TRINITY HEALTH-MICHIGAN: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: TRINITY HEALTH-MICHIGAN (EIN 38-2113393)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-14
IRS object ID: 202501349349307595
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-14T13:32:04-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382113393	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY HEALTH - MICHIGAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TRIN	BusinessNameControlTxt
Phone	7343431000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1Txt
City	LIVONIA	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48152	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL GUSHO	PersonNm
Person Title	TREASURER AND CFO	PersonTitleTxt
Phone	7343431000	PhoneNum
Signature	2025-05-14	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O FOR LIST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ROBERT CASALOU	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1Txt
City	LIVONIA	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48152	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,288,617,610	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TRINITYHEALTHMICHIGAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	21594	TotalEmployeeCnt
Total Volunteers	671	TotalVolunteersCnt
Total Gross UBI	$53,063,081	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$29,173,979	PYContributionsGrantsAmt
CY Contributions Grants	$27,209,167	CYContributionsGrantsAmt
PY Program Service Revenue	$2,862,192,132	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,086,292,092	CYProgramServiceRevenueAmt
PY Investment Income	$82,816,805	PYInvestmentIncomeAmt
CY Investment Income	$95,787,095	CYInvestmentIncomeAmt
PY Other Revenue	$70,548,161	PYOtherRevenueAmt
CY Other Revenue	$68,203,611	CYOtherRevenueAmt
PY Total Revenue	$3,044,731,077	PYTotalRevenueAmt
CY Total Revenue	$3,277,491,965	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,436,817	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,011,991	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,257,996,701	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,318,404,595	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,245,884	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,618,355,989	PYOtherExpensesAmt
CY Other Expenses	$1,747,643,034	CYOtherExpensesAmt
PY Total Expenses	$2,880,789,507	PYTotalExpensesAmt
CY Total Expenses	$3,070,059,620	CYTotalExpensesAmt
PY Revenues Less Expenses	$163,941,570	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$207,432,345	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,904,880,006	TotalAssetsBOYAmt
Total Assets EOY	$5,151,647,965	TotalAssetsEOYAmt
Total Liabilities BOY	$1,556,180,791	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,492,256,618	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,348,699,215	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,659,391,347	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE, TRINITY HEALTH-MICHIGAN AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. TRINITY HEALTH-MICHIGAN IS A MEMBER OF TRINITY HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,787,065,356	ExpenseAmt
Grant	$4,011,991	GrantAmt
Revenue	$3,085,836,697	RevenueAmt
Desc	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 1,800 LICENSED BEDS, AS WELL AS OUTPATIENT HEALTH CENTERS, URGENT CARE FACILITIES, PHYSICIAN OFFICES AND SPECIALTY CENTERS, AND COMMUNITY OUTREACH SITES. DURING FISCAL YEAR 2024, TH-MI HOSPITALS' EMPLOYEES, PHYSICIANS AND VOLUNTEERS PROVIDED OVER 446,000 DAYS OF CARE, AND PROVIDED HEALTH CARE SERVICES FOR OVER 2.6 MILLION OUTPATIENT VISITS, AND ALMOST 312,000 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 2024, TRINITY HEALTH - MICHIGAN (TH-MI) HOSPITALS PROVIDED OVER $102 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	Desc
Total Program Service Expenses	$2,787,065,356	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1433	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	21594	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BETH GDOWIK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7343431400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20555 VICTOR PARKWAY	AddressLine1Txt
City	LIVONIA	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48152	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERT CASALOU
DIRECTOR; PRESIDENT & CEO, MI REGION	40.00	15.00	Yes (X)	Yes (X)	$0	$1,944,215	$62,350
DONNA DOLEMAN DICKERSON
DIRECTOR; CHAIR	2.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
WAYMAN BRITT
DIRECTOR; VICE CHAIR	2.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
ERIC FERGUSON MD
DIRECTOR	2.00	4.00	Yes (X)		$0	$0	$0
JAN GARFINKLE
DIRECTOR THROUGH 12/23	2.00	3.00	Yes (X)		$0	$0	$0
EDMUND HODGE
DIRECTOR; TRINITY HEALTH EVP, CHRO	2.00	53.00	Yes (X)		$0	$1,538,281	$58,201
JOSE INFANTE
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
MARY FRANCIS LEWANDOWSKI CSSF
DIRECTOR THROUGH 9/23	2.00	3.00	Yes (X)		$0	$0	$0
SPENCER MAIDLOW
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
SUZANNE MELLON PHD
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
WILLIAM MORRIS
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
JEAN NAGELKERK PHD
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
DALE NESBARY PHD
DIRECTOR THROUGH 12/23	2.00	3.00	Yes (X)		$0	$0	$0
LINDA WERTHMAN RSM
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
MICHAEL GUSHO
TREASURER; CFO, MICHIGAN REGION	40.00	10.00		Yes (X)	$0	$936,965	$65,232
MANDI MURRAY
SECRETARY;VP MANAGING CNSL, MICH REG	40.00	10.00		Yes (X)	$0	$511,054	$125,041
SHANNON STRIEBICH
PRES TRINITY HEALTH MICHIGAN MARKET	54.00	1.00			$0	$1,210,811	$60,548	Yes (X)
ALONZO LEWIS
PRESIDENT TRINITY HEALTH ANN ARBOR	54.00	1.00			$0	$836,525	$188,943	Yes (X)
JOHN O'MALLEY
PRESIDENT TRINITY HEALTH LIVINGSTON	55.00	0.00			$0	$473,211	$33,922	Yes (X)
MATTHEW GRIFFIN MD
CMO & PRES TRINITY HEALTH LIVONIA	55.00	0.00			$0	$584,476	$57,556	Yes (X)
MATTHEW BIERSACK MD
PRESIDENT TRINITY HLTH GRAND RAPIDS	54.00	1.00			$0	$645,986	$136,282	Yes (X)
FABIAN FREGOLI MD
CMO & PRES TRINITY HEALTH OAKLAND	55.00	0.00			$0	$528,906	$56,129	Yes (X)
TOMASINE MARX
VP FINANCE WEST MARKET	47.00	3.00			$0	$519,847	$48,795	Yes (X)
MELISSA KAROLAK
VP FINANCE TRINITY HEALTH LIVONIA	50.00	0.00			$0	$277,080	$47,039	Yes (X)
DANIEL GREEN
VP FINANCE, WEST MICHIGAN	20.00	30.00			$0	$521,269	$64,621	Yes (X)
MICHAEL SAMYN
VP FINANCE TRINITY HEALTH OAKLAND	50.00	0.00			$0	$384,341	$56,622	Yes (X)
ADEEB HARB
SENIOR VP OPERATIONS TH LIVONIA	50.00	0.00			$330,149	$0	$38,506	Yes (X)
FRANK SAWYER
SENIOR VP OPERATIONS TH OAKLAND	50.00	0.00			$344,880	$0	$47,646	Yes (X)
ROSALIE TOCCO-BRADLEY MD
CHIEF CLINICAL OFFICER, MI REGION	49.00	1.00			$0	$915,166	$65,107	Yes (X)
DAVID VANDENBERG MD
CMO TRINITY HEALTH ANN ARBOR & LIV	50.00	0.00			$0	$557,189	$51,073	Yes (X)
BRANDON FRANCIS MD
CMO TRINITY HEALTH GRAND RAPIDS	50.00	0.00			$0	$474,577	$46,250	Yes (X)
LAWRENCE RAPP MD
NEUROSURGEON (TH OAKLAND)	50.00	0.00			$1,514,953	$0	$17,839		Yes (X)
MARC SILVER MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00	0.00			$1,116,812	$0	$44,304		Yes (X)
KARSTEN FLIEGNER MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00	0.00			$1,098,123	$0	$44,304		Yes (X)
CHARLES SCHWARTZ MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	50.00	0.00			$911,303	$0	$48,733		Yes (X)
TODD FRANCIS MD
NEUROSURGEON (TH OAKLAND)	50.00	0.00			$814,136	$0	$21,415		Yes (X)
DAVID SPIVEY
FORMER KE; PRES SAINT AGNES THR 1/24	0.00	55.00			$0	$916,565	$48,533			Yes (X)
KURT MACDONALD
FORMER KEY EMPLOYEE	0.00	0.00			$254,911	$0	$152,608			Yes (X)
KARLA ZARB
FORMER KE; VP SURG SVCS TH ANN ARBOR	50.00	0.00			$0	$297,550	$38,529			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,385,267	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,074,014	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,726,128	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1949	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GRANGER CONSTRUCTION COMPANY
6267 AURELIUS RD	LANSING	MI	48911	CONSTRUCTION SERVICES	$34,004,918
CCS CAPTURIS LLC
3131 TECHNOLOGY DR NW	MANDAN	ND	58554	BILLING SERVICES	$21,115,336
HALLMARK HEALTH CARE SOLUTIONS INC
200 MOTOR PKWY STE D-26	HAUPPAUGE	NY	11788	STAFFING SERVICES	$8,262,299
ANESTHESIA ASSOCIATES OF ANN ARBOR PC
2006 HOGBACK RD STE 5A	ANN ARBOR	MI	48105	HEALTH CARE SERVICES	$6,929,212
METROPOLITAN DETROIT AREA HOSPITAL SERVI
1150 ELIJAH MCCOY DR	DETROIT	MI	48202	LAUNDRY SERVICES	$6,366,598

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	303	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$65,038	FederatedCampaignsAmt
Related Organizations	$5,158,347	RelatedOrganizationsAmt
Government Grants	$9,629,389	GovernmentGrantsAmt
All Other Contributions	$12,356,393	AllOtherContributionsAmt
Noncash Contributions	$184,112	NoncashContributionsAmt
Total Contributions	$27,209,167	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$2,882,251,362	$2,882,251,362
PHARMACY REVENUE	456110	$178,527,314	$133,665,806	$44,861,508
LABORATORY REVENUE	621500	$25,513,416	$17,311,843	$8,201,573

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,086,292,092	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,569,083	TotalRevenueColumnAmt
Exclusion	$61,569,083	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,327,643	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,100,610	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,227,033	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,227,033	TotalRevenueColumnAmt
Exclusion	$1,227,033	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$34,713,867	SecuritiesAmt
Other	$1,207,077	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$1,702,932	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$34,713,867	SecuritiesAmt
Other	-$495,855	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,218,012	TotalRevenueColumnAmt
Exclusion	$34,218,012	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$3,615,884	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,322,103	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,293,781	TotalRevenueColumnAmt
Exclusion	$1,293,781	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	722514	$13,075,111	$13,075,111
PROVIDER INCENTIVE	622110	$2,965,987		$2,965,987
MANAGEMENT SERVICES REVENUE	622110	$665,490		$665,490

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,976,209	TotalRevenueColumnAmt
Related Or Exempt Func Income	$48,976,209	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$65,682,797	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,277,491,965	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,085,836,697	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$53,063,081	UnrelatedBusinessRevenueAmt
Exclusion	$111,383,020	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,707,207	TotalAmt
Program Services	$3,707,207	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$304,784	TotalAmt
Program Services	$304,784	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,956,349	TotalAmt
Management And General	$11,956,349	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$765,971	TotalAmt
Program Services	$81,978	ProgramServicesAmt
Management And General	$683,993	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,080,639,971	TotalAmt
Program Services	$1,020,918,956	ProgramServicesAmt
Management And General	$57,992,657	ManagementAndGeneralAmt
Fundraising	$1,728,358	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$56,530,317	TotalAmt
Program Services	$53,151,407	ProgramServicesAmt
Management And General	$3,288,928	ManagementAndGeneralAmt
Fundraising	$89,982	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$91,662,799	TotalAmt
Program Services	$86,264,785	ProgramServicesAmt
Management And General	$5,251,966	ManagementAndGeneralAmt
Fundraising	$146,048	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$76,849,188	TotalAmt
Program Services	$72,515,414	ProgramServicesAmt
Management And General	$4,204,785	ManagementAndGeneralAmt
Fundraising	$128,989	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$279	TotalAmt
Program Services	$279	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,107,407	TotalAmt
Management And General	$1,107,407	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$24,599	TotalAmt
Management And General	$24,599	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$160,154	TotalAmt
Management And General	$160,154	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$5,437,013	TotalAmt
Management And General	$5,437,013	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$161,484,442	TotalAmt
Program Services	$146,318,016	ProgramServicesAmt
Management And General	$15,129,645	ManagementAndGeneralAmt
Fundraising	$36,781	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,566,416	TotalAmt
Program Services	$148,428	ProgramServicesAmt
Management And General	$11,396,214	ManagementAndGeneralAmt
Fundraising	$21,774	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,323,238	TotalAmt
Program Services	$17,000,820	ProgramServicesAmt
Management And General	$5,313,891	ManagementAndGeneralAmt
Fundraising	$8,527	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$90,736,598	TotalAmt
Program Services	$71,969,222	ProgramServicesAmt
Management And General	$18,745,712	ManagementAndGeneralAmt
Fundraising	$21,664	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$57,803,733	TotalAmt
Program Services	$56,148,998	ProgramServicesAmt
Management And General	$1,654,735	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,487,107	TotalAmt
Program Services	$3,219,642	ProgramServicesAmt
Management And General	$262,248	ManagementAndGeneralAmt
Fundraising	$5,217	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,812,954	TotalAmt
Program Services	$2,230,321	ProgramServicesAmt
Management And General	$578,877	ManagementAndGeneralAmt
Fundraising	$3,756	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$28,198,553	TotalAmt
Program Services	$28,198,553	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$117,263,573	TotalAmt
Program Services	$73,020,429	ProgramServicesAmt
Management And General	$44,204,411	ManagementAndGeneralAmt
Fundraising	$38,733	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$25,424,402	TotalAmt
Program Services	$25,424,402	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXP	$697,860,869	$697,860,869
I/C PURCHASED SERVICES	$290,354,160	$204,392,343	$85,961,817
HOSPITAL PROVIDER TAX	$123,782,345	$123,782,345
BAD DEBT EXPENSE	$51,301,864	$51,301,864

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$56,513,328	TotalAmt
Program Services	$49,104,294	ProgramServicesAmt
Management And General	$7,392,979	ManagementAndGeneralAmt
Fundraising	$16,055	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,070,059,620	TotalAmt
Program Services	$2,787,065,356	ProgramServicesAmt
Management And General	$280,748,380	ManagementAndGeneralAmt
Fundraising	$2,245,884	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,500,517	BOYAmt
EOY	$2,307,098	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,922,232	BOYAmt
EOY	$10,072,540	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$332,124,434	BOYAmt
EOY	$444,237,014	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$48,785,348	BOYAmt
EOY	$50,487,198	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$34,615,320	BOYAmt
EOY	$39,113,596	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,898,491,245	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,835,582,387	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,040,897,769	BOYAmt
EOY	$1,062,908,858	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,392,385,349	BOYAmt
EOY	$1,851,967,811	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,050,105,629	BOYAmt
EOY	$774,086,301	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,582,726	BOYAmt
EOY	$31,524,823	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$958,960,682	BOYAmt
EOY	$884,942,726	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,904,880,006	BOYAmt
EOY	$5,151,647,965	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$210,723,833	BOYAmt
EOY	$254,142,597	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,248,240	BOYAmt
EOY	$3,666,258	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,008,560	BOYAmt
EOY	$76,204	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,340,200,158	BOYAmt
EOY	$1,234,371,559	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,556,180,791	BOYAmt
EOY	$1,492,256,618	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,278,845,959	BOYAmt
EOY	$3,585,422,333	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$69,853,256	BOYAmt
EOY	$73,969,014	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,348,699,215	BOYAmt
EOY	$3,659,391,347	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,904,880,006	BOYAmt
EOY	$5,151,647,965	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$207,432,345	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$144,246,043	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$40,986,256	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$80,979	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$160,154	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$241,133	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,430,662	BeginningYearBalanceAmt
Contributions	$15,251	ContributionsAmt
Investment Earnings Or Losses	$2,223,331	InvestmentEarningsOrLossesAmt
Other Expenditures	-$355,253	OtherExpendituresAmt
End Year Balance	$25,024,497	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,391,724	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,873,261	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,834,323	OtherExpendituresAmt
End Year Balance	$22,430,662	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,255,104	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,852,358	InvestmentEarningsOrLossesAmt
Other Expenditures	$11,022	OtherExpendituresAmt
End Year Balance	$24,391,724	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,342,766	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,918,426	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,088	OtherExpendituresAmt
End Year Balance	$26,255,104	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,874,344	BeginningYearBalanceAmt
Contributions	$186,334	ContributionsAmt
Investment Earnings Or Losses	$284,828	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,740	OtherExpendituresAmt
End Year Balance	$22,342,766	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,653,103	OtherCostOrOtherBasisAmt
Book Value	$47,653,103	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,451,754,982	OtherCostOrOtherBasisAmt
Depreciation	$849,629,772	DepreciationAmt
Book Value	$602,125,210	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,989,700	OtherCostOrOtherBasisAmt
Depreciation	$70,943,585	DepreciationAmt
Book Value	$62,046,115	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,159,900,570	OtherCostOrOtherBasisAmt
Depreciation	$912,006,173	DepreciationAmt
Book Value	$247,894,397	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$106,192,890	OtherCostOrOtherBasisAmt
Depreciation	$3,002,857	DepreciationAmt
Book Value	$103,190,033	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,062,908,858	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	$180,620,137	F
EQUITY METHOD INVESTMENTS	$516,057,534	C
HEDGE FUNDS	$77,408,630	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$774,086,301	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$6,774,826
INTERCOMPANY ACCOUNTS RECEIVABLE	$627,769,349
INVESTMENT IN UNCONSOLIDATED AFFILIATES	$24,703,399
INTERCOMPANY OTHER LT ASSETS	$158,118,304
OTHER LONG-TERM ASSETS	$371,110
OPERATING LEASE RIGHT-OF-USE ASSETS	$67,205,738

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$884,942,726	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
INTERCOMPANY ACCOUNTS PAYABLE	$378,532,878
DEFERRED COMPENSATION	$44,842,961
ASSET RETIREMENT OBLIGATION (FIN 47)	$5,726,828
ANNUITIES PAYABLE	$692,078
INTERCOMPANY NOTES PAYABLE	$712,314,524
OTHER LONG-TERM LIABILITIES	$8,800,564
OPERATING LEASE LIABILITIES	$78,393,539
OTHER CURRENT LIABILITIES	$5,068,187

Field	Value	IRS element (for citing)
Total Liability	$1,234,371,559	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,538,264	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,538,264	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$436,217,741	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$431,050,014	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,167,727	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,310,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,039,212	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,271,531	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$470,066,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$441,089,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,977,522	NetCommunityBenefitExpnsAmt
Total Expense	0.00960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	68	ActivitiesOrProgramsCnt
Persons Served	45792	PersonsServedCnt
Total Community Benefit Expns	$16,022,928	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,553,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,469,610	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	2278	PersonsServedCnt
Total Community Benefit Expns	$105,857,040	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,996,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,860,816	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	32	ActivitiesOrProgramsCnt
Persons Served	25708	PersonsServedCnt
Total Community Benefit Expns	$53,690,090	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,951,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,738,334	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$9,633,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,584,133	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,049,432	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	51	ActivitiesOrProgramsCnt
Persons Served	8388	PersonsServedCnt
Total Community Benefit Expns	$4,807,784	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$390,427	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,417,357	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	170	ActivitiesOrProgramsCnt
Persons Served	82166	PersonsServedCnt
Total Community Benefit Expns	$190,011,407	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,475,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,535,549	NetCommunityBenefitExpnsAmt
Total Expense	0.02440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	170	ActivitiesOrProgramsCnt
Persons Served	82166	PersonsServedCnt
Total Community Benefit Expns	$660,078,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$557,565,084	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$102,513,071	NetCommunityBenefitExpnsAmt
Total Expense	0.03400	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	9	PersonsServedCnt
Total Community Benefit Expns	$39,235	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,235	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	9	PersonsServedCnt
Total Community Benefit Expns	$58,235	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$58,235	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$51,301,864	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$449,684,917	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$433,430,123	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$16,254,794	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 CENTER FOR DIGESTIVE CARE LLC
SURGICAL CENTER	0.51000	0.49000
2 WOODLAND IMAGING CENTER LLC DBA AVANT IMAGING
IMAGING SERVICES	0.51000	0.49000
3 HEALTH PARK CENTRAL LLC
MEDICAL OFFICE BUILDING	0.10550	0.80800
4 SIXTY FOURTH STREET LLC
SURGICAL CENTER	0.56540	0.43460
5 HURON GASTRO ENDOSCOPY CENTER LLC
SURGICAL CENTER	0.51000	0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
TRINITY HEALTH ANN ARBOR HOSPITAL
1	5301 MCAULEY DR	YPSILANTI	MI	48197	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000071	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
TRINITY HEALTH GRAND RAPIDS HOSPITAL
2	200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000030	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
TRINITY HEALTH OAKLAND HOSPITAL
3	44405 WOODWARD AVE	PONTIAC	MI	48341	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000013	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
TRINITY HEALTH LIVONIA HOSPITAL
4	36475 FIVE MILE RD	LIVONIA	MI	48154	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000001	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
TRINITY HEALTH LIVINGSTON HOSPITAL
5	620 BYRON RD	HOWELL	MI	48843	WWW.TRINITYHEALTHMICHIGAN.ORG	LICENSE 1060000033	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (37 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: TRINITY HEALTH ANN ARBOR HOSPITAL, - FACILITY 2: TRINITY HEALTH GRAND RAPIDS HOSPITAL, - FACILITY 3: TRINITY HEALTH OAKLAND HOSPITAL, - FACILITY 4: TRINITY HEALTH LIVONIA HOSPITAL, - FACILITY 5: TRINITY HEALTH LIVINGSTON HOSPITAL
GROUP A-FACILITY 1 -- 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 COMMUNITY'S 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 HEALTH2. ACCESS TO SERVICES (EMPHASIS ON FOOD ACCESS AND MATERNAL/INFANT ACCESS)3. HOUSING
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 5:	TRINITY HEALTH ANN ARBOR, CHELSEA HOSPITAL, AND U-M HEALTH HAVE ONCE AGAIN JOINED FORCES TO CONDUCT A COMPREHENSIVE CHNA, MARKING THEIR FOURTH COLLABORATIVE EFFORT SINCE 2016. THIS COLLABORATIVE EFFORT IS KNOWN AS UNITE, WHICH STANDS FOR UNIFIED NEEDS ASSESSMENT IMPLEMENTATION PLAN TEAM ENGAGEMENT. THE WASHTENAW COUNTY HEALTH DEPARTMENT ALSO SITS AT THE UNITE TABLE AS A CRITICAL PARTNER IN THIS WORK. IN ADDITION, UNITE COLLABORATED WITH SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION TO COMPILE A COMPREHENSIVE LIST OF POPULATION HEALTH DATA FROM MULTIPLE SOURCES INCLUDING LOCAL, STATE, AND FEDERAL LEVEL DATA.IN APRIL 2023, UNITE LAUNCHED THE 15-MONTH 2024 CHNA PROCESS. THROUGHOUT THIS PERIOD, UNITE THOUGHTFULLY IDENTIFIED AND ENGAGED COMMUNITY MEMBERS AND COMMUNITY LEADERS WITHIN GREATER WASHTENAW COUNTY (WASHTENAW COUNTY, GRASS LAKE, AND STOCKBRIDGE) THROUGH KEY STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEYS. IN ADDITION, DATA COLLECTION WAS FACILITATED THROUGH VIRTUAL AND IN-PERSON FOCUS GROUPS WITH WELLNESS COALITIONS, SAFETY NET ORGANIZATIONS, FOOD PANTRIES, AND MINISTERIAL ASSOCIATIONS. ENGAGED ORGANIZATIONS INCLUDED, BUT WERE NOT LIMITED TO: THE WASHTENAW HEALTH INITIATIVE, DELONIS CENTER, PARKRIDGE COMMUNITY CENTER, AND DISABILITY NETWORK WASHTENAW MONROE LIVINGSTON. THESE ORGANIZATIONS PLAY A CRUCIAL ROLE IN REPRESENTING LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS WITHIN THE SERVICE AREA OF TRINITY HEALTH ANN ARBOR.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 6A:	THAA CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH CHELSEA HOSPITAL AND U-M HEALTH.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 6B:	THAA CONDUCTED THE CHNA WITH THE WASHTENAW COUNTY HEALTH DEPARTMENT AND SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 7D:	THAA PROVIDED REGULAR UPDATES ON THE ADVANCEMENT OF THE CHNA PROGRAMS AND SERVICES THROUGH COMMUNITY PRESENTATIONS AND DISSEMINATING IMPACT REPORTS. THESE VALUABLE DOCUMENTS ARE MADE ACCESSIBLE FOR PARTNERS TO SHARE WITH THEIR CONSTITUENTS, ENSURING TRANSPARENCY AND COLLABORATION.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 11:	TRINITY HEALTH ANN ARBOR (THAA) ADDRESSED THE FOLLOWING SIGNIFICANT HEALTH NEEDS IN FY24:MENTAL HEALTH:THAA CONTINUED EDUCATIONAL OUTREACH FOR SERVICES AVAILABLE THROUGH OUR TRANSITION CLINIC, SERVING AS A VITAL RESOURCE FOR THOSE IN NEED. FURTHERMORE, TRINITY HEALTH - MICHIGAN LAUNCHED A REGIONAL BEHAVIORAL HEALTH SERVICE LINE TO EXAMINE TRAINING PRACTICES WITH THERAPISTS. THAA CREATED A WORKFORCE DEVELOPMENT PROGRAM AIMED AT RECRUITING UNDERGRADUATES AND GRADUATES INTO THERAPY ROLES WITH SUPERVISION. TO INCREASE OUR NUMBER OF PROVIDERS, THAA HAS EXPANDED JOB POSTINGS TO INCLUDE MASTER LEVEL DISCIPLINES OTHER THAN SOCIAL WORKERS.IN MAY 2023, THE 'TRINITY HEALTH VS. STIGMA' CAMPAIGN WAS LAUNCHED AS PART OF MENTAL HEALTH AWARENESS MONTH, PRESENTING THE MYTHS VERSUS THE FACTS OF MENTAL HEALTH, AND TO RAISE AWARENESS, IN PART THROUGH RAFFLING OFF OVER 500 T-SHIRTS.THAA ENGAGED PARTNERS IN MENTAL HEALTH AND SUBSTANCE USE DISORDERS THROUGH 'INVESTING IN OUR COMMUNITIES' GRANT FUNDING, ALLOWING FOR A MORE ROBUST NETWORK OF BEHAVIORAL HEALTH SERVICES IN THE COMMUNITY.FURTHER, THAA CONNECTED PATIENTS AND COMMUNITY MEMBERS TO PEER RECOVERY COACHES, SEXUAL ASSAULT NURSE EXAMINERS, SMOKING CESSATION COUNSELORS, MEDICAL SOCIAL WORKERS AND COMMUNITY HEALTH WORKERS (CHW'S) TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE.ACCESS TO SERVICES - FOOD ACCESS:IN FY24, THAA CONTINUED ITS COMMITMENT TO ADDRESSING RISING FOOD INSECURITY RATES BY PROVIDING AFFORDABLE, LOCALLY SOURCED FOOD OPTIONS AND DELIVERING NUTRITION EDUCATION THAT FOSTERS LONG-TERM BEHAVIOR CHANGES AMONG COMMUNITY MEMBERS. THE SUBSIDIZED FARM SHARE PROGRAM AT THE FARM AT THAA WAS EXPANDED IN PARTNERSHIP WITH LOCAL FARMERS, ENSURING THAT VULNERABLE POPULATIONS HAD BETTER ACCESS TO FRESH, NUTRITIOUS FOOD. FURTHER, THE FARM OFFERED FIELD TRIPS, SUMMER CAMPS, A FOOD PANTRY, AND FARMERS MARKETS TO COMMUNITY MEMBERS. THE FARM HAS A DEDICATED CHW TO SUPPORT CLIENTS' SOCIAL NEEDS AND FURTHER BREAK DOWN BARRIERS TO HEALTHY EATING.THE TRINITY HEALTH LIFESTYLE MEDICINE DEPARTMENT FACILITATES A COMMUNITY-BASED PROGRAM, 'THE NUTRITION BUDDIES', WHICH PAIRS FOOD INSECURE YOUTH WITH MEDICAL RESIDENTS TO PROVIDE EDUCATION ON HOW FOOD GROWS, DEVELOP COOKING SKILLS, AND GAIN CONFIDENCE IN THE KITCHEN. FORMERLY SHAPEDOWN, THE THAA HEALTHY FAMILIES PROGRAM PAIRS CHILDREN AND TEENS WITH A REGISTERED DIETITIAN, EXERCISE, AND BEHAVIORAL SPECIALIST TO LEARN HOW HEALTHY EATING, AN ACTIVE LIFESTYLE, AND EFFECTIVE COMMUNICATION PROMOTE HEALTHY WEIGHT AND FAMILY WELL-BEING.THAA ACTIVELY PARTICIPATED IN LOCAL AND STATE POLICY DISCUSSIONS ADVOCATING FOR ENHANCEMENTS IN FOOD SYSTEMS THAT BENEFIT COMMUNITY MEMBERS. ENGAGEMENT WITH SOCIAL SERVICE ORGANIZATIONS ADDRESSING FOOD INSECURITY WAS ANOTHER CRITICAL COMPONENT TO ADDRESS AND INCREASE FOOD ACCESS WHICH WAS SUPPORTED BY GRANT FUNDING THROUGH THE TRINITY HEALTH 'INVESTING IN OUR COMMUNITIES' INITIATIVE.ACCESS TO SERVICES - MATERNAL AND INFANT HEALTH ACCESS:THAA OFFERED FREE AND REDUCED RATES FOR CHILDBIRTH AND BREASTFEEDING CLASSES TO FAMILIES IN THE 48197 AND 48198 ZIP CODES, POSITIVELY IMPACTING OVER 350 LIVES. ADDITIONALLY, THAA HOSTED A MONTHLY "BABY AND ME" SUPPORT GROUP, FOSTERING COMMUNITY AND CONNECTION AMONG NEW FAMILIES. FOR THOSE STRUGGLING WITH POSTPARTUM DEPRESSION AND ANXIETY, THE PERINATAL WELLNESS CLINIC PROVIDED COUNSELING SERVICES, UTILIZING VALIDATED MEASUREMENT TOOLS TO ENSURE EFFECTIVE SUPPORT. TO EXTEND ITS OUTREACH, THAA ALSO OFFERED FREE OR SUBSIDIZED RENT TO THE WASHTENAW AREA COUNCIL FOR CHILDREN.THAA'S PREGNANCY CENTERING PROGRAM OPERATES UNDER THE GUIDANCE OF THE TRINITY HEALTH ACADEMIC OBSTETRICS AND GYNECOLOGY CLINIC, A RESIDENT-RUN INITIATIVE. WOMEN WERE INVITED TO PARTICIPATE IN BOTH GROUP EDUCATION AND INDIVIDUAL APPOINTMENTS IN A SUPPORTIVE SETTING. IN COLLABORATION WITH A CONSULTING PARTNER, THAA DEVELOPED THE RESPECTFUL CARE SERIES, WHICH AIMS TO GUARANTEE THAT EVERY PATIENT, STAFF, AND PARTNER INTERACTING WITH THE WOMEN AND CHILDREN'S SERVICES DIVISION HAS A RESPECTFUL AND TRANSFORMATIVE EXPERIENCE - ONE THAT PRESERVES DIGNITY, PRIORITIZES SAFETY, AND HONORS INDIVIDUAL IDENTITIES.HOUSING:THAA WAS THE LEAD AGENCY OF THE WASHTENAW HOUSING ALLIANCE (WHA), A COALITION OF SOCIAL SERVICE AGENCIES DEALING WITH HOUSING OF VARIOUS TYPES, WHOSE MISSION IS TO END HOMELESSNESS IN WASHTENAW COUNTY. THAA MAINTAINS A STRONG PARTNERSHIP WITH WHA BY PROVIDING IN-KIND AND FINANCIAL SUPPORT.IN ADDITION, THAA AND ITS BOARD MEMBERS WERE INSTRUMENTAL IN THE ESTABLISHMENT OF THE DELONIS CENTER IN DOWNTOWN ANN ARBOR. THIS CENTER PROVIDES NEEDED ACCOMMODATIONS AND SUPPORT SERVICES FOR THOSE WHO ARE HOMELESS. IN ADDITION, THAA PARTNERED WITH THE DELONIS CENTER TO SUPPORT PATIENTS EXPERIENCING HOMELESSNESS WITH CASE AND HEALTH MANAGEMENT THROUGH THE RECUPERATIVE CARE PROGRAM. LASTLY, THAA OFFERS FREE OR SUBSIDIZED RENT TO COMMUNITY-BASED ORGANIZATIONS INCLUDING ALPHA HOUSE AND HOUSE N2 HOME. THAA ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, AFFECTING VULNERABLE POPULATIONS, AND WITHIN OUR ABILITY TO INFLUENCE. FOR THOSE REASONS, THAA DID NOT TAKE ACTION ON THE FOLLOWING HEALTH NEEDS IN FY24: ACCESS TO INTERNET AND DOMESTIC VIOLENCE.
GROUP A-FACILITY 1 -- TRINITY HEALTH ANN ARBOR HOSPITAL PART V, SECTION B, LINE 13H:	THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, 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 DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE 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 ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS.
GROUP A-FACILITY 1 -- 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.
GROUP A-FACILITY 2 -- 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 COMMUNITY'S 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. HOUSING2. HEALTH INSURANCE3. ACCESS TO MEDICAL CARE4. ACCESS TO HEALTHY FOOD
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 5:	BY ENGAGING WITH THE KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AS A COLLABORATIVE PARTNER AND FUNDER, THGR WAS ABLE TO OBTAIN CRITICAL INFORMATION ABOUT THE HEALTH NEEDS FACING PATIENTS AND THE MEMBERS OF THE COMMUNITIES WE SERVE.THE 2023 KENT COUNTY CHNA INCORPORATED INPUT FROM PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. THEIR DATA WAS COLLECTED BETWEEN THE MONTHS OF MARCH AND OCTOBER 2023. DATA WAS COLLECTED THROUGH A VARIETY OF PRIMARY (NEW DATA COLLECTED FOR THIS ASSESSMENT) AND SECONDARY (EXISTING DATA) SOURCES. PRIMARY DATA COLLECTION METHODS INCLUDED COMMUNITY SURVEYS, FOCUS GROUPS, COLLECTIVE IMPACT SURVEYS, AND BEHAVIORAL RISK FACTOR SURVEY PHONE INTERVIEWS. COMMUNITY SURVEYS WERE OFFERED IN A WEB-BASED FORMAT IN ENGLISH AND SPANISH, AND IN PAPER (HARD COPY) FORMAT IN ENGLISH, SPANISH, VIETNAMESE, ARABIC, KINYARWANDA, AND SWAHILI, TO MAKE THE SURVEY ACCESSIBLE TO MORE INDIVIDUALS IN THE COMMUNITY.OVER 70 COMMUNITY ORGANIZATIONS PARTICIPATED IN CHNA DATA COLLECTION EFFORTS THROUGH THE COLLECTIVE IMPACT SURVEY. THE ORGANIZATIONS WERE FROM A VARIETY OF SECTORS INCLUDING HEALTH CARE, MENTAL HEALTH, ARTS/CULTURE, EDUCATION, PHILANTHROPY, AND HUMAN SERVICES. THE CHNA INCLUDES THE NAMES OF ALL 76 PARTICIPATING ORGANIZATIONS, SOME OF WHICH INCLUDE AREA AGENCY ON AGING OF WESTERN MICHIGAN, BLACK IMPACT COLLABORATIVE, CHERRY HEALTH, COMMUNITY FOOD CLUB, FIRST STEPS KENT, FREY FOUNDATION, GRAND RAPIDS PRIDE CENTER, GRAND VALLEY STATE UNIVERSITY, KENT COUNTY ORAL HEALTH COALITION, MEL TROTTER MINISTRIES, PLANNED PARENTHOOD, RENEW MOBILITY, STRONG BEGINNINGS-HEALTHY START, WEST MICHIGAN ASIAN AMERICAN ASSOCIATION, AND YWCA WEST CENTRAL MICHIGAN.FOR THE 2023 CHNA, COMMUNITY-LED DATA COLLECTION WAS EXPANDED TO INCLUDE SURVEYING. IN ADDITION TO CONDUCTING 10 COMMUNITY-LED FOCUS GROUPS, 12 COMMUNITY PARTNERS WERE COMPENSATED TO LEAD SURVEYING EFFORTS IN THEIR COMMUNITIES. THIS INCLUDED ENGAGING WITH RESIDENTS, EDUCATING PEOPLE ON THE CHNA AND HOW THEIR COMMUNITY INPUT DATA WOULD BE USED, ENCOURAGING THEM TO COMPLETE THE SURVEY, AND ASSISTING THEM IN SURVEY COMPLETION IFTHEY ENCOUNTERED ANY BARRIERS TO PARTICIPATION. EIGHT OF THE 12 COMMUNITY PARTNERS WHO LED SURVEYING EFFORTS WERE MEMBERS OF THE KENT COUNTY HEALTH EQUITY COUNCIL COMMUNITY VOICE GROUP. WITH FUNDING AND FLEXIBILITY TO LEAD THEIR OWN ENGAGEMENT EFFORTS, SURVEY RESPONSES AMONG PRIORITY POPULATIONS INCREASED CONSIDERABLY WHICH RESULTED IN A DIVERSE SAMPLE AND THE ABILITY TO DISAGGREGATE DATA FOR PEOPLE WITH DISABILITIES, LGBTQ, REFUGEES AND IMMIGRANTS, ASIAN, AND AMERICAN INDIAN ALASKA NATIVE GROUPS.
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 6A:	THGR CONDUCTED THE CHNA IN PARTNERSHIP WITH COREWELL HEALTH, UNIVERSITY OF MICHIGAN HEALTH-WEST, MARY FREE BED REHABILITATION HOSPITAL, AND PINE REST CHRISTIAN MENTAL HEALTH SERVICES.
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 6B:	THGR CONDUCTED THE CHNA WITH THE KENT COUNTY HEALTH DEPARTMENT AND THE KENT COUNTY HEALTH EQUITY COUNCIL.
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 11:	IN FY24, TRINITY HEALTH GRAND RAPIDS (THGR) ENGAGED IN THE FOLLOWING ACTIVITIES THAT SUPPORTED THE SIGNIFICANT NEEDS FROM THE MOST RECENT CHNA:HOUSING:THGR SUPPORTED INCREASING EMERGENCY SHELTER CAPACITY AND TRANSITIONAL SUPPORTIVE HOUSING BY PROVIDING A ZERO-DOLLAR LEASE OF OFFICE SPACE TO DEGAGE MINISTRIES, AN EMERGENCY SHELTER FOR WOMEN. THE ORGANIZATION MOVED THEIR ADMINISTRATIVE STAFF INTO THE SPACE AND WERE ABLE TO ADD 54 EMERGENCY SHELTER BEDS. THGR LEASED A BUILDING TO DEGAGE MINISTRIES AT COST. THE HOSPITAL DONATED ALL FURNITURE IN THE BUILDING TO THE ORGANIZATION. WITH THIS AND OTHER COMMUNITY SUPPORT, THE ORGANIZATION OPENED A 30-BED TRANSITIONAL, SUPPORTIVE HOUSING PROGRAM FOR WOMEN WHO ARE EXPERIENCING CHRONIC HOMELESSNESS AND MENTAL HEALTH OR SUBSTANCE USE CHALLENGES.HEALTH INSURANCE:THROUGH THE BREAST AND CERVICAL CANCER CONTROL NAVIGATION PROGRAM (BCCCNP), THGR ROUTINELY PROVIDED FREE SCREENINGS. THE BCCCNP IS A PROGRAM OF THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, ALLOWING WOMEN WHO ARE UNINSURED OR UNDERINSURED, MANY OF WHOM ARE MEMBERS OF THE LATINX COMMUNITY, TO RECEIVE FREE BREAST AND CERVICAL CANCER SCREENINGS. THGR ALSO EMPLOYED COMMUNITY HEALTH WORKERS (CHW'S) WHO ASSISTED PATIENTS AND MEMBERS OF THE COMMUNITY IN APPLYING FOR MEDICAID, NAVIGATING MEDICARE OPEN ENROLLMENT, CHOOSING A PLAN ON THE ACA MARKETPLACE, AND APPLYING FOR HOSPITAL FINANCIAL ASSISTANCE. A NUMBER OF THE CHW'S WERE EMBEDDED IN SAFETY NET HEALTH CENTERS.ACCESS TO MEDICAL CARE:THGR PARTICIPATED IN THE FOLLOWING ACTIVITIES THAT IMPROVED ACCESS TO CARE:- THE HOSPITAL OPERATED SAFETY NET HEALTH CENTERS, SERVING MORE THAN 15,000 UNIQUE PATIENTS PER YEAR. THE OFFICES ARE LOCATED IN AREAS OF THE COUNTY THAT ARE EASILY ACCESSIBLE TO INDIVIDUALS BELONGING TO COMMUNITIES THAT DISPROPORTIONATELY EXPERIENCE HEALTH INEQUITIES.- THE HOSPITAL OFFERED MOBILE MAMMOGRAPHY SERVICES THROUGHOUT THE COMMUNITY, PARTNERING WITH ORGANIZATIONS IN NEIGHBORHOODS WHERE WOMEN FACE TRANSPORTATION AND OTHER ACCESS BARRIERS.- CHW'S WORKED WITH PATIENTS TO ADDRESS SOCIAL NEEDS, CONNECT TO COMMUNITY RESOURCES, AND NAVIGATE SOCIAL AND HEALTH CARE SYSTEMS.- THE HOSPITAL OFFERED MATERNAL INFANT HEALTH PROGRAM (MIHP), A HOME-VISITING PROGRAM OF THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PROGRAM SERVED PREGNANT WOMEN AND THEIR INFANTS. THE PROGRAM HAS BEEN FOUND TO REDUCE THE INCIDENCE OF PRETERM BIRTH.- THE HOSPITAL EMPLOYED THREE CHW'S IN THE STRONG BEGINNINGS PROGRAM, A HEALTHY START INITIATIVE. THE CHW'S PROVIDED HOME-BASED SUPPORTIVE AND EDUCATIONAL PROGRAMMING FOR PREGNANT WOMEN AND THEIR INFANTS WHO ARE BLACK, LATINX, OR NEW AMERICANS FROM AFRICA. PROGRAM EVALUATION BY MICHIGAN STATE UNIVERSITY FOUND PARTICIPANT OUTCOMES SURPASSED SEVERAL BENCHMARKS SET BY THE HEALTH RESOURCES SERVICES ADMINISTRATION.- THE HOSPITAL WAS A PARTNER ORGANIZATION IN THE OPERATION OF A LOCAL FREE CLINIC FOR UNHOUSED INDIVIDUALS. THE HOSPITAL PROVIDED PHYSICIAN RESIDENTS AND AN ATTENDING PHYSICIAN FACULTY MEMBER ONE DAY PER WEEK AT THE CLINIC, FREE OF CHARGE TO THE COMMUNITY.ACCESS TO HEALTHY FOOD:THGR OFFERED PROGRAMS FOR PATIENTS EXPERIENCING FOOD INSECURITY INCLUDING DISTRIBUTING PRODUCE TO PATIENTS AT FOUR OF THE HOSPITAL'S SAFETY NET HEALTH CENTERS, PROVIDING FINANCIAL DONATIONS TO COMMUNITY ORGANIZATIONS ADDRESSING FOOD INSECURITY AND PROVIDING EDUCATION AROUND HEALTHY BEHAVIORS, AND OFFERING THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM AT A SAFETY NET HEALTH CENTER SERVING LATINX PATIENTS. APPROXIMATELY 800 WOMEN AND CHILDREN WERE SERVED BY THE PROGRAM EVERY MONTH.THOUGH NOT A PRIORITIZED NEED IN THE MOST RECENT CHNA, THGR ADDRESSED MENTAL HEALTH BY PARTICIPATING IN THE COLLABORATIVE CARE MODEL, EMBEDDING BEHAVIORAL HEALTH PROFESSIONALS IN PRIMARY CARE SETTINGS, TO INCREASE ACCESS TO MENTAL HEALTH SERVICES, AND TO IMPROVE QUALITY OF CARE THROUGH INTERPROFESSIONAL COLLABORATION. THGR ALSO OPENED AN OUTPATIENT PSYCHIATRY CLINIC ON ITS CAMPUS WITH THE GOAL OF INCREASING ACCESS TO MENTAL HEALTH SERVICES, AND OPERATED A 28-BED INPATIENT PSYCHIATRIC UNIT WITH THE UNIQUE ABILITY TO TREAT PATIENTS WITH BOTH MEDICAL AND PSYCHIATRIC CONDITIONS REQUIRING AN ACUTE LEVEL OF CARE. THE HOSPITAL ALSO PARTNERED WITH COMMUNITY MENTAL HEALTH TO OPEN A BEHAVIORAL HEALTH CRISIS CENTER AND CRISIS STABILIZATION UNIT ON THE HOSPITAL'S CAMPUS, OFFERING A "NO WRONG DOOR" TO ACCESSING MENTAL HEALTH CARE.
GROUP A-FACILITY 2 -- TRINITY HEALTH GRAND RAPIDS HOSPITAL PART V, SECTION B, LINE 13H:	SEE FACILITY 1 EXPLANATION.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 3J:	N/ALINE 3E: TRINITY HEALTH OAKLAND HOSPITAL (THOA) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THOA WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. BEHAVIORAL HEALTH (MENTAL HEALTH/SUBSTANCE ABUSE)2. ACCESS TO CARE (RESOURCE NAVIGATION, SPECIALTY PROVIDERS)3. FOOD SECURITY (DIABETES, OBESITY)
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 5:	OVER A NINE-MONTH PERIOD FROM MAY 2023 THROUGH FEBRUARY 2024, THE CHNA STEERING COMMITTEE AND THOA'S COMMUNITY HEALTH AND WELL-BEING (CHWB) TEAM ACTIVELY ENGAGED THE COMMUNITY THROUGH SURVEYS AND FORUMS. NEIGHBORHOOD AND REGIONAL DATA SOURCES WERE ANALYZED TO ESTABLISH A SERVICE AREA FOR THE HOSPITAL WHILE STATE, COUNTY, AND PONTIC COMMUNITY DATA WAS EXAMINED TO IDENTIFY SPECIFIC HEALTH PRIORITIES.THOA CONDUCTED A COLLABORATIVE CHNA WITH COMMUNITY INPUT FROM THE OAKLAND COUNTY HEALTH DEPARTMENT (OCHD). HOSPITAL PARTNERS AND COMMUNITY ORGANIZATIONS REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND MINORITY POPULATIONS AS A PART OF THE NEEDS ASSESSMENT.THE CHNA STEERING COMMITTEE SERVED AS THE ADVISORY GROUP FOR THE ASSESSMENT. THE ADVISORY GROUP INCLUDED BOARD OF DIRECTOR MEMBERSHIP AND VULNERABLE PATIENT POPULATION REPRESENTATION. 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. UNDERSTANDING THE HEALTH NEEDS OF OUR PATIENTS AND THOSE WE SERVE IS ESSENTIAL TO MAKING A DIFFERENCE IN THE COMMUNITY. THOA COLLABORATES WITH COMMUNITY PARTNERS TO CONDUCT ITS CHNA IN ORDER TO LEARN ABOUT PRESSING HEALTH ISSUES. THE FOLLOWING PARTNERS PARTICIPATED IN COMMUNITY FOCUS GROUPS TO FURTHER SUPPORT THE RETENTION OF VULNERABLE POPULATIONS' VOICES IN THE CHNA PROCESS: CATHOLIC CHARITIES OF SOUTHEASTERN MICHIGAN, COMMUNITY NETWORK SERVICES HEALTHCARE, HOPE WARMING SHELTER, LIGHTHOUSE OF OAKLAND COUNTY, MEALS ON WHEELS, OAKLAND COMMUNITY HEALTH NETWORK, OAKLAND COUNTY HARM REDUCTION SERVICES, OAKLAND LIVINGSTON HUMAN SERVICE AGENCY AND OAKLAND COUNTY VETERANS SERVICES. THE 2024 CHNA SURVEY INCLUDED 24 QUESTIONS RELATED TO HEALTH CARE ACCESS AND HEALTH BEHAVIORS. THE SURVEY WAS DISTRIBUTED IN DIGITAL AND PRINT FORMATS FROM OCTOBER 1 THROUGH DECEMBER 22, 2023. ELECTRONIC SURVEYS WERE ACCESSED THROUGH A SURVEYMONKEY QR CODE AND DIRECT EMAIL CORRESPONDENCE THROUGH PARTNER AGENCIES. PAPER SURVEYS WERE DISTRIBUTED TO RESIDENTS AT STRATEGIC COMMUNITY ACCESS POINTS WITHIN PONTIAC AND WATERFORD SENIOR CENTERS, OAKLAND COUNTY PUBLIC LIBRARIES, AND OCHD TO REDUCE BARRIERS FOR COMPLETION. A TOTAL OF 1,037 SURVEY RESPONSES WERE COLLECTED ACROSS OAKLAND COUNTY, WITH A TARGETED FOCUS ON COMMUNITIES LOCATED IN PRIORITY ZIP CODES IN PONTIAC, WATERFORD, AND AUBURN HILLS. THE CHNA STEERING COMMITTEE DISTRIBUTED THE SURVEY THROUGH THOA'S FARM, OAKLAND COUNTY FARMERS MARKET, AND COMMUNITY RESOURCE FAIRS. THE SURVEY HAD REPRESENTATION FROM VULNERABLE POPULATIONS INCLUDING VETERANS, SENIORS, AND DISABLED RESIDENTS.AS A MINISTRY, WE ARE COMMITTED TO ADDRESSING THE ROOT CAUSE OF HEALTH DISPARITIES AND WELCOME THE SUPPORT OF COMMUNITY PARTNERS AND STAKEHOLDERS AS WE STRIVE TO IMPROVE ACCESS TO CARE FOR ALL.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 6B:	THOA CONDUCTED THE CHNA WITH THE OAKLAND COUNTY HEALTH DEPARTMENT.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 7D:	THOA SHARED ITS CHNA BROADLY ON THE HOSPITAL'S COMMUNITY HEALTH & WELL-BEING WEBPAGE. THOA REVIEWED QUARTERLY METRICS WITH COMMUNITY BENEFIT RECIPIENTS TO TRACK IMPLEMENTATION PLAN DEVELOPMENT RELATIVE TO PRIORITY HEALTH PROGRAMS AND SERVICES. THOA ALSO SHARED ITS CHNA WITH THE OCHD AND NEIGHBORING COMMUNITIES THROUGH A VIRTUAL POWERPOINT PRESENTATION. COPIES OF THE CHNA ARE AVAILABLE BY REQUEST FROM THE THOA CHWB AND MARKETING DEPARTMENTS TO ACCOMMODATE COMMUNITY ACCESS TO THE REPORT WITHIN THE HOSPITAL'S SERVICE AREA.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 11:	IN FY24, THOA ADDRESSED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS: BEHAVIORAL HEALTH/SUBSTANCE ABUSE:IN FY24, THOA PROVIDED BEHAVIORAL HEALTH SUPPORT THROUGH PATIENT REFERRALS TO SOCIAL WORK, CASE MANAGEMENT, FINANCIAL COUNSELING, AND THE ONSITE BEHAVIORAL HEALTH DAY HOSPITAL. IN FY24, COMMUNITY HEALTH WORKERS (CHW'S) SECURED AFFORDABLE AND SUBSIDIZED HOUSING RESOURCES, HOUSING STATUS VERIFICATION LETTERS, AND HOMELESS DIVERSION SUPPORT FOR REFERRED BEHAVIORAL HEALTH PATIENTS. THOA ALSO CONTINUED ITS PARTNERSHIP AND FUNDING SUPPORT FOR THE LIGHTHOUSE OF OAKLAND COUNTY AND HOPE WARMING SHELTER RESPITE CARE PROGRAMS TO FURTHER ASSIST OAKLAND COUNTY WITH MANAGEMENT OF BEHAVIORAL HEALTH REFERRALS AND ASSESSMENTS. THOA CONTINUED TO PROVIDE IN-KIND CASE MANAGEMENT, SOCIAL WORK AND CHW STAFF FOR BEHAVIORAL HEALTH AND PEER SUPPORT GROUP REFERRALS. CLINICAL ROTATIONS WERE INTRODUCED WITHIN THE UNIVERSITY OF DETROIT MERCY'S MASTER'S ENTRY ADVANCE GENERALIST NURSING PROGRAM TO IMPROVE HOMELESS PATIENT RECOVERY RESOURCES AT THE HOPE RESPITE CARE CENTER.ACCESS TO CARE:THROUGH A PARTNERSHIP WITH THE NATIONAL CANCER SOCIETY, OAKLAND COUNTY RESIDENTS WERE SCREENED FOR LUNG, BREAST, AND COLORECTAL CANCERS. THOA ALSO OFFERS HEALTH EDUCATION FOR STRESS, SOCIAL ISOLATION, BALANCE, AND INJURY PREVENTION AT HEALTH FAIRS AND COMMUNITY CLINICS. THOA NURSING EDUCATION STAFF, ROSS MEDICAL RESIDENTS, AND UNIVERSITY OF DETROIT MERCY RN STUDENTS ENGAGED IN STREET MEDICINE OUTREACH INITIATIVES THROUGHOUT FY24. THOA ALSO MAINTAINED ITS LAB, RADIOLOGY, AND CARDIOLOGY SUPPORT FOR THE BERNSTEIN COMMUNITY CLINIC TO PROVIDE UNINSURED OAKLAND COUNTY RESIDENTS FREE DIAGNOSTIC SERVICES.THOA UTILIZED CHW'S AND THE SOCIAL INFLUENCERS OF HEALTH SCREENING TOOL TO HELP IDENTIFY AND REFER PATIENTS IN NEED OF SOCIAL SUPPORT RESOURCES, THEREBY REDUCING READMISSIONS AND IMPROVING OVERALL PATIENT HEALTH. THOA CONTINUED IMPROVING THE HEALTH OF THE COMMUNITY AND INCREASING PATIENT ACCESS TO CARE IN FY24 BY OPERATING A NETWORK OF PRIMARY CARE COMMUNITY CLINICS INCLUDING THE HENDERSON ACADEMIC CLINIC. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. THOA CONTINUED PARTNERING WITH HEALTH CARE PROVIDERS TO OFFER HEMATOLOGY AND MEDICAL ONCOLOGY SERVICES THROUGH OUR CANCER CENTER. IN FY24, OVER 5,500 PERSONS EXPERIENCING POVERTY AND OTHER VULNERABILITIES WERE SERVED THROUGH THE MERCY SUPPORT PROGRAM, AND MORE THAN 7,500 PATIENTS WERE SERVED THROUGH MERCY SUPPORT PRESCRIPTION PROGRAMS.FOOD SECURITY:IN FY24, THOA MAINTAINED ITS PARTNERSHIPS WITH FOOD ACCESS COALITIONS INCLUDING HEALTHY PONTIAC, WE CAN! AND THE OCHD'S FOOD POLICY COUNCIL. THESE COUNCILS ADVOCATE FOR IMPROVED FRESH PRODUCE ACCESSIBILITY AND MITIGATION OF FOOD POLICY BARRIERS WITHIN PONTIAC AND OAKLAND COUNTY. THE FARM AT OAKLAND (THE FARM) STRENGTHENED ITS PARTNERSHIP WITH CENTRO MULTICULTURAL LA FAMILIA BY OFFERING JOB TRAINING FOR MULTICULTURAL YOUTH FROM WATERFORD AND PONTIAC COMMUNITIES AND INTERNSHIPS FOR RESIDENTS THROUGHOUT GREATER OAKLAND COUNTY.THE FARM CONTINUES TO POSITIVELY IMPACT PATIENT ACCESS TO HEALTHY PRODUCE THROUGH INCREASED PRODUCTION, HEALTH EDUCATION OUTREACH, AND VOLUNTEER RECRUITMENT. THROUGH COMMUNITY SHARED AGRICULTURE AND PRODUCE-TO-PATIENT PROGRAMS, THOA HAS INCREASED FRESH PRODUCE ACCESS AND CONSUMPTION. IN PARTNERSHIP WITH OAKLAND COUNTY FARMERS, THE FOOD BOX PROGRAM OFFERS PRODUCE AT AMBULATORY SITES AND COMMUNITY CENTERS WITHIN THE OAKLAND SERVICE AREA. IN FY24, 3,753 POUNDS OF FOOD WAS HARVESTED, 7,300 FARM SHARE ASSISTANCE BOXES WERE DISTRIBUTED TO MEMBERS EXPERIENCING NUTRITION INSECURITY, AND ANOTHER 2,815 FARM SHARES WERE DISTRIBUTED TO PAYING MEMBERS. THE PRODUCE-TO-PATIENT PROGRAM PROVIDED 8,198 PORTIONS TO OAKLAND COUNTY RESIDENTS AT A VALUE OF OVER $25,000. IN COORDINATION WITH LIGHTHOUSE OF OAKLAND COUNTY, THE FARM MAINTAINS AN EMERGENCY FOOD PANTRY FOR PATIENTS, VISITORS, AND EMPLOYEES, WHICH PROVIDES OVER 60% OF ITS ITEMS TO RESIDENTS WITHIN PRIORITY COMMUNITY ZIP CODES AND GENERATES OVER 170 MONTHLY PATIENT REFERRALS FOR THE PRODUCE DELIVERY PROGRAM. IN FY24, THOA MAINTAINED SUPPORT FOR HEALTHY OAKLAND THROUGH SPONSORSHIP OF SENIOR AND FAMILY MARKET DAYS IN COLLABORATION WITH THE LOCAL OAKLAND COUNTY FARMERS MARKET. THE PROGRAM PROVIDES ACCESS TO EXPERTS ON THE TOPICS OF NUTRITION, CANCER PREVENTION, BLOOD PRESSURE CONTROL, DIABETES HEALTH, AND SAFE USE OF MEDICATIONS. THOA SERVES AS A COMMUNITY REFERRAL SITE FOR THE PRESCRIPTION FOR A HEALTHY OAKLAND INITIATIVE, GIVING RESIDENTS ACCESS TO FREE PHYSICAL ACTIVITY AND NUTRITION EDUCATION. THE "SOCIAL PRESCRIPTION" MODEL WAS USED TO CONNECT FAMILIES AND SENIORS WITH NONCLINICAL SERVICES AND COMMUNITY RESOURCES THAT ADDRESS SOCIAL, EMOTIONAL, OR PRACTICAL NEEDS, SUCH AS FOOD AND PHYSICAL ACTIVITY. MATERNAL HEALTH:THOUGH NOT A NEED IDENTIFIED IN THE FY24 CHNA, THOA CONTINUED ADDRESSING MATERNAL HEALTH, WHICH WAS A NEED IN THE PRIOR CHNA. THE MOTHER BABY UNIT HIRED A SOCIAL WORKER TO ASSIST NEW MOTHERS WITH MATERNAL RESOURCE ACCESS AND RELEVANT SOCIAL SUPPORT NEEDS. A PEER SUPPORT COUNSELOR HAS ALSO BEEN ADDED TO THE MATERNAL HEALTH STAFF TO ASSIST NEW MOTHERS WITH A SUBSTANCE USE CONDITION AND THEIR BABIES NAVIGATE SOCIAL AND MEDICAL NEEDS.AS A CERTIFIED "BABY-FRIENDLY" HOSPITAL, THOA ACTIVELY PROMOTES BREASTFEEDING AND MOTHER/BABY BONDING. THE MOTHER BABY UNIT SPONSORS LACTATION COUNSELING DURING WEEKLY BREASTFEEDING SUPPORT GROUP SESSIONS THAT SERVED OVER 400 MOTHERS IN FY24. WOMEN AND THEIR PARTNERS RECEIVE ADVOCACY AND EDUCATION FROM THOA'S CULTURALLY COMPETENT LACTATION CONSULTANTS. THOA'S MOTHER BABY UNIT ALSO OFFERS NEW MOTHERS DISCHARGE TRANSPORTATION SUPPORT THROUGH LYFT AND FREEDOM ROAD SERVICES. THOA ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, AFFECTING VULNERABLE POPULATIONS, AND WITHIN OUR ABILITY TO INFLUENCE. FOR THOSE REASONS, THOA DID NOT DIRECTLY ADDRESS HOUSING AND COMMUNITY SAFETY IN FY24.
GROUP A-FACILITY 3 -- TRINITY HEALTH OAKLAND HOSPITAL PART V, SECTION B, LINE 13H:	SEE FACILITY 1 EXPLANATION.
GROUP A-FACILITY 4 -- 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 COMMUNITY'S 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. MENTAL HEALTH, INCLUDING SUBSTANCE USE2. DIABETES/OBESITY/HIGH BLOOD PRESSURE3. FOOD SECURITY/ACCESS
GROUP A-FACILITY 4 -- TRINITY HEALTH LIVONIA HOSPITAL PART V, SECTION B, LINE 5:	A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP WAS CONVENED IN MAY 2023 TO LEAD THE CHNA PROCESS. THESE PARTNERS INCLUDE REPRESENTATIVES FROM THE WAYNE COUNTY HEALTH, HUMAN AND VETERAN'S SERVICES, WAYNE HOPE CLINIC, REDFORD TOWNSHIP DISTRICT LIBRARY, BURNING BUSH MINISTRIES IN WESTLAND, NORTHVILLE TOWNSHIP PARKS AND RECREATION, CHARTER TOWNSHIP OF REDFORD, THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN, FARMINGTON HILLS SPECIAL SERVICES, REDFORD INTERFAITH RELIEF, AND GROWTH WORKS. TRINITY HEALTH LIVONIA EMPLOYEES FROM COMMUNITY HEALTH & WELL-BEING (CHWB), SPIRITUAL CARE, ADMINISTRATION, AND CANCER SUPPORT SERVICES PARTICIPATED IN THE ADVISORY GROUP. AN INTERN FROM MADONNA UNIVERSITY COLLECTED SECONDARY DATA AND SUPPORTED QUALITATIVE DATA COLLECTION. FROM JULY 2023 THROUGH NOVEMBER 2023, QUALITATIVE INPUT WAS OBTAINED THROUGH THE CHNA SURVEY, FOCUS GROUPS AND PHOTOVOICE, AND QUANTITATIVE DATA WAS GATHERED AND REVIEWED.REDFORD INTERFAITH RELIEF AND WAYNE HOPE CLINIC SOLICITED DIGITAL SURVEY COMPLETION AND COLLECTED PAPER SURVEYS, WHICH WERE MANUALLY ADDED TO THE ONLINE SURVEY DATABASE. TRINITY HEALTH LIVONIA CHWB STAFF ATTENDED THE MEN'S HEALTH EVENT ON SEPTEMBER 30, 2023 AT FORD FIELD WHERE APPROXIMATELY 1,000 MEN ATTENDED THE EVENT TO OBTAIN HEALTH INFORMATION AND RECEIVE SCREENINGS. PARTICIPANTS FROM THE THLA SERVICE AREA WERE INVITED TO COMPLETE THE SURVEY. THLA STAFF ALSO ATTENDED OUTREACH EVENTS IN THE HIGH PRIORITY AREAS OF WESTLAND AND REDFORD TO PROMOTE THE SURVEY. A REDFORD COMMUNITY MEMBER WENT TO SENIOR CENTERS, SENIOR RESIDENCES, AND OTHER COMMUNITY LOCATIONS TO PROMOTE THE SURVEY AND COLLECT PAPER SURVEYS. THE WESTERN WAYNE FOOD POLICY COUNCIL CONDUCTED FOCUS GROUPS IN UNDERSERVED POCKETS OF THE REDFORD, WESTLAND, INKSTER, ROMULUS, AND DEARBORN COMMUNITIES TO UNDERSTAND STRENGTHS AND BARRIERS TO NUTRITION SECURITY.
GROUP A-FACILITY 4 -- TRINITY HEALTH LIVONIA HOSPITAL PART V, SECTION B, LINE 11:	IN FY24, TRINITY HEALTH LIVONIA (THLA) DIRECTLY ADDRESSED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: MENTAL HEALTH, CHRONIC HEALTH CONDITIONS, AND FOOD SECURITY AND ACCESS. MENTAL HEALTH:SUBSTANCE USE PREVENTION WORK CONTINUED IN COLLABORATION WITH LIVONIA SAVE OUR YOUTH (LSOY). LSOY RETURNED TO IN-PERSON ADDICTION FORUM SESSIONS AND PROVIDED "TALK, THEY HEAR YOU" MESSAGING AT SCHOOL AND COMMUNITY-BASED EVENTS. THE WESTERN WAYNE SUICIDE PREVENTION COALITION HELD A CONFERENCE TITLED 'DISRUPTING THE NARRATIVE OF YOUTH SUICIDE & MENTAL HEALTH' WITH 371 ATTENDEES. MORE THAN 200 SCHOOL STAFF AND COMMUNITY-BASED MENTAL HEALTH PROVIDERS ATTENDED MINI CONFERENCES AT TRINITY HEALTH LIVONIA HOSPITAL. COALITION MEMBER DISTRICTS ADOPTED A COMMON SCREENING TOOL FOR STUDENTS IN CRISIS AND MORE THAN 700 ASSESSMENTS WERE CONDUCTED.DIABETES/OBESITY/HIGH BLOOD PRESSURE:THLA SUCCESSFULLY ADMINISTERED THE DIABETES PREVENTION PROGRAM (DPP) TO 79 RESIDENTS OF WAYNE COUNTY, ACHIEVING REMARKABLE OUTCOMES. BOTH IN-PERSON AND DISTANCE LEARNING FORMATS EXCEEDED THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BENCHMARKS FOR PARTICIPANT RETENTION AND RISK REDUCTION. AMONG PARTICIPANTS, 31% OF THOSE IN THE DISTANCE LEARNING PROGRAM AND 34% OF IN-PERSON ATTENDEES ACHIEVED A REDUCTION OF AT LEAST 0.2% IN THEIR BASELINE HBA1C LEVELS. ADDITIONALLY, REFERRALS TO DIABETES EDUCATION PROGRAMS AVERAGED AN IMPRESSIVE 95 PER MONTH.FOOD SECURITY/ACCESS:TRINITY HEALTH LIVONIA PARTICIPATES IN THE WESTERN WAYNE COUNTY FOOD POLICY COUNCIL (WWFPC) WHICH COLLABORATIVELY SHAPES THE LOCAL FOOD SYSTEM AND WORKS TO ENSURE THAT NUTRITIOUS FOOD IS ACCESSIBLE FOR ALL. THEIR VISION IS THAT WESTERN WAYNE COUNTY IS THOROUGHLY NOURISHED WITH A DIVERSE, EMPOWERING, AND NUTRITIOUS FOOD SYSTEM. THE WWFPC CONDUCTED FOCUS GROUPS AND UTILIZED PHOTOVOICE TO LEARN MORE ABOUT THE LIVED EXPERIENCES AND FOOD NEEDS OF RESIDENTS OF DEARBORN, INKSTER, REDFORD, ROMULUS, AND WESTLAND. THE WWFPC COMPILED THE FINDINGS IN A REPORT WHICH DETAILS THE MAIN THEMES OF ACCESS, CONNECTEDNESS, COST, AND QUALITY. THE WWFPC WORKS WITH RESIDENTS AND OTHER STAKEHOLDERS TO IDENTIFY STRATEGIES TO IMPROVE THE LOCAL FOOD SYSTEM.THE HEALTHY LIVONIA COALITION FUNDED HEALTHY EATING AND PHYSICAL ACTIVITY PROGRAMMING FOR 80 GREAT START READINESS PROGRAM STUDENTS AND THEIR FAMILIES. THE COALITION CELEBRATED THE COMPLETION OF AN EDUCATIONAL GREENHOUSE AT GARFIELD COMMUNITY SCHOOL.THLA ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH AND SOCIAL ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. FOR THOSE REASONS, TRINITY HEALTH LIVONIA HOSPITAL DID NOT ADDRESS THE FOLLOWING NEEDS IN FY24: NEIGHBORHOOD AND PHYSICAL ENVIRONMENT, AGING/OLDER ADULTS, HEALTHY BEHAVIORS, AND SUPPORT SYSTEMS.
GROUP A-FACILITY 4 -- TRINITY HEALTH LIVONIA HOSPITAL PART V, SECTION B, LINE 13H:	SEE FACILITY 1 EXPLANATION.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 3J:	N/ALINE 3E: TRINITY HEALTH LIVINGSTON HOSPITAL (THLN) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS FOR THLN WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH2. FOOD AND NUTRITION SECURITY 3. ACCESS TO SERVICES (EMPHASIS ON TRANSPORTATION)
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 5:	MANY COLLABORATIVE PARTNERS WERE ENGAGED TO ADVISE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE CORE TEAM INVOLVED IN THE PROCESS INCLUDED REPRESENTATIVES FROM THE HOSPITAL, THE LIVINGSTON COUNTY HEALTH DEPARTMENT, AND THE SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION. THE LIVINGSTON COUNTY COMMUNITY NEEDS ASSESSMENT WORK GROUP OF THE HUMAN SERVICES COLLABORATIVE BODY WAS DESIGNATED AS THE THLN CHNA ADVISORY GROUP. THE MEMBERS WERE INVOLVED IN SURVEY DISTRIBUTION, NEEDS IDENTIFICATION, AND THE PRIORITIZATION PROCESS. COMMUNITY STAKEHOLDERS AND ORGANIZATIONS WERE INTERVIEWED FOR THE PURPOSE OF PROVIDING INPUT AND INFORMING THE CHNA PROCESS. INPUT FROM LEADERS INCLUDING LIVINGSTON COUNTY CATHOLIC CHARITIES, LIVINGSTON COUNTY COMMISSIONER, LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH, GLEANERS, LACASA, AND LIVINGSTON EDUCATIONAL SERVICE AGENCY PROVIDED INPUT ON THE NEEDS OF THOSE MOST VULNERABLE IN OUR COMMUNITY.THE CHNA SURVEY WAS CO-DEVELOPED IN COLLABORATION WITH THE LIVINGSTON COUNTY HEALTH DEPARTMENT. THE SURVEYS WERE DISTRIBUTED FROM MARCH TO AUGUST 2023. THIS COMPREHENSIVE SURVEY FEATURED 17 HEALTH-RELATED QUESTIONS THAT EXAMINED COMMUNITY STRENGTHS AND WEAKNESSES, POTENTIAL RISKS, DISCRIMINATION, AND CHALLENGES IN ACCESSING SERVICES, ALONGSIDE 10 DEMOGRAPHIC QUESTIONS. IT WAS WIDELY DISTRIBUTED AND PROMOTED THROUGH EMAIL LISTSERVS, SOCIAL MEDIA PLATFORMS, AND PAPER FORMATS, ENSURING OUTREACH TO DIVERSE COMMUNITIES. COMPLETED PAPER SURVEYS WERE MANUALLY INTEGRATED INTO THE ONLINE SURVEY DATABASE. IN TOTAL, LIVINGSTON COUNTY RECEIVED 1,120 SURVEY RESPONSES FROM BOTH ONLINE AND PAPER SUBMISSIONS.ADDITIONALLY, SIX FOCUS GROUPS WERE CONDUCTED IN LIVINGSTON COUNTY BETWEEN OCTOBER AND NOVEMBER 2023, IN PARTNERSHIP WITH THE LIVINGSTON COUNTY HEALTH DEPARTMENT AND THE SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION. INFORMATION ABOUT THE FOCUS GROUPS WAS WIDELY DISTRIBUTED AND PROMOTED THROUGH EMAIL LISTSERVS, SOCIAL MEDIA PLATFORMS, AND PAPER FLYERS, ENSURING OUTREACH TO DIVERSE COMMUNITIES. THE CONSENT TO PARTICIPATE IN THE FOCUS GROUPS INDICATED THEIR PARTICIPATION WOULD BE CONFIDENTIAL. THESE SESSIONS AIMED TO GATHER INSIGHTS AND FEEDBACK ON COMMUNITY-RELATED MATTERS, COMPLEMENTING THE QUANTITATIVE DATA OBTAINED FROM THE SURVEY AND ENRICHING THE OVERALL ASSESSMENT PROCESS.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 6B:	THLN CONDUCTED THE CHNA WITH KEY PARTNERS INCLUDING THE LIVINGSTON COUNTY HEALTH DEPARTMENT AND SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 7D:	THLN PROVIDES REGULAR UPDATES ON THE ADVANCEMENT OF THE CHNA PROGRAMS AND SERVICES THROUGH COMMUNITY PRESENTATIONS AND DISSEMINATING IMPACT REPORTS. THESE VALUABLE DOCUMENTS ARE MADE ACCESSIBLE FOR PARTNERS TO SHARE WITH THEIR CONSTITUENTS, ENSURING TRANSPARENCY AND COLLABORATION.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 11:	THE SIGNIFICANT COMMUNITY HEALTH NEEDS PRIORITIZED BY TRINITY HEALTH LIVINGSTON (THLN) ARE MENTAL HEALTH, FOOD AND NUTRITION SECURITY, AND ACCESS TO SERVICES WITH AN EMPHASIS ON TRANSPORTATION. IN FY24, THLN ADDRESSED THESE SIGNIFICANT COMMUNITY HEALTH NEEDS AS FOLLOWS:MENTAL HEALTH:IN FY24, THLN 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. KEY DEVELOPMENT CENTER RECEIVED FUNDING THROUGH TRINITY HEALTH LIVINGSTON'S INVESTING IN OUR COMMUNITIES GRANT FOR ITS KEY TO RECOVERY PROGRAM FOR INDIVIDUALS IN LIVINGSTON COUNTY WHO ARE ASSET LIMITED, INCOME CONSTRAINED AND EMPLOYED (ALICE). IN ADDITION, THLN PROVIDED A CONTRIBUTION TO THE FEDERAL DRUG-FREE COMMUNITIES GRANT THAT LIVINGSTON COUNTY CATHOLIC CHARITIES RECEIVES ON BEHALF OF THE LIVINGSTON COUNTY COMMUNITY ALLIANCE. THLN CONTINUES TO SUPPORT AND PROMOTE DRUG TAKEBACK EVENTS AND OFFERS A GREEN TAKEBACK RECEPTACLE IN THE HOSPITAL LOBBY.FOOD AND NUTRITION SECURITY:THLN SUPPORTS FOOD ACCESS, HEALTHY WEIGHT AND REDUCING CHRONIC DISEASE RISK, INCIDENCE, AND PREVALENCE THROUGH PRESCRIPTION FOR HEALTH FUNDING AND PROGRAM EXPANSION OF REFERRAL PARTNERS. THLN LEADERSHIP CONTINUED ITS PARTICIPATION WITH THE LIVINGSTON COUNTY'S HUNGER COUNCIL TO IDENTIFY FOOD SECURITY GAPS AND OPPORTUNITIES TO PARTNER WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. GLEANERS COMMUNITY FOOD BANK RECEIVED FUNDING THROUGH TRINITY HEALTH LIVINGSTON'S INVESTING IN OUR COMMUNITIES GRANTS FOR ITS LIVINGSTON SHARED HARVEST FOOD PANTRY. IN ADDITION, THLN PURCHASED PLANTER BOXES FOR THE ACADEMIC FAMILY MEDICINE CLINIC'S PATIENT PLANTER BOX INITIATIVE WHICH PROVIDED PRODUCE TO FOOD INSECURE PATIENTS.ACCESS TO SERVICES, EMPHASIS ON TRANSPORTATION:THLN CONTINUED COLLABORATIVE MATCHING COMMITMENTS WITH U-M HEALTH AND ASCENSION MICHIGAN HEALTH SYSTEMS TO EXPAND HEALTH CARE TRANSPORTATION THROUGH LIVINGSTON ESSENTIAL TRANSPORTATION SERVICE (LETS). THLN EXPANDED THE PARTNERSHIP WITH LETS BY PROVIDING ADDITIONAL FUNDING FOR A DEDICATED THLN-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.
GROUP A-FACILITY 5 -- TRINITY HEALTH LIVINGSTON HOSPITAL PART V, SECTION B, LINE 13H:	SEE FACILITY 1 EXPLANATION.
GROUP A-FACILITY 5 -- 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.
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
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.
PART V, SECTION B, LINE 10A	WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
PART V, SECTION B, LINE 16A-C	FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	79	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (79 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - (ANN ARBOR) TRINITY HEALTH BRIGHTON
7575 GRAND RIVER RD	BRIGHTON	MI	48114	LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYS, ONCOLOGY, 24 HR ER
2 - (AA) TH MEDICAL CENTER - CANTON
1600 CANTON CENTER RD	CANTON	MI	48188	LAB, IMAGING, THERAPY, ONCOLOGY, AMBULATORY SURGERY, URGENT CARE
3 - (AA) TRINITY HEALTH MICHIGAN HEART
5325 ELLIOTT DR	YPSILANTI	MI	48197	CARDIOVASCULAR CARE
4 - (AA) ELLEN THOMPSON WOMEN'S CENTER
5320 ELLIOTT DR	YPSILANTI	MI	48197	WOMEN'S HEALTH
5 - (OTHER) WARDE MEDICAL LABORATORY
300 W TEXTILE RD	ANN ARBOR	MI	48104	LAB
6 - (AA) MARIAN PROFESSIONAL BUILDING
14555 LEVAN RD	LIVONIA	MI	48154	RADIATION ONCOLOGY, REHAB, MRI, EMPLOYED PHYSICIANS
7 - (AA) MICHIGAN ORTHOPEDIC CENTER
5315 ELLIOTT DR	YPSILANTI	MI	48197	ORTHOPEDIC CARE
8 - (AA) SLEEP DISORDERS CENTER
5305 ELLIOTT DR	YPSILANTI	MI	48197	SLEEP CLINIC
9 - (AA) REICHERT HEALTH CENTER
5333 MCAULEY DR	YPSILANTI	MI	48197	LAB, IMAGING, AMBULATORY SURG., EMPLOYED PHYSICIANS
10 - (AA) HAAB HEALTH BUILDING
111 N HURON ST	YPSILANTI	MI	48197	FAMILY PRACTICE
11 - (AA) CENTER FOR DIGESTIVE CARE
5300 ELLIOTT DR	YPSILANTI	MI	48197	DIGESTIVE CARE
12 - (AA) SAMARITAN CENTER
5555 CONNER	DETROIT	MI	48213	INDIGENT CARE
13 - (AA) TRINITY HEALTH LAB - PLYMOUTH
990 W ANN ARBOR TRAIL	PLYMOUTH	MI	48170	LAB
14 - (AA) PARKWAY MEDICAL CENTER
2345 S HURON PKWY	ANN ARBOR	MI	48104	LAB
15 - (AA) HURON PROFESSIONAL BUILDING
704 W HURON ST	ANN ARBOR	MI	48103	LAB
16 - (AA) TRINITY HEALTH BEHAVIORAL SVCS
2200 CANTON CENTER RD	CANTON	MI	48188	BEHAVIORAL MEDICINE
17 - (AA) HURON OAKS
5401 MCAULEY DR	YPSILANTI	MI	48197	BEHAVIORAL MEDICINE
18 - (AA) GENOA MEDICAL CENTER
2305 GENOA BUSINESS PARK DR	BRIGHTON	MI	48114	LAB
19 - (AA) DIAGNOSTIC SERVICES CENTER
202 E VAN RIPER RD	FOWLERVILLE	MI	48836	LAB, IMAGING
20 - (AA) ARBOR SCIO PROFESSIONAL BLDG
6360 JACKSON RD	ANN ARBOR	MI	48103	LAB
21 - (AA) ARBOR PARK CENTRE
4972 CLARK RD	YPSILANTI	MI	48197	LAB
22 - (AA) CHERRY HILL LAB
49650 CHERRY HILL RD	CANTON	MI	48187	LAB
23 - (AA) TOWSLEY HEALTH BUILDING
5361 MCAULEY DR	YPSILANTI	MI	48197	NURSING HOME, EMPLOYED PHYS.
24 - (GR RAPIDS) TH MEDICAL CTR - CHERRY
245 CHERRY ST SE	GRAND RAPIDS	MI	49503	PEDIATRIC CLINIC, FAMILY MEDICINE, OB, NEUROSCIENCES, REHAB, SLEEP
25 - (GR) TH MEDICAL CENTER WEGE NORTH
300 LAFAYETTE	GRAND RAPIDS	MI	49503	LAB, FAMILY PRACTICE, INTERNAL MEDICINE PRACTICE
26 - (GR) TH MEDICAL CENTER - ROCKFORD
6050 NORTHLAND DR NE	ROCKFORD	MI	49341	FAMILY PRACTICE CENTER, URGENT CARE, LAB, IMAGING, WOMEN'S HEALTH, REHAB
27 - (GR) TH MEDICAL CENTER - BYRON CTR
2373 64TH STREET SW	BYRON CENTER	MI	49315	AMBULATORY SURGICAL CTR, REHAB, LAB, IMAGING, FAMILY PRACTICE, CARDIO AND ER
28 - (GR) TH MEDICAL GROUP - KENTWOOD
2080 44TH ST SE	KENTWOOD	MI	49508	REHAB, LAB, FAMILY PRACTICE
29 - (GR) TH MEDICAL GROUP - JENISON
7782 20TH AVENUE	JENISON	MI	49428	FAMILY PRACTICE CENTER
30 - (GR) TH MEDICAL CENTER - E BELTLINE
1471 EAST BELTLINE	GRAND RAPIDS	MI	49525	LAB, IMAGING, REHAB, EMPLOYED PHYS., URGENT CARE, OB
31 - (GR) CLINICA SANTA MARIA
730 GRANDVILLE AVE SW	GRAND RAPIDS	MI	49503	INDIGENT PRIMARY CARE CENTER
32 - (GR) TH MEDICAL GROUP - EAST PARIS
2144 EAST PARIS SE	GRAND RAPIDS	MI	49546	INTERNAL MEDICINE
33 - (GR) TH MEDICAL CENTER - RIVERTOWN
3380 44TH STREET SW	GRANDVILLE	MI	49418	LAB, IMAGING, REHAB, FAMILY PRACTICE
34 - (GR) TH MEDICAL CENTER WEGE SOUTH
310 LAFAYETTE SE	GRAND RAPIDS	MI	49503	IMMUNOLOGY, VASCULAR, INFECTIOUS DISEASE, AND PULMONOLOGY
35 - (GR) TH MEDICAL CENTER - WALKER
1175 WILSON AVE NW	WALKER	MI	49534	LAB, IMAGING, REHAB, FAMILY PRACTICE
36 - (GR) TH MEDICAL GROUP - ALPINE
933 THREE MILE NW	GRAND RAPIDS	MI	49504	LAB, REHAB, FAMILY PRACTICE
37 - (GR) TH MEDICAL GROUP - EAST PARIS CARDIOV
1000 EAST PARIS STE 222	GRAND RAPIDS	MI	49546	CARDIOVASCULAR
38 - (GR) TH MEDICAL GROUP - HUDSONVILLE
3925 32ND AVE STE 300	HUDSONVILLE	MI	49426	FAMILY PRACTICE & URGENT CARE
39 - (GR) TH MEDICAL GROUP - SPARTA
475 S STATE ST	SPARTA	MI	49345	FAMILY PRACTICE CENTER
40 - (GR) TH MEDICAL GROUP - INNOVATIVE PRIMARY
801 BROADWAY AVE NW STE 105	GRAND RAPIDS	MI	49504	FAMILY PRACTICE CENTER
41 - (GR) TH MEDICAL CENTER - CALEDONIA
10047 CROSSROADS CT SE	CALEDONIA	MI	49316	LAB, IMAGING, REHAB, FAMILY PRACTICE
42 - (GR) TH MED GROUP -BROWNING CLAYTOR
1246 MADISON SE	GRAND RAPIDS	MI	49507	FAMILY PRACTICE CENTER
43 - (GR) GVSU PRIMARY CARE
10383 42ND AVE A	ALLENDALE	MI	49401	FAMILY PRACTICE CENTER
44 - (GR) TH MEDICAL GROUP - RHEUMATOLOGY
1155 E PARIS SE STE 100	GRAND RAPIDS	MI	49546	RHEUMATOLOGY
45 - (GR) CONCIERGE MEDICINE GR
2155 E PARIS AVE SE EAST 220	GRAND RAPIDS	MI	49546	CONCIERGE MEDICINE
46 - (GR) HAUENSTEIN BEHAVIORAL HEALTH
220 CHERRY ST SE	GRAND RAPIDS	MI	49503	GEN NEURO, MOV DISORDER, NEUROMUSCULAR, NEURO RESIDENCY
47 - (GR) TH MEDICAL GROUP - SHERIDAN
301 N MAIN	SHERIDAN	MI	49315	VASCULAR
48 - (GR) TH MEDICAL GROUP - WYOMING
2093 HEALTH DRIVE SUITE 300	WYOMING	MI	49519	VASCULAR
49 - (GR) TH MEDICAL GROUP - JEFFERSON
260 JEFFERSON SE STE 115	GRAND RAPIDS	MI	49503	CONCIERGE MEDICINE
50 - (GR) TH MEDICAL GROUP - CHERRY
250 CHERRY ST SE	GRAND RAPIDS	MI	49503	ONCOLOGY
51 - (GR) TH ENDOSCOPY CENTER
310 LAFAYETTE SE STE 200	GRAND RAPIDS	MI	49503	GASTROENTEROLOGY ASC
52 - (GR) TH MEDICAL GROUP - GASTROENTEROLOGY
310 LAFAYETTE SE STE 400	GRAND RAPIDS	MI	49503	GASTROENTEROLOGY
53 - (GR) ADVENT PHYSICAL THERAPY
1761 W M43 STE 3	HASTINGS	MI	49058	REHAB
54 - (GR) ADVENT PHYSICAL THERAPY
1915 GEORGETOWN CENTER DR	JENISON	MI	49428	REHAB
55 - (GR) ADVENT PHYSICAL THERAPY
150 JEFFERSON SE ST 100	GRAND RAPIDS	MI	49503	REHAB
56 - (GR) ADVENT PHYSICAL THERAPY
6101 KALAMAZOO AVE SE STE B	GRAND RAPIDS	MI	49505	REHAB
57 - (GR) ADVENT PHYSICAL THERAPY
4085 BURTON ST SE STE 100	GRAND RAPIDS	MI	49546	REHAB
58 - (GR) ADVENT PHYSICAL THERAPY
3686 32ND AVE STE 400	HUDSONVILLE	MI	49426	REHAB
59 - (GR) ADVENT PHYSICAL THERAPY
545 S STATE ST STE H	SPARTA	MI	49345	REHAB
60 - (GR) ADVENT PHYSICAL THERAPY
9479 RILEY ST STE 210	ZEELAND	MI	49464	REHAB
61 - (OAKLAND) TH REHABILITATION
44428 WOODWARD	PONTIAC	MI	48341	REHAB
62 - (OAK) TH IMAGING - CLARKSTON
7210 N MAIN STREET	CLARKSTON	MI	48346	IMAGING
63 - (OAK) TH IMAGING -LAKE ORION
1375 S LAPEER RD STE104	ORION TOWNSHIP	MI	48360	IMAGING
64 - (OAK) TH IMAGING -WEST BLOOMFIELD
2300 HAGGERTY ROAD STE 1050	WEST BLOOMFIELD	MI	48323	IMAGING
65 - (OAK) TH SLEEP CENTER - OAKLAND
3100 CROSS CREEK STE 210	AUBURN HILLS	MI	48326	SLEEP LAB
66 - (OAK) TH LAB - LEXUS BUILDING
44200 WOODWARD STE 105	PONTIAC	MI	48341	LAB
67 - (OAK) TH LAB - COMMERCE TWNSHP
2630 UNION LAKE RD STE 200	COMMERCE TOWNSHIP	MI	48382	LAB
68 - (LIVONIA) LIVONIA MEDICAL CENTER
19000 ST JOES PARKWAY	LIVONIA	MI	48152	PRIMARY & URGENT CARE, SURGERY, LAB, RADIOLOGY, REHAB, SPORTS MED, OB/GYN, U
69 - (LIV) TRINITYELITE - SCHOOLCRAFT
18001 ST JOES PARKWAY	LIVONIA	MI	48152	SPORTS THERAPY
70 - (LIV) TRINITYELITE - NEWBURGH
13245 NEWBURGH RD	LIVONIA	MI	48154	SPORTS THERAPY
71 - (LIV) TRINITYELITE - SALINE
1200 WOODLAND DR E	SALINE	MI	48176	SPORTS THERAPY
72 - (LIV) TRINITYELITE - CHELSEA
420 N MAIN ST STE 900	CHELSEA	MI	48188	SPORTS THERAPY
73 - (LIV) HURON GASTRO CENTER FOR DIGESTIVE CA
36650 FILE MILE RD	LIVONIA	MI	48154	ENDOSCOPY
74 - (LIV) TH FREEDOM MEDICAL
20206 FARMINGTON RD	LIVONIA	MI	48152	INTERNAL MEDICINE PRACTICE
75 - (LIV) TRINITYELITE - OAKLAND
44405 WOODWARD AVE	PONTIAC	MI	48341	SPORTS THERAPY
76 - (LIV) TRINITYELITE - WIXOM
30990 S WIXOM ROAD	WIXOM	MI	48393	SPORTS THERAPY
77 - (LIV) TH ACADEMIC PSYCHIATRY
37595 W SEVEN MILE RD	LIVONIA	MI	48152	OUTPATIENT BEHAVIORAL SERVICES
78 - (LIV) TRINITY HEALTH SLEEP CENTER
14600 FARMINGTON RD	LIVONIA	MI	48154	SLEEP LAB
79 - (LIV) OUTPATIENT SURGERY CENTER
36622 5 MILE RD	LIVONIA	MI	48154	SURGICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. TH-MI ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING.
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, LINE 7G:	INCLUDED IN SUBSIDIZED HEALTH SERVICES IS THE NET COMMUNITY BENEFIT COST ATTRIBUTED TO PHYSICIAN CLINICS OF $7,350,056.
PART I, LN 7 COL(F):	THE FOLLOWING NUMBER, $51,301,864, 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 ANN ARBOR AND LIVINGSTON HOSPITALS BOTH PARTICIPATED IN THE ROOT CAUSE COALITION, A NATIONAL COALITION DEDICATED TO ADDRESSING AND ELIMINATING THE SYSTEMIC ROOT CAUSES OF HEALTH INEQUITIES. THROUGH COLLABORATIVE CROSS-SECTOR PARTNERSHIPS, THE COALITION EMPOWERS MEMBER ORGANIZATIONS TO ADVANCE HEALTH EQUITY INITIATIVES BY PROVIDING VITAL RESOURCES IN ADVOCACY, EDUCATION, AND RESEARCH. BY ENGAGING WITH THIS COALITION, TRINITY HEALTH ANN ARBOR AND LIVINGSTON REINFORCE THEIR COMMITMENTS TO FOSTERING HEALTHIER, MORE EQUITABLE COMMUNITIES FOR ALL. TRINITY HEALTH GRAND RAPIDS HOSPITAL'S PRIMARY COMMUNITY BUILDING ACTIVITY IS WORKFORCE DEVELOPMENT. THE HOSPITAL PARTNERED WITH A LOCAL CAREER CENTER TO PROVIDE WORKFORCE DEVELOPMENT SUPPORT TO STUDENTS FROM THE COMMUNITY WHO ARE FACING ECONOMIC CHALLENGES.TRINITY HEALTH LIVONIA HOSPITAL CONTINUED TO SUPPORT THE DETROIT CRISTO REY SCHOOL, A COLLEGE PREPARATORY 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.
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 14 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. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."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:	THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION. 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 26, 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.IN ADDITION, A TRINITY HEALTH LIVONIA HOSPITAL REPRESENTATIVE SERVED ON THE WAYNE COUNTY HEALTH, HUMAN AND VETERAN'S SERVICES COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - TH-MI COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE 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 FOR FINANCIAL SUPPORT 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 HOSPITALS.
PART VI, LINE 4:	TRINITY HEALTH ANN ARBOR HOSPITAL:TRINITY HEALTH ANN ARBOR, CHELSEA HOSPITAL, AND U-M HEALTH ARE ALL HOSPITALS LOCATED WITHIN WASHTENAW COUNTY. THESE THREE NON-PROFIT HOSPITALS PARTNERED TOGETHER AND ESTABLISHED THE UNITE COALITION, WHICH DEFINED "COMMUNITY" AS GREATER WASHTENAW COUNTY: WASHTENAW COUNTY, GRASS LAKE, AND STOCKBRIDGE. LOCATED IN THE SOUTHEAST MICHIGAN REGION, GREATER WASHTENAW COUNTY INCLUDES URBAN, SUBURBAN, AND RURAL COMMUNITIES THAT ARE HOME TO APPROXIMATELY 385,700 RESIDENTS IN SIX CITIES, 24 TOWNSHIPS AND FOUR VILLAGES. RESIDENTS OF GREATER WASHTENAW COUNTY IDENTIFY AS WHITE (69.6%), BLACK/AFRICAN AMERICAN (11.0%), ASIAN (8.8%), HISPANIC OR LATINX (5.0%), AMERICAN INDIAN AND ALASKA NATIVE (0.2%), AND NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER (0.03%). THE PERCENTAGE OF PEOPLE WHO IDENTIFY AS A RACE OTHER THAN THE DESCRIBED OPTIONS IS 0.04%.INCOME AND POVERTY ARE SIGNIFICANT INDICATORS OF HEALTH AND LIFE EXPECTANCY. THE MEDIAN HOUSEHOLD INCOME FOR WASHTENAW COUNTY ($84,245) IS HIGHER THAN THE STATE OF MICHIGAN ($68,505) AND THE UNITED STATES ($75,149). WHILE THIS DATA IMPLIES HIGH RATES OF PROSPERITY FOR RESIDENTS ACROSS GREATER WASHTENAW COUNTY, THERE REMAINS POPULATIONS THAT EXPERIENCE POVERTY. APPROXIMATELY 13.8% OF WASHTENAW COUNTY RESIDENTS EARN LESS THAN THE FEDERAL POVERTY LEVEL (FPL) THRESHOLDS: 3.7% AND 6.6% OF RESIDENTS FOR GRASS LAKE AND STOCKBRIDGE RESPECTIVELY. IN 2023, THE FPL WAS $14,580 FOR AN INDIVIDUAL AND $30,000 FOR A FAMILY OF FOUR.TRINITY HEALTH GRAND RAPIDS HOSPITAL:THGR SERVES AN EIGHT COUNTY AREA IN WEST MICHIGAN. THE PRIMARY SERVICE AREA IS KENT COUNTY. THE SECONDARY SERVICE AREA INCLUDES OTTAWA, MUSKEGON, NEWAYGO, MONTCALM, IONIA, BARRY, AND ALLEGAN COUNTIES.DEMOGRAPHIC INFORMATION FOR THE PRIMARY AND SECONDARY SERVICE AREAS:- ESTIMATED 2024 POPULATION IS 1,284,616- AVERAGE AGE IS 39.2 YEARS- AVERAGE HOUSEHOLD INCOME IS $99,498- 74% WHITE (NON-HISPANIC), 11% HISPANIC, 8% BLACK, 3% ASIAN AND PACIFIC ISLAND (NON-HISPANIC), 5% OTHER- 91% SPEAK ONLY ENGLISH AT HOME, 6% SPEAK SPANISH AT HOME- 3% HAVE LESS THAN A HIGH SCHOOL EDUCATION, 5% HAVE SOME HIGH SCHOOL, 28% HAVE GRADUATED HIGH SCHOOL, 32% HAVE SOME COLLEGE OR AN ASSOCIATE'S DEGREE, 32% HAVE A BACHELOR'S DEGREE OR MOREADDITIONAL HEALTH CARE RESOURCES INCLUDE UNIVERSITY OF MICHIGAN HEALTH-WEST, COREWELL HEALTH (TWO HOSPITAL CAMPUSES), MARY FREE BED REHABILITATION HOSPITAL, AND TWO FREESTANDING PSYCHIATRIC HOSPITALS: PINE REST CHRISTIAN MENTAL HEALTH SERVICES AND FOREST VIEW HOSPITAL.TRINITY HEALTH OAKLAND HOSPITAL:THOA IS LOCATED IN PONTIAC, THE HEART OF OAKLAND COUNTY. ITS PRIMARY SERVICE AREA ENCOMPASSES ZIP CODES WHERE AT LEAST 75% OF CURRENT OUTPATIENT AND EMERGENCY DEPARTMENT PATIENTS RESIDE. THESE AREAS INCLUDE PONTIAC, WATERFORD, CLARKSTON, AUBURN HILLS, OXFORD, WHITE LAKE, BLOOMFIELD HILLS, ORTONVILLE, AND LAKE ORION. THOA'S SERVICE AREA HAS A POPULATION OF APPROXIMATELY 296,800 RESIDENTS AND INCLUDES 21 ZIP CODES.PONTIAC IS UNIQUE BECAUSE IT IS AN AREA WITH HIGH POVERTY SURROUNDED BY AFFLUENT COMMUNITIES, CREATING A SILO OF UNDERSERVED RESIDENTS. PONTIAC HAS A 27% CHILDHOOD POVERTY RATE AND AN 18% OVERALL POVERTY RATE, WHICH IS HIGHER THAN THE STATE POVERTY RATE OF 14%. THERE IS AN 18-YEAR LIFE EXPECTANCY GAP BETWEEN PONTIAC AND THE SURROUNDING COMMUNITIES. THE MEDIAN FAMILY INCOME FOR PONTIAC IS $40,456, COMPARED TO $102,947 FOR OAKLAND COUNTY AND $72,600 FOR MICHIGAN. PONTIAC IS THE ONLY FEDERALLY DESIGNATED MEDICALLY UNDERSERVED COMMUNITY IN OAKLAND COUNTY.THOA'S SERVICE AREA HAS AN EVEN DISTRIBUTION BETWEEN MALES (53%) AND FEMALES (45%). THE MEDIAN AGE IS 41 WITH THE LARGEST GROUP BEING BETWEEN THE AGES OF 18 AND 64 (63%) FOLLOWED BY CHILDREN BETWEEN AGE 5 TO 17 (16.65%). ADULTS AGE 65 AND OVER WERE 11.6% OF THE POPULATION WHILE YOUTH AGES 0-4 MAKE UP THE SMALLEST GROUP (8.6%).THOA'S NON-HISPANIC POPULATION IS 85%, AND THE HISPANIC LATINX POPULATION IS 12.3%. THOA'S SERVICE AREA DEMOGRAPHICS INDICATE INCREASES IN POPULATIONS OF COLOR. PONTIAC RESIDENTS WHO IDENTIFY AS AFRICAN AMERICAN REFLECT 56% OF THE POPULATION, WHILE 17.6% REPRESENT AS WHITE, FOLLOWED BY 20% OF MULTIPLE RACES. PONTIAC RESIDENTS WHO IDENTITY AS HISPANIC OR LATINX REPRESENTED 19.2% OF THE POPULATION, ONE OF THE HIGHEST PERCENTAGES IN OAKLAND COUNTY.TRINITY HEALTH LIVONIA HOSPITAL: LOCATED IN WESTERN WAYNE COUNTY, THE SERVICE AREA OF THLA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS DEFINED AS THE ZIP CODES IN WHICH PATIENTS MAKING UP 75% OF OUTPATIENT EMERGENCY ROOM VISITS RESIDE. THIS INCLUDES ZIP CODES OF WESTLAND, CANTON, LIVONIA, NORTHVILLE, PLYMOUTH, REDFORD, AND GARDEN CITY. IN ADDITION, ZIP CODES WERE ADDED FOR DEARBORN HEIGHTS, INKSTER AND TWO COMMUNITIES IN DETROIT WHICH MAKE UP THE NEXT 6% OF EMERGENCY ROOM VISITS AND HAD THE HIGHEST INCREASE IN VISITS FROM THE PREVIOUS YEAR. THE POPULATION OF ALL 17 ZIP CODES IS APPROXIMATELY 613,900. WHITE INDIVIDUALS MAKE UP 60.28% OF THE POPULATION OF THE SERVICE AREA, BLACK OR AFRICAN AMERICAN INDIVIDUALS MAKE UP 27.42%, ASIAN INDIVIDUALS MAKE UP 5.82%, AMERICAN INDIAN OR ALASKA NATIVE MAKE UP 0.24%, NATIVE HAWAIIAN OR PACIFIC ISLANDER INDIVIDUALS MAKE UP 0.01%, AND THOSE WHO IDENTIFY WITH MORE THAN ONE RACE MAKE UP 5.07%. THE NON-HISPANIC POPULATION IN THIS AREA IS 96.03%, AND THE HISPANIC OR LATINX POPULATION IS 3.97%. THESE DEMOGRAPHICS INDICATE AN INCREASE IN BLACK, INDIGENOUS, PEOPLE OF COLOR (BIPOC) RESIDENTS OF THE TRINITY HEALTH LIVONIA SERVICE AREA. TRINITY HEALTH LIVINGSTON HOSPITAL:THE SERVICE AREA FOR THLN IS DEFINED AS LIVINGSTON COUNTY, WHERE THE MAJORITY OF THE HOSPITAL'S PATIENTS RESIDE. SITUATED ON THE SOUTHEASTERN SIDE OF MICHIGAN, LIVINGSTON COUNTY IS BORDERED BY WASHTENAW, GENESEE, SHIAWASSEE, OAKLAND, INGHAM, AND JACKSON COUNTIES. ACCORDING TO THE LATEST CENSUS BUREAU ESTIMATES, THE COUNTY'S POPULATION STANDS AT APPROXIMATELY 194,300, REFLECTING A MODEST INCREASE SINCE THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. LIVINGSTON COUNTY IS COMPOSED OF MOSTLY SUBURBAN AND RURAL COMMUNITIES WITH THREE CITIES, 16 TOWNSHIPS AND TWO VILLAGES. MOST RESIDENTS IN LIVINGSTON COUNTY IDENTIFY AS WHITE (93.9%). OTHER RACES INCLUDE BLACK OR AFRICAN AMERICAN, AMERICAN INDIAN ALASKA NATIVE, AND ASIAN, WITH EACH OF THESE GROUPS REPRESENTING LESS THAN 1% OF LIVINGSTON'S RESIDENTS. THOSE WHO IDENTIFIED AS HAVING TWO OR MORE RACES REPRESENTED 2.2% OF THE POPULATION. APPROXIMATELY 2.7% OF LIVINGSTON'S RESIDENTS IDENTIFY AS HISPANIC OR LATINX ETHNICITY (SOURCE: US CENSUS). WHILE THE MEDIAN HOUSEHOLD INCOME FOR LIVINGSTON COUNTY IS $96,135, POVERTY IS STILL PRESENT FOR SOME INDIVIDUALS AND FAMILIES IN LIVINGSTON COUNTY WITH AN ESTIMATED 9,362 (4.9%) PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL). IN 2023, THE FPL WAS $14,580 FOR AN INDIVIDUAL AND $30,000 FOR A FAMILY OF FOUR. ADDITIONALLY, 14.9% (28,651) OF THE POPULATION IN LIVINGSTON COUNTY HAS A LOW INCOME, DEFINED AS EARNING 200% OR LESS OF THE POVERTY LEVEL.
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:THAA IS A PROUD FINANCIAL AND IN-KIND SUPPORTER OF THE WASHTENAW HEALTH PROJECT (WHP). WHP REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, U-M HEALTH AND THAA TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. THE HOSPITALS OFFER FREE OR REDUCED-FEE CLINICAL SERVICES TO FURTHER ALLEVIATE BARRIERS TO CARE. IN A COMMITMENT TO STRENGTHENING SOCIAL CARE INFRASTRUCTURE, THAA CO-FOUNDED THE WASHTENAW/LIVINGSTON COMMUNITY HEALTH WORKER (CHW) COALITION. THIS INITIATIVE AIMS TO ENHANCE THE COMMUNITY'S CAPACITY TO ADDRESS HEALTH DISPARITIES AND SUSTAIN IMPACTFUL CHW PROGRAMS. COMPLEMENTING THIS EFFORT, THE FINDHELP COMMUNITY RESOURCE DIRECTORY ENABLES RESIDENTS TO SWIFTLY LOCATE VITAL FREE OR REDUCED-FEE COMMUNITY-BASED SOCIAL CARE RESOURCES.FURTHERMORE, THAA EXTENDS CLINICAL STAFF SUPPORT TO LOCAL ORGANIZATIONS LIKE CORNER HEALTH TO PROVIDE SUBSIDIZED CARE OPPORTUNITIES. THAA AND TRINITY HEALTH IHA MEDICAL GROUP COLLABORATE CLOSELY WITH EASTERN MICHIGAN UNIVERSITY TO OPERATE A CLINIC LOCATED NEAR THE UNIVERSITY CAMPUS, AS WELL AS IN NEARBY ZIP CODES IDENTIFIED AS EXPERIENCING SIGNIFICANT GAPS IN HEALTH CARE ACCESS. THIS PARTNERSHIP IS DESIGNED TO PROVIDE ESSENTIAL MEDICAL SERVICES TO UNDERSERVED POPULATIONS, ENSURING THAT INDIVIDUALS IN THESE AREAS RECEIVE THE COMPREHENSIVE CARE THEY NEED.TRINITY HEALTH GRAND RAPIDS HOSPITAL:THGR IS WELL-INTEGRATED IN THE COMMUNITY, WITH A REPUTATION FOR PARTNERSHIP AND COLLABORATION. THE HOSPITAL HAS REPRESENTATION ON MULTIPLE COMMUNITY COALITIONS, BOARDS, AND COMMITTEES, INCLUDING THE FOLLOWING: KENT COUNTY ESSENTIAL NEEDS TASK FORCE, KENT COUNTY HEALTH EQUITY COUNCIL ADVISORY BOARD, KENT COUNTY HEALTH EQUITY COUNCIL MENTAL HEALTH ACTION TEAM, GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE WORK GROUPS FOR MATERNAL/INFANT HEALTH AND SICKLE CELL DISEASE, AND HEALTH NET OF WEST MICHIGAN.THE HOSPITAL ALSO OFFERS HEALTH EDUCATION TO THE COMMUNITY. BASIC FIRST AID TRAINING IS OFFERED MULTIPLE TIMES PER YEAR, OPEN TO THE PUBLIC AND FREE OF CHARGE. THE HOSPITAL ALSO OFFERS MONTHLY "WEDNESDAY WELLNESS" HEALTH EDUCATION WEBINARS ON TOPICS SUCH AS WOMEN'S HEALTH, BONE HEALTH, HEALTHY BEHAVIORS, AND MENTAL HEALTH.THE HOSPITAL USES ITS FINANCIAL RESOURCES TO SUPPORT ORGANIZATIONS THAT ARE PROMOTING HEALTH IN THE COMMUNITY. RECIPIENTS OF HOSPITAL FUNDING INCLUDE THE FOLLOWING: GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE, HISPANIC CENTER OF WESTERN MICHIGAN, YWCA WEST CENTRAL MICHIGAN, GRAND RAPIDS LGBTQ HEALTH CARE CONSORTIUM, WEST MICHIGAN ASIAN AMERICAN ASSOCIATION, COMMUNITY REBUILDERS, CHILDREN'S ADVOCACY CENTER, BAXTER COMMUNITY CENTER, LITERACY CENTER OF WEST MICHIGAN, AND HEART OF WEST MICHIGAN UNITED WAY.TRINITY HEALTH GRAND RAPIDS HOSPITAL IS FOCUSED ON HEALTH EQUITY AND ON ADDRESSING THE SOCIAL INFLUENCERS OF HEALTH IMPACTING THE COMMUNITY WE SERVE. IN THE PAST YEAR, THE HOSPITAL FOCUSED ATTENTION ON COLLECTING SOCIAL NEEDS SCREENING DATA FOR HOSPITALIZED PATIENTS, BUILDING ON AN ALREADY-ROBUST OUTPATIENT SOCIAL NEEDS SCREENING PROCESS. EMPLOYEES IN THE HOSPITAL AS WELL AS THOSE SERVING IN THE AMBULATORY AND COMMUNITY SETTINGS ARE EQUIPPED WITH INFORMATION ABOUT HOW TO LINK PATIENTS AND COMMUNITY MEMBERS TO COMMUNITY RESOURCES THROUGH COMMUNITY RESOURCE DIRECTORIES SUCH AS FIND HELP AND 2-1-1.TRINITY HEALTH OAKLAND HOSPITAL:THOA CONTINUED TO SUPPORT THE COMMUNITY THROUGH ACTIVE PARTICIPATION ON LOCAL COMMUNITY BOARDS AND COMMUNITY COLLABORATIVES, INCLUDING MARCH FOR BABIES, HOPE WARMING SHELTER AND THE GREATER PONTIAC COMMUNITY COALITION'S COMMITTEE OF 50. THOA HOSTS REGULAR BLOOD DRIVES, HEALTH EDUCATION, AND CAREGIVER AND SENIOR FIT PROGRAMING THROUGHOUT THE YEAR. THROUGH ITS COMFORT CARE PROGRAM, THOA 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, OAKLAND COUNTY SHERIFF'S DEPARTMENT, OAKLAND SCHOOLS AND SENIOR ADVISORY COUNCIL, CONTINUES TO MAINTAIN MONTHLY CONTACTS WITH MARGINALIZED RESIDENTS.THE INJURY PREVENTION PROGRAM AT THOA WORKS TO HELP FAMILIES AND COMMUNITIES STAY SAFE FROM PREVENTABLE INJURIES. OUR TEAM WORKS WITH AN EXTENSIVE NETWORK OF COMMUNITY PARTNERS TO REDUCE TRAFFIC INJURIES, DROWNINGS, FALLS, BURNS, POISONINGS AND MORE. THROUGH EVIDENCE-BASED PROGRAMS AND COMMUNITY EDUCATION COURSES SUCH AS STOP THE BLEED, WE CAN PROVIDE TRAINING ON HOW TO STOP A LIFE-THREATENING HEMORRHAGE. A MATTER OF BALANCE WORKS TO REDUCE THE FEAR OF FALLING, STOP THE FALLING CYCLE AND INCREASE ACTIVITY LEVELS AMONG COMMUNITY-DWELLING OLDER ADULTS. THOA RECEIVED FUNDING THROUGH A TRANSFORMING COMMUNITIES INITIATIVE (TCI) GRANT TO FOCUS ON ADDRESSING EQUITY AND ADVANCEMENT OF COMMUNITY PARTNERSHIPS THAT ACCELERATE COMMUNITY HEALTH IMPROVEMENT ACTIVITIES IN THE HOSPITAL'S SERVICE AREA. THOA 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 WHICH ARE EXACERBATED BY HOUSING AND COMMUNITY SAFETY ISSUES. OLHSA, WITH SUPPORT FROM COMMUNITY ORGANIZER TAMEKA RAMSEY AND ASSOCIATES, COMPLETED A ROOT CAUSE ANALYSIS AND COMMUNITY ACTION PLAN TO COORDINATE THE DISTRIBUTION OF FUNDING AND TECHNICAL SUPPORT. 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. THROUGHOUT FY24, A COMMITTEE OF 15 RESIDENTS ENGAGED IN TRAINING, CAPACITY BUILDING, AND POLICY DEVELOPMENT COHORTS AROUND HOUSING AND COMMUNITY SAFETY, TO INCREASE AWARENESS AND EDUCATION AROUND HOUSING SOLUTIONS AND RESOURCES. TCI IS IN THE THIRD YEAR OF A FIVE-YEAR GRANT CYCLE THAT CONCLUDES IN 2026. THOA STARTED ITS FOURTH 16-WEEK DIABETES PREVENTION PROGRAM COHORT, WITH 16 ACTIVE PARTICIPANTS WHOSE SESSION CONTINUES INTO FY25. 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.TRINITY HEALTH LIVONIA HOSPITAL:THLA COORDINATES THE HEALTHY LIVONIA COALITION, A COLLABORATION THAT LEVERAGES THE RESOURCES OF SOME OF THE CITY'S MAJOR INSTITUTIONS TO CREATE A HEALTH SUPPORTIVE ENVIRONMENT AND A GOOD QUALITY OF LIFE FOR ALL PEOPLE IN THE LIVONIA COMMUNITY. THE COALITION FOCUSES ON INFRASTRUCTURE DEVELOPMENT, POLICY CHANGE AND PROGRAMS.TRINITY HEALTH LIVINGSTON HOSPITAL:THLN 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 FUNDING, MEMBERSHIP, AND CONNECTION TO HEALTH CARE SYSTEM OPERATIONS WHEN APPROPRIATE. THLN 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. THLN 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.IN FY24, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. TRINITY HEALTH'S COMMUNITY IMPACT IN FY24 FOR THE ENTIRE MICHIGAN REGION TOTALED $232.2 MILLION.
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 & 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 AIM TO 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 WE 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 2024 (FY24), TRINITY HEALTH CONTRIBUTED NEARLY $1.3 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $900 MILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.2 BILLION IN FY24.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY24 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN PARTNERSHIP WITH 31 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $931.5 MILLION IN INVESTMENTS, WITH APPROXIMATELY 80% ($749.3 MILLION) OF THESE FUNDS SUPPORTING HIGH PRIORITY ZIP CODES WITHIN TRINITY HEALTH'S SERVICE AREAS (DEFINED AS RACIALLY/ETHNICALLY-DIVERSE COMMUNITIES WITH HIGH LEVELS OF POVERTY). BETWEEN 2018 AND APRIL 2024, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- CREATING AT LEAST 1,100 CHILDCARE; 7,000 KINDERGARTEN THROUGH HIGH SCHOOL EDUCATION; AND 1,500 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPING AT LEAST 7.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE.- PROVIDING 872 STUDENTS NEARLY $2.5 MILLION IN SCHOLARSHIPS TO PURSUE CAREERS IN THE HEALTH PROFESSIONS.- SUPPORTING 10,800 FULL- AND PART-TIME POSITIONS INVOLVED IN THE CREATION OF THESE PROJECTS.- CREATING 12,100 UNITS OF AFFORDABLE HOUSING OVER THE LAST FIVE YEARS (INCLUDING 360 SUPPORTIVE HOUSING BEDS).ACROSS THE TRINITY HEALTH SYSTEM, OVER 875,000 (ABOUT 80%) OF THE PATIENTS SEEN IN PRIMARY CARE SETTINGS WERE SCREENED FOR SOCIAL NEEDS. ABOUT 28% OF THOSE SCREENED IDENTIFIED AT LEAST ONE SOCIAL NEED. THE TOP THREE NEEDS IDENTIFIED INCLUDED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) MADE IT POSSIBLE FOR TRINITY HEALTH TO STANDARDIZE SCREENING FOR SOCIAL NEEDS AND CONNECT PATIENTS TO COMMUNITY RESOURCES THROUGH THE COMMUNITY RESOURCE DIRECTORY (CRD), COMMUNITY HEALTH WORKERS (CHW'S) AND OTHER SOCIAL CARE PROFESSIONALS. THE CRD (FINDHELP) YIELDED OVER 88,600 SEARCHES, WITH NEARLY 7,000 REFERRALS MADE AND NEARLY 400 ORGANIZATIONS ENGAGED THROUGH OUTREACH, TRAININGS, ONE-ON-ONE ENGAGEMENTS, AND COLLABORATIVES. CHW'S ARE FRONTLINE HEALTH PROFESSIONALS WHO ARE TRUSTED MEMBERS OF AND/OR HAVE A DEEP UNDERSTANDING OF THE COMMUNITY SERVED. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING, CHW'S PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S FULFILL MANY SKILLS AND FUNCTIONS INCLUDING OUTREACH, CONDUCTING ASSESSMENTS LIKE A SOCIAL NEEDS SCREENING OR A HEALTH ASSESSMENT, RESOURCE CONNECTION, SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY, AND SUPPORT. IN PRACTICE, SOME EXAMPLES ARE A CHW HELPING A PATIENT CONNECT WITH THEIR PRIMARY CARE DOCTOR, ASSISTING WITH A MEDICAID INSURANCE APPLICATION OR UNDERSTANDING THEIR BASIC INSURANCE BENEFITS, OR EMPOWERING A PATIENT TO ASK CLARIFYING QUESTIONS ABOUT THEIR MEDICATIONS OR PLAN OF CARE AT THEIR NEXT DOCTOR'S APPOINTMENT. IN FY24, CHW'S SUCCESSFULLY ADDRESSED NEARLY 16,000 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO SUCCESSFULLY CLOSE, WHICH MEANS THE NEED HAS BEEN FULLY MET AND IS NO LONGER IDENTIFIED AS A NEED. TRINITY HEALTH RECEIVED A NEW CENTER FOR DISEASE CONTROL AND PREVENTION GRANT (5-YEAR, $12.5 MILLION AWARD) IN JUNE 2024. SINCE ITS LAUNCH, WE HAVE CREATED 21 NEW MULTI-SECTOR PARTNERSHIPS ACROSS 16 STATES TO ACCELERATE HEALTH EQUITY IN DIABETES PREVENTION. THIS PAST FISCAL YEAR, OUR HUB ENROLLED NEARLY 700 PARTICIPANTS INTO THE 12-MONTH, EVIDENCE-BASED LIFESTYLE CHANGE PROGRAM (60% REPRESENTING BLACK, LATINX AND/OR 65+ POPULATIONS), REACHED OUT TO NEARLY 20,350 PATIENTS AT RISK FOR TYPE 2 DIABETES, RECEIVED OVER 1,350 POINT OF CARE REFERRALS FROM PHYSICIANS, AND SCREENED NEARLY 1,500 POTENTIAL PARTICIPANTS FOR HEALTH-RELATED SOCIAL NEEDS - PROVIDING CHW INTERVENTIONS WHEN REQUESTED. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
AFRICAN AMERICAN HEALTH INSITITUTE
500 LAFAYETTE AVENUE NE STE 18	GRAND RAPIDS	MI	48843	061658200	501(C)(3)	$20,000	$0	IMPROVING ACCESS TO TRANSPORTATION & REDUCING BARRIERS TO HEALTH CARE
CATHOLIC SOCIAL SERVICES WASHTENAW COUNTY
4925 PACKARD	ANN ARBOR	MI	48108	381654500	501(C)(3)	$5,000	$0	COMMUNITY SUPPORT
CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION
2929 PLYMOUTH ROAD SUITE 245	ANN ARBOR	MI	48105	271017827	501(C)(3)	$80,000	$0	IMPROVE LOW-INCOME, UNINSURED & UNDERINSURED POPULATIONS
CHARTER TOWNSHIP OF NORTHVILLE
44405 6 MILE RD	NORTHVILLE	MI	48168	386007235	GOVERNMENT ORG	$10,000	$0	LATINX MENTAL HEALTH SERVICES & SUPPORT PROJECT
CITY OF PONTIAC
47450 WOODWARD AVE	PONTIAC	MI	48342	386005034	GOVERNMENT ORG	$16,000	$0	PRODUCE PRESCRIPTION PROGRAM ASSIST
COMMUNITY FOOD CLUBS
1100 DIVISION AVE SOUTH	GRAND RAPIDS	MI	48567	822265189	501(C)(3)	$80,000	$0	OUR COMMUNITIES GRANT
CROSSROADS CHURCH OF GOD
3960 PINCKNEY RD	HOWELL	MI	48843	382504769	501(C)(3)	$5,000	$0	NORTHVILLE SENIOR ADULT SERVICES TRANSPORATION PROGRAM
DIOCESE OF GRAND RAPIDS
360 DIVISION AVE S STE 3A	GRAND RAPIDS	MI	48694	381368746	501(C)(3)	$43,500	$0	PRODUCE PRESCRIPTION PROGRAM ASSIST
EASTSIDE COMMUNITY NETWORK
4401 CONNER	DETROIT	MI	48215	382561225	501(C)(3)	$10,000	$0	COMMUNITY SUPPORT
E-COMMUNITY OUTREACH SERVICES
953 W HURON ST	WATERFORD	MI	48328	844232489	501(C)(3)	$8,500	$0	COMMUNITY SUPPORT
FAMILIES AGAINST NARCOTICS INC
19291 GILL ROAD	LIVONIA	MI	48152	815427829	501(C)(3)	$5,400	$0	PRODUCE PRESCRIPTION PROGRAM ASSIST
FOOD GATHERERS
1 CARROT WAY	ANN ARBOR	MI	48105	382853858	501(C)(3)	$50,000	$0	JAMIE DANIELS FOUNDATION ROAST & TOAST - SPONSORSHIP
FREEDOM ROAD TRANSPORTATION AUTHORITY
2633 S LAPEER RD STE H	ORION	MI	48360	352212929	501(C)(3)	$35,000	$0	COMMUNITY SUPPORT
FULLER HILL CHILD CARE
5251 MCAULEY DR	YPSILANTI	MI	48197			$57,208	$0	SPONSORSHIP
GLEANERS COMMUNITY FOOD BANK
2131 BEAUFAIT ST	DETROIT	MI	48207	382156255	501(C)(3)	$50,000	$0	SPONSORSHIP FOR COURAGEOUS GAMES AND SOUL DAY FESTIVAL
GRAND RAPIDS LGBTQ HEALTHCARE CONSORTIUM
3135 PRATT LAKE SE	LOWELL	MI	48589	861255256	501(C)(3)	$10,000	$0	COMMUNITY HEALTH CARE
GRAND VALLEY STATE UNIVERSITY
1 CAMPUS DRIVE	ALLENDALE	MI	48716	381684280	501(C)(3)	$6,000	$0	COMMUNITY SUPPORT
GREATER PONTIAC COMMUNITY COALITION
143 ONEIDA ST	PONTIAC	MI	48341	383219125	501(C)(3)	$10,000	$0	SAFE BABY/SAFE SLEEP & SURVIVOR MOMS PROJECT
GROWING FORWARD TOGETHER
1916 SUNRISE STREET	ANN ARBOR	MI	48103	854147870	501(C)(3)	$50,000	$0	PRODUCE PRESCRIPTION PROGRAM ASSIST
GROWING HOPE INC
922 W MICHIGAN AVE	YPSILANTI	MI	48197	743091845	501(C)(3)	$25,000	$0	COMMUNITY SUPPORT
GROWTH WORKS INC
271 S MAIN ST	PLYMOUTH	MI	48170	382036653	501(C)(3)	$50,000	$0	COMMUNITY SUPPORT
HEART OF WEST MICHIGAN UNITED WAY
118 COMMERCE AVENUE SW	GRAND RAPIDS	MI	48867	381360923	501(C)(3)	$10,000	$0	VARIOUS SPONSORSHIPS
HEARTSIDE GLEANING INITIATIVE
PO BOX 603	ADA	MI	48737	465234202	501(C)(3)	$64,102	$0	RECUPERATIVE CARE CENTER
HISPANIC CENTER OF WEST MICHIGAN
1204 GRANDVILLE AVE SW	GRAND RAPIDS	MI	48879	382265825	501(C)(3)	$72,500	$0	TALK. THEY HEAR YOU SUPPORT
HOPE HOSPITALITY AND WARMING CENTER INC
249 BALDWIN AVE	PONTIAC	MI	48342	383571989	501(C)(3)	$60,000	$0	CHECK & CONNECT MENTORING FOR MENTAL HEALTH PROJECT
JEWISH FAMILY SERVICES
2245 S STATE STREET	ANN ARBOR	MI	48104	412147486	501(C)(3)	$55,000	$0	MATERNAL HEALTH DEI PROJECT
KENT COUNTY
300 MONROE AVE NW	GRAND RAPIDS	MI	48758	382904046	GOVERNMENT ORG	$75,000	$0	PRODUCE PRESCRIPTION PROGRAM ASSIST
LACASA
1920 TOOLEY RD	HOWELL	MI	48855	382370824	501(C)(3)	$21,500	$0	SPONSORSHIP
LEADERS ADVANCING & HELPING COMMUNITIES
5275 KENILWORTH ST	DEARBORN	MI	48126	383081799	501(C)(3)	$10,000	$0	SPONSORSHIP
LIVINGSTON CNTY DEPT PUBLIC HEALTH
2300 E GRANT RIVER AVE	HOWELL	MI	48843		GOVERNMENT ORG	$100,000	$0	FRESH MARKET & SHARED HARVEST PANTRY PROJECT
LIVINGSTON CO CATHOLIC CHARITIES
2020 E GRANT RIVER SUITE 104	HOWELL	MI	48843	382570420	501(C)(3)	$20,000	$0	COMMUNITY SUPPORT
LIVINGSTON ESSENTIAL TRANSPORTATION SERVICE
3950 W GRAND RIVER	HOWELL	MI	48855		GOVERNMENT ORG	$61,216	$0	COMMUNITY SUPPORT
LIVONIA SAVE OUR YOUTH TASK FORCE
33000 CIVIC CENTER DRIVE	LIVONIA	MI	48154	208287128	501(C)(3)	$5,000	$0	COMMUNITY SUPPORT
LIVONIA-WESTLAND CHAMBER OF COMMERCE
33300 FIVE MILE ROAD SUITE 212	LIVONIA	MI	48154	381654593	501(C)(6)	$13,300	$0	SPONSORSHIP
MERCY EDUCATION PROJECT
1450 HOWARD STREET	DETROIT	MI	48216	383209556	501(C)(3)	$150,000	$0	COMMUNITY SUPPORT
MICHIGAN COMMUNITY HEALTH WORKER ALLIANCE
901 TOWER DR STE 420	TROY	MI	48098	831845287	501(C)(3)	$100,000	$0	DEVOS MEDICAL ETHICS COLLOQUY 2023
NEW HOPE CENTER FOR GRIEF SUPPORT INC
133 WEST MAIN ST SUITE 113	NORTHVILLE	MI	48167	383517205	501(C)(3)	$10,000	$0	LCDH PRESCRIPTION FOR HEALTH
OAKLAND LIVINGSTON HUMAN SERVICE AGENCY
196 CESAR E CHAVEZ AVE	PONTIAC	MI	48342	381785665	501(C)(3)	$230,000	$0	COMMUNITY SUPPORT
OAKLAND UNIVERSITY
502 MEADOWBROOK RD	ROCHESTER	MI	48309	381714400	501(C)(3)	$26,667	$0	COMMUNITY YOUTH WELLNESS PROGRAM
PACKARD HEALTH INC
5200 VENTURE DRIVE	ANN ARBOR	MI	48419	382269817	501(C)(3)	$150,000	$0	SPONSORSHIP
PEAC
110 N RIVER STREET	YPSILANTI	MI	48441	753159584	501(C)(3)	$5,000	$0	COMMUNITY SUPPORT
SANCTUM HOUSE INC
28175 HAGGERTY RD	NOVI	MI	48377	472592620	501(C)(3)	$10,000	$0	OPERATIONS SUPPORT 10/1/22-9/30/23
SAY DETROIT FAMILY HEALTH CLINIC
211 GLENDALE AVE	HIGHLAND PARK	MI	48203	204786626	501(C)(3)	$400,000	$0	COMMUNITY SUPPORT
SHELTER ASSOCIATION OF WASHTENAW COUNTY
PO BOX 7370	ANN ARBOR	MI	48462	382533030	501(C)(3)	$92,748	$0	COMMUNITY SUPPORT
SHERIFF PAL PROGRAM
1200 N TELEGRAPH RD STE 38E	PONTIAC	MI	48341	473158769	501(C)(3)	$7,000	$0	WESTLAND FARMERS MARKET POWER OF PRODUCE SPONSOR
ST FRANCES CABRINI CLINIC
1234 PORTER ST	DETROIT	MI	48226	383129349	501(C)(3)	$250,000	$0	COMMUNITY SUPPORT
TALENT 2025
833 KENMOOR AVE SE STE B	GRAND RAPIDS	MI	48631	270193853	501(C)(3)	$10,000	$0	SEMI COMMUNITY HEALTH WORKER COLLABERATIVE
WASHTENAW AREA COUNCIL FOR CHILDREN
3075 W CLARK ROAD SUITE 110	YPSILANTI	MI	48483	382245181	501(C)(3)	$10,000	$0	SPONSORSHIP
WASHTENAW HOUSING ALLIANCE
PO BOX 7993	ANN ARBOR	MI	48525	383551639	501(C)(3)	$125,000	$0	KEY TO RECOVERY PROJECT
WEST MICHIGAN ASIAN AMERICAN ASSOC
818 BUTTERWORTH ST SW	GRAND RAPIDS	MI	48652	861091018	501(C)(3)	$20,000	$0	ADDRESSING INEQUITIES & RACISM - MATERNAL & INFANT CARE PROJECT
YMCA WEST CENTRAL MICHIGAN
25 SHELDON AVENUE SE	GRAND RAPIDS	MI	48673	381359578	501(C)(3)	$15,000	$0	SCHOOL BASED GRIEF SUPPORT PROGRAM AND FROM GRIEF TO NEW HOPE WORKSHOP
YPSILANTI MEALS ON WHEELS
110 W CROSS STREET	YPSILANTI	MI	48546	382038528	501(C)(3)	$50,000	$0	FEDERAL DRUG-FREE COMMUNITIES GRANT
NATIONAL KIDNEY FOUNDATION OF MICHIGAN
1345 MONROE AVENUE NW SUITE 140	GRAND RAPIDS	MI	49505	131673104	501(C)(3)	$20,465	$0	CONTROLLING HYPERTENSION IN OUR COMMUNITIES PROGRAM
WASHTENAW HEALTH PLAN
555 TOWNER	YPSILANTI	MI	48198	020585175	501(C)(3)	$575,000	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	52	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
PATIENT TRANSPORTATION	2526	$123,934
PATIENT/FAMILY LODGING	2	$2,365
FOOD/GAS/OTHER ESSENTIALS	316	$63,527
FARM SHARES FOR PATIENTS/COMMUNITY	150	$54,000
MASSAGES, WIGS, HEADSHAVES FOR CANCER PATIENTS	133	$15,458
SCHOLARSHIPS	21	$40,400
HOMECARE FOR DISCHARGED PATIENTS	22	$5,100

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT CASALOU
DIRECTOR; PRESIDENT & CEO, MI REGION	$0	$1,120,036	$0	$502,898	$0	$321,281	$0	$19,800	$0	$42,550	$0	$2,006,565	$0	$0
EDMUND HODGE
DIRECTOR; TRINITY HEALTH EVP, CHRO	$0	$805,894	$0	$486,000	$0	$246,387	$0	$14,850	$0	$43,351	$0	$1,596,482	$0	$0
LAWRENCE RAPP MD
NEUROSURGEON (TH OAKLAND)	$1,506,561	$0	$0	$0	$8,392	$0	$0	$0	$17,839	$0	$1,532,792	$0	$0	$0
SHANNON STRIEBICH
PRES TRINITY HEALTH MICHIGAN MARKET	$0	$681,053	$0	$353,250	$0	$176,508	$0	$24,750	$0	$35,798	$0	$1,271,359	$0	$0
MARC SILVER MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	$1,114,466	$0	$0	$0	$2,346	$0	$14,850	$0	$29,454	$0	$1,161,116	$0	$0	$0
KARSTEN FLIEGNER MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	$1,091,391	$0	$0	$0	$6,732	$0	$14,850	$0	$29,454	$0	$1,142,427	$0	$0	$0
ALONZO LEWIS
PRESIDENT TRINITY HEALTH ANN ARBOR	$0	$514,483	$0	$234,636	$0	$87,406	$0	$150,352	$0	$38,591	$0	$1,025,468	$0	$70,000
MICHAEL GUSHO
TREASURER; CFO, MICHIGAN REGION	$0	$650,389	$0	$166,250	$0	$120,326	$0	$24,750	$0	$40,482	$0	$1,002,197	$0	$0
ROSALIE TOCCO-BRADLEY MD
CHIEF CLINICAL OFFICER, MI REGION	$0	$626,635	$0	$158,363	$0	$130,168	$0	$19,800	$0	$45,307	$0	$980,273	$0	$0
DAVID SPIVEY
FORMER KE; PRES SAINT AGNES THR 1/24	$0	$699,276	$0	$75,000	$0	$142,289	$0	$24,750	$0	$23,783	$0	$965,098	$0	$0
CHARLES SCHWARTZ MD
CARDIOTHORACIC SURGEON (TH OAKLAND)	$906,786	$0	$0	$0	$4,517	$0	$19,800	$0	$28,933	$0	$960,036	$0	$0	$0
TODD FRANCIS MD
NEUROSURGEON (TH OAKLAND)	$812,389	$0	$0	$0	$1,747	$0	$0	$0	$21,415	$0	$835,551	$0	$0	$0
MATTHEW BIERSACK MD
PRESIDENT TRINITY HLTH GRAND RAPIDS	$0	$509,347	$0	$129,062	$0	$7,577	$0	$102,723	$0	$33,559	$0	$782,268	$0	$0
MATTHEW GRIFFIN MD
CMO & PRES TRINITY HEALTH LIVONIA	$0	$473,622	$0	$97,000	$0	$13,854	$0	$14,850	$0	$42,706	$0	$642,032	$0	$0
MANDI MURRAY
SECRETARY;VP MANAGING CNSL, MICH REG	$0	$394,378	$0	$100,231	$0	$16,445	$0	$89,274	$0	$35,767	$0	$636,095	$0	$0
DAVID VANDENBERG MD
CMO TRINITY HEALTH ANN ARBOR & LIV	$0	$449,405	$0	$91,680	$0	$16,104	$0	$19,800	$0	$31,273	$0	$608,262	$0	$0
DANIEL GREEN
VP FINANCE, WEST MICHIGAN	$0	$411,916	$0	$101,500	$0	$7,853	$0	$24,750	$0	$39,871	$0	$585,890	$0	$0
FABIAN FREGOLI MD
CMO & PRES TRINITY HEALTH OAKLAND	$0	$431,088	$0	$88,154	$0	$9,664	$0	$19,800	$0	$36,329	$0	$585,035	$0	$0
TOMASINE MARX
VP FINANCE WEST MARKET	$0	$418,434	$0	$84,891	$0	$16,522	$0	$14,850	$0	$33,945	$0	$568,642	$0	$0
BRANDON FRANCIS MD
CMO TRINITY HEALTH GRAND RAPIDS	$0	$393,257	$0	$80,000	$0	$1,320	$0	$14,850	$0	$31,400	$0	$520,827	$0	$0
JOHN O'MALLEY
PRESIDENT TRINITY HEALTH LIVINGSTON	$0	$324,649	$0	$81,343	$0	$67,219	$0	$14,850	$0	$19,072	$0	$507,133	$0	$0
MICHAEL SAMYN
VP FINANCE TRINITY HEALTH OAKLAND	$0	$312,052	$0	$63,878	$0	$8,411	$0	$24,750	$0	$31,872	$0	$440,963	$0	$0
KURT MACDONALD
FORMER KEY EMPLOYEE	$116,756	$0	$0	$0	$138,155	$0	$129,300	$0	$23,308	$0	$407,519	$0	$0	$0
FRANK SAWYER
SENIOR VP OPERATIONS TH OAKLAND	$284,970	$0	$59,613	$0	$297	$0	$14,850	$0	$32,796	$0	$392,526	$0	$0	$0
ADEEB HARB
SENIOR VP OPERATIONS TH LIVONIA	$273,524	$0	$56,376	$0	$249	$0	$11,586	$0	$26,920	$0	$368,655	$0	$0	$0
KARLA ZARB
FORMER KE; VP SURG SVCS TH ANN ARBOR	$0	$244,055	$0	$50,547	$0	$2,948	$0	$13,544	$0	$24,985	$0	$336,079	$0	$0
MELISSA KAROLAK
VP FINANCE TRINITY HEALTH LIVONIA	$0	$221,364	$0	$54,987	$0	$729	$0	$17,055	$0	$29,984	$0	$324,119	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 2023. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KURT MACDONALD - $128,704 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNT, WHICH WAS UNPAID AS OF 12/31/23: KURT MACDONALD - $121,981 (PAID IN 2024) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023. 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 2023 AND THEIR NON-VESTED BENEFITS FOR 2023 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2023 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: GARY ALLORE - $78,553 ROBERT CASALOU - $281,015 MICHAEL GUSHO - $99,937 EDMUND HODGE - $224,175 ALONZO LEWIS - $70,793 JOHN O'MALLEY - $50,543 DAVID SPIVEY - $137,761 SHANNON STRIEBICH - $159,823 ROSALIE TOCCO-BRADLEY, MD - $98,400 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 2023 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: MATTHEW BIERSACK, MD - $82,923 ALONZO LEWIS - $135,502 MANDI MURRAY - $64,524 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 ($330,000 FOR 2023) THE FOLLOWING PAYOUTS FOR 2023 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BRANDON FRANCIS, MD - $0 FABIAN FREGOLI, MD - $6,344 DANIEL GREEN - $2,377 MATTHEW GRIFFIN, MD - $6,445 TOMASINE MARX - $5,829 MANDI MURRAY - $4,116 MICHAEL SAMYN - $2,122 DAVID VANDENBERG, MD - $6,260

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$34,004,918	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,151,513	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$148,705	DONOR PROVIDED GOODS/SERVICES TO TH-MI	0
MATTHEW GRIFFIN
FAMILY MEMBER OF MATTHEW GRIFFIN, MD, KEY EMPLOYEE	$81,978	EMPLOYMENT ARRANGEMENT	0
DILYN ZARB
FAMILY MEMBER OF KARLA ZARB, KEY EMPLOYEE	$62,377	EMPLOYMENT ARRANGEMENT	0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$3,158	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR PROVIDED VALUE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$175,805	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MED VALUE-TRANS DATE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$150	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR PROVIDED VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MISCELLANEOUS	Desc
Contribution	184	ContributionCnt
Noncash Contributions Rpt F990	$4,999	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR PROVIDED VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	FOR ANY STOCK CONTRIBUTIONS RECEIVED, THE TREASURY DEPARTMENT OF TRINITY HEALTH, A RELATED ORGANIZATION, HAS ESTABLISHED A PROCESS TO WORK WITH ITS EXTERNAL BANK TO ENSURE THE SECURITIES ARE SOLD IN A TIMELY MANNER AND THE PROCEEDS ARE INVESTED FOR THE BENEFIT OF THE ORGANIZATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH 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. FOR KEY MANAGEMENT OFFICIALS WHOSE COMPENSATION 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 TRINITY HEALTH'S WEBSITE. TH-MI'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART X, BALANCE SHEET:	CERTAIN BEGINNING BALANCE SHEET AMOUNTS HAVE BEEN RECLASSIFIED TO CONFORM TO THE ENDING BALANCE SHEET PRESENTATION.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES -29,788,487. CHANGE IN DEFERRED RETIREMENT COSTS 3,425,123. INCOME FROM DISCONTINUED OPERATIONS 495,439. OTHER TRANSACTIONS -15,089,641. ASSET IMPAIRMENT -3,945,334. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 2,520,946. PARTNERSHIP AND STOCKHOLDERS EQUITY ACTIVITY 1,395,698.
FORM 990, PART XII, LINE 2:	TH-MI'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY24 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; 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 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 PRIMARY CARE; 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 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 MICHIGAN HEART PROGRAM OF ADULT CARDIAC ULTRASOUND; 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 - EMU CAMPUS; 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; WORKPLACE HEALTH ANN ARBOR; WORKPLACE HEALTH LIVONIA; WORKPLACE HEALTH OAKLAND

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OAKLAND HEALTH ALLIANCE LLC
44405 WOODWARD AVE	PONTIAC	MI	48341	822021072	ACCOUNTABLE CARE ORGANIZATION	MI	$0	$466,740	TRINITY HEALTH-MICHIGAN
SOUTHEAST MICHIGAN CLINICAL NETWORK LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473856789	ACCOUNTABLE CARE ORGANIZATION	MI	$418,508	$10,438,005	TRINITY HEALTH-MICHIGAN
WARDE MEDICAL LABORATORY LLC
300 W TEXTILE RD	ANN ARBOR	MI	48108	382648446	LABORATORY	MI	$2,776,320	$1,337,818	TRINITY HEALTH-MICHIGAN
GRAND RIVER ENDOSCOPY CENTER LLC
310 LAFAYETTE AVE SE SUITE 200	GRAND RAPIDS	MI	49503	450519047	HEALTH CARE SERVICES	MI	$1,235,755	$2,605,784	TRINITY HEALTH-MICHIGAN

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (226 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	272491974	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	581492325	GRANT MAKING	FL	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450170	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
BAUM HARMON MERCY HOSPITAL
801 5TH STREET	SIOUX CITY	IA	51101	421500277	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
801 5TH STREET	SIOUX CITY	IA	51101	262973307	FOUNDATION	IA	501(C)(3)	LINE 12A, I	BAUM HARMON MERCY HOSPITAL	Yes (1)
BEECHWOOD INC
2212 BURDETT AVE	TROY	NY	12180	141651563	TITLE HOLDING COMPANY	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes (1)
BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREET	PITTSBURGH	PA	15219	251436685	HOMELESS SHELTER	PA	501(C)(3)	LINE 7	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
BEVERWYCK INC
40 AUTUMN DRIVE	SLINGERLANDS	NY	12159	141717028	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
BRIGHTSIDE INC
114 WOODLAND STREET	HARTFORD	CT	06105	042182395	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 10	THE MERCY HOSPITAL INC	Yes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STREET	COHOES	NY	12047	141701597	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
5315 ELLIOTT DR 102	YPSILANTI	MI	48197	382507173	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVENUE	DES MOINES	IA	50314	420680448	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAY	LIVONIA	MI	48152		GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM		501(C)(3)	LINE 1		0	VT	N/A
CENTRAL COMMUNITY HOSPITAL
901 DAVIDSON ST NW	ELKADER	IA	52043	420818642	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY COMMUNITY HOSPITAL GROUP LLC	Yes (1)
COVENANT FOUNDATION INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421295784	FOUNDATION	IA	501(C)(3)	LINE 7	COVENANT MEDICAL CENTER INC	Yes (1)
COVENANT MEDICAL CENTER INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421264647	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
DILEY RIDGE MEDICAL CENTER
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	342032340	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVE	DUBUQUE	IA	52001	262227941	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW	DYERSVILLE	IA	52040	205383271	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000	TROY	NY	12180	141818568	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
EMBRACING AGE INC
333 BUTTERNUT DRIVE	DEWITT	NY	13214	461051881	PACE PROGRAM	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE	MALTA	NY	12020	141795732	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	HOME AIDE SERVICE OF EASTERN NEW YORK INC	Yes (1)
FARREN CARE CENTER INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	042501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	TRINITY CONTINUING CARE SERVICES	Yes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500	WILMINGTON	DE	19805	223008680	LONG TERM CARE (INACTIVE)	DE	501(C)(3)	LINE 10	ST FRANCIS HOSPITAL INC	Yes (1)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421421670	FOUNDATION	IA	501(C)(3)	LINE 7	GENESIS HEALTH SYSTEM	Yes (1)
GENESIS HEALTH SYSTEM
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421418847	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
GENESIS HEALTH SYSTEM (IL)
801 ILLINI DRIVE	SILVIS	IL	61282	363616314	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE BENEFIT TRUST	IA	501(C)(3)	LINE 12A, I	GENESIS HEALTH SYSTEM	Yes (1)
GENESIS MEDICAL CENTER ALEDO
409 NW 9TH AVENUE	ALEDO	IL	61231	454475683	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (IL)	Yes (1)
GLACIER HILLS FOUNDATION
1200 EARHART RD	ANN ARBOR	MI	48105	208072723	FOUNDATION	MI	501(C)(3)	LINE 12A, I	GLACIER HILLS INC	Yes (1)
GLACIER HILLS INC
1200 EARHART RD	ANN ARBOR	MI	48105	381891500	SENIOR LIVING COMMUNITY	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
GLEN EDDY INC
1 GLEN EDDY DRIVE	NISKAYUNA	NY	12309	141794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY	LIVONIA	MI	48152	421253527	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY	GREENSBORO	GA	30642	261720984	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE	MELROSE PARK	IL	60160	363332852	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 WEST NORTH AVENUE	MELROSE PARK	IL	60160	743260011	FOUNDATION	IL	501(C)(3)	LINE 12D, III-O		0		N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE	MELROSE PARK	IL	60160	362379649	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAY	EAST GREENBUSH	NY	12061	800102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HEARTWOOD LODGE TRINITY HEALTH
PO BOX 530009	LIVONIA	MI	48152	382602971	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE	TROY	NY	12180	141725101	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOLY CROSS CARENET INC
PO BOX 530009	LIVONIA	MI	48152	521945054	LONG TERM CARE	MD	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	208428450	FOUNDATION	MD	501(C)(3)	LINE 7	HOLY CROSS HEALTH INC	Yes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	520738041	HEALTH CARE AND HOSPITAL SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791028	HEALTH CARE AND HOSPITAL SERVICES	FL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	465421068	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	812531495	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS SENIOR SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	832256461	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000	TROY	NY	12180	141514867	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SE	MASON CITY	IA	50401	421173708	HOSPICE SERVICES	IA	501(C)(3)	LINE 10	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
HOSPICE OF NORTH OTTAWA COMMUNITY INC
PO BOX 532020	LIVONIA	MI	48153	382370192	HOSPICE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
HOUSE OF MERCY
1111 6TH AVENUE	DES MOINES	IA	50314	421323808	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48105	383316559	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	475676956	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232519529	HEALTH CARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE	PENNSAUKEN	NJ	08109	261854750	PACE PROGRAM	NJ	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
1072 JUSTISON STREET	WILMINGTON	DE	19801	452569214	PACE PROGRAM	DE	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE ST JOSEPH OF THE PINES INC
4900 RAEFORD ROAD	FAYETTEVILLE	NC	28304	272159847	PACE PROGRAM	NC	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE ST MARY
2500 NORTHGATE ROAD	TREVOSE	PA	19053	262976184	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVE	MELROSE PARK	IL	60160	474147171	TRANSPORTATION SERVICES	IL	501(C)(3)	LINE 10	LOYOLA UNIVERSITY MEDICAL CENTER	Yes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363342448	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364015560	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
LTC (EDDY) INC
2212 BURDETT AVE	TROY	NY	12180	222564710	MANAGEMENT SERVICES FOR LONG TERM CARE	NY	501(C)(3)	LINE 12B, II	ST PETER'S HEALTH PARTNERS	Yes (1)
MAXIS HEALTH SYSTEM
20555 VICTOR PARKWAY	LIVONIA	MI	48152	911940902	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
MCAULEY CENTER INC
275 STEELE ROAD	WEST HARTFORD	CT	06117	061058086	SENIOR LIVING COMMUNITY	CT	501(C)(3)	LINE 10	MERCY COMMUNITY HEALTH INC	Yes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUE	PITTSBURGH	PA	15213	943436142	GRANT MAKING	PA	501(C)(3)	LINE 12B, II	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
MEDIC EMS
1204 E HIGH STREET	DAVENPORT	IA	52803	421186903	AMBULANCE TRANSFERS	IA	501(C)(3)	LINE 12C, III-FI		0		N/A
MERCY AUXILARY
814 13TH AVE N UNIT 6A	CLINTON	IA	53732	421348035	VOLUNTEER SERVICE AUXILIARY	IA	501(C)(3)	LINE 12A, I		0		N/A
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	426076069	VOLUNTEER SERVICE AUXILIARY	IA	501(C)(3)	LINE 12A, I	MERCY FOUNDATION OF DES MOINES IOWA	Yes (1)
MERCY CARE CENTER
3753 SOUTH COTTAGE GROVE AVE	CHICAGO	IL	60653	853904921	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY CARE FOUNDATION INC
424 DECATUR STREET	ATLANTA	GA	30312	581448522	FOUNDATION	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
3805 W CHESTER PIKE STE 100	NEWTOWN SQUARE	PA	19073	231352191	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY CLINICS INC
1111 6TH AVENUE	DES MOINES	IA	50314	421193699	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 10	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY COLLEGE OF HEALTH SCIENCES
928 6TH AVENUE	DES MOINES	IA	50309	421511682	COLLEGE OF HEALTH SCIENCE	IA	501(C)(3)	LINE 2	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061492707	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY FAMILY SUPPORT
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232325059	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	MERCY HOME HEALTH SERVICES	Yes (1)
MERCY FOUNDATION OF DES MOINES IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	237358794	FOUNDATION	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY FOUNDATION INC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
PO BOX 532020	LIVONIA	MI	48153	383321856	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232829864	FOUNDATION	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HEALTH NETWORK INC
411 LAUREL STREET SUITE 200	DES MOINES	IA	50314	421478417	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD	MUSKEGON	MI	49444	382589966	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HEALTH PLAN
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	222483605	MEDICAID MANAGED CARE PLAN	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363163327	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH ST	CLINTON	IA	52732	421316126	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY MEDICAL CENTER - CLINTON INC	Yes (1)
MERCY HOME HEALTH
PO BOX 532020	LIVONIA	MI	48153	231352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
MERCY HOME HEALTH SERVICES
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232325058	MANAGEMENT SERVICES FOR HOME HEALTH	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	362170152	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	203357131	FOUNDATION	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HOSPITAL OF FRANCISCAN SISTERS INC
201 8TH AVENUE SE	OELWEIN	IA	50662	421178403	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
MERCY LIFE
1930 SOUTH BROAD STREET	PHILADELPHIA	PA	19145	232840137	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251604115	COMMUNITY OUTREACH	PA	501(C)(3)	LINE 10	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
MERCY LIFE OF ALABAMA
PO BOX 7957	MOBILE	AL	36670	273163002	PACE PROGRAM	AL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY LIFE INC
200 HILLSIDE CIRCLE	WEST SPRINGFIELD	MA	01089	453086711	PACE PROGRAM	MA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232627944	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
MERCY MEDICAL CENTER - CENTERVILLE
1 ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	52732	421336618	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - NEWTON
204 N 4TH AVE E	NEWTON	IA	50208	421470935	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET	SIOUX CITY	IA	51101	141880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	50401	421229151	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	454884805	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SENIOR CARE INC
424 DECATUR STREET	ATLANTA	GA	30312	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET	ATLANTA	GA	30312	272046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 530009	LIVONIA	MI	48152	382719605	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY SPECIALIST PHYSICIANS INC
114 WOODLAND STREET	HARTFORD	CT	06105	264033168	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SUBURBAN HOSPITAL
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	231396763	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MOUNT CARMEL COLLEGE OF NURSING
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	251912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	873948434	MEDICARE HMO	CT	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF IDAHO INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	831422704	MEDICARE HMO	ID	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF NEW YORK INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	833278543	MEDICARE HMO	NY	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH SYSTEM
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311439334	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311113966	FOUNDATION	OH	501(C)(3)	LINE 12A, I	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT SINAI HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222584082	FOUNDATION	CT	501(C)(3)	LINE 12C, III-FI		0		N/A
MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	061422973	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
MOUNT ST JOSEPH
20555 VICTOR PARKWAY	LIVONIA	MI	48152	010274998	LONG TERM CARE	ME	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
1675 LEAHY ST SUITE 210	MUSKEGON	MI	49442	911932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes (1)
NAZARETH HOSPITAL
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232794121	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
NAZARETH PHYSICIAN SERVICES INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	203261266	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
NORTH OTTAWA HOSPITAL AUXILIARY INC
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	386088836	FUNDRAISING	MI	501(C)(3)	LINE 12D, III-O		0		N/A
NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD
3421 WEST NINTH STREET	WATERLOO	IA	50702	421207432	TITLE HOLDING COMPANY	IA	501(C)(2)	N/A	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
OAKLAND MERCY HOSPITAL
PO BOX 203	SIOUX CITY	IA	51102	208072234	HEALTH CARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
PO BOX 203	SIOUX CITY	IA	51102	311678345	FOUNDATION	NE	501(C)(3)	LINE 12A, I	OAKLAND MERCY HOSPITAL	Yes (1)
OSUMOUNT CARMEL HEALTH ALLIANCE
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311654603	COOPERATIVE HEALTH CARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 12A, I		0		N/A
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE	GUILDERLAND	NY	12084	141743506	LONG TERM CARE	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
114 WOODLAND STREET	HARTFORD	CT	06105	454208896	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
PITTSBURGH MERCY HEALTH SYSTEM INC
3333 5TH AVENUE	PITTSBURGH	PA	15213	251464211	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
PROBILITY THERAPY SERVICES
2058 S STATE STREET	ANN ARBOR	MI	48104	202020239	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	49442	382638284	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	MERCY HEALTH PARTNERS	Yes (1)
RIVERBEND MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	811807730	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	271763712	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTH CARE AND HOSPITAL SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTH CARE SERVICES	CA	501(C)(3)	LINE 12A, I	SAINT AGNES MEDICAL CENTER	Yes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	943028978	HEALTH CARE SYSTEM SUPPORT	ID	501(C)(3)	LINE 12A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	943164869	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -BAKER CITY INC	Yes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	202683560	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC	Yes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	271929502	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS
351 SW 9TH STREET	ONTARIO	OR	97914	943059469	VOLUNTEER SERVICE AUXILIARY	OR	501(C)(3)	LINE 10	SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	271790052	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
4300 E FLAMINGO AVENUE	NAMPA	ID	83687	261737256	FOUNDATION	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -NAMPA INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
4300 E FLAMINGO AVENUE	NAMPA	ID	83687	820200896	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820200895	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT FRANCIS EMERGENCY MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	451994612	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF NEW ENGLAND PNO INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET	HARTFORD	CT	06105	060646813	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061008255	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	Yes (1)
SAINT JOSEPH PACE INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473129127	PACE PROGRAM	IN	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
PO BOX 670	PLYMOUTH	IN	46563	351142669	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	350868157	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	351568821	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET	ATLANTA	GA	30312	581744848	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET	ATLANTA	GA	30312	581752700	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 10	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 530009	LIVONIA	MI	48152	311040468	SENIOR LIVING COMMUNITY	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES-INDIANA INC	Yes (1)
SAINT MARY HOME INCORPORATED
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060646843	LONG TERM CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
PO BOX 532020	LIVONIA	MI	48153	383320700	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE	GRAND RAPIDS	MI	49503	381779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes (1)
SAINT MARY'S HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222528400	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT MARY'S HOSPITAL INC	Yes (1)
SAINT MARY'S HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	060646844	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAMARITAN HOSPITAL
2215 BURDETT AVE	TROY	NY	12180	141338544	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SAMARITAN HOSPITAL AND THE EDDY FOUNDATION
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222743478	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
SARTORI HEALTH CARE FOUNDATION INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421240996	FOUNDATION	IA	501(C)(3)	LINE 7	SARTORI MEMORIAL HOSPITAL INC	Yes (1)
SARTORI MEMORIAL HOSPITAL INC
515 COLLEGE STREET	CEDAR FALLS	IA	50613	420758901	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
SENIOR CARE CONNECTION INC
1938 CURRY ROAD	SCHENECTADY	NY	12303	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVD	CLIFTON PARK	NY	12065	141756230	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SIOUXLAND PARAMEDICS INC
PO BOX 3349	SIOUX CITY	IA	51102	421185707	MEDICAL TRANSPORTATION SERVICES	IA	501(C)(3)	LINE 12A, I		0		N/A
SJHSJOC HOLDINGS INC
424 DECATUR STREET	ATLANTA	GA	30312	472299757	HEALTH CARE SYSTEM SUPPORT	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
ST FRANCIS HOSPITAL INC
PO BOX 2500	WILMINGTON	DE	19805	510064326	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST JAMES MERCY HEALTH SYSTEM INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	223127184	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	NY	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH MERCY CHELSEA INC
775 SOUTH MAIN ST	CHELSEA	MI	48118	824757260	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE	SOUTHERN PINES	NC	28387	560694200	LONG TERM CARE	NC	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUE	SYRACUSE	NY	13203	202497520	COLLEGE OF NURSING	NY	501(C)(3)	LINE 2	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
ST JOSEPH'S HEALTH AT HOME INC
PO BOX 532020	LIVONIA	MI	48152	871012253	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	237219294	BUILDING MANAGEMENT SERVICES	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	474754987	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUE	SYRACUSE	NY	13203	150532254	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	222149775	FOUNDATION	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	273899821	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
ST JOSEPH'S PHYSICIAN HEALTH PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	161516863	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST PETER'S HEALTH PARTNERS	Yes (1)
ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	461827502	TITLE HOLDING COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	465354512	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	231913910	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	582544232	FOUNDATION	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	811660088	FOUNDATION	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET	ATHENS	GA	30606	020576648	SENIOR LIVING COMMUNITY	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S HOSPITAL INC
1230 BAXTER STREET	ATHENS	GA	30606	580566223	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET	ATHENS	GA	30606	261858563	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAY	LAVONIA	GA	30553	473752176	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD	ALBANY	NY	12208	453570715	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	461177336	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD	ALBANY	NY	12208	141348692	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222262982	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVENUE	SCHENECTADY	NY	12308	141338386	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVE	SCHENECTADY	NY	12308	222505127	FOUNDATION	NY	501(C)(3)	LINE 7	SUNNYVIEW HOSPITAL AND REHABILITATION CENTER	Yes (1)
THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	203018640	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 12C, III-FI	ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC	Yes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RD	ALBANY	NY	12205	222692940	FOUNDATION	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	Yes (1)
THE COMMUNITY HOSPICE INC
445 NEW KARNER RD	ALBANY	NY	12205	141608921	HOSPICE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC
707 EAST CEDAR STREET STE 100	SOUTH BEND	IN	46617	351654543	FOUNDATION	IN	501(C)(3)	LINE 7	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE	TROY	NY	12180	222570478	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141793885	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
THE MERCY HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	043398280	HEALTH CARE AND HOSPITAL SERVICES	MA	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER
114 WOODLAND STREET	HARTFORD	CT	06105	060660403	VOLUNTEER SERVICE AUXILIARY	CT	501(C)(3)	LINE 12B, II		0		N/A
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER	PORT HURON	MI	48060	382485700	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I		0		N/A
TRINITY CONTINUING CARE SERVICES
PO BOX 530009	LIVONIA	MI	48152	382559656	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA
PO BOX 530009	LIVONIA	MI	48152	930907047	LONG TERM CARE	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS
PO BOX 530009	LIVONIA	MI	48152	824005577	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	0
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY	LIVONIA	MI	48152	351443425	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12B, II	CATHOLIC HEALTH MINISTRIES	Yes (1)
TRINITY HEALTH GEORGIA INC
1230 BAXTER STREET	ATHENS	GA	30606	880878641	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL)
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	383330803	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes (1)
TRINITY HEALTH LIFE PENNSYLVANIA INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	475244984	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232571699	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061491191	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	833546613	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 10	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450168	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF THE MID-ATLANTIC REGION
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232212638	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH PACE
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473073124	PACE PROGRAM	MI	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH PACE ALEXANDRIA INC
3403 GOVERNMENT STREET	ALEXANDRIA	LA	71302	923433625	PACE PROGRAM	LA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC
200 PERRY PARKWAY	GAITHERSBURG	MD	20877	923450659	PACE PROGRAM	MD	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PACE OF PENSACOLA INC
5020 COMMERCE PARK CIRCLE	PENSACOLA	FL	32505	922940854	PACE PROGRAM	FL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PLAN OF MICHIGAN INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	843836552	MEDICARE HMO	MI	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
TRINITY HEALTH SPECIALTY HOSPITAL - GRAND HAVEN
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	933727867	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	208151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HOME HEALTH SERVICES
PO BOX 532020	LIVONIA	MI	48153	382621935	MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVD	ALBANY	NY	12208	141438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes (1)
WHEATON FRANCISCAN HEALTHCARE-IOWA INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421177001	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IA	501(C)(3)	LINE 12B, II	MERCY HEALTH NETWORK INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
ADVENT REHABILITATION LLC
625 KENMOOR AVE SE SUITE 100	GRAND RAPIDS	MI	49546	383306673	REHABILITATION THERAPY SERVICES	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	$1,585,520	$4,442,036	0	Yes (1)	0.50000
BH VENTURE ONE LP
905 WATSON STREET	PITTSBURGH	PA	15219	384098074	REAL ESTATE	PA					0	Yes (1)		N/A
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	48213	311608125	MEDICAL OFFICE BUILDING RENTAL	OH					0	Yes (1)		N/A
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	$2,377,749	$952,114	0	0	0.51000
CLINTON IMAGING SERVICES LLC
1410 N 4TH STREET	CLINTON	IA	52732	412044739	MRI DIAGNOSTIC SERVICES	IA					0	0		N/A
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	721439481	URGENT CARE CENTER	LA					0	Yes (1)		N/A
DIAGNOSTIC IMAGING OF SOUTHBURY LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061487582	IMAGING CENTER	CT					0	Yes (1)		N/A
EVERETT ROAD ASC LLC
30 CENTURY HILL DRIVE	LATHAM	NY	12110	833542382	MEDICAL SERVICES	NY					0	Yes (1)		N/A
FOREST PARK IMAGING LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134365966	X-RAY AND MAMMOGRAPHY SERVICES	IA					0	Yes (1)		N/A
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA					0	0		N/A
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	473785124	DIAGNOSTIC IMAGING CENTER	IL					0	Yes (1)		N/A
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	453571628	DIAGNOSTIC IMAGING CENTER	IA					0	Yes (1)		N/A
HAWARDEN REGIONAL HEALTH CLINICS LLC
1111 11TH ST	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA					0	Yes (1)		N/A
HEALTHRISE BUSINESS INTELLIGENCE LLC
18000 W 9 MILE FL 10	SOUTHFIELD	MI	48075	845053960	REVENUE CYCLE MANAGEMENT	DE					0	0		N/A
HURON GASTRO ENDOSCOPY CENTER LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	853580801	MEDICAL SERVICES	MI	TRINITY HEALTH-MICHIGAN	RELATED	-$967,896	$1,582,062	0	0	0.51000
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603	BOISE	ID	83702	820514422	IMAGING CENTER	ID					0	Yes (1)		N/A
LAKE CHARLES URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	272272979	URGENT CARE CENTER	LA					0	Yes (1)		N/A
LANGHORNE MOB PARTNERS LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232622772	MEDICAL OFFICE BUILDING RENTAL	PA					0	Yes (1)		N/A
LCMC URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	300951534	URGENT CARE CENTER	DE					0	Yes (1)		N/A
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
1 WESTBROOK CORP CTR	WESTCHESTER	IL	60154	364119522	SURGICAL SERVICES	IL					0	Yes (1)		N/A
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW	MASON CITY	IA	50401	421328388	MRI SERVICES	IA					0	Yes (1)		N/A
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SW	MASON CITY	IA	50401	201960348	SURGERY-SAME DAY	IA					0	Yes (1)		N/A
MCE MOB IV LIMITED PARTNERSHIP
3100 EASTON SQUARE PL SUITE 300	COLUMBUS	OH	43219	421544707	MEDICAL OFFICE BUILDING RENTAL	OH					0	Yes (1)		N/A
MEDWORKS LLC
375 EAST CEDAR STREET	NEWINGTON	CT	06111	061490483	REHABILITATION SERVICES	CT					0	0		N/A
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA					0	0		N/A
MERCY REHABILITATION HOSPITAL LLC
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	814437201	HEALTH CARE SERVICES	IA					0	0		N/A
MERCYMANOR PARTNERSHIP
PO BOX 10086	TOLEDO	OH	43699	521931012	NURSING HOME	PA					0	Yes (1)		N/A
MERCYUSP HEALTH VENTURES LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	471290300	OUTPATIENT SURGERY	IA					0	0		N/A
MERCYONE - HFH HOME MEDICAL SHOP LLC
1000 4TH STREET SW	MASON CITY	IA	50401	854007472	MEDICAL EQUIPMENT SALES	IA					0	0		N/A
MERCYONE - KRHC HOME MEDICAL SHOP LLC
1515 S PHILLIPS STREET SUITE 1	ALGONA	IA	50511	923276114	MEDICAL EQUIPMENT SALES	IA					0	0		N/A
NAUGATUCK VALLEY MRI LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061239526	IMAGING CENTER	CT					0	0		N/A
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
2601 HOLME AVE	PHILADELPHIA	PA	19152	232388040	MEDICAL OFFICE BUILDING	PA					0	Yes (1)		N/A
NUCO HEALTH LLC
18000 W 9 MILE FLOOR 10	SOUTHFIELD	MI	48075	460951661	REVENUE CYCLE MANAGEMENT	DE					0	0		N/A
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREET	OAKLAND PARK	FL	33334	352325646	AMBULATORY SURGERY CENTER	FL					0	Yes (1)		N/A
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	472665226	URGENT CARE CENTERS	DE					0	0		N/A
PRIMARY CARE PHYSICIAN CENTER LLC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364038505	OFFICE BUILDING RENTAL	IL					0	Yes (1)		N/A
RAPIDES AFTER HOURS CLINIC LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	451772383	URGENT CARE CENTER	LA					0	Yes (1)		N/A
SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	843522377	OUTPATIENT SURGERY	CA					0	0		N/A
SAINT AGNESUSP SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	364896811	MEDICAL SERVICES	CA					0	0		N/A
SAINT ALPHONSUS CALDWELL CANCER CENTER LLC
3123 MEDICAL DR	CALDWELL	ID	83605	820526861	HEALTH CARE SERVICES	ID					0	Yes (1)		N/A
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200	BYRON CENTER	MI	49315	202443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	TRINITY HEALTH-MICHIGAN DBA ST MARY'S HEALTH CARE	RELATED	$1,244,294	$2,498,049	0	0	0.56540
SJLS LLC
920 WINTER ST	WALTHAM	MA	02451	201796650	HEALTH CARE SERVICES	NY					0	0		N/A
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	364559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA					0	0		N/A
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
3100 EASTON SQUARE PLACE SUITE 300	COLUMBUS	OH	43219	311603660	MEDICAL OFFICE BUILDING RENTAL	OH					0	Yes (1)		N/A
ST JOSEPH'S IMAGING ASSOCIATES PLLC
104 UNION AVE SUITE 905	SYRACUSE	NY	13203	161104293	HEALTH CARE SERVICES	NY					0	Yes (1)		N/A
ST MARY REHABILITATION HOSPITAL LLP
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	273938747	HEALTH CARE SERVICES	DE					0	0		N/A
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVE 201	ALBANY	NY	12206	460463892	OUTPATIENT SURGERY	NY					0	Yes (1)		N/A
TAYLOR STATION SURGICAL CENTER
3100 EASTON SQUARE PL SUITE 300	COLUMBUS	OH	43219	311459910	OUTPATIENT SURGERY	OH					0	0		N/A
TEN MILE SURGERY CENTER LLC
875 S VANGUARD WAY STE 120	MERIDIAN	ID	83642	845119941	OUTPATIENT SURGERY	ID					0	0		N/A
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	272871206	OUTPATIENT SURGERY	PA					0	Yes (1)		N/A
THPH URGENT CARE LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	852464958	URGENT CARE CENTERS	DE					0	0		N/A
WEST LAKES SURGERY CENTER LLC
12499 UNIVERSITY AVENUE SUITE 100	CLIVE	IA	50325	205345295	OUTPATIENT SURGERY	IA					0	0		N/A
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DR	ANN ARBOR	MI	48106	760820959	RADIOLOGY/ IMAGING	MI	TRINITY HEALTH-MICHIGAN	RELATED	$1,878,347		0	0	0.51000
WOODLAND PARTNERS REAL ESTATE LLC
129 WOODLAND STREET	HARTFORD	CT	06105	833371094	REAL ESTATE	CT					0	0		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (45 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CATHERINE HORAN BUILDING CORPORATION
114 WOODLAND STREET	HARTFORD	CT	06105	042938160	BUILDING MANAGEMENT	MA	N/A	C	Yes (1)
CENTRAL VALLEY HEALTH PLAN INC
1303 E HERNDON AVE	FRESNO	CA	93720	611846844	HEALTH INSURANCE	CA	N/A	C	Yes (1)
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	N/A	C	Yes (1)
FHS SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	272995699	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN ASSOCIATES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	202991688	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN HEALTH SUPPORT INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161236354	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN MANAGEMENT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161351193	MANAGEMENT SERVICES	NY	N/A	C	Yes (1)
FRANKLIN MEDICAL GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061470493	PHYSICIAN OFFICE	CT	N/A	C	Yes (1)
GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	863949369	PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
HACKLEY HEALTH VENTURES INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382589959	OTHER MEDICAL SERVICES	MI	N/A	C	Yes (1)
HACKLEY PROFESSIONAL PHARMACY INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382447870	PHARMACY	MI	N/A	C	Yes (1)
HEALTH CARE MANAGEMENT ADMINISTRATORS INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161450960	HEALTH CARE MANAGEMENT	NY	N/A	C	Yes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR	ANN ARBOR	MI	48106	382475644	OFFICE RENTAL	MI		C	Yes (1)	TRINITY HEALTH-MICHIGAN	$441,435	$27,497,992	1.00000
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C	Yes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	263795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C	Yes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C	Yes (1)
MACNEAL HEALTH PROVIDERS INC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363361297	MEDICAL SERVICES	IL	N/A	C	Yes (1)
MARYLAND CARE GROUP INC
1500 FOREST GLEN RD	SILVER SPRING	MD	20910	521815313	HEALTH CARE HOLDING	MD	N/A	C	Yes (1)
MAXIS HEALTH TRENTON INC
20555 VICTOR PKWY	LIVONIA	MI	48152	884267557	PROPERTY HOLDINGS	NJ	N/A	C	Yes (1)
MCMC EASTWICK INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C	Yes (1)
MEDNOW INC
4300 E FLAMINGO AVE	NAMPA	ID	83687	820389927	MEDICAL SERVICES	ID	N/A	C	Yes (1)
MERCY INPATIENT MEDICAL ASSOCIATES INC
114 WOODLAND STREET	HARTFORD	CT	06105	043029929	MEDICAL SERVICES	MA	N/A	C	Yes (1)
MERCY MEDICAL SERVICES
801 5TH STREET	SIOUX CITY	IA	51101	421283849	PRIMARY CARE PHYSICIANS	IA	N/A	C	Yes (1)
MISERICORDIA ASSURANCE COMPANY LTD
				980457943	SELF-INSURANCE		N/A	C	Yes (1)					PO BOX 1051 GRAND CAYMAN	GRAND CAYMAN	CJ	CJ
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
MOUNT CARMEL HEALTHPROVIDERS INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311382442	MEDICAL SERVICES	OH	N/A	C	Yes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAY	FORT LAUDERDALE	FL	33308	591145192	MEDICAL SERVICES	FL	N/A	C	Yes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C	Yes (1)
SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061384686	MEDICAL SERVICES	CT	N/A	C	Yes (1)
SAINT FRANCIS CARE MEDICAL GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061432373	MEDICAL SERVICES	CT	N/A	C	Yes (1)
SAINT JOSEPH'S MCAULEY PARK I LLC
424 DECATUR ST	ATLANTA	GA	30312	880592157	PROPERTY MANAGEMENT	GA	N/A	C	Yes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUE	TROY	NY	12180	141607244	REAL ESTATE	NY	N/A	C	Yes (1)
SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061232868	PROPERTY MANAGEMENT	CT	N/A	C	Yes (1)
SJM PROPERTIES INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	161294991	PROPERTY HOLDINGS	NY	N/A	C	Yes (1)
SJPE PRACTICE MANAGEMENT SERVICES INC
301 PROSPECT AVE	SYRACUSE	NY	13203	454164964	MANAGEMENT SERVICES	NY	N/A	C	Yes (1)
SJRMC HOLDINGS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	474763735	PROPERTY HOLDINGS	IN	N/A	C	Yes (1)
ST ELIZABETH HEALTH SUPPORT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161540486	MEDICAL SERVICES	NY	N/A	C	Yes (1)
SYNANON INC
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	382715568	URGENT CARE	MI	N/A	C	Yes (1)
SYSTEM COORDINATED SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	042938161	LAB SERVICES	MA	N/A	C	Yes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI		C	Yes (1)	TRINITY HEALTH-MICHIGAN	-$199,392	$18,880	0.99000
TRINITY ASSURANCE LTD
				980453602	SELF-INSURANCE		N/A	C	Yes (1)					GOV SQ BLDG 4 34 LIME TREE BAY	GRAND CAYMAN	CJ	CJ
TRINITY HEALTH ACO INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C	Yes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T	Yes (1)
TRINITY SENIOR SERVICES MANAGEMENT INC
PO BOX 530009	LIVONIA	MI	48152	371572595	SENIOR SERVICES	PA	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (61 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
L	$10,305,568	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
M	$32,284,841	PER BOOKS
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
Q	$6,608,098	PER BOOKS
ADVENT REHABILITATION LLC
C	$400,000	PER TAX RETURN
CATHOLIC HEALTH INITIATIVES - IOWA CORP
L	$144,137	PER BOOKS
CENTER FOR DIGESTIVE CARE LLC
C	$2,451,942	PER TAX RETURN
GOOD SAMARITAN HOSPITAL INC
L	$97,609	PER BOOKS
HOLY CROSS HEALTH INC
L	$378,996	PER BOOKS
HOLY CROSS HOSPITAL INC
P	$65,810	PER BOOKS
HOLY CROSS HOSPITAL INC
L	$845,172	PER BOOKS
HURON ARBOR CORPORATION
K	$1,651,639	PER BOOKS
HURON ARBOR CORPORATION
Q	$1,207,583	PER BOOKS
HURON GASTRO ENDOSCOPY CENTER LLC
B	$578,876	PER TAX RETURN
IHA HEALTH SERVICES CORPORATION
C	$88,257	PER BOOKS
IHA HEALTH SERVICES CORPORATION
K	$177,885	PER BOOKS
IHA HEALTH SERVICES CORPORATION
L	$5,172,363	PER BOOKS
IHA HEALTH SERVICES CORPORATION
M	$130,585,953	PER BOOKS
IHA HEALTH SERVICES CORPORATION
P	$35,803,282	PER BOOKS
IHA HEALTH SERVICES CORPORATION
Q	$12,989,245	PER BOOKS
IHA HEALTH SERVICES CORPORATION
S	$317,804	PER BOOKS
LOYOLA UNIVERSITY MEDICAL CENTER
L	$1,702,908	PER BOOKS
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
L	$168,080	PER BOOKS
MERCY HEALTH PARTNERS
Q	$24,103,299	PER BOOKS
MERCY HEALTH PARTNERS
R	$318,428	PER BOOKS
MERCY HEALTH PARTNERS
S	$2,736,210	PER BOOKS
MERCY HEALTH PARTNERS
L	$6,714,448	PER BOOKS
MOUNT CARMEL HEALTH SYSTEM
M	$680,665	PER BOOKS
MOUNT CARMEL HEALTH SYSTEM
L	$3,255,546	PER BOOKS
NAZARETH HOSPITAL
L	$109,027	PER BOOKS
NUCO HEALTH LLC
M	$75,000	PER BOOKS
PROBILITY THERAPY SERVICES
P	$209,493	PER BOOKS
PROBILITY THERAPY SERVICES
Q	$569,237	PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
L	$295,624	PER BOOKS
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
L	$1,665,106	PER BOOKS
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
L	$2,014,484	PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
Q	$129,667	PER BOOKS
SAINT MARY'S FOUNDATION
C	$2,677,093	PER BOOKS
SAINT MARY'S HOSPITAL INC
L	$1,129,362	PER BOOKS
SAMARITAN HOSPITAL
L	$116,999	PER BOOKS
SIXTY FOURTH STREET LLC
C	$66,882	PER BOOKS
ST JOSEPH MERCY CHELSEA INC
M	$717,210	PER BOOKS
ST JOSEPH MERCY CHELSEA INC
P	$1,063,745	PER BOOKS
ST JOSEPH MERCY CHELSEA INC
Q	$99,412,808	PER BOOKS
ST JOSEPH MERCY CHELSEA INC
L	$8,839,183	PER BOOKS
ST JOSEPH'S HOSPITAL HEALTH CENTER
L	$77,635	PER BOOKS
ST MARY'S HOSPITAL INC
P	$60,214	PER BOOKS
ST MARY'S HOSPITAL INC
L	$503,097	PER BOOKS
ST MARY'S SACRED HEART HOSPITAL INC
L	$92,005	PER BOOKS
ST PETER'S HOSPITAL
L	$250,326	PER BOOKS
SYSTEM COORDINATED SERVICES INC
L	$732,638	PER BOOKS
TRINITY CONTINUING CARE SERVICES
Q	$190,114	PER BOOKS
TRINITY HEALTH CORPORATION
B	$27,180,837	PER BOOKS
TRINITY HEALTH CORPORATION
C	$2,481,254	PER BOOKS
TRINITY HEALTH CORPORATION
M	$240,511,734	PER BOOKS
TRINITY HEALTH CORPORATION
P	$97,183,769	PER BOOKS
TRINITY HEALTH CORPORATION
Q	$22,217,810	PER BOOKS
TRINITY HEALTH CORPORATION
R	$45,879,977	PER BOOKS
TRINITY HEALTH GRAND HAVEN HOSPITAL
Q	$470,903	PER BOOKS
WOODLAND IMAGING CENTER LLC
K	$141,413	PER BOOKS
WOODLAND IMAGING CENTER LLC
M	$1,165,845	PER BOOKS
WOODLAND IMAGING CENTER LLC
Q	$224,748	PER BOOKS