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Object ID: 202423109349303132 - Rendered 2025-02-15
TIN: 38-2418383
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
23
Open to Public Inspection
Name of the organization
BRONSON HEALTHCARE GROUP
Employer identification number
38-2418383
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
.....
1b
Yes
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a?
....
2
Yes
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment?
.............
4a
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
Yes
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization?
....................
5a
No
b
Any related organization?
.......................
5b
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
..................
6a
No
b
Any related organization?
......................
6b
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
............
7
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III
..........................
8
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2023
Schedule J (Form 990) 2023
Page
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note.
The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A)
Name and Title
(B)
Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC
(C)
Retirement and other deferred compensation
(D)
Nontaxable
benefits
(E)
Total of columns
(B)(i)-(D)
(F)
Compensation in column (B) reported as deferred on prior Form 990
(i)
Base
compensation
(ii)
Bonus & incentive
compensation
(iii)
Other
reportable compensation
1
MANNS BILL
PRESIDENT AND CEO
(i)
(ii)
1,139,092
-------------
0
476,836
-------------
0
557,057
-------------
0
1,313,220
-------------
0
24,106
-------------
0
3,510,311
-------------
0
476,836
-------------
0
2
EAST REBECCA L
SR VP CFO
(i)
(ii)
523,970
-------------
0
167,643
-------------
0
96,813
-------------
0
342,793
-------------
0
23,512
-------------
0
1,154,731
-------------
0
167,643
-------------
0
3
LARSON SCOTT MD
SR VP MEDICAL AFFAIRS/CMO
(i)
(ii)
540,281
-------------
0
154,769
-------------
0
113,496
-------------
0
303,800
-------------
0
16,066
-------------
0
1,128,412
-------------
0
147,730
-------------
0
4
FALAHEE JAMES
SR VP LEGAL & LEG. AFFAIRS
(i)
(ii)
475,671
-------------
0
154,284
-------------
0
91,235
-------------
0
290,639
-------------
0
15,849
-------------
0
1,027,678
-------------
0
149,284
-------------
0
5
ARNAN MARTINSON
SR VP CHIEF PHYSICIAN EXECUTIVE
(i)
(ii)
536,946
-------------
0
103,907
-------------
0
158,909
-------------
0
139,000
-------------
0
28,865
-------------
0
967,627
-------------
0
87,360
-------------
0
6
KARAMCHANDANI MAHESH C
DIRECTOR
(i)
(ii)
719,652
-------------
0
66,858
-------------
0
32,492
-------------
0
20,575
-------------
0
17,918
-------------
0
857,495
-------------
0
0
-------------
0
7
HATCHEL KIMBERLY
SVP BMH COO
(i)
(ii)
501,255
-------------
0
101,250
-------------
0
9,215
-------------
0
189,582
-------------
0
20,553
-------------
0
821,855
-------------
0
101,250
-------------
0
8
GOEL ASHUTOSH
SR VP IT AND CIO
(i)
(ii)
467,141
-------------
0
97,131
-------------
0
25,218
-------------
0
185,123
-------------
0
20,428
-------------
0
795,041
-------------
0
97,131
-------------
0
9
JOHNSON CHERYL
SR VP CHIEF PEOPLE OFFICER
(i)
(ii)
385,183
-------------
0
138,834
-------------
0
28,136
-------------
0
202,075
-------------
0
15,483
-------------
0
769,711
-------------
0
109,015
-------------
0
10
REINOEHL SUSAN
SR VP STRATEGY & COMM
(i)
(ii)
320,730
-------------
0
104,479
-------------
0
75,293
-------------
0
209,951
-------------
0
8,249
-------------
0
718,702
-------------
0
104,479
-------------
0
11
DU LAC JOSEPH
SR VP, COO BBC
(i)
(ii)
431,639
-------------
0
52,923
-------------
0
2,609
-------------
0
161,046
-------------
0
20,318
-------------
0
668,535
-------------
0
0
-------------
0
12
WAY MICHAEL S
SR VP MAT. MGT. & FACILITY SVS.
(i)
(ii)
296,286
-------------
0
93,862
-------------
0
28,462
-------------
0
178,751
-------------
0
19,780
-------------
0
617,141
-------------
0
93,862
-------------
0
13
DOMMER MATTHEW
VICE PRESIDENT, COO/VPMA - BLH/BSHH
(i)
(ii)
0
-------------
394,287
0
-------------
64,689
0
-------------
23,541
0
-------------
89,352
0
-------------
2,587
0
-------------
574,456
0
-------------
65,644
14
KNAPP CHERYL
SR VP CHIEF QUALITY OFFICER
(i)
(ii)
289,442
-------------
0
67,590
-------------
0
48,679
-------------
0
147,196
-------------
0
8,233
-------------
0
561,140
-------------
0
67,590
-------------
0
15
WORKMAN WILLIAM
DIRECTOR/SYSTEM VICE CHIEF OF STAFF
(i)
(ii)
453,177
-------------
0
42,192
-------------
0
808
-------------
0
16,000
-------------
0
22,471
-------------
0
534,648
-------------
0
0
-------------
0
16
BENNETT TODD
CHIEF MEDICAL INFORMATION OFFICER
(i)
(ii)
373,088
-------------
0
57,270
-------------
0
4,791
-------------
0
70,980
-------------
0
20,175
-------------
0
526,304
-------------
0
57,270
-------------
0
17
ADAMS HOLLY
VP COO BRONSON MEDICAL GROUP
(i)
(ii)
339,486
-------------
0
57,120
-------------
0
536
-------------
0
73,433
-------------
0
25,230
-------------
0
495,805
-------------
0
57,120
-------------
0
18
GROSSMAN KATHRYN
PHYSICIAN
(i)
(ii)
378,098
-------------
0
45,611
-------------
0
1,886
-------------
0
16,000
-------------
0
23,492
-------------
0
465,087
-------------
0
0
-------------
0
19
ATKINSON MARLA
VP PATIENT CARE SVC & CNO BMH
(i)
(ii)
288,406
-------------
0
48,122
-------------
0
671
-------------
0
72,427
-------------
0
15,067
-------------
0
424,693
-------------
0
48,122
-------------
0
20
MORROW TERRY
PRESIDENT OF BHF & VP OF DEVELOPMENT
(i)
(ii)
273,520
-------------
0
45,417
-------------
0
8,445
-------------
0
67,308
-------------
0
22,445
-------------
0
417,135
-------------
0
45,417
-------------
0
21
HORN RYAN
VP REVENUE CYCLE
(i)
(ii)
282,834
-------------
0
55,132
-------------
0
694
-------------
0
64,829
-------------
0
2,380
-------------
0
405,869
-------------
0
45,132
-------------
0
22
SANGALLI-DAVIS CHRISTINE
VP CHIEF COMPLIANCE OFFICER
(i)
(ii)
245,721
-------------
0
40,947
-------------
0
3,038
-------------
0
63,052
-------------
0
6,823
-------------
0
359,581
-------------
0
40,947
-------------
0
23
BOWERS ELSIE
VICE PRESIDENT AND CHIEF DIVERSITY O
(i)
(ii)
134,393
-------------
0
25,000
-------------
0
8,264
-------------
0
51,500
-------------
0
3,585
-------------
0
222,742
-------------
0
0
-------------
0
24
JONES JR JOHN THRU 2020
FORMER SR VP COMMUNITY CARE
(i)
(ii)
0
-------------
0
0
-------------
0
148,316
-------------
0
0
-------------
0
0
-------------
0
148,316
-------------
0
0
-------------
0
25
RICHARDSON KIRK THRU 12023
SR VP COMMUNITY CARE & COO BLH
(i)
(ii)
22,292
-------------
0
85,933
-------------
0
1,862
-------------
0
15,984
-------------
0
1,443
-------------
0
127,514
-------------
0
85,933
-------------
0
26
HARRELSON KATHLEEN M THRU 2019
FORMER SR VP CLINICAL OPERATIONS
(i)
(ii)
0
-------------
0
0
-------------
0
102,626
-------------
0
0
-------------
0
0
-------------
0
102,626
-------------
0
0
-------------
0
Schedule J (Form 990) 2023
Schedule J (Form 990) 2023
Page
3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference
Explanation
PART I, LINE 1A
THE BOARD OF DIRECTORS IS NOT DIRECTLY COMPENSATED. SPOUSAL TRAVEL AND HEALTH CLUB DUES ARE AVAILABLE FOR THE BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT.
PART I, LINE 3
BRONSON HEALTHCARE GROUP USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND/OR STUDY, AND APPROVAL BY BOARD AND/OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR.
PART I, LINE 4B:
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN DURING 2023: REINOEHL, SUSAN $72,497 SERP DISTRIBUTION FALAHEE JR., JAMES B $78,801 SERP DISTRIBUTION EAST, REBECCA $95,326 SERP DISTRIBUTION JONES JR, JOHN $148,316 SERP DISTRIBUTION LARSON, SCOTT D $100,300 SERP DISTRIBUTION MANNS, BILL $534,739 SERP DISTRIBUTION HARRELSON, KATHLEEN $102,626 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 $59,326 SERP CONTRIBUTION REINOEHL, SUSAN $62,277 SERP CONTRIBUTION FALAHEE JR., JAMES B $87,399 SERP CONTRIBUTION LARSON, SCOTT D $96,527 SERP CONTRIBUTION EAST, REBECCA $99,148 SERP CONTRIBUTION MANNS, BILL $773,187 SERP CONTRIBUTION JOHNSON, CHERYL $63,870 SERP CONTRIBUTION KNAPP, CHERYL $51,569 SERP CONTRIBUTION GOEL, ASHUTOSH $71,460 SERP CONTRIBUTION HATCHEL, KIMBERLY $76,875 SERP CONTRIBUTION DU LAC, JOSEPH $64,500 SERP CONTRIBUTION
Schedule J (Form 990) 2023
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