METROPOLITAN HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: METROPOLITAN HOSPITAL (EIN 38-0593405)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-16
IRS object ID: 201601379349304565
Schema version: 2014v6.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-16T12:04:50-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	750 TRADE CENTRE WAY STE 300	AddressLine1Txt
City	PORTAGE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49002	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	380593405	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	METROPOLITAN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	METR	BusinessNameControlTxt
Phone	6162527200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5900 BYRON CENTER AVENUE SW	AddressLine1Txt
City	WYOMING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49519	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KRIS KURTZ	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6162527200	PhoneNum
Signature	2016-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CAROL LALONDE CPA	PreparerPersonNm
PTIN	P00181637	PTIN
Phone	2695674500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-12-15 16:53:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	METRO HEALTH HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KRIS KURTZ	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5900 BYRON CENTER AVENUE SW	AddressLine1Txt
City	WYOMING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49519	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$364,471,685	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.METROHEALTH.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1942	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2560	TotalEmployeeCnt
Total Volunteers	230	TotalVolunteersCnt
Total Gross UBI	$4,673,615	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,158,179	PYContributionsGrantsAmt
CY Contributions Grants	$755,175	CYContributionsGrantsAmt
PY Program Service Revenue	$301,270,526	PYProgramServiceRevenueAmt
CY Program Service Revenue	$339,727,458	CYProgramServiceRevenueAmt
PY Investment Income	$2,050,466	PYInvestmentIncomeAmt
CY Investment Income	$1,699,560	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$304,479,171	PYTotalRevenueAmt
CY Total Revenue	$342,182,193	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$116,527,225	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$135,613,543	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$306,628	CYTotalFundraisingExpenseAmt
PY Other Expenses	$179,018,091	PYOtherExpensesAmt
CY Other Expenses	$207,835,035	CYOtherExpensesAmt
PY Total Expenses	$295,545,316	PYTotalExpensesAmt
CY Total Expenses	$343,448,578	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,933,855	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,266,385	CYRevenuesLessExpensesAmt
Total Assets BOY	$367,223,101	TotalAssetsBOYAmt
Total Assets EOY	$401,352,804	TotalAssetsEOYAmt
Total Liabilities BOY	$281,050,023	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$329,358,843	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$86,173,078	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$71,993,961	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$268,639,011	ExpenseAmt
Revenue	$335,053,843	RevenueAmt
Desc	METRO HEALTH HOSPITAL IS A 208-BED TEACHING HOSPITAL THAT PROVIDES A COMPREHENSIVE SUITE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES, INCLUDING FAST EMERGENCY SERVICES, CANCER AND CARDIAC CARE, ROBOTIC AND TRADITIONAL SURGERY, FAMILY PRACTICE, INTERNAL MEDICINE, SPORTS MEDICINE AND OTHERS. THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES. TO THAT END, METRO PROVIDES EDUCATION AND SCREENING PROGRAMS FOR THE COMMUNITY, EDUCATION OPPORTUNITIES FOR FUTURE DOCTORS, NURSES AND OTHER HEALTH PROFESSIONS, FINANCIAL ASSISTANCE PROGRAMS, CARE FOR THE UNDERSERVED, AND MUCH MORE. DURING FISCAL YEAR 2015, METRO HEALTH WELCOMED 1,689 BABIES INTO OUR COMMUNITY, CARED FOR 67,235 EMERGENCY ROOM VISITS, PERFORMED 1,263,777 LABORATORY TESTS AND 152,188 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 49,010 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 18,848 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 122 MEDICAL STUDENTS, RESIDENTS AND FELLOWS.	Desc
Total Program Service Expenses	$268,639,011	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	370	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2560	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KRIS KURTZ	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6162524844	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5900 BYRON CENTER AVE SW	AddressLine1Txt
City	WYOMING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49519	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JACQUELINE D SCOTT
CHAIRPERSON	5.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
JANE M ROSS
VICE CHAIR	5.00	13.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL FAAS
CHIEF EXECUTIVE OFFICER	60.00	9.00	Yes (X)	Yes (X)	$1,311,405	$0	$21,929
MICHAEL H PRICE
TREASURER	5.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
VICTOR VASQUEZ JR
SECRETARY	5.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
BARBARA A MIERAS
BOARD MEMBER	5.00	0.00	Yes (X)		$0	$0	$0
CARLOS SANCHEZ
BOARD MEMBER	5.00	0.00	Yes (X)		$0	$0	$0
DAVID ALBRECHT DO
BOARD MEMBER	60.00	0.00	Yes (X)		$334,530	$0	$18,065
LANCE OWENS DO
BOARD MEMBER	60.00	0.00	Yes (X)		$451,639	$0	$23,813
LAURA HOPSON
BOARD MEMBER	5.00	0.00	Yes (X)		$0	$0	$0
PAUL R GAUTHIER DO
BOARD MEMBER	5.00	0.00	Yes (X)		$0	$0	$0
THERESE ROUSE DO
BOARD MEMBER	5.00	0.00	Yes (X)		$0	$0	$0
TODD HARTGERINK DO
BOARD MEMBER	5.00	0.00	Yes (X)		$0	$0	$0
WILLIAM JOHN BARKLEY
BOARD MEMBER	5.00	0.00	Yes (X)		$0	$0	$0
MICHELE T BROWN
BOARD MEMBER - PART YEAR	5.00	3.00	Yes (X)		$0	$0	$0
BRADLEY CLEGG
CHIEF MEDICAL INFORMATION OFFICER	60.00	0.00		Yes (X)	$308,207	$0	$13,850
FLOYD WILSON JR
EVP - CHIEF COMMUNITY OFFICER	60.00	0.00		Yes (X)	$452,568	$0	$24,250
FRANK BELSITO
CHIEF PHYSICIAN EXECUTIVE NETWORK	60.00	0.00		Yes (X)	$577,213	$0	$21,929
VERONICA MARSICH
VP - LEGAL	60.00	0.00		Yes (X)	$322,767	$0	$16,634
WILLIAM CUNNINGHAM
EVP - SYSTEMS DEVELOPMENT	60.00	0.00		Yes (X)	$92,505	$0	$0
WILLIAM LEWKOWSKI
EVP - CHIEF INFORMATION OFFICER	60.00	0.00		Yes (X)	$350,260	$0	$23,973
KRIS KURTZ
CHIEF FINANCIAL OFFICER	60.00	0.00		Yes (X)	$204,717	$0	$20,848
JEFF POSTLEWAITE
INTERIM CMO	60.00	0.00		Yes (X)	$439,704	$0	$24,250
JOSH WILDA
VP OF INFORMATION TECHNOLOGY	60.00	0.00		Yes (X)	$151,502	$0	$16,626
MARY MARKS
CHIEF NURSING OFFICER	60.00	0.00		Yes (X)	$144,450	$0	$4,835
HEATHER HUDSON
INTERIM VP OF HR	60.00	0.00		Yes (X)	$0	$0	$0
LAURA STASKIEWICZ
EVP-CHIEF OF FUNDRAISING- PART YEAR	60.00	0.00		Yes (X)	$280,322	$0	$22,190
HELEN BERGHOEF
VP-ANCILLARY/EMERG SERV- PART YEAR	60.00	0.00		Yes (X)	$268,345	$0	$14,268
INGRID CHESLEK
CNO - PART YEAR	60.00	0.00		Yes (X)	$372,234	$0	$11,757
SVETLANA DEBITSKAYA
EXEC. VP - COO - PART YEAR	60.00	0.00		Yes (X)	$424,678	$0	$734
DAVID DUFFY
CMO - PART YEAR	60.00	0.00		Yes (X)	$449,972	$0	$16,967
ERIKA DUNCAN
VP - HUMAN RES. - PART YEAR	60.00	0.00		Yes (X)	$322,149	$0	$17,678
JAMAL GHANI
COO - PART YEAR	60.00	0.00		Yes (X)	$198,108	$0	$9,322
CHRISTINE LAWRENCE
VP - RISK MGT - PART YEAR	60.00	0.00		Yes (X)	$203,243	$0	$15,768
ROBERT SUNDELIUS
VP - PRACTICE MGT - PART YEAR	60.00	0.00		Yes (X)	$163,244	$0	$2,431
TIM SUSTERICH
CFO - PART YEAR	60.00	0.00		Yes (X)	$614,821	$0	$572
PAUL KOVACK
PHYSICIAN	60.00	1.00			$828,086	$0	$24,250	Yes (X)
MICHAEL ZAKEM
PHYSICIAN	60.00	0.00			$988,036	$0	$24,250	Yes (X)
MATTHEW SEVENSMA
PHYSICIAN	60.00	0.00			$891,482	$0	$24,640	Yes (X)
JOHN KEY
PHYSICIAN	60.00	0.00			$819,315	$0	$19,918	Yes (X)
BARBARA KARENKO
PHYSICIAN	60.00	0.00			$630,077	$0	$16,525	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,595,579	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$452,272	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	162	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GREAT LAKES NEUROSURGICAL ASSOCIATES PC
414 PLYMOUTH NE	GRAND RAPIDS	MI	49505	MEDICAL SERVICES	$5,958,266
WINTHROP RESOURCES CORP
PO BOX 650	HOPKINS	MN	55343	MEDICAL EQUIPMENT	$2,663,300
EPIC SYSTEMS CORP
PO BOX 88314	MILWAUKEE	WI	53288	MEDICAL INFORMATION SYSTEMS	$2,420,366
ANESTHESIA MEDICAL CONSULTANTS
3333 EVERGREEN DR NE	GRAND RAPIDS	MI	49525	MEDICAL SERVICES	$1,821,787
SODEXO CTM INC
MSC-410672 PO BOX 415000	NASHVILLE	TN	37241	MEDICAL EQUIPMENT	$1,531,815

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	55	CntrctRcvdGreaterThan100KCnt
Related Organizations	$755,175	RelatedOrganizationsAmt
Total Contributions	$755,175	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	541380	$323,238,374	$318,564,759	$4,673,615
OTHER REVENUE	541380	$16,489,084	$16,489,084

Field	Value	IRS element (for citing)
Total Program Service Revenue	$339,727,458	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$877,198	TotalRevenueColumnAmt
Exclusion	$877,198	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$21,171,121	SecuritiesAmt
Other	$1,940,733	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$20,293,493	SecuritiesAmt
Other	$1,995,999	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$877,628	SecuritiesAmt
Other	-$55,266	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$822,362	TotalRevenueColumnAmt
Exclusion	$822,362	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$342,182,193	TotalRevenueColumnAmt
Related Or Exempt Func Income	$335,053,843	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,673,615	UnrelatedBusinessRevenueAmt
Exclusion	$1,699,560	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,674,982	TotalAmt
Program Services	$4,401,795	ProgramServicesAmt
Management And General	$1,266,465	ManagementAndGeneralAmt
Fundraising	$6,722	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$106,930,738	TotalAmt
Program Services	$85,173,675	ProgramServicesAmt
Management And General	$21,626,957	ManagementAndGeneralAmt
Fundraising	$130,106	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$131,692	TotalAmt
Management And General	$131,692	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,294,290	TotalAmt
Program Services	$122,750	ProgramServicesAmt
Management And General	$15,171,540	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,581,841	TotalAmt
Program Services	$6,357,359	ProgramServicesAmt
Management And General	$1,213,995	ManagementAndGeneralAmt
Fundraising	$10,487	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,254,247	TotalAmt
Program Services	$2,236,187	ProgramServicesAmt
Management And General	$18,060	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,059,911	TotalAmt
Management And General	$5,059,911	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$122,200	TotalAmt
Management And General	$122,200	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$190,712	TotalAmt
Management And General	$190,712	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,374,289	TotalAmt
Program Services	$34,013,452	ProgramServicesAmt
Management And General	$3,346,512	ManagementAndGeneralAmt
Fundraising	$14,325	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,090,325	TotalAmt
Program Services	$139,416	ProgramServicesAmt
Management And General	$1,950,909	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,874,723	TotalAmt
Program Services	$6,293,476	ProgramServicesAmt
Management And General	$536,052	ManagementAndGeneralAmt
Fundraising	$45,195	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,989,488	TotalAmt
Program Services	$905,878	ProgramServicesAmt
Management And General	$12,083,610	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,694,184	TotalAmt
Program Services	$19,031,635	ProgramServicesAmt
Management And General	$662,549	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,317,264	TotalAmt
Program Services	$1,325,772	ProgramServicesAmt
Management And General	$924,396	ManagementAndGeneralAmt
Fundraising	$67,096	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,684,126	TotalAmt
Program Services	$10,796,230	ProgramServicesAmt
Management And General	$1,887,896	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,843,691	TotalAmt
Program Services	$16,663,916	ProgramServicesAmt
Management And General	$3,179,775	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,291,462	TotalAmt
Program Services	$1,398,216	ProgramServicesAmt
Management And General	$1,893,246	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$54,711,547	$54,711,547
BAD DEBT	$15,957,054	$15,957,054
CONSULTING	$4,617,484	$1,582,681	$3,002,106	$32,697
EQUIPMENT	$4,544,316	$4,515,272	$29,044

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,218,012	TotalAmt
Program Services	$3,012,700	ProgramServicesAmt
Management And General	$205,312	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$343,448,578	TotalAmt
Program Services	$268,639,011	ProgramServicesAmt
Management And General	$74,502,939	ManagementAndGeneralAmt
Fundraising	$306,628	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$46,190,356	BOYAmt
EOY	$34,312,822	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$868,024	BOYAmt
EOY	$831,843	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,823,586	BOYAmt
EOY	$36,546,843	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$962,758	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,254,294	BOYAmt
EOY	$6,209,632	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,816,436	BOYAmt
EOY	$4,889,258	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$437,623,475	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$182,823,923	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$208,914,502	BOYAmt
EOY	$254,799,552	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$49,468,053	BOYAmt
EOY	$49,926,502	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,887,850	BOYAmt
EOY	$12,873,594	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$367,223,101	BOYAmt
EOY	$401,352,804	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,583,729	BOYAmt
EOY	$24,713,158	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$932,892	BOYAmt
EOY	$950,605	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$183,230,000	BOYAmt
EOY	$180,400,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$21,377,357	BOYAmt
EOY	$20,209,302	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,926,045	BOYAmt
EOY	$103,085,778	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$281,050,023	BOYAmt
EOY	$329,358,843	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$86,173,078	BOYAmt
EOY	$71,993,961	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$86,173,078	BOYAmt
EOY	$71,993,961	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$367,223,101	BOYAmt
EOY	$401,352,804	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,266,385	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$835,796	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$838,976	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$11,237,960	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,570,037	OtherCostOrOtherBasisAmt
Book Value	$10,570,037	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$209,574,902	OtherCostOrOtherBasisAmt
Depreciation	$53,713,661	DepreciationAmt
Book Value	$155,861,241	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,729,187	OtherCostOrOtherBasisAmt
Depreciation	$3,094,012	DepreciationAmt
Book Value	$5,635,175	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$171,922,045	OtherCostOrOtherBasisAmt
Depreciation	$126,016,250	DepreciationAmt
Book Value	$45,905,795	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,827,304	OtherCostOrOtherBasisAmt
Book Value	$36,827,304	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$254,799,552	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ORIGINAL BOND ISSUE PREMIUM	$3,475,843
ACCRUED LIABILITIES	$27,971,226
ACCURED LIABILITIES AND GENERAL LIABILITY CLAIMS	$20,303,670
COST REPORT SETTLEMENT PAYABLE	$1,534,192
CAPITAL LEASE OBLIGATIONS	$49,800,847

Field	Value	IRS element (for citing)
Total Liability	$103,085,778	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$327,151,263	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$835,796	NetUnrealizedGainsInvstAmt
Other Revenue	$1,952,633	OtherRevenueAmt
Revenue Not Reported	$1,116,837	RevenueNotReportedAmt
Revenue Subtotal	$326,034,426	RevenueSubtotalAmt
Investment Expenses Not Incld	$190,712	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$15,957,055	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$16,147,767	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$342,182,193	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$327,300,811	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$327,300,811	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$190,712	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$15,957,055	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$16,147,767	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$343,448,578	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE CORPORATION AND ITS SUBSIDIARIES ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS (EXCEPT FOR ME); ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE PROVISION FOR TAXES RELATED TO ME IS NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. ASC IS A LIMITED LIABILITY CORPORATION AND THUS NO PROVISION HAS BEEN RECORDED. THE CORPORATION AND ITS SUBSIDIARIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, NO AUDITS FOR ANY TAX PERIODS ARE CURRENTLY IN PROGRESS. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE JUNE 30, 2012. THE CORPORATION HAS ADOPTED ACCOUNTING STANDARDS RELATED TO UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, REVIEWED ALL TAX POSITIONS. THE EVALUATED POTENTIAL EXPOSURE RELATED TO THE UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL. ME IS THE ABBREVIATION FOR METROPOLITAN ENTERPRISES. ASC IS THE ABBREVIATION FOR METRO HEALTH ASC, LLC.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	UNREALIZED GAIN ON EQUITY INVESTMENT 1,952,633.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 15,957,055.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 15,957,055.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	175.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	225.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,420,206	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$660,562	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,759,644	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	82744	PersonsServedCnt
Total Community Benefit Expns	$47,184,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,409,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,774,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	674	PersonsServedCnt
Total Community Benefit Expns	$704,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$396,980	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$307,633	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	83418	PersonsServedCnt
Total Community Benefit Expns	$50,309,547	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,467,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,842,058	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	44	ActivitiesOrProgramsCnt
Persons Served	10955	PersonsServedCnt
Total Community Benefit Expns	$414,233	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,683	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$409,550	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	10054	PersonsServedCnt
Total Community Benefit Expns	$7,760,829	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,485,332	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,275,497	NetCommunityBenefitExpnsAmt
Total Expense	0.01240	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	88379	PersonsServedCnt

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$946,967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$678,783	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$268,184	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	6300	PersonsServedCnt
Total Community Benefit Expns	$630,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$630,817	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	96	ActivitiesOrProgramsCnt
Persons Served	115688	PersonsServedCnt
Total Community Benefit Expns	$9,752,846	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,168,798	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,584,048	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	96	ActivitiesOrProgramsCnt
Persons Served	199106	PersonsServedCnt
Total Community Benefit Expns	$60,062,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,636,287	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,426,106	NetCommunityBenefitExpnsAmt
Total Expense	0.02740	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,961	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,961	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$70,024	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,024	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,528	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,528	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,850	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$97,363	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$97,363	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,957,055	BadDebtExpenseAmt
Reimbursed By Medicare	$52,772,490	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$67,584,329	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,811,839	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	METROPOLITIAN HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5900 BYRON CENTER AVE S W	AddressLine1Txt
City	WYOMING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49519	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://METROHEALTH.NET/	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	METROPOLITAN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.KENTCOUNTYCHNA.ORG/WORKGROUPS.HTML	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	0	ImplementationStrategyAdoptInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	175.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	225.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
METROPOLITAN HOSPITAL	PART V, SECTION B, LINE 5: ADDITIONAL DATA COLLECTION METHODS WERE USED BY THE COMMUNITY INPUT WORKGROUP TO GATHER DATA FROM COMMUNITY MEMBERS WHOSE VOICE AND HEALTH STATUS MAY NOT BE REPRESENTED THROUGH THE LOCAL, STATE, AND NATIONAL SECONDARY DATA SOURCES. THE ADDITIONAL DATA COLLECTION METHODS INCLUDED COMMUNITY INPUT WALLS (STRATEGY INVOLVING GATHERING INPUT FROM COMMUNITY MEMBERS DIRECTLY BY POSTING LARGE SHEETS OF PAPER IN PUBLIC SPACE AND ASKING COMMUNITY MEMBERS TO ANSWER QUESTIONS ABOUT THE COMMUNITY BY WRITING THEIR THOUGHTS ON THE WALL), FOCUS GROUPS WITH COMMUNITY MEMBERS PARTICIPATING TO GENERATE COMMUNITY INPUT FROM VARIOUS POPULATIONS ABOUT THE HEALTH AND WELL-BEING OF KENT COUNTY AND INTERCEPT INTERVIEWS (METHOD DESIGNED TO ENGAGE PARTICIPANTS WHO MAY NOT BE INCLINED TO ATTEND A FOCUS GROUP OR TOWN HALL MEETING). THE INTERCEPT INTERVIEWS WERE TRANSLATED INTO SPANISH FOR THE LATINO/HISPANIC COMMUNITY AND OTHER LANGUAGES SPOKEN BY THE ASIAN COMMUNITY.
METROPOLITAN HOSPITAL	PART V, SECTION B, LINE 6A: METRO HEALTH, SPECTRUM HEALTH, AND MARY FREE BED
METROPOLITAN HOSPITAL	PART V, SECTION B, LINE 6B: IN 2014, A COALITION OF COMMUNITY PARTNERS LAUNCHED A COMMUNITY-WIDE NEEDS ASSESSMENT. THE KENT COUNTY HEALTH DEPARTMENT SERVED AS THE LEAD AGENCY, BRINGING TOGETHER METRO HEALTH, SPECTRUM HEALTH, PINE REST, MARY FREE BED, GRAND VALLEY STATE UNIVERSITY AND OTHER HEALTH AND HUMAN SERVICE ORGANIZATIONS IN A COLLABORATIVE STUDY. THE PARTNERS CONTRACTED WITH THE MICHIGAN PUBLIC HEALTH INSTITUTE TO FACILITATE THE NEEDS ASSESSMENT AND HEALTH IMPROVEMENT PLAN FOR KENT COUNTY.
METROPOLITAN HOSPITAL	PART V, SECTION B, LINE 11: METRO HEALTH HOSPITAL CHOSE THREE OF THE HIGH PRIORITY STRATEGIC ISSUES AS IDENTIFIED IN THE CHNA AS OUR IMPLEMENTATION STRATEGY.1. OBESITY: EDUCATE EMPLOYEES AND THE COMMUNITY ABOUT OBESITY AND HEALTH COMPLICATIONS THAT CAN RESULT FROM IT, FOR EXAMPLE HEART COMPLICATIONS. FOCUS ON HEALTHY LIFESTYLE CHOICES AND THE IMPORTANCE OF FITNESS. METRO HEALTH OFFERS FREE COOKING DEMOS TO THE COMMUNITY FOCUSED ON HEALTHY RECIPES WITH METRO HEALTH 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 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 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.
METROPOLITAN HOSPITAL	PART V, SECTION B, LINE 24: IN ACCORDANCE WITH MEDICARE POLICY WE CHARGE THE FULL AMOUNT BUT FOR PEOPLE WHO DID NOT HAVE INSURANCE WE DISCOUNTED THE CHARGE BY 40%. IF THEY HAD INSURANCE THE AMOUNT WAS DISCOUNTED BY THE CONTRACT PERCENTAGE.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
METROPOLITAN HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:	HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA
METROPOLITAN HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA
METROPOLITAN HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:	HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ALGER HEIGHTS
806 ALGER STREET SE	GRAND RAPIDS	MI	49507	FAMILY PRACTICE
AQUINAS
1607 ROBINSON RD	GRAND RAPIDS	MI	49506	FAMILY PRACTICE
CANCER SERVICES
5950 METRO WAY	WYOMING	MI	49519	CANCER CENTER
GVSU
10383 42ND AVE STE A	ALLENDALE	MI	49401	FAMILY PRACTICE
HEALTHPARK
2093 HEALTH DRIVE	WYOMING	MI	49519	SLEEP LAB AND ENDOSCOPY
METRO HEALTH ALLENDALE
11160 W J PRESLEY PARKWAY STE 100	ALLENDALE	MI	49401	PT, RADIOLOGY AND MAMMOGRAPHY
METRO HEALTH CALEDONIA PLAZA
8941 NORTH RODGER COURT	CALEDONIA	MI	49316	PT, RADIOLOGY AND MAMMOGRAPHY
METRO HEALTH CASCADE
4300 CASCADE	GRAND RAPIDS	MI	49546	PT, RADIOLOGY AND MAMMOGRAPHY
METRO HEALTH CEDAR SPRINGS
14211 WHITE CREEK	CEDAR SPRINGS	MI	49319	PT, RADIOLOGY AND MAMMOGRAPHY
METRO HEALTH COMMUNITY CLINIC
785 36TH ST SE	WYOMING	MI	49519	CLINIC FOR LOW INCOME AND OFFICES
METRO HEALTH COMSTOCK PARK
4200 N DIVISION	COMSTOCK PARK	MI	49321	PT, RADIOLOGY AND MAMMOGRAPHY
METRO HEALTH ENT
1179 EAST PARIS SE	GRAND RAPIDS	MI	49546	EAR, NOSE AND THROAT
METRO HEALTH GREENVILLE HEART & VASCULAR
1915 WEST WASHINGTON	GREENVILLE	MI	48838	HEART AND VASCULAR
METRO HEALTH HUDSONVILLE
3912 32ND AVE	HUDSONVILLE	MI	49426	PT, RADIOLOGY AND MAMMOGRAPHY
METRO HEALTH JENISON
7686 GEORGETOWN CENTER DR	JENISON	MI	49428	PT, RADIOLOGY AND MAMMOGRAPHY
METRO HEALTH LOWELL
2550 WEST MAIN	LOWELL	MI	49331	PT, RADIOLOGY AND MAMMOGRAPHY
METRO HEALTH OPHTHALMOLOGY
2221 HEALTH DRIVE SW	WYOMING	MI	49519	OPHTHALMOLOGY
METRO HEALTH PROFESSSIONAL BUILDING
2122 HEALTH DRIVE SW	WYOMING	MI	49519	WOUND CLINIC, LAB AND PULMONARY REHAB
METRO HEALTH ROCKFORD
4685 BELDING ROAD	ROCKFORD	MI	49341	DIABETES ED, PT, RADIOLOGY AND MAMMOGRAPHY
METRO HEALTH WAYLAND
893 E SUPERIOR	WAYLAND	MI	49348	RADIOLOGY, PT AND MAMMOGRAPHY
METRO HEALTHPARK EAST
4055 CASCADE RD SE	GRAND RAPIDS	MI	49546	URGENT CARE, SURGERY CENTER
METRO HEALTH SOUTHWEST PLAZA
2215 44TH STREET SW	WYOMING	MI	49519	DIABETES ED,PT, RADIOLOGY AND MAMMOGRAPHY
MIDTOWNE
555 MIDTOWN SUITE 105	GRAND RAPIDS	MI	49503	HEART AND VASCULAR

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE INFORMATION USED TO CALCULATE LINE 7 IS ON THE PAID CLAIMS BASIS. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.
PART I, LN 7 COL(F):	THERE WAS NO BAD DEBT INCLUDED IN THE TOTAL FUNCTIONAL EXPENSES.
PART II, COMMUNITY BUILDING ACTIVITIES:	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 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.
PART III, LINE 2:	BAD DEBT IS ANY PORTION OF PATIENT ACCOUNT THAT IS DEEMED UNCOLLECTIBLE AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN MADE, INCLUDING FINANCIAL ASSISTANCE. BAD DEBT DOES NOT INCLUDE CONTRACTUAL DISCOUNTS, COMMUNITY BENEFIT OR CHARITY CARE.
PART III, LINE 4:	ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 8:	ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT AS THIS IS THE EXTENT TO WHICH COSTS RELATED TO MEDICARE SERVICES GO UNPAID. THE COST METHODOLOGY IS THE SAME AS IN PART III LINE 2 OF THE FORM 990 AS DESCRIBED ABOVE.
PART III, LINE 9B:	METRO TRIES TO INFORM THE PATIENT IF THEY QUALIFY FOR CHARITY CARE AS SOON AS POSSIBLE BECAUSE THE PATIENT BENEFITS FROM KNOWING ABOUT THEIR FINANCIAL OBLIGATIONS AND THE HOSPITAL CAN AVOID A COSTLY COLLECTIONS PROCESS IF THE PATIENT HAS THE INABILITY TO PAY. EVERY PATIENT BILL HAS THE FEDERAL POVERTY GUIDELINES ON THE BACK AND ITS ON METRO'S WEBSITE. BOTH EXPLAIN THE PROCEDURES AND LIMITS FOR CHARITY CARE AND DISCOUNTING PROGRAMS. PATIENT FINANCIAL REPRESENTATIVES ARE AVAILABLE TO DISCUSS FILLING OUT THE PAPERWORK FOR GOVERNMENT MEDICAL ASSISTANCE PROGRAMS.
PART VI, LINE 2:	FOR MORE THAN 20 YEARS, HEALTHY KENT HAS ENGAGED A BROAD ARRAY OF COMMUNITY PARTNER ORGANIZATIONS TO ADDRESS DATA-DRIVEN PRIORITY AREAS, RANGING FROM INFANT MORTALITY TO VIOLENCE. DURING ITS TENURE, HEALTHY KENT HAS YIELDED MANY NOTEWORTHY COMMUNITY-BASED SUCCESSES, AND CONTINUES TO ACHIEVE RESULTS THROUGH ITS SUCCESSFUL COMMUNITY COLLABORATIONS ON TOPICS RANGING FROM MATERNAL AND CHILD HEALTH TO SUICIDE PREVENTION. IN 2013, HEALTHY KENT ALSO TOOK ON THE ROLE OF CONVENER FOR THE 2014 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 2011, 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.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 2014 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 2011 CHNA PROCESS IN KENT COUNTY. THE VISION STATEMENT REMAINED "HIGH QUALITY OF LIFE, HEALTH, AND WELLBEING 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 WELLBEING."
PART VI, LINE 3:	METRO HEALTH RECOGNIZES THAT INDIVIDUALS AND FAMILIES WHO ARE FACING FINANCIAL INSTABILITY OR HARDSHIP OFTEN NEGLECT HEALTHCARE NEEDS UNTIL THEY BECOME EMERGENT CONDITIONS. THIS PRACTICE PLACES STRESS ON PATIENTS, FAMILIES AND THE HEALTHCARE SYSTEM. METRO HEALTH SEEKS TO INFORM PATIENTS OF THEIR ELIGIBILITY FOR CHARITY CARE AS SOON AS POSSIBLE IN THE HEALTHCARE PROCESS SO THAT PATIENTS KNOW THERE IS HELP FOR THEM AND SO THAT THE ORGANIZATION AVOIDS COSTLY COLLECTIONS PROCESSES. METRO HEALTH POSTS INFORMATION ON FINANCIAL ASSISTANCE ON THE ORGANIZATION WEB SITE. THERE ARE ALSO BROCHURES IN WAITING ROOMS AND AT REGISTRATION DESKS WITH INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAMS. PATIENTS WHO REPORT HAVING NO INSURANCE OR HIGH DEDUCTIBLE INSURANCE AT REGISTRATION ARE PROVIDED INFORMATION ABOUT OUR COMMUNITY BENEFIT DISCOUNT. THIS PROGRAM PROVIDES A 40% DISCOUNT TO ALL PATIENTS WITHOUT INSURANCE 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:	THE 2014 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 PERCENT 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 PERCENT OF PARTICIPANTS RESIDING IN THE CITY.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 RESIDENTS; 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 AMONT RESPONDENTS UNDER THE AGE OF 35.
PART VI, LINE 5:	IN FISCAL YEAR 2015, 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. BOARD 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 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 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 AND 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, 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 THOSE FOR ALZHEIMER'S, BREASTFEEDING AND CANCER SERVICES. AS A TEACHING HOSPITAL, METRO ALSO OFFERS EDUCATIONAL OPPORTUNITIES TO MEDICAL RESIDENTS, NURSES, RADIOLOGY TECHS, PHLEBOTOMISTS AND EVEN HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN MEDICAL PROFESSIONS. THE METRO HEALTH FARM MARKET IS ANOTHER WAY METRO SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY. FOR 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 USE EBT MACHINES TO INCREASE HEALTHY OPTIONS FOR INDIVIDUALS AND FAMILIES RECEIVING GOVERNMENT FOOD ASSISTANCE. 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, 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.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL FAAS
CHIEF EXECUTIVE OFFICER	$938,716	$0	$332,547	$0	$40,142	$0	$10,400	$0	$11,529	$0	$1,333,334	$0	$0	$0
DAVID ALBRECHT DO
BOARD MEMBER	$256,056	$0	$77,857	$0	$617	$0	$4,813	$0	$13,252	$0	$352,595	$0	$0	$0
LANCE OWENS DO
BOARD MEMBER	$142,005	$0	$309,160	$0	$474	$0	$10,400	$0	$13,413	$0	$475,452	$0	$0	$0
BRADLEY CLEGG
CHIEF MEDICAL INFORMATION OFFICER	$244,118	$0	$49,921	$0	$14,168	$0	$0	$0	$13,850	$0	$322,057	$0	$0	$0
FLOYD WILSON JR
EVP - CHIEF COMMUNITY OFFICER	$305,425	$0	$83,900	$0	$63,243	$0	$10,400	$0	$13,850	$0	$476,818	$0	$0	$0
FRANK BELSITO
CHIEF PHYSICIAN EXECUTIVE NETWORK	$426,856	$0	$111,325	$0	$39,032	$0	$10,400	$0	$11,529	$0	$599,142	$0	$0	$0
VERONICA MARSICH
VP - LEGAL	$257,901	$0	$54,000	$0	$10,866	$0	$10,400	$0	$6,234	$0	$339,401	$0	$0	$0
WILLIAM LEWKOWSKI
EVP - CHIEF INFORMATION OFFICER	$250,130	$0	$72,400	$0	$27,730	$0	$10,123	$0	$13,850	$0	$374,233	$0	$0	$0
KRIS KURTZ
CHIEF FINANCIAL OFFICER	$163,836	$0	$40,001	$0	$880	$0	$7,367	$0	$13,481	$0	$225,565	$0	$0	$0
JEFF POSTLEWAITE
INTERIM CMO	$423,282	$0	$13,475	$0	$2,947	$0	$10,400	$0	$13,850	$0	$463,954	$0	$0	$0
JOSH WILDA
VP OF INFORMATION TECHNOLOGY	$123,861	$0	$22,157	$0	$5,484	$0	$5,544	$0	$11,082	$0	$168,128	$0	$0	$0
LAURA STASKIEWICZ
EVP-CHIEF OF FUNDRAISING- PART YEAR	$200,729	$0	$60,400	$0	$19,193	$0	$8,372	$0	$13,818	$0	$302,512	$0	$0	$0
HELEN BERGHOEF
VP-ANCILLARY/EMERG SERV- PART YEAR	$183,994	$0	$76,438	$0	$7,913	$0	$0	$0	$14,268	$0	$282,613	$0	$0	$0
INGRID CHESLEK
CNO - PART YEAR	$252,450	$0	$97,900	$0	$21,884	$0	$0	$0	$11,757	$0	$383,991	$0	$0	$0
SVETLANA DEBITSKAYA
EXEC. VP - COO - PART YEAR	$259,530	$0	$28,606	$0	$136,542	$0	$0	$0	$734	$0	$425,412	$0	$0	$0
DAVID DUFFY
CMO - PART YEAR	$337,796	$0	$110,775	$0	$1,401	$0	$0	$0	$16,967	$0	$466,939	$0	$0	$0
ERIKA DUNCAN
VP - HUMAN RES. - PART YEAR	$229,106	$0	$56,000	$0	$37,043	$0	$0	$0	$17,678	$0	$339,827	$0	$0	$0
JAMAL GHANI
COO - PART YEAR	$197,880	$0	$0	$0	$228	$0	$0	$0	$9,322	$0	$207,430	$0	$0	$0
CHRISTINE LAWRENCE
VP - RISK MGT - PART YEAR	$150,111	$0	$41,100	$0	$12,032	$0	$0	$0	$15,768	$0	$219,011	$0	$0	$0
ROBERT SUNDELIUS
VP - PRACTICE MGT - PART YEAR	$147,194	$0	$15,336	$0	$714	$0	$0	$0	$2,431	$0	$165,675	$0	$0	$0
TIM SUSTERICH
CFO - PART YEAR	$433,658	$0	$128,631	$0	$52,532	$0	$0	$0	$572	$0	$615,393	$0	$0	$0
PAUL KOVACK
PHYSICIAN	$606,349	$0	$220,161	$0	$1,576	$0	$10,400	$0	$13,850	$0	$852,336	$0	$0	$0
MICHAEL ZAKEM
PHYSICIAN	$983,512	$0	$0	$0	$4,524	$0	$10,400	$0	$13,850	$0	$1,012,286	$0	$0	$0
MATTHEW SEVENSMA
PHYSICIAN	$612,898	$0	$277,899	$0	$685	$0	$10,400	$0	$14,240	$0	$916,122	$0	$0	$0
JOHN KEY
PHYSICIAN	$620,598	$0	$197,141	$0	$1,576	$0	$7,800	$0	$12,118	$0	$839,233	$0	$0	$0
BARBARA KARENKO
PHYSICIAN	$496,752	$0	$132,708	$0	$617	$0	$10,400	$0	$6,125	$0	$646,602	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	MIKE FAAS RECEIVED CLUB DUES. ALL VICE PRESIDENTS RECEIVE A DISCRETIONARY SPENDING AMOUNT. THESE PAYMENTS ARE TREATED AS TAXABLE COMPENSATION.
PART I, LINES 4A-B	SEVERANCE PAYMENT HELEN BERFHOEF $28,523 INGRID CHESLEK $38,604 SVETLANA DEBITSKAYA $52,308 DAVID DUFFEY $51,500 ERIKA DUNCAN $33,277 JAMAL GHANI $197,880 CHRISTINE LAWRENCE $22,977 ROBERT SUNDELIUS $33,077 TIM SUSTERICH $60,752 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAUL KOVACK $23,000 MATTHEW SEVENSMA $17,135 MICHAEL ZAKEM $23,000

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
KENT HOSPITAL FINANCE AUTHORITY
A	382350002	490580CB1	2005-04-19	$139,985,272	BUILD METRO HOSPITAL	0	0	0
KENT HOSPITAL FINANCE AUTHORITY
B	382350002	490580EE3	2012-04-19	$57,700,000	REFUND 2005B BONDS ISSUED 4/19/2005 & PURCHASE POWER PLANT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt
A	$8,700,000	$145,370,253	$10,468,691	$19,923,875	$2,587,500	$3,579,804	$128,617,074	2007	0	0	Yes (1)	Yes (1)
B	$3,600,000	$57,700,000		$342,502	$635,949		$28,150,409	2012	Yes (1)	0	Yes (1)	Yes (1)	$263,645

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0	0	0
B	0	0	Yes (1)	Yes (1)	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MICHAEL PRICE
BOARD MEMBER & CEO OF MERCANTILE	$2,387,214	MERCANTILE HAS PROVIDED BANKING SERVICES TO METRO. BANK LENT MONEY FOR A TERM LOAN AND SUPPLIES CHECKING SERVICES.	0
DR FURLONG
BOARD MEMBER & PARTNER IN HEALTH PARK MEDICAL BUILDING	$756,374	LEASE OF BUILDING	0
DR GAUTHIER
BOARD MEMBER & PARTNER IN LOWELL REAL ESTATE GROUP	$117,167	LEASE OF BUILDING	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1:	METRO HEALTH'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. TO THAT END THE ORGANIZATION BELIEVES THE FOUNDATION OF GOOD HEALTH IS BASED ON EXCELLENT QUALITY PRIMARY CARE. THE ORGANIZATION IS ANCHORED BY A 208-BED, GENERAL ACUTE CARE COMMUNITY HOSPITAL. ADDITIONALLY, IT OPERATES 13 NEIGHBORHOOD OUTPATIENT CENTERS, STUDENT HEALTH FACILITIES AT GRAND VALLEY STATE UNIVERSITY AND AQUINAS, 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 2015, 122 MEDICAL STUDENTS, RESIDENTS AND FELLOWS PARTICIPATED IN ITS MEDICAL EDUCATION PROGRAM.
FORM 990, PART VI, SECTION B, LINE 11	THE COMPLETED FORM 990 WAS REVIEWED BY THE CHIEF FINANCIAL OFFICER. MEMBERS OF THE FISCAL SERVICES DEPARTMENT WITH TAX EXPERTISE PREPARED IT. THE FORM 990 WAS THEN REVIEWED BY AN OUTSIDE INDEPENDENT PUBLIC ACCOUNTING FIRM WHO AS PART OF PROCESS SIGNS THE RETURN AS PAID PREPARER. AFTER THIS REVIEW BUT PRIOR TO FILING, THE FULL METRO BOARD OF DIRECTORS WAS NOTIFIED THAT THE COMPLETED FORM 990 WAS AVAILABLE FOR REVIEW AT THE BOARD MEETING. ALSO PRIOR TO FILING MANAGEMENT HELD A FORM 990 QUESTIONS AND ANSWER SESSION IN WHICH ALL MEMBERS WERE INVITED.
FORM 990, PART VI, SECTION B, LINE 12C	EACH BOARD MEMBER, KEY EMPLOYED AND NON-EMPLOYED PERSONNEL IS REQUIRED ANNUALLY TO COMPLETE A CONFLICT OF INTEREST STATEMENT. THE STATEMENTS ARE COMPILED AND THE HOSPITAL'S COMPLIANCE DEPARTMENT REVIEWS THEM FOR ANY POTENTIAL CONFLICTS. ANY CONFLICTS ARE NOTED AND APPROPRIATE ACTION IS TAKEN AS REQUIRED, IE VOTING OR CONTRACTS.
FORM 990, PART VI, SECTION B, LINE 15	THE CEO'S 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 2013. AS OF 1/1/2013, 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 19	DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,921,241. MANAGEMENT AND GENERAL EXPENSES 7,601. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,928,842. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,456,538. MANAGEMENT AND GENERAL EXPENSES 644,249. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,100,787. PURCHASED PHYS CLINICAL: PROGRAM SERVICE EXPENSES 10,435,434. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,435,434. PURCAHSED PHYS ON-CALL: PROGRAM SERVICE EXPENSES 1,674,953. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,674,953. PURCHASED ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 2,546,518. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,546,518. PURCHASED NON-MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 4,291,709. MANAGEMENT AND GENERAL EXPENSES 2,197,104. FUNDRAISING EXPENSES 14,325. TOTAL EXPENSES 6,503,138. AGENCY STAFFING: PROGRAM SERVICE EXPENSES 2,705,400. MANAGEMENT AND GENERAL EXPENSES 371,462. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,076,862. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 981,659. MANAGEMENT AND GENERAL EXPENSES 126,096. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,107,755.
FORM 990, PART XI, LINE 9:	PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -4,637,576. UNREALIZED GAIN ON EQUITY INVESTMENT 1,952,633. TRANSFER TO AFFILATE -8,553,017.
FORM 990, PART XII, LINE 2C:	THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITORS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LAND METRO LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5900 BYRON CENTER AVE SW	AddressLine1Txt
City	WYOMING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49519	ZIPCd

Field	Value	IRS element (for citing)
EIN	202863709	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	METROPOLITAN HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
METROPOLITAN FOUNDATION
5900 BYRON CENTER SW	WYOMING	MI	49519	383033329	SUPPORT THE HOSPITAL	MI	501(C)(3)	LINE 7	METROPOLITAN HEALTH CORPORATION	Yes (1)
METROPOLITAN HEALTH CORPORATION
5900 BYRON CENTER SW	WYOMING	MI	49519	382745509	PARENT ORGANIZATION	MI	501(C)(3)	LINE 11B, II		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	METRO HEALTH ASC LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5900 BYRON CENTER AVE SW	AddressLine1Txt
City	WYOMING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49519	ZIPCd

Field	Value	IRS element (for citing)
EIN	261805066	EIN
Primary Activities	AMBULATORY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	METROPOLITAN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$1,690,620	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,097,265	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	METROPOLITAN ENTERPRISES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5900 BYRON CENTER AVE SW	AddressLine1Txt
City	WYOMING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49519	ZIPCd

Field	Value	IRS element (for citing)
EIN	383062222	EIN
Primary Activities	PHYSICIAN SERVICES	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
METROPOLITAN FOUNDATION
C	$755,175	CASH
METROPOLITAN ENTERPRISES
B	$8,553,017	CASH
METRO HEALTH ASC LLC
F	$1,657,500	CASH
METROPOLITAN ENTERPRISES
J	$4,336,792	FMV