TRINITY HEALTH-MICHIGAN: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: TRINITY HEALTH-MICHIGAN (EIN 38-2113393)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201621349349302287
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-13T09:51:23-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382113393	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY HEALTH - MICHIGAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TRIN	BusinessNameControlTxt
Phone	7343431000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1Txt
City	LIVONIA	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	481527018	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL GUSHO	PersonNm
Person Title	ASSISTANT TREASURER	PersonTitleTxt
Phone	7343431000	PhoneNum
Signature	2016-05-13	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O FOR LIST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ROBERT CASALOU	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1Txt
City	LIVONIA	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	481527018	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,540,070,301	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TRINITY-HEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTHCARE AND HOSPITAL SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	17166	TotalEmployeeCnt
Total Volunteers	2129	TotalVolunteersCnt
Total Gross UBI	$52,110,199	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$752,413	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$20,956,370	PYContributionsGrantsAmt
CY Contributions Grants	$19,009,144	CYContributionsGrantsAmt
PY Program Service Revenue	$2,306,424,306	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,351,903,603	CYProgramServiceRevenueAmt
PY Investment Income	$47,592,189	PYInvestmentIncomeAmt
CY Investment Income	$48,523,879	CYInvestmentIncomeAmt
PY Other Revenue	$99,951,854	PYOtherRevenueAmt
CY Other Revenue	$100,692,847	CYOtherRevenueAmt
PY Total Revenue	$2,474,924,719	PYTotalRevenueAmt
CY Total Revenue	$2,520,129,473	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,017,633	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,915,815	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,064,013,822	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,057,702,633	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$17,681	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$4,096,760	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,306,060,933	PYOtherExpensesAmt
CY Other Expenses	$1,243,786,264	CYOtherExpensesAmt
PY Total Expenses	$2,372,110,069	PYTotalExpensesAmt
CY Total Expenses	$2,304,404,712	CYTotalExpensesAmt
PY Revenues Less Expenses	$102,814,650	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$215,724,761	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,119,780,142	TotalAssetsBOYAmt
Total Assets EOY	$3,181,338,583	TotalAssetsEOYAmt
Total Liabilities BOY	$1,284,221,498	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,217,507,808	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,835,558,644	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,963,830,775	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE, TRINITY HEALTH-MICHIGAN AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMIN HEALING PRESENCE WITHIN OUR COMMUNITIES. TRINITY HEALTH-MICHIGAN IS A MEMBER OF TRINITY HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,174,877,321	ExpenseAmt
Grant	$2,915,815	GrantAmt
Revenue	$2,347,001,088	RevenueAmt
Desc	TRINITY HEALTH-MICHIGAN (TH-MI), A HEALTHCARE AND HOSPITAL SYSTEM, HAS BEEN A LEADER IN PATIENT CARE FOR MORE THAN 100 YEARS, COMMITTED TO THE QUALITY CARE OF PATIENTS AND THEIR FAMILIES. TH-MI OPERATES SEVEN HOSPITALS ACROSS MICHIGAN, CONTAINING 1,688 STAFFED BEDS, AS WELL AS OUTPATIENT HEALTH CENTERS, URGENT CARE FACILITIES, PHYSICIAN OFFICES AND SPECIALTY CENTERS, AND COMMUNITY OUTREACH SITES. DURING FISCAL YEAR 2015, TH-MI HOSPITALS' EMPLOYEES, PHYSICIANS AND VOLUNTEERS PROVIDED OVER 445,000 DAYS OF CARE, AND PROVIDED HEALTH CARE SERVICES FOR OVER 2.5 MILLION OUTPATIENT VISITS, OVER 338,000 EMERGENCY ROOM VISITS, AND 10,715 HOME CARE VISITS.TH-MI OPERATES MERCY PRIMARY CARE CENTER IN DETROIT, PROVIDING MEDICAL SERVICES TO UNINSURED AND UNDERINSURED ADULTS, AS WELL AS SPECIAL PERSONAL ASSISTANCE SERVICES TO THE HOMELESS, INCLUDING SHOWERS AND CLEAN CLOTHING, AND ASSISTANCE IN ACCESSING EXISTING COMMUNITY PROGRAMS FOR HOUSING AND SUBSTANCE ABUSE TREATMENT.EACH YEAR TH-MI HOSPITALS PROVIDE OVER $140 MILLION DOLLARS IN UNCOMPENSATED BENEFITS TO THE COMMUNITY. TH-MI IS ACTIVELY ENGAGED IN THE COMMUNITY THROUGH BUSINESS, CIVIC AND SERVICE ORGANIZATIONS, AND THROUGH ITS FINANCIAL SUPPORT OF OTHER NOT-FOR-PROFIT ORGANIZATIONS AND SOCIAL SERVICES AGENCIES.PLEASE VISIT SCHEDULE H AND OUR WEBSITES FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.STJOESHEALTH.ORG AND WWW.MERCYHEALTHSAINTMARYS.COM	Desc
Total Program Service Expenses	$2,174,877,321	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	3267	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	17166	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BETH GDOWIK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7343431000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1Txt
City	LIVONIA	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	481527018	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (69 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROGER SPOELMAN
PRES & CEO; WEST MI REG CEO	26.00	29.00	Yes (X)	Yes (X)	$0	$958,333	$49,378
JAMES WOOD
DIRECTOR; CHAIRMAN	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARK FAZAKERLEY
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
RENNY ABRAHAM MD
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
CHARLES FRAYER
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
TIMOTHY CAUGHLIN
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
ROBERT CASALOU
DIRECTOR;SE MI REG CEO 1/15;CEO ST JO	53.00	2.00	Yes (X)		$0	$904,315	$39,120
MICHAEL GLUHANICH
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
ROSSANA DEGROOD MD
DIRECTOR THROUGH 12/14	2.00	48.00	Yes (X)		$0	$173,334	$22,835
LUANN HANNASCH RSM
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
GARRY FAJA
DIRECTOR AND SE MI REG CEO THR 12/14	53.00	2.00	Yes (X)		$0	$1,006,593	$40,470
CAMILLE JOURDEN-MARK
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
F JOSEPH FLECK
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
BRUCE OLSON MD
DIRECTOR	2.00	48.00	Yes (X)		$0	$369,982	$35,951
JOHN I JARAD MD
DIRECTOR THROUGH 12/14	2.00	0.00	Yes (X)		$0	$0	$0
JULIE MILLER RIDENOUR
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
KENNETH SIKKEMA
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
MAUREEN MILLER BROSNAN
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
TERRENCE WRIGHT
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
SUSAN ROSIAK
DIRECTOR THROUGH 9/2014	2.00	0.00	Yes (X)		$0	$0	$0
SR CATHERINE DECLERCQ SCH O
DIRECTOR AS OF 7/2014	2.00	0.00	Yes (X)		$0	$0	$6,531
SISTER RENETTA RUMPZ CSSF
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
JEFFERY SMITH
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
KEVIN SEXTON
DIRECTOR THR 7/14;PRES& CEO MARYLAND	2.00	48.00	Yes (X)		$0	$1,006,858	$57,406
DAVID STEINBERGER
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
EDD SNYDER
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
MARY PERSICO IHM SCH O
DIRECTOR; TH EVP MISSION INTERGRATION	2.00	48.00	Yes (X)		$0	$0	$25,865
DAVID KILLIPS
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
CAROL TARNOWSKY
SECRETARY	26.00	24.00		Yes (X)	$0	$264,592	$15,998
SALLY GUINDI
ASSISTANT SECRETARY	50.00	0.00		Yes (X)	$0	$280,017	$47,883
MICHAEL GUSHO
TREASURER; SE MI REGIONAL CFO	53.00	2.00		Yes (X)	$0	$425,259	$49,010
GARY ALLORE
ASSISTANT TREASURER; WEST MI REG CFO	17.00	38.00		Yes (X)	$0	$384,091	$33,873
JACK WEINER
CEO ST. JOSEPH MERCY OAKLAND	50.00	0.00			$0	$699,922	$55,806	Yes (X)
DAVID SPIVEY
CEO ST. MARY MERCY LIVONIA	49.00	1.00			$0	$654,177	$43,008	Yes (X)
BILL MANNS
CEO MERCY HEALTH ST. MARY'S	48.00	2.00			$0	$618,106	$37,930	Yes (X)
NANCY GRAEBNER
CEO ST. JOSEPH MERCY CHELSEA	50.00	0.00			$0	$499,734	$33,424	Yes (X)
STEPHANIE RIEMER-MATUZAK
CEO MERCY HOSPITAL GRAYLING	50.00	0.00			$0	$370,302	$57,457	Yes (X)
JOHN MACLEOD
CEO MERCY HOSPITAL CADILLAC THR 9/14	50.00	0.00			$0	$416,511	$39,001	Yes (X)
RANDALL WAGNER
COO MERCY HLTH ST. MARY'S THR 4/15	48.00	2.00			$0	$406,538	$38,597	Yes (X)
REBEKAH SMITH
CEO ST. JOSEPH MERCY PORT HURON	49.00	1.00			$0	$394,085	$30,692	Yes (X)
BARBARA HERTZLER
COO ST JOSEPH MERCY OAKLAND THR 7/14	50.00	0.00			$0	$383,993	$62,847	Yes (X)
STEVE EAVENSON
VP FINANCE MERCY HEALTH SAINT MARY'S	48.00	2.00			$0	$372,868	$35,378	Yes (X)
ROBIN DAMSCHRODER
COO ST JOE MERCY ANN ARBOR AT 10/13	50.00	0.00			$0	$356,540	$33,118	Yes (X)
KATHLEEN O'CONNOR
VP FIN ST JOE MRCY ANN ARBOR THR8/14	50.00	0.00			$318,672	$0	$46,820	Yes (X)
CLAUDE LAUDERBACH
COO ST. MARY MERCY LIVONIA THR 7/14	50.00	0.00			$0	$316,323	$50,620	Yes (X)
MICHAEL SAMYN
CFO ST MARY MCY& ST JOE MCY OAK 9/14	50.00	0.00			$0	$272,987	$30,916	Yes (X)
MARY NEFF
CADILLAC INTERIM CEO AT 9/14; COO	50.00	0.00			$0	$236,153	$39,638	Yes (X)
JACKIE PRIMEAU
INTERM VP FIN ST JOSEPH OAK THR 8/14	50.00	0.00			$0	$225,615	$29,470	Yes (X)
SHANNON STRIEBICH
COO SE MI REGION, ST JOSEPH PH & OAK	50.00	0.00			$0	$223,531	$23,254	Yes (X)
KIRSTEN KORTH-WHITE
COO MERCY HOSPITAL GRAYLING	50.00	0.00			$0	$176,113	$26,680	Yes (X)
GEORGE GIBSON
ORTHOPEDIC SURGEON (SJMHS)	50.00	0.00			$903,437	$0	$32,709		Yes (X)
CHARLES SCHWARTZ
CARDIOTHORACIC SURGEON (OAKLAND)	50.00	0.00			$862,886	$0	$34,396		Yes (X)
KRISTOPHER AALDERINK
ORTHOPEDIC SURGEON (SJMHS)	50.00	0.00			$861,898	$0	$28,638		Yes (X)
CREG CARPENTER
ORTHOPEDIC SURGEON (CHELSEA HOSP)	50.00	0.00			$764,661	$0	$35,359		Yes (X)
TALLAL ZENI
ORTHOPEDIC SURGEON (SMM LIVONIA)	50.00	0.00			$742,939	$0	$31,842		Yes (X)
DANIEL HALE
FORMER OFFICER	0.00	55.00			$0	$1,049,660	$42,477			Yes (X)
JAMES BOSSCHER
FORMER OFFICER	0.00	50.00			$0	$762,947	$39,620			Yes (X)
MARIANNE CUNNINGHAM
FORMER OFFICER	0.00	50.00			$0	$226,089	$37,539			Yes (X)
AGNES HAGERTY
FORMER OFFICER	1.00	49.00			$0	$676,227	$49,611			Yes (X)
BENJAMIN CARTER
FORMER OFFICER	2.00	53.00			$0	$1,337,975	$45,858			Yes (X)
CYNTHIA CLEMENCE
FORMER OFFICER	2.00	48.00			$0	$529,532	$51,495			Yes (X)
JENNIFER BARNETT
FORMER OFFICER	0.00	0.00			$0	$1,334,875	$1,014,807			Yes (X)
PAUL NEUMANN
FORMER OFFICER	2.00	53.00			$0	$995,662	$41,564			Yes (X)
RICHARD GILFILLAN
FORMER OFFICER	1.00	54.00			$0	$1,986,485	$44,075			Yes (X)
KEDRICK ADKINS
FORMER KEY EMPLOYEE	0.00	0.00			$0	$1,069,394	$1,656			Yes (X)
J RICHARD O'CONNELL
FORMER KEY EMPLOYEE	1.00	54.00			$0	$1,748,402	$54,577			Yes (X)
CHARLES HOFFMAN
FORMER KEY EMPLOYEE	40.00	0.00			$0	$509,150	$289,090			Yes (X)
DEBORAH ARMSTRONG
FORMER KEY EMPLOYEE	40.00	0.00			$0	$244,156	$12,208			Yes (X)
PHILIP MCCORKLE
FORMER KEY EMPLOYEE	49.00	1.00			$0	$302,917	$35,035			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,454,493	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$25,170,343	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,061,532	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	808	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PINE REST
PO BOX 1615	GRAND RAPIDS	MI	49501	HEALTH CARE SERVICES	$26,434,317
BARTON MALOW CO
26500 AMERICAN DR	SOUTHFIELD	MI	48034	CONSTRUCTION SERVICES	$22,645,006
GRANGER CONSTRUCTION COMPANY
6267 AURELIUS ROAD	LANSING	MI	48911	CONSTRUCTION SERVICES	$15,274,941
ELZINGA VOLKERS CONSTRUCTION
86 EAST SIXTH STREET	HOLLAND	MI	49423	CONSTRUCTION SERVICES	$10,421,494
THE CHRISTMAN COMPANY
634 FRONT AVE NW 500	GRAND RAPIDS	MI	49504	CONSTRUCTION SERVICES	$7,600,080

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	261	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$93,967	FederatedCampaignsAmt
Fundraising	$1,118,185	FundraisingAmt
Related Organizations	$3,575,968	RelatedOrganizationsAmt
Government Grants	$4,662,419	GovernmentGrantsAmt
All Other Contributions	$9,558,605	AllOtherContributionsAmt
Noncash Contributions	$718,134	NoncashContributionsAmt
Total Contributions	$19,009,144	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SVC REV	622110	$2,259,120,649	$2,259,120,649
PHARMACY REVENUE	446110	$72,246,365		$31,534,828	$40,711,537
LABORATORY REVENUE	621500	$20,536,589		$20,536,589

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,351,903,603	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,810,317	TotalRevenueColumnAmt
Exclusion	$24,810,317	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$11,655,470	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$12,349,566	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$694,096	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$694,096	TotalRevenueColumnAmt
Exclusion	-$694,096	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$22,694,534	SecuritiesAmt
Other	$5,234,208	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$4,215,180	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$22,694,534	SecuritiesAmt
Other	$1,019,028	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,713,562	TotalRevenueColumnAmt
Exclusion	$23,713,562	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$845,111	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,118,185	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,055,932	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$210,821	TotalRevenueColumnAmt
Exclusion	-$210,821	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$14,084	GamingGrossIncomeAmt
Gaming Direct Expenses	$9,644	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,440	TotalRevenueColumnAmt
Exclusion	$4,440	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$4,126,995	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,310,506	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,816,489	TotalRevenueColumnAmt
Exclusion	$1,816,489	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	722514	$11,857,614	$11,857,614
PROVIDER INCENTIVE	622110	$2,075,314		$2,075,314
GOV'T SUBSIDY-EHR	622110	$1,276,591		$1,276,591

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$84,567,316	TotalRevenueColumnAmt
Related Or Exempt Func Income	$84,528,534	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$38,782	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$99,776,835	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,520,129,473	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,347,001,088	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$52,110,199	UnrelatedBusinessRevenueAmt
Exclusion	$102,009,042	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,915,815	TotalAmt
Program Services	$2,915,815	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,135,592	TotalAmt
Management And General	$11,135,592	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,292,445	TotalAmt
Program Services	$148,721	ProgramServicesAmt
Management And General	$1,143,724	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$877,236,988	TotalAmt
Program Services	$821,454,916	ProgramServicesAmt
Management And General	$53,998,807	ManagementAndGeneralAmt
Fundraising	$1,783,265	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$28,075,945	TotalAmt
Program Services	$26,526,132	ProgramServicesAmt
Management And General	$1,549,813	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$77,958,023	TotalAmt
Program Services	$72,466,257	ProgramServicesAmt
Management And General	$5,301,644	ManagementAndGeneralAmt
Fundraising	$190,122	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$62,003,640	TotalAmt
Program Services	$57,324,580	ProgramServicesAmt
Management And General	$4,553,705	ManagementAndGeneralAmt
Fundraising	$125,355	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$658,460	TotalAmt
Program Services	$610,003	ProgramServicesAmt
Management And General	$48,457	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,051,991	TotalAmt
Management And General	$2,051,991	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$46,333	TotalAmt
Management And General	$46,333	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$104,852	TotalAmt
Management And General	$104,852	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,755,616	TotalAmt
Management And General	$1,755,616	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$216,256,328	TotalAmt
Program Services	$206,733,274	ProgramServicesAmt
Management And General	$8,115,036	ManagementAndGeneralAmt
Fundraising	$1,408,018	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,137,290	TotalAmt
Program Services	$8,458,248	ProgramServicesAmt
Management And General	$671,900	ManagementAndGeneralAmt
Fundraising	$7,142	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,777,615	TotalAmt
Program Services	$25,623,741	ProgramServicesAmt
Management And General	$2,035,479	ManagementAndGeneralAmt
Fundraising	$118,395	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$98,997,988	TotalAmt
Program Services	$91,712,206	ProgramServicesAmt
Management And General	$7,285,362	ManagementAndGeneralAmt
Fundraising	$420	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$44,110,596	TotalAmt
Program Services	$40,844,987	ProgramServicesAmt
Management And General	$3,244,612	ManagementAndGeneralAmt
Fundraising	$20,997	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,568,288	TotalAmt
Program Services	$2,360,560	ProgramServicesAmt
Management And General	$187,516	ManagementAndGeneralAmt
Fundraising	$20,212	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,066,837	TotalAmt
Program Services	$1,903,953	ProgramServicesAmt
Management And General	$151,245	ManagementAndGeneralAmt
Fundraising	$11,639	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$32,899,220	TotalAmt
Program Services	$32,899,220	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$146,370,431	TotalAmt
Program Services	$135,592,450	ProgramServicesAmt
Management And General	$10,771,086	ManagementAndGeneralAmt
Fundraising	$6,895	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$16,099,788	TotalAmt
Program Services	$14,914,983	ProgramServicesAmt
Management And General	$1,184,805	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES EXP	$406,793,443	$406,774,477	$0	$18,966
I/C PURCHASED SERVICES	$56,746,075	$52,475,516	$4,168,509	$102,050
HOSPITAL PROVIDER TAX	$53,205,012	$53,205,012	$0	$0
BAD DEBT EXPENSE	$45,352,889	$45,352,889	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$80,787,212	TotalAmt
Program Services	$74,579,381	ProgramServicesAmt
Management And General	$5,924,547	ManagementAndGeneralAmt
Fundraising	$283,284	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,304,404,712	TotalAmt
Program Services	$2,174,877,321	ProgramServicesAmt
Management And General	$125,430,631	ManagementAndGeneralAmt
Fundraising	$4,096,760	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$27,946,136	BOYAmt
EOY	$19,758,555	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,607,737	BOYAmt
EOY	$1,623,914	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,999,728	BOYAmt
EOY	$12,166,051	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$256,719,013	BOYAmt
EOY	$251,709,085	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$26,642,634	BOYAmt
EOY	$27,721,827	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$38,494,918	BOYAmt
EOY	$38,182,466	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$17,893,955	BOYAmt
EOY	$13,020,092	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,733,742,046	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,458,232,113	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,283,198,645	BOYAmt
EOY	$1,275,509,933	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$601,729,077	BOYAmt
EOY	$622,353,149	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$519,812,650	BOYAmt
EOY	$608,412,172	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,901,916	BOYAmt
EOY	$32,056,222	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$299,833,733	BOYAmt
EOY	$278,825,117	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,119,780,142	BOYAmt
EOY	$3,181,338,583	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$202,618,953	BOYAmt
EOY	$216,580,732	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,481,789	BOYAmt
EOY	$3,249,108	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$24,482,269	BOYAmt
EOY	$24,601,949	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,054,638,487	BOYAmt
EOY	$973,076,019	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,284,221,498	BOYAmt
EOY	$1,217,507,808	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,783,839,954	BOYAmt
EOY	$1,923,257,437	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,438,030	BOYAmt
EOY	$23,701,275	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,280,660	BOYAmt
EOY	$16,872,063	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,835,558,644	BOYAmt
EOY	$1,963,830,775	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,119,780,142	BOYAmt
EOY	$3,181,338,583	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$215,724,761	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$28,719,557	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$58,733,073	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$105,853	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$104,852	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$210,705	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	TRINITY HEALTH - MICHIGAN (TH-MI) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE ORGANIZATIONS HAVE PROVIDED TH-MI WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SIMILARLY, THESE HEALTH CARE ORGANIZATIONS WILL ARRANGE CONFERENCES AND SEMINARS FOR MEMBER ORGANIZATIONS AND THEIR EXECUTIVES WHICH INVOLVE LEGISLATORS OR OTHER POLITICAL FIGURES AS GUEST SPEAKERS. TH-MI ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST AND CONCERN TO TH-MI. OUR 2015 FEDERAL ADVOCACY GOALS INCLUDED: - SUSTAINABLE MEDICARE PAYMENT AND VALUE-BASED REIMBURSEMENT - REPEAL OF MEDICARE PHYSICIAN PAYMENT SUSTAINABLE GROWTH RATE (SGR) - REFORM OF RECOVERY AUDIT CONTRACTOR (RAC) PROGRAM - PACE FUNDING, ADAPTABILITY, AND AWARENESS -PALLIATIVE CARE EDUCATION AND FUNDING -BEHAVIORAL HEALTH ACCESS AND REIMBURSEMENT OUR 2015 STATE ADVOCACY GOALS INCLUDED: - HEALTH INSURANCE EXCHANGE ENROLLMENT - MEDICAID EXPANSION AND VALUE-BASED ENROLLMENT - WORKFORCE TRANSFORMATION - PACE ACCESS, FUNDING AND AWARENESS - BEHAVIORAL HEALTH ACCESS AND REIMBURSEMENT -INTERSTATE MEDICAL LICENSURE COMPACT -CARE ACT -STATE INNOVATION MODEL GRANT -APRN - SCOPE OF PRACTICE LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH - MICHIGAN INCLUDED: - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICIALS - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. BY TRINITY HEALTH CORPORATION - LEGISLATOR VISITS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION - ADVOCACY ACTION DAYS AT THE STATE LEVEL, ATTENDED BY TRINITY HEALTH EXECUTIVES	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,198,931	BeginningYearBalanceAmt
Contributions	$2,024,963	ContributionsAmt
Investment Earnings Or Losses	$336,668	InvestmentEarningsOrLossesAmt
Other Expenditures	-$229,498	OtherExpendituresAmt
Administrative Expenses	$228,513	AdministrativeExpensesAmt
End Year Balance	$19,561,547	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,353,319	BeginningYearBalanceAmt
Contributions	$684,595	ContributionsAmt
Investment Earnings Or Losses	$1,350,728	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,189,711	OtherExpendituresAmt
End Year Balance	$17,198,931	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,089,151	BeginningYearBalanceAmt
Contributions	$1,878,856	ContributionsAmt
Investment Earnings Or Losses	$1,027,047	InvestmentEarningsOrLossesAmt
Other Expenditures	$641,736	OtherExpendituresAmt
End Year Balance	$16,353,318	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,077,828	BeginningYearBalanceAmt
Contributions	-$176,284	ContributionsAmt
Investment Earnings Or Losses	-$812,393	InvestmentEarningsOrLossesAmt
End Year Balance	$14,089,151	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,367,389	BeginningYearBalanceAmt
Contributions	$223,954	ContributionsAmt
Investment Earnings Or Losses	$486,485	InvestmentEarningsOrLossesAmt
End Year Balance	$15,077,828	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.06390	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.86250	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.07360	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$67,263,942	OtherCostOrOtherBasisAmt
Book Value	$67,263,942	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,720,986,673	OtherCostOrOtherBasisAmt
Depreciation	$759,836,820	DepreciationAmt
Book Value	$961,149,853	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$900,621,798	OtherCostOrOtherBasisAmt
Depreciation	$686,870,830	DepreciationAmt
Book Value	$213,750,968	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,869,633	OtherCostOrOtherBasisAmt
Depreciation	$11,524,463	DepreciationAmt
Book Value	$33,345,170	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,275,509,933	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	$170,355,408	F
EQUITY METHOD INVESTMENTS	$231,196,625	C
HEDGE FUNDS	$206,860,139	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$608,412,172	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$27,633,976
INTERCOMPANY ACCOUNTS RECEIVABLE	$108,865,858
INVESTMENT IN UNCONSOLIDATED AFFILIATES	$24,963,016
INTERCOMPANY OTHER LT ASSETS	$116,884,997
OTHER CURRENT ASSETS	$19,114
OTHER LONG-TERM ASSETS	$458,156

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$278,825,117	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
INTERCOMPANY ACCOUNTS PAYABLE	$79,772,889
DEFERRED COMPENSATION	$10,779,344
ASSET RETIREMENT OBLIGATION (FIN 47)	$2,844,916
ANNUITIES PAYABLE	$1,507,027
INTERCOMPANY NOTES PAYABLE	$875,157,455
LEASE OBLIGATION	$39,657
OTHER CURRENT LIABILITIES	$1,060,398
OTHER LONG-TERM LIABILITIES	$1,914,333

Field	Value	IRS element (for citing)
Total Liability	$973,076,019	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO BE USED FOR THE FOLLOWING PURPOSES: HOSPITAL OPERATIONS SUPPORT, MEDICAL PROGRAM SUPPORT, SCHOLARSHIPS, RESEARCH, COMMUNITY SERVICE, AND VARIOUS OTHER.
SCHEDULE D, PART V	THE ENDOWMENTS REPORTED ON LINE 1 ARE HELD BY TRINITY HEALTH - MICHIGAN. ENDOWMENTS HELD BY SAINT MARY'S FOUNDATION AND MERCY HOSPITAL CADILLAC FOUNDATION FOR THE BENEFIT OF TRINITY HEALTH - MICHIGAN ARE REPORTED ON THE FORM 990 OF SAINT MARY'S FOUNDATION AND MERCY HOSPITAL CADILLAC FOUNDATION.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Licensed States	MI	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	HOLIDAY BALL -ANN ARBOR	Event1Nm
Gross Receipts Event1	$761,484	GrossReceiptsEvent1Amt
Charitable Contri Event1	$386,466	CharitableContriEvent1Amt
Gross Revenue Event1	$375,018	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$57,671	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$169,453	FoodAndBeverageEvent1Amt
Entertainment Event1	$10,775	EntertainmentEvent1Amt
Other Direct Expenses Event1	$203,882	OtherDirectExpensesEvent1Amt
Event2	SJMC SPRING AUCTION - CHELSEA	Event2Nm
Gross Receipts Event2	$312,979	GrossReceiptsEvent2Amt
Charitable Contri Event2	$219,855	CharitableContriEvent2Amt
Gross Revenue Event2	$93,124	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$3,150	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$10,277	FoodAndBeverageEvent2Amt
Entertainment Event2	$2,200	EntertainmentEvent2Amt
Other Direct Expenses Event2	$111,156	OtherDirectExpensesEvent2Amt
Other Events Total	11	OtherEventsTotalCnt
Gross Receipts Other Events	$888,833	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$511,864	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$376,969	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$7,052	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$44,937	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$173,284	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$26,500	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$235,595	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,963,296	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,118,185	CharitableContributionsTotAmt
Gross Revenue Total Events	$845,111	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$7,052	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$105,758	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$353,014	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$39,475	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$550,633	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,055,932	DirectExpenseSummaryEventsAmt
Net Income Summary	-$210,821	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	38769	PersonsServedCnt
Total Community Benefit Expns	$21,769,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$877,565	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,892,055	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	366201	PersonsServedCnt
Total Community Benefit Expns	$254,395,563	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$190,309,352	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,086,211	NetCommunityBenefitExpnsAmt
Total Expense	0.02840	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	5951	PersonsServedCnt
Total Community Benefit Expns	$12,605,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,178,890	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$2,573,283	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	410921	PersonsServedCnt
Total Community Benefit Expns	$288,770,790	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$206,365,807	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$82,404,983	NetCommunityBenefitExpnsAmt
Total Expense	0.03760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	184328	PersonsServedCnt
Total Community Benefit Expns	$4,465,446	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$723,202	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,742,244	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	1994	PersonsServedCnt
Total Community Benefit Expns	$81,308,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,019,471	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,289,058	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	133457	PersonsServedCnt
Total Community Benefit Expns	$41,891,370	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,884,251	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,007,119	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	13	PersonsServedCnt
Total Community Benefit Expns	$5,713,894	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,268,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,444,955	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	8993	PersonsServedCnt
Total Community Benefit Expns	$1,664,818	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,962	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,580,856	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	108	ActivitiesOrProgramsCnt
Persons Served	328785	PersonsServedCnt
Total Community Benefit Expns	$135,044,057	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,979,825	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,064,232	NetCommunityBenefitExpnsAmt
Total Expense	0.02760	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	119	ActivitiesOrProgramsCnt
Persons Served	739706	PersonsServedCnt
Total Community Benefit Expns	$423,814,847	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$279,345,632	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$144,469,215	NetCommunityBenefitExpnsAmt
Total Expense	0.06520	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	17	PersonsServedCnt
Total Community Benefit Expns	$124	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$124	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	40	PersonsServedCnt
Total Community Benefit Expns	$526	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$526	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$4,602	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	4	PersonsServedCnt
Total Community Benefit Expns	$128,037	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$128,037	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	63	PersonsServedCnt
Total Community Benefit Expns	$133,289	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$133,289	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$45,352,889	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$581,911,850	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$547,089,537	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$34,822,313	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (11 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 CENTER FOR DIGESTIVE CARE LLC
SURGICAL CENTER	0.51000	0.49000
2 FRANCES WARDE MEDICAL LABORATORY
LABORATORY SERVICES	0.66670	0.33330
3 WOODLAND IMAGING CENTER LLC DBA AVANT IMAGING
IMAGING SERVICES	0.51000	0.49000
4 HEALTH PARK CENTRAL LLC
MEDICAL OFFICE BUILDING	0.10550	0.82490
5 SIXTY FOURTH STREET LLC
SURGICAL CENTER	0.51000	0.46770
6 MERCY PHYSICIAN COMMUNITY PHO LLC
CONTRACTING AND SERVICES	0.50000	0.50000
7 NEWCO AMBULATORY SURGERY CENTER LLP DBA LAKESHORE SURGERY CENTER LLP
SURGICAL CENTER	0.50000	0.50000
8 WATERFORD SURGICAL CENTER LLC
SURGICAL CENTER	0.40000	0.54120
9 CRAWFORD MERCY PHO
CONTRACTING SERVICES	0.50000	0.50000
10 WEXFORD MERCY PHO
CONTRACTING SERVICES	0.50000	0.50000
11 ADVANTAGE HEALTHSAINT MARY'S CARE NETWORK
HOSPITAL/PHYSICIAN INTEGRATION	0.50000	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	9	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (9 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
ST JOSEPH MERCY ANN ARBOR
1	5301 MCAULEY DR	YPSILANTI	MI	48197	WWW.STJOESHEALTH.ORG	LICENSE 1060000071	Yes (X)	Yes (X)	Yes (X)	Yes (X)
MERCY HEALTH ST MARY'S
2	200 JEFFERSON STREET SE	GRAND RAPIDS	MI	49503	WWW.MERCYHEALTHSAINTMARYS.COM	LICENSE 1060000030	Yes (X)	Yes (X)	Yes (X)	Yes (X)
ST JOSEPH MERCY OAKLAND
3	44405 WOODWARD AVE	PONTIAC	MI	48341	WWW.STJOESOAKLAND.ORG	LICENSE 1060000013	Yes (X)	Yes (X)	Yes (X)	Yes (X)
ST MARY MERCY LIVONIA
4	36475 FIVE MILE RD	LIVONIA	MI	48154	WWW.STMARYMERCY.ORG	LICENSE 1060000001	Yes (X)	Yes (X)	Yes (X)	Yes (X)
ST JOSEPH MERCY CHELSEA
5	775 S MAIN	CHELSEA	MI	48118	WWW.STJOESCHELSEA.ORG	LICENSE 1060000099	Yes (X)	Yes (X)		Yes (X)
ST JOSEPH MERCY LIVINGSTON
6	620 BYRON RD	HOWELL	MI	48843	WWW.STJOESLIVINGSTON.ORG	LICENSE 1060000033	Yes (X)	Yes (X)	Yes (X)	Yes (X)
ST JOSEPH MERCY PORT HURON
7	2601 ELECTRIC AVE	PORT HURON	MI	48060	WWW.MYMERCY.US	LICENSE 1060000015	Yes (X)	Yes (X)		Yes (X)
MERCY HOSPITAL GRAYLING
8	1100 EAST MICHIGAN AVE	GRAYLING	MI	49738	WWW.MERCYHEALTHGRAYLING.COM	LICENSE 1060000029	Yes (X)	Yes (X)		Yes (X)
MERCY HOSPITAL CADILLAC
9	400 HOBART STREET	CADILLAC	MI	49601	WWW.MERCYHEALTHCADILLAC.COM	LICENSE 1060000041	Yes (X)	Yes (X)		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (9 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Communtity Notified FAPCommuntityNotifiedFAPInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Form4720 FiledForm4720FiledInd
ST JOSEPH MERCY ANN ARBOR
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	14	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (1)	14	Yes (1)	SEE SCHEDULE H, PART V, SECTION C	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.STJOESANNARBOR.ORG/DOCUMENTS/PFS/FINANCIALPOLICY.PDF	Yes (X)	WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-QUESTIONNAIRE-APPLICATION.PDF	Yes (X)	HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-APP-INSTRUCTIONS.PDF	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
MERCY HEALTH SAINT MARY'S
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	14	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (1)	14	Yes (1)	SEE SCHEDULE H, PART V, SECTION C	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	HTTP://WWW.MERCYHEALTH.COM/FINANCIAL-ASSISTANCE-SM	Yes (X)	HTTP://WWW.MERCYHEALTH.COM/FINANCIAL-ASSISTANCE-SM	Yes (X)	HTTP://WWW.MERCYHEALTH.COM/FINANCIAL-ASSISTANCE-SM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	0	Yes (X)
ST JOSEPH MERCY OAKLAND
3	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	14	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (1)	14	Yes (1)	SEE SCHEDULE H, PART V, SECTION C	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.STJOESOAKLAND.ORG/DOCUMENTS/PFS/FINANCIALPOLICY.PDF	Yes (X)	WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-QUESTIONNAIRE-APPLICATION.PDF	Yes (X)	STJOESOAKLAND.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0		Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	0	Yes (X)
ST MARY MERCY LIVONIA
4	0	0	Yes (1)	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	14	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (1)	14	Yes (1)	SEE SCHEDULE H, PART V, SECTION C	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)			Yes (X)	HTTP://WWW.STMARYMERCY.ORG/DOCUMENTS4/FORMS/CHARITYAPPLICATION.PDF			Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	0		Yes (X)
ST JOSEPH MERCY LIVINGSTON
6	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	14	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (1)	14	Yes (1)	SEE SCHEDULE H, PART V, SECTION C	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.STJOESANNARBOR.ORG/DOCUMENTS/PFS/FINANCIALPOLICY.PDF	Yes (X)	WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-QUESTIONNAIRE-APPLICATION.PDF	Yes (X)	HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-APP-INSTRUCTIONS.PDF	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
ST JOSEPH MERCY CHELSEA
5	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	14	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (1)	14	Yes (1)	SEE SCHEDULE H, PART V, SECTION C	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.STJOESCHELSEA.ORG/DOCUMENTS/PFS/FINANCIALPOLICY.PDF	Yes (X)	WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-QUESTIONNAIRE-APPLICATION.PDF	Yes (X)	HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-APP-INSTRUCTIONS.PDF	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0	Yes (X)
ST JOSEPH MERCY PORT HURON
7	0	0	Yes (1)	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		12	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (1)	12	Yes (1)	SEE SCHEDULE H, PART V, SECTION C	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)							Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	0	Yes (X)
MERCY HOSPITAL GRAYLING
8	0	Yes (1)	0																							Yes (1)	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)							Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	0			0
MERCY HOSPITAL CADILLAC
9	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	14	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SCHEDULE H, PART V, SECTION C	Yes (X)	Yes (1)	14	Yes (1)	SEE SCHEDULE H, PART V, SECTION C	0	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)							Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (67 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 5: ST. JOSEPH MERCY ANN ARBOR CONSULTED MANY COMMUNITY ORGANIZATIONS TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH KEY STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEYS, INCLUDING: THE WASHTENAW COUNTY DEPARTMENT OF HEALTH, THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE HOPE CLINIC, SAFEHOUSE, CASA LATINA, FOOD GATHERERS, PHYSICIAN PRACTICES AND HEALTH SYSTEM EMPLOYEES.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 5: THE CHNA WAS VERY INCLUSIVE AND COMPREHENSIVE IN INCORPORATING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THE QUALITATIVE DATA IS FROM A COLLECTION OF CONSUMER SURVEYS, COMMUNITY FOCUS GROUPS AND FORUMS, AND BRIEF INTERVIEWS WITH COMMUNITY MEMBERS. MORE INFORMATION OF EACH OF THESE METHODS IS DESCRIBED IN GREATER DETAIL IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.IN THE FOCUS GROUPS, A PROFESSIONAL RESEARCHER INTERVIEWED PEOPLE IN SMALL GROUPS. THE RATIONALE FOR THE FOCUS GROUPS IS THAT GROUP DISCUSSION WILL STIMULATE DYNAMIC CONVERSATIONS AND IN-DEPTH CONVERSATIONS ABOUT A PARTICULAR TOPIC. IN THIS CASE, THE PURPOSE WAS TO GENERATE COMMUNITY INPUT FROM VARIOUS POPULATION GROUPS ABOUT HEALTH AND WELLBEING IN KENT COUNTY. THE FOCUS GROUPS WERE RECORDED, WITH THE KNOWLEDGE OF PARTICIPANTS, AND RESEARCHERS WERE ABLE TO UTILIZE THE WORDS SPOKEN VERBATIM ABOUT A PARTICULAR HEALTH TOPIC TO SUPPORT SPECIFIC THEMES FOUND IN THE QUALITATIVE DATA COLLECTION. TWENTY-EIGHT FOCUS GROUPS WERE CONDUCTED WITH 230 COMMUNITY MEMBERS PARTICIPATINGTHE INTERCEPT INTERVIEWS METHOD IS DESIGNED TO ENGAGE PARTICIPANTS WHO MAY NOT BE INCLINED TO ATTEND A FOCUS GROUP OR TOWN HALL MEETING. IT IS TYPICALLY ONE INTERVIEWER AND ONE PARTICIPANT. IT IS ALSO INTENDED TO GENERATE OPEN-ENDED FEEDBACK FROM A BROAD GROUP OF COMMUNITY MEMBERS ON THE TOPIC OF HEALTH AND WELLBEING. SOME POPULATIONS ARE MORE COMFORTABLE BEING INTERVIEWED BY A COMMUNITY MEMBER OR TRUSTED INDIVIDUAL, THAN BY AN OUTSIDE RESEARCHER, AND INTERCEPT INTERVIEWS ARE USEFUL WITH COLLECTING INPUT FROM THOSE COMMUNITY MEMBERS. THE INTERCEPT INTERVIEWS WERE TRANSLATED INTO SPANISH FOR THE LATINO/HISPANIC COMMUNITY AND OTHER LANGUAGES SPOKEN BY THE ASIAN COMMUNITY. INTERCEPT INTERVIEWS WERE CONDUCTED BY VOLUNTEER INTERVIEWERS (TRAINED BY PROFESSIONAL CONSULTANTS) FROM THE KENT COUNTY HEALTH DEPARTMENT AND OTHER PARTNERS ENGAGED WITH THE CHNA. INTERVIEWERS WERE PROVIDED NECESSARY INTERVIEW MATERIALS, AS WELL AS TECHNICAL ASSISTANCE. COMPLETED INTERVIEWS WERE RETURNED TO PROFESSIONALLY TRAINED CONSULTANTS FOR ANALYSIS. THIRTY INTERCEPT INTERVIEWS WERE CONDUCTED IN THREE LANGUAGES BY TRAINED COMMUNITY MEMBERS.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 5: ST. JOSEPH MERCY OAKLAND CONSULTED MANY COMMUNITY ORGANIZATIONS AND THEIR REPRESENTATIVES TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING REPRESENTATIVES OF:OAKLAND COMMUNITY MENTAL HEALTH; NO ONE DIES ALONE; HEALTHY PONTIAC, WE CAN; OAKLAND UNIVERSITY; THE SALVATION ARMY; OAKLAND LIVINGSTON HUMAN SERVICE AGENCY; GARY BURNSTEIN COMMUNITY HEALTH CLINIC; AREA AGENCY ON AGING 1-B OAKLAND CO. CENTRAL OFFICE; RONALD L DUNLAP, LAY PASTOR; TAKEONE COMMUNITY PROGRAM; SOUTHFIELD DOMESTIC VIOLENCE GROUP; HOPE HOSPITALITY AND WARMING CENTER; OAKLAND COUNTY DEPARTMENT OF HEALTH; GLEANERS; CENTRO MULTICULTURAL LA FAMILIA INC.; AND OTHERS IN THE COMMUNITY.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 5: MANY COLLABORATIVE PARTNERS WERE ENGAGED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OF ST. MARY MERCY LIVONIA (SMML), INCLUDING THE MEMBERSHIP OF A CHNA STEERING COMMITTEE. THESE DEDICATED MEMBERS WERE INVOLVED IN THE TOOL DEVELOPMENT, SURVEY DISTRIBUTION, NEEDS IDENTIFICATION AND PRIORITIZATION AND DEVELOPMENT OF THE CHNA, DESIGN, AND IMPLEMENTATION WORKGROUPS. THESE PARTNERS INCLUDE REPRESENTATIVES FROM THE DETROIT WAYNE COUNTY HEALTH DEPARTMENT, LIVONIA AND REDFORD SCHOOLS, WAYNE HOPE CLINIC, WESTLAND SALVATION ARMY, MADONNA UNIVERSITY, JOY SOUTHFIELD COMMUNITY DEVELOPMENT CORPORATION, JUDSON CENTER, PLYMOUTH COMMUNITY UNITED WAY, FARMINGTON COSTICK CENTER, SOUTH EASTERN MICHIGAN HEALTH ASSOCIATION, REDFORD INTERFAITH RELIEF, WESTLAND YOUTH ASSISTANCE, WAYNE COUNTY HEALTH AND HUMAN SERVICES, AND LIVONIA YMCA.THE SMML COMMUNITY HEALTH NEEDS SURVEY WAS BRANDED WITH THE BANNER "MAKE A DIFFERENCE IN THE HEALTH OF OUR COMMUNITY." A PAPER AND ON-LINE SURVEY, COMPOSED OF 30 QUESTIONS ABOUT ACCESS TO CARE, PERSONAL HEALTH BEHAVIORS, PERCEIVED COMMUNITY HEALTH NEEDS AND PARTICIPANT DEMOGRAPHICS WAS PROMOTED AT MANY COMMUNITY EVENTS THROUGH VARIOUS COMMUNITY PARTNERS. OF THE 1,578 RESPONSES, 666 WERE PAPER SURVEYS COMPLETED BY VULNERABLE POPULATIONS AT THE REDFORD INTERFAITH FOOD PANTRY, WESTLAND SALVATION ARMY FOOD PANTRY AND WAYNE HOPE CLINIC. A COMMUNITY FORUM WAS HELD AT THURSTON HIGH SCHOOL IN REDFORD, MICHIGAN TO SHARE THE SURVEY RESULTS, GAIN SOME ADDITIONAL INFORMATION ABOUT 10 OF THE SURVEY QUESTIONS AND ENGAGE COMMUNITY MEMBERS IN DISCUSSION ABOUT PROGRAMS FOR CHANGING BEHAVIORS FOR HEALTHY EATING, INCREASED PHYSICAL ACTIVITY, ACCESS TO CARE AND MENTAL HEALTH/SUBSTANCE ABUSE PREVENTION AND TREATMENT.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 5: ST. JOSEPH MERCY LIVINGSTON CONSULTED OTHER COMMUNITY ORGANIZATIONS, INCLUDING THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH, COMMUNITY MENTAL HEALTH SERVICES OF LIVINGSTON COUNTY, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, AND LIVINGSTON COUNTY CATHOLIC CHARITIES IN CONDUCTING THE MOST RECENT CHNA.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 5: ST. JOSEPH MERCY CHELSEA (SJMC) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS COMMUNITY COALITIONS AND BY CONDUCTING INTERVIEWS. SJMC IS A MEMBER OF THE WASHTENAW COUNTY HEALTH IMPROVEMENT PLAN (HIP), A COLLABORATIVE EFFORT OF PUBLIC AND PRIVATE ORGANIZATIONS AIMED AT IMPROVING HEALTH. HIP INCLUDES REPRESENTATIVES FROM WASHTENAW COUNTY PUBLIC HEALTH, ST. JOSEPH MERCY ANN ARBOR, THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE WASHTENAW INTERMEDIA SCHOOL DISTRICT, AND OTHER ORGANIZATIONS.EACH OF THE FIVE COMMUNITIES IN THE SJMC SERVICE AREA HAS A WELLNESS COALITION WITH VOLUNTEER MEMBERS FROM KEY COMMUNITY SECTORS AND ORGANIZATIONS, SUCH AS SJMC HOSPITAL STAFF, LOCAL GOVERNMENT, SCHOOLS, LIBRARIES, BUSINESSES, SENIOR CENTERS, COMMUNITY GARDENS, CHURCHES, FOOD BANKS AND RESOURCE CENTERS, YOUTH SUBSTANCE ABUSE PREVENTION ORGANIZATIONS, HOSPITALS AND OTHER HEALTHCARE PROVIDERS, AND LOCAL CITIZENS. THE 5 HEALTHY TOWNS FOUNDATION, OR 5HF (FORMERLY CHELSEA-AREA WELLNESS FOUNDATION), WHICH SERVES THE SAME FIVE TOWNS AS SJMC, INITIATED THE ORGANIZATION OF THESE COALITIONS IN 2010. EACH COALITION COMPLETED A CIVIC ASSESSMENT AND NEEDS ASSESSMENT IN 2010, AND THE FIRST QUARTER OF 2011, AND PRESENTED THEM TO THE 5HF BOARD. THEY HAVE ALSO BEEN TASKED TO DEVELOP A COMPREHENSIVE WELLNESS PLAN FOR THEIR COMMUNITY, BASED ON LOCAL DATA DEMONSTRATING NEED, AND RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS. TO ASSESS THE COMMUNITIES' NEEDS, EACH COALITION REVIEWED AVAILABLE SURVEY DATA, INCLUDING HIP (WHICH PROVIDED COMMUNITY-LEVEL DATA IN STOCKBRIDGE AND GRASS LAKE, AND REGIONAL-LEVEL DATA FOR CHELSEA, DEXTER AND MANCHESTER), AND MIPHY (WHICH PROVIDED COMMUNITY-LEVEL DATA FOR ALL FIVE TOWNS), AS WELL AS THE PROMOTING ACTIVE COMMUNITIES, AND NUTRITION ENVIRONMENTAL ASSESSMENT TOOL SURVEYS. DURING THE MOST RECENT CHNA, HOSPITAL STAFF PRESENTED DATA TO THE FIVE WELLNESS COALITIONS, AND ASKED FOR THEIR INPUT IN IDENTIFYING AND PRIORITIZING NEEDS THEY SEE IN THEIR COMMUNITIES. THIS PROCESS TOOK PLACE IN THE FALL OF 2014.IN ORDER TO GAIN INPUT ON THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY, LEADERS FROM SJMC CONDUCTED KEY STAKEHOLDER INTERVIEWS IN OCTOBER 2014 THROUGH JANUARY 2015. MEMBERS OF THE COMMUNITY HEALTH IMPROVEMENT COUNCIL GENERATED A LIST OF COMMUNITY AGENCIES AND ORGANIZATIONS THAT SERVE THESE POPULATIONS, AND QUESTIONS TO ASK EACH ABOUT THE NEEDS OF THEIR CLIENTS OR MEMBERS. THESE INTERVIEWS WERE CONDUCTED IN PERSON IF POSSIBLE, AND BY PHONE, OR BY EMAIL IF NECESSARY.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 5: A SURVEY THAT WAS CREATED BY THE CHNA STEERING COMMITTEE AT ST. JOSEPH MERCY PORT HURON WAS GIVEN TO SEVERAL COMMUNITY ADVISOR MEMBERS INCLUDING: THE VISITING NURSE ASSOCIATION, ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH, DOWNRIVER COMMUNITY SERVICES, COUNCIL ON AGING, CATHOLIC SOCIAL SERVICES, BLUE WATER TRANSIT, DEPARTMENT OF HUMAN SERVICES, MERCY HOME CARE, AND VARIOUS OTHER COMMUNITY BUSINESS LEADERS. PATIENTS AND STAFF AT MEDICAL CLINICS AND SENIOR FACILITIES WERE ALSO GIVEN THE SURVEY IN ORDER TO GAIN INPUT FROM THE COMMUNITY.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 5: MERCY HOSPITAL COMMUNITY BENEFIT DEPARTMENT COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM AUGUST 2013 TO OCTOBER 2014. THIS PROCESS WAS INCLUSIVE AND TRANSPARENT, INVOLVING LEADERSHIP FROM MERCY HOSPITAL COMMUNITY BENEFIT MINISTRY, DISTRICT HEALTH DEPT. #10, MSU EXTENSION, ADOLESCENT WELLNESS CENTERS, WEXFORD-MISSAUKEE INTERMEDIATE SCHOOL DISTRICT, CADILLAC AREA PUBLIC SCHOOLS, STEHOUWER FREE CLINIC, GREAT LAKES FAMILY CARE, CADILLAC WEXFORD TRANSIT AUTHORITY, WEXFORD-MISSAUKEE PHYSICIAN HEALTH ORGANIZATION, UNITED WAY OF WEXFORD/MISSAUKEE COUNTIES, LIFE RESOURCES OF NORTHERN MICHIGAN, NORTHERN LAKES COMMUNITY MENTAL HEALTH, CADILLAC AREA YMCA, LOVE INC OF WEXFORD COUNTY, WEXFORD-MISSAUKEE CHILD PROTECTION COUNCIL, NORTHWEST MI COMMUNITY ACTION AGENCY, WEXFORD MISSAUKEE DEPARTMENT OF HUMAN SERVICES, NORTHWEST MICHIGAN WORKS, BAKER COLLEGE OF CADILLAC, AND NEW HOPE SHELTERS.A PROVIDER SURVEY WAS DISTRIBUTED TO PARTICIPANTS DURING THE ANNUAL MEDICAL SYMPOSIUM TITLED "IMPROVING HEALTHCARE DELIVERY IN THE COMMUNITY" WHICH WAS HELD ON MAY 2, 2014. A TOTAL OF 15 PROVIDERS PRACTICING IN WEXFORD (10), MISSAUKEE (2), CRAWFORD (2) AND GRAND TRAVERSE (1) COUNTIES GAVE FEEDBACK. THIS INCLUDED FAMILY PRACTICE PHYSICIANS, NURSE PRACTITIONERS AND NURSES.INFORMAL INTERVIEWS WERE CONDUCTED WITH LEADERS FROM THE FOLLOWING ORGANIZATIONS: CHIEF MEDICAL OFFICER MERCY HOSPITAL, GREAT LAKES FAMILY CARE, NORTHERN LAKES COMMUNITY MENTAL HEALTH, STEHOUWER FREE CLINIC MEDICATION ACCESS PROGRAM, AND THE STEHOUWER FREE CLINIC.AN ONLINE SURVEY WAS DISTRIBUTED FROM FEBRUARY 26 TO MARCH 17, 2014 TO MEMBERS OF THE COMMUNITY HEALTH COALITION, THE POVERTY REDUCTION COALITION, THE SENIOR NETWORK ADVOCACY GROUP, AND THE MINISTERIAL ASSOCIATION. THIS INCLUDED COMMUNITY LEADERS AND REPRESENTATIVES FROM HEALTH ORGANIZATIONS ACROSS WEXFORD AND MISSAUKEE COUNTIES AS LISTED BELOW. MANY REPRESENTATIVES WORK FOR ORGANIZATIONS THAT ASSIST UNDERSERVED AND VULNERABLE POPULATIONS. IT INCLUDED QUESTIONS ABOUT THEIR PERCEPTION OF NEEDS IN THE COMMUNITY WITH A FOCUS ON VULNERABLE AND UNDERSERVED POPULATIONS. REPRESENTATION INCLUDED: ACT NOW, ALEX HARRISON MEMORIAL FOUNDATION; BAKER COLLEGE AND BAKER COLLEGE CADILLAC; BELLE OAKES, LIVING CENTER; CADILLAC LEADERSHIP CLASS; CADILLAC MICHIGAN WORKS!; CAPS; DISTRICT HEALTH DEPT. #10; DISTRICT HEALTH DEPT. #10 ADOLESCENT WELLNESS CENTERS; GREAT LAKES FAMILY CARE; GREAT START COLLABORATIVE WEXFORD/MISSAUKEE/MANISTEE COUNTIES; HARBOR VIEW APARTMENTS; HOPE NETWORK; HUMAN SERVICES LEADERSHIP COUNCIL; INTERGOVERNMENTAL COOPERATION COMMITTEE; LAKE CITY SCHOOLS; LOVE IN THE NAME OF CHRIST; NMCAA; STEHOUWER FREE CLINIC; WEXFORD COA; WEXFORD COA/CADILLAC SENIOR CENTER; AND WEXFORD PHO AT MERCY HEALTH PHYSICIAN PARTNERS.A HEALTH BARRIERS CAMPAIGN, WHICH RAN FROM MAY 13 TO JUNE 1, 2014, WAS A COMPONENT OF THE COMMUNITY INPUT PROCESS THAT IDENTIFIED HEALTH BARRIERS IN THE COMMUNITY. THE PRIMARY OUTREACH METHOD WAS "COMMUNITY BOARDS" PLACED AT STRATEGIC LOCATIONS THROUGHOUT THE COMMUNITY FOR 3 TO 14 DAYS. BOARD LOCATIONS INCLUDED, CADILLAC SENIOR CENTER, CADILLAC YMCA, DISTRICT HEALTH DEPARTMENT #10, FRIENDS MINISTRY (LAKE CITY), GREAT LAKES FAMILY CARE, MERCY HOSPITAL, NORTHERN LAKES COMMUNITY MENTAL HEALTH, SHEPHERD'S TABLE- SITE OF FREE COMMUNITY MEALS, STEHOUWER FREE CLINIC, AND THE TUSTIN LIBRARY. THIS POSTER BOARD INCLUDED A PROMPT, "WHAT DO YOU THINK IS THE BIGGEST BARRIER TO HEALTH IN YOUR COMMUNITY?" IT ALSO INCLUDED INFORMATION TO FIND OUR COMMUNITY HEALTH PERSPECTIVES FACEBOOK PAGE AND TWITTER ACCOUNT.THE MICHIGAN AGING AND DISABILITY NEEDS ASSESSMENT (MADNA) SURVEY WAS DISTRIBUTED TO AREA SENIORS BY THE SENIOR NETWORK ADVOCACY GROUP (SNAG) IN 2012 AND A TOTAL OF 328 RESPONSES WERE COLLECTED. THE SURVEY WAS CONDUCTED BY PARTNERS FROM MICHIGAN AGING AND DISABILITY ORGANIZATIONS THROUGH FUNDING FROM A FEDERAL GRANT. MICHIGAN RESIDENTS OVER 50 AND ADULTS OVER 18 WITH DISABILITIES WERE SURVEYED ABOUT TOPICS INCLUDING HEALTHCARE, HOUSING, SERVICES, TRANSPORTATION, SOCIAL SUPPORT AND LEGAL SERVICES.THE MICHIGAN PROFILE FOR HEALTHY YOUTH (MIPHY) IS AN ONLINE, ANONYMOUS STUDENT SURVEY DEVELOPED BY THE MICHIGAN DEPARTMENT OF EDUCATION (MDE) IN COLLABORATION WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH). THE MIPHY IS AVAILABLE TO ALL MICHIGAN SCHOOLS TO ASSESS RISK BEHAVIORS, RISK FACTORS, AND PROTECTIVE FACTORS ASSOCIATED WITH ALCOHOL, TOBACCO, AND OTHER DRUG USE, VIOLENCE, SEXUAL BEHAVIOR, PHYSICAL ACTIVITY, AND NUTRITION IN GRADE 7, 9, AND 11. THE 2013-2014 DATA REPORTED IS FROM 250 7TH GRADERS AND 290 9TH AND 11TH GRADERS IN WEXFORD COUNTY AND 160 7TH AND 248 9TH AND 11TH GRADERS IN MISSAUKEE COUNTY. (GENERAL MIPHY FAQ 2010 MICHIGAN DEPARTMENT OF EDUCATION)
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 6A: ST. JOSEPH MERCY LIVINGSTON
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 6A: METRO HEALTH HOSPITAL AND SPECTRUM HEALTH
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 6A: ST. JOSEPH MERCY ANN ARBOR
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 6B: GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE (GRAAHI), PINE REST CHRISTIAN MENTAL HEALTH SERVICES, MARY FREE BED REHABILITATION HOSPITAL, YMCA, AND KENT COUNTY PUBLIC HEALTH.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 7D: LINE 7A:HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/SJMAA-CHNA-2015.PDFLINE 10A:HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/SJMAA-IMPLEMENTATION-PLAN-2015.PDF
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 7D: LINE 7A:HTTP://WWW.MERCYHEALTHSAINTMARYS.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTLINE 10A: HTTP://MERCYHEALTHSAINTMARYS.COM/DOCUMENTS/GRANDRAPIDS/MHSMIMPLEMENTATIONSTRATEGY2016-2018.PDF
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 7D: LINE 7A: HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS5/SJMO-CHNA-2015.PDFLINE 10A: HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS5/SJMO-IMPLEMENTATION-PLAN-2015.PDF
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 7D: ANNUALLY WE PRODUCE A COMMUNITY BENEFIT REPORT INCLUDING FINANCIAL INFORMATION AND STORIES ABOUT OUR PROGRAMS. THE REPORT DESCRIBES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND WAS INSERTED IN LOCAL NEWSPAPERS THAT REACHED 58,000 HOUSEHOLDS AND WAS AVAILABLE TO OUR EMPLOYEES AND COMMUNITY MEMBERS IN KIOSKS THROUGHOUT THE HOSPITAL.LINE 7A: HTTP://WWW.STMARYMERCY.ORG/DOCUMENTS4/CHNA-2015-REPORT.PDFLINE 10A: HTTP://WWW.STMARYMERCY.ORG/DOCUMENTS4/CHNA-IMPLEMENTATION-STRATEGY.PDF
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 7D: LINE 7A: HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS1/SJML-CHNA-2015.PDFLINE 10A: HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS1/SJML-IMPLEMENTATION-PLAN-2015.PDF
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 7D: LINE 7A: HTTP://WWW.STJOESCHELSEA.ORG/DOCUMENTS3/SJMC2015COMMUNITYHEALTNEEDSASSESSMENT.PDFLINE 10A: HTTP://WWW.STJOESCHELSEA.ORG/DOCUMENTS3/SJMC2015CHNAIMPLEMENTATIONSTRATEGY.PDF
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 7D: LINE 7A:HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS6/SJMPH-CHNA.PDFLINE 10A: HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS6/SJMPH-CHNA.PDF
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 7D: LINE 7A: HTTP://WWW.MUNSONHEALTHCARE.ORG/UPLOAD/DOCS/CADILLAC/FINALCHNA2014.PDFLINE 10A:HTTP://WWW.MUNSONHEALTHCARE.ORG/UPLOAD/DOCS/CADILLAC/FINALMERCYCHNAIMPLEMENTATIONSTRAGETY2015-2017.PDF
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 2: (ALSO APPLIES TO PART V, SECTION B, LINE 12A) THE MERCY HOSPITAL GRAYLING HOSPITAL FACILITY WAS OPERATED BY TRINITY HEALTH-MICHIGAN FROM JULY 1, 2014 TO JANUARY 31, 2015. EFFECTIVE FEBRUARY 1, 2015, TRINITY HEALTH-MICHIGAN TRANSFERRED ITS OWNERSHIP OF MERCY HOSPITAL GRAYLING TO MUNSON HEALTHCARE, A SECTION 501(C)(3) HOSPITAL SYSTEM IN NORTHERN MICHIGAN.IN ACCORDANCE WITH REG. 1.501(R)-3(D)(4), MERCY HOSPITAL GRAYLING WAS NOT REQUIRED TO MEET THE CHNA REQUIREMENTS BECAUSE TRINITY HEALTH-MICHIGAN TRANSFERRED ALL OWNERSHIP OF THE HOSPITAL FACILITY TO ANOTHER ORGANIZATION (MUNSON HEALTHCARE) BEFORE THE END OF THE TAXABLE YEAR. THEREFORE, THE EXCISE TAX UNDER SECTION 4959 WAS NOT INCURRED.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 11: THE TWO COMMUNITY HEALTH NEEDS PRIORITIZED BY ST. JOSEPH MERCY ANN ARBOR (SJMAA) ARE OBESITY & BEHAVIORAL HEALTH. OUR IMPLEMENTATION STRATEGY OUTLINES THE FOLLOWING EFFORTS:OBESITY - SJMAA WILL WORK TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING RISING OBESITY RATES IN OUR COMMUNITY. SJMAA WILL SUPPORT AREA SCHOOLS WITH EDUCATION & PREVENTION STRATEGIES, NUTRITION EDUCATION, PHYSICAL ACTIVITY AND BEHAVIORAL HEALTH. WE SEEK TO INCREASE COMMUNITY ACCESS TO NUTRITIOUS FOODS, OPPORTUNITIES FOR PHYSICAL ACTIVITY AND EDUCATION ON HEALTHY LIVING IN VARIOUS COMMUNITY VENUES.BEHAVIORAL HEALTH - SJMAA WILL WORK TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING BEHAVIORAL HEALTH IN OUR COMMUNITY. SJMAA WILL CONTRIBUTE TOWARD IMPROVING ACCESS TO ADOLESCENT BEHAVIORAL HEALTH, SUBSTANCE ABUSE TREATMENT, AND SUPPORT FOR PATIENT COMPLIANCE. SJMAA WILL ADDRESS ACCESS TO CARE BARRIERS AND WILL PROVIDE EDUCATION AND SUPPORT FOR PRIMARY CARE PROVIDERS TO ADDRESS BEHAVIORAL HEALTH NEEDS.THERE WERE NEEDS IDENTIFIED THAT ST. JOSEPH MERCY HOSPITAL (SJMH) CHOSE NOT TO ADDRESS. THESE NEEDS, WHILE IMPORTANT TO THE HEALTH SYSTEM AND THE COMMUNITY, WERE NOT CHOSEN BASED ON OUR PRIORITIZATION PROCESS. THIS PROCESS INCLUDED THE FOLLOWING QUESTIONS: 1) THE NUMBER OF PEOPLE AFFECTED, 2) THE SEVERITY OF THE PROBLEM, 3) THE HEALTH SYSTEM'S ABILITY TO IMPACT AND 4) THE EXTENT TO WHICH OTHER ORGANIZATIONS WERE MEETING THE NEED. THE NEEDS THAT WERE NOT CHOSEN ARE AS FOLLOWS:BREAST CANCER - SJMAA CURRENTLY OFFERS AND WILL CONTINUE TO OFFER FREE AND LOW-COST PROGRAMS AIMED AT BREAST CANCER PREVENTION AND EARLY DETECTION. WASHTENAW COUNTY HAS HISTORICALLY HAD A HIGHER BREAST CANCER MORTALITY RATE THAN MICHIGAN BUT THE TREND IS FAVORABLE AND WASHTENAW'S BREAST CANCER AGE-ADJUSTED DEATH RATE WAS LOWER THAN MICHIGAN IN 2012 (THE MOST RECENT YEAR AVAILABLE). BECAUSE CANCER RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS, SJMAA BELIEVES IT IS APPROPRIATE TO MAINTAIN ITS CURRENT BREAST CANCER-FOCUSED INITIATIVES AND TO MONITOR CHANGES IN INCIDENCE AND DEATH RATES IN ITS SERVICE AREA AS NEWER DATA BECOME AVAILABLE. CHRONIC DISEASES - BECAUSE MANY CHRONIC DISEASES SUCH AS DIABETES AND HIGH BLOOD PRESSURE ARE CLOSELY RELATED TO WEIGHT ISSUES, MANY CHRONIC DISEASES WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. EFFORTS TO IMPROVE BEHAVIORAL HEALTH SHOULD ALSO INDIRECTLY IMPROVE CHRONIC DISEASE ISSUES SUCH AS LIVER DISEASE AND PATIENTS' EMOTIONAL ABILITY TO MANAGE CHRONIC MEDICAL ISSUES. FOR THESE REASONS, SJMAA WILL NOT TAKE NEW OR SPECIFIC ACTIONS TO ADDRESS CHRONIC DISEASES. ASTHMA - THE ONE CONDITION FOR WHICH WASHTENAW COUNTY'S HOSPITALIZATION RATE WAS HIGHER THAN MICHIGAN WAS FOR ASTHMA IN CHILDREN LESS THAN 18 YEARS. THE EQUIVALENT ASTHMA HOSPITALIZATION RATE FOR WASHTENAW ADULTS WAS LOWER THAN MICHIGAN. BECAUSE THE DATA FOR THIS METRIC WERE DATED AND CAUSAL EVIDENCE WAS ANECDOTAL AT BEST, SJMAA WILL CONTINUE TO MONITOR PUBLIC DATA AND INTERNAL EXPERIENCE TO DETERMINE IF CHILDHOOD ASTHMA SHOULD BE MADE A PRIORITY. ALCOHOL ABUSE - BECAUSE BEHAVIORAL HEALTH WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, AND BECAUSE IT INCLUDES ALCOHOL ABUSE, THIS WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT ADDRESSING BEHAVIORAL HEALTH. IMMUNIZATIONS - IMMUNIZATIONS RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS. SJMAA BELIEVES THAT NEW RULES REGARDING MICHIGAN CHILDHOOD IMMUNIZATION WAIVERS WILL IMPROVE CHILDHOOD IMMUNIZATION RATES. ADDITIONALLY, SJMAA BELIEVES THE TREND TOWARD POPULATION HEALTH MANAGEMENT, MEDICAL HOMES AND ACCOUNTABLE CARE WILL CREATE PROVIDER INCENTIVES NECESSARY TO ELEVATE ALL ADULT IMMUNIZATION RATES. IMMUNIZATION RATES FOR ADULTS ARE BETTER IN WASHTENAW THAN MICHIGAN OVERALL AND THE NUMBER OF HOSPITALIZATIONS AND DEATHS IN WASHTENAW IS LOWER THAN MICHIGAN FOR RELATED CONDITIONS. FOR THESE REASONS, SJMAA WILL NOT TAKE NEW OR SPECIFIC ADDITIONAL ACTIONS TO ADDRESS IMMUNIZATIONS. NUTRITION AND HEALTHFUL EATING - BECAUSE OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, NUTRITION AND HEALTHFUL EATING WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. HOSPITAL-BASED CARE - DATA DERIVED FROM THE COMMUNITY SURVEY AND INTERVIEW PROCESS REGARDING THE NEED FOR HOSPITAL-BASED CARE WERE LIMITED, BUT APPEARED TO BE PRIMARILY RELATED TO FINANCIAL ACCESS TO CARE. SJMAA WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORT THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS ACCESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT CAN BE MEASURED AND SPECIFIC BARRIERS ARE IDENTIFIED. DENTAL HEALTH - THE NEED FOR DENTAL HEALTH WAS SPECIFIC TO ACCESS FOR LOW INCOME INDIVIDUALS AS IDENTIFIED THROUGH THE COMMUNITY SURVEYS AND INTERVIEWS. SPECIFIC, QUANTITATIVE DATA REGARDING DENTAL HEALTH AND ACCESS TO DENTAL CARE WERE NOT READILY AVAILABLE. IN FEBRUARY 2015, SJMAA BEGAN A PARTNERSHIP WITH THE WASHTENAW COUNTY HEALTH DEPARTMENT TO OPEN A DENTAL HEALTH CLINIC IN YPSILANTI. AS SUCH, SJMAA IS NOT PRIORITIZING DENTAL HEALTH AS PART OF THIS CHNA PROCESS, BUT WILL REVIEW DATA AGAIN IN 2018.SPECIALIST PHYSICIANS - THE NEED FOR IMPROVED ACCESS TO SPECIALIST CARE WAS IDENTIFIED BY SOME COMMUNITY SURVEYS AND INTERVIEW PARTICIPANTS. HOWEVER, ACCESS TO SPECIALIST PHYSICIANS RANKED LOW AMONG COMMUNITY HEALTH NEEDS AND FEW OF THE MORTALITY OR HOSPITALIZATION RATES POINTED TO SPECIFIC, ACTIONABLE BARRIERS. FOR THESE REASONS, SJMAA WILL NOT TAKE NEW OR SPECIFIC ACTIONS TO ADDRESS ACCESS TO SPECIALIST PHYSICIANS. END OF LIFE CARE - ANECDOTAL DATA THROUGH LOCAL SURVEYS INDICATED THAT END-OF-LIFE CARE IS A COMMUNITY NEED. HOWEVER, AVAILABLE DATA REGARDING ACCESS TO NURSING HOMES DOES NOT INDICATE AN UNMET NEED (APPROXIMATELY 78% OCCUPANCY) AND OTHER SUPPORTING METRICS WERE NOT RELIABLY AVAILABLE. SJMAA WILL CONTINUE TO SUPPORT THE AREA AGENCY ON AGING, ITS HOME CARE, HOSPICE AND REGIONAL NURSING HOME PARTNERS TO ENSURE SPECIFIC END-OF-LIFE NEEDS ARE ADDRESSED AS THEY ARE IDENTIFIED. HEALTH EDUCATION AND AWARENESS - HEALTH EDUCATION AND AWARENESS ARE ESSENTIAL FOR INDIVIDUALS TO PREVENT, SEEK CARE AND MANAGE HEALTH CONDITIONS. INITIATIVES FOR THE TWO COMMUNITY HEALTH NEEDS THAT SJMAA HAS RESOLVED TO ADDRESS WILL EACH INCLUDE ESSENTIAL ELEMENTS FOR HEALTH EDUCATION AND AWARENESS SUCH AS EDUCATION REGARDING HEALTHY LIFESTYLES AND EATING, AND SUBSTANCE ABUSE PREVENTION EDUCATION. TRANSPORTATION - THIS NEED AFFECTS ACCESS TO CARE, PARTICULARLY AMONG LOW-INCOME AND MEDICALLY UNDERSERVED INDIVIDUALS. HOWEVER, TRANSPORTATION RANKED LOW AMONG OTHER RISK FACTORS. SJMAA WILL CONTINUE TO MONITOR THIS NEED AND INCREMENTALLY ADD INITIATIVES TO ADDRESS IT AS APPROPRIATE. HEALTH INSURANCE ENROLLMENT - SJMAA WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORT THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS ACCESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT CAN BE MEASURED AND SPECIFIC BARRIERS ARE IDENTIFIED.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 11: FOUR HIGH PRIORITY CHNA IDENTIFIED NEEDS THAT MERCY HEALTH SAINT MARY'S (MHSM) WILL DIRECTLY ADDRESS OVER THE NEXT THREE FISCAL YEARS INCLUDE: MENTAL HEALTH, NUTRITION AND OBESITY, SUBSTANCE USE, AND SAFETY AND VIOLENCE.MENTAL HEALTH - AT EACH OF THE COMMUNITY HEALTH CENTERS, A SBIRT (SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT) IS CONDUCTED FOR EVERY PATIENT. THROUGH A HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) GRANT IN THE AMOUNT OF $350,000, MHSM HIRED BEHAVIORAL HEALTH COUNSELORS. ADDITIONALLY, ELIGIBLE PATIENTS ARE ENROLLED IN MHSM'S PHARMACEUTICAL ACCESS PROGRAM TO ENSURE POVERTY IS NOT A BARRIER FOR PATIENTS TO SEEK MENTAL HEALTH MEDICATIONS. MHSM ALSO HAS ACCESS TO THE UNIVERSITY OF MICHIGAN CHILD COLLABORATIVE CARE (MC3) PROGRAM, WHICH PROVIDES PHONE CONSULTS WITH THEIR PSYCHIATRISTS REGARDLESS OF WHETHER A PATIENT HAS AN ESTABLISHED MENTAL HEALTH PROVIDER OR NOT. LASTLY, MHSM IS IMPLEMENTING PAIN PSYCHOLOGISTS TO AID PATIENTS WITH PAIN MANAGEMENT.IN COLLABORATION WITH A CENTER FOR HOMELESS TEENS, ONE COMMUNITY HEALTH WORKER (CHW) WAS LOCATED ON SITE AT THE CENTER. THE CHW CONNECTS TEENS WITH COMMUNITY RESOURCES, ENROLLMENT IN HEALTH CARE COVERAGE, AND PROVIDING PRIMARY CARE PHYSICIAN OPTIONS AT HEARTSIDE HEALTH CENTER. IN COLLABORATION WITH MAKING CHOICES MICHIGAN, MHSM PROVIDED TWO ADVANCE CARE PLANNING SEMINARS ON APRIL 16, 2015, WHICH 30 INDIVIDUALS ATTENDED. ONE EVENT WAS HELD AT MHSM, THE OTHER AT MERCY HEALTH SOUTHWEST CAMPUS.NUTRITION AND OBESITY - AT EACH PRIMARY CARE VISIT, SCREENING AND EDUCATION IS PROVIDED TO PATIENTS WHO INDICATE OBESITY IS A FACTOR. CHILDREN WHO STRUGGLE WITH OBESITY ARE REFERRED TO A COMMUNITY PROGRAM THAT SPECIALIZES IN FIGHTING CHILDHOOD OBESITY, AND ANY CHILD UNDER THE AGE OF 5 IS REFERRED TO WIC FOR NUTRITION COUNSELING. ADDITIONALLY, MHSM IS A KEY COMMUNITY PARTNER AT THE KENT COUNTY HEALTH DEPARTMENT OBESITY AND POOR NUTRITION COALITION, WHOSE PRIMARY GOAL IS TO INCREASE THE NUMBER OF KENT COUNTY RESIDENTS WHO ARE AT A HEALTHY WEIGHT (DEFINED BY A BMI BETWEEN 18.5 AND 24.9) BY 2018. AS PART OF THE COMMUNITY HEALTH PROGRAMS, SEVERAL CHW'S HAVE BECOME FACILITATORS FOR DIABETES PATH, A SIX-WEEK WORKSHOP TO IMPROVE DIABETES MANAGEMENT THROUGH EDUCATION ABOUT NUTRITION, EXERCISE AND HEALTH EDUCATION. MHSM PROVIDERS ALSO REFER TO THE FITKIDS PROGRAM AT THE HELEN DEVOS CHILDREN'S HOSPITAL. IN ADDITION, 264 BLOOD PRESSURE SCREENINGS WERE CONDUCTED WITHIN THE YEAR IN VARIOUS COMMUNITIES WITHIN KENT COUNTY, AT OUTREACH EVENTS AND AT HEALTH FAIRS. ALL PATIENTS WHO WERE SCREENED RECEIVED INFORMATION RELATED TO SIGNS AND SYMPTOMS OF A STROKE. UTILIZING THE MATTER OF BALANCE CURRICULUM AS A MODEL FOR EXERCISE TO INCREASE STRENGTH AND BALANCE FOR OLDER ADULTS, MHSM CONDUCTED AN EIGHT-WEEK, TWO-HOUR SESSION AT SPARTA HEALTH CENTER. TEN PARTICIPANTS ATTENDED THESE CLASSES ON A REGULAR BASIS TO IMPROVE THEIR FALL RISK, AND TO SET GOALS TO INCREASE THEIR ACTIVITY LEVELS, STRENGTH AND BALANCE.SUBSTANCE USE - IN ADDITION TO THE SBIRT TREATMENT AND THE BEHAVIORAL HEALTH COUNSELORS AT EACH COMMUNITY HEALTH CENTER, ONE OF THE COMMUNITY HEALTH CENTERS (HEARTSIDE HEALTH CENTER) HAS IMPLEMENTED A NON-NARCOTIC PAIN PROGRAM WHICH FOCUSES ON PHYSICAL THERAPY, OCCUPATIONAL THERAPY, PAIN PSYCHOLOGY AND CASE MANAGEMENT. THIS PROGRAM IS AN ALTERNATIVE PROGRAM FOR PATIENTS WITH CHRONIC PAIN AND WHO ARE ADDICTED OR AT RISK FOR ADDICTION TO NARCOTIC PAIN MEDICATION. MHSM IS ALSO A KEY COMMUNITY PARTNER AT THE KENT COUNTY HEALTH DEPARTMENT SUBSTANCE USE COALITION WHOSE PRIMARY GOALS ARE TO INCREASE EDUCATION OF SUBSTANCE USE, EXPAND MEDICATION DROP-OFF SITES AND EVENTS, PROVIDE MEDICATION TREATMENT FOR OPIOID ADDICTION, REDUCE ADULT AND YOUTH TOBACCO/ELECTRONIC CIGARETTE USE, REDUCE ADULT BINGE DRINKING, INCREASE PERCEPTION OF HARM WITH MARIJUANA USE, AND REDUCE THE NONMEDICAL USE OF PAIN RELIEVERS FOR 18-25 YEAR OLDS. MHSM HAS ALREADY OBTAINED THE INTEREST OF AN ADDICTION SPECIALIST TO JOIN OUR HEALTH SYSTEM TO ADDRESS BOTH THE SUBSTANCE ABUSE AND THE MENTAL HEALTH CHNA NEEDS. PLANS TO INCORPORATE THEIR SERVICES TO PATIENTS IN THE NEAR FUTURE ARE IN PROCESS.SAFETY AND VIOLENCE - IN ADDITION TO THE SBIRT TREATMENT AND THE BEHAVIORAL HEALTH COUNSELORS AT EACH COMMUNITY HEALTH CENTER, SCREENING AND TREATMENT FOR DEPRESSION, BULLYING, AND DOMESTIC VIOLENCE, AMONG OTHER ISSUES, ARE PROVIDED. IN ADDITION, 14 STAFF MEMBERS ARE CERTIFIED APPLICATION COUNSELORS-8 WHO CONDUCT EXTENSIVE OUTREACH IN THE COMMUNITY NAVIGATING AND EDUCATING UNINSURED INDIVIDUALS ABOUT THEIR HEALTH INSURANCE OPTIONS, SPECIFICALLY VICTIMS OF DOMESTIC VIOLENCE AND HUMAN TRAFFICKING WHO MAY BE ELIGIBLE TO ENROLL IN HEALTH COVERAGE, AND UNDOCUMENTED INDIVIDUALS WHO MAY QUALIFY FOR A T-1 VISA. MHSM HAS BUILT A STRONG RELATIONSHIP WITH THE KENT COUNTY HEALTH DEPARTMENT, WHO WILL RECEIVE AND RESETTLE 700 REFUGEE FAMILIES THIS YEAR, FOR 400 OF WHICH MHSM WILL PROVIDE MEDICAL TREATMENT AND BECOME THEIR PRIMARY CARE PROVIDERS AS THEY SEEK SAFETY FROM DRUGS AND VIOLENCE IN THEIR HOME COUNTRY. LASTLY, THE INJURY PREVENTION COORDINATOR AT MHSM PROVIDES A PROGRAM TITLED "DRIVEN TO DISTRACTION", A TWO-HOUR, MULTI-DISCIPLINARY, STUDENT DRIVEN PROGRAM TO IDENTIFY RISK FACTORS AND BEHAVIORS THAT CONTRIBUTE TO DISTRACTED DRIVING AND POTENTIAL CONSEQUENCES. THE GOAL OF THIS PROGRAM IS INJURY PREVENTION THROUGH EDUCATION AND HIGH IMPACT DEMONSTRATIONS, INCLUDING A SIMULATED ACCIDENT, AN INVESTIGATION, A FUNERAL, A COURT HEARING, AND AN EDUCATIONAL DISCUSSION REGARDING BEHAVIOR MODIFICATION. LAST FISCAL YEAR, THE INJURY PREVENTION COORDINATOR CONDUCTED TWO EVENTS AT COMSTOCK PARK AND NORTHVIEW HIGH SCHOOL. THE EVENTS WERE PRESENTED TO APPROXIMATELY 600 HIGH SCHOOL STUDENTS.THE FOLLOWING DESCRIBES THE TOP CHNA IDENTIFIED NEEDS THAT MERCY HEALTH SAINT MARY'S (MHSM) WILL NOT DIRECTLY ADDRESS OVER THE NEXT THREE FISCAL YEARS, WITH A SUMMARY EXPLANATION OF WHY WE HAVE DETERMINED THAT THIS ORGANIZATION WILL NOT MAKE THESE A PRIORITY. PUBLIC TRANSPORTATION - MHSM CANNOT REALISTICALLY RESOLVE THIS NEED, HOWEVER MHSM HAS SET ASIDE FUNDS FOR CAB VOUCHERS AND BUS PASSES FOR INDIVIDUALS AND FAMILIES IN NEED OF TRANSPORTATION. IN ADDITION, KENT COUNTY'S LOCAL BUS TRANSPORTATION SYSTEM DONATES 350 BUS PASSES TO LOCAL NONPROFITS (MHSM INCLUDED) ANNUALLY TO DISTRIBUTE TO INDIVIDUALS AND FAMILIES WITH TRANSPORTATION BARRIERS. INCREASE COMMUNITY'S KNOWLEDGE ABOUT RESOURCES AVAILABLE IN THE COMMUNITY - RATHER THAN A SEPARATE STRATEGIC GOAL, MHSM WILL INCORPORATE COMMUNITY RESOURCE INFORMATION IN ALL OF COMMUNITY HEALTH CENTERS. AS PATIENTS MEET WITH THE COMMUNITY HEALTH WORKERS STATIONED IN THE CBM MEDICAL HOMES, COMMUNITY RESOURCES ARE IDENTIFIED AND REFERRALS ARE MADE TO REDUCE BARRIERS AND SOCIAL DETERMINANTS OF HEALTH.POOR HOUSING QUALITY - COMMUNITY GROUPS ARE ALREADY ADDRESSING THIS ISSUE (E.G., TRUE NORTH, SALVATION ARMY, DEPARTMENT OF HEALTH AND HUMAN SERVICES, OUR BROTHER'S KEEPERS, HABITAT FOR HUMANITY, AND THE MEL TROTTER MISSION). THEREFORE, MHSM RESOURCES ARE BETTER ALLOCATED TOWARD OTHER NEEDS. LACK OF HEALTH EDUCATION - RATHER THAN A SEPARATE STRATEGIC GOAL, MHSM WILL INCORPORATE HEALTH EDUCATION AS PART OF THE COMMUNITY HEALTH PROGRAM, WHICH INCLUDES COMMUNITY HEALTH WORKERS TRAINED AS DIABETES PATH FACILITATORS AND MATTER OF BALANCE FACILITATORS, AND HEALTH EDUCATION CONDUCTED AT COMMUNITY OUTREACH EVENTS AND HEALTH FAIRS. HEALTH EDUCATION IS ALSO PROVIDED AT SPECIFIC OUTREACH EVENTS HELD AT THE COMMUNITY HEALTH CENTERS SERVING MORE VULNERABLE POPULATIONS (I.E., HISPANIC, HOMELESS, ETC.). CASE MANAGERS HAVE ALSO BEEN HIRED TO PROVIDE HEALTH EDUCATION AT THE COMMUNITY HEALTH CENTERS OF THE UNINSURED. HOME VISITS TO PATIENTS AND PROVIDER REPRESENTATION AT LOCAL COMMUNITY OUTREACH EVENTS ALSO OCCUR ROUTINELY.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 11: THE FOUR COMMUNITY HEALTH NEEDS PRIORITIZED BY ST. JOSEPH MERCY OAKLAND (SJM0) ARE OBESITY, FINANCIAL ACCESS TO CARE, DENTAL CARE, AND BEHAVIORAL HEALTH. OUR IMPLEMENTATION STRATEGY OUTLINES THE FOLLOWING EFFORTS:OBESITY - SJMO WILL WORK TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING RISING OBESITY RATES IN OUR COMMUNITY. SJMO WILL SUPPORT AREA SCHOOLS WITH EDUCATION & PREVENTION STRATEGIES, NUTRITION EDUCATION, PHYSICAL ACTIVITY AND BEHAVIORAL HEALTH. WE SEEK TO INCREASE COMMUNITY ACCESS TO NUTRITIOUS FOODS, OPPORTUNITIES FOR PHYSICAL ACTIVITY, AND EDUCATION ON HEALTHY LIVING IN VARIOUS COMMUNITY VENUES. FINANCIAL ACCESS TO CARE - SJMO WILL PROVIDE ENROLLMENT SERVICES TO ASSIST THOSE ELIGIBLE FOR INSURANCE PLANS AND ALTERNATIVE PAYMENT SOURCES.DENTAL CARE - SJMO WILL EXPAND ACCESS TO DENTAL CARE FOR LOW INCOME AND MEDICALLY COMPLEX INDIVIDUALS. FURTHER, SJMO WILL WORK TO IMPROVE COORDINATION AND ACCESS TO NECESSARY FOLLOW UP CARE AFTER DENTAL TREATMENT. SJMO WILL SUPPORT DENTAL HYGIENE EDUCATION IN THE COMMUNITY.BEHAVIORAL HEALTH - SJMO WILL WORK TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING BEHAVIORAL HEALTH IN OUR COMMUNITY. SJMO WILL CONTRIBUTE TOWARD IMPROVING ACCESS TO ADOLESCENT BEHAVIORAL HEALTH, SUBSTANCE ABUSE TREATMENT, AND SUPPORT FOR PATIENT COMPLIANCE. SJMO WILL ADDRESS ACCESS TO CARE BARRIERS AND WILL PROVIDE EDUCATION AND SUPPORT FOR PRIMARY CARE PROVIDERS TO ADDRESS BEHAVIORAL HEALTH NEEDS.SJMO WILL NOT TAKE NEW OR SPECIFIC ADDITIONAL ACTIONS ON THE FOLLOWING HEALTH NEEDS:CANCER - SJMO CURRENTLY OFFERS AND WILL CONTINUE TO OFFER SEVERAL FREE AND LOW-COST PROGRAMS AIMED AT CANCER PREVENTION AND EARLY DETECTION, INCLUDING SMOKING CESSATION AND BREAST CANCER SCREENING. BECAUSE CANCER RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS, SJMO BELIEVES IT IS APPROPRIATE TO MAINTAIN ITS CURRENT CANCER-FOCUSED INITIATIVES AND TO MONITOR CHANGES IN CANCER INCIDENCE AND DEATH RATES IN ITS SERVICE AREA. CHRONIC DISEASES - BECAUSE MANY CHRONIC DISEASES SUCH AS HIGH BLOOD PRESSURE, STROKE AND DIABETES ARE CLOSELY RELATED TO WEIGHT ISSUES, MANY CHRONIC DISEASES WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. OTHER EFFORTS REGARDING BEHAVIORAL HEALTH AND FINANCIAL ACCESS TO CARE SHOULD ALSO DIRECTLY IMPROVE ISSUES SUCH AS CHRONIC LIVER DISEASE AND MEDICATION AFFORDABILITY. SUICIDE - BECAUSE BEHAVIORAL HEALTH WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, SUICIDE WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT ADDRESSING BEHAVIORAL HEALTH. ALCOHOL ABUSE - BECAUSE BEHAVIORAL HEALTH WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, AND BECAUSE IT INCLUDES ALCOHOL ABUSE, THIS WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT ADDRESSING BEHAVIORAL HEALTH. HEALTHFUL EATING - BECAUSE OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, NUTRITION WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. IMMUNIZATIONS - IMMUNIZATIONS RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS. SJMO BELIEVES THAT NEW RULES REGARDING MICHIGAN CHILDHOOD IMMUNIZATION WAIVERS WILL IMPROVE CHILDHOOD IMMUNIZATION RATES. EXERCISE - WHILE OVERWEIGHT AND OBESITY WERE RANKED AS MOST IMPORTANT HEALTH NEEDS, EXERCISE WILL BE INCLUDED AS ONE OF THE MANY STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. HOSPITAL-BASED CARE - BECAUSE FINANCIAL ACCESS TO CARE WAS RANKED AS THE MOST IMPORTANT HEALTH NEED AND SOME OF THE NEED FOR HOSPITAL BASED CARE WAS RELATED TO FINANCIAL ACCESS, THIS NEED WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT IMPROVING FINANCIAL ACCESS. SPECIALIST PHYSICIANS - BECAUSE FINANCIAL ACCESS TO CARE WAS RANKED AS THE MOST IMPORTANT HEALTH NEED AND THE NEED FOR IMPROVED ACCESS TO SPECIALIST CARE WAS PRIMARILY RELATED TO FINANCIAL ACCESS, THIS NEED WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT IMPROVING FINANCIAL ACCESS. END OF LIFE CARE - ANECDOTAL DATA THROUGH LOCAL SURVEYS INDICATED THAT END-OF-LIFE CARE IS A COMMUNITY NEED. HOWEVER, AVAILABLE DATA REGARDING ACCESS TO NURSING HOMES DOES NOT INDICATE AN UNMET NEED (78% OCCUPANCY) AND OTHER SUPPORTING METRICS WERE NOT RELIABLY AVAILABLE. SJMO WILL CONTINUE TO PROVIDE END OF LIFE/PALLIATIVE CARE SERVICES AND WILL SUPPORT THE AREA AGENCY ON AGING AND ITS HOME CARE, HOSPICE AND REGIONAL NURSING HOME PARTNERS TO ENSURE SPECIFIC END-OF-LIFE NEEDS ARE ADDRESSED ACROSS THE CONTINUUM OF CARE. PHARMACEUTICALS - BECAUSE FINANCIAL ACCESS TO CARE WAS RANKED AS THE MOST IMPORTANT HEALTH NEED AND SOME OF THE NEED FOR IMPROVED ACCESS TO PHARMACEUTICALS CARE WAS RELATED TO FINANCIAL ACCESS, THIS NEED WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT IMPROVING FINANCIAL ACCESS. PRIMARY CARE - PRIMARY CARE RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS. SJMO CURRENTLY OFFERS, AND WILL CONTINUE TO OFFER, NO COST AND LOW COST PRIMARY CARE THROUGH MERCY PLACE, MERCY MEDICINE AND MERCY WOMEN'S HEALTH. MATERNAL HEALTH EDUCATION - MATERNAL HEALTH EDUCATION CARE RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS AND INFANT MORTALITY RATES IN THE SERVICE AREA HAVE SHOWN IMPROVEMENT. SJMO WILL CONTINUE TO OFFER MATERNAL HEALTH EDUCATION THROUGH ITS MERCY WOMEN'S HEALTH CLINIC, AS WELL AS MERCY PLACE AS NEEDED. TRANSPORTATION - THIS NEED AFFECTS ACCESS TO CARE, PARTICULARLY AMONG LOW-INCOME AND MEDICALLY UNDERSERVED INDIVIDUALS. HOWEVER, TRANSPORTATION RANKED LOW AMONG OTHER RISK FACTORS GIVEN THE AVAILABILITY OF PUBLIC TRANSIT WITHIN THE IMMEDIATE PONTIAC AREA AND SUBSIDIZED TRANSPORTATION SERVICES CURRENTLY AVAILABLE IN THE AREA. HEALTH LITERACY - HEALTH LITERACY IS ESSENTIAL FOR INDIVIDUALS TO PREVENT, SEEK CARE FOR, AND MANAGE HEALTH CONDITIONS. HEALTH LITERACY ALSO INCLUDES AWARENESS OF BENEFITS AVAILABLE THROUGH INSURANCE AND WHERE TO RECEIVE CARE. FOR THIS REASON, INITIATIVES FOR THE FOUR COMMUNITY HEALTH NEEDS THAT SJMO HAS RESOLVED TO ADDRESS WILL EACH INCLUDE ESSENTIAL ELEMENTS FOR HEALTH LITERACY SUCH AS HEALTH EDUCATION AND CONNECTIVITY WITH COMMUNITY RESOURCES. NAVIGATION OF HEALTHCARE RESOURCES - LIKE HEALTH LITERACY, THIS NEED GREATLY AFFECTS ACCESS TO CARE. MANY COMMUNITY MEMBERS HAVE DIFFICULTY UNDERSTANDING HOW AND WHERE TO ACCESS CARE, PARTICULARLY IF THEY FACE OTHER BARRIERS SUCH AS ABILITY TO PAY. INITIATIVES FOR THE FIVE COMMUNITY HEALTH NEEDS THAT SJMO HAS RESOLVED TO ADDRESS WILL EACH INCLUDE ESSENTIAL ELEMENTS FOR NAVIGATION OF HEALTHCARE RESOURCES, SUCH AS HEALTH EDUCATION AND CONNECTIVITY WITH COMMUNITY RESOURCES.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 11: LISTED IN ORDER OF IMPORTANCE, ST. MARY MERCY LIVONIA (SMML) WILL FOCUS ON DEVELOPING AND/OR SUPPORTING INITIATIVES AND MEASURING THEIR EFFECTIVENESS, TO IMPROVE THE FOLLOWING HEALTH NEEDS: OBESITY - INCREASE PHYSICAL ACTIVITY AND IMPROVED NUTRITION ESPECIALLY IN CHILDREN AGES K-12 THROUGH EDUCATIONAL PROGRAMS AND ACTIVITIES TO ENCOURAGE INCREASED STEPS/PHYSICAL ACTIVITY FOR CHILDREN AND FAMILIES IN THE LIVONIA PUBLIC SCHOOLS, IMPLEMENTATION OF AN "ALL SCHOOL TASTING DAY" AT A TARGET SCHOOL IN THE SOUTH REDFORD SCHOOL DISTRICT, AND A GROCERY STORE TOUR AND STUDENT ASSEMBLY IN PARTNERSHIP WITH MEIJER TO INCREASE FRUIT AND VEGETABLE INTAKE.ACCESS TO CARE - IMPROVE ACCESS TO PRIMARY CARE PROVIDERS AND SPECIALISTS AND TRANSPORTATION FOR HEALTHCARE APPOINTMENTS THROUGH EDUCATION/PROMOTION OF WELLNESS CHECKS, RIGHT CARE/RIGHT TIME AND PREVENTION SERVICES TO THE COMMUNITY IN CONJUNCTION WITH SOUTH REDFORD SCHOOL DISTRICT, EXPANSION OF CURRENT SCHOOL-BASED LOCATIONS IN SOUTH REDFORD SCHOOL DISTRICT AND/OR OTHER LOCATIONS, EXPANSION OF POINT-OF-CARE LOCATIONS IN THE COMMUNITY, INCREASE THE NUMBER OF ADULTS RECEIVING TRANSPORTATION ASSISTANCE TO HEALTH CARE APPOINTMENT, EXPANSION OF THE INFRASTRUCTURE FOR SPECIALIST CARE IN THE COMMUNITY, AND IMPLEMENTATION/EXPANSION OF NAVIGATORS/COMMUNITY HEALTH WORKERS TO ASSIST WITH FOLLOW-UP HEALTH CARE APPOINTMENTS AND MANAGEMENT OF CHRONIC DISEASES. MENTAL HEALTH/SUBSTANCE ABUSE - PREVENT SUICIDE, IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICE AND REDUCE EXCESSIVE USE OF ALCOHOL THROUGH PARTNERSHIPS WITH LOCAL CLINICS, PHYSICIANS, BEHAVIORAL HEALTH AND SENIOR CARE AGENCIES TO EDUCATE/TRAIN/SUPPORT THE PROVISION OF SUICIDAL RISK SCREENINGS BY HEALTHCARE PROVIDERS, INCLUDING NEW AND VARIOUS LOCATIONS (ASSISTED LIVING). THROUGH THESE PARTNERSHIPS, SMML WILL INCREASE THE NUMBER OF DEPRESSION SCREENINGS FOR ALL TEENS SEEN IN THE EMERGENCY ROOM, ESTABLISH SUPPORT/EDUCATION FOR DEPRESSION SCREENING AS ROUTINE CARE AT PRIMARY CARE VISITS WITHIN THE ST. MARY MERCY MEDICAL GROUP, SUPPORT/EXPAND (SITES, SESSIONS FUNDING, LINKAGES) THE NUMBER OF PEOPLE TRAINED TO BE A MENTAL HEALTH FIRST AID RESPONDER YEARLY, CREATE A BEHAVIORAL HEALTH TRANSITIONS OF CARE TEAM USING THE STARFORM MODEL, AND PARTNER WITH LOCAL ORGANIZATIONS TO PROVIDE A DRUG/ALCOHOL EDUCATIONAL PROGRAM FOR TEENS, FAMILIES AND THE COMMUNITY-AT-LARGE AT A NEUTRAL VENUE. ST. MARY MERCY LIVONIA ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. SMML WILL NOT TAKE ANY NEW OR ADDITIONAL ACTIONS ON THE FOLLOWING HEALTH NEEDS: PHYSICAL ACTIVITY AND NUTRITION FOR ADULTS- ADULT PHYSICAL ACTIVITY AND NUTRITION WILL NOT BE ADDRESSED IN THIS PLAN BUT THE HOSPITAL WILL CONTINUE TO SPONSOR COMMUNITY FUN RUNS AND THE OTHER COMMUNITY EVENTS THAT PROMOTE PHYSICAL ACTIVITY AND COOKING DEMONSTRATIONS FOR HEALTHIER EATING. CANCER- CANCER WILL BE ADDRESSED IN THE STRATEGIES FOR ACCESS TO CARE AND IN THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS FOR EDUCATIONAL SEMINARS, PREVENTION SCREENINGS AND SUPPORT GROUPS. HEART DISEASE- HEART DISEASE WILL BE ADDRESSED IN THE STRATEGIES FOR ACCESS TO CARE AND OBESITY.DIABETES- DIABETES DID NOT RANK AMONG THE TOP HEALTH NEEDS ALTHOUGH ONE-THIRD OF THE PEOPLE IN THE UNITED STATES HAVE DIABETES BUT DO NOT KNOW IT. ST. MARY MERCY LIVONIA WILL CONTINUE TO OFFER DIABETES PREVENTION SEMINARS AND PROGRAMS, OUTPATIENT DIABETES EDUCATION AND A SUPPORT GROUP. MANY OF THE STRATEGIES TO INCREASE PHYSICAL ACTIVITY AND IMPROVE NUTRITION WILL ALSO IMPROVE THE QUALITY OF LIFE FOR DIABETIC PATIENTS.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 11: THE TWO COMMUNITY HEALTH NEEDS PRIORITIZED BY ST. JOSEPH MERCY LIVINGSTON (SJML) ARE OBESITY & BEHAVIORAL HEALTH. OUR IMPLEMENTATION STRATEGY OUTLINES THE FOLLOWING EFFORTS:OBESITY- SJML WILL WORK TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING RISING OBESITY RATES IN OUR COMMUNITY. SJML WILL SUPPORT AREA SCHOOLS WITH EDUCATION & PREVENTION STRATEGIES, NUTRITION EDUCATION, PHYSICAL ACTIVITY AND BEHAVIORAL HEALTH. WE SEEK TO INCREASE COMMUNITY ACCESS TO NUTRITIOUS FOODS, OPPORTUNITIES FOR PHYSICAL ACTIVITY, AND EDUCATION ON HEALTHY LIVING IN VARIOUS COMMUNITY VENUES.BEHAVIORAL HEALTH - SJML WILL WORK TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING BEHAVIORAL HEALTH IN OUR COMMUNITY. SJML WILL CONTRIBUTE TOWARD IMPROVING ACCESS TO ADOLESCENT BEHAVIORAL HEALTH, SUBSTANCE ABUSE TREATMENT, AND SUPPORT FOR PATIENT COMPLIANCE. SJML WILL ADDRESS ACCESS TO CARE BARRIERS AND WILL PROVIDE EDUCATION AND SUPPORT FOR PRIMARY CARE PROVIDERS TO ADDRESS BEHAVIORAL HEALTH NEEDS.THERE WERE NEEDS IDENTIFIED THAT ST. JOSEPH MERCY LIVINGSTON (SJML) CHOSE NOT TO ADDRESS. THESE NEEDS, WHILE IMPORTANT TO THE HEALTH SYSTEM AND THE COMMUNITY, WERE NOT CHOSEN BASED ON OUR PRIORITIZATION PROCESS. THIS PROCESS INCLUDED THE FOLLOWING QUESTIONS: 1) THE NUMBER OF PEOPLE AFFECTED, 2) THE SEVERITY OF THE PROBLEM, 3) THE HEALTH SYSTEM'S ABILITY TO IMPACT, AND 4) THE EXTENT TO WHICH OTHER ORGANIZATIONS WERE MEETING THE NEED. THE NEEDS THAT WERE NOT CHOSEN ARE AS FOLLOWS:BREAST CANCER - SJML CURRENTLY OFFERS AND WILL CONTINUE TO OFFER FREE AND LOW-COST PROGRAMS AIMED AT BREAST CANCER PREVENTION AND EARLY DETECTION. THE PERCENTAGE OF LIVINGSTON COUNTY WOMEN HAVING A MAMMOGRAM WAS LOWER THAN THAT OTHER MICHIGAN WOMEN BUT THE DATA HAVE NOT BEEN UPDATED SINCE 2010. LIVINGSTON'S MORTALITY RATE ATTRIBUTED TO INVASIVE BREAST CANCER HAS BEEN WORSE THAN MICHIGAN IN 4 OF THE LAST 5 YEARS. BECAUSE CANCER RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS, SJML BELIEVES IT IS APPROPRIATE TO MAINTAIN ITS CURRENT BREAST CANCER-FOCUSED INITIATIVES AND TO MONITOR CHANGES IN INCIDENCE AND DEATH RATES IN ITS SERVICE AREA AS NEWER DATA BECOME AVAILABLE. CHRONIC DISEASES - BECAUSE MANY CHRONIC DISEASES SUCH AS DIABETES AND HIGH BLOOD PRESSURE ARE CLOSELY RELATED TO WEIGHT ISSUES, MANY CHRONIC DISEASES WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. EFFORTS TO IMPROVE BEHAVIORAL HEALTH SHOULD ALSO INDIRECTLY IMPROVE CHRONIC DISEASE ISSUES SUCH AS LIVER DISEASE AND PATIENTS' EMOTIONAL ABILITY TO MANAGE CHRONIC MEDICAL ISSUES. FOR THESE REASONS, SJML WILL NOT TAKE NEW OR SPECIFIC ACTIONS TO ADDRESS CHRONIC DISEASES. SUICIDE - BECAUSE BEHAVIORAL HEALTH WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, AND BECAUSE SUICIDE IS OFTEN A REFLECTION OF UNMET MENTAL HEALTH NEEDS OR SUBSTANCE ABUSE ISSUES, SJML ANTICIPATES SUICIDE WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF ITS STRATEGIES AND ACTIVITIES AIMED AT ADDRESSING BEHAVIORAL HEALTH. COLON CANCER - THE PERCENT OF LIVINGSTON COUNTY ADULTS HAVING AN APPROPRIATELY-TIMED COLONOSCOPY IS LOWER THAN THAT OF MICHIGAN ADULTS, AND LIVINGSTON'S MORTALITY RATE ATTRIBUTED TO INVASIVE COLORECTAL CANCER HAS BEEN CONSISTENTLY WORSE THAN MICHIGAN FOR EACH OF THE LAST FIVE YEARS MEASURED. HOWEVER, COLON CANCER RANKED LOW AMONG OTHER NEEDS. SJML WILL CONTINUE TO MONITOR THIS NEED AND INCREMENTALLY ADD INITIATIVES TO ADDRESS IT AS APPROPRIATE. TOBACCO USE - TOBACCO USE RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS. SMJL ANTICIPATES THAT THROUGH ITS EFFORTS TO ADDRESS BEHAVIORAL HEALTH NEEDS, AND SPECIFICALLY EDUCATION REGARDING SUBSTANCE USES AND THEIR IMPACTS, TOBACCO USE MAY DECLINE AS AN INDIRECT RESULT OF ITS STRATEGIES AND ACTIVITIES AIMED AT ADDRESSING OTHER ASPECTS OF BEHAVIORAL HEALTH. DRUG ABUSE - BECAUSE BEHAVIORAL HEALTH WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, AND BECAUSE IT INCLUDES DRUG ABUSE, THIS WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT ADDRESSING BEHAVIORAL HEALTH. ALCOHOL ABUSE - BECAUSE BEHAVIORAL HEALTH WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, AND BECAUSE IT INCLUDES ALCOHOL ABUSE, THIS WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT ADDRESSING BEHAVIORAL HEALTH. IMMUNIZATIONS - IMMUNIZATIONS RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS. SJML BELIEVES THAT NEW RULES REGARDING MICHIGAN CHILDHOOD IMMUNIZATION WAIVERS WILL IMPROVE CHILDHOOD IMMUNIZATION RATES. ADDITIONALLY, SJML BELIEVES THE TREND TOWARD POPULATION HEALTH MANAGEMENT, MEDICAL HOMES AND ACCOUNTABLE CARE WILL CREATE PROVIDER INCENTIVES NECESSARY TO ELEVATE ALL ADULT IMMUNIZATION RATES. FOR THESE REASONS, SJML WILL NOT TAKE NEW OR SPECIFIC ADDITIONAL ACTIONS TO ADDRESS IMMUNIZATIONS BUT WILL CONTINUE TO MONITOR THE DATA. NUTRITION AND HEALTHFUL EATING - BECAUSE OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, NUTRITION AND HEALTHFUL EATING WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. HOSPITAL-BASED CARE - DATA DERIVED FROM THE COMMUNITY SURVEY AND INTERVIEW PROCESS REGARDING THE NEED FOR HOSPITAL BASED CARE WERE LIMITED, BUT APPEARED TO BE PRIMARILY RELATED TO FINANCIAL ACCESS TO CARE. SJML WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT CAN BE MEASURED AND SPECIFIC BARRIERS ARE IDENTIFIED. DENTAL HEALTH - THE NEED FOR DENTAL HEALTH WAS SPECIFIC TO ACCESS FOR LOW INCOME INDIVIDUALS AS IDENTIFIED THROUGH THE COMMUNITY SURVEYS AND INTERVIEWS. SJML HAS BEEN AND WILL CONTINUE TO EVALUATE OPTIONS FOR ESTABLISHING A DENTAL HEALTH CLINIC AT THE HOSPITAL, BUT IS UNSURE THESE PLANS WILL BE OPERATIONALIZED BEFORE 2018. PRIMARY CARE - INCREASED ACCESS TO PRIMARY CARE WAS IDENTIFIED AS A NEED BY SOME COMMUNITY SURVEYS AND INTERVIEWS. HOWEVER, LIVINGSTON COUNTY METRICS SUCH AS THE PERCENT OF RESIDENTS REPORTING TO HAVE A PRIMARY CARE PHYSICIAN, AND HOSPITALIZATIONS FOR AMBULATORY-SENSITIVE CONDITIONS DID NOT SUPPORT THE FINDING. BECAUSE OF THIS, AND BECAUSE PRIMARY CARE RANKED LOW COMPARED WITH OTHER COMMUNITY NEEDS, PRIMARY CARE WILL NOT BE ADDRESSED BY SJML.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 11: AFTER REVIEWING THIS DATA, AND MAPPING EXISTING RESOURCES, THE COMMUNITY HEALTH IMPROVEMENT COUNCIL DEVELOPED AN IMPLEMENTATION STRATEGY WITH EVIDENCE-BASED INTERVENTIONS. THE ST. JOSEPH MERCY CHELSEA (SJMC) BOARD OF TRUSTEES APPROVED THE IMPLEMENTATION STRATEGY ON MARCH 24, 2015. THE PRIORITY NEEDS - OBESITY, MENTAL HEALTH, SUBSTANCE ABUSE, AND ACCESS TO CARE - WERE IDENTIFIED BASED ON SIZE, SEVERITY, AVAILABLE DATA, AND THE HOSPITAL'S ABILITY TO HAVE AN IMPACT. IN ORDER TO ADDRESS PRIORITY NEEDS, SJMC WILL ENGAGE KEY COMMUNITY PARTNERS IN IMPLEMENTING EVIDENCE-BASED STRATEGIES ACROSS THE SERVICE AREA. THESE STRATEGIES TO ADDRESS THE PRIORITY NEEDS LISTED PREVIOUSLY INCLUDE MODIFYING POLICES, PROVIDING SUPPORT, ENHANCING ACCESS, CHANGING CONSEQUENCES AND INCENTIVES, PROVIDING INFORMATION, AND ENHANCING SKILLS.SJMC ACKNOWLEDGES THE WIDE RANGE OF SIGNIFICANT HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SJMC WILL NOT TAKE NEW OR ADDITIONAL ACTIONS ON THE FOLLOWING HEALTH NEEDS:DENTAL HEALTH - ACCESS TO AFFORDABLE DENTAL CARE WAS IDENTIFIED AS A MAJOR NEED AMONG THE LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS. A REGIONAL COALITION CALLED THE WASHTENAW HEALTH INITIATIVE (WHI) IS WORKING TO ADDRESS THIS NEED IN WASHTENAW COUNTY, INCLUDING CHELSEA, DEXTER AND MANCHESTER. RESIDENTS OF GRASS LAKE HAVE ACCESS TO THE CENTER FOR FAMILY HEALTH IN JACKSON, WHICH PROVIDES FREE AND LOW COST MEDICAL AND DENTAL CARE TO ADULTS AND YOUTH THROUGH THEIR DOWNTOWN CLINIC, AS WELL AS SCHOOL-BASED CLINICS. BESIDES THE RESOURCES IN ANN ARBOR AND JACKSON, STOCKBRIDGE RESIDENTS CAN ALSO ACCESS THE ADULT DENTAL CENTER IN LANSING. SJMC SUPPORTS THE WHI IN THEIR EFFORTS TO EXPAND ACCESS TO DENTAL CARE.DIABETES - DIABETES WAS NOT PRIORITIZED BECAUSE ITS PREVALENCE IN WESTERN WASHTENAW COUNTY DROPPED SIGNIFICANTLY FROM 2005 TO 2010. ALSO, OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED AND WILL INDIRECTLY ADDRESS DIABETES THROUGH MANY OF THE SAME STRATEGIES AND ACTIVITIES. SJMC WILL CONTINUE TO OFFER OUTPATIENT DIABETES EDUCATION AND DIETICIAN SERVICES TO PATIENTS WITH DIABETES OR PRE-DIABETES THROUGH CLASSES, INDIVIDUAL APPOINTMENTS, AND THE DIABETES SHARE GROUP. FAMILY AND COMMUNITY INVOLVEMENT - THESE ARE PROTECTIVE FACTORS FOR YOUTH AGAINST SUBSTANCE ABUSE. THE SRSLY COALITIONS ARE WORKING TO STRENGTHEN THESE FACTORS THROUGH PARENT EDUCATION CLASSES AND YOUTH-LED INITIATIVES. SJMC WOULD ASSIST IN REPLICATING SRSLY, IF OTHER COMMUNITIES IN THE SERVICE AREA ARE INTERESTED IN MAKING SRSLY CENTRAL TO THEIR STRATEGIC PLANS. SJMC WILL NOT INITIATE NEW INTERVENTIONS TO STRENGTHEN FAMILY AND COMMUNITY INVOLVEMENT FOR YOUTH OUTSIDE OF SRSLY. HEART DISEASE - OBESITY AND SUBSTANCE ABUSE WERE RANKED AS HIGH PRIORITY HEALTH NEEDS AND HEART DISEASE WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE SAME STRATEGIES AND ACTIVITIES.NUTRITION - OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED AND NUTRITION WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE SAME STRATEGIES AND ACTIVITIES.PHYSICAL ACTIVITY - OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED AND PHYSICAL ACTIVITY WILL BE ADDRESSED INDIRECTLY THROUGH MANY OF THE SAME STRATEGIES AND ACTIVITIES. PHYSICAL ENVIRONMENT -WALK-ABILITY AND EASY ACCESS TO GROCERY STORES CAN BE MAJOR BARRIERS TO REGULARLY PARTICIPATING IN PHYSICAL ACTIVITY AND ACCESSING FRESH FRUITS AND VEGETABLES. SJMC IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORTS LOCAL GOVERNMENTS AND WELLNESS COALITIONS IN THEIR EFFORTS TO IMPACT THESE ISSUES.SOCIAL SUPPORT - THIS INDICATOR IS IMPORTANT TO MENTAL HEALTH FOR YOUTH AND ADULTS. THE FIVE AREA WELLNESS COALITIONS ARE EACH ADDRESSING THIS ISSUE AT THE COMMUNITY LEVEL THROUGH INITIATIVES TO SUPPORT "CONNECTING WITH OTHERS IN HEALTHY WAYS." SJMC WILL CONTINUE TO PARTICIPATE IN THESE COALITIONS AND SUPPORT PLANNING AND IMPLEMENTATION OF ACTIVITIES TO PROMOTE SOCIAL SUPPORT AS MUCH AS POSSIBLE. TRANSPORTATION - THIS AFFECTS ACCESS TO CARE, PARTICULARLY AMONG THE LOW-INCOME AND MEDICALLY UNDERSERVED. HOWEVER, TRANSPORTATION RANKED LOW AMONG OTHER RISK FACTORS DUE TO THE LOW NUMBER OF PEOPLE THAT ARE AFFECTED. IN ADDITION, OTHER LOCAL ORGANIZATIONS LIKE SENIOR CENTERS AND THE WESTERN WASHTENAW AREA VALUE EXPRESS (WAVE) BUS ARE ALREADY WORKING TO ADDRESS TRANSPORTATION NEEDS IN THE AREA. SJMC WILL CONTINUE TO HAVE A REPRESENTATIVE ON THE WAVE BOARD OF DIRECTORS IN ORDER TO SUPPORT THIS RESOURCE.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 11: THERE ARE 5 NEEDS THAT ST. JOSEPH MERCY PORT HURON (SJMPH) WILL FOCUS ON DEVELOPING AND /OR SUPPORTING INITIATIVES AND MEASURING THEIR EFFECTIVENESS TO IMPROVE THE FOLLOWING HEALTH NEEDS:OBESITY:1. CONTINUE EXISTING BARIATRICS CLINICS AND SURGERY PROGRAMS.2. BARIATRICS TEAM WILL FURTHER DEVELOP MEDICAL WEIGHT LOSS PROGRAM.3. BARIATRICS TEAM WILL FURTHER DEVELOP BARIATRICS EXERCISE PROGRAM.4. BEGIN PROCESS TO BECOME BARIATRIC CENTER OF EXCELLENCE.5. NUTRITION SERVICES AND BARIATRICS WILL EXPLORE CHILDHOOD OBESITY INITIATIVES.6. SUPPORT COMMUNITY OUTREACH AND EDUCATION AS IT RELATES TO NUTRITION AND OBESITY.ACCESS TO CARE:1. CONTINUE SUPPORTING PEOPLE'S CLINIC FOR BETTER HEALTH (FREE CLINIC).2. START A MEDICAID CLINIC TO WORK PARALLEL WITH THE PEOPLES CLINIC.3. PROVIDE $4 PRESCRIPTIONS FOR COMMONLY PRESCRIBED DRUGS.4. SUPPORT HEALTHY MICHIGAN MEDICAID ENROLLMENT INITIATIVE.5. CONTINUE TO PROVIDE CHARITY CARE FOR THE POOR.DIABETES:1. PROVIDE ACCESS TO DIABETES MANAGEMENT.2. BEGIN PROCESS TO BECOME DIABETES CENTER OF EXCELLENCE.3. PROVIDE COMMUNITY OUTREACH AND EDUCATION.4. PROVIDE CARE COORDINATION SERVICES TO PRIMARY CARE PHYSICIANS AND DIABETES PATIENTS.5. SUPPORT COMMUNITY WELLNESS PROGRAMS.SENIOR SERVICES:1. HOLD COMMUNITY PROGRAMS RELATED TO SENIOR HEALTHCARE NEEDS.2. PROVIDE ON-SITE SERVICES GEARED TOWARDS SENIORS: SPECIAL PARKING, SENIOR ED, NICHE TRAINING, ETC.3. SPONSOR SUPPORT GROUP FOR SENIORS: SOLO CLUB, CAREGIVER GROUP, STROKE/HEAD INJURY, BBC.MENTAL HEALTH1. PARTNER WITH ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH TO PROVIDE ACCESS AND COORDINATED CARE INCLUDING SUPPORTING HEALTHY MICHIGAN MEDICAID ENROLLMENT.2. PARTNER WITH THE ST. CLAIR COUNTY INTERVENTION CENTER (JAIL) TO PROVIDE ACCESS AND COORDINATED CARE.3. IMPROVE COORDINATION AND TRANSITION OF CARE WITH COMMUNITY PARTNERS AND PROVIDERS.ST. JOSEPH MERCY PORT HURON ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SJMPH WILL NOT TAKE ACTION ON THE FOLLOWING HEALTH NEEDS: CANCER - SJMPH HAS A COMPREHENSIVE CANCER PROGRAM THAT INCLUDES ONCOLOGY AND RADIATION THERAPY. BY BEING PART OF THE MERCY CANCER NETWORK AND AFFILIATED WITH THE UNIVERSITY OF MICHIGAN CANCER PROGRAM, OUR COMMUNITY HAS ACCESS TO THE BEST CARE AS WELL AS CLINIC TRIALS FOR BOTH ONCOLOGY AND RADIATION THERAPY. ADDITIONALLY, MCLAREN PH HAS ANNOUNCED THEY WILL BE ADDING RADIATION THERAPY TO THEIR CANCER PROGRAM. CARDIAC/HEART DISEASE - SJMPH LACKS THE VOLUMES TO ACQUIRE A CON FOR OPEN HEART CARDIAC SERVICES. WE WILL CONTINUE TO PROVIDE TOP NOTCH OUTPATIENT SERVICES INCLUDING CARDIAC CATH LAB AND CARDIAC REHAB. WE ARE PARTNERING WITH OTHER ST. JOSEPH MERCY HEALTH SYSTEM HOSPITALS TO PROVIDE HIGH QUALITY IP SERVICES. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. DENTAL - SJMPH DOES NOT PROVIDE DENTAL SERVICES AND FEELS THAT THIS PRIORITY FALLS TO OTHER COMMUNITY SERVICE ORGANIZATIONS IN THE COMMUNITY. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.SMOKING - SJMPH OPERATES A SMOKE FREE CAMPUS AND SUPPORTS SMOKING CESSATION PROGRAMS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 11: ALL THREE OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED BY MERCY HOSPITAL CADILLAC (MERCY) ARE BEING ADDRESSED IN THE IMPLEMENTATION STRATEGY. THESE NEEDS INCLUDE: BARRIERS TO HEALTHCARE ACCESS, CHRONIC DISEASE MANAGEMENT, AND MENTAL HEALTH/SUBSTANCE ABUSE.BARRIERS TO HEALTHCARE ACCESS- THE COMMUNITY FACE CHALLENGES TO HEALTHCARE ACCESSIBILITY INCLUDING ECONOMIC FACTORS AND PROVIDER SHORTAGES. THE PERCENTAGE OF UNINSURED ADULTS IN WEXFORD HAS INCREASED SLIGHTLY BUT IT HAS DECREASED IN MISSAUKEE SINCE THE 2011 CHNA. ACCESS TO PRIMARY CARE PROVIDERS/ SPECIALISTS CONTINUES TO BE A CHALLENGE IN THE COMMUNITY. MERCY IMPLEMENTATION PLANS INCLUDE OBJECTIVES TO SUPPORT THE FQHC, ADOLESCENT WELLNESS CENTERS, STEHOUWER FREE CLINIC, AND WEXFORD MISSAUKEE PHO TO IMPROVE KNOWLEDGE OF CHRONIC DISEASE MANAGEMENT IN VULNERABLE POPULATIONS. THE STEHOUWER FREE CLINIC PROVIDES MEDICAL SERVICES WITH THE MEDICATION ACCESS PROGRAM (MAP) PROVIDING PRESCRIPTION MEDICATIONS TO THOSE WHO ARE UNINSURED OR UNDERINSURED. BOTH PROGRAMS RECEIVE FINANCIAL SUPPORT AND IN-KIND DONATIONS FROM MERCY HOSPITAL CADILLAC COMMUNITY BENEFITS. CHRONIC DISEASE MANAGEMENT- HIGH RATES OF OBESITY, TOBACCO USE, AND CARDIOVASCULAR DISEASE CONTRIBUTED TO THE PRIORITIZATION OF CHRONIC DISEASE MANAGEMENT. THE HIGH PREVALENCE AND HIGH MORTALITY RATES OF DIABETES RELATED CONDITIONS IN THE AREA ARE A SIGNIFICANT PUBLIC HEALTH CONCERN. LIKE MICHIGAN, CARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE WEXFORD/MISSAUKEE. BETTER CHRONIC DISEASE MANAGEMENT CAN IMPROVE MORTALITY RATES. CHRONIC LOWER RESPIRATORY DISEASE IS THE THIRD LEADING CAUSE OF DEATH IN THE WEXFORD/MISSAUKEE AREA AND ENCOMPASSES ASTHMA, EMPHYSEMA, AND COPD. A SIGNIFICANT CONTRIBUTORY FACTOR IS THE HIGH SMOKING RATES IN THE AREA.MERCY IMPLEMENTATION PLANS OUTLINE EFFORTS TO SUPPORT EXERCISE PROGRAMS SUCH AS SENIOR FIT, AND IN COLLABORATION WITH THE CADILLAC AREA YMCA, HEALTHY KIDS/HEALTHY MICHIGAN, AND CONTINUED COLLABORATION WITH THE NORTHERN MICHIGAN DIABETES INITIATIVE, TO PROVIDE EDUCATIONAL OUTREACH PROGRAMS TO THE COMMUNITY.CARDIAC REHAB SERVICES INCLUDE SUPERVISED EXERCISE AND EDUCATION FOR THOSE WHO HAVE HAD CARDIAC EVENTS, ARE AT RISK FOR CARDIAC EVENTS, OR WHO WERE INTERESTED IN PARTICIPATING IN A SUPERVISED EXERCISE PROGRAM.PULMONARY REHABILITATION IS A MULTI-PHASE, PROGRESSIVE EXERCISE PROGRAM FOR INDIVIDUALS WHO HAVE LUNG DISEASE SUCH AS COPD, LUNG CANCER, PULMONARY FIBROSIS, ETC. A COMBINATION OF EDUCATION WITH INDIVIDUALIZED EXERCISE PROGRAMS MINIMIZE RISK FACTORS AND PROMOTE THE REHABILITATION PROCESS. THIS PROGRAM IS ALSO SUPPORTED BY MERCY HOSPITAL CADILLAC COMMUNITY BENEFITS.MENTAL HEALTH/SUBSTANCE ABUSE- MENTAL HEALTH HAS ALSO BEEN STRONGLY LINKED TO SOCIOECONOMIC FACTORS WHICH ARE RELEVANT TO THE WEXFORD/MISSAUKEE COMMUNITY. SHORTAGES OF MENTAL HEALTHCARE WORKERS AS WELL AS FRAGMENTED TREATMENT OPTIONS ARE LIMITATIONS IN ADDRESSING MENTAL HEALTH IN THE COMMUNITY. SUBSTANCE ABUSE IS A FREQUENT CO-MORBIDITY OF MENTAL ILLNESS AND IS IDENTIFIED AS AN AREA FOR IMPROVEMENT. MERCY IMPLEMENTATION PLANS INCLUDE OBJECTIVES THAT ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE WITHIN OUR COMMUNITY. WE CONTINUE TO FOCUS ON PREVENTION ACTIVITIES, EXPLORING DELIVERY SYSTEMS FOR THE ONGOING MANAGEMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE. IN COLLABORATION WITH THE WEXFORD/MISSAUKEE PHO, PRESCRIBER PRACTICES AND PRESCRIPTION DRUG DIVERSION COMMUNITY ROUND TABLE IS ANNUALLY HELD IN RESPONSE TO THE GROWING PROBLEM OF PRESCRIPTION DRUG ABUSE AND DIVERSION IN OUR COMMUNITY. EDUCATIONAL OPPORTUNITIES AND INFORMATION TO INCREASE AWARENESS AND IMPLEMENT STEPS TO DECREASE THIS PROBLEM ARE PROVIDED. THIS ROUNDTABLE IS HELD ON A YEARLY BASIS WITH ATTENDANCE FROM AREA PHYSICIANS, DENTISTS, PHARMACISTS, MID-LEVEL PROVIDERS, LAW ENFORCEMENT AND REPRESENTATIVES FROM DEPARTMENT OF HUMAN SERVICES. MERCY HOSPITAL CONTINUES TO PROVIDE CONTINUING EDUCATION CREDITS TO ATTENDEES OF THIS ROUNDTABLE. MERCY HOSPITAL CONTINUES TO PARTNER WITH CATHOLIC HUMAN SERVICES TO SUBSIDIZE A MENTAL HEALTH/SUBSTANCE ABUSE CASE MANAGER TO DELIVER CASE MANAGEMENT SERVICES FOR THOSE PRESENTING WITH SUBSTANCE ABUSE AND/OR A MENTAL HEALTH CONDITION. THE PRACTITIONER INVITES THE PATIENT INTO A CARE COORDINATION RELATIONSHIP TO ANSWER QUESTIONS AND TO ADDRESS CONTINUING NEEDS, GOALS AND PRIORITIES. ACCESS TO RESOURCES, INCLUDING MEDICATION, TRANSPORTATION, PRIMARY CARE, MENTAL HEALTH AND SUBSTANCE ABUSE SUPPORT IS PROVIDED.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 20E: OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS; USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF PAY ACCOUNTS
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 20E: OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS; USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF PAY ACCOUNTS
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 20E: OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS; USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF PAY ACCOUNTS
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
ST. JOSEPH MERCY ANN ARBOR PART V, SECTION B, LINE 16A WEBSITE:	HTTP://WWW.STJOESANNARBOR.ORG/DOCUMENTS/PFS/FINANCIALPOLICY.PDF
ST. JOSEPH MERCY ANN ARBOR PART V, SECTION B, LINE 16B WEBSITE:	WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-QUESTIONNAIRE-APPLICATION.PDF
ST. JOSEPH MERCY ANN ARBOR PART V, SECTION B, LINE 16C WEBSITE:	HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-APP-INSTRUCTIONS.PDF
MERCY HEALTH SAINT MARY'S PART V, SECTION B, LINE 16A WEBSITE:	HTTP://WWW.MERCYHEALTH.COM/FINANCIAL-ASSISTANCE-SM
MERCY HEALTH SAINT MARY'S PART V, SECTION B, LINE 16B WEBSITE:	HTTP://WWW.MERCYHEALTH.COM/FINANCIAL-ASSISTANCE-SM
MERCY HEALTH SAINT MARY'S PART V, SECTION B, LINE 16C WEBSITE:	HTTP://WWW.MERCYHEALTH.COM/FINANCIAL-ASSISTANCE-SM
ST. JOSEPH MERCY OAKLAND PART V, SECTION B, LINE 16A WEBSITE:	HTTP://WWW.STJOESOAKLAND.ORG/DOCUMENTS/PFS/FINANCIALPOLICY.PDF
ST. JOSEPH MERCY OAKLAND PART V, SECTION B, LINE 16B WEBSITE:	WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-QUESTIONNAIRE-APPLICATION.PDF
ST. JOSEPH MERCY OAKLAND PART V, SECTION B, LINE 16C WEBSITE:	STJOESOAKLAND.ORG
ST. MARY MERCY LIVONIA PART V, SECTION B, LINE 16B WEBSITE:	HTTP://WWW.STMARYMERCY.ORG/DOCUMENTS4/FORMS/CHARITYAPPLICATION.PDF
ST. JOSEPH MERCY LIVINGSTON PART V, SECTION B, LINE 16A WEBSITE:	HTTP://WWW.STJOESANNARBOR.ORG/DOCUMENTS/PFS/FINANCIALPOLICY.PDF
ST. JOSEPH MERCY LIVINGSTON PART V, SECTION B, LINE 16B WEBSITE:	WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-QUESTIONNAIRE-APPLICATION.PDF
ST. JOSEPH MERCY LIVINGSTON PART V, SECTION B, LINE 16C WEBSITE:	HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-APP-INSTRUCTIONS.PDF
ST. JOSEPH MERCY CHELSEA PART V, SECTION B, LINE 16A WEBSITE:	HTTP://WWW.STJOESCHELSEA.ORG/DOCUMENTS/PFS/FINANCIALPOLICY.PDF
ST. JOSEPH MERCY CHELSEA PART V, SECTION B, LINE 16B WEBSITE:	WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-QUESTIONNAIRE-APPLICATION.PDF
ST. JOSEPH MERCY CHELSEA PART V, SECTION B, LINE 16C WEBSITE:	HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/PFS/FINANCIAL-APP-INSTRUCTIONS.PDF

Field	Value	IRS element (for citing)
Facility	107	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (107 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
(ANN ARBOR) MICHIGAN HEART & VASCULAR IN
5325 ELLIOTT DR	YPSILANTI	MI	48197	CARDIOVASCULAR CARE
(AA) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD	BRIGHTON	MI	48114	LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYS, ONCOLOGY, 24 HR EMER
(AA) ST JOSEPH MERCY CANTON HEALTH CTR
1600 CANTON CENTER RD	CANTON	MI	48188	LAB, IMAGING, THERAPY, ONCOLOGY, AMBULATORY SURGERY, URGENT CARE
(AA) REICHERT HEALTH CENTER
5333 MCAULEY DR	YPSILANTI	MI	48197	LAB, IMAGING, AMBULATORY SURG., EMPLOYED PHYSICIANS
(AA) CHELSEA PROFESSIONAL OFFICE BLDG
14650 OLD US 12	CHELSEA	MI	48118	PHARMACY, ONCOLOGY, EMPLOYED PHYSICIANS
(AA) MICHIGAN ORTHOPEDIC CENTER
5315 ELLIOTT DR	YPSILANTI	MI	48197	ORTHOPEDIC CARE
(AA) ST JOSEPH MERCY SALINE
400 W RUSSELL ST	SALINE	MI	48176	LAB, IMAGING, URGENT CARE
(AA) ELLEN THOMPSON WOMEN'S CENTER
5320 ELLIOTT DR	YPSILANTI	MI	48197	WOMEN'S HEALTH
(AA) CHELSEA HEALTH & WELLNESS CENTER
20800 OLD US 12	CHELSEA	MI	48118	REHAB
(AA) MICHIGAN HEART BUILDING
1548 W MAUMEE ST	ADRIAN	MI	49221	EMPLOYED PHYSICIANS
(AA) SLEEP DISORDERS CENTER
5305 ELLIOTT DR	YPSILANTI	MI	48197	SLEEP CLINIC
(AA) HURON OAKS
5401 MCAULEY DR	YPSILANTI	MI	48197	BEHAVIORAL MEDICINE
(AA) ST JOSEPH MERCY MAPLE HEALTH BLDG
501 N MAPLE RD	ANN ARBOR	MI	48103	URGENT CARE
(AA) ST JOSEPH MERCY ARBOR HEALTH CTR
990 W ANN ARBOR TRAIL	PLYMOUTH	MI	48170	LAB
(AA) ARBOR PARK CENTRE
4972 CLARK RD	YPSILANTI	MI	48197	LAB
(AA) LIVINGSTON OBGYN ASSOCIATES
524 BYRON RD	HOWELL	MI	48843	EMPLOYED PHYSICIANS
(AA) MICHIGAN HEART MILAN
870 E ARKONA RD	MILAN	MI	48160	EMPLOYED PHYSICIANS, LAB
(AA) SJMHS OUTPATIENT CLINIC
2310 E STADIUM BLVD	ANN ARBOR	MI	48104	REHAB
(AA) CHERRY HILL LAB
49650 CHERRY HILL RD	CANTON	MI	48187	LAB
(AA) MARIAN PROFESSIONAL BUILDING
14555 LEVAN RD	LIVONIA	MI	48154	RADIATION ONCOLOGY, REHAB, MRI, EMPLOYED PHYSICIANS
(AA) GENOA MEDICAL CENTER
2305 GENOA BUSINESS PARK DR	BRIGHTON	MI	48114	LAB
(AA) HAAB HEALTH BUILDING
111 N HURON ST	YPSILANTI	MI	48197	EMPLOYED PHYSICIANS
(AA) MONUMENT PARK BUILDING
8031 MAIN ST	DEXTER	MI	48130	EMPLOYED PHYSICIANS
(AA) ARBOR SCIO PROFESSIONAL BUILDING
6360 JACKSON RD	ANN ARBOR	MI	48103	LAB
(AA) ST JOSEPH MERCY CHEMICAL DEPENDENT
2008 HOGBACK RD	ANN ARBOR	MI	48105	BEHAVIORAL MEDICINE
(AA) PARKWAY MEDICAL CENTER
2345 S HURON PKWY	ANN ARBOR	MI	48104	LAB
(AA) SALINE PROFESSIONAL OFFICE BLDG
420 W RUSSELL ST	SALINE	MI	48176	REHAB
(AA) MICHIGAN HEART BUILDING
200 ARNET ST	YPSILANTI	MI	48198	EMPLOYED PHYSICIANS
(AA) HURON PROFESSIONAL BUILDING
704 W HURON ST	ANN ARBOR	MI	48103	LAB
(AA) SUMMERWOOD CENTER
10299 E GRAND RIVER	BRIGHTON	MI	48116	BEHAVIORAL MEDICINE
(AA) DIAGNOSTIC SERVICES CENTER
202 E VAN RIPER RD	FOWLERVILLE	MI	48836	LAB, IMAGING
(AA) FAMILY MEDICINE OF STOCKBRIDGE
4525 S M-52	STOCKBRIDGE	MI	49285	EMPLOYED PHYSICIANS
(AA) ST JOSEPH MERCY BEHAVIORAL SVCS
2200 CANTON CENTER RD	CANTON	MI	48188	BEHAVIORAL MEDICINE
(AA) SALINE ADULT & PEDIATRIC MEDICINE
182 S INDUSTRIAL DR	SALINE	MI	48176	EMPLOYED PHYSICIANS
(AA) CENTER FOR DIGESTIVE CARE
5300 ELLIOTT DR	YPSILANTI	MI	48197	DIGESTIVE CARE
(AA) TOWSLEY HEALTH BUILDING
5361 MCAULEY DR	YPSILANTI	MI	48197	NURSING HOME, EMPLOYED PHYS.
(AA) SAMARITAN CENTER
5555 CONNER	DETROIT	MI	48213	INDIGENT CARE
(OTHER) FRANCES WARDE MEDICAL LABORATORY
300 W TEXTILE RD	ANN ARBOR	MI	48104	LAB
(CADILLAC) CADILLAC SURGICAL CARE
927 SOUTH CARMEL STREET	CADILLAC	MI	49601	EMPLOYED PHYSICIANS
(CAD) MERCY OBGYN PARTNERS
7985 MACKINAW TRAIL	CADILLAC	MI	49601	EMPLOYED PHYSICIANS
(CAD)MERCY HEALTH PHYSICIAN PARTNERS
7985 MACKINAW TRAIL	CADILLAC	MI	49601	EMPLOYED PHYSICIANS
(CAD)MERCY HEALTH PHYSICIAN PARTNERS
100 NORTH ROLAND	MCBAIN	MI	49657	EMPLOYED PHYSICIANS
(GRAND RAPIDS) WEGE BUILDING
300 LAFAYETTE	GRAND RAPIDS	MI	49503	LAB, FAMILY PRACTICE, INTERNAL MEDICINE PRACTICE
(GR) SAINT MARY'S SOUTHWEST
2373 64TH STREET SW	BYRON CENTER	MI	49315	AMBULATORY SURGICAL CTR, REHAB, LAB, IMAGING, FAMILY PRACTICE, CARDIO AND ER
(GR) ADVANTAGE HEALTH BUILDING
1471 EAST BELTLINE	GRAND RAPIDS	MI	49525	LAB, IMAGING, REHAB, EMPLOYED PHYS., URGENT CARE, OB
(GR) CLINICA SANTA MARIA
730 GRANDVILLE AVE SW	GRAND RAPIDS	MI	49503	INDIGENT PRIMARY CARE CENTER
(GR) PINE REST
300 68TH STREET SE	GRAND RAPIDS	MI	49548	MENTAL HEALTH
(GR) SPARTA FAMILY HEALTH CENTER
475 S STATE ST	SPARTA	MI	49345	FAMILY PRACTICE CENTER
(GR) BROWNING CLAYTOR HEALTH CENTER
1246 MADISON SE	GRAND RAPIDS	MI	49507	FAMILY PRACTICE CENTER
(GR) HEARTSIDE HEALTH CLINIC
359 S DIVISION	GRAND RAPIDS	MI	49503	INDIGENT PRIMARY CARE CENTER
(GR) RIVERTOWN BUILDING
3380 44TH STREET SW	GRANDVILLE	MI	49418	LAB, IMAGING, REHAB, FAMILY PRACTICE
(GR) STANDALE BUILDING
1175 WILSON AVE NW	WALKER	MI	49534	LAB, IMAGING, REHAB, FAMILY PRACTICE
(GR) 310 LAFAYETTE BUILDING
310 LAFAYETTE SE	GRAND RAPIDS	MI	49503	IMMUNOLOGY, VASCULAR, AND PULMONOLOGY
(GR) ADVANTAGE HEALTH BUILDING
10047 CROSS ROADS COURT	CALEDONIA	MI	49316	LAB, IMAGING, REHAB, FAMILY PRACTICE
(GR) GREEN STREET BUILDING
1375 W GREEN ST	HASTINGS	MI	49058	REHAB
(GR) GEORGETOWN BUILDING
1915 GEORGETOWN CENTER DR	JENISON	MI	49428	REHAB
(GR) CHERRY BUILDING
245 CHERRY ST	GRAND RAPIDS	MI	48503	PEDIATRIC CLINIC, FAMILY MEDICINE, OB AND SLEEP
(GR) SAINT MARY'S LAB NORTHWEST
933 THREE MILE NW	GRAND RAPIDS	MI	49504	LAB, REHAB, FAMILY PRACTICE
(GR) ADVANTAGE HEALTH BUILDING
7782 20TH AVENUE	JENISON	MI	49428	FAMILY PRACTICE CENTER
(GR) SOUTHEAST ADVANTAGE HEALTH BUILDING
2080 44TH ST SE	KENTWOOD	MI	49508	REHAB, LAB, FAMILY PRACTICE
(GR) ADVANTAGE HEALTH BUILDING
6050 NORTHLAND DR NE	ROCKFORD	MI	49341	FAMILY PRACTICE CENTER, URGENT CARE, LAB, IMAGING, WOMEN'S HEALTH
(GR) WYOMING FAMILY PRACTICE
950 36TH STREET SW	WOMING	MI	49509	FAMILY PRACTICE CENTER
(GR) ADVENT REHAB
7575 EAST FULTON	ADA	MI	49355	REHAB
(GR) ADVENT REHAB
1000 EAST PARIS ST 222	ADA	MI	49546	CARDIO
(GR) ADVENT REHAB
150 JEFFERSON SE ST 100	GRAND RAPIDS	MI	49503	REHAB
(GR) MERCY HEALTH PHYSICIAN PARTNERS
771 KENNMORE SE	GRAND RAPIDS	MI	49547	FAMILY PRACTICE
(GR) MERCY HEALTH PHYSICIAN PARTNERS
2093 HEALTH DRIVE SUITE 300	WYOMING	MI	49519	VASCULAR
(GRAYLING) MERCY MANOR
1200 EAST MICHIGAN AVE	GRAYLING	MI	49738	LONG TERM CARE
(GRAY) MERCY FAMILY CARE GRAYLING
1250 EAST MICHIGAN AVE	GRAYLING	MI	49738	EMPLOYED PHYSICIANS
(GRAY) MERCY FAMILY CARE ROSCOMMON
234 LAKE STREET	ROSCOMMON	MI	48653	EMPLOYED PHYSICIANS
(GRAY) MERCY COMMUNITY HEALTH CENTER
2585 WEST HOUGHTON LAKE DRIVE	PRUDENVILLE	MI	48651	REHAB, IMAGING, LAB, EMPLOYED PHYSICIANS
(GRAY) AUSABLE UROLOGY
809 MICHIGAN AVE	GRAYLING	MI	49738	EMPLOYED PHYSICIANS
(GRAY) MILTOWN CLINIC
1200 W NORTH DOWN RIVER RD	GRAYLING	MI	49738	EMPLOYED PHYSICIANS
(OAKLAND)SJMO MEDICAL OFFICE BUIDING
44555 WOODWARD AVE	PONTIAC	MI	48341	COLORECTAL SURGERY, TRAUMA ORTHOPEDICS, LAB, RADIOLOGY,OTHER SURG SPECIALTIS
(OA) BALD MOUNTAIN REGIONAL MEDICAL
1375 S LAPEER RD	LAKE ORION	MI	48360	URGENT CARE, LAB, RADIOLOGY, INTERNAL MED/PEDS
(OA) WOODWARD PROFESSIONAL BUILDING
44428 WOODWARD AVE	PONTIAC	MI	48341	REHAB, OB/GYN CLINIC, PARTIAL PSYCH HOSPITAL
(OA) MERCY MEDICAL GROUP-OAKLAND PHYSICI
5210 HIGHLAND RD	WATERFORD	MI	48327	INTERNAL MEDICINE, URGENT CARE, LAB, RADIOLOGY
(OA) INDEPENDENCE POINTE
7210 ORTONVILLE RD	CLARKSTON	MI	48346	LAB
(OA) KAROTECH BUILDING
2630 UNION LAKE RD	COMMERCE TOWNSHIP	MI	48382	PEDS, LAB
(OA) SLEEP DISORDERS CLINIC
3100 CROSS CREEK PKWY	AUBURN HILLS	MI	48341	SLEEP CLINIC
(OA) WHITE LAKE
320 TOWN CENTER BLVD	WHITE LAKE TWP	MI	48386	URGENT CARE, LAB, RADIOLOGY, REHAB
(OA) SHORES III PROFESSIONAL BUILDING
2300 HAGGERTY RD	WEST BLOOMFIELD	MI	48323	RADIOLOGY
(OA) WATERFORD LAB
5800 HIGHLAND RD	WATERFORD	MI	48327	LAB
(OA) MERCY MEDICAL GROUP-ROCHESTER
1854 W AUBURN RD	ROCHESTER HILLS	MI	48309	INTERNAL MEDICINE/PEDS, OB/GYN, ENDOCRINOLOGY
(OA) WATERFORD SURGICAL CENTER
5220 HIGHLAND RD	WATERFORD	MI	48327	SURGICAL CENTER
(OA) CLARKSTON
6770 DIXIE HWY	CLARKSTON	MI	48346	OB/GYN, FAMILY MED
(OA) BLOOMFIELD LAB
42557 WOODWARD AVE	BLOOMFIELD HILLS	MI	48304	LAB
(OA) LEXUS PROFESSIONAL BUILDING
44200 WOODWARD AVE	PONTIAC	MI	48341	LAB
(OA) MERCY MEDICAL GROUP-BLOOMFIELD HILL
1750 TELEGRAPH RD	BLOOMFIELD HILLS	MI	48302	OB/GYN
(OA) AFFINITY PEDIATRICS & INTERNAL MEDI
5820 HIGHLAND ROAD	WATERFORD	MI	48328	INTERNAL MEDICINE/PEDIATRICS
(OA) BLOOMFIELD HILLS IM
2520 S TELEGRAPH RD	BLOOMFIELD HILLS	MI	48302	INTERNAL MEDICINE
(OA) MERCY PLACE
55 CLINTON ST	PONTIAC	MI	48342	OUTPATIENT CLINIC
(OA) BERKLEY MEDICAL CENTER
1695 W 12 MILE RD	BERKLEY	MI	48072	INTERNAL MEDICINE, RADIOLOGY, LAB
(OA) OAKLAND MEDICAL GROUP
3950 S ROCHESTER ROAD	ROCHESTER HILLS	MI	48307	OB/GYN
(OA) OAKLAND MEDICAL GROUP
27301 DEQUINDRE ROAD	MADISON HEIGHTS	MI	48071	OB/GYN
(OA) NEUROSURGERY CLARKSTON
7650 DIXIE HIGHWAY	CLARKSTON	MI	48346	NEUROSURGERY
(OA) NEUROSURGERY BLOOMFIELD HILLS
799 DENISON CT	BLOOMFIELD HILLS	MI	48302	NEUROSURGERY
(PORT HURON) MERCY HEALTH CENTER
4190 24TH AVE	FORT GRATIOT	MI	48059	LAB, IMAGING, URGENT CARE
(PH) FITRAC - MARYSVILLE
782 HURON BLVD	MARYSVILLE	MI	48040	PHYSICAL THERAPY
(PH) DR MOREY'S MERCY SURGERY CARE
2609 ELECTRIC AVE STE B	PORT HURON	MI	48060	EMPLOYED SURGEON
(PH) PEOPLES' CLINIC FOR BETTER HEALTH
3110 GOULDEN ST	PORT HURON	MI	48060	OUTPATIENT CLINIC
(PH) GEORGE CARLEY ASSOCIATES
1943 HOLLAND	PORT HURON	MI	48060	LAB
(PH) DR JERRY
600 FORT STREET	PORT HURON	MI	48060	LAB
(PH) DR JARAD
2540 16TH STREET	PORT HURON	MI	48060	LAB
(PH) NORTH BUILDING
2306 ELECTRIC AVE	PORT HURON	MI	48060	LAB
(PH) DR LAL
2605 ELECTRIC AVE	PORT HURON	MI	48060	LAB
(PH) DR KHALIL
1201 STONE ST SUITE 3	PORT HURON	MI	48060	DRAW STATION

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A:	TRINITY HEALTH - MICHIGAN REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG. IN ADDITION, THE HOSPITAL DIVISIONS OF TRINITY HEALTH - MICHIGAN INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES TRINITY HEALTH - MICHIGAN'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE.
PART I, LINE 7:	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITALS' COST ACCOUNTING SYSTEMS.
PART I, LN 7 COL(F):	THE FOLLOWING NUMBER, $45,352,889, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITALS IN TRINITY HEALTH-MICHIGAN SERVE ON COMMUNITY TASK FORCES AND COALITIONS TO HELP ADDRESS THE NEEDS OF THE SERVICE AREA. THE HOSPITALS PARTICIPATE IN DIVERSITY COUNCILS, MINISTRY ASSOCIATIONS, HEALTH COALITIONS, AND HEALTH IMPROVEMENT COUNCILS.ST. MARY MERCY LIVONIAST. MARY MERCY LIVONIA IS THE LEADER OF THE CARE TRANSITION IMPROVEMENT COALITION, WHICH IS COMPRISED OF MEMBERS FROM HOSPITALS, LONG TERM CARE, ASSISTED LIVING, SOCIAL SERVICE AGENCIES, SENIOR ALLIANCE AND PRIVATE DUTY NURSING AGENCIES. THEIR MISSION IS TO BUILD COOPERATIVE RELATIONSHIPS AND COORDINATED PROCESSES BETWEEN SETTINGS OF CARE, PROMOTING IMPROVED QUALITY OF LIFE, COST EFFECTIVENESS, AND PERSON-CENTERED CARE. WORKING TOGETHER TO IMPROVE THE COMMUNITY'S EXPERIENCE AND OUTCOMES WITH CARE TRANSITIONS, THEIR WORK FOCUSES ON REDUCTION OF THE 30-DAY HOSPITAL READMISSION RATES IN THE TARGETED POPULATION AND THE IMPROVMENT OF PATIENT AND CAREGIVER FAMILY SATISFACTION WITH CARE TRANSITION INTERVENTIONS AND OVERALL EXPERIENCE. TO HELP ADDRESS THE EDUCATIONAL DISPARITIES IN DETROIT, ST. MARY MERCY LIVONIA HAS BEEN ONE OF THE CORPORATE SPONSORS SINCE THE DETROIT CHRISTO REY SCHOOL OPENED. CHRISTO REY IS A COLLEGE PREP CATHOLIC HIGH SCHOOL, ONE OF 25 AROUND THE COUNTRY, FOR LOW-INCOME KIDS WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD PRIVATE SCHOOL. THE VAST MAJORITY OF STUDENTS ARE EITHER HISPANIC OR BLACK, AND MOST OF THEM WILL BE THE FIRST IN THEIR FAMILY TO GO TO COLLEGE. THIS UNIQUE EDUCATIONAL MODEL PREPARES STUDENTS FOR COLLEGE AND FOR WORK. ONE DAY A WEEK, BEGINNING FRESHMAN YEAR, THE STUDENTS GO TO WORK FOR A WHITE-COLLAR COMPANY. THE COMPANY, IN TURN, AGREES TO PAY 60% OF THE STUDENT'S SCHOOL TUITION. THERE HAVE BEEN THREE GRADUATING CLASSES SINCE CRISTO REY OPENED IN DETROIT. ONE DAY A WEEK, THE FOUR STUDENTS TRADE THEIR SCHOOL UNIFORMS FOR HOSPITAL SCRUBS AS THEY TRAVEL TO ST. MARY MERCY LIVONIA FOR THEIR WORK-EXPERIENCE IN THE MIRACLE OF LIFE BIRTHING CENTER. BESIDE THE WORK EXPERIENCE, THEY ARE MENTORED, GUIDED, AND MOTHERED BY THE SIXTY FEMALE STAFF WORKING IN THIS DEPARTMENT. ST. JOSEPH MERCY PORT HURON:ST. JOSEPH MERCY PORT HURON (SJMPH) LEADERSHIP IS ACTIVELY INVOLVED IN COMMUNITY ACTIVITIES THROUGH REPRESENTATION ON VARIOUS COMMUNITY BOARDS. THIS INCLUDES COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS/WORKSHOPS TO IMPROVE OVERALL COMMUNITY HEALTH. COMMUNITY BOARD INVOLVEMENT INCLUDES LOCAL ORGANIZATIONS SUCH AS: EDA EXECUTIVE COMMITTEE, TOBACCO COALITION, VNA PROFESSIONAL ADVISORY COMMITTEE, UNITED WAY BOARD, ST. CLAIR COMMUNITY COLLEGE CENTER FOUNDATION COMMITTEE, SCC COMMUNITY SERVICES COORDINATING BODY, BAKER COLLEGE BOARD OF REGENTS, COMMUNITY ACTION AGENCY OF ST. CLAIR COUNTY, AND UNITED WAY BOARD.YMCA BOARD - THIS BOARD GOVERNS THE LOCAL YMCA AND PROVIDES SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME, SENIORS, AND MENTALLY CHALLENGED INDIVIDUALS. BY SERVING ON THE BOARD, WE CAN BETTER IDENTIFY PROGRAMS AND SERVICES FOR THIS POPULATION. THE PROGRAMS OF YMCA REACH A LARGE AUDIENCE OF DISADVANTAGED INDIVIDUALS IN OUR COUNTY. THE COMMUNITY REACHES OUT TO YMCA BY PROVIDING SUPPORT AND UTILIZATION OF SERVICES. EMPLOYERS (INCLUDING SJMPH) ASSIST WITH FUNDING, WORK TRAINING, AND HEALTH PROGRAMS FOR THIS POPULATION. PORT HURON CHAMBER OF COMMERCE BOARD - OUR HOSPITAL SUPPLIES A BOARD MEMBER AND ALSO FINANCIAL SUPPORT TO THE LOCAL CHAMBER. THIS ORGANIZATION PROMOTES BUSINESS IN OUR COMMUNITY AND WE HAVE BEEN AN ACTIVE MEMBER FOR MANY YEARS. PARTNERS AT HEART ADVISORY COMMITTEE - THIS BODY COORDINATES THE AREA'S PARTNERS AT HEART PROGRAM WHICH PROVIDES CARDIAC SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME INDIVIDUALS AND ESPECIALLY SENIORS. ACCESS TO CARDIOVASCULAR SERVICES OFFERED UNDER "PARTNERS AT HEART" IS ONE ROLE SERVED BY THE ADVISORY COMMITTEE. IT CAN BETTER IDENTIFY SERVICES FOR THIS POPULATION AND LOOK FOR WAYS TO PROACTIVELY IMPROVE THE HEALTH OF OUR COMMUNITY. THE SERVICES OF PARTNERS AT HEART REACH A LARGE PORTION OF OUR SENIOR POPULATION (INCLUDING THE LOW INCOME POPULATION). THE COMMUNITY REACHES OUT TO PARTNERS AT HEART THROUGH UTILIZATION OF THE SERVICES OFFERED. THE LOCAL HOSPITALS AND MEDICAL PROVIDERS SUPPORT THE PROGRAMS WITH THEIR TIME, MONEY, AND EXPERTISE IN THIS FIELD. OUR COMMUNITY IS ABLE TO RECEIVE LOCAL HEART CARE WHICH BETTER REACHES OUT TO THE BROADER COMMUNITY AND THOSE IN LOWER INCOME GROUPS.MERCY HOSPITAL GRAYLING:TWO DISTINCT COMMUNITY-BUILDING ACTIVITIES CONDUCTED BY MERCY HOSPITAL GRAYLING ARE SIGNIFICANT IN IMPROVING THE GENERAL HEALTH OF THE COMMUNITY.DESPITE LARGE FINANCIAL LOSSES IN PHYSICIAN PRACTICES, MERCY GRAYLING ACTIVELY WORKS TO SECURE NEEDED PHYSICIAN SPECIALTIES FOR THE SERVICE AREA INCLUDING PRIMARY CARE, OBSTETRICS, PEDIATRICS AND SURGERY. MERCY HAS SUCCESSFULLY ADDED A PRIMARY CARE PHYSICIAN ASSISTANT TO ITS PHYSICIAN NETWORK. THE ADDITION OF THIS PROVIDER EXPANDS SERVICES TO THE COMMUNITY IN AN AREA OF GREATEST NEED.MERCY HOSPITAL GRAYLING ALSO SUPPORTS VARIOUS TRINITY HEALTH NATIONAL AND STATE EFFORTS TO ADVOCATE FOR THE HEALTH NEEDS OF THE VULNERABLE AND UNDERSERVED.MERCY HOSPITAL CADILLACCOMMUNITY-BUILDING ACTIVITIES ARE VERY SIGNIFICANT IN IMPROVING THE GENERAL HEALTH OF OUR COMMUNITY. MERCY HOSPITAL CADILLAC IS LOCATED IN AN UNDERSERVED AREA, AS REFLECTED THROUGH THE 2009 DEVELOPMENT OF A FEDERALLY QUALIFIED HEALTH CENTER.THROUGH THE COMMUNITY HEALTH IMPROVEMENT ADVOCACY INITIATIVE, STATE AND FEDERAL REPRESENTATIVES ARE CONTACTED TO SUPPORT NEEDED RURAL HEALTH DELIVERY AT THE POINT OF NEED. THE STATE AND FEDERAL REPRESENTATIVES ADVOCATE IN CONGRESS AND AT THE STATE LEVEL FOR IMPROVED HEALTHCARE POLICIES, WHILE ADMINISTRATION AT MERCY HOSPITAL CADILLAC AND TRINITY HEALTH USE RESOURCES TO INFORM ASSOCIATES OF NATIONAL HEALTHCARE ISSUES. THE PHYSICIAN RECRUITMENT AND DEVELOPMENT INITIATIVES ATTRACT AND RETAIN PHYSICIANS WHO WILL HAVE A DEGREE OF LONGEVITY IN OUR SERVICE AREA FOR THE GOOD OF THE COMMUNITY.COALITION BUILDING IS ALSO OF GREAT IMPORTANCE IN OUR COMMUNITY. HOSPITAL LEADERS ARE MEMBERS OF HUMAN SERVICES LEADERSHIP COLLABORATIVE, CADILLAC CHAMBER OF COMMERCE, CADILLAC COMMUNITY HEALTH COALITION, AND OTHER COMMUNITY GROUPS.MERCY HOSPITAL CADILLAC'S COMMUNITY OUTREACH DEPARTMENT'S PRIMARY FOCUS IS TO IMPROVE THE HEALTH OF THE COMMUNITY. THIS IS ACCOMPLISHED THROUGH COLLABORATION WITH MANY OF THE HUMAN SERVICE ORGANIZATIONS IN THE COMMUNITY, INCLUDING CADILLAC AREA HEALTH COALITION (CAHC). CAHC IS COMPRISED OF AREA ORGANIZATIONS THAT PROVIDE LEADERSHIP AND RESOURCES TO ACCOMPLISH THE GOALS OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
PART III, LINE 2:	METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.
PART III, LINE 3:	TRINITY HEALTH - MICHIGAN USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, TRINITY HEALTH - MICHIGAN IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, TRINITY HEALTH - MICHIGAN IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4:	TRINITY HEALTH - MICHIGAN IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 15 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTIRES AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."
PART III, LINE 8:	TRINITY HEALTH - MICHIGAN DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B:	THE HOSPITALS' COLLECTION POLICIES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN EACH ORGANIZATION'S COLLECTION POLICY. THE HOSPITALS HAVE IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2:	NEEDS ASSESSMENT - THE HOSPITALS IN TRINITY HEALTH - MICHIGAN ASSESS THE HEALTH STATUS OF THEIR COMMUNITIES BOTH IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THEIR OVERALL COMMUNITIES. IN THE ASSESSMENT OF THEIR COMMUNITIES, THE HOSPITALS MAY USE PATIENT DATA, PUBLIC HEALTH DATA, COMMITTEE MEETINGS WITH MEDICAL STAFF (PHYSICIANS) AND DEPARTMENT STAFF, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. ST. JOSEPH MERCY PORT HURON ALSO ASSESSED THE COMMUNITY'S HEALTH CARE NEEDS AS FOLLOWS:ST. JOSEPH MERCY PORT HURON CONTINUALLY OFFERS EDUCATION SEMINARS ON A BROAD ARRAY OF TOPICS, SUCH AS SENIOR LIVING, BARIATRICS, DIABETES, PULMONARY REHAB, BRAIN INJURIES, AND PROSTATE HEALTH AND STROKE EDUCATION. DURING THESE INFORMATIONAL SESSIONS, INSTRUCTORS HAVE THE OPPORTUNITY TO INTERACT WITH RESIDENTS AND FUTURE PATIENTS TO DETERMINE WHAT HEALTH-SPECIFIC NEEDS ARE NOT BEING MET.ST. JOSEPH MERCY PORT HURON ALSO CONTINUES TO OPERATE THE PEOPLES' CLINIC FOR BETTER HEALTH, WHICH PROVIDES FREE/SUBSIDIZED SERVICES TO UNDER/UNINSURED INDIVIDUALS IN OUR COMMUNITY. HEALTH ASSESSMENTS ARE MADE REGULARLY FOR THOSE INDIVIDUALS WHO ARE SEEN AT THE CLINIC. INFORMATION GLEANED FROM INDIVIDUALS RECEIVING CARE AT THE PEOPLES' CLINIC SUPPLEMENTED OTHER RESEARCH AND DATA.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - TRINITY HEALTH - MICHIGAN IS COMMITTED TO:-PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES-CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES-ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE -BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, TRINITY HEALTH - MICHIGAN HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: -PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS-MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS-OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS-IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER-IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSTRINITY HEALTH - MICHIGAN COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UNTIL ONE YEAR AFTER THE FIRST BILLING STATEMENT TO THE PATIENT. TRINITY HEALTH - MICHIGAN OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH, REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS. TRINITY HEALTH - MICHIGAN HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. TRINITY HEALTH - MICHIGAN MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER.
PART VI, LINE 4:	COMMUNITY INFORMATION:ST. JOSEPH MERCY HEALTH SYSTEM (ANN ARBOR):SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) IS A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE AND SOUTHWESTERN OAKLAND COUNTIES. SJMHS SPECIALIZES IN CANCER, CARDIOVASCULAR, ORTHOPEDICS, NEUROSCIENCES, AND WOMEN AND CHILDREN'S HEALTH. IT ALSO OFFERS TREATMENT AND CARE IN EMERGENCY SERVICES, SURGERY, ENDOSCOPY, RADIOLOGY, AND HOME CARE/HOSPICE. THE SJMHS HEALTH CARE NETWORK INCLUDES FIVE HOSPITALS: ST. JOSEPH MERCY ANN ARBOR, ST. MARY MERCY HOSPITAL IN LIVONIA, ST. JOSEPH MERCY CHELSEA, ST. JOSEPH MERCY OAKLAND IN PONTIAC AND SAINT JOSEPH MERCY LIVINGSTON IN HOWELL. COMBINED, THESE HOSPITALS ARE LICENSED FOR 1,726 INPATIENT BEDS. THE ST. JOSEPH MERCY HOSPITAL ANN ARBOR (SJMAA) SERVICE AREA IS DEFINED AS THE POPULATION OF WASHTENAW COUNTY. WASHTENAW COUNTY IS ESTIMATED TO HAVE A POPULATION OF 358,081 AS OF DECEMBER 2014 (SEMCOG). THE POPULATION OF WASHTENAW COUNTY IS GROWING. THIS MOST RECENT ESTIMATE SHOWS POPULATION GROWTH OF NEARLY 2.6% BETWEEN 2010 AND 2013. THE POPULATION UNDER AGE 18 HAS CONSISTENTLY DECLINED OVER THE PAST FOUR YEARS WHILE THE OVER-65 POPULATION HAS GROWN. WASHTENAW COUNTY'S POPULATION IS RACIALLY DIVERSE WITH 76.5% WHITE, 13.9% BLACK, 9.1% ASIAN, AND 4% NATIVE AMERICAN IN 2013.IN 2013, APPROXIMATELY 16.7% OF WASHTENAW HOUSEHOLDS LIVED IN POVERTY, AND 15.5% OF CHILDREN UNDER THE AGE OF 18 ARE LIVING IN POVERTY. THIS NUMBER HAS BEEN RELATIVELY STABLE SINCE 2011. SINCE 2010, WASHTENAW COUNTY'S UNEMPLOYMENT HAS BEEN LOWER THAN UNEMPLOYMENT RATES IN MICHIGAN DURING THIS TIME PERIOD.WASHTENAW COUNTY HAS A HIGH PROPORTION OF PEOPLE WITH A 4-YEAR DEGREE OR HIGHER. HOWEVER, WASHTENAW COUNTY ALSO HAS GEOGRAPHIC POCKETS WHERE MORE THAN 20% OF THE POPULATION HAS LESS THAN A HIGH SCHOOL DIPLOMA.MERCY HEALTH ST. MARY'S (GRAND RAPIDS):KENT COUNTY IS CONSIDERED THE PRIMARY MARKET AREA OF MERCY HEALTH SAINT MARY'S (MHSM). KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF 21 TOWNSHIPS, 5 VILLAGES, AND 9 CITIES COVERING 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. THE HEALTHCARE RESOURCES IN KENT COUNTY INCLUDE MHSM, METROPOLITAN HEALTH, SPECTRUM HEALTH-BUTTERWORTH CAMPUS, SPECTRUM HEALTH-BLODGETT CAMPUS, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES SIX PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THERE ARE 609,000 PEOPLE RESIDING IN KENT COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR KENT COUNTY IS $51,667. TWENTY-FIVE PERCENT (25%) OF THE POPULATION IS BELOW THE AGE OF 18 AND 11% IS 65 YEARS OF AGE AND OLDER. EIGHTY-TWO PERCENT OF THE POPULATION IS WHITE, 9.6% BLACK, AND 9.8% LATINO. EIGHTY-NINE PERCENT (89%) ARE HIGH SCHOOL GRADUATES AND 32% HAVE A BACHELOR'S DEGREE. THE CURRENT UNEMPLOYMENT RATE IS 4.4%.ST. JOSEPH MERCY OAKLAND (PONTIAC):ST. JOSEPH MERCY OAKLAND IS A PART OF SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS), A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE AND SOUTHWESTERN OAKLAND COUNTIES. ST. JOSEPH MERCY OAKLAND IS LICENSED FOR 443 INPATIENT BEDS. THE ST. JOSEPH MERCY OAKLAND (SJMO) SERVICE AREA IS DEFINED AS THE ENTIRE POPULATION OF OAKLAND COUNTY. OAKLAND COUNTY IS ESTIMATED TO HAVE A POPULATION OF 1,231,640 AS OF 2013 (MICHIGAN DEPARTMENT OF COMMUNITY HEALTH). THE POPULATION OF OAKLAND COUNTY IS GROWING AT A STEADY RATE. THIS ESTIMATE INDICATES POPULATION GROWTH OF NEARLY 2.4% BETWEEN 2010 AND 2013 AND 4.4% BETWEEN 2000 AND 2013.THE POPULATION OF OAKLAND COUNTY IS GRADUALLY AGING. THE POPULATION UNDER AGE 18 HAS CONSISTENTLY DECLINED OVER THE PAST FOUR YEARS WHILE THE OVER-65 POPULATION HAS GROWN AS A PERCENTAGE OF THE WHOLE. OAKLAND COUNTY'S POPULATION IS RACIALLY DIVERSE WITH 77.9% WHITE, 15.0% BLACK, 6.6% ASIAN, AND 0.4% NATIVE AMERICAN IN 2013. OAKLAND COUNTY'S POVERTY RATE HAS CONSISTENTLY BEEN LOWER THAN THAT OF ALL MICHIGAN. IN 2013, APPROXIMATELY 7.3% OF OAKLAND COUNTY HOUSEHOLDS LIVED IN POVERTY. THIS PERCENTAGE HAS DECLINED SINCE 2011 BUT IS NOT AS LOW AS IT WAS IN 2010.OAKLAND COUNTY HAS A HIGH PROPORTION OF PEOPLE WITH A 4-YEAR DEGREE OR HIGHER. HOWEVER, IT ALSO HAS GEOGRAPHIC POCKETS WHERE MORE THAN 20% OF THE POPULATION HAS LESS THAN A HIGH SCHOOL DIPLOMA.ST. MARY MERCY LIVONIA:ST. MARY MERCY LIVONIA'S SERVICE AREA INCLUDES CANTON, LIVONIA, NORTHVILLE CITY AND TOWNSHIP, PLYMOUTH CITY AND TOWNSHIP, REDFORD, FARMINGTON CITY AND FARMINGTON HILLS AND WESTLAND WITH 510,806 PEOPLE IN THESE COMMUNITIES. THE MEDIAN HOUSEHOLD INCOME RANGES FROM $45,496 IN WESTLAND TO $101,943 IN NORTHVILLE. THE HIGHEST POVERTY LEVEL CAN BE FOUND IN WESTLAND AT 14%, FOLLOWED BY FARMINGTON HILLS AT 7%. UNEMPLOYMENT IS THE HIGHEST IN WESTLAND AND NORTHVILLE AT 6% AND THE LOWEST AT 3% IN FARMINGTON HILLS, FARMINGTON, PLYMOUTH TOWNSHIP AND NORTHVILLE TOWNSHIP. CANTON HAS THE HIGHEST NUMBER OF YOUTH (54%) AND LIVONIA HAS THE HIGHEST NUMBER OF SENIORS (18%). OUR COMMUNITY IS PREDOMINANTLY WHITE, CAUCASIAN WITH SOME AFRICAN AMERICANS, HISPANICS AND ASIANS. ST. JOSEPH MERCY CHELSEATHE ST. JOSEPH MERCY CHELSEA (SJMC) SERVICE AREA IS DEFINED AS THE GEOGRAPHIC AREA ENCOMPASSING THE ZIP CODES OF CHELSEA, DEXTER, GRASS LAKE, GREGORY, MANCHESTER, MUNITH AND STOCKBRIDGE, MICHIGAN. THIS INCLUDES SECTIONS OF FOUR COUNTIES (WESTERN WASHTENAW, SOUTHEASTERN INGHAM, SOUTHWESTERN LIVINGSTON AND EASTERN JACKSON) AND ALL OR PART OF THE FOLLOWING CITIES, VILLAGES, AND TOWNSHIPS: BRIDGEWATER TOWNSHIP, CITY OF CHELSEA, CITY OF DEXTER, DEXTER TOWNSHIP, FREEDOM TOWNSHIP, GRASS LAKE TOWNSHIP, HENRIETTA TOWNSHIP, LIMA TOWNSHIP, LYNDON TOWNSHIP, MANCHESTER TOWNSHIP, SCIO TOWNSHIP, SHARON TOWNSHIP, STOCKBRIDGE TOWNSHIP, SYLVAN TOWNSHIP, UNADILLA TOWNSHIP, WATERLOO TOWNSHIP, WEBSTER TOWNSHIP, VILLAGE OF GRASS LAKE, VILLAGE OF MANCHESTER, AND THE VILLAGE OF STOCKBRIDGE. ACCORDING TO THE HOSPITAL'S PLANNING DEPARTMENT, THE SJMC SERVICE AREA WAS DETERMINED BY THE GEOGRAPHIC PROXIMITY OF THESE COMMUNITIES TO THE HOSPITAL, WHICH IS LOCATED AT 775 S. MAIN ST, CHELSEA, MICHIGAN. THE TOTAL POPULATION OF THE SIX ZIP CODES LISTED ABOVE IS 56,023 ACCORDING TO THE 2010 CENSUS. THE AVERAGE RACE DISTRIBUTION FOR THE SERVICE AREA IS 95% CAUCASIAN, 2.1% HISPANIC, AND LESS THAN ONE PERCENT EACH OF OTHER RACES. THE AVERAGE AGE FOR THE SERVICE AREA IS 42.5.BECAUSE GREGORY AND MUNITH DO NOT HAVE THEIR OWN SCHOOL DISTRICTS (YOUTH THERE ATTEND SCHOOL IN A NEIGHBORING COMMUNITY), THE SJMC SERVICE AREA IS COMMONLY REFERRED TO AS THE FIVE COMMUNITIES OF CHELSEA, DEXTER, GRASS LAKE, MANCHESTER AND STOCKBRIDGE. THESE COMMUNITIES EACH HAVE A SCHOOL DISTRICT, WHICH UNIFIES CITIES AND VILLAGES WITH THE OUTLYING TOWNSHIPS, AND GIVES EACH A SENSE OF IDENTITY. WE USE THE DEMOGRAPHIC DATA OUTLINED ABOVE, BUT OTHERWISE REFER TO THESE FIVE TOWNS AS THE SJMC SERVICE AREA. ST. JOSEPH MERCY LIVINGSTON:THE ST. JOSEPH MERCY LIVINGSTON (SJML) SERVICE AREA FOR PURPOSES OF THIS NEEDS ASSESSMENT IS DEFINED AS THE POPULATION OF LIVINGSTON COUNTY. LIVINGSTON COUNTY IS ESTIMATED TO HAVE A POPULATION OF 186,234 AS OF DECEMBER 2014 (SEMCOG). THE POPULATION OF LIVINGSTON COUNTY IS GROWING; LIVINGSTON COUNTY WAS SE MICHIGAN'S FASTEST GROWING COUNTY BY PERCENTAGE IN THE FIRST DECADE OF 2000 AT NEARLY 15.3%. HOWEVER, THE POPULATION OF LIVINGSTON COUNTY IS AGING. THE PERCENT OF AND ACTUAL NUMBER OF PEOPLE UNDER AGE 18 HAS CONSISTENTLY DECLINED OVER THE PAST FOUR YEARS WHILE THE OVER-65 POPULATION HAS GROWN. LIVINGSTON COUNTY'S POPULATION IS RACIALLY HOMOGENOUS WITH NEARLY 98% OF ITS RESIDENTS WHITE. THIS COMPARES WITH MICHIGAN'S POPULATION COMPOSITION WHICH IS ABOUT 79% WHITE AND 14.2% BLACK.A JANUARY 2015 REPORT ON 247WALLST.COM FOUND LIVINGSTON COUNTY HAS THE HIGHEST MEDIAN INCOME OF ALL MICHIGAN COUNTIES, AT $72,359 PER HOUSEHOLD BASED ON THE MOST RECENT AMERICAN COMMUNITY SURVEY DATA. APPROXIMATELY 5.9% OF LIVINGSTON INDIVIDUALS LIVED IN POVERTY IN 2013; LIVINGSTON HAS THE LOWEST POVERTY RATE OF ALL MICHIGAN COUNTIES.LIVINGSTON COUNTY HAS A HIGH PROPORTION OF PEOPLE WITH A 4-YEAR DEGREE OR HIGHER. HOWEVER, LIVINGSTON COUNTY DOES HAVE GEOGRAPHIC POCKETS IN WHICH 11-16% OF THE POPULATION HAVE LESS THAN A HIGH SCHOOL DIPLOMA, INCLUDING IN HOWELL, FOWLERVILLE, BRIGHTON AND IN PUTNAM TOWNSHIP WHICH INCLUDES THE VILLAGE OF PINCKNEY.ST. JOSEPH MERCY PORT HURON:ST. JOSEPH MERCY PORT HURON IS LOCATED IN ST. CLAIR COUNTY IN SOUTHEASTERN MICHIGAN. SHARING A BORDER WITH CANADA, THE COUNTY IS HOME TO THE BLUE WATER BRIDGE, ONE OF THE BUSIEST INTERNATIONAL BORDER CROSSINGS IN NORTH AMERICA. DUE TO ITS PROXIMITY TO CANADA AND THE HIGH CONCENTRATION OF MANUFACTURING ON BOTH SIDES OF THE BRIDGE, ST. CLAIR COUNTY HAS BEEN IDENTIFIED BY THE FEDERAL GOVERNMENT AS A HIGH-RISK AREA FOR BOTH NATURAL AND MANMADE DISASTER.BASED ON 2010 U.S. CENSUS BU
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: TRINITY HEALTH-MICHIGAN HOSPITALS COLLABORATE WITH OTHERS IN THE COMMUNITY TO ACHIEVE IMPROVEMENTS IN HEALTH AND ACCESS TO HEALTHCARE.SAINT JOSEPH MERCY HEALTH SYSTEM (ANN ARBOR AND CHELSEA):THE WASHTENAW HEALTH PLAN (WHP) REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, THE UNIVERSITY OF MICHIGAN AND SJMHS TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. SJMHS SUPPORTS THIS PROGRAM BY PROVIDING STAFF SUPPORT TO HELP PATIENTS GAIN ACCESS TO A MEDICAL HOME. THE HOSPITALS ALSO PROVIDE THIS POPULATION WITH FREE OR REDUCED-FEE CLINICAL SERVICES.ST. JOSEPH MERCY ANN ARBOR WAS THE LEAD AGENCY IN THE ORIGINATION OF THE WASHTENAW HOUSING ALLIANCE (WHA), A COALITION OF NINE SOCIAL SERVICE AGENCIES DEALING WITH HOUSING OF VARIOUS TYPES, WHOSE MISSION IS TO END HOMELESSNESS IN WASHTENAW COUNTY. IN ADDITION, SJMHS AND ITS BOARD MEMBERS WERE KEY IN BUILDING THE DELONIS CENTER IN DOWNTOWN ANN ARBOR. THIS CENTER PROVIDES NEEDED ACCOMMODATIONS FOR THE HOMELESS, AS WELL AS SOCIAL AND HEALTH SUPPORT SERVICES. SJMHS OPERATES TWO CLINICS THAT SUPPLY FREE OR REDUCED-FEE HEALTH CARE SERVICES TO AT-RISK POPULATIONS. THE NEIGHBORHOOD HEALTH CLINIC IS LOCATED IN DOWNTOWN YPSILANTI, WHILE THE ACADEMIC OB/GYN CLINIC IS LOCATED ON THE ANN ARBOR HOSPITAL CAMPUS.MERCY HEALTH ST. MARY'S (GRAND RAPIDS):MERCY HEALTH SAINT MARY'S WORKS WITH DOZENS OF PROGRAMS AND ORGANIZATIONS EACH YEAR, OFTEN PARTNERING WITH OTHER ORGANIZATIONS IN THE COMMUNITY. MERCY HEALTH SAINT MARY'S IS A ONE-THIRD PARTNER WITH THE MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE AND MARY FREE BED REHABILITATION HOSPITAL, IN THE COMMUNITY'S ONLY CERTIFIED ALS (AMYOTROPHIC LATERAL SCLEROSIS) TREATMENT CENTER FOR LOU GEHRIG'S DISEASE. MERCY HEALTH SAINT MARY'S ALSO PARTICIPATES IN CANCER, NEUROSCIENCE, AND HIV/AIDS RESEARCH, BOTH INDEPENDENTLY AND IN COLLABORATION WITH NATIONAL AND LOCAL ORGANIZATIONS.THE WEGE INSTITUTE FOR HEALTH AND LEARNING IS HOME TO THE WEGE RESIDENCY PROGRAM, THROUGH WHICH PARTICIPANTS WORK WITH THE UNINSURED AND THE HOMELESS. IN ADDITION, A NUMBER OF MERCY HEALTH SAINT MARY'S FAMILY PRACTICE AND PEDIATRIC OFFICES PARTICIPATE IN THE REACH OUT AND READ PROGRAM, WHICH TARGETS AT-RISK CHILDREN IN LOW-INCOME HOMES BY FOCUSING ON READING READINESS. ST. JOSEPH MERCY OAKLAND (PONTIAC):ST. JOSEPH MERCY OAKLAND WORKED IN PARTNERSHIP WITH THE OAKLAND SCHOOLS MICHIGAN WORKS JOBLINKS PROGRAM (A PROGRAM IN WHICH PARTICIPATION IS BASED ON FINANCIAL NEED) TO DEVELOP OUR HEALTH CARE CO-OP PROGRAM FOR PONTIAC AREA HIGH SCHOOL STUDENTS. THE STUDENTS WORKED APPROXIMATELY 15 HOURS/WEEK AFTER SCHOOL DURING THE SCHOOL YEAR AND 40 HOURS/WEEK DURING THEIR SUMMER BREAK. STUDENTS WERE PAID FOR THEIR HOURS WORKED BY THE MICHIGAN WORKS PROGRAM. THE EXPERIENCE WAS SUCCESSFUL FOR BOTH THE STUDENTS AND HOSPITAL. IT PROVIDED OPPORTUNITIES FOR PERSONAL AND PROFESSIONAL DEVELOPMENT FOR STUDENTS AS WELL AS FINANCIAL STABILITY FOR THEIR FAMILIES. THE HOSPITAL ALSO STRENGTHENED OUR SENIOR FIT PROGRAM, SERVING NEARLY 400 SENIORS IN NINE LOCATIONS ACROSS THE COUNTY, PROVIDING BASIC PRE AND POST HEALTH SCREENING, AND A WEEKLY EXERCISE PROGRAM FOR SENIORS. THIS PROGRAM SUPPORTED BOTH THEIR PHYSICAL AND EMOTIONAL HEALTH. A WEEKLY BREASTFEEDING SUPPORT GROUP WAS ALSO OFFERED, SERVING 200+ MOTHERS OVER THE COURSE OF THE YEAR. THE GROUP OFFERED SUPPORT AND ENCOURAGEMENT TO MOTHERS IN THE COMMUNITY WHO MADE THE CHOICE TO BREASTFEED. THE GROUP CONTINUES TO GROW AND IS WELL RECEIVED.THROUGH THE MERCY SUPPORT PROGRAM, 5,662 LOW INCOME AND AT RISK PERSONS WERE SERVED, WHILE AN ADDITIONAL 2,925 WERE SERVED THROUGH THE INDIGENT PROCUREMENTS AND MERCY SUPPORT PRESCRIPTION PROGRAMS. ST. MARY MERCY LIVONIA:RESPONDING TO THE COMMUNITY NEED FOR MENTAL HEALTH AND SUBSTANCE ABUSE CARE, ST. MARY MERCY LIVONIA OFFERS A ROBUST INPATIENT BEHAVIORAL MEDICINE SERVICE. TO IMPROVE THE ER EXPERIENCE FOR THESE PATIENTS AND THEIR FAMILIES AND FRIENDS, A BEHAVIORAL MEDICINE SECTION WAS CREATED IN OUR ER. PSYCHIATRIC SOCIAL WORKERS ASSIST PATIENTS AND THEIR FAMILIES IN THE AUTHORIZATION PROCESS FOR INPATIENT ADMISSION OR CONNECTING THEM WITH OUTPATIENT SERVICES AVAILABLE IN THE COMMUNITY.WITH LIMITED ACCESS FOR HEALTHCARE FOR THE UNINSURED, ST. MARY MERCY LIVONIA HAS PARTNERED WITH WAYNE HOPE CLINICS TO PROVIDE LAB SERVICES. THE HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO THE MAPI CHARITABLE CLINIC IN LATHRUP VILLAGE, MI. TO ADDRESS THE NEED FOR SPECIALIST CARE FOR THE UNINSURED INDIVIDUALS CARED FOR IN OUR EMERGENCY ROOM, AN INTERNAL SPECIALIST CARE PROGRAM, THROUGH THE MEDICAL STAFF OFFICE, CONTINUED IN FISCAL YEAR 2015. THIS PROGRAM HAS REDUCED RETURN ER VISITS FOR FOLLOW-UP CARE AND HAS IMPROVED THE PATIENT'S QUALITY OF LIFE. WITHOUT THIS PROGRAM MANY OF THESE INDIVIDUALS WOULD NOT HAVE RECEIVED THIS NEEDED CARE. ST. JOSEPH MERCY LIVINGSTON:ST. JOSEPH MERCY LIVINGSTON (SJML) ACTIVELY SUPPORTS COMMUNITY ENTITIES INCLUDING LIVINGSTON COUNTY PUBLIC HEALTH, LIVINGSTON COUNTY CATHOLIC CHARITIES, WHICH HOUSES THE LIVINGSTON COUNTY SUBSTANCE ABUSE PREVENTION COALITION, LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH, AND THE LOCAL HUMAN SERVICES COLLABORATIVE BODY. SUPPORT OF THESE ORGANIZATIONS INCLUDES BUT IS NOT LIMITED TO: SEATS ON VARIOUS BOARDS, SJML STAFF MEMBERS PRESENCE AT WORKGROUPS WITHIN COLLABORATIONS SUPPORTING THE WORK OF THESE AGENCIES, AND MONETARY OR IN-KIND STAFF TIME AT EVENTS PROMOTING HEALTH TO THE GENERAL PUBLIC. SJML ALSO SUPPORTS THE LOCAL FOOD BANK THROUGH DONATIONS. ST. JOSEPH MERCY PORT HURON:SINCE 1990, ST. JOSEPH MERCY PORT HURON (SJMPH) HAS SPONSORED THE PEOPLES' CLINIC FOR BETTER HEALTH. THIS FREE CLINIC, LOCATED WITHIN THE GUADALUPE MISSION IN PORT HURON, HAS BEEN THE CORNERSTONE OF ST. JOSEPH MERCY'S COMMUNITY INITIATIVES FOR THE POOR AND UNDERSERVED. THE CLINIC IS OPERATED IN COLLABORATION WITH THE UNITED WAY AND THE ST. CLAIR COUNTY MEDICAL SOCIETY, WHICH PROVIDES VOLUNTEER PHYSICIANS. PRIMARY MEDICAL CARE AND PRESCRIPTION MEDICATIONS ARE PROVIDED FREE OF CHARGE EACH YEAR TO OVER 3,500 18 TO 65 YEAR-OLDS WHO LACK INSURANCE OR ARE UNDERINSURED. THE CLINIC INCLUDES A SWEET TOUCH PROGRAM DESIGNED TO MONITOR AND MANAGE THE CHRONIC DISEASE OF DIABETES TO THE POOR AND UNINSURED POPULATION. THROUGH VARIOUS FUNDRAISING EVENTS AND ACTIVITIES, ST. JOSEPH MERCY PORT HURON OFFERS REDUCED-COST MAMMOGRAPHY AND OTHER BREAST CANCER DIAGNOSTIC SERVICES TO PATIENTS THROUGHOUT THE COMMUNITY WITH NO INSURANCE OR RESOURCES TO PAY FOR THEIR CARE. SJMPH IS A MEMBER OF THE MICHIGAN STROKE NETWORK, WHICH BRINGS HIGHLY TRAINED NEURO-ENDOVASCULAR SPECIALISTS FROM A CERTIFIED STROKE CENTER DIRECTLY INTO OUR EMERGENCY DEPARTMENT VIA A TELE-MEDICINE STROKE ROBOT.SJMPH ALSO OFFERS THE ONLY COMPREHENSIVE ARRAY OF CANCER TREATMENT SERVICES TO THE COMMUNITY THROUGH ITS MERCY REGIONAL CANCER CENTER. LED BY THE MERCY CANCER COMMITTEE, THE CENTER NOT ONLY PROVIDES INNOVATIVE TECHNOLOGY SUCH AS THE MOST ADVANCED DIGITAL MAMMOGRAPHY IN PORT HURON, BUT ACCESS TO AN ONCOLOGY NURSE NAVIGATOR AS WELL AS THE MOST EXTENSIVE ARRAY OF CLINICAL CANCER RESEARCH TRIALS AVAILABLE THROUGH M.D. ANDERSON AND THE MAYO CLINIC. MERCY HOSPITAL GRAYLING:MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA FOR ALL APPROPRIATE DEPARTMENTS. THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY, PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS, AND PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. MEDICARE AND MEDICAID ARE THE PRIMARY PAYERS FOR THE HOSPITAL AND THE OUTPATIENT CLINICS. THE ORGANIZATION IS THE SOLE COMMUNITY PROVIDER OF HEALTHCARE SERVICES FOR MUCH OF THE REGION. MERCY HOSPITAL GRAYLING IS AN ACTIVE PARTICIPANT IN AND SUPPORTER OF THE AUSABLE FREE CLINIC WHICH PROVIDES MEDICAL SERVICES TO THOSE WHO ARE UNINSURED OR UNDERINSURED. COALITION BUILDING IS ALSO OF GREAT IMPORTANCE IN OUR COMMUNITY. HOSPITAL LEADERS ARE MEMBERS OF THE CRAWFORD COUNTY COLLABORATIVE BODY, THE ROSCOMMON COUNTY HUMAN SERVICES COLLABORATIVE BODY, THE OSCODA COUNTY HUMAN SERVICES COORDINATING COUNCIL, THE NORTHERN MICHIGAN PERINATAL INTEGRATION PLANNING GROUP, MICHIGAN HOME VISITING INITIATIVE, BREAST FEEDING COALITION, GRAYLING REGIONAL CHAMBER OF COMMERCE, AND OTHER COMMUNITY GROUPS.IN ADDITION TO COALITION BUILDING, MERCY HOSPITAL GRAYLING OFFERS NUMEROUS PROGRAMS TO ASSIST PATIENTS IN THE MANAGEMENT OF CHRONIC DISEASE. FREE EDUCATIONAL CLASSES AND SEMINARS ARE ALSO OFFERED WITHIN THE COMMUNITY BY STAFF AND PROVIDERS. MERCY HOSPITAL CADILLACMEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA FOR ALL APPROPRIATE DEPARTMENTS. THE ORGANIZATION IS THE SOLE COMMUNITY PROVIDER, AND OFFERS VOLUNTEER OPPORTUNITIES TO MEMBERS OF THE COMMUNITY. MERCY HOSPITAL CADILLAC COMMUNITY BENEFITS IS A SUPPORTER OF THE STEHOUWER FREE CLINIC, WHICH PROVIDES MEDICAL SERVICES AND PRESCRIPTION MEDICATIONS
PART VI, LINE 6:	TRINITY HEALTH-MICHIGAN IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL REGIONAL HEALTH MINISTRIES DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS MORE THAN $800 MILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY (NATIONAL HOME OFFICE)
250 WILLIAMS STREET NW	ATLANTA	GA	30303	131788491	501(C)(3)	$7,500	RFL AND COLON ACTIVITY
AMERICAN HEART ASSOCIATION
40 OAK HOLLOW STE 220	SOUTHFIELD	MI	48033	135613797	501(C)(3)	$40,000	WASHTENAW CTY HEART BALL SPONSOR AND HEART WALK SPONSOR
ANN ARBOR REGIONAL CHAMBER OF COMMERCE
115 W HURON ST 3RD FL	ANN ARBOR	MI	48104	380303680	501(C)(6)	$10,000	STRATEGIC ALLIANCE PARTNERS-PLATINUM LEVEL 2015
ANN ARBOR COMMUNITY FOUNDATION
301 N MAIN ST	ANN ARBOR	MI	48104	386087967	501(C)(3)	$205,000	ENDING HOMELESSNESS IN ANN ARBOR AND CHERYL W ELLIOTT TRIBUTE FUND
ANN ARBOR SPARK
201 S DIVISION ST	ANN ARBOR	MI	48104	382436899	501(C)(6)	$35,000	2015 CONTRIBUTION
CANCER SUPPORT COMMUNITY OF GREATER ANN ARBOR
2010 HOGBACK RD STE C3	ANN ARBOR	MI	48105	050597871	501(C)(3)	$15,000	CANCER SUPPORT GRANT
CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION
2929 PLYMOUTH RD STE 245	ANN ARBOR	MI	48105	271017827	501(C)(3)	$180,000	WASHTENAW HEALTH INITIATIVE SUPPORT AND FUSE/HSS/ASHLEY HOUSE FUNDING
DETROIT REGIONAL CHAMBER OF COMMERCE
PO BOX 33840	ANN ARBOR	MI	48106	380477570	501(C)(6)	$10,000	2015 MACKINAC POLICY CONFERENCE-NICKEL SPONSOR
EASTERN MARKET CORPORATION
2934 RUSSELL ST	DETROIT	MI	48207	320030432	501(C)(3)	$50,000	FOOD ACCESS PROGRAMMING GRANT
FOOD GATHERS
PO BOX 131037	ANN ARBOR	MI	48113	382853858	501(C)(3)	$15,000	SUPPORT TO FEED THE NEEDY
FRIENDS OF HENNE FIELD
199 W MICHIGAN AVE	SALINE	MI	48176	261434434	501(C)(3)	$5,000	LIGHTING PATH AROUND PERIMETER OF HENNE FIELD
GLEANERS COMMUNITY FOOD BANK
5924 STERLING DR	HOWELL	MI	48843	382156255	501(C)(3)	$10,000	SUPPORT TO FEED THE NEEDY
LIVINGSTON COUNTY ECONOMIC DEVELOPMENT
218 E GRAND RIVER	BRIGHTON	MI	48116	382488748	501(C)(3)	$5,000	2015 PARTNERSHIP
MAKE A WISH FOUNDATION
7600 GRAND RIVER AVE STE 175	BRIGHTON	MI	48114	382505812	501(C)(3)	$25,000	WAM 2015 GOLD SPONSORSHIP
MILAN AREA SCHOOLS
100 BIG RED DR	MILAN	MI	48160	471128995	501(C)(3)	$5,000	REACHING HIGHER TEEN COURSE FUNDING AND SENSORY GARDEN FUNDING
UNITED WAY
PO BOX 995	ANN ARBOR	MI	48106	941312348	501(C)(3)	$10,613	LEADERSHIP RECEPTION SPONSORSHIP
WASHTENAW COUNTY PUBLIC HEALTH
555 TOWNER I ROOM 226	YPSILANTI	MI	48197	020585175	501(C)(3)	$36,783	HEALTH IMPROVEMENT PLAN BRFSS SURVEY 2015 FUNDING
LIVONIA PUBLIC SCHOOLS EDUCATION FOUNDATION
15125 FARMINGTON ROAD	LIVONIA	MI	48154	281085968	501(C)(3)	$15,000	2ND AND 3RD INSTALLMENT, BACK-TO-SCHOOL PROGRAM
FOUNDATION OF MICHIGAN ASSOCIATION OF PHYSICIANS OF INDIAN ORIGIN
28235 SOUTHFIELD RD	LATHRUP VILLAGE	MI	48076	383032459	501(C)(3)	$10,000	MAPI FREE CLINIC PLATINUM SPONSOR
OAKLAND UNIVERSITY
2200 NORTH SQUIRREL ROAD	ROCHESTER	MI	48309	381714400	501(C)(3)	$15,000	SPONSORSHIPS
WELLNESS PLAN
7700 SECOND AVE	DETROIT	MI	48202	382008890	501(C)(3)	$445,016	COMMUNITY BENEFIT GRANT
THE BLIGHT AUTHORITY
1 N SAGINAW ST	PONTIAC	MI	48342	461898090	501(C)(3)	$30,000	SPONSORSHIP
SAINT MARY'S FOUNDATION
200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	381779602	501(C)(3)	$640,470	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	19	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
HELEN V BURG COMMITMENT TO NURSING SCHOLARSHIP	5	$20,000	FAIR MARKET VALUE	SCHOLARSHIPS
JULIE MACDONALD NURSING SCHOLARSHIP	2	$6,000	FAIR MARKET VALUE	SCHOLARSHIPS
TUOMY NURSING SCHOLARSHIP AWARD	1	$2,000	FAIR MARKET VALUE	SCHOLARSHIPS
WILL JOHNSON SCHOLARSHIP	4	$10,000	FAIR MARKET VALUE	SCHOLARSHIPS

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DONATIONS MADE BY TRINITY HEALTH - MICHIGAN TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (47 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROGER SPOELMAN
PRES & CEO; WEST MI REG CEO	$0	$548,702	$0	$240,525	$0	$169,106	$0	$24,800	$0	$24,578	$0	$1,007,711	$0	$30,605
ROBERT CASALOU
DIRECTOR;SE MI REG CEO 1/15;CEO ST J	$0	$497,485	$0	$217,796	$0	$189,034	$0	$13,000	$0	$26,120	$0	$943,435	$0	$84,582
ROSSANA DEGROOD MD
DIRECTOR THROUGH 12/14	$0	$88,768	$0	$82,963	$0	$1,603	$0	$6,412	$0	$16,423	$0	$196,169	$0	$0
GARRY FAJA
DIRECTOR AND SE MI REG CEO THR 12/14	$0	$591,613	$0	$261,704	$0	$153,276	$0	$18,200	$0	$22,270	$0	$1,047,063	$0	$0
BRUCE OLSON MD
DIRECTOR	$0	$365,040	$0	$0	$0	$4,942	$0	$18,947	$0	$17,004	$0	$405,933	$0	$0
KEVIN SEXTON
DIRECTOR THR 7/14;PRES& CEO MARYLAND	$0	$507,763	$0	$180,447	$0	$318,648	$0	$18,200	$0	$39,206	$0	$1,064,264	$0	$167,375
CAROL TARNOWSKY
SECRETARY	$0	$262,299	$0	$0	$0	$2,293	$0	$12,660	$0	$3,338	$0	$280,590	$0	$0
SALLY GUINDI
ASSISTANT SECRETARY	$0	$277,419	$0	$0	$0	$2,598	$0	$26,297	$0	$21,586	$0	$327,900	$0	$0
MICHAEL GUSHO
TREASURER; SE MI REGIONAL CFO	$0	$337,536	$0	$85,972	$0	$1,751	$0	$27,651	$0	$21,359	$0	$474,269	$0	$0
GARY ALLORE
ASSISTANT TREASURER; WEST MI REG CFO	$0	$305,233	$0	$77,272	$0	$1,586	$0	$13,000	$0	$20,873	$0	$417,964	$0	$0
JACK WEINER
CEO ST. JOSEPH MERCY OAKLAND	$0	$446,378	$0	$123,050	$0	$130,494	$0	$18,200	$0	$37,606	$0	$755,728	$0	$0
DAVID SPIVEY
CEO ST. MARY MERCY LIVONIA	$0	$399,118	$0	$158,185	$0	$96,874	$0	$25,046	$0	$17,962	$0	$697,185	$0	$17,911
BILL MANNS
CEO MERCY HEALTH ST. MARY'S	$0	$380,044	$0	$149,600	$0	$88,462	$0	$13,188	$0	$24,742	$0	$656,036	$0	$0
NANCY GRAEBNER
CEO ST. JOSEPH MERCY CHELSEA	$0	$291,967	$0	$139,344	$0	$68,423	$0	$19,200	$0	$14,224	$0	$533,158	$0	$6,790
STEPHANIE RIEMER-MATUZAK
CEO MERCY HOSPITAL GRAYLING	$0	$231,167	$0	$83,420	$0	$55,715	$0	$32,376	$0	$25,081	$0	$427,759	$0	$3,548
JOHN MACLEOD
CEO MERCY HOSPITAL CADILLAC THR 9/14	$0	$195,785	$0	$88,826	$0	$131,900	$0	$19,669	$0	$19,332	$0	$455,512	$0	$73,784
RANDALL WAGNER
COO MERCY HLTH ST. MARY'S THR 4/15	$0	$321,546	$0	$80,111	$0	$4,881	$0	$18,200	$0	$20,397	$0	$445,135	$0	$0
REBEKAH SMITH
CEO ST. JOSEPH MERCY PORT HURON	$0	$255,219	$0	$80,459	$0	$58,407	$0	$24,472	$0	$6,220	$0	$424,777	$0	$3,613
BARBARA HERTZLER
COO ST JOSEPH MERCY OAKLAND THR 7/14	$0	$323,651	$0	$51,035	$0	$9,307	$0	$42,073	$0	$20,774	$0	$446,840	$0	$0
STEVE EAVENSON
VP FINANCE MERCY HEALTH SAINT MARY'S	$0	$292,996	$0	$71,584	$0	$8,288	$0	$18,200	$0	$17,178	$0	$408,246	$0	$0
ROBIN DAMSCHRODER
COO ST JOE MERCY ANN ARBOR AT 10/13	$0	$304,106	$0	$51,401	$0	$1,033	$0	$13,000	$0	$20,118	$0	$389,658	$0	$0
KATHLEEN O'CONNOR
VP FIN ST JOE MRCY ANN ARBOR THR8/14	$259,156	$0	$57,039	$0	$2,477	$0	$31,516	$0	$15,304	$0	$365,492	$0	$0	$0
CLAUDE LAUDERBACH
COO ST. MARY MERCY LIVONIA THR 7/14	$0	$243,139	$0	$54,894	$0	$18,290	$0	$40,872	$0	$9,748	$0	$366,943	$0	$0
MICHAEL SAMYN
CFO ST MARY MCY& ST JOE MCY OAK 9/14	$0	$223,386	$0	$48,545	$0	$1,056	$0	$13,000	$0	$17,916	$0	$303,903	$0	$0
MARY NEFF
CADILLAC INTERIM CEO AT 9/14; COO	$0	$197,524	$0	$35,878	$0	$2,751	$0	$30,538	$0	$9,100	$0	$275,791	$0	$0
JACKIE PRIMEAU
INTERM VP FIN ST JOSEPH OAK THR 8/14	$0	$223,782	$0	$0	$0	$1,833	$0	$19,704	$0	$9,766	$0	$255,085	$0	$0
SHANNON STRIEBICH
COO SE MI REGION, ST JOSEPH PH & OAK	$0	$196,734	$0	$26,375	$0	$422	$0	$11,387	$0	$11,867	$0	$246,785	$0	$0
KIRSTEN KORTH-WHITE
COO MERCY HOSPITAL GRAYLING	$0	$147,385	$0	$28,431	$0	$297	$0	$9,088	$0	$17,592	$0	$202,793	$0	$0
GEORGE GIBSON
ORTHOPEDIC SURGEON (SJMHS)	$799,236	$0	$102,468	$0	$1,733	$0	$7,800	$0	$24,909	$0	$936,146	$0	$0	$0
CHARLES SCHWARTZ
CARDIOTHORACIC SURGEON (OAKLAND)	$724,200	$0	$137,500	$0	$1,186	$0	$13,000	$0	$21,396	$0	$897,282	$0	$0	$0
KRISTOPHER AALDERINK
ORTHOPEDIC SURGEON (SJMHS)	$828,906	$0	$31,426	$0	$1,566	$0	$7,800	$0	$20,838	$0	$890,536	$0	$0	$0
CREG CARPENTER
ORTHOPEDIC SURGEON (CHELSEA HOSP)	$655,260	$0	$107,223	$0	$2,178	$0	$13,000	$0	$22,359	$0	$800,020	$0	$0	$0
TALLAL ZENI
ORTHOPEDIC SURGEON (SMM LIVONIA)	$561,542	$0	$180,284	$0	$1,113	$0	$13,000	$0	$18,842	$0	$774,781	$0	$0	$0
DANIEL HALE
FORMER OFFICER	$0	$517,806	$0	$398,302	$0	$133,552	$0	$25,344	$0	$17,133	$0	$1,092,137	$0	$0
JAMES BOSSCHER
FORMER OFFICER	$0	$309,997	$0	$244,874	$0	$208,076	$0	$22,225	$0	$17,395	$0	$802,567	$0	$127,972
MARIANNE CUNNINGHAM
FORMER OFFICER	$0	$197,732	$0	$25,222	$0	$3,135	$0	$15,539	$0	$22,000	$0	$263,628	$0	$0
AGNES HAGERTY
FORMER OFFICER	$0	$417,495	$0	$199,166	$0	$59,566	$0	$28,149	$0	$21,462	$0	$725,838	$0	$0
BENJAMIN CARTER
FORMER OFFICER	$0	$728,468	$0	$490,338	$0	$119,169	$0	$13,000	$0	$32,858	$0	$1,383,833	$0	$0
CYNTHIA CLEMENCE
FORMER OFFICER	$0	$375,388	$0	$142,707	$0	$11,437	$0	$25,735	$0	$25,760	$0	$581,027	$0	$0
JENNIFER BARNETT
FORMER OFFICER	$0	$513,036	$0	$480,323	$0	$341,516	$0	$991,064	$0	$23,743	$0	$2,349,682	$0	$0
PAUL NEUMANN
FORMER OFFICER	$0	$535,916	$0	$304,901	$0	$154,845	$0	$13,000	$0	$28,564	$0	$1,037,226	$0	$0
RICHARD GILFILLAN
FORMER OFFICER	$0	$1,430,763	$0	$475,771	$0	$79,951	$0	$13,000	$0	$31,075	$0	$2,030,560	$0	$0
KEDRICK ADKINS
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$0	$1,069,394	$0	$0	$0	$1,656	$0	$1,071,050	$0	$1,056,681
J RICHARD O'CONNELL
FORMER KEY EMPLOYEE	$0	$791,024	$0	$532,372	$0	$425,006	$0	$18,200	$0	$36,377	$0	$1,802,979	$0	$174,337
CHARLES HOFFMAN
FORMER KEY EMPLOYEE	$0	$244,770	$0	$102,375	$0	$162,005	$0	$273,159	$0	$15,931	$0	$798,240	$0	$0
DEBORAH ARMSTRONG
FORMER KEY EMPLOYEE	$0	$244,156	$0	$0	$0	$0	$0	$12,208	$0	$0	$0	$256,364	$0	$0
PHILIP MCCORKLE
FORMER KEY EMPLOYEE	$0	$294,535	$0	$0	$0	$8,382	$0	$18,200	$0	$16,835	$0	$337,952	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

TRINITY HEALTH - MICHIGAN IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH - MICHIGAN'S HOSPITAL CEO'S ARE PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF TRINITY HEALTH - MICHIGAN'S CEO'S: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2014. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): KEDRICK ADKINS - $814,924 JENNIFER BARNETT - $160,173 CHARLES HOFFMAN - $158,063 CLAUDE LAUDERBACH - $15,000 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/14: JENNIFER BARNETT - $971,714 ($565,943 PAID IN 2015 AND $405,771 TO BE PAID IN 2016) CHARLES HOFFMAN - $248,832 (PAID IN 2015) THE FOLLOWING IS A PARTICIPANT IN AN INDIVIDUAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). HE DID NOT RECEIVE A SERP PAYOUT IN 2014. KEDRICK ADKINS THE FOLLOWING ARE PARTICIPANTS IN THE NEW TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) EFFECTIVE JANUARY 1, 2014. THE PLAN WILL PROVIDE RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. THERE WERE NO PAYOUTS IN 2014. JENNIFER BARNETT -0- JAMES BOSSCHER -0- BENJAMIN CARTER -0- ROBERT CASALOU -0- CYNTHIA CLEMENCE -0- CATHERINE DECLERCQ -0- GARRY FAJA -0- RICHARD GILFILLAN -0- NANCY GRAEBNER -0- AGNES HAGERTY -0- DANIEL HALE -0- JOHN MACLEOD -0- BILL MANNS -0- PAUL NEUMANN -0- J. RICHARD O'CONNELL -0- STEPHANIE RIEMER-MATUZAK -0- KEVIN SEXTON -0- REBEKAH SMITH -0- DAVID SPIVEY -0- ROGER SPOELMAN -0- JACK WEINER -0- THE FOLLOWING ARE PARTICIPANTS IN THE NEW TRINITY HEALTH RESTORATION PLAN, EFFECTIVE JANUARY 1, 2014. THE PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($260,000 FOR 2014). THERE WERE NO PAYOUTS IN 2014. CYNTHIA CLEMENCE -0- MARIANNE CUNNINGHAM -0- DAVID SPIVEY -0- THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($260,000 FOR 2014). THE PLAN WAS FROZEN DECEMBER 31, 2013. THE FOLLOWING PAYOUTS FOR 2014 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $242,986 JAMES BOSSCHER - $128,622 ROBERT CASALOU - $92,801 NANCY GRAEBNER - $6,825 JOHN MACLEOD - $75,704 J. RICHARD O'CONNELL - $185,824 STEPHANIE RIEMER-MATUZAK - $3,566 KEVIN SEXTON - $168,226 REBEKAH SMITH - $3,631 DAVID SPIVEY - $18,002 ROGER SPOELMAN - $30,760 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING INDIVIDUALS ARE VESTED IN THE CATHOLIC HEALTH EAST SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A NONQUALIFED PLAN. THE PLAN WAS FROZEN DECEMBER 31, 2013. THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JENNIFER BARNETT - $145,235

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (30 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KATHRYN TUNE
FAMILY MEMBER OF BARBARA HERTZLER, KEY EMPLOYEE	$85,736	EMPLOYMENT ARRANGEMENT	0
RYAN SMITH
FAMILY MEMBER OF REBEKAH SMITH, KEY EMPLOYEE	$45,541	EMPLOYMENT ARRANGEMENT	0
JAMIE WEINER
FAMILY MEMBER OF JACK WEINER, KEY EMPLOYEE	$17,444	EMPLOYMENT ARRANGEMENT	0
DONOR #1
DONOR #1 IS A SUBSTANTIAL CONTRIBUTOR	$1,312,747	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #6
DONOR #6 IS A SUBSTANTIAL CONTRIBUTOR	$5,481,579	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #7
DONOR #7 IS A SUBSTANTIAL CONTRIBUTOR	$481,465	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #19
DONOR #19 IS A SUBSTANTIAL CONTRIBUTOR	$884,367	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #30
DONOR #30 IS A SUBSTANTIAL CONTRIBUTOR	$530,760	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #32
DONOR #32 IS A SUBSTANTIAL CONTRIBUTOR	$534,228	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #54
DONOR #54 IS A SUBSTANTIAL CONTRIBUTOR	$533,431	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #56
DONOR #56 IS A SUBSTANTIAL CONTRIBUTOR	$634,713	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #152
DONOR #152 IS A SUBSTANTIAL CONTRIBUTOR	$320,789	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #171
DONOR #171 IS A SUBSTANTIAL CONTRIBUTOR	$115,792	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #175
DONOR #175 IS A SUBSTANTIAL CONTRIBUTOR	$238,878	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #182
DONOR #182 IS A SUBSTANTIAL CONTRIBUTOR	$351,339	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #184
DONOR #184 IS A SUBSTANTIAL CONTRIBUTOR	$15,274,941	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #186
DONOR #186 IS A SUBSTANTIAL CONTRIBUTOR	$1,660,050	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #187
DONOR #187 IS A SUBSTANTIAL CONTRIBUTOR	$292,620	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #189
DONOR #189 IS A SUBSTANTIAL CONTRIBUTOR	$2,963,107	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #192
DONOR #192 IS A SUBSTANTIAL CONTRIBUTOR	$257,787	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #205
DONOR #205 IS A SUBSTANTIAL CONTRIBUTOR	$145,798	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #217
DONOR #217 IS A SUBSTANTIAL CONTRIBUTOR	$1,108,538	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #228
DONOR #228 IS A SUBSTANTIAL CONTRIBUTOR	$342,666	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #238
DONOR #238 IS A SUBSTANTIAL CONTRIBUTOR	$122,300	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #246
DONOR #246 IS A SUBSTANTIAL CONTRIBUTOR	$737,794	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #274
DONOR #274 IS A SUBSTANTIAL CONTRIBUTOR	$2,272,283	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #275
DONOR #275 IS A SUBSTANTIAL CONTRIBUTOR	$2,467,470	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #278
DONOR #278 IS A SUBSTANTIAL CONTRIBUTOR	$231,198	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #280
DONOR #280 IS A SUBSTANTIAL CONTRIBUTOR	$215,218	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
DONOR #281
DONOR #281 IS A SUBSTANTIAL CONTRIBUTOR	$969,528	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	8	ContributionCnt
Noncash Contributions Rpt F990	$7,545	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$350	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$10,349	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	18	ContributionCnt
Noncash Contributions Rpt F990	$504,791	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MEDIAN VALUE ON TRANSFER	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	35	ContributionCnt
Noncash Contributions Rpt F990	$15,390	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	46	ContributionCnt
Noncash Contributions Rpt F990	$6,211	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$2,199	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MISCELLANEOUS	Desc
Contribution	322	ContributionCnt
Noncash Contributions Rpt F990	$171,299	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	SPECIAL EVENT COMMITTEE VOLUNTEERS SOLICIT NON-CASH CONTRIBUTIONS FROM LOCAL BUSINESSES. THEY SOLICIT ITEMS TO BE USED DURING THE SPECIAL EVENT, SUCH AS FOOD, PLUS ITEMS TO BE SOLD AT THE EVENT AUCTION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF TRINITY HEALTH - MICHIGAN.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11	PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH - MICHIGAN IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE EXECUTIVE COMMITTE OF THE REGIONAL BOARDS OF TRINITY HEALTH-MICHIGAN. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	TRINITY HEALTH - MICHIGAN HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF TRINITY HEALTH - MICHIGAN, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF TRINITY HEALTH - MICHIGAN AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF TRINITY HEALTH - MICHIGAN (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH - MICHIGAN OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF TRINITY HEALTH - MICHIGAN (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF TRINITY HEALTH - MICHIGAN. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15	QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TRINITY HEALTH - MICHIGAN IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO'S AND CFO'S OF TRINITY HEALTH - MICHIGAN ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19	TRINITY HEALTH - MICHIGAN IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, TRINITY HEALTH - MICHIGAN INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. TRINITY HEALTH - MICHIGAN'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A:	SR. CATHERINE DECLERCQ IS A MEMBER OF THE ORDER OF ADRIAN DOMINICAN SISTERS. HAVING TAKEN A VOW OF POVERTY, SR. CATHERINE DECLERCQ DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH-MICHIGAN EXCEPT FOR INSURANCE BENEFITS OF $6,531. INSTEAD, A TOTAL OF $576,286 WAS PAID BY TRINITY HEALTH-MICHIGAN DIRECTLY TO THE ORDER OF ADRIAN DOMINICAN SISTERS FOR SR. CATHERINE DECLERCQ'S SERVICES.
FORM 990, PART VII, SECTION A:	SR. MARY PERSICO, IHM IS A MEMBER OF THE SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY. HAVING TAKEN A VOW OF POVERTY, SR. MARY DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED AS EXECUTIVE VICE PRESIDENT MISSION INTEGRATION TO TRINITY HEALTH, EXCEPT FOR INSURANCE BENEFITS OF $13,865 AND A CAR ALLOWANCE OF $12,000. INSTEAD, A TOTAL OF $847,360 WAS PAID BY TRINITY HEALTH DIRECTLY TO THE CONGREGATION OF THE SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY. FOR SR. MARY'S SERVICES.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES -52,289,183. CHANGE IN DEFERRED RETIREMENT COSTS -1,421,421. LOSS ON DISPOSAL OF DISCONTINUED OPERATIONS -5,080,782. OTHER TRANSACTIONS 4,033,656. INDIGENT CARE AGREEMENT REVENUE 4,645,373. INDIGENT CARE AGREEMENT CONTRIBUTIONS -4,427,384. EQUITY EARNINGS -49,099. ASSET IMPAIRMENT -4,144,233.
FORM 990, PART XII, LINE 2:	TRINITY HEALTH - MICHIGAN'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY15 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES (ASLA), ANN ARBOR HOME INFUSION PHARMACY, BALD MOUNTAIN DIAGNOSTIC IMAGING, BROWNING CLAYTOR HEALTH CENTER, CADILLAC OCCUPATIONAL MEDICINE, CANTON CENTER FOR ADVANCED MEDICINE AND SURGERY, CANTON HEALTH CENTER, CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES), CHELSEA COMMUNITY HOSPITAL, CHELSEA COMMUNITY HOSPITAL CHILDREN'S CENTER, CHELSEA COMMUNITY HOSPITAL, A MEMBER OF THE SAINT JOSEPH MERCY HEALTH SYSTEM, CHELSEA COMMUNITY HOSPITAL, A MEMBER OF THE SAINT JOSEPH MERCYHEALTH SYSTEM, CHELSEA ORTHOPEDIC SPECIALISTS, CHELSEACARE, CHELSEACARE HOME HEALTH, CHELSEACARE PHARMACY, CLINICA SANTA MARIA, CLINXUS, CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES, DEXTER INTERNAL MEDICINE AND PEDIATRICS, EVANGELICAL DEACONESS HOSPITAL, FAMILY MEDICINE OF STOCKBRIDGE, HEALTH EXPLORATION STATION, HEALTHFIRST MEDICAL CENTER, HEARTSIDE HEALTH CLINIC, INSPIRIT CANCER SUPPORT SERVICES, LIVINGSTON COMMUNITY HOSPICE, MCAULEY HEALTH CENTER, MERCY ADVANTAGE, MERCY CADILLAC ANESTHESIA, MERCY CADILLAC CANCER CENTER, MERCY CADILLAC PHYSICIAN NETWORK, MERCY CANCER CENTER, MERCY ENDOCRINOLOGY, MERCY FAMILY CARE, MERCY GENERAL HEALTH PARTNERS, MERCY HEALTH - GRAND RAPIDS, MERCY HEALTH CLINXUS, MERCY HEALTH DENTAL CLINIC, MERCY HEALTH PHARMACY - CATHEDRAL SQUARE, MERCY HEALTH PHARMACY - HOME INFUSION, MERCY HEALTH PHARMACY - LONG TERM CARE, MERCY HEALTH PHARMACY - SOUTHWEST, MERCY HEALTH PHARMACY - WEGE CENTER, MERCY HEALTH PHARMACY-ROCKFORD, MERCY HEALTH ROCKFORD CAMPUS, MERCY HEALTH SAINT MARY'S, MERCY HEALTH SERVICES, MERCY HEALTH SERVICES NORTH, MERCY HEALTH SOUTHWEST CAMPUS, MERCY HEALTH-MUSKEGON CMH PHARMACY, MERCY HOSPITAL, MERCY HOSPITAL GRAYLING D/B/A MERCY HEALTH CANCER CENTER, MERCY HOSPITAL OUTPATIENT PHARMACY, MERCY HOSPITAL, CADILLAC, MERCY HOSPITAL, GRAYLING, MERCY HOSPITAL, MUSKEGON, MERCY HOSPITAL, PORT HURON, MERCY MEDICAL CENTER - NOVI, MERCY MEDICAL GROUP, MERCY NORTH OUTPATIENT PHARMACY, MERCY OB/GYN PARTNERS, MERCY OUTPATIENT PHARMACY, MERCY PATHOLOGY, MERCY PHYSICIAN NETWORK, MERCY PHYSICIAN NETWORK CADILLAC, MERCY PHYSICIAN PARTNERS, MERCY PRIMARY CARE CENTER - DETROIT, MERCY PRIMARY CARE CENTER - DETROIT PHARMACY, MERCY PROFESSIONAL SERVCES, MERCY SPECIALTY CARE, MERCY SURGERY CARE, MERCY SURGERY CARE NETWORK, MERCY SURGICAL CARE, MICHIGAN BARIATRIC INSTITUTE (MBI), MICHIGAN CANCER INSTITUTE, MICHIGAN HEART, MICHIGAN STROKE NETWORK, MICHIGAN STROKE NETWORK REGISTRY, MUSKEGON GENERAL HOSPITAL, PARTNERS AT HEART, PROFESSIONAL FINANCIAL SERVICES, RICHARD J. LACKS CANCER CENTER, SAINT JOSEPH MERCY CANTON HEALTH CENTER, SAINT JOSEPH MERCY CENTER FOR ADVANCED MEDICINE AND SURGERY, SAINT JOSEPH MERCY HEALTH NETWORK, SAINT JOSEPH MERCY HEALTH SYSTEM, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVORIAL MEDICINE, SAINT JOSEPH MERCY LIVINGSTON HOME CARE, SAINT JOSEPH MERCY LIVINGSTON HOSPITAL, SAINT JOSEPH MERCY PHARMACY - HOWELL, SAINT JOSEPH MERCY PHARMACY - REICHERT, SAINT JOSEPH MERCY PHARMACY - SALINE, SAINT JOSEPH MERCY PHARMACY - TOWERS, SAINT JOSEPH MERCY SALINE HOSPITAL, SAINT MARY'S ADVANCED SPECIALTY CARE, SAINT MARY'S FAMILY PHARMACY - ECS, SAINT MARY'S FAMILY PHARMACY - LTC, SAINT MARY'S FAMILY PHARMACY-CATHEDRAL SQUARE, SAINT MARY'S FAMILY PHARMACY-SOUTHWEST, SAINT MARY'S FAMILY PHARMACY-WEGE CENTER, SAINT MARY'S HEALTH CARE, SAINT MARY'S HEALTH CARE, PROFESSIONAL FINANCIAL SERVICES, SAINT MARY'S HEALTH SERVICES, GRAND RAPIDS, SAINT MARY'S MERCY HOSPITAL, SAINT MARY'S MERCY MEDICAL CENTER, SAINT MARY'S MERCY WEGE CENTER, SAINT MARY'S MERCY WOUND CARE CENTER, SAINT MARYS'S FAMILY PHARMACY WEGE CENTER FOR HEALTH AND LEARNING, SALINE COMMUNITY HOSPITAL, SAMARITAN HEALTH CENTER, DETROIT, SISTERS OF MERCY HEALTH CORPORATION, SJMH MEDICAL PRACTICE, SJMH URGENT CARES, SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP, SJMHS ORTHOPEDIC SERVICES, SJMHS SPECIALTY PHYSICIANS, SJMO ROCHESTER HILLS OB/GYN, SOPHIA'S HOUSE, SPARTA FAMILY HEALTH CENTER, SPORTX, SRSLY, ST JOSEPH MERCY HOSPITAL, PONTIAC, ST. JOE'S MEDICAL GROUP, ST. JOSEPH MERCY - BRIGHTON, ST. JOSEPH MERCY ANN ARBOR, ST. JOSEPH MERCY ANN ARBOR-CANCER CENTER, ST. JOSEPH MERCY BRIGHTON-CANCER CENTER, ST. JOSEPH MERCY CANTON, ST. JOSEPH MERCY CANTON-CANCER CENTER, ST. JOSEPH MERCY CHELSEA, ST. JOSEPH MERCY CHELSEA-CANCER CENTER, ST. JOSEPH MERCY HOSPITAL - SMHC, ST. JOSEPH MERCY HOSPITAL, ANN ARBOR, ST. JOSEPH MERCY HOSPITAL, PONTIAC, ST. JOSEPH MERCY LIVINGSTON, ST. JOSEPH MERCY LIVINGSTON-CANCER CENTER, ST. JOSEPH MERCY OAKLAND, ST. JOSEPH MERCY OAKLAND - IMAGE ENHANCEMENT CENTER, ST. JOSEPH MERCY OAKLAND URGENT CARE-BIRMINGHAM, ST. JOSEPH MERCY OAKLAND-CANCER CENTER, ST. JOSEPH MERCY PORT HURON, ST. JOSEPH MERCY PORT HURON - CANCER CENTER, ST. JOSEPH MERCY PORT HURTON, ST. JOSEPH MERCY SALINE, ST. JOSEPH MERCY SALINE HEALTH CENTER, ST. MARY MERCY - CANCER CENTER, ST. MARY MERCY HOSPITAL, ST. MARY MERCY HOSPITAL PROFESSIONAL, ST. MARY MERCY LIVONIA, ST. MARY MERCY ONCOLOGY PRACTICE, ST. MARY MERCY OUTPATIENT PHARMACY, ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES, ST. MARY MERCY PHYSICIAN PRACTICES, ST. MARY MERCY WOUND CARE CENTER, ST. MARY'S HOSPITAL, GRAND RAPIDS, THE BOUTIQUE AT MERCY HEALTH, THE BOUTIQUE AT MERCY HEALTH, LACKS CANCER CENTER, THE SHOPPE AT SAINT MARY'S, TRINITY INFORMATION SERVICES, WEST MICHIGAN REGIONAL HEART AND VASCULAR INSTITUTE, WESTSHORE FAMILY MEDICINE, WESTSIDE OBSTETRICS AND GYNECOLOGY, WHITE OAK INN, WOMEN'S HEALTH CENTER.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Total IncomeTotalIncomeAmt
CLR INVESTMENTS LLC
120 W HARRIS ST	CADILLAC	MI	49601	320008631	REAL ESTATE RENTAL & DEVELOPMENT	MI	$0	TRINITY HEALTH-MICHIGAN
CONNECTED CARE LLC
2601 ELECTRIC AVE	PORT HURON	MI	48060	465671411	ACCOUNTABLE CARE ORGANIZATION	MI	$0	TRINITY HEALTH-MICHIGAN	$0
SAINT MARY'S PHARMACY LLC
200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	383404443	PHARMACY	MI	$0	TRINITY HEALTH-MICHIGAN	$0
THE SAINT JOSEPH MERCY HLTH PTNRS CLINICALLY INTEGRATED NTWK
PO BOX 995	ANN ARBOR	MI	48106	471340852	ACCOUNTABLE CARE ORGANIZATION	MI	$0	TRINITY HEALTH-MICHIGAN	$0
TRINITY HEALTH-WARDE LAB LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	272681908	REAL ESTATE RENTAL	DE	$8,394,593	TRINITY HEALTH-MICHIGAN	$1,064,557
WESTERN CARE ALLIANCE LLC
36475 FIVE MILE ROAD	LIVONIA	MI	48154	465620128	ACCOUNTABLE CARE ORGANIZATION	MI	$0	TRINITY HEALTH-MICHIGAN	$0
THE CARE ALLIANCE
36475 FIVE MILE ROAD	LIVONIA	MI	48154	465648536	ACCOUNTABLE CARE ORGANIZATION	MI	$207,585	TRINITY HEALTH-MICHIGAN	$131,419

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (223 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SE	GRAND RAPIDS	MI	49503	272491974	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes (1)
ALBANY MEMORIAL HOSPITAL
600 NORTHERN BLVD	ALBANY	NY	12204	141338457	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	Yes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	581492325	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	FL	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
AMICARE HOSPICE SERVICES INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382949053	HOSPICE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
AUXILIARY OF HOLY ROSARY HOSPITAL
351 SW 9TH STREET	ONTARIO	OR	97914	943059469	VOLUNTEER SERVICE AUXILIARY	OR	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	Yes (1)
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	421500277	HEALTHCARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	262973307	FOUNDATION	IA	501(C)(3)	LINE 11A, I	BAUM HARMON MERCY HOSPITAL	Yes (1)
BEECHWOOD INC
2212 BURDETT AVE	TROY	NY	12180	141651563	TITLE HOLDING COMPANY	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes (1)
BEVERWYCK INC
40 AUTUMN DRIVE	SLINGERLANDS	NY	12159	141717028	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
BRIGHTSIDE INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	042182395	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141701597	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995	ANN ARBOR	MI	48106	382507173	HEALTHCARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAY	LIVONIA	MI	48152		GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM		501(C)(3)	LINE 1		0	VT	N/A
COLUMBUS ACQUISITION CORP
111 CENTRAL AVENUE	NEWARK	NJ	07102	262616342	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAEL'S MEDICAL CENTER	Yes (1)
COMMUNITY HEALTH PARTNERS OF SOUTH BEND
PO BOX 3998	SOUTH BEND	IN	46619	263051440	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
CRANBROOK HOSPICE CARE
1111 W LONG LAKE RD STE 102	TROY	MI	48098	383320699	HOSPICE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
DILEY RIDGE MEDICAL CENTER
7911 DILEY ROAD	CANAL WINCHESTER	OH	43110	342032340	HEALTHCARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
DUBUQUE MERCY HEALTH FOUNDATION INC
250 MERCY DRIVE	DUBUQUE	IA	52001	262227941	FOUNDATION	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW	DYERSVILLE	IA	52040	205383271	FOUNDATION	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
EAST NORRITON PHYSICIAN SERVICES
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232515999	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000	TROY	NY	12180	141818568	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE	MALTA	NY	12020	141795732	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 9	HOME AIDE SERVICE OF EASTERN NEW YORK INC	Yes (1)
FARREN CARE CENTER INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	042501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500	WILMINGTON	DE	19805	223008680	LONG TERM CARE (INACTIVE)	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes (1)
GLEN EDDY INC
ONE GLEN EDDY DRIVE	NISKAYUNA	NY	12309	141794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
GLOBAL HEALTH MINISTRY
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	233068656	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 7	TRINITY HEALTH CORPORATION	Yes (1)
GLOBAL HEALTH MINISTRY (FKA TRINITY HEALTH INTERNATIONAL)
20555 VICTOR PARKWAY	LIVONIA	MI	48152	421253527	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY	GREENSBORO	GA	30642	261720984	HEALTHCARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE	MELROSE PARK	IL	60160	363332852	COMMUNITY OUTREACH	IL	501(C)(3)	LINE 9	GOTTLIEB MEMORIAL HOSPITAL	Yes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVE	MELROSE PARK	IL	60160	743260011	FOUNDATION	IL	501(C)(3)	LINE 11C, III-FI		0		N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE	MELROSE PARK	IL	60160	362379649	HEALTHCARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC
1000 MONROE AVENUE NW	GRAND RAPIDS	MI	49503	237270669	MEDICAL EDUCATION TRAINING PROGRAMS	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST
PO BOX 3302	MUSKEGON	MI	49443	382299878	SELF INSURANCE	MI	501(C)(3)	LINE 11B, II	MERCY HEALTH PARTNERS	Yes (1)
HACKLEY LIFE COUNSELING
125 E SOUTHERN AVENUE	MUSKEGON	MI	49442	381386362	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	Yes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAY	EAST GREENBUSH	NY	12061	800102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE	TROY	NY	12180	141725101	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
HOLY CROSS CARENET INC
PO BOX 9184	FARMINGTON HILLS	MI	48152	521945054	LONG TERM CARE	MD	501(C)(3)	LINE 9	HOLY CROSS HEALTH INC	Yes (1)
HOLY CROSS HEALTH FOUNDATION INC
11801 TECH ROAD	SILVER SPRING	MD	20904	208428450	FOUNDATION	MD	501(C)(3)	LINE 7	HOLY CROSS HEALTH INC	Yes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN RD	SILVER SPRING	MD	20910	520738041	HEALTHCARE AND HOSPITAL SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791028	HEALTHCARE AND HOSPITAL SERVICES	FL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS MEDICAL PROPERTIES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	650666283	BUILDING MANAGEMENT SERVICES	FL	501(C)(2)	N/A	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	465421068	HEALTHCARE SERVICES	FL	501(C)(3)	LINE 9	HOLY CROSS HOSPITAL INC	Yes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000	TROY	NY	12180	141514867	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SE	MASON CITY	IA	50401	421173708	HOSPICE SERVICES	IA	501(C)(3)	LINE 9	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
HOSPICE OF SIOUXLAND
4300 HAMILTON BLVD	SIOUX CITY	IA	51104	383320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 11A, I		0		N/A
HOSPICE OF WASHTENAW II
806 AIRPORT BLVD	ANN ARBOR	MI	48108	383320707	HOSPICE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383316559	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes (1)
INTRACOASTAL HEALTH SYSTEMS INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	650556413	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	FL	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes (1)
JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE	TROY	NY	12180	222570478	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232519529	HEALTHCARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes (1)
LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232571699	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE	PENNSAUKEN	NJ	08109	261854750	PACE PROGRAM	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
7TH CLAYTON STREETS	WILMINGTON	DE	19805	452569214	PACE PROGRAM	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes (1)
LIFE ST FRANCIS CORPORATION
1435 LIBERTY STREET	HAMILTON	NJ	08629	222797282	PACE PROGRAM	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes (1)
LIFE ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE	SOUTHERN PINES	NC	28387	272159847	PACE PROGRAM	NC	501(C)(3)	LINE 3	ST JOSEPH OF THE PINES INC	Yes (1)
LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	262976184	PACE PROGRAM	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes (1)
LOURDES ANCILLARY SERVICES
1600 HADDON AVENUE	CAMDEN	NJ	08103	222568525	VOLUNTEER SERVICE AUXILIARY	NJ	501(C)(3)	LINE 11B, II	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUE	CAMDEN	NJ	08103	274357794	HEALTHCARE SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LOURDES DIALYSIS AT INNOVA INC
3716 CHURCH ROAD	MT LAUREL	NJ	08054	263237625	HEALTHCARE SERVICES (INACTIVE)	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
218 SUNSET ROAD	WILLINGBORO	NJ	08046	223612265	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363342448	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364015560	HEALTHCARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
LTC (EDDY) INC
2212 BURDETT AVE	TROY	NY	12180	222564710	MANAGEMENT SERVICES FOR LONG TERM CARE	NY	501(C)(3)	LINE 11B, II	NORTHEAST HEALTH INC	Yes (1)
MARIAN COMMUNITY HOSPITAL
3805 WEST CHESTER PIKE NO 100	NEWTOWN SQUARE	PA	19073	240711230	HEALTHCARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 9	MAXIS HEALTH SYSTEM	Yes (1)
MARIAN HOME HEALTHCARE
801 5TH STREET	SIOUX CITY	IA	51101	383320705	HOME HEALTH SERVICES (INACTIVE)	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MARYCREST HEIGHTS
PO BOX 9184	FARMINGTON HILLS	MI	48333	270291722	SENIOR LIVING COMMUNITY	MI	501(C)(3)	LINE 11A, I	TRINITY CONTINUING CARE SERVICES	Yes (1)
MAXIS HEALTH SYSTEM
3805 WEST CHESTER PIKE NO 100	NEWTOWN SQUARE	PA	19073	911940902	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	PA	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
MCAULEY CENTER INC
275 STEELE ROAD	WEST HARTFORD	CT	06117	061058086	SENIOR LIVING COMMUNITY	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	Yes (1)
MCAULEY CLINIC CORPORATION
PO BOX 992	ANN ARBOR	MI	48106	382561013	HEALTHCARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 3	CATHERINE MCAULEY HEALTH SERVICES CORP	Yes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUE	PITTSBURGH	PA	15213	943436142	GRANT MAKING	PA	501(C)(3)	LINE 11A, I	PITTSBURGH MERCY HEALTH SYSTEM	Yes (1)
MERCY AMICARE HOME HEALTHCARE OAKLAND
1111 W LONG LAKE RD STE 102	TROY	MI	48098	383320698	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MERCY AMICARE HOME HEALTHCARE PORT HURON
505 HURON AVENUE	PORT HURON	MI	48060	383320701	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MERCY CARE FOUNDATION
424 DECATUR STREET	ATLANTA	GA	30312	581448522	FOUNDATION	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	231352191	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061492707	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY COMMUNITY HOMECARE SERVICES
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061488137	HOME HEALTH SERVICES	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	Yes (1)
MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	232325059	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 9	MERCY HOME HEALTH SERVICES	Yes (1)
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
888 TERRACE STREET	MUSKEGON	MI	49440	383321856	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232829864	FOUNDATION	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY HEALTH NETWORK
1111 6TH AVENUE	DES MOINES	IA	50314	421478417	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 11A, I		0		N/A
MERCY HEALTH PARTNERS
1415 LEAHY STREET	MUSKEGON	MI	49442	382589966	HEALTHCARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HEALTH PLAN
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	222483605	MEDICAID MANAGED CARE PLAN	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTHCARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363163327	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232212638	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUE	TUPPER LAKE	NY	12986	150532211	HEALTHCARE AND HOSPITAL SERVICES (INACTIVE)	NY	501(C)(3)	LINE 3	MERCY UIHLEIN HEALTH CORPORATION	Yes (1)
MERCY HEALTHCARE FOUNDATION-CLINTON
1410 N 4TH ST	CLINTON	IA	52732	421316126	FOUNDATION	IA	501(C)(3)	LINE 7		0		N/A
MERCY HOME HEALTH
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	231352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 9	MERCY HOME HEALTH SERVICES	Yes (1)
MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	232325058	MANAGEMENT SERVICES FOR HOME HEALTH	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	362170152	HEALTHCARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBART	CADILLAC	MI	49601	203357131	FOUNDATION	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HOSPITAL GIFT SHOP
2601 ELECTRIC AVE	PORT HURON	MI	48060	381630480	VOLUNTEER SERVICE AUXILIARY	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HOSPITAL INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	043398280	HEALTHCARE AND HOSPITAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
MERCY HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791034	HEALTHCARE SERVICES (INACTIVE)	FL	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251604115	COMMUNITY OUTREACH	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	Yes (1)
MERCY LIFE OF ALABAMA
PO BOX 1090	DAPHNE	AL	36526	273163002	PACE PROGRAM	AL	501(C)(3)	LINE 3	MERCY MEDICAL CORPORATION	Yes (1)
MERCY LIFE INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	453086711	PACE PROGRAM	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE CARE CENTERS INC	Yes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232627944	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	52732	421336618	HEALTHCARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET	SIOUX CITY	IA	51102	141880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	50401	421229151	FOUNDATION	IA	501(C)(3)	LINE 7		0		N/A
MERCY MEDICAL CORPORATION
PO BOX 1090	DAPHNE	AL	36526	636002215	HOSPICE & HOME HEALTH SERVICES	AL	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes (1)
MERCY MEDICAL GROUP
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	454884805	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
MERCY NORTH HOMECARE AND HOSPICE
7985 MACKINAW TRAIL	CADILLAC	MI	49601	383313897	HOSPICE & HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MERCY PHYSICIAN NETWORK
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	461187365	MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY SENIOR CARE INC
424 DECATUR STREET	ATLANTA	GA	30312	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES CORPORATION
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061453323	HEALTHCARE SYSTEM SUPPORT (INACTIVE)	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET	ATLANTA	GA	30312	272046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184	FARMINGTON HILLS	MI	48333	382719605	LONG TERM CARE	MI	501(C)(3)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY SPECIALIST PHYSICIANS INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	264033168	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	231396763	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY UIHLEIN HEALTH CORPORATION
185 OLD MILITARY ROAD	LAKE PLACID	NY	12946	161535133	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCYKNOLL INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060757380	LONG TERM CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
MISSION HEALTH CORPORATION
37595 SEVEN MILE ROAD	LIVONIA	MI	48152	383181557	BUILDING MANAGEMENT SERVICES	DE	501(C)(3)	LINE 11A, I		0		N/A
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREET	COLUMBUS	OH	43213	251912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311439334	HEALTHCARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311113966	FOUNDATION	OH	501(C)(3)	LINE 11A, I	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HOME CARE LLC
501 WEST SCHROCK ROAD	WESTERVILLE	OH	43081	262729300	HOME HEALTH SERVICES	OH	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 - 44TH STREET	KENTWOOD	MI	49508	383073745	HEALTHCARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUE	MUSKEGON	MI	49440	911932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes (1)
NAZARETH HEALTH CARE FOUNDATION
2701 HOLME AVENUE	PHILADELPHIA	PA	19152	232300951	FOUNDATION	PA	501(C)(3)	LINE 11B, II	NAZARETH HOSPITAL	Yes (1)
NAZARETH HOSPITAL
2601 HOLME AVENUE	PHILADELPHIA	PA	19152	232794121	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
NAZARETH PHYSICIAN SERVICES INC
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	203261266	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
NE PHYSICIAN SERVICES
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232497355	HEALTHCARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 9	MERCY PHYSICIAN NETWORK	Yes (1)
NORTHEAST HEALTH INC
2212 BURDETT AVE	TROY	NY	12180	042450756	HEALTHCARE SYSTEM SUPPORT	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS	Yes (1)
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREET	OAKLAND	NE	68045	208072234	HEALTHCARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREET	OAKLAND	NE	68045	311678345	FOUNDATION	NE	501(C)(3)	LINE 11C, III-FI		0		N/A
OSUMOUNT CARMEL HEALTH ALLIANCE
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311654603	COOPERATIVE HEALTHCARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 11A, I		0		N/A
OUR LADY OF LOURDES HEALTH CARE SERVICES INC
1600 HADDON AVENUE	CAMDEN	NJ	08103	222568528	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NJ	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	Yes (1)
OUR LADY OF LOURDES HEALTH FOUNDATION INC
1600 HADDON AVENUE	CAMDEN	NJ	08103	222351960	FOUNDATION	NJ	501(C)(3)	LINE 7	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
OUR LADY OF LOURDES MEDICAL CENTER
1600 HADDON AVENUE	CAMDEN	NJ	08103	210635001	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE	GUILDERLAND	NY	12084	141743506	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES	Yes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	454208896	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
PITTSBURGH MERCY HEALTH SYSTEM
3333 5TH AVENUE	PITTSBURGH	PA	15213	251464211	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes (1)
PORT HURON MERCY FAMILY CARE INC
2601 ELECTRIC AVE	PORT HURON	MI	48060	201855647	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
PROBILITY THERAPY SERVICES
2058 S STATE STREET	ANN ARBOR	MI	48104	202020239	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes (1)
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	49442	382638284	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	Yes (1)
PROFESSIONAL OFFICE CORPORATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	BUILDING MANAGEMENT SERVICES	CA	501(C)(3)	LINE 11A, I	SAINT AGNES MEDICAL CENTER	Yes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTHCARE AND HOSPITAL SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RD	BOISE	ID	83706	820401011	BUILDING MANAGEMENT SERVICES	ID	501(C)(3)	LINE 9	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RD	BOISE	ID	83706	943028978	HEALTHCARE SYSTEM SUPPORT	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	943164869	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY	Yes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	202683560	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	Yes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD	BOISE	ID	83706	271929502	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	271790052	HEALTHCARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	261737256	FOUNDATION	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820200896	HEALTHCARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	HEALTHCARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RD	BOISE	ID	83706	820200895	HEALTHCARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT JAMES CARE INC
111 CENTRAL AVENUE	NEWARK	NJ	07102	262616230	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAEL'S MEDICAL CENTER	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
PO BOX 670	PLYMOUTH	IN	46563	351142669	HEALTHCARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	350868157	HEALTHCARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	356033285	VOLUNTEER SERVICE AUXILIARY	IN	501(C)(4)	N/A	SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUE	PLYMOUTH	IN	46563	356043563	VOLUNTEER SERVICE AUXILIARY	IN	501(C)(3)	LINE 11B, II	SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	351568821	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET	ATLANTA	GA	30312	581744848	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 11C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET	ATLANTA	GA	30312	581752700	HEALTHCARE SERVICES	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	311040468	SENIOR LIVING COMMUNITY	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES-INDIANA	Yes (1)
SAINT MARY HOME II INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061164104	LONG TERM CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW	GRAND RAPIDS	MI	49505	383320700	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE	GRAND RAPIDS	MI	49503	381779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes (1)
SAINT MICHAEL'S MEDICAL CENTER
111 CENTRAL AVENUE	NEWARK	NJ	07102	262616046	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
SAMARITAN CHILD CARE CENTER INC
2213 BURDETT AVE	TROY	NY	12180	141710225	CHILD CARE	NY	501(C)(3)	LINE 9	NORTHEAST HEALTH INC	Yes (1)
SAMARITAN HOSPITAL
2215 BURDETT AVE	TROY	NY	12180	141338544	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	Yes (1)
SENIOR CARE CONNECTION INC
504 STATE ST	SCHENECTADY	NY	12305	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141505031	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	Yes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
1 ABELE BLVD	CLIFTON PARK	NY	12065	141756230	LONG TERM CARE	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	Yes (1)
SETON HEALTH FOUNDATION INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	222345416	FOUNDATION	NY	501(C)(3)	LINE 11A, I	SETON HEALTH SYSTEM INC	Yes (1)
SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141776186	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SISTERS OF PROVIDENCE CARE CENTERS INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	222541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
SISTERS OF PROVIDENCE HEALTH SYSTEM INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	043398374	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	MA	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREET	ATLANTA	GA	30312	472299757	HEALTHCARE SYSTEM SUPPORT	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
ST AGNES CONTINUING CARE CENTER
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232840137	PACE PROGRAM	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
ST AGNES CONTINUING CARE CENTER FOUNDATION
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232415137	FOUNDATION	PA	501(C)(3)	LINE 11B, II	ST AGNES CONTINUING CARE CENTER	Yes (1)
ST FRANCIS FOUNDATION
PO BOX 2500	WILMINGTON	DE	19805	510374158	FOUNDATION	DE	501(C)(3)	LINE 11A, I	ST FRANCIS HOSPITAL	Yes (1)
ST FRANCIS HOSPITAL
PO BOX 2500	WILMINGTON	DE	19805	510064326	HEALTHCARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
ST FRANCIS MEDICAL CENTER FOUNDATION INC
601 HAMILTON AVENUE	TRENTON	NJ	08629	521025476	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes (1)
ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUE	TRENTON	NJ	08629	223431049	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	Yes (1)
ST JAMES MERCY FOUNDATION INC
411 CANISTEO STREET	HORNELL	NY	14843	161486437	FOUNDATION	NY	501(C)(3)	LINE 7	ST JAMES MERCY HEALTH SYSTEM INC	Yes (1)
ST JAMES MERCY HEALTH SYSTEM INC
411 CANISTEO STREET	HORNELL	NY	14843	223127184	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST JAMES MERCY HOSPITAL
411 CANISTEO STREET	HORNELL	NY	14843	160743310	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JAMES MERCY HEALTH SYSTEM INC	Yes (1)
ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVE	PONTIAC	MI	48341	352356789	FOUNDATION	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE	SOUTHERN PINES	NC	28387	560694200	LONG TERM CARE	NC	501(C)(3)	LINE 3	TRINITY CONTINUING CARE SERVICES	Yes (1)
ST MARY BUILDING AND DEVELOPMENT COMPANY
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	461827502	TITLE HOLDING COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	465354512	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes (1)
ST MARY HOME INCORPORATED
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060646843	LONG TERM CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	231913910	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
ST MARY MEDICAL CENTER FOUNDATION INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232567468	FOUNDATION	PA	501(C)(3)	LINE 7	ST MARY MEDICAL CENTER	Yes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	582544232	FOUNDATION	GA	501(C)(3)	LINE 11A, I	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREET	ATHENS	GA	30606	580566223	HEALTHCARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET	ATHENS	GA	30606	020576648	SENIOR LIVING COMMUNITY	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET	ATHENS	GA	30606	261858563	HEALTHCARE SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAY	LAVONIA	GA	30553	473752176	HEALTHCARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST MICHAEL'S FOUNDATION INC
111 CENTRAL AVENUE	NEWARK	NJ	07102	223311976	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	SAINT MICHAEL'S MEDICAL CENTER	Yes (1)
ST PETER'S AUXILIARY
315 SOUTH MANNING BLVD	ALBANY	NY	12208	222843206	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 11A, I	ST PETER'S HEALTH CARE SERVICES	Yes (1)
ST PETER'S HEALTH CARE SERVICES
315 SOUTH MANNING BLVD	ALBANY	NY	12208	222702507	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD	ALBANY	NY	12208	453570715	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	461177336	HEALTHCARE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD	ALBANY	NY	12208	141348692	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES	Yes (1)
ST PETER'S HOSPITAL FOUNDATION INC
319 SOUTH MANNING BLVD	ALBANY	NY	12208	222262982	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH CARE SERVICES	Yes (1)
SUNNYVIEW HOSPITAL & REHABILITATION CENTER
1270 BELMONT AVE	SCHENECTADY	NY	12308	141338386	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	Yes (1)
SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION
1270 BELMONT AVE	SCHENECTADY	NY	12308	222505127	FOUNDATION	NY	501(C)(3)	LINE 11A, I	SUNNYVIEW HOSPITAL & REHABILITATION CENTER	Yes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
295 VALLEY VIEW BLVD	RENSSELAER	NY	12144	222692940	FOUNDATION	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	Yes (1)
THE COMMUNITY HOSPICE INC
295 VALLEY VIEW BLVD	RENSSELAER	NY	12144	141608921	HOSPICE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES	Yes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
707 EAST CEDAR STREET	SOUTH BEND	IN	46617	351654543	FOUNDATION	IN	501(C)(3)	LINE 11A, I	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141793885	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
THE NORTHEAST HEALTH FOUNDATION INC
2224 BURDETT AVE	TROY	NY	12180	222743478	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER	PORT HURON	MI	48060	382485700	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 11D, III-O		0		N/A
TRI-HOSPITAL MRI CENTER
4190 24TH AVENUE	FORT GRATIOT	MI	48054	382884297	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
TRINITY CONTINUING CARE SERVICES
PO BOX 9184	FARMINGTON HILLS	MI	48333	382559656	LONG TERM CARE	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	930907047	LONG TERM CARE	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTHCARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	0
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY	LIVONIA	MI	48152	351443425	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH MINISTRIES	Yes (1)
TRINITY HEALTH PACE
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473073124	PACE PROGRAM	MI	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	208151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HOME HEALTH SERVICES INC
17410 COLLEGE PARKWAY	LIVONIA	MI	48152	382621935	MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM	MI	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes (1)
UIHLEIN MERCY CENTER
185 OLD MILITARY ROAD	LAKE PLACID	NY	12946	150532190	HEALTHCARE SERVICES (INACTIVE)	NY	501(C)(3)	LINE 3	MERCY UIHLEIN HEALTH CORPORATION	Yes (1)
UNIVERSITY HEIGHTS PROPERTY COMPANY INC
111 CENTRAL AVENUE	NEWARK	NJ	07102	223100162	TITLE HOLDING COMPANY	NJ	501(C)(2)	N/A	SAINT MICHAEL'S MEDICAL CENTER	Yes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVD	ALBANY	NY	12208	141438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes (1)
WESTSHORE HEALTH NETWORK
1820 44TH STREET	KENTWOOD	MI	49508	383280200	HEALTH NETWORK	MI	501(C)(4)	N/A	MERCY HEALTH PARTNERS	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
ADVENT REHABILITATION LLC
607 DEWEY AVENUE SUITE 300	GRAND RAPIDS	MI	49504	383306673	REHABILITATION THERAPY SERVICES	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	$458,093	$501,295	0	Yes (1)	0.50000
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311608125	MEDICAL OFFICE BUILDING RENTAL	OH								N/A
CATHERINE HORAN BUILDING ASSOCIATES LP
1221 MAIN STREET SUITE 105	HOLYOKE	MA	01040	042723429	PROPERTY MANAGEMENT	MA								N/A
CENTENNIAL SURGUNIT LLC
502 CENTENNIAL BLVD SUITE 1	VOORHEES	NJ	08043	223580847	HEALTHCARE SERVICES	NJ								N/A
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	$2,510,077	$969,504	0	0	0.51000
CENTRAL NEW JERSEY HEART SERVICES LLC
PO BOX 148	BAYONNE	NJ	07002	208525458	CARDIAC PROGRAM	NJ								N/A
CLINTON IMAGING SERVICES LLC
615 VALLEY VIEW DR STE 202	MOLINE	IL	61265	412044739	MRI DIAGNOSTIC SERVICES	IA								N/A
EAST NORRITON MEDICAL ASSOCIATES
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232319531	MEDICAL OFFICE BUILDING	PA								N/A
FOREST PARK IMAGING LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134365966	X-RAY AND MAMMOGRAPHY SERVICES	IA								N/A
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROAD	ANN ARBOR	MI	48104	382648446	LABORATORY	MI	TRINITY HEALTH-MICHIGAN	UNRELATED	$104,257	$862,943	0	Yes (1)	0.66670
FRESNO IMAGING CENTER
1303 E HERNDON AVE	FRESNO	CA	93720	770363563	FORMERLY DIAGNOSTIC IMAGING, IN DISSOLUTION	CA								N/A
GATEWAY HEALTH PLAN LP
444 LIBERTY AVE	PITTSBURGH	PA	15222	251691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE	PA								N/A
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE L	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA								N/A
IDAHO ASC HOLDINGS LLC
1055 N CURTIS ROAD	BOISE	ID	83706	364729605	HOLDING COMPANY FOR AMBULATORY SURGERY	ID								N/A
INNOVATIVE HEALTH ALLIANCE OF NEW YORK LLC
14 COLUMBIA CIRCLE DRIVE	ALBANY	NY	12203	465676066	ACCOUNTABLE CARE ORGANIZATION	NY								N/A
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
3000 RIVERCHASE GALLERIA	BIRMINGHAM	AL	35244	364119522	SURGICAL SERVICES	IL								N/A
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW	MASON CITY	IA	50401	421328388	MRI SERVICES	IA								N/A
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SW	MASON CITY	IA	50401	201960348	SURGERY-SAME DAY	IA								N/A
MCE MOB IV LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	421544707	MEDICAL OFFICE BUILDING RENTAL	OH								N/A
MCMC POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311392994	MEDICAL OFFICE BUILDING RENTAL	OH								N/A
MEDILUCENT MOB I
793 W STATE STREET	COLUMBUS	OH	43222	204911370	MEDICAL OFFICE BUILDING RENTAL	OH								N/A
MERCY ADVANCED MRI LLC
2525 SOUTH MICHIGAN AVE	CHICAGO	IL	60616	262116721	SUBLEASE MRI EQUIPMENT	IL								N/A
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA								N/A
MERCYMANOR PARTNERSHIP
PO BOX 10086	TOLEDO	OH	43699	521931012	NURSING HOME	PA								N/A
MERCYUSP HEALTH VENTURES LLC
15305 DALLAS PARKWAY STE 1600 LB 28	ADDISON	TX	75001	471290300	OUTPATIENT SURGERY	IA								N/A
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311369473	MEDICAL OFFICE BUILDING RENTAL	OH								N/A
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
2601 HOLME AVE	PHILADELPHIA	PA	19152	232388040	MEDICAL OFFICE BUILDING	PA								N/A
NEWCO AMBULATORY SURGERY CTR LLP
4190 24TH AVENUE	FORT GRATIOT	MI	48059	300136708	OUTPATIENT SURGERY CENTER	MI	TRINITY HEALTH-MICHIGAN DBA ST JOSEPH MERCY PORT HURON	RELATED	$200,422	$1,181,840	0	Yes (1)	0.50000
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREET	OAKLAND PARK	FL	33334	352325646	AMBULATORY SURGERY CENTER	FL								N/A
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102	BOISE	ID	83706	510483218	PHARMACY	ID								N/A
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200	BYRON CENTER	MI	49315	202443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	$673,225	$1,289,374	0	0	0.51000
SJV MANAGEMENT LLC
200 CENTURY PKWY STE 200E	MOUNT LAUREL	NJ	08054	202273476	RADIOLOGY	NJ								N/A
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	364559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA								N/A
ST AGNES LONG-TERM INTENSIVE CARE LLP
C/O MHS ONE WEST ELM ST STE 100	CONSHOHOCKEN	PA	19428	200984882	LONG TERM INTENSIVE CARE	PA								N/A
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DR	CALDWELL	ID	83605	820526861	RADIATION ONCOLOGY	ID								N/A
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311603660	MEDICAL OFFICE BUILDING RENTAL	OH								N/A
ST MARY REHABILITATION HOSPITAL LLP
680 SOUTH FORTH STREET	LOUISVILLE	KY	40202	273938747	HEALTHCARE SERVICES	DE								N/A
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON STE 201	ALBANY	NY	12206	460463892	OUTPATIENT SURGERY	NY								N/A
TAMARACK MEDICAL CLINIC LLC
402 LAKE CASCADE PARKWAY	CASCADE	ID	83611	201637921	OUTPATIENT MEDICAL SERVICES	ID								N/A
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232871206	OUTPATIENT SURGERY	PA								N/A
TRINITY HEALTH PARTNERS LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	472798085	POPULATION HEALTH MANAGEMENT	DE								N/A
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311784409	MEDICAL OFFICE BUILDING RENTAL	OH								N/A
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DR	ANN ARBOR	MI	48106	760820959	RADIOLOGY/ IMAGING	MI	TRINITY HEALTH-MICHIGAN	RELATED	$1,419,619	$1,517,338	0	0	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (50 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
AFFILIATED MANAGEMENT SERVICES CORPORATION INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141668024	REAL ESTATE	NY	N/A	C	Yes (1)
CARBONDALE PHYSICIANS' SERVICES INC
100 LINCOLN AVE	CARBONDALE	PA	18407	232365077	PHARMACY	PA	N/A	C	Yes (1)
CATHERINE HORAN BUILDING CORP
1233 MAIN STREET	HOLYOKE	MA	01040	042938160	BUILDING MANAGEMENT	MA	N/A	C	Yes (1)
CATHOLIC HEALTH EAST SENIOR SERVICES
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	371572595	SENIOR SERVICES	PA	N/A	C	Yes (1)
CHESTNUT RISK SERVICES LTD
					INSURANCE		N/A	C	Yes (1)	11 VICTORIA STREET	HAMILTON	BD	BD
DIVERSIFIED COMMUNITY SERVICES INC
1233 MAIN STREET	HOLYOKE	MA	01040	043128890	MEDICAL SERVICES	MA	N/A	C	Yes (1)
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVE	MELROSE PARK	IL	60160	363330529	MANAGEMENT SERVICES	IL	N/A	C	Yes (1)
HACKLEY HEALTH MANAGEMENT CENTER INC
1415 LEAHY ST	MUSKEGON	MI	49442	382961814	WEIGHT MANAGEMENT	MI	N/A	C	Yes (1)
HACKLEY HEALTH VENTURES INC
1415 LEAHY ST	MUSKEGON	MI	49442	382589959	OTHER MEDICAL SERVICES	MI	N/A	C	Yes (1)
HACKLEY HEALTHCARE EQUIPMENT CORP
1415 LEAHY ST	MUSKEGON	MI	49442	382578569	HOME MEDICAL EQUIPMENT	MI	N/A	C	Yes (1)
HACKLEY PROFESSIONAL CENTER INC
1415 LEAHY ST	MUSKEGON	MI	49442	383024797	REAL ESTATE RENTAL	MI	N/A	C	Yes (1)
HACKLEY PROFESSIONAL PHARMACY INC
1415 LEAHY ST	MUSKEGON	MI	49442	382447870	PHARMACY	MI	N/A	C	Yes (1)
HEALTH MANAGEMENT SERVICES ORG INC
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223366580	MEDICAL ADMINISTRATION	NJ	N/A	C	Yes (1)
HEF INC
1415 LEAHY ST	MUSKEGON	MI	49442	383086401	OFFICE STAFFING	MI	N/A	C	Yes (1)
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROAD	SILVER SPRING	MD	20904	521986562	HOME CARE SERVICES	MD	N/A	C	Yes (1)
HPC CO-OWNERS ASSOCIATION
1700 CLINTON	MUSKEGON	MI	49442	270734448	CONDOMINIUM ASSOCIATION	MI	N/A	C	Yes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992	ANN ARBOR	MI	48106	382475644	PROVIDES OFFICE RENTAL SPACE	MI		C	Yes (1)					TRINITY HEALTH-MICHIGAN	$1,335,836	$29,991,830	1.00000
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C	Yes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	253795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C	Yes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C	Yes (1)
LIFECARE PHYSICIANS PC
601 HAMILTON AVENUE	TRENTON	NJ	08629	261649038	HEALTH CARE SERVICES	NJ	N/A	C	Yes (1)
LOURDES MEDICAL ASSOCIATES PA
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223361862	MEDICAL SERVICES	NJ	N/A	C	Yes (1)
LOURDES URGENT CARE SERVICES PC
1600 HADDON AVENUE	CAMDEN	NJ	08103	464188202	MEDICAL SERVICES	NJ	N/A	C	Yes (1)
MANNING MEDICAL PLLC
315 S MANNING BLVD	ALBANY	NY	12208	464331512	MEDICAL SERVICES	NY	N/A	C	Yes (1)
MARYLAND CARE GROUP INC
11801 TECH ROAD	SILVER SPRING	MD	20904	521815313	HEALTHCARE HOLDING	MD	N/A	C	Yes (1)
MCMC EASTWICK INC
C/O MHS ONE WEST ELM STREET STE 100	CONSHOHOCKEN	PA	19428	232184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C	Yes (1)
MEDNOW INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820389927	MEDICAL SERVICES	ID	N/A	C	Yes (1)
MERCY INPATIENT MEDICAL ASSOCIATES INC
1233 MAIN STREET	HOLYOKE	MA	01040	043029929	MEDICAL SERVICES	MA	N/A	C	Yes (1)
MERCY MEDICAL SERVICES
801 5TH STREET	SIOUX CITY	IA	51101	421283849	PRIMARY CARE PHYSICIANS	IA	N/A	C	Yes (1)
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227348	DORMANT	IL	N/A	C	Yes (1)
MICHIGAN ATHLETIC CLUB
2500 BURTON	GRAND RAPIDS	MI	49506	382647304	ATHLETIC CLUB	MI		C	Yes (1)					HURON ARBOR CORPORATION	-$6,393		0.90000
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311382442	MEDICAL SERVICES	OH	N/A	C	Yes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAY	FORT LAUDERDALE	FL	33308	591145192	MEDICAL SERVICES	FL	N/A	C	Yes (1)
PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST
1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	046608649	PROPERTY MANAGEMENT	MA	N/A	C	Yes (1)
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230	FRESNO	CA	93729	770395267	FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS	CA	N/A	C	Yes (1)
PROVIDENCE HOME CARE INC
1233 MAIN STREET	HOLYOKE	MA	01040	043317426	HEALTH CARE SERVICES	MA	N/A	C	Yes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C	Yes (1)
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROAD	BOISE	ID	83706	331078261	PHYSICIANS	ID	N/A	C	Yes (1)
SAINT MARY'S HEALTH MANAGEMENT COMPANY
200 JEFFERSON AVENUE SE	GRAND RAPIDS	MI	49503	383450733	ATHLETIC CLUB	MI		C	Yes (1)					TRINITY HEALTH-MICHIGAN			1.00000
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUE	TROY	NY	12180	141607244	REAL ESTATE	NY	N/A	C	Yes (1)
SJM PROPERTIES INC
411 CANISTEO STREET	HORNELL	NY	14843	161294991	PROPERTY HOLDINGS	NY	N/A	C	Yes (1)
ST MARY'S HIGHLAND HILLS VILLAGE INC
1230 BAXTER STREET	ATHENS	GA	30606	582276801	ASSISTED LIVING	GA	N/A	C	Yes (1)
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311531102	FINANCE, INSURANCE AND REAL ESTATE	OH	N/A	C	Yes (1)
SYSTEM COORDINATED SERVICES INC
1233 MAIN STREET	HOLYOKE	MA	01040	042938181	LAB SERVICES	MA	N/A	C	Yes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI		C	Yes (1)					TRINITY HEALTH-MICHIGAN			0.99000
TRINITY HEALTH ACO INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C	Yes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T	Yes (1)
VENZKE INSURANCE COMPANY LTD
				980453602	PROVISION OF INSURANCE COVERAGE			C	Yes (1)	PO BOX 1051 GRAND CAYMAN	GRAND CAYMAN	CJ	CJ	TRINITY HEALTH-MICHIGAN		$618,599,468	1.00000
WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM
1820 44TH STREET SE	KENTWOOD	MI	49508	382700166	CONDOMINIUM ASSOCIATION	MI	N/A	C	Yes (1)
WORKPLACE HEALTH OF GRAND HAVEN INC
1415 LEAHY ST	MUSKEGON	MI	49442	383112035	OCCUPATIONAL HEALTH	MI	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (42 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROBILITY THERAPY SERVICES
B	$6,207,807	PER BOOKS
IHA HEALTH SERVICES CORPORATION
C	$1,818,015	PER BOOKS
IHA HEALTH SERVICES CORPORATION
L	$3,111,262	PER BOOKS
IHA HEALTH SERVICES CORPORATION
M	$31,088,917	PER BOOKS
IHA HEALTH SERVICES CORPORATION
P	$1,656,430	PER BOOKS
IHA HEALTH SERVICES CORPORATION
Q	$3,331,619	PER BOOKS
WOODLAND IMAGING CENTER LLC
L	$938,786	PER BOOKS
WOODLAND IMAGING CENTER LLC
M	$4,635,857	PER BOOKS
HURON ARBOR CORPORATION
L	$1,279,610	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
M	$586,878	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
Q	$2,738,078	PER BOOKS
SAINT MARY'S HEALTH MANAGEMENT COMPANY
C	$93,738	PER BOOKS
SAINT MARY'S FOUNDATION
B	$640,470	PER BOOKS
MERCY HEALTH PARTNERS
P	$611,807	PER BOOKS
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
M	$96,474	PER BOOKS
MOUNT CARMEL HEALTH SYSTEM
L	$2,222,742	PER BOOKS
HOLY CROSS HEALTH INC
L	$542,174	PER BOOKS
MERCY HEALTH PARTNERS
L	$4,739,147	PER BOOKS
MERCY HEALTH PARTNERS
M	$134,965	PER BOOKS
MERCY HEALTH PARTNERS
Q	$4,214,144	PER BOOKS
NEWCO AMBULATORY SURGERY CTR LLP
L	$3,381,119	PER BOOKS
PORT HURON MERCY FAMILY CARE INC
B	$108,202	PER BOOKS
TRINITY CONTINUING CARE SERVICES
L	$213,569	PER BOOKS
TRINITY HEALTH CORPORATION
B	$47,679,807	PER BOOKS
TRINITY HEALTH CORPORATION
C	$856,353	PER BOOKS
TRINITY HEALTH CORPORATION
M	$132,615,417	PER BOOKS
TRINITY HEALTH CORPORATION
P	$116,747,152	PER BOOKS
TRINITY HEALTH CORPORATION
Q	$1,312,563	PER BOOKS
TRINITY HEALTH CORPORATION
R	$34,697,789	PER BOOKS
TRINITY HOME HEALTH SERVICES INC
M	$332,046	PER BOOKS
TRINITY HOME HEALTH SERVICES INC
Q	$57,080	PER BOOKS
MISSION HEALTH CORPORATION
K	$76,725	PER BOOKS
MISSION HEALTH CORPORATION
S	$175,000	PER BOOKS
ADVENT REHABILITATION LLC
C	$450,000	PER TAX RETURN
CENTER FOR DIGESTIVE CARE LLC
C	$2,465,881	PER TAX RETURN
FRANCES WARD MEDICAL LABORATORY
C	$90,867	PER TAX RETURN
NEWCO AMBULATORY SURGERY CTR LLP
C	$110,000	PER TAX RETURN
SIXTY FOURTH STREET LLC
B	$114,282	PER TAX RETURN
SIXTY FOURTH STREET LLC
C	$698,952	PER TAX RETURN
WOODLAND IMAGING CENTER LLC
C	$1,243,416	PER TAX RETURN
SAINT MARY'S FOUNDATION
C	$2,486,864	PER BOOKS
MERCY HOSPITAL CADILLAC FOUNDATION
C	$149,659	PER BOOKS