TY 2021 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) LAWRENCE RAPP MD...................................................................... NEUROSURGEON (TH OAKLAND)	50.00 ................. 0.00				X		1,957,165	0	40,424
(2) ROBERT CASALOU...................................................................... DIRECTOR; PRESIDENT & CEO, MI REGION	43.00 ................. 12.00	X	X				0	1,745,307	72,401
(3) EDMUND HODGE...................................................................... DIRECTOR; TRINITY HEALTH EVP, CHRO	2.00 ................. 53.00	X					0	1,362,452	54,921
(4) TODD FRANCIS MD...................................................................... NEUROSURGEON (TH OAKLAND)	50.00 ................. 0.00				X		1,137,714	0	39,917
(5) KARSTEN FLIEGNER MD...................................................................... CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00 ................. 0.00				X		936,529	0	31,860
(6) MARC SILVER MD...................................................................... CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00 ................. 0.00				X		932,485	0	31,995
(7) CHARLES SCHWARTZ MD...................................................................... CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00 ................. 0.00				X		888,372	0	39,979
(8) MICHAEL GUSHO...................................................................... TREASURER; CFO, MICHIGAN REGION	40.00 ................. 10.00		X				0	830,738	64,319
(9) ALONZO LEWIS...................................................................... PRESIDENT TRINITY HEALTH ANN ARBOR	53.00 ................. 2.00			X			0	714,667	179,090
(10) SHANNON STRIEBICH...................................................................... PRES TH OAKLAND & SVP OPS, MI REGION	54.00 ................. 1.00			X			0	826,874	56,278
(11) DAVID SPIVEY...................................................................... PRESIDENT TRINITY HEALTH LIVONIA	55.00 ................. 0.00			X			0	814,992	60,066
(12) ROSALIE TOCCO-BRADLEY MD...................................................................... CCO & REGIONAL CMO, MICHIGAN REGION	50.00 ................. 0.00			X			0	808,184	65,798
(13) HYUNG KIM MD...................................................................... FORMER KEY EMPLOYEE	0.00 ................. 0.00					X	0	641,139	218,360
(14) GARY ALLORE...................................................................... FORMER OFFICER; PRES TH MUSKEGON	0.00 ................. 55.00					X	0	633,265	49,982
(15) SALLY GUINDI...................................................................... SECRETARY; GEN COUNSEL, MICH REGION	40.00 ................. 10.00		X				0	564,952	65,561
(16) MATT BIERSACK MD...................................................................... PRESIDENT THGR AT 8/21; CMO THR 4/22	54.00 ................. 1.00			X			0	551,572	78,808
(17) MATTHEW GRIFFIN MD...................................................................... CMO TRINITY HEALTH LIVONIA	50.00 ................. 0.00			X			0	512,217	54,870

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) NANCY GRAEBNER........................................................................ FORMER KEY EMP; CEO CHELSEA HOSPITAL	0.00 .......................55.00				X	0	530,550	32,210
(19) FABIAN FREGOLI MD........................................................................ CMO TRINITY HEALTH OAKLAND	50.00 .......................0.00			X		0	500,964	52,071
(20) TOMASINE MARX........................................................................ VP FINANCE WEST MARKET	47.00 .......................3.00			X		0	489,922	48,919
(21) DAVID VANDENBERG MD........................................................................ CMO TRINITY HEALTH ANN ARBOR & LIV	50.00 .......................0.00			X		0	474,701	54,396
(22) JOHN O'MALLEY........................................................................ PRESIDENT TRINITY HEALTH LIVINGSTON	55.00 .......................0.00			X		0	437,260	34,681
(23) DANIEL GREEN........................................................................ VP FINANCE TH GRAND RAPIDS	48.00 .......................2.00			X		0	371,611	52,277
(24) MICHAEL SAMYN........................................................................ VP FINANCE TRINITY HEALTH OAKLAND	50.00 .......................0.00			X		0	364,573	57,008
(25) FRANK SAWYER........................................................................ SENIOR VP, OPERATIONS TH OAKLAND	50.00 .......................0.00			X		330,012	0	43,881
(26) CAROL TARNOWSKY........................................................................ FORMER OFFICER	0.00 .......................0.00				X	0	314,541	5,789
(27) KURT MACDONALD........................................................................ SENIOR VP, OPERATIONS TH GR RAPIDS	50.00 .......................0.00			X		271,330	0	42,917
(28) LOREE COLLETT........................................................................ VP, OPERATIONS TH ANN ARBOR	49.00 .......................1.00			X		269,469	0	32,596
(29) MELISSA KAROLAK........................................................................ VP FINANCE TRINITY HEALTH LIVONIA	50.00 .......................0.00			X		0	242,503	38,432
(30) SARAH GILBERT........................................................................ SVP, OPERATIONS TH LIVONIA THR 9/21	50.00 .......................0.00			X		246,774	0	32,063
(31) BILL MANNS........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00				X	0	176,951	0
(32) DALE NESBARY PHD........................................................................ DIRECTOR; CHAIR	2.00 .......................2.00	X	X			0	0	0
(33) DONNA DOLEMAN-DICKERSON........................................................................ DIRECTOR; VICE CHAIR	2.00 .......................2.00	X	X			0	0	0
(34) WAYMAN BRITT........................................................................ DIRECTOR	2.00 .......................2.00	X				0	0	0
(35) ERIC FERGUSON MD........................................................................ DIRECTOR AS OF 8/21	2.00 .......................2.00	X				0	0	0
(36) JAN GARFINKLE........................................................................ DIRECTOR	2.00 .......................2.00	X				0	0	0
(37) JOSE INFANTE........................................................................ DIRECTOR	2.00 .......................2.00	X				0	0	0
(38) SRINIVAS JANARDAN MD........................................................................ DIRECTOR FROM 1/22 THROUGH 4/22	2.00 .......................2.00	X				0	0	0
(39) RANDY LANE........................................................................ DIRECTOR FROM 8/21 THROUGH 9/21	2.00 .......................2.00	X				0	0	0
(40) MARY FRANCIS LEWANDOWSKI CSSF........................................................................ DIRECTOR	2.00 .......................2.00	X				0	0	0
(41) SPENCER MAIDLOW........................................................................ DIRECTOR	2.00 .......................2.00	X				0	0	0
(42) SUZANNE MELLON PHD........................................................................ DIRECTOR AS OF 8/21	2.00 .......................2.00	X				0	0	0
(43) WILLIAM MORRIS........................................................................ DIRECTOR AS OF 3/22	2.00 .......................2.00	X				0	0	0
(44) JEAN NAGELKERK PHD........................................................................ DIRECTOR	2.00 .......................2.00	X				0	0	0
(45) CANETTA REID........................................................................ DIRECTOR	2.00 .......................2.00	X				0	0	0
(46) DAVID STEINBERGER MD........................................................................ DIRECTOR THROUGH 12/21	2.00 .......................2.00	X				0	0	0
(47) LINDA WERTHMAN RSM........................................................................ DIRECTOR	2.00 .......................2.00	X				0	0	0
(48) JAMES WOODS........................................................................ DIRECTOR THROUGH 1/22	2.00 .......................2.00	X				0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
HALLMARK HEALTH CARE SOLUTIONS INC 3000 ATRIUM WAY MT LAUREL TOWNSHIP,NJ08054	HEALTH CARE STAFFING	24,348,083
ANESTHESIA ASSOCIATES OF ANN ARBOR PC 2006 HOGBACK RD STE 5A ANN ARBOR,MI48105	HEALTH CARE SERVICES	7,048,659
GEORGE AUCH COMPANY 65 UNIVERSITY DR PONTIAC,MI48342	CONSTRUCTION SERVICES	5,627,137
ARCTICAX US LTD 801 BROADWAY AVE NW SUITE 303 GRAND RAPIDS,MI49504	LABORATORY SERVICES	4,565,626
MARY FREE BED REHABILITATION HOSPITAL 235 WEALTHY ST SE GRAND RAPIDS,MI49503	REHABILITATION SERVICES	3,911,609
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 287

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 12, 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).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2021

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 (explain in Part VI). 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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization TRINITY HEALTH - MICHIGAN

Part I Contributors	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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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|No

(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

99,610

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

Yes

60,000

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

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

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

159,610

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 THE ORGANIZATIONS HAVE PROVIDED TH-MI WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. TH-MI ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST TO TH-MI.

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 THE ORGANIZATIONS HAVE PROVIDED TH-MI WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. TH-MI ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST TO TH-MI.

Schedule C (Form 990) 2021

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2021

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 ....	26,255,104	22,342,766	21,874,344	22,033,634	20,913,371
b	Contributions ...			186,334	944,923	41,203
c	Net investment earnings, gains, and losses	-1,852,358	3,918,426	284,828	1,775,131	1,340,233
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	11,022	6,088	2,740	2,774,330	159,159
f	Administrative expenses ....				105,014	102,014
g	End of year balance ......	24,391,724	26,255,104	22,342,766	21,874,344	22,033,634

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

0 %

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 .....	47,930,499		47,930,499
b	Buildings ....	1,410,512,591	783,178,254	627,334,337
c	Leasehold improvements	135,573,560	67,016,018	68,557,542
d	Equipment ....	1,143,456,566	876,056,841	267,399,725
e	Other .....	36,969,979	1,891,765	35,078,214
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,046,300,317

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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	231,846,091	F
(B) EQUITY METHOD INVESTMENTS	579,615,226	C
(C) HEDGE FUNDS	115,923,045	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	927,384,362

Part VIII

Investments - Program 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				12,517,421
(2)INTERCOMPANY ACCOUNTS RECEIVABLE				474,632,958
(3)INVESTMENT IN UNCONSOLIDATED AFFILIATES				19,363,567
(4)INTERCOMPANY OTHER LT ASSETS				170,411,970
(5)OTHER LONG-TERM ASSETS				473,631
(6)OTHER CURRENT ASSETS				40,358
(7)OPERATING LEASE RIGHT-OF-USE ASSETS				75,650,290
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				753,090,195

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
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,198,721,593
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) 2021

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) 2021

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

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? . . . . . .

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			11,863,024		11,863,024	0.430 %
b	Medicaid (from Worksheet 3, column a) . . . . .			388,833,212	357,465,362	31,367,850	1.150 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			11,825,179	9,069,651	2,755,528	0.100 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			412,521,415	366,535,013	45,986,402	1.680 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	56	31,429	6,237,306	843,004	5,394,302	0.200 %
f	Health professions education (from Worksheet 5) . . .	14	1,539	96,427,438	59,490,082	36,937,356	1.350 %
g	Subsidized health services (from Worksheet 6) . . . .	19	132,573	38,085,012	22,412,536	15,672,476	0.570 %
h	Research (from Worksheet 7) .	1		9,159,680	4,857,274	4,302,406	0.160 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	43	205	3,787,300	474,151	3,313,149	0.120 %
j	Total. Other Benefits . .	133	165,746	153,696,736	88,077,047	65,619,689	2.400 %
k	Total. Add lines 7d and 7j .	133	165,746	566,218,151	454,612,060	111,606,091	4.080 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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)	(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
7	Community health improvement advocacy
8	Workforce development	1	16,250	16,250	0 %
9	Other
10	Total	1	16,250	16,250	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

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

80,633,226

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).....

480,713,736

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

467,414,459

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

13,299,277

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	53.940 %	41.450 %
66 WATERFORD SURGICAL CENTER LLC	SURGICAL CENTER	20.000 %	80.000 %
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

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?5Name, 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	TRINITY HEALTH ANN ARBOR HOSPITAL 5301 MCAULEY DR YPSILANTI,MI48197 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000071	X	X	X	X
2	TRINITY HEALTH GRAND RAPIDS HOSPITAL 200 JEFFERSON STREET SE GRAND RAPIDS,MI49503 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000030	X	X	X	X
3	TRINITY HEALTH OAKLAND HOSPITAL 44405 WOODWARD AVE PONTIAC,MI48341 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000013	X	X	X	X
4	TRINITY HEALTH LIVONIA HOSPITAL 36475 FIVE MILE RD LIVONIA,MI48154 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000001	X	X	X	X
5	TRINITY HEALTH LIVINGSTON HOSPITAL 620 BYRON RD HOWELL,MI48843 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000033	X	X	X	X

Schedule H (Form 990) 2021

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)

	TRINITY HEALTH ANN ARBOR HOSPITAL
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

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

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): SEE SCHEDULE H, PART V, SECTION C

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 20

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TRINITY HEALTH ANN ARBOR HOSPITAL
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)

Was widely publicized 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):

SEE PART V, PAGE 8

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

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	TRINITY HEALTH ANN ARBOR HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

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

	TRINITY HEALTH ANN ARBOR HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2021

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)

	TRINITY HEALTH GRAND RAPIDS HOSPITAL
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

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

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 20

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TRINITY HEALTH GRAND RAPIDS HOSPITAL
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)

Was widely publicized 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):

SEE PART V, PAGE 8

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

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	TRINITY HEALTH GRAND RAPIDS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

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

	TRINITY HEALTH GRAND RAPIDS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2021

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)

	TRINITY HEALTH OAKLAND HOSPITAL
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

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

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

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 20

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TRINITY HEALTH OAKLAND HOSPITAL
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)

Was widely publicized 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):

SEE PART V, PAGE 8

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

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	TRINITY HEALTH OAKLAND HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

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

	TRINITY HEALTH OAKLAND HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2021

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)

	TRINITY HEALTH LIVONIA HOSPITAL
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

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

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 20

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TRINITY HEALTH LIVONIA HOSPITAL
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)

Was widely publicized 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):

SEE PART V, PAGE 8

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

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	TRINITY HEALTH LIVONIA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

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

	TRINITY HEALTH LIVONIA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2021

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)

	TRINITY HEALTH LIVINGSTON HOSPITAL
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

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

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 20

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TRINITY HEALTH LIVINGSTON HOSPITAL
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)

Was widely publicized 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):

SEE PART V, PAGE 8

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

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	TRINITY HEALTH LIVINGSTON HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

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

	TRINITY HEALTH LIVINGSTON HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2021

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
TRINITY HEALTH ANN ARBOR HOSPITAL	PART V, SECTION B, LINE 3J: N/ALINE 3E: TRINITY HEALTH ANN ARBOR HOSPITAL (THAA) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THAA WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED FOR FISCAL YEAR 2021 (FY21) THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS:1. MENTAL HEALTH AND SUBSTANCE USE DISORDERS2. OBESITY AND RELATED ILLNESSES3. PRECONCEPTUAL AND PERINATAL HEALTH
TRINITY HEALTH GRAND RAPIDS HOSPITAL	PART V, SECTION B, LINE 3J: N/ALINE 3E: TRINITY HEALTH GRAND RAPIDS HOSPITAL (THGR) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THGR WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED FOR FISCAL YEAR 2021 (FY21) THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS:1. ACCESS TO HEALTH CARE 2. DISCRIMINATION AND RACIAL INEQUITY 3. ECONOMIC SECURITY 4. MENTAL HEALTH
TRINITY HEALTH OAKLAND HOSPITAL	PART V, SECTION B, LINE 3J: N/ALINE 3E: TRINITY HEALTH OAKLAND HOSPITAL (THO) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THO WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED FOR FISCAL YEAR 2021 (FY21) THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS:1. BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDERS 2. FOOD SECURITY 3. ACCESS TO CARE INCLUDING HEALTH EDUCATION AND PATIENT NAVIGATION 4. MATERNAL HEALTH 5. DIABETES AND HIGH BLOOD PRESSURE
TRINITY HEALTH LIVONIA HOSPITAL	PART V, SECTION B, LINE 3J: N/ALINE 3E: TRINITY HEALTH LIVONIA HOSPITAL (THLA) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THLA WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED FOR FISCAL YEAR 2021 (FY21) THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS:1. BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE2. ACCESS TO CARE 3. FOOD SECURITY AND ACCESS 4. OBESITY, DIABETES, AND HYPERTENSION
TRINITY HEALTH LIVINGSTON HOSPITAL	PART V, SECTION B, LINE 3J: N/ALINE 3E: TRINITY HEALTH LIVINGSTON HOSPITAL (THL) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THL WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED FOR FISCAL YEAR 2021 (FY21) THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. ACCESS TO CARE2. BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE 3. FOOD SECURITY AND ACCESS4. TRANSPORTATION
TRINITY HEALTH ANN ARBOR HOSPITAL	PART V, SECTION B, LINE 5: BEGINNING IN THE FALL OF 2020 AND THROUGH THE SPRING OF 2021, THAA, AS A PART OF THE COLLABORATIVE NEEDS ASSESSMENT PROCESS WITH CHELSEA HOSPITAL AND UNIVERSITY OF MICHIGAN HEALTH SYSTEM, CONSULTED MANY COMMUNITY ORGANIZATIONS TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AND MINORITY POPULATIONS THROUGH KEY STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEYS. THE HOSPITAL COLLABORATORS, NAMED UNIFIED NEEDS ASSESSMENT IMPLEMENTATION PLAN TEAM ENGAGEMENT (UNITE), SOUGHT QUALITATIVE INPUT FROM COMMUNITY MEMBERS AND KEY STAKEHOLDERS ON THE TOP COMMUNITY HEALTH NEEDS, AS WELL AS BROADER COMMUNITY NEEDS. UNITE MEMBERS COLLECTED THIS DATA DURING VIRTUAL MEETINGS OF WELLNESS COALITIONS, SAFETY-NET ORGANIZATIONS, FOOD PANTRIES, MINISTERIAL ASSOCIATIONS, AND WASHTENAW HEALTH INITIATIVE STAKEHOLDERS. THE HOSPITALS ALSO COLLECTED THIS DATA ELECTRONICALLY, VIA A SURVEY SENT TO COMMUNITY PARTNERS (INCLUDING HEALTH CARE PROVIDERS, SOCIAL SERVICE PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS). ORGANIZATIONS THAT WERE ENGAGED IN VIRTUAL MEETINGS AND THE SURVEY INCLUDED, BUT ARE NOT LIMITED TO: WASHTENAW HEALTH INITIATIVE, WASHTENAW HEALTH DEPARTMENT COMMUNITY VOICES FOR HEALTH EQUITY TEAM, FOOD GATHERERS, YPSILANTI MEALS ON WHEELS, AND FAITH IN ACTION. THESE ORGANIZATIONS REPRESENT THE LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS IN THE THAA SERVICE AREA.
TRINITY HEALTH GRAND RAPIDS HOSPITAL	PART V, SECTION B, LINE 5: THE CHNA WAS VERY INCLUSIVE AND COMPREHENSIVE IN INCORPORATING INPUT FROM PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. THE DATA WAS COLLECTED THROUGH THE MONTHS OF JANUARY TO SEPTEMBER OF 2020. THE QUALITATIVE DATA WAS FROM A COLLECTION OF BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEYS VIA TELEPHONE AND COMMUNITY SURVEYS DEVELOPED BY THE CHNA COUNSEL, WHICH WERE ADMINISTERED VIA WEB-BASED OR PAPER FORM, AND WERE OFFERED IN BOTH ENGLISH AND SPANISH. ADDITIONAL DATA WAS COLLECTED FROM STATE INFORMATION SOURCES SUCH AS: AMERICAN COMMUNITY SURVEY 1-YEAR AND 5-YEAR ESTIMATES, CONDUCTED BY THE U.S. CENSUS BUREAU; DATABASE OF THE CENTERS FOR DISEASE CONTROL (CDC) AND PREVENTION'S NATIONAL CENTER FOR HEALTH STATISTICS; MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, DIVISION FOR VITAL RECORDS AND HEALTH STATISTICS; MICHIGAN DISEASE SURVEILLANCE SYSTEM; MICHIGAN RESIDENT INPATIENT FILES; AND THE MICHIGAN PROFILE FOR HEALTHY YOUTH SURVEY, CONDUCTED BY THE MICHIGAN DEPARTMENT OF EDUCATION. MORE INFORMATION ON EACH OF THESE METHODS IS DESCRIBED IN GREATER DETAIL IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. SEVERAL COMMUNITY ORGANIZATIONS PROVIDED INPUT, INCLUDING: ARBOR CIRCLE, AREA AGENCY ON AGING, CHERRY HEALTH, DEAF AND HARD OF HEARING SERVICES, FAMILY OUTREACH CENTER, GARFIELD PARK NEIGHBORHOOD ASSOCIATION, WEST MICHIGAN SUSTAINABLE BUSINESS FORUM, BLUE CROSS BLUE SHIELD OF MI, BRIGHT HORIZONS, BRONSON HEALTH CARE, DEPARTMENT OF INFRASTRUCTURE MANAGEMENT, WASHTENAW COUNTY, DUTTON ELEMENTARY SCHOOL, FEDERAL EMERGENCY MANAGEMENT AGENCY, GEERS LAW, GREATER GRAND RAPIDS NAACP, HELEN DEVOS CHILDREN'S HOSPITAL, HERITAGE HOMES, INC., HOLLAND HOSPITAL, HOPE NETWORK, JUDSON GROUP, KENT COUNTY HEALTH DEPARTMENT, KEURIG, DR PEPPER, KIDS' FOOD BASKET, MARY FREE BED REHABILITATION HOSPITAL, MICHIGAN STATE UNIVERSITY, MISSION POINT HEALTHCARE, NETWORK180, ORTHOPEDIC ASSOCIATES OF MICHIGAN, SPECTRUM HEALTH, AND TRINITY HEALTH OAKLAND HOSPITAL. THE RESULTS OF THE SURVEYS WERE FROM COMMUNITIES ACROSS KENT COUNTY AND REPRESENTED A DIVERSE POPULATION. SURVEY RESPONDENTS WERE 20% MALE, 79% FEMALE, 1% NON-BINARY, AND REPRESENTED VARYING ETHNICITIES, INCLUDING NOT HISPANIC OR LATINO, ASIAN, HISPANIC/LATINO, AND THOSE WITH MULTIRACIAL BACKGROUNDS. OF SURVEY RESPONDENTS, 13% EARNED ANNUAL INCOME OF LESS THAN $20,000 AND 2% OF SURVEY RESPONDENTS DID NOT HAVE A HIGH SCHOOL DIPLOMA. THE COMMUNITY ORGANIZATIONS WHO WERE INVOLVED IN THE CHNA PROCESS REPRESENT RESIDENTS OF ALL AGES, LOW-INCOME, HOMELESS, ETHNICALLY DIVERSE, UNINSURED/UNDERINSURED, AT-RISK YOUTH, PREGNANT WOMEN, AND THOSE STRUGGLING WITH BEHAVIORAL HEALTH AND SUBSTANCE USE CONCERNS.
TRINITY HEALTH OAKLAND HOSPITAL	PART V, SECTION B, LINE 5: IN THE FALL OF 2020, THO CONDUCTED A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, WITH COMMUNITY ORGANIZATION INPUT INCLUDING THE OAKLAND COUNTY HEALTH DEPARTMENT. THE HOSPITAL COLLABORATORS AND COMMUNITY ORGANIZATIONS REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND MINORITY POPULATIONS AS A PART OF THE NEEDS ASSESSMENT.THE CHNA COUNCIL SERVED AS THE THO CHNA ADVISORY GROUP. THE ADVISORY GROUP INCLUDED BOARD OF DIRECTOR MEMBERSHIP AND REPRESENTATIVES FROM THE VULNERABLE PATIENT POPULATION. THESE MEMBERS WERE INVOLVED IN SURVEY DISTRIBUTION, HEALTH NEEDS IDENTIFICATION AND PRIORITIZATION. INPUT FROM COMMUNITY LEADERS INCLUDED THE PONTIAC SCHOOL BOARD, OAKLAND COUNTY SHERIFF'S DEPARTMENT AND OAKLAND UNIVERSITY. CENTRO MULTICULTURAL LA FAMILIA, GARY BURNSTEIN COMMUNITY HEALTH CLINIC, AND OAKLAND LIVINGSTON HUMAN SERVICE AGENCY PROVIDED INPUT REPRESENTING THE COMMUNITY'S MARGINALIZED RESIDENTS. THE THO CHNA WAS BRANDED "MAKING A DIFFERENCE IN THE HEALTH OF OUR COMMUNITY." A 27-QUESTION PAPER AND ONLINE SURVEY WAS DEVELOPED COVERING THE TOPICS OF ACCESS TO CARE, PERSONAL HEALTH BEHAVIORS, PERCEIVED COMMUNITY HEALTH NEEDS AND PARTICIPANT DEMOGRAPHICS. THIS SURVEY WAS PROMOTED THROUGH VARIOUS COMMUNITY PARTNERS. PAPER SURVEYS WERE DISTRIBUTED TO RESIDENTS AT STRATEGIC COMMUNITY ACCESS POINTS TO REDUCE BARRIERS TO COMPLETION. DISTRIBUTION WAS VARIED BECAUSE OF COVID-19 RESTRICTIONS AND INCLUDED ADDITIONAL QUESTIONS RELATED TO THE PANDEMIC. A TOTAL OF 663 SURVEY RESPONSES WERE RECEIVED FROM BOTH ONLINE AND PAPER SUBMISSIONS FOR OAKLAND COUNTY.VIRTUAL COMMUNITY FORUMS WERE HELD WITH THE MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH AND THE OAKLAND COUNTY HEALTH DEPARTMENT ON JANUARY 13 AND 20, 2021. THE FORUMS WERE CONDUCTED TO GAIN COMMUNITY INPUT ON THE MOST PRESSING HEALTH NEEDS, BARRIERS TO HEALTH CARE ACCESS, AND WHICH HEALTH NEEDS TO ADDRESS.
TRINITY HEALTH LIVONIA HOSPITAL	PART V, SECTION B, LINE 5: A COMMUNITY-BASED COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY GROUP OF OVER 20 MEMBERS WAS CONVENED IN SEPTEMBER 2020 TO LEAD THIS PROCESS, WITH THE INTENT THAT SOME OF THE MEMBERS WOULD CONTINUE AS PARTICIPANTS FOR THE IMPLEMENTATION WORK GROUP. THESE PARTNERS INCLUDE REPRESENTATIVES FROM THE WAYNE COUNTY DEPARTMENT OF HEALTH, VETERANS AND COMMUNITY HEALTH, LIVONIA AND SOUTH REDFORD SCHOOL DISTRICTS, WAYNE HOPE CLINIC, MADONNA UNIVERSITY, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, NORTHVILLE TOWNSHIP PARKS AND RECREATION, INTERFAITH HEALTH AND HOPE COALITION, JOURNEY TO HOUSING, PLYMOUTH COMMUNITY CHAMBER OF COMMERCE, FARMINGTON HILLS SPECIAL SERVICES, REDFORD INTERFAITH RELIEF (RIR), COVENANT COMMUNITY CARE, AUTHORITY HEALTH, KIRKSEY LIVONIA RECREATION CENTER (CITY OF LIVONIA), AND THREE COMMUNITY MEMBERS. THE DIRECTOR OF COMMUNITY HEALTH AND WELL BEING CONVENED THE MEETINGS AND OTHER THLA AND TRINITY HEALTH COLLEAGUES ATTENDED, AS APPROPRIATE. THE THLA COMMUNITY HEALTH NEEDS SURVEY WAS BRANDED "MAKING A DIFFERENCE IN THE HEALTH OF OUR COMMUNITY." A PAPER AND ONLINE SURVEY, COMPOSED OF 27 QUESTIONS ABOUT ACCESS TO CARE, PERSONAL HEALTH BEHAVIORS, PERCEIVED COMMUNITY HEALTH NEEDS AND PARTICIPANT DEMOGRAPHICS WAS PROMOTED THROUGH VARIOUS COMMUNITY PARTNERS. DISTRIBUTION WAS DIFFERENT THIS YEAR BECAUSE OF COVID-19 RESTRICTIONS. THE SURVEY INCLUDED ADDITIONAL QUESTIONS RELATED TO THE COVID-19 PANDEMIC. OF THE 714 RESPONSES, 214 (30%) WERE PAPER SURVEYS MOSTLY FROM VULNERABLE POPULATIONS, SUCH AS REDFORD INTERFAITH RELIEF FOOD PANTRY, OTHER FOOD DISTRIBUTION SITES IN THE COMMUNITY, AND SENIOR HOUSING LOCATIONS.ON NOVEMBER 17 AND 19, 2020, VIRTUAL COMMUNITY FORUMS WERE HELD WITH THE MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH AND THE WAYNE COUNTY DEPARTMENT OF HEALTH, VETERANS AND COMMUNITY HEALTH. THE FORUMS WERE CONDUCTED TO GAIN COMMUNITY INPUT ON THE MOST PRESSING HEALTH NEEDS, BARRIERS TO HEALTH CARE ACCESS, AND WHICH HEALTH NEEDS TO ADDRESS.TO GAIN INPUT FROM THE VULNERABLE POPULATIONS IN OUR AREA, THLA ENGAGED THE LEADERSHIP OF THE REDFORD INTERFAITH RELIEF (RIR) AND CANTON COMMUNITY FOUNDATION IN THE DISTRIBUTION OF THE PAPER SURVEYS. THERE WAS ALSO LEADERSHIP REPRESENTATION FROM COVENANT COMMUNITY CARE (WHICH MANAGES A FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) IN WESTLAND), RIR, AND HOPE CLINIC. THESE ORGANIZATIONS WERE IN THE CHNA ADVISORY GROUP AND, AS PART OF THEIR ADVISORY ROLES, PARTICIPATED IN PRIORITIZATION OF NEEDS AND WORKGROUP DEVELOPMENT FOR IMPLEMENTATION PLANNING.
TRINITY HEALTH LIVINGSTON HOSPITAL	PART V, SECTION B, LINE 5: MANY COLLABORATIVE PARTNERS, INCLUDING THE LIVINGSTON COUNTY HEALTH DEPARTMENT, WERE ENGAGED TO ADVISE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE LIVINGSTON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WORK GROUP WAS DESIGNATED AS THE THL CHNA ADVISORY GROUP. THE MEMBERS WERE INVOLVED IN SURVEY DISTRIBUTION, THE NEEDS IDENTIFICATION, AND PRIORITIZATION PROCESS. COMMUNITY STAKEHOLDERS AND ORGANIZATIONS WERE INTERVIEWED FOR THE PURPOSE OF PROVIDING INPUT AND INFORMING THE CHNA PROCESS. INPUT FROM LEADERS IN LIVINGSTON COUNTY CATHOLIC CHARITIES, LIVINGSTON ESSENTIAL TRANSPORTATION SERVICE, OLSHA, GLEANERS, AND UNITED WAY PROVIDED INPUT ON NEEDS OF THOSE MOST VULNERABLE IN OUR COMMUNITY.THE THL COMMUNITY HEALTH NEEDS SURVEY WAS BRANDED "MAKING A DIFFERENCE IN THE HEALTH OF OUR COMMUNITY." A PAPER AND ONLINE SURVEY, COMPOSED OF 27 QUESTIONS ABOUT ACCESS TO CARE, PERSONAL HEALTH BEHAVIORS, PERCEIVED COMMUNITY HEALTH NEEDS, AND PARTICIPANT DEMOGRAPHICS WAS PROMOTED THROUGH VARIOUS COMMUNITY PARTNERS. DISTRIBUTION WAS DIFFERENT THIS YEAR BECAUSE OF COVID-19 RESTRICTIONS. THE SURVEY INCLUDED ADDITIONAL QUESTIONS RELATED TO THE COVID-19 PANDEMIC. FOR LIVINGSTON COUNTY, THERE WERE A TOTAL OF 426 SURVEY RESPONSES RECEIVED FROM BOTH ONLINE AND PAPER SUBMISSIONS.ON NOVEMBER 10 AND 12, 2020, VIRTUAL COMMUNITY FORUMS WERE HELD WITH THE MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH AND THE LIVINGSTON COUNTY HEALTH DEPARTMENT. THE FORUMS WERE CONDUCTED TO GAIN COMMUNITY INPUT ON THE MOST PRESSING HEALTH NEEDS, BARRIERS TO HEALTH CARE ACCESS, AND WHICH HEALTH NEEDS TO ADDRESS.
TRINITY HEALTH ANN ARBOR HOSPITAL	PART V, SECTION B, LINE 6A: THAA CONDUCTED THE CHNA WITH CHELSEA HOSPITAL AND MICHIGAN MEDICINE (D/B/A UNIVERSITY OF MICHIGAN HEALTH SYSTEM).
TRINITY HEALTH GRAND RAPIDS HOSPITAL	PART V, SECTION B, LINE 6A: THGR CONDUCTED THE CHNA WITH METRO HEALTH HOSPITAL (UNIVERSITY OF MICHIGAN HEALTH), SPECTRUM HEALTH, AND MARY FREE BED REHABILITATION HOSPITAL.
TRINITY HEALTH ANN ARBOR HOSPITAL	PART V, SECTION B, LINE 6B: THAA CONDUCTED THE CHNA WITH THE WASHTENAW COUNTY HEALTH DEPARTMENT.
TRINITY HEALTH GRAND RAPIDS HOSPITAL	PART V, SECTION B, LINE 6B: THGR CONDUCTED THE CHNA WITH KENT COUNTY HEALTH DEPARTMENT AND PINE REST CHRISTIAN MENTAL HEALTH SERVICES.
TRINITY HEALTH OAKLAND HOSPITAL	PART V, SECTION B, LINE 6B: THO CONDUCTED THE CHNA WITH THE OAKLAND COUNTY HEALTH DEPARTMENT.
TRINITY HEALTH ANN ARBOR HOSPITAL	PART V, SECTION B, LINE 7D: THAA SHARES PERIODIC UPDATES ON THE PROGRESS MADE ON PROGRAMS AND SERVICES VIA POWERPOINT PRESENTATIONS AND NARRATIVE REPORTS. THESE DOCUMENTS ARE AVAILABLE FOR PARTNERS TO SHARE WITH THEIR CONSTITUENTS. THAA HIGHLIGHTED ITS COMMUNITY HEALTH AND WELLNESS PROGRAMS IN THE THAA REGIONAL COMMUNITY HEALTH AND WELL-BEING REPORT AND CONTINUES TO DISTRIBUTE THE REPORT.
TRINITY HEALTH OAKLAND HOSPITAL	PART V, SECTION B, LINE 7D: THO SHARED ITS CHNA BROADLY ON THE HOSPITAL'S COMMUNITY HEALTH AND WELL-BEING WEBPAGE. THO REVIEWED QUARTERLY METRICS WITH COMMUNITY BENEFIT RECIPIENTS TO TRACK IMPLEMENTATION PLAN DEVELOPMENT RELATIVE TO PRIORITY HEALTH PROGRAMS AND SERVICES. THO ALSO SHARED ITS CHNA WITH THE OAKLAND COUNTY HEALTH DEPARTMENT AND NEIGHBORING COMMUNITIES THROUGH A VIRTUAL POWERPOINT PRESENTATION. ADDITIONAL COPIES OF THE CHNA ARE ALSO MADE AVAILABLE FOR RETRIEVAL BY REQUEST FROM THE THO MARKETING DEPARTMENT AND CLERK'S OFFICES FOR WATERFORD AND PONTIAC TO FURTHER ACCOMMODATE BROAD COMMUNITY ACCESS OF THE REPORT WITHIN THE HOSPITAL'S IMMEDIATE SERVICE AREA.
TRINITY HEALTH ANN ARBOR HOSPITAL	PART V, SECTION B, LINE 11: AS A PART OF THE COLLABORATIVE CHNA PROCESS WITH CHELSEA HOSPITAL AND UNIVERSITY OF MICHIGAN HEALTH SYSTEM, THE COMMUNITY HEALTH NEEDS PRIORITIZED ARE MENTAL HEALTH AND SUBSTANCE USE, OBESITY-RELATED ILLNESSES, AND PRECONCEPTUAL/PERINATAL HEALTH. TRINITY HEALTH ANN ARBOR (THAA) ADDRESSED THE FOLLOWING SIGNIFICANT HEALTH NEEDS IN FY22:MENTAL HEALTH AND SUBSTANCE USE - IN FY22, THAA CONTINUED WORKING 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 SERVED BY THAA, INCLUDING CONTINUED EDUCATION IN THE COMMUNITY ABOUT EXPANDED SERVICES THROUGH OUR TRANSITION CLINIC, ENHANCED SUPPORT THROUGH OUR GREENBROOK RECOVERY CENTER FOR THOSE EXPERIENCING CRISIS, AND EXPANDED INTEGRATION OF MENTAL HEALTH PROVIDER SUPPORT WITHIN THE PHYSICIAN NETWORK ACROSS SOUTHEAST MICHIGAN; AND- ENGAGING SOCIAL SERVICE ORGANIZATIONS PROVIDING SERVICES AROUND MENTAL HEALTH AND SUBSTANCE USE DISORDER THROUGH THE TRINITY HEALTH ANN ARBOR INVESTING IN OUR COMMUNITIES GRANT FUNDING.OBESITY - IN FY22, THAA CONTINUED WORKING TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING RISING OBESITY RATES IN OUR COMMUNITY. THAA SUPPORTED 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, INCLUDING AN EXPANSION OF SUBSIDIZED COMMUNITY SUPPORTED AGRICULTURE (CSA) PROGRAMMING AT THE FARM AT TRINITY HEALTH ANN ARBOR, ENHANCED RELATIONSHIPS WITH LOCAL FARMERS AND FOOD PROVIDERS THROUGH FARM PARTNERSHIPS TO INCREASE FOOD AVAILABILITY TO OUR MOST VULNERABLE COMMUNITY MEMBERS, CONTINUED FUNDING SUPPORT FOR PRESCRIPTION FOR HEALTH, AND NEW FOOD DELIVERY AND ONLINE ACCESS TO NUTRITIOUS LOCAL FOODS FOR THOSE WHO ARE HOMEBOUND OR EXPERIENCING INCREASED FOOD INSECURITY;-INVOLVEMENT IN LOCAL AND STATE POLICY CONVERSATIONS TO ENHANCE FOOD SYSTEMS FOR COMMUNITY MEMBERS; AND-ENGAGEMENT OF SOCIAL SERVICE ORGANIZATIONS PROVIDING SERVICES AROUND FOOD INSECURITY THROUGH THE TRINITY HEALTH ANN ARBOR INVESTING IN OUR COMMUNITIES GRANT FUNDING.PRECONCEPTUAL/PERINATAL HEALTH - IN FY22, THAA CONTINUED WORKING TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING PRECONCEPTUAL/PERINATAL HEALTH IN OUR COMMUNITY BY:- PROVIDING INNOVATIVE STRATEGIES TO ENSURE LOW-INCOME PREGNANT WOMEN IN THE COMMUNITY RECEIVE PRENATAL CARE IN A SUPPORTIVE ENVIRONMENT;- SUPPORTING WOMEN IN THEIR CHOICE TO BREASTFEED THROUGH THE ACHIEVEMENT OF BABY-FRIENDLY DESIGNATION;- BEGINNING EXECUTION OF EXPANSION OF PERINATAL SERVICES THROUGH ENHANCED COMPREHENSIVE MENTAL, PHYSICAL, AND SOCIAL INFLUENCER OF HEALTH (SIOH) SUPPORT IN THE DEVELOPMENT OF A PERINATAL WELLNESS CENTER; AND- OFFERING WOMEN AND THEIR PARTNERS OPPORTUNITIES TO BE PREPARED TO ENTER INTO PARENTHOOD THROUGH OFFERING BIRTH, BREASTFEEDING, AND PARENTING PREPARATORY COURSES (VIRTUAL DUE TO THE PANDEMIC).
TRINITY HEALTH GRAND RAPIDS HOSPITAL	PART V, SECTION B, LINE 11: DURING FY 2022, THGR HAS WORKED IN PARTNERSHIP WITH MULTIPLE COMMUNITY-BASED ORGANIZATIONS AND THE HEALTH PROJECT TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE 2021 CHNA. THESE PRIORITY NEEDS INCLUDED: ACCESS TO CARE, DISCRIMINATION AND RACIAL INEQUITY, ECONOMIC SECURITY, AND MENTAL HEALTH. ACCESS TO CARE - THGR HAS THREE SAFETY NET PRIMARY CARE CLINICS FOR LOW- AND NO-INCOME PATIENTS IN KENT COUNTY SERVING APPROXIMATELY 35,832 PATIENTS PER YEAR. THESE INCLUDE BROWNING CLAYTOR IN THE SOUTHEAST NEIGHBORHOOD OF GRAND RAPIDS, CLINICA SANTA MARIA SERVING SOUTHWEST GRAND RAPIDS, AND TRINITY HEALTH MEDICAL GROUP-SPARTA, SERVING THE RESIDENTS OF NORTHWEST KENT COUNTY. IN ADDITION TO PRIMARY CARE, THESE CLINICS OFFER MATERNAL SUPPORT SERVICES FOR LOW-INCOME PREGNANT WOMEN, PROVIDING A HOLISTIC APPROACH TO PRENATAL CARE FOR AT-RISK PREGNANT WOMEN. THGR ALSO OFFERS SPECIALTY SERVICES THROUGH ITS INTERNAL MEDICINE RESIDENCY CLINIC, THE TRINITY HEALTH MEDICAL GROUP, ACADEMIC INTERNAL MEDICINE - GRAND RAPIDS CAMPUS, WHICH SERVED 4,052 PEOPLE IN 2022. THGR ALSO HAS THE TRINITY HEALTH MEDICAL GROUP, MCAULEY CLINIC, PROVIDING MEDICAL SERVICES FOR 2,100 PATIENTS LIVING WITH HIV/AIDS. THGR ALSO HAS A COMPREHENSIVE DIABETES PROGRAM THAT PROVIDES DIABETIC CARE AND EDUCATION TO HIGH-RISK AND UNMANAGED DIABETICS SERVING 17,524 PATIENTS. THE HEALTH PROJECT HUB HOME-VISITING COMMUNITY HEALTH WORKERS (CHW'S) AND THE OFFICE-BASED CHW'S CONNECT THOSE WHO ARE UNINSURED AND PEOPLE WITH MEDICAID AND MEDICARE INSURANCES TO MEDICATION ASSISTANCE, FINANCIAL ASSISTANCE, MEDICAL PROVIDERS, AND SPECIALTY PROVIDERS. MANY OF THE PATIENTS WHO ARE SERVED BY THE CHW'S DO NOT HAVE A PHYSICIAN OR NEED PHYSICIAN SPECIALISTS, SUCH AS ONCOLOGISTS. THE HOME- AND OFFICE-BASED CHW'S PROVIDE, ON AVERAGE, 2,100 MONTHLY CONTACTS WITH PATIENTS, CONNECTING THEM TO NEEDED MEDICAL AND COMMUNITY RESOURCES. THE CHW'S WHO ARE ALSO CROSS-TRAINED AS RECOVERY COACHES LINK PATIENTS WITH OPIATE USE DISORDER TO OUTPATIENT TREATMENT AND OTHER MEDICAL PROVIDERS AND COMMUNITY RESOURCES. IN FY22, THE HOME-VISITING CHW'S CONNECTED PATIENTS TO A PRIMARY CARE PHYSICIAN, SPECIALTY PHYSICIANS, OR OTHER HEALTH CARE SERVICES, ASSISTED PATIENTS WITH HEALTH INSURANCE, AND PROVIDED EDUCATION ON A VARIETY OF ISSUES. DISCRIMINATION AND RACIAL INEQUITY - THGR HAS INITIATED A DIVERSITY AND INCLUSION COUNCIL TO ADDRESS SYSTEMIC ISSUES ROOTED IN INEQUALITY AND RACISM AS IT RELATES TO OVERALL POLICY AND SYSTEM ORIENTATION. MISSION SERVICES INITIATED A DEEP DIVE INTO THE PATIENT EXPERIENCE AND ACCESS DATA THAT WOULD UNCOVER OPPORTUNITIES FOR IMPROVEMENT. ADDITIONALLY, TRINITY HEALTH'S SYSTEM OFFICE REQUIRED ALL COLLEAGUES TO HAVE UNCONSCIOUS BIAS TRAINING WITH ADVANCED COURSEWORK FOR ALL PROVIDERS EMPLOYED WITHIN MICHIGAN. THGR PROVIDES ADMINISTRATIVE SUPPORT TO THE STRONG BEGINNINGS AND FIRST STEPS KENT PROGRAMS, PROVIDING SERVICES TO HIGH-RISK PREGNANT MOTHERS WHO ARE AFRICAN AMERICAN, LATINX OR EAST AFRICAN REFUGEES. THE STAFF FOR THE TRINITY HEALTH COMMUNITY HEALTH WORKER HUB PROGRAM IS RACIALLY DIVERSE - AFRICAN AMERICAN, ASIAN, ARABIC OR LATINX - AND ADDRESSES THE NEEDS OF THE POPULATION THEY SERVE IN A CULTURALLY DIVERSE AND SENSITIVE MANNER. THEY CAN CONNECT WITH THE COMMUNITIES THEY SERVE GIVEN THEIR PERSONAL KNOWLEDGE OF THE COMMUNITY. THE RACIAL COMPOSITION OF THE PATIENTS SERVED BY THE HOME-VISITING CHW'S WAS 30% AFRICAN AMERICAN, 13% HISPANIC AND 2% ASIAN. MENTAL HEALTH - WITH THE GOAL OF REDUCING BARRIERS TO ACCESSING MENTAL HEALTH SERVICES, THGR HAS CONTINUED TO INTEGRATE MENTAL HEALTH SERVICES IN THE PRIMARY CARE SETTING. THIS ALLOWS FOR A WARM TRANSITION FROM A TRUSTED MEDICAL PROVIDER TO A TRUSTED MENTAL HEALTH PROVIDER, ELIMINATING THE NEED FOR PATIENTS TO NAVIGATE THE COMPLICATED MENTAL HEALTH CARE SYSTEM ON THEIR OWN. OFFERING INTEGRATED SERVICES ALSO REDUCES TRANSPORTATION BARRIERS FOR PATIENTS. IN FY22, THERE WERE 11 PRIMARY CARE, RESIDENCY, AND SPECIALTY OFFICES THAT OFFERED MENTAL HEALTH SERVICES. ADDITIONALLY, THE CHW PROGRAM IS DESIGNED TO NAVIGATE THIS SYSTEM WITH HIGH-RISK PATIENTS TO ENSURE ACCESS, COMPLIANCE, AND TREATMENT INITIATION. IN FY22, THERE WERE 21 PATIENTS SERVED BY COMMUNITY HEALTH WORKERS FOR BEHAVIORAL HEALTH CONCERNS. THGR OFFERS OUTPATIENT BEHAVIORAL HEALTH SERVICES THAT ARE INTEGRATED INTO PRIMARY CARE SERVICES AS WELL AS PROVIDING AN ACUTE UNIT THAT PROVIDES SERVICES FOR THOSE PATIENTS WITH CHRONIC AND DEBILITATING MENTAL HEALTH ISSUES AS WELL AS NEW ONSET PSYCHIATRIC SYMPTOMS. RECOGNIZING A SIGNIFICANT GAP IN THE COMMUNITY, THEY ALSO BEGAN MAKING PLANS FOR A NEW BEHAVIORAL HEALTH CRISIS CENTER WHICH WILL OPEN ON THE TRINITY HEALTH HOSPITAL CAMPUS IN DOWNTOWN GRAND RAPIDS, ALLOWING MORE SPECIALIZED CARE FOR PEOPLE IN CRISIS. THIS NEW CENTER, SCHEDULED TO OPEN IN FY23, WILL HAVE DEDICATED SPACE, SEPARATE FROM EMERGENCY MEDICAL SERVICES, ALLOWING MORE TARGETED AND EFFECTIVE BEHAVIORAL HEALTH CARE.ECONOMIC SECURITY - TRINITY HEALTH GRAND RAPIDS IS COMMITTED TO IDENTIFYING AND WORKING TO IMPACT THE SOCIAL INFLUENCERS OF HEALTH, AS WELL AS DEMONSTRATE INTENTION TOWARD THE RESOLUTION OF DISPROPORTIONATE BARRIERS THAT FACED THGR'S PATIENTS AND THEIR FAMILIES RELATED TO ECONOMIC PROSPERITY AND OPPORTUNITY. DURING THE REPORTING PERIOD, THGR CONTINUED TO FURTHER THE SCREENINGS FOR SOCIAL NEEDS, DESIGNED TO GROW THE RATE OF SCREENINGS IN THGR'S AMBULATORY AND EMERGENCY DEPARTMENTS AND BRING OVERALL SCREENING RATES UP TO 56% OF ALL PATIENTS IN 2022. SIGNIFICANT PLANNING AND RESOURCE DEVELOPMENT HAVE BEEN DONE FOR THE HEARTSIDE HEALTH DISTRICT REVITALIZATION PROJECT THAT WILL REINVIGORATE THE COMMUNITY THROUGH MIXED USE HOUSING, INNOVATIVE LOCAL BUSINESSES, AND SUPPORT OF AREA NONPROFITS THAT SERVE THE COMMUNITY. THROUGH A GOOD BOX PROGRAM, THGR INCREASED THEIR INVESTMENT IN FOOD SECURITY, PROVIDING 100 FAMILIES (UP FROM 50) WITH 20LBS OF FRESH PRODUCE EACH WEEK. CONCURRENTLY, THGR TRACKED SCREENING RATES FOR THOSE THAT HAVE FOOD INSECURITY AND SUPPORTED ENROLLMENT INTO STATE AND FEDERALLY SPONSORED FOOD ACCESS PROGRAMS AND BENEFITS. INTERNALLY, THGR IS BEGINNING TO WORK CLOSELY WITH TRINITY HEALTH - MICHIGAN ON THE ESTABLISHMENT OF EXPANDING ENTRY LEVEL CAREER PATHWAYS IN ORDER TO SUPPORT INDIVIDUALS AND FAMILIES IN EMBARKING UPON A CAREER IN HEALTH CARE.
TRINITY HEALTH OAKLAND HOSPITAL	PART V, SECTION B, LINE 11: IN FY22, TRINITY HEALTH OAKLAND (THO) PRIORITIZED AND ADDRESSED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS: BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE USE), FOOD SECURITY, ACCESS TO CARE, MATERNAL HEALTH, DIABETES AND HIGH BLOOD PRESSURE. BEHAVIORAL HEALTH/SUBSTANCE ABUSE - THO CONTINUED TO SUPPORT PATIENT MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS THROUGH REFERRAL TO COMMON GROUND, LIGHTHOUSE OF OAKLAND COUNTY, AND HOMELESS HOUSING RESPITE CARE PROGRAMS. IN FY22, COMMUNITY HEALTH AND WELL BEING PLACED SUBSTANTIAL FOCUS ON COMMUNITY HEALTH WORKERS (CHW) PROVIDING PATIENT NAVIGATION. UNIQUE FOCUS WAS PLACED ON AFFORDABLE AND SUBSIDIZED HOUSING RESOURCES INCLUDING HOUSING STATUS VERIFICATION AND HOMELESS DIVERSION SUPPORT. CHW'S UTILIZED SOCIAL INFLUENCER OF HEALTH (SIOH) ASSESSMENTS TO IMPROVE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT RESOURCES. DRUG-FREE COMMUNITIES MATCHING FUNDS WERE PROVIDED TO LIGHTHOUSE OF OAKLAND COUNTY AND QUALIFYING COMMUNITY RESPITE CARE PROGRAMS INCLUDING HOPE WARMING SHELTER. THO CONTINUES TO PROVIDE IN-KIND STAFF SUPPORT FROM THE CHW TEAM FOR BEHAVIORAL HEALTH AND PEER SUPPORT GROUP REFERRALS. FOOD SECURITY - IN FY22, THO CONTINUED TO PROVIDE COMMITTEE MEMBER LEADERSHIP AND SUPPORT FOR HEALTHY PONTIAC, WE CAN! AND OAKLAND COUNTY FOOD POLICY COUNCILS. THESE COUNCILS WORKED COLLABORATIVELY TO ADVOCATE ON FOOD POLICY BARRIERS IN ACCESSIBILITY AND SUPPLY SHORTAGES, SPECIFICALLY WITHIN THE COMMUNITIES OF PONTIAC AND GREATER OAKLAND COUNTY. THE OAKLAND FARM, LOCATED ON THE THO CAMPUS, BECAME A PROMINENT COMMUNITY GARDEN AND HEALTH EDUCATION SPACE FOR THE GREATER PONTIAC COMMUNITY IN FY22. THE OAKLAND FARM INTRODUCED COMMUNITY SHARED AGRICULTURE (CSA) AND PRODUCE TO PATIENT PROGRAMS TO IMPROVE FRESH PRODUCE ACCESS AND CONSUMPTION. IN PARTNERSHIP WITH LIGHTHOUSE OF SOUTHEASTERN MICHIGAN, A FOOD BOX PROGRAM WAS INITIATED AT SEVERAL AMBULATORY SITES AND THE EMERGENCY DEPARTMENT TO AID THOSE SCREENING POSITIVE FOR FOOD INSECURITY.ACCESS TO CARE - IN FY22, THO CONTINUED TO PROVIDE LAB SERVICES FOR THE BERNSTEIN CLINIC TO SUPPORT HOMELESS RESIDENTS IN OAKLAND COUNTY WITH FREE DIAGNOSTIC SERVICES.THROUGH COMMUNITY HEALTH PROMOTION, THO'S COMMUNITY HEALTH WORKERS UTILIZED A SIOH TOOL EMBEDDED WITHIN THE ELECTRONIC MEDICAL RECORD TO SCREEN, IDENTIFY AND REFER PATIENTS IN NEED OF SOCIAL SUPPORT RESOURCES TO THE APPROPRIATE COMMUNITY AGENCIES THROUGH A CLOSED LOOP REFERRAL SYSTEM. THE PROCESS OF IDENTIFYING AND SUPPORTING MARGINALIZED PATIENTS WITH SOCIAL SUPPORT RESOURCES AIMS TO REDUCE READMISSIONS AND IMPROVE OVERALL PATIENT HEALTH PREVENTION PRACTICES. MATERNAL HEALTH - THO CONTINUED WORKING TO IMPROVE THE COORDINATION OF AND SUPPORT FOR EXISTING COMMUNITY RESOURCES ADDRESSING PERINATAL HEALTH IN THO'S COMMUNITY IN FY22.THO MAINTAINED SUPPORT FOR WOMEN'S CHOICE TO BREASTFEED THROUGH ITS BABY-FRIENDLY DESIGNATION. AS A CERTIFIED "BABY-FRIENDLY" HOSPITAL, THO ACTIVELY PROMOTES BREASTFEEDING AND MOTHER/BABY BONDING. THE MOTHER BABY UNIT SPONSORS LACTATION COUNSELING DURING WEEKLY BREASTFEEDING SUPPORT GROUP SESSIONS THAT SERVED OVER 200 MOTHERS IN FY22. THO'S MOTHER BABY UNIT ALSO OFFERS NEW MOTHERS TRANSPORTATION TO MEDICAL APPOINTMENTS IN PARTNERSHIP WITH "FREEDOM ROAD". WOMEN AND THEIR PARTNERS CONTINUE TO RECEIVE ADVOCACY AND EDUCATION FROM THO'S CULTURALLY COMPETENT LACTATION CONSULTANTS THROUGH BREASTFEEDING AND PARENTING COURSES. DIABETES AND HIGH BLOOD PRESSURE - IN FY22, THO PROVIDED SUPPORT FOR THE HEALTHY OAKLAND PARTNERSHIP THROUGH SPONSORSHIP OF SENIOR AND FAMILY MARKET DAYS IN COLLABORATION WITH THE LOCAL OAKLAND COUNTY FARMER'S MARKET. THE PROGRAM PROVIDES ACCESS TO EXPERTS ON THE TOPICS OF NUTRITION, CANCER PREVENTION, BLOOD PRESSURE CONTROL, DIABETES HEALTH, AND SAFE USE OF MEDICATIONS. THROUGH THE PRESCRIPTION FOR A HEALTHY OAKLAND INITIATIVE, GREATER OAKLAND COUNTY RESIDENTS AND BUSINESS COLLEAGUES WERE ABLE TO ENGAGE IN PHYSICAL ACTIVITY AND IMPROVED EATING HABITS. THIS PROGRAM USED A "SOCIAL PRESCRIBING" MODEL TO CONNECT FAMILIES AND/OR SENIORS WITH LOCAL HEALTHY FOODS, PHYSICAL ACTIVITY, AND EDUCATIONAL RESOURCES. SOCIAL PRESCRIBING IS A METHOD THAT REFERS INDIVIDUALS TO NONCLINICAL SUPPORTIVE SERVICES AND COMMUNITY RESOURCES THAT ADDRESS SOCIAL, EMOTIONAL, OR PRACTICAL NEEDS. THO INITIATED ITS SECOND 16-WEEK DIABETES PREVENTION PROGRAM (DPP) COHORT IN JUNE 2022, WITH 14 ACTIVE PARTICIPANTS. THIS CDC-RECOGNIZED LIFESTYLE CHANGE PROGRAM PROVIDES FREE DIABETES PREVENTION EDUCATION AND RESOURCES ON HOW TO BE MORE ACTIVE, MANAGE STRESS AND LOSE WEIGHT WHILE LEARNING TECHNIQUES THAT WILL HELP INDIVIDUALS STAY POSITIVE AND MOTIVATED. HIGH BLOOD PRESSURE AND HEART DISEASE WERE INDIRECTLY ADDRESSED THROUGH THE STRATEGIES FOR FOOD SECURITY AND DIABETES.
TRINITY HEALTH LIVONIA HOSPITAL	PART V, SECTION B, LINE 11: IN FY22, TRINITY HEALTH LIVONIA (THLA) DIRECTLY ADDRESSED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, ACCESS TO CARE, FOOD SECURITY AND ACCESS, AND OBESITY, DIABETES, AND HYPERTENSION. BEHAVIORAL HEALTH - SUBSTANCE USE PREVENTION WORK CONTINUED IN COLLABORATION WITH LIVONIA SAVE OUR YOUTH (LSOY). LSOY PROVIDED VIRTUAL BI-WEEKLY ADDICTION FORUM SESSIONS. ATTENDEES INCLUDED PROFESSIONALS, INDIVIDUALS, TEENS, AND SENIORS. LSOY ALSO PROVIDED "TALK, THEY HEAR YOU" MESSAGING AT SCHOOL AND COMMUNITY-BASED EVENTS. THLA COLLABORATED WITH GROWTH WORKS, INC. TO PROVIDE PEER RECOVERY SERVICES IN THE EMERGENCY DEPARTMENT AND INPATIENT BEHAVIORAL HEALTH UNITS. THE WESTERN WAYNE SUICIDE PREVENTION COALITION ENGAGED SEVEN SCHOOL DISTRICTS IN TRAINING TEACHERS AND SUPPORT STAFF TO RECOGNIZE STUDENTS AT RISK FOR SUICIDE AND CONNECT THEM TO SERVICES.ACCESS TO CARE - TRINITY HEALTH LIVONIA CONTINUED TO PROVIDE LAB SERVICES FOR WAYNE HOPE CLINIC THAT ENABLED COMMUNITY MEMBERS TO RECEIVE DIAGNOSTIC SERVICES. THLA COORDINATED A TRANSITION OF CARE PROCESS BETWEEN WAYNE HOPE CLINIC (FREE CLINIC) AND COVENANT COMMUNITY CARE (AN FQHC) TO ENSURE THE RIGHT CARE AT THE RIGHT TIME. SUPPORT WAS PROVIDED TO THE ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES TO IMPROVE ACCESS TO CARE FOR ARAB -AMERICAN RESIDENTS OF WAYNE COUNTY. TRANSPORTATION ASSISTANCE WAS PROVIDED THROUGH CAB SERVICES, LYFT AND VAN FOR PATIENTS LACKING TRANSPORTATION TO APPOINTMENTS OR UPON DISCHARGE FROM THE HOSPITAL. FUNDING WAS PROVIDED TO NORTHVILLE TRANSPORTATION SERVICES TO PROVIDE SENIORS AND THOSE WITH DISABILITIES WITH LOWER COST RIDES TO MEDICAL APPOINTMENTS AND OTHER LOCATIONS, SUCH AS GROCERY STORES.FOOD SECURITY/ACCESS - TRINITY HEALTH LIVONIA PARTICIPATED IN THE WESTERN WAYNE FOOD POLICY COUNCIL. THIS COUNCIL WORKS COLLABORATIVELY AS ADVOCATES TO ADDRESS COMMUNITY FOOD POLICY ISSUES RELATING TO ACCESSIBILITY, SCARCITY, FOOD JUSTICE AND SOVEREIGNTY FOR WESTERN WAYNE COUNTY. GOOD FOOD BOXES WERE DISTRIBUTED TO PATIENTS THROUGH THREE AMBULATORY CARE SITES AND THE EMERGENCY DEPARTMENT. A FARM STAND WAS PROVIDED ONE DAY PER WEEK AT THE LIVONIA RECREATION CENTER. PATRONS INCLUDED THOSE WHO CAME SPECIFICALLY TO PURCHASE FRESH, LOCALLY GROWN PRODUCE AND THOSE WHO WERE USING THE RECREATION FACILITIES.OBESITY/DIABETES/HYPERTENSION - THE HEALTHY LIVONIA INITIATIVE PROVIDED FUNDING FOR THE LEADERS ADVANCING HEALTH CARE HEALTHY LIVING NUTRITION PROGRAM. "GROW IT, TRY IT, LIKE IT" WAS OFFERED TO 112 STUDENTS IN THE GREAT START READINESS PROGRAM AT LIVONIA PUBLIC SCHOOLS' GARFIELD ELEMENTARY SCHOOL. OUTCOMES INCLUDE 38% OF KIDS REPORTED ASKING THEIR PARENTS TO BUY MORE FRUITS AND VEGETABLES, 45% OF PARENTS REPORTED EATING MORE FRUITS, AND 40% OF PARENTS REPORTED EATING MORE VEGETABLES. DIABETES PREVENTION PROGRAM IMPLEMENTATION (DPP) IN SOUTHEAST MICHIGAN WAS OVERSEEN BY THLA. THLA CONTINUED TO ADMINISTER THE 1705 ADAPT (DPP) GRANT. FUNDING WAS PROVIDED TO SUPPORT WESTLAND'S POWER OF PRODUCE CLUB OFFERING EDUCATION AND PRODUCE TASTING FOR YOUTH AGED 3 TO 13. THROUGH THE HEALTHY LIVONIA INITIATIVE, THE "CARROT" WELLNESS PROGRAM CONTINUED AND FOCUSED ON ENGAGING LIVONIA RESIDENTS AND LOCAL BUSINESS COLLEAGUES IN PHYSICAL ACTIVITY; THE PROGRAM SERVED 3,673 ACTIVE USERS BY THE END OF FY22.
TRINITY HEALTH LIVINGSTON HOSPITAL	PART V, SECTION B, LINE 11: THE SIGNIFICANT COMMUNITY HEALTH NEEDS PRIORITIZED BY TRINITY HEALTH LIVINGSTON (THL) ARE ACCESS TO CARE, BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE USE), FOOD SECURITY AND ACCESS, AND TRANSPORTATION. IN FY22, THL ADDRESSED THE FOLLOWING:ACCESS TO CARE - COMPLEX CARE COORDINATION CONTINUED THROUGH THE EMERGENCY DEPARTMENT TO ASSIST WITH HEALTH CARE NAVIGATION TO SUPPORT THOSE INDIVIDUALS EXPERIENCING A COMBINATION OF MULTIPLE CHRONIC CONDITIONS, MENTAL HEALTH ISSUES, MEDICATION-RELATED PROBLEMS, AND SOCIAL VULNERABILITY. IN ADDITION, THL FUNDED LACASA THROUGH THE TRINITY HEALTH LIVINGSTON'S INVESTING IN OUR COMMUNITIES GRANT TO SUPPORT THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM. THIS PROGRAM PROVIDES QUALITY, DIGNIFIED AND SPECIALIZED CARE TO ADULTS AND/OR CHILDREN WHO HAVE BEEN SEXUALLY ASSAULTED.BEHAVIORAL HEALTH - IN FY22, THL CONTINUED TO SUPPORT THE DEVELOPMENT OF PROJECT ASSERT, A PEER SUPPORT PROGRAM EMBEDDED WITHIN THE EMERGENCY DEPARTMENT, IN PARTNERSHIP WITH LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH. RECOVERY ADVOCATES IN LIVINGSTON RECEIVED FUNDING THROUGH TRINITY HEALTH LIVINGSTON'S INVESTING IN OUR COMMUNITIES GRANT FOR TWO PEER-LED RECOVERY PROGRAMS TO RESIDENTS IN LIVINGSTON COUNTY: A SOBER RECOVERY HOUSE FOR WOMEN AND A RECOVERY SUPPORT SERVICES CENTER. FURTHERMORE, THL CONTINUED TO SUPPORT AND PROMOTE DRUG TAKE BACK EVENTS AND UTILIZED THE GREEN BIN/RED BARRELS WITHIN THL. FOOD SECURITY/ACCESS - THL SUPPORTED FOOD ACCESS, HEALTHY WEIGHT AND REDUCING CHRONIC DISEASE RISK, INCIDENCE, AND PREVALENCE THROUGH PRESCRIPTION FOR HEALTH FUNDING AND PROGRAM EXPANSION OF REFERRAL PARTNERS.TRANSPORTATION - THL CONTINUED COLLABORATIVE MATCHING COMMITMENTS WITH MICHIGAN MEDICINE AND ASCENSION HEALTH SYSTEMS TO EXPAND HEALTH CARE TRANSPORTATION THROUGH LIVINGSTON ESSENTIAL TRANSPORTATION SERVICE, THEREBY SUPPORTING INCREASED HEALTH CARE RELATED TRANSPORTATION AND ALLOWING FOR SOCIAL INFLUENCERS OF HEALTH (SIOH) NEEDS TO ALSO BE MET THROUGH THE NON-HEALTH CARE TRANSPORTATION INFRASTRUCTURE LOCALLY.
TRINITY HEALTH ANN ARBOR HOSPITAL	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 HEALTH CARE 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.
TRINITY HEALTH GRAND RAPIDS HOSPITAL	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 HEALTH CARE 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.
TRINITY HEALTH OAKLAND HOSPITAL	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 HEALTH CARE 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.
TRINITY HEALTH LIVONIA HOSPITAL	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 HEALTH CARE 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.
TRINITY HEALTH LIVINGSTON HOSPITAL	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 HEALTH CARE 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.
TRINITY HEALTH ANN ARBOR HOSPITAL	PART V, SECTION B, LINE 20E: THE HOSPITAL OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS, AND USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF-PAY ACCOUNTS.
TRINITY HEALTH LIVINGSTON HOSPITAL	PART V, SECTION B, LINE 20E: THE HOSPITAL OFFERED INFORMATION FOR OTHER VARIETIES OF PAYMENT PLAN OPTIONS, AND USED AUTOMATED PRESUMPTIVE CHARITY FOR SELF-PAY ACCOUNTS.
TRINITY HEALTH ANN ARBOR HOSPITAL - PART V, SECTION B, LINE 7A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
TRINITY HEALTH GRAND RAPIDS HOSPITAL - PART V, SECTION B, LINE 7A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
TRINITY HEALTH OAKLAND HOSPITAL - PART V, SECTION B, LINE 7A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
TRINITY HEALTH LIVONIA HOSPITAL- PART V, SECTION B, LINE 7A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
TRINITY HEALTH LIVINGSTON HOSPITAL- PART V, SECTION B, LINE 7A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSTRINITY HEALTH ANN ARBOR HOSPITAL - PART V, SECTION B, LINE 7BWWW.UOFMHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
TRINITY HEALTH ANN ARBOR HOSPITAL - 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.
TRINITY HEALTH GRAND RAPIDS HOSPITAL - 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.
TRINITY HEALTH OAKLAND HOSPITAL - 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.
TRINITY HEALTH LIVONIA HOSPITAL- 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.
TRINITY HEALTH LIVINGSTON HOSPITAL- 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.
TRINITY HEALTH ANN ARBOR HOSPITAL - PART V, SECTION B, LINE 10A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
TRINITY HEALTH GRAND RAPIDS HOSPITAL - PART V, SECTION B, LINE 10A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
TRINITY HEALTH OAKLAND HOSPITAL - PART V, SECTION B, LINE 10A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
TRINITY HEALTH LIVONIA HOSPITAL - PART V, SECTION B, LINE 10A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
TRINITY HEALTH LIVINGSTON HOSPITAL - PART V, SECTION B, LINE 10A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
TRINITY HEALTH ANN ARBOR HOSPITAL - PART V, SECTION B, LINE 16A	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH ANN ARBOR HOSPITAL - PART V, SECTION B, LINE 16B	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH ANN ARBOR HOSPITAL - PART V, SECTION B, LINE 16C	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH GRAND RAPIDS HOSPITAL - PART V, SECTION B, LINE 16A	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH GRAND RAPIDS HOSPITAL - PART V, SECTION B, LINE 16B	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH GRAND RAPIDS HOSPITAL - PART V, SECTION B, LINE 16C	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH OAKLAND HOSPITAL - PART V, SECTION B, LINE 16A	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH OAKLAND HOSPITAL - PART V, SECTION B, LINE 16B	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH OAKLAND HOSPITAL - PART V, SECTION B, LINE 16C	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH LIVONIA HOSPITAL - PART V, SECTION B, LINE 16A	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH LIVONIA HOSPITAL - PART V, SECTION B, LINE 16B	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH LIVONIA HOSPITAL - PART V, SECTION B, LINE 16C	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH LIVINGSTON HOSPITAL - PART V, SECTION B, LINE 16A	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH LIVINGSTON HOSPITAL - PART V, SECTION B, LINE 16B	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
TRINITY HEALTH LIVINGSTON HOSPITAL - PART V, SECTION B, LINE 16C	WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/

Schedule H (Form 990) 2021

Page 9

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?88
Name and address		Type of Facility (describe)
1	1 - (ANN ARBOR) TRINITY HEALTH BRIGHTON 7575 GRAND RIVER RD BRIGHTON,MI48114	LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYS, ONCOLOGY, 24 HR ER
2	2 - (AA) TH MEDICAL CENTER - CANTON 1600 CANTON CENTER RD CANTON,MI48188	LAB, IMAGING, THERAPY, ONCOLOGY, AMBULATORY SURGERY, URGENT CARE
3	3 - (AA) TRINITY HEALTH MICHIGAN HEART 5325 ELLIOTT DR YPSILANTI,MI48197	CARDIOVASCULAR CARE
4	4 - (AA) ELLEN THOMPSON WOMEN'S CENTER 5320 ELLIOTT DR YPSILANTI,MI48197	WOMEN'S HEALTH
5	5 - (OTHER) FRANCES WARDE MEDICAL LAB 300 W TEXTILE RD ANN ARBOR,MI48104	LAB
6	6 - (AA) MARIAN PROFESSIONAL BUILDING 14555 LEVAN RD LIVONIA,MI48154	RADIATION ONCOLOGY, REHAB, MRI, EMPLOYED PHYSICIANS
7	7 - (AA) MICHIGAN ORTHOPEDIC CENTER 5315 ELLIOTT DR YPSILANTI,MI48197	ORTHOPEDIC CARE
8	8 - (AA) SLEEP DISORDERS CENTER 5305 ELLIOTT DR YPSILANTI,MI48197	SLEEP CLINIC
9	9 - (AA) REICHERT HEALTH CENTER 5333 MCAULEY DR YPSILANTI,MI48197	LAB, IMAGING, AMBULATORY SURG., EMPLOYED PHYSICIANS
10	10 - (AA) HAAB HEALTH BUILDING 111 N HURON ST YPSILANTI,MI48197	FAMILY PRACTICE
11	11 - (AA) CENTER FOR DIGESTIVE CARE 5300 ELLIOTT DR YPSILANTI,MI48197	DIGESTIVE CARE
12	12 - (AA) SAMARITAN CENTER 5555 CONNER DETROIT,MI48213	INDIGENT CARE
13	13 - (AA) TRINITY HEALTH LAB - PLYMOUTH 990 W ANN ARBOR TRAIL PLYMOUTH,MI48170	LAB
14	14 - (AA) PARKWAY MEDICAL CENTER 2345 S HURON PKWY ANN ARBOR,MI48104	LAB
15	15 - (AA) HURON PROFESSIONAL BUILDING 704 W HURON ST ANN ARBOR,MI48103	LAB
16	16 - (AA) TRINITY HEALTH BEHAVIORAL SVCS 2200 CANTON CENTER RD CANTON,MI48188	BEHAVIORAL MEDICINE
17	17 - (AA) HURON OAKS 5401 MCAULEY DR YPSILANTI,MI48197	BEHAVIORAL MEDICINE
18	18 - (AA) GENOA MEDICAL CENTER 2305 GENOA BUSINESS PARK DR BRIGHTON,MI48114	LAB
19	19 - (AA) DIAGNOSTIC SERVICES CENTER 202 E VAN RIPER RD FOWLERVILLE,MI48836	LAB, IMAGING
20	20 - (AA) ARBOR SCIO PROFESSIONAL BLDG 6360 JACKSON RD ANN ARBOR,MI48103	LAB
21	21 - (AA) ARBOR PARK CENTRE 4972 CLARK RD YPSILANTI,MI48197	LAB
22	22 - (AA) CHERRY HILL LAB 49650 CHERRY HILL RD CANTON,MI48187	LAB
23	23 - (AA) TOWSLEY HEALTH BUILDING 5361 MCAULEY DR YPSILANTI,MI48197	NURSING HOME, EMPLOYED PHYS.
24	24 - (GR RAPIDS) TH WEGE MEDICAL CENTER 300 LAFAYETTE GRAND RAPIDS,MI49503	LAB, FAMILY PRACTICE, INTERNAL MEDICINE PRACTICE
25	25 - (GR) TH MEDICAL CTR - BYRON CTR 2373 64TH STREET SW BYRON CENTER,MI49315	AMBULATORY SURGICAL CTR, REHAB, LAB, IMAGING, FAMILY PRACTICE, CARDIO AND ER
26	26 - (GR) TH MEDICAL CTR - E BELTLINE 1471 EAST BELTLINE GRAND RAPIDS,MI49525	LAB, IMAGING, REHAB, EMPLOYED PHYS., URGENT CARE, OB
27	27 - (GR) CLINICA SANTA MARIA 730 GRANDVILLE AVE SW GRAND RAPIDS,MI49503	INDIGENT PRIMARY CARE CENTER
28	28 - (GR) PINE REST 300 68TH STREET SE GRAND RAPIDS,MI49548	MENTAL HEALTH
29	29 - (GR) TH MEDICAL GROUP - SPARTA 475 S STATE ST SPARTA,MI49345	FAMILY PRACTICE CENTER
30	30 - (GR) TH MED GROUP -BROWNING CLAYTOR 1246 MADISON SE GRAND RAPIDS,MI49507	FAMILY PRACTICE CENTER
31	31 - (GR) TH MEDICAL CTR - RIVERTOWN 3380 44TH STREET SW GRANDVILLE,MI49418	LAB, IMAGING, REHAB, FAMILY PRACTICE
32	32 - (GR) TH MEDICAL CTR - WALKER 1175 WILSON AVE NW WALKER,MI49534	LAB, IMAGING, REHAB, FAMILY PRACTICE
33	33 - (GR) TH MEDICAL GROUP - GR CAMPUS 310 LAFAYETTE SE GRAND RAPIDS,MI49503	IMMUNOLOGY, VASCULAR, INFECTIOUS DISEASE, AND PULMONOLOGY
34	34 - (GR) TH MEDICAL CTR - CALEDONIA 10047 CROSS ROADS COURT CALEDONIA,MI49316	LAB, IMAGING, REHAB, FAMILY PRACTICE
35	35 - (GR) ADVENT REHAB 1375 W GREEN ST HASTINGS,MI49058	REHAB
36	36 - (GR) ADVENT REHAB 1915 GEORGETOWN CENTER DR JENISON,MI49428	REHAB
37	37 - (GR) TH MEDICAL CTR - CHERRY 245 CHERRY ST GRAND RAPIDS,MI49503	PEDIATRIC CLINIC, FAMILY MEDICINE, OB, NEUROSCIENCES, AND SLEEP
38	38 - (GR) TRINITY HEALTH MEDICAL GROUP 933 THREE MILE NW GRAND RAPIDS,MI49504	LAB, REHAB, FAMILY PRACTICE
39	39 - (GR) TH MEDICAL GROUP - JENISON 7782 20TH AVENUE JENISON,MI49428	FAMILY PRACTICE CENTER
40	40 - (GR) TH MEDICAL GROUP - KENTWOOD 2080 44TH ST SE KENTWOOD,MI49508	REHAB, LAB, FAMILY PRACTICE
41	41 - (GR) TH MEDICAL CTR - ROCKFORD 6050 NORTHLAND DR NE ROCKFORD,MI49341	FAMILY PRACTICE CENTER, URGENT CARE, LAB, IMAGING, WOMEN'S HEALTH, REHAB
42	42 - (GR) ADVENT REHAB 1000 EAST PARIS ST 222 GRAND RAPIDS,MI49546	REHAB
43	43 - (GR) ADVENT REHAB 150 JEFFERSON SE ST 100 GRAND RAPIDS,MI49503	REHAB
44	44 - (GR) TRINITY HEALTH MEDICAL GROUP 2093 HEALTH DRIVE SUITE 300 WYOMING,MI49519	VASCULAR
45	45 - (GR) TRINITY HEALTH MEDICAL GROUP 2144 EAST PARIS SE GRAND RAPIDS,MI49546	INTERNAL MEDICINE
46	46 - (GR) TRINITY HEALTH MEDICAL GROUP 1000 EAST PARIS STE 222 GRAND RAPIDS,MI49546	CARDIOVASCULAR
47	47 - (GR) TRINITY HEALTH MEDICAL GROUP 260 JEFFERSON SE STE 115 GRAND RAPIDS,MI49503	CONCIERGE MEDICINE
48	48 - (GR) TRINITY HEALTH MEDICAL GROUP 3290 NORTH WELLNESS DRIVE HOLLAND,MI49424	FAMILY PRACTICE
49	49 - (GR) TRINITY HEALTH MEDICAL GROUP 250 CHERRY ST SE GRAND RAPIDS,MI49503	ONCOLOGY
50	50 - (GR) TRINITY HEALTH MEDICAL GROUP 3925 32ND AVE STE 300 HUDSONVILLE,MI49426	FAMILY PRACTICE & URGENT CARE
51	51 - (GR) TRINITY HEALTH MEDICAL GROUP 801 BROADWAY STREET NW GRAND RAPIDS,MI49504	FAMILY PRACTICE
52	52 - (GR) TRINITY HEALTH MEDICAL GROUP 301 N MAIN SHERIDAN,MI49315	VASCULAR
53	53 - (GR) TRINITY HEALTH MEDICAL GROUP 1309 SHELDON RD GRAND HAVEN,MI49444	NEUROLOGY
54	54 - (GR) HAUENSTEIN BEHAVIORAL HEALTH 220 CHERRY ST SE GRAND RAPIDS,MI49503	GEN NEURO, MOV DISORDER, NEUROMUSCULAR, NEURO RESIDENCY
55	55 - (LIVONIA) OUTPATIENT SURGERY CENTER 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	SURGICAL CENTER
56	56 - (LIV) AMBULATORY SURGERY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
57	57 - (LIV) OUTPATIENT SURGERY CENTER-ENDO 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	SURGICAL CENTER
58	58 - (LIV) TRINITYELITE SPORTS PERFORMANCE 13245 NEWBURGH RD LIVONIA,MI48154	SPORTS THERAPY
59	59 - (LIV) MAMMOGRAPHY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
60	60 - (LIV) CT LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
61	61 - (LIV) MRI LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
62	62 - (LIV) ULTRASOUND LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
63	63 - (LIV) ANESTHESIOLOGY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
64	64 - (LIV) TH FREEDOM MEDICAL 20206 FARMINGTON RD LIVONIA,MI48152	INTERNAL MEDICINE PRACTICE
65	65 - (LIV) BARIATRIC OFFICE 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	BARIATRIC
66	66 - (LIV) TH ACADEMIC PSYCHIATRY 37595 W SEVEN MILE RD LIVONIA,MI48152	OUTPATIENT BEHAVIORAL SERVICES
67	67 - (LIV) RADIOLOGY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
68	68 - (LIV) TRINITY HEALTH SLEEP CENTER 14600 FARMINGTON RD LIVONIA,MI48154	SLEEP LAB
69	69 - (LIV) SPORTS MEDICINE 19000 ST JOES PARKWAY LIVONIA,MI48152	SPORTS MEDICINE
70	70 - (LIV) CRNA OSC 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	SURGICAL CENTER
71	71 - (LIV) CRNA LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
72	72 - (LIV) WESTSIDE OBGYN 19000 ST JOES PARKWAY LIVONIA,MI48154	OB/GYN PRACTICE
73	73 - (LIV) ENDOCRINOLOGY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
74	74 - (LIV) TH IHA MED GROUP - WESTLAND 32932 WARREN ROAD SUITE 100 WESTLAND,MI48185	OB/GYN PRACTICE
75	75 - (LIV) ASA PLASTIC SURGERY 19000 ST JOES PARKWAY LIVONIA,MI48152	PLASTIC SURGERY
76	76 - (LIV) WESTSIDE UROGYNECOLOGY 19000 ST JOES PARKWAY LIVONIA,MI48154	UROLOGY, OB/GYN
77	77 - (LIV) SLEEP DISORDERS LAB 14600 FARMINGTON RD SUITE 101 LIVONIA,MI48154	SLEEP LAB
78	78 - (LIV) URGENT CARE SCHOOLCRAFT 19000 ST JOES PARKWAY SUITE 140 LIVONIA,MI48152	URGENT CARE
79	79 - (LIV) LABORATORY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
80	80 - (LIV) OUTPATIENT SURGERY CENTER 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	SURGICAL CENTER - PRE AND POST OP
81	81 - (LIV) PSYCHIATRY 2006 HOGBACK RD SUITE 1 ANN ARBOR,MI48105	OUTPATIENT BEHAVIORAL SERVICES
82	82 - (OAKLAND) TH REHABILITATION 44428 WOODWARD PONTIAC,MI48341	REHAB
83	83 - (OAK) TH IMAGING - CLARKSTON 7210 N MAIN STREET CLARKSTON,MI48346	IMAGING
84	84 - (OAK) TH IMAGING -LAKE ORION 1375 S LAPEER RD STE104 ORION TOWNSHIP,MI48360	IMAGING
85	85 - (OAK) TH IMAGING -WEST BLOOMFIELD 2300 HAGGERTY ROAD STE 1050 WEST BLOOMFIELD,MI48323	IMAGING
86	86 - (OAK) TH SLEEP CENTER - OAKLAND 3100 CROSS CREEK STE 210 AUBURN HILLS,MI48326	SLEEP LAB
87	87 - (OAK) TH LAB -LEXUS BUILDING 44200 WOODWARD STE 105 PONTIAC,MI48341	LAB
88	88 - (OAK) TH LAB - COMMERCE TWNSHP 2630 UNION LAKE RD STE 200 COMMERCE TOWNSHIP,MI48382	LAB

Schedule H (Form 990) 2021

Page 10

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 SYSTEM.
PART I, LN 7 COL(F):	THE FOLLOWING NUMBER, $80,633,226, 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:	TRINITY HEALTH LIVONIA CONTINUED TO SUPPORT THE DETROIT CRISTO REY SCHOOL, A COLLEGE PREP CATHOLIC HIGH SCHOOL FOR LOW-INCOME YOUTH WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD PRIVATE SCHOOL, TO ADDRESS DISPARITIES IN EDUCATIONAL OUTCOMES IN DETROIT. MOST STUDENTS ARE EITHER HISPANIC OR BLACK, AND MOST OF THEM WILL BE THE FIRST IN THEIR FAMILY TO GO TO COLLEGE. STUDENTS INTERESTED IN HEALTH CARE TRADE THEIR SCHOOL UNIFORMS FOR HOSPITAL SCRUBS AT THLA FOR THEIR WORK EXPERIENCE IN THE MIRACLE OF LIFE BIRTHING CENTER ONE DAY A WEEK, BEGINNING FRESHMAN YEAR. AS A CORPORATE SPONSOR, THLA PAID 60% OF THE STUDENT'S TUITION IN THIS EDUCATIONAL MODEL THAT PREPARES STUDENTS FOR COLLEGE AND WORK. IN COLLABORATION WITH LIVONIA PUBLIC SCHOOLS, THLA WORKED TO IMPROVE FUTURE EMPLOYMENT OPPORTUNITIES FOR SPECIAL NEEDS STUDENTS BY PROVIDING STUDENT PLACEMENTS FOR THE LIVONIA TRANSITION PROGRAM. STUDENTS AGES 18-26 WERE PLACED IN INTERNSHIP ROLES WITH VARIOUS DEPARTMENTS ACROSS THE HOSPITAL INCLUDING THE CANCER CENTER, THE LABORATORY AND GME PROGRAM.
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 FINANCIAL ASSISTANCE: (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 PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE ONE PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD APRIL 1, 2022 THROUGH JUNE 30, 2022.
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 HEALTH CARE 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' FINANCIAL ASSISTANCE 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 FINANCIAL ASSISTANCE 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 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, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE 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 HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. 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 OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. 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:	TRINITY HEALTH ANN ARBOR HOSPITAL:TRINITY HEALTH ANN ARBOR HOSPITAL IS PART OF TRINITY HEALTH - SOUTHEAST MICHIGAN (TH-SEMI), A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE, AND SOUTHWESTERN OAKLAND COUNTIES. THE TH-SEMI HEALTH CARE NETWORK INCLUDES FIVE HOSPITALS: TRINITY HEALTH ANN ARBOR HOSPITAL, TRINITY HEALTH LIVONIA HOSPITAL, ST. JOSEPH MERCY CHELSEA (CHELSEA HOSPITAL), TRINITY HEALTH OAKLAND HOSPITAL IN PONTIAC, AND TRINITY HEALTH LIVINGSTON HOSPITAL IN HOWELL. COMBINED, THESE HOSPITALS ARE LICENSED FOR 1,726 INPATIENT BEDS. THE THAA SERVICE AREA IS DEFINED AS THE POPULATION OF WASHTENAW COUNTY. WASHTENAW COUNTY IS ESTIMATED TO HAVE A POPULATION OF 367,601 AS OF 2019 (SOURCE: US CENSUS). IN 2019, 14.4% OF THE POPULATION WAS 65 AND OLDER. WASHTENAW COUNTY'S POPULATION IS RACIALLY DIVERSE WITH 73.6% WHITE, 12.1% BLACK, 9% ASIAN, AND 0.4% NATIVE AMERICAN IN 2019. 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 $76,576. THIS IS SIGNIFICANTLY HIGHER THAN THE MEDIAN INCOME OF MICHIGAN IN GENERAL, WHICH IS $59,584. HOWEVER, OBSERVING THE PERCENTAGE OF THOSE LIVING IN POVERTY BASED ON GEOGRAPHICAL LOCATION DEMONSTRATES THERE ARE SPECIFIC AREAS OF WASHTENAW COUNTY THAT ARE EXPERIENCING HIGHER RATES OF POVERTY COMPARED TO THE REST OF THE COUNTY AND THE STATE.TRINITY HEALTH GRAND RAPIDS HOSPITAL:LOCATED IN WESTERN MICHIGAN, KENT COUNTY IS CONSIDERED THE PRIMARY MARKET AREA OF THGR AND IS THE FOURTH LARGEST POPULOUS COUNTY IN THE STATE. THE COUNTY IS COMPOSED OF 21 TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 872 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE THGR, METROPOLITAN HEALTH (UNIVERSITY OF MICHIGAN HEALTH), SPECTRUM HEALTH-BUTTERWORTH CAMPUS, SPECTRUM HEALTH-BLODGETT CAMPUS, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES SIX PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. AN ESTIMATED 656,955 PEOPLE RESIDE IN KENT COUNTY AS OF 2019. THE MEDIAN HOUSEHOLD INCOME FOR KENT COUNTY IS $63,053 WITH 11.7% OF RESIDENTS LIVING IN POVERTY AND THE UNEMPLOYMENT RATE AT 4.4%. RACE AND ETHNICITY SHOW 79.6% OF THE POPULATION IS WHITE, 9.6% BLACK, AND 4.1% TWO OR MORE RACES; ETHNICITY SHOWS 10.6% OF KENT COUNTY IS HISPANIC OR LATINO (OF ANY RACE). HOME OWNERSHIP RATE IS 69.8%, WITH MEDIAN HOME VALUE AT $176,700, AND EDUCATIONAL ATTAINMENT SHOWS 35.7% HAVE A BACHELOR'S DEGREE OR HIGHER.TRINITY HEALTH OAKLAND HOSPITAL:THO IS LOCATED IN THE CITY OF PONTIAC, A COMMUNITY FACING ECONOMIC CHALLENGES AFFECTING THE HEALTH AND WELLBEING OF LOCAL RESIDENTS. AS OF JULY 2020, DURING THE COVID-19 PANDEMIC, PONTIAC'S UNEMPLOYMENT RATE REACHED 30%, UP FROM 8.6 % IN MARCH. THIS IS DOUBLE THE STATEWIDE UNEMPLOYMENT RATE OF 15% IN JULY 2020, UP FROM 4% IN MARCH. PONTIAC'S POVERTY RATE IS 32%, MORE THAN TWICE THE STATEWIDE RATE OF 14%. THE MEDIAN HOUSEHOLD INCOME IN PONTIAC IS $33,006, JUST A FRACTION OF THE MICHIGAN MEDIAN HOUSEHOLD INCOME OF $56,697 AND THE OAKLAND COUNTY MEDIAN HOUSEHOLD INCOME OF $76,387. PONTIAC ALSO REFLECTS AN UNUSUALLY HIGH COMMUNITY NEED INDEX (CNI) RATE, AN AGGREGATE OF FIVE SOCIOECONOMIC INDICATORS KNOWN TO CONTRIBUTE TO HEALTH DISPARITY: INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. CNI IN THE THO SERVICE AREA IS 2.09; THE CNI FOR PONTIAC AVERAGES 4.08. PONTIAC IS THE ONLY FEDERALLY DESIGNATED MEDICALLY UNDERSERVED COMMUNITY IN OAKLAND COUNTY. IT IS A DIVERSE COMMUNITY: 49% OF RESIDENTS ARE AFRICAN AMERICAN, 40% ARE CAUCASIAN AND 17% ARE HISPANIC, THE LARGEST AND FASTEST-GROWING HISPANIC COMMUNITY IN OAKLAND COUNTY. THO'S PRIMARY SERVICE AREA IS NORTH OAKLAND COUNTY, WITH UNIQUE FOCUS ON THE PONTIAC COMMUNITY. THE THO GEOGRAPHIC BOUNDARY INCLUDES THE ZIP CODES OF PONTIAC, WATERFORD, CLARKSTON, AUBURN HILLS, OXFORD, BLOOMFIELD HILLS, WHITE LAKE, LAKE ORION, ORTONVILLE, HOLLY, AND ROCHESTER. THE POPULATION FOR THESE COMMUNITIES IS 439,160 RESIDENTS.TRINITY HEALTH LIVONIA HOSPITAL: LOCATED IN WESTERN WAYNE COUNTY, THE SERVICE AREA OF THLA FOR THE MOST RECENT CHNA WAS DEFINED AS CITIES WITHIN A FIVE-MILE RADIUS OF THE HOSPITAL. THIS INCLUDES THE ZIP CODES OF WESTLAND, CANTON, LIVONIA, NORTHVILLE CITY, NORTHVILLE TOWNSHIP, PLYMOUTH CITY, PLYMOUTH TOWNSHIP, REDFORD, FARMINGTON HILLS, AND THE CITY OF FARMINGTON. MOST OF THESE CITIES ARE IN WESTERN WAYNE COUNTY, HOWEVER, FARMINGTON HILLS AND THE CITY OF FARMINGTON LIE WITHIN SOUTHERN OAKLAND COUNTY. THE POPULATION FOR THESE COMMUNITIES IS 495,162 RESIDENTS. TRINITY HEALTH LIVINGSTON HOSPITAL: THE SERVICE AREA FOR THL IS DEFINED AS LIVINGSTON COUNTY, AS THE MAJORITY OF PATIENTS SERVED BY THE HOSPITAL ARE FROM THIS COUNTY. LIVINGSTON COUNTY IS LOCATED ON THE SOUTHEAST SIDE OF MICHIGAN, BORDERED BY WASHTENAW, GENESEE, SHIAWASSEE, OAKLAND, INGHAM, AND JACKSON COUNTIES. THE CENSUS BUREAU 2019 POPULATION ESTIMATES ARE AT 188,482, WHICH IS CONSISTENT WITH THE LAST CHNA CYCLE.
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 HEALTH CARE. TRINITY HEALTH ANN ARBOR HOSPITAL:THE WASHTENAW HEALTH PLAN REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, THE UNIVERSITY OF MICHIGAN AND TRINITY HEALTH - MICHIGAN (TH-MI) TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. TH-MI 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.THAA WAS THE LEAD AGENCY IN THE ORIGINATION OF THE WASHTENAW HOUSING ALLIANCE, A COALITION OF NINE SOCIAL SERVICE AGENCIES DEALING WITH HOUSING OF VARIOUS TYPES, WHOSE MISSION IS TO END HOMELESSNESS IN WASHTENAW COUNTY. IN ADDITION, THAA AND ITS BOARD MEMBERS WERE KEY IN BUILDING THE DELONIS CENTER IN DOWNTOWN ANN ARBOR. THIS CENTER PROVIDES NEEDED ACCOMMODATIONS AND SOCIAL AND HEALTH SUPPORT SERVICES FOR THOSE WHO ARE HOMELESS. THAA ALSO PROVIDES FUNDING FOR STAFF SUPPORT TO GENERATE FUNDING FOR PERMANENT SUPPORTIVE HOUSING THROUGH THE SISTER YVONNE GELISE FUND, WHICH WAS STARTED IN PART BY THAA TO PROVIDE NEEDED SUPPORT FOR HOMELESS INDIVIDUALS IN WASHTENAW COUNTY.THAA CO-FOUNDED THE WASHTENAW/LIVINGSTON COMMUNITY HEALTH WORKER (CHW) COALITION TO CREATE A STRONGER SOCIAL CARE INFRASTRUCTURE TO BETTER ADDRESS THE NEEDS OF THE COMMUNITY AND SUSTAIN CHW PROGRAMS. ADDITIONALLY, THE COMMUNITY RESOURCE DIRECTORY WAS AVAILABLE TO THE COMMUNITY TO QUICKLY LOCATE COMMUNITY-BASED SOCIAL CARE RESOURCES THROUGH THE FINDHELP PLATFORM.THAA PROVIDES CLINICAL STAFF SUPPORT TO LOCAL ORGANIZATIONS PROVIDING SUBSIDIZED CARE OPPORTUNITIES, INCLUDING CORNER HEALTH, WHICH FOCUSES ON YOUTH. THAA AND ITS PHYSICIAN NETWORK, IHA, WORK TOGETHER WITH EASTERN MICHIGAN UNIVERSITY TO RUN A CLINIC PROXIMATE TO ITS CAMPUS AND ZIP CODES THAT ARE SEEN TO HAVE A GAP IN CARE. THAA PROVIDED GRANT FUNDING THROUGH THE IT STARTS HERE AND JUST IN TIME GRANT PROCESS TO LOCAL COMMUNITY PARTNERS, INCLUDING SOS COMMUNITY SERVICES, MICHIGAN DOULA INITIATIVE, HOPE CLINIC AND FAMILY EMPOWERMENT PROGRAM, TO ADDRESS TOP CHNA PRIORITY NEEDS. AS PART OF THE HOSPITAL'S COVID-19 RESPONSE, THAA CONTINUED TO PROVIDE ON-CAMPUS TESTING ACCORDING TO STATE AND CDC GUIDELINES, AND COVID-19-SPECIFIC UNITS CONTINUED TO BE STRUCTURED TO MEET THE NEEDS OF THE COMMUNITY AS THEY AROSE. THAA WORKED WITH THE WASHTENAW COUNTY HEALTH DEPARTMENT TO PROVIDE COVID-19 VACCINES TO THE COMMUNITY AT A MASS TESTING SITE IN ONE OF THE MOST AT-RISK ZIP CODES IN THE COUNTY. ADDITIONALLY, THAA IN PARTNERSHIP WITH WASHTENAW COUNTY HEALTH DEPARTMENT, THE COUNTY OFFICE OF EQUITY, HOPE CLINIC, MINISTERIAL REPRESENTATIVES, AND MICHIGAN MEDICINE, PROVIDED POP-UP VACCINATION CLINICS IN AREAS WHERE THERE WAS A GREATER INCIDENCE RATE OF POSITIVE TESTS, EMBEDDED IN BLACK AND LATINO NEIGHBORHOODS. OUR PHYSICIAN AND EXECUTIVE LEADERS PARTICIPATED IN VIRTUAL TOWN HALLS WITH COMMUNITY PARTNERS TO DISCUSS HEALTH AND SAFETY PRACTICES IN THE ERA OF COVID-19, AND TO ADDRESS VACCINE HESITANCY. TRINITY HEALTH GRAND RAPIDS HOSPITAL:IN APRIL 2016, THGR OPENED A CONCIERGE MEDICINE DEPARTMENT PROVIDING 24/7 ACCESS TO A PRIMARY CARE PHYSICIAN. IN ALIGNMENT WITH THGR'S MISSION TO PROVIDE CARE FOR THE POOR AND UNDERSERVED, 10% OF THE REVENUE FROM THE CONCIERGE MEDICINE DEPARTMENT IS REALLOCATED TO FUND PROGRAMS SUPPORTING THOSE IN NEED. THGR STAFF HAVE BEEN INVOLVED IN A NUMBER OF COMMUNITY COLLABORATIVE EFFORTS IN FY22. STAFF SERVED ON THE CHNA COMMUNITY IMPLEMENTATION PLAN SUBCOMMITTEES HOSTED BY THE KENT COUNTY PUBLIC HEALTH DEPARTMENT. ONE STAFF SERVES AS THE CO-CHAIR FOR THE ACCESS TO CARE GROUP (ONE OF THREE WORKGROUPS), AND THERE WAS ADDITIONAL REPRESENTATION ON THE BEHAVIORAL HEALTH SUBCOMMITTEE.THE HUB MANAGER WAS ALSO PART OF THE FUSE (FREQUENT USERS SYSTEM ENGAGEMENT) TEAM IN KENT COUNTY WHICH IS DEVELOPING PERMANENT SUPPORTIVE HOUSING FOR INDIVIDUALS AND FAMILIES THAT ARE CHRONICALLY HOMELESS AND HAVE DISABLING CONDITIONS. THE FUSE TEAM COMPRISES 30 ENTITIES THROUGHOUT KENT COUNTY. THGR STAFF HAVE BEEN ACTIVELY ENGAGED WITH THE KENT COUNTY ESSENTIAL NEEDS TASK FORCE'S FOOD AND NUTRITION COMMITTEE THAT ENSURES THAT ALL RESIDENTS ARE FOOD SECURE AND HAVE ACCESS TO FOOD THAT IS NUTRITIONALLY DIVERSE. THEY WERE ALSO INVOLVED WITH THE GRAND RAPIDS HOUSING COALITION AND THE HISPANIC CENTER ACTIVITIES AND COMMITTEES. THE CDC DIABETES PREVENTION PROGRAM (DPP) ADAPT GRANT WAS EXTENDED TO KENT COUNTY DURING THIS TIME. DPP IS A 12-MONTH, FREE PROGRAM THAT FOCUSES DIABETES PREVENTION EFFORTS TOWARD AFRICAN AMERICAN, LATINX, MEDICARE RECIPIENTS AND MEN OF ALL AGES, TO REDUCE THE INCIDENCE OF DIABETES. WHILE THE CDC GRANT PAYS FOR THE PROGRAM COSTS, THGR PAID FOR THE ADMINISTRATIVE COSTS OF THE PROGRAM, INCLUDING INTEGRATION INTO THE ELECTRONIC MEDICAL RECORD, WHICH ALLOWS FOR THE REFERRAL OF POTENTIAL PARTICIPANTS BASED ON CLINICAL AND OTHER FACTORS. DURING THIS PERIOD, THE PROGRAM VENDOR RECEIVED ADDITIONAL FUNDING FOR PARTICIPANT MANAGEMENT AND BILLING SOFTWARE THAT WILL ALLOW THEM TO BILL CMS AND PRIVATE INSURANCE AFTER THE CDC GRANT IS DONE IN FY23.AT THE ONSET OF THE COVID-19 PANDEMIC, AND IN RESPONSE TO THE CRITICAL NEED OF COMMUNITIES, TRINITY HEALTH AWARDED THGR THE "IT STARTS HERE" GRANT, WHICH PROVIDES FUNDS AND RESOURCES TO COMBAT THE IMPACTS OF THE PANDEMIC AND TO PROMOTE VACCINATION AWARENESS AND ACCESS. MUCH OF THE AWARD WAS SPENT SUPPORTING THE CREATION OF VACCINATION SITES THAT WERE EASY TO ACCESS AND PROVIDING TRANSPORTATION THROUGH BUS CARDS AND TAXI VOUCHERS FOR VULNERABLE PATIENTS AND FAMILIES. THESE SITES CONTINUED THROUGH THE SPRING OF 2022. TRINITY HEALTH OAKLAND HOSPITAL:TRINITY HEALTH OAKLAND (THO) COLLABORATES WITH OTHERS IN THE COMMUNITY TO ACHIEVE IMPROVEMENTS IN HEALTH AND ACCESS TO HEALTH CARE. IN FY22, OVER 4,000 LOW-INCOME AND AT-RISK PERSONS WERE SERVED THROUGH THE MERCY SUPPORT PROGRAM, WHILE MORE THAN 7,000 PATIENTS WERE SERVED THROUGH THE INDIGENT PROCUREMENTS AND MERCY SUPPORT PRESCRIPTION PROGRAMS.THO MAINTAINED ITS COMFORT CARE PROGRAM INTENDED TO ADDRESS SOCIAL ISOLATION IN OAKLAND COUNTY RESIDENTS. COMFORT CARE IS AN EVIDENCE-BASED, PROACTIVE PUBLIC SAFETY INITIATIVE DESIGNED TO LOCATE, IDENTIFY, AND REFER AT-RISK, ISOLATED ADULTS TO SOCIAL SUPPORT AGENCIES USING NONTRADITIONAL COMMUNITY EMBEDDED HOSPITAL REFERRAL SOURCES. THE COMFORT CARE PROGRAM, IN COLLABORATION WITH THE CITY OF PONTIAC, MAIN STREET PONTIAC, OAKLAND COUNTY SHERIFF'S DEPARTMENT, OAKLAND SCHOOLS AND SENIOR ADVISORY COUNTY, WAS INITIATED PRIOR TO COVID-19 AND HAS ACHIEVED OVER 100 WEEKLY RESIDENTIAL COMMUNITY CALLS TO RESIDENTS IN NEED.THROUGH COMMUNITY HEALTH PROMOTION, A TEAM OF COMMUNITY HEALTH WORKERS (CHW'S) NOW ADDRESS SOCIAL DETERMINANTS OF HEALTH SCREENINGS. THESE CHW'S UTILIZE A SIOH TOOL EMBEDDED WITHIN THE PATIENT RECORD SYSTEM TO SCREEN, IDENTIFY AND REFER PATIENTS IN NEED OF SOCIAL SUPPORT RESOURCES TO THE APPROPRIATE COMMUNITY AGENCIES THROUGH A CLOSED LOOP REFERRAL SYSTEM. THE PROCESS OF IDENTIFYING AND SUPPORTING MARGINALIZED PATIENTS WITH SOCIAL SUPPORT RESOURCES AIMS TO REDUCE READMISSIONS AND IMPROVE OVERALL PATIENT HEALTH PREVENTION PRACTICES. AS A CERTIFIED "BABY-FRIENDLY" HOSPITAL, THO ACTIVELY SUPPORTS AND PROMOTES BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. A WEEKLY BREASTFEEDING SUPPORT GROUP CONTINUES TO BE OFFERED, SERVING OVER 200 MOTHERS THROUGH THE YEAR. THE GROUP OFFERS SUPPORT AND ENCOURAGEMENT TO MOTHERS IN THE COMMUNITY WHO MAKE THE CHOICE TO BREASTFEED. THE GROUP CONTINUES TO GROW AND IS WELL RECEIVED. AS PART OF THE HOSPITAL'S COVID-19 RESPONSE, THO INITIATED A DRIVE-UP COVID-19 TESTING SITE OUTSIDE THE EMERGENCY DEPARTMENT IN 2021 AND MAINTAINED THE SITE THROUGH THE COVID-19 SPIKES DURING 2022. COMMUNITY-EMBEDDED COVID-19 VACCINATION SITES WERE ALSO MAINTAINED IN COLLABORATION WITH COMMUNITY CHURCHES WITHIN THE HOSPITAL'S SERVICE AREA. TESTING AND VACCINATIONS WERE SUPPLIED ACCORDING TO GUIDANCE PROVIDED BY THE STATE AND CDC. THE OAKLAND COUNTY HEALTH DEPARTMENT SERVED AS A CORE COLLABORATIVE PARTNER IN ADDRESSING RESIDENTS' PRIORITIZED COMMUNITY HEALTH NEEDS.(CONTINUED)
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'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES, 2. ADVANCING SOCIAL CARE, AND 3. IMPACTING SOCIAL INFLUENCERS OF HEALTH.TO FURTHER OUR STRATEGY IN FISCAL YEAR 2022 (FY22), CHWB LAUNCHED TWO TRAINING SERIES TO ADVANCE HEALTH AND RACIAL EQUITY IN OUR COMMUNITIES.1. CHWB LEADER SERIES TO ADVANCE HEALTH AND RACIAL EQUITY: A YEAR-LONG PEER LEARNING SERIES TO BUILD THE CAPACITY OF OUR CHWB LEADERS TO DELIVER ON OUR CHWB STRATEGY WITH A FOCUS ON COMMUNITY LEADERSHIP AND ENGAGEMENT, AND THE USE OF A RACIAL EQUITY LENS IN ALL OF OUR DECISION MAKING. 2. COMMUNITY ENGAGEMENT TO ADVANCE RACIAL JUSTICE - PREPARING FOR IMPLEMENTATION STRATEGY: A FOUR-PART SERIES ON ENGAGING OUR COMMUNITIES IN MEANINGFUL WAYS USING A HEALTH EQUITY AND RACIAL EQUITY LENS TO BUILD LASTING PARTNERSHIPS AND IMPACTFUL IMPLEMENTATION STRATEGIES.INVESTING IN OUR COMMUNITIES - TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FY22, TRINITY HEALTH CONTRIBUTED $1.37 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. SOME EXAMPLES OF THESE INVESTMENTS INCLUDE: TRINITY HEALTH AWARDED OVER $1.6 MILLION IN COMMUNITY GRANTS THAT DIRECTLY ALIGN WITH INTERVENTIONS AND LOCAL PARTNERSHIPS IDENTIFIED IN ITS MEMBER HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGIES, INCLUDING ACCESS TO HEALTH CARE, MENTAL HEALTH, TRANSPORTATION, COMMUNITY ENGAGEMENT, FOOD ACCESS, AND HOUSING SUPPORTS. WITH A $1.2 MILLION INITIAL INVESTMENT, TRINITY HEALTH LAUNCHED ROUND 2 OF THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), A FIVE-YEAR, INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN NINE OF OUR COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. HEALTH MINISTRIES RECEIVING TCI FUNDING ARE COLLABORATING WITH A LOCAL MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE DEVELOPMENT OF THEIR MOST RECENT CHNA IMPLEMENTATION STRATEGY. TRINITY HEALTH AWARDED OVER $1 MILLION IN COVID-19 FUNDING TO SUPPORT NEW AND ONGOING COMMUNITY ENGAGEMENT AND MOBILIZATION EFFORTS AROUND MAKING THE COVID-19 VACCINATION ACCESSIBLE TO ALL ELIGIBLE POPULATIONS. THIS FUNDING WAS DESIGNED TO SUPPORT ALL COMMUNITIES TO ENSURE EASY AND EQUITABLE ACCESS TO THE VACCINE BY REMOVING BARRIERS FOR ALL PEOPLE TO RECEIVE THE VACCINE, ESPECIALLY COMMUNITIES THAT HAVE LESS THAN A 75% VACCINATION RATE. WITH THIS FUNDING, HEALTH MINISTRIES FACILITATED 3,200 COVID-19 VACCINE EVENTS, ADMINISTERED 80,000 COVID-19 VACCINE DOSES, AND REACHED 874,000 PEOPLE WITH EDUCATIONAL MATERIALS ON COVID-19 AND THE BENEFITS OF VACCINATION.IN ADDITION TO THE $1.37 BILLION IN COMMUNITY BENEFIT SPENDING, OUR COMMUNITY INVESTING PROGRAM HAD THE MOST ROBUST YEAR OF LENDING SINCE THE PROGRAM'S INCEPTION OVER 20 YEARS AGO: $17.8 MILLION IN NEW LOANS AND $8.3 MILLION IN LOAN RENEWALS WERE APPROVED, FOCUSING ON BUILDING AFFORDABLE HOUSING AND INCREASING ACCESS TO EDUCATION IN PARTNERSHIP WITH OUR HEALTH MINISTRIES. ADVANCING SOCIAL CARE - TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO ADDRESS SOCIAL NEEDS, SUCH AS ACCESS TO TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS BY FACILITATING CONNECTIONS BETWEEN OUR PATIENTS, HEALTH CARE PROVIDERS AND COMMUNITY PARTNERS THAT PROMOTE HEALTHY BEHAVIORS. HIGHLIGHTS FROM FY22 INCLUDE THE FOLLOWING SUCCESSES:- LAUNCHED TRINITY HEALTH COMMUNITY HEALTH WORKER (CHW) CERTIFICATION PROGRAM, TRAINING 86 CHWS WITH 40+ HOURS OF TRAINING, AND INCREASED CHW STAFF ACROSS MOST HEALTH MINISTRIES- LAUNCHED A SYSTEM-WIDE ASSESSMENT OF LANGUAGE ACCESS SERVICES TO RECOMMEND SYSTEM STANDARDS THAT ENSURE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR ALL OF OUR PATIENTS, THEIR COMPANIONS, AND CAREGIVERS- ENGAGED OVER 1,100 PARTICIPANTS IN THE NATIONAL DIABETES PREVENTION PROGRAM, EXCEEDING OUR PROGRAM YEAR 5 GOAL- INCREASED THE NUMBER OF ACTIVE COMMUNITY PARTNER ORGANIZATIONS ON THE COMMUNITY RESOURCE DIRECTORY BY 120% FROM FISCAL YEAR 2021- ENGAGED 5,300+ PATIENTS WHO ARE DUALLY ENROLLED IN MEDICARE AND MEDICAID IN A SOCIAL CARE OR MEDICAL CARE ACTIVITY, IN SUPPORT OF REDUCING PREVENTABLE HOSPITALIZATIONS (SUCH AS DIABETES AND ASTHMA)IMPACTING SOCIAL INFLUENCERS OF HEALTH - LEVERAGING INVESTOR POWER TO CATALYZE CORPORATE SOCIAL RESPONSIBILITY, TRINITY HEALTH'S SHAREHOLDER ADVOCACY WORK FOCUSES ON DISMANTLING RACISM ACROSS FIVE STRATEGIC FOCUS AREAS BY HOLDING CORPORATIONS ACCOUNTABLE FOR THE HUMAN RIGHTS VIOLATIONS THOSE COMPANIES PERPETUATE IN THE U.S. AND BEYOND. IN FY22, TRINITY HEALTH FACILITATED OVER 135 SHAREHOLDER ADVOCACY ENGAGEMENTS, WITH GREAT SUCCESS:- FIVE BELOW COMMITTED TO ASSESS AND MANAGE THE RISKS/HAZARDS ASSOCIATED WITH CHEMICALS OF HIGH CONCERN CONTAINED IN THEIR PRIVATE LABEL PRODUCTS- UNILEVER AGREED TO STOP FOOD AND BEVERAGE MARKETING TO CHILDREN UNDER AGE 16, AND WILL ADOPT NEW TARGETS TO REDUCE SALT, ADDED SUGARS AND CALORIES, AND INCREASE SALES OF THEIR HEALTHIER PRODUCTS- PEPSICO SET GOALS TO INCREASE POSITIVE NUTRIENTS IN THEIR PRODUCTS- PDC ENERGY ACCELERATED ITS GOAL TO END ROUTINE FLARING OF METHANE, FROM 2030 TO 2025, THUS REDUCING ENVIRONMENTAL HEALTH RISKS AND GREENHOUSE GAS EMISSIONSADDITIONALLY, TRINITY HEALTH AND OTHER MEMBERS OF THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY GUN SAFETY GROUP SUBMITTED A SHAREHOLDER RESOLUTION ASKING STURM RUGER, ONE OF THE NATION'S LEADING MANUFACTURERS OF FIREARMS, TO CONDUCT AND PUBLISH AN INDEPENDENT HUMAN RIGHTS IMPACT ASSESSMENT OF ITS POLICIES, PRACTICES AND PRODUCTS, AND MAKE RECOMMENDATIONS FOR IMPROVEMENT. THE RESOLUTION RECEIVED A 68.5% VOTE IN FAVOR, WELL ABOVE THE THRESHOLD REQUIRED FOR THE RESOLUTION TO BE RESUBMITTED IN 2023, INDICATING A LARGE MAJORITY OF STURM RUGER INVESTORS BELIEVE THE COMPANY HAS TO ADDRESS ITS HUMAN RIGHTS IMPACTS. TRINITY HEALTH AND TRINITY HEALTH OF NEW ENGLAND ARE CITED AS PART OF THE GROUP WHO MOVED FORWARD THIS RESOLUTION.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
CONTINUATION OF PART VI LINE 5 - PROMOTION OF COMMUNITY HEALTH	THO RECEIVED THE "IT STARTS HERE" GRANT FROM TRINITY IN 2021 AND MAINTAINED STRONG TIES WITH LOCAL PARISHES TO PROVIDE COVID-19 VACCINE ACCESS. THE PROGRAM OFFERED DIRECT VACCINE REGISTRATION AND SUPPORT TO SENIORS, SOCIALLY ISOLATED RESIDENTS, AND ECONOMICALLY CHALLENGED RESIDENTS. PARTNERING CHURCHES AND COMMUNITY BENEFIT ORGANIZATIONS PARTICIPATED IN VIRTUAL COVID-19 EDUCATION TOWN HALLS SPONSORED BY TRINITY HEALTH OAKLAND PRIMARY CARE PHYSICIANS. DISCUSSION AROUND THE VACCINE, HUMAN INTEREST TOPICS, HELPFUL SAFETY TIPS AND COVID-19 VACCINATION PROCESSES WERE REVIEWED. A PARISH LIAISON ASSISTS WITH VACCINATION ENROLLMENT SUPPORT. THO IS PRIMARILY FOCUSED ON PROVIDING ACCURATE INFORMATION TO ADDRESS VACCINE HESITANCY AND PROMOTE LOCAL COVID-19 VACCINATION EFFORTS IN THE CITY OF PONTIAC. THO EMPLOYED A COMMUNITY ADVOCATE TO PROVIDE TRUSTED COMMUNITY-EMBEDDED VACCINE EDUCATION IN PONTIAC AND WATERFORD TO ADDRESS VACCINE MISINFORMATION. THO CONTINUES TO PARTNER WITH FAITH-BASED ORGANIZATIONS AND LOCAL BUSINESSES TO INCREASE THE ACCESSIBILITY OF COVID-19 TESTING AND VACCINES.TRINITY HEALTH LIVONIA HOSPITAL:TRINITY HEALTH LIVONIA COORDINATED THE HEALTHY LIVONIA COALITION TO PROVIDE A COMMUNITY-WIDE FOCUS ON HEALTH AND WELL-BEING IN LIVONIA. FOUNDING MEMBER ORGANIZATIONS INCLUDE THE CITY OF LIVONIA, THE LIVONIA CHAMBER OF COMMERCE, LIVONIA PUBLIC SCHOOLS, AND LIVONIA PARKS AND RECREATION. SCHOOLCRAFT COLLEGE AND MADONNA UNIVERSITY WERE ADDED AS STEERING COUNCIL MEMBERS IN FY22. THIS COALITION FOCUSED ON INFRASTRUCTURE DEVELOPMENT, POLICY CHANGE AND PROGRAMS.AS PART OF THE HOSPITAL'S COVID-19 RESPONSE, VACCINE FAQS FOR KIDS WERE DISTRIBUTED IN ENGLISH AND SPANISH. THE COMMUNITY RESOURCE DIRECTORY WAS MADE AVAILABLE TO THE COMMUNITY TO FIND RESOURCES TO MEET COVID-19 RELATED SOCIAL CARE NEEDS.TRINITY HEALTH LIVINGSTON HOSPITAL:THL ACTIVELY SUPPORTED COMMUNITY ENTITIES, INCLUDING LIVINGSTON COUNTY PUBLIC HEALTH, LIVINGSTON COUNTY CATHOLIC CHARITIES (WHICH HOUSES THE LIVINGSTON COUNTY COMMUNITY ALLIANCE), LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH, AND THE LOCAL HUMAN SERVICES COLLABORATIVE BODY. SUPPORT FOR THESE ORGANIZATIONS INCLUDED MEMBERSHIP AND HEALTH CARE SYSTEM LIAISON ACTIVITIES. THL HIRED A COMMUNITY HEALTH WORKER (CHW) TO ADDRESS THE CHNA IMPLEMENTATION PRIORITY NEEDS AMONG PATIENTS AND COMMUNITY MEMBERS. THE CHW IS A TRUSTED MEMBER OF THE COMMUNITY WHO HAS A STRONG UNDERSTANDING OF COMMUNITY RESOURCES AND CAN ASSIST WITH SOCIAL SERVICES. THL CO-FOUNDED THE WASHTENAW/LIVINGSTON COMMUNITY HEALTH WORKER COALITION TO CREATE A STRONGER SOCIAL CARE INFRASTRUCTURE TO BETTER ADDRESS THE NEEDS OF THE COMMUNITY AND SUSTAIN CHW PROGRAMS. ADDITIONALLY, THE COMMUNITY RESOURCE DIRECTORY WAS AVAILABLE TO THE COMMUNITY TO QUICKLY LOCATE COMMUNITY-BASED SOCIAL CARE RESOURCES THROUGH THE FINDHELP PLATFORM.AS PART OF THE HOSPITAL'S COVID-19 RESPONSE, A TESTING SITE WAS LOCATED ON THE THL CAMPUS IN COMPLIANCE WITH STATE AND CDC GUIDELINES, AND SPECIFIC UNITS FOR COVID-19 WERE ADDED. THL MAINTAINED REGULAR COMMUNICATION WITH THE LOCAL HEALTH DEPARTMENT TO ALIGN COLLABORATIVE OPPORTUNITIES FOR TESTING EXPANSION TO BETTER SUPPORT COMMUNITY MEMBERS.

Schedule H (Form 990) 2021

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

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	(h) Purpose of grant or assistance
(1) CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION 2929 PLYMOUTH ROAD SUITE 245 ANN ARBOR,MI48105	27-1017827	501(C)(3)	80,000	IMPROVE LOW-INCOME, UNINSURED & UNDERINSURED POPULATIONS
(2) HOPE MEDICAL CLINIC INC 518 HARRIET ST YPSILANTI,MI48197	38-2469007	501(C)(3)	100,000	BUILDING TRUST IN COVID VACCINES INCREASING VACCINE CLINICS
(3) NONPROFIT ENTERPRISE AT WORK INC 1100 NORTH MAIN ST SUITE 100 ANN ARBOR,MI48104	38-2825019	501(C)(3)	50,000	SUPPORT LEADERS OF COLOR FELLOWSHIP OPERATIONS
(4) SOS COMMUNITY SERVICES 101 S HURON STREET YPSILANTI,MI48197	38-2037588	501(C)(3)	97,100	ADDRESSING INEQUITIES & RACISM - MATERNAL & INFANT CARE PROJECT
(5) LIVINGSTON COUNTY DEPT PUBLIC HEALTH 2300 E GRAND RIVER HOWELL,MI48843		GOVERNMENT ORG	114,427	PRESCRIPTION FOR HEALTH PROGRAM
(6) LETS TRANSPORTATIONCOUNTY MOTOR POOL 3950 W GRAND RIVER HOWELL,MI48855		501(C)(3)	40,000	IMPROVING ACCESS TO TRANSPORTATION & REDUCING BARRIERS TO HEALTHCARE
(7) EASTERN MICHIGAN UNIVERSITY 203 BOONE YPSILANTI,MI48197	38-2953297	501(C)(3)	20,256	FAMILY EMPOWERMENT PROGRAM
(8) GROWING HOPE 922 W MICHIGAN AVE YPSILANTI,MI48197	74-3091845	501(C)(3)	10,000	SUPPORT YPSILANTI FARMER'S MARKET OPERATION
(9) LACASA 2895 W GRAND RIVER AVE HOWELL,MI48843	38-2370824	501(C)(3)	39,858	INVESTING IN OUR COMMUNITIES GRANT - SANE PROJECT
(10) MICHIGAN PRISON DOULA INITIATIVE 204 STATE ST LANE HALL ANN ARBOR,MI48109	82-2200760	501(C)(3)	25,000	ADDRESSING INEQUITIES & RACISM - MATERNAL & INFANT CARE PROJECT
(11) OZONE HOUSE INC 1600 NORTH HURON RIVER DRIVE YPSILANTI,MI48197	38-1916505	501(C)(3)	50,000	INVESTING IN OUR COMMUNITIES GRANT - OZONE HOUSE THERAPY SERVICES PROJECT
(12) RECOVERY ADVOCATES IN LIVINGSTON INC 11026 KURTISS DR BRIGHTON,MI48114	83-4218759	501(C)(3)	46,038	INVESTING IN OUR COMMUNITIES GRANT - RAIL WOMEN'S RECOVERY HOUSE/CENTER
(13) LIVINGSTON COUNTY CATHOLIC CHARITIES 2020 E GRANT RIVER SUITE 104 HOWELL,MI48843	38-2570420	501(C)(3)	20,000	MATCHING DFC FUNDS FOR PROVIDING SUBSTANCE USE PREVENTION & SERVICES
(14) YPSILANTI MEALS ON WHEELS 1110 W CROSS ST YPSILANTI,MI48197	38-2038528	501(C)(3)	50,000	INVESTING IN OUR COMMUNITIES GRANT - HEALTH AGING IN YPSILANTI FROM ADVOCT
(15) WASHTENAW COUNTY PUBLIC HEALTH DEPARTMENT 555 TOWNER ST YPSILANTI,MI48198	38-6004894	GOVERNMENT ORG	210,000	PRESCRIPTION FOR HEALTH PROGRAM 3/1/21-2/28/22
(16) CATHOLIC CHARITIES OF WEST MICHIGAN 360 DIVISION AVE S STE 3A GRAND RAPIDS,MI49503	38-3012473	501(C)(3)	43,500	COMMUNITY SUPPORT
(17) AYA YOUTH COLLECTIVE 320 STATE STREET E GRAND RAPIDS,MI49503	46-2391112	501(C)(3)	40,000	COMMUNITY SUPPORT
(18) DEGAGE MINISTRIES 144 DIVISION AVE S GRAND RAPIDS,MI49503	38-1912094	501(C)(3)	34,387	COMMUNITY SUPPORT
(19) AFRICAN AMERICAN HEALTH INSITITUTE 500 LAFAYETTE AVENUE NE STE 18 GRAND RAPIDS,MI49503	06-1658200	501(C)(3)	35,000	COMMUNITY SUPPORT
(20) GRAND RAPIDS AREA CHAMBER OF COMMERCE 250 MONROE AVE NW STE 150 GRAND RAPIDS,MI49503	38-0592500	501(C)(6)	17,500	COMMUNITY SUPPORT
(21) GRAND RAPIDS LGBTQ HEALTHCARE CONSORTIUM 3135 PRATT LAKE SE LOWELL,MI49331	86-1255256	501(C)(3)	18,000	COMMUNITY SUPPORT
(22) GRAND VALLEY STATE UNIVERSITY 1 CAMPUS DRIVE ALLENDALE,MI494019403	38-1684280	501(C)(3)	6,000	COMMUNITY SUPPORT
(23) HEARTSIDE GLEANING INITATIVE 2921 BIRD AVE NE GRAND RAPIDS,MI49525	46-5234246	501(C)(3)	34,333	COMMUNITY SUPPORT
(24) HISPANIC CENTER OF WESTERN MICHIGAN INC 1204 GRANDVILLE AVE SW GRAND RAPIDS,MI495038032	38-2265825	501(C)(3)	36,500	COMMUNITY SUPPORT
(25) HOPE NETWORK WEST MICHIGAN 3075 ORCHARD VISTA DRIVE SE GRAND RAPIDS,MI49546	38-6108186	501(C)(3)	20,000	COMMUNITY SUPPORT
(26) INTERACT OF MICHIGAN INC 1131 IONIA STREET NW GRAND RAPIDS,MI49503	38-2999425	501(C)(3)	40,000	COMMUNITY SUPPORT
(27) KENT COUNTY TREASURER 300 MONROE AVE NW GRAND RAPIDS,MI49503	38-6004862	GOVERNMENT ORG	125,000	COMMUNITY SUPPORT
(28) THE RIGHT PLACE INC 125 OTTAWA AVENUE NW STE 450 GRAND RAPIDS,MI49503	38-3262801	501(C)(6)	30,000	COMMUNITY SUPPORT
(29) TALENT 2025 INC 833 KENMOOR AVE SE STE B GRAND RAPIDS,MI49546	27-0193853	501(C)(3)	10,000	COMMUNITY SUPPORT
(30) WEST MICHIGAN HISPANIC CHAMBER OF COMMERCE 2007 DIVISION AVE S GRAND RAPIDS,MI49507	20-1483629	501(C)(6)	22,500	COMMUNITY SUPPORT
(31) WEST MICHIGAN ASIAN AMERICAN ASSOC 818 BUTTERWORTH ST SW GRAND RAPIDS,MI495046254	86-1091018	501(C)(3)	15,000	COMMUNITY SUPPORT
(32) YMCA WEST CENTRAL MICHIGAN 475 LAKE MICHIGAN DRIVE NW GRAND RAPIDS,MI49504	38-1359578	501(C)(3)	28,000	COMMUNITY SUPPORT
(33) ARAB COMMUNITY CENTER FOR ECONOMIC & SOCIAL SERVICES 6450 MAPLE DEARBORN,MI48126	23-7444497	501(C)(3)	10,000	9TH ARAB HEALTH SUMMIT
(34) CHARTER TOWNSHIP OF NORTHVILLE 700 WEST BASELINE ROAD NORTHVILLE,MI48167	38-6007235	GOVERNMENT ORG	10,000	SUPPORT REDUCED NORTHVILLE TRANSPORTATION FEES TO RESIDENTS
(35) COURAGEOUS INC 12925 AUBURN ST DETROIT,MI48223	90-0786010	501(C)(3)	10,000	SOUL DAY FESTIVAL AND JUSTICE SPORTS LEAGUE FOR YOUTH
(36) FOMAPI 28235 SOUTHFIELD ROAD LATHRUP VILLAGE,MI48076	38-3032459	501(C)(3)	15,000	PLATINUM SPONSOR OF FUNDRAISING EVENT 'FESTIVAL OF LIGHTS'
(37) LIVONIA CHAMBER OF COMMERCE 33300 FIVE MILE ROAD SUITE 212 LIVONIA,MI48154	38-1654593	501(C)(6)	11,800	VARIOUS SPONSORSHIPS
(38) MERCY EDUCATION PROJECT 1450 HOWARD STREET DETROIT,MI48216	38-3209556	501(C)(3)	20,000	DOORWAY DINNER SPONSORSHIP/ GOLF OUTING SPONSORSHIP
(39) ST SUZANNE CODY ROUGE COMMUNITY RESOURCE CENTER 19327 W CHICAGO ST DETROIT,MI48228	83-3262979	501(C)(3)	17,000	EXPENSES ASSOCIATED WITH THE FACILITY
(40) ST FRANCES CABRINI CLINIC 1234 PORTER ST DETROIT,MI48226	38-3129349	501(C)(3)	250,000	COMMUNITY SUPPORT
(41) SAY DETROIT FAMILY HEALTH CLINIC 211 GLENDALE AVE HIGHLAND PARK,MI48203	20-4786626	501(C)(3)	400,000	COMMUNITY SUPPORT
(42) BOYS AND GIRLS CLUBS OF SOUTHEASTERN MIC 26777 HALSTED RD STE 100 FARMINGTON HILLS,MI48331	38-1387123	501(C)(3)	10,000	COMMUNITY SUPPORT
(43) DETROIT PUBLIC SCHOOLS FOUNDATION 3011 W GRAND BLVD STE 1004 DETROIT,MI48202	30-0135450	501(C)(3)	40,825	COMMUNITY SUPPORT
(44) OAKLAND LIVINGSTON HUMAN SERVICE AGENCY 196 CESAR E CHAVEZ AVE PONTIAC,MI48342	38-1785665	501(C)(3)	70,000	SPONSORSHIP
(45) SANCTUM HOUSE INC 28175 HAGGERTY ROAD NOVI,MI48377	47-2592620	501(C)(3)	10,000	SPONSORSHIP
(46) GREATER PONTIAC COMMUNITY COALITION INC 143 ONEIDA ST PONTIAC,MI48341	38-3219125	501(C)(3)	10,000	SPONSORSHIP
(47) NEW PROSPECT MISSIONARY BAPTIST CHURCH 351 PROSPECT ST PONTIAC,MI48341	38-2207056	501(C)(3)	8,000	SPONSORSHIP

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) 2021

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) PATIENT TRANSPORTATION	1270	29,559
(2) PATIENT/FAMILY LODGING	1	300
(3) FOOD/GAS/OTHER ESSENTIALS	704	16,273
(4) MEDICATIONS, MEDICAL SUPPLIES, SERVICES, ETC.	171	14,479
(5) PATIENT FOOD/MEALS	344	97,522
(6) SCHOLARSHIPS	19	45,539
(7) COVID-RELATED EMPLOYEE ASSISTANCE	286	60,865
(8) FARM SHARES FOR FOOD INSECURE FAMILIES	30	9,000
(9) MAMMOGRAMS FOR UNINSURED	105	14,450

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) 2021

Additional Data

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 on 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 on 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 nonfixed
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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1LAWRENCE RAPP MD NEUROSURGEON (TH OAKLAND)	(i) (ii)	1,949,684 ------------- 0	0 ------------- 0	7,481 ------------- 0	13,050 ------------- 0	27,374 ------------- 0	1,997,589 ------------- 0	0 ------------- 0
2ROBERT CASALOU DIRECTOR; PRESIDENT & CEO, MI REGION	(i) (ii)	0 ------------- 1,053,686	0 ------------- 472,500	0 ------------- 219,121	0 ------------- 17,400	0 ------------- 55,001	0 ------------- 1,817,708	0 ------------- 0
3EDMUND HODGE DIRECTOR; TRINITY HEALTH EVP, CHRO	(i) (ii)	0 ------------- 756,691	0 ------------- 454,679	0 ------------- 151,082	0 ------------- 13,050	0 ------------- 41,871	0 ------------- 1,417,373	0 ------------- 0
4TODD FRANCIS MD NEUROSURGEON (TH OAKLAND)	(i) (ii)	1,136,450 ------------- 0	0 ------------- 0	1,264 ------------- 0	13,050 ------------- 0	26,867 ------------- 0	1,177,631 ------------- 0	0 ------------- 0
5KARSTEN FLIEGNER MD CARDIOTHORACIC SURGEON (TH OAKLAND)	(i) (ii)	875,384 ------------- 0	50,000 ------------- 0	11,145 ------------- 0	13,050 ------------- 0	18,810 ------------- 0	968,389 ------------- 0	0 ------------- 0
6MARC SILVER MD CARDIOTHORACIC SURGEON (TH OAKLAND)	(i) (ii)	875,249 ------------- 0	50,000 ------------- 0	7,236 ------------- 0	13,050 ------------- 0	18,945 ------------- 0	964,480 ------------- 0	0 ------------- 0
7CHARLES SCHWARTZ MD CARDIOTHORACIC SURGEON (TH OAKLAND)	(i) (ii)	885,607 ------------- 0	0 ------------- 0	2,765 ------------- 0	13,050 ------------- 0	26,929 ------------- 0	928,351 ------------- 0	0 ------------- 0
8MICHAEL GUSHO TREASURER; CFO, MICHIGAN REGION	(i) (ii)	0 ------------- 582,936	0 ------------- 141,136	0 ------------- 106,666	0 ------------- 21,750	0 ------------- 42,569	0 ------------- 895,057	0 ------------- 89,361
9ALONZO LEWIS PRESIDENT TRINITY HEALTH ANN ARBOR	(i) (ii)	0 ------------- 477,958	0 ------------- 216,000	0 ------------- 20,709	0 ------------- 139,225	0 ------------- 39,865	0 ------------- 893,757	0 ------------- 0
10SHANNON STRIEBICH PRES TH OAKLAND & SVP OPS, MI REGION	(i) (ii)	0 ------------- 561,957	0 ------------- 193,262	0 ------------- 71,655	0 ------------- 17,400	0 ------------- 38,878	0 ------------- 883,152	0 ------------- 0
11DAVID SPIVEY PRESIDENT TRINITY HEALTH LIVONIA	(i) (ii)	0 ------------- 518,545	0 ------------- 182,053	0 ------------- 114,394	0 ------------- 21,750	0 ------------- 38,316	0 ------------- 875,058	0 ------------- 0
12ROSALIE TOCCO-BRADLEY MD CCO & REGIONAL CMO, MICHIGAN REGION	(i) (ii)	0 ------------- 564,283	0 ------------- 134,118	0 ------------- 109,783	0 ------------- 17,400	0 ------------- 48,398	0 ------------- 873,982	0 ------------- 84,540
13HYUNG KIM MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 187,415	0 ------------- 108,333	0 ------------- 345,391	0 ------------- 194,350	0 ------------- 24,010	0 ------------- 859,499	0 ------------- 0
14GARY ALLORE FORMER OFFICER; PRES TH MUSKEGON	(i) (ii)	0 ------------- 454,160	0 ------------- 111,139	0 ------------- 67,966	0 ------------- 17,400	0 ------------- 32,582	0 ------------- 683,247	0 ------------- 0
15SALLY GUINDI SECRETARY; GEN COUNSEL, MICH REGION	(i) (ii)	0 ------------- 398,191	0 ------------- 100,000	0 ------------- 66,761	0 ------------- 21,750	0 ------------- 43,811	0 ------------- 630,513	0 ------------- 0
16MATT BIERSACK MD PRESIDENT THGR AT 8/21; CMO THR 4/22	(i) (ii)	0 ------------- 463,549	0 ------------- 81,200	0 ------------- 6,823	0 ------------- 48,383	0 ------------- 30,425	0 ------------- 630,380	0 ------------- 0
17MATTHEW GRIFFIN MD CMO TRINITY HEALTH LIVONIA	(i) (ii)	0 ------------- 409,673	0 ------------- 83,844	0 ------------- 18,700	0 ------------- 13,050	0 ------------- 41,820	0 ------------- 567,087	0 ------------- 8,954
18NANCY GRAEBNER FORMER KEY EMP; CEO CHELSEA HOSPITAL	(i) (ii)	0 ------------- 335,630	0 ------------- 116,511	0 ------------- 78,409	0 ------------- 17,400	0 ------------- 14,810	0 ------------- 562,760	0 ------------- 0
19FABIAN FREGOLI MD CMO TRINITY HEALTH OAKLAND	(i) (ii)	0 ------------- 410,632	0 ------------- 83,499	0 ------------- 6,833	0 ------------- 17,400	0 ------------- 34,671	0 ------------- 553,035	0 ------------- 0
20TOMASINE MARX VP FINANCE WEST MARKET	(i) (ii)	0 ------------- 400,374	0 ------------- 80,800	0 ------------- 8,748	0 ------------- 13,050	0 ------------- 35,869	0 ------------- 538,841	0 ------------- 0
21DAVID VANDENBERG MD CMO TRINITY HEALTH ANN ARBOR & LIV	(i) (ii)	0 ------------- 386,127	0 ------------- 78,000	0 ------------- 10,574	0 ------------- 17,400	0 ------------- 36,996	0 ------------- 529,097	0 ------------- 0
22JOHN O'MALLEY PRESIDENT TRINITY HEALTH LIVINGSTON	(i) (ii)	0 ------------- 308,585	0 ------------- 77,048	0 ------------- 51,627	0 ------------- 13,050	0 ------------- 21,631	0 ------------- 471,941	0 ------------- 0
23DANIEL GREEN VP FINANCE TH GRAND RAPIDS	(i) (ii)	0 ------------- 305,796	0 ------------- 62,000	0 ------------- 3,815	0 ------------- 21,750	0 ------------- 30,527	0 ------------- 423,888	0 ------------- 0
24MICHAEL SAMYN VP FINANCE TRINITY HEALTH OAKLAND	(i) (ii)	0 ------------- 298,617	0 ------------- 60,800	0 ------------- 5,156	0 ------------- 21,750	0 ------------- 35,258	0 ------------- 421,581	0 ------------- 0
25FRANK SAWYER SENIOR VP, OPERATIONS TH OAKLAND	(i) (ii)	273,021 ------------- 0	56,738 ------------- 0	253 ------------- 0	13,050 ------------- 0	30,831 ------------- 0	373,893 ------------- 0	0 ------------- 0
26CAROL TARNOWSKY FORMER OFFICER	(i) (ii)	0 ------------- 4,796	0 ------------- 0	0 ------------- 309,745	0 ------------- 5,084	0 ------------- 705	0 ------------- 320,330	0 ------------- 0
27KURT MACDONALD SENIOR VP, OPERATIONS TH GR RAPIDS	(i) (ii)	224,395 ------------- 0	46,604 ------------- 0	331 ------------- 0	16,778 ------------- 0	26,139 ------------- 0	314,247 ------------- 0	0 ------------- 0
28LOREE COLLETT VP, OPERATIONS TH ANN ARBOR	(i) (ii)	222,067 ------------- 0	46,000 ------------- 0	1,402 ------------- 0	12,285 ------------- 0	20,311 ------------- 0	302,065 ------------- 0	0 ------------- 0
29MELISSA KAROLAK VP FINANCE TRINITY HEALTH LIVONIA	(i) (ii)	0 ------------- 200,908	0 ------------- 41,000	0 ------------- 595	0 ------------- 10,561	0 ------------- 27,871	0 ------------- 280,935	0 ------------- 0
30SARAH GILBERT SVP, OPERATIONS TH LIVONIA THR 9/21	(i) (ii)	194,510 ------------- 0	51,480 ------------- 0	784 ------------- 0	18,711 ------------- 0	13,352 ------------- 0	278,837 ------------- 0	0 ------------- 0
31BILL MANNS FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 176,951	0 ------------- 0	0 ------------- 0	0 ------------- 176,951	0 ------------- 0

Schedule J (Form 990) 2021

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 CEO IS 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: - 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 2021. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: HYUNG KIM, MD - $420,000 CAROL TARNOWSKY - $306,913 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/21: HYUNG KIM, MD - $190,000 (PAID IN 2022) CAROL TARNOWSKY - $4,796 (PAID IN 2022) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2021. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2021, AND THEIR NON-VESTED BENEFITS FOR 2021 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2021 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: GARY ALLORE - $55,569 ROBERT CASALOU - $183,750 NANCY GRAEBNER - $58,256 SALLY GUINDI - $50,000 MICHAEL GUSHO - $89,361 EDMUND HODGE - $132,615 BILL MANNS - $176,951 JOHN O'MALLEY - $38,524 DAVID SPIVEY - $91,026 SHANNON STRIEBICH - $58,262 ROSALIE TOCCO-BRADLEY, MD - $84,540 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2021 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: MATT BIERSACK, MD - $30,983 ALONZO LEWIS - $126,175 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($290,000 FOR 2021). THE FOLLOWING PAYOUTS FOR 2021 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MATT BIERSACK, MD - $3,496 FABIAN FREGOLI, MD - $4,023 DANIEL GREEN - $451 MATTHEW GRIFFIN, MD - $13,262 ALONZO LEWIS - $4,817 TOMASINE MARX - $0 MICHAEL SAMYN - $605 CAROL TARNOWSKY - $837 DAVID VANDENBERG, MD - $3,195 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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 section 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 the 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) 2021

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) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	146,047	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(2) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	270,234	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(3) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	986,003	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(4) MATTHEW GRIFFIN	FAMILY MEMBER OF MATTHEW GRIFFIN, MD, KEY EMPLOYEE	13,088	EMPLOYMENT ARRANGEMENT		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) 2021

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

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	130	1,650	DONOR PROVIDED VALUE
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		93	DONOR PROVIDED VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	139	7,080	DONOR PROVIDED VALUE
20 Drugs and medical supplies .	X	36	3,900	DONOR PROVIDED VALUE
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MISCELLANEOUS )	X	914	27,901	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 isn't 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 nonstandard 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 didn't 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) (2021)

Page 2

Part IISupplemental 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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

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 11B	PRIOR TO FILING, THE FORM 990 FOR TH-MI IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. 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 THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, 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 THE CEO AND CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TH-MI IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING COMPENSATION FOR THESE INDIVIDUALS, 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 THESE INDIVIDUALS 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 HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION.
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 XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES -34,899,725. CHANGE IN DEFERRED RETIREMENT COSTS -2,463,968. LOSS FROM DISCONTINUED OPERATIONS -424,814. OTHER TRANSACTIONS 491,243. ASSET IMPAIRMENT -1,360,189. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL ACQUISITIONS -40,000. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 5,097,681. PARTNERSHIP AND STOCKHOLDERS EQUITY ACTIVITY 2,920,991.
FORM 990, PART XII, LINE 2:	TH-MI'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY22 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	BROWNING CLAYTOR HEALTH CENTER,CANTON HEALTH CENTER,MCAULEY HEALTH CENTER,MERCY HEALTH PHARMACY-MARY FREE BED,MERCYELITE,MERCYELITE PHYSICAL THERAPY,MERCYELITE SPORTS PERFORMANCE,RICHARD J. LACKS CANCER CENTER,SAINT MARY'S FAMILY PHARMACY,ST. JOSEPH MERCY OAKLAND - AUBURN HILLS DIAGNOSTICS,ST. JOSEPH MERCY OAKLAND - CLARKSTON IMAGING CENTER,THE FARM AT TRINITY HEALTH,TRINITY HEALTH - SOUTHEAST MICHIGAN,TRINITY HEALTH - WEST MICHIGAN,TRINITY HEALTH ADDICTION RECOVERY,TRINITY HEALTH ANN ARBOR,TRINITY HEALTH ANN ARBOR HOSPITAL,TRINITY HEALTH ASC PHARMACY - SCHOOLCRAFT CAMPUS,TRINITY HEALTH BEHAVIORAL HEALTH CENTER,TRINITY HEALTH BOUTIQUE,TRINITY HEALTH CANCER CENTER - ANN ARBOR CAMPUS,TRINITY HEALTH CANCER CENTER - BRIGHTON,TRINITY HEALTH CANCER CENTER - CANTON,TRINITY HEALTH CANCER CENTER - LIVONIA HOSPITAL,TRINITY HEALTH CANCER CENTER - OAKLAND HOSPITAL,TRINITY HEALTH CANCER CENTER PHARMACY - ANN ARBOR,TRINITY HEALTH CMH PHARMACY - MUSKEGON,TRINITY HEALTH GRAND RAPIDS HOSPITAL,TRINITY HEALTH HOME INFUSION PHARMACY - ANN ARBOR,TRINITY HEALTH IMAGING,TRINITY HEALTH IMAGING CENTER,TRINITY HEALTH INFUSION PHARMACY - CATHEDRAL SQUARE,TRINITY HEALTH INPATIENT PHARMACY - ANN ARBOR HOSPITAL,TRINITY HEALTH INPATIENT PHARMACY - LIVINGSTON HOSPITAL,TRINITY HEALTH INSPIRIT SALON & SPA,TRINITY HEALTH LAB,TRINITY HEALTH LACKS CANCER CENTER,TRINITY HEALTH LIVINGSTON,TRINITY HEALTH LIVINGSTON HOSPITAL,TRINITY HEALTH LIVONIA,TRINITY HEALTH LIVONIA HOSPITAL,TRINITY HEALTH LONG TERM CARE PHARMACY - CATHEDRAL SQUARE,TRINITY HEALTH MCAULEY INN,TRINITY HEALTH MEDICAL CENTER,TRINITY HEALTH MEDICAL CENTER - BRIGHTON,TRINITY HEALTH MEDICAL CENTER - CANTON,TRINITY HEALTH MEDICAL CENTER - EMU,TRINITY HEALTH MEDICAL CENTER - SCHOOLCRAFT CAMPUS,TRINITY HEALTH MEDICAL CENTER - WATERFORD,TRINITY HEALTH MEDICAL CENTER PHARMACY - BRIGHTON,TRINITY HEALTH MEDICAL CENTER PHARMACY - CANTON,TRINITY HEALTH MEDICAL GROUP, MCAULEY CLINIC - GRAND RAPIDS CAMPUS,TRINITY HEALTH MICHIGAN HEART,TRINITY HEALTH OAKLAND,TRINITY HEALTH OAKLAND HOSPITAL,TRINITY HEALTH OSC PHARMACY - LIVONIA,TRINITY HEALTH PAIN & PALLIATIVE CARE,TRINITY HEALTH PAIN CENTER,TRINITY HEALTH PETER M. WEGE CENTER FOR HEALTH AND LEARNING,TRINITY HEALTH PHARMACY - BYRON CENTER,TRINITY HEALTH PHARMACY - CATHEDRAL SQUARE,TRINITY HEALTH PHARMACY - DETROIT,TRINITY HEALTH PHARMACY - HOWELL,TRINITY HEALTH PHARMACY - HUDSONVILLE,TRINITY HEALTH PHARMACY - LIVONIA,TRINITY HEALTH PHARMACY - MARY FREE BED,TRINITY HEALTH PHARMACY - OAKLAND,TRINITY HEALTH PHARMACY - REICHERT CENTER,TRINITY HEALTH PHARMACY - ROCKFORD,TRINITY HEALTH PHARMACY - ROOSEVELT PARK,TRINITY HEALTH PHARMACY - ROOSEVELT PLAZA,TRINITY HEALTH PHARMACY - SCHOOLCRAFT CAMPUS,TRINITY HEALTH PHARMACY - TOWERS ANN ARBOR,TRINITY HEALTH PHARMACY - WEGE CENTER,TRINITY HEALTH PHARMACY SOLUTIONS - GRAND RAPIDS,TRINITY HEALTH PRIMARY CARE - DETROIT,TRINITY HEALTH RECOVERY SERVICES - ANN ARBOR CAMPUS,TRINITY HEALTH REICHERT MEDICAL CENTER,TRINITY HEALTH RICHARD J. LACKS SR. CANCER CENTER,TRINITY HEALTH SAINT MARY'S - GRAND RAPIDS,TRINITY HEALTH SLEEP CENTER,TRINITY HEALTH SOPHIA'S HOUSE,TRINITY HEALTH ST. JOSEPH MERCY ANN ARBOR,TRINITY HEALTH ST. JOSEPH MERCY LIVINGSTON,TRINITY HEALTH ST. JOSEPH MERCY OAKLAND,TRINITY HEALTH ST. MARY MERCY LIVONIA,TRINITY HEALTH SURGERY CENTER - BRIGHTON,TRINITY HEALTH SURGERY CENTER - CANTON,TRINITY HEALTH SURGERY CENTER - SCHOOLCRAFT CAMPUS,TRINITY HEALTH URGENT CARE,TRINITY HEALTH WEGE MEDICAL CENTER,TRINITY HEALTH WELLNESS CENTER,TRINITYELITE SPORTS PERFORMANCE,TRINITYELITE SPORTS PERFORMANCE CENTER,ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES (ASLA),CARDIOVASCULAR NETWORK OF WEST MICHIGAN,CHELSEA PROFESSIONAL SERVICES,HEARTSIDE HEALTH CLINIC,LIVONIA HEALTH CENTER,MERCY ADVANTAGE,MERCY HEALTH PHARMACY SOLUTIONS,MERCY HEALTH SERVICES,MERCY MEDICAL CENTER - NOVI,MERCY NORTH OUTPATIENT PHARMACY,MERCY PRIMARY CARE CENTER - DETROIT,MERCY PRIMARY CARE CENTER - DETROIT PHARMACY,MICHIGAN BARIATRIC INSTITUTE (MBI),MICHIGAN CANCER INSTITUTE,MICHIGAN HEART,MICHIGAN STROKE NETWORK,MICHIGAN STROKE NETWORK REGISTRY,SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVORIAL MEDICINE,SAINT MARY'S LTC PHARMACY,SAINT MARY'S MERCY WOUND CARE CENTER,SJMO ROCHESTER HILLS OB/GYN,SPARTA FAMILY HEALTH CENTER,ST. JOSEPH MERCY CANTON HEALTH CENTER,ST. MARY MERCY HOSPITAL,ST. MARY MERCY ONCOLOGY PRACTICE,ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES,ST. MARY MERCY WOUND CARE CENTER,ANN ARBOR HOME INFUSION PHARMACY,CANCER NETWORK OF WEST MICHIGAN,CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES),CHELSEA COMMUNITY HOSPITAL,CHELSEA ORTHOPEDIC SPECIALISTS,CHELSEACARE HOME HEALTH,CLINICA SANTA MARIA,CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES,DEXTER INTERNAL MEDICINE AND PEDIATRICS,FAMILY MEDICINE OF STOCKBRIDGE,FAMILY PHARMACY-SW CAMPUS,HEALTH EXPLORATION STATION,SAINT JOSEPH MERCY HEALTH SYSTEM,SAINT MARY'S FAMILY PHARMACY - LTC,SAINT MARY'S FAMILY PHARMACY-CATHEDRAL SQUARE,SAINT MARY'S FAMILY PHARMACY-SOUTHWEST,SAINT MARY'S FAMILY PHARMACY-SW CAMPUS,SAINT MARY'S FAMILY PHARMACY-WEGE CENTER,SAINT MARY'S HEALTH CARE,SAINT MARY'S HEALTH CARE, PROFESSIONAL FINANCIAL SERVICES,SAINT MARY'S MERCY HOSPITAL,SAINT MARY'S MERCY MEDICAL CENTER,SISTERS OF MERCY HEALTH CORPORATION,SJMHS SPECIALTY PHYSICIANS,ST. MARY'S HOSPITAL, GRAND RAPIDS,ST. JOE'S MEDICAL GROUP,ST. JOSEPH MERCY - BRIGHTON,ST. JOSEPH MERCY HOSPITAL - SMHC,ST. JOSEPH MERCY HOSPITAL, PONTIAC,ST. JOSEPH MERCY OAKLAND URGENT CARE-BIRMINGHAM,ST. MARY MERCY OUTPATIENT PHARMACY,ST. MARY MERCY PHARMACY - LIVONIA MEDICAL CENTER,THE BOUTIQUE AT MERCY HEALTH,THE SHOPPE AT SAINT MARY'S,WESTSHORE FAMILY MEDICINE,WOMEN'S HEALTH CENTER,ANN ARBOR SPINE CENTER,CLINXUS,MERCY CANCER CENTER,MERCY ENDOCRINOLOGY,MERCY FAMILY CARE,MERCY HEALTH CLINXUS,MERCY HEALTH DENTAL CLINIC,MERCY HEALTH PHARMACY-ROCKFORD,MERCY HEALTH-MUSKEGON CMH PHARMACY,MERCY SPECIALTY CARE,MERCY SURGERY CARE,MICHIGAN BRAIN AND SPINE INSTITUTE,MRI MOBILE SERVICES OF WEST MICHIGAN,SJMH MEDICAL PRACTICE,SJMH URGENT CARES,ST JOSEPH MERCY HOSPITAL, PONTIAC,ST. JOE'S MEDICAL GROUP - BLOOMFIELD PRIMARY CARE,ST. JOE'S MEDICAL GROUP - WATERFORD ADULT AND PEDIATRIC MEDICINE,ST. JOSEPH MERCY ANN ARBOR-CANCER CENTER,ST. JOSEPH MERCY BRIGHTON-CANCER CENTER,ST. JOSEPH MERCY CANTON-CANCER CENTER,ST. JOSEPH MERCY GREENBROOK,ST. JOSEPH MERCY LIVINGSTON-CANCER CENTER,ST. JOSEPH MERCY OAKLAND - IMAGE ENHANCEMENT CENTER,ST. JOSEPH MERCY OAKLAND-CANCER CENTER,ST. JOSEPH MERCY PROFESSIONAL PHARMACY,ST. MARY MERCY - CANCER CENTER,THE BOUTIQUE AT MERCY HEALTH, LACKS CANCER CENTER,CANTON CENTER FOR ADVANCED MEDICINE AND SURGERY,CHELSEACARE,CHELSEACARE PHARMACY,INSPIRIT CANCER SUPPORT SERVICES,MERCY HEALTH - GRAND RAPIDS,MERCY HEALTH ASTHMA NETWORK,MERCY HEALTH PHARMACY - CATHEDRAL SQUARE,MERCY HEALTH PHARMACY - HOME INFUSION,MERCY HEALTH PHARMACY - HUDSONVILLE,MERCY HEALTH PHARMACY - LONG TERM CARE,MERCY HEALTH PHARMACY - SOUTHWEST,MERCY HEALTH PHARMACY - WEGE CENTER,MERCY HEALTH ROCKFORD CAMPUS,MERCY HEALTH SAINT MARY'S,MERCY HEALTH SOUTHWEST CAMPUS,MERCY OB/GYN PARTNERS,MERCY PHYSICIAN NETWORK,MERCY PROFESSIONAL SERVCES,PROFESSIONAL FINANCIAL SERVICES,SAINT JOSEPH MERCY CANTON HEALTH CENTER,SAINT JOSEPH MERCY CENTER FOR ADVANCED MEDICINE AND SURGERY,SAINT JOSEPH MERCY LIVINGSTON HOSPITAL,SAINT JOSEPH MERCY PHARMACY - HOWELL,SAINT JOSEPH MERCY PHARMACY - REICHERT,SAINT JOSEPH MERCY PHARMACY - SALINE,SAINT JOSEPH MERCY PHARMACY - TOWERS,SAINT JOSEPH MERCY SALINE HOSPITAL,SAINT MARY'S FAMILY PHARMACY - SW CAMPUS,SAINT MARY'S FAMILY PHARMACY - WEGE,SAINT MARY'S HEALTH SERVICES,SAINT MARY'S HOME INFUSION PROGRAM,SAMARITAN HEALTH CENTER, DETROIT,SJMH MEDICAL PRACTICE- SMHC,SOPHIA'S HOUSE,SRSLY,ST JOSEPH MERCY ANN ARBOR INFUSION PHARMACY,ST. JOSEPH HOSPITAL, PONTIAC,ST. JOSEPH MERCY ANN ARBOR,ST. JOSEPH MERCY CANTON,ST. JOSEPH MERCY CHELSEA-CANCER CENTER,ST. JOSEPH MERCY HOSPITAL, ANN ARBOR,ST. JOSEPH MERCY LIVINGSTON,ST. JOSEPH MERCY OAKLAND,ST. JOSEPH MERCY SALINE,ST. JOSEPH MERCY SALINE HEALTH CENTER,ST. MARY MERCY HOSPITAL PROFESSIONAL,ST. MARY MERCY LIVONIA,ST. MARY MERCY PHYSICIAN PRACTICES,THE FARM AT SAINT JOSEPH MERCY HEALTH SYSTEM,THE FARM AT ST. JOE'S,WESTSIDE OBSTETRICS AND GYNECOLOGY,ASTHMA NETWORK,ASTHMA NETWORK OF W MI,ASTHMA NETWORK OF WEST MICHIGAN,MERCY GENERAL HEALTH PARTNERS,ST. JOE'S MEDICAL GROUP - BLOOMFIELD HILLS PEDIATRICS,ST. JOE'S MEDICAL GROUP - DAVISBURG FAMILY MEDICINE,ST. JOE'S MEDICAL GROUP - OB/GYN OF MICHIGAN,TRINITY HEALTH INPATIENT PHARMACY - GRAND RAPIDS HOSPITAL,TRINITY HEALTH INPATIENT PHARMACY - LIVONIA HOSPITAL,TRINITY HEALTH INPATIENT PHARMACY - OAKLAND HOSPITAL,TRINITY HEALTH SPECIALTY PHARMACY - GRAND RAPIDS,TRINITY HEALTH HOME INFUSION PHARMACY - REICHERT CENTER,TRINITY HEALTH GREENBROOK RECOVERY CENTER,TRINITY HEALTH PHARMACY - ANN ARBOR HOSPITAL,TRINITY HEALTH PHARMACY - LIVINGSTON HOSPITAL,TRINITY HEALTH PHARMACY - LIVONIA HOSPITAL,TRINITY HEALTH PHARMACY - OAKLAND HOSPITAL,SAINT MARY'S ADVANCED SPECIALTY CARE
FORM 990, PAGE 1, DOING BUSINESS AS NAMES (CONTINUED):	SAINT MARY'S FAMILY PHARMACY - ECS

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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) OAKLAND HEALTH ALLIANCE LLC 44405 WOODWARD AVE PONTIAC,MI48341 82-2021072	ACCOUNTABLE CARE ORGANIZATION	MI	0	401,364	TRINITY HEALTH-MICHIGAN
(2) SOUTHEAST MICHIGAN CLINICAL NETWORK LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3856789	ACCOUNTABLE CARE ORGANIZATION	MI	1,129,984	5,701,300	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 200 JEFFERSON AVE SE GRAND RAPIDS,MI49503 27-2491974	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes
(2)ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR,FL34684 58-1492325	GRANT MAKING	FL	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes
(3)ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD,CT06105 06-1450170	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes
(4)BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 42-1500277	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(5)BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 26-2973307	FOUNDATION	IA	501(C)(3)	LINE 12A, I	BAUM HARMON MERCY HOSPITAL	Yes
(6)BEECHWOOD INC 2212 BURDETT AVE TROY,NY12180 14-1651563	TITLE HOLDING COMPANY	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes
(7)BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH,PA15219 25-1436685	HOMELESS SHELTER	PA	501(C)(3)	LINE 7	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes
(8)BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS,NY12159 14-1717028	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(9)BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD,CT06105 04-2182395	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 10	THE MERCY HOSPITAL INC	Yes
(10)CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES,NY12047 14-1701597	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(11)CATHERINE MCAULEY HEALTH SERVICES CORP 5315 ELLIOTT DR 102 YPSILANTI,MI48197 38-2507173	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(12)CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA,MI48152	GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM	VT	501(C)(3)	LINE 1	N/A		No
(13)DILEY RIDGE MEDICAL CENTER 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 34-2032340	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes
(14)DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE,IA52001 26-2227941	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(15)DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE,IA52040 20-5383271	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes
(16)EAST NORRITON PHYSICIANS SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2515999	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(17)EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY,NY12180 14-1818568	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes
(18)EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT,NY13214 46-1051881	PACE PROGRAM	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes
(19)EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA,NY12020 14-1795732	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	HOME AIDE SERVICE OF EASTERN NEW YORK INC	Yes
(20)FARREN CARE CENTER INC 114 WOODLAND STREET HARTFORD,CT06105 04-2501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(21)FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON,DE19805 22-3008680	LONG TERM CARE (INACTIVE)	DE	501(C)(3)	LINE 10	ST FRANCIS HOSPITAL INC	Yes
(22)GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR,MI48105 20-8072723	FOUNDATION	MI	501(C)(3)	LINE 12A, I	GLACIER HILLS INC	Yes
(23)GLACIER HILLS INC 1200 EARHART RD ANN ARBOR,MI48105 38-1891500	SENIOR LIVING COMMUNITY	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes
(24)GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA,NY12309 14-1794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(25)GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA,MI48152 42-1253527	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes
(26)GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO,GA30642 26-1720984	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes
(27)GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK,IL60160 36-3332852	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes
(28)GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK,IL60160 74-3260011	FOUNDATION	IL	501(C)(3)	LINE 12D, III-O	N/A		No
(29)GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK,IL60160 36-2379649	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes
(30)HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH,NY12061 80-0102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(31)HEART CENTER OF GREATER WATERBURY INC 114 WOODLAND STREET HARTFORD,CT06105 83-0416893	MANAGEMENT	CT	501(C)(3)	LINE 12A, I	N/A		No
(32)HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY,NY12180 14-1725101	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(33)HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS,MI48152 52-1945054	LONG TERM CARE	MD	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes
(34)HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING,MD20910 20-8428450	FOUNDATION	MD	501(C)(3)	LINE 7	HOLY CROSS HEALTH INC	Yes
(35)HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING,MD20910 52-0738041	HEALTH CARE AND HOSPITAL SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(36)HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-0791028	HEALTH CARE AND HOSPITAL SERVICES	FL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(37)HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 46-5421068	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes
(38)HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 81-2531495	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes
(39)HOLY CROSS SENIOR SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 83-2256461	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes
(40)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 10	LTC (EDDY) INC	Yes
(41)HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY,IA50401 42-1173708	HOSPICE SERVICES	IA	501(C)(3)	LINE 10	MERCY HEALTH SERVICES-IOWA CORP	Yes
(42)HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY,IA51104 38-3320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 12A, I	N/A		No
(43)IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3316559	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes
(44)JOHNSON MEMORIAL HOSPITAL INC 114 WOODLAND STREET HARTFORD,CT06105 47-5676956	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes
(45)LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2519529	HEALTH CARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes
(46)LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2571699	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes
(47)LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN,NJ08109 26-1854750	PACE PROGRAM	NJ	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(48)LIFE AT ST FRANCIS HEALTHCARE INC 1072 JUSTISON STREET WILMINGTON,DE19801 45-2569214	PACE PROGRAM	DE	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(49)LIFE ST FRANCIS CORPORATION 7500 K JOHNSON BOULEVARD BORDENTOWN,NJ08505 22-2797282	PACE PROGRAM	NJ	501(C)(3)	LINE 10	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes
(50)LIFE ST JOSEPH OF THE PINES INC 4900 RAEFORD ROAD FAYETTEVILLE,NC28304 27-2159847	PACE PROGRAM	NC	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(51)LIFE ST MARY 2500 NORTHGATE ROAD TREVOSE,PA19053 26-2976184	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(52)LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK,IL60160 47-4147171	TRANSPORTATION SERVICES	IL	501(C)(3)	LINE 10	LOYOLA UNIVERSITY MEDICAL CENTER	Yes
(53)LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-3342448	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(54)LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-4015560	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes
(55)LTC (EDDY) INC 2212 BURDETT AVE TROY,NY12180 22-2564710	MANAGEMENT SERVICES FOR LONG TERM CARE	NY	501(C)(3)	LINE 12B, II	ST PETER'S HEALTH PARTNERS	Yes
(56)MAXIS HEALTH SYSTEM 20555 VICTOR PARKWAY LIVONIA,MI48152 91-1940902	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes
(57)MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD,CT06117 06-1058086	SENIOR LIVING COMMUNITY	CT	501(C)(3)	LINE 10	MERCY COMMUNITY HEALTH INC	Yes
(58)MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH,PA15213 94-3436142	GRANT MAKING	PA	501(C)(3)	LINE 12B, II	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes
(59)MERCY CARE CENTER 3753 SOUTH COTTAGE GROVE AVE CHICAGO,IL60653 85-3904921	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(60)MERCY CARE FOUNDATION INC 424 DECATUR STREET ATLANTA,GA30312 58-1448522	FOUNDATION	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(61)MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA 3805 W CHESTER PIKE STE 100 NEWTOWN SQUARE,PA19073 23-1352191	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes
(62)MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1492707	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY CONTINUING CARE SERVICES	Yes
(63)MERCY FAMILY SUPPORT 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2325059	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	MERCY HOME HEALTH SERVICES	Yes
(64)MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes
(65)MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 888 TERRACE STREET MUSKEGON,MI49440 38-3321856	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes
(66)MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2829864	FOUNDATION	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes
(67)MERCY HEALTH NETWORK INC 1449 NW 128TH ST BLDG 5 CLIVE,IA50325 42-1478417	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 12C, III-FI	N/A		No
(68)MERCY HEALTH PARTNERS 1500 E SHERMAN BLVD MUSKEGON,MI49444 38-2589966	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(69)MERCY HEALTH PLAN 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 22-2483605	MEDICAID MANAGED CARE PLAN	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes
(70)MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY,IA50401 31-1373080	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(71)MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3163327	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(72)MERCY HEALTHCARE FOUNDATION - CLINTON 1410 N 4TH ST CLINTON,IA52732 42-1316126	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY MEDICAL CENTER - CLINTON INC	Yes
(73)MERCY HOME HEALTH 20555 VICTOR PARKWAY LIVONIA,MI48152 23-1352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes
(74)MERCY HOME HEALTH SERVICES 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2325058	MANAGEMENT SERVICES FOR HOME HEALTH	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes
(75)MERCY HOSPITAL AND MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-2170152	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes
(76)MERCY HOSPITAL CADILLAC FOUNDATION 318 RIVER RIDGE DR NW SUITE 100 WALKER,MI49544 20-3357131	FOUNDATION	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH-MICHIGAN	Yes
(77)MERCY LIFE (FKA ST AGNES CONTINUING CARE CENTER) 1930 SOUTH BROAD STREET PHILADELPHIA,PA19145 23-2840137	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(78)MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH,PA15233 25-1604115	COMMUNITY OUTREACH	PA	501(C)(3)	LINE 10	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes
(79)MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE,AL36670 27-3163002	PACE PROGRAM	AL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(80)MERCY LIFE INC 200 HILLSIDE CIRCLE WEST SPRINGFIELD,MA01089 45-3086711	PACE PROGRAM	MA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(81)MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2627944	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(82)MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON,IA52732 42-1336618	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(83)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
(84)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
(85)MERCY MEDICAL CORPORATION PO BOX 7957 MOBILE,AL36670 63-6002215	PACE PROGRAM	AL	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes
(86)MERCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD,CT06105 45-4884805	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(87)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
(88)MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA,GA30312 27-2046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(89)MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION PO BOX 9184 FARMINGTON HILLS,MI48333 38-2719605	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes
(90)MERCY SPECIALIST PHYSICIANS INC 114 WOODLAND STREET HARTFORD,CT06105 26-4033168	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(91)MERCY SUBURBAN HOSPITAL 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-1396763	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes
(92)MOUNT CARMEL COLLEGE OF NURSING 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 31-1308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes
(93)MOUNT CARMEL HEALTH INSURANCE COMPANY 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 25-1912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes
(94)MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 87-3948434	MEDICARE HMO	CT	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes
(95)MOUNT CARMEL HEALTH PLAN OF IDAHO INC 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 83-1422704	MEDICARE HMO	ID	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes
(96)MOUNT CARMEL HEALTH PLAN OF NEW YORK INC 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 83-3278543	MEDICARE HMO	NY	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes
(97)MOUNT CARMEL HEALTH PLAN INC 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 31-1471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes
(98)MOUNT CARMEL HEALTH SYSTEM 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 31-1439334	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(99)MOUNT CARMEL HEALTH SYSTEM FOUNDATION 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 31-1113966	FOUNDATION	OH	501(C)(3)	LINE 12A, I	MOUNT CARMEL HEALTH SYSTEM	Yes
(100)MOUNT SINAI HOSPITAL FOUNDATION INC 114 WOODLAND STREET HARTFORD,CT06105 22-2584082	FOUNDATION	CT	501(C)(3)	LINE 12C, III-FI	N/A		No
(101)MOUNT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD,CT06105 06-1422973	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes
(102)MOUNT ST JOSEPH 20555 VICTOR PARKWAY LIVONIA,MI48152 01-0274998	LONG TERM CARE	ME	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes
(103)MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON,MI49440 91-1932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes
(104)NAZARETH HOSPITAL 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2794121	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes
(105)NAZARETH PHYSICIAN SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 20-3261266	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(106)NE PHYSICIAN SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2497355	HEALTH CARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes
(107)OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND,NE68045 20-8072234	HEALTH CARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(108)OAKLAND MERCY HOSPITAL FOUNDATION 601 E 2ND STREET OAKLAND,NE68045 31-1678345	FOUNDATION	NE	501(C)(3)	LINE 12A, I	OAKLAND MERCY HOSPITAL	Yes
(109)OSUMOUNT CARMEL HEALTH ALLIANCE 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 31-1654603	COOPERATIVE HEALTH CARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 12A, I	N/A		No
(110)OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND,NY12084 14-1743506	LONG TERM CARE	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes
(111)PIONEER VALLEY CARDIOLOGY ASSOCIATES INC 114 WOODLAND STREET HARTFORD,CT06105 45-4208896	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(112)PITTSBURGH MERCY HEALTH SYSTEM INC 3333 5TH AVENUE PITTSBURGH,PA15213 25-1464211	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(113)PROBILITY THERAPY SERVICES 2058 S STATE STREET ANN ARBOR,MI48104 20-2020239	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes
(114)PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON,MI49442 38-2638284	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	MERCY HEALTH PARTNERS	Yes
(115)RIVERBEND MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD,CT06105 81-1807730	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(116)SJ MANAGEMENT COMPANY OF SYRACUSE INC 301 PROSPECT AVENUE SYRACUSE,NY13203 27-1763712	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(117)SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO,CA93720 94-1437713	HEALTH CARE AND HOSPITAL SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(118)SAINT AGNES MEDICAL FOUNDATION 1303 EAST HERNDON AVE FRESNO,CA93720 94-2839324	HEALTH CARE SERVICES	CA	501(C)(3)	LINE 12A, I	SAINT AGNES MEDICAL CENTER	Yes
(119)SAINT ALPHONSUS DIVERSIFIED CARE INC 1055 NORTH CURTIS RD BOISE,ID83706 94-3028978	HEALTH CARE SYSTEM SUPPORT	ID	501(C)(3)	LINE 12A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes
(120)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 INC	Yes
(121)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 INC	Yes
(122)SAINT ALPHONSUS HEALTH SYSTEM INC 1055 N CURTIS ROAD BOISE,ID83706 27-1929502	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(123)SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS 351 SW 9TH STREET ONTARIO,OR97914 94-3059469	VOLUNTEER SERVICE AUXILIARY	OR	501(C)(3)	LINE 10	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC	Yes
(124)SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY,OR97814 27-1790052	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(125)SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC 4300 E FLAMINGO AVENUE NAMPA,ID83687 26-1737256	FOUNDATION	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC	Yes
(126)SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC 4300 E FLAMINGO AVENUE NAMPA,ID83687 82-0200896	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(127)SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 27-1789847	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(128)SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC 1055 NORTH CURTIS RD BOISE,ID83706 82-0200895	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes
(129)SAINT FRANCIS EMERGENCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD,CT06105 45-1994612	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF NEW ENGLAND PNO INC	Yes
(130)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND STREET HARTFORD,CT06105 06-0646813	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes
(131)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC 114 WOODLAND STREET HARTFORD,CT06105 06-1008255	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	Yes
(132)SAINT JOSEPH PACE INC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3129127	PACE PROGRAM	IN	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(133)SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC PO BOX 670 PLYMOUTH,IN46563 35-1142669	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(134)SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-0868157	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(135)SAINT JOSEPH REGIONAL MEDICAL CENTER INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-1568821	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes
(136)SAINT JOSEPH'S HEALTH SYSTEM INC 424 DECATUR STREET ATLANTA,GA30312 58-1744848	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes
(137)SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA,GA30312 58-1752700	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(138)SAINT JOSEPH'S TOWER INC PO BOX 9184 FARMINGTON HILLS,MI48333 31-1040468	SENIOR LIVING COMMUNITY	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES - INDIANA INC	Yes
(139)SAINT 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
(140)SAINT MARY'S AMICARE HOME HEALTHCARE 1430 MONROE NW STE 120 GRAND RAPIDS,MI49505 38-3320700	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes
(141)SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS,MI49503 38-1779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes
(142)SAINT MARY'S HOSPITAL FOUNDATION INC 114 WOODLAND STREET HARTFORD,CT06105 22-2528400	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT MARY'S HOSPITAL INC	Yes
(143)SAINT MARY'S HOSPITAL INC 114 WOODLAND STREET HARTFORD,CT06105 06-0646844	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes
(144)SAMARITAN CHILD CARE CENTER INC 2215 BURDETT AVE TROY,NY12180 14-1710225	CHILD CARE SERVICES	NY	501(C)(3)	LINE 10	ST PETER'S HEALTH PARTNERS	Yes
(145)SAMARITAN HOSPITAL 2215 BURDETT AVE TROY,NY12180 14-1338544	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(146)SAMARITAN HOSPITAL AND THE EDDY FOUNDATION 310 SOUTH MANNING BLVD ALBANY,NY12208 22-2743478	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes
(147)SENIOR CARE CONNECTION INC 1938 CURRY ROAD SCHENECTADY,NY12303 14-1708754	PACE PROGRAM	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(148)SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE ONE ABELE BLVD CLIFTON PARK,NY12065 14-1756230	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(149)SIOUXLAND PARAMEDICS INC PO BOX 3349 SIOUX CITY,IA51102 42-1185707	MEDICAL TRANSPORTATION SERVICES	IA	501(C)(3)	LINE 12A, I	N/A		No
(150)SISTERS OF PROVIDENCE CARE CENTERS INC 114 WOODLAND STREET HARTFORD,CT06105 22-2541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(151)SJHSJOC HOLDINGS INC 424 DECATUR STREET ATLANTA,GA30312 47-2299757	HEALTH CARE SYSTEM SUPPORT	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(152)ST FRANCIS HOSPITAL INC PO BOX 2500 WILMINGTON,DE19805 51-0064326	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes
(153)ST FRANCIS MEDICAL ASSOCIATES PA 601 HAMILTON AVENUE TRENTON,NJ08629 83-2199054	HEALTH CARE SERVICES	NJ	501(C)(3)	LINE 3	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes
(154)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
(155)ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVENUE TRENTON,NJ08629 22-3431049	HEALTH CARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	Yes
(156)ST JAMES MERCY HEALTH SYSTEM INC 20555 VICTOR PARKWAY LIVONIA,MI48152 22-3127184	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	NY	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes
(157)ST JOSEPH MERCY CHELSEA INC 775 SOUTH MAIN ST CHELSEA,MI48118 82-4757260	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes
(158)ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES,NC28387 56-0694200	LONG TERM CARE	NC	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes
(159)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
(160)ST JOSEPH'S HEALTH AT HOME INC 7246 JANUS PARK LIVERPOOL,NY13088 87-1012253	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes
(161)ST JOSEPH'S HEALTH CENTER PROPERTIES INC 301 PROSPECT AVENUE SYRACUSE,NY13203 23-7219294	BUILDING MANAGEMENT SERVICES	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes
(162)ST JOSEPH'S HEALTH INC 301 PROSPECT AVENUE SYRACUSE,NY13203 47-4754987	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes
(163)ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVENUE SYRACUSE,NY13203 15-0532254	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JOSEPH'S HEALTH INC	Yes
(164)ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC 301 PROSPECT AVENUE SYRACUSE,NY13203 22-2149775	FOUNDATION	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes
(165)ST JOSEPH'S MEDICAL PC 301 PROSPECT AVENUE SYRACUSE,NY13203 27-3899821	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes
(166)ST JOSEPH'S PHYSICIAN HEALTH PC 301 PROSPECT AVENUE SYRACUSE,NY13203 16-1516863	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST PETER'S HEALTH PARTNERS	Yes
(167)ST MARY BUILDING AND DEVELOPMENT 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 46-1827502	TITLE HOLDING COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes
(168)ST MARY EMERGENCY MEDICAL SERVICES 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 46-5354512	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes
(169)ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-1913910	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes
(170)ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 58-2544232	FOUNDATION	GA	501(C)(3)	LINE 12A, I	TRINITY HEALTH GEORGIA INC	Yes
(171)ST MARY'S GOOD SAMARITAN FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 81-1660088	FOUNDATION	GA	501(C)(3)	LINE 12A, I	TRINITY HEALTH GEORGIA INC	Yes
(172)ST MARY'S HEALTH CARE SYSTEM INC 1230 BAXTER STREET ATHENS,GA30606 58-0566223	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes
(173)ST MARY'S HIGHLAND HILLS INC 1230 BAXTER STREET ATHENS,GA30606 02-0576648	SENIOR LIVING COMMUNITY	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes
(174)ST MARY'S MEDICAL GROUP INC 1230 BAXTER STREET ATHENS,GA30606 26-1858563	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes
(175)ST MARY'S SACRED HEART HOSPITAL INC 367 CLEAR CREEK PARKWAY LAVONIA,GA30553 47-3752176	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes
(176)ST PETER'S HEALTH PARTNERS 315 SOUTH MANNING BLVD ALBANY,NY12208 45-3570715	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(177)ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC 315 SOUTH MANNING BLVD ALBANY,NY12208 46-1177336	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(178)ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY,NY12208 14-1348692	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(179)ST PETER'S HOSPITAL FOUNDATION INC 310 SOUTH MANNING BLVD ALBANY,NY12208 22-2262982	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes
(180)SUNNYVIEW HOSPITAL AND REHABILITATION CENTER 1270 BELMONT AVENUE SCHENECTADY,NY12308 14-1338386	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(181)SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC 1270 BELMONT AVE SCHENECTADY,NY12308 22-2505127	FOUNDATION	NY	501(C)(3)	LINE 7	SUNNYVIEW HOSPITAL AND REHABILITATION CENTER	Yes
(182)THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC 301 PROSPECT AVENUE SYRACUSE,NY13203 20-3018640	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 10	ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC	Yes
(183)THE COMMUNITY HOSPICE FOUNDATION INC 445 NEW KARNER RD ALBANY,NY12205 22-2692940	FOUNDATION	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	Yes
(184)THE COMMUNITY HOSPICE INC 445 NEW KARNER RD ALBANY,NY12205 14-1608921	HOSPICE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes
(185)THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC 707 EAST CEDAR STREET STE 100 SOUTH BEND,IN46617 35-1654543	FOUNDATION	IN	501(C)(3)	LINE 7	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes
(186)THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC 2256 BURDETT AVE TROY,NY12180 22-2570478	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(187)THE MARJORIE DOYLE ROCKWELL CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1793885	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(188)THE MERCY HOSPITAL INC 114 WOODLAND STREET HARTFORD,CT06105 04-3398280	HEALTH CARE AND HOSPITAL SERVICES	MA	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes
(189)THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER 114 WOODLAND STREET HARTFORD,CT06105 06-0660403	VOLUNTEER SERVICE AUXILIARY	CT	501(C)(3)	LINE 12B, II	N/A		No
(190)THHS OAKLAND FKA CRANBROOK HOSPICE CARE 20555 VICTOR PARKWAY LIVONIA,MI48152 38-3320699	HOSPICE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes
(191)TRI-HOSPITAL EMERGENCY MEDICAL SERVICES 309 GRAND RIVER PORT HURON,MI48060 38-2485700	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I	N/A		No
(192)TRINITY CONTINUING CARE SERVICES PO BOX 9184 FARMINGTON HILLS,MI48333 38-2559656	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes
(193)TRINITY CONTINUING CARE SERVICES - INDIANA PO BOX 9184 FARMINGTON HILLS,MI48333 93-0907047	LONG TERM CARE	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes
(194)TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS PO BOX 9184 FARMINGTON HILLS,MI48333 82-4005577	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes
(195)TRINITY HEALTH - MICHIGAN 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2113393	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(196)TRINITY HEALTH CORPORATION 20555 VICTOR PARKWAY LIVONIA,MI48152 35-1443425	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12B, II	CATHOLIC HEALTH MINISTRIES	Yes
(197)TRINITY HEALTH GEORGIA INC 1230 BAXTER STREET ATHENS,GA30606 88-0878641	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes
(198)TRINITY HEALTH LIFE PENNSYLVANIA INC PO BOX 9184 FARMINGTON HILLS,MI48333 47-5244984	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(199)TRINITY HEALTH OF NEW ENGLAND CORPORATION INC 114 WOODLAND STREET HARTFORD,CT06105 06-1491191	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(200)TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC 114 WOODLAND STREET HARTFORD,CT06105 83-3546613	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 10	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes
(201)TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC 114 WOODLAND STREET HARTFORD,CT06105 06-1450168	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes
(202)TRINITY HEALTH OF THE MID-ATLANTIC REGION 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2212638	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(203)TRINITY HEALTH PACE PO BOX 9184 FARMINGTON HILLS,MI48333 47-3073124	PACE PROGRAM	MI	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(204)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
(205)TRINITY HOME HEALTH SERVICES PO BOX 9184 FARMINGTON HILLS,MI48333 38-2621935	MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes
(206)VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY,NY12208 14-1438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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	(k) Percentage ownership
(1) ADVENT REHABILITATION LLC 607 DEWEY AVENUE SUITE 300 GRAND RAPIDS,MI49504 38-3306673	REHABILITATION THERAPY SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	620,320	4,250,295		No		Yes		50.000 %
(2) BH VENTURE ONE LP 905 WATSON STREET PITTSBURGH,PA15219 38-4098074	REAL ESTATE	PA	N/A					No		Yes
(3) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 3100 EASTON SQ STE 300 COLUMBUS,OH43219 31-1608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A					No		Yes
(4) CENTER FOR DIGESTIVE CARE LLC 5300 ELLIOTT DRIVE YPSILANTI,MI48197 03-0447062	PROVIDE GASTROINTESTINAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	2,506,837	986,423		No			No	51.000 %
(5) CENTRAL NEW JERSEY HEART SERVICES LLC 45 SAPPHIRE DRIVE PRINCETON,NJ08550 20-8525458	CARDIAC PROGRAM	NJ	N/A					No			No
(6) CLINTON IMAGING SERVICES LLC 1410 N 4TH STREET CLINTON,IA52732 41-2044739	MRI DIAGNOSTIC SERVICES	IA	N/A					No			No
(7) CONVENIENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE,LA70809 72-1439481	URGENT CARE CENTER	LA	N/A					No		Yes
(8) DIAGNOSTIC IMAGING OF SOUTHBURY LLC 385 MAIN STREET SOUTH SOUTHBURY,CT06488 06-1487582	IMAGING CENTER	CT	N/A					No		Yes
(9) EVERETT ROAD ASC LLC 30 CENTURY HILL DRIVE LATHAM,NY12110 83-3542382	MEDICAL SERVICES	NY	N/A					No		Yes
(10) FOREST PARK IMAGING LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A					No		Yes
(11) FRANCES WARDE MEDICAL LABORATORY 300 WEST TEXTILE ROAD ANN ARBOR,MI48104 38-2648446	LABORATORY	MI	TRINITY HEALTH-MICHIGAN	UNRELATED	140,871			No		Yes		66.670 %
(12) GATEWAY HEALTH PLAN LP 444 LIBERTY AVE SUITE 2100 PITTSBURGH,PA15222 25-1691945	MEDICAID & MEDICARE/ SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA	N/A					No		Yes
(13) HAWARDEN REGIONAL HEALTH CLINICS LLC 1122 AVENUE L HAWARDEN,IA51023 20-1444339	MEDICAL CLINIC	IA	N/A					No		Yes
(14) INTERMOUNTAIN MEDICAL IMAGING LLC 877 WEST MAIN ST STE 603 BOISE,ID83702 82-0514422	IMAGING CENTER	ID	N/A					No		Yes
(15) LAKE CHARLES URGENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE,LA70809 27-2272979	URGENT CARE CENTER	LA	N/A					No		Yes
(16) LCMC URGENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE,LA70809 30-0951534	URGENT CARE CENTER	DE	N/A					No		Yes
(17) LOURDES AFTER HOURS LLC 7777 HENNESSY BLVD SUITE 1004-202 BATON ROUGE,LA70809 20-1367299	URGENT CARE CENTER	LA	N/A					No		Yes
(18) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP 569 BROOKWOOD VILLAGE901 BIRMINGHAM,AL35209 36-4119522	SURGICAL SERVICES	IL	N/A					No		Yes
(19) MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY,IA50401 42-1328388	MRI SERVICES	IA	N/A					No		Yes
(20) MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY,IA50401 20-1960348	SURGERY-SAME DAY	IA	N/A					No		Yes
(21) MCE MOB IV LIMITED PARTNERSHIP 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 42-1544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A					No		Yes
(22) MEDILUCENT MOB I 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 20-4911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A					No		Yes
(23) MERCYONE - HANSEN FAMILY HOSPITAL HOME MEDICAL SHOP LLC 920 S OAK STE 3 IOWA FALLS,IA50126 85-4007472	MEDICAL EQUIPMENT SALES	IA	N/A					No		Yes
(24) MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON,CT06111 06-1490483	REHABILITATION SERVICES	CT	N/A					No			No
(25) MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4237594	CARDIOVASCULAR SERVICES	IA	N/A					No			No
(26) MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO,OH43699 52-1931012	NURSING HOME	PA	N/A					No		Yes
(27) MERCYUSP HEALTH VENTURES LLC 14201 DALLAS PARKWAY DALLAS,TX75254 47-1290300	OUTPATIENT SURGERY	IA	N/A					No			No
(28) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP 3100 EASTON SQ STE 300 COLUMBUS,OH43219 31-1369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A					No		Yes
(29) NAUGATUCK VALLEY MRI LLC 385 MAIN STREET SOUTH SOUTHBURY,CT06488 06-1239526	IMAGING CENTER	CT	N/A					No			No
(30) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP 2601 HOLME AVE PHILADELPHIA,PA19152 23-2388040	MEDICAL OFFICE BUILDING	PA	N/A					No		Yes
(31) OSWEGO HEALTH HOME CARE LLC 510 SOUTH 4TH STREET FULTON,NY13069 47-2463736	HOME HEALTH CARE	NY	N/A					No		Yes
(32) PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK,FL33334 35-2325646	AMBULATORY SURGERY CENTER	FL	N/A					No		Yes
(33) PREMIER HEALTH HOLDINGS LLC 10319 JEFFERSON HIGHWAY BATON ROUGE,LA70809 47-2665226	URGENT CARE CENTERS	DE	N/A					No		Yes
(34) PRIMARY CARE PHYSICIAN CENTER LLC 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-4038505	OFFICE BUILDING RENTAL	IL	N/A					No		Yes
(35) RADISSON SJH PROPERTIES LLC 100 MADISON STREET SUITE 1200 SYRACUSE,NY13202 46-1892799	MEDICAL OFFICE BUILDING	NY	N/A					No		Yes
(36) RAPIDES AFTER HOURS CLINIC LLC 10319 JEFFERSON HIGHWAY BATON ROUGE,LA70809 45-1772383	URGENT CARE CENTER	LA	N/A					No		Yes
(37) SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC 15305 DALLAS PKWY STE 1600 ADDISON,TX75001 84-3522377	OUTPATIENT SURGERY	CA	N/A					No			No
(38) SAINT AGNESUSP SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 36-4896811	MEDICAL SERVICES	CA	N/A					No			No
(39) SIXTY FOURTH STREET LLC 2373 64TH ST STE 2200 BYRON CENTER,MI49315 20-2443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	TRINITY HEALTH-MICHIGAN	RELATED	438,231	2,198,178		No			No	53.940 %
(40) SJLS LLC 920 WINTER ST WALTHAM,MA02451 20-1796650	DIALYSIS SERVICES	NY	N/A					No			No
(41) SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 36-4559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A					No			No
(42) ST AGNES LONG-TERM INTENSIVE CARE LLP 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 20-0984882	LONG TERM INTENSIVE CARE	PA	N/A					No		Yes
(43) ST ALPHONSUS CALDWELL CANCER CTR LLC 3123 MEDICAL DR CALDWELL,ID83605 82-0526861	HEALTH CARE SERVICES	ID	N/A					No		Yes
(44) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 3100 EASTON SQ STE 300 COLUMBUS,OH43219 31-1603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A					No		Yes
(45) ST JOSEPH'S IMAGING ASSOCIATES PLLC 104 UNION AVE SUITE 905 SYRACUSE,NY13203 16-1104293	RADIOLOGY SERVICES	NY	N/A					No		Yes
(46) ST MARY REHABILITATION HOSPITAL LLP 680 SOUTH FOURTH STREET LOUISVILLE,KY40202 27-3938747	HEALTH CARE SERVICES	DE	N/A					No			No
(47) ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVE 201 ALBANY,NY12206 46-0463892	OUTPATIENT SURGERY	NY	N/A					No		Yes
(48) THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 27-2871206	OUTPATIENT SURGERY	PA	N/A					No		Yes
(49) THPH URGENT CARE LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 85-2464958	URGENT CARE CENTERS	DE	N/A					No			No
(50) WOODLAND IMAGING CENTER LLC 5301 E HURON RIVER DR ANN ARBOR,MI48106 76-0820959	RADIOLOGY/ IMAGING	MI	TRINITY HEALTH-MICHIGAN	RELATED	2,733,125	2,599,388		No			No	51.000 %
(51) WOODLAND PARTNERS REAL ESTATE LLC 129 WOODLAND STREET HARTFORD,CT06105 83-3371094	REAL ESTATE	CT	N/A					No			No

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	(h) Percentage ownership	Yes	No
(1) CATHERINE HORAN BUILDING CORPORATION 114 WOODLAND STREET HARTFORD,CT06105 04-2938160	BUILDING MANAGEMENT	MA	N/A	C				Yes
(2) CENTRAL VALLEY HEALTH PLAN INC 1303 E HERNDON AVE FRESNO,CA93720 61-1846844	HEALTH INSURANCE	CA	N/A	C				Yes
(3) FHS SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 27-2995699	MEDICAL SERVICES	NY	N/A	C				Yes
(4) FRANCISCAN ASSOCIATES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 20-2991688	MEDICAL SERVICES	NY	N/A	C				Yes
(5) FRANCISCAN HEALTH SUPPORT INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1236354	MEDICAL SERVICES	NY	N/A	C				Yes
(6) FRANCISCAN MANAGEMENT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1351193	MANAGEMENT SERVICES	NY	N/A	C				Yes
(7) FRANKLIN MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1470493	PHYSICIAN OFFICE	CT	N/A	C				Yes
(8) HACKLEY HEALTH VENTURES INC 318 RIVER RIDGE DR NW SUITE 100 WALKER,MI49544 38-2589959	OTHER MEDICAL SERVICES	MI	N/A	C				Yes
(9) HACKLEY PROFESSIONAL PHARMACY INC 318 RIVER RIDGE DR NW SUITE 100 WALKER,MI49544 38-2447870	PHARMACY	MI	N/A	C				Yes
(10) HEALTH CARE MANAGEMENT ADMINISTRATORS INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1450960	HEALTH CARE MANAGEMENT	NY	N/A	C				Yes
(11) HURON ARBOR CORPORATION 5301 EAST HURON RIVER DR ANN ARBOR,MI48106 38-2475644	PROVIDES OFFICE RENTAL SPACE	MI	TRINITY HEALTH-MICHIGAN	C	578,208	16,559,960	100.000 %	Yes
(12) IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3188895	MEDICAL MANAGEMENT	MI	N/A	C				Yes
(13) LABORATORY ASSOCIATES OF MICHIGAN INC 300 W TEXTILE ROAD ANN ARBOR,MI48104 38-2637870	LAB SERVICES	MI	TRINITY HEALTH - MICHIGAN	S	175,885		100.000 %	Yes
(14) LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 26-3795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C				Yes
(15) LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C				Yes
(16) MACNEAL HEALTH PROVIDERS INC 750 PASQUINELLI DRIVE SUITE 216 WESTMONT,IL60059 36-3361297	MEDICAL SERVICES	IL	N/A	C				Yes
(17) MARYLAND CARE GROUP INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-1815313	HEALTH CARE HOLDING	MD	N/A	C				Yes
(18) MCMC EASTWICK INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C				Yes
(19) MEDNOW INC 4300 E FLAMINGO AVE NAMPA,ID83687 82-0389927	MEDICAL SERVICES	ID	N/A	C				Yes
(20) MERCY INPATIENT MEDICAL ASSOCIATES INC 114 WOODLAND STREET HARTFORD,CT06105 04-3029929	MEDICAL SERVICES	MA	N/A	C				Yes
(21) MERCY MEDICAL SERVICES 801 5TH STREET SIOUX CITY,IA51101 42-1283849	PRIMARY CARE PHYSICIANS	IA	N/A	C				Yes
(22) MOUNT CARMEL HEALTHPROVIDERS INC 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 31-1382442	MEDICAL SERVICES	OH	N/A	C				Yes
(23) NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE,FL33308 59-1145192	MEDICAL SERVICES	FL	N/A	C				Yes
(24) SAINT ALPHONSUS HEALTH ALLIANCE INC 1055 NORTH CURTIS ROAD BOISE,ID83706 82-0524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C				Yes
(25) SAINT ALPHONSUS PHYSICIANS PA 1055 NORTH CURTIS ROAD BOISE,ID83706 33-1078261	HEALTH CARE SERVICES (INACTIVE)	ID	N/A	C				Yes
(26) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1384686	MEDICAL SERVICES	CT	N/A	C				Yes
(27) SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1432373	MEDICAL SERVICES	CT	N/A	C				Yes
(28) SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY,NY12180 14-1607244	REAL ESTATE	NY	N/A	C				Yes
(29) SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC 114 WOODLAND STREET HARTFORD,CT06105 06-1232868	PROPERTY MANAGEMENT	CT	N/A	C				Yes
(30) SJM PROPERTIES INC 20555 VICTOR PARKWAY LIVONIA,MI48152 16-1294991	PROPERTY HOLDINGS	NY	N/A	C				Yes
(31) SJPE PRACTICE MANAGEMENT SERVICES INC 301 PROSPECT AVE SYRACUSE,NY13203 45-4164964	MANAGEMENT SERVICES	NY	N/A	C				Yes
(32) SJRMC HOLDINGS INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 47-4763735	PROPERTY HOLDINGS	IN	N/A	C				Yes
(33) ST ELIZABETH HEALTH SUPPORT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1540486	MEDICAL SERVICES	NY	N/A	C				Yes
(34) SYSTEM COORDINATED SERVICES INC 114 WOODLAND STREET HARTFORD,CT06105 04-2938161	LAB SERVICES	MA	N/A	C				Yes
(35) THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 45-2603654	REAL ESTATE BROKERAGE SERVICES	MI	TRINITY HEALTH-MICHIGAN	C	81,094		99.000 %	Yes
(36) TRINITY ASSURANCE LTD PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ 98-0453602	SELF-INSURANCE	CJ	N/A	C				Yes
(37) TRINITY HEALTH ACO INC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C				Yes
(38) TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 38-3410377	GRANTOR TRUST	MI	N/A	T				Yes
(39) TRINITY SENIOR SERVICES MANAGEMENT INC PO BOX 9184 FARMINGTON HILLS,MI48333 37-1572595	SENIOR SERVICES	PA	N/A	C				Yes
(40) WORKPLACE HEALTH OF GRAND HAVEN INC 318 RIVER RIDGE DR NW SUITE 100 WALKER,MI49544 38-3112035	OCCUPATIONAL HEALTH	MI	N/A	C				Yes

Schedule R (Form 990) 2021

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

Yes

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) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	L	10,423,385	PER BOOKS
(2) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	M	23,521,143	PER BOOKS
(3) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	P	757,943	PER BOOKS
(4) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	Q	9,420,620	PER BOOKS
(5) ADVENT REHABILITATION LLC	C	1,475,000	PER TAX RETURN
(6) CATHERINE MCAULEY HEALTH SERVICES CORPORATION	Q	124,256	PER BOOKS
(7) CENTER FOR DIGESTIVE CARE LLC	C	2,614,278	PER TAX RETURN
(8) HURON ARBOR CORPORATION	K	1,810,156	PER BOOKS
(9) HURON ARBOR CORPORATION	Q	1,158,564	PER BOOKS
(10) IHA HEALTH SERVICES CORPORATION	A	2,241,152	PER BOOKS
(11) IHA HEALTH SERVICES CORPORATION	C	241,784	PER BOOKS
(12) IHA HEALTH SERVICES CORPORATION	L	4,234,411	PER BOOKS
(13) IHA HEALTH SERVICES CORPORATION	M	46,701,098	PER BOOKS
(14) IHA HEALTH SERVICES CORPORATION	P	67,231,227	PER BOOKS
(15) IHA HEALTH SERVICES CORPORATION	Q	9,356,002	PER BOOKS
(16) IHA HEALTH SERVICES CORPORATION	R	69,562	PER BOOKS
(17) MERCY HEALTH PARTNERS	L	2,652,388	PER BOOKS
(18) MERCY HEALTH PARTNERS	Q	16,825,703	PER BOOKS
(19) MERCY HEALTH PARTNERS	R	287,544	PER BOOKS
(20) MERCY HEALTH PARTNERS	S	2,850,107	PER BOOKS
(21) MUSKEGON COMMUNITY HEALTH PROJECT	P	72,212	PER BOOKS
(22) PROBILITY THERAPY SERVICES	A	192,272	PER BOOKS
(23) PROBILITY THERAPY SERVICES	P	109,916	PER BOOKS
(24) PROBILITY THERAPY SERVICES	Q	778,467	PER BOOKS
(25) SAINT MARY'S FOUNDATION	C	839,818	PER BOOKS
(26) SAINT MARY'S FOUNDATION	Q	126,524	PER BOOKS
(27) SIXTY FOURTH STREET LLC	C	380,486	PER BOOKS
(28) ST JOSEPH MERCY CHELSEA INC	L	8,999,870	PER BOOKS
(29) ST JOSEPH MERCY CHELSEA INC	M	858,514	PER BOOKS
(30) ST JOSEPH MERCY CHELSEA INC	P	553,839	PER BOOKS
(31) ST JOSEPH MERCY CHELSEA INC	Q	92,496,613	PER BOOKS
(32) THPH URGENT CARE LLC	Q	248,410	PER BOOKS
(33) TRINITY CONTINUING CARE SERVICES	Q	194,211	PER BOOKS
(34) TRINITY HEALTH CORPORATION	B	35,999,280	PER BOOKS
(35) TRINITY HEALTH CORPORATION	C	3,363,852	PER BOOKS
(36) TRINITY HEALTH CORPORATION	M	237,399,185	PER BOOKS
(37) TRINITY HEALTH CORPORATION	P	95,043,339	PER BOOKS
(38) TRINITY HEALTH CORPORATION	Q	13,119,964	PER BOOKS
(39) TRINITY HEALTH CORPORATION	R	31,174,978	PER BOOKS
(40) TRINITY HEALTH CORPORATION	S	2,875,914	PER BOOKS
(41) WOODLAND IMAGING CENTER LLC	C	2,310,450	PER TAX RETURN
(42) WOODLAND IMAGING CENTER LLC	K	671,194	PER BOOKS
(43) WOODLAND IMAGING CENTER LLC	L	277,047	PER BOOKS
(44) WOODLAND IMAGING CENTER LLC	M	7,985,986	PER BOOKS
(45) WOODLAND IMAGING CENTER LLC	Q	1,163,158	PER BOOKS

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	20,738
6	Total number of volunteers (estimate if necessary) .............	6	492
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	45,548,772
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	130,995,054	33,049,602
9	Program service revenue (Part VIII, line 2g) .........	2,654,106,014	2,833,803,085
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	162,006,420	114,036,404
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	60,012,973	63,213,591
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,007,120,461	3,044,102,682
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,577,379	3,413,438
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)	1,121,405,222	1,191,044,297
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,147,084
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,472,376,057	1,615,204,602
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,599,358,658	2,809,662,337
19	Revenue less expenses. Subtract line 18 from line 12.......	407,761,803	234,440,345
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,785,945,903	4,608,449,257
21	Total liabilities (Part X, line 26).............	1,602,171,864	1,518,992,399
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,183,774,039	3,089,456,858

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,526,254,453 including grants of $ 3,413,438 ) (Revenue $ 2,838,199,878 )
	TRINITY HEALTH-MICHIGAN (TH-MI), A HEALTH CARE 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 FIVE HOSPITALS ACROSS MICHIGAN, CONTAINING 1,527 STAFFED BEDS, AS WELL AS OUTPATIENT HEALTH CENTERS, URGENT CARE FACILITIES, PHYSICIAN OFFICES AND SPECIALTY CENTERS, AND COMMUNITY OUTREACH SITES. DURING FISCAL YEAR 2022, TH-MI HOSPITALS' EMPLOYEES, PHYSICIANS AND VOLUNTEERS PROVIDED OVER 436,000 DAYS OF CARE, AND PROVIDED HEALTH CARE SERVICES FOR OVER 2.7 MILLION OUTPATIENT VISITS, AND OVER 312,000 EMERGENCY ROOM 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.IN FISCAL 2022, TH-MI HOSPITALS PROVIDED OVER $111 MILLION 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 SEE SCHEDULE H AND VISIT OUR WEBSITES FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.TRINITYHEALTHMICHIGAN.ORG

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 expenses2,526,254,453

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,969,850	13,909,935	1,731,869

1a	Federated campaigns..		1a	74,278
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,246,170
e	Government grants (contributions)		1e	25,345,619

f	All other contributions, gifts, grants, and similar amounts not included above		1f	3,383,535

g	Noncash contributions included in lines 1a - 1f:$		1g	40,624

h Total. Add lines 1a-1f.......		33,049,602

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	2,667,128,984	2,667,128,984
b	PHARMACY REVENUE	446110	144,913,949	108,731,829	36,182,120
c	LABORATORY REVENUE	621500	21,760,152	12,393,500	9,366,652
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		2,833,803,085

3 Investment income (including dividends, interest, and othersimilar amounts) ......			75,546,138			75,546,138
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		8,641,358	6a
b	Less: rental expenses		7,808,941	6b
c	Rental income or (loss)		832,417	6c
d	Net rental income or (loss).......			832,417			832,417
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	1,525,850	37,377,361	7a
b	Less: cost or other basis and sales expenses	412,945	0	7b
c	Gain or (loss)	1,112,905	37,377,361	7c
d	Net gain or (loss).........			38,490,266			38,490,266
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	3,185,264
b	Less: cost of goods sold ..		10b	1,698,864
c	Net income or (loss) from sales of inventory..			1,486,400			1,486,400
Business Code			Miscellaneous Revenue
11a	CAFETERIA REVENUE		722514	10,949,209			10,949,209
b	PROVIDER INCENTIVE		622110	5,650,982	5,650,982
c	MANAGEMENT SERVICES REVENUE		622110	474,225	474,225
d	All other revenue ....			43,820,358	43,820,358
e	Total. Add lines 11a–11d ......			60,894,774
12	Total revenue. See instructions.....			3,044,102,682	2,838,199,878	45,548,772	127,304,430

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,125,451	3,125,451
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	287,987	287,987
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	11,492,938		11,492,938
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	793,024	13,088	779,936
7	Other salaries and wages........	989,731,655	940,327,842	47,779,567	1,624,246
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	35,923,762	34,053,454	1,811,488	58,820
9	Other employee benefits .......	82,369,851	78,017,627	4,217,462	134,762
10	Payroll taxes ...........	70,733,067	66,017,484	4,599,082	116,501
11	Fees for services (non-employees):
a	Management ......	54,634	24,634	30,000
b	Legal .........	1,535,803		1,535,803
c	Accounting ...........
d	Lobbying ...........	60,000		60,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	5,155,543		5,155,543
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	223,023,346	204,647,363	18,367,647	8,336
12	Advertising and promotion ....	10,012,527	776,919	9,213,595	22,013
13	Office expenses .......	22,242,568	15,168,055	7,048,473	26,040
14	Information technology ......	96,324,072	76,060,950	20,263,122
15	Royalties ..
16	Occupancy ...........	56,601,059	56,596,939		4,120
17	Travel ............	1,285,602	1,187,639	97,755	208
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,288,787	1,950,349	338,438
20	Interest ...........	27,820,103	27,820,103
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	125,683,704	78,353,219	47,259,204	71,281
23	Insurance ...	20,422,522	20,408,812	13,710
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	600,598,575	600,598,575
b	I/C PURCHASED SERVICES	224,283,503	131,484,235	92,799,268
c	BAD DEBT EXPENSE	80,633,226	80,633,226
d	HOSPITAL PROVIDER TAX	67,671,254	67,671,254
e	All other expenses	49,507,774	41,029,248	8,397,769	80,757
25	Total functional expenses. Add lines 1 through 24e	2,809,662,337	2,526,254,453	281,260,800	2,147,084
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 ........			1,323,054	1	681,298
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			31,754,532	3	30,728,778
4	Accounts receivable, net .............			329,975,814	4	325,923,938
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			41,210,110	8	38,984,880
9	Prepaid expenses and deferred charges ......			26,363,561	9	30,103,477
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,774,443,195
b	Less: accumulated depreciation	10b	1,728,142,878	1,089,407,765	10c	1,046,300,317
11	Investments—publicly traded securities .			1,722,441,940	11	1,424,318,423
12	Investments—other securities. See Part IV, line 11 .....			906,009,220	12	927,384,362
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			31,915,959	14	30,933,589
15	Other assets. See Part IV, line 11 ...........			605,543,948	15	753,090,195
16	Total assets. Add lines 1 through 15 (must equal line 33)...			4,785,945,903	16	4,608,449,257

17	Accounts payable and accrued expenses .....	277,871,009	17	296,490,632
18	Grants payable ...		18
19	Deferred revenue .........	2,257,593	19	12,581,070
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	11,820,121	23	11,199,104
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,310,223,141	25	1,198,721,593
26	Total liabilities. Add lines 17 through 25..	1,602,171,864	26	1,518,992,399

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,099,425,609	27	3,010,052,906
28	Net assets with donor restrictions ...........	84,348,430	28	79,403,952
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,183,774,039	32	3,089,456,858
33	Total liabilities and net assets/fund balances ........	4,785,945,903	33	4,608,449,257