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METROPOLITAN HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
METROPOLITAN HOSPITAL (EIN 38-0593405)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-06
IRS object ID
202221269349301507
Schema version
2020v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-06T09:43:21-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN380593405EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1METROPOLITAN HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMETRBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 BYRON CENTER AVENUE SWAddressLine1Txt
CityWYOMINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRIS KURTZPersonNm
Person TitleCFOPersonTitleTxt
Phone6162524844PhoneNum
Signature2022-05-15SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKRISPersonFirstNm
Person LastKURTZPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1METRO HEALTH HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKRIS KURTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 BYRON CENTER AVENUE S WAddressLine1Txt
CityWYOMINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$523,749,742GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.METROHEALTH.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionMETRO 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 RING 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 THROUGHActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee3499TotalEmployeeCnt
Total Volunteers74TotalVolunteersCnt
Total Gross UBI$1,107,987TotalGrossUBIAmt
PY Contributions Grants$1,778,059PYContributionsGrantsAmt
CY Contributions Grants$2,282,892CYContributionsGrantsAmt
PY Program Service Revenue$505,306,517PYProgramServiceRevenueAmt
CY Program Service Revenue$521,128,125CYProgramServiceRevenueAmt
PY Investment Income-$1,134,357PYInvestmentIncomeAmt
CY Investment Income$338,725CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$505,950,219PYTotalRevenueAmt
CY Total Revenue$523,749,742CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$240,998,718PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$236,591,817CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$359,110CYTotalFundraisingExpenseAmt
PY Other Expenses$255,449,109PYOtherExpensesAmt
CY Other Expenses$268,312,553CYOtherExpensesAmt
PY Total Expenses$496,447,827PYTotalExpensesAmt
CY Total Expenses$504,904,370CYTotalExpensesAmt
PY Revenues Less Expenses$9,502,392PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,845,372CYRevenuesLessExpensesAmt
Total Assets BOY$382,910,920TotalAssetsBOYAmt
Total Assets EOY$393,317,505TotalAssetsEOYAmt
Total Liabilities BOY$356,737,615TotalLiabilitiesBOYAmt
Total Liabilities EOY$304,354,426TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,173,305NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$88,963,079NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMETRO 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 RING 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 THROUGHMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$417,345,352ExpenseAmt
DescMETRO 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 2021, METRO HEALTH WELCOMED 1,640 BABIES INTO OUR COMMUNITY, CARED FOR 51,806 EMERGENCY ROOM VISITS, PERFORMED 1,5553,997 LABORATORY TESTS AND 190,451 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 39,909 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 16,817 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 120 MEDICAL STUDENTS, RESIDENTS AND FELLOWS.Desc
Total Program Service Expenses$417,345,352TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document125IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3499EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKRIS KURTZPersonNm
Phone6162524844PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 BYRON CENTER AVE SWAddressLine1Txt
CityWYOMINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID SPAHLINGER - PART YEAR
VICE CHAIRPEYes (X)Yes (X)$0$1,131,909$106,653
MATTHEW SEVENSMA
CHIEF OF STA$885,371$0$25,24840.00Yes (X)
AUGUSTO ELIAS
PHYSICIAN$890,227$0$19,970Yes (X)
MICHAEL FAAS
CEO$885,277$0$0Yes (X)
BARBARA KARENKO
PHYSICIAN$784,257$0$25,670Yes (X)
MICHAEL SUMNERS
PHYSICIAN$755,103$0$25,670Yes (X)
PAUL KOVACK
BOARD MEMBERYes (X)Yes (X)$738,009$0$25,67040.00
RONY GORGES
PHYSICIAN$722,028$0$25,670Yes (X)
DAVID MILLER - PART YEAR
VICE CHAIRYes (X)$0$661,492$40,2415.00
PETER HAHN
PRESIDENT ANYes (X)Yes (X)$590,727$0$25,23240.00
RONALD GRIFKA
CMOYes (X)$507,945$0$12,61640.00
RAKESH PAI
PRESIDENT-MEYes (X)$481,147$0$25,67040.00
JEFFERY POSTLEWAITE
VP-MEDICAL AYes (X)$403,110$0$19,78140.00
LORI PRICE
COOYes (X)$403,147$0$18,59040.00
QUINTA VREEDE
BOARD MEMBERYes (X)$0$377,860$27,4355.00
KRIS KURTZ
CFOYes (X)$351,595$0$25,68640.00
MICHELLE ANDERSON - PART YEAR
BOARD MEMBERYes (X)Yes (X)$0$350,050$26,250
LANCE OWENS
CM INFO. OFFYes (X)$343,334$0$25,68640.00
STEVEN POLEGA
CNOYes (X)$283,514$0$25,24840.00
JENNIFER GONZALEZ
CHROYes (X)$271,952$0$25,05940.00
JONATHAN WILDA
CIOYes (X)$260,449$0$21,36540.00
PHILIP VANLAAN
ASSOC. GEN CYes (X)$226,752$0$23,21940.00
PENNY DEVRIES
VP-MARKETINGYes (X)$218,593$0$23,89440.00
GREGORY MEYER
CCOYes (X)$207,206$0$18,18340.00
MONICA TAYLOR
COO - MEDICAYes (X)$203,104$0$15,21840.00
THOMAS FANTIN
VP-ITYes (X)$193,393$0$23,89440.00
BRUCE CARRIER
VP-HRYes (X)$165,691$0$23,30640.00
RHAE-ANN BOOKER
VP-DEIYes (X)$168,909$0$18,11640.00
STACIE BOMMERSBACH
VP- QUALITYYes (X)$40,601$0$1,00440.00
STEVE VAN ANDEL
CHAIRYes (X)$0$0$05.00
CONNIE BOHATCH
BOARD MEMBERYes (X)$0$0$05.00
WILLIAM BARKELEY
BOARD MEMBERYes (X)$0$0$05.00
BRUCE COURTADE
BOARD MEMBERYes (X)$0$0$05.00
SCOTT EPSTEIN
BOARD MEMBERYes (X)$0$0$05.00
JOHN HENDRICKSON
BOARD MEMBERYes (X)$0$0$05.00
LAURA HOPSON
BOARD MEMBERYes (X)$0$0$05.00
CYNTHIA MCCURREN
BOARD MEMBERYes (X)$0$0$05.00
LARRY ROBSON
BOARD MEMBERYes (X)$0$0$05.00
CARLOS SANCHEZ
BOARD MEMBERYes (X)$0$0$05.00
TIMOTHY WILLIAMS
BOARD MEMBERYes (X)$0$0$05.00
JOHN KELLER - PART YEAR
BOARD MEMBERYes (X)$0$0$05.00
PATRICIA GUNTERN - PART YEAR
BOARD MEMBERYes (X)$0$0$05.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,981,441TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,521,311TotReportableCompRltdOrgAmt
Total Other Compensation$720,244TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GREAT LAKES NEUROSURGICAL ASSOCIATE
3350 EAGLE PARK DR NE STE 102GRAND RAPIDSMI49525MEDICAL SERVICE$8,995,707
EPIC SYSTEMS CORP
PO BOX 88314MILWAUKEEWI53288MEDICAL IS$3,263,769
ANESTHESIA MEDICAL CONSULTANTS
333 EVERGREEN DR NEGRAND RAPIDSMI49525MEDICAL SERVICE$2,214,924
SODEXO CTM INC
PO BOX 415000NASHVILLETN37241MEDICAL EQUIP.$1,902,053
VIRTUAL RADIOLOGIC PROFESSIONALS MI
11995 SINGLETREE LANEMINNEAPOLISMN55344MEDICAL SERVICE$1,383,552
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K72CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,282,892AllOtherContributionsAmt
Total Contributions$2,282,892TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtBusinessBusinessCdUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE$505,169,292$505,169,292
OTHER REVENUE$14,850,846$14,850,846
LAB TEST FOR OUTSIDE PATIENTS$1,107,987541380$1,107,987
FieldValueIRS element (for citing)
Total Program Service Revenue$521,128,125TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$145,260TotalRevenueColumnAmt
Exclusion$145,260ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$193,465OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$193,465OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,465TotalRevenueColumnAmt
Exclusion$193,465ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$523,749,742TotalRevenueColumnAmt
Related Or Exempt Func Income$520,020,138RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,107,987UnrelatedBusinessRevenueAmt
Exclusion$338,725ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,133,869TotalAmt
Program Services$3,206,433ProgramServicesAmt
Management And General$922,541ManagementAndGeneralAmt
Fundraising$4,895FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$197,977,247TotalAmt
Program Services$158,863,389ProgramServicesAmt
Management And General$38,826,145ManagementAndGeneralAmt
Fundraising$287,713FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$797,956TotalAmt
Management And General$797,956ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,751,338TotalAmt
Program Services$504,940ProgramServicesAmt
Management And General$20,246,398ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,931,407TotalAmt
Program Services$10,866,952ProgramServicesAmt
Management And General$2,042,980ManagementAndGeneralAmt
Fundraising$21,475FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,338,959TotalAmt
Program Services$2,310,759ProgramServicesAmt
Management And General$28,200ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$476,332TotalAmt
Management And General$476,332ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$163,526TotalAmt
Management And General$163,526ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$43,861,427TotalAmt
Program Services$43,541,844ProgramServicesAmt
Management And General$319,324ManagementAndGeneralAmt
Fundraising$259FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,923,420TotalAmt
Program Services$83,736ProgramServicesAmt
Management And General$2,839,684ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,253,854TotalAmt
Program Services$13,121,178ProgramServicesAmt
Management And General$119,776ManagementAndGeneralAmt
Fundraising$12,900FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,906,954TotalAmt
Program Services$859,879ProgramServicesAmt
Management And General$14,047,075ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,262,536TotalAmt
Program Services$24,560,219ProgramServicesAmt
Management And General$702,317ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,134,949TotalAmt
Program Services$1,475,901ProgramServicesAmt
Management And General$636,913ManagementAndGeneralAmt
Fundraising$22,135FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,739,515TotalAmt
Program Services$11,118,668ProgramServicesAmt
Management And General-$379,153ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,458,681TotalAmt
Program Services$21,750,805ProgramServicesAmt
Management And General$707,876ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,297,605TotalAmt
Program Services$1,258,542ProgramServicesAmt
Management And General$2,038,787ManagementAndGeneralAmt
Fundraising$276FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$102,910,450$102,709,248$201,202
BAD DEBT$13,433,352$13,433,352
EQUIPMENT$4,186,265$4,171,250$15,015
OTHER$4,049,050$2,947,242$1,101,808

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,915,678TotalAmt
Program Services$561,017ProgramServicesAmt
Management And General$1,345,204ManagementAndGeneralAmt
Fundraising$9,457FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$504,904,370TotalAmt
Program Services$417,345,354ProgramServicesAmt
Management And General$87,199,906ManagementAndGeneralAmt
Fundraising$359,110FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$16,296,487BOYAmt
EOY$19,841,979EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$52,273,333BOYAmt
EOY$36,870,731EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,248,160BOYAmt
EOY$54,840,578EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$884,347BOYAmt
EOY$526,399EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,625,458BOYAmt
EOY$9,356,468EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,708,780BOYAmt
EOY$1,544,387EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$562,119,895LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$310,770,377LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$233,818,658BOYAmt
EOY$251,349,518EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,161,528BOYAmt
EOY$7,772,080EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,597,992BOYAmt
EOY$686,256EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,296,177BOYAmt
EOY$10,529,109EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$382,910,920BOYAmt
EOY$393,317,505EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,444,940BOYAmt
EOY$36,962,299EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,309,773BOYAmt
EOY$4,443,462EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,062,729BOYAmt
EOY$383,460EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$310,920,173BOYAmt
EOY$262,565,205EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$356,737,615BOYAmt
EOY$304,354,426EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,173,305BOYAmt
EOY$88,963,079EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,173,305BOYAmt
EOY$88,963,079EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$382,910,920BOYAmt
EOY$393,317,505EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,845,372ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,097,668NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$42,846,734OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,798,655OtherCostOrOtherBasisAmt
Book Value$14,798,655BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$266,463,597OtherCostOrOtherBasisAmt
Depreciation$113,188,074DepreciationAmt
Book Value$153,275,523BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,831,193OtherCostOrOtherBasisAmt
Depreciation$10,145,816DepreciationAmt
Book Value$20,685,377BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$228,690,469OtherCostOrOtherBasisAmt
Depreciation$187,436,487DepreciationAmt
Book Value$41,253,982BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,335,981OtherCostOrOtherBasisAmt
Book Value$21,335,981BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$251,349,518TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO AFFILIATE$163,274,698
CAPITAL LEASE OBLIGATIONS$47,135,752
COST REPORT SETTLEMENT PAYABLE$27,718,102
ACCRUED LIABILITIES$18,006,379
DEFINED BENEFIT PENSION PLAN$3,975,251
GAIN ON REFUNDING$2,312,612
LIABILITY CLAIMS$142,411
FieldValueIRS element (for citing)
Total Liability$262,565,205TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other3.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,868,136TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,868,136NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$84,469,208TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,317,778DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,151,430NetCommunityBenefitExpnsAmt
Total Expense0.01250TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,337,344TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,317,778DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,019,566NetCommunityBenefitExpnsAmt
Total Expense0.02040TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$995,066TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$995,066NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,929,191TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,569,724DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,359,467NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$534,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$214,162DirectOffsettingRevenueAmt
Net Community Benefit Expns$320,128NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$500,668TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$500,668NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,959,215TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,783,886DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,175,329NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,296,559TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$83,101,664DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,194,895NetCommunityBenefitExpnsAmt
Total Expense0.03300TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served1800PersonsServedCnt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served325PersonsServedCnt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs36ActivitiesOrProgramsCnt
Persons Served2125PersonsServedCnt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,522,164BadDebtExpenseAmt
Reimbursed By Medicare$177,938,301ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$196,859,416CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,921,115MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1METROPOLITAN HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 BYRON CENTER AVENUE SWAddressLine1Txt
CityWYOMINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1METROPOLITAN HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.METROHEALTH.NETOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.METROHEALTH.NETStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 3EOUTLINES AND DISCUSSES ELEVEN TOP HEALTH-RATED NEEDS OF THE COMMUNITY.
FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 5ADDITIONAL 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 HEALHT-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 AMONTH 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 6ASPECTRUM HEALTH, MERCY HEALTH, MARY FREE BED, PINE REST CHRISTIAN MENTAL HEALTH SERVICES.
FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 6BKENT COUNTY HEALTH DEPARTMENT, YMCA, NETWORK 180
FACILITY 1, METROPOLITAN HOSPITAL - PART V, LINE 111.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 OPPORUNITES 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 13BA 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 16JMETROPOLITAN 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 24IN 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.
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CANCER SERVICES
5950 METRO WAYWYOMINGMI49519CANCER CENTER
GVSU
10383 42ND AVE STE AALLENDALEMI49401FAMILY PRACTICE
HEALTHPARK
2093 HEALTH DRIVEWYOMINGMI49519SLEEP LAB & ENDOSCOPY, INTERNAL MEDICINE
METRO HEALTH ALLENDALE
11160 W J PRESLEY PARKWAY STE 100ALLENDALEMI49401FAMILY PRACTICE, PT, RADIOLOGY & MAMMORG
METRO HEALTH CALEDONIA PLAZA
8941 NORTH RODGER COURTCALEDONIAMI49316FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR
UMHW EAST BELTLINE
1310 EAST BELTLINE AVE SEGRAND RAPIDSMI49506FAMILY PRACTICE, PT. RADIOLOGY & MAMMOGR
METRO HEALTH CEDAR SPRINGS
14211 WHITE CREEKCEDAR SPRINGSMI49319FAMILY PRACTICE, PT, RADIOLOGY & MAMMOG
METRO HEALTH COMMUNITY CLINIC
785 36TH ST SEWYOMINGMI49519CLLNIC FOR LOW INCOME & OFFICES
METRO HEALTH COMSTOCK PARK
4200 N DIVISIONCOMSTOCK PARKMI49321FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR
METRO HEALTH GREENVILLE
1915 WEST WASHINGTONGREENVILLEMI48838HEART & VASCULAR
METRO HEALTH HUDSONVILLE
3912 32ND AVEHUDSONVILLEMI49426FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR
METRO HEALTH JENISON
7686 GEORGETOWN CENTER DRJENISONMI49428FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR
METRO HEALTH LOWELL
2550 WEST MAINLOWELLMI49331FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR
METRO HEALTH OPHTHALMOLOGY
2221 HEALTH DRIVE SWWYOMINGMI49519OPHTHALMOLOGY
METRO HEALTH PROFESSIONAL BUILDING
2122 HEALTH DRIVE SWWYOMINGMI49519WOUND CLINIC, LAB & PULMONARY REHAB
METRO HEALTH ROCKFORD
4685 BELDING ROADROCKFORDMI49341FAMILY PRACTICE, DIABETES ED, PT, RADIOL
METRO HEALTH WAYLAND
893 E SUPERIORWAYLANDMI49348FAMILY PRACTICE, RADIOLOGY, PT & MAMMOGR
METRO HEALTH PARK EAST
4055 CASCADE RD SEGRAND RAPIDSMI49546URGENT CARE, SURGERY CENTER, OB/GYN
METRO-HEALTH SOUTHWEST PLAZA
2215 44TH STREET SWWYOMINGMI49519FAMILY PRACTICE, DIABETES ED, PT, RADIOL
MIDTOWNE
555 MIDTOWN SUITE 105GRAND RAPIDSMI49503HEART & VASCULAR
METRO HEALTH GRAND RAPIDS NORTHEAST
1787 GRAND RIDGE CT NE 101GRAND RAPIDSMI49525FAMILY PRACTICE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 20,202,770.
SCHEDULE H, PART I, LINE 7THE 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 IIALTHOUGH 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 REQUIRED 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 2BAD 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 8HEALTHCARE 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 9BMETRO 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 2FOR 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 FOURTH 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 HEALTH CARE, 2) DISCRIMINATION AND RACIAL INEQUALITY, 3) ECONOMIC SECURITY, AND 4) MENTAL HEALTH. THE 2021 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 2021 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). 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 2021 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 2021 COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESS GETS UNDERWAY AND YIELDS A FINAL REPORT.
SCHEDULE H, PART VI, LINE 3METRO 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 40% 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 4THE FISCAL YEAR END 2021 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 (79%), WHITE (83.5%), 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 (19.7%), 35 TO 44 YEARS (21.5%), AND 45 TO 54 YEARS (18%). OVER 89.6% REPORTED THAT THEY HAD AN EDUCATIONAL ATTAINMENT LEVEL OF AT LEAST SOME COLLEGE. ALMOST TWO IN THREE (62.5%) ADULTS ARE OVERWEIGHT OR OBESE. THE MAJORITY OF THE PARTICIPANTS OF THE SURVEY WERE FROM GRAND RAPIDS, WYOMING, AND KENTWOOD, WITH 24 OTHER CITIES, TOWNSHIPS OR VILLAGES BEING REPRESENTED IN THE RESULTS. GRAND RAPIDS REPRESENTS THE VAST MAJORITY, WITH OVER 60% OF PARTICIPANTS RESIDING IN THE CITY. KENT COUNTY, WHERE THE MAJORITY OF METRO HEALTH PATIENTS RESIDE, IS THE FOURTH LARGEST COUNTY IN MICHIGAN. AS OF 2019, THERE WAS AN ESTIMATED POPULATION OF 656,955 IN KENT COUNTY. KENT COUNTY INCLUDES A DIVERSE MIX OF DEMOGRAPHICS. ACCORDING TO THE UNITED STATES CENSUS BUREAU WEB SITE (2019 CENSUS), 89.4% OF THE POPULATION IS WHITE (NOT HISPANIC). THE HISPANIC POPULATION IS 5.1% OF RESIDENTS; THE AFRICAN AMERICAN POPULATION IS 13.8% OF THE COMMUNITY, AND ASIAN AMERICANS COMPRISE 3.1% OF THE POPULATION.
SCHEDULE H, PART VI, LINE 5IN FISCAL YEAR 2021, 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 LIVING WITH DIABETES, CPR CLASSES COOKING WITH THE CARDIOLOGIST 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 SAFETY SEAT, HEALTHY COOKING CLASSES, STRESS MANAGEMENT CLASSES 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. FREE HEALTH SCREENS ARE ALSO AN IMPORTANT COMPONENT OF THE LIVE HEALTHY PROGRAM. AS EXAMPLES, FREE BLOOD PRESSURE SCREENS ARE HELD MONTHLY IN THE HOSPITAL AND AT THREE OFFSITE PHYSICIAN OFFICES. HOLDING SCREENS AT THESE REMOTE LOCATIONS MAKES IT EASIER FOR MORE PEOPLE IN OUR SERVICE AREA TO TAKE ADVANTAGE OF THE FREE SERVICE. FOR EXAMPLE, METRO ALSO OFFERED FREE SCREENING EVENTS FOR PERIPHERAL ARTERY DISEASE (PAD) AND SUDDEN CARDIAC DEATH IN HIGH SCHOOL ATHLETES. PAD CAN RESULT AS A SIDE EFFECT OF DIABETES OR OTHER ILLNESSES; ALL PEOPLE AT RISK OF HEART DISEASE ARE AT RISK OF PAD. LEFT UNTREATED PAD CAN RESULT IN CRITICAL LIMB ISCHEMIA AND/OR AMPUTATION. BY TREATING PAD BEFORE IT ESCALATES, PHYSICIANS ARE HELPING PATIENTS AVOID COSTLY AND LIFE-CHANGING MAJOR AMPUTATIONS. OUR COMMUNITY WAS DIRECTLY AFFECTED BY THE DEATH OF A YOUNG ATHLETE ON THE BASKETBALL COURT. PARENTS AND SCHOOL ADMINISTRATORS ALIKE SOUGHT RESOURCES FOR IDENTIFYING RISKS OF SUDDEN CARDIAC DEATH. AS A RESULT, METROS SPORTS MEDICINE AND CARDIOLOGY PHYSICIANS PARTNER TO OFFER SCREENINGS TO HIGH SCHOOL STUDENTS. 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 ALZHEIMERS, 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 TEN 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 ASLO ACCEPT DOUBLE UP FOOD BUCKS, SENIOR PROJECT FRESH, AND WIC. AS AN ADDED BENEFIT, METRO OFFERED FREE HEALTH SCREENS AND COOKING CLASSES AT THE MARKET SO THAT AREA RESIDENTS COULD LEARN ABOUT THEIR HEALTH AND LEARN WAYS TO COOK THE DELICIOUS, HEALTHY FOODS AVAILABLE AT THE MARKET REGARDLESS OF THEIR INCOME LEVEL. 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. WE HAVE CREATED A SUSTAINABILTY COMMITTEE THAT INCLUDES EMPLOYEE LEADERSHIP THROUGHOUT THE ORGANIZATION THAT PLAY AN IMPORTANT ROLE IN OUR SUSTAINABILITY INITIATIVES. 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 EXPECTED 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 7MICHIGAN
SCHEDULE H, PART VIPART 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DAVID SPAHLINGER - PART YEAR
VICE CHAIRPERSON$1,131,909$88,500$18,153$1,238,562
MATTHEW SEVENSMA
CHIEF OF STAFF$678,767$205,614$990$5,700$19,548$910,619
AUGUSTO ELIAS
PHYSICIAN$888,709$1,518$19,970$910,197
MICHAEL FAAS
CEO$885,277$885,277
BARBARA KARENKO
PHYSICIAN$590,684$192,913$660$5,700$19,970$809,927
MICHAEL SUMNERS
PHYSICIAN$485,951$268,492$660$5,700$19,970$780,773
PAUL KOVACK
BOARD MEMBER$715,091$20,080$2,838$5,700$19,970$763,679
RONY GORGES
PHYSICIAN$552,282$169,152$594$5,700$19,970$747,698
DAVID MILLER - PART YEAR
VICE CHAIR$661,492$24,100$16,141$701,733
PETER HAHN
PRESIDENT AND CEO$514,329$74,880$1,518$5,700$19,532$615,959
RONALD GRIFKA
CMO$442,323$61,266$4,356$5,700$6,916$520,561
RAKESH PAI
PRESIDENT-MED/CPHO$418,891$61,266$990$5,700$19,970$506,817
JEFFERY POSTLEWAITE
VP-MEDICAL AFFAIRS$360,633$38,121$4,356$5,700$14,081$422,891
LORI PRICE
COO$361,458$38,851$2,838$5,397$13,193$421,737
QUINTA VREEDE
BOARD MEMBER$377,860$16,960$10,475$405,295
KRIS KURTZ
CFO$306,905$43,172$1,518$5,700$19,986$377,281
MICHELLE ANDERSON - PART YEAR
BOARD MEMBER$350,050$16,042$10,208$376,300
LANCE OWENS
CM INFO. OFFICER$331,836$10,508$990$5,700$19,986$369,020
STEVEN POLEGA
CNO$247,279$34,717$1,518$5,700$19,548$308,762
JENNIFER GONZALEZ
CHRO$238,957$32,335$660$5,456$19,603$297,011
JONATHAN WILDA
CIO$227,114$32,675$660$1,379$19,986$281,814
PHILIP VANLAAN
ASSOC. GEN COUNSEL$194,662$31,496$594$3,233$19,986$249,971
PENNY DEVRIES
VP-MARKETING/COMMUN.$198,405$19,605$583$3,969$19,925$242,487
GREGORY MEYER
CCO$174,641$25,187$7,378$4,102$14,081$225,389
MONICA TAYLOR
COO - MEDICAL GROUP$177,742$24,462$900$2,328$12,890$218,322
THOMAS FANTIN
VP-IT$173,205$19,605$583$3,969$19,925$217,287
BRUCE CARRIER
VP-HR$149,995$14,524$1,172$3,458$19,848$188,997
RHAE-ANN BOOKER
VP-DEI$150,298$17,427$1,184$3,544$14,572$187,025

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PAGE 1, PART I, LINE 4FormAndLineReferenceDesc
ExplanationDAVID SPAHLINGER - PART YEAR 0 60,000 0ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONMETRO 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 RING 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 2020, 120 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, 2021 ACCORDINGLY.
FORM 990, PAGE 2, PART III, LINE 4AMETRO 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 2021, METRO HEALTH WELCOMED 1,640 BABIES INTO OUR COMMUNITY, CARED FOR 51,806 EMERGENCY ROOM VISITS, PERFORMED 1,5553,997 LABORATORY TESTS AND 190,451 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 39,909 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 16,817 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 120 MEDICAL STUDENTS, RESIDENTS AND FELLOWS.
FORM 990, PAGE 6, PART VI, LINE 6SEE 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 7ATHE SOLE MEMBER, UM HEALTH, SHALL ELECT THE DIRECTORS OF METROPOLITAN HOSPITAL.
FORM 990, PAGE 6, PART VI, LINE 7BU-M HEALTH EXERCISES CERTAIN RESERVED POWERS,INCLUDING APPROVAL OF STRATEGIC PLANS AND ANNUAL OR OTHER BUDGETS.
FORM 990, PAGE 6, PART VI, LINE 11BTHE 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 12CEACH 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 15ATHE 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 15BTHE 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 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9CHANGE IN EQUITY INVESTMENT 42,846,734

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LAND METRO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 BYRON CENTER AVE SWAddressLine1Txt
CityWYOMINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd
FieldValueIRS element (for citing)
EIN202863709EIN
Primary ActivitiesREAL ESTATPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1METRO HOSBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
METROPOLITAN FOUNDATION
5900 BYRON CENTER AVE SWWYOMINGMI49519383033329SUPP. HOSPMI501C37MHCYes (true)
REGENTS OF THE UNIV OF MICHIGAN
G359 WOLVERINE TWR 3003 S STATEANN ARBORMI48109386006309SCHOOLMI501C2falseN/A
UM HEALTH
5082 WOLVERINE TOWER 3003 S STATEANN ARBORMI48109814913150SUP SCHOOLMI501C312AUMYes (true)
WEST MICHIGAN REDIATION ONCOLOGY
5950 METRO WAYWYOMINGMI49529300501592HOSPITALMI501C33NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
METROPOLITAN FOUNDATION
C$2,282,892CASH
METROPOLITAN FOUNDATION
M$398,313ALLOCATION OF COSTS
REGENTS OF THE UNIVERSITY OF MI
E$19,000,000CASH