Metropolitan Hospital

“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.”

“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.”

“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.”

“Documents are made available upon request.”

“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.”

“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.”

“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.”

“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.”