Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
TRINITY HEALTH - MICHIGAN
 
Doing Business As
SEE SCHEDULE O FOR LIST
 
Number and street (or P.O. box if mail is not delivered to street address)
27870 CABOT DRIVE
 
Room/suite
City or town, state or country, and ZIP + 4
NOVI, MI483772920
D Employer identification number

38-2113393
E Telephone number

G Gross receipts $ 2,316,412,994
F Name and address of principal officer:
JOSEPH SWEDISH
27870 CABOT DRIVE
NOVI,MI483772920
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.TRINITY-HEALTH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1976
M State of legal domicile: MI
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: HEALTH CARE SERVICES
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 5
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 4
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 19,150
6 Total number of volunteers (estimate if necessary) .... 6 2,396
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 18,836,846 13,916,640
9 Program service revenue (Part VIII, line 2g) ......... 2,028,885,434 2,179,300,366
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 24,750,751 36,945,629
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 70,907,239 65,802,982
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,143,380,270 2,295,965,617
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,850,645 1,186,204
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 936,716,393 999,995,692
16a Professional fundraising fees (Part IX, column (A), line 11e).... 70,998 37,761
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet4,184,722    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,113,605,400 1,172,644,231
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,052,243,436 2,173,863,888
19 Revenue less expenses. Subtract line 18 from line 12...... 91,136,834 122,101,729
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 3,038,376,894 3,246,651,180
21 Total liabilities (Part X, line 26)............ 1,011,823,645 1,030,033,000
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 2,026,553,249 2,216,618,180
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: HEALTH CARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,985,366,231 including grants of $ 1,186,204 ) (Revenue $ 2,176,653,632 )
TRINITY HEALTH - MICHIGAN OPERATED HOSPITALS IN 7 AREAS OF MICHIGAN THAT PROVIDED 498,527 DAYS OF HEALTHCARE SERVICES TO THEIR COMMUNITIES.THE MISSION STATEMENT OF TRINITY HEALTH - MICHIGAN IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPELTO HEAL BODY, MIND, AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIESAND TO STEWARD THE RESOURCES ENTRUSTED TO US.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 1,985,366,231
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
2,459
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
19,150
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
No
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
5
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
4
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
BETH GDOWIK
34605 TWELVE MILE RD
FARMINGTON HILLS,MI48331
(248) 489-6000
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JOSEPH SWEDISH
TRINITY PRES AND CEO
 5.00 X   X       0 2,853,932 791,453
(2) MARY MOLLISON CSA
CHAIR
 2.00 X   X       0 0 0
(3) MELANIE DREHER
VICE CHAIR
 2.00 X   X       0 25,000 0
(4) SUZANNE BRENNAN CSC
TRUSTEE
 2.00 X           0 0 0
(5) ROBERT LADENBURGER
TRUSTEE
 2.00 X           0 22,000 0
(6) PAUL NEUMANN
SECRETARY; TRIN SVP & GEN COUNSEL
 5.00     X       0 686,026 82,938
(7) AGNES HAGERTY
ASST SEC/TRIN MANAGING CSL
 5.00     X       0 418,922 50,773
(8) BENJAMIN CARTER
TREASURER AS OF 1/11; SVP & CFO
 5.00     X       0 574,987 73,155
(9) JAMES BOSSCHER
TREAS THRU 12/10,ASST TRS 1/11, SVP
 2.00     X       0 558,096 98,578
(10) MARIANNE CUNNINGHAM
ASST TREAS UNTIL 12/10; TH DIR DEBT
 2.00     X       0 161,043 29,898
(11) KEDRICK ADKINS
TRINITY PRES, INTEGRATED SVCS
 5.00       X     0 1,160,870 198,248
(12) MICHAEL SLUBOWSKI
TRIN PRES, HOSP&HLTH NTWKS TIL 12/10
 5.00       X     0 1,153,164 271,732
(13) RICHARD O'CONNELL
TRIN EVP & COO-HOSPITAL NETWKS
 5.00       X     0 761,373 137,960
(14) MICHAEL MURPHY
TRINITY HLTH EVP, HEALTH NETWORKS
 5.00       X     0 539,823 68,542
(15) PHILIP MCCORKLE
REG. MARKET EXEC. WEST MI
 50.00       X     0 924,813 73,496
(16) GARRY FAJA
REG. MARKET EXEC. EAST MI
 50.00       X     0 894,529 301,114
(17) JACK WEINER
SJ MERCY OAKLAND CEO
 50.00       X     0 621,827 160,461
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) ROBERT CASALOU
SJ MERCY HLTH SYS CEO
 50.00       X     0 561,874 75,510
(19) DAVID SPIVEY
ST. MARY MERCY LIVONIA CEO
 50.00       X     0 486,453 94,987
(20) CHARLES HOFFMAN
SJ MERCY HLTH SYS CFO
 50.00       X     0 458,292 51,174
(21) BARBARA HERTZLER
SJ MERCY OAKLAND COO
 50.00       X     0 393,104 69,255
(22) PETER KARADJOFF
SJ MERCY PORT HURON CEO
 50.00       X     0 371,822 58,829
(23) KATHLEEN GRIFFITHS
CHELSEA HOSP. PRESIDENT
 50.00       X     0 356,382 55,327
(24) KATHLEEN RHINE
SALINE & LIVINGSTON COO
 50.00       X     0 352,732 245,684
(25) JOHN MACLEOD
MERCY CADILLAC CEO
 50.00       X     0 347,882 62,606
(26) RANDALL WAGNER
ST. MARY'S HLTH CARE COO
 50.00       X     0 338,523 40,308
(27) STEPHEN PIROG
ST. MARY'S HLTH CARE CFO
 50.00       X     0 320,036 62,189
(28) STEPHANIE RIEMER-MATUZAK
MERCY GRAYLING CEO
 50.00       X     0 312,426 101,873
(29) MICHAEL GUSHO
SJ MERCY OAKLAND CFO
 50.00       X     0 292,740 49,282
(30) DEBORAH ARMSTRONG
SJ MERCY PH INTERIM CFO
 50.00       X     204,420 90,138 4,500
(31) JURGEN LUDERS MD
NEUROSURGEON
 50.00         X   2,650,003 0 37,370
(32) CREG CARPENTER
ORTHOPEDIC SURGEON
 50.00         X   762,333 0 24,687
(33) MARK PINTO
ORTHOPEDIC SURGEON
 50.00         X   599,355 0 26,725
(34) TALLAL ZENI
BARIATRIC SURGEON
 50.00         X   581,143 0 27,929
(35) SYED HABIB
ORTHOPEDIC SURGEON
 50.00         X   570,166 0 29,501
(36) DANIEL HALE
FORMER OFFICER
 5.00           X 0 789,942 220,882
(37) VELOIS BOWERS
FORMER KEY EMPLOYEE
 5.00           X 0 360,170 11,408
(38) PAUL BROWNE
FORMER KEY EMPLOYEE
 5.00           X 0 699,671 107,716
(39) DEBRA CANALES
FORMER KEY EMPLOYEE
 5.00           X 0 720,373 92,327
(40) PAUL CONLON
FORMER KEY EMPLOYEE
 5.00           X 0 408,070 103,830
(41) LOUIS FIERENS
FORMER KEY EMPLOYEE
 5.00           X 0 484,981 58,236
(42) PRESTON GEE
FORMER KEY EMPLOYEE
 5.00           X 0 490,180 75,992
(43) MICHAEL HOLPER
FORMER KEY EMPLOYEE
 5.00           X 0 386,168 59,654
(44) TERRENCE O'ROURKE MD
FORMER KEY EMPLOYEE
 5.00           X 0 812,420 59,048
(45) MARIA SZYMANSKI
FORMER KEY EMPLOYEE
 5.00           X 0 601,911 161,699
(46) DOUGLAS EDEMA
FORMER KEY EMPLOYEE
 0.00           X 0 355,715 111,356
(47) ROGER SPOELMAN
FORMER KEY EMPLOYEE
 0.00           X 0 675,759 159,117
(48) GREGORY LOOMIS
FORMER KEY EMPLOYEE
 0.00           X 0 355,381 51,399
(49) GARY ALLORE
FORMER KEY EMPLOYEE
 0.00           X 0 308,479 38,128
(50) CLAUDE LAUDERBACH
FORMER KEY EMPLOYEE
 50.00           X 0 267,638 54,720
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,367,420 23,755,667 4,821,596
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet747
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
PINE REST CHRISTIAN HOSPITAL
300 68TH ST
GRAND RAPIDS,MI49548 		HEALTH CARE SERVICES 19,366,455
THE CHRISTMAN COMPANY
208 N CAPITOL AVENUE
LANSING,MI48933 		CONSTRUCTION SERVICES 11,790,790
ADVANTAGE HEALTH
245 CHERRY ST SE
GRAND RAPIDS,MI49503 		HEALTH CARE SERVICES 10,615,205
SKANSKA USA BUILDING INC
26100 AMERICAN DR STE 200
SOUTHFIELD,MI48034 		CONSTRUCTION SERVICES 8,237,035
PATHOLOGY & LAB MGMT ASSOC
PO BOX 3499
ANN ARBOR,MI48106 		LABORATORY SERVICES 7,126,733
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet220
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a 120,535
b Membership dues....1b  
c Fundraising events....1c 1,596,036
d Related organizations...1d 831,827
e Government grants (contributions)1e 4,599,173
f All other contributions, gifts, grants, and
similar amounts not included above1f 		6,769,069
g Noncash contributions included in lines 1a-1f:$ 205,464
h Total. Add lines 1a-1f.......MediumBullet 13,916,640
Program Service Revenue Business Code
2a NET PATIENT SVC REV 900,099 2,119,115,332 2,119,115,332    
b PHARMACY REVENUE 446,110 59,475,954     59,475,954
c LABORATORY REVENUE 621,500 709,080     709,080
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 2,179,300,366
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 15,628,815     15,628,815
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 12,871,928 521
b Less: rental expenses 16,275,475 3,819
c Rental income or (loss) -3,403,547 -3,298
d Net rental income or (loss).......MediumBullet -3,406,845     -3,406,845
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 21,531,335 1,652,376
b Less: cost or other basis and sales expenses   1,866,897
c Gain or (loss) 21,531,335 -214,521
d Net gain or (loss)..........MediumBullet 21,316,814     21,316,814
8a Gross income from fundraising events (not including
$ 1,596,036
of contributions reported on line 1c). See Part IV, line 18 ...
a 886,386
b Less: direct expenses ...b 1,097,095
c Net income or (loss) from fundraising events..MediumBullet -210,709   -210,709
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 9,349
b Less: direct expenses ...b 10,125
c Net income or (loss) from gaming activities...MediumBullet -776     -776
10a Gross sales of inventory, less
returns and allowances .
a 2,329,343
b Less: cost of goods sold ..b 1,193,966
c Net income or (loss) from sales of inventory..MediumBullet 1,135,377     1,135,377
Miscellaneous Revenue Business Code
11a CAFETERIA REVENUE 900,099 10,418,351     10,418,351
b TELEPHONE & TELEVISION 900,099 329,284     329,284
c            
d All other revenue .... 57,538,300 57,538,300    
e Total. Add lines 11a–11d ......MediumBullet 68,285,935
12 Total revenue. See Instructions....MediumBullet 2,295,965,617 2,176,653,632 0 105,395,345
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 1,088,449 1,088,449
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 97,755 97,755
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 8,537,467   8,537,467  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 770,038 450,918 319,120  
7 Other salaries and wages 783,900,877 695,133,528 86,894,913 1,872,436
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 63,726,294 56,556,062 7,170,232  
9 Other employee benefits ....... 89,072,600 78,427,581 10,380,588 264,431
10 Payroll taxes ........... 53,988,416 47,390,974 6,462,405 135,037
11 Fees for services (non-employees):        
a Management ...... 739,760 650,989 88,771  
b Legal ......... 2,891,836   2,891,836  
c Accounting ........... 9,980   9,980  
d Lobbying ........... 46,667   46,667  
e Professional fundraising. See Part IV, line 17.. 37,761 37,761
f Investment management fees ......        
g Other .......... 174,445,374 152,544,427 20,755,745 1,145,202
12 Advertising and promotion .... 8,397,112 7,388,747 1,007,556 809
13 Office expenses ....... 39,841,798 37,574,539 1,977,607 289,652
14 Information technology ...... 78,812,487 69,354,989 9,457,498  
15 Royalties ..        
16 Occupancy ........... 38,006,097 36,105,568 1,900,293 236
17 Travel ............ 3,093,450 2,701,347 368,365 23,738
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 1,753,557 1,529,224 208,530 15,803
20 Interest ........... 29,066,451 29,005,714   60,737
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 139,801,515 132,806,613 6,989,822 5,080
23 Insurance .............. 22,309,555 21,194,077 1,115,478  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MEDICAL SUPPLIES 350,287,650 350,268,111   19,539
b BAD DEBT 84,016,842 84,016,842    
c INTERCO. PURCHASED SVCS 67,017,270 58,894,894 8,031,122 91,254
d HOSPITAL PROVIDER TAX 51,059,322 51,059,322    
e CONTRACT LABOR EXPENSE 38,388,469 33,781,853 4,606,616  
f All other expenses 42,659,039 37,343,708 5,092,324 223,007
25 Total functional expenses. Add lines 1 through 24f 2,173,863,888 1,985,366,231 184,312,935 4,184,722
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 14,862,971 1 22,669,423
2 Savings and temporary cash investments ....... 1,803,641 2 2,216,870
3 Pledges and grants receivable, net ......... 13,477,584 3 11,473,338
4 Accounts receivable, net ......... 216,395,673 4 262,695,343
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 12,249,541 7 12,083,189
8 Inventories for sale or use .............. 32,183,127 8 34,188,927
9 Prepaid expenses and deferred charges ............ 7,755,274 9 8,727,373
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,366,166,011
b Less: accumulated depreciation. ..... 10b 1,271,837,199 1,080,671,623 10c 1,094,328,812
11 Investments—publicly traded securities .......... 550,166,814 11 370,601,540
12 Investments—other securities. See Part IV, line 11 ...... 272,222,353 12 415,294,297
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 24,373,604 14 33,463,700
15 Other assets. See Part IV, line 11 ........... 812,214,689 15 978,908,368
16 Total assets. Add lines 1 through 15 (must equal line 34)... 3,038,376,894 16 3,246,651,180
Liabilities 17 Accounts payable and accrued expenses . 217,776,798 17 211,181,612
18 Grants payable ..........   18  
19 Deferred revenue .......... 1,263,648 19 836,797
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 16,619,066 23 24,005,520
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 776,164,133 25 794,009,071
26 Total liabilities. Add lines 17 through 25..... 1,011,823,645 26 1,030,033,000
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 2,004,884,065 27 2,194,056,637
28 Temporarily restricted net assets ..... 8,705,818 28 8,887,738
29 Permanently restricted net assets ..... 12,963,366 29 13,673,805
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 2,026,553,249 33 2,216,618,180
34 Total liabilities and net assets/fund balances ..... 3,038,376,894 34 3,246,651,180
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
2,295,965,617
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
2,173,863,888
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
122,101,729
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
2,026,553,249
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
67,963,202
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
2,216,618,180
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
TRINITY HEALTH - MICHIGAN
  		Employer identification number

38-2113393
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
TRINITY HEALTH - MICHIGAN
  		Employer identification number

38-2113393
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
TRINITY HEALTH - MICHIGAN
  		Employer identification number

38-2113393
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
95,603
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
70,556
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
166,159
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: TRINITY HEALTH - MICHIGAN (TH-MI) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED TH-MI WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SIMILARLY, THESE HEALTH CARE ORGANIZATIONS WILL ARRANGE CONFERENCES AND SEMINARS FOR MEMBER ORGANIZATIONS AND THEIR EXECUTIVES WHICH INVOLVE LEGISLATORS OR OTHER POLITICAL FIGURES AS GUEST SPEAKERS. TH-MI ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST AND CONCERN TO TH-MI. FEDERAL AND STATE ADVOCACY PRIORITIES FOR FY11 INCLUDED: (1) SECURE COVERAGE AND ACCESS FOR ALL (2) ACHIEVE COORDINATED CARE: PROMOTE SAFE, HIGH-QUALITY COORDINATED CARE ACROSS THE HEALTH CARE CONTINUUM (3) ACHIEVE HIGH-VALUE CARE, INCLUDING: - ADVOCATE FOR MEDICARE AND MEDICAID SAVINGS THROUGH PAYMENT AND DELIVERY REDESIGN - REFORM MEDICARE TO INCLUDE SUSTAINABLE SOLUTIONS TO ADDRESS GEOGRAPHIC PAYMENT DISPARITIES - SECURE ADEQUATE FUNDING FOR IMPLEMENTATION OF HEALTH CARE REFORM RULES - ENCOURAGE USE OF SAFETY/QUALITY MEASUREMENTS - PROMOTE IDEAS TO REDUCE HEALTH CARE COSTS LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH - MICHIGAN INCLUDED: - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICALS - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. BY TRINITY HEALTH CORPORATION - LEGISLATOR VISITS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION (CHA), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) - GRANTS FOR LOBBYING PURPOSES IN THE FORM OF MEMBERSHIP DUES PAID TO HEALTHCARE ORGANIZATIONS - ADVOCACY ACTION DAYS ADVOCACY ACTION DAYS WERE HELD IN MARCH 2011 IN WASHINGTON, D.C. OVER 50 MEETINGS WERE HELD WITH MEMBERS OF THE HOUSE AND SENATE DELIVERING A MESSAGE ABOUT TRANSFORMING AMERICA'S HEALTH. PARTICIPANTS INCLUDED TRINITY HEALTH EXECUTIVES, MINISTRY ORGANIZATION CEO'S, LOCAL BOARD MEMBERS AND ADVOCACY LEADERS. THE FOCUS OF THE MEETINGS WAS TO DISCUSS WHAT POLICYMAKERS CAN AND SHOULD DO TO ACHIEVE THE TRINITY HEALTH VISION OF AN ALL-INCLUSIVE, NATIONAL AFFORDABLE HEALTH CARE SYSTEM THAT DELIVERS HIGH VALUE AND CLINICAL EXCELLENCE ACROSS THE CONTINUUM OF CARE.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 14,367,389 13,827,175 13,890,593
b Contributions ........ 223,954 203,571 378,849
c Investment earnings or losses ... 486,485 336,643 -442,267
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ...... 15,077,828 14,367,389 13,827,175
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet8.290 %
b
Permanent endowment: SchDMd Bullet90.690 %
c
Term endowment: SchDMd Bullet1.020 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   68,139,574 68,139,574
b Buildings ................   1,434,613,590 672,245,370 762,368,220
c Leasehold improvements ............        
d Equipment ................   791,928,098 590,473,699 201,454,399
e Other .................   71,484,749 9,118,130 62,366,619
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 1,094,328,812
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) ABSOLUTE RETURN STRATEGY FUNDS 		192,265,878 F

(B) COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 		53,834,446 F

(C) BOND FUND 		169,193,973 F






Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 415,294,297
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) OTHER RECEIVABLES 25,325,189
(2) INTERCOMPANY ACCOUNTS RECEIVABLE 82,113,996
(3) INVESTMENT IN UNCONSOLIDATED AFFILIATES 763,594,868
(4) INTERCOMPANY OTHER LT ASSETS 106,153,452
(5) OTHER ASSETS 1,720,863




Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 978,908,368
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
INTERCOMPANY ACCOUNTS PAYABLE AND OTHER LT LIABILITIES 50,265,941
DEFERRED COMPENSATION 6,498,183
ASSET RETIREMENT OBLIGATION (FIN 47) 2,454,528
OTHER LIABILITIES 5,312,808
ANNUITIES PAYABLE 1,549,865
INTERCOMPANY NOTES PAYABLE 727,927,746



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 794,009,071
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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 (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
RUFFALOCODY
65 KIRKWOOD NORTH RD SW
 
CEDAR RAPIDS, IA52404 		CONDUCTS AND CONSULTS TELEMKTG   No 19,928 35,690 -15,762
Total .................right arrow 19,928 35,690 -15,762
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
MI
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

HOLIDAY BALL -ANN ARBOR
(event type) 		(b) Event #2

GOLF OUTING -LIVONIA
(event type) 		(c) Other Events

32
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 860,000 257,236 1,365,186 2,482,422
2 Less: Charitable
contributions . . . 		535,613 191,956 868,467 1,596,036
3 Gross income (line 1
minus line 2) . . . 		324,387 65,280 496,719 886,386
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .   653 6,240 6,893
6 Rent/facility costs . . 23,509 23,715 58,025 105,249
7 Food and beverages . . 150,967 27,285 227,896 406,148
8 Entertainment . . . 13,200 0 41,549 54,749
9 Other direct expenses . 231,962 40,647 251,447 524,056
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 1,097,095
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -210,709
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		11 65,137 50,025,075 11,316,755 38,708,320 1.850 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		11 308,429 206,667,085 166,185,700 40,481,385 1.940 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) .... 8 66,134 17,846,800 11,745,267 6,101,533 0.290 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		30 439,700 274,538,960 189,247,722 85,291,238 4.080 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		154 441,381 19,550,957 9,191,017 10,359,940 0.500 %
f Health professions education
(from Worksheet 5) .. 		24 2,299 66,001,390 32,189,215 33,812,175 1.620 %
g Subsidized health services
(from Worksheet 6) .. 		28 125,488 41,198,565 19,195,542 22,003,023 1.050 %
h Research (from Worksheet 7) 2 17 5,798,683   5,798,683 0.280 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		45 19,805 859,547 41,795 817,752 0.040 %
jTotal Other Benefits ... 253 588,990 133,409,142 60,617,569 72,791,573 3.490 %
kTotal. Add lines 7d and 7j. .. 283 1,028,690 407,948,102 249,865,291 158,082,811 7.570 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 1   9,166   9,166 0 %
2 Economic development 1 1,808 23,428   23,428 0 %
3 Community support 4 948 19,164   19,164 0 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 4 474 16,891   16,891 0 %
7 Community health improvement advocacy 4 35,075 10,709   10,709 0 %
8 Workforce development 6 203 291,609   291,609 0.010 %
9 Other            
10 Total 20 38,508 370,967   370,967 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
29,449,361
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
4,559,391
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
633,432,045
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
630,164,580
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
3,267,465
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
11 CENTER FOR DIGESTIVE CARE LLC
  		SURGICAL CENTER 51.000 %   49.000 %
22 FRANCES WARDE MEDICAL LABORATORY
  		LABORATORY SERVICES 66.670 %   33.330 %
33 WOODLAND IMAGING CENTER LLC DBA AVANT IMAGING
  		IMAGING SERVICES 51.000 %   49.000 %
44 ADVANTAGE HEALTH
  		HEALTHCARE SERVICES 50.000 %   50.000 %
55 HEALTH PARK CENTRAL LLC
  		MEDICAL OFFICE BUILDING 13.160 %   73.680 %
66 SIXTY FOURTH STREET LLC
  		SURGICAL CENTER 51.000 %   49.000 %
77 MERCY PHYSICIAN COMMUNITY PHO LLC
  		CONTRACTING AND SERVICES 50.000 %   50.000 %
88 NEWCO AMBULATORY SURGERY CENTER LLP DBA LAKESHORE SURGERY CENTER LLP
  		SURGICAL CENTER 50.000 %   50.000 %
99 WEST MICHIGAN REGIONAL DELIVERY NETWORK LLC
  		HEALTH INFORMATION MANAGEMENT 21.900 %   32.850 %
1010 WATERFORD SURGICAL CENTER LLC
  		SURGICAL CENTER 40.000 %   54.650 %
1111 CRAWFORD MERCY PHO
  		CONTRACTING SERVICES 50.000 %   50.000 %
1212 WEXFORD MERCY PHO
  		CONTRACTING SERVICES 50.000 %   50.000 %
1313 CCH LABORATORY
  		LABORATORY SERVICES 50.000 %   50.000 %
1414 MUSKEGON SC LLC
  		AMBULATORY SURGERY CTR 34.480 %   65.520 %
1515 WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION
  		MEDICAL OFFICE BUILDING 74.170 %   25.830 %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?10
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 ST JOSEPH MERCY ANN ARBOR
5301 MCAULEY DR
YPSILANTI,MI48197 		X X   X     X    
2 SAINT MARY'S HEALTH CARE
200 JEFFERSON STREET SE
GRAND RAPIDS,MI49503 		X X   X     X    
3 ST JOSEPH MERCY OAKLAND
44405 WOODWARD AVE
PONTIAC,MI48341 		X X   X     X    
4 ST MARY MERCY LIVONIA
36475 FIVE MILE RD
LIVONIA,MI48154 		X X   X     X    
5 ST JOSEPH MERCY LIVINGSTON
620 BYRON RD
HOWELL,MI48843 		X X   X     X    
6 CHELSEA COMMUNITY HOSPITAL
775 S MAIN
CHELSEA,MI48118 		X X         X    
7 ST JOSEPH MERCY PORT HURON
2601 ELECTRIC AVE
PORT HURON,MI48060 		X X         X    
8 MERCY HOSPITAL GRAYLING
1100 EAST MICHIGAN AVE
GRAYLING,MI49738 		X X         X    
9 MERCY HOSPITAL CADILLAC
400 HOBART STREET
CADILLAC,MI49601 		X X         X    
10 ST JOSEPH MERCY SALINE
400 RUSSELL ST
SALINE,MI48176 		X X         X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NOT REQUIRED
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?94
Name and address Type of Facility (Describe)
1 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
2 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
3 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
4 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
5 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
6 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
7 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
8 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
9 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
10 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
11 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
12 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
13 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
14 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
15 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
16 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
17 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
18 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
19 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
20 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
21 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
22 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
23 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
24 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
25 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
26 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
27 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
28 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
29 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
30 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
31 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
32 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
33 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
34 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
35 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
36 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
37 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
38 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
39 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
40 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
41 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
42 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
43 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
44 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
45 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
46 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
47 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
48 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
49 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
50 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
51 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
52 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
53 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
54 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
55 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
56 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
57 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
58 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
59 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
60 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
61 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
62 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
63 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
64 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
65 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
66 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
67 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
68 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
69 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
70 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
71 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
72 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
73 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
74 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
75 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
76 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
77 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
78 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
79 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
80 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
81 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
82 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
83 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
84 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
85 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
86 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
87 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
88 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
89 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
90 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
91 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
92 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
93 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
94 (ANN ARBOR) ST JOSEPH MERCY BRIGHTON
7575 GRAND RIVER RD
BRIGHTON,MI48114 		LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYSICIANS, ONCOLOGY
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 6A: TRINITY HEALTH - MICHIGAN REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG. IN ADDITION, THE HOSPITAL DIVISIONS OF TRINITY HEALTH - MICHIGAN INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES TRINITY HEALTH - MICHIGAN'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE.
    PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITALS' COST ACCOUNTING SYSTEMS.
    PART I, L7 COL(F): THE FOLLOWING NUMBER, $84,016,842, 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 - SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) SERVES ON COMMUNITY TASK FORCES AND COALITIONS TO HELP ADDRESS THE NEEDS OF THE SERVICE AREA. SJMHS PARTICIPATES IN DIVERSITY COUNCILS, MINISTER ASSOCIATIONS, HEALTH COALITIONS, AND HEALTH IMPROVEMENT COUNCILS. THE HOSPITAL ALSO PROVIDES AN ARENA FOR YOUNG PEOPLE TO JOB SHADOW PROFESSIONALS IN A VARIETY OF HEALTH CAREERS.ST. JOSEPH MERCY PORT HURON (SJMPH) LEADERSHIP IS ACTIVELY INVOLVED IN COMMUNITY ACTIVITIES THROUGH REPRESENTATION ON VARIOUS COMMUNITY BOARDS. THIS INCLUDES COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS/WORKSHOPS TO IMPROVE OVERALL COMMUNITY HEALTH. COMMUNITY BOARD INVOLVEMENT INCLUDES LOCAL ORGANIZATIONS SUCH AS:VNA BOARD - THIS BOARD GOVERNS THE LOCAL VISITING NURSES ASSOCIATION (VNA) AND PROVIDES NURSING SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME AND SENIORS. BY SERVING ON THE BOARD, WE CAN BETTER IDENTIFY PROGRAMS AND SERVICES FOR THIS POPULATION. THE SERVICES OF VNA REACH A LARGE AUDIENCE, INCLUDING THE DISADVANTAGED INDIVIDUALS IN OUR COUNTY. THE COMMUNITY REACHES OUT TO VNA BY PROVIDING SUPPORT AND UTILIZATION OF SERVICES. EMPLOYERS (INCLUDING SJMPH) ASSIST WITH FUNDING AND PROVIDE EXPERTISE AND HEALTH PROGRAMS FOR THESE POPULATIONS.PARTNERS AT HEART BOARD OF DIRECTORS- THIS BOARD GOVERNS THE AREA'S PARTNERS AT HEART PROGRAM AND PROVIDES CARDIAC SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME INDIVIDUALS AND ESPECIALLY SENIORS. BY SERVING ON THE BOARD, WE CAN BETTER IDENTIFY SERVICES FOR THIS POPULATION AND LOOK FOR WAYS TO PROACTIVELY IMPROVE THE HEALTH OF OUR COMMUNITY. THE SERVICES OF PARTNERS AT HEART REACH A LARGE PORTION OF OUR SENIOR POPULATION (INCLUDING THE LOW INCOME POPULATION). THE COMMUNITY REACHES OUT TO PARTNERS AT HEART BY PROVIDING SUPPORT AND UTILIZATION OF SERVICES. THE LOCAL HOSPITALS AND MEDICAL PROVIDERS SUPPORT THE PROGRAMS WITH THEIR TIME, MONEY, AND EXPERTISE IN THIS FIELD. OUR COMMUNITY IS ABLE TO RECEIVE LOCAL HEART CARE WHICH BETTER REACHES OUT TO THE BROADER COMMUNITY AND THOSE IN LOWER INCOME GROUPS.ST. JOSEPH MERCY PORT HURON ALSO WORKED TO ENSURE PREPAREDNESS FOR ST. CLAIR COUNTY RESIDENTS IN THE EVENT OF TERRORISM THROUGH THE INVOLVEMENT IN THE REGION 2 NORTH BIOTERRORISM ACTIVITY THROUGH THE EMERGENCY DEPARTMENT.THE BIOTERRORISM RESPONSE AND PREPAREDNESS ACTIVITIES OF ST. JOSEPH MERCY OAKLAND ARE MANDATED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, IN ORDER TO PROMOTE AND PROTECT THE HEALTH AND WELFARE OF MEMBERS OF OUR COMMUNITY IN THE FACE OF TERRORISM: CHEMICAL, BIOLOGICAL, NUCLEAR, ETC. ALL MEMBERS OF OUR SERVICE COMMUNITY WOULD BENEFIT FROM OUR READINESS AS A SUBGROUP OF MICHIGAN REGION 2 NORTH. THOUGH IT IS HOPED THAT THESE SERVICES WILL NEVER BE NEEDED, THE SIMPLE FACT OF OUR READINESS- INCLUDING BUT NOT LIMITED TO TRAINING, EDUCATION, SUPPLIES, EQUIPMENT, REGISTRATION PROTOCOLS, PERSONAL PROTECTIVE EQUIPMENT, AND PHARMACEUTICAL CACHES- IS A PUBLIC HEALTH GOOD. THE CONSEQUENCES OF BEING UNPREPARED MAKE IT A PUBLIC HEALTH PRIORITY.TOGETHER WITH OTHER HOSPITALS AND PUBLIC SERVICE AGENCIES IN REGION 2 NORTH, WE CONSTANTLY PREPARE OURSELVES TO MEET THE NEEDS OF OUR COMMUNITIES. REGION 2 NORTH, ALONG WITH OTHERS ACROSS THE STATE AND THE NATION, WORKS IN A COORDINATED MANNER TO MAXIMIZE EFFECTIVENESS AND MINIMIZE CONFUSION AND MISUSE OF PRECIOUS EMERGENCY RESOURCES. OUR MUTUAL GOAL IS TO EDUCATE HEALTH CARE PROFESSIONALS AND THE PUBLIC, TO IMPROVE ACCESS TO HEALTHCARE WHEN IT IS MOST NEEDED, TO MAINTAIN PUBLIC HEALTH IN DIRE CIRCUMSTANCES, AND WORK TOGETHER AT THE LOCAL LEVEL TO MINIMIZE STRATEGIC AND FINANCIAL STRAIN ON HIGHER LEVELS OF GOVERNMENT. THE SOLE PURPOSE OF THIS ENDEAVOR IS THE WELL-BEING OF OUR COMMUNITY.ST. MARY MERCY LIVONIA CONDUCTS THE FOLLOWING:TO ADDRESS CHILDHOOD OBESITY, ACCESS TO HEALTHCARE AND HEALTH EDUCATION AND REDUCE HIGH SCHOOL DROP-OUT RATES, ST. MARY MERCY LIVONIA HAS COLLABORATED WITH ORGANIZATIONS IN THE FOLLOWING ACTIVITIES:PERIODIC MEETINGS WITH LOCAL CITY GOVERNMENT LEADERS AND CONGRESSIONAL LEADERS AND MEMBERSHIP ON THE CIRCLE OF CARE COALITION, SOUTHEASTERN MICHIGAN AMERICAN RED CROSS BOARD AND YMCA BOARD PROVIDE US WITH VENUES TO GIVE AND RECEIVE CURRENT INFORMATION ON THE HEALTHCARE NEEDS OF THE SEVEN COMMUNITIES THAT COMPRISE OUR PRIMARY SERVICE AREA. LISTENING TO CONCERNS OF THE CITY GOVERNMENT OFFICIALS ABOUT TRANSPORTATION NEEDS FOR OUTPATIENT SERVICES AT THE HOSPITAL PROMPTED US TO SELECT THIS SERVICE AS THE RECEIPT OF THE FUNDS RAISED FROM THE ANNUAL HOLIDAY TRIBUTE TREE. THE FAITH-BASED CIRCLE OF CARE COALITION IS COMPRISED OF COMMUNITY AGENCIES WORKING TOGETHER TO IMPROVE THE HEALTH OF THE COMMUNITY. THIS COALITION IS A VITAL NETWORK OF PASSIONATE INDIVIDUALS WHO WORK TOGETHER TO SHARE KNOWLEDGE, PROGRAMS AND RESOURCES TO IMPROVE THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY. THESE COMMUNITY PARTNERS HAVE BEEN ACTIVELY ENGAGED IN THE ST. MARY MERCY LIVONIA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND HAVE SHARED WITH US OTHER AGENCY HEALTH NEEDS ASSESSMENTS AND HEALTH INDICATOR INFORMATION.COMMITTED TO EDUCATING CHILDREN NOW AND IN THE FUTURE, ST. MARY MERCY LIVONIA IS ONE OF 68 CORPORATE SPONSORS FOR THE CRISTO REY SCHOOL IN DETROIT, MICHIGAN. DETROIT CRISTO REY OPENED IN 2008 TO INCREASE DETROIT'S HIGH SCHOOL GRADUATION RATE OF LESS THAN 25 PERCENT. THREE YEARS AGO THERE WERE EIGHTY FRESHMEN AND THIS YEAR ALMOST 200 STUDENTS FILL THEIR CLASSROOMS AND HALLWAYS. THE STUDENTS SPEND FOUR DAYS EACH WEEK IN THE CLASSROOM, STRIVING FOR ACADEMIC EXCELLENCE AND ARE INVOLVED IN SERVICE ACTIVITIES IN THEIR COMMUNITY. ONE DAY A WEEK THEY HAVE A REAL-LIFE EXPERIENCE IN ONE OF THE SPONSORING ORGANIZATIONS. AT ST. MARY MERCY LIVONIA, THE STUDENTS SPEND THEIR WORK DAY IN THE MIRACLE OF LIFE BIRTHING CENTER. SEEING THE BIRTH OF A CHILD AND SHARING IN THE JOY OF THIS MIRACULOUS EVENT, HAS PROFOUNDLY AFFECTED THE FOUR STUDENTS WHO HAVE BEEN WORKING IN THE BIRTHING CENTER FOR THE PAST THREE YEARS.THREE DISTINCT COMMUNITY-BUILDING ACTIVITIES CONDUCTED BY MERCY HOSPITAL GRAYLING ARE SIGNIFICANT IN IMPROVING THE GENERAL HEALTH OF THE COMMUNITY.DESPITE LARGE FINANCIAL LOSSES IN PHYSICIAN PRACTICES, MERCY GRAYLING ACTIVELY WORKS TO SECURE NEEDED PHYSICIAN SPECIALTIES FOR THE SERVICE AREA INCLUDING PRIMARY CARE, OBSTETRICS, PEDIATRICS AND SURGERY. MERCY HAS SUCCESSFULLY ADDED A PEDIATRICIAN, INTERNAL MEDICINE PROVIDER, ORTHOPEDIC PA-C, ORTHOPEDIC SURGEON/ORTHOPEDIC ONCOLOGIST AND A FAMILY PRACTICE PHYSICIAN TO ITS PHYSICIAN NETWORK. THE ADDITION OF THESE PROVIDERS EXPANDS SERVICES TO THE COMMUNITY IN AREAS OF GREATEST NEED.COMMUNITY HEALTH IMPROVEMENT THROUGH COALITION BUILDING IS ALSO IMPORTANT IN OUR COMMUNITY. HOSPITAL LEADERS ARE MEMBERS OF THE GRAYLING PROMOTIONAL ASSOCIATION, GRAYLING ECONOMIC DEVELOPMENT COMMITTEE, AND CRAWFORD, OSCODA AND ROSCOMMON COUNTIES COLLABORATIVE BODIES WHICH BRING AGENCIES TOGETHER MONTHLY INCLUDING PUBLIC SCHOOL SYSTEMS, PUBLIC HEALTH AND MENTAL HEALTH AND IS ACTIVELY INVOLVED WITH THE CRAWFORD COUNTY COMMISSION ON AGING AND RIVER HOUSE, A LOCAL SHELTER FOR WOMEN AND CHILDREN. MERCY HOSPITAL GRAYLING SUPPORTS VARIOUS TRINITY HEALTH NATIONAL AND STATE EFFORTS TO ADVOCATE FOR THE HEALTH NEEDS OF THE VULNERABLE AND UNDERSERVED. THREE DISTINCT COMMUNITY-BUILDING ACTIVITIES ARE VERY SIGNIFICANT IN IMPROVING THE GENERAL HEALTH OF OUR COMMUNITY. MERCY HOSPITAL CADILLAC IS LOCATED IN AN UNDERSERVED AREA, AS REFLECTED THROUGH THE 2009 DEVELOPMENT OF A FEDERALLY QUALIFIED HEALTH CENTER.THROUGH THE COMMUNITY HEALTH IMPROVEMENT ADVOCACY INITIATIVE, STATE AND FEDERAL REPRESENTATIVES ARE CONTACTED TO SUPPORT NEEDED RURAL HEALTH DELIVERY AT THE POINT OF NEED. THE STATE AND FEDERAL REPRESENTATIVES ADVOCATE IN CONGRESS AND AT THE STATE LEVEL FOR IMPROVED HEALTHCARE POLICIES, WHILE ADMINISTRATION AT MERCY HOSPITAL CADILLAC AND TRINITY HEALTH USE RESOURCES TO INFORM ASSOCIATES OF NATIONAL HEALTHCARE ISSUES. THE PHYSICIAN RECRUITMENT AND DEVELOPMENT ATTRACTS AND RETAINS PHYSICIANS WHO WILL HAVE A DEGREE OF LONGEVITY IN OUR SERVICE AREA FOR THE GOOD OF THE COMMUNITY.COALITION BUILDING IS ALSO OF GREAT IMPORTANCE IN OUR COMMUNITY. HOSPITAL LEADERS ARE MEMBERS OF THE HUMAN SERVICES LEADERSHIP COLLABORATIVE, THE CADILLAC CHAMBER OF COMMERCE, AND THE CADILLAC COMMUNITY HEALTH COALITION, THE NORTHERN MICHIGAN SUBSTANCE ABUSE COORDINATING AGENCY, THE POVERTY REDUCTION COALITION, THE SUICIDE COALITION AND OTHER COMMUNITY GROUPS.MERCY HOSPITAL CADILLAC HAS DEVELOPED A COMMUNITY OUTREACH DEPARTMENT WHOSE PRIMARY FOCUS IS TO IMPROVE THE HEALTH OF THE COMMUNITY. THIS IS ACCOMPLISHED THROUGH COLLABORATION WITH MANY OF THE HUMAN SERVICE ORGANIZATIONS IN THE COMMUNITY, INCLUDING THE CADILLAC AREA HEALTH COALITION (CAHC). THE CAHC IS COMPRISED OF AREA ORGANIZATIONS THAT PROVIDE LEADERSHIP AND RESOURCES TO ACCOMPLISH CHNA GOALS.
    PART III, LINE 4: TRINITY HEALTH - MICHIGAN IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM THOSE STATEMENTS: "SUBSTANTIALLY ALL OF THE CORPORATION'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO PATIENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE CORPORATION'S ESTIMATE FOR ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS BY PAYOR."COSTING METHODOLOGY FOR LINES 2 AND 3: AMOUNTS ARE CALCULATED ON LINE 2 USING A COST TO CHARGE RATIO METHODOLOGY.ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.IN GENERAL, THE AMOUNT ON LINE 3 WAS CALCULATED BASED ON INFORMATION RECEIVED FROM EXTERNAL COLLECTION AGENCIES. IN ADDITION, ST. MARY'S HEALTH CARE VALIDATES THE COLLECTION AGENCY AMOUNTS ELECTRONICALLY USING ISOLUTIONS, AND CONFIRMS THAT AMOUNTS CLASSIFIED AS CHARITY CARE MEET THE HOSPITAL'S PRESUMPTIVE CHARITY CRITERIA.
    PART III, LINE 8: TRINITY HEALTH - MICHIGAN DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
    PART III, LINE 9B: THE ORGANIZATION'S COLLECTION POLICY CONTAINS THE CRITERIA FOR FINANCIAL ASSISTANCE, AND CONTAINS THE FOLLOWING VERBIAGE FOR ARRANGEMENTS WITH OUTSIDE COLLECTION AGENCIES: THE AGREEMENT MUST DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY OUTSIDE COLLECTION AGENTS ACTING ON BEHALF OF THE ORGANIZATION, ALL OF WHICH MUST BE IN COMPLIANCE WITH THIS POLICY.
    PART VI, LINE 2: NEEDS ASSESSMENT - TRINITY HEALTH-MICHIGAN ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. TRINITY HEALTH-MICHIGAN IS COMPRISED OF TEN HOSPITAL FACILITIES, EACH OF WHICH COMPLETES AN ASSESSMENT. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR TRINITY HEALTH-MICHIGAN'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE TRINITY HEALTH-MICHIGAN COMMUNITY NEEDS ASSESSMENTS PROVIDE THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED - IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE TRINITY HEALTH-MICHIGAN COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE CURRENT AS OF 2010 FOR PORT HURON; 2011 FOR OAKLAND AND CADILLAC; 2008 FOR GRAYLING AND ANN ARBOR (INCLUDING CHELSEA, LIVONIA, SALINE AND LIVINGSTON); AND A NEW ASSESSMENT IS PLANNED FOR GRAND RAPIDS IN 2012.
    PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - TRINITY HEALTH-MICHIGAN IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, TRINITY HEALTH-MICHIGAN HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSTRINITY HEALTH-MICHIGAN EFFECTIVELY COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE. TRINITY HEALTH-MICHIGAN OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH, BUT IS NOT LIMITED TO, THE PUBLICATION OF PATIENT BROCHURES, NOTICES OR MESSAGING INCLUDED ON PATIENT BILLS, POSTING OF NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO LOCAL PHYSICIAN PRACTICES, AND HEALTH AND HUMAN SERVICE AGENCIES INCLUDING THE DEPARTMENT OF HUMAN SERVICES, THE HEALTH DEPARTMENT, COMMUNITY MENTAL HEALTH AND NURSING HOMES. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE AND IN THE ADMISSION PACKAGE THAT IS PRESENTED DURING INTAKE.TRINITY HEALTH-MICHIGAN'S HOSPITALS HAVE ESTABLISHED WRITTEN POLICIES FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. TRINITY HEALTH-MICHIGAN MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. OUR HOSPITALS EDUCATE STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES.
    PART VI, LINE 4: COMMUNITY INFORMATION - SAINT JOSEPH MERCY HEALTH SYSTEM IS A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE AND SOUTHWESTERN OAKLAND COUNTIES. SJMHS SPECIALIZES IN CANCER, CARDIOVASCULAR, ORTHOPEDICS, NEUROSCIENCES, AND WOMEN AND CHILDREN'S HEALTH. IT ALSO OFFERS TREATMENT AND CARE IN EMERGENCY SERVICES, SURGERY, ENDOSCOPY, RADIOLOGY, AND HOME CARE/HOSPICE. BASED ON 2011 DATA, THE AVERAGE HOUSEHOLD INCOME IN THE SJMHS SERVICES AREA IS $74,533 COMPARED TO THE AVERAGE FOR THE UNITED STATES OF $69,376. THIRTEEN PERCENT OF THE SERVICE AREA'S POPULATION IS BELOW FEDERAL POVERTY GUIDELINES. ABOUT 10% OF THE SERVICE AREA POPULATION RECEIVES MEDICAID OR OTHER ASSISTANCE, WHILE 13% ARE UNINSURED OR UNDERINSURED. THE NON-ENGLISH SPEAKING POPULATION COMPRISES 8.4% OF THE TOTAL.ST. JOSEPH MERCY PORT HURON IS LOCATED IN SOUTHEASTERN MICHIGAN IN ST. CLAIR COUNTY. BASED ON 2000 US CENSUS BUREAU DATA, ST. CLAIR COUNTY HAS 164,235 RESIDENTS, 94.9% OF WHOM ARE CAUCASIAN, 5.1% BLACK OR AFRICAN AMERICAN AND 2.2% HISPANIC OR LATINO. LOCATED AT THE BASE OF LAKE HURON AND THE MOUTH OF THE ST. CLAIR RIVER, THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES ELEVEN ZIP CODES IN ST. CLAIR COUNTY AND TWO ZIP CODES IN SANILAC COUNTY. NONE OF THESE ZIP CODES RANK AS EXCELLENT COMPARED TO THE U.S. MEAN, AND NONE RANK POOR COMPARED TO THE U.S. MEAN. ST. JOSEPH MERCY OAKLAND IS LOCATED IN PONTIAC. THE 2010 RACIAL BREAKDOWN FOR OAKLAND COUNTY IS: WHITE NOT HISPANIC 75.1%; AFRICAN AMERICAN 13.6%; AMERICAN INDIAN AND ALASKAN NATIVE 0.3%; ASIAN 5.6%; PERSONS REPORTING TWO OR MORE RACES 2.2%; AND HISPANIC OR LATINO 3.5%. ESTIMATES FOR THE CITY OF PONTIAC ARE: WHITE NOT HISPANIC 37.1%; AFRICAN AMERICAN 47.4%; AMERICAN INDIAN AND ALASKA NATIVE 0.8%; ASIAN 2.4%; PERSONS REPORTING TWO OR MORE RACES 2.4%; HISPANIC OR LATINO 3.5%. THERE IS NO PREDICTION FOR ANY SIGNIFICANT CHANGE IN THESE RACE DEMOGRAPHICS. WHILE OAKLAND COUNTY RANKS THIRD HIGHEST IN WEALTH AMONG U.S. COUNTIES WITH POPULATIONS OVER 1 MILLION, NUMEROUS POCKETS OF POVERTY EXIST WITHIN ITS BORDERS; 8.5% OF THE TOTAL POPULATION OF OAKLAND COUNTY LIVES AT OR BELOW POVERTY, BUT THIS INCLUDES 31.3% OF ALL PONTIAC RESIDENTS. ACROSS MICHIGAN, 26.5% OF CHILDREN UNDER THE AGE OF FIVE LIVE IN POVERTY, COMPARED TO 49.8% IN PONTIAC. IN OAKLAND COUNTY, 15.4% OF ALL CHILDREN FIND THEMSELVES IN POVERTY, COMPARED TO 43% OF ALL CHILDREN IN PONTIAC. THE ESTIMATED MEDIAN HOUSEHOLD INCOME ACROSS OAKLAND COUNTY IS $68,500, BUT IN PONTIAC STANDS AT ONLY $36,095.ST. MARY LIVONIA'S PRIMARY SERVICE AREA INCLUDES CANTON, LIVONIA, NORTHVILLE, NOVI, PLYMOUTH, REDFORD AND WESTLAND, AN AREA THAT IS HOME TO PREDOMINANTLY CAUCASIAN, WELL-EDUCATED AND INSURED INDIVIDUALS. MANY OF THE RESIDENTS HAVE BEEN AFFECTED BY THE ECONOMIC CHALLENGES THAT HAVE AFFECTED OUR NATION AND CITY. HOME FORECLOSURES, DEBT DUE TO MEDICAL BILLS, UNEMPLOYMENT AND INCREASED COST OF LIVING WITH NO WAGE INCREASES HAVE CAUSED MANY PEOPLE TO MAKE DIFFICULT CHOICES ABOUT THEIR HEALTH CARE. BASED UPON THE 2010 CENSUS DATA, MEDIAN INCOME RANGES FROM $46,308 IN WESTLAND TO $81,541 IN NORTHVILLE, WHICH IS CONSIDERABLY LESS THAN THE 2000 CENSUS DATA. PERSONS LIVING IN POVERTY IN WESTLAND, 6.7%, IS ABOUT THE SAME AS IN 2000 IN NORTHVILLE, 2.5%, HIGHER THAN THE 2000 CENSUS. THE 65+ POPULATION RANGES FROM 17.7% IN LIVONIA TO 8.9% IN CANTON. MERCY HOSPITAL GRAYLING SERVES A SPARSELY POPULATED, RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF CRAWFORD COUNTY (WHERE THE HOSPITAL IS LOCATED) AND MOST OF ROSCOMMON COUNTY, AS WELL AS MUCH OF OSCODA COUNTY AND SMALL PORTIONS OF MONTMORENCY AND OTSEGO COUNTIES. MERCY HOSPITAL GRAYLING IS THE ONLY INPATIENT AND EMERGENCY SERVICE PROVIDER FOR THIS REGION. THERE ARE NEARLY 50,000 PEOPLE LIVING IN MERCY GRAYLING'S TWO-COUNTY SERVICE AREA. THE 10-YEAR POPULATION GROWTH PROJECTIONS FOR THE SERVICE AREA ARE FLAT. THE UNDER 65 POPULATION IS PROJECTED TO DECLINE, WHILE THE OVER 65 POPULATION WILL GROW AS LOCAL RESIDENTS AGE. IN THE MERCY GRAYLING SERVICE AREA, NEARLY 29% OF THE POPULATION IS OVER THE AGE OF 65. GRAYLING'S MARKET IS SIGNIFICANTLY SKEWED TOWARD THE OLDER AGE GROUPS AND DEMAND FOR HEALTH CARE FOR POOR SENIORS WILL ONLY INCREASE OVER THE NEXT FIVE YEARS. THERE ARE JUST OVER 22,000 TOTAL HOUSEHOLDS IN OUR SERVICE AREA, NEARLY 70% OF WHICH EARN LESS THAN $50,000 A YEAR. RECENTLY RELEASED SURVEY DATA SHOWS THAT 75% OF RESIDENTS IN THE GRAYLING, ROSCOMMON, MIO, AND PRUDENVILLE AREA HAVE GOVERNMENT-FUNDED HEALTH INSURANCE. UNEMPLOYMENT RATES IN CRAWFORD COUNTY WHERE THE HOSPITAL IS LOCATED, LIKE MICHIGAN, REMAIN ABOVE THE NATIONAL AVERAGE AND HAVE NEARLY DOUBLED OVER THE LAST THREE YEARS, WITH A CURRENT UNEMPLOYMENT RATE OF 11% IN SEPTEMBER 2011. SAINT MARY'S HEALTH CARE IS LOCATED IN KENT COUNTY AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. IN 2010, THERE WERE 602,622 PEOPLE LIVING IN KENT COUNTY, MEANING 6.1% OF MICHIGAN'S POPULATION LIVES IN KENT COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR KENT COUNTY IS $49,908. TWENTY-ONE PERCENT OF THE POPULATION IS BELOW THE AGE OF 18 AND 9.5% IS 65 YEARS OF AGE AND OLDER. EIGHTY PERCENT OF THE POPULATION IS WHITE, 9.7% BLACK, AND 9.7% LATINO. EIGHTY-SEVEN PERCENT ARE HIGH SCHOOL GRADUATES AND 30% HAVE A BACHELOR'S DEGREE. THE CURRENT UNEMPLOYMENT RATE IS 8.5%.THERE ARE A NUMBER OF MEDICALLY UNDERSERVED AREAS IN OUR REGION, PARTICULARLY IN THE URBAN GRAND RAPIDS SERVICE AREA, WHICH IS WHERE SAINT MARY'S HOSPITAL IS LOCATED, AND WHERE 90% OF OUR COMMUNITY BENEFIT INVESTMENT IS CONCENTRATED (PARTICULARLY IN SAINT MARY'S URBAN OUTREACH CLINICS AND RESIDENCY CLINICS). OUR SAINT MARY'S CLINICS SERVE APPROXIMATELY 33,000 PATIENTS, WITH 105,000 PATIENT VISITS ANNUALLY. THIS EQUATES TO APPROXIMATELY 12% OF THE UNINSURED AND MEDICAID PATIENT POPULATION IN THE PRIMARY MARKET. A FEDERALLY QUALIFIED HEALTH CENTER ALSO OPERATES IN THE MEDICALLY UNDERSERVED AREAS OF GRAND RAPIDS AND MUSKEGON TO HELP ADDRESS THE NEEDS OF LOWER INCOME PATIENTS. MERCY HOSPITAL CADILLAC SERVES A RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF MISSAUKEE AND WEXFORD COUNTIES (WHERE THE HOSPITAL IS LOCATED), ALONG WITH PORTIONS OF OSCEOLA, KALKASKA, MANISTEE AND LAKE COUNTIES. THE SERVICE REGION ENCOMPASSES THE COMMUNITIES OF CADILLAC, LAKE CITY, MANTON, MESICK AND MCBAIN. MERCY HOSPITAL CADILLAC IS THE ONLY IN-PATIENT AND EMERGENCY SERVICE PROVIDER FOR THIS SERVICE REGION. IT IS DESIGNATED A SOLE COMMUNITY PROVIDER. THE UNEMPLOYMENT RATE IN THE SERVICE AREA STANDS AT 15.5%, ACCORDING TO THE ANNUAL COUNTY HEALTH RANKINGS. THE US CENSUS DATA FROM 2010 HAS NOTED THAT AN INCREASING SEGMENT OF THE POPULATION IS ELDERLY. WITH ADVANCED AGE USUALLY COMES AN INCREASED RATE OF CHRONIC DISEASE. THE BEHAVIORAL RISK FACTOR SURVEY, CONDUCTED IN 2010, REPORTED IN MISSAUKEE COUNTY THAT 19.3% OF THE SAMPLED POPULATION HAVE BEEN TOLD THAT THEY HAVE DIABETES. THIS IS COUPLED WITH A SEDENTARY LIFE STYLE AND OVERWEIGHT OR OBESITY. THE DATA IS REPLETE WITH EVIDENCE RELATED TO THE CHRONIC DISEASE EXPERIENCED BY INDIVIDUALS WITH DIABETES, OBESITY AND LACK OF EXERCISE.
    PART VI, LINE 6: OTHER INFORMATION - ST. JOSEPH MERCY ANN ARBOR WAS THE LEAD AGENCY IN THE ORIGINATION OF THE WASHTENAW HOUSING ALLIANCE (WHA), A COALITION OF NINE SOCIAL SERVICE AGENCIES DEALING WITH HOUSING OF VARIOUS TYPES, WHOSE MISSION IS TO END HOMELESSNESS IN WASHTENAW COUNTY. IN THE INITIAL PHASES, WHA LED THE DEVELOPMENT OF A NEW FAMILY SHELTER. THIS SHELTER IS OPERATED BY INTERFAITH HOSPITALITY NETWORK AND HOUSED IN PROPERTY OWNED BY SJMHS ON THE WEST SIDE OF ANN ARBOR. IN ADDITION, SJMHS AND ITS BOARD MEMBERS WERE KEY IN BUILDING THE DELONIS CENTER IN DOWNTOWN ANN ARBOR. THIS CENTER PROVIDES NEEDED ACCOMMODATIONS FOR THE HOMELESS, AS WELL AS SOCIAL AND HEALTH SUPPORT SERVICES. IN 2010, SJMHS PROVIDED SUBSTANTIAL FUNDING TO THE PACKARD HEALTH CLINIC TO SUPPORT THEIR EXPANSION WITH THE OPENING OF THE PACKARD HEALTH WEST IN THE MAPLE HEALTH BUILDING IN WEST ANN ARBOR. THIS ALLOWED PACKARD HEALTH CLINIC TO EXTEND THEIR INNOVATIVE MIX OF INTEGRATED PHYSICAL AND MENTAL HEALTH CARE, CHRONIC DISEASE MANAGEMENT AND ENABLING SERVICES TO WESTERN WASHTENAW COUNTY.SJMHS OPERATES THREE CLINICS THAT SUPPLY FREE OR REDUCED-FEE HEALTH CARE SERVICES TO AT-RISK POPULATIONS. THE NEIGHBORHOOD HEALTH CLINIC AND THE HAAB MED/PEDS CLINIC ARE BOTH LOCATED IN DOWNTOWN YPSILANTI, WHILE THE ACADEMIC OB/GYN CLINIC IS LOCATED ON THE ANN ARBOR HOSPITAL CAMPUS. SINCE 1990, ST. JOSEPH MERCY PORT HURON HAS SPONSORED THE PEOPLES' CLINIC FOR BETTER HEALTH. THIS FREE CLINIC, LOCATED WITHIN THE GUADALUPE MISSION IN PORT HURON, HAS BEEN THE CORNERSTONE OF ST. JOSEPH MERCY'S COMMUNITY INITIATIVES FOR THE POOR AND UNDERSERVED. THE CLINIC IS OPERATED IN COLLABORATION WITH THE UNITED WAY AND THE ST. CLAIR COUNTY MEDICAL SOCIETY, WHICH PROVIDES VOLUNTEER PHYSICIANS. PRIMARY MEDICAL CARE IS PROVIDED FREE OF CHARGE EACH YEAR TO 3,000 18 TO 65 YEAR-OLDS WHO LACK INSURANCE OR ARE UNDERINSURED. IN ADDITION, APPROXIMATELY $1.3 MILLION IN PRESCRIPTION MEDICATIONS IS DISTRIBUTED ANNUALLY THROUGH THE CLINIC AT NO CHARGE TO PATIENTS. BEGINNING IN 2010, ST. JOSEPH MERCY BEGAN OPERATING THE PEOPLES' CLINIC FOR A FOURTH DAY EACH WEEK (PREVIOUSLY IT WAS OPEN THREE DAYS PER WEEK). THIS HAS INCREASED THE SERVICE TO THE UNINSURED AND UNDERINSURED OF OUR COUNTY BY 33%.SJMO HAS DEVELOPED A SCHOOL AT WORK PROGRAM THAT IDENTIFIES HOSPITAL ASSOCIATES WHO ARE AT THE LOWER END OF THE PAY SCALE, AND WORKS WITH THEM TO CREATE CAREER LADDERS TO POSITION THEM FOR UPWARDLY MOBILE HEALTHCARE JOBS AND CAREERS. MORE IMPORTANTLY, THE HOSPITAL PARTNERS WITH LOCAL COLLEGES AND UNIVERSITIES TO PROVIDE CLASSES AND COURSEWORK TO IMPROVE THE LITERACY AND EDUCATIONAL STANDING OF THESE ASSOCIATES. EXTERNALLY, SJMO EDUCATES THE COMMUNITY ON FINANCIAL LITERACY AND BUDGETING THROUGH ITS HEALTHY START PROGRAM. WE WORK WITH LOCAL PRIMARY SCHOOL CHILDREN IN PONTIAC TO ENCOURAGE THEM NOW TO "THINK BIG" TOWARD FUTURE CAREERS IN HEALTH CARE, WITH THE OBJECTIVE OF ENCOURAGING THEM TO CONSIDER ACADEMIC ACHIEVEMENT TO BE A GOOD THING, WITH A SPECIFIC, ATTAINABLE CAREER GOAL THAT THEY CAN WORK TOWARD AND ACHIEVE WITH THE RIGHT ATTITUDE. IN ADDITION, HOSPITAL SENIOR LEADERS SERVE ON LOCAL SCHOOL BOARDS AND SOCIAL SERVICE AGENCIES, TO FOSTER LIFE SKILLS AND PROVIDE SERVICES THAT ENHANCE THE HEALTH AND WELL-BEING OF MEMBERS OF OUR COMMUNITY.RESPONDING TO THE COMMUNITY NEED FOR MORE INPATIENT BEHAVIORAL MEDICINE SERVICES, SAINT MARY MERCY HOSPITAL RENOVATED OUR BEHAVIORAL MEDICINE UNIT (PSYCH AND CHEMICAL DEPENDENCY), INCREASED CAPACITY AND IMPROVED THE ADMISSION PROCESS TO PROVIDE AN EXCELLENT PATIENT EXPERIENCE. OTHER COMMUNITY HEALTH SERVICES INCLUDE CLINICAL RESEARCH IN THE OUR LADY OF HOPE CANCER CENTER AND GRADUATE MEDICAL EDUCATION PROGRAM; TRAINING OF FUTURE PHYSICIANS AND HEALTHCARE PROFESSIONALS; HEALTH EDUCATION AND SCREENING; SUPPORT GROUPS AND SUPPORTING THE JOY SOUTHFIELD AND WAYNE HOPE CLINICS BY PROVIDING LAB SERVICES, RADIOLOGY TESTING AND A DIABETES EDUCATION AND MANAGEMENT PROGRAM. MERCY HOSPITAL GRAYLING AND MERCY HOSPITAL CADILLAC EXTENDS STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA FOR ALL APPROPRIATE DEPARTMENTS. THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY, PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS, AND PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. MEDICARE AND MEDICAID ARE THE PRIMARY PAYERS FOR THE HOSPITAL AND THE OUTPATIENT CLINICS.SAINT MARY'S HEALTH CARE IS A ONE-THIRD PARTNER, WITH THE MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE AND MARY FREE BED REHABILITATION HOSPITAL, IN THE COMMUNITY'S ONLY CERTIFIED ALS TREATMENT CENTER FOR LOU GEHRIG'S DISEASE. SAINT MARY'S ALSO PARTICIPATES IN NUMEROUS CANCER, NEUROSCIENCE, AND HIV/AIDS RESEARCH BOTH INDEPENDENTLY AND IN COLLABORATION WITH NATIONAL AND LOCAL ORGANIZATIONS.
    PART VI, LINE 7: TRINITY HEALTH-MICHIGAN IS A MEMBER ORGANIZATION OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE SYSTEMS IN THE COUNTRY. BASED IN NOVI, MICHIGAN, TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEVELOP, AND ARE HELD ACCOUNTABLE FOR ACHIEVING, COMMUNITY BENEFIT GOALS THAT INCLUDE DEVELOPING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS LIKE DIABETES, HEALTH EDUCATION AND PROMOTION INITIATIVES, AND OUTREACH FOR THE ELDERLY. IN FISCAL YEAR 2011, THIS INCLUDED $453 MILLION IN SUCH COMMUNITY BENEFITS. THEREFORE, TRINITY HEALTH TAKES A SYSTEMS APPROACH IN ITS COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION, AND IS CONSEQUENTLY ABLE TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ARE HELPING PROMOTE AND ADDRESS THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number
38-2113393
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP245 STATE ST SE
GRAND RAPIDS,MI49503 		27-2491974 501(C)(3) 10,010,000       SUPPORT OF OPERATIONS
(2) AMERICAN HEART ASSOCIATION INC7272 GREENVILLE AVE
DALLAS,TX75231 		13-5613797 501(C)(3) 40,000       GENERAL SUPPORT
(3) AMERICAN RED CROSS WASHTENAW COUNTY CHAPTER4624 PACKARD RD
ANN ARBOR,MI48108 		38-1359188 501(C)(3) 20,000       RED CROSS BALL; CAPITAL COMPAIGN
(4) ANN ARBORYPSILANTI REGIONAL CHAMBER115 WEST HURON ST 3RD FLOOR
ANN ARBOR,MI48104 		38-0303680 501(C)(6) 16,000       GOLF OUTING; 2011 STRATEGIC ALLIANCE
(5) CADILLAC AREA COMMUNITY HEALTH CLINIC (STEHOUWER FREE CLINIC)7985 SOUTH MACKINAW TRAIL
CADILLAC,MI49601 		61-1401888 501(C)(3) 25,000 74,789 FAIR MARKET VALUE MEDICAL & CLINIC SUPPORT SERVICES SUPPORT OF FREE CLINIC
(6) CATHOLIC SOCIAL SERVICES OF WASHTENAW COUNTY4925 PACKARD RD
ANN ARBOR,MI48108 		38-1654500 501(C)(3) 5,000       SUPPORT OF BUON APPETITO FUNDRAISING EVENT
(7) CHILD ABUSE & NEGLECT COUNCIL DBA CARE HOUSE OF OAKLAND COUNTY INC44765 WOODWARD AVENUE
PONTIAC,MI48341 		38-2305297 501(C)(3)   6,357 FAIR MARKET VALUE SUPPLIES SUPPORT OF OPERATIONS
(8) COUNT YOUR STEPS HEALTH & HUMAN SERVICES OC1200 N TELEGRAPH RD BLDG 34 EAST
PONTIAC,MI48341 		27-0073544 501(C)(3) 5,000       GENERAL SUPPORT
(9) DETROIT REGIONAL CHAMBER FOUNDATIONPO BOX 33840
DETROIT,MI48232 		38-2352462 501(C)(3) 10,500       SPONSORSHIP
(10) FOOD GATHERERSPO BOX 131037
ANN ARBOR,MI48113 		38-2853858 501(C)(3) 22,500       GENERAL SUPPORT
(11) GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN2131 BEAUFAIT
DETROIT,MI48207 		38-2156255 501(C)(3) 20,000       GENERAL SUPPORT
(12) INFANT MORTALITY PROGRAM45 CHANDLER STREET
HIGHLAND PARK,MI48203 		38-2262856 501(C)(3) 62,500       GENERAL SUPPORT
(13) LIVONIA PUBLIC SCHOOLS15125 FARMINGTON ROAD
LIVONIA,MI48154 		38-6004173 PUBLIC SCHOOL 10,000       COMPETITIVE EDGE PROGRAM
(14) MERCY HOSPITAL CADILLAC FOUNDATION400 HOBART
CADILLAC,MI49601 		20-3357131 501(C)(3) 142,717       GENERAL SUPPORT
(15) MILAN AREA SCHOOLS100 BIG RED DRIVE
MILAN,MI48160 		38-6022728 PUBLIC SCHOOL 6,000       BRAIN WORKS PROGRAM
(16) MILAN SENIORS FOR HEALTHY LIVING45 NECKEL CT
MILAN,MI48160 		27-1109225 501(C)(3) 5,000       INTERGENERATIONAL INITIATIVE PROGRAM
(17) NEW HOPE SHELTER814 LYNN STREET
CADILLAC,MI49601 		32-0019736 501(C)(3)   24,095 FAIR MARKET VALUE PROVIDE HOUSING FOR UNFORTUNATE PROVIDE HOUSING FOR UNFORTUNATE
(18) OAKLAND UNIVERSITY SCHOOL OF NURSING2200 NORTH SQUIRREL ROAD
ROCHESTER,MI48309 		38-1714400 501(C)(3) 31,000       GENERAL SUPPORT
(19) PACKARD HEALTH INC3174 PACKARD RD
ANN ARBOR,MI48108 		38-2269817 501(C)(3) 50,000       SPONSORSHIP
(20) POH RILEY FOUNDATION50 NORTH PERRY ST
PONTIAC,MI48342 		20-0442217 501(C)(3) 25,000       SPONSORSHIP
(21) SALINE AREA SCHOOLS7265 SALINE-ANN ARBOR RD
SALINE,MI48176 		38-6019575 PUBLIC SCHOOL 7,500       LIBERTY CLUB & POWERED BOTTLE GARDEN
(22) THE HUMAN DEVELOPMENT OF NORTH AMERICA1350 REMINGTON RD STE W
SCHAUMBURG,IL60173 		36-4184940 501(C)(3) 5,000       SPONSORSHIP
(23) TOUR DE KIDS FOUNDATION3031 CEDARBROOK RD
ANN ARBOR,MI48105 		26-2140226 501(C)(3) 5,000       SPONSORSHIP
(24) UNITED WAY OF WASHTENAW COUNTY2305 PLATT ROAD
ANN ARBOR,MI48104 		38-1951024 501(C)(3) 12,783       UNITED WAY SUPPORT
(25) WESTERN WASHTENAW AREA VALUE EXPRESSPO BOX 272
CHELSEA,MI48118 		38-2122970 501(C)(3) 5,000       GENERAL SUPPORT
(26) WORLD MEDICAL RELIEF INC11745 ROSA PARKS BLVD
DETROIT,MI48206 		38-1575570 501(C)(3)   50,661 FAIR MARKET VALUE MEDICAL SUPPLIES SUPPORT OF OPERATIONS
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
22
3
Enter total number of other organizations ................................ . Bullet Image
4
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) SCHOLARSHIPS 38 71,359      
(2) PRESCRIPTION MEDICATIONS 259   26,396 FMV PRESCRIPTION MEDICATIONS











Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY TRINITY HEALTH - MICHIGAN TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JOSEPH SWEDISH (i)
(ii)		 0
1,240,774 		0
645,161 		0
967,997 		0
763,945 		0
27,508 		0
3,645,385 		0
690,161
(2) PAUL NEUMANN (i)
(ii)		 0
453,650 		0
133,218 		0
99,158 		0
60,389 		0
22,549 		0
768,964 		0
0
(3) AGNES HAGERTY (i)
(ii)		 0
316,857 		0
75,909 		0
26,156 		0
38,171 		0
12,602 		0
469,695 		0
0
(4) BENJAMIN CARTER (i)
(ii)		 0
410,595 		0
113,318 		0
51,074 		0
49,689 		0
23,466 		0
648,142 		0
0
(5) JAMES BOSSCHER (i)
(ii)		 0
294,168 		0
115,448 		0
148,480 		0
87,903 		0
10,675 		0
656,674 		0
101,733
(6) MARIANNE CUNNINGHAM (i)
(ii)		 0
160,274 		0
0 		0
769 		0
13,623 		0
16,275 		0
190,941 		0
0
(7) KEDRICK ADKINS (i)
(ii)		 0
717,356 		0
326,029 		0
117,485 		0
184,461 		0
13,787 		0
1,359,118 		0
0
(8) MICHAEL SLUBOWSKI (i)
(ii)		 0
701,008 		0
291,561 		0
160,595 		0
246,925 		0
24,807 		0
1,424,896 		0
42,832
(9) RICHARD O'CONNELL (i)
(ii)		 0
533,392 		0
113,794 		0
114,187 		0
116,680 		0
21,280 		0
899,333 		0
0
(10) MICHAEL MURPHY (i)
(ii)		 0
343,184 		0
68,618 		0
128,021 		0
47,238 		0
21,304 		0
608,365 		0
0
(11) PHILIP MCCORKLE (i)
(ii)		 0
420,523 		0
157,477 		0
346,813 		0
44,119 		0
29,377 		0
998,309 		0
125,372
(12) GARRY FAJA (i)
(ii)		 0
538,289 		0
186,960 		0
169,280 		0
280,180 		0
20,934 		0
1,195,643 		0
76,838
(13) JACK WEINER (i)
(ii)		 0
397,394 		0
140,851 		0
83,582 		0
127,653 		0
32,808 		0
782,288 		0
18,276
(14) ROBERT CASALOU (i)
(ii)		 0
377,993 		0
128,803 		0
55,078 		0
51,463 		0
24,047 		0
637,384 		0
0
(15) DAVID SPIVEY (i)
(ii)		 0
329,634 		0
107,802 		0
49,017 		0
80,294 		0
14,693 		0
581,440 		0
3,017
(16) CHARLES HOFFMAN (i)
(ii)		 0
380,628 		0
75,680 		0
1,984 		0
32,697 		0
18,477 		0
509,466 		0
0
(17) BARBARA HERTZLER (i)
(ii)		 0
299,136 		0
76,609 		0
17,359 		0
50,591 		0
18,664 		0
462,359 		0
0
(18) PETER KARADJOFF (i)
(ii)		 0
250,642 		0
84,613 		0
36,567 		0
40,238 		0
18,591 		0
430,651 		0
0
(19) KATHLEEN GRIFFITHS (i)
(ii)		 0
240,054 		0
73,253 		0
43,075 		0
32,188 		0
23,139 		0
411,709 		0
0
(20) KATHLEEN RHINE (i)
(ii)		 0
200,298 		0
55,559 		0
96,875 		0
229,476 		0
16,208 		0
598,416 		0
0
(21) JOHN MACLEOD (i)
(ii)		 0
220,754 		0
89,354 		0
37,774 		0
43,762 		0
18,844 		0
410,488 		0
0
(22) RANDALL WAGNER (i)
(ii)		 0
268,224 		0
69,832 		0
467 		0
24,283 		0
16,025 		0
378,831 		0
0
(23) STEPHEN PIROG (i)
(ii)		 0
252,062 		0
65,606 		0
2,368 		0
47,932 		0
14,257 		0
382,225 		0
0
(24) STEPHANIE RIEMER-MATUZAK (i)
(ii)		 0
210,268 		0
65,609 		0
36,549 		0
80,775 		0
21,098 		0
414,299 		0
2,338
(25) MICHAEL GUSHO (i)
(ii)		 0
234,524 		0
57,451 		0
765 		0
32,251 		0
17,031 		0
342,022 		0
0
(26) DEBORAH ARMSTRONG (i)
(ii)		 204,420
90,000 		0
0 		0
138 		0
4,500 		0
0 		204,420
94,638 		0
0
(27) JURGEN LUDERS MD (i)
(ii)		 1,497,690
0 		582,470
0 		569,843
0 		16,395
0 		20,975
0 		2,687,373
0 		0
0
(28) CREG CARPENTER (i)
(ii)		 762,036
0 		0
0 		297
0 		6,928
0 		17,759
0 		787,020
0 		0
0
(29) MARK PINTO (i)
(ii)		 599,070
0 		0
0 		285
0 		7,561
0 		19,164
0 		626,080
0 		0
0
(30) TALLAL ZENI (i)
(ii)		 255,771
0 		324,886
0 		486
0 		10,099
0 		17,830
0 		609,072
0 		0
0
(31) SYED HABIB (i)
(ii)		 541,628
0 		27,569
0 		969
0 		20,473
0 		9,028
0 		599,667
0 		0
0
(32) DANIEL HALE (i)
(ii)		 0
451,341 		0
207,437 		0
131,164 		0
201,869 		0
19,013 		0
1,010,824 		0
52,144
(33) VELOIS BOWERS (i)
(ii)		 0
228,935 		0
96,129 		0
35,106 		0
1,801 		0
9,607 		0
371,578 		0
0
(34) PAUL BROWNE (i)
(ii)		 0
460,911 		0
174,224 		0
64,536 		0
87,030 		0
20,686 		0
807,387 		0
6,099
(35) DEBRA CANALES (i)
(ii)		 0
453,678 		0
194,272 		0
72,423 		0
79,191 		0
13,136 		0
812,700 		0
0
(36) PAUL CONLON (i)
(ii)		 0
251,101 		0
100,416 		0
56,553 		0
81,742 		0
22,088 		0
511,900 		0
15,062
(37) LOUIS FIERENS (i)
(ii)		 0
317,250 		0
123,808 		0
43,923 		0
44,110 		0
14,126 		0
543,217 		0
0
(38) PRESTON GEE (i)
(ii)		 0
296,889 		0
111,712 		0
81,579 		0
50,787 		0
25,205 		0
566,172 		0
0
(39) MICHAEL HOLPER (i)
(ii)		 0
251,970 		0
97,178 		0
37,020 		0
39,654 		0
20,000 		0
445,822 		0
0
(40) TERRENCE O'ROURKE MD (i)
(ii)		 0
464,591 		0
205,751 		0
142,078 		0
32,195 		0
26,853 		0
871,468 		0
0
(41) MARIA SZYMANSKI (i)
(ii)		 0
374,739 		0
104,539 		0
122,633 		0
147,379 		0
14,320 		0
763,610 		0
66,282
(42) DOUGLAS EDEMA (i)
(ii)		 0
76,654 		0
44,010 		0
235,051 		0
95,587 		0
15,769 		0
467,071 		0
0
(43) ROGER SPOELMAN (i)
(ii)		 0
410,821 		0
163,555 		0
101,383 		0
137,197 		0
21,920 		0
834,876 		0
37,116
(44) GREGORY LOOMIS (i)
(ii)		 0
277,822 		0
74,931 		0
2,628 		0
37,341 		0
14,058 		0
406,780 		0
0
(45) GARY ALLORE (i)
(ii)		 0
241,748 		0
65,933 		0
798 		0
19,444 		0
18,684 		0
346,607 		0
0
(46) CLAUDE LAUDERBACH (i)
(ii)		 0
220,097 		0
45,498 		0
2,043 		0
41,233 		0
13,487 		0
322,358 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1A SAINT JOSEPH MERCY HEALTH SYSTEM PAID $6,710 TO BARTON HILLS COUNTRY CLUB FOR DUES IN 2010. GARRY FAJA, REGIONAL MARKET EXECUTIVE, EAST MICHIGAN, UTILIZED THE CLUB FOR BUSINESS PURPOSES. BECAUSE THE CLUB WAS USED 100% FOR BUSINESS, THE DUES WERE NOT REPORTED AS TAXABLE INCOME.
  PART I, LINES 4A-B PART I, LINES 4A-B: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2010. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): DOUGLAS EDEMA - $214,137 KATHLEEN RHINE - $75,091 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $81,300 OF SEVERANCE FOR DOUGLAS EDEMA WHICH WAS UNPAID AS OF 12/31/10. THE $81,300 WAS PAID AND INCLUDED IN DOUGLAS EDEMA'S TAXABLE INCOME IN 2011. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $203,819 OF SEVERANCE FOR KATHLEEN RHINE WHICH WAS UNPAID AS OF 12/31/10. THE $203,819 WAS PAID AND INCLUDED IN KATHLEEN RHINE'S TAXABLE INCOME IN 2011. PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2010 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $49,977 MICHAEL SLUBOWSKI - $77,185 JOSEPH SWEDISH - $511,613 THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2010). THE FOLLOWING ACCRUALS FOR 2010 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $113,498 JAMES BOSSCHER - $52,983 PAUL BROWNE - $66,672 DEBRA CANALES - $59,431 BENJAMIN CARTER - $33,040 ROBERT CASALOU - $35,149 PAUL CONLON - $34,248 GARRY FAJA - $218,737 LOUIS FIERENS - $24,986 PRESTON GEE - $29,232 DANIEL HALE - $155,414 MICHAEL HOLPER - $17,612 PETER KARADJOFF - $20,554 JOHN MACLEOD - $18,783 MICHAEL MURPHY - $26,316 PAUL NEUMANN - $41,143 STEPHANIE RIEMER-MATUZAK - $17,714 RICHARD O'CONNELL - $83,058 MICHAEL SLUBOWSKI - $136,445 DAVID SPIVEY - $49,975 ROGER SPOELMAN - $101,579 JOSEPH SWEDISH - $223,342 MARIA SZYMANSKI - $101,730 JACK WEINER - $84,958 THE FOLLOWING IS A PARTICIPANT IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER SECTION 457(F): JURGEN LUDERS, MD DR. LUDERS DID NOT HAVE A 457(F) DEFERRAL IN CALENDAR 2010.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MARY CONLON FAMILY MEMBER OF PAUL CONLON, FORMER KEY EMPLOYEE 83,692 EMPLOYMENT ARRANGEMENT   No
(2)  
  		        No
(3) NORTHERN MICHIGAN SUPPLY ALLIANCE (NMSA)
  		LOUIS FIERENS, FORMER KEY EMPLOYEE, IS A BOARD MEMBER OF NMSA 1,100,140 TRINITY HEALTH - MICHIGAN PURCHASED SUPPLIES FROM NMSA   No
(4) KATHRYN TUNE FAMILY MEMBER OF BARBARA HERTZLER, KEY EMPLOYEE 78,460 EMPLOYMENT ARRANGEMENT   No
(5) DAVID RHINE FAMILY MEMBER OF KATHLEEN RHINE, KEY EMPLOYEE 16,871 EMPLOYMENT ARRANGEMENT   No
(6) METROPOLITAN DETROIT AREA HOSPITAL SERVICES INC
  		CHARLES HOFFMAN, KEY EMPLOYEE, IS A BOARD MEMBER OF METRO DETROIT HOSP SVCS 2,984,732 TRINITY HEALTH - MICHIGAN PURCHASED LAUNDRY SERVICES FROM METRO DETROIT AREA HOSPITAL SERVICES, INC.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art .... X 6 6,870 DONOR PROVIDED
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 44,555 SELLING PRICE
5 Clothing and household
goods ....... 		X 18,562 SELLING PRICE
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ... X 2 6,400 DONOR PROVIDED
18 Collectibles ..... X 529 5,559 DONOR PROVIDED
19 Food inventory ... X 1,228 23,686 DONOR PROVIDED
20 Drugs and medical supplies . X 3 560 DONOR PROVIDED
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( VACATION PACKAGES ) X 2 7,782 FAIR MARKET VALUE
26 Other Right pointing arrow large image ( FOOD FOR FUNDRAISER ) X 1 6,420 DONOR PROVIDED
27 Other Right pointing arrow large image ( MISCELLANEOUS ) X 759 85,070 FAIR MARKET VALUE
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
THIRD PARTY USE: PART I, LINE 32B: SPECIAL EVENT COMMITTEE VOLUNTEERS SOLICIT NON-CASH CONTRIBUTIONS FROM LOCAL BUSINESSES. THEY SOLICIT THINGS TO BE USED DURING THE SPECIAL EVENT, SUCH AS FOOD AND ITEMS TO BE SOLD AT THE EVENT AUCTION.
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Identifier Return Reference Explanation
EXPLANATION FOR NOT FILING FORM 990-T FORM 990, PART V, LINE 3B CONTACT TAXPAYER FOR ADDITIONAL INFORMATION ON FORM 990-T.
FORM 990, PART VI, SECTION A, LINE 3   THE HOSPITAL DIVISIONS OF TRINITY HEALTH - MICHIGAN HAVE OCCASIONALLY CONTRACTED WITH INDIVIDUALS TO FILL MANAGEMENT POSITIONS ON AN INTERIM BASIS, INCLUDING THE POSITION OF CHIEF FINANCIAL OFFICER. WHILE THESE DUTIES WOULD CUSTOMARILY BE PERFORMED BY HOSPITAL EMPLOYEES, IT IS SOMETIMES NECESSARY TO USE CONTRACT HELP DURING TIMES OF EMPLOYEE TRANSITION.
FORM 990, PART VI, SECTION A, LINE 6   THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A   TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN.
FORM 990, PART VI, SECTION A, LINE 7B   AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11   PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH - MICHIGAN IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE BOARD OF TRUSTEES. THE BOARD RECEIVES A COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
  FORM 990, PART VI, SECTION B, LINE 12C TRINITY HEALTH - MICHIGAN HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF TRINITY HEALTH - MICHIGAN, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH TRINITY HEALTH - MICHIGAN'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH - MICHIGAN OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO TRINITY HEALTH - MICHIGAN. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN ON AN ANNUAL BASIS.
  FORM 990, PART VI, SECTION B, LINE 15 TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TRINITY HEALTH - MICHIGAN ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
  FORM 990, PART VI, SECTION C, LINE 19 TRINITY HEALTH - MICHIGAN IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, THE HOSPITAL DIVISIONS OF TRINITY HEALTH - MICHIGAN INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES TRINITY HEALTH - MICHIGAN'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE.
TRUSTEES: FORM 990, PART VII, SECTION A, LINE 1: SR. SUZANNE BRENNAN, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. SUZANNE BRENNAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH - MICHIGAN. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES AS A TRUSTEE FOR TRINITY HEALTH CORPORATION, TRINITY HEALTH - MICHIGAN AND MERCY HEALTH SERVICES - IOWA, CORP. SR. MARY MOLLISON, CSA, IS A MEMBER OF THE CONGREGATION OF SAINT AGNES. HAVING TAKEN A VOW OF POVERTY, SR. MARY MOLLISON DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH - MICHIGAN. INSTEAD, A TOTAL OF $50,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF SAINT AGNES FOR SR. MARY MOLLISON'S SERVICES AS BOARD CHAIR FOR TRINITY HEALTH CORPORATION, TRINITY HEALTH - MICHIGAN AND MERCY HEALTH SERVICES - IOWA, CORP.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 61,847,871. EXTERNAL EQUITY TRANSFERS FROM NON AFFILIATES: 1,160,156. EQUITY TRANSFERS TO AFFILIATES: -146,702,399. CHANGE IN DEFERRED RETIREMENT COST: 3,936,373. NET CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPAL: -6,721,681. INCOME FROM DISCONTINUED OPERATIONS: 4,836,210. LOSS ON DISPOSAL OF DISCONTINUED OPERATIONS: -4,970. EQUITY EARNINGS IN AFFILIATES: 66,323,218. INDIGENT CARE AGREEMENT REVENUE, NET OF CONTRIBUTIONS: 1,731,890. OTHER TRANSACTIONS: 81,556,534. TOTAL TO FORM 990, PART XI, LINE 5: 67,963,202.
  FORM 990, PART XII, LINE 2: TRINITY HEALTH - MICHIGAN'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY11 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
  FORM 990, PAGE 1, DOING BUSINESS AS NAMES: MERCY HEALTH SERVICES, SJMHS SPECIALTY PHYSICIANS, MERCY SURGICAL CARE, SAINT MARY'S HEALTH CARE PROFESSIONAL FINANCIAL SERVICES, MERCY HEALTH, SJMHS ORTHOPEDIC SERVICES, SAINT MARY'S FAMILY PHARMACY-SOUTHWEST, SAINT MARY'S FAMILY PHARMACY-WEGE CENTER, SAINT MARY'S FAMILY PHARMACY-CATHEDRAL SQUARE, MERCY OUTPATIENT PHARMACY, MERCY HOSPITAL OUTPATIENT PHARMACY, SPORTX, CHELSEA ORTHOPEDIC SPECIALISTS, CHELSEACARE, SRSLY, CHELSEA COMMUNITY HOSPITAL CHILDREN'S CENTER, CHELSEA COMMUNITY HOSPITAL, DEXTER INTERNAL MEDICINE AND PEDIATRICS, WHITE OAK INN, WOMEN'S HEALTH CENTER, FAMILY MEDICINE OF STOCKBRIDGE, CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES, CHELSEACARE PHARMACY, CHELSEACARE HOME HEALTH, CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES), CHELSEA COMMUNITY HOSPITAL- A MEMBER OF THE SAINT JOSEPH MERCY HEALTHSYSTEM, ST. JOSEPH MERCY PORT HURON, SAINT MARY'S LTC PHARMACY, SAINT MARY'S CATHEDRAL SQUARE PHARMACY, MERCY PROFESSIONAL SERVICES, HEALTHFIRST MEDICAL CENTER, BALD MOUNTAIN DIAGNOSTIC IMAGING, WEXFORD ORTHOPEDICS, MERCY OB/GYN PARTNERS, CADILLAC OCCUPATIONAL MEDICINE, SAINT JOSEPH MERCY CENTER FOR ADVANCED MEDICINE AND SURGERY, CANTON CENTER FOR ADVANCED MEDICINE AND SURGERY, SAINT JOSEPH MERCY CANTON HEALTH CENTER, CANTON HEALTH CENTER, SAINT JOSEPH MERCY PHARMACY- SALINE, SAINT JOSEPH MERCY PHARMACY- REICHERT, SAINT JOSEPH MERCY PHARMACY- TOWERS, SAINT JOSEPH MERCY PHARMACY- HOWELL, ST. JOSEPH MERCY OAKLAND, ST. JOSEPH MERCY HOSPITAL- PONTIAC, MERCY HOSPITAL- PORT HURON, MERCY HOSPITAL- MUSKEGON, MERCY HOSPITAL- GRAYLING, MERCY HOSPITAL- CADILLAC, MERCY HOSPITAL, LIVINGSTON COMMUNITY HOSPICE, LEILA Y. POST MONTGOMERY HOSPITAL- BATTLE CREEK, SAMARITAN HEALTH CENTER- DETROIT, SALINE COMMUNITY HOSPITAL, ST. MARY'S HOSPITAL- GRAND RAPIDS, SAINT MARY'S HEALTH SERVICES- GRAND RAPIDS, MERCY GENERAL HEALTH PARTNERS, SAINT JOSEPH MERCY LIVINGSTON HOSPITAL, ST. JOSEPH MERCY HOSPITAL- ANN ARBOR, SAINT JOSEPH MERCY SALINE HOSPITAL, SAINT JOSEPH MERCY LIVINGSTON HOME CARE, MICHIGAN STROKE NETWORK REGISTRY, MICHIGAN STROKE NETWORK, OAKLAND HILLS OBSTETRICS & GYNECOLOGY, TRINITY INFORMATION SERVICES, ST. MARY MERCY HOSPITAL, MERCY ADVANTAGE, MICHIGAN CANCER INSTITUTE, SAINT MARY'S FAMILY PHARMACY- ECS, ST. MARY MERCY WOUND CARE CENTER, MERCY MEDICAL CENTER- NOVI, MERCY PRIMARY CARE CENTER- DETROIT PHARMACY, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVIOR & MEDICINE, SAINT MARY'S MERCY WOUND CARE CENTER, WESTSIDE OBSTETRICS AND GYNECOLOGY, MERCY PRIMARY CARE CENTER- DETROIT, MERCY NORTH OUTPATIENT PHARMACY, SAINT MARY'S MERCY MEDICAL CENTER, SAINT MARY'S MERCY HOSPITAL, SAINT MARY'S MERCY WEGE CENTER, HEALTH EXPLORATION STATION, ST. JOSEPH MERCY HEALTH SYSTEM, MUSKEGON GENERAL HOSPITAL, SAINT MARY'S FAMILY PHARMACY WEGE CENTER FOR HEALTH AND LEARNING, SAINT JOSEPH MERCY HEALTH NETWORK, SAINT JOSEPH MERCY HEALTH SYSTEM, CLINICA SANTA MARIA, SISTERS OF MERCY HEALTH CORPORATION, WEST MICHIGAN REGIONAL HEART AND VASCULAR INSTITUTE, MERCY MEDICAL GROUP, WESTSHORE FAMILY MEDICINE, SAINT MARY'S FAMILY PHARMACY- LTC, SILVER ADVANTAGE, MERCY HEALTH SERVICES NORTH, MERCY HOSPITALS AND HEALTH SERVICES OF DETROIT, MERCY FAMILY CARE, EVANGELICAL DEACONESS HOSPITAL, ST. JOSEPH MERCY HOSPITAL- PONTIAC, SAINT MARY'S HEALTH CARE, PARTNERS AT HEART, MICHIGAN BARIATRIC INSTITUTE (MBI), ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES (ASLA), MICHIGAN HEART, ANN ARBOR HOME INFUSION PHARMACY, ST. JOSEPH MERCY OAKLAND URGENT CARE-BIRMINGHAM, MERCY SURGERY CARE NETWORK, MERCY PATHOLOGY, ST. JOSEPH MERCY-BRIGHTON, SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP
ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: FORM 990, PART VII, SECTION A, LINE 1, COLUMN B: THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEDRICK ADKINS - 50 HOURS JAMES BOSSCHER - 48 HOURS VELOIS BOWERS - 45 HOURS PAUL BROWNE - 45 HOURS DEBRA CANALES - 45 HOURS BENJAMIN CARTER - 45 HOURS PAUL CONLON - 45 HOURS MARIANNE CUNNINGHAM - 43 HOURS LOUIS FIERENS - 45 HOURS PRESTON GEE - 45 HOURS AGNES HAGERTY - 48 HOURS DANIEL HALE - 45 HOURS MICHAEL HOLPER - 45 HOURS MICHAEL MURPHY - 50 HOURS PAUL NEUMANN - 45 HOURS RICHARD O'CONNELL - 50 HOURS TERRENCE O'ROURKE - 45 HOURS MICHAEL SLUBOWSKI - 50 HOURS JOSEPH SWEDISH - 50 HOURS MARIA SZYMANSKI - 45 HOURS
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TRINITY HEALTH - MICHIGAN
 
Employer identification number

38-2113393
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) CLR INVESTMENTS LLC
120 W HARRIS ST
CADILLAC,MI49601
32-0008631 		REAL ESTATE RENTAL & DEVELOPMENT MI 18,614 176,403 TRINITY HEALTH-MICHIGAN
 
(2) SAINT MARY'S PHARMACY LLC
200 JEFFERSON AVE SE
GRAND RAPIDS,MI49503
38-3404443 		PHARMACY MI 0 0 TRINITY HEALTH-MICHIGAN
 
(3) TRINITY HEALTH-WARDE LAB LLC
34605 W TWELVE MILE ROAD
FARMINGTON HILLS,MI48331
27-2681908 		REAL ESTATE RENTAL DE 301,718 9,131,182 TRINITY HEALTH-MICHIGAN
 






Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP

245 STATE ST SE

GRAND RAPIDS,MI49503
27-2491974 		HEALTHCARE SERVICES MI 501(C)(3) 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(2) AMICARE HOSPICE SERVICES INC

27870 CABOT DRIVE

NOVI,MI483772920
38-2949053 		PROVIDE HOSPICE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC
 
 
No
(3) AUXILIARY OF HOLY ROSARY HOSPITAL

351 SW 9TH STREET

ONTARIO,OR97914
94-3059469 		SUPPORTS SERVICES OF RELATED HOSPITAL OR 501(C)(3) 9 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
 
 
No
(4) BATTLE CREEK HEALTH SYSTEM

300 NORTH AVENUE

BATTLE CREEK,MI49016
38-2776791 		HEALTHCARE SERVICES MI 501(C)(3) 3 TRINITY HEALTH - MICHIGAN
 
Yes
 
(5) BATTLE CREEK HEALTH SYSTEM AUXILIARY

300 NORTH AVENUE

BATTLE CREEK,MI49016
38-3355520 		SUPPORT OF TAX EXEMPT HEALTH ORGANIZATION MI 501(C)(3) 11, TYPE I BATTLE CREEK HEALTH SYSTEM
 
Yes
 
(6) BAUM HARMON MERCY HOSPITAL

255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
42-1500277 		ACUTE/AMBULATORY HEALTHCARE SERVICES IA 501(C)(3) 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(7) BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION

255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
26-2973307 		SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) 11, TYPE I BAUM HARMON MERCY HOSPITAL
 
Yes
 
(8) CAPITAL PARK FAMILY HEALTH CENTER INC

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1387838 		OPERATION OF A FEDERALLY QUALIFIED HEALTH CENTER (FORMERLY) OH 501(C)(3) 3 MOUNT CARMEL HEALTH SYSTEM
 
 
No
(9) CATHERINE MCAULEY HEALTH SERVICES CORP

PO BOX 995

ANN ARBOR,MI48106
38-2507173 		FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES MI 501(C)(3) 11, TYPE II TRINITY HEALTH-MICHIGAN
 
Yes
 
(10) COMMUNITY HEALTH PARTNERS OF SOUTH BEND

PO BOX 3998

SOUTH BEND,IN46619
26-3051440 		HEALTHCARE SERVICES IN 501(C)(3) 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
 
No
(11) CRANBROOK HOSPICE CARE

281 ENTERPRISE COURT

BLOOMFIELD HILLS,MI48302
38-3320699 		PROVIDE HOSPICE HEALTH SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC
 
 
No
(12) DILEY RIDGE MEDICAL CENTER

6150 EAST BROAD STREET

COLUMBUS,OH43213
34-2032340 		HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO OH 501(C)(3) 3 MOUNT CARMEL HEALTH SYSTEM
 
 
No
(13) DUBUQUE MERCY HEALTH FOUNDATION INC

250 MERCY DRIVE

DUBUQUE,IA52001
26-2227941 		SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) 11, TYPE I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(14) DYERSVILLE HEALTH FOUNDATION INC

1111 3RD STREET SW

DYERSVILLE,IA52040
20-5383271 		SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) 11, TYPE I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(15) HACKLEY HOSPITAL

1700 CLINTON ST PO BOX 3302

MUSKEGON,MI494433302
38-1358196 		HEALTHCARE SERVICES MI 501(C)(3) 3 MERCY HEALTH PARTNERS
 
Yes
 
(16) HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST

PO BOX 3302

MUSKEGON,MI494433302
38-2299878 		SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY MI 501(C)(3) 11, TYPE III-FI MERCY HEALTH PARTNERS
 
Yes
 
(17) HACKLEY LIFE COUNSELING

1352 TERRACE ST

MUSKEGON,MI494423545
38-1386362 		COUNSELING, EDUCATION, AND SUPPORT MI 501(C)(3) 9 MERCY HEALTH PARTNERS
 
Yes
 
(18) HACKLEY VISITING NURSE SERVICES AND HOSPICE INC

888 TERRACE ST

MUSKEGON,MI49440
38-1359598 		PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) 7 MERCY HEALTH PARTNERS
 
Yes
 
(19) HOLY CROSS CARENET INC

PO BOX 9184

FARMINGTON HILLS,MI48333
52-1945054 		LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY MD 501(C)(3) 9 TRINITY CONTINUING CARE SERVICES
 
 
No
(20) HOLY CROSS HOSPITAL FOUNDATION INC

11801 TECH ROAD

SILVER SPRING,MD20904
20-8428450 		CHARITABLE FUNDRAISING MD 501(C)(3) 11, TYPE I HOLY CROSS HOSPITAL OF SILVER SPRING INC
 
 
No
(21) HOLY CROSS HOSPITAL OF SILVER SPRING INC

1500 FOREST GLEN RD

SILVER SPRING,MD209101484
52-0738041 		HEALTHCARE SERVICES MD 501(C)(3) 3 TRINITY HEALTH CORPORATION
 
 
No
(22) HOLY CROSS MEDICAL CENTER

27870 CABOT DRIVE

NOVI,MI483772920
95-1985442 		HEALTHCARE SERVICES (FORMERLY) CA 501(C)(3) 3 TRINITY HEALTH CORPORATION
 
 
No
(23) HOLY ROSARY MEDICAL CENTER FOUNDATION

351 SW 9TH STREET

ONTARIO,OR97914
20-2683560 		SUPPORT THE SERVICES OF RELATED HOSPITAL OR 501(C)(3) 11, TYPE I SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
 
 
No
(24) HOSPICE OF NORTH IOWA

232 SECOND STREET SE

MASON CITY,IA504016208
42-1173708 		HOSPICE HEALTH CARE SERVICES IA 501(C)(3) 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(25) HOSPICE OF WASHTENAW II

806 AIRPORT BLVD

ANN ARBOR,MI48108
38-3320707 		HOSPICE HEALTH CARE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HEALTH-MICHIGAN
 
Yes
 
(26) HPCN

1675 LEAHY STREET

MUSKEGON,MI49442
30-0207909 		HEALTHCARE SERVICES MI 501(C)(3) 11, TYPE II MERCY HEALTH PARTNERS
 
Yes
 
(27) IHA HEALTH SERVICES CORPORATION

24 FRANK LLOYD WRIGHT DR LOBBY J

ANN ARBOR,MI48106
38-3316559 		PROVIDES OFFICE-BASED MEDICAL CARE MI 501(C)(3) 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(28) LAKESHORE COMMUNITY HOSPITAL INC

72 S STATE STREET

SHELBY,MI494551228
38-2549295 		ACUTE HEALTHCARE SERVICES MI 501(C)(3) 3 MERCY HEALTH PARTNERS
 
Yes
 
(29) LIFESPAN INC

166 EAST GOODALE AVE

BATTLE CREEK,MI490372728
38-3298476 		PROVIDE HOSPICE HEALTH SERVICES MI 501(C)(3) 9 BATTLE CREEK HEALTH SYSTEM
 
Yes
 
(30) MARIAN HOME HEALTHCARE

801 5TH STREET

SIOUX CITY,IA51101
38-3320705 		PROVIDE HOME HEALTH CARE SERVICES IA 501(C)(3) 11, TYPE I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(31) MCAULEY CLINIC CORPORATION

PO BOX 992

ANN ARBOR,MI48106
38-2561013 		HEALTHCARE SERVICES (FORMERLY) MI 501(C)(3) 3 CATHERINE MCAULEY HEALTH SERVICES CORP
 
Yes
 
(32) MERCY AMICARE HOME HEALTHCARE OAKLAND

281 ENTERPRISE COURT

BLOOMFIELD HILLS,MI483020312
38-3320698 		PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC
 
 
No
(33) MERCY AMICARE HOME HEALTHCARE PORT HURON

505 HURON AVENUE

PORT HURON,MI48060
38-3320701 		PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC
 
 
No
(34) MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE

684 HARVEY STREET

MUSKEGON,MI49442
38-3321856 		PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC
 
 
No
(35) MERCY HEALTH PARTNERS

1415 LEAHY STREET

MUSKEGON,MI49442
38-2589966 		HEALTHCARE SYSTEM SUPPORT MI 501(C)(3) 11, TYPE I TRINITY HEALTH-MICHIGAN
 
Yes
 
(36) MERCY HEALTH SERVICES - IOWA CORP

1000 4TH STREET SW

MASON CITY,IA50401
31-1373080 		HEALTHCARE SERVICES DE 501(C)(3) 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(37) MERCY HEALTHCARE FOUNDATION

1410 N 4TH ST

CLINTON,IA52732
42-1316126 		FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES IA 501(C)(3) 11, TYPE I MERCY MEDICAL CENTER-CLINTON
 
Yes
 
(38) MERCY HOSP & HEALTH SERVICES OF DETROITMARSHALL PARK HEALTH SERVICES INC

27870 CABOT DRIVE

NOVI,MI483772920
38-1562325 		SUPPORTS MALPRACTICE CONTINGENCIES OF CLOSED HOSPITAL MI 501(C)(3) 11, TYPE I TRINITY HEALTH-MICHIGAN
 
Yes
 
(39) MERCY HOSPITAL CADILLAC FOUNDATION

400 HOBART

CADILLAC,MI496012331
20-3357131 		SUPPORT THE SERVICES OF RELATED HOSPITAL MI 501(C)(3) 11, TYPE I TRINITY HEALTH-MICHIGAN
 
Yes
 
(40) MERCY HOSPITAL GIFT SHOP

2601 ELECTRIC AVE

PORT HURON,MI48060
38-1630480 		VOLUNTEER SERVICE AUXILIARY MI 501(C)(3) 11, TYPE I TRINITY HEALTH-MICHIGAN
 
Yes
 
(41) MERCY MEDICAL CENTER - CLINTON INC

1410 NORTH 4TH ST

CLINTON,IA527322940
42-1336618 		TO PROVIDE QUALITY HEALTH CARE DE 501(C)(3) 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(42) MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION

801 5TH STREET

SIOUX CITY,IA51102
14-1880022 		SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(43) MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA

1000 4TH STREET SW

MASON CITY,IA504012800
42-1229151 		SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) 11, TYPE III-FI MERCY HEALTH SERVICES-IOWA CORP
 
 
No
(44) MERCY MEDICAL CENTER FOUNDATION INC

1512 12TH AVENUE ROAD

NAMPA,ID83686
26-1737256 		SUPPORT THE SERVICES OF RELATED HOSPITAL ID 501(C)(3) 7 SAINT ALPHONSUS MEDICAL CENTER-NAMPA
 
 
No
(45) MERCY NORTH HOMECARE AND HOSPICE

7985 MACKINAW TRAIL

CADILLAC,MI49601
38-3313897 		HOME HEALTH AND HOSPICE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC
 
 
No
(46) MERCY PAVILION OF BATTLE CREEK

300 NORTH AVENUE

BATTLE CREEK,MI49016
38-2783350 		PROVIDES LONG-TERM CARE FOR THE ELDERLY MI 501(C)(3) 9 BATTLE CREEK HEALTH SYSTEM
 
Yes
 
(47) MERCY PHYSICIAN GROUP INC

1512 12TH AVENUE ROAD

NAMPA,ID83686
20-8192593 		TO PROVIDE QUALITY HEALTH CARE ID 501(C)(3) 9 SAINT ALPHONSUS MEDICAL CENTER-NAMPA
 
 
No
(48) MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION

PO BOX 9184

FARMINGTON HILLS,MI483339184
38-2719605 		PROVIDES LONG-TERM CARE FOR THE ELDERLY MI 501(C)(3) 11, TYPE II TRINITY CONTINUING CARE SERVICES
 
 
No
(49) MIDWEST MEDFLIGHT

1300 VICTORS WAY

ANN ARBOR,MI48108
38-2684671 		AEROMEDICAL TRANSPORT MI 501(C)(3) 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(50) MOUNT CARMEL CARE CONTINUUM SERVICES CORP

793 WEST STATE STREET

COLUMBUS,OH43222
31-1126211 		COOPERATIVE HOSPITAL SERVICE ORGANIZATION OH 501(C)(3) 3 MOUNT CARMEL HEALTH SYSTEM
 
 
No
(51) MOUNT CARMEL COLLEGE OF NURSING

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1308555 		COLLEGE OF NURSING OH 501(C)(3) 2 MOUNT CARMEL HEALTH
 
 
No
(52) MOUNT CARMEL HEALTH

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-4379602 		HEALTHCARE SERVICES OH 501(C)(3) 3 MOUNT CARMEL HEALTH SYSTEM
 
 
No
(53) MOUNT CARMEL HEALTH INSURANCE COMPANY

6150 EAST BROAD STREET

COLUMBUS,OH43213
25-1912781 		HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
 
No
(54) MOUNT CARMEL HEALTH PLAN INC

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1471229 		MEDICARE HMO FOR SENIORS OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
 
No
(55) MOUNT CARMEL HEALTH SYSTEM

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1439334 		HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT OH 501(C)(3) 11, TYPE I TRINITY HEALTH CORPORATION
 
 
No
(56) MOUNT CARMEL HEALTH SYSTEM FOUNDATION

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1113966 		SUPPORT THE SERVICES OF RELATED HOSPITAL OH 501(C)(3) 11, TYPE I MOUNT CARMEL HEALTH SYSTEM
 
 
No
(57) MOUNT CARMEL HOME CARE LLC

1144 DUBLIN ROAD SUITE B

COLUMBUS,OH43215
26-2729300 		PROVIDE HOME HEALTH CARE SERVICES OH 501(C)(3) 9 TRINITY HOME HEALTH SERVICES INC
 
 
No
(58) MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL

7333 SMITHS MILL RD

NEW ALBANY,OH43054
87-0790288 		HEALTHCARE SERVICES OH 501(C)(3) 3 MOUNT CARMEL HEALTH SYSTEM
 
 
No
(59) MRI MOBILE SERVICES OF WEST MICHIGAN

1820 - 44TH STREET

KENTWOOD,MI49508
38-3073745 		OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) MI 501(C)(3) 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(60) MUSKEGON COMMUNITY HEALTH PROJECT

565 W WESTERN AVENUE

MUSKEGON,MI49440
91-1932918 		FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES MI 501(C)(3) 7 MERCY HEALTH PARTNERS
 
Yes
 
(61) OAKLAND MERCY HOSPITAL

601 EAST 2ND STREET

OAKLAND,NE68045
20-8072234 		HEALTHCARE SERVICES NE 501(C)(3) 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(62) OAKLAND MERCY HOSPITAL FOUNDATION

601 E 2ND STREET

OAKLAND,NE68045
31-1678345 		SUPPORTS SERVICES OF RELATED HOSPITAL NE 501(C)(3) 11, TYPE III-FI OAKLAND MERCY HOSPITAL
 
Yes
 
(63) PORT HURON MERCY FAMILY CARE INC

2601 ELECTRIC AVE

PORT HURON,MI48060
20-1855647 		HEALTHCARE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HEALTH-MICHIGAN
 
Yes
 
(64) PROFESSIONAL MED TEAM

965 FORK STREET

MUSKEGON,MI494423257
38-2638284 		MEDICAL CARE, TRANSPORTATION AND EDUCATION MI 501(C)(3) 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(65) PROFESSIONAL OFFICE CORPORATION

1303 EAST HERNDON AVE

FRESNO,CA93720
94-2839324 		HEALTHCARE SERVICES CA 501(C)(3) 11, TYPE I SAINT AGNES MEDICAL CENTER
 
 
No
(66) SAINT AGNES MEDICAL CENTER

1303 EAST HERNDON AVE

FRESNO,CA93720
94-1437713 		HEALTHCARE SERVICES CA 501(C)(3) 3 TRINITY HEALTH CORPORATION
 
 
No
(67) SAINT ALPHONSUS BUILDING COMPANY INC

1055 NORTH CURTIS RD

BOISE,ID83706
82-0401011 		SUPPORTS SERVICES OF RELATED HOSPITAL ID 501(C)(3) 11, TYPE I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
 
No
(68) SAINT ALPHONSUS DIVERSIFIED CARE INC

1055 NORTH CURTIS RD

BOISE,ID83706
94-3028978 		SUPPORTS SERVICES OF RELATED HOSPITAL ID 501(C)(3) 11, TYPE I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
 
No
(69) SAINT ALPHONSUS HEALTH SYSTEM INC

1055 N CURTIS ROAD

BOISE,ID83706
27-1929502 		HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) 11, TYPE I TRINITY HEALTH CORPORATION
 
 
No
(70) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY

3325 POCAHONTAS ROAD

BAKER CITY,OR97814
27-1790052 		TO PROVIDE QUALITY HEALTH CARE OR 501(C)(3) 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
 
No
(71) SAINT ALPHONSUS MEDICAL CENTER-NAMPA

1512 12TH AVENUE ROAD

NAMPA,ID83686
82-0200896 		TO PROVIDE QUALITY HEALTH CARE ID 501(C)(3) 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
 
No
(72) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO

351 SW 9TH STREET

ONTARIO,OR97914
27-1789847 		TO PROVIDE QUALITY HEALTH CARE OR 501(C)(3) 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
 
No
(73) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

1055 NORTH CURTIS RD

BOISE,ID83706
82-0200895 		HEALTHCARE SERVICES ID 501(C)(3) 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
 
No
(74) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC

1915 LAKE AVENUE PO BOX 670

PLYMOUTH,IN46563
35-1142669 		HEALTHCARE SERVICES IN 501(C)(3) 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
 
No
(75) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC

PO BOX 1935

SOUTH BEND,IN466341935
35-0868157 		HEALTHCARE SERVICES IN 501(C)(3) 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
 
No
(76) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

801 EAST LASALLE AVE

SOUTH BEND,IN46617
35-1568821 		HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) 11, TYPE I TRINITY HEALTH CORPORATION
 
 
No
(77) SAINT JOSEPH'S AUXILIARY OF MARSHALL COUNTY

1915 LAKE AVENUE

PLYMOUTH,IN46563
35-6043563 		HOSPITAL SERVICE AUXILIARY IN 501(C)(3) 11, TYPE II SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
 
 
No
(78) SAINT JOSEPH'S TOWER INC

PO BOX 9184

FARMINGTON HILLS,MI483339184
31-1040468 		PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS IN 501(C)(3) 9 TRINITY CONTINUING CARE SERVICES-INDIANA
 
 
No
(79) SAINT MARY'S AMICARE HOME HEALTHCARE

1430 MONROE NW

GRAND RAPIDS,MI49505
38-3320700 		PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC
 
 
No
(80) SAINT MARY'S DORAN FOUNDATION CO SAINT MARY'S HEALTH CARE

200 JEFFERSON ST SE

GRAND RAPIDS,MI49503
38-1779602 		SUPPORTS SERVICES OF RELATED HOSPITAL MI 501(C)(3) 7 TRINITY HEALTH-MICHIGAN
 
Yes
 
(81) ST JOHN'S HEALTH SYSTEM

27870 CABOT DRIVE

NOVI,MI483772920
35-0877584 		HEALTHCARE SERVICES (FORMERLY) IN 501(C)(3) 3 TRINITY HEALTH CORPORATION
 
 
No
(82) ST JOSEPH MERCY OAKLAND FOUNDATION

44405 WOODWARD AVE

PONTIAC,MI48341
35-2356789 		SUPPORTS SERVICES OF RELATED HOSPITAL MI 501(C)(3) 11, TYPE I TRINITY HEALTH-MICHIGAN
 
Yes
 
(83) ST ANN'S HOSPITAL

500 SOUTH CLEVELAND AVE

WESTERVILLE,OH43081
31-4412701 		HEALTHCARE SERVICES OH 501(C)(3) 3 MOUNT CARMEL HEALTH SYSTEM
 
 
No
(84) ST ELIZABETH HEALTH CARE FOUNDATION

3325 POCAHONTAS ROAD

BAKER CITY,OR97814
94-3164869 		SUPPORT THE SERVICES OF RELATED HOSPITAL OR 501(C)(3) 7 SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY
 
 
No
(85) ST JOSEPH'S MEDICAL CENTER AUXILIARY

801 E LASALLE AVE PO BOX 1935

SOUTH BEND,IN466341935
35-6033285 		HOSPITAL SERVICE AUXILIARY IN 501(C)(4) N/A SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
 
 
No
(86) THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER

4215 EDISON LAKES PARKWAY

MISHAWAKA,IN46545
35-1654543 		SUPPORTS SERVICES OF RELATED HOSPITAL IN 501(C)(3) 11, TYPE I SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
 
No
(87) TRINITY CONTINUING CARE SERVICES

PO BOX 9184

FARMINGTON HILLS,MI483339184
38-2559656 		MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES MI 501(C)(3) 11, TYPE I TRINITY HEALTH CORPORATION
 
 
No
(88) TRINITY CONTINUING CARE SERVICES - INDIANA INC

PO BOX 9184

FARMINGTON HILLS,MI483339184
93-0907047 		PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING IN 501(C)(3) 9 TRINITY CONTINUING CARE SERVICES
 
 
No
(89) TRINITY HEALTH - MICHIGAN

27870 CABOT DRIVE

NOVI,MI483772920
38-2113393 		HEALTHCARE SERVICES MI 501(C)(3) 3 TRINITY HEALTH CORPORATION
 
Yes
 
(90) TRINITY HEALTH CORPORATION

27870 CABOT DRIVE

NOVI,MI483772920
35-1443425 		HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) 11, TYPE I N/A
 
No
(91) TRINITY HEALTH INTERNATIONAL

27870 CABOT DRIVE

NOVI,MI483772920
42-1253527 		HEALTHCARE TRAINING AND SUPPORT SERVICES MI 501(C)(3) 11, TYPE I TRINITY HEALTH CORPORATION
 
 
No
(92) TRINITY HEALTH WELFARE BENEFIT TRUST

27870 CABOT DRIVE

NOVI,MI483772920
20-8151733 		RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION
 
 
No
(93) TRINITY HOME HEALTH SERVICES INC

17410 COLLEGE PARKWAY

LIVONIA,MI48152
38-2621935 		HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES MI 501(C)(3) 11, TYPE I TRINITY HEALTH CORPORATION
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ADVANCED IMAGING SERVICES OF BATTLE CREEK

5352 BECKLEY ROAD STE A
BATTLE CREEK,MI49015
20-4594297 		RADIOLOGY/IMAGING MI N/A
 N/A       No     No 0 %
(2) ADVENT REHABILITATION LLC

607 DEWEY AVENUE SUITE 300
GRAND RAPIDS,MI49504
38-3306673 		REHABILITATION THERAPY SERVICES MI TRINITY HEALTH-MICHIGAN
  		RELATED 323,270 682,301   No   Yes   50.000 %
(3) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1608125 		MEDICAL OFFICE BUILDING RENTAL OH N/A
 N/A       No     No 0 %
(4) CCH LABORATORY

775 SOUTH MAIN STREET
CHELSEA,MI48118
38-2910400 		LABORATORY MI TRINITY HEALTH-MICHIGAN
  		RELATED 96,726     No   Yes   50.000 %
(5) CENTER FOR DIGESTIVE CARE LLC

5300 ELLIOTT DRIVE
YPSILANTI,MI48197
03-0447062 		PROVIDE GASTROINTESTINAL SERVICES MI TRINITY HEALTH-MICHIGAN
  		RELATED       No     No 51.000 %
(6) CENTRAL OHIO SLEEP MEDICINE LTD

5955 EAST BROAD ST
COLUMBUS,OH43213
31-1701029 		SLEEP MEDICINE SERVICES OH N/A
 N/A       No     No 0 %
(7) CLINTON IMAGING SERVICES LLC

615 VALLEY VIEW DR STE 202
MOLINE,IL61265
41-2044739 		MRI DIAGNOSTIC SERVICES IA N/A
 N/A       No     No 0 %
(8) FOREST PARK IMAGING LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4365966 		X-RAY AND MAMMOGRAPHY SERVICES IA N/A
 N/A       No     No 0 %
(9) FRANCES WARDE MEDICAL LABORATORY

300 WEST TEXTILE ROAD
ANN ARBOR,MI48104
38-2648446 		LABORATORY MI TRINITY HEALTH-MICHIGAN
  		UNRELATED 151,210 832,913   No   Yes   66.670 %
(10) FRESNO IMAGING CENTER

1303 E HERNDON AVE
FRESNO,CA93720
77-0363563 		DIAGNOSTIC IMAGING CA N/A
 N/A       No     No 0 %
(11) HAWARDEN COMMUNITY CLINIC LLC

1122 AVENUE L
HAWARDEN,IA51023
20-1444339 		MEDICAL CLINIC IA N/A
 N/A       No     No 0 %
(12) IDAHO GYNONCOLOGY SERVICES LLC

1055 N CURTIS RD
BOISE,ID83706
20-2975807 		PROVIDE GYN ONCOLOGY SERVICES ID N/A
 N/A       No     No 0 %
(13) INTERMOUNTAIN MEDICAL IMAGING LLC

877 WEST MAIN ST STE 603
BOISE,ID83702
82-0514422 		PROVIDE IMAGING SERVICES ID N/A
 N/A       No     No 0 %
(14) MAGNETIC RESONANCE SERVICES PARTNERSHIP

1416 SIXTH STREET SW
MASON CITY,IA50401
42-1328388 		MRI SERVICES IA N/A
 N/A       No     No 0 %
(15) MASON CITY AMBULATORY SURGERY CENTER LLC

990 4TH STREET SW
MASON CITY,IA50401
20-1960348 		SURGERY-SAME DAY IA N/A
 N/A       No     No 0 %
(16) MCE MOB IV LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
42-1544707 		MEDICAL OFFICE BUILDING RENTAL OH N/A
 N/A       No     No 0 %
(17) MCMC POB III LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1392994 		MEDICAL OFFICE BUILDING RENTAL OH N/A
 N/A       No     No 0 %
(18) MEDILUCENT MOB I

793 W STATE STREET
COLUMBUS,OH43222
20-4911370 		MEDICAL OFFICE BUILDING RENTAL OH N/A
 N/A       No     No 0 %
(19) MERCY HEART CTR OP SERVICES LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4237594 		CARDIOVASCULAR SERVICES IA N/A
 N/A       No     No 0 %
(20) MERCY OUTPATIENT SURGERY CENTER LLC

1512 12TH AVENUE ROAD
NAMPA,ID83686
84-1380439 		OUTPATIENT SURGERY ID N/A
 N/A       No     No 0 %
(21) MICHIANA HEALTH INFORMATION NETWORK LLC

215 WEST MADISON STREET
SOUTH BEND,IN46601
35-2050128 		COMMUNITY BASED CLINICAL INFORMATION SYSTEM AND DATA DEPOSITORY IN N/A
 N/A       No     No 0 %
(22) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1369473 		MEDICAL OFFICE BUILDING RENTAL OH N/A
 N/A       No     No 0 %
(23) NEWCO AMBULATORY SURGERY CTR LLP

4190 24TH AVENUE
FORT GRATIOT,MI48059
30-0136708 		OUTPATIENT SURGERY CENTER MI TRINITY HEALTH-MICHIGAN
  		RELATED 177,913 409,770   No   Yes   50.000 %
(24) RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1531135 		MEDICAL OFFICE BUILDING RENTAL OH N/A
 N/A       No     No 0 %
(25) ROSENBERG & BRUNO PROPERTIES LLC (FKA BSV MEDICAL OFFICE BUILDING II LLC)

855 M STREET TENTH FLOOR
FRESNO,CA93721
20-2673839 		MEDICAL OFFICE BUILDING RENTAL CA N/A
 N/A       No     No 0 %
(26) SARMED OUTPATIENT PHARMACY LLC

999 N CURTIS RD STE 102
BOISE,ID83706
51-0483218 		PHARMACY ID N/A
 N/A       No     No 0 %
(27) SIXTY FOURTH STREET LLC

2373 64TH ST STE 2200
BYRON CENTER,MI49315
20-2443646 		PROVIDE OUTPATIENT SURGICAL CARE MI TRINITY HEALTH-MICHIGAN
  		RELATED 441,693 896,124   No     No 51.000 %
(28) ST ALPHONSUS CALDWELL CANCER CTR LLC

3123 MEDICAL DR
CALDWELL,ID83605
82-0526861 		RADIATION ONCOLOGY ID N/A
 N/A       No     No 0 %
(29) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1603660 		MEDICAL OFFICE BUILDING RENTAL OH N/A
 N/A       No     No 0 %
(30) TAMARACK MEDICAL CLINIC LLC

610 VILLAGE DRIVE
DONNELLY,ID83615
20-1637921 		OUTPATIENT MEDICAL SERVICES ID N/A
 N/A       No     No 0 %
(31) WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1784409 		MEDICAL OFFICE BUILDING RENTAL OH N/A
 N/A       No     No 0 %
(32) WOODLAND IMAGING CENTER LLC

5301 E HURON RIVER DR
ANN ARBOR,MI48106
76-0820959 		RADIOLOGY/IMAGING MI TRINITY HEALTH-MICHIGAN
  		RELATED 657,967 1,851,847   No     No 51.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) COMMUNITY HEALTH VENTURES INC
565 W WESTERN AVE
MUSKEGON,MI49440
38-3522260 		SOFTWARE MARKETING MI N/A
 C      
(2) HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY ST
MUSKEGON,MI49442
38-2961814 		WEIGHT MANAGEMENT MI N/A
 C      
(3) HACKLEY HEALTH VENTURES INC
1415 LEAHY ST
MUSKEGON,MI49442
38-2589959 		OTHER MEDICAL SERVICES MI N/A
 C      
(4) HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY ST
MUSKEGON,MI49442
38-2578569 		HOME MEDICAL EQUIPMENT MI N/A
 C      
(5) HACKLEY PROFESSIONAL CENTER
1415 LEAHY ST
MUSKEGON,MI49442
38-3024797 		REAL ESTATE RENTAL MI N/A
 C      
(6) HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY ST
MUSKEGON,MI49442
38-2447870 		PHARMACY MI N/A
 C      
(7) HEF INC
1415 LEAHY ST
MUSKEGON,MI49442
38-3086401 		OFFICE STAFFING MI N/A
 C      
(8) HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROAD
SILVER SPRING,MD20904
52-1986562 		HOME CARE SERVICES MD N/A
 C      
(9) HPC CO-OWNERS ASSOCIATION
1700 CLINTON
MUSKEGON,MI49442
27-0734448 		CONDOMINIUM ASSOCIATION MI N/A
 C      
(10) HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992
ANN ARBOR,MI48106
38-2475644 		PROVIDES OFFICE RENTAL SPACE MI TRINITY HEALTH-MICHIGAN
  		C 2,549,707 26,024,780 100.000 %
(11) INTEGRATED HEALTH ASSOCIATES INC
24 FRANK LLOYD WRIGHT DR LOBBY J
ANN ARBOR,MI48106
38-3126920 		MEDICAL MANAGEMENT MI TRINITY HEALTH-MICHIGAN
  		C 3,465,087 79,791,057 100.000 %
(12) IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J
ANN ARBOR,MI48106
38-3188895 		MEDICAL MANAGEMENT MI INTEGRATED HEALTH ASSOC INC
  		C -709 574,395 100.000 %
(13) IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J
ANN ARBOR,MI48106
38-3316559 		MEDICAL SERVICES MI TRINITY HEALTH-MICHIGAN
  		C 51,761,577 42,583,980 100.000 %
(14) MARYLAND CARE GROUP INC
11801 TECH ROAD
SILVER SPRING,MD20904
52-1815313 		HEALTHCARE HOLDING MD N/A
 C      
(15) MEDNOW INC
1512 12TH AVENUE ROAD
NAMPA,ID83686
82-0389927 		OUTPATIENT PHARMACY ID N/A
 C      
(16) MERCY COMMUNITY PHYSICIANS
363 FREMONT STREET
BATTLE CREEK,MI49017
26-4252468 		HEALTHCARE SERVICES MI N/A
 C      
(17) MERCY MEDICAL SERVICES
801 5TH STREET
SIOUX CITY,IA51101
42-1283849 		PRIMARY CARE PHYSICIANS IA N/A
 C      
(18) MICHIGAN PHYSICIAN SERVICES
44405 WOODWARD AVENUE H-5
PONTIAC,MI48341
38-3293125 		PHYSICIAN SERVICES MI TRINITY HEALTH-MICHIGAN
  		C 763,629   100.000 %
(19) MICHIGAN ATHLETIC CLUB
2500 BURTON
GRAND RAPIDS,MI49546
38-2647304 		ATHLETIC CLUB MI HURON ARBOR CORPORATION
  		C -299,070 1,488,150 90.000 %
(20) MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC
6150 EAST BROAD STREET
COLUMBUS,OH43213
31-0971510 		BEHAVIORAL HEALTHCARE SERVICES OH N/A
 C      
(21) MOUNT CARMEL HEALTH HORIZONS CORP
6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1177652 		MEDICAL SERVICES/RENT OH N/A
 C      
(22) MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1382442 		MEDICAL SERVICES OH N/A
 C      
(23) NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SW
MASON CITY,IA50401
42-1382308 		MEDICAL SERVICES IA N/A
 C      
(24) PRIMARY CARE NETWORK OF OHIO INC
6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1422486 		HEALTH MANAGEMENT SERVICES OH N/A
 C      
(25) PRIORITY PLUS OF CALIFORNIA
PO BOX 27230
FRESNO,CA93729
77-0395267 		FORMERLY HEALTH MANAGEMENT NOW DISCONTINUED SUBSTANTIALLY ALL OPERATIONS CA N/A
 C      
(26) SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROAD
BOISE,ID837061370
33-1078261 		PHYSICIANS ID N/A
 C      
(27) SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SE
GRAND RAPIDS,MI49546
38-3450733 		ATHLETIC CLUB MI TRINITY HEALTH-MICHIGAN
  		C -874,645 5,428,220 100.000 %
(28) SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1531102 		FINANCE, INSURANCE AND REAL ESTATE OH N/A
 C      
(29) TRINITY HEALTH EMPLOYEE BENEFIT TRUST
27870 CABOT DRIVE
NOVI,MI483772920
38-3410377 		GRANTOR TRUST MI N/A
 T      
(30) VENZKE INSURANCE COMPANY LTD
PO BOX 1051 GRAND CAYMAN
GRAND CAYMAN    
CJ
98-0453602 		PROVISION OF INSURANCE COVERAGE CJ TRINITY HEALTH-MICHIGAN
  		C   204,465,122 100.000 %
(31) WESTSHORE HEALTH NETWORK
1820 44TH STREET
KENTWOOD,MI49508
38-3280200 		PHYSICIAN HOSPITAL ORGANIZATION MI TRINITY HEALTH-MICHIGAN
  		C 390,362 3,824,130 100.000 %
(32) WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY ST
MUSKEGON,MI49442
38-3112035 		OCCUPATIONAL HEALTH MI N/A
 C      
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) TRINITY HEALTH CORPORATION

 J 2,619,551 PER BOOKS
(2) TRINITY HEALTH CORPORATION

 Q 32,786,813 PER BOOKS
(3) TRINITY HEALTH CORPORATION

 C 140,065 PER BOOKS
(4) TRINITY HEALTH CORPORATION

 B 45,034,503 PER BOOKS
(5) TRINITY HEALTH CORPORATION

 L 145,745,085 PER BOOKS
(6) TRINITY HEALTH CORPORATION

 K 1,145,151 PER BOOKS
(7) TRINITY HEALTH CORPORATION

 P 1,249,339 PER BOOKS
(8) TRINITY HEALTH CORPORATION

 E 12,000,000 PER BOOKS
(9) TRINITY HEALTH CORPORATION

 O 114,783,429 PER BOOKS
(10) CATHERINE MCAULEY HEALTH SERVICES CORP

 L 90,866 PER BOOKS
(11) CATHERINE MCAULEY HEALTH SERVICES CORP

 O 255,285 PER BOOKS
(12) CATHERINE MCAULEY HEALTH SERVICES CORP

 P 290,072 PER BOOKS
(13) CATHERINE MCAULEY HEALTH SERVICES CORP

 R 66,483,577 PER BOOKS
(14) WOODLAND IMAGING CENTER LLC

 A 1,625 PER BOOKS
(15) WOODLAND IMAGING CENTER LLC

 J 705,471 PER BOOKS
(16) WOODLAND IMAGING CENTER LLC

 K 1,170,447 PER BOOKS
(17) WOODLAND IMAGING CENTER LLC

 L 3,736,770 PER BOOKS
(18) HURON ARBOR CORPORATION

 A 952 PER BOOKS
(19) HURON ARBOR CORPORATION

 J 3,095,729 PER BOOKS
(20) HURON ARBOR CORPORATION

 K 1,437,287 PER BOOKS
(21) HURON ARBOR CORPORATION

 P 86,686 PER BOOKS
(22) ST MARY'S HEALTH MANAGEMENT COMPANY

 B 750,000 PER BOOKS
(23) MICHIGAN PHYSICIAN SERVICES

 B 951,755 PER BOOKS
(24) MICHIGAN PHYSICIAN SERVICES

 K 329,699 PER BOOKS
(25) MICHIGAN PHYSICIAN SERVICES

 L 6,782,735 PER BOOKS
(26) MICHIGAN PHYSICIAN SERVICES

 P 305,263 PER BOOKS
(27) PORT HURON MERCY FAMILY CARE INC

 B 125,103 PER BOOKS
(28) PORT HURON MERCY FAMILY CARE INC

 K 593,318 PER BOOKS
(29) TRINITY CONTINUING CARE SERVICES

 K 144,249 PER BOOKS
(30) MIDWEST MEDFLIGHT

 A 4,229 PER BOOKS
(31) MIDWEST MEDFLIGHT

 K 1,340,391 PER BOOKS
(32) BATTLE CREEK HEALTH SYSTEM

 A 105,099 PER BOOKS
(33) BATTLE CREEK HEALTH SYSTEM

 K 876,988 PER BOOKS
(34) BATTLE CREEK HEALTH SYSTEM

 P 1,244,661 PER BOOKS
(35) HOSPICE OF WASHTENAW

 A 31,265 PER BOOKS
(36) HOSPICE OF WASHTENAW

 P 90,802 PER BOOKS
(37) IHA HEALTH SERVICES CORPORATION

 A 8,348 PER BOOKS
(38) IHA HEALTH SERVICES CORPORATION

 B 83,786,646 PER BOOKS
(39) IHA HEALTH SERVICES CORPORATION

 P 816,190 PER BOOKS
(40) SIXTY FOURTH STREET LLC

 C 72,501 PER BOOKS
(41) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP

 B 10,010,000 PER BOOKS
(42) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP

 K 3,916,729 PER BOOKS
(43) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP

 L 16,439,173 PER BOOKS
(44) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP

 P 1,539,996 PER BOOKS
(45) TRINITY HOME HEALTH SERVICES INC

 L 334,457 PER BOOKS
(46) MERCY HEALTH PARTNERS

 A 38,017 PER BOOKS
(47) MERCY HEALTH PARTNERS

 K 1,669,375 PER BOOKS
(48) MERCY HEALTH PARTNERS

 P 1,873,884 PER BOOKS
(49) HACKLEY HOSPITAL

 A 35,485 PER BOOKS
(50) HACKLEY HOSPITAL

 K 70,152 PER BOOKS
(51) HACKLEY HOSPITAL

 P 597,080 PER BOOKS
(52) LAKESHORE COMMUNITY HOSPITAL INC

 A 34,820 PER BOOKS
(53) LAKESHORE COMMUNITY HOSPITAL INC

 P 296,389 PER BOOKS
(54) MOUNT CARMEL HEALTH SYSTEM

 L 233,527 PER BOOKS
(55) NEWCO AMBULATORY SURGERY CTR LLP

 K 2,948,693 PER BOOKS
(56) HOLY CROSS HOSPITAL OF SILVER SPRING INC

 K 452,624 PER BOOKS
(57) MERCY HOSPITAL CADILLAC FOUNDATION

 B 142,717 PER BOOKS
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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