TRINITY HEALTH-MICHIGAN: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: TRINITY HEALTH-MICHIGAN (EIN 38-2113393)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-13
IRS object ID: 202611339349302291
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-13T08:53:51-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382113393	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY HEALTH - MICHIGAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TRIN	BusinessNameControlTxt
Phone	7343431000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1Txt
City	LIVONIA	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48152	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL GUSHO	PersonNm
Person Title	TREASURER AND CFO	PersonTitleTxt
Phone	7343431000	PhoneNum
Signature	2026-05-13	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O FOR LIST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	SHANNON STRIEBICH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1Txt
City	LIVONIA	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48152	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,564,533,481	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TRINITYHEALTHMICHIGAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	22156	TotalEmployeeCnt
Total Volunteers	694	TotalVolunteersCnt
Total Gross UBI	$59,685,773	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$27,209,167	PYContributionsGrantsAmt
CY Contributions Grants	$43,632,210	CYContributionsGrantsAmt
PY Program Service Revenue	$3,086,292,092	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,336,906,290	CYProgramServiceRevenueAmt
PY Investment Income	$95,787,095	PYInvestmentIncomeAmt
CY Investment Income	$91,853,022	CYInvestmentIncomeAmt
PY Other Revenue	$68,203,611	PYOtherRevenueAmt
CY Other Revenue	$82,533,844	CYOtherRevenueAmt
PY Total Revenue	$3,277,491,965	PYTotalRevenueAmt
CY Total Revenue	$3,554,925,366	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,011,991	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,911,034	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,318,404,595	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,356,672,748	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,989,707	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,747,643,034	PYOtherExpensesAmt
CY Other Expenses	$1,930,700,239	CYOtherExpensesAmt
PY Total Expenses	$3,070,059,620	PYTotalExpensesAmt
CY Total Expenses	$3,291,284,021	CYTotalExpensesAmt
PY Revenues Less Expenses	$207,432,345	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$263,641,345	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,151,647,965	TotalAssetsBOYAmt
Total Assets EOY	$5,655,695,551	TotalAssetsEOYAmt
Total Liabilities BOY	$1,492,256,618	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,557,913,310	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,659,391,347	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,097,782,241	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE, TRINITY HEALTH-MICHIGAN AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. TRINITY HEALTH-MICHIGAN IS A MEMBER OF TRINITY HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,976,914,085	ExpenseAmt
Grant	$3,911,034	GrantAmt
Revenue	$3,344,118,762	RevenueAmt
Desc	TRINITY HEALTH-MICHIGAN (TH-MI), A HEALTH CARE AND HOSPITAL SYSTEM, HAS BEEN A LEADER IN PATIENT CARE FOR MORE THAN 100 YEARS, COMMITTED TO THE QUALITY CARE OF PATIENTS AND THEIR FAMILIES. TH-MI OPERATES FIVE HOSPITALS ACROSS MICHIGAN, CONTAINING 1,801 LICENSED BEDS, AS WELL AS OUTPATIENT HEALTH CENTERS, URGENT CARE FACILITIES, PHYSICIAN OFFICES AND SPECIALTY CENTERS, AND COMMUNITY OUTREACH SITES. DURING FISCAL YEAR 2025, TH-MI HOSPITALS' EMPLOYEES, PHYSICIANS AND VOLUNTEERS PROVIDED OVER 456,000 DAYS OF CARE, AND PROVIDED HEALTH CARE SERVICES FOR OVER 2.7 MILLION OUTPATIENT VISITS, AND OVER 326,000 EMERGENCY ROOM VISITS.TH-MI ALSO OPERATES MERCY PRIMARY CARE CENTER IN DETROIT, PROVIDING MEDICAL SERVICES TO UNINSURED AND UNDERINSURED ADULTS, AS WELL AS SPECIAL PERSONAL ASSISTANCE SERVICES TO THE HOMELESS, INCLUDING SHOWERS AND CLEAN CLOTHING, AND ASSISTANCE IN ACCESSING EXISTING COMMUNITY PROGRAMS FOR HOUSING AND SUBSTANCE ABUSE TREATMENT.IN FISCAL 2025, TRINITY HEALTH - MICHIGAN (TH-MI) HOSPITALS PROVIDED OVER $88 MILLION IN UNCOMPENSATED BENEFITS TO THE COMMUNITY. TH-MI IS ACTIVELY ENGAGED IN THE COMMUNITY THROUGH BUSINESS, CIVIC AND SERVICE ORGANIZATIONS, AND THROUGH ITS FINANCIAL SUPPORT OF OTHER NOT-FOR-PROFIT ORGANIZATIONS AND SOCIAL SERVICES AGENCIES.PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.TRINITYHEALTHMICHIGAN.ORG	Desc
Total Program Service Expenses	$2,976,914,085	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1304	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	22156	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHEN NICHOLS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6145464710	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1Txt
City	LIVONIA	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48152	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DONNA DOLEMAN DICKERSON
DIRECTOR & CHAIR THROUGH 12/24	2.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
WAYMAN BRITT
DIR; CHR AS OF 1/25; V CHR THR 12/24	2.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
JEAN NAGELKERK PHD
DIRECTOR; VICE CHAIR AS OF 1/25	2.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
SHANNON STRIEBICH
DIR; PRESIDENT & CEO,MICHIGAN MARKET	40.00	15.00	Yes (X)	Yes (X)	$0	$1,467,006	$61,563
SARA DOLAN
DIRECTOR AS OF 1/25	2.00	3.00	Yes (X)		$0	$0	$0
ERIC FERGUSON MD
DIRECTOR	2.00	4.00	Yes (X)		$0	$0	$0
EDMUND HODGE
DIRECTOR; TRINITY HEALTH EVP, CHRO	2.00	53.00	Yes (X)		$0	$1,788,117	$58,915
JOSE INFANTE
DIRECTOR THROUGH 12/24	2.00	3.00	Yes (X)		$0	$0	$0
SPENCER MAIDLOW
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
SUZANNE MELLON PHD
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
WILLIAM MORRIS
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
LINDA WERTHMAN RSM
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
MICHAEL WILLIAMS
DIRECTOR AS OF 1/25	2.00	3.00	Yes (X)		$0	$0	$0
MICHAEL GUSHO
TREASURER; CFO, MICHIGAN REGION	40.00	10.00		Yes (X)	$0	$1,027,237	$52,646
MANDI MURRAY
SECRETARY;VP MANAGING CNSL, MICH REG	40.00	10.00		Yes (X)	$0	$579,582	$53,249
MATTHEW GRIFFIN MD
PRES & CMO TRINITY HEALTH LIVONIA	55.00	0.00			$0	$637,955	$59,581	Yes (X)
ALONZO LEWIS
PRESIDENT TRINITY HEALTH ANN ARBOR	54.00	1.00			$0	$1,140,828	$240,303	Yes (X)
JOHN O'MALLEY
PRESIDENT TRINITY HEALTH LIVINGSTON	55.00	0.00			$0	$516,609	$33,666	Yes (X)
MATTHEW BIERSACK MD
PRESIDENT TRINITY HLTH GRAND RAPIDS	54.00	1.00			$0	$777,971	$146,850	Yes (X)
FABIAN FREGOLI MD
CMO & PRES TRINITY HEALTH OAKLAND	55.00	0.00			$0	$618,866	$55,882	Yes (X)
TOMASINE MARX
VP FINANCE WEST MARKET	47.00	3.00			$0	$589,853	$48,003	Yes (X)
MELISSA KAROLAK
VP FINANCE TH LIVONIA & OAKLAND	50.00	0.00			$0	$409,225	$32,639	Yes (X)
DANIEL GREEN
VP FINANCE, WEST MICHIGAN	20.00	30.00			$0	$565,491	$55,680	Yes (X)
MICHAEL SAMYN
VP FINANCE TH OAKLAND THROUGH 7/24	50.00	0.00			$0	$426,370	$239,385	Yes (X)
ADEEB HARB
SENIOR VP OPERATIONS TH LIVONIA	50.00	0.00			$356,314	$0	$35,423	Yes (X)
FRANK SAWYER
SR VP OPERATIONS TRIN HEALTH OAKLAND	50.00	0.00			$373,300	$0	$50,115	Yes (X)
ROSALIE TOCCO-BRADLEY MD
CHIEF CLINICAL OFFICER, MI REGION	49.00	1.00			$0	$995,023	$49,839	Yes (X)
DAVID VANDENBERG MD
CMO TRINITY HEALTH ANN ARBOR & LIV	50.00	0.00			$0	$613,448	$46,104	Yes (X)
BRANDON FRANCIS MD
CMO TRINITY HEALTH GRAND RAPIDS	50.00	0.00			$0	$517,750	$48,393	Yes (X)
LACEY SAPKIEWICZ
SR VP OPERATIONS TH ANN ARBOR & LIV	49.00	1.00			$289,094	$0	$33,488	Yes (X)
KARSTEN FLIEGNER MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00	0.00			$573,353	$527,126	$79,973		Yes (X)
MARC SILVER MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00	0.00			$549,241	$526,364	$81,856		Yes (X)
CHARLES SCHWARTZ MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00	0.00			$524,180	$448,133	$69,397		Yes (X)
TYLER BEUTE MD
ANESTHESIOLOGIST (GRAND RAPIDS)	50.00	0.00			$559,430	$0	$51,725		Yes (X)
KELLY SMITH
CHIEF STRATEGY OFFICER MI AND OH	40.00	10.00			$0	$806,114	$24,311		Yes (X)
DAVID SPIVEY
FORMER KEY EMPLOYEE	0.00	0.00			$0	$656,763	$387,968			Yes (X)
KURT MACDONALD
FORMER KEY EMPLOYEE	0.00	0.00			$121,981	$0	$0			Yes (X)
KARLA ZARB
FORMER KE; VP SURG SVCS TH ANN ARBOR	50.00	0.00			$0	$324,131	$44,364			Yes (X)
ROBERT CASALOU
FMR OFFICER;PRES & CEO MI AND SE REG	40.00	15.00			$0	$2,157,996	$49,044			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,346,893	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$18,117,958	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,190,362	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2052	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CCS CAPTURIS LLC
3131 TECHNOLOGY DR NW	MANDAN	ND	58554	BILLING SERVICES	$18,504,036
UHS OF DELAWARE INC
367 SOUTH GULPH ROAD	KING OF PRUSSIA	PA	19406	HEALTH CARE SERVICES	$11,980,034
AIMS GROUP INC
4421 ZENITH ST	METAIRIE	LA	70001	CONSULTING SERVICES	$6,243,486
ANESTHESIA ASSOCIATES OF ANN ARBOR PC
2006 HOGBACK RD STE 5A	ANN ARBOR	MI	48105	HEALTH CARE SERVICES	$6,239,414
METROPOLITAN DETROIT AREA HOSPITAL SERVI
1150 ELIJAH MCCOY DR	DETROIT	MI	48202	LAUNDRY SERVICES	$6,172,429

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	264	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$70,040	FederatedCampaignsAmt
Related Organizations	$4,144,516	RelatedOrganizationsAmt
Government Grants	$20,777,994	GovernmentGrantsAmt
All Other Contributions	$18,639,660	AllOtherContributionsAmt
Noncash Contributions	$184,913	NoncashContributionsAmt
Total Contributions	$43,632,210	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$3,107,694,684	$3,107,694,684
PHARMACY REVENUE	456110	$205,305,646	$154,216,020	$51,089,626
LABORATORY REVENUE	621500	$23,905,960	$15,309,813	$8,596,147

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,336,906,290	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,830,805	TotalRevenueColumnAmt
Exclusion	$70,830,805	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,503,143	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,138,446	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$364,697	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$364,697	TotalRevenueColumnAmt
Exclusion	$364,697	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$20,492,867	SecuritiesAmt
Other	$529,350	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$20,492,867	SecuritiesAmt
Other	$529,350	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,022,217	TotalRevenueColumnAmt
Exclusion	$21,022,217	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$4,069,002	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,469,669	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,599,333	TotalRevenueColumnAmt
Exclusion	$1,599,333	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	722514	$13,671,569	$13,671,569
PROVIDER INCENTIVE	622110	$2,622,384		$2,622,384
MANAGEMENT SERVICES REVENUE	622110	$485,053		$485,053

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63,790,808	TotalRevenueColumnAmt
Related Or Exempt Func Income	$63,790,808	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$80,569,814	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,554,925,366	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,344,118,762	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$59,685,773	UnrelatedBusinessRevenueAmt
Exclusion	$107,488,621	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,514,539	TotalAmt
Program Services	$3,514,539	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$396,495	TotalAmt
Program Services	$396,495	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,805,201	TotalAmt
Management And General	$11,805,201	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,433,842	TotalAmt
Program Services	$104,610	ProgramServicesAmt
Management And General	$2,329,232	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,104,662,399	TotalAmt
Program Services	$1,053,245,462	ProgramServicesAmt
Management And General	$49,245,903	ManagementAndGeneralAmt
Fundraising	$2,171,034	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$60,069,118	TotalAmt
Program Services	$56,924,235	ProgramServicesAmt
Management And General	$3,027,546	ManagementAndGeneralAmt
Fundraising	$117,337	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$96,981,025	TotalAmt
Program Services	$91,878,650	ProgramServicesAmt
Management And General	$4,912,983	ManagementAndGeneralAmt
Fundraising	$189,392	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$80,721,163	TotalAmt
Program Services	$75,955,179	ProgramServicesAmt
Management And General	$4,615,302	ManagementAndGeneralAmt
Fundraising	$150,682	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$199	TotalAmt
Program Services	$199	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,684,250	TotalAmt
Management And General	$1,684,250	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$9,652	TotalAmt
Management And General	$9,652	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$138,869	TotalAmt
Program Services	$138,869	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$6,046,348	TotalAmt
Management And General	$6,046,348	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$178,555,232	TotalAmt
Program Services	$161,634,615	ProgramServicesAmt
Management And General	$16,783,983	ManagementAndGeneralAmt
Fundraising	$136,634	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$12,053,700	TotalAmt
Program Services	$664,558	ProgramServicesAmt
Management And General	$11,343,189	ManagementAndGeneralAmt
Fundraising	$45,953	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,278,241	TotalAmt
Program Services	$18,815,687	ProgramServicesAmt
Management And General	$5,439,885	ManagementAndGeneralAmt
Fundraising	$22,669	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$100,345,452	TotalAmt
Program Services	$79,547,337	ProgramServicesAmt
Management And General	$20,782,239	ManagementAndGeneralAmt
Fundraising	$15,876	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$62,158,250	TotalAmt
Program Services	$58,399,107	ProgramServicesAmt
Management And General	$3,759,143	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,042,220	TotalAmt
Program Services	$5,169,107	ProgramServicesAmt
Management And General	$867,383	ManagementAndGeneralAmt
Fundraising	$5,730	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,499,558	TotalAmt
Program Services	$2,876,032	ProgramServicesAmt
Management And General	$618,811	ManagementAndGeneralAmt
Fundraising	$4,715	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$25,935,418	TotalAmt
Program Services	$25,935,418	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$120,071,509	TotalAmt
Program Services	$75,385,503	ProgramServicesAmt
Management And General	$44,658,380	ManagementAndGeneralAmt
Fundraising	$27,626	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$21,806,785	TotalAmt
Program Services	$21,785,864	ProgramServicesAmt
Management And General	$20,921	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXP	$766,784,168	$766,784,168
I/C PURCHASED SERVICES	$348,924,454	$235,065,244	$113,859,210
HOSPITAL PROVIDER TAX	$135,063,465	$135,063,465
BAD DEBT EXPENSE	$50,983,167	$50,983,167

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$66,319,302	TotalAmt
Program Services	$56,646,575	ProgramServicesAmt
Management And General	$9,570,668	ManagementAndGeneralAmt
Fundraising	$102,059	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,291,284,021	TotalAmt
Program Services	$2,976,914,085	ProgramServicesAmt
Management And General	$311,380,229	ManagementAndGeneralAmt
Fundraising	$2,989,707	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,307,098	BOYAmt
EOY	$3,789,165	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,072,540	BOYAmt
EOY	$14,124,539	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$444,237,014	BOYAmt
EOY	$462,549,967	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$50,487,198	BOYAmt
EOY	$51,879,743	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$39,113,596	BOYAmt
EOY	$45,356,939	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,055,850,106	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,915,177,540	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,062,908,858	BOYAmt
EOY	$1,140,672,566	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,851,967,811	BOYAmt
EOY	$2,063,583,302	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$774,086,301	BOYAmt
EOY	$866,367,697	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,524,823	BOYAmt
EOY	$31,527,039	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$884,942,726	BOYAmt
EOY	$975,844,594	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,151,647,965	BOYAmt
EOY	$5,655,695,551	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$254,142,597	BOYAmt
EOY	$235,705,265	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,666,258	BOYAmt
EOY	$2,462,253	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$76,204	BOYAmt
EOY	$253,519	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,234,371,559	BOYAmt
EOY	$1,319,492,273	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,492,256,618	BOYAmt
EOY	$1,557,913,310	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,585,422,333	BOYAmt
EOY	$4,005,375,240	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,969,014	BOYAmt
EOY	$92,407,001	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,659,391,347	BOYAmt
EOY	$4,097,782,241	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,151,647,965	BOYAmt
EOY	$5,655,695,551	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$263,641,345	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$191,750,859	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,001,310	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$74,889	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$138,869	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$213,758	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	TRINITY HEALTH - MICHIGAN (TH-MI) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED TH-MI WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. TH-MI ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION TO BE OF INTEREST TO TH-MI.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,024,497	BeginningYearBalanceAmt
Contributions	$220,880	ContributionsAmt
Investment Earnings Or Losses	$2,767,991	InvestmentEarningsOrLossesAmt
Other Expenditures	$35,054	OtherExpendituresAmt
End Year Balance	$27,978,314	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,430,662	BeginningYearBalanceAmt
Contributions	$15,251	ContributionsAmt
Investment Earnings Or Losses	$2,223,331	InvestmentEarningsOrLossesAmt
Other Expenditures	-$355,253	OtherExpendituresAmt
End Year Balance	$25,024,497	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,391,724	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,873,261	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,834,323	OtherExpendituresAmt
End Year Balance	$22,430,662	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,255,104	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,852,358	InvestmentEarningsOrLossesAmt
Other Expenditures	$11,022	OtherExpendituresAmt
End Year Balance	$24,391,724	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,342,766	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,918,426	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,088	OtherExpendituresAmt
End Year Balance	$26,255,104	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,653,103	OtherCostOrOtherBasisAmt
Book Value	$47,653,103	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,482,805,842	OtherCostOrOtherBasisAmt
Depreciation	$884,724,848	DepreciationAmt
Book Value	$598,080,994	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,917,578	OtherCostOrOtherBasisAmt
Depreciation	$73,969,640	DepreciationAmt
Book Value	$58,947,938	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,201,229,272	OtherCostOrOtherBasisAmt
Depreciation	$952,887,200	DepreciationAmt
Book Value	$248,342,072	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,244,311	OtherCostOrOtherBasisAmt
Depreciation	$3,595,852	DepreciationAmt
Book Value	$187,648,459	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,140,672,566	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	$173,273,539	F
EQUITY METHOD INVESTMENTS	$606,457,388	C
HEDGE FUNDS	$86,636,770	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$866,367,697	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$6,066,272
INTERCOMPANY ACCOUNTS RECEIVABLE	$717,928,814
INVESTMENT IN UNCONSOLIDATED AFFILIATES	$37,051,080
INTERCOMPANY OTHER LT ASSETS	$151,789,401
OTHER LONG-TERM ASSETS	$504,294
OPERATING LEASE RIGHT-OF-USE ASSETS	$62,504,733

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$975,844,594	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
INTERCOMPANY ACCOUNTS PAYABLE	$485,871,790
DEFERRED COMPENSATION	$41,138,481
ASSET RETIREMENT OBLIGATION (FIN 47)	$5,740,867
ANNUITIES PAYABLE	$596,640
INTERCOMPANY NOTES PAYABLE	$698,338,330
OTHER LONG-TERM LIABILITIES	$6,985,393
OPERATING LEASE LIABILITIES	$72,945,560
OTHER CURRENT LIABILITIES	$7,875,212

Field	Value	IRS element (for citing)
Total Liability	$1,319,492,273	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	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.
SCHEDULE D, PART V	THE ENDOWMENTS REPORTED ON LINE 1 ARE HELD BY TH-MI. ENDOWMENTS HELD BY SAINT MARY'S FOUNDATION AND MERCY HOSPITAL CADILLAC FOUNDATION FOR THE BENEFIT OF TH-MI ARE REPORTED ON THE FORM 990 OF SAINT MARY'S FOUNDATION AND MERCY HOSPITAL CADILLAC FOUNDATION.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,112,495	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,112,495	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$438,856,739	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$470,378,704	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,818,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,452,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,365,834	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$477,787,965	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$479,831,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,478,329	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	83	ActivitiesOrProgramsCnt
Persons Served	23717	PersonsServedCnt
Total Community Benefit Expns	$22,834,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,208,887	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,625,206	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	2156	PersonsServedCnt
Total Community Benefit Expns	$106,061,083	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,201,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,860,036	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	2929	PersonsServedCnt
Total Community Benefit Expns	$62,885,262	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,688,080	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,197,182	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,920,857	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,975,650	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,945,207	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	47	ActivitiesOrProgramsCnt
Persons Served	3307	PersonsServedCnt
Total Community Benefit Expns	$4,757,564	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$542,198	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,215,366	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	181	ActivitiesOrProgramsCnt
Persons Served	32109	PersonsServedCnt
Total Community Benefit Expns	$204,458,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$113,615,862	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,842,997	NetCommunityBenefitExpnsAmt
Total Expense	0.02800	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	181	ActivitiesOrProgramsCnt
Persons Served	32109	PersonsServedCnt
Total Community Benefit Expns	$682,246,824	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$593,447,463	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$120,321,326	NetCommunityBenefitExpnsAmt
Total Expense	0.03710	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$20,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$404	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$404	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	9099	PersonsServedCnt
Total Community Benefit Expns	$75,138	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,138	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	9099	PersonsServedCnt
Total Community Benefit Expns	$95,542	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$95,542	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$50,983,167	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$453,296,437	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$449,928,198	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,368,239	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 CENTER FOR DIGESTIVE CARE LLC
SURGICAL CENTER	0.51000	0.49000
2 HEALTH PARK CENTRAL LLC
MEDICAL OFFICE BUILDING	0.10550	0.80800
3 SIXTY FOURTH STREET LLC
SURGICAL CENTER	0.56540	0.43460
4 HURON GASTRO ENDOSCOPY CENTER LLC
SURGICAL CENTER	0.51000	0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
TRINITY HEALTH ANN ARBOR HOSPITAL
1	5301 MCAULEY DR	YPSILANTI	MI	48197	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000071	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
TRINITY HEALTH GRAND RAPIDS HOSPITAL
2	200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000030	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
TRINITY HEALTH OAKLAND HOSPITAL
3	44405 WOODWARD AVE	PONTIAC	MI	48341	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000013	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
TRINITY HEALTH LIVONIA HOSPITAL
4	36475 FIVE MILE RD	LIVONIA	MI	48154	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000001	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
TRINITY HEALTH LIVINGSTON HOSPITAL
5	620 BYRON RD	HOWELL	MI	48843	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000033	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (37 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: TRINITY HEALTH ANN ARBOR HOSPITAL, - FACILITY 2: TRINITY HEALTH GRAND RAPIDS HOSPITAL, - FACILITY 3: TRINITY HEALTH OAKLAND HOSPITAL, - FACILITY 4: TRINITY HEALTH LIVONIA HOSPITAL, - FACILITY 5: TRINITY HEALTH LIVINGSTON HOSPITAL
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 3J:	N/ALINE 3E: TRINITY HEALTH ANN ARBOR HOSPITAL (THAA) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THAA WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH2. ACCESS TO SERVICES (EMPHASIS ON FOOD ACCESS AND MATERNAL/INFANT ACCESS)3. HOUSING
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 5:	TRINITY HEALTH ANN ARBOR, CHELSEA HOSPITAL, AND U-M HEALTH HAVE ONCE AGAIN JOINED FORCES TO CONDUCT A COMPREHENSIVE CHNA, MARKING THEIR FOURTH COLLABORATIVE EFFORT SINCE 2016. THIS COLLABORATIVE EFFORT IS KNOWN AS UNITE, WHICH STANDS FOR UNIFIED NEEDS ASSESSMENT IMPLEMENTATION PLAN TEAM ENGAGEMENT. THE WASHTENAW COUNTY HEALTH DEPARTMENT ALSO SITS AT THE UNITE TABLE AS A CRITICAL PARTNER IN THIS WORK. IN ADDITION, UNITE COLLABORATED WITH SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION TO COMPILE A COMPREHENSIVE LIST OF POPULATION HEALTH DATA FROM MULTIPLE SOURCES INCLUDING LOCAL, STATE, AND FEDERAL LEVEL DATA.IN APRIL 2023, UNITE LAUNCHED THE 15-MONTH 2024 CHNA PROCESS. THROUGHOUT THIS PERIOD, UNITE THOUGHTFULLY IDENTIFIED AND ENGAGED COMMUNITY MEMBERS AND COMMUNITY LEADERS WITHIN GREATER WASHTENAW COUNTY (WASHTENAW COUNTY, GRASS LAKE, AND STOCKBRIDGE) THROUGH KEY STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEYS. IN ADDITION, DATA COLLECTION WAS FACILITATED THROUGH VIRTUAL AND IN-PERSON FOCUS GROUPS WITH WELLNESS COALITIONS, SAFETY NET ORGANIZATIONS, FOOD PANTRIES, AND MINISTERIAL ASSOCIATIONS. ENGAGED ORGANIZATIONS INCLUDED, BUT WERE NOT LIMITED TO: THE WASHTENAW HEALTH INITIATIVE, DELONIS CENTER, PARKRIDGE COMMUNITY CENTER, AND DISABILITY NETWORK WASHTENAW MONROE LIVINGSTON. THESE ORGANIZATIONS PLAY A CRUCIAL ROLE IN REPRESENTING LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS WITHIN THE SERVICE AREA OF TRINITY HEALTH ANN ARBOR.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 6A:	THAA CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH CHELSEA HOSPITAL AND U-M HEALTH.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 6B:	THAA CONDUCTED THE CHNA WITH THE WASHTENAW COUNTY HEALTH DEPARTMENT AND SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 7D:	THAA PROVIDED REGULAR UPDATES ON THE ADVANCEMENT OF THE CHNA PROGRAMS AND SERVICES THROUGH COMMUNITY PRESENTATIONS AND DISSEMINATING IMPACT REPORTS. THESE VALUABLE DOCUMENTS ARE MADE ACCESSIBLE FOR PARTNERS TO SHARE WITH THEIR CONSTITUENTS, ENSURING TRANSPARENCY AND COLLABORATION.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 11:	TRINITY HEALTH ANN ARBOR (THAA) ADDRESSED THE FOLLOWING SIGNIFICANT HEALTH NEEDS IN FY25:MENTAL HEALTH:TRINITY HEALTH - MICHIGAN LAUNCHED A REGIONAL BEHAVIORAL HEALTH SERVICE LINE TO EXPAND ACCESS, STRENGTHEN PROVIDER RESOURCES, AND COORDINATE CARE ACROSS THE STATE. LOCALLY, THAA DEVELOPED A WORKFORCE PROGRAM TO RECRUIT AND SUPERVISE UNDERGRADUATE AND GRADUATE THERAPY CANDIDATES, EXPANDING JOB POSTINGS TO INCLUDE MASTER-LEVEL DISCIPLINES BEYOND SOCIAL WORK.THAA STRENGTHENED COMMUNITY PARTNERSHIPS IN MENTAL HEALTH AND SUBSTANCE USE THROUGH ITS INVESTMENT IN OUR COMMUNITIES GRANT PROGRAM, WHICH PROVIDED DIRECT FUNDING TO LOCAL ORGANIZATIONS TO EXPAND BEHAVIORAL HEALTH SERVICES AND BUILD A MORE CONNECTED, RESPONSIVE CARE NETWORK. IN ADDITION, THAA CONNECTED PATIENTS AND COMMUNITY MEMBERS TO PEER RECOVERY COACHES, SEXUAL ASSAULT NURSE EXAMINERS, SMOKING CESSATION COUNSELORS, MEDICAL SOCIAL WORKERS, AND COMMUNITY HEALTH WORKERS (CHW'S) TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE.LASTLY, THAA IMPLEMENTED PROJECT SUCCESS, A SCHOOL-BASED PROGRAM IN MIDDLE AND HIGH SCHOOLS. COUNSELORS WORKED TO REDUCE RISK FACTORS AND STRENGTHEN PROTECTIVE FACTORS RELATED TO SUBSTANCE USE THROUGH INDIVIDUAL COUNSELING, GROUP SESSIONS, AND CLASSROOM PREVENTION EDUCATION.ACCESS TO SERVICES - FOOD ACCESS:IN FY25, THAA CONTINUED ITS COMMITMENT TO ADDRESSING RISING FOOD INSECURITY RATES BY PROVIDING AFFORDABLE, LOCALLY SOURCED, HEALTHY FOOD OPTIONS AND DELIVERING NUTRITION EDUCATION FOSTERING LONG-TERM BEHAVIOR CHANGES AMONG COMMUNITY MEMBERS. THE SUBSIDIZED FARM SHARE PROGRAM AT THE FARM AT THAA EXPANDED IN PARTNERSHIP WITH LOCAL FARMERS AND FOOD BANKS, ENSURING THAT VULNERABLE POPULATIONS HAD ACCESS TO FRESH, NUTRITIOUS FOOD. THE FARM ALSO OFFERED FIELD TRIPS, SUMMER CAMPS, COOKING DEMONSTRATIONS, WORKSHOPS, RECIPE DISTRIBUTION, AND A FOOD PANTRY. A CHW DEDICATED TO THE FARM SUPPORTED CLIENTS' SOCIAL NEEDS TO FURTHER BREAK DOWN BARRIERS TO HEALTHY EATING.THE TRINITY HEALTH LIFESTYLE MEDICINE DEPARTMENT CONTINUED TO FACILITATE COMMUNITY-BASED PROGRAMS TO IMPROVE NUTRITION KNOWLEDGE. THE "NUTRITION BUDDIES" PROGRAM EXPANDED TO PAIR MORE FOOD INSECURE YOUTH WITH MEDICAL RESIDENTS FOR FOOD EDUCATION AND TO FOSTER DEVELOPMENT OF COOKING SKILLS. THE VIRTUAL "COOKING WITH PLANTS" SERIES EXTENDED ITS REACH TO MAKE NUTRITION AND COOKING SKILL DEVELOPMENT ACCESSIBLE, AND APPROACHABLE, FOR A WIDER AUDIENCE. THE HEALTHY FAMILIES PROGRAM PAIRS CHILDREN AND TEENS WITH A REGISTERED DIETITIAN, EXERCISE, AND BEHAVIORAL SPECIALISTS TO LEARN HOW HEALTHY EATING, AN ACTIVE LIFESTYLE, AND EFFECTIVE COMMUNICATION PROMOTE HEALTH AND FAMILY WELL-BEING. THAA ACTIVELY PARTICIPATED IN LOCAL AND STATE POLICY DISCUSSIONS ADVOCATING FOR ENHANCEMENTS IN FOOD SYSTEMS THAT BENEFIT COMMUNITY MEMBERS. SUPPORTED BY GRANT FUNDING THROUGH THE TRINITY HEALTH 'INVESTING IN OUR COMMUNITIES' INITIATIVE, ENGAGEMENT WITH SOCIAL SERVICE ORGANIZATIONS ADDRESSING FOOD INSECURITY WAS ANOTHER CRITICAL COMPONENT TO INCREASING FOOD ACCESS.ACCESS TO SERVICES - MATERNAL AND INFANT HEALTH ACCESS:THAA HOSTS A FREE VIRTUAL MONTHLY BABY AND ME SUPPORT GROUP. FOR THOSE STRUGGLING WITH POSTPARTUM DEPRESSION AND ANXIETY, THE PERINATAL WELLNESS CLINIC AT THAA PROVIDED COUNSELING SERVICES, UTILIZING VALIDATED MEASUREMENT TOOLS TO ENSURE EFFECTIVE SUPPORT. TO EXTEND ITS OUTREACH, THAA AGREED TO LEASE SPACE FOR $1 PER YEAR TO THE WASHTENAW AREA COUNCIL FOR CHILDREN.THAA'S PREGNANCY CENTERING PROGRAM OPERATES UNDER THE GUIDANCE OF THE TRINITY HEALTH ACADEMIC OBSTETRICS AND GYNECOLOGY CLINIC, A RESIDENT-RUN INITIATIVE. WOMEN WERE INVITED TO PARTICIPATE IN BOTH GROUP EDUCATION AND INDIVIDUAL APPOINTMENTS IN A SUPPORTIVE SETTING. LASTLY, THAA DEVELOPED THE RESPECTFUL CARE SERIES, WHICH AIMS TO GUARANTEE THAT EVERY PATIENT, STAFF, AND PARTNER INTERACTING WITH THE WOMEN AND CHILDREN'S SERVICES DIVISION HAS A RESPECTFUL AND TRANSFORMATIVE EXPERIENCE - ONE THAT PRESERVES DIGNITY, PRIORITIZES SAFETY, AND HONORS INDIVIDUAL IDENTITIES.HOUSING:THAA SERVED AS THE LEAD AGENCY AND PROVIDED IN-KIND AND FINANCIAL SUPPORT TO THE WASHTENAW HOUSING ALLIANCE (WHA), A COALITION OF SOCIAL SERVICE AGENCIES DEALING WITH HOUSING OF VARIOUS TYPES, WHOSE MISSION IS TO END HOMELESSNESS IN WASHTENAW COUNTY. IN ADDITION, THAA AND ITS BOARD MEMBERS WERE INSTRUMENTAL IN THE ESTABLISHMENT OF THE DELONIS CENTER IN DOWNTOWN ANN ARBOR. THIS CENTER PROVIDES ACCOMMODATION AND SUPPORT SERVICES FOR THOSE WHO ARE HOMELESS. IN ADDITION, THAA PARTNERED WITH THE DELONIS CENTER TO SUPPORT PATIENTS EXPERIENCING HOMELESSNESS WITH CASE AND HEALTH MANAGEMENT THROUGH THE RECUPERATIVE CARE PROGRAM. LASTLY, THAA OFFERS FREE OR SUBSIDIZED RENT TO COMMUNITY-BASED ORGANIZATIONS INCLUDING ALPHA HOUSE AND HOUSE N2 HOME. THAA ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, AFFECTED VULNERABLE POPULATIONS, AND WITHIN OUR ABILITY TO INFLUENCE. THAA DID NOT ACT ON THE FOLLOWING HEALTH NEEDS IN FY25: ACCESS TO INTERNET AND DOMESTIC VIOLENCE.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 13H:	THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 20E:	THE HOSPITAL OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS, AND USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF-PAY ACCOUNTS.
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 3J:	N/ALINE 3E: TRINITY HEALTH GRAND RAPIDS HOSPITAL (THGR) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THGR WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. HOUSING2. HEALTH INSURANCE3. ACCESS TO MEDICAL CARE4. ACCESS TO HEALTHY FOOD
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 5:	BY ENGAGING WITH THE KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AS A COLLABORATIVE PARTNER AND FUNDER, THGR WAS ABLE TO OBTAIN CRITICAL INFORMATION ABOUT THE HEALTH NEEDS FACING PATIENTS AND THE MEMBERS OF THE COMMUNITIES WE SERVE.THE 2023 KENT COUNTY CHNA INCORPORATED INPUT FROM PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. THEIR DATA WAS COLLECTED BETWEEN THE MONTHS OF MARCH AND OCTOBER 2023. DATA WAS COLLECTED THROUGH A VARIETY OF PRIMARY (NEW DATA COLLECTED FOR THIS ASSESSMENT) AND SECONDARY (EXISTING DATA) SOURCES. PRIMARY DATA COLLECTION METHODS INCLUDED COMMUNITY SURVEYS, FOCUS GROUPS, COLLECTIVE IMPACT SURVEYS, AND BEHAVIORAL RISK FACTOR SURVEY PHONE INTERVIEWS. COMMUNITY SURVEYS WERE OFFERED IN A WEB-BASED FORMAT IN ENGLISH AND SPANISH, AND IN PAPER (HARD COPY) FORMAT IN ENGLISH, SPANISH, VIETNAMESE, ARABIC, KINYARWANDA, AND SWAHILI, TO MAKE THE SURVEY ACCESSIBLE TO MORE INDIVIDUALS IN THE COMMUNITY.OVER 70 COMMUNITY ORGANIZATIONS PARTICIPATED IN CHNA DATA COLLECTION EFFORTS THROUGH THE COLLECTIVE IMPACT SURVEY. THE ORGANIZATIONS WERE FROM A VARIETY OF SECTORS INCLUDING HEALTH CARE, MENTAL HEALTH, ARTS/CULTURE, EDUCATION, PHILANTHROPY, AND HUMAN SERVICES. THE CHNA INCLUDES THE NAMES OF ALL 76 PARTICIPATING ORGANIZATIONS, SOME OF WHICH INCLUDE AREA AGENCY ON AGING OF WESTERN MICHIGAN, BLACK IMPACT COLLABORATIVE, CHERRY HEALTH, COMMUNITY FOOD CLUB, FIRST STEPS KENT, FREY FOUNDATION, GRAND RAPIDS PRIDE CENTER, GRAND VALLEY STATE UNIVERSITY, KENT COUNTY ORAL HEALTH COALITION, MEL TROTTER MINISTRIES, PLANNED PARENTHOOD, RENEW MOBILITY, STRONG BEGINNINGS-HEALTHY START, WEST MICHIGAN ASIAN AMERICAN ASSOCIATION, AND YWCA WEST CENTRAL MICHIGAN.FOR THE 2023 CHNA, COMMUNITY-LED DATA COLLECTION WAS EXPANDED TO INCLUDE SURVEYING. IN ADDITION TO CONDUCTING 10 COMMUNITY-LED FOCUS GROUPS, 12 COMMUNITY PARTNERS WERE COMPENSATED TO LEAD SURVEYING EFFORTS IN THEIR COMMUNITIES. THIS INCLUDED ENGAGING WITH RESIDENTS, EDUCATING PEOPLE ON THE CHNA AND HOW THEIR COMMUNITY INPUT DATA WOULD BE USED, ENCOURAGING THEM TO COMPLETE THE SURVEY, AND ASSISTING THEM IN SURVEY COMPLETION IFTHEY ENCOUNTERED ANY BARRIERS TO PARTICIPATION. EIGHT OF THE 12 COMMUNITY PARTNERS WHO LED SURVEYING EFFORTS WERE MEMBERS OF THE KENT COUNTY HEALTH EQUITY COUNCIL COMMUNITY VOICE GROUP. WITH FUNDING AND FLEXIBILITY TO LEAD THEIR OWN ENGAGEMENT EFFORTS, SURVEY RESPONSES AMONG PRIORITY POPULATIONS INCREASED CONSIDERABLY WHICH RESULTED IN A DIVERSE SAMPLE AND THE ABILITY TO DISAGGREGATE DATA FOR PEOPLE WITH DISABILITIES, LGBTQ, REFUGEES AND IMMIGRANTS, ASIAN, AND AMERICAN INDIAN ALASKA NATIVE GROUPS.
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 6A:	THGR CONDUCTED THE CHNA IN PARTNERSHIP WITH COREWELL HEALTH, UNIVERSITY OF MICHIGAN HEALTH-WEST, MARY FREE BED REHABILITATION HOSPITAL, AND PINE REST CHRISTIAN MENTAL HEALTH SERVICES.
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 6B:	THGR CONDUCTED THE CHNA WITH THE KENT COUNTY HEALTH DEPARTMENT AND THE KENT COUNTY HEALTH EQUITY COUNCIL.
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 11:	HOUSINGTRINITY HEALTH GRAND RAPIDS (THGR) COLLABORATED WITH MULTIPLE COMMUNITY ORGANIZATIONS ON THE HEARTSIDE LANDINGS TRANSITIONAL SUPPORTIVE HOUSING PROJECT, A MULTI-AGENCY COLLABORATION TO PROVIDE TRANSITIONAL SUPPORTIVE HOUSING TO 25 WOMEN EXPERIENCING CHRONIC HOMELESSNESS, MENTAL HEALTH CONCERNS, AND SUBSTANCE USE DISORDERS. THE WOMEN RECEIVED WRAPAROUND SERVICES, INCLUDING PLACE-BASED PRIMARY CARE, BEHAVIORAL HEALTH TREATMENT, AND PEER RECOVERY COACH ACCESS. THE HOSPITAL CONTRIBUTED TO THE PROGRAM BY PROVIDING THE BUILDING AT LESS THAN OPERATING COST. IN THE FIRST YEAR OF THE PROGRAM, THERE WAS A 72% DECREASE IN EMERGENCY DEPARTMENT UTILIZATION AND AN 87% DECREASE IN EMS UTILIZATION BY THE 25 RESIDENTS OF THE PROGRAM.THE HOSPITAL PROVIDED COMMUNITY IMPACT GRANTS TO THREE ORGANIZATIONS ADDRESSING HOUSING STABILIZATION, PREVENTION, AND TRANSITIONAL HOUSING IN THE COMMUNITY:- 70X7: A PROGRAM OFFERING SUPPORTIVE, STRUCTURED TRANSITIONAL HOUSING FOR INDIVIDUALS RECOVERING FROM INCARCERATION AND ADDICTION.- SENIOR NEIGHBORS: A PROGRAM SEEKING TO ADDRESS HOUSING INSTABILITY AMONG LOW-INCOME OLDER ADULTS IN KENT COUNTY BY PROVIDING EVICTION PREVENTION SERVICES, HOUSING PLACEMENT SUPPORT, AND CONNECTION TO ESSENTIAL SERVICES AND RESOURCES.- URBAN LEAGUE OF WEST MICHIGAN: A PROGRAM PROVIDING EVICTION/FORECLOSURE PREVENTION, FINANCIAL ASSISTANCE, AND COMPREHENSIVE HOUSING COUNSELING CASE MANAGEMENT SERVICES TO PROMOTE HOME OWNERSHIP.HEALTH INSURANCETHGR'S COMMUNITY HEALTH WORKERS (CHW'S) ASSISTED PATIENTS AND MEMBERS OF THE COMMUNITY IN APPLYING FOR MEDICAID, NAVIGATING MEDICARE OPEN ENROLLMENT, CHOOSING A PLAN ON THE ACA MARKETPLACE, AND APPLYING FOR HOSPITAL FINANCIAL ASSISTANCE.THGR EMPLOYED FINANCIAL COUNSELORS AND CONTRACTED WITH THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROVIDE SPECIALISTS WHO ASSISTED PATIENTS WITH APPLYING FOR MEDICAID.THGR ALSO HAD REPRESENTATION ON THE KENT COUNTY HEALTH EQUITY COUNCIL ADVISORY BOARD, THE GOVERNING BODY FOR THE NEWLY FORMED KENT COUNTY MEDICAID ENROLLMENT TASK FORCE.ACCESS TO MEDICAL CARETHGR OPERATED SAFETY NET HEALTH CENTERS, ACCESSIBLE TO INDIVIDUALS AND COMMUNITIES THAT DISPROPORTIONATELY EXPERIENCE HEALTH INEQUITIES.THE HOSPITAL OFFERED MOBILE MAMMOGRAPHY SERVICES THROUGHOUT THE COMMUNITY, PARTNERING WITH ORGANIZATIONS IN NEIGHBORHOODS WHERE WOMEN FACE TRANSPORTATION AND OTHER ACCESS BARRIERS.CHW'S MADE MORE THAN 32,000 SUCCESSFUL CONNECTIONS WITH PATIENTS, ADDRESSING 92% OF IDENTIFIED NEEDS AND LINKING NEARLY ONE THOUSAND PATIENTS TO THE HOSPITAL'S PHARMACEUTICAL ASSISTANCE PROGRAM.THGR'S MATERNAL INFANT HEALTH PROGRAM (MIHP), A PARTNERSHIP WITH THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, SERVED 119 BIRTHING PERSONS AND 91 BABIES. THE PROGRAM HAS BEEN FOUND TO REDUCE THE INCIDENCE OF PRETERM BIRTH.STRONG BEGINNINGS, A CHW PROGRAM FOR PREGNANT AND PARENTING WOMEN WHO IDENTIFY AS BLACK, AFRICAN AMERICAN, LATINX, OR NEW AMERICANS FROM AFRICA, SERVED 90 BIRTHING PERSONS AND 51 BABIES. THE PROGRAM DISTRIBUTED MORE THAN 5,000 DIAPERS AND MORE THAN 100 EDUCATIONAL TOYS. PROGRAM PARTICIPANTS HAVE DEMONSTRATED OUTCOMES THAT SURPASS SEVERAL HRSA BENCHMARKS FOR MATERNAL AND INFANT HEALTH.THE HOSPITAL WAS A PARTNER ORGANIZATION IN THE OPERATION OF A LOCAL FREE CLINIC FOR UNHOUSED INDIVIDUALS. THE HOSPITAL PROVIDED PHYSICIAN RESIDENTS AND AN ATTENDING PHYSICIAN FACULTY MEMBER ONE DAY PER WEEK AT THE CLINIC, FREE OF CHARGE TO THE COMMUNITY.ACCESS TO HEALTHY FOODA PRODUCE PRESCRIPTION PROGRAM SERVED 86 UNIQUE INDIVIDUALS SCREENING POSITIVE FOR FOOD INSECURITY MORE THAN $15,000 IN FREE PRODUCE. HALF OF THE PARTICIPANTS SAID THEY WERE HEALTHIER THAN SIX MONTHS BEFORE.THGR PROVIDED WOMEN INFANTS & CHILDREN (WIC) PROGRAMMING AT A SAFETY NET HEALTH CENTER, IN PARTNERSHIP WITH THE KENT COUNTY HEALTH DEPARTMENT. THE WIC TEAM SUPPORTED FOOD ACCESS FOR NEARLY SEVEN HUNDRED WOMEN AND CHILDREN PER MONTH, WITH 96% OF WOMEN WHO PARTICIPATED IN THE PROGRAM ENGAGING IN NUTRITION EDUCATION WITHIN THREE MONTHS OF ENROLLING.THE HOSPITAL PARTNERED WITH TWO LOCAL ORGANIZATIONS TO PROVIDE THE COMIDA BUENA PROGRAM, A FRESH FOOD FAIR FOR INDIVIDUALS LIVING IN A FOOD DESERT COMMUNITY. THE AVERAGE PRODUCE DISTRIBUTION THROUGH THE PROGRAM WAS 4,000 POUNDS PER MONTH, WITH 100 FAMILIES RECEIVING TWENTY POUNDS OF FRESH PRODUCE EVERY OTHER WEEK.THE HOSPITAL PROVIDED COMMUNITY IMPACT GRANTS TO THREE PROGRAMS SUPPORTING FOOD ACCESS IN KENT COUNTY:- COMMUNITY FOOD CLUB: A PROGRAM SUPPORTING FOOD ACCESS AND CONSUMER DIGNITY IN AN INNOVATIVE MEMBERSHIP-BASED GROCERY STORE MODEL.- KENT COUNTY FOOD POLICY COUNCIL (DIVISION OF HEART OF WEST MICHIGAN UNITED WAY): FUNDING SUPPORTED THE PRESENTATION AND PROMOTION OF THE KENT COUNTY FOOD SYSTEM PLAN.- NEW CITY NEIGHBORS: A PROGRAM SUPPORTING ACCESS TO FRESH PRODUCE FOR UNDERSERVED RESIDENTS OF THE COMMUNITY.
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 13H:	SEE FACILITY 1 EXPLANATION.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 3J:	N/ALINE 3E: TRINITY HEALTH OAKLAND HOSPITAL (THOA) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THOA WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. BEHAVIORAL HEALTH (MENTAL HEALTH/SUBSTANCE ABUSE)2. ACCESS TO CARE (RESOURCE NAVIGATION, SPECIALTY PROVIDERS)3. FOOD SECURITY (DIABETES, OBESITY)
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 5:	OVER A NINE-MONTH PERIOD FROM MAY 2023 THROUGH FEBRUARY 2024, THE CHNA STEERING COMMITTEE AND THOA'S COMMUNITY HEALTH AND WELL-BEING (CHWB) TEAM ACTIVELY ENGAGED THE COMMUNITY THROUGH SURVEYS AND FORUMS. NEIGHBORHOOD AND REGIONAL DATA SOURCES WERE ANALYZED TO ESTABLISH A SERVICE AREA FOR THE HOSPITAL WHILE STATE, COUNTY, AND PONTIC COMMUNITY DATA WAS EXAMINED TO IDENTIFY SPECIFIC HEALTH PRIORITIES.THOA CONDUCTED A COLLABORATIVE CHNA WITH COMMUNITY INPUT FROM THE OAKLAND COUNTY HEALTH DEPARTMENT (OCHD). HOSPITAL PARTNERS AND COMMUNITY ORGANIZATIONS REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND MINORITY POPULATIONS AS A PART OF THE NEEDS ASSESSMENT.THE CHNA STEERING COMMITTEE SERVED AS THE ADVISORY GROUP FOR THE ASSESSMENT. THE ADVISORY GROUP INCLUDED BOARD OF DIRECTOR MEMBERSHIP AND VULNERABLE PATIENT POPULATION REPRESENTATION. THESE MEMBERS WERE INVOLVED IN SURVEY DISTRIBUTION, HEALTH NEEDS IDENTIFICATION AND PRIORITIZATION. INPUT FROM COMMUNITY LEADERS INCLUDED THE PONTIAC SCHOOL BOARD, OAKLAND COUNTY SHERIFF'S DEPARTMENT AND OAKLAND UNIVERSITY. UNDERSTANDING THE HEALTH NEEDS OF OUR PATIENTS AND THOSE WE SERVE IS ESSENTIAL TO MAKING A DIFFERENCE IN THE COMMUNITY. THOA COLLABORATES WITH COMMUNITY PARTNERS TO CONDUCT ITS CHNA IN ORDER TO LEARN ABOUT PRESSING HEALTH ISSUES. THE FOLLOWING PARTNERS PARTICIPATED IN COMMUNITY FOCUS GROUPS TO FURTHER SUPPORT THE RETENTION OF VULNERABLE POPULATIONS' VOICES IN THE CHNA PROCESS: CATHOLIC CHARITIES OF SOUTHEASTERN MICHIGAN, COMMUNITY NETWORK SERVICES HEALTHCARE, HOPE WARMING SHELTER, LIGHTHOUSE OF OAKLAND COUNTY, MEALS ON WHEELS, OAKLAND COMMUNITY HEALTH NETWORK, OAKLAND COUNTY HARM REDUCTION SERVICES, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY AND OAKLAND COUNTY VETERANS SERVICES. THE 2024 CHNA SURVEY INCLUDED 24 QUESTIONS RELATED TO HEALTH CARE ACCESS AND HEALTH BEHAVIORS. THE SURVEY WAS DISTRIBUTED IN DIGITAL AND PRINT FORMATS FROM OCTOBER 1 THROUGH DECEMBER 22, 2023. ELECTRONIC SURVEYS WERE ACCESSED THROUGH A SURVEYMONKEY QR CODE AND DIRECT EMAIL CORRESPONDENCE THROUGH PARTNER AGENCIES. PAPER SURVEYS WERE DISTRIBUTED TO RESIDENTS AT STRATEGIC COMMUNITY ACCESS POINTS WITHIN PONTIAC AND WATERFORD SENIOR CENTERS, OAKLAND COUNTY PUBLIC LIBRARIES, AND OCHD TO REDUCE BARRIERS FOR COMPLETION. A TOTAL OF 1,037 SURVEY RESPONSES WERE COLLECTED ACROSS OAKLAND COUNTY, WITH A TARGETED FOCUS ON COMMUNITIES LOCATED IN PRIORITY ZIP CODES IN PONTIAC, WATERFORD, AND AUBURN HILLS. THE CHNA STEERING COMMITTEE DISTRIBUTED THE SURVEY THROUGH THOA'S FARM, OAKLAND COUNTY FARMERS MARKET, AND COMMUNITY RESOURCE FAIRS. THE SURVEY HAD REPRESENTATION FROM VULNERABLE POPULATIONS INCLUDING VETERANS, SENIORS, AND DISABLED RESIDENTS.AS A MINISTRY, WE ARE COMMITTED TO ADDRESSING THE ROOT CAUSE OF HEALTH DISPARITIES AND WELCOME THE SUPPORT OF COMMUNITY PARTNERS AND STAKEHOLDERS AS WE STRIVE TO IMPROVE ACCESS TO CARE FOR ALL.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 6B:	THOA CONDUCTED THE CHNA WITH THE OAKLAND COUNTY HEALTH DEPARTMENT.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 7D:	THOA SHARED ITS CHNA BROADLY ON THE HOSPITAL'S COMMUNITY HEALTH & WELL-BEING WEBPAGE. THOA REVIEWED QUARTERLY METRICS WITH COMMUNITY BENEFIT RECIPIENTS TO TRACK IMPLEMENTATION PLAN DEVELOPMENT RELATIVE TO PRIORITY HEALTH PROGRAMS AND SERVICES. THOA ALSO SHARED ITS CHNA WITH THE OCHD AND NEIGHBORING COMMUNITIES THROUGH A VIRTUAL POWERPOINT PRESENTATION. COPIES OF THE CHNA ARE AVAILABLE BY REQUEST FROM THE THOA CHWB AND MARKETING DEPARTMENTS TO ACCOMMODATE COMMUNITY ACCESS TO THE REPORT WITHIN THE HOSPITAL'S SERVICE AREA.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 11:	THE SIGNIFICANT COMMUNITY HEALTH NEEDS PRIORITIZED BY TRINITY HEALTH OAKLAND (THOA) IN THE 2024 CHNA ARE BEHAVIORAL HEALTH/SUBSTANCE ABUSE, ACCESS TO CARE, FOOD SECURITY, AND HOUSING. IN FISCAL YEAR 2025 (FY25), THOA ADDRESSED THE FOLLOWING NEEDS: BEHAVIORAL HEALTH/SUBSTANCE ABUSE:THOA SUPPORTED BEHAVIORAL HEALTH NEEDS THROUGH REFERRALS TO SOCIAL WORK, CASE MANAGEMENT, RECOVERY MEDICINE, AND COMMUNITY HEALTH WORKERS (CHW'S), WHO ASSISTED BY REFERRING TO PEER COUNSELORS, TREATMENT PROGRAMS, AND NAVIGATION OF HEALTH AND SOCIAL SERVICES.THOA SUSTAINED ITS PARTNERSHIP AND FUNDING FOR LIGHTHOUSE OF OAKLAND COUNTY AND HOPE WARMING SHELTER TO SUPPORT BEHAVIORAL HEALTH REFERRALS AND ASSESSMENTS. IT PROVIDED IN-KIND CASE MANAGEMENT, SOCIAL WORK, AND CHW STAFFING FOR PEER SUPPORT REFERRALS. TO ENHANCE RECOVERY RESOURCES FOR HOMELESS PATIENTS, THOA INTRODUCED CLINICAL ROTATIONS AT HOPE RESPITE CARE THROUGH A COLLABORATION WITH THE UNIVERSITY OF DETROIT MERCY'S MASTER'S ENTRY ADVANCED GENERALIST NURSING PROGRAM.THOA PARTNERED WITH THE ALLIANCE OF COALITIONS TO INSTALL A SAVE-A-LIFE STATION AT ITS WOODWARD BUILDING, PROVIDING 24/7 COMMUNITY ACCESS TO FREE NARCAN, AS WELL AS HOSTING A FREE COMMUNITY TRAINING SESSION TO EDUCATE RESIDENTS ON NARCAN AND ITS LIFE-SAVING POTENTIAL.ACCESS TO CARE:IN PARTNERSHIP WITH THE NATIONAL CANCER SOCIETY, THOA PROVIDED FREE LUNG, BREAST, AND COLORECTAL CANCER SCREENINGS FOR OAKLAND COUNTY RESIDENTS. IT ALSO DELIVERED HEALTH EDUCATION ON STRESS, SOCIAL ISOLATION, BALANCE, AND INJURY PREVENTION AT HEALTH FAIRS AND CLINICS. THROUGHOUT FY25, THOA NURSING STAFF, ROSS MEDICAL RESIDENTS, AND UNIVERSITY OF DETROIT MERCY RN STUDENTS PARTICIPATED IN STREET MEDICINE OUTREACH. THOA CONTINUED SUPPORTING THE BERNSTEIN COMMUNITY CLINIC WITH LAB, RADIOLOGY, AND CARDIOLOGY SERVICES FOR UNINSURED PATIENTS.THOA UTILIZED CHW'S AND THE SOCIAL INFLUENCERS OF HEALTH (SIOH) SCREENING TOOLS TO HELP IDENTIFY AND REFER PATIENTS IN NEED OF SOCIAL SUPPORT RESOURCES, THEREBY REDUCING READMISSIONS AND IMPROVING OVERALL PATIENT HEALTH. THOA CONTINUED OPERATING PRIMARY CARE COMMUNITY CLINICS INCLUDING THE HENDERSON ACADEMIC CLINIC. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. THOA CONTINUED PARTNERING WITH HEALTH CARE PROVIDERS TO OFFER HEMATOLOGY AND MEDICAL ONCOLOGY SERVICES THROUGH OUR CANCER CENTER.THE MERCY SUPPORT PROGRAM ASSISTED 1,015 INDIVIDUALS IN FY25 FACING POVERTY AND OTHER VULNERABILITIES AND THE MERCY SUPPORT PRESCRIPTION PROGRAM SERVED 9,462 INDIVIDUALS.FOOD SECURITY:IN FY25, THOA MAINTAINED ITS PARTNERSHIPS WITH FOOD ACCESS COALITIONS INCLUDING HEALTHY PONTIAC, WE CAN! AND THE OAKLAND COUNTY HEALTH DIVISION (OCHD) FOOD POLICY COUNCIL, ADVOCATING FOR IMPROVED FRESH PRODUCE ACCESSIBILITY AND MITIGATION OF FOOD POLICY BARRIERS WITHIN PONTIAC AND OAKLAND COUNTY. THOA MAINTAINED SUPPORT FOR HEALTHY OAKLAND THROUGH SPONSORSHIP OF SENIOR AND FAMILY MARKET DAYS IN COLLABORATION WITH THE LOCAL OAKLAND COUNTY FARMERS MARKET. THE PROGRAM PROVIDES ACCESS TO EXPERTS ON THE TOPICS OF NUTRITION, CANCER PREVENTION, BLOOD PRESSURE CONTROL, DIABETES HEALTH, AND SAFE USE OF MEDICATIONS. THOA SERVES AS A COMMUNITY REFERRAL SITE FOR THE PRESCRIPTION FOR A HEALTHY OAKLAND INITIATIVE, GIVING RESIDENTS ACCESS TO FREE PHYSICAL ACTIVITY AND NUTRITION EDUCATION. THE "SOCIAL PRESCRIPTION" MODEL WAS USED TO CONNECT FAMILIES AND SENIORS WITH NONCLINICAL SERVICES AND COMMUNITY RESOURCES THAT ADDRESS SOCIAL, EMOTIONAL, OR PRACTICAL NEEDS, SUCH AS FOOD AND PHYSICAL ACTIVITY. THE FARM AT OAKLAND (THE FARM) IMPLEMENTED THE FOLLOWING TO ADDRESS FOOD SECURITY IN FY25:- IN COLLABORATION WITH CENTRO MULTICULTURAL LA FAMILIA, THOA PROVIDED JOB TRAINING OPPORTUNITIES FOR MULTICULTURAL YOUTH IN WATERFORD AND PONTIAC COMMUNITIES AND INTERNSHIPS FOR RESIDENTS ACROSS GREATER OAKLAND COUNTY. CENTRO MULTICULTURAL LA FAMILIA ALSO SERVES AS ONE OF THE 'PRODUCE TO PATIENTS' CLINICS. THOA PARTNERED WITH CENTRO'S SUMMER YOUTH EMPLOYMENT PROGRAM, OFFERING LOCAL YOUNG ADULTS FACING SOCIAL RISK FACTORS A MEANINGFUL WORK EXPERIENCE. PARTICIPANTS WERE EMPLOYED AT VARIOUS NONPROFIT ORGANIZATIONS DURING THE SUMMER, INCLUDING THE FARM, WHICH OFFERED 12 STUDENTS A HANDS-ON LEARNING OPPORTUNITY.- THROUGH COMMUNITY SHARED AGRICULTURE AND PRODUCE-TO-PATIENT PROGRAMS, THOA HAS INCREASED FRESH PRODUCE ACCESS AND CONSUMPTION. IN PARTNERSHIP WITH OAKLAND COUNTY FARMERS, THE FOOD BOX PROGRAM OFFERS PRODUCE AT AMBULATORY SITES AND COMMUNITY CENTERS WITHIN THE OAKLAND SERVICE AREA. IN FY25, OVER 1,300 POUNDS OF FOOD WERE HARVESTED, 1,647 FARM SHARE ASSISTANCE BOXES WERE DISTRIBUTED TO MEMBERS EXPERIENCING FOOD INSECURITY, AND ANOTHER 330 FARM SHARES WERE DISTRIBUTED TO PAYING MEMBERS. THE PRODUCE-TO-PATIENT PROGRAM PROVIDED APPROXIMATELY 8,049 SERVINGS VALUED AT OVER $20,000 TO OAKLAND COUNTY RESIDENTS. - IN PARTNERSHIP WITH LIGHTHOUSE OF OAKLAND COUNTY, THE FARM OPERATES AN EMERGENCY FOOD PANTRY SERVING PATIENTS, VISITORS, AND EMPLOYEES IN NEED. IN FY25, THE TRINITY HEALTH LIGHTHOUSE FOOD PANTRY WELCOMED 303 NEW HOUSEHOLDS AND HAD 1,420 TOTAL VISITS. NOTABLY, 70.7% OF SHOPPERS WERE WOMEN, REFLECTING THE PANTRY'S VITAL ROLE IN SUPPORTING FAMILIES AND CAREGIVERS.THOA ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, AFFECTING VULNERABLE POPULATIONS, AND WITHIN OUR ABILITY TO INFLUENCE. FOR THOSE REASONS, THOA DID NOT DIRECTLY ADDRESS HOUSING AND PHYSICAL ENVIRONMENT (SAFETY) AND HEALTHY BEHAVIORS IN FY25.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 13H:	SEE FACILITY 1 EXPLANATION.
GROUP A-FACILITY 4 -- TRINITY HEALTH LIVONIA HOSPITAL PART V, SECTION B, LINE 3J:	N/ALINE 3E: TRINITY HEALTH LIVONIA HOSPITAL (THLA) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THLA WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH, INCLUDING SUBSTANCE USE2. DIABETES/OBESITY/HIGH BLOOD PRESSURE3. FOOD SECURITY/ACCESS
GROUP A-FACILITY 4 -- TRINITY HEALTH LIVONIA HOSPITAL PART V, SECTION B, LINE 5:	A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP WAS CONVENED IN MAY 2023 TO LEAD THE CHNA PROCESS. THESE PARTNERS INCLUDE REPRESENTATIVES FROM THE WAYNE COUNTY HEALTH, HUMAN AND VETERAN'S SERVICES, WAYNE HOPE CLINIC, REDFORD TOWNSHIP DISTRICT LIBRARY, BURNING BUSH MINISTRIES IN WESTLAND, NORTHVILLE TOWNSHIP PARKS AND RECREATION, CHARTER TOWNSHIP OF REDFORD, THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN, FARMINGTON HILLS SPECIAL SERVICES, REDFORD INTERFAITH RELIEF, AND GROWTH WORKS. TRINITY HEALTH LIVONIA EMPLOYEES FROM COMMUNITY HEALTH & WELL-BEING (CHWB), SPIRITUAL CARE, ADMINISTRATION, AND CANCER SUPPORT SERVICES PARTICIPATED IN THE ADVISORY GROUP. AN INTERN FROM MADONNA UNIVERSITY COLLECTED SECONDARY DATA AND SUPPORTED QUALITATIVE DATA COLLECTION. FROM JULY 2023 THROUGH NOVEMBER 2023, QUALITATIVE INPUT WAS OBTAINED THROUGH THE CHNA SURVEY, FOCUS GROUPS AND PHOTOVOICE, AND QUANTITATIVE DATA WAS GATHERED AND REVIEWED.REDFORD INTERFAITH RELIEF AND WAYNE HOPE CLINIC SOLICITED DIGITAL SURVEY COMPLETION AND COLLECTED PAPER SURVEYS, WHICH WERE MANUALLY ADDED TO THE ONLINE SURVEY DATABASE. TRINITY HEALTH LIVONIA CHWB STAFF ATTENDED THE MEN'S HEALTH EVENT ON SEPTEMBER 30, 2023 AT FORD FIELD WHERE APPROXIMATELY 1,000 MEN ATTENDED THE EVENT TO OBTAIN HEALTH INFORMATION AND RECEIVE SCREENINGS. PARTICIPANTS FROM THE THLA SERVICE AREA WERE INVITED TO COMPLETE THE SURVEY. THLA STAFF ALSO ATTENDED OUTREACH EVENTS IN THE HIGH PRIORITY AREAS OF WESTLAND AND REDFORD TO PROMOTE THE SURVEY. A REDFORD COMMUNITY MEMBER WENT TO SENIOR CENTERS, SENIOR RESIDENCES, AND OTHER COMMUNITY LOCATIONS TO PROMOTE THE SURVEY AND COLLECT PAPER SURVEYS. THE WESTERN WAYNE FOOD POLICY COUNCIL CONDUCTED FOCUS GROUPS IN UNDERSERVED POCKETS OF THE REDFORD, WESTLAND, INKSTER, ROMULUS, AND DEARBORN COMMUNITIES TO UNDERSTAND STRENGTHS AND BARRIERS TO NUTRITION SECURITY.
GROUP A-FACILITY 4 -- TRINITY HEALTH LIVONIA HOSPITAL PART V, SECTION B, LINE 11:	IN FISCAL YEAR 2025 (FY25), TRINITY HEALTH LIVONIA (THLA) DIRECTLY ADDRESSED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: MENTAL HEALTH (MENTAL HEALTH, SUBSTANCE USE, SOCIAL ISOLATION), CHRONIC HEALTH CONDITIONS (DIABETES/OBESITY/HYPERTENSION), AND ACCESS TO RESOURCES (HOUSING AND NUTRITIOUS FOOD). MENTAL HEALTH (MENTAL HEALTH/SUBSTANCE USE/SOCIAL ISOLATION):IN FY25, THLA SUBSTANCE USE PREVENTION WORK CONTINUED IN COLLABORATION WITH LIVONIA SAVE OUR YOUTH (LSOY). LSOY OFFERED MONTHLY ADDICTION FORUM SESSIONS FROM SEPTEMBER TO MAY AND PROVIDED VAPING AWARENESS AT SCHOOL AND COMMUNITY-BASED EVENTS. THE WESTERN WAYNE SUICIDE PREVENTION COALITION WAS REBRANDED AS THE HOPE EMPOWERMENT COALITIONS TO EXTEND THE FOCUS TO MENTAL HEALTH STIGMA REDUCTION. THE COALITION HELD A CONFERENCE TITLED EMPOWERING PROVIDERS: CRISIS, RESILIENCE AND MENTAL HEALTH WITH 377 ATTENDEES. MORE THAN 177 SCHOOL STAFF AND COMMUNITY-BASED MENTAL HEALTH PROVIDERS ATTENDED MINI CONFERENCES AT THLA. THREE COALITION SCHOOL DISTRICTS ADOPTED EVIDENCE-BASED PEER-TO-PEER SUPPORT PROGRAMS. A STUDENT LEADERSHIP COUNCIL WAS FORMED TO CENTER STUDENT LEADERSHIP AND AMPLIFY STUDENT VOICE.CHRONIC CONDITIONS (DIABETES/OBESITY/HIGH BLOOD PRESSURE):IN FY25, THLA SUCCESSFULLY ADMINISTERED THE DIABETES PREVENTION PROGRAM (DPP) TO 134 WAYNE COUNTY RESIDENTS. BOTH IN-PERSON AND DISTANCE LEARNING FORMATS EXCEEDED THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BENCHMARKS FOR PARTICIPANT RETENTION AND RISK REDUCTION. AMONG THOSE WHO ENROLLED, 79% COMPLETED THE PROGRAM. OF THOSE PARTICIPANTS, 31% ACHIEVED A REDUCTION OF AT LEAST 0.2% IN THEIR BASELINE HBA1C LEVELS AS COMPARED TO THE NATIONAL AVERAGE OF 2%. ADDITIONALLY, REFERRALS TO DIABETES EDUCATION PROGRAMS AVERAGED APPROXIMATELY 100 PER MONTH.ACCESS TO RESOURCES (HOUSING AND NUTRITIOUS FOOD):IN FY25, THLA PARTICIPATED IN THE WESTERN WAYNE COUNTY FOOD POLICY COUNCIL (WWFPC) WHICH COLLABORATIVELY SHAPES THE LOCAL FOOD SYSTEM AND WORKS TO ENSURE THAT NUTRITIOUS FOOD IS ACCESSIBLE FOR ALL. THE WWFPC HOSTED THE FOOD IN OUR COMMUNITY SUMMIT TO REVIEW FINDINGS FROM THE 'FOOD IN OUR COMMUNITY REPORT AND OBTAIN RESIDENT INPUT ON STRATEGIES TO IMPROVE ACCESS, CONNECTEDNESS AND COST AND QUALITY OF HEALTHY FOOD. THLA SUPPORTED TRANSPORTATION AND STIPENDS TO REDUCE BARRIERS FOR COMMUNITY MEMBERS TO ATTEND. MORE THAN 100 PEOPLE ATTENDED THE SUMMIT.THLA PARTICIPATED IN A REGIONAL HOUSING PARTNERSHIP WHICH RESULTED IN THE ADDITION OF WESTERN WAYNE COUNTY MUNICIPAL ZONING REQUIREMENTS TO A SEARCHABLE REGIONAL DATABASE. THIS SYSTEM CHANGE PROVIDES DEVELOPERS WITH A STREAMLINED PROCESS FOR SELECTING AFFORDABLE HOUSING LOCATIONS.THLA ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH AND SOCIAL ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. FOR THOSE REASONS, TRINITY HEALTH LIVONIA HOSPITAL DID NOT ADDRESS THE FOLLOWING NEEDS IN FY25: NEIGHBORHOOD AND PHYSICAL ENVIRONMENT, AGING/OLDER ADULTS, HEALTHY BEHAVIORS, AND SUPPORT SYSTEMS.
GROUP A-FACILITY 4 -- TRINITY HEALTH LIVONIA HOSPITAL PART V, SECTION B, LINE 13H:	SEE FACILITY 1 EXPLANATION.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 3J:	N/ALINE 3E: TRINITY HEALTH LIVINGSTON HOSPITAL (THLN) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THLN WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH2. FOOD AND NUTRITION SECURITY 3. ACCESS TO SERVICES (EMPHASIS ON TRANSPORTATION)
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 5:	MANY COLLABORATIVE PARTNERS WERE ENGAGED TO ADVISE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE CORE TEAM INVOLVED IN THE PROCESS INCLUDED REPRESENTATIVES FROM THE HOSPITAL, THE LIVINGSTON COUNTY HEALTH DEPARTMENT, AND THE SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION. THE LIVINGSTON COUNTY COMMUNITY NEEDS ASSESSMENT WORK GROUP OF THE HUMAN SERVICES COLLABORATIVE BODY WAS DESIGNATED AS THE THLN CHNA ADVISORY GROUP. THE MEMBERS WERE INVOLVED IN SURVEY DISTRIBUTION, NEEDS IDENTIFICATION, AND THE PRIORITIZATION PROCESS. COMMUNITY STAKEHOLDERS AND ORGANIZATIONS WERE INTERVIEWED FOR THE PURPOSE OF PROVIDING INPUT AND INFORMING THE CHNA PROCESS. INPUT FROM LEADERS INCLUDING LIVINGSTON COUNTY CATHOLIC CHARITIES, LIVINGSTON COUNTY COMMISSIONER, LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH, GLEANERS, LACASA, AND LIVINGSTON EDUCATIONAL SERVICE AGENCY PROVIDED INPUT ON THE NEEDS OF THOSE MOST VULNERABLE IN OUR COMMUNITY.THE CHNA SURVEY WAS CO-DEVELOPED IN COLLABORATION WITH THE LIVINGSTON COUNTY HEALTH DEPARTMENT. THE SURVEYS WERE DISTRIBUTED FROM MARCH TO AUGUST 2023. THIS COMPREHENSIVE SURVEY FEATURED 17 HEALTH-RELATED QUESTIONS THAT EXAMINED COMMUNITY STRENGTHS AND WEAKNESSES, POTENTIAL RISKS, DISCRIMINATION, AND CHALLENGES IN ACCESSING SERVICES, ALONGSIDE 10 DEMOGRAPHIC QUESTIONS. IT WAS WIDELY DISTRIBUTED AND PROMOTED THROUGH EMAIL LISTSERVS, SOCIAL MEDIA PLATFORMS, AND PAPER FORMATS, ENSURING OUTREACH TO DIVERSE COMMUNITIES. COMPLETED PAPER SURVEYS WERE MANUALLY INTEGRATED INTO THE ONLINE SURVEY DATABASE. IN TOTAL, LIVINGSTON COUNTY RECEIVED 1,120 SURVEY RESPONSES FROM BOTH ONLINE AND PAPER SUBMISSIONS.ADDITIONALLY, SIX FOCUS GROUPS WERE CONDUCTED IN LIVINGSTON COUNTY BETWEEN OCTOBER AND NOVEMBER 2023, IN PARTNERSHIP WITH THE LIVINGSTON COUNTY HEALTH DEPARTMENT AND THE SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION. INFORMATION ABOUT THE FOCUS GROUPS WAS WIDELY DISTRIBUTED AND PROMOTED THROUGH EMAIL LISTSERVS, SOCIAL MEDIA PLATFORMS, AND PAPER FLYERS, ENSURING OUTREACH TO DIVERSE COMMUNITIES. THE CONSENT TO PARTICIPATE IN THE FOCUS GROUPS INDICATED THEIR PARTICIPATION WOULD BE CONFIDENTIAL. THESE SESSIONS AIMED TO GATHER INSIGHTS AND FEEDBACK ON COMMUNITY-RELATED MATTERS, COMPLEMENTING THE QUANTITATIVE DATA OBTAINED FROM THE SURVEY AND ENRICHING THE OVERALL ASSESSMENT PROCESS.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 6B:	THLN CONDUCTED THE CHNA WITH KEY PARTNERS INCLUDING THE LIVINGSTON COUNTY HEALTH DEPARTMENT AND SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 7D:	THLN PROVIDES REGULAR UPDATES ON THE ADVANCEMENT OF THE CHNA PROGRAMS AND SERVICES THROUGH COMMUNITY PRESENTATIONS AND DISSEMINATING IMPACT REPORTS. THESE VALUABLE DOCUMENTS ARE MADE ACCESSIBLE FOR PARTNERS TO SHARE WITH THEIR CONSTITUENTS, ENSURING TRANSPARENCY AND COLLABORATION.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 11:	THE SIGNIFICANT COMMUNITY HEALTH NEEDS PRIORITIZED BY TRINITY HEALTH LIVINGSTON (THLN) IN FISCAL YEAR 2025 (FY25) ARE MENTAL HEALTH, FOOD AND NUTRITION SECURITY, AND ACCESS TO SERVICES WITH AN EMPHASIS ON TRANSPORTATION. IN FY25, THLN ADDRESSED THESE SIGNIFICANT COMMUNITY HEALTH NEEDS AS FOLLOWS:MENTAL HEALTH:IN FY25, THLN CONTINUED TO SUPPORT THE IMPLEMENTATION OF PROJECT ASSERT, A SUBSTANCE USE PEER SUPPORT PROGRAM EMBEDDED WITHIN THE EMERGENCY DEPARTMENT, IN PARTNERSHIP WITH LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH (LCCMH). ADDITIONALLY, LCCMH RECEIVED FUNDING TO PILOT A PEER SUPPORT PROGRAM FOCUSING ON MENTAL HEALTH SUPPORT WITHIN THE EMERGENCY DEPARTMENT. LACASA RECEIVED ITS SECOND YEAR OF GRANT FUNDING THROUGH THLN'S INVESTING IN OUR COMMUNITIES GRANT. THE FUNDING SUPPORTS ITS BRINGING HOPE TO LIVINGSTON COUNTY PROGRAM, WHICH TRAINS INDIVIDUALS IN THE TUFTS MEDICAL CENTER'S HEALTHY OUTCOMES FROM POSITIVE EXPERIENCES CURRICULUM. THLN PROVIDED A CONTRIBUTION TO THE FEDERAL DRUG-FREE COMMUNITIES GRANT THAT LIVINGSTON COUNTY CATHOLIC CHARITIES RECEIVES ON BEHALF OF THE LIVINGSTON COUNTY COMMUNITY ALLIANCE. THLN CONTINUES TO SUPPORT AND PROMOTE DRUG TAKEBACK EVENTS AND OFFERS A TAKEBACK RECEPTACLE IN THE HOSPITAL LOBBY. ADDITIONALLY, THLN, IN PARTNERSHIP WITH LCCMH, INSTALLED A NARCAN VENDING MACHINE IN ITS HOSPITAL LOBBY FOR 24/7 ACCESS FOR THE COMMUNITY. LASTLY, THLN LAUNCHED ITS HOSPITAL-BASED MENTAL HEALTH INTENSIVE OUTPATIENT PROGRAM FOR ADOLESCENTS IN FY25 TO ADDRESS ACCESS AND LEVELS OF CARE BARRIERS THE COMMUNITY PREVIOUSLY EXPERIENCED.FOOD AND NUTRITION SECURITY:IN FY25, THLN CONTINUED TO SUPPORT FOOD ACCESS, HEALTHY WEIGHT, AND REDUCING CHRONIC DISEASE RISK, INCIDENCE, AND PREVALENCE THROUGH PRESCRIPTION FOR HEALTH FUNDING. THLN ALSO SERVED AS A REFERRAL PARTNER. THLN LEADERSHIP CONTINUED ITS PARTICIPATION WITH THE LIVINGSTON COUNTY'S HUNGER COUNCIL TO IDENTIFY FOOD SECURITY GAPS AND OPPORTUNITIES TO PARTNER WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. GLEANERS COMMUNITY FOOD BANK RECEIVED ITS SECOND YEAR OF GRANT FUNDING THROUGH TRINITY HEALTH LIVINGSTON'S INVESTING IN OUR COMMUNITIES GRANTS FOR ITS LIVINGSTON SHARED HARVEST FOOD PANTRY. IN ADDITION, THLN PURCHASED SOIL AND MATERIALS TO SUSTAIN THE ACADEMIC FAMILY MEDICINE CLINIC'S PATIENT PLANTER BOX INITIATIVE WHICH PROVIDES PRODUCE TO FOOD INSECURE PATIENTS.ACCESS TO SERVICES, EMPHASIS ON TRANSPORTATION:IN FY25, THLN CONTINUED COLLABORATIVE MATCHING COMMITMENTS WITH U-M HEALTH AND HENRY FORD HEALTH SYSTEM, WHICH ACQUIRED ASCENSION MICHIGAN IN FY25, TO EXPAND HEALTH CARE TRANSPORTATION THROUGH LIVINGSTON ESSENTIAL TRANSPORTATION SERVICE (LETS). THLN PROVIDES ADDITIONAL FUNDING TO LETS FOR A DEDICATED THLN-ONLY WHEELCHAIR ACCESSIBLE VAN TO SERVE THE COMMUNITY DURING OFF HOURS. THLN LEADERSHIP PARTICIPATED WITH THE LIVINGSTON COUNTY TRANSPORTATION COALITION, WORKING WITH COMMUNITY PARTNERS TO INCREASE ACCESS TO SERVICES, ADDRESS ROOT CAUSES, AND ADVOCATE FOR ACTIVITIES RELATED TO IMPROVING NON-MOTORIZED TRANSPORTATION IN LIVINGSTON COUNTY. THESE COLLABORATIONS CONTINUE TO SUPPORT INCREASED HEALTH CARE RELATED TRANSPORTATION AND ALLOW FOR SOCIAL INFLUENCERS OF HEALTH NEEDS TO ALSO BE MET THROUGH THE NON-HEALTH CARE TRANSPORTATION INFRASTRUCTURE LOCALLY.AFFORDABLE HOUSING WAS ALSO IDENTIFIED AS A BARRIER FOR PEOPLE IN THE LIVINGSTON COMMUNITY. AT THE TIME OF PRIORITIZATION, HOUSING DID NOT RISE TO THE TOP OF SELECTION DUE TO COMPETING PRIORITIES AND THUS WAS NOT DIRECTLY ADDRESSED IN FY25.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 13H:	SEE FACILITY 1 EXPLANATION.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 20E:	THE HOSPITAL OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS, AND USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF-PAY ACCOUNTS.
PART V, SECTION B, LINE 7A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSTRINITY HEALTH ANN ARBOR HOSPITAL - PART V, SECTION B, LINE 7BWWW.MICHIGANMEDICINE.ORG/COMMUNITY/COMMUNITY-HEALTH-SERVICES
PART V, SECTION B, LINE 9	AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.
PART V, SECTION B, LINE 10A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
PART V, SECTION B, LINES 16A-C	FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARYWWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANICAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	82	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (82 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - (ANN ARBOR) TRINITY HEALTH BRIGHTON
7575 GRAND RIVER RD	BRIGHTON	MI	48114	LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYS, ONCOLOGY, 24 HR ER
2 - (AA) TH MEDICAL CENTER - CANTON
1600 CANTON CENTER RD	CANTON	MI	48188	LAB, IMAGING, THERAPY, ONCOLOGY, AMBULATORY SURGERY, URGENT CARE
3 - (AA) TRINITY HEALTH MICHIGAN HEART
5325 ELLIOTT DR	YPSILANTI	MI	48197	CARDIOVASCULAR CARE
4 - (AA) ELLEN THOMPSON WOMEN'S CENTER
5320 ELLIOTT DR	YPSILANTI	MI	48197	WOMEN'S HEALTH
5 - (OTHER) WARDE MEDICAL LABORATORY
300 W TEXTILE RD	ANN ARBOR	MI	48104	LAB
6 - (AA) MARIAN PROFESSIONAL BUILDING
14555 LEVAN RD	LIVONIA	MI	48154	RADIATION ONCOLOGY, REHAB, MRI, EMPLOYED PHYSICIANS
7 - (AA) MICHIGAN ORTHOPEDIC CENTER
5315 ELLIOTT DR	YPSILANTI	MI	48197	ORTHOPEDIC CARE
8 - (AA) SLEEP DISORDERS CENTER
5305 ELLIOTT DR	YPSILANTI	MI	48197	SLEEP CLINIC
9 - (AA) REICHERT HEALTH CENTER
5333 MCAULEY DR	YPSILANTI	MI	48197	LAB, IMAGING, AMBULATORY SURG., EMPLOYED PHYSICIANS
10 - (AA) HAAB HEALTH BUILDING
111 N HURON ST	YPSILANTI	MI	48197	FAMILY PRACTICE
11 - (AA) SAMARITAN CENTER
5555 CONNER	DETROIT	MI	48213	INDIGENT CARE
12 - (AA) CENTER FOR DIGESTIVE CARE
5300 ELLIOTT DR	YPSILANTI	MI	48197	DIGESTIVE CARE
13 - (AA) TRINITY HEALTH LAB - PLYMOUTH
990 W ANN ARBOR TRAIL	PLYMOUTH	MI	48170	LAB
14 - (AA) PARKWAY MEDICAL CENTER
2345 S HURON PKWY	ANN ARBOR	MI	48104	LAB
15 - (AA) HURON PROFESSIONAL BUILDING
704 W HURON ST	ANN ARBOR	MI	48103	LAB
16 - (AA) TRINITY HEALTH BEHAVIORAL SVCS
2200 CANTON CENTER RD	CANTON	MI	48188	BEHAVIORAL MEDICINE
17 - (AA) HURON OAKS
5401 MCAULEY DR	YPSILANTI	MI	48197	BEHAVIORAL MEDICINE
18 - (AA) GENOA MEDICAL CENTER
2305 GENOA BUSINESS PARK DR	BRIGHTON	MI	48114	LAB
19 - (AA) DIAGNOSTIC SERVICES CENTER
202 E VAN RIPER RD	FOWLERVILLE	MI	48836	LAB, IMAGING
20 - (AA) ARBOR SCIO PROFESSIONAL BLDG
6360 JACKSON RD	ANN ARBOR	MI	48103	LAB
21 - (AA) ARBOR PARK CENTRE
4972 CLARK RD	YPSILANTI	MI	48197	LAB
22 - (AA) CHERRY HILL LAB
49650 CHERRY HILL RD	CANTON	MI	48187	LAB
23 - (AA) TOWSLEY HEALTH BUILDING
5361 MCAULEY DR	YPSILANTI	MI	48197	NURSING HOME, EMPLOYED PHYS.
24 - (GR RAPIDS) TH MEDICAL CTR - CHERRY
245 CHERRY ST SE	GRAND RAPIDS	MI	49503	PEDIATRIC CLINIC, FAMILY MEDICINE, OB, NEUROSCIENCES, REHAB, SLEEP
25 - (GR) TH MEDICAL CENTER WEGE NORTH
300 LAFAYETTE	GRAND RAPIDS	MI	49503	LAB, FAMILY PRACTICE, INTERNAL MEDICINE PRACTICE
26 - (GR) TH MEDICAL CENTER - ROCKFORD
6050 NORTHLAND DR NE	ROCKFORD	MI	49341	FAMILY PRACTICE CENTER, URGENT CARE, LAB, IMAGING, WOMEN'S HEALTH, REHAB
27 - (GR) TH MEDICAL CENTER - BYRON CTR
2373 64TH STREET SW	BYRON CENTER	MI	49315	AMBULATORY SURGICAL CTR, REHAB, LAB, IMAGING, FAMILY PRACTICE, CARDIO AND ER
28 - (GR) TH MEDICAL GROUP - KENTWOOD
2080 44TH ST SE	KENTWOOD	MI	49508	REHAB, LAB, FAMILY PRACTICE
29 - (GR) TH MEDICAL GROUP - JENISON
7782 20TH AVENUE	JENISON	MI	49428	FAMILY PRACTICE CENTER
30 - (GR) TH MEDICAL CENTER - E BELTLINE
1471 EAST BELTLINE	GRAND RAPIDS	MI	49525	LAB, IMAGING, REHAB, EMPLOYED PHYS., URGENT CARE, OB
31 - (GR) CLINICA SANTA MARIA
730 GRANDVILLE AVE SW	GRAND RAPIDS	MI	49503	INDIGENT PRIMARY CARE CENTER
32 - (GR) TH MEDICAL GROUP - EAST PARIS
2144 EAST PARIS SE	GRAND RAPIDS	MI	49546	INTERNAL MEDICINE
33 - (GR) TH MEDICAL CENTER - RIVERTOWN
3380 44TH STREET SW	GRANDVILLE	MI	49418	LAB, IMAGING, REHAB, FAMILY PRACTICE
34 - (GR) TH MEDICAL CENTER WEGE SOUTH
310 LAFAYETTE SE	GRAND RAPIDS	MI	49503	IMMUNOLOGY, VASCULAR, INFECTIOUS DISEASE, AND PULMONOLOGY
35 - (GR) TH MEDICAL CENTER - WALKER
1175 WILSON AVE NW	WALKER	MI	49534	LAB, IMAGING, REHAB, FAMILY PRACTICE
36 - (GR) TH MEDICAL GROUP - ALPINE
933 THREE MILE NW	GRAND RAPIDS	MI	49504	LAB, REHAB, FAMILY PRACTICE
37 - (GR) TH MEDICAL GROUP - EAST PARIS CARDIOV
1000 EAST PARIS STE 222	GRAND RAPIDS	MI	49546	CARDIOVASCULAR
38 - (GR) TH MEDICAL GROUP - HUDSONVILLE
3925 32ND AVE STE 300	HUDSONVILLE	MI	49426	FAMILY PRACTICE & URGENT CARE
39 - (GR) TH MEDICAL GROUP - SPARTA
475 S STATE ST	SPARTA	MI	49345	FAMILY PRACTICE CENTER
40 - (GR) TH MEDICAL CENTER - CALEDONIA
10047 CROSSROADS CT SE	CALEDONIA	MI	49316	LAB, IMAGING, REHAB, FAMILY PRACTICE
41 - (GR) TH MED GROUP -BROWNING CLAYTOR
1246 MADISON SE	GRAND RAPIDS	MI	49507	FAMILY PRACTICE CENTER
42 - (GR) GVSU PRIMARY CARE
10383 42ND AVE A	ALLENDALE	MI	49401	FAMILY PRACTICE CENTER
43 - (GR) TH MEDICAL GROUP - RHEUMATOLOGY
1155 E PARIS SE STE 100	GRAND RAPIDS	MI	49546	RHEUMATOLOGY
44 - (GR) HAUENSTEIN BEHAVIORAL HEALTH
220 CHERRY ST SE	GRAND RAPIDS	MI	49503	GEN NEURO, MOV DISORDER, NEUROMUSCULAR, NEURO RESIDENCY
45 - (GR) TH MEDICAL GROUP - SHERIDAN
301 N MAIN	SHERIDAN	MI	49315	VASCULAR
46 - (GR) TH MEDICAL GROUP - WYOMING
2093 HEALTH DRIVE SUITE 300	WYOMING	MI	49519	VASCULAR
47 - (GR) TH MEDICAL GROUP - CHERRY
250 CHERRY ST SE	GRAND RAPIDS	MI	49503	ONCOLOGY
48 - (GR) TH ENDOSCOPY CENTER
310 LAFAYETTE SE STE 200	GRAND RAPIDS	MI	49503	GASTROENTEROLOGY ASC
49 - (GR) TH MEDICAL GROUP - GASTROENTEROLOGY
310 LAFAYETTE SE STE 400	GRAND RAPIDS	MI	49503	GASTROENTEROLOGY
50 - (GR) ADVENT PHYSICAL THERAPY
1761 W M43 STE 3	HASTINGS	MI	49058	REHAB
51 - (GR) ADVENT PHYSICAL THERAPY
1915 GEORGETOWN CENTER DR	JENISON	MI	49428	REHAB
52 - (GR) ADVENT PHYSICAL THERAPY
150 JEFFERSON SE ST 100	GRAND RAPIDS	MI	49503	REHAB
53 - (GR) ADVENT PHYSICAL THERAPY
6101 KALAMAZOO AVE SE STE B	GRAND RAPIDS	MI	49505	REHAB
54 - (GR) ADVENT PHYSICAL THERAPY
4085 BURTON ST SE STE 100	GRAND RAPIDS	MI	49546	REHAB
55 - (GR) ADVENT PHYSICAL THERAPY
3686 32ND AVE STE 400	HUDSONVILLE	MI	49426	REHAB
56 - (GR) ADVENT PHYSICAL THERAPY
545 S STATE ST STE H	SPARTA	MI	49345	REHAB
57 - (GR) ADVENT PHYSICAL THERAPY
9479 RILEY ST STE 210	ZEELAND	MI	49464	REHAB
58 - (GR) KIDNEY TRANSPLANT SATELLITE TRAVERSE
3537 W FRONT ST STE A	TRAVERSE CITY	MI	49684	KIDNEY TRANSPLANT CLINIC
59 - (GR) KIDNEY TRANSPLANT SATELLITE MUSKEGON
1150 E SHERMAN BLVD	MUSKEGON	MI	49444	KIDNEY TRANSPLANT CLINIC
60 - (GR) RAYBROOK MANOR
2100 RAYBROOK SE	GRAND RAPIDS	MI	49546	GERIATRIC
61 - (GR) BRETON REHAB AND LIVING CENTRE
2589 44TH ST SE	GRAND RAPIDS	MI	49512	GERIATRIC
62 - (GR) TRILLIUM WOODS
8214 PFEIFFER FARMS DR SW	BYRON CENTER	MI	49315	INPATIENT HOSPICE
63 - (GR) RAYBROOK ESTATES
2105 RAYBROOK STREET SE	GRAND RAPIDS	MI	49546	ASSISTED LIVING
64 - (OAKLAND) TH REHABILITATION
44428 WOODWARD	PONTIAC	MI	48341	REHAB
65 - (OAK) TH IMAGING - CLARKSTON
7210 N MAIN STREET	CLARKSTON	MI	48346	IMAGING
66 - (OAK) TH IMAGING -LAKE ORION
1375 S LAPEER RD STE104	ORION TOWNSHIP	MI	48360	IMAGING
67 - (OAK) TH IMAGING -WEST BLOOMFIELD
2300 HAGGERTY ROAD STE 1050	WEST BLOOMFIELD	MI	48323	IMAGING
68 - (OAK) TH SLEEP CENTER - OAKLAND
3100 CROSS CREEK STE 210	AUBURN HILLS	MI	48326	SLEEP LAB
69 - (OAK) TH LAB - LEXUS BUILDING
44200 WOODWARD STE 105	PONTIAC	MI	48341	LAB
70 - (OAK) TH LAB - COMMERCE TWNSHP
2630 UNION LAKE RD STE 200	COMMERCE TOWNSHIP	MI	48382	LAB
71 - (LIVONIA) LIVONIA MEDICAL CENTER
19000 ST JOES PARKWAY	LIVONIA	MI	48152	PRIMARY & URGENT CARE, SURGERY, LAB, RADIOLOGY, REHAB, SPORTS MED, OB/GYN, U
72 - (LIV) TRINITYELITE - SCHOOLCRAFT
18001 ST JOES PARKWAY	LIVONIA	MI	48152	SPORTS THERAPY
73 - (LIV) TRINITYELITE - NEWBURGH
13245 NEWBURGH RD	LIVONIA	MI	48154	SPORTS THERAPY
74 - (LIV) TRINITYELITE - SALINE
1200 WOODLAND DR E	SALINE	MI	48176	SPORTS THERAPY
75 - (LIV) TRINITYELITE - CHELSEA
420 N MAIN ST STE 900	CHELSEA	MI	48188	SPORTS THERAPY
76 - (LIV) HURON GASTRO CENTER FOR DIGESTIVE CA
36650 FILE MILE RD	LIVONIA	MI	48154	ENDOSCOPY
77 - (LIV) TH FREEDOM MEDICAL
20206 FARMINGTON RD	LIVONIA	MI	48152	INTERNAL MEDICINE PRACTICE
78 - (LIV) TRINITY HEALTH SLEEP CENTER
14600 FARMINGTON RD	LIVONIA	MI	48154	SLEEP LAB
79 - (LIV) TH ACADEMIC PSYCHIATRY
37595 W SEVEN MILE RD	LIVONIA	MI	48152	OUTPATIENT BEHAVIORAL SERVICES
80 - (LIV) TRINITYELITE - OAKLAND
44405 WOODWARD AVE	PONTIAC	MI	48341	SPORTS THERAPY
81 - (LIV) TRINITYELITE - WIXOM
30990 S WIXOM ROAD	WIXOM	MI	48393	SPORTS THERAPY
82 - (LIV) OUTPATIENT SURGERY CENTER
36622 5 MILE RD	LIVONIA	MI	48154	SURGICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A:	TRINITY HEALTH - MICHIGAN (TH-MI) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG. TH-MI ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING.
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 SYSTEM.
PART I, LINE 7G:	INCLUDED IN THGR SUBSIDIZED HEALTH SERVICES IS THE NET COMMUNITY BENEFIT COST ATTRIBUTED TO PHYSICIAN CLINICS OF $9,935,642.REPORTED IN SUBSIDIZED HEALTH SERVICES FROM PHYSICIAN CLINICS: MERCY WOMEN'S CLINIC (MERCY WOMEN'S CENTER) PRACTICE NET COMMUNITY BENEFIT EXPENSE: $953,658.
PART I, LN 7 COL(F):	THE FOLLOWING NUMBER, $50,983,167, 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 II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT: THGR INVESTED MONEY TO EXPLORE THE POSSIBILITY OF BUILDING HOUSING ON THE HOSPITAL CAMPUS. HOUSING IS THE NUMBER ONE PRIORITY OF THE MOST RECENT CHNA, AND CAMPUS REDEVELOPMENT TO ADDRESS THIS NEED IS BEING CONSIDERED.COMMUNITY SUPPORT: THGR SUPPORTED THE PARTICIPATION OF PROVIDERS AND COLLEAGUES IN THE UNITED WAY DAY OF CARING, DURING WHICH THEY ENGAGED IN SERVICE PROJECTS BENEFITING THE COMMUNITY.WORKFORCE DEVELOPMENT: THE HOSPITAL ENGAGED IN A NUMBER OF WORKFORCE DEVELOPMENT ACTIVITIES IN THE COMMUNITY, INCLUDING OFFERING HEALTH CAREER "EXPOSURE" EXPERIENCES FOR LOCAL STUDENTS, PROVIDING CAREER COACHING IN THE COMMUNITY, PARTNERING WITH A LOCAL EDUCATIONAL/TECHNICAL CENTER TO INTRODUCE STUDENTS TO HEALTH CARE CAREERS, AND PROVIDING EDUCATION ABOUT HEALTH CARE CAREERS AT A CAREER EXPLORATION EVENT FOR 9,000 LOCAL STUDENTS.THLA CONTINUED TO SUPPORT THE DETROIT CRISTO REY SCHOOL, A COLLEGE PREPARATORY CATHOLIC HIGH SCHOOL FOR LOW-INCOME YOUTH WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD PRIVATE SCHOOL, TO ADDRESS DISPARITIES IN EDUCATIONAL OUTCOMES IN DETROIT. MOST STUDENTS ARE EITHER HISPANIC OR BLACK, AND MOST OF THEM WILL BE THE FIRST IN THEIR FAMILY TO GO TO COLLEGE. STUDENTS INTERESTED IN HEALTH CARE TRADE THEIR SCHOOL UNIFORMS FOR HOSPITAL SCRUBS AT THLA FOR THEIR WORK EXPERIENCE IN THE MIRACLE OF LIFE BIRTHING CENTER ONE DAY A WEEK, BEGINNING FRESHMAN YEAR. AS A CORPORATE SPONSOR, THLA PAID 60% OF THE STUDENTS' TUITION IN THIS EDUCATIONAL MODEL THAT PREPARES STUDENTS FOR COLLEGE AND WORK.THLA BEGAN A PARTNERSHIP WITH SOUTH REDFORD SCHOOLS' INNOVATION CENTER. STUDENTS FROM THE HEALTH SCIENCES PROGRAM WERE OFFERED OPPORTUNITIES TO COME ONSITE TO SHADOW LABORATORY STAFF.
PART III, LINE 2:	METHODOLOGY USED FOR LINE 2 - 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.
PART III, LINE 3:	TH-MI USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, TH-MI IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, TH-MI IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4:	TH-MI IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION.
PART III, LINE 8:	THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION. 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 26, 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 HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2:	NEEDS ASSESSMENT - THE HOSPITALS IN TH-MI ASSESS THE HEALTH STATUS OF THEIR COMMUNITIES, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THEIR OVERALL COMMUNITIES. IN THE ASSESSMENT OF THEIR COMMUNITIES, THE HOSPITALS MAY USE PATIENT DATA, PUBLIC HEALTH DATA, COMMITTEE MEETINGS WITH MEDICAL STAFF (PHYSICIANS) AND DEPARTMENT STAFF, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED.IN ADDITION, A TRINITY HEALTH LIVONIA HOSPITAL REPRESENTATIVE SERVED ON THE WAYNE COUNTY HEALTH, HUMAN AND VETERAN'S SERVICES COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - TH-MI COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE 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 HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. TH-MI OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. 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 AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS.
PART VI, LINE 4:	TRINITY HEALTH ANN ARBOR HOSPITAL:TRINITY HEALTH ANN ARBOR, CHELSEA HOSPITAL, AND U-M HEALTH ARE ALL HOSPITALS LOCATED WITHIN WASHTENAW COUNTY. THESE THREE NON-PROFIT HOSPITALS PARTNERED TOGETHER AND ESTABLISHED THE UNITE COALITION, WHICH DEFINED "COMMUNITY" AS GREATER WASHTENAW COUNTY: WASHTENAW COUNTY, GRASS LAKE, AND STOCKBRIDGE. LOCATED IN THE SOUTHEAST MICHIGAN REGION, GREATER WASHTENAW COUNTY INCLUDES URBAN, SUBURBAN, AND RURAL COMMUNITIES THAT ARE HOME TO APPROXIMATELY 385,700 RESIDENTS IN SIX CITIES, 24 TOWNSHIPS AND FOUR VILLAGES. RESIDENTS OF GREATER WASHTENAW COUNTY IDENTIFY AS WHITE (69.6%), BLACK/AFRICAN AMERICAN (11.0%), ASIAN (8.8%), HISPANIC OR LATINX (5.0%), AMERICAN INDIAN AND ALASKA NATIVE (0.2%), AND NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER (0.03%). THE PERCENTAGE OF PEOPLE WHO IDENTIFY AS A RACE OTHER THAN THE DESCRIBED OPTIONS IS 0.04%.INCOME AND POVERTY ARE SIGNIFICANT INDICATORS OF HEALTH AND LIFE EXPECTANCY. THE MEDIAN HOUSEHOLD INCOME FOR WASHTENAW COUNTY ($84,245) IS HIGHER THAN THE STATE OF MICHIGAN ($68,505) AND THE UNITED STATES ($75,149). WHILE THIS DATA IMPLIES HIGH RATES OF PROSPERITY FOR RESIDENTS ACROSS GREATER WASHTENAW COUNTY, THERE REMAINS POPULATIONS THAT EXPERIENCE POVERTY. APPROXIMATELY 13.8% OF WASHTENAW COUNTY RESIDENTS EARN LESS THAN THE FEDERAL POVERTY LEVEL (FPL) THRESHOLDS: 3.7% AND 6.6% OF RESIDENTS FOR GRASS LAKE AND STOCKBRIDGE RESPECTIVELY. IN 2023, THE FPL WAS $14,580 FOR AN INDIVIDUAL AND $30,000 FOR A FAMILY OF FOUR.TRINITY HEALTH GRAND RAPIDS HOSPITAL:THGR SERVES AN EIGHT COUNTY AREA IN WEST MICHIGAN. THE PRIMARY SERVICE AREA IS KENT COUNTY. THE SECONDARY SERVICE AREA INCLUDES OTTAWA, MUSKEGON, NEWAYGO, MONTCALM, IONIA, BARRY, AND ALLEGAN COUNTIES.DEMOGRAPHIC INFORMATION FOR THE PRIMARY AND SECONDARY SERVICE AREAS:- ESTIMATED 2024 POPULATION IS 1,284,616- AVERAGE AGE IS 39.2 YEARS- AVERAGE HOUSEHOLD INCOME IS $99,498- 74% WHITE (NON-HISPANIC), 11% HISPANIC, 8% BLACK, 3% ASIAN AND PACIFIC ISLAND (NON-HISPANIC), 5% OTHER- 91% SPEAK ONLY ENGLISH AT HOME, 6% SPEAK SPANISH AT HOME- 3% HAVE LESS THAN A HIGH SCHOOL EDUCATION, 5% HAVE SOME HIGH SCHOOL, 28% HAVE GRADUATED HIGH SCHOOL, 32% HAVE SOME COLLEGE OR AN ASSOCIATE'S DEGREE, 32% HAVE A BACHELOR'S DEGREE OR MOREADDITIONAL HEALTH CARE RESOURCES INCLUDE UNIVERSITY OF MICHIGAN HEALTH-WEST, COREWELL HEALTH (TWO HOSPITAL CAMPUSES), MARY FREE BED REHABILITATION HOSPITAL, AND TWO FREESTANDING PSYCHIATRIC HOSPITALS: PINE REST CHRISTIAN MENTAL HEALTH SERVICES AND FOREST VIEW HOSPITAL.TRINITY HEALTH OAKLAND HOSPITAL:THOA IS LOCATED IN PONTIAC, THE HEART OF OAKLAND COUNTY. ITS PRIMARY SERVICE AREA ENCOMPASSES ZIP CODES WHERE AT LEAST 75% OF CURRENT OUTPATIENT AND EMERGENCY DEPARTMENT PATIENTS RESIDE. THESE AREAS INCLUDE PONTIAC, WATERFORD, CLARKSTON, AUBURN HILLS, OXFORD, WHITE LAKE, BLOOMFIELD HILLS, ORTONVILLE, AND LAKE ORION. THOA'S SERVICE AREA HAS A POPULATION OF APPROXIMATELY 296,800 RESIDENTS AND INCLUDES 21 ZIP CODES.PONTIAC IS UNIQUE BECAUSE IT IS AN AREA WITH HIGH POVERTY SURROUNDED BY AFFLUENT COMMUNITIES, CREATING A SILO OF UNDERSERVED RESIDENTS. PONTIAC HAS A 27% CHILDHOOD POVERTY RATE AND AN 18% OVERALL POVERTY RATE, WHICH IS HIGHER THAN THE STATE POVERTY RATE OF 14%. THERE IS AN 18-YEAR LIFE EXPECTANCY GAP BETWEEN PONTIAC AND THE SURROUNDING COMMUNITIES. THE MEDIAN FAMILY INCOME FOR PONTIAC IS $40,456, COMPARED TO $102,947 FOR OAKLAND COUNTY AND $72,600 FOR MICHIGAN. PONTIAC IS THE ONLY FEDERALLY DESIGNATED MEDICALLY UNDERSERVED COMMUNITY IN OAKLAND COUNTY.THOA'S SERVICE AREA HAS AN EVEN DISTRIBUTION BETWEEN MALES (53%) AND FEMALES (45%). THE MEDIAN AGE IS 41 WITH THE LARGEST GROUP BEING BETWEEN THE AGES OF 18 AND 64 (63%) FOLLOWED BY CHILDREN BETWEEN AGE 5 TO 17 (16.65%). ADULTS AGE 65 AND OVER WERE 11.6% OF THE POPULATION WHILE YOUTH AGES 0-4 MAKE UP THE SMALLEST GROUP (8.6%).THOA'S NON-HISPANIC POPULATION IS 85%, AND THE HISPANIC LATINX POPULATION IS 12.3%. THOA'S SERVICE AREA DEMOGRAPHICS INDICATE INCREASES IN POPULATIONS OF COLOR. PONTIAC RESIDENTS WHO IDENTIFY AS AFRICAN AMERICAN REFLECT 56% OF THE POPULATION, WHILE 17.6% REPRESENT AS WHITE, FOLLOWED BY 20% OF MULTIPLE RACES. PONTIAC RESIDENTS WHO IDENTITY AS HISPANIC OR LATINX REPRESENTED 19.2% OF THE POPULATION, ONE OF THE HIGHEST PERCENTAGES IN OAKLAND COUNTY.TRINITY HEALTH LIVONIA HOSPITAL: LOCATED IN WESTERN WAYNE COUNTY, THE SERVICE AREA OF THLA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS DEFINED AS THE ZIP CODES IN WHICH PATIENTS MAKING UP 75% OF OUTPATIENT EMERGENCY ROOM VISITS RESIDE. THIS INCLUDES ZIP CODES OF WESTLAND, CANTON, LIVONIA, NORTHVILLE, PLYMOUTH, REDFORD, AND GARDEN CITY. IN ADDITION, ZIP CODES WERE ADDED FOR DEARBORN HEIGHTS, INKSTER AND TWO COMMUNITIES IN DETROIT WHICH MAKE UP THE NEXT 6% OF EMERGENCY ROOM VISITS AND HAD THE HIGHEST INCREASE IN VISITS FROM THE PREVIOUS YEAR. THE POPULATION OF ALL 17 ZIP CODES IS APPROXIMATELY 613,900. WHITE INDIVIDUALS MAKE UP 60.28% OF THE POPULATION OF THE SERVICE AREA, BLACK OR AFRICAN AMERICAN INDIVIDUALS MAKE UP 27.42%, ASIAN INDIVIDUALS MAKE UP 5.82%, AMERICAN INDIAN OR ALASKA NATIVE MAKE UP 0.24%, NATIVE HAWAIIAN OR PACIFIC ISLANDER INDIVIDUALS MAKE UP 0.01%, AND THOSE WHO IDENTIFY WITH MORE THAN ONE RACE MAKE UP 5.07%. THE NON-HISPANIC POPULATION IN THIS AREA IS 96.03%, AND THE HISPANIC OR LATINX POPULATION IS 3.97%. THESE DEMOGRAPHICS INDICATE AN INCREASE IN BLACK, INDIGENOUS, PEOPLE OF COLOR (BIPOC) RESIDENTS OF THE TRINITY HEALTH LIVONIA SERVICE AREA. TRINITY HEALTH LIVINGSTON HOSPITAL:THE SERVICE AREA FOR THLN IS DEFINED AS LIVINGSTON COUNTY, WHERE THE MAJORITY OF THE HOSPITAL'S PATIENTS RESIDE. SITUATED ON THE SOUTHEASTERN SIDE OF MICHIGAN, LIVINGSTON COUNTY IS BORDERED BY WASHTENAW, GENESEE, SHIAWASSEE, OAKLAND, INGHAM, AND JACKSON COUNTIES. ACCORDING TO THE LATEST CENSUS BUREAU ESTIMATES, THE COUNTY'S POPULATION STANDS AT APPROXIMATELY 194,300, REFLECTING A MODEST INCREASE SINCE THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. LIVINGSTON COUNTY IS COMPOSED OF MOSTLY SUBURBAN AND RURAL COMMUNITIES WITH THREE CITIES, 16 TOWNSHIPS AND TWO VILLAGES. MOST RESIDENTS IN LIVINGSTON COUNTY IDENTIFY AS WHITE (93.9%). OTHER RACES INCLUDE BLACK OR AFRICAN AMERICAN, AMERICAN INDIAN ALASKA NATIVE, AND ASIAN, WITH EACH OF THESE GROUPS REPRESENTING LESS THAN 1% OF LIVINGSTON'S RESIDENTS. THOSE WHO IDENTIFIED AS HAVING TWO OR MORE RACES REPRESENTED 2.2% OF THE POPULATION. APPROXIMATELY 2.7% OF LIVINGSTON'S RESIDENTS IDENTIFY AS HISPANIC OR LATINX ETHNICITY (SOURCE: US CENSUS). WHILE THE MEDIAN HOUSEHOLD INCOME FOR LIVINGSTON COUNTY IS $96,135, POVERTY IS STILL PRESENT FOR SOME INDIVIDUALS AND FAMILIES IN LIVINGSTON COUNTY WITH AN ESTIMATED 9,362 (4.9%) PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL). IN 2023, THE FPL WAS $14,580 FOR AN INDIVIDUAL AND $30,000 FOR A FAMILY OF FOUR. ADDITIONALLY, 14.9% (28,651) OF THE POPULATION IN LIVINGSTON COUNTY HAS A LOW INCOME, DEFINED AS EARNING 200% OR LESS OF THE POVERTY LEVEL.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:TH-MI HOSPITALS COLLABORATE WITH OTHERS IN THE COMMUNITY TO ACHIEVE IMPROVEMENTS IN HEALTH AND ACCESS TO HEALTH CARE. TRINITY HEALTH ANN ARBOR HOSPITAL:THAA IS A PROUD FINANCIAL AND IN-KIND SUPPORTER OF THE WASHTENAW HEALTH PROJECT (WHP). WHP REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, U-M HEALTH, AND THAA TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. THE HOSPITALS OFFER FREE OR REDUCED-FEE CLINICAL SERVICES TO FURTHER ALLEVIATE BARRIERS TO CARE. IN A COMMITMENT TO STRENGTHENING SOCIAL CARE INFRASTRUCTURE, THAA CO-FOUNDED THE WASHTENAW/LIVINGSTON COMMUNITY HEALTH WORKER (CHW) COALITION. THIS INITIATIVE AIMS TO ENHANCE THE COMMUNITY'S CAPACITY TO ADDRESS HEALTH DISPARITIES AND SUSTAIN IMPACTFUL CHW PROGRAMS. COMPLEMENTING THIS EFFORT, THE FINDHELP COMMUNITY RESOURCE DIRECTORY ENABLES RESIDENTS TO SWIFTLY LOCATE VITAL FREE OR REDUCED-FEE COMMUNITY-BASED SOCIAL CARE RESOURCES.FURTHERMORE, THAA EXTENDED CLINICAL STAFF SUPPORT TO LOCAL ORGANIZATIONS LIKE CORNER HEALTH TO PROVIDE SUBSIDIZED CARE OPPORTUNITIES. THAA AND TRINITY HEALTH IHA MEDICAL GROUP COLLABORATED CLOSELY WITH EASTERN MICHIGAN UNIVERSITY TO OPERATE A CLINIC LOCATED NEAR THE UNIVERSITY CAMPUS, AS WELL AS IN NEARBY ZIP CODES IDENTIFIED AS EXPERIENCING SIGNIFICANT GAPS IN HEALTH CARE ACCESS. THIS PARTNERSHIP IS DESIGNED TO PROVIDE ESSENTIAL MEDICAL SERVICES TO UNDERSERVED POPULATIONS, ENSURING THAT INDIVIDUALS IN THESE AREAS RECEIVE THE COMPREHENSIVE CARE THEY NEED.TRINITY HEALTH GRAND RAPIDS HOSPITAL:THGR IS WELL-INTEGRATED IN THE COMMUNITY, WITH A REPUTATION FOR PARTNERSHIP AND COLLABORATION. THE HOSPITAL HAD REPRESENTATION ON MULTIPLE COMMUNITY COALITIONS, BOARDS, AND COMMITTEES, INCLUDING THE KENT COUNTY ESSENTIAL NEEDS TASK FORCE, THE KENT COUNTY HEALTH EQUITY COUNCIL ADVISORY BOARD, THE KENT COUNTY HEALTH EQUITY COUNCIL MENTAL HEALTH ACTION TEAM, THE GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE WORK GROUP FOR MATERNAL/INFANT HEALTH, AND HEALTH NET OF WEST MICHIGAN.THGR OFFERED HEALTH EDUCATION TO THE COMMUNITY SUCH AS BASIC FIRST AID TRAINING OFFERED TO THE PUBLIC FREE OF CHARGE MULTIPLE TIMES PER YEAR AND HAND-ONLY CPR TRAINING TO MANY INDIVIDUALS AND ORGANIZATIONS IN THE COMMUNITY.THGR USED ITS FINANCIAL RESOURCES TO SUPPORT COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS IN THE COMMUNITY. SOME RECIPIENTS INCLUDED: GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE, GRAND RAPIDS LGBTQ HEALTH CARE CONSORTIUM, EXALTA HEALTH, CATHERINE'S HEALTH CENTER, CHERRY HEALTH, DISABILITY ADVOCATES, AND HABITAT FOR HUMANITY.THGR FOCUSED ON HEALTH EQUITY AND ON ADDRESSING THE SOCIAL INFLUENCERS OF HEALTH IMPACTING THE COMMUNITY. MORE THAN 130,000 INDIVIDUALS WERE SCREENED FOR SOCIAL NEEDS AND WERE LINKED TO RESOURCES THROUGH AN ONLINE DIRECTORY.THGR ENGAGED IN THE FOLLOWING ACTIVITIES TO ADDRESS MENTAL HEALTH: HIRED ADDITIONAL PSYCHIATRIC PROVIDERS TO DOUBLE CAPACITY FOR OUTPATIENT PSYCHIATRY SERVICES; INCREASED CAPACITY TO PROVIDE ELECTROCONVULSIVE THERAPY (ECT) TO INDIVIDUALS EXPERIENCING COMORBIDITIES WHO WOULD OTHERWISE HAVE NEEDED TO RECEIVE CARE OUTSIDE OF THEIR COMMUNITY; HIRED AN ADDITIONAL PROVIDER FOR RECOVERY MEDICINE PROGRAM; BOLSTERED RECOVERY MEDICINE FELLOWSHIP PROGRAM, PROVIDING CARE AND SUPPORT TO INDIVIDUALS EXPERIENCING SUBSTANCE USE DISORDERS, AND ENSURING A FUTURE WORKFORCE OF PROVIDERS; PARTNERED WITH LOCAL OPIOID TASKFORCE TO RECEIVE AND IMPLEMENT ADDITIONAL NALOXONE BOXES AVAILABLE TO THE COMMUNITY; PROVIDED A COMMUNITY IMPACT GRANT TO PUERTAS ABIERTAS; AND IMPLEMENTED QUESTION, PERSUADE AND REFER (QPR) EDUCATION FOR COLLEAGUES, EQUIPPING THEM TO SUPPORT INDIVIDUALS EXPERIENCING MENTAL HEALTH CRISIS. THGR OPERATED A 28-BED PSYCHIATRIC MEDICAL UNIT ON ITS MAIN CAMPUS, A PROGRAM WITH THE UNIQUE ABILITY TO CARE FOR PATIENTS WHO REQUIRE BOTH PSYCHIATRIC AND MEDICAL ADMISSION TO THE HOSPITAL. THE HOSPITAL ALSO PARTNERED WITH COMMUNITY MENTAL HEALTH TO OPERATE A BEHAVIORAL HEALTH CRISIS CENTER AND CRISIS STABILIZATION UNIT ON THE HOSPITAL CAMPUS, A "PAYER-BLIND" PROGRAM, SUPPORTING INDIVIDUALS EXPERIENCING MENTAL HEALTH CRISIS. TRINITY HEALTH OAKLAND HOSPITAL:THOA EMPLOYS CHW'S WHO ARE TRUSTED MEMBERS OF THE COMMUNITY WITH A STRONG UNDERSTANDING OF COMMUNITY NEEDS AND RESOURCES AND CAN ASSIST PATIENTS AND COMMUNITY MEMBERS WITH SOCIAL SERVICES. ADDITIONALLY, THE COMMUNITY RESOURCE DIRECTORY IS AVAILABLE TO THE COMMUNITY TO QUICKLY LOCATE COMMUNITY-BASED SOCIAL CARE RESOURCES THROUGH THE FINDHELP PLATFORM.THOA'S INJURY PREVENTION PROGRAM COLLABORATES WITH COMMUNITY PARTNERS TO REDUCE PREVENTABLE INJURIES SUCH AS TRAFFIC ACCIDENTS, DROWNINGS, FALLS, BURNS, POISONINGS, AND MORE. EVIDENCE-BASED EDUCATION INITIATIVES INCLUDE STOP THE BLEED FOR HEMORRHAGE CONTROL, A MATTER OF BALANCE TO REDUCE FALL RISK AMONG OLDER ADULTS, AND CAR SEAT SAFETY EDUCATION TO PROMOTE CHILD PASSENGER SAFETY.THOA RECEIVED FUNDING THROUGH THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) GRANT FROM TRINITY HEALTH TO ADDRESS EQUITY AND THE ADVANCEMENT OF COMMUNITY PARTNERSHIPS THAT ACCELERATE COMMUNITY HEALTH IMPROVEMENT ACTIVITIES IN THE HOSPITAL'S SERVICE AREA. THOA PARTNERED WITH THE OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) TO ADVANCE HOUSING AND COMMUNITY SAFETY IN THE CITY OF PONTIAC. OLHSA, WITH SUPPORT FROM TAMEKA RAMSEY AND ASSOCIATES, DEVELOPED A ROOT CAUSE ANALYSIS AND COMMUNITY ACTION PLAN TO GUIDE FUNDING AND TECHNICAL SUPPORT. IN FY25, 15 RESIDENTS PARTICIPATED IN TRAINING AND POLICY DEVELOPMENT COHORTS TO RAISE AWARENESS AND EDUCATION AROUND HOUSING SOLUTIONS. DURING FY25, THOA HOSTED TWO COHORTS OF THE CDC-RECOGNIZED DIABETES PREVENTION PROGRAM, ENGAGING 18 PARTICIPANTS WHO COLLECTIVELY ACHIEVED A TOTAL WEIGHT LOSS OF 196 POUNDS. THIS EVIDENCE-BASED LIFESTYLE CHANGE INITIATIVE OFFERS FREE EDUCATION AND RESOURCES FOCUSED ON INCREASING PHYSICAL ACTIVITY, MANAGING STRESS, AND PROMOTING SUSTAINABLE WEIGHT LOSS. PARTICIPANTS ALSO LEARN PRACTICAL STRATEGIES TO STAY MOTIVATED AND MAINTAIN LONG-TERM HEALTH IMPROVEMENTS.THOUGH NOT A NEED IDENTIFIED IN THE FY25 CHNA, THOA CONTINUED ADDRESSING MATERNAL HEALTH, A NEED IN THE PRIOR CHNA. THE MOTHER BABY UNIT HAS A SOCIAL WORKER TO ASSIST NEW MOTHERS WITH MATERNAL RESOURCE ACCESS AND RELEVANT SOCIAL SUPPORT NEEDS AND A PEER SUPPORT COUNSELOR TO ASSIST NEW MOTHERS WITH A SUBSTANCE USE CONDITION AND THEIR BABIES NAVIGATE SOCIAL AND MEDICAL NEEDS. AS A CERTIFIED "BABY-FRIENDLY" HOSPITAL, THOA ACTIVELY PROMOTES BREASTFEEDING AND MOTHER/BABY BONDING. LACTATION COUNSELING IS PROVIDED DURING WEEKLY BREASTFEEDING SUPPORT GROUP SESSIONS, WHICH SERVED 374 MOTHERS IN FY25. TRINITY HEALTH LIVINGSTON HOSPITAL:THLN ACTIVELY SUPPORTS COMMUNITY ENTITIES, INCLUDING LIVINGSTON COUNTY HEALTH DEPARTMENT, LIVINGSTON COUNTY CATHOLIC CHARITIES (WHICH HOUSES THE LIVINGSTON COUNTY COMMUNITY ALLIANCE), LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH, AND THE LOCAL HUMAN SERVICES COLLABORATIVE BODY. SUPPORT FOR THESE ORGANIZATIONS INCLUDES FUNDING, MEMBERSHIP, AND CONNECTION TO HEALTH CARE SYSTEM OPERATIONS WHEN APPROPRIATE. THLN EMPLOYS COMMUNITY HEALTH WORKERS (CHW) TO ADDRESS THE CHNA IMPLEMENTATION PRIORITY NEEDS AMONG PATIENTS AND COMMUNITY MEMBERS. CHW'S ARE TRUSTED MEMBERS OF THE COMMUNITY WHO HAVE A STRONG UNDERSTANDING OF COMMUNITY RESOURCES AND CAN ASSIST WITH SOCIAL SERVICES. THLN CO-FOUNDED THE WASHTENAW/LIVINGSTON COMMUNITY HEALTH WORKER COALITION TO CREATE A STRONGER SOCIAL CARE INFRASTRUCTURE TO BETTER ADDRESS THE NEEDS OF THE COMMUNITY AND SUSTAIN CHW PROGRAMS. ADDITIONALLY, THE COMMUNITY RESOURCE DIRECTORY IS AVAILABLE TO THE COMMUNITY TO QUICKLY LOCATE COMMUNITY-BASED SOCIAL CARE RESOURCES THROUGH THE FINDHELP PLATFORM.IN FY25, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. TRINITY HEALTH'S COMMUNITY IMPACT IN FY25 FOR THE ENTIRE MICHIGAN REGION TOTALED $357.2 MILLION.
PART VI, LINE 6:	TH-MI IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE CLINICAL AND SOCIAL CARE. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION STRATEGIES WITH INTENTIONAL FOCUS ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. TO FURTHER OUR COMMITMENT TO ACHIEVING HEALTH EQUITY AND THE COMMON GOOD, THE CHNA AND IMPLEMENTATION STRATEGIES FOSTER COLLECTIVE ACTION TO EQUITABLY ALLOCATE RESOURCES FROM THE HOSPITAL AND OTHER SOURCES TO ADDRESS THESE NEEDS IN COMMUNITIES MOST IMPACTED. TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES WE SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2025 (FY25), TRINITY HEALTH CONTRIBUTED NEARLY $1.4 BILLION IN IRS-DEFINED COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $1.5 BILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.9 BILLION IN FY25.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY25 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN COLLABORATION WITH 30 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $1.1 BILLION IN INVESTMENTS THAT SERVED COMMUNITIES WITHIN TRINITY HEALTH'S SERVICE AREAS. BETWEEN 2018 AND APRIL 2025, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- SUPPORTED THE CREATION OF 15,700 UNITS OF AFFORDABLE HOUSING OVER THE LAST EIGHT YEARS (INCLUDING APPROXIMATELY 380 SUPPORTIVE HOUSING BEDS).- CREATED OR RETAINED AT LEAST 1,300 CHILDCARE SLOTS; 7,600 K-HIGH SCHOOL EDUCATION SLOTS; AND 2,400 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPED AT LEAST 9.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE OVER THE LAST EIGHT YEARS.- SINCE 2014, 920 STUDENTS HAVE RECEIVED $2.65 MILLION IN SCHOLARSHIPS THROUGH THE FRESNO STATE AND BOISE STATE SCHOLARSHIPS FUNDS.- APPROXIMATELY 12,900 FULL- AND PART-TIME POSITIONS HAVE BEEN EITHER CREATED OR MAINTAINED THROUGH PARTNER LENDING. IN FY25, OVER ONE MILLION PATIENTS SYSTEM-WIDE WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AT THEIR DOCTOR'S OFFICE. OF THOSE SCREENED, 27.4% IDENTIFIED AT LEAST ONE NEED AND MOST OFTEN IDENTIFIED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. AN ADDITIONAL 137,000 PATIENTS WERE SCREENED FOR SOCIAL NEEDS DURING AN IN-PATIENT HOSPITAL STAY WHERE TOP NEEDS INCLUDED FOOD ACCESS, TRANSPORTATION AND HOUSING.TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) INCLUDES A STANDARD SCREENING TOOL FOR PATIENT SOCIAL NEEDS, AND AN INTEGRATED COMMUNITY RESOURCE DIRECTORY THROUGH FINDHELP TO CONNECT PATIENTS TO FREE AND REDUCED COST SUPPORT PROGRAMS. THE COMMUNITY RESOURCE DIRECTORY YIELDED OVER 118,000 SEARCHES, AN INCREASE OF 34% OVER THE PRIOR YEAR. TOP SEARCHES INCLUDED HOUSING, FOOD ACCESS AND HEALTH CARE. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING AND INCLUSION IN THE CARE TEAM, COMMUNITY HEALTH WORKERS (CHW) PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S HAVE MANY COMPETENCIES, INCLUDING PATIENT OUTREACH AND ENGAGEMENT, CONDUCTING ASSESSMENTS, RESOURCE CONNECTION, HEALTH AND SOCIAL SERVICES SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY AND SUPPORT. IN FY25, TRINITY HEALTH'S 162 CHW'S SUCCESSFULLY ADDRESSED OVER 16,300 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO RESOLVE. WITH FUNDING THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TRINITY HEALTH WORKED WITH 23 PARTNERS AND 47 CERTIFIED LIFESTYLE COACHES NATIONWIDE TO DELIVER THE NATIONAL DIABETES PREVENTION PROGRAM, AN EVIDENCE-BASED, 12-MONTH LIFESTYLE CHANGE PROGRAM. THE GOAL OF THE PROGRAM IS TO LOSE A PERCENTAGE OF BASELINE WEIGHT, ATTEND SESSIONS REGULARLY, AND ENGAGE IN 150 MINUTES OF PHYSICAL ACTIVITY A WEEK. GROUP SESSIONS ARE FACILITATED BY A CDC CERTIFIED LIFESTYLE COACH AND OFFERED IN-PERSON, REMOTELY, OR VIRTUALLY AT A SELF-PACED RATE. ALL PARTICIPANTS ARE REGULARLY SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AND ARE REFERRED TO A CHW TO ADDRESS IDENTIFIED NEEDS. IN FY25, TRINITY HEALTH CONDUCTED FOCUSED OUTREACH WITH NEARLY 165,000 ELIGIBLE PARTICIPANTS AND ENROLLED 1,074 PARTICIPANTS INTO THE LIFESTYLE CHANGE PROGRAM.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (58 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
70X7 LIFE RECOVERY
97 W 22ND ST	HOLLAND	MI	49423	208857935	501(C)(3)	$40,000	$0	RECOVERY HOUSING
AFRICAN AMERICAN HEALTH INSITITUTE
500 LAFAYETTE AVENUE NE STE 18	GRAND RAPIDS	MI	49503	061658200	501(C)(3)	$10,000	$0	PARTNER SPONSORSHIP
ANN ARBOR HANDS ON MUSEUM
220 E ANN ST	ANN ARBOR	MI	48104	382236345	501(C)(3)	$86,876	$0	EXHIBIT REPAIRS & PROGRAMMATIC EXPERIENCES AT THE TH EXPLORATION STATION
ANN ARBOR SPARK
330 E LIBERTY ST	ANN ARBOR	MI	48104	382436899	501(C)(3)	$25,000	$0	SUPPORT LOCAL START UPS AND EARLY-STAGE COMPANIES
BLACK GIRLS CROWNED
9517 LAKESIDE DR	YPSILANTI	MI	48197	834512659	501(C)(3)	$40,000	$0	COLLECTIVE HEALING INITIATIVE; EMPOWERING COMMUNITY WELLNESS
CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION
2929 PLYMOUTH ROAD SUITE 245	ANN ARBOR	MI	48105	271017827	501(C)(3)	$70,000	$0	IMPROVE LOW-INCOME, UNINSURED & UNDERINSURED POPULATIONS
COMMUNITY FAMILY LIFE CENTERS
1375 SOUTH HARRIS ST	YPSILANTI	MI	48198	320115383	501(C)(3)	$50,000	$0	I AM AN AFRICAN AMERICAN MALE PROGRAM
COMMUNITY FOOD CLUBS
1100 DIVISION AVE SOUTH	GRAND RAPIDS	MI	49507	822265189	501(C)(3)	$40,000	$0	EXPENSES DIRECTLY ASSOC WITH FOOD ACCESSABILITY AND SECURITY AND CHOICES
DIOCESE OF GRAND RAPIDS
360 DIVISION AVE S STE 3A	GRAND RAPIDS	MI	49503	381368746	501(C)(3)	$10,000	$0	GOD'S ROAMIN KITCHEN, FOOD DISTRIBUTION
E COMMUNITY OUTREACH SERVICES
953 W HURON ST	WATERFORD	MI	48328	844232489	501(C)(3)	$8,500	$0	SPONSORSHIP
EASTSIDE COMMUNITY NETWORK
4401 CONNER	DETROIT	MI	48215	382561225	501(C)(3)	$12,500	$0	COMMUNITY SUPPORT
FEDUP MINISTRIES
16 S WASHINGTON ST	YPSILANTI	MI	48197	884325493	501(C)(3)	$50,000	$0	MEAL PROGRAM ENHANCEMENT PROGRAM
FOOD GATHERERS
1 CARROT WAY	ANN ARBOR	MI	48105	382853858	501(C)(3)	$50,000	$0	HEALTHY SCHOOL PANTRY PROGRAM PROJECT
GLEANERS COMMUNITY FOOD BANK
2131 BEAUFALT ST	DETROIT	MI	48207	382156255	501(C)(3)	$50,000	$0	FRESH MARKET & SHARED HAVEST PANTRY PROJECT
GRAND RAPIDS AREA CHAMBER OF COMMERCE
250 MONROE AVE NW STE 150	GRAND RAPIDS	MI	49503	380592500	501(C)(6)	$10,000	$0	COMMUNITY SUPPORT
GRAND VALLEY STATE UNIVERSITY
1 CAMPUS DRIVE	ALLENDALE	MI	494019403	381684280	501(C)(3)	$11,000	$0	COMMUNITY SUPPORT
GREATER PONTIAC COMMUNITY COALITION
143 ONEIDA ST	PONTIAC	MI	48341	383219125	501(C)(3)	$10,000	$0	SPONSORSHIP
GROWING FORWARD TOGETHER
1916 SUNRISE STREET	ANN ARBOR	MI	48103	854147870	501(C)(3)	$50,000	$0	SMC-MATCH UP PROGRAM
GROWING HOPE INC
922 W MICHIGAN AVE	YPSILANTI	MI	48197	743091845	501(C)(3)	$25,000	$0	HEALTH FOOD ACCESS THROUGH URBAN FARMING IN YPSILANTI PROJECT
HABITAT FOR HUMANITY
425 PLEASANT ST SW	GRAND RAPIDS	MI	49503	680301692	501(C)(3)	$25,000	$0	COMMUNITY SUPPORT
HEART OF WEST MICHIGAN UNITED WAY
118 COMMERCE AVENUE SW	GRAND RAPIDS	MI	49503	381360923	501(C)(3)	$50,000	$0	COMMUNITY SUPPORT
HISPANIC CENTER OF WEST MICHIGAN
1204 GRANDVILLE AVE SW	GRAND RAPIDS	MI	495038032	382265825	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
HOPE HOSPITALITY AND WARMING CENTER
249 BALDWIN AVE	PONTIAC	MI	48342	383571989	501(C)(3)	$60,000	$0	SPONSORSHIP
HOPE MEDICAL CLINIC INC
PO BOX 980311	YPSILANTI	MI	481980311	382469007	501(C)(3)	$10,000	$0	AWAKE, ARISE, THRIVE:DIABETES SELF-MANAGEMENT EDUATION AND SUPPORT
INTERFAITH HOSPITALITY NETWORK OF WASHTENAW COUNTY
4290 JACKSON RD	ANN ARBOR	MI	48103	383052598	501(C)(3)	$50,000	$0	OPERATING EXPENSES TO SUPPORT HOMELESNESS - WASHTENAW COUNTY
JEWISH FAMILY SERVICES
2245 S STATE STREET	ANN ARBOR	MI	48104	412147486	501(C)(3)	$50,000	$0	JFS_MTM PROJECT
LACASA
1920 TOOLEY RD	HOWELL	MI	48855	382370824	501(C)(3)	$28,400	$0	BRINGING HOPE TO LIVINGSTON COUNTY PROJECT
LIVINGSTON CNTY DEPT PUBLIC HEALTH
2300 E GRANT RIVER AVE	HOWELL	MI	488437574		GOVERNMENT ORG	$100,000	$0	LCHD PRESCRIPTION FOR HEALTH
LIVINGSTON CO CATHOLIC CHARITIES
2020 E GRANT RIVER SUITE 104	HOWELL	MI	48843	382570420	501(C)(3)	$20,000	$0	FEDERAL DRUG-FEE COMMUNITIES GRANT
LIVINGSTON COUNTY UNITED WAY
2980 DORR RD	BRIGHTON	MI	48116	382174453	501(C)(3)	$50,000	$0	LIVINGSTON COUNTY HUNGER COUNCIL - FOOD ACCESS FOR ALL
LIVINGSTON ESSENTIAL TRANSPORTATION SERVICE
3950 W GRAND RIVER	HOWELL	MI	48855	386005819	GOVERNMENT ORG	$61,216	$0	IMPROVING ACCESS TO TRANSPORTION & REDUCING BARRIERS TO HEALTHCARE
LIVONIA-WESTLAND CHAMBER OF COMMERCE
33300 FIVE MILE ROAD SUITE 212	LIVONIA	MI	48154	381654593	501(C)(6)	$14,600	$0	VARIOUS SPONSORSHIPS
LORIS HANDS METRO DETROIT CHAPTER
PO BOX 980266	YPSILANTI	MI	48198	453984559	501(C)(3)	$35,000	$0	INVESTING IN OUR COMMUNITIES GRANT
MEL TROTTER MINISTRIES
225 COMMERCE AVE SW	GRAND RAPIDS	MI	495034107	381410467	501(C)(3)	$40,000	$0	SOBERING CENTER
MICHIGAN COMMUNITY HEALTH WORKER ALLIANCE
901 TOWER DR STE 420	TROY	MI	48098	831845287	501(C)(3)	$100,000	$0	SEMI COMMUNITY HEALTH WORKER COLLABERATIVE
MICHIGAN STATE UNIVERSITY EXTENSION
701 N ZEEB RD	ANN ARBOR	MI	48103	386005984	501(C)(3)	$50,000	$0	BUILDING HEALTHY COMMUNITIES THROUGH HOUSING
NEW CITY NEIGHBORS
1115 LEONARD ST NE	GRAND RAPIDS	MI	49503	208058756	501(C)(3)	$40,000	$0	COMMUNITY SUPPORT
OAKLAND LIVINGSTON HUMAN SERVI AGENCY
196 CESAR E CHAVEZ AVE	PONTIAC	MI	48342	381785665	501(C)(3)	$335,000	$0	SPONSORSHIP
OAKLAND UNIVERSITY
502 MEADOWBROOK RD	ROCHESTER	MI	48309	381714400	501(C)(3)	$5,000	$0	SPONSORSHIP
PUERTAS ABIERTAS
PO BOX 120054	GRAND RAPIDS	MI	49528	843751469	501(C)(3)	$40,000	$0	MENTAL HEALTH AWARENESS IN LATIN COMMUNITY
REDFORD INTERFAITH RELIEF
18499 BEECH DALY RD	REDFORD	MI	482401804	383390350	501(C)(3)	$20,000	$0	CLIENT CHOICE FOOD PANTRY EXPANSION
RIGHT PLACE INC
125 OTTAWA AVENUE NW STE 450	GRAND RAPIDS	MI	49503	383262801	501(C)(3)	$30,000	$0	COMMUNITY SUPPORT
SAY DETROIT FAMILY HEALTH CLINIC
211 GLENDALE AVE	HIGHLAND PARK	MI	48203	204786626	501(C)(3)	$400,000	$0	COMMUNITY SUPPORT
SENIOR NEIGHBORS
678 FRONT AVENUE NW STE 205	GRAND RAPIDS	MI	49504	237195491	501(C)(3)	$40,000	$0	COMMUNITY SUPPORT
SERENDIPITY MEDIA
535 CASCADE WEST PARKWAY SE	GRAND RAPIDS	MI	49546	331013654		$6,500	$0	COMMUNITY SUPPORT
SHELTER ASSOCIATION OF WASHTENAW COUNTY TOTAL
PO BOX 7370	ANN ARBOR	MI	48107	382533030	501(C)(3)	$118,828	$0	RECUPERATIVE CARE CENTER
SHERIFF PAL PROGRAM
1200 N TELEGRAPH RD STE 38E	PONTIAC	MI	48341	473158769	501(C)(3)	$7,000	$0	SPONSORSHIP
ST FRANCES CABRINI CLINIC
1234 PORTER ST	DETROIT	MI	48226	383129349	501(C)(3)	$250,000	$0	COMMUNITY SUPPORT
THE INFORMATION CENTER
20400 SUPERIOR RD	TAYLOR	MI	48180	510136113	501(C)(3)	$20,000	$0	COMMUNITY RESOURCES NAVIGATION
URBAN LEAGUE OF WEST MICHIGAN
745 EASTERN AVE SE	GRAND RAPIDS	MI	49503	381359259	501(C)(3)	$40,000	$0	COMMUNITY SUPPORT
WASHTENAW AREA COUNCIL FOR CHILDREN
3075 W CLARK ROAD SUITE 110	YPSILANTI	MI	48197	382245181	501(C)(3)	$10,000	$0	SAFE BABY/SAFE SLEEP & SURVIVOR MOMS PROJECT
WASHTENAW HEALTH PROJECT (WASHTENAW HEALTH PLAN)
555 TOWNER	YPSILANTI	MI	48198	020585175	501(C)(3)	$593,286	$0	OPERATIONS SUPPORT 10/1/24-9/30/25 & PRIMARY AND SPECIALTY CARE QUARTERLY RECONCILIATIONS 04/24-03/25
WASHTENAW HOUSING ALLIANCE
PO BOX 7993	ANN ARBOR	MI	48107	383551639	501(C)(3)	$70,000	$0	PERMANENT SUPPORTATIVE HOUSING SERVICES
WEST MI HISPANIC CHAMBER OF COMMERCE
2007 DIVISION AVE S	GRAND RAPIDS	MI	49507	201483629	501(C)(6)	$7,500	$0	COMMUNITY SUPPORT
WEST MICHIGAN ASIAN AMERICAN ASSOC
818 BUTTERWORTH ST SW	GRAND RAPIDS	MI	495046254	861091018	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
WOMENS RESOURCE CENTER
678 FRONT AVENUE NW STE 180	GRAND RAPIDS	MI	49504	382008886	501(C)(3)	$8,333	$0	COMMUNITY SUPPORT
YMCA WEST CENTRAL MICHIGAN
25 SHELDON AVENUE SE	GRAND RAPIDS	MI	49503	381359578	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
YPSILANTI MEALS ON WHEELS
110 W CROSS STREET	YPSILANTI	MI	48197	382038528	501(C)(3)	$50,000	$0	CARE ON WHEELS PROJECT

Field	Value	IRS element (for citing)
Total501c3 Org	54	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (13 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt
PATIENT TRANSPORTATION	3990	$126,896
FARM SHARES FOR PATIENTS/COMMUNITY	394	$57,560	$84,600
SCHOLARSHIPS	37	$55,853
MEDICAL/DENTAL ASSISTANCE	4	$11,832
PRESCRIPTIONS	7	$402
SOCIAL NEEDS	69	$20,522
CANCER CARE SERVICES	223	$6,480
GAS CARDS	600	$7,208	$1,785
MEDICAL SUPPLIES	99	$11,849
CAR SEATS	13		$2,485
FREE/LOW COST MAMMOGRAMS	52		$2,060
GUARDIANSHIP	5	$6,219
DURABLE MEDICAL EQUIPMENT	1	$744

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DONATIONS MADE BY TRINITY HEALTH - MICHIGAN TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT CASALOU
FMR OFFICER;PRES & CEO MI AND SE REG	$0	$1,148,680	$0	$668,200	$0	$341,116	$0	$20,425	$0	$28,619	$0	$2,207,040	$0	$0
EDMUND HODGE
DIRECTOR; TRINITY HEALTH EVP, CHRO	$0	$872,729	$0	$657,900	$0	$257,488	$0	$20,425	$0	$38,490	$0	$1,847,032	$0	$0
SHANNON STRIEBICH
DIR; PRESIDENT & CEO,MICHIGAN MARKET	$0	$776,871	$0	$473,355	$0	$216,780	$0	$20,425	$0	$41,138	$0	$1,528,569	$0	$0
ALONZO LEWIS
PRESIDENT TRINITY HEALTH ANN ARBOR	$0	$603,841	$0	$385,921	$0	$151,066	$0	$204,441	$0	$35,862	$0	$1,381,131	$0	$126,175
KARSTEN FLIEGNER MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	$569,728	$523,924	$0	$0	$3,625	$3,202	$0	$20,425	$16,098	$43,450	$589,451	$591,001	$0	$0
MARC SILVER MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	$547,048	$523,923	$0	$0	$2,193	$2,441	$0	$20,425	$14,929	$46,502	$564,170	$593,291	$0	$0
MICHAEL GUSHO
TREASURER; CFO, MICHIGAN REGION	$0	$678,393	$0	$220,404	$0	$128,440	$0	$20,425	$0	$32,221	$0	$1,079,883	$0	$0
ROSALIE TOCCO-BRADLEY MD
CHIEF CLINICAL OFFICER, MI REGION	$0	$642,629	$0	$217,511	$0	$134,883	$0	$20,425	$0	$29,414	$0	$1,044,862	$0	$0
DAVID SPIVEY
FORMER KEY EMPLOYEE	$0	$99,885	$0	$0	$0	$556,878	$0	$372,703	$0	$15,265	$0	$1,044,731	$0	$0
CHARLES SCHWARTZ MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	$521,666	$447,000	$0	$0	$2,514	$1,133	$0	$16,193	$14,882	$38,322	$539,062	$502,648	$0	$0
MATTHEW BIERSACK MD
PRESIDENT TRINITY HLTH GRAND RAPIDS	$0	$548,426	$0	$189,275	$0	$40,270	$0	$113,431	$0	$33,419	$0	$924,821	$0	$30,983
KELLY SMITH
CHIEF STRATEGY OFFICER MI AND OH	$0	$536,175	$0	$177,976	$0	$91,963	$0	$20,425	$0	$3,886	$0	$830,425	$0	$0
MATTHEW GRIFFIN MD
PRES & CMO TRINITY HEALTH LIVONIA	$0	$486,854	$0	$133,880	$0	$17,221	$0	$20,425	$0	$39,156	$0	$697,536	$0	$0
FABIAN FREGOLI MD
CMO & PRES TRINITY HEALTH OAKLAND	$0	$475,019	$0	$134,000	$0	$9,847	$0	$20,425	$0	$35,457	$0	$674,748	$0	$0
MICHAEL SAMYN
VP FINANCE TH OAKLAND THROUGH 7/24	$0	$197,493	$0	$88,165	$0	$140,712	$0	$217,351	$0	$22,034	$0	$665,755	$0	$0
DAVID VANDENBERG MD
CMO TRINITY HEALTH ANN ARBOR & LIV	$0	$468,965	$0	$126,845	$0	$17,638	$0	$20,425	$0	$25,679	$0	$659,552	$0	$0
TOMASINE MARX
VP FINANCE WEST MARKET	$0	$453,273	$0	$116,598	$0	$19,982	$0	$20,425	$0	$27,578	$0	$637,856	$0	$0
MANDI MURRAY
SECRETARY;VP MANAGING CNSL, MICH REG	$0	$423,922	$0	$140,933	$0	$14,727	$0	$20,425	$0	$32,824	$0	$632,831	$0	$0
DANIEL GREEN
VP FINANCE, WEST MICHIGAN	$0	$420,696	$0	$132,875	$0	$11,920	$0	$20,425	$0	$35,255	$0	$621,171	$0	$0
TYLER BEUTE MD
ANESTHESIOLOGIST (GRAND RAPIDS)	$558,982	$0	$0	$0	$448	$0	$16,675	$0	$35,050	$0	$611,155	$0	$0	$0
BRANDON FRANCIS MD
CMO TRINITY HEALTH GRAND RAPIDS	$0	$401,607	$0	$109,880	$0	$6,263	$0	$16,675	$0	$31,718	$0	$566,143	$0	$0
JOHN O'MALLEY
PRESIDENT TRINITY HEALTH LIVINGSTON	$0	$334,181	$0	$112,271	$0	$70,157	$0	$20,425	$0	$13,241	$0	$550,275	$0	$0
MELISSA KAROLAK
VP FINANCE TH LIVONIA & OAKLAND	$0	$316,791	$0	$91,120	$0	$1,314	$0	$16,675	$0	$15,964	$0	$441,864	$0	$0
FRANK SAWYER
SR VP OPERATIONS TRIN HEALTH OAKLAND	$291,117	$0	$81,877	$0	$306	$0	$16,675	$0	$33,440	$0	$423,415	$0	$0	$0
ADEEB HARB
SENIOR VP OPERATIONS TH LIVONIA	$278,623	$0	$77,434	$0	$257	$0	$7,306	$0	$28,117	$0	$391,737	$0	$0	$0
KARLA ZARB
FORMER KE; VP SURG SVCS TH ANN ARBOR	$0	$251,797	$0	$69,089	$0	$3,245	$0	$20,180	$0	$24,184	$0	$368,495	$0	$0
LACEY SAPKIEWICZ
SR VP OPERATIONS TH ANN ARBOR & LIV	$246,640	$0	$42,211	$0	$243	$0	$15,908	$0	$17,580	$0	$322,582	$0	$0	$0
KURT MACDONALD
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$121,981	$0	$0	$0	$0	$0	$121,981	$0	$121,981	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

TRINITY HEALTH - MICHIGAN (TH-MI) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. TH-MI'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF TH-MI'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2024. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KURT MACDONALD - $121,981 MICHAEL SAMYN - $129,059 DAVID SPIVEY - $534,765 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/24: MICHAEL SAMYN - $199,914 (PAID IN 2025) DAVID SPIVEY - $368,445 (PAID IN 2025) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2024 AND THEIR NON-VESTED BENEFITS FOR 2024 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2024 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MATTHEW BIERSACK, MD - $32,406 ROBERT CASALOU - $289,445 MICHAEL GUSHO - $106,209 EDMUND HODGE - $233,800 ALONZO LEWIS - $131,969 MANDI MURRAY - $0 JOHN O'MALLEY - $52,060 SHANNON STRIEBICH - $199,194 ROSALIE TOCCO-BRADLEY, MD - $100,956 THE FOLLOWING ACCRUALS FOR 2024 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: MATTHEW BIERSACK, MD - $96,756 ALONZO LEWIS - $184,016 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($345,000 FOR 2024) THE FOLLOWING PAYOUTS FOR 2024 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BRANDON FRANCIS, MD - $4,558 FABIAN FREGOLI, MD - $6,031 DANIEL GREEN - $5,909 MATTHEW GRIFFIN, MD - $7,644 MELISSA KAROLAK - $0 TOMASINE MARX - $5,442 MICHAEL SAMYN - $1,653 DAVID VANDENBERG, MD - $6,519

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$524,927	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,404,362	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
MATTHEW GRIFFIN
FAMILY MEMBER OF MATTHEW GRIFFIN, MD, KEY EMPLOYEE	$88,471	EMPLOYMENT ARRANGEMENT	0
DILYN ZARB
FAMILY MEMBER OF KARLA ZARB, KEY EMPLOYEE	$73,124	EMPLOYMENT ARRANGEMENT	0
ADAMARI MARTIN
FAMILY MEMBER OF WAYMAN BRITT, DIRECTOR	$16,139	EMPLOYMENT ARRANGEMENT	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$114,979	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$908,859	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$184,913	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MED VALUE-TRANS DATE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	FOR ANY STOCK CONTRIBUTIONS RECEIVED, THE TREASURY DEPARTMENT OF TRINITY HEALTH, A RELATED ORGANIZATION, HAS ESTABLISHED A PROCESS TO WORK WITH ITS EXTERNAL BANK TO ENSURE THE SECURITIES ARE SOLD IN A TIMELY MANNER AND THE PROCEEDS ARE INVESTED FOR THE BENEFIT OF THE ORGANIZATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF TH-MI 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 TH-MI. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF TH-MI.
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, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING, THE FORM 990 FOR TH-MI IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	TH-MI HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF TH-MI, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF TH-MI AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. 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 PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF TH-MI (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TH-MI OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF TH-MI (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF TH-MI. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15	QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR THE CEO AND CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TH-MI IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING COMPENSATION FOR THESE INDIVIDUALS, 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 THESE INDIVIDUALS 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 HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FOR KEY MANAGEMENT OFFICIALS WHOSE COMPENSATION IS ESTABLISHED AND PAID BY TH-MI, COMPENSATION IS DETERMINED USING AN ANNUAL REVIEW OF GOALS AND PERFORMANCE BY THE INDIVIDUAL'S MANAGER.
FORM 990, PART VI, SECTION C, LINE 19	TH-MI 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 CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, TH-MI INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. TH-MI'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES -20,600,181. CHANGE IN DEFERRED RETIREMENT COSTS 1,192,638. INCOME FROM DISCONTINUED OPERATIONS 245,219. OTHER TRANSACTIONS 1,571,110. ASSET IMPAIRMENT -418,011. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 1,726,381. NET ASSETS RECLASSED FROM RESTRICTIONS FOR CAPITAL ACQUISITIONS -718,466.
FORM 990, PART XII, LINE 2:	TH-MI'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY25 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES (ASLA),ANN ARBOR HOME INFUSION PHARMACY,ANN ARBOR SPINE CENTER,ARRIVE INFUSION THERAPY,BROWNING CLAYTOR HEALTH CENTER,CANCER NETWORK OF WEST MICHIGAN,CANTON HEALTH CENTER,CARDIOVASCULAR NETWORK OF WEST MICHIGAN,CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES),CHELSEA COMMUNITY HOSPITAL,CHELSEA ORTHOPEDIC SPECIALISTS,CHELSEA PROFESSIONAL SERVICES,CHELSEACARE,CHELSEACARE HOME HEALTH,CHELSEACARE PHARMACY,CLINICA SANTA MARIA,CLINXUS,CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES,DEXTER INTERNAL MEDICINE AND PEDIATRICS,FAMILY MEDICINE OF STOCKBRIDGE,FAMILY PHARMACY-SW CAMPUS,HEALTH EXPLORATION STATION,HEARTSIDE HEALTH CLINIC,LIVONIA HEALTH CENTER,MCAULEY HEALTH CENTER,MERCY ADVANTAGE,MERCY CANCER CENTER,MERCY ENDOCRINOLOGY,MERCY FAMILY CARE,MERCY HEALTH CLINXUS,MERCY HEALTH DENTAL CLINIC,MERCY HEALTH PHARMACY SOLUTIONS,MERCY HEALTH PHARMACY-MARY FREE BED,MERCY HEALTH PHARMACY-ROCKFORD,MERCY HEALTH SAINT MARY'S,MERCY HEALTH SERVICES,MERCY HEALTH-MUSKEGON CMH PHARMACY,MERCY MEDICAL CENTER - NOVI,MERCY NORTH OUTPATIENT PHARMACY,MERCY OB/GYN PARTNERS,MERCY PHYSICIAN NETWORK,MERCY PRIMARY CARE CENTER - DETROIT,MERCY PRIMARY CARE CENTER - DETROIT PHARMACY,MERCY SPECIALTY CARE,MERCY SURGERY CARE,MERCYELITE,MERCYELITE PHYSICAL THERAPY,MERCYELITE SPORTS PERFORMANCE,MICHIGAN BARIATRIC INSTITUTE (MBI),MICHIGAN BRAIN AND SPINE INSTITUTE,MICHIGAN CANCER INSTITUTE,MICHIGAN HEART,MICHIGAN STROKE NETWORK,MICHIGAN STROKE NETWORK REGISTRY,MRI MOBILE SERVICES OF WEST MICHIGAN,PROFESSIONAL FINANCIAL SERVICES,RICHARD J. LACKS CANCER CENTER,SAINT JOSEPH MERCY HEALTH SYSTEM,SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVORIAL MEDICINE,SAINT JOSEPH MERCY LIVINGSTON HOSPITAL,SAINT MARY'S FAMILY PHARMACY,SAINT MARY'S FAMILY PHARMACY - LTC,SAINT MARY'S FAMILY PHARMACY-CATHEDRAL SQUARE,SAINT MARY'S FAMILY PHARMACY-SOUTHWEST,SAINT MARY'S FAMILY PHARMACY-SW CAMPUS,SAINT MARY'S FAMILY PHARMACY-WEGE CENTER,SAINT MARY'S HEALTH CARE,SAINT MARY'S HEALTH CARE, PROFESSIONAL FINANCIAL SERVICES,SAINT MARY'S HEALTH SERVICES,SAINT MARY'S LTC PHARMACY,SAINT MARY'S MERCY HOSPITAL,SAINT MARY'S MERCY MEDICAL CENTER,SAINT MARY'S MERCY WOUND CARE CENTER,SISTERS OF MERCY HEALTH CORPORATION,SJMH MEDICAL PRACTICE,SJMH MEDICAL PRACTICE- SMHC,SJMH URGENT CARES,SJMHS SPECIALTY PHYSICIANS,SJMO ROCHESTER HILLS OB/GYN,SOPHIA'S HOUSE,SPARTA FAMILY HEALTH CENTER,SRSLY,ST JOSEPH MERCY HOSPITAL, PONTIAC,ST. JOE'S MEDICAL GROUP,ST. JOE'S MEDICAL GROUP - BLOOMFIELD PRIMARY CARE,ST. JOE'S MEDICAL GROUP - WATERFORD ADULT AND PEDIATRIC MEDICINE,ST. JOSEPH MERCY - BRIGHTON,ST. JOSEPH MERCY ANN ARBOR,ST. JOSEPH MERCY ANN ARBOR-CANCER CENTER,ST. JOSEPH MERCY BRIGHTON-CANCER CENTER,ST. JOSEPH MERCY CANTON,ST. JOSEPH MERCY CANTON HEALTH CENTER,ST. JOSEPH MERCY CANTON-CANCER CENTER,ST. JOSEPH MERCY CHELSEA-CANCER CENTER,ST. JOSEPH MERCY GREENBROOK,ST. JOSEPH MERCY HOSPITAL - SMHC,ST. JOSEPH MERCY HOSPITAL, ANN ARBOR,ST. JOSEPH MERCY HOSPITAL, PONTIAC,ST. JOSEPH MERCY LIVINGSTON,ST. JOSEPH MERCY LIVINGSTON-CANCER CENTER,ST. JOSEPH MERCY OAKLAND,ST. JOSEPH MERCY OAKLAND - AUBURN HILLS DIAGNOSTICS,ST. JOSEPH MERCY OAKLAND - CLARKSTON IMAGING CENTER,ST. JOSEPH MERCY OAKLAND - IMAGE ENHANCEMENT CENTER,ST. JOSEPH MERCY OAKLAND URGENT CARE-BIRMINGHAM,ST. JOSEPH MERCY OAKLAND-CANCER CENTER,ST. JOSEPH MERCY PROFESSIONAL PHARMACY,ST. MARY MERCY - CANCER CENTER,ST. MARY MERCY HOSPITAL,ST. MARY MERCY HOSPITAL PROFESSIONAL,ST. MARY MERCY LIVONIA,ST. MARY MERCY ONCOLOGY PRACTICE,ST. MARY MERCY OUTPATIENT PHARMACY,ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES,ST. MARY MERCY PHARMACY - LIVONIA MEDICAL CENTER,ST. MARY MERCY PHYSICIAN PRACTICES,ST. MARY MERCY WOUND CARE CENTER,ST. MARY'S HOSPITAL, GRAND RAPIDS,ST. MARY'S HOSPITAL, GRAND RAPIDS,THE BOUTIQUE AT MERCY HEALTH,THE BOUTIQUE AT MERCY HEALTH, LACKS CANCER CENTER,THE FARM AT SAINT JOSEPH MERCY HEALTH SYSTEM,THE FARM AT ST. JOE'S,THE FARM AT TRINITY HEALTH,THE SHOPPE AT SAINT MARY'S,TRINITY HEALTH - SOUTHEAST MICHIGAN,TRINITY HEALTH - WEST MICHIGAN,TRINITY HEALTH ADDICTION RECOVERY,TRINITY HEALTH ADDICTION RECOVERY - ANN ARBOR CAMPUS,TRINITY HEALTH ADDICTION RECOVERY - LIVINGSTON CAMPUS,TRINITY HEALTH ANN ARBOR,TRINITY HEALTH ANN ARBOR HOSPITAL,TRINITY HEALTH ASC PHARMACY - SCHOOLCRAFT CAMPUS,TRINITY HEALTH BEHAVIORAL HEALTH CENTER,TRINITY HEALTH BOUTIQUE,TRINITY HEALTH CANCER CENTER - ANN ARBOR CAMPUS,TRINITY HEALTH CANCER CENTER - BRIGHTON,TRINITY HEALTH CANCER CENTER - CANTON,TRINITY HEALTH CANCER CENTER - LIVONIA HOSPITAL,TRINITY HEALTH CANCER CENTER - OAKLAND HOSPITAL,TRINITY HEALTH CANCER CENTER PHARMACY - ANN ARBOR,TRINITY HEALTH CMH PHARMACY - MUSKEGON,TRINITY HEALTH GRAND RAPIDS,TRINITY HEALTH GRAND RAPIDS HOSPITAL,TRINITY HEALTH HOME INFUSION PHARMACY - ANN ARBOR,TRINITY HEALTH IMAGING,TRINITY HEALTH IMAGING CENTER,TRINITY HEALTH INFUSION PHARMACY - CATHEDRAL SQUARE,TRINITY HEALTH INSPIRIT SALON & SPA,TRINITY HEALTH LAB,TRINITY HEALTH LACKS CANCER CENTER,TRINITY HEALTH LIVINGSTON,TRINITY HEALTH LIVINGSTON HOSPITAL,TRINITY HEALTH LIVONIA,TRINITY HEALTH LIVONIA HOSPITAL,TRINITY HEALTH LONG TERM CARE PHARMACY - CATHEDRAL SQUARE,TRINITY HEALTH MCAULEY INN,TRINITY HEALTH MEDICAL CENTER,TRINITY HEALTH MEDICAL CENTER - BRIGHTON,TRINITY HEALTH MEDICAL CENTER - CANTON,TRINITY HEALTH MEDICAL CENTER - EMU,TRINITY HEALTH MEDICAL CENTER - EMU,TRINITY HEALTH MEDICAL CENTER - SCHOOLCRAFT CAMPUS,TRINITY HEALTH MEDICAL CENTER - WATERFORD,TRINITY HEALTH MEDICAL CENTER PHARMACY - BRIGHTON,TRINITY HEALTH MEDICAL CENTER PHARMACY - CANTON,TRINITY HEALTH MEDICAL GROUP, MCAULEY CLINIC - GRAND RAPIDS CAMPUS,TRINITY HEALTH MICHIGAN HEART,TRINITY HEALTH MICHIGAN HEART PROGRAM OF ADULT CARDIAC ULTRASOUND,TRINITY HEALTH OAKLAND,TRINITY HEALTH OAKLAND HOSPITAL,TRINITY HEALTH OSC PHARMACY - LIVONIA,TRINITY HEALTH PAIN & PALLIATIVE CARE,TRINITY HEALTH PAIN CENTER,TRINITY HEALTH PETER M. WEGE CENTER FOR HEALTH AND LEARNING,TRINITY HEALTH PHARMACY - BRIGHTON,TRINITY HEALTH PHARMACY - BYRON CENTER,TRINITY HEALTH PHARMACY - CATHEDRAL SQUARE,TRINITY HEALTH PHARMACY - DETROIT,TRINITY HEALTH PHARMACY - EMU CAMPUS,TRINITY HEALTH PHARMACY - HOWELL,TRINITY HEALTH PHARMACY - HUDSONVILLE,TRINITY HEALTH PHARMACY - LIVONIA,TRINITY HEALTH PHARMACY - MARY FREE BED,TRINITY HEALTH PHARMACY - OAKLAND,TRINITY HEALTH PHARMACY - REICHERT CENTER,TRINITY HEALTH PHARMACY - ROCKFORD,TRINITY HEALTH PHARMACY - ROOSEVELT PARK,TRINITY HEALTH PHARMACY - ROOSEVELT PLAZA,TRINITY HEALTH PHARMACY - SCHOOLCRAFT CAMPUS,TRINITY HEALTH PHARMACY - TOWERS ANN ARBOR,TRINITY HEALTH PHARMACY - WEGE CENTER,TRINITY HEALTH PHARMACY SOLUTIONS - GRAND RAPIDS,TRINITY HEALTH PRIMARY CARE - DETROIT,TRINITY HEALTH RECOVERY SERVICES - ANN ARBOR CAMPUS,TRINITY HEALTH REICHERT MEDICAL CENTER,TRINITY HEALTH RICHARD J. LACKS SR. CANCER CENTER,TRINITY HEALTH SAINT MARY'S - GRAND RAPIDS,TRINITY HEALTH SLEEP CENTER,TRINITY HEALTH SOPHIA'S HOUSE,TRINITY HEALTH ST. JOSEPH MERCY ANN ARBOR,TRINITY HEALTH ST. JOSEPH MERCY LIVINGSTON,TRINITY HEALTH ST. JOSEPH MERCY OAKLAND,TRINITY HEALTH ST. MARY MERCY LIVONIA,TRINITY HEALTH SURGERY CENTER - BRIGHTON,TRINITY HEALTH SURGERY CENTER - CANTON,TRINITY HEALTH SURGERY CENTER - SCHOOLCRAFT CAMPUS,TRINITY HEALTH SURGERY CENTER - SCHOOLCRAFT CAMPUS,TRINITY HEALTH URGENT CARE,TRINITY HEALTH WEGE MEDICAL CENTER,TRINITY HEALTH WELLNESS CENTER,TRINITYELITE SPORTS PERFORMANCE,TRINITYELITE SPORTS PERFORMANCE CENTER,WESTSHORE FAMILY MEDICINE,WOMEN'S HEALTH CENTER,WORKPLACE HEALTH ANN ARBOR,WORKPLACE HEALTH LIVONIA,WORKPLACE HEALTH OAKLAND

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Total IncomeTotalIncomeAmt
OAKLAND HEALTH ALLIANCE LLC
44405 WOODWARD AVE	PONTIAC	MI	48341	822021072	ACCOUNTABLE CARE ORGANIZATION	MI	$422,566	TRINITY HEALTH-MICHIGAN
SOUTHEAST MICHIGAN CLINICAL NETWORK LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473856789	ACCOUNTABLE CARE ORGANIZATION	MI	$12,675,264	TRINITY HEALTH-MICHIGAN	$439,905
WARDE MEDICAL LABORATORY LLC
300 W TEXTILE RD	ANN ARBOR	MI	48108	382648446	LABORATORY	MI	$1,334,321	TRINITY HEALTH-MICHIGAN	$2,643,673
GRAND RIVER ENDOSCOPY CENTER LLC
310 LAFAYETTE AVE SE SUITE 200	GRAND RAPIDS	MI	49503	450519047	HEALTH CARE SERVICES	MI	$8,932,465	TRINITY HEALTH-MICHIGAN	$6,117,503

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (220 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	272491974	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	581492325	GRANT MAKING	FL	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450170	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
BAUM HARMON MERCY HOSPITAL
1000 4TH STREET SW	MASON CITY	IA	50401	421500277	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
1000 4TH STREET SW	MASON CITY	IA	50401	262973307	FOUNDATION	IA	501(C)(3)	LINE 12A, I	BAUM HARMON MERCY HOSPITAL	Yes (1)
BEECHWOOD INC
2212 BURDETT AVE	TROY	NY	12180	141651563	TITLE HOLDING COMPANY	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes (1)
BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREET	PITTSBURGH	PA	15219	251436685	HOMELESS SHELTER	PA	501(C)(3)	LINE 7	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
BEVERWYCK INC
40 AUTUMN DRIVE	SLINGERLANDS	NY	12159	141717028	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
BRIGHTSIDE INC
114 WOODLAND STREET	HARTFORD	CT	06105	042182395	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 10	THE MERCY HOSPITAL INC	Yes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STREET	COHOES	NY	12047	141701597	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
CATHERINE MCAULEY HEALTH SERVICE CORP
5315 ELLIOTT DR 102	YPSILANTI	MI	48197	382507173	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVENUE	DES MOINES	IA	50314	420680448	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAY	LIVONIA	MI	48152		GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM		501(C)(3)	LINE 1		0	VT	N/A
CENTRAL COMMUNITY HOSPITAL
901 DAVIDSON ST NW	ELKADER	IA	52043	420818642	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY COMMUNITY HOSPITAL GROUP LLC	Yes (1)
COVENANT FOUNDATION INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421295784	FOUNDATION	IA	501(C)(3)	LINE 7	COVENANT MEDICAL CENTER INC	Yes (1)
COVENANT MEDICAL CENTER INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421264647	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
DILEY RIDGE MEDICAL CENTER
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	342032340	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVE	DUBUQUE	IA	52001	262227941	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW	DYERSVILLE	IA	52040	205383271	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000	TROY	NY	12180	141818568	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
EMBRACING AGE INC
333 BUTTERNUT DRIVE	DEWITT	NY	13214	461051881	PACE PROGRAM	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE	MALTA	NY	12020	141795732	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	HOME AIDE SERVICE OF EASTERN NEW YORK INC	Yes (1)
FARREN CARE CENTER INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	042501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	TRINITY CONTINUING CARE SERVICES	Yes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500	WILMINGTON	DE	19805	223008680	LONG TERM CARE (INACTIVE)	DE	501(C)(3)	LINE 10	ST FRANCIS HOSPITAL INC	Yes (1)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421421670	FOUNDATION	IA	501(C)(3)	LINE 7	GENESIS HEALTH SYSTEM	Yes (1)
GENESIS HEALTH SYSTEM
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421418847	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
GENESIS HEALTH SYSTEM (IL)
801 ILLINI DRIVE	SILVIS	IL	61282	363616314	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE BENEFIT TRUST	IA	501(C)(3)	LINE 12A, I	GENESIS HEALTH SYSTEM	Yes (1)
GENESIS MEDICAL CENTER ALEDO
409 NW 9TH AVENUE	ALEDO	IL	61231	454475683	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (IL)	Yes (1)
GLACIER HILLS FOUNDATION
PO BOX 530009	LIVONIA	MI	48152	208072723	FOUNDATION	MI	501(C)(3)	LINE 12A, I	GLACIER HILLS INC	Yes (1)
GLACIER HILLS INC
PO BOX 500039	LIVONIA	MI	48152	381891500	SENIOR LIVING COMMUNITY	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
GLEN EDDY INC
1 GLEN EDDY DRIVE	NISKAYUNA	NY	12309	141794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY	LIVONIA	MI	48152	421253527	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY	GREENSBORO	GA	30642	261720984	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE	MELROSE PARK	IL	60160	363332852	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 WEST NORTH AVENUE	MELROSE PARK	IL	60160	743260011	FOUNDATION	IL	501(C)(3)	LINE 12D, III-O		0		N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE	MELROSE PARK	IL	60160	362379649	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAY	EAST GREENBUSH	NY	12061	800102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HEARTWOOD LODGE TRINITY HEALTH
PO BOX 530009	LIVONIA	MI	48152	382602971	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE	TROY	NY	12180	141725101	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOLY CROSS CARENET INC
PO BOX 530009	LIVONIA	MI	48152	521945054	LONG TERM CARE	MD	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	208428450	FOUNDATION	MD	501(C)(3)	LINE 7	HOLY CROSS HEALTH INC	Yes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	520738041	HEALTH CARE AND HOSPITAL SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791028	HEALTH CARE AND HOSPITAL SERVICES	FL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	465421068	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	812531495	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS SENIOR SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	832256461	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000	TROY	NY	12180	141514867	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SE	MASON CITY	IA	50401	421173708	HOSPICE SERVICES	IA	501(C)(3)	LINE 10	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
HOSPICE OF NORTH OTTAWA COMMUNITY INC
PO BOX 532020	LIVONIA	MI	48153	382370192	HOSPICE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
HOUSE OF MERCY
1111 6TH AVENUE	DES MOINES	IA	50314	421323808	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48105	383316559	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	475676956	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232519529	HEALTH CARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE	PENNSAUKEN	NJ	08109	261854750	PACE PROGRAM	NJ	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
1072 JUSTISON STREET	WILMINGTON	DE	19801	452569214	PACE PROGRAM	DE	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE ST JOSEPH OF THE PINES INC
4900 RAEFORD ROAD	FAYETTEVILLE	NC	28304	272159847	PACE PROGRAM	NC	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE ST MARY
2500 NORTHGATE ROAD	TREVOSE	PA	19053	262976184	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVE	MELROSE PARK	IL	60160	474147171	TRANSPORTATION SERVICES	IL	501(C)(3)	LINE 10	LOYOLA UNIVERSITY MEDICAL CENTER	Yes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363342448	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364015560	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
LTC (EDDY) INC
2212 BURDETT AVE	TROY	NY	12180	222564710	MANAGEMENT SERVICES FOR LONG TERM CARE	NY	501(C)(3)	LINE 12B, II	ST PETER'S HEALTH PARTNERS	Yes (1)
MAXIS HEALTH SYSTEM
20555 VICTOR PARKWAY	LIVONIA	MI	48152	911940902	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
MCAULEY CENTER INC
PO BOX 530009	LIVONIA	MI	48152	061058086	SENIOR LIVING COMMUNITY	CT	501(C)(3)	LINE 10	MERCY COMMUNITY HEALTH INC	Yes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUE	PITTSBURGH	PA	15213	943436142	GRANT MAKING	PA	501(C)(3)	LINE 12B, II	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
MERCY AUXILARY
814 13TH AVE N UNIT 6A	CLINTON	IA	53732	421348035	VOLUNTEER SERVICE AUXILIARY	IA	501(C)(3)	LINE 12A, I		0		N/A
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	426076069	VOLUNTEER SERVICE AUXILIARY	IA	501(C)(3)	LINE 12A, I	MERCY FOUNDATION OF DES MOINES IOWA	Yes (1)
MERCY CARE CENTER
3753 SOUTH COTTAGE GROVE AVE	CHICAGO	IL	60653	853904921	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY CARE FOUNDATION INC
424 DECATUR STREET	ATLANTA	GA	30312	581448522	FOUNDATION	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
3805 W CHESTER PIKE STE 100	NEWTOWN SQUARE	PA	19073	231352191	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY CLINICS INC
1111 6TH AVENUE	DES MOINES	IA	50314	421193699	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 10	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY COLLEGE OF HEALTH SCIENCES
928 6TH AVENUE	DES MOINES	IA	50309	421511682	COLLEGE OF HEALTH SCIENCE	IA	501(C)(3)	LINE 2	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY COMMUNITY HEALTH INC
PO BOX 530009	LIVONIA	MI	48152	061492707	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY FAMILY SUPPORT
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232325059	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	MERCY HOME HEALTH SERVICES	Yes (1)
MERCY FOUNDATION OF DES MOINES IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	237358794	FOUNDATION	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY FOUNDATION INC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
PO BOX 532020	LIVONIA	MI	48153	383321856	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232829864	FOUNDATION	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HEALTH NETWORK INC
411 LAUREL STREET SUITE 200	DES MOINES	IA	50314	421478417	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD	MUSKEGON	MI	49444	382589966	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363163327	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH ST	CLINTON	IA	52732	421316126	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY MEDICAL CENTER - CLINTON INC	Yes (1)
MERCY HOME HEALTH
PO BOX 532020	LIVONIA	MI	48153	231352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
MERCY HOME HEALTH SERVICES
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232325058	MANAGEMENT SERVICES FOR HOME HEALTH	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	362170152	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	203357131	FOUNDATION	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HOSPITAL OF FRANCISCAN SISTERS INC
201 8TH AVENUE SE	OELWEIN	IA	50662	421178403	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
MERCY LIFE
1930 SOUTH BROAD STREET	PHILADELPHIA	PA	19145	232840137	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251604115	COMMUNITY OUTREACH	PA	501(C)(3)	LINE 10	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
MERCY LIFE OF ALABAMA
PO BOX 7957	MOBILE	AL	36670	273163002	PACE PROGRAM	AL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY LIFE INC
200 HILLSIDE CIRCLE	WEST SPRINGFIELD	MA	01089	453086711	PACE PROGRAM	MA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232627944	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
MERCY MEDICAL CENTER - CENTERVILLE
1 ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	52732	421336618	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - NEWTON
204 N 4TH AVE E	NEWTON	IA	50208	421470935	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
1000 4TH STREET SW	MASON CITY	IA	50401	141880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	50401	421229151	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	454884805	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SENIOR CARE INC
424 DECATUR STREET	ATLANTA	GA	30312	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET	ATLANTA	GA	30312	272046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 530009	LIVONIA	MI	48152	382719605	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY SPECIALIST PHYSICIANS INC
114 WOODLAND STREET	HARTFORD	CT	06105	264033168	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SUBURBAN HOSPITAL
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	231396763	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MOUNT CARMEL COLLEGE OF NURSING
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	251912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	873948434	MEDICARE HMO	CT	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF IDAHO INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	831422704	MEDICARE HMO	ID	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF NEW YORK INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	833278543	MEDICARE HMO	NY	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH SYSTEM
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311439334	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311113966	FOUNDATION	OH	501(C)(3)	LINE 12A, I	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT SINAI HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222584082	FOUNDATION	CT	501(C)(3)	LINE 12A, I		0		N/A
MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	061422973	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
MOUNT ST JOSEPH
PO BOX 530009	LIVONIA	MI	48152	010274998	LONG TERM CARE	ME	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
1675 LEAHY ST SUITE 210	MUSKEGON	MI	49442	911932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes (1)
NAZARETH HOSPITAL
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232794121	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
NAZARETH PHYSICIAN SERVICES INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	203261266	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
NORTH OTTAWA HOSPITAL AUXILIARY INC
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	386088836	FUNDRAISING	MI	501(C)(3)	LINE 12D, III-O		0		N/A
NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD
3421 WEST NINTH STREET	WATERLOO	IA	50702	421207432	TITLE HOLDING COMPANY	IA	501(C)(2)	N/A	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
OAKLAND MERCY HOSPITAL
1000 4TH STREET SW	MASON CITY	IA	50401	208072234	HEALTH CARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
1000 4TH STREET SW	MASON CITY	IA	50401	311678345	FOUNDATION	NE	501(C)(3)	LINE 12A, I	OAKLAND MERCY HOSPITAL	Yes (1)
OSUMOUNT CARMEL HEALTH ALLIANCE
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311654603	COOPERATIVE HEALTH CARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 12A, I		0		N/A
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE	GUILDERLAND	NY	12084	141743506	LONG TERM CARE	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
114 WOODLAND STREET	HARTFORD	CT	06105	454208896	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
PITTSBURGH MERCY HEALTH SYSTEM INC
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251464211	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
PROBILITY THERAPY SERVICES
2058 S STATE STREET	ANN ARBOR	MI	48104	202020239	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	49442	382638284	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	MERCY HEALTH PARTNERS	Yes (1)
RIVERBEND MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	811807730	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	271763712	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTH CARE AND HOSPITAL SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTH CARE SERVICES	CA	501(C)(3)	LINE 12A, I	SAINT AGNES MEDICAL CENTER	Yes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	943164869	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -BAKER CITY INC	Yes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	202683560	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC	Yes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	271929502	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	271790052	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
4300 E FLAMINGO AVENUE	NAMPA	ID	83687	261737256	FOUNDATION	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -NAMPA INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
4300 E FLAMINGO AVENUE	NAMPA	ID	83687	820200896	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820200895	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET	HARTFORD	CT	06105	060646813	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061008255	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	Yes (1)
SAINT JOSEPH PACE INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473129127	PACE PROGRAM	IN	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46563	351142669	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	350868157	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	351568821	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET	ATLANTA	GA	30312	581744848	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET	ATLANTA	GA	30312	581752700	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 10	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 530009	LIVONIA	MI	48152	311040468	SENIOR LIVING COMMUNITY	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES-INDIANA INC	Yes (1)
SAINT MARY HOME INCORPORATED
PO BOX 530009	LIVONIA	MI	48152	060646843	LONG TERM CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
PO BOX 532020	LIVONIA	MI	48153	383320700	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE	GRAND RAPIDS	MI	49503	381779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes (1)
ST MARY'S HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222528400	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT MARY'S HOSPITAL INC	Yes (1)
SAINT MARY'S HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	060646844	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAMARITAN HOSPITAL
2215 BURDETT AVE	TROY	NY	12180	141338544	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SAMARITAN HOSPITAL AND THE EDDY FOUNDATION
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222743478	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
SARTORI HEALTH CARE FOUNDATION INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421240996	FOUNDATION	IA	501(C)(3)	LINE 7	SARTORI MEMORIAL HOSPITAL INC	Yes (1)
SARTORI MEMORIAL HOSPITAL INC
515 COLLEGE STREET	CEDAR FALLS	IA	50613	420758901	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
SENIOR CARE CONNECTION INC
1938 CURRY ROAD	SCHENECTADY	NY	12303	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVD	CLIFTON PARK	NY	12065	141756230	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREET	ATLANTA	GA	30312	472299757	HEALTH CARE SYSTEM SUPPORT	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
ST FRANCIS HOSPITAL INC
PO BOX 2500	WILMINGTON	DE	19805	510064326	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST JAMES MERCY HEALTH SYSTEM INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	223127184	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	NY	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH MERCY CHELSEA INC
775 SOUTH MAIN ST	CHELSEA	MI	48118	824757260	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
ST JOSEPH OF THE PINES INC
PO BOX 530009	LIVONIA	MI	48152	560694200	LONG TERM CARE	NC	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUE	SYRACUSE	NY	13203	202497520	COLLEGE OF NURSING	NY	501(C)(3)	LINE 2	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
ST JOSEPH'S HEALTH AT HOME INC
PO BOX 532020	LIVONIA	MI	48153	871012253	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	237219294	BUILDING MANAGEMENT SERVICES	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	474754987	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUE	SYRACUSE	NY	13203	150532254	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	222149775	FOUNDATION	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	273899821	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
ST JOSEPH'S PHYSICIAN HEALTH PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	161516863	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST PETER'S HEALTH PARTNERS	Yes (1)
ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	461827502	TITLE HOLDING COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	465354512	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	231913910	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	582544232	FOUNDATION	GA	501(C)(3)	LINE 7	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	811660088	FOUNDATION	GA	501(C)(3)	LINE 7	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET	ATHENS	GA	30606	020576648	SENIOR LIVING COMMUNITY	GA	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
ST MARY'S HOSPITAL INC
1230 BAXTER STREET	ATHENS	GA	30606	580566223	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET	ATHENS	GA	30606	261858563	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAY	LAVONIA	GA	30553	473752176	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD	ALBANY	NY	12208	453570715	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	461177336	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD	ALBANY	NY	12208	141348692	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222262982	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVENUE	SCHENECTADY	NY	12308	141338386	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVE	SCHENECTADY	NY	12308	222505127	FOUNDATION	NY	501(C)(3)	LINE 7	SUNNYVIEW HOSPITAL AND REHABILITATION CENTER	Yes (1)
THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	203018640	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 12C, III-FI	ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC	Yes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RD	ALBANY	NY	12205	222692940	FOUNDATION	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	Yes (1)
THE COMMUNITY HOSPICE INC
445 NEW KARNER RD	ALBANY	NY	12205	141608921	HOSPICE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	351654543	FOUNDATION	IN	501(C)(3)	LINE 7	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE	TROY	NY	12180	222570478	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141793885	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
THE MERCY HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	043398280	HEALTH CARE AND HOSPITAL SERVICES	MA	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER
114 WOODLAND STREET	HARTFORD	CT	06105	060660403	VOLUNTEER SERVICE AUXILIARY	CT	501(C)(3)	LINE 12A, I		0		N/A
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER	PORT HURON	MI	48060	382485700	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I		0		N/A
TRINITY CONTINUING CARE SERVICES
PO BOX 530009	LIVONIA	MI	48152	382559656	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA
PO BOX 530009	LIVONIA	MI	48152	930907047	LONG TERM CARE	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS
PO BOX 530009	LIVONIA	MI	48152	824005577	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	0
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY	LIVONIA	MI	48152	351443425	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12B, II	CATHOLIC HEALTH MINISTRIES	Yes (1)
TRINITY HEALTH GEORGIA INC
1230 BAXTER STREET	ATHENS	GA	30606	880878641	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL)
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	383330803	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes (1)
TRINITY HEALTH LIFE PENNSYLVANIA INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	475244984	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232571699	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061491191	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	833546613	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 10	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450168	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF THE MID-ATLANTIC REGION
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232212638	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH PACE
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473073124	PACE PROGRAM	MI	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH PACE ALEXANDRIA INC
3403 GOVERNMENT STREET	ALEXANDRIA	LA	71302	923433625	PACE PROGRAM	LA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC
200 PERRY PARKWAY	GAITHERSBURG	MD	20877	923450659	PACE PROGRAM	MD	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PACE OF PENSACOLA INC
5020 COMMERCE PARK CIRCLE	PENSACOLA	FL	32505	922940854	PACE PROGRAM	FL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PLAN OF MICHIGAN INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	843836552	MEDICARE HMO	MI	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
TRINITY HEALTH SPECIALTY HOSPITAL - GRAND HAVEN
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	933727867	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	208151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HOME HEALTH SERVICES
PO BOX 532020	LIVONIA	MI	48153	382621935	MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVD	ALBANY	NY	12208	141438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes (1)
WHEATON FRANCISCAN HEALTHCARE-IOWA INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421177001	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IA	501(C)(3)	LINE 12B, II	MERCY HEALTH NETWORK INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (48 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
ADVENT REHABILITATION LLC
625 KENMOOR AVE SE SUITE 100	GRAND RAPIDS	MI	49546	383306673	REHABILITATION THERAPY SERVICES	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	$1,073,571	$4,046,603	0	Yes (1)	0.50000
BH VENTURE ONE LP
905 WATSON STREET	PITTSBURGH	PA	15219	384098074	REAL ESTATE	PA					0	Yes (1)		N/A
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	48213	311608125	MEDICAL OFFICE BUILDING RENTAL	OH					0	Yes (1)		N/A
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	$2,121,771	$1,080,561	0	0	0.51000
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	721439481	URGENT CARE CENTER	LA					0	Yes (1)		N/A
DIAGNOSTIC IMAGING OF SOUTHBURY LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061487582	IMAGING CENTER	CT					0	Yes (1)		N/A
EVERETT ROAD ASC LLC
30 CENTURY HILL DRIVE	LATHAM	NY	12110	833542382	MEDICAL SERVICES	NY					0	Yes (1)		N/A
FOREST PARK IMAGING LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134365966	X-RAY AND MAMMOGRAPHY SERVICES	IA					0	Yes (1)		N/A
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA					0	0		N/A
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	473785124	DIAGNOSTIC IMAGING CENTER	IL					0	Yes (1)		N/A
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	453571628	DIAGNOSTIC IMAGING CENTER	IA					0	Yes (1)		N/A
HAWARDEN REGIONAL HEALTH CLINICS LLC
1111 11TH ST	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA					0	Yes (1)		N/A
HEALTHRISE BUSINESS INTELLIGENCE LLC
31700 MIDDLEBELT	FARMINGTON HILLS	MI	48334	845053960	REVENUE CYCLE MANAGEMENT	DE					0	0		N/A
HURON GASTRO ENDOSCOPY CENTER LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	853580801	MEDICAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	-$175,480	$1,508,397	0	0	0.51000
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603	BOISE	ID	83702	820514422	IMAGING CENTER	ID					0	Yes (1)		N/A
LANGHORNE MOB PARTNERS LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232622772	MEDICAL OFFICE BUILDING RENTAL	PA					0	Yes (1)		N/A
LCMC URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	300951534	URGENT CARE CENTER	DE					0	Yes (1)		N/A
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
1 WESTBROOK CORP CTR	WESTCHESTER	IL	60154	364119522	SURGICAL SERVICES	IL					0	Yes (1)		N/A
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW	MASON CITY	IA	50401	421328388	MRI SERVICES	IA					0	Yes (1)		N/A
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SW	MASON CITY	IA	50401	201960348	SURGERY-SAME DAY	IA					0	Yes (1)		N/A
MCE MOB IV LIMITED PARTNERSHIP
3100 EASTON SQUARE PL SUITE 300	COLUMBUS	OH	43219	421544707	MEDICAL OFFICE BUILDING RENTAL	OH					0	Yes (1)		N/A
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA					0	0		N/A
MERCY REHABILITATION HOSPITAL LLC
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	814437201	HEALTH CARE SERVICES	IA					0	0		N/A
MERCYMANOR PARTNERSHIP
PO BOX 10086	TOLEDO	OH	43699	521931012	NURSING HOME	PA					0	Yes (1)		N/A
MERCYUSP HEALTH VENTURES LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	471290300	OUTPATIENT SURGERY	IA					0	0		N/A
MERCYONE - HFH HOME MEDICAL SHOP LLC
1000 4TH STREET SW	MASON CITY	IA	50401	854007472	MEDICAL EQUIPMENT SALES	IA					0	0		N/A
MERCYONE - KRHC HOME MEDICAL SHOP LLC
1000 4TH STREET SW	MASON CITY	IA	50401	923276114	MEDICAL EQUIPMENT SALES	IA					0	0		N/A
NAUGATUCK VALLEY MRI LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061239526	IMAGING CENTER	CT					0	0		N/A
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
2601 HOLME AVE	PHILADELPHIA	PA	19152	232388040	MEDICAL OFFICE BUILDING	PA					0	Yes (1)		N/A
NUCO HEALTH LLC
31700 MIDDLEBELT RD STE 175	FARMINGTON HILLS	MI	48334	460951661	REVENUE CYCLE MANAGEMENT	DE					0	0		N/A
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREET	OAKLAND PARK	FL	33334	352325646	AMBULATORY SURGERY CENTER	FL					0	Yes (1)		N/A
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	472665226	URGENT CARE CENTERS	DE					0	0		N/A
PRIMARY CARE PHYSICIAN CENTER LLC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364038505	OFFICE BUILDING RENTAL	IL					0	Yes (1)		N/A
RAPIDES AFTER HOURS CLINIC LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	451772383	URGENT CARE CENTER	LA					0	Yes (1)		N/A
SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	843522377	OUTPATIENT SURGERY	CA					0	0		N/A
SAINT ALPHONSUS CALDWELL CANCER CENTER LLC
3123 MEDICAL DR	CALDWELL	ID	83605	820526861	HEALTH CARE SERVICES	ID					0	Yes (1)		N/A
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200	BYRON CENTER	MI	49315	202443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	$541,964	$2,403,957	0	0	0.56540
SJLS LLC
920 WINTER ST	WALTHAM	MA	02451	201796650	HEALTH CARE SERVICES	NY					0	0		N/A
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	364559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA					0	0		N/A
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
3100 EASTON SQUARE PLACE SUITE 300	COLUMBUS	OH	43219	311603660	MEDICAL OFFICE BUILDING RENTAL	OH					0	Yes (1)		N/A
ST JOSEPH'S IMAGING ASSOCIATES PLLC
104 UNION AVE SUITE 905	SYRACUSE	NY	13203	161104293	HEALTH CARE SERVICES	NY					0	Yes (1)		N/A
ST MARY REHABILITATION HOSPITAL LLP
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	273938747	HEALTH CARE SERVICES	DE					0	0		N/A
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVE 201	ALBANY	NY	12206	460463892	OUTPATIENT SURGERY	NY					0	Yes (1)		N/A
TEN MILE SURGERY CENTER LLC
875 S VANGUARD WAY STE 120	MERIDIAN	ID	83642	845119941	OUTPATIENT SURGERY	ID					0	0		N/A
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	272871206	OUTPATIENT SURGERY	PA					0	Yes (1)		N/A
THPH URGENT CARE LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	852464958	URGENT CARE CENTERS	DE					0	0		N/A
WEST LAKES SURGERY CENTER LLC
12499 UNIVERSITY AVENUE SUITE 100	CLIVE	IA	50325	205345295	OUTPATIENT SURGERY	IA					0	0		N/A
WOODLAND PARTNERS REAL ESTATE LLC
129 WOODLAND STREET	HARTFORD	CT	06105	833371094	REAL ESTATE	CT					0	0		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
BH VENTURE MGMT LLC
905 WATSON STREET	PITTSBURGH	PA	15219	832416426	ASSET MANAGEMENT COMPANY	PA	N/A	C	Yes (1)
CENTRAL VALLEY HEALTH PLAN INC
1303 E HERNDON AVE	FRESNO	CA	93720	611846844	HEALTH INSURANCE	CA	N/A	C	Yes (1)
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	N/A	C	Yes (1)
FHS SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	272995699	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN ASSOCIATES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	202991688	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN HEALTH SUPPORT INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161236354	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN MANAGEMENT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161351193	MANAGEMENT SERVICES	NY	N/A	C	Yes (1)
GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	863949369	PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	HOSPITAL SERVICES	IA	N/A	C	Yes (1)
HACKLEY HEALTH VENTURES INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382589959	OTHER MEDICAL SERVICES	MI	N/A	C	Yes (1)
HACKLEY PROFESSIONAL PHARMACY INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382447870	PHARMACY	MI	N/A	C	Yes (1)
HEALTH CARE MANAGEMENT ADMINISTRATORS INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161450960	HEALTH CARE MANAGEMENT	NY	N/A	C	Yes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR	ANN ARBOR	MI	48106	382475644	OFFICE RENTAL	MI		C	Yes (1)	TRINITY HEALTH-MICHIGAN	$282,250	$32,924,174	1.00000
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C	Yes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	263795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C	Yes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C	Yes (1)
MACNEAL HEALTH PROVIDERS INC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363361297	MEDICAL SERVICES	IL	N/A	C	Yes (1)
MARYLAND CARE GROUP INC
1500 FOREST GLEN RD	SILVER SPRING	MD	20910	521815313	HEALTH CARE HOLDING	MD	N/A	C	Yes (1)
MAXIS HEALTH TRENTON INC
20555 VICTOR PKWY	LIVONIA	MI	48152	884267557	PROPERTY HOLDINGS	NJ	N/A	C	Yes (1)
MEDNOW INC
4300 E FLAMINGO AVE	NAMPA	ID	83687	820389927	MEDICAL SERVICES	ID	N/A	C	Yes (1)
MERCY EASTWICK INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C	Yes (1)
MERCY INPATIENT MEDICAL ASSOCIATES INC
114 WOODLAND STREET	HARTFORD	CT	06105	043029929	MEDICAL SERVICES	MA	N/A	C	Yes (1)
MERCY MEDICAL SERVICES
1000 4TH STREET SW	MASON CITY	IA	50401	421283849	PRIMARY CARE PHYSICIANS	IA	N/A	C	Yes (1)
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
MOUNT CARMEL HEALTHPROVIDERS INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311382442	MEDICAL SERVICES	OH	N/A	C	Yes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAY	FORT LAUDERDALE	FL	33308	591145192	MEDICAL SERVICES	FL	N/A	C	Yes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C	Yes (1)
SAINT FRANCIS CARE MEDICAL GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061432373	MEDICAL SERVICES	CT	N/A	C	Yes (1)
SAINT JOSEPH'S MCAULEY PARK I LLC
424 DECATUR ST	ATLANTA	GA	30312	880592157	PROPERTY MANAGEMENT	GA	N/A	C	Yes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUE	TROY	NY	12180	141607244	REAL ESTATE	NY	N/A	C	Yes (1)
SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061232868	PROPERTY MANAGEMENT	CT	N/A	C	Yes (1)
SJM PROPERTIES INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	161294991	PROPERTY HOLDINGS	NY	N/A	C	Yes (1)
SJPE PRACTICE MANAGEMENT SERVICES INC
301 PROSPECT AVE	SYRACUSE	NY	13203	454164964	MANAGEMENT SERVICES	NY	N/A	C	Yes (1)
SJRMC HOLDINGS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	474763735	PROPERTY HOLDINGS	IN	N/A	C	Yes (1)
ST ELIZABETH HEALTH SUPPORT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161540486	MEDICAL SERVICES	NY	N/A	C	Yes (1)
SYNANON INC
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	382715568	URGENT CARE	MI	N/A	C	Yes (1)
SYSTEM COORDINATED SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	042938161	LAB SERVICES	MA	N/A	C	Yes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C	Yes (1)
TRINITY ASSURANCE LTD
				980453602	SELF-INSURANCE		N/A	C	Yes (1)					GOV SQ BLDG 4 34 LIME TREE BAY	GRAND CAYMAN	CJ	CJ
TRINITY HEALTH ACO INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C	Yes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T	Yes (1)
TRINITY SENIOR SERVICES MANAGEMENT INC
PO BOX 530009	LIVONIA	MI	48153	371572595	SENIOR SERVICES	PA	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (60 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
L	$13,033,102	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
M	$36,595,995	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
Q	$9,763,478	PER BOOKS
ADVENT REHABILITATION
C	$1,803,802	PER TAX RETURN
CATHOLIC HEALTH INITIATIVES - IOWA CORP
L	$299,253	PER BOOKS
CENTER FOR DIGESTIVE CARE LLC
C	$1,848,938	PER TAX RETURN
GOOD SAMARITAN HOSPITAL INC
L	$100,141	PER BOOKS
HEALTH PARK CENTRAL
C	$90,519	PER TAX RETURN
HOLY CROSS HEALTH INC
L	$353,898	PER BOOKS
HOLY CROSS HOSPITAL INC
L	$1,138,660	PER BOOKS
HURON ARBOR CORPORATION
K	$1,668,945	PER BOOKS
HURON ARBOR CORPORATION
Q	$1,300,858	PER BOOKS
IHA HEALTH SERVICES CORPORATION
B	$106,743	PER BOOKS
IHA HEALTH SERVICES CORPORATION
K	$156,405	PER BOOKS
IHA HEALTH SERVICES CORPORATION
L	$6,442,122	PER BOOKS
IHA HEALTH SERVICES CORPORATION
M	$149,555,000	PER BOOKS
IHA HEALTH SERVICES CORPORATION
P	$38,781,689	PER BOOKS
IHA HEALTH SERVICES CORPORATION
Q	$14,492,329	PER BOOKS
IHA HEALTH SERVICES CORPORATION
S	$360,743	PER BOOKS
LOYOLA UNIVERSITY MEDICAL CENTER
L	$1,804,846	PER BOOKS
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
L	$194,963	PER BOOKS
MERCY HEALTH PARTNERS
L	$6,370,922	PER BOOKS
MERCY HEALTH PARTNERS
M	$56,232	PER BOOKS
MERCY HEALTH PARTNERS
Q	$25,438,563	PER BOOKS
MERCY HEALTH PARTNERS
R	$709,640	PER BOOKS
MERCY HEALTH PARTNERS
S	$2,518,657	PER BOOKS
MOUNT CARMEL HEALTH SYSTEM
L	$3,499,575	PER BOOKS
MOUNT CARMEL HEALTH SYSTEM
M	$188,200	PER BOOKS
NAZARETH HOSPITAL
L	$75,549	PER BOOKS
NUCO HEALTH LLC
M	$195,000	PER BOOKS
PROBILITY THERAPY SERVICES
L	$234,445	PER BOOKS
PROBILITY THERAPY SERVICES
P	$149,594	PER BOOKS
PROBILITY THERAPY SERVICES
Q	$565,596	PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
L	$399,221	PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
L	$56,427	PER BOOKS
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
L	$1,926,408	PER BOOKS
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
L	$1,812,140	PER BOOKS
SAINT MARY'S FOUNDATION
C	$1,478,679	PER BOOKS
SAINT MARY'S HOSPITAL INC
L	$1,184,323	PER BOOKS
SAMARITAN HOSPITAL
L	$147,453	PER BOOKS
SIXTY FOURTH STREET LLC
C	$696,586	PER TAX RETURN
ST JOSEPH MERCY CHELSEA INC
L	$9,048,179	PER BOOKS
ST JOSEPH MERCY CHELSEA INC
M	$446,248	PER BOOKS
ST JOSEPH MERCY CHELSEA INC
P	$1,187,023	PER BOOKS
ST JOSEPH MERCY CHELSEA INC
Q	$102,330,486	PER BOOKS
ST JOSEPH'S HOSPITAL HEALTH CENTER
L	$173,573	PER BOOKS
ST MARY'S HOSPITAL INC
L	$567,740	PER BOOKS
ST MARY'S SACRED HEART HOSPITAL INC
L	$81,178	PER BOOKS
ST PETER'S HOSPITAL
L	$477,215	PER BOOKS
SYSTEM COORDINATED SERVICES INC
L	$743,723	PER BOOKS
TRINITY CONTINUING CARE SERVICES
Q	$175,271	PER BOOKS
TRINITY HEALTH CORPORATION
B	$18,931,475	PER BOOKS
TRINITY HEALTH CORPORATION
C	$2,582,553	PER BOOKS
TRINITY HEALTH CORPORATION
M	$288,048,756	PER BOOKS
TRINITY HEALTH CORPORATION
P	$91,045,274	PER BOOKS
TRINITY HEALTH CORPORATION
Q	$26,643,152	PER BOOKS
TRINITY HEALTH CORPORATION
R	$48,033,458	PER BOOKS
TRINITY HEALTH GRAND HAVEN HOSPITAL
L	$156,638	PER BOOKS
TRINITY HEALTH GRAND HAVEN HOSPITAL
Q	$1,804,790	PER BOOKS
TRINITY HOME HEALTH SERVICES
P	$53,176	PER BOOKS