2025-05-09T11:36:05-04:00 2024-06-30 990 2023-07-01 380593405 METROPOLITAN HOSPITAL METR 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 KRISTI BELMORE VP - FINANCE 6162524844 2025-05-08 false 2023 2025-03-06 01:10:19Z UNIVERSITY OF MICHIGAN HEALTH-WEST KRISTI BELMORE 5900 BYRON CENTER AVE SW WYOMING MI 49519 602734235 false X WWW.UOFMHEALTHWEST.ORG X 1942 MI METRO HEALTH'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. TO THAT END THE ORGANIZATION BELIEVES THE FOUNDATION OF GOOD HEALTH IS BASED ON EXCELLENT QUALITY PRIMARY CARE. THE ORGANIZATION IS ANCHORED BY A 208-BED, GENERAL ACUTE CARE COMMUNITY HOSPITAL. ADDITIONALLY, IT OPERATES 13 NEIGHBORHOOD OUTPATIENT CENTERS, STUDENT HEALTH FACILITIES AT GRAND VALLEY STATE UNIVERSITY AND A COMMUNITY CLINIC FOR THE UNDERSERVED. THE NEIGHBORHOOD OUTPATIENT CENTERS REACHES OUT TO THE ORGANIZATION'S SERVICE AREA, ALLOWING PATIENTS ACCESS TO QUALITY HEALTHCARE CLOSE TO HOME; SERVICES AT THEM INCLUDE PRIMARY CARE, LAB SERVICES, MAMMOGRAPHY, X-RAY AND PHYSICAL THERAPY. IN ADDITION TO PRIMARY CARE SERVICES, THE ORGANIZATION PROVIDES SPECIALTY CARE AT ITS HEART AND VASCULAR PRACTICE, CANCER CENTER, AMBULATORY SURGERY CENTER, OPHTHALMOLOGY OFFICE, SLEEP LAB AND OTHER SITES. THE ORGANIZATION ALSO FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY BEFORE PEOPLE NEED HEALTHCARE. IT DOES TH 15 9 3884 85 1998434 3994678 2600025 547969650 600106669 1007255 27541 0 552971583 602734235 0 0 277764037 293708006 0 637313 305635747 325007887 583399784 618715893 -30428201 -15981658 446376632 459314861 386446483 410409056 59930149 48905805 X METRO HEALTH'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. TO THAT END THE ORGANIZATION BELIEVES THE FOUNDATION OF GOOD HEALTH IS BASED ON EXCELLENT QUALITY PRIMARY CARE. THE ORGANIZATION IS ANCHORED BY A 208-BED, GENERAL ACUTE CARE COMMUNITY HOSPITAL. ADDITIONALLY, IT OPERATES 13 NEIGHBORHOOD OUTPATIENT CENTERS, STUDENT HEALTH FACILITIES AT GRAND VALLEY STATE UNIVERSITY AND A COMMUNITY CLINIC FOR THE UNDERSERVED. THE NEIGHBORHOOD OUTPATIENT CENTERS REACHES OUT TO THE ORGANIZATION'S SERVICE AREA, ALLOWING PATIENTS ACCESS TO QUALITY HEALTHCARE CLOSE TO HOME; SERVICES AT THEM INCLUDE PRIMARY CARE, LAB SERVICES, MAMMOGRAPHY, X-RAY AND PHYSICAL THERAPY. IN ADDITION TO PRIMARY CARE SERVICES, THE ORGANIZATION PROVIDES SPECIALTY CARE AT ITS HEART AND VASCULAR PRACTICE, CANCER CENTER, AMBULATORY SURGERY CENTER, OPHTHALMOLOGY OFFICE, SLEEP LAB AND OTHER SITES. THE ORGANIZATION ALSO FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY BEFORE PEOPLE NEED HEALTHCARE. IT DOES TH false false 511767826 METRO HEALTH HOSPITAL IS A 208-BED TEACHING HOSPITAL THAT PROVIDES A COMPREHENSIVE SUITE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES, INCLUDING FAST EMERGENCY SERVICES, CANCER AND CARDIAC CARE, ROBOTIC AND TRADITIONAL SURGERY, FAMILY PRACTICE, INTERNAL MEDICINE, SPORTS MEDICINE AND OTHERS. THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH AND WELL- BEING OF THE COMMUNITIES IT SERVES. TO THAT END, METRO PROVIDES EDUCATION AND SCREENING PROGRAMS FOR THE COMMUNITY, EDUCATION OPPORTUNITIES FOR FUTURE DOCTORS, NURSES AND OTHER HEALTH PROFESSIONS, FINANCIAL ASSISTANCE PROGRAMS, CARE FOR THE UNDERSERVED, AND MUCH MORE. DURING FISCAL YEAR 2024, METRO HEALTH WELCOMED 1,654 BABIES INTO OUR COMMUNITY, CARED FOR 57,810 EMERGENCY ROOM VISITS, PERFORMED 1, 861,237 LABORATORY TESTS AND 216,218 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 39,536 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 16,034 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 120 MEDICAL STUDENTS, RESIDENTS AND FELLOWS. 511767826 true true false false false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false true true true true false false true 232 0 true 3884 true true true false false false false false false false false false false false X 15 9 false false false false true true true true true false false true true true true true true true true true true MI X KRISTI BELMORE 6162524846 5900 BYRON CENTER AVE SW WYOMING MI 49519 DAVID MILLER MD MPH - PART YEAR VICE CHAIR 1.00 X 0 1700416 310664 MICHAEL SUMNERS PHYSICIAN X 1025428 0 14084 MATHEW SEVENSMA PHYSICIAN X 952076 0 27231 AUGUSTO ELIAS PHYSICIAN X 924890 0 28726 BARBARA KARENKO PHYSICIAN X 908465 0 28107 RONY GORGES PHYSICIAN X 908260 0 28107 ANTHONY DENTON BOARD MEMBER 2.00 X 0 871298 60563 PETER HAHN - PART YEAR PRESIDENT AN 40.00 X 825310 0 28726 PAUL KOVACK BOARD MEMBER 40.00 X X 757044 0 21674 RAKESH PAI - PART YEAR PRESIDENT-ME 40.00 X 664967 0 28107 RONALD GRIFKA - PART YEAR CMO 40.00 X 622631 0 14091 QUINTA VREEDE BOARD MEMBER 1.00 X 0 568212 43320 JEFFERY POSTLEWAITE VP-MEDICAL A 40.00 X 512434 0 22563 KRIS KURTZ - PART YEAR CFO 40.00 X 487093 0 28726 JONATHAN WILDA CIO 40.00 X 437079 0 27669 LANCE OWENS CM INFO. OFF 40.00 X 420057 0 28726 MICHAEL WILTRAKIS - PART YEAR CHIEF OF STA 40.00 X 377540 0 28726 KEVIN FURLONG - PART YEAR INTERIM CMO 40.00 X 357350 0 28726 MONICA TAYLOR COO - MEDICA 40.00 X 364205 0 20758 STEVEN POLEGA - PART YEAR CNO 40.00 X 356223 0 28726 STACIE BOMMERSBACH VP- QUALITY 40.00 X 360632 0 13837 BRUCE CARRIER - PART YEAR CHIEF HR OFF 40.00 X 325701 0 27492 GREGORY MEYER CCO 40.00 X 320251 0 22243 PHILIP VANLAAN ASSOC. GEN C 40.00 X 291353 0 27425 CYNTHIA MCCURREN BOARD MEMBER 1.00 X 0 231798 45651 KRISTI BELMORE - PART YEAR VP-FINANCE 40.00 X 236159 0 27001 THOMAS FANTIN VP-IT 40.00 X 232124 0 25166 RHAE-ANN BOOKER - PART YEAR VP-DEI 40.00 X 238870 0 0 KATHRYN VEENSTRA ASSISTANT CN 40.00 X 217996 0 11755 TENA HOXSIE VP-REVENUE C 40.00 X 201603 0 19962 DAVID SPAHLINGER X 0 154921 26100 JARRETT MARTUS SECRETARY 40.00 X 130957 0 10039 STEVE VAN ANDEL CHAIR 1.00 X 0 0 0 CONNIE BOHATCH BOARD MEMBER 1.00 X 0 0 0 WILLIAM BARKELEY BOARD MEMBER 1.00 X 0 0 0 BRUCE COURTADE VICE CHAIR 1.00 X 0 0 0 SCOTT EPSTEIN BOARD MEMBER 1.00 X 0 0 0 LAURA HOPSON BOARD MEMBER 1.00 X 0 0 0 LARRY ROBSON BOARD MEMBER 1.00 X 0 0 0 CARLOS SANCHEZ BOARD MEMBER 1.00 X 0 0 0 TIMOTHY WILLIAMS BOARD MEMBER 1.00 X 0 0 0 JOHN HENDRICKSON - PART YEAR BOARD MEMBER 1.00 X 0 0 0 PATRICIA GUNTERN - PART YEAR CHIEF OF STA 1.00 X 0 0 0 13456698 3526645 1104691 27 true true false GREAT LAKES NEUROSURGICAL ASSOCIATE 3350 EAGLE PARK DR NE STE 102 GRAND RAPIDS MI 49525 MEDICAL SERVICE 10524140 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 53288 MEDICAL IS 3564408 NUANCE COMMUNICATIONS INC ONE WAYSIDE RD BURLINGTON MA 01803 MEDICAL SERVICE 2344813 ANESTHESIA MEDICAL CONSULTANTS 333 EVERGREEN DR NE GRAND RAPIDS MI 49525 MEDICAL SERVICE 2261837 SODEXO CTM INC PO BOX 415000 NASHVILLE TN 37241 MEDICAL EQUIP. 1593712 70 2600025 2600025 NET PATIENT REVENUE 572478933 572478933 OTHER REVENUE 25629302 25629302 LAB TEST FOR OUTPATIENT 541380 1998434 1998434 600106669 27541 27541 602734235 598108235 1998434 27541 4845372 3758309 1081325 5738 251455153 202246055 48777774 431324 -3010931 -3010931 23952211 380815 23571396 16466201 13889529 2542711 33961 2161264 2161264 172489 172489 193725 193725 59367910 53886312 5480000 1598 2127850 867606 1260244 8156443 11136359 -2990669 10753 13128681 879706 12248975 16778988 16293666 485322 3380484 2177131 1053686 149667 12422186 11075486 1346700 35035617 34517397 518220 13759810 954130 12805680 MEDICAL SUPPLIES 129291132 129247701 43431 BAD DEBT 19609792 19609792 OTHER 5564607 5251983 312624 EQUIPMENT 2948037 2948037 908872 486548 418052 4272 618715893 511767826 106310754 637313 4938630 4058039 36791 3745726 74786360 94954715 1365886 1317431 10070083 10337782 2302357 3160482 736295831 417215348 317496128 319080483 2467157 264741 32913240 22395462 446376632 459314861 42952960 46408718 150000 150000 343343523 363850338 386446483 410409056 X 59930149 48905805 59930149 48905805 446376632 459314861 X -15981658 2529 4954785 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15166647 15166647 227606479 114370416 113236063 32570701 80484704 -47914003 413749873 222360228 191389645 47202131 47202131 319080483 DUE TO AFFILIATE 228962437 CAPITAL LEASE OBLIGATIONS 112681273 ACCRUED LIABILITIES 14678899 COST REPORT SETTLEMENT PAYABLE 2833883 DEFINED BENEFIT PENSION PLAN 2667439 GAIN ON REFUNDING 1814085 LIABILITY CLAIMS 212322 363850338 true true X true X 3.000000000000 true X true true false true true 5623428 5623428 0.00940 91893157 93903058 -2009901 0.00340 97516585 93903058 3613527 0.00600 212716 212716 0.00040 11384058 3681895 7702163 0.01290 870984 241706 629278 0.00110 298634 298634 0.00050 12766392 3923601 8842791 0.01490 110282977 97826659 12456318 0.02090 182 71 23 3500 1 900 206 4471 true 8467103 205984480 253502035 -47517555 X true true 1 1 METROPOLITAN HOSPITAL 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 X X X X METROPOLITAN HOSPITAL 1 false false true X X X X X X X X 24 true true true true X WWW.UOFMHEALTHWEST.ORG X true 24 true WWW.UOFMHEALTHWEST.ORG false false true X 300.000000000000 300.000000000000 X X X X X true true X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X true X false true X false true FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 3E OUTLINES AND DISCUSSES ELEVEN TOP HEALTH-RELATED NEEDS OF THE COMMUNITY FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 5 ADDITIONAL DATA COLLECTION METHODS WERE USED BY THE COMMUNITY INPUT WORKGROUP TO GATHER DATA FROM COMMUNITY MEMBERS WHOSE VOICE AND HEALTH STATUS MAY NOT BE REPRESENTED THROUGH THE LOCAL, STATE, AND NATIONAL SECONDARY DATA SOURCES. THE ADDITIONAL DATA COLLECTION METHODS INCLUDED COMMUNITY INPUT WALLS (STRATEGY INVOLVING GATHERING INPUT FROM COMMUNITY MEMBERS DIRECTLY BY POSTING LARGE SHEETS OF PAPER IN PUBLIC SPACE AND ASKING COMMUNITY MEMBERS TO ANSWER QUESTIONS ABOUT THE COMMUNITY BY WRITING THEIR THOUGHTS ON THE WALL), FOCUS GROUPS WITH COMMUNITY MEMBERS PARTICIPATING TO GENERATE COMMUNITY INPUT FROM VARIOUS POPULATIONS ABOUT THE HEALTH AND WELL-BEING OF KENT COUNTY AND INTERCEPT INTERVIEWS (METHOD DESIGNED TO ENGAGE PARTICIPANTS WHO MAY NOT BE INCLINED TO ATTEND A FOCUS GROUP OR TOWN HALL MEETING). THE INTERCEPT INTERVIEWS WERE TRANSLATED INTO SPANISH FOR THE LATINO/HISPANIC COMMUNITY AND OTHER LANGUAGES SPOKEN BY THE ASIAN COMMUNITY. THIS ASSESSMENT WAS DESIGNED TO PROVIDE A BROAD OVERVIEW OF HEALTH AND WELL BEING AND IDENTIFY CRITICAL ISSUES RELATED TO COMMUNITY HEALTH IN KENT COUNTY. HOWEVER, IT IS NOT INCLUSIVE OF EVERY HEALTH-RELATED ISSUE THAT RESIDENTS FACE AND DOES NOT REPRESENT ALL POSSIBLE POPULATIONS OF INTEREST. COVID-19 LIMITATIONS: DATA IN THIS REPORT REPRESENT THE MOST CURRENT, COUNTY-LEVEL SOURCES AT THE TIME OF PUBLICATION. HOWEVER, IT'S IMPORTANT TO NOTE THE SOURCE DATA IN RELATION TO THE COVID-19 TIMELINE. MANY INDICATORS REFLECT THE STATE OF HEALTH PRIOR TO THE PANDEMIC; HOWEVER, COMMUNITY INPUT DATA WAS COLLECTED DURING THE PANDEMIC. GATHERING COMMUNITY INPUT DATA ON LONG-TERM HEALTH NEEDS DURING THE PANDEMIC MAY HAVE INCREASED THE LIKELIHOOD OF BIAS AND/OR MEASUREMENT ERROR. COMMITTEE MEMBERS TRIED TO ACCOUNT FOR THIS BY STRATEGICALLY PHRASING SURVEY QUESTIONS SO THE DIRECT AND INDIRECT EFFECTS OF THE PANDEMIC WOULD NOT SKEW THE RESPONSES. FOR EXAMPLE, "FEAR OR CLOSURE DUE TO COVID-19" WAS A RESPONSE OPTION INCLUDED WHEN ASKING ABOUT BARRIERS TO ACCESSING HEALTH CARE, SO THESE COULD BE FILTERED OUT DURING ANALYSIS TO GET A MORE ACCURATE AND RELIABLE DETERMINATION OF BARRIERS THAT EXIST BEYOND THE PANDEMIC. IN CONSIDERATION OF SOME OF THESE LIMITATIONS, THE PROCESS OF PRIORITIZING HEALTH NEEDS WAS BASED ON BOTH QUANTITAVE DATA COLLECTED PRIOR TO THE STATE SHUTDOWN IN MICHIGAN, AND QUALITATIVE DATA COLLECTED AMIDST THE PANDEMIC. COMMUNITY SURVEY: ANOTHER LIMITATION IS THE CONVENIENCE SAMPLING METHODOLOGY USED TO CONDUE SURVEY (DISSEMINATION ONLINE AND VIA COMMUNITY ORGANIZATIONS). BECAUSE THE SAMPLE OF SURVEY RESPONDENTS WAS NOT RANDOMLY SELECTED, GENERALIZABILITY OF THE FINDINGS TO THE BROADER POPULATIONS IS LIMITED. COMPARED TO THE POPULATION OF KENT COUNTY, PEOPLE OF COLOR, MEN, AND YOUNGER ADULTS (AGE 25 AND YOUNGER) WERE UNDERREPRESENTED AMONGST SURVEY RESPONDENTS, AND THOSE WITH A BACHELOR'S DEGREE OR HIGHER WERE OVERREPRESENTED. DUE TO THE PANDEMIC RESTRICTIONS AND CANCELATION OF COMMUNITY EVENTS, IN-PERSON SURVEYING TECHNIQUES COULD NOT BE USED PURPOSIVELY SAMPLE UNDERREPRESENTED POPULATIONS. ADDITIONALLY, DISSEMINATION WAS PRIMARILY CONDUCTED THROUGH SOCIAL MEDIA AND PARTNER NETWORKS WHICH MAY HAVE FURTHER LIMITED THE SCOPE OF POTENTIAL RESPONDENTS AND INCREASED THE LIKELIHOOD FOR SELECTION BIAS. FOCUS GROUPS: THE GOAL OF THE FOCUS GROUPS WAS TO OBTAIN ADDITIONAL COMMUNITY INPUT FROM POPULATIONS THAT WERE UNDERREPRESENTED IN THE SURVEY RESPONSES AND GET AN IN-DEPTH PERSPECTIVE ON ISSUES FROM SPECIFIC SUB- POPULATIONS. ALTHOUGH THE FOCUS GROUPS PROVIDE VALUABLE INSIGHTS, RESULTS ARE NOT STATISTICALLY REPRESENTATIVE OF THE LARGER KENT COUNTY POPULATION DUE TO NON-RANDOM RECRUITING OF PARTICIPANTS AND A SMALL SAMPLE SIZE. ADDITIONALLY, SINCE RECRUITMENT WAS CONDUCTED BY THE COMMUNITY ORGANIZATIONS THAT HOSTED AND FACILITATED FOCUS GROUPS, MANY WHO PARTICIPATED WERE ALREADY INVOLVED IN COMMUNITY PROGRAMMING AND THE RESPONSES MAY ONLY PROVIDE ONE PERSPECTIVE ON THE ISSUES DISCUSSED. FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 6A SPECTRUM HEALTH, MERCY HEALTH, MARY FREE BED, PINE REST CHRISTIAN MENTAL HEALTH SERVICES. FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 6B KENT COUNTY HEALTH DEPARTMENT, YMCA, NETWORK 180 FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 11 1.ACCESS TO HEALTH CARE: UMH-WEST HOSTS FREE AND LOW-COST COMMUNITY CLASSES FOCUSED ON PROMOTING HEALTHY HABITS AND THE SERVICES OUR SPECIALITY CARE OFFICES PROVIDE. EMPLOYEES SERVE ON COMMUNITY COUNCILS AIMED AT MAKING HEALTH CARE AS A WHOLE MORE ACCESSIBLE TO ALL. THROUGH COMMUNTY EVENT SPONSORSHIPS AND TABLING EVENTS, UMH-WEST PROVIDES FINANCIAL SUPORT FOR SERVICES THAT MAY NOT BE OFFERED WITHIN OUR SYSTEM, SUCH AS DENTAL CARE. UMH-WEST HAS TRANSLATION SERVICES AVAILBALE TO ENSURE WE ARE PROVIDING THE BEST CARE POSSIBLE FOR ALL WHO SEEK OUR SERVICES. 2.DISCRIMINATION AND RACIAL INEQUALITY: UMH-WEST'S DIVERSITY EQUITY AND INCLUSION DEPARTMENT PROVIDES TRAINING AND EDUCAITONAL OPPORTUNITIES TO EMPLOYEES TO ENUSRE THAT WE ARE TREATING ALL PATIENTS EQUITABLY. THROUGH COMMUNITY MENTORING PROGRAMS AND TASKFORCE GROUPS, WE ARE STRIVING TO CREATE A COMMUNITY WHERE ALL FEEL SAFE, WELCOMED AND FAIRLY TREATED. 3.ECONOMIC SECURITY: UMH-WEST HAS MADE DILIGENT EFFORTS TO MAKE SURE EMPLOYEES ARE RECEIVING FAIR AND COMPARABLE WAGES BY COMPLETING ANNUAL MARKET ANALYSES. LEADERS SERVE ON COMMUNITY BOARDS AND SIT IN ON FOCUS GROUPS TO ADDRESS HOW THE COMMUNITY RECOMMENDS HOW WE ADDRESS THIS NEED. 4.MENTAL HEALTH: UMH-WEST HAS EXPANDED OUR SERVICES TO INCLUDE PSYCHIATRY. WE OFFER FREE AND LOW-COST COMMUNITY STRESS MANAGEMENT CLASSES (GENTLE YOGA AND PAINTING) AND TOBACCO CESSATION CLASSES PROVIDED BY OUR PULMONARY REHABILITATION DEPARTMENT. SUPPORT GROUPS FOR BREASTFEEDING MOTHERS, PARKINSONS DISEASE, THOSE WITH EMPHASEMA, COPD OR WHO HAVE HAD OR CARE FOR SOMEONE WHO HAS HAD A STROKE PROVIDE OUR COMMUNITY MEMBERS A SAFE PLACE TO GO TO KNOW THEY ARE NOT ALONE. FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 13B A PATIENT WHOSE HOSPITAL BILLS AFTER PAYMENT BY THIRD-PARTY PAYERS EXCEED 15% OF THE PERSON'S ANNUAL GROSS INCOME AS SET FORTH IN THIS POLICY AND WHO IS UNABLE TO PAY THE REMAINING BILL MAY BE CONSIDERED MEDICALLY INDIGENT AND IS ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE. OTHER FINANCIAL ASSETS AND LIABILITIES OF THE PERSON MAY BE CONSIDERED WHEN DETERMINING ABILITY TO PAY. A DETERMINATION OF A PATIENT'S ABILITY TO PAY THE REMAINDER OF THE BILL WILL BE BASED ON WHETHER THE PATIENT REASONABLY CAN BE EXPECTED TO PAY THE ACCOUNT IN FULL OVER A 25 METROPOLITAN HOSPITAL MONTH PERIOD. IF THE DETERMINATION IS MADE THAT A PATIENT HAS THE ABILITY TO PAY THE REMAINDER OF THE BILL, SUCH DETERMINATION DOES NOT PREVENT A REASSESSMENT OF THE PATIENT'S ABILITY TO PAY AT A LATER DATE. FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 16J METROPOLITAN HOSPITAL PART V, LINE 16A, FAP WEBSITE: HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA METROPOLITAN HOSPITAL PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA METROPOLITAN HOSPITAL PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA PART V, SECTION B, LINE 16I: PUBLICATION/NOTICE OF FINANCIAL ASSISTANCE: IT IS THE GOAL OF METRO HEALTH HOPITAL TO COMMUNICATE TO PATIENTS AND THE PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, "A PATIENT'S GUIDE", METRO HEALTH'S WEBSITE (WWW.METROHEALTH.NET), PATIENT BILLING STATEMENTS, WORD OF MOUTH AND COMMUNITY PUBLIC LOCATIONS. FINANCIAL ASSISTANCE APPLICATIONS WILL BE TRANSLATED INTO LANGUAGES APPROPRIATE TO THE HOSPITAL'S COMMUNITY. FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 24 IN ACCORDANCE WITH MEDICARE POLICY WE CHARGE THE FULL AMOUNT BUT FOR PEOPLE WHO DID NOT HAVE INSURANCE WE DISCOUNTED THE CHARGE BY 40%. IF THEY HAD INSURANCE THE AMOUNT WAS DISCOUNTED BY THE CONTRACT PERCENTAGE. 19 CANCER SERVICES 5950 METRO WAY WYOMING MI 49519 CANCER CENTER HEALTHPARK 2093 HEALTH DRIVE WYOMING MI 49519 SLEEP LAB & ENDOSCOPY, INTERNAL MEDICINE METRO HEALTH ALLENDALE 4830 BECKER DR ALLENDALE MI 49401 FAMILY PRACTICE, PT, RADIOLOGY & MAMMORG METRO HEALTH CALEDONIA PLAZA 8941 NORTH RODGER COURT CALEDONIA MI 49316 FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR UMHW EAST BELTLINE 1310 EAST BELTLINE AVE SE GRAND RAPIDS MI 49506 FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR METRO HEALTH CEDAR SPRINGS 14211 WHITE CREEK CEDAR SPRINGS MI 49319 FAMILY PRACTICE, PT, RADIOLOGY & MAMMOG METRO HEALTH COMMUNITY CLINIC 781 36TH ST WYOMING MI 49519 CLLNIC FOR LOW INCOME & OFFICES METRO HEALTH COMSTOCK PARK 4200 N DIVISION COMSTOCK PARK MI 49321 FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR METRO HEALTH GREENVILLE FAMILY PRAC 1915 WEST WASHINGTON GREENVILLE MI 48838 HEART & VASCULAR METRO HEALTH HUDSONVILLE 3912 32ND AVE HUDSONVILLE MI 49426 FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR METRO HEALTH JENISON 7686 GEORGETOWN CENTER DR JENISON MI 49428 FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR METRO HEALTH LOWELL 2550 WEST MAIN LOWELL MI 49331 FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR METRO HEALTH OPHTHALMOLOGY 2221 HEALTH DRIVE SW WYOMING MI 49519 OPHTHALMOLOGY METRO HEALTH PROFESSIONAL BUILDING 2122 HEALTH DRIVE SW WYOMING MI 49519 WOUND CLINIC, LAB & PULMONARY REHAB METRO HEALTH ROCKFORD 4685 BELDING ROAD ROCKFORD MI 49341 FAMILY PRACTICE, DIABETES ED, PT, RADIOL METRO HEALTH WAYLAND 1113 WEST SUPERIOR WAYLAND MI 49348 FAMILY PRACTICE, RADIOLOGY, PT & MAMMOGR METRO HEALTH PARK EAST 4055 CASCADE RD SE GRAND RAPIDS MI 49546 URGENT CARE, SURGERY CENTER, OB/GYN METRO-HEALTH SOUTHWEST PLAZA 2215 44TH STREET SW WYOMING MI 49519 FAMILY PRACTICE, DIABETES ED, PT, RADIOL HUDSONVILLE II 2917 PORT SHELDON STREET HUDSONVILLE MI 49426 FAMILY PRACTICE, PEDIACTRICS SCHEDULE H, PART I, LINE 7, COLUMN (F) 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 19,609,792. SCHEDULE H, PART I, LINE 7 THE INFORMATION USED TO CALCULATE LINE 7 IS ON THE PAID CLAIMS BASIS. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. SCHEDULE H, PART II ALTHOUGH MANY SUCH ACTIVITIES ARE OFTEN NOT QUANTIFIABLE, WE CONTINUE TO BUILD ON OUR STRONG RECORD OF COLLABORATION WITH COMMUNITY GROUPS, BUSINESSES ACADEMIC INSTITUTIONS, AND GOVERNMENTAL AND NON- GOVERNMENTAL ORGANIZATIONS WITH THE GOAL OF IMPROVING HEALTH OUTCOMES AND REDUCING HEALTH DISPARITIES. EMPHASIS IS PLACED ON ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH, THE HEALTH CARE DELIVERY SYSTEM AND COMMUNITY ECONOMIC DEVELOPMENT. METRO HEALTH TAKES SERIOUSLY THE OPPORTUNITY AND OBLIGATION WE HAVE TO HELP BUILD OUR COMMUNITY. ALL MEMBERS OF THE ORGANIZATIONS LEADERSHIP TEAM ARE ENCOURAGED TO VOLUNTEER A MINIMUM OF 12 HOURS TO COMMUNITY-BENEFIT INITIATIVES. GENERAL STAFF MEMBERS ARE ALSO ENCOURAGED TO VOLUNTEER AT COMMUNITY-BENEFIT INITIATIVES. MANY METRO EMPLOYEES PLAY AN ACTIVE ROLE ON THE BOARDS AND/OR COMMITTEES OF SEVERAL HEALTH AND HUMAN SERVICE AGENCIES IN OUR COMMUNITY, SUCH AS YMCA, GRAND RAPIDS CHAMBER OF COMMERCE HEALTH CARE COMMITTEE, ELES PLACE GRAND RAPIDS, GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE, GOODWILL INDUSTRIES, MEL TROTTER MINISTRIES, COMMUNITY TRANSFORMATION GRANT COMMITTEE, KID'S FOOD BASKET, WEST MICHIGAN HISPANIC CHAMBER OF COMMERCE AND MORE. IN ADDITION, METRO LEADERS AND STAFF MEMBERS PARTICIPATE IN ONE- DAY COMMUNITY ACTIVITIES, SUCH AS PRESENTING HEALTH OR CAREER INFORMATION IN AREA SCHOOLS FROM ELEMENTARY SCHOOLS TO COLLEGES AND UNIVERSITIES. AS AN OSTEOPATHIC TEACHING HOSPITAL, WE HAVE A SIGNIFICANT PRESENCE WITH THE MICHIGAN ASSOCIATION OF OSTEOPATHIC DIRECTORS AND MEDICAL EDUCATORS. THIS ASSOCIATION HELPS TRAIN NEW PHYSICIANS AND DEVELOPS THE CURRICULUM USED FOR MEDICAL RESIDENTS AND STUDENT INTERNS THROUGHOUT OUR STATE. SEVERAL MEMBERS OF OUR STAFF ARE INVOLVED IN THIS GROUP AT THE STATE LEVEL AND SPEND A LARGE NUMBER OF HOURS EVERY YEAR SERVING IN THIS CAPACITY. METRO HEALTH IS ALSO THE EDUCATION SITE FOR OVER ONE HUNDRED MEDICAL FELLOWS, RESIDENTS AND STUDENTS. METRO ALSO PROMOTES HEALTH IN OUR COMMUNITY AND STEWARDSHIP OF NATURAL RESOURCES BY COLLABORATING WITH THE CITY OF WYOMING TO HOST TWO "DRUG TAKE BACK DAYS" EACH YEAR. BY WORKING TOGETHER WE ARE ABLE TO BRING THIS U.S. DEPARTMENT OF JUSTICE/DRUG ENFORCEMENT ADMINISTRATION PROGRAM TO OUR COMMUNITY. THE CITY OF WYOMING PROVIDES DISPOSAL AND LAW ENFORCEMENT PERSONNEL, WHILE METRO HEALTH PROVIDES PHARMACISTS TO ANSWER COMMUNITY MEMBER QUESTIONS AND HELP SORT DRUGS AND A CONVENIENT LOCATION FOR COMMUNITY MEMBERS TO DROP OFF UNUSED AND EXPIRED DRUGS. BY PROPERLY DISPOSING OF THE MATERIALS, WE ARE ABLE TO KEEP THESE DRUGS OUT OF THE COMMUNITYS WATER SYSTEM AND AWAY FROM CHILDREN WHO MIGHT FIND THEM IN A HOME. METRO IS CURRENTLY WORKING WITH THE CITY OF WYOMING FIRE DEPARTMENT WITH EMT TRAINING FOR THEIR STAFF. SCHEDULE H, PART III, LINE 2 BAD DEBT IS ANY PORTION OF PATIENT ACCOUNT THAT IS DEEMED UNCOLLECTIBLE AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN MADE, INCLUDING FINANCIAL ASSISTANCE. BAD DEBT DOES NOT INCLUDE CONTRACTUAL DISCOUNTS, COMMUNITY BENEFIT OR CHARITY CARE. SCHEDULE H, PART III, LINE 8 HEALTHCARE PAYMENT REFORMS IMPLEMENTED THROUGH THE AFFORDABLE CARE ACT HAVE SHIFTED SOME OF THE EXPENSE BURDEN OF PROVIDING HEALTHCARE SERVICES TO MEDICARE BENEFICIARIES FROM THE GOVERNMENT ON TO HEALTHCARE PROVIDERS THROUGH REDUCED PAYMENTS. THESE PAYMENT REDUCTIONS HAVE INCREASED THE LOSSES INCURRED BY HEALTHCARE PROVIDERS FOR TREATING MEDICARE BENEFICIARIES. BY REDUCING THE GOVERNMENTS FINANCIAL BURDEN FOR PROVIDING HEALTHCARE SERVICES TO MEDICARE BENEFICIARIS, METRO HEALTH BELIEVES THAT MEDICARE SHORTFALLS SHOULD BE TREATED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B METRO TRIES TO INFORM THE PATIENT IF THEY QUALIFY FOR CHARITY CARE AS SOON AS POSSIBLE BECAUSE THE PATIENT BENEFITS FROM KNOWING ABOUT THEIR FINANCIAL OBLIGATIONS AND THE HOSPITAL CAN AVOID A COSTLY COLLECTIONS PROCESS IF THE PATIENT HAS THE INABILITY TO PAY. EVERY PATIENT BILL HAS THE FEDERAL POVERTY GUIDELINES ON THE BACK AND ITS ON METRO'S WEBSITE. BOTH EXPLAIN THE PROCEDURES AND LIMITS FOR CHARITY CARE AND DISCOUNTING PROGRAMS. PATIENT FINANCIAL REPRESENTATIVES ARE AVAILABLE TO DISCUSS FILLING OUT THE PAPERWORK FOR GOVERNMENT MEDICAL ASSISTANCE PROGRAMS. SCHEDULE H, PART VI, LINE 2 FOR MORE THAN 20 YEARS, HEALTHY KENT HAS ENGAGED A BROAD ARRAY OF COMMUNITY PARTNER ORGANIZATIONS TO ADDRESS DATA-DRIVEN PRIORITY AREAS, RANGING FROM INFANT MORTALITY TO VIOLENCE. DURING ITS TENURE, HEALTHY KENT HAS YIELDED MANY NOTEWORTHY COMMUNITY-BASED SUCCESSES, AND CONTINUES TO ACHIEVE RESULTS THROUGH ITS SUCCESSFUL COMMUNITY COLLABORATIONS ON TOPICS RANGING FROM MATERNAL AND CHILD HEALTH TO SUICIDE PREVENTION. IN 2013, HEALTHY KENT ALSO TOOK ON THE ROLE OF CONVENER FOR THE FISCAL YEAR END 2015 COMMUNITY HEALTH NEEDS ASSESSMENT(CHNA) PROCESS. THIS IS THE FIFTH ITERATION OF KENT COUNTYS COMMUNITY HEALTH IMPROVEMENT EFFORTS. THE FIRST COUNTYWIDE CHNA WAS PUBLISHED IN FISCAL YEAR END 2012, FOLLOWED THE NEXT YEAR BY A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH OUTLINED COMMUNITY PRIORITIES AS WELL AS GOALS, OBJECTIVES, AND STRATEGIES AIMED AT IMPACTING THOSE KEY PRIORITIES. MANY LESSONS WERE LEARNED FROM THE FIRST ITERATION OF THE CHNA/CHIP PROCESS WITHIN OUR COMMUNITY. AS A RESULT, SIGNIFICANT IMPROVEMENTS HAVE BEEN MADE TO THE HEALTH IMPROVEMENT PROCESS IN KENT COUNTY. SOME OF THESE IMPROVEMENTS INCLUDE A STRONGER FOCUS ON COMMUNITY INPUT, ENHANCED DATA COLLECTION AND REPORTING, AS WELL AS AN EXPANDED BREADTH OF INVOLVEMENT IN VARIOUS PHASES OF THE PROCESS BY KEY COMMUNITY AGENCIES AND ORGANIZATIONS. ADDITIONALLY, THE RESPONSIBILITY FOR COORDINATING THE CHNA/CHIP PROCESS IN OUR COMMUNITY HAS SHIFTED FROM KENT COUNTY WORKING TOGETHER FOR A HEALTHIER TOMORROW TO HEALTHY KENT.THE MISSION OF THE KENT COUNTY CHNA PROCESS WAS TO ENSURE THAT THE PEOPLE OF KENT COUNTY ARE EMPOWERED TO ACHIEVE LIFE-LONG PHYSICAL, MENTAL AND SOCIAL WELLBEING THROUGH 1) EQUAL ACCESS TO HIGH QUALITY, AFFORDABLE HEALTHCARE; 2) A COORDINATED SYSTEM OF CARE THAT IS LOCAL, PREVENTIVE, HOLISTIC AND PATIENT CENTERED; AND 3) AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL. FOUR PRIORITY HEALTH ISSUES THAT WERE DISCOVERED WERE 1) ACCESS TO CARE, 2) ACCESS TO HEALTH INSURANCE, 3) ACCESS TO HEALTH FOODS, AND 4) HOUSING. THE 2024 CHNA IS A COMPREHENSIVE COMPILATION OF DATA THAT EXPLAINS THE CURRENT STATE OF HEALTH, WELLBEING, AND FACTORS AFFECTING HEALTH OF THOSE WHO LIVE, LEARN, AND WORK IN KENT COUNTY, MICHIGAN. THE 2024 CHNA PROCESS WAS MODELED AFTER THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. MAPP IS A NATIONALLY-RECOGNIZED, BEST- PRACTICE FRAMEWORK FOR COMMUNITY HEALTH NEEDS ASSESMENT AND IMPROVEMENT PLANNING PROCESSES THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). IN 2022, NACCHO RELEASED AN UPDATED MAPP FRAMEWORK THAT CENTERS ON HEALTH EQUITY AND SIMPLIFIES THE ONGOING, CONTINUOUS PROCESS INTO THREE PHASES. BROAD SHAREHOLDER AND COMMUNITY ENGAGEMENT IS VITAL IN EACH PHASE. THERE ARE SIX KEY PHASES OF THE MAPP PROCESS, INCLUDING: 1) ORGANIZING FOR SUCCESS AND PARTNERSHIP DEVELOPMENT 2) VISIONING 3) THE FOUR MAPP ASSESSMENTS 4) IDENTIFYING STRATEGIC ISSUES 5) FORMULATE GOALS AND STRATEGIES 6) TAKE ACTION (ACTION CYCLE) THE 2024 CHNA REPORT INCLUDES A SUMMARY AND DESCRIPTION OF HOW KENT COUNTY HAS IMPLEMENTED THE FIRST FOUR MAPP PHASES. PHASES FIVE AND SIX WILL BE DISCUSSED AND REPORTED AS THE 2024 COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESS GETS UNDERWAY AND YIELDS A FINAL REPORT. SCHEDULE H, PART VI, LINE 3 METRO HEALTH RECOGNIZES THAT INDIVIDUALS AND FAMILIES WHO ARE FACING FINANCIAL INSTABILITY OR HARDSHIP OFTEN NEGLECT HEALTHCARE NEEDS UNTIL THEY BECOME EMERGENT CONDITIONS. THIS PRACTICE PLACES STRESS ON PATIENTS, FAMILIES AND THE HEALTHCARE SYSTEM. METRO HEALTH SEEKS TO INFORM PATIENTS OF THEIR ELIGIBILITY FOR CHARITY CARE AS SOON AS POSSIBLE IN THE HEALTHCARE PROCESS SO THAT PATIENTS KNOW THERE IS HELP FOR THEM AND SO THAT THE ORGANIZATION AVOIDS COSTLY COLLECTIONS PROCESSES. METRO HEALTH POSTS INFORMATION ON FINANCIAL ASSISTANCE ON THE ORGANIZATION WEB SITE. THERE ARE ALSO BROCHURES IN WAITING ROOMS AND AT REGISTRATION DESKS WITH INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAMS. PATIENTS WHO REPORT HAVING NO COVERAGE AT REGISTRATION ARE PROVIDED INFORMATION ABOUT OUR COMMUNITY BENEFIT DISCOUNT. THIS PROGRAM PROVIDES A 60% DISCOUNT TO ALL PATIENTS WITHOUT COVERAGE AS WELL AS AN INTEREST FREE PAYMENT PLAN (CAREPAYMENT) FOR THOSE PATIENTS WITH A BALANCE THEY ARE UNABLE TO PAY IN THE NEAR FUTURE. IN ADDITION, EVERY PATIENT BILL INCLUDES THE FEDERAL POVERTY GUIDELINES ON THE BACK AND EXPLAINS THE PROCEDURES AND LIMITS FOR CHARITY CARE AND DISCOUNTING PROGRAMS. PATIENT FINANCIAL REPRESENTATIVES ARE AVAILABLE TO DISCUSS FILLING OUT PAPERWORK FOR GOVERNMENT MEDICAL ASSISTANCE PROGRAMS. THERE IS ALSO A PHONE NUMBER LISTED ON THE APPLICATION FOR FINANCIAL ASSISTANCE WHICH PATIENTS CAN CALL IF THEY HAVE QUESTIONS. SCHEDULE H, PART VI, LINE 4 THE FISCAL YEAR END 2024 COMMUNITY HEALTH SURVEY ASKED RESPONDENTS TO PROVIDE DATA ON A NUMBER OF DEMOGRAPHIC TOPICS, INCLUDING GENDER, RACE, AGE, RELATIONSHIP STATUS, HOME OWNERSHIP, EMPLOYMENT STATUS, EDUCATIONAL ATTAINMENT, HOUSEHOLD INCOME, GEOGRAPHIC LOCATION OF RESIDENCE, AND BMI. THE MAJORITY OF SURVEY RESPONDENTS WERE FEMALE (68.1%), WHITE (65.1%), AND REPORTED A HOUSEHOLD INCOME BETWEEN 50,000-74,999 PER YEAR (23.7%). MOST SURVEY RESPONDENTS FELL WITHIN THE AGE CATEGORIES OF 25 TO 34 YEARS (21.8%), AND 35 TO 44 YEARS (22.2%). OVER 78.8% REPORTED THAT THEY HAD AN EDUCATIONAL ATTAINMENT LEVEL OF AT LEAST SOME COLLEGE. A CONVENIENCE (NON- RANDOM) SAMPLE HAS BEEN USED IN PAST CHNA SURVEYS. CONVENIENCE SAMPLING, ALONG WITH THE BARRIERS TO PARTICIPATION HAS CONSISTENTLY RESULTED IN DATA WITH AN OVERREPRESENTATION OF THOSE WHO ARE WHITE, FEMALE, LIVING IN URBAN OR SUBURBAN AREAS, AND HAVE HIGHER INCOMES AND EDUCATIONAL ATTAINMENT THAN THE OVERALL POPULATION OF KENT COUNTY. TO ADDRESS SOME OF THESE BARRIERS, HEALTHY KENT SET OUT TO DEVELOP AN ACCESSIBLE, SUSTAINABLE SURVEY TOOL THAT COULD BE USED IN FUTURE ITERATIONS OF THE CHNA. IN THE 2024 CHNA, THE SAMPLE INCLUDED BOTH A RANDOM SAMPLE (TO INCREASE THE GENERALIZABILITY OF FINDINGS AND AVOID OVERREPRESENTATION) AND A CONVENIENCE SAMPLE (TO REACH PRIORITY POPULATIONS AND ADDRESS GAPS IN DATA). THIS RESULTED IN PARTICIPANT DEMOGRAPHICS MORE CLOSELY MATCHING KENT COUNTY'S POPULATION FOR SEX, RACE, ETHNICITY, AND EDUCATIONAL ATTAINMENT (COMPARED TO THE 2021 CHNA SURVEY). KENT COUNTY, WHERE THE MAJORITY OF METRO HEALTH PATIENTS RESIDE, IS THE FOURTH LARGEST COUNTY IN MICHIGAN. AS OF 2020, THERE WAS AN ESTIMATED POPULATION OF 657,974 IN KENT COUNTY. KENT COUNTY INCLUDES A DIVERSE MIX OF DEMOGRAPHICS. ACCORDING TO THE UNITED STATES CENSUS BUREAU WEB SITE (2020 CENSUS), 71.9% OF THE POPULATION IS WHITE (NOT HISPANIC). THE HISPANIC POPULATION IS 11.7% OF RESIDENTS; THE AFRICAN AMERICAN POPULATION IS 10.9% OF THE COMMUNITY, AND ASIAN AMERICANS COMPRISE 3.5% OF THE POPULATION. SCHEDULE H, PART VI, LINE 5 IN FISCAL YEAR 2023, METRO HEALTH HOSPITAL CONTINUED TO PROVIDE COMMUNITY BENEFIT BY PROVIDING HIGH QUALITY, COORDINATED PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY PROGRAMS. WE PROVIDED THESE SERVICES IN KENT COUNTY, MICHIGAN AND THE SURROUNDING WEST MICHIGAN AREAS. METROS GOVERNANCE STRUCTURE, OPEN MEDICAL STAFF, AND OUTREACH PROGRAMMING CONTRIBUTE TO HOW WE PROMOTE COMMUNITY HEALTH. BOARD SERVICE IS A COMMITMENT TO HELP FURTHER THE HOSPITALS MISSION OF RELENTLESSLY ADVANCING HEALTH TO SERVE WEST MICHIGAN. MEMBERS REPRESENT A WIDE SPECTRUM OF INDUSTRIES, INCLUDING HEALTHCARE, BANKING, REAL ESTATE, MARKETING, OFFICE FURNITURE, NON-PROFIT LEADERSHIP AND MORE. WHILE THE MAJORITY OF BOARD MEMBERS ARE CAUCASIAN, MEMBERS ALSO REPRESENT THE AFRICAN AMERICAN AND LATINO COMMUNITIES. METRO HEALTH MAINTAINS AN OPEN MEDICAL STAFF, MEANING COMMUNITY PRACTITIONERS CAN HOLD PRIVILEGES AT THE HOSPITAL. THERE ARE MORE THAN 500 MEMBERS OF THE MEDICAL STAFF, REPRESENTING EMPLOYED AND INDEPENDENT PHYSICIANS AND A MIX OF PRIMARY CARE AND SPECIALTY PHYSICIANS. METRO HEALTH HOSPITAL OFFERS A VARIETY OF PROGRAMS TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR LIVE HEALTHY COMMUNITY OUTREACH PROGRAM PROVIDES FREE AND LOW-COST HEALTH EDUCATION PROMOTION EVENTS, CLASSES AND MORE TO OUR COMMUNITY. THE MAJORITY OF THESE PROGRAMS IS DESIGNED TO ADDRESS RECOGNIZED HEALTH NEEDS IN THE COMMUNITY. THESE CLASSES AND EVENTS GROW IN POPULARITY EVERY YEAR AND INCLUDE TOPICS SUCH AS NUTRITION FOR LIFE, CPR CLASSES, CHRONIC DISEASE SUPPORT AND TAILORED EXERCISE, AND MORE. LOW-COST EXERCISE CLASSES OFFER ACTIVITY TO BEGINNERS, AS WELL AS TO VERY FIT PARTICIPANTS. OTHER FREE OFFERINGS ARE TOBACCO CESSATION, PRE- DIABETES,NUTRITION, JOINT PAIN, INJURY AND FALL PREVENTION, CHILD CAR SEAT SAFETY, AND MANY MORE. WHILE ALL OF THE LIVE HEALTHY CLASSES ARE FREE OR LOW COST, IF COST IS A DETERRENT FOR PEOPLE BEING ABLE TO ATTEND, THE COMMUNITY OUTREACH DEPARTMENT WAIVES THE FEE. THE HOSPITAL ALSO HOSTS A NUMBER OF FREE SUPPORT GROUPS AND MEETINGS FOR COMMUNITY ORGANIZATIONS. SOME SUPPORT GROUPS ARE RUN BY METRO HEALTH PROFESSIONALS AND OTHERS ARE COMMUNITY-BASED GROUPS TO WHOM METRO OFFERS FREE CONFERENCE ROOM SPACE. SOME OF THE SUPPORT GROUPS MEETING AT METRO INCLUDE THOSE FOR PARKINSON'S, BREASTFEEDING AND CANCER SERVICES. AS A TEACHING HOSPITAL, METRO ALSO OFFERS EDUCATIONAL OPPORTUNITIES TO MEDICAL RESIDENTS, NURSES, RADIOLOGY TECHS, PHLEBOTOMISTS AND EVEN HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN MEDICAL PROFESSIONS. THE METRO HEALTH FARM MARKET IS ANOTHER WAY METRO SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY. FOR FIFTEEN CONSECUTIVE YEARS NOW, OUR MARKET HAS GROWN IN POPULARITY AMONG COMMUNITY MEMBERS, PATIENTS AND EMPLOYEES. ON FARM MARKET DAYS, IT IS COMMON TO SEE OUTPATIENTS AND VISITORS MINGLE WITH COMMUNITY MEMBERS AS THEY SHOP FOR FRESH, LOCALLY GROWN AND PRODUCED FOODS. METRO CONTINUED ITS EFFORTS TO MAKE HEALTHY FOODS AVAILABLE TO OUR ENTIRE COMMUNITY BY CONTINUING TO OFFER FARM MARKET SHOPPERS ON FOOD ASSISTANCE WAYS TO USE THE ASSISTANCE AT THE MARKET. METRO ACCEPTS PROJECT FRESH COUPONS AND SNAP BENEFITS. WE ALSO ACCEPT DOUBLE UP FOOD BUCKS, SENIOR PROJECT FRESH, AND WIC. METRO HEALTH IS ALSO COMMITTED TO PROTECTING THE ENVIRONMENT THROUGH A NUMBER OF GREEN INITIATIVES. OUR HOSPITAL BUILDING IS ONE OF THE FIRST HOSPITALS IN THE NATION DESIGNED AND BUILT TO BE LEED- CERTIFIED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN), AND IT IS LOCATED IN THE METRO HEALTH VILLAGE WHICH REQUIRES ALL BUILDINGS ON THE PROPERTY TO BE DESIGNED AND BUILT FOR LEED CERTIFICATION. EMPLOYEE AND COMMUNITY PARTICIPATION IN RECYCLING AND COMPOSTING PROGRAMS AT THE HOSPITAL CONTINUES TO GROW EACH YEAR. THE HOSPITAL KITCHEN RECYCLING AND COMPOSTING IS VERY SUCCESSFUL AND WOULD NOT BE POSSIBLE WITHOUT THE BUY-IN OF THE EMPLOYEE TEAM. BEYOND THE WALLS OF THE HOSPITAL, METROS LEADERSHIP TEAM IS WORKING TO MAKE AN IMPACT ON THE COMMUNITY. EVERY MEMBER OF THE LEADERSHIP TEAM IS ENCOURAGED TO VOLUNTEER A MINIMUM OF 12 HOURS DURING THE YEAR TO COMMUNITY- BENEFIT INITIATIVES. MANY LEADERS GO WELL ABOVE THE 12-HOUR THRESHOLD AND VOLUNTEER MUCH MORE IN THE COMMUNITY. THEY ALSO ALLOW TEAM BUILDING THROUGH SERVICE TO OTHER ORGANIZATIONS. TEAMS OF METRO EMPLOYEES HAVE WORKED TOGETHER TO ASSIST AREA FOOD PROGRAMS, PROVIDE FLU SHOTS FOR AREA RESIDENTS IN NEED AND MORE. SCHEDULE H, PART VI, LINE 7 MICHIGAN SCHEDULE H, PART VI PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. 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 AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES 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 A SIGNIFICANT PROVISION FOR BAD DEBTS 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. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. PART III, LINE 8: HEALTHCARE PAYMENT REFORMS IMPLEMENTED THROUGH THE AFFORDABLE CARE ACT HAVE SHIFTED SOME OF THE EXPENSE BURDEN OF PROVIDING HEALTHCARE SERVICES TO MEDICARE BENEFICIARIES FROM THE GOVERNMENT ON TO HEALTHCARE PROVIDERS THROUGH REDUCED PAYMENTS. THESE PAYMENT REDUCTIONS HAVE INCREASED THE LOSSES INCURRED BY HEALTHCARE PROVIDERS FOR TREATING MEDICARE BENEFICIARIES. BY REDUCING THE GOVERNMENTS FINANCIAL BURDEN FOR PROVIDING HEALTHCARE SERVICES TO MEDICARE BENEFICIARIS, METRO HEALTH BELIEVES THAT MEDICARE SHORTFALLS PROVIDE A VALUABLE COMMUNITY BENEFIT. X X X X X false true false false false false false false false DAVID MILLER MD MPH - PART YEAR VICE CHAIR 1631926 68490 284105 26559 2011080 MICHAEL SUMNERS PHYSICIAN 673174 351594 660 6600 7484 1039512 MATHEW SEVENSMA PHYSICIAN 709031 241527 1518 6600 20631 979307 AUGUSTO ELIAS PHYSICIAN 923372 1518 6600 22126 953616 BARBARA KARENKO PHYSICIAN 629374 278101 990 6600 21507 936572 RONY GORGES PHYSICIAN 617699 289901 660 6600 21507 936367 ANTHONY DENTON BOARD MEMBER 846798 24500 49000 11563 931861 PETER HAHN - PART YEAR PRESIDENT AND CEO 673254 150947 1109 6600 22126 854036 PAUL KOVACK BOARD MEMBER 568263 184425 4356 6600 15074 778718 RAKESH PAI - PART YEAR PRESIDENT-MED/CPHO 542225 121633 1109 6600 21507 693074 RONALD GRIFKA - PART YEAR CMO 508129 110146 4356 6600 7491 636722 QUINTA VREEDE BOARD MEMBER 539712 28500 33000 10320 611532 JEFFERY POSTLEWAITE VP-MEDICAL AFFAIRS 419865 88213 4356 6600 15963 534997 KRIS KURTZ - PART YEAR CFO 395744 89831 1518 6600 22126 515819 JONATHAN WILDA CIO 343294 93125 660 6600 21069 464748 LANCE OWENS CM INFO. OFFICER 341335 77204 1518 6600 22126 448783 MICHAEL WILTRAKIS - PART YEAR CHIEF OF STAFF 376550 990 6600 22126 406266 KEVIN FURLONG - PART YEAR INTERIM CMO 355832 1518 6600 22126 386076 MONICA TAYLOR COO - MEDICAL GROUP 295889 66798 1518 6600 14158 384963 STEVEN POLEGA - PART YEAR CNO 289001 65704 1518 6600 22126 384949 STACIE BOMMERSBACH VP- QUALITY 305864 53250 1518 6600 7237 374469 BRUCE CARRIER - PART YEAR CHIEF HR OFFICER 263703 60480 1518 6600 20892 353193 GREGORY MEYER CCO 254315 57554 8382 6339 15904 342494 PHILIP VANLAAN ASSOC. GEN COUNSEL 236961 53732 660 5918 21507 318778 CYNTHIA MCCURREN BOARD MEMBER 171809 59989 23991 21660 277449 KRISTI BELMORE - PART YEAR VP-FINANCE 198426 36743 990 4875 22126 263160 THOMAS FANTIN VP-IT 196236 34912 976 4747 20419 257290 RHAE-ANN BOOKER - PART YEAR VP-DEI 200326 36252 2292 238870 KATHRYN VEENSTRA ASSISTANT CNO 178846 38549 601 4438 7317 229751 TENA HOXSIE VP-REVENUE CYCLE 167127 30754 3722 4080 15882 221565 DAVID SPAHLINGER 147864 7057 14115 11985 181021 SCHEDULE J, PAGE 1, PART I, LINE 4 DAVID MILLER, M.D., MPH - PART YEAR 0 251,105 0 QUINTA VREEDE 0 65,498 0 FORM 990 - ORGANIZATION'S MISSION METRO HEALTH'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. TO THAT END THE ORGANIZATION BELIEVES THE FOUNDATION OF GOOD HEALTH IS BASED ON EXCELLENT QUALITY PRIMARY CARE. THE ORGANIZATION IS ANCHORED BY A 208-BED, GENERAL ACUTE CARE COMMUNITY HOSPITAL. ADDITIONALLY, IT OPERATES 13 NEIGHBORHOOD OUTPATIENT CENTERS, STUDENT HEALTH FACILITIES AT GRAND VALLEY STATE UNIVERSITY AND A COMMUNITY CLINIC FOR THE UNDERSERVED. THE NEIGHBORHOOD OUTPATIENT CENTERS REACHES OUT TO THE ORGANIZATION'S SERVICE AREA, ALLOWING PATIENTS ACCESS TO QUALITY HEALTHCARE CLOSE TO HOME; SERVICES AT THEM INCLUDE PRIMARY CARE, LAB SERVICES, MAMMOGRAPHY, X-RAY AND PHYSICAL THERAPY. IN ADDITION TO PRIMARY CARE SERVICES, THE ORGANIZATION PROVIDES SPECIALTY CARE AT ITS HEART AND VASCULAR PRACTICE, CANCER CENTER, AMBULATORY SURGERY CENTER, OPHTHALMOLOGY OFFICE, SLEEP LAB AND OTHER SITES. THE ORGANIZATION ALSO FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY BEFORE PEOPLE NEED HEALTHCARE. IT DOES THIS THROUGH ITS LIVE HEALTHY COMMUNITY OUTREACH PROGRAM THAT OFFERS FREE AND LOW-COST CLASSES, SEMINARS AND COMMUNITY HEALTH SCREENS. IN THE PAST YEAR, SCREENS HAVE BEEN DONE FOR HIGH BLOOD PRESSURE, PERIPHERAL VASCULAR DISEASE, MEMORY ISSUES AND SUDDEN CARDIAC DEATH. METRO HEALTH IS ALSO A MAJOR PROVIDER OF OSTEOPATHIC MEDICAL EDUCATION. IN FISCAL YEAR 2024, 126 MEDICAL STUDENTS, RESIDENTS AND FELLOWS PARTICIPATED IN ITS MEDICAL EDUCATION PROGRAM. THE REGENTS OF THE UNIVERSITY OF MICHIGAN (U-M) IS THE WHOLLY-OWNED MEMBER OF UM HEALTH WHICH IS THE SOLE MEMBER OF METROPOLITAN HOSPITAL ALSO KNOWN AS UMH-WEST. IN WHICH CASE, THE HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF UM HEALTH AND U-M FOR FISCAL YEAR ENDED JUNE 30, 2024 ACCORDINGLY. FORM 990, PAGE 2, PART III, LINE 4A METRO HEALTH HOSPITAL IS A 208-BED TEACHING HOSPITAL THAT PROVIDES A COMPREHENSIVE SUITE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES, INCLUDING FAST EMERGENCY SERVICES, CANCER AND CARDIAC CARE, ROBOTIC AND TRADITIONAL SURGERY, FAMILY PRACTICE, INTERNAL MEDICINE, SPORTS MEDICINE AND OTHERS. THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH AND WELL- BEING OF THE COMMUNITIES IT SERVES. TO THAT END, METRO PROVIDES EDUCATION AND SCREENING PROGRAMS FOR THE COMMUNITY, EDUCATION OPPORTUNITIES FOR FUTURE DOCTORS, NURSES AND OTHER HEALTH PROFESSIONS, FINANCIAL ASSISTANCE PROGRAMS, CARE FOR THE UNDERSERVED, AND MUCH MORE. DURING FISCAL YEAR 2024, METRO HEALTH WELCOMED 1,654 BABIES INTO OUR COMMUNITY, CARED FOR 57,810 EMERGENCY ROOM VISITS, PERFORMED 1, 861,237 LABORATORY TESTS AND 216,218 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 39,536 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 16,034 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 120 MEDICAL STUDENTS, RESIDENTS AND FELLOWS. FORM 990, PAGE 6, PART VI, LINE 6 SEE 2ND PARAGRAPH, PAGE 1 - AFFILIATION WITH THE REGENTS OF THE UNIVERSITY OF MICHIGAN VIA ITS WHOLLY-OWNED NON-PROFIT, U-M HEALTH. FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER, UM HEALTH, SHALL ELECT THE DIRECTORS OF METROPOLITAN HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7B U-M HEALTH EXERCISES CERTAIN RESERVED POWERS,INCLUDING APPROVAL OF STRATEGIC PLANS AND ANNUAL OR OTHER BUDGETS. FORM 990, PAGE 6, PART VI, LINE 11B THE COMPLETED FORM 990 WAS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND CONTROLLER. ALSO, PRIOR TO FILING THE FORM 990, THE FULL METRO BOARD OF DIRECTORS WAS NOTIFIED THAT THE COMPLETED FORM 990 WAS AVAILABLE FOR REVIEW AT THE BOARD MEETING. FORM 990, PAGE 6, PART VI, LINE 12C EACH BOARD MEMBER, KEY EMPLOYED AND NON-EMPLOYED PERSONNEL IS REQUIRED ANNUALLY TO COMPLETE A CONFLICT OF INTEREST STATEMENT. THE STATEMENTS ARE COMPILED AND THE HOSPITAL'S COMPLIANCE DEPARTMENT REVIEWS THEM FOR ANY POTENTIAL CONFLICTS. ANY CONFLICTS ARE NOTED AND APPROPRIATE ACTION IS TAKEN AS REQUIRED, IE VOTING OR CONTRACTS. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO AND OTHER EXECUTIVE COMPENSATION IS DETERMINED BY USE OF CONSULTANTS AND COMPARABILITY DATA FROM OTHER HOSPITALS OF SIMILAR SIZE. THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE CEO COMPENSATION. THEIR DISCUSSION IS DOCUMENTED IN THE MINUTES OF THE MEETING. FORM 990, PAGE 6, PART VI, LINE 15B THE EXECUTIVE'S COMPENSATION IS DETERMINED BY USE OF CONSULTANTS AND COMPARABILITY DATA FROM OTHER HOSPITALS OF SIMILAR SIZE. THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE EXECUTIVE COMPENSATION. THEIR DISCUSSION IS DOCUMENTED IN THE MINUTES OF THE MEETING. THE EXECUTIVE TEAM HAS ENTERED INTO WRITTEN COMPENSATION CONTRACTS. STUDIES BY AN INDEPENDENT FIRM WERE COMPLETED TO ENSURE THE EXECUTIVES WERE AT MARKET VALUE. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 UM EQUITY TRANSFER 6,750,000 CHANGE IN EQUITY INVESTMENT -1,135,215 SELF DISCLOSURE -660,000 TOTAL 4,954,785 LAND METRO LLC 5900 BYRON CENTER AVE SW WYOMING MI 49519 202863709 REAL ESTAT MI METRO HOSP REGENTS OF THE UNIV OF MICHIGAN 5082 WOLVERINE TWR 3003 S STATE ANN ARBOR MI 48109 386006309 SCHOOL MI 501C3 2 N/A false METROPOLITAN FOUNDATION 5900 BYRON CENTER AVE SW WYOMING MI 49519 383033329 SUP HOSP MI 501C3 7 METRO HOSP true UM HEALTH 5082 WOLVERINE TOWER 3003 S STATE ANN ARBOR MI 48109 814913150 SUP ORG MI 501C3 12A UM true WEST MICHIGAN RADIATION ONCOLOGY 5950 METRO WAY WYOMING MI 49529 300501592 HOSPITAL MI 501C3 3 NA true MICHIGAN HEALTH CORPORATION 5082 WOLVERINE TOWER 3003 S STATE ANN ARBOR MI 48109 383261376 SUP ORG MI 501C3 12A UM true SPARROW HEALTH SYSTEM 1215 E MICHIGAN AVENUE LANSING MI 48912 382542859 PARENT MI 501C3 12A UM HEALTH true SPARROW COMMUNITY CARE 3315 E MICHIGAN AVENUE STE 4 LANSING MI 48912 382543305 HOME HLTH MI 501C3 10 SHS true UM HEALTH PLAN 1400 E MICHIGAN AVENUE LANSING MI 48912 382356288 INSURANCE MI 501C4 PHP HO LLC true UM HEALTH MEDICARE 1400 E MICHIGAN AVENUE LANSING MI 48912 832766121 HMO MI 501C4 PHP true UM HEALTH PLAN 1400 E MICHIGAN AVENUE LANSING MI 48912 382594856 HMO MI 501C4 PHP HO LLC true SPARROW FOUNDATION 1215 E MICHIGAN AVENUE LANSING MI 48912 386100687 FUNDRAISE MI 501C3 12B SHS true SPARROW CLINTON HOSPITAL 805 S OAKLAND ST JOHNS MI 48879 381358172 HLTH CARE MI 501C3 3 SHS true SPARROW SPECIALTY HOSPITAL 1215 E MICHIGAN AVE 8W SPARROW TOWE LANSING MI 48912 141885340 LT ACUTE C MI 501C3 3 SHS true SPARROW IONIA HOSPITAL 3565 S STATE RD IONIA MI 48846 383218134 HLTH CARE MI 501C3 3 SHS true SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE LANSING MI 48912 383075242 RESEARCH MI 501C3 4 SHS true SPARROW WOMENS HOSPITAL ASSOCIATION 1215 E MICHIGAN AVENUE LANSING MI 48912 386091657 VOLUNTEER MI 501C3 12D NA false SPARROW CARSON HOSPITAL 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 381490180 HLTH CARE MI 501C3 3 SHS true SPARROW EATON HOSPITAL 321 E HARRIS ST CHARLOTTE MI 48813 382007629 HLTH CARE MI 501C3 3 SHS true HAYES GREEN BEACH HOSPITAL AUXILIAR 321 E HARRIS ST CHARLOTTE MI 48813 382377160 FUNDRAISE MI 501C3 3 SHS true EDWARD W SPARROW HOSPITAL 1215 E MICHIGAN AVENUE LANSING MI 48912 381360584 HLTH CARE MI 501C3 3 SHS true MICHIGAN DIALYSIS SERVICES LLC 5082 WOLVERINE TOWER 300 S STATE ANN ARBOR MI 48109 383472138 DIALYSIS MI N/A false false PHYSICIAN ORGANIZATION OF MI ACO 5082 WOLVERINE TOWER 3003 S STATE ANN ARBOR MI 48109 454542046 HEALTHCARE MI N/A false false UM HEALTH PLAN HOLDINGS LLC 1400 E MICHIGAN AVENUE LANSING MI 48912 833965697 HOLDING CO MI N/A false false KENT HEALTH CARE PHYSICIAN ORG 2225 MAIN STREET SW STE 110 WYOMING MI 49519 383404658 HEALTHCARE MI METRO HOSP C CORP false SPARROW DEVELOPMENT INC 1215 E MICHIGAN AVE LANSING MI 48912 382595963 RENTAL PRO MI N/A true UM HEALTH INSURANCE COMPANY 1400 E MICHIGAN AVE LANSING MI 48912 205565219 INSURANCE MI N/A true UM HEALTH SERVICE COMPANY 1400 E MICHIGAN AVE LANSING MI 48912 383344741 MED SERV MI N/A true EAST LANSING ATHLETIC CLUB 2900 HANNAH BLVD EAST LANSING MI 48823 382886420 HLTH CLUB MI N/A true MAC RESTAURANT LLC 2900 HANNAH BLVD EAST LANSING MI 48823 205120690 RESTAURANT MI N/A true CLINTON SERVICES CORPORATION 805 SOUTH OAKLAND ST JOHNS MI 48879 382494110 SERVICES MI N/A true EAST LANSING HLTH ATH CLUB & HSP 1200 E MICHIGAN AVE STE 600 LANSING MI 48912 813131851 CONDO ASSO MI N/A true false false true false true false false false false false false true false false false false true false false METROPOLITAN FOUNDATION C 2600025 CASH REGENTS OF THE UNIVERSITY OF MI E 100250000 CASH METROPOLITAN FOUNDATION L 671205 ALLOCATION OF COSTS WEST MICHIGAN RADIATION ONCOLOGY Q 3412156 SERVICE CONTRACTS