TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JUDITH PERSICHILLI........................................................................ PRESIDENT AND CEO THROUGH 11/13	2.00 .......................53.00	X	X		4,068,101	25,456
(2) RICHARD GILFILLAN........................................................................ PRESIDENT AND CEO AS OF 11/13	2.00 .......................53.00	X	X		139,231	6,899
(3) MELANIE DREHER........................................................................ CHAIRMAN	1.00 .......................17.00	X	X		49,250	0
(4) BARBARA WHEELEY RSM........................................................................ VICE CHAIRMAN	1.00 .......................17.00	X	X		0	0
(5) STANLEY T URBAN........................................................................ TRUSTEE	1.00 .......................10.00	X			24,000	0
(6) SUZANNE BRENNAN CSC........................................................................ TRUSTEE	1.00 .......................10.00	X			0	0
(7) PAUL NEUMANN........................................................................ SECRETARY	2.00 .......................53.00		X		1,255,551	103,026
(8) AGNES HAGERTY........................................................................ ASSISTANT SECRETARY	1.00 .......................49.00		X		402,957	47,295
(9) JENNIFER BARNETT........................................................................ TREASURER THROUGH 4/14	2.00 .......................53.00		X		1,219,369	30,695
(10) BENJAMIN CARTER........................................................................ ASST TREAS THR 4/14;TREAS AS OF 4/14	2.00 .......................53.00		X		1,250,126	110,445
(11) CYNTHIA CLEMENCE........................................................................ ASSISTANT TREASURER AS OF 4/14	1.00 .......................49.00		X		469,946	49,750
(12) GARRY FAJA........................................................................ SE MI REGIONAL CEO	53.00 .......................2.00			X	1,100,401	38,520
(13) JACK WEINER........................................................................ CEO ST. JOSEPH MERCY OAKLAND	54.00 .......................1.00			X	1,042,159	110,948
(14) ROGER SPOELMAN........................................................................ WEST MI REGIONAL CEO	27.00 .......................28.00			X	1,036,701	129,368
(15) ROBERT CASALOU........................................................................ CEO SAINT JOSEPH MERCY HEALTH	54.00 .......................1.00			X	908,704	90,722
(16) PHILIP MCCORKLE........................................................................ WEST MI REGL MARKET EXEC THR 8/13	49.00 .......................1.00			X	906,717	41,343
(17) DAVID SPIVEY........................................................................ CEO ST. MARY MERCY HOSP (LIVONIA)	49.00 .......................1.00			X	743,850	95,013

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) NANCY GRAEBNER........................................................................ CEO ST. JOSEPH MERCY CHELSEA	50.00 .......................0.00	X			0	503,048	54,656
(19) JOHN MACLEOD........................................................................ CEO MERCY HOSPITAL CADILLAC	50.00 .......................0.00	X			0	501,314	73,261
(20) STEPHANIE RIEMER-MATUZAK........................................................................ CEO MERCY HOSPITAL GRAYLING	50.00 .......................0.00	X			0	444,316	80,611
(21) MICHAEL GUSHO........................................................................ SE MI REGIONAL CFO	50.00 .......................0.00	X			0	407,617	49,139
(22) RANDALL WAGNER........................................................................ COO SAINT MARY'S MERCY HEALTH	50.00 .......................0.00	X			0	397,940	37,751
(23) BARBARA HERTZLER........................................................................ COO ST. JOSEPH MERCY OAKLAND	50.00 .......................0.00	X			0	390,109	58,342
(24) STEVE EAVENSON........................................................................ VP FIN MERCY HLTH ST MARY'S	49.00 .......................1.00	X			0	389,051	35,456
(25) REBEKAH SMITH........................................................................ CEO ST. JOSEPH MERCY PORT HURON	50.00 .......................0.00	X			0	375,684	51,434
(26) GARY ALLORE........................................................................ WEST MI REGIONAL CFO	25.00 .......................25.00	X			0	367,913	36,379
(27) CLAUDE LAUDERBACH........................................................................ COO ST. MARY MERCY HOSP (LIVONIA)	50.00 .......................0.00	X			0	289,767	51,371
(28) LORI SHIVELY........................................................................ VP FIN MERCY HOSP CADILLAC/GRAYLING	50.00 .......................0.00	X			195,666	93,624	19,830
(29) KATHLEEN O'CONNOR........................................................................ VP FIN ST JOSEPH MERCY ANN ARBOR	50.00 .......................0.00	X			282,866	0	49,632
(30) MARY NEFF........................................................................ COO MERCY HOSPITAL CADILLAC	50.00 .......................0.00	X			0	264,320	37,795
(31) MICHAEL SAMYN........................................................................ CFO ST. MARY MERCY HOSPITAL	50.00 .......................0.00	X			0	254,000	33,273
(32) CHARLES F SCHWARTZ........................................................................ CARDIOTHORACIC SURGEON (OAKLAND)	40.00 .......................0.00		X		859,025	0	18,727
(33) GEORGE GIBSON........................................................................ ORTHOPEDIC SURGEON (SJMHS)	40.00 .......................0.00		X		830,791	0	37,678
(34) CREG CARPENTER........................................................................ ORTHOPEDIC SURGEON (CHELSEA HOSP)	40.00 .......................0.00		X		771,374	0	34,778
(35) TALLAL ZENI........................................................................ ORTHOPEDIC SURGEON (SMM LIVONIA)	40.00 .......................0.00		X		719,633	0	31,336
(36) KRISTOPHER AALDERINK........................................................................ ORTHOPEDIC SURGEON (SJMHS)	40.00 .......................0.00		X		827,556	0	31,638
(37) JOSEPH SWEDISH........................................................................ FORMER OFFICER	0.00 .......................0.00			X	0	1,463,995	28,888
(38) DANIEL HALE........................................................................ FORMER OFFICER	0.00 .......................55.00			X	0	1,302,863	50,680
(39) JAMES BOSSCHER........................................................................ FORMER OFFICER	0.00 .......................55.00			X	0	820,344	88,666
(40) MARIANNE CUNNINGHAM........................................................................ FORMER OFFICER	0.00 .......................50.00			X	0	168,430	28,979
(41) KEDRICK ADKINS........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	0	1,808,589	1,739,236
(42) J RICHARD O'CONNELL........................................................................ FORMER KEY EMPLOYEE	0.00 .......................55.00			X	0	1,673,574	145,485
(43) CHARLES HOFFMAN........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00			X	0	498,312	42,595
(44) GREGORY LOOMIS........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00			X	0	436,406	44,783
(45) MICHAEL SLUBOWSKI........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	0	231,799	0
(46) ROBERT SMYTHE........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	0	177,946	13,633
(47) DEBORAH ARMSTRONG........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00			X	0	171,000	10,350

(A) Name and business address	(B) Description of services	(C) Compensation
BARTON MALOW CO26500 AMERICAN DRSOUTHFIELDMI48034	CONSTRUCTION SERVICES	45,703,618
PINE RESTPO BOX 1615GRAND RAPIDSMI49501	HEALTH CARE SERVICES	23,114,848
GRANGER CONSTRUCTION COMPANY6267 AURELIUS ROADLANSINGMI48911	CONSTRUCTION SERVICES	11,718,827
ELZINGA VOLKERS CONSTRUCTION86 EAST SIXTH STREETHOLLANDMI49423	CONSTRUCTION SERVICES	4,452,291
INFINITY PRIMARY CARE PLLC17197 N LAUREL PARKLIVONIAMI48152	HEALTH CARE SERVICES	3,337,725
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 195

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	1,838,629	1,838,629
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	179,004	179,004
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 ....	11,741,841		11,741,841
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	1,037,875	124,039	913,836
7	Other salaries and wages	859,266,743	798,250,911	59,270,676	1,745,156
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	45,671,739	42,427,786	3,243,953
9	Other employee benefits .......	86,449,979	79,519,727	6,693,272	236,980
10	Payroll taxes ...........	59,845,645	54,842,387	4,878,284	124,974
11	Fees for services (non-employees):
a	Management ......	955,684	877,619	78,065
b	Legal .........	1,555,731		1,555,731
c	Accounting ...........	8,553		8,553
d	Lobbying ...........	99,843		99,843
e	Professional fundraising services. See Part IV, line 17	17,681			17,681
f	Investment management fees ......	1,593,985	1,463,780	130,205
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	202,926,500	185,200,943	16,417,850	1,307,707
12	Advertising and promotion ....	9,769,146	8,967,782	797,693	3,671
13	Office expenses .......	30,406,724	27,764,796	2,469,706	172,222
14	Information technology ......	98,104,971	90,091,107	8,013,692	172
15	Royalties ..
16	Occupancy ...........	47,967,724	44,029,908	3,916,503	21,313
17	Travel ............	2,262,757	2,063,577	183,557	15,623
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,894,974	1,731,464	154,015	9,495
20	Interest ...........	33,634,998	30,858,470	2,744,891	31,637
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	143,062,169	131,373,122	11,685,767	3,280
23	Insurance ..............	31,574,469	28,995,308	2,579,161
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES EXPENS	390,957,130	390,923,920		33,210
b	BAD DEBT EXPENSE	87,824,983	87,824,983
c	INTERCO. PURCHASED SVCS	55,226,970	50,656,064	4,505,906	65,000
d	HOSPITAL PROVIDER TAX	54,663,652	54,663,652
e	All other expenses	111,569,970	102,261,532	9,096,263	212,175
25	Total functional expenses. Add lines 1 through 24e	2,372,110,069	2,216,930,510	151,179,263	4,000,296
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	13,476,573	1	27,946,136
2	Savings and temporary cash investments .........	2,068,643	2	2,607,737
3	Pledges and grants receivable, net ...........	10,804,980	3	12,999,728
4	Accounts receivable, net .............	251,580,301	4	256,719,013
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 .............	24,190,179	7	26,642,634
8	Inventories for sale or use ..............	37,335,081	8	38,494,918
9	Prepaid expenses and deferred charges ..........	15,230,738	9	17,893,955
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,767,365,879
b	Less: accumulated depreciation .....	10b	1,484,167,234	1,254,066,186	10c	1,283,198,645
11	Investments—publicly traded securities ..........	563,314,428	11	601,729,077
12	Investments—other securities. See Part IV, line 11 .....	529,193,813	12	519,812,650
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	31,939,271	14	31,901,916
15	Other assets. See Part IV, line 11 ...........	267,650,946	15	299,833,733
16	Total assets. Add lines 1 through 15 (must equal line 34)......	3,000,851,139	16	3,119,780,142
	17	Accounts payable and accrued expenses .........	239,435,280	17	202,618,953
18	Grants payable .................		18
19	Deferred revenue ................	1,735,530	19	2,481,789
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	23,531,943	23	24,482,269
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	1,036,507,322	25	1,054,638,487
26	Total liabilities. Add lines 17 through 25.........	1,301,210,075	26	1,284,221,498
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	1,670,489,813	27	1,783,839,954
28	Temporarily restricted net assets ...........	15,883,496	28	37,438,030
29	Permanently restricted net assets ...........	13,267,755	29	14,280,660
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,699,641,064	33	1,835,558,644
34	Total liabilities and net assets/fund balances ........	3,000,851,139	34	3,119,780,142

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

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

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

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

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

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

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

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

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

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

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

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

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

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

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

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

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

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

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

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

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

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

Special Rules

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

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

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

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization TRINITY HEALTH - MICHIGAN

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization TRINITY HEALTH - MICHIGAN

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

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

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

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(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) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

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

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

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

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

Yes

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

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

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

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

Yes

123,594

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

Yes

99,843

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

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

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

223,437

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

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

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

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

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

Part IV

Supplemental Information

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.

Return Reference	Explanation
PART II-B, LINE 1:	TRINITY HEALTH - MICHIGAN (TH-MI) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE ORGANIZATIONS HAVE PROVIDED TH-MI WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SIMILARLY, THESE HEALTH CARE ORGANIZATIONS WILL ARRANGE CONFERENCES AND SEMINARS FOR MEMBER ORGANIZATIONS AND THEIR EXECUTIVES WHICH INVOLVE LEGISLATORS OR OTHER POLITICAL FIGURES AS GUEST SPEAKERS. TH-MI ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST AND CONCERN TO TH-MI. OUR 2014 FEDERAL ADVOCACY GOALS INCLUDED: - SUSTAINABLE MEDICARE PAYMENT AND VALUE-BASED REIMBURSEMENT - REPEAL OF MEDICARE PHYSICIAN PAYMENT SUSTAINABLE GROWTH RATE (SGR) - REFORM OF RECOVERY AUDIT CONTRACTOR (RAC) PROGRAM - PACE FUNDING, ADAPTABILITY, AND AWARENESS OUR 2014 STATE ADVOCACY GOALS INCLUDED: - HEALTH INSURANCE EXCHANGE ENROLLMENT - MEDICAID EXPANSION AND VALUE-BASED ENROLLMENT - WORKFORCE TRANSFORMATION - PACE ACCESS, FUNDING AND AWARENESS - BEHAVIORAL HEALTH ACCESS AND REIMBURSEMENT LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH - MICHIGAN INCLUDED: - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICIALS - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. BY TRINITY HEALTH CORPORATION - LEGISLATOR VISITS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION - ADVOCACY ACTION DAYS AT THE STATE LEVEL, ATTENDED BY TRINITY HEALTH EXECUTIVES

Return Reference

Explanation

PART II-B, LINE 1:

TRINITY HEALTH - MICHIGAN (TH-MI) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE ORGANIZATIONS HAVE PROVIDED TH-MI WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SIMILARLY, THESE HEALTH CARE ORGANIZATIONS WILL ARRANGE CONFERENCES AND SEMINARS FOR MEMBER ORGANIZATIONS AND THEIR EXECUTIVES WHICH INVOLVE LEGISLATORS OR OTHER POLITICAL FIGURES AS GUEST SPEAKERS. TH-MI ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST AND CONCERN TO TH-MI. OUR 2014 FEDERAL ADVOCACY GOALS INCLUDED: - SUSTAINABLE MEDICARE PAYMENT AND VALUE-BASED REIMBURSEMENT - REPEAL OF MEDICARE PHYSICIAN PAYMENT SUSTAINABLE GROWTH RATE (SGR) - REFORM OF RECOVERY AUDIT CONTRACTOR (RAC) PROGRAM - PACE FUNDING, ADAPTABILITY, AND AWARENESS OUR 2014 STATE ADVOCACY GOALS INCLUDED: - HEALTH INSURANCE EXCHANGE ENROLLMENT - MEDICAID EXPANSION AND VALUE-BASED ENROLLMENT - WORKFORCE TRANSFORMATION - PACE ACCESS, FUNDING AND AWARENESS - BEHAVIORAL HEALTH ACCESS AND REIMBURSEMENT LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH - MICHIGAN INCLUDED: - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICIALS - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. BY TRINITY HEALTH CORPORATION - LEGISLATOR VISITS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION - ADVOCACY ACTION DAYS AT THE STATE LEVEL, ATTENDED BY TRINITY HEALTH EXECUTIVES

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

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

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

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

Yes No

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

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

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

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

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

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

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

Yes No

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


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

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

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	16,353,319	14,089,151	15,077,828	14,367,389	13,827,175
b	Contributions ........	684,595	1,878,856	-176,284	223,954	203,571
c	Net investment earnings, gains, and losses	1,350,728	1,027,047	-812,393	486,485	336,643
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	1,189,711	641,736
f	Administrative expenses ....
g	End of year balance ......	17,198,931	16,353,318	14,089,151	15,077,828	14,367,389

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

Board designated or quasi-endowment SchDMd Bullet

7.000 %

Permanent endowment SchDMd Bullet

83.000 %

Temporarily restricted endowment SchDMd Bullet

10.000 %

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

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

Yes

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

3a(i)

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

3a(ii)

Yes

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

Yes

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

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	66,897,584		66,897,584
b	Buildings ................	1,727,847,861	796,323,783	931,524,078
c	Leasehold improvements ............
d	Equipment ................	900,769,193	676,391,757	224,377,436
e	Other .................	71,851,241	11,451,694	60,399,547
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				1,283,198,645

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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	110,598,436	F
(B) EQUITY METHOD INVESTMENTS	243,316,560	C
(C) HEDGE FUNDS	165,897,654	F






Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	519,812,650

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER RECEIVABLES				24,093,779
(2) INTERCOMPANY ACCOUNTS RECEIVABLE				126,434,291
(3) INVESTMENT IN UNCONSOLIDATED AFFILIATES				27,120,655
(4) INTERCOMPANY OTHER LT ASSETS				121,673,169
(5) OTHER ASSETS				511,839




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				299,833,733

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
INTERCOMPANY ACCOUNTS PAYABLE		91,029,981
DEFERRED COMPENSATION		12,276,843
ASSET RETIREMENT OBLIGATION (FIN 47)		2,834,287
OTHER LIABILITIES		5,555,160
ANNUITIES PAYABLE		1,740,342
INTERCOMPANY NOTES PAYABLE		941,045,085
LEASE OBLIGATION		156,789


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		1,054,638,487
2. Liability for uncertain tax positions 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) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference	Explanation
PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO BE USED FOR THE FOLLOWING PURPOSES: HOSPITAL OPERATIONS SUPPORT, MEDICAL PROGRAM SUPPORT, SCHOLARSHIPS, RESEARCH, COMMUNITY SERVICE, AND VARIOUS OTHER.
SCHEDULE D, PART V	THE ENDOWMENTS REPORTED ON LINE 1 ARE HELD BY TRINITY HEALTH - MICHIGAN. ENDOWMENTS HELD BY SAINT MARY'S FOUNDATION AND MERCY HOSPITAL CADILLAC FOUNDATION FOR THE BENEFIT OF TRINITY HEALTH - MICHIGAN ARE REPORTED ON THE FORM 990 OF SAINT MARY'S FOUNDATION AND MERCY HOSPITAL CADILLAC FOUNDATION.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

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

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

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

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

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

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	HARRIS CONNECT LLC 1400A CROSSWAYS CHESAPEKE, VA23320	EXPLORATORY AND TIER II PHONE CALLS		No	0	17,681	17,681









Total .................						17,681	17,681

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 HOLIDAY BALL -ANN ARBOR (event type)	(b) Event #2 GOLF OUTING - LIVONIA (event type)	(c) Other events 32 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	825,871	241,411	1,435,505	2,502,787
2	Less: Contributions . .	666,983	171,826	952,259	1,791,068
3	Gross income (line 1 minus line 2) . . .	158,888	69,585	483,246	711,719
4	Cash prizes . . .
5	Noncash prizes . .		8,705	14,073	22,778
6	Rent/facility costs . .	61,497	18,753	45,630	125,880
7	Food and beverages .	180,654	30,077	217,013	427,744
8	Entertainment . . .	11,200		14,775	25,975
9	Other direct expenses .	219,738	34,599	342,205	596,542
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				1,198,919
11	Net income summary. Subtract line 10 from line 3, column (d)...........				-487,200

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

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

Gross revenue . . . .

29,768

Cash prizes . . . .

Non-cash prizes . . .

20,072

Rent/facility costs . . .

Other direct expenses . .

800

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes100.000 %
	No

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

20,872

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

8,896

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

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

YesNo

If "No," explain:

10a

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

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

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

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

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

13a

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

13b

100.000 %

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

Name

KIM NIETHAMMER ST JOSEPH MERCY HEALTH SYSTEM

Address

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

15a

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

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

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

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

Name

Address

Gaming manager information:

Name

KIM NIETHAMMER ST JOSEPH MERCY HE

Gaming manager compensation right arrow

$ 1,280

Description of services provided right arrow

FINANCIAL REPORTING, CASH DEPOSITS.

Director/officer Employee Independent contractor

Mandatory distributions:

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

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

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

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

Return Reference	Explanation
SCHEDULE G, PART I, LINE 2B, COLUMN (V):	TRINITY HEALTH-MICHIGAN PAID HARRIS CONNECT $138 IN REIMBURSEMENT OF EXPENSES. THE AGREEMENT SPECIFIES THAT ALL ITEMIZED EXPENSES FOR FUNDRAISING MATERIALS AND SUPPLIES WILL BE FULLY REIMBURSED AND THE FEE FOR FUNDRAISING WILL BE BASED ON THE MONTHLY CONTRACTED FEE.

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	3	68,082	55,688,391	9,987,286	45,701,105	2.000 %
b	Medicaid (from Worksheet 3, column a) ....	3	203,194	233,338,779	167,432,495	65,906,284	2.890 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	7	25,315	21,056,792	15,005,332	6,051,460	0.260 %
d	Total Financial Assistance and Means-Tested Government Programs .	13	296,591	310,083,962	192,425,113	117,658,849	5.150 %
Other Benefits		118	299,760	9,032,548	3,248,761	5,783,787	0.250 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	118	299,760	9,032,548	3,248,761	5,783,787	0.250 %
f	Health professions education (from Worksheet 5) ..	21	2,289	75,117,094	43,186,065	31,931,029	1.400 %
g	Subsidized health services (from Worksheet 6) ..	25	208,435	57,657,650	33,465,406	24,192,244	1.060 %
h	Research (from Worksheet 7)	2	18	5,725,994	2,721,219	3,004,775	0.130 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	45	14,466	1,743,252	92,945	1,650,307	0.070 %
j	Total. Other Benefits ..	211	524,968	149,276,538	82,714,396	66,562,142	2.910 %
k	Total. Add lines 7d and 7j .	224	821,559	459,360,500	275,139,509	184,220,991	8.060 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	3	51	1,197	1,197	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	3	983	18,922	18,922	0 %
7	Community health improvement advocacy	3	1,241	21,833	21,833	0 %
8	Workforce development	3	55	176,877	176,877	0.010 %
9	Other
10	Total	12	2,330	218,829	218,829	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

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

30,995,081

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

112,845

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

Section B. Medicare

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

620,447,616

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

580,678,659

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

39,768,957

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 CENTER FOR DIGESTIVE CARE LLC	SURGICAL CENTER	51.000 %	49.000 %
22 FRANCES WARDE MEDICAL LABORATORY	LABORATORY SERVICES	66.670 %	33.330 %
33 WOODLAND IMAGING CENTER LLC DBA AVANT IMAGING	IMAGING SERVICES	51.000 %	49.000 %
44 HEALTH PARK CENTRAL LLC	MEDICAL OFFICE BUILDING	10.550 %	82.490 %
55 SIXTY FOURTH STREET LLC	SURGICAL CENTER	51.000 %	46.770 %
66 MERCY PHYSICIAN COMMUNITY PHO LLC	CONTRACTING AND SERVICES	50.000 %	50.000 %
77 NEWCO AMBULATORY SURGERY CENTER LLP DBA LAKESHORE SURGERY CENTER LLP	SURGICAL CENTER	50.000 %	50.000 %
88 WATERFORD SURGICAL CENTER LLC	SURGICAL CENTER	40.000 %	57.580 %
99 CRAWFORD MERCY PHO	CONTRACTING SERVICES	50.000 %	50.000 %
1010 WEXFORD MERCY PHO	CONTRACTING SERVICES	50.000 %	50.000 %
1111 ADVANTAGE HEALTHSAINT MARY'S CARE NETWORK	HOSPITAL/PHYSICIAN INTEGRATION	50.000 %	50.000 %
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?9 Name, address, primary website address, and state license number
1	ST JOSEPH MERCY ANN ARBOR 5301 MCAULEY DR YPSILANTI,MI48197 WWW.STJOESHEALTH.ORG LICENSE 106	X	X	X	X
2	MERCY HEALTH ST MARY'S 200 JEFFERSON STREET SE GRAND RAPIDS,MI49503 WWW.MERCYHEALTHSAINTMARYS.COM LICENSE 106	X	X	X	X
3	ST JOSEPH MERCY OAKLAND 44405 WOODWARD AVE PONTIAC,MI48341 WWW.STJOESOAKLAND.ORG LICENSE 106	X	X	X	X
4	ST MARY MERCY LIVONIA 36475 FIVE MILE RD LIVONIA,MI48154 WWW.STMARYMERCY.ORG LICENSE 106	X	X	X	X
5	ST JOSEPH MERCY CHELSEA 775 S MAIN CHELSEA,MI48118 WWW.STJOESCHELSEA.ORG LICENSE 106	X	X		X
6	ST JOSEPH MERCY LIVINGSTON 620 BYRON RD HOWELL,MI48843 WWW.STJOESLIVINGSTON.ORG LICENSE 106	X	X	X	X
7	ST JOSEPH MERCY PORT HURON 2601 ELECTRIC AVE PORT HURON,MI48060 WWW.MYMERCY.US LICENSE 106	X	X		X
8	MERCY HOSPITAL GRAYLING 1100 EAST MICHIGAN AVE GRAYLING,MI49738 WWW.MERCYHEALTHGRAYLING.COM LICENSE 106	X	X		X
9	MERCY HOSPITAL CADILLAC 400 HOBART STREET CADILLAC,MI49601 WWW.MERCYHEALTHCADILLAC.COM LICENSE 106	X	X		X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The health needs of the community

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

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

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

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

Other (describe in Part VI)

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

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

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

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

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

Prioritization of health needs in its community

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

Other (describe in Part VI)

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

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

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

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Part VI)

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

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

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

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

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

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

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

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The health needs of the community

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

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

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

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

Other (describe in Part VI)

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url): WWW.KENTCOUNTYCHNA.ORG

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

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

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

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

Prioritization of health needs in its community

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

Other (describe in Part VI)

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

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

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Part VI)

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

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

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

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

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

Other (describe in Part VI)

If "Yes," explain in Part VI.

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

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The health needs of the community

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

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

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

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

Other (describe in Part VI)

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

Yes

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

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

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

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

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

Prioritization of health needs in its community

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

Other (describe in Part VI)

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

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

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Part VI)

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

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

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

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

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

Other (describe in Part VI)

If "Yes," explain in Part VI.

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

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The health needs of the community

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

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

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

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

Other (describe in Part VI)

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

Yes

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

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

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

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

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

Prioritization of health needs in its community

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

Other (describe in Part VI)

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

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

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Part VI)

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

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

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

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

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

Other (describe in Part VI)

If "Yes," explain in Part VI.

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

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The health needs of the community

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

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

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

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

Other (describe in Part VI)

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

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

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

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

Prioritization of health needs in its community

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

Other (describe in Part VI)

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

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

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Part VI)

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

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

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

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

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

Other (describe in Part VI)

If "Yes," explain in Part VI.

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

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The health needs of the community

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

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

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

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

Other (describe in Part VI)

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

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

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

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

Prioritization of health needs in its community

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

Other (describe in Part VI)

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

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

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Part VI)

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

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

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

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

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

Other (describe in Part VI)

If "Yes," explain in Part VI.

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

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The health needs of the community

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

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

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

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

Other (describe in Part VI)

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

Yes

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

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

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

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

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

Prioritization of health needs in its community

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

Other (describe in Part VI)

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

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

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Part VI)

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

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

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

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

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

Other (describe in Part VI)

If "Yes," explain in Part VI.

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

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	MERCY HOSPITAL GRAYLING
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The health needs of the community

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

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

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

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

Other (describe in Part VI)

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

Yes

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

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url): WWW.MUNSONHEALTHCARE.ORG/CHNA

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

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

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

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

Prioritization of health needs in its community

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

Other (describe in Part VI)

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

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

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 250.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Part VI)

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

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

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

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

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

Other (describe in Part VI)

If "Yes," explain in Part VI.

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

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	MERCY HOSPITAL CADILLAC
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The health needs of the community

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

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

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

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

Other (describe in Part VI)

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

Yes

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

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

Yes

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

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

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

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

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

Prioritization of health needs in its community

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

Other (describe in Part VI)

Yes

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

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

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 250.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Part VI)

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

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

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

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

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

Other (describe in Part VI)

If "Yes," explain in Part VI.

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

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 3: SJMHS CONSULTED MANY COMMUNITY ORGANIZATIONS TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING: THE WASHTENAW COUNTY HEALTH DEPARTMENT, THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE PACKARD CLINIC, THE HOPE CLINIC, WASHTENAW COUNTY COUNCIL MEMBERS, THE WASHTENAW HEALTH INITIATIVE, PHYSICIAN PRACTICES AND HEALTH SYSTEM EMPLOYEES.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 3: THE CHNA WAS VERY INCLUSIVE AND COMPREHENSIVE IN INCORPORATING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THIS QUALITATIVE DATA COLLECTION INVOLVED CONDUCTING FOCUS GROUPS, BRIEF INTERCEPT INTERVIEWS, AND COMMUNITY INPUT WALLS WITH COMMUNITY MEMBERS. EACH OF THESE METHODS IS DESCRIBED ALONG WITH THE ACTUAL QUESTIONS USED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.FOCUS GROUPSIN THE FOCUS GROUPS, A PROFESSIONAL RESEARCHER INTERVIEWED PEOPLE IN SMALL GROUPS. THE RATIONALE FOR THE FOCUS GROUPS IS THAT GROUP DISCUSSION WILL STIMULATE DYNAMIC CONVERSATIONS AND IN-DEPTH CONVERSATIONS ABOUT A PARTICULAR TOPIC. IN THIS CASE, THE PURPOSE WAS TO GENERATE COMMUNITY INPUT FROM VARIOUS POPULATION GROUPS ABOUT HEALTH AND WELLBEING IN KENT COUNTY. BECAUSE THE FOCUS GROUPS WERE TAPE RECORDED WITH THE KNOWLEDGE OF PARTICIPANTS, RESEARCHERS WERE ABLE TO UTILIZE THE WORDS SPOKEN VERBATIM ABOUT A PARTICULAR HEALTH TOPIC TO SUPPORT SPECIFIC THEMES FOUND IN THE QUALITATIVE DATA COLLECTION.- 12 FOCUS GROUPS WERE CONDUCTED WITH 119 COMMUNITY MEMBERS PARTICIPATINGINTERCEPT INTERVIEWS METHODTHIS METHOD IS DESIGNED TO ENGAGE PARTICIPANTS WHO MAY NOT BE INCLINED TO ATTEND A FOCUS GROUP OR TOWN HALL MEETING. IT IS TYPICALLY ONE INTERVIEWER AND ONE PARTICIPANT. IT IS ALSO INTENDED TO GENERATE OPEN ENDED FEEDBACK FROM A BROAD GROUP OF COMMUNITY MEMBERS ON THE TOPIC OF HEALTH AND WELLBEING. SOME POPULATIONS ARE MORE COMFORTABLE BEING INTERVIEWED BY A COMMUNITY MEMBER OR TRUSTED INDIVIDUAL THAN BY AN OUTSIDE RESEARCHER AND INTERCEPT INTERVIEWS ARE USEFUL TO COLLECT INPUT FROM THOSE COMMUNITY MEMBERS. THE INTERCEPT INTERVIEWS WERE TRANSLATED INTO SPANISH FOR THE LATINO/HISPANIC COMMUNITY AND OTHER LANGUAGES SPOKEN BY THE ASIAN COMMUNITY. INTERCEPT INTERVIEWS WERE CONDUCTED BY VOLUNTEER INTERVIEWERS (TRAINED BY PROFESSIONAL CONSULTANTS) FROM THE KENT COUNTY HEALTH DEPARTMENT AND OTHER PARTNERS ENGAGED WITH THE CHNA. INTERVIEWERS WERE PROVIDED THE NECESSARY INTERVIEW MATERIALS NEEDED, AS WELL AS TECHNICAL ASSISTANCE. COMPLETED INTERVIEWS WERE RETURNED TO PROFESSIONALLY TRAINED CONSULTANTS FOR ANALYSIS. - 395 INTERCEPT INTERVIEWS WERE CONDUCTED IN THREE LANGUAGES BY TRAINED COMMUNITY MEMBERSCOMMUNITY INPUT WALLSTHIS STRATEGY INVOLVES GATHERING INPUT FROM COMMUNITY MEMBERS DIRECTLY BY POSTING LARGE SHEETS OF PAPER IN A PUBLIC SPACE AND ASKING COMMUNITY MEMBERS TO ANSWER QUESTIONS ABOUT COMMUNITY HEALTH BY WRITING THEIR THOUGHTS ON THE WALL.- 4 COMMUNITY INPUT WALLS
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 3: WE FULLY INCORPORATED COMMUNITY PARTNERS IN THE PLANNING PROCESS, FROM SERVICE ON THE STEERING COMMITTEE TO THE COLLECTION AND ANALYSIS OF DATA. OUR STEERING COMMITTEE INCLUDED REPRESENTATION FROM: TRINITY HEALTH AND SJMO PERSONNEL, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY, THE SOCIAL SERVICES AGENCY OF THE ARCHDIOCESE OF DETROIT, THE OAKLAND COUNTY WORKFORCE DEVELOPMENT DIVISION, CENTRO MULTICULTURAL LA FAMILIA, INC., AND THE ARCHDIOCESE OF DETROIT.THE COMMITTEE HAD INPUT INTO THE PLANNING OF OUR PROCESSES FOR COLLECTING DATA, AND GAVE GUIDANCE IN REVISING THE CHNA QUESTIONNAIRES. THEY THEN PARTICIPATED IN FINAL EDITING OF THE REPORT AND IN SUGGESTING FUTURE COMMUNITY BENEFIT SERVICES AT SJMO. ONE PARTICULARLY EFFECTIVE APPROACH TO COMMUNITY INVOLVEMENT WAS THE METHOD WE USED FOR ADMINISTERING THE SURVEYS TO VARIOUS CONSTITUENT GROUPS. BECAUSE OF THE STRONG TIES TO THE COMMUNITY, AND THE WELL-ESTABLISHED PRESENCE SJMO HAS DEVELOPED IN THE PAST FOUR YEARS, WE WERE ABLE TO PRESENT OUR CHNA "CAMPAIGN" AND ADMINISTER SURVEYS DURING THE MEETING AGENDAS OF SEVERAL COMMUNITY ORGANIZATIONS OF WHICH WE ARE A PART. THIS SAVED TIME IN THE DATA COLLECTION PROCESS, SINCE WE DID NOT HAVE TO SCHEDULE AND FACILITATE SEPARATE MEETINGS, AND ALLOWED US TO HAVE MAXIMUM PARTICIPATION AND EXPOSURE. SIMILARLY, OUR STRONG COLLABORATION WITH ANOTHER GROUP, THE PONTIAC SCHOOL DISTRICT (PSD) AFFORDED US THE RARE OPPORTUNITY TO MEET WITH COMMUNITY-LEVEL DISTRICT REPRESENTATIVES (I.E., PARENTS) DURING THE FINAL DAYS OF THE SCHOOL YEAR. WE BROUGHT THIS GEOGRAPHICALLY DISPARATE GROUP TO SJMO, IN ORDER TO DISCUSS THE CHNA, COMPLETE THE SURVEYS, AND BEGIN PLANNING STRATEGICALLY FOR SJMO/PSD COLLABORATION DURING THE 2011-2012 SCHOOL YEAR. WE REGULARLY USE THIS STRATEGY OF BRINGING COMMUNITY PARTNERS IN HOUSE, IN ORDER TO BALANCE OUR COMMUNITY PRESENCE AND TO FOSTER A LASTING NON-CLINICAL RELATIONSHIP WITH THE COMMUNITY AS WELL.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 3: ST. MARY MERCY LIVONIA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH 800 RESPONSES FROM A COMMUNITY ONLINE SURVEY AND INPUT FROM COMMUNITY LEADERS AND MEMBERS AT LARGE IN THREE FOCUS GROUP SESSIONS. THE SURVEY RESULTS, PRIORITIZATION AND IMPLEMENTATION PLAN WERE PRESENTED AT TWO POINTS BEFORE THE FINAL DOCUMENT WAS COMPLETED TO THE DETROIT WAYNE COUNTY HEALTH AUTHORITY BOARD AND THE WESTERN WAYNE COUNTY HEALTHY PARTNERS CIRCLE OF CARE COALITION.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 3: ST. JOSEPH MERCY LIVINGSTON CONSULTED OTHER COMMUNITY ORGANIZATIONS, INCLUDING THE LIVINGSTON COUNTY PUBLIC HEALTH DEPARTMENT AND THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, IN CONDUCTING THE MOST RECENT CHNA.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 3: ST. JOSEPH MERCY CHELSEA (SJMC) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS COMMUNITY COALITIONS AND BY CONDUCTING INTERVIEWS. SJMC IS A MEMBER OF THE WASHTENAW COUNTY HEALTH IMPROVEMENT PLAN (HIP), A COLLABORATIVE EFFORT OF PUBLIC AND PRIVATE ORGANIZATIONS AIMED AT IMPROVING HEALTH. HIP INCLUDES REPRESENTATIVES FROM WASHTENAW COUNTY PUBLIC HEALTH, ST. JOSEPH MERCY ANN ARBOR, THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THOMPSON REUTERS, AND OTHER ORGANIZATIONS.EACH OF THE FIVE COMMUNITIES IN THE SJMC SERVICE AREA HAS A WELLNESS COALITION WITH VOLUNTEER MEMBERS FROM KEY COMMUNITY SECTORS AND ORGANIZATIONS, SUCH AS SJMC HOSPITAL STAFF, LOCAL GOVERNMENT, SCHOOLS, LIBRARIES, BUSINESSES, SENIOR CENTERS, COMMUNITY GARDENS, CHURCHES, FOOD BANKS AND RESOURCE CENTERS, YOUTH SUBSTANCE ABUSE PREVENTION ORGANIZATIONS, HOSPITAL AND OTHER HEALTHCARE PROVIDERS, AND LOCAL CITIZENS. CHELSEA-AREA WELLNESS FOUNDATION (CWF), WHICH SERVES THE SAME FIVE TOWNS AS SJMC, INITIATED THE ORGANIZATION OF THESE COALITIONS IN 2010. EACH COALITION COMPLETED A CIVIC ASSESSMENT AND NEEDS ASSESSMENT IN 2010, AND THE FIRST QUARTER OF 2011, AND PRESENTED THEM TO THE CWF BOARD. THEY HAVE ALSO BEEN TASKED TO DEVELOP A COMPREHENSIVE WELLNESS PLAN FOR THEIR COMMUNITY, BASED ON LOCAL DATA DEMONSTRATING NEED, AND RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS. TO ASSESS THE COMMUNITIES' NEEDS, EACH COALITION REVIEWED AVAILABLE SURVEY DATA, INCLUDING HIP (WHICH PROVIDED COMMUNITY-LEVEL DATA IN STOCKBRIDGE AND GRASS LAKE, AND REGIONAL-LEVEL DATA FOR CHELSEA, DEXTER AND MANCHESTER), AND MIPHY (WHICH PROVIDED COMMUNITY-LEVEL DATA FOR ALL FIVE TOWNS), AS WELL AS THE PROMOTING ACTIVE COMMUNITIES, AND NUTRITION ENVIRONMENTAL ASSESSMENT TOOL SURVEYS.IN ORDER TO GAIN INPUT ON THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY, LEADERS FROM SJMC CONDUCTED KEY STAKEHOLDER INTERVIEWS IN MARCH 2012. MEMBERS OF THE COMMUNITY HEALTH IMPROVEMENT COUNCIL GENERATED A LIST OF COMMUNITY AGENCIES AND ORGANIZATIONS THAT SERVE THESE POPULATIONS, AND QUESTIONS TO ASK EACH ABOUT THE NEEDS OF THEIR CLIENTS OR MEMBERS. THESE INTERVIEWS WERE CONDUCTED IN PERSON IF POSSIBLE, AND BY PHONE, OR BY EMAIL IF NECESSARY.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 3: A SURVEY THAT WAS CREATED BY THE CHNA STEERING COMMITTEE AT ST. JOSEPH MERCY PORT HURON WAS GIVEN TO SEVERAL COMMUNITY ADVISOR MEMBERS INCLUDING: THE VISITING NURSE ASSOCIATION, ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH, DOWNRIVER COMMUNITY SERVICES, COUNCIL ON AGING, CATHOLIC SOCIAL SERVICES, BLUE WATER TRANSIT, DEPARTMENT OF HUMAN SERVICES, MERCY HOME CARE, AND VARIOUS OTHER COMMUNITY BUSINESS LEADERS. PATIENTS AND STAFF AT MEDICAL CLINICS AND SENIOR FACILITIES WERE ALSO GIVEN THE SURVEY, IN ORDER TO GAIN INPUT FROM THE COMMUNITY.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 3: DATA WAS COLLECTED FROM A VARIETY OF CURRENT SOURCES TO PROVIDE A FOUNDATION FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. SOURCES UTILIZED INCLUDE BOTH PRIMARY AND SECONDARY SOURCES: U.S. CENSUS BUREAU, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, MICHIGAN LEAGUE FOR HUMAN SERVICES, MIPHY (MICHIGAN PROFILE FOR HEALTHY YOUTH), DISTRICT HEALTH DEPARTMENT, #10 DISTRICT HEALTH DEPARTMENT, #2 CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT, MICHIGAN LABOR, MARKET BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM, COUNTY HEALTH RANKINGS, ROSCOMMON COUNTY RESIDENT SURVEY, AND MERCY HOSPITAL PHYSICIAN FEEDBACK.IN ADDITION TO THE QUANTITATIVE ANALYSIS OF THE SURVEYS AND SECONDARY DATA, PRIMARY DATA WERE OBTAINED THROUGH A SERIES OF GROUP DISCUSSIONS FACILITATED AT ALL THREE COMMUNITY COLLABORATIVE BODIES, THE ROSCOMMON HEALTH IMPROVEMENT PLANNING COMMITTEE, THE (6 COUNTY) GREAT START COLLABORATIVE BODIES AND A PHYSICIAN STEERING GROUP. THE COMMUNITY COLLABORATIVE GROUPS HAVE MEMBERSHIP THAT INCLUDES BUSINESS, HEALTH CARE, ACADEMICS, SOCIAL SERVICE DEPARTMENTS, AND AREA RESIDENTS.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 3: THE CHNA WAS CONDUCTED WITH AN OVERSIGHT COMMITTEE COMPOSED OF THE DEPARTMENT OF HUMAN SERVICES, NORTHERN LAKES COMMUNITY MENTAL HEALTH AND DISTRICT HEALTH DEPARTMENT #10. MEMBERS OF THE CADILLAC AREA HEALTH COALITION PROVIDED ADDITIONAL FEEDBACK TO THE OVERSIGHT GROUP AND ITS CONSULTANTS ON A MONTHLY BASIS UNTIL ITS COMPLETION IN NOVEMBER 2011.A PRESENTATION WAS DEVELOPED, INCLUDING ALL THE AVAILABLE HEALTH RELATED DATA FOR WEXFORD AND MISSAUKEE COUNTIES. THIS WAS PRESENTED TO THE CADILLAC AREA HEALTH COALITION, OFFERING REPRESENTATION FROM THE YMCA, DISTRICT HEALTH DEPARTMENT #10, BAKER COLLEGE, MERCY HOSPITAL PHO, CADILLAC PUBLIC SCHOOLS, WEXFORD-MISSAUKEE INTERMEDIATE SCHOOL DISTRICT, VARIOUS COMMUNITY ORGANIZATIONS, HUMAN SERVICES, AND COALITION WORKGROUPS. THE COALITION COLLECTIVELY DETERMINED THE HIGHEST PRIORITY ISSUES AFFECTING THE HEALTH NEEDS OF THE COMMUNITY. THE COALITION WILL FOCUS ON THESE NEEDS DURING THE UPCOMING YEARS.CONSUMER HEALTH SURVEYS: POVERTY SURVEY - A SURVEY WAS DISTRIBUTED FROM LATE OCTOBER THROUGH MID-DECEMBER (2009) BY MORE THAN TWO DOZEN HUMAN SERVICE ORGANIZATIONS THROUGHOUT THE WEXFORD/MISSAUKEE COUNTIES. A TOTAL OF 965 ANONYMOUS SURVEYS WERE COLLECTED FROM INDIVIDUALS USING THOSE SERVICES AND UTILIZED IN IDENTIFYING THE FINDINGS OF THIS REPORT. TWO-THIRDS (69%) OF THE SURVEY RESPONDENTS LIVE IN WEXFORD COUNTY, 26% IN MISSAUKEE COUNTY AND 5% WERE IDENTIFIED AS RESIDENTS OF OSCEOLA COUNTY. PUBLIC FORUMS: AFFINITY FOCUS GROUPS - A PRESENTATION OF THE DATA WAS GIVEN TO THE HUMAN SERVICES LEADERSHIP COLLABORATIVE (HSLC). INPUT WAS RECEIVED FROM HUMAN SERVICE PROVIDERS, YMCA, BAKER COLLEGE, CADILLAC AREA PUBLIC SCHOOLS, WEXFORD MISSAUKEE INTERMEDIATE SCHOOL DISTRICT, SCHOOL SUPERINTENDENT, AND COMMUNITY HEALTH CARE ORGANIZATION REPRESENTATIVES. ACTION PLANNING AND ONGOING STATUS UPDATES WILL BE EVALUATED AND REPORTED ON PERIODICALLY.YOUTH ADVISORY SURVEY - THE YOUTH ADVISORY COMMITTEE OF THE CADILLAC AREA COMMUNITY FOUNDATION CONDUCTS A YOUTH SURVEY EVERY THREE YEARS. THE 2010 SURVEY WAS A RANDOM SAMPLING OF 242 STUDENTS IN GRADES 6-12. THE SURVEY FOCUSED ON ISSUES AND ACTIVITIES. THE TOP THREE ISSUES IDENTIFIED BY STUDENTS ARE SMOKING, DRUG ABUSE AND ALCOHOL ABUSE. STUDENTS ARE MOST INTERESTED IN MORE SOCIAL AND SPORTS ACTIVITIES. TRANSPORTATION TO ACTIVITIES REMAINS AN ISSUE TO BE ADDRESSED. THE DATA CORRESPONDS WELL WITH THE 09/10 MICHIGAN PROFILE FOR HEALTHY YOUTH (MIPHY) RESULTS. SUMMARY OBSERVATIONS FROM PHYSICIAN INPUT - THE PHYSICIAN HOSPITAL ORGANIZATION AND OTHER PHYSICIAN SERVICE GROUPS HAVE SUGGESTED GAPS IN SERVICES AND HEALTH PRIORITIES FOR THE COMMUNITY. PHYSICIANS HAVE AGREED THAT THE COMMUNITY MUST FOCUS ON CHRONIC DISEASE PREVENTION AND MANAGEMENT, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS. THEY STRESS THE NEED FOR MENTAL HEALTH SERVICES FOR CHILDREN, RECRUITMENT OF PRIMARY CARE PROVIDERS, INCLUDING ADVANCED CARE PRACTITIONERS, AND PROMOTION OF SELF-MANAGEMENT OF HEALTH. FURTHER, THEY STRESS ADVANTAGES FOR THE CONSUMER AND THE COMMUNITY FOR PROVIDERS THAT ARE A PATIENT CENTERED MEDICAL HOME.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 4: -MARY FREE BED REHABILITATION HOSPITAL-METRO HEALTH HOSPITAL-PINE REST CHRISTIAN MENTAL HEALTH SERVICES-SPECTRUM HEALTH
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 5D: LINE 5A:HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/SJMAA_CHNA.PDF
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 5D: LINE 5A:HTTP://WWW.MERCYHEALTHSAINTMARYS.COM/DOCUMENTS/GRANDRAPIDS/KENTCOCHNA_FINAL(WEBSITE).PDF
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.STJOESOAKLAND.ORG/DOCUMENTS5/2012CHNAFINAL2.PDF
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.STMARYMERCY.ORG/DOCUMENTS4/SMML_CHNA.PDFANNUALLY WE PRODUCE A COMMUNITY BENEFIT REPORT INCLUDING FINANCIAL INFORMATION AND STORIES ABOUT OUR PROGRAMS. IN THE 2012 ISSUE, THE FRONT PAGE WAS DEDICATED TO EXPLAINING WHY AND HOW WE CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE USED PUZZLE PIECES TO CALL ATTENTION TO OUR FIVE IDENTIFIED HEALTH NEEDS AND TO LINK THE STORIES WITH THE NEED. THIS SAME GRAPHIC WAS USED IN THE 2013 CBM REPORT TO THE COMMUNITY, WHICH WAS INSERTED IN LOCAL NEWSPAPERS THAT REACHED 60,000 HOUSEHOLDS AND WAS AVAILABLE TO OUR EMPLOYEES AND COMMUNITY MEMBERS IN KIOSKS THROUGHOUT THE HOSPITAL.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS1/SJML_CHNA.PDF
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.STJOESCHELSEA.ORG/DOCUMENTS3/2012%20CHNA.PDF
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 5D: LINE 5A:HTTP://WWW.MYMERCY.US/DOCUMENTS6/SJMPH-CHNA-MAY2013.PDF
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.MERCYHEALTHGRAYLING.COM/DOCUMENTS/GRAYLING/MERCY%20HOSPITAL%20GRAYLING%20CHNA.PDF
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.MERCYHEALTHCADILLAC.COM/DOCUMENTS/CADILLAC/MERCY-HOSPITAL-NEEDS-ASSESSMENT-SEPTEMBER-2011.PDF
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 7: THERE WERE NEEDS IDENTIFIED THAT ST. JOSEPH MERCY HOSPITAL (SJMH) CHOSE NOT TO ADDRESS. THESE NEEDS WHILE IMPORTANT TO THE HEALTH SYSTEM AND THE COMMUNITY WERE NOT CHOSEN BASED ON OUR PRIORITIZATION PROCESS. THIS PROCESS INCLUDED THE FOLLOWING QUESTIONS: 1) THE NUMBER OF PEOPLE AFFECTED, 2) THE SEVERITY OF THE PROBLEM, 3) THE HEALTH SYSTEM'S ABILITY TO IMPACT AND 4) THE EXTENT TO WHICH OTHER ORGANIZATIONS WERE MEETING THE NEED. THE NEEDS THAT WERE NOT CHOSEN ARE AS FOLLOWS:ASTHMA - ST. JOSEPH MERCY HOSPITAL HAS BEEN ACTIVELY INVOLVED IN WASHTENAW COUNTY'S ASTHMA COALITION AND CONTINUES TO DO SO. THIS ENTITY HAS WORKED TO PROVIDE COMMUNITY AND PROVIDER EDUCATION AS WELL AS HELPING TO IDENTIFY BEST PRACTICES. IN THE RECENT PAST, ASTHMA WAS ALSO A MAJOR COMMUNITY BENEFIT INITIATIVE BY SJMH THAT LED TO SIGNIFICANT COLLABORATIVE EFFORTS WITH SCHOOLS AND HOSPITAL BASED SERVICES (CASE MANAGEMENT AND PEDIATRIC EMERGENCY CASE MANAGEMENT). CURRENTLY, A HOME CARE BASED STRATEGY IS IN PLACE. BECAUSE OF THESE ONGOING EFFORTS, AND BECAUSE OTHER UNMET NEEDS HAVE GREATER PRIORITY, NO FURTHER ASTHMA PROGRAMS WILL BE NEWLY INITIATED AT THIS TIME. NUTRITION AND PHYSICAL ACTIVITY - NUTRITION AND LACK OF PHYSICAL ACTIVITY WERE BOTH IDENTIFIED AS UNMET NEEDS. WHILE GOOD NUTRITION AND PHYSICAL ACTIVITY ARE NECESSARY TO PREVENT DISEASES AND CONDITIONS INCLUDING OBESITY, WE HAVE NOT CHOSEN TO DIRECTLY ADDRESS THESE NEEDS. INSTEAD, WE HAVE CHOSEN OBESITY AS A PRIORITY AREA, WHICH WE FEEL WILL ADDRESS BOTH PHYSICAL ACTIVITY AND NUTRITION RISK FACTORS. IN ADDITION, SJMH SUPPORTS AND COLLABORATES WITH OTHER ORGANIZATIONS DEDICATED TO INCREASING FOOD SECURITY FOR THE POPULATION SUCH AS FOOD GATHERERS. SJMH ALSO REGULARLY RESPONDS TO COMMUNITY REQUESTS FOR SPEAKERS ON NUTRITION TOPICS, HAVE OFFERED COOKING CLASSES TO TEACH HEALTHY COOKING AND NUTRITION, AND CONTINUE TO PROVIDE INDIVIDUAL AND GROUP SERVICES RELATED TO CONDITION SPECIFIC NEEDS, E.G. DIABETES, GLUTEN FREE, LOW FAT, CHOLESTEROL MANAGEMENT AND NUMEROUS OTHERS. SJMH CONTINUES TO WORK CLOSELY WITH PHYSICIAN NETWORK TO PROVIDE MORE OF THESE NUTRITION SERVICES AT POINT OF CARE, AND NOT EXCLUSIVELY ON OUR CAMPUS, THUS IMPROVING NUTRITION ACCESS.PERINATAL HEALTH - SJMHS HAS A MAJOR OBSTETRICAL PROGRAM AND MAJOR NETWORK OF PRIVATE PRACTICE PRACTITIONERS INCLUDING OB/GYN DOCTORS, NURSE PRACTITIONERS AND MIDWIVES PROVIDING PERINATAL HEALTH SERVICES. IN ADDITION, OUR ACADEMIC OB/GYN AND NEIGHBORHOOD FAMILY HEALTH CENTER PROVIDE SIMILAR SERVICES TO LOW INCOME, UNINSURED OR UNDERINSURED WOMEN. TO SUPPORT THIS EFFORT, NUMEROUS HEALTHY LIVING EDUCATIONAL OPPORTUNITIES, AS WELL AS A PLETHORA OF PRE-NATAL CLASSES FOR PREGNANT WOMEN ARE OFFERED TO OUR COMMUNITY. SJMH IS ALSO A MEMBER OF THE WASHTENAW COUNTY INFANT MORTALITY COALITION WHICH CURRENTLY HAS SEVERAL EFFORTS UNDERWAY. THE 3 X MORE LIKELY CAMPAIGN TARGETS YOUNG AFRICAN AMERICAN WOMEN IN OUR COMMUNITY TO PROVIDE THEM WITH HEALTHY LIVING GUIDANCE PRIOR TO CONCEIVING, ALSO ADDRESSING PRENATAL HEALTH, IF ALREADY PREGNANT. PLEASE VISIT THE WWW.3XMORELIKELY.COM WEBSITE FOR MORE DETAILS. IN LIGHT OF ALL THESE MAJOR EFFORTS THAT WE CONTINUE TO BE ACTIVELY COMMITTED TO, WE HAVE PRIORITIZED OTHER NEEDS. SEXUALLY TRANSMITTED DISEASE - WASHTENAW COUNTY HAS MANY ORGANIZATIONS WORKING TO REDUCE THE PREVALENCE OF STDS IN THE COUNTY. AMONG THESE ARE THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE CORNER HEALTH CENTER FOR ADOLESCENTS, PRIMARY CARE PHYSICIAN OFFICES, AND OTHERS. AT THIS TIME SJMH DID NOT FEEL IT COULD PROVIDE THE MOST EFFECTIVE PROGRAMS TO REDUCE STDS PREVALENCE AND INSTEAD, SUPPORTS THE WORK OF THOSE ORGANIZATIONS THAT DO. SJMH HAS BEEN INVOLVED IN THE COMMUNITY EDUCATION EFFORTS AROUND THE HPV VIRUS AND HAVE PROVIDED PHYSICIAN SPEAKERS.SOCIAL SUPPORT - SOCIAL SUPPORT IS IMPORTANT TO MENTAL HEALTH FOR BOTH YOUTH AND ADULTS. ST. JOSEPH MERCY HOSPITAL CURRENTLY HAS SEVERAL SUPPORT GROUPS THAT MEET ON CAMPUS AND PROVIDES SPACE FOR GROUPS TO MEET FOR SOCIAL GATHERINGS, AND OTHER ACTIVITIES. SJMH ALSO PARTICIPATES IN SEVERAL HEALTH COALITIONS THAT SUPPORT THESE TYPES OF ACTIVITIES. SJMH WILL CONTINUE TO PARTICIPATE IN THESE COALITIONS AND WILL SUPPORT THE PLANNING AND IMPLEMENTATION OF ACTIVITIES TO PROMOTE SOCIAL SUPPORT, BUT WILL NOT IMPLEMENT NEW PROGRAMS TO ENHANCE SOCIAL SUPPORT.PHYSICAL ENVIRONMENT - WALK-ABILITY AND EASY ACCESS TO GROCERY STORES CAN BE MAJOR BARRIERS TO REGULARLY PARTICIPATING IN PHYSICAL ACTIVITY, AND ACCESSING FRESH FRUITS AND VEGETABLES. SJMH IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORTS LOCAL GOVERNMENTS AND WELLNESS COALITIONS IN THEIR EFFORTS TO IMPACT THESE ISSUES. AS A COMMUNITY NEIGHBOR, WE DID EXTEND THE BORDER TO BORDER TRAILS THAT CONNECT YPSILANTI WITH THE ANN ARBOR COMMUNITIES THROUGH OUR CAMPUS. HOWEVER, THE PHYSICAL ENVIRONMENT WILL NOT BE ADDRESSED DIRECTLY BY SJMH.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 7: THE FOLLOWING DESCRIBES THE TOP CHNA IDENTIFIED NEEDS THAT MERCY HEALTH SAINT MARY'S (MHSM) WILL NOT DIRECTLY ADDRESS OVER THE NEXT THREE FISCAL YEARS; WITH A SUMMARY EXPLANATION OF WHY WE HAVE DETERMINED THAT THIS ORGANIZATION WILL NOT MAKE THESE A PRIORITY.CHNA IDENTIFIED NEED NOT BEING ADDRESSED: INCREASE HEALTHY EATING BY ENSURING ACCESS TO HEALTHY FOODS TO PROMOTE AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL REASON: COMMUNITY GROUPS ADDRESSING THIS ISSUE: E.G., CHILDREN'S FOOD BASKET, COMMUNITY TRANSFORMATION GRANT, LOCAL FARMER'S MARKET (MHSM IS PARTICIPATING IN A FARMER'S MARKET COLLABORATIVE ALREADY)CHNA IDENTIFIED NEED NOT BEING ADDRESSED: REDUCE DISPARITY IN HEALTH RISK FACTORS AND PROTECTIVE FACTORS AMONG YOUTH REASON: COMMUNITY GROUPS ADDRESSING THIS ISSUE: KENT COUNTY PREVENTION COALITION, YOUTH DEVELOPMENT NETWORK, LIFE GUIDANCE, ARBOR CIRCLECHNA IDENTIFIED NEED NOT BEING ADDRESSED: INCREASE COMMUNITY'S KNOWLEDGE ABOUT RESOURCES AVAILABLE IN THE COMMUNITY REASON: RATHER THAN A SEPARATE STRATEGIC GOAL, MHSM WILL INCORPORATE COMMUNITY RESOURCE INFORMATION IN ALL OF COMMUNITY BENEFIT MINISTRY MEDICAL HOME RESOURCES.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 7: AS SAINT JOSEPH MERCY OAKLAND HAS LIMITED RESOURCES, THE HOSPITAL RELIES ON OTHER COMMUNITY AGENCIES AND ORGANIZATIONS, WITH PARTICULAR EXPERTISE, TO ADDRESS THE HEALTH NEEDS BEYOND ITS ABILITY. THE HOSPITAL SUPPORTS THESE EFFORTS BY WORKING WITH MANY COLLABORATIVE ORGANIZATIONS THROUGH STRATEGIC PLANNING MEETINGS, JOINT EDUCATIONAL SESSIONS, STANDING PROJECT/INITIATIVE UPDATE MEETINGS AND CO-SPONSORED HEALTH ACTIVITIES, ETC. IN ADDITION, HOSPITAL EXECUTIVES SERVE ON THE BOARDS OF SEVERAL OF THESE AND OTHER AGENCIES, UNIVERSITIES AND ORGANIZATIONS THROUGHOUT OUR COMMUNITY. ADDITIONAL COMMUNITY-IDENTIFIED NEEDS ARE LISTED BELOW, ALONG WITH EXTERNAL AGENCIES AND ORGANIZATIONS WHO WORK TO ADDRESS THEM:NUTRITION/HEALTHY EATING - LIGHTHOUSE OF OAKLAND COUNTY, HEALTHY OAKLAND PARTNERSHIP, BOWEN CENTER, LA AMISTAD, OAKLAND COUNTY HEALTH DEPARTMENT, DEPARTMENT OF HUMAN SERVICES, BALDWIN CENTER, PONTIAC SCHOOL DISTRICT, CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, AND OAKLAND PRIMARY HEALTH SERVICES.EXERCISE - HEALTHY OAKLAND PARTNERSHIP, BOWEN CENTER, LA AMISTAD, BALDWIN CENTER, PONTIAC SCHOOL DISTRICT, CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY, AND OAK65 COMMUNITY HEALTH EDUCATION - LIGHTHOUSE, BAKER COLLEGE, HEALTHY OAKLAND PARTNERSHIP, BOWEN CENTER, LA AMISTAD, THE COUNTY HEALTH DEPARTMENT, PONTIAC LIBRARY, BALDWIN CENTER, CENTRO MULTICULTURAL LA FAMILIA, OAK65, GARY BURNSTEIN CLINIC, OAKLAND PRIMARY HEALTH SERVICES, AND COMMITTEE OF FIFTY.POVERTY - LIGHTHOUSE, DEPARTMENT OF HUMAN SERVICES, BALDWIN CENTER, CATHOLIC SOCIAL SERVICES, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, CENTRO MULTICULTURAL LA FAMILIA, OAKLAND FAMILY SERVICES, PNC BANK, GENESYS CREDIT UNION, AND OAKLAND WORKFORCE DEVELOPMENT.MENTAL HEALTH - COMMUNITY NETWORK SERVICES, COMMON GROUND, OAKLAND COUNTY COMMUNITY MENTAL HEALTH AUTHORITY, OAKLAND FAMILY SERVICES, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, OAK65, AND THE HAVEN. CHRONIC DISEASE MANAGEMENT - BAKER COLLEGE, BOWEN CENTER, LA AMISTAD, PONTIAC SCHOOL DISTRICT, CATHOLIC SOCIAL SERVICES, CENTRO MULTICULTURAL LA FAMILIA, OAK65, AND OAKLAND PRIMARY HEALTH SERVICES.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 7: THREE NEEDS IDENTIFIED BUT NOT ADDRESSED IN THE ST. MARY MERCY LIVONIA CHNA IMPLEMENTATION PLAN WERE AFFORDABLE HEALTHCARE, DENTAL CARE, AND SMOKING CESSATION. AFFORDABLE HEALTHCARE WAS ADDRESSED ON A STATE AND NATIONAL BASIS. THREE FINANCIAL COUNSELORS ARE ON SITE TO ASSIST WITH MEDICAID ENROLLMENT AND ELIGIBILITY ASSESSMENT FOR CHARITY CARE OR PAYMENT PLANS IN COMPLIANCE WITH THE TRINITY HEALTH FINANCIAL ASSISTANCE POLICY. REPRESENTATIVES FROM SMML ARE INVOLVED IN TRINITY HEALTH AND MHA ADVOCACY EFFORTS FOR AFFORDABLE HEALTHCARE. SMML IS NOT IN A POSITION AT THIS TIME TO DIRECTLY IMPACT ACCESS TO DENTAL CARE. INDIVIDUALS PRESENTING IN OUR EMERGENCY ROOM WITH DENTAL PROBLEMS ARE REFERRED TO THE U OF D MERCY SCHOOL OF DENTISTRY AND LOCAL DENTISTS WHO PROVIDE FREE OR LOW COST DENTAL SERVICES. SMOKING CESSATION EDUCATION IS INCLUDED IN THE DISCHARGE PROCESS FOR INPATIENTS. IN THE PAST WE HAVE OFFERED SMOKING CESSATION CLASSES TO THE COMMUNITY AND NO ONE ENROLLED IN THE CLASS.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 7: THERE WERE NEEDS IDENTIFIED THAT ST. JOSEPH MERCY LIVINGSTON (SJML) CHOSE NOT TO ADDRESS. THESE NEEDS WHILE IMPORTANT TO THE HEALTH SYSTEM AND THE COMMUNITY WERE NOT CHOSEN BASED ON OUR PRIORITIZATION PROCESS. THIS PROCESS INCLUDED THE FOLLOWING QUESTIONS: 1) THE NUMBER OF PEOPLE AFFECTED, 2) THE SEVERITY OF THE PROBLEM, 3) THE HEALTH SYSTEM'S ABILITY TO IMPACT AND 4) THE EXTENT TO WHICH OTHER ORGANIZATIONS WERE MEETING THE NEED. THE NEEDS THAT WERE NOT CHOSEN ARE AS FOLLOWS:NUTRITION AND PHYSICAL ACTIVITY - NUTRITION AND LACK OF PHYSICAL ACTIVITY WERE BOTH IDENTIFIED AS UNMET NEEDS. WHILE GOOD NUTRITION AND PHYSICAL ACTIVITY ARE NECESSARY TO PREVENT DISEASES AND CONDITIONS INCLUDING OBESITY, WE HAVE NOT CHOSEN TO DIRECTLY ADDRESS THESE NEEDS. INSTEAD, WE HAVE CHOSEN OBESITY AS A PRIORITY AREA, WHICH WE FEEL WILL ADDRESS BOTH PHYSICAL ACTIVITY AND NUTRITION RISK FACTORS. IN ADDITION, SJML SUPPORTS AND COLLABORATES WITH OTHER ORGANIZATIONS DEDICATED TO INCREASING FOOD SECURITY FOR THE POPULATION SUCH AS GLEANERS. ST. JOSEPH MERCY LIVINGSTON HAS REPRESENTATION AT THE LIVINGSTON COUNTY HUNGER COUNCIL NUTRITION EDUCATION SUBCOMMITTEE. HEART DISEASE - ST. JOSEPH MERCY LIVINGSTON CURRENTLY HAS SEVERAL PROGRAMS IN PLACE TO REDUCE THE AMOUNT OF HEART DISEASE IN THE COMMUNITY. THE HEALTH SYSTEM EMPLOYS A LARGE GROUP OF CARDIOLOGISTS THAT TREAT PATIENTS WITH THIS DISEASE. BY FOCUSING ON OBESITY, THE HOSPITAL FELT SEVERAL OF THE TACTICS TO ENCOURAGE EXERCISE AND HEALTH NUTRITION WOULD ALSO REDUCE THE AMOUNT OF HEART DISEASE. IN ADDITION, BY CHOOSING TO IMPLEMENT INITIATIVES TO INCREASE THE ACCESS THAT THE POPULATION HAD TO HEALTH PROVIDERS, THE HOSPITAL COULD BETTER PREVENT AND TREAT HEART DISEASE. SO WHILE THE HOSPITAL IS NOT IMPLEMENTING A NEW PROGRAM AIMED ONLY AT HEART DISEASE, WE EXPECT AN OUTCOME OF THE NEW PROGRAMS TO REDUCE OBESITY AND INCREASE ACCESS WILL ALSO REDUCE HEART DISEASE. SUBSTANCE ABUSE - AT THIS TIME SJML IS NOT IMPLEMENTING ANY NEW PROGRAMS TO REDUCE SUBSTANCE ABUSE IN THE COUNTY. SJML CURRENTLY PROVIDES MENTAL HEALTH AND DETOX SERVICES THOUGH THE SAINT JOSEPH MERCY HEALTH SYSTEM AND COLLABORATES THROUGH OUR MEMBERSHIP IN COALITIONS SUCH AS THE LIVINGSTON/WASHTENAW SUBSTANCE ABUSE COORDINATING AGENCY. THE HEALTH SYSTEM ALSO HOLDS COMMUNITY MEETINGS AND EDUCATION SESSIONS SUCH AS DRUGS 101 FOR PARENTS OF TEENS. IN ADDITION, THERE IS ALREADY A HOSPITAL IN THE COUNTY DEDICATED TO SUBSTANCE ABUSE AND IT PLAYS A MAJOR ROLE IN THIS CAPACITY.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 7: THE PHYSICAL ENVIRONMENT WILL NOT BE ADDRESSED DIRECTLY BY ST. JOSEPH MERCY CHELSEA (SJMC) HOSPITAL-LED INITIATIVES. THE HOSPITAL IS NOT IN A POSITION TO DIRECTLY IMPACT THE RURAL NATURE AND WALKABILITY OF THE COMMUNITIES. HOWEVER, SJMC IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORTS LOCAL GOVERNMENTS AND WELLNESS COALITIONS IN THEIR EFFORTS TO IMPACT PHYSICAL ENVIRONMENT ISSUES.SJMC WILL NOT DIRECTLY ADDRESS TRANSPORTATION WITH ANY NEW INITIATIVES BECAUSE THE NEED RANKED LOW AMONG OTHER RISK FACTORS DUE TO THE LOW NUMBER OF PEOPLE THAT ARE AFFECTED. IN ADDITION, OTHER LOCAL ORGANIZATIONS LIKE SENIOR CENTERS AND THE WESTERN WASHTENAW AREA VALUE EXPRESS (WAVE) BUS ARE ALREADY WORKING TO ADDRESS TRANSPORTATION NEEDS IN THE AREA. SJMC WILL CONTINUE TO HAVE A REPRESENTATIVE ON THE WAVE BOARD OF DIRECTORS, IN ORDER TO SUPPORT THIS EXISTING RESOURCE. SJMC IS NOT IN A POSITION AT THIS TIME TO DIRECTLY IMPACT ACCESS TO DENTAL CARE. THERE ARE SOME RESOURCES AVAILABLE IN THE SERVICE AREA, AND A REGIONAL COALITION CALLED THE WASHTENAW HEALTH INITIATIVE (WHI) IS WORKING TO ADDRESS THIS ISSUE IN WASHTENAW COUNTY, INCLUDING CHELSEA, DEXTER AND MANCHESTER. RESIDENTS OF GRASS LAKE HAVE ACCESS TO THE CENTER FOR FAMILY HEALTH IN JACKSON, WHICH PROVIDES FREE AND LOW COST MEDICAL AND DENTAL CARE TO ADULTS AND YOUTH THROUGH THEIR DOWNTOWN CLINIC AS WELL AS SCHOOL-BASED CLINICS. ADULTS IN STOCKBRIDGE HAVE THE FARTHEST TO TRAVEL FOR FREE OR REDUCED COST DENTAL CARE. BESIDES THE RESOURCES IN ANN ARBOR AND JACKSON, STOCKBRIDGE RESIDENTS CAN ALSO ACCESS THE ADULT DENTAL CENTER IN LANSING. SJMC WILL CONTINUE TO SUPPORT THE WHI IN THEIR EFFORTS TO EXPAND ACCESS.DIABETES DID NOT RANK AMONG THE TOP HEALTH NEEDS BECAUSE PREVALENCE DROPPED SIGNIFICANTLY IN WESTERN WASHTENAW FROM 2005 TO 2010. ALSO, BECAUSE OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, SJMC COMMUNITY HEALTH IMPROVEMENT COUNCIL MEMBERS FELT DIABETES WOULD ALSO BE ADDRESSED THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. SJMC WILL CONTINUE TO OFFER OUTPATIENT DIABETES EDUCATION AND OUTPATIENT DIETICIAN SERVICES TO PATIENTS WITH DIABETES OR PRE-DIABETES THROUGH CLASSES, INDIVIDUAL APPOINTMENTS, AND THE DIABETES SHARE GROUP. SJMC WILL NOT INITIATE NEW INTERVENTIONS TO STRENGTHEN FAMILY AND COMMUNITY INVOLVEMENT, BECAUSE OF LACK OF RESOURCES AND THE PRESENCE OF COMMUNITY RESOURCES. THE SRSLY COALITION IN CHELSEA IS WORKING TO STRENGTHEN THESE FACTORS THROUGH PARENT EDUCATION CLASSES AND YOUTH-LED COMMUNITY IMPROVEMENT INITIATIVES, AND SJMC WILL CONTINUE TO SUPPORT THIS EFFORT. BEYOND WHAT SJMC IS ALREADY DOING (SENIOR SUPPER CLUB, DIABETES SHARE GROUP, STROKE GROUP, ETC), THE HOSPITAL WILL NOT IMPLEMENT NEW STRATEGIES TO PROMOTE SOCIAL SUPPORT. THE FIVE AREA WELLNESS COALITIONS ARE EACH ADDRESSING THIS ISSUE AT THE COMMUNITY LEVEL THROUGH INITIATIVES TO SUPPORT "CONNECTING WITH OTHERS IN HEALTHY WAYS." SJMC WILL CONTINUE TO PARTICIPATE IN THESE COALITIONS AND SUPPORT PLANNING AND IMPLEMENTATION OF ACTIVITIES TO PROMOTE SOCIAL SUPPORT AS MUCH AS POSSIBLE.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 7: ST. JOSEPH MERCY PORT HURON ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SJMPH WILL NOT TAKE ACTION ON THE FOLLOWING HEALTH NEEDS:CANCER SJMPH HAS A COMPREHENSIVE CANCER PROGRAM THAT INCLUDES ONCOLOGY AND RADIATION THERAPY. BY BEING PART OF THE MERCY CANCER NETWORK AND AFFILIATED WITH THE UNIVERSITY OF MICHIGAN CANCER PROGRAM, OUR COMMUNITY HAS ACCESS TO THE BEST CARE AS WELL AS CLINIC TRIALS FOR BOTH ONCOLOGY AND RADIATION THERAPY. ADDITIONALLY, MCLAREN PH HAS ANNOUNCED THEY WILL BE ADDING RADIATION THERAPY TO THEIR CANCER PROGRAM. CARDIAC/HEART DISEASE SJMPH LACKS THE VOLUMES TO ACQUIRE A CON FOR OPEN HEART CARDIAC SERVICES. WE WILL CONTINUE TO PROVIDE TOP NOTCH OUTPATIENT SERVICES INCLUDING CARDIAC CATH LAB AND CARDIAC REHAB. WE ARE PARTNERING WITH OTHER ST. JOSEPH MERCY HEALTH SYSTEM HOSPITALS TO PROVIDE HIGH QUALITY IP SERVICES. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.DENTAL SJMPH DOES NOT PROVIDE DENTAL SERVICES AND FEELS THAT THIS PRIORITY FALLS TO OTHER COMMUNITY SERVICE ORGANIZATIONS IN THE COMMUNITY. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.SMOKING SJMPH OPERATES A SMOKE FREE CAMPUS AND SUPPORTS SMOKING CESSATION PROGRAMS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 7: THE HOSPITAL DID NOT ADDRESS ADVOCACY RELATED TO SUBSTANCE ABUSE SERVICES AND MENTAL HEALTH SERVICES, ORAL HEALTH, 2-1-1, SUICIDE PREVENTION, TRANSPORTATION, HOMELESSNESS, DOMESTIC VIOLENCE, BULLYING PREVENTION AND PRISONER RE-ENTRY. MERCY GRAYLING DOES NOT HAVE THE RESOURCES AND/OR EXPERTISE TO ADDRESS THESE ISSUES EFFECTIVELY.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, INPATIENT ROOM BROCHURES GUIDES, AND ON ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON EVERY BILLING STATEMENT, AND UPON REQUEST. UPON ADMISSION, PATIENTS SEEKING FINANCIAL ASSISTANCE ARE CONTACTED BY A FINANCIAL COUNSELOR AND A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STJOESHEALTH.ORG//SJMAA-PFS
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. STATEMENTS PROVIDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE NUMBER(S) TO CALL ARE PROVIDED TO PATIENTS AT PRE-REGISTRATION, REGISTRATION, ON THE HOSPITAL WEBSITE, POSTINGS IN REGISTRATION AREAS AND ADMISSIONS OFFICES, AND INCLUDED ON ALL BILLING STATEMENTS SENT TO THE PATIENT/GUARANTOR. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.MERCYHEALTHSAINTMARYS.COM/FINANCIAL-ASSISTANCE-SM
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION IS AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSION OFFICES. SIGNAGE IS POSTED AND BROCHURES WITH A FAP SUMMARY ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS, AND WAITING ROOMS. BROCHURES WITH A FAP SUMMARY ARE ALSO DISPLAYED IN EMPLOYED PHYSICIAN OFFICES. FAP APPLICATION FORMS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON BILLING STATEMENTS, AND UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS, AND FINANCIAL COUNSELING DEPARTMENTS. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STJOESOAKLAND.ORG/SJMO-PFS
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION IS AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSION OFFICES. SIGNAGE IS POSTED AND BROCHURES WITH A FAP SUMMARY ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS, AND WAITING ROOMS. BROCHURES WITH A FAP SUMMARY ARE ALSO DISPLAYED IN EMPLOYED PHYSICIAN OFFICES. FAP APPLICATION FORMS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON BILLING STATEMENTS, AND UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS, AND FINANCIAL COUNSELING DEPARTMENTS. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STMARYMERCY.ORG/SMML-PFS
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, INPATIENT ROOM BROCHURES GUIDES, AND ON ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON EVERY BILLING STATEMENT, AND UPON REQUEST. UPON ADMISSION, PATIENTS SEEKING FINANCIAL ASSISTANCE ARE CONTACTED BY A FINANCIAL COUNSELOR AND A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STJOESLIVINGSTON.ORG/FA
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, INPATIENT ROOM BROCHURES GUIDES, AND ON ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON EVERY BILLING STATEMENT, AND UPON REQUEST. UPON ADMISSION, PATIENTS SEEKING FINANCIAL ASSISTANCE ARE CONTACTED BY A FINANCIAL COUNSELOR AND A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STJOESCHELSEA.ORG//SJMAA-PFS
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) INFORMATION SIGNAGE IS POSTED AND BROCHURES WITH A FAP SUMMARY ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS, AND WAITING ROOMS. FAP APPLICATION FORMS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP ON BILLING STATEMENTS AND UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS, AND FINANCIAL COUNSELING DEPARTMENTS. THE FAP SUMMARY AND FAP INFORMATION ARE AVAILABLE AT HTTP://WWW.MYMERCY.US/SJMPH-PFS
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION IN A BROCHURE FORMAT IS AVAILABLE IN THE MAIN ADMITTING AREA, THE EMERGENCY ROOM, AND ON PATIENT BILLING STATEMENTS. FAP SUMMARY INFORMATION IS AVAILABLE ONLINE AND IN THE ADMISSIONS DEPARTMENT, THE PHYSICIAN CLINICS, THE FREE CLINIC, THE BUSINESS OFFICE, THE MEDICAID COORDINATOR'S OFFICE, AND THE FINANCIAL COUNSELOR'S OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION, SCHEDULING, ON BILLING STATEMENTS, AND UPON REQUEST. THE FAP SUMMARY AND FAP APPLICATION INFORMATION ARE AVAILABLE AT HTTP://WWW.MERCYHEALTHGRAYLING.COM/FINANCIAL-ASSISTANCE-GRAYLING
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION IN A BROCHURE FORMAT IS AVAILABLE IN THE MAIN ADMITTING AREA, THE EMERGENCY ROOM, AND ON PATIENT BILLING STATEMENTS. FAP SUMMARY INFORMATION IS AVAILABLE ONLINE AND IN THE ADMISSIONS DEPARTMENT, THE PHYSICIAN CLINICS, THE FREE CLINIC, THE BUSINESS OFFICE, THE MEDICAID COORDINATOR'S OFFICE, AND THE FINANCIAL COUNSELOR'S OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION, SCHEDULING, ON BILLING STATEMENTS, AND UPON REQUEST. THE FAP SUMMARY AND FAP APPLICATION INFORMATION ARE AVAILABLE AT HTTP://WWW.MERCYHEALTHCADILLAC.COM/FINANCIAL-ASSISTANCE
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 251% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 251% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?105
Name and address		Type of Facility (describe)
1	(ANN ARBOR) MICHIGAN HEART & VASCULAR IN 5325 ELLIOTT DR YPSILANTI,MI48197	CARDIOVASCULAR CARE
2	(AA) ST JOSEPH MERCY BRIGHTON 7575 GRAND RIVER RD BRIGHTON,MI48114	LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYS, ONCOLOGY, 24 HR EMER
3	(AA) ST JOSEPH MERCY CANTON HEALTH CTR 1600 CANTON CENTER RD CANTON,MI48188	LAB, IMAGING, THERAPY, ONCOLOGY, AMBULATORY SURGERY, URGENT CARE
4	(AA) REICHERT HEALTH CENTER 5333 MCAULEY DR YPSILANTI,MI48197	LAB, IMAGING, AMBULATORY SURG., EMPLOYED PHYSICIANS
5	(AA) CHELSEA PROFESSIONAL OFFICE BLDG 14650 OLD US 12 CHELSEA,MI48118	PHARMACY, ONCOLOGY, EMPLOYED PHYSICIANS
6	(AA) MICHIGAN ORTHOPEDIC CENTER 5315 ELLIOTT DR YPSILANTI,MI48197	ORTHOPEDIC CARE
7	(AA) ST JOSEPH MERCY SALINE 400 W RUSSELL ST SALINE,MI48176	LAB, IMAGING, URGENT CARE
8	(AA) ELLEN THOMPSON WOMEN'S CENTER 5320 ELLIOTT DR YPSILANTI,MI48197	WOMEN'S HEALTH
9	(AA) CHELSEA HEALTH & WELLNESS CENTER 20800 OLD US 12 CHELSEA,MI48118	REHAB
10	(AA) MICHIGAN HEART BUILDING 1548 W MAUMEE ST ADRIAN,MI49221	EMPLOYED PHYSICIANS
11	(AA) SLEEP DISORDERS CENTER 5305 ELLIOTT DR YPSILANTI,MI48197	SLEEP CLINIC
12	(AA) HURON OAKS 5401 MCAULEY DR YPSILANTI,MI48197	BEHAVIORAL MEDICINE
13	(AA) ST JOSEPH MERCY MAPLE HEALTH BLDG 501 N MAPLE RD ANN ARBOR,MI48103	URGENT CARE
14	(AA) ST JOSEPH MERCY ARBOR HEALTH CTR 990 W ANN ARBOR TRAIL PLYMOUTH,MI48170	LAB
15	(AA) ARBOR PARK CENTRE 4972 CLARK RD YPSILANTI,MI48197	LAB
16	(AA) LIVINGSTON OBGYN ASSOCIATES 524 BYRON RD HOWELL,MI48843	EMPLOYED PHYSICIANS
17	(AA) MICHIGAN HEART MILAN 870 E ARKONA RD MILAN,MI48160	EMPLOYED PHYSICIANS, LAB
18	(AA) SJMHS OUTPATIENT CLINIC 2310 E STADIUM BLVD ANN ARBOR,MI48104	REHAB
19	(AA) CHERRY HILL LAB 49650 CHERRY HILL RD CANTON,MI48187	LAB
20	(AA) MARIAN PROFESSIONAL BUILDING 14555 LEVAN RD LIVONIA,MI48154	RADIATION ONCOLOGY, REHAB, MRI, EMPLOYED PHYSICIANS
21	(AA) GENOA MEDICAL CENTER 2305 GENOA BUSINESS PARK DR BRIGHTON,MI48114	LAB
22	(AA) HAAB HEALTH BUILDING 111 N HURON ST YPSILANTI,MI48197	EMPLOYED PHYSICIANS
23	(AA) MONUMENT PARK BUILDING 8031 MAIN ST DEXTER,MI48130	EMPLOYED PHYSICIANS
24	(AA) ARBOR SCIO PROFESSIONAL BUILDING 6360 JACKSON RD ANN ARBOR,MI48103	LAB
25	(AA) ST JOSEPH MERCY CHEMICAL DEPENDENT 2008 HOGBACK RD ANN ARBOR,MI48105	BEHAVIORAL MEDICINE
26	(AA) PARKWAY MEDICAL CENTER 2345 S HURON PKWY ANN ARBOR,MI48104	LAB
27	(AA) SALINE PROFESSIONAL OFFICE BLDG 420 W RUSSELL ST SALINE,MI48176	REHAB
28	(AA) MICHIGAN HEART BUILDING 200 ARNET ST YPSILANTI,MI48198	EMPLOYED PHYSICIANS
29	(AA) HURON PROFESSIONAL BUILDING 704 W HURON ST ANN ARBOR,MI48103	LAB
30	(AA) SUMMERWOOD CENTER 10299 E GRAND RIVER BRIGHTON,MI48116	BEHAVIORAL MEDICINE
31	(AA) DIAGNOSTIC SERVICES CENTER 202 E VAN RIPER RD FOWLERVILLE,MI48836	LAB, IMAGING
32	(AA) FAMILY MEDICINE OF STOCKBRIDGE 4525 S M-52 STOCKBRIDGE,MI49285	EMPLOYED PHYSICIANS
33	(AA) ST JOSEPH MERCY BEHAVIORAL SVCS 2200 CANTON CENTER RD CANTON,MI48188	BEHAVIORAL MEDICINE
34	(AA) SALINE ADULT & PEDIATRIC MEDICINE 182 S INDUSTRIAL DR SALINE,MI48176	EMPLOYED PHYSICIANS
35	(AA) CENTER FOR DIGESTIVE CARE 5300 ELLIOTT DR YPSILANTI,MI48197	DIGESTIVE CARE
36	(AA) TOWSLEY HEALTH BUILDING 5361 MCAULEY DR YPSILANTI,MI48197	NURSING HOME, EMPLOYED PHYS.
37	(AA) SAMARITAN CENTER 5555 CONNER DETROIT,MI48213	INDIGENT CARE
38	(CADILLAC) CADILLAC SURGICAL CARE 927 SOUTH CARMEL STREET CADILLAC,MI49601	EMPLOYED PHYSICIANS
39	(CAD) MERCY OBGYN PARTNERS 7985 MACKINAW TRAIL CADILLAC,MI49601	EMPLOYED PHYSICIANS
40	(CAD)MERCY HEALTH PHYSICIAN PARTNERS 7985 MACKINAW TRAIL CADILLAC,MI49601	EMPLOYED PHYSICIANS
41	(CAD)MERCY HEALTH PHYSICIAN PARTNERS 100 NORTH ROLAND MCBAIN,MI49657	EMPLOYED PHYSICIANS
42	(GRAND RAPIDS) WEGE BUILDING 300 LAFAYETTE GRAND RAPIDS,MI49503	LAB, FAMILY PRACTICE, INTERNAL MEDICINE PRACTICE
43	(GR) SAINT MARY'S SOUTHWEST 2373 64TH STREET SW BYRON CENTER,MI49315	AMBULATORY SURGICAL CTR, REHAB, LAB, IMAGING, EMPLOYED PHYS
44	(GR) ADVANTAGE HEALTH BUILDING 1471 EAST BELTLINE GRAND RAPIDS,MI49525	LAB, IMAGING, REHAB, EMPLOYED PHYS., URGENT CARE, OB
45	(GR) CLINICA SANTA MARIA 730 GRANDVILLE AVE SW GRAND RAPIDS,MI49503	INDIGENT PRIMARY CARE CENTER
46	(GR) PINE REST 300 68TH STREET SE GRAND RAPIDS,MI49548	MENTAL HEALTH
47	(GR) SPARTA FAMILY HEALTH CENTER 475 S STATE ST SPARTA,MI49345	FAMILY PRACTICE CENTER
48	(GR) BROWNING CLAYTOR HEALTH CENTER 1246 MADISON SE GRAND RAPIDS,MI49507	FAMILY PRACTICE CENTER
49	(GR) HEARTSIDE HEALTH CLINIC 359 S DIVISION GRAND RAPIDS,MI49503	INDIGENT PRIMARY CARE CENTER
50	(GR) RIVERTOWN BUILDING 3380 44TH STREET SW GRANDVILLE,MI49418	LAB, IMAGING, REHAB, FAMILY PRACTICE
51	(GR) STANDALE BUILDING 1175 WILSON AVE NW WALKER,MI49534	LAB, IMAGING, REHAB, FAMILY PRACTICE
52	(GR) 310 LAFAYETTE BUILDING 310 LAFAYETTE SE GRAND RAPIDS,MI49503	IMMUNOLOGY
53	(GR) ADVANTAGE HEALTH BUILDING 10047 CROSS ROADS COURT CALEDONIA,MI49316	LAB, IMAGING, REHAB, FAMILY PRACTICE
54	(GR) GREEN STREET BUILDING 1375 W GREEN ST HASTINGS,MI49058	REHAB
55	(GR) GEORGETOWN BUILDING 1915 GEORGETOWN CENTER DR JENISON,MI49428	REHAB
56	(GR) CHERRY BUILDING 245 CHERRY ST GRAND RAPIDS,MI48503	PEDIATRIC CLINIC, FAMILY MEDICINE AND OB
57	(GR) SAINT MARY'S LAB NORTHWEST 933 THREE MILE NW GRAND RAPIDS,MI49504	LAB, REHAB, FAMILY PRACTICE
58	(GR) ADVANTAGE HEALTH BUILDING 7782 20TH AVENUE JENISON,MI49428	FAMILY PRACTICE CENTER
59	(GR) SOUTHEAST ADVANTAGE HEALTH BUILDING 2080 44TH ST SE KENTWOOD,MI49508	REHAB, LAB, FAMILY PRACTICE
60	(GR) ADVANTAGE HEALTH BUILDING 6050 NORTHLAND DR NE ROCKFORD,MI49341	FAMILY PRACTICE CENTER, URGENT CARE, LAB, IMAGING
61	(GR) WYOMING FAMILY PRACTICE 950 36TH STREET SW WOMING,MI49509	FAMILY PRACTICE CENTER
62	(GR) ADVENT REHAB 7575 EAST FULTON ADA,MI49355	REHAB
63	(GR) ADVENT REHAB 1000 EAST PARIS ST 222 ADA,MI49546	REHAB
64	(GR) ADVENT REHAB 150 JEFFERSON SE ST 100 GRAND RAPIDS,MI49503	REHAB
65	(GRAYLING) MERCY MANOR 1200 EAST MICHIGAN AVE GRAYLING,MI49738	LONG TERM CARE
66	(GRAY) MERCY FAMILY CARE GRAYLING 1250 EAST MICHIGAN AVE GRAYLING,MI49738	EMPLOYED PHYSICIANS
67	(GRAY) MERCY FAMILY CARE ROSCOMMON 234 LAKE STREET ROSCOMMON,MI48653	EMPLOYED PHYSICIANS
68	(GRAY) MERCY COMMUNITY HEALTH CENTER 2585 WEST HOUGHTON LAKE DRIVE PRUDENVILLE,MI48651	REHAB, IMAGING, LAB, EMPLOYED PHYSICIANS
69	(GRAY) AUSABLE UROLOGY 809 MICHIGAN AVE GRAYLING,MI49738	EMPLOYED PHYSICIANS
70	(GRAY) MILTOWN CLINIC 1200 W NORTH DOWN RIVER RD GRAYLING,MI49738	EMPLOYED PHYSICIANS
71	(OAKLAND)SJMO MEDICAL OFFICE BUIDING 44555 WOODWARD AVE PONTIAC,MI48341	LAB, RADIOLOGY, VASCULAR SURGERY, GENERAL SURGERY, CARDIOTHORACIC SURGERY, B
72	(OA) BALD MOUNTAIN REGIONAL MEDICAL 1375 S LAPEER RD LAKE ORION,MI48360	URGENT CARE, LAB, RADIOLOGY, INTERNAL MED/PEDS
73	(OA) WOODWARD PROFESSIONAL BUILDING 44428 WOODWARD AVE PONTIAC,MI48341	REHAB, OB/GYN CLINIC, PARTIAL PSYCH HOSPITAL
74	(OA) INDEPENDENCE POINTE 7210 ORTONVILLE RD CLARKSTON,MI48346	LAB
75	(OA) MERCY MEDICAL GROUP-OAKLAND PHYSICI 5210 HIGHLAND RD WATERFORD,MI48327	INTERNAL MEDICINE, URGENT CARE, LAB, RADIOLOGY
76	(OA) BERKLEY MEDICAL CENTER 1695 W 12 MILE RD BERKLEY,MI48072	INTERNAL MEDICINE, RADIOLOGY, LAB
77	(OA) SLEEP DISORDERS CLINIC 3100 CROSS CREEK PKWY AUBURN HILLS,MI48341	SLEEP CLINIC
78	(OA) BLOOMFIELD LAB 42557 WOODWARD AVE BLOOMFIELD HILLS,MI48304	LAB
79	(OA) KAROTECH BUILDING 2630 UNION LAKE RD COMMERCE TOWNSHIP,MI48382	PEDS, LAB
80	(OA) WHITE LAKE 320 TOWN CENTER BLVD WHITE LAKE TWP,MI48386	URGENT CARE, LAB, RADIOLOGY, REHAB
81	(OA) SHORES III PROFESSIONAL BUILDING 2300 HAGGERTY RD WEST BLOOMFIELD,MI48323	RADIOLOGY
82	(OA) WATERFORD SURGICAL CENTER 5220 HIGHLAND RD WATERFORD,MI48327	SURGICAL CENTER
83	(OA) MERCY MEDICAL GROUP-ROCHESTER 1854 W AUBURN RD ROCHESTER HILLS,MI48309	INTERNAL MEDICINE/PEDS, OB/GYN, ENDOCRINOLOGY
84	(OA) CLARKSTON 6770 DIXIE HWY CLARKSTON,MI48346	OB/GYN, FAMILY MED
85	(OA) WATERFORD LAB 5800 HIGHLAND RD WATERFORD,MI48327	LAB
86	(OA) LEXUS PROFESSIONAL BUILDING 44200 WOODWARD AVE PONTIAC,MI48341	LAB
87	(OA) SAINT JOSEPH MERCY OAKLAND BIRMINGH 2110 E MAPLE RD BIRMINGHAM,MI48009	URGENT CARE, LAB, RADIOLOGY
88	(OA) MERCY MEDICAL GROUP-BLOOMFIELD HILL 1750 TELEGRAPH RD BLOOMFIELD HILLS,MI48302	OB/GYN
89	(OA) LAKE ORION REHABILITATION CENTER 3800 BALDWIN RD ORION TOWNSHIP,MI48359	REHAB
90	(OA) BLOOMFIELD HILLS IM 2520 S TELEGRAPH RD BLOOMFIELD HILLS,MI48302	INTERNAL MEDICINE
91	(OA) OAKLAND MEDICAL GROUP 3950 S ROCHESTER ROAD ROCHESTER HILLS,MI48307	OB/GYN
92	(OA) OAKLAND MEDICAL GROUP 27301 DEQUINDRE ROAD MADISON HEIGHTS,MI48071	OB/GYN
93	(OA) CLINICA SANTA TERESA MERCY PLACE 55 CLINTON ST PONTIAC,MI48342	OUTPATIENT CLINIC
94	(PORT HURON) MERCY HEALTH CENTER 4190 24TH AVE FORT GRATIOT,MI48059	LAB, IMAGING, URGENT CARE
95	(PH) MERCY FITRAC 2615 ELECTRIC AVE PORT HURON,MI48060	PHYSICAL THERAPY
96	(PH) FITRAC - MARYSVILLE 782 HURON BLVD MARYSVILLE,MI48040	PHYSICAL THERAPY
97	(PH) DR MOREY'S MERCY SURGERY CARE 2609 ELECTRIC AVE STE B PORT HURON,MI48060	EMPLOYED SURGEON
98	(PH) PEOPLES' CLINIC FOR BETTER HEALTH 3110 GOULDEN ST PORT HURON,MI48060	OUTPATIENT CLINIC
99	(PH) GEORGE CARLEY ASSOCIATES 1943 HOLLAND PORT HURON,MI48060	LAB
100	(PH) DR JERRY 600 FORT STREET PORT HURON,MI48060	LAB
101	(PH) DR JARAD 2540 16TH STREET PORT HURON,MI48060	LAB
102	(PH) NORTH BUILDING 2306 ELECTRIC AVE PORT HURON,MI48060	LAB
103	(PH) DR LAL 2605 ELECTRIC AVE PORT HURON,MI48060	LAB
104	(PH) DR KHALIL 1201 STONE ST SUITE 3 PORT HURON,MI48060	DRAW STATION
105	(OTHER) FRANCES WARDE MEDICAL LABORATORY 300 W TEXTILE RD ANN ARBOR,MI48104	LAB

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 3: SJMHS CONSULTED MANY COMMUNITY ORGANIZATIONS TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING: THE WASHTENAW COUNTY HEALTH DEPARTMENT, THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE PACKARD CLINIC, THE HOPE CLINIC, WASHTENAW COUNTY COUNCIL MEMBERS, THE WASHTENAW HEALTH INITIATIVE, PHYSICIAN PRACTICES AND HEALTH SYSTEM EMPLOYEES.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 3: THE CHNA WAS VERY INCLUSIVE AND COMPREHENSIVE IN INCORPORATING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THIS QUALITATIVE DATA COLLECTION INVOLVED CONDUCTING FOCUS GROUPS, BRIEF INTERCEPT INTERVIEWS, AND COMMUNITY INPUT WALLS WITH COMMUNITY MEMBERS. EACH OF THESE METHODS IS DESCRIBED ALONG WITH THE ACTUAL QUESTIONS USED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.FOCUS GROUPSIN THE FOCUS GROUPS, A PROFESSIONAL RESEARCHER INTERVIEWED PEOPLE IN SMALL GROUPS. THE RATIONALE FOR THE FOCUS GROUPS IS THAT GROUP DISCUSSION WILL STIMULATE DYNAMIC CONVERSATIONS AND IN-DEPTH CONVERSATIONS ABOUT A PARTICULAR TOPIC. IN THIS CASE, THE PURPOSE WAS TO GENERATE COMMUNITY INPUT FROM VARIOUS POPULATION GROUPS ABOUT HEALTH AND WELLBEING IN KENT COUNTY. BECAUSE THE FOCUS GROUPS WERE TAPE RECORDED WITH THE KNOWLEDGE OF PARTICIPANTS, RESEARCHERS WERE ABLE TO UTILIZE THE WORDS SPOKEN VERBATIM ABOUT A PARTICULAR HEALTH TOPIC TO SUPPORT SPECIFIC THEMES FOUND IN THE QUALITATIVE DATA COLLECTION.- 12 FOCUS GROUPS WERE CONDUCTED WITH 119 COMMUNITY MEMBERS PARTICIPATINGINTERCEPT INTERVIEWS METHODTHIS METHOD IS DESIGNED TO ENGAGE PARTICIPANTS WHO MAY NOT BE INCLINED TO ATTEND A FOCUS GROUP OR TOWN HALL MEETING. IT IS TYPICALLY ONE INTERVIEWER AND ONE PARTICIPANT. IT IS ALSO INTENDED TO GENERATE OPEN ENDED FEEDBACK FROM A BROAD GROUP OF COMMUNITY MEMBERS ON THE TOPIC OF HEALTH AND WELLBEING. SOME POPULATIONS ARE MORE COMFORTABLE BEING INTERVIEWED BY A COMMUNITY MEMBER OR TRUSTED INDIVIDUAL THAN BY AN OUTSIDE RESEARCHER AND INTERCEPT INTERVIEWS ARE USEFUL TO COLLECT INPUT FROM THOSE COMMUNITY MEMBERS. THE INTERCEPT INTERVIEWS WERE TRANSLATED INTO SPANISH FOR THE LATINO/HISPANIC COMMUNITY AND OTHER LANGUAGES SPOKEN BY THE ASIAN COMMUNITY. INTERCEPT INTERVIEWS WERE CONDUCTED BY VOLUNTEER INTERVIEWERS (TRAINED BY PROFESSIONAL CONSULTANTS) FROM THE KENT COUNTY HEALTH DEPARTMENT AND OTHER PARTNERS ENGAGED WITH THE CHNA. INTERVIEWERS WERE PROVIDED THE NECESSARY INTERVIEW MATERIALS NEEDED, AS WELL AS TECHNICAL ASSISTANCE. COMPLETED INTERVIEWS WERE RETURNED TO PROFESSIONALLY TRAINED CONSULTANTS FOR ANALYSIS. - 395 INTERCEPT INTERVIEWS WERE CONDUCTED IN THREE LANGUAGES BY TRAINED COMMUNITY MEMBERSCOMMUNITY INPUT WALLSTHIS STRATEGY INVOLVES GATHERING INPUT FROM COMMUNITY MEMBERS DIRECTLY BY POSTING LARGE SHEETS OF PAPER IN A PUBLIC SPACE AND ASKING COMMUNITY MEMBERS TO ANSWER QUESTIONS ABOUT COMMUNITY HEALTH BY WRITING THEIR THOUGHTS ON THE WALL.- 4 COMMUNITY INPUT WALLS
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 3: WE FULLY INCORPORATED COMMUNITY PARTNERS IN THE PLANNING PROCESS, FROM SERVICE ON THE STEERING COMMITTEE TO THE COLLECTION AND ANALYSIS OF DATA. OUR STEERING COMMITTEE INCLUDED REPRESENTATION FROM: TRINITY HEALTH AND SJMO PERSONNEL, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY, THE SOCIAL SERVICES AGENCY OF THE ARCHDIOCESE OF DETROIT, THE OAKLAND COUNTY WORKFORCE DEVELOPMENT DIVISION, CENTRO MULTICULTURAL LA FAMILIA, INC., AND THE ARCHDIOCESE OF DETROIT.THE COMMITTEE HAD INPUT INTO THE PLANNING OF OUR PROCESSES FOR COLLECTING DATA, AND GAVE GUIDANCE IN REVISING THE CHNA QUESTIONNAIRES. THEY THEN PARTICIPATED IN FINAL EDITING OF THE REPORT AND IN SUGGESTING FUTURE COMMUNITY BENEFIT SERVICES AT SJMO. ONE PARTICULARLY EFFECTIVE APPROACH TO COMMUNITY INVOLVEMENT WAS THE METHOD WE USED FOR ADMINISTERING THE SURVEYS TO VARIOUS CONSTITUENT GROUPS. BECAUSE OF THE STRONG TIES TO THE COMMUNITY, AND THE WELL-ESTABLISHED PRESENCE SJMO HAS DEVELOPED IN THE PAST FOUR YEARS, WE WERE ABLE TO PRESENT OUR CHNA "CAMPAIGN" AND ADMINISTER SURVEYS DURING THE MEETING AGENDAS OF SEVERAL COMMUNITY ORGANIZATIONS OF WHICH WE ARE A PART. THIS SAVED TIME IN THE DATA COLLECTION PROCESS, SINCE WE DID NOT HAVE TO SCHEDULE AND FACILITATE SEPARATE MEETINGS, AND ALLOWED US TO HAVE MAXIMUM PARTICIPATION AND EXPOSURE. SIMILARLY, OUR STRONG COLLABORATION WITH ANOTHER GROUP, THE PONTIAC SCHOOL DISTRICT (PSD) AFFORDED US THE RARE OPPORTUNITY TO MEET WITH COMMUNITY-LEVEL DISTRICT REPRESENTATIVES (I.E., PARENTS) DURING THE FINAL DAYS OF THE SCHOOL YEAR. WE BROUGHT THIS GEOGRAPHICALLY DISPARATE GROUP TO SJMO, IN ORDER TO DISCUSS THE CHNA, COMPLETE THE SURVEYS, AND BEGIN PLANNING STRATEGICALLY FOR SJMO/PSD COLLABORATION DURING THE 2011-2012 SCHOOL YEAR. WE REGULARLY USE THIS STRATEGY OF BRINGING COMMUNITY PARTNERS IN HOUSE, IN ORDER TO BALANCE OUR COMMUNITY PRESENCE AND TO FOSTER A LASTING NON-CLINICAL RELATIONSHIP WITH THE COMMUNITY AS WELL.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 3: ST. MARY MERCY LIVONIA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH 800 RESPONSES FROM A COMMUNITY ONLINE SURVEY AND INPUT FROM COMMUNITY LEADERS AND MEMBERS AT LARGE IN THREE FOCUS GROUP SESSIONS. THE SURVEY RESULTS, PRIORITIZATION AND IMPLEMENTATION PLAN WERE PRESENTED AT TWO POINTS BEFORE THE FINAL DOCUMENT WAS COMPLETED TO THE DETROIT WAYNE COUNTY HEALTH AUTHORITY BOARD AND THE WESTERN WAYNE COUNTY HEALTHY PARTNERS CIRCLE OF CARE COALITION.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 3: ST. JOSEPH MERCY LIVINGSTON CONSULTED OTHER COMMUNITY ORGANIZATIONS, INCLUDING THE LIVINGSTON COUNTY PUBLIC HEALTH DEPARTMENT AND THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, IN CONDUCTING THE MOST RECENT CHNA.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 3: ST. JOSEPH MERCY CHELSEA (SJMC) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH PARTICIPATION IN VARIOUS COMMUNITY COALITIONS AND BY CONDUCTING INTERVIEWS. SJMC IS A MEMBER OF THE WASHTENAW COUNTY HEALTH IMPROVEMENT PLAN (HIP), A COLLABORATIVE EFFORT OF PUBLIC AND PRIVATE ORGANIZATIONS AIMED AT IMPROVING HEALTH. HIP INCLUDES REPRESENTATIVES FROM WASHTENAW COUNTY PUBLIC HEALTH, ST. JOSEPH MERCY ANN ARBOR, THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THOMPSON REUTERS, AND OTHER ORGANIZATIONS.EACH OF THE FIVE COMMUNITIES IN THE SJMC SERVICE AREA HAS A WELLNESS COALITION WITH VOLUNTEER MEMBERS FROM KEY COMMUNITY SECTORS AND ORGANIZATIONS, SUCH AS SJMC HOSPITAL STAFF, LOCAL GOVERNMENT, SCHOOLS, LIBRARIES, BUSINESSES, SENIOR CENTERS, COMMUNITY GARDENS, CHURCHES, FOOD BANKS AND RESOURCE CENTERS, YOUTH SUBSTANCE ABUSE PREVENTION ORGANIZATIONS, HOSPITAL AND OTHER HEALTHCARE PROVIDERS, AND LOCAL CITIZENS. CHELSEA-AREA WELLNESS FOUNDATION (CWF), WHICH SERVES THE SAME FIVE TOWNS AS SJMC, INITIATED THE ORGANIZATION OF THESE COALITIONS IN 2010. EACH COALITION COMPLETED A CIVIC ASSESSMENT AND NEEDS ASSESSMENT IN 2010, AND THE FIRST QUARTER OF 2011, AND PRESENTED THEM TO THE CWF BOARD. THEY HAVE ALSO BEEN TASKED TO DEVELOP A COMPREHENSIVE WELLNESS PLAN FOR THEIR COMMUNITY, BASED ON LOCAL DATA DEMONSTRATING NEED, AND RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS. TO ASSESS THE COMMUNITIES' NEEDS, EACH COALITION REVIEWED AVAILABLE SURVEY DATA, INCLUDING HIP (WHICH PROVIDED COMMUNITY-LEVEL DATA IN STOCKBRIDGE AND GRASS LAKE, AND REGIONAL-LEVEL DATA FOR CHELSEA, DEXTER AND MANCHESTER), AND MIPHY (WHICH PROVIDED COMMUNITY-LEVEL DATA FOR ALL FIVE TOWNS), AS WELL AS THE PROMOTING ACTIVE COMMUNITIES, AND NUTRITION ENVIRONMENTAL ASSESSMENT TOOL SURVEYS.IN ORDER TO GAIN INPUT ON THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY, LEADERS FROM SJMC CONDUCTED KEY STAKEHOLDER INTERVIEWS IN MARCH 2012. MEMBERS OF THE COMMUNITY HEALTH IMPROVEMENT COUNCIL GENERATED A LIST OF COMMUNITY AGENCIES AND ORGANIZATIONS THAT SERVE THESE POPULATIONS, AND QUESTIONS TO ASK EACH ABOUT THE NEEDS OF THEIR CLIENTS OR MEMBERS. THESE INTERVIEWS WERE CONDUCTED IN PERSON IF POSSIBLE, AND BY PHONE, OR BY EMAIL IF NECESSARY.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 3: A SURVEY THAT WAS CREATED BY THE CHNA STEERING COMMITTEE AT ST. JOSEPH MERCY PORT HURON WAS GIVEN TO SEVERAL COMMUNITY ADVISOR MEMBERS INCLUDING: THE VISITING NURSE ASSOCIATION, ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH, DOWNRIVER COMMUNITY SERVICES, COUNCIL ON AGING, CATHOLIC SOCIAL SERVICES, BLUE WATER TRANSIT, DEPARTMENT OF HUMAN SERVICES, MERCY HOME CARE, AND VARIOUS OTHER COMMUNITY BUSINESS LEADERS. PATIENTS AND STAFF AT MEDICAL CLINICS AND SENIOR FACILITIES WERE ALSO GIVEN THE SURVEY, IN ORDER TO GAIN INPUT FROM THE COMMUNITY.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 3: DATA WAS COLLECTED FROM A VARIETY OF CURRENT SOURCES TO PROVIDE A FOUNDATION FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. SOURCES UTILIZED INCLUDE BOTH PRIMARY AND SECONDARY SOURCES: U.S. CENSUS BUREAU, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, MICHIGAN LEAGUE FOR HUMAN SERVICES, MIPHY (MICHIGAN PROFILE FOR HEALTHY YOUTH), DISTRICT HEALTH DEPARTMENT, #10 DISTRICT HEALTH DEPARTMENT, #2 CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT, MICHIGAN LABOR, MARKET BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM, COUNTY HEALTH RANKINGS, ROSCOMMON COUNTY RESIDENT SURVEY, AND MERCY HOSPITAL PHYSICIAN FEEDBACK.IN ADDITION TO THE QUANTITATIVE ANALYSIS OF THE SURVEYS AND SECONDARY DATA, PRIMARY DATA WERE OBTAINED THROUGH A SERIES OF GROUP DISCUSSIONS FACILITATED AT ALL THREE COMMUNITY COLLABORATIVE BODIES, THE ROSCOMMON HEALTH IMPROVEMENT PLANNING COMMITTEE, THE (6 COUNTY) GREAT START COLLABORATIVE BODIES AND A PHYSICIAN STEERING GROUP. THE COMMUNITY COLLABORATIVE GROUPS HAVE MEMBERSHIP THAT INCLUDES BUSINESS, HEALTH CARE, ACADEMICS, SOCIAL SERVICE DEPARTMENTS, AND AREA RESIDENTS.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 3: THE CHNA WAS CONDUCTED WITH AN OVERSIGHT COMMITTEE COMPOSED OF THE DEPARTMENT OF HUMAN SERVICES, NORTHERN LAKES COMMUNITY MENTAL HEALTH AND DISTRICT HEALTH DEPARTMENT #10. MEMBERS OF THE CADILLAC AREA HEALTH COALITION PROVIDED ADDITIONAL FEEDBACK TO THE OVERSIGHT GROUP AND ITS CONSULTANTS ON A MONTHLY BASIS UNTIL ITS COMPLETION IN NOVEMBER 2011.A PRESENTATION WAS DEVELOPED, INCLUDING ALL THE AVAILABLE HEALTH RELATED DATA FOR WEXFORD AND MISSAUKEE COUNTIES. THIS WAS PRESENTED TO THE CADILLAC AREA HEALTH COALITION, OFFERING REPRESENTATION FROM THE YMCA, DISTRICT HEALTH DEPARTMENT #10, BAKER COLLEGE, MERCY HOSPITAL PHO, CADILLAC PUBLIC SCHOOLS, WEXFORD-MISSAUKEE INTERMEDIATE SCHOOL DISTRICT, VARIOUS COMMUNITY ORGANIZATIONS, HUMAN SERVICES, AND COALITION WORKGROUPS. THE COALITION COLLECTIVELY DETERMINED THE HIGHEST PRIORITY ISSUES AFFECTING THE HEALTH NEEDS OF THE COMMUNITY. THE COALITION WILL FOCUS ON THESE NEEDS DURING THE UPCOMING YEARS.CONSUMER HEALTH SURVEYS: POVERTY SURVEY - A SURVEY WAS DISTRIBUTED FROM LATE OCTOBER THROUGH MID-DECEMBER (2009) BY MORE THAN TWO DOZEN HUMAN SERVICE ORGANIZATIONS THROUGHOUT THE WEXFORD/MISSAUKEE COUNTIES. A TOTAL OF 965 ANONYMOUS SURVEYS WERE COLLECTED FROM INDIVIDUALS USING THOSE SERVICES AND UTILIZED IN IDENTIFYING THE FINDINGS OF THIS REPORT. TWO-THIRDS (69%) OF THE SURVEY RESPONDENTS LIVE IN WEXFORD COUNTY, 26% IN MISSAUKEE COUNTY AND 5% WERE IDENTIFIED AS RESIDENTS OF OSCEOLA COUNTY. PUBLIC FORUMS: AFFINITY FOCUS GROUPS - A PRESENTATION OF THE DATA WAS GIVEN TO THE HUMAN SERVICES LEADERSHIP COLLABORATIVE (HSLC). INPUT WAS RECEIVED FROM HUMAN SERVICE PROVIDERS, YMCA, BAKER COLLEGE, CADILLAC AREA PUBLIC SCHOOLS, WEXFORD MISSAUKEE INTERMEDIATE SCHOOL DISTRICT, SCHOOL SUPERINTENDENT, AND COMMUNITY HEALTH CARE ORGANIZATION REPRESENTATIVES. ACTION PLANNING AND ONGOING STATUS UPDATES WILL BE EVALUATED AND REPORTED ON PERIODICALLY.YOUTH ADVISORY SURVEY - THE YOUTH ADVISORY COMMITTEE OF THE CADILLAC AREA COMMUNITY FOUNDATION CONDUCTS A YOUTH SURVEY EVERY THREE YEARS. THE 2010 SURVEY WAS A RANDOM SAMPLING OF 242 STUDENTS IN GRADES 6-12. THE SURVEY FOCUSED ON ISSUES AND ACTIVITIES. THE TOP THREE ISSUES IDENTIFIED BY STUDENTS ARE SMOKING, DRUG ABUSE AND ALCOHOL ABUSE. STUDENTS ARE MOST INTERESTED IN MORE SOCIAL AND SPORTS ACTIVITIES. TRANSPORTATION TO ACTIVITIES REMAINS AN ISSUE TO BE ADDRESSED. THE DATA CORRESPONDS WELL WITH THE 09/10 MICHIGAN PROFILE FOR HEALTHY YOUTH (MIPHY) RESULTS. SUMMARY OBSERVATIONS FROM PHYSICIAN INPUT - THE PHYSICIAN HOSPITAL ORGANIZATION AND OTHER PHYSICIAN SERVICE GROUPS HAVE SUGGESTED GAPS IN SERVICES AND HEALTH PRIORITIES FOR THE COMMUNITY. PHYSICIANS HAVE AGREED THAT THE COMMUNITY MUST FOCUS ON CHRONIC DISEASE PREVENTION AND MANAGEMENT, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS. THEY STRESS THE NEED FOR MENTAL HEALTH SERVICES FOR CHILDREN, RECRUITMENT OF PRIMARY CARE PROVIDERS, INCLUDING ADVANCED CARE PRACTITIONERS, AND PROMOTION OF SELF-MANAGEMENT OF HEALTH. FURTHER, THEY STRESS ADVANTAGES FOR THE CONSUMER AND THE COMMUNITY FOR PROVIDERS THAT ARE A PATIENT CENTERED MEDICAL HOME.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 4: -MARY FREE BED REHABILITATION HOSPITAL-METRO HEALTH HOSPITAL-PINE REST CHRISTIAN MENTAL HEALTH SERVICES-SPECTRUM HEALTH
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 4: UNIVERSITY OF MICHIGAN HEALTH SYSTEM.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 5D: LINE 5A:HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS/SJMAA_CHNA.PDF
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 5D: LINE 5A:HTTP://WWW.MERCYHEALTHSAINTMARYS.COM/DOCUMENTS/GRANDRAPIDS/KENTCOCHNA_FINAL(WEBSITE).PDF
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.STJOESOAKLAND.ORG/DOCUMENTS5/2012CHNAFINAL2.PDF
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.STMARYMERCY.ORG/DOCUMENTS4/SMML_CHNA.PDFANNUALLY WE PRODUCE A COMMUNITY BENEFIT REPORT INCLUDING FINANCIAL INFORMATION AND STORIES ABOUT OUR PROGRAMS. IN THE 2012 ISSUE, THE FRONT PAGE WAS DEDICATED TO EXPLAINING WHY AND HOW WE CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE USED PUZZLE PIECES TO CALL ATTENTION TO OUR FIVE IDENTIFIED HEALTH NEEDS AND TO LINK THE STORIES WITH THE NEED. THIS SAME GRAPHIC WAS USED IN THE 2013 CBM REPORT TO THE COMMUNITY, WHICH WAS INSERTED IN LOCAL NEWSPAPERS THAT REACHED 60,000 HOUSEHOLDS AND WAS AVAILABLE TO OUR EMPLOYEES AND COMMUNITY MEMBERS IN KIOSKS THROUGHOUT THE HOSPITAL.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.STJOESHEALTH.ORG/DOCUMENTS1/SJML_CHNA.PDF
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.STJOESCHELSEA.ORG/DOCUMENTS3/2012%20CHNA.PDF
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 5D: LINE 5A:HTTP://WWW.MYMERCY.US/DOCUMENTS6/SJMPH-CHNA-MAY2013.PDF
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.MERCYHEALTHGRAYLING.COM/DOCUMENTS/GRAYLING/MERCY%20HOSPITAL%20GRAYLING%20CHNA.PDF
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.MERCYHEALTHCADILLAC.COM/DOCUMENTS/CADILLAC/MERCY-HOSPITAL-NEEDS-ASSESSMENT-SEPTEMBER-2011.PDF
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 7: THERE WERE NEEDS IDENTIFIED THAT ST. JOSEPH MERCY HOSPITAL (SJMH) CHOSE NOT TO ADDRESS. THESE NEEDS WHILE IMPORTANT TO THE HEALTH SYSTEM AND THE COMMUNITY WERE NOT CHOSEN BASED ON OUR PRIORITIZATION PROCESS. THIS PROCESS INCLUDED THE FOLLOWING QUESTIONS: 1) THE NUMBER OF PEOPLE AFFECTED, 2) THE SEVERITY OF THE PROBLEM, 3) THE HEALTH SYSTEM'S ABILITY TO IMPACT AND 4) THE EXTENT TO WHICH OTHER ORGANIZATIONS WERE MEETING THE NEED. THE NEEDS THAT WERE NOT CHOSEN ARE AS FOLLOWS:ASTHMA - ST. JOSEPH MERCY HOSPITAL HAS BEEN ACTIVELY INVOLVED IN WASHTENAW COUNTY'S ASTHMA COALITION AND CONTINUES TO DO SO. THIS ENTITY HAS WORKED TO PROVIDE COMMUNITY AND PROVIDER EDUCATION AS WELL AS HELPING TO IDENTIFY BEST PRACTICES. IN THE RECENT PAST, ASTHMA WAS ALSO A MAJOR COMMUNITY BENEFIT INITIATIVE BY SJMH THAT LED TO SIGNIFICANT COLLABORATIVE EFFORTS WITH SCHOOLS AND HOSPITAL BASED SERVICES (CASE MANAGEMENT AND PEDIATRIC EMERGENCY CASE MANAGEMENT). CURRENTLY, A HOME CARE BASED STRATEGY IS IN PLACE. BECAUSE OF THESE ONGOING EFFORTS, AND BECAUSE OTHER UNMET NEEDS HAVE GREATER PRIORITY, NO FURTHER ASTHMA PROGRAMS WILL BE NEWLY INITIATED AT THIS TIME. NUTRITION AND PHYSICAL ACTIVITY - NUTRITION AND LACK OF PHYSICAL ACTIVITY WERE BOTH IDENTIFIED AS UNMET NEEDS. WHILE GOOD NUTRITION AND PHYSICAL ACTIVITY ARE NECESSARY TO PREVENT DISEASES AND CONDITIONS INCLUDING OBESITY, WE HAVE NOT CHOSEN TO DIRECTLY ADDRESS THESE NEEDS. INSTEAD, WE HAVE CHOSEN OBESITY AS A PRIORITY AREA, WHICH WE FEEL WILL ADDRESS BOTH PHYSICAL ACTIVITY AND NUTRITION RISK FACTORS. IN ADDITION, SJMH SUPPORTS AND COLLABORATES WITH OTHER ORGANIZATIONS DEDICATED TO INCREASING FOOD SECURITY FOR THE POPULATION SUCH AS FOOD GATHERERS. SJMH ALSO REGULARLY RESPONDS TO COMMUNITY REQUESTS FOR SPEAKERS ON NUTRITION TOPICS, HAVE OFFERED COOKING CLASSES TO TEACH HEALTHY COOKING AND NUTRITION, AND CONTINUE TO PROVIDE INDIVIDUAL AND GROUP SERVICES RELATED TO CONDITION SPECIFIC NEEDS, E.G. DIABETES, GLUTEN FREE, LOW FAT, CHOLESTEROL MANAGEMENT AND NUMEROUS OTHERS. SJMH CONTINUES TO WORK CLOSELY WITH PHYSICIAN NETWORK TO PROVIDE MORE OF THESE NUTRITION SERVICES AT POINT OF CARE, AND NOT EXCLUSIVELY ON OUR CAMPUS, THUS IMPROVING NUTRITION ACCESS.PERINATAL HEALTH - SJMHS HAS A MAJOR OBSTETRICAL PROGRAM AND MAJOR NETWORK OF PRIVATE PRACTICE PRACTITIONERS INCLUDING OB/GYN DOCTORS, NURSE PRACTITIONERS AND MIDWIVES PROVIDING PERINATAL HEALTH SERVICES. IN ADDITION, OUR ACADEMIC OB/GYN AND NEIGHBORHOOD FAMILY HEALTH CENTER PROVIDE SIMILAR SERVICES TO LOW INCOME, UNINSURED OR UNDERINSURED WOMEN. TO SUPPORT THIS EFFORT, NUMEROUS HEALTHY LIVING EDUCATIONAL OPPORTUNITIES, AS WELL AS A PLETHORA OF PRE-NATAL CLASSES FOR PREGNANT WOMEN ARE OFFERED TO OUR COMMUNITY. SJMH IS ALSO A MEMBER OF THE WASHTENAW COUNTY INFANT MORTALITY COALITION WHICH CURRENTLY HAS SEVERAL EFFORTS UNDERWAY. THE 3 X MORE LIKELY CAMPAIGN TARGETS YOUNG AFRICAN AMERICAN WOMEN IN OUR COMMUNITY TO PROVIDE THEM WITH HEALTHY LIVING GUIDANCE PRIOR TO CONCEIVING, ALSO ADDRESSING PRENATAL HEALTH, IF ALREADY PREGNANT. PLEASE VISIT THE WWW.3XMORELIKELY.COM WEBSITE FOR MORE DETAILS. IN LIGHT OF ALL THESE MAJOR EFFORTS THAT WE CONTINUE TO BE ACTIVELY COMMITTED TO, WE HAVE PRIORITIZED OTHER NEEDS. SEXUALLY TRANSMITTED DISEASE - WASHTENAW COUNTY HAS MANY ORGANIZATIONS WORKING TO REDUCE THE PREVALENCE OF STDS IN THE COUNTY. AMONG THESE ARE THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE CORNER HEALTH CENTER FOR ADOLESCENTS, PRIMARY CARE PHYSICIAN OFFICES, AND OTHERS. AT THIS TIME SJMH DID NOT FEEL IT COULD PROVIDE THE MOST EFFECTIVE PROGRAMS TO REDUCE STDS PREVALENCE AND INSTEAD, SUPPORTS THE WORK OF THOSE ORGANIZATIONS THAT DO. SJMH HAS BEEN INVOLVED IN THE COMMUNITY EDUCATION EFFORTS AROUND THE HPV VIRUS AND HAVE PROVIDED PHYSICIAN SPEAKERS.SOCIAL SUPPORT - SOCIAL SUPPORT IS IMPORTANT TO MENTAL HEALTH FOR BOTH YOUTH AND ADULTS. ST. JOSEPH MERCY HOSPITAL CURRENTLY HAS SEVERAL SUPPORT GROUPS THAT MEET ON CAMPUS AND PROVIDES SPACE FOR GROUPS TO MEET FOR SOCIAL GATHERINGS, AND OTHER ACTIVITIES. SJMH ALSO PARTICIPATES IN SEVERAL HEALTH COALITIONS THAT SUPPORT THESE TYPES OF ACTIVITIES. SJMH WILL CONTINUE TO PARTICIPATE IN THESE COALITIONS AND WILL SUPPORT THE PLANNING AND IMPLEMENTATION OF ACTIVITIES TO PROMOTE SOCIAL SUPPORT, BUT WILL NOT IMPLEMENT NEW PROGRAMS TO ENHANCE SOCIAL SUPPORT.PHYSICAL ENVIRONMENT - WALK-ABILITY AND EASY ACCESS TO GROCERY STORES CAN BE MAJOR BARRIERS TO REGULARLY PARTICIPATING IN PHYSICAL ACTIVITY, AND ACCESSING FRESH FRUITS AND VEGETABLES. SJMH IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORTS LOCAL GOVERNMENTS AND WELLNESS COALITIONS IN THEIR EFFORTS TO IMPACT THESE ISSUES. AS A COMMUNITY NEIGHBOR, WE DID EXTEND THE BORDER TO BORDER TRAILS THAT CONNECT YPSILANTI WITH THE ANN ARBOR COMMUNITIES THROUGH OUR CAMPUS. HOWEVER, THE PHYSICAL ENVIRONMENT WILL NOT BE ADDRESSED DIRECTLY BY SJMH.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 7: THE FOLLOWING DESCRIBES THE TOP CHNA IDENTIFIED NEEDS THAT MERCY HEALTH SAINT MARY'S (MHSM) WILL NOT DIRECTLY ADDRESS OVER THE NEXT THREE FISCAL YEARS; WITH A SUMMARY EXPLANATION OF WHY WE HAVE DETERMINED THAT THIS ORGANIZATION WILL NOT MAKE THESE A PRIORITY.CHNA IDENTIFIED NEED NOT BEING ADDRESSED: INCREASE HEALTHY EATING BY ENSURING ACCESS TO HEALTHY FOODS TO PROMOTE AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL REASON: COMMUNITY GROUPS ADDRESSING THIS ISSUE: E.G., CHILDREN'S FOOD BASKET, COMMUNITY TRANSFORMATION GRANT, LOCAL FARMER'S MARKET (MHSM IS PARTICIPATING IN A FARMER'S MARKET COLLABORATIVE ALREADY)CHNA IDENTIFIED NEED NOT BEING ADDRESSED: REDUCE DISPARITY IN HEALTH RISK FACTORS AND PROTECTIVE FACTORS AMONG YOUTH REASON: COMMUNITY GROUPS ADDRESSING THIS ISSUE: KENT COUNTY PREVENTION COALITION, YOUTH DEVELOPMENT NETWORK, LIFE GUIDANCE, ARBOR CIRCLECHNA IDENTIFIED NEED NOT BEING ADDRESSED: INCREASE COMMUNITY'S KNOWLEDGE ABOUT RESOURCES AVAILABLE IN THE COMMUNITY REASON: RATHER THAN A SEPARATE STRATEGIC GOAL, MHSM WILL INCORPORATE COMMUNITY RESOURCE INFORMATION IN ALL OF COMMUNITY BENEFIT MINISTRY MEDICAL HOME RESOURCES.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 7: AS SAINT JOSEPH MERCY OAKLAND HAS LIMITED RESOURCES, THE HOSPITAL RELIES ON OTHER COMMUNITY AGENCIES AND ORGANIZATIONS, WITH PARTICULAR EXPERTISE, TO ADDRESS THE HEALTH NEEDS BEYOND ITS ABILITY. THE HOSPITAL SUPPORTS THESE EFFORTS BY WORKING WITH MANY COLLABORATIVE ORGANIZATIONS THROUGH STRATEGIC PLANNING MEETINGS, JOINT EDUCATIONAL SESSIONS, STANDING PROJECT/INITIATIVE UPDATE MEETINGS AND CO-SPONSORED HEALTH ACTIVITIES, ETC. IN ADDITION, HOSPITAL EXECUTIVES SERVE ON THE BOARDS OF SEVERAL OF THESE AND OTHER AGENCIES, UNIVERSITIES AND ORGANIZATIONS THROUGHOUT OUR COMMUNITY. ADDITIONAL COMMUNITY-IDENTIFIED NEEDS ARE LISTED BELOW, ALONG WITH EXTERNAL AGENCIES AND ORGANIZATIONS WHO WORK TO ADDRESS THEM:NUTRITION/HEALTHY EATING - LIGHTHOUSE OF OAKLAND COUNTY, HEALTHY OAKLAND PARTNERSHIP, BOWEN CENTER, LA AMISTAD, OAKLAND COUNTY HEALTH DEPARTMENT, DEPARTMENT OF HUMAN SERVICES, BALDWIN CENTER, PONTIAC SCHOOL DISTRICT, CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, AND OAKLAND PRIMARY HEALTH SERVICES.EXERCISE - HEALTHY OAKLAND PARTNERSHIP, BOWEN CENTER, LA AMISTAD, BALDWIN CENTER, PONTIAC SCHOOL DISTRICT, CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY, AND OAK65 COMMUNITY HEALTH EDUCATION - LIGHTHOUSE, BAKER COLLEGE, HEALTHY OAKLAND PARTNERSHIP, BOWEN CENTER, LA AMISTAD, THE COUNTY HEALTH DEPARTMENT, PONTIAC LIBRARY, BALDWIN CENTER, CENTRO MULTICULTURAL LA FAMILIA, OAK65, GARY BURNSTEIN CLINIC, OAKLAND PRIMARY HEALTH SERVICES, AND COMMITTEE OF FIFTY.POVERTY - LIGHTHOUSE, DEPARTMENT OF HUMAN SERVICES, BALDWIN CENTER, CATHOLIC SOCIAL SERVICES, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, CENTRO MULTICULTURAL LA FAMILIA, OAKLAND FAMILY SERVICES, PNC BANK, GENESYS CREDIT UNION, AND OAKLAND WORKFORCE DEVELOPMENT.MENTAL HEALTH - COMMUNITY NETWORK SERVICES, COMMON GROUND, OAKLAND COUNTY COMMUNITY MENTAL HEALTH AUTHORITY, OAKLAND FAMILY SERVICES, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, OAK65, AND THE HAVEN. CHRONIC DISEASE MANAGEMENT - BAKER COLLEGE, BOWEN CENTER, LA AMISTAD, PONTIAC SCHOOL DISTRICT, CATHOLIC SOCIAL SERVICES, CENTRO MULTICULTURAL LA FAMILIA, OAK65, AND OAKLAND PRIMARY HEALTH SERVICES.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 7: THREE NEEDS IDENTIFIED BUT NOT ADDRESSED IN THE ST. MARY MERCY LIVONIA CHNA IMPLEMENTATION PLAN WERE AFFORDABLE HEALTHCARE, DENTAL CARE, AND SMOKING CESSATION. AFFORDABLE HEALTHCARE WAS ADDRESSED ON A STATE AND NATIONAL BASIS. THREE FINANCIAL COUNSELORS ARE ON SITE TO ASSIST WITH MEDICAID ENROLLMENT AND ELIGIBILITY ASSESSMENT FOR CHARITY CARE OR PAYMENT PLANS IN COMPLIANCE WITH THE TRINITY HEALTH FINANCIAL ASSISTANCE POLICY. REPRESENTATIVES FROM SMML ARE INVOLVED IN TRINITY HEALTH AND MHA ADVOCACY EFFORTS FOR AFFORDABLE HEALTHCARE. SMML IS NOT IN A POSITION AT THIS TIME TO DIRECTLY IMPACT ACCESS TO DENTAL CARE. INDIVIDUALS PRESENTING IN OUR EMERGENCY ROOM WITH DENTAL PROBLEMS ARE REFERRED TO THE U OF D MERCY SCHOOL OF DENTISTRY AND LOCAL DENTISTS WHO PROVIDE FREE OR LOW COST DENTAL SERVICES. SMOKING CESSATION EDUCATION IS INCLUDED IN THE DISCHARGE PROCESS FOR INPATIENTS. IN THE PAST WE HAVE OFFERED SMOKING CESSATION CLASSES TO THE COMMUNITY AND NO ONE ENROLLED IN THE CLASS.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 7: THERE WERE NEEDS IDENTIFIED THAT ST. JOSEPH MERCY LIVINGSTON (SJML) CHOSE NOT TO ADDRESS. THESE NEEDS WHILE IMPORTANT TO THE HEALTH SYSTEM AND THE COMMUNITY WERE NOT CHOSEN BASED ON OUR PRIORITIZATION PROCESS. THIS PROCESS INCLUDED THE FOLLOWING QUESTIONS: 1) THE NUMBER OF PEOPLE AFFECTED, 2) THE SEVERITY OF THE PROBLEM, 3) THE HEALTH SYSTEM'S ABILITY TO IMPACT AND 4) THE EXTENT TO WHICH OTHER ORGANIZATIONS WERE MEETING THE NEED. THE NEEDS THAT WERE NOT CHOSEN ARE AS FOLLOWS:NUTRITION AND PHYSICAL ACTIVITY - NUTRITION AND LACK OF PHYSICAL ACTIVITY WERE BOTH IDENTIFIED AS UNMET NEEDS. WHILE GOOD NUTRITION AND PHYSICAL ACTIVITY ARE NECESSARY TO PREVENT DISEASES AND CONDITIONS INCLUDING OBESITY, WE HAVE NOT CHOSEN TO DIRECTLY ADDRESS THESE NEEDS. INSTEAD, WE HAVE CHOSEN OBESITY AS A PRIORITY AREA, WHICH WE FEEL WILL ADDRESS BOTH PHYSICAL ACTIVITY AND NUTRITION RISK FACTORS. IN ADDITION, SJML SUPPORTS AND COLLABORATES WITH OTHER ORGANIZATIONS DEDICATED TO INCREASING FOOD SECURITY FOR THE POPULATION SUCH AS GLEANERS. ST. JOSEPH MERCY LIVINGSTON HAS REPRESENTATION AT THE LIVINGSTON COUNTY HUNGER COUNCIL NUTRITION EDUCATION SUBCOMMITTEE. HEART DISEASE - ST. JOSEPH MERCY LIVINGSTON CURRENTLY HAS SEVERAL PROGRAMS IN PLACE TO REDUCE THE AMOUNT OF HEART DISEASE IN THE COMMUNITY. THE HEALTH SYSTEM EMPLOYS A LARGE GROUP OF CARDIOLOGISTS THAT TREAT PATIENTS WITH THIS DISEASE. BY FOCUSING ON OBESITY, THE HOSPITAL FELT SEVERAL OF THE TACTICS TO ENCOURAGE EXERCISE AND HEALTH NUTRITION WOULD ALSO REDUCE THE AMOUNT OF HEART DISEASE. IN ADDITION, BY CHOOSING TO IMPLEMENT INITIATIVES TO INCREASE THE ACCESS THAT THE POPULATION HAD TO HEALTH PROVIDERS, THE HOSPITAL COULD BETTER PREVENT AND TREAT HEART DISEASE. SO WHILE THE HOSPITAL IS NOT IMPLEMENTING A NEW PROGRAM AIMED ONLY AT HEART DISEASE, WE EXPECT AN OUTCOME OF THE NEW PROGRAMS TO REDUCE OBESITY AND INCREASE ACCESS WILL ALSO REDUCE HEART DISEASE. SUBSTANCE ABUSE - AT THIS TIME SJML IS NOT IMPLEMENTING ANY NEW PROGRAMS TO REDUCE SUBSTANCE ABUSE IN THE COUNTY. SJML CURRENTLY PROVIDES MENTAL HEALTH AND DETOX SERVICES THOUGH THE SAINT JOSEPH MERCY HEALTH SYSTEM AND COLLABORATES THROUGH OUR MEMBERSHIP IN COALITIONS SUCH AS THE LIVINGSTON/WASHTENAW SUBSTANCE ABUSE COORDINATING AGENCY. THE HEALTH SYSTEM ALSO HOLDS COMMUNITY MEETINGS AND EDUCATION SESSIONS SUCH AS DRUGS 101 FOR PARENTS OF TEENS. IN ADDITION, THERE IS ALREADY A HOSPITAL IN THE COUNTY DEDICATED TO SUBSTANCE ABUSE AND IT PLAYS A MAJOR ROLE IN THIS CAPACITY.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 7: THE PHYSICAL ENVIRONMENT WILL NOT BE ADDRESSED DIRECTLY BY ST. JOSEPH MERCY CHELSEA (SJMC) HOSPITAL-LED INITIATIVES. THE HOSPITAL IS NOT IN A POSITION TO DIRECTLY IMPACT THE RURAL NATURE AND WALKABILITY OF THE COMMUNITIES. HOWEVER, SJMC IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES, AND FULLY SUPPORTS LOCAL GOVERNMENTS AND WELLNESS COALITIONS IN THEIR EFFORTS TO IMPACT PHYSICAL ENVIRONMENT ISSUES.SJMC WILL NOT DIRECTLY ADDRESS TRANSPORTATION WITH ANY NEW INITIATIVES BECAUSE THE NEED RANKED LOW AMONG OTHER RISK FACTORS DUE TO THE LOW NUMBER OF PEOPLE THAT ARE AFFECTED. IN ADDITION, OTHER LOCAL ORGANIZATIONS LIKE SENIOR CENTERS AND THE WESTERN WASHTENAW AREA VALUE EXPRESS (WAVE) BUS ARE ALREADY WORKING TO ADDRESS TRANSPORTATION NEEDS IN THE AREA. SJMC WILL CONTINUE TO HAVE A REPRESENTATIVE ON THE WAVE BOARD OF DIRECTORS, IN ORDER TO SUPPORT THIS EXISTING RESOURCE. SJMC IS NOT IN A POSITION AT THIS TIME TO DIRECTLY IMPACT ACCESS TO DENTAL CARE. THERE ARE SOME RESOURCES AVAILABLE IN THE SERVICE AREA, AND A REGIONAL COALITION CALLED THE WASHTENAW HEALTH INITIATIVE (WHI) IS WORKING TO ADDRESS THIS ISSUE IN WASHTENAW COUNTY, INCLUDING CHELSEA, DEXTER AND MANCHESTER. RESIDENTS OF GRASS LAKE HAVE ACCESS TO THE CENTER FOR FAMILY HEALTH IN JACKSON, WHICH PROVIDES FREE AND LOW COST MEDICAL AND DENTAL CARE TO ADULTS AND YOUTH THROUGH THEIR DOWNTOWN CLINIC AS WELL AS SCHOOL-BASED CLINICS. ADULTS IN STOCKBRIDGE HAVE THE FARTHEST TO TRAVEL FOR FREE OR REDUCED COST DENTAL CARE. BESIDES THE RESOURCES IN ANN ARBOR AND JACKSON, STOCKBRIDGE RESIDENTS CAN ALSO ACCESS THE ADULT DENTAL CENTER IN LANSING. SJMC WILL CONTINUE TO SUPPORT THE WHI IN THEIR EFFORTS TO EXPAND ACCESS.DIABETES DID NOT RANK AMONG THE TOP HEALTH NEEDS BECAUSE PREVALENCE DROPPED SIGNIFICANTLY IN WESTERN WASHTENAW FROM 2005 TO 2010. ALSO, BECAUSE OBESITY WAS RANKED AS THE MOST IMPORTANT HEALTH NEED, SJMC COMMUNITY HEALTH IMPROVEMENT COUNCIL MEMBERS FELT DIABETES WOULD ALSO BE ADDRESSED THROUGH MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY. SJMC WILL CONTINUE TO OFFER OUTPATIENT DIABETES EDUCATION AND OUTPATIENT DIETICIAN SERVICES TO PATIENTS WITH DIABETES OR PRE-DIABETES THROUGH CLASSES, INDIVIDUAL APPOINTMENTS, AND THE DIABETES SHARE GROUP. SJMC WILL NOT INITIATE NEW INTERVENTIONS TO STRENGTHEN FAMILY AND COMMUNITY INVOLVEMENT, BECAUSE OF LACK OF RESOURCES AND THE PRESENCE OF COMMUNITY RESOURCES. THE SRSLY COALITION IN CHELSEA IS WORKING TO STRENGTHEN THESE FACTORS THROUGH PARENT EDUCATION CLASSES AND YOUTH-LED COMMUNITY IMPROVEMENT INITIATIVES, AND SJMC WILL CONTINUE TO SUPPORT THIS EFFORT. BEYOND WHAT SJMC IS ALREADY DOING (SENIOR SUPPER CLUB, DIABETES SHARE GROUP, STROKE GROUP, ETC), THE HOSPITAL WILL NOT IMPLEMENT NEW STRATEGIES TO PROMOTE SOCIAL SUPPORT. THE FIVE AREA WELLNESS COALITIONS ARE EACH ADDRESSING THIS ISSUE AT THE COMMUNITY LEVEL THROUGH INITIATIVES TO SUPPORT "CONNECTING WITH OTHERS IN HEALTHY WAYS." SJMC WILL CONTINUE TO PARTICIPATE IN THESE COALITIONS AND SUPPORT PLANNING AND IMPLEMENTATION OF ACTIVITIES TO PROMOTE SOCIAL SUPPORT AS MUCH AS POSSIBLE.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 7: ST. JOSEPH MERCY PORT HURON ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. SJMPH WILL NOT TAKE ACTION ON THE FOLLOWING HEALTH NEEDS:CANCER SJMPH HAS A COMPREHENSIVE CANCER PROGRAM THAT INCLUDES ONCOLOGY AND RADIATION THERAPY. BY BEING PART OF THE MERCY CANCER NETWORK AND AFFILIATED WITH THE UNIVERSITY OF MICHIGAN CANCER PROGRAM, OUR COMMUNITY HAS ACCESS TO THE BEST CARE AS WELL AS CLINIC TRIALS FOR BOTH ONCOLOGY AND RADIATION THERAPY. ADDITIONALLY, MCLAREN PH HAS ANNOUNCED THEY WILL BE ADDING RADIATION THERAPY TO THEIR CANCER PROGRAM. CARDIAC/HEART DISEASE SJMPH LACKS THE VOLUMES TO ACQUIRE A CON FOR OPEN HEART CARDIAC SERVICES. WE WILL CONTINUE TO PROVIDE TOP NOTCH OUTPATIENT SERVICES INCLUDING CARDIAC CATH LAB AND CARDIAC REHAB. WE ARE PARTNERING WITH OTHER ST. JOSEPH MERCY HEALTH SYSTEM HOSPITALS TO PROVIDE HIGH QUALITY IP SERVICES. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.DENTAL SJMPH DOES NOT PROVIDE DENTAL SERVICES AND FEELS THAT THIS PRIORITY FALLS TO OTHER COMMUNITY SERVICE ORGANIZATIONS IN THE COMMUNITY. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.SMOKING SJMPH OPERATES A SMOKE FREE CAMPUS AND SUPPORTS SMOKING CESSATION PROGRAMS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 7: THE HOSPITAL DID NOT ADDRESS ADVOCACY RELATED TO SUBSTANCE ABUSE SERVICES AND MENTAL HEALTH SERVICES, ORAL HEALTH, 2-1-1, SUICIDE PREVENTION, TRANSPORTATION, HOMELESSNESS, DOMESTIC VIOLENCE, BULLYING PREVENTION AND PRISONER RE-ENTRY. MERCY GRAYLING DOES NOT HAVE THE RESOURCES AND/OR EXPERTISE TO ADDRESS THESE ISSUES EFFECTIVELY.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, INPATIENT ROOM BROCHURES GUIDES, AND ON ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON EVERY BILLING STATEMENT, AND UPON REQUEST. UPON ADMISSION, PATIENTS SEEKING FINANCIAL ASSISTANCE ARE CONTACTED BY A FINANCIAL COUNSELOR AND A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STJOESHEALTH.ORG//SJMAA-PFS
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. STATEMENTS PROVIDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE NUMBER(S) TO CALL ARE PROVIDED TO PATIENTS AT PRE-REGISTRATION, REGISTRATION, ON THE HOSPITAL WEBSITE, POSTINGS IN REGISTRATION AREAS AND ADMISSIONS OFFICES, AND INCLUDED ON ALL BILLING STATEMENTS SENT TO THE PATIENT/GUARANTOR. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.MERCYHEALTHSAINTMARYS.COM/FINANCIAL-ASSISTANCE-SM
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION IS AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSION OFFICES. SIGNAGE IS POSTED AND BROCHURES WITH A FAP SUMMARY ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS, AND WAITING ROOMS. BROCHURES WITH A FAP SUMMARY ARE ALSO DISPLAYED IN EMPLOYED PHYSICIAN OFFICES. FAP APPLICATION FORMS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON BILLING STATEMENTS, AND UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS, AND FINANCIAL COUNSELING DEPARTMENTS. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STJOESOAKLAND.ORG/SJMO-PFS
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION IS AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSION OFFICES. SIGNAGE IS POSTED AND BROCHURES WITH A FAP SUMMARY ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS, AND WAITING ROOMS. BROCHURES WITH A FAP SUMMARY ARE ALSO DISPLAYED IN EMPLOYED PHYSICIAN OFFICES. FAP APPLICATION FORMS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON BILLING STATEMENTS, AND UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS, AND FINANCIAL COUNSELING DEPARTMENTS. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STMARYMERCY.ORG/SMML-PFS
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, INPATIENT ROOM BROCHURES GUIDES, AND ON ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON EVERY BILLING STATEMENT, AND UPON REQUEST. UPON ADMISSION, PATIENTS SEEKING FINANCIAL ASSISTANCE ARE CONTACTED BY A FINANCIAL COUNSELOR AND A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STJOESLIVINGSTON.ORG/FA
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, INPATIENT ROOM BROCHURES GUIDES, AND ON ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON EVERY BILLING STATEMENT, AND UPON REQUEST. UPON ADMISSION, PATIENTS SEEKING FINANCIAL ASSISTANCE ARE CONTACTED BY A FINANCIAL COUNSELOR AND A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.STJOESCHELSEA.ORG//SJMAA-PFS
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) INFORMATION SIGNAGE IS POSTED AND BROCHURES WITH A FAP SUMMARY ARE DISPLAYED IN THE EMERGENCY DEPARTMENT, PATIENT ACCESS AREAS, AND WAITING ROOMS. FAP APPLICATION FORMS ARE AVAILABLE IN THE EMERGENCY ROOM AND FINANCIAL COUNSELING OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP ON BILLING STATEMENTS AND UPON REQUEST FROM THE CUSTOMER SERVICE, PATIENT ACCESS AREAS, AND FINANCIAL COUNSELING DEPARTMENTS. THE FAP SUMMARY AND FAP INFORMATION ARE AVAILABLE AT HTTP://WWW.MYMERCY.US/SJMPH-PFS
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION IN A BROCHURE FORMAT IS AVAILABLE IN THE MAIN ADMITTING AREA, THE EMERGENCY ROOM, AND ON PATIENT BILLING STATEMENTS. FAP SUMMARY INFORMATION IS AVAILABLE ONLINE AND IN THE ADMISSIONS DEPARTMENT, THE PHYSICIAN CLINICS, THE FREE CLINIC, THE BUSINESS OFFICE, THE MEDICAID COORDINATOR'S OFFICE, AND THE FINANCIAL COUNSELOR'S OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION, SCHEDULING, ON BILLING STATEMENTS, AND UPON REQUEST. THE FAP SUMMARY AND FAP APPLICATION INFORMATION ARE AVAILABLE AT HTTP://WWW.MERCYHEALTHGRAYLING.COM/FINANCIAL-ASSISTANCE-GRAYLING
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION IN A BROCHURE FORMAT IS AVAILABLE IN THE MAIN ADMITTING AREA, THE EMERGENCY ROOM, AND ON PATIENT BILLING STATEMENTS. FAP SUMMARY INFORMATION IS AVAILABLE ONLINE AND IN THE ADMISSIONS DEPARTMENT, THE PHYSICIAN CLINICS, THE FREE CLINIC, THE BUSINESS OFFICE, THE MEDICAID COORDINATOR'S OFFICE, AND THE FINANCIAL COUNSELOR'S OFFICE. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION, SCHEDULING, ON BILLING STATEMENTS, AND UPON REQUEST. THE FAP SUMMARY AND FAP APPLICATION INFORMATION ARE AVAILABLE AT HTTP://WWW.MERCYHEALTHCADILLAC.COM/FINANCIAL-ASSISTANCE
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
MERCY HOSPITAL GRAYLING	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 251% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.
MERCY HOSPITAL CADILLAC	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 251% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
TRINITY HEALTH - MICHIGAN

Employer identification number
38-2113393

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) AMERICAN HEART ASSOCIATION 2410 GRAPE RD STE A MISHAWAKA,IN46545	13-5613797	501(C)(3)	30,000				SPONSOR GALA F2013
(2) ANN ARBOR YPSILANTI REGIONAL CHAMBER 115 WEST HURON STREET 3RD FLOOR ANN ARBOR,MI48104	38-0303680	501(C)(6)	10,000				SPONSORSHIP
(3) ANN ARBOR AREA COMMUNITY 301 N MAIN ST STE 300 ANN ARBOR,MI48104	38-6087967	501(C)(3)	205,000				SPONSORSHIP TO END HOMELESSNESS
(4) ANN ARBOR SUMMER FESITVAL 310 DEPOT STREET STE 3 ANN ARBOR,MI48104	38-2307397	501(C)(3)	5,000				PRESENTING SPONSOR - RETREAT
(5) ANN ARBOR SYMPHONY ORCHESTRA 220 E HURON STE 470 ANN ARBOR,MI48104	38-6069701	501(C)(3)	5,000				"THE PLANETS" FAMILY CONCERT SUPPORT
(6) CANCER SUPPORT COMMUNITY OF GREATER ANN ARBOR 2010 HOGBACK RD STE C3 ANN ARBOR,MI48105	05-0597871	501(C)(3)	15,000				CANCER SUPPORT GRANT
(7) CARE HOUSE OF OAKLAND COUNTY 44765 WOODWARD AVE PONTIAC,MI48341	38-2305297	501(C)(3)	5,000	3,995	BOOK	SUPPLIES	SUPPORT OF PROGRAM MISSION
(8) CATHOLIC SOCIAL SERVICES 4925 PACKARD RD ANN ARBOR,MI48108	38-1654500	501(C)(3)	5,000				ANNUAL EVENT SPONSORSHIP
(9) CENTER FOR HEALTHCARE RESEARCH 2929 PLYMOUTH RD STE 245 ANN ARBOR,MI48109	27-1017827	501(C)(3)	30,000				PROGRAM SUPPORT FOR FY13 WASHTENAW HEALTH INITIATIVE
(10) CHILD CARE NETWORK 2385 S HURON PARKWAY ANN ARBOR,MI48104	38-2160250	501(C)(3)	5,000				TO SUPPORT TRAINING PROGRAMS FOR HEALTHY LIVING OF PRESCHOOL CHILDREN
(11) EASTERN MARKET CORPORATION 2934 RUSSELL ST DETROIT,MI48207	32-0030432	501(C)(3)	50,000				SUPPORT OF EASTERN MARKET FARM STAND & FOOD ACCESS PROGRAMMING
(12) FOOD GATHERERS PO BOX 131037 ANN ARBOR,MI48113	38-2853858	501(C)(3)	20,000				PROVIDE SUPPORT TO FEED NEEDY IN COMMUNITY
(13) FOUNDATION OF MICHIGAN ASSOCIATION OF PHYSICIANS OF INDIAN ORIGIN 28235 SOUTHFIELD RD LATHRUP VILLAGE,MI48076	38-3032459	501(C)(3)	25,000				MAPI FREE CLINIC GRAND SPONSOR
(14) GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR,MI48105	20-8072723	501(C)(3)	10,000				GLACIER HILLS 40TH ANNIVERSARY SPONSOR
(15) GLEANERS COMMUNITY FOOD BANK 5924 STERLING DRIVE HOWELL,MI48843	38-2156255	501(C)(3)	5,000				PROVIDE SUPPORT TO FEED NEEDY IN COMMUNITY
(16) LACASA 2895 W GRAND RIVER AVE HOWELL,MI48843	38-2370824	501(C)(3)	5,000				SPONSORSHIP OF ANNUAL GARDEN EVENT
(17) LIVINGSTON COUNTY ECON DEV 218 E GRAND RIVER BRIGHTON,MI48116	38-2488748	501(C)(3)	5,000				2014 PARTNERSHIP
(18) LIVONIA PUBLIC SCHOOLS FOUNDATION 15125 FARMINGTON RD LIVONIA,MI48154	28-1085968	501(C)(3)	7,500				1ST OF 3 INSTALLMENTS, BACK TO SCHOOL PROGRAM
(19) MAKE A WISH FOUNDATION 1669 HAMILTON RD STE 210 OKEMOS,MI48864	34-1471131	501(C)(3)	5,000				WISH A MILE SPONSORSHIP
(20) MIDWEST CENTER FOR DERMATOLOGY & COSMETIC SURGERY 43900 GARFIELD RD STE 100 CLINTON TWP,MI48038			7,500				SUPPORT SJMH DERMATOLOGY RESIDENCY PROGRAM
(21) NEUTRAL ZONE INC 310 E WASHINGTON ST ANN ARBOR,MI48104	38-3407568	501(C)(3)	5,500				TO SUPPORT SALINE HIGH SCHOOL STUDENTS IN DEVELOPING A DIVERSITY COUNCIL
(22) NEW HOPE SHELTER 814 LYNN STREET CADILLAC,MI49601	32-0019736	501(C)(3)	0	175,200	FMV	DONATED GOODS AND PROPERTY	SUPPORT OF PROGRAM MISSION
(23) NORTH WOODWARD COMMUNITY FOUNDATION 1120 E LONG LAKE RD TROY,MI48085	38-3390605	501(C)(3)	5,000				BLESSINGS IN A BACKPACK PROGRAM
(24) MUNSON HEALTHCARE REGIONAL FOUNDATION PO BOX 1188 TRAVERSE CITY,MI49685	38-2642724	501(C)(3)	5,000				SUPPORT OF NORTHERN MICHIGAN DIABETES INITIATIVE
(25) OAKLAND LIVINGSTON HUMAN SERVICES AGENCY 196 CESAR CHAVEZ AVE PONTIAC,MI48343	38-1785665	501(C)(3)	13,200				SPONSORSHIPS
(26) OAKLAND UNIV 427 ELLIOTT HALL ROCHESTER HILLS,MI48309	38-1714400	501(C)(3)	45,000				SPONSORSHIPS
(27) PACKARD COMMUNITY CLINIC 3174 PACKARD RD ANN ARBOR,MI48108	38-2269817	501(C)(3)	45,835				WASHTENAW HEALTH INITIATIVE - PRIMARY CARE SUPPORT
(28) SPIRIT OF PONTIACMARRIOTT CENTERPOINT 3600 CENTERPOINT PKWY PONTIAC,MI48341	20-4778392	501(C)(3)	5,000				GOVERNMENT-SUPPORT CITY EVENT
(29) ST LOUIS CENTER 16195 OLD US 12 CHELSEA,MI48118	53-0196617	501(C)(3)	10,000				ST. LOUIS CENTER'S LEGACY CAMPAIGN - 50TH ANNIVERSARY
(30) STEHOUWER FREE CLINIC 7985 MACKINAW TRAIL CADILLAC,MI49601	61-1401888	501(C)(3)	146,687				SUPPORT OF PROGRAM MISSION
(31) THE ARBOR HOSPICE FOUNDATION 2366 OAK VALLEY DR ANN ARBOR,MI48103	32-0045893	501(C)(3)	5,000				SPRING EVENT
(32) UNITED WAY 2305 PLATT RD ANN ARBOR,MI48104	94-1312348	501(C)(3)	9,047				2013 LEADERSHIP RECEPTION SPONSORSHIP
(33) UNITED WAY OF WEXFORD COUNTY PO BOX 117 CADILLAC,MI49601	23-7112549	501(C)(3)	10,000				SUPPORT OF PROGRAM MISSION
(34) UNIVERSITY OF MICHIGAN 1500 E MEDICAL CTR DR 5PC 5201 ANN ARBOR,MI48109	38-6006309	501(C)(3)	163,400				SUPPORT FOR THE TAMMS PROJECT
(35) WELLNESS PLAN 7700 SECOND AVE DETROIT,MI48202	38-2008890	501(C)(3)	96,660				COMMUNITY BENEFIT GRANT
(36) WESTERN WASHTENAW AREA VALUE(WAVE) PO BOX 272 CHELSEA,MI48118	38-2122970	501(C)(3)	5,000				SUPPORT OF PROGRAM MISSION
(37) MERCY HOSPITAL CADILLAC FOUNDATION 400 HOBART CADILLAC,MI49601	20-3357131	501(C)(3)	99,593				SUPPORT OF PROGRAM MISSION
(38) PORT HURON MERCY FAMILY CARE 2601 ELECTRIC AVENUE PORT HURON,MI48060	20-1855647	501(C)(3)	58,534				SUPPORT OF PROGRAM MISSION

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) SCHOLARSHIPS	12	25,000
(2) PRESCRIPTION MEDICATIONS	297		151,504	FAIR MARKET VALUE	PRESCRIPTION MEDICATIONS
(3) TRANSPORTATION ASSISTANCE	34	1,606			TRANSPORTATION ASSISTANCE

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	DONATIONS MADE BY TRINITY HEALTH - MICHIGAN TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

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

Travel for companions Payments for business use of personal residence

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

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

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

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

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

Yes

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

Yes

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

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

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

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

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

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

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

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

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

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)JUDITH PERSICHILLIPRESIDENT AND CEO THROUGH 11/13	(i) (ii)	0 1,311,163	0 1,102,307	0 1,654,631	0 18,975	0 6,481	0 4,093,557	0 0
(2)PAUL NEUMANNSECRETARY	(i) (ii)	0 511,279	0 626,797	0 117,475	0 74,894	0 28,132	0 1,358,577	0 0
(3)AGNES HAGERTYASSISTANT SECRETARY	(i) (ii)	0 355,901	0 23,243	0 23,813	0 32,268	0 15,027	0 450,252	0 0
(4)JENNIFER BARNETTTREASURER THROUGH 4/14	(i) (ii)	0 631,567	0 425,195	0 162,607	0 18,975	0 11,720	0 1,250,064	0 0
(5)BENJAMIN CARTERASST TREAS THR 4/14;TREAS AS OF 4/14	(i) (ii)	0 581,124	0 586,500	0 82,502	0 84,996	0 25,449	0 1,360,571	0 0
(6)CYNTHIA CLEMENCEASSISTANT TREASURER AS OF 4/14	(i) (ii)	0 347,294	0 120,834	0 1,818	0 28,563	0 21,187	0 519,696	0 0
(7)GARRY FAJASE MI REGIONAL CEO	(i) (ii)	0 565,249	0 420,525	0 114,627	0 17,850	0 20,670	0 1,138,921	0 8,494
(8)JACK WEINERCEO ST. JOSEPH MERCY OAKLAND	(i) (ii)	0 424,894	0 325,543	0 291,722	0 72,915	0 38,033	0 1,153,107	0 21,476
(9)ROGER SPOELMANWEST MI REGIONAL CEO	(i) (ii)	0 518,579	0 397,639	0 120,483	0 105,342	0 24,026	0 1,166,069	0 26,420
(10)ROBERT CASALOUCEO SAINT JOSEPH MERCY HEALTH	(i) (ii)	0 471,479	0 373,619	0 63,606	0 65,277	0 25,445	0 999,426	0 0
(11)PHILIP MCCORKLEWEST MI REGL MARKET EXEC THR 8/13	(i) (ii)	0 388,625	0 394,603	0 123,489	0 17,850	0 23,493	0 948,060	0 0
(12)DAVID SPIVEYCEO ST. MARY MERCY HOSP (LIVONIA)	(i) (ii)	0 378,338	0 297,896	0 67,616	0 80,044	0 14,969	0 838,863	0 15,403
(13)NANCY GRAEBNERCEO ST. JOSEPH MERCY CHELSEA	(i) (ii)	0 284,274	0 171,654	0 47,120	0 39,652	0 15,004	0 557,704	0 3,809
(14)JOHN MACLEODCEO MERCY HOSPITAL CADILLAC	(i) (ii)	0 258,099	0 195,470	0 47,745	0 52,027	0 21,234	0 574,575	0 4,329
(15)STEPHANIE RIEMER-MATUZAKCEO MERCY HOSPITAL GRAYLING	(i) (ii)	0 223,189	0 181,356	0 39,771	0 58,036	0 22,575	0 524,927	0 3,576
(16)MICHAEL GUSHOSE MI REGIONAL CFO	(i) (ii)	0 328,010	0 77,896	0 1,711	0 29,602	0 19,537	0 456,756	0 0
(17)RANDALL WAGNERCOO SAINT MARY'S MERCY HEALTH	(i) (ii)	0 305,471	0 87,749	0 4,720	0 18,710	0 19,041	0 435,691	0 0
(18)BARBARA HERTZLERCOO ST. JOSEPH MERCY OAKLAND	(i) (ii)	0 314,732	0 70,673	0 4,704	0 38,897	0 19,445	0 448,451	0 0
(19)STEVE EAVENSONVP FIN MERCY HLTH ST MARY'S	(i) (ii)	0 285,014	0 74,922	0 29,115	0 19,540	0 15,916	0 424,507	0 0
(20)REBEKAH SMITHCEO ST. JOSEPH MERCY PORT HURON	(i) (ii)	0 227,117	0 114,584	0 33,983	0 48,417	0 3,017	0 427,118	0 0
(21)GARY ALLOREWEST MI REGIONAL CFO	(i) (ii)	0 296,210	0 70,163	0 1,540	0 16,425	0 19,954	0 404,292	0 0
(22)CLAUDE LAUDERBACHCOO ST. MARY MERCY HOSP (LIVONIA)	(i) (ii)	0 237,126	0 49,281	0 3,360	0 41,939	0 9,432	0 341,138	0 0
(23)LORI SHIVELYVP FIN MERCY HOSP CADILLAC/GRAYLING	(i) (ii)	51,535 93,333	127,225 0	16,906 291	0 12,750	3,106 3,974	198,772 110,348	0 0
(24)KATHLEEN O'CONNORVP FIN ST JOSEPH MERCY ANN ARBOR	(i) (ii)	255,083 0	25,359 0	2,424 0	33,309 0	16,323 0	332,498 0	0 0
(25)MARY NEFFCOO MERCY HOSPITAL CADILLAC	(i) (ii)	0 183,172	0 78,614	0 2,534	0 29,320	0 8,475	0 302,115	0 0
(26)MICHAEL SAMYNCFO ST. MARY MERCY HOSPITAL	(i) (ii)	0 207,391	0 45,587	0 1,022	0 15,872	0 17,401	0 287,273	0 0
(27)CHARLES F SCHWARTZCARDIOTHORACIC SURGEON (OAKLAND)	(i) (ii)	697,102 0	160,505 0	1,418 0	9,533 0	9,194 0	877,752 0	0 0
(28)GEORGE GIBSONORTHOPEDIC SURGEON (SJMHS)	(i) (ii)	781,321 0	47,736 0	1,734 0	12,954 0	24,724 0	868,469 0	0 0
(29)CREG CARPENTERORTHOPEDIC SURGEON (CHELSEA HOSP)	(i) (ii)	761,955 0	7,472 0	1,947 0	13,878 0	20,900 0	806,152 0	0 0
(30)TALLAL ZENIORTHOPEDIC SURGEON (SMM LIVONIA)	(i) (ii)	439,003 0	279,727 0	903 0	12,750 0	18,586 0	750,969 0	0 0
(31)KRISTOPHER AALDERINKORTHOPEDIC SURGEON (SJMHS)	(i) (ii)	771,248 0	54,736 0	1,572 0	8,877 0	22,761 0	859,194 0	0 0
(32)JOSEPH SWEDISHFORMER OFFICER	(i) (ii)	0 344,758	0 0	0 1,119,237	0 21,706	0 7,182	0 1,492,883	0 0
(33)DANIEL HALEFORMER OFFICER	(i) (ii)	0 515,065	0 692,503	0 95,295	0 29,355	0 21,325	0 1,353,543	0 0
(34)JAMES BOSSCHERFORMER OFFICER	(i) (ii)	0 351,725	0 348,218	0 120,401	0 75,455	0 13,211	0 909,010	0 15,518
(35)MARIANNE CUNNINGHAMFORMER OFFICER	(i) (ii)	0 167,604	0 0	0 826	0 10,136	0 18,843	0 197,409	0 0
(36)KEDRICK ADKINSFORMER KEY EMPLOYEE	(i) (ii)	0 504,488	0 873,685	0 430,416	0 1,730,702	0 8,534	0 3,547,825	0 45,090
(37)J RICHARD O'CONNELLFORMER KEY EMPLOYEE	(i) (ii)	0 731,422	0 769,386	0 172,766	0 111,806	0 33,679	0 1,819,059	0 0
(38)CHARLES HOFFMANFORMER KEY EMPLOYEE	(i) (ii)	0 403,144	0 91,226	0 3,942	0 27,489	0 15,106	0 540,907	0 0
(39)GREGORY LOOMISFORMER KEY EMPLOYEE	(i) (ii)	0 361,420	0 69,843	0 5,143	0 28,091	0 16,692	0 481,189	0 0
(40)MICHAEL SLUBOWSKIFORMER KEY EMPLOYEE	(i) (ii)	0 0	0 0	0 231,799	0 0	0 0	0 231,799	0 231,799
(41)ROBERT SMYTHEFORMER KEY EMPLOYEE	(i) (ii)	0 108,112	0 66,806	0 3,028	0 8,519	0 5,114	0 191,579	0 0
(42)DEBORAH ARMSTRONGFORMER KEY EMPLOYEE	(i) (ii)	0 171,000	0 0	0 0	0 10,350	0 0	0 181,350	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

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.

Return Reference

Explanation

PART I, LINE 3

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

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN CALENDAR 2013. THIS AMOUNT IS INCLUDED IN COLUMN B(III): KEDRICK ADKINS - $310,298 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNT, WHICH WAS UNPAID AS OF 12/31/13: KEDRICK ADKINS - $1,347,759 ($814,924 PAID IN 2014 AND $532,835 TO BE PAID IN 2015) THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2013 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - 258,812 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 ($255,000 FOR 2013). THE FOLLOWING ACCRUALS FOR 2013 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $106,281 JAMES BOSSCHER - $50,952 BENJAMIN CARTER - $72,246 ROBERT CASALOU - $52,527 NANCY GRAEBNER - $24,902 JOHN MACLEOD - $29,540 PAUL NEUMANN - $62,144 J. RICHARD O'CONNELL - $99,056 STEPHANIE RIEMER-MATUZAK - $24,596 REBEKAH SMITH - $23,272 DAVID SPIVEY - $52,836 ROGER SPOELMAN - $77,993 JACK WEINER - $43,101 PART II: THE FOLLOWING INDIVIDUALS WERE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOSEPH SWEDISH - $543,977 MICHAEL SLUBOWSKI - $231,799 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. PART II, COLUMN B (II): THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS IN 2013 FROM A LONG-TERM INCENTIVE PLAN (LTIP). PARTICIPANTS IN THE LTIP (CEO'S AND CERTAIN TRINITY EXECUTIVES) WERE ELIGIBLE TO RECEIVE A PAYMENT UNDER THE PLAN ONLY IF CERTAIN CULTURE OF SAFETY SURVEY SCORE TARGETS WERE ACHIEVED AT THE END OF A THREE-YEAR PERIOD (FY11 THROUGH FY13). THE FOLLOWING LTIP AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II): KEDRICK ADKINS - $372,833 JAMES BOSSCHER - $160,406 BENJAMIN CARTER - $253,562 ROBERT CASALOU - $205,450 GARRY FAJA - $264,971 NANCY GRAEBNER - $68,096 DANIEL HALE - $242,723 JOHN MACLEOD - $114,146 PHILIP MCCORKLE - $205,795 PAUL NEUMANN - $237,224 J. RICHARD O'CONNELL - $294,870 STEPHANIE RIEMER-MATUZAK - $107,264 REBEKAH SMITH - $35,088 DAVID SPIVEY - $168,995 ROGER SPOELMAN - $228,996 JACK WEINER - $201,747

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

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

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

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

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






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) KATHRYN TUNE	FAMILY MEMBER OF BARBARA HERTZLER, KEY EMPLOYEE	83,333	EMPLOYMENT ARRANGEMENT		No
(2) METROPOLITAN DETROIT AREA HOSPITAL SERVICES INC	CHARLES HOFFMAN, FORMER KEY EMPLOYEE, IS A BOARD MEMBER METRO DET HOSP SVCS	1,110,872	TRINITY HEALTH - MICHIGAN PURCHASED LAUNDRY SERVICES FROM METRO DETROIT AREA HOSPITAL SERVICES, INC.		No
(3) RYAN SMITH	FAMILY MEMBER OF REBEKAH SMITH, KEY EMPLOYEE	40,545	EMPLOYMENT ARRANGEMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

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

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	68	11,885	FAIR MARKET VALUE
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		227	FAIR MARKET VALUE
5 Clothing and household goods .......	X		15,167	FAIR MARKET VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...	X	4	1,738	FAIR MARKET VALUE
9 Securities—Publicly traded .	X	7	144,141	MEDIAN VALUE ON TRANSFER
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....	X	25	23,068	FAIR MARKET VALUE
19 Food inventory ...	X	16	13,106	FAIR MARKET VALUE
20 Drugs and medical supplies .	X	3	100	FAIR MARKET VALUE
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MISCELLANEOUS )	X	311	106,017	FAIR MARKET VALUE
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

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

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

Yes

32a

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

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

32a

Yes

If "Yes," describe in Part II.

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

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2013)

Page 2

Part II

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

Return Reference	Explanation
PART I, LINE 32B:	SPECIAL EVENT COMMITTEE VOLUNTEERS SOLICIT NON-CASH CONTRIBUTIONS FROM LOCAL BUSINESSES. THEY SOLICIT ITEMS TO BE USED DURING THE SPECIAL EVENT, SUCH AS FOOD, PLUS ITEMS TO BE SOLD AT THE EVENT AUCTION.

Schedule M (Form 990) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11	PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH - MICHIGAN IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE REGIONAL BOARDS OF TRINITY HEALTH-MICHIGAN. 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 - MICHIGAN HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF TRINITY HEALTH - MICHIGAN, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH TRINITY HEALTH - MICHIGAN'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH - MICHIGAN OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO TRINITY HEALTH - MICHIGAN. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN ON A YEARLY BASIS.
FORM 990, PART VI, SECTION B, LINE 15	QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR TRINITY HEALTH - MICHIGAN'S CEO, OFFICERS, AND KEY MANAGEMENT OFFICIALS IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. TRINITY HEALTH - MICHIGAN FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TRINITY HEALTH - MICHIGAN ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19	TRINITY HEALTH - MICHIGAN IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, TRINITY HEALTH - MICHIGAN INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. TRINITY HEALTH - MICHIGAN'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES: -30,480,219. CHANGE IN DEFERRED RETIREMENT COST: 1,968,536. OTHER TRANSACTIONS: 1,519,582. PARTNERSHIP EQUITY ACTIVITY: 110,000. INDIGENT CARE AGREEMENT REVENUE: 9,987,286. INDIGENT CARE AGREEMENT CONTRIBUTIONS: -9,510,495. EQUITY EARNINGS: 3,649,500.
FORM 990, PART XII, LINE 2:	TRINITY HEALTH - MICHIGAN'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY14 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES (ASLA), ANN ARBOR HOME INFUSION PHARMACY, BALD MOUNTAIN DIAGNOSTIC IMAGING, BROWNING CLAYTOR HEALTH CENTER, CADILLAC OCCUPATIONAL MEDICINE, CANTON CENTER FOR ADVANCED MEDICINE AND SURGERY, CANTON HEALTH CENTER, CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES), CHELSEA COMMUNITY HOSPITAL, CHELSEA COMMUNITY HOSPITAL CHILDREN'S CENTER, CHELSEA COMMUNITY HOSPITAL, A MEMBER OF THE SAINT JOSEPH MERCY HEALTH SYSTEM, CHELSEA ORTHOPEDIC SPECIALISTS, CHELSEACARE, CHELSEACARE HOME HEALTH, CHELSEACARE PHARMACY, CLINICA SANTA MARIA, CLINXUS, CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES, DEXTER INTERNAL MEDICINE AND PEDIATRICS, EVANGELICAL DEACONESS HOSPITAL, FAMILY MEDICINE OF STOCKBRIDGE, HEALTH EXPLORATION STATION, HEALTHFIRST MEDICAL CENTER, HEARTSIDE HEALTH CLINIC, INSPIRIT CANCER SUPPORT SERVICES, LIVINGSTON COMMUNITY HOSPICE, MCAULEY HEALTH CENTER, MERCY ADVANTAGE, MERCY CADILLAC ANESTHESIA, MERCY CADILLAC CANCER CENTER, MERCY CADILLAC PHYSICIAN NETWORK, MERCY CANCER CENTER, MERCY ENDOCRINOLOGY, MERCY FAMILY CARE, MERCY GENERAL HEALTH PARTNERS, MERCY HEALTH, MERCY HEALTH - GRAND RAPIDS, MERCY HEALTH CLINXUS, MERCY HEALTH DENTAL CLINIC, MERCY HEALTH PHARMACY - CATHEDRAL SQUARE, MERCY HEALTH PHARMACY - HOME INFUSION, MERCY HEALTH PHARMACY - LONG TERM CARE, MERCY HEALTH PHARMACY - SOUTHWEST, MERCY HEALTH PHARMACY - WEGE CENTER, MERCY HEALTH PHARMACY-ROCKFORD, MERCY HEALTH ROCKFORD CAMPUS, MERCY HEALTH SAINT MARY'S, MERCY HEALTH SERVICES, MERCY HEALTH SERVICES NORTH, MERCY HEALTH SOUTHWEST CAMPUS, MERCY HEALTH-MUSKEGON CMH PHARMACY, MERCY HOSPITAL, MERCY HOSPITAL GRAYLING D/B/A MERCY HEALTH CANCER CENTER, MERCY HOSPITAL OUTPATIENT PHARMACY, MERCY HOSPITAL, CADILLAC, MERCY HOSPITAL, GRAYLING, MERCY HOSPITAL, MUSKEGON, MERCY HOSPITAL, PORT HURON, MERCY MEDICAL CENTER - NOVI, MERCY MEDICAL GROUP, MERCY NORTH OUTPATIENT PHARMACY, MERCY OB/GYN PARTNERS, MERCY OUTPATIENT PHARMACY, MERCY PATHOLOGY, MERCY PHYSICIAN NETWORK, MERCY PHYSICIAN NETWORK CADILLAC, MERCY PHYSICIAN PARTNERS, MERCY PRIMARY CARE CENTER - DETROIT, MERCY PRIMARY CARE CENTER - DETROIT PHARMACY, MERCY PROFESSIONAL SERVCES, MERCY PROFESSIONAL SERVICES, MERCY SPECIALTY CARE, MERCY SURGERY CARE, MERCY SURGERY CARE NETWORK, MERCY SURGICAL CARE, MICHIGAN BARIATRIC INSTITUTE (MBI), MICHIGAN CANCER INSTITUTE, MICHIGAN HEART, MICHIGAN STROKE NETWORK, MICHIGAN STROKE NETWORK REGISTRY, MUSKEGON GENERAL HOSPITAL, PARTNERS AT HEART, PROFESSIONAL FINANCIAL SERVICES, RICHARD J. LACKS CANCER CENTER, SAINT JOSEPH MERCY CANTON HEALTH CENTER, SAINT JOSEPH MERCY CENTER FOR ADVANCED MEDICINE AND SURGERY, SAINT JOSEPH MERCY HEALTH NETWORK, SAINT JOSEPH MERCY HEALTH SYSTEM, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVORIAL MEDICINE, SAINT JOSEPH MERCY LIVINGSTON HOME CARE, SAINT JOSEPH MERCY LIVINGSTON HOSPITAL, SAINT JOSEPH MERCY PHARMACY - HOWELL, SAINT JOSEPH MERCY PHARMACY - REICHERT, SAINT JOSEPH MERCY PHARMACY - SALINE, SAINT JOSEPH MERCY PHARMACY - TOWERS, SAINT JOSEPH MERCY SALINE HOSPITAL, SAINT MARY'S ADVANCED SPECIALTY CARE, SAINT MARY'S CATHEDRAL SQUARE PHARMACY, SAINT MARY'S FAMILY PHARMACY - ECS, SAINT MARY'S FAMILY PHARMACY - LTC, SAINT MARY'S FAMILY PHARMACY-CATHEDRAL SQUARE, SAINT MARY'S FAMILY PHARMACY-SOUTHWEST, SAINT MARY'S FAMILY PHARMACY-WEGE CENTER, SAINT MARY'S HEALTH CARE, SAINT MARY'S HEALTH CARE, PROFESSIONAL FINANCIAL SERVICES, SAINT MARY'S HEALTH SERVICES, GRAND RAPIDS, SAINT MARY'S LTC PHARMACY, SAINT MARY'S MERCY HOSPITAL, SAINT MARY'S MERCY MEDICAL CENTER, SAINT MARY'S MERCY WEGE CENTER, SAINT MARY'S MERCY WOUND CARE CENTER, SAINT MARYS'S FAMILY PHARMACY WEGE CENTER FOR HEALTH AND LEARNING, SALINE COMMUNITY HOSPITAL, SAMARITAN HEALTH CENTER, DETROIT, SISTERS OF MERCY HEALTH CORPORATION, SJMH MEDICAL PRACTICE, SJMH URGENT CARES, SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP, SJMHS ORTHOPEDIC SERVICES, SJMHS SPECIALTY PHYSICIANS, SJMO ROCHESTER HILLS OB/GYN, SOPHIA'S HOUSE, SPARTA FAMILY HEALTH CENTER, SPORTX, SRSLY, ST JOSEPH MERCY HOSPITAL, PONTIAC, ST. JOSEPH MERCY - BRIGHTON, ST. JOSEPH MERCY ANN ARBOR, ST. JOSEPH MERCY ANN ARBOR-CANCER CENTER, ST. JOSEPH MERCY BRIGHTON-CANCER CENTER, ST. JOSEPH MERCY CANCER CENTER, ST. JOSEPH MERCY CANTON, ST. JOSEPH MERCY CANTON-CANCER CENTER, ST. JOSEPH MERCY CHELSEA, ST. JOSEPH MERCY CHELSEA-CANCER CENTER, ST. JOSEPH MERCY HOSPITAL, ANN ARBOR, ST. JOSEPH MERCY HOSPITAL, PONTIAC, ST. JOSEPH MERCY LIVINGSTON, ST. JOSEPH MERCY LIVINGSTON-CANCER CENTER, ST. JOSEPH MERCY OAKLAND, ST. JOSEPH MERCY OAKLAND - IMAGE ENHANCEMENT CENTER, ST. JOSEPH MERCY OAKLAND URGENT CARE-BIRMINGHAM, ST. JOSEPH MERCY OAKLAND-CANCER CENTER, ST. JOSEPH MERCY PORT HURON, ST. JOSEPH MERCY PORT HURON - CANCER CENTER, ST. JOSEPH MERCY PORT HURTON, ST. JOSEPH MERCY SALINE, ST. JOSEPH MERCY SALINE HEALTH CENTER, ST. MARY MERCY - CANCER CENTER, ST. MARY MERCY HOSPITAL, ST. MARY MERCY HOSPITAL PROFESSIONAL, ST. MARY MERCY LIVONIA, ST. MARY MERCY ONCOLOGY PRACTICE, ST. MARY MERCY OUTPATIENT PHARMACY, ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES, ST. MARY MERCY PHYSICIAN PRACTICES, ST. MARY MERCY WOUND CARE CENTER, ST. MARY'S HOSPITAL, GRAND RAPIDS, THE BOUTIQUE AT MERCY HEALTH, THE BOUTIQUE AT MERCY HEALTH, LACKS CANCER CENTER, TRINITY INFORMATION SERVICES, WEST MICHIGAN REGIONAL HEART AND VASCULAR INSTITUTE, WESTSHORE FAMILY MEDICINE, WESTSIDE OBSTETRICS AND GYNECOLOGY, WEXFORD ORTHOPEDICS, WHITE OAK INN, WOMEN'S HEALTH CENTER,

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) CLR INVESTMENTS LLC 120 W HARRIS ST CADILLAC,MI49601 32-0008631	REAL ESTATE RENTAL & DEVELOPMENT	MI	-2,920	247,597	TRINITY HEALTH-MICHIGAN
(2) CONNECTED CARE LLC 2601 ELECTRIC AVE PORT HURON,MI48060 46-5671411	ACCOUNTABLE CARE ORGANIZATION	MI	0	0	TRINITY HEALTH-MICHIGAN
(3) MERCY HEALTH CLINXUS LLC 333 BOSTWICK AVENUE NE GRAND RAPIDS,MI49503 27-4015168	CLINICAL TRIALS	MI	0	0	TRINITY HEALTH-MICHIGAN
(4) SAINT MARY'S PHARMACY LLC 200 JEFFERSON AVE SE GRAND RAPIDS,MI49503 38-3404443	PHARMACY	MI	0	0	TRINITY HEALTH-MICHIGAN
(5) THE SAINT JOSEPH MERCY HLTH PTNRS CLINICALLY INTEGRATED NTWK PO BOX 995 ANN ARBOR,MI48106 47-1340852	ACCOUNTABLE CARE ORGANIZATION	MI	0	0	TRINITY HEALTH-MICHIGAN
(6) TRINITY HEALTH-WARDE LAB LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 27-2681908	REAL ESTATE RENTAL	DE	-32,891	8,538,530	TRINITY HEALTH-MICHIGAN
(7) WESTERN CARE ALLIANCE LLC 36475 FIVE MILE ROAD LIVONIA,MI48154 46-5620128	ACCOUNTABLE CARE ORGANIZATION	MI	0	0	TRINITY HEALTH-MICHIGAN
(8) THE CARE ALLIANCE 36475 FIVE MILE ROAD LIVONIA,MI48154 46-5648536	ACCOUNTABLE CARE ORGANIZATION	MI	-211,453	35,000	TRINITY HEALTH-MICHIGAN

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS,MI49503 27-2491974	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(2) ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR,FL34684 58-1492325	MANAGEMENT & SUPPORT SERVICES	FL	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	Yes
(3) 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
(4) 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
(5) 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
(6) 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
(7) BEECHWOOD INC 2212 BURDETT AVE TROY,NY12180 14-1651563	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes
(8) BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS,NY12159 14-1717028	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(9) BRIGHTSIDE INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-2182395	BEHAVIORAL CARE	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(10) CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1701597	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(11) 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
(12) 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	Yes
(13) 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
(14) COLUMBUS ACQUISITION CORP 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616342	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER	Yes
(15) 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
(16) 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	Yes
(17) 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
(18) 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
(19) 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
(20) 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
(21) 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	Yes
(22) 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	Yes
(23) EMPIRE HOME INFUSION SERVICES INC 10 BLACKSMITH DRIVE MALTA,NY12020 14-1795732	HOME CARE	NY	501(C)(3)	LINE 9	HOME AIDE SERVICE OF EASTERN NEW YORK INC	Yes
(24) FARREN CARE CENTER INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-2501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(25) FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON,DE19805 22-3008680	ELDERCARE	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes
(26) GLEN EDDY INC ONE GLEN EDDY DRIVE NISKAYUNA,NY12309 14-1794150	INDEPENDENT/ASSISTED LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(27) 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	Yes
(28) GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO,GA30642 26-1720984	HOSPITAL	GA	501(C)(3)	LINE 3	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(29) 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
(30) 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
(31) 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
(32) GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC 1000 MONROE AVENUE NW GRAND RAPIDS,MI49503 23-7270669	MEDICAL EDUCATION TRAINING PROGRAMS	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(33) HACKLEY HOSPITAL 1700 CLINTON ST PO BOX 3302 MUSKEGON,MI49443 38-1358196	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes
(34) HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST PO BOX 3302 MUSKEGON,MI49443 38-2299878	SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY	MI	501(C)(3)	LINE 11C, III-FI	MERCY HEALTH PARTNERS	Yes
(35) HACKLEY LIFE COUNSELING 1352 TERRACE ST MUSKEGON,MI49442 38-1386362	COUNSELING, EDUCATION, AND SUPPORT	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	Yes
(36) 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	Yes
(37) HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY,NY12180 14-1725101	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(38) 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
(39) 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
(40) HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-0738041	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(41) 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	Yes
(42) HOLY CROSS LONG TERM CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 65-0787320	MEDICAL SERVICES	FL	501(C)(3)	LINE 3	HOLY CROSS HOSPITAL INC	Yes
(43) HOLY CROSS MEDICAL CENTER 20555 VICTOR PARKWAY LIVONIA,MI48152 95-1985442	HEALTHCARE SERVICES (FORMERLY)	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(44) 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	Yes
(45) HOME AIDE SERVICE OF EASTERN NEW YORK 433 RIVER ST SUITE 3000 TROY,NY12180 14-1514867	HOME CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(46) HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY,IA50401 42-1173708	HOSPICE HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes
(47) HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY,IA51104 38-3320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 11A, I	N/A		No
(48) 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
(49) 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
(50) INTRACOASTAL HEALTH SYSTEMS INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 65-0556413	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	Yes
(51) 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	Yes
(52) LAKESHORE COMMUNITY HOSPITAL INC 72 S STATE STREET SHELBY,MI49455 38-2549295	ACUTE HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes
(53) LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2519529	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(54) LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2571699	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(55) LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN,NJ08109 26-1854750	ELDERLY CARE	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(56) LIFE AT ST FRANCIS HEALTHCARE INC 7TH CLAYTON STREETS WILMINGTON,DE19805 45-2569214	ELDERLY CARE	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes
(57) 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	Yes
(58) 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	Yes
(59) LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 26-2976184	ELDERLY CARE	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(60) 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	Yes
(61) LOURDES CARDIOLOGY SERVICES PC 1600 HADDON AVENUE CAMDEN,NJ08103 27-4357794	CARDIOLOGY SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(62) LOURDES DIALYSIS AT INNOVA INC 3716 CHURCH ROAD MT LAUREL,NJ08054 26-3237625	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(63) LOURDES MEDICAL CENTER OF BURLINGTON COUNTY 218 SUNSET ROAD WILLINGBORO,NJ08046 22-3612265	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(64) 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
(65) 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
(66) LTC (EDDY) INC 2212 BURDETT AVE TROY,NY12180 22-2564710	ELDERLY HEALTH/HOUSING SUPPORTING ORG	NY	501(C)(3)	LINE 11B, II	NORTHEAST HEALTH INC	Yes
(67) MARIAN COMMUNITY HOSPITAL 3805 WEST CHESTER PIKE NO 100 NEWTOWN SQUARE,PA19073 24-0711230	HOSPITAL	PA	501(C)(3)	LINE 9	MAXIS HEALTH SYSTEM	Yes
(68) MARIAN COMMUNITY HOSPITAL AUXILIARY 3805 WEST CHESTER PIKE NO 100 NEWTOWN SQUARE,PA19073 25-1874733	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS FOUNDATION	Yes
(69) 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
(70) 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
(71) MAXIS FOUNDATION 3805 WEST CHESTER PIKE NO 100 NEWTOWN SQUARE,PA19073 23-2330090	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	Yes
(72) MAXIS HEALTH SYSTEM 3805 WEST CHESTER PIKE NO 100 NEWTOWN SQUARE,PA19073 91-1940902	HEALTH CARE SYSTEM	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	Yes
(73) MAXIS MEDICAL SERVICES 3805 WEST CHESTER PIKE NO 100 NEWTOWN SQUARE,PA19073 23-2577185	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 9	MAXIS HEALTH SYSTEM	Yes
(74) MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD,CT06117 06-1058086	INDEPENDENT LIVING	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	Yes
(75) 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
(76) MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH,PA15213 94-3436142	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11A, I	PITTSBURGH MERCY HEALTH SYSTEM	Yes
(77) MEMORIAL HOSPITAL ALBANY NY 600 NORTHERN BLVD ALBANY,NY12204 14-1338457	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	Yes
(78) 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
(79) 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
(80) MERCY CARE FOUNDATION 424 DECATUR STREET ATLANTA,GA30312 58-1448522	FUNDRAISING	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(81) 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	Yes
(82) MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1492707	MANAGEMENT & SUPPORT SERVICES	CT	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	Yes
(83) 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	Yes
(84) MERCY FAMILY SUPPORT 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-2325059	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(85) 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
(86) 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
(87) 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	Yes
(88) MERCY HEALTH NETWORK 1111 6TH AVENUE DES MOINES,IA50314 42-1478417	HEALTHCARE MANAGEMENT	DE	501(C)(3)	LINE 11A, I	N/A		No
(89) MERCY HEALTH PARTNERS 1415 LEAHY STREET MUSKEGON,MI49442 38-2589966	HEALTHCARE SYSTEM SUPPORT	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(90) 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	Yes
(91) MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY,IA50401 31-1373080	HEALTHCARE SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(92) 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
(93) 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
(94) MERCY HEALTH SYSTEM OF MAINE 144 STATE STREET PORTLAND,ME04101 01-0484074	MANAGEMENT & SUPPORT SERVICES	ME	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	Yes
(95) 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	Yes
(96) MERCY HEALTHCARE CENTER 114 WAWBEEK AVENUE TUPPER LAKE,NY12986 15-0532211	IN DISSOLUTION	NY	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes
(97) MERCY HEALTHCARE FOUNDATION-CLINTON 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
(98) 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	Yes
(99) MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-2325058	HOME HEALTH	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(100) MERCY HOSPITAL 144 STATE STREET PORTLAND,ME04101 01-0211534	HOSPITAL	ME	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF MAINE	Yes
(101) 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
(102) MERCY HOSPITAL CADILLAC FOUNDATION 400 HOBART CADILLAC,MI49601 20-3357131	SUPPORT THE SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(103) 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
(104) MERCY HOSPITAL INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-3398280	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(105) MERCY HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-0791034	HOSPITAL	FL	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	Yes
(106) MERCY JEANNETTE HOSPITAL 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 25-1310602	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	Yes
(107) MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH,PA15233 25-1604115	COMMUNITY TREATMENT	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	Yes
(108) MERCY LIFE OF ALABAMA PO BOX 1090 101 VILLA DRIVE DAPHNE,AL36526 27-3163002	HOSPITAL	AL	501(C)(3)	LINE 3	MERCY MEDICAL CORPORATION	Yes
(109) MERCY LIFE INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-3086711	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(110) MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2627944	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(111) MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON,IA52732 42-1336618	TO PROVIDE QUALITY HEALTH CARE	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(112) 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
(113) MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY,IA50401 42-1229151	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11C, III-FI	N/A		No
(114) MERCY MEDICAL CORPORATION PO BOX 1090 101 VILLA DRIVE DAPHNE,AL36526 63-6002215	HOSPITAL	AL	501(C)(3)	LINE 9	CATHOLIC HEALTH EAST	Yes
(115) MERCY MEDICAL DEVELOPMENT INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-2789194	OUTPATIENT SERVICES	FL	501(C)(3)	LINE 9	MERCY HOSPITAL INC	Yes
(116) MERCY MISSION SERVICES INC 3661 SOUTH MIAMI AVENUE MIAMI,FL33133 65-0435764	HEALTH CARE	FL	501(C)(3)	LINE 3	MERCY HOSPITAL INC	Yes
(117) 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
(118) MERCY ONCOLOGY SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-4884805	ONCOLOGY MEDICAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(119) MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 51-0461511	HOSPITAL	FL	501(C)(3)	LINE 9	MERCY HOSPITAL INC	Yes
(120) MERCY SENIOR CARE INC 424 DECATUR STREET ATLANTA,GA30312 58-1366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(121) MERCY SERVICES CORPORATION 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1453323	SUPPORT SERVICES	CT	501(C)(3)	LINE 1	MERCY COMMUNITY HEALTH INC	Yes
(122) 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	Yes
(123) MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION PO BOX 9184 FARMINGTON HILLS,MI48333 38-2719605	PROVIDES LONG-TERM CARE FOR THE ELDERLY	MI	501(C)(3)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES	Yes
(124) MERCY SPECIALIST PHYSICIANS INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 26-4033168	NEUROSURGERY MEDICAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(125) 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	Yes
(126) 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	Yes
(127) MERCYKNOLL INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0757380	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes
(128) MIDWEST MEDFLIGHT 1300 VICTORS WAY ANN ARBOR,MI48108 38-2684671	AEROMEDICAL TRANSPORT	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(129) 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
(130) 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
(131) 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
(132) 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
(133) 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
(134) 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
(135) 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
(136) 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
(137) 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
(138) 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	Yes
(139) NAZARETH HOSPITAL 2601 HOLME AVENUE PHILADELPHIA,PA19152 23-2794121	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(140) NAZARETH PHYSICIAN SERVICES INC ONE WEST ELM STREET CONSHOHOCKEN,PA19428 20-3261266	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(141) NE PHYSICIAN SERVICES ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2497355	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(142) NORTHEAST HEALTH INC 2212 BURDETT AVE TROY,NY12180 04-2450756	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS	Yes
(143) 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
(144) 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
(145) 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
(146) OUR LADY OF LOURDES HEALTH CARE SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568528	MANAGEMENT & SUPPORT SERVICES	NJ	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	Yes
(147) 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	Yes
(148) 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	Yes
(149) 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	Yes
(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 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(151) PITTSBURGH MERCY HEALTH SYSTEM 3333 5TH AVENUE PITTSBURGH,PA15213 25-1464211	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	Yes
(152) 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
(153) PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON,MI49442 38-2638284	MEDICAL CARE, TRANSPORTATION AND EDUCATION	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(154) 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
(155) SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO,CA93720 94-1437713	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(156) 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
(157) 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
(158) 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 11A, I	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY	Yes
(159) 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
(160) 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
(161) 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
(162) 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
(163) 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
(164) 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
(165) 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
(166) SAINT JAMES CARE INC 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616230	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER	Yes
(167) 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
(168) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC PO BOX 1935 SOUTH BEND,IN46634 35-0868157	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(169) 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
(170) 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
(171) 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
(172) 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	Yes
(173) 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	Yes
(174) SAINT JOSEPH'S TOWER INC PO BOX 9184 FARMINGTON HILLS,MI48333 31-1040468	PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES-INDIANA	Yes
(175) 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	Yes
(176) 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
(177) 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
(178) SAINT MICHAELS MEDICAL CENTER 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616046	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes
(179) SAMARITAN CHILD CARE CENTER INC 2213 BURDETT AVE TROY,NY12180 14-1710225	CHILD DAY CARE	NY	501(C)(3)	LINE 9	NORTHEAST HEALTH INC	Yes
(180) SAMARITAN HOSPITAL OF TROY NEW YORK 2215 BURDETT AVE TROY,NY12180 14-1338544	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	Yes
(181) SENIOR CARE CONNECTION INC 504 STATE ST SCHENECTADY,NY12305 14-1708754	PACE PROGRAM	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(182) SETON AUXILIARY INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1505031	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	Yes
(183) 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	Yes
(184) SETON HEALTH FOUNDATION INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 22-2345416	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11A, I	SETON HEALTH SYSTEM INC	Yes
(185) SETON HEALTH SYSTEM INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1776186	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(186) SISTERS OF PROVIDENCE CARE CENTERS INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 22-2541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(187) SISTERS OF PROVIDENCE HEALTH SYSTEM INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-3398374	MANAGEMENT & SUPPORT SERVICES	MA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	Yes
(188) SJHSJOC HOLDINGS INC 424 DECATUR STREET ATLANTA,GA30312 47-2299757	REAL ESTATE HOLDING COMPANY	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(189) SSJ HEALTH FOUNDATION INC 3661 SOUTH MIAMI AVENUE MIAMI,FL33133 59-1709438	FUNDRAISING	FL	501(C)(3)	LINE 7	MERCY HOSPITAL INC	Yes
(190) 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
(191) ST AGNES CONTINUING CARE CENTER ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2840137	CONTINUING CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(192) ST AGNES CONTINUING CARE CENTER FOUNDATION ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2415137	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(193) ST FRANCIS FOUNDATION PO BOX 2500 WILMINGTON,DE19805 51-0374158	FOUNDATION	DE	501(C)(3)	LINE 11B, II	ST FRANCIS HOSPITAL	Yes
(194) ST FRANCIS HOSPITAL PO BOX 2500 WILMINGTON,DE19805 51-0064326	HOSPITAL	DE	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes
(195) 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	Yes
(196) ST FRANCIS MEDICAL CENTER FOUNDATION INC 601 HAMILTON AVENUE TRENTON,NJ08629 52-1025476	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes
(197) ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVENUE TRENTON,NJ08629 22-3431049	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes
(198) 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	Yes
(199) ST JAMES MERCY HEALTH SYSTEM INC 411 CANISTEO STREET HORNELL,NY14843 22-3127184	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	Yes
(200) ST JAMES MERCY HOSPITAL 411 CANISTEO STREET HORNELL,NY14843 16-0743310	HOSPITAL	NY	501(C)(3)	LINE 3	ST JAMES MERCY HEALTH SYSTEM INC	Yes
(201) ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SUITE B SOUTHERN PINES,NC28387 56-0694200	HOSPITAL	NC	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes
(202) ST MARY BUILDING AND DEVELOPMENT COMPANY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 46-1827502	BUILDING DEVELOPMENT COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes
(203) ST MARY EMERGENCY MEDICAL SERVICES 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 46-5354512	EMERGENCY MEDICAL SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(204) ST MARY HOME INCORPORATED 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0646843	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes
(205) ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-1913910	HOSPITAL	PA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes
(206) 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	Yes
(207) ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 58-2544232	FUNDRAISING	GA	501(C)(3)	LINE 11A, I	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(208) ST MARY'S HEALTH CARE SYSTEM INC 1230 BAXTER STREET ATHENS,GA30606 58-0566223	HOSPITAL	GA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes
(209) 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	Yes
(210) 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	Yes
(211) ST MICHAEL'S FOUNDATION INC 111 CENTRAL AVENUE NEWARK,NJ07102 22-3311976	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	SAINT MICHAELS MEDICAL CENTER	Yes
(212) ST PETER'S AUXILIARY 315 SOUTH MANNING BLVD ALBANY,NY12208 22-2843206	AUXILIARY	NY	501(C)(3)	LINE 11A, I	ST PETER'S HEALTH CARE SERVICES	Yes
(213) 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	Yes
(214) 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	Yes
(215) 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	Yes
(216) 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	Yes
(217) ST PETER'S HOSPITAL FOUNDATION INC 319 SOUTH MANNING BLVD SUITE 114 ALBANY,NY12208 22-2262982	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH CARE SERVICES	Yes
(218) 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	Yes
(219) SUNNYVIEW HOSPITAL & REHABILITATION CTR 1270 BELMONT AVE SCHENECTADY,NY12308 14-1338386	REHABILITATION HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	Yes
(220) 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	Yes
(221) 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	Yes
(222) 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
(223) 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	Yes
(224) THE NORTHEAST HEALTH FOUNDATION INC 2224 BURDETT AVE TROY,NY12180 22-2743478	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 7	NORTHEAST HEALTH INC	Yes
(225) TRI-COUNTY HUMAN SERVICES CENTER INC 3805 WEST CHESTER PIKE NO 100 NEWTOWN SQUARE,PA19073 23-1938528	BEHAVIORAL HEALTH ORGANIZATION	PA	501(C)(3)	LINE 7	MAXIS HEALTH SYSTEM	Yes
(226) 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
(227) TRI-HOSPITAL MRI CENTER 4190 24TH AVENUE FORT GRATIOT,MI48054 38-2884297	MRI SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(228) TRINITY CONTINUING CARE SERVICES PO BOX 9184 FARMINGTON HILLS,MI48333 38-2559656	MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(229) TRINITY CONTINUING CARE SERVICES - INDIANA INC PO BOX 9184 FARMINGTON HILLS,MI48333 93-0907047	PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes
(230) TRINITY HEALTH - MICHIGAN 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2113393	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(231) 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
(232) 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
(233) 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
(234) TRINITY HOME HEALTH SERVICES INC 17410 COLLEGE PARKWAY LIVONIA,MI48152 38-2621935	HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes
(235) UIHLEIN MERCY CENTER 185 OLD MILITARY ROAD TUPPER LAKE,NY12986 15-0532190	IN DISSOLUTION	NY	501(C)(3)	LINE 3	MERCY HEALTHCARE CENTER	Yes
(236) UNIVERSITY HEIGHTS PROPERTY COMPANY INC 111 CENTRAL AVENUE NEWARK,NJ07102 22-3100162	MEDICAL PROPERTY HOLDING COMPANY	NJ	501(C)(2)	N/A	SAINT MICHAELS MEDICAL CENTER	Yes
(237) VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY,NY12208 14-1438749	NURSING HOME & PHYSICAL REHAB	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes
(238) 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	Yes
(239) WESTSHORE HEALTH NETWORK 1820 44TH STREET KENTWOOD,MI49508 38-3280200	SUPPORT SERVICES	MI	501(C)(4)	N/A	MERCY HEALTH PARTNERS	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ADVENT REHABILITATION LLC 607 DEWEY AVENUE SUITE 300 GRAND RAPIDS,MI49504 38-3306673	REHABILITATION THERAPY SERVICES	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	468,153	499,175		No		Yes		50.000 %
(2) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(3) CATHERINE HORAN BUILDING LIMITED PARTNERSHIP 1221 MAIN STREET ROOM 108 HOLYOKE,MA01040 04-2723429	PROPERTY MANAGEMENT	MA	N/A
(4) CENTENNIAL SURGUNIT LLC 502 CENTENNIAL BLVD SUITE 1 VOORHEES,NJ08043 22-3580847	HEALTHCARE SERVICES	NJ	N/A
(5) CENTER FOR DIGESTIVE CARE LLC 5300 ELLIOTT DRIVE YPSILANTI,MI48197 03-0447062	PROVIDE GASTROINTESTINAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	2,304,485	906,747		No			No	51.000 %
(6) CENTRAL NEW JERSEY HEART SERVICES LLC PO BOX 148 BAYONNE,NJ07002 20-8525458	CARDIAC PROGRAM	NJ	N/A
(7) CENTRAL OHIO SLEEP MEDICINE LTD 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1701029	SLEEP MEDICINE SERVICES	OH	N/A
(8) CLINTON IMAGING SERVICES LLC 615 VALLEY VIEW DR STE 202 MOLINE,IL61265 41-2044739	MRI DIAGNOSTIC SERVICES	IA	N/A
(9) EAST NORRITON MEDICAL ASSOCIATES ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2319531	MEDICAL OFFICE BUILDING	PA	N/A
(10) FOREST PARK IMAGING LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A
(11) FRANCES WARDE MEDICAL LABORATORY 300 WEST TEXTILE ROAD ANN ARBOR,MI48104 38-2648446	LABORATORY	MI	TRINITY HEALTH-MICHIGAN	UNRELATED	98,050	837,688		No		Yes		66.670 %
(12) FRESNO IMAGING CENTER 1303 E HERNDON AVE FRESNO,CA93720 77-0363563	DIAGNOSTIC IMAGING	CA	N/A
(13) GATEWAY HEALTH PLAN 300 GRANT STREET PITTSBURGH,PA15219 25-1691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA	N/A
(14) HAWARDEN REGIONAL HEALTH CLINICS LLC 1122 AVENUE L HAWARDEN,IA51023 20-1444339	MEDICAL CLINIC	IA	N/A
(15) IDAHO ASC HOLDINGS LLC 4400 E FLAMINGO AVE NAMPA,ID83687 36-4729605	HOLDING COMPANY FOR AMBULATORY SURGERY	ID	N/A
(16) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP 3000 RIVERCHASE GALLERIA STE 500 BIRMINGHAM,AL35244 36-4119522	SURGICAL SERVICES	IL	N/A
(17) MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY,IA50401 42-1328388	MRI SERVICES	IA	N/A
(18) MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY,IA50401 20-1960348	SURGERY-SAME DAY	IA	N/A
(19) MCE MOB IV LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 42-1544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(20) MCMC POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1392994	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(21) MEDILUCENT MOB I 793 W STATE STREET COLUMBUS,OH43222 20-4911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(22) MERCY ADVANCED MRI LLC 2525 SOUTH MICHIGAN AVE CHICAGO,IL60616 26-2116721	SUBLEASE MRI EQUIPMENT	IL	N/A
(23) MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4237594	CARDIOVASCULAR SERVICES	IA	N/A
(24) MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO,OH43699 52-1931012	NURSING HOME	PA	N/A
(25) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(26) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP C/O NAZARETH HOSP 2601 HOLME AVE PHILADELPHIA,PA19152 23-2388040	MEDICAL OFFICE BUILDING	PA	N/A
(27) NEWCO AMBULATORY SURGERY CTR LLP 4190 24TH AVENUE FORT GRATIOT,MI48059 30-0136708	OUTPATIENT SURGERY CENTER	MI	TRINITY HEALTH-MICHIGAN DBA ST JOSEPH MERCY PORT HURON	RELATED	270,550	1,084,579		No		Yes		50.000 %
(28) PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK,FL33334 35-2325646	AMBULATORY SURGERY CENTER	FL	N/A
(29) SARMED OUTPATIENT PHARMACY LLC 999 N CURTIS RD STE 102 BOISE,ID83706 51-0483218	PHARMACY	ID	N/A
(30) SIXTY FOURTH STREET LLC 2373 64TH ST STE 2200 BYRON CENTER,MI49315 20-2443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	676,224	1,350,553		No			No	51.000 %
(31) SJV MANAGEMENT LLC 200 CENTURY PKWY STE 200E MOUNT LAUREL,NJ08054 20-2273476	RADIOLOGY	NJ	N/A
(32) SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 36-4559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A
(33) ST AGNES LONG-TERM INTENSIVE CARE LLP C/O MHS ONE WEST ELM ST STE 100 CONSHOHOCKEN,PA19428 20-0984882	LONG TERM INTENSIVE CARE	PA	N/A
(34) ST ALPHONSUS CALDWELL CANCER CTR LLC 3123 MEDICAL DR CALDWELL,ID83605 82-0526861	RADIATION ONCOLOGY	ID	N/A
(35) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(36) ST MARY REHABILITATION HOSPITAL LLP 113 SEABOARD LANE SUITE B201 FRANKLIN,TN37067 27-3938747	MEDICAL SERVICES	DE	N/A
(37) ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVENUE STE 201 ALBANY,NY12206 46-0463892	OUTPATIENT SURGERY	NY	N/A
(38) TAMARACK MEDICAL CLINIC LLC 402 OLD STATE HWY CASCADE,ID83611 20-1637921	OUTPATIENT MEDICAL SERVICES	ID	N/A
(39) THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2871206	OUTPATIENT SURGERY	PA	N/A
(40) WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1784409	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(41) WOODLAND IMAGING CENTER LLC 5301 E HURON RIVER DR ANN ARBOR,MI48106 76-0820959	RADIOLOGY/IMAGING	MI	TRINITY HEALTH-MICHIGAN	RELATED	1,254,783	1,669,347		No			No	51.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) AFFILIATED MANAGEMENT SERVICES CORPORATION INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1668024	REAL ESTATE	NY	N/A	C				Yes
(2) CARBONDALE AREA PHYSICIANS' ASSOCIATION PC 100 LINCOLN AVE CARBONDALE,PA18407 23-2801677	MEDICAL INSURANCE CONTRACTING	PA	N/A	C				Yes
(3) CARBONDALE AREA PHYSICIANS' PHO INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2801676	INACTIVE	PA	N/A	C				Yes
(4) CARBONDALE PHYSICIANS' SERVICES INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2365077	PHARMACY	PA	N/A	C				Yes
(5) CATHERINE HORAN BUILDING INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-2938160	BUILDING MANAGEMENT	MA	N/A	C				Yes
(6) CATHOLIC HEALTH EAST SENIOR SERVICES 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 37-1572595	SENIOR SERVICES	PA	N/A	C				Yes
(7) CHESTNUT RISK SERVICES LTD 11 VICTORIA STREET HAMILTON BD	INSURANCE	BD	N/A	C				Yes
(8) DIVERSIFIED COMMUNITY SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-3128890	MEDICAL SERVICES	MA	N/A	C				Yes
(9) GATEWAY HEALTH PLAN INC 600 GRANT STREET PITTSBURGH,PA15219 25-1505506	HEALTH CARE	PA	N/A	C				Yes
(10) GATEWAY HEALTH PLAN INC OF OHIO 600 GRANT STREET PITTSBURGH,PA15219 30-0282076	HEALTH CARE	PA	N/A	C				Yes
(11) GEORGIA HEALTH ENTERPRISES LLC 1230 BAXTER STREET ATHENS,GA30606 54-1806329	HEALTHCARE	GA	N/A	C				Yes
(12) GHE PHYSICIANS PC 3500 PIEDMONT ROAD ATLANTA,GA30305 58-2277939	PRACTICE MANAGEMENT	GA	N/A	C				Yes
(13) GOTTLIEB MANAGEMENT SERVICES INC 701 W NORTH AVE MELROSE PARK,IL60160 36-3330529	MANAGEMENT SERVICES	IL	N/A	C				Yes
(14) HACKLEY HEALTH MANAGEMENT CENTER 1415 LEAHY ST MUSKEGON,MI49442 38-2961814	WEIGHT MANAGEMENT	MI	N/A	C				Yes
(15) HACKLEY HEALTH VENTURES INC 1415 LEAHY ST MUSKEGON,MI49442 38-2589959	OTHER MEDICAL SERVICES	MI	N/A	C				Yes
(16) HACKLEY HEALTHCARE EQUIPMENT 1415 LEAHY ST MUSKEGON,MI49442 38-2578569	HOME MEDICAL EQUIPMENT	MI	N/A	C				Yes
(17) HACKLEY PROFESSIONAL CENTER 1415 LEAHY ST MUSKEGON,MI49442 38-3024797	REAL ESTATE RENTAL	MI	N/A	C				Yes
(18) HACKLEY PROFESSIONAL PHARMACY 1415 LEAHY ST MUSKEGON,MI49442 38-2447870	PHARMACY	MI	N/A	C				Yes
(19) HEALTH MANAGEMENT SERVICES ORG INC 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3366580	HEALTH CARE BILLING	NJ	N/A	C				Yes
(20) HEF INC 1415 LEAHY ST MUSKEGON,MI49442 38-3086401	OFFICE STAFFING	MI	N/A	C				Yes
(21) HOLY CROSS PRIVATE HOME SERVICES CORP 11801 TECH ROAD SILVER SPRING,MD20904 52-1986562	HOME CARE SERVICES	MD	N/A	C				Yes
(22) HPC CO-OWNERS ASSOCIATION 1700 CLINTON MUSKEGON,MI49442 27-0734448	CONDOMINIUM ASSOCIATION	MI	N/A	C				Yes
(23) HURON ARBOR CORPORATION 5301 EAST HURON RIVER DR PO BOX 992 ANN ARBOR,MI48106 38-2475644	PROVIDES OFFICE RENTAL SPACE	MI	TRINITY HEALTH-MICHIGAN	C	2,649,174	29,816,258	100.000 %	Yes
(24) IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3188895	MEDICAL MANAGEMENT	MI	N/A	C				Yes
(25) LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 25-3795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C				Yes
(26) LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2625981	GENERAL PARTNER OF LMOB PARTNERS,	PA	N/A	C				Yes
(27) LIFECARE PHYSICIANS PC 601 HAMILTON AVENUE TRENTON,NJ08629 26-1649038	HEALTH CARE SERVICES	NJ	N/A	C				Yes
(28) LOURDES MEDICAL ASSOCIATES PA 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3361862	MEDICAL SERVICES	NJ	N/A	C				Yes
(29) MARYLAND CARE GROUP INC 11801 TECH ROAD SILVER SPRING,MD20904 52-1815313	HEALTHCARE HOLDING	MD	N/A	C				Yes
(30) MCMC EASTWICK INC C/O MHS ONE WEST ELM STREET STE 100 CONSHOHOCKEN,PA19428 23-2184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C				Yes
(31) MEDNOW INC 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0389927	OUTPATIENT PHARMACY	ID	N/A	C				Yes
(32) MERCY INPATIENT MEDICAL ASSOCIATES INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-3029929	MEDICAL SERVICES	MA	N/A	C				Yes
(33) MERCY MEDICAL SERVICES 801 5TH STREET SIOUX CITY,IA51101 42-1283849	PRIMARY CARE PHYSICIANS	IA	N/A	C				Yes
(34) MERCY SERVICES CORPORATION 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227348	DORMANT	IL	N/A	C				Yes
(35) MICHIGAN ATHLETIC CLUB 2500 BURTON GRAND RAPIDS,MI49546 38-2647304	ATHLETIC CLUB	MI	HURON ARBOR CORPORATION	C	-2,359,415	11,714	90.000 %	Yes
(36) MOUNT CARMEL HEALTH PROVIDERS INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1382442	MEDICAL SERVICES	OH	N/A	C				Yes
(37) NORTH IOWA MERCY MEDICAL SERVICES INC 1000 4TH ST SW MASON CITY,IA50401 42-1382308	MEDICAL SERVICES	IA	N/A	C				Yes
(38) NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE,FL33308 59-1145192	MEDICAL SERVICES	FL	N/A	C				Yes
(39) PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST 1221 MAIN STREET ROOM 108 HOLYOKE,MA01040 04-6608649	PROPERTY MANAGEMENT	MA	N/A	C				Yes
(40) PRIORITY PLUS OF CALIFORNIA PO BOX 27230 FRESNO,CA93729 77-0395267	FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS	CA	N/A	C				Yes
(41) PROVIDENCE HOME CARE INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-3317426	HEALTH CARE SERVICES	MA	N/A	C				Yes
(42) SAINT ALPHONSUS HEALTH ALLIANCE INC 1055 NORTH CURTIS ROAD BOISE,ID83706 82-0524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C				Yes
(43) SAINT ALPHONSUS PHYSICIANS PA 1055 NORTH CURTIS ROAD BOISE,ID83706 33-1078261	PHYSICIANS	ID	N/A	C				Yes
(44) SAINT MARY'S HEALTH MANAGEMENT COMPANY 1640 EAST PARIS SE GRAND RAPIDS,MI49546 38-3450733	ATHLETIC CLUB	MI	TRINITY HEALTH-MICHIGAN	C	-6,532,773	150,711	100.000 %	Yes
(45) SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY,NY12180 14-1607244	REAL ESTATE	NY	N/A	C				Yes
(46) SJM PROPERTIES INC 411 CANISTEO STREET HORNELL,NY14843 16-1294991	PROPERTY HOLDINGS	NY	N/A	C				Yes
(47) ST MARY'S HIGHLAND HILLS VILLAGE INC 1230 BAXTER STREET ATHENS,GA30606 58-2276801	ASSISTED LIVING	GA	N/A	C				Yes
(48) STELLA MARIS INSURANCE COMPANY LIMITED PO BOX 69 GRAND CAYMAN,CAYMAN ISLANDSKY1-1102 CJ 98-0632008	INSURANCE	CJ	N/A	C				Yes
(49) SURGERY CENTER FINANCING CORPORATION 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1531102	FINANCE, INSURANCE AND REAL ESTATE	OH	N/A	C				Yes
(50) SYSTEM COORDINATED SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-2938181	LAB SERVICES	MA	N/A	C				Yes
(51) THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 45-2603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C				Yes
(52) TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 38-3410377	GRANTOR TRUST	MI	N/A	T				Yes
(53) VENZKE INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN GRAND CAYMAN CJ 98-0453602	PROVISION OF INSURANCE COVERAGE	CJ	TRINITY HEALTH-MICHIGAN	C		607,799,215	100.000 %	Yes
(54) WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM 1820 44TH STREET SE KENTWOOD,MI49508 38-2700166	CONDOMINIUM ASSOCIATION	MI	N/A	C				Yes
(55) WORKPLACE HEALTH OF GRAND HAVEN 1415 LEAHY ST MUSKEGON,MI49442 38-3112035	OCCUPATIONAL HEALTH	MI	N/A	C				Yes

Schedule R (Form 990) 2013

Page 3

Part V

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

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

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

Yes

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

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

Yes

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

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

Yes

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

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

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

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

Yes

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) TRINITY HEALTH CORPORATION	B	23,153,345	PER BOOKS
(2) TRINITY HEALTH CORPORATION	C	242,388	PER BOOKS
(3) TRINITY HEALTH CORPORATION	M	137,480,645	PER BOOKS
(4) TRINITY HEALTH CORPORATION	P	175,395,395	PER BOOKS
(5) TRINITY HEALTH CORPORATION	Q	1,663,175	PER BOOKS
(6) TRINITY HEALTH CORPORATION	R	38,661,643	PER BOOKS
(7) TRINITY HEALTH CORPORATION	E	12,000,000	PER BOOKS
(8) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	L	690,510	PER BOOKS
(9) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	M	736,142	PER BOOKS
(10) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	Q	2,931,419	PER BOOKS
(11) ADVENT REHABILITATION LLC	C	650,000	PER TAX RETURN
(12) MERCY HOSPITAL CADILLAC FOUNDATION	C	494,909	PER BOOKS
(13) CENTER FOR DIGESTIVE CARE LLC	C	2,467,460	PER TAX RETURN
(14) ST MARY'S FOUNDATION	C	876,878	PER BOOKS
(15) FRANCES WARDE MEDICAL LABORATORY	C	135,773	PER TAX RETURN
(16) HOLY CROSS HEALTH INC	L	542,174	PER BOOKS
(17) HURON ARBOR CORPORATION	K	3,048,460	PER BOOKS
(18) HURON ARBOR CORPORATION	L	1,385,296	PER BOOKS
(19) HURON ARBOR CORPORATION	Q	80,669	PER BOOKS
(20) IHA HEALTH SERVICES CORPORATION	B	3,000,000	PER BOOKS
(21) IHA HEALTH SERVICES CORPORATION	L	3,165,039	PER BOOKS
(22) IHA HEALTH SERVICES CORPORATION	M	31,432,699	PER BOOKS
(23) IHA HEALTH SERVICES CORPORATION	P	1,269,209	PER BOOKS
(24) IHA HEALTH SERVICES CORPORATION	Q	6,337,089	PER BOOKS
(25) MERCY HEALTH PARTNERS	L	4,411,922	PER BOOKS
(26) MERCY HEALTH PARTNERS	M	74,321	PER BOOKS
(27) MERCY HEALTH PARTNERS	Q	3,943,323	PER BOOKS
(28) MICHIGAN ATHLETIC CLUB	B	2,180,203	PER BOOKS
(29) MICHIGAN ATHLETIC CLUB	Q	141,511	PER BOOKS
(30) MOUNT CARMEL HEALTH SYSTEM	L	2,178,160	PER BOOKS
(31) MOUNT CARMEL HEALTH SYSTEM	M	59,322	PER BOOKS
(32) NEWCO AMBULATORY SURGERY CTR LLP	C	110,000	PER TAX RETURN
(33) NEWCO AMBULATORY SURGERY CTR LLP	L	3,139,872	PER BOOKS
(34) PORT HURON MERCY FAMILY CARE INC	B	58,535	PER BOOKS
(35) SAINT ALPHONSUS REGIONAL MEDICAL CENTER	M	99,424	PER BOOKS
(36) SAINT MARY'S FOUNDATION	B	640,404	PER BOOKS
(37) SAINT MARY'S HEALTH MANAGEMENT COMPANY	B	292,235	PER BOOKS
(38) SAINT MARY'S HEALTH MANAGEMENT COMPANY	Q	141,511	PER BOOKS
(39) SIXTY FOURTH STREET LLC	C	436,425	PER TAX RETURN
(40) TRINITY CONTINUING CARE SERVICES	L	223,337	PER BOOKS
(41) TRINITY HOME HEALTH SERVICES INC	B	164,755	PER BOOKS
(42) TRINITY HOME HEALTH SERVICES INC	L	142,793	PER BOOKS
(43) TRINITY HOME HEALTH SERVICES INC	M	341,099	PER BOOKS
(44) WOODLAND IMAGING CENTER LLC	C	1,344,897	PER TAX RETURN
(45) WOODLAND IMAGING CENTER LLC	K	622,481	PER BOOKS
(46) WOODLAND IMAGING CENTER LLC	L	1,092,325	PER BOOKS
(47) WOODLAND IMAGING CENTER LLC	M	4,273,398	PER BOOKS
(48) TRINITY HOME HEALTH SERVICES INC	G	1,150,346	PER BOOKS
(49) MISSION HEALTH CORPORATION	S	250,000	PER BOOKS
(50) MISSION HEALTH CORPORATION	K	75,191	PER BOOKS
(51) MERCY HOSPITAL CADILLAC FOUNDATION	B	99,593	PER BOOKS
(52) HOSPICE OF WASHTENAW II	S	1,150,346	PER BOOKS

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: HEALTH CARE SERVICES
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	20,481
6	Total number of volunteers (estimate if necessary) .............	6	2,276
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	42,059,713
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-1,111,354

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	17,760,337	20,956,370
9	Program service revenue (Part VIII, line 2g) .........	2,321,925,909	2,306,424,306
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	46,159,381	47,592,189
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	89,948,230	99,951,854
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	2,475,793,857	2,474,924,719
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,573,554	2,017,633
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,057,257,330	1,064,013,822
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	28,876	17,681
b	Total fundraising expenses (Part IX, column (D), line 25) 4,000,296
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,278,102,676	1,306,060,933
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,336,962,436	2,372,110,069
19	Revenue less expenses. Subtract line 18 from line 12.......	138,831,421	102,814,650
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,000,851,139	3,119,780,142
21	Total liabilities (Part X, line 26).............	1,301,210,075	1,284,221,498
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,699,641,064	1,835,558,644

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,216,930,510 including grants of $ 2,017,633 ) (Revenue $ 2,313,084,582 )
	TRINITY HEALTH - MICHIGAN OPERATED HOSPITALS IN 7 AREAS OF MICHIGAN THAT PROVIDED 477,065 DAYS OF HEALTHCARE SERVICES TO THEIR COMMUNITIES.THE MISSION STATEMENT OF TRINITY HEALTH - MICHIGAN IS AS FOLLOWS:WE, TRINITY HEALTH - MICHIGAN AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,216,930,510

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,486,911	28,049,024	3,895,862

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a		146,692
b	Membership dues....1b
c	Fundraising events....1c		1,791,068
d	Related organizations...1d		1,574,630
e	Government grants (contributions)1e		3,471,024

f	All other contributions, gifts, grants, and similar amounts not included above1f		13,972,956

g	Noncash contributions included in lines 1a-1f:$		315,449
h	Total. Add lines 1a-1f.......			20,956,370
			Business Code
2a	NET PATIENT SVC REV		622110	2,225,577,952	2,225,577,952
b	PHARMACY REVENUE		446110	63,481,194		24,375,684	39,105,510
c	LABORATORY REVENUE		621500	17,365,160		17,365,160
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			2,306,424,306
3	Investment income (including dividends, interest, and other similar amounts).......			18,782,047			18,782,047
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	11,332,279
b	Less: rental expenses	12,171,949
c	Rental income or (loss)	-839,670
d	Net rental income or (loss).......			-839,670			-839,670
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	29,607,867	728,261
b	Less: cost or other basis and sales expenses	0	1,525,986
c	Gain or (loss)	29,607,867	-797,725
d	Net gain or (loss)..........			28,810,142			28,810,142
8a	Gross income from fundraising events (not including $ 1,791,068 of contributions reported on line 1c). See Part IV, line 18 ..
	a		711,719
b	Less: direct expenses ...b		1,198,919
c	Net income or (loss) from fundraising events..			-487,200			-487,200
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		29,768
b	Less: direct expenses ...b		20,872
c	Net income or (loss) from gaming activities...			8,896			8,896
10a	Gross sales of inventory, less returns and allowances .
	a		3,677,809
b	Less: cost of goods sold ..b		1,996,836
c	Net income or (loss) from sales of inventory..			1,680,973			1,680,973
Miscellaneous Revenue			Business Code
11a	CAFETERIA REVENUE		722210	11,763,356			11,763,356
b	GOV'T SUBSIDY-EHR		622110	9,954,718	9,954,718
c	PROVIDER INCENTIVE		622110	1,151,556	1,151,556
d	All other revenue ....			76,719,225	76,400,356	318,869
e	Total. Add lines 11a–11d ......			99,588,855
12	Total revenue. See Instructions......			2,474,924,719	2,313,084,582	42,059,713	98,824,054


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			13,476,573	1	27,946,136
2	Savings and temporary cash investments .........			2,068,643	2	2,607,737
3	Pledges and grants receivable, net ...........			10,804,980	3	12,999,728
4	Accounts receivable, net .............			251,580,301	4	256,719,013
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 .............			24,190,179	7	26,642,634
8	Inventories for sale or use ..............			37,335,081	8	38,494,918
9	Prepaid expenses and deferred charges ..........			15,230,738	9	17,893,955
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,767,365,879
b	Less: accumulated depreciation .....	10b	1,484,167,234	1,254,066,186	10c	1,283,198,645
11	Investments—publicly traded securities ..........			563,314,428	11	601,729,077
12	Investments—other securities. See Part IV, line 11 .....			529,193,813	12	519,812,650
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			31,939,271	14	31,901,916
15	Other assets. See Part IV, line 11 ...........			267,650,946	15	299,833,733
16	Total assets. Add lines 1 through 15 (must equal line 34)......			3,000,851,139	16	3,119,780,142
17	Accounts payable and accrued expenses .........			239,435,280	17	202,618,953
18	Grants payable .................				18
19	Deferred revenue ................			1,735,530	19	2,481,789
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			23,531,943	23	24,482,269
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			1,036,507,322	25	1,054,638,487
26	Total liabilities. Add lines 17 through 25.........			1,301,210,075	26	1,284,221,498
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,670,489,813	27	1,783,839,954
28	Temporarily restricted net assets ...........			15,883,496	28	37,438,030
29	Permanently restricted net assets ...........			13,267,755	29	14,280,660
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			1,699,641,064	33	1,835,558,644
34	Total liabilities and net assets/fund balances ........			3,000,851,139	34	3,119,780,142