Community Benefit Report

Michigan hospitals serve patients 24 hours a day, 365 days a year

emergency services 5 million people treated in emergency departments
outpatient 37 million outpatient visits conducted
calendar 5 million inpatient care days
inpatient 1 million patients admitted for care & treatment
babies 106,000 babies delivered
clock Avg. length of stay – 4.69 days

2019 Community Benefit Report

The 2019 Community Benefit Report is also available in PDF format. Members who would like to request printed copies may contact the MHA.

Member Resources

Resources are available to help Michigan hospitals promote their community benefit programs on our Community siteContact us for assistance.

Healthy Futures, Healthy Communities

The 2019 MHA Community Benefit Report highlights how Michigan hospitals and health systems are investing in their communities to help people of all ages get healthy and stay healthy both in and out of the hospital. Overall, these activities total an investment of nearly $2.9 billion.

The report also highlights how hospitals are helping strengthen Michigan’s economy.

These innovative community-based partnerships help improve the overall health, wellness and quality of life of Michigan residents.

Data are based on responses to the 2017 and 2018 MHA Community Benefits Surveys, which gathered information from fiscal years 2016 and 2017 from 128 hospitals. Please note that the organizations in each cohort may not be the same from year-to-year.

2019 MHA Community Benefit Report

Promoting Health and Wellness

Michigan hospitals offer a wide range of services and resources that extend access to care beyond the traditional hospital setting. This long-standing effort promotes the health and wellness of individuals and communities throughout the state. Overall, Michigan hospitals invested more than $706 million in community-based and other voluntary activities*. A snapshot of these activities is highlighted below.

health education

Health Education & Guidance

Community health education, counseling, self help, support groups, family support, community benefit operations

3.8 million people served
$55 million invested

support services

Healthcare Support Services

Health screenings, immunizations, nonbilled & reduced-fee clinics, discounted prescriptions & medical supplies, financial and in-kind support

2.4 million people served
$71 million invested

community outreach

Community Outreach

In-home services, meals/nutrition, transportation

2.1 million people served
$7 million invested

health professional

Health Professions

Investment in healthcare talent retention and workforce development

104,000 people served
$487 million invested

community building

Community Building Activities

Involvement in and financial and in-kind support of activities that help promote the health and well-being of community residents

2.5 million people served
$11 million invested

clinical research

Community Health & Clinical Research

Studies conducted with the goal of improving population health

$76 million invested

Based on a total of 128 hospitals’ data submitted in the fiscal year 2017 MHA Community Benefits Survey. View an itemized breakdown of the Community Benefit Report data.

MI 5 Priority Health Needs

Nonprofit hospitals and health systems are required by the Affordable Care Act to conduct a community health needs assessment at least once every three years. The assessment helps hospitals and health systems identify community health needs and develop strategies to address those needs. From 2012-2016, Michigan hospitals and health systems collectively identified five priority health needs as part of their community health needs assessments.

Learn more about how Michigan hospitals are addressing these needs.

Source: AHA’s CHNAFinder

Michigan Five Health Priorities

Caring for all Patients

Michigan hospitals are dedicated to providing patients and their families with high-quality, cost-effective care. As a safety net for the uninsured and underinsured, Michigan hospitals care for all who walk through their doors, regardless of their ability to pay. The unpaid cost of patient care totaled nearly $2.2 billion in 2017.


Medicare (at cost)

The difference between the federal Medicare reimbursement rate and the actual cost of care delivered to Medicare patients.

$541 million


Medicaid (at cost)

The unpaid costs of public programs for those with low incomes or disabilities.

$956 million

financial assistance

Financial Assistance (at cost)

The cost of providing free or discounted health services for individuals who cannot afford to pay for their care and qualify for financial assistance.

$131 million

bad debt

Bad Debt (at cost)

The cost of services submitted for payment by a third-party payer or patient that are not paid in full.

$419 million

unpaid costs

Other Unpaid Costs

Includes other means-tested government programs and subsidized health services.

$114 million

Healthcare Costs in Michigan Nearly 10% Lower Than National Average

A 2017 survey from the American Hospital Association shows that the cost of inpatient admissions in a Michigan hospital is 9.8 percent lower than the national average, which translates to savings of at least $500 million.

Michigan hospitals also make wise use of their operating funds. The median operating margin at Michigan hospitals was 3.8 percent for 2017.

costs in lower mi

Strengthening the State Economy

Healthcare continues to be one of the state’s largest private-sector source of jobs for Michigan residents, with hospitals often serving as one of the largest employers in their communities.

  • In 2017, there were 602,274 direct healthcare jobs in Michigan totaling more than $38 billion in wages, salaries and benefits.
  • Among Michigan’s leading economic sectors, health comprises more directs jobs in the state than education and automotive manufacturing combined.
  • In 2017, there were more than 1 million direct, indirect and induced jobs in healthcare, with a total value of $81 billion. That translates to 19 of every 100 jobs in Michigan impacted by healthcare. These jobs generated $61 billion a year in wages, salaries and benefits and nearly $18 billion a year in tax revenue.
  • Michigan hospitals alone provide nearly 232,000 direct jobs. 38 percent of Michigan healthcare workers are employed by hospitals, and the wages, salaries and benefits of Michigan hospital employees make up nearly 46 percent of the healthcare sector payroll.

For more information about healthcare’s impact on Michigan’s economy, visit the Economic Impact Report.


For more information on how rural hospitals across Michigan are impacting their communities and population health, visit or join the conversation on social media using #MiRuralCareMatters.