Civic Intelligence

Metropolitan Hospital

990 • Fiscal year 2020 • EIN 38-0593405

Jul 01, 2019 to Jun 30, 2020 • Filed on Apr 19, 2021

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5900 Byron Center Avenue SWWyoming, MI 49519

(616) 252-4844

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

89th percentile

0.93x

Higher debt load relative to assets than 89% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Liabilities / Revenue

59th percentile

0.71x

Higher debt load relative to revenue than 59% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Net Margin

42nd percentile

1.9%

Higher net margin than 42% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Top Officer Pay

67th percentile

$1,260,217

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Asset Growth

80th percentile

19%

Faster asset growth than 80% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Revenue Growth

54th percentile

2.7%

Faster revenue growth than 54% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Assets

Up

$382,910,920

Up $60,141,173 (+19%) from 2019

Net Assets

Up

$26,173,305

Up $11,644,198 (+80%) from 2019

Liabilities

Up

$356,737,615

Up $48,496,975 (+16%) from 2019

Revenue

Up

$505,950,219

Up $13,308,758 (+2.7%) from 2019

Expenses

Up

$496,447,827

Up $3,841,222 (+0.8%) from 2019

Net Income

Up

$9,502,392

Up $9,467,536 (+27162%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0Assets 2010: $319,295,872Liabilities 2010: $240,256,781Net Assets 2010: $79,039,0912010Assets 2011: $328,548,405Liabilities 2011: $234,433,761Net Assets 2011: $94,114,6442011Assets 2012: $365,402,809Liabilities 2012: $283,632,837Net Assets 2012: $81,769,9722012Assets 2013: $366,687,541Liabilities 2013: $288,364,253Net Assets 2013: $78,323,2882013Assets 2014: $367,223,101Liabilities 2014: $281,050,023Net Assets 2014: $86,173,0782014Assets 2015: $401,352,804Liabilities 2015: $329,358,843Net Assets 2015: $71,993,9612015Assets 2016: $395,062,166Liabilities 2016: $340,775,502Net Assets 2016: $54,286,6642016Assets 2017: $388,908,340Liabilities 2017: $350,013,835Net Assets 2017: $38,894,5052017Assets 2018: $348,511,300Liabilities 2018: $334,060,573Net Assets 2018: $14,450,7272018Assets 2019: $322,769,747Liabilities 2019: $308,240,640Net Assets 2019: $14,529,1072019Assets 2020: $382,910,920Liabilities 2020: $356,737,615Net Assets 2020: $26,173,3052020Assets 2021: $393,317,505Liabilities 2021: $304,354,426Net Assets 2021: $88,963,0792021Assets 2022: $438,298,116Liabilities 2022: $345,930,237Net Assets 2022: $92,367,8792022Assets 2023: $446,376,632Liabilities 2023: $386,446,483Net Assets 2023: $59,930,1492023

Highlighted filing

2020

Assets$382,910,920
Liabilities$356,737,615
Net Assets$26,173,305

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $254,114,8422010Expenses 2011: $263,271,3362011Expenses 2012: $276,029,0022012Expenses 2013: $302,665,5692013Revenue 2014: $304,479,171Expenses 2014: $295,545,316Net Income 2014: $8,933,8552014Revenue 2015: $342,182,193Expenses 2015: $343,448,578Net Income 2015: -$1,266,3852015Revenue 2016: $358,059,466Expenses 2016: $356,982,672Net Income 2016: $1,076,7942016Revenue 2017: $383,181,148Expenses 2017: $411,356,268Net Income 2017: -$28,175,1202017Revenue 2018: $445,210,483Expenses 2018: $447,003,671Net Income 2018: -$1,793,1882018Revenue 2019: $492,641,461Expenses 2019: $492,606,605Net Income 2019: $34,8562019Revenue 2020: $505,950,219Expenses 2020: $496,447,827Net Income 2020: $9,502,3922020Revenue 2021: $523,749,742Expenses 2021: $504,904,370Net Income 2021: $18,845,3722021Revenue 2022: $541,463,922Expenses 2022: $535,885,523Net Income 2022: $5,578,3992022Revenue 2023: $552,971,583Expenses 2023: $583,399,784Net Income 2023: -$30,428,2012023

Highlighted filing

2020

Revenue$505,950,219
Expenses$496,447,827
Net Income$9,502,392
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Apr 19, 2021
Return Version
2019v5.0
Gross Receipts
$505,950,219
Mission and Program Overview

Mission

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 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

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$227,377,550$233,818,658▲ $6,441,108
Savings and Temporary Cash Investments$50,233$52,273,333▲ $52,223,100
Accounts Receivable$55,626,958$47,248,160▼ $8,378,798
Cash and Non-Interest-Bearing Accounts$1,194,491$16,296,487▲ $15,101,996
Inventories for Sale or Use$8,250,514$8,625,458▲ $374,944
Investments in Publicly Traded Securities$6,563,773$6,161,528▼ $402,245
Prepaid Expenses and Deferred Charges$1,668,821$1,708,780▲ $39,959
Intangible Assets$2,509,727$1,597,992▼ $911,735
Other Notes and Loans Receivable, Net$844,599$884,347▲ $39,748
Total Assets$322,769,748$382,910,920▲ $60,141,172
Other Assets Total$18,683,082$14,296,177▼ $4,386,905
Liabilities
Other Liabilities$269,021,828$310,920,173▲ $41,898,345
Accounts Payable and Accrued Expenses$28,938,826$36,444,940▲ $7,506,114
Mortgage Notes Payable Secured by Investment Property$8,768,693$8,062,729▼ $705,964
Deferred Revenue$1,511,287$1,309,773▼ $201,514
Total Liabilities$308,240,634$356,737,615▲ $48,496,981
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$14,529,114$26,173,305▲ $11,644,191
Total Net Assets Fund Balance$14,529,114$26,173,305▲ $11,644,191
Total Liabilities and Net Assets / Fund Balance$322,769,748$382,910,920▲ $60,141,172

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$137,925,823$119,743,799$257,669,622
Equipment$40,012,065$178,729,238$218,741,303
Other Land Buildings$29,970,377-$29,970,377
Leasehold Improvements$13,008,801$9,176,274$22,185,075
Land$12,901,592-$12,901,592
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
David SpahlingerVice ChairpePT-$1,260,217$1,260,217
David SpahlingerVice Chairperson-$1,100,000$312,579$1,111,000
Michael FaasPresident-$624,512$328,544$937,091
Matthew SevensmaBoard MemberFT$903,220$292,213$922,859
Augusto EliasPhysicianFT$591,945$291,165$919,706
Barbara KarenkoPhysicianFT$597,610$88,918$891,209
Eric WalchakPhysicianFT$572,332$103,994$862,969
Larry Diaz-sandovalPhysicianPT$829,378$87,226$861,940
Paul KovackPhysicianFT$539,627$100,289$625,795
Rakesh PaiPresident-meFT$539,713$18,724$558,437
Peter HahnCEOPT$436,977$91,017$558,437
Jeffery PostlewaiteVP-medical aFT$444,670$23,801$468,471
Rakesh PaiPresident-med/cpho-$381,052$123,571$468,471
Jeffery PostlewaiteVP-medical Affairs-$364,657$76,883$413,223
Quinta VreedeBoard MemberFT$287,874$84,214$381,478
Ronald GrifkaCMOFT$240,000$66,862$373,932
Michelle AndersonBoard MemberPT$262,774$68,027$346,521
Kris KurtzCFOFT$259,332$56,771$343,489
Joshua WildaCIOFT$280,351$43,714$339,821
Bradley CleggCmioFT$243,195$43,551$304,247
Penny DevriesVP-marketingFT$240,750$17,164$257,914
Steven PolegaCNOFT$207,606$33,992$257,914
Lance OwensCmioFT$175,374$14,841$227,062
Jennifer GonzalezChroFT$181,214$33,671$225,421
Jenevra FoleyVP-pm/net. DPT$199,751$11,214$210,965
Penny DevriesVP-marketing/commun.-$162,478-$210,965
Rhae-ann BookerVP-deiPT$104,774$8,874$113,648
Phillip VanlaanAgcPT$49,295$15,304$64,599
Lori PriceCOOPT$59,629$1,881$61,510
Monica TaylorCOO-mhmgPT$11,273$238$11,511

Board Members and Trustees

NameTitle
Bruce CourtadeBoard Member
Carlos SanchezBoard Member
Connie BohatchBoard Member
Cynthia MccurrenBoard Member
John KellerBoard Member
Larry RobsonBoard Member
Laura HopsonBoard Member
Patricia GunternBoard Member
Timothy WilliamsBoard Member
Gregory MeyerCCO
Scott EpsteinSecretary/tr
Thomas FantinVP-it
Jenevra FoleyVP-pm/net. Develop.

Highest Paid Contractors

ContractorServicesLocationCompensation
Great Lakes Neurosurgical AssociateMedical Service414 PLYMOUTH NE, Grand Rapid, MI 49505$8,537,654
Epic Systems CorpMedical IsPO BOX 88314, Milwaukee, WI 53288$3,582,773
Virtual Radiologic Professionals MiMedical Service11995 SINGLETREE LANE, Minneapolis, MN 55344$2,612,990
Anesthesia Medical ConsultantsMedical Service333 EVERGREEN DR NE, Grand Rapids, MI 49525$1,995,394
Sodexo Ctm INCMedical Equip.PO BOX 415000, Nashville, TN 37241$1,573,554
Revenue and Support

Revenue Composition

Contributions and Grants
$1,778,059
Program Service Revenue
$505,306,517
Investment Income
$-1,134,357
Other Revenue
$0
All Other Contributions
$1,778,059
Change in Net Assets
$9,502,392
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$255,449,109
Salaries, Compensation, and Employee Benefits$240,998,718
Total Fundraising Expense$439,835
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$159,071,732$38,265,677$294,970$197,632,379
Fees for Services Other$41,658,843$2,700,656$22,506$44,382,005
Payroll Taxes$21,738,839$2,432,174$22,188$24,193,201
Occupancy$23,315,756$756,552-$24,072,308
Depreciation Depletion$20,154,334$876,019-$21,030,353
Information Technology$828,295$14,268,417-$15,096,712
Other Employee Benefits$541,458$12,852,745-$13,394,203
Interest$11,486,295$-456,114-$11,030,181
Office Expenses$10,407,892$345,546$31,644$10,785,082
Other Expenses$3,520,530$969,787-$4,490,317
Current Officers, Directors, Trustees, and Key Employees$3,458,374$995,029$5,280$4,458,683
Advertising$283,118$2,891,651-$3,174,769
Conferences and Meetings$2,224,047$833,097$44,516$3,101,660
Insurance$1,324,782$1,532,118$36$2,856,936
Fees for Services Management$2,261,389$20,225-$2,281,614
Fees for Services Legal-$1,844,000-$1,844,000
All Other Expenses$380,356$1,330,048$18,695$1,729,099
Pension Plan Contributions-$1,320,252-$1,320,252
Fees for Services Accounting-$162,537-$162,537
Total Functional Expenses$412,216,834$83,791,158$439,835$496,447,827
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$212,919,537
Capital Lease Obligations$48,253,602
Cost Report Settlement Payable$29,758,878
Accrued Liabilities$15,165,025
Gain on Refunding$2,478,788
Defined Benefit Pension Plan$2,183,289
Liability Claims$161,054
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

See 2nd paragraph, page 1 - affiliation with the regents of the university of michigan via its wholly-owned non-profit, u-m health.

Form 990, Page 6, Part VI, Line 7A

U-m health & u-m may select a minority of board members.

Form 990, Page 6, Part VI, Line 7B

U-m health exercises certain reserved powers,including approval of strategic plans and annual or other budgets.

Form 990, Page 6, Part VI, Line 11B

The completed form 990 was reviewed by the chief financial officer and controller. Also, prior to filing the form 990, the full metro board of directors was notified that the completed form 990 was available for review at the board meeting.

Form 990, Page 6, Part VI, 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, Page 6, Part VI, Line 15A

The ceo and other executive compensation is determined by use of consultants and comparability data from other hospitals of similar size. The executive committee reviews and approves the ceo compensation. Their discussion is documented in the minutes of the meeting.

Form 990, Page 6, Part VI, Line 15B

The executive's compensation is determined by use of consultants and comparability data from other hospitals of similar size. The executive committee reviews and approves the executive compensation. Their discussion is documented in the minutes of the meeting. The executive team has entered into written compensation contracts. Studies by an independent firm were completed to ensure the executives were at market value.

Form 990, Page 6, Part VI, Line 19

Documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Metropolitan Hospital
EIN
38-0593405
Address
5900 BYRON CENTER AVENUE SW, WYOMING, MI 49519
Doing Business As
Metro Health Hospital

Signing Officer

Name
Kris Kurtz
Title
CFO
Signed
2021-04-19

Organization Details

Principal Officer
Kris Kurtz
Formed
1942
Legal Domicile
Mi
Voting Board Members
15
Independent Board Members
10
Employees
3,621
Volunteers
135

Preparer

Firm
Regents of the University of Michigan
Address
3003 S STATE ST RM 5082, ANN ARBOR, MI 48109-1271
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

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 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 2019, 121 medical students, residents and fellows participated in its medical education program. Affiliation with the regents of the university of michigan last fiscal year metropolitan health corporation (mhc) which is the parent entity of metropolitan hospital (mh) affiliated with michigan medicine (mm) which is an operating division of the regents of the university of michigan (u-m). Accordingly, mh is included in the consolidated financial statements of u-m health, a nonprofit entity that is a wholly owned subsidiary of u-m for fiscal year ended june 30, 2019.

Form 990, Page 2, Part III, Line 4A

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 2020, metro health welcomed 1,752 babies into our community, cared for 54,682 emergency room visits, performed 1,493,137 laboratory tests and 169,740 diagnostic radiology procedures and counted 39,483 patient days. The metro health community clinic, which provides medical care to the underserved, provided care for 16,658 patient visits. Metro health's medical education program included 121 medical students, residents and fellows.

Form 990, Part XI, Line 9

Change in equity investment 2,105,951

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IRS990/ActivityOrMissionDesc0METRO HEALTH'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. TO THAT END THE ORGANIZATION BELIEVES THE FOUNDATION OF GOOD HEALTH IS BASED ON EXCELLENT QUALITY PRIMARY CARE. THE ORGANIZATION IS ANCHORED BY A 208-BED, GENERAL ACUTE CARE COMMUNITY HOSPITAL. ADDITIONALLY, IT OPERATES 13 NEIGHBORHOOD OUTPATIENT CENTERS, STUDENT HEALTH FACILITIES AT GRAND VALLEY STATE UNIVERSITY AND A COMMUNITY CLINIC FOR THE UNDERSERVED. THE NEIGHBORHOOD OUTPATIENT CENTERS RING THE ORGANIZATION'S SERVICE AREA, ALLOWING PATIENTS ACCESS TO QUALITY HEALTHCARE CLOSE TO HOME; SERVICES AT THEM INCLUDE PRIMARY CARE, LAB SERVICES, MAMMOGRAPHY, X-RAY AND PHYSICAL THERAPY. IN ADDITION TO PRIMARY CARE SERVICES, THE ORGANIZATION PROVIDES SPECIALTY CARE AT ITS HEART AND VASCULAR PRACTICE, CANCER CENTER, AMBULATORY SURGERY CENTER, OPHTHALMOLOGY OFFICE, SLEEP LAB AND OTHER SITES. THE ORGANIZATION ALSO FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY BEFORE PEOPLE NEED HEALTHCARE. IT DOES THIS THROUGH
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