2011-05-13T15:07:50-05:00 2010-06-30 990 2009-07-01 351443425 TRINITY HEALTH CORPORATION TRIN 2484895004 27870 CABOT DRIVE NOVI MI 483772920 JAMES BOSSCHER 2484895004 2011-05-13 2009 2016-02-24 21:20:13Z TRINITY HEALTH JAMES BOSSCHER 34605 W 12 MILE RD FARMINGTON HILLS MI 48331 738936857 0 X www.trinity-health.org X 1978 IN HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT 12 10 2442 0 11966957 -2001078 7536 29000 544461756 590518919 32980543 132651385 16377069 15737553 593826904 738936857 2367312 1945641 0 264875089 280711820 0 0 386400130 405666692 653642531 688324153 -59815627 50612704 7797606372 8499598389 3849347531 4277545472 3948258841 4222052917 HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT 0 0 664986205 1945641 594289515 TRINITY HEALTH CORPORATION'S PURPOSE IS TO GOVERN, MANAGE AND PROVIDE ADMINISTRATIVE SERVICES TO ITS FIRST TIER SUBSIDIARIES. THESE FIRST TIER SUBSIDIARIES ARE HOSPITAL ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3) AND PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. THE SERVICES PROVIDED BY TRINITY HEALTH CORPORATION ALLOW FOR ECONOMIES OF SCALE THAT IN TURN PERMIT THE SUBSIDIARIES TO PROVIDE HEALTHCARE SERVICES TO PATIENTS AT A REASONABLE COST.TRINITY HEALTH CORPORATION AND ITS SUBSIDIARIES ARE COLLECTIVELY KNOWN AS TRINITY HEALTH. TRINITY HEALTH WAS CREATED BY THE CONSOLIDATION OF (CONTINUED) TWO CATHOLIC HEALTHCARE SYSTEMS, HOLY CROSS HEALTH SYSTEM AND MERCY HEALTH SERVICES, ON MAY 1, 2000. THE MISSION STATEMENT OF TRINITY HEALTH IS AS FOLLOWS: WE SERVE TOGETHER IN TRINITY HEALTH IN THE SPIRIT OF THE GOSPEL TO HEAL BODY, MIND AND SPIRIT TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND TO STEWARD THE RESOURCES ENTRUSTED TO US.Community Benefit MinistryConsistent with its mission, the Hospitals that are part of Trinity Health provide medical care to all patients regardless of their ability to pay. In addition, the Hospitals provide services intended to benefit the poor and underserved, including those persons who cannot afford health insurance OR OTHER PAYMENTS SUCH AS COPAYS AND DEDUCTIBLES because of inadequate resources and/or are uninsured or underinsured, and to IMPROVE the health status of the communities in which they operate.THE FOLLOWING SUMMARY HAS BEEN PREPARED IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES ("CHA"), A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT, 2008 EDITION. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF TRINITY HEALTH'S COMMUNITY BENEFIT MINISTRY FOR THE YEAR ENDED JUNE 30, 2010:MINISTRY FOR THE POOR AND UNDERSERVED (IN THOUSANDS):CHARITY CARE AT COST 131,387UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS 167,326PROGRAMS FOR THE POOR AND UNDERSERVED: COMMUNITY HEALTH SERVICES 20,535 SUBSIDIZED HEALTH SERVICES 32,991 FINANCIAL CONTRIBUTIONS 7,512 COMMUNITY BUILDING ACTIVITIES 1,730 COMMUNITY BENEFIT OPERATIONS 1,830 TOTAL PROGRAMS FOR THE POOR AND UNDERSERVED 64,598MINISTRY FOR THE POOR AND UNDERSERVED 363,311MINISTRY FOR THE BROADER COMMUNITY: COMMUNITY HEALTH SERVICES 10,192 HEALTH PROFESSIONS EDUCATION 54,607 SUBSIDIZED HEALTH SERVICES 13,814 RESEARCH 7,199 FINANCIAL CONTRIBUTIONS 3,075 COMMUNITY BUILDING ACTIVITIES 1,436 COMMUNITY BENEFIT OPERATIONS 2,364MINISTRY FOR THE BROADER COMMUNITY 92,687COMMUNITY BENEFIT MINISTRY 455,998MINISTRY FOR THE POOR AND UNDERSERVED REPRESENTS THE FINANCIAL COMMITMENT TO SEEK OUT AND SERVE THOSE WHO NEED HELP THE MOST, ESPECIALLY THE POOR, THE UNINSURED AND THE INDIGENT. THIS IS DONE WITH THE CONVICTION THAT HEALTHCARE IS A BASIC HUMAN RIGHT. MINISTRY FOR THE BROADER COMMUNITY REPRESENTS THE COST OF SERVICES PROVIDED FOR THE GENERAL BENEFIT OF THE COMMUNITIES IN WHICH TRINITY HEALTH HOSPITALS OPERATE. MANY PROGRAMS ARE TARGETED TOWARD POPULATIONS THAT MAY BE POOR, BUT ALSO INCLUDE THOSE AREAS THAT MAY NEED SPECIAL HEALTH SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT INTENDED TO BE FINANCIALLY SELF-SUPPORTING.CHARITY CARE AT COST REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO CANNOT AFFORD HEALTH CARE SERVICES DUE TO INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF TRINITY HEALTH HOSPITALS. THE COST OF CHARITY CARE IS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS REPRESENTS THE COST (DETERMINED USING A COST TO CHARGE RATIO) OF PROVIDING SERVICES TO BENEFICIARIES OF PUBLIC PROGRAMS, INCLUDING STATE MEDICAID AND INDIGENT CARE PROGRAMS, IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS.COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING. SOME EXAMPLES INCLUDE COMMUNITY HEALTH EDUCATION, FREE IMMUNIZATION SERVICES, FREE OR LOW COST PRESCRIPTION MEDICATIONS, AND RURAL AND URBAN OUTREACH PROGRAMS. TRINITY HEALTH HOSPITALS ACTIVELY COLLABORATE WITH COMMUNITY GROUPS AND AGENCIES TO ASSIST THOSE IN NEED IN PROVIDING SUCH SERVICES.HEALTH PROFESSIONS EDUCATION INCLUDES THE UNREIMBURSED COST OF TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, NURSING STUDENTS, TECHNICIANS AND STUDENTS IN ALLIED HEALTH PROFESSIONS.SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITALS. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN SUFFICIENT AMOUNT. EXAMPLES OF SERVICES INCLUDE FREE-STANDING COMMUNITY CLINICS, HOSPICE CARE, MOBILE UNITS, AND BEHAVIORAL HEALTH SERVICES.RESEARCH INCLUDES UNREIMBURSED CLINICAL AND COMMUNITY HEALTH RESEARCH AND STUDIES ON HEALTH CARE DELIVERY.FINANCIAL CONTRIBUTIONS ARE MADE BY THE HOSPITALS ON BEHALF OF THE POOR AND UNDERSERVED TO COMMUNITY AGENCIES. THESE AMOUNTS INCLUDE SPECIAL SYSTEM-WIDE FUNDS USED FOR CHARITABLE ACTIVITIES AS WELL AS RESOURCES CONTRIBUTED DIRECTLY TO PROGRAMS, ORGANIZATIONS, AND FOUNDATIONS FOR EFFORTS ON BEHALF OF THE POOR AND UNDERSERVED. AMOUNTS INCLUDED HERE ALSO REPRESENT CERTAIN IN-KIND DONATIONS.COMMUNITY BUILDING ACTIVITIES INCLUDE THE COSTS OF PROGRAMS THAT IMPROVE THE PHYSICAL ENVIRONMENT, PROMOTE ECONOMIC DEVELOPMENT, ENHANCE OTHER COMMUNITY SUPPORT SYSTEMS, DEVELOP LEADERSHIP SKILLS TRAINING, AND BUILD COMMUNITY COALITIONS.COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEEDS AND/OR ASSETS ASSESSMENTS, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. 664986205 1 1 0 1 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 1 640 0 1 2442 1 1 1 1 CJ EI 0 0 0 0 0 0 0 0 12 10 0 0 1 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IN CA OR X KIM SAXTON 2484895004 27870 CABOT DRIVE NOVI MI 483772920 JOSEPH SWEDISH 55.00 X X 3023292 0 798303 PATRICK G HAYS 2.00 X X 50000 0 0 LAWRENCE DAMRON 2.00 X X 25000 0 0 HENRY AUTRY 2.00 X 25000 0 0 SUZANNE BRENNAN CSC 2.00 X 0 0 0 MELANIE DREHER PHD RN 2.00 X X 25000 0 0 MARY MOLLISON CSA 2.00 X X 0 0 0 KATHLEEN MORONEY CSC 2.00 X 0 0 0 LINDA WERTHMAN RSM 2.00 X 0 0 0 SARAH EAMES 2.00 X 24500 0 0 ANGEL SALES 2.00 X 24750 0 0 JOSE SANTILLAN 2.00 X 0 0 0 UMA KOTAGAL MD 2.00 X 8750 0 0 JAMES BENTLEY 2.00 X 0 0 0 ROBERT LADENBURGER 2.00 X 0 0 0 PAUL ROBERTSON 2.00 X 0 0 0 DANIEL HALE 50.00 X 1060885 0 115889 AGNES HAGERTY 50.00 X 392318 0 44453 JAMES BOSSCHER 50.00 X 436953 0 142248 MARIANNE CUNNINGHAM 45.00 X 160675 0 27768 PAUL NEUMANN 50.00 X 136043 0 10862 KEDRICK ADKINS 55.00 X 1453695 0 130171 MICHAEL SLUBOWSKI 55.00 X 1617841 0 154389 PAUL BROWNE 50.00 X 912204 0 44515 DEBRA CANALES 50.00 X 966481 0 33846 PAUL CONLON 50.00 X 547925 0 92155 TERRENCE O'ROURKE MD 50.00 X 768559 0 61021 PRESTON GEE 50.00 X 480003 0 58427 VELOIS BOWERS 50.00 X 526198 0 28142 LOUIS FIERENS 50.00 X 650091 0 31849 MICHAEL HOLPER 50.00 X 524979 0 40053 MARIA SZYMANSKI 50.00 X 839380 0 124244 GAY LANDSTROM 50.00 X 301876 0 41750 RICHARD O'CONNELL 50.00 X 495143 0 11123 DANIEL DWYER 50.00 X 294665 0 50917 GARRY FAJA 55.00 X 1291651 0 156717 KEVIN SEXTON 55.00 X 1054835 0 78364 CLAUS VON ZYCHLIN 55.00 X 1007069 0 70248 JACK WEINER 55.00 X 989575 0 91399 PHILIP MCCORKLE 55.00 X 989470 0 200681 EDWARD CHADWICK 0.00 X 201793 0 14238 21306599 0 2653772 474 1 1 0 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 SOFTWARE CONSULTING 21341848 MCKESSON INFORMATION SOLUTIONS PO BOX 98347 CHICAGO IL 60693 CONSULTING 16708740 SBC DATACOMM PO BOX 8104 AURORA IL 60507 COMMUNICATIONS CONSULTING 7886578 ACCENTURE LLP PO BOX 70629 CHICAGO IL 60673 CONSULTING 5899499 DELOITTE PO BOX 7247-6446 PHILADELPHIA PA 19170 CONSULTING 4357925 141 29000 29000 SUBSIDIARY FEES 900099 590518919 590518919 590518919 129055775 129055775 3090 3090 3592520 3592520 3592520 3592520 SVCS TO UNRELATED ORGS 541519 11966957 11966957 OTHER REVENUE 900099 3770596 3770596 15737553 738936857 594289515 11966957 132651385 1945641 1945641 18961772 18961772 198004579 198004579 13843404 13843404 35916803 35916803 13985262 13985262 1896138 1896138 2023808 2023808 2286368 2286368 66000 66000 28625066 28625066 363565 363565 21225679 21225679 64451947 64451947 4377780 4377780 3606604 3606604 4069545 4069545 77139146 77139146 74908683 74908683 39566224 39566224 EQUIPMENT MAINTENANCE 50641221 50641221 LETTER OF CREDIT EXP. 7568817 7568817 CONTRACT LABOR EXPENSES 5570982 5570982 ASSET IMPAIRMENT 5108123 5108123 BOND AMORTIZATION 2433684 2433684 9737312 9737312 688324153 664986205 23337948 0 877039 3374735 275054 232876 2249154058 2385523899 8756 6753 31695410 30966869 590493438 299368271 293406808 291125167 737494750 902218872 474077811 404082527 4010616686 4482066691 7797606372 8499598389 881139838 912857164 45955 150133 2281294399 2536818941 99980573 169956379 586886766 657762855 3849347531 4277545472 X 3948176061 4221969720 82780 83197 3948258841 4222052917 7797606372 8499598389 X 0 1 1 X 0 X X X 0 0 0 TRINITY HEALTH - MICHIGAN 382113393 3 1 1 1 752320 HOLY CROSS HOSPITAL OF SILVER SPRING INC 520738041 3 1 1 1 105908 THE HOSPITAL SUBSIDIARIES OF MOUNT CARMEL HEALTH SYSTEM 311439334 3 1 1 1 7452 THE HOSPITAL SUBSIDIARIES OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC 351568821 3 1 1 1 0 THE HOSPITAL SUBSIDIARIES OF SAINT ALPHONSUS HEALTH SYSTEM INC 271929502 3 1 1 1 183943 SAINT AGNES MEDICAL CENTER 941437713 3 1 1 1 0 MERCY HEALTH SERVICES - IOWA CORP 311373080 3 1 1 1 401198 HOSPITAL SUBSIDIARIES OF MERCY HEALTH PARTNERS FKA HACKLEY HEALTH SYSTEMS 382589966 3 1 1 1 87360 8 1538181 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1 1 10000 1 1 1 490000 500000 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH CORPORATION INCLUDES: - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICALS - THE INITIATION OF AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATION OF AN ADVOCACY LIAISON FOR EACH MINISTRY ORGANIZATION OF TRINITY HEALTH - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. - LEGISLATOR VISITS TO MINISTRY ORGANIZATIONS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION (CHA), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). - GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES IN THE FORM OF MEMBERSHIP DUES PAID TO A NATIONAL HEALTHCARE ORGANIZATION. PAID MANAGEMENT PERSONNEL REGULARLY INITIATE CONTACT WITH LEGISLATORS TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES. FEDERAL ADVOCACY PRIORITIES FOR FY10 INCLUDED: - SECURE COVERAGE AND ACCESS FOR ALL - ACHIEVE BETTER AND MORE EFFICIENT CARE - SUSTAIN HOSPITAL CAPABILITY TO IMPROVE COMMUNITY HEALTH AND STRENGTHEN LOCAL ECONOMIES. 19946658 19946658 9768547 4963971 4804576 520557052 294404300 226152752 40221181 40221181 291125167 OTHER RECEIVABLES 7656563 INTERCOMPANY ACCOUNTS RECEIVABLE 55346679 INVESTMENT IN UNCONSOLIDATED AFFILIATES 4365594433 DEFERRED FINANCING COSTS, NET OF AMORTIZATION 16135946 OTHER LONG TERM ASSETS 4821709 SWAP COLLATERAL 32500000 OTHER 11361 4482066691 INTERCOMPANY ACCOUNTS PAYABLE 3833001 INTERCOMPANY OTHER LONG TERM LIABILITIES 315423775 DEFERRED COMPENSATION LIABILITY 14598475 SECURITY LENDING OBLIGATION 130913425 LONG TERM ASSET RETIREMENT OBLIGATION (FIN 47) 1303558 OTHER LONG TERM LIABILITIES 175732852 OTHER CURRENT LIABILITIES 14335185 LEASE OBLIGATION 1622584 657762855 Part X: Description of Uncertain Tax Positions Under FIN 48: Trinity Health Corporation's financial statements for the year ended June 30, 2010 did not include a FIN 48 footnote. CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 15149009 0 0 15149009 1 UNIV OF ARKANSAS AT PINE BLUFF 1200 N UNIVERSITY DRIVE PINE BLUFF AK 71601 716010030 501(C)3 5500 COMMUNITY WELFARE, YOUTH MOTIVATION TASK FORCE PROGRAM MERCY EDUCATION PROJECT 1450 HOWARD STREET DETROIT MI 48216 383209556 501(C)3 5000 COMMUNITY WELFARE, EVENT SPONSORSHIP FOUNDATION FOR EDUCATIONAL DEVELOPMENT 729 E PRATT ST 5TH FLR BALTIMORE MD 21202 521929345 501(C)3 10000 COMMUNITY WELFARE, EVENT SPONSORSHIP INSTITUTE FOR DIVERSITY IN HEALTH MANAGEMENT 1 N FRANKLIN FLR 30 CHICAGO IL 60606 582094118 501(C)3 10000 COMMUNITY WELFARE, EVENT SPONSORSHIP NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 515 N STATE STREET SUITE 2000 CHICAGO IL 60610 364483505 501(C)3 10000 COMMUNITY WELFARE, EVENT SPONSORSHIP TRINITY COMMUNITY SERVICES AND EDUCATIONAL FOUNDATION 1234 PORTER STREET DETROIT MI 48224 383129349 501(C)3 5000 COMMUNITY WELFARE - SUPPORT OF THE CABRINI CLINIC LEADERSHIP CONFERENCE OF WOMEN RELIGOUS 8808 CAMERON ST SILVER SPRING MD 20910 436033728 501(C)3 10000 COMMUNITY WELFARE - HISTORY PROJECTCOMMUNITY WELFARE - HISTORY PROJECT INTERFAITH HEALTH & HOPE COALITION 9864 E GRAND RIVER SUITE 110 BRIGHTON MI 48116 208301401 501(C)3 10000 COMMUNITY WELFARE PUBLIC HEALTH INSTITUTE 555-12TH STREET 10TH FLOOR OAKLAND CA 94607 941646278 501(C)3 25000 COMMUNITY WELFARE - COMMUNITY BENEFIT ASSESSMENT PROGRAM NATIONAL QUALITY FORUM 601 THIRTEENTH ST NW STE 500 WASHINGTON DC 20005 522175544 501(C)3 8000 COMMUNITY WELFARE - QUALITY FRIEND SPONSORSHIP NETWORK 25 E STREET NW SUITE 200 WASHINGTON DC 20001 520984255 501(C)4 30000 COMMUNITY WELFARE - SUPPORT FOR THE NAT'L CATHOLIC SOCIAL JUSTICE LOBBY TRINITY HEALTH - MICHIGAN 27870 CABOT DRIVE NOVI MI 48376 382113393 501(C)3 752320 GENERAL SUPPORT - CALL TO CARE GRANT MERCY HEALTH SERVICES - IOWA CORP 1999 FOURTH STREET SW MASON CITY IA 50401 311373080 501(C)3 401198 GENERAL SUPPORT - CALL TO CARE GRANT BATTLE CREEK HEALTH SYSTEM 300 NORTH AVENUE BATTLE CREEK MI 49016 382776791 501(C)3 145165 GENERAL SUPPORT - CALL TO CARE GRANT MERCY HEALTH PARTNERS 1415 LEAHY ST MUSKEGON MI 49422 382589966 501(C)3 87360 GENERAL SUPPORT - CALL TO CARE GRANT ST ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS ROAD BOISE ID 83706 820200895 501(C)3 183943 GENERAL SUPPORT - CALL TO CARE GRANT HOLY CROSS HOSPITAL OF SILVER SPRING INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 501(C)3 105908 GENERAL SUPPORT - CALL TO CARE GRANT MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS OH 43213 311113966 501(C)3 7452 GENERAL SUPPORT - CALL TO CARE GRANT JOY - SOUTHFIELD COMMUNITY DEVELOPMENT CORP 18917 JOY ROAD DETROIT MI 48228 383622930 501(C)3 7500 COMMUNITY WELFARE - EVENT SPONSORSHIP CATHOLIC MEDICAL MISSION BOARD 10 WEST 17TH STREET NEW YORK NY 10011 135602319 501(C)3 40000 COMMUNITY WELFARE - HAITI EARTHQUAKE DONATION CATHOLIC RELIEF SERVICES 228 W LEXINGTON ST BALTIMORE MD 21201 135563422 501(C)3 40000 COMMUNITY WELFARE - HAITI EARTHQUAKE DONATION 20 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: DONATIONS MADE BY TRINITY HEALTH CORPORATION TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. TRINITY HEALTH ALSO HAS ESTABLISHED A "CALL TO CARE" PROGRAM. THE PROGRAM STRIVES TO ELIMINATE BARRIERS TO HEALTHCARE, EXPAND ACCESS TO HEALTH SERVICES, AND BUILD HEALTHIER COMMUNITIES. MEMBER ORGANIZATIONS OF THE TRINITY HEALTH SYSTEM MAY APPLY TO THIS FUND FOR GRANTS TO SUPPORT PROGRAMS WITHIN THEIR COMMUNITIES. X X X X X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 JOSEPH SWEDISH 1214458 0 1607837 0 200997 0 769899 0 28404 0 3821595 0 0 0 DANIEL HALE 445775 0 428171 0 186939 0 97226 0 18663 0 1176774 0 106685 0 AGNES HAGERTY 280978 0 50279 0 61061 0 29651 0 14802 0 436771 0 12393 0 JAMES BOSSCHER 293963 0 84444 0 58546 0 133319 0 8929 0 579201 0 0 0 MARIANNE CUNNINGHAM 159908 0 0 0 767 0 10386 0 17382 0 188443 0 0 0 KEDRICK ADKINS 712415 0 611975 0 129305 0 117250 0 12921 0 1583866 0 0 0 MICHAEL SLUBOWSKI 696108 0 681725 0 240008 0 125922 0 28467 0 1772230 0 94766 0 PAUL BROWNE 444035 0 373582 0 94587 0 21265 0 23250 0 956719 0 34980 0 DEBRA CANALES 434848 0 430700 0 100933 0 17724 0 16122 0 1000327 0 0 0 PAUL CONLON 245581 0 235447 0 66897 0 68648 0 23507 0 640080 0 27124 0 TERRENCE O'ROURKE MD 448913 0 178650 0 140996 0 35108 0 25913 0 829580 0 0 0 PRESTON GEE 292234 0 96658 0 91111 0 30965 0 27462 0 538430 0 0 0 VELOIS BOWERS 255834 0 218247 0 52117 0 16468 0 11674 0 554340 0 0 0 LOUIS FIERENS 310095 0 283198 0 56798 0 13780 0 18069 0 681940 0 18259 0 MICHAEL HOLPER 244005 0 226201 0 54773 0 16019 0 24034 0 565032 0 17567 0 MARIA SZYMANSKI 409375 0 341626 0 88379 0 107710 0 16534 0 963624 0 47448 0 GAY LANDSTROM 236144 0 0 0 65732 0 20924 0 20826 0 343626 0 0 0 RICHARD O'CONNELL 440925 0 0 0 54218 0 11123 0 0 0 506266 0 0 0 DANIEL DWYER 196218 0 54198 0 44249 0 28896 0 22021 0 345582 0 0 0 GARRY FAJA 533792 0 492205 0 265654 0 135683 0 21034 0 1448368 0 166752 0 KEVIN SEXTON 424208 0 421843 0 208784 0 48236 0 30128 0 1133199 0 97569 0 CLAUS VON ZYCHLIN 466168 0 442450 0 98451 0 42829 0 27419 0 1077317 0 0 0 JACK WEINER 394565 0 397417 0 197593 0 57845 0 33554 0 1080974 0 105970 0 PHILIP MCCORKLE 417598 0 404505 0 167367 0 169919 0 30762 0 1190151 0 75751 0 EDWARD CHADWICK 67169 0 0 0 134624 0 11422 0 2816 0 216031 0 120531 0 Part I, Line 1a The following individuals received reimbursement of housing expenses during calendar 2009: Preston Gee - $35,922 Paul Neumann - $8,963 Richard O'Connell - $42,747 Terrence O'Rourke - $41,061 These amounts were included in each individual's taxable income. Part I, Line 1A: In calendar 2009, certain employees of Trinity Health Corporation at the Senior Vice President level and above were eligible to receive reimbursement for specific expenses designed to enhance productivity and support the maintenance of health. Under the program guidelines, expenses eligible for reimbursement included various items such as cell phones, airline hospitality clubs, health club memberships, personal trainer expenses, country club memberships, tax preparation fees, financial planning, first class travel upgrades, and spousal travel. Before receiving reimbursement, an eligible employee was required to provide documentation to substantiate the expenses. To the extent an individual was reimbursed for an eligible expense, the entire reimbursed amount was included in their taxable income. Twenty-two of the individuals listed in Part VII participated in this program during calendar 2009. Reimbursement for eligible expenses ranged from a low of $360 to a high of $15,000. The average calendar 2009 amount that was reimbursed for these twenty-two individuals was $5,519. Part I, Line 4a THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2009 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $38,675 MICHAEL SLUBOWSKI - $55,733 JOSEPH SWEDISH - $493,225 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2009). THE FOLLOWING ACCRUALS FOR 2009 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $59,584 JAMES BOSSCHER - $101,733 VELOIS BOWERS - $3,283 PAUL BROWNE - $6,099 DEBRA CANALES - $3,195 PAUL CONLON - $15,062 DANIEL DWYER - $937 GARRY FAJA - $76,838 PRESTON GEE - $11,179 DANIEL HALE - $52,144 PHILIP MCCORKLE - $125,372 PAUL NEUMANN - $3,990 KEVIN SEXTON - $13,424 MICHAEL SLUBOWSKI - $42,832 JOSEPH SWEDISH - $249,263 MARIA SZYMANSKI - $66,282 JACK WEINER - $18,276 CLAUS VON ZYCHLIN - $22,044 Part II, Column B (ii): The following individuals received amounts in 2009 from a long-term incentive plan (LTIP). Participants in the LTIP (CEOs and certain Trinity executives) were eligible to receive a payment under the plan only if certain patient loyalty improvement targets were achieved by the end of a three-year period (FY07 through FY09). The following LTIP amounts are included in Schedule J, Part II, Column B(ii): KEDRICK ADKINS - $337,826 VELOIS BOWERS - $128,858 PAUL BROWNE - $237,486 DEBRA CANALES - $253,601 PAUL CONLON - $153,223 GARRY FAJA - $348,147 LOUIS FIERENS - $183,192 DANIEL HALE - $258,043 MICHAEL HOLPER - $144,686 PHILIP MCCORKLE - $275,409 KEVIN SEXTON - $276,758 MICHAEL SLUBOWSKI - $403,918 JOSEPH SWEDISH - $1,042,563 MARIA SZYMANSKI - $220,053 JACK WEINER - $260,378 CLAUS VON ZYCHLIN - $292,000 Indiana Finance Authority 351602316 455057VJ5 2009-11-13 240002153 SEE SCH. O. - 2009A 0 0 Michigan State Hospital Finance Authority 382889417 59465HMB9 2009-11-13 102840000 SEE SCH. O. - 2009BC 0 0 Michigan State Hospital Finance Authority 382889417 59465HKK1 2008-11-13 310746976 SEE SCH. O. - 2008A 0 0 Idaho Health Facilities Authority 826051863 451295TG4 2008-11-13 174671330 SEE SCH. O. - 2008B 0 0 Michigan State Hospital Finance Authority 382889417 59465HKR6 2008-11-13 391470000 SEE SCH. O. - 2008C 0 0 240002153 240479 2862297 194927199 2010 1 0 0 1 102840000 38830 1221195 50789988 2010 0 0 0 1 310746976 4333551 100131203 2009 1 0 1 1 174671330 2675840 41817570 2008 1 0 1 1 391470000 1909289 1 0 1 1 0 0 1 0 1 0.01420 0.01420 1 0 0 1 0 1 1 0 1 1 0 1 0.00360 0.02510 0.02870 1 0 0 1 0 1 1 0 1 1 0 1 0.00160 0.00940 0.01100 1 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 1 Indiana Finance Authority 351602316 455057QM4 2008-11-13 393530000 SEE SCH. O. - 2008D 0 0 Michigan State Hospital Finance Authority 382889417 59465HEE2 2006-11-09 123295015 SEE SCH. O. - 2006A 0 0 Indiana Health and Educational Facility Financing Authority 351611409 454795BR5 2006-11-09 11457083 SEE SCH. O. - 2006B 0 0 County of Franklin Ohio 316400067 353202FB5 2005-11-17 45451001 SEE SCH. O. - 2005A 0 0 Michigan State Hospital Finance Authority 382889417 59465HBW5 2005-11-17 43811312 SEE SCH. O. - 2005D 0 0 393530000 1915051 45963957 2008 1 0 1 1 123295015 26936683 1103131 101657948 2009 0 0 0 1 11457083 5859187 104542 5954229 2006 0 0 0 1 45451001 423927 0 1 1 1 43811312 425197 0 1 1 1 0 1 1 0 1 0.01330 0.00540 0.01870 1 0 0 1 0 1 0.00250 0.00250 1 0 0 1 0 1 0.01250 0.01250 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 Michigan State Hospital Finance Authority 382889417 59465HBX3 2005-11-17 114045000 SEE SCH. O. - 2005EF 0 0 114045000 122939 556501 115044475 2007 1 0 0 1 0 0 1 0 1 1 0 1 0 0 1 0 CONSORTA INC LOUIS FIERENS, KEY EMPLOYEE OF TRINITY HEALTH, IS A CONSORTA BOARD DIRECTOR 29851624 TRINITY HEALTH IS A MEMBER OF THE CONSORTA PURCHASING GROUP. CONSORTA NEGOTIATES PURCHASE CONTRACTS ON BEHALF OF TRINITY HEALTH. THE ABOVE AMOUNT PAID TO TRINITY HEALTH BY CONSORTA REPRESENTS PAYMENTS OF REBATES AND PATRONAGE DIVIDENDS. THIS AMOUNT INCLUDES REBATES AND PATRONAGE DIVIDENDS THAT ARE PASSED ON TO MEMBERS OF THE TRINITY HEALTH SYSTEM. CONSORTA DEDUCTS TRINITY HEALTH MEMBERSHIP FEES FROM THE GROSS PATRONAGE DIVIDENDS. 0 RUSSELL REYNOLDS ASSOCIATES SARAH EAMES, TRINITY HEALTH BOARD DIRECTOR, IS A RUSSELL REYNOLDS EXECUTIVE 120912 TRINITY HEALTH ENGAGED RUSSELL REYNOLDS ASSOCIATES FOR EXECUTIVE RECRUITMENT PURPOSES. THE AMOUNT SHOWN WAS PAID BY TRINITY HEALTH TO RUSSELL REYNOLDS ASSOCIATES FOR THESE SERVICES. 0 Form 990, Part I, Item C Doing Business As TRINITY INFORMATION SERVICES HOLY CROSS SHARED SERVICES Form 990, Part VI, Section A, line 4 See line 7a for information on amendments to trinity health corporation's governing documents, which affected the composition of the corporation's board of directors. On june 22, 2010, Trinity Health Corporation's bylaws were amended to include the following mission statement: "We serve together in trinity health, in the spirit of the gospel, to heal body, mind and spirit, to improve the health of our communities and to steward the resources entrusted to us." The amended bylaws also included new sections on confidentiality, conflicts of interest, and the alienation of property under canon law. Form 990, Part VI, Section A, line 7a PRIOR TO DECEMBER 28, 2009, TRINITY HEALTH CORPORATION (THC) WAS ORGANIZED ON A NONSTOCK BASIS AS A CORPORATION GOVERNED BY A BOARD OF DIRECTORS WITH TWO CLASSES OF DIRECTORS. ONE CLASS, THE CHM DIRECTORS, CONSISTED OF DESIGNATED MEMBERS OF CATHOLIC HEALTH MINISTRIES (CHM), THE RELIGIOUS SPONSOR OF THC. THE CHM DIRECTORS WERE APPOINTED BY CHM. THE OTHER CLASS OF DIRECTORS WERE THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS AND INCLUDED THE PRESIDENT AND CEO AND SUCH OTHER DIRECTORS AS WERE ELECTED BY THE THEN-CURRENT DIRECTORS AND RATIFIED BY THE CHM DIRECTORS. AS OF DECEMBER 28, 2009, THC'S ARTICLES WERE AMENDED TO CHANGE FROM TWO CLASSES OF DIRECTORS TO ONE. AFTER THIS CHANGE, THE DIRECTORS OF THC ARE THE SAME INDIVIDUALS WHO SERVE AS MEMBERS OF CATHOLIC HEALTH MINISTRIES. Form 990, Part VI, Section A, line 7b ACTION BY CATHOLIC HEALTH MINISTRIES (CHM) IS REQUIRED FOR THE FOLLOWING MATTERS: - ADOPT AND AMEND THE ARTICLES OF INCORPORATION OF TRINITY HEALTH CORPORATION (THC) - ADOPT AND APPROVE ANY AMENDMENTS TO THE BYLAWS OF THC - ADOPT AND APPROVE ANY CHANGES TO THE MISSION AND CORE VALUES OF THC, AND THE FOUNDING PRINCIPLES OF CHM AND THC, AND APPROVE MATTERS THAT AFFECT THE CATHOLIC IDENTITY OF THC - APPROVE THE SALE OR TRANSFER OF ANY PROPERTY OF THC, THE ALIENATION OF WHICH WOULD REQUIRE APPROVAL UNDER CANON LAW - APPROVE THE MERGER, CONSOLIDATION, LIQUIDATION, OR DISSOLUTION OF THC - APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THC - RATIFY THE APPOINTMENT OF, AND TO REMOVE, THE PRESIDENT AND CEO OF THC - RATIFY THE ELECTION OF THE CHAIR OF THE BOARD OF DIRECTORS Form 990, Part VI, Section B, line 11 PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH CORPORATION IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE BOARD OF DIRECTORS. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Section B, line 12c TRINITY HEALTH CORPORATION HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL INTERESTED PERSONS OF TRINITY HEALTH CORPORATION, WHICH INCLUDES DIRECTORS, PRINICPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH TRINITY HEALTH CORPORATION'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH CORPORATION OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF TRINITY HEALTH CORPORATION IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO TRINITY HEALTH CORPORATION. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are reviewed with the board of directors of Trinity Health Corporation on an annual basis. Form 990, Part VI, Section B, line 15 Trinity Health CORPORATION follows a process and policy that is intended to mirror the IRC Section 4958 guidelines for obtaining a rebuttable presumption of reasonableness with regard to compensation and benefits. As part of that process, the compensation and benefits of certain officers and key management officials of TRINITY HEALTH CORPORATION are reviewed at least annually by the Trinity Health Board or the Trinity Health Human Resources and Compensation Committee (HRCC) of the Board, authorized to act on behalf of the Board with respect to certain compensation matters. As part of its review process, the HRCC retains an independent firm experienced in compensation and benefit matters for not-for-profit healthcare organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements. Form 990, Part VI, Section C, line 19 TRINITY HEALTH CORPORATION MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, TRINITY HEALTH CORPORATION'S WEBSITE INCLUDES COPIES OF THE MOST RECENTLY FILED SCHEDULE H FORMS FILED BY ALL OF ITS HOSPITAL SUBSIDIARIES. Schedule K Supplental Information 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. PART II, LINE 11 - DEFAULT TO SPECIFIC TRACING 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. PART II, LINE 11 - DEFAULT TO SPECIFIC TRACING PART III, LINE 3A - CONTRACTS EXIST BUT MEET SAFE HARBOR UNDER REV. PROC. 97-13 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. PART II, LINES 7 AND 8 - REFUNDING DEBT ONLY PART II, LINE 11 - DEFAULT TO SPECIFIC TRACING 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. PART II, LINE 4 - $14.30 OF OTHER UNSPENT PROCEEDS PART II, LINE 11 - DEFAULT TO SPECIFIC TRACING 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 4 AND PART IV, LINE 5 - TRINITY HEALTH PLANS TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 4 AND PART IV, LINE 5 - TRINITY HEALTH PLANS TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. PART II, LINES 7 AND 8 - REFUNDING DEBT ONLY PART II, LINE 11 - DEFAULT TO SPECIFIC TRACING PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. PART II, LINES 7 AND 8 - REFUNDING DEBT ONLY pART II, LINE 11 - DEFAULT TO SPECIFIC TRACING PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 4 AND PART IV, LINE 5 - TRINITY HEALTH PLANS TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 PART III, LINE 3A - CONTRACTS EXIST BUT MEET SAFE HARBOR UNDER REV. PROC. 97-13 Form 990, Part VII, Section A, Line 1: DIRECTORS/TRUSTEES OR OFFICERS: SR. SUZANNE BRENNAN, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. SUZANNE BRENNAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES. SR. KATHLEEN MORONEY, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. KATHLEEN MORONEY DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $22,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. KATHLEEN MORONEY'S SERVICES. SR. MARY MOLLISON, CSA, IS A MEMBER OF THE CONGREGATION OF SAINT AGNES. HAVING TAKEN A VOW OF POVERTY, SR. MARY MOLLISON DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $24,250 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF SAINT AGNES FOR SR. MARY MOLLISON'S SERVICES. SR. LINDA WERTHMAN, RSM, IS A MEMBER OF THE RELIGIOUS SISTERS OF MERCY. HAVING TAKEN A VOW OF POVERTY, SR. LINDA WERTHMAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $16,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE RELIGIOUS SISTERS OF MERCY FOR SR. LINDA WERTHMAN'S SERVICES. FORM 990, PART XI, LINE 2: The audited financial statements of Trinity Health include the parent organization and its subsidiaries. The FY10 consolidated financial statements were audited by an independent public accounting firm. CLR Investments LLC 120 W HARRIS ST CADILLAC MI 49601 320008631 Real estate rental & development MI 19827 175469 Trinity Health-Michigan Saint Agnes Home Health and Hospice LLC 17410 COLLEGE PARKWAY STE 150 LIVONIA MI 48152 382621935 Provide home health services CA 9367604 1116725 Trinity Home Health Services Inc Saint Mary's Pharmacy LLC 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 383404443 Pharmacy MI 0 0 Trinity Health-Michigan Mount Carmel HealthProviders Two LLC 6150 E BROAD STREET COLUMBUS OH 43213 201983271 MEDICAL SERVICES OH 0 0 MOUNT CARMEL HEALTH PROVIDERS INC PATHWAY HOSPICE LLC 1050 SW 3RD AVE SUITE 1600 ONTARIO OR 97914 931310235 HOSPICE CARE OR 262248 1512716 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO TRINITY HEALTH-WARDE LAB LLC 34605 W TWELVE MILE ROAD FARMINGTON HILLS MI 48331 272681908 REAL ESTATE RENTAL DE 0 0 TRINITY HEALTH - MICHIGAN MOUNT CARMEL HEALTH PROVIDERS III LLC 10 West Broad St Ste 2100 COLUMBUS OH 43215 204145781 MEDICAL SERVICES OH 1741059 6043 MOUNT CARMEL HEALTH PROVIDERS INC AMICARE HOSPICE SERVICES INC 27870 CABOT DRIVE NOVI MI 483772920 382949053 PROVIDE HOSPICE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC AUXILIARY OF HOLY ROSARY HOSPITAL 351 SW 9TH STREET ONTARIO OR 97914 943059469 SUPPORTS SERVICES OF RELATED HOSPITAL OR 501(C)(3) 9 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO BATTLE CREEK HEALTH SYSTEM 300 NORTH AVENUE BATTLE CREEK MI 49016 382776791 HEALTHCARE SERVICES MI 501(C)(3) 3 TRINITY HEALTH - MICHIGAN BATTLE CREEK HEALTH SYSTEM AUXILIARY 300 NORTH AVENUE BATTLE CREEK MI 49016 383355520 SUPPORT OF TAX EXEMPT HEALTH ORGANIZATION MI 501(C)(3) 11, TYPE I BATTLE CREEK HEALTH SYSTEM BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 Acute/Ambulatory healthcare services IA 501(C)(3) 3 Mercy Health Services-Iowa Corp BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 Support the services of related hospital IA 501(C)(3) 11, TYPE I Baum Harmon Mercy Hospital CAPITAL PARK FAMILY HEALTH CENTER INC 6150 EAST BROAD STREET COLUMBUS OH 43213 311387838 Operation of a federally qualified health center (formerly) OH 501(C)(3) 3 Mount Carmel Health System CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR MI 48106 382507173 Further Trinity Health activities, organize and develop medical services MI 501(C)(3) 11, TYPE II Trinity Health-Michigan Cranbrook Hospice Care 281 ENTERPRISE COURT BLOOMFIELD HILLS MI 48302 383320699 Provide hospice health services MI 501(C)(3) 11, TYPE I Trinity Home Health Services Inc Diley Ridge Medical Center 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 Hospital campus in Fairfield County Ohio OH 501(C)(3) 3 Mount Carmel Health System Dubuque Mercy Health Foundation Inc 250 MERCY DRIVE DUBUQUE IA 52001 262227941 Support the services of related hospital IA 501(C)(3) 11, TYPE I Mercy Health Services-Iowa Corp Dyersville Health Foundation Inc 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 Support the services of related hospital IA 501(C)(3) 11, TYPE I Mercy Health Services-Iowa Corp Hackley Hospital 1700 CLINTON ST PO BOX 3302 MUSKEGON MI 494433302 381358196 HEALTHCARE SERVICES MI 501(C)(3) 3 Mercy Health Partners Hackley Hospital Self Insurance Professional Liability Trust PO BOX 3302 MUSKEGON MI 494433302 382299878 Self insurance for general and malpractice liability MI 501(C)(3) 11, TYPE III-FI Mercy Health Partners Hackley Life Counseling 1352 TERRACE ST MUSKEGON MI 494423545 381386362 Counseling, education, and support MI 501(C)(3) 9 Mercy Health Partners Hackley Visiting Nurse Services and Hospice Inc 888 TERRACE ST MUSKEGON MI 49440 381359598 Provide home health care services MI 501(C)(3) 7 Mercy Health Partners Holy Cross Carenet Inc PO BOX 9184 FARMINGTON HILLS MI 48333 521945054 Long-term care and rehabilitation for the elderly MD 501(C)(3) 9 Trinity Continuing Care Services Holy Cross Hospital Foundation Inc 11801 TECH ROAD SILVER SPRING MD 20904 208428450 Charitable fundraising MD 501(C)(3) 11, TYPE I Holy Cross Hospital of Silver Spring Inc Holy Cross Hospital of Silver Spring Inc 1500 FOREST GLEN RD SILVER SPRING MD 209101484 520738041 HEALTHCARE SERVICES MD 501(C)(3) 3 Trinity Health Corporation Holy Cross Medical Center 27870 CABOT DRIVE NOVI MI 483772920 951985442 HEALTHCARE SERVICES (FORMERLY) CA 501(C)(3) 3 Trinity Health Corporation HOLY ROSARY MEDICAL CENTER FOUNDATION 351 SW 9TH STREET ONTARIO OR 97914 202683560 SUPPORT THE SERVICES OF RELATED HOSPITAL OR 501(C)(3) 11, TYPE I SAINT ALPHONSUS MEDICAL CENTER-ONTARIO Hospice of North Iowa 232 SECOND STREET SE MASON CITY IA 504016208 421173708 Hospice health care services IA 501(C)(3) 7 Mercy Health Services-Iowa Corp Hospice of Washtenaw II 806 AIRPORT BLVD ANN ARBOR MI 48108 383320707 Hospice health care services MI 501(C)(3) 11, TYPE I Trinity Health-Michigan HPCN 1675 LEAHY STREET MUSKEGON MI 49442 300207909 HEALTHCARE SERVICES MI 501(C)(3) 11, TYPE II Mercy Health Partners Lakeshore Community Hospital Inc 72 S STATE STREET SHELBY MI 494551228 382549295 Acute healthcare services MI 501(C)(3) 3 Mercy Health Partners Lifespan Inc 166 EAST GOODALE AVE BATTLE CREEK MI 490372728 383298476 Provide hospice health services MI 501(C)(3) 9 Battle Creek Health System Marian Home Healthcare 801 5TH STREET SIOUX CITY IA 51101 383320705 Provide home health care services IA 501(C)(3) 11, TYPE I Mercy Health Services-Iowa Corp McAuley Clinic Corporation PO BOX 992 ANN ARBOR MI 48106 382561013 HEALTHCARE SERVICES (FORMERLY) MI 501(C)(3) 3 Catherine McAuley Health Services Corp Mercy Amicare Home Healthcare Oakland 281 ENTERPRISE COURT BLOOMFIELD HILLS MI 483020312 383320698 Provide home health care services MI 501(C)(3) 11, TYPE I Trinity Home Health Services Inc Mercy Amicare Home Healthcare Port Huron 2540 16TH STREET PORT HURON MI 48060 383320701 Provide home health care services MI 501(C)(3) 11, TYPE I Trinity Home Health Services Inc Mercy Community Physicians 363 FREMONT ST BATTLE CREEK MI 49017 264252468 HEALTHCARE SERVICES MI 501(C)(3) 3 Battle Creek Health System Mercy General Health Partners Amicare Homecare 684 HARVEY STREET MUSKEGON MI 49442 383321856 Provide home health care services MI 501(C)(3) 11, TYPE I Trinity Home Health Services Inc Mercy Health Partners 1415 LEAHY STREET MUSKEGON MI 49442 382589966 Healthcare system support MI 501(C)(3) 11, TYPE I Trinity Health-Michigan Mercy Health Services - Iowa Corp 1000 4TH STREET SW MASON CITY IA 50401 311373080 HEALTHCARE SERVICES DE 501(C)(3) 3 Trinity Health-Michigan Mercy Healthcare Foundation 1410 N 4TH ST CLINTON IA 52732 421316126 Fundraising and financial assistance for hospital charitable services IA 501(C)(3) 11, TYPE I Mercy Medical Center-Clinton Mercy Hosp & Health Services of DetroitMarshall Park Health Services Inc 27870 CABOT DRIVE NOVI MI 483772920 381562325 Supports malpractice contingencies of closed hospital MI 501(C)(3) 11, TYPE I Trinity Health-Michigan Mercy Hospital Cadillac Foundation 400 HOBART CADILLAC MI 496012331 203357131 Support the services of related hospital MI 501(C)(3) 11, TYPE I Trinity Health-Michigan Mercy Hospital Gift Shop 2601 ELECTRIC AVE PORT HURON MI 48060 381630480 Volunteer Service Auxiliary MI 501(C)(3) 11, TYPE I Trinity Health-Michigan Mercy Medical Center - Clinton Inc 1410 NORTH 4TH ST CLINTON IA 527322940 421336618 To provide quality health care DE 501(C)(3) 3 Mercy Health Services-Iowa Corp Mercy Medical Center - Sioux City Foundation 801 5TH STREET SIOUX CITY IA 51102 141880022 Support the services of related hospital IA 501(C)(3) 7 Mercy Health Services-Iowa Corp Mercy Medical Center Foundation - North Iowa 1000 4TH STREET SW MASON CITY IA 504012800 421229151 Support the services of related hospital IA 501(C)(3) 11, TYPE III-FI Mercy Health Services-Iowa Corp MERCY MEDICAL CENTER FOUNDATION INC 1512 12TH AVENUE ROAD NAMPA ID 83686 261737256 SUPPORT THE SERVICES OF RELATED HOSPITAL ID 501(C)(3) 7 SAINT ALPHONSUS MEDICAL CENTER-NAMPA Mercy North Homecare and Hospice 7985 MACKINAW TRAIL CADILLAC MI 49601 383313897 Home health and hospice services MI 501(C)(3) 11, TYPE I Trinity Home Health Services Inc Mercy Pavilion of Battle Creek 300 NORTH AVENUE BATTLE CREEK MI 49016 382783350 Provides long-term care for the elderly MI 501(C)(3) 9 Battle Creek Health System MERCY PHYSICIAN GROUP INC 1512 12TH AVENUE ROAD NAMPA ID 83686 208192593 TO PROVIDE QUALITY HEALTH CARE ID 501(C)(3) 9 SAINT ALPHONSUS MEDICAL CENTER-NAMPA Mercy Services for Aging Non-profit Housing Corporation PO BOX 9184 FARMINGTON HILLS MI 483339184 382719605 Provides long-term care for the elderly MI 501(C)(3) 11, TYPE II Trinity Continuing Care Services Inc Midwest Medflight 1300 VICTORS WAY ANN ARBOR MI 48108 382684671 Aeromedical transport MI 501(C)(3) 9 Trinity Health-Michigan Mount Carmel Care Continuum Services Corp 793 WEST STATE STREET COLUMBUS OH 43222 311126211 Cooperative hospital service organization OH 501(C)(3) 3 Mount Carmel Health System Mount Carmel College of Nursing 6150 EAST BROAD STREET COLUMBUS OH 43213 311308555 College of nursing OH 501(C)(3) 2 Mount Carmel Health Mount Carmel Health 6150 EAST BROAD STREET COLUMBUS OH 43213 314379602 HEALTHCARE SERVICES OH 501(C)(3) 3 Mount Carmel Health System Mount Carmel Health Insurance Company 6150 EAST BROAD STREET COLUMBUS OH 43213 251912781 Health Insurance OH 501(C)(4) N/A Mount Carmel Health System Mount Carmel Health Plan Inc 6150 EAST BROAD STREET COLUMBUS OH 43213 311471229 Medicare HMO for seniors OH 501(C)(4) N/A Mount Carmel Health System Mount Carmel Health System 6150 EAST BROAD STREET COLUMBUS OH 43213 311439334 Healthcare system management and support OH 501(C)(3) 11, TYPE I Trinity Health Corporation MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS OH 43213 311113966 SUPPORT THE SERVICES OF RELATED HOSPITAL OH 501(C)(3) 11, TYPE I MOUNT CARMEL HEALTH SYSTEM Mount Carmel Home Care LLC 1144 DUBLIN ROAD SUITE B COLUMBUS OH 43215 262729300 Provide home health care services OH 501(C)(3) 9 Trinity Home Health Services Inc Mount Carmel New Albany Surgical Hospital 7333 SMITHS MILL RD NEW ALBANY OH 43054 870790288 HEALTHCARE SERVICES OH 501(C)(3) 3 Mount Carmel Health System MRI Mobile Services of West Michigan 1820 - 44TH STREET KENTWOOD MI 49508 383073745 OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) MI 501(C)(3) 9 Trinity Health-Michigan MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON MI 49440 911932918 FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES MI 501(C)(3) 7 MERCY HEALTH PARTNERS Oakland Mercy Hospital 601 EAST 2ND STREET OAKLAND NE 68045 208072234 HEALTHCARE SERVICES NE 501(C)(3) 3 Mercy Health Services-Iowa Corp Port Huron Mercy Family Care Inc 2601 ELECTRIC AVE PORT HURON MI 48060 201855647 HEALTHCARE SERVICES MI 501(C)(3) 11, TYPE I Trinity Health-Michigan Professional Med Team 965 FORK STREET MUSKEGON MI 494423257 382638284 Medical care, 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