4A (Expenses $ 63583708 including grants of $ 0) (Revenue $ 64561964)
"PEDIATRICS - CHILDREN'S HOSPITAL OF MICHIGAN HAS BEEN DEDICATED TO PROVIDING THE HIGHEST QUALITY OF CARE TO CHILDREN AND ADOLESCENTS IN A CARING, EFFICIENT AND FAMILY-CENTERED ENVIRONMENT AND ENGAGES IN GROUNDBREAKING RESEARCH THAT HAS LONG SHAPED THE SCIENCE OF PEDIATRIC MEDICINE. IT IS RANKED AS ONE OF AMERICA'S BEST HOSPITALS FOR CHILDREN IN CANCER, CARDIOLOGY AND CARDIOVASCULAR SURGERY, GASTROENTEROLOGY, NEONATOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONARY AND UROLOGY BY U.S. NEWS & WORLD REPORT AND AMONG AMERICA'S BEST 25 CHILDREN'S HOSPITAL BY PARENT MAGAZINE. IT IS ALSO A NATIONALLY RECOGNIZED MAGNET HOSPITAL FOR NURSING EXCELLENCE, A TOP HOSPITAL FOR PATIENT SAFETY AND QUALITY PRACTICES BY THE LEAPFROG GROUP AND A TOP HOSPITAL IN PEDIATRICS BY HOUR DETROIT MAGAZINE. CHILDREN'S HOSPITAL OF MICHIGAN TREATED MORE THAN 90,000 CHILDREN IN ITS EMERGENCY DEPARTMENT IN 2010. WHILE MOST HOSPITALS HAVE EMERGENCY ROOMS THAT SEE BOTH ADULT AND CHILDREN, THE EMERGENCY DEPARTMENT AT CHILDREN'S HOSPITAL OF MICHIGAN IS COMPLETELY DEDICATED TO SERVING CHILDREN AND THEIR CHILDHOOD ILLNESSES AND INJURIES. CHILDREN'S HOSPITAL OF MICHIGAN'S EMERGENCY DEPARTMENT IS ONE OF A HANDFUL OF LEVEL ONE PEDIATRIC TRAUMA CENTERS IN THE UNITED STATES CERTIFIED BY THE AMERICAN COLLEGE OF SURGEONS. IN 2010, CHILDREN'S HOSPITAL OF MICHIGAN'S DEPARTMENT OF PEDIATRICS SAW 7,192 INPATIENT CASES RESULTING IN 34,030 DAYS OF PEDIATRIC INPATIENT MEDICAL CARE FOR CHILDREN THROUGHOUT OUR STATE. CHILDREN'S HOSPITAL HAS VIRTUALLY EVERY PEDIATRIC MEDICAL SUBSPECIALTY AND SERVICE DESIGNED TO MEET THE DIVERSE MEDICAL NEEDS OF CHILDREN OF ALL AGES. THESE YOUNG PATIENTS VISIT CHILDREN'S HOSPITAL FOR EVERYTHING FROM TREATMENT FOR AUTISM AND SEIZURES TO CARE FOR RARE CONGENITAL DISORDERS. PEDIATRIC SPECIALTIES AND SERVICES AVAILABLE AT CHILDREN'S HOSPITAL INCLUDE BUT ARE NOT LIMITED TO: PEDIATRIC MEDICINE, ADOLESCENT MEDICINE, ALLERGY, CRITICAL CARE, CARDIOLOGY, EMERGENCY CARE, ENDOCRINOLOGY, GASTROENTEROLOGY, INFECTIOUS DISEASE, NEONATOLOGY, NEPHROLOGY, NEUROLOGY, PHYSICAL MEDICINE AND REHABILITATION AND PULMONARY MEDICINE. MORE THAN 160 PEDIATRIC RESIDENTS, SPECIALISTS AND FELLOWS IN TRAINING AT CHILDREN'S HOSPITAL OF MICHIGAN AT ANY GIVEN TIME; GRADUATE MORE THAN 30 PEDIATRICIANS AND PEDIATRIC SPECIALISTS EACH YEAR, MAKING CHILDREN'S HOSPITAL THE LARGEST PEDIATRIC RESIDENCY PROGRAM IN MICHIGAN. THE FIRST IN THE STATE TO USE VEINVIEWER TECHNOLOGY TO HELP CLINICIANS FIND THE RIGHT VEIN, THE FIRST TIME. USING A COMBINATION OF NEAR-INFRARED LIGHT, THIS ADVANCED TECHNOLOGY PROJECTS IMAGES OF VEINS AND THEIR LOCATION TO THE SURFACE OF PATIENTS' SKIN, RESULTING IN FEWER POKES FOR KIDS. IDENTIFIED AN INFANT COOLING TECHNIQUE TO REDUCE THE INCIDENCE OF DISABILITY AND DEATH IN INFANTS WHO FAILED TO RECEIVE ENOUGH OXYGEN DURING BIRTH. IMPLANTED THE FIRST MECHANICAL HEART PUMP EVER RECEIVED BY A CHILD IN MICHIGAN. THE THORATEC LEFT VENTRICULAR ASSIST DEVICE SAVED A TWELVE-YEAR-OLD GIRL'S LIFE. HELPED DEVELOP THE GENESIS STENT, A LIFE-SAVING DEVICE THAT OPENS BLOOD VESSELS THAT GROW WITH THE CHILD, ELIMINATING THE NEED FOR OPEN-HEART SURGERY. HOME TO THE WORLD'S FIRST POSITRON EMISSION TOMOGRAPHY (PET) CENTER DEDICATED TO PEDIATRICS. USING PET SCANNING, NEUROLOGISTS AND NEUROSURGEONS CAN IDENTIFY AND REMOVE AREAS IN A CHILD'S BRAIN THAT CAUSE UNCONTROLLABLE SEIZURES, ALLOWING FOR NORMAL DEVELOPMENT. HOME TO THE PEDIATRIC PHARMACOLOGY RESEARCH UNIT (PPRU), ONE OF ONLY 13 SITES IN THE U.S. DEDICATED TO ENSURING DRUG SAFETY FOR CHILDREN. THE PPRU IS SUPPORTED BY THE PRESTIGIOUS NATIONAL INSTITUTE OF HEALTH. THE NATION'S FIRST CHILDREN'S HOSPITAL TO INTRODUCE A PEDIATRIC ORTHOSIS ""SNUG-CP SUIT,"" DESIGNED FOR CHILDREN WITH CEREBRAL PALSY, WHICH PROVIDES SENSORY FEEDBACK THAT IMPROVES CONTROL AND REDUCES MUSCLE SPASTICITY. THE DESIGNATED SITE FOR THE NEWBORN SCREENING MANAGEMENT PROGRAM FOR THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, PROVIDING CARE FOR INDIVIDUALS WITH METABOLIC DISORDERS FROM BIRTH THROUGHOUT ADULTHOOD. HAS TWO STATE-OF-THE-ART CARDIAC CATHERIZATION LABS FEATURING THE LATEST EQUIPMENT FOR DIAGNOSTIC AND INTERVENTIONAL PROCEDURES. HOME TO MICHIGAN'S ONLY PEDIATRIC BURN CENTER. HOME TO MICHIGAN'S TOP PEDIATRIC IMAGING CENTER - OFFERING THE MOST ADVANCED PEDIATRIC IMAGING CAPABILITIES, INCLUDING A 3.0T SHORT BORE SCANNER, WHICH REDUCES THE INSTANCE OF SEDATION IN CHILDREN. OPERATES THE ONLY POISON CONTROL CENTER IN THE STATE OF MICHIGAN, FOCUSED ON POISON PREVENTION, EDUCATION, TRIAGE AND TREATMENT. THE POISON CONTROL CENTER ANSWERS MORE THAN 9,000 CALLS PER MONTH. THE RONALD MCDONALD HOUSE IS ON THE CAMPUS OF CHILDREN'S HOSPITAL OF MICHIGAN AND IS AVAILABLE TO FAMILIES OF SICK CHILDREN SO THAT THEY CAN SPEND THE NIGHT CLOSE TO THEIR CHILD."

4B (Expenses $ 32436120 including grants of $ 0) (Revenue $ 32229605)
ONCOLOGY - THE DIVISION OF HEMATOLOGY/ONCOLOGY AT CHILDREN'S HOSPITAL OF MICHIGAN IS A NATIONAL AND INTERNATIONAL LEADER IN THE FIELD. IN 2010, PEDIATRIC HEMATOLOGY AND ONCOLOGY SPECIALISTS SAW 1,444 INPATIENT CASES, RESULTING IN 5,712 PATIENT DAYS IN THE HOSPITAL. THE OLDEST PEDIATRIC HEMATOLOGY/ONCOLOGY PROGRAM IN MICHIGAN, THE DIVISION COMBINES STATE-OF-THE-ART DIAGNOSIS AND TREATMENT OPTIONS WITH COMPASSIONATE CARE BY 13 BOARD-CERTIFIED PEDIATRIC SPECIALISTS AND MORE THAN 75 SUPPORT STAFF. DIVISION SPECIALISTS WORK CLOSELY WITH OTHER PEDIATRIC SUBSPECIALISTS TO PROVIDE THE HIGHEST LEVEL OF COORDINATED, MULTIDISCIPLINARY CARE. OVER THE YEARS, THE PROGRAM HAS MADE MAJOR CONTRIBUTIONS TO THE UNDERSTANDING AND TREATMENT OF PEDIATRIC BLOOD DISEASES AND CANCER. SERVICES PROVIDED IN THIS DIVISION ARE FOR CHILDREN SUFFERING FROM BLOOD AND CANCER RELATED DISEASES AND DISORDERS. AMONG THESE SERVICES ARE OUR SICKLE CELL CLINIC AND BONE MARROW TRANSPLANT PROGRAM AND DEDICATED UNIT. AS FACULTY MEMBERS AT WAYNE STATE UNIVERSITY, THE PHYSICIANS ARE INVOLVED IN EXTENSIVE CLINICAL, TRANSLATIONAL AND BENCH RESEARCH IN PEDIATRIC BLOOD DISEASES, COAGULATION AND BLEEDING DISORDERS AND CANCER/LEUKEMIA. MUCH OF THIS RESEARCH IS FUNDED BY THE NATIONAL INSTITUTES OF HEALTH, NATIONAL CANCER INSTITUTE AND OTHER AGENCIES, INCLUDING THE LEUKEMIA AND LYMPHOMA SOCIETY AND THE NATIONAL HEMOPHILIA FOUNDATION.

4C (Expenses $ 26868829 including grants of $ 0) (Revenue $ 31333420)
SURGERY (GENERAL) - IN 2010, PEDIATRIC SURGICAL SPECIALISTS AT CHILDREN'S HOSPITAL OF MICHIGAN CONDUCTED 13,926 INPATIENT AND OUTPATIENT SURGICAL PROCEDURES OR OPERATIONS ON CHILDREN OF ALL AGES, RESULTING IN 2,809 INPATIENT CASES AND 14,506 DAYS OF HOSPITAL CARE. FROM APPENDECTOMIES TO HEART TRANSPLANTS, CHILDREN'S HOSPITAL OFFERS A WIDE RANGE OF PEDIATRIC SURGERY OPTIONS WITH A MULTIDISCIPLINARY TEAM OF SURGEONS AND OTHER HEALTH CARE PROVIDERS DELIVERING AN UNPARALLELLED LEVEL OF PEDIATRIC SURGICAL CARE. PEDIATRIC SURGERY SUBSPECIALISTS AT CHILDREN'S HOSPITAL INCLUDE THOSE IN THE FOLLOWING SPECIALTIES: ANESTHESIOLOGY, CARDIOVASCULAR SURGERY INCLUDING HEART TRANSPLANTS, CLEFT AND CRANIOFACIAL SURGERY, DENTAL AND ORAL SURGERY, EAR NOSE AND THROAT SURGERY, KIDNEY TRANSPLANTS, NEUROSURGERY INCLUDING BRAIN TUMOR REMOVAL, ORTHOPEDIC SURGERY, PEDIATRIC SURGERY INCLUDING BURN AND TRAUMA SURGERY, EYE SURGERY AND PLASTIC AND RECONSTRUCTIVE SURGERY AND UROLOGICAL SURGERY AMONG OTHER SERVICES. IF A CHILD REQUIRES SURGERY WHERE MULTIDISCIPLINARY CARE IS REQUIRED, CHILDREN'S PEDIATRIC SUBSPECIALTY SURGEONS WORK TOGETHER TO PROVIDE THE BEST CARE TO CHILDREN WITH COMPLEX INJURIES OR CONGENITAL ANOMOLIES. THE AVAILABILITY OF THESE MULTIDISCIPLINARY PEDIATRIC SURGICAL TEAMS IS ONE OF THE MANY ADVANTAGES OF TREATMENT AT THE CHILDREN'S HOSPITAL OF MICHIGAN.

4D (Expenses $ 203450023 including grants of $ 0) (Revenue $ 231733511)
NEONATOLOGY - 1,458 TOTAL CASES; 6,133 INPATIENT DAYS; 1,044 OUTPATIENT REGISTRATIONS EMERGENCY MEDICINE - 59,836 TOTAL CASES; 2 INPATIENT DAYS; 59,834 OUTPATIENT REGISTRATIONS CRITICAL CARE/INTENSIVE CARE - 458 TOTAL CASES; 3,344 INPATIENT DAYS; 140 OUTPATIENT REGISTRATIONS NEUROSURGERY - 2,529 TOTAL CASES; 3,677 INPATIENT DAYS; 1,779 OUTPATIENT REGISTRATIONS

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

COMMUNITY BUILDING ACTIVITIES PART II
THE WAYNE EARLY ON INTERAGENCY COORDINATING COUNCIL ICC IS A GROUP OF WAYNE COUNTY PUBLIC AND PRIVATE ORGANIZATIONS THAT MEET FIVE TIMES PER YEAR TO PROVIDE GUIDANCE AND OVERSIGHT FOR THE EARLY ON PROGRAM EARLY ON IS A SYSTEM OF SERVICES FOR CHILDREN FROM BIRTH TO THREE YEARS OF AGE WITH SPECIAL NEEDS AND DEVELOPMENTAL DELAYS THE GREAT START COLLABORATIVEWAYNE IS A GROUP OF WAYNE COUNTY PUBLIC AND PRIVATE ORGANIZATIONS BUSINESSES AND LEGISLATORS THIS GROUP MEETS EACH QUARTER TO ENGAGE THE COMMUNITY TO ASSURE A COORDINATED SYSTEM OF SERVICES AND RESOURCES FOR ALL WAYNE COUNTY FAMILIES TO ASSIST THEM IN PROVIDING A GREAT START FOR THEIR CHILDREN FROM BIRTH TO FIVE YEARS OF AGE

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

COLLECTION PRACTICES EXPLANATION PART III LINE 9B
FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE FOR FINANCIAL ASSISTANCE 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 RECEIVABLES 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
THE CHILDRENS HOSPITAL OF MICHIGAN WAS FIRST ESTABLISHED IN 1886 AS THE CHILDRENS FREE HOSPITAL ASSOCIATION AND BECAME THE CHILDRENS HOSPITAL OF MICHIGAN IN 1922 SINCE ITS VERY BEGINNING 125 YEARS AGO THE MISSION OF THE HOSPITAL HAS BEEN TO PROVIDE CARE TO ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY FOR HEALTH CARE SERVICES THE MISSION TODAY REMAINS UNCHANGED AS OUR FOUNDER DR CHARLES DEVENDORF CONVEYED WE WILL TAKE THE MOST HOPELESS CASES THERE WILL BE NO DISTINCTION OF CREED OR RACE ALL THE CHILDREN WHO ARE SUFFERING FROM WANT OF CARE OR ILLNESS IN DETROIT WILL BE NURSED AND MADE WELL IF WE CAN DO IT HALF OF CHILDRENS INPATIENT ADMISSIONS ARE DERIVED FROM ITS PRIMARY MARKET REGION WHICH INCLUDES DETROIT AND PARTS OF WAYNE COUNTY ANOTHER 30 OF ITS MARKET SHARE COMES FROM OTHER COMMUNITIES WITHIN SOUTHEAST MICHIGAN WAYNE OAKLAND MACOMB AND OTHER COUNTIES AND THE REMAINING 20 OF ITS ADMISSIONS ARE FROM OTHER COMMUNITIES THROUGHOUT THE STATE OF MICHIGAN AND BEYOND CHILDRENS OFFERS MORE THAN 40 MEDICAL AND SURGICAL SPECIALTIES AND SERVICES AND TRAINS MORE PEDIATRIC SPECIALISTS THAN ANY OTHER HOSPITAL IN THE STATE IN 2011 THE TOTAL POPULATION IN THE TRICOUNTY AREA WAYNE OAKLAND AND MACOMB COUNTIES INCLUDING THE CITY OF DETROIT IS APPROXIMATELY 38 MILLION PEOPLE APPROXIMATELY 24 OF THE POPULATION IS COMPRISED OF CHILDREN UNDER THE AGE OF 18 TWENTY FIVE PERCENT 25 OF THE POPULATION IN WAYNE COUNTY IS UNDER THE AGE OF 18 MAKING IT THE COUNTY WITH THE GREATEST NUMBER OF CHILDREN IN THE TRICOUNTY AREA BASED UPON 2010 CENSUS DATA 83 OF THE CITY OF DETROITS POPULATION IS AFRICAN AMERICAN 11 IS WHITE AND 7 IS HISPANICLATINO IN COMPARISON 52 OF THE POPULATION IN WAYNE COUNTY IS WHITE 40 AFRICAN AMERICAN AND 8 REPRESENTS OTHER ETHNIC GROUPS IN MACOMB COUNTY 85 OF THE POPULATION IS WHITE 7 AFRICAN AMERICAN AND FEWER THAN 8 REPRESENTING OTHER RACESETHNICITIES SOURCE US CENSUS QUICK FACTS DATA 2010 WAYNE COUNTY RESIDENTS HAVE LOWER RATES OF HIGHSCHOOL COMPLETION WHEN COMPARED TO INDIVIDUALS IN NEIGHBORING COUNTIES AND THESE RATES ARE MUCH LOWER FOR THOSE LIVING IN THE CITY OF DETROIT RECENT REPORTS INDICATE THAT 6570 OF STUDENTS LIVING IN DETROIT WILL COMPLETE HIGH SCHOOL THE DETROIT LITERACY COALITION 2011 ESTIMATES THAT MORE THAN 47 OF METROPOLITAN DETROITERS ARE FUNCTIONALLY ILLITERATE DETROITERS ALSO FACE INCOME CHALLENGES WITH AN ESTIMATE OF MORE THAN 14 OF THE CITYS POPULATION LIVING BELOW THE POVERTY LINE IN 2010 OVER 21 OF WAYNE COUNTY RESIDENTS LIVE BELOW THE POVERTY LINE AS COMPARED TO FEWER THAN 9 OF RESIDENTS LIVING IN OAKLAND AND MACOMB COUNTIES CHILDRENS HOSPITAL SERVES A DIVERSE REGION WHERE THERE ARE GROSS DISPARITIES IN EDUCATION INCOME AND HEALTH OUTCOMES FOR CHILDREN LIVING IN THE CITY OF DETROIT OR WAYNE COUNTY ACCORDING TO THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH SOME OF THE MOST SIGNIFICANT HEALTH ISSUES AFFECTING CHILDREN IN DETROIT AND WAYNE COUNTY INCLUDE DEATHS FROM UNINTENTIONAL INJURIES THIS IS THE MOST FREQUENTLY REPORTED CAUSE OF DEATH FOR ALL CHILDREN UNDER THE AGE OF 20 REGARDLESS OF WHERE THEY RESIDE CHILDREN LIVING IN WAYNE COUNTY INCLUDING THE CITY OF DETROIT ARE 23 TIMES MORE LIKELY TO DIE BECAUSE OF AN UNINTENTIONAL INJURY THE SECOND MOST REPORTED CAUSE OF DEATH IS HEART DISEASE FOLLOWED BY CHRONIC RESPIRATORY DISEASES OTHER HEALTH ISSUES IMPACTING CHILDREN IN THE COMMUNITIES CHILDRENS SERVES INCLUDE CHILDHOOD ASTHMA LEAD POISONING CHILD MALTREATMENT SEXUALLY TRANSMITTED DISEASES CHILDHOOD NUTRITION OBESITY AND HUNGER MENTAL HEALTH ISSUES AND CHRONIC DISEASE THE HEALTH ISSUES AND CHALLENGES JUST REFERENCED HELP THE CHILDRENS HOSPITAL OF MICHIGAN PLAN AND DELIVER SERVICES PROGRAMS AND SUPPORT TO IMPROVE THE HEALTH AND WELL BEING OF CHILDREN THROUGHOUT THE COMMUNITY TO FULFILL ITS MISSION EACH YEAR IN ADDITION TO CARING FOR EVERY CHILD WHO ENTERS OUR DOORS FOR PEDIATRIC SPECIALTY CARE THE CHILDRENS HOSPITAL OF MICHIGAN SUPPORTS MANY COMMUNITY OUTREACH ACTIVITIES THAT IMPACT THE HEALTH AND WELL BEING OF CHILDREN CHILDRENS HAS DEDICATED STAFF THAT TREATS TEACHES AND INFORMS FAMILIES ABOUT HEALTH IMPROVEMENT AND PREVENTION ACTIVITIES THIS STAFF FOCUSES ON MANAGEMENT OF CHRONIC DISEASES FOR CHILDREN SUFFERING FROM EVERYTHING FROM SICKLE CELL DISEASE AND HEMOPHILIA TO HIVAIDS AND CANCER THROUGH SCHOOL AND FAITHBASED OUTREACH CHILDRENS INJURY PREVENTION TEAM EDUCATES AND INFORMS THE COMMUNITY ABOUT WAYS TO PREVENT UNINTENTIONAL INJURY CHILDRENS HOSPITALS POISON CONTROL CENTER PROVIDES FREE TELEPHONE SUPPORT AND TRIAGE TO THE ENTIRE STATE FIELDING MORE THAN 85000 CALLS ANNUALLY THIS SAME TEAM IS COMMITTED TO ATTENDING NUMEROUS HEALTH FAIRS EACH YEAR TO TEACH CHILDREN AND FAMILIES HOW TO BE SAFE FROM ACCIDENTAL POISONING IN 2010 CHILDRENS HOSPITAL SUPPORTED A HIGHLY SUCCESSFUL CEREAL DRIVE TO HELP GLEANERS COMMUNITY FOOD BANK FEED NEEDY CHILDREN LEAD BY OUR PROFESSIONAL NURSING PRACTICE COUNCIL THE HOSPITAL SECURED 337673 SERVINGS OF CEREAL FOR KIDS WHO MIGHT NOT GET AN ADEQUATE BREAKFAST DURING THE SUMMER MONTHS WHEN THEYRE NOT IN SCHOOL CHILDRENS HOSPITAL OF MICHIGANS PRESIDENT SERVED AS THE CHAIR OF THE ANNUAL METROPOLITAN DETROIT AMERICAN DIABETES WALK SECURING 320 WALKERS FROM THE HOSPITAL AND HEALTH SYSTEM AND RAISING 25118 FOR THIS IMPORTANT CAUSE AND ILLNESS THAT AFFECTS SO MANY CHILDREN AND THEIR FAMILIES OUR INJURY PREVENTION TEAMS WORK REACHES FAR AND WIDE THROUGHOUT THE COMMUNITIES WE SERVE THEY PROVIDED NEARLY 500 EDUCATIONAL PROGRAMS REACHING NEARLY 50000 PARENTS AND KIDS THROUGHOUT OUR REGION LAST YEAR ALONE TOPICS RANGED FROM BIKE HELMET GUN MOTOR VEHICLE AND BUS AND PET SAFETY TO GOOD TOUCHBAD TOUCH CHOKING PREVENTION HOME FIRE AND BURN SAFETY SAFE SLEEP FOR INFANTS AND CPRBASIC LIFE SUPPORT THE TEAM ALSO PARTICIPATED IN OVER 200 COMMUNITY EVENTS REACHING OVER 95000 CHILDREN AND ADULTS THESE EVENTS FOCUSED ON FITTING AND DISTRIBUTING FREE AND ATCOST BIKE HELMETS A SAFE HALLOWEEN EVENT CAR SEAT AND BOOSTER SEAT SAFETY CHECKS AND PROVIDING AND INSTALLING SMOKE ALARMS FOR FAMILIES THE CHILDRENS HOSPITAL OF MICHIGAN ALSO SERVES CHILDREN IN NEED THROUGH ITS HAMTRAMCK SCHOOLBASED HEALTH CENTER IN ADDITION TO PROVIDING IMMUNIZATIONS AND PHYSICALS THE SCHOOL BASED CLINIC PROVIDES A VARIETY OF HEALTH EDUCATION PROGRAMS TO AREA RESIDENTS AND FAMILIES ON TOPICS RANGING FROM TEEN HYGIENE BIKE SAFETY AND DENTAL HYGIENE AMONG OTHER HEALTH TOPICS TO ADDRESS THE SERIOUS ISSUES OF ILLITERACY HUNGER AND POVERTY CHILDRENS ASSESSES COMMUNITY NEED AND OFFERS FINANCIAL SUPPORT WITH PRESCRIPTION MEDICATIONS MEALS CLOTHING AND TRANSPORTATION EXPENSES EDUCATIONAL SUPPORT IS ALSO PROVIDED THROUGH CHILDRENS ONLINE KIDS HEALTH LIBRARY ON ITS WEBSITE WORKING WITH THE MICHIGAN HOSPITAL ASSOCIATION CHILDRENS HOSPITAL VOLUNTARILY REPORTS COMMUNITY BENEFIT PROGRAMS AND SERVICES IT DELIVERS TO HELP ACHIEVE ITS HEALTH CARE MISSION CHILDRENS COMMUNITY BENEFIT PROGRAMS AND SERVICES ADDRESS THE DYNAMIC HEALTH CARE NEEDS OF CHILDREN THROUGHOUT THE COMMUNITIES IT SERVES INCLUDING PARTICULARLY VULNERABLE CHILDREN IN UNDERSERVED COMMUNITIES IN DETROIT THE CHILDRENS HOSPITAL OF MICHIGAN SEES MORE CHILDREN THAN ANY OTHER HOSPITAL IN THE STATE WITH APPROXIMATELY 11500 INPATIENT ADMISSIONS 14000 SURGICAL PROCEDURES 89000 EMERGENCY VISITS AND 159000 TOTAL OUTPATIENT VISITS AT ITS MAIN FACILITY IN DETROIT AND AT ITS PEDIATRIC SPECIALTY CENTERS LOCATED THROUGHOUT SOUTHEAST MICHIGAN

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
SEE RESPONSE TO SCHEDULE H PART VI LINE 2 NEEDS ASSESSMENT

AFFILIATED HEALTH CARE INFORMATION PART VI
CHILDRENS HOSPITAL OF MICHIGAN 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 US NEWS WORLD REPORT NAMED HARPER UNIVERSITY HOSPITAL ONE OF 2009 AMERICAS BEST HOSPITALS FOR NEUROLOGYNEUROSURGERY AND HEARTHEART SURGERY AMONG THE TOP 50 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 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 VALLEY HOSPITAL INC 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 INC 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 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 USNEWS WORLD REPORT NAMED SINAIGRACE HOSPITAL ONE OF 2009 AMERICAS BEST HOSPITALS FOR NEUROLOGY NEUROSURGERY AND GASTROINTESTINAL DISEASES AMONG THE TOP 50 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