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Detroit Medical Center is the largest health care provider in southeast Michigan, as it operates seven hospitals (Children's Hospital of Michigan, Detroit Receiving, Harper, Huron Valley-Sinai, Hutzel, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital), two nursing centers and more than 100 outpatient facilities throughout southeast Michigan and is affiliated with the Barbara Ann Karmanos Cancer Institute. A nonprofit corporation established in 1985, the Detroit Medical Center is the largest nongovernmental employer in Detroit. The system has more than 2,000 licensed beds, 3,000 affiliated physicians and serves as the teaching and clinical research site for Wayne State University, the nation's fourth largest medical school. Many Detroit Medical Center physicians are recognized by colleagues as leaders in their field of medicine.