The Patient Protection and Affordable Care Act (ACA) requires private non-profit hospitals to conduct community health needs assessments (CHNAs) at least once every three years. The CHNA must be documented as a written report, and made publicly-available on the hospital’s website.

Hospitals that fail to submit a CHNA or other 501(r) requirements are subject to a $50,000 fine. More importantly, failure to submit a CHNA can result in revocation of a hospital’s tax-exempt status.


I.H. Michaels, LLC develops state-of-the-art secondary health data reports that provide actionable data and insights for both clinical practice and population health. These reports readily integrate into a hospital CHNA, thereby facilitating compliance with IRS 501(r)(3) requirements for CHNAs:

  • Describes the community served by the hospital.
  • Describes the demographics of the community.
  • Describes existing health care facilities and resources within the community that are available to respond to the community’s health needs.
  • Describes how data were obtained.
  • Describes health issues of uninusured, low-income, and minority populations within the community.

Our reports include data at the state, county, sub-county, and organization levels, as well as data for nearby comparison counties. They are professionally designed to communicate effectively with both technical and lay audiences.


  • Publication-quality report
  • Rapid development timeframe
  • Informative, user-friendly design
  • Integrated maps, graphs, data tables, and written data descriptions
  • Customized for your hospital and community
  • Comprehensive data from multiple sources
  • Ongoing access to technical assistance and expertise


Our reports include over 87 data indicators:

  • Hospital (n>7)
  • Community Demographics (n=5)
  • Social Determinants of Health (n=8)
  • General Health (n=10)
  • Chronic Diseases (n=19)
  • Communicable Diseases (n=3)
  • Environmental and Occupational Health (n=3)
  • Injuries (n=10)
  • Maternal and Child Health (n=6)
  • Nutrition (n=3)
  • Substance Abuse (n=5)
  • Health Care Quality, Safety, and Access (n=15)

Beyond Compliance

  • We incorporate data on public health outcomes and ‘upstream’ determinants of health, to enable you to advance the triple aim, and succeed in a value-based care environment.
  • We carefully analyze data by sociodemographic catergories to uncover health disparities, and to provide actionable information for promoting health equity.
  • Our reports are designed to engage your community. Use the data to start a conversation about prioritizing health issues, and planning interventions. Sharing the report with your community can build trust, strengthen partnerships, and lead to new collaboration.

Our services are available in the 49 U.S. states outside of New York.

Contact Us

I.H. Michaels, LLC
Niskayuna, NY