2021-04-22T09:16:25-05:00 2020-06-30 REGENTS OF THE UNIVERSITY OF MICHIGAN 3003 S STATE ST RM 5082 ANN ARBOR MI 481091271 990 2019-07-01 380593405 METROPOLITAN HOSPITAL METR 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 KRIS KURTZ CFO 2021-04-19 2021-04-22 2019 2022-09-23 18:48:47Z METRO HEALTH HOSPITAL KRIS KURTZ 5900 BYRON CENTER AVENUE S W WYOMING MI 49519 505950219 false X WWW.METROHEALTH.NET 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 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 15 10 3621 135 1069451 3072494 1778059 487777076 505306517 1791891 -1134357 0 492641461 505950219 0 0 233871870 240998718 0 439835 258734735 255449109 492606605 496447827 34856 9502392 322769748 382910920 308240634 356737615 14529114 26173305 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 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 false false 412216834 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 2020, METRO HEALTH WELCOMED 1,752 BABIES INTO OUR COMMUNITY, CARED FOR 54,682 EMERGENCY ROOM VISITS, PERFORMED 1,493,137 LABORATORY TESTS AND 169,740 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 39,483 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 16,658 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 121 MEDICAL STUDENTS, RESIDENTS AND FELLOWS. 412216834 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 191 0 true 3621 true true true false false false false false false false false false false false false false X 15 10 false false false false true true true true true false false true true true true true true true true true true MI X KRIS KURTZ 6162524844 5900 BYRON CENTER AVE SW WYOMING MI 49519 DAVID SPAHLINGER VICE CHAIRPE 5.00 X X 0 1154343 105874 MICHAEL FAAS PRESIDENT 0.00 X 1100000 0 11000 MATTHEW SEVENSMA BOARD MEMBER 40.00 X X 907895 0 29196 AUGUSTO ELIAS PHYSICIAN X 904210 0 18649 BARBARA KARENKO PHYSICIAN X 890510 0 29196 ERIC WALCHAK PHYSICIAN X 861485 0 29724 LARRY DIAZ-SANDOVAL PHYSICIAN X 833245 0 29724 PAUL KOVACK PHYSICIAN X 832216 0 29724 PETER HAHN CEO 40.00 X X 598821 0 26974 RAKESH PAI PRESIDENT-ME 40.00 X 539713 0 18724 JEFFERY POSTLEWAITE VP-MEDICAL A 40.00 X 444670 0 23801 QUINTA VREEDE BOARD MEMBER 5.00 X 0 380378 35327 RONALD GRIFKA CMO 40.00 X 408027 0 5196 MICHELLE ANDERSON BOARD MEMBER 5.00 X 0 369650 40714 KRIS KURTZ CFO 40.00 X 351829 0 29649 JOSHUA WILDA CIO 40.00 X 344283 0 29649 BRADLEY CLEGG CMIO 40.00 X 316872 0 29649 STEVEN POLEGA CNO 40.00 X 314293 0 29196 LANCE OWENS CMIO 5.00 X 310172 0 29649 JENNIFER GONZALEZ CHRO 40.00 X 286877 0 17370 PENNY DEVRIES VP-MARKETING 40.00 X 240750 0 17164 THOMAS FANTIN VP-IT 40.00 X 201649 0 25413 GREGORY MEYER CCO 40.00 X 214588 0 10833 JENEVRA FOLEY VP-PM/NET. D 40.00 X 199751 0 11214 RHAE-ANN BOOKER VP-DEI 40.00 X 104774 0 8874 PHILLIP VANLAAN AGC 40.00 X 49295 0 15304 LORI PRICE COO 40.00 X 59629 0 1881 MONICA TAYLOR COO-MHMG 40.00 X 11273 0 238 CONNIE BOHATCH BOARD MEMBER 5.00 X 0 0 0 BRUCE COURTADE BOARD MEMBER 5.00 X 0 0 0 SCOTT EPSTEIN SECRETARY/TR 5.00 X X 0 0 0 PATRICIA GUNTERN BOARD MEMBER 5.00 X 0 0 0 LAURA HOPSON BOARD MEMBER 5.00 X X 0 0 0 JOHN KELLER BOARD MEMBER 5.00 X 0 0 0 CYNTHIA MCCURREN BOARD MEMBER 5.00 X 0 0 0 LARRY ROBSON BOARD MEMBER 5.00 X 0 0 0 CARLOS SANCHEZ BOARD MEMBER 5.00 X 0 0 0 TIMOTHY WILLIAMS BOARD MEMBER 5.00 X 0 0 0 11326827 1904371 689906 22 true true false GREAT LAKES NEUROSURGICAL ASSOCIATE 414 PLYMOUTH NE GRAND RAPID MI 49505 MEDICAL SERVICE 8537654 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 53288 MEDICAL IS 3582773 VIRTUAL RADIOLOGIC PROFESSIONALS MI 11995 SINGLETREE LANE MINNEAPOLIS MN 55344 MEDICAL SERVICE 2612990 ANESTHESIA MEDICAL CONSULTANTS 333 EVERGREEN DR NE GRAND RAPIDS MI 49525 MEDICAL SERVICE 1995394 SODEXO CTM INC PO BOX 415000 NASHVILLE TN 37241 MEDICAL EQUIP. 1573554 67 1778059 1778059 NET PATIENT REVENUE 456009486 456009486 OTHER REVENUE 48227580 48227580 LAB TESTS FOR OUTSIDE PATIENT 541380 1069451 1069451 505306517 136041 136041 -1270398 -1270398 -1270398 -1270398 505950219 504237066 1069451 -1134357 4458683 3458374 995029 5280 197632379 159071732 38265677 294970 1320252 1320252 13394203 541458 12852745 24193201 21738839 2432174 22188 2281614 2261389 20225 1844000 1844000 162537 162537 44382005 41658843 2700656 22506 3174769 283118 2891651 10785082 10407892 345546 31644 15096712 828295 14268417 24072308 23315756 756552 3101660 2224047 833097 44516 11030181 11486295 -456114 21030353 20154334 876019 2856936 1324782 1532118 36 MEDICAL SUPPLIES 85070497 85248958 -178461 BAD DEBT 17887167 17887167 EQUIPMENT 6453872 6424669 29203 OTHER 4490317 3520530 969787 1729099 380356 1330048 18695 496447827 412216834 83791158 439835 1194491 16296487 50233 52273333 55626958 47248160 844599 884347 8250514 8625458 1668821 1708780 541467969 307649311 227377550 233818658 6563773 6161528 2509727 1597992 18683082 14296177 322769748 382910920 28938826 36444940 1511287 1309773 8768693 8062729 269021828 310920173 308240634 356737615 X 14529114 26173305 14529114 26173305 322769748 382910920 X 9502392 35848 2105951 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12901592 12901592 257669622 119743799 137925823 22185075 9176274 13008801 218741303 178729238 40012065 29970377 29970377 233818658 DUE TO AFFILIATE 212919537 CAPITAL LEASE OBLIGATIONS 48253602 COST REPORT SETTLEMENT PAYABLE 29758878 ACCRUED LIABILITIES 15165025 GAIN ON REFUNDING 2478788 DEFINED BENEFIT PENSION PLAN 2183289 LIABILITY CLAIMS 161054 310920173 true true X true X 3.000000000000 true X true true false true true 3255703 3255703 0.00680 74656831 65332315 9324516 0.01950 0.02630 77912534 65332315 12580219 0.05260 11577 11577 9441512 2993338 6448174 0.01350 561728 225944 335784 0.00070 614357 614357 0.00130 10629174 3219282 7409892 0.01550 88541708 68551597 19990111 0.06810 2 83 2 83 true 8577488 152702813 172611164 -19908351 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 18 true true true true X WWW.METROHEALTH.NET X true 18 true WWW.METROHEALTH.NET 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 THE TOP TEN HEALTH CONCERNS 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. 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. OBESITY: EDUCATE EMPLOYEES AND THE COMMUNITY ABOUT OBESITY AND HEALTH COMPLICATIONS THAT CAN RESULT FROM IT, FOR EXAMPLE HEART COMPLICATIONS. FOCUS ON HEALTHY LIFESTYLE CHOICES AND THE IMPORTANCE OF FITNESS. METRO HEALTH OFFERS FREE COOKING DEMOS TO THE COMMUNITY FOCUSED ON HEALTHY RECIPES WITH METRO HEALTH CARDIOLOGISTS INPUT. METRO HEALTH OFFERS AND PROMOTES LOW COST AND FREE EXERCISE CLASSES TO THE COMMUNITY YEAR ROUND RANGING FROM LOW TO HIGH INTENSITY. METRO SPONSORS AND HOSTS MULTIPLE WALKS AND RUNS IN THE COMMUNITY. 2. POOR NUTRITION: POOR NUTRITION CAN LEAD TO OBESITY BUT HERE WE FOCUS ON THE IMPORTANCE OF ACCESS TO HEALTHY FOODS. EDUCATE EMPLOYEES AND THE COMMUNITY ABOUT HEALTHY EATING AND NUTRITION. ACCESS TO HEALTHY FOOD IS ALWAYS A PRIORITY FOR OUR FARM MARKET. WE ACCEPT ALL MAJOR MICHIGAN FOOD ASSISTANCE PROGRAM THAT PROMOTE HEALTHY EATING. LOCATED AT THE METRO HEALTH HOSPITAL WE HAVE A GARDEN WHERE WE HAVE LEARNING SESSIONS OPEN AND FREE TO THE COMMUNITY. 3. VIOLENCE AND SAFETY: METRO HAS BEEN WORKING WITH MENTORING PROGRAMS IN OUR COMMUNITY THAT FOCUSES ON OUR YOUTH IN NEED. METRO HEALTH WILL BE WORKING WITH THE WYOMING FIRE DEPARTMENT TO HAVE ALL OF THEIR STAFF EMT TRAINED AND CERTIFIED. FIRE FIGHTERS ARE OFTEN THE FIRST RESPONDERS TO A EMERGENCY SCENE AND THEIR TRAINING IS CRITICAL TO THE SAFETY OF OUR COMMUNITY. METRO HEALTH IS PROVIDING CLASSES THAT FOCUS ON THE CHNA STRATEGY 1 AND 3. WE OFFER STRESS MANAGEMENT/MEDITATION CLASSES TO THE COMMUNITY FOR FREE AND WE ALSO OFFER FREE SMOKING CESSATION CLASSES PARTNERING WITH THE CESSATION CENTER OF TOBACCO FREE PARTNERS. EVEN THOUGH THEY ARE NOT CONSIDERED A FOCUS, THEY ARE IMPORTANT TO US AND WE WILL DO EVERYTHING WE CAN TO HELP THE NEEDS OF OUR COMMUNITY. 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. 25 ALGER HEIGHTS 806 ALGER STREET SE GRAND RAPIDS MI 49507 FAMILY PRACTICE AQUINAS 1607 ROBINSON RD GRAND RAPIDS MI 49506 FAMILY PRACTICE CANCER SERVICES 5950 METRO WAY WYOMING MI 49519 CANCER CENTER GVSU 10383 42ND AVE STE A ALLENDALE MI 49401 FAMILY PRACTICE HEALTHPARK 2093 HEALTH DRIVE WYOMING MI 49519 SLEEP LAB & ENDOSCOPY, INTERNAL MEDICINE METRO HEALTH ALLENDALE 11160 W J PRESLEY PARKWAY STE 100 ALLENDALE MI 49401 FAMILY PRACTICE, PT, RADIOLOGY & MAMMORG METRO HEALTH CALEDONIA PLAZA 8941 NORTH RODGER COURT CALEDONIA MI 49316 FAMILY PRACTICE, PT, RADIOLOGY & MAMMOGR METRO HEALTH CASCADE 4300 CASCADE GRAND RAPIDS MI 49546 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 785 36TH ST SE 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 ENT 1179 EAST PARIS SE GRAND RAPIDS MI 49546 EAR, NOSE & THROAT METRO HEALTH GREENVILLE 1915 WEST WASHINGTON GREENVILLE MI 48838 HEART & VASCULAR, FAMILY PRACTICE 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 893 E 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 MIDTOWNE 555 MIDTOWN SUITE 105 GRAND RAPIDS MI 49503 HEART & VASCULAR YMCA 5722 METRO WAY SW WYOMING MI 49519 SPORTS MEDICINE METRO HEALTH GRAND RAPIDS NORTHEAST 1787 GRAND RIDGE CT NE 101 GRAND RAPIDS MI 49525 FAMILY PRACTICE 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 COLUM IS 17,887,167. 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 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 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 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 THIRD 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) MENTAL HEALTH ISSUES, 2) SUBSTANCE ABUSE, 3) OBESITY, AND 4) POOR NUTRITION. THE 2017 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 2018 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 2017 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 2018 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 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 4 THE FISCAL YEAR END 2018 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 (68.7%), WHITE (61.1%), AND REPORTED A HOUSEHOLD INCOME OF LESS THAN 20,000 PER YEAR (33.5%). MOST SURVEY RESPONDENTS FELL WITHIN THE AGE CATEGORIES OF 25 TO 34 YEARS (24.9%), 35 TO 44 YEARS (16.4%), AND 45 TO 54 YEARS (15.4%). OVER 73.4% REPORTED THAT THEY HAD AN EDUCATIONAL ATTAINMENT LEVEL OF AT LEAST SOME COLLEGE. 64.4% OF SURVEY PARTICIPANTS REPORTED SOME VARIATION OF EMPLOYMENT, WHETHER SELF-EMPLOYED (5.7%), EMPLOYED PART-TIME (18.3%), OR EMPLOYED FULL-TIME (40.4%). MORE THAN HALF OF SURVEY RESPONDENTS HAD A BMI THAT IS INDICATIVE OF OVERWEIGHT (28.6%) OR OBESITY (36.1%). 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. IN 2016, THERE WERE 620,000 PEOPLE LIVING IN KENT COUNTY. KENT COUNTY INCLUDES A DIVERSE MIX OF DEMOGRAPHICS. ACCORDING TO THE UNITED STATES CENSUS BUREAU WEB SITE (2016 CENSUS), 81.2% OF THE POPULATION IS WHITE (NOT HISPANIC). THE HISPANIC POPULATION IS 10% OF RESIDENTS; THE AFRICAN AMERICAN POPULATION IS 9.7% OF THE COMMUNITY, AND ASIAN AMERICANS COMPRISE 2.5% OF THE POPULATION. AN ESTIMATED 14.1% OF KENT COUNTY ADULTS DO NOT HAVE A PERSONAL DOCTOR OR HEALTHCARE PROVIDER, A RATE WHICH IS NOTABLY LOWER THAN THE STATEWIDE (14.8%) AND NATIONWIDE RATES (21.0%). HISPANICS (31.9%) ARE THE MOST LIKELY COHORT TO REPORT HAVING NO PERSONAL HEALTHCARE PROVIDER. THE LIKELIHOOD OF HAVING A PERSONAL PROVIDER IS LOWEST AMONT RESPONDENTS UNDER THE AGE OF 35. SCHEDULE H, PART VI, LINE 5 IN FISCAL YEAR 2019, 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 IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 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 ELEVEN 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 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 false true false false false false false false false DAVID SPAHLINGER VICE CHAIRPERSON 1154343 88000 17874 1260217 MICHAEL FAAS PRESIDENT 1100000 11000 1111000 MATTHEW SEVENSMA BOARD MEMBER 624512 282393 990 11000 18196 937091 AUGUSTO ELIAS PHYSICIAN 903220 990 18649 922859 BARBARA KARENKO PHYSICIAN 591945 297905 660 11000 18196 919706 ERIC WALCHAK PHYSICIAN 597610 262357 1518 11000 18724 891209 LARRY DIAZ-SANDOVAL PHYSICIAN 572332 259923 990 11000 18724 862969 PAUL KOVACK PHYSICIAN 829378 2838 11000 18724 861940 PETER HAHN CEO 539627 58204 990 8250 18724 625795 RAKESH PAI PRESIDENT-MED/CPHO 436977 71432 31304 18724 558437 JEFFERY POSTLEWAITE VP-MEDICAL AFFAIRS 381052 59262 4356 10577 13224 468471 QUINTA VREEDE BOARD MEMBER 380378 25200 10127 415705 RONALD GRIFKA CMO 364657 39684 3686 5196 413223 MICHELLE ANDERSON BOARD MEMBER 369650 28000 12714 410364 KRIS KURTZ CFO 287874 62437 1518 11000 18649 381478 JOSHUA WILDA CIO 240000 103689 594 11000 18649 373932 BRADLEY CLEGG CMIO 262774 45716 8382 11000 18649 346521 STEVEN POLEGA CNO 259332 53971 990 11000 18196 343489 LANCE OWENS CMIO 280351 28831 990 11000 18649 339821 JENNIFER GONZALEZ CHRO 243195 43024 658 17370 304247 PENNY DEVRIES VP-MARKETING/COMMUN. 207606 30306 2838 5817 11347 257914 THOMAS FANTIN VP-IT 175374 25686 589 6826 18587 227062 GREGORY MEYER CCO 181214 29366 4008 10833 225421 JENEVRA FOLEY VP-PM/NET. DEVELOP. 162478 14816 22457 11214 210965 SCHEDULE J, PAGE 1, PART I, LINE 4 DAVID SPAHLINGER 0 60,000 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 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 2019, 121 MEDICAL STUDENTS, RESIDENTS AND FELLOWS PARTICIPATED IN ITS MEDICAL EDUCATION PROGRAM. AFFILIATION WITH THE REGENTS OF THE UNIVERSITY OF MICHIGAN LAST FISCAL YEAR METROPOLITAN HEALTH CORPORATION (MHC) WHICH IS THE PARENT ENTITY OF METROPOLITAN HOSPITAL (MH) AFFILIATED WITH MICHIGAN MEDICINE (MM) WHICH IS AN OPERATING DIVISION OF THE REGENTS OF THE UNIVERSITY OF MICHIGAN (U-M). ACCORDINGLY, MH IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF U-M HEALTH, A NONPROFIT ENTITY THAT IS A WHOLLY OWNED SUBSIDIARY OF U-M FOR FISCAL YEAR ENDED JUNE 30, 2019. 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 2020, METRO HEALTH WELCOMED 1,752 BABIES INTO OUR COMMUNITY, CARED FOR 54,682 EMERGENCY ROOM VISITS, PERFORMED 1,493,137 LABORATORY TESTS AND 169,740 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 39,483 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 16,658 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 121 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 U-M HEALTH & U-M MAY SELECT A MINORITY OF BOARD MEMBERS. 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 CHANGE IN EQUITY INVESTMENT 2,105,951 LAND METRO LLC 5900 BYRON CENTER AVE SW WYOMING MI 49519 202863709 REAL ESTAT MI METRO HOS METROPOLITAN FOUNDATION 5900 BYRON CENTER AVE SW WYOMING MI 49519 383033329 SUPP. HOSP MI 501C3 7 MHC true METROPOLITAN HEALTH CORPORATION 5900 BYRON CENTER AVE SW WYOMING MI 49519 382745509 PARENT ORG MI 501C3 12A UM HEALTH true REGENTS OF THE UNIV OF MICHIGAN G359 WOLVERINE TWR 3003 S STATE ANN ARBOR MI 48109 386006309 SCHOOL MI 501C 2 N/A false UM HEALTH 5082 WOLVERINE TOWER 3003 S STATE ANN ARBOR MI 48109 814913150 SUP SCHOOL MI 501C3 12A UM true false false true false false false false false false false false false true false false false false false false METROPOLITAN FOUNDATION C 1778059 CASH METROPOLITAN FOUNDATION M 435118 ALLOCATION OF COSTS