2017-05-15T16:27:59-05:00 2016-06-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2015-07-01 380593405 METROPOLITAN HOSPITAL METR 6162527200 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 KRIS KURTZ CFO 6162527200 2017-05-15 1 CAROL LALONDE CPA P00181637 2695674500 2017-05-15 2015 2021-01-29 14:40:06Z METRO HEALTH HOSPITAL KRIS KURTZ 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 386870211 0 X WWW.METROHEALTH.NET X 1942 MI SEE SCHEDULE O. 17 11 2970 200 4983052 0 755175 567289 339727458 355917573 1699560 1574604 0 0 342182193 358059466 0 0 0 0 135613543 137141418 0 0 234433 207835035 219841254 343448578 356982672 -1266385 1076794 401352804 395062166 329358843 340775502 71993961 54286664 X TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. 0 0 284221314 350934521 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 2016, METRO HEALTH WELCOMED 1,533 BABIES INTO OUR COMMUNITY, CARED FOR 64,443 EMERGENCY ROOM VISITS, PERFORMED 1,291,230 LABORATORY TESTS AND 152,153 DIAGNOSTIC RADIOLOGY PROCEDURES AND COUNTED 43,169 PATIENT DAYS. THE METRO HEALTH COMMUNITY CLINIC, WHICH PROVIDES MEDICAL CARE TO THE UNDERSERVED, PROVIDED CARE FOR 19,997 PATIENT VISITS. METRO HEALTH'S MEDICAL EDUCATION PROGRAM INCLUDED 118 MEDICAL STUDENTS, RESIDENTS AND FELLOWS. 284221314 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 366 0 1 2970 1 1 1 0 0 0 0 0 0 0 0 0 X 17 11 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 JANE M ROSS CHAIRPERSON 5.00 13.00 X X 0 0 0 MICHAEL FAAS CHIEF EXECUTIVE OFFICER 60.00 9.00 X X 1347796 0 23219 LAURA HOPSON SECRETARY 5.00 0.00 X X 0 0 0 JACQUELINE D SCOTT CHAIRPERSON - PART YEAR 5.00 1.00 X X 0 0 0 MICHAEL H PRICE TREASURER - PART YEAR 5.00 1.00 X X 0 0 0 VICTOR VASQUEZ JR SECRETARY - PART YEAR 5.00 1.00 X X 0 0 0 BARBARA A MIERAS BOARD MEMBER 5.00 0.00 X 0 0 0 CARLOS SANCHEZ BOARD MEMBER 5.00 0.00 X 0 0 0 DAVID ALBRECHT DO BOARD MEMBER 60.00 0.00 X 288033 0 24215 LANCE OWENS DO BOARD MEMBER 60.00 0.00 X 251391 0 24090 PAUL R GAUTHIER DO BOARD MEMBER 5.00 0.00 X 0 0 0 THERESE ROUSE DO BOARD MEMBER 5.00 0.00 X 0 0 0 TODD HARTGERINK DO BOARD MEMBER 5.00 0.00 X 0 0 0 WILLIAM JOHN BARKLEY BOARD MEMBER 5.00 0.00 X 0 0 0 CONNIE M BOHATCH BOARD MEMBER 5.00 0.00 X 0 0 0 SCOTT W EPSTEIN BOARD MEMBER 5.00 0.00 X 0 0 0 JOHN F KELLER MD BOARD MEMBER 5.00 0.00 X 0 0 0 JOHN KEY DO BOARD MEMBER 60.00 0.00 X 826990 0 19639 CYNTHIA A MCCURREN BOARD MEMBER 5.00 0.00 X 0 0 0 JIHAD A MUSTAPHA MD BOARD MEMBER 60.00 0.00 X 748137 0 24380 BRADLEY CLEGG CHIEF MEDICAL INFORMATION OFFICER 60.00 0.00 X 295428 0 13780 FLOYD WILSON JR EVP - CHIEF ADMINISTRATIVE OFFICER 60.00 0.00 X 409661 0 24380 FRANK BELSITO CHIEF PHYSICIAN EXECUTIVE NETWORK 60.00 0.00 X 549503 0 22289 VERONICA MARSICH VP - LEGAL 60.00 0.00 X 311382 0 16294 WILLIAM CUNNINGHAM EVP - SYSTEMS DEVELOPMENT 60.00 0.00 X 66500 0 258 WILLIAM LEWKOWSKI EVP - CHIEF INFORMATION OFFICER 60.00 0.00 X 324632 0 24070 KRIS KURTZ CHIEF FINANCIAL OFFICER 60.00 0.00 X 268011 0 23511 JEFF POSTLEWAITE INSTITUTIONAL OFFICIAL FOR MEDICAL EDUCATION 60.00 0.00 X 456999 0 24126 JOSH WILDA VP OF INFORMATION TECHNOLOGY 60.00 0.00 X 168174 0 20544 MARY MARKS CHIEF NURSING OFFICER 60.00 0.00 X 272122 0 8485 TOM HEETDERKS VP OF HUMAN RESOURCES 60.00 0.00 X 0 0 0 PETER HAHN CHIEF MEDICAL OFFICER 60.00 0.00 X 0 0 0 HEATHER HUDSON VP OF HUMAN RESOURCES - PART YEAR 60.00 0.00 X 179214 0 14079 MICHAEL ZAKEM PHYSICIAN 60.00 0.00 X 951571 0 22289 MATTHEW SEVENSMA PHYSICIAN 60.00 0.00 X 876728 0 24784 PAUL KOVACK PHYSICIAN 60.00 1.00 X 840204 0 25609 BARBARA KARENKO PHYSICIAN 60.00 0.00 X 808040 0 16684 ERIC WALCHAK PHYSICIAN 60.00 0.00 X 817953 0 10600 11058469 0 407325 159 0 1 0 GREAT LAKES NEUROSURGICAL ASSOCIATES PC 414 PLYMOUTH NE GRAND RAPIDS MI 49505 MEDICAL SERVICES 5935819 ANESTHESIA MEDICAL CONSULTANTS 3333 EVERGREEN DR NE GRAND RAPIDS MI 49525 MEDICAL SERVICES 4014424 BEST PRACTICES INPATIENT CARE LTD 3880 SALEM LAKE DR LONG GROVE IL 60047 MEDICAL SERVICES 2295364 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 53288 MEDICAL INFORMATION TECHNOLOGY 2032424 SODEXO CTM INC PO BOX 415000 NASHVILLE TN 37241 MEDICAL SERVICES 1771737 62 567289 567289 NET PATIENT REVENUE 541380 338810358 333827306 4983052 OTHER REVENUE 541380 17107215 17107215 355917573 1249457 1249457 24579587 4556305 24089919 4720826 489668 -164521 325147 325147 358059466 350934521 4983052 1574604 X 7071333 5339834 1723062 8437 107090937 84518783 22438577 133577 196244 196244 14439225 122899 14316326 8343679 7147144 1186114 10421 2338680 2338680 3053483 3053483 169488 169488 148607 148607 42503301 38394760 4091736 16805 2318422 122973 2195449 6868159 6133764 698158 36237 13135070 745397 12389673 22014302 21365998 648304 2500048 1662283 816653 21112 14278032 12461293 1816739 19694051 17054446 2639605 3475151 1316625 2158526 MEDICAL SUPPLIES 61035117 61035117 BAD DEBT 14770578 14770578 EQUIPMENT 6008790 5976780 32010 CONSULTING 2175113 871916 1295353 7844 3354862 2842044 512818 356982672 284221314 72526925 234433 34312822 50111833 831843 1131136 36546843 33329722 962758 1003258 6209632 7318229 4889258 1415970 440520650 201755036 254799552 238765614 49926502 50079432 12873594 11906972 401352804 395062166 24713158 31970083 950605 897084 180400000 177455000 20209302 16943276 103085778 113510059 329358843 340775502 X 71993961 54286664 71993961 54286664 401352804 395062166 X 1076794 -1145829 -17638262 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10491463 10491463 241606064 61099277 180506787 9387770 4184930 5202840 174790924 136470829 38320095 4244429 4244429 238765614 ORIGINAL BOND ISSUE PREMIUM 3309667 ACCRUED LIABILITIES 43797258 ACCRUED LIABILITIES AND GENERAL LIABILITY CLAIMS 13160842 COST REPORT SETTLEMENT PAYABLE 3218641 CAPITAL LEASE OBLIGATIONS 50023651 113510059 343901441 -1145829 1906989 761160 343140281 148607 14770578 14919185 358059466 342063487 0 342063487 148607 14770578 14919185 356982672 PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON EQUITY INVESTMENT 1,906,989. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 14,770,578. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 14,770,578. 1 1 X 1 X 175.000000000000 1 X 225.000000000000 1 1 0 0 2119891 2119891 0.00620 60675181 51419541 9255640 0.02700 62795072 51419541 11375531 0.03320 23232 3789 19443 0.00010 9135890 2736386 6399504 0.01870 1109602 752356 357246 0.00100 1106096 0 1106096 0.00320 11374820 3492531 7882289 0.02300 74169892 54912072 19257820 0.05620 2 1500 3750 3750 0.00000 2 1500 3750 3750 1 14770578 52481645 64060161 -11578516 X 1 1 1 1 METROPOLITAN HOSPITAL 5900 BYRON CENTER AVE S W WYOMING MI 49519 HTTP://METROHEALTH.NET/ 1060000092 X X X X METROPOLITAN HOSPITAL 1 0 0 1 X X X X X X X X X 14 1 1 1 1 X HTTPS://METROHEALTH.NET/WP-CONTENT/UPLOADS/2014/09/CHNA2014.PDF X 1 14 1 HTTPS://METROHEALTH.NET/WP-CONTENT/UPLOADS/2014/09/METRO-HEALTH-COMMUNITY- 0 0 1 X 175.000000000000 225.000000000000 X X X X X 1 1 X X X 1 X HTTPS://METROHEALTH.NET/SEARCH/FINANCIAL+ASSISTANCE+POLICY X HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/METRO-HE X HTTPS://METROHEALTH.NET/ABOUT-METRO-HEALTH/BILLING-PAYMENT-OPTIONS/FINANCIA X X X X X X 1 X 0 X X X X 1 X 0 0 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: MERCY HEALTH, SPECTRUM HEALTH, MARY FREE BED, AND PINE REST CHRISTIAN MENTAL HEALTH SERVICES. METROPOLITAN HOSPITAL PART V, SECTION B, LINE 6B: KENT COUNTY HEALTH DEPARTMENT, YMCA, NETWORK 180 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 13B: A PATIENT WHOSE HOSPITAL BILLS AFTER PAYMENT BY THIRD-PARTY PAYERS EXCEED 15% OF THE PERSON'S ANNUAL GROSS INCOME AS SET FORTH IN THIS POLICY AND WHO IS UNABLE TO PAY THE REMAINING BILL MAY BE CONSIDERED MEDICALLY INDIGENT AND IS ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE. OTHER FINANCIAL ASSETS AND LIABILITIES OF THE PERSON MAY BE CONSIDERED WHEN DETERMINING ABILITY TO PAY. A DETERMINATION OF A PATIENT'S ABILITY TO PAY THE REMAINDER OF THE BILL WILL BE BASED ON WHETHER THE PATIENT REASONABLY CAN BE EXPECTED TO PAY THE ACCOUNT IN FULL OVER A 25 MONTH PERIOD. IF THE DETERMINATION IS MADE THAT A PATIENT HAS THE ABILITY TO PAY THE REMAINDER OF THE BILL, SUCH DETERMINATION DOES NOT PREVENT A REASSESSMENT OF THE PATIENT'S ABILITY TO PAY AT A LATER DATE. METROPOLITAN HOSPITAL PART V, SECTION B, LINE 16I: PUBLICATION/NOTICE OF FINANCIAL ASSISTANCE:IT IS THE GOAL OF METRO HEALTH HOSPITAL TO COMMUNICATE TO PATIENTS AND THE PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, "A PATIENT'S GUIDE", METRO HEALTH'S WEBSITE (WWW.METROHEALTH.NET), PATIENT BILLING STATEMENTS, WORD OF MOUTH, COMMUNITY PUBLICATIONS, SIGNAGE IN THE EMERGENCY/ADMISSIONS AREA AND OTHER PUBLIC LOCATIONS. FINANCIAL ASSISTANCE APPLICATIONS WILL BE TRANSLATED INTO LANGUAGES APPROPRIATE TO THE HOSPITAL'S 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. 24 1 - ALGER HEIGHTS 806 ALGER STREET SE GRAND RAPIDS MI 49507 FAMILY PRACTICE 2 - AQUINAS 1607 ROBINSON RD GRAND RAPIDS MI 49506 FAMILY PRACTICE 3 - CANCER SERVICES 5950 METRO WAY WYOMING MI 49519 CANCER CENTER 4 - GVSU 10383 42ND AVE STE A ALLENDALE MI 49401 FAMILY PRACTICE 5 - HEALTHPARK 2093 HEALTH DRIVE WYOMING MI 49519 SLEEP LAB AND ENDOSCOPY, INTERNAL MEDICINE 6 - METRO HEALTH ALLENDALE 11160 W J PRESLEY PARKWAY STE 100 ALLENDALE MI 49401 FAMILY PRACTICE, PT, RADIOLOGY AND MAMMOGRAPHY 7 - METRO HEALTH CALEDONIA PLAZA 8941 NORTH RODGER COURT CALEDONIA MI 49316 FAMILY PRACTICE, PT, RADIOLOGY AND MAMMOGRAPHY 8 - METRO HEALTH CASCADE 4300 CASCADE GRAND RAPIDS MI 49546 FAMILY PRACTICE, PT, RADIOLOGY AND MAMMOGRAPHY 9 - METRO HEALTH CEDAR SPRINGS 14211 WHITE CREEK CEDAR SPRINGS MI 49319 FAMILY PRACTICE, PT, RADIOLOGY AND MAMMOGRAPHY 10 - METRO HEALTH COMMUNITY CLINIC 785 36TH ST SE WYOMING MI 49519 CLINIC FOR LOW INCOME AND OFFICES 11 - METRO HEALTH COMSTOCK PARK 4200 N DIVISION COMSTOCK PARK MI 49321 FAMILY PRACTICE, PT, RADIOLOGY AND MAMMOGRAPHY, PODIATRY 12 - METRO HEALTH ENT 1179 EAST PARIS SE GRAND RAPIDS MI 49546 EAR, NOSE AND THROAT 13 - METRO HEALTH GREENVILLE 1915 WEST WASHINGTON GREENVILLE MI 48838 HEART AND VASCULAR, FAMILY PRACTICE 14 - METRO HEALTH HUDSONVILLE 3912 32ND AVE HUDSONVILLE MI 49426 FAMILY PRACTICE, PT, RADIOLOGY AND MAMMOGRAPHY 15 - METRO HEALTH JENISON 7686 GEORGETOWN CENTER DR JENISON MI 49428 FAMILY PRACTICE, PT, RADIOLOGY AND MAMMOGRAPHY 16 - METRO HEALTH LOWELL 2550 WEST MAIN LOWELL MI 49331 FAMILY PRACTICE, PT, RADIOLOGY AND MAMMOGRAPHY 17 - METRO HEALTH OPHTHALMOLOGY 2221 HEALTH DRIVE SW WYOMING MI 49519 OPHTHALMOLOGY 18 - METRO HEALTH PROFESSSIONAL BUILDING 2122 HEALTH DRIVE SW WYOMING MI 49519 WOUND CLINIC, LAB AND PULMONARY REHAB 19 - METRO HEALTH ROCKFORD 4685 BELDING ROAD ROCKFORD MI 49341 FAMILY PRACTICE, DIABETES ED, PT, RADIOLOGY AND MAMMOGRAPHY 20 - METRO HEALTH WAYLAND 893 E SUPERIOR WAYLAND MI 49348 FAMILY PRACTICE, RADIOLOGY, PT AND MAMMOGRAPHY 21 - METRO HEALTHPARK EAST 4055 CASCADE RD SE GRAND RAPIDS MI 49546 URGENT CARE, SURGERY CENTER 22 - METRO-HEALTH SOUTHWEST PLAZA 2215 44TH STREET SW WYOMING MI 49519 FAMILY PRACTICE, DIABETES ED, PT, RADIOLOGY AND MAMMOGRAPHY 23 - MIDTOWNE 555 MIDTOWN SUITE 105 GRAND RAPIDS MI 49503 HEART AND VASCULAR 24 - YMCA 5722 METRO WAY SW WYOMING MI 49519 SPORTS MEDICINE 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, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 14,770,578. 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, KID'S FOOD BASKET, WEST MICHIGAN HISPANIC CHAMBER OF COMMERCE AND MORE. IN ADDITION, METRO LEADERS AND STAFF MEMBERS PARTICIPATE IN ONE-DAY COMMUNITY ACTIVITIES, SUCH AS PRESENTING HEALTH OR CAREER INFORMATION IN AREA SCHOOLS FROM ELEMENTARY SCHOOLS TO COLLEGES AND UNIVERSITIES. AS AN OSTEOPATHIC TEACHING HOSPITAL, WE HAVE A SIGNIFICANT PRESENCE WITH THE MICHIGAN ASSOCIATION OF OSTEOPATHIC DIRECTORS AND MEDICAL EDUCATORS. THIS ASSOCIATION HELPS TRAIN NEW PHYSICIANS AND DEVELOPS THE CURRICULUM USED FOR MEDICAL RESIDENTS AND STUDENT INTERNS THROUGHOUT OUR STATE. SEVERAL MEMBERS OF OUR STAFF ARE INVOLVED IN THIS GROUP AT THE STATE LEVEL AND SPEND A LARGE NUMBER OF HOURS EVERY YEAR SERVING IN THIS CAPACITY. METRO HEALTH IS ALSO THE EDUCATION SITE FOR OVER ONE HUNDRED MEDICAL FELLOWS, RESIDENTS AND STUDENTS. METRO ALSO PROMOTES HEALTH IN OUR COMMUNITY AND STEWARDSHIP OF NATURAL RESOURCES BY COLLABORATING WITH THE CITY OF WYOMING TO HOST TWO DRUG TAKE BACK DAYS EACH YEAR. BY WORKING TOGETHER WE ARE ABLE TO BRING THIS U.S. DEPARTMENT OF JUSTICE/DRUG ENFORCEMENT ADMINISTRATION PROGRAM TO OUR COMMUNITY. THE CITY OF WYOMING PROVIDES DISPOSAL AND LAW ENFORCEMENT PERSONNEL, WHILE METRO HEALTH PROVIDES PHARMACISTS TO ANSWER COMMUNITY MEMBER QUESTIONS AND HELP SORT DRUGS AND A CONVENIENT LOCATION FOR COMMUNITY MEMBERS TO DROP OFF UNUSED AND EXPIRED DRUGS. BY PROPERLY DISPOSING OF THE MATERIALS, WE ARE ABLE TO KEEP THESE DRUGS OUT OF THE COMMUNITY'S WATER SYSTEM AND AWAY FROM CHILDREN WHO MIGHT FIND THEM IN A HOME. METRO IS CURRENTLY WORKING WITH THE CITY OF WYOMING FIRE DEPARTMENT WITH EMT TRAINING FOR THEIR STAFF. 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. THE NEXT COMMUNITY HEALTH SURVEY WILL BE ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT OF 2017.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 2016, METRO HEALTH HOSPITAL CONTINUED TO PROVIDE COMMUNITY BENEFIT BY PROVIDING HIGH QUALITY, COORDINATED PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY PROGRAMS. WE PROVIDED THESE SERVICES IN KENT COUNTY, MICHIGAN AND THE SURROUNDING WEST MICHIGAN AREAS. METRO'S GOVERNANCE STRUCTURE, OPEN MEDICAL STAFF, OUTREACH PROGRAMMING AND MORE CONTRIBUTE TO HOW WE PROMOTE COMMUNITY HEALTH. 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, STRESS MANAGEMENT CLASSES AND MANY MORE. WHILE ALL OF THE LIVE HEALTHY CLASSES ARE FREE OR LOW COST, IF COST IS A DETERRENT FOR PEOPLE BEING ABLE TO ATTEND, THE COMMUNITY OUTREACH DEPARTMENT WAIVES THE FEE. FREE HEALTH SCREENS ARE ALSO AN IMPORTANT COMPONENT OF THE LIVE HEALTHY PROGRAM. AS EXAMPLES, FREE BLOOD PRESSURE SCREENS ARE HELD MONTHLY IN THE HOSPITAL AND AT THREE OFFSITE PHYSICIAN OFFICES. HOLDING SCREENS AT THESE REMOTE LOCATIONS MAKES IT EASIER FOR MORE PEOPLE IN OUR SERVICE AREA TO TAKE ADVANTAGE OF THE FREE SERVICE. FOR EXAMPLE, METRO ALSO OFFERED FREE SCREENING EVENTS FOR PERIPHERAL ARTERY DISEASE (PAD) AND SUDDEN CARDIAC DEATH IN HIGH SCHOOL ATHLETES. PAD CAN RESULT AS A SIDE EFFECT OF DIABETES OR OTHER ILLNESSES; ALL PEOPLE AT RISK OF HEART DISEASE ARE AT RISK OF PAD. LEFT UNTREATED PAD CAN RESULT IN CRITICAL LIMB ISCHEMIA AND/OR AMPUTATION. BY TREATING PAD BEFORE IT ESCALATES, PHYSICIANS ARE HELPING PATIENTS AVOID COSTLY AND LIFE-CHANGING MAJOR AMPUTATIONS. OUR COMMUNITY WAS DIRECTLY AFFECTED BY THE DEATH OF A YOUNG ATHLETE ON THE BASKETBALL COURT. PARENTS AND SCHOOL ADMINISTRATORS ALIKE SOUGHT RESOURCES FOR IDENTIFYING RISKS OF SUDDEN CARDIAC DEATH. AS A RESULT, 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 ASLO ACCEPT DOUBLE UP FOOD BUCKS, SENIOR PROJECT FRESH, AND WIC. AS AN ADDED BENEFIT, METRO OFFERED FREE HEALTH SCREENS AND COOKING CLASSES AT THE MARKET SO THAT AREA RESIDENTS COULD LEARN ABOUT THEIR HEALTH AND LEARN WAYS TO COOK THE DELICIOUS, HEALTHY FOODS AVAILABLE AT THE MARKET REGARDLESS OF THEIR INCOME LEVEL.METRO HEALTH IS ALSO COMMITTED TO PROTECTING THE ENVIRONMENT THROUGH A NUMBER OF GREEN INITIATIVES. OUR HOSPITAL BUILDING IS ONE OF THE FIRST HOSPITALS IN THE NATION DESIGNED AND BUILT TO BE LEED-CERTIFIED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN), AND IT IS LOCATED IN THE METRO HEALTH VILLAGE WHICH REQUIRES ALL BUILDINGS ON THE PROPERTY TO BE DESIGNED AND BUILT FOR LEED CERTIFICATION. EMPLOYEE AND COMMUNITY PARTICIPATION IN RECYCLING AND COMPOSTING PROGRAMS AT THE HOSPITAL CONTINUES TO GROW EACH YEAR. THE HOSPITAL KITCHEN RECYCLING AND COMPOSTING IS VERY SUCCESSFUL AND WOULD NOT BE POSSIBLE WITHOUT THE BUY-IN OF THE EMPLOYEE TEAM. WE HAVE CREATED A SUSTAINABILTY COMMITTEE THAT INCLUDES EMPLOYEE LEADERSHIP THROUGHOUT THE ORGANIZATION THAT PLAY AN IMPORTANT ROLE IN OUR SUSTAINABILITY INITIATIVES. BEYOND THE WALLS OF THE HOSPITAL, 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 968388 0 340000 0 39408 0 10600 0 12619 0 1371015 0 0 0 DAVID ALBRECHT DO BOARD MEMBER 245841 0 41598 0 594 0 10450 0 13765 0 312248 0 0 0 LANCE OWENS DO BOARD MEMBER 159922 0 90960 0 509 0 10178 0 13912 0 275481 0 0 0 JOHN KEY DO BOARD MEMBER 587052 0 238420 0 1518 0 7950 0 11689 0 846629 0 0 0 JIHAD A MUSTAPHA MD BOARD MEMBER 545700 0 201447 0 990 0 10600 0 13780 0 772517 0 0 0 BRADLEY CLEGG CHIEF MEDICAL INFORMATION OFFICER 233347 0 48801 0 13280 0 0 0 13780 0 309208 0 0 0 FLOYD WILSON JR EVP - CHIEF ADMINISTRATIVE OFFICER 295383 0 76309 0 37969 0 10600 0 13780 0 434041 0 0 0 FRANK BELSITO CHIEF PHYSICIAN EXECUTIVE NETWORK 410540 0 105725 0 33238 0 10600 0 11689 0 571792 0 0 0 VERONICA MARSICH VP - LEGAL 250252 0 50470 0 10660 0 10096 0 6198 0 327676 0 0 0 WILLIAM LEWKOWSKI EVP - CHIEF INFORMATION OFFICER 240541 0 61800 0 22291 0 10290 0 13780 0 348702 0 0 0 KRIS KURTZ CHIEF FINANCIAL OFFICER 225816 0 41205 0 990 0 10030 0 13481 0 291522 0 0 0 JEFF POSTLEWAITE INSTITUTIONAL OFFICIAL FOR MEDICAL E 394661 0 59500 0 2838 0 10391 0 13735 0 481125 0 0 0 JOSH WILDA VP OF INFORMATION TECHNOLOGY 135889 0 26746 0 5539 0 6625 0 13919 0 188718 0 0 0 MARY MARKS CHIEF NURSING OFFICER 228233 0 41205 0 2684 0 7950 0 535 0 280607 0 0 0 HEATHER HUDSON VP OF HUMAN RESOURCES - PART YEAR 170327 0 7250 0 1637 0 0 0 14079 0 193293 0 0 0 MICHAEL ZAKEM PHYSICIAN 947215 0 0 0 4356 0 10600 0 11689 0 973860 0 0 0 MATTHEW SEVENSMA PHYSICIAN 586284 0 289784 0 660 0 10600 0 14184 0 901512 0 0 0 PAUL KOVACK PHYSICIAN 581983 0 256703 0 1518 0 10600 0 15009 0 865813 0 0 0 BARBARA KARENKO PHYSICIAN 536006 0 271440 0 594 0 10600 0 6084 0 824724 0 0 0 ERIC WALCHAK PHYSICIAN 586433 0 230530 0 990 0 10600 0 0 0 828553 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 $18,000 MATTHEW SEVENSMA $18,000 MICHAEL ZAKEM $16,500 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 10345000 145370253 10445920 19923875 2587500 3579804 128617074 2007 0 0 1 1 B 4900000 57700000 342502 635949 263645 28150409 2012 1 0 1 1 A 0 0 1 1 0 0 0 0 B 0 0 1 1 0 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 DR GAUTHIER BOARD MEMBER & PARTNER IN LOWELL REAL ESTATE GROUP 121281 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 2016, 118 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 2015. AS OF 1/1/2015, 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 5,453,729. MANAGEMENT AND GENERAL EXPENSES 9,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,462,944. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,688,006. MANAGEMENT AND GENERAL EXPENSES 973,468. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,661,474. PURCHASED PHYS CLINICAL: PROGRAM SERVICE EXPENSES 12,106,899. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,106,899. PURCHASED PHYS ON-CALL: PROGRAM SERVICE EXPENSES 2,231,283. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,231,283. PURCHASED ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 2,912,416. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,912,416. PURCHASED NON-MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,776,009. MANAGEMENT AND GENERAL EXPENSES 2,450,814. FUNDRAISING EXPENSES 16,805. TOTAL EXPENSES 6,243,628. AGENCY STAFFING: PROGRAM SERVICE EXPENSES 3,189,930. MANAGEMENT AND GENERAL EXPENSES 543,769. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,733,699. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,036,488. MANAGEMENT AND GENERAL EXPENSES 114,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,150,958. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -18,706,085. UNREALIZED GAIN ON EQUITY INVESTMENT 1,906,989. TRANSFER TO AFFILATE -839,166. 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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