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METROPOLITAN HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
METROPOLITAN HOSPITAL (EIN 38-0593405)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201941349349305889
Schema version
2017v2.3
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)
Return2019-05-14T13:39:53-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1REGENTS OF THE UNIVERSITY OF MICHIGANBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13003 S STATE ST RM 5082AddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP481091271ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

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
Signature2019-05-14SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparation2019-05-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address141.211.116.255IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-14IPDt
IP Tm13:39:53IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC15EADD87C37306A3DFF4E473BA9B0B5145C1190AtSubmissionCreationDeviceId
At Submission Filing Device Id6896D0D1889D12A9EAC3FB72C077428FEA5A3DF1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$445,210,483GrossReceiptsAmt
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 Body19VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee3254TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$1,125,153TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$129,541NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$911,107PYContributionsGrantsAmt
CY Contributions Grants$2,330,162CYContributionsGrantsAmt
PY Program Service Revenue$380,793,463PYProgramServiceRevenueAmt
CY Program Service Revenue$441,800,441CYProgramServiceRevenueAmt
PY Investment Income$1,476,578PYInvestmentIncomeAmt
CY Investment Income$1,066,245CYInvestmentIncomeAmt
CY Other Revenue$13,635CYOtherRevenueAmt
PY Total Revenue$383,181,148PYTotalRevenueAmt
CY Total Revenue$445,210,483CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$172,654,805PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$204,155,283CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$452,311CYTotalFundraisingExpenseAmt
PY Other Expenses$238,701,463PYOtherExpensesAmt
CY Other Expenses$242,848,388CYOtherExpensesAmt
PY Total Expenses$411,356,268PYTotalExpensesAmt
CY Total Expenses$447,003,671CYTotalExpensesAmt
PY Revenues Less Expenses-$28,175,120PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,793,188CYRevenuesLessExpensesAmt
Total Assets BOY$388,908,340TotalAssetsBOYAmt
Total Assets EOY$348,511,300TotalAssetsEOYAmt
Total Liabilities BOY$350,013,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$334,060,573TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,894,505NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,450,727NetAssetsOrFundBalancesEOYAmt
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$373,960,647ExpenseAmt
Revenue$428,836,792RevenueAmt
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 2018, METRO HEALTH WELCOMED 1,634 BABIES INTO OUR COMMUNITY, CARED FOR 61,293 EMERGENCY ROOM VISITS, PERFORMED 1,437,039 LABORATORY TESTS AND 162,535 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 42,257 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 18,189 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 121 MEDICAL STUDENTS, RESIDENTS AND FELLOWS.Desc
Total Program Service Expenses$373,960,647TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document194IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3254EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
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 (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL FAAS
CEO60.009.00Yes (X)Yes (X)$1,266,676$0$24,025
DAVID SPAHLINGER
VICE CHAIRPE5.00Yes (X)Yes (X)$0$1,036,917$104,339
MATTHEW SEVENSMA
BOARD MEMBER60.00Yes (X)Yes (X)$992,401$0$29,585
JEFFREY DESMOND
BOARD MEMBER5.00Yes (X)$0$647,185$13,095
QUINTA VREEDE
BOARD MEMBER5.00Yes (X)$0$375,090$34,355
DAVID ALBRECHT DO
BOARD MEMBER60.00Yes (X)$341,850$0$28,305
RONALD GRIFKA
BOARD MEMBER5.00Yes (X)$0$326,693$55,729
MICHELLE ANDERSON
BOARD MEMBER5.00Yes (X)$0$319,569$42,707
LANCE OWENS
BOARD MEMBER60.00Yes (X)$307,020$0$29,871
MICHAEL WOOD
BOARD MEMBER5.00Yes (X)$0$228,891$41,662
CONNIE BOHATCH
BOARD MEMBER5.00Yes (X)$0$0$0
SCOTT EPSTEIN
SECRETARY/TR5.00Yes (X)Yes (X)$0$0$0
LAURA HOPSON
CO - CHAIR5.00Yes (X)Yes (X)$0$0$0
JOHN KELLER
BOARD MEMBER5.00Yes (X)$0$0$0
CARLOS SANCHEZ
CO - CHAIR5.00Yes (X)Yes (X)$0$0$0
BRUCE COURTADE
BOARD MEMBER5.00Yes (X)$0$0$0
JUDITH FREY
BOARD MEMBER5.00Yes (X)$0$0$0
LARRY ROBSON
BOARD MEMBER5.00Yes (X)$0$0$0
TIMOTHY WILLIAMS
BOARD MEMBER5.00Yes (X)$0$0$0
MICHAEL GARRETT
BOARD MEMBER5.00Yes (X)$0$0$0
CYNTHIA MCCURREN
BOARD MEMBER5.00Yes (X)$0$0$0
PETER HAHN
CMO60.00Yes (X)$560,961$0$19,104
FRANK BELSITO
CPEN60.00Yes (X)$471,894$0$24,825
JEFFERY POSTLEWAITE
VP-MEDICAL A60.00Yes (X)$381,445$0$18,061
WILLIAM LEWKOWSKI
EVP-CSO60.00Yes (X)$306,804$0$29,678
VERONICA MARSICH
VP-LEGAL SER60.00Yes (X)$296,413$0$17,932
BRADLEY CLEGG
CMIO60.00Yes (X)$288,519$0$29,084
KRIS KURTZ
CFO60.00Yes (X)$282,169$0$29,959
JOSHUA WILDA
CIO60.00Yes (X)$223,615$0$27,568
STEVEN POLEGA
CNO60.00Yes (X)$196,744$0$26,222
DAVID OLEJNICZAK
COO60.00Yes (X)$149,149$0$5,878
WILLIAM CUNNINGHAM
EVP-SYSTEMS60.00Yes (X)$65,000$0$1,950
JIHAD MUSTAPHA
PHYSICIAN60.00$997,181$0$30,038Yes (X)
PAUL KOVACK
PHYSICIAN60.00$969,920$0$29,904Yes (X)
FADI SAAB
PHYSICIAN60.00$935,101$0$16,900Yes (X)
ERIC WALCHAK
PHYSICIAN60.00$911,356$0$24,609Yes (X)
BARBARA KARENKO
PHYSICIAN60.00$894,746$0$29,585Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,838,964TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,934,345TotReportableCompRltdOrgAmt
Total Other Compensation$764,970TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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
414 PLYMOUTH NEGRAND RAPIDMI49505MEDICAL SERVICE$7,908,346
ANESTHESIA MEDICAL CONSULTANTS
333 EVERGREEN DR NEGRAND RAPIDSMI49525MEDICAL SERVICE$3,069,446
EPIC SYSTEMS CORP
PO BOX 88314MILWAUKEEWI53288MEDICAL IS$2,918,789
SODEXO CTM INC
PO BOX 415000NASHVILLETN37241MEDICAL EQUIP.$2,203,066
WEST MI SURGICAL SPECIALISTS PC
1045 GEZON PARKWAY SWWYOMINGMI49509MEDICAL SERVICE$1,328,759
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K69CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,330,162AllOtherContributionsAmt
Total Contributions$2,330,162TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtBusinessBusinessCdUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE$415,351,289$415,351,289
OTHER REVENUE$25,337,634$25,337,634
LAB TESTS FOR OUTSIDE PATIENT$1,111,518541380$1,111,518
FieldValueIRS element (for citing)
Total Program Service Revenue$441,800,441TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$984,275TotalRevenueColumnAmt
Exclusion$984,275ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$81,970OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$81,970OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,970TotalRevenueColumnAmt
Exclusion$81,970ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescIRC SECTION 512(A)(7) INCOMEDesc
Business900099BusinessCd
Total Revenue Column$13,635TotalRevenueColumnAmt
Unrelated Business Revenue$13,635UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$13,635OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$445,210,483TotalRevenueColumnAmt
Related Or Exempt Func Income$440,688,923RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,125,153UnrelatedBusinessRevenueAmt
Exclusion$1,066,245ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,839,340TotalAmt
Program Services$3,753,631ProgramServicesAmt
Management And General$1,079,978ManagementAndGeneralAmt
Fundraising$5,731FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$173,826,336TotalAmt
Program Services$139,982,213ProgramServicesAmt
Management And General$33,552,672ManagementAndGeneralAmt
Fundraising$291,451FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$8,567,471TotalAmt
Management And General-$8,567,471ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,673,936TotalAmt
Program Services$311,778ProgramServicesAmt
Management And General$16,362,158ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,383,142TotalAmt
Program Services$15,933,346ProgramServicesAmt
Management And General$1,427,079ManagementAndGeneralAmt
Fundraising$22,717FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,335,798TotalAmt
Program Services$2,335,798ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$952,847TotalAmt
Management And General$952,847ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$270,814TotalAmt
Management And General$270,814ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$45,111,704TotalAmt
Program Services$41,393,176ProgramServicesAmt
Management And General$3,712,266ManagementAndGeneralAmt
Fundraising$6,262FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,396,350TotalAmt
Program Services$633,695ProgramServicesAmt
Management And General$2,762,655ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,163,117TotalAmt
Program Services$8,188,478ProgramServicesAmt
Management And General$903,378ManagementAndGeneralAmt
Fundraising$71,261FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,589,451TotalAmt
Program Services$618,247ProgramServicesAmt
Management And General$12,971,204ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,379,689TotalAmt
Program Services$24,576,889ProgramServicesAmt
Management And General$802,800ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,955,404TotalAmt
Program Services$2,134,626ProgramServicesAmt
Management And General$773,825ManagementAndGeneralAmt
Fundraising$46,953FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,902,626TotalAmt
Program Services$11,519,041ProgramServicesAmt
Management And General-$616,415ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,158,476TotalAmt
Program Services$19,696,643ProgramServicesAmt
Management And General$1,461,833ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,920,327TotalAmt
Program Services$1,299,172ProgramServicesAmt
Management And General$1,621,155ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$74,268,399$74,103,163$165,236
BAD DEBT$15,293,811$15,293,811
EQUIPMENT$8,092,348$8,076,261$16,087
OTHER$5,029,476$3,922,499$1,106,977

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,027,751TotalAmt
Program Services$188,180ProgramServicesAmt
Management And General$1,831,635ManagementAndGeneralAmt
Fundraising$7,936FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$447,003,671TotalAmt
Program Services$373,960,647ProgramServicesAmt
Management And General$72,590,713ManagementAndGeneralAmt
Fundraising$452,311FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,697,865BOYAmt
EOY$4,024,603EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$40,000,000BOYAmt
EOY$15,023,075EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,164,754BOYAmt
EOY$53,672,322EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$950,753BOYAmt
EOY$799,649EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,105,932BOYAmt
EOY$8,211,626EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$923,222BOYAmt
EOY$658,596EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$477,867,986LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$265,893,972LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$242,901,182BOYAmt
EOY$211,974,014EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$34,895,402BOYAmt
EOY$36,224,312EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,333,197BOYAmt
EOY$3,421,462EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,936,033BOYAmt
EOY$14,501,641EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$388,908,340BOYAmt
EOY$348,511,300EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,544,466BOYAmt
EOY$30,601,472EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,710,292BOYAmt
EOY$2,029,325EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$12,366,877BOYAmt
EOY$9,989,692EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$300,392,200BOYAmt
EOY$291,440,084EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$350,013,835BOYAmt
EOY$334,060,573EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,894,505BOYAmt
EOY$14,450,727EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,894,505BOYAmt
EOY$14,450,727EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$388,908,340BOYAmt
EOY$348,511,300EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,793,188ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$348,788NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$22,999,378OtherChangesInNetAssetsAmt
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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,901,592OtherCostOrOtherBasisAmt
Book Value$12,901,592BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$246,032,592OtherCostOrOtherBasisAmt
Depreciation$103,343,299DepreciationAmt
Book Value$142,689,293BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,715,418OtherCostOrOtherBasisAmt
Depreciation$6,520,490DepreciationAmt
Book Value$11,194,928BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,593,852OtherCostOrOtherBasisAmt
Depreciation$156,030,183DepreciationAmt
Book Value$37,563,669BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,624,532OtherCostOrOtherBasisAmt
Book Value$7,624,532BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$211,974,014TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO AFFILIATE$203,100,982
CAPITAL LEASE OBLIGATIONS$54,319,072
LIABILITY CLAIMS$15,237,043
DEFINED BENEFIT PENSION PLAN$12,231,025
COST REPORT SETTLEMENT PAYABLE$4,927,050
GAIN ON REFUNDING$2,811,139
ACCRUED LIABILITIES-$1,186,227
FieldValueIRS element (for citing)
Total Liability$291,440,084TotalLiabilityAmt

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 Other1.750000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
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$3,884,404TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,884,404NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,906,521TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,509,829DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,396,692NetCommunityBenefitExpnsAmt
Total Expense0.02550TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,790,925TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,509,829DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,281,096NetCommunityBenefitExpnsAmt
Total Expense0.03420TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,797TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$73,150NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,382,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,939,654DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,442,636NetCommunityBenefitExpnsAmt
Total Expense0.01440TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,107,473TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$683,910DirectOffsettingRevenueAmt
Net Community Benefit Expns$423,563NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,123,746TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,123,746NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,704,306TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,641,211DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,063,095NetCommunityBenefitExpnsAmt
Total Expense0.01800TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,495,231TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$75,151,040DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,344,191NetCommunityBenefitExpnsAmt
Total Expense0.05220TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served2000PersonsServedCnt
Total Community Benefit Expns$4,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,000NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served2000PersonsServedCnt
Total Community Benefit Expns$4,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,000NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,005,444BadDebtExpenseAmt
Reimbursed By Medicare$134,711,624ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$169,735,143CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$35,023,519MedicareSurplusOrShortfallAmt

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1METRO HEALTH ASC LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAMBLULATORY CAREPrimaryActivitiesTxt
Org Profit Or Ownership0.51000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.49000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
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 Conducted18CHNAConductedYr
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 Adpt15ImplementationStrategyAdptYr
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 Care175.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
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 THE TOP TEN HEALTH CONCERNS 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.
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. 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 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)
Facility25FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ALGER HEIGHTS
806 ALGER STREET SEGRAND RAPIDSMI49507FAMILY PRACTICE
AQUINAS
1607 ROBINSON RDGRAND RAPIDSMI49506FAMILY PRACTICE
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
METRO HEALTH CASCADE
4300 CASCADEGRAND RAPIDSMI49546FAMILY 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 ENT
1179 EAST PARIS SEGRAND RAPIDSMI49546EAR, NOSE & THROAT
METRO HEALTH GREENVILLE
1915 WEST WASHINGTONGREENVILLEMI48838HEART & VASCULAR, FAMILY PRACTICE
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
YMCA
5722 METRO WAY SWWYOMINGMI49519SPORTS MEDICINE
METRO HEALTH GRAND RAPIDS NORTHEAST
1787 GRAND RIDGE CT NE 101GRAND RAPIDSMI49525FAMILY PRACTICE

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSETHE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUM IS 15,293,811.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONTHE INFORMATION USED TO CALCULATE LINE 7 IS ON THE PAID CLAIMS BASIS. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.
PART II - COMMUNITY BUILDING ACTIVITIESALTHOUGH 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.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYBAD 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.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONMETRO 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.
PART VI, LINE 2 - NEEDS ASSESSMENTFOR 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 2017 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.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEMETRO 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.
PART VI, LINE 4 - COMMUNITY INFORMATIONTHE 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.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHIN FISCAL YEAR 2018, 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 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.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORTMICHIGAN
ADDITIONAL INFORMATIONPART 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)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
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 (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
MICHAEL FAAS
CEO$972,304$284,667$9,705$10,800$13,225$1,290,701
DAVID SPAHLINGER
VICE CHAIRPERSON$1,023,417$13,500$87,000$17,339$1,141,256
MATTHEW SEVENSMA
BOARD MEMBER$582,711$409,030$660$10,800$18,785$1,021,986
JEFFREY DESMOND
BOARD MEMBER-PART YR$609,545$37,640$13,095$660,280
QUINTA VREEDE
BOARD MEMBER$375,090$24,300$10,055$409,445
DAVID ALBRECHT DO
BOARD MEMBER$245,663$95,527$660$9,067$19,238$370,155
RONALD GRIFKA
BOARD MEMBER$313,193$13,500$27,000$28,729$382,422
MICHELLE ANDERSON
BOARD MEMBER$277,269$42,300$27,000$15,707$362,276
LANCE OWENS
BOARD MEMBER$266,548$39,491$981$10,800$19,071$336,891
MICHAEL WOOD
BOARD MEMBER$217,963$10,928$21,855$19,807$270,553
PETER HAHN
CMO$489,971$30,000$40,990$19,104$580,065
FRANK BELSITO
CPEN$410,391$25,000$36,503$10,800$14,025$496,719
JEFFERY POSTLEWAITE
VP-MEDICAL AFFAIRS$360,321$21,124$10,297$7,764$399,506
WILLIAM LEWKOWSKI
EVP-CSO$267,150$18,000$21,654$10,440$19,238$336,482
VERONICA MARSICH
VP-LEGAL SERVICE$268,460$17,031$10,922$10,800$7,132$314,345
BRADLEY CLEGG
CMIO$258,937$12,000$17,582$10,780$18,304$317,603
KRIS KURTZ
CFO$243,179$18,000$20,990$10,721$19,238$312,128
JOSHUA WILDA
CIO$199,994$18,000$5,621$8,882$18,686$251,183
STEVEN POLEGA
CNO$146,661$44,040$6,043$7,765$18,457$222,966
DAVID OLEJNICZAK
COO$129,514$18,653$982$5,878$155,027
JIHAD MUSTAPHA
PHYSICIAN$995,663$1,518$10,800$19,238$1,027,219
PAUL KOVACK
PHYSICIAN$575,509$391,573$2,838$10,800$19,104$999,824
FADI SAAB
PHYSICIAN$542,885$391,607$609$16,900$952,001
ERIC WALCHAK
PHYSICIAN$577,865$332,501$990$10,800$13,809$935,965
BARBARA KARENKO
PHYSICIAN$584,249$309,837$660$10,800$18,785$924,331

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1AMIKE FAAS RECEIVED CLUB DUES. THESE PAYMENTS ARE TREATED AS TAXABLE COMPENSATION.
SCHEDULE J, PAGE 1, PART I, LINE 4DAVID SPAHLINGER 0 60,000 0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 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 2018, 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, 2018.
FORM 990, PAGE 2, PART III, LINE 4ALABORATORY TESTS AND 162,535 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 42,257 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 18,189 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 121 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 7AU-M HEALTH & U-M MAY SELECT A MINORITY OF BOARD MEMBERS.
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 IX, LINE 11GPURCHASED MEDICAL SERVICES 3,823,454 6,802 0 CONTRACT LABOR 7,742,900 175,143 0 PURCHASED PHYS CLINICAL 13,237,715 0 0 PURCHASED PHYS ON-CALL 2,130,060 0 0 PURCHASED ADMIN SERVICES 1,490,301 0 0 PURCHASED NON-MEDICAL SERVICE 3,332,754 2,802,285 6,262 AGENCY STAFFING 4,858,135 486,617 0 OTHER PURCHASED SERVICES 4,777,857 241,419 0 TOTAL 41,393,176 3,712,266 6,262
FORM 990, PART XI, LINE 9CHANGE IN EQUITY INVESTMENT 1,698,348 IMPAIRMENT LOSS -24,697,726 TOTAL -22,999,378

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)
METROPOLITAN HEALTH CORPORATION
5900 BYRON CENTER AVE SWWYOMINGMI49519382745509PARENT ORGMI501C312AUM HEALTHYes (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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1METRO HEALTH ASC LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 BYRON CENTER AVE SWAddressLine1Txt
CityWYOMINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd
FieldValueIRS element (for citing)
EIN261805066EIN
Primary ActivitiesAMBLULATORPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$3,051,082ShareOfTotalIncomeAmt
Share Of EOY Assets$3,060,460ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
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 OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
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$2,330,162CASH
METRO HEALTH ASC LLC
F$2,613,750CASH
METROPOLITAN FOUNDATION
M$491,689ALLOCATION OF COSTS