Community Benefit Insight - Tax-exempt hospital

View data for this organization below, or select additional hospitals to create a comparison view.

Search tax-exempt hospitals
for comparison purposes.

Barbara Ann Karmanos Cancer Hospital

Karmanos Cancer Hospital

4100 John R
Detroit, MI 48201

Bed count	123	Medicare provider number	230297	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 201649466

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

8.18%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

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	$ 1,142,458 0.30 %
Medicaid as % of operating expenses	$ 29,725,702 7.87 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
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: 2021

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	$ 4,136,329 1.10 %
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 2022 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	$ 0 0 %

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:
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: 2021

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?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

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 $ 63532781 including grants of $ 155207) (Revenue $ 76142595)
INPATIENT: HEALTH CARE DELIVERY & MANAGEMENT: BARBARA ANN KARMANOS CANCER HOSPITAL IS DEDICATED TO THE DELIVERY OF CANCER CARE SERVICES, THE TREATMENT AND CARE OF CANCER PATIENTS AND THE PREVENTION OF CANCER. ADDITIONALLY, KARMANOS PROMOTES, ENCOURAGES, AIDS AND PERFORMS SCIENTIFIC INVESTIGATIONS AND RESEARCH ADDRESSING THE CAUSE, TREATMENT AND PREVENTION OF CANCER. ESSENTIAL CANCER MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY. FROM OCTOBER 2021 TO SEPTEMBER 2022, KARMANOS HAD 21,971 PATIENT DAYS AND 2,263 DISCHARGES FOR AN AVERAGE LENGTH OF STAY OF 9.71 DAYS. IN ADDITION, THERE WERE 236 BONE MARROW TRANSPLANT CASES, 583 INPATIENT SURGICAL CASES, AND 2,483 INPATIENT IMAGING CASES.

4B (Expenses $ 251606603 including grants of $ 614672) (Revenue $ 308348135)
AMBULATORY SERVICES: THE BARBARA ANN KARMANOS CANCER HOSPITAL PROVIDED MEDICAL SERVICES TO CANCER PATIENTS INCLUDING RADIATION ONCOLOGY, CHEMOTHERAPY, BONE MARROW TRANSPLANT, MAMMOGRAPHY AND HEMATOLOGY CONSULTATIVE, DIAGNOSTIC AND TREATMENT SERVICES. ESSENTIAL CANCER AND MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY. FROM OCTOBER 2021 TO SEPTEMBER 2022, THE FOLLOWING OUTPATIENT STATISTICS WERE REPORTED: CLINICAL VISITS OF 53,986; INFUSION PATIENTS OF 22,417; IMAGING PROCEDURES OF 63,922; PHERESIS PATIENTS TOTALLED 636; INPATIENT AND OUTPATIENT RADIATION ONCOLOGY PROCEDURES OF 18,519 AND OUTPATIENT SURGICAL CASES OF 1,614.

4C (Expenses $ 17266805 including grants of $ 28536) (Revenue $ 14112196)
THE BARBARA ANN KARMANOS CANCER HOSPITAL PROMOTES AIDS AND PERFORMS SCIENTIFIC INVESTIGATIONS AND RESEARCH ADDRESSING THE CAUSE, TREATMENTS AND PREVENTION OF CANCER. PHASE 1 INFUSION PATIENT VISITS OF 4,511. AT SEPTEMBER 30, 2022, KCC HAD 253 ACTIVE CLINICAL DRUG TRIALS; 422 PATIENTS WILLING TO PARTICIPATE OF WHICH 300 WERE ELIGIBLE AND REGISTERED AS PARTICIPANTS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

BARBARA ANN KARMANOS CANCER HOSPITAL
PART V, SECTION B, LINE 5: THE PANDEMIC OF 2020 CAUSED MANY RESOURCE CONTRAINTS ON THE CHNA CORE TEAM, AND AN ADAPTIVE PLAN WAS CREATED TO GAIN INSIGHT ON THE COMMUNITY KARMANOS SERVICES. THE INFORMATION CONTAINED IN THE 2022 CHNA WAS OBTAINED WITH LIMITED ACCESS TO THE COMMUNITY AND LIMITED STAFFING RESOURCES DUE TO STAFF RELOCATION TO CRITICAL SERVICE AREAS. THE CHNA CORE TEAM CREATED TWO SURVEYS THAT WERE DISTRIBUTED IN THE CLINIC AREAS FROM 2019 TO 2020 TO A SMALL, FOCUSED NUMBER OF PATIENTS/CLIENTS AND PROVIDERS/PARTNERS WHO FREQUENTLY INTERACTED WITH KARMANOS. THE 2022 CHNA SURVEY CONSISTED OF 9 QUESTIONS TARGETED TO GAIN INSIGHT ON PERCEPTION OF HEALTH, ACCESS TO CARE, CANCER PREVENTION AND SCREENING KNOWLEDGE, AND PERCEIVED BARRIERS TO CARE. THE DEMOGRAPHICS OF THE PATIENT/CLIENTS WHO RESPONDED TO THE CHNA SURVEY SELF-IDENTIFED AS MOSTLY WOMEN, AFRICAN AMERICAN/BLACK, CAUCASIAN/ WHITE, HISPANIC, AND OTHER RACE, WITH THE AVERAGE AGE BEING 43 YEARS OLD.THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN CAN BE FOUND ON THE ORGANIZATIONS WEBSITE AT HTTPS://WWW.MCLAREN.ORG/MAIN/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

BARBARA ANN KARMANOS CANCER HOSPITAL
PART V, SECTION B, LINE 11: KCI HAS SEVERAL RESOURCES AND PROCESSES IN PLACE THAT WILL CONTINUE TO SUPPORT AND ADDRESS THE NEEDS IDENTIFIED IN THE 2022 CHNA. THE RESOURCES DEDICATED TO OR CONSUMED BY THE CHNA PROGRAM INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING HUMAN, ORGANIZATIONAL, AND COMMUNITY RESOURCES LISTED. KARMANOS' MULTIDISCIPLINARY TEAM (MDT) WHICH CONSISTS OF WAYNE STATE UNIVERSITY-AFFILIATED ONCOLOGISTS, RADIOLOGIST, SURGEONS, PATHOLOGISTS, GENETICIST, AND COUNSELORS. THE KCI DEPARTMENTS OF MARKETING AND COMMUNICATION, DEVELOPMENT, PATIENT/COMMUNITY EDUCATION, VOLUNTEER SERVICES, SOCIAL WORK, CASE MANAGEMENT SERVICES, AND NUTRITION AND PATIENT CARE SERVICES. COMMUNITY ORGANIZATIONS INCLUDING THE BREAST AND CERVICAL CANCER CONTROL PROGRAM (BCCCP), THE ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS), THE TRI-COUNTY TOBACCO CESSATION COALITIONS, AND SEVERAL AREA FEDERALLY QUALIFIED HEALTH CENTERS (FQHC).

BARBARA ANN KARMANOS CANCER HOSPITAL
PART V, SECTION B, LINE 13B: PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE APPLIED BASED ON THIRD PARTY INFORMATION OR A PRIOR FINANCIAL ASSISTANCE DETERMINATION. DESIGNATED PERSONNEL WILL MAKE REASONABLE EFFORT TO NOTIFY THE INDIVIDUAL OF ASSISTANCE.

BARBARA ANN KARMANOS CANCER HOSPITAL
PART V, SECTION B, LINE 21D: THE BARBARA ANN KARMANOS CANCER HOSPITAL DOES NOT HAVE AN EMERGENCY ROOM.

PART V, LINE 13A:
FINANCIAL ASSISTANCE GUIDELINES ARE BASED ON 400% OF THE FEDERAL POVERTY GUIDELINES (FPG) PUBLISHED ANNUALLY IN THE FEDERAL REGISTER. CARE IS DISCOUNTED 100% UP TO 400% OF THE FPG. DESIGNATED PERSONNEL WILL ACCESS THE FEDERAL REGISTER AND UPDATE THE FINANCIAL ASSISTANCE GUIDELINES ANNUALLY. THE DISCOUNT IS BASED ON FAMILY SIZE AND ANNUAL INCOME.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 6A:
OUR PARENT, MCLAREN HEALTH CARE CORPORATION PREPARES AN ANNUAL REPORT OF ITS MEMBER HOSPITAL. THIS ANNUAL REPORT IS AVAILABLE ON OUR WEBSITE.

PART I, LN 7 COL(F):
BAD DEBT EXPENSE OF $4,136,329 WAS INCLUDED IN FORM 990, PART IX, LINE 25 BUT SUBTRACTED WHEN CALCULATING SCH H, PART I, LINE 7, COL F.PART III, LINE 2:COST TO CHARGE RATIO CALCULATED USING WORKSHEET 2 FROM THE INSTRUCTIONS.

PART III, LINE 4:
ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.

PART III, LINE 8:
SHORTFALL OF MEDICARE COST OVER MEDICARE PAYMENTS OF ($9,325,998) SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. THE MAJORITY OF OUR MEDICARE PATIENTS ARE CORSSOVER PATIENTS WITH MEDICAID AS SECONDARY.

PART III, LINE 9B:
PROVIDERS CAN DEEM MEDICARE BENEFICIARIES INDIGENT OR MEDICALLY INDIGENT WHEN SUCH INDIVUDUALS HAVE ALSO BEEN DETERMINED ELIGIBLE FOR MEDICAID AS EITHER CATEGORICALLY NEEDY INDIVIDUALS OR MEDICALLY NEEDY INDIVIDUALS, RESPECTIVELY. ONCE INDIGENCE IS DETERMINED AND THE PROVIDER CONCLUDES THAT THERE HAD BEEN NO IMPROVEMENT IN THE BENEFICIARY'S FINANCIAL CONDITION, THE DEBT MAY BE DEEMED UNCOLLECTABLE.

PART VI, LINE 2:
"THE CHNA CORE TEAM REVIEWED HISTORICAL DATA, LITERATURE REVIEW, AND SURVEY FINDINGS FROM THE COMMUNITY INPUT PROCESS IN 2018. SECONDARY DATA INCLUDED A NUMBER OF REPORTS (IE. ""MICHIGAN'S 2011 HEALTH PROFILE CHARGE BOOK AND ""2016 BEHAVIORAL RISK FACTOR SURVEY"" OF THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES). THESE DATABASES AND REPORTS WERE HELPFUL IN STRUCTURING OUR CONVERSATIONS AND TO FURTHER UNDERSTAND THE HEALTH NEEDS OF OUR COMMUNITY AGAINST OTHERS THROUGHOUT THE STATE OF MICHIGAN."

PART VI, LINE 3:
ALL PATIENTS RECEIVE A COPY OF THEIR PATIENT RIGHTS UPON REGISTRATION AS A NEW PATIENT. PATIENTS ARE ASKED ABOUT HEALTH CARE COVERAGE WHEN SCHEDULING AN APPOINTMENT AND VERIFIED DURING THE PRE-REGISTRATION PROCESS. THOSE PATIENTS WITHOUT INSURANCE OR THAT ARE UNDERINSURED ARE THEN DIRECTED TO SPECIAL GRANT PROGRAMS OR TO A FINANCIAL COUNSELOR FOR APPLICATIONS TO OTHER PROGRAMS.

PART VI, LINE 4:
THE BARBARA ANN KARMANOS CANCER INSTITUTE AND BARBARA ANN KARMANOS CANCER HOSPITAL (KCC) IS LOCATED IN MID-TOWN DETROIT, MICHIGAN AND IS ONE OF ONLY 51 NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTERS IN THE UNITED STATES. KCC HAS BEEN RANKED AS ONE OF AMERICA'S BEST HOSPITAL FOR CANCER CARE BY THE WOMEN'S CHOICE AWARD, FROM 2011-2012, AS WELL AS 2014-2018. ACCORDING TO THE WOMEN'S CHOICE AWARD, KARMANOS IS ONE OF ONLY 54 HOSPITALS THAT RECEIVED THE AWARD FOR CANCER CARE AND RESEARCH IN 2018, REPRESENTING THE HOSPITALS THAT HAVE MET THE HIGHEST STANDARDS FOR CANCER CARE AND RESEARCH IN THE U.S. THE AWARD ALSO SIGNIFIES THAT KARMANOS IS IN THE TOP NINE PERCENT OF 4,812 U.S. HOSPITALS OFFERING EXCEPTIONAL CANCER CARE SERVICES.

PART VI, LINE 5:
EVERY YEAR KAMANOS PROVIDES UP-TO-DATE CANCER EDUCATION FOR MEDICAL PROFESSIONALS AND THE LAY PUBLIC. ANNUAL SYMPOSIUMS ARE HELD ON LUNG, BREAST, PROSTATE, GASTROINTESTINAL, AND GYNECOLOGIC CANCER. THE PATIENT AND COMMUNITY EDUCATION DEPARTMENT PROVIDES EDUCATION TO INDUSTRY, CHURCHES, AND SCHOOLS IN THE FORM OF HEALTH FAIRS AND CANCER PREVENTION AND EARLY DETECTION PRESENTATIONS. HOWEVER, DUE TO THE PANDEMIC, THE NUMBER OF PROGRAMS WERE LIMITED.

PART VI, LINE 6:
THE BARBARA ANN KARMANOS CANCER HOSPITAL PATIENTS, ALONG WITH THE GENERAL SURROUNDING POPULATION, RECEIVED HEALTH EDUCATION THROUGH COMMUNITY EDUCATION, PROGRAMS, CORPORATE OUTREACH AND THIRD PARTY EVENTS. THESE PROGRAMS INCLUDED SOCIAL WORK AND SUPPORTIVE SERVICES, CONFERENCE AND SYMPOSIUMS ON BREAST, GASTROINTESTINAL, HEMATOLOGY AND PROSTATE CANCERS, AND WELLNESS.

PART VI, LINE 7, REPORTS FILED WITH STATES
MI

Operating expenses	$ 377,588,451
Total amount spent on community benefits as % of operating expenses	$ 30,868,160 8.18 %