STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

METROPOLITAN HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
METROPOLITAN HOSPITAL (EIN 38-0593405)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201841319349302939
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-11T10:24:08-07:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

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 S WAddressLine1Txt
CityWyomingCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKris KurtzPersonNm
Person TitleCFOPersonTitleTxt
Phone6162524844PhoneNum
Signature2018-05-10SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1METRO HEALTH HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKris KurtzPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 Bryon Center Avenue S WAddressLine1Txt
CityWyomingCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$383,181,148GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.metrohealth.netWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionSee Schedule OActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee3254TotalEmployeeCnt
Total Volunteers195TotalVolunteersCnt
Total Gross UBI$4,412,525TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$567,289PYContributionsGrantsAmt
CY Contributions Grants$911,107CYContributionsGrantsAmt
PY Program Service Revenue$355,917,573PYProgramServiceRevenueAmt
CY Program Service Revenue$380,793,463CYProgramServiceRevenueAmt
PY Investment Income$1,574,604PYInvestmentIncomeAmt
CY Investment Income$1,476,578CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$358,059,466PYTotalRevenueAmt
CY Total Revenue$383,181,148CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$137,141,418PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$172,654,805CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$364,451CYTotalFundraisingExpenseAmt
PY Other Expenses$219,841,254PYOtherExpensesAmt
CY Other Expenses$238,701,463CYOtherExpensesAmt
PY Total Expenses$356,982,672PYTotalExpensesAmt
CY Total Expenses$411,356,268CYTotalExpensesAmt
PY Revenues Less Expenses$1,076,794PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$28,175,120CYRevenuesLessExpensesAmt
Total Assets BOY$395,062,166TotalAssetsBOYAmt
Total Assets EOY$388,908,340TotalAssetsEOYAmt
Total Liabilities BOY$340,775,502TotalLiabilitiesBOYAmt
Total Liabilities EOY$350,013,835TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$54,286,664NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$38,894,505NetAssetsOrFundBalancesEOYAmt
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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$344,863,752ExpenseAmt
Revenue$376,380,938RevenueAmt
DescMetro Health hospital is a 208-BED teaching hospital that provides a comprehensive suite of impatient 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 2017, Metro health welcomed 1,475 babies into our community, cared for 63,355 emergency room visits, performed 1,344,268 laboratory tests and 153,714 diagnostic radiology procedures and counted 42,869 patient days. The Metro health community clinic, which provides medical care to the underserved, provided care for 19,756 patient visits. Metro health's medical education program included 121 medical students, residents and fellows.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$344,863,752TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document211IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3254EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)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 Avenue S WAddressLine1Txt
CityWyomingCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
David Spahlinger
Vice Chairperson5.000.00Yes (X)Yes (X)$0$983,018$103,026
Jeffery Desmond
Board member5.000.00Yes (X)$0$620,383$50,092
Quinta Vreede
Board member5.000.00Yes (X)$0$386,704$33,233
Ronald Grifka
Board member5.000.00Yes (X)$0$310,278$53,961
Lance Owens
Board member60.000.00Yes (X)$308,545$0$27,252
David Albrecht D O
Board member60.000.00Yes (X)$269,644$0$27,659
Michael Wood
Board member5.000.00Yes (X)$0$230,081$42,092
Therese Rouse
Board member60.000.00Yes (X)$111,835$0$436
Bill Barkeley
Chairperson5.000.00Yes (X)Yes (X)$0$0$0
Connie Bohatch
Board member5.000.00Yes (X)$0$0$0
Scott Epstein
Board member5.000.00Yes (X)$0$0$0
Paul Gauthier
Board member5.000.00Yes (X)$0$0$0
Laura Hopson
Board member5.000.00Yes (X)$0$0$0
John Keller
Board member5.000.00Yes (X)$0$0$0
Carlos Sanchez
Board member5.000.00Yes (X)$0$0$0
Robert Brown
Board member5.000.00Yes (X)$0$0$0
Bruce Courtade
Board member5.000.00Yes (X)$0$0$0
Judith Frey
Board member5.000.00Yes (X)$0$0$0
Larry Robson
Board member5.000.00Yes (X)$0$0$0
Michael Faas
CEO60.009.00Yes (X)$1,336,800$0$23,022
Frank Belsto
CPEN60.000.00Yes (X)$536,272$0$23,022
Jeffery Postlewaite
VP-Medical Affairs60.000.00Yes (X)$393,145$0$22,509
Peter Hahn
CMO60.000.00Yes (X)$392,810$0$12,525
Floyd Wilson Jr
CAO-Part year60.000.00Yes (X)$385,894$0$27,609
William Lewkowski
EVP-CSO60.000.00Yes (X)$346,188$0$27,499
Kris Kurtz
CFO60.000.00Yes (X)$327,297$0$27,239
Veronica Marsich
VP-Legal service60.000.00Yes (X)$325,732$0$16,381
Bradley Clegg
CMIO60.000.00Yes (X)$312,794$0$24,959
Mary Marks
CNO-Part year60.000.00Yes (X)$305,220$0$8,742
Joshua Wilda
CIO60.000.00Yes (X)$183,172$0$23,307
Steven Polega
CNO60.000.00Yes (X)$134,630$0$21,769
Tom Heetderks
VP-HR-Part year60.000.00Yes (X)$100,732$0$7,378
William Cunningham
EVP-Systems development60.000.00Yes (X)$66,000$0$258
Jihad Mustapha
Physician60.000.00$1,187,559$0$27,809Yes (X)
Matthew Sevensma
Physician60.000.00$888,467$0$27,386Yes (X)
Paul Kovack
Physician60.000.00$872,995$0$27,609Yes (X)
Fadi Saab
Physician60.000.00$855,518$0$27,609Yes (X)
Barbara Karenko
Physician60.000.00$718,435$0$16,407Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,359,684TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,530,464TotReportableCompRltdOrgAmt
Total Other Compensation$730,790TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K218IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Great Lakes Neurosurgical Associates
414 Plymouth N EGrand RapidsMI49505Medical service$7,824,408
Epic systems corp
PO box 88314MilwaukeeWI53288Medical IS$2,664,687
Anesthesia Medical Consultants
333 Evergreen dr NEGrand RapidsMI49525Medical Service$1,764,941
Sodexo CTM INC
PO box 415000NashvilleTN37241Medical Equip$1,524,777
West MI Surgical Specialists PC
1045 Gezon Parkway SWWyomingMI49509Medical service$1,458,015
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K71CntrctRcvdGreaterThan100KCnt
All Other Contributions$911,107AllOtherContributionsAmt
Total Contributions$911,107TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Net Patient Revenue541380$354,937,241$354,937,241$0$0
Other Revenue541380$21,443,697$21,443,697$0$0
Lab Tests For Outside Patient541380$4,412,525$0$4,412,525$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$380,793,463TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,360,874TotalRevenueColumnAmt
Exclusion$1,360,874ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$115,704OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$115,704OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$115,704TotalRevenueColumnAmt
Exclusion$115,704ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$383,181,148TotalRevenueColumnAmt
Related Or Exempt Func Income$376,380,938RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,412,525UnrelatedBusinessRevenueAmt
Exclusion$1,476,578ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,836,710TotalAmt
Program Services$4,527,240ProgramServicesAmt
Management And General$1,302,558ManagementAndGeneralAmt
Fundraising$6,912FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$145,981,774TotalAmt
Program Services$119,028,200ProgramServicesAmt
Management And General$26,701,682ManagementAndGeneralAmt
Fundraising$251,892FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$9,076,868TotalAmt
Management And General-$9,076,868ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,882,825TotalAmt
Program Services$656,617ProgramServicesAmt
Management And General$15,226,208ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,030,364TotalAmt
Program Services$12,733,946ProgramServicesAmt
Management And General$1,277,051ManagementAndGeneralAmt
Fundraising$19,367FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,332,635TotalAmt
Program Services$2,332,635ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,149,492TotalAmt
Management And General$2,149,492ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$120,135TotalAmt
Management And General$120,135ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$44,692,327TotalAmt
Program Services$40,517,239ProgramServicesAmt
Management And General$4,173,874ManagementAndGeneralAmt
Fundraising$1,214FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,380,059TotalAmt
Program Services$302,671ProgramServicesAmt
Management And General$2,077,388ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,850,833TotalAmt
Program Services$7,506,192ProgramServicesAmt
Management And General$1,297,974ManagementAndGeneralAmt
Fundraising$46,667FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,835,190TotalAmt
Program Services$669,876ProgramServicesAmt
Management And General$12,165,314ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$26,972,316TotalAmt
Program Services$26,234,343ProgramServicesAmt
Management And General$737,973ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,261,433TotalAmt
Program Services$2,276,099ProgramServicesAmt
Management And General$960,707ManagementAndGeneralAmt
Fundraising$24,627FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,146,793TotalAmt
Program Services$13,060,331ProgramServicesAmt
Management And General$1,086,462ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,561,141TotalAmt
Program Services$18,735,713ProgramServicesAmt
Management And General$1,825,428ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,830,261TotalAmt
Program Services$5,507,190ProgramServicesAmt
Management And General$2,323,071ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$66,042,393$66,109,089-$66,696
BAD DEBT$11,391,361$11,391,361$0
EQUIPMENT$7,803,886$7,778,576$25,310
OTHER$3,765,081$3,765,081$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,566,127TotalAmt
Program Services$1,731,353ProgramServicesAmt
Management And General$1,821,002ManagementAndGeneralAmt
Fundraising$13,772FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$411,356,268TotalAmt
Program Services$344,863,752ProgramServicesAmt
Management And General$66,128,065ManagementAndGeneralAmt
Fundraising$364,451FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$50,111,833BOYAmt
EOY$1,697,865EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,131,136BOYAmt
EOY$40,000,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,329,722BOYAmt
EOY$40,164,754EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,003,258BOYAmt
EOY$950,753EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,318,229BOYAmt
EOY$8,105,932EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,415,970BOYAmt
EOY$923,222EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$462,939,741LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$220,038,559LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$238,765,614BOYAmt
EOY$242,901,182EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$50,079,432BOYAmt
EOY$34,895,402EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$4,333,197EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,906,972BOYAmt
EOY$14,936,033EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$395,062,166BOYAmt
EOY$388,908,340EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,970,083BOYAmt
EOY$35,544,466EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$897,084BOYAmt
EOY$1,710,292EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$177,455,000BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$16,943,276BOYAmt
EOY$12,366,877EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$113,510,059BOYAmt
EOY$300,392,200EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$340,775,502BOYAmt
EOY$350,013,835EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$54,286,664BOYAmt
EOY$38,894,505EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,286,664BOYAmt
EOY$38,894,505EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$395,062,166BOYAmt
EOY$388,908,340EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$28,175,120ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$689,073NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$12,093,888OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$12,901,592OtherCostOrOtherBasisAmt
Book Value$12,901,592BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$246,182,877OtherCostOrOtherBasisAmt
Depreciation$69,610,781DepreciationAmt
Book Value$176,572,096BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$11,609,701OtherCostOrOtherBasisAmt
Depreciation$5,189,943DepreciationAmt
Book Value$6,419,758BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$184,230,475OtherCostOrOtherBasisAmt
Depreciation$145,237,835DepreciationAmt
Book Value$38,992,640BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$8,015,096OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$8,015,096BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$242,901,182TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO AFFILIATE$207,620,554
CAPITAL LEASE OBLIGATIONS$50,166,991
DEFINED BENEFIT PENSION PLAN$17,280,863
LIABILITY CLAIMS$13,180,066
ACCRUED LIABILITIES$5,968,675
COST REPORT SETTLEMENT PAYABLE$3,197,736
GAIN ON REFUNDING$2,977,315
FieldValueIRS element (for citing)
Total Liability$300,392,200TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$383,181,148TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$383,181,148RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$383,181,148TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$411,356,268TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$411,356,268ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$411,356,268TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other1.75FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other2.25DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,790,589TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,790,589NetCommunityBenefitExpnsAmt
Total Expense0.0092TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,105,807TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,999,056DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,106,751NetCommunityBenefitExpnsAmt
Total Expense0.0246TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$75,896,396TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,999,056DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,897,340NetCommunityBenefitExpnsAmt
Total Expense0.0338TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,092TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,445NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,201,363TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,160,445DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,040,918NetCommunityBenefitExpnsAmt
Total Expense0.0147TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,082,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$752,442DirectOffsettingRevenueAmt
Net Community Benefit Expns$330,328NetCommunityBenefitExpnsAmt
Total Expense0.0008TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$906,883TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$906,883NetCommunityBenefitExpnsAmt
Total Expense0.0022TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$11,253,108TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,930,534DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,322,574NetCommunityBenefitExpnsAmt
Total Expense0.0178TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$87,149,504TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,929,590DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,219,914NetCommunityBenefitExpnsAmt
Total Expense0.0516TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served2000PersonsServedCnt
Total Community Benefit Expns$4,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,000NetCommunityBenefitExpnsAmt
Total Expense0.00TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,916,092BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$128,055,175ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$155,581,290CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$27,526,115MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Metropolitan HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 Byron Center Avenue S WAddressLine1Txt
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 PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)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 Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.Metrohealth.netOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.Metrohealth.netStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care225FPGFamilyIncmLmtDscntCarePct
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 (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)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 (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Metropolitan HospitalAdditional data collection methods were used by the community input workgroup to gather data from the 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.
Schedule H, Part V, Section B, Line 6a-Metropolitan HospitalSpectrum health, Mercy health, Mary free bed, Pine rest christian mental health services.
Schedule H, Part V, Section B, Line 6b-Metropolitan HospitalKent county health department, YMCA, Network 180
Schedule H, Part V, Section B, Line 11-Metropolitan Hospital1. 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 cardiologist's 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 one Wyoming with monitoring 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 an 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 for free and we also offer free smoking cessation classes partnering with the cessation center of tobacco free partners to the community. 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.
Schedule H, Part V, Section B, Line 13b-Metropolitan HospitalA parent 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 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.
Schedule H, Part V, Section B, Line 16a-Metropolitan HospitalHTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA
Schedule H, Part V, Section B, Line 16b-Metropolitan HospitalHTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA
Schedule H, Part V, Section B, Line 16c-Metropolitan HospitalHTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA
Schedule H, Part V, Section B, Line 16i-Metropolitan HospitalIt is the goal of metro health hospital 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, community public locations, financial assistance applications will be translated into languages appropriate to the hospital's community.
Schedule H, Part V, Section B, Line 16j-Metropolitan HospitalMetropolitan hospital
Schedule H, Part V, Section B, Line 24-Metropolitan HospitalIn 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)
Facility24FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 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 & Mommogr
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, Mammogr
Metro health community clinic
785 36th St SEWyomingMI49519Clinic 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, Radiology
Metro health Wayland
893 E SuperiorWaylandMI49348Family practice, Radiology, PT & Mammogr
Metro health park east
4055 Cascade Rd SEGrand RapidsMI49546Urgent care, Surgery center
Metro health southwest plaza
2215 44th Street SWWyomingMI49519Family practice, Diabetes ed, PT, Radiology
Midtowne
555 Midtown Suite 105Grand rapidsMI49503Heart & Vascular
YMCA
5722 Metro Way SWWyomingMI49519Sports Medicine

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7The information used to calculate Line 7 is on the paid claims basis. The cost-to-charge ratio was derived from worksheet 2.
Schedule H, Part I, Line 7, Column fThe bad debt expense included on form 990, part IX, line 25(A) but subtracted for purposes of calculating the percentage in this column is $11,391,361.
Schedule H, Part IIAlthough many such activities are often not quantifiable, we continue to build on our strong record of collaboration with community groups, businesses academic institutions, and governmental and non- governmental organizations with the goal of improving health outcomes and reducing health disparities. Emphasis is placed on addressing the social determinants of health, the health care delivery system and community economic development. Metro Health takes seriously the opportunity and obligation we have to help build our community. All members of the organization's 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, Ele's 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 community's 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, Section A, Line 2Bad debt is any portion of patient account that is deemed uncollectible after reasonable collection efforts have been made, including financial assistance. Bad debt does not include contractual discounts, community benefit or charity care.
Schedule H, Part III, Section A, 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 co payment 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 that standard rates (or the discounted rate 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.
Schedule H, Part III, Section B, Line 8Healthcare payment reforms implemented through the affordable care act have shifted some of the expense burden of providing healthcare services to medicare beneficiaries from the government on to healthcare providers through reduced payments. These payment reductions have increased the losses incurred by healthcare providers for treating medicare beneficiaries. By reducing the governments financial burden providing healthcare services to medicare beneficiaries, Metro health believes that medicare shortfalls provide a valuable community benefit. On December 31, 2014 the treasury department and the internal revenue service (IRS) issued final regulations that implement the requirements under IRC section 501(R). This provision imposes additional requirements on 501(C)(3) organizations that operate one or more hospital facilities. These regulations became effective for tax years beginning after December 29, 2015. With respect to Metropolitan hospital (MH), the effective date was July 1, 2016. MH had developed policies based on previous precedential authority, notices 2011-52, 2014-2, and 2014-3, However, it revised its policies in accordance with the final regulations a few months beyond the effective date. The revisions were minor and inadvertent and resulted in no meaningful harm or additional costs to the patients and other members of the community. The slight delay was due to an affliction that MH was undergoing at the time with Michigan medicine (MM), an operating division of the regents of the University of Michigan (U-M) and was corrected as soon as possible after such affiliation occurred.
Schedule H, Part III, Section C, Line 9bMetro tries to inform the patient if they qualify for charity care as soon as possible because the patient benefits from knowing about their financial obligations and the hospital can avoid a costly collections process if the patient has the inability to pay. Every patient bill has the federal poverty guidelines on the back and its on Metro's website. Both explain the procedures and limits for charity care and discounting programs. Patient financial representatives are available to discuss filling out the paperwork for government medical assistance programs.
Schedule H, Part VI, Line 2For more than 20 years, healthy Kent has engaged a broad array of community partner organizations to address data-driven priority areas, ranging from infant mortality to violence. During its tenure, healthy Kent has yielded many noteworthy community-based successes, and continues to achieve results through its successful community collaborations on topics ranging from maternal and child health to suicide prevention. In 2013, healthy Kent also took on the role of convener for the fiscal year end 2015 community health needs assessment. (CHNA) Process. This is the second iteration of Kent county's 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 the 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 well-being 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. Five priority health issues that were discovered were 1) mental health issues, 2) obesity, 3) substance abuse, 4) poor nutrition, and 5) violence and safety. For the fiscal year end 2015 healthy Kent CHNA process, the Mapp core team opted to adopt a slightly modified version of the vision and mission that were utilized during the fiscal year end 2012 CHNA process in Kent county. The vision statement remained "High quality of life, health, and well-being for all people in Kent county." The slight modification came in the mission statement, where the bullet points that originally accompanied the statement were removed. The new mission statement is "The people of Kent county are empowered to achieve lifelong physical, mental, and social well-being."
Schedule H, Part VI, Line 3Metro health recognizes that individuals and families who are facing financial instability or hardship often neglect healthcare needs until they become emergent conditions. This practice places stress on patients, families and the healthcare system. Metro health seeks to inform patients of their eligibility for charity care as soon as possible in the healthcare process so that patients know there is help for them and so that the organization avoids costly collections process. 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 or community benefit discount. This program provides a 40% discount to all patients without coverage as well as an interest free payment plan (carepayment) for those patients with a balance they are unable to pay in the near future. In addition, every patient bill includes the federal poverty guidelines on the back and explains the procedures and limits for charity care and discounting programs. Patient financial representatives are available to discuss filling out paperwork for government medical assistance programs. There is also a phone number listed on the application for financial assistance which patients can call if they have questions.
Schedule H, Part VI, Line 4The fiscal year end 2015 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 (77.2%), white (59.9%), and reported a household income of less than $20,000 per year (43.8%). Most survey respondents fell within the age categories of 25 to 34 years (25.2%), 35 to 44 years (21.7%), and 45 to 54 years (20.0%). Just over half of the survey participants reported owning their own home (52.8%) and over 66% reported that they had an educational attainment level of at least some college. Sixty-one percent of survey participants reported some variation of employment, whether self-employed (4.7%), employed part-time (17.2%), or employed full-time (39.1%). More than half of survey respondents had a BMI that is indicative of overweight (29.2%) or obesity (35.5%). 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. The next community health survey will be aligned with the community health needs assessment of fiscal year end 2018. Kent county, where the majority of Metro health patients reside, is the fourth largest county in Michigan. In 2014, there were 609,000 people living in Kent county. Kent county includes a diverse mix of demographics. According to the United States census bureau web site (2014 census), 79.8 percent of the population is white (not Hispanic). The Hispanic population is 7.5 percent of residence; the African American population is 8.5 percent of the community, and Asian Americans comprise 1.2 percent of the population. An estimated 14.3 percent of Kent county adults do not have a personal doctor or healthcare provider, a rate which is notably lower than the statewide (17.0%) and nationwide rates (22.9%). Hispanics (34.6%) are the most likely cohort to report having no personal healthcare provider. The likelihood of having a personal provider is lowest among respondents under the age of 35.
Schedule H, Part VI, Line 5In fiscal year 2016, 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. Metro's governance structure, open medical staff, outreach programming and more contribute to how we promote community health. Broad service is a commitment to help further the hospital's 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 heath of our community. Our live healthy community outreach programs provides free and low-cost health education promotion events, classes and more to out community. The majority of these programs are 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 difference 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 health 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, Metro's 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 include those for Alzheimer's, breastfeeding and cancer services. As a teaching hospital, Metro also offers educational opportunities to medical residents, nurses, radiology techs, Phlebotomist 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 the 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 also 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 sustainable committee that includes employee leadership throughout the organization that play an important role in our sustainability initiatives. Beyond the walls of the hospital, Metro's leadership team is working to make an impact on the community. Every member of the leadership team is expected to volunteer a minimum of 12 hours during the year to community-benefit initiatives. Many leaders go well above the 12-hour threshold and volunteer much more in the community. They also allow team building through service to other organizations. Teams of Metro employees have worked together to assist area food programs, provide flu shots for area residents in need and more.
Schedule H, Part VI, Line 7Michigan

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
David Spahlinger
Vice Chairperson$0$983,018$0$0$0$0$0$86,500$0$16,526$0$1,086,044
Jeffery Desmond
Board member$0$620,383$0$0$0$0$0$35,355$0$14,737$0$670,475
Quinta Vreede
Board member$0$386,704$0$0$0$0$0$23,850$0$9,383$0$419,937
Ronald Grifka
Board member$0$310,278$0$0$0$0$0$26,500$0$27,461$0$364,239
Lance Owens
Board member$283,947$0$23,835$0$763$0$10,178$0$17,074$0$335,797$0
David Albrecht D O
Board member$268,984$0$0$0$660$0$10,450$0$17,209$0$297,303$0
Michael Wood
Board member$0$230,081$0$0$0$0$0$21,450$0$20,642$0$272,173
Michael Faas
CEO$968,175$0$293,000$0$75,625$0$10,600$0$12,422$0$1,359,822$0
Frank Belsto
CPEN$410,491$0$89,425$0$36,356$0$10,600$0$12,422$0$559,294$0
Jeffery Postlewaite
VP-Medical Affairs$392,601$0$0$0$544$0$10,391$0$12,118$0$415,654$0
Peter Hahn
CMO$355,485$0$34,363$0$2,962$0$0$0$12,525$0$405,335$0
William Lewkowski
EVP-CSO$266,734$0$57,800$0$21,654$0$10,290$0$17,209$0$373,687$0
Kris Kurtz
CFO$243,217$0$53,128$0$30,952$0$10,030$0$17,209$0$354,536$0
Veronica Marsich
VP-Legal service$268,529$0$46,325$0$10,878$0$10,096$0$6,285$0$342,113$0
Bradley Clegg
CMIO$254,525$0$44,713$0$13,556$0$7,950$0$17,009$0$337,753$0
Floyd Wilson Jr
CAO-Part year$295,094$0$64,863$0$25,937$0$10,600$0$17,009$0$413,503$0
Mary Marks
CNO-Part year$227,011$0$48,240$0$29,969$0$7,950$0$792$0$313,962$0
Joshua Wilda
CIO$151,224$0$26,350$0$5,598$0$6,625$0$16,682$0$206,479$0
Steven Polega
CNO$116,530$0$17,556$0$544$0$5,325$0$16,444$0$156,399$0
Jihad Mustapha
Physician$1,186,569$0$0$0$990$0$10,600$0$17,209$0$1,215,368$0
Matthew Sevensma
Physician$585,225$0$302,582$0$660$0$10,600$0$16,786$0$915,853$0
Paul Kovack
Physician$584,210$0$285,947$0$2,838$0$10,600$0$17,009$0$900,604$0
Fadi Saab
Physician$580,179$0$274,679$0$660$0$10,600$0$17,009$0$883,127$0
Barbara Karenko
Physician$586,056$0$131,785$0$594$0$10,600$0$5,807$0$734,842$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aMike Faas received club dues. These payments are treated as taxable compensation.
Schedule J, Part I, Line 4David Spahlinger received $60,000 from a supplemental nonqualified retirement plan and Mike Faas received $105,600 from a supplemental nonqualified retirement plan

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 1Metro 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 2017, 121 medical students, residents and fellows participated in its medical education program. Affiliation with the regents of the University of Michigan this 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). The amendment to the articles of incorporation of MHC, dated December 15, 2016, state that its primary purpose is to operate exclusively for the benefit of, to perform any of the functions of, and to carry out any of the purposes of u-m, a Michigan constitutional body corporate that also maintains a charitable status under internal revenue code (IRC) section 501(c)(3). The bylaws of MHC provide that its sole member is u-m health, a nonprofit entity that is a wholly owned subsidiary of u-m. As sole member, u-m health may exercise certain reserved powers, including approval of any strategic plans, annual or other budgets, capital expenditures not included in the budget that exceeds $500,000, among others. The bylaws of MH state its corporate member, MHC, and by attribution, u-m health, may exercise similar reserved powers mentioned above. MH, like MHC, is a related entity to u-m and u-m health whose primary purpose is to operate and function as part of mm. Consequently, certain accounting changes have been made to MHC's financial statements to meet certain reporting requirements under governmental accounting standards board(GASB). MH is included in the consolidated financial statements of u-m health for fiscal year ended June 30, 2017.
Form 990, Part VI, Section A, Line 4See 2nd paragraph, page 1- Affiliation with the regents of the University of Michigan.
Form 990, Part VI, Section A, Line 6See 2nd paragraph, page 1. Affiliation with the regents of the University of Michigan
Form 990, Part VI, Section A, Line 7aSee 2nd paragraph, page 1. Affiliation with the regents of the University of Michigan.
Form 990, Part VI, Section A, Line 7bSee 2nd paragraph, page 1. Affiliation with the regents of the University of Michigan
Form 990, Part VI, Section B, Line 11bForm 990 was prepared by the University of Michigan (U-M) tax department of the newly contracted affiliate whose exempt subsidiary, U-M health, is its sole member. U-M worked closely with the fiscal services department of Metro to ensure the information provided was complete and accurate. 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, Part VI, Section B, 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.
Form 990, Part VI, Section B, Line 15(a)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. The most recent year this process was undertaken was in 2017. (b) 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.as of 1/1/2016, the executive team all went on contracts. As a part of that process, compensation studies by an independent firm were completed to ensure the executives were at market value.
Form 990, Part VI, Section C, Line 19Documents are available upon request.
Form 990, Part IX, Line 11gTotal expense is $44,692,327 which consists of (A) Purchased services for $28,708,538 as Program Service, $3,051,635 as MGT & General, and $1,214 as Fundraising. (B) Contract Labor for 11,808,701 as Program Service and $1,122,239 as MGT & General.
Form 990, Part XI, Line 9Change in equity investment: $2,806,822. Prior adjustment GASB conversion: $9,287,066. Total: $12,093,888.
Form 990, Part XII, Line 2cMetropolitan hospital along with U-M Health, a related entity, assumed responsibility for the oversight of the audit and selection of an independent accounting firm for metropolitan foundation.

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 Ave SWAddressLine1Txt
CityWyomingCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49519ZIPCd
FieldValueIRS element (for citing)
EIN202863709EIN
Primary ActivitiesReal estatePrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

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 (1)
Metropolitan Health Corporation
5900 Byron Center Ave SWWyomingMI49519382745509Parent OrgMI501c312AUM healthYes (1)
Regents of the Univ of Michigan
G359 Wolverine Twr 3003 S StateAnn ArborMI48109386006309SchoolMI501c20N/A
UM Health
5082 Wolverine tower 3003 S StateAnn ArborMI48109814913150Sup SchoolMI501c312AUMYes (1)

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 ActivitiesAmbulatorPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$2,723,503ShareOfTotalIncomeAmt
Share Of EOY Assets$2,566,105ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.51OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Metropolitan Foundation
c$911,107Cash
Metro health ASC LLC
f$2,460,750Cash
Metropolitan Foundation
m$401,883Allocation of costs