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

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
TRINITY HEALTH CORPORATION
 
Doing Business As
TRINITY HEALTH
HOLY CROSS SHARED SERVICES
Number and street (or P.O. box if mail is not delivered to street address)
20555 VICTOR PARKWAY
 
Room/suite
City or town, state or country, and ZIP + 4
LIVONIA, MI481527018
D Employer identification number

35-1443425
E Telephone number

G Gross receipts $ 989,153,390
F Name and address of principal officer:
RICHARD GILFILLAN MD
20555 VICTOR PARKWAY
LIVONIA,MI481527018
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.TRINITY-HEALTH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1978
M State of legal domicile: IN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 3,827
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 634,975
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 88,616
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,000 0
9 Program service revenue (Part VIII, line 2g) ......... 736,393,572 761,092,281
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 135,412,942 172,598,551
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 266,361,678 55,452,558
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,138,173,192 989,143,390
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 941,431 874,513
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) 368,630,126 386,813,967
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 534,738,862 570,478,353
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 904,310,419 958,166,833
19 Revenue less expenses. Subtract line 18 from line 12....... 233,862,773 30,976,557
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 10,212,512,187 5,116,721,085
21 Total liabilities (Part X, line 26)............. 5,361,662,557 5,213,134,878
22 Net assets or fund balances. Subtract line 21 from line 20..... 4,850,849,630 -96,413,793
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 934,409,529 including grants of $ 874,513 ) (Revenue $ 815,909,864 )
TRINITY HEALTH CORPORATION'S PURPOSE IS TO GOVERN, MANAGE AND PROVIDE ADMINISTRATIVE SERVICES TO ITS FIRST TIER SUBSIDIARIES. THESE FIRST TIER SUBSIDIARIES ARE HOSPITAL ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3) AND PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. THE SERVICES PROVIDED BY TRINITY HEALTH CORPORATION ALLOW FOR ECONOMIES OF SCALE THAT IN TURN PERMIT THE SUBSIDIARIES TO PROVIDE HEALTHCARE SERVICES TO PATIENTS AT A REASONABLE COST.TRINITY HEALTH CORPORATION AND ITS SUBSIDIARIES, AND CATHOLIC HEALTH EAST AND ITS SUBSIDIARIES ARE COLLECTIVELY KNOWN AS CHE TRINITY HEALTH. TRINITY HEALTH WAS CREATED BY THE CONSOLIDATION OF TWO CATHOLIC HEALTHCARE SYSTEMS, HOLY CROSS HEALTH SYSTEM AND MERCY HEALTH SERVICES, ON MAY 1, 2000. ON MAY 1, 2013, CHE TRINITY WAS CREATED BY THE CONSOLIDATION OF TRINITY HEALTH AND CATHOLIC HEALTH EAST (CHE).THE MISSION STATEMENT OF CHE TRINITY HEALTH IS AS FOLLOWS: WE, CHE TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. COMMUNITY BENEFIT MINISTRYCONSISTENT WITH ITS MISSION, THE HOSPITALS THAT ARE PART OF TRINITY HEALTH PROVIDE MEDICAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, THE HOSPITALS PROVIDE SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED, INCLUDING THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE OR OTHER PAYMENTS SUCH AS COPAYS AND DEDUCTIBLES BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH THEY OPERATE.THE FOLLOWING SUMMARY HAS BEEN PREPARED IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES ("CHA"), A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT, 2012 EDITION. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF TRINITY HEALTH'S COMMUNITY BENEFIT MINISTRY FOR THE YEAR ENDED JUNE 30, 2013:MINISTRY FOR THE POOR AND UNDERSERVED (IN THOUSANDS):CHARITY CARE AT COST 183,482UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS 181,020PROGRAMS FOR THE POOR AND UNDERSERVED: COMMUNITY HEALTH SERVICES 19,451 SUBSIDIZED HEALTH SERVICES 34,950 FINANCIAL CONTRIBUTIONS 3,972 COMMUNITY BUILDING ACTIVITIES 1,792 COMMUNITY BENEFIT OPERATIONS 3,117 TOTAL PROGRAMS FOR THE POOR AND UNDERSERVED 63,282MINISTRY FOR THE POOR AND UNDERSERVED 427,784MINISTRY FOR THE BROADER COMMUNITY: COMMUNITY HEALTH SERVICES 7,858 HEALTH PROFESSIONS EDUCATION 85,840 SUBSIDIZED HEALTH SERVICES 23,624 RESEARCH 7,006 FINANCIAL CONTRIBUTIONS 25,895 COMMUNITY BUILDING ACTIVITIES 3,143 COMMUNITY BENEFIT OPERATIONS 1,871MINISTRY FOR THE BROADER COMMUNITY 155,237COMMUNITY BENEFIT MINISTRY 583,021MINISTRY FOR THE POOR AND UNDERSERVED REPRESENTS THE FINANCIAL COMMITMENT TO SEEK OUT AND SERVE THOSE WHO NEED HELP THE MOST, ESPECIALLY THE POOR, THE UNINSURED AND THE INDIGENT. THIS IS DONE WITH THE CONVICTION THAT HEALTHCARE IS A BASIC HUMAN RIGHT. MINISTRY FOR THE BROADER COMMUNITY REPRESENTS THE COST OF SERVICES PROVIDED FOR THE GENERAL BENEFIT OF THE COMMUNITIES IN WHICH TRINITY HEALTH HOSPITALS OPERATE. MANY PROGRAMS ARE TARGETED TOWARD POPULATIONS THAT MAY BE POOR, BUT ALSO INCLUDE THOSE AREAS THAT MAY NEED SPECIAL HEALTH SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT INTENDED TO BE FINANCIALLY SELF-SUPPORTING.CHARITY CARE AT COST REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO CANNOT AFFORD HEALTH CARE SERVICES DUE TO INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF TRINITY HEALTH HOSPITALS. THE COST OF CHARITY CARE IS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS REPRESENTS THE COST (DETERMINED USING A COST TO CHARGE RATIO) OF PROVIDING SERVICES TO BENEFICIARIES OF PUBLIC PROGRAMS, INCLUDING STATE MEDICAID AND INDIGENT CARE PROGRAMS, IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS.COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING. SOME EXAMPLES INCLUDE COMMUNITY HEALTH EDUCATION, FREE IMMUNIZATION SERVICES, FREE OR LOW COST PRESCRIPTION MEDICATIONS, AND RURAL AND URBAN OUTREACH PROGRAMS. TRINITY HEALTH HOSPITALS ACTIVELY COLLABORATE WITH COMMUNITY GROUPS AND AGENCIES TO ASSIST THOSE IN NEED IN PROVIDING SUCH SERVICES.HEALTH PROFESSIONS EDUCATION INCLUDES THE UNREIMBURSED COST OF TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, NURSING STUDENTS, TECHNICIANS AND STUDENTS IN ALLIED HEALTH PROFESSIONS.SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITALS. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN SUFFICIENT AMOUNT. EXAMPLES OF SERVICES INCLUDE FREE-STANDING COMMUNITY CLINICS, HOSPICE CARE, MOBILE UNITS, AND BEHAVIORAL HEALTH SERVICES.RESEARCH INCLUDES UNREIMBURSED CLINICAL AND COMMUNITY HEALTH RESEARCH AND STUDIES ON HEALTH CARE DELIVERY.FINANCIAL CONTRIBUTIONS ARE MADE BY THE HOSPITALS ON BEHALF OF THE POOR AND UNDERSERVED TO COMMUNITY AGENCIES. THESE AMOUNTS INCLUDE SPECIAL SYSTEM-WIDE FUNDS USED FOR CHARITABLE ACTIVITIES AS WELL AS RESOURCES CONTRIBUTED DIRECTLY TO PROGRAMS, ORGANIZATIONS, AND FOUNDATIONS FOR EFFORTS ON BEHALF OF THE POOR AND UNDERSERVED. AMOUNTS INCLUDED HERE ALSO REPRESENT CERTAIN IN-KIND DONATIONS.COMMUNITY BUILDING ACTIVITIES INCLUDE THE COSTS OF PROGRAMS THAT IMPROVE THE PHYSICAL ENVIRONMENT, PROMOTE ECONOMIC DEVELOPMENT, ENHANCE OTHER COMMUNITY SUPPORT SYSTEMS, DEVELOP LEADERSHIP SKILLS TRAINING, AND BUILD COMMUNITY COALITIONS.COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEEDS AND/OR ASSET ASSESSMENTS, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
CONTINUED IN SCHEDULE O
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet934,409,529
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
Yes
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II.......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
679
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,827
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IN , CA , OR
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletKIM SAXTON20555 VICTOR PARKWAYLIVONIAMI481527018 (734) 343-0844
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JOSEPH SWEDISH........................................................................
PRESIDENT & CEO THROUGH 3/13
 25.00
.......................30.00 		X   X       3,233,500 0 601,476
(2) JUDITH PERSICHILLI........................................................................
INTERIM PRES & CEO AS OF 5/13
 6.00
.......................49.00 		X   X       0 3,890,553 17,510
(3) LARRY WARREN........................................................................
DIR 3/13;INT CEO 3-4/13;INT COO 5/13
 45.00
.......................10.00 		X   X       25,000 0 0
(4) MARY MOLLISON CSA........................................................................
CHAIR THROUGH 4/13; DIR AS OF 5/13
 9.00
.......................7.00 		X   X       0 0 0
(5) MELANIE DREHER PHD RN........................................................................
V CHR THROUGH 4/13; CHAIR AS OF 5/13
 6.00
.......................10.00 		X   X       25,000 0 0
(6) BARBARA WHEELEY RSM........................................................................
VICE CHAIR AS OF 5/13
 3.00
.......................5.00 		X   X       0 0 0
(7) JAMES BENTLEY PHD........................................................................
DIRECTOR
 3.00
.......................3.00 		X           25,000 0 0
(8) SUZANNE BRENNAN CSC........................................................................
DIRECTOR
 3.00
.......................5.00 		X           0 0 0
(9) SARAH EAMES........................................................................
DIRECTOR THROUGH 4/13
 6.00
.......................0.00 		X           21,250 0 0
(10) UMA KOTAGAL MD........................................................................
DIRECTOR THROUGH 4/13
 6.00
.......................0.00 		X           14,250 0 0
(11) PAUL ROBERTSON........................................................................
DIRECTOR THROUGH 4/13
 6.00
.......................0.00 		X           21,250 0 0
(12) JOSE SANTILLAN........................................................................
DIRECTOR THROUGH 2/13
 6.00
.......................2.00 		X           22,750 0 0
(13) LINDA WERTHMAN RSM........................................................................
DIRECTOR
 3.00
.......................3.00 		X           0 0 0
(14) JOSEPH BETANCOURT MD........................................................................
DIRECTOR
 3.00
.......................3.00 		X           19,000 0 0
(15) MARY CATHERINE KARL CPA........................................................................
DIRECTOR AS OF 5/13
 3.00
.......................3.00 		X           0 0 0
(16) GEORGE PHILLIP........................................................................
DIRECTOR AS OF 5/13
 3.00
.......................3.00 		X           0 0 0
(17) KATHLEEN POPKO SP........................................................................
DIRECTOR AS OF 5/13
 3.00
.......................3.00 		X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) STANLEY URBAN........................................................................
DIRECTOR AS OF 5/13
 3.00
.......................5.00 		X           0 0 0
(19) ROBERTA WAITE EDD........................................................................
DIRECTOR AS OF 5/13
 3.00
.......................3.00 		X           0 0 0
(20) PAUL NEUMANN........................................................................
SECRETARY; EVP,& CHIEF LEGAL OFFICER
 34.00
.......................16.00 		    X       812,881 0 106,329
(21) AGNES HAGERTY........................................................................
ASST SEC THROUGH 4/13; DEP GENL CSL
 40.00
.......................10.00 		    X       368,657 0 54,774
(22) MICHAEL HEMSLEY........................................................................
ASST SEC AS OF 5/13,MANAGING COUNSEL
 6.00
.......................44.00 		    X       0 742,028 37,905
(23) JENNIFER BARNETT........................................................................
TREAS AS OF 5/13, EVP & INTERIM CFO
 6.00
.......................44.00 		    X       0 927,285 22,601
(24) BENJAMIN CARTER........................................................................
TREAS 4/13; ASST TREAS AS OF 5/13
 34.00
.......................16.00 		    X       799,303 0 112,810
(25) JAMES BOSSCHER........................................................................
ASST TREAS THROUGH 4/13;SVP TREASURY
 48.00
.......................2.00 		    X       586,570 0 91,437
(26) KEDRICK ADKINS........................................................................
PRES., INTEGRATED SYS THROUGH 6/13
 25.00
.......................30.00 		      X     1,821,619 0 126,167
(27) DEBRA CANALES........................................................................
EVP, CHIEF CULTURE & TALENT OFFICER
 50.00
.......................0.00 		      X     852,044 0 102,033
(28) DANIEL HALE........................................................................
EVP,INSTITUTE OF HLTH & COMM BENEFIT
 50.00
.......................0.00 		      X     856,049 0 63,490
(29) RICHARD O'CONNELL........................................................................
EVP & PRES. TRINITY HEALTH DIV.
 25.00
.......................30.00 		      X     1,036,410 0 130,423
(30) TERRENCE O'ROURKE MD........................................................................
EVP CLINICAL TRANSFORMATION
 50.00
.......................0.00 		      X     964,005 0 56,964
(31) DONALD BIGNOTTI........................................................................
SVP, CHIEF MED OFFICER
 50.00
.......................0.00 		      X     577,131 0 76,500
(32) PAUL CONLON........................................................................
SVP, CLINICAL QLTY & PATIENT SAFETY
 50.00
.......................0.00 		      X     488,655 0 114,364
(33) DANIEL DWYER........................................................................
SVP,MISSION INTEGRATION THROUGH 6/13
 50.00
.......................0.00 		      X     381,910 0 42,434
(34) LOUIS FIERENS........................................................................
SVP, SUPPLY CHAIN MANAGEMENT
 50.00
.......................0.00 		      X     518,640 0 68,929
(35) PRESTON GEE........................................................................
SVP, STRATEGIC PLANNING & MKTG
 50.00
.......................0.00 		      X     468,475 0 79,749
(36) REBECCA HAVLISCH........................................................................
SVP, INSURANCE & RISK MGMT SVCS
 50.00
.......................0.00 		      X     480,932 0 93,422
(37) MICHAEL HOLPER........................................................................
SVP, INTEGRITY & AUDIT SERVICES
 50.00
.......................0.00 		      X     450,005 0 94,299
(38) GAY LANDSTROM........................................................................
SVP, CHIEF NURSING OFFICER
 50.00
.......................0.00 		      X     488,290 0 111,109
(39) MARCUS SHIPLEY........................................................................
SVP, CHIEF INFORMATION OFFICER
 50.00
.......................0.00 		      X     493,608 0 33,916
(40) MARIA SZYMANSKI........................................................................
SVP &CHIEF DEV. OFFICER THROUGH 1/13
 50.00
.......................0.00 		      X     624,384 0 76,589
(41) LARRY GOLDBERG........................................................................
PRES & CEO, LOYOLA UNIV HLTH SYS
 1.00
.......................49.00 		        X   1,106,137 0 103,495
(42) GARRY FAJA........................................................................
REG MKT EXEC - EAST MICH.
 1.00
.......................49.00 		        X   969,031 0 84,796
(43) CLAUS VON ZYCHLIN........................................................................
PRES & CEO, MCHS, COLUMBUS
 1.00
.......................49.00 		        X   968,943 0 106,255
(44) SALLY JEFFCOAT........................................................................
PRES & CEO, IDAHO/OREGON
 1.00
.......................49.00 		        X   750,004 0 99,876
(45) KEVIN SEXTON........................................................................
PRES & CEO, MARYLAND REGION
 1.00
.......................49.00 		        X   724,731 0 132,576
(46) MARIANNE CUNNINGHAM........................................................................
FORMER OFFICER, DIRECTOR INVESTMENTS
 45.00
.......................0.00 		          X 165,279 0 32,527
(47) MICHAEL MURPHY........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................0.00 		          X 180,882 0 16,630
(48) PAUL BROWNE........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................0.00 		          X 480,030 0 41,852
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 21,821,605 5,559,866 2,933,237
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet641
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CERNER CORPORATIONPO BOX 412702KANSAS CITYMO64141 SOFTWARE CONSULTING 36,823,515
MCKESSON INFORMATION SOLUTIONSPO BOX 98347CHICAGOIL60693 CONSULTING 16,928,941
WORLD WIDE TECHNOLOGY60 WELDON PARKWAYST LOUISMO63043 SOFTWARE SERVICES 8,793,661
ACCENTURE LLPPO BOX 70629CHICAGOIL60673 SOFTWARE CONSULTING 6,524,060
ORACLE CORPORATION500 ORACLE PARKWAYREDWOOD SHORESCA94065 SOFTWARE SERVICES 5,826,567
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet272
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service Revenue Business Code
2a SUBSIDIARY FEES 900099 761,092,281 761,092,281    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 761,092,281
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 149,751,707     149,751,707
4 Income from investment of tax-exempt bond proceeds..MediumBullet 3,289     3,289
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 22,853,555  
b Less: cost or other basis and sales expenses 0 10,000
c Gain or (loss) 22,853,555 -10,000
d Net gain or (loss)..........MediumBullet 22,843,555     22,843,555
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a OTHER REVENUE 900099 54,817,583 54,817,583    
b SVCS TO UNRELATED ORGS 541519 634,879   634,879  
c PARTNERSHIP UBI 900099 96   96  
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 55,452,558
12 Total revenue. See Instructions......MediumBullet 989,143,390 815,909,864 634,975 172,598,551
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
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 21 874,513 874,513
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
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 .... 18,117,492   18,117,492  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 197,806   197,806  
7 Other salaries and wages 286,338,608 286,338,608    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 19,804,339 19,804,339    
9 Other employee benefits ....... 42,536,817 42,536,817    
10 Payroll taxes ........... 19,818,905 19,818,905    
11 Fees for services (non-employees):        
a Management ...... 2,375,904 2,375,904    
b Legal ......... 2,329,988   2,329,988  
c Accounting ........... 2,826,018   2,826,018  
d Lobbying ........... 286,000   286,000  
e Professional fundraising services. See Part IV, line 17    
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) ........ 52,223,295 52,223,295    
12 Advertising and promotion .... 628,312 628,312    
13 Office expenses ....... 30,574,958 30,574,958    
14 Information technology ...... 98,576,851 98,576,851    
15 Royalties ..        
16 Occupancy ........... 5,752,347 5,752,347    
17 Travel ............ 7,052,746 7,052,746    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 3,706,837 3,706,837    
20 Interest ........... 111,124,866 111,124,866    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 90,756,538 90,756,538    
23 Insurance .............. 58,821,075 58,821,075    
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 EQUIPMENT MAINTENANCE 63,065,416 63,065,416    
b RESTRUCTURING EXPENSE 16,949,821 16,949,821    
c CONTRACT LABOR EXPENSES 12,988,775 12,988,775    
d OTHER 10,438,606 10,438,606    
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 958,166,833 934,409,529 23,757,304 0
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 2,317,620 1 242,044
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 24,637,574 4 660,635
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 ............. 3,056,167,659 7 3,217,985,512
8 Inventories for sale or use .............. 5,257 8  
9 Prepaid expenses and deferred charges .......... 29,347,939 9 45,169,101
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 711,230,532
b Less: accumulated depreciation ..... 10b 354,146,263 317,793,520 10c 357,084,269
11 Investments—publicly traded securities .......... 512,497,566 11 733,984,924
12 Investments—other securities. See Part IV, line 11 ..... 653,670,576 12 627,679,025
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 5,616,074,476 15 133,915,575
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 10,212,512,187 16 5,116,721,085
Liabilities 17 Accounts payable and accrued expenses ......... 1,241,452,306 17 1,073,203,843
18 Grants payable .................   18  
19 Deferred revenue ................ 189,633 19 193,567
20 Tax-exempt bond liabilities ............. 3,086,134,883 20 3,030,986,656
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 ..   23  
24 Unsecured notes and loans payable to unrelated third parties .... 134,988,988 24 368,922,593
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.................... 898,896,747 25 739,828,219
26 Total liabilities. Add lines 17 through 25......... 5,361,662,557 26 5,213,134,878
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 4,850,761,504 27 -96,502,398
28 Temporarily restricted net assets ........... 88,126 28 88,605
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 4,850,849,630 33 -96,413,793
34 Total liabilities and net assets/fund balances ........ 10,212,512,187 34 5,116,721,085
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
989,143,390
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
958,166,833
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
30,976,557
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
4,850,849,630
5
Net unrealized gains (losses) on investments ...............
5
82,311,293
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-5,060,551,273
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-96,413,793
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

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

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
No
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
(A) TRINITY HEALTH - MICHIGAN
  		382113393 3 Yes   Yes   Yes   143,216
(B) HOLY CROSS HOSPITAL OF SILVER SPRING INC
  		520738041 3 Yes   Yes   Yes   36,400
(C) HOSP SUBS MCHS
  		311439334 3 Yes   Yes   Yes   12,000
(D) HOSP SUBS SJRMC
  		351568821 3 Yes   Yes   Yes   20,800
(E) HOSP SUBS SAHS
  		271929502 3 Yes   Yes   Yes   75,507
(F) SAINT AGNES MEDICAL CENTER
  		941437713 3 Yes   Yes   Yes   3,200
(G) MERCY HEALTH SERVICES - IOWA CORP
  		311373080 3 Yes   Yes   Yes   36,800
(H) HOSP SUBS MHP
  		382589966 3 Yes   Yes   Yes   51,859
(I) HOSP SUBS M CHICAGO
  		363163327 3 Yes   Yes   Yes   0
(J) HOSP SUBS LUHS
  		363342448 3 Yes   Yes   Yes   50,132,908
Total                 50,512,690

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
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) right arrow (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) right arrow (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).            
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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
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) right arrow (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) right arrow (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
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:  
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 CORPORATION
 
Employer identification number

35-1443425
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

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

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

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










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

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

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 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


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)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
 
e
Publications, or published or broadcast statements? .......................
Yes
 
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
342,000
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
 
i
Other activities? ..........................
Yes
 
708,000
j
Total. Add lines 1c through 1i ...............................
1,050,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) 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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; 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: INSPIRED BY TRINITY HEALTH'S MISSION, TRINITY HEALTH ADVOCACY LEVERAGES MINISTRY EXPERIENCES TO INFLUENCE POLICY SOLUTIONS THAT TRANSFORM THE HEALTH CARE SYSTEM. "TRINITY HEALTH WILL BE CHARACTERIZED BY A DEMONSTRATED COMMITMENT TO PERSONS WHO ARE POOR AND UNDERSERVED... WORKING TO ASSURE ACCESS, RECOGNITION OF HEALTH AS A BASIC SOCIAL RIGHT, AND EFFECTIVE ADVOCACY." - TRINITY HEALTH FOUNDING PRINCIPLES, 2000 AS A CATHOLIC HEALTH MINISTRY, WE ARE CALLED BOTH TO SERVE AND TO TRANSFORM. WE SERVE PEOPLE AND COMMUNITIES IN NEED, ESPECIALLY THE POOR AND UNDERSERVED. WE ALSO SEEK TO TRANSFORM SYSTEMS OF CARE AND POLICIES TO CREATE JUSTICE FOR ALL. ADVOCACY AT TRINITY HEALTH SUPPORTS BOTH OF THESE FOUNDATIONAL ELEMENTS OF OUR FAITH-BASED MISSION. WE ADVOCATE FOR POLICIES THAT SUPPORT OUR CAPACITY TO SERVE OTHERS (E.G., MEDICARE PAYMENTS). WE ALSO ADVOCATE FOR FUNDAMENTAL CHANGE, TO TRANSFORM, BY SEEKING ACCESS TO HEALTHCARE FOR ALL. OUR 2013 FEDERAL AND STATE ADVOCACY GOALS INCLUDE: - 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 DURING FY13, TRINITY HEALTH CONTINUED ITS "LEAD THE WAY" INITIATIVE WHICH BEGAN TWO YEARS AGO: THROUGH ITS LEAD THE WAY CAMPAIGN, TRINITY HEALTH IS ENCOURAGING OUR NATION'S LEADERS TO WORK TOWARD A SYSTEM THAT PROVIDES AFFORDABLE COVERAGE AND HIGH-VALUE, COORDINATED CARE TO EVERY PATIENT. OUR NETWORK OF HEALTH CARE PROVIDERS JOINS US WHILE, AT THE SAME TIME, CONTINUING TO IMPLEMENT EVIDENCE-BASED PRACTICES THAT ALLOW THEM TO ACHIEVE WHAT THEY SET OUT TO DO WHEN THEY FIRST CHOSE THIS CAREER --- DELIVER THE BEST POSSIBLE CARE. ALIGNED WITH THE CATHOLIC HEALTH ASSOCIATION'S AND THE AMERICAN HOSPITAL ASSOCIATION'S VIEWS ON THE ACA, TRINITY HEALTH'S ADVOCACY EFFORTS KEEP US MOVING FORWARD EVERY DAY TO EDUCATE, INFORM AND SERVE AS A RESOURCE TO EMPLOYEES, PATIENTS, AFFILIATED CLINICIANS AND CAREGIVERS, THE GENERAL PUBLIC AND POLICYMAKERS, AS WELL. WE SHARE OUR KNOWLEDGE OF --- AND EXPERIENCE WITH --- WHAT WORKS IN: - DEVELOPING JOINT ACCOUNTABILITY FOR HEALTH OUTCOMES - IMPLEMENTING EFFECTIVE TECHNOLOGIES FOR THE ADVANCEMENT OF ELECTRONIC HEALTH RECORDS LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH CORPORATION INCLUDED: - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICIALS - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON FOR EACH MINISTRY ORGANIZATION OF TRINITY HEALTH - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. - LEGISLATOR VISITS TO MINISTRY ORGANIZATIONS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION (CHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) - ADVOCACY ACTION DAYS AT THE FEDRAL LEVEL, ATTENDED BY TRINITY HEALTH EXECUTIVES AND EXECUTIVES REPRESENTING THE MEMBER HOSPITALS OF TRINITY HEALTH.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 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 CORPORATION
 
Employer identification number

35-1443425
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a 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.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
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.
1a
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.
b
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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part 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 ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   19,946,658 19,946,658
b Buildings ................   12,111,104 7,303,308 4,807,796
c Leasehold improvements ............        
d Equipment ................   635,130,858 346,842,955 288,287,903
e Other .................   44,041,912   44,041,912
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 357,084,269
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 		184,859,554 F

(B) INTEREST RATE SWAP AGREEMENTS 		23,804,481 F

(C) EQUITY METHOD INVESTMENTS (AT COST) 		221,831,465 C

(D) HEDGE FUNDS 		197,183,525 F





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 627,679,025
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
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 19,084,033
INTERCOMPANY OTHER LONG TERM LIABILITIES 332,584,904
DEFERRED COMPENSATION LIABILITY 19,008,121
SECURITY LENDING OBLIGATION 90,870,894
ASSET RETIREMENT OBLIGATION (FIN 47) 976,784
OTHER LONG TERM LIABILITIES 227,974,956
OTHER CURRENT LIABILITIES 48,953,355
LEASE OBLIGATION 375,172

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 739,828,219
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

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
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 20,976,485
CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS   888,515,020
EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS   35,845,740
EUROPE 0 0 INVESTMENTS   106,930,996
NORTH AMERICA 0 0 INVESTMENTS   139,405,260
SOUTH AMERICA 0 0 INVESTMENTS   9,162,028
SUB-SAHARAN AFRICA 0 0 INVESTMENTS   270,778
MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS   5,837,926
RUSSIA AND THE NEWLY INDEPENDENT STATES 0 0 INVESTMENTS   6,084,596
SOUTH ASIA 0 0 INVESTMENTS   417,634
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 1,206,944,233
b Total from continuation sheets to Part I ... 0 0 6,502,230
c Totals (add lines 3a and 3b) 0 0 1,213,446,463
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
Additional Data


Software ID:  
Software Version:  



Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. 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) NATIONAL ASSOCIATION OF CATHOLIC CHAPLAINS
4915 S HOWELL AVE STE 501
MILWAUKEE,WI53207 		39-1368967 RELIGIOUS 5,000       GENERAL SUPPORT
(2) DETROIT SYMPHONY ORCHESTRA
3711 WOODWARD AVE
DETROIT,MI48201 		38-1385132 501(C)(3) 5,000       COMMUNITY WELFARE
(3) NATIONAL ASSOC OF HEALTH SVCS EXECS
1050 CONNECTICUT AVE
WASHINGTON,DC20036 		62-1312239 501(C)(3) 25,500       GENERAL SUPPORT
(4) MIGRANT HEALTH PROMOTION INC
2111 GOLFSIDE DRIVE
YPSILANTI,MI48197 		38-3092194 501(C)(3) 22,500       COMMUNITY WELFARE
(5) COMMUNITY HEALTH LEADERSHIP NETWORK DBA COMMUNITIES JOINED IN ACTION
1910 4TH AVE E PMB 212
OLYMPIA,WA98506 		52-2305386 501(C)(3) 20,000       GENERAL SUPPORT
(6) TRINITY COMMUNITY SERVICES AND EDUCATIONAL FOUNDATION
1234 PORTER STREET
DETROIT,MI48226 		38-3129349 501(C)(3) 5,000       SUPPORT ST FRANCES CABRINI CLINIC
(7) ENROLL AMERICA
1201 NEW YORK AVE NW 1100
WASHINGTON,DC20005 		27-1661221 501(C)(3) 50,000       COMMUNITY WELFARE
(8) FELICIAN SISTERS OSF OF LIVONIA
14501 LEVAN ROAD
LIVONIA,MI48154 		38-1359255 RELIGIOUS 5,000       COMMUNITY WELFARE
(9) NETWORK
25 E STREET NW SUITE 200
WASHINGTON,DC20001 		52-0984255 501(C)(4) 20,000       COMMUNITY WELFARE
(10) JOY SOUTHFIELD COMMUNITY DEVELOPMENT CORPORATION
18917 JOY ROAD
DETROIT,MI48228 		38-3622930 501(C)(3) 5,000       COMMUNITY WELFARE
(11) MERCY HOUSING INC
1999 BROADWAY STE 1000
DENVER,CO80202 		47-0646706 501(C)(3) 15,000       COMMUNITY WELFARE
(12) MERCY PRIMARY CARE CENTER
5555 CONNER-STE 2691
DETROIT,MI48213 		38-2113393 501(C)(3) 6,500       COMMUNITY WELFARE
(13) MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREET
COLUMBUS,OH43213 		31-1113966 501(C)(3) 37,500       COMMUNITY WELFARE - CALL TO CARE GRANT
(14) TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY
LIVONIA,MI48152 		38-2113393 501(C)(3) 136,716       COMMUNITY WELFARE - CALL TO CARE GRANT AND SAFETY GRANT
(15) MERCY HEALTH PARTNERS
1415 LEAHY ST
MUSKEGON,MI49422 		38-2589966 501(C)(3) 12,500       COMMUNITY WELFARE - CALL TO CARE GRANT
(16) MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW
MASON CITY,IA50401 		31-1373080 501(C)(3) 36,800       COMMUNITY WELFARE - CALL TO CARE GRANT AND SAFETY GRANT
(17) LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE
MAYWOOD,IL60153 		36-4015560 501(C)(3) 222,367       COMMUNITY WELFARE - SAFETY GRANT
(18) GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVENUE
MELROSE PARK,IL60160 		36-2379649 501(C)(3) 12,400       COMMUNITY WELFARE - SAFETY GRANT
(19) SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD
BOISE,ID83706 		27-1929502 501(C)(3) 71,107       COMMUNITY WELFARE - SAFETY GRANT
(20) SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY
MISHAWAKA,IN46545 		35-1568821 501(C)(3) 20,800       COMMUNITY WELFARE - SAFETY GRANT
(21) MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREET
COLUMBUS,OH43213 		31-1439334 501(C)(3) 12,000       COMMUNITY WELFARE - SAFETY GRANT
(22) HACKLEY HOSPITAL
1700 CLINTON STREET
MUSKEGON,MI49443 		38-1358196 501(C)(3) 39,359       COMMUNITY WELFARE - SAFETY GRANT
(23) HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD
SILVER SPRING,MD20910 		52-0738041 501(C)(3) 36,400       COMMUNITY WELFARE - SAFETY GRANT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
22
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

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












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 CORPORATION TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. TRINITY HEALTH ALSO HAS ESTABLISHED A "CALL TO CARE" PROGRAM. THE PROGRAM STRIVES TO ELIMINATE BARRIERS TO HEALTHCARE, EXPAND ACCESS TO HEALTH SERVICES, AND BUILD HEALTHIER COMMUNITIES. MEMBER ORGANIZATIONS OF THE TRINITY HEALTH SYSTEM MAY APPLY TO THIS FUND FOR GRANTS TO SUPPORT NEEDS WITHIN THEIR COMMUNITIES THAT HAVE BEEN IDENTIFIED BY THEIR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the 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.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)JOSEPH SWEDISHPRESIDENT & CEO THROUGH 3/13 (i)
(ii)		 1,402,192
0 		786,411
0 		1,044,897
0 		572,762
0 		28,714
0 		3,834,976
0 		520,902
0
(2)JUDITH PERSICHILLIINTERIM 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,& CHIEF LEGAL OFFICER (i)
(ii)		 494,416
0 		202,805
0 		115,660
0 		77,823
0 		28,506
0 		919,210
0 		0
0
(4)AGNES HAGERTYASST SEC THROUGH 4/13; DEP GENL CSL (i)
(ii)		 344,298
0 		0
0 		24,359
0 		39,568
0 		15,206
0 		423,431
0 		0
0
(5)MICHAEL HEMSLEYASST SEC AS OF 5/13,MANAGING COUNSEL (i)
(ii)		 0
442,172 		0
102,531 		0
197,325 		0
11,250 		0
26,655 		0
779,933 		0
0
(6)JENNIFER BARNETTTREAS AS OF 5/13, EVP & INTERIM CFO (i)
(ii)		 0
544,376 		0
209,584 		0
173,325 		0
11,250 		0
11,351 		0
949,886 		0
0
(7)BENJAMIN CARTERTREAS 4/13; ASST TREAS AS OF 5/13 (i)
(ii)		 523,380
0 		202,878
0 		73,045
0 		80,824
0 		31,986
0 		912,113
0 		0
0
(8)JAMES BOSSCHERASST TREAS THROUGH 4/13;SVP TREASURY (i)
(ii)		 333,362
0 		135,303
0 		117,905
0 		78,514
0 		12,923
0 		678,007
0 		13,830
0
(9)KEDRICK ADKINSPRES., INTEGRATED SYS THROUGH 6/13 (i)
(ii)		 784,856
0 		366,716
0 		670,047
0 		112,792
0 		13,375
0 		1,947,786
0 		265,335
0
(10)DEBRA CANALESEVP, CHIEF CULTURE & TALENT OFFICER (i)
(ii)		 508,488
0 		236,816
0 		106,740
0 		82,290
0 		19,743
0 		954,077
0 		22,307
0
(11)DANIEL HALEEVP,INSTITUTE OF HLTH & COMM BENEFIT (i)
(ii)		 527,004
0 		213,622
0 		115,423
0 		42,104
0 		21,386
0 		919,539
0 		24,468
0
(12)RICHARD O'CONNELLEVP & PRES. TRINITY HEALTH DIV. (i)
(ii)		 607,209
0 		284,428
0 		144,773
0 		97,104
0 		33,319
0 		1,166,833
0 		0
0
(13)TERRENCE O'ROURKE MDEVP CLINICAL TRANSFORMATION (i)
(ii)		 548,590
0 		254,064
0 		161,351
0 		24,584
0 		32,380
0 		1,020,969
0 		0
0
(14)DONALD BIGNOTTISVP, CHIEF MED OFFICER (i)
(ii)		 393,463
0 		122,033
0 		61,635
0 		60,445
0 		16,055
0 		653,631
0 		0
0
(15)PAUL CONLONSVP, CLINICAL QLTY & PATIENT SAFETY (i)
(ii)		 308,921
0 		120,954
0 		58,780
0 		88,694
0 		25,670
0 		603,019
0 		7,849
0
(16)DANIEL DWYERSVP,MISSION INTEGRATION THROUGH 6/13 (i)
(ii)		 241,255
0 		90,773
0 		49,882
0 		17,500
0 		24,934
0 		424,344
0 		4,188
0
(17)LOUIS FIERENSSVP, SUPPLY CHAIN MANAGEMENT (i)
(ii)		 329,192
0 		133,901
0 		55,547
0 		53,208
0 		15,721
0 		587,569
0 		9,499
0
(18)PRESTON GEESVP, STRATEGIC PLANNING & MKTG (i)
(ii)		 298,570
0 		117,923
0 		51,982
0 		49,970
0 		29,779
0 		548,224
0 		0
0
(19)REBECCA HAVLISCHSVP, INSURANCE & RISK MGMT SVCS (i)
(ii)		 303,452
0 		124,418
0 		53,062
0 		70,612
0 		22,810
0 		574,354
0 		7,387
0
(20)MICHAEL HOLPERSVP, INTEGRITY & AUDIT SERVICES (i)
(ii)		 292,196
0 		109,035
0 		48,774
0 		69,949
0 		24,350
0 		544,304
0 		5,807
0
(21)GAY LANDSTROMSVP, CHIEF NURSING OFFICER (i)
(ii)		 315,964
0 		120,199
0 		52,127
0 		89,499
0 		21,610
0 		599,399
0 		7,079
0
(22)MARCUS SHIPLEYSVP, CHIEF INFORMATION OFFICER (i)
(ii)		 356,163
0 		50,000
0 		87,445
0 		25,439
0 		8,477
0 		527,524
0 		0
0
(23)MARIA SZYMANSKISVP &CHIEF DEV. OFFICER THROUGH 1/13 (i)
(ii)		 429,715
0 		159,037
0 		35,632
0 		60,935
0 		15,654
0 		700,973
0 		20,460
0
(24)LARRY GOLDBERGPRES & CEO, LOYOLA UNIV HLTH SYS (i)
(ii)		 733,169
0 		204,410
0 		168,558
0 		89,568
0 		13,927
0 		1,209,632
0 		0
0
(25)GARRY FAJAREG MKT EXEC - EAST MICH. (i)
(ii)		 550,115
0 		201,021
0 		217,895
0 		63,874
0 		20,922
0 		1,053,827
0 		107,922
0
(26)CLAUS VON ZYCHLINPRES & CEO, MCHS, COLUMBUS (i)
(ii)		 531,768
0 		185,298
0 		251,877
0 		78,363
0 		27,892
0 		1,075,198
0 		125,619
0
(27)SALLY JEFFCOATPRES & CEO, IDAHO/OREGON (i)
(ii)		 488,811
0 		186,812
0 		74,381
0 		75,635
0 		24,241
0 		849,880
0 		0
0
(28)KEVIN SEXTONPRES & CEO, MARYLAND REGION (i)
(ii)		 502,382
0 		165,826
0 		56,523
0 		99,608
0 		32,968
0 		857,307
0 		24,022
0
(29)MARIANNE CUNNINGHAMFORMER OFFICER, DIRECTOR INVESTMENTS (i)
(ii)		 164,476
0 		0
0 		803
0 		13,596
0 		18,931
0 		197,806
0 		0
0
(30)MICHAEL MURPHYFORMER KEY EMPLOYEE (i)
(ii)		 139,488
0 		0
0 		41,394
0 		4,650
0 		11,980
0 		197,512
0 		0
0
(31)PAUL BROWNEFORMER KEY EMPLOYEE (i)
(ii)		 243,006
0 		185,010
0 		52,014
0 		28,955
0 		12,897
0 		521,882
0 		21,648
0
Schedule J (Form 990) 2012

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 1A THE FOLLOWING INDIVIDUAL RECEIVED REIMBURSEMENT OF COMPANION TRAVEL EXPENSES DURING CALENDAR 2012: GARRY FAJA - $74 THIS AMOUNT WAS INCLUDED IN MR. FAJA'S TAXABLE INCOME AND IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II. THE FOLLOWING INDIVIDUAL RECEIVED A TAX GROSS-UP PAYMENT DURING CALENDAR 2012: LARRY GOLDBERG - $14,485 THIS AMOUNT WAS INCLUDED IN MR. GOLDBERG'S TAXABLE INCOME AND IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT OR REIMBURSEMENT OF HOUSING EXPENSES DURING CALENDAR 2012: PRESTON GEE - $5,216 PAUL NEUMANN - $48,882 RICHARD O'CONNELL - $38,739 TERRENCE O'ROURKE - $34,762 JOSEPH SWEDISH - $38,299 THESE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S TAXABLE INCOME AND ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II.
  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 DONALD BIGNOTTI - $37,120 JAMES BOSSCHER - $47,142 PAUL BROWNE - $9,066 DEBRA CANALES - $60,671 BENJAMIN CARTER - $60,824 PAUL CONLON - $42,044 GARRY FAJA - $14,846 LOUIS FIERENS - $33,235 PRESTON GEE - $30,120 LARRY GOLDBERG - $77,068 REBECCA HAVLISCH - $41,067 MICHAEL HOLPER - $38,052 SALLY JEFFCOAT - $55,635 GAY LANDSTROM - $42,860 PAUL NEUMANN - $57,823 RICHARD O'CONNELL - $77,104 KEVIN SEXTON - $68,410 MARCUS SHIPLEY - $12,910 JOSEPH SWEDISH - $543,977 MARIA SZYMANSKI - $21,247 CLAUS VON ZYCHLIN - $58,363 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 MICHAEL HEMSLEY - $177,120 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.
  PART I, LINE 7 EXECUTIVE MANAGEMENT EMPLOYED BY TRINITY HEALTH ARE COMPENSATED UNDER A MULTI-TIERED, GOAL-BASED PROGRAM WHICH INCLUDES BASE PAY AND A VARIABLE PORTION. THE VARIABLE PORTION IS REFERRED TO AS "AT RISK COMPENSATION". EACH OF THE ELIGIBLE MEMBERS OF EXECUTIVE MANAGEMENT IS ASSIGNED PERFORMANCE GOALS ALIGNED WITH ORGANIZATIONAL STRATEGIC GOALS. EACH GOAL HAS MINIMUM THRESHOLD CRITERIA, TARGET CRITERIA AND A MAXIMUM.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
  		80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
  		52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
  		68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
  		93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
  		35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000     21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 129,500,913   14,523,020  
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073     25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2011 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0% 0% 0% 0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0% 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010
PART I, LINE (F) - DESCRIPTION OF PURPOSE: 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS.
    2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATIONS SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL.
    OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUED, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2012

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
  		80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
  		52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
  		68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
  		93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
  		35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000     21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 129,500,913   14,523,020  
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073     25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2011 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0% 0% 0% 0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0% 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010
PART I, LINE (F) - DESCRIPTION OF PURPOSE: 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS.
    2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATIONS SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL.
    OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUED, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2012

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
  		80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
  		52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
  		68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
  		93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
  		35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000     21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 129,500,913   14,523,020  
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073     25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2011 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0% 0% 0% 0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0% 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010
PART I, LINE (F) - DESCRIPTION OF PURPOSE: 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS.
    2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATIONS SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL.
    OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUED, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2012

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
  		80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
  		52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
  		68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
  		93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
  		35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000     21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 129,500,913   14,523,020  
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073     25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2011 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0% 0% 0% 0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0% 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010
PART I, LINE (F) - DESCRIPTION OF PURPOSE: 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS.
    2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATIONS SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL.
    OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUED, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2012

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
  		80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
  		52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
  		68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
  		93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
  		35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000     21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 129,500,913   14,523,020  
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073     25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2011 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0% 0% 0% 0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0% 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010
PART I, LINE (F) - DESCRIPTION OF PURPOSE: 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS.
    2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATIONS SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL.
    OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUED, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2012

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
  		80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
  		52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
  		68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
  		80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
  		93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
  		82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
  		35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
  		35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
  		31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
  		38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000     21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 129,500,913   14,523,020  
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073     25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2011 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0% 0% 0% 0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0% 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . . .
  X   X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010
PART I, LINE (F) - DESCRIPTION OF PURPOSE: 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS.
    2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATIONS SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 6 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL.
    OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUED, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2012

Additional Data


Software ID:  
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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, 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 CORPORATION
 
Employer identification number

35-1443425
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





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

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-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?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of 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
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?
Yes No
(1) HEALTHTRUST INC
  		LOUIS FIERENS, KEY EMPLOYEE OF TRINITY HLTH, IS A HEALTHTRUST BRD DIRECTOR 41,066,009 TRINITY HEALTH IS A MEMBER OF THE HEALTHTRUST PURCHASING GROUP. HEALTHTRUST NEGOTIATES PURCHASE CONTRACTS ON BEHALF OF TRINITY HEALTH. THE ABOVE AMOUNT PAID TO TRINITY HEALTH BY HEALTHTRUST REPRESENTS PAYMENTS OF REBATES AND PATRONAGE DIVIDENDS. THIS AMOUNT INCLUDES REBATES AND PATRONAGE DIVIDENDS THAT ARE PASSED ON TO MEMBERS OF THE TRINITY HEALTH SYSTEM. HEALTHTRUST DEDUCTS TRINITY HEALTH MEMBERSHIP FEES FROM THE GROSS PATRONAGE DIVIDENDS.   No
(2) HERITAGE HEALTHCARE INNOVATION FUND
  		LOUIS FIERENS, KEY EMP OF TRINITY HEALTH, IS A HERITAGE FUND BOARD DIRECTOR 1,391,400 TRINITY HEALTH INVESTED $1,391,400 IN THE HERITAGE HEALTHCARE INNOVATION FUND (HHIF) DURING FY13. HHIF INVESTS IN HEALTHCARE ORIENTED, NON-PUBLIC COMPANIES.   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:  




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 CORPORATION
 
Employer identification number

35-1443425
Identifier Return Reference Explanation
DOING BUSINESS AS FORM 990, PART I, ITEM C DBA: TRINITY INFORMATION SERVICES HOLY CROSS SHARED SERVICES.
  FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED AND RESTATED EFFECTIVE MAY 1, 2013. THE SIGNIFICANT CHANGES TO THE GOVERNING DOCUMENTS INCLUDE: -TRINITY HEALTH CORPORATION IS NOW A MEMBERSHIP CORPORATION -CHE TRINITY, INC. IS THE SOLE MEMBER OF TRINITY HEALTH CORPORATION -DIRECTORS OF TRINITY HEALTH CORPORATION SHALL BE THE SAME INDIVIDUALS WHO SERVE AS DIRECTORS OF CHE TRINITY, INC.
  FORM 990, PART VI, SECTION A, LINE 6 AS OF MAY 1, 2013, THE GOVERNING DOCUMENTS WERE AMENDED AND RESTATED AS DESCRIBED IN PART VI, SECTION A, LINE 4. CHE TRINITY, INC. IS NOW THE SOLE MEMBER OF TRINITY HEALTH CORPORATION.
  FORM 990, PART VI, SECTION A, LINE 7A UNTIL MAY 1, 2013, TRINITY HEALTH CORPORATION WAS ORGANIZED ON A NONSTOCK BASIS AS A CORPORATION GOVERNED BY A BOARD OF DIRECTORS WITH ONE CLASS OF DIRECTORS. UNTIL MAY 1, 2013, ALL PERSONS WHO WERE MEMBERS OF CATHOLIC HEALTH MINISTRIES WERE DIRECTORS OF TRINITY HEALTH CORPORATION. EACH DIRECTOR WAS TO HOLD OFFICE UNTIL HIS OR HER SUCCESSOR WAS APPOINTED OR UNTIL HIS OR HER RESIGNATION OR REMOVAL. AS OF MAY 1, 2013, THE DIRECTORS OF TRINITY HEALTH CORPORATION SHALL BE THE SAME INDIVIDUALS WHO SERVE AS DIRECTORS OF CHE TRINITY, INC. EACH DIRECTOR IS TO HOLD OFFICE UNTIL HIS OR HER SUCCESSOR IS APPOINTED OR UNTIL HIS OR HER RESIGNATION OR REMOVAL.
  FORM 990, PART VI, SECTION A, LINE 7B UNTIL MAY 1, 2013, ACTION BY CATHOLIC HEALTH MINISTRIES (CHM) WAS REQUIRED FOR THE FOLLOWING MATTERS: - ADOPT OR AMEND THE ARTICLES OF INCORPORATION OF TRINITY HEALTH CORPORATION (THC) - ADOPT OR AMEND THE BYLAWS OF THC - APPROVE THE MERGER, CONSOLIDATION, LIQUIDATION, OR DISSOLUTION OF THC - APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THC AS OF MAY 1, 2013, THE ABOVE POWERS ARE RESERVED TO CHE TRINITY, INC. (THE SOLE MEMBER OF THC) AND ARE EXERCISABLE BY CHE TRINITY, INC.'S BOARD OF DIRECTORS.
  FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH CORPORATION IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE INTEGRITY AND AUDIT COMMITTEE. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
  FORM 990, PART VI, SECTION B, LINE 12C TRINITY HEALTH CORPORATION 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 CORPORATION, WHICH INCLUDES DIRECTORS, PRINICPAL 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 CORPORATION'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 CORPORATION 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 DIRECTORS OF TRINITY HEALTH CORPORATION IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO TRINITY HEALTH CORPORATION. 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 DIRECTORS OF TRINITY HEALTH CORPORATION ON AN ANNUAL BASIS.
  FORM 990, PART VI, SECTION B, LINE 15 TRINITY HEALTH CORPORATION 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 CORPORATION 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 CORPORATION 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, TRINITY HEALTH CORPORATION'S WEBSITE INCLUDES COPIES OF THE MOST RECENTLY FILED SCHEDULE H FORMS FILED BY ALL OF ITS HOSPITAL SUBSIDIARIES.
DIRECTORS/TRUSTEES OR OFFICERS: 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 CORPORATION. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES. SR. MARY MOLLISON, CSA, IS A MEMBER OF THE CONGREGATION OF SAINT AGNES. HAVING TAKEN A VOW OF POVERTY, SR. MARY MOLLISON DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. 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. SR. LINDA WERTHMAN, RSM, IS A MEMBER OF THE RELIGIOUS SISTERS OF MERCY. HAVING TAKEN A VOW OF POVERTY, SR. LINDA WERTHMAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE RELIGIOUS SISTERS OF MERCY FOR SR. LINDA WERTHMAN'S SERVICES.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATES 16,738,902. CHANGE IN DEFERRED RETIREMENT COST 257,474,381. LOSS FROM DISCONTINUED OPERATIONS -9,502,772. OTHER CHANGES, SEE FOOTNOTE -5,325,261,784.
  FORM 990, PART XII, LINE 2: THE AUDITED FINANCIAL STATEMENTS OF TRINITY HEALTH INCLUDE THE PARENT ORGANIZATION AND ITS SUBSIDIARIES. THE FY13 CONSOLIDATED FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
OTHER CHANGES - FORM 990, PART XI - RECONCILIATION OF NET ASSETS, LINE 9: FOR FORM 990 REPORTING PURPOSES, TRINITY HEALTH CORPORATION IS NO LONGER REPORTING INVESTMENTS IN SUBSIDIARIES ON THE EQUITY METHOD. AN ADJUSTMENT HAS BEEN MADE TO THE BEGINNING OF YEAR NET ASSETS TO REFLECT THIS CHANGE.
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:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
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










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?
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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(23) HOLY CROSS MEDICAL CENTER

20555 VICTOR PARKWAY

LIVONIA,MI48152
95-1985442 		HEALTHCARE SERVICES (FORMERLY) CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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 INC
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(69) SAINT AGNES MEDICAL CENTER

1303 EAST HERNDON AVE

FRESNO,CA93720
94-1437713 		HEALTHCARE SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
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 V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ADVENT REHABILITATION LLC

607 DEWEY AVENUE SUITE 300
GRAND RAPIDS,MI49504
38-3306673 		REHABILITATION THERAPY SERVICES MI N/A
                  
(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 N/A
                  
(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 N/A
                  
(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 N/A
                  
(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 N/A
                  
(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 N/A
                  
(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?
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 N/A
 C         No
(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 N/A
 C         No
(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 N/A
 C         No
(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 TRINITY HEALTH CORPORATION
  		C 564,700 544,763 99.000 % Yes  
(25) TRINITY HEALTH EMPLOYEE BENEFIT TRUST

20555 VICTOR PARKWAY
LIVONIA,MI48152
38-3410377 		GRANTOR TRUST MI TRINITY HEALTH CORPORATION
  		T     100.000 % Yes  
(26) VENZKE INSURANCE COMPANY LTD

PO BOX 1051 GRAND CAYMAN
GRAND CAYMAN    
CJ
98-0453602 		PROVISION OF INSURANCE COVERAGE CJ N/A
 C         No
(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 N/A
 C         No
(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
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
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) TRINITY HEALTH - MICHIGAN

 D 70,000,000 PER BOOKS
(2) TRINITY HEALTH - MICHIGAN

 B 96,769 PER BOOKS
(3) TRINITY HEALTH - MICHIGAN

 C 20,044,212 PER BOOKS
(4) TRINITY HEALTH - MICHIGAN

 L 164,575,285 PER BOOKS
(5) TRINITY HEALTH - MICHIGAN

 M 746,142 PER BOOKS
(6) TRINITY HEALTH - MICHIGAN

 P 1,099,873 PER BOOKS
(7) TRINITY HEALTH - MICHIGAN

 Q 128,262,905 PER BOOKS
(8) TRINITY HEALTH - MICHIGAN

 S 6,344,007 PER BOOKS
(9) TRINITY HEALTH - MICHIGAN

 A 35,195,940 PER BOOKS
(10) SAINT AGNES MEDICAL CENTER

 A 3,939,754 PER BOOKS
(11) SAINT AGNES MEDICAL CENTER

 C 2,990,674 PER BOOKS
(12) SAINT AGNES MEDICAL CENTER

 L 34,744,458 PER BOOKS
(13) SAINT AGNES MEDICAL CENTER

 P 1,885,303 PER BOOKS
(14) SAINT AGNES MEDICAL CENTER

 Q 24,851,634 PER BOOKS
(15) SAINT AGNES MEDICAL CENTER

 S 710,460 PER BOOKS
(16) MERCY HEALTH SERVICES - IOWA CORP

 A 7,742,286 PER BOOKS
(17) MERCY HEALTH SERVICES - IOWA CORP

 C 5,774,992 PER BOOKS
(18) MERCY HEALTH SERVICES - IOWA CORP

 L 62,329,598 PER BOOKS
(19) MERCY HEALTH SERVICES - IOWA CORP

 P 949,765 PER BOOKS
(20) MERCY HEALTH SERVICES - IOWA CORP

 Q 40,575,185 PER BOOKS
(21) MERCY HEALTH SERVICES - IOWA CORP

 S 1,396,185 PER BOOKS
(22) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

 A 7,719,153 PER BOOKS
(23) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

 C 5,485,803 PER BOOKS
(24) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

 L 13,336,860 PER BOOKS
(25) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

 P 1,401,800 PER BOOKS
(26) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

 Q 18,273,657 PER BOOKS
(27) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

 S 1,392,014 PER BOOKS
(28) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

 C 2,075,000 PER BOOKS
(29) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

 L 23,579,992 PER BOOKS
(30) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

 P 1,542,164 PER BOOKS
(31) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

 Q 16,950,379 PER BOOKS
(32) HOLY CROSS HEALTH INC

 A 6,304,494 PER BOOKS
(33) HOLY CROSS HEALTH INC

 D 80,000,000 PER BOOKS
(34) HOLY CROSS HEALTH INC

 C 5,374,000 PER BOOKS
(35) HOLY CROSS HEALTH INC

 L 29,990,940 PER BOOKS
(36) HOLY CROSS HEALTH INC

 P 1,954,258 PER BOOKS
(37) HOLY CROSS HEALTH INC

 Q 22,531,054 PER BOOKS
(38) HOLY CROSS HEALTH INC

 S 1,136,274 PER BOOKS
(39) MOUNT CARMEL HEALTH SYSTEM

 D 30,000,000 PER BOOKS
(40) MOUNT CARMEL HEALTH SYSTEM

 A 18,393,477 PER BOOKS
(41) MOUNT CARMEL HEALTH SYSTEM

 C 17,082,000 PER BOOKS
(42) MOUNT CARMEL HEALTH SYSTEM

 L 81,668,110 PER BOOKS
(43) MOUNT CARMEL HEALTH SYSTEM

 P 1,942,572 PER BOOKS
(44) MOUNT CARMEL HEALTH SYSTEM

 Q 54,753,624 PER BOOKS
(45) MOUNT CARMEL HEALTH SYSTEM

 S 3,313,534 PER BOOKS
(46) SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC

 A 12,296,736 PER BOOKS
(47) SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC

 S 2,217,490 PER BOOKS
(48) SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS INC

 A 250,580 PER BOOKS
(49) SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS INC

 L 60,850 PER BOOKS
(50) MERCY HEALTH PARTNERS

 A 1,499,559 PER BOOKS
(51) MERCY HEALTH PARTNERS

 C 3,152,000 PER BOOKS
(52) MERCY HEALTH PARTNERS

 L 42,600,761 PER BOOKS
(53) MERCY HEALTH PARTNERS

 M 854,318 PER BOOKS
(54) MERCY HEALTH PARTNERS

 P 155,365 PER BOOKS
(55) MERCY HEALTH PARTNERS

 Q 24,105,920 PER BOOKS
(56) MERCY HEALTH PARTNERS

 S 270,421 PER BOOKS
(57) SAINT ALPHONSUS DIVERSIFIED CARE INC

 L 99,465 PER BOOKS
(58) SAINT ALPHONSUS MEDICAL CENTER-NAMPA

 A 472,610 PER BOOKS
(59) SAINT ALPHONSUS MEDICAL CENTER-NAMPA

 L 1,078,798 PER BOOKS
(60) SAINT ALPHONSUS MEDICAL CENTER-NAMPA

 P 67,602 PER BOOKS
(61) SAINT ALPHONSUS MEDICAL CENTER-NAMPA

 Q 3,739,111 PER BOOKS
(62) SAINT ALPHONSUS MEDICAL CENTER-NAMPA

 S 85,226 PER BOOKS
(63) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO

 A 859,705 PER BOOKS
(64) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO

 L 941,622 PER BOOKS
(65) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO

 P 119,101 PER BOOKS
(66) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO

 Q 1,740,760 PER BOOKS
(67) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO

 S 155,034 PER BOOKS
(68) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY

 A 254,054 PER BOOKS
(69) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY

 L 362,256 PER BOOKS
(70) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY

 Q 1,172,883 PER BOOKS
(71) HACKLEY HOSPITAL

 A 3,606,885 PER BOOKS
(72) HACKLEY HOSPITAL

 L 79,501 PER BOOKS
(73) HACKLEY HOSPITAL

 Q 1,685,241 PER BOOKS
(74) HACKLEY HOSPITAL

 S 650,441 PER BOOKS
(75) LAKESHORE COMMUNITY HOSPITAL INC

 Q 250,666 PER BOOKS
(76) MOUNT CARMEL HEALTH SYSTEM FOUNDATION

 L 131,973 PER BOOKS
(77) PROFESSIONAL OFFICE CORPORATION

 A 117,545 PER BOOKS
(78) MERCY MEDICAL CENTER - CLINTON

 A 718,337 PER BOOKS
(79) MERCY MEDICAL CENTER - CLINTON

 C 2,228,000 PER BOOKS
(80) MERCY MEDICAL CENTER - CLINTON

 L 7,879,725 PER BOOKS
(81) MERCY MEDICAL CENTER - CLINTON

 P 67,300 PER BOOKS
(82) MERCY MEDICAL CENTER - CLINTON

 Q 6,107,288 PER BOOKS
(83) MERCY MEDICAL CENTER - CLINTON

 S 129,540 PER BOOKS
(84) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP

 P 620,589 PER BOOKS
(85) TRINITY HOME HEALTH SERVICES INC

 A 22,577 PER BOOKS
(86) TRINITY HOME HEALTH SERVICES INC

 C 363,000 PER BOOKS
(87) TRINITY HOME HEALTH SERVICES INC

 L 3,285,665 PER BOOKS
(88) TRINITY HOME HEALTH SERVICES INC

 P 63,745 PER BOOKS
(89) TRINITY HOME HEALTH SERVICES INC

 Q 5,555,956 PER BOOKS
(90) VENZKE INSURANCE COMPANY

 S 1,328,539 PER BOOKS
(91) VENZKE INSURANCE COMPANY

 L 433,687 PER BOOKS
(92) VENZKE INSURANCE COMPANY

 P 20,976,485 PER BOOKS
(93) TRINITY CONTINUING CARE SERVICES

 A 3,918,770 PER BOOKS
(94) TRINITY CONTINUING CARE SERVICES

 C 1,694,000 PER BOOKS
(95) TRINITY CONTINUING CARE SERVICES

 L 2,633,751 PER BOOKS
(96) TRINITY CONTINUING CARE SERVICES

 P 142,438 PER BOOKS
(97) TRINITY CONTINUING CARE SERVICES

 Q 7,737,077 PER BOOKS
(98) TRINITY CONTINUING CARE SERVICES

 S 706,680 PER BOOKS
(99) SAINT ALPHONSUS HEALTH SYSTEM INC

 L 30,510,040 PER BOOKS
(100) SAINT ALPHONSUS HEALTH SYSTEM INC

 P 71,107 PER BOOKS
(101) SAINT ALPHONSUS HEALTH SYSTEM INC

 Q 8,020,549 PER BOOKS
(102) THRE SERVICES LLC

 C 370,816 PER BOOKS
(103) MERCY HOSPITAL AND MEDICAL CENTER

 L 182,633 PER BOOKS
(104) MERCY HOSPITAL AND MEDICAL CENTER

 Q 7,480,863 PER BOOKS
(105) GOTTLIEB MEMORIAL HOSPITAL

 L 1,300,656 PER BOOKS
(106) GOTTLIEB MEMORIAL HOSPITAL

 M 308,728 PER BOOKS
(107) GOTTLIEB MEMORIAL HOSPITAL

 P 332,675 PER BOOKS
(108) GOTTLIEB MEMORIAL HOSPITAL

 Q 5,431,379 PER BOOKS
(109) LOYOLA UNIVERSITY MEDICAL CENTER

 A 12,334,005 PER BOOKS
(110) LOYOLA UNIVERSITY MEDICAL CENTER

 B 49,898,141 PER BOOKS
(111) LOYOLA UNIVERSITY MEDICAL CENTER

 L 11,991,922 PER BOOKS
(112) LOYOLA UNIVERSITY MEDICAL CENTER

 M 2,067,734 PER BOOKS
(113) LOYOLA UNIVERSITY MEDICAL CENTER

 P 11,931,658 PER BOOKS
(114) LOYOLA UNIVERSITY MEDICAL CENTER

 Q 61,992,639 PER BOOKS
(115) LOYOLA UNIVERSITY MEDICAL CENTER

 S 2,224,205 PER BOOKS
(116) LOYOLA UNIVERSITY MEDICAL CENTER

 D 3,800,000 PER BOOKS
Schedule R (Form 990) 2012
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) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(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 V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
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


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