TRINITY HEALTH SYSTEM ATTENTION ADMINISTRATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: TRINITY HEALTH SYSTEM ATTENTION ADMINISTRATION (EIN 34-1842025)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-09
IRS object ID: 201113139349300416
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-09T09:18:47-07:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	341842025	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY HOSPITAL HOLDING COMPANY	BusinessNameLine1

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	380 Summit Avenue	AddressLine1
City	Steubenville	City
State	OH	State
ZIP Code	439522667	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Fred Brower	Name
Title	President	Title
Phone	7402837000	Phone
Date Signed	2011-11-09	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Fred Brower	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	380 Summit Avenue	AddressLine1
City	Steubenville	City
State	OH	State
ZIP Code	43952	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	226439106	GrossReceipts
Group Return For Affiliates	1	GroupReturnForAffiliates
All Affiliates Included	1	AllAffiliatesIncluded
Group Exemption Number	5388	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.trinityhealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	A community partner dedicated to the excellence in serving the health needs of the Tri-State area.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	1897	TotalNbrEmployees
Total Nbr Volunteers	75	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4087445	ContributionsGrantsPriorYear
Contributions Grants Current Year	743691	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	174011490	ProgramServiceRevenuePriorYear
Program Service Revenue CY	182144432	ProgramServiceRevenueCY
Investment Income Prior Year	1444187	InvestmentIncomePriorYear
Investment Income Current Year	472221	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4308481	OtherRevenuePriorYear
Other Revenue Current Year	4022731	OtherRevenueCurrentYear
Total Revenue Prior Year	183851603	TotalRevenuePriorYear
Total Revenue Current Year	187383075	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	166829	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	169675	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	87814545	SalariesEtcPriorYear
Salaries Etc Current Year	90428371	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	86860263	OtherExpensePriorYear
Other Expenses Current Year	90844934	OtherExpensesCurrentYear
Total Expenses Prior Year	174841637	TotalExpensesPriorYear
Total Expenses Current Year	181442980	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9009966	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5940095	RevenuesLessExpensesCY
Total Assets BOY	159342701	TotalAssetsBOY
Total Assets EOY	171179695	TotalAssetsEOY
Total Liabilities BOY	77959759	TotalLiabilitiesBOY
Total Liabilities EOY	73952508	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	81382942	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	97227187	NetAssetsOrFundBalancesEOY
Mission Description	A community partner dedicated to excellence in serving the health needs of thr Tri-State area.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	73051276	Expense
Grants	0	Grants
Revenue	188526504	Revenue
Description	Trinity Health System comprises the most complete health care option in Eastern Ohio. The hospital includes Trinity East and Trinity West which has 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 and all other diagnostic departments. The goal of Trinity Skilled Care Center is to provide services which in turn allow the patients to regain independence in daily living and return them to their highest level of well being. 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 2010, Trinity Skilled Care Center had 435 admissions and 15,980 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 2010, the Rehab Center had 271 admissiions and 3,471 patient days. The Renal Unit provides hemodialysis treatments to both acute and chronic population of patients with kidney disease. This procedure oriented department is staff with registered nurses and technicians who complete training in providing hemodialysis treatments. The department works very closely with the Biomedical Department in providing a safe enviroment for the patients. In 2010, the Renal Unit had over 500 chronic outpatients and over 400 chronic inpatients. 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 program 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, recovery. Your post-partum stay is in a speciually 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. The childbearing room also 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 & Birth Center is available for consultation through telephone calls to all patients. Simply call at anytime of the day or night if you need assistance or information. In 2010, the Women's Health & Birth Center delivered 557 babies.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	81012735	Expense
Grants	0	Grants
Revenue	209072986	Revenue
Description	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 21EX 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. 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 The Tony Teramana Cancer Center is provided with compassion, privacy and optimum results. In 2010, the Center saw 9,812 patients and performed 23,189 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. By participating lifestyle possible. Our specialy trained staff works 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. In 2010, the Cardiac Rehab program helped 437 outpatients and 1,396 maintenance patients. 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 2010, there were 8,264 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 sort 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 2010, the home health department did over 28,000 home visits.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	4793928	Expense
Grants	0	Grants
Revenue	12371893	Revenue
Description	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 2010, we had 49,500 Emergency Room visits.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	158857939	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	118	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	0	ComplianceWithBackupWitholding
Number Of Employees	1897	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Trinity Medical Center East	BusinessNameLine1

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	380 Summit Avenue	AddressLine1
City	Steubenville	City
State	OH	State
ZIP Code	439522667	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Michael Biasi
Board Member	2	X	0	0	0
Dan Daily
Board Member	2	X	0	0	0
Sheila Hendricks
Board Member	2	X	0	0	0
Bruce Hitchcock
Board Member	2	X	0	0	0
William Johns MD
Board Member	2	X	0	0	0
Douglas W Schaefer
Board Member	2	X	0	0	0
Sr Jeanette Zielenski OSF
Board Member	2	X	0	0	0
David Skiviat Sr
Board Member	2	X	0	0	0
Brijinder Kochar MD
Board Member	2	X	0	9000	0
Terence Schuessler
Board Member	2	X	0	0	0
Patrick Macedonia
Board Member	2	X	0	0	0
Eric Exley
Board Member and Secretary	2	X	0	0	0
James Padden
Board Member and Treasurer	2	X	0	0	0	X
Michael Barber
Board Member and Vice Chairman	2	X	0	0	0	X
Clyde C Metzger MD
Board Member & Vice Chair	2	X	0	0	0	X
Fred B Brower
President and CEO	40	X	0	360991	85419	X
Elizabeth Allen
CFO	40		0	240312	29036		X
Amjad Alkaed MD
Physician	40		486560	0	14622			X
Kumar B Amin MD
Physician	40		1204519	0	12968			X
Jeffrey F Shall MD
Physician	40		743323	0	12968			X
Mark Kissinger
Physician	40		305103	0	14622			X
Basel Termanini MD
Physician	40		297929	0	10509			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3037434	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	610303	TotalReportableCompFrmRltdOrgs
Total Other Compensation	180144	TotalOtherCompensation
Number Individuals GT100 K	39	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Address Line2AddressOfContractor/AddressUS/AddressLine2
ARUP Laboratories
500 Chipeta Way	Salt Lake City	UT	84108	Lab Services	812095
Washington Healthcare Strategies
702 Parkview Drive	Gibsonia	PA	15044	Anesthesia	632888
Biotronics Inc
1370 Beulah Riad	Pittsburgh	PA	15235	Cardiopulmonary and Infusion surgical services	410646	2nd Floor
Allegheny General Hospital
320 East North Avenue	Pittsburgh	PA	15212	Imaging Servcies	339181
Karlsberger Architecture
PO Box 951402	Cleveland	OH	44193	Architects	326635

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	460209	RelatedOrganizations
Government Grants	219537	GovernmentGrants
All Other Contributions	63945	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	743691	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Medicare payments	621990	85198165	85198165	$0
Blue Cross payments	621990	26862212	26862212	$0
Medicaid payments	621990	13721521	13721521	$0
Commercial Insurance payments	621990	48106241	48106241	$0
Self Pay / Other payments	621990	7240225	7240225	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1016068	TotalRevenueColumn
Related Or Exempt Function Income	1016068	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	182144432	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1581652	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,581,652	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1883	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,883	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	37556038	Securities
Other	9298	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	38676650	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-1120612	Securities
Other	9298	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1111314	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$1,111,314	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	124991	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	108205	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	16786	TotalRevenueColumn
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$16,786	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	0	GrossIncomeGaming
Gaming Direct Expenses	0	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	380324	GrossSalesOfInventory
Cost Of Goods Sold	271176	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	109148	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$109,148	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Cafeteria Income	722210	1922104	0	$1,922,104
Nursing School Tuition	900099	675913	675913	$0
Purchase Discounts	900099	438469	0	$438,469

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	860311	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$860,311	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3896797	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	187383075	TotalRevenueColumn
Related Or Exempt Function Income	182820345	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,819,039	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	69216	Total
Program Services	69216	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	100459	Total
Program Services	100459	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	250560	Total
Program Services	0	ProgramServices
Management And General	250560	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

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

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	67553501	Total
Program Services	59218789	ProgramServices
Management And General	8334712	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5255240	Total
Program Services	4606851	ProgramServices
Management And General	648389	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12676802	Total
Program Services	11112745	ProgramServices
Management And General	1564057	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4692268	Total
Program Services	4113339	ProgramServices
Management And General	578929	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	6388040	Total
Program Services	5599887	ProgramServices
Management And General	788153	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	158414	Total
Program Services	138869	ProgramServices
Management And General	19545	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	233378	Total
Program Services	204584	ProgramServices
Management And General	28794	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	184102	Total
Program Services	161388	ProgramServices
Management And General	22714	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	363374	Total
Program Services	318541	ProgramServices
Management And General	44833	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	705559	Total
Program Services	618508	ProgramServices
Management And General	87051	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1680209	Total
Program Services	1472906	ProgramServices
Management And General	207303	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	885354	Total
Program Services	776120	ProgramServices
Management And General	109234	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

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

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5115696	Total
Program Services	4484524	ProgramServices
Management And General	631172	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	222123	Total
Program Services	194718	ProgramServices
Management And General	27405	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	27365	Total
Program Services	23989	ProgramServices
Management And General	3376	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2026622	Total
Program Services	1776579	ProgramServices
Management And General	250043	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	590103	Total
Program Services	517296	ProgramServices
Management And General	72807	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8271063	Total
Program Services	7250584	ProgramServices
Management And General	1020479	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1514532	Total
Program Services	1327670	ProgramServices
Management And General	186862	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Drugs	7615933	6676284	939649
Provision for bad debt	11407960	10000452	1407508
Repairs and Maintenance	3282508	2877514	404994
Outside purchased services	4653029	4078941	574088
Medical Supplies	26968381	23641038	3327343

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8551189	Total
Program Services	7496148	ProgramServices
Management And General	1055041	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	181442980	Total
Program Services	158857939	ProgramServices
Management And General	22585041	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	75258	BOY
EOY	31783	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	8383606	BOY
EOY	6655363	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	18282742	BOY
EOY	19814655	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1224488	BOY
EOY	851216	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2665097	BOY
EOY	2978134	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1237146	BOY
EOY	1753575	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	202336589	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	147891932	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	52941654	BOY
EOY	54444657	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	60975636	BOY
EOY	67085269	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1700000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	13557074	BOY
EOY	15865043	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	159342701	BOY
EOY	171179695	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	14169766	BOY
EOY	16596314	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	45706429	BOY
EOY	42529501	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	23874	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	18059690	BOY
EOY	14826693	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	77959759	BOY
EOY	73952508	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	73417005	BOY
EOY	88701494	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5845523	BOY
EOY	6401695	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2120414	BOY
EOY	2123998	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	81382942	BOY
EOY	97227187	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	159342701	BOY
EOY	171179695	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	5940095	ReconcilationRevenueExpenses
Reconcilation Other Changes	9904150	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	743000	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	68173	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	60682	OtherExpenditures
Administrative Expenses	7491	AdministrativeExpenses
End Of Year Balance	743000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	586000	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	203695	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	39282	OtherExpenditures
Administrative Expenses	7413	AdministrativeExpenses
End Of Year Balance	743000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	838000	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	-209389	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	33771	OtherExpenditures
Administrative Expenses	8840	AdministrativeExpenses
End Of Year Balance	586000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	703748	OtherCostOrOtherBasis
Book Value	703748	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	35683962	OtherCostOrOtherBasis
Depreciation	28623418	Depreciation
Book Value	7060544	BookValue

Leasehold Improvements LeaseholdImprovements

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

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	144859706	OtherCostOrOtherBasis
Depreciation	102207430	Depreciation
Book Value	42652276	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	21089173	OtherCostOrOtherBasis
Depreciation	17061084	Depreciation
Book Value	4028089	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	54444657	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Interest in net assets of the Foundation	14258155
Due from Third Party Payors	929563
Due ffrom affiliates	299491
Other receivables	20517
Accrued Interest	357317

Field	Value	IRS element (for citing)
Total Book Value Other Assets	15865043	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Amounts due to affiliates	$1,061,301
Retirement Benefit Payable	$13,765,392

Field	Value	IRS element (for citing)
Total Of Amounts	14826693	TotalOfAmounts
Total Revenue	187383075	TotalRevenue
Total Expenses	181442980	TotalExpenses
Excess Or Deficit For Year	5940095	ExcessOrDeficitForYear
Net Unrealized GL On Investments	5601474	NetUnrealizedGLOnInvestments
Donated Services And Facilities	0	DonatedServicesAndFacilities
Investment Expenses	0	InvestmentExpenses
Prior Period Adjustments	0	PriorPeriodAdjustments
Other	$4,302,676	OtherAmount
Total Adjustments	9904150	TotalAdjustments
Excess Or Deficit Per FS	15844245	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	194901141	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	5601474	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	2499525	OtherRevenues
Revenue Not Rptd F990	8100999	RevenueNotRptdF990
Revenue Subtotal	186800142	RevenueSubtotal
Investment Expenses Not Included	0	InvestmentExpensesNotIncluded
Other Revenues Not Included	582933	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	582933	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	187383075	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	181442980	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	181442980	ExpensesSubtotal
Investment Expenses Not Included2	0	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	181442980	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P05_S00_L04	Schedule D, Part V, Line 4	Trinity Hospital Holding Company's endowment funds are maintained to provide a permanent source of income. The principal must be invested and kept intact. Only the income is used by the organization.
SchD_P11_S00_L08	Schedule D, Part XI, Line 8	Net gain on extinguishment of debt and related interest swap $1,902,959. Change in pension obligation (2,662,673). Change in value of interest rate swap 4,032,000. Change in unrestricted interest in Foundation 596,566. Change in temporarily interest in Foundation 556,172. Change in permanently interest in Foundation 3,584. Auxiliary activity (125,929).
SchD_P12_S00_L02d	Schedule D, Part XII, Line 2d	Change in interest in Foundation, Net gain on extinguishment of debt and related interest rate swap.
SchD_P12_S00_L04b	Schedule D, Part XII, Line 4b	Auxiliary activities, donation from Foundation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Uniform Sale	NameOfEvent1
Gross Receipts Event1	41951	GrossReceiptsEvent1
Charitable Contributions Event1	0	CharitableContributionsEvent1
Gross Revenue Event1	41951	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	0	RentFacilityCostsEvent1
Food And Beverage Event1	0	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	36534	OtherDirectExpensesEvent1
Name Of Event2	Book Sale	NameOfEvent2
Gross Receipts Event2	64392	GrossReceiptsEvent2
Charitable Contributions Event2	0	CharitableContributionsEvent2
Gross Revenue Event2	64392	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	0	RentFacilityCostsEvent2
Food And Beverage Event2	0	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	55094	OtherDirectExpensesEvent2
Total Number Of Other Events	5	TotalNumberOfOtherEvents
Gross Receipts Other Events	18648	GrossReceiptsOtherEvents
Charitable Contrib Other Events	0	CharitableContribOtherEvents
Gross Revenue Other Events	18648	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	0	RentFacilityCostsOtherEvents
Food And Beverage Other Events	0	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Other Direct Expenses Other Events	16577	OtherDirectExpensesOtherEvents
Gross Receipts Total	124991	GrossReceiptsTotal
Charitable Contributions Total	0	CharitableContributionsTotal
Gross Revenue Total Events	124991	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	0	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	0	RentFacilityCostsTotalEvents
Food And Beverage Total Events	0	FoodAndBeverageTotalEvents
Entertainment Total Events	0	EntertainmentTotalEvents
Other Direct Expenses Total Events	108205	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	108205	DirectExpenseSummaryEvents
Net Income Summary	16786	NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	4159682	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	4159682	NetCommunityBenefitExpense
Percent Of Total Expense	0.0229	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	36784	PersonsServed
Total Community Benefit Expense	23102406	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16455440	DirectOffsettingRevenue
Net Community Benefit Expense	6646966	NetCommunityBenefitExpense
Percent Of Total Expense	0.0366	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	36784	PersonsServed
Total Community Benefit Expense	27262088	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16455440	DirectOffsettingRevenue
Net Community Benefit Expense	10806648	NetCommunityBenefitExpense
Percent Of Total Expense	0.0595	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	13322	PersonsServed
Total Community Benefit Expense	479576	TotalCommunityBenefitExpense
Direct Offsetting Revenue	57190	DirectOffsettingRevenue
Net Community Benefit Expense	422386	NetCommunityBenefitExpense
Percent Of Total Expense	0.0023	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	259	PersonsServed
Total Community Benefit Expense	825027	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1950	DirectOffsettingRevenue
Net Community Benefit Expense	823077	NetCommunityBenefitExpense
Percent Of Total Expense	0.0045	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	21409	PersonsServed
Total Community Benefit Expense	11267185	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8924266	DirectOffsettingRevenue
Net Community Benefit Expense	2342919	NetCommunityBenefitExpense
Percent Of Total Expense	0.0129	PercentOfTotalExpense

Research Research

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

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	300	PersonsServed
Total Community Benefit Expense	33998	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	33998	NetCommunityBenefitExpense
Percent Of Total Expense	0.0002	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	32	NumberOfActivitiesOrPrograms
Persons Served	35290	PersonsServed
Total Community Benefit Expense	12605786	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8983406	DirectOffsettingRevenue
Net Community Benefit Expense	3622380	NetCommunityBenefitExpense
Percent Of Total Expense	0.0199	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	32	NumberOfActivitiesOrPrograms
Persons Served	72074	PersonsServed
Total Community Benefit Expense	39867874	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25438846	DirectOffsettingRevenue
Net Community Benefit Expense	14429028	NetCommunityBenefitExpense
Percent Of Total Expense	0.0794	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	29	PersonsServed
Total Community Building Expense	46	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	46	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	29	PersonsServed
Total Community Building Expense	46	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	46	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$4,584,859	BadDebtExpenseAmount
Amount Attributable To	153000	AmountAttributableTo
Amount Reimbursed By Medicare	57445305	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	59663612	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2218307	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

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

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
Trinity Medical Center West
1	4000 Johnson Road	Steubenville	OH	43952	X	X	X
Trinity Medical Center East
2	380 Summit Avenue	Steubenville	OH	43952	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
Trinity Medical Center West
1
Trinity Medical Center East
2

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Line 7 was calculated on a cost to charge ratio.
SchH_P01_S00_L072f	Schedule H, Part I, Line 7, Column f	n/a
SchH_P01_S00_L07g	Schedule H, Part I, Line 7g	In Schedule H, Part I, Line 7g, Trinity reported the OB Clinic. The costs reported associated with the clinic are fringe benefits, purchased services, supplies and indirect expenses.
SchH_P02_S00_L00	Schedule H, Part II	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, physicians' offices, community outreach sites and homes throughout the Tri-State area. We put our exceptional resources to work out in the community as well, through our primary care and specialty physician practices and our hospice, home care and outreach services.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	The bad debt at cost number is derived using the applicable cost to charge ratio for the hospital. Total costs for the Hospital divided by the gross charges and the factor is applied to the gross bad debt number less recoveries of bad debt. Trinity does not have a specific footnote for bad debt expense. Trinity maintains an allowance for doubtful accounts to reserve for estimated losses based on length of time the account has been outstanding and historical collection experience. Trinity performs an evaluation of the collectability of net revenues recorded and records and allowance of doubtful accounts based on probability of collection.
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	The Medicare shortfall in the amount of $2,218,307 should be treated as a community benefit. Jefferson County, where Trinity Health System is located, has the highest proportion 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 and our 2010 charity care approximated $10,343,271. In providing this charity care to those patients where no payment is anticipated, this is seen as a community benefit.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	The Health System is committed to serve everyone, 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 2010, charity care approximated $10,343,271. To educate and inform our patients about their eligibility for assisstance 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 us for an application. For outpatient accounts, any balance billing after insurance also explains the charity guidelines to patients.
SchH_P06_S00_L02	Schedule H, 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 Franciscan Services Corporation (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 it 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 Franciscan Services Corporation. The organization, located in Ohio, Texas and Kentucky include six hospitals, eight long-term care facilities, four assisted living facilities, independent senior housing, a counseling 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, physicians' offices, community outreach sites and homes throughout the Tri-State area. We put our exceptional resources to work out in the community as well, through our primary care and specialty physician practices and our hospice, home care and outreach services. 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 organization's primary service area and are neither employees nor contractors of the organization, nor family members thereof. The board's mission also includes processes for determining and responding to health needs. Serving more than 188,000 patients in 2010, Trinity is a leading healthcare system in the valley. Our 1,700 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 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 population. 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 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 proportion of elderly in that state of Ohio. As a result, the use of health care services is higher than the state average.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	The Health System is committed to serve everyone 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 2010, charity care approximated $10,343,271. (Part I, line 7) 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 us for charity applications. For outpatient accounts, any balance billing after insurance also explains the charity guidelines to patients.
SchH_P06_S00_L04	Schedule H, 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, recording a 3.5% decline for the period of 2000-2006 (the most recent publicly reported census data). 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 reductions 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 high 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 with levels in 2010 appearing to be 10% higher than the level in 2009. As recently unemployed residents lose their health benefits, we expect higher charity care levels. We are working on strategies to address this increase and have recently engaged an organization to focus solely on converting our uninsured population to Medical Assistance, as appropriate. The Payer mix at THS is heavily weighted to the governmental payers, with 56% of the 2010 YTD revenue generated from Medicare and 14% generated from the Medicaid program - and increase of 2% over the same period in 2009. With the 2 programs recording significant shortfalls between payment to hospitals and hospital costs, the economic challenges for THS are great. A competitor analysis identifies independent physician groups as the most significant threat to the System's market position. Area physician groups have established competing ancillary services, which have historically been profitable services for the Hospital. A long term acute care hospital owned by approximately 50 of our area physicians opened in the fall of 2009. It offers key ancillary services and other profitable treatment programs. Limiting the loss in revenue, maintaining competitive outpatient services and terminating services, in which we can no longer compete, has been a focus for 2010.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Employee medical education assistance	7	57363	0	FMV	n/a
Physician medical education assistance	1	43096	0	FMV	n/a

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SchI_P01_S00_L02	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	Our policies for monitoring the use of grant funds in the United States is following the policies and procedures of the granting organization in regards to the distribution and reporting of grants.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Fred B Brower
0	311126	0	7339	0	42526	49171	0	36247	0	85418	360991	0	0
Elizabeth Allen
0	233376	0	6117	0	819	16928	0	12108	0	29036	240312	0	0
Kumar B Amin MD
597411	0	607107	0	0	0	0	0	12968	0	1217486	0	0	0
Jeffrey F Shall MD
610466	0	132857	0	0	0	0	0	12968	0	756291	0	0	0
Amjad Alkaed MD
316279	0	170281	0	0	0	0	0	14622	0	501182	0	0	0
Basel Termanini MD
297929	0	0	0	0	0	0	0	10509	0	308438	0	0	0
Mark Kissinger
250516	0	54587	0	0	0	0	0	14622	0	319725	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L03	Schedule J, Part I, Line 3	The organization bases the CEO's compensation on review from the compensation committee, a compensation survey and then approval from the Board.
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	The President ($13,469) and Vice President ($4,680) of Human Resources participated in a supplemental retirement plan.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	City of Steubenville Ohio	BusinessNameLine1

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

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	42976876	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	609276	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	32387	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	34961794	OtherSpentProceeds
Amount Unspent	20445	AmountUnspent
Year Of Subst Completion	2010	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SchK_P02_S00_L03	Identifier
Return Reference	Schedule K, Part II, Line 3	ReturnReference
Explanation	Proceeds of 2010 Issue = $43,930,000. Original issue discount = $1,133,124. 2010 proceeds = $42,976,876.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Michael Barber	NamePerson

Field	Value	IRS element (for citing)
Relationship	Board Member of Trinity	Relationship
Amount Of Transaction	129260	AmountOfTransaction
Description Of Transaction	he owns National Colloid, a company which we purchase chemicals from	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0A_L06	Form 990, Part VI, Section A, Line 6	Trinity Hospital Holding Company is a not-for-profit corporation with board members.
F990_P06_S0A_L07a	Form 990, Part VI, Section A, Line 7a	Trinity Health System has 2 co-sponsoring members - Tri-State Health Services, Inc. and Franciscan Services Corporation. All Trustees of Trinity Health System are elected by the members. Recommendations for appointment to the Board of Trustees are made by the Trinity Health System Board of Trustees through its nominating committee. Final approval of each nominee by the co-sponsoring members is required.
F990_P06_S0A_L07b	Form 990, Part VI, Section A, Line 7b	Trinity Health System has 2 co-sponsoring members - Tri-State Health Services, Inc. and Franciscan Services Corporation. Both Members must approve the following actions of the Corporation or any of its subsidiaries as condition before they become effective: 1. merger,condolidation or substantial sale. 2. Creation of subsidiaries or affiliation with other entities. 3. Conveyancing real property or creating liens theron. 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 on 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.
F990_P06_S0B_L11a	Form 990, Part VI, Section B, Line 11a	The Trinity Health System Board of Trustees, represented by its Executive Committee, reviews the System's and related entities Form 990's at a meeting. Each document is reviewed in detail, including each of the related schedules on their entirety. The Board's Executive Committee endorses the 990 filings and reports on their review of the organization's 990's at the regular Board of Trustees meeting.
F990_P06_S0B_L12c	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 are maintained 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 procedure 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.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	Each executive's compensation is reviewed and approved by the Executive Committee of the Board of Trustees. The Board is provided with salary comparison data, which is prepared by the Ohio Hospital Association (reported by MSA/Crank Consulting) each year.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	Trinity Hospital Holding Company makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
F990_P11_S00_L05	Form 990, Part XI, Line 5	Change in pension obligation (2,662,673), change in value of interest rate swap 4,032,000, net gain on extinguishment of debt and related interest rate swap 1,902,959, change in unrestricted interest in Foundation 596,566, change in temporarily interest in Foundation 556,172, change in permanently interest in Foundation 3,584, net unrealized gains on investments 5,601,474, Auxiliary activity (125,929).

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Trinity Health System
380 Summit Avenue	Steubenville	OH	43952	341818681	support and management services	OH	501(c)3	11b	Tri-State Health Services & FSC
Trinity Health System Foundation
380 Summit Avenue	Steubenville	OH	43952	341329423	charitable fundraising supporting Trinity Health System	OH	501(c)3	11a	Trinity Health System

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Trinity Management Services Organization	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	380 Summit Avenue	AddressLine1
City	Steubenville	City
State	OH	State
ZIP Code	43952	ZIPCode

Field	Value	IRS element (for citing)
EIN	341471026	EIN
Primary Activity	mgmt serv,provide dr staff	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Percentage Ownership	0	PercentageOwnership

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Trinity Health System
o	4427618	FMV
Trinity Management Services Organization
o	1763842	FMV
Trinity Health System Foundation
c	457000	FMV

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	n/a	Explanation