Community Benefit Insight - Tax-exempt hospital

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Sinai Hospital Of Greater Detroit Dba Sinai Grace Hospital

6071 W Outer Drive

Detroit, MI 48235

EIN: 381416522

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: Sinai-Grace Hospital

6071 W Outer Drive
Detroit, MI 48235

1 hospital in organization:
(click a facility name to update Individual Facility Details panel)

Sinai-Grace Hospital

Bed count	991	Medicare provider number	230024	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

Sinai Hospital Of Greater Detroit Dba Sinai Grace HospitalDisplay data for year:

Community Benefit Spending- 2010
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

4.05%

Spending by Community Benefit Category- 2010
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2010

Additional data

Community Benefit Expenditures: 2010

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 8,689,904 2.00 %
Medicaid as % of operating expenses	$ 1,992,206 0.46 %
Costs of other means-tested government programs as % of operating expenses	$ 2,216,357 0.51 %
Health professions education as % of operating expenses	$ 4,702,531 1.08 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2010

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 16,205,821 3.73 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 67,798,000 418.36 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:

Reported to credit agency	Not available
Filed lawsuit	Not available
Placed liens on residence	Not available
Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court)	Not available

Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2010

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	Not available
Did the CHNA define the community served by the tax-exempt hospital?	Not available
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	Not available
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	Not available
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	Not available
Did the tax-exempt hospital execute the implementation strategy?	Not available
Did the tax-exempt hospital participate in the development of a community-wide plan?	Not available

Supplemental Information: 2010

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 152567590 including grants of $ 0) (Revenue $ 146776219)
INTERNAL MEDICINE (GENERAL) - THE INTERNAL MEDICINE PROGRAM SERVED 40,887 PATIENTS IN 2010. 55,577 DAYS OF INPATIENT CARE WERE PROVIDED. 14.6% OF INTERNAL MEDICINE NET CHARGES WERE WRITTEN OFF TO UNCOMPENSATED CARE. THE HOSPITAL HAS A REPRESENTATIVE OF EACH INTERNAL MEDICINE SUBSPECIALTY ON ITS STAFF, GIVING THE HOSPITAL THE ABILITY TO HANDLE NEARLY ANY TYPE OF MEDICAL CONDITION. THE SUBSPECIALTIES ARE: CARDIOVASCULAR SERVICES, CRITICAL CARE, ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY, INFECTIOUS DISEASE, MEDICAL ONCOLOGY, NEPHROLOGY, NEUROLOGY, PULMONOLOGY, AND RHEUMATOLOGY.

4B (Expenses $ 42006084 including grants of $ 0) (Revenue $ 21266718)
EMERGENCY MEDICINE - 72,583 PATIENTS WERE REGISTERED THROUGH THE EMERGENCY DEPARTMENT (ED) IN 2010 AS THE ONLY HEALTHCARE FACILITY SERVING THE NORTHWEST DETROIT COMMUNITY. CARDIAC CASES ARE THE MOST COMMON TYPE OF CASE HANDLED BY THE ED. DMC SINAI-GRACE'S ED IS DESIGNATED A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS (ACS). LEVEL II DESIGNATION SIGNIFIES THAT THE HOSPITAL IS ABLE TO TREAT ANY EMERGENCY PATIENT, REGARDLESS OF THE SEVERITY OF THE INJURY. A TRAUMA SURGEON IS AVAILABLE TO RESPOND RAPIDLY 24 HOURS A DAY. ORTHOPEDIC SURGEONS, NEUROSURGEONS, EMERGENCY PHYSICIANS AND ALL ANCILLARY SERVICES ARE ALSO AVAILABLE. BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS AND RESIDENTS STAFF THE DEPARTMENT, COMPLEMENTED BY REGISTERED NURSES TRAINED AND CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT (ACLS), TRAUMA NURSING AND EMERGENCY PEDIATRIC NURSING. SINAI GRACE HOSPITAL RECEIVED SEVERAL EXCELLANCE AWARDS IN 2010 FROM HEALTHGRADES' ANNUAL HOSPITAL QUALITY STUDY AND RANKINGS, AN ANALYSIS OF PATIENT OUTCOMES AT NEARLY 5,000 AMERICAN HOSPITALS. THESE AWARDS ARE, THE DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE; THE EMERGENCY MEDICINE EXCELLENCE AWARD; THE WOMEN'S HEALTH EXCELLENCE AWARD; THE JOINT REPLACEMENT EXCELLENCE AWARD AND THE STROKE CARE EXCELLENCE AWARD.

4C (Expenses $ 21454311 including grants of $ 0) (Revenue $ 17078037)
SURGERY (GENERAL) - SERVED 696 PATIENTS IN 2010. 4,559 DAYS OF INPATIENT CARE WERE PROVIDED. 31.6% OF NET CHARGES WERE WRITTEN OFF TO UNCOMPENSATED CARE. WITH TWELVE FULLY EQUIPPED OPERATING ROOMS, THE HOSPITAL HANDLES A WIDE RANGE OF PATIENTS FROM COMPLEX TRAUMA CASES THAT ARRIVE IN OUR LEVEL II EMERGENCY DEPARTMENT TO ELECTIVE JOINT SURGERY. AS SOUTHEAST MICHIGAN'S LARGEST KIDNEY DIALYSIS FACILITY, DMC SINAI-GRACE HANDLES NEPHROLOGY CASES AND DOES THE LARGEST NUMBER OF PERIPHERAL VASCULAR PROCEDURES OF ANY HOSPITAL IN THE AREA. THE SURGICAL INTENSIVE CARE UNIT (SICU), LOCATED NEXT TO THE OPERATING ROOMS, IS STAFFED BY PHYSICIANS WHO HAVE COMPLETED CRITICAL CARE FELLOWSHIPS, PROVIDING AN EXTRA LEVEL OF EXPERTISE FOR PATIENTS RECOVERING FROM SURGERY.

4D (Expenses $ 187338419 including grants of $ 0) (Revenue $ 128237919)
OB/GYN - 1,950 TOTAL CASES; 4,698 INPATIENT DAYS TRAUMATIC - 429 TOTAL CASES; 2,907 INPATIENT DAYS FAMILY MEDICINE - 3,783 TOTAL CASES; 4,719 INPATIENT DAYS; 2,893 OUTPATIENT REGISTRATIONS CARDIOLOGY - 2,714 TOTAL CASES; 1,688 INPATIENT DAYS; 2,323 OUTPATIENT REGISTRATIONS

Supplemental Information

Schedule H (Form 990) Part VI

COSTING METHODOLOGY EXPLANATION PART I LINE 7
MEDICARE T18 RCC WITHOUT GME

BAD DEBT EXPENSE EXPLANATION PART III LINE 4
MEDICARE T18 RCC ST L24

COLLECTION PRACTICES EXPLANATION PART III LINE 9B
PATIENTS WHO QUALIFY FOR 100 CHARITY CARE BASED UPON DMC POLICY NO STATEMENTS OR COLLECTION ACTIVITY IS INITIATED OUTSTANDING ACCOUNT BALANCES ARE IMMEDIATELY ADJUSTED FROM ACCOUNTS RECEIVABLE PATIENTS WHO QUALIFY FOR A DISCOUNTED RATE BASED UPON DMC POLICY STATEMENTS ARE MAILED TO THE PATIENT AT REDUCED RATES EVERY ATTEMPT WILL BE MADE TO ESTABLISH A PAYMENT ARRANGEMENT COLLECTION ACTIVITY WILL BE INITIATED ONLY IF THE TERMS OF THE PAYMENT ARRANGEMENTS ARE BREECHED

NEEDS ASSESSMENT PART VI
SINAI GRACE HOSPITAL RANKS 1ST IN THE MARKETPLACE IN THEIR PRIMARY AND SECONDARY SERVICE AREAS COMBINED FOR INPATIENT DISCHARGES AND MARKET SHARE SINAI GRACE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY BY EVALUATING MARKET SHARE TRENDS AND THE NEEDS FOR KEY SERVICE LINES CARDIOVASCULAR GENERAL MEDICINE GYNECOLOGY ORTHOPEDICS ONCOLOGY AND SURGICAL SERVICES COMMUNITY PROGRAMS ARE OFFERED TO TARGET THESE COMMUNITY NEEDS DEMOGRAPHICS OF THE PATIENT POPULATION WITHIN A FIVE MILE RADIUS ARE USED TO PLAN PROGRAMS IN THE SINAI GRACE SERVICE AREA 87 OF THE POPULATION IS AFRICANAMERICAN AND 35 OF THE POPULATION IS AGE 45 AND ABOVE SINCE HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN THE STATE OF MICHIGAN AND THE RATE FOR AFRICANAMERICANS IS 15 TIMES HIGHER THAN THE WHITE POPULATION SINAI GRACE OFFERS EDUCATION PROGRAMS TARGETING THIS POPULATION ADDITIONALLY THE POPULATION HAS A DISPROPORTIONATE EVIDENCE OF CARDIAC SERVICE NEEDS HYPERTENSION ISCHEMIC HEART DISEASE ARRHYTHMIA AND CONGESTIVE HEART FAILURE SINAI GRACES MARKETPLACE SHOW LARGE NUMBERS OF PATIENTS WITH HEALTH FACTORS THAT CORRELATE TO CARDIAC SERVICE NEEDS OBESITY DIAGNOSIS DIABETES DIAGNOSIS AND RENAL FAILURE DIAGNOSIS PROGRAMS ARE OFFERED TO EDUCATE PATIENT POPULATION THE EMERGENCY DEPARTMENT POPULATION IS ALSO EVALUATED TO UNDERSTAND THE HEALTH CARE NEEDS OF THE COMMUNITY SINAI GRACE RANKS 2ND IN THE CITY OF DETROIT FOR EMERGENCY DEPARTMENT ADMISSIONS PROGRAMS ARE DEVELOPED TO PROVIDE FOLLOWUP CARE FOR PATIENTS TO REDUCE THE READMISSION RATE AND IMPROVE THE LONGTERM HEALTH OF THE PATIENTS

PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI
IF PATIENTS ARE ADMITTED THEY AUTOMATICALLY PREPARE AN APPLICATION FOR UNCOMPENSATED CARE IF PATIENTS ARE NOT ADMITTED AN APPLICATION FOR UNCOMPENSATED CARE IS PROVIDED UPON REQUEST CHARITY CARE POLICIES ARE POSTED IN PATIENT AREAS

COMMUNITY INFORMATION PART VI
IN THE SINAI GRACE SERVICE AREA A 5MILE RADIUS 87 OF THE POPULATION IS AFRICANAMERICAN 8 IS WHITE 27 IS MULTIRACIAL 15 IS ASIAN WITH THE REST NATIVE AMERICAN PACIFIC ISLANDER OR OTHER THE AGE RANGE IS AS FOLLOWS 36 ARE 1844 29 ARE 017 24 ARE 4564 AND 11 ARE 65 AND ABOVE 19 OF THE PATIENT POPULATION IS UNINSURED OR A MEDICAID RECIPIENT THE AVERAGE HOUSEHOLD INCOME FOR THE CITY OF DETROIT AS REPORTED BY ZIP CODE IS 41552 THE MEDIAN HOUSEHOLD INCOME BY ZIP CODE RANGE IS 14999 43636 IN 2010 SINAIGRACE WAS THE MARKET LEADER IN THEIR SERVICE AREA CAPTURING 193 OF THE INPATIENT MARKET FROM THIS AREA WITH 14309 DISCHARGES INPATIENT MARKET SHARE IN THIS AREA HAS INCREASED SLIGHTLY FROM 187 IN 2009 BOTH HENRY FORD HOSPITAL AND PROVIDENCE HOSPITAL ARE MAKING STRONG INROADS IN THIS AREA HENRY FORD CAPTURES 186 OF THE MARKET WITH 13787 DISCHARGES DOWN 207 FROM 2009 AND PROVIDENCE HOSPITAL CAPTURED 101 OF THE OVERALL INPATIENT VOLUME OF 7513

HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI
THE SINAI GRACE HOSPITAL BOARD OF TRUSTEES IS COMPRISED OF MEDICAL STAFF AND COMMUNITY MEMBERS FROM PHILANTHROPIC AND RELIGIOUS GROUPS MEMBERS OF THE BOARD ALSO PROVIDE VOLUNTEER SERVICES AND COMMUNICATE THE OUTREACH EVENTS SPONSORED BY THE HOSPITAL TO THEIR COMMUNITY GROUPS

AFFILIATED HEALTH CARE INFORMATION PART VI
SINAI HOSPITAL OF GREATER DETROIT SINAIGRACE IS PART OF THE DETROIT MEDICAL CENTER AN ORGANIZATION WITH SEVEN AFFILIATE HOSPITALS DMC SINAI HOSPITAL OF GREATER DETROIT SINAIGRACE IS DMCS LARGEST HOSPITAL AS A FULLSERVICE COMMUNITY HOSPITAL LOCATED IN NORTHWEST DETROIT SINAIGRACE OFFERS A COMPREHENSIVE HEART CENTER CANCER CARE GERONTOLOGY EMERGENCY MEDICINE OBSTETRICSGYNECOLOGY AND COSMETICPLASTIC SURGERY SINAIGRACES JOINT REPLACEMENT PROGRAM FEATURES A REVOLUTIONARY MINIMALLY INVASIVE KNEE REPLACEMENT SURGERY THAT ATTRACTS PEOPLE FROM ALL OVER THE COUNTRY SINAIGRACE ALSO OPERATES MORE THAN 25 OUTPATIENT CARE SITES AND AMBULATORY SURGERY CENTERS THROUGHOUT WAYNE AND OAKLAND COUNTIES RECOGNIZED NATIONALLY FOR QUALITY AND SAFETY SINAIGRACE IS ONE OF THE FEW HOSPITALS SELECTED TO PARTICIPATE IN TWO HEALTH CARE COLLABORATIVES FOCUSED ON DEVELOPING BEST PRACTICES FOR CARE AT THE BEDSIDE AND UPON DISCHARGE DMC HARPER UNIVERSITY HOSPITAL HAS DISTINGUISHED ITSELF IN SURGICAL MEDICINE AND IS KNOWN FOR ITS CLINICAL EXPERTISE INNOVATIVE RESEARCH AND ADVANCED EDUCATION A SPECIALTY REFERRAL HOSPITAL HARPER HAS ESTABLISHED CENTERS OF EMPHASIS IN NEUROSCIENCES VASCULAR SERVICES MULTIDISCIPLINARY CARDIOVASCULAR SERVICES HYPERTENSION STROKE PREVENTION AND HEART FAILURE ADDITIONAL SPECIALTIES INCLUDE BARIATRIC GASTRIC BYPASS SURGERY CRITICAL CARE PULMONARY MEDICINE KIDNEY AND PANCREAS TRANSPLANTS THORACIC SURGERY AND MINIMALLY INVASIVE CARDIAC PROCEDURES HARPERS NEUROLOGY PROGRAM IS INTERNATIONALLY RECOGNIZED FOR NEW ADVANCES IN MULTIPLE SCLEROSIS NEUROMUSCULAR DISEASES EPILEPSY NEUROGENETIC DISORDERS NEUROBEHAVIORAL DISORDERS AND COGNITIVE DISORDERS AS THE HOSPITAL WITH THE FIRST MECHANICAL HEART BYPASS PUMP HARPER HAS RETAINED ITS LEADERSHIP POSITION IN STATEOFTHEART TECHNOLOGY TODAY HARPER HOUSES A 3T MRI MACHINE A 64SLICE CT SCANNER STATEOFTHEART ELECTROPHYSIOLOGY AND CARDIAC CATHETERIZATION LABS AND NUCLEAR CARDIAC IMAGING FACILITIES DMC HUTZEL WOMENS HOSPITAL IS NATIONALLY RECOGNIZED FOR CUTTINGEDGE RESEARCH IN HIGHRISK OBSTETRICS INFERTILITY REPRODUCTIVE GENETICS NEONATOLOGY MATERNAL SPECIAL CARE MIDWIFERY GYNECOLOGY UROGYNECOLOGY MENOPAUSE PERMANENT BIRTH CONTROL AND ALTERNATIVES TO HYSTERECTOMY HUTZEL HAS BEEN RANKED AS THE NUMBER ONE HOSPITAL IN THE NATION IN RESEARCH AWARDS FOR ITS OBGYN PHYSICIANS WITH A RICH HISTORY OF OVER 137 YEARS AS MICHIGANS FIRST AND ONLY HOSPITAL FOR WOMEN THE PATIENTS ALSO BENEFIT FROM HUTZELS COMMITMENT TO RESEARCH AND EDUCATION HUTZEL WOMENS HOSPITAL IS HOME TO THE NATIONAL INSTITUTES OF HEALTH NIH PERINATOLOGY RESEARCH BRANCH PRB AND IS RECOGNIZED AS A LEADER IN WOMENS HEALTH BY PHYSICIANS AND RESEARCHERS ACROSS THE COUNTRY DMC CHILDRENS HOSPITAL OF MICHIGAN WITH MORE THAN 33 CLINICAL SPECIALTIES IS AN INTERNATIONAL LEADER IN PEDIATRIC AND ADOLESCENT MEDICINE SURGICAL SERVICES INCLUDE ANESTHESIOLOGY CARDIOVASCULAR SURGERY DEVELOPMENTAL DENTISTRY AND ORTHODONTICS NEUROSURGERY OPHTHALMOLOGY ORAL AND MAXILLOFACIAL ORTHOPAEDIC SURGERY OTOLARYNGOLOGY ENT PEDIATRIC SURGERY PLASTIC AND RECONSTRUCTIVE SURGERY SAME DAY SURGERY AND UROLOGY IMAGING TECHNOLOGY DESIGNED ESPECIALLY FOR CHILDREN PROVIDES ADVANCED DIAGNOSTIC SERVICES SUCH AS POSITRON EMISSION TOMOGRAPHY PET AND MRI CHILDRENS HOSPITAL IS SOUTHEAST MICHIGANS ONLY FREESTANDING PEDIATRIC LEVEL I TRAUMA CENTER EQUIPPED TO HANDLE THE MOST SEVERE INJURIES AND ILLNESSES EXPERTS IN PEDIATRIC CRITICAL CARE REHABILITATION NEONATAL AND PERINATAL MEDICINE PROVIDE CARE FOR THOUSANDS OF CHILDREN EVERY YEAR DMC DETROIT RECEIVING HOSPITAL AND UNIVERSITY HEALTH CENTER MICHIGANS FIRST LEVEL I TRAUMA CENTER IS AN ADULT SPECIALTY HOSPITAL OFFERING EXPERTISE IN EMERGENCY MEDICINE COMPLEX TRAUMA CRITICAL CARE NEUROSCIENCE UROLOGY AND GERIATRICS AS THE REGIONS LEADER IN EMERGENCY MEDICINE RECEIVINGS EMERGENCY DEPARTMENT TREATS MORE THAN 88000 PATIENTS ANNUALLY AND NEARLY 60 OF MICHIGANS EMERGENCY PHYSICIANS ARE TRAINED AT RECEIVING DETROIT RECEIVING ALSO FEATURES THE STATES LARGEST BURN CENTER MICHIGANS FIRST HOSPITALBASED 247 HYPERBARIC OXYGEN THERAPY PROGRAM AND METRO DETROITS FIRST CERTIFIED PRIMARY STROKE CENTER DMC HURON VALLEYSINAI HOSPITAL IN OAKLAND COUNTY HAS EARNED RECOGNITION AS ONE OF THE AREAS AND THE NATIONS TOP HOSPITALS FOR PATIENT SATISFACTION THIS HOSPITAL FEATURES THE HARRIS BIRTHING CENTER WITH ALL PRIVATE BIRTHING SUITES A REGIONAL SPECIALTY CENTER THE CHARACH CANCER CENTER A PART OF THE BARBARA ANN KARMANOS CANCER CENTER THE KRIEGER CENTER FOR SENIOR ADULTS STATEOFTHEART SURGICAL SUITES CARDIAC SERVICES AND COMPREHENSIVE INPATIENT AND OUTPATIENT DIAGNOSTIC CARE DMC KRESGE EYE INSTITUTE IS CONSIDERED A LEADING CENTER FOR THE PRESERVATION OF SIGHT THE INSTITUTE OFFERS GENERAL VISION SERVICES FOR PATIENTS OF ALL AGES KNOWN INTERNATIONALLY FOR ITS CONTRIBUTIONS TO OPHTHALMOLOGY KRESGES CLINICAL SPECIALTIES INCLUDE GLAUCOMA CATARACT SURGERY CORNEA TRANSPLANTATION RETINAL VITREAL AND MACULAR DISEASES PLASTIC AND COSMETIC EYE SURGERY DIABETICRELATED EYE CONDITIONS NEURORELATED EYE DISORDERS AND OCULAR PROSTHETICS KRESGE EYE INSTITUTE HOUSES THE LIGON RESEARCH CENTER OF VISION WHERE PHYSICIANS ARE STUDYING ARTIFICIAL VISION KRESGE PHYSICIANS MAINTAIN A PROMINENT POSITION IN ALL AREAS OF VISION RESEARCH DMC REHABILITATION INSTITUTE OF MICHIGAN IS ONE OF THE NATIONS LARGEST HOSPITALS SPECIALIZING IN REHABILITATION MEDICINE AND RESEARCH THE INSTITUTE IS HOME TO MANY INNOVATIVE PROGRAMS INCLUDING THE SOUTHEASTERN MICHIGAN TRAUMATIC BRAIN INJURY SYSTEM SEMTBIS AND THE CENTER FOR SPINAL CORD INJURY RECOVERY A WORLDCLASS FACILITY DESIGNED TO IMPLEMENT AND STUDY INNOVATIVE TREATMENTS IN SPINAL CORD INJURY RECOVERY WITH 30 OUTPATIENT SITES LOCATED THROUGHOUT SOUTHEAST MICHIGAN IT IS ALSO A CENTER OF CHOICE FOR PERSONS RECOVERING FROM SPORTS AND ORTHOPAEDIC INJURIES DMC SURGERY HOSPITAL DMC SURGERY HOSPITAL IS DEDICATED TO THE SURGICAL NEEDS OF ADULTS AND CHILDREN AND MAINTAINS A COMMITMENT TO EXCELLENCE IN SERVICE FOR PATIENTS PHYSICIANS AND FAMILIES SURGERY FOR ADULTS COVERS THE FULL RANGE OF ORTHOPAEDIC SURGERIES NEUROSURGERY RELATIVE TO THE SPINE AND PODIATRIC SURGERY IN ASSOCIATION WITH CHILDRENS HOSPITAL OF MICHIGAN SURGERY FOR PEDIATRIC PATIENTS PRIMARILY PROVIDES SERVICES FOR ALL OUTPATIENT SURGICAL NEEDS THE MAJOR EMPHASIS OF THE FACILITY IS A COMMITMENT TO ORTHOPAEDIC SPORTS MEDICINE WHICH INCLUDES SERVICES FOR BOTH ADULTS AND ADOLESCENTS THE HOSPITAL ALSO OFFERS 24 HOUR EMERGENCY CARE AND PSYCHIATRIC INPATIENT SERVICES

LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI
MICHIGAN

ADDITIONAL INFORMATION PART VI
SCHEDULE H PART I LINE 7B COLUMN D THE AMOUNTS REPORTED AS DIRECT OFFSETTING REVENUE INCLUDE AMOUNTS FOR 2009 RECEIVED IN 2010