TRINITY HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: TRINITY HEALTH SYSTEM (EIN 30-0752920)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-26
IRS object ID: 201303309349300220
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 K
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-26T12:43:23-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	381357951	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 E FRONT ST SUITE 300	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49686	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	300752920	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY HEALTH SYSTEM GROUP	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	TRIN	NameControl
Phone	7402837000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	380 SUMMIT AVENUE	AddressLine1
City	STEUBENVILLE	City
State	OH	State
ZIP Code	43952	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	FRED BROWER	Name
Title	PRESIDENT AND CEO	Title
Phone	7402837000	Phone
Date Signed	2013-11-26	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SUSAN MIENCIER	Name
PTIN	P00842339	PTIN
Phone	2319477800	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	FRED BROWER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	380 SUMMIT AVENUE	AddressLine1
City	STEUBENVILLE	City
State	OH	State
ZIP Code	43952	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	243473915	GrossReceipts
Group Return For Affiliates	1	GroupReturnForAffiliates
All Affiliates Included	1	AllAffiliatesIncluded
Group Exemption Number	5388	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.TRINITYHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	A COMMUNITY PARTNER DEDICATED TO EXCELLENCE IN SERVING THE HEALTH NEEDS OF THE TRI-STATE AREA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	2001	TotalNbrEmployees
Total Nbr Volunteers	140	TotalNbrVolunteers
Total Gross UBI	1164596	TotalGrossUBI
Net Unrelated Business Txbl Income	597702	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1055974	ContributionsGrantsPriorYear
Contributions Grants Current Year	933060	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	186225451	ProgramServiceRevenuePriorYear
Program Service Revenue CY	207091729	ProgramServiceRevenueCY
Investment Income Prior Year	5823498	InvestmentIncomePriorYear
Investment Income Current Year	3081412	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10738105	OtherRevenuePriorYear
Other Revenue Current Year	6041779	OtherRevenueCurrentYear
Total Revenue Prior Year	203843028	TotalRevenuePriorYear
Total Revenue Current Year	217147980	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	137777	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	384637	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	97842434	SalariesEtcPriorYear
Salaries Etc Current Year	98865467	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	95706969	OtherExpensePriorYear
Other Expenses Current Year	107976176	OtherExpensesCurrentYear
Total Expenses Prior Year	193687180	TotalExpensesPriorYear
Total Expenses Current Year	207226280	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10155848	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	9921700	RevenuesLessExpensesCY
Total Assets BOY	186704305	TotalAssetsBOY
Total Assets EOY	200007015	TotalAssetsEOY
Total Liabilities BOY	87003375	TotalLiabilitiesBOY
Total Liabilities EOY	89456929	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	99700930	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	110550086	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	A COMMUNITY PARTNER DEDICATED TO EXCELLENCE IN SERVING THE HEALTH NEEDS OF THE TRI-STATE AREA.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	97180173	Expense
Grants	0	Grants
Revenue	109475139	Revenue
Description	OUTPATIENT SERVICES:- TRINITY HEALTH SYSTEM'S CANCER TREATMENT CAPABILITIES GREW SUBSTANTIALLY WITH THE CONSTRUCTION OF THE TONY TERAMANA CANCER CENTER. OPENED IN JANUARY 2000, THE CENTER HOUSES ONE OF THE MOST POWERFUL TOOLS IN CANCER TREATMENT; THE VARIAN CLINIC 21 EX LINEAR ACCELERATOR. THIS UNIT, TERMED THE "GOLD STANDARD" IN CANCER TREATMENT, WAS ONLY ONE OF FOUR IN THE WORLD WHEN IT WAS INSTALLED. THE CENTER ALSO UTILIZES A NEWLY PURCHASED SIMULATOR WHICH IS DIRECTLY LINKED TO TRINITY'S CT SCANNER, A PET SCANNER AND A SECOND LINEAR ACCELERATOR. THIS FEATURE ALLOWS RADIATION ONCOLOGISTS TO PERFORM TREATMENT PLANNING EQUAL TO MAJOR METROPOLITAN HEALTH CENTERS. THE TONY TERAMANA CANCER CENTER ALSO PROVIDES CHEMOTHERAPY AND SURGICAL CONSULTATION SERVICES FOR REGIONAL RESIDENTS. THE CHEMOTHERAPY SERVICES AT TONY TERAMANA CANCER CENTER IS PROVIDED WITH COMPASSION, PRIVACY AND OPTIMUM RESULTS. IN 2012, THE CENTER SAW 1,777 PATIENTS AND PERFORMED 14,031 PROCEDURES. IN LINE WITH TRINITY HEALTH SYSTEM'S VALUES, SERVICE, REVERENCE AND STEWARDSHIP, THE TONY TERAMANA CANCER CENTER CAN MEET THE NEEDS OF CANCER PATIENTS THROUGH A HOLISTIC APPROACH WHICH INCLUDES COMPASSION, CONCERN, DIGNITY AND RESPECT. THIS SERVICE IS DUE LARGELY TO THE GENEROSITY OF THE TONY TERAMANA FAMILY, WHOSE $1 MILLION GIFT MADE THIS CENTER A WORLD-CLASS CANCER TREATMENT FACILITY.TRINITY HEALTH SYSTEM'S CARDIAC REHABILITATION PROGRAM IS DESIGNED TO EFFECT LIFESTYLE CHANGE IN PATIENTS ENROLLED. THESE CHANGES ARE ACHIEVED THROUGH SAFE PHYSICAL CONDITIONING, SOUND EDUCATIONAL SESSIONS, AND GROUP SUPPORT, WHICH EMPHASIZE THE UNDERSTANDING OF RISK FACTORS ASSOCIATED WITH HEART DISEASE. THE PROGRAM'S GOAL IS TO ENHANCE THE QUALITY OF LIFE FOR THE PATIENT. AGE IS NOT A FACTOR. OUR SPECIALLY TRAINED STAFF WORK WITH PATIENTS, THEIR FAMILIES, AND PHYSICIANS TO DEVELOP A PERSONALIZED PROGRAM OF HEALTH AND WELLNESS. THE GOALS OF THE CARDIAC REHAB PROGRAM ARE INCREASED UNDERSTANDING OF HEART DISEASE, INCREASED ENDURANCE, DECREASED HEART RATE AND BLOOD PRESSURE, INCREASED MUSCULAR FITNESS, REDUCED CHOLESTEROL/TRIGLYCERIDE LEVELS, DECREASED BODY FAT, BETTER NUTRITION MANAGEMENT AND IMPROVED SENSE OF WELL-BEING. AN INTEGRAL PART OF THE OVERALL PROGRAM, EDUCATION, INCREASES A PATIENT'S UNDERSTANDING OF THEIR ILLNESS AND HELPS THEM TO IDENTIFY CURRENT HABITS THAT CAN NEGATIVELY AFFECT THEIR CARDIAC CONDITION. WE COVER ISSUES LIKE RISK FACTOR REDUCTION, ANGINA, HEART ATTACK, MEDICATION, DIETARY AND EXERCISE GUIDELINES, SMOKING, AND BREATHING AND RELAXATION METHODS. INDIVIDUALS ENROLLED IN THIS PHASE ARE REFERRED BY THEIR PHYSICIAN. AFTER AN ASSESSMENT OF CONDITION IS MADE, A PATIENT IS SCHEDULED FOR EXERCISE TRAINING WITH MONITORING. RISK FACTORS, DIET, AND LIFESTYLE CHANGES ARE ALSO DISCUSSED. CONVENIENT SESSIONS ARE SCHEDULED THREE TIMES PER WEEK AND LAST APPROXIMATELY ONE HOUR. ONCE THE OUTPATIENT PROGRAM IS CONCLUDED, PATIENTS MAY CONTINUE THIS PHASE IN ORDER TO INSURE THEIR QUALITY OF LIFE. THEIR ONGOING PARTICIPATION IN THE PROGRAM CAN OFFER THEM INCREASED ENDURANCE, DECREASED HEART RATE AND BLOOD PRESSURE, AND INCREASED MUSCULAR FITNESS.TRINITY WORKCARE IS THE OCCUPATIONAL HEALTH DEPARTMENT OF TRINITY HEALTH SYSTEM AND PROVIDES A COMPREHENSIVE OCCUPATIONAL HEALTH SERVICE TO THE BUSINESS COMMUNITY. OUR PROGRAM IS DESIGNED TO ASSIST THE CLIENT COMPANY DECREASE LOST WORK TIME, MEDICAL EXPENSES, INSURANCE PREMIUMS AND MAINTAIN COMPLIANCE WITH COMPANY AND GOVERNMENT REGULATIONS. WORKCARE SERVICES INCLUDE MEDICAL SURVEILLANCE, SUBSTANCE ABUSE TESTING, INJURY TREATMENT AND CASE MANAGEMENT, PHYSICAL THERAPY, WELLNESS PROMOTION AND EMPLOYEE ASSISTANCE PROGRAM. IN 2012, THERE WERE 10,194 VISITS TO WORKCARE. OUTPATIENT OCCUPATIONAL THERAPY AT TRINITY IS PROVIDED BOTH AS AN EXTENSION OF SERVICES RECEIVED AS AN INPATIENT OR YOU CAN RECEIVE SERVICES AS A NEW PATIENT. WE ARE STAFFED TO PROVIDE EXPERTISE WITH ALL NEUROLOGICAL AND ORTHOPEDIC DISORDERS AND SPECIALIZE IN THE AREA OF HAND DISORDERS. WE PROVIDE EXERCISE, MODALITIES (PARAFFIN, ULTRASOUND, IONTOPHORESIS, FLUIDOTHERAPY AND E-STIM), FUNCTIONAL ACTIVITIES, SPLINTING/BRACING AND ADL TRAINING.PHYSICAL THERAPY ASSESSES YOUR MOVEMENT, STRENGTH AND ENDURANCE AND WILL HELP TO RESTORE QUALITY OF MUSCLE TONE, COORDINATION, BALANCE, STRENGTH, ENDURANCE, JOINT FLEXIBILITY AND FUNCTIONAL MOBILITY. OUR DEPARTMENT IS FULLY EQUIPPED TO ALLOW FOR PRIVATE TREATMENT. ADDITIONALLY A MODERN GYM IS UTILIZED FOR YOUR EXERCISE NEEDS. WE PROVIDE SPECIALIZED PROGRAMS IN EXERCISE, FUNCTIONAL ACTIVITIES AND MODALITIES.OUR SPEECH PATHOLOGY DEPARTMENT IS EQUIPPED TO RENDER A BROAD SPECTRUM OF DIAGNOSTIC AND REHABILITATIVE SERVICES TO CHILDREN, ADOLESCENTS AND ADULTS WITH DISORDERS ASSOCIATED WITH DECREASED COGNITIVE SKILLS, APHASIA, APRAXIA, DYSARTHRIA, VOICE, AND DELAYED SPEECH AND LANGUAGE. WE ALSO SPECIALIZE IN DIAGNOSTIC AND THERAPEUTIC INTERVENTIONS FOR PATIENTS WITH SWALLOWING DISORDERS.TO SUPPORT SENIORS THROUGH TRYING TIMES, WE PROUDLY OFFER THE TRINITY SENIOR PROGRAM, A THERAPEUTIC PROGRAM DESIGNED TO MEET THE EMOTIONAL AND PSYCHOLOGICAL NEEDS OF OLDER ADULTS. WE SEE PATIENTS 55 YEARS OR OLDER THAT ARE EXPERIENCING EMOTIONAL DIFFICULTIES SUCH AS DEPRESSION, ANXIETY, GRIEF, ANGER AND OTHER EMOTIONAL ISSUES, THE SHORT TERM OUTPATIENT PROGRAM INCLUDES SUPPORT GROUPS, OCCUPATIONAL AND RECREATIONAL GROUPS, AND HEALTH/MEDICATION EDUCATION.TRINITY HOME HEALTH IS SPECIAL HOME CARE FOR SPECIAL PEOPLE. THE DISCIPLINES OFFERED ARE SKILLED NURSING CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, MEDICAL SOCIAL SERVICES (OHIO) AND HOME HEALTH AIDES. IN 2012, THE HOME HEALTH DEPARTMENT DID OVER 21,000 HOME VISITS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	55926609	Expense
Grants	0	Grants
Revenue	63002289	Revenue
Description	INPATIENT SERVICES:- TRINITY HEALTH SYSTEM COMPRISES THE MOST COMPLETE HEALTH CARE OPTION IN EASTERN OHIO. THE HOSPITAL INCLUDES TRINITY EAST AND TRINITY WEST WHICH HAS A COMBINED CAPACITY OF OVER 500 BEDS. TRINITY EAST OFFERS A VARIETY OF SERVICES INCLUDING SKILLED CARE, LONG-TERM CARE, INPATIENT PHYSICAL REHABILITATION AND BEHAVIORAL MEDICINE SERVICES (MENTAL HEALTH & ADDICTION RECOVERY). TRINITY WEST IS A FULL SERVICE ACUTE CARE FACILITY OFFERING 24-HOUR EMERGENCY CARE, KIDNEY DIALYSIS, LITHOTRIPSY, ENDOSCOPY AND RELATED SERVICES, SURGERY AND MEDICAL SURGICAL INPATIENT UNITS, COMPREHENSIVE CARDIAC CARE, PEDIATRICS, WOMEN'S HEALTH, INPATIENT/OUTPATIENT SURGICAL SERVICES, WOUND CLINIC, OCCUPATIONAL MEDICINE AND A FULL ARRAY OF DIAGNOSTIC CAPABILITIES.THE TRINITY SKILLED CARE CENTER, A HOSPITAL-BASED SKILLED AND LONG TERM CARE NURSING FACILITY, IS FULLY CERTIFIED FOR 50 BEDS AND WAS DEVELOPED TO MEET THE NEEDS OF PATIENTS WHO REQUIRE ADDITIONAL SKILLED CARE BEYOND THE ACUTE PHASE OF ILLNESS OR INJURY. IN 2012, TRINITY SKILLED CARE CENTER HAD 668 ADMISSIONS AND 15,651 PATIENT DAYS. THE SKILLED CARE CENTER ALSO HAS AN ONGOING ACTIVITY PROGRAM. PATIENTS ARE ENCOURAGED TO PARTICIPATE IN THESE ENJOYABLE ACTIVITIES AS A GROUP OR INDIVIDUALLY. THE ATMOSPHERE IS INFORMAL AND RELAXING TO AID IN THE EMOTIONAL WELL-BEING OF EACH PATIENT. DISCHARGE PLANNING BEGINS ON ADMISSION TO TRINITY SKILLED CARE CENTER. INDIVIDUALIZED GOALS ARE ESTABLISHED WITH THE PATIENT, THE PATIENT'S FAMILY AND A HIGHLY QUALIFIED TEAM OF PROFESSIONALS. THIS TEAM INCLUDES: THE ATTENDING PHYSICIAN, NURSE, SOCIAL SERVICES, DIETICIAN, PHYSICAL THERAPIST, OCCUPATIONAL THERAPIST AND SPEECH THERAPIST. THIS PROCESS ASSURES THE CONTINUITY OF CARE UPON DISCHARGE.TRINITY'S REHABILITATION CENTER PROVIDES AN INTEGRATED AND INTERDISCIPLINARY TEAM APPROACH TO HELP PATIENTS WHO HAVE PHYSICAL IMPAIRMENTS. PROGRAMS ARE AVAILABLE FOR PATIENTS WITH STROKES AND OTHER NEUROLOGICAL DISORDERS, ARTHRITIS, AMPUTATIONS, JOINT REPLACEMENTS AND OTHER ORTHOPEDIC PROBLEMS, BRAIN INJURY, AND SPINAL CORD INJURY. THE CENTER HAS 20 PRIVATE ROOMS, EACH SPECIALLY DESIGNED FOR REHABILITATION. PATIENTS ALSO UTILIZE A HOME-LIKE APARTMENT TO REGAIN SKILLS SUCH AS COOKING, BATHING AND DRESSING. PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH-LANGUAGE PATHOLOGY AREAS HAVE STATE-OF-THE-ART EQUIPMENT, AND THE THERAPISTS ARE HIGHLY TRAINED REHABILITATION SPECIALISTS. A VAN IS AVAILABLE FOR COMMUNITY OUTINGS AND HOME VISITS. THESE TRIPS PROVIDE OPPORTUNITIES FOR PATIENTS TO PRACTICE THEIR SKILLS IN THEIR COMMUNITY, HOME AND WORK PLACE WHEN APPROPRIATE. WITH A TEAM APPROACH TO TREATMENT, A PERSONALIZED REHABILITATION PROGRAM IS DESIGNED TO MEET THE UNIQUE NEEDS AND GOALS OF EACH PATIENT. THE TEAM CONSISTS OF THE PATIENT, HIS/HER FAMILY, PHYSICIANS, REHABILITATION NURSES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH LANGUAGE PATHOLOGISTS, PSYCHOLOGISTS, SOCIAL WORKERS, THERAPEUTIC RECREATIONAL SPECIALISTS, DIETICIANS, RESPIRATORY THERAPISTS, CASE COORDINATORS AND VOCATIONAL COUNSELORS. THROUGH A POSITIVE, PERSONALIZED AND INTERDISCIPLINARY APPROACH, THE TEAM HELPS PATIENTS REGAIN PHYSICAL, EMOTIONAL, SOCIAL AND VERBAL SKILLS. IN 2012, THE REHAB CENTER HAD 348 ADMISSIONS AND 4,844 PATIENT DAYS.THE WOMEN'S HEALTH & BIRTH CENTER IS PROUD TO OFFER TOTAL MATERNITY CARE. OUR SPECIALLY QUALIFIED STAFF OF DEDICATED NURSES AND PHYSICIANS GUIDES YOU AND YOUR FAMILY THROUGH A COMPREHENSIVE EDUCATION EXPERIENCE AND THE CHILDBIRTH EXPERIENCE. AT THE WOMEN'S HEALTH & BIRTH CENTER YOU DELIVER YOUR BABY IN A SPECIALLY DESIGNED CHILDBEARING ROOM FOR YOUR ENTIRE HOSPITAL STAY: ADMISSION PROCEDURES, LABOR, DELIVERY, AND RECOVERY. YOUR POSTPARTUM STAY IS IN A SPECIALLY DESIGNED ROOM THAT MAKES THE FAMILY EXPERIENCE ONE YOU WILL ALWAYS REMEMBER. OUR PRIVATE CHILDBEARING ROOMS ARE EQUIPPED FOR THE ENTIRE BIRTH EXPERIENCE. ALL FORMS OF PAIN RELIEF EXCEPT GENERAL ANESTHESIA MAY BE PROVIDED IN THIS ROOM. CESAREAN DELIVERIES ARE PERFORMED IN THE WOMEN'S HEALTH & BIRTH CENTER IN A MODERN, STATE OF THE ART SURGICAL SUITE, WITH LABOR AND POSTPARTUM CARE PROVIDED IN A WOMEN'S HEALTH & BIRTH CENTER SUITE. THE SURGICAL SUITE MAY ALSO BE USED BY THOSE WISHING A MORE TRADITIONAL BIRTH EXPERIENCE. FATHERS ARE ENCOURAGED TO STAY AT THE HOSPITAL; SLEEPING ACCOMMODATIONS ARE PROVIDED AT NO EXTRA CHARGE. AT THE WOMEN'S HEALTH & BIRTH CENTER, ROOMING-IN IS FLEXIBLE AND DESIGNED TO MEET YOUR INDIVIDUAL NEEDS. YOU AND YOUR FAMILY ARE PARTNERS WITH US IN THE CARE OF YOUR BABY. IF YOU WANT TO REST OR HAVE TIME ALONE WE CAN CARE FOR YOUR BABY IN OUR WELL-EQUIPPED NURSERY NEAR YOUR ROOM. IN THE WOMEN'S HEALTH & BIRTH CENTER, A SPECIALLY TRAINED PERINATAL NURSE IS ASSIGNED TO EACH MOTHER AND BABY TO PROVIDE PERSONAL, INDIVIDUALIZED CARE. EXTRA TIME AND TEACHING ARE INTEGRAL PARTS OF THE ATTENTION WE GIVE ALL FAMILIES. AFTER DISCHARGE, WE KNOW THAT QUESTIONS OFTEN ARISE AND IT IS GOOD TO HAVE SOMEONE WITH WHOM YOU CAN TALK. BUT EVEN MORE, WE ARE INTERESTED IN YOU AND WE WANT TO PROVIDE AS MUCH CARE AND ASSISTANCE AS WE CAN DURING THIS SPECIAL TIME IN YOUR LIFE. ONCE HOME, A PERINATAL NURSE FROM THE WOMEN'S HEALTH & BIRTHING CENTER IS AVAILABLE FOR CONSULTATION THROUGH TELEPHONE CALLS TO ALL PATIENTS. SIMPLY CALL AT ANY TIME OF THE DAY OR NIGHT IF YOU NEED ASSISTANCE OR INFORMATION. IN 2012, THE WOMEN'S HEALTH & BIRTH CENTER DELIVERED 499 BABIES.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	4785810	Expense
Grants	0	Grants
Revenue	5391297	Revenue
Description	EMERGENCY ROOM:- THE EMERGENCY SERVICES OF TRINITY HEALTH SYSTEM ARE AVAILABLE AT TRINITY MEDICAL CENTER WEST. THE ER HAS BEEN REMODELED AND EXPANDED TO ACCOMMODATE PATIENTS REQUIRING TREATMENT - IT HAS DOUBLED IN SIZE AND NOW HAS TWICE AS MANY TREATMENT BEDS AVAILABLE AND MORE PHYSICIAN, PROFESSIONAL AND SUPPORT STAFF HAVE BEEN ADDED TO PROVIDE CARE. A DEDICATED X-RAY ROOM, HAS BEEN CONSTRUCTED ADJACENT TO THE ER AND SPECIAL TREATMENT AREAS HAVE BEEN CONSTRUCTED FOR CARDIAC EMERGENCIES, TRAUMA, PEDIATRIC EMERGENCIES, OBSTETRICAL EMERGENCIES, SUTURING AND FRACTURES. THE ER IS OPEN 24 HOURS / 7 DAYS A WEEK FOR ALL LEVELS OF EMERGENCY AND URGENT CARE. IN 2012, WE HAD 48,288 EMERGENCY ROOM VISITS.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	27690702	Expense
Grants	384637	Grants
Revenue	31194053	Revenue
Description	ALL OTHER PROGRAM SERVICES.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	27690702	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	384637	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	31194053	TotalOfOtherProgramServiceRev
Total Program Service Expense	185583294	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	0	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	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
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	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	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
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	132	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2001	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
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	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	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	0	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	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7402837000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	380 SUMMIT AVENUE	AddressLine1
City	STEUBENVILLE	City
State	OH	State
ZIP Code	43952	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (23 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	Highest Compensated EmployeeHighestCompensatedEmployee
MICHAEL BARBER
VICE CHAIRMAN	2.00	2.00	X	X	0	0	0
MICHAEL BIASI
BOARD MEMBER	2.00	3.00	X		0	0	0
FRED BROWER
PRESIDENT AND CEO	40.00	18.00	X	X	0	384677	284876
DAN DAILY
BOARD MEMBER	2.00	2.00	X		0	0	0
PAUL DIBIASE MD
BOARD MEMBER	2.00	2.00	X		919	0	0
ERIC EXLEY
SECRETARY	2.00	2.00	X	X	0	0	0
JOHN FIGEL MD
BOARD MEMBER	2.00	2.00	X		220177	0	0
SHEILA HENDRICKS
BOARD MEMBER	2.00	2.00	X		0	0	0
WILLIAM JOHNS MD
BOARD MEMBER	2.00	2.00	X		42000	0	0
CLYDE METZGER MD
CHAIRMAN	2.00	2.00	X	X	52500	0	0
MARK MORELLI
BOARD MEMBER	2.00	2.00	X		0	0	0
JAMES PADDEN
TREASURER	2.00	2.00	X	X	0	0	0
JAMES POPE
BOARD MEMBER	2.00	3.00	X		0	758842	45245
DOUGLAS W SCHAEFER
BOARD MEMBER	2.00	2.00	X		0	0	0
DAVID SKIVIAT SR
BOARD MEMBER	2.00	2.00	X		0	0	0
SR JEANETTE ZIELINSKI OSF
BOARD MEMBER	2.00	2.00	X		0	0	0
DAVID WERKIN
VP FINANCE (CFO POST- 9/24/2012)	40.00	20.00		X	0	178789	27399
ELIZABETH ALLEN
CFO (PRE- 9/24/2012)	40.00	20.00		X	0	180554	23542
KUMAR AMIN MD
PHYSICIAN	40.00	0.00			1247538	0	13143	X
SATHISH MAGGE MD
PHYSICIAN	40.00	0.00			1122284	0	0	X
RAMANA MURTY MD
PHYSICIAN	40.00	0.00			940392	0	8355	X
BASEL TERMANINI MD
PHYSICIAN	40.00	0.00			747718	0	14785	X
HIMANSHU DESAI MD
PHYSICIAN	40.00	0.00			747618	0	14785	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5121146	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1502862	TotalReportableCompFrmRltdOrgs
Total Other Compensation	432130	TotalOtherCompensation
Number Individuals GT100 K	52	NumberIndividualsGT100K
Formers Listed	0	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
ARUP LABORATORIES
500 CHIPETA WAY	SALT LAKE CITY	UT	84108	LAB SERVICES	1306244
EMERGENCY RESOURCE MGMT INC
2 HOT METAL ST 2ND FL	PITTSBURGH	PA	14203	HOSPITALISTS	687177
STEEL VALLEY ER PHYSICIANS
2720 SUNSET BLVD	STEUBENVILLE	OH	43952	ER PHYSICIANS	594225
DVA HEALTHCARE OF PENNSYLVANIA
PO BOX 403008	ATLANTA	GA	30384	DIALYSIS SERVICES	399810
PROCIRCA (BIOTRONICS)
BOX 223674	PITTSBURGH	PA	15251	CARDIOPULMONARY & INFUSION SERVICES	386412

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Related Organizations	462000	RelatedOrganizations
Government Grants	168496	GovernmentGrants
All Other Contributions	302564	AllOtherContributions
Total Contributions	933060	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE	621990	201786214	201786214
ELECTRONIC MED RECORDS	621990	4140919	4140919
NON-PATIENT LABORATORY	621500	1164596		1164596

Field	Value	IRS element (for citing)
Total Program Service Revenue	207091729	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1976434	TotalRevenueColumn
Exclusion	$1,976,434	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	997498	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	147965	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	849533	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	849533	TotalRevenueColumn
Related Or Exempt Function Income	-62757	RelatedOrExemptFunctionIncome
Exclusion	$912,290	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	27151738	Securities
Other	15101	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	26059866	Securities
Other	1995	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1091872	Securities
Other	13106	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1104978	TotalRevenueColumn
Exclusion	$1,104,978	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	119625	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	116109	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	3516	TotalRevenueColumn
Exclusion	$3,516	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
OTHER RELATED REVENUE	900099	2405545	2405545
CAFETERIA	722210	1990328		$1,990,328
TUITION AND FEES	900099	792857	792857

Field	Value	IRS element (for citing)
Total Other Revenue	5188730	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	217147980	TotalRevenueColumn
Related Or Exempt Function Income	209062778	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1164596	UnrelatedBusinessRevenue
Exclusion	$5,987,546	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	520	Total
Program Services	520	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	384117	Total
Program Services	384117	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	335817	Total
Management And General	335817	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	72692483	Total
Program Services	63714961	ProgramServices
Management And General	8977522	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6387924	Total
Program Services	5599015	ProgramServices
Management And General	788909	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14404634	Total
Program Services	12625662	ProgramServices
Management And General	1778972	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5044609	Total
Program Services	4421600	ProgramServices
Management And General	623009	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	8991323	Total
Program Services	7880895	ProgramServices
Management And General	1110428	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	200899	Total
Management And General	200899	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	263404	Total
Management And General	263404	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	10551	Total
Program Services	9248	ProgramServices
Management And General	1303	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	213662	Total
Management And General	213662	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	12880473	Total
Program Services	11369241	ProgramServices
Management And General	1511232	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	713844	Total
Program Services	625684	ProgramServices
Management And General	88160	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1933167	Total
Program Services	1694421	ProgramServices
Management And General	238746	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1050256	Total
Program Services	920549	ProgramServices
Management And General	129707	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8260586	Total
Program Services	7222130	ProgramServices
Management And General	1038456	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	253620	Total
Program Services	222298	ProgramServices
Management And General	31322	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	20463	Total
Program Services	17936	ProgramServices
Management And General	2527	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1847497	Total
Program Services	1619331	ProgramServices
Management And General	228166	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	650467	Total
Program Services	570134	ProgramServices
Management And General	80333	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9555340	Total
Program Services	8375256	ProgramServices
Management And General	1180084	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1057527	Total
Program Services	926922	ProgramServices
Management And General	130605	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	22986146	22986146
DRUGS	16269486	16269486
BAD DEBT	12410044	10877404	1532640
REPAIRS & MAINTENANCE	3230513	2831545	398968

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	5176908	Total
Program Services	4418793	ProgramServices
Management And General	758115	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	207226280	Total
Program Services	185583294	ProgramServices
Management And General	21642986	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	11326721	BOY
EOY	14467574	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	23292733	BOY
EOY	23767666	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3053351	BOY
EOY	3743492	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3048953	BOY
EOY	1517657	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	210730665	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	158443475	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	52785743	BOY
EOY	52287190	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	71003548	BOY
EOY	78249138	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1391577	BOY
EOY	1476284	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2889110	BOY
EOY	4118161	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17912569	BOY
EOY	20379853	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	186704305	BOY
EOY	200007015	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	21384515	BOY
EOY	22138153	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	41247880	BOY
EOY	39898963	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	836155	BOY
EOY	509958	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	23534825	BOY
EOY	26909855	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	87003375	BOY
EOY	89456929	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	91688669	BOY
EOY	102153827	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5909930	BOY
EOY	6279515	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2102331	BOY
EOY	2116744	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	99700930	BOY
EOY	110550086	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	186704305	BOY
EOY	200007015	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	9921700	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	4359000	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-3431544	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	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$10,551	OtherActivitiesAmount
Total Lobbying Expenditures IIB	10551	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	THE HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION, OF WHICH A PORTION RELATES TO LOBBYING.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	743000	BeginningOfYearBalance
Investment Earnings Or Losses	73352	InvestmentEarningsOrLosses
Administrative Expenses	73352	AdministrativeExpenses
End Of Year Balance	743000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	743000	BeginningOfYearBalance
Investment Earnings Or Losses	3827	InvestmentEarningsOrLosses
Administrative Expenses	3827	AdministrativeExpenses
End Of Year Balance	743000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	743000	BeginningOfYearBalance
Investment Earnings Or Losses	68173	InvestmentEarningsOrLosses
Other Expenditures	60682	OtherExpenditures
Administrative Expenses	7491	AdministrativeExpenses
End Of Year Balance	743000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	586000	BeginningOfYearBalance
Investment Earnings Or Losses	203695	InvestmentEarningsOrLosses
Other Expenditures	39282	OtherExpenditures
Administrative Expenses	7413	AdministrativeExpenses
End Of Year Balance	743000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	838000	BeginningOfYearBalance
Investment Earnings Or Losses	-209389	InvestmentEarningsOrLosses
Other Expenditures	33771	OtherExpenditures
Administrative Expenses	8840	AdministrativeExpenses
End Of Year Balance	586000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	703748	OtherCostOrOtherBasis
Book Value	703748	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35546251	OtherCostOrOtherBasis
Depreciation	29860132	Depreciation
Book Value	5686119	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	57292	OtherCostOrOtherBasis
Depreciation	57292	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	173995835	OtherCostOrOtherBasis
Depreciation	128526051	Depreciation
Book Value	45469784	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	427539	OtherCostOrOtherBasis
Book Value	427539	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	52287190	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
INTEREST IN NET ASSETS OF THE FOUNDATION	15006375
DUE FROM AFFILIATES	3812555
OTHER RECEIVABLES	681631
ACCRUED INTEREST	144292
DUE FROM THIRD PARTY PAYORS	735000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	20379853	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
AMOUNTS DUE TO AFFILIATES	$1,070,557
RETIREMENT BENEFITS PAYABLE	$23,058,711
INSURANCE CLAIMS RESERVE	$2,780,587

Field	Value	IRS element (for citing)
Total Of Amounts	26909855	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 INTEREST IS UNRESTRICTED AND USED FOR HOSPITAL OPERATIONS. THE PRINCIPLE IS RESTRICTED AND NOT USED.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	UNIFORM SALE	NameOfEvent1
Gross Receipts Event1	23521	GrossReceiptsEvent1
Gross Revenue Event1	23521	GrossRevenueEvent1
Other Direct Expenses Event1	20417	OtherDirectExpensesEvent1
Name Of Event2	BOOK SALE	NameOfEvent2
Gross Receipts Event2	93688	GrossReceiptsEvent2
Gross Revenue Event2	93688	GrossRevenueEvent2
Other Direct Expenses Event2	52406	OtherDirectExpensesEvent2
Total Number Of Other Events	8	TotalNumberOfOtherEvents
Gross Receipts Other Events	2416	GrossReceiptsOtherEvents
Gross Revenue Other Events	2416	GrossRevenueOtherEvents
Other Direct Expenses Other Events	43286	OtherDirectExpensesOtherEvents
Gross Receipts Total	119625	GrossReceiptsTotal
Gross Revenue Total Events	119625	GrossRevenueTotalEvents
Other Direct Expenses Total Events	116109	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	116109	DirectExpenseSummaryEvents
Net Income Summary	3516	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4814973	TotalCommunityBenefitExpense
Direct Offsetting Revenue	735000	DirectOffsettingRevenue
Net Community Benefit Expense	4079973	NetCommunityBenefitExpense
Percent Of Total Expense	0.02090	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	38069	PersonsServed
Total Community Benefit Expense	24800381	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15117326	DirectOffsettingRevenue
Net Community Benefit Expense	9683055	NetCommunityBenefitExpense
Percent Of Total Expense	0.04970	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	38069	PersonsServed
Total Community Benefit Expense	29615354	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15852326	DirectOffsettingRevenue
Net Community Benefit Expense	13763028	NetCommunityBenefitExpense
Percent Of Total Expense	0.07060	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	2462	PersonsServed
Total Community Benefit Expense	614371	TotalCommunityBenefitExpense
Direct Offsetting Revenue	54320	DirectOffsettingRevenue
Net Community Benefit Expense	560051	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	220	PersonsServed
Total Community Benefit Expense	558082	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	558082	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	5799898	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3648614	DirectOffsettingRevenue
Net Community Benefit Expense	2151284	NetCommunityBenefitExpense
Percent Of Total Expense	0.01100	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	250	PersonsServed
Total Community Benefit Expense	41413	TotalCommunityBenefitExpense
Net Community Benefit Expense	41413	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	31	NumberOfActivitiesOrPrograms
Persons Served	2932	PersonsServed
Total Community Benefit Expense	7013764	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3702934	DirectOffsettingRevenue
Net Community Benefit Expense	3310830	NetCommunityBenefitExpense
Percent Of Total Expense	0.01700	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	31	NumberOfActivitiesOrPrograms
Persons Served	41001	PersonsServed
Total Community Benefit Expense	36629118	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19555260	DirectOffsettingRevenue
Net Community Benefit Expense	17073858	NetCommunityBenefitExpense
Percent Of Total Expense	0.08760	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$12,410,044	BadDebtExpenseAmount
Amount Attributable To	620000	AmountAttributableTo
Amount Reimbursed By Medicare	57312362	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	61219800	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3907438	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
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup
TRINITY MEDICAL CENTER WEST
1	4000 JOHNSON ROAD	STEUBENVILLE	OH	43952	X	X	X	A
TRINITY MEDICAL CENTER EAST
2	380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	X	X		A

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY HEALTH SYSTEM GROUP	BusinessNameLine1

Field	Value	IRS element (for citing)
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (23 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE OTHER BENEFITS SECTION (LINE 7E - 7I).
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE THE PRENATAL CLINIC, FAMILY BIRTH CENTER, AND BEHAVIORAL MEDICINE.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24 - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $12,410,044.
PART III, LINE 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, TRINITY ANALYZES ITS HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISIONS FOR BAD DEBTS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON SPECIFIC ACCOUNTS, HISTORICAL WRITE OFF EXPERIENCE, AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, TRINITY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, TRINITY RECORDS A PROVISION FOR BAD DEBTS ON THE BASIS OF EXPERIENCE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE HOSPITAL HAS ESTIMATED THAT APPROXIMATELY 5 PERCENT OF THE ORGANIZATION'S BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE 5 PERCENT IS AN ESTIMATE BASED ON THE HOSPITAL'S EXPERIENCE WITH HUMANARC'S RETROSPECTIVE WORK.THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
PART III, LINE 8: THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT - WHICH IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. JEFFERSON COUNTY, WHERE TRINITY HEALTH SYSTEM IS LOCATED, HAS ONE OF THE HIGHEST PROPORTIONS OF ELDERLY IN THE STATE OF OHIO. AS A RESULT, THE USE OF HEALTH CARE SERVICE, AND ALSO MEDICARE, IS HIGHER THAN THE STATE AVERAGE. TRINITY ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
PART III, LINE 9B: THE HEALTH SYSTEM IS COMMITTED TO SERVICE EVERYONE AND ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABLISHED POLICIES OF THE HEALTH SYSTEM. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S ABILITY TO PAY, THE HEALTH SYSTEM UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS ESTABLISHED BY THE FEDERAL GOVERNMENT, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO PATIENT INCOME AND RESOURCES. THE HEALTH SYSTEM'S POLICY PROVIDES CHARITY CARE TO PATIENTS UP TO 200% OF THE FEDERAL POVERTY LEVEL. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECOGNIZED THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. IN 2012, CHARITY CARE APPROXIMATED $12,449,011. TO EDUCATE AND INFORM OUR PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY, SELF-PAY INPATIENTS ARE INTERVIEWED BY THE ORGANIZATION'S FINANCIAL COUNSELORS. AT THIS TIME, THE CHARITY IS DISCUSSED AND EXPLAINED TO THE PATIENT AND THEY MAY REQUEST A CHARITY APPLICATION TO COMPLETE. IF A PATIENT HAPPENS TO BE DISCHARGED WITHOUT BEING INTERVIEWED, THE FIRST PATIENT BILLING STATEMENT ALSO STATES THE CHARITY GUIDELINES AND THEY ARE GIVEN THE OPPORTUNITY TO CONTACT THE HOSPITAL FOR AN APPLICATION. FOR OUTPATIENT ACCOUNTS, ANY BALANCE BILLING AFTER INSURANCE ALSO EXPLAINS THE CHARITY GUIDELINES TO PATIENTS.
PART VI, LINE 2: TRINITY HEALTH SYSTEM, WHICH CONSISTS OF TWO HOSPITALS - TRINITY EAST AND TRINITY WEST, IS A 500 BED HEALTH SYSTEM LOCATED IN STEUBENVILLE, OHIO. TRINITY HEALTH SYSTEM IS AN EXTENSION OF THE MISSIONS AND PROUD HERITAGES OF ITS CO-SPONSORS, TRI STATE HEALTH SERVICES (REFLECTING THE PERSPECTIVES OF THE LOCAL COMMUNITY) AND SYLVANIA FRANCISCAN HEALTH (REPRESENTING THE PERSPECTIVES OF THE HEALTH CARE MINISTRY OF THE SISTERS OF ST. FRANCIS OF SYLVANIA, OHIO). AS A NON-PROFIT, CHARITABLE HEALTH CARE DELIVERY SYSTEM, TRINITY HEALTH SYSTEM IS DEDICATED TO PRESERVING THE SECULAR COMMUNITY TRADITIONS AND THE CATHOLIC TRADITIONS OF ITS CO-SPONSORS IN THE DELIVERY OF HEALTH CARE IN THE GREATER STEUBENVILLE, OHIO REGION.THE SISTERS OF ST. FRANCIS OF SYLVANIA, OHIO SPONSOR THEIR HEALTH AND HUMAN SERVICES MINISTRY THROUGH SYLVANIA FRANCISAN HEALTH. THE ORGANIZATION, LOCATED IN OHIO, TEXAS, AND KENTUCKY INCLUDE SIX HOSPITALS, EIGHT LONG-TERM CARE FACILITIES, FOUR ASSISTED LIVING FACILITIES, INDEPENDENT SENIOR HOUSING, A COUNSELOR CENTER AND A LONG-TERM DOMESTIC SHELTER.TRINITY HEALTH SYSTEM IS ORGANIZED TO PROMOTE THE HEALTH OF THE COMMUNITY. OUR MISSION IS TO BE A COMMUNITY PARTNER DEDICATED TO EXCELLENCE IN SERVING THE HEALTH NEEDS OF THE TRI-STATE AREA.WE PURSUE THAT MISSION THROUGH TWO RESPECTED HOSPITALS, AS WELL AS IN OUTPATIENT FACILITIES, PHYSICIAN'S OFFICES, COMMUNITY OUTREACH SITES AND HOMES THROUGHOUT THE TRI-STATE AREA.OUR MISSION IS THE PURPOSE OF THE ORGANIZATION. WE ARE ORGANIZED TO IDENTIFY AND RESPOND TO COMMUNITY NEEDS. WE EXECUTE OUR MISSION UNDER THE AUTHORITY OF OUR BOARD. MEMBERS INCLUDE COMMUNITY REPRESENTATIVES WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBER THEREOF. THE BOARD'S MISSION ALSO INCLUDES PROCESSES FOR DETERMINING AND RESPONDING TO HEALTH NEEDS. A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY IS PERFORMED PERIODICALLY.SERVING MORE THAN 225,000 PATIENTS IN 2012, TRINITY IS A LEADING HEALTHCARE SYSTEM IN THE VALLEY. OUR 1,800 EMPLOYEES AND PHYSICIANS UTILIZE STATE-OF-THE-ART FACILITIES, ADVANCED TECHNOLOGIES AND THE LATEST PROCEDURES TO ACCOMPLISH OUR MISSION AND TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.IN CONJUNCTION WITH THE TRI-STATE HEALTH SERVICES, ONE OF OUR SPONSORS, WE PROVIDE A MOBILE MEDICAL VAN THAT GOES TO VARIOUS PLACES IN OUR COMMUNITY TO EDUCATE THE POPULATION ABOUT DIFFERENT TOPICS AND PROVIDE HEALTHCARE FOR THE POOR AND OTHER DISADVANTAGED RESIDENTS. AT EACH SITE THE VAN VISITS, THE FOLLOWING TESTS ARE AVAILABLE: FREE BREATHING TEST, FREE BLOOD PRESSURE, FREE BLOOD TEST FOR AAT DEFICIENCY (DETERMINES THOSE AT RISK OF DEVELOPING COPD).THE HEALTH SYSTEM'S PRIMARY SERVICE AREA ENCOMPASSES A THREE COUNTY AREA IN OHIO AND WEST VIRGINIA. THE COUNTIES ARE JEFFERSON COUNTY, OHIO AND BROOKE AND HANCOCK COUNTIES, WV. RESIDENTS FROM THESE 3 COUNTIES PROVIDE FOR OVER 11,000 ADMISSIONS TO THE SYSTEM AND ACCOUNT FOR 85% OF THE HOSPITAL'S ADMISSIONS. JEFFERSON COUNTY IS LOCATED ON THE OHIO AND WEST VIRGINIA BORDERS ALONG THE OHIO RIVER, APPROXIMATELY 40 MILES WEST OF PITTSBURGH, PA. JEFFERSON COUNTY HAS EXPERIENCED A DECLINING POPULATION OVER THE PAST 20 YEARS AND HAS THE HIGHEST POPULATION OF ELDERLY IN THAT STATE OF OHIO. AS A RESULT, THE USE OF HEALTH CARE SERVICES IS HIGHER THAN THE STATE AVERAGE.WE ARE ALSO DEDICATED TO MEDICAL EDUCATION, SPONSORING A TWO YEAR NURSING DEGREE PROGRAM.THE PURPOSE OF THE TRINITY HEALTH SYSTEM SCHOOL OF NURSING IS TO PREPARE A BEGINNING PROFESSIONAL NURSE. THE PROGRAM ASSISTS INDIVIDUALS TO ACHIEVE CURRICULUM OUTCOMES AND DEMONSTRATES PROFESSIONAL COMPETENCIES NECESSARY TO PRACTICE IN A VARIETY OF HEALTH CARE SETTINGS AND INCORPORATES THE CORE VALUES OF TRINITY HEALTH SYSTEM.THE PHILOSOPHY OF THE TRINITY HEALTH CARE SYSTEM SCHOOL OF NURSING IS REFLECTIVE OF FACULTY BELIEFS AND IS IN ACCORD WITH THE MISSION OF THE TRINITY HEALTH SYSTEM. THE SCHOOL OF NURSING FULFILLS ITS RESPONSIBILITY TO SOCIETY BY PREPARING A PROFESSIONAL NURSE WHO PRACTICES SAFELY AND ETHICALLY WITHIN THE HOSPITAL OR OTHER HEALTHCARE SETTINGS.THE TRINITY HEALTH SYSTEM SCHOOL OF NURSING IS A 24-MONTH DIPLOMA PROGRAM, IS ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION, (INITIAL PROGRAM ACCREDITATION JUNE, 1965) AND IS APPROVED BY THE OHIO BOARD OF NURSING. THE SCHOOL OF NURSING IS CERTIFIED BY THE OHIO BOARD OF REGENTS, AN AFFILIATE OF THE HELENE FUND HEALTH TRUST, AND IS APPROVED BY THE OHIO DEPARTMENT OF EDUCATION FOR VETERAN'S ADMINISTRATION BENEFITS.THE SCHOOL IS AFFILIATED WITH TWO MODERN PROGRESSIVE MEDICAL FACILITIES; TRINITY MEDICAL CENTER EAST AND TRINITY MEDICAL CENTER WEST, THAT PROVIDE STUDENT CLINICAL LEARNING EXPERIENCE IN BOTH OUT-PATIENT AND IN-PATIENT ACUTE/MEDICAL SURGICAL CARE, EXTENDED-CARE, REHABILITATIVE CARE, AND HEALTH CLINIC SETTINGS. TRINITY MEDICAL CENTER EAST/WEST ARE ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATION AND HOLD INSTITUTIONAL MEMBERSHIP IN THE OHIO HOSPITAL ASSOCIATION AND THE VOLUNTARY HOSPITAL ASSOCIATION OF AMERICA.EASTERN GATEWAY COMMUNITY COLLEGE (EGCC) IS AN ACCREDITED EDUCATIONAL INSTITUTION. THE COLLEGE WAS CHARTERED FOR OPERATION IN 1966 AS A PUBLIC COLLEGE BY THE OHIO BOARD OF REGENTS. STUDENTS RECEIVE FULL CREDIT FOR COLLEGE COURSES THROUGH THIS AFFILIATION. CLASSES ARE TAUGHT BY EGCC FACULTY AT THE SCHOOL OF NURSING CAMPUS.
PART VI, LINE 3: TO EDUCATE AND INFORM OUR PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY, SELF-PAY INPATIENTS ARE INTERVIEWED BY THE ORGANIZATION'S FINANCIAL COUNSELORS. AT THIS TIME, THE CHARITY IS DISCUSSED AND EXPLAINED TO THE PATIENT AND THEY MAY REQUEST A CHARITY APPLICATION TO COMPLETE. IF A PATIENT HAPPENS TO BE DISCHARGED WITHOUT BEING INTERVIEWED, THE FIRST PATIENT BILLING STATEMENT ALSO STATES THE CHARITY GUIDELINES AND THEY ARE GIVEN THE OPPORTUNITY TO CONTACT THE HOSPITAL FOR CHARITY APPLICATIONS. FOR OUTPATIENT ACCOUNTS, ANY BALANCE BILLING AFTER INSURANCE ALSO EXPLAINS THE CHARITY GUIDELINES TO PATIENTS.
PART VI, LINE 4: THE HEALTH SYSTEM CONSIDERS JEFFERSON COUNTY, OHIO AND BROOKE AND HANCOCK, WEST VIRGINIA, TO BE ITS PRIMARY SERVICE AREA, WITH THE MAJORITY OF BUSINESS COMING FROM JEFFERSON COUNTY RESIDENTS (JEFFERSON COUNTY ACCOUNTS FOR 66% OF INPATIENT BUSINESS). THE POPULATION OF JEFFERSON COUNTY HAS DECLINED OVER THE PAST 20 YEARS AND IS PROJECTED TO CONTINUE TO DECLINE IN ALL AGE COHORTS. THE UNEMPLOYMENT RATE OF THE SERVICE AREA IS WELL ABOVE BOTH STATE AND NATIONAL AVERAGES, WITH THE MOST RECENT DATA REPORTED FOR THE FIRST QUARTER OF 2009 FOR JEFFERSON COUNTY TO BE 10.5%. BROOKE AND HANCOCK COUNTIES REPORT SIMILAR UNEMPLOYMENT RATES FOR THE FIRST QUARTER AT 9.9% AND 10.4%, RESPECTIVELY. A KEY CHALLENGE FOR THE HEALTH SYSTEM IS OPERATING WITHIN AN AREA THAT IS EXPERIENCING SIGNIFICANT POPULATION DECLINES AND A DETERIORATING ECONOMIC CLIMATE. THE HEALTH SYSTEM EXPERIENCES SIGNIFICANT OUT-MIGRATION, BOTH DIRECTED BY THE HOSPITAL AS WELL AS BY PATIENT/PHYSICIAN PREFERENCE. UNTIL 2006, OUT MIGRATION HAD BEEN ON A RISE FOR PRIMARY SERVICE AREA RESIDENTS WHO UTILIZE PENNSYLVANIA AND OHIO HOSPITALS. HOWEVER, BEGINNING IN 2007, OUT MIGRATION FROM TRINITY'S PRIMARY SERVICE AREA TO OTHER HOSPITALS IN OHIO, PENNSYLVANIA, AND WEST VIRGINIA HAS DECLINED. IN 2007, (MOST RECENT PUBLIC DATA AVAILABLE), WE HAVE SEEN REDUCTION IN OUT MIGRATION FROM OUR PRIMARY SERVICE AREA TO PENNSYLVANIA, OHIO AND WEST VIRGINIA HOSPITALS OF (10.1%), (4.8%) AND (2.5%) RESPECTIVELY. WE HAVE ALSO REALIZED AN INCREASE IN MARKET SHARE IN JEFFERSON COUNTY FROM 2006 LEVEL OF 65.68% TO 2007 LEVEL OF 66.27%. WE HAVE SEEN SIMILAR INCREASES IN BROOKE AND HANCOCK COUNTIES AS WELL WITH THE MARKET SHARE INCREASING FROM 2006 LEVEL OF 20.99% TO 2007 LEVEL OF 21.46%. OVERALL, THE DATA DOCUMENTS THAT WE MET OUR PLANNING GOAL OF IMPROVING THE MARKET SHARE BY 1 PERCENTAGE POINT A YEAR.OVERALL, THE SERVICE AREA OF THE SYSTEM HAS A LOWER AVERAGE HOUSEHOLD INCOME THAN THE STATE OF OHIO AND A HIGHER UNEMPLOYMENT RATE. JEFFERSON COUNTY IS ECONOMICALLY DEPRESSED WITH A PER-CAPITA INCOME LOWER THAN STATE AVERAGES. ALL 3 COUNTIES IN THE SYSTEM'S IMMEDIATE SERVICE AREA HAVE A HIGHER PROPORTION OF THE POPULATION AT OR BELOW THE POVERTY LEVEL. THE ECONOMIC CONDITIONS OF THE AREA HAVE HINDERED THE GROWTH OF THE HOSPITAL AND MORE SELF-PAY PATIENTS HAVE TAKEN ADVANTAGE OF THE HOSPITAL'S SERVICES. CHARITY CARE AND BAD DEBT ACCOUNTS HAVE INCREASED EACH YEAR FOR THE LAST FEW YEARS. AS RECENTLY UNEMPLOYED RESIDENTS LOSE THEIR HEALTH BENEFITS, WE EXPECT HIGHER CHARITY CARE LEVELS.THE PAYOR MIX AT TRINITY IS HEAVILY WEIGHTED TO THE GOVERNMENTAL PAYERS, WITH 44% OF THE 2012 YTD REVENUE GENERATED FROM MEDICARE AND 13% GENERATED FROM THE MEDICAID PROGRAM. WITH THE 2 PROGRAMS RECORDING SIGNIFICANT SHORTFALLS BETWEEN PAYMENT TO HOSPITALS AND HOSPITAL COSTS, THE ECONOMIC CHALLENGES FOR TRINITY ARE GREAT.
PART VI, LINE 5: - TRINITY'S HEART CENTER MEANS NO MORE WASTED TIME IN TRAVEL TO PITTSBURGH HOSPITALS - WHEN TIME IS A KEY FACTOR FOR HEART RELATED PROBLEMS. MINUTES ARE CRUCIAL TO THE SURVIVAL OF PEOPLE WITH THE SUDDEN ONSET OF SERIOUS CARDIAC PROBLEMS. NOW SUPERIOR HEART CARE WILL BE A LOT CLOSER TO WHERE YOU LIVE AND WORK. TRINITY'S HEART CENTER OFFERS ALL AREAS OF HEART CARE INCLUDING: OPEN HEART SURGERY; ANGIOPLASTY; NUCLEAR CARDIOLOGY; ULTRASOUND; EKG; ELECTROPHYSIOLOGY PROCEDURES; CARDIAC REHABILITATION; STRESS TESTING; AND EDUCATIONAL PROGRAMS.- TRINITY HEALTH SYSTEM ONCE AGAIN SPONSORED HEARTLAND. DESIGNED AS THE "LARGEST HEART RISK APPRAISAL UNDER ONE ROOF", THE EVENT MARKS ITS FIFTEENTH YEAR. TRINITY HEALTH SYSTEM IS OFFERING THIS PROGRAM TO HELP COMMUNITY MEMBERS IMPROVE THEIR HEALTH THROUGH SCREENINGS AND INFORMATION. THE EVENT INCLUDES THE COMMUNITY BLOOD ANALYSIS WHICH TESTS PARTICIPANTS BLOOD FOR OVER 30 DIFFERENT SCREENS. OUR SCREENING HAS BEEN WELL ATTENDED FOR FOURTEEN YEARS AND WE ALWAYS EXPECT A LARGE CROWD. SEVERAL TRINITY HEALTH SYSTEM SERVICES PERSONNEL WILL BE ON HAND TO DISCUSS THEIR SERVICES AND PROVIDE SCREENINGS IN CONJUNCTIONS WITH THE SCREENINGS. COST OF THE BLOOD SCREENING IS $30.00. OVER 21,500 AREA RESIDENTS HAVE PARTICIPATED IN THE EVENT OVER THE YEARS.- TRINITY HEALH SYSTEM OFFERS A WIDE VARIETY OF HEALTH EDUCATION AND ASSISTANCE PROGRAMS THAT ARE AVAILABLE TO THE COMMUNITY. MANY OF THESE SERVICES ARE EITHER FREE OR ARE AVAILABLE FOR A NOMINAL FEE.- COMMUNITY SERVICE REFERRAL IS A FREE SERVICE PROVIDED TO THE COMMUNITY. THE HOSPITAL CAN PROVIDE INFORMATION AND REFERRALS TO NUMEROUS AREA AGENCIES WITH PROVIDE SUCH PROGRAMS AS SELF-HELP GROUPS, SOCIAL SERVICES (EMERGENCY FOOD/SHELTER, ETC.), TRANSPORTATION, MEDICAL SUPPLY COMPANIES, AND NATIONAL MEDICAL HOTLINES. THE AGENCIES DO NOT HAVE TO PAY A FEE TO BE LISTED WITH REFERRAL SERVICES.- TRINITY HEALTH SYSTEM'S CARDIAC REHABILITATION PROGRAM IS DESIGNED TO EFFECT LIFESTYLE CHANGE IN PATIENTS ENROLLED. THESE CHANGES ARE ACHIEVED THROUGH SAFE, PHYSICAL CONDITIONING, SOUND EDUCATIONAL SESSIONS, AND GROUP SUPPORT, WHICH EMPHASIZE THE UNDERSTANDING OF RISK FACTORS ASSOCIATED WITH HEART DISEASE. THE PROGRAM'S GOAL IS TO ENHANCE THE QUALITY OF LIFE FOR THE PATIENT. BY PARTICIPATING IN OUR CARDIAC REHABILITATION PROGRAM, PATIENTS CAN LEARN HOW TO ACHIEVE AND MAINTAIN THE HEALTHIEST LIFESTYLE POSSIBLE. OUR SPECIALLY TRAINED STAFF WORKS WITH PATIENTS, THEIR FAMILIES, AND PHYSICIANS TO DEVELOP A PERSONALIZED PROGRAM OF HEALTH AND WELLNESS. AS AN INTEGRAL PART OF THE OVERALL PROGRAM, EDUCATION INCREASES A PATIENT'S UNDERSTANDING OF THEIR ILLNESS AND HELPS THEM TO IDENTIFY CURRENT HABITS THAT CAN NEGATIVELY AFFECT THEIR CARDIAC CONDITION. WE COVER ISSUES LIKE RISK FACTOR REDUCTION, ANGINA, HEART ATTACK, MEDICATION, DIETARY AND EXERCISE GUIDELINES, SMOKING, AND BREATHING AND RELAXATION METHODS. REGULAR EXERCISE INCREASES STRENGTH AND IMPROVES MUSCLE TONE. IT CAN ALSO DECREASE A PATIENT'S RESTING HEART RATE AND BLOOD PRESSURE, ASSIST IN WEIGHT CONTROL, DECREASE STRESS, AND ENHANCE THEIR ABILITY TO PERFORM DAILY ACTIVITIES. SUPPORT WILL HELP PATIENTS AND THEIR FAMILIES REALIZE THEY ARE NOT ALONE AND TO DEVELOP RELATIONSHIPS WITH OTHER CLIENTS AND STAFF. - THE DIABETES OUTPATIENT EDUCATION PROGRAM AT TRINITY HEALTH SYSTEM IS SPECIFICALLY DESIGNED TO AID THE PATIENT WITH DIABETES TO MAKE RESPONSIBLE DECISIONS IN THE CARE OF THEIR DISEASE. THE PROGRAM IS OFFERED IN SEVEN SESSIONS. CONTENT INCLUDES: DISEASE PROCESS; ACUTE COMPLICATIONS/SICK DAYS, TRAVELING; NUTRITIONAL SESSIONS BY A CERTIFIED DIETICIAN; EXERCISE AND MONITORING; MEDICATIONS; AND GENERAL HEALTH CARE / CHRONIC COMPLICATIONS.- TRINITY HEALTH SYSTEM'S CHILDBIRTH PREPARATION CLASSES CAN HELP PREPARE MOTHERS AND FAMILIES FOR THE NEW CHALLENGES THAT COME WITH THE BIRTH OF A CHILD. OUR PROFESSIONAL STAFF OF NURSES CAN HELP PATIENTS, GRANDPARENTS AND SIBLINGS PREPARE FOR AN UPCOMING BIRTH EVENT, AND CAN OFFER INSIGHTFUL ADVICE AND INFORMATION ON HOW TO CARE FOR A NEWBORN. OUR PROGRAM GUIDES AND SUPPORTS PARENTS DURING PREGNANCY, LABOR, DELIVERY, AND PARENTHOOD. WE WILL DISCUSS ISSUES RELATING TO UPCOMING LABOR, DELIVERY, ANESTHESIA, PRENATAL TESTING, INFANT CARE, SAFETY. THIS COURSE INCLUDES PREPARING PARENTS FOR LABOR AND BIRTH THROUGH THE USE OF RELAXATION AND BREATHING TECHNIQUES. PARENTS WILL ALSO BE GIVEN A TOUR OF AND ORIENTATION TO TRINITY'S FAMILY BIRTH CENTER. - TRINITY HEALTH SYSTEM'S PULMONARY REHABILITATION PROGRAM IS DESIGNED TO EFFECT LIFESTYLE CHANGE IN PATIENTS ENROLLED. THESE CHANGES ARE ACHIEVED THROUGH SAFE, PHYSICAL CONDITIONING, SOUND EDUCATIONAL SESSIONS, AND GROUP SUPPORT, WHICH EMPHASIZE THE UNDERSTANDING OF CHRONIC OBSTRUCTED PULMONARY DISEASE. THE PROGRAM'S GOAL IS TO ENHANCE THE QUALITY OF LIFE FOR THE PATIENT. AGE IS NOT A FACTOR. BY PARTICIPATING IN OUR PULMONARY REHABILITATION PROGRAM, PATIENTS CAN LEARN HOW TO ACHIEVE AND MAINTAIN THE HEALTHIEST LIFESTYLE POSSIBLE. OUR SPECIALLY TRAINED STAFF WORKS WITH PATIENTS, THEIR FAMILIES, AND PHYSICIANS TO DEVELOP A PERSONALIZED PROGRAM OF HEALTH AND WELLNESS. THE GOALS OF TRINITY HEALTH SYSTEM'S PULMONARY REHABILITATION PROGRAM ARE: INCREASED UNDERSTANDING OF LUNG DISEASE; INCREASED MUSCULAR FITNESS; INCREASED ENDURANCE; IMPROVED SENSE OF WELL-BEING; AND DECREASED SHORTNESS OF BREATH WITH ACTIVITY.- GRANDCARE AT TRINITY MEDICAL CENTER WEST IS THE NEXT BEST THING TO GRANDMA'S ARMS WHEN A CHILD IS SICK. WORK SCHEDULES OR PLANS CAN BE DISRUPTED AND USUALLY CANCELLED DUE TO A LACK OF QUALIFIED CHILD CARE PROGRAMS FOR SICK CHILDREN. CHILDREN FROM SIX WEEKS TO SIXTEEN YEARS OF AGE ARE WELCOME AND THE SERVICE IS AVAILABLE 24 HOURS A DAY AND SEVEN DAYS A WEEK. ONLY CHILDREN SUFFERING FROM CHICKEN POX, OR PHYSICALLY AND EMOTIONALLY HANDICAPPED ARE EXCLUDED. ALL SERVICES SUCH AS ISOLATION AND PRESCRIBED THERAPIES ARE AVAILABLE. MEMBERS OF THE PEDIATRIC DEPARTMENT NURSING STAFF ARE IN CHARGE OF CARE. MEALS AND SNACKS ARE INCLUDED.THE SPEAKER'S BUREAU WILL ADDRESS COMMUNITY ORGANIZATIONS, SCHOOLS, CHURCHES, AND BUSINESSES. TOPICS INCLUDE: ACLS; ERGONOMICS; ORTHOPEDIC; ADVANCE DIRECTIVES; EXERCISE; DISORDERS/DISEASE; AIDS/HIV; FOOT/ANKLE DISORDERS; OSTEOARTHRITIS; AQUATICS; GASTROENTEROLOGY DISEASES; OSTEOPOROSIS; BIRTH CONTROL; HEALTH CARE REFORM; PHYSICAL THERAPY; BODY RECALL; HEART DISEASE; PROSTATE DISEASE; CANCER; HEARTLAND; SEIZURES; CARDIAC REHABILITATION; HOME HEALTH; SENIORS BENEFITS; CHILD DEVELOPMENT; IMPOTENCE; SEXUALLY TRANSMITTED DISEASE; CHILDBIRTH; INCONTINENCE; CHILDHOOD IMMUNIZATIONS; INFECTIOUS DISEASES; SKIN DISORDERS; CPR/FIRST AID; MEDICATIONS/DRUG THERAPY; SMOKING CESSATION; DIABETIC FOOT CARE; NEONATOLOGY; SPORTS MEDICINE; DRUG ABUSE; NEUROLOGICAL DISORDERS; STRESS MANAGEMENT; EATING DISORDERS; NUTRITION; TEENAGE SEXUALITY; EKG; OCCUPATIONAL THERAPY; WEIGHT MANAGEMENT; ENT DISORDERS; OPTHALMOLOGY; WELLNESS; ENTEROSTOMAL THERAPY; AND WOMEN'S HEALTH ISSUES.- THE EMERGENCY SERVICES OF TRINITY HEALTH SYSTEM ARE AVAILABLE AT TRINITY MEDICAL CENTER WEST. EMERGENCY SERVICES ARE OPEN TO ALL, REGARDLESS OF ABILITY TO PAY. IN 2012, WE HAD OVER 48,000 ER VISITS. THE TRINITY MEDICAL CENTER WEST EMERGENCY DEPARTMENT HAS BEEN REMODELED AND EXPANDED TO ACCOMMODATE PATIENTS REQUIRING TREATMENT. THE EMERGENCY DEPARTMENT HAS DOUBLED IN SIZE AND TWICE AS MANY TREATMENT BEDS ARE NOW AVAILABLE. A DEDICATED X-RAY ROOM HAS BEEN CONSTRUCTED ADJACENT TO THE EMERGENCY DEPARTMENT. PHYSICIAN, PROFESSIONAL AND SUPPORT STAFF HAVE BEEN ADDED TO PROVIDE CARE FOR PATIENTS 24 HOURS / 7 DAYS PER WEEK. SPECIAL TREATMENT AREAS HAVE BEEN CONSTRUCTED FOR: CARDIAC EMERGENCIES; OBSTETRICAL EMERGENCIES; PEDIATRIC EMERGENCIES; TRAUMA; SUTURING (STITCHES); AND FRACTURES. TRINITY SERVICES ALL LEVELS OF EMERGENCY AND URGENT CARE INCLUDING: CARDIAC EMERGENCIES; ACUTE RESPIRATORY EMERGENCIES; TRAUMA; CHEST PAIN CENTER; FRACTURES; AND SUTURING. AS WELL AS MEDICAL EMERGENCIES INCLUDING, BUT NOT LIMITED TO: ACUTE APPENDICITIS; CEREBRAL ANEURYSMS; GALL BLADDER ATTACKS; ACUTE ABDOMINAL PAIN; PEDIATRIC EMERGENCIES; AND UNEXPECTED BLEEDING OR SEVERE PAIN.- TRINITY DEVELOPED A PARTNERSHIP WITH THE YMCA. THE YMCA IS A MEMBERSHIP ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITY. THROUGH PROGRAMS, SERVICE AND LEADERSHIP, THE YMCA PROMOTES ETHICAL VALUES THAT CONTRIBUTE TO ITS MEMBERS' GROWTH IN BUILDING HEALTHY SPIRITS, MINDS AND BODIES. THE YMCA IS OPEN FOR ALL, PROVIDING FINANCIAL ASSISTANCE TO THOSE IN NEED. FOR MORE THAN 100 YEARS, THE YMCA HAS SERVED THE COMMUNITIES IN THE TRI-STATE AREA OF OHIO, WEST VIRGINIA AND PENNSYLVANIA. WHEN YOU JOIN THE STEUBENVILLE YMCA, YOU BECOME PART OF AN INTERNATIONAL MOVEMENT TO BUILD STRONG KIDS, STRONG FAMILIES, AND STRONG COMMUNITIES. APPROACHING 3,000 MEMBERS, THE YMCA HAS BEEN ABLE TO EXPAND PROGRAMMING THROUGHOUT THE YEAR AS A RESULT OF THE POSITIVE RESPONSE FROM THE ENTIRE COMMUNITY.
PART VI, LINE 6: TRINITY HEALTH SYSTEM, WHICH CONSISTS OF TWO HOSPITALS - TRINITY EAST AND TRINITY WEST, IS A 500 BED HEALTH SYSTEM LOCATED IN STEUBENVILLE, OHIO. TRINITY HEALTH SYSTEM IS AN EXTENSION OF THE MISSIONS AND PROUD HERITAGES OF ITS CO-SPONSORS, TRI STATE HEALTH SERVICES (REFLECTING THE PERSPECTIVES OF THE LOCAL COMMUNITY) AND SYLVANIA FRANCISCAN HEALTH (REPRESENTING THE PERSPECTIVES OF THE HEALTH CARE MINISTRY OF THE SISTERS OF ST. FRANCIS OF SYLVANIA, OHIO). AS A NON-PROFIT, CHARITABLE HEALTH CARE DELIVERY SYSTEM, TRINITY HEALTH SYSTEM IS DEDICATED TO PRESERVING THE SECULAR COMMUNITY TRADITIONS AND THE CATHOLIC TRADITIONS OF ITS CO-SPONSORS IN THE DELIVERY OF HEALTH CARE IN THE GREATER STEUBENVILLE, OHIO REGION.
OH	REPORTS FILED WITH STATES	PART VI, LINE 7
SEE BELOW	PART V, LINE 8 FACILITY REPORTING GROUP A
	FACILITY 1 -- TRINITY MEDICAL CENTER WEST	PART V, SECTION B, LINE 16E:
	FACILITY 1 -- TRINITY MEDICAL CENTER WEST	PART V, SECTION B, LINE 17E:
	FACILITY 1 -- TRINITY MEDICAL CENTER WEST	PART V, SECTION B, LINE 17E:
	FACILITY 1 -- TRINITY MEDICAL CENTER WEST	PART V, SECTION B, LINE 20D:
ALL PATIENTS ARE BILLED AT GROSS CHARGES AND THEN THE APPLICABLE DISCOUNTS ARE APPLIED BASED ON FINANCIAL NEEDS OR CONTRACTUAL OBLIGATION. THE UNINSURED DISCOUNT IS 25 PERCENT OFF OF BILLED CHARGES. THE 25 PERCENT IS BASED ON THE ESTIMATED AVERAGE OF COMMERCIAL INSURANCE DISCOUNTS.	FACILITY 1 -- TRINITY MEDICAL CENTER WEST	PART V, SECTION B, LINE 20D:
	FACILITY 2 -- TRINITY MEDICAL CENTER EAST	PART V, SECTION B, LINE 16E:
	FACILITY 2 -- TRINITY MEDICAL CENTER EAST	PART V, SECTION B, LINE 17E:
	FACILITY 2 -- TRINITY MEDICAL CENTER EAST	PART V, SECTION B, LINE 17E:
	FACILITY 2 -- TRINITY MEDICAL CENTER EAST	PART V, SECTION B, LINE 20D:
ALL PATIENTS ARE BILLED AT GROSS CHARGES AND THEN THE APPLICABLE DISCOUNTS ARE APPLIED BASED ON FINANCIAL NEEDS OR CONTRACTUAL OBLIGATION. THE UNINSURED DISCOUNT IS 25 PERCENT OFF OF BILLED CHARGES. THE 25 PERCENT IS BASED ON THE ESTIMATED AVERAGE OF COMMERCIAL INSURANCE DISCOUNTS.	FACILITY 2 -- TRINITY MEDICAL CENTER EAST	PART V, SECTION B, LINE 20D:

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	0	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
EMPLOYEE MEDICAL EDUCATION ASSISTANCE	11	127579	N/A	N/A
PHYSICIAN MEDICAL EDUCATION ASSISTANCE	2	256538	N/A	N/A

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: OUR POLICIES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES IS FOLLOWING THE POLICIES AND PROCEDURES OF THE GRANTING ORGANIZATION IN REGARDS TO THE DISTRIBUTION AND REPORTING OF GRANTS	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 (10 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
FRED BROWER
PRESIDENT AND CEO	0	361237	0	3946	0	19494	0	207433	0	77443	0	669553	0	0
JOHN FIGEL MD
BOARD MEMBER	173342	0	27016	0	19819	0	0	0	0	0	220177	0	0	0
JAMES POPE
BOARD MEMBER	0	640430	0	0	0	118412	0	24500	0	20745	0	804087	0	0
DAVID WERKIN
VP FINANCE (CFO POST- 9/24/2012)	0	148217	0	2173	0	28399	0	0	0	27399	0	206188	0	0
ELIZABETH ALLEN
CFO (PRE- 9/24/2012)	0	176695	0	3552	0	307	0	0	0	23542	0	204096	0	0
KUMAR AMIN MD
PHYSICIAN	622923	0	624615	0	0	0	0	0	13143	0	1260681	0	0	0
SATHISH MAGGE MD
PHYSICIAN	729480	0	392804	0	0	0	0	0	0	0	1122284	0	0	0
RAMANA MURTY MD
PHYSICIAN	906380	0	34012	0	0	0	0	0	8355	0	948747	0	0	0
BASEL TERMANINI MD
PHYSICIAN	413183	0	334535	0	0	0	0	0	14785	0	762503	0	0	0
HIMANSHU DESAI MD
PHYSICIAN	422208	0	325410	0	0	0	0	0	14785	0	762403	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 3	THE CEO IS COMPENSATED BY TRINITY HEALTH SYSTEM, WHO USES A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, TO DETERMINE COMPENSATION.
PART I, LINE 4B	PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). CURRENT YEAR PAYMENTS, REPORTED IN PART II, COLUMN (B)(III), ARE SUMMARIZED BELOW: JAMES W POPE $104,670

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF STEUBENVILLE OHIO	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	346002729	IssuerEIN
CUSIP Number	860068BZ7	CUSIPNumber
Date Issued	2010-08-12	DateIssued
Issue Price	42796876	IssuePrice
Description Of Purpose	REFINANCE 2007 BOND ISSUE	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	42796876	TotalProceeds
Issuance Costs From Proceeds	629721	IssuanceCostsFromProceeds
Other Spent Proceeds	34961794	OtherSpentProceeds
Year Of Subst Completion	2010	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	0	ProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION FOR NOT FILING FORM 990-T	FORM 990, PART V, LINE 3B	TRINITY HOSPITAL HOLDING COMPANY (34-1842025), A SUBORDINATE ORGANIZATION OF TRINITY HEALTH SYSTEM GROUP, FILES A FORM 990-T THAT INCLUDES THE UNRELATED BUSINESS INCOME AND EXPENSES SHOWN IN THIS RETURN.
	FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE CORPORATION SHALL BE TRINITY HEALTH SYSTEM, AN OHIO NONPROFIT CORPORATION. THE MEMBERS OF THE SOLE MEMBER ARE FRANCISCAN SERVICES CORPORATION AND TRI-STATE HEALTH SERVICES, INC., BOTH OHIO NONPROFIT CORPORATIONS ("CO-SPONSORING MEMBERS").
	FORM 990, PART VI, SECTION A, LINE 7A	ALL TRUSTEES ARE ELECTED BY MEMBERS. RECOMMENDATIONS FOR APPOINTMENT TO THE BOARD OF TRUSTEES ARE MADE BY TRINITY HEALTH SYSTEM BOARD OF TRUSTEES THROUGH ITS NOMINATING COMMITTEE. FINAL APPROVAL OF EACH NOMINEE BY THE CO-SPONSORING MEMBERS IS REQUIRED.
	FORM 990, PART VI, SECTION A, LINE 7B	BOTH CO-SPONSORING MEMBERS MUST APPROVE THE FOLLOWING ACTIONS OF THE COPORATION OR ANY OF ITS SUBSIDIARIES AS A CONDITION BEFORE THEY BECOME EFFECTIVE: 1. MERGER, CONSOLIDATION OR SUBSTANTIAL SALE. 2. CREATION OF SUBSIDIARIES OR AFFILIATION WITH OTHER ENTITIES. 3. CONVEYANCING REAL PROPERTY OR CREATING LIENS THEREON. 4. TRANSFER OF PERSONAL PROPERTY, INCURRING OR GUARANTEEING INDEBTEDNESS OR GRANTING LIENS IN EXCESS OF AN AMOUNT PRESCRIBED FROM TIME TO TIME BY THE MEMBERS. 5. APPROVAL OF CORPORATION OR SUBSIDIARY TRUSTEES AND DIRECTORS BASED UPON AGREED UPON CRITERIA. 6. CAPITAL EXPENDITURES OR GRANTS IN EXCESS OF AN AMOUNT PRESCRIBED FROM TIME TO TIME BY THE MEMBERS. 7. ADDITION OR TERMINATION OF SERVICES. 8. APPROVAL OF SELECTION OF THE SLATE OF CANDIDATES FOR THE OFFICE OF CEO OF THE CORPORATION OR ANY OF ITS SUBSIDIARIES, PROVIDED, HOWEVER, THAT A REPRESENTATIVE OF EACH MEMBER WILL SERVE ON THE SELECTION COMMITTEE. 9. APPROVAL OF THE ANNUAL BUDGET AND STRATEGIC PLAN FOR THE CORPORATION AND ITS SUBSIDIARIES.
	FORM 990, PART VI, SECTION B, LINE 11	THE TRINITY HEALTH SYSTEM BOARD OF TRUSTEES, REPRESENTED BY ITS EXECUTIVE COMMITTEE, REVIEWS THE SYSTEM'S AND RELATED ENTITIES FORM 990'S PRIOR TO FILING. EACH DOCUMENT IS REVIEWED IN DETAIL, INCLUDING EACH OF THE RELATED SCHEDULES IN THEIR ENTIRETY. THE BOARD'S EXECUTIVE COMMITTEE ENDORSES THE 990 FILINGS AND REPORTS ON THEIR REVIEW OF THE ORGANIZATION'S 990S AT THE REGULAR BOARD OF TRUSTEES MEETING.
	FORM 990, PART VI, SECTION B, LINE 12C	EACH BOARD MEMBER, OFFICER AND VICE PRESIDENT IS REQUIRED TO COMPLETE A DISCLOSURE OF POTENTIAL CONFLICTS, WHICH ARE DEFINED BY THE APPLICABLE POLICY, ON AN ANNUAL BASIS. EACH SUBMISSION IS REVIEWED BY THE BOARD CHAIR AND THE SYSTEM CEO, THEN INCORPORATED INTO A SUMMARY REPORT THAT IS PROVIDED TO THE BOARD AND THE INDIVIDUAL ORIGINALS IN EACH MEMBER'S BOARD BOOK. UPON THE HEARING OR DELIBERATION OF ANY MATTER THAT COMES BEFORE THE BOARD, THE BOARD CHAIR OR ANY INDIVIDUAL MEMBER OF THE BOARD CAN RAISE A QUESTION RELATED TO ANY CONFLICT THAT THEY MAY IDENTIFY. THE BOARD CHAIR, IN CONSULTATION WITH THE CEO AND THE FULL BOARD, WILL MAKE A DETERMINATION ON THE QUESTION AND THE PROCEDURES TO BE FOLLOWED IN THE INDIVIDUAL CASE. THE BOARD CHAIR, OR HIS DESIGNEE IF THE CHAIR IS CONFLICTED, WILL MANAGE THE CONFLICT TO ASSURE AN UNBIASED AND OBJECTIVE DISCUSSION AND DECISION.
	FORM 990, PART VI, SECTION B, LINE 15	EACH EXECUTIVE'S COMPENSATION, INCLUDING THE CEO, IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE REVIEW IS DOCUMENTED IN THE MEETING MINUTES. THE BOARD IS PROVIDED WITH SALARY COMPARISON DATA, WHICH IS PREPARED BY THE OHIO HOSPITAL ASSOCIATION EACH YEAR. AN OUTSIDE FIRM DOES A COMPENSATION SURVEY THAT IS ALSO PROVIDED TO THE BOARD. THIS PROCESS WAS LAST UNDERTAKEN IN 2011.
	FORM 990, PART VI, SECTION C, LINE 19	TRINITY HEALTH SYSTEM MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE MADE AVAILABLE TO TRINITY BONDHOLDERS UPON THEIR REQUEST THROUGH MUNICIPAL INFORMATION REPOSITORIES.
	FORM 990, PT VII, AVERAGE HOURS PER WEEK:	FRED BROWER AND ELIZABETH ALLEN ARE OFFICERS OF TRINITY HEALTH SYSTEM. JAMES POPE IS AN OFFICER OF SYLVANIA FRANCISCAN HEALTH, A SPONSORING MEMBER OF THE ORGANIZATION. ONE OF THE RESPONSIBILITIES OF THEIR POSITION IS TO SERVE AS OFFICERS FOR MANY OF THE SUBSIDIARY ORGANIZATIONS. THE AVERAGE WORK WEEK FOR THESE INDIVIDUALS IS 40+ HOURS. THIS TIME IS ALLOCATED TO THEIR POSITIONS WITH THE VARIOUS SUBSIDIARIES AS WELL AS THEIR RESPONSIBILITIES OF THE PARENT ORGANIZATION. IT IS ESTIMATED THAT THESE INDIVIDUALS DEDICATE AT LEAST ONE HOUR PER WEEK TO THEIR RESPONSIBILITIES AS OFFICERS OF THE SUBORDINATE ORGANIZATIONS.
	FORM 990, PART VII, COMPENSATION:	PAUL DIBIASE, JOHN FIGEL, WILLIAM JOHNS AND CLYDE METZGER ARE COMPENSATED BY TRINITY HOSPITAL HOLDING COMPANY (34-1842025), A SUBORDINATE ORGANIZATION OF TRINITY HEALTH SYSTEM GROUP, WHO DOES NOT FILE THEIR OWN FORM 990. ACCORDINGLY, COMPENSATION HAS BEEN REPORTED IN COLUMN D OF FORM 990, PART VII.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	CHANGE IN PENSION OBLIGATION -3,801,639. CHANGE IN INTEREST IN FOUNDATION NET ASSETS 383,998. OTHER CHANGES IN NET ASSETS -13,903.
	FORM 990, PAGE 1, LINE H(C), GROUP EXEMPTION NUMBER:	TRINITY HEALTH SYSTEM GROUP IS INCLUDED WITHIN TWO GROUP EXEMPTION NUMBERS, #5388 FOR TRINITY HOSPITAL HOLDING COMPANY (TRINITY HEALTH SYSTEM, #34-1818681, PARENT), AND #0928 TO THE CATHOLIC HEALTH ASSOCIATION AND ITS AFFILIATED ORGANIZATIONS, OF WHICH IT IS A SUBORDINATE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 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
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	341818681	SUPPORT & MANAGEMENT	OH	501(C)(3)	LINE 11B, II	TRI-STATE HEALTH SERVICES & SYLVANIA FRANCISCAN HEALTH	0
TRINITY HEALTH SYSTEM FOUNDATION
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	341329423	CHARITABLE FUNDRAISING	OH	501(C)(3)	LINE 11A, I	TRINITY HEALTH SYSTEM	1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY MANAGEMENT SERVICES ORGANIZATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	380 SUMMIT AVENUE	AddressLine1
City	STEUBENVILLE	City
State	OH	State
ZIP Code	43952	ZIPCode

Field	Value	IRS element (for citing)
EIN	341471026	EIN
Primary Activity	MANAGEMENT SERVICES, PHYSICIAN STAFF	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	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	0	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	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	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	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
TRINITY HEALTH SYSTEM
M	4569034	CASH
TRINITY MANAGEMENT SERVICES ORGANIZATION
P	3657572	CASH
TRINITY HEALTH SYSTEM FOUNDATION
C	462000	ACTUAL AMOUNTS PAID

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	THIS RETURN IS BEING RESUBMITTED FOR E-FILING. THIS RETURN WAS ORIGINALLY SUBMITTED ON NOVEMBER 15, 2013. THE RETURN WAS REJECTED FROM E-FILING. WE CALLED THE HELP DESK. THE CASE REFERENCE NUMBER IS IM66972. AFTER RESEARCH, THE IRS DETERMINED THAT THE EIN WAS NOT SET UP WITH THE GROUP EXEMPTION NUMBER IN THE IRS SYSTEM. THE ORGANIZATION IS NOW IN THE PROCESS OF GETTING THAT SET UP. THE REPRESENTATIVE AT THE HELP DESK HAS ADVISED TO RE-SUBMIT AND THAT THE RETURN WILL BE CONSIDERED AS TIMELY FILED WITHOUT PENALTY.	Explanation