HENRY FORD WEST BLOOMFIELD HOSPITAL Ratings and Reviews

  About HENRY FORD WEST BLOOMFIELD HOSPITAL

Patient Survey Results

Below is information compiled by CMS on the percentage of patients who respond to specific treatments and a comparison of the results for HENRY FORD WEST BLOOMFIELD HOSPITAL to the national results for similar facilities.

Survey Question	Response
Patients who reported that their nurses "Always" communicated well	77 %
Patients who reported that their nurses "Sometimes" or "Never" communicated well	5 %
Patients who reported that their nurses "Usually" communicated well	18 %
Nurse communication - linear mean score	Not Applicable
Nurse communication - star rating	Not Applicable
Patients who reported that their nurses "Always" treated them with courtesy and respect	82 %
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect	3 %
Patients who reported that their nurses "Usually" treated them with courtesy and respect	15 %
Patients who reported that their nurses "Always" listened carefully to them	75 %
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them	5 %
Patients who reported that their nurses "Usually" listened carefully to them	20 %
Patients who reported that their nurses "Always" explained things in a way they could understand	74 %
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand	6 %
Patients who reported that their nurses "Usually" explained things in a way they could understand	20 %
Patients who reported that their doctors "Always" communicated well	77 %
Patients who reported that their doctors "Sometimes" or "Never" communicated well	5 %
Patients who reported that their doctors "Usually" communicated well	18 %
Doctor communication - linear mean score	Not Applicable
Doctor communication - star rating	Not Applicable
Patients who reported that their doctors "Always" treated them with courtesy and respect	84 %
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect	3 %
Patients who reported that their doctors "Usually" treated them with courtesy and respect	13 %
Patients who reported that their doctors "Always" listened carefully to them	76 %
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them	5 %
Patients who reported that their doctors "Usually" listened carefully to them	19 %
Patients who reported that their doctors "Always" explained things in a way they could understand	71 %
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand	6 %
Patients who reported that their doctors "Usually" explained things in a way they could understand	23 %
Patients who reported that they "Always" received help as soon as they wanted	63 %
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted	12 %
Patients who reported that they "Usually" received help as soon as they wanted	25 %
Staff responsiveness - linear mean score	Not Applicable
Staff responsiveness - star rating	Not Applicable
Patients who reported that they "Always" received help after using the call button as soon as they wanted	61 %
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted	10 %
Patients who reported that they "Usually" received help after using the call button as soon as they wanted	29 %
Patients who reported that they "Always" received bathroom help as soon as they wanted	65 %
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted	13 %
Patients who reported that they "Usually" received bathroom help as soon as they wanted	22 %
Patients who reported that staff "Always" explained about medicines before giving it to them	58 %
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them	24 %
Patients who reported that staff "Usually" explained about medicines before giving it to them	18 %
Communication about medicines - linear mean score	Not Applicable
Communication about medicines - star rating	Not Applicable
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for	72 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for	11 %
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for.	17 %
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects	44 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects	36 %
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects	20 %
Patients who reported that NO, they were not given information about what to do during their recovery at home	17 %
Patients who reported that YES, they were given information about what to do during their recovery at home	83 %
Discharge information - linear mean score	Not Applicable
Discharge information - star rating	Not Applicable
Patients who reported that NO, they did not discuss whether they would need help after discharge	20 %
Patients who reported that YES, they did discuss whether they would need help after discharge	80 %
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge	14 %
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge	86 %
Patients who "Agree" they understood their care when they left the hospital	41 %
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital	7 %
Patients who "Strongly Agree" they understood their care when they left the hospital	52 %
Care transition - linear mean score	Not Applicable
Care transition - star rating	Not Applicable
Patients who "Agree" that the staff took my preferences into account when determining my health care needs	47 %
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs	8 %
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs	45 %
Patients who "Agree" that they understood their responsiblities in managing their health	44 %
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health	6 %
Patients who "Strongly Agree" that they understood their responsiblities in managing their health	50 %
Patients who "Agree" that they understood the purposes of their medications when leaving the hospital	35 %
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital	5 %
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital	60 %
Patients who reported that their room and bathroom were "Always" clean	60 %
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean	17 %
Patients who reported that their room and bathroom were "Usually" clean	23 %
Cleanliness - linear mean score	Not Applicable
Cleanliness - star rating	Not Applicable
Patients who reported that the area around their room was "Always" quiet at night	66 %
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night	7 %
Patients who reported that the area around their room was "Usually" quiet at night	27 %
Quietness - linear mean score	Not Applicable
Quietness - star rating	Not Applicable
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest)	9 %
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest)	21 %
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)	70 %
Overall hospital rating - linear mean score	Not Applicable
Overall hospital rating - star rating	Not Applicable
Patients who reported NO, they would probably not or definitely not recommend the hospital	6 %
Patients who reported YES, they would definitely recommend the hospital	74 %
Patients who reported YES, they would probably recommend the hospital	20 %
Recommend hospital - linear mean score	Not Applicable
Recommend hospital - star rating	Not Applicable
Summary star rating	Not Applicable

Cost of HENRY FORD WEST BLOOMFIELD HOSPITAL, Compare to National and State Averages

Understanding how much a hospital is going to cost is extremely difficult. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Then you have the problem of the wide variety of treatments which the HENRY FORD WEST BLOOMFIELD HOSPITAL provides.

To provide some standard metric to compare hospital costs, CMS publishes the MSPB (or "Medicare Spending Per Beneficiary"). Even though you may not be on Medicare, this metric may still be useful. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average.

MSPB for HENRY FORD WEST BLOOMFIELD HOSPITAL: Not Available

Detailed table for spending and period for patients at HENRY FORD WEST BLOOMFIELD HOSPITAL:

Type	Amount
Home Health Agency (1 to 3 days Prior to Index Hospital Admission)	$11
Hospice (1 to 3 days Prior to Index Hospital Admission)	$1
Inpatient (1 to 3 days Prior to Index Hospital Admission)	$59
Outpatient (1 to 3 days Prior to Index Hospital Admission)	$43
Skilled Nursing Facility (1 to 3 days Prior to Index Hospital Admission)	$28
Durable Medical Equipment (1 to 3 days Prior to Index Hospital Admission)	$11
Carrier (1 to 3 days Prior to Index Hospital Admission)	$714
Home Health Agency (During Index Hospital Admission)	$0
Hospice (During Index Hospital Admission)	$0
Inpatient (During Index Hospital Admission)	$10,700
Outpatient (During Index Hospital Admission)	$0
Skilled Nursing Facility (During Index Hospital Admission)	$0
Durable Medical Equipment (During Index Hospital Admission)	$34
Carrier (During Index Hospital Admission)	$1,488
Home Health Agency (1 through 30 days After Discharge from Index Hospital Admission)	$940
Hospice (1 through 30 days After Discharge from Index Hospital Admission)	$212
Inpatient (1 through 30 days After Discharge from Index Hospital Admission)	$2,615
Outpatient (1 through 30 days After Discharge from Index Hospital Admission)	$1,015
Skilled Nursing Facility (1 through 30 days After Discharge from Index Hospital Admission)	$4,155
Durable Medical Equipment (1 through 30 days After Discharge from Index Hospital Admission)	$200
Carrier (1 through 30 days After Discharge from Index Hospital Admission)	$1,409
Total (Complete Episode)	$23,636

Infection Rates at HENRY FORD WEST BLOOMFIELD HOSPITAL

These measures show how often patients at HENRY FORD WEST BLOOMFIELD HOSPITAL contract certain infections during the course of their medical treatment, when compared to other hospitals nationally.

Infection Type	Score / Compare to National Average
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	0.28 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	2.10 / Same
Central Line Associated Bloodstream Infection: Number of Device Days	5,178.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	4.60 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	4.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards)	0.87 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	-- / Better
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	0.45 / Better
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	6,761.00 / Better
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	6.73 / Better
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	0.00 / Better
Catheter Associated Urinary Tract Infections (ICU + select Wards)	0.00 / Better
SSI - Colon Surgery: Lower Confidence Limit	0.02 / Same
SSI - Colon Surgery: Upper Confidence Limit	1.45 / Same
SSI - Colon Surgery: Number of Procedures	127.00 / Same
SSI - Colon Surgery: Predicted Cases	3.39 / Same
SSI - Colon Surgery: Observed Cases	1.00 / Same
SSI - Colon Surgery	0.30 / Same
SSI - Abdominal Hysterectomy: Lower Confidence Limit	-- / Same
SSI - Abdominal Hysterectomy: Upper Confidence Limit	2.49 / Same
SSI - Abdominal Hysterectomy: Number of Procedures	137.00 / Same
SSI - Abdominal Hysterectomy: Predicted Cases	1.20 / Same
SSI - Abdominal Hysterectomy: Observed Cases	0.00 / Same
SSI - Abdominal Hysterectomy	0.00 / Same
MRSA Bacteremia: Lower Confidence Limit	0.11 / Same
MRSA Bacteremia: Upper Confidence Limit	2.24 / Same
MRSA Bacteremia: Patient Days	64,304.00 / Same
MRSA Bacteremia: Predicted Cases	2.95 / Same
MRSA Bacteremia: Observed Cases	2.00 / Same
MRSA Bacteremia	0.68 / Same
Clostridium Difficile (C.Diff): Lower Confidence Limit	0.20 / Better
Clostridium Difficile (C.Diff): Upper Confidence Limit	0.55 / Better
Clostridium Difficile (C.Diff): Patient Days	60,580.00 / Better
Clostridium Difficile (C.Diff): Predicted Cases	43.85 / Better
Clostridium Difficile (C.Diff): Observed Cases	15.00 / Better
Clostridium Difficile (C.Diff)	0.34 / Better

How HENRY FORD WEST BLOOMFIELD HOSPITAL Compares to Other Similar Facilities

This is how HENRY FORD WEST BLOOMFIELD HOSPITAL compares to other similar hospitals nationally based on data provided to CMS.

Top Hospitals in WEST BLOOMFIELD, MI

Worst Hospitals in WEST BLOOMFIELD, MI

Percentages of Complications and Deaths at HENRY FORD WEST BLOOMFIELD HOSPITAL

Measure	Score	Compared to National Rates
Rate of complications for hip/knee replacement patients	NA	Not Enough Data
Death rate for heart attack patients	10.6%	SAME
Death rate for CABG surgery patients	NA	Not Enough Data
Death rate for COPD patients	9.8%	SAME
Death rate for heart failure patients	11.5%	SAME
Death rate for pneumonia patients	17.2%	SAME
Death rate for stroke patients	12.7%	SAME
Pressure ulcer rate	0.51%	SAME
Death rate among surgical inpatients with serious treatable complications	178.75%	SAME
Iatrogenic pneumothorax rate	0.24%	SAME
In-hospital fall with hip fracture rate	0.08%	SAME
Postoperative hemorrhage or hematoma rate	2.21%	SAME
Postoperative acute kidney injury requiring dialysis rate	1.91%	SAME
Postoperative respiratory failure rate	10.91%	SAME
Perioperative pulmonary embolism or deep vein thrombosis rate	5.33%	SAME
Postoperative sepsis rate	5.25%	SAME
Postoperative wound dehiscence rate	1.8%	SAME
Abdominopelvic accidental puncture or laceration rate	0.83%	SAME
CMS Medicare PSI 90: Patient safety and adverse events composite	1.11%	SAME

Skilled Nursing Facilities Near HENRY FORD WEST BLOOMFIELD HOSPITAL

Many hospital patients are not ready to return home after a hospital visit. If recovery is going to be protracted, doctors will often advise that the patients recuperate at a skilled nursing facility. Below is a list of the skilled nursing homes near HENRY FORD WEST BLOOMFIELD HOSPITAL ranked by their CMS 5-Star Overall Rating.

Facility Name	Overall Rating
Orchard Grove Health Campus	5:
The Neighborhoods of White Lake	5:
The Oaks at Woodfield	5:
Fairlane Senior Care and Rehab Center	5:
Glacier Hills	5:
Bellbrook	5:
Shelby Crossing Health Campus	5:
Marywood Nursing Care Center	5:
Fraser Villa	5:
Maple Manor Rehab Center	5:
South Lyon Senior Care and Rehab Center, L L C	5:
Westlake Health Campus	5:
Hartford Nursing and Rehabilitation Center	5:
Wellbridge of Romeo, LLC	5:
Qualicare Nursing Home	5:
The Orchards at Samaritan	5:
Medilodge of Plymouth	5:
Lourdes Rehabilitation and Healthcare Center	5:
Fox Run Village	5:
Oakland Nursing Center	4:
Argentine Care Center	4:
The Gilbert Residence	4:
Wellbridge of Clarkston	4:
Ch Rehab and Nurs Cnt - Commons Dearborn	4:
Caretel Inns of Brighton	4:
St Anthony Healthcare Center	4:
The Villa at Great Lakes Crossing	4:
Medilodge of Taylor	4:
Livonia Woods Nursing and Rehabilitation	4:
Novi Lakes Health Campus	4:
Sheffield Manor Nursing and Rehab Center	4:
Rivergate Health Care Center	4:
West Bloomfield Health and Rehabilitation Center	4:
West Oaks Senior Care and Rehab Center	4:
Fountain Bleu Health and Rehabilitation Center	4:
Oakpointe Senior Care and Rehab Center	4:
Pomeroy Living Sterling Skilled Rehabilitation	4:
Optalis Health and Rehab of Sterling Heights	4:
Wellbridge of Rochester Hills	4:
Belle Fountain Nursing and Rehabilitation Center	4:
Lake Orion Nursing Center	4:
Wellbridge of Brighton	4:
Medilodge of Milford	4:
Skld Livonia	4:
Skld Plymouth	3:
Ch Rehab and Nurs Cnt - Commons Farmington Hills	3:
Oakland Manor Nursing and Rehab Center LLC	3:
Hamilton Nursing Home	3:
The Villa at Parkridge	3:
Boulevard Temple Care Center, LLC	3:
Father Murray, A Villa Center	3:
Mission Point Nsg and Phy Rehab Ctr of Holly	3:
Regency at Westland	3:
Heritage Manor Nursing and Rehab Center	3:
Regency at Bluffs Park	3:
Regency at Shelby Township	3:
Optalis Health and Rehabilitation of Allen Park	3:
Cherry Hill For Nursing and Rehabilitation	3:
Omni Continuing Care	3:
Maple Manor Rehab Center of Novi Inc	3:
Regency at Livonia	3:
Windemere Park Health and Rehab Center	3:
Rivergate Terrace	3:
Optalis Health and Rehab of Dearborn Heights	3:
St Joseph's, A Villa Center	3:
Allegria Village	3:
Pomeroy Living Rochester Skilled Rehabilitation	3:
The Lodge at Taylor	3:
Wellbridge of Novi, LLC	3:
The Orchards at Northwest	3:
Westland, A Villa Center	3:
Mission Point Nsg and Physical Rehab Ctr of Detroit	3:
Regency Heights-Detroit	3:
Fenton Healthcare	3:
Shelby Health and Rehabilitation Center	3:
Riverview Health and Rehab Center	3:
Beaconshire Nursing Centre	2:
The Manor of Farmington Hills	2:
Regency at Canton	2:
Mission Point Nsg and Phy Rehab Ctr of Warren	2:
Medilodge of Farmington	2:
The Villa at Silverbell Estates	2:
The Orchards at Roseville	2:
The Lakeland Center	2:
Lahser Hills Care Centre	2:
Medilodge of Southfield	2:
Mission Point Nsg and Phy Rehab Ctr of Elmwood	2:
Mission Point Nsg and Phy Rehab Ctr of Woodward	2:
Pine Creek Manor Skilled Nursing and Rehab Center	2:
Marvin and Betty Danto Health Care Center	2:
Optalis Health and Rehabilitation of Troy	2:
Optalis Health and Rehabilitation of Canton	2:
The Villa at The Park	2:
Regency Manor Nursing and Rehabilitation Center	2:
The Villa at Green Lake Estates	2:
Wellbridge of Fenton	2:
Regency at Chene	2:
The Orchards at Redford	2:
Four Seasons Nursing Center of Westland	2:
Regency at Whitmore Lake	2:

Medical Groups Affiliated with HENRY FORD WEST BLOOMFIELD HOSPITAL

There are 926 doctors and 93 medical groups that are affiliated with HENRY FORD WEST BLOOMFIELD HOSPITAL.

Affiliated Doctor Groups

• HENRY FORD MEDICAL GROUP
• LAKELAND MEDICAL PRACTICES
• FD FARAH MI PLLC
• HENRY FORD WYANDOTTE HOSPITAL
• HENRY FORD WEST BLOOMFIELD HOSPITAL
• NORTHWESTERN SERVICES LLC
• HENRY FORD PATHOLOGY
• DECKERVILLE COMMUNITY HOSPITAL, INC
• VITUITY - MICHIGAN HOSPITALISTS PC
• INDEPENDENT HOSPITALIST PHYSICIANS PLLC
• HENRY FORD PHYSICIAN PARTNERS
• ART OF RADIOLOGY IMAGING ASSOCIATES, PLLC
• VHS PHYSICIANS OF MICHIGAN
• SOUND INPATIENT PHYSICIANS-MICHIGAN PLLC
• GHAZWAN ATTO MD PC
• HURLEY MEDICAL CENTER
• ASC SERVICES OF MICHIGAN LLC
• BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES
• HENRY FORD MACOMB HOSPITAL CORPORATION
• HENRY FORD URGENT CARE
• INDIRA BRAR MD PC
• ROBERT K BRATEMAN MD PC
• SELECT REHABILITATION LLC
• W A FOOTE MEMORIAL HOSPITAL INC
• ASCENSION GENESYS HOSPITAL
• SURGERY CENTER AT GATEWAY LLC
• PIONEER MEDICAL GROUP PLLC
• HURON MEMORIAL HOSPITAL
• BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
• MOCA GROUP PC
• ASA STAFFING INC
• ASCENSION MEDICAL GROUP MICHIGAN
• MICHIGAN HEALTHCARE PROFESSIONALS PC
• TROY INTERNAL MEDICINE, PC
• ASCENSION PROVIDENCE ROCHESTER HOSPITAL
• REGENTS OF THE UNIVERSITY OF MICHIGAN
• AXON ANESTHESIA CONSULTANTS PLC
• MCLAREN FLINT
• LAKES URGENT CARE INC
• LAWRENCE M DELL, MD, PC
• CAPITAL AREA ANESTHESIA PC
• ANESTHESIA ASSOCIATES OF ANN ARBOR PLLC
• MAYO CLINIC
• ADVANCED WOUND CARE AND HYPERBARIC MEDICINE OF MICHIGAN PC
• JOSE S EVANGELISTA III MD PC
• GREENBERGER WU DUNN AND FIELDS PLLC
• DIGESTIVE HEALTH CONSULTANTS PLC
• BOTSFORD GENERAL HOSPITAL
• PSJ ANESTHESIA PC
• VMD PRIMARY PROVIDERS EASTERN MICHIGAN PC
• REHABILITATION PHYSICIANS PC
• CAROLYN E GUIDOT MD PC
• MYMICHIGAN MEDICAL CENTER MIDLAND
• HURON GASTROENTEROLOGY ASSOCIATES P.C.
• UNITED HOSPITAL CENTER INC
• JOHNS HOPKINS UNIVERSITY
• REGIONAL MEDICAL IMAGING PC
• ASCENSION ST JOHN HOSPITAL
• NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
• ROCHESTER MEDICAL ASSOCIATES PLLC
• NORTHSTAR ANESTHESIA OF MICHIGAN PLLC
• MICHIGAN INSTITUTE OF UROLOGY PC
• SUMMIT PSYCHIATRIC SERVICES, P.L.C.
• PROGRESSIVE HEALTH CARE PC
• TRANSITIONAL CARE SERVICES, LLC
• LEGACY HEALTHCARE SERVICES INC
• ST MARY MERCY HOSPITAL CRNA
• UNIVERSITY PHYSICIAN GROUP
• ASCENSION PROVIDENCE HOSPITAL
• FAIRWAY PHYSICAL THERAPY LLC
• HURON VALLEY RADIOLOGY PC
• UNIVERSITY OF TOLEDO PHYSICIANS LLC
• CEP AMERICA - ANESTHESIA PC
• SOUTHWEST GENERAL MEDICAL GROUP INC
• TEXAS ONCOLOGY PA
• COVENANT MEDICAL CENTER INC
• BRONSON BATTLE CREEK HOSPITAL
• OAKWOOD AMBULATORY LLC
• M HAITHAM AL-MIDANI MD PC
• CORA HEALTH SERVICES, INC.
• MCLAREN BAY REGION
• IHA HEALTH SERVICES CORPORATION
• RAU PHYSICAL THERAPY INC
• SPRINGFIELD URGENT CARE PLLC
• ERICKSON HEALTH MEDICAL GROUP OF MICHIGAN, PC
• PINNACLE ANESTHESIA PLLC
• WATERFORD ANESTHESIA, PLLC
• MCLAREN LAPEER REGION
• BASHA DIAGNOSTICS P C
• ADVANCED RADIOLOGY SERVICES PC
• SPARTAN RADIOLOGY INC
• ASCENSION MEDICAL GROUP GENESYS
• MSU HEALTH CARE INC.

The list of medical professionals associated with HENRY FORD WEST BLOOMFIELD HOSPITAL is very long, so we have added another pages. See a list of medical professionals associated with HENRY FORD WEST BLOOMFIELD HOSPITAL.