2012-05-15T08:00:53-05:00 2011-06-30 990 2010-07-01 351443425 TRINITY HEALTH CORPORATION TRIN 2484895004 27870 CABOT DRIVE NOVI MI 483772920 JAMES BOSSCHER 2484895004 2012-05-15 2010 2016-02-24 21:20:13Z TRINITY HEALTH JOSEPH SWEDISH 34605 W 12 MILE RD FARMINGTON HILLS MI 48331 814995262 0 X WWW.TRINITY-HEALTH.ORG X 1978 IN HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT 12 10 3065 0 0 0 29000 22368 590518919 642889547 132651385 146521863 15737553 25044068 738936857 814477846 1945641 1009967 0 0 280711820 322874739 0 0 0 405666692 453833700 688324153 777718406 50612704 36759440 8499598389 9158410236 4277545472 4043143792 4222052917 5115266444 X HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT 0 0 753415602 1009967 667933615 TRINITY HEALTH CORPORATION'S PURPOSE IS TO GOVERN, MANAGE AND PROVIDE ADMINISTRATIVE SERVICES TO ITS FIRST TIER SUBSIDIARIES. THESE FIRST TIER SUBSIDIARIES ARE HOSPITAL ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3) AND PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. THE SERVICES PROVIDED BY TRINITY HEALTH CORPORATION ALLOW FOR ECONOMIES OF SCALE THAT IN TURN PERMIT THE SUBSIDIARIES TO PROVIDE HEALTHCARE SERVICES TO PATIENTS AT A REASONABLE COST.TRINITY HEALTH CORPORATION AND ITS SUBSIDIARIES ARE COLLECTIVELY KNOWN AS TRINITY HEALTH. TRINITY HEALTH WAS CREATED BY THE CONSOLIDATION OF (CONTINUED) TWO CATHOLIC HEALTHCARE SYSTEMS, HOLY CROSS HEALTH SYSTEM AND MERCY HEALTH SERVICES, ON MAY 1, 2000. THE MISSION STATEMENT OF TRINITY HEALTH IS AS FOLLOWS: WE SERVE TOGETHER IN TRINITY HEALTH IN THE SPIRIT OF THE GOSPEL TO HEAL BODY, MIND AND SPIRIT TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND TO STEWARD THE RESOURCES ENTRUSTED TO US.COMMUNITY BENEFIT MINISTRYCONSISTENT WITH ITS MISSION, THE HOSPITALS THAT ARE PART OF TRINITY HEALTH PROVIDE MEDICAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, THE HOSPITALS PROVIDE SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED, INCLUDING THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE OR OTHER PAYMENTS SUCH AS COPAYS AND DEDUCTIBLES BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH THEY OPERATE.THE FOLLOWING SUMMARY HAS BEEN PREPARED IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES ("CHA"), A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT, 2008 EDITION. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF TRINITY HEALTH'S COMMUNITY BENEFIT MINISTRY FOR THE YEAR ENDED JUNE 30, 2011:MINISTRY FOR THE POOR AND UNDERSERVED (IN THOUSANDS):CHARITY CARE AT COST 136,493UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS 152,014PROGRAMS FOR THE POOR AND UNDERSERVED: COMMUNITY HEALTH SERVICES 19,613 SUBSIDIZED HEALTH SERVICES 34,854 FINANCIAL CONTRIBUTIONS 3,813 COMMUNITY BUILDING ACTIVITIES 1,811 COMMUNITY BENEFIT OPERATIONS 2,321 TOTAL PROGRAMS FOR THE POOR AND UNDERSERVED 62,412MINISTRY FOR THE POOR AND UNDERSERVED 350,919MINISTRY FOR THE BROADER COMMUNITY: COMMUNITY HEALTH SERVICES 8,337 HEALTH PROFESSIONS EDUCATION 61,308 SUBSIDIZED HEALTH SERVICES 13,950 RESEARCH 6,782 FINANCIAL CONTRIBUTIONS 3,174 COMMUNITY BUILDING ACTIVITIES 5,161 COMMUNITY BENEFIT OPERATIONS 2,914MINISTRY FOR THE BROADER COMMUNITY 101,626COMMUNITY BENEFIT MINISTRY 452,545MINISTRY FOR THE POOR AND UNDERSERVED REPRESENTS THE FINANCIAL COMMITMENT TO SEEK OUT AND SERVE THOSE WHO NEED HELP THE MOST, ESPECIALLY THE POOR, THE UNINSURED AND THE INDIGENT. THIS IS DONE WITH THE CONVICTION THAT HEALTHCARE IS A BASIC HUMAN RIGHT. MINISTRY FOR THE BROADER COMMUNITY REPRESENTS THE COST OF SERVICES PROVIDED FOR THE GENERAL BENEFIT OF THE COMMUNITIES IN WHICH TRINITY HEALTH HOSPITALS OPERATE. MANY PROGRAMS ARE TARGETED TOWARD POPULATIONS THAT MAY BE POOR, BUT ALSO INCLUDE THOSE AREAS THAT MAY NEED SPECIAL HEALTH SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT INTENDED TO BE FINANCIALLY SELF-SUPPORTING.CHARITY CARE AT COST REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO CANNOT AFFORD HEALTH CARE SERVICES DUE TO INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF TRINITY HEALTH HOSPITALS. THE COST OF CHARITY CARE IS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS REPRESENTS THE COST (DETERMINED USING A COST TO CHARGE RATIO) OF PROVIDING SERVICES TO BENEFICIARIES OF PUBLIC PROGRAMS, INCLUDING STATE MEDICAID AND INDIGENT CARE PROGRAMS, IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS.COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING. SOME EXAMPLES INCLUDE COMMUNITY HEALTH EDUCATION, FREE IMMUNIZATION SERVICES, FREE OR LOW COST PRESCRIPTION MEDICATIONS, AND RURAL AND URBAN OUTREACH PROGRAMS. TRINITY HEALTH HOSPITALS ACTIVELY COLLABORATE WITH COMMUNITY GROUPS AND AGENCIES TO ASSIST THOSE IN NEED IN PROVIDING SUCH SERVICES.HEALTH PROFESSIONS EDUCATION INCLUDES THE UNREIMBURSED COST OF TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, NURSING STUDENTS, TECHNICIANS AND STUDENTS IN ALLIED HEALTH PROFESSIONS.SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITALS. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN SUFFICIENT AMOUNT. EXAMPLES OF SERVICES INCLUDE FREE-STANDING COMMUNITY CLINICS, HOSPICE CARE, MOBILE UNITS, AND BEHAVIORAL HEALTH SERVICES.RESEARCH INCLUDES UNREIMBURSED CLINICAL AND COMMUNITY HEALTH RESEARCH AND STUDIES ON HEALTH CARE DELIVERY.FINANCIAL CONTRIBUTIONS ARE MADE BY THE HOSPITALS ON BEHALF OF THE POOR AND UNDERSERVED TO COMMUNITY AGENCIES. THESE AMOUNTS INCLUDE SPECIAL SYSTEM-WIDE FUNDS USED FOR CHARITABLE ACTIVITIES AS WELL AS RESOURCES CONTRIBUTED DIRECTLY TO PROGRAMS, ORGANIZATIONS, AND FOUNDATIONS FOR EFFORTS ON BEHALF OF THE POOR AND UNDERSERVED. AMOUNTS INCLUDED HERE ALSO REPRESENT CERTAIN IN-KIND DONATIONS.COMMUNITY BUILDING ACTIVITIES INCLUDE THE COSTS OF PROGRAMS THAT IMPROVE THE PHYSICAL ENVIRONMENT, PROMOTE ECONOMIC DEVELOPMENT, ENHANCE OTHER COMMUNITY SUPPORT SYSTEMS, DEVELOP LEADERSHIP SKILLS TRAINING, AND BUILD COMMUNITY COALITIONS.COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEEDS AND/OR ASSETS ASSESSMENTS, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. CONTINUED IN SCHEDULE O 753415602 1 1 0 1 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 X 576 0 1 3065 1 1 0 1 CJ EI 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 1 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 IN CA OR X KIM SAXTON 2484895004 27870 CABOT DRIVE NOVI MI 483772920 X JOSEPH SWEDISH 55.00 X X 2853932 0 791453 MARY MOLLISON CSA 2.00 X X 0 0 0 MELANIE DREHER PHD RN 2.00 X X 25000 0 0 HENRY AUTRY 2.00 X 25000 0 0 JAMES BENTLEY 2.00 X 22000 0 0 SUZANNE BRENNAN CSC 2.00 X 0 0 0 SARAH EAMES 2.00 X 20500 0 0 UMA KOTAGAL MD 2.00 X 11750 0 0 ROBERT LADENBURGER 2.00 X 22000 0 0 PAUL ROBERTSON 2.00 X 21250 0 0 JOSE SANTILLAN 2.00 X 22000 0 0 LINDA WERTHMAN RSM 2.00 X 0 0 0 PAUL NEUMANN 50.00 X 686026 0 82938 AGNES HAGERTY 50.00 X 418922 0 50773 JAMES BOSSCHER 50.00 X 558096 0 98578 BENJAMIN CARTER 50.00 X 574987 0 73155 MARIANNE CUNNINGHAM 45.00 X 161043 0 29898 KEDRICK ADKINS 55.00 X 1160870 0 198248 MICHAEL SLUBOWSKI 55.00 X 1153164 0 271732 DEBRA CANALES 50.00 X 720373 0 92327 DANIEL HALE 50.00 X 789942 0 220882 MICHAEL MURPHY 55.00 X 539823 0 68542 RICHARD O'CONNELL 55.00 X 761373 0 137960 TERRENCE O'ROURKE MD 50.00 X 812420 0 59048 VELOIS BOWERS 50.00 X 360170 0 11408 PAUL BROWNE 50.00 X 699671 0 107716 PAUL CONLON 50.00 X 408070 0 103830 DANIEL DWYER 50.00 X 315329 0 69794 LOUIS FIERENS 50.00 X 484981 0 58236 PRESTON GEE 50.00 X 490180 0 75992 REBECCA HAVLISCH 50.00 X 381470 0 52625 MICHAEL HOLPER 50.00 X 386168 0 59654 GAY LANDSTROM 50.00 X 385459 0 85736 MARIA SZYMANSKI 50.00 X 601911 0 161699 PHILIP MCCORKLE 55.00 X 924813 0 73496 GARRY FAJA 55.00 X 894529 0 301114 CLAUS VON ZYCHLIN 55.00 X 729816 0 103949 KEVIN SEXTON 55.00 X 728750 0 171616 SALLY JEFFCOAT 55.00 X 680947 0 100231 19832735 0 3712630 498 0 1 0 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 SOFTWARE CONSULTING 23942515 MCKESSON INFORMATION SOLUTIONS PO BOX 98347 CHICAGO IL 60693 CONSULTING 15204482 ACCENTURE LLP PO BOX 70629 CHICAGO IL 60673 CONSULTING 8691887 SBC DATACOMM PO BOX 8104 AURORA IL 60507 COMMUNICATIONS CONSULTING 8607152 KRONOS INCORPORATED PO BOX 845748 BOSTON MA 02284 CONSULTING 5362718 224 22368 22368 SUBSIDIARY FEES 900099 642889547 642889547 642889547 110915400 110915400 36123879 517416 36123879 -517416 35606463 35606463 OTHER REVENUE 900099 25044068 25044068 25044068 814477846 667933615 0 146521863 1009967 1009967 18629988 18629988 231146358 231146358 21379460 21379460 35359267 35359267 16359666 16359666 1622110 1622110 3194310 3194310 2345958 2345958 132548 132548 46994971 46994971 443632 443632 28364807 28364807 74555895 74555895 5415400 5415400 5762296 5762296 4892703 4892703 83056421 83056421 77393420 77393420 48295447 48295447 EQUIPMENT MAINTENANCE 56482102 56482102 CONTRACT LABOR EXPENSES 6254908 6254908 LETTER OF CREDIT EXP. 5629465 5629465 SUBSCRIPTIONS & DUES 1237475 1237475 BOND AMORTIZATION 1225176 1225176 534656 534656 777718406 753415602 24302804 0 3374735 2267725 232876 241678 2385523899 2462004773 6753 6004 30966869 31985178 599977118 294714493 291125167 305262625 902218872 713962624 404082527 712536685 4482066691 4930142944 8499598389 9158410236 912857164 611868215 150133 189633 2536818941 2632899135 169956379 99978371 657762855 698208438 4277545472 4043143792 X 4221969720 5115178770 83197 87674 4222052917 5115266444 8499598389 9158410236 X 36759440 856454087 X X 0 1 1 X 0 X X X 0 0 0 TRINITY HEALTH - MICHIGAN 382113393 3 1 1 1 140066 HOLY CROSS HOSPITAL OF SILVER SPRING INC 520738041 3 1 1 1 51046 THE HOSPITAL SUBSIDIARIES OF MOUNT CARMEL HEALTH SYSTEM 311439334 3 1 1 1 139500 THE HOSPITAL SUBSIDIARIES OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC 351568821 3 1 1 1 0 THE HOSPITAL SUBSIDIARIES OF SAINT ALPHONSUS HEALTH SYSTEM INC 271929502 3 1 1 1 174612 SAINT AGNES MEDICAL CENTER 941437713 3 1 1 1 0 MERCY HEALTH SERVICES - IOWA CORP 311373080 3 1 1 1 151444 HOSPITAL SUBSIDIARIES OF MERCY HEALTH PARTNERS 382589966 3 1 1 1 225000 8 881668 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1 1 1 1 1 800000 800000 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: TRINITY HEALTH BEGAN ITS "LEAD THE WAY" INITIATIVE DURING FY11: (1) HEALTH CARE IS ON A TRANSFORMATIONAL JOURNEY AND TRINITY HEALTH IS PART OF IT (2) CALLS FOR PROVIDER, CONSUMER, GOVERNMENT AND PRIVATE PAYER ENGAGEMENT (3) INCLUDES EDUCATION AND GRASSROOTS TRINITY HEALTH'S FEDERAL AND STATE ADVOCACY PRIORITIES FOR FY11 INCLUDED: (1) SECURE COVERAGE AND ACCESS FOR ALL (2) ACHIEVE COORDINATED CARE: PROMOTE SAFE, HIGH-QUALITY COORDINATED CARE ACROSS THE HEALTH CARE CONTINUUM (3) ACHIEVE HIGH-VALUE CARE, INCLUDING: - ADVOCATE FOR MEDICARE AND MEDICAID SAVINGS THROUGH PAYMENT AND DELIVERY REDESIGN - REFORM MEDICARE TO INCLUDE SUSTAINABLE SOLUTIONS TO ADDRESS GEOGRAPHIC PAYMENT DISPARITIES - SECURE ADEQUATE FUNDING FOR IMPLEMENTATION OF HEALTH CARE REFORM RULES - ENCOURAGE USE OF SAFETY/QUALITY MEASUREMENTS - PROMOTE IDEAS TO REDUCE HEALTH CARE COSTS LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH CORPORATION INCLUDED: - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICIALS - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON FOR EACH MINISTRY ORGANIZATION OF TRINITY HEALTH - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. - LEGISLATOR VISITS TO MINISTRY ORGANIZATIONS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION (CHA), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) - GRANTS FOR LOBBYING PURPOSES IN THE FORM OF MEMBERSHIP DUES PAID TO HEALTHCARE ORGANIZATIONS - ADVOCACY ACTION DAYS ADVOCACY ACTION DAYS WERE HELD IN MARCH 2011 IN WASHINGTON, D.C. OVER 50 MEETINGS WERE HELD WITH MEMBERS OF THE HOUSE AND SENATE DELIVERING A MESSAGE ABOUT TRANSFORMING AMERICA'S HEALTH. PARTICIPANTS INCLUDED TRINITY HEALTH EXECUTIVES, MINISTRY ORGANIZATION CEO'S, LOCAL BOARD MEMBERS AND ADVOCACY LEADERS. THE FOCUS OF THE MEETINGS WAS TO DISCUSS WHAT POLICYMAKERS CAN AND SHOULD DO TO ACHIEVE THE TRINITY HEALTH VISION OF AN ALL-INCLUSIVE, NATIONAL AFFORDABLE HEALTH CARE SYSTEM THAT DELIVERS HIGH VALUE AND CLINICAL EXCELLENCE ACROSS THE CONTINUUM OF CARE. 19946658 19946658 11602057 6507204 5094853 526909854 288207289 238702565 41518549 41518549 305262625 ABSOLUTE RETURN STRATEGY FUNDS 317347702 F COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 88857357 F INTEREST RATE SWAP AGREEMENTS 27065648 F BOND FUND 279265978 F 712536685 OTHER RECEIVABLES 10217788 INTERCOMPANY ACCOUNTS RECEIVABLE 103923145 INVESTMENT IN UNCONSOLIDATED AFFILIATES 4765338651 DEFERRED FINANCING COSTS, NET OF AMORTIZATION 17006465 OTHER LONG TERM ASSETS 2828634 SWAP COLLATERAL 30600000 OTHER 3752 INVESTMENT IN MICHIGAN CO-TENANCY LABORATORY 224509 4930142944 INTERCOMPANY ACCOUNTS PAYABLE 3572759 INTERCOMPANY OTHER LONG TERM LIABILITIES 316037965 DEFERRED COMPENSATION LIABILITY 16451472 SECURITY LENDING OBLIGATION 118876615 LONG TERM ASSET RETIREMENT OBLIGATION (FIN 47) 1372023 OTHER LONG TERM LIABILITIES 160761666 OTHER CURRENT LIABILITIES 80085031 LEASE OBLIGATION 1050907 698208438 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 6283003 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENT IN FOREIGN FUND 471729562 EUROPE 0 0 INVESTMENT IN FOREIGN FUND 163311413 0 0 0 0 0 0 641323978 0 641323978 1 0 1 1 0 0 1 COMMUNITY HEALTH LEADERSHIP NETWORK DBA COMMUNITIES JOINED IN ACTION 1910 4TH AVE E PMB 212 OLYMPIA WA 98506 522305386 501(C)3 10000 GENERAL SUPPORT - CALL TO CARE GRANT JOY - SOUTHFIELD COMMUNITY DEVELOPMENT CORP 18917 JOY ROAD DETROIT MI 48228 383622930 501(C)3 7500 GENERAL SUPPORT - CALL TO CARE GRANT MERCY EDUCATION PROJECT 1450 HOWARD STREET DETROIT MI 48216 383209556 501(C)3 5000 COMMUNITY WELFARE, EVENT SPONSORSHIP MIGRANT HEALTH PROMOTION INC 536 S TEXAS BLVD WESLACO TX 78596 383092194 501(C)3 22500 GENERAL SUPPORT - CALL TO CARE GRANT SISTERS OF MERCY OF THE AMERICAS CCASA COMMUNITY INC 8380 COLESVILLE RD STE 300 SILVER SPRING MD 20910 262486726 501(C)3 20000 COMMUNITY WELFARE - SUPPORT OF THE MERCY LEADERSHIP DEVELOPMENT PROGRAM TRINITY COMMUNITY SERVICES AND EDUCATIONAL FOUNDATION 1050 PORTER STREET DETROIT MI 48226 383129349 501(C)3 10000 COMMUNITY WELFARE - SUPPORT OF THE CABRINI CLINIC UNIVERSITY OF ARKANSAS AT PINE BLUFF 1200 N UNIVERSITY DRIVE PINE BLUFF AK 71601 716010030 501(C)3 7500 COMMUNITY WELFARE, YOUTH MOTIVATION TASK FORCE PROGRAM UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH 1415 WASHINGTON HEIGHTS 1700 SPH I ANN ARBOR MI 48109 386006309 501(C)3 10000 COMMUNITY WELFARE - EVENT SPONSORSHIP HOLY CROSS HOSPITAL OF SILVER SPRING INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 501(C)3 51046 GENERAL SUPPORT - CALL TO CARE GRANT MERCY HEALTH PARTNERS 1415 LEAHY ST MUSKEGON MI 49422 382589966 501(C)3 225000 GENERAL SUPPORT - CALL TO CARE GRANT MERCY HEALTH SERVICES - IOWA CORP 1999 FOURTH STREET SW MASON CITY IA 50401 311373080 501(C)3 151444 GENERAL SUPPORT - CALL TO CARE GRANT MOUNT CARMEL HEALTH SYSTEM 6150 EAST BROAD STREET COLUMBUS OH 43213 311439334 501(C)3 139500 GENERAL SUPPORT - CALL TO CARE GRANT SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS ROAD BOISE ID 83706 820200895 501(C)3 174612 GENERAL SUPPORT - CALL TO CARE GRANT TRINITY HEALTH - MICHIGAN 27870 CABOT DRIVE NOVI MI 48376 382113393 501(C)3 140066 GENERAL SUPPORT - CALL TO CARE GRANT MICHIGAN STATE UNIVERSITY 300 SPARTAN WAY EAST LANSING MI 48824 386005984 501(C)3 9300 COMMUNITY WELFARE, EVENT SPONSORSHIP 15 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY TRINITY HEALTH CORPORATION TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. TRINITY HEALTH ALSO HAS ESTABLISHED A "CALL TO CARE" PROGRAM. THE PROGRAM STRIVES TO ELIMINATE BARRIERS TO HEALTHCARE, EXPAND ACCESS TO HEALTH SERVICES, AND BUILD HEALTHIER COMMUNITIES. MEMBER ORGANIZATIONS OF THE TRINITY HEALTH SYSTEM MAY APPLY TO THIS FUND FOR GRANTS TO SUPPORT PROGRAMS WITHIN THEIR COMMUNITIES. X X X X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 JOSEPH SWEDISH 1240774 0 645161 0 967997 0 763945 0 27508 0 3645385 0 690161 0 PAUL NEUMANN 453650 0 133218 0 99158 0 60389 0 22549 0 768964 0 0 0 AGNES HAGERTY 316857 0 75909 0 26156 0 38171 0 12602 0 469695 0 0 0 JAMES BOSSCHER 294168 0 115448 0 148480 0 87903 0 10675 0 656674 0 101733 0 BENJAMIN CARTER 410595 0 113318 0 51074 0 49689 0 23466 0 648142 0 0 0 MARIANNE CUNNINGHAM 160274 0 0 0 769 0 13623 0 16275 0 190941 0 0 0 KEDRICK ADKINS 717356 0 326029 0 117485 0 184461 0 13787 0 1359118 0 0 0 MICHAEL SLUBOWSKI 701008 0 291561 0 160595 0 246925 0 24807 0 1424896 0 42832 0 DEBRA CANALES 453678 0 194272 0 72423 0 79191 0 13136 0 812700 0 0 0 DANIEL HALE 451341 0 207437 0 131164 0 201869 0 19013 0 1010824 0 52144 0 MICHAEL MURPHY 343184 0 68618 0 128021 0 47238 0 21304 0 608365 0 0 0 RICHARD O'CONNELL 533392 0 113794 0 114187 0 116680 0 21280 0 899333 0 0 0 TERRENCE O'ROURKE MD 464591 0 205751 0 142078 0 32195 0 26853 0 871468 0 0 0 VELOIS BOWERS 228935 0 96129 0 35106 0 1801 0 9607 0 371578 0 0 0 PAUL BROWNE 460911 0 174224 0 64536 0 87030 0 20686 0 807387 0 6099 0 PAUL CONLON 251101 0 100416 0 56553 0 81742 0 22088 0 511900 0 15062 0 DANIEL DWYER 203945 0 75029 0 36355 0 49273 0 20521 0 385123 0 0 0 LOUIS FIERENS 317250 0 123808 0 43923 0 44110 0 14126 0 543217 0 0 0 PRESTON GEE 296889 0 111712 0 81579 0 50787 0 25205 0 566172 0 0 0 REBECCA HAVLISCH 271376 0 69282 0 40812 0 35546 0 17079 0 434095 0 0 0 MICHAEL HOLPER 251970 0 97178 0 37020 0 39654 0 20000 0 445822 0 0 0 GAY LANDSTROM 246532 0 95381 0 43546 0 67146 0 18590 0 471195 0 0 0 MARIA SZYMANSKI 374739 0 104539 0 122633 0 147379 0 14320 0 763610 0 66282 0 PHILIP MCCORKLE 420523 0 157477 0 346813 0 44119 0 29377 0 998309 0 125372 0 GARRY FAJA 538289 0 186960 0 169280 0 280180 0 20934 0 1195643 0 76838 0 CLAUS VON ZYCHLIN 473259 0 163784 0 92773 0 78441 0 25508 0 833765 0 0 0 KEVIN SEXTON 429118 0 154831 0 144801 0 141755 0 29861 0 900366 0 13424 0 SALLY JEFFCOAT 455371 0 163850 0 61726 0 78781 0 21450 0 781178 0 0 0 PART I, LINE 1A THE FOLLOWING INDIVIDUALS RECEIVED TAX GROSS-UP PAYMENTS IN CALENDAR 2010 RELATED TO MOVING EXPENSES: GAY LANDSTROM - $1,991 MICHAEL MURPHY - $16,293 THESE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S TAXABLE INCOME. PART I, LINE 1A: THE FOLLOWING INDIVIDUALS RECEIVED REIMBURSEMENT OF HOUSING EXPENSES DURING CALENDAR 2010: PRESTON GEE - $36,241 MICHAEL MURPHY - $14,246 PAUL NEUMANN - $40,495 RICHARD O'CONNELL - $33,366 TERRENCE O'ROURKE - $44,522 THESE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S TAXABLE INCOME. PART I, LINE 1A: IN CALENDAR 2010,THE FOLLOWING INDIVIDUAL RECEIVED FINANCIAL PLANNING SERVICES: JOSEPH SWEDISH - $8,924 THIS AMOUNT WAS INCLUDED IN HIS TAXABLE INCOME. PART I, LINE 1A: IN CALENDAR 2010, CERTAIN EMPLOYEES OF TRINITY HEALTH CORPORATION AT THE SENIOR VICE PRESIDENT LEVEL AND ABOVE WERE ELIGIBLE TO RECEIVE REIMBURSEMENT FOR SPECIFIC 2009 EXPENSES DESIGNED TO ENHANCE PRODUCTIVITY AND SUPPORT THE MAINTENANCE OF HEALTH. UNDER THE PROGRAM GUIDELINES, EXPENSES ELIGIBLE FOR REIMBURSEMENT INCLUDED VARIOUS ITEMS SUCH AS CELL PHONES, AIRLINE HOSPITALITY CLUBS, HEALTH CLUB MEMBERSHIPS, PERSONAL TRAINER EXPENSES, COUNTRY CLUB MEMBERSHIPS, TAX PREPARATION FEES, FINANCIAL PLANNING, FIRST CLASS TRAVEL UPGRADES, AND SPOUSAL TRAVEL. BEFORE RECEIVING REIMBURSEMENT, AN ELIGIBLE EMPLOYEE WAS REQUIRED TO PROVIDE DOCUMENTATION TO SUBSTANTIATE THE EXPENSES. TO THE EXTENT AN INDIVIDUAL WAS REIMBURSED FOR AN ELIGIBLE EXPENSE, THE ENTIRE REIMBURSED AMOUNT WAS INCLUDED IN THEIR TAXABLE INCOME. THE FOLLOWING INDIVIDUALS LISTED IN PART VII RECEIVED REIMBURSEMENTS FROM THE 2009 PROGRAM DURING CALENDAR 2010: VELOIS BOWERS - $397 PAUL BROWNE - $472 DANIEL HALE - $2,500 PHILIP MCCORKLE - $3,150 JOSEPH SWEDISH - $1,697 CLAUS VON ZYCHLIN - $9,270 AS OF 2010, THIS PROGRAM HAS BEEN ELIMINATED. PART I, LINE 4B THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2010 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $49,977 MICHAEL SLUBOWSKI - $77,185 JOSEPH SWEDISH - $511,613 THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2010). THE FOLLOWING ACCRUALS FOR 2010 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $113,498 JAMES BOSSCHER - $52,983 PAUL BROWNE - $66,672 DEBRA CANALES - $59,431 BENJAMIN CARTER - $33,040 PAUL CONLON - $34,248 DANIEL DWYER - $19,375 GARRY FAJA - $218,737 LOUIS FIERENS - $24,986 PRESTON GEE - $29,232 DANIEL HALE - $155,414 REBECCA HAVLISCH - $9,536 MICHAEL HOLPER - $17,612 SALLY JEFFCOAT - $54,476 GAY LANDSTROM - $31,626 MICHAEL MURPHY - $26,316 PAUL NEUMANN - $41,143 RICHARD O'CONNELL - $83,058 KEVIN SEXTON - $101,903 MICHAEL SLUBOWSKI - $136,445 JOSEPH SWEDISH - $223,342 MARIA SZYMANSKI - $101,730 CLAUS VON ZYCHLIN - $55,997 MICHIGAN FINANCE AUTHORITY 800596186 59447PCF6 2010-10-18 56625000 SEE PART V - 2010F 0 0 0 MICHIGAN FINANCE AUTHORITY 800596186 59447PCB5 2010-10-28 141744110 SEE PART V - 2010A 0 0 0 INDIANA FINANCE AUTHORITY 351602316 455057F87 2010-10-28 66966076 SEE PART V - 2010B 0 0 0 COUNTY OF FRANKLIN OHIO 316400067 353202FH2 2010-10-28 25918487 SEE PART V - 2010C 0 0 0 56625000 161271 54463653 2000076 2010 0 0 0 1 141744110 1806310 1 0 1 1 66966076 922023 39227784 4627105 2011 1 0 0 1 25918487 350614 23128952 2011 1 0 1 1 0 0 1 0 1 1 0 0 1 0 1 1 0 0 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 16 - DEFAULT TO SPECIFIC TRACING PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. IDAHO HEALTH FINANCE AUTHORITY 826051863 451295VL0 2010-10-28 28675233 SEE PART V - 2010D 0 0 0 HOSP FIN AUTH OF ONTARIO OREGON 936002229 683213AB8 2010-10-28 21368626 SEE PART V - 2010E 0 0 0 INDIANA FINANCE AUTHORITY 351602316 455057VJ5 2009-11-13 240002153 SEE PART V - 2009A 0 0 0 MICHIGAN STATE HOSP FIN AUTHORITY 382889417 59465HMB9 2009-11-13 102840000 SEE PART V - 2009BC 0 0 0 28675233 407805 28267428 2010 0 0 1 1 21368626 281772 21086854 2010 0 0 1 1 8135000 240002153 2862297 195188952 2010 1 0 1 1 102840000 1221195 101618805 2010 0 0 1 1 0 0 1 0 1 1 0 0 1 0 1 1 0 0 1 0 1 0.00600 0.00200 0.00800 1 0 0 1 0 1 0.00600 0.00200 0.00800 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 1 MICHIGAN STATE HOSP FIN AUTHORITY 382889417 59465HKK1 2008-11-13 310746976 SEE PART V - 2008A 0 0 0 IDAHO HEALTH FINANCE AUTHORITY 826051863 451295TG4 2008-11-13 174671330 SEE PART V - 2008B 0 0 0 MICHIGAN STATE HOSP FIN AUTHORITY 382889417 59465HKR6 2008-11-13 391470000 SEE PART V - 2008C 0 0 0 INDIANA FINANCE AUTHORITY 351602316 455057QM4 2008-11-13 393530000 SEE PART V - 2008D 0 0 0 310746976 4333551 100131203 2009 1 0 1 1 174671330 2675840 41817570 2008 1 0 1 1 3365000 391470000 1909289 1 0 1 1 3430000 393530000 1915051 91927913 2008 1 0 1 1 0 1 1 0 1 0.00400 0.00200 0.00600 1 0 0 1 0 1 0.00400 0.00200 0.00600 1 0 1 1 0 1 0.00900 0.00200 0.01100 1 0 1 1 0 1 0.00900 0.00200 0.01100 1 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 MICHIGAN STATE HOSP FIN AUTHORITY 382889417 59465HEE2 2006-11-09 123295015 SEE PART V - 2006A 1 0 0 INDIANA HEALTH AND EDU FAC FIN AUTH 351611409 454795BR5 2006-11-09 11457083 SEE PART V - 2006B 1 0 0 COUNTY OF FRANKLIN OHIO 316400067 353202FB5 2005-11-17 45451001 SEE PART V - 2005A 0 0 0 MICHIGAN STATE HOSP FIN AUTHORITY 382889417 59465HBW5 2005-11-17 43811312 SEE PART V - 2005D 0 0 0 21830000 123925015 1103131 102638060 2009 0 0 1 1 5405000 11457083 104542 5954229 2006 0 0 1 1 2180000 45451001 423927 0 1 1 1 43811312 425197 0 1 1 1 0 0 1 0 1 0.01500 0.00100 0.01600 1 0 0 1 0 1 0.01500 0.00100 0.01600 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 MICHIGAN STATE HOSP FIN AUTHORITY 382889417 59465HBX3 2005-11-17 114045000 SEE PART V - 2005EF 0 0 0 11475000 114045000 556501 115044475 2007 1 0 1 1 0 0 1 0 1 1 0 1 0 0 1 0 CONSORTA INC LOUIS FIERENS, KEY EMPLOYEE OF TRINITY HEALTH, IS A CONSORTA BOARD DIRECTOR 37581365 TRINITY HEALTH IS A MEMBER OF THE CONSORTA PURCHASING GROUP. CONSORTA NEGOTIATES PURCHASE CONTRACTS ON BEHALF OF TRINITY HEALTH. THE ABOVE AMOUNT PAID TO TRINITY HEALTH BY CONSORTA REPRESENTS PAYMENTS OF REBATES AND PATRONAGE DIVIDENDS. THIS AMOUNT INCLUDES REBATES AND PATRONAGE DIVIDENDS THAT ARE PASSED ON TO MEMBERS OF THE TRINITY HEALTH SYSTEM. CONSORTA DEDUCTS TRINITY HEALTH MEMBERSHIP FEES FROM THE GROSS PATRONAGE DIVIDENDS. 0 RUSSELL REYNOLDS ASSOCIATES SARAH EAMES, TRINITY HEALTH BOARD DIRECTOR, IS A RUSSELL REYNOLDS EXECUTIVE 256178 TRINITY HEALTH ENGAGED RUSSELL REYNOLDS ASSOCIATES FOR EXECUTIVE RECRUITMENT PURPOSES. THE AMOUNT SHOWN WAS PAID BY TRINITY HEALTH TO RUSSELL REYNOLDS ASSOCIATES FOR THESE SERVICES. 0 PREFERRED PROFESSIONAL INSURANCE (PPIC) REBECCA HAVLISCH, TRINITY HLTH KEY EMPLOYEE, IS A COMMITTEE MEMBER OF PPIC 176988 PREFERRED PROFESSIONAL INSURANCE COMPANY PROVIDES FRONTING PAPER FOR SEVERAL TRINITY HEALTH INSURANCE PROGRAMS. THE AMOUNT SHOWN WAS PAID BY TRINITY HEALTH TO PPIC FOR THESE SERVICES. 0 DOING BUSINESS AS FORM 990, PART I, ITEM C TRINITY INFORMATION SERVICES HOLY CROSS SHARED SERVICES EXPLANATION FOR NOT FILING FORM 990-T FORM 990, PART V, LINE 3B CONTACT TAXPAYER FOR ADDITIONAL INFORMATION ON FORM 990-T. FORM 990, PART VI, SECTION A, LINE 5 AN EMPLOYEE OF TRINITY INFORMATION SYSTEMS (TIS, A DIVISION OF TRINITY HEALTH CORPORATION) DIVERTED AND RESOLD TO THIRD PARTIES COMPUTER EQUIPMENT THAT WAS PURCHASED BY TRINITY HEALTH CORPORATION TO BE LOCATED AT AND USED BY MERCY HEALTH PARTNERS (MHP). MHP IS A SUBSIDIARY OF TRINITY HEALTH CORPORATION. THE VALUE OF THE EQUIPMENT WAS $890,000. TRINITY HEALTH CORPORATION TERMINATED THE EMPLOYEE IN NOVEMBER 2010. THE RESULTS OF TRINITY HEALTH CORPORATION'S INVESTIGATION WERE REFERRED TO LAW ENFORCEMENT OFFICIALS. THE FILING OF CRIMINAL CHARGES IS PENDING. TIS CONDUCTED A KAIZEN PROCESS IMPROVEMENT ACTIVITY DURING FISCAL YEAR 2011. TO PREVENT ANOTHER OCCURRENCE, TIS HAS INITIATED NEW PROCEDURES FOR SEGREGATION OF REQUESTOR AND RECEIVER ROLES ON RECEIVING DOCKS. TIS ALSO STRENGTHENED INTERNAL CONTROLS OVER THE REVIEW AND APPROVAL OF NON-STANDARD EQUIPMENT PURCHASES. THE RE-DESIGNED PROCESSES WERE IMPLEMENTED FOR ALL TIS PURCHASES AT SUBSIDIARY ORGANIZATIONS IN MAY 2011. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH CORPORATION IS ORGANIZED ON A NONSTOCK BASIS AS A CORPORATION GOVERNED BY A BOARD OF DIRECTORS WITH ONE CLASS OF DIRECTORS. ALL PERSONS WHO ARE MEMBERS OF CATHOLIC HEALTH MINISTRIES SHALL BE DIRECTORS OF TRINITY HEALTH CORPORATION. EACH DIRECTOR SHALL HOLD OFFICE UNTIL HIS OR HER SUCCESSOR IS APPOINTED OR UNTIL HIS OR HER RESIGNATION OR REMOVAL. FORM 990, PART VI, SECTION A, LINE 7B ACTION BY CATHOLIC HEALTH MINISTRIES (CHM) IS REQUIRED FOR THE FOLLOWING MATTERS: - ADOPT AND AMEND THE ARTICLES OF INCORPORATION OF TRINITY HEALTH CORPORATION (THC) - ADOPT AND APPROVE ANY AMENDMENTS TO THE BYLAWS OF THC - ADOPT AND APPROVE ANY CHANGES TO THE MISSION AND CORE VALUES OF THC, AND THE FOUNDING PRINCIPLES OF CHM AND THC, AND APPROVE MATTERS THAT AFFECT THE CATHOLIC IDENTITY OF THC - APPROVE THE SALE OR TRANSFER OF ANY PROPERTY OF THC, THE ALIENATION OF WHICH WOULD REQUIRE APPROVAL UNDER CANON LAW - APPROVE THE MERGER, CONSOLIDATION, LIQUIDATION, OR DISSOLUTION OF THC - APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THC - RATIFY THE APPOINTMENT OF, AND TO REMOVE, THE PRESIDENT AND CEO OF THC - RATIFY THE ELECTION OF THE CHAIR OF THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH CORPORATION IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE BOARD OF DIRECTORS. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C TRINITY HEALTH CORPORATION HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL INTERESTED PERSONS OF TRINITY HEALTH CORPORATION, WHICH INCLUDES DIRECTORS, PRINICPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH TRINITY HEALTH CORPORATION'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH CORPORATION OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF TRINITY HEALTH CORPORATION IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO TRINITY HEALTH CORPORATION. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF DIRECTORS OF TRINITY HEALTH CORPORATION ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 TRINITY HEALTH CORPORATION FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A REBUTTABLE PRESUMPTION OF REASONABLENESS WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TRINITY HEALTH CORPORATION ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 TRINITY HEALTH CORPORATION 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 ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, TRINITY HEALTH CORPORATION'S WEBSITE INCLUDES COPIES OF THE MOST RECENTLY FILED SCHEDULE H FORMS FILED BY ALL OF ITS HOSPITAL SUBSIDIARIES. DIRECTORS/TRUSTEES OR OFFICERS: FORM 990, PART VII, SECTION A, LINE 1: SR. SUZANNE BRENNAN, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. SUZANNE BRENNAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES. SR. MARY MOLLISON, CSA, IS A MEMBER OF THE CONGREGATION OF SAINT AGNES. HAVING TAKEN A VOW OF POVERTY, SR. MARY MOLLISON DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $50,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF SAINT AGNES FOR SR. MARY MOLLISON'S SERVICES. SR. LINDA WERTHMAN, RSM, IS A MEMBER OF THE RELIGIOUS SISTERS OF MERCY. HAVING TAKEN A VOW OF POVERTY, SR. LINDA WERTHMAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $24,250 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE RELIGIOUS SISTERS OF MERCY FOR SR. LINDA WERTHMAN'S SERVICES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 104,792,309. EQUITY TRANSFERS FROM AFFILIATES: 162,137,529. CHANGE IN DEFERRED RETIREMENT COST: 202,936,432. NET CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE: -7,823,151. INCOME FROM DISCONTINUED OPERATIONS: 4,836,210. LOSS ON DISPOSAL OF DISCONTINUED OPERATIONS: -1,648,408. EQUITY EARNINGS IN AFFILIATES: 547,798,843. OTHER TRANSACTIONS: -156,575,677. TOTAL TO FORM 990, PART XI, LINE 5: 856,454,087. FORM 990, PART XII, LINE 2: THE AUDITED FINANCIAL STATEMENTS OF TRINITY HEALTH INCLUDE THE PARENT ORGANIZATION AND ITS SUBSIDIARIES. THE FY11 CONSOLIDATED FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTHCARE SERVICES MI 501(C)(3) 9 TRINITY HEALTH-MICHIGAN 1 AMICARE HOSPICE SERVICES INC 27870 CABOT DRIVE NOVI MI 483772920 382949053 PROVIDE HOSPICE SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC 1 AUXILIARY OF HOLY ROSARY HOSPITAL 351 SW 9TH STREET ONTARIO OR 97914 943059469 SUPPORTS SERVICES OF RELATED HOSPITAL OR 501(C)(3) 9 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO 1 BATTLE CREEK HEALTH SYSTEM 300 NORTH AVENUE BATTLE CREEK MI 49016 382776791 HEALTHCARE SERVICES MI 501(C)(3) 3 TRINITY HEALTH - MICHIGAN 1 BATTLE CREEK HEALTH SYSTEM AUXILIARY 300 NORTH AVENUE BATTLE CREEK MI 49016 383355520 SUPPORT OF TAX EXEMPT HEALTH ORGANIZATION MI 501(C)(3) 11, TYPE I BATTLE CREEK HEALTH SYSTEM 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 ACUTE/AMBULATORY HEALTHCARE SERVICES IA 501(C)(3) 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) 11, TYPE I BAUM HARMON MERCY HOSPITAL 1 CAPITAL PARK FAMILY HEALTH CENTER INC 6150 EAST BROAD STREET COLUMBUS OH 43213 311387838 OPERATION OF A FEDERALLY QUALIFIED HEALTH CENTER (FORMERLY) OH 501(C)(3) 3 MOUNT CARMEL HEALTH SYSTEM 1 CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR MI 48106 382507173 FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES MI 501(C)(3) 11, TYPE II TRINITY HEALTH-MICHIGAN 1 COMMUNITY HEALTH PARTNERS OF SOUTH BEND PO BOX 3998 SOUTH BEND IN 46619 263051440 HEALTHCARE SERVICES IN 501(C)(3) 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 CRANBROOK HOSPICE CARE 281 ENTERPRISE COURT BLOOMFIELD HILLS MI 48302 383320699 PROVIDE HOSPICE HEALTH SERVICES MI 501(C)(3) 11, TYPE I TRINITY HOME HEALTH SERVICES INC 1 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO OH 501(C)(3) 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION INC 250 MERCY DRIVE DUBUQUE IA 52001 262227941 SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) 11, TYPE I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) 11, TYPE I MERCY HEALTH SERVICES-IOWA CORP 1 HACKLEY HOSPITAL 1700 CLINTON ST PO BOX 3302 MUSKEGON MI 494433302 381358196 HEALTHCARE SERVICES MI 501(C)(3) 3 MERCY HEALTH PARTNERS 1 HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST PO BOX 3302 MUSKEGON MI 494433302 382299878 SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY MI 501(C)(3) 11, TYPE III-FI MERCY HEALTH PARTNERS 1 HACKLEY LIFE COUNSELING 1352 TERRACE ST MUSKEGON MI 494423545 381386362 COUNSELING, EDUCATION, AND SUPPORT MI 501(C)(3) 9 MERCY HEALTH PARTNERS 1 HACKLEY VISITING NURSE SERVICES AND HOSPICE INC 888 TERRACE ST MUSKEGON MI 49440 381359598 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