TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JOSEPH SWEDISH........................................................................ TRINITY PRES & CEO THROUGH 3/13	1.00 .......................54.00	X	X		3,233,500	601,476
(2) LARRY WARREN........................................................................ TRINITY INTERIM PRES & CEO 3/13-4/13	5.00 .......................50.00	X	X		25,000	0
(3) JUDITH PERSICHILLI........................................................................ TRIN INTERIM PRES & CEO AS OF 5/13	1.00 .......................54.00	X	X		3,890,553	17,510
(4) MARY MOLLISON CSA........................................................................ CHAIR THROUGH 4/13	2.00 .......................14.00	X	X		0	0
(5) MELANIE DREHER PHD RN........................................................................ V CHR THROUGH 4/13; CHAIR AS OF 5/13	2.00 .......................14.00	X	X		25,000	0
(6) BARBARA WHEELEY RSM........................................................................ VICE CHAIR AS OF 5/13	1.00 .......................7.00	X	X		0	0
(7) SUZANNE BRENNAN CSC........................................................................ TRUSTEE	1.00 .......................7.00	X			0	0
(8) JOSE SANTILLAN........................................................................ TRUSTEE THROUGH 2/13	1.00 .......................7.00	X			22,750	0
(9) STANLEY URBAN........................................................................ TRUSTEE AS OF 5/13	1.00 .......................7.00	X			0	0
(10) PAUL NEUMANN........................................................................ SECRETARY; EVP & GENERAL COUNSEL	2.00 .......................48.00		X		812,881	106,329
(11) AGNES HAGERTY........................................................................ ASST SEC; VP DEPUTY GEN CSL TRINITY	2.00 .......................48.00		X		368,657	54,774
(12) JENNIFER BARNETT........................................................................ TREAS AS OF 5/13; TRIN EVP & INT CFO	1.00 .......................49.00		X		927,285	22,601
(13) BENJAMIN CARTER........................................................................ TREAS 4/13; ASST TREAS AS OF 5/13	5.00 .......................45.00		X		799,303	112,810
(14) JAMES BOSSCHER........................................................................ ASST TREAS THR 4/13; TRIN SVP TREAS	1.00 .......................49.00		X		586,570	91,437
(15) KEDRICK ADKINS........................................................................ TRINITY PRES INTEG SYS THR 6/13	1.00 .......................54.00			X	1,821,619	126,167
(16) RICHARD O'CONNELL........................................................................ EVP & PRES TRINITY HEALTH DIV.	1.00 .......................54.00			X	1,036,410	130,423
(17) GARRY FAJA........................................................................ REG MKT EXEC - EAST MICH.	49.40 ........................60			X	969,031	84,796

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) PHILIP MCCORKLE........................................................................ REG MKT EXEC - WEST MICH.	47.50 .......................2.50	X			0	653,026	57,962
(19) JACK WEINER........................................................................ SJ MERCY OAKLAND CEO	50.00 .......................0.00	X			0	637,507	136,477
(20) ROBERT CASALOU........................................................................ SJ MERCY HEALTH SYSTEM CEO	49.00 .......................1.00	X			0	619,307	97,325
(21) DAVID SPIVEY........................................................................ ST. MARY MERCY LIVONIA CEO	49.00 .......................1.00	X			0	528,816	97,710
(22) CHARLES HOFFMAN SJMHS CFO THR 812........................................................................ 8/12; SE MI REG VP BUS & SYS DEV	48.40 .......................1.60	X			0	510,320	53,956
(23) NANCY GRAEBNER........................................................................ CHELSEA HOSPITAL CEO AS OF 1/12	50.00 .......................0.00	X			0	405,132	50,086
(24) BARBARA HERTZLER........................................................................ SJ MERCY OAKLAND COO	50.00 .......................0.00	X			0	404,465	63,279
(25) RANDALL WAGNER........................................................................ MERCY HEALTH SAINT MARY'S COO	50.00 .......................0.00	X			0	367,660	42,797
(26) JOHN MACLEOD........................................................................ MERCY CADILLAC CEO	49.00 .......................1.00	X			0	350,474	74,435
(27) ROBERT SMYTHE........................................................................ SJ MERCY HLTH SYS COO THROUGH 4/13	50.00 .......................0.00	X			0	345,864	35,056
(28) STEPHANIE RIEMER-MATUZAK........................................................................ MERCY GRAYLING CEO	50.00 .......................0.00	X			0	330,437	85,728
(29) MICHAEL GUSHO........................................................................ SJM OAK CFO THR 9/12; SE MI REG CFO	50.00 .......................0.00	X			0	329,828	61,518
(30) CLAUDE LAUDERBACH........................................................................ ST. MARY MERCY LIVONIA COO	50.00 .......................0.00	X			0	275,454	60,877
(31) DEBORAH ARMSTRONG........................................................................ SJ MERCY PORT HURON INTERIM CFO	50.00 .......................0.00	X			0	260,000	19,850
(32) REBEKAH SMITH........................................................................ SJ MERCY PORT HURON CEO	49.00 .......................1.00	X			0	245,685	52,990
(33) MICHAEL SAMYN........................................................................ ST. MARY MERCY LIVONIA CFO	50.00 .......................0.00	X			0	243,268	37,110
(34) KATHLEEN O'CONNOR........................................................................ SJMHS VP FINANCE AS OF 1/12	50.00 .......................0.00	X			276,459	0	59,752
(35) KRISTOPHER AALDERINK........................................................................ ORTHOPEDIC SURGEON (SJMHS)	50.00 .......................0.00		X		959,499	0	26,978
(36) CREG CARPENTER........................................................................ ORTHOPEDIC SURGEON (CHELSEA HOSP)	50.00 .......................0.00		X		747,211	0	30,925
(37) GEORGE GIBSON........................................................................ ORTHOPEDIC SURGEON (SJMHS)	50.00 .......................0.00		X		720,682	0	20,024
(38) TALLAL ZENI........................................................................ BARIATRIC SURGEON (SMM LIVONIA)	50.00 .......................0.00		X		718,204	0	39,328
(39) MARK KELLEY........................................................................ ORTHOPEDIC SURGEON (SJMHS)	50.00 .......................0.00		X		713,255	0	37,159
(40) DANIEL HALE........................................................................ FORMER OFFICER	0.00 .......................50.00			X	0	856,049	63,490
(41) MARIANNE CUNNINGHAM........................................................................ FORMER OFFICER	0.00 .......................45.00			X	0	165,279	32,527
(42) STEPHEN PIROG........................................................................ FORMER KEY EMPLOYEE	10.00 .......................0.00			X	0	236,406	53,138
(43) PETER KARADJOFF........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	0	117,000	18,595
(44) PAUL BROWNE........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	0	480,030	41,852
(45) DEBRA CANALES........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	852,044	102,033
(46) PAUL CONLON........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	488,655	114,364
(47) LOUIS FIERENS........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	518,640	68,929
(48) PRESTON GEE........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	468,475	79,749
(49) MICHAEL HOLPER........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	450,005	94,299
(50) TERRENCE O'ROURKE........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	964,005	56,964
(51) MARIA SZYMANSKI........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	624,384	76,589
(52) ROGER SPOELMAN........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	724,012	125,216
(53) GREGORY LOOMIS........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	368,881	52,203
(54) GARY ALLORE........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	334,125	39,015
(55) MICHAEL MURPHY........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	0	180,882	16,630

(A) Name and business address	(B) Description of services	(C) Compensation
BARTON MALOW COMPANY26500 AMERICAN DRIVESOUTHFIELDMI48034	CONSTRUCTION SERVICES	35,054,504
THE CHRISTMAN COMPANY208 N CAPITOL AVENUELANSINGMI48933	CONSTRUCTION SERVICES	31,549,161
GRANGER CONSTRUCTION COMPANY6267 AURELIUS RDLANSINGMI48911	CONSTRUCTION SERVICES	28,800,315
PINE REST CHRISTIAN HOSPITAL300 68TH STGRAND RAPIDSMI49548	HEALTH CARE SERVICES	23,492,934
MICHIGAN MULTISPECIALTY PHYSICIANS2350 GREEN RD STE 170ANN ARBORMI48105	HEALTH CARE SERVICES	8,313,142
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 251

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 United States. See Part IV, line 21	1,524,082	1,524,082
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	49,472	49,472
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	9,834,919		9,834,919
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	381,346	168,110	213,236
7	Other salaries and wages	845,263,936	767,161,222	76,188,166	1,914,548
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	55,092,992	50,159,869	4,933,123
9	Other employee benefits .......	86,896,204	78,208,923	8,352,569	334,712
10	Payroll taxes ...........	59,787,933	53,685,169	5,965,019	137,745
11	Fees for services (non-employees):
a	Management ......	927,664	834,898	92,766
b	Legal .........	1,746,109		1,746,109
c	Accounting ...........	18,844		18,844
d	Lobbying ...........	32,000		32,000
e	Professional fundraising services. See Part IV, line 17	28,876			28,876
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	207,298,050	185,402,692	20,600,299	1,295,059
12	Advertising and promotion ....	9,000,175	8,013,147	890,350	96,678
13	Office expenses .......	35,087,388	33,122,529	1,743,291	221,568
14	Information technology ......	92,071,064	82,863,958	9,207,106
15	Royalties ..
16	Occupancy ...........	43,046,434	40,875,089	2,151,320	20,025
17	Travel ............	2,599,090	2,452,504	129,079	17,507
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,882,470	1,686,832	187,426	8,212
20	Interest ...........	33,353,584	33,331,633		21,951
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	138,059,427	131,153,521	6,902,816	3,090
23	Insurance ..............	15,004,395	14,254,175	750,220
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	371,455,954	371,434,648		21,306
b	BAD DEBT	106,795,067	106,795,067
c	INTERCO. PURCHASED SVCS	81,493,272	73,285,269	8,142,808	65,195
d	HOSPITAL PROVIDER TAX	54,153,373	54,153,373
e	All other expenses	84,078,316	75,956,092	7,937,470	184,754
25	Total functional expenses. Add lines 1 through 24e	2,336,962,436	2,166,572,274	166,018,936	4,371,226
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	11,754,754	1	13,476,573
2	Savings and temporary cash investments .........	2,569,346	2	2,068,643
3	Pledges and grants receivable, net ...........	11,601,508	3	10,804,980
4	Accounts receivable, net .............	279,854,428	4	251,580,301
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	7,029,712	7	24,190,179
8	Inventories for sale or use ..............	34,246,486	8	37,335,081
9	Prepaid expenses and deferred charges ..........	9,873,081	9	15,230,738
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,680,669,640
b	Less: accumulated depreciation .....	10b	1,426,603,454	1,155,447,596	10c	1,254,066,186
11	Investments—publicly traded securities ..........	369,836,717	11	563,314,428
12	Investments—other securities. See Part IV, line 11 .....	588,998,271	12	529,193,813
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	32,123,701	14	31,939,271
15	Other assets. See Part IV, line 11 ...........	942,773,903	15	267,650,946
16	Total assets. Add lines 1 through 15 (must equal line 34)......	3,446,109,503	16	3,000,851,139
	17	Accounts payable and accrued expenses .........	209,014,224	17	239,435,280
18	Grants payable .................		18
19	Deferred revenue ................	623,801	19	1,735,530
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other 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 ..	22,795,354	23	23,531,943
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	981,433,595	25	1,036,507,322
26	Total liabilities. Add lines 17 through 25.........	1,213,866,974	26	1,301,210,075
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	2,207,268,592	27	1,670,489,813
28	Temporarily restricted net assets ...........	12,288,809	28	15,883,496
29	Permanently restricted net assets ...........	12,685,128	29	13,267,755
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	2,232,242,529	33	1,699,641,064
34	Total liabilities and net assets/fund balances ........	3,446,109,503	34	3,000,851,139

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of 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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 on line H of its
Form 990-EZ or on Part I, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization TRINITY HEALTH - MICHIGAN

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization TRINITY HEALTH - MICHIGAN

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

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
that total 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

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose 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

(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

(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

(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) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

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 35c (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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

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)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

117,990

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

109,440

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

227,430

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

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; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
EXPLANATION OF LOBBYING ACTIVITIES:	PART II-B, LINE 1:	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 FY13 INCLUDED: - ENSURING MAXIMUM COVERAGE AND ACCESS, INCLUDING SUPPORTING EXCHANGE IMPLEMENTATION AND MEDICAID EXPANSION - DRIVING QUALITY AND EFFICIENCY ACROSS THE CONTINUUM OF CARE WITH VALUE-BASED, SUSTAINABLE PAYMENT MODELS LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH - MICHIGAN INCLUDED: - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICIALS - 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 AND THE AMERICAN HOSPITAL ASSOCIATION - ADVOCACY ACTION DAYS AT THE FEDERAL LEVEL, ATTENDED BY TRINITY HEALTH - MICHIGAN EXECUTIVES

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

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 ........

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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

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 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	14,089,151	15,077,828	14,367,389	13,827,175	13,890,593
b	Contributions ........	197,316	-176,284	223,954	203,571	378,849
c	Net investment earnings, gains, and losses	1,027,047	-812,393	486,485	336,643	-442,267
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	641,736
f	Administrative expenses ....
g	End of year balance ......	14,671,778	14,089,151	15,077,828	14,367,389	13,827,175

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

8.520 %

Permanent endowment SchDMd Bullet

90.430 %

Temporarily restricted endowment SchDMd Bullet

1.050 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	68,152,219		68,152,219
b	Buildings ................	1,570,704,400	758,900,127	811,804,273
c	Leasehold improvements ............
d	Equipment ................	853,547,265	656,466,554	197,080,711
e	Other .................	188,265,756	11,236,773	177,028,983
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				1,254,066,186

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther 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) COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	161,998,106	F
(B) EQUITY METHOD INVESTMENTS	194,397,727	C
(C) HEDGE FUNDS	172,797,980	F






Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	529,193,813

Part VIII

InvestmentsProgram 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) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER RECEIVABLES				20,905,334
(2) INTERCOMPANY ACCOUNTS RECEIVABLE				104,176,703
(3) INVESTMENT IN UNCONSOLIDATED AFFILIATES				28,761,743
(4) INTERCOMPANY OTHER LT ASSETS				113,145,738
(5) OTHER ASSETS				661,428




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				267,650,946

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
INTERCOMPANY ACCOUNTS PAYABLE		73,191,310
DEFERRED COMPENSATION		9,684,408
ASSET RETIREMENT OBLIGATION (FIN 47)		2,607,527
OTHER LIABILITIES		2,896,518
ANNUITIES PAYABLE		1,755,085
INTERCOMPANY NOTES PAYABLE		946,124,744
LEASE OBLIGATION		247,730


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		1,036,507,322
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI 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 XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII 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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

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, line 2; Part XI, lines 2d and 4b; and Part XII, 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) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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. Form 990-EZ filers are not required to complete this part. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

Yes

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.

(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
	HARRIS CONNECT LLC 1400-A CROSSWAYS BLVD CHESAPEAKE, VA23320	EXPLORATORY AND TIER II PHONE CALLS		No	0	28,876	-28,876









Total .................						28,876	-28,876

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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2012

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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 HOLIDAY BALL -ANN ARBOR (event type)	(b) Event #2 SPRING AUCTION -CHELSEA (event type)	(c) Other events 29 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	765,127	309,719	1,407,540	2,482,386
2	Less: Contributions . .	605,711	241,096	875,708	1,722,515
3	Gross income (line 1 minus line 2) . . .	159,416	68,623	531,832	759,871
4	Cash prizes . . .
5	Noncash prizes . .			2,324	2,324
6	Rent/facility costs . .	60,678	1,450	57,198	119,326
7	Food and beverages .	201,827	7,818	223,139	432,784
8	Entertainment . . .	11,200		24,175	35,375
9	Other direct expenses .	193,612	93,544	345,427	632,583
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				1,222,392
11	Net income summary. Combine line 3, column (d), and line 10. ..........				-462,521

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.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

40,978

Cash prizes . . . .

3,594

Non-cash prizes . . .

13,332

Rent/facility costs . . .

Other direct expenses . .

700

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes100.000 %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

17,626

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

23,352

Enter the state(s) in which the organization operates gaming activities: MI

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2012

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

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? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

100.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

BRANDY MARINO ST JOSEPH MERCY HEALTH SYSTEM

Address

5305 E HURON RIVER DR PO BOX 995
ANN ARBOR,MI48106

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

BRANDY MARINO ST JOSEPH MERCY HEA

Gaming manager compensation right arrow

$ 1,144

Description of services provided right arrow

FINANCIAL REPORTING, CASH DEPOSITS.

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

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

Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	Return Reference	Explanation
EXPLANATION OF FUNDRAISING PAYMENTS	SCHEDULE G, PART I, LINE 2B, COLUMN (V)	TRINITY HEALTH - MICHIGAN PAID HARRIS CONNECT, LLC $276 IN REIMBURSEMENT OF EXPENSES. THE AGREEMENT SPECIFIES THAT ALL ITEMIZED EXPENSES FOR FUNDRAISING MATERIALS AND SUPPLIES WILL BE FULLY REIMBURSED AND THE FEE FOR FUNDRAISING WILL BE BASED ON THE MONTHLY CONTRACTED FEE.

Schedule G (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2012

Open to Public Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance 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	Financial Assistance at cost (from Worksheet 1) ..	9	82,489	56,375,109	11,782,539	44,592,570	2.000 %
b	Medicaid (from Worksheet 3, column a) ....	9	245,728	223,402,438	170,845,306	52,557,132	2.360 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	11	72,386	20,967,713	11,710,156	9,257,557	0.420 %
d	Total Financial Assistance and Means-Tested Government Programs .	29	400,603	300,745,260	194,338,001	106,407,259	4.780 %
Other Benefits		143	499,534	10,260,792	3,112,133	7,148,659	0.320 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	143	499,534	10,260,792	3,112,133	7,148,659	0.320 %
f	Health professions education (from Worksheet 5) ..	23	1,198	71,052,263	41,218,904	29,833,359	1.340 %
g	Subsidized health services (from Worksheet 6) ..	29	108,412	51,966,619	31,024,406	20,942,213	0.940 %
h	Research (from Worksheet 7)	2	23	5,211,070	0	5,211,070	0.230 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	48	13,191	963,540	95,132	868,408	0.040 %
j	Total. Other Benefits ..	245	622,358	139,454,284	75,450,575	64,003,709	2.870 %
k	Total. Add lines 7d and 7j .	274	1,022,961	440,199,544	269,788,576	170,410,968	7.650 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1		326	326	0 %
2	Economic development
3	Community support	2	56	2,037	2,037	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	5	1,013	21,879	21,879	0 %
7	Community health improvement advocacy	3	2,145	21,883	21,883	0 %
8	Workforce development	6	112	237,494	237,494	0.010 %
9	Other
10	Total	17	3,326	283,619	283,619	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

37,177,672

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

12,022,566

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

621,471,061

Enter Medicare allowable costs of care relating to payments on line 5.....

591,383,086

Subtract line 6 from line 5. This is the surplus (or shortfall)........

30,087,975

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's 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 HEALTH PARK CENTRAL LLC	MEDICAL OFFICE BUILDING	10.550 %	82.490 %
55 SIXTY FOURTH STREET LLC	SURGICAL CENTER	51.000 %	46.770 %
66 MERCY PHYSICIAN COMMUNITY PHO LLC	CONTRACTING AND SERVICES	50.000 %	50.000 %
77 NEWCO AMBULATORY SURGERY CENTER LLP DBA LAKESHORE SURGERY CENTER LLP	SURGICAL CENTER	50.000 %	50.000 %
88 WATERFORD SURGICAL CENTER LLC	SURGICAL CENTER	40.000 %	57.580 %
99 CRAWFORD MERCY PHO	CONTRACTING SERVICES	50.000 %	50.000 %
1010 WEXFORD MERCY PHO	CONTRACTING SERVICES	50.000 %	50.000 %
1111 ADVANTAGE HEALTHSAINT MARY'S CARE NETWORK	HOSPITAL/PHYSICIAN INTEGRATION	50.000 %	50.000 %
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?9 Name, address, and primary website address
1	ST JOSEPH MERCY ANN ARBOR 5301 MCAULEY DR YPSILANTI,MI48197 WWW.STJOESHEALTH.ORG	X	X	X	X
2	MERCY HEALTH ST MARY'S 200 JEFFERSON STREET SE GRAND RAPIDS,MI49503 WWW.MERCYHEALTHSAINTMARYS.COM	X	X	X	X
3	ST JOSEPH MERCY OAKLAND 44405 WOODWARD AVE PONTIAC,MI48341 WWW.STJOESOAKLAND.ORG	X	X	X	X
4	ST MARY MERCY LIVONIA 36475 FIVE MILE RD LIVONIA,MI48154 WWW.STMARYMERCY.ORG	X	X	X	X
5	CHELSEA COMMUNITY HOSPITAL 775 S MAIN CHELSEA,MI48118 WWW.CCH.ORG	X	X		X
6	ST JOSEPH MERCY LIVINGSTON 620 BYRON RD HOWELL,MI48843 WWW.STJOESLIVINGSTON.ORG	X	X	X	X
7	ST JOSEPH MERCY PORT HURON 2601 ELECTRIC AVE PORT HURON,MI48060 WWW.MYMERCY.US	X	X		X
8	MERCY HOSPITAL GRAYLING 1100 EAST MICHIGAN AVE GRAYLING,MI49738 WWW.MERCYHEALTHGRAYLING.COM	X	X		X
9	MERCY HOSPITAL CADILLAC 400 HOBART STREET CADILLAC,MI49601 WWW.MERCYHEALTHCADILLAC.COM	X	X		X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST JOSEPH MERCY ANN ARBOR
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MERCY HEALTH SAINT MARY'S
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST JOSEPH MERCY OAKLAND
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST MARY MERCY LIVONIA
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST JOSEPH MERCY LIVINGSTON
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CHELSEA COMMUNITY HOSPITAL
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST JOSEPH MERCY PORT HURON
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 150.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MERCY HOSPITAL GRAYLING
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MERCY HOSPITAL CADILLAC
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?105
Name and address		Type of Facility (describe)
1	(ANN ARBOR) MICHIGAN HEART & VASCULAR IN 5325 ELLIOTT DR YPSILANTI,MI48197	CARDIOVASCULAR CARE
2	(AA) ST JOSEPH MERCY BRIGHTON 7575 GRAND RIVER RD BRIGHTON,MI48114	LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYS, ONCOLOGY, 24 HR EMER
3	(AA) REICHERT HEALTH CENTER 5333 MCAULEY DR YPSILANTI,MI48197	LAB, IMAGING, AMBULATORY SURG., EMPLOYED PHYSICIANS
4	(AA) ST JOSEPH MERCY CANTON HEALTH CTR 1600 CANTON CENTER RD CANTON,MI48188	LAB, IMAGING, EMERGENCY SERVICES, THERAPY, ONCOLOGY, AMBULATORY SURG.
5	(AA) MICHIGAN ORTHOPEDIC CENTER 5315 ELLIOTT DR YPSILANTI,MI48197	ORTHOPEDIC CARE
6	(AA) ST JOSEPH MERCY SALINE 400 W RUSSELL ST SALINE,MI48176	LAB, IMAGING, EMERGENCY SERVICES
7	(AA) ELLEN THOMPSON WOMEN'S CENTER 5320 ELLIOTT DR YPSILANTI,MI48197	WOMEN'S HEALTH
8	(AA) CHELSEA PROFESSIONAL OFFICE BLDG 14650 OLD US 12 CHELSEA,MI48118	PHARMACY, ONCOLOGY, EMPLOYED PHYSICIANS
9	(AA) MARIAN PROFESSIONAL BUILDING 14555 LEVAN RD LIVONIA,MI48154	RADIATION ONCOLOGY, REHAB, MRI, EMPLOYED PHYSICIANS
10	(AA) SLEEP DISORDERS CENTER 5305 ELLIOTT DR YPSILANTI,MI48197	SLEEP CLINIC
11	(AA) MICHIGAN HEART BUILDING 309 PAGE AVE JACKSON,MI49201	EMPLOYED PHYSICIANS
12	(AA) CHELSEA HEALTH & WELLNESS CENTER 20800 OLD US 12 CHELSEA,MI48118	REHAB
13	(AA) ST JOSEPH MERCY MAPLE HEALTH BLDG 501 N MAPLE RD ANN ARBOR,MI48103	URGENT CARE
14	(AA) HURON OAKS 5401 MCAULEY DR YPSILANTI,MI48197	BEHAVIORAL MEDICINE
15	(AA) LIVINGSTON OBGYN ASSOCIATES 524 BYRON RD HOWELL,MI48843	EMPLOYED PHYSICIANS
16	(AA) SJMHS OUTPATIENT CLINIC 2310 E STADIUM BLVD ANN ARBOR,MI48104	REHAB
17	(AA) HAAB HEALTH BUILDING 111 N HURON ST YPSILANTI,MI48197	EMPLOYED PHYSICIANS
18	(AA) SALINE PROFESSIONAL OFFICE BLDG 420 W RUSSELL ST SALINE,MI48176	REHAB
19	(AA) CENTER FOR DIGESTIVE CARE 5300 ELLIOTT DR YPSILANTI,MI48197	DIGESTIVE CARE
20	(AA) SALINE ADULT & PEDIATRIC MEDICINE 182 S INDUSTRIAL DR SALINE,MI48176	EMPLOYED PHYSICIANS
21	(AA) MICHIGAN HEART MILAN 870 E ARKONA RD MILAN,MI48160	EMPLOYED PHYSICIANS
22	(AA) MICHIGAN HEART BUILDING 1548 W MAUMEE ST ADRIAN,MI49221	EMPLOYED PHYSICIANS
23	(AA) MONUMENT PARK BUILDING 8031 MAIN ST DEXTER,MI48130	EMPLOYED PHYSICIANS
24	(AA) ST JOSEPH MERCY ARBOR HEALTH CTR 990 W ANN ARBOR TRAIL PLYMOUTH,MI48170	LAB
25	(AA) SUMMERWOOD CENTER 10299 E GRAND RIVER BRIGHTON,MI48116	BEHAVIORAL MEDICINE
26	(AA) ARBOR PARK CENTRE 4972 CLARK RD YPSILANTI,MI48197	LAB
27	(AA) CHERRY HILL LAB 49650 CHERRY HILL RD CANTON,MI48187	LAB
28	(AA) ST JOSEPH MERCY BEHAVIORAL SVCS 2200 CANTON CENTER RD CANTON,MI48188	BEHAVIORAL MEDICINE
29	(AA) ST JOSEPH MERCY CHEMICAL DEPENDENT 2008 HOGBACK RD ANN ARBOR,MI48105	BEHAVIORAL MEDICINE
30	(AA) GENOA MEDICAL CENTER 2305 GENOA BUSINESS PARK DR BRIGHTON,MI48114	LAB
31	(AA) FAMILY MEDICINE OF STOCKBRIDGE 4525 S M-52 STOCKBRIDGE,MI49285	EMPLOYED PHYSICIANS
32	(AA) ARBOR SCIO PROFESSIONAL BUILDING 6360 JACKSON RD ANN ARBOR,MI48103	LAB
33	(AA) PARKWAY MEDICAL CENTER 2345 S HURON PKWY ANN ARBOR,MI48104	LAB
34	(AA) TOWSLEY HEALTH BUILDING 5361 MCAULEY DR YPSILANTI,MI48197	NURSING HOME, EMPLOYED PHYS.
35	(AA) SAMARITAN CENTER 5555 CONNER DETROIT,MI48213	INDIGENT CARE
36	(AA) HURON PROFESSIONAL BUILDING 704 W HURON ST ANN ARBOR,MI48103	LAB
37	(AA) DIAGNOSTIC SERVICES CENTER 202 E VAN RIPER RD FOWLERVILLE,MI48836	LAB, IMAGING
38	(AA) MICHIGAN HEART BUILDING 200 ARNET ST YPSILANTI,MI48198	EMPLOYED PHYSICIANS
39	(CADILLAC) CADILLAC SURGICAL CARE 927 SOUTH CARMEL STREET CADILLAC,MI49601	EMPLOYED PHYSICIANS
40	(CAD) MERCY OBGYN PARTNERS 7985 MACKINAW TRAIL CADILLAC,MI49601	EMPLOYED PHYSICIANS
41	(CAD)MERCY HEALTH PHYSICIAN PARTNERS 7985 MACKINAW TRAIL CADILLAC,MI49601	EMPLOYED PHYSICIANS
42	(CAD)MERCY HEALTH PHYSICIAN PARTNERS 100 NORTH ROLAND MCBAIN,MI49657	EMPLOYED PHYSICIANS
43	(GRAND RAPIDS) WEGE BUILDING 300 LAFAYETTE GRAND RAPIDS,MI49503	LAB, FAMILY PRACTICE, INTERNAL MEDICINE PRACTICE
44	(GR) SAINT MARY'S SOUTHWEST 2373 64TH STREET SW BYRON CENTER,MI49315	AMBULATORY SURGICAL CTR, URGENT CARE CTR, REHAB, LAB, IMAGING, EMPLOYED PHYS
45	(GR) ADVANTAGE HEALTH BUILDING 1471 EAST BELTLINE GRAND RAPIDS,MI49525	LAB, IMAGING, REHAB, EMPLOYED PHYS., URGENT CARE, OB
46	(GR) CLINICA SANTA MARIA 730 GRANDVILLE AVE SW GRAND RAPIDS,MI49503	INDIGENT PRIMARY CARE CENTER
47	(GR) PINE REST 300 68TH STREET SE GRAND RAPIDS,MI49548	MENTAL HEALTH
48	(GR) SPARTA FAMILY HEALTH CENTER 475 S STATE ST SPARTA,MI49345	FAMILY PRACTICE CENTER
49	(GR) BROWNING CLAYTOR HEALTH CENTER 1246 MADISON SE GRAND RAPIDS,MI49507	FAMILY PRACTICE CENTER
50	(GR) HEARTSIDE HEALTH CLINIC 359 S DIVISION GRAND RAPIDS,MI49503	INDIGENT PRIMARY CARE CENTER
51	(GR) RIVERTOWN BUILDING 3380 44TH STREET SW GRANDVILLE,MI49418	LAB, IMAGING, REHAB, FAMILY PRACTICE
52	(GR) STANDALE BUILDING 1175 WILSON AVE NW WALKER,MI49534	LAB, IMAGING, REHAB, FAMILY PRACTICE
53	(GR) 310 LAFAYETTE BUILDING 310 LAFAYETTE SE GRAND RAPIDS,MI49503	IMMUNOLOGY
54	(GR) ADVANTAGE HEALTH BUILDING 10047 CROSS ROADS COURT CALEDONIA,MI49316	LAB, IMAGING, REHAB, FAMILY PRACTICE
55	(GR) GRSPORTS CENTER 1640 E PARIS AVE SE GRAND RAPIDS,MI49546	REHAB
56	(GR) MICHIGAN ATHLETIC CLUB 2500 BURTON SE GRAND RAPIDS,MI49546	REHAB
57	(GR) GREEN STREET BUILDING 1375 W GREEN ST HASTINGS,MI49058	REHAB
58	(GR) GEORGETOWN BUILDING 1915 GEORGETOWN CENTER DR JENISON,MI49428	REHAB
59	(GR) DAVID D HUNTING YMCA 475 LAKE MICHIGAN DR NW GRAND RAPIDS,MI49504	REHAB
60	(GR) CHERRY BUILDING 245 CHERRY ST GRAND RAPIDS,MI48503	REHAB, PEDIATRIC CLINIC, FAMILY MEDICINE AND OB
61	(GR) ADVANTAGE HEALTH BUILDING 5171 PLAINFIELD NE GRAND RAPIDS,MI49525	FAMILY PRACTICE CENTER
62	(GR) SAINT MARY'S LAB NORTHWEST 933 THREE MILE NW GRAND RAPIDS,MI49504	LAB, REHAB, FAMILY PRACTICE
63	(GR) ADVANTAGE HEALTH BUILDING 7782 20TH AVENUE JENISON,MI49428	FAMILY PRACTICE CENTER
64	(GR) SOUTHEAST ADVANTAGE HEALTH BUILDING 2080 44TH ST SE KENTWOOD,MI49508	REHAB, LAB, FAMILY PRACTICE
65	(GR) ADVANTAGE HEALTH BUILDING 6050 NORTHLAND DR NE ROCKFORD,MI49341	FAMILY PRACTICE CENTER
66	(GR) JEFFERSON BUILDING 260 JEFFERSON SE GRAND RAPIDS,MI49503	LAB
67	(GRAYLING) MERCY MANOR 1200 EAST MICHIGAN AVE GRAYLING,MI49738	LONG TERM CARE
68	(GRAY) MERCY FAMILY CARE GRAYLING 1250 EAST MICHIGAN AVE GRAYLING,MI49738	EMPLOYED PHYSICIANS
69	(GRAY) MERCY FAMILY CARE ROSCOMMON 234 LAKE STREET ROSCOMMON,MI48653	EMPLOYED PHYSICIANS
70	(GRAY) MERCY COMMUNITY HEALTH CENTER 2585 WEST HOUGHTON LAKE DRIVE PRUDENVILLE,MI48651	REHAB, IMAGING, LAB, EMPLOYED PHYSICIANS
71	(GRAY) AUSABLE UROLOGY 809 MICHIGAN AVE GRAYLING,MI49738	EMPLOYED PHYSICIANS
72	(GRAY) MILTOWN CLINIC 1200 W NORTH DOWN RIVER RD GRAYLING,MI49738	EMPLOYED PHYSICIANS
73	(OAKLAND)SJMO MEDICAL OFFICE BUIDING 44555 WOODWARD AVE PONTIAC,MI48341	LAB, IMAGING, VASCULAR SURGERY, GENERAL SURGERY, CARDIOTHORACIC SURGERY, BAR
74	(OA) BALD MOUNTAIN REGIONAL MEDICAL 1375 S LAPEER RD LAKE ORION,MI48360	URGENT CARE, LAB, IMAGING, INTERNAL MED/PEDS
75	(OA) WOODWARD PROFESSIONAL BUILDING 44428 WOODWARD AVE PONTIAC,MI48341	REHAB, OB/GYN CLINIC, PARTIAL PSYCH HOSPITAL
76	(OA) MERCY MEDICAL GROUP-OAKLAND PHYSICI 5210 HIGHLAND RD WATERFORD,MI48327	INTERNAL MEDICINE, URGENT CARE, LAB, IMAGING
77	(OA) BERKLEY MEDICAL CENTER 1695 W 12 MILE RD BERKLEY,MI48072	INTERNAL MEDICINE, IMAGING, LAB
78	(OA) SLEEP DISORDERS CLINIC 3100 CROSS CREEK PKWY AUBURN HILLS,MI48341	SLEEP CLINIC
79	(OA) INDEPENDENCE POINTE 7210 ORTONVILLE RD CLARKSTON,MI48346	LAB
80	(OA) KAROTECH BUILDING 2630 UNION LAKE RD COMMERCE TOWNSHIP,MI48382	PEDS, LAB
81	(OA) BLOOMFIELD LAB 42557 WOODWARD AVE BLOOMFIELD HILLS,MI48304	LAB
82	(OA) WHITE LAKE 320 TOWN CENTER BLVD WHITE LAKE TWP,MI48386	URGENT CARE, LAB, IMAGING, REHAB
83	(OA) SHORES III PROFESSIONAL BUILDING 2300 HAGGERTY RD WEST BLOOMFIELD,MI48323	IMAGING
84	(OA) WATERFORD SURGICAL CENTER 5220 HIGHLAND RD WATERFORD,MI48327	SURGICAL CENTER
85	(OA) MERCY MEDICAL GROUP-ROCHESTER 1854 W AUBURN RD ROCHESTER HILLS,MI48309	INTERNAL MEDICINE/PEDS, OB/GYN
86	(OA) CLARKSTON 6770 DIXIE HWY CLARKSTON,MI48346	OB/GYN, FAMILY MED
87	(OA) LEXUS PROFESSIONAL BUILDING 44200 WOODWARD AVE PONTIAC,MI48341	LAB
88	(OA) SAINT JOSEPH MERCY OAKLAND BIRMINGH 2110 E MAPLE RD BIRMINGHAM,MI48009	URGENT CARE, LAB, IMAGING
89	(OA) MERCY MEDICAL GROUP-BLOOMFIELD HILL 1750 TELEGRAPH RD BLOOMFIELD HILLS,MI48302	OB/GYN
90	(OA) LAKE ORION REHABILITATION CENTER 3800 BALDWIN RD ORION TOWNSHIP,MI48359	REHAB
91	(OA) BLOOMFIELD HILLS IM 2520 S TELEGRAPH RD BLOOMFIELD HILLS,MI48302	INTERNAL MEDICINE
92	(OA) PONTIAC OBGYN 989 UNIVERSITY DR PONTIAC,MI48342	OB/GYN
93	(OA) OAKLAND MEDICAL GROUP 3950 S ROCHESTER ROAD ROCHESTER HILLS,MI48307	OB/GYN
94	(OA) OAKLAND MEDICAL GROUP 27301 DEQUINDRE ROAD MADISON HEIGHTS,MI48071	OB/GYN
95	(OA) CLINICA SANTA TERESA MERCY PLACE 55 CLINTON ST PONTIAC,MI48342	OUTPATIENT CLINIC
96	(PORT HURON) MERCY HEALTH CENTER 4190 24TH AVE FORT GRATIOT,MI48059	LAB, IMAGING, URGENT CARE
97	(PH) MERCY FITRAC 2615 ELECTRIC AVE PORT HURON,MI48060	PHYSICAL THERAPY
98	(PH) FITRAC - MARYSVILLE 782 HURON BLVD MARYSVILLE,MI48040	PHYSICAL THERAPY
99	(PH) DR MOREY'S MERCY SURGERY CARE 2609 ELECTRIC AVE STE B PORT HURON,MI48060	EMPLOYED SURGEON
100	(PH) PEOPLES' CLINIC FOR BETTER HEALTH 3110 GOULDEN ST PORT HURON,MI48060	OUTPATIENT CLINIC
101	(PH) GEORGE CARLEY ASSOCIATES 1943 HOLLAND PORT HURON,MI48060	LAB
102	(PH) DR JERRY 600 FORT STREET PORT HURON,MI48060	LAB
103	(PH) DR JARAD 2540 16TH STREET PORT HURON,MI48060	LAB
104	(PH) NORTH BUILDING 2306 ELECTRIC AVE PORT HURON,MI48060	LAB
105	(OTHER) FRANCES WARDE MEDICAL LABORATORY 300 W TEXTILE RD ANN ARBOR,MI48104	LAB

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
		PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
		PART I, LINE 6A: TRINITY HEALTH - MICHIGAN 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, $106,795,067, 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 SYSTEMIN GENERAL, 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, MINISTRY 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. MARY MERCY LIVONIAST. MARY MERCY LIVONIA SERVES ON THE LIVONIA YMCA BOARD, SERVING AS THE HOSTING SITE AND CHAIR OF THE MONTHLY HEALTHY PARTNERS CIRCLE OF CARE COALITION MEETINGS. THEY ALSO PROVIDE AN INSIDE VIEW OF ST. MARY MERCY CLINICAL SERVICES THROUGH THE HEALTHCARE PARTNERSHIP PROGRAM AND PROVIDE A VENUE FOR NETWORKING WITH COMMUNITY LEADERS AND PARTNERS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. IN ADDITION, ST. MARY MERCY LIVONIA SERVES MANY NEEDS IN THE CITY OF DETROIT. IN DETROIT, ONLY ONE-QUARTER TO ONE-HALF OF HIGH SCHOOL STUDENTS GRADUATE, AND NEARLY HALF OF THE ADULT POPULATION ARE CONSIDERED FUNCTIONALLY ILLITERATE. IN SOUTHWEST DETROIT, 24 PERCENT OF ADULTS DO NOT HAVE A 9TH GRADE EDUCATION, AND MORE THAN HALF DID NOT FINISH HIGH SCHOOL. TO ADDRESS THIS NEED FOR EDUCATION, ST. MARY MERCY IS A CORPORATE SPONSOR FOR THE CRISTO REY SCHOOL AND MERCY EDUCATION PROGRAM. CRISTO REY 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 WORKING AT THE ST. MARY MERCY HOSPITAL MIRACLE OF LIFE BIRTHING CENTER. SEEING THE BIRTH OF A CHILD AND WATCHING MOTHERS ACCEPT THE RESPONSIBILITY OF CARING FOR THE INFANT, HAS PROFOUNDLY AFFECTED THE STUDENTS WHO HAVE BEEN WORKING IN THE BIRTHING CENTER.THE MERCY EDUCATION PROJECT (MEP) PROVIDES A CARING, SUPPORTIVE LEARNING ENVIRONMENT FOR LOW-INCOME WOMEN AND GIRLS WHO HAVE EXPERIENCED EDUCATIONAL FAILURE. THE RESULTS-DRIVEN EDUCATIONAL PROGRAMS IMPROVE ACADEMIC OUTCOMES AND HELP GIRLS AND WOMEN BECOME STRONG, CONFIDENT, MORE HOPEFUL AND BETTER EQUIPPED FOR SUCCESS IN SCHOOL AND IN LIFE. ONE OF THE MANY PROGRAMS OFFERED THROUGH MEP IS THE GIRLS' TUTORING PROGRAM WHICH PROVIDES ONE-TO-ONE REMEDIAL TUTORING IN READING AND MATH TO IMPROVE ACADEMIC OUTCOMES FOR GIRLS IN 1ST THROUGH 8TH GRADES. ST. MARY MERCY HOSPITAL'S SPONSORSHIP HELPED FUND THE PARTICIPATION OF THE 175 GIRLS/WOMEN WHO ARE ENROLLED IN THE MEP.ST. JOSEPH MERCY PORT HURONST. JOSEPH MERCY PORT HURON 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:YMCA BOARD - THIS BOARD GOVERNS THE LOCAL YMCA AND PROVIDES SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME, SENIORS, AND MENTALLY CHALLENGED INDIVIDUALS. BY SERVING ON THE BOARD, WE CAN BETTER IDENTIFY PROGRAMS AND SERVICES FOR THIS POPULATION. THE PROGRAMS OF YMCA REACH A LARGE AUDIENCE OF DISADVANTAGED INDIVIDUALS IN OUR COUNTY. THE COMMUNITY REACHES OUT TO YMCA BY PROVIDING SUPPORT AND UTILIZATION OF SERVICES. EMPLOYERS (INCLUDING SJMPH) ASSIST WITH FUNDING, WORK TRAINING, AND HEALTH PROGRAMS FOR THIS POPULATION. PORT HURON CHAMBER OF COMMERCE BOARD - OUR HOSPITAL SUPPLIES A BOARD MEMBER AND ALSO FINANCIAL SUPPORT TO THE LOCAL CHAMBER. THIS ORGANIZATION PROMOTES BUSINESS IN OUR COMMUNITY AND WE HAVE BEEN AN ACTIVE MEMBER FOR MANY YEARS. PARTNERS AT HEART ADVISORY COMMITTEE - THIS BODY COORDINATES THE AREA'S PARTNERS AT HEART PROGRAM WHICH PROVIDES CARDIAC SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME INDIVIDUALS AND ESPECIALLY SENIORS. ACCESS TO CARDIOVASCULAR SERVICES OFFERED UNDER "PARTNERS AT HEART" IS ONE ROLE SERVED BY THE ADVISORY COMMITTEE. IT 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 THROUGH UTILIZATION OF THE SERVICES OFFERED. 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.MERCY HOSPITAL GRAYLINGTWO 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 AN UROLOGIST, AN ORTHOPEDIC SURGEON, AN INTERNIST AND TWO FAMILY PRACTICE DOCTORS TO ITS PHYSICIAN NETWORK. THE ADDITION OF THESE PROVIDERS EXPANDS SERVICES TO THE COMMUNITY IN AREAS OF GREATEST NEED.MERCY HOSPITAL GRAYLING SUPPORTS VARIOUS CHE TRINITY HEALTH NATIONAL AND STATE EFFORTS TO ADVOCATE FOR THE HEALTH NEEDS OF THE VULNERABLE AND UNDERSERVED.MERCY HOSPITAL CADILLACCOMMUNITY-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 CHE 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 HUMAN SERVICES LEADERSHIP COLLABORATIVE, CADILLAC CHAMBER OF COMMERCE, CADILLAC COMMUNITY HEALTH COALITION, NORTHERN MICHIGAN SUBSTANCE ABUSE COORDINATING AGENCY, POVERTY REDUCTION COALITION, SUICIDE COALITION AND OTHER COMMUNITY GROUPS.MERCY HOSPITAL CADILLAC'S COMMUNITY OUTREACH DEPARTMENT'S 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 CADILLAC AREA HEALTH COALITION (CAHC). CAHC IS COMPRISED OF AREA ORGANIZATIONS THAT PROVIDE LEADERSHIP AND RESOURCES TO ACCOMPLISH THE GOALS OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
		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 PAGE 17 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY MINISTRY ORGANIZATION AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED 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.PART III, LINE 3 - TRINITY HEALTH - MICHIGAN USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FY13 WAS THE FIRST YEAR TRINITY HEALTH - MICHIGAN UTILIZED THE PREDICTIVE MODEL WITH RESULTS USED FOR ANALYSIS ONLY. STARTING IN FY14, TRINITY HEALTH - MICHIGAN IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL.MERCY HOSPITAL GRAYLING AND MERCY HOSPITAL CADILLAC ARE NOT CURRENTLY USING THE PREDICTIVE MODEL DESCRIBED ABOVE. INSTEAD, THEIR PORTION OF THE AMOUNT IN LINE 3 REPRESENTS THE PATIENTS THAT WERE SENT TO BAD DEBT WHO WOULD QUALIFY FOR A FORM OF MEDICAID HMO. THESE PATIENTS HAVE BEEN MEANS TESTED BY THE INSURANCE COMPANY AND HAVE SHOWN TO HAVE MET THEIR GUIDELINES FOR LOW INCOME ASSISTANCE. THEREFORE, THEY WOULD MEET THE REQUIREMENTS FOR THE HOSPITAL'S CHARITY GUIDELINES BUT DID NOT FILL OUT A CHARITY APPLICATION.
		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 HOSPITALS' COLLECTION POLICIES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN EACH ORGANIZATION'S COLLECTION POLICY. THE HOSPITALS HAVE IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
ST. JOSEPH MERCY ANN ARBOR		PART V, SECTION B, LINE 3: SJMHS CONSULTED MANY COMMUNITY ORGANIZATIONS TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING: THE WASHTENAW COUNTY HEALTH DEPARTMENT, THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE PACKARD CLINIC, THE HOPE CLINIC, WASHTENAW COUNTY COUNCIL MEMBERS, THE WASHTENAW HEALTH INITIATIVE, PHYSICIAN PRACTICES AND HEALTH SYSTEM EMPLOYEES.
MERCY HEALTH SAINT MARY'S		PART V, SECTION B, LINE 3: THE CHNA WAS VERY INCLUSIVE AND COMPREHENSIVE IN INCORPORATING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THIS QUALITATIVE DATA COLLECTION INVOLVED CONDUCTING FOCUS GROUPS, BRIEF INTERCEPT INTERVIEWS, AND COMMUNITY INPUT WALLS WITH COMMUNITY MEMBERS. EACH OF THESE METHODS IS DESCRIBED ALONG WITH THE ACTUAL QUESTIONS USED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.FOCUS GROUPSIN THE FOCUS GROUPS, A PROFESSIONAL RESEARCHER INTERVIEWED PEOPLE IN SMALL GROUPS. THE RATIONALE FOR THE FOCUS GROUPS IS THAT GROUP DISCUSSION WILL STIMULATE DYNAMIC CONVERSATIONS AND IN-DEPTH CONVERSATIONS ABOUT A PARTICULAR TOPIC. IN THIS CASE, THE PURPOSE WAS TO GENERATE COMMUNITY INPUT FROM VARIOUS POPULATION GROUPS ABOUT HEALTH AND WELLBEING IN KENT COUNTY. BECAUSE THE FOCUS GROUPS WERE TAPE RECORDED WITH THE KNOWLEDGE OF PARTICIPANTS, RESEARCHERS WERE ABLE TO UTILIZE THE WORDS SPOKEN VERBATIM ABOUT A PARTICULAR HEALTH TOPIC TO SUPPORT SPECIFIC THEMES FOUND IN THE QUALITATIVE DATA COLLECTION.- 12 FOCUS GROUPS WERE CONDUCTED WITH 119 COMMUNITY MEMBERS PARTICIPATINGINTERCEPT INTERVIEWS METHODTHIS METHOD IS DESIGNED TO ENGAGE PARTICIPANTS WHO MAY NOT BE INCLINED TO ATTEND A FOCUS GROUP OR TOWN HALL MEETING. IT IS TYPICALLY ONE INTERVIEWER AND ONE PARTICIPANT. IT IS ALSO INTENDED TO GENERATE OPEN ENDED FEEDBACK FROM A BROAD GROUP OF COMMUNITY MEMBERS ON THE TOPIC OF HEALTH AND WELLBEING. SOME POPULATIONS ARE MORE COMFORTABLE BEING INTERVIEWED BY A COMMUNITY MEMBER OR TRUSTED INDIVIDUAL THAN BY AN OUTSIDE RESEARCHER AND INTERCEPT INTERVIEWS ARE USEFUL TO COLLECT INPUT FROM THOSE COMMUNITY MEMBERS. THE INTERCEPT INTERVIEWS WERE TRANSLATED INTO SPANISH FOR THE LATINO/HISPANIC COMMUNITY AND OTHER LANGUAGES SPOKEN BY THE ASIAN COMMUNITY. INTERCEPT INTERVIEWS WERE CONDUCTED BY VOLUNTEER INTERVIEWERS (TRAINED BY PROFESSIONAL CONSULTANTS) FROM THE KENT COUNTY HEALTH DEPARTMENT AND OTHER PARTNERS ENGAGED WITH THE CHNA. INTERVIEWERS WERE PROVIDED THE NECESSARY INTERVIEW MATERIALS NEEDED, AS WELL AS TECHNICAL ASSISTANCE. COMPLETED INTERVIEWS WERE RETURNED TO PROFESSIONALLY TRAINED CONSULTANTS FOR ANALYSIS. - 395 INTERCEPT INTERVIEWS WERE CONDUCTED IN THREE LANGUAGES BY TRAINED COMMUNITY MEMBERSCOMMUNITY INPUT WALLSTHIS STRATEGY INVOLVES GATHERING INPUT FROM COMMUNITY MEMBERS DIRECTLY BY POSTING LARGE SHEETS OF PAPER IN A PUBLIC SPACE AND ASKING COMMUNITY MEMBERS TO ANSWER QUESTIONS ABOUT COMMUNITY HEALTH BY WRITING THEIR THOUGHTS ON THE WALL.- 4 COMMUNITY INPUT WALLS
ST. JOSEPH MERCY OAKLAND		PART V, SECTION B, LINE 3: WE FULLY INCORPORATED COMMUNITY PARTNERS IN THE PLANNING PROCESS, FROM SERVICE ON THE STEERING COMMITTEE TO THE COLLECTION AND ANALYSIS OF DATA. OUR STEERING COMMITTEE INCLUDED REPRESENTATION FROM: TRINITY HEALTH AND SJMO PERSONNEL, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY, THE SOCIAL SERVICES AGENCY OF THE ARCHDIOCESE OF DETROIT, THE OAKLAND COUNTY WORKFORCE DEVELOPMENT DIVISION, CENTRO MULTICULTURAL LA FAMILIA, INC., THE ARCHDIOCESE OF DETROIT.THE COMMITTEE HAD INPUT INTO THE PLANNING OF OUR PROCESSES FOR COLLECTING DATA, AND GAVE GUIDANCE IN REVISING THE CHNA QUESTIONNAIRES. THEY THEN PARTICIPATED IN FINAL EDITING OF THE REPORT AND IN SUGGESTING FUTURE COMMUNITY BENEFIT SERVICES AT SJMO. ONE PARTICULARLY EFFECTIVE APPROACH TO COMMUNITY INVOLVEMENT WAS THE METHOD WE USED FOR ADMINISTERING THE SURVEYS TO VARIOUS CONSTITUENT GROUPS. BECAUSE OF THE STRONG TIES TO THE COMMUNITY, AND THE WELL-ESTABLISHED PRESENCE SJMO HAS DEVELOPED IN THE PAST FOUR YEARS, WE WERE ABLE TO PRESENT OUR CHNA "CAMPAIGN" AND ADMINISTER SURVEYS DURING THE MEETING AGENDAS OF SEVERAL COMMUNITY ORGANIZATIONS OF WHICH WE ARE A PART. THIS SAVED TIME IN THE DATA COLLECTION PROCESS, SINCE WE DID NOT HAVE TO SCHEDULE AND FACILITATE SEPARATE MEETINGS, AND ALLOWED US TO HAVE MAXIMUM PARTICIPATION AND EXPOSURE. SIMILARLY, OUR STRONG COLLABORATION WITH ANOTHER GROUP, THE PONTIAC SCHOOL DISTRICT (PSD) AFFORDED US THE RARE OPPORTUNITY TO MEET WITH COMMUNITY-LEVEL DISTRICT REPRESENTATIVES (I.E., PARENTS) DURING THE FINAL DAYS OF THE SCHOOL YEAR. WE BROUGHT THIS GEOGRAPHICALLY DISPARATE GROUP TO SJMO, IN ORDER TO DISCUSS THE CHNA, COMPLETE THE SURVEYS, AND BEGIN PLANNING STRATEGICALLY FOR SJMO/PSD COLLABORATION DURING THE 2011-2012 SCHOOL YEAR. WE REGULARLY USE THIS STRATEGY OF BRINGING COMMUNITY PARTNERS IN HOUSE, IN ORDER TO BALANCE OUR COMMUNITY PRESENCE AND TO FOSTER A LASTING NON-CLINICAL RELATIONSHIP WITH THE COMMUNITY AS WELL.
ST. MARY MERCY LIVONIA		PART V, SECTION B, LINE 3: THE HEALTHY PARTNERS CIRCLE OF CARE COALITION CONSISTS OF REPRESENTATIVES FROM VARIOUS SOCIAL SERVICE AGENCIES, SCHOOLS, CHURCHES AND COMMUNITY MEMBERS IN WESTERN WAYNE COUNTY. THEY PROVIDED INPUT AT SEVERAL POINTS DURING OUR CHNA. WE ALSO RECEIVED INPUT FROM THE 800 RESPONSES TO OUR ONLINE SURVEY AND THREE FOCUS GROUPS. IN ADDITION, THE DETROIT WAYNE COUNTY HEALTH AUTHORITY BOARD REVIEWED AND SUPPORTED OUR CHNA STRATEGIES.
ST. JOSEPH MERCY LIVINGSTON		PART V, SECTION B, LINE 3: ST. JOSEPH MERCY LIVINGSTON CONSULTED OTHER COMMUNITY ORGANIZATIONS, INCLUDING THE LIVINGSTON COUNTY PUBLIC HEALTH DEPARTMENT AND THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, IN CONDUCTING THE MOST RECENT CHNA.
CHELSEA COMMUNITY HOSPITAL		PART V, SECTION B, LINE 3: CHELSEA COMMUNITY HOSPITAL (CCH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS COMMUNITY COALITIONS AND BY CONDUCTING INTERVIEWS. CCH IS A MEMBER OF THE WASHTENAW COUNTY HEALTH IMPROVEMENT PLAN (HIP), A COLLABORATIVE EFFORT OF PUBLIC AND PRIVATE ORGANIZATIONS AIMED AT IMPROVING HEALTH. HIP INCLUDES REPRESENTATIVES FROM WASHTENAW COUNTY PUBLIC HEALTH, ST. JOSEPH MERCY ANN ARBOR, THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THOMPSON REUTERS, AND OTHER ORGANIZATIONS.EACH OF THE FIVE COMMUNITIES IN THE CCH SERVICE AREA HAS A WELLNESS COALITION WITH VOLUNTEER MEMBERS FROM KEY COMMUNITY SECTORS AND ORGANIZATIONS, SUCH AS CCH HOSPITAL STAFF, LOCAL GOVERNMENT, SCHOOLS, LIBRARIES, BUSINESSES, SENIOR CENTERS, COMMUNITY GARDENS, CHURCHES, FOOD BANKS AND RESOURCE CENTERS, YOUTH SUBSTANCE ABUSE PREVENTION ORGANIZATIONS, HOSPITAL AND OTHER HEALTHCARE PROVIDERS, AND LOCAL CITIZENS. CHELSEA-AREA WELLNESS FOUNDATION (CWF), WHICH SERVES THE SAME FIVE TOWNS AS CCH, INITIATED THE ORGANIZATION OF THESE COALITIONS IN 2010. EACH COALITION COMPLETED A CIVIC ASSESSMENT AND NEEDS ASSESSMENT IN 2010, AND THE FIRST QUARTER OF 2011, AND PRESENTED THEM TO THE CWF BOARD. THEY HAVE ALSO BEEN TASKED TO DEVELOP A COMPREHENSIVE WELLNESS PLAN FOR THEIR COMMUNITY, BASED ON LOCAL DATA DEMONSTRATING NEED, AND RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS. TO ASSESS THE COMMUNITIES' NEEDS, EACH COALITION REVIEWED AVAILABLE SURVEY DATA, INCLUDING HIP (WHICH PROVIDED COMMUNITY-LEVEL DATA IN STOCKBRIDGE AND GRASS LAKE, AND REGIONAL-LEVEL DATA FOR CHELSEA, DEXTER AND MANCHESTER), AND MIPHY (WHICH PROVIDED COMMUNITY-LEVEL DATA FOR ALL FIVE TOWNS), AS WELL AS THE PROMOTING ACTIVE COMMUNITIES, AND NUTRITION ENVIRONMENTAL ASSESSMENT TOOL SURVEYS.IN ORDER TO GAIN INPUT ON THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY, LEADERS FROM CCH CONDUCTED KEY STAKEHOLDER INTERVIEWS IN MARCH 2012. MEMBERS OF THE COMMUNITY HEALTH IMPROVEMENT COUNCIL GENERATED A LIST OF COMMUNITY AGENCIES AND ORGANIZATIONS THAT SERVE THESE POPULATIONS, AND QUESTIONS TO ASK EACH ABOUT THE NEEDS OF THEIR CLIENTS OR MEMBERS. THESE INTERVIEWS WERE CONDUCTED IN PERSON IF POSSIBLE, AND BY PHONE, OR BY EMAIL IF NECESSARY.
ST. JOSEPH MERCY PORT HURON		PART V, SECTION B, LINE 3: A SURVEY THAT WAS CREATED BY THE CHNA STEERING COMMITTEE AT ST. JOSEPH MERCY PORT HURON WAS GIVEN TO SEVERAL COMMUNITY ADVISOR MEMBERS INCLUDING: THE VISITING NURSE ASSOCIATION, ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH, DOWNRIVER COMMUNITY SERVICES, COUNCIL ON AGING, CATHOLIC SOCIAL SERVICES, BLUE WATER TRANSIT, DEPARTMENT OF HUMAN SERVICES, MERCY HOME CARE, AND VARIOUS OTHER COMMUNITY BUSINESS LEADERS. PATIENTS AND STAFF AT MEDICAL CLINICS AND SENIOR FACILITIES WERE ALSO GIVEN THE SURVEY, IN ORDER TO GAIN INPUT FROM THE COMMUNITY.
MERCY HOSPITAL GRAYLING		PART V, SECTION B, LINE 3: DATA WAS COLLECTED FROM A VARIETY OF CURRENT SOURCES TO PROVIDE A FOUNDATION FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. SOURCES UTILIZED INCLUDE BOTH PRIMARY AND SECONDARY SOURCES: U.S. CENSUS BUREAU, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, MICHIGAN LEAGUE FOR HUMAN SERVICES, MIPHY (MICHIGAN PROFILE FOR HEALTHY YOUTH), DISTRICT HEALTH DEPARTMENT, #10 DISTRICT HEALTH DEPARTMENT, #2 CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT, MICHIGAN LABOR, MARKET BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM, COUNTY HEALTH RANKINGS, ROSCOMMON COUNTY RESIDENT SURVEY, MERCY HOSPITAL PHYSICIAN FEEDBACK.IN ADDITION TO THE QUANTITATIVE ANALYSIS OF THE SURVEYS AND SECONDARY DATA, PRIMARY DATA WERE OBTAINED THROUGH A SERIES OF GROUP DISCUSSIONS FACILITATED AT ALL THREE COMMUNITY COLLABORATIVE BODIES, THE ROSCOMMON HEALTH IMPROVEMENT PLANNING COMMITTEE, THE (6 COUNTY) GREAT START COLLABORATIVE BODIES AND A PHYSICIAN STEERING GROUP. THE COMMUNITY COLLABORATIVE GROUPS HAVE MEMBERSHIP THAT INCLUDES BUSINESS, HEALTH CARE, ACADEMICS, SOCIAL SERVICE DEPARTMENTS, AND AREA RESIDENTS.
MERCY HOSPITAL CADILLAC		PART V, SECTION B, LINE 3: THE CHNA WAS CONDUCTED WITH AN OVERSIGHT COMMITTEE COMPOSED OF THE DEPARTMENT OF HUMAN SERVICES, NORTHERN LAKES COMMUNITY MENTAL HEALTH AND DISTRICT HEALTH DEPARTMENT #10. MEMBERS OF THE CADILLAC AREA HEALTH COALITION PROVIDED ADDITIONAL FEEDBACK TO THE OVERSIGHT GROUP AND ITS CONSULTANTS ON A MONTHLY BASIS UNTIL ITS COMPLETION IN NOVEMBER 2011.A PRESENTATION WAS DEVELOPED, INCLUDING ALL THE AVAILABLE HEALTH RELATED DATA FOR WEXFORD AND MISSAUKEE COUNTIES. THIS WAS PRESENTED TO THE CADILLAC AREA HEALTH COALITION, OFFERING REPRESENTATION FROM THE YMCA, DISTRICT HEALTH DEPARTMENT #10, BAKER COLLEGE, MERCY HOSPITAL PHO, CADILLAC PUBLIC SCHOOLS, WEXFORD-MISSAUKEE INTERMEDIATE SCHOOL DISTRICT, VARIOUS COMMUNITY ORGANIZATIONS, HUMAN SERVICES, AND COALITION WORKGROUPS. THE COALITION COLLECTIVELY DETERMINED THE HIGHEST PRIORITY ISSUES AFFECTING THE HEALTH NEEDS OF THE COMMUNITY. THE COALITION WILL FOCUS ON THESE NEEDS DURING THE UPCOMING YEARS.CONSUMER HEALTH SURVEYS: POVERTY SURVEY - A SURVEY WAS DISTRIBUTED FROM LATE OCTOBER THROUGH MID-DECEMBER (2009) BY MORE THAN TWO DOZEN HUMAN SERVICE ORGANIZATIONS THROUGHOUT THE WEXFORD/MISSAUKEE COUNTIES. A TOTAL OF 965 ANONYMOUS SURVEYS WERE COLLECTED FROM INDIVIDUALS USING THOSE SERVICES AND UTILIZED IN IDENTIFYING THE FINDINGS OF THIS REPORT. TWO-THIRDS (69%) OF THE SURVEY RESPONDENTS LIVE IN WEXFORD COUNTY, 26% IN MISSAUKEE COUNTY AND 5% WERE IDENTIFIED AS RESIDENTS OF OSCEOLA COUNTY. PUBLIC FORUMS: AFFINITY FOCUS GROUPS - A PRESENTATION OF THE DATA WAS GIVEN TO THE HUMAN SERVICES LEADERSHIP COLLABORATIVE (HSLC). INPUT WAS RECEIVED FROM HUMAN SERVICE PROVIDERS, YMCA, BAKER COLLEGE, CADILLAC AREA PUBLIC SCHOOLS, WEXFORD MISSAUKEE INTERMEDIATE SCHOOL DISTRICT, SCHOOL SUPERINTENDENT, AND COMMUNITY HEALTH CARE ORGANIZATION REPRESENTATIVES. ACTION PLANNING AND ONGOING STATUS UPDATES WILL BE EVALUATED AND REPORTED ON PERIODICALLY.YOUTH ADVISORY SURVEY - THE YOUTH ADVISORY COMMITTEE OF THE CADILLAC AREA COMMUNITY FOUNDATION CONDUCTS A YOUTH SURVEY EVERY THREE YEARS. THE 2010 SURVEY WAS A RANDOM SAMPLING OF 242 STUDENTS IN GRADES 6-12. THE SURVEY FOCUSED ON ISSUES AND ACTIVITIES. THE TOP THREE ISSUES IDENTIFIED BY STUDENTS ARE SMOKING, DRUG ABUSE AND ALCOHOL ABUSE. STUDENTS ARE MOST INTERESTED IN MORE SOCIAL AND SPORTS ACTIVITIES. TRANSPORTATION TO ACTIVITIES REMAINS AN ISSUE TO BE ADDRESSED. THE DATA CORRESPONDS WELL WITH THE 09/10 MICHIGAN PROFILE FOR HEALTHY YOUTH (MIPHY) RESULTS. SUMMARY OBSERVATIONS FROM PHYSICIAN INPUT - THE PHYSICIAN HOSPITAL ORGANIZATION AND OTHER PHYSICIAN SERVICE GROUPS HAVE SUGGESTED GAPS IN SERVICES AND HEALTH PRIORITIES FOR THE COMMUNITY. PHYSICIANS HAVE AGREED THAT THE COMMUNITY MUST FOCUS ON CHRONIC DISEASE PREVENTION AND MANAGEMENT, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS. THEY STRESS THE NEED FOR MENTAL HEALTH SERVICES FOR CHILDREN, RECRUITMENT OF PRIMARY CARE PROVIDERS, INCLUDING ADVANCED CARE PRACTITIONERS, AND PROMOTION OF SELF-MANAGEMENT OF HEALTH. FURTHER, THEY STRESS ADVANTAGES FOR THE CONSUMER AND THE COMMUNITY FOR PROVIDERS THAT ARE A PATIENT CENTERED MEDICAL HOME.
ST. JOSEPH MERCY ANN ARBOR		PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.
MERCY HEALTH SAINT MARY'S		PART V, SECTION B, LINE 4: -MARY FREE BED REHABILITATION HOSPITAL-METRO HEALTH HOSPITAL-PINE REST CHRISTIAN MENTAL HEALTH SERVICES-SPECTRUM HEALTH
ST. JOSEPH MERCY LIVINGSTON		PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.
ST. JOSEPH MERCY ANN ARBOR		PART V, SECTION B, LINE 5C: LINE 5A:HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/SJMAA_CHNA.PDF
MERCY HEALTH SAINT MARY'S		PART V, SECTION B, LINE 5C: THE CHNA REPORT IS ALSO AVAILABLE ON THE WEBSITE OF THE KENT COUNTY HEALTH DEPARTMENT. LINE 5A:HTTP://MERCYHEALTHSAINTMARYS.COM/DOCUMENTS/GRANDRAPIDS/KENTCOCHNA_FINAL (WEBSITE).PDF
ST. JOSEPH MERCY OAKLAND		PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.STJOESOAKLAND.ORG/DOCUMENTS5/2012CHNAFINAL2.PDF
ST. MARY MERCY LIVONIA		PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.STMARYMERCY.ORG/DOCUMENTS4/SMML_CHNA.PDFLINE 5C:WE PROVIDED A SUMMARY OF OUR CHNA ON THE FRONT PAGE OF THE 2012 CBM REPORT TO THE COMMUNITY. THE ANNUAL REPORT WAS INSERTED IN LOCAL NEWSPAPERS THAT REACHED 160,000 HOUSEHOLDS AND WAS AVAILABLE TO OUR EMPLOYEES AND COMMUNITY MEMBERS IN KIOSKS THROUGHOUT THE HOSPITAL.
ST. JOSEPH MERCY LIVINGSTON		PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS1/SJML_CHNA.PDF
CHELSEA COMMUNITY HOSPITAL		PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.CCH.ORG/DOCUMENTS3/2012%20CHNA.PDF
ST. JOSEPH MERCY PORT HURON		PART V, SECTION B, LINE 5C: LINE 5A:HTTP://WWW.MYMERCY.US/DOCUMENTS6/SJMPH-CHNA.PDF
MERCY HOSPITAL GRAYLING		PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.MERCYHEALTHGRAYLING.COM/DOCUMENTS/GRAYLING/MERCY%20HOSPITAL%20GRAYLING%20CHNA.PDF
MERCY HOSPITAL CADILLAC		PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.MERCYHEALTHCADILLAC.COM/DOCUMENTS/CADILLAC/MERCY-HOSPITAL-NEEDS-ASSESSMENT-SEPTEMBER-2011.PDF
ST. JOSEPH MERCY ANN ARBOR		PART V, SECTION B, LINE 7: THERE WERE NEEDS IDENTIFIED THAT ST. JOSEPH MERCY HOSPITAL (SJMH) CHOSE NOT TO ADDRESS. THESE NEEDS WHILE IMPORTANT TO THE HEALTH SYSTEM AND THE COMMUNITY WERE NOT CHOSEN BASED ON OUR PRIORITIZATION PROCESS. THIS PROCESS INCLUDED THE FOLLOWING QUESTIONS: 1) THE NUMBER OF PEOPLE AFFECTED, 2) THE SEVERITY OF THE PROBLEM, 3) THE HEALTH SYSTEM'S ABILITY TO IMPACT AND 4) THE EXTENT TO WHICH OTHER ORGANIZATIONS WERE MEETING THE NEED. THE NEEDS THAT WERE NOT CHOSEN ARE AS FOLLOWS:ASTHMA - ST. JOSEPH MERCY HOSPITAL HAS BEEN ACTIVELY INVOLVED IN WASHTENAW COUNTY'S ASTHMA COALITION AND CONTINUES TO DO SO. THIS ENTITY HAS WORKED TO PROVIDE COMMUNITY AND PROVIDER EDUCATION AS WELL AS HELPING TO IDENTIFY BEST PRACTICES. IN THE RECENT PAST, ASTHMA WAS ALSO A MAJOR COMMUNITY BENEFIT INITIATIVE BY SJMH THAT LED TO SIGNIFICANT COLLABORATIVE EFFORTS WITH SCHOOLS AND HOSPITAL BASED SERVICES (CASE MANAGEMENT AND PEDIATRIC EMERGENCY CASE MANAGEMENT). CURRENTLY, A HOME CARE BASED STRATEGY IS IN PLACE. BECAUSE OF THESE ONGOING EFFORTS, AND BECAUSE OTHER UNMET NEEDS HAVE GREATER PRIORITY, NO FURTHER ASTHMA PROGRAMS WILL BE NEWLY INITIATED AT THIS TIME. NUTRITION AND PHYSICAL ACTIVITY - NUTRITION AND LACK OF PHYSICAL ACTIVITY WERE BOTH IDENTIFIED AS UNMET NEEDS. WHILE GOOD NUTRITION AND PHYSICAL ACTIVITY ARE NECESSARY TO PREVENT DISEASES AND CONDITIONS INCLUDING OBESITY, WE HAVE NOT CHOSEN TO DIRECTLY ADDRESS THESE NEEDS. INSTEAD, WE HAVE CHOSEN OBESITY AS A PRIORITY AREA, WHICH WE FEEL WILL ADDRESS BOTH PHYSICAL ACTIVITY AND NUTRITION RISK FACTORS. IN ADDITION, SJMH SUPPORTS AND COLLABORATES WITH OTHER ORGANIZATIONS DEDICATED TO INCREASING FOOD SECURITY FOR THE POPULATION SUCH AS FOOD GATHERERS. SJMH ALSO REGULARLY RESPONDS TO COMMUNITY REQUESTS FOR SPEAKERS ON NUTRITION TOPICS, HAVE OFFERED COOKING CLASSES TO TEACH HEALTHY COOKING AND NUTRITION, AND CONTINUE TO PROVIDE INDIVIDUAL AND GROUP SERVICES RELATED TO CONDITION SPECIFIC NEEDS, E.G. DIABETES, GLUTEN FREE, LOW FAT, CHOLESTEROL MANAGEMENT AND NUMEROUS OTHERS. SJMH CONTINUES TO WORK CLOSELY WITH PHYSICIAN NETWORK TO PROVIDE MORE OF THESE NUTRITION SERVICES AT POINT OF CARE, AND NOT EXCLUSIVELY ON OUR CAMPUS, THUS IMPROVING NUTRITION ACCESS.PERINATAL HEALTH - SJMHS HAS A MAJOR OBSTETRICAL PROGRAM AND MAJOR NETWORK OF PRIVATE PRACTICE PRACTITIONERS INCLUDING OB/GYN DOCTORS, NURSE PRACTITIONERS AND MIDWIVES PROVIDING PERINATAL HEALTH SERVICES. IN ADDITION, OUR ACADEMIC OB/GYN AND NEIGHBORHOOD FAMILY HEALTH CENTER PROVIDE SIMILAR SERVICES TO LOW INCOME, UNINSURED OR UNDERINSURED WOMEN. TO SUPPORT THIS EFFORT, NUMEROUS HEALTHY LIVING EDUCATIONAL OPPORTUNITIES, AS WELL AS A PLETHORA OF PRE-NATAL CLASSES FOR PREGNANT WOMEN ARE OFFERED TO OUR COMMUNITY. SJMH IS ALSO A MEMBER OF THE WASHTENAW COUNTY INFANT MORTALITY COALITION WHICH CURRENTLY HAS SEVERAL EFFORTS UNDERWAY. THE 3 X MORE LIKELY CAMPAIGN TARGETS YOUNG AFRICAN AMERICAN WOMEN IN OUR COMMUNITY TO PROVIDE THEM WITH HEALTHY LIVING GUIDANCE PRIOR TO CONCEIVING, ALSO ADDRESSING PRENATAL HEALTH, IF ALREADY PREGNANT. PLEASE VISIT THE WWW.3XMORELIKELY.COM WEBSITE FOR MORE DETAILS. IN LIGHT OF ALL THESE MAJOR EFFORTS THAT WE CONTINUE TO BE ACTIVELY COMMITTED TO, WE HAVE PRIORITIZED OTHER NEEDS. SEXUALLY TRANSMITTED DISEASE - WASHTENAW COUNTY HAS MANY ORGANIZATIONS WORKING TO REDUCE THE PREVALENCE OF STDS IN THE COUNTY. AMONG THESE ARE THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE CORNER HEALTH CENTER FOR ADOLESCENTS, PRIMARY CARE PHYSICIAN OFFICES, AND OTHERS. AT THIS TIME SJMH DID NOT FEEL IT COULD PROVIDE THE MOST EFFECTIVE PROGRAMS TO REDUCE STDS PREVALENCE AND INSTEAD, SUPPORTS THE WORK OF THOSE ORGANIZATIONS THAT DO. SJMH HAS BEEN INVOLVED IN THE COMMUNITY EDUCATION EFFORTS AROUND THE HPV VIRUS AND HAVE PROVIDED PHYSICIAN SPEAKERS.SOCIAL SUPPORT - SOCIAL SUPPORT IS IMPORTANT TO MENTAL HEALTH FOR BOTH YOUTH AND ADULTS. ST. JOSEPH MERCY HOSPITAL CURRENTLY HAS SEVERAL SUPPORT GROUPS THAT MEET ON CAMPUS AND PROVIDES SPACE FOR GROUPS TO MEET FOR SOCIAL GATHERINGS, AND OTHER ACTIVITIES. SJMH ALSO PARTICIPATES IN SEVERAL HEALTH COALITIONS THAT SUPPORT THESE TYPES OF ACTIVITIES. SJMH WILL CONTINUE TO PARTICIPATE IN THESE COALITIONS AND WILL SUPPORT THE PLANNING AND IMPLEMENTATION OF ACTIVITIES TO PROMOTE SOCIAL SUPPORT, BUT WILL NOT IMPLEMENT NEW PROGRAMS TO ENHANCE SOCIAL SUPPORT.PHYSICAL ENVIRONMENT - WALK-ABILITY AND EASY ACCESS TO GROCERY STORES CAN BE MAJOR BARRIERS TO REGULARLY PARTICIPATING IN PHYSICAL ACTIVITY, AND ACCESSING FRESH FRUITS AND VEGETABLES. SJMH IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORTS LOCAL GOVERNMENTS AND WELLNESS COALITIONS IN THEIR EFFORTS TO IMPACT THESE ISSUES. AS A COMMUNITY NEIGHBOR, WE DID EXTEND THE BORDER TO BORDER TRAILS THAT CONNECT YPSILANTI WITH THE ANN ARBOR COMMUNITIES THROUGH OUR CAMPUS. HOWEVER, THE PHYSICAL ENVIRONMENT WILL NOT BE ADDRESSED DIRECTLY BY SJMH.
MERCY HEALTH SAINT MARY'S		PART V, SECTION B, LINE 7: PRIMARY NEEDS IDENTIFIED IN THE CHNA NOT BEING ADDRESSED:THE FOLLOWING DESCRIBES THE TOP CHNA IDENTIFIED NEEDS THAT MERCY HEALTH SAINT MARY'S (MHSM) WILL NOT DIRECTLY ADDRESS OVER THE NEXT THREE FISCAL YEARS; WITH A SUMMARY EXPLANATION OF WHY WE HAVE DETERMINED THAT THIS ORGANIZATION WILL NOT MAKE THESE A PRIORITY.CHNA IDENTIFIED NEED NOT BEING ADDRESSED: INCREASE HEALTHY EATING BY ENSURING ACCESS TO HEALTHY FOODS TO PROMOTE AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL REASON: COMMUNITY GROUPS ADDRESSING THIS ISSUE: E.G., CHILDREN'S FOOD BASKET, COMMUNITY TRANSFORMATION GRANT, LOCAL FARMER'S MARKET (MHSM IS PARTICIPATING IN A FARMER'S MARKET COLLABORATIVE ALREADY)CHNA IDENTIFIED NEED NOT BEING ADDRESSED: REDUCE DISPARITY IN HEALTH RISK FACTORS AND PROTECTIVE FACTORS AMONG YOUTH REASON: COMMUNITY GROUPS ADDRESSING THIS ISSUE: KENT COUNTY PREVENTION COALITION, YOUTH DEVELOPMENT NETWORK, LIFE GUIDANCE, ARBOR CIRCLECHNA IDENTIFIED NEED NOT BEING ADDRESSED: ACCESS TO DENTAL CARE AND MENTAL HEALTH SERVICES REASON: MERCY HEALTH SAINT MARY'S (MHSM) IS ALREADY ADDRESSING THESE NEEDS THROUGH COMMUNITY PARTNERSHIPS; E.G., CHERRY STREET HEALTH SERVICES, MEL TROTTER, ARBOR CIRCLE, CATHOLIC CHARITIES WEST MICHIGANCHNA IDENTIFIED NEED NOT BEING ADDRESSED: INCREASE COMMUNITY'S KNOWLEDGE ABOUT RESOURCES AVAILABLE IN THE COMMUNITY REASON: RATHER THAN A SEPARATE STRATEGIC GOAL, MHSM WILL INCORPORATE COMMUNITY RESOURCE INFORMATION IN ALL OF HEALTHLINK'S MEDICAL HOME RESOURCES.
ST. MARY MERCY LIVONIA		PART V, SECTION B, LINE 7: THREE NEEDS SURFACED- AFFORDABLE HEALTHCARE, DENTAL CARE, AND SMOKING CESSATION- THAT WERE NOT ADDRESSED IN THE ST. MARY MERCY LIVONIA CHNA IMPLEMENTATION PLAN. AFFORDABLE HEALTHCARE IS BEING ADDRESSED ON A STATE AND NATIONAL BASIS AND WE DO EVERYTHING THAT WE CAN TO ENROLL PEOPLE IN PUBLIC ASSISTANCE PROGRAMS AND TO ASSIST THEM WITH PAYMENT PLANS TO PAY FOR NEEDED SERVICES. WE ALSO ARE INVOLVED IN THE TRINITY HEALTH AND MHA ADVOCACY EFFORTS FOR AFFORDABLE HEALTHCARE. DENTAL SERVICES ARE NOT AVAILABLE AT THE HOSPITAL. INDIVIDUALS PRESENTING IN OUR EMERGENCY ROOM WITH DENTAL PROBLEMS ARE REFERRED TO THE U OF D MERCY SCHOOL OF DENTISTRY AND LOCAL DENTISTS. SMOKING CESSATION EDUCATION IS INCLUDED IN THE DISCHARGE PROCESS FOR INPATIENTS. IN THE PAST WE HAVE OFFERED SMOKING CESSATION CLASSES TO THE COMMUNITY AND NO ONE ENROLLED IN THE CLASS.
ST. JOSEPH MERCY LIVINGSTON		PART V, SECTION B, LINE 7: THERE WERE NEEDS IDENTIFIED THAT ST. JOSEPH MERCY LIVINGSTON (SJML) CHOSE NOT TO ADDRESS. THESE NEEDS WHILE IMPORTANT TO THE HEALTH SYSTEM AND THE COMMUNITY WERE NOT CHOSEN BASED ON OUR PRIORITIZATION PROCESS. THIS PROCESS INCLUDED THE FOLLOWING QUESTIONS: 1) THE NUMBER OF PEOPLE AFFECTED, 2) THE SEVERITY OF THE PROBLEM, 3) THE HEALTH SYSTEM'S ABILITY TO IMPACT AND 4) THE EXTENT TO WHICH OTHER ORGANIZATIONS WERE MEETING THE NEED. THE NEEDS THAT WERE NOT CHOSEN ARE AS FOLLOWS:NUTRITION AND PHYSICAL ACTIVITY - NUTRITION AND LACK OF PHYSICAL ACTIVITY WERE BOTH IDENTIFIED AS UNMET NEEDS. WHILE GOOD NUTRITION AND PHYSICAL ACTIVITY ARE NECESSARY TO PREVENT DISEASES AND CONDITIONS INCLUDING OBESITY, WE HAVE NOT CHOSEN TO DIRECTLY ADDRESS THESE NEEDS. INSTEAD, WE HAVE CHOSEN OBESITY AS A PRIORITY AREA, WHICH WE FEEL WILL ADDRESS BOTH PHYSICAL ACTIVITY AND NUTRITION RISK FACTORS. IN ADDITION, SJML SUPPORTS AND COLLABORATES WITH OTHER ORGANIZATIONS DEDICATED TO INCREASING FOOD SECURITY FOR THE POPULATION SUCH AS GLEANERS. ST. JOSEPH MERCY LIVINGSTON HAS REPRESENTATION AT THE LIVINGSTON COUNTY HUNGER COUNCIL NUTRITION EDUCATION SUBCOMMITTEE. HEART DISEASE - ST. JOSEPH MERCY LIVINGSTON CURRENTLY HAS SEVERAL PROGRAMS IN PLACE TO REDUCE THE AMOUNT OF HEART DISEASE IN THE COMMUNITY. THE HEALTH SYSTEM EMPLOYS A LARGE GROUP OF CARDIOLOGISTS THAT TREAT PATIENTS WITH THIS DISEASE. BY FOCUSING ON OBESITY, THE HOSPITAL FELT SEVERAL OF THE TACTICS TO ENCOURAGE EXERCISE AND HEALTH NUTRITION WOULD ALSO REDUCE THE AMOUNT OF HEART DISEASE. IN ADDITION, BY CHOOSING TO IMPLEMENT INITIATIVES TO INCREASE THE ACCESS THAT THE POPULATION HAD TO HEALTH PROVIDERS, THE HOSPITAL COULD BETTER PREVENT AND TREAT HEART DISEASE. SO WHILE THE HOSPITAL IS NOT IMPLEMENTING A NEW PROGRAM AIMED ONLY AT HEART DISEASE, WE EXPECT AN OUTCOME OF THE NEW PROGRAMS TO REDUCE OBESITY AND INCREASE ACCESS WILL ALSO REDUCE HEART DISEASE. SUBSTANCE ABUSE - AT THIS TIME SJML IS NOT IMPLEMENTING ANY NEW PROGRAMS TO REDUCE SUBSTANCE ABUSE IN THE COUNTY. SJML CURRENTLY PROVIDES MENTAL HEALTH AND DETOX SERVICES THOUGH THE SAINT JOSEPH MERCY HEALTH SYSTEM AND COLLABORATES THROUGH OUR MEMBERSHIP IN COALITIONS SUCH AS THE LIVINGSTON/WASHTENAW SUBSTANCE ABUSE COORDINATING AGENCY. THE HEALTH SYSTEM ALSO HOLDS COMMUNITY MEETINGS AND EDUCATION SESSIONS SUCH AS DRUGS 101 FOR PARENTS OF TEENS. IN ADDITION, THERE IS ALREADY A HOSPITAL IN THE COUNTY DEDICATED TO SUBSTANCE ABUSE AND IT PLAYS A MAJOR ROLE IN THIS CAPACITY.
CHELSEA COMMUNITY HOSPITAL		PART V, SECTION B, LINE 7: THE PHYSICAL ENVIRONMENT WILL NOT BE ADDRESSED DIRECTLY BY CHELSEA COMMUNITY HOSPITAL (CCH) HOSPITAL-LED INITIATIVES. THE HOSPITAL IS NOT IN A POSITION TO DIRECTLY IMPACT THE RURAL NATURE AND WALKABILITY OF THE COMMUNITIES. HOWEVER, CCH IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORTS LOCAL GOVERNMENTS AND WELLNESS COALITIONS IN THEIR EFFORTS TO IMPACT PHYSICAL ENVIRONMENT ISSUES.CCH WILL NOT DIRECTLY ADDRESS TRANSPORTATION WITH ANY NEW INITIATIVES BECAUSE THE NEED RANKED LOW AMONG OTHER RISK FACTORS DUE TO THE LOW NUMBER OF PEOPLE THAT ARE AFFECTED. IN ADDITION, OTHER LOCAL ORGANIZATIONS LIKE SENIOR CENTERS AND THE WESTERN WASHTENAW AREA VALUE EXPRESS (WAVE) BUS ARE ALREADY WORKING TO ADDRESS TRANSPORTATION NEEDS IN THE AREA. CCH WILL CONTINUE TO HAVE A REPRESENTATIVE ON THE WAVE BOARD OF DIRECTORS, IN ORDER TO SUPPORT THIS EXISTING RESOURCE. CCH IS NOT IN A POSITION AT THIS TIME TO DIRECTLY IMPACT ACCESS TO DENTAL CARE. THERE ARE SOME RESOURCES AVAILABLE IN THE SERVICE AREA, AND A REGIONAL COALITION CALLED THE WASHTENAW HEALTH INITIATIVE (WHI) IS WORKING TO ADDRESS THIS ISSUE IN WASHTENAW COUNTY, INCLUDING CHELSEA, DEXTER AND MANCHESTER. RESIDENTS OF GRASS LAKE HAVE ACCESS TO THE CENTER FOR FAMILY HEALTH IN JACKSON, WHICH PROVIDES FREE AND LOW COST MEDICAL AND DENTAL CARE TO ADULTS AND YOUTH THROUGH THEIR DOWNTOWN CLINIC AS WELL AS SCHOOL-BASED CLINICS. ADULTS IN STOCKBRIDGE HAVE THE FARTHEST TO TRAVEL FOR FREE OR REDUCED COST DENTAL CARE. BESIDES THE RESOURCES IN ANN ARBOR AND JACKSON, STOCKBRIDGE RESIDENTS CAN ALSO ACCESS THE ADULT DENTAL CENTER IN LANSING. CCH WILL CONTINUE TO SUPPORT THE WHI IN THEIR EFFORTS TO EXPAND ACCESS.DIABETES DID NOT RANK AMONG THE TOP HEALTH NEEDS BECAUSE PREVALENCE DROPPED SIGNIFICANTLY IN WESTERN WASHTENAW FROM 2005 TO 2010. ALSO, BECAUSE OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, CCH COMMUNITY HEALTH IMPROVEMENT COUNCIL MEMBERS FELT DIABETES WOULD ALSO BE ADDRESSED THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. CCH WILL CONTINUE TO OFFER OUTPATIENT DIABETES EDUCATION AND OUTPATIENT DIETICIAN SERVICES TO PATIENTS WITH DIABETES OR PRE-DIABETES THROUGH CLASSES, INDIVIDUAL APPOINTMENTS, AND THE DIABETES SHARE GROUP. CCH WILL NOT INITIATE NEW INTERVENTIONS TO STRENGTHEN FAMILY AND COMMUNITY INVOLVEMENT, BECAUSE OF LACK OF RESOURCES AND THE PRESENCE OF COMMUNITY RESOURCES. THE SRSLY COALITION IN CHELSEA IS WORKING TO STRENGTHEN THESE FACTORS THROUGH PARENT EDUCATION CLASSES AND YOUTH-LED COMMUNITY IMPROVEMENT INITIATIVES, AND CCH WILL CONTINUE TO SUPPORT THIS EFFORT. BEYOND WHAT CCH IS ALREADY DOING (SENIOR SUPPER CLUB, DIABETES SHARE GROUP, STROKE GROUP, ETC), THE HOSPITAL WILL NOT IMPLEMENT NEW STRATEGIES TO PROMOTE SOCIAL SUPPORT. THE FIVE AREA WELLNESS COALITIONS ARE EACH ADDRESSING THIS ISSUE AT THE COMMUNITY LEVEL THROUGH INITIATIVES TO SUPPORT "CONNECTING WITH OTHERS IN HEALTHY WAYS." CCH WILL CONTINUE TO PARTICIPATE IN THESE COALITIONS AND SUPPORT PLANNING AND IMPLEMENTATION OF ACTIVITIES TO PROMOTE SOCIAL SUPPORT AS MUCH AS POSSIBLE.
MERCY HOSPITAL GRAYLING		PART V, SECTION B, LINE 7: THE HOSPITAL DID NOT ADDRESS ADVOCACY RELATED TO SUBSTANCE ABUSE SERVICES AND MENTAL HEALTH SERVICES, ORAL HEALTH, 2-1-1, SUICIDE PREVENTION, TRANSPORTATION, HOMELESSNESS, DOMESTIC VIOLENCE, BULLYING PREVENTION AND PRISONER RE-ENTRY. MERCY GRAYLING DOES NOT HAVE THE RESOURCES AND/OR EXPERTISE TO ADDRESS THESE ISSUES EFFECTIVELY.
ST. JOSEPH MERCY ANN ARBOR		PART V, SECTION B, LINE 12H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY HEALTH SAINT MARY'S		PART V, SECTION B, LINE 12H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY OAKLAND		PART V, SECTION B, LINE 12H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. MARY MERCY LIVONIA		PART V, SECTION B, LINE 12H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY LIVINGSTON		PART V, SECTION B, LINE 12H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
CHELSEA COMMUNITY HOSPITAL		PART V, SECTION B, LINE 12H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY PORT HURON		PART V, SECTION B, LINE 12H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY ANN ARBOR		PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (FAP) ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS, INPATIENT ROOMS, AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STJOESANNARBOR.ORG/FINANCIAL-ASSISTANCE-PROGRAMS
MERCY HEALTH SAINT MARY'S		PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. STATEMENTS PROVIDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE NUMBER(S) TO CALL ARE PROVIDED TO PATIENTS AT PRE-REGISTRATION, REGISTRATION, ON THE HOSPITAL WEBSITE, POSTINGS IN REGISTRATION AREAS AND ADMISSIONS OFFICES, AND INCLUDED ON ALL BILLING STATEMENTS SENT TO THE PATIENT/GUARANTOR.
ST. JOSEPH MERCY OAKLAND		PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FAP ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STJOESOAKLAND.ORG/FINANCIAL-ASSISTANCE-PROGRAMS
ST. MARY MERCY LIVONIA		PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FAP ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STMARYMERCY.ORG/SMML-PFS
ST. JOSEPH MERCY LIVINGSTON		PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS, INPATIENT ROOMS, AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STJOESANNARBOR.ORG/FINANCIAL-ASSISTANCE-PROGRAMS
CHELSEA COMMUNITY HOSPITAL		PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS, WAITING ROOMS, INPATIENT ROOMS, AND EMPLOYED PHYSICIAN OFFICES. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.STJOESANNARBOR.ORG/FINANCIAL-ASSISTANCE-PROGRAMS
ST. JOSEPH MERCY PORT HURON		PART V, SECTION B, LINE 14G: 1. SIGNAGE IS POSTED AND BROCHURES ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS AND WAITING ROOMS. 2. BROCHURES WITH A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (FAP) ARE DISPLAYED IN THE EMERGENCY ROOM, PATIENT ACCESS AREAS AND WAITING ROOMS. APPLICATIONS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE.3. INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED ON BILLING STATEMENTS OR PROVIDED UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS AND FINANCIAL COUNSELING DEPARTMENTS.4. A SUMMARY OF THE FAP POLICY AND FULL APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE HTTPS://WWW.MYMERCY.US/SJMPH-PFS
MERCY HOSPITAL GRAYLING		PART V, SECTION B, LINE 14G: THE HOSPITAL PROVIDED A SUMMARY OF THE POLICY ON THE BILLING STATEMENTS, THERE WERE BROCHURES AVAILABLE IN THE ADMISSIONS AREAS, THE EMERGENCY DEPARTMENT, PATIENT ACCOUNTS AND IN THE LOBBY. A PATIENT THAT WANTED A COPY OF THE POLICY, OR AN APPLICATION COULD GET ONE IN ADMISSIONS, FINANCIAL ASSISTANCE OFFICES, MEDICAID COORDINATOR'S OFFICE, DISABILITY COORDINATORS' OFFICES, PATIENT ACCOUNTS, OR BY ASKING A NURSE OR SOCIAL WORKER. ALL PATIENTS ARE PROVIDED WITH FINANCIAL ASSISTANCE INFORMATION AT ADMISSIONS, ON THE PATIENT'S BILLING STATEMENT, OR BY REQUEST. THE WEB ADDRESS FOR MERCY HOSPITAL GRAYLING'S FINANCIAL ASSISTANCE INFORMATION IS WWW.MERCYHEALTHGRAYLING.COM/FINANCIAL-ASSISTANCE-GRAYLING
MERCY HOSPITAL CADILLAC		PART V, SECTION B, LINE 14G: THE HOSPITAL PROVIDED A SUMMARY OF THE POLICY ON THE BILLING STATEMENTS, THERE WERE BROCHURES AVAILABLE IN THE ADMISSIONS AREAS, THE EMERGENCY DEPARTMENT, PATIENT ACCOUNTS AND IN THE LOBBY. A PATIENT THAT WANTED A COPY OF THE POLICY, OR AN APPLICATION COULD OBTAIN ONE IN ADMISSIONS, FINANCIAL ASSISTANCE OFFICES, MEDICAID COORDINATOR'S OFFICE, DISABILITY COORDINATORS' OFFICES, PATIENT ACCOUNTS, OR BY ASKING A NURSE OR SOCIAL WORKER. ALL PATIENTS ARE PROVIDED WITH FINANCIAL ASSISTANCE INFORMATION AT ADMISSIONS, ON THE PATIENT'S BILLING STATEMENT, OR BY REQUEST. THE WEB ADDRESS FOR MERCY HOSPITAL CADILLAC'S FINANCIAL ASSISTANCE INFORMATION IS WWW.MERCYHEALTHCADILLAC.COM/FINANCIAL-ASSISTANCE
ST. JOSEPH MERCY ANN ARBOR		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
MERCY HEALTH SAINT MARY'S		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY OAKLAND		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A FIXED PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES.
ST. MARY MERCY LIVONIA		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 101% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
ST. JOSEPH MERCY LIVINGSTON		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
CHELSEA COMMUNITY HOSPITAL		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY PORT HURON		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 151% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
MERCY HOSPITAL GRAYLING		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 101% AND 300% OF THE FPG, RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
MERCY HOSPITAL CADILLAC		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 101% AND 300% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
		PART VI, LINE 2: NEEDS ASSESSMENT - THE HOSPITALS IN TRINITY HEALTH - MICHIGAN ASSESS THE HEALTH STATUS OF THEIR COMMUNITIES BOTH IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THEIR OVERALL COMMUNITIES. THE HOSPITALS MAY USE PATIENT DATA, PUBLIC HEALTH DATA, COMMITTEE MEETINGS WITH MEDICAL STAFF (PHYSICIANS) AND DEPARTMENT STAFF, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THEIR COMMUNITIES.TWO OF THE MEMBER HOSPITALS ALSO PERFORMED ADDITIONAL PROCEDURES, WHICH ARE DETAILED BELOW:ST. JOSEPH MERCY OAKLANDST. JOSEPH MERCY OAKLAND (SJMO) USED A NUMBER OF METHODS TO SECURE INFORMATION ON HEALTH STATUS (BOTH SUBJECTIVE AND OBJECTIVE), SERVICE AND PROGRAMMATIC NEEDS, AND GAPS IN SERVICE TO ENSURE THE MOST COMPREHENSIVE AND USEFUL COMMUNITY HEALTH NEEDS DATA. THESE GAPS INCLUDED COMPLETELY UNMET NEEDS, INADEQUATELY ADDRESSED NEEDS, AND THE OVER- OR UNDER-UTILIZATION OF FACILITIES, SERVICES, AND PROGRAMS. WE EMPLOYED HISTORICAL DATA REVIEW, LITERATURE REVIEW, META-ANALYSIS, DATA MINING, INTERPRETIVE OBSERVATION, CONTENT ANALYSIS, AND QUESTIONNAIRES. HISTORICAL DATA REVIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WORK TEAM REVIEWED DATA CULLED DURING PREVIOUS COLLECTION PERIODS IN ORDER TO: 1)CONFIRM THAT OUR CURRENT DATA COLLECTION WAS COMPREHENSIVE AND HISTORICALLY SOUND AND 2)BEGIN TO PREPARE HYPOTHESES ABOUT OUR CURRENT PROCESS OUTCOMES.LITERATURE REVIEW SJMO'S STRONGEST COLLABORATIVE RELATIONSHIP IS WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, WHICH AFFORDS US ACCESS TO A NUMBER OF DATABASES AND REPORTS, SUCH AS THE "MICHIGAN'S HEALTH PROFILE CHARTBOOK," AND THE "HEALTH PROFILE CHARTBOOK: REGION 2N." FOR THE PURPOSES OF THIS PROCESS, WE REVIEWED THESE AND A NUMBER OF OTHER REPORTS (E.G., THE "2009-2010 OAKLAND COUNTY COMMUNITY ASSESSMENT" OF THE OAKLAND LIVINGSTON HUMAN SERVICE AGENCY'S CHILD AND FAMILY SERVICES DIVISION HEAD START PROGRAM) TO FRAME OUR CONVERSATIONS, AND TO FURTHER UNDERSTAND THE HEALTH NEEDS OF OUR COMMUNITY AGAINST OTHERS THROUGHOUT THE STATE OF MICHIGAN.IN ADDITION, DATA WAS COLLECTED FROM THE U.S. CENSUS BUREAU, AREA CHAMBERS OF COMMERCE, THE MICHIGAN STATE GOVERNMENT, THINK TANKS SUCH AS THE ECONOMIC POLICY INSTITUTE AND TRUST FOR AMERICA'S HEALTH, NEWSPAPER ARTICLES, AND NUMEROUS DATABASES, SUCH AS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE USDA FOOD CONSUMPTION ATLAS, AND HEALTH RELATED QUALITY OF LIFE AND HEALTH DATA INTERACTIVE, BOTH FROM THE U.S. CENTER FOR DISEASE CONTROL. A COMPLETE LIST OF DATABASES IS FOUND IN THE APPENDIX OF THE CHNA.META-ANALYSIS IN 2010, SJMO LED A CAPACITY-BUILDING EFFORT AMONG COMMUNITY HEALTH STAKEHOLDERS IN THE PONTIAC AREA. THAT EFFORT INCLUDED A SURVEY OF A SMALL GROUP (175 PARTICIPANTS) ON ISSUES OF HEALTHCARE AND SOCIAL SERVICE NEEDS. WE REVIEWED AND CONSIDERED THE RESULTANT DATA AS WE DEVELOPED OUR CHNA SURVEY TOOL, AND AS WE ANALYZED THE DATA FROM THIS ASSESSMENT EXPERIENCE.DATA MINING SJMO CREATED A SURVEY TOOL (THE CHNA QUESTIONNAIRE) TO EXTRACT SIMILAR DATA, BUT FROM VARYING STAKEHOLDER PERSPECTIVES. THE QUESTIONNAIRE WAS CUSTOMIZED FOR INDIVIDUALS, BUSINESS OWNERS, PHYSICIANS, AND COMMUNITY SERVICE VOLUNTEERS AND EMPLOYEES. ITS ADMINISTRATION WAS A LARGE PART OF OUR DATA COLLECTION EFFORT. RATHER LENGTHY, AT 35 48 QUESTIONS (DEPENDING ON THE STAKEHOLDER GROUP SURVEYED), THE QUESTIONNAIRES PROVIDED DEMOGRAPHIC DATA, A WEALTH OF INFORMATION ON HEALTH STATUS NEEDS (BOTH PERCEIVED AND DIAGNOSED), RESPONDENTS' AWARENESS OF PROGRAMS AND SERVICES, AND THEIR PERSONAL HYPOTHESES ABOUT WHAT IS NEEDED TO IMPROVE COMMUNITY HEALTH. THE SURVEY WAS ADMINISTERED EITHER BY A CHNA WORK TEAM MEMBER OR A TRAINED REPRESENTATIVE OF A COMMUNITY PARTNER. OUR MINING TASK CONCLUDED WITH A SUMMARIZATION OF THESE VARYING DATA POINTS INTO USEFUL INFORMATION THAT WE WILL USE TO ASSESS CURRENT PROGRAM DESIGN, COSTS, AND OUTCOMES, AND TO ENVISION AND IMPLEMENT NEW PROGRAMS TO BETTER MEET THE NEEDS IDENTIFIED BY OUR VARIOUS STAKEHOLDER GROUPS. INTERPRETIVE OBSERVATION THE CHNA WORK TEAM HAD SOME UNIQUE OPPORTUNITIES TO INTERACT WITH MEMBERS OF OUR COMMUNITY IN THE PLACES THEY FREQUENT TO RECEIVE VARIOUS HEALTHCARE SERVICES: MERCY PLACE, THE BALDWIN CENTER, THE BOWEN CENTER, AND NEW MT. MORIAH CHURCH. WHILE THE DATA COLLECTED IN THIS MANNER IS BY DEFINITION SUBJECTIVE, IT DID PROVIDE USEFUL INSIGHT INTO THE LIVES OF OUR COMMUNITY MEMBERS.ST. JOSEPH MERCY PORT HURONST. JOSEPH MERCY PORT HURON CONTINUALLY OFFERS EDUCATION SEMINARS ON A BROAD ARRAY OF TOPICS, SUCH AS SENIOR LIVING, BARIATRICS, DIABETES, PULMONARY REHAB, BRAIN INJURIES, AND PROSTATE HEALTH AND STROKE EDUCATION. DURING THESE INFORMATIONAL SESSIONS, INSTRUCTORS HAVE THE OPPORTUNITY TO INTERACT WITH RESIDENTS AND FUTURE PATIENTS TO DETERMINE WHAT HEALTH-SPECIFIC NEEDS ARE NOT BEING MET.ST. JOSEPH MERCY PORT HURON ALSO CONTINUES TO OPERATE THE PEOPLES' CLINIC FOR BETTER HEALTH, WHICH PROVIDES FREE/SUBSIDIZED SERVICES TO UNDER/UNINSURED INDIVIDUALS IN OUR COMMUNITY. HEALTH ASSESSMENTS ARE MADE REGULARLY FOR THOSE INDIVIDUALS WHO ARE SEEN AT THE CLINIC. INFORMATION GLEANED FROM INDIVIDUALS RECEIVING CARE AT THE PEOPLES' CLINIC SUPPLEMENTED OTHER RESEARCH AND DATA.
		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 COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE. TRINITY HEALTH-MICHIGAN OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES AND IN ADMISSION PACKAGES DURING INTAKE. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH IN SEVERAL COMMUNITIES, REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS. 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 - ST. JOSEPH MERCY OAKLAND (PONTIAC):ST. JOSEPH MERCY OAKLAND SERVES ALL OF OAKLAND COUNTY NORTH OF EIGHT MILE ROAD, ALTHOUGH MOST COMMUNITY BENEFIT INITIATIVES FOCUS ON PONTIAC. THE 2013 RACIAL BREAKDOWN FOR OAKLAND COUNTY IS: WHITE NOT HISPANIC 77%; AFRICAN AMERICAN 13%; AMERICAN INDIAN AND ALASKAN NATIVE <1%; ASIAN 5%; PERSONS REPORTING TWO OR MORE RACES 2%; AND HISPANIC OR LATINO 3%. ESTIMATES FOR THE CITY OF PONTIAC ARE: WHITE NOT HISPANIC 34%; AFRICAN AMERICAN 52%; AMERICAN INDIAN AND ALASKA NATIVE <1%; ASIAN 2%; PERSONS REPORTING TWO OR MORE RACES 4%; HISPANIC OR LATINO 16%. THE HISPANIC OR LATINO POPULATION HAS INCREASED SIGNIFICANTLY. PONTIAC'S UNEMPLOYMENT RATE WAS AT 17.5% IN DECEMBER OF 2013, DOWN FROM A HIGH OF 31.1% IN OCTOBER 2009. THESE FIGURES ARE HIGHER THAN BOTH OAKLAND COUNTY AND THE STATE OF MICHIGAN. WHILE SHOWING IMPROVEMENT, THE RECENT DATA SHOWED, AT ITS WORST, A SIGNIFICANT RISE IN UNEMPLOYMENT COMPARED TO THE PRE-RECESSION YEAR OF 2007-PONTIAC, UP 60.9%; MICHIGAN UP 43.5%; AND OAKLAND COUNTY UP 72.1%. DESPITE THE FACT THAT THE RISE IN UNEMPLOYMENT FOR THE ENTIRE UNITED STATES HAS BEEN MUCH HIGHER, AT 89.6%, IT SHOULD BE REMEMBERED THAT MICHIGAN, AND ESPECIALLY PONTIAC, BEGAN THEIR RECESSIONS BETWEEN 10 AND 30 YEARS AGO, SO RECENT INCREASES ADD INSULT TO GREATER EXISTING INJURY, AND THUS APPEAR LESS SIGNIFICANT.MERCY HEALTH SAINT MARY'S (GRAND RAPIDS):KENT COUNTY IS CONSIDERED THE PRIMARY MARKET AREA OF MERCY HEALTH SAINT MARY'S (MHSM). KENT COUNTY IS LOCATED IN WESTERN MICHIGAN 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. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE MHSM, METROPOLITAN HEALTH, SPECTRUM HEALTH-BUTTERWORTH CAMPUS, SPECTRUM HEALTH-BLODGETT CAMPUS, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES SIX PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. IN 2012, THERE WERE 614,462 PEOPLE LIVING IN KENT COUNTY WHICH IS 6.1 PERCENT OF MICHIGAN'S POPULATION. THE MEDIAN HOUSEHOLD INCOME FOR KENT COUNTY IS $50,801. TWENTY-SIX PERCENT OF THE POPULATION IS BELOW THE AGE OF 18 AND ELEVEN PERCENT IS 65 YEARS OF AGE AND OLDER. EIGHTY-THREE PERCENT OF THE POPULATION IS WHITE, 10.3% BLACK, AND 9.9% LATINO. EIGHTY-EIGHT PERCENT ARE HIGH SCHOOL GRADUATES AND 30% HAVE A BACHELOR'S DEGREE. THE CURRENT UNEMPLOYMENT RATE IS 8.5%.MERCY HOSPITAL CADILLAC: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 U.S. CENSUS DATA FROM 2010 HAVE NOTED THAT AN INCREASING SEGMENT OF THE POPULATION IS ELDERLY. WITH ADVANCED AGE USUALLY COMES AN INCREASED RATE OF CHRONIC DISEASE. MERCY HOSPITAL GRAYLING: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 THREE COUNTY SERVICE AREAS. FROM 2000-2010, THE POPULATION IN CRAWFORD, OSCODA AND ROSCOMMON COUNTIES HAS DECREASED, WITH THE LARGEST DECREASE OCCURRING IN OSCODA COUNTY. THE PERCENTAGE OF PERSONS BELOW POVERTY CONTINUES TO BE HIGHER IN ALL THREE COUNTIES THAN IN ALL OF MICHIGAN WITH ROSCOMMON HAVING THE HIGHEST RATE AT 22.2% COMPARED TO MICHIGAN'S RATE OF 14.8%.THE CONCERN FOR SINGLE PARENT STATUS SURFACES AS AN ONGOING ISSUE FOR OUR COMMUNITY FAMILIES TODAY. CHILDREN THAT ARE LIVING IN SINGLE PARENT HOUSEHOLDS ARE HIGHER THAN MICHIGAN IN BOTH CRAWFORD (38%) AND ROSCOMMON (45%), WITH OSCODA BEING SLIGHTLY LOWER AT 26%. MICHIGAN'S OVERALL RATE IS 32%.ST. JOSEPH MERCY PORT HURON:ST. JOSEPH MERCY PORT HURON IS LOCATED IN ST. CLAIR COUNTY IN SOUTHEASTERN MICHIGAN. SHARING A BORDER WITH CANADA, THE COUNTY IS HOME TO THE BLUE WATER BRIDGE, ONE OF THE BUSIEST INTERNATIONAL BORDER CROSSINGS IN NORTH AMERICA. DUE TO ITS PROXIMITY TO CANADA AND THE HIGH CONCENTRATION OF MANUFACTURING ON BOTH SIDES OF THE BRIDGE, ST. CLAIR COUNTY HAS BEEN IDENTIFIED BY THE FEDERAL GOVERNMENT AS A HIGH-RISK AREA FOR BOTH NATURAL AND MANMADE DISASTER.BASED ON 2010 U.S. CENSUS BUREAU DATA, ST. CLAIR COUNTY HAS ABOUT 163,000 RESIDENTS AND IS EXPECTED TO SLOWLY DECLINE. OF THAT POPULATION 94.5% ARE CAUCASIAN, 2.6% BLACK OR AFRICAN AMERICAN AND 2.9% HISPANIC OR LATINO. IN 2011 15% OF AREA RESIDENTS WERE SENIORS AGE 65 AND OLDER, WHICH IS THE ONLY DEMOGRAPHIC EXPECTED TO GROW IN THE NEXT DECADE. THE COUNTY IS 721 SQUARE MILES, ENCOMPASSING 33 COMMUNITIES. THE COUNTY SEAT IS LOCATED IN PORT HURON AND THE COUNTY IS GOVERNED BY A SEVEN MEMBER BOARD OF COMMISSIONERS. THE LARGEST GROWTH SECTOR IN TERMS OF JOBS FOR THE COUNTY IS CONSIDERED PRIVATE EDUCATION/HEALTHCARE, FOLLOWED BY RETAIL TRADE AND KNOWLEDGE-BASED SERVICES. ITS TOP FOUR LARGEST EMPLOYERS INCLUDE SERVICE INDUSTRY PROVIDERS SUCH AS HEALTH CARE, EDUCATION, GOVERNMENT AND A UTILITY. ST. JOSEPH MERCY HOSPITAL IS THE FIFTH LARGEST EMPLOYER IN THE COUNTY. SAINT MARY MERCY LIVONIA:ST MARY MERCY LIVONIA'S PRIMARY SERVICE AREA INCLUDES CANTON, LIVONIA, NORTHVILLE, NOVI, PLYMOUTH, REDFORD AND WESTLAND. 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. THE NUMBER OF PERSONS LIVING IN POVERTY IN WESTLAND, 6.7%, IS ABOUT THE SAME AS IN 2000, WHILE IN NORTHVILLE THE NUMBER IS 2.5%, HIGHER THAN THE 2000 CENSUS. THE 65+ AGE GROUP POPULATION RANGES FROM 17.7% IN LIVONIA TO 8.9% IN CANTON. SAINT JOSEPH MERCY HEALTH SYSTEM (ANN ARBOR):SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) IS A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE AND SOUTHWESTERN OAKLAND COUNTIES. 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. THE SJMHS HEALTH CARE NETWORK INCLUDES FOUR HOSPITALS: ST. JOSEPH MERCY ANN ARBOR, ST. MARY MERCY HOSPITAL IN LIVONIA, CHELSEA COMMUNITY HOSPITAL, AND SAINT JOSEPH MERCY LIVINGSTON IN HOWELL. COMBINED, THESE HOSPITALS ARE LICENSED FOR 1,090 INPATIENT BEDS. 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.THE LARGEST SEGMENT OF THE SERVICE AREA POPULATION, 29.6% IS BETWEEN 35 AND 54 YEARS OF AGE, COMPARED TO THE NATIONAL AVERAGE OF 27.6%. CHILDREN 0-14 YEARS MAKE UP 18.5% OF THE TOTAL POPULATION, COMPARED TO THE NATIONAL AVERAGE OF 20.2%. THE OVER-55 POPULATION ACCOUNTS FOR 25.2% OF THE TOTAL, COMPARED TO THE NATIONAL AVERAGE OF 25%. ONLY 8.9% OF THE SERVICE AREA POPULATION DOES NOT HAVE A HIGH SCHOOL EDUCATION, COMPARED TO THE NATIONAL AVERAGE OF 15.1%.
		PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: MERCY HEALTH SAINT MARY'SMERCY HEALTH SAINT MARY'S WORKS WITH DOZENS OF PROGRAMS AND ORGANIZATIONS EACH YEAR, OFTEN PARTNERING WITH OTHER ORGANIZATIONS IN THE COMMUNITY. MERCY HEALTH SAINT MARY'S 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 (AMYOTROPHIC LATERAL SCLEROSIS) TREATMENT CENTER FOR LOU GEHRIG'S DISEASE. MERCY HEALTH SAINT MARY'S ALSO PARTICIPATES IN NUMEROUS CANCER, NEUROSCIENCE, AND HIV/AIDS RESEARCH BOTH INDEPENDENTLY AND IN COLLABORATION WITH NATIONAL AND LOCAL ORGANIZATIONS.THE WEGE INSTITUTE FOR HEALTH AND LEARNING IS HOME TO THE WEGE RESIDENCY PROGRAM, THROUGH WHICH PARTICIPANTS WORK WITH THE UNINSURED AND THE HOMELESS. IN ADDITION, A NUMBER OF MERCY HEALTH SAINT MARY'S FAMILY PRACTICE AND PEDIATRIC OFFICES PARTICIPATE IN THE REACH OUT AND READ PROGRAM, WHICH TARGETS AT-RISK CHILDREN IN LOW INCOME HOMES BY FOCUSING ON READING READINESS. MERCY HOSPITAL CADILLAC MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA FOR ALL APPROPRIATE DEPARTMENTS. THE ORGANIZATION IS THE SOLE COMMUNITY PROVIDER, AND OFFERS VOLUNTEER OPPORTUNITIES TO MEMBERS OF THE COMMUNITY.MERCY HOSPITAL GRAYLINGMEDICAL STAFF PRIVILEGES ARE EXTENDED 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. THE ORGANIZATION IS THE SOLE COMMUNITY PROVIDER OF HEALTHCARE SERVICES FOR MUCH OF THE REGION. MERCY HOSPITAL GRAYLING IS AN ACTIVE PARTICIPANT IN AND SUPPORTER OF THE AUSABLE FREE CLINIC WHICH PROVIDES MEDICAL SERVICES TO THOSE WHO ARE UNINSURED OR UNDERINSURED. IN ADDITION TO COALITION BUILDING, MERCY HOSPITAL GRAYLING OFFERS NUMEROUS PROGRAMS TO ASSIST PATIENTS IN THE MANAGEMENT OF CHRONIC DISEASE, SUCH AS DIABETES PROGRAMS THAT ARE OFTEN FREE OF CHARGE. A WELLNESS COACH IS ALSO EMPLOYED TO PROVIDE SERVICES TO PATIENTS WITH HIGH BLOOD PRESSURE, HIGH CHOLESTEROL AND OTHER CHRONIC CONDITIONS. IN ADDITION, FREE EDUCATIONAL CLASSES AND SEMINARS ARE OFFERED WITHIN THE COMMUNITY BY STAFF AND PROVIDERS.SAINT JOSEPH MERCY HEALTH SYSTEM SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) COLLABORATES WITH OTHERS IN THE COMMUNITY TO ACHIEVE IMPROVEMENTS IN HEALTH AND ACCESS TO HEALTHCARE. THE WASHTENAW HEALTH PLAN (WHP) REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, THE UNIVERSITY OF MICHIGAN AND SJMHS TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. SJMHS SUPPORTS THIS PROGRAM BY PROVIDING STAFF SUPPORT TO HELP PATIENTS GAIN ACCESS TO A MEDICAL HOME. THE HOSPITALS ALSO PROVIDE THIS POPULATION WITH FREE OR REDUCED-FEE CLINICAL SERVICES.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 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. SJMHS OPERATES TWO CLINICS THAT SUPPLY FREE OR REDUCED-FEE HEALTH CARE SERVICES TO AT-RISK POPULATIONS. THE NEIGHBORHOOD HEALTH CLINIC IS LOCATED IN DOWNTOWN YPSILANTI, WHILE THE ACADEMIC OB/GYN CLINIC IS LOCATED ON THE ANN ARBOR HOSPITAL CAMPUS.ST. JOSEPH MERCY OAKLANDST. JOSEPH MERCY OAKLAND (SJMO) PARTNERED WITH "THE CORNER", A PONTIAC COMMITTEE THAT CREATED CELEBRATORY EVENTS TO COMMEMORATE PONTIAC'S SESQUICENTENNIAL AND TO CELEBRATE THE LIVES OF THE FIRST GROUP OF AFRICAN AMERICAN PHYSICIANS WHO DEDICATED THEIR LIVES IN SERVICE TO THE CITY. ADDITIONALLY, THEY WANTED TO PIQUE AN INTEREST IN HEALTH CARE CAREERS FOR THE CHILDREN OF PONTIAC AS WELL AS INCREASE THEIR POTENTIAL FOR INCREASING THE FUTURE FINANCIAL STABILITY (AND ULTIMATE PHYSICAL HEALTH) OF THEIR FAMILIES BY EXPOSING THE CHILDREN TO NEW CAREER PATHS AND POTENTIALITIES. THE CORNER ASKED SJMO TO CREATE A HEALTH CARE CO-OP PROGRAM THAT PROVIDED EXPERIENTIAL LEARNING OPPORTUNITIES FOR THESE SAME CHILDREN. IN RESPONSE, SJMO WORKED IN PARTNERSHIP WITH THE OAKLAND SCHOOLS MICHIGAN WORKS: JOBLINKS PROGRAM (A PROGRAM IN WHICH PARTICIPATION IS BASED ON FINANCIAL NEED) TO DEVELOP OUR HEALTH CARE CO-OP PROGRAM FOR PONTIAC AREA HIGH SCHOOL STUDENTS. THE STUDENTS WORK 15 HOURS/WEEK AFTER SCHOOL DURING THE SCHOOL YEAR AND 40 HOURS/WEEK DURING THEIR SUMMER BREAK. STUDENTS ARE PAID FOR THEIR HOURS WORKED BY THE MICHIGAN WORKS PROGRAM.OUR FIRST COHORT OF 21 STUDENTS BEGAN JANUARY OF 2013. THE EXPERIENCE WAS PHENOMENALLY SUCCESSFUL FOR BOTH THE STUDENTS AND HOSPITAL. IT PROVIDED TREMENDOUS OPPORTUNITIES FOR PERSONAL AND PROFESSIONAL DEVELOPMENT FOR STUDENTS AS WELL AS FINANCIAL STABILITY FOR THEIR FAMILIES. ALL OF THE STUDENTS WHO COMPLETED THE PROGRAM (16) MATRICULATED ONTO COLLEGE.BASED ON THE SUCCESS OF OUR FIRST COHORT, WE ARE CURRENTLY HOSTING OUR SECOND COHORT OF 15 STUDENTS WHICH BEGAN JANUARY 2014. OTHER EFFORTS INCLUDE 44 COMMUNITY HEALTH FAIR EVENTS WITH A TOTAL ATTENDANCE OF 3,298 COMMUNITY MEMBERS. OUR COMMUNITY HEALTH NAVIGATORS PROVIDED 1,053 SCREENINGS AND 679 FOLLOW-UPS. THEIR HEALTH SCREENING INCLUDED BLOOD SUGAR, BLOOD PRESSURE AND CHOLESTEROL. MERCY PLACE, OUR FREE OUTPATIENT CLINIC IN DOWNTOWN PONTIAC, PROVIDES COMPREHENSIVE HEALTH CARE, TREATMENT AND PREVENTION TO UNINSURED PEOPLE WHO DO NOT QUALIFY FOR OTHER HEALTH CARE ALTERNATIVES. ST. JOSEPH MERCY PORT HURONSINCE 1990, ST. JOSEPH MERCY PORT HURON (SJMPH) 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 AND PRESCRIPTION MEDICATIONS ARE PROVIDED FREE OF CHARGE EACH YEAR TO OVER 3,500 18 TO 65 YEAR-OLDS WHO LACK INSURANCE OR ARE UNDERINSURED. THE CLINIC INCLUDES A SWEET TOUCH PROGRAM DESIGNED TO MONITOR AND MANAGE THE CHRONIC DISEASE OF DIABETES TO THE POOR AND UNINSURED POPULATION. THROUGH VARIOUS FUNDRAISING EVENTS AND ACTIVITIES, ST. JOSEPH MERCY PORT HURON OFFERS REDUCED-COST MAMMOGRAPHY AND OTHER BREAST CANCER DIAGNOSTIC SERVICES TO PATIENTS THROUGHOUT THE COMMUNITY WITH NO INSURANCE OR RESOURCES TO PAY FOR THEIR CARE. SJMPH IS A MEMBER OF THE MICHIGAN STROKE NETWORK, WHICH BRINGS HIGHLY TRAINED NEURO-ENDOVASCULAR SPECIALISTS FROM A CERTIFIED STROKE CENTER DIRECTLY INTO OUR EMERGENCY DEPARTMENT VIA A TELE-MEDICINE STROKE ROBOT.SJMPH ALSO OFFERS THE ONLY COMPREHENSIVE ARRAY OF CANCER TREATMENT SERVICES TO THE COMMUNITY THROUGH ITS MERCY REGIONAL CANCER CENTER. LED BY THE MERCY CANCER COMMITTEE, THE CENTER NOT ONLY PROVIDES INNOVATIVE TECHNOLOGY SUCH AS THE MOST ADVANCED DIGITAL MAMMOGRAPHY IN PORT HURON, BUT ACCESS TO AN ONCOLOGY NURSE NAVIGATOR AS WELL AS THE MOST EXTENSIVE ARRAY OF CLINICAL CANCER RESEARCH TRIALS AVAILABLE THROUGH M.D. ANDERSON AND THE MAYO CLINIC. ST. MARY MERCY LIVONIARESPONDING TO THE COMMUNITY NEED FOR MORE INPATIENT BEHAVIORAL MEDICINE SERVICES, ST. MARY MERCY OFFERS A ROBUST BEHAVIORAL MEDICINE SERVICE. TO IMPROVE THE ER EXPERIENCE FOR PATIENTS WITH MENTAL ILLNESS OR ADDICTION PROBLEMS, A BEHAVIORAL MEDICINE SECTION WAS DESIGNED IN THE NEW ER THAT OPENED IN OCTOBER OF 2013. THE ER PSYCHIATRIC SOCIAL WORKERS ASSIST PATIENTS AND THEIR FAMILIES IN THE AUTHORIZATION PROCESS FOR INPATIENT ADMISSION OR IN CONNECTING THEM WITH OUTPATIENT SERVICES AVAILABLE IN THE COMMUNITY.WITH LIMITED ACCESS FOR FREE CLINIC HEALTHCARE IN WAYNE COUNTY, ST. MARY MERCY HOSPITAL IS PROUD OF THEIR PARTNERSHIP WITH THE JOY SOUTHFIELD CLINIC AND WAYNE HOPE CLINIC. THE FREE LAB SERVICES AND DIABETES EDUCATION PROGRAM, OFFERED BY THE HOSPITAL, ASSIST WITH THE MANAGEMENT OF CHRONIC DISEASES. THE DEVELOPMENT OF AN IN-HOUSE PROGRAM TO MANAGE FOLLOW-UP SPECIALIST CARE FOR PATIENTS SEEN IN THE ER HAS BEEN GREATLY APPRECIATED BY THE UNINSURED PATIENTS, WHO WOULD HAVE WAITED MONTHS TO RECEIVE THEIR FOLLOW-UP CARE.
		PART VI, LINE 6: TRINITY HEALTH-MICHIGAN IS A MEMBER OF CHE TRINITY HEALTH, THE SECOND-LARGEST CATHOLIC HEALTH CARE SYSTEM IN THE COUNTRY. CHE TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, CHE TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. OVERALL, THE ORGANIZATION INVESTS MORE THAN $800 MILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT CHE TRINITY HEALTH, VISIT WWW.NEWHEALTHMINISTRY.ORG.

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

Open to Public
Inspection

Name of the organization
TRINITY HEALTH - MICHIGAN

Employer identification number
38-2113393

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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. Part II can be duplicated if additional space is needed.

(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) CITY OF CADILLAC 200 NORTH LAKE STREET CADILLAC,MI49601	38-6004541	CITY GOVERNMENT	5,000				SPONSOR 2013 ART PAVILION
(2) AMERICAN CANCER SOCIETY INC GREAT LAKES DIVISION INC 1755 ABBEY ROAD EAST LANSING,MI48823	38-1387120	501(C)(3)	5,500				SPONSORSHIP
(3) AMERICAN CANCER SOCIETY 250 WILLIAMS STREET NW ATLANTA,GA30303	13-1788491	501(C)(3)	5,000				SPONSORSHIP
(4) AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)(3)	50,000				GENERAL SUPPORT
(5) ANN ARBOR AREA COMMUNITY FOUNDATION 301 N MAIN ST STE 300 ANN ARBOR,MI48104	38-6087967	501(C)(3)	201,000				GENERAL SUPPORT
(6) ANN ARBOR SYMPHONY ORCHESTRA INC 220 E HURON STE 470 ANN ARBOR,MI48104	38-6069701	501(C)(3)	5,000				2013 ANN ARBOR SYMPHONY ORCHESTRA FAMILY CONCERT
(7) CANTON CHAMBER OF COMMERCE 45525 HANFORD RD CANTON,MI48187	38-2087835	501(C)(6)	5,350				SPONSORSHIP
(8) CHILD ABUSE & NEGLECT COUNCIL DBA CARE HOUSE OF OAKLAND COUNTY INC 44765 WOODWARD AVE PONTIAC,MI48341	38-2305297	501(C)(3)		5,343	FAIR MARKET VALUE	SUPPLIES	GENERAL SUPPORT
(9) CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION 2929 PLYMOUTH RD STE 245 ANN ARBOR,MI48105	27-1017827	501(C)(3)	30,000				SUPPORT WASHTENAW HEALTH INITIATIVE
(10) CITY OF WESTLAND 36601 FORD ROAD WESTLAND,MI48185	38-1810301	CITY GOVERNMENT	10,000				PASSPORT TO A HEALTHY CITY SPONSORSHIP
(11) DETROIT REGIONAL CHAMBER PO BOX 33840 DETROIT,MI48232	38-0477570	501(C)(6)	18,900				SPONSORSHIP
(12) FOOD GATHERERS PO BOX 131037 ANN ARBOR,MI48113	38-2853858	501(C)(3)	12,500				GENERAL SUPPORT
(13) GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN 2131 BEAUFAIT DETROIT,MI48207	38-2156255	501(C)(3)	10,000				GENERAL SUPPORT
(14) ROTARY CLUB OF GRAYLING PO BOX 373 GRAYLING,MI49738	38-2900631	501(C)(4)	8,781				GENERAL SUPPORT
(15) JOY-SOUTHFIELD COMMUNITY DEVELOPMENT CORPORATION 18917 JOY ROAD DETROIT,MI48228	38-3622930	501(C)(3)	75,000				SUPPORT PATIENT ACCESS
(16) LIGHTHOUSE OF OAKLAND COUNTY PO BOX 430508 PONTIAC,MI48343	38-2391381	501(C)(3)	6,000				SPONSORSHIP
(17) MAKE A WISH FOUNDATION OF MICHIGAN 2300 GENOA BUSINESS PARK DR ROOM 290 BRIGHTON,MI48114	38-2505812	501(C)(3)	40,000				SPONSORSHIP
(18) NEW HOPE SHELTER 814 LYNN STREET CADILLAC,MI49601	32-0019736	501(C)(3)		14,400	FAIR MARKET VALUE	MISCELLANEOUS GOODS	PROVIDE HOUSING FOR UNFORTUNATE
(19) MUNSON HEALTHCARE REGIONAL FOUNDATION PO BOX 1188 TRAVERSE CITY,MI49685	38-2642724	501(C)(3)	5,000				SUPPORT OF NORTHERN MICHIGAN DIABETES INITIATIVE
(20) OAKLAND COUNTY-MEDICAL MAIN STREET 2100 PONTIAC LK RD BLDG 41W WATERFORD,MI48382	38-6004876	CITY GOVERNMENT	5,000				SPONSORSHIP
(21) OAKLAND UNIVERSITY SCHOOL OF BUSINESS ADMINISTRATION 427 ELLIOTT HALL ROCHESTER,MI48309	38-1714400	501(C)(3)	15,500				SPONSORSHIP
(22) OAKLAND UNIVERSITY SCHOOL OF NURSING 2200 NORTH SQUIRREL ROAD ROCHESTER,MI48309	38-1714400	501(C)(3)	5,000				SPONSORSHIP
(23) PACKARD HEALTH INC 3174 PACKARD RD ANN ARBOR,MI48108	38-2269817	501(C)(3)	46,250				DONATION TO ESTABLISH EMR SYSTEM
(24) STEHOUWER FREE CLINIC 201 N MITCHELL STE L-1 CADILLAC,MI49601	61-1401888	501(C)(3)	138,421				SUPPORT OF FREE CLINIC
(25) UNITED WAY OF WASHTENAW COUNTY 2305 PLATT RD ANN ARBOR,MI48104	38-1951024	501(C)(3)	11,271				SPONSORSHIP
(26) UNITED WAY OF WEXFORD-MISSAUKEE COUNTIES PO BOX 177 CADILLAC,MI49601	23-7112549	501(C)(3)	10,000				UNITED WAY SUPPORT
(27) UNIVERSITY OF MICHIGAN DEPT OF MED ED 1500 E MEDICAL CTR DR 5PC 5201 ANN ARBOR,MI48109	38-6006309	501(C)(3)	5,000				SCHOLARLY ACTIVITY - FUNGAL MENINGITIS OUTBREAK
(28) WESTERN WASHTENAW AREA VALUE EXPRESS PO BOX 272 CHELSEA,MI48118	38-2122970	501(C)(3)	5,000				GENERAL SUPPORT
(29) MERCY HOSPITAL CADILLAC FOUNDATION 400 HOBART CADILLAC,MI49601	20-3357131	501(C)(3)	119,267				GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

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.
Part III can be duplicated 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	15	25,000
(2) PRESCRIPTION MEDICATIONS	237		22,134	FAIR MARKET VALUE	PRESCRIPTION MEDICATIONS
(3) TRANSPORTATION ASSISTANCE	50	2,338

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), 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. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

Open to Public Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

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? .......

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)JOSEPH SWEDISHTRINITY PRES & CEO THROUGH 3/13	(i) (ii)	0 1,402,192	0 786,411	0 1,044,897	0 572,762	0 28,714	0 3,834,976	0 520,902
(2)JUDITH PERSICHILLITRIN INTERIM PRES & CEO AS OF 5/13	(i) (ii)	0 1,253,511	0 735,075	0 1,901,967	0 10,500	0 7,010	0 3,908,063	0 0
(3)PAUL NEUMANNSECRETARY; EVP & GENERAL COUNSEL	(i) (ii)	0 494,416	0 202,805	0 115,660	0 77,823	0 28,506	0 919,210	0 0
(4)AGNES HAGERTYASST SEC; VP DEPUTY GEN CSL TRINITY	(i) (ii)	0 344,298	0 0	0 24,359	0 39,568	0 15,206	0 423,431	0 0
(5)JENNIFER BARNETTTREAS AS OF 5/13; TRIN EVP & INT CFO	(i) (ii)	0 544,376	0 209,584	0 173,325	0 11,250	0 11,351	0 949,886	0 0
(6)BENJAMIN CARTERTREAS 4/13; ASST TREAS AS OF 5/13	(i) (ii)	0 523,380	0 202,878	0 73,045	0 80,824	0 31,986	0 912,113	0 0
(7)JAMES BOSSCHERASST TREAS THR 4/13; TRIN SVP TREAS	(i) (ii)	0 333,362	0 135,303	0 117,905	0 78,514	0 12,923	0 678,007	0 13,830
(8)KEDRICK ADKINSTRINITY PRES INTEG SYS THR 6/13	(i) (ii)	0 784,856	0 366,716	0 670,047	0 112,792	0 13,375	0 1,947,786	0 265,335
(9)RICHARD O'CONNELLEVP & PRES TRINITY HEALTH DIV.	(i) (ii)	0 607,209	0 284,428	0 144,773	0 97,104	0 33,319	0 1,166,833	0 0
(10)GARRY FAJAREG MKT EXEC - EAST MICH.	(i) (ii)	0 550,115	0 201,021	0 217,895	0 63,874	0 20,922	0 1,053,827	0 107,922
(11)PHILIP MCCORKLEREG MKT EXEC - WEST MICH.	(i) (ii)	0 427,388	0 142,458	0 83,180	0 25,000	0 32,962	0 710,988	0 0
(12)JACK WEINERSJ MERCY OAKLAND CEO	(i) (ii)	0 411,489	0 134,607	0 91,411	0 95,936	0 40,541	0 773,984	0 21,121
(13)ROBERT CASALOUSJ MERCY HEALTH SYSTEM CEO	(i) (ii)	0 417,993	0 143,567	0 57,747	0 71,479	0 25,846	0 716,632	0 0
(14)DAVID SPIVEYST. MARY MERCY LIVONIA CEO	(i) (ii)	0 351,633	0 115,242	0 61,941	0 81,498	0 16,212	0 626,526	0 12,731
(15)CHARLES HOFFMAN SJMHS CFO THR 8128/12; SE MI REG VP BUS & SYS DEV	(i) (ii)	0 410,943	0 95,498	0 3,879	0 34,693	0 19,263	0 564,276	0 0
(16)NANCY GRAEBNERCHELSEA HOSPITAL CEO AS OF 1/12	(i) (ii)	0 266,991	0 80,664	0 57,477	0 36,488	0 13,598	0 455,218	0 0
(17)BARBARA HERTZLERSJ MERCY OAKLAND COO	(i) (ii)	0 310,662	0 73,675	0 20,128	0 45,155	0 18,124	0 467,744	0 0
(18)RANDALL WAGNERMERCY HEALTH SAINT MARY'S COO	(i) (ii)	0 300,310	0 62,866	0 4,484	0 25,303	0 17,494	0 410,457	0 0
(19)JOHN MACLEODMERCY CADILLAC CEO	(i) (ii)	0 227,116	0 80,421	0 42,937	0 53,432	0 21,003	0 424,909	0 3,375
(20)ROBERT SMYTHESJ MERCY HLTH SYS COO THROUGH 4/13	(i) (ii)	0 293,122	0 48,294	0 4,448	0 20,736	0 14,320	0 380,920	0 0
(21)STEPHANIE RIEMER-MATUZAKMERCY GRAYLING CEO	(i) (ii)	0 214,289	0 77,644	0 38,504	0 60,891	0 24,837	0 416,165	0 3,107
(22)MICHAEL GUSHOSJM OAK CFO THR 9/12; SE MI REG CFO	(i) (ii)	0 271,295	0 57,174	0 1,359	0 41,955	0 19,563	0 391,346	0 0
(23)CLAUDE LAUDERBACHST. MARY MERCY LIVONIA COO	(i) (ii)	0 224,004	0 49,362	0 2,088	0 45,478	0 15,399	0 336,331	0 0
(24)DEBORAH ARMSTRONGSJ MERCY PORT HURON INTERIM CFO	(i) (ii)	0 260,000	0 0	0 0	0 19,850	0 0	0 279,850	0 0
(25)REBEKAH SMITHSJ MERCY PORT HURON CEO	(i) (ii)	0 181,154	0 48,267	0 16,264	0 50,243	0 2,747	0 298,675	0 0
(26)MICHAEL SAMYNST. MARY MERCY LIVONIA CFO	(i) (ii)	0 193,436	0 48,872	0 960	0 19,265	0 17,845	0 280,378	0 0
(27)KATHLEEN O'CONNORSJMHS VP FINANCE AS OF 1/12	(i) (ii)	246,677 0	28,687 0	1,095 0	49,734 0	10,018 0	336,211 0	0 0
(28)KRISTOPHER AALDERINKORTHOPEDIC SURGEON (SJMHS)	(i) (ii)	664,505 0	294,331 0	663 0	14,850 0	12,128 0	986,477 0	0 0
(29)CREG CARPENTERORTHOPEDIC SURGEON (CHELSEA HOSP)	(i) (ii)	313,011 0	433,750 0	450 0	19,978 0	10,947 0	778,136 0	0 0
(30)GEORGE GIBSONORTHOPEDIC SURGEON (SJMHS)	(i) (ii)	444,883 0	275,335 0	464 0	7,500 0	12,524 0	740,706 0	0 0
(31)TALLAL ZENIBARIATRIC SURGEON (SMM LIVONIA)	(i) (ii)	418,018 0	299,549 0	637 0	27,205 0	12,123 0	757,532 0	0 0
(32)MARK KELLEYORTHOPEDIC SURGEON (SJMHS)	(i) (ii)	635,714 0	75,970 0	1,571 0	20,000 0	17,159 0	750,414 0	0 0
(33)DANIEL HALEFORMER OFFICER	(i) (ii)	0 527,004	0 213,622	0 115,423	0 42,104	0 21,386	0 919,539	0 24,468
(34)MARIANNE CUNNINGHAMFORMER OFFICER	(i) (ii)	0 164,476	0 0	0 803	0 13,596	0 18,931	0 197,806	0 0
(35)STEPHEN PIROGFORMER KEY EMPLOYEE	(i) (ii)	0 173,455	0 60,971	0 1,980	0 44,377	0 8,761	0 289,544	0 0
(36)PETER KARADJOFFFORMER KEY EMPLOYEE	(i) (ii)	0 98,504	0 0	0 18,496	0 9,688	0 8,907	0 135,595	0 4,734
(37)PAUL BROWNEFORMER KEY EMPLOYEE	(i) (ii)	0 243,006	0 185,010	0 52,014	0 28,955	0 12,897	0 521,882	0 21,648
(38)DEBRA CANALESFORMER KEY EMPLOYEE	(i) (ii)	0 508,488	0 236,816	0 106,740	0 82,290	0 19,743	0 954,077	0 22,307
(39)PAUL CONLONFORMER KEY EMPLOYEE	(i) (ii)	0 308,921	0 120,954	0 58,780	0 88,694	0 25,670	0 603,019	0 7,849
(40)LOUIS FIERENSFORMER KEY EMPLOYEE	(i) (ii)	0 329,192	0 133,901	0 55,547	0 53,208	0 15,721	0 587,569	0 9,499
(41)PRESTON GEEFORMER KEY EMPLOYEE	(i) (ii)	0 298,570	0 117,923	0 51,982	0 49,970	0 29,779	0 548,224	0 0
(42)MICHAEL HOLPERFORMER KEY EMPLOYEE	(i) (ii)	0 292,196	0 109,035	0 48,774	0 69,949	0 24,350	0 544,304	0 5,807
(43)TERRENCE O'ROURKEFORMER KEY EMPLOYEE	(i) (ii)	0 548,590	0 254,064	0 161,351	0 24,584	0 32,380	0 1,020,969	0 0
(44)MARIA SZYMANSKIFORMER KEY EMPLOYEE	(i) (ii)	0 429,715	0 159,037	0 35,632	0 60,935	0 15,654	0 700,973	0 20,460
(45)ROGER SPOELMANFORMER KEY EMPLOYEE	(i) (ii)	0 467,996	0 155,249	0 100,767	0 103,021	0 22,195	0 849,228	0 25,924
(46)GREGORY LOOMISFORMER KEY EMPLOYEE	(i) (ii)	0 299,220	0 65,260	0 4,401	0 35,430	0 16,773	0 421,084	0 0
(47)GARY ALLOREFORMER KEY EMPLOYEE	(i) (ii)	0 271,400	0 61,821	0 904	0 18,951	0 20,064	0 373,140	0 0
(48)MICHAEL MURPHYFORMER KEY EMPLOYEE	(i) (ii)	0 139,488	0 0	0 41,394	0 4,650	0 11,980	0 197,512	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	PART I, LINE 3	TRINITY HEALTH - MICHIGAN IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH - MICHIGAN'S HOSPITAL CEOS ARE PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF TRINITY HEALTH - MICHIGAN'S CEOS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
	PART I, LINE 4B	THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($250,000 FOR 2012). THE FOLLOWING ACCRUALS FOR 2012 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $100,292 JAMES BOSSCHER - $47,142 PAUL BROWNE - $9,066 DEBRA CANALES - $60,671 BENJAMIN CARTER - $60,824 ROBERT CASALOU - $44,129 PAUL CONLON - $42,044 GARRY FAJA - $14,846 LOUIS FIERENS - $33,235 PRESTON GEE - $30,120 NANCY GRAEBNER - $18,488 MICHAEL HOLPER - $38,052 JOHN MACLEOD - $24,967 PAUL NEUMANN - $57,823 RICHARD O'CONNELL - $77,104 STEPHANIE RIEMER-MATUZAK - $23,794 REBEKAH SMITH - $9,568 DAVID SPIVEY - $46,907 ROGER SPOELMAN - $68,609 JOSEPH SWEDISH - $543,977 MARIA SZYMANSKI - $21,247 JACK WEINER - $58,955 PART II: THE FOLLOWING INDIVIDUALS ARE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $185,540 JENNIFER BARNETT - $140,275 JUDITH PERSICHILLI - $1,855,709 JOSEPH SWEDISH - $530,000 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

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 assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MARY CONLON	FAMILY MEMBER OF PAUL CONLON, FORMER KEY EMPLOYEE	13,497	EMPLOYMENT ARRANGEMENT		No
(2) NORTHERN MICHIGAN SUPPLY ALLIANCE	LOUIS FIERENS, FORMER KEY EMPLOYEE, IS A BOARD MEMBER OF NMSA	1,028,457	TRINITY HEALTH - MICHIGAN PURCHASED SERVICES FROM NMSA		No
(3) NORTHERN MICHIGAN SUPPLY ALLIANCE (NMSA)	LOUIS FIERENS, FORMER KEY EMPLOYEE, IS A BOARD MEMBER OF NMSA	3,981,980	TRINITY HEALTH - MICHIGAN PURCHASED SUPPLIES FROM NMSA		No
(4) KATHRYN TUNE	FAMILY MEMBER OF BARBARA HERTZLER, KEY EMPLOYEE	91,209	EMPLOYMENT ARRANGEMENT		No
(5) METROPOLITAN DETROIT AREA HOSPITAL SERVICES INC	CHARLES HOFFMAN, KEY EMPLOYEE, IS A BOARD MEMBER OF METRO DETROIT HOSP SVCS	3,482,100	TRINITY HEALTH - MICHIGAN PURCHASED LAUNDRY SERVICES FROM METRO DETROIT AREA HOSPITAL SERVICES, INC.		No
(6) JASON CARTER	FAMILY MEMBER OF BENJAMIN CARTER, OFFICER	31,835	EMPLOYMENT ARRANGEMENT		No
(7) RYAN SMITH	FAMILY MEMBER OF REBEKAH SMITH, KEY EMPLOYEE	30,385	EMPLOYMENT ARRANGEMENT		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) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2012

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) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	38	108,200	FAIR MARKET VALUE
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		531	FAIR MARKET VALUE
5 Clothing and household goods .......	X		16,170	FAIR MARKET VALUE
6 Cars and other vehicles ..	X	1	13,000	FAIR MARKET VALUE
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	12	228,907	FAIR MARKET VALUE
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 ...
18 Collectibles .....	X	8	6,941	FAIR MARKET VALUE
19 Food inventory ...
20 Drugs and medical supplies .	X	4	1,305	FAIR MARKET VALUE
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MISCELLANEOUS )	X	475	151,460	FAIR MARKET VALUE
26 Other ( )
27 Other ( )
28 Other ( )

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 ...

Yes

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

Yes

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2012)

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF ARRANGEMENT:	PART I, LINE 30B:	ONE PETER MAX FINE ART PAINTING, AND TWO LESTER JOHNSON FINE ART PAINTINGS ARE REQUIRED BY THE DONOR TO BE ON DISPLAY IN ST. JOSEPH MERCY OAKLAND HOSPITAL FOR A PERIOD OF 5 YEARS (UNTIL 2017).
THIRD PARTY USE:	PART I, LINE 32B:	SPECIAL EVENT COMMITTEE VOLUNTEERS SOLICIT NON-CASH CONTRIBUTIONS FROM LOCAL BUSINESSES. THEY SOLICIT ITEMS TO BE USED DURING THE SPECIAL EVENT, SUCH AS FOOD, PLUS ITEMS TO BE SOLD AT THE EVENT AUCTION.

Schedule M (Form 990) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

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

2012

Open to Public
Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Identifier	Return Reference	Explanation
	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 LOCAL BOARDS OF THE HOSPITAL DIVISIONS OF TRINITY HEALTH-MICHIGAN. 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 9:	EQUITY TRANSFERS TO AFFILIATES: -23,951,910. CHANGE IN DEFERRED RETIREMENT COST: 3,737,781. PARTNERSHIP EQUITY ACTIVITY: 220,000. EQUITY EARNINGS IN AFFILIATES: 2,351,328. OTHER TRANSACTIONS: -682,556,806. INDIGENT CARE AGREEMENT REVENUE: 12,240,597. INDIGENT CARE AGREEMENT CONTRIBUTIONS: -11,209,974. GAIN ON SALE, DIVESTITURES: 7,114,361.
	FORM 990, PART XII, LINE 2:	TRINITY HEALTH - MICHIGAN'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY13 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, 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, 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, MERCY HEALTH SERVICES NORTH, 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, SPARTA FAMILY HEALTH CENTER, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVORIAL MEDICINE, ST. MARY MERCY ONCOLOGY PRACTICE, ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES, SAINT MARY'S ADVANCED SPECIALTY CARE, HEARTSIDE HEALTH CLINIC, SJMO ROCHESTER HILLS OB/GYN, MERCY HEALTH - GRAND RAPIDS, MERCY HEALTH PHARMACY - SOUTHWEST, MERCY HEALTH PHARMACY - LONG TERM CARE, MERCY HEALTH PHARMACY - CATHEDRAL SQUARE , MERCY HEALTH PHARMACY - HOME INFUSION, MERCY HEALTH SAINT MARY'S, MERCY HEALTH SOUTHWEST CAMPUS, MERCY HEALTH ROCKFORD CAMPUS, MERCY HEALTH PHARMACY - WEGE CENTER, INSPIRIT CANCER SUPPORT SERVICES, MERCY CADILLAC CANCER CENTER, MERCY PHYSICIAN NETWORK, MERCY CADILLAC PHYSICIAN NETWORK, MERCY PHYSICIAN NETWORK CADILLAC, MERCY CANCER CENTER, MCAULEY HEALTH CENTER, PROFESSIONAL FINANCIAL SERVICES, RICHARD J. LACKS CANCER CENTER, BROWNING CLAYTOR HEALTH CENTER

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) 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	19,367	172,831	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 20555 VICTOR PARKWAY LIVONIA,MI48152 27-2681908	REAL ESTATE RENTAL	DE	845,198	8,643,467	TRINITY HEALTH-MICHIGAN

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
(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	Yes	No
(1) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS,MI49503 27-2491974	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(2) AMICARE HOSPICE SERVICES INC 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2949053	PROVIDE HOSPICE SERVICES	MI	501(C)(3)	LINE 9	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)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO		No
(4) BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 42-1500277	ACUTE/AMBULATORY HEALTHCARE SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(5) BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 26-2973307	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	BAUM HARMON MERCY HOSPITAL	Yes
(6) 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)	LINE 11B, II	TRINITY HEALTH-MICHIGAN	Yes
(7) CHE TRINITY INC 20555 VICTOR PARKWAY LIVONIA,MI48152 90-0931907	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	N/A		No
(8) COMMUNITY HEALTH PARTNERS OF SOUTH BEND PO BOX 3998 SOUTH BEND,IN46619 26-3051440	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC		No
(9) CRANBROOK HOSPICE CARE 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320699	PROVIDE HOSPICE HEALTH SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(10) DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS,OH43213 34-2032340	HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM		No
(11) DUBUQUE MERCY HEALTH FOUNDATION INC 250 MERCY DRIVE DUBUQUE,IA52001 26-2227941	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(12) DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE,IA52040 20-5383271	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(13) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK,IL60160 36-3332852	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	LINE 9	GOTTLIEB MEMORIAL HOSPITAL		No
(14) GOTTLIEB MEMORIAL FOUNDATION 701 W NORTH AVE MELROSE PARK,IL60160 74-3260011	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	LINE 11C, III-FI	N/A		No
(15) GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK,IL60160 36-2379649	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM		No
(16) HACKLEY HOSPITAL 1700 CLINTON ST PO BOX 3302 MUSKEGON,MI494433302 38-1358196	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes
(17) 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)	LINE 11C, III-FI	MERCY HEALTH PARTNERS	Yes
(18) HACKLEY LIFE COUNSELING 1352 TERRACE ST MUSKEGON,MI494423545 38-1386362	COUNSELING, EDUCATION, AND SUPPORT	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	Yes
(19) HACKLEY VISITING NURSE SERVICES AND HOSPICE INC 888 TERRACE ST MUSKEGON,MI49440 38-1359598	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes
(20) HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS,MI48333 52-1945054	LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY	MD	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES		No
(21) HOLY CROSS HEALTH FOUNDATION INC 11801 TECH ROAD SILVER SPRING,MD20904 20-8428450	CHARITABLE FUNDRAISING	MD	501(C)(3)	LINE 11A, I	HOLY CROSS HEALTH INC		No
(22) HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING,MD209101484 52-0738041	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(23) HOLY CROSS MEDICAL CENTER 20555 VICTOR PARKWAY LIVONIA,MI48152 95-1985442	HEALTHCARE SERVICES (FORMERLY)	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(24) HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY,IA504016208 42-1173708	HOSPICE HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes
(25) HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY,IA51104 38-3320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 11A, I	N/A		No
(26) HOSPICE OF WASHTENAW II 806 AIRPORT BLVD ANN ARBOR,MI48108 38-3320707	HOSPICE HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	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)	LINE 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)	LINE 3	MERCY HEALTH PARTNERS	Yes
(29) LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-3342448	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION		No
(30) LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-4015560	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM		No
(31) MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY,IA51101 38-3320705	PROVIDE HOME HEALTH CARE SERVICES	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(32) MARYCREST HEIGHTS PO BOX 9184 FARMINGTON HILLS,MI48333 27-0291722	PROVIDES HOUSING FOR ELDERLY INDIVIDUALS	MI	501(C)(3)	LINE 11A, I	TRINITY CONTINUING CARE SERVICES		No
(33) MCAULEY CLINIC CORPORATION PO BOX 992 ANN ARBOR,MI48106 38-2561013	HEALTHCARE SERVICES (FORMERLY)	MI	501(C)(3)	LINE 3	CATHERINE MCAULEY HEALTH SERVICES CORP	Yes
(34) MERCY AMICARE HOME HEALTHCARE OAKLAND 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320698	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(35) MERCY AMICARE HOME HEALTHCARE PORT HURON 505 HURON AVENUE PORT HURON,MI48060 38-3320701	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(36) MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227350	SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM	IL	501(C)(3)	LINE 11A, I	MERCY HEALTH SYSTEM OF CHICAGO		No
(37) MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 684 HARVEY STREET MUSKEGON,MI49442 38-3321856	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(38) MERCY HEALTH NETWORK 1111 6TH AVENUE DES MOINES,IA50314 42-1478417	HEALTHCARE MANAGEMENT	DE	501(C)(3)	LINE 11A, I	N/A		No
(39) MERCY HEALTH PARTNERS 1415 LEAHY STREET MUSKEGON,MI49442 38-2589966	HEALTHCARE SYSTEM SUPPORT	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(40) MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY,IA50401 31-1373080	HEALTHCARE SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(41) MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3163327	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(42) MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST BK OF AMERICA 231 S LASALLE CHICAGO,IL60697 91-2092113	SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY	IL	501(C)(3)	LINE 11C, III-FI	MERCY HEALTH SYSTEM OF CHICAGO		No
(43) MERCY HEALTHCARE FOUNDATION 1410 N 4TH ST CLINTON,IA52732 42-1316126	FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES	IA	501(C)(3)	LINE 11C, III-FI	N/A		No
(44) MERCY HOSPITAL AND MEDICAL CENTER 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-2170152	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO		No
(45) MERCY HOSPITAL CADILLAC FOUNDATION 400 HOBART CADILLAC,MI496012331 20-3357131	SUPPORT THE SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(46) MERCY HOSPITAL GIFT SHOP 2601 ELECTRIC AVE PORT HURON,MI48060 38-1630480	VOLUNTEER SERVICE AUXILIARY	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(47) MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON,IA527322940 42-1336618	TO PROVIDE QUALITY HEALTH CARE	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(48) MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY,IA51102 14-1880022	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes
(49) 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)	LINE 11C, III-FI	N/A		No
(50) MERCY NORTH HOMECARE AND HOSPICE 7985 MACKINAW TRAIL CADILLAC,MI49601 38-3313897	HOME HEALTH AND HOSPICE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(51) MERCY PHYSICIAN GROUP INC 1512 12TH AVENUE ROAD NAMPA,ID83686 20-8192593	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-NAMPA		No
(52) 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)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES		No
(53) MIDWEST MEDFLIGHT 1300 VICTORS WAY ANN ARBOR,MI48108 38-2684671	AEROMEDICAL TRANSPORT	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(54) MISSION HEALTH CORPORATION 37595 SEVEN MILE ROAD LIVONIA,MI48152 38-3181557	FACILITY USED FOR AMBULATORY CARE	DE	501(C)(3)	LINE 11A, I	N/A		No
(55) MOUNT CARMEL COLLEGE OF NURSING 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM		No
(56) 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
(57) 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
(58) MOUNT CARMEL HEALTH SYSTEM 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1439334	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(59) MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1113966	SUPPORT THE SERVICES OF RELATED HOSPITAL	OH	501(C)(3)	LINE 11A, I	MOUNT CARMEL HEALTH SYSTEM		No
(60) MOUNT CARMEL HOME CARE LLC 1144 DUBLIN ROAD SUITE B COLUMBUS,OH43215 26-2729300	PROVIDE HOME HEALTH CARE SERVICES	OH	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC		No
(61) MRI MOBILE SERVICES OF WEST MICHIGAN 1820 - 44TH STREET KENTWOOD,MI49508 38-3073745	OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(62) MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON,MI49440 91-1932918	FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes
(63) OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND,NE68045 20-8072234	HEALTHCARE SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(64) OAKLAND MERCY HOSPITAL FOUNDATION 601 E 2ND STREET OAKLAND,NE68045 31-1678345	SUPPORTS SERVICES OF RELATED HOSPITAL	NE	501(C)(3)	LINE 11C, III-FI	N/A		No
(65) OSUMOUNT CARMEL HEALTH ALLIANCE 793 WEST STATE STREET COLUMBUS,OH43222 31-1654603	COOPERATIVE HEALTH CARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 11A, I	N/A		No
(66) PORT HURON MERCY FAMILY CARE INC 2601 ELECTRIC AVE PORT HURON,MI48060 20-1855647	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(67) PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON,MI494423257 38-2638284	MEDICAL CARE, TRANSPORTATION AND EDUCATION	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(68) PROFESSIONAL OFFICE CORPORATION 1303 EAST HERNDON AVE FRESNO,CA93720 94-2839324	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 11A, I	SAINT AGNES MEDICAL CENTER		No
(69) SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO,CA93720 94-1437713	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(70) SAINT ALPHONSUS BUILDING COMPANY INC 1055 NORTH CURTIS RD BOISE,ID83706 82-0401011	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC		No
(71) SAINT ALPHONSUS DIVERSIFIED CARE INC 1055 NORTH CURTIS RD BOISE,ID83706 94-3028978	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC		No
(72) SAINT ALPHONSUS FOUNDATION-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY,OR97814 94-3164869	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY		No
(73) SAINT ALPHONSUS FOUNDATION-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 20-2683560	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO		No
(74) SAINT ALPHONSUS HEALTH SYSTEM INC 1055 N CURTIS ROAD BOISE,ID83706 27-1929502	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(75) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY,OR97814 27-1790052	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC		No
(76) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0200896	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC		No
(77) SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC 1512 12TH AVENUE ROAD NAMPA,ID83686 26-1737256	SUPPORT THE SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA		No
(78) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 27-1789847	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC		No
(79) SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS RD BOISE,ID83706 82-0200895	HEALTHCARE SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC		No
(80) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC 1915 LAKE AVENUE PO BOX 670 PLYMOUTH,IN46563 35-1142669	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC		No
(81) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC PO BOX 1935 SOUTH BEND,IN466341935 35-0868157	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC		No
(82) SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-6033285	HOSPITAL SERVICE AUXILIARY	IN	501(C)(4)	N/A	SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND		No
(83) SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC 1915 LAKE AVENUE PLYMOUTH,IN46563 35-6043563	HOSPITAL SERVICE AUXILIARY	IN	501(C)(3)	LINE 11B, II	SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH		No
(84) SAINT JOSEPH REGIONAL MEDICAL CENTER INC 801 EAST LASALLE AVE SOUTH BEND,IN46617 35-1568821	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(85) SAINT JOSEPH'S TOWER INC PO BOX 9184 FARMINGTON HILLS,MI483339184 31-1040468	PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES-INDIANA		No
(86) SAINT MARY'S AMICARE HOME HEALTHCARE 1430 MONROE NW GRAND RAPIDS,MI49505 38-3320700	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(87) SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS,MI49503 38-1779602	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes
(88) ST JOSEPH MERCY OAKLAND FOUNDATION 44405 WOODWARD AVE PONTIAC,MI48341 35-2356789	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(89) 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)	LINE 11A, I	SAINT JOSEPH REGIONAL MEDICAL CENTER INC		No
(90) TRI-HOSPITAL EMERGENCY MEDICAL SERVICES 309 GRAND RIVER PORT HURON,MI48060 38-2485700	PROVIDE EMERGENCY AMBULANCE SERVICES	MI	501(C)(3)	LINE 11D, III-O	N/A		No
(91) TRI-HOSPITAL MRI CENTER 4190 24TH AVENUE FORT GRATIOT,MI48054 38-2884297	MRI SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(92) 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)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(93) 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)	LINE 9	TRINITY CONTINUING CARE SERVICES		No
(94) TRINITY HEALTH - MICHIGAN 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2113393	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(95) TRINITY HEALTH CORPORATION 20555 VICTOR PARKWAY LIVONIA,MI48152 35-1443425	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	CHE TRINITY INC		No
(96) TRINITY HEALTH INTERNATIONAL 20555 VICTOR PARKWAY LIVONIA,MI48152 42-1253527	HEALTHCARE TRAINING AND SUPPORT SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(97) TRINITY HEALTH WELFARE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 20-8151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION		No
(98) TRINITY HOME HEALTH SERVICES INC 17410 COLLEGE PARKWAY LIVONIA,MI48152 38-2621935	HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(99) CONTINUING CARE MANAGEMENT SERVICES NETWORK 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 35-2336834	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(100) VNA HOME HEALTH & HOSPICE 50 FODEN ROAD SOUTH PORTLAND,ME04106 01-0246804	HOME HEALTH & HOSPICE	ME	501(C)(3)	LINE 11A, I	MERCY HEALTH SYSTEM OF MAINE		No
(101) MERCY HOSPITAL 144 STATE STREET PORTLAND,MA04101 01-0211534	HOSPITAL	ME	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF MAINE		No
(102) MERCY HEALTH SYSTEM OF MAINE 144 STATE STREET PORTLAND,MA04101 01-0484074	MANAGEMENT & SUPPORT SERVICES	ME	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST		No
(103) SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION 1270 BELMONT AVE SCHENECTADY,NY12308 22-2505127	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 11A, I	SUNNYVIEW HOSPITAL & REHABILITATION CTR		No
(104) ST MARY'S WOODLAND VILLAGE INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1675183	DISCONTINUED OPERATIONS	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC		No
(105) MERCY CARE FOR KIDS INC 310 SOUTH MANNING BLVD ALBANY,NY12208 14-1717564	DAY CARE CENTER	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH CARE SERVICES		No
(106) OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND,NY12084 14-1743506	NURSING HOME FACILITY	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES		No
(107) ST PETER'S AUXILIARY 315 SOUTH MANNING BLVD ALBANY,NY01228 22-2843206	AUXILIARY	NY	501(C)(3)	LINE 11A, I	ST PETER'S HEALTH CARE SERVICES		No
(108) ST PETER'S HEALTH CARE SERVICES 315 SOUTH MANNING BLVD ALBANY,NY12208 22-2702507	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH PARTNERS		No
(109) ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY,NY12208 14-1348692	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES		No
(110) ST PETER'S HOSPITAL FOUNDATION INC 319 SOUTH MANNING BLVD SUITE 309 ALBANY,NY12208 22-2262982	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH CARE SERVICES		No
(111) EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY,NY12180 14-1818568	HOME HEALTH	NY	501(C)(3)	LINE 3	LTC(EDDY) INC		No
(112) THE COMMUNITY HOSPICE FOUNDATION INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 22-2692940	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC		No
(113) THE COMMUNITY HOSPICE INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 14-1608921	SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES		No
(114) VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY,NY12208 14-1438749	NURSING HOME & PHYSICAL REHAB	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL		No
(115) WARDE SERVICE CORPORATION INC 159 WOLF ROAD 3RD FLOOR ALBANY,NY12205 14-1732097	SUPPORTING & STRENGTHING THE MINISTRIES OF REL. SR. MERCY	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH CARE SERVICES		No
(116) NORTHEAST HEALTH INC 2212 BURDETT AVE TROY,NY12180 04-2450756	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS		No
(117) MEMORIAL HOSPITAL ALBANY NY 600 NORTHERN BLVD ALBANY,NY12204 14-1338457	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC		No
(118) SAMARITAN HOSPITAL OF TROY NEW YORK 2215 BURDETT AVE TROY,NY12180 14-1338544	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC		No
(119) THE NORTHEAST HEALTH FOUNDATION INC 2224 BURDETT AVE TROY,NY12180 22-2743478	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 7	NORTHEAST HEALTH INC		No
(120) SAMARITAN CHILD CARE CENTER INC 2213 BURDETT AVE TROY,NY12180 14-1710225	CHILD DAY CARE	NY	501(C)(3)	LINE 9	NORTHEAST HEALTH INC		No
(121) SHAKER PROPERTIES INC 2212 BURDETT AVE TROY,NY12180 22-3119822	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	NORTHEAST HEALTH INC		No
(122) SUNNYVIEW HOSPITAL & REHABILITATION CTR 1270 BELMONT AVE SCHENECTADY,NY12308 14-1338386	REHABILITATION HOSPITAL	NY	501(C)(3)	LINE 3	LTC (EDDY) INC		No
(123) JAMES A EDDY MEMORIAL GERIATRIC CENTER INC 2256 BURDETT AVE TROY,NY12180 22-2570478	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(124) CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1701597	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(125) HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY,NY12180 14-1725101	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(126) THE MARJORIE DOYLE ROCKWELL CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1793885	ADULT HOME/ALZHEIMERS	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(127) BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS,NY12159 14-1717028	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(128) HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH,NY12061 80-0102840	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(129) GLEN EDDY INC ONE GLEN EDDY DRIVE NISKAYUNA,NY12309 14-1794150	INDEPENDENT/ASSISTED LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(130) BEECHWOOD INC 2212 BURDETT AVE TROY,NY12180 14-1651563	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	LTC (EDDY) INC		No
(131) SENIOR CARE CONNECTION INC 504 STATE ST SCHENECTADY,NY12305 14-1708754	PACE PROGRAM	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(132) HOME AID SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY,NY12180 14-1514867	HOME CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(133) SETON HEALTH SYSTEM INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1776186	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS		No
(134) SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE 1 ABELE BLVD CLIFTON PARK,NY12065 14-1756230	SKILLED NURSING	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC		No
(135) SETON HEALTH FOUNDATION 1300 MASSACHUSETTS AVENUE TROY,NY12180 22-2345416	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11A, I	SETON HEALTH SYSTEM INC		No
(136) SETON AUXILIARY INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1505031	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC		No
(137) SETON LICENSED HOME CARE INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1809134	LICENSED HOME HEALTH AGENCY	NY	501(C)(3)	LINE 3	SETON HEALTH SYSTEM INC		No
(138) EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA,NY12020 14-1795732	HOME CARE	NY	501(C)(3)	LINE 9	HOME AID SERVICE OF EASTERN NEW YORK INC		No
(139) LTC (EDDY) INC 2212 BURDETT AVE TROY,NY12180 22-2564710	ELDERLY HEALTH/HOUSING SUPPORTING ORG	NY	501(C)(3)	LINE 11A, I	NORTHEAST HEALTH INC		No
(140) ST PETER'S HEALTH PARTNERS 315 SOUTH MANNING BLVD ALBANY,NY12208 45-3570715	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(141) ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC 315 SOUTH MANNING BLVD ALBANY,NY12208 46-1177336	PHYSICIANS PRACTICE	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS		No
(142) PROVIDENCE PLACE INC 5 GAMELIN STREET HOLYOKE,MA01040 04-3404084	RETIREMENT COMMUNITY	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(143) BRIGHTSIDE INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-2182395	BEHAVIORAL CARE	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(144) FARREN CARE CENTER INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-2501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(145) MERCY HOSPITAL INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-3398280	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(146) MERCY SPECIALIST PHYSICIANS INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 26-4033168	NEUROSURGERY MEDICAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(147) SISTERS OF PROVIDENCE CARE CENTERS INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 22-2541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(148) SISTERS OF PROVIDENCE HEALTH SYSTEM INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-3398374	MANAGEMENT & SUPPORT SERVICES	MA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST		No
(149) MERCY LIFE INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 45-3086711	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(150) PIONEER VALLEY CARDIOLOGY ASSOCIATES INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-4208896	CARDIOLOGY SERVICES	MA	501(C)(3)	LINE 4	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(151) MERCY ONCOLOGY SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-4884805	ONCOLOGY MEDICAL SERVICES	MA	501(C)(3)	N/A	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(152) MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD,CT06117 06-1058086	INDEPENDENT LIVING	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC		No
(153) MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1492707	MANAGEMENT & SUPPORT SERVICES	CT	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST		No
(154) MERCY COMMUNITY HOMECARE SERVICES 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1488137	IN HOME HEALTH CARE	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC		No
(155) MERCY SERVICES 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1453323	SUPPORT SERVICES	CT	501(C)(3)	LINE 1	MERCY COMMUNITY HEALTH INC		No
(156) MERCYKNOLL INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0757380	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC		No
(157) SAINT MARY HOME II INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1164104	ELDERLY CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC		No
(158) ST MARY HOME INCORPORATED 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0646843	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC		No
(159) MERCY HEALTHCARE CENTER 114 WAWBEEK AVENUE TUPPER LAKE,NY12986 15-0532211	IN DISSOLUTION	NY	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(160) MERCY UIHLEIN HEALTH CORPORATION 185 OLD MILITARY ROAD LAKE PLACID,NY12946 16-1535133	MGT. & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	MERCY HEALTHCARE CENTER		No
(161) UIHLEIN MERCY CENTER 185 OLD MILITARY ROAD TUPPER LAKE,NY12986 15-0532190	IN DISSOLUTION	NY	501(C)(3)	LINE 3	MERCY HEALTHCARE CENTER		No
(162) ST JAMES MERCY FOUNDATION INC 411 CANISTEO STREET HORNELL,NY14843 16-1486437	FOUNDATION	NY	501(C)(3)	LINE 7	ST JAMES MERCY HEALTH SYSTEM INC		No
(163) ST JAMES MERCY HEALTH SYSTEM INC 411 CANISTEO STREET HORNELL,NY14843 22-3127184	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(164) ST JAMES MERCY HOSPITAL 411 CANISTEO STREET HORNELL,NY14843 16-0743310	HOSPITAL	NY	501(C)(3)	LINE 3	ST JAMES MERCY HEALTH SYSTEM INC		No
(165) MAXIS MEDICAL SERVICES 100 LINCOLN AVE CARBONDALE,PA18407 23-2577185	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM		No
(166) MARIAN COMMUNITY HOSPITAL 100 LINCOLN AVE CARBONDALE,PA18407 24-0711230	HOSPITAL	PA	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM		No
(167) MARIAN COMMUNITY HOSPITAL AUXILIARY 100 LINCOLN AVE CARBONDALE,PA18407 25-1874733	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM		No
(168) MAXIS FOUNDATION 100 LINCOLN AVE CARBONDALE,PA18407 23-2330090	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM		No
(169) MAXIS HEALTH SYSTEM 100 LINCOLN AVE CARBONDALE,PA18407 91-1940902	HEALTH CARE SYSTEM	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM		No
(170) TRI-COUNTY HUMAN SERVICES CENTER INC PO BOX 517 CARBONDALE,PA18407 23-1938528	BEHAVIORAL HEALTH ORGANIZATION	PA	501(C)(3)	LINE 7	MAXIS HEALTH SYSTEM		No
(171) COLUMBUS ACQUISITION CORP 1160 RAYMOND BOULEVARD NEWARK,NJ07102 26-2616342	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER		No
(172) SAINT MICHAELS MEDICAL CENTER 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616046	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(173) ST JAMES CARE INC 1160 RAYMOND BOULEVARD NEWARK,NJ07102 26-2616230	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER		No
(174) ST MICHAEL'S FOUNDATION INC 1160 RAYMOND BOULEVARD NEWARK,NJ07102 22-3311976	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	SAINT MICHAELS MEDICAL CENTER		No
(175) UNIVERSITY HEIGHTS PROPERTY COMPANY INC 1160 RAYMOND BOULEVARD NEWARK,NJ07102 22-3100162	MEDICAL PROPERTY HOLDING COMPANY	NJ	501(C)(2)	N/A	SAINT MICHAELS MEDICAL CENTER		No
(176) LIFE ST FRANCIS CORPORATION 601 HAMILTON AVENUE TRENTON,NJ08629 22-2797282	HEALTH SERVICES	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ		No
(177) ST FRANCIS MEDICAL CENTER FOUNDATION NJ 601 HAMILTON AVENUE TRENTON,NJ08629 52-1025476	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ		No
(178) ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVENUE TRENTON,NJ08629 22-3431049	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(179) LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2519529	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER		No
(180) LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2571699	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 9: 509(A)(2)	ST MARY MEDICAL CENTER		No
(181) LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 26-2976184	ELDERLY CARE	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER		No
(182) ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-1913910	HOSPITAL	PA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(183) ST MARY MEDICAL CENTER FOUNDATION INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2567468	FOUNDATION	PA	501(C)(3)	LINE 7	ST MARY MEDICAL CENTER		No
(184) EAST NORRITON PHYSICIAN SERVICES C/O ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2515999	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(185) MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-1352191	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(186) MERCY FAMILY SUPPORT 1001 BALTIMORE PIKE SUITE 301 SPRINGFIELD,PA19064 23-2325059	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(187) MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA C/O ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2829864	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(188) MERCY HEALTH PLAN C/O ONE WEST ELM STREET CONSHOHOCKEN,PA19428 22-2483605	HEALTH PLANS	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(189) MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2212638	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(190) MERCY HOME HEALTH 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-1352099	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(191) MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 301 SPRINGFIELD,PA19064 23-2325058	HOME HEALTH	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(192) MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2627944	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(193) MERCY SUBURBAN HOSPITAL ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-1396763	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(194) NAZARETH HEALTH CARE FOUNDATION 2701 HOLME AVENUE PHILADELPHIA,PA19152 23-2300951	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(195) NAZARETH HOSPITAL 2601 HOLME AVENUE PHILADELPHIA,PA19152 23-2794121	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(196) NAZARETH PHYSICIAN SERVICES INC 2601 HOLME AVENUE PHILADELPHIA,PA19152 20-3261266	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(197) NE PHYSICIAN SERVICES 2601 HOLME AVENUE PHILADELPHIA,PA19152 23-2497355	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(198) ST AGNES CONTINUING CARE CENTER 1900 S BROAD STREET PHILADELPHIA,PA19145 23-2840137	CONTINUING CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(199) ST AGNES CONTINUING CARE CENTER FOUNDATION 1900 S BROAD STREET PHILADELPHIA,PA19145 23-2415137	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(200) LIFE AT LOURDES INC 1600 HADDON AVENUE CAMDEN,NJ08108 26-1854750	ELDERLY CARE	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(201) LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568525	SUPPORTING ORGANIZATION	NJ	501(C)(3)	LINE 11B, II	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(202) LOURDES DIALYSIS AT INNOVA INC 1600 HADDON AVENUE CAMDEN,NJ08108 26-3237625	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(203) LOURDES MEDICAL CENTER BURLINGTON COUNTY 218 SUNSET ROAD WILLINGBORO,NJ08046 22-3612265	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(204) OUR LADY OF LOURDES HEALTH CARE SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568528	MANAGEMENT & SUPPORT SERVICES	NJ	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(205) OUR LADY OF LOURDES HEALTH FOUNDATION INC 1600 HADDON AVENUE CAMDEN,NJ08103 22-2351960	FOUNDATION	NJ	501(C)(3)	LINE 7	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(206) OUR LADY OF LOURDES MEDICAL CENTER 1600 HADDON AVENUE CAMDEN,NJ08103 21-0635001	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(207) LOURDES CARDIOLOGY SERVICES PC 1600 HADDON AVENUE CAMDEN,NJ08108 27-4357794	CARDIOLOGY SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(208) FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON,DE19805 22-3008680	ELDERCARE	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL		No
(209) ST FRANCIS FOUNDATION PO BOX 2500 WILMINGTON,DE19805 51-0374158	FOUNDATION	DE	501(C)(3)	LINE 11B, II	ST FRANCIS HOSPITAL		No
(210) ST FRANCIS HOSPITAL PO BOX 2500 WILMINGTON,DE19805 51-0064326	HOSPITAL	DE	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(211) LIFE AT ST FRANCIS HEALTHCARE INC 7TH CLAYTON STREETS WILMINGTON,DE19805 45-2569214	ELDERLY CARE	DE	501(C)(3)	LINE 3	ST FRANCIS HOSPITAL		No
(212) MCAULEY MINISTRIES MCAULEY HALL 3333 FIFTH AVENUE PITTSBURGH,PA15213 94-3436142	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM		No
(213) MERCY JEANNETTE HOSPITAL 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 25-1310602	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM		No
(214) MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH,PA15233 25-1604115	COMMUNITY TREATMENT	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM		No
(215) PITTSBURGH MERCY HEALTH SYSTEM 3333 5TH AVENUE PITTSBURGH,PA15213 25-1464211	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(216) ST JOSEPH'S OF THE PINES INC 100 GOSSMAN DRIVE SUITE B SOUTHERN PINES,NC28387 56-0694200	HOSPITAL	NC	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(217) LIFE ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SUITE B SOUTHERN PINES,NC28387 27-2159847	HEALTHCARE SERVICES	NC	501(C)(3)	LINE 3	ST JOSEPH'S OF THE PINES INC		No
(218) MERCY SENIOR CARE INC 300 CHATILLON ROAD PO BOX 866 ROME,GA30162 58-1366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(219) SAINT JOSEPH'S HEALTH SYSTEM INC 424 DECATUR STREET ATLANTA,GA30312 58-1744848	MANAGEMENT & SUPPORT SERVICES	GA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(220) SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA,GA30312 58-1752700	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(221) SAINT JOSEPH'S MERCY FOUNDATION INC 424 DECATUR STREET ATLANTA,GA30312 58-1448522	FUNDRAISING	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(222) MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA,GA30312 27-2046353	REAL ESTATE HOLDING COMPANY	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(223) ST MARY'S HEALTH CARE SYSTEM INC 1230 BAXTER STREET ATHENS,GA30606 58-0566223	HOSPITAL	GA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(224) ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 58-2544232	FUNDRAISING	GA	501(C)(3)	LINE 11B, II	ST MARY'S HEALTH CARE SYSTEM INC		No
(225) ST MARY'S HIGHLAND HILLS INC 1230 BAXTER STREET ATHENS,GA30606 02-0576648	ASSISTED LIVING & RETIREMENT COMMUNITY	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC		No
(226) ST MARY'S MEDICAL GROUP INC 1230 BAXTER STREET ATHENS,GA30606 26-1858563	HOSPITAL / PHYSICIAN SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC		No
(227) GOOD SAMARITAN HOSPITAL INC 1201 SILOAM ROAD GREENSBORO,GA30462 26-1720984	HOSPITAL	GA	501(C)(3)	LINE 3	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(228) MERCY MEDICAL CORPORATION PO BOX 1090 101 VILLA DRIVE DAPHNE,AL36526 63-6002215	HOSPITAL	AL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(229) MERCY LIFE OF ALABAMA PO BOX 1090 101 VILLA DRIVE DAPHNE,AL36526 27-3163002	HOSPITAL	AL	501(C)(3)	LINE 3	MERCY MEDICAL CORPORATION		No
(230) ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR,FL34684 58-1492325	MANAGEMENT & SUPPORT SERVICES	FL	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(231) ST FRANCIS HOSPITAL INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR,FL34684 59-0624442	GRANT-MAKING ORGANIZATION	FL	501(C)(3)	LINE 11A, I	ALLEGANY FRANCISCAN MINISTRIES INC		No
(232) HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-0791028	HOSPITAL-HEALTHCARE PROVIDER	FL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(233) HOLY CROSS LONG-TERM INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 65-0787320	MEDICAL SERVICES	FL	501(C)(3)	LINE 3	HOLY CROSS HOSPITAL INC		No
(234) HOLY CROSS MEDICAL PROPERTIES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 65-0666283	MEDICAL BUILDING REAL ESTATE MANAGEMENT	FL	501(C)(2)	N/A	HOLY CROSS HOSPITAL INC		No
(235) SSJ HEALTH FOUNDATION INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 59-1709438	FUNDRAISING	FL	501(C)(3)	LINE 7	MERCY HOSPITAL INC		No
(236) MERCY HOSPITAL INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 59-0791034	HOSPITAL	FL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(237) MERCY MEDICAL DEVELOPMENT INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 59-2789194	OUTPATIENT SERVICES	FL	501(C)(3)	LINE 9	MERCY HOSPITAL INC		No
(238) MERCY MISSION SERVICES INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 65-0435764	HEALTH CARE	FL	501(C)(3)	LINE 11A, I	MERCY HOSPITAL INC		No
(239) MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 51-0461511	HOSPITAL	FL	501(C)(3)	LINE 3	MERCY HOSPITAL INC		No
(240) GLOBAL HEALTH MINISTRY 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-3068656	HEALTH CARE	PA	501(C)(3)	LINE 7	CATHOLIC HEALTH EAST		No
(241) INTRACOASTAL HEALTH SYSTEMS 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 65-0556413	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST		No
(242) CATHOLIC HEALTH EAST 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2929748	MANAGEMENT SERVICES	PA	501(C)(3)	LINE 11C, III-FI	CHE TRINITY INC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ADVENT REHABILITATION LLC 607 DEWEY AVENUE SUITE 300 GRAND RAPIDS,MI49504 38-3306673	REHABILITATION THERAPY SERVICES	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	522,525	547,468		No		Yes		50.000 %
(2) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(3) CENTER FOR DIGESTIVE CARE LLC 5300 ELLIOTT DRIVE YPSILANTI,MI48197 03-0447062	PROVIDE GASTROINTESTINAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	1,431,863	1,075,229		No			No	51.000 %
(4) CENTRAL OHIO SLEEP MEDICINE LTD 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1701029	SLEEP MEDICINE SERVICES	OH	N/A
(5) CLINTON IMAGING SERVICES LLC 615 VALLEY VIEW DR STE 202 MOLINE,IL61265 41-2044739	MRI DIAGNOSTIC SERVICES	IA	N/A
(6) FOREST PARK IMAGING LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A
(7) FRANCES WARDE MEDICAL LABORATORY 300 WEST TEXTILE ROAD ANN ARBOR,MI48104 38-2648446	LABORATORY	MI	TRINITY HEALTH-MICHIGAN	UNRELATED	142,470	914,524		No		Yes		66.670 %
(8) FRESNO IMAGING CENTER 1303 E HERNDON AVE FRESNO,CA93720 77-0363563	DIAGNOSTIC IMAGING	CA	N/A
(9) HAWARDEN REGIONAL HEALTH CLINICS LLC 1122 AVENUE L HAWARDEN,IA51023 20-1444339	MEDICAL CLINIC	IA	N/A
(10) IDAHO GYNONCOLOGY SERVICES LLC 1055 N CURTIS RD BOISE,ID83706 20-2975807	PROVIDE GYN ONCOLOGY SERVICES	ID	N/A
(11) INTERMOUNTAIN MEDICAL IMAGING LLC 877 WEST MAIN ST STE 603 BOISE,ID83702 82-0514422	PROVIDE IMAGING SERVICES	ID	N/A
(12) LOYOLA AMBULATORY SURGERY CENTER 3000 RIVERCHASE GALLERIA STE 500 BIRMINGHAM,AL35244 36-4119522	SURGICAL SERVICES	IL	N/A
(13) MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY,IA50401 42-1328388	MRI SERVICES	IA	N/A
(14) MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY,IA50401 20-1960348	SURGERY-SAME DAY	IA	N/A
(15) MCE MOB IV LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 42-1544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(16) MCMC POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1392994	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(17) MEDILUCENT MOB I 793 W STATE STREET COLUMBUS,OH43222 20-4911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(18) MERCY ADVANCED MRI LLC 2525 SOUTH MICHIGAN AVE CHICAGO,IL60616 26-2116721	SUBLEASE MRI EQUIPMENT	IL	N/A
(19) MERCY HEART & VASCULAR LLC 2525 SOUTH MICHIGAN AVE CHICAGO,IL60616 20-5272726	SUBLEASE CT EQUIPMENT	IL	N/A
(20) MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4237594	CARDIOVASCULAR SERVICES	IA	N/A
(21) MICHIANA HEALTH INFORMATION NETWORK LLC 215 WEST MADISON STREET SOUTH BEND,IN46601 35-2050128	COMMUNITY BASED CLINICAL INFO SYS & DATA DEPOSITORY	IN	N/A
(22) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(23) NEWCO AMBULATORY SURGERY CTR LLP 4190 24TH AVENUE FORT GRATIOT,MI48059 30-0136708	OUTPATIENT SURGERY CENTER	MI	TRINITY HEALTH-MICHIGAN DBA ST JOSEPH MERCY PORT HURON	RELATED	244,070	698,006		No		Yes		50.000 %
(24) SARMED OUTPATIENT PHARMACY LLC 999 N CURTIS RD STE 102 BOISE,ID83706 51-0483218	PHARMACY	ID	N/A
(25) SIXTY FOURTH STREET LLC 2373 64TH ST STE 2200 BYRON CENTER,MI49315 20-2443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	610,480	1,254,072		No			No	51.000 %
(26) ST ALPHONSUS CALDWELL CANCER CTR LLC 3123 MEDICAL DR CALDWELL,ID83605 82-0526861	RADIATION ONCOLOGY	ID	N/A
(27) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(28) TAMARACK MEDICAL CLINIC LLC 402 OLD STATE HWY CASCADE,ID83611 20-1637921	OUTPATIENT MEDICAL SERVICES	ID	N/A
(29) WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1784409	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(30) WOODLAND IMAGING CENTER LLC 5301 E HURON RIVER DR ANN ARBOR,MI48106 76-0820959	RADIOLOGY/IMAGING	MI	TRINITY HEALTH-MICHIGAN	RELATED	1,632,996	1,639,595		No			No	51.000 %
(31) ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVENUE STE 201 ALBANY,NY12206 46-0463892	OUTPATIENT SURGERY	NY	N/A
(32) CATHERINE HORAN BUILDING LIMITED PARTNERSHIP 1221 MAIN STREET ROOM 108 HOLYOKE,MA010400000 04-2723429	PROPERTY MANAGEMENT	MA	N/A
(33) WESTERN MASSACHUSETTS PETCT IMAGING CENTER LLC 100 BAYVIEW CIRCLE STE 400 NEWPORT BEACH,CA92660 20-4744663	OUTPATIENT MEDICAL SERVICES	DE	N/A
(34) CENTRAL NEW JERSEY HEART SERVICES LLC 29 E 29TH STREET 2ND FLOOR BAYONNE,NJ07002 20-8525458	CARDIAC PROGRAM	NJ	N/A
(35) SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 36-4559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A
(36) THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2871206	OUTPATIENT SURGERY	PA	N/A
(37) EAST NORRITON MEDICAL ASSOCIATES ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2319531	MEDICAL OFFICE BUILDING	PA	N/A
(38) GATEWAY HEALTH PLAN 300 GRANT STREET PITTSBURGH,PA15219 25-1691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA	N/A
(39) MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO,OH436990086 52-1931012	NURSING HOME	PA	N/A
(40) ST AGNES LONG TERM INTENSIVE CARE LLP C/O MERCY HEALTH SYSTEM ONE WEST EL CONSHOHOCKEN,PA19428 20-0984882	LONG TERM INTENSIVE CARE	PA	N/A
(41) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP C/O NAZARETH HOSPITAL 2601 HOLME AV PHILADELPHIA,PA19152 23-2388040	MEDICAL OFFICE BUILDING	PA	N/A
(42) SJV MANAGEMENT LLC 200 CENTURY PKWY STE 200E MOUNT LAUREL,NJ08054 20-2273476	RADIOLOGY	NJ	N/A
(43) PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK,FL33334 35-2325646	AMBULATORY SURGERY CENTER	FL	N/A
(44) CENTER FOR SURGERY & DIGESTIVE ORDERS 3641 SOUTH MIAMI AVENUE MIAMI,FL33133 51-0438152	OUTPATIENT MEDICAL SERVICES	FL	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) COMMUNITY HEALTH VENTURES INC 565 W WESTERN AVE MUSKEGON,MI49440 38-3522260	SOFTWARE MARKETING	MI	N/A	C					No
(2) GOTTLIEB MANAGEMENT SERVICES INC 701 W NORTH AVE MELROSE PARK,IL60160 36-3330529	MANAGEMENT SERVICES	IL	N/A	C					No
(3) HACKLEY HEALTH MANAGEMENT CENTER 1415 LEAHY ST MUSKEGON,MI49442 38-2961814	WEIGHT MANAGEMENT	MI	N/A	C					No
(4) HACKLEY HEALTH VENTURES INC 1415 LEAHY ST MUSKEGON,MI49442 38-2589959	OTHER MEDICAL SERVICES	MI	N/A	C					No
(5) HACKLEY HEALTHCARE EQUIPMENT 1415 LEAHY ST MUSKEGON,MI49442 38-2578569	HOME MEDICAL EQUIPMENT	MI	N/A	C					No
(6) HACKLEY PROFESSIONAL CENTER 1415 LEAHY ST MUSKEGON,MI49442 38-3024797	REAL ESTATE RENTAL	MI	N/A	C					No
(7) HACKLEY PROFESSIONAL PHARMACY 1415 LEAHY ST MUSKEGON,MI49442 38-2447870	PHARMACY	MI	N/A	C					No
(8) HEF INC 1415 LEAHY ST MUSKEGON,MI49442 38-3086401	OFFICE STAFFING	MI	N/A	C					No
(9) HOLY CROSS PRIVATE HOME SERVICES CORP 11801 TECH ROAD SILVER SPRING,MD20904 52-1986562	HOME CARE SERVICES	MD	N/A	C					No
(10) HPC CO-OWNERS ASSOCIATION 1700 CLINTON MUSKEGON,MI49442 27-0734448	CONDOMINIUM ASSOCIATION	MI	N/A	C					No
(11) 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	2,717,085	28,805,943	100.000 %	Yes
(12) IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3188895	MEDICAL MANAGEMENT	MI	N/A	C					No
(13) MARYLAND CARE GROUP INC 11801 TECH ROAD SILVER SPRING,MD20904 52-1815313	HEALTHCARE HOLDING	MD	N/A	C					No
(14) MEDNOW INC 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0389927	OUTPATIENT PHARMACY	ID	N/A	C					No
(15) MERCY MEDICAL SERVICES 801 5TH STREET SIOUX CITY,IA51101 42-1283849	PRIMARY CARE PHYSICIANS	IA	N/A	C					No
(16) MERCY SERVICES CORPORATION 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227348	DORMANT	IL	N/A	C					No
(17) MICHIGAN ATHLETIC CLUB 2500 BURTON GRAND RAPIDS,MI49546 38-2647304	ATHLETIC CLUB	MI	HURON ARBOR CORPORATION	C	-478,154	987,620	90.000 %	Yes
(18) MOUNT CARMEL HEALTH PROVIDERS INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1382442	MEDICAL SERVICES	OH	N/A	C					No
(19) NORTH IOWA MERCY MEDICAL SERVICES INC 1000 4TH ST SW MASON CITY,IA50401 42-1382308	MEDICAL SERVICES	IA	N/A	C					No
(20) PRIORITY PLUS OF CALIFORNIA PO BOX 27230 FRESNO,CA93729 77-0395267	FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS	CA	N/A	C					No
(21) SAINT ALPHONSUS PHYSICIANS PA 1055 NORTH CURTIS ROAD BOISE,ID837061370 33-1078261	PHYSICIANS	ID	N/A	C					No
(22) SAINT MARY'S HEALTH MANAGEMENT COMPANY 1640 EAST PARIS SE GRAND RAPIDS,MI49546 38-3450733	ATHLETIC CLUB	MI	TRINITY HEALTH-MICHIGAN	C	-822,924	5,415,806	100.000 %	Yes
(23) SURGERY CENTER FINANCING CORPORATION 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1531102	FINANCE, INSURANCE AND REAL ESTATE	OH	N/A	C					No
(24) THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 45-2603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C					No
(25) TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 38-3410377	GRANTOR TRUST	MI	N/A	T					No
(26) VENZKE INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN GRAND CAYMAN CJ 98-0453602	PROVISION OF INSURANCE COVERAGE	CJ	TRINITY HEALTH-MICHIGAN	C		379,067,023	100.000 %	Yes
(27) WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM 1820 44TH STREET SE KENTWOOD,MI49508 38-2700166	CONDOMINIUM ASSOCIATION	MI	N/A	C					No
(28) WESTSHORE HEALTH NETWORK 1820 44TH STREET KENTWOOD,MI49508 38-3280200	PHYSICIAN HOSPITAL ORGANIZATION	MI	TRINITY HEALTH-MICHIGAN	C	800,763	4,632,134	100.000 %	Yes
(29) WORKPLACE HEALTH OF GRAND HAVEN 1415 LEAHY ST MUSKEGON,MI49442 38-3112035	OCCUPATIONAL HEALTH	MI	N/A	C					No
(30) SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY,NY12180 14-1607244	REAL ESTATE	NY	N/A	C					No
(31) AFFILIATED MANAGEMENT SERVICES CORPORATION INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1668024	REAL ESTATE	NY	N/A	C					No
(32) CATHERINE HORAN BUILDING INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-2938160	BUILDING MANAGEMENT	MA	N/A	C					No
(33) DIVERSIFIED COMMUNITY SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-3128890	MEDICAL SERVICES	MA	N/A	C					No
(34) MERCY INPATIENT MEDICAL ASSOCIATES INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-3029929	MEDICAL SERVICES	MA	N/A	C					No
(35) PROVIDENCE HOME CARE INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-3317426	HEALTH CARE SERVICES	MA	N/A	C					No
(36) SYSTEM COORDINATED SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-2938181	LAB SERVICES	MA	N/A	C					No
(37) PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST 1221 MAIN STREET ROOM 108 HOLYOKE,MA010400000 04-6608649	PROPERTY MANAGEMENT	MA	N/A	C					No
(38) SJM PROPERTIES INC 411 CANISTEO STREET HORNELL,NY148482101 16-1294991	PROPERTY HOLDINGS	NY	N/A	C					No
(39) CARBONDALE AREA PHYSICIANS' ASSOCIATION PC 100 LINCOLN AVE CARBONDALE,PA18407 23-2801677	MEDICAL INSURANCE CONTRACTING	PA	N/A	C					No
(40) CARBONDALE AREA PHYSICIANS' PHO INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2801676	INACTIVE	PA	N/A	C					No
(41) CARBONDALE PHYSICIANS' SERVICES INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2365077	PHARMACY	PA	N/A	C					No
(42) CHESTNUT RISK SERVICES LTD 11 VICTORIA STREET HAMILTON BD	INSURANCE	BD	N/A	C					No
(43) LIFECARE PHYSICIANS PC 601 HAMILTON AVENUE TRENTON,NJ086291986 26-1649038	HEALTH CARE SERVICES	NJ	N/A	C					No
(44) MULTICARE PLUS INC 601 HAMILTON AVENUE TRENTON,NJ086291986 22-3435844	INACTIVE	NJ	N/A	C					No
(45) LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 25-3795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C					No
(46) LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2625981	GENERAL PARTNER OF LMOB PARTNERS,	PA	N/A	C					No
(47) GATEWAY HEALTH PLAN INC 600 GRANT STREET PITTSBURGH,PA15219 25-1505506	HEALTH CARE	PA	N/A	C					No
(48) GATEWAY HEALTH PLAN INC OF OHIO 600 GRANT STREET PITTSBURGH,PA15219 30-0282076	HEALTH CARE	PA	N/A	C					No
(49) MCMC EASTWICK INC C/O MHS ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C					No
(50) HEALTH MANAGEMENT SERVICES ORG INC 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3366580	HEALTH CARE BILLING	NJ	N/A	C					No
(51) LOURDES MEDEICAL ASSOCIATES PA 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3361862	MEDICAL SERVICES	NJ	N/A	C					No
(52) JEANNETTE MEDICAL PROVIDERS 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 25-1787334	HOLDING COMPANY	PA	N/A	C					No
(53) JEANNETTE OBGYN GROUP 1 INC 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 23-2890748	HOLDING COMPANY	PA	N/A	C					No
(54) JEANNETTE PRIMARY CARE GROUP 1 INC 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 23-2890743	HOLDING COMPANY	PA	N/A	C					No
(55) GEORGIA HEALTH ENTERPRISES LLC 1230 BAXTER STREET ATHENS,GA30606 54-1806329	HEALTHCARE	GA	N/A	C					No
(56) ST MARY'S HIGHLAND HILLS VILLAGE INC 1660 JENNINGS MILL PKLY BOGART,GA30622 58-2276801	ASSISTED LIVING	GA	N/A	C					No
(57) GHE PHYSICIANS PC 3500 PIEDMONT ROAD ATLANTA,GA30305 58-2277939	PRACTICE MANAGEMENT	GA	N/A	C					No
(58) NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE HIGHWA,FL333080000 59-1145192	MEDICAL SERVICES	FL	N/A	C					No
(59) MERCY PHYSICIAN GROUP INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 20-2970015	HEALTH CARE	FL	N/A	C					No
(60) STELLA MARIS INSURANCE COMPANY LIMITED PO BOX 69 GRAND CAYMAN,CAYMAN ISLANDSKY1-1102 CJ 98-0078266	INSURANCE	CJ	N/A	C					No
(61) CATHOLIC HEALTH EAST SENIOR SERVICES 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 37-1572595	SENIOR SERVICES	PA	N/A	C					No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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-s)	(c) Amount involved	(d) Method of determining amount involved
(1) TRINITY HEALTH CORPORATION	E	70,000,000	PER BOOKS
(2) TRINITY HEALTH CORPORATION	B	19,170,208	PER BOOKS
(3) TRINITY HEALTH CORPORATION	C	228,516	PER BOOKS
(4) TRINITY HEALTH CORPORATION	L	681,794	PER BOOKS
(5) TRINITY HEALTH CORPORATION	M	131,153,833	PER BOOKS
(6) TRINITY HEALTH CORPORATION	P	149,234,474	PER BOOKS
(7) TRINITY HEALTH CORPORATION	Q	1,031,362	PER BOOKS
(8) TRINITY HEALTH CORPORATION	R	39,298,472	PER BOOKS
(9) WOODLAND IMAGING CENTER LLC	K	541,155	PER BOOKS
(10) WOODLAND IMAGING CENTER LLC	L	1,041,927	PER BOOKS
(11) WOODLAND IMAGING CENTER LLC	M	4,471,843	PER BOOKS
(12) WOODLAND IMAGING CENTER LLC	C	1,842,537	PER TAX RETURN
(13) HURON ARBOR CORPORATION	K	3,138,747	PER BOOKS
(14) HURON ARBOR CORPORATION	L	1,444,178	PER BOOKS
(15) HURON ARBOR CORPORATION	Q	99,009	PER BOOKS
(16) ST MARY'S HEALTH MANAGEMENT COMPANY	B	925,000	PER BOOKS
(17) ST MARY'S HEALTH MANAGEMENT COMPANY	Q	108,301	PER BOOKS
(18) TRINITY CONTINUING CARE SERVICES	L	226,617	PER BOOKS
(19) HOSPICE OF WASHTENAW	L	134,598	PER BOOKS
(20) HOSPICE OF WASHTENAW	Q	111,932	PER BOOKS
(21) IHA HEALTH SERVICES CORPORATION	B	3,731,024	PER BOOKS
(22) IHA HEALTH SERVICES CORPORATION	L	2,428,770	PER BOOKS
(23) IHA HEALTH SERVICES CORPORATION	M	15,058,152	PER BOOKS
(24) IHA HEALTH SERVICES CORPORATION	P	362,349	PER BOOKS
(25) IHA HEALTH SERVICES CORPORATION	Q	5,304,892	PER BOOKS
(26) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	L	2,449,384	PER BOOKS
(27) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	M	27,060,226	PER BOOKS
(28) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	P	1,140,813	PER BOOKS
(29) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	Q	2,834,625	PER BOOKS
(30) MERCY HEALTH PARTNERS	L	2,878,747	PER BOOKS
(31) MERCY HEALTH PARTNERS	M	449,324	PER BOOKS
(32) MERCY HEALTH PARTNERS	Q	2,408,058	PER BOOKS
(33) HACKLEY HOSPITAL	M	150,760	PER BOOKS
(34) HACKLEY HOSPITAL	Q	903,830	PER BOOKS
(35) MOUNT CARMEL HEALTH SYSTEM	P	52,565	PER BOOKS
(36) NEWCO AMBULATORY SURGERY CTR LLP	L	3,216,284	PER BOOKS
(37) NEWCO AMBULATORY SURGERY CTR LLP	C	176,000	PER TAX RETURN
(38) SIXTY FOURTH STREET LLC	C	850,247	PER BOOKS
(39) TRINITY HOME HEALTH SERVICES INC	M	690,040	PER BOOKS
(40) TRINITY HOME HEALTH SERVICES INC	Q	51,907	PER BOOKS
(41) LAKESHORE COMMUNITY HOSPITAL INC	M	134,140	PER BOOKS
(42) LAKESHORE COMMUNITY HOSPITAL INC	Q	518,193	PER BOOKS
(43) CENTER FOR DIGESTIVE CARE LLC	C	995,601	PER TAX RETURN
(44) ADVENT REHABILITATION LLC	C	450,000	PER TAX RETURN
(45) MERCY HOSPITAL CADILLAC FOUNDATION	B	119,267	PER BOOKS
(46) MERCY HOSPITAL CADILLAC FOUNDATION	C	601,624	PER BOOKS
(47) MICHIGAN ATHLETIC CLUB	Q	116,425	PER BOOKS
(48) SAINT MARY'S FOUNDATION	C	812,091	PER BOOKS

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

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

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: HEALTH CARE SERVICES
2	Check this box
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 2011 (Part V, line 2a) ......	5	20,122
6	Total number of volunteers (estimate if necessary) .............	6	2,420
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	44,284,775
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-518,541

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	20,715,254	17,760,337
9	Program service revenue (Part VIII, line 2g) .........	2,295,921,306	2,321,925,909
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	21,215,855	46,159,381
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	76,992,243	89,948,230
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	2,414,844,658	2,475,793,857
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,478,755	1,573,554
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)	1,032,442,355	1,057,257,330
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	165,614	28,876
b	Total fundraising expenses (Part IX, column (D), line 25) 4,371,226
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,253,065,422	1,278,102,676
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,287,152,146	2,336,962,436
19	Revenue less expenses. Subtract line 18 from line 12.......	127,692,512	138,831,421
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,446,109,503	3,000,851,139
21	Total liabilities (Part X, line 26).............	1,213,866,974	1,301,210,075
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,232,242,529	1,699,641,064

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	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,166,572,274 including grants of $ 1,573,554 ) (Revenue $ 2,320,122,401 )
	TRINITY HEALTH - MICHIGAN OPERATED HOSPITALS IN 7 AREAS OF MICHIGAN THAT PROVIDED 502,648 DAYS OF HEALTHCARE SERVICES TO THEIR COMMUNITIES.THE MISSION STATEMENT OF TRINITY HEALTH - MICHIGAN IS AS FOLLOWS:WE, CHE TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.

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 expenses2,166,572,274

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,135,310	28,854,674	3,625,238

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a		108,672
b	Membership dues....1b
c	Fundraising events....1c		1,722,515
d	Related organizations...1d		231,716
e	Government grants (contributions)1e		3,376,996

f	All other contributions, gifts, grants, and similar amounts not included above1f		12,320,438

g	Noncash contributions included in lines 1a-1f:$		526,514
h	Total. Add lines 1a-1f.......			17,760,337
			Business Code
2a	NET PATIENT SVC REV		900099	2,240,339,007	2,240,339,007
b	PHARMACY REVENUE		446110	60,542,066		22,791,800	37,750,266
c	LABORATORY REVENUE		621500	21,044,836		21,044,836
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			2,321,925,909
3	Investment income (including dividends, interest, and other similar amounts).......			31,486,504			31,486,504
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	11,361,185
b	Less: rental expenses	14,061,708
c	Rental income or (loss)	-2,700,523
d	Net rental income or (loss).......			-2,700,523			-2,700,523
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	13,818,107	2,430,944
b	Less: cost or other basis and sales expenses	0	1,576,174
c	Gain or (loss)	13,818,107	854,770
d	Net gain or (loss)..........			14,672,877			14,672,877
8a	Gross income from fundraising events (not including $ 1,722,515 of contributions reported on line 1c). See Part IV, line 18 ..
	a		759,871
b	Less: direct expenses ...b		1,222,392
c	Net income or (loss) from fundraising events..			-462,521			-462,521
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		40,978
b	Less: direct expenses ...b		17,626
c	Net income or (loss) from gaming activities...			23,352			23,352
10a	Gross sales of inventory, less returns and allowances .
	a		3,515,954
b	Less: cost of goods sold ..b		1,858,888
c	Net income or (loss) from sales of inventory..			1,657,066			1,657,066
Miscellaneous Revenue			Business Code
11a	MEDICARE/MEDICAID HIT		900099	16,931,642	16,931,642
b	CAFETERIA REVENUE		900099	11,199,323			11,199,323
c	PROVIDER INCENTIVE		900099	3,798,385	3,798,385
d	All other revenue ....			59,501,506	59,053,367	448,139
e	Total. Add lines 11a–11d ......			91,430,856
12	Total revenue. See Instructions......			2,475,793,857	2,320,122,401	44,284,775	93,626,344


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			11,754,754	1	13,476,573
2	Savings and temporary cash investments .........			2,569,346	2	2,068,643
3	Pledges and grants receivable, net ...........			11,601,508	3	10,804,980
4	Accounts receivable, net .............			279,854,428	4	251,580,301
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			7,029,712	7	24,190,179
8	Inventories for sale or use ..............			34,246,486	8	37,335,081
9	Prepaid expenses and deferred charges ..........			9,873,081	9	15,230,738
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,680,669,640
b	Less: accumulated depreciation .....	10b	1,426,603,454	1,155,447,596	10c	1,254,066,186
11	Investments—publicly traded securities ..........			369,836,717	11	563,314,428
12	Investments—other securities. See Part IV, line 11 .....			588,998,271	12	529,193,813
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			32,123,701	14	31,939,271
15	Other assets. See Part IV, line 11 ...........			942,773,903	15	267,650,946
16	Total assets. Add lines 1 through 15 (must equal line 34)......			3,446,109,503	16	3,000,851,139
17	Accounts payable and accrued expenses .........			209,014,224	17	239,435,280
18	Grants payable .................				18
19	Deferred revenue ................			623,801	19	1,735,530
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other 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 ..			22,795,354	23	23,531,943
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			981,433,595	25	1,036,507,322
26	Total liabilities. Add lines 17 through 25.........			1,213,866,974	26	1,301,210,075
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			2,207,268,592	27	1,670,489,813
28	Temporarily restricted net assets ...........			12,288,809	28	15,883,496
29	Permanently restricted net assets ...........			12,685,128	29	13,267,755
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			2,232,242,529	33	1,699,641,064
34	Total liabilities and net assets/fund balances ........			3,446,109,503	34	3,000,851,139