2026-05-13T08:53:51-05:00 2025-06-30 990 2024-07-01 382113393 TRINITY HEALTH - MICHIGAN TRIN 7343431000 20555 VICTOR PARKWAY LIVONIA MI 48152 MICHAEL GUSHO TREASURER AND CFO 7343431000 2026-05-13 1 2024 2025-03-06 01:10:19Z SEE SCHEDULE O FOR LIST SHANNON STRIEBICH 20555 VICTOR PARKWAY LIVONIA MI 48152 3564533481 0 X WWW.TRINITYHEALTHMICHIGAN.ORG X 1976 MI TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 11 8 22156 694 59685773 0 27209167 43632210 3086292092 3336906290 95787095 91853022 68203611 82533844 3277491965 3554925366 4011991 3911034 0 0 1318404595 1356672748 0 0 2989707 1747643034 1930700239 3070059620 3291284021 207432345 263641345 5151647965 5655695551 1492256618 1557913310 3659391347 4097782241 X 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. 0 0 2976914085 3911034 3344118762 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 2976914085 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 1 1304 0 1 22156 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X STEPHEN NICHOLS 6145464710 20555 VICTOR PARKWAY LIVONIA MI 48152 DONNA DOLEMAN DICKERSON DIRECTOR & CHAIR THROUGH 12/24 2.00 3.00 X X 0 0 0 WAYMAN BRITT DIR; CHR AS OF 1/25; V CHR THR 12/24 2.00 3.00 X X 0 0 0 JEAN NAGELKERK PHD DIRECTOR; VICE CHAIR AS OF 1/25 2.00 3.00 X X 0 0 0 SHANNON STRIEBICH DIR; PRESIDENT & CEO,MICHIGAN MARKET 40.00 15.00 X X 0 1467006 61563 SARA DOLAN DIRECTOR AS OF 1/25 2.00 3.00 X 0 0 0 ERIC FERGUSON MD DIRECTOR 2.00 4.00 X 0 0 0 EDMUND HODGE DIRECTOR; TRINITY HEALTH EVP, CHRO 2.00 53.00 X 0 1788117 58915 JOSE INFANTE DIRECTOR THROUGH 12/24 2.00 3.00 X 0 0 0 SPENCER MAIDLOW DIRECTOR 2.00 3.00 X 0 0 0 SUZANNE MELLON PHD DIRECTOR 2.00 3.00 X 0 0 0 WILLIAM MORRIS DIRECTOR 2.00 3.00 X 0 0 0 LINDA WERTHMAN RSM DIRECTOR 2.00 3.00 X 0 0 0 MICHAEL WILLIAMS DIRECTOR AS OF 1/25 2.00 3.00 X 0 0 0 MICHAEL GUSHO TREASURER; CFO, MICHIGAN REGION 40.00 10.00 X 0 1027237 52646 MANDI MURRAY SECRETARY;VP MANAGING CNSL, MICH REG 40.00 10.00 X 0 579582 53249 MATTHEW GRIFFIN MD PRES & CMO TRINITY HEALTH LIVONIA 55.00 0.00 X 0 637955 59581 ALONZO LEWIS PRESIDENT TRINITY HEALTH ANN ARBOR 54.00 1.00 X 0 1140828 240303 JOHN O'MALLEY PRESIDENT TRINITY HEALTH LIVINGSTON 55.00 0.00 X 0 516609 33666 MATTHEW BIERSACK MD PRESIDENT TRINITY HLTH GRAND RAPIDS 54.00 1.00 X 0 777971 146850 FABIAN FREGOLI MD CMO & PRES TRINITY HEALTH OAKLAND 55.00 0.00 X 0 618866 55882 TOMASINE MARX VP FINANCE WEST MARKET 47.00 3.00 X 0 589853 48003 MELISSA KAROLAK VP FINANCE TH LIVONIA & OAKLAND 50.00 0.00 X 0 409225 32639 DANIEL GREEN VP FINANCE, WEST MICHIGAN 20.00 30.00 X 0 565491 55680 MICHAEL SAMYN VP FINANCE TH OAKLAND THROUGH 7/24 50.00 0.00 X 0 426370 239385 ADEEB HARB SENIOR VP OPERATIONS TH LIVONIA 50.00 0.00 X 356314 0 35423 FRANK SAWYER SR VP OPERATIONS TRIN HEALTH OAKLAND 50.00 0.00 X 373300 0 50115 ROSALIE TOCCO-BRADLEY MD CHIEF CLINICAL OFFICER, MI REGION 49.00 1.00 X 0 995023 49839 DAVID VANDENBERG MD CMO TRINITY HEALTH ANN ARBOR & LIV 50.00 0.00 X 0 613448 46104 BRANDON FRANCIS MD CMO TRINITY HEALTH GRAND RAPIDS 50.00 0.00 X 0 517750 48393 LACEY SAPKIEWICZ SR VP OPERATIONS TH ANN ARBOR & LIV 49.00 1.00 X 289094 0 33488 KARSTEN FLIEGNER MD CARDIOTHORACIC SURGEON (TH OAKLAND) 50.00 0.00 X 573353 527126 79973 MARC SILVER MD CARDIOTHORACIC SURGEON (TH OAKLAND) 50.00 0.00 X 549241 526364 81856 CHARLES SCHWARTZ MD CARDIOTHORACIC SURGEON (TH OAKLAND) 50.00 0.00 X 524180 448133 69397 TYLER BEUTE MD ANESTHESIOLOGIST (GRAND RAPIDS) 50.00 0.00 X 559430 0 51725 KELLY SMITH CHIEF STRATEGY OFFICER MI AND OH 40.00 10.00 X 0 806114 24311 DAVID SPIVEY FORMER KEY EMPLOYEE 0.00 0.00 X 0 656763 387968 KURT MACDONALD FORMER KEY EMPLOYEE 0.00 0.00 X 121981 0 0 KARLA ZARB FORMER KE; VP SURG SVCS TH ANN ARBOR 50.00 0.00 X 0 324131 44364 ROBERT CASALOU FMR OFFICER;PRES & CEO MI AND SE REG 40.00 15.00 X 0 2157996 49044 3346893 18117958 2190362 2052 1 1 0 CCS CAPTURIS LLC 3131 TECHNOLOGY DR NW MANDAN ND 58554 BILLING SERVICES 18504036 UHS OF DELAWARE INC 367 SOUTH GULPH ROAD KING OF PRUSSIA PA 19406 HEALTH CARE SERVICES 11980034 AIMS GROUP INC 4421 ZENITH ST METAIRIE LA 70001 CONSULTING SERVICES 6243486 ANESTHESIA ASSOCIATES OF ANN ARBOR PC 2006 HOGBACK RD STE 5A ANN ARBOR MI 48105 HEALTH CARE SERVICES 6239414 METROPOLITAN DETROIT AREA HOSPITAL SERVI 1150 ELIJAH MCCOY DR DETROIT MI 48202 LAUNDRY SERVICES 6172429 264 70040 4144516 20777994 18639660 184913 43632210 NET PATIENT SERVICE REVENUE 622110 3107694684 3107694684 PHARMACY REVENUE 456110 205305646 154216020 51089626 LABORATORY REVENUE 621500 23905960 15309813 8596147 3336906290 70830805 70830805 7503143 7138446 364697 364697 364697 20492867 529350 0 0 20492867 529350 21022217 21022217 4069002 2469669 1599333 1599333 CAFETERIA REVENUE 722514 13671569 13671569 PROVIDER INCENTIVE 622110 2622384 2622384 MANAGEMENT SERVICES REVENUE 622110 485053 485053 63790808 63790808 80569814 3554925366 3344118762 59685773 107488621 3514539 3514539 396495 396495 11805201 11805201 2433842 104610 2329232 1104662399 1053245462 49245903 2171034 60069118 56924235 3027546 117337 96981025 91878650 4912983 189392 80721163 75955179 4615302 150682 199 199 1684250 1684250 9652 9652 138869 138869 6046348 6046348 178555232 161634615 16783983 136634 12053700 664558 11343189 45953 24278241 18815687 5439885 22669 100345452 79547337 20782239 15876 62158250 58399107 3759143 6042220 5169107 867383 5730 3499558 2876032 618811 4715 25935418 25935418 120071509 75385503 44658380 27626 21806785 21785864 20921 MEDICAL SUPPLIES EXP 766784168 766784168 I/C PURCHASED SERVICES 348924454 235065244 113859210 HOSPITAL PROVIDER TAX 135063465 135063465 BAD DEBT EXPENSE 50983167 50983167 66319302 56646575 9570668 102059 3291284021 2976914085 311380229 2989707 2307098 3789165 10072540 14124539 444237014 462549967 50487198 51879743 39113596 45356939 3055850106 1915177540 1062908858 1140672566 1851967811 2063583302 774086301 866367697 31524823 31527039 884942726 975844594 5151647965 5655695551 254142597 235705265 3666258 2462253 76204 253519 1234371559 1319492273 1492256618 1557913310 X 3585422333 4005375240 73969014 92407001 3659391347 4097782241 5151647965 5655695551 X 263641345 191750859 -17001310 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 74889 1 138869 0 0 213758 0 PART II-B, LINE 1: 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. 25024497 220880 2767991 35054 27978314 22430662 15251 2223331 -355253 25024497 24391724 1873261 3834323 22430662 26255104 -1852358 11022 24391724 22342766 3918426 6088 26255104 0.00000 1.00000 0.00000 0 1 1 47653103 47653103 1482805842 884724848 598080994 132917578 73969640 58947938 1201229272 952887200 248342072 191244311 3595852 187648459 1140672566 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 173273539 F EQUITY METHOD INVESTMENTS 606457388 C HEDGE FUNDS 86636770 F 866367697 OTHER RECEIVABLES 6066272 INTERCOMPANY ACCOUNTS RECEIVABLE 717928814 INVESTMENT IN UNCONSOLIDATED AFFILIATES 37051080 INTERCOMPANY OTHER LT ASSETS 151789401 OTHER LONG-TERM ASSETS 504294 OPERATING LEASE RIGHT-OF-USE ASSETS 62504733 975844594 INTERCOMPANY ACCOUNTS PAYABLE 485871790 DEFERRED COMPENSATION 41138481 ASSET RETIREMENT OBLIGATION (FIN 47) 5740867 ANNUITIES PAYABLE 596640 INTERCOMPANY NOTES PAYABLE 698338330 OTHER LONG-TERM LIABILITIES 6985393 OPERATING LEASE LIABILITIES 72945560 OTHER CURRENT LIABILITIES 7875212 1319492273 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 27112495 27112495 0.00840 438856739 470378704 0 0.00000 11818731 9452897 2365834 0.00070 477787965 479831601 29478329 0.00910 83 23717 22834093 2208887 20625206 0.00640 14 2156 106061083 65201047 40860036 0.01260 34 2929 62885262 41688080 21197182 0.00650 3 7920857 3975650 3945207 0.00120 47 3307 4757564 542198 4215366 0.00130 181 32109 204458859 113615862 90842997 0.02800 181 32109 682246824 593447463 120321326 0.03710 1 20000 20000 0.00000 1 404 404 0.00000 3 9099 75138 75138 0.00000 5 9099 95542 95542 0.00000 1 50983167 0 453296437 449928198 3368239 X 1 1 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 5 1 TRINITY HEALTH ANN ARBOR HOSPITAL 5301 MCAULEY DR YPSILANTI MI 48197 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000071 X X X X A 2 TRINITY HEALTH GRAND RAPIDS HOSPITAL 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000030 X X X X A 3 TRINITY HEALTH OAKLAND HOSPITAL 44405 WOODWARD AVE PONTIAC MI 48341 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000013 X X X X A 4 TRINITY HEALTH LIVONIA HOSPITAL 36475 FIVE MILE RD LIVONIA MI 48154 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000001 X X X X A 5 TRINITY HEALTH LIVINGSTON HOSPITAL 620 BYRON RD HOWELL MI 48843 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000033 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X X 1 23 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X X 1 X 0 0 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 82 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 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 1 70X7 LIFE RECOVERY 97 W 22ND ST HOLLAND MI 49423 208857935 501(C)(3) 40000 0 RECOVERY HOUSING AFRICAN AMERICAN HEALTH INSITITUTE 500 LAFAYETTE AVENUE NE STE 18 GRAND RAPIDS MI 49503 061658200 501(C)(3) 10000 0 PARTNER SPONSORSHIP ANN ARBOR HANDS ON MUSEUM 220 E ANN ST ANN ARBOR MI 48104 382236345 501(C)(3) 86876 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) 25000 0 SUPPORT LOCAL START UPS AND EARLY-STAGE COMPANIES BLACK GIRLS CROWNED 9517 LAKESIDE DR YPSILANTI MI 48197 834512659 501(C)(3) 40000 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) 70000 0 IMPROVE LOW-INCOME, UNINSURED & UNDERINSURED POPULATIONS COMMUNITY FAMILY LIFE CENTERS 1375 SOUTH HARRIS ST YPSILANTI MI 48198 320115383 501(C)(3) 50000 0 I AM AN AFRICAN AMERICAN MALE PROGRAM COMMUNITY FOOD CLUBS 1100 DIVISION AVE SOUTH GRAND RAPIDS MI 49507 822265189 501(C)(3) 40000 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) 10000 0 GOD'S ROAMIN KITCHEN, FOOD DISTRIBUTION E COMMUNITY OUTREACH SERVICES 953 W HURON ST WATERFORD MI 48328 844232489 501(C)(3) 8500 0 SPONSORSHIP EASTSIDE COMMUNITY NETWORK 4401 CONNER DETROIT MI 48215 382561225 501(C)(3) 12500 0 COMMUNITY SUPPORT FEDUP MINISTRIES 16 S WASHINGTON ST YPSILANTI MI 48197 884325493 501(C)(3) 50000 0 MEAL PROGRAM ENHANCEMENT PROGRAM FOOD GATHERERS 1 CARROT WAY ANN ARBOR MI 48105 382853858 501(C)(3) 50000 0 HEALTHY SCHOOL PANTRY PROGRAM PROJECT GLEANERS COMMUNITY FOOD BANK 2131 BEAUFALT ST DETROIT MI 48207 382156255 501(C)(3) 50000 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) 10000 0 COMMUNITY SUPPORT GRAND VALLEY STATE UNIVERSITY 1 CAMPUS DRIVE ALLENDALE MI 494019403 381684280 501(C)(3) 11000 0 COMMUNITY SUPPORT GREATER PONTIAC COMMUNITY COALITION 143 ONEIDA ST PONTIAC MI 48341 383219125 501(C)(3) 10000 0 SPONSORSHIP GROWING FORWARD TOGETHER 1916 SUNRISE STREET ANN ARBOR MI 48103 854147870 501(C)(3) 50000 0 SMC-MATCH UP PROGRAM GROWING HOPE INC 922 W MICHIGAN AVE YPSILANTI MI 48197 743091845 501(C)(3) 25000 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) 25000 0 COMMUNITY SUPPORT HEART OF WEST MICHIGAN UNITED WAY 118 COMMERCE AVENUE SW GRAND RAPIDS MI 49503 381360923 501(C)(3) 50000 0 COMMUNITY SUPPORT HISPANIC CENTER OF WEST MICHIGAN 1204 GRANDVILLE AVE SW GRAND RAPIDS MI 495038032 382265825 501(C)(3) 10000 0 COMMUNITY SUPPORT HOPE HOSPITALITY AND WARMING CENTER 249 BALDWIN AVE PONTIAC MI 48342 383571989 501(C)(3) 60000 0 SPONSORSHIP HOPE MEDICAL CLINIC INC PO BOX 980311 YPSILANTI MI 481980311 382469007 501(C)(3) 10000 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) 50000 0 OPERATING EXPENSES TO SUPPORT HOMELESNESS - WASHTENAW COUNTY JEWISH FAMILY SERVICES 2245 S STATE STREET ANN ARBOR MI 48104 412147486 501(C)(3) 50000 0 JFS_MTM PROJECT LACASA 1920 TOOLEY RD HOWELL MI 48855 382370824 501(C)(3) 28400 0 BRINGING HOPE TO LIVINGSTON COUNTY PROJECT LIVINGSTON CNTY DEPT PUBLIC HEALTH 2300 E GRANT RIVER AVE HOWELL MI 488437574 GOVERNMENT ORG 100000 0 LCHD PRESCRIPTION FOR HEALTH LIVINGSTON CO CATHOLIC CHARITIES 2020 E GRANT RIVER SUITE 104 HOWELL MI 48843 382570420 501(C)(3) 20000 0 FEDERAL DRUG-FEE COMMUNITIES GRANT LIVINGSTON COUNTY UNITED WAY 2980 DORR RD BRIGHTON MI 48116 382174453 501(C)(3) 50000 0 LIVINGSTON COUNTY HUNGER COUNCIL - FOOD ACCESS FOR ALL LIVINGSTON ESSENTIAL TRANSPORTATION SERVICE 3950 W GRAND RIVER HOWELL MI 48855 386005819 GOVERNMENT ORG 61216 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) 14600 0 VARIOUS SPONSORSHIPS LORIS HANDS METRO DETROIT CHAPTER PO BOX 980266 YPSILANTI MI 48198 453984559 501(C)(3) 35000 0 INVESTING IN OUR COMMUNITIES GRANT MEL TROTTER MINISTRIES 225 COMMERCE AVE SW GRAND RAPIDS MI 495034107 381410467 501(C)(3) 40000 0 SOBERING CENTER MICHIGAN COMMUNITY HEALTH WORKER ALLIANCE 901 TOWER DR STE 420 TROY MI 48098 831845287 501(C)(3) 100000 0 SEMI COMMUNITY HEALTH WORKER COLLABERATIVE MICHIGAN STATE UNIVERSITY EXTENSION 701 N ZEEB RD ANN ARBOR MI 48103 386005984 501(C)(3) 50000 0 BUILDING HEALTHY COMMUNITIES THROUGH HOUSING NEW CITY NEIGHBORS 1115 LEONARD ST NE GRAND RAPIDS MI 49503 208058756 501(C)(3) 40000 0 COMMUNITY SUPPORT OAKLAND LIVINGSTON HUMAN SERVI AGENCY 196 CESAR E CHAVEZ AVE PONTIAC MI 48342 381785665 501(C)(3) 335000 0 SPONSORSHIP OAKLAND UNIVERSITY 502 MEADOWBROOK RD ROCHESTER MI 48309 381714400 501(C)(3) 5000 0 SPONSORSHIP PUERTAS ABIERTAS PO BOX 120054 GRAND RAPIDS MI 49528 843751469 501(C)(3) 40000 0 MENTAL HEALTH AWARENESS IN LATIN COMMUNITY REDFORD INTERFAITH RELIEF 18499 BEECH DALY RD REDFORD MI 482401804 383390350 501(C)(3) 20000 0 CLIENT CHOICE FOOD PANTRY EXPANSION RIGHT PLACE INC 125 OTTAWA AVENUE NW STE 450 GRAND RAPIDS MI 49503 383262801 501(C)(3) 30000 0 COMMUNITY SUPPORT SAY DETROIT FAMILY HEALTH CLINIC 211 GLENDALE AVE HIGHLAND PARK MI 48203 204786626 501(C)(3) 400000 0 COMMUNITY SUPPORT SENIOR NEIGHBORS 678 FRONT AVENUE NW STE 205 GRAND RAPIDS MI 49504 237195491 501(C)(3) 40000 0 COMMUNITY SUPPORT SERENDIPITY MEDIA 535 CASCADE WEST PARKWAY SE GRAND RAPIDS MI 49546 331013654 6500 0 COMMUNITY SUPPORT SHELTER ASSOCIATION OF WASHTENAW COUNTY TOTAL PO BOX 7370 ANN ARBOR MI 48107 382533030 501(C)(3) 118828 0 RECUPERATIVE CARE CENTER SHERIFF PAL PROGRAM 1200 N TELEGRAPH RD STE 38E PONTIAC MI 48341 473158769 501(C)(3) 7000 0 SPONSORSHIP ST FRANCES CABRINI CLINIC 1234 PORTER ST DETROIT MI 48226 383129349 501(C)(3) 250000 0 COMMUNITY SUPPORT THE INFORMATION CENTER 20400 SUPERIOR RD TAYLOR MI 48180 510136113 501(C)(3) 20000 0 COMMUNITY RESOURCES NAVIGATION URBAN LEAGUE OF WEST MICHIGAN 745 EASTERN AVE SE GRAND RAPIDS MI 49503 381359259 501(C)(3) 40000 0 COMMUNITY SUPPORT WASHTENAW AREA COUNCIL FOR CHILDREN 3075 W CLARK ROAD SUITE 110 YPSILANTI MI 48197 382245181 501(C)(3) 10000 0 SAFE BABY/SAFE SLEEP & SURVIVOR MOMS PROJECT WASHTENAW HEALTH PROJECT (WASHTENAW HEALTH PLAN) 555 TOWNER YPSILANTI MI 48198 020585175 501(C)(3) 593286 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) 70000 0 PERMANENT SUPPORTATIVE HOUSING SERVICES WEST MI HISPANIC CHAMBER OF COMMERCE 2007 DIVISION AVE S GRAND RAPIDS MI 49507 201483629 501(C)(6) 7500 0 COMMUNITY SUPPORT WEST MICHIGAN ASIAN AMERICAN ASSOC 818 BUTTERWORTH ST SW GRAND RAPIDS MI 495046254 861091018 501(C)(3) 10000 0 COMMUNITY SUPPORT WOMENS RESOURCE CENTER 678 FRONT AVENUE NW STE 180 GRAND RAPIDS MI 49504 382008886 501(C)(3) 8333 0 COMMUNITY SUPPORT YMCA WEST CENTRAL MICHIGAN 25 SHELDON AVENUE SE GRAND RAPIDS MI 49503 381359578 501(C)(3) 10000 0 COMMUNITY SUPPORT YPSILANTI MEALS ON WHEELS 110 W CROSS STREET YPSILANTI MI 48197 382038528 501(C)(3) 50000 0 CARE ON WHEELS PROJECT 54 4 PATIENT TRANSPORTATION 3990 126896 FARM SHARES FOR PATIENTS/COMMUNITY 394 57560 84600 SCHOLARSHIPS 37 55853 MEDICAL/DENTAL ASSISTANCE 4 11832 PRESCRIPTIONS 7 402 SOCIAL NEEDS 69 20522 CANCER CARE SERVICES 223 6480 GAS CARDS 600 7208 1785 MEDICAL SUPPLIES 99 11849 CAR SEATS 13 2485 FREE/LOW COST MAMMOGRAMS 52 2060 GUARDIANSHIP 5 6219 DURABLE MEDICAL EQUIPMENT 1 744 PART I, LINE 2: 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. 1 1 0 0 0 0 0 0 0 ROBERT CASALOU FMR OFFICER;PRES & CEO MI AND SE REG 0 1148680 0 668200 0 341116 0 20425 0 28619 0 2207040 0 0 EDMUND HODGE DIRECTOR; TRINITY HEALTH EVP, CHRO 0 872729 0 657900 0 257488 0 20425 0 38490 0 1847032 0 0 SHANNON STRIEBICH DIR; PRESIDENT & CEO,MICHIGAN MARKET 0 776871 0 473355 0 216780 0 20425 0 41138 0 1528569 0 0 ALONZO LEWIS PRESIDENT TRINITY HEALTH ANN ARBOR 0 603841 0 385921 0 151066 0 204441 0 35862 0 1381131 0 126175 KARSTEN FLIEGNER MD CARDIOTHORACIC SURGEON (TH OAKLAND) 569728 523924 0 0 3625 3202 0 20425 16098 43450 589451 591001 0 0 MARC SILVER MD CARDIOTHORACIC SURGEON (TH OAKLAND) 547048 523923 0 0 2193 2441 0 20425 14929 46502 564170 593291 0 0 MICHAEL GUSHO TREASURER; CFO, MICHIGAN REGION 0 678393 0 220404 0 128440 0 20425 0 32221 0 1079883 0 0 ROSALIE TOCCO-BRADLEY MD CHIEF CLINICAL OFFICER, MI REGION 0 642629 0 217511 0 134883 0 20425 0 29414 0 1044862 0 0 DAVID SPIVEY FORMER KEY EMPLOYEE 0 99885 0 0 0 556878 0 372703 0 15265 0 1044731 0 0 CHARLES SCHWARTZ MD CARDIOTHORACIC SURGEON (TH OAKLAND) 521666 447000 0 0 2514 1133 0 16193 14882 38322 539062 502648 0 0 MATTHEW BIERSACK MD PRESIDENT TRINITY HLTH GRAND RAPIDS 0 548426 0 189275 0 40270 0 113431 0 33419 0 924821 0 30983 KELLY SMITH CHIEF STRATEGY OFFICER MI AND OH 0 536175 0 177976 0 91963 0 20425 0 3886 0 830425 0 0 MATTHEW GRIFFIN MD PRES & CMO TRINITY HEALTH LIVONIA 0 486854 0 133880 0 17221 0 20425 0 39156 0 697536 0 0 FABIAN FREGOLI MD CMO & PRES TRINITY HEALTH OAKLAND 0 475019 0 134000 0 9847 0 20425 0 35457 0 674748 0 0 MICHAEL SAMYN VP FINANCE TH OAKLAND THROUGH 7/24 0 197493 0 88165 0 140712 0 217351 0 22034 0 665755 0 0 DAVID VANDENBERG MD CMO TRINITY HEALTH ANN ARBOR & LIV 0 468965 0 126845 0 17638 0 20425 0 25679 0 659552 0 0 TOMASINE MARX VP FINANCE WEST MARKET 0 453273 0 116598 0 19982 0 20425 0 27578 0 637856 0 0 MANDI MURRAY SECRETARY;VP MANAGING CNSL, MICH REG 0 423922 0 140933 0 14727 0 20425 0 32824 0 632831 0 0 DANIEL GREEN VP FINANCE, WEST MICHIGAN 0 420696 0 132875 0 11920 0 20425 0 35255 0 621171 0 0 TYLER BEUTE MD ANESTHESIOLOGIST (GRAND RAPIDS) 558982 0 0 0 448 0 16675 0 35050 0 611155 0 0 0 BRANDON FRANCIS MD CMO TRINITY HEALTH GRAND RAPIDS 0 401607 0 109880 0 6263 0 16675 0 31718 0 566143 0 0 JOHN O'MALLEY PRESIDENT TRINITY HEALTH LIVINGSTON 0 334181 0 112271 0 70157 0 20425 0 13241 0 550275 0 0 MELISSA KAROLAK VP FINANCE TH LIVONIA & OAKLAND 0 316791 0 91120 0 1314 0 16675 0 15964 0 441864 0 0 FRANK SAWYER SR VP OPERATIONS TRIN HEALTH OAKLAND 291117 0 81877 0 306 0 16675 0 33440 0 423415 0 0 0 ADEEB HARB SENIOR VP OPERATIONS TH LIVONIA 278623 0 77434 0 257 0 7306 0 28117 0 391737 0 0 0 KARLA ZARB FORMER KE; VP SURG SVCS TH ANN ARBOR 0 251797 0 69089 0 3245 0 20180 0 24184 0 368495 0 0 LACEY SAPKIEWICZ SR VP OPERATIONS TH ANN ARBOR & LIV 246640 0 42211 0 243 0 15908 0 17580 0 322582 0 0 0 KURT MACDONALD FORMER KEY EMPLOYEE 0 0 0 0 121981 0 0 0 0 0 121981 0 121981 0 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 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 524927 DONOR PROVIDED GOODS/SERVICES TO TH-MI 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1404362 DONOR PROVIDED GOODS/SERVICES TO TH-MI 0 MATTHEW GRIFFIN FAMILY MEMBER OF MATTHEW GRIFFIN, MD, KEY EMPLOYEE 88471 EMPLOYMENT ARRANGEMENT 0 DILYN ZARB FAMILY MEMBER OF KARLA ZARB, KEY EMPLOYEE 73124 EMPLOYMENT ARRANGEMENT 0 ADAMARI MARTIN FAMILY MEMBER OF WAYMAN BRITT, DIRECTOR 16139 EMPLOYMENT ARRANGEMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 114979 DONOR PROVIDED GOODS/SERVICES TO TH-MI 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 908859 DONOR PROVIDED GOODS/SERVICES TO TH-MI 0 X 4 184913 MED VALUE-TRANS DATE 0 1 1 PART I, LINE 32B: 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. 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 OAKLAND HEALTH ALLIANCE LLC 44405 WOODWARD AVE PONTIAC MI 48341 822021072 ACCOUNTABLE CARE ORGANIZATION MI 422566 TRINITY HEALTH-MICHIGAN SOUTHEAST MICHIGAN CLINICAL NETWORK LLC 20555 VICTOR PARKWAY LIVONIA MI 48152 473856789 ACCOUNTABLE CARE ORGANIZATION MI 439905 12675264 TRINITY HEALTH-MICHIGAN WARDE MEDICAL LABORATORY LLC 300 W TEXTILE RD ANN ARBOR MI 48108 382648446 LABORATORY MI 2643673 1334321 TRINITY HEALTH-MICHIGAN GRAND RIVER ENDOSCOPY CENTER LLC 310 LAFAYETTE AVE SE SUITE 200 GRAND RAPIDS MI 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