4A (Expenses $ 944378112 including grants of $ 26500) (Revenue $ 1092679609)
BRONSON METHODIST HOSPITAL (BMH) IS THE FLAGSHIP OF BRONSON HEALTHCARE GROUP, A NOT-FOR-PROFIT HEALTHCARE SYSTEM SERVING ALL OF SOUTHWEST MICHIGAN. BMH PROVIDES CARE IN VIRTUALLY EVERY SPECIALTY WITH ADVANCED CAPABILITIES IN BURN TREATMENT AND CRITICAL CARE AS A LEVEL I TRAUMA CENTER; IN NEUROLOGICAL CARE AS A JOINT COMMISSION CERTIFIED PRIMARY STROKE CENTER; IN CARDIAC CARE AS THE REGIONS FIRST ACCREDITED CHEST PAIN EMERGENCY CENTER; IN OBSTETRICS AS THE LEADING BIRTHPLACE AND ONLY HIGH-RISK PREGNANCY CENTER IN SOUTHWEST MICHIGAN, AND IN PEDIATRICS AS ONE OF THE ONLY SIX CHILDRENS HOSPITALS IN THE STATE AND THE ONLY INPATIENT PEDIATRIC CARE PROVIDER IN THE AREA. THE BMH EMERGENCY DEPARTMENT WHICH IS OPEN 24 HOURS PER DAY, HANDLES OVER 75,000 VISITS PER YEAR. BMH TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. BMH WAS THE RECIPIENT OF THE 2005 MALCOLM BALDRIDGE NATIONAL QUALITY AWARD, THE NATION'S HIGHEST PRESIDENTIAL HONOR FOR QUALITY AND ORGANIZATIONAL PERFORMANCE EXCELLENCE. IN 2009, THE HOSPITAL RECEIVED THE AHA MCKESSON QUEST FOR QUALITY PRIZE AWARDED ANNUALLY TO ONLY ONE U.S. HOSPITAL, AND JOINED THE TOP FIVE PERCENT OF HOSPITALS IN THE NATION TO BE DESIGNATED A MAGNET HOSPITAL FOR NURSING EXCELLENCE.BMH PROVIDES A DISPROPORTIONATE AMOUNT OF CARE TO THE SEGMENT OF THE POPULATION USING MEDICAID. BMH IS THE LARGEST MEDICAID PROVIDER OF ANY LARGE HOSPITAL IN MICHIGAN OUTSIDE OF THE DETROIT AREA (ON A PERCENATAGE BASIS). IN 2021, 19.15% OF BMH'S PATIENTS WERE MEDICAID RECIPIENTS. WE HAVE THREE MEDICAID ENROLLERS ON SITE TO HELP THOSE WITHOUT INSURANCE ENROLL IN MEDICAID, OR REFER THEM TO COMMUNITY RESOURCES. EXPENDITURES RELATED TO THE OPERATION OF THE HOSPITAL.IN 2021, IN FURTHERANCE OF ITS MISSION, BMH PROVIDED $8,209,768 IN CHARITY CARE EXPENSE.

4B (Expenses $ 0 including grants of $ 0) (Revenue $ 0)
IN 2021, BMH'S MEDICAID COST WAS $175,343,880 AND MEDICAID NET REVENUE WAS $159,592,146.

4C (Expenses $ 35489920 including grants of $ 0) (Revenue $ 0)
IN 2021, IN FURTHERANCE OF ITS MISSION, BMH INCURRED $35,489,920 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS.

BRONSON METHODIST HOSPITAL
PART V, SECTION B, LINE 5: AT BRONSON, THE CHNA PROCESS HAD OVERSIGHT FROM A SYSTEM-WIDE ADVISORY COMMITTEE WHOSE ANALYSIS AND RECOMMENDATIONS WERE BROUGHT TO THE EXECUTIVE TEAM AND TO THE BRONSON HEALTHCARE BOARD COMMUNITY HEALTH COMMITTEE FOR FINAL DELIBERATION AND APPROVAL.THE PROCESS INCLUDED A REVIEW OF BRONSON'S PREVIOUS ASSESSMENTS, ANALYSIS OF OVER 150 CURRENT INDICATORS IN EACH COUNTY AND DISCUSSION OF THE SECONDARY DATA AVAILABLE AT THE COUNTY LEVEL. BRONSON ALSO SOUGHT PERSPECTIVE FROM MICHIGAN PUBLIC HEALTH INSTITUTE AND W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH TO PROVIDE CONSULTANT SUPPORT FOR THE PROJECT. BECAUSE THERE ARE INHERENT LIMITATIONS AND GAPS IN SECONDARY DATA, THERE WAS A HEAVY EMPHASIS ON COMMUNITY VOICE AND INPUT TO IDENTIFY THE GREATEST NEEDS IN OUR COMMUNITIES. THE ANALYSIS IN THIS DOCUMENT REPRESENTS THE MOST IMPORTANT ISSUES FROM 29 FOCUS GROUPS AND 23 INTERVIEWS AND 386 COMMUNITY VOICES. THE FOLLOWING INDIVIDUALS AND ORGANIZATIONS WERE ENGAGED IN THE CHNA TO REPRESENT THE INTERESTS OF THE COMMUNITY: EL CONCILIOKALAMAZOO CONTINUUM OF CAREASCENSION BORGESS HOSPITALPREVENTION WORKSKALAMAZOO LOAVES AND FISHESTHE CITY OF KALAMAZOOKALAMAZOO VALLEY COMMUNITY COLLEGEWMU LGBT STUDENT SERVICESCOMMUNITIES IN SCHOOLS OF KALAMAZOOURBAN ALLIANCEKALAMAZOO COMMUNITY FOUNDATIONMIWORKS!, SWERNBRONSON HEALTHCARETHE KALAMAZOO PROMISE KALAMAZOO COMMUNITY FOUNDATIONUNITED WAY OF THE BATTLE CREEK & KALAMAZOO REGIONCOUNTY LAW ENFORCEMENTYWCA KALAMAZOOOUTFRONT KALAMAZOOBRONSON BOARD MEMBERKALAMAZOO COUNTY LEADERSHIPKALAMAZOO PUBLIC HOUSING COMMISSIONINTEGRATED SERVICES OF KALAMAZOOTHE CITY OF KALAMAZOO, PARKS & RECTHE CITY OF KALAMAZOO LEADERSHIPKALAMAZOO METRO TRANSITFAMILY HEALTH CENTER ISAACKRESASENIOR SERVICES SOUTHWEST MICHIGANKALAMAZOO LITERACY COUNCIL LEGAL AID OF WESTERN MICHIGAN LISC-STATEWIDE DEPUTY DIRECTORDOUGLAS COMMUNITY ASSOCIATIONKALAMAZOO EDUCATION LEADERS & REPRESENTATIVESKALAMAZOO FRONTLINE HOME VISITATION HOMELESSNESS/SAFETY-NET PROVIDERSCOMMUNITY MEMBERS WITH DISABILITIESKALAMAZOO BUSINESS & UNIVERSITY LEADERS MINORITY BUSINESS OWNERSYOUTH DEVELOPMENT ORGANIZATIONS EASTSIDE NEIGHBORHOOD WMED RESIDENTSCOMMUNITY PHYSICIANSHISPANIC LATINX COMMUNITYBRONSON EMPLOYEES WHO RESIDE IN KALAMAZOO COUNTYVICKSBURG SOCIAL SERVICES & SENIOR SERVICESWMU SINDECUSE MEDICAL DIRECTOR WESTERN MICHIGAN UNIVERSITYNORTHSIDE MINISTERIAL ALLIANCECOMMUNITY MEMBERS WITH EMPLOYMENT BARRIERS TO NARROW DOWN THE PRIMARY DATA RESULTS, MICHIGAN PUBLIC HEALTH INSTITUTE RAN THE FREQUENCY OF REFERENCES ACROSS EACH TOPIC BELOW. BRONSON DECIDED TO MAKE THE CUT OFF FOR THE TOP 11 MAJOR TOPICS FROM FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. FOR THE PURPOSES OF THE FINAL REPORT, THE COMMUNITY STAKEHOLDERS AGREED TO NOT RANK THE TOPICS, SO THAT ALL OF THESE ISSUES CAN BE ELEVATED COLLECTIVELY. THIS ALSO EMPHASIZES THAT THE NEEDS BELOW DID NOT EMERGE INDEPENDENTLY. TOP 11 TOPICS (IN NO RANKING ORDER): LAWS & POLICIES PERSONAL EXPERIENCES OF RACISM TRANSPORTATION LAND USE, PARKS & RECREATION/GREENSPACE PROXIMITY TO AFFORDABLE, HEALTHY FOOD MENTAL HEALTH & SUBSTANCE ABUSE COMMUNITY CONNECTEDNESS QUALITY EDUCATION HEALTHCARE SOCIAL SERVICES CAREER PATHWAYS, INCOME, POVERTY IN AN EFFORT TO HONOR THE LIVED EXPERIENCE, THE MAJORITY OF THIS REPORT REFLECTS THE PRIMARY RESULTS FROM FOCUS GROUPS AND INTERVIEWS THROUGHOUT THE COUNTY. THEREFORE, THE QUANTITATIVE DATA PRESENTED ALONGSIDE THE THEMES IS TO SUPPORT AND AUGMENT COMMUNITY VOICE. BRONSON ALSO WANTS TO RECOGNIZE THE DIFFERENCES IN THE LIVED EXPERIENCE IN RURAL AND URBAN AREAS. IN ORDER TO LOOK AT THESE DIFFERENCES, WE INCLUDED DATA AT THE COUNTY, SUB-COUNTY, AND NEIGHBORHOOD LEVEL, WHEN POSSIBLE. SOURCES INCLUDE: U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY MICHIGAN DEPARTMENT OF COMMUNITY HEALTH CENTER FOR DISEASE CONTROL & PREVENTION MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES MICHIGAN SCHOOL DATA UNITED WAY OF MICHIGAN ALICE DATA

BRONSON METHODIST HOSPITAL
PART V, SECTION B, LINE 6A: BRONSON LAKEVIEW HOSPITALBRONSON SOUTH HAVEN HOSPITALBRONSON BATTLE CREEK HOSPITAL

BRONSON METHODIST HOSPITAL
PART V, SECTION B, LINE 6B: KALAMAZOO FAMILY HEALTH CENTERKALAMAZOO COUNTY HEALTH DEPARTMENT

BRONSON METHODIST HOSPITAL
PART V, SECTION B, LINE 11: THE RESULTS OF THE 2019 CHNA, COMPOUNDED BY THE STARK REALITIES OF COVID-19, HAVE URGED BRONSON TO FOCUS EFFORTS UPSTREAM TO ACKNOWLEDGE THE ROOT CAUSES OF BEHAVIORS, DEATH, AND DISEASE. AS A RESULT, THERE WAS SHARED DESIRE AND URGENCY TO BUILD COMMUNITY TRUST IN OUR 2020-2022 CHIP. AS SOUTHWEST AND SOUTHCENTRAL MICHIGAN'S ONLY CHILDREN'S HOSPITAL, WE RECOGNIZE THE RESPONSIBILITY AND OPPORTUNITY TO BUILD THIS TRUST FROM THE START. AS A RESULT, BRONSON COMMITS TO ENGAGE AND BUILD TRUST WITH FAMILY SUPPORTS TO ELIMINATE RACIAL/ETHNIC DISPARITIES AMONG BIRTHING PERSONS AND BABIES ACROSS OUR 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 TARGETED HEALTH NEEDS (WORKFORCE EQUITY AND HEALTHCARE EQUITY). TO ACT ON THIS, BRONSON WILL DEPLOY SEVERAL TACTICS FOCUSED ON ELIMINATING RACIAL/ETHNIC DISPARITIES THROUGHOUT THE PERINATAL EXPERIENCE AND EMPLOYMENT EXPERIENCE AT BRONSON. THE CHIP 2020-2022 WILL SERVE AS A FIRST STEP FOR A SYSTEMATIC APPROACH TO USE COMMUNITY VOICE, DATA, AND ENGAGEMENT TO UNDERSTAND AND ADDRESS THE NEEDS OF OUR BIRTHING PERSONS, BABIES, AND FAMILIES. BRONSON CONTINUES TO COLLABORATE AND PARTNER WITH AGENCIES BETTER SUITED 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.

BRONSON METHODIST HOSPITAL
PART V, SECTION B, LINE 20E: THE HOSPITAL ACKNOWLEDGES THAT ALL INDIVIDUALS ARE NOT EQUALLY CAPABLE OF PAYING FOR HEALTHCARE SERVICES, EITHER BY THEMSELVES OR THROUGH A THIRD PARTY INSURANCE CARRIER. THE HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO OFFER CARE FOR PERSONS IN NEED, AND THEREFORE PROVIDES AND PROMOTES ACCESS TO EMERGENCY OR MEDICALLY NECESSARY SERVICES WITHOUT REGARD TO ABILITY TO PAY.THE HOSPITAL HAS SIGNS AT ENTRANCES TO THE EMERGENCY DEPARTMENT THAT INFORM PATIENTS OF THE FINANCIAL ASSISTANCE POLICY AS WELL AS THE ADMITTING AND FINANCIAL COUNSELING DEPARTMENTS. THE POLICY IS ALSO ON THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM). THE PLAIN LANGUAGE SUMMARY IS INCLUDED ON ALL PATIENT STATEMENTS.PATIENTS MAY REQUEST AN APPLICATION TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE BY CALLING A PATIENT FINANCIAL COUNSELOR OR BRONSON'S BILLING DEPARTMENT. THE APPLICATION IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE (WWW.BRONSONHEALTH.COM).

PART V, SECTION B, LINE 20D:
THE HOSPITAL DOES NOT MAKE ANY PRESUMPTIVE ELIGIBILITY DETERMINATIONS.

PART I, LINE 3C:
THE ORGANIZATION USES THE FOLLOWING FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS:200% OR BELOW OF FPL IS ENTITLED TO A 100% REDUCTION250% OF FPL IS ENTITLED TO A 90% REDUCTION300% OF FPL IS ENTITLED TO A 80% REDUCTION350% OF FPL IS ENTITLED TO A 75% 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.

PART II, COMMUNITY BUILDING ACTIVITIES:
"1. PHYSICAL IMPROVEMENTS AND HOUSINGA. ACCESS TO HEALTHY FOODS & LOCAL REGIONAL SOURCING: BMH CONTINUED TO OPERATE THE BRONSON MARKET, A GIFT SHOP AND MICRO-GROCERY STORE, MAKING IT EASY AND CONVENIENT FOR STAFF AND VISITORS TO BUY FRESH, HEALTHY FOOD TO EAT OR TAKE HOME TO PREPARE. A VARIETY OF FRESH, LOCALLY GROWN AND PRODUCED FOODS NORMALLY FOUND AT THE LOCAL FARMER'S MARKETS IS AVAILABLE. BMH CONTINUES TO PRIORITIZE LOCAL FOOD SOURCING, BUT AS A RESULT OF LOCAL SUPPLY CHAIN LIMITATIONS THAT HAVE CONTINUED DURING THE PANDEMIC, THE HOSPITAL'S SOURCING AND INVESTMENT HAVE REMAINED BELOW PRE-PANDEMIC LEVELS IN 2021. B. MOBILITY INNOVATION: MEMBERS OF BRONSON STAFF WORKED CLOSELY WITH EMPLOYEES AT THE CITY OF KALAMAZOO AS THEY DESIGNED AND IMPLEMENTED STRATEGIES TO CREATE MORE COMPLETE STREETS THROUGHOUT AND BEYOND DOWNTOWN KALAMAZOO. IN MOST INSTANCES, THIS MEANT NARROWING AND/OR REDUCING THE DRIVING LANES TO CREATE MORE SPACE FOR BICYCLING FACILITIES, SIDEWALKS / PATHWAYS, ON-STREET PARKING, TRAFFIC CALMING INFRASTRUCTURE, AND OTHER AMENITIES. THESE MEASURES MAKE IT EASIER AND SAFER FOR PATIENTS, VISITORS, AND EMPLOYEES TO ACCESS THE HOSPITAL AND THE AREAS AROUND IT. C. HOUSING: SINCE 1998, BRONSON HAS INVESTED TO HELP EMPLOYEES PURCHASE HOMES IN CORE DOWNTOWN NEIGHBORHOODS CLOSE TO THE HOSPITAL CAMPUS. THE PROGRAM PROVIDES A LOAN, WHICH EMPLOYEES START PAYING BACK IN YEAR SIX AT NO INTEREST. THE MONEY COLLECTED IS THEN PUT BACK INTO THE LOAN POOL TO BE LOANED OUT AGAIN. THROUGH 2021, BRONSON'S INVESTMENT OF $577,525 HAS RESULTED IN $775,549 BEING LOANED TO 89 EMPLOYEES. IN ADDITION, A VACANT HOME THAT WAS PURCHASED BY BRONSON DUE TO ITS PROXIMITY TO CAMPUS BUT WAS NO LONGER OF STRATEGIC INTEREST WAS SOLD TO KALAMAZOO NEIGHBORHOOD HOUSING SERVICES TO BE IMPROVED AND SOLD TO A QUALIFIED BRONSON EMPLOYEE THAT HAD COMPLETED ITS FINANCIAL READINESS PROGRAM. D. ACADIA HEALTH: BRONSON FORMED A JOINT VENTURE PARTNERSHIP WITH ACADIA HEALTH TO DEVELOP A NEW BEHAVIORAL HEALTH HOSPITAL IN BATTLE CREEK, PROVIDING MUCH NEEDED BEHAVIORAL HEALTH SERVICES TO BATTLE CREEK AND THE SOUTHWEST MICHIGAN COMMUNITY. BRONSON WOULD CONTRIBUTE THE LAND AND THE BED LICENSES (CURRENTLY HOUSED AT ITS FIELDSTONE FACILITY) WHILE ACADIA WOULD PROVIDE THE CAPITAL FOR THE FACILITY DEVELOPMENT AND WOULD MANAGE THE OPERATION. THE NEW VENTURE WILL EXPAND THE SERVICES MENTAL HEALTH SERVICES PROVIDED IN THE COMMUNITY. 2. ECONOMIC DEVELOPMENT A. NATIONAL RECOGNITION FOR BRONSON HEALTHY LIVING CAMPUS: THE BRONSON HEALTHY LIVING CAMPUS, A PARTNERSHIP BETWEEN KALAMAZOO VALLEY COMMUNITY COLLEGE (KVCC), BRONSON AND INTEGRATED SERVICES OF KALAMAZOO (FORMERLY KCMHSAS) CAME TOGETHER WITH THE AMBITIOUS GOALS OF URBAN REVITALIZATION, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT THROUGH SUSTAINABLE FOOD, EDUCATION AND TRAINING. BRONSON DONATED UNUSED LAND ADJACENT TO BMH, WHICH NOW INCLUDES THE MARILYN J. SCHLACK CULINARY AND ALLIED HEALTH BUILDING, THE FOOD INNOVATION CENTER (WITH A FOOD HUB AND INDOOR AND OUTDOOR GROWING SPACES) AND AN INTEGRATED HEALTH SERVICES CLINIC FOR KCMHSAS CUSTOMERS.3. COMMUNITY SUPPORT A. COMMUNITY HEALTH LITERACY: BRONSON SUPPORTED EARLY CHILDHOOD LITERACY BY PROVIDING THE FAMILIES OF EVERY NEWBORN A BOOK TO PROMOTE READING; SUPPORTING THE YOUTH READING PROGRAM AT THE COUNTY JUVENILE HOME; BY TRAINING AREA CLERGY IN PASTORAL CARE FOR ILL AND END-OF-LIFE PATIENTS; BY STAFFING THE COUNTY SAFE KIDS COALITION AND BY OFFERING HEALTH-RELATED EDUCATIONAL SEMINARS THROUGHOUT THE COMMUNITY.B. INSURANCE ENROLLMENT OUTREACH AND SUPPORT: BRONSON PROVIDED OPEN ENROLLMENT ASSISTANCE FOR THE MARKETPLACE INSURANCE FROM NOVEMBER 1, 2021 TO DECEMBER 15, 2021 WITH A CAC (CERTIFIED APPLICATION COUNSELOR). BECAUSE OF COVID AND IN-PERSON ASSISTANCE NOT BEING POSSIBLE, WE MADE CAC CONTACT INFORMATION AVAILABLE ON THE HOME PAGE FOR THE MARKETPLACE AS WELL AS TO 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. 4. COALITION BUILDING A. CRADLE KALAMAZOO & SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE (SWMPQIC): INFANT MORTALITY CONTINUES TO BE A FOCUS THROUGH THE CRADLE KALAMAZOO COLLABORATIVE. THE MISSION OF THIS PARTNERSHIP WITH CRADLE KALAMAZOO, YWCA AND THE WESTERN MICHIGAN UNIVERSITY HOMER STRYKER M.D. SCHOOL OF MEDICINE (WMED) IS TO REDUCE BLACK INFANT MORTALITY. THE TEAM EXAMINED PROCESSES TO UNDERSTAND WHERE DISPARITIES IN OUTCOME AND OPPORTUNITIES FOR IMPROVEMENT EXISTED. THE FOCUS IS ON INCREASING THE NUMBER OF FIRST TRIMESTER ULTRASOUNDS, IMPROVING ENGAGEMENT WITH PARENTS IN PRENATAL CARE, IMPROVING DUE DATE ESTIMATES AND EARLY IDENTIFICATION OF MEANINGFUL CLINICAL FINDINGS. BRONSON ALSO 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. THROUGH THE SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE, 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. B. IN 2021. A FEW ADDITIONAL EFFORTS INCLUDE: COVID-19 VACCINATION OUTREACH; A COMMUNITY SURVEY TO UNDERSTAND VACCINATION EFFORTS AND BARRIERS, A VIRTUAL PANEL OF PROVIDERS ANSWERING QUESTIONS THE AROSE FROM SURVEY RESPONSES, SOCIAL MEDIA AND BROADCAST MEDIA MESSAGES. A PILOT PROJECT CONNECTING FIVE BIRTHING PERSONS OF COLOR TO LOCAL DOULAS TO ENHANCE WRAP AROUND SERVICES TO IMPROVE MATERNAL AND INFANT OUTCOMES AND POSITIVE BIRTH EXPERIENCE. VIRTUAL BREASTFEEDING EDUCATION CLASSES.5. COMMUNITY HEALTH IMPROVEMENT ADVOCACY A. HOMELESS EMERGENCY RESPONSE SYSTEM (HERS): THE HOMELESS EMERGENCY RESPONSE SYSTEM (HERS) AND CONTINUES AS A COLLABORATIVE PILOT OF BRONSON HEALTHCARE GROUP, KALAMAZOO COUNTY HOUSING COMMISSION, AND INTEGRATED SERVICES OF KALAMAZOO. HERS IS DESIGNED TO RESPOND TO THE MOST ACUTE NEED OF CHRONICALLY HOMELESS INDIVIDUALS HOUSING AND THROUGH THE PROVISION OF HOUSING, TO RESPOND TO THE OTHER SERVICES THE PARTICIPANT MAY NEED TO MAINTAIN THAT HOUSING AND TO IMPROVE THEIR LEVEL OF HEALTH AND FUNCTIONING. THE GOALS OF FUSE ARE TO INCREASE THE RESIDENTIAL STABILITY AND OVERALL HEALTH STATUS OF CHRONICALLY HOMELESS INDIVIDUALS WHILE REDUCING THE UTILIZATION AND COSTS OF EMERGENCY SERVICES BEING PROVIDED TO CHRONICALLY HOMELESS PERSONS. SINCE 2016, THE PROGRAM HAS FOUND PERMANENT HOUSING SOLUTIONS FOR 25 INDIVIDUALS AND HAS DEMONSTRATED PROMISING OUTCOMES AND KEY LEARNINGS. OF THE LAST COHORT INCLUDED IN BRONSON'S HEALTH CARE UTILIZATION ANALYSIS, THERE WAS A 55% DECREASE IN ED VISITS AND AN EXPONENTIAL SHIFT IN MORE STABLE APPROPRIATE PRIMARY CARE. IN ADDITION TO THE POSITIVE IMPACTS ON COSTS AND RESOURCE ALLOCATION IN OUR ED, WE ALSO CONFIRMED THERE IS A POSITIVE IMPACT ON QUALITY OF CARE FOR OUR PATIENTS. AS WE TRANSITION FROM THIS PILOT, BRONSON WILL USE OUR LEARNINGS FROM THIS PILOT TO EXPAND ITS PARTNERSHIP WITH ISK AND LOCAL EMERGENCY RESPONSE SYSTEMS IN KALAMAZOO. 6. WORKFORCE DEVELOPMENT A. PROJECT SEARCH RECOGNITION: KALAMAZOO'S PROJECT SEARCH AT BMH IS DESIGNED TO HELP YOUNG ADULTS WITH DISABILITIES DEVELOP MARKETABLE SKILLS FOR THE WORKPLACE AND OBTAIN GAINFUL EMPLOYMENT. BMH RECEIVED INTERNATIONAL RECOGNITION FOR ITS COLLABORATIVE WORK TO BETTER THE LIVES OF YOUTH WITH DISABILITIES IN OUR COMMUNITY. THE PROGRAM AT BRONSON WAS HONORED WITH THE 2019 SPOTLIGHT ON TRANSFORMATIVE COLLABORATION AWARD FROM PROJECT SEARCH. IN 2021, BRONSON SUPPORTED SIX INTERNS, WHO ARE NOW GAINFULLY EMPLOYED. OVER 32 DIFFERENT BUSINESSES HAVE HIRED 60 INTERNS OVER THE PAST NINE YEARS, INCLUDING 14 AT BRONSON WITH 11 STILL WORKING HERE.B. NORTHSIDE ASSOCIATION FOR COMMUNITY DEVELOPMENT (NACD): IN RESPONSE TO SOME OF THE LOCAL WORKFORCE NEEDS IDENTIFIED IN THE CHNA AND IN OUR OWN AFFIRMATIVE ACTION PLANS, BRONSON ENGAGED WITH THE NACD HEALTHCARE TRAINING PARTNERSHIP, THE KALAMAZOO PROMISE, NORTHSIDE ASSOCIATION FOR COMMUNITY DEVELOPMENT (NACD), MICHIGAN CAREER AND TECHNICAL INSTITUTE, MIWORKS SW! AND YOUTH OPPORTUNITIES UNLIMITED TO HELP INCREASE THE REPRESENTATION OF BLACK/AFRICAN AMERICANS IN THE PATIENT CARE ASSISTANT (PCA) PROFESSION. THE PCA TRAINING PROGRAM PROVIDES RESIDENTS OF KALAMAZOO WITH EQUITABLE ACCESS TO HEALTHC"

PART III, LINE 2:
UNCOLLECTIBLE AMOUNTS ARE WRITEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. BAD DEBT EXPENSE IS DISCLOSED BASED ON GROSS CHARGES.

PART III, LINE 3:
BAD DEBT WRITEOFFS SUPPORT THE COMMUNITY BY PROVIDING A PORTION OF SERVICES WITHOUT PAYMENT. THE AMOUNT OF BAD DEBT EXPENSES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS ESTIMATED BY REVIEWING THE BAD DEBT DETAIL FOR A SPECIFIC WRITE-OFF CODE.

PART III, LINE 4:
ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE 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.

PART III, LINE 8:
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.

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 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.

PART VI, LINE 2:
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 ESTIMATES2. SG2 IP/OP FORECAST3. SG2 AMBULATORY MARKET STRATEGIST4. SG2 MARKET DEMOGRAPHICS FROM CLARITAS

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 METHODIST HOSPITAL SERVES A NINE COUNTY REGION IN SOUTHWEST MICHIGAN. ABOUT 64% OF PATIENTS SERVED COME FROM WITHIN KALAMAZOO COUNTY AND THE OTHER 36% COME FROM THE REGIONAL COUNTIES OF: ALLEGAN, BARRY, BERRIEN, BRANCH, CASS, VAN BUREN, CALHOUN, EATON AND ST. JOSEPH. PATIENT DEMOGRAPHICS15.60% <21 YEARS OF AGE22.30% 21-39 YEARS OF AGE34% 40-64 YEARS OF AGE28.10% 65 YEARS OF AGE AND OLDERPATIENT DIVERSITY DEMOGRAPHICS82.76% CAUCASIAN9.82% AFRICAN-AMERICAN0.95% ASIAN3.75% OTHERPATIENT INSURANCE DEMOGRAPHICS43.79% PRIVATE INSURANCE18.84% MEDICARE17.31% MEDICARE AND SUPPLEMENTAL INSURANCE18.34% MEDICAID OR OTHER PUBLIC ASSISTANCE1.72% NO COVERAGE

PART VI, LINE 7, REPORTS FILED WITH STATES
MI

PART II, COMMUNITY BUILDING ACTIVITIES CONTINUATION:
"THE NACD HEALTHCARE TRAINING PARTNERSHIP'S PCA TRAINING PROGRAM TARGETS INDIVIDUALS WHO LIVE IN THE CORE NEIGHBORHOODS OF KALAMAZOO (I.E. NORTHSIDE, EASTSIDE AND EDISON) AND OFFERS BRONSON A UNIQUE OPPORTUNITY TO INCREASE LOCAL HIRING AND HELP DEVELOP A MORE DIVERSE FRONTLINE WORKFORCE THAT REFLECTS ITS COMMUNITY OF PATIENTS. THE PARTNERSHIP IS LEVERAGING THE EXPERTISE OF ITS MEMBERS TO ENSURE PROGRAM COMPLETERS HAVE THE SKILLS, ABILITIES AND SUPPORT NEEDED TO BE SUCCESSFUL ON THE JOB. C. WORKFORCE ENGAGEMENT AND DIVERSITY NEEDS: THE RECRUITMENT AND RETENTION OF STAFF CONTINUES TO BE A CHALLENGE FOR BRONSON AS WE DEAL WITH NATIONAL SHORTAGES IN VARIOUS HEALTHCARE OCCUPATIONS AND A LOW UNEMPLOYMENT RATE. THE MULTI-YEAR RECRUITMENT AND RETENTION PLAN IMPLEMENTED IN EARLY 2018 WAS DESIGNED TO MEET THESE CHALLENGES WITH THE FOLLOWING AREAS OF FOCUS: ENGAGED IN CAREER PREPARATION THROUGH SCHOOL AND PROFESSIONAL PARTNERSHIPS (COMPASS HIGH SCHOOLCNA PROGRAM, WOMEN'S CO-OP, MICHIGAN REHABILITATION SERVICES, YOUTH OPPORTUNITIES UNLIMITED, MICHIGAN CAREER & TECHNICAL INSTITUTE) PARTNERED WITH NORTHSIDE ASSOCIATION FOR COMMUNITY DEVELOPMENT AND THE KALAMAZOO PROMISE TO PILOT A LOW BARRIER, NEIGHBORHOOD-FOCUSED CERTIFIED NURSING ASSISTANT (CNA) TRAINING EXPANDED DIGITAL AND SOCIAL MEDIA RECRUITMENT TACTICS (E.G. HANDSHAKE ALLOWS US TO BE INTENTIONAL WITH ADVERTISING POSITIONS/EVENTS AT HISTORICALLY BLACK COLLEGES AND UNIVERSITIES) CONTINUED TO HOST RECRUITMENT EVENTS SUCH AS TEST DRIVES AND OPEN INTERVIEW/OPEN HOUSES FOR RELEVANT OPENINGS AT TARGETED LOCATIONS AS WELL AS COMMUNITY AGENCIES USED RETENTION AND SIGN ON BONUSES FOR HARD TO FILL POSITIONS ENHANCED INTERNAL CAREER DEVELOPMENT PATHWAYS DEVELOPED AND DELIVERED AN IMPLICIT BIAS COMPUTER BASED LEARNING MODULE. 7. OTHER A. SWMPIQCBRONSON ALSO 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 BIRTHING PERSON AND BABIES IN MICHIGAN. THROUGH THE SOUTHWEST MICHIGAN PERINATAL QUALITY IMPROVEMENT COLLABORATIVE, BRONSON STAFF WORKED WITH MULTIPLE MEMBERS ACROSS SEVEN COUNTIES TO CREATE ""A LOCALLY LINKED AND COORDINATED NETWORK OF SERVICES FOR BIRTHING PERSON 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. IN 2021. A FEW ADDITIONAL EFFORTS INCLUDE COVID-19 VACCINATION OUTREACH (A COMMUNITY SURVEY TO UNDERSTAND VACCINATION EFFORTS AND BARRIERS, A VIRTUAL PANEL OF PROVIDERS ANSWERING QUESTIONS THE AROSE FROM SURVEY RESPONSES, SOCIAL MEDIA AND BROADCAST MEDIA MESSAGES). A PILOT PROJECT CONNECTING FIVE BIRTHING PERSONS OF COLOR TO LOCAL DOULAS TO ENHANCE WRAP AROUND SERVICES TO IMPROVE MATERNAL AND INFANT OUTCOMES AND POSITIVE BIRTH EXPERIENCE. VIRTUAL BREASTFEEDING EDUCATION CLASSES.B. COVID-19 RESPONSE: IT IS HARD TO IDENTIFY ANY BRONSON DEPARTMENT OR STAFF MEMBER NOT IMPACTED PHYSICALLY, EMOTIONALLY, PERSONALLY, PROFESSIONALLY OR FINANCIALLY BY THE COVID PANDEMIC. WE FACED WORKFORCE-RELATED ISSUES LIKE EVERY EMPLOYER, YET, AS THE REGION'S LARGEST HEALTHCARE PROVIDER, OUR COMMUNITIES WERE DEPENDING ON US TO CARE FOR PATIENTS WITH AND WITHOUT COVID. BRONSON HAS MANAGED SEVERAL MAJOR CYCLES (AND STILL COUNTING) OF ""PREPARE-RESPOND-IMPROVE-RECOVER"" SINCE THE GOVERNOR ISSUED EXECUTIVE ORDER (EO) 2020-4, DECLARING A STATE OF EMERGENCY ON MARCH 10, 2020. MANY OF THESE CYCLES OCCURRED SIMULTANEOUSLY. WE MOBILIZED OUR INCIDENT COMMAND (IC) AND INCIDENT COMMAND CLINICAL CONSULTANTS (ICCC) ON MARCH 12 TO GUIDE THE SYSTEM'S RESPONSE TO THE COVID PANDEMIC. AS OF JANUARY 31, 2022, IC HAD BEEN OPEN FOR 690 DAY.C. COVID-19 TESTING AND SCREENING: IN ORDER TO RESPOND TO THE URGENT NEED FOR COVID TESTING, NEW TESTING PLATFORMS NEEDED TO BE SET UP IN OUR CORE LABORATORY. FOUR DIFFERENT PLATFORMS WERE PROCURED TO HANDLE THE INCREASED VOLUME OF TESTING, ALL WHILE THE LABORATORY WAS RELOCATING TO ITS NEW BUILDING. SINCE TESTING SUPPLIES WERE NOT CONSISTENLY AVAILABLE, WE ALSO NEEDED TO SOURCE A DIVERSE GROUP OF SUPPLIERS. TO COLLECT COVID SAMPLES FOR TESTING, FOUR CURBSIDE TESTING LOCATIONS WERE SET UP ACROSS OUR SYSTEM AND SUPPORTED BY 11 ADDITIONAL FTES. APPROXIMATELY 58,177 SAMPLES WERE OBTAINED THROUGH THESE COLLECTION SITES, WITH 10,465 RESULTING POSITIVE. WE CREATED A COVID TESTING DASHBOARD SO WE COULD SEE AND TREND TESTING VOLUMES AND RESULTS ON A DAILY BASIS BY LOCATION, RACE, AGE AND PAYER IN REAL TIME. THE DYNAMIC AND INTERACTIVE NATURE OF THE DASHBOARD ALLOWED US TO SEE DISPARITIES AND ADDRESS THE RAPIDLY EMERGING QUESTIONS THROUGH THE EARLY AND MIDDLE PART OF THE PANDEMIC. ON MARCH 13 2020, THE GOVERNOR ISSUED AN EO THAT REQUIRED US TO SET UP SCREENING FOR PATIENTS AND VISITORS AT LIMITED ENTRANCES AT ALL FOUR HOSPITALS THAT REMAINED THROUGH 2021. WE QUICKLY DEVELOPED A SCREENER WORKFORCE (CONSISTING OF REDEPLOYED EMPLOYEES, LOW CENSUS STAFF AND EMPLOYEE VOLUNTEERS) TO STAFF THE ENTRANCES. WE DEVOTED 28,110 HOURS TO THIS EFFORT AND 32 EMPLOYEES DEDICATED THEMSELVES TO THE SCREENING PROCESS. 818,370 EMPLOYEES SCREENED THEMSELVES, 9,012 DISTINCT EMPLOYEES USED THE SCREENING TOOL AND 39,456 NON-EMPLOYEE (CONTRACTOR, NON-EMPLOYED PROVIDER, STUDENT, ETC.) UTILIZING A NEW ONLINE TOOL THAT BRONSON DEPLOYED IN MARCH 2020D. COVID-19 STAFF SUPPORT: THE IMPACT AND SIGNIFICANT STRESS THE PANDEMIC HAS HAD ON OUR STAFF IS IMMEASURABLE. MANY PICKED UP EXTRAS SHIFTS, WERE QUARANTINED AWAY FROM THEIR FAMILIES, TOOK LIMITED VACATION TIME, VOLUNTEERED FOR SCREENING AND VACCINES, WERE FURLOUGHED, OR PROVIDED SUPPORT FOR PATIENTS WHOSE OWN FAMILIES WERE NOT ALLOWED TO VISIT. AT THE SAME TIME, MANY EMPLOYEES WERE ALSO FACING THEIR CHILDREN'S SCHOOLS SHIFTING TO VIRTUAL LEARNING OR HAD A FAMILY EMPLOYMENT OR HEALTH CRISIS. CONTACT TRACING WAS REQUIRED FOR EVERY EMPLOYEE AND PATIENT WHO TESTED POSITIVE FOR COVID. OVER THE COURSE OF THE YEAR, 1366 BRONSON EMPLOYEES TESTED POSITIVE FOR COVID AN INCREASE OF 56% FROM THE PREVIOUS YEAR 2020. ADDITIONAL SUPPORT PROVIDED TO STAFF INCLUDED: CRITICAL INCIDENT STRESS MANAGEMENT (CISM): THE BRONSON CISM TEAM PLAYED A VITAL ROLE IN SUPPORTING THE EMOTIONAL WELL-BEING OF EMPLOYEES ACROSS THE SYSTEM. THE TEAM FACILITATED 286 INTERVENTIONS AND SERVED 2,145 INDIVIDUALS THOUGH CRITICAL INCIDENT STRESS DEBRIEFINGS, DEFUSINGS, ONE-ON-ONE SUPPORT AND DROP-IN SESSIONS. THE CISM TEAM ALSO PROVIDED CODE LAVENDER CARTS TO UNITS THAT WERE IN NEED OF IMMEDIATE SUPPORT DURING STRESSFUL OR TRAUMATIC SITUATIONS. IN ADDITION TO THESE INTERVENTIONS, THE CISM TEAM ALSO CREATED THE BE WELL TAB ON THE BRONSON INTRANET WHICH IS A COMPREHENSIVE RESOURCE PAGE THAT PROVIDES EMPLOYEES, PROVIDERS AND LEADERS WITH EASY ACCESS TO THE INFORMATION, TOOLS AND SERVICES NEEDED TO PROMOTE AND ENHANCE EMPLOYEE HEALTH AND WELL-BEING. THE CISM TEAM ALSO ASSISTED WITH THE DEPLOYMENT OF RESPITE ITEMS TO UNITS SUCH AS MASSAGE CHAIRS AND SELF-CARE PACKAGES FOR FRONTLINE STAFF. IN CREATING TOOLS TO SUPPORT EMPLOYEES EXPERIENCING BURNOUT. RESOURCES SUCH AS RESPITE ROOMS AND RESILIENCE BUDDIES HELPED CREATE AN ENVIRONMENT WHERE STAFF FELT SAFE, ACKNOWLEDGED, VALIDATED AND CARED FOR.RESPITE AREAS: RESPITE AREAS AT THE HOSPITALS PROVIDED A RELAXING, RESTORATIVE SPACE THAT STAFF USED TO STEP AWAY, REGROUP AND RE-CENTER. BHF STEPPED FORWARD TO FUND THESE AREAS, UNDERSTANDING THAT CARING FOR PATIENTS DURING THE PANDEMIC IS STRESSFUL AND TAKES AN ADDITIONAL TOLL ON FRONTLINE STAFF. ALL RESPITE AREAS INCLUDE REFRIGERATORS, COFFEEMAKERS, SNACKS, BEVERAGES, PERSONAL CARE AND SUPPORT ITEMS FOR MIND AND BODY.E. COVID-19 VACCINATION DISTRIBUTION:BRONSON DEVELOPED A DASHBOARD TO TRACK THE GEOGRAPHIC DISTRIBUTION OF COVID-19 VACCINATIONS TO HELP UNDERSTAND IF DISPARITIES EXISTED IN BRONSON'S SERVICE AREA. FILTERS AVAILABLE FOR GEOSPATIAL ANALYSIS ALLOWED US TO IDENTIFY DISPARITIES BASED, NOT JUST ON GEOGRAPHIC LOCATION, BUT ALSO BY THE CDC SOCIAL VULNERABILITY INDEX, AGE, RACE, GENDER, ETHNICITY, LANGUAGE, AND FINANCIAL CLASS. RISKS AND COMORBID MEDICAL CONDITIONS WERE ALSO INCLUDED TO ALLOW THE IDENTIFICATION OF POPULATIONS THAT PRESENTED A GREATER RISK OF HOSPITALIZATION OR SEVERE SYMPTOMS FROM A COVID-19 INFECTION. BRONSON PARTNERED WITH AGENCIES AND ORGANIZATIONS TO PROVIDE ACCESS TO COVID-19 VACCINES FOR THE DISPROPORTIONATELY IMPACTED POPULATIONS AND UNDERSERVED COMMUNITIES WITHIN OUR REGION. THROUGH A GRANT, SEVERAL CLINICS PROVIDED"

PART VI, LINE 5:
"COLLABORATION WITH COMMUNITY STAKEHOLDERSAS PREVIOUSLY MENTIONED, BMH SEEKS COMMUNITY COLLABORATORS AND STAKEHOLDERS AS PARTNERS ON MEETING COMMUNITY HEALTH NEEDS, ADDRESSING MULTI-SECTOR ISSUES, AND LEADING DISASTER/EMERGENCY EFFORTS. TOWARDS THIS END, BMH LEADERS SERVE ON SEVERAL COMMUNITY BOARDS INCLUDING: CRADLE KALAMAZOO, SOUTHWEST MICHIGAN PERINATAL STEERING COMMITTEE, FAMILY AND CHILDREN SERVICES OPERATIONS COMMITTEE, KIDS HOPE MENTORING, KALAMAZOO COLLEGE BOARD OF TRUSTEES, KALAMAZOO DOWNTOWN PARTNERSHIP, EDISON NEIGHBORHOOD ASSOCIATION, W.E. UPJOHN INSTITUTE FOR EMPLOYMENT RESEARCH, KALAMAZOO VALLEY COMMUNITY COLLEGE GROVES ADVISORY BOARD, FAMILY HEALTH CENTER BOARD OF DIRECTORS AND QUALITY ASSURANCE, SENIOR CARE PARTNERS PACE, GIFT OF LIFE ADVISORY BOARD, HOSPITAL HOSPITALITY HOUSE OF KALAMAZOO, KALAMAZOO LITERACY COUNCIL, WMU HOMER STRYKER M.D. SCHOOL OF MEDICINE, YOUTH SUICIDE PREVENTION WEST MICHIGAN COALITION, KALAMAZOO SENIOR CARE PARTNERS, KALAMAZOO PUBLIC LIBRARY READING TOGETHER, MINISTRY WITH COMMUNITY, UNITED WAY OF THE BATTLE CREEK AND KALAMAZOO REGION, COMSTOCK COMMUNITY CENTER BOARD OF DIRECTORS, COMMUNITIES IN SCHOOLS, RESIDENTIAL OPPORTUNITIES INC., SENIOR SERVICES, AND WMU INTERNSHIP SELECTION COMMITTEE. HEALTHY LIVING EDUCATIONSNAP-ED (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION) THE BRONSON HEALTH FOUNDATION RECEIVED A $153,742.00 SNAP-ED GRANT TO FUND COMMUNITY FIT!, A NUTRITION AND PHYSICAL ACTIVITY EDUCATION AND HEALTH PROMOTION PROGRAM FOR INCOME-ELIGIBLE ADULTS, YOUTH, AND FAMILIES IN VAN BUREN COUNTY, KALAMAZOO AND BATTLE CREEK.SNAP-ED COMMUNITY NUTRITION EDUCATION SERIES EAT SMART, LIVE STRONG: EAT SMART, LIVE STRONG (OLDER ADULTS) WAS PROVIDED VIRTUALLY TO PARTICIPANTS. THE CLASSES INCLUDED ENGAGING LESSONS AND DISCUSSION, A LIVE FOOD DEMONSTRATION, AND PHYSICAL ACTIVITY OPPORTUNITIES. REACH: > 25SNAP-ED HEALTHY SCHOOLS, HEALTHY COMMUNITIES FOR YOUTH: - BRONSON HEALTH EDUCATORS TAUGHT 30 NUTRITION EDUCATION SERIES IN GRADES K-5, CONSISTING OF 4-5 LESSONS EACH TO SOUTH HAVEN PUBLIC SCHOOLS STUDENTS THROUGH A COMBINATION OF FACE-TO-FACE, HYBRID, AND VIRTUAL INSTRUCTION METHODS. REACH: > 550 LINKING LESSONS. STUDENTS RECEIVED NUTRITION EDUCATION IN REGARDS TO THE IMPORTANCE OF BREAKFAST, HEALTHY SNACKS, AND MY PLATE, PARTICIPATED IN ENGAGING ACTIVITIES, AND RECEIVED A HEALTHY SNACK RELATED TO THE LESSON. REACH: > 70THE LEARNING KITCHEN. TAUGHT A COOKING AND HEALTHY LIVING PROGRAM, VIRTUALLY THROUGH KVCC CULINARY CENTER TO STUDENTS AND FAMILIES IN JR. HIGH. REACH: > 70COOK, CHOMP, CHAT - COOK, CHOMP AND CHAT WAS A FREE, -DAY NUTRITION EDUCATION AND HANDS-ON COOKING EXPERIENCE THAT STUDENTS COULD ENROLL IN AS PART THE SCHOOL DISTRICT'S SUMMER CAMP-TYPE EDUCATIONAL OFFERINGS. STUDENTS LEARNED ABOUT MY PLATE, PRACTICED BASIC KITCHEN AND FOOD SAFETY SKILLS, AND PREPARED AND RECIPES. REACH: 20 STUDENTS SOCIAL MEDIA - MS. ISABEL EATS 27, 2-3 MINUTE, HEALTH PROMOTING VIDEOS DISTRIBUTED THROUGH SOUTH HAVEN PUBLIC SCHOOLS TO STUDENTS AND FAMILIES VIA THE SD WEB SITE AND FACEBOOK PAGES. REACH: > 3,500 VIEWSSOCIAL MEDIA - PARIS'S KITCHEN COOKING VIDEOS - VIRTUAL VIDEOS POSTED ON FACEBOOK TO COMPLEMENT THE LEARNING KITCHEN. 12 VIDEOS WERE CREATED. REACH > 30, 000 VIEWSZOOM-BASED EVENTS - LET'S MAKE DINNER! A ZOOM-BASED FAMILY COOKING CLASS FEATURING LOCAL HEROES AS GUEST CHEFS. 3 COMMUNITY EVENTS. VIRTUAL EDUCATION - HEALTH THROUGH LITERACY - ASYNCHRONOUS LEARNING, VIA MFF'S HEALTH THROUGH LITERACY PROGRAM, OFFERED TO STUDENTS LEARNING AT HOME DUE TO THE PANDEMIC. 25 VIDEOS WITH A BOOK READING AND CONNECTION QUESTIONS WERE CREATED AND DISTRIBUTED. REACH > 100 STUDENTS WEB-BASED RESOURCE - COMMUNITY FAMILY FUN GUIDES TWO COMMUNITY-SPECIFIC DOWNLOADABLE RESOURCE BOOKLETS DESIGNED FOR FAMILIES THAT ENCOURAGES THEM TO BE MORE ACTIVE AND INFORM THEM OF LOW AND NO COST PHYSICAL ACTIVITY OPPORTUNITIES AVAILABLE THEIR COMMUNITIES. REACH COMMUNITY WIDE AVAILABILITY VIA THE WEBWEB BASED RESOURCE EAT SMART, LIVE STRONG COOKBOOK. THIS OLDER-ADULT FOCUSED COOKBOOK PROVIDES HEALTHY, QUICK, AND BUDGET FRIENDLY RECIPES DESIGNED FOR SMALL HOUSEHOLDS. REACH COMMUNITY WIDE AVAILABILITY VIA THE WEBFOOD EXPLORERS BOOK BAGS TAKE HOME FAMILY BOOK BAGS TO INSPIRE INCREASED READING TIME AND HEALTHY EATING BEHAVIORS WERE CREATED AND DONATED TO TWO LOCAL LIBRARIES (SOUTH HAVEN AND COVERT). THE BAGS LINK NUTRITION EDUCATION WITH READING. EACH BAG CONTAINED BOOKS AND TAKE HOME RESOURCES FOR FAMILIES TO KEEP. REACH: > 50 FAMILIESLOCAL WELLNESS POLICY IMPROVEMENT. STRUCTURED COMMITTEE MEETINGS WITH 15+ COMMUNITY MEMBERS TO REVIEW AND EDIT THE SCHOOL DISTRICT'S LWP AND CREATE AN ACTION PLAN. REACH: HPS DISTRICTPRODUCE FOR PANTRIES. GRASS ROOTS INITIATIVE TO INCREASE AND IMPROVE THE AMOUNT OF HIGH QUALITY PRODUCE OFFERED TO CLIENTS AT A FOOD PANTRY. REACH: > 300 PEOPLEFOOD ENVIRONMENT SCAN. AN ASSESSMENT TO UNCOVER STUDENT/FAMILY NEED RELATED TO FOOD INSECURITY IN KALAMAZOO AND COMSTOCK SCHOOL DISTRICTS. REACH: TWO SCHOOL DISTRICTSFARMERS AS PARTNERS - DEVELOPED A UNIQUE RELATIONSHIP WITH SEVERAL FARMERS TO PROVIDE HIGH QUALITY PRODUCE TO THE LOCAL FOOD PANTRY IMPROVING FOOD PANTRY OFFERINGS AND INCREASING FINANCIAL STABILITY OF FARMERS. CHALK THE WALK - AN EVENT WHERE FAMILIES WERE ENCOURAGED TO WALK THE VAN BUREN TRAIL, AND CHALK THEIR OWN ARTWORK ON THE TRAIL WITH INSPIRING AND POSITIVE MESSAGES FOR THOSE WALKING THE TRAIL TO ENJOY, AS WELL AS RECEIVE INFORMATION AND GIVEAWAYS FROM DIFFERENT STATIONS. REACH: >100WALK TO SCHOOL DAYS - THIS INITIATIVE WAS A PARTNERSHIP WITH SAFE ROUTES TO SCHOOL AND FAMILIES WERE ENCOURAGED TO PARTICIPATE IN THE ""WALKING SCHOOL BUS"". STUDENTS WALKED ABOUT A MILE TO SCHOOL IN ORDER TO START THEIR DAY OFF RIGHT WITH SOME PA AND OUTDOOR TIME. REACH: > 30 STUDENTS AND PARENTS FINANCIAL SUPPORT & INSURANCE ACCESS BRONSON METHODIST HOSPITAL (BMH) IS A COMMUNITY-OWNED AND GOVERNED NOT-FOR-PROFIT HOSPITAL WITH 434 LICENSED BEDS AND AN OPEN MEDICAL STAFF. IT IS GOVERNED BY THE BRONSON HEALTHCARE GROUP BOARD COMPRISED OF 19 MEMBERS OF THE COMMUNITY. FOUNDED IN 1900, BMH HAS DEMONSTRATED ITS COMMITMENT TO OUR COMMUNITY BY CONTINUING TO DELIVER THE FULL CONTINUUM OF NEEDED MEDICAL SERVICES AND WORKING WITHIN COMMUNITY COLLABORATIVES TO ADDRESS COMMUNITY NEEDS. THE PERCENTAGE OF MEDICAID PATIENTS SERVED BY BMH IS ONE OF THE HIGHEST OF ANY HOSPITAL OUTSIDE OF SOUTHEAST MICHIGAN. IN 2021, APPROXIMATELY 19.33% OF BMH'S INPATIENTS WERE MEDICAID RECIPIENTS. WE HAVE THREE MEDICAID ENROLLERS ON SITE TO HELP THOSE WITHOUT INSURANCE ENROLL IN MEDICAID, OR REFER THEM TO COMMUNITY RESOURCES. MUCH OF BMH'S SERVICE TO THE COMMUNITY IS DIRECTED AT MEETING THE HEALTHCARE NEEDS OF WOMEN AND CHILDREN. BRONSON IS THE ONLY CHILDREN'S HOSPITAL IN SOUTHWEST MICHIGAN AND, THEREFORE, THE SOLE PROVIDER OF INPATIENT PEDIATRICS INCLUDING PEDIATRIC INTENSIVE CARE AND NEONATAL INTENSIVE CARE. IN FACT, OVER HALF THE PATIENTS IN THE HOSPITALIZED AT BRONSON IN THE CHILDREN'S HOSPITAL ARE MEDICAID RECIPIENTS. AS A REGIONAL PERINATAL CENTER, BMH IS ALSO THE REGIONAL DESTINATION FOR HIGH-RISK PREGNANCY CARE. BMH LEVEL I TRAUMA CENTER AND BURN CENTER, ALONG WITH ADVANCED CAPABILITIES IN NEUROVASCULAR AND CARDIOVASCULAR CARE, SERVE ALL PATIENT POPULATIONS REGARDLESS OF ABILITY TO PAY.REPORTING TO THE COMMUNITYBMH 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."

PART VI, LINE 6:
"BMH IS PART OF AN AFFILIATED SYSTEM THAT SERVES NINE COUNTIES AND INCLUDES THREE OTHER HOSPITALS, BRONSON BATTLE CREEK 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 21 MEMBERS FROM THE COMMUNITIES 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 HEALTHCARE FOUNDATION, BRONSON AT HOME, VAN BUREN EMERGENCY MEDICAL SERVICES, AND BRONSON PROPERTIES CORPORATION."

PART II, COMMUNITY BUILDING ACTIVITIES CONTINUATION:
"MULTIPLE DOSES AT CHURCHES, BUSINESSES AND SCHOOLS. AN ADDITIONAL 30 CLINICS WERE HELD BEFORE THE START OF THE GRANT. BRONSON ASSISTED WITH THESE CLINICS BY PROVIDING EITHER STAFF, VACCINES OR VOLUNTEERS. MHA ADVANCING SAFE CARE AWARD WAS AWARDED TO BRONSON FOR OUR COMMUNITY VACCINATION CLINICS. THIS AWARD IDENTIFIES HEALTH SYSTEMS THAT DEMONSTRATE A FIERCE COMMITMENT TO PROVIDING CARE TO DIFFERENT PATIENT POPULATIONS, SHOW EVIDENCE OF AN IMPROVED SAFETY CULTURE, LEAD THE CHARGE FOR QUALITY IMPROVEMENT, AND DEMONSTRATE TRANSPARENCY IN THEIR EFFORTS TO IMPROVE HEALTHCARE. WE WORKED DILIGENTLY TO EDUCATE AND PROMOTE APPROPRIATE SAFETY PRECAUTIONS AND THE IMPORTANCE OF GETTING VACCINATED. BRONSON MEDICAL EXPERTS PARTICIPATED IN HUNDREDS OF MEDIA INTERVIEWS, SEVERAL PUBLIC SERVICE ANNOUNCEMENTS WERE CREATED, AND NUMEROUS PRESS CONFERENCES WERE HELD WITH COUNTY HEALTH DEPARTMENTS AND COMMUNITY PARTNERS IN CALHOUN, KALAMAZOO AND VAN BUREN COUNTIES. 204,000 PEOPLE TURNED TO BRONSONHEALTH.COM FOR COVID-19 INFORMATION IN 2021 AN INCREASE OF 72.6% OVER 2020. 135,000 OF THEM VISITED THE COVID-19 VACCINE PAGE WHICH LINKED THEM TO MYCHART AND INSTRUCTIONS ON HOW AND WHERE TO SCHEDULE VACCINE APPOINTMENTS. NUMEROUS VIDEOS WERE CREATED WITH BRONSON'S CEO AND PROVIDERS WHICH PRESENTED FACTS TO HELP DISPEL MYTHS ABOUT VACCINE SAFETY AND EFFICACY. 249 SOCIAL MEDIA MESSAGES WERE CREATED AND SHARED ACROSS ALL HOSPITAL FACEBOOK PAGES, TWITTER, LINKEDIN AND INSTAGRAM.F. IMPLEMENTATION OF THE AHA EQUITY PLEDGE PLAN: BRONSON CREATED AN EQUITY OF CARE FRAMEWORK TO PROVIDE SYSTEM GOALS AND TACTICS FOR THE AHA EQUITY OF CARE PLEDGE. ADDITIONALLY, WE CREATED A HEALTH EQUITY OF CARE PERFORMANCE IMPROVEMENT COMMITTEE TO GUIDE THE ORGANIZATION IN THIS WORK. THERE ARE FOUR HEALTH EQUITY OF CARE GOALS: 1) BUILD AND STRENGTHEN COMMUNITY RELATIONSHIPS AND PARTNERSHIPS TO ADVANCE HEALTH EQUITY; 2) INCREASE THE COLLECTION, REPORTING AND ANALYSIS OF ACCURATE SOCIAL DEMOGRAPHIC DATA TO PRIORITIZE AND DETERMINE INTERVENTIONS; 3) IMPROVE OUR KNOWLEDGE, SKILLS AND BEHAVIORS TO MEET THE SOCIAL, CULTURAL AND LINGUISTIC NEEDS OF OUR EMPLOYEES, PATIENTS AND FAMILIES; AND 4) INCREASE THE DIVERSITY OF LEADERSHIP AND GOVERNANCE TO SUPPORT, ASSIST, AND ADVOCATE FOR EMPLOYEES, PATIENTS AND FAMILIES. BRONSON EXPANDED COLLECTION OF RACE, ETHNICITY AND LANGUAGE DATA AND BEGAN STRATIFYING PATIENT EXPERIENCE DATA BY AGE, GENDER, RACE AND ETHNICITY. WE CONTINUE TO IMPROVE OUR KNOWLEDGE, SKILLS AND BEHAVIORS TO MEET THE SOCIAL, CULTURAL AND LINGUISTIC NEEDS OF OUR EMPLOYEES, PATIENTS AND FAMILIES IN SEVERAL WAYS. WE INCREASED AMBULATORY SELF-SCHEDULING OF INTERPRETERS AND A NEW EQUITY OF CARE COMPUTER-BASED LEARNING MODULE WAS REQUIRED FOR ALL BRONSON EMPLOYEES. THE COMMUNITY HEALTH, EQUITY AND INCLUSION TEAM EDUCATED OVER 2,400 EMPLOYEES AS WELL AS 3,300 PEOPLE IN OUR PRIMARY SERVICE AREA. IN JULY, THE QUALITY OVERSIGHT BOARD COMMITTEE (QOBC) HEARD A STORY FROM A PATIENT THAT ILLUSTRATED AN OPPORTUNITY IN OUR LABOR AND DELIVERY UNIT TO ACKNOWLEDGE AND ADDRESS IMPLICIT BIASES THAT LED TO INEQUITIES IN CARE AND THE PATIENT EXPERIENCE REGARDING PAIN MANAGEMENT. IN LIGHT OF THIS PATIENT STORY, THE QOBC SUBSEQUENTLY REVIEWED. PATIENT EXPERIENCE SURVEYS FROM PATIENTS DISCHARGED FROM BRONSON OB UNITS IDENTIFIED A DISPARITY IN PATIENTS' PERCEPTION OF HOW WELL THEY WERE ""INFORMED ABOUT PAIN CONTROL OPTIONS"" WHEN COMPARING MEAN SCORES OF WHITE/CAUCASIAN PATIENTS TO NON-WHITE/CAUCASIAN PATIENTS. THERE CONTINUES TO BE AN OPPORTUNITY TO IMPROVE REPRESENTATION WITHIN THE SURVEY RESPONSES; WHITE/CAUCASIAN PATIENTS COMPLETE THE SURVEY AT A HIGHER RATE THAN THEIR ACTUAL OB ENCOUNTERS.RECOGNIZING THAT THE 2020-2022 CHIP FOCUSES ON ADDRESSING PERINATAL HEALTH DISPARITIES, THE QOBC ESTABLISHED A TASK FORCE TO ADDRESS RACIAL BIAS IN PAIN ASSESSMENT AND MANAGEMENT AMONG MOTHERS IN LABOR. THE TASK FORCE IS IDENTIFYING CURRENT CLINICAL PRACTICES AND POLICIES FOR PAIN ASSESSMENT AND MANAGEMENT OF BRONSON LABOR AND DELIVERY PATIENTS AS WELL AS ASSESSING PROVIDER PERCEPTION OF AND PATIENT SATISFACTION WITH PAIN MANAGEMENT ACROSS RACIAL, ETHNIC AND LANGUAGE DIMENSIONS. HEALTH EQUALITY INDEX: IN EARLY 2020 AND CONTINUING FOR 2021, EACH BRONSON ENTITY PARTICIPATED IN THE HEALTH EQUALITY INDEX (HEI) FOR THE FIRST TIME. THIS SURVEY SCORES HOSPITALS BASED ON ESTABLISHED CRITERIA FOR LGBTQ+ INCLUSIVE PATIENT SERVICES AND EMPLOYMENT PRACTICES. THE CRITERIA ARE NON-DISCRIMINATION AND STAFF TRAINING, PATIENT SERVICES AND SUPPORT, EMPLOYEE BENEFITS AND POLICIES, AND PATIENT AND COMMUNITY ENGAGEMENT. THIS BASELINE ASSESSMENT HELPED US IDENTIFY OPPORTUNITIES FOR IMPROVEMENT AND ESTABLISH A BENCHMARK TO MONITOR PROGRESS TOWARDS CLOSING THE IDENTIFIED GAPS. ADDITIONALLY, HEI PARTICIPANTS HAVE ACCESS TO A LIBRARY OF RESOURCES AND TRAINING MATERIALS. A GAP ANALYSIS WAS CONDUCTED ON THE 2020 HEI SURVEY AND AN HEI WORKGROUP WAS FORMED WITH THE PURPOSE OF REVIEWING, PRIORITIZING AND ADDRESSING THE IDENTIFIED OPPORTUNITIES PRIOR TO SUBMISSION OF THE 2022 SURVEY."