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Harper-hutzel Hospital

3990 John R
Detroit, MI 48201
EIN: 382391907
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: Harper University Hospital
3990 John R Street
Detroit, MI 48201
1 hospital in organization:
(click a facility name to update Individual Facility Details panel)
Bed count712Medicare provider number230104Member of the Council of Teaching HospitalsYESChildren's hospitalNO

Harper-hutzel HospitalDisplay data for year:

Community Benefit Spending- 2010
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
3.89%
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.

    • Operating expenses$ 619,616,925
      Total amount spent on community benefits
      as % of operating expenses
      		$ 24,095,346
      3.89 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 2,789,878
        0.45 %
        Medicaid
        as % of operating expenses
        		$ 8,761,340
        1.41 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 2,348,805
        0.38 %
        Health professions education
        as % of operating expenses
        		$ 9,251,455
        1.49 %
        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.
        		$ 891,868
        0.14 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 52,000
        0.01 %
        Community building*
        as % of operating expenses        		$ 4,200
        0.00 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses          		$ 4,200
          0.00 %
          Physical improvements and housing
          as % of community building expenses
          		$ 0
          0 %
          Economic development
          as % of community building expenses
          		$ 0
          0 %
          Community support
          as % of community building expenses
          		$ 0
          0 %
          Environmental improvements
          as % of community building expenses
          		$ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          		$ 0
          0 %
          Coalition building
          as % of community building expenses
          		$ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 4,200
          100 %
          Workforce development
          as % of community building expenses
          		$ 0
          0 %
          Other
          as % of community building expenses
          		$ 0
          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        		$ 11,888,259
        1.92 %
        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        		$ 40,799,000
        343.19 %
    • 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 agencyNot available
        Filed lawsuitNot available
        Placed liens on residenceNot 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.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES

    • 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.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available

    • 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.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    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 $ 81836491 including grants of $ 0) (Revenue $ 85150714)
CARDIOLOGY - HARPER UNIVERSITY HOSPITAL IS HOME TO THE INNOVATIVE ACUTE CARDIAC PROGRAM, CARDIO TEAM ONE. THE ONLY PROGRAM OF ITS KIND IN AMERICA, CARDIO TEAM ONE PROVIDES PATIENTS WITH THE BEST EXPERIENCED HEART SPECIALTY TEAM ON-SITE, 24-HOURS A DAY, 7-DAYS A WEEK, 365-DAYS A YEAR. THIS REVOLUTIONARY APPROACH TO TREATING HEART ATTACK VICTIMS HAS REDUCED THE WAIT TIME FROM DOOR TO BALLOON TO UNDER 45-MINUTES. ALTHOUGH THIS PROGRAM IS THE ONLY ONE OF ITS KIND IN AMERICA, IT WILL EVENTUALLY BECOME STANDARD OF CARE IN CARDIAC PROGRAMS ACROSS THE COUNTRY. IN ADDITION, THE STATE-OF-THE-ART CARDIAC CATH SERVICES AND THE CARDIAC/VASCULAR PROCEDURES AVAILABLE TO PATIENTS INCLUDE CAROTID STENTING, TANDUM HEART AND EP STUDIES. IN 2010, DMC CARDIOVASCULAR INSTITUTE PERFORMED THE STATE'S FIRST SUCCESSFUL CORE VALVE REPLACEMENT.
      4B (Expenses $ 80539770 including grants of $ 0) (Revenue $ 73027971)
"INTERNAL MEDICINE (GENERAL)- THE INTERNAL MEDICINE SERVICE PROVIDED CARE FOR 17,081 PATIENTS IN 2010. INTERNAL MEDICINE PROVIDES COMPREHENSIVE INTER-DISCIPLINARY SERVICE THAT FOCUSES ON COORDINATION OF TESTING (INPATIENT VS. OUTPATIENT) AND RAPID DISCHARGE TO MINIMIZE LENGTH OF STAY. MRI AND COLONOSCOPY SCREENING PROCESSES HAVE BEEN IMPLEMENTED TO SUPPORT THESE EFFORTS. ADDITIONALLY, INTERNAL MEDICINE IS RESPONSIBLE FOR ACHIEVING HIGH QUALITY STANDARDS. THE PNEUMONIA INITIATIVE SCREENS PATIENTS FOR IMMUNIZATION, AND THE VENTILATOR ASSOCIATED PNEUMONIA (VAP) QUALITY INITIATIVE FOCUSES EFFORTS IN THE ICU TO ENSURE PATIENTS ARE TAKEN OFF THE VENTILATOR AS SOON AS POSSIBLE. IN 2010, THE HOSPITAL ALSO CONTINUED THE PROCESS TO OBTAIN STROKE CERTIFICATION. 2010 AWARDS AWARD DESIGNATIONS FOR HARPER IN 2010 INCLUDE: U.S. NEWS & WORLD REPORT BEST HOSPITAL IN AMERICA LISTING FOR NEUROLOGY, NEUROSURGERY, CARDIOLOGY, GYNECOLOGY, GERIATRICS AND PULMONARY. IN EXISTENCE FOR 22-YEARS, THE U.S. NEWS & WORLD REPORT BEST HOSPITAL RANKING'S PURPOSE IS TO HELP GUIDE PATIENTS WHO NEED AN UNUSUALLY HIGH LEVEL OF HOSPITAL EXPERTISE TO THE TOP MEDICAL INSTITUTIONS IN THE COUNTRY. OTHER DESIGNATIONS FOR HARPER IN 2010 WERE: LEAPFROG WHICH IS THE GOLD STANDARD IN THE COUNTRY FOR COMPARING HOSPITAL'S PERFORMANCE ON THE NATIONAL STANDARDS OF SAFETY, QUALITY AND EFFICIENCY THAT ARE MOST RELEVANT TO CONSUMERS AND PURCHASER OF CARE. HOSPITALS THAT PARTICIPATE IN THE LEAPFROG HOSPITAL SURVEY ACHIEVE HOSPITAL-WIDE IMPROVEMENTS THAT TRANSLATE INTO MILLIONS OF LIVES AND DOLLARS SAVED. HARPER HAS ACHIEVED LEAPFROG STATUS EACH YEAR SINCE 2005. 2010 MOST WIRED HOSPITAL - FOR THE FIFTH CONSECUTIVE YEAR, HARPER UNIVERSITY HOSPITAL HAS BEEN NAMED TO THE NATION'S MOST WIRED LIST, ACCORDING TO THE RESULTS OF THE 2010 MOST WIRED SURVEY AND BENCHMARKING STUDY RELEASED IN THE JULY ISSUE OF HOSPITALS & HEALTH NETWORKS MAGAZINE WHICH HAS NAMED THE 100 MOST WIRED HOSPITALS AND HEALTH SYSTEMS SINCE 1999. THE MOST WIRED SURVEY IS CONDUCTED ANNUALLY BY HOSPITALS & HEALTH NETWORKS MAGAZINE, WHICH USES THE RESULTS TO NAME THE 100 MOST WIRED HOSPITALS AND HEALTH SYSTEMS. IT FOCUSES ON HOW THE NATION'S HOSPITALS USE INFORMATION TECHNOLOGIES FOR QUALITY, CUSTOMER SERVICE, PUBLIC HEALTH AND SAFETY, BUSINESS PROCESSES AND WORKFORCE ISSUES. IN 2010, HARPER BEAT OUT JOHNS HOPKINS AS NATIONAL LEADER IN EMR INNOVATIONS. HEALTHCARE INFORMATICS NAMED HARPER AS THEIR TOP 2010 INNOVATOR AWARD RECIPIENT. HARPER BEAT OUT JOHNS HOPKINS FOR THE MOST IMPORTANT ELECTRONIC HEALTHCARE INNOVATION IN AMERICA. HARPER WAS CHOSEN FOR ITS ""NEONATAL BARCODE SCANNING"" PROJECT. THIS NATIONAL BREAKTHROUGH WILL EVENTUALLY PREVENT MEDICATION ERRORS SUCH AS THOSE THAT ALMOST TOOK THE LIVES OF ACTOR DENNIS QUAID'S INFANT TWINS. BEING SELECTED AS AN ""HCI INNOVATOR AWARDS TOP 10 FINALIST"" MEANS AN ORGANIZATION HAS GONE BEYOND TRADITIONAL PROBLEM SOLVING APPROACHES, FOCUSING INSTEAD ON CREATIVE SOLUTIONS THAT MAXIMIZE LIMITED TIME, STAFFING AND MONEY TO BRING ABOUT MEANINGFUL CHANGES IN PATIENT CARE AND OVERALL EFFICIENCY."
      4C (Expenses $ 68398273 including grants of $ 0) (Revenue $ 50522753)
OB/GYN - THE DESTINATION FOR WOMEN'S CARE - HUTZEL WOMEN'S HOSPITAL IS THE FIRST AND ONLY SOLE WOMEN'S HOSPITAL IN THE STATE OF MICHIGAN. HUTZEL HAS A LONG HISTORY OF PROVIDING SPECIALIZED CARE TO WOMEN WITH HIGH RISK PREGNANCIES. HUTZEL IS ALSO THE HOME TO THE NATION'S ONLY NATIONAL INSTITUTE OF HEALTH (NIH) PERINATOLOGY RESEARCH BRANCH. THIS BRANCH CONDUCTS CLINICAL AND LABORATORY RESEARCH ON CONDITIONS RESPONSIBLE FOR PERINATAL MORBIDITY AND MORTALITY. THE BRANCH FOCUSES ON THE STUDY OF PREMATURE LABOR, INTRAUTERINE GROWTH RETARDATION, CONGENITAL ANOMALIES AND PRE ECLAMPSIA. BECAUSE OF THE EXCELLENT CARE AND OUTCOMES, THE NICU IS A DESTINATION FOR REFERRING PHYSICIANS WHO KNOW THEIR PATIENTS WILL HAVE PRE-TERM BABIES. THE TWIN-TO-TWIN TRANSFER INTRA-UTERO TECHNIQUE IS A UNIQUE SERVICE THAT ATTRACTS REFERRALS NATIONWIDE. ADDITIONALLY, MANY GYN SURGERIES ARE PERFORMED AS CHARITY CARE.
      4D (Expenses $ 337392950 including grants of $ 0) (Revenue $ 252333244)
SURGERY (GENERAL) - 13,848 TOTAL CASES; 5,121 INPATIENT DAYS; 12,710 OUTPATIENT REGISTRATIONS PEDIATRICS - 5,366 TOTAL CASES; 16,908 INPATIENT DAYS; 178 OUTPATIENT REGISTRATIONS EMERGENCY MEDICINE - 34,330 TOTAL CASES; 34,330 OUTPATIENT REGISTRATIONS NEUROLOGY - 18,330 TOTAL CASES; 2,326 INPATIENT DAYS; 17,725 OUTPATIENT REGISTRATIONS
      Supplemental Information
      Schedule H (Form 990) Part VI
      COSTING METHODOLOGY EXPLANATION PART I LINE 7
MEDICARE T18 RCC WITHOUT GME
      COMMUNITY BUILDING ACTIVITIES PART II
HARPER UNIVERSITY HOSPITAL AND HUTZEL WOMENS HOSPITAL COMMUNITY BUILDING ACTIVITIES ARE CREATED AND BASED ON THE DEMOGRAPHIC NEEDS OF THE COMMUNITY THE HOSPITALS SERVE THE IMMEDIATE PRIMARY AND SECONDARY TERRITORY OF THE HOSPITALS HOSTS AN INTERESTING BLEND OF SOCIAL ECONOMIC AND CULTURAL DIVERSITY THAT RANGES FROM THE UNINSURED UNDERINSURED TO INSURED AFFLUENT AND CULTURALLY AFRICANAMERICAN TO LATINO TO ARABIC AMERICAN FROM AN ECONOMIC PERSPECTIVE ALL OUR COMMUNITY ACTIVITIES ARE FREE OF CHARGE HEALTH FAIRS EDUCATIONAL PRESENTATIONS SCREENINGS ETC THIS ENSURES THAT ALL OUR CONSTITUENTS HAVE ACCESS TO THE COMMUNITY BENEFIT WE PROVIDE HEALTH SERVICES AND EDUCATION FROM A CONVENIENCE PERSPECTIVE THE MAJORITY OF OUR COMMUNITY ACTIVITY IS HELD WITHIN THE PRIMARY AND SECONDARY TERRITORIES WE RECEIVE PATIENTS FROM AND HELD AT TIMES AND ON DAYS THAT ARE MOST CONVENIENT FOR THE MAJORITY OF OUR CONSTITUENTS
      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
CRITICAL TO HARPER UNIVERSITY HOSPITALS MISSION TO ITS PATIENT POPULATION IS TO STAY ON TOP OF THE HEALTH CARE NEEDS OF THE COMMUNITIES THAT IT SERVES AND CREATE PROGRAMS AND SERVICES BASED ON THIS NEED ALONG WITH THIS IS THE CLEAR UNDERSTANDING OF OUR COMMUNITYS DEMOGRAPHICS WHICH RANGE FROM THE MOST VULNERABLE LIKE THE POOR UNINSURED AND UNDERINSURED TO VARIOUS OTHER POPULATIONS THAT MAY HAVE BEEN OVER LOOKED TO THE OTHER SIDE OF THE SPECTRUM THE AFFLUENT AND WELL INSURED AND OTHER POPULATIONS THAT FALL IN BETWEEN UTILIZING MARKET RESEARCH DATA IN CONJUNCTION WITH THE MANAGEMENT AND ANALYSIS OF THE HEALTHCARE INFORMATION OF ALL OUR INPATIENT AND OUTPATIENT VISITORS PROVIDE OUR HOSPITAL A CLEAR UNDERSTANDING OF THE HEALTH CARE NEEDS OF OUR COMMUNITIES THIS CRITICAL DATA DRIVES THE FORMATION OF THE HEALTH SERVICE PROGRAMS AND SERVICES WE CUSTOM TAILOR FOR OUR PATIENTS IN ADDITION WE ALSO RELY AND UTILIZE THE DATA AND RESOURCES FROM OTHER LOCAL NONPROFIT COMMUNITY BASED ORGANIZATIONS AGENCIES AND THE LIKE THAT ASSIST US IN OUR EFFORT TO ATTAIN INFORMATION THAT IS HELPFUL IN GAINING THE BEST ASSESSMENT OF OUR COMMUNITYS HEALTH NEEDS
      PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI
OUR PATIENT ACCESS AND REVENUE CYCLE REPRESENTATIVES ARE WELL ABREAST OF STATE FEDERAL AND LOCAL GOVERNMENT PROGRAMS THAT PROVIDE HEALTHCARE COVERAGE ASSISTANCE TO PATIENTS THAT MEET CRITERIA IN LIGHT OF THIS THEY ARE WELL EQUIPPED TO EDUCATE PATIENTS ON ALL THEIR OPTIONS FOR ASSISTANCE THE PATIENT ACCESS AND REVENUE CYCLE REPRESENTATIVES COMPLETES ALL APPROPRIATE PAPERWORK FOR EACH PATIENT NEEDING GOVERNMENT ASSISTANCE WITH HEALTHCARE COVERAGE EDUCATING THE PATIENT EACH STEP ALONG THE WAY IN ADDITION THE REPRESENTATIVES ALSO EDUCATE AND PROVIDE APPROPRIATE DOCUMENTATION TO PATIENTS NEEDING CHARITY CARE FOR THOSE WHO DO NOT MEET CRITERIA FOR REIMBURSEMENT FROM GOVERNMENT PROGRAMS THE INTAKE STAFF ADVISES THE PATIENT OF PAYMENT OPTIONS AVAILABLE AT THE HOSPITAL
      COMMUNITY INFORMATION PART VI
AS AN ADULT SPECIALTY CENTER HARPER UNIVERSITY HOSPITALS SERVICE AREA INCLUDES METROPOLITAN DETROIT SUBURBAN COMMUNITIES AND REGIONAL MUNICIPALITIES BECAUSE WE ARE A CENTER OF EXCELLENCE IN SEVERAL SERVICE LINES WE RECEIVE PATIENTS FROM ALL OVER THE COUNTRY AND INTERNATIONALLY IN LIGHT OF THIS OUR PATIENT POPULATION REPRESENTS AN INTERESTINGLY DIVERSE CROSS SECTION OF CULTURES ETHNICITIES WHITE BLACK ASIAN ARABIC LATINO ETC SOCIAL ECONOMIC STANDINGS PROFESSIONS AND RELIGIONS
      AFFILIATED HEALTH CARE INFORMATION PART VI
HARPER UNIVERSITY HOSPITAL IS PART OF THE DETROIT MEDICAL CENTER AN ORGANIZATION WITH SEVEN AFFILIATE HOSPITALS 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 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 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