2011-05-13T15:09:29-05:00 2010-06-30 990 2009-07-01 382113393 TRINITY HEALTH - MICHIGAN TRIN 2484895004 27870 CABOT DRIVE NOVI MI 483772920 JAMES BOSSCHER 2484895004 2011-05-13 2009 2016-02-24 21:20:13Z SEE SCHEDULE O FOR LIST JAMES BOSSCHER 27870 CABOT DRIVE NOVI MI 483772920 2157085375 0 X www.trinity-health.org X 1976 MI HEALTH CARE SERVICES 5 4 18751 2499 60472513 -1278771 22570352 18836846 2051518831 2028885434 -48215817 24750751 70368676 70907239 2096242042 2143380270 1871909 1850645 0 946579687 936716393 309862 70998 3999270 1086778117 1113605400 2035539575 2052243436 60702467 91136834 2856802477 3038376894 1025582077 1011823645 1831220400 2026553249 HEALTH CARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION 0 0 1854796377 1850645 2003201179 TRINITY HEALTH - MICHIGAN OPERATED HOSPITALS IN 7 AREAS OF MICHIGAN THAT PROVIDED 497,001 DAYS OF HEALTHCARE SERVICES TO THEIR COMMUNITIES.The Mission statement of Trinity Health - Michigan is as follows:We serve together in Trinity Healthin the spirit of the Gospelto heal body, mind, and spiritto improve the health of our communitiesand to steward the resources entrusted to us. 1854796377 1 1 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 0 1 2282 0 1 18751 1 1 1 1 CJ 0 0 0 1 1 0 0 0 1 5 4 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X BETH GDOWIK 2484896000 34605 Twelve Mile Rd FARMINGTON HILLS MI 48331 JOSEPH SWEDISH 5.00 X X 0 3023292 798303 PATRICK HAYS 2.00 X X 0 50000 0 SUZANNE BRENNAN CSC 2.00 X 0 0 0 MARY MOLLISON CSA 2.00 X X 0 0 0 ANGEL SALES 2.00 X 0 24750 0 ROBERT LADENBURGER 2.00 X 0 0 0 MELANIE DREHER 2.00 X X 0 25000 0 DANIEL HALE 5.00 X 0 1060885 115889 AGNES HAGERTY 2.00 X 0 392318 44453 JAMES BOSSCHER 2.00 X 0 436953 142248 MARIANNE CUNNINGHAM 2.00 X 0 160675 27768 PAUL NEUMANN 5.00 X 0 136043 10862 KEDRICK ADKINS 5.00 X 0 1453695 130171 MICHAEL SLUBOWSKI 5.00 X 0 1617841 154389 GARRY FAJA 50.00 X 0 1291651 156717 PHILIP MCCORKLE 50.00 X 0 989470 200681 DAVID SPIVEY 50.00 X 0 497695 41649 JOHN MACLEOD 50.00 X 0 411814 48301 STEPHANIE RIEMER-MATUZAK 50.00 X 0 401558 69858 JACK WEINER 50.00 X 0 989575 91399 PETER KARADJOFF 50.00 X 0 521282 35686 STEPHEN PIROG 50.00 X 0 348971 62551 CHARLES HOFFMAN 50.00 X 0 496678 47383 BARBARA HERTZLER 50.00 X 0 426159 66425 DEBORAH ARMSTRONG 50.00 X 245974 0 0 KATHLEEN RHINE 50.00 X 0 359984 43199 RANDALL WAGNER 50.00 X 0 334760 42028 MICHAEL GUSHO 50.00 X 0 305209 41576 CLAUDE LAUDERBACH 50.00 X 0 274080 48475 RICHARD O'CONNELL 5.00 X 0 495143 11123 ROBERT CASALOU 50.00 X 0 499782 48404 KATHLEEN GRIFFITHS 50.00 X 101601 140343 30798 JURGEN LUDERS MD 50.00 X 2337892 0 308891 STEVEN R KLAFETA MD 50.00 X 2055251 0 290411 BEHROOZ SHABAHANG 50.00 X 574218 0 37892 ARTHUR MANOLI MD 50.00 X 519697 0 56917 TALLAL ZENI 50.00 X 507363 0 20132 EDWARD CHADWICK 0.00 X 0 201793 14238 PAUL BROWNE 5.00 X 0 912204 44515 DEBRA CANALES 5.00 X 0 966481 33846 PAUL CONLON 5.00 X 0 547925 92155 TERRENCE O'ROURKE MD 5.00 X 0 768559 61021 PRESTON GEE 5.00 X 0 480003 58427 VELOIS BOWERS 5.00 X 0 526198 28142 LOUIS FIERENS 5.00 X 0 650091 31849 MICHAEL HOLPER 5.00 X 0 524979 40053 MARIA SZYMANSKI 5.00 X 0 839380 124244 ROGER SPOELMAN 0.00 X 0 885116 88965 GREGORY LOOMIS 0.00 X 0 359088 49144 GARY ALLORE 0.00 X 0 303730 30144 DOUGLAS EDEMA 50.00 X 0 379622 47279 6341996 25510775 3968601 788 1 1 0 THE CHRISTMAN COMPANY 408 KALAMAZOO LANSING MI 48933 CONSTRUCTION SERVICES 38122094 PINE REST CHRISTIAN HOSPITAL 300 68TH ST GRAND RAPIDS MI 49548 HEALTH CARE SERVICES 20895840 SKANSKA USA BUILDING INC 26100 AMERICAN DR STE 200 SOUTHFIELD MI 48034 CONSTRUCTION SERVICES 18529074 WOLVERINE BUILDING GROUP 4045 BARDEN SE GRAND RAPIDS MI 49512 CONSTRUCTION SERVICES 10552196 GEORGE W AUCH COMPANY 735 S PADDOCK ST PONTIAC MI 48341 CONSTRUCTION SERVICES 10173886 221 118983 1490345 1322050 4591679 11313789 166979 18836846 NET PATIENT SVC REV 900099 1944176010 1944176010 PHARMACY REVENUE 446110 56604142 32256997 24347145 LABORATORY REVENUE 621500 28105282 28105282 2028885434 24450921 24450921 11952238 29767 10898831 11000 1053407 18767 1072174 1072174 757368 843209 1300747 757368 -457538 299830 299830 716628 1490345 1071060 -354432 -354432 8122 4158 3964 3964 703539 419309 284230 284230 CAFETERIA REVENUE 900099 10385702 10385702 TELEPHONE & TELEVISION 900099 380198 380198 59135403 59025169 110234 69901303 2143380270 2003201179 60472513 60869732 1748223 1748223 102422 102422 9799261 9799261 574849 574849 735607710 648548969 85289862 1768879 46781506 41289251 5492255 89892478 78589713 11044634 258131 54060589 47111222 6822633 126734 717677 626891 90786 1410757 1410757 46800 46800 70998 70998 158982866 138117589 19742880 1122397 5547658 4839238 700817 7603 385996893 366418524 19285185 293184 75200598 65680685 9511857 8056 41389491 39320016 2069475 2352438 2048523 296666 7249 1489419 1279871 185350 24198 26935614 26873818 61796 139285981 132304246 6963381 18354 16098111 15293205 804906 BAD DEBT 84126313 84126313 INTERCO. PURCHASED SVCS 53726701 46930273 6796428 HOSPITAL PROVIDER TAX 48154219 48154219 CONTRACT LABOR EXPENSE 36684325 32043758 4640567 EQUIPMENT MAINTENANCE 26183418 24874247 1309171 9276121 7900312 1144118 231691 2052243436 1854796377 193447789 3999270 13406473 14862971 2083320 1803641 15827208 13477584 217796711 216395673 10446276 12249541 31213610 32183127 12258743 7755274 2245254016 1164582393 1064517609 1080671623 416867436 550166814 316045620 272222353 25573905 24373604 730765566 812214689 2856802477 3038376894 226229982 217776798 1208837 1263648 16750775 16619066 781392483 776164133 1025582077 1011823645 X 1809209101 2004884065 9579737 8705818 12431562 12963366 1831220400 2026553249 2856802477 3038376894 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 90645 1 46667 1 1269 0 138581 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: TRINITY HEALTH - MICHIGAN (TH-MI) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED TH-MI WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SIMILARLY, THESE HEALTH CARE ORGANIZATIONS WILL ARRANGE CONFERENCES AND SEMINARS FOR MEMBER ORGANIZATIONS AND THEIR EXECUTIVES WHICH INVOLVE LEGISLATORS OR OTHER POLITICAL FIGURES AS GUEST SPEAKERS. TH-MI ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST AND CONCERN TO TH-MI. FEDERAL ADVOCACY PRIORITIES FOR FY10 INCLUDED: -SECURING COVERAGE AND ACCESS FOR ALL -ACHIEVING BETTER AND MORE EFFICIENT CARE -SUSTAINING HOSPITAL CAPABILITY TO IMPROVE COMMUNITY HEALTH AND STRENGTHEN LOCAL ECONOMIES 13827175 203571 336643 14367389 13890593 378849 -442267 13827175 0.08700 0.90230 0.01070 0 0 63052956 63052956 1277493747 621720724 655773023 739089784 534914138 204175646 165617529 7947531 157669998 1080671623 ABSOLUTE RETURN STRATEGY funds 128994252 F COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 143228101 F 272222353 OTHER RECEIVABLES 18260757 INTERCOMPANY ACCOUNTS RECEIVABLE 82376017 INVESTMENT IN UNCONSOLIDATED AFFILIATES 603060395 INTERCOMPANY OTHER LT ASSETS 105804222 OTHER ASSETS 2713298 812214689 INTERCOMPANY ACCOUNTS PAYABLE AND OTHER LT LIABILITIES 33669244 DEFERRED COMPENSATION 4925477 ASSET RETIREMENT OBLIGATION (FIN 47) 2473046 OTHER LIABILITIES 4651869 ANNUITIES PAYABLE 706343 INTERCOMPANY NOTES PAYABLE 729738154 776164133 Part V, Line 4: Description of Intended Use of Endowment Funds: THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO BE USED FOR THE FOLLOWING PURPOSES: HOSPITAL OPERATIONS SUPPORT, MEDICAL PROGRAM SUPPORT, SCHOLARSHIPS, RESEARCH, COMMUNITY SERVICE, AND VARIOUS OTHER. Part X: Description of Uncertain Tax Positions Under FIN 48: TRINITY HEALTH - MICHIGAN is included in the consolidated financial statements of Trinity Health. Trinity Health's financial statements for the year ended June 30, 2010 did not include a FIN 48 footnote. X X X X X X X 1 RUFFALOCODY CONDUCTS AND CONSULTS TELEMKTG 0 86324 76623 9701 86324 76623 9701 MI HOLIDAY BALL -ANN ARBOR 731313 581289 150024 25937 140176 11700 249245 GOLF OUTING -LIVONIA 218700 158700 60000 1581 21784 23816 0 30488 28 1256960 750356 506604 525 44349 61254 197103 12550 250552 2206973 1490345 716628 525 45930 108975 361095 24250 530285 1071060 -354432 1 1 X 1 X 1 X 1 1 1 0 1 1 10 50904 37046008 80399 36965609 0.01880 10 261841 195117369 147751046 47366323 0.02410 8 136856 18041420 11379781 6661639 0.00340 28 449601 250204797 159211226 90993571 0.04630 174 964296 12013065 1853548 10159517 0.00520 31 3143 58019288 29168993 28850295 0.01470 31 115074 34060940 16264206 17796734 0.00900 3 20 5446678 5446678 0.00280 50 11116 1135054 108960 1026094 0.00050 289 1093649 110675025 47395707 63279318 0.03220 317 1543250 360879822 206606933 154272889 0.07850 1 5004 5004 0.00000 2 17391 17391 0.00000 4 1178 70571 70571 0.00000 7 1419 38005 38005 0.00000 4 18 4442 4442 0.00000 4 274 236155 236155 0.00010 22 2889 371568 371568 0.00010 0 29996808 4526791 599151159 554131359 45019800 X 1 1 CCH LABORATORY LABORATORY SERVICES 0.50000 0.50000 FRANCES WARDE MEDICAL LABORATORY LABORATORY SERVICES 0.67000 0.33000 WOODLAND IMAGING CENTER LLC DBA AVANT IMAGING IMAGING SERVICES 0.51000 0.49000 ADVANTAGE HEALTH HEALTHCARE SERVICES 0.50000 0.50000 HEALTH PARK CENTRAL LLC MEDICAL OFFICE BUILDING 0.13000 0.77000 SIXTY FOURTH STREET LLC SURGICAL CENTER 0.51000 0.49000 MERCY PHYSICIAN COMMUNITY PHO LLC CONTRACTING AND SERVICES 0.50000 0.50000 NEWCO AMBULATORY SURGERY CENTER LLP DBA LAKESHORE SURGERY CENTER LLP SURGICAL CENTER 0.50000 0.50000 WEST MICHIGAN REGIONAL DELIVERY NETWORK LLC HEALTH INFORMATION MANAGEMENT 0.22000 0.33000 WATERFORD SURGICAL CENTER LLC SURGICAL CENTER 0.40000 0.54650 CRAWFORD MERCY PHO CONTRACTING SERVICES 0.50000 0.50000 WEXFORD MERCY PHO CONTRACTING SERVICES 0.50000 0.50000 SAINT JOSEPH MERCY HOSPITAL

5301 MCAULEY DR YPSILANTI MI 48197

X X X X SAINT JOSEPH MERCY LIVINGSTON HOSPITAL

620 BYRON RD HOWELL MI 48843

X X X X SAINT JOSEPH MERCY SALINE HOSPITAL

400 RUSSELL ST SALINE MI 48176

X X X CHELSEA COMMUNITY HOSPITAL

775 S MAIN CHELSEA MI 48118

X X X DIAGNOSTIC SERVICES CENTER

202 E VAN RIPER RD FOWLERVILLE MI 48836

LAB, IMAGING ST JOSEPH MERCY CHEMICAL DEPENDENT SVCS

2008 HOGBACK RD ANN ARBOR MI 48105

BEHAVIORAL MEDICINE SJMHS OUTPATIENT CLINIC

2310 E STADIUM BLVD ANN ARBOR MI 48104

REHAB PARKWAY MEDICAL CENTER

2345 S HURON PKWY ANN ARBOR MI 48104

LAB ST JOSEPH MERCY MAPLE HEALTH BUILDING

501 N MAPLE RD ANN ARBOR MI 48103

URGENT CARE SLEEP DISORDERS CENTER

5305 ELLIOTT DR YPSILANTI MI 48197

SLEEP CLINIC HURON OAKS

5401 MCAULEY DR YPSILANTI MI 48197

BEHAVIORAL MEDICINE SENIOR HEALTH BUILDING

5361 MCAULEY DR YPSILANTI MI 48197

NURSING HOME, EMPLOYED PHYSICIANS ARBOR SCIO PROFESSIONAL BUILDING

6360 JACKSON RD ANN ARBOR MI 48103

LAB HURON PROFESSIONAL BUILDING

704 W HURON ST ANN ARBOR MI 48103

LAB SUMMERWOOD CENTER

10299 E GRAND RIVER BRIGHTON MI 48116

BEHAVIORAL MEDICINE GENOA MEDICAL CENTER

2305 GENOA BUSINESS PARK DR BRIGHTON MI 48114

LAB, IMAGING ST JOSEPH MERCY WOODLAND HEALTH CENTER

7575 GRAND RIVER RD BRIGHTON MI 48114

LAB,IMAGING,URG CARE,THERAPY, ONCOLOGY ST JOSEPH MERCY WOODLAND HEALTH CNTR C

7575 GRAND RIVER RD BRIGHTON MI 48114

AMBULATORY SURG., EMPLOYED PHYSICIANS ST JOSEPH MERCY WOODLAND CANTON CENTER

1600 CANTON CENTER RD CANTON MI 48188

LAB,IMAGING,URG CARE,THERAPY,ONC., AMBULATORY SURG ST JOSEPH MERCY BEHAVIORAL SERVICES

2200 CANTON CENTER RD CANTON MI 48188

BEHAVIORAL MEDICINE CHELSEA PROFESSIONAL OFFICE BUILDING

14650 OLD US 12 CHELSEA MI 48118

WOMEN'S HEALTH, IMAGING CHELSEA HEALTH & WELLNESS CENTER

20800 OLD US 12 CHELSEA MI 48118

REHAB MONUMENT PARK BUILDING

8031 MAIN ST DEXTER MI 48130

EMPLOYED PHYSICIANS DUNDEE FAMILY CARE

119 WATERSTRADT COMMERCE DR DUNDEE MI 48131

PRIMARY CARE HARTLAND FAMILY CARE

10850 HIGHLAND RD HARTLAND MI 48353

PRIMARY CARE LIVINGSTON OBGYN ASSOCIATES

524 BYRON RD HOWELL MI 48843

WOMEN'S HEALTH ARBOR HEALTH BUILDING

990 W ANN ARBOR TRAIL PLYMOUTH MI 48170

LAB SALINE ADULT & PEDIATRIC MEDICINE

182 S INDUSTRIAL DR SALINE MI 48176

EMPLOYED PHYSICIANS FAMILY MEDICINE OF STOCKBRIDGE

4525 S M-52 STOCKBRIDGE MI 49285

EMPLOYED PHYSICIANS HAAB BUILDING

111 N HURON ST YPSILANTI MI 48197

EMPLOYED PHYSICIANS ARBOR PARK CENTRE

4972 CLARK RD YPSILANTI MI 48197

LAB MICHIGAN ORTHOPEDIC CENTER

5315 ELLIOTT DR YPSILANTI MI 48197

ORTHOPEDIC CARE ELLEN THOMPSON WOMEN'S CENTER

5320 ELLIOTT DR YPSILANTI MI 48197

WOMEN'S HEALTH MICHIGAN HEART & VASCULAR INSTITUTE

5325 ELLIOTT DR YPSILANTI MI 48197

CARDIOVASCULAR CARE REICHERT HEALTH BUILDING

5333 MCAULEY DR YPSILANTI MI 48197

LAB, IMAGING, URGENT CARE REICHERT HEALTH BUILDING (CONT'D)

5333 MCAULEY DR YPSILANTI MI 48197

EMPLOYED PHYSICIANS SAMARITAN CENTER

5555 CONNER DETROIT MI 48213

INDIGENT CARE WARDE MEDICAL LABORATORY

300 W TEXTILE RD ANN ARBOR MI 48108

LAB SAINT MARY'S HEALTH CARE

200 JEFFERSON STREET SE GRAND RAPIDS MI 49503

X X X X HAUENSTEIN CENTER

220 CHERRY STREET GRAND RAPIDS MI 49503

X X X LACKS CENTER

250 CHERRY STREET GRAND RAPIDS MI 49503

CANCER CENTER CHERRY BUILDING

245 CHERRY GRAND RAPIDS MI 48503

REHAB ADVANTAGE HEALTH BUILDING

1471 EAST BELTLINE GRAND RAPIDS MI 49525

LAB, IMAGING, EMPLOYED PHYS. ADVANTAGE HEALTH BUILDING

10047 CROSS ROADS COURT CALEDONIA MI 49316

LAB, IMAGING, REHAB SAINT MARY'S LAB SOUTHEAST

4340 CALLANDER SE GRAND RAPIDS MI 49508

LAB JEFFERSON BUILDING

260 JEFFERSON SE GRAND RAPIDS MI 49503

LAB SAINT MARY'S LAB NORTHWEST

933 THREE MILE NW GRAND RAPIDS MI 49504

LAB, REHAB RIVERTOWN BUILDING

3380 44TH STREET SW GRANDVILLE MI 49418

LAB, IMAGING, REHAB STANDALE BUILDING

1175 WILSON AVE NW WALKER MI 49534

LAB, IMAGING, REHAB SAINT MARY'S SOUTHWEST

2373 64TH STREET SW BYRON CENTER MI 49315

AMBULATORY SURGICAL CENTER SAINT MARY'S SOUTHWEST (CONT'D)

2373 64TH STREET SW BYRON CENTER MI 49315

URGENT CARE CENTER, REHAB SAINT MARY'S SOUTHWEST (CONT'D)

2373 64TH STREET SW BYRON CENTER MI 49315

LAB, IMAGING, EMPLOYED PHYS. WEGE BUILDING

300 LAFAYETTE GRAND RAPIDS MI 49503

LAB YMCA

475 LAKE MICHIGAN DR NW GRAND RAPIDS MI 49504

REHAB GR SPORTS CENTER

1640 E PARIS AVE SE GRAND RAPIDS MI 49546

REHAB GREEN STREET BUILDING

1375 W GREEN ST HASTINGS MI 49058

REHAB MICHIGAN ATHLETIC CLUB

2500 BURTON SE GRAND RAPIDS MI 49546

REHAB KENTWOOD BUILDING

1940 44TH ST SE KENTWOOD MI 49508

REHAB BROWNING CLAYTOR HEALTH CENTER

1246 MADISON SE GRAND RAPIDS MI 49507

FAMILY PRACTICE CENTER CLINICA SANTA MARIA

730 GRANDVILLE AVE SW GRAND RAPIDS MI 49503

FAMILY PRACTICE CENTER HEARTSIDE HEALTH CENTER

359 S DIVISION GRAND RAPIDS MI 49503

INDIGENT PRIMARY CARE CENTER 310 LAFAYETTE BUILDING

310 LAFAYETTE SE GRAND RAPIDS MI 49503

FAMILY PRACTICE CENTER SPARTA HEALTH CENTER

475 STATE STREET SPARTA MI 49345

FAMILY PRACTICE CENTER ST MARY MERCY HOSPITAL

36475 FIVE MILE ROAD LIVONIA MI 48154

X X X X MARIAN PROFESSIONAL BUILDING

14555 LEVAN ROAD LIVONIA MI 48154

RADIATION ONCOLOGY, REHAB, MRI MARIAN PROFESSIONAL BUILDING (CONT'D)

14555 LEVAN ROAD LIVONIA MI 48154

EMPLOYED PHYSICIANS WEST SIDE OBGYN

5800 N LILLEY RD CANTON MI 48187

OBSTETRICS MERCY HOSPITAL CADILLAC

400 HOBART STREET CADILLAC MI 49601

X X X MERCY HOSPITAL GRAYLING

1100 EAST MICHIGAN AVE GRAYLING MI 49738

X X X MERCY MANOR

1200 EAST MICHIGAN AVE GRAYLING MI 49738

LONG TERM CARE MERCY FAMILY CARE GRAYLING

1250 EAST MICHIGAN AVE GRAYLING MI 49738

EMPLOYED PHYSICIANS MERCY COMMUNITY HEALTH CENTER

2585 WEST HOUGHTON LAKE DRIVE PRUDENVILLE MI 48651

REHAB, IMAGING, LAB MERCY COMMUNITY HEALTH CENTER (CONT'D)

2585 WEST HOUGHTON LAKE DRIVE PRUDENVILLE MI 48651

EMPLOYED PHYSICIANS MERCY FAMILY CARE ROSCOMMON

234 LAKE STREET ROSCOMMON MI 48653

EMPLOYED PHYSICIANS WEXFORD BUILDING

7985 MACKINAW TRAIL CADILLAC MI 49601

EMPLOYED PHYSICIANS ST JOSEPH MERCY OAKLAND

44405 WOODWARD AVE PONTIAC MI 48341

X X X X MERCY MEDICAL GROUP-LAKE ORION

1375 S LAPEER RD LAKE ORION MI 48360

URGENT CARE, LAB, IMAGING, MERCY MEDICAL GROUP-LAKE ORION (CONT'D)

1375 S LAPEER RD LAKE ORION MI 48360

EMPLOYED PHYSICIANS ALICE GUSTAFSON AMBULATORY SURGERY CENTE

155 FULTON ST PONTIAC MI 48341

AMBULATORY SURGICAL CNTR, IMAGING MERCY MEDICAL GROUP-BLOOMFIELD HILLS OB

1750 TELEGRAPH RD BLOOMFIELD HILLS MI 48302

EMPLOYED PHYSICIANS MERCY MEDICAL GROUP-OAKLAND PHYSICIANS

2520 S TELEGRAPH RD BLOOMFIELD HILLS MI 48302

EMPLOYED PHYSICIANS, LAB KAROTECH BUILDING

2630 UNION LAKE RD COMMERCE TOWNSHIP MI 48382

EMPLOYED PHYSICIANS, LAB, REHAB AUBURN HILLS REHABILITATION CENTER

2721 UNIVERSITY DR AUBURN HILLS MI 48326

REHAB SLEEP DISORDERS CLINIC

3100 CROSS CREEK PKWY AUBURN HILLS MI 48341

SLEEP CLINIC LAKE ORION REHABILITATION CENTER

3800 BALDWIN RD ORION TOWNSHIP MI 48359

REHAB CLINICA SANTA TERESA MERCY PLACE

55 CLINTON ST PONTIAC MI 48342

OUTPATIENT CLINIC WATERFORD URGENT CARE CENTER

5800 HIGHLAND RD WATERFORD MI 48327

URGENT CARE, LAB, WATERFORD URGENT CARE CENTER (CONT'D)

5800 HIGHLAND RD WATERFORD MI 48327

EMPLOYED PHYSICIANS CLARKSTON OBGYN

6770 DIXIE HWY CLARKSTON MI 48346

EMPLOYED PHYSICIANS INDEPENDENCE POINTE

7210 ORTONVILLE RD CLARKSTON MI 48346

LAB MERCY MEDICAL GROUP-ROCHESTER

1812 ROCHESTER RD ROCHESTER HILLS MI 48307

EMPLOYED PHYSICIANS ST JOSEPH MERCY PORT HURON

2601 ELECTRIC AVE PORT HURON MI 48060

X X X GEORGE CARLEY ASSOCIATES

1943 HOLLAND PORT HURON MI 48060

LAB BLUE WATER ONCOLOGY BUILDING

2605 ELECTRIC AVE PORT HURON MI 48060

LAB MERCY FITRAC

2615 ELECTRIC AVE PORT HURON MI 48060

PHYSICAL THERAPY PEOPLES' CLINIC FOR BETTER HEALTH

3110 GOULDEN ST PORT HURON MI 48060

OUTPATIENT CLINIC MERCY HEALTH CENTER

4190 24TH AVE FORT GRATIOT MI 48059

LAB, IMAGING, URGENT CARE FITRAC - MARYSVILLE

782 HURON BLVD MARYSVILLE MI 48040

PHYSICAL THERAPY PINE REST

300 68TH STREET SE GRAND RAPIDS MI 49548

MENTAL HEALTH BERKLEY INTERNAL MEDICINE

1695 WEST 12 MILE RD BERKLEY MI 48072

EMPLOYED PHYSICIANS BIRMINGHAM URGENT CARE

2100 E MAPLE RD BIRMINGHAM MI 48009

EMPLOYED PHYSICIANS CAVA BUILDING

42557 WOODWARD BLOOMFIELD HILLS MI 48302

LAB LEXUS BUILDING

44200 WOODWARD STE 105 PONTIAC MI 48341

LAB SILVER PHOENIX BUILDING

5210 HIGHLAND RD WATERFORD MI 48328

EMPLOYED PHYSICIANS Part I, Line 6a: Trinity Health - Michigan reports its community benefit information as part of the consolidated community benefit information reported by Trinity Health in its annual report, available at www.trinity-health.org. In addition, the Hospital divisions of Trinity Health - Michigan include a copy of their most recent schedule H on their respective websites. Trinity Health also includes Trinity Health - Michigan's most recently filed Schedule H on its website. Part I, Line 7: The best available data was used to calculate the cost amounts reported in item 7. For certain categories, primarily total charity care and means-tested government programs, specific cost-to-charge ratios were calculated and applied to those categories. The cost-to-charge ratio was derived from worksheet 2, ratio of patient care cost-to-charges. In other categories, the best available data was derived from the Hospitals' cost accounting systems. Part I, Line 7f: The following number, $84,126,313, represents the amount of bad debt expense included in total functional expenses in Form 990, Part IX, Line 25. Per IRS instructions, this amount was excluded from the denominator when calculating the percent of total expense for Schedule H, Part I, Line 7, column (f). Part III, Line 4: Trinity Health - Michigan is included in the consolidated financial statements of Trinity Health. The following is the text of the allowance for doubtful accounts footnote from those statements: "Substantially all of the corporation's receivables are related to providing healthcare services to patients. Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. The corporation's estimate for its allowance for doubtful accounts is based upon management's assessment of historical and expected net collections by payor."Costing methodology for lines 2 and 3: Amounts are calculated on line 2 using a cost to charge ratio methodology.Any discounts provided or payments made to a particular patient account are applied to that patient account prior to any bad debt write-off and are thus not included in bad debt expense. As a result of the payment and adjustment activity being posted to bad debt accounts, we are able to report bad debt expense net of these transactions.In general, the AMOUNT ON LINE 3 was CALCULATED based on information received from external collection agencies. In addition, St. Mary's Health Care validates the collection agency amounts electronically using iSolutions, and confirms that amounts classified as charity care meet the hospital's Presumptive Charity Criteria. Part III, Line 8: Similar to CHA recommendations, which state that serving Medicare patients is not a differentiating feature of tax-exempt healthcare organizations and that the existing community benefit framework allows community benefit programs that serve the Medicare population to be counted in other community benefit categories, Trinity Health - Michigan does not believe any Medicare shortfall should be treated as community benefit.Part III, Line 8: Costing methodology for line 6 - Medicare costs were obtained from the filed Medicare cost report. The costs are based on Medicare allowable costs as reported on worksheet B, column 27, which exclude direct medical education costs. Inpatient Medicare costs are calculated based on a combination of allowable cost per day times Medicare days for routine services and cost to charge ratio times Medicare charges for ancillary services. Outpatient Medicare costs are calculated based on cost to charge ratio times Medicare charges by ancillary department. Part III, Line 9b: The organization's collection policy contains the criteria for financial assistance, and contains the following verbiage for arrangements with outside collection agencies: The agreement must define the standards and scope of practices to be used by outside collection agents acting on behalf of the organization, all of which must be in compliance with this policy. Part VI, Line 2: NEEDS ASSESSMENT - TRINITY HEALTH - MICHIGAN ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. TRINITY HEALTH - MICHIGAN IS COMPRISED OF SEVEN ENTITIES, EACH OF WHICH COMPLETES ITS OWN ASSESSMENT.A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR TRINITY HEALTH - MICHIGAN'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE TRINITY HEALTH - MICHIGAN COMMUNITY NEEDS ASSESSMENTS PROVIDE THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED- IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE TRINITY HEALTH - MICHIGAN COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES.THE COMMUNITY NEEDS ASSESSMENTS ARE CURRENT AS OF 2006 FOR GRAND RAPIDS; 2007 FOR PORT HURON, CADILLAC, LIVONIA AND OAKLAND; and 2008 FOR ANN ARBOR AND GRAYLING. Part VI, Line 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - TRINITY HEALTH - MICHIGAN IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE- BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AHA RECOMMENDATIONS, TRINITY HEALTH - MICHIGAN HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS:- PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSTRINITY HEALTH - MICHIGAN COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.TRINITY HEALTH - MICHIGAN OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES AND IN ADMISSION PACKAGES DURING INTAKE. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH IN SEVERAL COMMUNITIES, REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS.TRINTY HEALTH - MICHIGAN'S HOSPITALS HAVE ESTABLISHED WRITTEN POLICIES FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. TRINITY HEALTH - MICHIGAN MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. OUR HOSPITALS EDUCATE STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. Part VI, Line 4: COMMUNITY INFORMATION - SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) IS A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE AND SOUTHWESTERN OAKLAND COUNTIES. BASED ON 2009 DATA, THE AVERAGE HOUSEHOLD INCOME IN THE SJMHS SERVICE AREA IS $76,277 COMPARED TO THE AVERAGE FOR THE UNITED STATES OF $69,376. THIRTEEN PERCENT OF THE SERVICE AREA'S POPULATION IS BELOW FEDERAL POVERTY GUIDELINES. ABOUT 10% OF THE SERVICE AREA POPULATION RECEIVES MEDICAID OR OTHER ASSISTANCE, WHILE 13% ARE UNINSURED OR UNDERINSURED. THE NON-ENGLISH SPEAKING POPULATION COMPRISES 8.4% OF THE TOTAL.SAINT JOSEPH MERCY PORT HURON IS LOCATED IN ST. CLAIR COUNTY. BASED ON 2000 US CENSUS BUREAU DATA, ST. CLAIR COUNTY HAS 164,235 RESIDENTS, 94.9% OF WHOM ARE CAUCASIAN. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES ELEVEN ZIP CODES IN ST. CLAIR COUNTY AND TWO ZIP CODES IN SANILAC COUNTY. NONE OF THESE ZIP CODES RANK AS EXCELLENT COMPARED TO THE U.S. MEAN, AND NONE RANK POOR. THE AGE-ADJUSTED DEATH RATE IS MUCH HIGHER IN ST. CLAIR COUNTY THAN THE STATE OF MICHIGAN; AND THE PERCENTAGE OF INDIVIDUALS CATEGORIZED AS OBESE IN ST. CLAIR COUNTY IS HIGHER THAN THE STATE OF MICHIGAN OR THE UNITED STATES.St. Joseph Mercy Oakland is located in Pontiac, the poorest neighborhood in our service area, 22% of the population is without health insurance, including Medicare or Medicaid. Pontiac is a federally-designated medically underserved area, with a population of 66,300. Forty-seven percent of its children live in poverty. Most of SJMO community health benefit initiatives thus focus on Pontiac. In Pontiac, the unemployment rate is a staggering 29.1%, while the rate for Oakland County is 12.2%; for all of Michigan is 12.8%; and across the United States as of November 2010 is at 9.80%. The median per household income in Pontiac is only $40,239. In Oakland County it is $68,500; for all of Michigan it is $56,740; and across the United States is $51,425. Even more indicative of Pontiac's unique need and relative poverty in our service area is the city of Birmingham, just eight miles to the south, where the median household income is more than double that of Pontiac, at $93,440.ST. MARY MERCY LIVONIA'S PRIMARY SERVICE AREA INCLUDES CANTON, LIVONIA, NORTHVILLE, NOVI, PLYMOUTH, REDFORD AND WESTLAND. MANY OF THE RESIDENTS WORK OR WORKED IN THE AUTOMOTIVE INDUSTRY AND HAVE BEEN AFFECTED BY THE ECONOMIC CHALLENGES OF THE PAST 18 MONTHS. MANY RESIDENTS HAVE HAD HEALTH INSURANCE ALL THEIR LIVES AND NOW FIND THEMSELVES WITHOUT IT AND DO NOT KNOW HOW TO MANAGE THEIR HEALTH NEEDS. MEDIAN INCOME RANGES FROM $48,000 IN WESTLAND TO $99,000 IN NORTHVILLE, WITH 6.8% OF WESTLAND RESIDENTS AND 1.6% OF NORTHVILLE RESIDENTS LIVING BELOW THE POVERTY LINE. THE POPULATION OVER THE AGE OF 65 RANGES FROM 5.9% IN CANTON TO 16.2% IN PLYMOUTH.MERCY HOSPITAL GRAYLING SERVES A SPARSELY POPULATED, RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF CRAWFORD COUNTY (WHERE THE HOSPITAL IS LOCATED) AND MOST OF ROSCOMMON COUNTY, AS WELL AS MUCH OF OSCODA COUNTY AND SMALL PORTIONS OF MONTMORENCY AND OTSEGO COUNTIES. THERE ARE NEARLY 54,000 PEOPLE LIVING IN MERCY GRAYLING'S TWO COUNTY SERVICE AREA. GRAYLING'S MARKET IS SIGNIFICANTLY SKEWED TOWARD THE OLDER AGE GROUPS AND DEMAND FOR HEALTHCARE FOR POOR SENIORS WILL ONLY INCREASE OVER THE NEXT FIVE YEARS. THERE ARE JUST OVER 23,000 TOTAL HOUSEHOLDS IN THE SERVICE AREA, NEARLY 70% OF WHICH EARN LESS THAN $50,000 A YEAR. RECENTLY RELEASED SURVEY DATA SHOWS THAT 84% OF RESIDENTS IN THE GRAYLING, ROSCOMMON, MIO, AND PRUDENVILLE AREA HAVE EITHER PRIVATE OR GOVERNMENT-FUNDED HEALTH INSURANCE. AMONG THOSE WHO HAVE INSURANCE, 78% REPORT THAT THEY ARE FULLY INSURED WHILE 21% REPORT THAT THEY ARE UNDER-INSURED. UNEMPLOYMENT RATES IN CRAWFORD COUNTY REMAIN ABOVE THE NATIONAL AVERAGE AND HAVE NEARLY DOUBLED OVER THE LAST THREE YEARS. IN JUNE 2006, THE UNEMPLOYMENT RATE IN CRAWFORD COUNTY WAS 7%; THREE YEARS LATER IN JUNE 2009, THE UNEMPLOYMENT RATE WAS 15%.SAINT MARY'S HEALTH CARE IS LOCATED IN GRAND RAPIDS (KENT COUNTY), APPROXIMATELY 40 MILES EAST OF LAKE MICHIGAN. GRAND RAPIDS IS THE LARGEST CITY IN THE COUNTY AND THE SECOND LARGEST IN THE STATE. GRAND RAPIDS HAS A TOTAL POPULATION OF 192,435 AND KENT COUNTY 609,082. KENT COUNTY IS CONSIDERED THE PRIMARY MARKET AREA OF SAINT MARY'S HEALTH CARE, THOUGH THE HOSPITAL ATTRACTS PATIENTS FROM THE SURROUNDING COUNTIES OF OTTAWA, ALLEGAN, MUSKEGON, IONIA, AND BARRY. THE AVERAGE HOUSEHOLD INCOME FOR KENT COUNTY IS $62,504. TWENTY-FIVE PERCENT OF THE POPULATION IS BELOW THE AGE OF 18 AND 11% IS 65 YEARS OF AGE AND OLDER. EIGHTY-ONE PERCENT OF THE POPULATION IS WHITE, 9% BLACK, AND 7.5% LATINO. THE CURRENT UNEMPLOYMENT RATE IS 11.3%. THERE ARE A NUMBER OF MEDICALLY UNDERSERVED AREAS IN THE REGION, PARTICULARLY IN THE GRAND RAPIDS SERVICE AREA, WHICH IS WHERE SAINT MARY'S HOSPITAL IS LOCATED.MERCY HOSPITAL CADILLAC SERVES A RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF MISSAUKEE AND WEXFORD COUNTIES (WHERE THE HOSPITAL IS LOCATED), ALONG WITH PORTIONS OF OSCEOLA, KALKASKA, MANISTEE AND LAKE COUNTIES. THE SERVICE REGION ENCOMPASSES THE COMMUNITIES OF CADILLAC, LAKE CITY, MANTON, MESICK AND MCBAIN. MERCY HOSPITAL CADILLAC IS THE ONLY IN-PATIENT AND EMERGENCY SERVICE PROVIDER FOR THIS SERVICE REGION. WAGES AND BENEFITS TEND TO REMAIN BELOW STATE AVERAGES THROUGHOUT THE REGION, WHILE RATES OF POVERTY ARE ABOVE OR SIGNIFICANTLY ABOVE STATE AVERAGES. ALONG WITH THE LOW INCOME AND HIGH POVERTY RATES, MANY OF THE COUNTIES' RESIDENTS LACK MEDICAL INSURANCE. IN ALL COUNTIES, THE PERCENTAGE OF ELDERLY POPULATION EXCEEDS STATE (12.3%) AND NATIONAL (12.4%) AVERAGES. THE PERCENTAGE OF MEDICAID ENROLLEES IN MICHIGAN IS 20%, WITH MEDICAID ENROLLEE POPULATION IN THE SERVICE AREA CURRENTLY AVERAGING 25%. Part VI, Line 5: COMMUNITY BUILDING ACTIVITIES - Saint Joseph Mercy Health System (SJMHS) serves on community task forces and coalitions to help address the needs of the service area. SJMHS participates in Diversity Councils, Minister Associations, Health Coalitions, and Health Improvement Councils. The hospitals also provide an arena for young people to job shadow professionals in a variety of health careers.ST. JOSEPH MERCY PORT HURON (SJMPH) LEADERSHIP IS ACTIVELY INVOLVED IN COMMUNITY ACTIVITIES THROUGH REPRESENTATION ON VARIOUS COMMUNITY BOARDS. THIS INCLUDES COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS/WORKSHOPS TO IMPROVE OVERALL COMMUNITY HEALTH. COMMUNITY BOARD INVOLVEMENT INCLUDES LOCAL ORGANIZATIONS SUCH AS: The Goodwill Board of Directors - This Board serves both low income and mentally challenged individuals. By serving on the Board we can better identify programs and services for this population. The programs of Goodwill reach a large audience of disadvantaged individuals in our county. The community reaches out to Goodwill when individuals with a need have been identified. Employers (including SJMPH) assist with funding, work training, and health programs for this population. YMCA Board - This Board governs the local YMCA and provides services to the broader community, including low income, seniors, and mentally challenged individuals. By serving on the Board we can better identify programs and services for this population. The programs of YMCA reach a large audience of disadvantaged individuals in our county. The community reaches out to YMCA by providing support and utilization OF services. Employers (including SJMPH) assist with funding, work training, and health programs for this population. VNA Board - This Board governs the local Visiting Nurses Association and provides nursing services to the broader community, including low income and seniors. By serving on the Board we can better identify programs and services for this population. The services of VNA reach a large audience, including the disadvantaged individuals in our county. The community reaches out to VNA by providing support and utilization of services. Employers (including SJMPH) assist with funding and provide expertise and health programs for these populations.Baker College Advisory Board - The Board governs the college and provides input into instruction needed in the community, particularly in the health care fields. By serving on the Board, we can provide expertise and insight into the needs of the student community. The college reaches the broad community, but also disadvantaged students or those in need of retraining. It fills a gap for those currently unemployed. The local businesses assist in providing financial support, including scholarships to those needing assistance. Further, by serving on the Board, we help to identify the need for medical programs, such as nursing, radiology, and other ancillary technical programs. The college is embraced by the community since it is a more affordable alternative than attending a school outside the community.St. Clair County Community College Board of Directors - The Board governs the college and provides input into instruction needed in the community, particularly in the health care fields. By serving on the Board, we can provide expertise and insight into the needs of the student community. The college reaches the broad community, but also disadvantaged students or those in need of retraining. It fills a gap for those currently unemployed. The local businesses assist in providing financial support, including scholarships to those needing assistance. Further, by serving on the Board, we help to identify the need for medical programs, such as nursing, radiology, and other ancillary technical programs. The college is embraced by the community since it is a more affordable alternative than attending a school outside the community.Partners at Heart Board of Directors - This Board governs the area's Partners at Heart program and provides cardiac services to the broader community, including low income individuals and especially seniors. By serving on the Board we can better identify services for this population and look for ways to proactively improve the health of our community. The services of Partners at Heart reach a large portion of our senior population (including the low income population). The community reaches out to Partners at Heart by providing support and utilization of services. The local hospitals and medical providers support the programs with their time, money, and expertise in this field. Our community is able to receive local heart care which better reaches out to the broader community and those in lower income groups.Peoples' Clinic Physician Committee - This Board governs our People's Clinic which provides needed health services and prescriptions to the uninsured and underinsured. By serving on the Board we can better identify services for this population, look for ways to proactively improve the health of our community, and obtain volunteer services of doctors and other clinical personnel. The community reaches out to the Peoples' Clinic by providing support and utilization of services, volunteer services, and much needed financial support. The local hospitals and medical providers support the programs with their time, money, and expertise in this field. Our community is able to receive local heath care which better reaches out to those in lower income groups.St. Joseph Mercy Port Huron also worked to ensure preparedness for St. Clair County residents in the event of terrorism through the involvement in the Region 2 North Bioterrorism activity through the emergency department.St. Joseph Mercy Oakland conducts mandated bioterrorism readiness per the United States Department of Health and Human Services, in order to promote and protect the health and welfare of members of our community in the face of terrorism: chemical, biological, nuclear, etc. All members of our service community would benefit from our readiness as a subgroup of Michigan Region 2 North. Though it is hoped that these services will never be needed, the simple fact of our readiness - including but not limited to training, education, supplies, equipment, registration protocols, personal protective equipment, and pharmaceutical caches - is a public health good. The consequences of being unprepared make it a public health priority.Together with other hospitals and public service agencies in Region 2 North, we constantly prepare ourselves to meet the needs of our communities when threats occur. Region 2 North, along with others across the state and the nation, works in a coordinated manner to maximize effectiveness and minimize confusion and misuse of precious emergency resources. Our mutual goal is to educate health care professionals and the public, to improve access to healthcare when it is most needed, to maintain public health in dire circumstances, and work together at the local level to minimize strategic and financial strain on higher levels of government. The sole purpose of this endeavor is the well-being of our community. SEE SCHEDULE O FOR PART VI, LINE 5 CONTINUATION. Part VI, Line 6: OTHER INFORMATION - SAINT JOSEPH MERCY HEALTH SYSTEM LEADS AND COLLABORATES WITH OTHERS IN COMMUNITY HEALTH INITIATIVES. THE WASHTENAW HEALTH PLAN REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, THE UNIVERSITY OF MICHIGAN AND SJMHS TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. ST. JOSEPH MERCY ANN ARBOR WAS THE LEAD AGENCY IN THE ORIGINATION OF THE WASHTENAW HOUSING ALLIANCE, A COALITION OF NINE SOCIAL SERVICE AGENCIES DEALING WITH HOUSING OF VARIOUS TYPES, WHOSE MISSION IS TO END HOMELESSNESS IN WASHTENAW COUNTY. SJMHS ALSO OPERATES THREE CLINICS THAT SUPPLY FREE OR REDUCED-FEE HEALTH CARE SERVICES TO AT-RISK POPULATIONS.SINCE 1990, ST. JOSEPH MERCY PORT HURON HAS SPONSORED THE PEOPLES' CLINIC FOR BETTER HEALTH. THIS FREE CLINIC, LOCATED WITHIN THE GUADALUPE MISSION IN PORT HURON, IS OPERATED IN COLLABORATION WITH THE UNITED WAY AND THE ST. CLAIR COUNTY MEDICAL SOCIETY, WHICH PROVIDES VOLUNTEER PHYSICIANS. PRIMARY MEDICAL CARE IS PROVIDED FREE OF CHARGE EACH YEAR TO 3,000 18 TO 65 YEAR-OLDS WHO LACK INSURANCE OR ARE UNDERINSURED. IN ADDITION, APPROXIMATELY $1.3 MILLION IN PRESCRIPTION MEDICATIONS IS DISTRIBUTED ANNUALLY THROUGH THE CLINIC AT NO CHARGE TO PATIENTS.ST. JOSEPH MERCY OAKLAND HAS DEVELOPED A SCHOOL AT WORK PROGRAM THAT IDENTIFIES HOSPITAL ASSOCIATES WHO ARE AT THE LOWER END OF THE PAY SCALE, AND WORKS WITH THEM TO CREATE CAREER LADDERS TO POSITION THEM FOR UPWARDLY MOBILE HEALTHCARE JOBS AND CAREERS. MORE IMPORTANTLY, THE HOSPITAL HAS PARTNERED WITH LOCAL COLLEGES AND UNIVERSITIES TO PROVIDE CLASSES AND COURSEWORK TO IMPROVE THE LITERACY AND EDUCATIONAL STANDING OF THESE ASSOCIATES. EXTERNALLY, SJMO EDUCATES THE COMMUNITY ON FINANCIAL LITERACY AND BUDGETING THROUGH ITS HEALTHY START PROGRAM.MERCY HOSPITAL GRAYLING AND MERCY HOSPITAL CADILLAC EXTEND STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA FOR ALL APPROPRIATE DEPARTMENTS. THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY, PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS, AND PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. MEDICARE AND MEDICAID ARE THE PRIMARY PAYERS FOR THE HOSPITAL AND THE OUTPATIENT CLINICS.SAINT MARY'S HEALTH CARE IS A ONE-THIRD PARTNER, WITH THE MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE AND MARY FREE BED REHABILITATION HOSPITAL, IN THE COMMUNITY'S ONLY CERTIFIED ALS TREATMENT CENTER FOR LOU GEHRIG'S DISEASE. MEMBERS OF THE MANAGEMENT TEAM STAY CONNECTED TO THE COMMUNITY THROUGH THEIR INVOLVEMENT WITH OTHER COMMUNITY ORGANIZATIONS, INCLUDING MEMBERSHIP ON NUMEROUS BOARDS AND COMMITTEES. Part VI, Line 7: Trinity Health - Michigan is a member organization of Trinity Health, the fourth-largest Catholic health care system in the country. Based in Novi, Michigan, Trinity Health annually requires that all member organizations develop, and are held accountable for achieving, community benefit goals that include developing needed services or expanding access to services for low-income individuals. As a not-for-profit health system, Trinity Health reinvests its profits back into the community through programs to serve the poor and uninsured, manage chronic conditions like diabetes, health education and promotion initiatives, and outreach for the elderly. In Fiscal Year 2010, this included nearly $456 million in such community benefits. Therefore, Trinity Health takes a systems approach in its community benefit planning and implementation, and is consequently able to ensure that its member hospitals and other entities/affiliates are helping promote and address the health needs of their respective communities. For more information about Trinity Health, visit www.trinity-health.org. 1 ACADEMY OF THE SACRED HEART 1250 KENSINGTON ROAD BLOOMFIELD HILLS MI 48304 381358173 501(C)3 5000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)3 30000 GENERAL SUPPORT CADILLAC AREA COMMUNITY HEALTH CLINIC 400 HOBART STREET CADILLAC MI 49601 611401888 501(C)3 25000 42101 FAIR MARKET VALUE MEDICAL & CLINIC SUPPORT SERVICES SUPPORT OF FREE CLINIC CHILD ABUSE & NEGLECT COUNCIL DBA CARE HOUSE OF OAKLAND COUNTY INC 44765 WOODWARD AVENUE PONTIAC MI 48341 382305297 501(C)3 10375 5197 FAIR MARKET VALUE SUPPLIES SUPPORT OF OPERATIONS CATHOLIC MEDICAL MISSION BOARD INC 10 WEST 17TH STREET NEW YORK NY 10011 135602319 501(C)3 0 79350 FAIR MARKET VALUE MEDICAL SUPPLIES SUPPORT OF OPERATIONS LIVONIA PUBLIC SCHOOLS 15125 FARMINGTON ROAD LIVONIA MI 48154 386004173 LIVONIA SCHOOLS 10000 COMPETITIVE EDGE PROGRAM MANCHESTER HIGH SCHOOL 410 CITY ROAD MANCHESTER MI 48158 386028383 MANCHESTER SCHOOLS 5000 JUDY IVAN HEALTHY COMMUNITIES AWARD NEW HOPE SHELTER 814 LYNN STREET CADILLAC MI 49601 320019736 501(C)3 20345 FAIR MARKET VALUE PROVIDE HOUSING FOR UNFORTUNATE PROVIDE HOUSING FOR UNFORTUNATE OAKLAND UNIVERSITY SCHOOL OF NURSING 2200 NORTH SQUIRREL ROAD ROCHESTER MI 48309 381714400 501(C)3 19000 GENERAL SUPPORT PONTIAC SCHOOL DISTRICT 47200 WOODWARD AVE PONTIAC MI 48342 386003035 PONTIAC SCHOOLS 100000 GENERAL SUPPORT UNITED WAY OF WEXFORD COUNTY PO BOX 177 CADILLAC MI 49601 237112549 501(C)3 11500 UNITED WAY SUPPORT WORLD MEDICAL RELIEF INC 11745 ROSA PARKS BLVD DETROIT MI 48206 381575570 501(C)3 70566 FAIR MARKET VALUE MEDICAL SUPPLIES SUPPORT OF OPERATIONS SKIDMORE INC 301 W 4TH ST STE 300 ROYAL OAK MI 48067 381620903 10000 SPONSORSHIP NORTHVILLE TOWNSHIP FIRE DEPARTMENT 41600 SIX MILE RD NORTHVILLE MI 48168 386006917 FIRE DEPARTMENT 63637 FAIR MARKET VALUE TWO HEART MONITOR DEFIBULATORS GENERAL SUPPORT DETROIT WAYNE COUNTY HEALTH AUTHORITY ONE FORD PL STE 1B DETROIT MI 48202 810665571 DET WAYNE CO HLH AUT 405732 MEDICAID ACCESS TO CARE PROGRAM SUPPORT FOOD GATHERERS PO BOX 131037 ANN ARBOR MI 48113 382853858 501(C)3 20000 GENERAL SUPPORT GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN 2131 BEAUFAIT DETROIT MI 48207 382156255 501(C)3 20000 GENERAL SUPPORT LINCOLN CONSOLIDATED SCHOOLS 8970 WHITTAKER ROAD YPSILANTI MI 48197 386004035 LINCOLN AREA SCHOOLS 10000 JUDY IVAN HEALTHY COMMUNITIES AWARD WASHTENAW county public health 555 TOWNER STREET YPSILANTI MI 48197 386004894 washtenaw county 20000 GENERAL SUPPORT INFANT MORTALITY PROGRAM 45 CHANDLER STREET HIGHLAND PARK MI 48203 382262856 501(C)3 62500 GENERAL SUPPORT 19 1 SCHOLARSHIPS 34 65318 PRESCRIPTION MEDICATIONS 502 37104 FMV PRESCRIPTION MEDICATIONS Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: DONATIONS MADE BY TRINITY HEALTH - MICHIGAN TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. 1 X X X X X X 0 1 0 0 0 0 0 0 0 JOSEPH SWEDISH 0 1214458 0 1607837 0 200997 0 769899 0 28404 0 3821595 0 0 DANIEL HALE 0 445775 0 428171 0 186939 0 97226 0 18663 0 1176774 0 106685 AGNES HAGERTY 0 280978 0 50279 0 61061 0 29651 0 14802 0 436771 0 12393 JAMES BOSSCHER 0 293963 0 84444 0 58546 0 133319 0 8929 0 579201 0 0 MARIANNE CUNNINGHAM 0 159908 0 0 0 767 0 10386 0 17382 0 188443 0 0 KEDRICK ADKINS 0 712415 0 611975 0 129305 0 117250 0 12921 0 1583866 0 0 MICHAEL SLUBOWSKI 0 696108 0 681725 0 240008 0 125922 0 28467 0 1772230 0 94766 GARRY FAJA 0 533792 0 492205 0 265654 0 135683 0 21034 0 1448368 0 166752 PHILIP MCCORKLE 0 417598 0 404505 0 167367 0 169919 0 30762 0 1190151 0 75751 DAVID SPIVEY 0 332796 0 98382 0 66517 0 25522 0 16127 0 539344 0 20625 JOHN MACLEOD 0 216803 0 159148 0 35863 0 28597 0 19704 0 460115 0 0 STEPHANIE RIEMER-MATUZAK 0 206605 0 160068 0 34885 0 45934 0 23924 0 471416 0 1621 JACK WEINER 0 394565 0 397417 0 197593 0 57845 0 33554 0 1080974 0 105970 PETER KARADJOFF 0 247743 0 224466 0 49073 0 14508 0 21178 0 556968 0 9710 STEPHEN PIROG 0 247667 0 52070 0 49234 0 40866 0 21685 0 411522 0 15900 CHARLES HOFFMAN 0 376345 0 69754 0 50579 0 25764 0 21619 0 544061 0 33562 BARBARA HERTZLER 0 298311 0 72180 0 55668 0 45678 0 20747 0 492584 0 38848 DEBORAH ARMSTRONG 245974 0 0 0 0 0 0 0 0 0 245974 0 0 0 KATHLEEN RHINE 0 272943 0 51208 0 35833 0 22839 0 20360 0 403183 0 12733 RANDALL WAGNER 0 265697 0 55424 0 13639 0 23904 0 18124 0 376788 0 0 MICHAEL GUSHO 0 230838 0 53793 0 20578 0 21663 0 19913 0 346785 0 6127 CLAUDE LAUDERBACH 0 220172 0 42022 0 11886 0 32729 0 15746 0 322555 0 0 RICHARD O'CONNELL 0 440925 0 0 0 54218 0 11123 0 0 0 506266 0 0 ROBERT CASALOU 0 374872 0 67846 0 57064 0 23175 0 25229 0 548186 0 0 KATHLEEN GRIFFITHS 61570 120179 0 0 40031 20164 0 20395 1993 8410 103594 169148 0 0 JURGEN LUDERS MD 1555213 0 780154 0 2525 0 284234 0 24657 0 2646783 0 0 0 STEVEN R KLAFETA MD 1503287 0 549453 0 2511 0 265824 0 24587 0 2345662 0 0 0 BEHROOZ SHABAHANG 572824 0 0 0 1394 0 17812 0 20080 0 612110 0 0 0 ARTHUR MANOLI MD 515990 0 0 0 3707 0 40850 0 16067 0 576614 0 0 0 TALLAL ZENI 236472 0 270513 0 378 0 4469 0 15663 0 527495 0 0 0 EDWARD CHADWICK 0 67169 0 0 0 134624 0 11422 0 2816 0 216031 0 120531 PAUL BROWNE 0 444035 0 373582 0 94587 0 21265 0 23250 0 956719 0 34980 DEBRA CANALES 0 434848 0 430700 0 100933 0 17724 0 16122 0 1000327 0 0 PAUL CONLON 0 245581 0 235447 0 66897 0 68648 0 23507 0 640080 0 27124 TERRENCE O'ROURKE MD 0 448913 0 178650 0 140996 0 35108 0 25913 0 829580 0 0 PRESTON GEE 0 292234 0 96658 0 91111 0 30965 0 27462 0 538430 0 0 VELOIS BOWERS 0 255834 0 218247 0 52117 0 16468 0 11674 0 554340 0 0 LOUIS FIERENS 0 310095 0 283198 0 56798 0 13780 0 18069 0 681940 0 18259 MICHAEL HOLPER 0 244005 0 226201 0 54773 0 16019 0 24034 0 565032 0 17567 MARIA SZYMANSKI 0 409375 0 341626 0 88379 0 107710 0 16534 0 963624 0 47448 ROGER SPOELMAN 0 406506 0 367171 0 111439 0 67431 0 21534 0 974081 0 37936 GREGORY LOOMIS 0 274331 0 54983 0 29774 0 31715 0 17429 0 408232 0 16013 GARY ALLORE 0 240389 0 48380 0 14961 0 11339 0 18805 0 333874 0 0 DOUGLAS EDEMA 0 290549 0 54085 0 34988 0 27539 0 19740 0 426901 0 14244 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 ROBERT CASALOU - $11,105 PAUL CONLON - $15,062 GARRY FAJA - $76,838 PRESTON GEE - $11,179 DANIEL HALE - $52,144 JOHN MACLEOD - $3,894 PHILIP MCCORKLE - $125,372 PAUL NEUMANN - $3,990 STEPHANIE RIEMER-MATUZAK - $2,338 MICHAEL SLUBOWSKI - $42,832 DAVID SPIVEY - $3,017 ROGER SPOELMAN - $37,116 JOSEPH SWEDISH - $249,263 MARIA SZYMANSKI - $66,282 JACK WEINER - $18,276 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER SECTION 457(F). THE FOLLOWING 457(F) DEFERRALS FOR CALENDAR 2009 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: JURGEN LUDERS, MD - $273,145 STEVEN R. KLAFETA, MD - $255,775 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 PETER KARADJOFF - $163,577 PHILIP MCCORKLE - $275,409 JOHN MACLEOD - $96,849 STEPHANIE RIEMER-MATUZAK - $93,681 MICHAEL SLUBOWSKI - $403,918 ROGER SPOELMAN - $248,854 JOSEPH SWEDISH - $1,042,563 MARIA SZYMANSKI - $220,053 JACK WEINER - $260,378 MARY CONLON FAMILY MEMBER OF PAUL CONLON, FORMER KEY EMPLOYEE 73188 EMPLOYMENT ARRANGEMENT 0 ELIZABETH HOFFMAN FAMILY MEMBER OF CHARLES HOFFMAN, KEY EMPLOYEE 11103 EMPLOYMENT ARRANGEMENT 0 NORTHERN MICHIGAN SUPPLY ALLIANCE (NMSA) LOUIS FIERENS, FORMER KEY EMPLOYEE, IS A BOARD MEMBER OF NMSA 6135732 TRINITY HEALTH - MICHIGAN PURCHASED SUPPLIES FROM NMSA 0 KATHRYN TUNE FAMILY MEMBER OF BARBARA HERTZLER, KEY EMPLOYEE 58941 EMPLOYMENT ARRANGEMENT 0 DAVID RHINE FAMILY MEMBER OF KATHLEEN RHINE, KEY EMPLOYEE 16670 EMPLOYMENT ARRANGEMENT 0 METROPOLITAN DETROIT AREA HOSPITAL SERVICES INC CHARLES HOFFMAN, KEY EMPLOYEE, IS A BOARD MEMBER OF METRO DETROIT HOSP SVCS 2883865 TRINITY HEALTH - MICHIGAN PURCHASED LAUNDRY SERVICES FROM METRO DETROIT AREA HOSPITAL SERVICES, INC. 0 X 6 3892 SELLING PRICE X 3036 SELLING PRICE X 31977 SELLING PRICE X 1 5000 SELLING PRICE X 1 5100 SELLING PRICE X 28 8485 SELLING PRICE X 22 25952 SELLING PRICE X MISCELLANEOUS 130 62210 SELLING PRICE X JEWELRY 1 2109 SELLING PRICE 0 0 1 1 Third Party Use: Part I, Line 32b: Special event committee volunteers solicit non-cash contributions from local businesses. They solicit things to be used during the special event, such as food and items to be sold at the event auction. Form 990, Part VI, Section A, line 3 THE HOSPITAL DIVISIONS OF TRINITY HEALTH - MICHIGAN HAVE OCCASIONALLY CONTRACTED WITH INDIVIDUALS TO FILL MANAGEMENT POSITIONS ON AN INTERIM BASIS, INCLUDING THE POSITION OF CHIEF FINANCIAL OFFICER. WHILE THESE DUTIES WOULD CUSTOMARILY BE PERFORMED BY HOSPITAL EMPLOYEES, IT IS SOMETIMES NECESSARY TO USE CONTRACT HELP DURING TIMES OF EMPLOYEE TRANSITION. Form 990, Part VI, Section A, line 6 THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. Form 990, Part VI, Section A, line 7a TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN. Form 990, Part VI, Section A, line 7b AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS. Form 990, Part VI, Section B, line 11 PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH - MICHIGAN IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE BOARD OF TRUSTEES. THE BOARD RECEIVES A COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Section B, line 12c TRINITY HEALTH - MICHIGAN HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF TRINITY HEALTH - MICHIGAN, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH TRINITY HEALTH - MICHIGAN'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH - MICHIGAN OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO TRINITY HEALTH - MICHIGAN. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN ON AN ANNUAL BASIS. Form 990, Part VI, Section B, line 15 TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TRINITY HEALTH - MICHIGAN ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. Form 990, Part VI, Section C, line 19 TRINITY HEALTH - MICHIGAN IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, THE HOSPITAL DIVISIONS OF Trinity Health - Michigan INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES TRINITY HEALTH - MICHIGAN'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE. Form 990, Schedule H, Part VI, Line 5: Community building Activities ST. Mary Mercy Livonia has partnered with other organizations in the following community building activities to address childhood obesity, hypertension and physical activity for seniors, access to healthcare advocacy, and healthcare education. Partnering with the Westland Mall, St. Mary Mercy LIVONIA sponsored the children's playscape and walking club. The mall sought a hospital sponsor for these two activities as part of their initiative to improve the physical activity of children and seniors. Walking club members were provided with monthly blood pressure screenings and periodic health education seminars. There are 198 registered walkers and the monthly blood pressure screening averages 22 participants. Participants with borderline and abnormal blood pressures receive counseling at the site. Periodic meetings with local city government leaders and congressional leaders, involvement in seven Chambers of Commerce, and membership on the Circle of Care Coalition, YMCA Board, and HEMS BOARD provide us with venues to give and receive current information on the healthcare needs of the seven communities that comprise our primary service area. In FY10 these leaders looked to us as the health expert to help educate the people in their communities about the advantage of being vaccinated for H1N1 and to dispel myths about this type of flu. Working with the nursing students from two of the local universities, an H1N1 brochure was created and several parent seminars were conducted in the local schools. Listening to concerns of the city government officials about senior transportation for healthcare visits to the hospital, we have expanded this service and put together an infrastructure that would better steward the budget dollars for this program. The faith-based Circle of Care Coalition is comprised of community agencies working together to improve the health of the community. As part of this network we have provided free medical care to several individuals who needed specialized care that could not be provided at one of the two free clinics in the area. The Healthcare Partnership program is offered three times a year and the purpose of the program is education and advocacy of community leaders. Spending four hours shadowing a physician and other healthcare professionals provides leaders with a glimpse of the scope of services provided at the hospital. Seeing what happens in the Emergency Room, Operating Room, Cath lab and Cancer Services provides them with a greater understanding of the care provided in their local community, and the conversation that takes place after the experience educates them about the challenges of healthcare. Participants IN this event tell us that this experience is very helpful in their businesses and community activities. At times they have been advocates for healthcare reform. Faithful to our core values of respect, social justice, compassion, care of the poor and underserved and excellence, we serve as advocates for our patients by seeking court appointed guardians to make medical decisions for patients who are unable to do so for themselves. Committed to educating children now and in the future, St. Mary Mercy LIVONIA is one of 52 corporate sponsors for the Cristo Rey School in Detroit, Michigan. Detroit Cristo Rey opened in 2008 to increase Detroit's high school graduation rate of less than 25 percent. Two years ago there were eighty freshmen and this year almost 200 students fill the classrooms and hallways. Today, 95 percent of students enrolled at Detroit Cristo Rey have graduated and pursued college. Corporate sponsorship enables the students to fund their education while working and obtaining valuable experience in a healthcare environment. Seeing the birth of a child and sharing in the joy of this miraculous event, has profoundly affected the four students who have been working in the Birthing Center for the past three years. The Mercy Education Project (MEP) provides after-school tutoring and GED preparation, adult literacy and other educational life skills development services to girls and women in Detroit. St. Mary Mercy LIVONIA is one of the worksites for these women to gain the necessary skills to work in a healthcare organization. Mercy Hospital Grayling participates in numerous workforce development activities including hosting nursing student rotations, medical students and medical residents. Despite large financial losses in physician practices, Mercy Grayling also actively works to secure needed physician specialties for the service area including primary care, OB and surgery. Community Health Improvement through Coalition Building is also important in our community. Hospital leaders are members of the Grayling Promotional Association, Grayling Economic Development Committee, and Crawford and Roscommon Counties Collaborative Bodies which bring agencies together monthly including Public Health and Mental Health and is actively involved with the Crawford County Commission on Aging and River House, a local shelter for women and children. Mercy Hospital Cadillac conducts Physician Recruitment and Development, and attracts and retains physicians who will have a degree of longevity in our service area for the good of the community. Coalition building is also of great importance in our community. Hospital leaders are members of the Human Services Leadership Collaborative, the Cadillac Chamber of Commerce, the Community Health Coalition, the Mental Health & Substance Abuse Collaborative and Task Force, the Poverty Reduction Coalition, the Suicide Coalition and other community groups. Mercy Hospital Cadillac has developed a Community Outreach Department whose primary focus is to improve the health of the community. This is accomplished through collaboration with many of the human service organizations in the community, including the coordinating body, the Cadillac Area Health Coalition (CAHC). CAHC is comprised of area organizations that focus on serving the needs of the poor, uninsured and underinsured, serving as a resource for the development of mutual goals and objectives. FORM 990, PART I, DOING BUSINESS AS NAMES: MERCY HEALTH SERVICES, SJMHS SPECIALTY PHYSICIANS, MERCY SURGICAL CARE, SAINT MARY'S HEALTH CARE PROFESSIONAL FINANCIAL SERVICES, MERCY HEALTH, SJMHS ORTHOPEDIC SERVICES, SAINT MARY'S FAMILY PHARMACY-SOUTHWEST, SAINT MARY'S FAMILY PHARMACY-WEGE CENTER, SAINT MARY'S FAMILY PHARMACY-CATHEDRAL SQUARE, MERCY OUTPATIENT PHARMACY, MERCY HOSPITAL OUTPATIENT PHARMACY, SPORTX, CHELSEA ORTHOPEDIC SPECIALISTS, CHELSEACARE, SRSLY, CHELSEA COMMUNITY HOSPITAL CHILDREN'S CENTER, CHELSEA COMMUNITY HOSPITAL, DEXTER INTERNAL MEDICINE AND PEDIATRICS, WHITE OAK INN, WOMEN'S HEALTH CENTER, FAMILY MEDICINE OF STOCKBRIDGE, CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES, CHELSEACARE PHARMACY, CHELSEACARE HOME HEALTH, CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES), CHELSEA COMMUNITY HOSPITAL- A MEMBER OF THE SAINT JOSEPH MERCY HEALTHSYSTEM, ST. JOSEPH MERCY PORT HURON, SAINT MARY'S LTC PHARMACY, SAINT MARY'S CATHEDRAL SQUARE PHARMACY, MERCY PROFESSIONAL SERVICES, HEALTHFIRST MEDICAL CENTER, BALD MOUNTAIN DIAGNOSTIC IMAGING, WEXFORD ORTHOPEDICS, MERCY OB/GYN PARTNERS, CADILLAC OCCUPATIONAL MEDICINE, SAINT JOSEPH MERCY CENTER FOR ADVANCED MEDICINE AND SURGERY, CANTON CENTER FOR ADVANCED MEDICINE AND SURGERY, SAINT JOSEPH MERCY CANTON HEALTH CENTER, CANTON HEALTH CENTER, SAINT JOSEPH MERCY PHARMACY- SALINE, SAINT JOSEPH MERCY PHARMACY- REICHERT, SAINT JOSEPH MERCY PHARMACY- TOWERS, SAINT JOSEPH MERCY PHARMACY- HOWELL, ST. JOSEPH MERCY OAKLAND, ST. JOSEPH MERCY HOSPITAL- PONTIAC, MERCY HOSPITAL- PORT HURON, MERCY HOSPITAL- MUSKEGON, MERCY HOSPITAL- GRAYLING, MERCY HOSPITAL- CADILLAC, MERCY HOSPITAL, LIVINGSTON COMMUNITY HOSPICE, LEILA Y. POST MONTGOMERY HOSPITAL- BATTLE CREEK, SAMARITAN HEALTH CENTER- DETROIT, SALINE COMMUNITY HOSPITAL, ST. MARY'S HOSPITAL- GRAND RAPIDS, SAINT MARY'S HEALTH SERVICES- GRAND RAPIDS, MERCY GENERAL HEALTH PARTNERS, SAINT JOSEPH MERCY LIVINGSTON HOSPITAL, ST. JOSEPH MERCY HOSPITAL- ANN ARBOR, SAINT JOSEPH MERCY SALINE HOSPITAL, SAINT JOSEPH MERCY LIVINGSTON HOME CARE, MICHIGAN STROKE NETWORK REGISTRY, MICHIGAN STROKE NETWORK, OAKLAND HILLS OBSTETRICS & GYNECOLOGY, TRINITY INFORMATION SERVICES, ST. MARY MERCY HOSPITAL, MERCY ADVANTAGE, MICHIGAN CANCER INSTITUTE, SAINT MARY'S FAMILY PHARMACY- ECS, ST. MARY MERCY WOUND CARE CENTER, MERCY MEDICAL CENTER- NOVI, MERCY PRIMARY CARE CENTER- DETROIT PHARMACY, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVIOR & MEDICINE, SAINT MARY'S MERCY WOUND CARE CENTER, WESTSIDE OBSTETRICS AND GYNECOLOGY, MERCY PRIMARY CARE CENTER- DETROIT, MERCY NORTH OUTPATIENT PHARMACY, SAINT MARY'S MERCY MEDICAL CENTER, SAINT MARY'S MERCY HOSPITAL, SAINT MARY'S MERCY WEGE CENTER, HEALTH EXPLORATION STATION, ST. JOSEPH MERCY HEALTH SYSTEM, MUSKEGON GENERAL HOSPITAL, SAINT MARY'S FAMILY PHARMACY WEGE CENTER FOR HEALTH AND LEARNING, SAINT JOSEPH MERCY HEALTH NETWORK, SAINT JOSEPH MERCY HEALTH SYSTEM, CLINICA SANTA MARIA, SISTERS OF MERCY HEALTH CORPORATION, WEST MICHIGAN REGIONAL HEART AND VASCULAR INSTITUTE, MERCY MEDICAL GROUP, WESTSHORE FAMILY MEDICINE, SAINT MARY'S FAMILY PHARMACY- LTC, SILVER ADVANTAGE, MERCY HEALTH SERVICES NORTH, MERCY HOSPITALS AND HEALTH SERVICES OF DETROIT, MERCY FAMILY CARE, EVANGELICAL DEACONESS HOSPITAL, ST. JOSEPH MERCY HOSPITAL- PONTIAC, ST. JOSEPH MERCY PROFESSIONAL PHARMACY, MERCY GENERAL HEALTH PARTNERS SENIOR SERVICES, SAINT MARY'S HEALTH CARE, PARTNERS AT HEART, MERCY HEALTH PARTNERS- MUSKEGON GENERAL CAMPUS, MERCY HEALTH PARTNERS- MERCY CAMPUS Form 990, Part VII, Section A, Line 1, Column B: Estimate of the average hours per week devoted to related organizations: THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEDRICK ADKINS - 50 HOURS JAMES BOSSCHER - 48 HOURS VELOIS BOWERS - 45 HOURS PAUL BROWNE - 45 HOURS DEBRA CANALES - 45 HOURS PAUL CONLON - 45 HOURS MARIANNE CUNNINGHAM - 43 HOURS LOUIS FIERENS - 45 HOURS PRESTON GEE - 45 HOURS AGNES HAGERTY - 48 HOURS DANIEL HALE - 45 HOURS MICHAEL HOLPER - 45 HOURS PAUL NEUMANN - 45 HOURS RICHARD O'CONNELL - 50 HOURS TERRENCE O'ROURKE - 45 HOURS MICHAEL SLUBOWSKI - 50 HOURS JOSEPH SWEDISH - 50 HOURS MARIA SZYMANSKI - 45 HOURS FORM 990, PART VII, SECTION A, LINE 1: TRUSTEES: SR. SUZANNE BRENNAN, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. SUZANNE BRENNAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH - MICHIGAN. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES. SR. MARY MOLLISON, CSA, IS A MEMBER OF THE CONGREGATION OF SAINT AGNES. HAVING TAKEN A VOW OF POVERTY, SR. MARY MOLLISON DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH - MICHIGAN. INSTEAD, A TOTAL OF $24,250 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF SAINT AGNES FOR SR. MARY MOLLISON'S SERVICES. FORM 990, PART XI, LINE 2: TRINITY HEALTH - MICHIGAN'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY10 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH 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, transportation and education MI 501(C)(3) 9 Trinity Health-Michigan Professional Office Corporation 1303 EAST HERNDON AVE FRESNO CA 93720 942839324 HEALTHCARE SERVICES CA 501(C)(3) 11, TYPE I Saint Agnes Medical Center Saint Agnes Medical Center 1303 EAST HERNDON AVE FRESNO CA 93720 941437713 HEALTHCARE SERVICES CA 501(C)(3) 3 Trinity Health Corporation Saint Alphonsus Building Company Inc 1055 NORTH CURTIS RD BOISE ID 83706 820401011 Supports services of related hospital ID 501(C)(3) 11, TYPE I Saint Alphonsus Regional Medical Center Inc Saint Alphonsus Diversified Care Inc 1055 NORTH CURTIS RD BOISE ID 83706 943028978 Supports services of related hospital ID 501(C)(3) 11, TYPE I Saint Alphonsus Regional Medical Center Inc SAINT ALPHONSUS HEALTH SYSTEM INC 1055 N CURTIS ROAD BOISE ID 83706 271929502 HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) 11, TYPE I TRINITY HEALTH CORPORATION SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY 3325 POCAHONTAS ROAD BAKER CITY OR 97814 271790052 TO PROVIDE QUALITY HEALTH CARE OR 501(C)(3) 3 SAINT ALPHONSUS HEALTH SYSTEM INC SAINT ALPHONSUS MEDICAL CENTER-NAMPA 1512 12TH AVENUE ROAD NAMPA ID 83686 820200896 TO PROVIDE QUALITY HEALTH CARE ID 501(C)(3) 3 SAINT ALPHONSUS HEALTH SYSTEM INC SAINT ALPHONSUS MEDICAL CENTER-ONTARIO 351 SW 9TH STREET ONTARIO OR 97914 271789847 TO PROVIDE QUALITY HEALTH CARE OR 501(C)(3) 3 SAINT ALPHONSUS HEALTH SYSTEM INC Saint Joseph Regional Medical Center - Plymouth Campus Inc 1915 LAKE AVENUE PO BOX 670 PLYMOUTH IN 46563 351142669 Healthcare services IN 501(C)(3) 3 Saint Joseph Regional Medical Center Inc Saint Joseph Regional Medical Center - South Bend Campus Inc PO BOX 1935 SOUTH BEND IN 466341935 350868157 Healthcare services IN 501(C)(3) 3 Saint Joseph Regional Medical Center Inc Saint Joseph Regional Medical Center Inc 801 EAST LASALLE AVE SOUTH BEND IN 46617 351568821 Healthcare system management and support IN 501(C)(3) 11, TYPE I Trinity Health Corporation Saint Joseph's Auxiliary of Marshall County 1915 LAKE AVENUE PLYMOUTH IN 46563 356043563 Hospital Service Auxiliary IN 501(C)(3) 11, TYPE II Saint Joseph Regional Medical Center - Plymouth Campus Inc Saint Joseph's Tower Inc PO BOX 9184 FARMINGTON HILLS MI 483339184 311040468 Provides housing for low income elderly individuals IN 501(C)(3) 9 Trinity Continuing Care Services-Indiana Saint Mary's Amicare Home Healthcare 1430 MONROE NW GRAND RAPIDS MI 48905 383320700 Provide home health care services MI 501(C)(3) 11, TYPE I Trinity Home Health Services Inc Saint Mary's Doran Foundation CO Saint Mary's Health Care 200 JEFFERSON ST SE GRAND RAPIDS MI 49503 381779602 Supports services of related hospital MI 501(C)(3) 7 Trinity Health-Michigan St Alphonsus Regional Medical Center 1055 NORTH CURTIS RD BOISE ID 83706 820200895 Healthcare services ID 501(C)(3) 3 Trinity Health Corporation St John's Health System 27870 CABOT DRIVE NOVI MI 483772920 350877584 HEALTHCARE SERVICES (FORMERLY) IN 501(C)(3) 3 Trinity Health Corporation St Joseph Mercy Oakland Foundation 44405 WOODWARD AVE PONTIAC MI 48341 352356789 Supports services of related hospital MI 501(C)(3) 11, TYPE I Trinity Health-Michigan St Ann's Hospital 500 SOUTH CLEVELAND AVE WESTERVILLE OH 43081 314412701 HEALTHCARE SERVICES OH 501(C)(3) 3 Mount Carmel Health System ST ELIZABETH HEALTH CARE FOUNDATION 3325 POCAHONTAS ROAD BAKER CITY OR 97814 943164869 SUPPORT THE SERVICES OF RELATED HOSPITAL OR 501(C)(3) 7 SAINT ALPHONSUS MEDICAL CENTER-baker city St Joseph's Medical Center Auxiliary 801 E LASALLE AVE PO BOX 1935 SOUTH BEND IN 466341935 356033285 Hospital Service Auxiliary IN 501(C)(4) N/A Saint Joseph Regional Medical Center - South Bend Campus Inc The Foundation of Saint Joseph Regional Medical Center 4215 EDISON LAKES PARKWAY MISHAWAKA IN 46545 351654543 Supports services of related hospital IN 501(C)(3) 11, TYPE I Saint Joseph Regional Medical Center Inc Trinity Continuing Care Services PO BOX 9184 FARMINGTON HILLS MI 483339184 382559656 Management services for Long term care and senior living facilities MI 501(C)(3) 11, TYPE I Trinity Health Corporation Trinity Continuing Care Services - Indiana Inc PO BOX 9184 FARMINGTON HILLS MI 483339184 930907047 Provides long-term care and residential housing IN 501(C)(3) 9 Trinity Continuing Care Services Trinity Health - Michigan 27870 CABOT DRIVE NOVI MI 483772920 382113393 HEALTHCARE SERVICES MI 501(C)(3) 3 Trinity Health Corporation Trinity Health Corporation 27870 CABOT DRIVE NOVI MI 483772920 351443425 Healthcare system management and support IN 501(C)(3) 11, TYPE I N/A Trinity Health International 27870 CABOT DRIVE NOVI MI 483772920 421253527 Healthcare training and support services MI 501(C)(3) 11, TYPE I Trinity Health Corporation Trinity Health Welfare Benefit Trust 27870 CABOT DRIVE NOVI MI 483772920 208151733 Retiree medical and retiree life insurance coverage MI 501(C)(9) N/A Trinity Health Corporation Trinity Home Health Services Inc 17410 COLLEGE PARKWAY LIVONIA MI 48152 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