TY 2015 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)
(1) ROBERT CASALOU...................................................................... PRES & CEO AS OF 1/16; SE MI REG CEO	53.00 ................. 2.00	X	X	1,010,639	40,911
(2) ROGER SPOELMAN...................................................................... PRES & CEO THR 12/15;WEST MI REG CEO	26.00 ................. 29.00	X	X	1,161,340	50,263
(3) CHARLES FRAYER...................................................................... DIRECTOR; CHAIR AS OF 1/16	2.00 ................. 3.00	X	X	0	0
(4) JAMES WOODS...................................................................... DIRECTOR; CHAIR THROUGH 12/15	2.00 ................. 0.00	X	X	0	0
(5) MARK FAZAKERLEY...................................................................... DIRECTOR THROUGH 12/15	2.00 ................. 3.00	X		0	0
(6) RENNY ABRAHAM MD...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(7) TIMOTHY CAUGHLIN...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(8) MICHAEL GLUHANICH...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(9) LUANN HANNASCH RSM...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(10) CAMILLE JOURDEN-MARK...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(11) F JOSEPH FLECK...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(12) BRUCE OLSON MD...................................................................... DIRECTOR THROUGH 12/15	2.00 ................. 48.00	X		336,809	39,043
(13) JULIE MILLER RIDENOUR...................................................................... DIRECTOR THROUGH 12/15	2.00 ................. 3.00	X		0	0
(14) KENNETH SIKKEMA...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(15) MAUREEN MILLER BROSNAN...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(16) TERRENCE WRIGHT...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(17) SR CATHERINE DECLERCQ SCH O...................................................................... DIRECTOR THROUGH 12/15	2.00 ................. 53.00	X		0	6,573

(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
(18) SISTER RENETTA RUMPZ CSSF........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0	0
(19) DAVID STEINBERGER........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0	0
(20) EDD SNYDER........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0	0
(21) SR MARY PERSICO IHM SCH O........................................................................ DIRECTOR & TH EVP MISS INT THR 6/16	2.00 .......................48.00	X					0	0	12,429
(22) DAVID KILLIPS........................................................................ DIRECTOR THROUGH 7/15	2.00 .......................0.00	X					0	0	0
(23) JOSE INFANTE........................................................................ DIRECTOR AS OF 1/16	2.00 .......................3.00	X					0	0	0
(24) JEAN NAGELKERK PHD........................................................................ DIRECTOR AS OF 1/16	2.00 .......................3.00	X					0	0	0
(25) DALE NESBARY PHD........................................................................ DIRECTOR AS OF 1/16	2.00 .......................3.00	X					0	0	0
(26) CANETTA REID........................................................................ DIRECTOR AS OF 1/16	2.00 .......................3.00	X					0	0	0
(27) STEPHEN ZONCA MD........................................................................ DIRECTOR AS OF 1/16	2.00 .......................3.00	X					0	0	0
(28) HOWARD ZUCKERMAN........................................................................ DIRECTOR AS OF 1/16	2.00 .......................0.00	X					0	0	0
(29) JERRY NORCIA........................................................................ DIRECTOR AS OF 5/16	2.00 .......................0.00	X					0	0	0
(30) TONYA WELLS........................................................................ DIRECTOR AS OF 1/16	2.00 .......................48.00	X					0	246,340	38,693
(31) MICHAEL DORSEY MD........................................................................ DIRECTOR AS OF 1/16	2.00 .......................0.00	X					0	0	0
(32) SPENCER MAIDLOW........................................................................ DIRECTOR AS OF 1/16	2.00 .......................0.00	X					0	0	0
(33) CAROL TARNOWSKY........................................................................ SECR THR 12/15; ASST SECR AS OF 1/16	25.00 .......................25.00		X				0	329,979	20,243
(34) SALLY GUINDI........................................................................ ASST SECR THR 12/15; SECR AS OF 1/16	50.00 .......................0.00		X				0	357,834	48,061
(35) MICHAEL GUSHO SE MI REG CFO........................................................................ TREAS THR 12/15; ASST TREAS AT 1/16	53.00 .......................2.00		X				0	444,753	53,789
(36) GARY ALLORE WEST MI REG CFO........................................................................ ASST TREAS THR 12/15; TREAS AT 1/16	27.00 .......................28.00		X				0	394,537	34,147
(37) JACK WEINER........................................................................ CEO ST. JOSEPH MERCY OAKLAND	55.00 .......................0.00			X			0	1,112,392	54,939
(38) DAVID SPIVEY........................................................................ CEO ST. MARY MERCY LIVONIA	54.00 .......................1.00			X			0	740,614	54,809
(39) BILL MANNS........................................................................ CEO MERCY HEALTH ST. MARY'S	53.00 .......................2.00			X			0	685,718	34,761
(40) NANCY GRAEBNER........................................................................ CEO ST. JOSEPH MERCY CHELSEA	55.00 .......................0.00			X			0	530,774	31,003
(41) REBEKAH SMITH........................................................................ CEO ST. JOSEPH MERCY PORT HURON	55.00 .......................0.00			X			0	504,071	336,939
(42) ROBIN DAMSCHRODER........................................................................ COO ST JOS MERCY ANN ARBOR THR 11/15	49.00 .......................1.00			X			0	397,384	167,848
(43) MIKE GRISDELA........................................................................ CFO/ VP FINANCE WEST MARKET	49.00 .......................1.00			X			0	314,601	32,154
(44) SHANNON STRIEBICH........................................................................ COO SE MI REGION, ST JOSEPH PH & OAK	50.00 .......................0.00			X			0	310,882	39,983
(45) MICHAEL SAMYN........................................................................ CFO ST MARY MERCY & ST JOE MERCY OAK	50.00 .......................0.00			X			0	310,615	36,374
(46) DAVID BROOKS........................................................................ CEO ST. JOSEPH MERCY AA AS OF 8/15	54.00 .......................1.00			X			0	268,703	51,281
(47) DANIEL GREEN........................................................................ VP FIN MERCY HLTH ST MARY'S AT 7/15	48.00 .......................2.00			X			215,984	0	30,869
(48) CHRISTOPHER FULKS........................................................................ CFO ST. JOSEPH MERCY PORT HURON	50.00 .......................0.00			X			162,580	0	26,915
(49) BRYNT ELLIS........................................................................ COO ST. JOSEPH MERCY THROUGH 3/16	50.00 .......................0.00			X			159,341	0	4,068
(50) ROSALIE TOCCO-BRADLEY........................................................................ CMO ST JOS MERCY ANN ARBOR, LIVINGS.	50.00 .......................0.00			X			0	470,848	34,038
(51) RANDALL T FORSCH........................................................................ CMO ST. JOSEPH MERCY CHELSEA	50.00 .......................0.00			X			0	179,829	662
(52) PETER DEWS III........................................................................ CMO ST. MARY MERCY LIVONIA	50.00 .......................0.00			X			0	382,569	34,368
(53) MICHAEL K SMITH........................................................................ CMO ST. JOSEPH MERCY OAKLAND	50.00 .......................0.00			X			0	397,859	32,216
(54) DAVID BAUMGARTNER........................................................................ CMO MERCY HEALTH ST. MARY'S	25.00 .......................25.00			X			0	392,541	28,964
(55) KRISTOPHER AALDERINK........................................................................ ORTHOPEDIC SURGEON (SJMHS)	50.00 .......................0.00				X		962,886	0	35,838
(56) GEORGE GIBSON........................................................................ ORTHOPEDIC SURGEON (SJMHS)	50.00 .......................0.00				X		907,127	0	38,449
(57) TALLAL ZENI........................................................................ ORTHOPEDIC SURGEON (SMM LIVONIA)	50.00 .......................0.00				X		753,927	0	31,278
(58) CHARLES SCHWARTZ........................................................................ CARDIOTHORACIC SURGEON (OAKLAND)	50.00 .......................0.00				X		745,160	0	32,915
(59) CREG CARPENTER........................................................................ ORTHOPEDIC SURGEON (CHELSEA HOSP)	50.00 .......................0.00				X		742,996	0	33,900
(60) BARBARA HERTZLER........................................................................ FORMER KEY EMPLOYEE; EVP REG INT.	50.00 .......................0.00					X	0	421,103	40,533
(61) STEVE EAVENSON........................................................................ FMR KEY EMP;CFO MERCY HLTH ST. MARY'S THR 7/15	0.00 .......................0.00					X	0	222,329	21,155
(62) JAMES BOSSCHER........................................................................ FORMER OFFICER	0.00 .......................0.00					X	0	113,714	1,137
(63) MARIANNE CUNNINGHAM........................................................................ FORMER OFFICER;VP DEBT MGR/TREAS SVC	0.00 .......................50.00					X	0	253,283	37,168
(64) AGNES HAGERTY........................................................................ FORMER OFFICER; DEP GENERAL COUNSEL	0.00 .......................50.00					X	0	844,356	55,579
(65) BENJAMIN CARTER........................................................................ FORMER OFFICER; TRINITY EVP, CFO	0.00 .......................55.00					X	0	1,510,330	47,466
(66) CYNTHIA CLEMENCE........................................................................ FMR OFFCR; SVP FIN OPS, BUDGET & CAP	0.00 .......................50.00					X	0	593,883	56,444
(67) JENNIFER BARNETT........................................................................ FORMER OFFICER	0.00 .......................0.00					X	0	702,011	23,984
(68) PAUL NEUMANN........................................................................ FMR OFFCR; TH EVP, CHIEF LEGAL OFFCR	0.00 .......................55.00					X	0	1,232,000	41,886
(69) RICHARD GILFILLAN........................................................................ FORMER OFFICER; TH PRESIDENT & CEO	0.00 .......................55.00					X	0	2,711,447	45,401
(70) KEDRICK ADKINS........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00					X	0	768,621	141
(71) J RICHARD O'CONNELL........................................................................ FMR KEY EMPLOYEE; TH EVP EAST GROUP	0.00 .......................55.00					X	0	1,558,150	47,546
(72) CHARLES HOFFMAN........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00					X	0	243,047	13,205
(73) DEBORAH ARMSTRONG........................................................................ FMR KEY EMP; THHS INT CFO THR 1/16	0.00 .......................40.00					X	0	236,750	10,204
(74) PHILIP MCCORKLE........................................................................ FORMER KEY EMPLOYEE; CONSULTANT	0.00 .......................40.00					X	0	301,478	33,745
(75) GARRY FAJA........................................................................ FORMER KEY EMPLOYEE; CONSULTANT	40.00 .......................0.00					X	0	394,266	17,086
(76) STEPHANIE RIEMER-MATUZAK........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00					X	0	266,021	45,405
(77) CLAUDE LAUDERBACH........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00					X	0	311,086	180,204
(78) MARY NEFF........................................................................ FORMER KEY EMPLOYEE; VP LABOR & CLIN OPS	0.00 .......................50.00					X	0	255,074	32,495
(79) JACQUELINE PRIMEAU........................................................................ FORMER KEY EMPLOYEE; TH VP, M&A	0.00 .......................50.00					X	0	302,267	30,507
(80) KIRSTEN KORTH-WHITE........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00					X	0	113,943	20,389
(81) KATHLEEN O'CONNOR........................................................................ FORMER KEY EMP; DIR DECISION SUPPORT	50.00 .......................0.00					X	30,302	240,201	35,899

(A) Name and business address	(B) Description of services	(C) Compensation
PINE REST PO BOX 1615 GRAND RAPIDS,MI49501	HEALTH CARE SERVICES	25,950,429
THE CHRISTMAN COMPANY 634 FRONT AVE NW 500 GRAND RAPIDS,MI49504	CONSTRUCTION SERVICES	11,891,786
MICHIGAN BRAIN SPINE INSTITUTE 5315 ELLIOTT DR STE 102 YPSILANTI,MI48197	HEALTH CARE SERVICES	10,475,553
ANN ARBOR ORTHO SPECIALISTS PC 5315 ELLIOTT DR STE 304 YPSILANTI,MI48197	HEALTH CARE SERVICES	7,362,127
GRANGER CONSTRUCTION COMPANY 6267 AURELIUS ROAD LANSING,MI48911	CONSTRUCTION SERVICES	6,498,877
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 244

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

OMB No. 1545-0047

2015

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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

2015

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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	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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization TRINITY HEALTH - MICHIGAN		Employer identification number 38-2113393

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization TRINITY HEALTH - MICHIGAN			Employer identification number 38-2113393
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on 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

147,938

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

Yes

32,000

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

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

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

179,938

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, lines 1 and 2 (see instructions), 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 2016 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 -PALLIATIVE CARE EDUCATION AND FUNDING -BEHAVIORAL HEALTH ACCESS AND REIMBURSEMENT OUR 2016 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 -INTERSTATE MEDICAL LICENSURE COMPACT -CARE ACT -STATE INNOVATION MODEL GRANT -APRN - SCOPE OF PRACTICE LOBBYING ACTIVITY PERFORMED BY TH-MI 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 2016 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 -PALLIATIVE CARE EDUCATION AND FUNDING -BEHAVIORAL HEALTH ACCESS AND REIMBURSEMENT OUR 2016 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 -INTERSTATE MEDICAL LICENSURE COMPACT -CARE ACT -STATE INNOVATION MODEL GRANT -APRN - SCOPE OF PRACTICE LOBBYING ACTIVITY PERFORMED BY TH-MI 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) 2015

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

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	19,561,547	17,198,931	16,353,319	14,089,151	15,077,828
b	Contributions ...	804,151	2,024,963	684,595	1,878,856	-176,284
c	Net investment earnings, gains, and losses	-325,670	336,668	1,350,728	1,027,047	-812,393
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	729,527	-229,498	1,189,711	641,736
f	Administrative expenses ....	155,817	228,513
g	End of year balance ......	19,154,684	19,561,547	17,198,931	16,353,318	14,089,151

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

Board designated or quasi-endowment SchDMd Bullet

6.530 %

Permanent endowment SchDMd Bullet

86.770 %

Temporarily restricted endowment SchDMd Bullet

6.700 %

The percentages on 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)

Yes

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

3a(ii)

Yes

If "Yes" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	60,062,831		60,062,831
b	Buildings	1,702,942,363	766,556,863	936,385,500
c	Leasehold improvements
d	Equipment ...	847,275,210	643,472,650	203,802,560
e	Other ...	44,998,182	12,109,218	32,888,964
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,233,139,855

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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	240,751,642	F
(B) EQUITY METHOD INVESTMENTS	204,638,896	C
(C) HEDGE FUNDS	144,450,985	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	589,841,523

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1) OTHER RECEIVABLES				29,210,824
(2) INTERCOMPANY ACCOUNTS RECEIVABLE				100,688,936
(3) INVESTMENT IN UNCONSOLIDATED AFFILIATES				25,343,586
(4) INTERCOMPANY OTHER LT ASSETS				121,219,927
(5) OTHER CURRENT ASSETS				71,449
(6) OTHER LONG-TERM ASSETS				310,505
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				276,845,227

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
INTERCOMPANY ACCOUNTS PAYABLE	70,671,852
DEFERRED COMPENSATION	9,401,612
ASSET RETIREMENT OBLIGATION (FIN 47)	2,427,257
ANNUITIES PAYABLE	1,283,665
INTERCOMPANY NOTES PAYABLE	828,163,851
OTHER CURRENT LIABILITIES	446,589
OTHER LONG-TERM LIABILITIES	2,576,262
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	914,971,088
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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 TH-MI. ENDOWMENTS HELD BY SAINT MARY'S FOUNDATION AND MERCY HOSPITAL CADILLAC FOUNDATION FOR THE BENEFIT OF TH-MI ARE REPORTED ON THE FORM 990 OF SAINT MARY'S FOUNDATION AND MERCY HOSPITAL CADILLAC FOUNDATION.

Schedule D (Form 990) 2015

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" on 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

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

OMB No. 1545-0047

2015

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" on 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?

YesNo

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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

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 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 SJMC SPRING AUCTION - CHELSEA (event type)	(c) Other events 5 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,142,021	411,798	1,155,427	2,709,246
2	Less: Contributions . . . .	769,582	306,298	741,747	1,817,627
3	Gross income (line 1 minus line 2) . . . . . .	372,439	105,500	413,680	891,619

4	Cash prizes . . . . .
5	Noncash prizes . . . .			32,213	32,213
6	Rent/facility costs . . . .	60,567	20,608	70,618	151,793
7	Food and beverages . . .	194,524	39,385	211,442	445,351
8	Entertainment . . . .	15,550	2,200	23,299	41,049
9	Other direct expenses . . .	220,060	124,021	288,901	632,982
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				1,303,388
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-411,769

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .			23,405	23,405

2	Cash prizes . . . . .
3	Noncash prizes . . . .			1,280	1,280
4	Rent/facility costs . . . .
5	Other direct expenses . . .	220,060	124,021	288,901	632,982

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes100.000 %
	No

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

2,293

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

21,112

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

Is the organization licensed to conduct 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) 2015

Page 3

Does the organization conduct 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 conducted 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 HE

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 (Form 990 or 990-EZ) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

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 criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	2	33,391	14,783,569	0	14,783,569	0.660 %
b	Medicaid (from Worksheet 3, column a) . . . . .	2	266,135	284,878,465	225,386,002	59,492,463	2.640 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	6	3,886	13,353,632	17,397,247	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	10	303,412	313,015,666	242,783,249	74,276,032	3.300 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	25	336,050	5,372,857	829,481	4,543,376	0.200 %
f	Health professions education (from Worksheet 5) . . .	2	728	79,607,313	48,052,100	31,555,213	1.400 %
g	Subsidized health services (from Worksheet 6) . . . .	16	107,611	42,409,103	24,636,964	17,772,139	0.790 %
h	Research (from Worksheet 7) .			5,956,537	3,590,734	2,365,803	0.110 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	6	7,140	2,541,057	150,391	2,390,666	0.110 %
j	Total. Other Benefits . .	49	451,529	135,886,867	77,259,670	58,627,197	2.610 %
k	Total. Add lines 7d and 7j .	59	754,941	448,902,533	320,042,919	132,903,229	5.910 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	1	0	158	158	0 %
7	Community health improvement advocacy
8	Workforce development	1	12	20,449	20,449	0 %
9	Other
10	Total	2	12	20,607	20,607

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

Yes

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

54,044,933

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. ......

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).....

557,206,048

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

560,782,375

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

-3,576,327

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 %	56.530 %
99 ADVANTAGE HEALTHSAINT MARY'S CARE NETWORK	HOSPITAL/PHYSICIAN INTEGRATION	50.000 %	50.000 %
1010 PHYSICIAN DIRECT ACCOUNTABLE CARE ORGANIZATION	ACO ACTIVITY	25.000 %	75.000 %
1111 OAKLAND HEALTH PARTNERS	ACO ACTIVITY	50.000 %	50.000 %
12
13

Schedule H (Form 990) 2015

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?7 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST JOSEPH MERCY ANN ARBOR 5301 MCAULEY DR YPSILANTI,MI48197 WWW.STJOESHEALTH.ORG LICENSE 1060000071	X	X	X	X
2	MERCY HEALTH ST MARY'S 200 JEFFERSON STREET SE GRAND RAPIDS,MI49503 WWW.MERCYHEALTHSAINTMARYS.COM LICENSE 1060000030	X	X	X	X
3	ST JOSEPH MERCY OAKLAND 44405 WOODWARD AVE PONTIAC,MI48341 WWW.STJOESOAKLAND.ORG LICENSE 1060000013	X	X	X	X
4	ST MARY MERCY LIVONIA 36475 FIVE MILE RD LIVONIA,MI48154 WWW.STMARYMERCY.ORG LICENSE 1060000001	X	X	X	X
5	ST JOSEPH MERCY CHELSEA 775 S MAIN CHELSEA,MI48118 WWW.STJOESCHELSEA.ORG LICENSE 1060000099	X	X		X
6	ST JOSEPH MERCY LIVINGSTON 620 BYRON RD HOWELL,MI48843 WWW.STJOESLIVINGSTON.ORG LICENSE 1060000033	X	X	X	X
7	ST JOSEPH MERCY PORT HURON 2601 ELECTRIC AVE PORT HURON,MI48060 WWW.MYMERCY.US LICENSE 1060000015	X	X		X

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP application form was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.MERCYHEALTH.COM/FINANCIAL-ASSISTANCE-SM

The FAP application form was widely available on a website (list url):

HTTP://WWW.MERCYHEALTH.COM/FINANCIAL-ASSISTANCE-SM

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.MERCYHEALTH.COM/FINANCIAL-ASSISTANCE-SM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP application form was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP application form was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP application form was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP application form was widely available on a website (list url):

HTTP://WWW.STJOESANNARBOR.ORG/FA

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.STJOESANNARBOR.ORG/FA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

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

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

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

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 5: IN THE SUMMER OF 2015, ST. JOSEPH MERCY ANN ARBOR (SJMAA), AS A PART OF THE COLLABORATIVE NEEDS ASSESSMENT PROCESS WITH ST. JOSEPH MERCY CHELSEA AND UNIVERSITY OF MICHIGAN HEALTH SYSTEM, CONSULTED MANY COMMUNITY ORGANIZATIONS TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH KEY STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEYS, INCLUDING: FOCUS GROUPS OF RURAL OLDER ADULTS, RURAL YOUTH, URBAN OLDER ADULTS, URBAN YOUTH; KEY STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES FROM WASHTENAW COUNTY COMMUNITY MENTAL HEALTH, WASHTENAW COUNTY PUBLIC HEALTH DEPARTMENT, CATHOLIC SOCIAL SERVICES, AND HAMILTON CROSSING FAMILY EMPOWERMENT PROGRAM, HURON VALLEY AMBULANCE, SALINE AREA PUBLIC SCHOOLS, AND WASHTENAW INTERMEDIATE SCHOOL DISTRICT.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 5: THE CHNA WAS VERY INCLUSIVE AND COMPREHENSIVE IN INCORPORATING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THE QUALITATIVE DATA IS FROM A COLLECTION OF CONSUMER SURVEYS, COMMUNITY FOCUS GROUPS AND FORUMS, AND BRIEF INTERVIEWS WITH COMMUNITY MEMBERS. MORE INFORMATION ON EACH OF THESE METHODS IS DESCRIBED IN GREATER DETAIL IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.IN 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 WELL-BEING IN KENT COUNTY. THE FOCUS GROUPS WERE RECORDED, WITH THE KNOWLEDGE OF PARTICIPANTS, AND RESEARCHERS WERE ABLE TO UTILIZE THE WORDS SPOKEN VERBATIM ABOUT A PARTICULAR HEALTH TOPIC TO SUPPORT SPECIFIC THEMES FOUND IN THE QUALITATIVE DATA COLLECTION. TWENTY-EIGHT FOCUS GROUPS WERE CONDUCTED WITH 230 COMMUNITY MEMBERS PARTICIPATING.THE INTERCEPT INTERVIEWS 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 WELL-BEING. SOME POPULATIONS ARE MORE COMFORTABLE BEING INTERVIEWED BY A COMMUNITY MEMBER OR TRUSTED INDIVIDUAL, THAN BY AN OUTSIDE RESEARCHER, AND INTERCEPT INTERVIEWS ARE USEFUL WITH COLLECTING 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 NECESSARY INTERVIEW MATERIALS, AS WELL AS TECHNICAL ASSISTANCE. COMPLETED INTERVIEWS WERE RETURNED TO PROFESSIONALLY TRAINED CONSULTANTS FOR ANALYSIS. THIRTY INTERCEPT INTERVIEWS WERE CONDUCTED IN THREE LANGUAGES BY TRAINED COMMUNITY MEMBERS.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 5: ST. JOSEPH MERCY OAKLAND (SJMO) CONSULTED MANY COMMUNITY ORGANIZATIONS AND THEIR REPRESENTATIVES TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING REPRESENTATIVES OF:OAKLAND COMMUNITY MENTAL HEALTH, HEALTHY PONTIAC, WE CAN, OAKLAND UNIVERSITY, THE SALVATION ARMY, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, GARY BURNSTEIN COMMUNITY HEALTH CLINIC, AREA AGENCY ON AGING 1-B OAKLAND CO. CENTRAL OFFICE, RONALD L DUNLAP-LAY PASTOR, TAKEONE COMMUNITY PROGRAM, SOUTHFIELD DOMESTIC VIOLENCE GROUP, HOPE HOSPITALITY AND WARMING CENTER, OAKLAND COUNTY DEPARTMENT OF HEALTH, GLEANERS, CENTRO MULTICULTURAL LA FAMILIA INC., AND OTHERS IN THE COMMUNITY.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 5: MANY COLLABORATIVE PARTNERS WERE ENGAGED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OF ST. MARY MERCY LIVONIA (SMML), INCLUDING THE MEMBERSHIP OF A CHNA STEERING COMMITTEE. THESE DEDICATED MEMBERS WERE INVOLVED IN THE TOOL DEVELOPMENT, SURVEY DISTRIBUTION, NEEDS IDENTIFICATION AND PRIORITIZATION AND DEVELOPMENT OF THE CHNA, DESIGN, AND IMPLEMENTATION WORKGROUPS. THESE PARTNERS INCLUDE REPRESENTATIVES FROM AUTHORITY HEALTH (FORMERLY DETROIT WAYNE COUNTY HEALTH AUTHORITY), LIVONIA AND REDFORD SCHOOLS, WAYNE HOPE CLINIC, WAYNE/WESTLAND SALVATION ARMY, MADONNA UNIVERSITY, JOY SOUTHFIELD COMMUNITY DEVELOPMENT CORPORATION, JUDSON CENTER, PLYMOUTH COMMUNITY UNITED WAY, FARMINGTON COSTICK CENTER (SENIOR CENTER), SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION, REDFORD INTERFAITH RELIEF, WESTLAND YOUTH ASSISTANCE, WAYNE COUNTY HEALTH AND HUMAN SERVICES, AND LIVONIA YMCA.THE SMML COMMUNITY HEALTH NEEDS SURVEY WAS BRANDED WITH THE BANNER "MAKE A DIFFERENCE IN THE HEALTH OF OUR COMMUNITY". A PAPER AND ON-LINE SURVEY, COMPOSED OF 30 QUESTIONS ABOUT ACCESS TO CARE, PERSONAL HEALTH BEHAVIORS, PERCEIVED COMMUNITY HEALTH NEEDS AND PARTICIPANT DEMOGRAPHICS, WAS PROMOTED AT MANY COMMUNITY EVENTS THROUGH VARIOUS COMMUNITY PARTNERS. OF THE 1,578 RESPONSES, 666 WERE PAPER SURVEYS COMPLETED BY VULNERABLE POPULATIONS AT THE REDFORD INTERFAITH FOOD PANTRY, WAYNE/WESTLAND SALVATION ARMY FOOD PANTRY AND WAYNE HOPE CLINIC. A COMMUNITY FORUM WAS HELD AT THURSTON HIGH SCHOOL IN REDFORD, MICHIGAN TO SHARE THE SURVEY RESULTS, GAIN SOME ADDITIONAL INFORMATION ABOUT 10 OF THE SURVEY QUESTIONS AND ENGAGE COMMUNITY MEMBERS IN DISCUSSION ABOUT PROGRAMS FOR CHANGING BEHAVIORS FOR HEALTHY EATING, INCREASED PHYSICAL ACTIVITY, ACCESS TO CARE, AND MENTAL HEALTH/SUBSTANCE ABUSE PREVENTION AND TREATMENT.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 5: ST. JOSEPH MERCY LIVINGSTON (SJML) CONSULTED OTHER COMMUNITY ORGANIZATIONS, INCLUDING THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH, COMMUNITY MENTAL HEALTH SERVICES OF LIVINGSTON COUNTY, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY, AND LIVINGSTON COUNTY CATHOLIC CHARITIES IN CONDUCTING THE MOST RECENT CHNA.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 5: IN THE SUMMER OF 2015, ST. JOSEPH MERCY CHELSEA (SJMC), AS A PART OF THE COLLABORATIVE NEEDS ASSESSMENT PROCESS WITH SJMAA AND UNIVERSITY OF MICHIGAN HEALTH SYSTEM, CONSULTED MANY COMMUNITY ORGANIZATIONS TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH KEY STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEYS, INCLUDING: FOCUS GROUPS OF RURAL OLDER ADULTS, RURAL YOUTH, URBAN OLDER ADULTS, URBAN YOUTH; AND KEY STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES FROM WASHTENAW COUNTY COMMUNITY MENTAL HEALTH, WASHTENAW COUNTY PUBLIC HEALTH DEPARTMENT, CATHOLIC SOCIAL SERVICES, HAMILTON CROSSING FAMILY EMPOWERMENT PROGRAM, HURON VALLEY AMBULANCE, SALINE AREA PUBLIC SCHOOLS, AND WASHTENAW INTERMEDIATE SCHOOL DISTRICT.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 6A: SJMC AND UNIVERSITY OF MICHIGAN HEALTH SYSTEM
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 6A: METRO HEALTH HOSPITAL AND SPECTRUM HEALTH
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 6A: SJMAA AND UNIVERSITY OF MICHIGAN HEALTH SYSTEM
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 6B: WASHTENAW COUNTY PUBLIC HEALTH
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 6B: GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE (GRAAHI), PINE REST CHRISTIAN MENTAL HEALTH SERVICES, MARY FREE BED REHABILITATION HOSPITAL, YMCA, AND KENT COUNTY PUBLIC HEALTH.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 6B: WASHTENAW COUNTY PUBLIC HEALTH
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 7D: ANNUALLY, SJMAA PRODUCES A COMMUNITY BENEFIT REPORT INCLUDING FINANCIAL INFORMATION AND STORIES ABOUT THE HOSPITAL'S PROGRAMS. THE REPORT DESCRIBES THE COMMUNITY HEALTH NEEDS ASSESSMENT, AND SJMAA PLANS TO MAKE IT AVAILABLE TO OUR EMPLOYEES AND COMMUNITY MEMBERS IN KIOSKS THROUGHOUT THE HOSPITAL. ADDITIONALLY, AS A UNITE GROUP, SJMAA WILL ASSESS THE MOST FEASIBLE WAY TO INFORM COMMUNITY MEMBERS OF OUR PROGRESS.LINE 7A:HTTP://WWW.STJOESANNARBOR.ORG/CBMLINE 10A:HTTP://WWW.STJOESANNARBOR.ORG/CBM
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 7D: LINE 7A:HTTP://WWW.MERCYHEALTHSAINTMARYS.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTLINE 10A: HTTP://WWW.MERCYHEALTHSAINTMARYS.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 7D: LINE 7A: HTTP://WWW.STJOESANNARBOR.ORG/CBMLINE 10A: HTTP://WWW.STJOESANNARBOR.ORG/CBM
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 7D: ANNUALLY, SMML PRODUCES A COMMUNITY BENEFIT REPORT INCLUDING FINANCIAL INFORMATION AND STORIES ABOUT THE HOSPITAL'S PROGRAMS. THE REPORT DESCRIBES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND WAS INSERTED IN LOCAL NEWSPAPERS THAT REACHED 58,000 HOUSEHOLDS AND WAS AVAILABLE TO OUR EMPLOYEES AND COMMUNITY MEMBERS IN KIOSKS THROUGHOUT THE HOSPITAL.LINE 7A: HTTP://WWW.STJOESANNARBOR.ORG/CBMLINE 10A: HTTP://WWW.STJOESANNARBOR.ORG/CBM
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 7D: LINE 7A: HTTP://WWW.STJOESANNARBOR.ORG/CBMLINE 10A: HTTP://WWW.STJOESANNARBOR.ORG/CBM
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 7D: ANNUALLY, SJMC PRODUCES A COMMUNITY BENEFIT REPORT INCLUDING FINANCIAL INFORMATION AND STORIES ABOUT THE HOSPITAL'S PROGRAMS. THE REPORT DESCRIBES THE COMMUNITY HEALTH NEEDS ASSESSMENT, AND SJMC PLANS TO MAKE IT AVAILABLE TO OUR EMPLOYEES AND COMMUNITY MEMBERS IN KIOSKS THROUGHOUT THE HOSPITAL. ADDITIONALLY, AS A UNITE GROUP, SJMC WILL ASSESS THE MOST FEASIBLE WAY TO INFORM COMMUNITY MEMBERS OF OUR PROGRESS.LINE 7A: HTTP://WWW.STJOESANNARBOR.ORG/CBMLINE 10A: HTTP://WWW.STJOESANNARBOR.ORG/CBM
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 2: (ALSO APPLIES TO PART V, SECTION B, LINE 12A)THE ST. JOSEPH MERCY PORT HURON (SJMPH) HOSPITAL FACILITY WAS OPERATED BY TRINITY HEALTH-MICHIGAN UNTIL AUGUST 31, 2015. EFFECTIVE SEPTEMBER 1, 2015, TRINITY HEALTH-MICHIGAN SOLD THE SJMPH HOSPITAL FACILITY TO PRIME HEALTHCARE.IN ACCORDANCE WITH REG. 1.501(R)-3(D)(4), SJMPH WAS NOT REQUIRED TO MEET THE CHNA REQUIREMENTS BECAUSE TRINITY HEALTH-MICHIGAN TRANSFERRED ALL OWNERSHIP OF THE HOSPITAL FACILITY TO ANOTHER ORGANIZATION (PRIME HEALTHCARE) BEFORE THE END OF THE TAX YEAR. THEREFORE, THE EXCISE TAX UNDER SECTION 4959 WAS NOT INCURRED.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 11: AS A PART OF THE COLLABORATIVE NEEDS ASSESSMENT PROCESS WITH SJMC AND UNIVERSITY OF MICHIGAN HEALTH SYSTEM, COMMUNITY HEALTH NEEDS PRIORITIZED ARE OBESITY, BEHAVIORAL HEALTH, AND PRECONCEPTUAL/PERINATAL HEALTH. THE HOSPITAL'S IMPLEMENTATION STRATEGY OUTLINES THE FOLLOWING EFFORTS FOR EACH SIGNIFICANT HEALTH NEED:OBESITY - SJMAA WORKS TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING RISING OBESITY RATES IN OUR COMMUNITY. SJMAA SUPPORTS THE COMMUNITY THROUGH:- EFFORTS SEEKING TO INCREASE ACCESS TO NUTRITIOUS FOODS THROUGH THE AVAILABILITY OF AFFORDABLE, LOCALLY SOURCED OPTIONS, COUPLED WITH NUTRITION EDUCATION TO ENCOURAGE LONG-TERM BEHAVIOR CHANGE, - OPPORTUNITIES FOR PHYSICAL ACTIVITY THROUGH SUPPORTING POLICY AND ENVIRONMENTAL CHANGE BUILT AROUND ENVIRONMENT STRATEGIES, AND- ENGAGEMENT OF SOCIAL SERVICE ORGANIZATIONS PROVIDING SERVICES AROUND FOOD INSECURITY THROUGH A PUBLIC-PRIVATE FUNDING PARTNERSHIP THAT ENCOURAGES ALIGNMENT AND REDUCTION OF DUPLICATION ACROSS COMMUNITY-LEVEL OUTCOMES AROUND NUTRITION AND HUNGER RELIEF.BEHAVIORAL HEALTH - SJMAA WORKS TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING BEHAVIORAL HEALTH IN OUR COMMUNITY BY:- CONTRIBUTING TOWARD IMPROVING ACCESS TO AND INTEGRATION OF BEHAVIORAL HEALTH SERVICES ACROSS THE LIFESPAN, SUBSTANCE USE DISORDER TREATMENT, AND SUPPORT FOR PATIENT COMPLIANCE,- ADDRESSING ACCESS TO CARE BARRIERS FOR THOSE MOST VULNERABLE IN THE COMMUNITY WE SERVE,- PROVIDING EDUCATION AND SUPPORT FOR PRIMARY CARE PROVIDERS TO ADDRESS BEHAVIORAL HEALTH NEEDS UTILIZING BEST PRACTICE FRAMEWORKS, AND- ENGAGING SOCIAL SERVICE ORGANIZATIONS PROVIDING SERVICES AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDER THROUGH A PUBLIC-PRIVATE FUNDING PARTNERSHIP THAT ENCOURAGES ALIGNMENT AND REDUCTION OF DUPLICATION ACROSS COMMUNITY-LEVEL OUTCOMES AROUND BEHAVIORAL HEALTH SERVICES.PRECONCEPTUAL/PERINATAL HEALTH THIS HEALTH NEED IS NEWLY PRIORITIZED IN THE 2016 CHNA. STRATEGIES TO ADDRESS THIS COMMUNITY HEALTH NEED ARE IN DEVELOPMENT.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 11: OVER THE NEXT THREE FISCAL YEARS, MERCY HEALTH SAINT MARY'S (MHSM) WILL DIRECTLY ADDRESS ALL FOUR OF THE HIGH PRIORITY COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA. THESE HIGH PRIORITY NEEDS INCLUDE: MENTAL HEALTH, NUTRITION AND OBESITY, SUBSTANCE USE, AND SAFETY AND VIOLENCE.MENTAL HEALTH - AT THE COMMUNITY HEALTH CENTERS, A SBIRT (SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT) IS CONDUCTED FOR EVERY PATIENT. THROUGH A HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) GRANT IN THE AMOUNT OF $350,000, MHSM HIRED BEHAVIORAL HEALTH COUNSELORS. ADDITIONALLY, DEPRESSION SCREENINGS ARE CONDUCTED AT EACH PRIMARY CARE AND SPECIALTY OFFICE VISIT USING THE PHQ-2/9 TOOL FOR ALL PATIENTS 12 YEARS OF AGE AND OLDER. ELIGIBLE PATIENTS ARE THEN ENROLLED IN MHSM'S PHARMACEUTICAL ACCESS PROGRAM TO ENSURE POVERTY IS NOT A BARRIER FOR PATIENTS TO SEEK MENTAL HEALTH MEDICATIONS. LASTLY, THE COMPLEX CARE PROGRAM HAS EXPANDED TO INCLUDE PATIENTS WITH COMPLEX MEDICAL AND PSYCHO/SOCIAL BEHAVIOR CHALLENGES, THOSE UNENGAGED WITH CARE MANAGEMENT OR A MEDICAL HOME, WHO HAVE FREQUENT EMERGENCY DEPARTMENT UTILIZATION, AND WHO HAVE SIGNIFICANT SAFETY ISSUES, INCLUDING THOSE AT RISK FOR SUICIDE OR WHO PORTRAY VIOLENT, THREATENING BEHAVIOR.NUTRITION AND OBESITY - AT EACH PRIMARY CARE VISIT, BMI MEASUREMENTS ARE TAKEN AND EDUCATION AND/OR APPROPRIATE REFERRAL TO TREATMENT ARE PROVIDED TO PATIENTS WITH A BMI OUTSIDE OF NORMAL PARAMETERS (SEE BELOW). CHILDREN WHO STRUGGLE WITH OBESITY ARE REFERRED TO FITKIDS, A COMMUNITY PROGRAM THAT SPECIALIZES IN FIGHTING CHILDHOOD OBESITY AT THE HELEN DEVOS CHILDREN'S HOSPITAL, AND ANY CHILD UNDER THE AGE OF 5 IS REFERRED TO WIC FOR NUTRITION COUNSELING. ADDITIONALLY, MHSM IS A KEY COMMUNITY PARTNER AT THE KENT COUNTY HEALTH DEPARTMENT OBESITY AND POOR NUTRITION COALITION, WHOSE PRIMARY GOAL IS TO INCREASE THE NUMBER OF KENT COUNTY RESIDENTS WHO ARE AT A HEALTHY WEIGHT (DEFINED BY A BMI BETWEEN 18.5 AND 24.9) BY 2018. AS PART OF THE COMMUNITY HEALTH PROGRAMS, SEVERAL COMMUNITY HEALTH WORKERS (CHWS) HAVE BECOME FACILITATORS FOR DIABETES PATH, A SIX-WEEK WORKSHOP TO IMPROVE DIABETES MANAGEMENT THROUGH EXERCISE AND EDUCATION ABOUT HEALTH AND NUTRITION.IN ADDITION, MHSM OFFERED WELLNESS OPPORTUNITIES TO THE COMMUNITY INCLUDING FIT FIRST FRIDAY WHICH PROVIDES INBODY 520 TESTING AND A BRIEF CONSULTATION REGARDING PERSONALIZED FITNESS GOALS AND INDIVIDUAL BODY COMPOSITION; HOLD IT THROUGH THE HOLIDAYS, WHICH IS A WEIGHT MAINTENANCE CHALLENGE DURING THE HOLIDAY SEASON; MICHIGAN FIRE FIGHTERS CAMPAIGN, WHICH PROVIDES EDUCATION AND SUPPORT TO FIRE FIGHTERS TO ENHANCE EATING AND WELLNESS PRACTICES AT FIRE STATIONS; AND ONSITE EXERCISE CLASSES INCLUDING YOGA, ZUMBA, AND TAI-CHI THAT ARE OPEN TO THE PUBLIC FOR FREE OR FOR A NOMINAL FEE. MHSM ALSO SPONSORS AND PARTICIPATES IN SEVERAL COMMUNITY HEALTH AND WELLNESS EVENTS SUCH AS THE FIFTH THIRD BANK RUN, GRAND RAPIDS TRIATHLON, NANA'S RUN, BRIDGE RUN, GRAND RAPIDS HEART WALK, AND GRAND RAPIDS TOUR DE RAPIDS, AMONG OTHERS. THE HOSPITAL CAFETERIA PARTICIPATED IN "FRESH FROM THE FARM TUESDAY", WHICH PARTNERED WITH LOCAL FARMERS TO OBTAIN FRESH, SEASONAL FOOD TO PURCHASE. UTILIZING THE MATTER OF BALANCE CURRICULUM AS A MODEL FOR EXERCISE TO INCREASE STRENGTH AND BALANCE FOR OLDER ADULTS, MHSM CONDUCTED THREE EIGHT-WEEK, TWO-HOUR SESSIONS AT SPARTA HEALTH CENTER. TEN PARTICIPANTS ATTENDED THESE CLASSES ON A REGULAR BASIS TO IMPROVE THEIR FALL RISK AND TO SET GOALS TO INCREASE THEIR ACTIVITY LEVELS, STRENGTH AND BALANCE.SUBSTANCE USE - IN ADDITION TO THE SBIRT TREATMENT AND THE BEHAVIORAL HEALTH COUNSELORS AT EACH COMMUNITY HEALTH CENTER, ONE OF THE COMMUNITY HEALTH CENTERS (HEARTSIDE HEALTH CENTER) HAS IMPLEMENTED A NON-NARCOTIC PAIN PROGRAM, WHICH FOCUSES ON PHYSICAL THERAPY, OCCUPATIONAL THERAPY, PAIN PSYCHOLOGY AND CASE MANAGEMENT. THIS PROGRAM IS AN ALTERNATIVE PROGRAM FOR PATIENTS WITH CHRONIC PAIN AND WHO ARE ADDICTED OR AT RISK FOR ADDICTION TO NARCOTIC PAIN MEDICATION. MHSM IS ALSO A KEY COMMUNITY PARTNER AT THE KENT COUNTY HEALTH DEPARTMENT SUBSTANCE USE COALITION WHOSE PRIMARY GOALS ARE TO INCREASE EDUCATION OF SUBSTANCE USE, EXPAND MEDICATION DROP-OFF SITES AND EVENTS, PROVIDE MEDICATION TREATMENT FOR OPIOID ADDICTION, REDUCE ADULT AND YOUTH TOBACCO/ELECTRONIC CIGARETTE USE, REDUCE ADULT BINGE DRINKING, INCREASE PERCEPTION OF HARM WITH MARIJUANA USE, AND REDUCE THE NONMEDICAL USE OF PAIN RELIEVERS FOR 18-25 YEAR OLDS. MHSM HAS ALSO BEGUN PURSUIT OF AN ADDICTION SPECIALIST TO JOIN THE HEALTH SYSTEM TO ADDRESS BOTH THE SUBSTANCE ABUSE AND THE MENTAL HEALTH CHNA NEEDS. PLANS TO INCORPORATE THEIR SERVICES TO PATIENTS IN THE NEAR FUTURE ARE IN DEVELOPMENT.SAFETY AND VIOLENCE - IN ADDITION TO THE SBIRT TREATMENT AND THE BEHAVIORAL HEALTH COUNSELORS AT EACH COMMUNITY HEALTH CENTER, SCREENING AND TREATMENT FOR DEPRESSION, BULLYING, AND DOMESTIC VIOLENCE, AMONG OTHER ISSUES, IS PROVIDED. MHSM HAS BUILT A STRONG RELATIONSHIP WITH THE KENT COUNTY HEALTH DEPARTMENT, WHO WILL RECEIVE AND RESETTLE 700 REFUGEE FAMILIES THIS YEAR, FOR 400 OF WHICH MHSM WILL PROVIDE MEDICAL TREATMENT AND BECOME THEIR PRIMARY CARE PROVIDERS AS THEY SEEK SAFETY FROM DRUGS AND VIOLENCE IN THEIR HOME COUNTRY. CLINICA SANTA MARIA PROVIDES PRIMARY CARE FOR CHILDREN WHO ARE ABANDONED OR SEPARATED FROM THEIR PARENTS WHILE IMMIGRATING TO THE U.S. FROM MEXICO. LASTLY, THE INJURY PREVENTION COORDINATOR AT MHSM PROVIDES A PROGRAM TITLED "DRIVEN TO DISTRACTION", A TWO-HOUR, MULTI-DISCIPLINARY, STUDENT DRIVEN PROGRAM TO IDENTIFY RISK FACTORS AND BEHAVIORS THAT CONTRIBUTE TO DISTRACTED DRIVING AND POTENTIAL CONSEQUENCES. THE GOAL OF THIS PROGRAM IS INJURY PREVENTION THROUGH EDUCATION AND HIGH IMPACT DEMONSTRATIONS, INCLUDING A SIMULATED ACCIDENT, AN INVESTIGATION, A FUNERAL, A COURT HEARING, AND AN EDUCATIONAL DISCUSSION REGARDING BEHAVIOR MODIFICATION. IN FISCAL YEAR 16, THE INJURY PREVENTION COORDINATOR CONDUCTED ONE EVENT AT NORTHVIEW HIGH SCHOOL FOR 300 HIGH SCHOOL STUDENTS.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 11: THE FOUR COMMUNITY HEALTH NEEDS PRIORITIZED BY SJMO ARE OBESITY, FINANCIAL ACCESS TO CARE, DENTAL CARE, AND BEHAVIORAL HEALTH. THE HOSPITAL'S IMPLEMENTATION STRATEGY OUTLINES THE FOLLOWING EFFORTS:OBESITY - SJMO IS WORKING TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES TO ADDRESS RISING OBESITY RATES IN OUR COMMUNITY. SJMO SUPPORTS AREA SCHOOLS WITH EDUCATION & PREVENTION STRATEGIES, SUCH AS A "BOOT CAMP" FOR MIDDLE SCHOOL GIRLS AND SUMMER CAMP CAMPERSHIPS FOR HIGH RISK CHILDREN IDENTIFIED BY THE SCHOOL DISTRICT. ALL PONTIAC PUBLIC SCHOOL TEACHERS WERE PROVIDED A FREE MEMBERSHIP TO THE HOSPITAL'S WELLNESS CENTER AND OVER 500 AREA SENIORS PARTICIPATED IN "SENIOR FIT" FREE EXERCISE CLASSES AT TEN LOCATIONS AROUND THE COMMUNITY. WE SEEK TO INCREASE COMMUNITY ACCESS TO NUTRITIOUS FOODS, OPPORTUNITIES FOR PHYSICAL ACTIVITY, AND EDUCATION ON HEALTHY LIVING IN VARIOUS COMMUNITY VENUES. AS A CERTIFIED "BABY FRIENDLY" HOSPITAL, SJMO PROVIDES EDUCATION, SUPPORT AND ENCOURAGEMENT TO MOTHERS WHO CHOOSE TO BREASTFEED THEIR BABIES. ACCESS TO CARE - SJMO CONTINUES TO PROVIDE ENROLLMENT SERVICES TO ASSIST THOSE ELIGIBLE FOR INSURANCE PLANS AND ALTERNATIVE PAYMENT SOURCES, WHILE STILL PROVIDING NEEDED CARE TO THOSE WITHOUT ACCESS TO INSURANCE. ADDITIONALLY, A KEY PARTNERSHIP WITH "FREEDOM ROAD" WILL ASSIST PATIENTS AND COMMUNITY MEMBERS IN GETTING TO MEDICAL APPOINTMENTS AND OTHER NEEDED SERVICES IN A COMMUNITY WITH A SEVERELY INADEQUATE MASS TRANSIT SYSTEM. DENTAL CARE - SJMO HAS RAISED THE NEEDED CAPITAL FUNDING TO EXPAND ITS IN-HOSPITAL DENTAL CLINIC FOR LOW-INCOME AND MEDICALLY COMPLEX INDIVIDUALS AND ANTICIPATES CONSTRUCTION TO BEGIN SOON. FURTHER, SJMO IS WORKING TO IMPROVE COORDINATION AND ACCESS TO NECESSARY FOLLOW UP CARE AFTER DENTAL TREATMENT. SJMO CONTINUES TO SUPPORT DENTAL HYGIENE EDUCATION IN THE COMMUNITY.BEHAVIORAL HEALTH - SJMO IS WORKING TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING BEHAVIORAL HEALTH IN OUR COMMUNITY AND TO MEET THE NEEDS OF THESE INDIVIDUALS. THE HOSPITAL PUT TOGETHER A WELL-ATTENDED COMMUNITY SUICIDE PREVENTION EDUCATION SESSION AND FORUM AND HAVE CREATED A MONTHLY SUPPORT GROUP FOR FAMILIES OF THOSE DIAGNOSED WITH A MENTAL ILLNESS. SJMO IS A FOUNDING PARTNER IN THE HOPE RECUPERATIVE CENTER WHICH PROVIDES A SAFE PLACE FOR HEALING AND RECOVERY FOR HOMELESS PERSONS RECENTLY DISCHARGED FROM THE HOSPITAL. SJMO CONTINUES TO CONTRIBUTE TOWARD IMPROVING ACCESS TO SUBSTANCE ABUSE TREATMENT AND SUPPORT FOR PATIENT COMPLIANCE. A NEWLY LAUNCHED PARTNERSHIP WITH THE LOCAL TIMEBANK IS AN INITIATIVE WHICH THE HOSPITAL ANTICIPATES MAY HELP TO ADDRESS ISSUES OF ISOLATION AND LONELINESS IN OUR COMMUNITY, ESPECIALLY AMONG THE ELDERLY. SJMO WILL ADDRESS ACCESS TO CARE BARRIERS AND WILL PROVIDE EDUCATION AND SUPPORT FOR PRIMARY CARE PROVIDERS TO ADDRESS BEHAVIORAL HEALTH NEEDS.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 11: LISTED IN ORDER OF PRIORITY, SMML FOCUSED ON DEVELOPING AND/OR SUPPORTING INITIATIVES AND MEASURING THEIR EFFECTIVENESS, TO IMPROVE THE FOLLOWING HEALTH NEEDS: OBESITY - IN PARTNERSHIP WITH MEIJER (LOCAL RETAILER), MADONNA UNIVERSITY DIETETICS PROGRAM AND SOUTH REDFORD SCHOOLS, ACTIVITIES ENCOURAGING INCREASED FRUIT AND VEGETABLE INTAKE WERE CARRIED OUT DURING THE SCHOOL YEAR AT A TARGETED SCHOOL WITH THE GOAL OF REDUCING OBESITY THROUGH IMPROVED EATING HABITS. TWO "ALL SCHOOL TASTING DAYS", GROCERY STORE TOUR AND STUDENT ASSEMBLIES WERE HELD WITH POSITIVE IMPACT. WITH THE GOAL OF INCREASED PHYSICAL ACTIVITY AND IMPROVED NUTRITION, ESPECIALLY IN CHILDREN AGES K-12, EDUCATIONAL PROGRAMS AND ACTIVITIES FOR CHILDREN AND FAMILIES IN THE LIVONIA PUBLIC SCHOOLS WERE THE FOCUS OF A "HEALTHY FAMILIES" NIGHT.ACCESS TO CARE AND TRANSPORTATION - ACCESS TO PRIMARY CARE PROVIDERS AND HEALTHCARE SERVICES WAS IMPROVED BY EXPANDING TRANSPORTATION SERVICES FOR HEALTHCARE APPOINTMENTS AND THROUGH EDUCATION/PROMOTION OF RIGHT CARE/RIGHT TIME TO INCREASE THE NUMBER OF ADULTS RECEIVING PRIMARY CARE AND WELLNESS CHECKS. IN PARTNERSHIP WITH A FAITH-BASED CHARITABLE NON-PROFIT COMMUNITY HEALTH CENTER, EFFORTS ARE BEING DIRECTED TO OPENING A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT WILL OFFER INTEGRATED MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO WESTLAND RESIDENTS.MENTAL HEALTH/SUBSTANCE ABUSE - THROUGH A PARTNERSHIP WITH LIVONIA SAVE OUR YOUTH (LSOY) AND GROWTH WORKS, AN ONGOING (10 MONTHS/YEAR) PROGRAM FOR TEENS, FAMILIES AND THE COMMUNITY-AT-LARGE WAS IMPLEMENTED TO ADDRESS DRUG/ALCOHOL EDUCATION IN A NEUTRAL LOCATION. THE INTENT WAS TO INCREASE INFORMATION AND REDUCE THE STIGMA OF TALKING ABOUT SUBSTANCE USE/ABUSE LEADING TO INTERVENTIONS AND DECREASING AT-RISK BEHAVIORS. ADDRESSING THE IDENTIFIED NEED TO REDUCE TEEN SUICIDE, SMML PARTNERED WITH SOUTH REDFORD SCHOOLS, OAKLAND SCHOOLS, WAYNE RESA, REDFORD COMMISSION ON YOUTH AND FAMILIES, GROWTH WORKS, AND DETROIT WAYNE MENTAL HEALTH AUTHORITY TO PROVIDE A FORUM TO BRING TOGETHER SCHOOL COUNSELORS AND SOCIAL WORKERS TO START THE CONVERSATION ON SUICIDE PREVENTION AND MENTAL HEALTH AWARENESS. FOR THE FIRST TIME EVER, SEVEN SCHOOL DISTRICTS MET TO START THE CONVERSATION TO ADDRESS PREVENTION AND AWARENESS AND TO IDENTIFY GAPS IN THE COMMUNITY AND OUR SCHOOLS TO ASSIST IN SUICIDE PREVENTION. SMML ACKNOWLEDGED 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. SMML WILL NOT TAKE ANY NEW OR ADDITIONAL ACTIONS ON THE FOLLOWING HEALTH NEEDS: PHYSICAL ACTIVITY AND NUTRITION FOR ADULTS - ALTHOUGH ADULT PHYSICAL ACTIVITY AND NUTRITION WILL NOT BE ADDRESSED IN THIS PLAN, THE HOSPITAL WILL CONTINUE TO SPONSOR COMMUNITY FUN RUNS, COOKING DEMONSTRATIONS, AND OTHER COMMUNITY EVENTS THAT PROMOTE PHYSICAL ACTIVITY AND HEALTHY EATING. CANCER- CANCER WILL BE ADDRESSED INDIRECTLY THROUGH THE STRATEGY FOR ACCESS TO CARE AND IN THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS FOR EDUCATIONAL SEMINARS, PREVENTION SCREENINGS AND SUPPORT GROUPS. HEART DISEASE- HEART DISEASE WILL BE ADDRESSED INDIRECTLY THROUGH THE STRATEGIES FOR ACCESS TO CARE AND OBESITY.DIABETES- DIABETES DID NOT RANK AMONG THE TOP PRIORITIZED HEALTH NEEDS, DESPITE STUDIES SHOWING ONE-THIRD OF THE PEOPLE IN THE UNITED STATES UNKNOWINGLY HAVE DIABETES. SMML WILL CONTINUE TO OFFER DIABETES PREVENTION SEMINARS AND PROGRAMS, OUTPATIENT DIABETES EDUCATION AND A SUPPORT GROUP. MANY OF THE STRATEGIES TO INCREASE PHYSICAL ACTIVITY AND IMPROVE NUTRITION WILL ALSO IMPROVE THE QUALITY OF LIFE FOR DIABETIC PATIENTS.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 11: THE TWO SIGNIFICANT COMMUNITY HEALTH NEEDS PRIORITIZED BY SJML ARE OBESITY & BEHAVIORAL HEALTH. THE HOSPITAL'S IMPLEMENTATION STRATEGY OUTLINES THE FOLLOWING EFFORTS FOR BOTH SIGNIFICANT HEALTH NEEDS:OBESITY- SJML:- WORKS TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING RISING OBESITY RATES IN OUR COMMUNITY, AND- SUPPORTS EFFORTS SEEKING TO INCREASE ACCESS TO NUTRITIOUS FOODS THROUGH THE AVAILABILITY OF AFFORDABLE, LOCALLY SOURCED OPTIONS COUPLED WITH NUTRITION EDUCATION TO ENCOURAGE LONG-TERM BEHAVIOR CHANGE.BEHAVIORAL HEALTH - SJML:- CONTRIBUTES TOWARD IMPROVING ACCESS TO AND INTEGRATION OF BEHAVIORAL HEALTH SERVICES ACROSS THE LIFESPAN, SUBSTANCE USE DISORDER TREATMENT, AND SUPPORT FOR PATIENT COMPLIANCE,- ADDRESSES ACCESS TO CARE BARRIERS FOR THOSE MOST VULNERABLE IN THE COMMUNITY WE SERVE, INCLUDING THE DONATION OF FUNDS SUPPORTING THE DEVELOPMENT OF AN ENGAGEMENT CENTER TO SUPPORT THOSE EXPERIENCING MENTAL HEALTH AND SUBSTANCE USE DISORDER CRISES, AND- PROVIDES EDUCATION AND SUPPORT FOR PRIMARY CARE PROVIDERS TO ADDRESS BEHAVIORAL HEALTH NEEDS UTILIZING BEST PRACTICE FRAMEWORKS.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 11: AS A PART OF THE COLLABORATIVE NEEDS ASSESSMENT PROCESS WITH SJMAA AND UNIVERSITY OF MICHIGAN HEALTH SYSTEM, COMMUNITY HEALTH NEEDS PRIORITIZED ARE OBESITY, BEHAVIORAL HEALTH, AND PRECONCEPTUAL/PERINATAL HEALTH. OUR IMPLEMENTATION STRATEGY OUTLINES THE FOLLOWING EFFORTS FOR EACH SIGNIFICANT HEALTH NEED:OBESITY - SJMC WORKS TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING RISING OBESITY RATES IN OUR COMMUNITY. SJMC SUPPORTS THE COMMUNITY THROUGH:- EFFORTS SEEKING TO INCREASE ACCESS TO NUTRITIOUS FOODS THROUGH THE AVAILABILITY OF AFFORDABLE, LOCALLY SOURCED OPTIONS COUPLED WITH NUTRITION EDUCATION TO ENCOURAGE LONG-TERM BEHAVIOR CHANGE, - OPPORTUNITIES FOR PHYSICAL ACTIVITY THROUGH SUPPORTING POLICY AND ENVIRONMENTAL CHANGE BUILT AROUND ENVIRONMENT STRATEGIES, AND- ENGAGEMENT OF SOCIAL SERVICE ORGANIZATIONS PROVIDING SERVICES AROUND FOOD INSECURITY THROUGH A PUBLIC-PRIVATE FUNDING PARTNERSHIP THAT ENCOURAGES ALIGNMENT AND REDUCTION OF DUPLICATION ACROSS COMMUNITY-LEVEL OUTCOMES AROUND NUTRITION AND HUNGER RELIEF.BEHAVIORAL HEALTH - SJMC WORKS TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING BEHAVIORAL HEALTH IN OUR COMMUNITY BY:- CONTRIBUTING TOWARD IMPROVING ACCESS TO AND INTEGRATION OF BEHAVIORAL HEALTH SERVICES ACROSS THE LIFESPAN, SUBSTANCE USE DISORDER TREATMENT, AND SUPPORT FOR PATIENT COMPLIANCE,- ADDRESSING ACCESS TO CARE BARRIERS FOR THOSE MOST VULNERABLE IN THE COMMUNITY WE SERVE,- PROVIDING EDUCATION AND SUPPORT FOR PRIMARY CARE PROVIDERS TO ADDRESS BEHAVIORAL HEALTH NEEDS UTILIZING BEST PRACTICE FRAMEWORKS, AND- ENGAGING SOCIAL SERVICE ORGANIZATIONS PROVIDING SERVICES AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDER THROUGH A PUBLIC-PRIVATE FUNDING PARTNERSHIP THAT ENCOURAGES ALIGNMENT AND REDUCTION OF DUPLICATION ACROSS COMMUNITY-LEVEL OUTCOMES AROUND BEHAVIORAL HEALTH SERVICES.PRECONCEPTUAL/PERINATAL HEALTH - THIS HEALTH NEED IS NEWLY PRIORITIZED IN THE 2016 CHNA. STRATEGIES TO ADDRESS THIS COMMUNITY HEALTH NEED ARE IN DEVELOPMENT.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 13H: 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 13H: 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 13H: 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 13H: 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 13H: 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 13H: 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 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 20E: OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS; USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF PAY ACCOUNTS
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 20E: OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS; USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF PAY ACCOUNTS
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 20E: OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS; USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF PAY ACCOUNTS
ST. JOSEPH MERCY ANN ARBOR	PART V, SECTION B, LINE 22D: 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. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
MERCY HEALTH SAINT MARY'S	PART V, SECTION B, LINE 22D: 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. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. JOSEPH MERCY OAKLAND	PART V, SECTION B, LINE 22D: 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. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. MARY MERCY LIVONIA	PART V, SECTION B, LINE 22D: 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. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. JOSEPH MERCY LIVINGSTON	PART V, SECTION B, LINE 22D: 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. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. JOSEPH MERCY CHELSEA	PART V, SECTION B, LINE 22D: 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. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. JOSEPH MERCY PORT HURON	PART V, SECTION B, LINE 22D: 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. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
ST. JOSEPH MERCY ANN ARBOR - PART V, SECTION B, LINE 9	AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.
ST. JOSEPH MERCY CHELSEA - PART V, SECTION B, LINE 9	AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.

Schedule H (Form 990) 2015

Page 8

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?104
Name and address		Type of Facility (describe)
1	1 - (ANN ARBOR) MICHIGAN HEART & VASCULAR IN 5325 ELLIOTT DR YPSILANTI,MI48197	CARDIOVASCULAR CARE
2	2 - (AA) ST JOSEPH MERCY BRIGHTON 7575 GRAND RIVER RD BRIGHTON,MI48114	LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYS, ONCOLOGY, 24 HR EMER
3	3 - (AA) ST JOSEPH MERCY CANTON HEALTH CTR 1600 CANTON CENTER RD CANTON,MI48188	LAB, IMAGING, THERAPY, ONCOLOGY, AMBULATORY SURGERY, URGENT CARE
4	4 - (AA) REICHERT HEALTH CENTER 5333 MCAULEY DR YPSILANTI,MI48197	LAB, IMAGING, AMBULATORY SURG., EMPLOYED PHYSICIANS
5	5 - (AA) CHELSEA PROFESSIONAL OFFICE BLDG 14650 OLD US 12 CHELSEA,MI48118	PHARMACY, ONCOLOGY, EMPLOYED PHYSICIANS
6	6 - (AA) MICHIGAN ORTHOPEDIC CENTER 5315 ELLIOTT DR YPSILANTI,MI48197	ORTHOPEDIC CARE
7	7 - (AA) ST JOSEPH MERCY SALINE 400 W RUSSELL ST SALINE,MI48176	LAB, IMAGING, URGENT CARE
8	8 - (AA) ELLEN THOMPSON WOMEN'S CENTER 5320 ELLIOTT DR YPSILANTI,MI48197	WOMEN'S HEALTH
9	9 - (AA) CHELSEA HEALTH & WELLNESS CTR 20800 OLD US 12 CHELSEA,MI48118	REHAB
10	10 - (AA) MICHIGAN HEART BUILDING 1548 W MAUMEE ST ADRIAN,MI49221	EMPLOYED PHYSICIANS
11	11 - (AA) SLEEP DISORDERS CENTER 5305 ELLIOTT DR YPSILANTI,MI48197	SLEEP CLINIC
12	12 - (AA) HURON OAKS 5401 MCAULEY DR YPSILANTI,MI48197	BEHAVIORAL MEDICINE
13	13 - (AA) ST JOSEPH MERCY MAPLE HEALTH 501 N MAPLE RD ANN ARBOR,MI48103	URGENT CARE
14	14 - (AA) ST JOSEPH MERCY ARBOR HEALTH 990 W ANN ARBOR TRAIL PLYMOUTH,MI48170	LAB
15	15 - (AA) ARBOR PARK CENTRE 4972 CLARK RD YPSILANTI,MI48197	LAB
16	16 - (AA) LIVINGSTON OBGYN ASSOCIATES 524 BYRON RD HOWELL,MI48843	EMPLOYED PHYSICIANS
17	17 - (AA) MICHIGAN HEART MILAN 870 E ARKONA RD MILAN,MI48160	EMPLOYED PHYSICIANS, LAB
18	18 - (AA) SJMHS OUTPATIENT CLINIC 2310 E STADIUM BLVD ANN ARBOR,MI48104	REHAB
19	19 - (AA) CHERRY HILL LAB 49650 CHERRY HILL RD CANTON,MI48187	LAB
20	20 - (AA) MARIAN PROFESSIONAL BUILDING 14555 LEVAN RD LIVONIA,MI48154	RADIATION ONCOLOGY, REHAB, MRI, EMPLOYED PHYSICIANS
21	21 - (AA) GENOA MEDICAL CENTER 2305 GENOA BUSINESS PARK DR BRIGHTON,MI48114	LAB
22	22 - (AA) HAAB HEALTH BUILDING 111 N HURON ST YPSILANTI,MI48197	EMPLOYED PHYSICIANS
23	23 - (AA) MONUMENT PARK BUILDING 8031 MAIN ST DEXTER,MI48130	EMPLOYED PHYSICIANS
24	24 - (AA) ARBOR SCIO PROFESSIONAL BLDG 6360 JACKSON RD ANN ARBOR,MI48103	LAB
25	25 - (AA) ST JOS MERCY CHEMICAL DEPENDENT 2008 HOGBACK RD ANN ARBOR,MI48105	BEHAVIORAL MEDICINE
26	26 - (AA) PARKWAY MEDICAL CENTER 2345 S HURON PKWY ANN ARBOR,MI48104	LAB
27	27 - (AA) SALINE PROFESSIONAL OFFICE BLDG 420 W RUSSELL ST SALINE,MI48176	REHAB
28	28 - (AA) MICHIGAN HEART BUILDING 200 ARNET ST YPSILANTI,MI48198	EMPLOYED PHYSICIANS
29	29 - (AA) HURON PROFESSIONAL BUILDING 704 W HURON ST ANN ARBOR,MI48103	LAB
30	30 - (AA) SUMMERWOOD CENTER 10299 E GRAND RIVER BRIGHTON,MI48116	BEHAVIORAL MEDICINE
31	31 - (AA) DIAGNOSTIC SERVICES CENTER 202 E VAN RIPER RD FOWLERVILLE,MI48836	LAB, IMAGING
32	32 - (AA) FAMILY MEDICINE OF STOCKBRIDGE 4525 S M-52 STOCKBRIDGE,MI49285	EMPLOYED PHYSICIANS
33	33 - (AA) ST JOSEPH MERCY BEHAVIORAL SVCS 2200 CANTON CENTER RD CANTON,MI48188	BEHAVIORAL MEDICINE
34	34 - (AA) SALINE ADULT & PEDIATRIC MED 182 S INDUSTRIAL DR SALINE,MI48176	EMPLOYED PHYSICIANS
35	35 - (AA) CENTER FOR DIGESTIVE CARE 5300 ELLIOTT DR YPSILANTI,MI48197	DIGESTIVE CARE
36	36 - (AA) TOWSLEY HEALTH BUILDING 5361 MCAULEY DR YPSILANTI,MI48197	NURSING HOME, EMPLOYED PHYS.
37	37 - (AA) SAMARITAN CENTER 5555 CONNER DETROIT,MI48213	INDIGENT CARE
38	38 - (OTHER) FRANCES WARDE MEDICAL LAB 300 W TEXTILE RD ANN ARBOR,MI48104	LAB
39	39 - (GRAND RAPIDS) WEGE BUILDING 300 LAFAYETTE GRAND RAPIDS,MI49503	LAB, FAMILY PRACTICE, INTERNAL MEDICINE PRACTICE
40	40 - (GR) SAINT MARY'S SOUTHWEST 2373 64TH STREET SW BYRON CENTER,MI49315	AMBULATORY SURGICAL CTR, REHAB, LAB, IMAGING, FAMILY PRACTICE, CARDIO AND ER
41	41 - (GR) ADVANTAGE HEALTH BUILDING 1471 EAST BELTLINE GRAND RAPIDS,MI49525	LAB, IMAGING, REHAB, EMPLOYED PHYS., URGENT CARE, OB
42	42 - (GR) CLINICA SANTA MARIA 730 GRANDVILLE AVE SW GRAND RAPIDS,MI49503	INDIGENT PRIMARY CARE CENTER
43	43 - (GR) PINE REST 300 68TH STREET SE GRAND RAPIDS,MI49548	MENTAL HEALTH
44	44 - (GR) SPARTA FAMILY HEALTH CENTER 475 S STATE ST SPARTA,MI49345	FAMILY PRACTICE CENTER
45	45 - (GR) BROWNING CLAYTOR HEALTH CENTER 1246 MADISON SE GRAND RAPIDS,MI49507	FAMILY PRACTICE CENTER
46	46 - (GR) HEARTSIDE HEALTH CLINIC 359 S DIVISION GRAND RAPIDS,MI49503	INDIGENT PRIMARY CARE CENTER
47	47 - (GR) RIVERTOWN BUILDING 3380 44TH STREET SW GRANDVILLE,MI49418	LAB, IMAGING, REHAB, FAMILY PRACTICE
48	48 - (GR) STANDALE BUILDING 1175 WILSON AVE NW WALKER,MI49534	LAB, IMAGING, REHAB, FAMILY PRACTICE
49	49 - (GR) 310 LAFAYETTE BUILDING 310 LAFAYETTE SE GRAND RAPIDS,MI49503	IMMUNOLOGY, VASCULAR, INFECTIOUS DISEASE, AND PULMONOLOGY
50	50 - (GR) ADVANTAGE HEALTH BUILDING 10047 CROSS ROADS COURT CALEDONIA,MI49316	LAB, IMAGING, REHAB, FAMILY PRACTICE
51	51 - (GR) ADVENT REHAB 1375 W GREEN ST HASTINGS,MI49058	REHAB
52	52 - (GR) ADVENT REHAB 1915 GEORGETOWN CENTER DR JENISON,MI49428	REHAB
53	53 - (GR) CHERRY BUILDING 245 CHERRY ST GRAND RAPIDS,MI48503	PEDIATRIC CLINIC, FAMILY MEDICINE, OB, NEUROSCIENCES, AND SLEEP
54	54 - (GR) MERCY HEALTH PHYSICIAN PARTNERS 933 THREE MILE NW GRAND RAPIDS,MI49504	LAB, REHAB, FAMILY PRACTICE
55	55 - (GR) ADVANTAGE HEALTH BUILDING 7782 20TH AVENUE JENISON,MI49428	FAMILY PRACTICE CENTER
56	56 - (GR) SOUTHEAST ADVANTAGE HEALTH BLDG 2080 44TH ST SE KENTWOOD,MI49508	REHAB, LAB, FAMILY PRACTICE
57	57 - (GR) ADVANTAGE HEALTH BUILDING 6050 NORTHLAND DR NE ROCKFORD,MI49341	FAMILY PRACTICE CENTER, URGENT CARE, LAB, IMAGING, WOMEN'S HEALTH, REHAB
58	58 - (GR) WYOMING FAMILY PRACTICE 950 36TH STREET SW WOMING,MI49509	FAMILY PRACTICE CENTER
59	59 - (GR) ADVENT REHAB 7575 EAST FULTON ADA,MI49355	REHAB
60	60 - (GR) ADVENT REHAB 1000 EAST PARIS ST 222 GRAND RAPIDS,MI49546	REHAB
61	61 - (GR) ADVENT REHAB 150 JEFFERSON SE ST 100 GRAND RAPIDS,MI49503	REHAB
62	62 - (GR) MERCY HEALTH PHYSICIAN PARTNERS 771 KENNMORE SE GRAND RAPIDS,MI49547	FAMILY PRACTICE
63	63 - (GR) MERCY HEALTH PHYSICIAN PARTNERS 2093 HEALTH DRIVE SUITE 300 WYOMING,MI49519	VASCULAR
64	64 - (GR) MERCY HEALTH PHYSICIAN PARTNERS 2144 EAST PARIS SE GRAND RAPIDS,MI49546	INTERNAL MEDICINE
65	65 - (GR) MERCY HEALTH PHYSICIAN PARTNERS 1000 EAST PARIS STE 222 GRAND RAPIDS,MI49546	CARDIOVASCULAR
66	66 - (GR) MERCY HEALTH PHYSICIAN PARTNERS 260 JEFFERSON SE STE 115 GRAND RAPIDS,MI49503	CONCIERGE MEDICINE
67	67 - (GR) MERCY HEALTH PHYSICIAN PARTNERS 3290 NORTH WELLNESS DRIVE HOLLAND,MI49424	FAMILY PRACTICE
68	68 - (GR) MERCY HEALTH DENTAL CLINIC 781 36TH STREET SE GRAND RAPIDS,MI49548	DENTAL CLINIC
69	69 - (OAKLAND)SJMO MEDICAL OFFICE BUIDING 44555 WOODWARD AVE PONTIAC,MI48341	COLORECTAL SURGERY, NEUROLOGY, LAB, NEUROSURGERY, RADIOLOGY, OTHER SURGERY
70	70 - (OA) BALD MOUNTAIN REGIONAL MEDICAL 1375 S LAPEER RD LAKE ORION,MI48360	URGENT CARE, LAB, RADIOLOGY, INTERNAL MED/PEDS
71	71 - (OA) WOODWARD PROFESSIONAL BUILDING 44428 WOODWARD AVE PONTIAC,MI48341	REHAB, OB/GYN CLINIC, PARTIAL PSYCH HOSPITAL
72	72 - (OA) MERCY MEDICAL GROUP-OAKLAND PHYSICI 5210 HIGHLAND RD WATERFORD,MI48327	INTERNAL MEDICINE, URGENT CARE, LAB, RADIOLOGY
73	73 - (OA) INDEPENDENCE POINTE 7210 ORTONVILLE RD CLARKSTON,MI48346	LAB
74	74 - (OA) KAROTECH BUILDING 2630 UNION LAKE RD COMMERCE TOWNSHIP,MI48382	LAB, PEDIATRICS
75	75 - (OA) SLEEP DISORDERS CLINIC 3100 CROSS CREEK PKWY AUBURN HILLS,MI48341	SLEEP CLINIC
76	76 - (OA) WHITE LAKE 320 TOWN CENTER BLVD WHITE LAKE TWP,MI48386	URGENT CARE, LAB, RADIOLOGY, REHAB
77	77 - (OA) SHORES III PROFESSIONAL BLDG 2300 HAGGERTY RD WEST BLOOMFIELD,MI48323	RADIOLOGY
78	78 - (OA) WATERFORD LAB 5800 HIGHLAND RD WATERFORD,MI48327	LAB
79	79 - (OA) MERCY MEDICAL GROUP-ROCHESTER 1854 W AUBURN RD ROCHESTER HILLS,MI48309	INTERNAL MEDICINE/PEDS, OB/GYN, ENDOCRINOLOGY
80	80 - (OA) WATERFORD SURGICAL CENTER 5220 HIGHLAND RD WATERFORD,MI48327	SURGICAL CENTER
81	81 - (OA) CLARKSTON 6770 DIXIE HWY CLARKSTON,MI48346	OB/GYN, FAMILY MED
82	82 - (OA) BLOOMFIELD LAB 42557 WOODWARD AVE BLOOMFIELD HILLS,MI48304	LAB
83	83 - (OA) LEXUS PROFESSIONAL BUILDING 44200 WOODWARD AVE PONTIAC,MI48341	LAB, OB/GYN
84	84 - (OA) MERCY MEDICAL GROUP-BLOOMFIELD HILL 1750 TELEGRAPH RD BLOOMFIELD HILLS,MI48302	OB/GYN
85	85 - (OA) AFFINITY PEDIATRICS & INTERNAL MEDI 5820 HIGHLAND ROAD WATERFORD,MI48328	INTERNAL MEDICINE/PEDIATRICS
86	86 - (OA) AUBURN HILLS DIAGNOSTICS 719 S OPDYKE ROAD AUBURN HILLS,MI48326	CARDIOLOGY, RADIOLOGY, LAB
87	87 - (OA) DAVISBURG FAMILY MEDICINE 10740 DIXIE HIGHWAY DAVISBURG,MI48350	FAMILY MEDICINE, LAB
88	88 - (OA) BLOOMFIELD HILLS IM 2520 S TELEGRAPH RD BLOOMFIELD HILLS,MI48302	INTERNAL MEDICINE
89	89 - (OA) MERCY PLACE 55 CLINTON ST PONTIAC,MI48342	OUTPATIENT CLINIC
90	90 - (OA) NORTH HILLS MEDICAL BUILDING 44038 WOODWARD AVE BLOOMFIELD HILLS,MI48302	TRAUMA, ORTHOPEDICS
91	91 - (OA) OAKLAND MEDICAL GROUP 3950 S ROCHESTER ROAD ROCHESTER HILLS,MI48307	OB/GYN
92	92 - (OA) OAKLAND MEDICAL GROUP 27301 DEQUINDRE ROAD MADISON HEIGHTS,MI48071	OB/GYN
93	93 - (OA) NEUROSURGERY CLARKSTON 7650 DIXIE HIGHWAY CLARKSTON,MI48346	NEUROSURGERY
94	94 - (OA) NEUROSURGERY BLOOMFIELD HILLS 799 DENISON CT BLOOMFIELD HILLS,MI48302	NEUROSURGERY
95	95 - (PORT HURON) MERCY HEALTH CENTER 4190 24TH AVE FORT GRATIOT,MI48059	LAB, IMAGING, URGENT CARE
96	96 - (PH) FITRAC - MARYSVILLE 782 HURON BLVD MARYSVILLE,MI48040	PHYSICAL THERAPY
97	97 - (PH) DR MOREY'S MERCY SURGERY CARE 2609 ELECTRIC AVE STE B PORT HURON,MI48060	EMPLOYED SURGEON
98	98 - (PH) PEOPLES' CLINIC FOR BETTER HEALTH 3110 GOULDEN ST PORT HURON,MI48060	OUTPATIENT CLINIC
99	99 - (PH) GEORGE CARLEY ASSOCIATES 1943 HOLLAND PORT HURON,MI48060	LAB
100	100 - (PH) DR JERRY 600 FORT STREET PORT HURON,MI48060	LAB
101	101 - (PH) DR JARAD 2540 16TH STREET PORT HURON,MI48060	LAB
102	102 - (PH) NORTH BUILDING 2306 ELECTRIC AVE PORT HURON,MI48060	LAB
103	103 - (PH) DR LAL 2605 ELECTRIC AVE PORT HURON,MI48060	LAB
104	104 - (PH) DR KHALIL 1201 STONE ST SUITE 3 PORT HURON,MI48060	DRAW STATION

Schedule H (Form 990) 2015

Page 9

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
PART I, LINE 3C:	IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A:	TRINITY HEALTH - MICHIGAN (TH-MI) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG. IN ADDITION, THE HOSPITAL DIVISIONS OF TH-MI INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES TH-MI'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE.
PART I, LINE 7:	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITALS' COST ACCOUNTING SYSTEMS.
PART I, LN 7 COL(F):	THE FOLLOWING NUMBER, $54,044,933, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITALS IN TH-MI SERVE ON COMMUNITY TASK FORCES AND COALITIONS TO HELP ADDRESS THE NEEDS OF THE SERVICE AREA. THE HOSPITALS PARTICIPATE IN DIVERSITY COUNCILS, MINISTRY ASSOCIATIONS, HEALTH COALITIONS, AND HEALTH IMPROVEMENT COUNCILS.ST. MARY MERCY LIVONIATO ASSIST IN ADDRESSING THE EDUCATIONAL DISPARITIES IN DETROIT, SMML HAS BEEN ONE OF THE CORPORATE SPONSORS OF THE DETROIT CHRISTO REY SCHOOL SINCE IT OPENED. CHRISTO REY IS A COLLEGE PREP CATHOLIC HIGH SCHOOL, ONE OF OVER 30 AROUND THE COUNTRY, FOR LOW-INCOME KIDS WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD PRIVATE SCHOOL. THE VAST MAJORITY OF STUDENTS ARE EITHER HISPANIC OR BLACK, AND MOST OF THEM WILL BE THE FIRST IN THEIR FAMILY TO GO TO COLLEGE. THIS UNIQUE EDUCATIONAL MODEL PREPARES STUDENTS FOR COLLEGE AND FOR WORK. ONE DAY A WEEK, BEGINNING FRESHMAN YEAR, THE STUDENTS GO TO WORK FOR A PROFESSIONAL COMPANY. THE COMPANY, IN TURN, AGREES TO PAY 60% OF THE STUDENT'S SCHOOL TUITION. THERE HAVE BEEN THREE GRADUATING CLASSES SINCE CRISTO REY OPENED IN DETROIT. STUDENTS INTERESTED IN HEALTH CARE ALSO TRADE THEIR SCHOOL UNIFORMS FOR HOSPITAL SCRUBS AS THEY TRAVEL ONCE PER WEEK TO SMML FOR THEIR WORK-EXPERIENCE IN THE MIRACLE OF LIFE BIRTHING CENTER. BESIDES THE WORK EXPERIENCE, THEY ARE MENTORED AND GUIDED BY THE SIXTY EMPLOYEES WORKING IN THIS DEPARTMENT. IN ADDITION TO THE BEHAVIORAL HEALTH SERVICES PROVIDED BY SMML, THE HOSPITAL IS INVOLVED IN THE LIVONIA SAVE OUR YOUTH (LSOY) WHICH IS A COALITION WITH A MISSION TO EDUCATE AND EMPOWER THE COMMUNITY REGARDING THE HEALTH AND SAFETY OF OUR YOUNG PEOPLE WITH A FOCUS ON ALCOHOL AND OTHER DRUGS. THE COALITION INCLUDES PARENTS, TEENS, EDUCATORS, HEALTH CARE WORKERS, LAW ENFORCEMENT, THE FAITH COMMUNITY, AND SUBSTANCE ABUSE PROFESSIONALS. THE GROUP PARTNERS BROADLY WITH COMMUNITY MEMBERS AND GROUPS TO PREVENT SUBSTANCE ABUSE AND BRING AWARENESS OF DRUG ISSUES TO THE COMMUNITY AND PROVIDES RESOURCE GUIDES, EDUCATION, AND AN ANNUAL RUN 2 SAVE OUR YOUTH WHICH IS A FAMILY EXPO EVENT TO RAISE AWARENESS AND FUNDS. SMML SUPPORTED THIS EVENT AND THE COALITION ACTIVITIES.
PART III, LINE 2:	METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.
PART III, LINE 3:	TH-MI USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, TH-MI IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, TH-MI IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4:	TH-MI IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 15 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION.
PART III, LINE 8:	TH-MI DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B:	THE HOSPITALS' COLLECTION POLICIES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN EACH ORGANIZATION'S COLLECTION POLICY. THE HOSPITALS HAVE IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2:	NEEDS ASSESSMENT - THE HOSPITALS IN TH-MI ASSESS THE HEALTH STATUS OF THEIR COMMUNITIES, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THEIR OVERALL COMMUNITIES. IN THE ASSESSMENT OF THEIR COMMUNITIES, THE HOSPITALS MAY USE PATIENT DATA, PUBLIC HEALTH DATA, COMMITTEE MEETINGS WITH MEDICAL STAFF (PHYSICIANS) AND DEPARTMENT STAFF, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - TH-MI IS COMMITTED TO:-PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES-CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES-ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE -BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, TH-MI HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: -PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS-MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS-OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS-IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER-IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSTH-MI COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UNTIL ONE YEAR AFTER THE FIRST BILLING STATEMENT TO THE PATIENT. TH-MI OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH AND SEVERAL OTHER LANGUAGES, REFLECTING OTHER LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS. TH-MI HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. TH-MI MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER.
PART VI, LINE 4:	COMMUNITY INFORMATION - ST. JOSEPH MERCY HEALTH SYSTEM (ANN ARBOR):SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) IS A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE AND SOUTHWESTERN OAKLAND COUNTIES. THE SJMHS HEALTH CARE NETWORK INCLUDES FIVE HOSPITALS: ST. JOSEPH MERCY ANN ARBOR, ST. MARY MERCY HOSPITAL IN LIVONIA, ST. JOSEPH MERCY CHELSEA, ST. JOSEPH MERCY OAKLAND IN PONTIAC AND SAINT JOSEPH MERCY LIVINGSTON IN HOWELL. COMBINED, THESE HOSPITALS ARE LICENSED FOR 1,726 INPATIENT BEDS. THE SJMAA SERVICE AREA IS DEFINED AS THE POPULATION OF WASHTENAW COUNTY. WASHTENAW COUNTY IS ESTIMATED TO HAVE A POPULATION OF 358,081 AS OF DECEMBER 2014 (SEMCOG). THE POPULATION UNDER AGE 18 HAS CONSISTENTLY DECLINED OVER THE PAST FOUR YEARS WHILE THE OVER-65 POPULATION HAS GROWN. IN 2014, 12% OF THE POPULATION WAS 65 AND OLDER. WASHTENAW COUNTY'S POPULATION IS RACIALLY DIVERSE WITH 76.2% WHITE, 13.9% BLACK, 9.4% ASIAN, AND 0.6% NATIVE AMERICAN IN JULY 2014. INCOME AND POVERTY ARE SIGNIFICANT INDICATORS OF HEALTH AND LIFE EXPECTANCY. EDUCATION LEVEL IS ALSO SIGNIFICANTLY CONNECTED WITH INCOME LEVEL AND POVERTY. IN WASHTENAW COUNTY, THE MEDIAN HOUSEHOLD INCOME IS $60,805. THIS IS SIGNIFICANTLY HIGHER THAN THE MEDIAN INCOME OF MICHIGAN IN GENERAL, WHICH IS $49,087. IT IS ALSO HIGHER THAN THE U.S. MEDIAN INCOME OF $52,482. HOWEVER, OBSERVING THE PERCENTAGE OF THOSE LIVING IN POVERTY BASED ON GEOGRAPHICAL LOCATION DEMONSTRATES THAT THERE ARE SPECIFIC AREAS OF WASHTENAW COUNTY THAT ARE EXPERIENCING HIGHER RATES OF POVERTY COMPARED TO THE REST OF THE COUNTY AND THE STATE.MERCY HEALTH SAINT MARY'S GRAND RAPIDS:KENT COUNTY IS CONSIDERED THE PRIMARY MARKET AREA OF MHSM. KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULOUS COUNTY IN THE STATE. THE COUNTY IS COMPOSED OF 21 TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. THE HEALTHCARE RESOURCES IN KENT COUNTY INCLUDE MHSM, METROPOLITAN HEALTH, SPECTRUM HEALTH-BUTTERWORTH CAMPUS, SPECTRUM HEALTH-BLODGETT CAMPUS, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES SIX PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THERE ARE AN ESTIMATED 636,369 PEOPLE RESIDING IN KENT COUNTY AS OF JULY 1, 2015. THE MEDIAN HOUSEHOLD INCOME FOR KENT COUNTY IS $52,716. TWENTY-FIVE PERCENT (25%) OF THE POPULATION IS BELOW THE AGE OF 18 AND 13% IS 65 YEARS OF AGE AND OLDER. EIGHTY-THREE PERCENT (83%) OF THE POPULATION IS WHITE, 10.5% BLACK, AND 10.3% LATINO. EIGHTY-NINE PERCENT (89%) ARE HIGH SCHOOL GRADUATES AND 33% HAVE A BACHELOR'S DEGREE. THE CURRENT UNEMPLOYMENT RATE IS 3.3%.ST. JOSEPH MERCY OAKLAND (PONTIAC):SJMO IS A PART OF SJMHS, A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE AND SOUTHWESTERN OAKLAND COUNTIES. SJMO IS LICENSED FOR 443 INPATIENT BEDS. THE SJMO SERVICE AREA IS DEFINED AS THE ENTIRE POPULATION OF OAKLAND COUNTY. OAKLAND COUNTY IS ESTIMATED TO HAVE A POPULATION OF 1,231,640 AS OF 2013 (MICHIGAN DEPARTMENT OF COMMUNITY HEALTH). THE POPULATION OF OAKLAND COUNTY IS GROWING AT A STEADY RATE. THIS ESTIMATE INDICATES POPULATION GROWTH OF NEARLY 2.4% BETWEEN 2010 AND 2013 AND 4.4% BETWEEN 2000 AND 2013.THE POPULATION OF OAKLAND COUNTY IS GRADUALLY AGING. THE POPULATION UNDER AGE 18 HAS CONSISTENTLY DECLINED OVER THE PAST FOUR YEARS WHILE THE OVER-65 POPULATION HAS GROWN AS A PERCENTAGE OF THE WHOLE. WHILE OAKLAND COUNTY'S POPULATION OVERALL IS RACIALLY DIVERSE WITH A 77.9% WHITE, 15.0% BLACK, 6.6% ASIAN, AND 0.4% NATIVE AMERICAN IN 2013, THE RACIAL MAKEUP OF THE CITY OF PONTIAC IS 34% WHITE, 51% BLACK AND 15% LATINO. OAKLAND COUNTY'S POVERTY RATE HAS CONSISTENTLY BEEN LOWER THAN THAT OF ALL MICHIGAN; HOWEVER, THE COMMUNITY OF PONTIAC, IN WHICH THE HOSPITAL RESIDES, HAS ONE OF THE HIGHEST POVERTY LEVELS IN THE STATE WITH APPROXIMATELY 38% OF PONTIAC RESIDENTS AND OVER 50% OF PONTIAC CHILDREN LIVING IN POVERTY. IN 2013, APPROXIMATELY 7.3% OF ALL OAKLAND COUNTY HOUSEHOLDS LIVED IN POVERTY. THIS PERCENTAGE HAS DECLINED SINCE 2011 BUT IS NOT AS LOW AS IT WAS IN 2010.OAKLAND COUNTY HAS A HIGH PROPORTION OF PEOPLE WITH A 4-YEAR DEGREE OR HIGHER. HOWEVER, IT ALSO HAS GEOGRAPHIC POCKETS WHERE MORE THAN 20% OF THE POPULATION HAS LESS THAN A HIGH SCHOOL DIPLOMA.ST. MARY MERCY LIVONIA:SMML'S SERVICE AREA INCLUDES CANTON, LIVONIA, NORTHVILLE CITY AND TOWNSHIP, PLYMOUTH CITY AND TOWNSHIP, REDFORD, FARMINGTON CITY AND FARMINGTON HILLS, AND WESTLAND WITH ABOUT 500,000 PEOPLE IN THESE COMMUNITIES. THE MEDIAN HOUSEHOLD INCOME RANGES FROM $44,000 IN WESTLAND TO $119,000 IN NORTHVILLE. THE HIGHEST POVERTY LEVEL CAN BE FOUND IN WESTLAND AT 15.7%, FOLLOWED BY REDFORD AT 13.8%. UNEMPLOYMENT IS THE HIGHEST IN REDFORD AT 8% AND THE LOWEST AT 2.4% IN FARMINGTON HILLS. CANTON HAS A SIGNIFICANT NUMBER OF YOUTH (26%) AND LIVONIA HAS THE HIGHEST NUMBER OF PEOPLE 65 OR OLDER (20%). THE HOSPITAL'S COMMUNITY IS PREDOMINANTLY CAUCASIAN WITH SOME AFRICAN AMERICANS, HISPANICS AND ASIANS. ST. JOSEPH MERCY CHELSEA:THE SJMC SERVICE AREA IS DEFINED AS THE GEOGRAPHIC AREA ENCOMPASSING THE ZIP CODES OF CHELSEA, DEXTER, GRASS LAKE, GREGORY, MANCHESTER, MUNITH AND STOCKBRIDGE, MICHIGAN. THIS INCLUDES SECTIONS OF FOUR COUNTIES (WESTERN WASHTENAW, SOUTHEASTERN INGHAM, SOUTHWESTERN LIVINGSTON AND EASTERN JACKSON) AND ALL OR PART OF THE FOLLOWING CITIES, VILLAGES, AND TOWNSHIPS: BRIDGEWATER, CHELSEA, DEXTER, DEXTER TOWNSHIP, FREEDOM, GRASS LAKE, HENRIETTA, LIMA, LYNDON, MANCHESTER, SCIO, SHARON, STOCKBRIDGE, SYLVAN, UNADILLA, WATERLOO, WEBSTER, VILLAGE OF GRASS LAKE, VILLAGE OF MANCHESTER, AND VILLAGE OF STOCKBRIDGE. ACCORDING TO THE HOSPITAL'S PLANNING DEPARTMENT, THE SJMC SERVICE AREA WAS DETERMINED BY THE GEOGRAPHIC PROXIMITY OF THESE COMMUNITIES TO THE HOSPITAL IN CHELSEA, MI. THE TOTAL POPULATION OF THE SIX ZIP CODES INCLUDED IN THE SJMC SERVICE AREA IS 56,023 ACCORDING TO THE 2010 CENSUS. THE AVERAGE RACE DISTRIBUTION FOR THE SERVICE AREA IS 95% CAUCASIAN, 2.1% HISPANIC, AND LESS THAN ONE PERCENT EACH OF OTHER RACES. THE AVERAGE AGE FOR THE SERVICE AREA IS 42.5.BECAUSE GREGORY AND MUNITH DO NOT HAVE THEIR OWN SCHOOL DISTRICTS (YOUTH THERE ATTEND SCHOOL IN A NEIGHBORING COMMUNITY), THE SJMC SERVICE AREA IS COMMONLY REFERRED TO AS THE FIVE COMMUNITIES OF CHELSEA, DEXTER, GRASS LAKE, MANCHESTER AND STOCKBRIDGE. WE USE THE DEMOGRAPHIC DATA OUTLINED ABOVE, BUT OTHERWISE REFER TO THESE FIVE TOWNS AS THE SJMC SERVICE AREA. ST. JOSEPH MERCY LIVINGSTON:THE SJML SERVICE AREA FOR PURPOSES OF THE NEEDS ASSESSMENT IS DEFINED AS THE POPULATION OF LIVINGSTON COUNTY. LIVINGSTON COUNTY IS ESTIMATED TO HAVE A POPULATION OF 186,234 AS OF DECEMBER 2014 (SEMCOG). THE POPULATION OF LIVINGSTON COUNTY IS GROWING; IT WAS SE MICHIGAN'S FASTEST GROWING COUNTY BY PERCENTAGE IN THE FIRST DECADE OF 2000 AT NEARLY 15.3%. HOWEVER, THE POPULATION OF LIVINGSTON COUNTY IS AGING. THE PERCENT OF AND ACTUAL NUMBER OF PEOPLE UNDER AGE 18 HAS CONSISTENTLY DECLINED OVER THE PAST FOUR YEARS WHILE THE OVER-65 POPULATION HAS GROWN. LIVINGSTON COUNTY'S POPULATION IS RACIALLY HOMOGENOUS WITH NEARLY 98% OF ITS RESIDENTS WHITE. THIS COMPARES WITH MICHIGAN'S POPULATION COMPOSITION WHICH IS ABOUT 79% WHITE AND 14.2% BLACK.A JANUARY 2015 REPORT ON 247WALLST.COM FOUND LIVINGSTON COUNTY HAS THE HIGHEST MEDIAN INCOME OF ALL MICHIGAN COUNTIES, AT $72,359 PER HOUSEHOLD BASED ON THE MOST RECENT AMERICAN COMMUNITY SURVEY DATA. APPROXIMATELY 5.9% OF LIVINGSTON INDIVIDUALS LIVED IN POVERTY IN 2013; LIVINGSTON HAS THE LOWEST POVERTY RATE OF ALL MICHIGAN COUNTIES.LIVINGSTON COUNTY HAS A HIGH PROPORTION OF PEOPLE WITH A 4-YEAR DEGREE OR HIGHER. HOWEVER, LIVINGSTON COUNTY DOES HAVE GEOGRAPHIC POCKETS IN WHICH 11-16% OF THE POPULATION HAVE LESS THAN A HIGH SCHOOL DIPLOMA.ST. JOSEPH MERCY PORT HURON:SJMPH IS LOCATED IN ST. CLAIR COUNTY IN SOUTHEASTERN MICHIGAN. SHARING A BORDER WITH CANADA, THE COUNTY IS HOME TO THE BLUE WATER BRIDGE. DUE TO ITS PROXIMITY TO CANADA AND THE HIGH CONCENTRATION OF MANUFACTURING ON BOTH SIDES OF THE BRIDGE, ST. CLAIR COUNTY HAS BEEN IDENTIFIED BY THE FEDERAL GOVERNMENT AS A HIGH-RISK AREA FOR BOTH NATURAL AND MANMADE DISASTERS.BASED ON 2010 U.S. CENSUS BUREAU DATA, ST. CLAIR COUNTY HAS ABOUT 163,000 RESIDENTS AND IS EXPECTED TO SLOWLY DECLINE. OF THAT POPULATION, 94.5% ARE CAUCASIAN, 2.6% BLACK OR AFRICAN AMERICAN AND 2.9% HISPANIC OR LATINO. IN 2011, 15% OF AREA RESIDENTS WERE SENIORS AGE 65 AND OLDER, WHICH IS THE ONLY DEMOGRAPHIC EXPECTED TO GROW IN THE NEXT DECADE. THE COUNTY IS 721 SQUARE MILES, ENCOMPASSING 33 COMMUNITIES.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: TH-MI HOSPITALS COLLABORATE WITH OTHERS IN THE COMMUNITY TO ACHIEVE IMPROVEMENTS IN HEALTH AND ACCESS TO HEALTHCARE.SAINT JOSEPH MERCY HEALTH SYSTEM (ANN ARBOR AND CHELSEA):THE WASHTENAW HEALTH PLAN (WHP) REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, THE UNIVERSITY OF MICHIGAN AND SJMHS TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. SJMHS SUPPORTS THIS PROGRAM BY PROVIDING STAFF SUPPORT TO HELP PATIENTS GAIN ACCESS TO A MEDICAL HOME. THE HOSPITALS ALSO PROVIDE THIS POPULATION WITH FREE OR REDUCED-FEE CLINICAL SERVICES.SJMAA WAS THE LEAD AGENCY IN THE ORIGINATION OF THE WASHTENAW HOUSING ALLIANCE (WHA), A COALITION OF NINE SOCIAL SERVICE AGENCIES DEALING WITH HOUSING OF VARIOUS TYPES, WHOSE MISSION IS TO END HOMELESSNESS IN WASHTENAW COUNTY. IN ADDITION, SJMHS AND ITS BOARD MEMBERS WERE KEY IN BUILDING THE DELONIS CENTER IN DOWNTOWN ANN ARBOR. THIS CENTER PROVIDES NEEDED ACCOMMODATIONS FOR THE HOMELESS, AS WELL AS SOCIAL AND HEALTH SUPPORT SERVICES. IN 2015, SJMAA BECAME A PART OF THE WASHTENAW COUNTY COORDINATED FUNDERS, A PUBLIC-PRIVATE COLLABORATIVE FUNDING PARTNERSHIP WORKING TO FUND SOCIAL SERVICES AGENCIES ACROSS COMMUNITY-LEVEL OUTCOMES IN THE AGING, SAFETY NET HEALTH, CRADLE TO CAREER, NUTRITION, AND HOUSING AND HOMELESSNESS SECTOR. SJMAA ALSO SUPPORTS AVALON HOUSING'S FUSE PROGRAM, WHICH PROVIDES CARE AND RESOURCES TO HOMELESS INDIVIDUALS EXPERIENCING MENTAL HEALTH, SUBSTANCE USE DISORDER, AND CHRONIC ILLNESSES, BY SECURING HOUSING AND NECESSARY SOCIAL SERVICE SUPPORTS THROUGH A PERMANENT SUPPORTIVE HOUSING MODEL.SJMHS OPERATES TWO CLINICS THAT SUPPLY FREE OR REDUCED-FEE HEALTH CARE SERVICES TO AT-RISK POPULATIONS. THE NEIGHBORHOOD HEALTH CLINIC IS LOCATED IN DOWNTOWN YPSILANTI, WHILE THE ACADEMIC OB/GYN CLINIC IS LOCATED ON THE ANN ARBOR HOSPITAL CAMPUS.IN FY16, SJMAA BECAME A PARTNER IN THE COLLABORATIVE FUNDING MODEL, WASHTENAW COORDINATED FUNDING. THE MODEL CONSISTS OF SEVEN PARTNERS MEETING THE NEEDS OF OUR COMMUNITY'S MOST VULNERABLE IN FOUR PRIORITY AREAS THROUGH THREE FUNDING COMPONENTS INTENDED TO: SUPPORT HUMAN SERVICES PROGRAMMING; BUILD NONPROFIT CAPACITY; AND FOSTER COMMUNITY COLLABORATION AND SYSTEMS-LEVEL CHANGE. THE THREE DISTINCT COMPONENTS WITHIN THE MODEL (SECTOR LEADERS (FORMERLY PLANNING & COORDINATING ENTITIES), PROGRAM OPERATIONS FUNDING & CAPACITY BUILDING GRANTS) ARE DESIGNED TO PREVENT GAPS AND AVOID REDUNDANCIES IN SERVICES, WHILE STREAMLINING APPLICATION AND REPORTING PROCEDURES FOR GRANTEES. SJMAA IS CONTRIBUTING FUNDING TO THE MODEL AND DEDICATED STAFF TIME AND OTHER RESOURCES DURING FY16. ALL FUNDING DISTRIBUTED THROUGH THIS MODEL IS ALIGNED WITH SJMAA'S PRIORITY HEALTH AREAS OF BEHAVIORAL HEALTH AND OBESITY.MERCY HEALTH SAINT MARY'S GRAND RAPIDS:MHSM IMPLEMENTS AND PARTICIPATES IN DOZENS OF PROGRAMS EACH YEAR, OFTEN PARTNERING WITH OTHER ORGANIZATIONS IN THE COMMUNITY. MHSM IS A ONE-THIRD PARTNER WITH THE MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE AND MARY FREE BED REHABILITATION HOSPITAL, IN THE COMMUNITY'S ONLY CERTIFIED ALS (AMYOTROPHIC LATERAL SCLEROSIS) TREATMENT CENTER FOR LOU GEHRIG'S DISEASE. THE WEGE INSTITUTE FOR HEALTH AND LEARNING IS HOME TO THE WEGE RESIDENCY PROGRAM, THROUGH WHICH PARTICIPANTS WORK WITH THE UNINSURED, REFUGEE POPULATION AND THOSE EXPERIENCING HOMELESSNESS.IN APRIL 2016, MHSM OPENED A CONCIERGE MEDICINE DEPARTMENT WHICH PROVIDES 24/7 ACCESS TO A PRIMARY CARE PHYSICIAN. TO ALIGN WITH MHSM'S MISSION STATEMENT TO PROVIDE CARE FOR THE POOR AND UNDERSERVED, 10% OF THE REVENUE FROM THE CONCIERGE MEDICINE DEPARTMENT WILL BE REALLOCATED TO FUND PROGRAMS THAT SUPPORT THE POOR AND UNDERSERVED MEMBERS OF THE COMMUNITY. IT IS ESTIMATED THIS AMOUNT WILL RANGE FROM $75,000-$125,000 ANNUALLY.MHSM IS A PARTNER WITH KENT COUNTY HEALTH DEPARTMENT SUBSTANCE USE DISORDER COMMUNITY HEALTH IMPROVEMENT PLAN WORK GROUP. IN FY16, THE WORK GROUP ADDED TOBACCO 21, A NATIONAL INITIATIVE THAT ADVOCATES INCREASING THE LEGAL AGE TO PURCHASE TOBACCO FROM 18 TO 21, TO THE STRATEGIC PLAN, WITH THE GOAL TO REDUCE REPORTED TOBACCO USE WITHIN THE PAST 30 DAYS AMONG HIGH SCHOOL AGED YOUTH FROM 12% TO 11% BY FY18. ST. JOSEPH MERCY OAKLAND (PONTIAC):SJMO WORKED IN PARTNERSHIP WITH THE OAKLAND SCHOOLS MICHIGAN WORKS JOBLINKS PROGRAM (A PROGRAM IN WHICH PARTICIPATION IS BASED ON FINANCIAL NEED) TO DEVELOP OUR HEALTH CARE CO-OP PROGRAM FOR PONTIAC AREA HIGH SCHOOL STUDENTS. THE STUDENTS WORKED APPROXIMATELY 15 HOURS/WEEK AFTER SCHOOL DURING THE SCHOOL YEAR AND 40 HOURS/WEEK DURING THEIR SUMMER BREAK. STUDENTS WERE PAID FOR THEIR HOURS WORKED BY THE MICHIGAN WORKS PROGRAM. THE PROGRAM PROVIDED OPPORTUNITIES FOR PERSONAL AND PROFESSIONAL DEVELOPMENT FOR STUDENTS AS WELL AS FINANCIAL STABILITY FOR THEIR FAMILIES. THE HOSPITAL ALSO CONTINUES TO STRENGTHEN OUR SENIOR FIT PROGRAM, EXPANDING TO SERVE MORE THAN 500 SENIORS IN NINE LOCATIONS ACROSS THE COUNTY, PROVIDING BASIC PRE AND POST HEALTH SCREENING, AND A TWICE WEEKLY EXERCISE PROGRAM FOR SENIORS. THIS PROGRAM SUPPORTS BOTH THEIR PHYSICAL AND EMOTIONAL HEALTH. THROUGH THE MERCY SUPPORT PROGRAM, 5,662 LOW-INCOME AND AT-RISK PERSONS WERE SERVED, WHILE AN ADDITIONAL 2,925 WERE SERVED THROUGH THE INDIGENT PROCUREMENTS AND MERCY SUPPORT PRESCRIPTION PROGRAMS. AS A KEY PARTNER WITH THE OAKLAND COUNTY HEALTH DEPARTMENT, OAKLAND UNIVERSITY, AND PONTIAC ELECTED OFFICIALS, SJMO IS PART OF THE FIVE MEMBER "INVEST HEALTH" GRANT TEAM, FUNDED THROUGH THE REINVESTMENT FUND AND ROBERT WOOD JOHNSON FOUNDATION TO ADDRESS SOCIAL DETERMINATES OF HEALTH IN 50 MID-SIZED CITIES ACROSS AMERICA. STILL IN ITS FIRST YEAR, THIS TEAM IS FOCUSED ON BUILDING COMMUNITY COLLABORATIONS AND HELPING TO LEVERAGE RESOURCES TO IDENTIFY AND ADDRESS BARRIERS TO THE HEALTH OF PONTIAC RESIDENTS.ST. MARY MERCY LIVONIA:RESPONDING TO THE COMMUNITY NEED FOR MENTAL HEALTH AND SUBSTANCE ABUSE CARE, SMML OFFERS A ROBUST INPATIENT BEHAVIORAL MEDICINE SERVICE. TO IMPROVE THE ER EXPERIENCE FOR THESE PATIENTS AND THEIR FAMILIES AND FRIENDS, A BEHAVIORAL MEDICINE SECTION WAS CREATED IN THE HOSPITAL'S ER. PSYCHIATRIC SOCIAL WORKERS ASSIST PATIENTS AND THEIR FAMILIES IN THE AUTHORIZATION PROCESS FOR INPATIENT ADMISSION OR CONNECTING THEM WITH OUTPATIENT SERVICES AVAILABLE IN THE COMMUNITY.WITH LIMITED ACCESS TO HEALTHCARE FOR THE UNINSURED, SMML HAS PARTNERED WITH WAYNE HOPE CLINICS TO PROVIDE LAB SERVICES. THE HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO THE MAPI CHARITABLE CLINIC IN LATHRUP VILLAGE, MI. ADDITIONAL FINANCIAL ASSISTANCE WAS PROVIDED TO THE WAYNE HOPE CLINICS TO INCREASE DIABETES PREVENTION AND MANAGEMENT PROGRAMMING ON THEIR SITE. FURTHERMORE, ASSISTANCE WAS PROVIDED TO THE CABRINI CLINIC IN SUPPORT OF STAFFING A COMMUNITY HEALTH WORKER. ADDRESSING THE NEED FOR SPECIALIST CARE FOR THE UNINSURED INDIVIDUALS WHO ARE CARED FOR IN THE ER, AN INTERNAL SPECIALIST CARE PROGRAM, THROUGH THE MEDICAL STAFF OFFICE, CONTINUED. THIS PROGRAM HAS REDUCED THE RATE OF RETURN ER VISITS FOR FOLLOW-UP CARE AND HAS IMPROVED THE PATIENT'S QUALITY OF LIFE; AND WITHOUT THIS PROGRAM MANY OF THESE INDIVIDUALS WOULD NOT HAVE RECEIVED THIS NEEDED CARE.ST. JOSEPH MERCY LIVINGSTON:SJML ACTIVELY SUPPORTS COMMUNITY ENTITIES INCLUDING LIVINGSTON COUNTY PUBLIC HEALTH, LIVINGSTON COUNTY CATHOLIC CHARITIES, WHICH HOUSES THE LIVINGSTON COUNTY SUBSTANCE ABUSE PREVENTION COALITION, LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH, AND THE LOCAL HUMAN SERVICES COLLABORATIVE BODY. SUPPORT OF THESE ORGANIZATIONS INCLUDES BUT IS NOT LIMITED TO: SEATS ON VARIOUS BOARDS, SJML STAFF MEMBERS' PRESENCE AT WORKGROUPS WITHIN COLLABORATIONS SUPPORTING THE WORK OF THESE AGENCIES, AND MONETARY OR IN-KIND STAFF TIME AT EVENTS PROMOTING HEALTH TO THE GENERAL PUBLIC. SJML ALSO SUPPORTS THE LOCAL FOOD BANK THROUGH DONATIONS. ADDITIONALLY, THE SJML COMMUNITY SAW AN OPPORTUNITY TO INCREASE ACCESS FOR THOSE WITH DENTAL ISSUES. SJML DONATED A BUILDING AND FUNDS TO RENOVATE THE SPACE TO ACCOMMODATE A DENTAL CLINIC, WHICH PROVIDES DENTAL CARE FOR MEDICAID RECIPIENTS AND THOSE WITHOUT DENTAL INSURANCE.ST. JOSEPH MERCY PORT HURON:SINCE 1990, SJMPH HAS SPONSORED THE PEOPLES' CLINIC FOR BETTER HEALTH. THIS FREE CLINIC, LOCATED WITHIN THE GUADALUPE MISSION IN PORT HURON, HAS BEEN THE CORNERSTONE OF SJMPH'S COMMUNITY INITIATIVES FOR THE POOR AND UNDERSERVED. THE CLINIC IS OPERATED IN COLLABORATION WITH THE UNITED WAY AND THE ST. CLAIR COUNTY MEDICAL SOCIETY, WHICH PROVIDES VOLUNTEER PHYSICIANS. PRIMARY MEDICAL CARE AND PRESCRIPTION MEDICATIONS ARE PROVIDED FREE OF CHARGE EACH YEAR TO OVER 3,500 18 TO 65 YEAR-OLDS WHO LACK INSURANCE OR ARE UNDERINSURED. THE CLINIC INCLUDES A SWEET TOUCH PROGRAM DESIGNED TO MONITOR AND MANAGE THE CHRONIC DISEASE OF DIABETES TO THE POOR AND UNINSURED POPULATION.
PART VI, LINE 6:	TH-MI IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2016, GOALS INCLUDED 1) PARTNERING WITH COMMUNITY ORGANIZATIONS IN INSURANCE ENROLLMENT ACTIVITIES TARGETED AT UNINSURED INDIVIDUALS TO IMPROVE ACCESS TO HEALTHCARE, 2) PARTICIPATING IN LOCAL ADVOCACY EFFORTS AIMED AT CURBING TOBACCO USE AND PREVENTING OBESITY, AND 3) DEVELOPING A STRATEGY WITH MULTI-DISCIPLINARY TEAMS TO OPTIMIZE CARE FOR VULNERABLE PERSONS, WITH PARTICULAR FOCUS ON THOSE WHO ARE DUALLY ENROLLED IN MEDICAID AND MEDICARE. TRINITY HEALTH APPRECIATES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), AWARDING EIGHT COMMUNITIES FUNDING TO IMPROVE THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES IN PARTNERSHIP WITH THE LOCAL TRINITY HEALTH MEMBER HOSPITAL. THE AWARDED PROGRAMS FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES THAT SPECIFICALLY IMPACT COMMUNITY IDENTIFIED AREAS OF NEED AND THAT WILL REDUCE OBESITY AND TOBACCO USE.AS A SYSTEM, TRINITY HEALTH SUPPORTED PROGRAMS AND ORGANIZATIONS WHO ADDRESS THESE SOCIAL DETERMINANTS OF HEALTH. PROGRAMS INCLUDE GRANTING SEVEN DACA "DREAMERS" LOW INTEREST LOANS, ENABLING RECIPIENTS TO ATTEND MEDICAL SCHOOL AT STRITCH SCHOOL OF MEDICINE, AND PROVIDING A GRANT TO THE U.S. SOCCER FOUNDATION TO FUND ITS SOCCER FOR SUCCESS PROGRAM IN NINE COMMUNITIES, OFFERING STUDENTS IN UNDERSERVED AREAS THE OPPORTUNITY TO SAFELY AND COST-EFFECTIVELY ENGAGE IN A HEALTHY AND ACTIVE LIFESTYLE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS NEARLY $1 BILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.

Schedule H (Form 990) 2015

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," on 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

2015

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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 PO BOX 50035 PRESCOTT,AZ86304	13-5613797	501(C)(3)	101,500	SPONSOR GALA ANN ARBOR MI
(2) ANN ARBOR AREA COMMUNITY FOUNDATION 301 N MAIN ST STE 300 ANN ARBOR,MI48104	38-6087967	501(C)(3)	200,000	SUPPORT SISTER YVONNE GELLISE FUND FOR PERMANENT SUPPORTIVE HOUSING SERVICES
(3) ANN ARBOR SPARK 201 S DIVISION ST ANN ARBOR,MI48104	38-2436899	501(C)(6)	30,000	SPARK WASHTENAW COUNTY
(4) AVALON HOUSING 1327 JONES DR STE 102 ANN ARBOR,MI48105	38-3086920	501(C)(3)	150,000	FUSE/HSS/ASHLEY HOUSE
(5) CANCER SUPPORT COMMUNITY OF GREATER ANN ARBOR 2010 HOGBACK STE 3 ANN ARBOR,MI48105	05-0597871	501(C)(3)	15,000	PSYCHOSOCIAL SUPPORT PROGRAMS
(6) CENTER FOR HEALTHCARE RESEARCH 2929 PLYMOUTH RD STE 245 ANN ARBOR,MI48105	27-1017827	501(C)(3)	120,000	WASHTENAW HEALTH INITIATIVE
(7) CITY OF YPSILANTI ONE SOUTH HURON ST YPSILANTI,MI48197		CITY GOVERNMENT	50,000	BORDER TO BORDER TRAIL BETWEEN RIVERSIDE PARK AND MICHIGAN AVENUE
(8) DETROIT REGIONAL CHAMBER OF COMMERCE PO BOX 77359 DETROIT,MI48277	38-0477570	501(C)(6)	35,000	2016 MACKINAC POLICY CONFERENCE SPONSOR
(9) EASTERN MARKET CORPORATION 2934 RUSSELL ST DETROIT,MI48154	32-0030432	501(C)(3)	50,000	FOOD ACCESS; FARM STAND
(10) FOOD GATHERERS 1 CARROT WAY ANN ARBOR,MI48105	38-2853858	501(C)(3)	10,000	LOCAL FOOD BANKS
(11) GLEANERS COMMUNITY FOOD BANK 5924 STERLING DR HOWELL,MI48843	38-2156255	501(C)(3)	10,000	LOCAL FOOD BANKS
(12) GREATER BRIGHTON AREA CHAMBER OF COMMERCE 218 E GRAND RIVER BRIGHTON,MI48116	38-2016858	501(C)(6)	10,000	CHAMBER SPONSOR
(13) GROWING HOPE INC 922 W MICHIGAN AVE YPSILANTI,MI48197	74-3091845	501(C)(3)	20,000	FARMERS MARKET
(14) GUEST HOUSE 1601 JOSLYN RD LAKE ORION,MI48360	38-1557146	501(C)(3)	15,000	57TH ANNUAL DETROIT BISHOP'S DINNER SPONSORSHIP
(15) MAKE A WISH MICHIGAN 7600 GRAND RIVER AVE STE 175 BRIGHTON,MI48114	38-2505812	501(C)(3)	25,000	WAM SPONSORSHIP
(16) WASHTENAW HEALTH PLAN 555 TOWNER ST YPSILANTI,MI48198	02-0585175	501(C)(3)	107,000	BRIDGE FUNDING TO HELP SERVE ADULTS CONSUMERS WITH SEVERE MENTAL ILLNESS
(17) WASHTENAW COUNTY-COUNTY OF THE SHERIFF PO BOX 8645 ANN ARBOR,MI48107		COUNTY GOVERNMENT	40,000	OUTREACH TEAM HEALTH LEADERS
(18) WASHTENAW COUNTY PUBLIC HEALTH DEPARTMENT 555 TOWNER ST STE 1 YPSILANTI,MI48198		COUNTY GOVERNMENT	152,590	HAAB SIGNAGE FUNDING
(19) CHELSEA SCHOOL DISTRICT 500 WASHINGTON ST CHELSEA,MI48118		501(C)(3)	20,000	SRSLY COALITION CONTRIBUTION
(20) CHELSEA SENIOR CENTER 512 WASHINGTON ST CHELSEA,MI48118	91-2187162	501(C)(3)	11,500	GRASS LAKE SENIOR CTR TRANSPORTATION ASSISTANCE
(21) COMMUNITY RESOURCE CENTER 410 CITY RD MANCHESTER,MI48158	38-2792399	501(C)(3)	40,000	ASSISTANCE FOR FAMILIES IN NEED
(22) DEXTER SENIOR CENTER 7720 ANN ARBOR ST DEXTER,MI48130	23-7144195	501(C)(3)	5,750	DEXTER SENIOR CENTER TRANSPORTATION ASSISTANCE
(23) FAITH IN ACTION 603 S MAIN ST CHELSEA,MI48118	38-2463646	501(C)(3)	35,000	COMMUNITY SUPPORT
(24) GRASS LAKE MINISTERIAL ASSOC 4520 WOLF LAKE RD GRASS LAKE,MI49240		501(C)(3)	15,000	TO SUPPORT BASIC NEED-HOUSING AND ACCESS TO MENTAL HEALTH SERVICES.
(25) LEGACY LAND CONSERVANCY 1100 N MAIN ST STE 203 ANN ARBOR,MI48104	38-2899980	501(C)(3)	45,000	HURON WATERLOO PATHWAYS INITIATIVE
(26) MANCHESTER COMMUNITY SCHOOLS 410 CITY RD MANCHESTER,MI48158		501(C)(3)	15,000	SUPPORT CAPACITY BUILDING
(27) ST LOUIS CENTER 16195 W OLD US HIGHWAY 12 CHELSEA,MI48118	38-6038121	501(C)(3)	110,000	SUPPORT FITNESS AND HEALTH PROGRAMS; TAKE ROOT GARDENING; INNER RHYTHM MUSIC THERAPY
(28) STOCKBRIDGE COMMUNITY OUTREACH ASSOC 360 CHERRY ST PO BOX 682 STOCKBRIDGE,MI49285	38-2609279	501(C)(3)	50,000	ASSISTANCE FOR FAMILIES IN NEED
(29) AMERICAN CANCER SOCIETY INC 129 JEFFERSON SE GRAND RAPIDS,MI49503	13-1788491	501(C)(3)	23,500	SPONSORSHIP
(30) AMERICAN DIABETES ASSOCIATION 1550 E BELTLINE SE SUITE 250 GRAND RAPIDS,MI49506	13-1623888	501(C)(3)	7,000	SPONSORSHIP
(31) MARCH OF DIMES 3351 CLAYSTONE SE SUITE G20 GRAND RAPIDS,MI49546	13-1846366	501(C)(3)	5,000	SPONSORSHIP
(32) PINE REST FOUNDATION PO BOX 165 GRAND RAPIDS,MI49501	38-1676540	501(C)(3)	5,000	SPONSORSHIP
(33) UNIVERSITY OF MICHIGAN 1415 WASHINGTON HEIGHTS ANN ARBOR,MI48109	38-6006309	501(C)(3)	27,500	SPONSORSHIP
(34) GRAND VALLEY STATE UNIVERSITY 401 WEST FULTON ST GRAND RAPIDS,MI49504	38-1684280	501(C)(3)	11,000	SPONSORSHIP
(35) HOSPICE OF MICHIGAN 989 SPAULDING SE ADA,MI49301	38-2255529	501(C)(3)	5,000	SPONSORSHIP
(36) ALIVE ON THE LAKESHORE 2735 E APPLE MUSKEGON,MI49442	38-3605723	501(C)(3)	5,000	SPONSORSHIP
(37) MUSKEGON RESCUE MISSION 1715 PECK STREET MUSKEGON,MI49441	38-3525239	501(C)(3)	5,500	SPONSORSHIP
(38) WEST MICHIGAN SYMPHONY 360 W WESTERN AVE STE 200 MUSKEGON,MI49440	38-6092131	501(C)(3)	10,000	SPONSORSHIP
(39) GRAND RAPIDS SYMPHONY 300 OTTAWA NW GRAND RAPIDS,MI49503	38-6005447	501(C)(3)	12,000	SPONSORSHIP
(40) NATIONAL MULTIPLE SCLEROSIS 21311 CIVIC CENTER DR SOUTHFIELD,MI48076	38-1410476	501(C)(3)	7,500	SPONSORSHIP
(41) DIOCESE OF GRAND RAPIDS 360 DIVISION AVE S GRAND RAPIDS,MI49503	38-1368746	501(C)(3)	10,000	SPONSORSHIP
(42) MARY FREE BED FOUNDATION 235 WEALTHY SE GRAND RAPIDS,MI49503	46-1164285	501(C)(3)	5,000	SPONSORSHIP
(43) MUSKEGON LAKESHORE CHAMBER OF COMMERCE FOUNDATION 380 WESTERN SUITE 202 MUSKEGON,MI49440	38-3634571	501(C)(3)	20,000	SPONSORSHIP
(44) GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE 301 MICHIGAN ST NE GRAND RAPIDS,MI49503	06-1658200	501(C)(3)	5,000	SPONSORSHIP
(45) GRAND RAPIDS URBAN LEAGUE 745 EASTERM SE GRAND RAPIDS,MI49503	38-1359259	501(C)(3)	5,000	SPONSORSHIP
(46) HEALTHY HOMES COALITION OF WEST MI 1545 BUCHANAN AVE GRAND RAPIDS,MI49507	20-5326650	501(C)(3)	340,265	SPONSORSHIP
(47) FOREST HILLS PUBLIC SCHOOLS 660 FOREST HILLS AVE SE GRAND RAPIDS,MI49546	38-2568754	501(C)(3)	5,000	SPONSORSHIP
(48) WEST MICHIGAN HISPANIC CHAMBER OF COMMERCE 1167 MADISON AVE SE GRAND RAPIDS,MI49507	20-1483629	501(C)(6)	5,000	SPONSORSHIP
(49) NATIONAL KIDNEY FOUNDATION 260 LEONARD ST NW GRAND RAPIDS,MI49504	38-1559941	501(C)(3)	25,000	SPONSORSHIP
(50) OSTOEPATHIC FOUNDATION OF WEST MICHIGAN 800 E ELLIS ROAD NORTON SHORES,MI49441	38-2841014	501(C)(3)	10,000	SPONSORSHIP
(51) PINK TIE GUYS 18068 WOODLAND TRAIL SPRING LAKE,MI49456	45-2627971	501(C)(3)	5,000	SPONSORSHIP
(52) SAN JUAN DIEGO ACADEMY 1650 GODREY SW WYOMING,MI49509		501(C)(3)	10,000	SPONSORSHIP
(53) WV FOUNDATION PO BOX 33 GRAND HAVEN,MI49417	45-3697006	501(C)(3)	10,000	SPONSORSHIP
(54) MUSKEGON YMCA PO BOX 1667 MUSKEGON,MI49440	38-2000172	501(C)(3)	25,000	SPONSORSHIP
(55) GRAND RAPIDS RED PROJECT 343 ATLAS SE GRAND RAPIDS,MI49506	38-3414580	501(C)(3)	5,000	SPONSORSHIP
(56) WEST MICHIGAN ASIAN AMERICAN ASSO PO BOX 230432 GRAND RAPIDS,MI49523	86-1091018	501(C)(3)	5,000	SPONSORSHIP
(57) SUSAN G KOMEN PO BOX 4368 LANSING,MI48826	75-2844631	501(C)(3)	12,500	SPONSORSHIP
(58) MUSKEGON HEIGHTS FESTIVAL IN THE PARK PO BOX 4503 MUSKEGON HEIGHTS,MI49444	91-1932918	501(C)(3)	5,000	SPONSORSHIP
(59) NY UNIV OF NURSING DBA NURSES IMPROVING CARE FOR ELDERS (NICHE) 250 PARK AVENUE SOUTH NEW YORK,NY10003	13-5562308	501(C)(3)	5,000	SPONSORSHIP
(60) KENT COUNTY MEDICAL SOCIETY ALLIANCE FOUNDATION 5534 ALHAMBRA DR SE GRAND RAPIDS,MI49503	38-3336422	501(C)(3)	5,000	SPONSORSHIP
(61) LOWELL AREA SCHOOLS 300 HIGH STREET LOWELL,MI49331	38-3251960	501(C)(3)	6,000	SPONSORSHIP
(62) GRAND RAPIDS COMMUNITY COLLEGE 143 BOSTWICK SE GRAND RAPIDS,MI49503	38-6100380	501(C)(3)	5,050	SPONSORSHIP
(63) WEST MICHIGAN CENTER FOR ARTS & TECH 98 E FULTON SUITE 02 GRAND RAPIDS,MI49503	74-3120354	501(C)(3)	6,000	SUPPORT FOR THE NEEDY
(64) MEL TROTTER MINISTRIES 225 COMMERCE AVE SW GRAND RAPIDS,MI49503	38-1410467	501(C)(3)	100,000	SPONSORSHIP
(65) FELICIAN SISTERS OF NORTH AMERICA 871 MERCER ROAD BEAVER FALLS,PA15010		501(C)(3)	5,000	WORLD YOUTH DAY SCOLARSHIP SPONSORSHIP
(66) TRINITY COMM SVCS & EDU FND DBA ST FRANICS CABRINI CLINIC 1234 PORTER ST DETROIT,MI48226	38-3129349	501(C)(3)	30,000	SUPPORT
(67) HOPE CLINIC 33608 PALMER RD WESTLAND,MI48186	38-2469007	501(C)(3)	15,000	HOPE ON THE HORIZON - HEALTHY YOU LIFE CLASSES
(68) LIVONIA PUBLIC SCHOOLS EDUCATION FOUNDATION 15125 FARMINGTON ROAD LIVONIA,MI48154	20-1085968	501(C)(3)	7,500	2016 BACK TO SCHOOL PARTY AND ANNUAL FALL LUNCHEON
(69) OAKLAND UNIVERSITY 2200 NORTH SQUIRREL ROAD ROCHESTER,MI48309	38-1714400	501(C)(3)	6,160	SPONSORSHIP
(70) WELLNESS PLAN 7700 SECOND AVE DETROIT,MI48202	38-2008890	501(C)(3)	199,617	COMMUNITY BENEFIT GRANT
(71) THE BLIGHT AUTHORITY 1 N SAGINAW ST PONTIAC,MI48342	46-1898090	501(C)(3)	30,000	SPONSORSHIP
(72) CAMP CAVELL CONSERVANCY 3335 LAKESHORE LEXINGTON,MI48450	46-2336793	501(C)(3)	5,000	SPONSORSHIP
(73) THE COMMUNITY HOUSE 380 SOUTH BATES BIRMINGHAM,MI48009	38-1256004	501(C)(3)	10,000	SPONSORSHIP
(74) ENCORE CENTER FOR THE PERFORMING ARTS 79 OAKLAND AVENUE PONTIAC,MI48342	46-4811446	501(C)(3)	25,000	SPONSORSHIP
(75) FREEDOM ROAD TRANSPORTATION 2633 S LAPEER ROAD ORION,MI48360	35-2212929	501(C)(3)	50,000	COMMUNITY BENEFIT GRANT
(76) HOPE 249 BALDWIN AVENUE PONTIAC,MI48342	38-3571989	501(C)(3)	60,000	SPONSORSHIP
(77) COMMON GROUND 1410 SOUTH TELEGRAPH RD BLOOMFIELD HILLS,MI48302	38-1997712	501(C)(3)	60,000	COMMUNITY BENEFIT GRANT

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) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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) HELEN V BURG COMMITMENT TO NURSING SCHOLARSHIP	6	6,000	FAIR MARKET VALUE	SCHOLARSHIPS
(2) JULIE MACDONALD NURSING SCHOLARSHIP	1	2,000	FAIR MARKET VALUE	SCHOLARSHIPS
(3) TUOMY NURSING SCHOLARSHIP AWARD	3	3,000	FAIR MARKET VALUE	SCHOLARSHIPS
(4) WILL JOHNSON SCHOLARSHIP	4	10,000	FAIR MARKET VALUE	SCHOLARSHIPS
(4)
(5)
(6)
(7)

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) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1ROBERT CASALOUPRES & CEO AS OF 1/16; SE MI REG CEO	(i) (ii)	0 ------------- 574,601	0 ------------- 263,752	0 ------------- 172,286	0 ------------- 11,925	0 ------------- 28,986	0 ------------- 1,051,550	0 ------------- 25,287
2ROGER SPOELMANPRES & CEO THR 12/15;WEST MI REG CEO	(i) (ii)	0 ------------- 581,891	0 ------------- 258,109	0 ------------- 321,340	0 ------------- 24,988	0 ------------- 25,275	0 ------------- 1,211,603	0 ------------- 152,962
3BRUCE OLSON MDDIRECTOR THROUGH 12/15	(i) (ii)	0 ------------- 332,373	0 ------------- 0	0 ------------- 4,436	0 ------------- 20,891	0 ------------- 18,152	0 ------------- 375,852	0 ------------- 0
4TONYA WELLSDIRECTOR AS OF 1/16	(i) (ii)	0 ------------- 190,449	0 ------------- 54,947	0 ------------- 944	0 ------------- 14,776	0 ------------- 23,917	0 ------------- 285,033	0 ------------- 0
5CAROL TARNOWSKYSECR THR 12/15; ASST SECR AS OF 1/16	(i) (ii)	0 ------------- 256,666	0 ------------- 71,415	0 ------------- 1,898	0 ------------- 15,900	0 ------------- 4,343	0 ------------- 350,222	0 ------------- 0
6SALLY GUINDIASST SECR THR 12/15; SECR AS OF 1/16	(i) (ii)	0 ------------- 276,528	0 ------------- 79,181	0 ------------- 2,125	0 ------------- 22,981	0 ------------- 25,080	0 ------------- 405,895	0 ------------- 0
7MICHAEL GUSHO SE MI REG CFOTREAS THR 12/15; ASST TREAS AT 1/16	(i) (ii)	0 ------------- 352,100	0 ------------- 91,799	0 ------------- 854	0 ------------- 31,929	0 ------------- 21,860	0 ------------- 498,542	0 ------------- 0
8GARY ALLORE WEST MI REG CFOASST TREAS THR 12/15; TREAS AT 1/16	(i) (ii)	0 ------------- 310,898	0 ------------- 82,897	0 ------------- 742	0 ------------- 11,925	0 ------------- 22,222	0 ------------- 428,684	0 ------------- 0
9JACK WEINERCEO ST. JOSEPH MERCY OAKLAND	(i) (ii)	0 ------------- 456,259	0 ------------- 211,739	0 ------------- 444,394	0 ------------- 15,900	0 ------------- 39,039	0 ------------- 1,167,331	0 ------------- 0
10DAVID SPIVEYCEO ST. MARY MERCY LIVONIA	(i) (ii)	0 ------------- 407,000	0 ------------- 188,573	0 ------------- 145,041	0 ------------- 29,275	0 ------------- 25,534	0 ------------- 795,423	0 ------------- 28,860
11BILL MANNSCEO MERCY HEALTH ST. MARY'S	(i) (ii)	0 ------------- 392,987	0 ------------- 182,017	0 ------------- 110,714	0 ------------- 8,145	0 ------------- 26,616	0 ------------- 720,479	0 ------------- 0
12NANCY GRAEBNERCEO ST. JOSEPH MERCY CHELSEA	(i) (ii)	0 ------------- 299,962	0 ------------- 137,637	0 ------------- 93,175	0 ------------- 16,937	0 ------------- 14,066	0 ------------- 561,777	0 ------------- 0
13REBEKAH SMITHCEO ST. JOSEPH MERCY PORT HURON	(i) (ii)	0 ------------- 182,417	0 ------------- 170,195	0 ------------- 151,459	0 ------------- 333,298	0 ------------- 3,641	0 ------------- 841,010	0 ------------- 0
14ROBIN DAMSCHRODERCOO ST JOS MERCY ANN ARBOR THR 11/15	(i) (ii)	0 ------------- 283,376	0 ------------- 82,876	0 ------------- 31,132	0 ------------- 147,360	0 ------------- 20,488	0 ------------- 565,232	0 ------------- 0
15MIKE GRISDELACFO/ VP FINANCE WEST MARKET	(i) (ii)	0 ------------- 257,218	0 ------------- 56,786	0 ------------- 597	0 ------------- 8,950	0 ------------- 23,204	0 ------------- 346,755	0 ------------- 0
16SHANNON STRIEBICHCOO SE MI REGION, ST JOSEPH PH & OAK	(i) (ii)	0 ------------- 245,113	0 ------------- 65,525	0 ------------- 244	0 ------------- 15,900	0 ------------- 24,083	0 ------------- 350,865	0 ------------- 0
17MICHAEL SAMYNCFO ST MARY MERCY & ST JOE MERCY OAK	(i) (ii)	0 ------------- 245,846	0 ------------- 64,214	0 ------------- 555	0 ------------- 15,900	0 ------------- 20,474	0 ------------- 346,989	0 ------------- 0
18DAVID BROOKSCEO ST. JOSEPH MERCY AA AS OF 8/15	(i) (ii)	0 ------------- 213,660	0 ------------- 50,000	0 ------------- 5,043	0 ------------- 43,085	0 ------------- 8,196	0 ------------- 319,984	0 ------------- 0
19DANIEL GREENVP FIN MERCY HLTH ST MARY'S AT 7/15	(i) (ii)	195,500 ------------- 0	20,000 ------------- 0	484 ------------- 0	12,748 ------------- 0	18,121 ------------- 0	246,853 ------------- 0	0 ------------- 0
20CHRISTOPHER FULKSCFO ST. JOSEPH MERCY PORT HURON	(i) (ii)	162,580 ------------- 0	0 ------------- 0	0 ------------- 0	4,871 ------------- 0	22,044 ------------- 0	189,495 ------------- 0	0 ------------- 0
21BRYNT ELLISCOO ST. JOSEPH MERCY THROUGH 3/16	(i) (ii)	136,943 ------------- 0	22,333 ------------- 0	65 ------------- 0	0 ------------- 0	4,068 ------------- 0	163,409 ------------- 0	0 ------------- 0
22ROSALIE TOCCO-BRADLEYCMO ST JOS MERCY ANN ARBOR, LIVINGS.	(i) (ii)	0 ------------- 408,954	0 ------------- 59,800	0 ------------- 2,094	0 ------------- 11,925	0 ------------- 22,113	0 ------------- 504,886	0 ------------- 0
23RANDALL T FORSCHCMO ST. JOSEPH MERCY CHELSEA	(i) (ii)	0 ------------- 139,834	0 ------------- 39,513	0 ------------- 482	0 ------------- 0	0 ------------- 662	0 ------------- 180,491	0 ------------- 0
24PETER DEWS IIICMO ST. MARY MERCY LIVONIA	(i) (ii)	0 ------------- 302,848	0 ------------- 78,366	0 ------------- 1,355	0 ------------- 11,925	0 ------------- 22,443	0 ------------- 416,937	0 ------------- 0
25MICHAEL K SMITHCMO ST. JOSEPH MERCY OAKLAND	(i) (ii)	0 ------------- 317,209	0 ------------- 78,457	0 ------------- 2,193	0 ------------- 11,925	0 ------------- 20,291	0 ------------- 430,075	0 ------------- 0
26DAVID BAUMGARTNERCMO MERCY HEALTH ST. MARY'S	(i) (ii)	0 ------------- 369,846	0 ------------- 17,511	0 ------------- 5,184	0 ------------- 21,422	0 ------------- 7,542	0 ------------- 421,505	0 ------------- 0
27KRISTOPHER AALDERINKORTHOPEDIC SURGEON (SJMHS)	(i) (ii)	821,346 ------------- 0	140,698 ------------- 0	842 ------------- 0	11,653 ------------- 0	24,185 ------------- 0	998,724 ------------- 0	0 ------------- 0
28GEORGE GIBSONORTHOPEDIC SURGEON (SJMHS)	(i) (ii)	804,242 ------------- 0	102,049 ------------- 0	836 ------------- 0	11,925 ------------- 0	26,524 ------------- 0	945,576 ------------- 0	0 ------------- 0
29TALLAL ZENIORTHOPEDIC SURGEON (SMM LIVONIA)	(i) (ii)	569,207 ------------- 0	184,188 ------------- 0	532 ------------- 0	11,925 ------------- 0	19,353 ------------- 0	785,205 ------------- 0	0 ------------- 0
30CHARLES SCHWARTZCARDIOTHORACIC SURGEON (OAKLAND)	(i) (ii)	743,898 ------------- 0	0 ------------- 0	1,262 ------------- 0	11,925 ------------- 0	20,990 ------------- 0	778,075 ------------- 0	0 ------------- 0
31CREG CARPENTERORTHOPEDIC SURGEON (CHELSEA HOSP)	(i) (ii)	650,897 ------------- 0	88,075 ------------- 0	4,024 ------------- 0	15,900 ------------- 0	18,000 ------------- 0	776,896 ------------- 0	0 ------------- 0
32BARBARA HERTZLERFORMER KEY EMPLOYEE; EVP REG INT.	(i) (ii)	0 ------------- 328,940	0 ------------- 87,799	0 ------------- 4,364	0 ------------- 19,875	0 ------------- 20,658	0 ------------- 461,636	0 ------------- 0
33STEVE EAVENSONFMR KEY EMP;CFO MERCY HLTH ST. MARY'	(i) (ii)	0 ------------- 159,794	0 ------------- 60,615	0 ------------- 1,920	0 ------------- 10,038	0 ------------- 11,117	0 ------------- 243,484	0 ------------- 0
34JAMES BOSSCHERFORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 37,892	0 ------------- 75,822	0 ------------- 1,137	0 ------------- 0	0 ------------- 114,851	0 ------------- 0
35MARIANNE CUNNINGHAMFORMER OFFICER;VP DEBT MGR/TREAS SVC	(i) (ii)	0 ------------- 195,820	0 ------------- 55,857	0 ------------- 1,606	0 ------------- 15,010	0 ------------- 22,158	0 ------------- 290,451	0 ------------- 0
36AGNES HAGERTYFORMER OFFICER; DEP GENERAL COUNSEL	(i) (ii)	0 ------------- 405,473	0 ------------- 159,574	0 ------------- 279,309	0 ------------- 34,306	0 ------------- 21,273	0 ------------- 899,935	0 ------------- 0
37BENJAMIN CARTERFORMER OFFICER; TRINITY EVP, CFO	(i) (ii)	0 ------------- 798,221	0 ------------- 356,711	0 ------------- 355,398	0 ------------- 11,925	0 ------------- 35,541	0 ------------- 1,557,796	0 ------------- 129,972
38CYNTHIA CLEMENCEFMR OFFCR; SVP FIN OPS, BUDGET & CAP	(i) (ii)	0 ------------- 368,917	0 ------------- 145,900	0 ------------- 79,066	0 ------------- 30,801	0 ------------- 25,643	0 ------------- 650,327	0 ------------- 0
39JENNIFER BARNETTFORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 702,011	0 ------------- 7,800	0 ------------- 16,184	0 ------------- 725,995	0 ------------- 565,943
40PAUL NEUMANNFMR OFFCR; TH EVP, CHIEF LEGAL OFFCR	(i) (ii)	0 ------------- 608,088	0 ------------- 268,674	0 ------------- 355,238	0 ------------- 11,925	0 ------------- 29,961	0 ------------- 1,273,886	0 ------------- 128,891
41RICHARD GILFILLANFORMER OFFICER; TH PRESIDENT & CEO	(i) (ii)	0 ------------- 1,428,965	0 ------------- 877,072	0 ------------- 405,410	0 ------------- 11,925	0 ------------- 33,476	0 ------------- 2,756,848	0 ------------- 0
42KEDRICK ADKINSFORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 768,621	0 ------------- 0	0 ------------- 141	0 ------------- 768,762	0 ------------- 767,689
43J RICHARD O'CONNELLFMR KEY EMPLOYEE; TH EVP EAST GROUP	(i) (ii)	0 ------------- 859,386	0 ------------- 383,634	0 ------------- 315,130	0 ------------- 11,925	0 ------------- 35,621	0 ------------- 1,605,696	0 ------------- 39,142
44CHARLES HOFFMANFORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 243,047	0 ------------- 0	0 ------------- 13,205	0 ------------- 256,252	0 ------------- 248,832
45DEBORAH ARMSTRONGFMR KEY EMP; THHS INT CFO THR 1/16	(i) (ii)	0 ------------- 236,750	0 ------------- 0	0 ------------- 0	0 ------------- 10,204	0 ------------- 0	0 ------------- 246,954	0 ------------- 0
46PHILIP MCCORKLEFORMER KEY EMPLOYEE; CONSULTANT	(i) (ii)	0 ------------- 295,298	0 ------------- 0	0 ------------- 6,180	0 ------------- 15,900	0 ------------- 17,845	0 ------------- 335,223	0 ------------- 0
47GARRY FAJAFORMER KEY EMPLOYEE; CONSULTANT	(i) (ii)	0 ------------- 101,141	0 ------------- 139,047	0 ------------- 154,078	0 ------------- 16,525	0 ------------- 561	0 ------------- 411,352	0 ------------- 0
48STEPHANIE RIEMER-MATUZAKFORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 124,019	0 ------------- 58,419	0 ------------- 83,583	0 ------------- 31,892	0 ------------- 13,513	0 ------------- 311,426	0 ------------- 18,392
49CLAUDE LAUDERBACHFORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 129,105	0 ------------- 62,947	0 ------------- 119,034	0 ------------- 172,252	0 ------------- 7,952	0 ------------- 491,290	0 ------------- 0
50MARY NEFFFORMER KEY EMPLOYEE; VP LABOR & CLIN	(i) (ii)	0 ------------- 203,838	0 ------------- 39,454	0 ------------- 11,782	0 ------------- 23,006	0 ------------- 9,489	0 ------------- 287,569	0 ------------- 0
51JACQUELINE PRIMEAUFORMER KEY EMPLOYEE; TH VP, M&A	(i) (ii)	0 ------------- 301,121	0 ------------- 0	0 ------------- 1,146	0 ------------- 21,398	0 ------------- 9,109	0 ------------- 332,774	0 ------------- 0
52KIRSTEN KORTH-WHITEFORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 89,465	0 ------------- 24,401	0 ------------- 77	0 ------------- 7,108	0 ------------- 13,281	0 ------------- 134,332	0 ------------- 0
53KATHLEEN O'CONNORFORMER KEY EMP; DIR DECISION SUPPORT	(i) (ii)	30,105 ------------- 230,117	0 ------------- 8,565	197 ------------- 1,519	0 ------------- 20,321	1,694 ------------- 13,884	31,996 ------------- 274,406	0 ------------- 0

Schedule J (Form 990) 2015

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 (TH-MI) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. TH-MI'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 TH-MI'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 INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2015. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $532,835 JENNIFER BARNETT - $565,943 ROBIN DAMSCHRODER - $30,665 CHARLES HOFFMAN - $248,832 CLAUDE LAUDERBACH - $117,518 REBEKAH SMITH - $79,618 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/15: ROBIN DAMSCHRODER - $135,435 (PAID IN 2016) CLAUDE LAUDERBACH - $132,805 (PAID IN 2016) REBEKAH SMITH - $313,438 ($262,038 PAID IN 2016 AND $51,400 TO BE PAID IN 2017) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2015. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2015, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2015. THE FOLLOWING PAYOUTS FOR 2015 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $234,854 JENNIFER BARNETT - $135,880 JAMES BOSSCHER - $75,822 BENJAMIN CARTER - $194,694 ROBERT CASALOU - $127,880 CYNTHIA CLEMENCE - $49,296 GARRY FAJA - $151,893 RICHARD GILFILLAN, MD - $358,530 NANCY GRAEBNER - $76,892 AGNES HAGERTY - $97,266 BILL MANNS - $95,620 PAUL NEUMANN - $143,799 J. RICHARD O'CONNELL - $207,673 STEPHANIE RIEMER-MATUZAK - $57,336 REBEKAH SMITH - $59,933 DAVID SPIVEY - $99,623 ROGER SPOELMAN - $140,561 JACK WEINER - $102,313 THE FOLLOWING ACCRUAL FOR 2015 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: DAVID BROOKS - $40,833 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($265,000 FOR 2015). THE FOLLOWING PAYOUTS FOR 2015 FOR THESE PLANS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $135,796 ROBERT CASALOU - $25,287 CYNTHIA CLEMENCE - $14,249 PAUL NEUMANN - $136,786 J. RICHARD O'CONNELL - $39,142 STEPHANIE RIEMER-MATUZAK - $18,392 DAVID SPIVEY - $28,860 ROGER SPOELMAN - $158,434 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.

Schedule J (Form 990) 2015

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

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

OMB No. 1545-0047

2015

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), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2015

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	48,247	EMPLOYMENT ARRANGEMENT		No
(2) RYAN SMITH	FAMILY MEMBER OF REBEKAH SMITH, KEY EMPLOYEE	45,615	EMPLOYMENT ARRANGEMENT		No
(3) JANEL CARTER	FAMILY MEMBER OF BENJAMIN CARTER, FORMER OFFICER	11,926	EMPLOYMENT ARRANGEMENT		No
(4) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	690,338	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(5) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	637,310	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(6) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	3,436,618	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(7) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	192,081	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(8) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	458,805	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(9) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	216,985	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(10) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	947,249	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(11) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	114,617	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(12) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	145,302	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(13) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	6,498,877	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(14) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	2,737,366	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(15) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	106,776	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(16) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	720,792	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(17) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	111,491	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(18) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	111,068	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(19) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	588,180	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(20) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	955,997	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(21) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	646,388	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(22) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	311,026	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(23) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	564,529	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(24) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	770,913	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(25) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	1,456,214	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(26) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	727,300	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(27) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	251,712	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(28) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	1,715,545	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(29) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	141,375	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(30) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	598,633	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(31) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	2,783,432	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(32) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	512,433	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(33) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	257,955	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(34) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	188,011	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(35) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	964,190	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(36) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	575,777	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(37) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	112,967	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(38) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	203,881	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(39) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	199,479	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(40) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	139,600	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(41) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	856,800	DONOR PROVIDED GOODS/SERVICES TO TH-MI		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) 2015

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

2015

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	7	144,779	DONOR PROVIDED VALUE
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		705	DONOR PROVIDED VALUE
5 Clothing and household goods .......	X		8,066	DONOR PROVIDED VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	7	282,568	MEDIAN VALUE - TSFR DATE
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	24	8,650	DONOR PROVIDED VALUE
19 Food inventory ...	X	26	6,573	DONOR PROVIDED VALUE
20 Drugs and medical supplies .	X	3	8,700	DONOR PROVIDED VALUE
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MISCELLANEOUS )	X	258	131,481	DONOR PROVIDED 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) (2015)

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) (2015)

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 990-EZ 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

2015

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 TH-MI IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF TH-MI. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF TH-MI.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11	PRIOR TO FILING, THE FORM 990 FOR TH-MI IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE EXECUTIVE COMMITTE OF THE REGIONAL BOARDS OF TH-MI. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	TH-MI HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF TH-MI, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF TH-MI AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF TH-MI (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TH-MI OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF TH-MI (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF TH-MI. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15	QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TH-MI IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO'S AND CFO'S OF TH-MI 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	TH-MI IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, TH-MI INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. TH-MI'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A:	SR. CATHERINE DECLERCQ IS A MEMBER OF THE ORDER OF ADRIAN DOMINICAN SISTERS. HAVING TAKEN A VOW OF POVERTY, SR. CATHERINE DECLERCQ DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TH-MI EXCEPT FOR INSURANCE BENEFITS OF $6,573. INSTEAD, A TOTAL OF $613,798 WAS PAID BY TH-MI DIRECTLY TO THE ORDER OF ADRIAN DOMINICAN SISTERS FOR SR. CATHERINE DECLERCQ'S SERVICES.
FORM 990, PART VII, SECTION A:	SR. MARY PERSICO, IHM IS A MEMBER OF THE SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY. HAVING TAKEN A VOW OF POVERTY, SR. MARY DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED AS EXECUTIVE VICE PRESIDENT MISSION INTEGRATION TO TRINITY HEALTH, EXCEPT FOR INSURANCE BENEFITS OF $12,429. INSTEAD, A TOTAL OF $948,956 WAS PAID BY TRINITY HEALTH DIRECTLY TO THE CONGREGATION OF THE SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY. FOR SR. MARY'S SERVICES.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES -80,771,683. CHANGE IN DEFERRED RETIREMENT COSTS -2,364,933. LOSS ON DISPOSAL OF DISCONTINUED OPERATIONS -9,984,111. OTHER TRANSACTIONS -2,441,559. PARTNERSHIP EQUITY ACTIVITY 141,193. NET ASSETS RELEASED FROM RESTRICTIONS 205,208. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 2,879,424.
FORM 990, PART XII, LINE 2:	TH-MI'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY16 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	MERCY HEALTH PHARMACY SOLUTIONS, SAINT MARY'S LTC PHARMACY, CHELSEA PROFESSIONAL SERVICES, SJMO ROCHESTER HILLS OB/GYN, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVORIAL MEDICINE, ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES, ST. MARY MERCY ONCOLOGY PRACTICE, SPARTA FAMILY HEALTH CENTER, SAINT MARY'S ADVANCED SPECIALTY CARE, HEARTSIDE HEALTH CLINIC, ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES (ASLA), MICHIGAN BARIATRIC INSTITUTE (MBI), MICHIGAN HEART, MICHIGAN STROKE NETWORK, MICHIGAN STROKE NETWORK REGISTRY, MERCY HEALTH SERVICES, ST. MARY MERCY HOSPITAL, MERCY ADVANTAGE, MICHIGAN CANCER INSTITUTE, SAINT MARY'S FAMILY PHARMACY - ECS, ST. MARY MERCY WOUND CARE CENTER, MERCY MEDICAL CENTER - NOVI, MERCY PRIMARY CARE CENTER - DETROIT PHARMACY, SAINT MARY'S MERCY WOUND CARE CENTER, MERCY PRIMARY CARE CENTER - DETROIT, MERCY NORTH OUTPATIENT PHARMACY, THE SHOPPE AT SAINT MARY'S, ST. JOE'S MEDICAL GROUP, ST. JOSEPH MERCY HOSPITAL - SMHC, SRSLY, CHELSEA COMMUNITY HOSPITAL CHILDREN'S CENTER, MERCY OUTPATIENT PHARMACY, MERCY HOSPITAL OUTPATIENT PHARMACY, CHELSEA COMMUNITY HOSPITAL, CHELSEA COMMUNITY HOSPITAL, A MEMBER OF THE SAINT JOSEPH MERCYHEALTH SYSTEM, WOMEN'S HEALTH CENTER, WHITE OAK INN, CHELSEACARE PHARMACY, DEXTER INTERNAL MEDICINE AND PEDIATRICS, CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES, CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES), FAMILY MEDICINE OF STOCKBRIDGE, CHELSEACARE, SPORTX, CHELSEACARE HOME HEALTH, CHELSEA ORTHOPEDIC SPECIALISTS, ANN ARBOR HOME INFUSION PHARMACY, ST. JOSEPH MERCY OAKLAND URGENT CARE-BIRMINGHAM, MERCY SURGERY CARE NETWORK, MERCY PATHOLOGY, ST. JOSEPH MERCY - BRIGHTON, SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP, SJMHS SPECIALTY PHYSICIANS, MERCY SURGICAL CARE, SAINT MARY'S HEALTH CARE, PROFESSIONAL FINANCIAL SERVICES, SAINT MARY'S HEALTH CARE, SJMHS ORTHOPEDIC SERVICES, SAINT MARY'S FAMILY PHARMACY-CATHEDRAL SQUARE, SAINT MARY'S FAMILY PHARMACY-WEGE CENTER, SAINT MARY'S FAMILY PHARMACY-SOUTHWEST, SAINT MARY'S MERCY MEDICAL CENTER, SAINT MARY'S MERCY HOSPITAL, SAINT MARY'S MERCY WEGE CENTER, HEALTH EXPLORATION STATION, MUSKEGON GENERAL HOSPITAL SAINT MARYS'S FAMILY PHARMACY WEGE CENTER FOR HEALTH AND LEARNING, SAINT JOSEPH MERCY HEALTH NETWORK, SAINT JOSEPH MERCY HEALTH SYSTEM , CLINICA SANTA MARIA, SISTERS OF MERCY HEALTH CORPORATION, WEST MICHIGAN REGIONAL HEART AND VASCULAR INSTITUTE, MERCY MEDICAL GROUP, WESTSHORE FAMILY MEDICINE, SAINT MARY'S FAMILY PHARMACY - LTC, MERCY HEALTH SERVICES NORTH, EVANGELICAL DEACONESS HOSPITAL, ST. MARY'S HOSPITAL, GRAND RAPIDS, ST. JOSEPH MERCY HOSPITAL, PONTIAC, SJMH MEDICAL PRACTICE, SJMH URGENT CARES, ST. JOSEPHMERCY OAKLAND - IMAGE ENHANCEMENT CENTER, THE BOUTIQUE AT MERCY HEALTH, LACKS CANCER CENTER, THE BOUTIQUE AT MERCY HEALTH, MERCY HEALTH PHARMACY-ROCKFORD , MERCY HEALTH DENTAL CLINIC , ST. JOSEPH MERCY PORT HURTON, MERCY ENDOCRINOLOGY, CLINXUS, MERCY HEALTH CLINXUS, ST. MARY MERCY - CANCER CENTER, ST. JOSEPH MERCY OAKLAND-CANCER CENTER, ST. JOSEPH MERCY ANN ARBOR-CANCER CENTER, ST. JOSEPH MERCY LIVINGSTON-CANCER CENTER, ST. JOSEPH MERCY BRIGHTON-CANCER CENTER, ST. JOSEPH MERCY CHELSEA-CANCER CENTER, ST. JOSEPH MERCY CANTON-CANCER CENTER, ST. JOSEPH MERCY PORT HURON - CANCER CENTER, ST. JOSEPH MERCY CHELSEA, MERCY FAMILY CARE, MERCY SURGERY CARE, MERCY SPECIALTY CARE , MERCY HEALTH-MUSKEGON CMH PHARMACY, ST. MARY MERCY OUTPATIENT PHARMACY, MERCY PHYSICIAN PARTNERS, ST. MARY MERCY PHYSICIAN PRACTICES, ST. MARY MERCY HOSPITAL PROFESSIONAL, MERCY HOSPITAL GRAYLING D/B/A MERCY HEALTH CANCER CENTER, MERCY CADILLAC ANESTHESIA, ST. JOSEPH MERCY SALINE HEALTH CENTER, ST. JOSEPH MERCY ANN ARBOR, ST. JOSEPH MERCY CANTON, ST. JOSEPH MERCY LIVINGSTON, ST. JOSEPH MERCY SALINE, ST. MARY MERCY LIVONIA, MERCY HEALTH - GRAND RAPIDS, MERCY HEALTH PHARMACY - SOUTHWEST, MERCY HEALTH PHARMACY - HOME INFUSION, MERCY HEALTH PHARMACY - LONG TERM CARE, MERCY HEALTH PHARMACY - CATHEDRAL SQUARE, MERCY HEALTH SAINT MARY'S, MERCY HEALTH PHARMACY - WEGE CENTER, MERCY HEALTH ROCKFORD CAMPUS, MERCY HEALTH SOUTHWEST CAMPUS, INSPIRIT CANCER SUPPORT SERVICES, MERCY CADILLAC PHYSICIAN NETWORK, MERCY PHYSICIAN NETWORK CADILLAC, MERCY PHYSICIAN NETWORK, MERCY CANCER CENTER, MERCY CADILLAC CANCER CENTER, ST. JOSEPH MERCY PORT HURON, MERCY PROFESSIONAL SERVCES, HEALTHFIRST MEDICAL CENTER, BALD MOUNTAIN DIAGNOSTIC IMAGING, MERCY OB/GYN PARTNERS, CADILLAC OCCUPATIONAL MEDICINE, MCAULEY HEALTH CENTER, PROFESSIONAL FINANCIAL SERVICES, RICHARD J. LACKS CANCER CENTER, BROWNING CLAYTOR HEALTH CENTER, SOPHIA'S HOUSE, WESTSIDE OBSTETRICS AND GYNECOLOGY, SAINT JOSEPH MERCY CENTER FOR ADVANCED MEDICINE AND SURGERY, SAINT JOSEPH MERCY CANTON HEALTH CENTER, CANTON HEALTH CENTER, CANTON CENTER FOR ADVANCED MEDICINE AND SURGERY, SAINT JOSEPH MERCY PHARMACY - HOWELL, SAINT JOSEPH MERCY PHARMACY - TOWERS, SAINT JOSEPH MERCY PHARMACY - REICHERT, SAINT JOSEPH MERCY PHARMACY - SALINE, ST. JOSEPH MERCY OAKLAND, SALINE COMMUNITY HOSPITAL, SAINT MARY'S HEALTH SERVICES, GRAND RAPIDS, LIVINGSTON COMMUNITY HOSPICE, MERCY HOSPITAL, MERCY HOSPITAL, CADILLAC, MERCY HOSPITAL, GRAYLING, MERCY HOSPITAL, MUSKEGON , MERCY HOSPITAL, PORT HURON, ST JOSEPH MERCY HOSPITAL, PONTIAC, SAMARITAN HEALTH CENTER, DETROIT, MERCY GENERAL HEALTH PARTNERS, SAINT JOSEPH MERCY LIVINGSTON HOME CARE, SAINT JOSEPH MERCY LIVINGSTON HOSPITAL, ST. JOSEPH MERCY HOSPITAL, ANN ARBOR, SAINT JOSEPH MERCY SALINE HOSPITAL, TRINITY INFORMATION SERVICES.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

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

OMB No. 1545-0047

2015

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) CONNECTED CARE LLC 2601 ELECTRIC AVE PORT HURON,MI48060 46-5671411	ACCOUNTABLE CARE ORGANIZATION	MI	0	0	TRINITY HEALTH-MICHIGAN
(2) SAINT MARY'S PHARMACY LLC 200 JEFFERSON AVE SE GRAND RAPIDS,MI49503 38-3404443	PHARMACY	MI	0	0	TRINITY HEALTH-MICHIGAN
(3) SOUTHEAST MICHIGAN CLINICAL NETWORK LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3856789	ACCOUNTABLE CARE ORGANIZATION	MI	0	0	TRINITY HEALTH-MICHIGAN
(4) THE CARE ALLIANCE 36475 FIVE MILE ROAD LIVONIA,MI48154 46-5648536	ACCOUNTABLE CARE ORGANIZATION	MI	107,359	188,909	TRINITY HEALTH-MICHIGAN
(5) THE SAINT JOSEPH MERCY HEALTH PARTNERS CLINICALLY INT NETWORK 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	1,048,102	8,518,889	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

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)ALBANY MEMORIAL HOSPITAL 600 NORTHERN BLVD ALBANY,NY12204 14-1338457	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(3)ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR,FL34684 58-1492325	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	FL	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(4)AMICARE HOSPICE SERVICES INC 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2949053	HOSPICE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(5)ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD,CT06105 06-1450170	HEALTHCARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH - NEW ENGLAND INC	Yes
(6)BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 42-1500277	HEALTHCARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(7)BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 26-2973307	FOUNDATION	IA	501(C)(3)	LINE 11A, I	BAUM HARMON MERCY HOSPITAL	Yes
(8)BEECHWOOD INC 2212 BURDETT AVE TROY,NY12180 14-1651563	TITLE HOLDING COMPANY	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes
(9)BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS,NY12159 14-1717028	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(10)BRIGHTSIDE INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-2182395	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(11)CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1701597	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(12)CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR,MI48106 38-2507173	HEALTHCARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(13)CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA,MI48152	GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM	VT	501(C)(3)	LINE 1	N/A		No
(14)COLUMBUS ACQUISITION CORP 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616342	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAEL'S 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)CRANBROOK HOSPICE CARE 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320699	HOSPICE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(17)DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS,OH43213 34-2032340	HEALTHCARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes
(18)DUBUQUE MERCY HEALTH FOUNDATION INC 250 MERCY DRIVE DUBUQUE,IA52001 26-2227941	FOUNDATION	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(19)DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE,IA52040 20-5383271	FOUNDATION	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(20)EAST NORRITON PHYSICIAN SERVICES ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2515999	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(21)EDDY LICENSED HOME CARE AGENCY INC 433 RIVER ST SUITE 3000 TROY,NY12180 14-1818568	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes
(22)EMBRACING AGE INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 46-1051881	PACE PROGRAM	NY	501(C)(3)	LINE 9	ST JOSEPH'S HEALTH INC	Yes
(23)EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA,NY12020 14-1795732	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 9	LTC (EDDY) 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	LONG TERM CARE (INACTIVE)	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes
(26)GLEN EDDY INC ONE GLEN EDDY DRIVE NISKAYUNA,NY12309 14-1794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(27)GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA,MI48152 42-1253527	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(28)GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO,GA30642 26-1720984	HEALTHCARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(29)GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK,IL60160 36-3332852	COMMUNITY OUTREACH	IL	501(C)(3)	LINE 9	GOTTLIEB MEMORIAL HOSPITAL	Yes
(30)GOTTLIEB MEMORIAL FOUNDATION 701 W NORTH AVE MELROSE PARK,IL60160 74-3260011	FOUNDATION	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 AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes
(32)GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC 945 OTTAWA AVE NW GRAND RAPIDS,MI49503 23-7270669	MEDICAL EDUCATION TRAINING PROGRAMS	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(33)HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST PO BOX 3302 MUSKEGON,MI49443 38-2299878	SELF INSURANCE	MI	501(C)(3)	LINE 11B, II	MERCY HEALTH PARTNERS	Yes
(34)HACKLEY LIFE COUNSELING 125 E SOUTHERN AVENUE MUSKEGON,MI49442 38-1386362	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	Yes
(35)HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH,NY12061 80-0102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(36)HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY,NY12180 14-1725101	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(37)HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS,MI48152 52-1945054	LONG TERM CARE	MD	501(C)(3)	LINE 9	HOLY CROSS HEALTH INC	Yes
(38)HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 20-8428450	FOUNDATION	MD	501(C)(3)	LINE 7	HOLY CROSS HEALTH INC	Yes
(39)HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-0738041	HEALTHCARE AND HOSPITAL SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(40)HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-0791028	HEALTHCARE AND HOSPITAL SERVICES	FL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(41)HOLY CROSS MEDICAL PROPERTIES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 65-0666283	BUILDING MANAGEMENT SERVICES	FL	501(C)(2)	N/A	HOLY CROSS HOSPITAL INC	Yes
(42)HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 46-5421068	HEALTHCARE SERVICES	FL	501(C)(3)	LINE 9	HOLY CROSS HOSPITAL INC	Yes
(43)HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 81-2531495	HEALTHCARE SERVICES	FL	501(C)(3)	LINE 9	HOLY CROSS HOSPITAL INC	Yes
(44)HOME & COMMUNITY HEALTH SERVICES INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS,CT06076 81-0723591	HOME HEALTH SERVICES	CT	501(C)(3)	LINE 9	TRINITY HEALTH - NEW ENGLAND INC	Yes
(45)HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY,NY12180 14-1514867	HOME HEALTH SERVICES	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 SERVICES	IA	501(C)(3)	LINE 9	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 SERVICES (INACTIVE)	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	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(50)JOHNSON HEALTH CARE INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS,CT06076 81-0709903	HEALTHCARE SERVICES	CT	501(C)(3)	LINE 9	TRINITY HEALTH - NEW ENGLAND INC	Yes
(51)JOHNSON MEMORIAL HOSPITAL INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS,CT06076 47-5676956	HEALTHCARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH - NEW ENGLAND INC	Yes
(52)JOHNSON MEMORIAL MEDICAL CENTER INC 201 CHESTNUT HILL ROAD STAFFORD SPRINGS,CT06076 81-0696923	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 11B, II	TRINITY HEALTH - NEW ENGLAND INC	Yes
(53)LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2519529	HEALTHCARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(54)LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2571699	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(55)LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN,NJ08109 26-1854750	PACE PROGRAM	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	PACE PROGRAM	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes
(57)LIFE ST FRANCIS CORPORATION 1435 LIBERTY STREET HAMILTON,NJ08629 22-2797282	PACE PROGRAM	NJ	501(C)(3)	LINE 9	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes
(58)LIFE ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES,NC28387 27-2159847	PACE PROGRAM	NC	501(C)(3)	LINE 3	ST JOSEPH OF THE PINES INC	Yes
(59)LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 26-2976184	PACE PROGRAM	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(60)LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568525	VOLUNTEER SERVICE AUXILIARY	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	HEALTHCARE SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(62)LOURDES MEDICAL CENTER OF BURLINGTON COUNTY 218 SUNSET ROAD WILLINGBORO,NJ08046 22-3612265	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(63)LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK,IL60160 47-4147171	TRANSPORATION SERVICES	IL	501(C)(3)	LINE 9	LOYOLA UNIVERSITY MEDICAL CENTER	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 AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes
(66)LTC (EDDY) INC 2212 BURDETT AVE TROY,NY12180 22-2564710	MANAGEMENT SERVICES FOR LONG TERM CARE	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS	Yes
(67)MARIAN COMMUNITY HOSPITAL 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE,PA19073 24-0711230	HEALTHCARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 9	MAXIS HEALTH SYSTEM	Yes
(68)MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY,IA51101 38-3320705	HOME HEALTH SERVICES (INACTIVE)	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(69)MARYCREST HEIGHTS PO BOX 9184 FARMINGTON HILLS,MI48333 27-0291722	SENIOR LIVING COMMUNITY	MI	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes
(70)MAXIS HEALTH SYSTEM 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE,PA19073 91-1940902	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	PA	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(71)MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD,CT06117 06-1058086	SENIOR LIVING COMMUNITY	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	Yes
(72)MCAULEY CLINIC CORPORATION PO BOX 992 ANN ARBOR,MI48106 38-2561013	HEALTHCARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 3	CATHERINE MCAULEY HEALTH SERVICES CORP	Yes
(73)MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH,PA15213 94-3436142	GRANT MAKING	PA	501(C)(3)	LINE 11B, II	PITTSBURGH MERCY HEALTH SYSTEM	Yes
(74)MERCY AMICARE HOME HEALTHCARE OAKLAND 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320698	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(75)MERCY AMICARE HOME HEALTHCARE PORT HURON 17410 COLLEGE PARKWAY STE 150 LIVONIA,MI48152 38-3320701	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(76)MERCY CARE FOUNDATION 424 DECATUR STREET ATLANTA,GA30312 58-1448522	FOUNDATION	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(77)MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-1352191	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(78)MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1492707	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES	Yes
(79)MERCY FAMILY SUPPORT 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-2325059	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 9	MERCY HOME HEALTH SERVICES	Yes
(80)MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes
(81)MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 888 TERRACE STREET MUSKEGON,MI49440 38-3321856	HOSPICE & HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(82)MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2829864	FOUNDATION	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(83)MERCY HEALTH NETWORK INC 1111 6TH AVENUE DES MOINES,IA50314 42-1478417	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 11B, II	N/A		No
(84)MERCY HEALTH PARTNERS 1500 E SHERMAN BLVD MUSKEGON,MI49444 38-2589966	HEALTHCARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(85)MERCY HEALTH PLAN ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 22-2483605	MEDICAID MANAGED CARE PLAN	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(86)MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY,IA50401 31-1373080	HEALTHCARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(87)MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3163327	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(88)MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2212638	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 11C, III-FI	TRINITY HEALTH CORPORATION	Yes
(89)MERCY HEALTHCARE CENTER 114 WAWBEEK AVENUE TUPPER LAKE,NY12986 15-0532211	HEALTHCARE AND HOSPITAL SERVICES (INACTIVE)	NY	501(C)(3)	LINE 3	MERCY UIHLEIN HEALTH CORPORATION	Yes
(90)MERCY HEALTHCARE FOUNDATION-CLINTON 1410 N 4TH ST CLINTON,IA52732 42-1316126	FOUNDATION	IA	501(C)(3)	LINE 7	N/A		No
(91)MERCY HOME HEALTH 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-1352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 9	MERCY HOME HEALTH SERVICES	Yes
(92)MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-2325058	MANAGEMENT SERVICES FOR HOME HEALTH	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(93)MERCY HOSPITAL AND MEDICAL CENTER 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-2170152	HEALTHCARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes
(94)MERCY HOSPITAL CADILLAC FOUNDATION 1820 44TH ST SE KENTWOOD,MI49508 20-3357131	FOUNDATION	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(95)MERCY HOSPITAL GIFT SHOP 2601 ELECTRIC AVE PORT HURON,MI48060 38-1630480	VOLUNTEER SERVICE AUXILIARY	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(96)MERCY HOSPITAL INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-3398280	HEALTHCARE AND HOSPITAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(97)MERCY HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-0791034	HEALTHCARE SERVICES (INACTIVE)	FL	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(98)MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH,PA15233 25-1604115	COMMUNITY OUTREACH	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	Yes
(99)MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE,AL36670 27-3163002	PACE PROGRAM	AL	501(C)(3)	LINE 3	TRINITY HEALTH PACE	Yes
(100)MERCY LIFE INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-3086711	PACE PROGRAM	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE CARE CENTERS INC	Yes
(101)MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2627944	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(102)MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON,IA52732 42-1336618	HEALTHCARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(103)MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY,IA51102 14-1880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes
(104)MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY,IA50401 42-1229151	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes
(105)MERCY MEDICAL CORPORATION PO BOX 7957 MOBILE,AL36670 63-6002215	HOSPICE & HOME HEALTH SERVICES	AL	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes
(106)MERCY MEDICAL GROUP C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-4884805	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(107)MERCY PHYSICIAN NETWORK ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 46-1187365	MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(108)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
(109)MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA,GA30312 27-2046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(110)MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION PO BOX 9184 FARMINGTON HILLS,MI48333 38-2719605	LONG TERM CARE	MI	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes
(111)MERCY SPECIALIST PHYSICIANS INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 26-4033168	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(112)MERCY SUBURBAN HOSPITAL ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-1396763	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(113)MERCY UIHLEIN HEALTH CORPORATION 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,NY19073 16-1535133	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(114)MISSION HEALTH CORPORATION 37595 SEVEN MILE ROAD LIVONIA,MI48152 38-3181557	BUILDING MANAGEMENT SERVICES	DE	501(C)(3)	LINE 11A, I	N/A		No
(115)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
(116)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
(117)MOUNT CARMEL HEALTH PLAN INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes
(118)MOUNT CARMEL HEALTH SYSTEM 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1439334	HEALTHCARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(119)MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1113966	FOUNDATION	OH	501(C)(3)	LINE 11A, I	MOUNT CARMEL HEALTH SYSTEM	Yes
(120)MOUNT CARMEL HOME CARE LLC 501 WEST SCHROCK ROAD WESTERVILLE,OH43081 26-2729300	HOME HEALTH SERVICES	OH	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(121)MOUNT SINAI HOSPITAL FOUNDATION INC 500 BLUE HILLS AVENUE HARTFORD,CT06112 22-2584082	FOUNDATION	CT	501(C)(3)	LINE 11C, III-FI	N/A		No
(122)MOUNT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD,CT06105 06-1422973	HEALTHCARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH - NEW ENGLAND INC	Yes
(123)MRI MOBILE SERVICES OF WEST MICHIGAN 1820 44TH STREET KENTWOOD,MI49508 38-3073745	HEALTHCARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(124)MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON,MI49440 91-1932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes
(125)NAZARETH HEALTH CARE FOUNDATION 2701 HOLME AVENUE PHILADELPHIA,PA19152 23-2300951	FOUNDATION	PA	501(C)(3)	LINE 11A, I	NAZARETH HOSPITAL	Yes
(126)NAZARETH HOSPITAL 2601 HOLME AVENUE PHILADELPHIA,PA19152 23-2794121	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(127)NAZARETH PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 20-3261266	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(128)NE PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2497355	HEALTHCARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(129)NORTHEAST HEALTH INC 2212 BURDETT AVE TROY,NY12180 04-2450756	HEALTHCARE SYSTEM SUPPORT	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS	Yes
(130)OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND,NE68045 20-8072234	HEALTHCARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(131)OAKLAND MERCY HOSPITAL FOUNDATION 601 E 2ND STREET OAKLAND,NE68045 31-1678345	FOUNDATION	NE	501(C)(3)	LINE 11C, III-FI	N/A		No
(132)ONE THOUSAND CORPORATION 1000 ASYLUM AVENUE HARTFORD,CT06105 06-0922325	BUILDING MANAGEMENT SERVICES	CT	501(C)(2)	N/A	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	Yes
(133)OSUMOUNT CARMEL HEALTH ALLIANCE 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1654603	COOPERATIVE HEALTHCARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 11A, I	N/A		No
(134)OUR LADY OF LOURDES HEALTH CARE SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568528	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NJ	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	Yes
(135)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
(136)OUR LADY OF LOURDES MEDICAL CENTER 1600 HADDON AVENUE CAMDEN,NJ08103 21-0635001	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes
(137)OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND,NY12084 14-1743506	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes
(138)PIONEER VALLEY CARDIOLOGY ASSOCIATES INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-4208896	HEALTHCARE SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes
(139)PITTSBURGH MERCY HEALTH SYSTEM 3333 5TH AVENUE PITTSBURGH,PA15213 25-1464211	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(140)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
(141)PROBILITY THERAPY SERVICES 2058 S STATE STREET ANN ARBOR,MI48104 20-2020239	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes
(142)PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON,MI49442 38-2638284	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	Yes
(143)SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO,CA93720 94-1437713	HEALTHCARE AND HOSPITAL SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(144)SAINT AGNES MEDICAL FOUNDATION (FKA 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
(145)SAINT ALPHONSUS BUILDING COMPANY INC 1055 NORTH CURTIS RD BOISE,ID83706 82-0401011	BUILDING MANAGEMENT SERVICES	ID	501(C)(3)	LINE 9	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes
(146)SAINT ALPHONSUS DIVERSIFIED CARE INC 1055 NORTH CURTIS RD BOISE,ID83706 94-3028978	HEALTHCARE SYSTEM SUPPORT	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes
(147)SAINT ALPHONSUS FOUNDATION-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY,OR97814 94-3164869	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY	Yes
(148)SAINT ALPHONSUS FOUNDATION-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 20-2683560	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	Yes
(149)SAINT ALPHONSUS HEALTH SYSTEM INC 1055 N CURTIS ROAD BOISE,ID83706 27-1929502	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(150)SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS 351 SW 9TH STREET ONTARIO,OR97914 94-3059469	VOLUNTEER SERVICE AUXILIARY	OR	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	Yes
(151)SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY,OR97814 27-1790052	HEALTHCARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(152)SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC 1512 12TH AVENUE ROAD NAMPA,ID83686 26-1737256	FOUNDATION	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	Yes
(153)SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0200896	HEALTHCARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(154)SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 27-1789847	HEALTHCARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(155)SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS RD BOISE,ID83706 82-0200895	HEALTHCARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(156)SAINT FRANCIS EMERGENCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD,CT06105 45-1994612	HEALTHCARE SERVICES	CT	501(C)(3)	LINE 11B, II	SAINT FRANCIS MEDICAL GROUP INC	Yes
(157)SAINT FRANCIS FOUNDATION INC 114 WOODLAND STREET HARTFORD,CT06105 06-1008255	FOUNDATION	CT	501(C)(3)	LINE 11B, II	TRINITY HEALTH - NEW ENGLAND INC	Yes
(158)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND STREET HARTFORD,CT06105 06-0646813	HEALTHCARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH - NEW ENGLAND INC	Yes
(159)SAINT FRANCIS MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD,CT06105 06-1450168	HEALTHCARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH - NEW ENGLAND INC	Yes
(160)SAINT JAMES CARE INC 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616230	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAEL'S MEDICAL CENTER	Yes
(161)SAINT JOSEPH PACE INC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3129127	PACE PROGRAM	IN	501(C)(3)	LINE 7	TRINITY HEALTH PACE	Yes
(162)SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC PO BOX 670 PLYMOUTH,IN46563 35-1142669	HEALTHCARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(163)SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-0868157	HEALTHCARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(164)SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-6033285	VOLUNTEER SERVICE AUXILIARY	IN	501(C)(4)	N/A	SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC	Yes
(165)SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC 1915 LAKE AVENUE PLYMOUTH,IN46563 35-6043563	VOLUNTEER SERVICE AUXILIARY	IN	501(C)(3)	LINE 11B, II	SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC	Yes
(166)SAINT JOSEPH REGIONAL MEDICAL CENTER INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-1568821	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(167)SAINT JOSEPH'S HEALTH SYSTEM INC 424 DECATUR STREET ATLANTA,GA30312 58-1744848	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 11C, III-FI	TRINITY HEALTH CORPORATION	Yes
(168)SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA,GA30312 58-1752700	HEALTHCARE SERVICES	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(169)SAINT JOSEPH'S TOWER INC PO BOX 9184 FARMINGTON HILLS,MI48333 31-1040468	SENIOR LIVING COMMUNITY	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES - INDIANA INC	Yes
(170)SAINT MARY'S AMICARE HOME HEALTHCARE 1430 MONROE NW STE 120 GRAND RAPIDS,MI49505 38-3320700	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES	Yes
(171)SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS,MI49503 38-1779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes
(172)SAINT MICHAEL'S MEDICAL CENTER 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616046	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	Yes
(173)SAMARITAN CHILD CARE CENTER INC 2213 BURDETT AVE TROY,NY12180 14-1710225	CHILD CARE	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH PARTNERS	Yes
(174)SAMARITAN HOSPITAL 2215 BURDETT AVE TROY,NY12180 14-1338544	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(175)SENIOR CARE CONNECTION INC 504 STATE ST SCHENECTADY,NY12305 14-1708754	PACE PROGRAM	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(176)SETON AUXILIARY INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1505031	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	Yes
(177)SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE 1 ABELE BLVD CLIFTON PARK,NY12065 14-1756230	LONG TERM CARE	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	Yes
(178)SETON HEALTH FOUNDATION INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 22-2345416	FOUNDATION	NY	501(C)(3)	LINE 11A, I	SETON HEALTH SYSTEM INC	Yes
(179)SETON HEALTH SYSTEM INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1776186	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(180)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
(181)SISTERS OF PROVIDENCE HEALTH SYSTEM INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 04-3398374	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	MA	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(182)SJ MANAGEMENT COMPANY OF SYRACUSE INC 301 PROSPECT AVENUE SYRACUSE,NY13203 27-1763712	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11C, III-FI	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(183)SJHSJOC HOLDINGS INC 424 DECATUR STREET ATLANTA,GA30312 47-2299757	HEALTHCARE SYSTEM SUPPORT	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(184)ST AGNES CONTINUING CARE CENTER ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2840137	PACE PROGRAM	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes
(185)ST AGNES CONTINUING CARE CENTER FOUNDATION ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN,PA19428 23-2415137	FOUNDATION	PA	501(C)(3)	LINE 11A, I	ST AGNES CONTINUING CARE CENTER	Yes
(186)ST FRANCIS FOUNDATION PO BOX 2500 WILMINGTON,DE19805 51-0374158	FOUNDATION	DE	501(C)(3)	LINE 11A, I	ST FRANCIS HOSPITAL	Yes
(187)ST FRANCIS HOSPITAL INC PO BOX 2500 WILMINGTON,DE19805 51-0064326	HEALTHCARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(188)ST FRANCIS MEDICAL CENTER FOUNDATION INC 601 HAMILTON AVENUE TRENTON,NJ08629 52-1025476	FOUNDATION	NJ	501(C)(3)	LINE 7	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes
(189)ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVENUE TRENTON,NJ08629 22-3431049	HEALTHCARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	Yes
(190)ST JAMES MERCY HEALTH SYSTEM INC 411 CANISTEO STREET HORNELL,NY14843 22-3127184	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(191)ST JAMES MERCY HOSPITAL 411 CANISTEO STREET HORNELL,NY14843 16-0743310	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JAMES MERCY HEALTH SYSTEM INC	Yes
(192)ST JOSEPH MERCY OAKLAND FOUNDATION 44405 WOODWARD AVE PONTIAC,MI48341 35-2356789	FOUNDATION	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes
(193)ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES,NC28387 56-0694200	LONG TERM CARE	NC	501(C)(3)	LINE 3	TRINITY CONTINUING CARE SERVICES	Yes
(194)ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER 206 PROSPECT AVENUE SYRACUSE,NY13203 20-2497520	COLLEGE OF NURSING	NY	501(C)(3)	LINE 2	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(195)ST JOSEPH'S HEALTH CENTER PROPERTIES INC 301 PROSPECT AVENUE SYRACUSE,NY13203 23-7219294	BUILDING MANAGEMENT SERVICES	NY	501(C)(3)	LINE 11B, II	ST JOSEPH'S HEALTH INC	Yes
(196)ST JOSEPH'S HEALTH INC 301 PROSPECT AVENUE SYRACUSE,NY13203 47-4754987	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(197)ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVENUE SYRACUSE,NY13203 15-0532254	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JOSEPH'S HEALTH INC	Yes
(198)ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC 301 PROSPECT AVENUE SYRACUSE,NY13203 22-2149775	FOUNDATION	NY	501(C)(3)	LINE 11A, I	ST JOSEPH'S HEALTH INC	Yes
(199)ST JOSEPH'S MEDICAL PC 301 PROSPECT AVENUE SYRACUSE,NY13203 27-3899821	HEALTHCARE SERVICES	NY	501(C)(3)	LINE 11A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(200)ST JOSEPH'S PHYSICIAN HEALTH PC 301 PROSPECT AVENUE SYRACUSE,NY13203 16-1516863	HEALTHCARE SERVICES	NY	501(C)(3)	LINE 11A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(201)ST MARY BUILDING AND DEVELOPMENT COMPANY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 46-1827502	TITLE HOLDING COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes
(202)ST MARY EMERGENCY MEDICAL SERVICES 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 46-5354512	HEALTHCARE SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes
(203)ST MARY HOME INCORPORATED 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0646843	LONG TERM CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes
(204)ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-1913910	HEALTHCARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(205)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
(206)ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 58-2544232	FOUNDATION	GA	501(C)(3)	LINE 11A, I	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(207)ST MARY'S HEALTH CARE SYSTEM INC 1230 BAXTER STREET ATHENS,GA30606 58-0566223	HEALTHCARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(208)ST MARY'S HIGHLAND HILLS INC 1230 BAXTER STREET ATHENS,GA30606 02-0576648	SENIOR LIVING COMMUNITY	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(209)ST MARY'S MEDICAL GROUP INC 1230 BAXTER STREET ATHENS,GA30606 26-1858563	HEALTHCARE SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes
(210)ST MARY'S SACRED HEART HOSPITAL INC 367 CLEAR CREEK PARKWAY LAVONIA,GA30553 47-3752176	HEALTHCARE AND HOSPITAL 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 MICHAEL'S MEDICAL CENTER	Yes
(212)ST PETER'S HEALTH CARE SERVICES 315 SOUTH MANNING BLVD ALBANY,NY12208 22-2702507	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH PARTNERS	Yes
(213)ST PETER'S HEALTH PARTNERS 315 SOUTH MANNING BLVD ALBANY,NY12208 45-3570715	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(214)ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC 315 SOUTH MANNING BLVD ALBANY,NY12208 46-1177336	HEALTHCARE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(215)ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY,NY12208 14-1348692	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(216)ST PETER'S HOSPITAL FOUNDATION INC 319 SOUTH MANNING BLVD ALBANY,NY12208 22-2262982	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes
(217)SUNNYVIEW HOSPITAL & REHABILITATION CENTER 1270 BELMONT AVE SCHENECTADY,NY12308 14-1338386	HEALTHCARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(218)SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION INC 1270 BELMONT AVE SCHENECTADY,NY12308 22-2505127	FOUNDATION	NY	501(C)(3)	LINE 11A, I	SUNNYVIEW HOSPITAL & REHABILITATION CENTER	Yes
(219)THE COMMUNITY HOSPICE FOUNDATION INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 22-2692940	FOUNDATION	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	Yes
(220)THE COMMUNITY HOSPICE INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 14-1608921	HOSPICE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(221)THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER 707 EAST CEDAR STREET SOUTH BEND,IN46617 35-1654543	FOUNDATION	IN	501(C)(3)	LINE 7	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(222)THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC 2256 BURDETT AVE TROY,NY12180 22-2570478	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(223)THE MARJORIE DOYLE ROCKWELL CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1793885	LONG TERM CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes
(224)THE NORTHEAST HEALTH FOUNDATION INC 2224 BURDETT AVE TROY,NY12180 22-2743478	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes
(225)THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC 114 WOODLAND STREET HARTFORD,CT06105 06-0660403	VOLUNTEER SERVICE AUXILIARY	CT	501(C)(3)	LINE 11A, I	N/A		No
(226)TRI-HOSPITAL EMERGENCY MEDICAL SERVICES 309 GRAND RIVER PORT HURON,MI48060 38-2485700	HEALTHCARE 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	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(228)TRINITY CONTINUING CARE SERVICES PO BOX 9184 FARMINGTON HILLS,MI48333 38-2559656	LONG TERM CARE	MI	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes
(229)TRINITY CONTINUING CARE SERVICES - INDIANA INC PO BOX 9184 FARMINGTON HILLS,MI48333 93-0907047	LONG TERM CARE	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes
(230)TRINITY HEALTH - MICHIGAN 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2113393	HEALTHCARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(231)TRINITY HEALTH - NEW ENGLAND INC (FKA SAINT FRANCIS CARE INC) 114 WOODLAND STREET HARTFORD,CT06105 06-1491191	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes
(232)TRINITY HEALTH CORPORATION 20555 VICTOR PARKWAY LIVONIA,MI48152 35-1443425	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH MINISTRIES	Yes
(233)TRINITY HEALTH LIFE PENNSYLVANIA INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 47-5244984	PACE PROGRAM	PA	501(C)(3)	LINE 9	TRINITY HEALTH PACE	Yes
(234)TRINITY HEALTH PACE 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3073124	PACE PROGRAM	MI	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes
(235)TRINITY HEALTH WELFARE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 20-8151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	Yes
(236)TRINITY HOME HEALTH SERVICES 17410 COLLEGE PARKWAY STE 150 LIVONIA,MI48152 38-2621935	MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM	MI	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes
(237)UIHLEIN MERCY CENTER 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 15-0532190	HEALTHCARE SERVICES (INACTIVE)	NY	501(C)(3)	LINE 3	MERCY UIHLEIN HEALTH CORPORATION	Yes
(238)UNIVERSITY HEIGHTS PROPERTY COMPANY INC 111 CENTRAL AVENUE NEWARK,NJ07102 22-3100162	TITLE HOLDING COMPANY	NJ	501(C)(2)	N/A	SAINT MICHAEL'S MEDICAL CENTER	Yes
(239)VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY,NY12208 14-1438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes
(240)WESTSHORE HEALTH NETWORK 1820 44TH STREET KENTWOOD,MI49508 38-3280200	HEALTH NETWORK	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) 2015

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	615,803	668,474		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 ASSOCIATES LP 1221 MAIN STREET SUITE 105 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	2,227,444	973,506		No			No	51.000 %
(6) CENTRAL NEW JERSEY HEART SERVICES LLC PO BOX 148 BAYONNE,NJ07002 20-8525458	CARDIAC PROGRAM	NJ	N/A
(7) CLINTON IMAGING SERVICES LLC 615 VALLEY VIEW DR STE 202 MOLINE,IL61265 41-2044739	MRI DIAGNOSTIC SERVICES	IA	N/A
(8) EAST NORRITON MEDICAL ASSOCIATES ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2319531	MEDICAL OFFICE BUILDING	PA	N/A
(9) FOREST PARK IMAGING LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A
(10) FRANCES WARDE MEDICAL LABORATORY 300 WEST TEXTILE ROAD ANN ARBOR,MI48104 38-2648446	LABORATORY	MI	TRINITY HEALTH-MICHIGAN	UNRELATED	108,755	860,538		No		Yes		66.670 %
(11) FRESNO IMAGING CENTER 1303 E HERNDON AVE FRESNO,CA93720 77-0363563	FORMERLY DIAGNOSTIC IMAGING, IN DISSOLUTION	CA	N/A
(12) GATEWAY HEALTH PLAN LP 444 LIBERTY AVE PITTSBURGH,PA15222 25-1691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA	N/A
(13) GREATER HARTFORD LITHOTRIPSY LLC 144 WOODLAND ST HARTFORD,CT06105 06-1578891	LITHOTRIPSY SERVICES	CT	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 1055 N CURTIS ROAD BOISE,ID83706 36-4729605	HOLDING COMPANY FOR AMBULATORY SURGERY	ID	N/A
(16) INNOVATIVE HEALTH ALLIANCE OF NEW YORK LLC 14 COLUMBIA CIRCLE DRIVE ALBANY,NY12203 46-5676066	ACCOUNTABLE CARE ORGANIZATION	NY	N/A
(17) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 36-4119522	SURGICAL SERVICES	IL	N/A
(18) MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY,IA50401 42-1328388	MRI SERVICES	IA	N/A
(19) MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY,IA50401 20-1960348	SURGERY-SAME DAY	IA	N/A
(20) MCE MOB IV LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 42-1544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(21) MCMC POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1392994	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(22) MDRMRI TECHNICAL SERVICES LLC 5640 EAST TAFT ROAD 3770 SYRACUSE,NY13220 16-1590982	MRI SERVICES	NY	N/A
(23) MEDILUCENT MOB I 793 W STATE STREET COLUMBUS,OH43222 20-4911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(24) MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON,CT06111 06-1490483	REHABILITATION SERVICES	CT	N/A
(25) MERCY ADVANCED MRI LLC 2525 SOUTH MICHIGAN AVE CHICAGO,IL60616 26-2116721	SUBLEASE MRI EQUIPMENT	IL	N/A
(26) MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4237594	CARDIOVASCULAR SERVICES	IA	N/A
(27) MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO,OH43699 52-1931012	NURSING HOME	PA	N/A
(28) MERCYUSP HEALTH VENTURES LLC 15305 DALLAS PARKWAY STE 1600 LB 28 ADDISON,TX75001 47-1290300	OUTPATIENT SURGERY	IA	N/A
(29) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(30) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP C/O NAZARETH HOSP 2601 HOLME AVE PHILADELPHIA,PA19152 23-2388040	MEDICAL OFFICE BUILDING	PA	N/A
(31) 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	61,626			No		Yes		50.000 %
(32) PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK,FL33334 35-2325646	AMBULATORY SURGERY CENTER	FL	N/A
(33) RADISSON SJH PROPERTIES LLC 5000 CAMPUSWOOD DRIVE SUITE 100 EAST SYRACUSE,NY13057 46-1892799	MEDICAL OFFICE BUILDING	NY	N/A
(34) SARMED OUTPATIENT PHARMACY LLC 999 N CURTIS RD STE 102 BOISE,ID83706 51-0483218	PHARMACY	ID	N/A
(35) 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	583,502	1,696,003		No			No	51.000 %
(36) SJLS LLC 7650 SE 27TH ST STE 200 MERCER ISLAND,WA98040 20-1796650	DIALYSIS SERVICES	NY	N/A
(37) SJV MANAGEMENT LLC 200 CENTURY PKWY STE 200E MOUNT LAUREL,NJ08054 20-2273476	RADIOLOGY	NJ	N/A
(38) SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 36-4559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A
(39) 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
(40) ST ALPHONSUS CALDWELL CANCER CTR LLC 3123 MEDICAL DR CALDWELL,ID83605 82-0526861	HEALTH CARE SERVICES	ID	N/A
(41) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
(42) ST JOSEPH'S IMAGING ASSOCIATES PLLC 104 UNION AVE SUITE 905 SYRACUSE,NY13203 16-1104293	RADIOLOGY SERVICES	NY	N/A
(43) ST MARY REHABILITATION HOSPITAL LLP 680 SOUTH FORTH STREET LOUISVILLE,KY40202 27-3938747	HEALTHCARE SERVICES	DE	N/A
(44) ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVENUE STE 201 ALBANY,NY12206 46-0463892	OUTPATIENT SURGERY	NY	N/A
(45) TAMARACK MEDICAL CLINIC LLC 402 LAKE CASCADE PARKWAY CASCADE,ID83611 20-1637921	OUTPATIENT MEDICAL SERVICES	ID	N/A
(46) THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2871206	OUTPATIENT SURGERY	PA	N/A
(47) TOTAL LAUNDRY COLLABORATIVE LLC 114 WOODLAND STREET HARTFORD,CT06105 20-8335788	LAUNDRY SERVICES	CT	N/A
(48) TRINITY HEALTH PARTNERS LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-2798085	POPULATION HEALTH MANAGEMENT	DE	N/A
(49) WOODLAND IMAGING CENTER LLC 5301 E HURON RIVER DR ANN ARBOR,MI48106 76-0820959	RADIOLOGY/IMAGING	MI	TRINITY HEALTH-MICHIGAN	RELATED	1,236,813	1,184,628		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 PHYSICIANS' SERVICES INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2365077	PHARMACY	PA	N/A	C				Yes
(3) CATHERINE HORAN BUILDING CORP 1233 MAIN STREET HOLYOKE,MA01040 04-2938160	BUILDING MANAGEMENT	MA	N/A	C				Yes
(4) CHESTNUT RISK SERVICES LTD 11 VICTORIA STREET HAMILTON BD	INSURANCE	BD	N/A	C				Yes
(5) DIVERSIFIED COMMUNITY SERVICES INC 1233 MAIN STREET HOLYOKE,MA01040 04-3128890	MEDICAL SERVICES	MA	N/A	C				Yes
(6) FHS SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 27-2995699	MEDICAL SERVICES	NY	N/A	C				Yes
(7) FRANCISCAN ASSOCIATES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 20-2991688	MEDICAL SERVICES	NY	N/A	C				Yes
(8) FRANCISCAN HEALTH SUPPORT INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1236354	MEDICAL SERVICES	NY	N/A	C				Yes
(9) FRANCISCAN MANAGEMENT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1351193	MANAGEMENT SERVICES	NY	N/A	C				Yes
(10) GOTTLIEB MANAGEMENT SERVICES INC 701 W NORTH AVE MELROSE PARK,IL60160 36-3330529	MANAGEMENT SERVICES	IL	N/A	C				Yes
(11) HEF INC 1820 44TH STREET SE KENTWOOD,MI49508 38-3086401	OFFICE STAFFING	MI	N/A	C				Yes
(12) HACKLEY HEALTH MANAGEMENT INC 1820 44TH STREET SE KENTWOOD,MI49508 38-2961814	WEIGHT MANAGEMENT	MI	N/A	C				Yes
(13) HACKLEY HEALTH VENTURES INC 1820 44TH STREET SE KENTWOOD,MI49508 38-2589959	OTHER MEDICAL SERVICES	MI	N/A	C				Yes
(14) HACKLEY HEALTHCARE EQUIPMENT CORP 1820 44TH STREET SE KENTWOOD,MI49508 38-2578569	HOME MEDICAL EQUIPMENT	MI	N/A	C				Yes
(15) HACKLEY PROFESSIONAL CENTER INC 1820 44TH STREET SE KENTWOOD,MI49508 38-3024797	REAL ESTATE RENTAL	MI	N/A	C				Yes
(16) HACKLEY PROFESSIONAL PHARMACY INC 1820 44TH STREET SE KENTWOOD,MI49508 38-2447870	PHARMACY	MI	N/A	C				Yes
(17) HEALTH CARE MANAGEMENT ADMINISTRATORS INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1450960	HEALTHCARE MANAGEMENT	NY	N/A	C				Yes
(18) HEALTH MANAGEMENT SERVICES ORG INC 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3366580	MEDICAL ADMINISTRATION	NJ	N/A	C				Yes
(19) HOLY CROSS PRIVATE HOME SERVICES CORP 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-1986562	HOME CARE SERVICES	MD	N/A	C				Yes
(20) HPC CO-OWNERS ASSOCIATION 1700 CLINTON MUSKEGON,MI49442 27-0734448	CONDOMINIUM ASSOCIATION	MI	N/A	C				Yes
(21) HURON ARBOR CORPORATION 5301 EAST HURON RIVER DR YPSILANTI,MI48197 38-2475644	PROVIDES OFFICE RENTAL SPACE	MI	TRINITY HEALTH-MICHIGAN	C	1,462,536	30,216,823	100.000 %	Yes
(22) IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3188895	MEDICAL MANAGEMENT	MI	N/A	C				Yes
(23) LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 25-3795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C				Yes
(24) LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C				Yes
(25) LIFECARE PHYSICIANS PC 601 HAMILTON AVENUE TRENTON,NJ08629 26-1649038	HEALTH CARE SERVICES	NJ	N/A	C				Yes
(26) LOURDES MEDICAL ASSOCIATES PA 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3361862	MEDICAL SERVICES	NJ	N/A	C				Yes
(27) LOURDES URGENT CARE SERVICES PC 1600 HADDON AVENUE CAMDEN,NJ08103 46-4188202	URGENT CARE CENTER	NJ	N/A	C				Yes
(28) MARYLAND CARE GROUP INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-1815313	HEALTHCARE HOLDING	MD	N/A	C				Yes
(29) MCMC EASTWICK INC C/O MHS ONE WEST ELM STREET STE 100 CONSHOHOCKEN,PA19428 23-2184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C				Yes
(30) MEDNOW INC 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0389927	MEDICAL SERVICES	ID	N/A	C				Yes
(31) MERCY INPATIENT MEDICAL ASSOCIATES INC 1233 MAIN STREET HOLYOKE,MA01040 04-3029929	MEDICAL SERVICES	MA	N/A	C				Yes
(32) MERCY MEDICAL SERVICES 801 5TH STREET SIOUX CITY,IA51101 42-1283849	PRIMARY CARE PHYSICIANS	IA	N/A	C				Yes
(33) MERCY SERVICES CORPORATION 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227348	DORMANT	IL	N/A	C				Yes
(34) MOUNT CARMEL HEALTH PROVIDERS INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1382442	MEDICAL SERVICES	OH	N/A	C				Yes
(35) NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE,FL33308 59-1145192	MEDICAL SERVICES	FL	N/A	C				Yes
(36) PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-6608649	PROPERTY MANAGEMENT	MA	N/A	C				Yes
(37) PRIORITY PLUS OF CALIFORNIA PO BOX 27230 FRESNO,CA93729 77-0395267	FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS	CA	N/A	C				Yes
(38) PROVIDENCE HOME CARE INC 1233 MAIN STREET HOLYOKE,MA01040 04-3317426	HEALTH CARE SERVICES	MA	N/A	C				Yes
(39) SAINT ALPHONSUS HEALTH ALLIANCE INC 1055 NORTH CURTIS ROAD BOISE,ID83706 82-0524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C				Yes
(40) SAINT ALPHONSUS PHYSICIANS PA 1055 NORTH CURTIS ROAD BOISE,ID83706 33-1078261	HEALTH CARE SERVICES (INACTIVE)	ID	N/A	C				Yes
(41) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1384686	MEDICAL SERVICES	CT	N/A	C				Yes
(42) SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1432373	MEDICAL SERVICES	CT	N/A	C				Yes
(43) SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY,NY12180 14-1607244	REAL ESTATE	NY	N/A	C				Yes
(44) SJM PROPERTIES INC 411 CANISTEO STREET HORNELL,NY14843 16-1294991	PROPERTY HOLDINGS	NY	N/A	C				Yes
(45) SJPE PRACTICE MANAGEMENT SERVICES INC 301 PROSPECT AVE SYRACUSE,NY13203 45-4164964	MANAGEMENT SERVICES	NY	N/A	C				Yes
(46) SJRMC HOLDINGS INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 47-4763735	PROPERTY HOLDINGS	IN	N/A	C				Yes
(47) ST ELIZABETH HEALTH SUPPORT SERVICES INC 2209 GENESEE STREET UTICA,NY13501 16-1540486	MEDICAL SERVICES	NY	N/A	C				Yes
(48) ST MARY'S HIGHLAND HILLS VILLAGE INC 1230 BAXTER STREET ATHENS,GA30606 58-2276801	ASSISTED LIVING	GA	N/A	C				Yes
(49) SYSTEM COORDINATED SERVICES INC 1233 MAIN STREET HOLYOKE,MA01040 04-2938161	LAB SERVICES	MA	N/A	C				Yes
(50) THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 45-2603654	REAL ESTATE BROKERAGE SERVICES	MI	TRINITY HEALTH-MICHIGAN	C			99.000 %	Yes
(51) TRINITY ASSURANCE LTD PO BOX 1051 GRAND CAYMAN GRAND CAYMAN CJ 98-0453602	PROVISION OF INSURANCE COVERAGE	CJ	TRINITY HEALTH-MICHIGAN	C		641,428,643	100.000 %	Yes
(52) TRINITY HEALTH ACO INC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C				Yes
(53) TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 38-3410377	GRANTOR TRUST	MI	N/A	T				Yes
(54) TRINITY SENIOR SERVICES MANAGEMENT INC PO BOX 9184 FARMINGTON HILLS,MI48333 37-1572595	SENIOR SERVICES	PA	N/A	C				Yes
(55) WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM 1820 44TH STREET SE KENTWOOD,MI49508 38-2700166	CONDOMINIUM ASSOCIATION	MI	N/A	C				Yes
(56) WORKPLACE HEALTH OF GRAND HAVEN INC 1820 44TH STREET SE KENTWOOD,MI49508 38-3112035	OCCUPATIONAL HEALTH	MI	N/A	C				Yes

Schedule R (Form 990) 2015

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) ............................

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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) PROBILITY THERAPY SERVICES	L	514,598	PER BOOKS
(2) IHA HEALTH SERVICES CORPORATION	C	772,865	PER BOOKS
(3) IHA HEALTH SERVICES CORPORATION	L	561,421	PER BOOKS
(4) IHA HEALTH SERVICES CORPORATION	M	34,957,190	PER BOOKS
(5) IHA HEALTH SERVICES CORPORATION	P	2,197,898	PER BOOKS
(6) IHA HEALTH SERVICES CORPORATION	Q	2,469,934	PER BOOKS
(7) WOODLAND IMAGING CENTER LLC	K	577,896	PER BOOKS
(8) WOODLAND IMAGING CENTER LLC	L	1,156,060	PER BOOKS
(9) WOODLAND IMAGING CENTER LLC	M	5,880,433	PER BOOKS
(10) HURON ARBOR CORPORATION	K	1,725,015	PER BOOKS
(11) HURON ARBOR CORPORATION	L	1,291,321	PER BOOKS
(12) SAINT ALPHONSUS REGIONAL MEDICAL CENTER	M	76,667	PER BOOKS
(13) TRINITY HEALTH CORPORATION	B	44,925,067	PER BOOKS
(14) TRINITY HEALTH CORPORATION	C	462,282	PER BOOKS
(15) TRINITY HEALTH CORPORATION	L	673,295	PER BOOKS
(16) TRINITY HEALTH CORPORATION	M	197,052,992	PER BOOKS
(17) TRINITY HEALTH CORPORATION	P	54,557,618	PER BOOKS
(18) TRINITY HEALTH CORPORATION	Q	14,141,920	PER BOOKS
(19) TRINITY HEALTH CORPORATION	R	30,672,430	PER BOOKS
(20) TRINITY HEALTH CORPORATION	S	913,099	PER BOOKS
(21) MERCY HEALTH PARTNERS	Q	5,172,561	PER BOOKS
(22) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	L	56,421	PER BOOKS
(23) SAINT MARY'S FOUNDATION	L	54,180	PER BOOKS
(24) CENTER FOR DIGESTIVE CARE LLC	C	2,269,275	PER TAX RETURN
(25) WOODLAND IMAGING CENTER LLC	C	1,424,973	PER TAX RETURN
(26) SIXTY FOURTH STREET LLC	C	606,349	PER TAX RETURN
(27) ADVENT REHABILITATION LLC	C	475,000	PER TAX RETURN
(28) NEWCO AMBULATORY SURGERY CTR LLP	C	102,526	PER TAX RETURN
(29) FRANCES WARDE MEDICAL LABORATORY	C	96,907	PER TAX RETURN
(30) SAINT MARY'S FOUNDATION	C	857,943	PER BOOKS
(31) TRINITY HOME HEALTH SERVICES	M	315,990	PER BOOKS
(32) MERCY HEALTH PARTNERS	L	6,350,632	PER BOOKS
(33) TRINITY CONTINUING CARE SERVICES	L	470,632	PER BOOKS
(34) HOLY CROSS HEALTH INC	L	525,639	PER BOOKS
(35) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	M	445,323	PER BOOKS
(36) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	P	367,500	PER BOOKS
(37) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	Q	2,859,937	PER BOOKS
(38) SAINT MARY'S FOUNDATION	B	668,263	PER BOOKS
(39) WESTSHORE HEALTH NETWORK	Q	828,704	PER BOOKS
(40) NEWCO AMBULATORY SURGERY CTR LLP	L	523,384	PER BOOKS
(41) MOUNT CARMEL HEALTH SYSTEM	L	2,352,708	PER BOOKS
(42) MISSION HEALTH CORPORATION	S	200,000	PER BOOKS
(43) MISSION HEALTH CORPORATION	K	78,260	PER BOOKS

Schedule R (Form 990) 2015

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) 2015

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) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTHCARE AND HOSPITAL SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	26
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	23
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	19,743
6	Total number of volunteers (estimate if necessary) .............	6	1,890
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	61,537,398
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	19,009,144	20,686,601
9	Program service revenue (Part VIII, line 2g) .........	2,351,903,603	2,380,634,062
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	48,523,879	376,188
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	100,692,847	79,743,546
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,520,129,473	2,481,440,397
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,915,815	4,467,797
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)	1,057,702,633	1,029,384,691
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 4,105,870
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,243,786,264	1,269,624,288
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,304,404,712	2,303,476,776
19	Revenue less expenses. Subtract line 18 from line 12.......	215,724,761	177,963,621
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,181,338,583	3,202,919,008
21	Total liabilities (Part X, line 26).............	1,217,507,808	1,188,091,246
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,963,830,775	2,014,827,762

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,181,245,457 including grants of $ 4,467,797 ) (Revenue $ 2,324,096,719 )
	TRINITY HEALTH-MICHIGAN (TH-MI), A HEALTHCARE AND HOSPITAL SYSTEM, HAS BEEN A LEADER IN PATIENT CARE FOR MORE THAN 100 YEARS, COMMITTED TO THE QUALITY CARE OF PATIENTS AND THEIR FAMILIES. TH-MI OPERATES SEVEN HOSPITALS ACROSS MICHIGAN, CONTAINING 1,705 STAFFED BEDS, AS WELL AS OUTPATIENT HEALTH CENTERS, URGENT CARE FACILITIES, PHYSICIAN OFFICES AND SPECIALTY CENTERS, AND COMMUNITY OUTREACH SITES. DURING FISCAL YEAR 2016, TH-MI HOSPITALS' EMPLOYEES, PHYSICIANS AND VOLUNTEERS PROVIDED OVER 434,000 DAYS OF CARE, AND PROVIDED HEALTH CARE SERVICES FOR OVER 2.6 MILLION OUTPATIENT VISITS, OVER 349,000 EMERGENCY ROOM VISITS, AND OVER 8,600 HOME CARE VISITS.TH-MI OPERATES MERCY PRIMARY CARE CENTER IN DETROIT, PROVIDING MEDICAL SERVICES TO UNINSURED AND UNDERINSURED ADULTS, AS WELL AS SPECIAL PERSONAL ASSISTANCE SERVICES TO THE HOMELESS, INCLUDING SHOWERS AND CLEAN CLOTHING, AND ASSISTANCE IN ACCESSING EXISTING COMMUNITY PROGRAMS FOR HOUSING AND SUBSTANCE ABUSE TREATMENT.EACH YEAR TH-MI HOSPITALS PROVIDE OVER $128 MILLION DOLLARS IN UNCOMPENSATED BENEFITS TO THE COMMUNITY. TH-MI IS ACTIVELY ENGAGED IN THE COMMUNITY THROUGH BUSINESS, CIVIC AND SERVICE ORGANIZATIONS, AND THROUGH ITS FINANCIAL SUPPORT OF OTHER NOT-FOR-PROFIT ORGANIZATIONS AND SOCIAL SERVICES AGENCIES.PLEASE VISIT SCHEDULE H AND OUR WEBSITES FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.STJOESHEALTH.ORG AND WWW.MERCYHEALTHSAINTMARYS.COM

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 expenses2,181,245,457

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,680,303	24,876,991	2,386,302

1a	Federated campaigns..		1a	39,352
b	Membership dues..		1b
c	Fundraising events..		1c	1,817,627
d	Related organizations		1d	1,462,725
e	Government grants (contributions)		1e	5,597,082

f	All other contributions, gifts, grants, and similar amounts not included above		1f	11,769,815

g	Noncash contributions included in lines 1a-1f:$ 591,522
h Total.Add lines 1a-1f.......		20,686,601

			Business Code
2a	NET PATIENT SERVICE REVENUE	622110	2,259,687,004	2,259,687,004
b	PHARMACY REVENUE	446110	94,914,147		35,256,020	59,658,127
c	LABORATORY REVENUE	621500	26,032,911		26,032,911
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			2,380,634,062

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			16,105,625			16,105,625
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		11,574,794
b	Less: rental expenses		10,040,437
c	Rental income or (loss)		1,534,357
d	Net rental income or (loss)......			1,534,357			1,534,357
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	6,107,548
b	Less: cost or other basis and sales expenses	4,609,678	17,227,307
c	Gain or (loss)	1,497,870	-17,227,307
d	Net gain or (loss).....			-15,729,437			-15,729,437
8a	Gross income from fundraising events (not including $ 1,817,627of contributions reported on line 1c). See Part IV, line 18 ....
	a		891,619
b	Less: direct expenses ...b		1,303,388
c	Net income or (loss) from fundraising events..			-411,769			-411,769
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		23,405
b	Less: direct expenses ...b		2,293
c	Net income or (loss) from gaming activities..			21,112			21,112
10a	Gross sales of inventory, less returns and allowances ..
	a		4,498,924
b	Less: cost of goods sold ..b		2,575,657
c	Net income or (loss) from sales of inventory..			1,923,267			1,923,267
Business Code			Miscellaneous Revenue
11a	CAFETERIA REVENUE		722514	12,018,397			12,018,397
b	PROVIDER INCENTIVE		622110	2,044,674	2,044,674
c	GOV'T SUBSIDY-EHR		622110	400,490	400,490
d	All other revenue ....			62,213,018	61,964,551	248,467
e	Total. Add lines 11a–11d ......			76,676,579
12	Total revenue. See Instructions......			2,481,440,397	2,324,096,719	61,537,398	75,119,679

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	4,446,797	4,446,797
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	21,000	21,000
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 ....	10,820,530		10,820,530
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	2,721,962	105,788	2,616,174
7	Other salaries and wages	848,186,052	797,049,003	49,244,360	1,892,689
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	30,838,506	29,626,202	1,212,304
9	Other employee benefits .......	76,357,465	71,203,740	4,946,915	206,810
10	Payroll taxes ...........	60,460,176	56,030,285	4,295,330	134,561
11	Fees for services (non-employees):
a	Management ......	45,669	42,417	3,252
b	Legal .........	1,518,707		1,518,707
c	Accounting ...........	8,808		8,808
d	Lobbying ...........	32,000		32,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,768,105		1,768,105
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	219,632,165	209,765,754	8,403,184	1,463,227
12	Advertising and promotion ....	9,054,953	8,407,766	644,547	2,640
13	Office expenses .......	30,435,235	28,172,006	2,159,690	103,539
14	Information technology ......	91,360,939	84,855,819	6,505,120
15	Royalties ..
16	Occupancy ...........	44,116,918	40,948,157	3,139,121	29,640
17	Travel ............	2,817,500	2,601,453	199,430	16,617
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,869,038	1,726,407	132,348	10,283
20	Interest ...........	29,436,361	29,436,361
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	140,782,557	130,753,342	10,023,664	5,551
23	Insurance ...	12,958,060	12,035,415	922,645
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 EXP	434,862,515	434,862,515
b	I/C PURCHASED SERVICES	63,604,979	59,076,053	4,528,821	105
c	HOSPITAL PROVIDER TAX	60,806,768	60,806,768
d	BAD DEBT EXPENSE	54,044,933	54,044,933
e	All other expenses	70,468,078	65,227,476	5,000,394	240,208
25	Total functional expenses. Add lines 1 through 24e	2,303,476,776	2,181,245,457	118,125,449	4,105,870
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).

1	Cash–non-interest-bearing ........			19,758,555	1	31,445,709
2	Savings and temporary cash investments .........			1,623,914	2	574,487
3	Pledges and grants receivable, net ......			12,166,051	3	12,285,722
4	Accounts receivable, net .............			251,709,085	4	308,036,988
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 ....			27,721,827	7	44,838,321
8	Inventories for sale or use ........			38,182,466	8	37,219,421
9	Prepaid expenses and deferred charges ......			13,020,092	9	12,247,152
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,655,278,586
b	Less: accumulated depreciation	10b	1,422,138,731	1,275,509,933	10c	1,233,139,855
11	Investments—publicly traded securities .			622,353,149	11	624,490,320
12	Investments—other securities. See Part IV, line 11 .....			608,412,172	12	589,841,523
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			32,056,222	14	31,954,283
15	Other assets. See Part IV, line 11 ...........			278,825,117	15	276,845,227
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,181,338,583	16	3,202,919,008

17	Accounts payable and accrued expenses .....	216,580,732	17	251,739,615
18	Grants payable ...		18
19	Deferred revenue .........	3,249,108	19	2,948,351
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 ..	24,601,949	23	18,432,192
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	973,076,019	25	914,971,088
26	Total liabilities. Add lines 17 through 25..	1,217,507,808	26	1,188,091,246

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,923,257,437	27	1,971,100,299
28	Temporarily restricted net assets ...........	23,701,275	28	27,106,446
29	Permanently restricted net assets	16,872,063	29	16,621,017
	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 ...........	1,963,830,775	33	2,014,827,762
34	Total liabilities and net assets/fund balances ........	3,181,338,583	34	3,202,919,008