan Reinoehl Sr VP Strategy & Comm 4.6 35.4 X 0 458262 212571 Christine Sangalli-Davis VP Chief Compliance Officer 4.6 35.4 X 0 296753 76107 Joseph du Lac Sr VP, COO BBC 4.6 35.4 X 0 689085 189979 Joseph Burkhardt Physician 40.0 0.0 X 1816692 0 48497 Mahmood Siddiqui Physician 40.0 0.0 X 959764 0 42734 Mark Russell Physician 40.0 0.0 X 973384 0 37154 Phillip Dabrowski Physician 40.0 0.0 X 1061373 0 39246 Sapna Patel Physician 40.0 0.0 X 1096592 0 25820 John Jones JR Former Sr VP Community Care (THRU 2020) 0.0 0.0 X 0 122357 0 6223138 7836955 3551213 222 true true false BESPOKE WORKFORCE LLC PO BOX 358153 PITTSBURGH PA 152515153 HEALTHCARE STAFFING 12655297 SHIELDS HEALTH SOLUTIONS HOLDINGS LLC 100 TECHNOLOGY CENTER DRIVE STOUGHTON MA 02072 SPECIALTY PHARMACY MANAGEMENT SERVICES 6454871 ANESTHESIA ASSOCIATES OF BATTLE CREEK PC 7240 MACKENZIE LANE PORTAGE MI 49024 MEDICAL SERVICES 4901245 ADVANCED RADIOLOGY SERVICES PC 3264 NORTH EVERGREEN DRIVE NE GRAND RAPIDS MI 49525 PHYSICIAN SERVICES 1011814 RENAL TREATMENT CENTERS ILLINOIS INC PO BOX 402946 ATLANTA GA 303842946 MEDICAL SERVICES 1003371 20 18827962 18827962 NET PATIENT SERVICE REVENUE 621400 311868143 311868143 PHARMACY 456110 35471569 31261339 4210230 PGIP REVENUE 900099 1833126 1833126 RENTAL REVENUE FROM AFFILIATED OR 532000 143219 143219 0 0 0 0 349316057 209789 209789 626512 0 626512 0 626512 626512 0 792919 0 -792919 -792919 -792919 0 CAFETERIA REVENUE 900099 1776241 1776241 OUTSIDE SERVICES-AFFILIATED 900099 1693001 1693001 All other revenue 900099 714064 212633 86880 414551 472679 472679 0 0 4655985 372843386 347484140 4297110 2234174 81986 81986 163014565 148545043 14469522 24011991 22414857 1597134 7627263 7552870 74393 27383 27383 303156 67730 235426 28495606 28460630 34976 0 845 845 4475573 4402860 72713 46766 46766 5370651 5369896 755 229171 227907 1264 175238 175238 7883557 7117893 765664 3205495 1742186 1463309 MEDICAL SUPPLIES 79764376 79760684 3692 BAD DEBT EXPENSE 16129197 16129197 BHG ALLOCATION 11005365 4262777 6742588 MAINTENANCE EXPENSE 3354669 3354203 466 2691785 806494 1885291 0 357894638 330520062 27374576 0 5120526 20966817 214635 2146035 42327135 36980153 0 0 0 0 7261449 7346300 1594775 1879542 181414720 105390289 72738806 76024431 0 0 19159170 12939974 148416496 158283252 24531907 20635563 0 0 6307351 5190292 30839258 25825855 X 116998946 131879105 578292 578292 117577238 132457397 148416496 158283252 X 14948748 -68589 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2830421 2830421 92505790 46866371 45639419 193271 86511 106760 81518021 57453976 24064045 4367217 983431 3383786 76024431 ASSETS LIMITED TO USE (DONOR FUNDS) 363657 ALTERNATE ELECTRICITY LT ASSET 189600 RIGHT TO USE ASSET 890666 COST REPORT SETTLEMENT RECEIVABLE 924783 OTHER CURRENT ASSETS 10571268 12939974 Federal Income Taxes RIGHT TO USE LIABILITY 811026 OTHER ACCRUED LIABILITIES 4379266 5190292 true true X true X true X 1649009 1649009 0.00461 68691 68821648 63181525 5640123 0.01576 0 0.0 0 68691 70470657 63181525 7289132 0.02037 20181 3751036 1290652 2460384 0.00687 338 3706884 1570013 2136871 0.00597 0 0.0 0 0.0 300 7865 7865 0.00002 0 20819 7465785 2860665 4605120 0.01287 0 89510 77936442 66042190 11894252 0.03323 0 0.0 10 70 70 0.00000 0 0.0 41 1708 1708 0.00000 0 0.0 315 11331 11331 0.00003 0 0.0 0 0.0 0 0.0 0 366 13109 0 13109 0.00004 true 16129197 107131 48138519 48488528 -350009 X true true 1 1 BRONSON BATTLE CREEK HOSPITAL 300 NORTH AVE BATTLE CREEK MI 49017 WWW.BRONSONHEALTH.COM 1060000037 X X X X BRONSON BATTLE CREEK HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X https://www.bronsonhealth.com/about/community-health-needs-assessment/bronson-battle-creek-hospital/ X X true 23 true https://www.bronsonhealth.com/about/community-health-needs-assessment/bronson-battle-creek-hospital/ false true X 200.0 350.0 X X X X X X true true X X X X true X https://www.bronsonhealth.com/services/medical-financial-assistance/financial-assistance-policy/ X https://tinyurl.com/yxa75shf X https://www.bronsonhealth.com/services/medical-financial-assistance/plain-language-policy-summary/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BRONSON BATTLE CREEK HOSPITAL:. BRONSON BATTLE CREEK HOSPITAL COMPLETED A CHNA IN 2022 THAT WAS APPROVED BY THE BHG BOARD OF DIRECTORS ON NOVEMBER 18, 2022. BRONSON BATTLE CREEK HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT A BROAD RANGE OF INTERESTS OF THE COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THE CALHOUN COUNTY PUBLIC HEALTH DEPARTMENT AND CONDUENT HEALTHY COMMUNITIES INSTITUTE HAVE EXPERTISE IN PUBLIC HEALTH. THE DEVELOPMENT OF THE 2022 CHNA WAS A COLLECTIVE EFFORT THROUGH A COLLABORATION OF SIX PARTNER ORGANIZATIONS (BRONSON HEALTH, CALHOUN COUNTY PUBLIC HEALTH DEPARTMENT, CAREWELL SERVICES AREA AGENCY ON AGING, THE COORDINATING COUNCIL, OAKLAWN, AND POPULATION HEALTH ALLIANCE) AND AN EXTERNAL CONSULTING FIRM (CONDUENT HCI) WHICH FORMED THE CHNA ADVISORY COMMITTEE. THIS COMMITTEE MET WEEKLY FOR FIVE MONTHS TO GUIDE THE PROCESS, DISCUSS BEST PRACTICES, MONITOR THE SURVEY DASHBOARD, IDENTIFY GAPS IN REPRESENTATION, IMPLEMENT MARKETING STRATEGIES, AND IDENTIFY TRUSTED ORGANIZATIONAL LEADERS TO ASSIST WITH SURVEY DISTRIBUTION ACROSS THE COUNTY. THE COMMITTEE MEMBERS ALSO REVIEWED THE DATA TO ILLUMINATE MAJOR HEALTH CONCERNS BY AGE, RACE, ETHNICITY, SOCIO-ECONOMIC STATUS AND GENDER IDENTITY. THE CHNA EFFORTS FOCUSED ON SPECIFIC COMMUNITIES INCLUDING ALBION, BATTLE CREEK, MARSHALL, HOMER, SPRINGFIELD, TEKONSHA, AND ATHENS. THE TEAM REVIEWED BOTH QUALITATIVE AND QUANTITATIVE DATA WHICH WERE SYNTHESIZED TO REVEAL THE HIGHEST PRIORITY NEEDS. THE TEAM THEN CONDUCTED MULTIPLE PUBLIC PRIORITIZATION SESSIONS TO ENSURE INCLUSIVITY AND INCREASE PARTICIPATION ACROSS THE COUNTY ON UNDERSTANDING THE COMMUNITY HEALTH NEEDS. THE CALHOUN COUNTY CHNA WOULD NOT HAVE BEEN POSSIBLE WITHOUT THE SUPPORT AND GUIDANCE OF THOSE INDIVIDUALS THAT WERE ABLE TO SHARE THEIR EXPERTISE AND INSIGHT IN THE PLANNING, DEVELOPMENT, AND IMPLEMENTATION OF THIS ASSESSMENT. WE ARE INDEBTED TO OUR COMMUNITY PARTNERS WHO SHARED THEIR STORIES AND EXPERTISE; THESE INDIVIDUALS TRULY EMBODY OUR VISION FOR IMPROVING HEALTH THROUGH PARTNERSHIPS WITH THE COMMUNITY. THE GROUP COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT PREPARATION FOR ITS 2022 CHNA AND TO PROVIDE PUBLIC HEALTH EXPERTISE. HCI WORKS WITH CLIENTS ACROSS THE NATION TO DRIVE COMMUNITY HEALTH OUTCOMES BY ASSESSING NEEDS, DEVELOPING FOCUSED STRATEGIES, IDENTIFYING APPROPRIATE INTERVENTION PROGRAMS, ESTABLISHING MONITORING SYSTEMS, AND IMPLEMENTING PERFORMANCE EVALUATION PROCESSES. TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM CALHOUN COUNTY COMMUNITY MEMBERS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF AN ONLINE COMMUNITY SURVEY AVAILABLE IN ENGLISH, SPANISH AND 4 DIALECTS OF BURMESE (BURMESE, HAKHA, FALAM, AND ZOMI). THESE FINDINGS EXPANDED UPON INFORMATION GATHERED FROM THE SECONDARY DATA ANALYSIS TO INFORM THIS CALHOUN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. AS THE ASSESSMENT WAS CONDUCTED DURING THE COVID-19 PANDEMIC, PRIMARY DATA COLLECTION METHODS WERE CONDUCTED IN A WAY TO MAINTAIN SOCIAL DISTANCING AND PROTECT THE SAFETY OF PARTICIPANTS BY MINIMIZING IN-PERSON DATA COLLECTION. TO HELP INFORM AN ASSESSMENT OF COMMUNITY ASSETS, COMMUNITY MEMBERS WERE ASKED TO LIST AND DESCRIBE RESOURCES AVAILABLE IN THE COMMUNITY. IT WAS DETERMINED THAT THE BEST COURSE OF ACTION DURING THE COVID-19 PANDEMIC WAS TO MAKE EVERY ATTEMPT TO MEET PEOPLE WHERE THEY WERE BY REACHING OUT TO THEM INDIVIDUALLY RATHER THAN CONGREGATING AT A SPECIFIED TIME AND PLACE FOR DISCUSSION GROUPS. SAFETY WAS OF THE HIGHEST CONSIDERATION AS THE COVID-19 VIRUS WAS BECOMING MORE AGGRESSIVE IN OUR COMMUNITY. A SURVEY WAS DETERMINED TO BE THE BEST METHOD TO REACH THE COMMUNITY AND ATTAIN A COLLECTIVE VOICE ON CURRENT HEALTH NEEDS. THE SURVEY WAS A CAREFULLY DESIGNED QUESTIONNAIRE INTENDED TO BE SIMPLE, UNDERSTANDABLE, TAKE MINIMAL TIME, AND ATTEMPTED TO ENCOMPASS IMPORTANT HEALTH AND SOCIAL DETERMINANTS OF HEALTH NEEDS AND CONCERNS. THE COMMITTEE MADE A CONCERTED EFFORT TO GET INPUT DIRECTLY FROM MEDICALLY UNDERSERVED, LOW-INCOME, AND UNDERREPRESENTED POPULATIONS, GIVING A SPECIAL EMPHASIS ON REACHING BLACK, INDIGENOUS, AND PEOPLE OF COLOR POPULATIONS. THE COMMITTEE CENTERED ON CORE VALUES THAT INCLUDED HIGHLY RESPECTING ALL PEOPLE, VALUING DIVERSITY AND AN UNWAVERING COMMITMENT TO EQUITY AND INCLUSION. THE COMMITTEE SPENT A SIGNIFICANT AMOUNT OF TIME, ENERGY, AND EFFORT TO ENSURE ALL RESIDENTS WITHIN THE COUNTY REGARDLESS OF RACE, ETHNICITY, LANGUAGE, AGE, EDUCATION LEVEL, AND INTERNET ACCESS HAD THE OPPORTUNITY TO COMPLETE THIS ASSESSMENT. SEVERAL COMMITTEE MEETING SESSIONS WERE DEDICATED TO REVIEWING RESPONSE RATES OF VARIOUS ZIP CODES ACROSS THE COUNTY TO ENSURE THAT ADDITIONAL STEPS WERE TAKEN IN AREAS WITH INITIAL LOW RESPONSE RATES. AS A RESULT OF THIS REVIEW, ALTERNATIVE METHODS OF OUTREACH WERE DEPLOYED WORKING WITH COMMITTEE PARTNERS. CAREFUL CONSIDERATIONS AND EFFORTS WERE MADE TO REACH SPECIFICALLY INTO ZIP CODE AND CENSUS-TRACT AREAS THAT ARE MORE RACIALLY DIVERSE OR THAT ARE HIGHER ON THE SOCIAL VULNERABILITY INDEX. PARTNERS WHO ACTIVELY ASSISTED IN THE ONLINE SURVEY DISTRIBUTION INCLUDED BUT WERE NOT LIMITED TO: BATTLE CREEK CHAMBER OF COMMERCE, BATTLE CREEK COMMUNITY FOUNDATION, AND AFFILIATE COMMUNITY FOUNDATIONS, CALHOUN COUNTY INDEPENDENT SCHOOL DISTRICT (CISD), GRACE HEALTH (FQHC), HOMELESS COALITION HOUSING SOLUTIONS BOARD, INTEGRATED HEALTH PARTNERS KELLOGG COMMUNITY COLLEGE MIWORKS! EMPLOYMENT AGENCY NOTTAWASEPPI HURON BAND OF THE POTAWATOMI HEALTH DEPARTMENTPINE CREEK RESERVATION SUMMIT POINTE (CMH) UNITED WAY OF BATTLE CREEK AND KALAMAZOO. THE COMMITTEE CLOSELY PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO ASSIST IN THE EFFORT TO REACH THE MOST UNDERSERVED AND UNDERREPRESENTED POPULATIONS. ALBION HEALTH CARE ALLIANCE DISTRIBUTED AT FOOD DISTRIBUTION SITES. BATTLE CREEK HOMELESS SHELTER DISTRIBUTED TO THE HOMELESS POPULATION. BURMA CENTER DISTRIBUTED TO THE BURMESE POPULATION AND CONDUCTED SURVEYS WITH A TRANSLATOR. CALHOUN COUNTY PUBLIC HEALTH DEPARTMENT DISTRIBUTED AT VACCINATION CLINICS AND TO CCPHD CLIENTS AT APPOINTMENTS. CHARITABLE UNION DISTRIBUTED AT SCHOOLS DURING BACK-TO-SCHOOL EVENTS. COMMUNITY ACTION AGENCY DISTRIBUTED AT HEADSTART PARENT ORIENTATION EVENTS. SHARE DROP-IN CENTER DISTRIBUTED TO UNHOUSED POPULATION. HAVEN OF REST MINISTRIES - DISTRIBUTED TO UNHOUSED POPULATION. THE FOUNTAIN CLINIC DISTRIBUTED TO UNINSURED/UNDERINSURED PATIENTS OF THEIR CLINIC AND AT THE LOCAL COUNTY FAIR VOCES CAREWELL SERVICES SOUTHWEST PROVIDED A TRANSLATOR FOR VOCES HEALTH AND HOUSING FAIR. PRIMARY AND SECONDARY DATA WERE COLLECTED, ANALYZED AND SYNTHESIZED TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN CALHOUN COUNTY. IN ORDER TO BETTER TARGET ACTIVITIES TO ADDRESS THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITY, CALHOUN COUNTY CONVENED A GROUP OF COMMUNITY LEADERS TO PARTICIPATE IN A PRESENTATION OF DATA ON SIGNIFICANT HEALTH NEEDS FACILITATED BY HCI. DURING THE PRESENTATION AND DISCUSSION SESSION, PARTICIPANTS WERE GIVEN ACCESS TO AN ONLINE LINK TO COMPLETE A SCORING EXERCISE TO RANK THE SIGNIFICANT HEALTH NEEDS BASED ON A SET OF CRITERIA. THE PROCESS WAS CONDUCTED VIRTUALLY IN ORDER TO MAINTAIN SOCIAL DISTANCING AND SAFETY GUIDELINES RELATED TO THE COVID-19 PANDEMIC. CALHOUN COUNTY'S CHNA PLANNING COMMITTEE REVIEWED THE SCORING RESULTS OF THE SIGNIFICANT COMMUNITY NEEDS AND DETERMINED PRIORITIZED HEALTH NEEDS BASED ON THE SAME SET OF CRITERIA USED IN THE SCORING EXERCISE. THE FOLLOWING WERE IDENTIFIED AS COMMUNITY HEALTH NEEDS: BEHAVIORAL HEALTH (MENTAL HEALTH & MENTAL HEALTH ORDERS, AND ALCOHOL & DRUG USE), ACCESS TO HEALTH SERVICES, HEALTH EQUITY (DISCRIMINATION OR INEQUITY BASED ON RACE/ETHNICITY, GENDER, AGE, SEX AND DISABILITY), WEIGHT STATUS, NUTRITION & HEALTHY EATING, AND DIABETES, CHILDREN'S HEALTH, OLDER ADULTS, MATERNAL, FETAL AND INFANT HEALTH, CRIME AND CRIME PREVENTION. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - BRONSON BATTLE CREEK HOSPITAL:. BRONSON LAKEVIEW HOSPITAL BRONSON SOUTH HAVEN HOSPITAL BRONSON METHODIST HOSPITAL OAKLAWN HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - BRONSON BATTLE CREEK HOSPITAL:. ALBION HEALTH CARE ALLIANCE BATTLE CREEK COMMUNITY FOUNDATION CALHOUN COUNTY HEALTH DEPARTMENT CAREWELL SERVICES SOUTHWEST GRACE HEALTH COORDINATING COUNCIL OF CALHOUN COUNTY OAKLAWN HOSPITAL POPULATION HEALTH ALLIANCE OF CALHOUN COUNTY SUMMIT POINTE Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - BRONSON BATTLE CREEK HOSPITAL:. TINYURL.COM/VMYMBXE4 Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - BRONSON BATTLE CREEK HOSPITAL:. BRONSON IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH IT COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP). THE BHG BOARD APPROVED THE 2023-2025 CHIP IN APRIL 2023. BRONSON RECOGNIZES THREE YEARS IS AN INSUFFICIENT PERIOD TO NOTICE VISIBLE IMPROVEMENT IN THE HEALTH OF A COMMUNITY. THE RESULTS OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONFIRMED THIS BELIEF. THE COMMUNITIES BRONSON SERVES REMAINED CONCERNED ABOUT HEALTH NEEDS THAT WERE IDENTIFIED IN THE PREVIOUS CHNA, SPECIFICALLY, ACCESS TO HEALTHCARE/HEALTH SERVICES, FOOD INSECURITY, AND MENTAL/BEHAVIORAL HEALTH. THE 2022 CHNA ALSO BROUGHT ADDITIONAL HEALTH NEEDS THAT COMMUNITY MEMBERS FELT IMPACTED THEIR HEALTH TO THE FOREFRONT; DISCRIMINATION/RACISM, VIOLENCE AND CRIME, AND HOUSING. AS A RESULT, THE 2023-2025 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) CONTINUES TO FOCUS ITS EFFORTS UPSTREAM, ACKNOWLEDGING THE ROOT CAUSES OF BEHAVIORS, DEATH, AND DISEASE. THE CHIP WILL IS BUILDING UPON THE PROGRESS OF THE 2020-2022 CHIP; HOWEVER, IT WILL ALSO ADDRESS ADDITIONAL NEEDS IDENTIFIED IN THE 2022 CHNA. THIS CHIP REMAINS A STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY'S MOTHERS, BABIES, AND FAMILIES. THERE REMAINS A SHARED DESIRE AND URGENCY TO BUILD COMMUNITY TRUST IN THE 2023-2025 CHIP. AS SOUTHWEST AND SOUTHCENTRAL MICHIGAN'S ONLY CHILDREN'S HOSPITAL, BRONSON RECOGNIZES THE RESPONSIBILITY AND OPPORTUNITY TO BUILD THIS TRUST FROM THE START. AS A RESULT, BRONSON COMMITS TO ENGAGE AND BUILD TRUST WITH FAMILY SUPPORT TO ELIMINATE RACIAL/ETHNIC DISPARITIES AMONG MOTHERS AND BABIES ACROSS THE REGION (VAN BUREN, KALAMAZOO, CALHOUN COUNTIES). GIVEN THE EXTRAORDINARY CHALLENGE OF SUBSTANTIALLY AND MEASURABLY IMPROVING ACCESS TO CARE IN AN ENVIRONMENT OF LIMITED RESOURCES, BRONSON LEADERS AND COMMUNITY HEALTH BOARD COMMITTEE MEMBERS HAVE CHOSEN TO FOCUS ON TWO FOCUSED HEALTH NEEDS: WORKFORCE EQUITY AND HEALTHCARE EQUITY. TO ACT ON THIS, BRONSON HAS DEPLOYED SEVERAL TACTICS FOCUSED ON ELIMINATING RACIAL/ETHNIC DISPARITIES IN A FAMILY'S PERINATAL EXPERIENCE AND CLINICAL OUTCOMES AND ELIMINATING RACIAL/ETHNIC DISPARITIES IN BRONSON'S WORKFORCE AT EVERY LEVEL TO SUPPORT FAMILIES: ESTABLISH NEW, AND IMPROVE ON EXISTING, SOCIAL AND DEMOGRAPHIC DATA INFRASTRUCTURE AND IMPROVE SDOH SCREENING COLLECTION, IMPROVE PATIENTS' CONNECTION TO COMMUNITY RESOURCES BY ENHANCING COMMUNITY ENGAGEMENT, EXPAND INTERCULTURAL DEVELOPMENT TO IMPROVE QUALITY OF CARE, EXPAND IMPLEMENTATION OF EVIDENCE-BASED MODELS TO IMPROVE MATERNAL/INFANT HEALTH (E.G., CULTURALLY APPROPRIATE BIRTH EDUCATION, CENTERING PREGNANCY, COMMUNITY HEALTHCARE WORKERS, STRONG FATHERS' PROGRAMS, BREAST FEEDING INITIATIVES, NUTRITION EDUCATION, AND FOOD SUPPORTS), ESTABLISH NEW, AND IMPROVE ON EXISTING, SOCIAL AND DEMOGRAPHIC DATA INFRASTRUCTURE, EXPAND INTERCULTURAL DEVELOPMENT TO IMPROVE QUALITY OF CARE, CREATE AND PROMOTE INTERNAL OPPORTUNITIES THAT ALLOW EMPLOYEES TO THRIVE (E.G., CAREER PATHWAYS, SUPPORT FOR HOME OWNERSHIP, CONNECTION TO RESOURCES, ETC.), REVIEW AND REVISE ORGANIZATIONAL POLICIES AND PRACTICES USING AN EQUITY LENS TO SUPPORT THE HEALTH AND WELLBEING OF EMPLOYEES. THE 2023-2025 CHIP SERVES AS A NEXT STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY'S MOTHERS, BABIES, AND FAMILIES. BRONSON CONTINUES TO COLLABORATE AND PARTNER WITH AGENCIES WHOSE MISSIONS AND EXPERTISE ALLOW THEM TO HAVE AN IMPACT IN THE OTHER AREAS IDENTIFIED BY THE CHNA. BECAUSE OF THE INTERSECTIONALITY OF THE NEEDS IDENTIFIED, BRONSON ANTICIPATES THAT IMPROVING TRUST & ACCESS TO CARE AND EMPLOYMENT WILL IMPACT AND IMPROVE OUTCOMES FOR MANY OF THE OTHER COMMUNITY NEEDS Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - BRONSON BATTLE CREEK HOSPITAL:. THE ORGANIZATION USES THE FOLLOWING FPL TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS: 200% OR BELOW OF FPL IS ENTITLED TO 100% REDUCTION 250% OF FPL IS ENTITLED TO A 90% REDUCTION 300% OF FPL IS ENTITLED TO A 80% REDUCTION 350% OF FPL IS ENTITLED TO A 75% REDUCTION Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - BRONSON BATTLE CREEK HOSPITAL:. THE HOSPITAL MADE PRESUMPTIVE ELIGIBILITY DETERMINATIONS REGARDING PATIENTS WHO ARE HOMELESS AS WELL AS PATIENTS WHO ARE REFERRED TO FROM GRACE HEALTH AND FAMILY HEALTH CENTER OF KALAMAZOO (FHC) AND QUALIFIED FOR FINANCIAL ASSISTANCE AT THOSE FACILITIES. THE HOSPITAL ALSO PROVIDED PRESUMPTIVE ELIGIBILITY DETERMINATIONS REGARDING PATIENTS WHO ARE DETERMINED OVER INCOME FOR MEDICAID, HAVE MEDICARE PART A ONLY OR MEDICAID ESO. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - BRONSON BATTLE CREEK HOSPITAL:. 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 AN 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 FINANCIALS COUNSELING DEPARTMENTS. THE POLICY IS ALSO ON THE HOSPITAL'S WEBSITE WW.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) 0 FIELDSTONE CENTER 165 N WASHINGTON AVE BATTLE CREEK MI 49037 PSYCHIATRIC SERVICES BRONSON BATTLE CREEK URGENT CARE 5352 BECKLEY RD BATTLE CREEK MI 49015 URGENT CARE AND MRI OCCUPATIONAL MEDICINE & HEALTH CENTER 265 FREMONT BATTLE CREEK MI 49017 OCC. MEDICINE, EMPLOYED PHYSICIANS Schedule H, 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% REDUCTION 250% OF FPL IS ENTITLED TO A 90% REDUCTION 300% OF FPL IS ENTITLED TO A 80% REDUCTION 350% OF FPL IS ENTITLED TO A 75% REDUCTION Schedule H, 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. Schedule H, Part I, Line 7f THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $16,129,197. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES: ACADIA HEALTH: BRONSON CONTINUED A JOINT VENTURE PARTNERSHIP WITH ACADIA HEALTH TO OPERATE A NEW BEHAVIORAL HEALTH HOSPITAL IN BATTLE CREEK, PROVIDING MUCH NEEDED BEHAVIORAL HEALTH SERVICES TO BATTLE CREEK AND THE SOUTHWEST MICHIGAN COMMUNITY. THE NEW VENTURE EXPANDS THE MENTAL HEALTH SERVICES PROVIDED IN THE COMMUNITY. INSURANCE ENROLLMENT OUTREACH AND SUPPORT: BRONSON PROVIDED OPEN ENROLLMENT ASSISTANCE FOR THE MARKETPLACE INSURANCE FROM NOVEMBER 1, 2024, TO JANUARY 15, 2025, WITH A CERTIFIED APPLICATION COUNSELOR (CAC). CAC CONTACT INFORMATION WAS AVAILABLE ON THE HOME PAGE FOR THE MARKETPLACE AS WELL AS SHARED WITH MANY COMMUNITY ORGANIZATIONS. COMMUNITY MEMBERS WERE ABLE TO CALL THE CAC AND ASK QUESTIONS TO GET A BETTER UNDERSTANDING OF THEIR OPTIONS FOR HEALTH INSURANCE. PATIENT FINANCIAL COUNSELORS ASSISTED PATIENTS THROUGHOUT THE 2024 FISCAL YEAR ASSISTING OVER 5000 PATIENTS SYSTEM WIDE TO APPLY FOR MEDICAID THROUGH THE STATE. IF THE PATIENT WAS FOUND NOT ELIGIBLE FOR STATE ASSISTANCE, THE PATIENT FINANCIAL COUNSELORS WOULD THEN REFER THE PATIENT TO THE CERTIFIED APPLICATION COUNSELOR TO ASSIST THE PATIENT WITH THE FEDERALLY FACILITATED MARKETPLACE WEBSITE. SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE (SWMPQI): BRONSON CONTINUES TO PARTICIPATE IN THE MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES (MDHHS) MOTHER INFANT HEALTH & EQUITY IMPROVEMENT PLAN, A STATEWIDE EFFORT TO IMPROVE THE HEALTH OF MOMS AND BABIES IN MICHIGAN. BRONSON EMPLOYEES SERVE AS SWMPQIC LEADERSHIP AND ADMINISTRATIVE SUPPORT. THROUGH SWMPQIC, BRONSON STAFF WORKED WITH MULTIPLE MEMBERS ACROSS SEVEN COUNTIES TO CREATE "A LOCALLY LINKED AND COORDINATED NETWORK OF SERVICES FOR BIRTHING PARENTS AND THEIR BABIES COMMITTED TO THE HIGHEST ATTAINABLE STANDARD OF HEALTH AVAILABLE IN MICHIGAN" WITH THE VISION OF "ZERO PREVENTABLE DEATHS. ZERO DISPARITIES." THIS COLLABORATIVE PROVIDES FREE VIRTUAL CHILDBIRTH EDUCATION TO BIRTHING PERSONS WHERE IT IS MOST CONVENIENT FOR THEM. INSTRUCTORS EDUCATED ON LABOR, MEDICAL INTERVENTIONS, CESAREAN SECTIONS, COMFORT TECHNIQUES, AND POSTPARTUM (PHYSICAL AS WELL AS EMOTIONAL). BIRTHING PERSONS HAVE ACCESS TO INSTRUCTORS VIA EMAIL AND ARE ENCOURAGED TO REACH OUT WITH QUESTIONS OR CONCERNS. Schedule H, Part VI, Line 6 BBCH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON BATTLE METHODIST HOSPITAL, BRONSON SOUTH HAVEN HOSPITAL, AND BRONSON LAKEVIEW HOSPITAL. ALL OF THESE HOSPITALS ARE CONTROLLED BY BRONSON HEALTHCARE GROUP, WHICH IS A COMMUNITY-OWNED AND GOVERNED NON-FOR-PROFIT HOLDING COMPANY. THE BRONSON HEALTHCARE GROUP (BHG) BOARD IS COMPRISED OF 22 MEMBERS FROM THE COMMUNITY'S IT SERVES. EACH OF THE THREE HOSPITALS IN THE BRONSON HEALTHCARE SYSTEM ADMITS PATIENTS, REGARDLESS OF ABILITY TO PAY, AND PROVIDES OUTREACH SERVICES TO THEIR RESPECTIVE COMMUNITIES. IN ADDITIONAL TO THE FOUR HOSPITALS, THE BHG SYSTEM INCLUDES SEVERAL SMALLER ENTITIES WHOSE ACTIVITIES SUPPORT THE HOSPITALS AND THEIR MISSION OF "TOGETHER, WE ADVANCE THE HEALTH OF OUR COMMUNITIES." THESE ENTITIES INCLUDE: BRONSON HEALTHCARE GROUP, BRONSON COMMONS, BRONSON LIFESTYLE IMPROVEMENT & RESEARCH CENTER, BRONSON HEALTH FOUNDATION, BRONSON AT HOME, VANBUREN EMERGENCY MEDICAL SERVICES AND BRONSON PROPERTIES CORPORATION. Schedule H, Part I, Line 6a LOCATED ON THE WEBSITE (WWW.BRONSONHEALTH.COM) BRONSON BATTLE CREEK HOSPITAL COMMUNITY OUTREACH AND BENEFITS (BRONSONHEALTH.COM) ANNUALLY, EACH HOSPITAL IN THE BRONSON HEALTHCARE SYSTEM DOCUMENTS ITS SERVICE TO THE COMMUNITY AND PRODUCES A COMMUNITY BENEFIT REPORT. THE REPORT TRACKS THE DOLLAR VALUE OF SERVICES TO THE UNDERSERVED, COMMUNITY OUTREACH AND LEADERSHIP; AND TIME AND RESOURCES DONATED TO HEALTH PROFESSIONAL EDUCATION. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH BRONSON COMMUNITY HEALTH WORKER PROGRAM IN 2024, BRONSON LAUNCHED A NEW COMMUNITY HEALTH WORKER INITIATIVE IN THE ONCOLOGY SPACE. TWO CHWS WERE ONBOARDING WITH THE GOAL OF INCREASING CANCER PREVENTION AND SCREENING. THROUGH THE INTENTIONAL ENGAGEMENT OF COMMUNITY ORGANIZATIONS AND ADVOCATES, BEGINNING TO BUILD TRUST AND ACCESS TO CANCER INFORMATION. CHWS ATTENDED 64 EVENTS WITH OVER 1000 1-ON-1 INTERACTIONS WITH COMMUNITY MEMBERS TO BUILD TRUST AND SHARE INFORMATION ABOUT CANCER PREVENTION AND SCREENING. DISTRIBUTED OVER 150 TAKE-HOME COLON CANCER SCREENING KITS TO MEDICALLY UNDERSERVED COMMUNITY MEMBERS. DESIGNED A TESTICULAR CANCER SHOWER SCREENING CARD. EXPANDED TRANSLATION OPTIONS FOR CANCER CENTER SCREENING MATERIALS. WORKED TO INCREASE FREE CANCER SCREENING EVENT ATTENDANCE. EXPAND IMPLEMENTATION OF EVIDENCE-BASED MODELS TO IMPROVE MATERNAL/INFANT HEALTH (E.G., CULTURALLY APPROPRIATE BIRTH EDUCATION, CENTERING PREGNANCY, COMMUNITY HEALTHCARE WORKERS, STRONG FATHERS' PROGRAMS, BREASTFEEDING INITIATIVES, NUTRITION EDUCATION, AND FOOD SUPPORTS). SEXUAL ASSAULT SERVICES PROGRAM IN 2024, SEXUAL ASSAULT SERVICES (SAS) STAFF CONTINUED TO EXPAND SERVICES TO UNDER-RESOURCED COMMUNITIES BY RAISING AWARENESS, CONDUCTING TARGETED OUTREACH, AND STRENGTHENING PARTNERSHIPS WITH LOCAL ORGANIZATIONS. AS PART OF THIS EFFORT, GRANT FUNDING WAS USED TO TRANSLATE INFORMATIONAL RACK CARDS INTO SPANISH, BURMESE, AND SWAHILI. THESE MATERIALS WERE DISTRIBUTED ACROSS CALHOUN COUNTY TO AGENCIES, BUSINESSES, AND COMMUNITY GROUPS THAT SERVE DIVERSE POPULATIONS. THIS INITIATIVE IS ONGOING, WITH A NEW ROUND OF TRANSLATED RACK CARDS SCHEDULED FOR DISTRIBUTION INTO 2025 TO FURTHER EXTEND THE PROGRAM'S REACH. SEXUAL ASSAULT NURSE EXAMINER (SANE) INCREASED ACCESS TO SERVICES ACROSS THE STATE FOR ALL SURVIVORS. THE SANE PROGRAM SUPERVISOR AND ONE OF THE FORENSIC NURSE EXAMINERS WERE ASKED TO HELP TRAIN OTHER NURSES AT THE MSU SANE SKILLS LAB AS PART OF AN EFFORT TO INCREASE THE NUMBER, ACCESSIBILITY, AND SUSTAINABILITY OF ADULT/ADOLESCENT SANES IN UNDERSERVED, RURAL AREAS OF MICHIGAN. BRONSON SEXUAL ASSAULT SERVICES (SAS) SEXUAL ASSAULT NURSE EXAMINER (SANE) TEAM MET WITH MEDICAL STAFF FROM CARES SEXUAL WELLNESS SERVICES, THE SECOND-LARGEST HIV SERVICE PROVIDER IN MICHIGAN, TO STRENGTHEN FOLLOW-UP CARE FOR SEXUAL ASSAULT SURVIVORS AND STREAMLINE REFERRALS FOR MEDICAL FORENSIC CARE. CARES PLAYS A VITAL ROLE IN PROVIDING MEDICAL SERVICES TO THE LGBTQ+ COMMUNITY, INDIVIDUALS LIVING WITH HIV, AND OTHER UNDERSERVED POPULATIONS IN SOUTHWEST MICHIGAN. THEY HAVE AGREED TO SERVE AS A REFERRAL PARTNER FOR SANE PATIENTS, OFFERING LOW- OR NO-COST TESTING. ADDITIONALLY, CARES OPERATES A MOBILE CLINIC, AND BOTH ORGANIZATIONS ARE EXPLORING THE POSSIBILITY OF SCHEDULING REGULAR VISITS TO THE SAS OFFICE. THIS INITIATIVE AIMS TO REDUCE TRANSPORTATION AND FINANCIAL BARRIERS FOR SURVIVORS SEEKING FOLLOW-UP CARE. IN CASES WHERE A SURVIVOR TESTS POSITIVE FOLLOWING AN ASSAULT, CARES WILL PROVIDE ESSENTIAL SUPPORT AND RESOURCES, ENSURING CONTINUITY OF CARE AND ACCESS TO TREATMENT. BRONSON ONCOLOGY SERVICES: BRONSON ONCOLOGY SERVICE LINE STANDS AS A PILLAR OF COMPASSIONATE CARE AND PROACTIVE COMMUNITY INVOLVEMENT IN THE FIGHT AGAINST CANCER. BEYOND PROVIDING CUTTING-EDGE TREATMENT AND SUPPORT TO PATIENTS. BRONSON'S ONCOLOGY TEAM IS COMMITTED TO EDUCATING, EMPOWERING, AND UPLIFTING THE COMMUNITY THROUGH A VARIETY OF OUTREACH INITIATIVES AND EVENTS. BRONSON CONNECTS WITH THE COMMUNITY THROUGH ACTIVE PARTICIPATION IN THE RELAY FOR LIFE. THIS ANNUAL EVENT BRINGS TOGETHER SURVIVORS, CAREGIVERS, FAMILIES, AND HEALTHCARE PROFESSIONALS IN A DEMONSTRATION OF SOLIDARITY AND HOPE. BRONSON'S PRESENCE AT RELAY FOR LIFE NOT ONLY RAISES AWARENESS AND FUNDS CANCER RESEARCH BUT ALSO FOSTERS A SENSE OF UNITY AND RESILIENCE AMONG PARTICIPANTS. STAFF MEMBERS WALK ALONGSIDE PATIENTS AND FAMILIES, SHARING STORIES, OFFERING SUPPORT AND REINFORCING THE MESSAGE THAT NO ONE FACES CANCER ALONE. BRONSON ONCOLOGY TAKES A HANDS-ON APPROACH TO LOCAL HEALTH EDUCATIONS AND EARLY DETECTION. THE SERVICE LINE REGULARLY HOSTS SCREENING EVENTS, INCLUDING PROSTATE SCREENINGS AND BREAST HEALTH CLINICS. THESE CLINICS PROVIDE OPPORTUNITIES FOR INDIVIDUALS TO RECEIVE PREVENTIVE CARE AND LEARN ESSENTIAL SKILLS SUCH AS BREAST SELF-EXAMS. BY MAKING THESE SERVICES AVAILABLE IT HELPS INDIVIDUALS BRONSON AT HOME: BRONSON AT HOME, A JOINT COMMISSION ACCREDITED HOME CARE AGENCY, SERVES PATIENTS IN THE COMMUNITIES OF CALHOUN, KALAMAZOO, AND VAN BUREN COUNTIES, EXTENDING BRONSON'S HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE TO THEIR HOME ENVIRONMENT. OUR TEAM INCLUDES REGISTERED NURSES, HOME HEALTH AIDES, PHYSICAL THERAPISTS, PHYSICAL THERAPIST ASSISTANTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, AND MEDICAL SOCIAL WORKERS. WE PROMOTE HEALING IN A SAFE AND COMFORTABLE ENVIRONMENT, HELPING WITH PROVIDER COORDINATION WHEN NEEDED. ALONG WITH OTHER BRONSON ENTITIES, OUR GOAL IS TO PREVENT REHOSPITALIZATION AND PROMOTE SAFETY IN THE COMMUNITY. MEASURES OF SUCCESS ARE TIMELY INITIATION OF CARE, FALL PREVENTION, ACCURATE MEDICATION RECONCILIATION, AND DISEASE MANAGEMENT IN THE HOME. WE DO THIS BY ESTABLISHING A SEAMLESS TRANSITION FROM THE ACUTE SETTING TO THE PATIENT'S HOME WITH FOLLOW-UP SESSIONS AND EDUCATION WITH BOTH THE PATIENT AND THEIR CAREGIVERS. BRONSON AT HOME PARTICIPATES WITH SYSTEM AND COMMUNITY EVENTS, SUCH AS TRAUMA DAY AND AREA SENIOR EXPOS, TO SUPPORT COMMUNITY HEALTH AND EDUCATION. Schedule H, Part II, Line 5 THE MEDICARE COST REPORT ADDITIONAL MEDICARE COSTS AS PER THE INSTRUCTIONS, SCHEDULE H PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. ADDITIONAL MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANGE HOSPITAL AND BOTH FFS & HMO FOR PHYSICIANS) ARE SUMMARIZED AS FOLLOWS: TOTAL COST - $93,385,509 TOTAL REIMBURSEMENT - $64,290,328 COST IN EXCESS OF REIMBURSMENT ($29,095,181) Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount UNCOLLECTIBLE AMOUNTS ARE WRITTEN 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. BAD DEBT WRITE-OFFS 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT WRITE OFFS SUPPORT THE COMMUNITY BY PROVIDING A PORTION OF SERVICES WITHOUT PAYMENT. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS ESTIMATED BY REVIEWING THE BAD DEBT DETAIL FOR A SPECIFIC WRITE-OFF CODE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THIS INFORMATION CAN BE FOUND IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER NOTE 2, SIGNIFICANT ACCOUNTING POLICIES FOR ACCOUNTS RECEIVABLE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO ITS REPRESENTATION OF COST OF A PORTION OF SERVICES PROVIDED TO THE COMMUNITY WITHOUT PAYMENT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE POLICY REQUIRES THE COLLECTION AGENCY BE NOTIFIED AND ACTIVITY SUSPENDED WHEN A REQUEST FOR FINANCIAL ASSISTANCE IS MADE AND A PATIENT SUBMITS AN APPLICATION ON A PREVIOUSLY LISTED ACCOUNT. THE COLLECTION AGENCY IS NOTIFIED THE SAME DAY THE APPLICATION IS RECEIVED. IF A PATIENT QUALIFIES FOR FULL FINANCIAL ASSISTANCE, THE ACCOUNT IS RETURNED TO BRONSON FROM THE AGENCY AND ANY INITIATED ECA IS REVERSED. IF THE PATIENT QUALIFIES FOR PARTIAL FINANCIAL ASSISTANCE, A DETERMINATION IS SENT TO THE AGENCY INDICATING THE NEW BALANCE AND ANY INITIATED ECA IS REVERSED. IF THE PATIENT DOES NOT PROVIDE COMPLETE APPLICATION INFORMATION OR IS DETERMINED TO BE INELIGIBLE, A DENIAL LETTER IS ISSUED AND THE AGENCY RESUMES COLLECTION ACTIVITY. FURTHERMORE, THE POLICY REQUIRES THAT BRONSON SEND A RESPONSE TO PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE WITHIN 30 BUSINESS DAYS (45 DAYS). IF THE APPLICATION IS APPROVED, THE APPLICATION WILL WORK THROUGH THE FINAL PROCESSES. IF BRONSON NEEDS MORE INFORMATION, BRONSON MUST REQUEST IT FROM THE PATIENT WITHIN THE 45 DAY TIME FRAME. IF REQUESTED INFORMATION IS NOT RECEIVED WITHIN 15 DAYS OF THE LETTER, BRONSON WILL DENY THE APPLICATION AND A DENIAL LETTER SENT TO THE PATIENT. BRONSON WILL HOLD THE APPLICATION FOR 60 DAYS IN CASE THE REQUESTED INFORMATION COMES IN AFTER THE 15 DAYS. IF THE APPLICATION IS 60 DAYS OLD, AND REQUESTED INFORMATION IS NOT RECEIVED, THE APPLICATION IS DECLINED, AND THE PATIENT WOULD NEED TO SUBMIT A NEW APPLICATION. IF THE APPLICATION IS DECLINED, BRONSON THEN NOTIFIES THE COLLECTION AGENCY TO RESUME COLLECTIONS. SIGNATURES ARE ONLY GOOD FOR 60 DAYS WHEN BRONSON IS REQUESTING ADDITIONAL INFORMATION. ONCE AN APPLICATION IS APPROVED, THE COLLECTION AGENCY IS NOTIFIED VIA EMAIL OF THE APPROVAL PERCENTAGE OR DENIED ON THE SAME DAY THE APPLICATION IS COMPLETED. Schedule H, Part V, Section B, Line 16a FAP website - BRONSON BATTLE CREEK HOSPITAL: Line 16a URL: https://www.bronsonhealth.com/services/medical-financial-assistance/financial-assistance-policy/; Schedule H, Part V, Section B, Line 16b FAP Application website - BRONSON BATTLE CREEK HOSPITAL: Line 16b URL: https://tinyurl.com/yxa75shf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BRONSON BATTLE CREEK HOSPITAL: Line 16c URL: https://www.bronsonhealth.com/services/medical-financial-assistance/plain-language-policy-summary/; Schedule H, Part VI, Line 2 Needs assessment BRONSON HEALTHCARE GROUP UTILIZES A STRATEGIC MANAGEMENT MODEL TO DEVELOP BOTH A LONG TERM (3 YEAR) AND ANNUAL STRATEGIC PLAN. INPUTS INTO THE PLAN ARE DOCUMENTED IN OUR STRATEGIC INPUT DOCUMENT. ONE OF THE IMPORTANT INPUTS INTO THIS PLAN IS THE HEALTH OF OUR COMMUNITY. IN ADDITION TO THE CHNA DATA SOURCES LISTED IN PART V SECTION B LINE 5, THE FOLLOWING SOURCES ARE USED TO INFORM OUR STRATEGIC PLAN: 1. SG2 MARKET ESTIMATES 2. SG2 IP/OP FORECAST 3. SG2 AMBULATORY MARKET STRATEGIST 4. SG2 MARKET DEMOGRAPHICS FROM CLARITAS Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 ARE AVAILABLE UPON REQUEST. Schedule H, Part VI, Line 4 Community information BRONSON BATTLE CREEK HOSPITAL IS LOCATED IN THE CITY OF BATTLE CREEK IN CALHOUN COUNTY AND IS PART OF THE BRONSON HEALTHCARE SYSTEM. BRONSON BATTLE CREEK HOSPITAL SERVES A NINE COUNTY REGION IN SOUTHWEST, SOUTH-CENTRAL MICHIGAN. ABOUT 79.5% OF PATIENTS SERVED COME FROM WITHIN CALHOUN COUNTY. FOR THE PURPOSES OF THE 2019 AND 2022 CHNA REPORTS, THE COMMUNITY SERVED WAS DEFINED AS CALHOUN COUNTY. CALHOUN COUNTY HAD AN ESTIMATED POPULATION SIZE OF 133,980 in 2021. THIS REPRESENTS A DECREASE OF 1.6% SINCE 2010. 4.9% OF THE POPULATION WAS AGE 0-20, 15.4% WAS 21-39, 35.1% WAS AGE 40-64 AND 43.6% WAS AGE 65 AND OVER. MALES COMPRISE 49.0% OF THE POPULATION, WHEREAS FEMALES COMPRISE 51.0% OF THE POPULATION. CALHOUN COUNTY'S 2022 population WAS 83.4% WHITE, 12.3% BLACK OR AFRICAN AMERICAN, AND 1.34% ASIAN. PATIENT DEMOGRAPHICS 8.4% < 21 YEARS OF AGE 17.4% 21-39 YEARS OF AGE 33.9% 40-64 YEARS OF AGE 40.3% 65 YEARS OF AGE AND OLDER PATIENT DIVERSITY DEMOGRAPHICS 81.30% CAUCASIAN 12.3% AFRICAN AMERICAN 1.6% ASIAN 0.2% HISPANIC 4.6% OTHER PATIENT INSURANCE DEMOGRAPHICS 41.7% PRIVATE INSRUANCE 13.1% MEDICARE 27.3% MEDICARE AND SUPPLEMENTAL INSURANCE 16.0% MEDICAID OR OTHER PUBLIC ASSISTANCE 1.9% NO COVERAGE Schedule H, Part VI, Line 5 Promotion of community health BBCH SEEKS COMMUNITY COLLABORATORS AND STAKEHOLDERS AS PARTNERS ON MEETING COMMUNITY HEALTH NEEDS, ADDRESSING MULTI-SECTOR ISSUES, AND LEADING DISASTER/EMERGENCY EFFORTS. TOWARD THIS END, BBCH LEADERS SERVE ON SEVERAL COMMUNITY BOARDS INCLUDING: CALHOUN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN STEERING COMMITTEE, CALHOUN COUNTY MEDICAL CONTROL AUTHORITY, POPULATION HEALTH ALLIANCE, TCC LEADERSHIP, LAKEVIEW FOUNDATION, COMMUNITY PARTNERS, IHP, ROTARY, BURMA CENTER, BCCF, AND GRACE HEALTH SOUTHWEST MICHIGAN FIRST-ECONOMIC DEVELOPMENT AS SOUTHWEST MICHIGAN'S COMMUNITY AND ECONOMIC DEVELOPMENT ORGANIZATION, THEY COMMITTED TO FULFILLING THE MISSION TO INCREASE ECONOMIC PROSPERITY FOR ALL IN OUR COMMUNITIES THROUGH INCLUSIVE AND EQUITABLE ACTIONS THAT SUPPORT BUSINESSES, ENTREPRENEURS, AND RESIDENTS OF ALL RACES, ETHNICITIES, AGES, SEXUAL ORIENTATIONS, GENDER IDENTIFICATIONS, BELIEFS DISABILITIES, AND BACKGROUNDS. REPORTING TO THE COMMUNITY BBCH CONDUCTS AN ANNUAL COMMUNITY BENEFIT INVENTORY TO AGGREGATE THE NON-MISSION MANDATED SERVICES WE PROVIDE TO THE COMMUNITY. THIS INVENTORY IS SHARED WITH BRONSON STAKEHOLDERS AND REPORTED TO THE COMMUNITY. INFORMATION IS AVAILABLE TO ALL THROUGH BRONSONHEALTH.COM. WORKFORCE ENGAGEMENT - 2024 RECRUITMENT AND RETENTION OF TOP TALENT WITHIN THE REGION REMAINS A FOCUS AT BRONSON SHOWING A STRONG COMMITMENT TO THE LOCAL COMMUNITY, OUR PATIENTS, AND STAFF. OUR ORGANIZATION IS JUST OVER 9,300 EMPLOYEES STRONG WHILE CONSISTENTLY HIRING NEARLY 2,000 NEW STAFF MEMBERS AND FACILITATING JUST AS MANY INTERNAL MOBILITY EFFORTS EACH YEAR. CONTINUED FOCUS ON IN-PERSON EVENTS AND BUILDING STRONGER RELATIONSHIPS WITH LOCAL UNIVERSITIES, COLLEGES, AND TECHNICAL SCHOOLS. BRONSON IS COMMITTED TO GUIDING EMERGING TALENT FROM THESE INSTITUTIONS AND HELPING THEM START THEIR CAREER JOURNEYS. STRENGTHENING RELATIONSHIPS WITH MULTIPLE COMMUNITY GROUPS TO FURTHER ADVANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. A FEW EXAMPLES ARE THE HIGHER PROMISE INTERNS, PROJECT SEARCH, JETERS LEADERS, GVSU PIPELINE SCHOLARS, LPN APPRENTICESHIP ETC. ENGAGING WITH K-12 IN PARTNERSHIP WITH THE CENTER FOR LEARNING TO PROMOTE HEALTHCARE CAREERS AND EDUCATION EARLY IN STUDENTS' DEVELOPMENT. WORKFORCE SUPPORT IN THE COMMUNITY AREAS OF FOCUS FOR 2024 AND BEYOND: BRONSON IS COMMITTED TO HELPING AND GUIDING EMERGING TALENT FROM LOCAL INSTITUTIONS TO START THEM ON THEIR CAREER JOURNEYS. BUILDING STRONGER RELATIONSHIPS WITH LOCAL COMMUNITY GROUPS SUCH AS; BURMA CENTER TO TAILOR OPPORTUNITIES FOR THE GROUPS THEY SERVE. ENGAGING WITH LOCAL HIGH SCHOOLS TO PROMOTE CAREER OPPORTUNITIES IN HEALTHCARE EARLY IN A STUDENT'S DEVELOPMENT. WORKFORCE SUPPORT IN THE COMMUNITY (ERGS) IN 2024, BRONSON HEALTHCARE LAUNCHED EMPLOYEE RESOURCE GROUPS (ERGS) ACROSS BMH, BBC, BLH, AND BSH, INCLUDING; AFRICAN AMERICAN, LATINX, MILITARY VETERANS & ALLIES, WOMEN, YOUNG PROFESSIONALS, LGBTQ+ ALLIES, AND PERSONS WITH DISABILITIES, WITH A PROVIDER ERG SHORTLY THEREAFTER. THE ERGS HAVE GIVEN EMPLOYEES THE OPPORTUNITY TO CONVERT CONNECTIONS INTO IMPACT, HELPING US IMPROVE ENGAGEMENT, INNOVATION, AND BUILD STRONGER COMMUNITY TIES. IN 2024, EVENTS SUCH AS THE YOUNG PROFESSIONALS MIXER AT THE CRAFTED COPPER, THE AFRICAN AMERICAN ERG MEET-AND-GREET AT TWINE URBAN WINERY SHOWCASED THE ONGOING COMMITMENT OF OUR EMPLOYEE RESOURCE GROUPS TO BUILDING MEANINGFUL CONNECTIONS ACROSS THE BRONSON SYSTEM. ENGAGING OVER 165 EMPLOYEES, ERGS EMPOWER BRONSON EMPLOYEES TO COME TOGETHER AND SHARE EXPERIENCES, AS WELL AS ALL THE WAYS OUR WORK IMPACTS THE DAILY LIVES OF OUR STAFF AND COMMUNITY. HEALTH EDUCATION PROGRAMS AND SOCIAL NEEDS INITIATIVES IN 2024, BRONSON BATTLE CREEK HOSPITAL'S COMMITMENT TO IMPROVING COMMUNITY HEALTH WAS DEMONSTRATED THROUGH A VARIETY OF IMPACTFUL INITIATIVES AND EDUCATIONAL PROGRAMS DESIGNED TO ADDRESS KEY HEALTH NEEDS AND FOSTER WELL-BEING. COMMUNITY SUPPORT RESOURCES BRONSON HEALTH EDUCATORS DEVELOPED AND DISTRIBUTED A WIDE RANGE OF HEALTH EDUCATION MATERIALS TO SUPPORT THE COMMUNITY. THESE RESOURCES INCLUDED INFOGRAPHICS, RECIPE BOOKS, MENTAL HEALTH TIPS, GUIDES FOR FAMILY PHYSICAL ACTIVITIES, SAFETY INFORMATION, AND HEALTHY LIVING VIDEOS. MANY OF THESE RESOURCES ARE AVAILABLE ONLINE AT BRONSONHEALTH.COM/BRONSONEATS AND ON YOUTUBE. THIS INITIATIVE HAD AN ESTIMATED REACH OF OVER 3,000 INDIVIDUALS. COMMUNITY HEALTHY LIVING CLASSES BRONSON OFFERED 22 HEALTHY LIVING CLASSES TO COMMUNITY MEMBERS THROUGHOUT THE YEAR, HELD AT LEAST TWICE A MONTH. HEALTH EDUCATORS COLLABORATE WITH CLINICAL DEPARTMENTS TO OFFER THE CLASSES, AND THESE CLASSES COVERED TOPICS SUCH AS HEALTHY EATING, HEART-HEALTHY BEHAVIORS, STRESS RELIEF, AND BUILDING CONNECTIONS WITHIN THE COMMUNITY. WITH A FOCUS ON PROMOTING HEALTHIER LIFESTYLES, THESE CLASSES REACHED OVER 370 PARTICIPANTS. HEALTHY COOKING WITH BRONSON VIRTUAL SERIES: BRONSON COMMUNITY HEALTH'S COLLABORATION AND RELATIONSHIP WITH REGION IV AREA AGENCY ON AGING (AAA) CONTINUED THROUGHOUT 2024. IN 2024, 18 VIRTUAL COOKING CLASSES WERE OFFERED AND REACHED MORE THAN 738 PEOPLE. THESE HEALTHY COOKING CLASSES OFFER IDEAS ON HOW TO EAT HEALTHY IN A QUICK, CONVENIENT, LOW-COST MANNER THAT IS APPROPRIATE FOR ALL AGES, REACHING OVER 738 COMMUNITY MEMBERS. DIABETES COOKING CLUB: IN 2024, THE COMMUNITY HEALTH EDUCATION TEAM STARTED A NEW SERIES WITH DIABETES EDUCATION TO OFFER FREE, VIRTUAL DIABETES COOKING CLUBS. PARTICIPANTS RECEIVE EDUCATION FROM A REGISTERED DIETITIAN AND CERTIFIED DIABETES CARE & EDUCATION SPECIALIST AND LEARN TIPS ON HEALTHY EATING FOR MANAGING STABLE BLOOD SUGARS WHILE LIVING WITH DIABETES OR PRE-DIABETES. THERE WERE TEN DIABETES COOKING CLUBS IN 2024, REACHING OVER 216 COMMUNITY MEMBERS. FURTHER COMMUNITY ENGAGEMENT WITH SEVERAL ADDITIONAL VIRTUAL AND IN-PERSON CLASSES AND EVENTS IN COLLABORATION WITH OTHER COMMUNITY PARTNERS HAS ASSISTED OVER 19,000 COMMUNITY MEMBERS WITH EDUCATION ON ADDITIONAL HEALTHY EATING TIPS, AS WELL AS PROVIDING BASIC KITCHEN EQUIPMENT AND SHELF-STABLE PANTRY CHOICES FAMILY AND COMMUNITY ENGAGEMENT EVENTS/INITIATIVES THE 2022 CALHOUN COUNTY CHNA IDENTIFIED CRIME AND CRIME PREVENTION BEING AS A COMMUNITY CONCERN: TRAUMATIC INJURIES ARE A LEADING CAUSE OF DEATH AND DISABILITY, WITH PROFOUND PHYSICAL, EMOTIONAL, AND FINANCIAL EFFECTS ON OUR COMMUNITY. BRONSON TRAUMA SERVICES INJURY PREVENTION AIM IS TO REDUCE THESE IMPACTS THROUGH EDUCATION, COLLABORATION, AND COMMUNITY PARTNERSHIPS. FIREARM INJURY PREVENTION: BRONSON TRAUMA INJURY PREVENTION IS DEDICATED TO REDUCING FIREARM-RELATED INJURIES THROUGH COMPREHENSIVE INTERVENTIONS. THINKFIRST FOR TEENS: THIS NATIONAL INJURY PREVENTION FOUNDATION PROGRAM EDUCATES YOUTH ON THE CONSEQUENCES OF RISKY DECISIONS AND HOW TO STAY SAFE. FIREARM INJURY PREVENTION: SAFE FIREARM STORAGE: IN 2024, BRONSON TRAUMA INJURY PREVENTION CONTINUED A REGIONAL GUN SAFE INITIATIVE WITH MICHIGAN STATE POLICE, AS WELL AS PROVIDING HUNDREDS OF GUN LOCKS AND EDUCATION TO THE GENERAL POPULATION OF AT RISK FAMILES IN THE COMMUNITY. STOP THE BLEED: A NATIONAL PROGRAM DESIGNED TO TRAIN THE PUBLIC IN LIFE-SAVING BLEEDING CONTROL, DEVELOPED BY THE DEPARTMENT OF DEFENSE AND THE AMERICAN COLLEGE OF SURGEONS. BRONSON TRAUMA SERVICES PROMOTED THIS AT THE MICHIGAN STATE CAPITAL TO IMPROVE SURVIVAL RATES FROM ACTIVE SHOOTER INCIDENTS. OLDER ADULT FALL PREVENTION: FALLS ARE THE LEADING CAUSE OF INJURY-RELATED DEATHS FOR THOSE OVER 65. BRONSON TRAUMA SERVICES OFFERS EDUCATIONAL PROGRAMS TO HELP SENIORS REDUCE THEIR FALL RISK MOTOR VEHICLE COLLISION PREVENTION: TARGETING TEENS, PARENTS, AND ADULTS OVER 60, BRONSON TRAUMA SERVICES PROVIDES PROGRAMS AIMED AT REDUCING MOTOR VEHICLE ACCIDENTS. THEIR INJURY PREVENTION EFFORTS EXTEND BEYOND COLLISIONS, INCLUDING OPIOID OVERDOSE HARM REDUCTION AND PARTICIPATION IN 31 COMMUNITY EVENTS, REACHING THOUSANDS OF PEOPLE. THROUGH THESE DIVERSE INITIATIVES, BRONSON TRAUMA SERVICES CONTINUES TO LEAD IN PROMOTING SAFETY AND REDUCING PREVENTABLE INJURIES IN THE COMMUNITY. Schedule H, Part VI, Line 7 State filing of community benefit report MI false BRONSON HEALTH GROUP 2825 AIRVIEW BLVD KALAMAZOO MN 49002 382418383 501(C)(3) 81986 GENERAL SUPPOORT 1 0 X X true true false true false false false false false false false Bill Manns President and CEO 0 1257645 0 494033 0 304529 0 1491952 0 21433 0 3569592 0 778523 Mahesh C Karamchandani Director (THRU 12/2024) 0 687064 0 71723 0 39627 0 21900 0 16220 0 836534 0 0 William Workman Director/System Vice Chief of Staff 251419 205402 45106 9000 18808 204 14950 2000 11793 9692 342076 226298 0 0 Rebecca L East Sr VP CFO 0 556026 0 170570 0 160148 0 383329 0 21982 0 1292055 0 328607 James Falahee Sr VP Legal & Leg. Affairs 0 500645 0 148090 0 97812 0 323598 0 15313 0 1085458 0 239151 Cheryl Johnson Sr VP Chief People Officer 0 390489 0 122205 0 75908 0 276993 0 15227 0 880822 0 193796 Scott Larson MD Sr VP Medical Affairs/CMO 0 267384 0 153443 0 114859 0 25224 0 11936 0 572846 0 265156 Susan Reinoehl Sr VP Strategy & Comm 0 327318 0 105024 0 25920 0 205027 0 7544 0 670833 0 100024 Michael S Way Sr VP Mat. Mgt. & Facility Svs. 0 305780 0 99376 0 28566 0 195264 0 20299 0 649285 0 94376 Joseph du Lac Sr VP, COO BBC 0 431852 0 103400 0 153833 0 169400 0 20579 0 879064 0 238124 Christine Sangalli-Davis VP Chief Compliance Officer 0 252434 0 41171 0 3148 0 69272 0 6835 0 372860 0 41171 Joseph Burkhardt Physician 1699067 0 85964 0 31661 0 26850 0 21647 0 1865189 0 0 0 Phillip Dabrowski Physician 985214 0 50574 0 25585 0 16950 0 22296 0 1100619 0 0 0 Sapna Patel Physician 1069454 0 21000 0 6138 0 10350 0 15470 0 1122412 0 0 0 Mark Russell Physician 912711 0 47901 0 12772 0 21900 0 15254 0 1010538 0 0 0 Mahmood Siddiqui Physician 888195 0 45131 0 26438 0 21900 0 20834 0 1002498 0 0 0 John Jones JR Former Sr VP Community Care (THRU 2020) 0 0 0 0 0 122357 0 0 0 0 0 122357 0 122357 Schedule J, Part I, Line 1a Travel for companions THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL IS AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE TRAVEL IS TREATED AS A TAXABLE FRINGE BENEFIT. Schedule J, Part I, Line 1a Health or social club dues or initiation fees THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. 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. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN DURING 2024: FALAHEE JR., JAMES B $91,061 SERP DISTRIBUTION EAST, REBECCA $158,037 SERP DISTRIBUTION JONES JR, JOHN $122,357 SERP DISTRIBUTION LARSON, SCOTT D $111,713 SERP DISTRIBUTION MANNS, BILL $284,490 SERP DISTRIBUTION JOHNSON, CHERYL $71,591 SERP DISTRBUTION DU LAC, JOSEPH $147,924 SERP DISTRIBUTION THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A CONTRIBUTION TO THE PLAN. UNDER THE PLAN, CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AND VEST FIVE YEARS AFTER AMOUNTS ARE INITIALLY CONTRIBUTED. WAY, MICHAEL $60,805 SERP CONTRIBUTION REINOEHL, SUSAN $63,845 SERP CONTRIBUTION FALAHEE JR., JAMES B $92,043 SERP CONTRIBUTION EAST, REBECCA $105,388 SERP CONTRIBUTION MANNS, BILL $795,073 SERP CONTRIBUTION JOHNSON, CHERYL $67,702 SERP CONTRIBUTION DU LAC, JOSEPH $66,000 SERP CONTRIBUTION Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS 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, 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 2024. 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, Line 6 Classes of members or stockholders BRONSON HEALTHCARE GROUP (BHG) IS THE CLASS A MEMBER OF THE HOSPITAL. BBCH COMMUNITY PARTNERS IS THE CLASS B MEMBER OF THE HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body BRONSON HEALTHCARE GROUP (BHG) AND BBCH COMMUNITY PARTNERS ARE THE SOLE MEMBERS OF BRONSON BATTLE CREEK HOSPITAL (BBCH). BBCH COMMUNITY PARTNERS, AFTER CONSULTING WITH AND SEEKING INPUT FROM THE NOMINATING COMMITTEE OF BHG, APPOINTS 6 MEMBERS TO THE BBCH AND BHG BOARDS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders BRONSON HEALTHCARE GROUP (BHG) IS THE CLASS A MEMBER OF THE BRONSON BATTLE CREEK HOSPITAL (BBCH) AND HAS CERTAIN RESERVED POWERS OVER THE ACTIONS OF BBCH. THE BOARD OF DIRECTORS HAS THE POWER TO: -AMENDMENT, RESTATEMENT, OR REPEAL OF BBCH'S ARTICLES OF INCORPORATION OR BYLAWS. -ADOPTION, EXECUTION, REVOCATION, OR ABANDONMENT A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, REORGANIZATION, OR OTHER MAJOR CHANGE IN CORPORATE STRUCTURE INVOLVING BBCH. -SALE, LEASE EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF BBCH'S 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 INTEREST APPROVED AS A PART OF A BUDGET. -CHANGE THE MISSION STATEMENT, PURPOSES, OR STRATEGIC GOALS OF BBCH -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, Line 11b Review of form 990 by governing body THE SR VP/CFO & CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE CHAIR OF THE FINANCE COMMITTEE TO REVIEW THE PREPARED FORM 990 AND SCHEDULES PRIOR TO PROVIDING A COPY TO THE FULL FINANCE COMMITTEE. THE FINANCE COMMITTEE OF THE BOARD REVIEWED THE PREPARED FORM 990S AT ITS REGULARLY SCHEDULED MEETING ON OCTOBER 20, 2025. THE REVIEW WAS LED BY THE SR VP/CFO AND PLANTE MORAN. THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY WERE PROVIDED THE FINAL FORM 990 FOR REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy 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 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 INTERST 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 DELIBERATIONS AND DECISIONS ON THE TRANSACTION IN QUESTION. Form 990, Part VI, Line 19 Required documents available to the public 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 VIII, Line 11d Other Miscellaneous Revenue SERVICES TO SELECT MEDICAL - Total Revenue: 472679, Related or Exempt Function Revenue: 472679, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PRESENT VALUE OF RESTRICTED PLEDGES - -68589; Total - -68589; BRONSON HEALTHCARE GROUP INC 2825 AIRVIEW BLVD KALAMAZOO MI 49002 382418383 PROVIDE SUPPORT SERVICES MI 501(c)(3) Type III-FI NA false BRONSON HEALTH FOUNDATION 2825 AIRVIEW BLVD KALAMAZOO MI 49002 382415081 SUPPORTING ORGANIZATION MI 501(c)(3) 7 BRONSON HEALTHCARE GROUP false BRONSON LAKEVIEW HOSPITAL 2825 AIRVIEW BLVD KALAMAZOO MI 49002 381359218 HOSPITAL MI 501(c)(3) 3 BRONSON HEALTHCARE GROUP false BRONSON COMMONS 2825 AIRVIEW BLVD KALAMAZOO MI 49002 382842451 SKILLED NURSING FACILITY MI 501(c)(3) 10 BRONSON HEALTHCARE GROUP false VBEMS 2825 AIRVIEW BLVD KALAMAZOO MI 49002 382745910 AMBULANCE SERVICE MI 501(c)(3) 10 BRONSON HEALTHCARE GROUP false BRONSON PROPERTIES CORPORATION 2825 AIRVIEW BLVD KALAMAZOO MI 49002 386052573 PROVIDE SUPPORT SERVICES MI 501(c)(3) Type II BRONSON HEALTHCARE GROUP false BRONSON AT HOME 2825 AIRVIEW BLVD KALAMAZOO MI 49002 383298476 NURSING, HOSPICE, & EQUIP SALES MI 501(c)(3) 10 BRONSON HEALTHCARE GROUP false BRONSON METHODIST HOSPITAL 2825 AIRVIEW BLVD KALAMAZOO MI 49002 381359087 HOSPITAL MI 501(c)(3) 3 BRONSON HEALTHCARE GROUP false BRONSON SOUTH HAVEN HOSPITAL 2825 AIRVIEW BLVD KALAMAZOO MI 49002 381676780 HOSPITAL MI 501(c)(3) 3 BRONSON HEALTHCARE GROUP false HNI LEASING LLC 6212 AMERICAN AVE PORTAGE MI 49002 383638430 SUPPORT SERVICES MI NA N/A false false HOSPITAL NETWORK VENTURES 6212 AMERICAN AVE PORTAGE MI 49002 263302979 SUPPORT SERVICES MI NA N/A false false BRONSON AMBULATORY SURGERY CENTER LLC 2825 AIRVIEW BLVD KALAMAZOO MI 49002 842884815 SUPPORT SERVICES MI NA N/A false false BRONSON MANAGEMENT SERVICES CORP 2825 AIRVIEW BLVD KALAMAZOO MI 49002 382415032 OTHER MEDICAL SERVICES MI NA C Corporation false BRONSON LIFESTYLE IMPROVEMENT & RESEARCH 2825 AIRVIEW BLVD KALAMAZOO MI 49002 383552556 REHABILITATION SERVICES MI NA C Corporation false false false true false false false false false false false true true true false true false false false false