TRINITY HEALTH-MICHIGAN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: TRINITY HEALTH-MICHIGAN (EIN 38-2113393)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-13
IRS object ID: 201431339349302078
Schema version: 2012v2.1
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)
Timestamp	2014-05-13T10:10:17-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	382113393	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY HEALTH - MICHIGAN	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	TRIN	NameControl
Phone	7343431000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1
City	LIVONIA	City
State	MI	State
ZIP Code	481527018	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BENJAMIN CARTER	Name
Title	CFO	Title
Phone	7343431000	Phone
Date Signed	2014-05-10	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O FOR LIST	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RICHARD GILFILLAN MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1
City	LIVONIA	City
State	MI	State
ZIP Code	481527018	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2494530645	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.TRINITY-HEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1976	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	HEALTH CARE SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	20122	TotalNbrEmployees
Total Nbr Volunteers	2420	TotalNbrVolunteers
Total Gross UBI	44284775	TotalGrossUBI
Net Unrelated Business Txbl Income	-518541	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	20715254	ContributionsGrantsPriorYear
Contributions Grants Current Year	17760337	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2295921306	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2321925909	ProgramServiceRevenueCY
Investment Income Prior Year	21215855	InvestmentIncomePriorYear
Investment Income Current Year	46159381	InvestmentIncomeCurrentYear
Other Revenue Prior Year	76992243	OtherRevenuePriorYear
Other Revenue Current Year	89948230	OtherRevenueCurrentYear
Total Revenue Prior Year	2414844658	TotalRevenuePriorYear
Total Revenue Current Year	2475793857	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1478755	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1573554	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1032442355	SalariesEtcPriorYear
Salaries Etc Current Year	1057257330	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	165614	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	28876	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	4371226	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1253065422	OtherExpensePriorYear
Other Expenses Current Year	1278102676	OtherExpensesCurrentYear
Total Expenses Prior Year	2287152146	TotalExpensesPriorYear
Total Expenses Current Year	2336962436	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	127692512	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	138831421	RevenuesLessExpensesCY
Total Assets BOY	3446109503	TotalAssetsBOY
Total Assets EOY	3000851139	TotalAssetsEOY
Total Liabilities BOY	1213866974	TotalLiabilitiesBOY
Total Liabilities EOY	1301210075	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2232242529	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1699641064	NetAssetsOrFundBalancesEOY
Mission Description	HEALTH CARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	2166572274	Expense
Grants	1573554	Grants
Revenue	2320122401	Revenue
Description	TRINITY HEALTH - MICHIGAN OPERATED HOSPITALS IN 7 AREAS OF MICHIGAN THAT PROVIDED 502,648 DAYS OF HEALTHCARE SERVICES TO THEIR COMMUNITIES.THE MISSION STATEMENT OF TRINITY HEALTH - MICHIGAN IS AS FOLLOWS:WE, CHE TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.	Description
Total Program Service Expense	2166572274	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	3229	NumberFormsTransmittedWith1096
Number W2 G Included	2	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	20122	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7343431000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1
City	LIVONIA	City
State	MI	State
ZIP Code	481527018	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (55 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JOSEPH SWEDISH
TRINITY PRES & CEO THROUGH 3/13	1.00	54.00	X	X	0	3233500	601476
LARRY WARREN
TRINITY INTERIM PRES & CEO 3/13-4/13	5.00	50.00	X	X	0	25000	0
JUDITH PERSICHILLI
TRIN INTERIM PRES & CEO AS OF 5/13	1.00	54.00	X	X	0	3890553	17510
MARY MOLLISON CSA
CHAIR THROUGH 4/13	2.00	14.00	X	X	0	0	0
MELANIE DREHER PHD RN
V CHR THROUGH 4/13; CHAIR AS OF 5/13	2.00	14.00	X	X	0	25000	0
BARBARA WHEELEY RSM
VICE CHAIR AS OF 5/13	1.00	7.00	X	X	0	0	0
SUZANNE BRENNAN CSC
TRUSTEE	1.00	7.00	X		0	0	0
JOSE SANTILLAN
TRUSTEE THROUGH 2/13	1.00	7.00	X		0	22750	0
STANLEY URBAN
TRUSTEE AS OF 5/13	1.00	7.00	X		0	0	0
PAUL NEUMANN
SECRETARY; EVP & GENERAL COUNSEL	2.00	48.00		X	0	812881	106329
AGNES HAGERTY
ASST SEC; VP DEPUTY GEN CSL TRINITY	2.00	48.00		X	0	368657	54774
JENNIFER BARNETT
TREAS AS OF 5/13; TRIN EVP & INT CFO	1.00	49.00		X	0	927285	22601
BENJAMIN CARTER
TREAS 4/13; ASST TREAS AS OF 5/13	5.00	45.00		X	0	799303	112810
JAMES BOSSCHER
ASST TREAS THR 4/13; TRIN SVP TREAS	1.00	49.00		X	0	586570	91437
KEDRICK ADKINS
TRINITY PRES INTEG SYS THR 6/13	1.00	54.00			0	1821619	126167	X
RICHARD O'CONNELL
EVP & PRES TRINITY HEALTH DIV.	1.00	54.00			0	1036410	130423	X
GARRY FAJA
REG MKT EXEC - EAST MICH.	49.40	0.60			0	969031	84796	X
PHILIP MCCORKLE
REG MKT EXEC - WEST MICH.	47.50	2.50			0	653026	57962	X
JACK WEINER
SJ MERCY OAKLAND CEO	50.00	0.00			0	637507	136477	X
ROBERT CASALOU
SJ MERCY HEALTH SYSTEM CEO	49.00	1.00			0	619307	97325	X
DAVID SPIVEY
ST. MARY MERCY LIVONIA CEO	49.00	1.00			0	528816	97710	X
CHARLES HOFFMAN SJMHS CFO THR 812
8/12; SE MI REG VP BUS & SYS DEV	48.40	1.60			0	510320	53956	X
NANCY GRAEBNER
CHELSEA HOSPITAL CEO AS OF 1/12	50.00	0.00			0	405132	50086	X
BARBARA HERTZLER
SJ MERCY OAKLAND COO	50.00	0.00			0	404465	63279	X
RANDALL WAGNER
MERCY HEALTH SAINT MARY'S COO	50.00	0.00			0	367660	42797	X
JOHN MACLEOD
MERCY CADILLAC CEO	49.00	1.00			0	350474	74435	X
ROBERT SMYTHE
SJ MERCY HLTH SYS COO THROUGH 4/13	50.00	0.00			0	345864	35056	X
STEPHANIE RIEMER-MATUZAK
MERCY GRAYLING CEO	50.00	0.00			0	330437	85728	X
MICHAEL GUSHO
SJM OAK CFO THR 9/12; SE MI REG CFO	50.00	0.00			0	329828	61518	X
CLAUDE LAUDERBACH
ST. MARY MERCY LIVONIA COO	50.00	0.00			0	275454	60877	X
DEBORAH ARMSTRONG
SJ MERCY PORT HURON INTERIM CFO	50.00	0.00			0	260000	19850	X
REBEKAH SMITH
SJ MERCY PORT HURON CEO	49.00	1.00			0	245685	52990	X
MICHAEL SAMYN
ST. MARY MERCY LIVONIA CFO	50.00	0.00			0	243268	37110	X
KATHLEEN O'CONNOR
SJMHS VP FINANCE AS OF 1/12	50.00	0.00			276459	0	59752	X
KRISTOPHER AALDERINK
ORTHOPEDIC SURGEON (SJMHS)	50.00	0.00			959499	0	26978		X
CREG CARPENTER
ORTHOPEDIC SURGEON (CHELSEA HOSP)	50.00	0.00			747211	0	30925		X
GEORGE GIBSON
ORTHOPEDIC SURGEON (SJMHS)	50.00	0.00			720682	0	20024		X
TALLAL ZENI
BARIATRIC SURGEON (SMM LIVONIA)	50.00	0.00			718204	0	39328		X
MARK KELLEY
ORTHOPEDIC SURGEON (SJMHS)	50.00	0.00			713255	0	37159		X
DANIEL HALE
FORMER OFFICER	0.00	50.00			0	856049	63490			X
MARIANNE CUNNINGHAM
FORMER OFFICER	0.00	45.00			0	165279	32527			X
STEPHEN PIROG
FORMER KEY EMPLOYEE	10.00	0.00			0	236406	53138			X
PETER KARADJOFF
FORMER KEY EMPLOYEE	0.00	0.00			0	117000	18595			X
PAUL BROWNE
FORMER KEY EMPLOYEE	0.00	0.00			0	480030	41852			X
DEBRA CANALES
FORMER KEY EMPLOYEE	0.00	50.00			0	852044	102033			X
PAUL CONLON
FORMER KEY EMPLOYEE	0.00	50.00			0	488655	114364			X
LOUIS FIERENS
FORMER KEY EMPLOYEE	0.00	50.00			0	518640	68929			X
PRESTON GEE
FORMER KEY EMPLOYEE	0.00	50.00			0	468475	79749			X
MICHAEL HOLPER
FORMER KEY EMPLOYEE	0.00	50.00			0	450005	94299			X
TERRENCE O'ROURKE
FORMER KEY EMPLOYEE	0.00	50.00			0	964005	56964			X
MARIA SZYMANSKI
FORMER KEY EMPLOYEE	0.00	50.00			0	624384	76589			X
ROGER SPOELMAN
FORMER KEY EMPLOYEE	0.00	50.00			0	724012	125216			X
GREGORY LOOMIS
FORMER KEY EMPLOYEE	0.00	50.00			0	368881	52203			X
GARY ALLORE
FORMER KEY EMPLOYEE	0.00	50.00			0	334125	39015			X
MICHAEL MURPHY
FORMER KEY EMPLOYEE	0.00	0.00			0	180882	16630			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4135310	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	28854674	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3625238	TotalOtherCompensation
Number Individuals GT100 K	861	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
BARTON MALOW COMPANY
26500 AMERICAN DRIVE	SOUTHFIELD	MI	48034	CONSTRUCTION SERVICES	35054504
THE CHRISTMAN COMPANY
208 N CAPITOL AVENUE	LANSING	MI	48933	CONSTRUCTION SERVICES	31549161
GRANGER CONSTRUCTION COMPANY
6267 AURELIUS RD	LANSING	MI	48911	CONSTRUCTION SERVICES	28800315
PINE REST CHRISTIAN HOSPITAL
300 68TH ST	GRAND RAPIDS	MI	49548	HEALTH CARE SERVICES	23492934
MICHIGAN MULTISPECIALTY PHYSICIANS
2350 GREEN RD STE 170	ANN ARBOR	MI	48105	HEALTH CARE SERVICES	8313142

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	251	NumberOfContractorsGT100K
Federated Campaigns	108672	FederatedCampaigns
Fundraising Events	1722515	FundraisingEvents
Related Organizations	231716	RelatedOrganizations
Government Grants	3376996	GovernmentGrants
All Other Contributions	12320438	AllOtherContributions
Noncash Contributions	526514	NoncashContributions
Total Contributions	17760337	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT SVC REV	900099	2240339007	2240339007
PHARMACY REVENUE	446110	60542066		22791800	$37,750,266
LABORATORY REVENUE	621500	21044836		21044836

Field	Value	IRS element (for citing)
Total Program Service Revenue	2321925909	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	31486504	TotalRevenueColumn
Exclusion	$31,486,504	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	11361185	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	14061708	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-2700523	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-2700523	TotalRevenueColumn
Exclusion	-$2,700,523	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	13818107	Securities
Other	2430944	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	1576174	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	13818107	Securities
Other	854770	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	14672877	TotalRevenueColumn
Exclusion	$14,672,877	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	759871	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	1722515	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	1222392	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-462521	TotalRevenueColumn
Exclusion	-$462,521	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	40978	GrossIncomeGaming
Gaming Direct Expenses	17626	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	23352	TotalRevenueColumn
Exclusion	$23,352	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	3515954	GrossSalesOfInventory
Cost Of Goods Sold	1858888	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1657066	TotalRevenueColumn
Exclusion	$1,657,066	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
MEDICARE/MEDICAID HIT	900099	16931642	16931642
CAFETERIA REVENUE	900099	11199323		$11,199,323
PROVIDER INCENTIVE	900099	3798385	3798385

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	59501506	TotalRevenueColumn
Related Or Exempt Function Income	59053367	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	448139	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	91430856	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2475793857	TotalRevenueColumn
Related Or Exempt Function Income	2320122401	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	44284775	UnrelatedBusinessRevenue
Exclusion	$93,626,344	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1524082	Total
Program Services	1524082	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	49472	Total
Program Services	49472	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	9834919	Total
Management And General	9834919	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	381346	Total
Program Services	168110	ProgramServices
Management And General	213236	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	845263936	Total
Program Services	767161222	ProgramServices
Management And General	76188166	ManagementAndGeneral
Fundraising	1914548	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	55092992	Total
Program Services	50159869	ProgramServices
Management And General	4933123	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	86896204	Total
Program Services	78208923	ProgramServices
Management And General	8352569	ManagementAndGeneral
Fundraising	334712	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	59787933	Total
Program Services	53685169	ProgramServices
Management And General	5965019	ManagementAndGeneral
Fundraising	137745	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	927664	Total
Program Services	834898	ProgramServices
Management And General	92766	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1746109	Total
Management And General	1746109	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	18844	Total
Management And General	18844	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	32000	Total
Management And General	32000	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	28876	Total
Fundraising	28876	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	207298050	Total
Program Services	185402692	ProgramServices
Management And General	20600299	ManagementAndGeneral
Fundraising	1295059	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	9000175	Total
Program Services	8013147	ProgramServices
Management And General	890350	ManagementAndGeneral
Fundraising	96678	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	35087388	Total
Program Services	33122529	ProgramServices
Management And General	1743291	ManagementAndGeneral
Fundraising	221568	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	92071064	Total
Program Services	82863958	ProgramServices
Management And General	9207106	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	43046434	Total
Program Services	40875089	ProgramServices
Management And General	2151320	ManagementAndGeneral
Fundraising	20025	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	2599090	Total
Program Services	2452504	ProgramServices
Management And General	129079	ManagementAndGeneral
Fundraising	17507	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1882470	Total
Program Services	1686832	ProgramServices
Management And General	187426	ManagementAndGeneral
Fundraising	8212	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	33353584	Total
Program Services	33331633	ProgramServices
Fundraising	21951	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	138059427	Total
Program Services	131153521	ProgramServices
Management And General	6902816	ManagementAndGeneral
Fundraising	3090	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	15004395	Total
Program Services	14254175	ProgramServices
Management And General	750220	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	371455954	371434648	21306
BAD DEBT	106795067	106795067
INTERCO. PURCHASED SVCS	81493272	73285269	65195	8142808
HOSPITAL PROVIDER TAX	54153373	54153373

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	84078316	Total
Program Services	75956092	ProgramServices
Management And General	7937470	ManagementAndGeneral
Fundraising	184754	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2336962436	Total
Program Services	2166572274	ProgramServices
Management And General	166018936	ManagementAndGeneral
Fundraising	4371226	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	11754754	BOY
EOY	13476573	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2569346	BOY
EOY	2068643	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	11601508	BOY
EOY	10804980	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	279854428	BOY
EOY	251580301	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	7029712	BOY
EOY	24190179	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	34246486	BOY
EOY	37335081	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9873081	BOY
EOY	15230738	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2680669640	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1426603454	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1155447596	BOY
EOY	1254066186	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	369836717	BOY
EOY	563314428	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	588998271	BOY
EOY	529193813	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	32123701	BOY
EOY	31939271	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	942773903	BOY
EOY	267650946	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3446109503	BOY
EOY	3000851139	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	209014224	BOY
EOY	239435280	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	623801	BOY
EOY	1735530	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	22795354	BOY
EOY	23531943	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	981433595	BOY
EOY	1036507322	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1213866974	BOY
EOY	1301210075	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2207268592	BOY
EOY	1670489813	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12288809	BOY
EOY	15883496	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12685128	BOY
EOY	13267755	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2232242529	BOY
EOY	1699641064	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3446109503	BOY
EOY	3000851139	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	138831421	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	20621737	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-692054623	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$117,990	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$109,440	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	227430	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	TRINITY HEALTH - MICHIGAN (TH-MI) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE 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. FEDERAL AND STATE ADVOCACY PRIORITIES FOR FY13 INCLUDED: - ENSURING MAXIMUM COVERAGE AND ACCESS, INCLUDING SUPPORTING EXCHANGE IMPLEMENTATION AND MEDICAID EXPANSION - DRIVING QUALITY AND EFFICIENCY ACROSS THE CONTINUUM OF CARE WITH VALUE-BASED, SUSTAINABLE PAYMENT MODELS 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 FEDERAL LEVEL, ATTENDED BY TRINITY HEALTH - MICHIGAN EXECUTIVES	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14089151	BeginningOfYearBalance
Contributions	197316	Contributions
Investment Earnings Or Losses	1027047	InvestmentEarningsOrLosses
Other Expenditures	641736	OtherExpenditures
End Of Year Balance	14671778	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15077828	BeginningOfYearBalance
Contributions	-176284	Contributions
Investment Earnings Or Losses	-812393	InvestmentEarningsOrLosses
End Of Year Balance	14089151	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14367389	BeginningOfYearBalance
Contributions	223954	Contributions
Investment Earnings Or Losses	486485	InvestmentEarningsOrLosses
End Of Year Balance	15077828	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13827175	BeginningOfYearBalance
Contributions	203571	Contributions
Investment Earnings Or Losses	336643	InvestmentEarningsOrLosses
End Of Year Balance	14367389	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13890593	BeginningOfYearBalance
Contributions	378849	Contributions
Investment Earnings Or Losses	-442267	InvestmentEarningsOrLosses
End Of Year Balance	13827175	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.08520	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.90430	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.01050	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	68152219	OtherCostOrOtherBasis
Book Value	68152219	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1570704400	OtherCostOrOtherBasis
Depreciation	758900127	Depreciation
Book Value	811804273	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	853547265	OtherCostOrOtherBasis
Depreciation	656466554	Depreciation
Book Value	197080711	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	188265756	OtherCostOrOtherBasis
Depreciation	11236773	Depreciation
Book Value	177028983	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1254066186	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	161998106	F
EQUITY METHOD INVESTMENTS	194397727	C
HEDGE FUNDS	172797980	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	529193813	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
OTHER RECEIVABLES	20905334
INTERCOMPANY ACCOUNTS RECEIVABLE	104176703
INVESTMENT IN UNCONSOLIDATED AFFILIATES	28761743
INTERCOMPANY OTHER LT ASSETS	113145738
OTHER ASSETS	661428

Field	Value	IRS element (for citing)
Total Book Value Other Assets	267650946	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY ACCOUNTS PAYABLE	$73,191,310
DEFERRED COMPENSATION	$9,684,408
ASSET RETIREMENT OBLIGATION (FIN 47)	$2,607,527
OTHER LIABILITIES	$2,896,518
ANNUITIES PAYABLE	$1,755,085
INTERCOMPANY NOTES PAYABLE	$946,124,744
LEASE OBLIGATION	$247,730

Field	Value	IRS element (for citing)
Total Of Amounts	1036507322	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	Identifier
Return Reference	PART V, LINE 4:	ReturnReference
Explanation	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.	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Phone Solicitations	X	PhoneSolicitations
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

Field	Value	IRS element (for citing)
Business Name Line1	HARRIS CONNECT LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1400-A CROSSWAYS BLVD	AddressLine1
City	CHESAPEAKE	City
State	VA	State
ZIP Code	23320	ZIPCode

Field	Value	IRS element (for citing)
Activity	EXPLORATORY AND TIER II PHONE CALLS	Activity
Fundraiser Control Of Funds	0	FundraiserControlOfFunds
Gross Receipts	0	GrossReceipts
Amount Retained By Contractor	28876	AmountRetainedByContractor
Net To Organization	-28876	NetToOrganization

Field	Value	IRS element (for citing)
Total Retained By Contractors	28876	TotalRetainedByContractors
Total Net To Organization	-28876	TotalNetToOrganization
Licensed States	MI	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	HOLIDAY BALL -ANN ARBOR	NameOfEvent1
Gross Receipts Event1	765127	GrossReceiptsEvent1
Charitable Contributions Event1	605711	CharitableContributionsEvent1
Gross Revenue Event1	159416	GrossRevenueEvent1
Rent Facility Costs Event1	60678	RentFacilityCostsEvent1
Food And Beverage Event1	201827	FoodAndBeverageEvent1
Entertainment Event1	11200	EntertainmentEvent1
Other Direct Expenses Event1	193612	OtherDirectExpensesEvent1
Name Of Event2	SPRING AUCTION -CHELSEA	NameOfEvent2
Gross Receipts Event2	309719	GrossReceiptsEvent2
Charitable Contributions Event2	241096	CharitableContributionsEvent2
Gross Revenue Event2	68623	GrossRevenueEvent2
Rent Facility Costs Event2	1450	RentFacilityCostsEvent2
Food And Beverage Event2	7818	FoodAndBeverageEvent2
Other Direct Expenses Event2	93544	OtherDirectExpensesEvent2
Total Number Of Other Events	29	TotalNumberOfOtherEvents
Gross Receipts Other Events	1407540	GrossReceiptsOtherEvents
Charitable Contrib Other Events	875708	CharitableContribOtherEvents
Gross Revenue Other Events	531832	GrossRevenueOtherEvents
Non Cash Prizes Other Events	2324	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	57198	RentFacilityCostsOtherEvents
Food And Beverage Other Events	223139	FoodAndBeverageOtherEvents
Entertainment Other Events	24175	EntertainmentOtherEvents
Other Direct Expenses Other Events	345427	OtherDirectExpensesOtherEvents
Gross Receipts Total	2482386	GrossReceiptsTotal
Charitable Contributions Total	1722515	CharitableContributionsTotal
Gross Revenue Total Events	759871	GrossRevenueTotalEvents
Non Cash Prizes Total Events	2324	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	119326	RentFacilityCostsTotalEvents
Food And Beverage Total Events	432784	FoodAndBeverageTotalEvents
Entertainment Total Events	35375	EntertainmentTotalEvents
Other Direct Expenses Total Events	632583	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	1222392	DirectExpenseSummaryEvents
Net Income Summary	-462521	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	40978	GrossRevenueOtherGaming
Cash Prizes Other Gaming	3594	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	13332	NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming	700	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	40978	GrossRevenueTotalGaming
Cash Prizes Total Gaming	3594	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	13332	NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming	700	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	17626	DirectExpenseSummaryGaming
Net Gaming Income Summary	23352	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MI	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	1	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

Field	Value	IRS element (for citing)
Business Name Line1	BRANDY MARINO ST JOSEPH MERCY HEALTH SYSTEM	BusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	5305 E HURON RIVER DR PO BOX 995	AddressLine1
City	ANN ARBOR	City
State	MI	State
ZIP Code	48106	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	BRANDY MARINO ST JOSEPH MERCY HEA	GamingManagerNamePerson
Gaming Manager Compensation	1144	GamingManagerCompensation
Gaming Manager Services Provided	FINANCIAL REPORTING, CASH DEPOSITS.	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	0	CharitableDistribRequired

Form990 Schedule G Part IV Form990ScheduleGPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF FUNDRAISING PAYMENTS	Identifier
Return Reference	SCHEDULE G, PART I, LINE 2B, COLUMN (V)	ReturnReference
Explanation	TRINITY HEALTH - MICHIGAN PAID HARRIS CONNECT, LLC $276 IN REIMBURSEMENT OF EXPENSES. THE AGREEMENT SPECIFIES THAT ALL ITEMIZED EXPENSES FOR FUNDRAISING MATERIALS AND SUPPLIES WILL BE FULLY REIMBURSED AND THE FEE FOR FUNDRAISING WILL BE BASED ON THE MONTHLY CONTRACTED FEE.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Tailored To Ind Hospitals	X	PolicyTailoredToIndHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	82489	PersonsServed
Total Community Benefit Expense	56375109	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11782539	DirectOffsettingRevenue
Net Community Benefit Expense	44592570	NetCommunityBenefitExpense
Percent Of Total Expense	0.02000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	245728	PersonsServed
Total Community Benefit Expense	223402438	TotalCommunityBenefitExpense
Direct Offsetting Revenue	170845306	DirectOffsettingRevenue
Net Community Benefit Expense	52557132	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	72386	PersonsServed
Total Community Benefit Expense	20967713	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11710156	DirectOffsettingRevenue
Net Community Benefit Expense	9257557	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	29	NumberOfActivitiesOrPrograms
Persons Served	400603	PersonsServed
Total Community Benefit Expense	300745260	TotalCommunityBenefitExpense
Direct Offsetting Revenue	194338001	DirectOffsettingRevenue
Net Community Benefit Expense	106407259	NetCommunityBenefitExpense
Percent Of Total Expense	0.04780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	143	NumberOfActivitiesOrPrograms
Persons Served	499534	PersonsServed
Total Community Benefit Expense	10260792	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3112133	DirectOffsettingRevenue
Net Community Benefit Expense	7148659	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Persons Served	1198	PersonsServed
Total Community Benefit Expense	71052263	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41218904	DirectOffsettingRevenue
Net Community Benefit Expense	29833359	NetCommunityBenefitExpense
Percent Of Total Expense	0.01340	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	29	NumberOfActivitiesOrPrograms
Persons Served	108412	PersonsServed
Total Community Benefit Expense	51966619	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31024406	DirectOffsettingRevenue
Net Community Benefit Expense	20942213	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	23	PersonsServed
Total Community Benefit Expense	5211070	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	5211070	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	48	NumberOfActivitiesOrPrograms
Persons Served	13191	PersonsServed
Total Community Benefit Expense	963540	TotalCommunityBenefitExpense
Direct Offsetting Revenue	95132	DirectOffsettingRevenue
Net Community Benefit Expense	868408	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	245	NumberOfActivitiesOrPrograms
Persons Served	622358	PersonsServed
Total Community Benefit Expense	139454284	TotalCommunityBenefitExpense
Direct Offsetting Revenue	75450575	DirectOffsettingRevenue
Net Community Benefit Expense	64003709	NetCommunityBenefitExpense
Percent Of Total Expense	0.02870	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	274	NumberOfActivitiesOrPrograms
Persons Served	1022961	PersonsServed
Total Community Benefit Expense	440199544	TotalCommunityBenefitExpense
Direct Offsetting Revenue	269788576	DirectOffsettingRevenue
Net Community Benefit Expense	170410968	NetCommunityBenefitExpense
Percent Of Total Expense	0.07650	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	326	TotalCommunityBuildingExpense
Net Community Building Expense	326	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	56	PersonsServed
Total Community Building Expense	2037	TotalCommunityBuildingExpense
Net Community Building Expense	2037	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	1013	PersonsServed
Total Community Building Expense	21879	TotalCommunityBuildingExpense
Net Community Building Expense	21879	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	2145	PersonsServed
Total Community Building Expense	21883	TotalCommunityBuildingExpense
Net Community Building Expense	21883	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	112	PersonsServed
Total Community Building Expense	237494	TotalCommunityBuildingExpense
Net Community Building Expense	237494	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	3326	PersonsServed
Total Community Building Expense	283619	TotalCommunityBuildingExpense
Net Community Building Expense	283619	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$37,177,672	BadDebtExpenseAmount
Amount Attributable To	12022566	AmountAttributableTo
Amount Reimbursed By Medicare	621471061	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	591383086	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	30087975	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (11 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
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	0.57580
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)
Number Of Hospital Facilities	9	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (9 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours
ST JOSEPH MERCY ANN ARBOR
1	5301 MCAULEY DR	YPSILANTI	MI	48197	WWW.STJOESHEALTH.ORG	X	X	X	X
MERCY HEALTH ST MARY'S
2	200 JEFFERSON STREET SE	GRAND RAPIDS	MI	49503	WWW.MERCYHEALTHSAINTMARYS.COM	X	X	X	X
ST JOSEPH MERCY OAKLAND
3	44405 WOODWARD AVE	PONTIAC	MI	48341	WWW.STJOESOAKLAND.ORG	X	X	X	X
ST MARY MERCY LIVONIA
4	36475 FIVE MILE RD	LIVONIA	MI	48154	WWW.STMARYMERCY.ORG	X	X	X	X
CHELSEA COMMUNITY HOSPITAL
5	775 S MAIN	CHELSEA	MI	48118	WWW.CCH.ORG	X	X		X
ST JOSEPH MERCY LIVINGSTON
6	620 BYRON RD	HOWELL	MI	48843	WWW.STJOESLIVINGSTON.ORG	X	X	X	X
ST JOSEPH MERCY PORT HURON
7	2601 ELECTRIC AVE	PORT HURON	MI	48060	WWW.MYMERCY.US	X	X		X
MERCY HOSPITAL GRAYLING
8	1100 EAST MICHIGAN AVE	GRAYLING	MI	49738	WWW.MERCYHEALTHGRAYLING.COM	X	X		X
MERCY HOSPITAL CADILLAC
9	400 HOBART STREET	CADILLAC	MI	49601	WWW.MERCYHEALTHCADILLAC.COM	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (9 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	State RegulationStateRegulation	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Other Health IssuesOtherHealthIssues	Other MethodOtherMethod	Posted On WebsitePostedOnWebsite
ST JOSEPH MERCY ANN ARBOR
1	1	X	X	X	X	X	X	X	X	11	1	1	1	X	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	0	X	X	X	X	1	X	0	0
MERCY HEALTH SAINT MARY'S
2	1	X	X	X	X	X	X	X	X	11	1	1	1	X	X	X	X			X	X	X	X	0	0	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	0	X	X	X	X	1	X	0	0	X	X
ST JOSEPH MERCY OAKLAND
3	1	X	X	X	X	X	X	X	X	11	1	0	1	X	X	X	X			X	X	X		1	0	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	X	1	1		X	1	0	X	X	X	X	1	X	0	0	X
ST MARY MERCY LIVONIA
4	1	X	X	X	X	X	X	X	X	11	1	0	1	X	X	X	X			X	X	X	X	0	0	1	1	100.000000000000	1	400.000000000000	1	X	X	X	X	X	X	1	1		X	1	0	X	X	X	X	1	X	0	0	X	X
ST JOSEPH MERCY LIVINGSTON
6	1	X	X	X	X	X	X	X	X	11	1	1	1	X	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	0	X	X	X	X	1	X	0	0
CHELSEA COMMUNITY HOSPITAL
5	1	X	X	X	X	X	X	X	X	11	1	0	1	X	X	X	X	X	X		X	X	X	0	0	1	1	200.000000000000	1	300.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	0	X	X	X	X	1	X	0	0	X
ST JOSEPH MERCY PORT HURON
7	1	X	X	X	X	X	X	X		12	1	0	1	X	X	X	X			X		X	X	1	0	1	1	150.000000000000	1	400.000000000000	1	X	X	X	X	X	X	1	1		X	1	0	X	X	X	X	1	X	0	0	X
MERCY HOSPITAL GRAYLING
8	1	X	X	X	X	X	X	X	X	11	1	0	1	X	X	X	X	X		X	X	X	X	0	0	1	1	100.000000000000	1	300.000000000000	1	X	X	X	X	X		1	1	X	X	1	0	X	X	X	X	1	X	0	0	X		X
MERCY HOSPITAL CADILLAC
9	1	X	X	X	X	X	X	X	X	11	1	0	1	X	X	X	X	X	X	X	X	X	X	1	0	1	1	100.000000000000	1	300.000000000000	1	X	X	X	X	X		1	1	X	X	1	0	X	X	X	X	1	X	0	0	X		X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	105	NumberOfOtherFacilities

Other Facilities OtherFacilities (105 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
(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) REICHERT HEALTH CENTER
5333 MCAULEY DR	YPSILANTI	MI	48197	LAB, IMAGING, AMBULATORY SURG., EMPLOYED PHYSICIANS
(AA) ST JOSEPH MERCY CANTON HEALTH CTR
1600 CANTON CENTER RD	CANTON	MI	48188	LAB, IMAGING, EMERGENCY SERVICES, THERAPY, ONCOLOGY, AMBULATORY SURG.
(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, EMERGENCY SERVICES
(AA) ELLEN THOMPSON WOMEN'S CENTER
5320 ELLIOTT DR	YPSILANTI	MI	48197	WOMEN'S HEALTH
(AA) CHELSEA PROFESSIONAL OFFICE BLDG
14650 OLD US 12	CHELSEA	MI	48118	PHARMACY, ONCOLOGY, EMPLOYED PHYSICIANS
(AA) MARIAN PROFESSIONAL BUILDING
14555 LEVAN RD	LIVONIA	MI	48154	RADIATION ONCOLOGY, REHAB, MRI, EMPLOYED PHYSICIANS
(AA) SLEEP DISORDERS CENTER
5305 ELLIOTT DR	YPSILANTI	MI	48197	SLEEP CLINIC
(AA) MICHIGAN HEART BUILDING
309 PAGE AVE	JACKSON	MI	49201	EMPLOYED PHYSICIANS
(AA) CHELSEA HEALTH & WELLNESS CENTER
20800 OLD US 12	CHELSEA	MI	48118	REHAB
(AA) ST JOSEPH MERCY MAPLE HEALTH BLDG
501 N MAPLE RD	ANN ARBOR	MI	48103	URGENT CARE
(AA) HURON OAKS
5401 MCAULEY DR	YPSILANTI	MI	48197	BEHAVIORAL MEDICINE
(AA) LIVINGSTON OBGYN ASSOCIATES
524 BYRON RD	HOWELL	MI	48843	EMPLOYED PHYSICIANS
(AA) SJMHS OUTPATIENT CLINIC
2310 E STADIUM BLVD	ANN ARBOR	MI	48104	REHAB
(AA) HAAB HEALTH BUILDING
111 N HURON ST	YPSILANTI	MI	48197	EMPLOYED PHYSICIANS
(AA) SALINE PROFESSIONAL OFFICE BLDG
420 W RUSSELL ST	SALINE	MI	48176	REHAB
(AA) CENTER FOR DIGESTIVE CARE
5300 ELLIOTT DR	YPSILANTI	MI	48197	DIGESTIVE CARE
(AA) SALINE ADULT & PEDIATRIC MEDICINE
182 S INDUSTRIAL DR	SALINE	MI	48176	EMPLOYED PHYSICIANS
(AA) MICHIGAN HEART MILAN
870 E ARKONA RD	MILAN	MI	48160	EMPLOYED PHYSICIANS
(AA) MICHIGAN HEART BUILDING
1548 W MAUMEE ST	ADRIAN	MI	49221	EMPLOYED PHYSICIANS
(AA) MONUMENT PARK BUILDING
8031 MAIN ST	DEXTER	MI	48130	EMPLOYED PHYSICIANS
(AA) ST JOSEPH MERCY ARBOR HEALTH CTR
990 W ANN ARBOR TRAIL	PLYMOUTH	MI	48170	LAB
(AA) SUMMERWOOD CENTER
10299 E GRAND RIVER	BRIGHTON	MI	48116	BEHAVIORAL MEDICINE
(AA) ARBOR PARK CENTRE
4972 CLARK RD	YPSILANTI	MI	48197	LAB
(AA) CHERRY HILL LAB
49650 CHERRY HILL RD	CANTON	MI	48187	LAB
(AA) ST JOSEPH MERCY BEHAVIORAL SVCS
2200 CANTON CENTER RD	CANTON	MI	48188	BEHAVIORAL MEDICINE
(AA) ST JOSEPH MERCY CHEMICAL DEPENDENT
2008 HOGBACK RD	ANN ARBOR	MI	48105	BEHAVIORAL MEDICINE
(AA) GENOA MEDICAL CENTER
2305 GENOA BUSINESS PARK DR	BRIGHTON	MI	48114	LAB
(AA) FAMILY MEDICINE OF STOCKBRIDGE
4525 S M-52	STOCKBRIDGE	MI	49285	EMPLOYED PHYSICIANS
(AA) ARBOR SCIO PROFESSIONAL BUILDING
6360 JACKSON RD	ANN ARBOR	MI	48103	LAB
(AA) PARKWAY MEDICAL CENTER
2345 S HURON PKWY	ANN ARBOR	MI	48104	LAB
(AA) TOWSLEY HEALTH BUILDING
5361 MCAULEY DR	YPSILANTI	MI	48197	NURSING HOME, EMPLOYED PHYS.
(AA) SAMARITAN CENTER
5555 CONNER	DETROIT	MI	48213	INDIGENT CARE
(AA) HURON PROFESSIONAL BUILDING
704 W HURON ST	ANN ARBOR	MI	48103	LAB
(AA) DIAGNOSTIC SERVICES CENTER
202 E VAN RIPER RD	FOWLERVILLE	MI	48836	LAB, IMAGING
(AA) MICHIGAN HEART BUILDING
200 ARNET ST	YPSILANTI	MI	48198	EMPLOYED PHYSICIANS
(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, URGENT CARE CTR, REHAB, LAB, IMAGING, EMPLOYED PHYS
(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
(GR) ADVANTAGE HEALTH BUILDING
10047 CROSS ROADS COURT	CALEDONIA	MI	49316	LAB, IMAGING, REHAB, FAMILY PRACTICE
(GR) GRSPORTS CENTER
1640 E PARIS AVE SE	GRAND RAPIDS	MI	49546	REHAB
(GR) MICHIGAN ATHLETIC CLUB
2500 BURTON SE	GRAND RAPIDS	MI	49546	REHAB
(GR) GREEN STREET BUILDING
1375 W GREEN ST	HASTINGS	MI	49058	REHAB
(GR) GEORGETOWN BUILDING
1915 GEORGETOWN CENTER DR	JENISON	MI	49428	REHAB
(GR) DAVID D HUNTING YMCA
475 LAKE MICHIGAN DR NW	GRAND RAPIDS	MI	49504	REHAB
(GR) CHERRY BUILDING
245 CHERRY ST	GRAND RAPIDS	MI	48503	REHAB, PEDIATRIC CLINIC, FAMILY MEDICINE AND OB
(GR) ADVANTAGE HEALTH BUILDING
5171 PLAINFIELD NE	GRAND RAPIDS	MI	49525	FAMILY PRACTICE CENTER
(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
(GR) JEFFERSON BUILDING
260 JEFFERSON SE	GRAND RAPIDS	MI	49503	LAB
(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	LAB, IMAGING, VASCULAR SURGERY, GENERAL SURGERY, CARDIOTHORACIC SURGERY, BAR
(OA) BALD MOUNTAIN REGIONAL MEDICAL
1375 S LAPEER RD	LAKE ORION	MI	48360	URGENT CARE, LAB, IMAGING, 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, IMAGING
(OA) BERKLEY MEDICAL CENTER
1695 W 12 MILE RD	BERKLEY	MI	48072	INTERNAL MEDICINE, IMAGING, LAB
(OA) SLEEP DISORDERS CLINIC
3100 CROSS CREEK PKWY	AUBURN HILLS	MI	48341	SLEEP CLINIC
(OA) INDEPENDENCE POINTE
7210 ORTONVILLE RD	CLARKSTON	MI	48346	LAB
(OA) KAROTECH BUILDING
2630 UNION LAKE RD	COMMERCE TOWNSHIP	MI	48382	PEDS, LAB
(OA) BLOOMFIELD LAB
42557 WOODWARD AVE	BLOOMFIELD HILLS	MI	48304	LAB
(OA) WHITE LAKE
320 TOWN CENTER BLVD	WHITE LAKE TWP	MI	48386	URGENT CARE, LAB, IMAGING, REHAB
(OA) SHORES III PROFESSIONAL BUILDING
2300 HAGGERTY RD	WEST BLOOMFIELD	MI	48323	IMAGING
(OA) WATERFORD SURGICAL CENTER
5220 HIGHLAND RD	WATERFORD	MI	48327	SURGICAL CENTER
(OA) MERCY MEDICAL GROUP-ROCHESTER
1854 W AUBURN RD	ROCHESTER HILLS	MI	48309	INTERNAL MEDICINE/PEDS, OB/GYN
(OA) CLARKSTON
6770 DIXIE HWY	CLARKSTON	MI	48346	OB/GYN, FAMILY MED
(OA) LEXUS PROFESSIONAL BUILDING
44200 WOODWARD AVE	PONTIAC	MI	48341	LAB
(OA) SAINT JOSEPH MERCY OAKLAND BIRMINGH
2110 E MAPLE RD	BIRMINGHAM	MI	48009	URGENT CARE, LAB, IMAGING
(OA) MERCY MEDICAL GROUP-BLOOMFIELD HILL
1750 TELEGRAPH RD	BLOOMFIELD HILLS	MI	48302	OB/GYN
(OA) LAKE ORION REHABILITATION CENTER
3800 BALDWIN RD	ORION TOWNSHIP	MI	48359	REHAB
(OA) BLOOMFIELD HILLS IM
2520 S TELEGRAPH RD	BLOOMFIELD HILLS	MI	48302	INTERNAL MEDICINE
(OA) PONTIAC OBGYN
989 UNIVERSITY DR	PONTIAC	MI	48342	OB/GYN
(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) CLINICA SANTA TERESA MERCY PLACE
55 CLINTON ST	PONTIAC	MI	48342	OUTPATIENT CLINIC
(PORT HURON) MERCY HEALTH CENTER
4190 24TH AVE	FORT GRATIOT	MI	48059	LAB, IMAGING, URGENT CARE
(PH) MERCY FITRAC
2615 ELECTRIC AVE	PORT HURON	MI	48060	PHYSICAL THERAPY
(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
(OTHER) FRANCES WARDE MEDICAL LABORATORY
300 W TEXTILE RD	ANN ARBOR	MI	48104	LAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (65 entries)

ExplanationExplanation	IdentifierIdentifier
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 IN ITS ANNUAL REPORT, 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, L7 COL(F): THE FOLLOWING NUMBER, $106,795,067, 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-SAINT JOSEPH MERCY HEALTH SYSTEMIN GENERAL, SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) SERVES ON COMMUNITY TASK FORCES AND COALITIONS TO HELP ADDRESS THE NEEDS OF THE SERVICE AREA. SJMHS PARTICIPATES IN DIVERSITY COUNCILS, MINISTRY ASSOCIATIONS, HEALTH COALITIONS, AND HEALTH IMPROVEMENT COUNCILS. THE HOSPITAL ALSO PROVIDES AN ARENA FOR YOUNG PEOPLE TO JOB SHADOW PROFESSIONALS IN A VARIETY OF HEALTH CAREERS.ST. MARY MERCY LIVONIAST. MARY MERCY LIVONIA SERVES ON THE LIVONIA YMCA BOARD, SERVING AS THE HOSTING SITE AND CHAIR OF THE MONTHLY HEALTHY PARTNERS CIRCLE OF CARE COALITION MEETINGS. THEY ALSO PROVIDE AN INSIDE VIEW OF ST. MARY MERCY CLINICAL SERVICES THROUGH THE HEALTHCARE PARTNERSHIP PROGRAM AND PROVIDE A VENUE FOR NETWORKING WITH COMMUNITY LEADERS AND PARTNERS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. IN ADDITION, ST. MARY MERCY LIVONIA SERVES MANY NEEDS IN THE CITY OF DETROIT. IN DETROIT, ONLY ONE-QUARTER TO ONE-HALF OF HIGH SCHOOL STUDENTS GRADUATE, AND NEARLY HALF OF THE ADULT POPULATION ARE CONSIDERED FUNCTIONALLY ILLITERATE. IN SOUTHWEST DETROIT, 24 PERCENT OF ADULTS DO NOT HAVE A 9TH GRADE EDUCATION, AND MORE THAN HALF DID NOT FINISH HIGH SCHOOL. TO ADDRESS THIS NEED FOR EDUCATION, ST. MARY MERCY IS A CORPORATE SPONSOR FOR THE CRISTO REY SCHOOL AND MERCY EDUCATION PROGRAM. CRISTO REY STUDENTS SPEND FOUR DAYS EACH WEEK IN THE CLASSROOM, STRIVING FOR ACADEMIC EXCELLENCE AND ARE INVOLVED IN SERVICE ACTIVITIES IN THEIR COMMUNITY. ONE DAY A WEEK THEY HAVE A REAL-LIFE EXPERIENCE WORKING AT THE ST. MARY MERCY HOSPITAL MIRACLE OF LIFE BIRTHING CENTER. SEEING THE BIRTH OF A CHILD AND WATCHING MOTHERS ACCEPT THE RESPONSIBILITY OF CARING FOR THE INFANT, HAS PROFOUNDLY AFFECTED THE STUDENTS WHO HAVE BEEN WORKING IN THE BIRTHING CENTER.THE MERCY EDUCATION PROJECT (MEP) PROVIDES A CARING, SUPPORTIVE LEARNING ENVIRONMENT FOR LOW-INCOME WOMEN AND GIRLS WHO HAVE EXPERIENCED EDUCATIONAL FAILURE. THE RESULTS-DRIVEN EDUCATIONAL PROGRAMS IMPROVE ACADEMIC OUTCOMES AND HELP GIRLS AND WOMEN BECOME STRONG, CONFIDENT, MORE HOPEFUL AND BETTER EQUIPPED FOR SUCCESS IN SCHOOL AND IN LIFE. ONE OF THE MANY PROGRAMS OFFERED THROUGH MEP IS THE GIRLS' TUTORING PROGRAM WHICH PROVIDES ONE-TO-ONE REMEDIAL TUTORING IN READING AND MATH TO IMPROVE ACADEMIC OUTCOMES FOR GIRLS IN 1ST THROUGH 8TH GRADES. ST. MARY MERCY HOSPITAL'S SPONSORSHIP HELPED FUND THE PARTICIPATION OF THE 175 GIRLS/WOMEN WHO ARE ENROLLED IN THE MEP.ST. JOSEPH MERCY PORT HURONST. JOSEPH MERCY PORT HURON 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: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 GRAYLINGTWO 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 AN UROLOGIST, AN ORTHOPEDIC SURGEON, AN INTERNIST AND TWO FAMILY PRACTICE DOCTORS TO ITS PHYSICIAN NETWORK. THE ADDITION OF THESE PROVIDERS EXPANDS SERVICES TO THE COMMUNITY IN AREAS OF GREATEST NEED.MERCY HOSPITAL GRAYLING SUPPORTS VARIOUS CHE 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 CHE TRINITY HEALTH USE RESOURCES TO INFORM ASSOCIATES OF NATIONAL HEALTHCARE ISSUES. THE PHYSICIAN RECRUITMENT AND DEVELOPMENT ATTRACTS AND RETAINS 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, NORTHERN MICHIGAN SUBSTANCE ABUSE COORDINATING AGENCY, POVERTY REDUCTION COALITION, SUICIDE 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 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 17 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 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 MINISTRY ORGANIZATION 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 2: METHODOLOGY USED FOR LINE 2 - BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.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. FY13 WAS THE FIRST YEAR TRINITY HEALTH - MICHIGAN UTILIZED THE PREDICTIVE MODEL WITH RESULTS USED FOR ANALYSIS ONLY. STARTING IN FY14, TRINITY HEALTH - MICHIGAN IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL.MERCY HOSPITAL GRAYLING AND MERCY HOSPITAL CADILLAC ARE NOT CURRENTLY USING THE PREDICTIVE MODEL DESCRIBED ABOVE. INSTEAD, THEIR PORTION OF THE AMOUNT IN LINE 3 REPRESENTS THE PATIENTS THAT WERE SENT TO BAD DEBT WHO WOULD QUALIFY FOR A FORM OF MEDICAID HMO. THESE PATIENTS HAVE BEEN MEANS TESTED BY THE INSURANCE COMPANY AND HAVE SHOWN TO HAVE MET THEIR GUIDELINES FOR LOW INCOME ASSISTANCE. THEREFORE, THEY WOULD MEET THE REQUIREMENTS FOR THE HOSPITAL'S CHARITY GUIDELINES BUT DID NOT FILL OUT A CHARITY APPLICATION.
PART III, LINE 8: TRINITY HEALTH - MICHIGAN DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA 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 V, SECTION B, LINE 3: SJMHS CONSULTED MANY COMMUNITY ORGANIZATIONS TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING: THE WASHTENAW COUNTY HEALTH DEPARTMENT, THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE PACKARD CLINIC, THE HOPE CLINIC, WASHTENAW COUNTY COUNCIL MEMBERS, THE WASHTENAW HEALTH INITIATIVE, PHYSICIAN PRACTICES AND HEALTH SYSTEM EMPLOYEES.	ST. JOSEPH MERCY ANN ARBOR
PART V, SECTION B, LINE 3: THE CHNA WAS VERY INCLUSIVE AND COMPREHENSIVE IN INCORPORATING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THIS QUALITATIVE DATA COLLECTION INVOLVED CONDUCTING FOCUS GROUPS, BRIEF INTERCEPT INTERVIEWS, AND COMMUNITY INPUT WALLS WITH COMMUNITY MEMBERS. EACH OF THESE METHODS IS DESCRIBED ALONG WITH THE ACTUAL QUESTIONS USED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.FOCUS GROUPSIN 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. BECAUSE THE FOCUS GROUPS WERE TAPE RECORDED WITH THE KNOWLEDGE OF PARTICIPANTS, RESEARCHERS WERE ABLE TO UTILIZE THE WORDS SPOKEN VERBATIM ABOUT A PARTICULAR HEALTH TOPIC TO SUPPORT SPECIFIC THEMES FOUND IN THE QUALITATIVE DATA COLLECTION.- 12 FOCUS GROUPS WERE CONDUCTED WITH 119 COMMUNITY MEMBERS PARTICIPATINGINTERCEPT INTERVIEWS METHODTHIS 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 TO COLLECT 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 THE NECESSARY INTERVIEW MATERIALS NEEDED, AS WELL AS TECHNICAL ASSISTANCE. COMPLETED INTERVIEWS WERE RETURNED TO PROFESSIONALLY TRAINED CONSULTANTS FOR ANALYSIS. - 395 INTERCEPT INTERVIEWS WERE CONDUCTED IN THREE LANGUAGES BY TRAINED COMMUNITY MEMBERSCOMMUNITY INPUT WALLSTHIS STRATEGY INVOLVES GATHERING INPUT FROM COMMUNITY MEMBERS DIRECTLY BY POSTING LARGE SHEETS OF PAPER IN A PUBLIC SPACE AND ASKING COMMUNITY MEMBERS TO ANSWER QUESTIONS ABOUT COMMUNITY HEALTH BY WRITING THEIR THOUGHTS ON THE WALL.- 4 COMMUNITY INPUT WALLS	MERCY HEALTH SAINT MARY'S
PART V, SECTION B, LINE 3: WE FULLY INCORPORATED COMMUNITY PARTNERS IN THE PLANNING PROCESS, FROM SERVICE ON THE STEERING COMMITTEE TO THE COLLECTION AND ANALYSIS OF DATA. OUR STEERING COMMITTEE INCLUDED REPRESENTATION FROM: TRINITY HEALTH AND SJMO PERSONNEL, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY, THE SOCIAL SERVICES AGENCY OF THE ARCHDIOCESE OF DETROIT, THE OAKLAND COUNTY WORKFORCE DEVELOPMENT DIVISION, CENTRO MULTICULTURAL LA FAMILIA, INC., THE ARCHDIOCESE OF DETROIT.THE COMMITTEE HAD INPUT INTO THE PLANNING OF OUR PROCESSES FOR COLLECTING DATA, AND GAVE GUIDANCE IN REVISING THE CHNA QUESTIONNAIRES. THEY THEN PARTICIPATED IN FINAL EDITING OF THE REPORT AND IN SUGGESTING FUTURE COMMUNITY BENEFIT SERVICES AT SJMO. ONE PARTICULARLY EFFECTIVE APPROACH TO COMMUNITY INVOLVEMENT WAS THE METHOD WE USED FOR ADMINISTERING THE SURVEYS TO VARIOUS CONSTITUENT GROUPS. BECAUSE OF THE STRONG TIES TO THE COMMUNITY, AND THE WELL-ESTABLISHED PRESENCE SJMO HAS DEVELOPED IN THE PAST FOUR YEARS, WE WERE ABLE TO PRESENT OUR CHNA "CAMPAIGN" AND ADMINISTER SURVEYS DURING THE MEETING AGENDAS OF SEVERAL COMMUNITY ORGANIZATIONS OF WHICH WE ARE A PART. THIS SAVED TIME IN THE DATA COLLECTION PROCESS, SINCE WE DID NOT HAVE TO SCHEDULE AND FACILITATE SEPARATE MEETINGS, AND ALLOWED US TO HAVE MAXIMUM PARTICIPATION AND EXPOSURE. SIMILARLY, OUR STRONG COLLABORATION WITH ANOTHER GROUP, THE PONTIAC SCHOOL DISTRICT (PSD) AFFORDED US THE RARE OPPORTUNITY TO MEET WITH COMMUNITY-LEVEL DISTRICT REPRESENTATIVES (I.E., PARENTS) DURING THE FINAL DAYS OF THE SCHOOL YEAR. WE BROUGHT THIS GEOGRAPHICALLY DISPARATE GROUP TO SJMO, IN ORDER TO DISCUSS THE CHNA, COMPLETE THE SURVEYS, AND BEGIN PLANNING STRATEGICALLY FOR SJMO/PSD COLLABORATION DURING THE 2011-2012 SCHOOL YEAR. WE REGULARLY USE THIS STRATEGY OF BRINGING COMMUNITY PARTNERS IN HOUSE, IN ORDER TO BALANCE OUR COMMUNITY PRESENCE AND TO FOSTER A LASTING NON-CLINICAL RELATIONSHIP WITH THE COMMUNITY AS WELL.	ST. JOSEPH MERCY OAKLAND
PART V, SECTION B, LINE 3: THE HEALTHY PARTNERS CIRCLE OF CARE COALITION CONSISTS OF REPRESENTATIVES FROM VARIOUS SOCIAL SERVICE AGENCIES, SCHOOLS, CHURCHES AND COMMUNITY MEMBERS IN WESTERN WAYNE COUNTY. THEY PROVIDED INPUT AT SEVERAL POINTS DURING OUR CHNA. WE ALSO RECEIVED INPUT FROM THE 800 RESPONSES TO OUR ONLINE SURVEY AND THREE FOCUS GROUPS. IN ADDITION, THE DETROIT WAYNE COUNTY HEALTH AUTHORITY BOARD REVIEWED AND SUPPORTED OUR CHNA STRATEGIES.	ST. MARY MERCY LIVONIA
PART V, SECTION B, LINE 3: ST. JOSEPH MERCY LIVINGSTON CONSULTED OTHER COMMUNITY ORGANIZATIONS, INCLUDING THE LIVINGSTON COUNTY PUBLIC HEALTH DEPARTMENT AND THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, IN CONDUCTING THE MOST RECENT CHNA.	ST. JOSEPH MERCY LIVINGSTON
PART V, SECTION B, LINE 3: CHELSEA COMMUNITY HOSPITAL (CCH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS COMMUNITY COALITIONS AND BY CONDUCTING INTERVIEWS. CCH 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, THOMPSON REUTERS, AND OTHER ORGANIZATIONS.EACH OF THE FIVE COMMUNITIES IN THE CCH SERVICE AREA HAS A WELLNESS COALITION WITH VOLUNTEER MEMBERS FROM KEY COMMUNITY SECTORS AND ORGANIZATIONS, SUCH AS CCH HOSPITAL STAFF, LOCAL GOVERNMENT, SCHOOLS, LIBRARIES, BUSINESSES, SENIOR CENTERS, COMMUNITY GARDENS, CHURCHES, FOOD BANKS AND RESOURCE CENTERS, YOUTH SUBSTANCE ABUSE PREVENTION ORGANIZATIONS, HOSPITAL AND OTHER HEALTHCARE PROVIDERS, AND LOCAL CITIZENS. CHELSEA-AREA WELLNESS FOUNDATION (CWF), WHICH SERVES THE SAME FIVE TOWNS AS CCH, 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 CWF 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.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 CCH CONDUCTED KEY STAKEHOLDER INTERVIEWS IN MARCH 2012. 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.	CHELSEA COMMUNITY HOSPITAL
PART V, SECTION B, LINE 3: 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.	ST. JOSEPH MERCY PORT HURON
PART V, SECTION B, LINE 3: DATA WAS COLLECTED FROM A VARIETY OF CURRENT SOURCES TO PROVIDE A FOUNDATION FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. SOURCES UTILIZED INCLUDE BOTH PRIMARY AND SECONDARY SOURCES: U.S. CENSUS BUREAU, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, MICHIGAN LEAGUE FOR HUMAN SERVICES, MIPHY (MICHIGAN PROFILE FOR HEALTHY YOUTH), DISTRICT HEALTH DEPARTMENT, #10 DISTRICT HEALTH DEPARTMENT, #2 CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT, MICHIGAN LABOR, MARKET BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM, COUNTY HEALTH RANKINGS, ROSCOMMON COUNTY RESIDENT SURVEY, MERCY HOSPITAL PHYSICIAN FEEDBACK.IN ADDITION TO THE QUANTITATIVE ANALYSIS OF THE SURVEYS AND SECONDARY DATA, PRIMARY DATA WERE OBTAINED THROUGH A SERIES OF GROUP DISCUSSIONS FACILITATED AT ALL THREE COMMUNITY COLLABORATIVE BODIES, THE ROSCOMMON HEALTH IMPROVEMENT PLANNING COMMITTEE, THE (6 COUNTY) GREAT START COLLABORATIVE BODIES AND A PHYSICIAN STEERING GROUP. THE COMMUNITY COLLABORATIVE GROUPS HAVE MEMBERSHIP THAT INCLUDES BUSINESS, HEALTH CARE, ACADEMICS, SOCIAL SERVICE DEPARTMENTS, AND AREA RESIDENTS.	MERCY HOSPITAL GRAYLING
PART V, SECTION B, LINE 3: THE CHNA WAS CONDUCTED WITH AN OVERSIGHT COMMITTEE COMPOSED OF THE DEPARTMENT OF HUMAN SERVICES, NORTHERN LAKES COMMUNITY MENTAL HEALTH AND DISTRICT HEALTH DEPARTMENT #10. MEMBERS OF THE CADILLAC AREA HEALTH COALITION PROVIDED ADDITIONAL FEEDBACK TO THE OVERSIGHT GROUP AND ITS CONSULTANTS ON A MONTHLY BASIS UNTIL ITS COMPLETION IN NOVEMBER 2011.A PRESENTATION WAS DEVELOPED, INCLUDING ALL THE AVAILABLE HEALTH RELATED DATA FOR WEXFORD AND MISSAUKEE COUNTIES. THIS WAS PRESENTED TO THE CADILLAC AREA HEALTH COALITION, OFFERING REPRESENTATION FROM THE YMCA, DISTRICT HEALTH DEPARTMENT #10, BAKER COLLEGE, MERCY HOSPITAL PHO, CADILLAC PUBLIC SCHOOLS, WEXFORD-MISSAUKEE INTERMEDIATE SCHOOL DISTRICT, VARIOUS COMMUNITY ORGANIZATIONS, HUMAN SERVICES, AND COALITION WORKGROUPS. THE COALITION COLLECTIVELY DETERMINED THE HIGHEST PRIORITY ISSUES AFFECTING THE HEALTH NEEDS OF THE COMMUNITY. THE COALITION WILL FOCUS ON THESE NEEDS DURING THE UPCOMING YEARS.CONSUMER HEALTH SURVEYS: POVERTY SURVEY - A SURVEY WAS DISTRIBUTED FROM LATE OCTOBER THROUGH MID-DECEMBER (2009) BY MORE THAN TWO DOZEN HUMAN SERVICE ORGANIZATIONS THROUGHOUT THE WEXFORD/MISSAUKEE COUNTIES. A TOTAL OF 965 ANONYMOUS SURVEYS WERE COLLECTED FROM INDIVIDUALS USING THOSE SERVICES AND UTILIZED IN IDENTIFYING THE FINDINGS OF THIS REPORT. TWO-THIRDS (69%) OF THE SURVEY RESPONDENTS LIVE IN WEXFORD COUNTY, 26% IN MISSAUKEE COUNTY AND 5% WERE IDENTIFIED AS RESIDENTS OF OSCEOLA COUNTY. PUBLIC FORUMS: AFFINITY FOCUS GROUPS - A PRESENTATION OF THE DATA WAS GIVEN TO THE HUMAN SERVICES LEADERSHIP COLLABORATIVE (HSLC). INPUT WAS RECEIVED FROM HUMAN SERVICE PROVIDERS, YMCA, BAKER COLLEGE, CADILLAC AREA PUBLIC SCHOOLS, WEXFORD MISSAUKEE INTERMEDIATE SCHOOL DISTRICT, SCHOOL SUPERINTENDENT, AND COMMUNITY HEALTH CARE ORGANIZATION REPRESENTATIVES. ACTION PLANNING AND ONGOING STATUS UPDATES WILL BE EVALUATED AND REPORTED ON PERIODICALLY.YOUTH ADVISORY SURVEY - THE YOUTH ADVISORY COMMITTEE OF THE CADILLAC AREA COMMUNITY FOUNDATION CONDUCTS A YOUTH SURVEY EVERY THREE YEARS. THE 2010 SURVEY WAS A RANDOM SAMPLING OF 242 STUDENTS IN GRADES 6-12. THE SURVEY FOCUSED ON ISSUES AND ACTIVITIES. THE TOP THREE ISSUES IDENTIFIED BY STUDENTS ARE SMOKING, DRUG ABUSE AND ALCOHOL ABUSE. STUDENTS ARE MOST INTERESTED IN MORE SOCIAL AND SPORTS ACTIVITIES. TRANSPORTATION TO ACTIVITIES REMAINS AN ISSUE TO BE ADDRESSED. THE DATA CORRESPONDS WELL WITH THE 09/10 MICHIGAN PROFILE FOR HEALTHY YOUTH (MIPHY) RESULTS. SUMMARY OBSERVATIONS FROM PHYSICIAN INPUT - THE PHYSICIAN HOSPITAL ORGANIZATION AND OTHER PHYSICIAN SERVICE GROUPS HAVE SUGGESTED GAPS IN SERVICES AND HEALTH PRIORITIES FOR THE COMMUNITY. PHYSICIANS HAVE AGREED THAT THE COMMUNITY MUST FOCUS ON CHRONIC DISEASE PREVENTION AND MANAGEMENT, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS. THEY STRESS THE NEED FOR MENTAL HEALTH SERVICES FOR CHILDREN, RECRUITMENT OF PRIMARY CARE PROVIDERS, INCLUDING ADVANCED CARE PRACTITIONERS, AND PROMOTION OF SELF-MANAGEMENT OF HEALTH. FURTHER, THEY STRESS ADVANTAGES FOR THE CONSUMER AND THE COMMUNITY FOR PROVIDERS THAT ARE A PATIENT CENTERED MEDICAL HOME.	MERCY HOSPITAL CADILLAC
PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.	ST. JOSEPH MERCY ANN ARBOR
PART V, SECTION B, LINE 4: -MARY FREE BED REHABILITATION HOSPITAL-METRO HEALTH HOSPITAL-PINE REST CHRISTIAN MENTAL HEALTH SERVICES-SPECTRUM HEALTH	MERCY HEALTH SAINT MARY'S
PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.	ST. JOSEPH MERCY LIVINGSTON
PART V, SECTION B, LINE 5C: LINE 5A:HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/SJMAA_CHNA.PDF	ST. JOSEPH MERCY ANN ARBOR
PART V, SECTION B, LINE 5C: THE CHNA REPORT IS ALSO AVAILABLE ON THE WEBSITE OF THE KENT COUNTY HEALTH DEPARTMENT. LINE 5A:HTTP://MERCYHEALTHSAINTMARYS.COM/DOCUMENTS/GRANDRAPIDS/KENTCOCHNA_FINAL (WEBSITE).PDF	MERCY HEALTH SAINT MARY'S
PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.STJOESOAKLAND.ORG/DOCUMENTS5/2012CHNAFINAL2.PDF	ST. JOSEPH MERCY OAKLAND
PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.STMARYMERCY.ORG/DOCUMENTS4/SMML_CHNA.PDFLINE 5C:WE PROVIDED A SUMMARY OF OUR CHNA ON THE FRONT PAGE OF THE 2012 CBM REPORT TO THE COMMUNITY. THE ANNUAL REPORT WAS INSERTED IN LOCAL NEWSPAPERS THAT REACHED 160,000 HOUSEHOLDS AND WAS AVAILABLE TO OUR EMPLOYEES AND COMMUNITY MEMBERS IN KIOSKS THROUGHOUT THE HOSPITAL.	ST. MARY MERCY LIVONIA
PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS1/SJML_CHNA.PDF	ST. JOSEPH MERCY LIVINGSTON
PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.CCH.ORG/DOCUMENTS3/2012%20CHNA.PDF	CHELSEA COMMUNITY HOSPITAL
PART V, SECTION B, LINE 5C: LINE 5A:HTTP://WWW.MYMERCY.US/DOCUMENTS6/SJMPH-CHNA.PDF	ST. JOSEPH MERCY PORT HURON
PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.MERCYHEALTHGRAYLING.COM/DOCUMENTS/GRAYLING/MERCY%20HOSPITAL%20GRAYLING%20CHNA.PDF	MERCY HOSPITAL GRAYLING
PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.MERCYHEALTHCADILLAC.COM/DOCUMENTS/CADILLAC/MERCY-HOSPITAL-NEEDS-ASSESSMENT-SEPTEMBER-2011.PDF	MERCY HOSPITAL CADILLAC
PART V, SECTION B, LINE 7: 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:ASTHMA - ST. JOSEPH MERCY HOSPITAL HAS BEEN ACTIVELY INVOLVED IN WASHTENAW COUNTY'S ASTHMA COALITION AND CONTINUES TO DO SO. THIS ENTITY HAS WORKED TO PROVIDE COMMUNITY AND PROVIDER EDUCATION AS WELL AS HELPING TO IDENTIFY BEST PRACTICES. IN THE RECENT PAST, ASTHMA WAS ALSO A MAJOR COMMUNITY BENEFIT INITIATIVE BY SJMH THAT LED TO SIGNIFICANT COLLABORATIVE EFFORTS WITH SCHOOLS AND HOSPITAL BASED SERVICES (CASE MANAGEMENT AND PEDIATRIC EMERGENCY CASE MANAGEMENT). CURRENTLY, A HOME CARE BASED STRATEGY IS IN PLACE. BECAUSE OF THESE ONGOING EFFORTS, AND BECAUSE OTHER UNMET NEEDS HAVE GREATER PRIORITY, NO FURTHER ASTHMA PROGRAMS WILL BE NEWLY INITIATED AT THIS TIME. NUTRITION AND PHYSICAL ACTIVITY - NUTRITION AND LACK OF PHYSICAL ACTIVITY WERE BOTH IDENTIFIED AS UNMET NEEDS. WHILE GOOD NUTRITION AND PHYSICAL ACTIVITY ARE NECESSARY TO PREVENT DISEASES AND CONDITIONS INCLUDING OBESITY, WE HAVE NOT CHOSEN TO DIRECTLY ADDRESS THESE NEEDS. INSTEAD, WE HAVE CHOSEN OBESITY AS A PRIORITY AREA, WHICH WE FEEL WILL ADDRESS BOTH PHYSICAL ACTIVITY AND NUTRITION RISK FACTORS. IN ADDITION, SJMH SUPPORTS AND COLLABORATES WITH OTHER ORGANIZATIONS DEDICATED TO INCREASING FOOD SECURITY FOR THE POPULATION SUCH AS FOOD GATHERERS. SJMH ALSO REGULARLY RESPONDS TO COMMUNITY REQUESTS FOR SPEAKERS ON NUTRITION TOPICS, HAVE OFFERED COOKING CLASSES TO TEACH HEALTHY COOKING AND NUTRITION, AND CONTINUE TO PROVIDE INDIVIDUAL AND GROUP SERVICES RELATED TO CONDITION SPECIFIC NEEDS, E.G. DIABETES, GLUTEN FREE, LOW FAT, CHOLESTEROL MANAGEMENT AND NUMEROUS OTHERS. SJMH CONTINUES TO WORK CLOSELY WITH PHYSICIAN NETWORK TO PROVIDE MORE OF THESE NUTRITION SERVICES AT POINT OF CARE, AND NOT EXCLUSIVELY ON OUR CAMPUS, THUS IMPROVING NUTRITION ACCESS.PERINATAL HEALTH - SJMHS HAS A MAJOR OBSTETRICAL PROGRAM AND MAJOR NETWORK OF PRIVATE PRACTICE PRACTITIONERS INCLUDING OB/GYN DOCTORS, NURSE PRACTITIONERS AND MIDWIVES PROVIDING PERINATAL HEALTH SERVICES. IN ADDITION, OUR ACADEMIC OB/GYN AND NEIGHBORHOOD FAMILY HEALTH CENTER PROVIDE SIMILAR SERVICES TO LOW INCOME, UNINSURED OR UNDERINSURED WOMEN. TO SUPPORT THIS EFFORT, NUMEROUS HEALTHY LIVING EDUCATIONAL OPPORTUNITIES, AS WELL AS A PLETHORA OF PRE-NATAL CLASSES FOR PREGNANT WOMEN ARE OFFERED TO OUR COMMUNITY. SJMH IS ALSO A MEMBER OF THE WASHTENAW COUNTY INFANT MORTALITY COALITION WHICH CURRENTLY HAS SEVERAL EFFORTS UNDERWAY. THE 3 X MORE LIKELY CAMPAIGN TARGETS YOUNG AFRICAN AMERICAN WOMEN IN OUR COMMUNITY TO PROVIDE THEM WITH HEALTHY LIVING GUIDANCE PRIOR TO CONCEIVING, ALSO ADDRESSING PRENATAL HEALTH, IF ALREADY PREGNANT. PLEASE VISIT THE WWW.3XMORELIKELY.COM WEBSITE FOR MORE DETAILS. IN LIGHT OF ALL THESE MAJOR EFFORTS THAT WE CONTINUE TO BE ACTIVELY COMMITTED TO, WE HAVE PRIORITIZED OTHER NEEDS. SEXUALLY TRANSMITTED DISEASE - WASHTENAW COUNTY HAS MANY ORGANIZATIONS WORKING TO REDUCE THE PREVALENCE OF STDS IN THE COUNTY. AMONG THESE ARE THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE CORNER HEALTH CENTER FOR ADOLESCENTS, PRIMARY CARE PHYSICIAN OFFICES, AND OTHERS. AT THIS TIME SJMH DID NOT FEEL IT COULD PROVIDE THE MOST EFFECTIVE PROGRAMS TO REDUCE STDS PREVALENCE AND INSTEAD, SUPPORTS THE WORK OF THOSE ORGANIZATIONS THAT DO. SJMH HAS BEEN INVOLVED IN THE COMMUNITY EDUCATION EFFORTS AROUND THE HPV VIRUS AND HAVE PROVIDED PHYSICIAN SPEAKERS.SOCIAL SUPPORT - SOCIAL SUPPORT IS IMPORTANT TO MENTAL HEALTH FOR BOTH YOUTH AND ADULTS. ST. JOSEPH MERCY HOSPITAL CURRENTLY HAS SEVERAL SUPPORT GROUPS THAT MEET ON CAMPUS AND PROVIDES SPACE FOR GROUPS TO MEET FOR SOCIAL GATHERINGS, AND OTHER ACTIVITIES. SJMH ALSO PARTICIPATES IN SEVERAL HEALTH COALITIONS THAT SUPPORT THESE TYPES OF ACTIVITIES. SJMH WILL CONTINUE TO PARTICIPATE IN THESE COALITIONS AND WILL SUPPORT THE PLANNING AND IMPLEMENTATION OF ACTIVITIES TO PROMOTE SOCIAL SUPPORT, BUT WILL NOT IMPLEMENT NEW PROGRAMS TO ENHANCE SOCIAL SUPPORT.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. SJMH 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. AS A COMMUNITY NEIGHBOR, WE DID EXTEND THE BORDER TO BORDER TRAILS THAT CONNECT YPSILANTI WITH THE ANN ARBOR COMMUNITIES THROUGH OUR CAMPUS. HOWEVER, THE PHYSICAL ENVIRONMENT WILL NOT BE ADDRESSED DIRECTLY BY SJMH.	ST. JOSEPH MERCY ANN ARBOR
PART V, SECTION B, LINE 7: PRIMARY NEEDS IDENTIFIED IN THE CHNA NOT BEING ADDRESSED: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.CHNA IDENTIFIED NEED NOT BEING ADDRESSED: INCREASE HEALTHY EATING BY ENSURING ACCESS TO HEALTHY FOODS TO PROMOTE AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL REASON: COMMUNITY GROUPS ADDRESSING THIS ISSUE: E.G., CHILDREN'S FOOD BASKET, COMMUNITY TRANSFORMATION GRANT, LOCAL FARMER'S MARKET (MHSM IS PARTICIPATING IN A FARMER'S MARKET COLLABORATIVE ALREADY)CHNA IDENTIFIED NEED NOT BEING ADDRESSED: REDUCE DISPARITY IN HEALTH RISK FACTORS AND PROTECTIVE FACTORS AMONG YOUTH REASON: COMMUNITY GROUPS ADDRESSING THIS ISSUE: KENT COUNTY PREVENTION COALITION, YOUTH DEVELOPMENT NETWORK, LIFE GUIDANCE, ARBOR CIRCLECHNA IDENTIFIED NEED NOT BEING ADDRESSED: ACCESS TO DENTAL CARE AND MENTAL HEALTH SERVICES REASON: MERCY HEALTH SAINT MARY'S (MHSM) IS ALREADY ADDRESSING THESE NEEDS THROUGH COMMUNITY PARTNERSHIPS; E.G., CHERRY STREET HEALTH SERVICES, MEL TROTTER, ARBOR CIRCLE, CATHOLIC CHARITIES WEST MICHIGANCHNA IDENTIFIED NEED NOT BEING ADDRESSED: INCREASE COMMUNITY'S KNOWLEDGE ABOUT RESOURCES AVAILABLE IN THE COMMUNITY REASON: RATHER THAN A SEPARATE STRATEGIC GOAL, MHSM WILL INCORPORATE COMMUNITY RESOURCE INFORMATION IN ALL OF HEALTHLINK'S MEDICAL HOME RESOURCES.	MERCY HEALTH SAINT MARY'S
PART V, SECTION B, LINE 7: THREE NEEDS SURFACED- AFFORDABLE HEALTHCARE, DENTAL CARE, AND SMOKING CESSATION- THAT WERE NOT ADDRESSED IN THE ST. MARY MERCY LIVONIA CHNA IMPLEMENTATION PLAN. AFFORDABLE HEALTHCARE IS BEING ADDRESSED ON A STATE AND NATIONAL BASIS AND WE DO EVERYTHING THAT WE CAN TO ENROLL PEOPLE IN PUBLIC ASSISTANCE PROGRAMS AND TO ASSIST THEM WITH PAYMENT PLANS TO PAY FOR NEEDED SERVICES. WE ALSO ARE INVOLVED IN THE TRINITY HEALTH AND MHA ADVOCACY EFFORTS FOR AFFORDABLE HEALTHCARE. DENTAL SERVICES ARE NOT AVAILABLE AT THE HOSPITAL. INDIVIDUALS PRESENTING IN OUR EMERGENCY ROOM WITH DENTAL PROBLEMS ARE REFERRED TO THE U OF D MERCY SCHOOL OF DENTISTRY AND LOCAL DENTISTS. SMOKING CESSATION EDUCATION IS INCLUDED IN THE DISCHARGE PROCESS FOR INPATIENTS. IN THE PAST WE HAVE OFFERED SMOKING CESSATION CLASSES TO THE COMMUNITY AND NO ONE ENROLLED IN THE CLASS.	ST. MARY MERCY LIVONIA
PART V, SECTION B, LINE 7: 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:NUTRITION AND PHYSICAL ACTIVITY - NUTRITION AND LACK OF PHYSICAL ACTIVITY WERE BOTH IDENTIFIED AS UNMET NEEDS. WHILE GOOD NUTRITION AND PHYSICAL ACTIVITY ARE NECESSARY TO PREVENT DISEASES AND CONDITIONS INCLUDING OBESITY, WE HAVE NOT CHOSEN TO DIRECTLY ADDRESS THESE NEEDS. INSTEAD, WE HAVE CHOSEN OBESITY AS A PRIORITY AREA, WHICH WE FEEL WILL ADDRESS BOTH PHYSICAL ACTIVITY AND NUTRITION RISK FACTORS. IN ADDITION, SJML SUPPORTS AND COLLABORATES WITH OTHER ORGANIZATIONS DEDICATED TO INCREASING FOOD SECURITY FOR THE POPULATION SUCH AS GLEANERS. ST. JOSEPH MERCY LIVINGSTON HAS REPRESENTATION AT THE LIVINGSTON COUNTY HUNGER COUNCIL NUTRITION EDUCATION SUBCOMMITTEE. HEART DISEASE - ST. JOSEPH MERCY LIVINGSTON CURRENTLY HAS SEVERAL PROGRAMS IN PLACE TO REDUCE THE AMOUNT OF HEART DISEASE IN THE COMMUNITY. THE HEALTH SYSTEM EMPLOYS A LARGE GROUP OF CARDIOLOGISTS THAT TREAT PATIENTS WITH THIS DISEASE. BY FOCUSING ON OBESITY, THE HOSPITAL FELT SEVERAL OF THE TACTICS TO ENCOURAGE EXERCISE AND HEALTH NUTRITION WOULD ALSO REDUCE THE AMOUNT OF HEART DISEASE. IN ADDITION, BY CHOOSING TO IMPLEMENT INITIATIVES TO INCREASE THE ACCESS THAT THE POPULATION HAD TO HEALTH PROVIDERS, THE HOSPITAL COULD BETTER PREVENT AND TREAT HEART DISEASE. SO WHILE THE HOSPITAL IS NOT IMPLEMENTING A NEW PROGRAM AIMED ONLY AT HEART DISEASE, WE EXPECT AN OUTCOME OF THE NEW PROGRAMS TO REDUCE OBESITY AND INCREASE ACCESS WILL ALSO REDUCE HEART DISEASE. SUBSTANCE ABUSE - AT THIS TIME SJML IS NOT IMPLEMENTING ANY NEW PROGRAMS TO REDUCE SUBSTANCE ABUSE IN THE COUNTY. SJML CURRENTLY PROVIDES MENTAL HEALTH AND DETOX SERVICES THOUGH THE SAINT JOSEPH MERCY HEALTH SYSTEM AND COLLABORATES THROUGH OUR MEMBERSHIP IN COALITIONS SUCH AS THE LIVINGSTON/WASHTENAW SUBSTANCE ABUSE COORDINATING AGENCY. THE HEALTH SYSTEM ALSO HOLDS COMMUNITY MEETINGS AND EDUCATION SESSIONS SUCH AS DRUGS 101 FOR PARENTS OF TEENS. IN ADDITION, THERE IS ALREADY A HOSPITAL IN THE COUNTY DEDICATED TO SUBSTANCE ABUSE AND IT PLAYS A MAJOR ROLE IN THIS CAPACITY.	ST. JOSEPH MERCY LIVINGSTON
PART V, SECTION B, LINE 7: THE PHYSICAL ENVIRONMENT WILL NOT BE ADDRESSED DIRECTLY BY CHELSEA COMMUNITY HOSPITAL (CCH) HOSPITAL-LED INITIATIVES. THE HOSPITAL IS NOT IN A POSITION TO DIRECTLY IMPACT THE RURAL NATURE AND WALKABILITY OF THE COMMUNITIES. HOWEVER, CCH IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORTS LOCAL GOVERNMENTS AND WELLNESS COALITIONS IN THEIR EFFORTS TO IMPACT PHYSICAL ENVIRONMENT ISSUES.CCH WILL NOT DIRECTLY ADDRESS TRANSPORTATION WITH ANY NEW INITIATIVES BECAUSE THE NEED 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. CCH WILL CONTINUE TO HAVE A REPRESENTATIVE ON THE WAVE BOARD OF DIRECTORS, IN ORDER TO SUPPORT THIS EXISTING RESOURCE. CCH IS NOT IN A POSITION AT THIS TIME TO DIRECTLY IMPACT ACCESS TO DENTAL CARE. THERE ARE SOME RESOURCES AVAILABLE IN THE SERVICE AREA, AND A REGIONAL COALITION CALLED THE WASHTENAW HEALTH INITIATIVE (WHI) IS WORKING TO ADDRESS THIS ISSUE 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. ADULTS IN STOCKBRIDGE HAVE THE FARTHEST TO TRAVEL FOR FREE OR REDUCED COST DENTAL CARE. BESIDES THE RESOURCES IN ANN ARBOR AND JACKSON, STOCKBRIDGE RESIDENTS CAN ALSO ACCESS THE ADULT DENTAL CENTER IN LANSING. CCH WILL CONTINUE TO SUPPORT THE WHI IN THEIR EFFORTS TO EXPAND ACCESS.DIABETES DID NOT RANK AMONG THE TOP HEALTH NEEDS BECAUSE PREVALENCE DROPPED SIGNIFICANTLY IN WESTERN WASHTENAW FROM 2005 TO 2010. ALSO, BECAUSE OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, CCH COMMUNITY HEALTH IMPROVEMENT COUNCIL MEMBERS FELT DIABETES WOULD ALSO BE ADDRESSED THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. CCH WILL CONTINUE TO OFFER OUTPATIENT DIABETES EDUCATION AND OUTPATIENT DIETICIAN SERVICES TO PATIENTS WITH DIABETES OR PRE-DIABETES THROUGH CLASSES, INDIVIDUAL APPOINTMENTS, AND THE DIABETES SHARE GROUP. CCH WILL NOT INITIATE NEW INTERVENTIONS TO STRENGTHEN FAMILY AND COMMUNITY INVOLVEMENT, BECAUSE OF LACK OF RESOURCES AND THE PRESENCE OF COMMUNITY RESOURCES. THE SRSLY COALITION IN CHELSEA IS WORKING TO STRENGTHEN THESE FACTORS THROUGH PARENT EDUCATION CLASSES AND YOUTH-LED COMMUNITY IMPROVEMENT INITIATIVES, AND CCH WILL CONTINUE TO SUPPORT THIS EFFORT. BEYOND WHAT CCH IS ALREADY DOING (SENIOR SUPPER CLUB, DIABETES SHARE GROUP, STROKE GROUP, ETC), THE HOSPITAL WILL NOT IMPLEMENT NEW STRATEGIES TO PROMOTE SOCIAL SUPPORT. THE FIVE AREA WELLNESS COALITIONS ARE EACH ADDRESSING THIS ISSUE AT THE COMMUNITY LEVEL THROUGH INITIATIVES TO SUPPORT "CONNECTING WITH OTHERS IN HEALTHY WAYS." CCH WILL CONTINUE TO PARTICIPATE IN THESE COALITIONS AND SUPPORT PLANNING AND IMPLEMENTATION OF ACTIVITIES TO PROMOTE SOCIAL SUPPORT AS MUCH AS POSSIBLE.	CHELSEA COMMUNITY HOSPITAL
PART V, SECTION B, LINE 7: THE HOSPITAL DID NOT ADDRESS ADVOCACY RELATED TO SUBSTANCE ABUSE SERVICES AND MENTAL HEALTH SERVICES, ORAL HEALTH, 2-1-1, SUICIDE PREVENTION, TRANSPORTATION, HOMELESSNESS, DOMESTIC VIOLENCE, BULLYING PREVENTION AND PRISONER RE-ENTRY. MERCY GRAYLING DOES NOT HAVE THE RESOURCES AND/OR EXPERTISE TO ADDRESS THESE ISSUES EFFECTIVELY.	MERCY HOSPITAL GRAYLING
PART V, SECTION B, LINE 12H: 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 12H: 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 12H: 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 12H: 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 12H: 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 12H: 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.	CHELSEA COMMUNITY HOSPITAL
PART V, SECTION B, LINE 12H: 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 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (FAP) ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS, INPATIENT ROOMS, AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STJOESANNARBOR.ORG/FINANCIAL-ASSISTANCE-PROGRAMS	ST. JOSEPH MERCY ANN ARBOR
PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. STATEMENTS PROVIDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE NUMBER(S) TO CALL ARE PROVIDED TO PATIENTS AT PRE-REGISTRATION, REGISTRATION, ON THE HOSPITAL WEBSITE, POSTINGS IN REGISTRATION AREAS AND ADMISSIONS OFFICES, AND INCLUDED ON ALL BILLING STATEMENTS SENT TO THE PATIENT/GUARANTOR.	MERCY HEALTH SAINT MARY'S
PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FAP ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STJOESOAKLAND.ORG/FINANCIAL-ASSISTANCE-PROGRAMS	ST. JOSEPH MERCY OAKLAND
PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FAP ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STMARYMERCY.ORG/SMML-PFS	ST. MARY MERCY LIVONIA
PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS, INPATIENT ROOMS, AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STJOESANNARBOR.ORG/FINANCIAL-ASSISTANCE-PROGRAMS	ST. JOSEPH MERCY LIVINGSTON
PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS, INPATIENT ROOMS, AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STJOESANNARBOR.ORG/FINANCIAL-ASSISTANCE-PROGRAMS	CHELSEA COMMUNITY HOSPITAL
PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (FAP) ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS AND WAITING ROOMS. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.MYMERCY.US/SJMPH-PFS	ST. JOSEPH MERCY PORT HURON
PART V, SECTION B, LINE 14G: THE HOSPITAL PROVIDED A SUMMARY OF THE POLICY ON THE BILLING STATEMENTS, THERE WERE BROCHURES AVAILABLE IN THE ADMISSIONS AREAS, THE EMERGENCY DEPARTMENT, PATIENT ACCOUNTS AND IN THE LOBBY. A PATIENT THAT WANTED A COPY OF THE POLICY, OR AN APPLICATION COULD GET ONE IN ADMISSIONS, FINANCIAL ASSISTANCE OFFICES, MEDICAID COORDINATOR'S OFFICE, DISABILITY COORDINATORS' OFFICES, PATIENT ACCOUNTS, OR BY ASKING A NURSE OR SOCIAL WORKER. ALL PATIENTS ARE PROVIDED WITH FINANCIAL ASSISTANCE INFORMATION AT ADMISSIONS, ON THE PATIENT'S BILLING STATEMENT, OR BY REQUEST. THE WEB ADDRESS FOR MERCY HOSPITAL GRAYLING'S FINANCIAL ASSISTANCE INFORMATION IS WWW.MERCYHEALTHGRAYLING.COM/FINANCIAL-ASSISTANCE-GRAYLING	MERCY HOSPITAL GRAYLING
PART V, SECTION B, LINE 14G: THE HOSPITAL PROVIDED A SUMMARY OF THE POLICY ON THE BILLING STATEMENTS, THERE WERE BROCHURES AVAILABLE IN THE ADMISSIONS AREAS, THE EMERGENCY DEPARTMENT, PATIENT ACCOUNTS AND IN THE LOBBY. A PATIENT THAT WANTED A COPY OF THE POLICY, OR AN APPLICATION COULD OBTAIN ONE IN ADMISSIONS, FINANCIAL ASSISTANCE OFFICES, MEDICAID COORDINATOR'S OFFICE, DISABILITY COORDINATORS' OFFICES, PATIENT ACCOUNTS, OR BY ASKING A NURSE OR SOCIAL WORKER. ALL PATIENTS ARE PROVIDED WITH FINANCIAL ASSISTANCE INFORMATION AT ADMISSIONS, ON THE PATIENT'S BILLING STATEMENT, OR BY REQUEST. THE WEB ADDRESS FOR MERCY HOSPITAL CADILLAC'S FINANCIAL ASSISTANCE INFORMATION IS WWW.MERCYHEALTHCADILLAC.COM/FINANCIAL-ASSISTANCE	MERCY HOSPITAL CADILLAC
PART V, SECTION B, LINE 20D: 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. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.	ST. JOSEPH MERCY ANN ARBOR
PART V, SECTION B, LINE 20D: 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. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.	MERCY HEALTH SAINT MARY'S
PART V, SECTION B, LINE 20D: 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. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A FIXED PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES.	ST. JOSEPH MERCY OAKLAND
PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 101% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.	ST. MARY MERCY LIVONIA
PART V, SECTION B, LINE 20D: 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. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.	ST. JOSEPH MERCY LIVINGSTON
PART V, SECTION B, LINE 20D: 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. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.	CHELSEA COMMUNITY HOSPITAL
PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 151% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.	ST. JOSEPH MERCY PORT HURON
PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 101% AND 300% OF THE FPG, RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.	MERCY HOSPITAL GRAYLING
PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 101% AND 300% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.	MERCY HOSPITAL CADILLAC
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. 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, IN THE ASSESSMENT OF THEIR COMMUNITIES.TWO OF THE MEMBER HOSPITALS ALSO PERFORMED ADDITIONAL PROCEDURES, WHICH ARE DETAILED BELOW:ST. JOSEPH MERCY OAKLANDST. JOSEPH MERCY OAKLAND (SJMO) USED A NUMBER OF METHODS TO SECURE INFORMATION ON HEALTH STATUS (BOTH SUBJECTIVE AND OBJECTIVE), SERVICE AND PROGRAMMATIC NEEDS, AND GAPS IN SERVICE TO ENSURE THE MOST COMPREHENSIVE AND USEFUL COMMUNITY HEALTH NEEDS DATA. THESE GAPS INCLUDED COMPLETELY UNMET NEEDS, INADEQUATELY ADDRESSED NEEDS, AND THE OVER- OR UNDER-UTILIZATION OF FACILITIES, SERVICES, AND PROGRAMS. WE EMPLOYED HISTORICAL DATA REVIEW, LITERATURE REVIEW, META-ANALYSIS, DATA MINING, INTERPRETIVE OBSERVATION, CONTENT ANALYSIS, AND QUESTIONNAIRES. HISTORICAL DATA REVIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WORK TEAM REVIEWED DATA CULLED DURING PREVIOUS COLLECTION PERIODS IN ORDER TO: 1)CONFIRM THAT OUR CURRENT DATA COLLECTION WAS COMPREHENSIVE AND HISTORICALLY SOUND AND 2)BEGIN TO PREPARE HYPOTHESES ABOUT OUR CURRENT PROCESS OUTCOMES.LITERATURE REVIEW SJMO'S STRONGEST COLLABORATIVE RELATIONSHIP IS WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, WHICH AFFORDS US ACCESS TO A NUMBER OF DATABASES AND REPORTS, SUCH AS THE "MICHIGAN'S HEALTH PROFILE CHARTBOOK," AND THE "HEALTH PROFILE CHARTBOOK: REGION 2N." FOR THE PURPOSES OF THIS PROCESS, WE REVIEWED THESE AND A NUMBER OF OTHER REPORTS (E.G., THE "2009-2010 OAKLAND COUNTY COMMUNITY ASSESSMENT" OF THE OAKLAND LIVINGSTON HUMAN SERVICE AGENCY'S CHILD AND FAMILY SERVICES DIVISION HEAD START PROGRAM) TO FRAME OUR CONVERSATIONS, AND TO FURTHER UNDERSTAND THE HEALTH NEEDS OF OUR COMMUNITY AGAINST OTHERS THROUGHOUT THE STATE OF MICHIGAN.IN ADDITION, DATA WAS COLLECTED FROM THE U.S. CENSUS BUREAU, AREA CHAMBERS OF COMMERCE, THE MICHIGAN STATE GOVERNMENT, THINK TANKS SUCH AS THE ECONOMIC POLICY INSTITUTE AND TRUST FOR AMERICA'S HEALTH, NEWSPAPER ARTICLES, AND NUMEROUS DATABASES, SUCH AS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE USDA FOOD CONSUMPTION ATLAS, AND HEALTH RELATED QUALITY OF LIFE AND HEALTH DATA INTERACTIVE, BOTH FROM THE U.S. CENTER FOR DISEASE CONTROL. A COMPLETE LIST OF DATABASES IS FOUND IN THE APPENDIX OF THE CHNA.META-ANALYSIS IN 2010, SJMO LED A CAPACITY-BUILDING EFFORT AMONG COMMUNITY HEALTH STAKEHOLDERS IN THE PONTIAC AREA. THAT EFFORT INCLUDED A SURVEY OF A SMALL GROUP (175 PARTICIPANTS) ON ISSUES OF HEALTHCARE AND SOCIAL SERVICE NEEDS. WE REVIEWED AND CONSIDERED THE RESULTANT DATA AS WE DEVELOPED OUR CHNA SURVEY TOOL, AND AS WE ANALYZED THE DATA FROM THIS ASSESSMENT EXPERIENCE.DATA MINING SJMO CREATED A SURVEY TOOL (THE CHNA QUESTIONNAIRE) TO EXTRACT SIMILAR DATA, BUT FROM VARYING STAKEHOLDER PERSPECTIVES. THE QUESTIONNAIRE WAS CUSTOMIZED FOR INDIVIDUALS, BUSINESS OWNERS, PHYSICIANS, AND COMMUNITY SERVICE VOLUNTEERS AND EMPLOYEES. ITS ADMINISTRATION WAS A LARGE PART OF OUR DATA COLLECTION EFFORT. RATHER LENGTHY, AT 35 48 QUESTIONS (DEPENDING ON THE STAKEHOLDER GROUP SURVEYED), THE QUESTIONNAIRES PROVIDED DEMOGRAPHIC DATA, A WEALTH OF INFORMATION ON HEALTH STATUS NEEDS (BOTH PERCEIVED AND DIAGNOSED), RESPONDENTS' AWARENESS OF PROGRAMS AND SERVICES, AND THEIR PERSONAL HYPOTHESES ABOUT WHAT IS NEEDED TO IMPROVE COMMUNITY HEALTH. THE SURVEY WAS ADMINISTERED EITHER BY A CHNA WORK TEAM MEMBER OR A TRAINED REPRESENTATIVE OF A COMMUNITY PARTNER. OUR MINING TASK CONCLUDED WITH A SUMMARIZATION OF THESE VARYING DATA POINTS INTO USEFUL INFORMATION THAT WE WILL USE TO ASSESS CURRENT PROGRAM DESIGN, COSTS, AND OUTCOMES, AND TO ENVISION AND IMPLEMENT NEW PROGRAMS TO BETTER MEET THE NEEDS IDENTIFIED BY OUR VARIOUS STAKEHOLDER GROUPS. INTERPRETIVE OBSERVATION THE CHNA WORK TEAM HAD SOME UNIQUE OPPORTUNITIES TO INTERACT WITH MEMBERS OF OUR COMMUNITY IN THE PLACES THEY FREQUENT TO RECEIVE VARIOUS HEALTHCARE SERVICES: MERCY PLACE, THE BALDWIN CENTER, THE BOWEN CENTER, AND NEW MT. MORIAH CHURCH. WHILE THE DATA COLLECTED IN THIS MANNER IS BY DEFINITION SUBJECTIVE, IT DID PROVIDE USEFUL INSIGHT INTO THE LIVES OF OUR COMMUNITY MEMBERS.ST. JOSEPH MERCY PORT HURONST. 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. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE. 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, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES. 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 AND IN ADMISSION PACKAGES DURING INTAKE. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH IN SEVERAL COMMUNITIES, REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS. TRINITY HEALTH-MICHIGAN'S HOSPITALS HAVE ESTABLISHED WRITTEN POLICIES 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. OUR HOSPITALS EDUCATE STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES.
PART VI, LINE 4: COMMUNITY INFORMATION - ST. JOSEPH MERCY OAKLAND (PONTIAC):ST. JOSEPH MERCY OAKLAND SERVES ALL OF OAKLAND COUNTY NORTH OF EIGHT MILE ROAD, ALTHOUGH MOST COMMUNITY BENEFIT INITIATIVES FOCUS ON PONTIAC. THE 2013 RACIAL BREAKDOWN FOR OAKLAND COUNTY IS: WHITE NOT HISPANIC 77%; AFRICAN AMERICAN 13%; AMERICAN INDIAN AND ALASKAN NATIVE <1%; ASIAN 5%; PERSONS REPORTING TWO OR MORE RACES 2%; AND HISPANIC OR LATINO 3%. ESTIMATES FOR THE CITY OF PONTIAC ARE: WHITE NOT HISPANIC 34%; AFRICAN AMERICAN 52%; AMERICAN INDIAN AND ALASKA NATIVE <1%; ASIAN 2%; PERSONS REPORTING TWO OR MORE RACES 4%; HISPANIC OR LATINO 16%. THE HISPANIC OR LATINO POPULATION HAS INCREASED SIGNIFICANTLY. PONTIAC'S UNEMPLOYMENT RATE WAS AT 17.5% IN DECEMBER OF 2013, DOWN FROM A HIGH OF 31.1% IN OCTOBER 2009. THESE FIGURES ARE HIGHER THAN BOTH OAKLAND COUNTY AND THE STATE OF MICHIGAN. WHILE SHOWING IMPROVEMENT, THE RECENT DATA SHOWED, AT ITS WORST, A SIGNIFICANT RISE IN UNEMPLOYMENT COMPARED TO THE PRE-RECESSION YEAR OF 2007-PONTIAC, UP 60.9%; MICHIGAN UP 43.5%; AND OAKLAND COUNTY UP 72.1%. DESPITE THE FACT THAT THE RISE IN UNEMPLOYMENT FOR THE ENTIRE UNITED STATES HAS BEEN MUCH HIGHER, AT 89.6%, IT SHOULD BE REMEMBERED THAT MICHIGAN, AND ESPECIALLY PONTIAC, BEGAN THEIR RECESSIONS BETWEEN 10 AND 30 YEARS AGO, SO RECENT INCREASES ADD INSULT TO GREATER EXISTING INJURY, AND THUS APPEAR LESS SIGNIFICANT.MERCY HEALTH SAINT 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 TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. THE HEALTH CARE 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. IN 2012, THERE WERE 614,462 PEOPLE LIVING IN KENT COUNTY WHICH IS 6.1 PERCENT OF MICHIGAN'S POPULATION. THE MEDIAN HOUSEHOLD INCOME FOR KENT COUNTY IS $50,801. TWENTY-SIX PERCENT OF THE POPULATION IS BELOW THE AGE OF 18 AND ELEVEN PERCENT IS 65 YEARS OF AGE AND OLDER. EIGHTY-THREE PERCENT OF THE POPULATION IS WHITE, 10.3% BLACK, AND 9.9% LATINO. EIGHTY-EIGHT PERCENT ARE HIGH SCHOOL GRADUATES AND 30% HAVE A BACHELOR'S DEGREE. THE CURRENT UNEMPLOYMENT RATE IS 8.5%.MERCY HOSPITAL CADILLAC:MERCY HOSPITAL CADILLAC SERVES A RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF MISSAUKEE AND WEXFORD COUNTIES (WHERE THE HOSPITAL IS LOCATED), ALONG WITH PORTIONS OF OSCEOLA, KALKASKA, MANISTEE AND LAKE COUNTIES. THE SERVICE REGION ENCOMPASSES THE COMMUNITIES OF CADILLAC, LAKE CITY, MANTON, MESICK AND MCBAIN. MERCY HOSPITAL CADILLAC IS THE ONLY IN-PATIENT AND EMERGENCY SERVICE PROVIDER FOR THIS SERVICE REGION. IT IS DESIGNATED A SOLE COMMUNITY PROVIDER. THE U.S. CENSUS DATA FROM 2010 HAVE NOTED THAT AN INCREASING SEGMENT OF THE POPULATION IS ELDERLY. WITH ADVANCED AGE USUALLY COMES AN INCREASED RATE OF CHRONIC DISEASE. MERCY HOSPITAL GRAYLING:MERCY HOSPITAL GRAYLING SERVES A SPARSELY POPULATED, RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF CRAWFORD COUNTY (WHERE THE HOSPITAL IS LOCATED) AND MOST OF ROSCOMMON COUNTY, AS WELL AS MUCH OF OSCODA COUNTY AND SMALL PORTIONS OF MONTMORENCY AND OTSEGO COUNTIES. MERCY HOSPITAL GRAYLING IS THE ONLY INPATIENT AND EMERGENCY SERVICE PROVIDER FOR THIS REGION. THERE ARE NEARLY 50,000 PEOPLE LIVING IN MERCY GRAYLING'S THREE COUNTY SERVICE AREAS. FROM 2000-2010, THE POPULATION IN CRAWFORD, OSCODA AND ROSCOMMON COUNTIES HAS DECREASED, WITH THE LARGEST DECREASE OCCURRING IN OSCODA COUNTY. THE PERCENTAGE OF PERSONS BELOW POVERTY CONTINUES TO BE HIGHER IN ALL THREE COUNTIES THAN IN ALL OF MICHIGAN WITH ROSCOMMON HAVING THE HIGHEST RATE AT 22.2% COMPARED TO MICHIGAN'S RATE OF 14.8%.THE CONCERN FOR SINGLE PARENT STATUS SURFACES AS AN ONGOING ISSUE FOR OUR COMMUNITY FAMILIES TODAY. CHILDREN THAT ARE LIVING IN SINGLE PARENT HOUSEHOLDS ARE HIGHER THAN MICHIGAN IN BOTH CRAWFORD (38%) AND ROSCOMMON (45%), WITH OSCODA BEING SLIGHTLY LOWER AT 26%. MICHIGAN'S OVERALL RATE IS 32%.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 BUREAU DATA, ST. CLAIR COUNTY HAS ABOUT 163,000 RESIDENTS AND IS EXPECTED TO SLOWLY DECLINE. OF THAT POPULATION 94.5% ARE CAUCASIAN, 2.6% BLACK OR AFRICAN AMERICAN AND 2.9% HISPANIC OR LATINO. IN 2011 15% OF AREA RESIDENTS WERE SENIORS AGE 65 AND OLDER, WHICH IS THE ONLY DEMOGRAPHIC EXPECTED TO GROW IN THE NEXT DECADE. THE COUNTY IS 721 SQUARE MILES, ENCOMPASSING 33 COMMUNITIES. THE COUNTY SEAT IS LOCATED IN PORT HURON AND THE COUNTY IS GOVERNED BY A SEVEN MEMBER BOARD OF COMMISSIONERS. THE LARGEST GROWTH SECTOR IN TERMS OF JOBS FOR THE COUNTY IS CONSIDERED PRIVATE EDUCATION/HEALTHCARE, FOLLOWED BY RETAIL TRADE AND KNOWLEDGE-BASED SERVICES. ITS TOP FOUR LARGEST EMPLOYERS INCLUDE SERVICE INDUSTRY PROVIDERS SUCH AS HEALTH CARE, EDUCATION, GOVERNMENT AND A UTILITY. ST. JOSEPH MERCY HOSPITAL IS THE FIFTH LARGEST EMPLOYER IN THE COUNTY. SAINT MARY MERCY LIVONIA:ST MARY MERCY LIVONIA'S PRIMARY SERVICE AREA INCLUDES CANTON, LIVONIA, NORTHVILLE, NOVI, PLYMOUTH, REDFORD AND WESTLAND. MANY OF THE RESIDENTS HAVE BEEN AFFECTED BY THE ECONOMIC CHALLENGES THAT HAVE AFFECTED OUR NATION AND CITY. HOME FORECLOSURES, DEBT DUE TO MEDICAL BILLS, UNEMPLOYMENT AND INCREASED COST OF LIVING WITH NO WAGE INCREASES HAVE CAUSED MANY PEOPLE TO MAKE DIFFICULT CHOICES ABOUT THEIR HEALTH CARE. BASED UPON THE 2010 CENSUS DATA, MEDIAN INCOME RANGES FROM $46,308 IN WESTLAND TO $81,541 IN NORTHVILLE, WHICH IS CONSIDERABLY LESS THAN THE 2000 CENSUS DATA. THE NUMBER OF PERSONS LIVING IN POVERTY IN WESTLAND, 6.7%, IS ABOUT THE SAME AS IN 2000, WHILE IN NORTHVILLE THE NUMBER IS 2.5%, HIGHER THAN THE 2000 CENSUS. THE 65+ AGE GROUP POPULATION RANGES FROM 17.7% IN LIVONIA TO 8.9% IN CANTON. SAINT 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 FOUR HOSPITALS: ST. JOSEPH MERCY ANN ARBOR, ST. MARY MERCY HOSPITAL IN LIVONIA, CHELSEA COMMUNITY HOSPITAL, AND SAINT JOSEPH MERCY LIVINGSTON IN HOWELL. COMBINED, THESE HOSPITALS ARE LICENSED FOR 1,090 INPATIENT BEDS. BASED ON 2011 DATA, THE AVERAGE HOUSEHOLD INCOME IN THE SJMHS SERVICES AREA IS $74,533 COMPARED TO THE AVERAGE FOR THE UNITED STATES OF $69,376. THIRTEEN PERCENT OF THE SERVICE AREA'S POPULATION IS BELOW FEDERAL POVERTY GUIDELINES. ABOUT 10% OF THE SERVICE AREA POPULATION RECEIVES MEDICAID OR OTHER ASSISTANCE, WHILE 13% ARE UNINSURED OR UNDERINSURED. THE NON-ENGLISH SPEAKING POPULATION COMPRISES 8.4% OF THE TOTAL.THE LARGEST SEGMENT OF THE SERVICE AREA POPULATION, 29.6% IS BETWEEN 35 AND 54 YEARS OF AGE, COMPARED TO THE NATIONAL AVERAGE OF 27.6%. CHILDREN 0-14 YEARS MAKE UP 18.5% OF THE TOTAL POPULATION, COMPARED TO THE NATIONAL AVERAGE OF 20.2%. THE OVER-55 POPULATION ACCOUNTS FOR 25.2% OF THE TOTAL, COMPARED TO THE NATIONAL AVERAGE OF 25%. ONLY 8.9% OF THE SERVICE AREA POPULATION DOES NOT HAVE A HIGH SCHOOL EDUCATION, COMPARED TO THE NATIONAL AVERAGE OF 15.1%.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: MERCY HEALTH SAINT MARY'SMERCY 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 NUMEROUS 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. MERCY HOSPITAL CADILLAC MEDICAL 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 GRAYLINGMEDICAL 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. IN ADDITION TO COALITION BUILDING, MERCY HOSPITAL GRAYLING OFFERS NUMEROUS PROGRAMS TO ASSIST PATIENTS IN THE MANAGEMENT OF CHRONIC DISEASE, SUCH AS DIABETES PROGRAMS THAT ARE OFTEN FREE OF CHARGE. A WELLNESS COACH IS ALSO EMPLOYED TO PROVIDE SERVICES TO PATIENTS WITH HIGH BLOOD PRESSURE, HIGH CHOLESTEROL AND OTHER CHRONIC CONDITIONS. IN ADDITION, FREE EDUCATIONAL CLASSES AND SEMINARS ARE OFFERED WITHIN THE COMMUNITY BY STAFF AND PROVIDERS.SAINT JOSEPH MERCY HEALTH SYSTEM SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) COLLABORATES WITH OTHERS IN THE COMMUNITY TO ACHIEVE IMPROVEMENTS IN HEALTH AND ACCESS TO HEALTHCARE. 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.ST. JOSEPH MERCY OAKLANDST. JOSEPH MERCY OAKLAND (SJMO) PARTNERED WITH "THE CORNER", A PONTIAC COMMITTEE THAT CREATED CELEBRATORY EVENTS TO COMMEMORATE PONTIAC'S SESQUICENTENNIAL AND TO CELEBRATE THE LIVES OF THE FIRST GROUP OF AFRICAN AMERICAN PHYSICIANS WHO DEDICATED THEIR LIVES IN SERVICE TO THE CITY. ADDITIONALLY, THEY WANTED TO PIQUE AN INTEREST IN HEALTH CARE CAREERS FOR THE CHILDREN OF PONTIAC AS WELL AS INCREASE THEIR POTENTIAL FOR INCREASING THE FUTURE FINANCIAL STABILITY (AND ULTIMATE PHYSICAL HEALTH) OF THEIR FAMILIES BY EXPOSING THE CHILDREN TO NEW CAREER PATHS AND POTENTIALITIES. THE CORNER ASKED SJMO TO CREATE A HEALTH CARE CO-OP PROGRAM THAT PROVIDED EXPERIENTIAL LEARNING OPPORTUNITIES FOR THESE SAME CHILDREN. IN RESPONSE, SJMO 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 WORK 15 HOURS/WEEK AFTER SCHOOL DURING THE SCHOOL YEAR AND 40 HOURS/WEEK DURING THEIR SUMMER BREAK. STUDENTS ARE PAID FOR THEIR HOURS WORKED BY THE MICHIGAN WORKS PROGRAM.OUR FIRST COHORT OF 21 STUDENTS BEGAN JANUARY OF 2013. THE EXPERIENCE WAS PHENOMENALLY SUCCESSFUL FOR BOTH THE STUDENTS AND HOSPITAL. IT PROVIDED TREMENDOUS OPPORTUNITIES FOR PERSONAL AND PROFESSIONAL DEVELOPMENT FOR STUDENTS AS WELL AS FINANCIAL STABILITY FOR THEIR FAMILIES. ALL OF THE STUDENTS WHO COMPLETED THE PROGRAM (16) MATRICULATED ONTO COLLEGE.BASED ON THE SUCCESS OF OUR FIRST COHORT, WE ARE CURRENTLY HOSTING OUR SECOND COHORT OF 15 STUDENTS WHICH BEGAN JANUARY 2014. OTHER EFFORTS INCLUDE 44 COMMUNITY HEALTH FAIR EVENTS WITH A TOTAL ATTENDANCE OF 3,298 COMMUNITY MEMBERS. OUR COMMUNITY HEALTH NAVIGATORS PROVIDED 1,053 SCREENINGS AND 679 FOLLOW-UPS. THEIR HEALTH SCREENING INCLUDED BLOOD SUGAR, BLOOD PRESSURE AND CHOLESTEROL. MERCY PLACE, OUR FREE OUTPATIENT CLINIC IN DOWNTOWN PONTIAC, PROVIDES COMPREHENSIVE HEALTH CARE, TREATMENT AND PREVENTION TO UNINSURED PEOPLE WHO DO NOT QUALIFY FOR OTHER HEALTH CARE ALTERNATIVES. ST. JOSEPH MERCY PORT HURONSINCE 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. ST. MARY MERCY LIVONIARESPONDING TO THE COMMUNITY NEED FOR MORE INPATIENT BEHAVIORAL MEDICINE SERVICES, ST. MARY MERCY OFFERS A ROBUST BEHAVIORAL MEDICINE SERVICE. TO IMPROVE THE ER EXPERIENCE FOR PATIENTS WITH MENTAL ILLNESS OR ADDICTION PROBLEMS, A BEHAVIORAL MEDICINE SECTION WAS DESIGNED IN THE NEW ER THAT OPENED IN OCTOBER OF 2013. THE ER PSYCHIATRIC SOCIAL WORKERS ASSIST PATIENTS AND THEIR FAMILIES IN THE AUTHORIZATION PROCESS FOR INPATIENT ADMISSION OR IN CONNECTING THEM WITH OUTPATIENT SERVICES AVAILABLE IN THE COMMUNITY.WITH LIMITED ACCESS FOR FREE CLINIC HEALTHCARE IN WAYNE COUNTY, ST. MARY MERCY HOSPITAL IS PROUD OF THEIR PARTNERSHIP WITH THE JOY SOUTHFIELD CLINIC AND WAYNE HOPE CLINIC. THE FREE LAB SERVICES AND DIABETES EDUCATION PROGRAM, OFFERED BY THE HOSPITAL, ASSIST WITH THE MANAGEMENT OF CHRONIC DISEASES. THE DEVELOPMENT OF AN IN-HOUSE PROGRAM TO MANAGE FOLLOW-UP SPECIALIST CARE FOR PATIENTS SEEN IN THE ER HAS BEEN GREATLY APPRECIATED BY THE UNINSURED PATIENTS, WHO WOULD HAVE WAITED MONTHS TO RECEIVE THEIR FOLLOW-UP CARE.
PART VI, LINE 6: TRINITY HEALTH-MICHIGAN IS A MEMBER OF CHE TRINITY HEALTH, THE SECOND-LARGEST CATHOLIC HEALTH CARE SYSTEM IN THE COUNTRY. CHE TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS 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, CHE 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. OVERALL, 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 CHE TRINITY HEALTH, VISIT WWW.NEWHEALTHMINISTRY.ORG.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (29 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Address Line2AddressUS/AddressLine2
CITY OF CADILLAC
200 NORTH LAKE STREET	CADILLAC	MI	49601	386004541	CITY GOVERNMENT	5000	SPONSOR 2013 ART PAVILION
AMERICAN CANCER SOCIETY INC GREAT LAKES DIVISION INC
1755 ABBEY ROAD	EAST LANSING	MI	48823	381387120	501(C)(3)	5500	SPONSORSHIP
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NW	ATLANTA	GA	30303	131788491	501(C)(3)	5000	SPONSORSHIP
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	50000	GENERAL SUPPORT
ANN ARBOR AREA COMMUNITY FOUNDATION
301 N MAIN ST STE 300	ANN ARBOR	MI	48104	386087967	501(C)(3)	201000	GENERAL SUPPORT
ANN ARBOR SYMPHONY ORCHESTRA INC
220 E HURON STE 470	ANN ARBOR	MI	48104	386069701	501(C)(3)	5000	2013 ANN ARBOR SYMPHONY ORCHESTRA FAMILY CONCERT
CANTON CHAMBER OF COMMERCE
45525 HANFORD RD	CANTON	MI	48187	382087835	501(C)(6)	5350	SPONSORSHIP
CHILD ABUSE & NEGLECT COUNCIL DBA CARE HOUSE OF OAKLAND COUNTY INC
44765 WOODWARD AVE	PONTIAC	MI	48341	382305297	501(C)(3)		GENERAL SUPPORT	5343	FAIR MARKET VALUE	SUPPLIES
CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION
2929 PLYMOUTH RD STE 245	ANN ARBOR	MI	48105	271017827	501(C)(3)	30000	SUPPORT WASHTENAW HEALTH INITIATIVE
CITY OF WESTLAND
36601 FORD ROAD	WESTLAND	MI	48185	381810301	CITY GOVERNMENT	10000	PASSPORT TO A HEALTHY CITY SPONSORSHIP
DETROIT REGIONAL CHAMBER
PO BOX 33840	DETROIT	MI	48232	380477570	501(C)(6)	18900	SPONSORSHIP
FOOD GATHERERS
PO BOX 131037	ANN ARBOR	MI	48113	382853858	501(C)(3)	12500	GENERAL SUPPORT
GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN
2131 BEAUFAIT	DETROIT	MI	48207	382156255	501(C)(3)	10000	GENERAL SUPPORT
ROTARY CLUB OF GRAYLING
PO BOX 373	GRAYLING	MI	49738	382900631	501(C)(4)	8781	GENERAL SUPPORT
JOY-SOUTHFIELD COMMUNITY DEVELOPMENT CORPORATION
18917 JOY ROAD	DETROIT	MI	48228	383622930	501(C)(3)	75000	SUPPORT PATIENT ACCESS
LIGHTHOUSE OF OAKLAND COUNTY
PO BOX 430508	PONTIAC	MI	48343	382391381	501(C)(3)	6000	SPONSORSHIP
MAKE A WISH FOUNDATION OF MICHIGAN
2300 GENOA BUSINESS PARK DR ROOM	BRIGHTON	MI	48114	382505812	501(C)(3)	40000	SPONSORSHIP				290
NEW HOPE SHELTER
814 LYNN STREET	CADILLAC	MI	49601	320019736	501(C)(3)		PROVIDE HOUSING FOR UNFORTUNATE	14400	FAIR MARKET VALUE	MISCELLANEOUS GOODS
MUNSON HEALTHCARE REGIONAL FOUNDATION
PO BOX 1188	TRAVERSE CITY	MI	49685	382642724	501(C)(3)	5000	SUPPORT OF NORTHERN MICHIGAN DIABETES INITIATIVE
OAKLAND COUNTY-MEDICAL MAIN STREET
2100 PONTIAC LK RD BLDG 41W	WATERFORD	MI	48382	386004876	CITY GOVERNMENT	5000	SPONSORSHIP
OAKLAND UNIVERSITY SCHOOL OF BUSINESS ADMINISTRATION
427 ELLIOTT HALL	ROCHESTER	MI	48309	381714400	501(C)(3)	15500	SPONSORSHIP
OAKLAND UNIVERSITY SCHOOL OF NURSING
2200 NORTH SQUIRREL ROAD	ROCHESTER	MI	48309	381714400	501(C)(3)	5000	SPONSORSHIP
PACKARD HEALTH INC
3174 PACKARD RD	ANN ARBOR	MI	48108	382269817	501(C)(3)	46250	DONATION TO ESTABLISH EMR SYSTEM
STEHOUWER FREE CLINIC
201 N MITCHELL STE L-1	CADILLAC	MI	49601	611401888	501(C)(3)	138421	SUPPORT OF FREE CLINIC
UNITED WAY OF WASHTENAW COUNTY
2305 PLATT RD	ANN ARBOR	MI	48104	381951024	501(C)(3)	11271	SPONSORSHIP
UNITED WAY OF WEXFORD-MISSAUKEE COUNTIES
PO BOX 177	CADILLAC	MI	49601	237112549	501(C)(3)	10000	UNITED WAY SUPPORT
UNIVERSITY OF MICHIGAN DEPT OF MED ED
1500 E MEDICAL CTR DR 5PC 5201	ANN ARBOR	MI	48109	386006309	501(C)(3)	5000	SCHOLARLY ACTIVITY - FUNGAL MENINGITIS OUTBREAK
WESTERN WASHTENAW AREA VALUE EXPRESS
PO BOX 272	CHELSEA	MI	48118	382122970	501(C)(3)	5000	GENERAL SUPPORT
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBART	CADILLAC	MI	49601	203357131	501(C)(3)	119267	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	26	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
SCHOLARSHIPS	15	25000
PRESCRIPTION MEDICATIONS	237		22134	FAIR MARKET VALUE	PRESCRIPTION MEDICATIONS
TRANSPORTATION ASSISTANCE	50	2338

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (48 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH SWEDISH
TRINITY PRES & CEO THROUGH 3/13	0	1402192	0	786411	0	1044897	0	572762	0	28714	0	3834976	0	520902
JUDITH PERSICHILLI
TRIN INTERIM PRES & CEO AS OF 5/13	0	1253511	0	735075	0	1901967	0	10500	0	7010	0	3908063	0	0
PAUL NEUMANN
SECRETARY; EVP & GENERAL COUNSEL	0	494416	0	202805	0	115660	0	77823	0	28506	0	919210	0	0
AGNES HAGERTY
ASST SEC; VP DEPUTY GEN CSL TRINITY	0	344298	0	0	0	24359	0	39568	0	15206	0	423431	0	0
JENNIFER BARNETT
TREAS AS OF 5/13; TRIN EVP & INT CFO	0	544376	0	209584	0	173325	0	11250	0	11351	0	949886	0	0
BENJAMIN CARTER
TREAS 4/13; ASST TREAS AS OF 5/13	0	523380	0	202878	0	73045	0	80824	0	31986	0	912113	0	0
JAMES BOSSCHER
ASST TREAS THR 4/13; TRIN SVP TREAS	0	333362	0	135303	0	117905	0	78514	0	12923	0	678007	0	13830
KEDRICK ADKINS
TRINITY PRES INTEG SYS THR 6/13	0	784856	0	366716	0	670047	0	112792	0	13375	0	1947786	0	265335
RICHARD O'CONNELL
EVP & PRES TRINITY HEALTH DIV.	0	607209	0	284428	0	144773	0	97104	0	33319	0	1166833	0	0
GARRY FAJA
REG MKT EXEC - EAST MICH.	0	550115	0	201021	0	217895	0	63874	0	20922	0	1053827	0	107922
PHILIP MCCORKLE
REG MKT EXEC - WEST MICH.	0	427388	0	142458	0	83180	0	25000	0	32962	0	710988	0	0
JACK WEINER
SJ MERCY OAKLAND CEO	0	411489	0	134607	0	91411	0	95936	0	40541	0	773984	0	21121
ROBERT CASALOU
SJ MERCY HEALTH SYSTEM CEO	0	417993	0	143567	0	57747	0	71479	0	25846	0	716632	0	0
DAVID SPIVEY
ST. MARY MERCY LIVONIA CEO	0	351633	0	115242	0	61941	0	81498	0	16212	0	626526	0	12731
CHARLES HOFFMAN SJMHS CFO THR 812
8/12; SE MI REG VP BUS & SYS DEV	0	410943	0	95498	0	3879	0	34693	0	19263	0	564276	0	0
NANCY GRAEBNER
CHELSEA HOSPITAL CEO AS OF 1/12	0	266991	0	80664	0	57477	0	36488	0	13598	0	455218	0	0
BARBARA HERTZLER
SJ MERCY OAKLAND COO	0	310662	0	73675	0	20128	0	45155	0	18124	0	467744	0	0
RANDALL WAGNER
MERCY HEALTH SAINT MARY'S COO	0	300310	0	62866	0	4484	0	25303	0	17494	0	410457	0	0
JOHN MACLEOD
MERCY CADILLAC CEO	0	227116	0	80421	0	42937	0	53432	0	21003	0	424909	0	3375
ROBERT SMYTHE
SJ MERCY HLTH SYS COO THROUGH 4/13	0	293122	0	48294	0	4448	0	20736	0	14320	0	380920	0	0
STEPHANIE RIEMER-MATUZAK
MERCY GRAYLING CEO	0	214289	0	77644	0	38504	0	60891	0	24837	0	416165	0	3107
MICHAEL GUSHO
SJM OAK CFO THR 9/12; SE MI REG CFO	0	271295	0	57174	0	1359	0	41955	0	19563	0	391346	0	0
CLAUDE LAUDERBACH
ST. MARY MERCY LIVONIA COO	0	224004	0	49362	0	2088	0	45478	0	15399	0	336331	0	0
DEBORAH ARMSTRONG
SJ MERCY PORT HURON INTERIM CFO	0	260000	0	0	0	0	0	19850	0	0	0	279850	0	0
REBEKAH SMITH
SJ MERCY PORT HURON CEO	0	181154	0	48267	0	16264	0	50243	0	2747	0	298675	0	0
MICHAEL SAMYN
ST. MARY MERCY LIVONIA CFO	0	193436	0	48872	0	960	0	19265	0	17845	0	280378	0	0
KATHLEEN O'CONNOR
SJMHS VP FINANCE AS OF 1/12	246677	0	28687	0	1095	0	49734	0	10018	0	336211	0	0	0
KRISTOPHER AALDERINK
ORTHOPEDIC SURGEON (SJMHS)	664505	0	294331	0	663	0	14850	0	12128	0	986477	0	0	0
CREG CARPENTER
ORTHOPEDIC SURGEON (CHELSEA HOSP)	313011	0	433750	0	450	0	19978	0	10947	0	778136	0	0	0
GEORGE GIBSON
ORTHOPEDIC SURGEON (SJMHS)	444883	0	275335	0	464	0	7500	0	12524	0	740706	0	0	0
TALLAL ZENI
BARIATRIC SURGEON (SMM LIVONIA)	418018	0	299549	0	637	0	27205	0	12123	0	757532	0	0	0
MARK KELLEY
ORTHOPEDIC SURGEON (SJMHS)	635714	0	75970	0	1571	0	20000	0	17159	0	750414	0	0	0
DANIEL HALE
FORMER OFFICER	0	527004	0	213622	0	115423	0	42104	0	21386	0	919539	0	24468
MARIANNE CUNNINGHAM
FORMER OFFICER	0	164476	0	0	0	803	0	13596	0	18931	0	197806	0	0
STEPHEN PIROG
FORMER KEY EMPLOYEE	0	173455	0	60971	0	1980	0	44377	0	8761	0	289544	0	0
PETER KARADJOFF
FORMER KEY EMPLOYEE	0	98504	0	0	0	18496	0	9688	0	8907	0	135595	0	4734
PAUL BROWNE
FORMER KEY EMPLOYEE	0	243006	0	185010	0	52014	0	28955	0	12897	0	521882	0	21648
DEBRA CANALES
FORMER KEY EMPLOYEE	0	508488	0	236816	0	106740	0	82290	0	19743	0	954077	0	22307
PAUL CONLON
FORMER KEY EMPLOYEE	0	308921	0	120954	0	58780	0	88694	0	25670	0	603019	0	7849
LOUIS FIERENS
FORMER KEY EMPLOYEE	0	329192	0	133901	0	55547	0	53208	0	15721	0	587569	0	9499
PRESTON GEE
FORMER KEY EMPLOYEE	0	298570	0	117923	0	51982	0	49970	0	29779	0	548224	0	0
MICHAEL HOLPER
FORMER KEY EMPLOYEE	0	292196	0	109035	0	48774	0	69949	0	24350	0	544304	0	5807
TERRENCE O'ROURKE
FORMER KEY EMPLOYEE	0	548590	0	254064	0	161351	0	24584	0	32380	0	1020969	0	0
MARIA SZYMANSKI
FORMER KEY EMPLOYEE	0	429715	0	159037	0	35632	0	60935	0	15654	0	700973	0	20460
ROGER SPOELMAN
FORMER KEY EMPLOYEE	0	467996	0	155249	0	100767	0	103021	0	22195	0	849228	0	25924
GREGORY LOOMIS
FORMER KEY EMPLOYEE	0	299220	0	65260	0	4401	0	35430	0	16773	0	421084	0	0
GARY ALLORE
FORMER KEY EMPLOYEE	0	271400	0	61821	0	904	0	18951	0	20064	0	373140	0	0
MICHAEL MURPHY
FORMER KEY EMPLOYEE	0	139488	0	0	0	41394	0	4650	0	11980	0	197512	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 3

TRINITY HEALTH - MICHIGAN IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH - MICHIGAN'S HOSPITAL CEOS 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 CEOS: - 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, LINE 4B

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 ($250,000 FOR 2012). THE FOLLOWING ACCRUALS FOR 2012 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $100,292 JAMES BOSSCHER - $47,142 PAUL BROWNE - $9,066 DEBRA CANALES - $60,671 BENJAMIN CARTER - $60,824 ROBERT CASALOU - $44,129 PAUL CONLON - $42,044 GARRY FAJA - $14,846 LOUIS FIERENS - $33,235 PRESTON GEE - $30,120 NANCY GRAEBNER - $18,488 MICHAEL HOLPER - $38,052 JOHN MACLEOD - $24,967 PAUL NEUMANN - $57,823 RICHARD O'CONNELL - $77,104 STEPHANIE RIEMER-MATUZAK - $23,794 REBEKAH SMITH - $9,568 DAVID SPIVEY - $46,907 ROGER SPOELMAN - $68,609 JOSEPH SWEDISH - $543,977 MARIA SZYMANSKI - $21,247 JACK WEINER - $58,955 PART II: THE FOLLOWING INDIVIDUALS ARE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $185,540 JENNIFER BARNETT - $140,275 JUDITH PERSICHILLI - $1,855,709 JOSEPH SWEDISH - $530,000 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MARY CONLON
FAMILY MEMBER OF PAUL CONLON, FORMER KEY EMPLOYEE	13497	EMPLOYMENT ARRANGEMENT	0
NORTHERN MICHIGAN SUPPLY ALLIANCE
LOUIS FIERENS, FORMER KEY EMPLOYEE, IS A BOARD MEMBER OF NMSA	1028457	TRINITY HEALTH - MICHIGAN PURCHASED SERVICES FROM NMSA	0
NORTHERN MICHIGAN SUPPLY ALLIANCE (NMSA)
LOUIS FIERENS, FORMER KEY EMPLOYEE, IS A BOARD MEMBER OF NMSA	3981980	TRINITY HEALTH - MICHIGAN PURCHASED SUPPLIES FROM NMSA	0
KATHRYN TUNE
FAMILY MEMBER OF BARBARA HERTZLER, KEY EMPLOYEE	91209	EMPLOYMENT ARRANGEMENT	0
METROPOLITAN DETROIT AREA HOSPITAL SERVICES INC
CHARLES HOFFMAN, KEY EMPLOYEE, IS A BOARD MEMBER OF METRO DETROIT HOSP SVCS	3482100	TRINITY HEALTH - MICHIGAN PURCHASED LAUNDRY SERVICES FROM METRO DETROIT AREA HOSPITAL SERVICES, INC.	0
JASON CARTER
FAMILY MEMBER OF BENJAMIN CARTER, OFFICER	31835	EMPLOYMENT ARRANGEMENT	0
RYAN SMITH
FAMILY MEMBER OF REBEKAH SMITH, KEY EMPLOYEE	30385	EMPLOYMENT ARRANGEMENT	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	38	NumberOfContributions
Noncash Contribs Rptd F990	108200	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	531	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	16170	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Cars And Other Vehicles CarsAndOtherVehicles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	13000	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	12	NumberOfContributions
Noncash Contribs Rptd F990	228907	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	8	NumberOfContributions
Noncash Contribs Rptd F990	6941	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	1305	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	MISCELLANEOUS	Description
Number Of Contributions	475	NumberOfContributions
Noncash Contribs Rptd F990	151460	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	1	NumberOf8283Received
Any Property That Must Be Held	1	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF ARRANGEMENT:	PART I, LINE 30B:	ONE PETER MAX FINE ART PAINTING, AND TWO LESTER JOHNSON FINE ART PAINTINGS ARE REQUIRED BY THE DONOR TO BE ON DISPLAY IN ST. JOSEPH MERCY OAKLAND HOSPITAL FOR A PERIOD OF 5 YEARS (UNTIL 2017).
THIRD PARTY USE:	PART I, LINE 32B:	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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 TRUSTEES 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, A MATERIAL CHANGE IN MISSION, 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 LOCAL BOARDS OF THE HOSPITAL DIVISIONS OF TRINITY HEALTH-MICHIGAN. THE BOARD RECEIVES A COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	TRINITY HEALTH - MICHIGAN HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF TRINITY HEALTH - MICHIGAN, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH TRINITY HEALTH - MICHIGAN'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. 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. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO TRINITY HEALTH - MICHIGAN. 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 REVIEWED WITH THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15	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 CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS 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 ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. 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.
FORM 990, PART VII, SECTION A, LINE 1:	SR. SUZANNE BRENNAN, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. SUZANNE BRENNAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH - MICHIGAN. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES AS A TRUSTEE FOR TRINITY HEALTH CORPORATION, TRINITY HEALTH - MICHIGAN AND MERCY HEALTH SERVICES - IOWA, CORP. SR. MARY MOLLISON, CSA, IS A MEMBER OF THE CONGREGATION OF SAINT AGNES. HAVING TAKEN A VOW OF POVERTY, SR. MARY MOLLISON DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH - MICHIGAN. INSTEAD, A TOTAL OF $50,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF SAINT AGNES FOR SR. MARY MOLLISON'S SERVICES AS BOARD CHAIR FOR TRINITY HEALTH CORPORATION, TRINITY HEALTH - MICHIGAN AND MERCY HEALTH SERVICES - IOWA, CORP.	TRUSTEES:
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES: -23,951,910. CHANGE IN DEFERRED RETIREMENT COST: 3,737,781. PARTNERSHIP EQUITY ACTIVITY: 220,000. EQUITY EARNINGS IN AFFILIATES: 2,351,328. OTHER TRANSACTIONS: -682,556,806. INDIGENT CARE AGREEMENT REVENUE: 12,240,597. INDIGENT CARE AGREEMENT CONTRIBUTIONS: -11,209,974. GAIN ON SALE, DIVESTITURES: 7,114,361.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2:	TRINITY HEALTH - MICHIGAN'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY13 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	MERCY HEALTH SERVICES, SJMHS SPECIALTY PHYSICIANS, MERCY SURGICAL CARE, SAINT MARY'S HEALTH CARE PROFESSIONAL FINANCIAL SERVICES, MERCY HEALTH, SJMHS ORTHOPEDIC SERVICES, SAINT MARY'S FAMILY PHARMACY-SOUTHWEST, SAINT MARY'S FAMILY PHARMACY-WEGE CENTER, SAINT MARY'S FAMILY PHARMACY-CATHEDRAL SQUARE, MERCY OUTPATIENT PHARMACY, MERCY HOSPITAL OUTPATIENT PHARMACY, SPORTX, CHELSEA ORTHOPEDIC SPECIALISTS, CHELSEACARE, SRSLY, CHELSEA COMMUNITY HOSPITAL CHILDREN'S CENTER, CHELSEA COMMUNITY HOSPITAL, DEXTER INTERNAL MEDICINE AND PEDIATRICS, WHITE OAK INN, WOMEN'S HEALTH CENTER, FAMILY MEDICINE OF STOCKBRIDGE, CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES, CHELSEACARE PHARMACY, CHELSEACARE HOME HEALTH, CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES), CHELSEA COMMUNITY HOSPITAL- A MEMBER OF THE SAINT JOSEPH MERCY HEALTHSYSTEM, ST. JOSEPH MERCY PORT HURON, SAINT MARY'S LTC PHARMACY, SAINT MARY'S CATHEDRAL SQUARE PHARMACY, MERCY PROFESSIONAL SERVICES, HEALTHFIRST MEDICAL CENTER, BALD MOUNTAIN DIAGNOSTIC IMAGING, WEXFORD ORTHOPEDICS, MERCY OB/GYN PARTNERS, CADILLAC OCCUPATIONAL MEDICINE, SAINT JOSEPH MERCY CENTER FOR ADVANCED MEDICINE AND SURGERY, CANTON CENTER FOR ADVANCED MEDICINE AND SURGERY, SAINT JOSEPH MERCY CANTON HEALTH CENTER, CANTON HEALTH CENTER, SAINT JOSEPH MERCY PHARMACY- SALINE, SAINT JOSEPH MERCY PHARMACY- REICHERT, SAINT JOSEPH MERCY PHARMACY- TOWERS, SAINT JOSEPH MERCY PHARMACY- HOWELL, ST. JOSEPH MERCY OAKLAND, ST. JOSEPH MERCY HOSPITAL- PONTIAC, MERCY HOSPITAL- PORT HURON, MERCY HOSPITAL- MUSKEGON, MERCY HOSPITAL- GRAYLING, MERCY HOSPITAL- CADILLAC, MERCY HOSPITAL, LIVINGSTON COMMUNITY HOSPICE, LEILA Y. POST MONTGOMERY HOSPITAL- BATTLE CREEK, SAMARITAN HEALTH CENTER- DETROIT, SALINE COMMUNITY HOSPITAL, ST. MARY'S HOSPITAL- GRAND RAPIDS, SAINT MARY'S HEALTH SERVICES- GRAND RAPIDS, MERCY GENERAL HEALTH PARTNERS, SAINT JOSEPH MERCY LIVINGSTON HOSPITAL, ST. JOSEPH MERCY HOSPITAL- ANN ARBOR, SAINT JOSEPH MERCY SALINE HOSPITAL, SAINT JOSEPH MERCY LIVINGSTON HOME CARE, MICHIGAN STROKE NETWORK REGISTRY, MICHIGAN STROKE NETWORK, TRINITY INFORMATION SERVICES, ST. MARY MERCY HOSPITAL, MERCY ADVANTAGE, MICHIGAN CANCER INSTITUTE, SAINT MARY'S FAMILY PHARMACY- ECS, ST. MARY MERCY WOUND CARE CENTER, MERCY MEDICAL CENTER- NOVI, MERCY PRIMARY CARE CENTER- DETROIT PHARMACY, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVIOR & MEDICINE, SAINT MARY'S MERCY WOUND CARE CENTER, WESTSIDE OBSTETRICS AND GYNECOLOGY, MERCY PRIMARY CARE CENTER- DETROIT, MERCY NORTH OUTPATIENT PHARMACY, SAINT MARY'S MERCY MEDICAL CENTER, SAINT MARY'S MERCY HOSPITAL, SAINT MARY'S MERCY WEGE CENTER, HEALTH EXPLORATION STATION, MUSKEGON GENERAL HOSPITAL, SAINT MARY'S FAMILY PHARMACY WEGE CENTER FOR HEALTH AND LEARNING, SAINT JOSEPH MERCY HEALTH NETWORK, SAINT JOSEPH MERCY HEALTH SYSTEM, CLINICA SANTA MARIA, SISTERS OF MERCY HEALTH CORPORATION, WEST MICHIGAN REGIONAL HEART AND VASCULAR INSTITUTE, MERCY MEDICAL GROUP, WESTSHORE FAMILY MEDICINE, SAINT MARY'S FAMILY PHARMACY- LTC, MERCY HEALTH SERVICES NORTH, MERCY FAMILY CARE, EVANGELICAL DEACONESS HOSPITAL, ST. JOSEPH MERCY HOSPITAL- PONTIAC, SAINT MARY'S HEALTH CARE, PARTNERS AT HEART, MICHIGAN BARIATRIC INSTITUTE (MBI), ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES (ASLA), MICHIGAN HEART, ANN ARBOR HOME INFUSION PHARMACY, ST. JOSEPH MERCY OAKLAND URGENT CARE-BIRMINGHAM, MERCY SURGERY CARE NETWORK, MERCY PATHOLOGY, ST. JOSEPH MERCY-BRIGHTON, SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP, SPARTA FAMILY HEALTH CENTER, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVORIAL MEDICINE, ST. MARY MERCY ONCOLOGY PRACTICE, ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES, SAINT MARY'S ADVANCED SPECIALTY CARE, HEARTSIDE HEALTH CLINIC, SJMO ROCHESTER HILLS OB/GYN, MERCY HEALTH - GRAND RAPIDS, MERCY HEALTH PHARMACY - SOUTHWEST, MERCY HEALTH PHARMACY - LONG TERM CARE, MERCY HEALTH PHARMACY - CATHEDRAL SQUARE , MERCY HEALTH PHARMACY - HOME INFUSION, MERCY HEALTH SAINT MARY'S, MERCY HEALTH SOUTHWEST CAMPUS, MERCY HEALTH ROCKFORD CAMPUS, MERCY HEALTH PHARMACY - WEGE CENTER, INSPIRIT CANCER SUPPORT SERVICES, MERCY CADILLAC CANCER CENTER, MERCY PHYSICIAN NETWORK, MERCY CADILLAC PHYSICIAN NETWORK, MERCY PHYSICIAN NETWORK CADILLAC, MERCY CANCER CENTER, MCAULEY HEALTH CENTER, PROFESSIONAL FINANCIAL SERVICES, RICHARD J. LACKS CANCER CENTER, BROWNING CLAYTOR HEALTH CENTER

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CLR INVESTMENTS LLC
120 W HARRIS ST	CADILLAC	MI	49601	320008631	REAL ESTATE RENTAL & DEVELOPMENT	MI	19367	172831	TRINITY HEALTH-MICHIGAN
SAINT MARY'S PHARMACY LLC
200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	383404443	PHARMACY	MI	0	0	TRINITY HEALTH-MICHIGAN
TRINITY HEALTH-WARDE LAB LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	272681908	REAL ESTATE RENTAL	DE	845198	8643467	TRINITY HEALTH-MICHIGAN

Form990 Schedule R Part II Form990ScheduleRPartII (242 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
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	1
AMICARE HOSPICE SERVICES INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382949053	PROVIDE HOSPICE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	0
AUXILIARY OF HOLY ROSARY HOSPITAL
351 SW 9TH STREET	ONTARIO	OR	97914	943059469	SUPPORTS SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	0
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	421500277	ACUTE/AMBULATORY HEALTHCARE SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	1
BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	262973307	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	BAUM HARMON MERCY HOSPITAL	1
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995	ANN ARBOR	MI	48106	382507173	FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES	MI	501(C)(3)	LINE 11B, II	TRINITY HEALTH-MICHIGAN	1
CHE TRINITY INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	900931907	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II		0	N/A
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	0
CRANBROOK HOSPICE CARE
1111 W LONG LAKE RD STE 102	TROY	MI	48098	383320699	PROVIDE HOSPICE HEALTH SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	0
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREET	COLUMBUS	OH	43213	342032340	HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	0
DUBUQUE MERCY HEALTH FOUNDATION INC
250 MERCY DRIVE	DUBUQUE	IA	52001	262227941	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	1
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW	DYERSVILLE	IA	52040	205383271	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	1
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE	MELROSE PARK	IL	60160	363332852	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	LINE 9	GOTTLIEB MEMORIAL HOSPITAL	0
GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVE	MELROSE PARK	IL	60160	743260011	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	LINE 11C, III-FI		0	N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE	MELROSE PARK	IL	60160	362379649	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	0
HACKLEY HOSPITAL
1700 CLINTON ST PO BOX 3302	MUSKEGON	MI	494433302	381358196	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	1
HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST
PO BOX 3302	MUSKEGON	MI	494433302	382299878	SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY	MI	501(C)(3)	LINE 11C, III-FI	MERCY HEALTH PARTNERS	1
HACKLEY LIFE COUNSELING
1352 TERRACE ST	MUSKEGON	MI	494423545	381386362	COUNSELING, EDUCATION, AND SUPPORT	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	1
HACKLEY VISITING NURSE SERVICES AND HOSPICE INC
888 TERRACE ST	MUSKEGON	MI	49440	381359598	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	1
HOLY CROSS CARENET INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	521945054	LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY	MD	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	0
HOLY CROSS HEALTH FOUNDATION INC
11801 TECH ROAD	SILVER SPRING	MD	20904	208428450	CHARITABLE FUNDRAISING	MD	501(C)(3)	LINE 11A, I	HOLY CROSS HEALTH INC	0
HOLY CROSS HEALTH INC
1500 FOREST GLEN RD	SILVER SPRING	MD	209101484	520738041	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	0
HOLY CROSS MEDICAL CENTER
20555 VICTOR PARKWAY	LIVONIA	MI	48152	951985442	HEALTHCARE SERVICES (FORMERLY)	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	0
HOSPICE OF NORTH IOWA
232 SECOND STREET SE	MASON CITY	IA	504016208	421173708	HOSPICE HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	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 HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	1
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383316559	PROVIDES OFFICE-BASED MEDICAL CARE	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	1
LAKESHORE COMMUNITY HOSPITAL INC
72 S STATE STREET	SHELBY	MI	494551228	382549295	ACUTE HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	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	0
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364015560	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	0
MARIAN HOME HEALTHCARE
801 5TH STREET	SIOUX CITY	IA	51101	383320705	PROVIDE HOME HEALTH CARE SERVICES	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	1
MARYCREST HEIGHTS
PO BOX 9184	FARMINGTON HILLS	MI	48333	270291722	PROVIDES HOUSING FOR ELDERLY INDIVIDUALS	MI	501(C)(3)	LINE 11A, I	TRINITY CONTINUING CARE SERVICES	0
MCAULEY CLINIC CORPORATION
PO BOX 992	ANN ARBOR	MI	48106	382561013	HEALTHCARE SERVICES (FORMERLY)	MI	501(C)(3)	LINE 3	CATHERINE MCAULEY HEALTH SERVICES CORP	1
MERCY AMICARE HOME HEALTHCARE OAKLAND
1111 W LONG LAKE RD STE 102	TROY	MI	48098	383320698	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	0
MERCY AMICARE HOME HEALTHCARE PORT HURON
505 HURON AVENUE	PORT HURON	MI	48060	383320701	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	0
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227350	SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM	IL	501(C)(3)	LINE 11A, I	MERCY HEALTH SYSTEM OF CHICAGO	0
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
684 HARVEY STREET	MUSKEGON	MI	49442	383321856	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	0
MERCY HEALTH NETWORK
1111 6TH AVENUE	DES MOINES	IA	50314	421478417	HEALTHCARE MANAGEMENT	DE	501(C)(3)	LINE 11A, I		0	N/A
MERCY HEALTH PARTNERS
1415 LEAHY STREET	MUSKEGON	MI	49442	382589966	HEALTHCARE SYSTEM SUPPORT	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	1
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTHCARE SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	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	0
MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST
BK OF AMERICA 231 S LASALLE	CHICAGO	IL	60697	912092113	SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY	IL	501(C)(3)	LINE 11C, III-FI	MERCY HEALTH SYSTEM OF CHICAGO	0
MERCY HEALTHCARE FOUNDATION
1410 N 4TH ST	CLINTON	IA	52732	421316126	FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES	IA	501(C)(3)	LINE 11C, III-FI		0	N/A
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	362170152	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	0
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBART	CADILLAC	MI	496012331	203357131	SUPPORT THE SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	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	1
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	527322940	421336618	TO PROVIDE QUALITY HEALTH CARE	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	1
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET	SIOUX CITY	IA	51102	141880022	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	1
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	504012800	421229151	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11C, III-FI		0	N/A
MERCY NORTH HOMECARE AND HOSPICE
7985 MACKINAW TRAIL	CADILLAC	MI	49601	383313897	HOME HEALTH AND HOSPICE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	0
MERCY PHYSICIAN GROUP INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	208192593	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	0
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184	FARMINGTON HILLS	MI	483339184	382719605	PROVIDES LONG-TERM CARE FOR THE ELDERLY	MI	501(C)(3)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES	0
MIDWEST MEDFLIGHT
1300 VICTORS WAY	ANN ARBOR	MI	48108	382684671	AEROMEDICAL TRANSPORT	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	1
MISSION HEALTH CORPORATION
37595 SEVEN MILE ROAD	LIVONIA	MI	48152	383181557	FACILITY USED FOR AMBULATORY CARE	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	0
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	0
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311471229	MEDICARE HMO FOR SENIORS	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	0
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311439334	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	0
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311113966	SUPPORT THE SERVICES OF RELATED HOSPITAL	OH	501(C)(3)	LINE 11A, I	MOUNT CARMEL HEALTH SYSTEM	0
MOUNT CARMEL HOME CARE LLC
1144 DUBLIN ROAD SUITE B	COLUMBUS	OH	43215	262729300	PROVIDE HOME HEALTH CARE SERVICES	OH	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	0
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 - 44TH STREET	KENTWOOD	MI	49508	383073745	OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	1
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUE	MUSKEGON	MI	49440	911932918	FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	1
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREET	OAKLAND	NE	68045	208072234	HEALTHCARE SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	1
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREET	OAKLAND	NE	68045	311678345	SUPPORTS SERVICES OF RELATED HOSPITAL	NE	501(C)(3)	LINE 11C, III-FI		0	N/A
OSUMOUNT CARMEL HEALTH ALLIANCE
793 WEST STATE STREET	COLUMBUS	OH	43222	311654603	COOPERATIVE HEALTH CARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 11A, I		0	N/A
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	1
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	494423257	382638284	MEDICAL CARE, TRANSPORTATION AND EDUCATION	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	1
PROFESSIONAL OFFICE CORPORATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 11A, I	SAINT AGNES MEDICAL CENTER	0
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	0
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RD	BOISE	ID	83706	820401011	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	0
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RD	BOISE	ID	83706	943028978	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	0
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	943164869	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY	0
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	202683560	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	0
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD	BOISE	ID	83706	271929502	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	0
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	271790052	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820200896	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	261737256	SUPPORT THE SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	0
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	0
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RD	BOISE	ID	83706	820200895	HEALTHCARE SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	0
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
1915 LAKE AVENUE PO BOX 670	PLYMOUTH	IN	46563	351142669	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	0
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
PO BOX 1935	SOUTH BEND	IN	466341935	350868157	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	0
SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	356033285	HOSPITAL SERVICE AUXILIARY	IN	501(C)(4)	N/A	SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND	0
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUE	PLYMOUTH	IN	46563	356043563	HOSPITAL SERVICE AUXILIARY	IN	501(C)(3)	LINE 11B, II	SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH	0
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
801 EAST LASALLE AVE	SOUTH BEND	IN	46617	351568821	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	0
SAINT JOSEPH'S TOWER INC
PO BOX 9184	FARMINGTON HILLS	MI	483339184	311040468	PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES-INDIANA	0
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW	GRAND RAPIDS	MI	49505	383320700	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	0
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE	GRAND RAPIDS	MI	49503	381779602	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	1
ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVE	PONTIAC	MI	48341	352356789	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	1
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
4215 EDISON LAKES PARKWAY	MISHAWAKA	IN	46545	351654543	SUPPORTS SERVICES OF RELATED HOSPITAL	IN	501(C)(3)	LINE 11A, I	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	0
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER	PORT HURON	MI	48060	382485700	PROVIDE EMERGENCY AMBULANCE SERVICES	MI	501(C)(3)	LINE 11D, III-O		0	N/A
TRI-HOSPITAL MRI CENTER
4190 24TH AVENUE	FORT GRATIOT	MI	48054	382884297	MRI SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	1
TRINITY CONTINUING CARE SERVICES
PO BOX 9184	FARMINGTON HILLS	MI	483339184	382559656	MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	0
TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184	FARMINGTON HILLS	MI	483339184	930907047	PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	0
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	1
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY	LIVONIA	MI	48152	351443425	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	CHE TRINITY INC	0
TRINITY HEALTH INTERNATIONAL
20555 VICTOR PARKWAY	LIVONIA	MI	48152	421253527	HEALTHCARE TRAINING AND SUPPORT SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	0
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	208151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	0
TRINITY HOME HEALTH SERVICES INC
17410 COLLEGE PARKWAY	LIVONIA	MI	48152	382621935	HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	0
CONTINUING CARE MANAGEMENT SERVICES NETWORK
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	352336834	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
VNA HOME HEALTH & HOSPICE
50 FODEN ROAD	SOUTH PORTLAND	ME	04106	010246804	HOME HEALTH & HOSPICE	ME	501(C)(3)	LINE 11A, I	MERCY HEALTH SYSTEM OF MAINE	0
MERCY HOSPITAL
144 STATE STREET	PORTLAND	MA	04101	010211534	HOSPITAL	ME	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF MAINE	0
MERCY HEALTH SYSTEM OF MAINE
144 STATE STREET	PORTLAND	MA	04101	010484074	MANAGEMENT & SUPPORT SERVICES	ME	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	0
SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION
1270 BELMONT AVE	SCHENECTADY	NY	12308	222505127	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 11A, I	SUNNYVIEW HOSPITAL & REHABILITATION CTR	0
ST MARY'S WOODLAND VILLAGE INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141675183	DISCONTINUED OPERATIONS	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	0
MERCY CARE FOR KIDS INC
310 SOUTH MANNING BLVD	ALBANY	NY	12208	141717564	DAY CARE CENTER	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH CARE SERVICES	0
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE	GUILDERLAND	NY	12084	141743506	NURSING HOME FACILITY	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES	0
ST PETER'S AUXILIARY
315 SOUTH MANNING BLVD	ALBANY	NY	01228	222843206	AUXILIARY	NY	501(C)(3)	LINE 11A, I	ST PETER'S HEALTH CARE SERVICES	0
ST PETER'S HEALTH CARE SERVICES
315 SOUTH MANNING BLVD	ALBANY	NY	12208	222702507	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH PARTNERS	0
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD	ALBANY	NY	12208	141348692	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES	0
ST PETER'S HOSPITAL FOUNDATION INC
319 SOUTH MANNING BLVD SUITE 309	ALBANY	NY	12208	222262982	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH CARE SERVICES	0
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000	TROY	NY	12180	141818568	HOME HEALTH	NY	501(C)(3)	LINE 3	LTC(EDDY) INC	0
THE COMMUNITY HOSPICE FOUNDATION INC
295 VALLEY VIEW BLVD	RENSSELAER	NY	12144	222692940	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	0
THE COMMUNITY HOSPICE INC
295 VALLEY VIEW BLVD	RENSSELAER	NY	12144	141608921	SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES	0
VILLA MARY IMMACULATE
301 HACKETT BLVD	ALBANY	NY	12208	141438749	NURSING HOME & PHYSICAL REHAB	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	0
WARDE SERVICE CORPORATION INC
159 WOLF ROAD 3RD FLOOR	ALBANY	NY	12205	141732097	SUPPORTING & STRENGTHING THE MINISTRIES OF REL. SR. MERCY	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH CARE SERVICES	0
NORTHEAST HEALTH INC
2212 BURDETT AVE	TROY	NY	12180	042450756	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS	0
MEMORIAL HOSPITAL ALBANY NY
600 NORTHERN BLVD	ALBANY	NY	12204	141338457	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	0
SAMARITAN HOSPITAL OF TROY NEW YORK
2215 BURDETT AVE	TROY	NY	12180	141338544	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	0
THE NORTHEAST HEALTH FOUNDATION INC
2224 BURDETT AVE	TROY	NY	12180	222743478	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 7	NORTHEAST HEALTH INC	0
SAMARITAN CHILD CARE CENTER INC
2213 BURDETT AVE	TROY	NY	12180	141710225	CHILD DAY CARE	NY	501(C)(3)	LINE 9	NORTHEAST HEALTH INC	0
SHAKER PROPERTIES INC
2212 BURDETT AVE	TROY	NY	12180	223119822	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	NORTHEAST HEALTH INC	0
SUNNYVIEW HOSPITAL & REHABILITATION CTR
1270 BELMONT AVE	SCHENECTADY	NY	12308	141338386	REHABILITATION HOSPITAL	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	0
JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE	TROY	NY	12180	222570478	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141701597	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE	TROY	NY	12180	141725101	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141793885	ADULT HOME/ALZHEIMERS	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
BEVERWYCK INC
40 AUTUMN DRIVE	SLINGERLANDS	NY	12159	141717028	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
HAWTHORNE RIDGE INC
30 COMMUNITY WAY	EAST GREENBUSH	NY	12061	800102840	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
GLEN EDDY INC
ONE GLEN EDDY DRIVE	NISKAYUNA	NY	12309	141794150	INDEPENDENT/ASSISTED LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
BEECHWOOD INC
2212 BURDETT AVE	TROY	NY	12180	141651563	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	LTC (EDDY) INC	0
SENIOR CARE CONNECTION INC
504 STATE ST	SCHENECTADY	NY	12305	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
HOME AID SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000	TROY	NY	12180	141514867	HOME CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141776186	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	0
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
1 ABELE BLVD	CLIFTON PARK	NY	12065	141756230	SKILLED NURSING	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	0
SETON HEALTH FOUNDATION
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	222345416	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11A, I	SETON HEALTH SYSTEM INC	0
SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141505031	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	0
SETON LICENSED HOME CARE INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141809134	LICENSED HOME HEALTH AGENCY	NY	501(C)(3)	LINE 3	SETON HEALTH SYSTEM INC	0
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE	MALTA	NY	12020	141795732	HOME CARE	NY	501(C)(3)	LINE 9	HOME AID SERVICE OF EASTERN NEW YORK INC	0
LTC (EDDY) INC
2212 BURDETT AVE	TROY	NY	12180	222564710	ELDERLY HEALTH/HOUSING SUPPORTING ORG	NY	501(C)(3)	LINE 11A, I	NORTHEAST HEALTH INC	0
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD	ALBANY	NY	12208	453570715	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	461177336	PHYSICIANS PRACTICE	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	0
PROVIDENCE PLACE INC
5 GAMELIN STREET	HOLYOKE	MA	01040	043404084	RETIREMENT COMMUNITY	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
BRIGHTSIDE INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	042182395	BEHAVIORAL CARE	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
FARREN CARE CENTER INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	042501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
MERCY HOSPITAL INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	043398280	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
MERCY SPECIALIST PHYSICIANS INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	264033168	NEUROSURGERY MEDICAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
SISTERS OF PROVIDENCE CARE CENTERS INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	222541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
SISTERS OF PROVIDENCE HEALTH SYSTEM INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	043398374	MANAGEMENT & SUPPORT SERVICES	MA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	0
MERCY LIFE INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	453086711	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	454208896	CARDIOLOGY SERVICES	MA	501(C)(3)	LINE 4	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
MERCY ONCOLOGY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	454884805	ONCOLOGY MEDICAL SERVICES	MA	501(C)(3)	N/A	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
MCAULEY CENTER INC
275 STEELE ROAD	WEST HARTFORD	CT	06117	061058086	INDEPENDENT LIVING	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	0
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061492707	MANAGEMENT & SUPPORT SERVICES	CT	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	0
MERCY COMMUNITY HOMECARE SERVICES
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061488137	IN HOME HEALTH CARE	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	0
MERCY SERVICES
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061453323	SUPPORT SERVICES	CT	501(C)(3)	LINE 1	MERCY COMMUNITY HEALTH INC	0
MERCYKNOLL INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060757380	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	0
SAINT MARY HOME II INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061164104	ELDERLY CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	0
ST MARY HOME INCORPORATED
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060646843	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	0
MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUE	TUPPER LAKE	NY	12986	150532211	IN DISSOLUTION	NY	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
MERCY UIHLEIN HEALTH CORPORATION
185 OLD MILITARY ROAD	LAKE PLACID	NY	12946	161535133	MGT. & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	MERCY HEALTHCARE CENTER	0
UIHLEIN MERCY CENTER
185 OLD MILITARY ROAD	TUPPER LAKE	NY	12986	150532190	IN DISSOLUTION	NY	501(C)(3)	LINE 3	MERCY HEALTHCARE CENTER	0
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	0
ST JAMES MERCY HEALTH SYSTEM INC
411 CANISTEO STREET	HORNELL	NY	14843	223127184	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
ST JAMES MERCY HOSPITAL
411 CANISTEO STREET	HORNELL	NY	14843	160743310	HOSPITAL	NY	501(C)(3)	LINE 3	ST JAMES MERCY HEALTH SYSTEM INC	0
MAXIS MEDICAL SERVICES
100 LINCOLN AVE	CARBONDALE	PA	18407	232577185	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	0
MARIAN COMMUNITY HOSPITAL
100 LINCOLN AVE	CARBONDALE	PA	18407	240711230	HOSPITAL	PA	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	0
MARIAN COMMUNITY HOSPITAL AUXILIARY
100 LINCOLN AVE	CARBONDALE	PA	18407	251874733	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	0
MAXIS FOUNDATION
100 LINCOLN AVE	CARBONDALE	PA	18407	232330090	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	0
MAXIS HEALTH SYSTEM
100 LINCOLN AVE	CARBONDALE	PA	18407	911940902	HEALTH CARE SYSTEM	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	0
TRI-COUNTY HUMAN SERVICES CENTER INC
PO BOX 517	CARBONDALE	PA	18407	231938528	BEHAVIORAL HEALTH ORGANIZATION	PA	501(C)(3)	LINE 7	MAXIS HEALTH SYSTEM	0
COLUMBUS ACQUISITION CORP
1160 RAYMOND BOULEVARD	NEWARK	NJ	07102	262616342	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER	0
SAINT MICHAELS MEDICAL CENTER
111 CENTRAL AVENUE	NEWARK	NJ	07102	262616046	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
ST JAMES CARE INC
1160 RAYMOND BOULEVARD	NEWARK	NJ	07102	262616230	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER	0
ST MICHAEL'S FOUNDATION INC
1160 RAYMOND BOULEVARD	NEWARK	NJ	07102	223311976	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	SAINT MICHAELS MEDICAL CENTER	0
UNIVERSITY HEIGHTS PROPERTY COMPANY INC
1160 RAYMOND BOULEVARD	NEWARK	NJ	07102	223100162	MEDICAL PROPERTY HOLDING COMPANY	NJ	501(C)(2)	N/A	SAINT MICHAELS MEDICAL CENTER	0
LIFE ST FRANCIS CORPORATION
601 HAMILTON AVENUE	TRENTON	NJ	08629	222797282	HEALTH SERVICES	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ	0
ST FRANCIS MEDICAL CENTER FOUNDATION NJ
601 HAMILTON AVENUE	TRENTON	NJ	08629	521025476	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ	0
ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUE	TRENTON	NJ	08629	223431049	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232519529	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	0
LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232571699	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 9: 509(A)(2)	ST MARY MEDICAL CENTER	0
LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	262976184	ELDERLY CARE	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	0
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	231913910	HOSPITAL	PA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
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	0
EAST NORRITON PHYSICIAN SERVICES
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232515999	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	231352191	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 301	SPRINGFIELD	PA	19064	232325059	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232829864	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
MERCY HEALTH PLAN
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	222483605	HEALTH PLANS	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232212638	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
MERCY HOME HEALTH
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	231352099	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 301	SPRINGFIELD	PA	19064	232325058	HOME HEALTH	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232627944	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	231396763	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
NAZARETH HEALTH CARE FOUNDATION
2701 HOLME AVENUE	PHILADELPHIA	PA	19152	232300951	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
NAZARETH HOSPITAL
2601 HOLME AVENUE	PHILADELPHIA	PA	19152	232794121	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
NAZARETH PHYSICIAN SERVICES INC
2601 HOLME AVENUE	PHILADELPHIA	PA	19152	203261266	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
NE PHYSICIAN SERVICES
2601 HOLME AVENUE	PHILADELPHIA	PA	19152	232497355	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
ST AGNES CONTINUING CARE CENTER
1900 S BROAD STREET	PHILADELPHIA	PA	19145	232840137	CONTINUING CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
ST AGNES CONTINUING CARE CENTER FOUNDATION
1900 S BROAD STREET	PHILADELPHIA	PA	19145	232415137	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
LIFE AT LOURDES INC
1600 HADDON AVENUE	CAMDEN	NJ	08108	261854750	ELDERLY CARE	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
LOURDES ANCILLARY SERVICES
1600 HADDON AVENUE	CAMDEN	NJ	08103	222568525	SUPPORTING ORGANIZATION	NJ	501(C)(3)	LINE 11B, II	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
LOURDES DIALYSIS AT INNOVA INC
1600 HADDON AVENUE	CAMDEN	NJ	08108	263237625	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
LOURDES MEDICAL CENTER BURLINGTON COUNTY
218 SUNSET ROAD	WILLINGBORO	NJ	08046	223612265	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
OUR LADY OF LOURDES HEALTH CARE SERVICES
1600 HADDON AVENUE	CAMDEN	NJ	08103	222568528	MANAGEMENT & SUPPORT SERVICES	NJ	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
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	0
OUR LADY OF LOURDES MEDICAL CENTER
1600 HADDON AVENUE	CAMDEN	NJ	08103	210635001	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUE	CAMDEN	NJ	08108	274357794	CARDIOLOGY SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500	WILMINGTON	DE	19805	223008680	ELDERCARE	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	0
ST FRANCIS FOUNDATION
PO BOX 2500	WILMINGTON	DE	19805	510374158	FOUNDATION	DE	501(C)(3)	LINE 11B, II	ST FRANCIS HOSPITAL	0
ST FRANCIS HOSPITAL
PO BOX 2500	WILMINGTON	DE	19805	510064326	HOSPITAL	DE	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
LIFE AT ST FRANCIS HEALTHCARE INC
7TH CLAYTON STREETS	WILMINGTON	DE	19805	452569214	ELDERLY CARE	DE	501(C)(3)	LINE 3	ST FRANCIS HOSPITAL	0
MCAULEY MINISTRIES
MCAULEY HALL 3333 FIFTH AVENUE	PITTSBURGH	PA	15213	943436142	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	0
MERCY JEANNETTE HOSPITAL
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	251310602	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	0
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251604115	COMMUNITY TREATMENT	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	0
PITTSBURGH MERCY HEALTH SYSTEM
3333 5TH AVENUE	PITTSBURGH	PA	15213	251464211	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
ST JOSEPH'S OF THE PINES INC
100 GOSSMAN DRIVE SUITE B	SOUTHERN PINES	NC	28387	560694200	HOSPITAL	NC	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
LIFE ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE SUITE B	SOUTHERN PINES	NC	28387	272159847	HEALTHCARE SERVICES	NC	501(C)(3)	LINE 3	ST JOSEPH'S OF THE PINES INC	0
MERCY SENIOR CARE INC
300 CHATILLON ROAD PO BOX 866	ROME	GA	30162	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	0
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET	ATLANTA	GA	30312	581744848	MANAGEMENT & SUPPORT SERVICES	GA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET	ATLANTA	GA	30312	581752700	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	0
SAINT JOSEPH'S MERCY FOUNDATION INC
424 DECATUR STREET	ATLANTA	GA	30312	581448522	FUNDRAISING	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	0
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET	ATLANTA	GA	30312	272046353	REAL ESTATE HOLDING COMPANY	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	0
ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREET	ATHENS	GA	30606	580566223	HOSPITAL	GA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
ST MARY'S FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	582544232	FUNDRAISING	GA	501(C)(3)	LINE 11B, II	ST MARY'S HEALTH CARE SYSTEM INC	0
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET	ATHENS	GA	30606	020576648	ASSISTED LIVING & RETIREMENT COMMUNITY	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	0
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET	ATHENS	GA	30606	261858563	HOSPITAL / PHYSICIAN SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	0
GOOD SAMARITAN HOSPITAL INC
1201 SILOAM ROAD	GREENSBORO	GA	30462	261720984	HOSPITAL	GA	501(C)(3)	LINE 3	SAINT JOSEPH'S HEALTH SYSTEM INC	0
MERCY MEDICAL CORPORATION
PO BOX 1090 101 VILLA DRIVE	DAPHNE	AL	36526	636002215	HOSPITAL	AL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
MERCY LIFE OF ALABAMA
PO BOX 1090 101 VILLA DRIVE	DAPHNE	AL	36526	273163002	HOSPITAL	AL	501(C)(3)	LINE 3	MERCY MEDICAL CORPORATION	0
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	581492325	MANAGEMENT & SUPPORT SERVICES	FL	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
ST FRANCIS HOSPITAL INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	590624442	GRANT-MAKING ORGANIZATION	FL	501(C)(3)	LINE 11A, I	ALLEGANY FRANCISCAN MINISTRIES INC	0
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791028	HOSPITAL-HEALTHCARE PROVIDER	FL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
HOLY CROSS LONG-TERM INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	650787320	MEDICAL SERVICES	FL	501(C)(3)	LINE 3	HOLY CROSS HOSPITAL INC	0
HOLY CROSS MEDICAL PROPERTIES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	650666283	MEDICAL BUILDING REAL ESTATE MANAGEMENT	FL	501(C)(2)	N/A	HOLY CROSS HOSPITAL INC	0
SSJ HEALTH FOUNDATION INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	591709438	FUNDRAISING	FL	501(C)(3)	LINE 7	MERCY HOSPITAL INC	0
MERCY HOSPITAL INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	590791034	HOSPITAL	FL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
MERCY MEDICAL DEVELOPMENT INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	592789194	OUTPATIENT SERVICES	FL	501(C)(3)	LINE 9	MERCY HOSPITAL INC	0
MERCY MISSION SERVICES INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	650435764	HEALTH CARE	FL	501(C)(3)	LINE 11A, I	MERCY HOSPITAL INC	0
MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	510461511	HOSPITAL	FL	501(C)(3)	LINE 3	MERCY HOSPITAL INC	0
GLOBAL HEALTH MINISTRY
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	233068656	HEALTH CARE	PA	501(C)(3)	LINE 7	CATHOLIC HEALTH EAST	0
INTRACOASTAL HEALTH SYSTEMS
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	650556413	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	0
CATHOLIC HEALTH EAST
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232929748	MANAGEMENT SERVICES	PA	501(C)(3)	LINE 11C, III-FI	CHE TRINITY INC	0

Form990 Schedule R Part III Form990ScheduleRPartIII (44 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
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	522525	547468	0	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
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	1431863	1075229	0	0	0.51000
CENTRAL OHIO SLEEP MEDICINE LTD
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311701029	SLEEP MEDICINE SERVICES	OH								N/A
CLINTON IMAGING SERVICES LLC
615 VALLEY VIEW DR STE 202	MOLINE	IL	61265	412044739	MRI DIAGNOSTIC SERVICES	IA								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	142470	914524	0	1	0.66670
FRESNO IMAGING CENTER
1303 E HERNDON AVE	FRESNO	CA	93720	770363563	DIAGNOSTIC IMAGING	CA								N/A
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE L	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA								N/A
IDAHO GYNONCOLOGY SERVICES LLC
1055 N CURTIS RD	BOISE	ID	83706	202975807	PROVIDE GYN ONCOLOGY SERVICES	ID								N/A
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603	BOISE	ID	83702	820514422	PROVIDE IMAGING SERVICES	ID								N/A
LOYOLA AMBULATORY SURGERY CENTER
3000 RIVERCHASE GALLERIA STE 500	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 & VASCULAR LLC
2525 SOUTH MICHIGAN AVE	CHICAGO	IL	60616	205272726	SUBLEASE CT EQUIPMENT	IL								N/A
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA								N/A
MICHIANA HEALTH INFORMATION NETWORK LLC
215 WEST MADISON STREET	SOUTH BEND	IN	46601	352050128	COMMUNITY BASED CLINICAL INFO SYS & DATA DEPOSITORY	IN								N/A
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311369473	MEDICAL OFFICE BUILDING RENTAL	OH								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	244070	698006	0	1	0.50000
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	610480	1254072	0	0	0.51000
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
TAMARACK MEDICAL CLINIC LLC
402 OLD STATE HWY	CASCADE	ID	83611	201637921	OUTPATIENT MEDICAL SERVICES	ID								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	1632996	1639595	0	0	0.51000
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVENUE STE 201	ALBANY	NY	12206	460463892	OUTPATIENT SURGERY	NY								N/A
CATHERINE HORAN BUILDING LIMITED PARTNERSHIP
1221 MAIN STREET ROOM 108	HOLYOKE	MA	010400000	042723429	PROPERTY MANAGEMENT	MA								N/A
WESTERN MASSACHUSETTS PETCT IMAGING CENTER LLC
100 BAYVIEW CIRCLE STE 400	NEWPORT BEACH	CA	92660	204744663	OUTPATIENT MEDICAL SERVICES	DE								N/A
CENTRAL NEW JERSEY HEART SERVICES LLC
29 E 29TH STREET 2ND FLOOR	BAYONNE	NJ	07002	208525458	CARDIAC PROGRAM	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
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232871206	OUTPATIENT SURGERY	PA								N/A
EAST NORRITON MEDICAL ASSOCIATES
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232319531	MEDICAL OFFICE BUILDING	PA								N/A
GATEWAY HEALTH PLAN
300 GRANT STREET	PITTSBURGH	PA	15219	251691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA								N/A
MERCYMANOR PARTNERSHIP
PO BOX 10086	TOLEDO	OH	436990086	521931012	NURSING HOME	PA								N/A
ST AGNES LONG TERM INTENSIVE CARE LLP
C/O MERCY HEALTH SYSTEM ONE WEST EL	CONSHOHOCKEN	PA	19428	200984882	LONG TERM INTENSIVE CARE	PA								N/A
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
C/O NAZARETH HOSPITAL 2601 HOLME AV	PHILADELPHIA	PA	19152	232388040	MEDICAL OFFICE BUILDING	PA								N/A
SJV MANAGEMENT LLC
200 CENTURY PKWY STE 200E	MOUNT LAUREL	NJ	08054	202273476	RADIOLOGY	NJ								N/A
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREET	OAKLAND PARK	FL	33334	352325646	AMBULATORY SURGERY CENTER	FL								N/A
CENTER FOR SURGERY & DIGESTIVE ORDERS
3641 SOUTH MIAMI AVENUE	MIAMI	FL	33133	510438152	OUTPATIENT MEDICAL SERVICES	FL								N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (61 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Province Or StateAddressForeign/ProvinceOrState	Postal CodeAddressForeign/PostalCode
COMMUNITY HEALTH VENTURES INC
565 W WESTERN AVE	MUSKEGON	MI	49440	383522260	SOFTWARE MARKETING	MI	N/A	C	0
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVE	MELROSE PARK	IL	60160	363330529	MANAGEMENT SERVICES	IL	N/A	C	0
HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY ST	MUSKEGON	MI	49442	382961814	WEIGHT MANAGEMENT	MI	N/A	C	0
HACKLEY HEALTH VENTURES INC
1415 LEAHY ST	MUSKEGON	MI	49442	382589959	OTHER MEDICAL SERVICES	MI	N/A	C	0
HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY ST	MUSKEGON	MI	49442	382578569	HOME MEDICAL EQUIPMENT	MI	N/A	C	0
HACKLEY PROFESSIONAL CENTER
1415 LEAHY ST	MUSKEGON	MI	49442	383024797	REAL ESTATE RENTAL	MI	N/A	C	0
HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY ST	MUSKEGON	MI	49442	382447870	PHARMACY	MI	N/A	C	0
HEF INC
1415 LEAHY ST	MUSKEGON	MI	49442	383086401	OFFICE STAFFING	MI	N/A	C	0
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROAD	SILVER SPRING	MD	20904	521986562	HOME CARE SERVICES	MD	N/A	C	0
HPC CO-OWNERS ASSOCIATION
1700 CLINTON	MUSKEGON	MI	49442	270734448	CONDOMINIUM ASSOCIATION	MI	N/A	C	0
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992	ANN ARBOR	MI	48106	382475644	PROVIDES OFFICE RENTAL SPACE	MI		C	1	TRINITY HEALTH-MICHIGAN	2717085	28805943	1.00000
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C	0
MARYLAND CARE GROUP INC
11801 TECH ROAD	SILVER SPRING	MD	20904	521815313	HEALTHCARE HOLDING	MD	N/A	C	0
MEDNOW INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820389927	OUTPATIENT PHARMACY	ID	N/A	C	0
MERCY MEDICAL SERVICES
801 5TH STREET	SIOUX CITY	IA	51101	421283849	PRIMARY CARE PHYSICIANS	IA	N/A	C	0
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227348	DORMANT	IL	N/A	C	0
MICHIGAN ATHLETIC CLUB
2500 BURTON	GRAND RAPIDS	MI	49546	382647304	ATHLETIC CLUB	MI		C	1	HURON ARBOR CORPORATION	-478154	987620	0.90000
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311382442	MEDICAL SERVICES	OH	N/A	C	0
NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SW	MASON CITY	IA	50401	421382308	MEDICAL SERVICES	IA	N/A	C	0
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230	FRESNO	CA	93729	770395267	FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS	CA	N/A	C	0
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROAD	BOISE	ID	837061370	331078261	PHYSICIANS	ID	N/A	C	0
SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SE	GRAND RAPIDS	MI	49546	383450733	ATHLETIC CLUB	MI		C	1	TRINITY HEALTH-MICHIGAN	-822924	5415806	1.00000
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311531102	FINANCE, INSURANCE AND REAL ESTATE	OH	N/A	C	0
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C	0
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T	0
VENZKE INSURANCE COMPANY LTD
				980453602	PROVISION OF INSURANCE COVERAGE			C	1	TRINITY HEALTH-MICHIGAN		379067023	1.00000	PO BOX 1051 GRAND CAYMAN	GRAND CAYMAN	CJ	CJ
WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM
1820 44TH STREET SE	KENTWOOD	MI	49508	382700166	CONDOMINIUM ASSOCIATION	MI	N/A	C	0
WESTSHORE HEALTH NETWORK
1820 44TH STREET	KENTWOOD	MI	49508	383280200	PHYSICIAN HOSPITAL ORGANIZATION	MI		C	1	TRINITY HEALTH-MICHIGAN	800763	4632134	1.00000
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY ST	MUSKEGON	MI	49442	383112035	OCCUPATIONAL HEALTH	MI	N/A	C	0
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUE	TROY	NY	12180	141607244	REAL ESTATE	NY	N/A	C	0
AFFILIATED MANAGEMENT SERVICES CORPORATION INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141668024	REAL ESTATE	NY	N/A	C	0
CATHERINE HORAN BUILDING INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	042938160	BUILDING MANAGEMENT	MA	N/A	C	0
DIVERSIFIED COMMUNITY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	043128890	MEDICAL SERVICES	MA	N/A	C	0
MERCY INPATIENT MEDICAL ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	043029929	MEDICAL SERVICES	MA	N/A	C	0
PROVIDENCE HOME CARE INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	043317426	HEALTH CARE SERVICES	MA	N/A	C	0
SYSTEM COORDINATED SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	042938181	LAB SERVICES	MA	N/A	C	0
PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST
1221 MAIN STREET ROOM 108	HOLYOKE	MA	010400000	046608649	PROPERTY MANAGEMENT	MA	N/A	C	0
SJM PROPERTIES INC
411 CANISTEO STREET	HORNELL	NY	148482101	161294991	PROPERTY HOLDINGS	NY	N/A	C	0
CARBONDALE AREA PHYSICIANS' ASSOCIATION PC
100 LINCOLN AVE	CARBONDALE	PA	18407	232801677	MEDICAL INSURANCE CONTRACTING	PA	N/A	C	0
CARBONDALE AREA PHYSICIANS' PHO INC
100 LINCOLN AVE	CARBONDALE	PA	18407	232801676	INACTIVE	PA	N/A	C	0
CARBONDALE PHYSICIANS' SERVICES INC
100 LINCOLN AVE	CARBONDALE	PA	18407	232365077	PHARMACY	PA	N/A	C	0
CHESTNUT RISK SERVICES LTD
					INSURANCE		N/A	C	0					11 VICTORIA STREET	HAMILTON	BD	BD
LIFECARE PHYSICIANS PC
601 HAMILTON AVENUE	TRENTON	NJ	086291986	261649038	HEALTH CARE SERVICES	NJ	N/A	C	0
MULTICARE PLUS INC
601 HAMILTON AVENUE	TRENTON	NJ	086291986	223435844	INACTIVE	NJ	N/A	C	0
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	253795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C	0
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232625981	GENERAL PARTNER OF LMOB PARTNERS,	PA	N/A	C	0
GATEWAY HEALTH PLAN INC
600 GRANT STREET	PITTSBURGH	PA	15219	251505506	HEALTH CARE	PA	N/A	C	0
GATEWAY HEALTH PLAN INC OF OHIO
600 GRANT STREET	PITTSBURGH	PA	15219	300282076	HEALTH CARE	PA	N/A	C	0
MCMC EASTWICK INC
C/O MHS ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C	0
HEALTH MANAGEMENT SERVICES ORG INC
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223366580	HEALTH CARE BILLING	NJ	N/A	C	0
LOURDES MEDEICAL ASSOCIATES PA
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223361862	MEDICAL SERVICES	NJ	N/A	C	0
JEANNETTE MEDICAL PROVIDERS
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	251787334	HOLDING COMPANY	PA	N/A	C	0
JEANNETTE OBGYN GROUP 1 INC
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	232890748	HOLDING COMPANY	PA	N/A	C	0
JEANNETTE PRIMARY CARE GROUP 1 INC
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	232890743	HOLDING COMPANY	PA	N/A	C	0
GEORGIA HEALTH ENTERPRISES LLC
1230 BAXTER STREET	ATHENS	GA	30606	541806329	HEALTHCARE	GA	N/A	C	0
ST MARY'S HIGHLAND HILLS VILLAGE INC
1660 JENNINGS MILL PKLY	BOGART	GA	30622	582276801	ASSISTED LIVING	GA	N/A	C	0
GHE PHYSICIANS PC
3500 PIEDMONT ROAD	ATLANTA	GA	30305	582277939	PRACTICE MANAGEMENT	GA	N/A	C	0
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAY	FORT LAUDERDALE HIGHWA	FL	333080000	591145192	MEDICAL SERVICES	FL	N/A	C	0
MERCY PHYSICIAN GROUP INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	202970015	HEALTH CARE	FL	N/A	C	0
STELLA MARIS INSURANCE COMPANY LIMITED
				980078266	INSURANCE		N/A	C	0					PO BOX 69	GRAND CAYMAN	CJ	CJ	CAYMAN ISLANDS	KY1-1102
CATHOLIC HEALTH EAST SENIOR SERVICES
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	371572595	SENIOR SERVICES	PA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (48 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
TRINITY HEALTH CORPORATION
E	70000000	PER BOOKS
TRINITY HEALTH CORPORATION
B	19170208	PER BOOKS
TRINITY HEALTH CORPORATION
C	228516	PER BOOKS
TRINITY HEALTH CORPORATION
L	681794	PER BOOKS
TRINITY HEALTH CORPORATION
M	131153833	PER BOOKS
TRINITY HEALTH CORPORATION
P	149234474	PER BOOKS
TRINITY HEALTH CORPORATION
Q	1031362	PER BOOKS
TRINITY HEALTH CORPORATION
R	39298472	PER BOOKS
WOODLAND IMAGING CENTER LLC
K	541155	PER BOOKS
WOODLAND IMAGING CENTER LLC
L	1041927	PER BOOKS
WOODLAND IMAGING CENTER LLC
M	4471843	PER BOOKS
WOODLAND IMAGING CENTER LLC
C	1842537	PER TAX RETURN
HURON ARBOR CORPORATION
K	3138747	PER BOOKS
HURON ARBOR CORPORATION
L	1444178	PER BOOKS
HURON ARBOR CORPORATION
Q	99009	PER BOOKS
ST MARY'S HEALTH MANAGEMENT COMPANY
B	925000	PER BOOKS
ST MARY'S HEALTH MANAGEMENT COMPANY
Q	108301	PER BOOKS
TRINITY CONTINUING CARE SERVICES
L	226617	PER BOOKS
HOSPICE OF WASHTENAW
L	134598	PER BOOKS
HOSPICE OF WASHTENAW
Q	111932	PER BOOKS
IHA HEALTH SERVICES CORPORATION
B	3731024	PER BOOKS
IHA HEALTH SERVICES CORPORATION
L	2428770	PER BOOKS
IHA HEALTH SERVICES CORPORATION
M	15058152	PER BOOKS
IHA HEALTH SERVICES CORPORATION
P	362349	PER BOOKS
IHA HEALTH SERVICES CORPORATION
Q	5304892	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
L	2449384	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
M	27060226	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
P	1140813	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
Q	2834625	PER BOOKS
MERCY HEALTH PARTNERS
L	2878747	PER BOOKS
MERCY HEALTH PARTNERS
M	449324	PER BOOKS
MERCY HEALTH PARTNERS
Q	2408058	PER BOOKS
HACKLEY HOSPITAL
M	150760	PER BOOKS
HACKLEY HOSPITAL
Q	903830	PER BOOKS
MOUNT CARMEL HEALTH SYSTEM
P	52565	PER BOOKS
NEWCO AMBULATORY SURGERY CTR LLP
L	3216284	PER BOOKS
NEWCO AMBULATORY SURGERY CTR LLP
C	176000	PER TAX RETURN
SIXTY FOURTH STREET LLC
C	850247	PER BOOKS
TRINITY HOME HEALTH SERVICES INC
M	690040	PER BOOKS
TRINITY HOME HEALTH SERVICES INC
Q	51907	PER BOOKS
LAKESHORE COMMUNITY HOSPITAL INC
M	134140	PER BOOKS
LAKESHORE COMMUNITY HOSPITAL INC
Q	518193	PER BOOKS
CENTER FOR DIGESTIVE CARE LLC
C	995601	PER TAX RETURN
ADVENT REHABILITATION LLC
C	450000	PER TAX RETURN
MERCY HOSPITAL CADILLAC FOUNDATION
B	119267	PER BOOKS
MERCY HOSPITAL CADILLAC FOUNDATION
C	601624	PER BOOKS
MICHIGAN ATHLETIC CLUB
Q	116425	PER BOOKS
SAINT MARY'S FOUNDATION
C	812091	PER BOOKS