2015-05-15T13:28:59-05:00 2014-06-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2013-07-01 380593405 METROPOLITAN HOSPITAL METR 6162527200 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 KRIS KURTZ CONTROLLER 6162527200 2015-05-14 1 CAROL LALONDE CPA P00181637 2695674500 2013 2016-03-07 17:11:31Z METRO HEALTH HOSPITAL KRIS KURTZ 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 324673133 0 X WWW.METROHEALTH.NET X 1942 MI SEE SCHEDULE O. 15 9 2430 290 5804856 -376763 948166 1158179 292977378 301270526 1845040 2050466 0 0 295770584 304479171 5691648 0 0 0 116807541 116527225 0 0 543118 180166380 179018091 302665569 295545316 -6894985 8933855 366687541 367223101 288364253 281050023 78323288 86173078 X TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. 0 0 248711090 295465670 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 2014, METRO HEALTH WELCOMED 1,929 BABIES INTO OUR COMMUNITY, CARED FOR 64,280 EMERGENCY ROOM VISITS, PERFORMED 1,134,769 LABORATORY TESTS AND 145,432 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 51,034 PATIENT DAYS. ADDITIONALLY, METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 123 MEDICAL STUDENTS, RESIDENTS AND FELLOWS. 248711090 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 1 0 0 1 534 0 1 2430 1 1 1 0 0 0 0 0 0 0 0 0 X 15 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MI X KRIS KURTZ 6162524844 5900 BYRON CENTER AVE SW WYOMING MI 49519 JACQUELINE D SCOTT CHAIRPERSON 5.00 1.00 X X 0 0 0 JANE M ROSS VICE CHAIR 5.00 3.00 X X 0 0 0 MICHAEL FAAS CHIEF EXECUTIVE OFFICER 60.00 1.00 X X 1305613 0 25880 MICHAEL H PRICE TREASURER 5.00 1.00 X X 0 0 0 VICTOR VASQUEZ JR SECRETARY 5.00 1.00 X X 0 0 0 BARBARA A MIERAS BOARD MEMBER 5.00 1.00 X 0 0 0 CARLOS SANCHEZ BOARD MEMBER 5.00 0.00 X 0 0 0 DAVID ALBRECHT DO BOARD MEMBER 5.00 0.00 X 309216 0 24598 LANCE OWENS DO BOARD MEMBER 5.00 0.00 X 282398 0 24194 LAURA HOPSON BOARD MEMBER 5.00 0.00 X 0 0 0 MICHELE T BROWN BOARD MEMBER 5.00 3.00 X 0 0 0 PAUL R GAUTHIER DO BOARD MEMBER 5.00 1.00 X 18399 0 0 THERESE ROUSE DO BOARD MEMBER 5.00 1.00 X 0 0 0 TODD HARTGERINK DO BOARD MEMBER 5.00 0.00 X 0 0 0 WILLIAM JOHN BARKELEY BOARD MEMBER 5.00 1.00 X 0 0 0 KEVIN FURLONG BOARD MEMBER - PART YEAR 5.00 0.00 X 0 0 0 BRADLEY CLEGG VP - CLINICAL INFORMATICS 60.00 0.00 X 306270 0 21959 FLOYD WILSON JR EVP - EXTERNAL RELATIONS/MARKETING 60.00 0.00 X 409151 0 24509 FRANK BELSITO EVP - MEDICAL GROUP 60.00 0.00 X 553027 0 22579 LAURA STASKIEWICZ EVP - CHIEF FUNDRAISING OF 60.00 0.00 X 263608 0 22599 VERONICA MARSICH VP - LEGAL 60.00 0.00 X 294895 0 15865 WILLIAM CUNNINGHAM EVP - SYSTEMS DEVELOPMENT 60.00 0.00 X 125741 0 0 WILLIAM LEWKOWSKI EVP - CHIEF INFORMATION OFFICER 60.00 0.00 X 312329 0 42619 ANDREW BEHLER PHYSICIAN 60.00 0.00 X 714425 0 25674 PAUL KOVACK PHYSICIAN 60.00 0.00 X 737768 0 24769 MICHAEL ZAKEM PHYSICIAN 60.00 0.00 X 952305 0 14569 MATTHEW SEVENSMA PHYSICIAN 60.00 0.00 X 778225 0 16310 ERIC HEDLUND PHYSICIAN 60.00 0.00 X 774131 0 18395 8137501 0 324519 145 0 1 0 GREAT LAKES NEUROSURGICAL ASSOCIATES PC 414 PLYMOUTH NE GRAND RAPIDS MI 49505 MEDICAL SERVICES 4107945 OWENS & MINOR PO BOX 27626 RICHMOND VA 23261 MEDICAL SUPPLIES 2637530 XANITOS INC PO BOX 95000-3290 PHILADELPHIA PA 19195 ENVIRONMENTAL SERVICES 2621066 PATRIOT MEDICAL TECHNOLOGIES OF OH PO BOX 41500 NASHVILLE TN 37241 MANAGEMENT SERVICES 1539358 WEST MI SURGICAL SPECIALISTS PLC 245 CHERRY SE STE 102 GRAND RAPIDS MI 49503 MEDICAL SERVICES 1327244 54 1158179 1158179 NET PATIENT REVENUE 541380 286861176 281056320 5804856 OTHER REVENUE 541380 14409350 14409350 301270526 843514 843514 20638264 762650 19734997 458965 903267 303685 1206952 1206952 304479171 295465670 5804856 2050466 X 3989331 3261592 718117 9622 91409491 74734438 16454570 220483 801856 801856 14077774 11509686 2534132 33956 6248773 5158413 1073193 17167 1763381 1755702 7679 1441277 185143 1256134 126747 126747 184667 184667 30705037 27293445 3393371 18221 1868857 145740 1723117 7157755 6592065 481620 84070 12718657 896276 11822381 17454158 16790569 663589 2838554 1646152 1063515 128887 10305410 10471585 -166175 19093594 19076088 17506 3272501 2070494 1202007 MEDICAL SUPPLIES 42701992 42839101 -137109 BAD DEBT 18443921 18443921 CONSULTING 3292406 642238 2630938 19230 EQUIPMENT 2316901 2286050 30851 3332276 2912392 408402 11482 295545316 248711090 46291108 543118 50550167 46190356 859478 868024 29627847 31823586 4993302 5254294 4431234 6816436 370447508 161533006 214137839 208914502 46479412 49468053 15608262 17887850 366687541 367223101 24238552 29583729 892357 932892 185955000 183230000 22292612 20077357 1300000 1300000 53685732 45926045 288364253 281050023 X 78323288 86173078 78323288 86173078 366687541 367223101 X 8933855 1201919 -2285984 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8919754 8919754 189084671 45216839 143867832 6783564 2760865 4022699 162943824 113555302 49388522 2715695 2715695 208914502 ORIGINAL BOND ISSUE PREMIUM 3475842 ACCRUED LIABILITIES 26392352 ACCURED LIABILITIES AND GENERAL LIABILITY CLAIMS 15419698 COST REPORT SETTLEMENT PAYABLE 582900 DUE TO AFFILIATE 55253 45926045 X 289306271 1201919 2253769 3455688 285850583 184667 18443921 18628588 304479171 275548540 0 275548540 184667 19812109 19996776 295545316 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 AND LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE JUNE 30, 2011. 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 2,253,769. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NETTED AGAINST REVENUE 18,443,921. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NETTED AGAINST REVENUE 18,443,921. PROFESSIONAL FEES - CHS TRANSACTION 1,368,188. 1 1 X 1 X 175.000000000000 1 X 225.000000000000 1 1 0 1 1 4999751 782555 4217196 0.01430 37456 51666363 43123643 8542720 0.02890 3529 1495230 679429 815801 0.00280 40985 58161344 44585627 13575717 0.04600 18 93796 404232 685 403547 0.00140 11 4433 6575679 3492182 3083497 0.01040 0 0 0 0 21 15145 301275 0 301275 0.00100 50 113374 7281186 3492867 3788319 0.01280 50 154359 65442530 48078494 17364036 0.05880 2 13961 13961 0.00000 1 3500 3500 0.00000 4 79929 79929 0.00030 3 2250 2250 0.00000 5204 5204 0.00000 4 13923 13923 0.00000 10 1838 1838 0.00000 1 25 120605 120605 0.00030 1 18443921 48169791 75706849 -27537058 X 1 1 1 1 METROPOLITIAN HOSPITAL 5900 BYRON CENTER AVE S W WYOMING MI 49519 HTTP://METROHEALTH.NET/ X X X X METROPOLITAN HOSPITAL 1 1 X X X X X X X X X 11 1 1 1 X WWW.METROHEALTH.NET X X X X X X X X X X 0 0 1 1 175.000000000000 1 225.000000000000 1 X X X X 1 1 X X X X X X 1 0 X X X 1 X 0 1 METROPOLITAN HOSPITAL PART V, SECTION B, LINE 3: IN 2011, 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, SAINT MARY'S HOSPITAL, SPECTRUM HEALTH, PINE REST, MARY FREE BED, MICHIGAN STATE UNIVERSITY, 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.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.IN ORDER TO ACHIEVE THIS MISSION, THE COALITION FORMED TWO WORKGROUPS THAT COLLECTED POPULATION AND COMMUNITY INPUT DATA THAT SPOKE TO COMMUNITY HEALTH ACROSS GROUPS IN MULTIPLE AREAS OF HEALTH. THE POPULATION DATA WORKGROUP IDENTIFIED INDICATORS OF HEALTH AND REVIEWED EXISTING LOCAL, STATE AND NATIONAL SECONDARY DATA SOURCES TO COMPILE A COMPREHENSIVE OVERVIEW OF THE HEALTH STATUS ACROSS POPULATIONS WITHIN KENT COUNTY. THESE DATA ARE LIMITED IN POPULATIONS REPRESENTED AND HEALTH INDICATORS. 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. FOUR COMMUNITY INPUT WALLS WERE PLACED IN LARGE PUBLIC VENUES AS A METHOD OF COLLECTING COMMUNITY FEEDBACK FROM THE GENERAL PUBLIC. A TOTAL OF 395 INTERCEPT INTERVIEWS WERE CONDUCTED WITH VULNERABLE POPULATIONS WHO WERE ACCESSIBLE WITHIN GRAND RAPIDS AND KENT COUNTY. FINALLY, 12 FOCUS GROUPS, INCLUDING 119 COMMUNITY MEMBERS, WERE USED TO GATHER FEEDBACK FROM DIVERSE AND HARD TO REACH POPULATIONS WITHIN GRAND RAPIDS AND KENT COUNTY.THE CHNA COALITION REVIEWED ASSESSMENT FINDINGS AND IDENTIFIED 44 CROSSCUTTING, STRATEGIC ISSUES. USING A STRUCTURED PRIORITIZATION PROCESS, THE CHNA STEERING COMMITTEE AND COALITION NARROWED THIS LIST TO FIVE STRATEGIC PRIORITIES. THE FIVE STRATEGIC PRIORITIES THAT EMERGED FROM THE ASSESSMENT WERE: 1. INCREASE THE PROPORTION OF COMMUNITY MEMBERS, INCLUDING THE UNINSURED AND THE WORKING POOR THAT HAVE ACCESS TO AFFORDABLE HEALTHCARE TO PROMOTE EQUAL ACCESS TO HIGH QUALITY AFFORDABLE CARE; 2. INCREASE THE NUMBER OF PROVIDERS AVAILABLE THAT ACCEPT MEDICAID OR OFFER LOW-COST/FREE SERVICES TO PROMOTE A COORDINATED SYSTEM OF CARE THAT IS LOCAL, PREVENTIVE, HOLISTIC, AND PATIENT CENTERED; 3. REDUCE RACIAL DISPARTITIES TO PROMOTE A COORDINATED SYSTEM OF CARE THAT IS LOCAL, PREVENTIVE, HOLISTIC, AND PATIENT CENTERED; 4. INCREASE HEALTHY EATING BY ENSURING ACCESS TO HEALTHY FOODS TO PROMOTE AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL; 5. REDUCE DISPARITY IN HEALTH RISK FACTORS AND PROTECTIVE FACTORS BETWEEN STUDENTS TO PROMOTE AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL. METROPOLITAN HOSPITAL PART V, SECTION B, LINE 4: IN 2011, 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, SAINT MARY'S HOSPITAL, SPECTRUM HEALTH, PINE REST, MARY FREE BED, MICHIGAN STATE UNIVERSITY, 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 6I: IN TAX YEAR 2012, ON JUNE 25, 2013 THE METROHEALTH BOARD OF DIRECTORS ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS 4 OF THE 5 STRATEGIC PRIORITIES. THIS STRATEGY WAS STILL IN EFFECT DURING TAX YEAR 2014. STRATEGIC PRIORITIES 1 AND 2 WERE COMBINED INTO ONE ACCESS TO CARE ACTION PLAN CONSISTING OF 7 OVERALL STRATEGIES. STRATEGY 1A IS TO INCREASE THE NUMBER OF MEDICAID AND UNINSURED PATIENTS SEEN AT METRO HEALTH COMMUNITY CLINIC AND THE METRO HEALTH NETWORK OF OUTPATIENT CLINICS BY INCREASING THE COMPLEMENT OF PHYSICIANS/RESIDENTS PROPORTIONATE TO POTENTIAL AVAILABLE VOLUME AND EXPANDING HOURS OF THE CLINICS AS APPROPRRIATE TO ACCOMMODATE ADDITONAL VOLUMES. STRATEGY 1B IS TO IMPLEMENT COMMUNITY HEALTH WORKERS IN 50% OF PRIMARY CARE SITES TO INCREASE OUTREACH TO PATIENTS WITH MEDICAID, MEDICARE, LOW COST INSURANCE AND NO INSURANCE BY DECEMBER 31, 2015. STRATEGY 1C IS TO SUSTAIN THE METRO CARE PROGRAM AND CARE PAYMENT PROGRAM PARTNERSHIPS WITH THE UNINSURED AND UNDERINSURED TO INCREASE ACCESS TO AFFORDABLE CARE. THE METRO CARE PROGRAM GIVES A 40% REDUCTION IN CHARGES TO THE UNINSURED. THE METRO CARE PAYMENT PROGRAM ALLOWS AND INDIVIDUAL TO PAY THEIR BILL OVER A TWENTY MONTH PERIOD INTEREST FREE. STRATEGY 1D IS TO OFFER FREE HEALTH EDUCATION CLASSES TO LOW INCOME RESIDENTS OF KENT COUNTY IDENTIFIED THROUGH COMMUNITY SCREENING PROGRAMS. STRATEGY 1E IS TO INCREASE THE NUMBER AND TYPES FOR FREE AND LOW COST SCREENINGS. STRATEGY 1F IS TO SUSTAIN AND EXPAND THE CHRONIC DISEASE MANAGEMENT PROGRAM OFFERED IN THE NETWORK OF OUTPATIENT CLINICS AND STRATEGY 1G IS TO EXPLORE SETTING UP THE METRO COMMUNITY CARE CLINIC AS A "MEDICAL HOME" AND/OR FEDERALLY QUALIFIED HEALTH CENTER.THE ACTION PLAN FOR PRIORITY HEALTH ISSUE #3 CONSISTS OF 4 STRATEGIES. THEFIRST STRATEGY IS TO INCREASE THE COMPLEMENT OF BILINGUAL STAFF AT METROHEALTH HOSPITAL AND CLINICS. THE SECOND IS TO CONDUCT AN ASSESSMENT OF THEHOSOPITAL AND CLINICS RELATED TO EASE OF ACCESS FOR DIVERSE POPULATIONS TO INCLUDE AND ASSESSMENT OF SIGNAGE, WAY FINDING, ETC. THE THIRD STRATEGY ISTO ENHANCE AND BUILD RELATIONSHIPS BETWEEN METRO HOSPITAL AND THE HISPANICPOPULATION THROUGH INCREASED PARTICIPATION IN THE COMMUNITY ANDREPRESENTATION ON THE LATINO COALITION AND THE FOURTH STRATEGY IS TOENHANCE OUTREACH PROGRAMS TO THE HISPANIC POPULATION BY OFFERING 2COMMUNITY HEALTH PROGRAMS AND SCREENS SPECIFICALLY FOR THE HISPANIC/LATINOPOPULATION PER CALENDAR YEAR.THE ACTION PLAN FOR STRATEGIC PRIORITY #4 CONSISTS OF 6 STRATEGIES - 1.EDUCATE EMPLOYEES AND COMMUNITY ABOUT HEALTHY EATING AND NUTRITION. 2.PROVIDE COMMUNITY AND EMPLOYEE COOKING CLASSES. 3. EXPLORE HAVING A COMMUNITY GARDEN. 4. ALIGN METRO HEALTH'S INITIATIVES WITH THE HEALTHIER HOSPITAL INITITIVES. 5. SUSTAIN METRO HEALTH'S GARDEN USING FRESH PRODUCE IN PREPARATION OF MEALS IN METRO HEALTH'S COMMUNITY CAFETERIA. DONATE EXCESS PRODUCE TO EMPLOYEES OF METRO HEALTH AND 6. SUSTAIN AND EXPAND METRO HEALTH'S "FARM MARKET" FROM A SUMMER PROGRAM ONLY TO AN ENCLOSED PROGRAM OFFERED 3 QUARTERS A YEAR. OPEN PAYMENT FOR FRESH GROWN PRODUCE TO PEOPLE ON GOVERNMENT PROGRAMS VIA USE OF BRIDGE CARDS. METROPOLITAN HOSPITAL PART V, SECTION B, LINE 7: METRO IS NOT CURRENTLY ADDRESSING STRATEGIC HEALTH PRIORITY #5 (REDUCE DISPARITY IN HEALTH RISK FACTORS AND PROTECTIVE FACTORS BETWEEN STUDENTS TO PROMOTE AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL) THAT WAS IDENTIFIED IN THE CHNA.METRO HAS NOT FULLY ADDRESSED THIS PRIORITY DUE TO LACK OF AVAILABLE RESOURCES AND THE POTENTIAL DUPLICATION OF SERVICE PROVIDED BY SCHOOL BASED HEALTH CENTERSALREADY IN EXISTENCE. SPECIFICALLY, THERE ARE ALREADY TWO PROGRAMS IN THE COMMUNITY, SPECTRUM'S SCHOOL HEALTH PROGRAM AND THE KENT SCHOOL SERVICES NETWORK, DESIGNED TO LINK STUDENTS AND THEIR FAMILIES WITH SPECIAL NEEDS TO THE HEALTH SERVICES THEY NEED. METROPOLITAN HOSPITAL PART V, SECTION B, LINE 22: 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. 20 METRO HEALTH PROFESSIONAL BUILDING 2122 HEALTH DRIVE SW WYOMING MI 49519 WOUND CLINIC, LAB AND PULMONARY REHAB METRO HEALTH SOUTHWEST 2215 44TH STREET SW WYOMING MI 49519 DIABETES ED,PT, RADIOLOGY AND MAMMOGRAPHY METRO HEALTH COMMUNITY CLINIC 1925 BRETON SE GRAND RAPIDS MI 49506 CLINIC FOR LOW INCOME AND OFFICES HEALTHPARK 2093 HEALTH DRIVE WYOMING MI 49519 SLEEP LAB AND ENDOSCOPY MIDTOWNE SURGERY CENTER 555 MIDTOWN SUITE 105 GRAND RAPIDS MI 49503 HEART AND VASCULAR CANCER CENTER AT METRO HEALTH VILLAGE 5950 METRO WAY WYOMING MI 49519 CANCER CENTER METRO HEALTH WAYLAND 893 E SUPERIOR WAYLAND MI 49348 RADIOLOGY, PT AND MAMMOGRAPHY METRO HEALTH COMSTOCK PARK 4200 N DIVISION COMSTOCK PARK MI 49321 PT, RADIOLOGY AND MAMMOGRAPHY METRO HEALTH ROCKFORD 4685 BELDING ROAD ROCKFORD MI 49341 DIABETES ED, PT, RADIOLOGY AND MAMMOGRAPHY METRO HEALTH CALEDONIA 8941 NORTH RODGER COURT CALEDONIA MI 49316 PT, RADIOLOGY AND MAMMOGRAPHY 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 CEDAR SPRINGS 14211 WHITE CREEK CEDAR SPRINGS MI 49319 PT, RADIOLOGY AND MAMMOGRAPHY METRO HEALTH CASCADE 4300 CASCADE GRAND RAPIDS MI 49546 PT, RADIOLOGY AND MAMMOGRAPHY METRO HEALTH ALLENDALE 11160 W J PRESLEY PARKWAY STE 100 ALLENDALE MI 49401 PT, RADIOLOGY AND MAMMOGRAPHY METRO HEALTH OPHTHALMOLOGY 2221 HEALTH DRIVE SW WYOMING MI 49519 OPHTHALMOLOGY METRO HEALTH LOWELL 2550 WEST MAIN LOWELL MI 49331 PT, RADIOLOGY AND MAMMOGRAPHY METRO HEART AND VASCULAR - GREENVILLE 1915 WEST WASHINGTON GREENVILLE MI 48838 HEART AND VASCULAR GR HOME FOR VETS 3000 MONROE NW GRAND RAPIDS MI 49505 HEART AND VASCULAR AND SPEECH METRO HEALTH ALGER HEIGHTS 806 ALGER STREET SE GRAND RAPIDS MI 49507 FAMILY PRACTICE 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 COMMUNITYS WATER SYSTEM AND AWAY FROM CHILDREN WHO MIGHT FIND THEM IN A HOME. 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: SEE PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS 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: ACROSS THE HOSPITAL, IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED IN PART V, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPROVE THE HEALTH OF RESIDENTS OF THE COMMUNITIES SERVED BY METRO HEALTH. 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. PATIENTS WHO REPORT HAVING NO INSURANCE OR HIGH DEDUCTIBLE INSURANCE AT REGISTRATION ARE PROVIDED INFORMATION ABOUT OUR METROCARE PROGRAM. THIS PROGRAM PROVIDES A 40% DISCOUNT TO ALL PATIENTS WITHOUT INSURANCE AND A TWO-YEAR, NO-INTEREST PAYMENT PLAN FOR THOSE PATIENTS WITH A BALANCE OF MORE THAN $25.00. 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. PART VI, LINE 4: METRO HEALTH'S PRIMARY SERVICES AREA INCLUDES KENT, ALLEGAN AND OTTAWA COUNTIES. THE ORGANIZATION'S REACH INTO THE COMMUNITY IS ENHANCED BY POSITIONING HEALTHCARE SERVICES THROUGHOUT THE COMMUNITY, INCLUDING NEIGHBORHOOD OUTPATIENT CENTERS RINGING THE GREATER GRAND RAPIDS AREA; SATELLITE CARDIOLOGY OFFICES IN GREENVILLE, SHERIDAN, ALLEGAN AND IN DOWNTOWN GRAND RAPIDS, MICHIGAN; AN AMBULATORY SURGERY CENTER IN DOWNTOWN GRAND RAPIDS, MICHIGAN; A COMMUNITY CLINIC FOR THE UNDERSERVED AND THE METRO HEALTH CANCER CENTER LOCATED NEAR THE HOSPITAL OFFERING MEDICAL ONCOLOGY THOUGH METRO HEALTH PHYSICIANS AND RADIATION ONCOLOGY THOUGH A PARTNERSHIP WITH UNIVERSITY OF MICHIGAN DEPARTMENT OF RADIATION ONCOLOGY. METRO HEALTH ALSO OPERATES THE STUDENT HEALTH CENTERS AT GRAND VALLEY STATE UNIVERSITY AND AQUINAS COLLEGE.KENT COUNTY, WHERE THE MAJORITY OF METRO HEALTH PATIENTS RESIDE, IS THE FOURTH LARGEST COUNTY IN MICHIGAN. IN 2010, THERE WERE 602,622 PEOPLE LIVING IN KENT COUNTY MEANING 6.1% OF MICHIGAN'S POPULATION LIVES IN KENT COUNTY. KENT COUNTY INCLUDES A DIVERSE MIX OF DEMOGRAPHICS. ACCORDING TO THE UNITED STATES CENSUS BUREAU WEB SITE (2010 CENSUS), 76 PERCENT OF THE POPULATION IS WHITE (NOT HISPANIC). THE HISPANIC POPULATION IS 9.7 PERCENT OF RESIDENTS; THE AFRICAN AMERICAN POPULATION IS 9.7 PERCENT OF THE COMMUNITY, AND ASIAN AMERICANS COMPRISE 2.3 PERCENT OF THE POPULATION.PER THE CENSUS BUREAU, MEDIAN HOUSEHOLD INCOME IN KENT COUNTY (FOR 2006-2010) IS $29,532, AND 14.3 PERCENT OF THE POPULATION IS CONSIDERED BELOW THE POVERTY LEVEL. THE 2011 COMMUNITY HEALTH NEEDS ASSESSMENT FOUND THAT COMPARED TO MICHIGAN, KENT COUNTY HAD A HIGHER PROPORTION OF ADULT RESIDENTS AGED 18-64 WHO DO NOT HAVE HEALTH INSURANCE AND A HIGHER PROPORTION OF HOUSEHOLDS THAT SPEAK SPANISH OR ANOTHER LANGUAGE OTHER THAN ENGLISH AT HOME. PART VI, LINE 5: IN FISCAL YEAR 2014, 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 ALZHEIMERS, BREASTFEEDING AND CANCER SERVICES. AS A TEACHING HOSPITAL, METRO ALSO OFFERS EDUCATIONAL OPPORTUNITIES TO MEDICAL RESIDENTS, NURSES, RADIOLOGY TECHS, PHLEBOTOMISTS AND EVEN HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN MEDICAL PROFESSIONS. THE METRO HEALTH FARM MARKET IS ANOTHER WAY METRO SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY. FOR EIGHT 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 IS VERY SUCCESSFUL AND WOULD NOT BE POSSIBLE WITHOUT THE BUY-IN OF THE EMPLOYEE TEAM.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 X X 1 1 X X 0 1 0 0 0 0 0 0 0 MICHAEL FAAS CHIEF EXECUTIVE OFFICER 773571 0 166503 0 365539 0 10200 0 15680 0 1331493 0 0 0 DAVID ALBRECHT DO BOARD MEMBER 250000 0 59216 0 0 0 10200 0 14398 0 333814 0 0 0 LANCE OWENS DO BOARD MEMBER 179194 0 103204 0 0 0 10200 0 13994 0 306592 0 0 0 BRADLEY CLEGG VP - CLINICAL INFORMATICS 225964 0 66917 0 13389 0 7650 0 14309 0 328229 0 0 0 FLOYD WILSON JR EVP - EXTERNAL RELATIONS/MARKETING 295165 0 76309 0 37677 0 10200 0 14309 0 433660 0 0 0 FRANK BELSITO EVP - MEDICAL GROUP 412814 0 105375 0 34838 0 10200 0 12379 0 575606 0 0 0 LAURA STASKIEWICZ EVP - CHIEF FUNDRAISING OF 194773 0 50388 0 18447 0 8062 0 14537 0 286207 0 0 0 VERONICA MARSICH VP - LEGAL 235545 0 49000 0 10350 0 9563 0 6302 0 310760 0 0 0 WILLIAM LEWKOWSKI EVP - CHIEF INFORMATION OFFICER 231995 0 60000 0 20334 0 28050 0 14569 0 354948 0 0 0 ANDREW BEHLER PHYSICIAN 539708 0 174057 0 660 0 10200 0 15474 0 740099 0 0 0 PAUL KOVACK PHYSICIAN 567918 0 168332 0 1518 0 10200 0 14569 0 762537 0 0 0 MICHAEL ZAKEM PHYSICIAN 947949 0 0 0 4356 0 0 0 14569 0 966874 0 0 0 MATTHEW SEVENSMA PHYSICIAN 580848 0 196717 0 660 0 10200 0 6110 0 794535 0 0 0 ERIC HEDLUND PHYSICIAN 526675 0 247050 0 406 0 10200 0 8195 0 792526 0 0 0 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, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAUL KOVACK $23,000 MATTHEW SEVENSMA $16,500 MICHAEL ZAKEM $23,000 A KENT HOSPITAL FINANCE AUTHORITY 382350002 490580CB1 2005-04-19 139985272 BUILD METRO HOSPITAL 0 0 0 B KENT HOSPITAL FINANCE AUTHORITY 382350002 490580EE3 2012-04-19 57700000 REFUND 2005B BONDS ISSUED 4/19/2005 & PURCHASE POWER PLANT 0 0 0 A 4125000 145317483 10448488 17302313 2638197 3579804 128617074 2007 0 0 1 1 B 57700000 342502 635949 263645 28150409 2012 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 0 MERCANTILE BANK MICHAEL PRICE, CEO OF MERCANTILE 2021063 MERCANTILE HAS PROVIDED BANKING SERVICES TO METRO. BANK LENT MONEY FOR A TERM LOAN AND SUPPLIES CHECKING SERVICES. 0 HEALTH PARK MEDICAL BUILDING DR. FURLONG, PARTNER IN HEALTH PARK MEDICAL BUILDING AND BOARD MEMBER 729570 LEASE OF BUILDING 0 LOWELL REAL ESTATE GROUP DR. GAUTHIER, PARTNER IN LOWELL REAL ESTATE GROUP AND BOARD MEMBER 112127 LEASE OF BUILDING 0 5950 METRO WAY LLC DR. ZAKEM, PARTNER IN 5950 METRO WAY, LLC AND BOARD MEMBER 516956 LEASE OF BUILDING 0 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 11 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 2014, 123 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 CONTROLLER AND 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 OTHER FEES: PROGRAM SERVICE EXPENSES 27,293,445. MANAGEMENT AND GENERAL EXPENSES 3,393,371. FUNDRAISING EXPENSES 18,221. TOTAL EXPENSES 30,705,037. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS 806,060. UNREALIZED GAIN ON EQUITY INVESTMENT 2,253,769. TRANSFER TO AFFILATE -5,345,813. 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. 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