2013-11-26T12:43:23-06:00 2012-12-31 381357951 PLANTE & MORAN PLLC 600 E FRONT ST SUITE 300 TRAVERSE CITY MI 49686 990 2012-01-01 300752920 TRINITY HEALTH SYSTEM GROUP TRIN 7402837000 380 SUMMIT AVENUE STEUBENVILLE OH 43952 FRED BROWER 7402837000 2013-11-26 1 SUSAN MIENCIER P00842339 2319477800 2012 2016-02-25 16:41:14Z FRED BROWER 380 SUMMIT AVENUE STEUBENVILLE OH 43952 243473915 1 1 5388 X WWW.TRINITYHEALTH.COM X 1996 OH A COMMUNITY PARTNER DEDICATED TO EXCELLENCE IN SERVING THE HEALTH NEEDS OF THE TRI-STATE AREA. 16 11 2001 140 1164596 597702 1055974 933060 186225451 207091729 5823498 3081412 10738105 6041779 203843028 217147980 137777 384637 0 0 97842434 98865467 0 0 0 95706969 107976176 193687180 207226280 10155848 9921700 186704305 200007015 87003375 89456929 99700930 110550086 X A COMMUNITY PARTNER DEDICATED TO EXCELLENCE IN SERVING THE HEALTH NEEDS OF THE TRI-STATE AREA. 0 0 97180173 0 109475139 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. 55926609 0 63002289 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. 4785810 0 5391297 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. 27690702 384637 31194053 ALL OTHER PROGRAM SERVICES. 27690702 384637 31194053 185583294 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 132 0 1 2001 1 1 1 0 0 0 0 0 0 0 0 0 X 16 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 OH X FRED BROWER 7402837000 380 SUMMIT AVENUE STEUBENVILLE OH 43952 X MICHAEL BARBER 2.00 2.00 X X 0 0 0 MICHAEL BIASI 2.00 3.00 X 0 0 0 FRED BROWER 40.00 18.00 X X 0 384677 284876 DAN DAILY 2.00 2.00 X 0 0 0 PAUL DIBIASE MD 2.00 2.00 X 919 0 0 ERIC EXLEY 2.00 2.00 X X 0 0 0 JOHN FIGEL MD 2.00 2.00 X 220177 0 0 SHEILA HENDRICKS 2.00 2.00 X 0 0 0 WILLIAM JOHNS MD 2.00 2.00 X 42000 0 0 CLYDE METZGER MD 2.00 2.00 X X 52500 0 0 MARK MORELLI 2.00 2.00 X 0 0 0 JAMES PADDEN 2.00 2.00 X X 0 0 0 JAMES POPE 2.00 3.00 X 0 758842 45245 DOUGLAS W SCHAEFER 2.00 2.00 X 0 0 0 DAVID SKIVIAT SR 2.00 2.00 X 0 0 0 SR JEANETTE ZIELINSKI OSF 2.00 2.00 X 0 0 0 DAVID WERKIN 40.00 20.00 X 0 178789 27399 ELIZABETH ALLEN 40.00 20.00 X 0 180554 23542 KUMAR AMIN MD 40.00 0.00 X 1247538 0 13143 SATHISH MAGGE MD 40.00 0.00 X 1122284 0 0 RAMANA MURTY MD 40.00 0.00 X 940392 0 8355 BASEL TERMANINI MD 40.00 0.00 X 747718 0 14785 HIMANSHU DESAI MD 40.00 0.00 X 747618 0 14785 5121146 1502862 432130 52 0 1 0 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 24 462000 168496 302564 933060 PATIENT SERVICE REVENUE 621990 201786214 201786214 ELECTRONIC MED RECORDS 621990 4140919 4140919 NON-PATIENT LABORATORY 621500 1164596 1164596 207091729 1976434 1976434 997498 147965 849533 849533 -62757 912290 27151738 15101 26059866 1995 1091872 13106 1104978 1104978 119625 116109 3516 3516 OTHER RELATED REVENUE 900099 2405545 2405545 CAFETERIA 722210 1990328 1990328 TUITION AND FEES 900099 792857 792857 5188730 217147980 209062778 1164596 5987546 520 520 384117 384117 335817 335817 72692483 63714961 8977522 6387924 5599015 788909 14404634 12625662 1778972 5044609 4421600 623009 8991323 7880895 1110428 200899 200899 263404 263404 10551 9248 1303 213662 213662 12880473 11369241 1511232 713844 625684 88160 1933167 1694421 238746 1050256 920549 129707 8260586 7222130 1038456 253620 222298 31322 20463 17936 2527 1847497 1619331 228166 650467 570134 80333 9555340 8375256 1180084 1057527 926922 130605 MEDICAL SUPPLIES 22986146 22986146 DRUGS 16269486 16269486 BAD DEBT 12410044 10877404 1532640 REPAIRS & MAINTENANCE 3230513 2831545 398968 5176908 4418793 758115 207226280 185583294 21642986 0 11326721 14467574 23292733 23767666 3053351 3743492 3048953 1517657 210730665 158443475 52785743 52287190 71003548 78249138 1391577 1476284 2889110 4118161 17912569 20379853 186704305 200007015 21384515 22138153 41247880 39898963 836155 509958 23534825 26909855 87003375 89456929 X 91688669 102153827 5909930 6279515 2102331 2116744 99700930 110550086 186704305 200007015 X 9921700 4359000 -3431544 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10551 10551 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION, OF WHICH A PORTION RELATES TO LOBBYING. 743000 73352 73352 743000 743000 3827 3827 743000 743000 68173 60682 7491 743000 586000 203695 39282 7413 743000 838000 -209389 33771 8840 586000 0.00000 1.00000 0.00000 0 0 703748 703748 35546251 29860132 5686119 57292 57292 0 173995835 128526051 45469784 427539 427539 52287190 INTEREST IN NET ASSETS OF THE FOUNDATION 15006375 DUE FROM AFFILIATES 3812555 OTHER RECEIVABLES 681631 ACCRUED INTEREST 144292 DUE FROM THIRD PARTY PAYORS 735000 20379853 AMOUNTS DUE TO AFFILIATES 1070557 RETIREMENT BENEFITS PAYABLE 23058711 INSURANCE CLAIMS RESERVE 2780587 26909855 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTEREST IS UNRESTRICTED AND USED FOR HOSPITAL OPERATIONS. THE PRINCIPLE IS RESTRICTED AND NOT USED. UNIFORM SALE 23521 23521 20417 BOOK SALE 93688 93688 52406 8 2416 2416 43286 119625 119625 116109 116109 3516 1 1 X 1 X 1 X 1 1 1 0 1 1 4814973 735000 4079973 0.02090 38069 24800381 15117326 9683055 0.04970 38069 29615354 15852326 13763028 0.07060 5 2462 614371 54320 560051 0.00290 13 220 558082 0 558082 0.00290 3 5799898 3648614 2151284 0.01100 10 250 41413 41413 0.00020 31 2932 7013764 3702934 3310830 0.01700 31 41001 36629118 19555260 17073858 0.08760 1 12410044 620000 57312362 61219800 -3907438 X 1 1 2 1 TRINITY MEDICAL CENTER WEST

4000 JOHNSON ROAD STEUBENVILLE OH 43952

X X X A 2 TRINITY MEDICAL CENTER EAST

380 SUMMIT AVENUE STEUBENVILLE OH 43952

X X A TRINITY HEALTH SYSTEM GROUP 1 1 200.000000000000 1 200.000000000000 1 X X X X X X 1 1 X X X X X 1 0 1 X 0 0 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. REPORTS FILED WITH STATES PART VI, LINE 7 OH PART V, LINE 8 FACILITY REPORTING GROUP A SEE BELOW 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: 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 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: 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. 0 EMPLOYEE MEDICAL EDUCATION ASSISTANCE 11 127579 N/A N/A PHYSICIAN MEDICAL EDUCATION ASSISTANCE 2 256538 N/A N/A PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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 0 1 0 0 0 0 0 0 0 FRED BROWER 0 361237 0 3946 0 19494 0 207433 0 77443 0 669553 0 0 JOHN FIGEL MD 173342 0 27016 0 19819 0 0 0 0 0 220177 0 0 0 JAMES POPE 0 640430 0 0 0 118412 0 24500 0 20745 0 804087 0 0 DAVID WERKIN 0 148217 0 2173 0 28399 0 0 0 27399 0 206188 0 0 ELIZABETH ALLEN 0 176695 0 3552 0 307 0 0 0 23542 0 204096 0 0 KUMAR AMIN MD 622923 0 624615 0 0 0 0 0 13143 0 1260681 0 0 0 SATHISH MAGGE MD 729480 0 392804 0 0 0 0 0 0 0 1122284 0 0 0 RAMANA MURTY MD 906380 0 34012 0 0 0 0 0 8355 0 948747 0 0 0 BASEL TERMANINI MD 413183 0 334535 0 0 0 0 0 14785 0 762503 0 0 0 HIMANSHU DESAI MD 422208 0 325410 0 0 0 0 0 14785 0 762403 0 0 0 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 A CITY OF STEUBENVILLE OHIO 346002729 860068BZ7 2010-08-12 42796876 REFINANCE 2007 BOND ISSUE 0 0 0 A 42796876 629721 34961794 2010 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 0 A 0 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. 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 TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVENUE STEUBENVILLE OH 43952 341471026 MANAGEMENT SERVICES, PHYSICIAN STAFF OH N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 TRINITY HEALTH SYSTEM M 4569034 CASH TRINITY MANAGEMENT SERVICES ORGANIZATION P 3657572 CASH TRINITY HEALTH SYSTEM FOUNDATION C 462000 ACTUAL AMOUNTS PAID 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.