TY 2022 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) ROBERT CASALOU...................................................................... DIRECTOR; PRESIDENT & CEO, MI REGION	40.00 ................. 15.00	X	X		1,884,642	79,503
(2) EDMUND HODGE...................................................................... DIRECTOR; TRINITY HEALTH EVP, CHRO	2.00 ................. 53.00	X			1,488,331	59,605
(3) DONNA DOLEMAN DICKERSON...................................................................... DIR; CHR AT 1/23; VICE CHR THR 12/22	2.00 ................. 3.00	X	X		0	0
(4) DALE NESBARY PHD...................................................................... DIRECTOR; CHAIR THROUGH 12/22	2.00 ................. 3.00	X	X		0	0
(5) WAYMAN BRITT...................................................................... DIRECTOR; VICE CHAIR AS OF 1/23	2.00 ................. 3.00	X	X		0	0
(6) ERIC FERGUSON MD...................................................................... DIRECTOR	2.00 ................. 3.00	X			0	0
(7) JAN GARFINKLE...................................................................... DIRECTOR	2.00 ................. 3.00	X			0	0
(8) JOSE INFANTE...................................................................... DIRECTOR	2.00 ................. 3.00	X			0	0
(9) MARY FRANCIS LEWANDOWSKI CSSF...................................................................... DIRECTOR	2.00 ................. 3.00	X			0	0
(10) SPENCER MAIDLOW...................................................................... DIRECTOR	2.00 ................. 3.00	X			0	0
(11) SUZANNE MELLON PHD...................................................................... DIRECTOR	2.00 ................. 3.00	X			0	0
(12) WILLIAM MORRIS...................................................................... DIRECTOR	2.00 ................. 3.00	X			0	0
(13) JEAN NAGELKERK PHD...................................................................... DIRECTOR	2.00 ................. 3.00	X			0	0
(14) LINDA WERTHMAN RSM...................................................................... DIRECTOR	2.00 ................. 3.00	X			0	0
(15) MICHAEL GUSHO...................................................................... TREASURER; CFO, MICHIGAN REGION	40.00 ................. 10.00		X		1,046,024	68,617
(16) MANDI MURRAY...................................................................... SECRETARY; MANAGING CNSL, MICH REG	40.00 ................. 10.00		X		443,402	94,537
(17) ROSALIE TOCCO-BRADLEY MD...................................................................... CCO & REGIONAL CMO, MICHIGAN REGION	50.00 ................. 0.00			X	1,035,564	73,499

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SHANNON STRIEBICH........................................................................ PRES TH OAKLAND & SVP OPS, MI REGION	54.00 .......................1.00	X			0	1,031,185	60,607
(19) DAVID SPIVEY........................................................................ PRESIDENT TH LIVONIA THROUGH 9/22	55.00 .......................0.00	X			0	887,462	64,057
(20) ALONZO LEWIS........................................................................ PRESIDENT TRINITY HEALTH ANN ARBOR	54.00 .......................1.00	X			0	740,380	186,210
(21) MATTHEW BIERSACK MD........................................................................ PRESIDENT TRINITY HLTH GRAND RAPIDS	54.00 .......................1.00	X			0	631,187	129,981
(22) MATTHEW GRIFFIN MD........................................................................ CMO & ADMINISTRATOR TH LIVONIA	50.00 .......................0.00	X			0	518,890	57,657
(23) DAVID VANDENBERG MD........................................................................ CMO TRINITY HEALTH ANN ARBOR & LIV	50.00 .......................0.00	X			0	521,673	52,789
(24) FABIAN FREGOLI MD........................................................................ CMO TRINITY HEALTH OAKLAND	50.00 .......................0.00	X			0	514,836	54,600
(25) TOMASINE MARX........................................................................ VP FINANCE WEST MARKET	47.00 .......................3.00	X			0	511,682	52,562
(26) JOHN O'MALLEY........................................................................ PRESIDENT TRINITY HEALTH LIVINGSTON	55.00 .......................0.00	X			0	457,391	37,001
(27) DANIEL GREEN........................................................................ VP FINANCE TH GRAND RAPIDS	43.00 .......................7.00	X			0	383,252	55,318
(28) MICHAEL SAMYN........................................................................ VP FINANCE TRINITY HEALTH OAKLAND	50.00 .......................0.00	X			0	374,892	57,039
(29) FRANK SAWYER........................................................................ SENIOR VP OPERATIONS TH OAKLAND	50.00 .......................0.00	X			336,275	0	45,935
(30) ADEEB HARB........................................................................ SENIOR VP OPERATIONS TH LIVONIA	50.00 .......................0.00	X			298,800	0	36,540
(31) KURT MACDONALD........................................................................ SENIOR VP OPERATIONS TH GRAND RAPIDS	50.00 .......................0.00	X			284,918	0	45,926
(32) KARLA ZARB........................................................................ CNO & VP OPS TH ANN ARBOR AT 6/23	50.00 .......................0.00	X			0	281,613	43,470
(33) LOREE COLLETT........................................................................ VP OPERATIONS TH ANN ARBOR THR 4/23	49.00 .......................1.00	X			272,017	0	35,761
(34) BRANDON FRANCIS........................................................................ CMO TRINITY HEALTH GRAND RAPIDS	50.00 .......................0.00	X			0	272,111	30,910
(35) MELISSA KAROLAK........................................................................ VP FINANCE TRINITY HEALTH LIVONIA	50.00 .......................0.00	X			0	252,477	40,893
(36) LAWRENCE RAPP MD........................................................................ NEUROSURGEON (TH OAKLAND)	50.00 .......................0.00		X		1,715,223	0	37,621
(37) KARSTEN FLIEGNER MD........................................................................ CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00 .......................0.00		X		1,098,640	0	42,185
(38) MARC SILVER MD........................................................................ CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00 .......................0.00		X		1,094,029	0	42,410
(39) TODD FRANCIS MD........................................................................ NEUROSURGEON (TH OAKLAND)	50.00 .......................0.00		X		1,051,990	0	42,336
(40) CHARLES SCHWARTZ MD........................................................................ CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00 .......................0.00		X		910,977	0	41,844
(41) GARY ALLORE........................................................................ FORMER OFFICER; PRES TH MUSKEGON	0.00 .......................55.00			X	0	697,351	53,918
(42) SALLY GUINDI........................................................................ FORMER OFFICER; CONTINGENT COUNSEL	32.00 .......................8.00			X	0	446,023	58,211
(43) HYUNG KIM MD........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	0	342,107	6,948
(44) NANCY GRAEBNER........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	0	253,986	19,143
(45) MICHAEL K SMITH........................................................................ FORMER KE; TH MUSKEGON PHYSICIAN	0.00 .......................50.00			X	185,926	0	28,661

(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	50,219,226
METROPOLITAN DETROIT AREA HOSPITAL SERVI 1150 ELIJAH MCCOY DR DETROIT,MI48202	LAUNDRY SERVICES	6,225,059
ANESTHESIA ASSOCIATES OF ANN ARBOR PC 2006 HOGBACK RD STE 5A ANN ARBOR,MI48105	HEALTH CARE SERVICES	6,101,866
SMITHGROUP INC 500 GRISWOLD ST STE 1700 DETROIT,MI48226	ARCHITECTURE AND DESIGN SERVICES	5,238,429
KASCO 1327 JONES DR STE 108 ANN ARBOR,MI48105	CONSTRUCTION SERVICES	4,757,961
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 301

- 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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (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—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

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) 2022

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) 2022

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) 2022

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 2022 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-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

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

2022

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) (2022)

Schedule B (Form 990) (2022) 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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

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

79,528

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

Yes

48,000

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

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

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

127,528

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 ....	24,391,724	26,255,104	22,342,766	21,874,344	22,033,634
b	Contributions ...				186,334	944,923
c	Net investment earnings, gains, and losses	1,873,261	-1,852,358	3,918,426	284,828	1,775,131
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	3,834,323	11,022	6,088	2,740	2,774,330
f	Administrative expenses ....					105,014
g	End of year balance ......	22,430,662	24,391,724	26,255,104	22,342,766	21,874,344

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 .....	47,653,103		47,653,103
b	Buildings ....	1,441,294,259	816,563,809	624,730,450
c	Leasehold improvements	132,563,752	67,687,276	64,876,476
d	Equipment ....	1,136,031,512	873,983,303	262,048,209
e	Other .....	44,082,020	2,492,489	41,589,531
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,040,897,769

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	199,447,980	F
(B) EQUITY METHOD INVESTMENTS	696,866,436	C
(C) HEDGE FUNDS	153,791,213	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,050,105,629

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				11,913,132
(2)INTERCOMPANY ACCOUNTS RECEIVABLE				694,737,105
(3)INVESTMENT IN UNCONSOLIDATED AFFILIATES				19,614,699
(4)INTERCOMPANY OTHER LT ASSETS				163,654,410
(5)OTHER LONG-TERM ASSETS				459,812
(6)OTHER CURRENT ASSETS				12,987
(7)OPERATING LEASE RIGHT-OF-USE ASSETS				68,568,537
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				958,960,682

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
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,332,296,034
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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

TRINITY HEALTH - MICHIGAN

Employer identification number

38-2113393

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			11,661,672		11,661,672	0.420 %
b	Medicaid (from Worksheet 3, column a) . . . . .			388,776,711	345,527,539	43,249,172	1.540 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			13,386,272	9,984,325	3,401,947	0.120 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			413,824,655	355,511,864	58,312,791	2.080 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	53	31,971	7,026,824	1,163,677	5,863,147	0.210 %
f	Health professions education (from Worksheet 5) . . .	16	2,349	99,467,786	65,066,911	34,400,875	1.230 %
g	Subsidized health services (from Worksheet 6) . . . .	25	78,488	38,619,554	24,471,146	14,148,408	0.500 %
h	Research (from Worksheet 7) .	2		9,679,467	5,012,293	4,667,174	0.170 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	52	2,340	3,974,754	224,127	3,750,627	0.130 %
j	Total. Other Benefits . .	148	115,148	158,768,385	95,938,154	62,830,231	2.240 %
k	Total. Add lines 7d and 7j .	148	115,148	572,593,040	451,450,018	121,143,022	4.320 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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.

		(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	16,250	16,250	0 %
9	Other
10	Total	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. ......

74,967,512

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).....

466,228,638

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

449,200,776

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

17,027,862

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 WOODLAND IMAGING CENTER LLC DBA AVANT IMAGING	IMAGING SERVICES	51.000 %	49.000 %
33 HEALTH PARK CENTRAL LLC	MEDICAL OFFICE BUILDING	10.550 %	80.800 %
44 SIXTY FOURTH STREET LLC	SURGICAL CENTER	53.940 %	41.450 %
55 HURON GASTRO ENDOSCOPY CENTER LLC	SURGICAL CENTER	51.000 %	49.000 %
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

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 AVE 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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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) 2022

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 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 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 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 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 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 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 (OLHSA) 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. THE DISTRIBUTION METHODS WERE DIFFERENT BECAUSE OF COVID-19 RESTRICTIONS, AND THE SURVEYS 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. THE DISTRIBUTION METHODS WERE DIFFERENT BECAUSE OF COVID-19 RESTRICTIONS, AND THE SURVEYS INCLUDED ADDITIONAL QUESTIONS RELATED TO THE 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 CANTON COMMUNITY FOUNDATION AND REDFORD INTERFAITH RELIEF (RIR) 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. THE DISTRIBUTION METHODS WERE DIFFERENT BECAUSE OF COVID-19 RESTRICTIONS, AND THE SURVEYS INCLUDED ADDITIONAL QUESTIONS RELATED TO THE 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 CLERKS' 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-MICHIGAN MEDICINE, THESE COMMUNITY HEALTH NEEDS ARE BEING PRIORITIZED: MENTAL HEALTH AND SUBSTANCE USE, OBESITY-RELATED ILLNESSES, AND PRECONCEPTUAL/PERINATAL HEALTH. TRINITY HEALTH ANN ARBOR (THAA) ADDRESSED THE FOLLOWING SIGNIFICANT HEALTH NEEDS IN FY23:MENTAL HEALTH AND SUBSTANCE USE - IN FY23, 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 FY23, 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 PROGRAMMING AT THE FARM AT TRINITY HEALTH ANN ARBOR, ENHANCING RELATIONSHIPS WITH LOCAL FARMERS AND FOOD PROVIDERS THROUGH FARM PARTNERSHIPS TO INCREASE FOOD AVAILABILITY TO OUR MOST VULNERABLE COMMUNITY MEMBERS, 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 FY23, 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;- KICKING OFF THE DEVELOPMENT OF A PERINATAL WELLNESS CENTER TO EXPAND PERINATAL SERVICES THROUGH ENHANCED COMPREHENSIVE MENTAL, PHYSICAL, AND SOCIAL INFLUENCER OF HEALTH (SIOH) SUPPORT; AND- OFFERING WOMEN AND THEIR PARTNERS OPPORTUNITIES TO BE PREPARED TO ENTER INTO PARENTHOOD THROUGH BIRTH, BREASTFEEDING, AND PARENTING PREPARATORY COURSES (VIRTUAL DUE TO THE PANDEMIC).
TRINITY HEALTH GRAND RAPIDS HOSPITAL	PART V, SECTION B, LINE 11: DURING FY 2023, TRINITY HEALTH GRAND RAPIDS (THGR) HAS WORKED IN PARTNERSHIP WITH MULTIPLE COMMUNITY-BASED ORGANIZATIONS TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE 2021 CHNA. THESE PRIORITY NEEDS INCLUDE: ACCESS TO CARE AND DISCRIMINATION AND RACIAL INEQUITY, ECONOMIC SECURITY, AND MENTAL HEALTH. THEY WERE ADDRESSED AS FOLLOWS:ACCESS TO CARE AND DISCRIMINATION AND RACIAL INEQUITY - THGR OPERATES THREE SAFETY NET HEALTH CENTERS LOCATED IN UNDERSERVED AREAS OF THE COMMUNITY. THESE CENTERS PRIMARILY SERVE BLACK, INDIGENOUS, AND OTHER PEOPLE OF COLOR (BIPOC) AND UTILIZE EMBEDDED COMMUNITY HEALTH WORKERS (CHW'S) WHO ASSIST WITH RESOURCE REFERRAL AND HEALTH CARE NAVIGATION.THGR OFFERS THE MATERNAL INFANT HEALTH PROGRAM, A PROGRAM OF HOME-BASED NURSING AND SOCIAL WORK SUPPORT FOR LOW-INCOME WOMEN WHO ARE PREGNANT AND PARENTING.THGR OFFERS WOMEN INFANTS & CHILDREN (WIC) SERVICES AT ONE OF ITS SAFETY NET HEALTH CENTERS AS A SUB-CONTRACTOR OF THE KENT COUNTY HEALTH DEPARTMENT. WOMEN CAN RECEIVE THEIR WIC BENEFITS WHILE AT THE PHYSICIAN'S OFFICE, WHICH SAVES THEM FROM HAVING TO FIND TRANSPORTATION FOR A SEPARATE TRIP TO A HEALTH DEPARTMENT SITE.THGR LAUNCHED A MOBILE MAMMOGRAPHY VEHICLE IN FY23. THE MOBILE MAMMOGRAPHY UNIT PROVIDES BREAST CANCER SCREENINGS AT A VARIETY OF LOCATIONS, PRIORITIZING AREAS OF THE COMMUNITY WHERE LOW-INCOME AND BIPOC INDIVIDUALS RESIDE.THGR HAS THREE CHW'S DEDICATED TO THE STRONG BEGINNINGS PROGRAM, A GRANT-FUNDED PROGRAM PROVIDING SOCIAL CARE, COMMUNITY RESOURCE REFERRAL, EDUCATION, AND HEALTH SYSTEM NAVIGATION SUPPORT TO LOW-INCOME PREGNANT AND PARENTING WOMEN WHO ARE AFRICAN AMERICAN, LATINX, OR AFRICAN REFUGEES.THGR OFFERS THE CDC DIABETES PREVENTION PROGRAM, A FREE 12-MONTH HEALTH AND LIFESTYLE EDUCATION PROGRAM, WITH THE GOAL OF PREVENTING THE DEVELOPMENT OF DIABETES IN MEN, MEDICARE BENEFICIARIES, AND INDIVIDUALS WHO IDENTIFY AS AFRICAN AMERICAN OR LATINX. WHILE A CDC GRANT PAID FOR THE PROGRAM COSTS, THGR PAYS 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.THGR PROVIDES FREE LEASED OFFICE SPACE TO THE GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE, IN SUPPORT OF THE ORGANIZATION'S EFFORTS IN THE COMMUNITY TO PROVIDE HEALTH RESEARCH, ADVOCACY, AND EDUCATION TO INDIVIDUALS FROM THE AFRICAN AMERICAN COMMUNITY.ECONOMIC SECURITY - THGR HELPS FUND A LOCAL FOOD BANK, ENABLING IT TO PROVIDE FREE ACCESS TO FRESH PRODUCE FOR 200 HOUSEHOLDS PER MONTH (900-1000 INDIVIDUALS).THGR PROVIDES FREE LEASED SPACE TO DEGAGE, A LOCAL WOMEN'S SHELTER. BY ALLOWING THE PROGRAM'S ADMINISTRATIVE STAFF TO MOVE INTO HOSPITAL OFFICE SPACE AT NO COST, THE SHELTER WAS ABLE TO EXPAND ITS EMERGENCY HOUSING CAPACITY BY 54 BEDS. THGR OUTPATIENT OFFICES SCREENED APPROXIMATELY 69% OF PATIENTS (79,993 INDIVIDUALS) FOR SOCIAL INFLUENCERS OF HEALTH. POSITIVE RESULTS WERE NOTED IN 34.67% OF THE PATIENTS SCREENED, AND 2,640 PATIENTS REQUESTED SERVICES, WHICH WERE PROVIDED THROUGH COMMUNITY RESOURCE DIRECTORY REFERRAL AND/OR CHW REFERRAL.MENTAL HEALTH - THGR PROVIDES FINANCIAL SUPPORT FOR THE MEL TROTTER MINISTRIES SOBERING CENTER, AN RN-SUPERVISED FACILITY WHERE INDIVIDUALS CAN SAFELY RECOVER FROM ACUTE ALCOHOL INTOXICATION. THE PROGRAM PROVIDES RN SUPPORT AS WELL AS BEHAVIORAL HEALTH SUPPORT AND LINKAGE TO SUBSTANCE USE DISORDER TREATMENT, IF DESIRED BY THE INDIVIDUAL.THGR PARTNERED WITH NETWORK 180 COMMUNITY MENTAL HEALTH TO BEGIN CONSTRUCTION ON A 16-BED BEHAVIORAL HEALTH CRISIS CENTER, SCHEDULED TO OPEN IN FY24. THE CENTER WILL OFFER MULTI-DISCIPLINARY SERVICES TO SUPPORT THE STABILIZATION OF INDIVIDUALS EXPERIENCING ACUTE PSYCHIATRIC CRISIS, REGARDLESS OF INSURANCE COVERAGE OR ABILITY TO PAY.THGR HAS BEHAVIORAL HEALTH CLINICIANS EMBEDDED IN A NUMBER OF PRIMARY CARE OFFICES, TO SUPPORT THE MENTAL HEALTH OF PATIENTS, AS WELL AS TO MAKE ACCESS TO MENTAL HEALTH CARE EASIER.
TRINITY HEALTH OAKLAND HOSPITAL	PART V, SECTION B, LINE 11: IN FY23, TRINITY HEALTH OAKLAND (THO) ADDRESSED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS: BEHAVIORAL HEALTH, FOOD SECURITY, ACCESS TO CARE, MATERNAL HEALTH, AND DIABETES/HIGH BLOOD PRESSURE. BEHAVIORAL HEALTH/SUBSTANCE ABUSE - IN FY23, BEHAVIORAL HEALTH SUPPORT WAS MANAGED THROUGH PATIENT REFERRALS TO SOCIAL WORK, CASE MANAGEMENT AND COMMUNITY RESOURCE MANAGEMENT PROGRAMMING. COMMUNITY FUNDING AND SUPPORT WERE GIVEN TO COMMON GROUND AND OAKLAND COUNTY COMMUNITY HEALTH NETWORK TO PROVIDE ADDITIONAL COMMUNITY INFRASTRUCTURE. IN FY23, COMMUNITY HEALTH WORKERS (CHW'S) ALIGNED PEER SUPPORT COUNSELING, AFFORDABLE AND SUBSIDIZED HOUSING RESOURCES, HOUSING STATUS VERIFICATION LETTERS, AND HOMELESS DIVERSION SUPPORT FOR REFERRED BEHAVIORAL HEALTH PATIENTS. CHW'S UTILIZED SOCIAL INFLUENCER OF HEALTH (SIOH) ASSESSMENTS TO IMPROVE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT RESOURCES. AMERICAN RESCUE PLAN FUNDS ALONG WITH THO FUNDING CONTINUED IN FY23 FOR THE LIGHTHOUSE OF OAKLAND COUNTY AND HOPE WARMING SHELTER TO HELP MANAGE THE BACKLOG OF BEHAVIORAL HEALTH REFERRALS IN OAKLAND COUNTY. THO CONTINUED TO PROVIDE IN-KIND STAFF SUPPORT FROM CASE MANAGEMENT, SOCIAL WORK AND CHW TEAMS FOR BEHAVIORAL HEALTH AND PEER SUPPORT GROUP REFERRALS. FOOD SECURITY - IN FY23, THO MAINTAINED ITS PARTNERSHIP WITH HEALTHY PONTIAC, WE CAN! WHILE ASSUMING A GREATER LEADERSHIP ROLE IN PONTIAC'S FOOD ACCESS COMMUNITY COALITION. THO CHAIRS THE ACCESS TO HEALTHY FOOD COMMITTEE AND SETS POLICIES FOR OAKLAND COUNTY'S FOOD POLICY COUNCIL. THESE COUNCILS ADVOCATE FOR IMPROVED FRESH PRODUCE ACCESSIBILITY AND MITIGATION OF FOOD POLICY BARRIERS WITHIN PONTIAC AND GREATER OAKLAND COUNTY. THE OAKLAND FARM, WHICH WAS DEVELOPED IN 2019, INCREASED PRODUCE PRODUCTION, HEALTH EDUCATION OUTREACH, AND VOLUNTEER RECRUITMENT IN FY23, WHICH HAS IMPROVED COMMUNITY FOOD SECURITY AND ACCESS. THE PARTNERSHIP WITH LIGHTHOUSE OF SOUTHEASTERN MICHIGAN DOUBLED THE VOLUME OF MONTHLY PATIENT REFERRALS TO THE PRODUCE DELIVERY PROGRAM FROM 80 TO OVER 160. THE OAKLAND FARM AND LIGHTHOUSE INTRODUCED AN ONSITE FOOD PANTRY IN AUGUST 2023 WHERE THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES CAN ACCESS FRESH AND NON-PERISHABLE PRODUCE ON SITE PRIOR TO DISCHARGE. COMMUNITY SHARED AGRICULTURE AND PRODUCE-TO-PATIENT PROGRAMS ARE ALSO AVAILABLE TO IMPROVE FRESH PRODUCE ACCESS AND CONSUMPTION. IN PARTNERSHIP WITH THE OAKLAND FARMS FOOD BOX PROGRAM, PRODUCE IS OFFERED AT AMBULATORY SITES AND COMMUNITY CENTERS SUCH AS CITY HALL, PONTIAC PUBLIC LIBRARY AND BOWEN SENIOR CENTER.ACCESS TO CARE - IN FY23, THO SUPPORTED OAKLAND COUNTY RESIDENTS WITH EDUCATION AND SCREENING RESOURCES FOR LUNG, BREAST, AND COLORECTAL CANCERS THROUGH A PARTNERSHIP WITH THE NATIONAL CANCER SOCIETY. THO ALSO PROVIDES STAFF AND FINANCIAL SUPPORT FOR STRESS, SOCIAL ISOLATION, BALANCE, AND INJURY PREVENTION SCREENING DURING COMMUNITY HEALTH FAIRS AND OUTREACH INITIATIVES THROUGH NURSING EDUCATION, MEDICAL RESIDENT STAFF, AND UNIVERSITY OF DETROIT HEALTH EDUCATION STUDENT VOLUNTEERS. THO EXPANDED ITS LAB SERVICE AGREEMENTS WITH THE BERNSTEIN FREE COMMUNITY CLINIC IN PONTIAC AND HUDA CLINIC IN DETROIT TO SUPPORT RESIDENTS EXPERIENCING HOMELESSNESS IN OAKLAND AND WAYNE COUNTIES WITH FREE DIAGNOSTIC SERVICES.THO'S CHW'S UTILIZE 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, THEREBY REDUCING READMISSIONS AND IMPROVING OVERALL PATIENT HEALTH.MATERNAL HEALTH - THO CONTINUES COORDINATING AND SUPPORTING EXISTING COMMUNITY RESOURCES ADDRESSING PERINATAL HEALTH IN THE COMMUNITY. THE MOTHER BABY UNIT HIRED A SOCIAL WORKER TO ASSIST NEW MOTHERS WITH MATERNAL RESOURCE ACCESS AND RELEVANT SOCIAL SUPPORT NEEDS.THO ALSO CONTINUES SUPPORTING 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 250 MOTHERS IN FY23. 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 FY23, THO MAINTAINED SUPPORT FOR HEALTHY OAKLAND 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 ARE ABLE TO ENGAGE IN PHYSICAL ACTIVITY AND IMPROVED EATING HABITS. THIS PROGRAM HAS EXPANDED TO SUPPORT NORTHERN OAKLAND COUNTY AND THO SERVES AS A COMMUNITY REFERRAL SITE. A "SOCIAL PRESCRIPTION" MODEL IS USED 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 COHORT IN JUNE 2022, WITH 14 ACTIVE PARTICIPANTS WHOSE SESSION CONTINUED INTO FY23. 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 ARE INDIRECTLY ADDRESSED THROUGH THE STRATEGIES FOR FOOD SECURITY AND DIABETES.
TRINITY HEALTH LIVONIA HOSPITAL	PART V, SECTION B, LINE 11: IN FY23, 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 AND "TALK, THEY HEAR YOU" MESSAGING AT SCHOOL AND COMMUNITY-BASED EVENTS. THE WESTERN WAYNE SUICIDE PREVENTION COALITION, WHICH THLA IS PART OF, RECEIVED THE MICHIGAN HOSPITAL ASSOCIATION'S LUDWIG COMMUNITY BENEFIT AWARD IN RECOGNITION OF THE GROUP'S ACCOMPLISHMENTS. TWENTY-FOUR QUESTION, PERSUADE, REFER (QPR) TRAINERS HAVE BEEN CERTIFIED IN SEVEN WESTERN WAYNE SCHOOL DISTRICTS TO CREATE A DISTRIBUTED TRAINING MODEL. OVER 3,000 SCHOOL PERSONNEL (TEACHING AND SUPPORT STAFF) AND 1,000 STUDENTS HAVE RECEIVED QPR TRAINING. THREE MENTAL HEALTH CONFERENCES WERE HELD WITH 616 SCHOOL DISTRICT AND MENTAL HEALTH PROFESSIONALS IN ATTENDANCE. IN WESTERN WAYNE COUNTY, 175 RESIDENTS PARTICIPATED IN 8-WEEK GRIEF SUPPORT WORKSHOPS HOSTED BY NEW HOPE CENTER FOR GRIEF SUPPORT.ACCESS TO CARE - THLA CONTINUED TO PROVIDE LAB SERVICES FOR WAYNE HOPE CLINIC THAT ENABLED COMMUNITY MEMBERS TO RECEIVE DIAGNOSTIC SERVICES. ELEVEN PATIENTS OBTAINED MEDICAID AND WERE SUCCESSFULLY TRANSITIONED TO COVENANT COMMUNITY CARE FQHC FROM HOPE CLINIC. TRANSPORTATION ASSISTANCE WAS PROVIDED THROUGH VAN, CAB OR LYFT SERVICES, 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. AS OF FY23, 80% OF THLA PATIENTS HAVE BEEN SCREENED FOR SOCIAL NEEDS IN THE PRIMARY CARE SETTING. THE REDFORD COMMUNITY LEADER'S NETWORK WAS INTRODUCED TO THE FINDHELP COMMUNITY RESOURCE DIRECTORY AND OFFERED TECHNICAL ASSISTANCE TO CLAIM THEIR PROGRAMS TO RECEIVE REFERRALS.FOOD SECURITY/ACCESS - THLA PARTICIPATES 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. FOCUS GROUPS WERE CONDUCTED IN FIVE COMMUNITIES, INCLUDING REDFORD AND WESTLAND, TO UNDERSTAND RESIDENT PERSPECTIVES ON THEIR LOCAL FOOD SYSTEM.THROUGH THE HEALTHLY LIVONIA COALITION, THLA HAS BEEN CONTRIBUTING TO THE LIVONIA PUBLIC SCHOOLS TO DEVELOP THE GARFIELD GREENHOUSE, WHICH IS NEARING COMPLETION.OBESITY/DIABETES/HYPERTENSION - THE HEALTHY LIVONIA INITIATIVE PROVIDES FUNDING FOR THE LEADERS ADVANCING HEALTH CARE HEALTHY LIVING NUTRITION PROGRAM. INDIVIDUALS FROM THE LEADERS ADVANCING AND HELPING COMMUNITIES GROUP PROVIDED THE HEALTHY SCHOOLS, HEALTHY COMMUNITIES PROGRAM TO FIVE CLASSROOMS. AS A RESULT, 47% OF THESE KIDS ARE EATING MORE FRUITS, 33% ARE EATING MORE VEGETABLES, AND 47% OF PARENTS REPORT COOKING MORE FOOD AT HOME. ADDITIONALLY, THLA CONTINUED TO ADMINISTER THE DIABETES PREVENTION PROGRAM (DPP) THROUGH A GRANT TO 126 RESIDENTS. - 81% OF DPP PARTICIPANTS WERE REFERRED BY THEIR HEALTH CARE PROVIDER AND 12% WERE REFERRED BY A COMMUNITY-BASED ORGANIZATION.- 11 DPP PARTICIPANTS WERE RESIDENTS OF REDFORD OR WESTLAND.- DIABETES EDUCATION PROGRAM REFERRALS AVERAGED 35 PER MONTH.- TRINITY HEALTH LIVONIA ASSIGNED A DPP COMMUNITY CHAMPION TO WORK CLOSELY WITH COMMUNITY ORGANIZATIONS TO REACH RESIDENTS AT HIGH RISK OF DEVELOPING DIABETES.
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, FOOD SECURITY AND ACCESS, AND TRANSPORTATION. IN FY23, THL ADDRESSED THESE SIGNIFICANT COMMUNITY HEALTH NEEDS AS FOLLOWS: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 FY23, 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. IN ADDITION, THL PROVIDED A CONTRIBUTION TO THE FEDERAL DRUG-FREE COMMUNITIES GRANT THAT LIVINGSTON COUNTY CATHOLIC CHARITIES RECEIVES ON BEHALF OF THE LIVINGSTON COUNTY COMMUNITY ALLIANCE. FURTHERMORE, THL CONTINUES TO SUPPORT AND PROMOTE DRUG TAKE BACK EVENTS AND UTILIZES THE GREEN BIN/RED BARRELS WITHIN THL.FOOD SECURITY/ACCESS - THL SUPPORTS FOOD ACCESS, HEALTHY WEIGHT AND REDUCING CHRONIC DISEASE RISK, INCIDENCE, AND PREVALENCE THROUGH PRESCRIPTION FOR HEALTH FUNDING AND PROGRAM EXPANSION OF REFERRAL PARTNERS. THL ALSO PARTNERS WITH THE FARM AT TRINITY HEALTH TO OFFER THE PRODUCE TO PATIENT PROGRAM IN LIVINGSTON COUNTY.TRANSPORTATION - THL CONTINUED COLLABORATIVE MATCHING COMMITMENTS WITH MICHIGAN MEDICINE AND ASCENSION HEALTH SYSTEMS TO EXPAND HEALTH CARE TRANSPORTATION THROUGH LIVINGSTON ESSENTIAL TRANSPORTATION SERVICE (LETS). THL EXPANDED THE PARTNERSHIP WITH LETS BY PROVIDING ADDITIONAL FUNDING FOR A DEDICATED THL-ONLY WHEELCHAIR ACCESSIBLE VAN TO SERVE THE COMMUNITY DURING OFF HOURS. THESE COLLABORATIONS CONTINUE TO SUPPORT INCREASED HEALTH CARE RELATED TRANSPORTATION AND ALLOW FOR SOCIAL INFLUENCERS OF HEALTH 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) 2022

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?90
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) WARDE MEDICAL LABORATORY 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 MEDICAL CTR - ROCKFORD 6050 NORTHLAND DR NE ROCKFORD,MI49341	FAMILY PRACTICE CENTER, URGENT CARE, LAB, IMAGING, WOMEN'S HEALTH, REHAB
25	25 - (GR) TRINITY HEALTH MEDICAL GROUP 3925 32ND AVE STE 300 HUDSONVILLE,MI49426	FAMILY PRACTICE & URGENT CARE
26	26 - (GR) TH MEDICAL CTR - BYRON CTR 2373 64TH STREET SW BYRON CENTER,MI49315	AMBULATORY SURGICAL CTR, REHAB, LAB, IMAGING, FAMILY PRACTICE, CARDIO AND ER
27	27 - (GR) TH MEDICAL CTR - RIVERTOWN 3380 44TH STREET SW GRANDVILLE,MI49418	LAB, IMAGING, REHAB, FAMILY PRACTICE
28	28 - (GR) TH MEDICAL CTR - E BELTLINE 1471 EAST BELTLINE GRAND RAPIDS,MI49525	LAB, IMAGING, REHAB, EMPLOYED PHYS., URGENT CARE, OB
29	29 - (GR) TH MEDICAL GROUP - GR CAMPUS 310 LAFAYETTE SE GRAND RAPIDS,MI49503	IMMUNOLOGY, VASCULAR, INFECTIOUS DISEASE, AND PULMONOLOGY
30	30 - (GR) TH MEDICAL CTR - CHERRY 245 CHERRY ST GRAND RAPIDS,MI49503	PEDIATRIC CLINIC, FAMILY MEDICINE, OB, NEUROSCIENCES, AND SLEEP
31	31 - (GR) HAUENSTEIN BEHAVIORAL HEALTH 220 CHERRY ST SE GRAND RAPIDS,MI49503	GEN NEURO, MOV DISORDER, NEUROMUSCULAR, NEURO RESIDENCY
32	32 - (GR) CLINICA SANTA MARIA 730 GRANDVILLE AVE SW GRAND RAPIDS,MI49503	INDIGENT PRIMARY CARE CENTER
33	33 - (GR) TH MEDICAL GROUP - KENTWOOD 2080 44TH ST SE KENTWOOD,MI49508	REHAB, LAB, FAMILY PRACTICE
34	34 - (GR) TH MEDICAL CTR - WALKER 1175 WILSON AVE NW WALKER,MI49534	LAB, IMAGING, REHAB, FAMILY PRACTICE
35	35 - (GR) TH WEGE MEDICAL CENTER 300 LAFAYETTE GRAND RAPIDS,MI49503	LAB, FAMILY PRACTICE, INTERNAL MEDICINE PRACTICE
36	36 - (GR) TRINITY HEALTH MEDICAL GROUP 933 THREE MILE NW GRAND RAPIDS,MI49504	LAB, REHAB, FAMILY PRACTICE
37	37 - (GR) TRINITY HEALTH MEDICAL GROUP 2144 EAST PARIS SE GRAND RAPIDS,MI49546	INTERNAL MEDICINE
38	38 - (GR) TH MEDICAL GROUP - JENISON 7782 20TH AVENUE JENISON,MI49428	FAMILY PRACTICE CENTER
39	39 - (GR) TRINITY HEALTH MEDICAL GROUP 301 N MAIN SHERIDAN,MI49315	VASCULAR
40	40 - (GR) TH MEDICAL GROUP - SPARTA 475 S STATE ST SPARTA,MI49345	FAMILY PRACTICE CENTER
41	41 - (GR) INNOVATIVE PRIMARY CARE 801 BROADWAY AVE NW STE 105 GRAND RAPIDS,MI49504	FAMILY PRACTICE CENTER
42	42 - (GR) TH MED GROUP -BROWNING CLAYTOR 1246 MADISON SE GRAND RAPIDS,MI49507	FAMILY PRACTICE CENTER
43	43 - (GR) TH MEDICAL CTR - CALEDONIA 10047 CROSS ROADS COURT CALEDONIA,MI49316	LAB, IMAGING, REHAB, FAMILY PRACTICE
44	44 - (GR) TRINITY HEALTH MEDICAL GROUP 801 BROADWAY STREET NW GRAND RAPIDS,MI49504	FAMILY PRACTICE
45	45 - (GR) GVSU PRIMARY CARE 10383 42ND AVE A ALLENDALE,MI49401	FAMILY PRACTICE CENTER
46	46 - (GR) CONCIERGE MEDICINE GR 2155 E PARIS AVE SE EAST 220 GRAND RAPIDS,MI49546	CONCIERGE MEDICINE
47	47 - (GR) TRINITY HEALTH MEDICAL GROUP 2093 HEALTH DRIVE SUITE 300 WYOMING,MI49519	VASCULAR
48	48 - (GR) TRINITY HEALTH MEDICAL GROUP 1000 EAST PARIS STE 222 GRAND RAPIDS,MI49546	CARDIOVASCULAR
49	49 - (GR) TRINITY HEALTH MEDICAL GROUP 260 JEFFERSON SE STE 115 GRAND RAPIDS,MI49503	CONCIERGE MEDICINE
50	50 - (GR) TRINITY HEALTH MEDICAL GROUP 250 CHERRY ST SE GRAND RAPIDS,MI49503	ONCOLOGY
51	51 - (GR) ADVENT REHAB 1375 W GREEN ST HASTINGS,MI49058	REHAB
52	52 - (GR) ADVENT REHAB 1915 GEORGETOWN CENTER DR JENISON,MI49428	REHAB
53	53 - (GR) ADVENT REHAB 1000 EAST PARIS ST 222 GRAND RAPIDS,MI49546	REHAB
54	54 - (GR) ADVENT REHAB 150 JEFFERSON SE ST 100 GRAND RAPIDS,MI49503	REHAB
55	55 - (LIVONIA) AMBULATORY SURGERY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
56	56 - (LIV) OUTPATIENT SURGERY CENTER-ENDO 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	SURGICAL CENTER
57	57 - (LIV) OUTPATIENT SURGERY CENTER 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	SURGICAL CENTER
58	58 - (LIV) MRI LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
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) ANESTHESIOLOGY 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) TRINITYELITE NEWBURGH 13245 NEWBURGH RD LIVONIA,MI48154	SPORTS THERAPY
64	64 - (LIV) TRINITYELITE SCHOOLCRAFT 18001 ST JOES PARKWAY LIVONIA,MI48152	SPORTS THERAPY
65	65 - (LIV) BARIATRIC OFFICE 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	BARIATRIC
66	66 - (LIV) TH FREEDOM MEDICAL 20206 FARMINGTON RD LIVONIA,MI48152	INTERNAL MEDICINE PRACTICE
67	67 - (LIV) TRINITYELITE SALINE 1200 WOODLAND DR E SALINE,MI48176	SPORTS THERAPY
68	68 - (LIV) TH ACADEMIC PSYCHIATRY 37595 W SEVEN MILE RD LIVONIA,MI48152	OUTPATIENT BEHAVIORAL SERVICES
69	69 - (LIV) TRINITYELITE WIXOM 30990 S WIXOM ROAD WIXOM,MI48393	SPORTS THERAPY
70	70 - (LIV) RADIOLOGY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
71	71 - (LIV) TRINITYELITE OAKLAND 44405 WOODWARD AVE TRINITY HEALTH WELLNESS PONTIAC,MI48341	SPORTS THERAPY
72	72 - (LIV) CRNA LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
73	73 - (LIV) ENDOCRINOLOGY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
74	74 - (LIV) CRNA OSC 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	SURGICAL CENTER
75	75 - (LIV) SLEEP DISORDERS LAB 14600 FARMINGTON RD SUITE 101 LIVONIA,MI48154	SLEEP LAB
76	76 - (LIV) SPORTS MEDICINE 19000 ST JOES PARKWAY LIVONIA,MI48152	SPORTS MEDICINE
77	77 - (LIV) TH IHA MED GROUP - WESTLAND 32932 WARREN ROAD SUITE 100 WESTLAND,MI48185	OB/GYN PRACTICE
78	78 - (LIV) TRINITY HEALTH SLEEP CENTER 14600 FARMINGTON RD LIVONIA,MI48154	SLEEP LAB
79	79 - (LIV) WESTSIDE OBGYN 19000 ST JOES PARKWAY LIVONIA,MI48154	OB/GYN PRACTICE
80	80 - (LIV) LABORATORY LMC 19000 ST JOES PARKWAY LIVONIA,MI48152	MEDICAL CENTER
81	81 - (LIV) WESTSIDE UROGYNECOLOGY 19000 ST JOES PARKWAY LIVONIA,MI48154	UROLOGY, OB/GYN
82	82 - (LIV) OUTPATIENT SURGERY CENTER 36622 5 MILE RD SUITE 201 LIVONIA,MI48154	SURGICAL CENTER - PRE AND POST OP
83	83 - (OAKLAND) TH REHABILITATION 44428 WOODWARD PONTIAC,MI48341	REHAB
84	84 - (OAK) TH IMAGING - CLARKSTON 7210 N MAIN STREET CLARKSTON,MI48346	IMAGING
85	85 - (OAK) TH IMAGING -LAKE ORION 1375 S LAPEER RD STE104 ORION TOWNSHIP,MI48360	IMAGING
86	86 - (OAK) TH IMAGING -WEST BLOOMFIELD 2300 HAGGERTY ROAD STE 1050 WEST BLOOMFIELD,MI48323	IMAGING
87	87 - (OAK) TH SLEEP CENTER - OAKLAND 3100 CROSS CREEK STE 210 AUBURN HILLS,MI48326	SLEEP LAB
88	88 - (OAK) TH LAB -LEXUS BUILDING 44200 WOODWARD STE 105 PONTIAC,MI48341	LAB
89	89 - (OAK) TH LAB - COMMERCE TWNSHP 2630 UNION LAKE RD STE 200 COMMERCE TOWNSHIP,MI48382	LAB
90	90 - (OTHER) MERCY PRIMARY CARE CENTER 5555 CONNER ST 2691 DETROIT,MI48213	PRIMARY CARE, LAB, IMAGING, PHARMACY, MENTAL HEALTH

Schedule H (Form 990) 2022

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. THE HOSPITAL DIVISIONS OF TH-MI ALSO 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, $74,967,512, 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 STUDENTS' 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, 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 TWO PERCENT SEQUESTRATION REDUCTION.
PART III, LINE 8:	TH-MI DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT 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 HOSPITAL'S COLLECTION POLICY CONTAINS 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. THE HOSPITAL HAS 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. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, 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 AND GOVERNMENT 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.
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 2020. 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. THE CNI IN PONTIAC, THE HOSPITAL'S SERVICE AREA, IS 4.08, COMPARED TO THE STATE AVERAGE OF 2.09.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 PROJECT REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, THE UNIVERSITY OF MICHIGAN HEALTH-MICHIGAN MEDICINE AND TRINITY HEALTH ANN ARBOR (THAA) TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. THAA SUPPORTS THIS PROGRAM BY PROVIDING FINANCIAL AND 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 NEARBY ZIP CODES THAT ARE SEEN TO HAVE A GAP IN CARE. TRINITY HEALTH GRAND RAPIDS HOSPITAL:IN FY23, THGR WAS INVOLVED IN SEVERAL COMMUNITY COLLABORATIVES TO FURTHER IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, INCLUDING:REPRESENTATION ON MULTI-AGENCY COMMITTEES IN THE COMMUNITY - THGR ENGAGED IN THE COMMUNITY, HAVING REPRESENTATION ON A NUMBER OF MULTI-AGENCY COMMITTEES AND TASK FORCES, INCLUDING THE FOLLOWING:- KENT COUNTY ESSENTIAL NEEDS TASK FORCE- KENT COUNTY HEALTH EQUITY COUNCIL SYSTEMS MEETING- KENT COUNTY HEALTH EQUITY COUNCIL MENTAL HEALTH SUBGROUP- KENT COUNTY COMMUNITY HEALTH ACTION TEAM- KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT HEALTH SYSTEMS STEERING TEAM FOOD SECURITY COLLABORATIVE - THGR USED A PORTION OF FUNDS FROM A SPECIALTY PHYSICIAN PRACTICE TO OFFER GRANTS TO COMMUNITY AGENCIES. THE GRANT FUNDED SIX COMMUNITY-BASED ORGANIZATIONS WHO WORKED TOGETHER, ALONG WITH REPRESENTATIVES FROM THGR SAFETY NET HEALTH CENTERS, TO DEVELOP PROGRAMMING IN THE COMMUNITY PROMOTING FOOD ACCESS AND SECURITY.TRINITY HEALTH COMMUNITY GRANT FOR PRODUCE PRESCRIPTION PROGRAM - THGR RECEIVED A $137,000 GRANT WHICH WAS "PASSED THROUGH" TO COMMUNITY-BASED ORGANIZATIONS WHO WORKED TOGETHER, ALONG WITH THGR AND THGR SAFETY NET HEALTH CENTERS, TO CREATE A PRODUCE PRESCRIPTION PROGRAM FOR UNDERSERVED INDIVIDUALS IN THE CITY OF GRAND RAPIDS WHO WERE EXPERIENCING FOOD INSECURITY. FY23 ACTIVITIES FOCUSED ON BUILDING THE MULTI-AGENCY COLLABORATION AND CREATING A LARGE-SCALE FRAMEWORK FOR THE PROGRAM, WITH PLANS TO LAUNCH IN FY24.DONATED PHYSICIAN AND RESIDENT SERVICES AT FREE CLINIC - A FAMILY MEDICINE PHYSICIAN AND THE RESIDENTS HE SUPERVISED PROVIDED NO-COST MEDICAL CARE AT A FREE MEDICAL CLINIC IN THE CITY, SERVING PRIMARILY INDIVIDUALS EXPERIENCING HOMELESSNESS.UNITED WAY - THGR'S ADMINISTRATION PROVIDED FINANCIAL SUPPORT TO THE HEART OF WEST MICHIGAN UNITED WAY. ADDITIONALLY, THE HOSPITAL RAN A SUCCESSFUL WORKPLACE CAMPAIGN, RESULTING IN THGR RECEIVING THE TOP EMPLOYEE CAMPAIGN AWARD FOR OUR JANUARY 2023 CAMPAIGN.TRINITY HEALTH OAKLAND HOSPITAL:TRINITY HEALTH OAKLAND (THO) COLLABORATES WITH OTHERS IN THE COMMUNITY TO IMPROVE COMMUNITY HEALTH AND ACCESS TO HEALTH CARE. IN FY23, THE THO BOARD OF DIRECTORS PROVIDED A CONTRIBUTION TO THE PONTIAC COMMUNITY FOUNDATION TO IMPROVE ACCESS TO HEALTH SERVICES. IN FY23, OVER 5,000 PERSONS EXPERIENCING POVERTY AND OTHER VULNERABILITIES WERE SERVED THROUGH THE MERCY SUPPORT PROGRAM, AND MORE THAN 7,000 PATIENTS WERE SERVED THROUGH THE INDIGENT PROCUREMENTS AND MERCY SUPPORT PRESCRIPTION PROGRAMS.THROUGH ITS COMFORT CARE PROGRAM, THO ADDRESSED 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 CONTINUES TO MAINTAIN OVER 200 MONTHLY CONTACTS WITH COMMUNITY RESIDENTS.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.THO RECEIVED FUNDING THROUGH THE TRANSFORMING COMMUNITIES INITIATIVE GRANT TO FUND AN INITIATIVE THAT ADVANCES COMMUNITY PARTNERSHIPS AND ACCELERATES COMMUNITY HEALTH IMPROVEMENT BY IMPLEMENTING EVIDENCE-BASED STRATEGIES THAT ADDRESS PRIORITY NEEDS IN THE HOSPITAL'S SERVICE AREA. AS PART OF THIS GRANT WORK, THO HAS PARTNERED WITH THE OAKLAND LIVINGSTON HUMAN SERVICE AGENCY (OLHSA) TO SUPPORT THE ADVANCEMENT OF HOUSING AND COMMUNITY SAFETY IN THE CITY OF PONTIAC. A COMMUNITY-DEVELOPED COALITION HAS BEEN ESTABLISHED TO IMPROVE HEALTH CONDITIONS IN PONTIAC EXACERBATED BY THE HOUSING AND COMMUNITY SAFETY ISSUES. OLSHA, WITH SUPPORT FROM COMMUNITY ORGANIZER TAMEKA RAMSEY AND ASSOCIATES, WILL WORK TO DEVELOP A ROOT CAUSE ANALYSIS AND COMMUNITY ACTION PLAN TO DISTRIBUTE FUNDING AND TECHNICAL SUPPORT IN THE HOSPITAL'S IMMEDIATE SERVICE AREA. FORMATIVE EVALUATION RESEARCH ASSOCIATES SERVES AS THE LOCAL EVALUATOR, GEORGIAN HEALTH POLICY INSTITUTE IS THE NATIONAL EVALUATOR, AND MICHIGAN PUBLIC HEALTH INSTITUTE IS THE TECHNICAL ASSISTANT. THE GRANT SPANS FROM 2022 THROUGH 2026. (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 - EMPHASIZING THE NECESSITY TO INTEGRATE SOCIAL AND CLINICAL CARE. WE DO THIS BY: 1. ADDRESSING PATIENT SOCIAL NEEDS, 2. INVESTING IN OUR COMMUNITIES, AND 3. STRENGTHENING THE IMPACT OF OUR COMMUNITY BENEFIT. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES AND FOCUS INTENTIONALLY ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. WE BELIEVE THAT COMMUNITY MEMBERS AND COMMUNITIES THAT ARE THE MOST IMPACTED BY RACISM AND OTHER FORMS OF DISCRIMINATION EXPERIENCE THE GREATEST DISPARITIES AND INEQUITIES IN HEALTH OUTCOMES AND SHOULD BE INCLUSIVELY ENGAGED IN ALL COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT EFFORTS. THROUGHOUT OUR WORK, WE DISMANTLE OPPRESSIVE SYSTEMS, AND BUILD COMMUNITY CAPACITY AND PARTNERSHIPS.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 FISCAL YEAR 2023 (FY23), TRINITY HEALTH CONTRIBUTED $1.47 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. IN ADDITION TO ANNUAL COMMUNITY BENEFIT SPENDING, TRINITY HEALTH IMPLEMENTS A SOCIALLY RESPONSIBLE INVESTING PROGRAM. AS OF THE END OF FY23, $62.7 MILLION (INCLUDING $7.0 MILLION IN NEW LENDING) WAS ALLOCATED IN THE FOLLOWING AREAS:- HOUSING: BUILDING AFFORDABLE HOUSING; IMPROVING ACCESS TO SENIOR HOUSING; AND COMBATTING HOMELESSNESS ($35.5 MILLION)- EDUCATION: SUPPORTING STUDENTS ENTERING THE HEALTH PROFESSIONS ($10.1 MILLION)- FACILITIES: BUILDING COMMUNITY FACILITIES FOR NONPROFITS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY-BASED ORGANIZATIONS ($9.7 MILLION)- ECONOMIC DEVELOPMENT: ENCOURAGING SMALL BUSINESS DEVELOPMENT, CREATING LOCAL JOBS AND SUPPORTING ACCESS TO HEALTHY FOODS; QUALITY CHILDCARE; AND OTHER COMMUNITY SERVICES ($7.4 MILLION)ACROSS THE SYSTEM, NEARLY 700,000 OF PATIENTS SEEN IN PRIMARY CARE SETTINGS WERE SCREENED FOR SOCIAL NEEDS. FOR ABOUT 30% OF THOSE PATIENTS, AT LEAST ONE SOCIAL NEED WAS IDENTIFIED. TOGETHERCARE - TRINITY HEALTH'S ELECTRONIC HEALTH RECORD, POWERED BY EPIC - HAS MADE IT POSSIBLE FOR TRINITY HEALTH TO STANDARDIZE SCREENING FOR SOCIAL NEEDS AND CONNECT PATIENTS TO COMMUNITY RESOURCES THROUGH THE COMMUNITY RESOURCE DIRECTORY (COMMUNITYRESOURCES.TRINITY-HEALTH.ORG). COMMUNITY HEALTH WORKERS (CHW'S) SERVE AS LIAISONS BETWEEN HEALTH AND SOCIAL SERVICES. TRINITY HEALTH CHW'S PARTNERED WITH POPULATION HEALTH NURSES AND SOCIAL WORK CARE MANAGERS TO SERVE MEDICARE PATIENTS AT RISK FOR PREVENTABLE HOSPITALIZATIONS, RESULTING IN A DECREASE IN PREVENTABLE HOSPITALIZATIONS FOR THE MEDICARE POPULATION OVERALL, AND ALSO FOR LOW-INCOME PATIENTS DUALLY ENROLLED IN MEDICARE AND MEDICAID. CHW'S ADVANCE SOCIAL AND CLINICAL CARE INTEGRATION BY ASSESSING AND ADDRESSING A PATIENT'S SOCIAL NEEDS, HOME ENVIRONMENT AND OTHER SOCIAL RISK FACTORS, AND ULTIMATELY CONNECTING THE PATIENT (AND THEIR FAMILY) TO SERVICES WITHIN THE COMMUNITY. TRINITY HEALTH PROVIDES A 40+ HOUR FOUNDATIONAL CHW AND CHRONIC DISEASE-SPECIFIC TRAINING TO TRINITY HEALTH-EMPLOYED CHW'S AND ALSO TO COMMUNITY PARTNERS THAT EMPLOY CHW'S. IN 2017, TRINITY HEALTH RECEIVED A SIX-YEAR, $8.5 MILLION GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO INCREASE THE NUMBER OF NATIONAL DIABETES PREVENTION PROGRAM (DPP) DELIVERY SITES, INCREASE PROGRAM ENROLLMENT, MAINTAIN PARTICIPATION RATES, AND INCREASE BENEFIT COVERAGE. IN ADDITION, THE GRANT WAS USED TO STANDARDIZE CLINICAL SCREENING AND DETECTION OF DIABETES. DURING THE GRANT PERIOD, TRINITY HEALTH BUILT THE NATIONAL DPP INTO ITS ELECTRONIC HEALTH RECORD SYSTEM TO MAKE IDENTIFYING PATIENTS AND ENROLLING THEM IN THE PROGRAM EASIER. SINCE SEPTEMBER 2017, OVER 6,000 PARTICIPANTS HAVE ENROLLED IN A TRINITY HEALTH NATIONAL DPP AND HAVE COLLECTIVELY LOST A TOTAL OF OVER 51,000 POUNDS.LASTLY, TRINITY HEALTH'S FY23 SHAREHOLDER ADVOCACY PRIORITIES FOCUSED ON IMPROVING CORPORATE POLICIES AND PRACTICES THAT IMPACT COMMUNITIES, WITH THE AIM OF REDUCING STRUCTURAL RACISM AND HEALTH INEQUITIES. TRINITY HEALTH, IN COLLABORATION WITH ITS PARTNERS THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY AND THE INVESTOR ENVIRONMENTAL HEALTH NETWORK, FILED SHAREHOLDER PROPOSALS AT 20 COMPANIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
CONTINUATION OF PART VI LINE 5 - PROMOTION OF COMMUNITY HEALTH	TRINITY HEALTH LIVONIA HOSPITAL:TRINITY HEALTH LIVONIA COORDINATES THE HEALTHY LIVONIA COALITION TO PROVIDE A COMMUNITY-WIDE FOCUS ON HEALTH AND WELL-BEING IN LIVONIA. THIS COALITION FOCUSES ON INFRASTRUCTURE DEVELOPMENT, POLICY CHANGE AND PROGRAMS. ONE ACCOMPLISHMENT THIS YEAR WAS THE COMPLETION OF THE BEN CELANI ACCESSIBLE PLAY AREA, WHICH OPENED IN MAY 2023. THIS AREA WAS DEVELOPED THROUGH A COLLABORATION BETWEEN LIVONIA PARKS AND RECREATION AND HEALTHY LIVONIA.TRINITY HEALTH LIVINGSTON HOSPITAL:THL ACTIVELY SUPPORTS 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 INCLUDES 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 IS AVAILABLE TO THE COMMUNITY TO QUICKLY LOCATE COMMUNITY-BASED SOCIAL CARE RESOURCES THROUGH THE FINDHELP PLATFORM.

Schedule H (Form 990) 2022

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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

2022

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) AFRICAN AMERICAN HEALTH INSITITUTE 500 LAFAYETTE AVENUE NE STE 18 GRAND RAPIDS,MI49503	06-1658200	501(C)(3)	20,000	COMMUNITY SUPPORT
(2) 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
(3) CHARTER TOWNSHIP OF NORTHVILLE 700 WEST BASELINE ROAD NORTHVILLE,MI48167	36-6007235	GOVERNMENT ORG	10,000	NORTHVILLE SENIOR ADULT SERVICES TRANSPORATION PROGRAM
(4) CHILDRENS HOSPITAL OF MI FOUNDATION 3011 WEST GRAND BLVD SUITE 218 DETROIT,MI48202	32-0087353	501(C)(3)	50,000	JAMIE DANIELS FOUNDATION ROAST & TOAST - SPONSORSHIP
(5) CITY OF PONTIAC 47450 WOODWARD AVE PONTIAC,MI48342	38-6005034	GOVERNMENT ORG	10,000	SPONSORSHIP
(6) COURAGEOUS INC 12925 AUBURN ST DETROIT,MI48223	90-0786010	501(C)(3)	12,500	SPONSORSHIP FOR COURAGEOUS GAMES AND SOUL DAY FESTIVAL
(7) DATAWISE CONSULTING LLC PO BOX 68247 GRAND RAPIDS,MI49546	88-1391696		17,750	PRODUCE PRESCRIPTION PROGRAM ASSIST
(8) DIOCESE OF GRAND RAPIDS 360 DIVISION AVE S STE 3A GRAND RAPIDS,MI49503	38-1368746	501(C)(3)	10,000	COMMUNITY SUPPORT
(9) ETHOS HIVE LLC 960 E CLINTON ST HOWELL,MI48843			15,000	MATERNAL HEALTH DEI PROJECT
(10) FREEDOM ROAD TRANSPORTATION AUTHORITY 2633 S LAPEER RD STE H ORION,MI48360	35-2212929	501(C)(3)	35,000	SPONSORSHIP
(11) GLEANERS COMMUNITY FOOD BANK 2131 BEAUFAIT ST DETROIT,MI48207	38-2156255	501(C)(3)	50,000	FRESH MARKET & SHARED HARVEST PANTRY PROJECT
(12) GRAND RAPIDS AREA CHAMBER OF COMMERCE 250 MONROE AVE NW STE 150 GRAND RAPIDS,MI49503	38-0592500	501(C)(6)	31,000	COMMUNITY SUPPORT
(13) GRAND RAPIDS LGBTQ HEALTHCARE CONSORTIUM 3135 PRATT LAKE SE LOWELL,MI49331	86-1255256	501(C)(3)	15,000	COMMUNITY SUPPORT
(14) GRAND VALLEY STATE UNIVERSITY 1 CAMPUS DRIVE ALLENDALE,MI49401	38-1684280	501(C)(3)	6,000	DEVOS MEDICAL ETHICS COLLOQUY 2023
(15) GREATER PONTIAC COMMUNITY COALITION 143 ONEIDA ST PONTIAC,MI48341	38-3219125	501(C)(3)	10,000	SPONSORSHIP
(16) HEART OF WEST MICHIGAN UNITED WAY 118 COMMERCE AVENUE SW GRAND RAPIDS,MI49503	38-1360923	501(C)(3)	10,000	COMMUNITY SUPPORT
(17) HISPANIC CENTER OF WESTERN MICHIGAN INC 1204 GRANDVILLE AVE SW GRAND RAPIDS,MI49503	38-2265825	501(C)(3)	20,000	COMMUNITY SUPPORT
(18) HOPE HOSPITALITY AND WARMING CENTER INC 249 BALDWIN AVE HOPE SHELTER PONTIAC,MI48342	38-3571989	501(C)(3)	50,000	SPONSORSHIP
(19) INTERFAITH HOSPITALITY NETWORK OF WASHTENAW COUNTY INC 4290 JACKSON RD ANN ARBOR,MI48103	38-3052598	501(C)(3)	50,000	FAMILIES EXPERIENCING HOMLESSNESS PROJECT
(20) KEY DEVELOPMENT CENTER INC 2060 GRAND RIVER ANNEX SUITE 104 BRIGHTON,MI48114	38-3479277	501(C)(3)	50,000	KEY TO RECOVERY PROJECT
(21) LIVINGSTON COUNTY CATHOLIC CHARITIES 2020 E GRANT RIVER SUITE 104 HOWELL,MI48843	38-2570420	501(C)(3)	20,000	FEDERAL DRUG-FREE COMMUNITIES GRANT
(22) LIVINGSTON COUNTY EMS 1911 TOOLEY ROAD LIVONIA,MI48845	38-6005819	GOVERNMENT ORG	24,148	OUR COMMUNITIES GRANT
(23) LIVINGSTON DIVERSITY COUNCIL PO BOX 202 HOWELL,MI48844	38-3079294	501(C)(3)	10,000	COMMUNITY HEALTH CARE
(24) LIVINGSTON ESSENTIAL TRANSPORTATION SERVICE 3950 W GRAND RIVER HOWELL,MI48855		GOVERNMENT ORG	55,912	IMPROVING ACCESS TO TRANSPORTATION & REDUCING BARRIERS TO HEALTH CARE
(25) LIVONIA CHAMBER OF COMMERCE 33300 FIVE MILE ROAD SUITE 212 LIVONIA,MI48154	38-1654593	501(C)(6)	13,300	VARIOUS SPONSORSHIPS
(26) LIVONIA SAVE OUR YOUTH TASK FORCE 33000 CIVIC CENTER DRIVE LIVONIA,MI48154	20-8287128	501(C)(3)	5,000	TALK. THEY HEAR YOU SUPPORT
(27) MERCY EDUCATION PROJECT 1450 HOWARD STREET DETROIT,MI48216	38-3209556	501(C)(3)	40,000	COMMUNITY SUPPORT AND GOLF OUTING SPONSOR
(28) MICHIGAN COMMUNITY HEALTH WORKER ALLIANCE 901 TOWER DR STE 420 TROY,MI48098	83-1845287	501(C)(3)	100,000	SEMI COMMUNITY HEALTH WORKER COLLABERATIVE
(29) MICHIGAN PRISON DOULA INITIATIVE 204 STATE ST LANE HALL ANN ARBOR,MI48109	82-2200760	501(C)(3)	30,000	ADDRESSING INEQUITIES & RACISM - MATERNAL & INFANT CARE PROJECT
(30) NEW HOPE CENTER FOR GRIEF SUPPORT INC 133 WEST MAIN ST SUITE 113 NORTHVILLE,MI48167	38-3517205	501(C)(3)	7,500	SCHOOL BASED GRIEF SUPPORT PROGRAM AND FROM GRIEF TO NEW HOPE WORKSHOP
(31) OUR KITCHEN TABLE 334 BURTON SE GRAND RAPIDS,MI49507	61-1625859	501(C)(3)	25,000	PRODUCE PRESCRIPTION PROGRAM ASSIST
(32) SAY DETROIT FAMILY HEALTH CLINIC 211 GLENDALE AVE HIGHLAND PARK,MI48203	20-4786626	501(C)(3)	400,000	COMMUNITY SUPPORT
(33) SHELTER ASSOCIATION OF WASHTENAW COUNTY PO BOX 7370 ANN ARBOR,MI48107	38-2533030	501(C)(3)	100,000	RECUPERATIVE CARE CENTER
(34) SOUTH EAST MARKET 1220 KALAMAZOO AVE SE GRAND RAPIDS,MI49507	85-2490924		37,500	PRODUCE PRESCRIPTION PROGRAM ASSIST
(35) ST FRANCES CABRINI CLINIC 1234 PORTER ST DETROIT,MI48226	38-3129349	501(C)(3)	250,000	COMMUNITY SUPPORT
(36) STUDENT ADVOCACY CENTER OF MICHIGAN 124 PEARL STREET SUITE 504 YPSILANTI,MI48197	38-2058667	501(C)(3)	50,000	CHECK & CONNECT MENTORING FOR MENTAL HEALTH PROJECT
(37) TALENT 2025 833 KENMOOR AVE SE STE B GRAND RAPIDS,MI49549	27-0193853	501(C)(3)	10,950	COMMUNITY SUPPORT
(38) THE MIGHTY OAK PROJECT INC 3676 S STATE STREET ANN ARBOR,MI48108	81-5293606	501(C)(3)	20,000	COMMUNITY YOUTH WELLNESS PROGRAM
(39) VOICES FOR HEALTH 426 PLYMOUTH AVE NE GRAND RAPIDS,MI49505	38-3543238		19,492	PRODUCE PRESCRIPTION PROGRAM ASSIST
(40) WASHTENAW AREA COUNCIL FOR CHILDREN 3075 W CLARK ROAD SUITE 110 YPSILANTI,MI48107	38-2245181	501(C)(3)	40,000	SAFE BABY/SAFE SLEEP & SURVIVOR MOMS PROJECT
(41) WASHTENAW HEALTH PLAN 555 TOWNER YPSILANTI,MI48198	02-0585175	501(C)(3)	350,000	OPERATIONS SUPPORT 10/1/22-9/30/23
(42) WEST MICHIGAN ASIAN AMERICAN ASSOC 818 BUTTERWORTH ST SW GRAND RAPIDS,MI49504	86-1091018	501(C)(3)	20,000	COMMUNITY SUPPORT
(43) WESTLAND CHAMBER OF COMMERCE 36900 FORD ROAD WESTLAND,MI48185	38-1752723	501(C)(6)	5,000	WESTLAND FARMERS MARKET POWER OF PRODUCE SPONSOR
(44) WOMENS CENTER OF SOUTHEASTERN MICHIGAN 1100 VICTORS WAY 10 ANN ARBOR,MI48108	36-4338567	501(C)(3)	20,000	LATINX MENTAL HEALTH SERVICES & SUPPORT PROJECT
(45) YMCA GREATER GRAND RAPIDS 475 LAKE MICHIGAN DRIVE NW GRAND RAPIDS,MI49504	38-1359578	501(C)(3)	37,498	PRODUCE PRESCRIPTION PROGRAM ASSIST
(46) YMCA WEST CENTRAL MICHIGAN 25 SHELDON AVENUE SE GRAND RAPIDS,MI49503	38-1359578	501(C)(3)	20,000	COMMUNITY SUPPORT
(47) OAKLAND LIVINGSTON HUMAN SERVICE AGENCY 196 CESAR E CHAVEZ AVE PONTIAC,MI48342	38-1785665	501(C)(3)	136,873	SPONSORSHIP
(48) CITY YEAR DETROIT 2937 E GRANT BLVD FL 4 DETROIT,MI48202	22-2882549	501(C)(3)	125,000	COMMUNITY SUPPORT
(49) FRIEND OF THE CLINTON RIVER TRAIL PO BOX 81971 ROCHESTER,MI48308	38-2476777	501(C)(3)	6,000	SPONSORSHIP
(50) LIVINGSTON COUNTY DEPT PUBLIC HEALTH 2300 E GRANT RIVER AVE HOWELL,MI48843		GOVERNMENT ORG	100,000	LCDH PRESCRIPTION FOR HEALTH
(51) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS,MI49503	27-2491974	501(C)(3)	750,000	INNOVATION GRANT

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2022

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	515	56,880
(2) PATIENT/FAMILY LODGING	3	870
(3) FOOD/GAS/OTHER ESSENTIALS	1243	32,934
(4) MEDICATIONS, MEDICAL SUPPLIES, SERVICES, ETC.	435	64,525
(5) PATIENT FOOD/MEALS	223	120,421
(6) SCHOLARSHIPS	20	34,239
(7) PATIENT FINANCIAL ASSISTNACE	2	986
(8) PATIENT/COMMUNITY NUTRITION	100	36,000

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) 2022

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

2022

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) 2022

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)
1ROBERT CASALOU DIRECTOR; PRESIDENT & CEO, MI REGION	(i) (ii)	0 ------------- 1,085,853	0 ------------- 488,250	0 ------------- 310,539	0 ------------- 18,300	0 ------------- 61,203	0 ------------- 1,964,145	0 ------------- 0
2LAWRENCE RAPP MD NEUROSURGEON (TH OAKLAND)	(i) (ii)	1,704,382 ------------- 0	0 ------------- 0	10,841 ------------- 0	13,725 ------------- 0	23,896 ------------- 0	1,752,844 ------------- 0	0 ------------- 0
3EDMUND HODGE DIRECTOR; TRINITY HEALTH EVP, CHRO	(i) (ii)	0 ------------- 779,457	0 ------------- 471,000	0 ------------- 237,874	0 ------------- 13,725	0 ------------- 45,880	0 ------------- 1,547,936	0 ------------- 0
4KARSTEN FLIEGNER MD CARDIOTHORACIC SURGEON (TH OAKLAND)	(i) (ii)	1,091,908 ------------- 0	0 ------------- 0	6,732 ------------- 0	13,725 ------------- 0	28,460 ------------- 0	1,140,825 ------------- 0	0 ------------- 0
5MARC SILVER MD CARDIOTHORACIC SURGEON (TH OAKLAND)	(i) (ii)	1,091,683 ------------- 0	0 ------------- 0	2,346 ------------- 0	13,725 ------------- 0	28,685 ------------- 0	1,136,439 ------------- 0	0 ------------- 0
6MICHAEL GUSHO TREASURER; CFO, MICHIGAN REGION	(i) (ii)	0 ------------- 619,143	0 ------------- 155,544	0 ------------- 271,337	0 ------------- 22,875	0 ------------- 45,742	0 ------------- 1,114,641	0 ------------- 155,521
7ROSALIE TOCCO-BRADLEY MD CCO & REGIONAL CMO, MICHIGAN REGION	(i) (ii)	0 ------------- 609,987	0 ------------- 153,750	0 ------------- 271,827	0 ------------- 18,300	0 ------------- 55,199	0 ------------- 1,109,063	0 ------------- 147,720
8TODD FRANCIS MD NEUROSURGEON (TH OAKLAND)	(i) (ii)	1,050,441 ------------- 0	0 ------------- 0	1,549 ------------- 0	13,725 ------------- 0	28,611 ------------- 0	1,094,326 ------------- 0	0 ------------- 0
9SHANNON STRIEBICH PRES TH OAKLAND & SVP OPS, MI REGION	(i) (ii)	0 ------------- 607,629	0 ------------- 276,750	0 ------------- 146,806	0 ------------- 18,300	0 ------------- 42,307	0 ------------- 1,091,792	0 ------------- 0
10CHARLES SCHWARTZ MD CARDIOTHORACIC SURGEON (TH OAKLAND)	(i) (ii)	908,962 ------------- 0	0 ------------- 0	2,015 ------------- 0	13,725 ------------- 0	28,119 ------------- 0	952,821 ------------- 0	0 ------------- 0
11DAVID SPIVEY PRESIDENT TH LIVONIA THROUGH 9/22	(i) (ii)	0 ------------- 554,152	0 ------------- 186,604	0 ------------- 146,706	0 ------------- 22,875	0 ------------- 41,182	0 ------------- 951,519	0 ------------- 0
12ALONZO LEWIS PRESIDENT TRINITY HEALTH ANN ARBOR	(i) (ii)	0 ------------- 496,930	0 ------------- 227,250	0 ------------- 16,200	0 ------------- 144,741	0 ------------- 41,469	0 ------------- 926,590	0 ------------- 0
13MATTHEW BIERSACK MD PRESIDENT TRINITY HLTH GRAND RAPIDS	(i) (ii)	0 ------------- 494,961	0 ------------- 120,833	0 ------------- 15,393	0 ------------- 97,935	0 ------------- 32,046	0 ------------- 761,168	0 ------------- 0
14GARY ALLORE FORMER OFFICER; PRES TH MUSKEGON	(i) (ii)	0 ------------- 486,209	0 ------------- 122,500	0 ------------- 88,642	0 ------------- 18,300	0 ------------- 35,618	0 ------------- 751,269	0 ------------- 0
15MATTHEW GRIFFIN MD CMO & ADMINISTRATOR TH LIVONIA	(i) (ii)	0 ------------- 420,458	0 ------------- 85,940	0 ------------- 12,492	0 ------------- 13,725	0 ------------- 43,932	0 ------------- 576,547	0 ------------- 0
16DAVID VANDENBERG MD CMO TRINITY HEALTH ANN ARBOR & LIV	(i) (ii)	0 ------------- 421,752	0 ------------- 86,000	0 ------------- 13,921	0 ------------- 18,300	0 ------------- 34,489	0 ------------- 574,462	0 ------------- 0
17FABIAN FREGOLI MD CMO TRINITY HEALTH OAKLAND	(i) (ii)	0 ------------- 419,860	0 ------------- 85,586	0 ------------- 9,390	0 ------------- 18,300	0 ------------- 36,300	0 ------------- 569,436	0 ------------- 0
18TOMASINE MARX VP FINANCE WEST MARKET	(i) (ii)	0 ------------- 408,723	0 ------------- 82,820	0 ------------- 20,139	0 ------------- 13,725	0 ------------- 38,837	0 ------------- 564,244	0 ------------- 4,518
19MANDI MURRAY SECRETARY; MANAGING CNSL, MICH REG	(i) (ii)	0 ------------- 352,047	0 ------------- 81,113	0 ------------- 10,242	0 ------------- 58,072	0 ------------- 36,465	0 ------------- 537,939	0 ------------- 0
20SALLY GUINDI FORMER OFFICER; CONTINGENT COUNSEL	(i) (ii)	0 ------------- 263,689	0 ------------- 104,550	0 ------------- 77,784	0 ------------- 22,875	0 ------------- 35,336	0 ------------- 504,234	0 ------------- 0
21JOHN O'MALLEY PRESIDENT TRINITY HEALTH LIVINGSTON	(i) (ii)	0 ------------- 315,582	0 ------------- 78,974	0 ------------- 62,835	0 ------------- 13,725	0 ------------- 23,276	0 ------------- 494,392	0 ------------- 0
22DANIEL GREEN VP FINANCE TH GRAND RAPIDS	(i) (ii)	0 ------------- 313,331	0 ------------- 63,550	0 ------------- 6,371	0 ------------- 22,875	0 ------------- 32,443	0 ------------- 438,570	0 ------------- 0
23MICHAEL SAMYN VP FINANCE TRINITY HEALTH OAKLAND	(i) (ii)	0 ------------- 304,448	0 ------------- 62,320	0 ------------- 8,124	0 ------------- 22,875	0 ------------- 34,164	0 ------------- 431,931	0 ------------- 0
24FRANK SAWYER SENIOR VP OPERATIONS TH OAKLAND	(i) (ii)	277,830 ------------- 0	58,157 ------------- 0	288 ------------- 0	13,725 ------------- 0	32,210 ------------- 0	382,210 ------------- 0	0 ------------- 0
25HYUNG KIM MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 342,107	0 ------------- 0	0 ------------- 6,948	0 ------------- 349,055	0 ------------- 298,333
26ADEEB HARB SENIOR VP OPERATIONS TH LIVONIA	(i) (ii)	250,676 ------------- 0	47,916 ------------- 0	208 ------------- 0	10,428 ------------- 0	26,112 ------------- 0	335,340 ------------- 0	0 ------------- 0
27KURT MACDONALD SENIOR VP OPERATIONS TH GRAND RAPIDS	(i) (ii)	235,840 ------------- 0	48,725 ------------- 0	353 ------------- 0	17,673 ------------- 0	28,253 ------------- 0	330,844 ------------- 0	0 ------------- 0
28KARLA ZARB CNO & VP OPS TH ANN ARBOR AT 6/23	(i) (ii)	0 ------------- 231,520	0 ------------- 47,570	0 ------------- 2,523	0 ------------- 12,918	0 ------------- 30,552	0 ------------- 325,083	0 ------------- 0
29LOREE COLLETT VP OPERATIONS TH ANN ARBOR THR 4/23	(i) (ii)	224,041 ------------- 0	46,534 ------------- 0	1,442 ------------- 0	12,525 ------------- 0	23,236 ------------- 0	307,778 ------------- 0	0 ------------- 0
30BRANDON FRANCIS CMO TRINITY HEALTH GRAND RAPIDS	(i) (ii)	0 ------------- 241,374	0 ------------- 30,000	0 ------------- 737	0 ------------- 12,427	0 ------------- 18,483	0 ------------- 303,021	0 ------------- 0
31MELISSA KAROLAK VP FINANCE TRINITY HEALTH LIVONIA	(i) (ii)	0 ------------- 209,009	0 ------------- 42,845	0 ------------- 623	0 ------------- 11,788	0 ------------- 29,105	0 ------------- 293,370	0 ------------- 0
32NANCY GRAEBNER FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 78,741	0 ------------- 89,568	0 ------------- 85,677	0 ------------- 10,099	0 ------------- 9,044	0 ------------- 273,129	0 ------------- 0
33MICHAEL K SMITH FORMER KE; TH MUSKEGON PHYSICIAN	(i) (ii)	164,812 ------------- 0	18,000 ------------- 0	3,114 ------------- 0	8,640 ------------- 0	20,021 ------------- 0	214,587 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

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 INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2022. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: HYUNG KIM, MD - $190,000 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022 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 2022 AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: GARY ALLORE - $75,142 ROBERT CASALOU - $272,563 NANCY GRAEBNER - $80,101 SALLY GUINDI - $64,775 MICHAEL GUSHO - $252,691 EDMUND HODGE - $216,944 HYUNG KIM, MD - $144,516 JOHN O'MALLEY - $49,118 DAVID SPIVEY - $125,161 SHANNON STRIEBICH - $131,343 ROSALIE TOCCO-BRADLEY, MD - $243,028 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 2022 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: MATTHEW BIERSACK, MD - $79,635 ALONZO LEWIS - $131,016 MANDI MURRAY - $35,197 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 ($305,000 FOR 2022) THE FOLLOWING PAYOUTS FOR 2022 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MATTHEW BIERSACK, MD - $7,868 FABIAN FREGOLI, MD - $6,414 DANIEL GREEN - $2,523 MATTHEW GRIFFIN, MD - $6,477 TOMASINE MARX - $10,469 MANDI MURRAY - $2,765 MICHAEL SAMYN - $2,305 DAVID VANDENBERG, MD - $5,419 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) 2022

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	1,108,592	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(2) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	1,569,529	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(3) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	529,803	DONOR PROVIDED GOODS/SERVICES TO TH-MI		No
(4) MATTHEW GRIFFIN	FAMILY MEMBER OF MATTHEW GRIFFIN, MD, KEY EMPLOYEE	72,858	EMPLOYMENT ARRANGEMENT		No
(5) DILYN ZARB	FAMILY MEMBER OF KARLA ZARB, KEY EMPLOYEE	65,454	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

2022

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 ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		1,800	DONOR PROVIDED VALUE
5 Clothing and household goods .......	X		1,329	DONOR PROVIDED VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	119	1,485,795	MED VALUE-TRANS DATE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	2	1,451	DONOR PROVIDED VALUE
20 Drugs and medical supplies .	X	55	4,212	DONOR PROVIDED VALUE
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MISCELLANEOUS )	X	220	55,385	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

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) (2022)

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

Schedule M (Form 990) (2022)

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. IN ADDITION, QUESTION 15B IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR OTHER KEY MANAGEMENT OFFICIALS IS ESTABLISHED AND PAID BY TH-MI. COMPENSATION IS DETERMINED USING AN ANNUAL REVIEW OF GOALS AND PERFORMANCE BY THE INDIVIDUAL'S MANAGER.
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 -21,193,186. CHANGE IN DEFERRED RETIREMENT COSTS 4,270,241. INCOME FROM DISCONTINUED OPERATIONS 405,079. OTHER TRANSACTIONS 975,173. ASSET IMPAIRMENT -3,287,696. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 3,298,450. PARTNERSHIP AND STOCKHOLDERS EQUITY ACTIVITY 2,621,931.
FORM 990, PART XII, LINE 2:	TH-MI'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY23 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES (ASLA),ANN ARBOR HOME INFUSION PHARMACY,ANN ARBOR SPINE CENTER,ASTHMA NETWORK,ASTHMA NETWORK OF W MI,ASTHMA NETWORK OF WEST MICHIGAN,BROWNING CLAYTOR HEALTH CENTER,CANCER NETWORK OF WEST MICHIGAN,CANTON CENTER FOR ADVANCED MEDICINE AND SURGERY,CANTON HEALTH CENTER,CARDIOVASCULAR NETWORK OF WEST MICHIGAN,CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES),CHELSEA COMMUNITY HOSPITAL,CHELSEA ORTHOPEDIC SPECIALISTS,CHELSEA PROFESSIONAL SERVICES,CHELSEACARE,CHELSEACARE HOME HEALTH,CHELSEACARE PHARMACY,CLINICA SANTA MARIA,CLINXUS,CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES,DEXTER INTERNAL MEDICINE AND PEDIATRICS,FAMILY MEDICINE OF STOCKBRIDGE,FAMILY PHARMACY-SW CAMPUS,HEALTH EXPLORATION STATION,HEARTSIDE HEALTH CLINIC,INSPIRIT CANCER SUPPORT SERVICES,LIVONIA HEALTH CENTER,MCAULEY HEALTH CENTER,MERCY ADVANTAGE,MERCY CANCER CENTER,MERCY ENDOCRINOLOGY,MERCY FAMILY CARE,MERCY GENERAL HEALTH PARTNERS,MERCY HEALTH - GRAND RAPIDS,MERCY HEALTH ASTHMA NETWORK,MERCY HEALTH CLINXUS,MERCY HEALTH DENTAL CLINIC,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 PHARMACY SOLUTIONS,MERCY HEALTH PHARMACY-MARY FREE BED,MERCY HEALTH PHARMACY-ROCKFORD,MERCY HEALTH ROCKFORD CAMPUS,MERCY HEALTH SAINT MARY'S,MERCY HEALTH SERVICES,MERCY HEALTH SOUTHWEST CAMPUS,MERCY HEALTH-MUSKEGON CMH PHARMACY,MERCY MEDICAL CENTER - NOVI,MERCY NORTH OUTPATIENT PHARMACY,MERCY OB/GYN PARTNERS,MERCY PHYSICIAN NETWORK,MERCY PRIMARY CARE CENTER - DETROIT,MERCY PRIMARY CARE CENTER - DETROIT PHARMACY,MERCY PROFESSIONAL SERVCES,MERCY SPECIALTY CARE,MERCY SURGERY CARE,MERCYELITE,MERCYELITE PHYSICAL THERAPY,MERCYELITE SPORTS PERFORMANCE,MICHIGAN BARIATRIC INSTITUTE (MBI),MICHIGAN BRAIN AND SPINE INSTITUTE,MICHIGAN CANCER INSTITUTE,MICHIGAN HEART,MICHIGAN STROKE NETWORK,MICHIGAN STROKE NETWORK REGISTRY,MRI MOBILE SERVICES OF WEST MICHIGAN,PROFESSIONAL FINANCIAL SERVICES,RICHARD J. LACKS CANCER CENTER,SAINT JOSEPH MERCY CANTON HEALTH CENTER,SAINT JOSEPH MERCY CENTER FOR ADVANCED MEDICINE AND SURGERY,SAINT JOSEPH MERCY HEALTH SYSTEM,SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVORIAL MEDICINE,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,SAINT MARY'S FAMILY PHARMACY - LTC,SAINT MARY'S FAMILY PHARMACY - SW CAMPUS,SAINT MARY'S FAMILY PHARMACY - WEGE,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 HEALTH SERVICES,SAINT MARY'S HOME INFUSION PROGRAM,SAINT MARY'S LTC PHARMACY,SAINT MARY'S MERCY HOSPITAL,SAINT MARY'S MERCY MEDICAL CENTER,SAINT MARY'S MERCY WOUND CARE CENTER,SAMARITAN HEALTH CENTER, DETROIT,SISTERS OF MERCY HEALTH CORPORATION,SJMH MEDICAL PRACTICE,SJMH MEDICAL PRACTICE- SMHC,SJMH URGENT CARES,SJMHS SPECIALTY PHYSICIANS,SJMO ROCHESTER HILLS OB/GYN,SOPHIA'S HOUSE,SPARTA FAMILY HEALTH CENTER,SRSLY,ST JOSEPH MERCY ANN ARBOR INFUSION PHARMACY,ST JOSEPH MERCY HOSPITAL, PONTIAC,ST. JOE'S MEDICAL GROUP,ST. JOE'S MEDICAL GROUP - BLOOMFIELD HILLS PEDIATRICS,ST. JOE'S MEDICAL GROUP - BLOOMFIELD PRIMARY CARE,ST. JOE'S MEDICAL GROUP - DAVISBURG FAMILY MEDICINE,ST. JOE'S MEDICAL GROUP - OB/GYN OF MICHIGAN,ST. JOE'S MEDICAL GROUP - WATERFORD ADULT AND PEDIATRIC MEDICINE,ST. JOSEPH HOSPITAL, PONTIAC,ST. JOSEPH MERCY - BRIGHTON,ST. JOSEPH MERCY ANN ARBOR,ST. JOSEPH MERCY ANN ARBOR-CANCER CENTER,ST. JOSEPH MERCY BRIGHTON-CANCER CENTER,ST. JOSEPH MERCY CANTON,ST. JOSEPH MERCY CANTON HEALTH CENTER,ST. JOSEPH MERCY CANTON-CANCER CENTER,ST. JOSEPH MERCY CHELSEA-CANCER CENTER,ST. JOSEPH MERCY GREENBROOK,ST. JOSEPH MERCY HOSPITAL - SMHC,ST. JOSEPH MERCY HOSPITAL, ANN ARBOR,ST. JOSEPH MERCY HOSPITAL, PONTIAC,ST. JOSEPH MERCY LIVINGSTON,ST. JOSEPH MERCY LIVINGSTON-CANCER CENTER,ST. JOSEPH MERCY OAKLAND,ST. JOSEPH MERCY OAKLAND - AUBURN HILLS DIAGNOSTICS,ST. JOSEPH MERCY OAKLAND - CLARKSTON IMAGING CENTER,ST. JOSEPH MERCY OAKLAND - IMAGE ENHANCEMENT CENTER,ST. JOSEPH MERCY OAKLAND URGENT CARE-BIRMINGHAM,ST. JOSEPH MERCY OAKLAND-CANCER CENTER,ST. JOSEPH MERCY PROFESSIONAL PHARMACY,ST. JOSEPH MERCY SALINE,ST. JOSEPH MERCY SALINE HEALTH CENTER,ST. MARY MERCY - CANCER CENTER,ST. MARY MERCY HOSPITAL,ST. MARY MERCY HOSPITAL PROFESSIONAL,ST. MARY MERCY LIVONIA,ST. MARY MERCY ONCOLOGY PRACTICE,ST. MARY MERCY OUTPATIENT PHARMACY,ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES,ST. MARY MERCY PHARMACY - LIVONIA MEDICAL CENTER,ST. MARY MERCY PHYSICIAN PRACTICES,ST. MARY MERCY WOUND CARE CENTER,ST. MARY'S HOSPITAL, GRAND RAPIDS,THE BOUTIQUE AT MERCY HEALTH,THE BOUTIQUE AT MERCY HEALTH, LACKS CANCER CENTER,THE FARM AT SAINT JOSEPH MERCY HEALTH SYSTEM,THE FARM AT ST. JOE'S,THE FARM AT TRINITY HEALTH,THE SHOPPE AT SAINT MARY'S,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,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 - GRAND RAPIDS HOSPITAL,TRINITY HEALTH INPATIENT PHARMACY - LIVINGSTON HOSPITAL,TRINITY HEALTH INPATIENT PHARMACY - LIVONIA HOSPITAL,TRINITY HEALTH INPATIENT PHARMACY - OAKLAND 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,WESTSHORE FAMILY MEDICINE,WESTSIDE OBSTETRICS AND GYNECOLOGY,WOMEN'S HEALTH CENTER

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

Cat. No. 51056K

Schedule O (Form 990) 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	414,085	TRINITY HEALTH-MICHIGAN
(2) SOUTHEAST MICHIGAN CLINICAL NETWORK LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3856789	ACCOUNTABLE CARE ORGANIZATION	MI	1,298,267	8,079,804	TRINITY HEALTH-MICHIGAN
(3) WARDE MEDICAL LABORATORY LLC 300 W TEXTILE RD ANN ARBOR,MI48108 38-2648446	LABORATORY	MI	2,533,983	1,218,505	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 HEALTH FOUNDATION-EAST TRENTON INC 601 HAMILTON AVENUE TRENTON,NJ08629 52-1025476	FOUNDATION	NJ	501(C)(3)	LINE 7	CAPITAL HEALTH-EAST TRENTON INC	Yes
(11)CAPITAL HEALTH LIFE INC 7500 K JOHNSON BOULEVARD BORDENTOWN,NJ08505 22-2797282	PACE PROGRAM	NJ	501(C)(3)	LINE 10	CAPITAL HEALTH-EAST TRENTON INC	Yes
(12)CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON PA 601 HAMILTON AVENUE TRENTON,NJ08629 83-2199054	HEALTH CARE SERVICES	NJ	501(C)(3)	LINE 3	CAPITAL HEALTH-EAST TRENTON INC	Yes
(13)CAPITAL HEALTH-EAST TRENTON INC 601 HAMILTON AVENUE TRENTON,NJ08629 22-3431049	HEALTH CARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	Yes
(14)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
(15)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
(16)CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVENUE DES MOINES,IA50314 42-0680448	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes
(17)CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA,MI48152	GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM	VT	501(C)(3)	LINE 1	N/A		No
(18)CENTRAL COMMUNITY HOSPITAL 901 DAVIDSON ST SW ELKADER,IA52043 42-0818642	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY COMMUNITY HOSPITAL GROUP LLC	Yes
(19)COVENANT FOUNDATION INC 3421 WEST NINTH STREET WATERLOO,IA50702 42-1295784	FOUNDATION	IA	501(C)(3)	LINE 7	COVENANT MEDICAL CENTER INC	Yes
(20)COVENANT MEDICAL CENTER INC 3421 WEST NINTH STREET WATERLOO,IA50702 42-1264647	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes
(21)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
(22)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
(23)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
(24)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
(25)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
(26)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
(27)FARREN CARE CENTER INC PO BOX 9184 FARMINGTON HILLS,MI48333 04-2501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	TRINITY CONTINUING CARE SERVICES	Yes
(28)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
(29)GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT,IA52803 42-1421670	FOUNDATION	IA	501(C)(3)	LINE 7	GENESIS HEALTH SYSTEM	Yes
(30)GENESIS HEALTH SYSTEM 1227 E RUSHOLME STREET DAVENPORT,IA52803 42-1418847	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes
(31)GENESIS HEALTH SYSTEM (IL) 801 ILLINI DRIVE SILVIS,IL61282 36-3616314	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes
(32)GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST 1227 E RUSHOLME STREET DAVENPORT,IA52803 39-1905171	EMPLOYEE BENEFIT TRUST	IA	501(C)(3)	LINE 12A, I	GENESIS HEALTH SYSTEM	Yes
(33)GENESIS MEDICAL CENTER ALEDO 409 NW 9TH AVENUE ALEDO,IL61231 45-4475683	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (IL)	Yes
(34)GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR,MI48105 20-8072723	FOUNDATION	MI	501(C)(3)	LINE 12A, I	GLACIER HILLS INC	Yes
(35)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
(36)GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA,NY12309 14-1794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(37)GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA,MI48152 42-1253527	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes
(38)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
(39)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
(40)GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK,IL60160 74-3260011	FOUNDATION	IL	501(C)(3)	LINE 12D, III-O	N/A		No
(41)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
(42)HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH,NY12061 80-0102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(43)HEARTWOOD LODGE TRINITY HEALTH (FKA NORTH OTTAWA CARE CENTER) 18525 WOODLAND RIDGE SPRING LAKE,MI49456 38-2602971	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes
(44)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
(45)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
(46)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
(47)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
(48)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
(49)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
(50)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
(51)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
(52)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
(53)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
(54)HOSPICE OF NORTH OTTAWA COMMUNITY INC 1027 SOUTH BEACON BLVD GRAND HAVEN,MI49417 38-2370192	HOSPICE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes
(55)HOSPICE OF SIOUXLAND 230 NEBRASKA STREET SIOUX CITY,IA51103 38-3320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 12A, I	N/A		No
(56)HOUSE OF MERCY 1111 6TH AVENUE DES MOINES,IA50314 42-1323808	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes
(57)IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48105 38-3316559	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes
(58)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
(59)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
(60)LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN,NJ08109 26-1854750	PACE PROGRAM	NJ	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(61)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
(62)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
(63)LIFE ST MARY 2500 NORTHGATE ROAD TREVOSE,PA19053 26-2976184	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(64)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
(65)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
(66)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
(67)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
(68)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
(69)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
(70)MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH,PA15213 94-3436142	GRANT MAKING	PA	501(C)(3)	LINE 12B, II	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes
(71)MEDIC EMS 1204 E HIGH STREET DAVENPORT,IA52803 42-1186903	AMBULANCE TRANSFERS	IA	501(C)(3)	LINE 12C, III-FI	N/A		No
(72)MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES,IA50314 42-6076069	VOLUNTEER SERVICE AUXILIARY	IA	501(C)(3)	LINE 12A, I	MERCY FOUNDATION OF DES MOINES IA	Yes
(73)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
(74)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
(75)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
(76)MERCY CLINICS INC 1111 6TH AVENUE DES MOINES,IA50314 42-1193699	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 10	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes
(77)MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES,IA50314 42-1511682	COLLEGE OF HEALTH SCIENCE	IA	501(C)(3)	LINE 2	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes
(78)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
(79)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
(80)MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES,IA50314 23-7358794	FOUNDATION	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes
(81)MERCY FOUNDATION INC 2160 SOUTH FIRST AVENUE ACCT DEPT MAYWOOD,IL60153 36-3227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes
(82)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
(83)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
(84)MERCY HEALTH NETWORK INC 1449 NW 128TH ST BLDG 5 SUITE 200 CLIVE,IA50325 42-1478417	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes
(85)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
(86)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
(87)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
(88)MERCY HEALTH SYSTEM OF CHICAGO 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-3163327	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(89)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
(90)MERCY HOME HEALTH 20555 VICTOR PARKWAY LIVONIA,MI48152 23-1352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes
(91)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
(92)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
(93)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
(94)MERCY HOSPITAL OF FRANCISCAN SISTERS INC 201 8TH AVENUE SE OELWEIN,IA50662 42-1178403	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes
(95)MERCY LIFE 1930 SOUTH BROAD STREET PHILADELPHIA,PA19145 23-2840137	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(96)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
(97)MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE,AL36670 27-3163002	PACE PROGRAM	AL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(98)MERCY LIFE INC 200 HILLSIDE CIRCLE WEST SPRINGFIELD,MA01089 45-3086711	PACE PROGRAM	MA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(99)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
(100)MERCY MEDICAL CENTER - CENTERVILLE 1 ST JOSEPHS DRIVE CENTERVILLE,IA52544 42-0680308	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes
(101)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
(102)MERCY MEDICAL CENTER - NEWTON 204 N 4TH AVE E NEWTON,IA50208 42-1470935	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes
(103)MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY,IA51102 14-1880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes
(104)MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY,IA50401 42-1229151	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes
(105)MERCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD,CT06105 45-4884805	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes
(106)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
(107)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
(108)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
(109)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
(110)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
(111)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
(112)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
(113)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
(114)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
(115)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
(116)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
(117)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
(118)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
(119)MOUNT SINAI HOSPITAL FOUNDATION INC 114 WOODLAND STREET HARTFORD,CT06105 22-2584082	FOUNDATION	CT	501(C)(3)	LINE 12C, III-FI	N/A		No
(120)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
(121)MOUNT ST JOSEPH 20555 VICTOR PARKWAY LIVONIA,MI48152 01-0274998	LONG TERM CARE	ME	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes
(122)MUSKEGON COMMUNITY HEALTH PROJECT 1675 LEAHY ST SUITE 210 MUSKEGON,MI49442 91-1932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes
(123)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
(124)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
(125)NORTH OTTAWA HOSPITAL AUXILIARY INC 1309 SHELDON ROAD GRAND HAVEN,MI49417 38-6088836	FUNDRAISING	MI	501(C)(3)	LINE 12D, III-O	N/A		No
(126)NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD 3421 WEST NINTH STREET WATERLOO,IA50702 42-1207432	TITLE HOLDING COMPANY	IA	501(C)(2)	N/A	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes
(127)OAKLAND MERCY HOSPITAL PO BOX 203 SIOUX CITY,IA51102 20-8072234	HEALTH CARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes
(128)OAKLAND MERCY HOSPITAL FOUNDATION PO BOX 203 SIOUX CITY,IA51102 31-1678345	FOUNDATION	NE	501(C)(3)	LINE 12A, I	OAKLAND MERCY HOSPITAL	Yes
(129)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
(130)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
(131)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
(132)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
(133)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
(134)PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON,MI49442 38-2638284	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	MERCY HEALTH PARTNERS	Yes
(135)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
(136)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
(137)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
(138)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
(139)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
(140)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
(141)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
(142)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
(143)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
(144)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
(145)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
(146)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
(147)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
(148)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
(149)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
(150)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
(151)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
(152)SAINT JOSEPH PACE INC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3129127	PACE PROGRAM	IN	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(153)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
(154)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
(155)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
(156)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
(157)SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA,GA30312 58-1752700	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 10	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes
(158)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
(159)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
(160)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
(161)SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS,MI49503 38-1779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes
(162)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
(163)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
(164)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
(165)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
(166)SARTORI HEALTH CARE FOUNDATION INC 3421 WEST NINTH STREET WATERLOO,IA50702 42-1240996	FOUNDATION	IA	501(C)(3)	LINE 7	SARTORI MEMORIAL HOSPITAL INC	Yes
(167)SARTORI MEMORIAL HOSPITAL INC 515 COLLEGE STREET CEDAR FALLS,IA50613 42-0758901	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes
(168)SENIOR CARE CONNECTION INC 1938 CURRY ROAD SCHENECTADY,NY12303 14-1708754	PACE PROGRAM	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes
(169)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
(170)SIOUXLAND PARAMEDICS INC PO BOX 3349 SIOUX CITY,IA51102 42-1185707	MEDICAL TRANSPORTATION SERVICES	IA	501(C)(3)	LINE 12A, I	N/A		No
(171)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
(172)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
(173)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
(174)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
(175)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
(176)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
(177)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
(178)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
(179)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
(180)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
(181)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
(182)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
(183)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
(184)ST JOSEPH'S PHYSICIAN HEALTH PC 315 SOUTH MANNING BLVD ALBANY,NY12208 16-1516863	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST PETER'S HEALTH PARTNERS	Yes
(185)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
(186)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
(187)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
(188)ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 58-2544232	FOUNDATION	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH GEORGIA INC	Yes
(189)ST MARY'S GOOD SAMARITAN FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 81-1660088	FOUNDATION	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH GEORGIA INC	Yes
(190)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
(191)ST MARY'S HOSPITAL INC (FKA 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
(192)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
(193)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
(194)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
(195)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
(196)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
(197)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
(198)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
(199)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
(200)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 12C, III-FI	ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC	Yes
(201)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
(202)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
(203)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
(204)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
(205)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
(206)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
(207)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
(208)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
(209)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
(210)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
(211)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
(212)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
(213)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
(214)TRINITY HEALTH GEORGIA INC 1230 BAXTER STREET ATHENS,GA30606 88-0878641	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(215)TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL) 1309 SHELDON ROAD GRAND HAVEN,MI49417 38-3330803	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes
(216)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
(217)TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2571699	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes
(218)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
(219)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
(220)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
(221)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
(222)TRINITY HEALTH PACE PO BOX 9184 FARMINGTON HILLS,MI48333 47-3073124	PACE PROGRAM	MI	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes
(223)TRINITY HEALTH PACE ALEXANDRIA INC 3403 GOVERNMENT STREET ALEXANDRIA,LA71302 92-3433625	PACE PROGRAM	LA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(224)TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC 200 PERRY PARKWAY GAITHERSBURG,MD20877 92-3450659	PACE PROGRAM	MD	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(225)TRINITY HEALTH PACE OF PENSACOLA INC 5020 COMMERCE PARK CIRCLE PENSACOLA,FL32505 92-2940854	PACE PROGRAM	FL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes
(226)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
(227)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
(228)VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY,NY12208 14-1438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes
(229)WHEATON FRANCISCAN HEALTHCARE-IOWA INC 3421 WEST NINTH STREET WATERLOO,IA50702 42-1177001	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IA	501(C)(3)	LINE 12C, III-FI	MERCY HEALTH NETWORK INC	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 625 KENMOOR AVE SE SUITE 100 GRAND RAPIDS,MI49546 38-3306673	REHABILITATION THERAPY SERVICES	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	481,251	3,015,127		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 6150 EAST BROAD STREET COLUMBUS,OH48213 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	2,292,403	832,621		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) GENGASTRO LLC 2222 53RD AVENUE BETTENDORF,IA52722 56-2315623	AMBULATORY SURGERY CENTER	IA	N/A					No			No
(12) GENRAD IMAGING ILLINOIS LLC 1970 E 53RD STREET DAVENPORT,IA52807 47-3785124	DIAGNOSTIC IMAGING CENTER	IL	N/A					No		Yes
(13) GENRAD IMAGING LLC 1970 E 53RD STREET DAVENPORT,IA52807 45-3571628	DIAGNOSTIC IMAGING CENTER	IA	N/A					No		Yes
(14) HAWARDEN REGIONAL HEALTH CLINICS LLC 1111 11TH ST HAWARDEN,IA51023 20-1444339	MEDICAL CLINIC	IA	N/A					No		Yes
(15) HURON GASTRO ENDOSCOPY CENTER LLC 5300 ELLIOTT DR YPSILANTI,MI48197 85-3580801	MEDICAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED		1,506,822		No			No	51.000 %
(16) INTERMOUNTAIN MEDICAL IMAGING LLC 877 WEST MAIN ST STE 603 BOISE,ID83702 82-0514422	IMAGING CENTER	ID	N/A					No		Yes
(17) LAKE CHARLES URGENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE,LA70809 27-2272979	URGENT CARE CENTER	LA	N/A					No		Yes
(18) LARSON CENTER LLP 801 ILLINI DRIVE SILVIS,IL61282 36-3738454	PROPERTY MANAGEMENT	IL	N/A					No		Yes
(19) LCMC URGENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE,LA70809 30-0951534	URGENT CARE CENTER	DE	N/A					No		Yes
(20) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP 569 BROOKWOOD VILLAGE901 BIRMINGHAM,AL35209 36-4119522	SURGICAL SERVICES	IL	N/A					No		Yes
(21) MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY,IA50401 42-1328388	MRI SERVICES	IA	N/A					No		Yes
(22) MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY,IA50401 20-1960348	SURGERY-SAME DAY	IA	N/A					No		Yes
(23) MCE MOB IV LIMITED PARTNERSHIP 6150 EAST BROAD STREET COLUMBUS,OH43213 42-1544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A					No		Yes
(24) MEDILUCENT MOB I 6150 EAST BROAD STREET COLUMBUS,OH43213 20-4911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A					No		Yes
(25) MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON,CT06111 06-1490483	REHABILITATION SERVICES	CT	N/A					No			No
(26) MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4237594	CARDIOVASCULAR SERVICES	IA	N/A					No			No
(27) MERCY REHABILITATION HOSPITAL LLC 330 SEVEN SPRINGS WAY BRENTWOOD,TN37027 81-4437201	HEALTH CARE SERVICES	IA	N/A					No			No
(28) MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO,OH43699 52-1931012	NURSING HOME	PA	N/A					No		Yes
(29) MERCYUSP HEALTH VENTURES LLC 14201 DALLAS PARKWAY DALLAS,TX75254 47-1290300	OUTPATIENT SURGERY	IA	N/A					No			No
(30) MERCYONE - HFH HOME MEDICAL SHOP LLC 1000 4TH STREET SW MASON CITY,IA50401 85-4007472	MEDICAL EQUIPMENT SALES	IA	N/A					No			No
(31) NAUGATUCK VALLEY MRI LLC 385 MAIN STREET SOUTH SOUTHBURY,CT06488 06-1239526	IMAGING CENTER	CT	N/A					No			No
(32) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP 2601 HOLME AVE PHILADELPHIA,PA19152 23-2388040	MEDICAL OFFICE BUILDING	PA	N/A					No		Yes
(33) PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK,FL33334 35-2325646	AMBULATORY SURGERY CENTER	FL	N/A					No		Yes
(34) PREMIER HEALTH HOLDINGS LLC 10319 JEFFERSON HIGHWAY BATON ROUGE,LA70809 47-2665226	URGENT CARE CENTERS	DE	N/A					No			No
(35) PRIMARY CARE PHYSICIAN CENTER LLC 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-4038505	OFFICE BUILDING RENTAL	IL	N/A					No		Yes
(36) RADISSON SJH PROPERTIES LLC 100 MADISON STREET SUITE 1200 SYRACUSE,NY13202 46-1892799	MEDICAL OFFICE BUILDING	NY	N/A					No		Yes
(37) RAPIDES AFTER HOURS CLINIC LLC 10319 JEFFERSON HIGHWAY BATON ROUGE,LA70809 45-1772383	URGENT CARE CENTER	LA	N/A					No		Yes
(38) SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 84-3522377	OUTPATIENT SURGERY	CA	N/A					No			No
(39) SAINT AGNESUSP SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS,TX75254 36-4896811	MEDICAL SERVICES	CA	N/A					No			No
(40) SIXTY FOURTH STREET LLC 2373 64TH ST STE 2200 BYRON CENTER,MI49315 20-2443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	107,332	2,579,169		No			No	53.940 %
(41) SJLS LLC 920 WINTER ST WALTHAM,MA02451 20-1796650	DIALYSIS SERVICES	NY	N/A					No			No
(42) SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 36-4559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A					No			No
(43) 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
(44) ST ALPHONSUS CALDWELL CANCER CENTER LLC 3123 MEDICAL DR CALDWELL,ID83605 82-0526861	HEALTH CARE SERVICES	ID	N/A					No		Yes
(45) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A					No		Yes
(46) ST JOSEPH'S IMAGING ASSOCIATES PLLC 104 UNION AVE SUITE 905 SYRACUSE,NY13203 16-1104293	RADIOLOGY SERVICES	NY	N/A					No		Yes
(47) ST MARY REHABILITATION HOSPITAL LLP 680 SOUTH FOURTH STREET LOUISVILLE,KY40202 27-3938747	HEALTH CARE SERVICES	DE	N/A					No			No
(48) ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVE 201 ALBANY,NY12206 46-0463892	OUTPATIENT SURGERY	NY	N/A					No		Yes
(49) THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 27-2871206	OUTPATIENT SURGERY	PA	N/A					No		Yes
(50) THPH URGENT CARE LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 85-2464958	URGENT CARE CENTERS	DE	N/A					No			No
(51) WEST LAKES SURGERY CENTER LLC 12499 UNIVERSITY AVENUE SUITE 100 CLIVE,IA50325 20-5345295	OUTPATIENT SURGERY	IA	N/A					No			No
(52) WOODLAND IMAGING CENTER LLC 5301 E HURON RIVER DR ANN ARBOR,MI48106 76-0820959	RADIOLOGY/ IMAGING	MI	TRINITY HEALTH-MICHIGAN	RELATED	2,736,885	1,937,964		No			No	51.000 %
(53) 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) DES MOINES MEDICAL CENTER INC 1111 6TH AVENUE DES MOINES,IA50314 42-0837382	REAL ESTATE	IA	N/A	C				Yes
(4) FHS SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 27-2995699	MEDICAL SERVICES	NY	N/A	C				Yes
(5) FRANCISCAN ASSOCIATES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 20-2991688	MEDICAL SERVICES	NY	N/A	C				Yes
(6) FRANCISCAN HEALTH SUPPORT INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1236354	MEDICAL SERVICES	NY	N/A	C				Yes
(7) FRANCISCAN MANAGEMENT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1351193	MANAGEMENT SERVICES	NY	N/A	C				Yes
(8) FRANKLIN MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1470493	PHYSICIAN OFFICE	CT	N/A	C				Yes
(9) GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC 1227 E RUSHOLME STREET DAVENPORT,IA52803 86-3949369	PROPERTY MANAGEMENT	IA	N/A	C				Yes
(10) GENVENTURES INC 1227 E RUSHOLME STREET DAVENPORT,IA52803 42-1269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	N/A	C				Yes
(11) HACKLEY HEALTH VENTURES INC 318 RIVER RIDGE DR NW SUITE 100 WALKER,MI49544 38-2589959	OTHER MEDICAL SERVICES	MI	N/A	C				Yes
(12) HACKLEY PROFESSIONAL PHARMACY INC 318 RIVER RIDGE DR NW SUITE 100 WALKER,MI49544 38-2447870	PHARMACY	MI	N/A	C				Yes
(13) HEALTH CARE MANAGEMENT ADMINISTRATORS INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1450960	HEALTH CARE MANAGEMENT	NY	N/A	C				Yes
(14) HURON ARBOR CORPORATION 5301 EAST HURON RIVER DR ANN ARBOR,MI48106 38-2475644	OFFICE RENTAL	MI	TRINITY HEALTH-MICHIGAN	C	339,756	21,983,292	100.000 %	Yes
(15) IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3188895	MEDICAL MANAGEMENT	MI	N/A	C				Yes
(16) LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 26-3795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C				Yes
(17) LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C				Yes
(18) MACNEAL HEALTH PROVIDERS INC 750 PASQUINELLI DRIVE SUITE 216 WESTMONT,IL60059 36-3361297	MEDICAL SERVICES	IL	N/A	C				Yes
(19) MARYLAND CARE GROUP INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-1815313	HEALTH CARE HOLDING	MD	N/A	C				Yes
(20) MAXIS HEALTH TRENTON INC 20555 VICTOR PKWY LIVONIA,MI48152 88-4267557	PROPERTY HOLDINGS	NJ	N/A	C				Yes
(21) MCMC EASTWICK INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C				Yes
(22) MEDNOW INC 4300 E FLAMINGO AVE NAMPA,ID83687 82-0389927	MEDICAL SERVICES	ID	N/A	C				Yes
(23) MERCY INPATIENT MEDICAL ASSOCIATES INC 114 WOODLAND STREET HARTFORD,CT06105 04-3029929	MEDICAL SERVICES	MA	N/A	C				Yes
(24) MERCY MEDICAL SERVICES 801 5TH STREET SIOUX CITY,IA51101 42-1283849	PRIMARY CARE PHYSICIANS	IA	N/A	C				Yes
(25) MISERICORDIA ASSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN GRAND CAYMAN CJ 98-0457943	SELF-INSURANCE	CJ	N/A	C				Yes
(26) MOB 1 OWNERS' ASSOCIATION 1227 E RUSHOLME STREET DAVENPORT,IA52803 27-0865075	PROPERTY MANAGEMENT	IA	N/A	C				Yes
(27) MOUNT CARMEL HEALTH PROVIDERS INC 3100 EASTON SQUARE PL STE 300 COLUMBUS,OH43219 31-1382442	MEDICAL SERVICES	OH	N/A	C				Yes
(28) NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE,FL33308 59-1145192	MEDICAL SERVICES	FL	N/A	C				Yes
(29) SAINT ALPHONSUS HEALTH ALLIANCE INC 1055 NORTH CURTIS ROAD BOISE,ID83706 82-0524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C				Yes
(30) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1384686	MEDICAL SERVICES	CT	N/A	C				Yes
(31) SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD,CT06105 06-1432373	MEDICAL SERVICES	CT	N/A	C				Yes
(32) SAINT JOSEPH'S MCAULEY PARK I LLC 424 DECATUR ST ATLANTA,GA30312 88-0592157	PROPERTY MANAGEMENT	GA	N/A	C				Yes
(33) SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY,NY12180 14-1607244	REAL ESTATE	NY	N/A	C				Yes
(34) SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC 114 WOODLAND STREET HARTFORD,CT06105 06-1232868	PROPERTY MANAGEMENT	CT	N/A	C				Yes
(35) SJM PROPERTIES INC 20555 VICTOR PARKWAY LIVONIA,MI48152 16-1294991	PROPERTY HOLDINGS	NY	N/A	C				Yes
(36) SJPE PRACTICE MANAGEMENT SERVICES INC 301 PROSPECT AVE SYRACUSE,NY13203 45-4164964	MANAGEMENT SERVICES	NY	N/A	C				Yes
(37) SJRMC HOLDINGS INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 47-4763735	PROPERTY HOLDINGS	IN	N/A	C				Yes
(38) ST ELIZABETH HEALTH SUPPORT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT,NY13214 16-1540486	MEDICAL SERVICES	NY	N/A	C				Yes
(39) SYNANON INC 1309 SHELDON ROAD GRAND HAVEN,MI49417 38-2715568	URGENT CARE	MI	N/A	C				Yes
(40) SYSTEM COORDINATED SERVICES INC 114 WOODLAND STREET HARTFORD,CT06105 04-2938161	LAB SERVICES	MA	N/A	C				Yes
(41) THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 45-2603654	REAL ESTATE BROKERAGE SERVICES	MI	TRINITY HEALTH-MICHIGAN	C	-288,020	18,880	99.000 %	Yes
(42) TRINITY ASSURANCE LTD PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ 98-0453602	SELF-INSURANCE	CJ	N/A	C				Yes
(43) TRINITY HEALTH ACO INC 20555 VICTOR PARKWAY LIVONIA,MI48152 47-3794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C				Yes
(44) TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 38-3410377	GRANTOR TRUST	MI	N/A	T				Yes
(45) TRINITY SENIOR SERVICES MANAGEMENT INC PO BOX 9184 FARMINGTON HILLS,MI48333 37-1572595	SENIOR SERVICES	PA	N/A	C				Yes
(46) 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 .....................

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	B	750,000	PER BOOKS
(2) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	L	10,216,166	PER BOOKS
(3) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	M	25,366,776	PER BOOKS
(4) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP	Q	7,080,958	PER BOOKS
(5) ADVENT REHABILITATION LLC	C	775,000	PER TAX RETURN
(6) CENTER FOR DIGESTIVE CARE LLC	C	2,448,498	PER TAX RETURN
(7) GOOD SAMARITAN HOSPITAL INC	L	91,772	PER BOOKS
(8) HOLY CROSS HEALTH INC	L	361,579	PER BOOKS
(9) HOLY CROSS HOSPITAL INC	L	614,410	PER BOOKS
(10) HOLY CROSS HOSPITAL INC	P	51,938	PER BOOKS
(11) HURON ARBOR CORPORATION	K	1,621,250	PER BOOKS
(12) HURON ARBOR CORPORATION	Q	1,156,471	PER BOOKS
(13) HURON GASTRO ENDOSCOPY CENTER LLC	B	1,261,002	PER TAX RETURN
(14) IHA HEALTH SERVICES CORPORATION	B	163,231	PER BOOKS
(15) IHA HEALTH SERVICES CORPORATION	K	447,341	PER BOOKS
(16) IHA HEALTH SERVICES CORPORATION	L	4,452,525	PER BOOKS
(17) IHA HEALTH SERVICES CORPORATION	M	108,740,458	PER BOOKS
(18) IHA HEALTH SERVICES CORPORATION	P	30,363,992	PER BOOKS
(19) IHA HEALTH SERVICES CORPORATION	Q	12,102,994	PER BOOKS
(20) IHA HEALTH SERVICES CORPORATION	S	364,231	PER BOOKS
(21) LOYOLA UNIVERSITY MEDICAL CENTER	L	1,532,417	PER BOOKS
(22) LOYOLA UNIVERSITY MEDICAL CENTER	P	135,177	PER BOOKS
(23) MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA	L	187,391	PER BOOKS
(24) MERCY HEALTH PARTNERS	L	5,723,024	PER BOOKS
(25) MERCY HEALTH PARTNERS	Q	21,092,245	PER BOOKS
(26) MERCY HEALTH PARTNERS	R	288,639	PER BOOKS
(27) MERCY HEALTH PARTNERS	S	1,571,377	PER BOOKS
(28) MOUNT CARMEL HEALTH SYSTEM	L	3,293,974	PER BOOKS
(29) MOUNT CARMEL HEALTH SYSTEM	M	157,689	PER BOOKS
(30) MUSKEGON COMMUNITY HEALTH PROJECT	P	50,617	PER BOOKS
(31) NAZARETH HOSPITAL	L	103,178	PER BOOKS
(32) PREMIER HEALTH HOLDINGS LLC	C	1,376,998	PER BOOKS
(33) PROBILITY THERAPY SERVICES	P	136,436	PER BOOKS
(34) PROBILITY THERAPY SERVICES	Q	731,039	PER BOOKS
(35) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC	L	259,728	PER BOOKS
(36) SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	L	1,373,285	PER BOOKS
(37) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	L	2,110,819	PER BOOKS
(38) SAINT MARY'S FOUNDATION	C	1,366,630	PER BOOKS
(39) SAINT MARY'S FOUNDATION	Q	207,192	PER BOOKS
(40) SAINT MARY'S HOSPITAL INC	L	1,287,573	PER BOOKS
(41) SIXTY FOURTH STREET LLC	C	146,169	PER TAX RETURN
(42) SIXTY FOURTH STREET LLC	Q	146,170	PER BOOKS
(43) ST JOSEPH MERCY CHELSEA INC	L	9,752,448	PER BOOKS
(44) ST JOSEPH MERCY CHELSEA INC	M	295,678	PER BOOKS
(45) ST JOSEPH MERCY CHELSEA INC	P	1,077,776	PER BOOKS
(46) ST JOSEPH MERCY CHELSEA INC	Q	99,082,781	PER BOOKS
(47) ST MARY'S HOSPITAL INC (FKA ST MARY'S HEALTH CARE SYSTEM INC)	L	408,759	PER BOOKS
(48) ST MARY'S HOSPITAL INC (FKA ST MARY'S HEALTH CARE SYSTEM INC)	P	61,251	PER BOOKS
(49) ST MARY'S SACRED HEART HOSPITAL INC	L	81,683	PER BOOKS
(50) TRINITY CONTINUING CARE SERVICES	Q	197,354	PER BOOKS
(51) TRINITY HEALTH CORPORATION	B	21,199,614	PER BOOKS
(52) TRINITY HEALTH CORPORATION	C	3,179,701	PER BOOKS
(53) TRINITY HEALTH CORPORATION	M	242,745,751	PER BOOKS
(54) TRINITY HEALTH CORPORATION	P	96,224,612	PER BOOKS
(55) TRINITY HEALTH CORPORATION	Q	19,442,149	PER BOOKS
(56) TRINITY HEALTH CORPORATION	R	47,712,610	PER BOOKS
(57) WOODLAND IMAGING CENTER LLC	C	3,246,714	PER TAX RETURN
(58) WOODLAND IMAGING CENTER LLC	K	671,194	PER BOOKS
(59) WOODLAND IMAGING CENTER LLC	L	264,758	PER BOOKS
(60) WOODLAND IMAGING CENTER LLC	M	7,634,628	PER BOOKS
(61) WOODLAND IMAGING CENTER LLC	Q	1,178,939	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	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	20,906
6	Total number of volunteers (estimate if necessary) .............	6	519
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	50,372,843
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) .........	33,049,602	29,173,979
9	Program service revenue (Part VIII, line 2g) .........	2,833,803,085	2,862,192,132
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	114,036,404	82,816,805
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	63,213,591	70,548,161
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,044,102,682	3,044,731,077
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,413,438	4,436,817
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)	1,191,044,297	1,257,996,701
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,123,693
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,615,204,602	1,618,355,989
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,809,662,337	2,880,789,507
19	Revenue less expenses. Subtract line 18 from line 12.......	234,440,345	163,941,570
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,608,449,257	4,904,880,006
21	Total liabilities (Part X, line 26).............	1,518,992,399	1,556,180,791
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,089,456,858	3,348,699,215

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,604,640,133 including grants of $ 4,436,817 ) (Revenue $ 2,867,775,661 )
	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 1,522 STAFFED BEDS, AS WELL AS OUTPATIENT HEALTH CENTERS, URGENT CARE FACILITIES, PHYSICIAN OFFICES AND SPECIALTY CENTERS, AND COMMUNITY OUTREACH SITES. DURING FISCAL YEAR 2023, TH-MI HOSPITALS' EMPLOYEES, PHYSICIANS AND VOLUNTEERS PROVIDED OVER 432,000 DAYS OF CARE, AND PROVIDED HEALTH CARE SERVICES FOR OVER 2.7 MILLION OUTPATIENT VISITS, AND OVER 307,000 EMERGENCY ROOM VISITS.TH-MI ALSO 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 2023, TRINITY HEALTH - MICHIGAN (TH-MI) HOSPITALS PROVIDED OVER $121 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 WEBSITE 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 expenses2,604,640,133

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,248,795	15,016,461	1,836,294

1a	Federated campaigns..		1a	105,215
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,577,831
e	Government grants (contributions)		1e	18,782,983

f	All other contributions, gifts, grants, and similar amounts not included above		1f	5,707,950

g	Noncash contributions included in lines 1a - 1f:$		1g	1,549,972

h Total. Add lines 1a-1f.......		29,173,979

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	2,669,908,560	2,669,908,560
b	PHARMACY REVENUE	456110	165,588,773	125,380,678	40,208,095
c	LABORATORY REVENUE	621500	26,694,799	16,530,051	10,164,748
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		2,862,192,132

3 Investment income (including dividends, interest, and othersimilar amounts) ......			50,590,847			50,590,847
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		8,655,241	6a
b	Less: rental expenses		8,085,904	6b
c	Rental income or (loss)		569,337	6c
d	Net rental income or (loss).......			569,337			569,337
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	2,290,386	30,620,604	7a
b	Less: cost or other basis and sales expenses	685,032	0	7b
c	Gain or (loss)	1,605,354	30,620,604	7c
d	Net gain or (loss).........			32,225,958			32,225,958
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	3,473,988
b	Less: cost of goods sold ..		10b	1,830,142
c	Net income or (loss) from sales of inventory..			1,643,846			1,643,846
Business Code			Miscellaneous Revenue
11a	CAFETERIA REVENUE		722514	12,378,606			12,378,606
b	PROVIDER INCENTIVE		622110	7,152,167	7,152,167
c	MANAGEMENT SERVICES REVENUE		622110	412,691	412,691
d	All other revenue ....			48,391,514	48,391,514
e	Total. Add lines 11a–11d ......			68,334,978
12	Total revenue. See instructions.....			3,044,731,077	2,867,775,661	50,372,843	97,408,594

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	4,089,962	4,089,962
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	346,855	346,855
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 ...........	12,517,988		12,517,988
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	1,105,341	72,858	1,032,483
7	Other salaries and wages........	1,031,854,436	984,405,666	45,852,827	1,595,943
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	56,677,867	53,773,992	2,816,696	87,179
9	Other employee benefits .......	82,713,729	78,711,671	3,874,441	127,617
10	Payroll taxes ...........	73,127,340	69,445,685	3,562,252	119,403
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,064,819		1,064,819
c	Accounting ...........
d	Lobbying ...........	48,000		48,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	4,973,864		4,973,864
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	172,681,604	154,832,460	17,812,980	36,164
12	Advertising and promotion ....	11,134,041	755,021	10,322,861	56,159
13	Office expenses .......	20,095,560	14,795,627	5,298,197	1,736
14	Information technology ......	98,245,749	77,804,185	20,441,564
15	Royalties ..
16	Occupancy ...........	61,516,759	59,104,427	2,385,580	26,752
17	Travel ............	4,326,392	4,149,987	176,311	94
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,673,539	2,114,271	559,268
20	Interest ...........	30,599,723	30,599,723
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	116,842,568	71,197,739	45,604,304	40,525
23	Insurance ...	24,815,902	24,813,509	2,393
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	617,671,607	617,671,607
b	I/C PURCHASED SERVICES	256,266,888	167,006,948	89,259,940
c	BAD DEBT EXPENSE	74,967,512	74,967,512
d	HOSPITAL PROVIDER TAX	68,973,703	68,973,703
e	All other expenses	51,457,759	45,006,725	6,418,913	32,121
25	Total functional expenses. Add lines 1 through 24e	2,880,789,507	2,604,640,133	274,025,681	2,123,693
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 ........			681,298	1	2,500,517
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			30,728,778	3	13,922,232
4	Accounts receivable, net .............			325,923,938	4	332,124,434
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 ............			38,984,880	8	48,785,348
9	Prepaid expenses and deferred charges ......			30,103,477	9	34,615,320
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,801,624,646
b	Less: accumulated depreciation	10b	1,760,726,877	1,046,300,317	10c	1,040,897,769
11	Investments—publicly traded securities .			1,424,318,423	11	1,392,385,349
12	Investments—other securities. See Part IV, line 11 .....			927,384,362	12	1,050,105,629
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			30,933,589	14	30,582,726
15	Other assets. See Part IV, line 11 ...........			753,090,195	15	958,960,682
16	Total assets. Add lines 1 through 15 (must equal line 33)...			4,608,449,257	16	4,904,880,006

17	Accounts payable and accrued expenses .....	296,490,632	17	210,723,833
18	Grants payable ...		18
19	Deferred revenue .........	12,581,070	19	3,248,240
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 ..	11,199,104	23	9,912,684
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	1,198,721,593	25	1,332,296,034
26	Total liabilities. Add lines 17 through 25..	1,518,992,399	26	1,556,180,791

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,010,052,906	27	3,278,845,959
28	Net assets with donor restrictions ...........	79,403,952	28	69,853,256
	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 ...........	3,089,456,858	32	3,348,699,215
33	Total liabilities and net assets/fund balances ........	4,608,449,257	33	4,904,880,006