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Bronson Vicksburg Hospital
Vicksburg, MI 49097
| Bed count | 21 | Medicare provider number | 230190 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2010
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 6,659,593 Total amount spent on community benefits as % of operating expenses$ 407,480 6.12 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 108,396 1.63 %Medicaid as % of operating expenses$ 299,084 4.49 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2010
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 337,713 5.07 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 77,207 22.86 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency YES Filed lawsuit YES Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2010
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? NO Did the CHNA define the community served by the tax-exempt hospital? Not available Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? Not available Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? Not available Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? Not available Did the tax-exempt hospital execute the implementation strategy? Not available Did the tax-exempt hospital participate in the development of a community-wide plan? Not available
Supplemental Information: 2010
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 4178533 including grants of $ 0) (Revenue $ 5899995) PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY.
4B (Expenses $ 1684627 including grants of $ 0) (Revenue $ 755800) IN 2010, BVH'S MEDICARE COST WAS $1,684,627 AND MEDICARE NET REVENUE WAS $755,800.
4C (Expenses $ 685866 including grants of $ 0) (Revenue $ 0) IN 2010 IN FURTHERANCE OF ITS MISSION, BVH INCURRED $685,866 IN BAD DEBT TO PROVIDE CARE TO ITS PATIENTS.
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Supplemental Information
PART I, LINE 7: COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. THE AMOUNT OF BAD DEBT EXCLUDED IS EQUAL TO THE AMOUNT LISTED ON PAGE 2, PART III, LINE 4 RELATING TO BAD DEBT EXPENSE.
PART II: BRONSON VICKSBURG HOSPITAL IS INTEGRALLY INVOLVED IN ASSURING THAT THE LOCAL COMMUNITY HAS ACCESS TO ADVANCED LIFE SUPPORT SERVICES. SUPPORT WAS PROVIDED SEVERAL YEARS AGO TO THE LOCAL AMBULANCE SERVICE (SOUTH COUNTY EMS) TO BUILD ON THE HOSPITAL CAMPUS. SUPPORT CONTINUES WITH THE NURSE MANAGER SERVING ON THE AMBULANCE BOARD.
PART III, LINE 4: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITALS ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED FOR INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. BAD DEBT WRITE-OFFS AT COST SUPPORT THE COMMUNITY BY PROVIDING A PORTION OF SERVICES WITHOUT PAYMENT.A PORTION OF BAD DEBT IS CONSIDERED COMMUNITY BENEFIT AS IT REPRESENTS SERVICES RENDERED TO UNINSURED AND UNDERINSURED PATIENTS
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 I LINE 3B: THE ORGANIZATION USES THE FOLLOWING FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.225% OF FPL IS ENTITLED TO AN 80% REDUCTION250% OF FPL IS ENTITLED TO AN 60% REDUCTION275% OF FPL IS ENTITLED TO AN 40% REDUCTION300% OF FPL IS ENTITLED TO AN 20% REDUCTION
PART VI, LINE 2: BRONSON VICKSBURG HOSPITAL UTILIZES A STRATEGIC MANAGEMENT MODEL TO CONTRIBUTE TO THE DEVELOP BOTH A LONG TERM (3 YEAR) AND ANNUAL STRATEGIC PLAN AS PART OF THE BRONSON HEALTHCARE GROUP SYSTEM. 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. SEVERAL SOURCES ARE UTILIZED TO PERFORM THIS ASSESSMENT. THE SOURCES FOR THE LATEST (2008) STRATEGIC INPUT DOCUMENT ARE LISTED BELOW. SOURCES FOR DETERMINING COMMUNITY HEALTH NEEDS: - MICHIGAN BEHAVIORAL RISK FACTORS SURVEY 2002-2006 COMBINED BUREAU OF EPIDEMIOLOGY AND MICHIGAN DEPARTMENT OF COMMUNITY HEALTH. - 2004 MICHIGAN SURGEON GENERAL'S HEALTH STATUS REPORT (HEALTH MICHIGAN 2010) - F AS IN FAT: HOW OBESITY IS FAILING IN AMERICA 2009 - TRUST FOR AMERICA'S HEALTH AND ROBERT WOOD JOHNSON FOUNDATION - MICHIGAN DEPARTMENT OF COMMUNITY HEALTH INFANT MORTALITY RATES, 2006THE STRATEGIC INPUT DOCUMENT IS REVIEWED BY THE ENTIRE EXECUTIVE TEAM AND UTILIZED TO DEVELOP OUR COMMUNITY ASSESSMENT AS WELL AS OUR STRATEGIC ADVANTAGES AND DISADVANTAGES. THE COMMUNITY ASSESSMENT IS SHARED WITH THE BOARD EVERY THREE YEARS USING OUR COMMUNITY LEADERSHIP MODEL. THREE YEAR PRIORITIES ARE THEN SET FOR OUR COMMUNITY HEALTH. BRONSON VICKSBURG HOSPITAL ALSO COLLABORATES WITH TWO KEY COMMUNITY AGENCIES FOR THE GATHERING OF HEALTH STATISTICS: THE GREATER KALAMAZOO UNITED WAY AND KALAMAZOO COUNTY HEALTH AND HUMAN SERVICES.
PART VI, LINE 3: SELF PAY PATIENTS ARE REFERRED TO AN AGENCY FOR SCREENING FOR MEDICAID, MEDICARE, AND OTHER ELIGIBILITY. A SOFTWARE PROGRAM HELPS DETERMINE ELIGIBILITY FOR CHARITY CARE ALSO.
PART VI, LINE 4: BRONSON VICKSBURG HOSPITAL (BVH) SERVES AS AN AMBULATORY CARE SITE FOR SOUTHERN KALAMAZOO COUNTY. BVH IS LOCATED IN A SEMI-RURAL COMMUNITY AT THE SOUTHEASTERN CORNER OF KALAMAZOO COUNTY IN SOUTHWEST MICHIGAN. VICKSBURG HAS AN ESTIMATED POPULATION OF 2,320. THE HOSPITAL SERVES A 6 COUNTY AREA EXTENDING PRIMARILY TO THE SOUTH.PATIENT DEMOGRAPHICS16.80% <21 YEARS OF AGE16.40% 21-39 YEARS OF AGE36.72% 40-64 YEARS OF AGE30.08% 65 YEARS OF AGE AND OLDERPATIENT DIVERSITY DEMOGRAPHICS97.40% CAUCASIAN0.68% HISPANIC0.82% AFRICAN-AMERICAN0.32% ASIAN0.78% OTHERPATIENT INSURANCE DEMOGRAPHICS51% PRIVATE INSURANCE29% MEDICARE4% MEDICARE HMO10% MEDICAID OR OTHER PUBLIC ASSISTANCE6% NO COVERAGE
PART VI, LINE 6: BRONSON VICKSBURG HOSPITAL (BVH) IS A COMMUNITY-OWNED AND GOVERNED NOT-FOR-PROFIT HOSPITAL WITH 14 LICENSED BEDS AND OPEN MEDICAL STAFF. THE BVH BOARD IS COMPRISED OF 16 MEMBERS OF THE COMMUNITY. FOUNDED IN 1924, BVH IS A MAJOR EMPLOYER, AND IS A SIGNIFICANT CONTRIBUTOR TO THE ECONOMIC AND SOCIAL VITALITY OF ITS COMMUNITY. COMMUNITY SERVICE:BVH LEADERS SERVE ON COMMUNITY BOARDS INCLUDING: VICKSBURG UNITED WAY, GREATER KALAMAZOO UNITED WAY, & SOUTH COUNTY EMS.AN EXAMPLE OF AN EMPLOYEE-DRIVEN EFFORT REFLECTIVE OF OUR VALUES, BVH EMPLOYEES DONATE FOOD TO THE ANNUAL HARVEST GATHERING FOOD DRIVE, WHICH REPLENISHES LOCAL FOOD PANTRIES.BRONSON VICKSBURG HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH A HOST OF EDUCATIONAL PROGRAMS AND ACTIVITIES, INCLUDING FREE MAMMOGRAM TESTING, INFECTION CONTROL EDUCATION, FLU CLINIC, AND HEALTH EATING EDUCATION CLASSES. THE HOSPITAL ALSO SPONSORS NURSE EXTERN AND OTHER HEALTHCARE PROFESSIONAL TRAINING, AND CO-SPONSORS THE ANNUAL HEARTY HUSTLE WALK/RUN. BRONSON VICKSBURG HOSPITAL AND ITS EMPLOYEES ACTIVELY PARTICIPATE IN AND PROVIDE SUPPORT TO MANY COMMUNITY ORGANIZATIONS. THESE LOCAL UNITED WAY, HARVEST GATHERING FOOD DRIVE, HARVEST FESTIVAL, FREE BLOOD PRESSURE SCREENING AT COMMUNITY EVENTS, AND MIDDLE SCHOOL SCIENCE NIGHT.
PART VI, LINE 7: BRONSON VICKSBURG HOSPITAL (BVH) IS PART OF AN AFFILIATED SYSTEM THAT INCLUDES TWO OTHER HOSPITALS, BRONSON METHODIST HOSPITAL AND BRONSON LAKEVIEW HOSPITAL. ALL OF THESE HOSPITALS ARE OWNED BY BRONSON HEALTHCARE GROUP, WHICH IS A COMMUNITY-OWNED AND GOVERNED NOT-FOR-PROFIT HOLDING COMPANY. THE BRONSON HEALTHCARE GROUP (BHG) BOARD IS COMPRISED OF 16 MEMBERS OF THE COMMUNITY. BVH IS COMPRISED OF AN OPEN MEDICAL STAFF, AND TREATS PATIENTS REGARDLESS OF ABILITY TO PAY.
