Civic Intelligence

Trinity Health - Michigan

EIN 38-2113393 • 501(c)3 • Livonia, MI

Profile

Health care services - see schedule h for more information

20555 Victor ParkwayLivonia, MI 48152

www.trinity-health.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

49th percentile

0.29x

Higher debt load relative to assets than 49% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

40th percentile

0.46x

Higher debt load relative to revenue than 40% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

49th percentile

6.3%

Higher net margin than 49% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

51st percentile

$2,006,565

Higher top officer pay than 51% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

35th percentile

5.0%

Faster asset growth than 35% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

37th percentile

7.6%

Faster revenue growth than 37% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$5,151,647,965

Up $246,767,959 (+5.0%) from 2023

Liabilities

Down

$1,492,256,618

Down $63,924,173 (-4.1%) from 2023

Net Assets

Up

$3,659,391,347

Up $310,692,132 (+9.3%) from 2023

Revenue

Up

$3,277,491,965

Up $232,760,888 (+7.6%) from 2023

Expenses

Up

$3,070,059,620

Up $189,270,113 (+6.6%) from 2023

Net Income

Up

$207,432,345

Up $43,490,775 (+27%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0B$4.0B$2.0B$0Assets 2010: $3,038,376,894Liabilities 2010: $1,011,823,645Net Assets 2010: $2,026,553,2492010Assets 2011: $3,246,651,180Liabilities 2011: $1,030,033,000Net Assets 2011: $2,216,618,1802011Assets 2012: $3,446,109,503Liabilities 2012: $1,213,866,974Net Assets 2012: $2,232,242,5292012Assets 2013: $3,000,851,139Liabilities 2013: $1,301,210,075Net Assets 2013: $1,699,641,0642013Assets 2014: $3,119,780,142Liabilities 2014: $1,284,221,498Net Assets 2014: $1,835,558,6442014Assets 2015: $3,181,338,583Liabilities 2015: $1,217,507,808Net Assets 2015: $1,963,830,7752015Assets 2016: $3,202,919,008Liabilities 2016: $1,188,091,246Net Assets 2016: $2,014,827,7622016Assets 2017: $4,246,227,933Liabilities 2017: $1,976,475,021Net Assets 2017: $2,269,752,9122017Assets 2018: $3,702,529,144Liabilities 2018: $1,207,204,934Net Assets 2018: $2,495,324,2102018Assets 2019: $3,727,484,444Liabilities 2019: $1,151,941,640Net Assets 2019: $2,575,542,8042019Assets 2020: $4,138,122,519Liabilities 2020: $1,552,779,390Net Assets 2020: $2,585,343,1292020Assets 2021: $4,785,945,903Liabilities 2021: $1,602,171,864Net Assets 2021: $3,183,774,0392021Assets 2022: $4,608,449,257Liabilities 2022: $1,518,992,399Net Assets 2022: $3,089,456,8582022Assets 2023: $4,904,880,006Liabilities 2023: $1,556,180,791Net Assets 2023: $3,348,699,2152023Assets 2024: $5,151,647,965Liabilities 2024: $1,492,256,618Net Assets 2024: $3,659,391,3472024

Highlighted filing

2024

Assets$5,151,647,965
Liabilities$1,492,256,618
Net Assets$3,659,391,347

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$4.0B$3.0B$2.0B$1.0B$0Expenses 2010: $2,052,243,4362010Expenses 2011: $2,173,863,8882011Expenses 2012: $2,287,152,1462012Revenue 2013: $2,475,793,857Expenses 2013: $2,336,962,436Net Income 2013: $138,831,4212013Revenue 2014: $2,474,924,719Expenses 2014: $2,372,110,069Net Income 2014: $102,814,6502014Revenue 2015: $2,520,129,473Expenses 2015: $2,304,404,712Net Income 2015: $215,724,7612015Revenue 2016: $2,481,440,397Expenses 2016: $2,303,476,776Net Income 2016: $177,963,6212016Revenue 2017: $2,721,187,156Expenses 2017: $2,521,811,613Net Income 2017: $199,375,5432017Revenue 2018: $2,769,778,443Expenses 2018: $2,500,942,974Net Income 2018: $268,835,4692018Revenue 2019: $2,671,322,542Expenses 2019: $2,466,850,723Net Income 2019: $204,471,8192019Revenue 2020: $2,599,317,309Expenses 2020: $2,474,639,592Net Income 2020: $124,677,7172020Revenue 2021: $3,007,120,461Expenses 2021: $2,599,358,658Net Income 2021: $407,761,8032021Revenue 2022: $3,044,102,682Expenses 2022: $2,809,662,337Net Income 2022: $234,440,3452022Revenue 2023: $3,044,731,077Expenses 2023: $2,880,789,507Net Income 2023: $163,941,5702023Revenue 2024: $3,277,491,965Expenses 2024: $3,070,059,620Net Income 2024: $207,432,3452024

Highlighted filing

2024

Revenue$3,277,491,965
Expenses$3,070,059,620
Net Income$207,432,345

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,152$1,492$3,659$3,277$3,070$207
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,905$1,556$3,349$3,045$2,881$164
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,608$1,519$3,089$3,044$2,810$234
2021Detailed filing. Detailed filing data is available for this year.$4,786$1,602$3,184$3,007$2,599$408
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,138$1,553$2,585$2,599$2,475$125
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,727$1,152$2,576$2,671$2,467$204
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,703$1,207$2,495$2,770$2,501$269
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,246$1,976$2,270$2,721$2,522$199
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,203$1,188$2,015$2,481$2,303$178
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,181$1,218$1,964$2,520$2,304$216
2014Detailed filing. Detailed filing data is available for this year.$3,120$1,284$1,836$2,475$2,372$103
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,001$1,301$1,700$2,476$2,337$139
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,446$1,214$2,232$2,287
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,247$1,030$2,217$2,174
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,038$1,012$2,027$2,052
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 13, 2022
Return Version
2020v4.2
Gross Receipts
$3,016,419,998
Mission and Program Overview

Mission

Health care services - see schedule h for more information

To provide health care and hospital services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,552,945,778$1,722,441,940▲ $169,496,162
Land, Buildings, and Equipment, Net$1,090,718,735$1,089,407,765▼ $1,310,970
Investments Other Securities$592,326,610$906,009,220▲ $313,682,610
Accounts Receivable$251,354,010$329,975,814▲ $78,621,804
Inventories for Sale or Use$44,468,946$41,210,110▼ $3,258,836
Intangible Assets$32,758,258$31,915,959▼ $842,299
Pledges and Grants Receivable$33,236,159$31,754,532▼ $1,481,627
Prepaid Expenses and Deferred Charges$20,401,048$26,363,561▲ $5,962,513
Cash and Non-Interest-Bearing Accounts$733,102$1,323,054▲ $589,952
Other Notes and Loans Receivable, Net$225,000--
Total Assets$4,138,122,519$4,785,945,903▲ $647,823,384
Other Assets Total$518,954,873$605,543,948▲ $86,589,075
Liabilities
Other Liabilities$1,262,385,619$1,310,223,141▲ $47,837,522
Accounts Payable and Accrued Expenses$260,777,436$277,871,009▲ $17,093,573
Mortgage Notes Payable Secured by Investment Property$14,360,010$11,820,121▼ $2,539,889
Deferred Revenue$15,256,325$2,257,593▼ $12,998,732
Total Liabilities$1,552,779,390$1,602,171,864▲ $49,392,474
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,511,099,458$3,099,425,609▲ $588,326,151
Net Assets With Donor Restrictions$74,243,671$84,348,430▲ $10,104,759
Total Net Assets Fund Balance$2,585,343,129$3,183,774,039▲ $598,430,910
Total Liabilities and Net Assets / Fund Balance$4,138,122,519$4,785,945,903▲ $647,823,384

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$652,050,631$743,116,020$1,395,166,651
Equipment$263,621,329$848,344,796$1,111,966,125
Leasehold Improvements$56,496,003$63,487,346$119,983,349
Other Land Buildings$69,297,543$1,292,378$70,589,921
Land$47,942,259-$47,942,259
Other Assets Org$63,308,908--
Other Securities$465,947,599--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2021$22,342,766-▲ $3,918,426$6,088$26,255,104
2020$21,874,344$186,334▲ $284,828$2,740$22,342,766
2019$22,033,634$944,923▲ $1,775,131$2,774,330$21,874,344
2018$20,913,371$41,203▲ $1,340,233$159,159$22,033,634
2017$19,154,684-▲ $1,958,733$163,975$20,913,371
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lawrence Rapp MdNeurosurgeon (oakland)FT$1,504,882$43,644$1,548,526
Yoav Ritter DoNeurosurgeon (oakland)FT$1,114,048$32,944$1,146,992
Charles Schwartz MdCardiothoracic Surgeon (oakland)FT$1,052,956$40,364$1,093,320
Hazem Eltahawy MdNeurosurgeon (livonia)FT$975,476$104,603$1,080,079
Todd Francis MdNeurosurgeon (oakland)FT$786,068$38,713$824,781
Frank SawyerSenior VP, Operations Sjm OaklandFT$273,131$42,330$315,461
Sarah GilbertSVP, Operations Sm Mercy LivoniaFT$252,671$35,979$288,650
Kurt MacdonaldSENIOR VP, OPERATIONS MH ST. MARY'SFT$223,096$38,634$261,730
Loree CollettSj Mercy Aa VP Operations at 12/20FT$169,542$28,159$197,701

Board Members and Trustees

NameTitle
James WoodsDIRECTOR; CHAIR THROUGH 12/20
Robert CasalouDIRECTOR;PRESIDENT & CEO-MICH REGION
Alonzo LewisPresident St. Joseph Mercy Ann Arbor
Donna Doleman-dickersonDIRECTOR; VICE CHAIR AS OF 1/21
Canetta ReidDirector
David Steinberger MdDirector
Jan GarfinkleDirector
Jean Nagelkerk PhdDirector
Jose InfanteDirector
Mary Francis Lewandowski CssfDirector
Spencer MaidlowDirector
Wayman BrittDirector
Linda Werthman RsmDirector as of 8/20
Luann Hannasch RsmDirector Through 9/20
Edmund HodgeDIRECTOR; TRINITY HEALTH EVP, CHRO
Dale Nesbary PhdDIRECTOR;V CHR THR 12/20;CHR AT 1/21
Rosalie Tocco-bradley MdCCO & Regional CMO-michigan Region
David Vandenberg MdCMO St Joseph Mercy Ann Arbor & Liv
Fabian Fregoli MdCMO St. Joseph Mercy Oakland
Matthew Griffin MdCMO St. Mary Mercy Livonia
Carol TarnowskyFMR OFFCR; MI DPTY GEN CSL THR 12/20
Nancy GraebnerFORMER KEY EMP; CEO SJM CHELSEA
Bill MannsFormer Key Employee
David Baumgartner MdFormer Key Employee
David McewenFormer Key Employee
Roger SpoelmanFormer Officer
Gary AlloreFORMER OFFICER; PRES MH MUSKEGON
Matt Biersack MdInterim Mhsm Pres at 3/21 & CMO
David SpiveyPres & CEO St. Mary Mercy Livonia
Hyung Kim MdPRES MERCY HEALTH ST MARY'S THR 3/21
Shannon StriebichPres Sjm Oakland & SVP Ops-mi Region
JOHN O'MALLEYPres St. Joseph Mercy Livingston
Sally GuindiSECRETARY; GEN COUNSEL-MICH REGION
Michael GushoTREASURER; CFO-MICHIGAN REGION
Michael SamynVP Finance East Market
Daniel GreenVP FINANCE MERCY HEALTH ST MARY'S
Melissa KarolakVP Finance St. Mary Mercy Livonia
Tomasine MarxVP Finance West Market

Highest Paid Contractors

ContractorServicesLocationCompensation
Emergency Physicians Medical GroupHealth Care Services2000 GREEN RD STE 300, Ann Arbor, MI 48105$7,923,823
Anesthesia Associates Of Ann Arbor PCHealth Care Services2006 HOGBACK RD STE 5A, Ann Arbor, MI 48105$7,406,568
George Auch CompanyConstruction Services65 UNIVERSITY DR, Pontiac, MI 48342$6,251,345
KascoConstruction Services226 E HUDSON AVE, Royal Oak, MI 48067$4,379,197
Infinity Primary CareHealth Care Services37595 W SEVEN MILE RD, Livonia, MI 48152$3,527,766
Revenue and Support

Revenue Composition

Contributions and Grants
$130,995,054
Program Service Revenue
$2,654,106,014
Investment Income
$162,006,420
Other Revenue
$60,012,973
All Other Contributions
$5,990,091
Change in Net Assets
$407,761,803

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
Yes

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies299,126$228,076Donor Provided Value
Other Non Cash Contri Table4,041$57,490Donor Provided Value
Food Inventory4,106$27,851Donor Provided Value
Clothing and Household Goods-$17,455Donor Provided Value
Securities Publicly Traded-$9,960Median Val-tran Date
Total Noncash Contributions307,273$340,832-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,472,376,057
Salaries, Compensation, and Employee Benefits$1,121,405,222
Grants and Similar Amounts Paid$5,577,379
Total Fundraising Expense$2,017,437
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$892,540,066$50,059,425$1,577,437$944,176,928
Fees for Services Other$146,224,013$17,349,180$26,619$163,599,812
Depreciation Depletion$78,902,841$50,433,865$75,684$129,412,390
Information Technology$75,814,595$19,628,778-$95,443,373
Other Employee Benefits$79,637,739$4,605,780$140,748$84,384,267
Other Expenses$67,508,926$87,244,319-$67,508,926
Payroll Taxes$60,823,846$4,649,125$112,654$65,585,625
Occupancy$51,412,724--$51,412,724
All Other Expenses$42,306,948$6,275,349$10,715$48,593,012
Interest$30,464,396--$30,464,396
Office Expenses$14,968,984$6,421,245$12,992$21,403,221
Pension Plan Contributions$16,613,702$780,354$29,362$17,423,418
Insurance$15,795,749--$15,795,749
Current Officers, Directors, Trustees, and Key Employees-$9,712,471-$9,712,471
Advertising$1,519,510$7,681,142$30,753$9,231,405
Grants to Domestic Orgs$4,748,603--$4,748,603
Fees for Service Investment Mgmnt Fees-$4,366,382-$4,366,382
Conferences and Meetings$1,200,303$107,576-$1,307,879
Fees for Services Legal-$1,182,474-$1,182,474
Grants to Domestic Individuals$828,776--$828,776
Travel$703,679$27,693$473$731,845
Fees for Services Management-$152,633-$152,633
Comp Disqual Persons-$122,513-$122,513
Fees for Services Lobbying-$36,000-$36,000
Fees for Services Accounting-$18,000-$18,000
Total Functional Expenses$2,326,486,917$270,854,304$2,017,437$2,599,358,658
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Covenant Community Care OrgDetroit, MI501(c)(3)Support Development of Covenant Clinic Sites$400,000
Say Detroit Family Health ClinicHighland Park, MI-Community Support$400,000
Washtenaw Health PlanYpsilanti, MI501(c)(3)Whp Ongoing Operations Support$350,000
St Frances Cabrini ClinicDetroit, MI501(c)(3)Community Support$250,000
Washtenaw County Public Health DepartmentYpsilanti, MIGovernment OrgPrescription for Health Program - Washtenaw County$160,000
City Year IncDetroit, MI501(c)(3)Improve Under-resourced Schools in the Cody-rouge Community$125,000
Center for Health Research & TransformationAnn Arbor, MI501(c)(3)Program Support 2021 Washtenaw Health Initiative Operating Expenses$80,000
Freedom Road TransportationOrion, MI501(c)(3)Sponsorship$55,000
Hope Hospitality & Warming CtrPontiac, MI501(c)(3)Sponsorship$50,000
Catholic Charities of Se MiCliniton Twp, MI501(c)(3)Sponsorship$49,763
Detroit Public Schools FoundationDetroit, MI501(c)(3)Dps Project Management for Cody High School$40,000
Shrriff Pall ProgramPontiac, MI501(c)(3)Sponsorship$38,000
Kent County Probate CourtGrand Rapids, MIGovernment OrgCommunity Support$20,000
United WayGrand Rapids, MI501(c)(3)Community Support$15,000
Spectrum HealthGrand Rapids, MI501(c)(3)Community Support$12,346
Grand Valley State UniversityAllendale, MI501(c)(3)Community Support$12,000
Ymca West Central MichiganGrand Rapids, MI501(c)(3)Community Support$11,700
African American Health InsitituteGrand Rapids, MI501(c)(3)Community Support$10,000
Charter Township of NorthvilleNorthville, MICity GovernmentSupport Northville Senior Adult Services Transportation Program$10,000
Grand Rapids Area Chamber of CommerceGrand Rapids, MI501(c)(6)Community Support$10,000
Grand Rapids Lgbtq Healthcare ConsortiumLowell, MI501(c)(3)Community Support$10,000
Grand Rapids SymphonyGrand Rapids, MI501(c)(3)Community Support$10,000
Hispanic Center of West MichiganGrand Rapids, MI501(c)(3)Community Support$10,000
West Michigan Asian American AssocGrand Rapids, MI501(c)(3)Community Support$10,000
Camp Cavell ConservancyLexington, MI501(c)(3)Sponsorship$8,500
Art Experience IncPontiac, MI501(c)(3)Sponsorship$8,000
Deo Gratias Ministries DetroitDetroit, MI501(c)(3)Support Programming and Services Done in Detroit Neighborhoods$7,500
Mlive Media GroupGrand Rapids, MI501(c)(3)Community Support$7,500
Community Foundation of Greater RochesterRochester, MICity GovernmentSponsorship$6,000
American Heart Association IncSouthfield, MICity Government2021 Metro Detroit Heart and Stroke Walk$5,000
Charter Township of RedfordRedford, MI501(c)(3)National Fitness Campaign Claude Allison Fitness Court in Redford$5,000
City of PontiacPontiac, MI501(c)(3)Sponsorship$5,000
Great Lakes Chapter of the AcheGrand Rapids, MI501(c)(6)Community Support$5,000
Mary Free Bed FoundationGrand Rapids, MI501(c)(3)Community Support$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Substantial ContributorDonor Provided Goods/services to Th-miNo$3,527,766
-Substantial ContributorDonor Provided Goods/services to Th-miNo$1,407,474
-Substantial ContributorDonor Provided Goods/services to Th-miNo$1,108,465
-Substantial ContributorDonor Provided Goods/services to Th-miNo$617,604
-Substantial ContributorDonor Provided Goods/services to Th-miNo$187,117
-Substantial ContributorDonor Provided Goods/services to Th-miNo$105,255
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Notes Payable$754,814,044
Medicare Cash Advances$227,382,448
Intercompany Accounts Payable$212,937,708
Operating Lease Liabilities$65,615,256
Deferred Compensation$38,598,039
Asset Retirement Obligation (fin 47)$6,264,930
Other Current Liabilities$1,674,569
Other Long-term Liabilities$1,207,095
Annuities Payable$918,873
Lease Obligation$810,179
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of th-mi is trinity health corporation. See line 7 for additional information.

Form 990, Part VI, Section A, Line 7A

Trinity health corporation is the sole member of th-mi. Trinity health corporation has the right to appoint all persons to the board of directors of th-mi.

Form 990, Part VI, Section A, Line 7B

As sole member, trinity health corporation must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Trinity health corporation must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents.

Form 990, Part VI, Section B, Line 11B

Prior to filing, the form 990 for th-mi is reviewed by senior management. In addition, certain key sections of the form are reviewed by the executive committee of the board of directors. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Th-mi has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of th-mi, which includes directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of th-mi and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to the integrity and compliance officer. If a potential conflict is identified, the integrity and compliance officer shares the disclosures with internal legal counsel, from which legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of th-mi (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to th-mi of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of th-mi (or a delegated committee of the board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board (or a delegated committee of the board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of th-mi. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.

Form 990, Part VI, Section B, Line 15

Questions 15a and 15b are answered "no" because the compensation for the ceo and certain officers and key management officials of th-mi is established and paid by trinity health, a related organization. In establishing compensation for these individuals, trinity health follows a process and policy that is intended to mirror the irc section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of these individuals are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit health care organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements. For other executives who are not part of the rebuttable presumption process, trinity health uses a market analysis to determine the appropriateness of the executive's compensation.

Form 990, Part VI, Section C, Line 19

Th-mi is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. In addition, th-mi includes a copy of its most recently filed schedule h on both its own website and trinity health's website. Th-mi's governing documents and conflict of interest policy are available upon request.

Filing and Contact Details

Filer

Filer Name
Trinity Health - Michigan
EIN
38-2113393
Phone
7343431000
Address
20555 VICTOR PARKWAY, LIVONIA, MI 48152-7018
Doing Business As
See Schedule O for List

Signing Officer

Name
Michael Gusho
Title
Treasurer and CFO
Phone
7343431000
Signed
2022-05-13

Organization Details

Principal Officer
Robert Casalou
Formed
1976
Legal Domicile
Mi
Voting Board Members
14
Independent Board Members
12
Employees
20,394
Volunteers
307
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Equity transfers to affiliates -72,089,521. Change in deferred retirement costs 4,952,889. Income from discontinued operations 1,102,671. Other transactions 2,127,184. Asset impairment -5,134,152. Net assets released from restrictions for capital acquisitions -291,538. Equity gain in unconsolidated affiliates 4,085,461. Partnership and stockholders equity activity 1,936,297.

FORM 990, PART XII, LINE 2:

Th-mi's financial statements were included in the fy21 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),cardiovascular network of west michigan,chelsea professional services,heartside health clinic,livonia health center,mercy advantage,mercy health pharmacy solutions,mercy health services,mercy medical center - novi,mercy north outpatient pharmacy,mercy primary care center - detroit,mercy primary care center - detroit pharmacy,michigan bariatric institute (mbi),michigan cancer institute,michigan heart,michigan stroke network,michigan stroke network registry,saint joseph mercy health system center for behavorial medicine,saint mary's ltc pharmacy,saint mary's mercy wound care center,sjmo rochester hills ob/gyn,sparta family health center,st. Joseph mercy canton health center,st. Mary mercy hospital,st. Mary mercy oncology practice,st. Mary mercy outpatient psychiatric services,st. Mary mercy wound care center,ann arbor home infusion pharmacy,cancer network of west michigan,care (confidential assistance and referral for employees),chelsea community hospital,chelsea orthopedic specialists,chelseacare home health,clinica santa maria,confidential assistance and referral for employees,dexter internal medicine and pediatrics,family medicine of stockbridge,family pharmacy-sw campus,health exploration station,saint joseph mercy health system,saint mary's family pharmacy - ltc,saint mary's family pharmacy-cathedral square,saint mary's family pharmacy-southwest,saint mary's family pharmacy-sw campus,saint mary's family pharmacy-wege center,saint mary's health care,saint mary's health care, professional financial services,saint mary's mercy hospital,saint mary's mercy medical center,sisters of mercy health corporation,sjmhs specialty physicians,st. Mary's hospital, grand rapids,st. Joe's medical group,st. Joseph mercy - brighton,st. Joseph mercy hospital - smhc,st. Joseph mercy hospital, pontiac,st. Joseph mercy oakland urgent care-birmingham,st. Mary mercy outpatient pharmacy,st. Mary mercy pharmacy - livonia medical center,the boutique at mercy health,the shoppe at saint mary's,westshore family medicine,women's health center,ann arbor spine center,clinxus,mercy cancer center,mercy endocrinology,mercy family care,mercy health clinxus,mercy health dental clinic,mercy health pharmacy-rockford,mercy health-muskegon cmh pharmacy,mercy specialty care,mercy surgery care,michigan brain and spine institute,mri mobile services of west michigan,sjmh medical practice,sjmh urgent cares,st joseph mercy hospital, pontiac,st. Joe's medical group - bloomfield primary care,st. Joe's medical group - waterford adult and pediatric medicine,st. Joseph mercy ann arbor-cancer center,st. Joseph mercy brighton-cancer center,st. Joseph mercy canton-cancer center,st. Joseph mercy greenbrook,st. Joseph mercy livingston-cancer center,st. Joseph mercy oakland - image enhancement center,st. Joseph mercy oakland-cancer center,st. Joseph mercy professional pharmacy,st. Mary mercy - cancer center,the boutique at mercy health, lacks cancer center,canton center for advanced medicine and surgery,chelseacare,chelseacare pharmacy,inspirit cancer support services,mercy health - grand rapids,mercy health asthma network,mercy health pharmacy - cathedral square,mercy health pharmacy - home infusion,mercy health pharmacy - hudsonville,mercy health pharmacy - long term care,mercy health pharmacy - southwest,mercy health pharmacy - wege center,mercy health rockford campus,mercy health saint mary's,mercy health southwest campus,mercy ob/gyn partners,mercy physician network,mercy professional servces,professional financial services,saint joseph mercy canton health center,saint joseph mercy center for advanced medicine and surgery,saint joseph mercy livingston hospital,saint joseph mercy pharmacy - howell,saint joseph mercy pharmacy - reichert,saint joseph mercy pharmacy - saline,saint joseph mercy pharmacy - towers,saint joseph mercy saline hospital,saint mary's family pharmacy - sw campus,saint mary's family pharmacy - wege,saint mary's

Financial Statement Notes

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.

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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd14X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd1X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd2X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd3X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd4X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd5X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd6X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd7X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd8X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd9X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd10X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd11X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd12X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd13X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd14X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd15X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd16X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd17X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt038290
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt167034
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt253363
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt332240
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt438349
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt537703
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt637871
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt7113521
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt856529
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt9130752
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10127614
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1152089
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt12120106
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1351395
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1460261
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1532696
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt168952
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1752397
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1841615
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1953988
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2030841
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2151324
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2242543
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2349387
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2430749
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2549504
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2610670
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt274666
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2842079
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2935408
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3014406
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3137453
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3236419
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3326620
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt340
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt350
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt360
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt370
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt380
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt390
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt400
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt410
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt420
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt430
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt440
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt450
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt460
IRS990/Form990PartVIISectionAGrp/PersonNm0LAWRENCE RAPP MD
IRS990/Form990PartVIISectionAGrp/PersonNm1ROBERT CASALOU
IRS990/Form990PartVIISectionAGrp/PersonNm2EDMUND HODGE
IRS990/Form990PartVIISectionAGrp/PersonNm3YOAV RITTER DO
IRS990/Form990PartVIISectionAGrp/PersonNm4CHARLES SCHWARTZ MD
IRS990/Form990PartVIISectionAGrp/PersonNm5HAZEM ELTAHAWY MD
IRS990/Form990PartVIISectionAGrp/PersonNm6TODD FRANCIS MD
IRS990/Form990PartVIISectionAGrp/PersonNm7HYUNG KIM MD
IRS990/Form990PartVIISectionAGrp/PersonNm8DAVID SPIVEY
IRS990/Form990PartVIISectionAGrp/PersonNm9MICHAEL GUSHO
IRS990/Form990PartVIISectionAGrp/PersonNm10ROSALIE TOCCO-BRADLEY MD
IRS990/Form990PartVIISectionAGrp/PersonNm11SHANNON STRIEBICH
IRS990/Form990PartVIISectionAGrp/PersonNm12ALONZO LEWIS
IRS990/Form990PartVIISectionAGrp/PersonNm13GARY ALLORE
IRS990/Form990PartVIISectionAGrp/PersonNm14SALLY GUINDI
IRS990/Form990PartVIISectionAGrp/PersonNm15JOHN O'MALLEY
IRS990/Form990PartVIISectionAGrp/PersonNm16ROGER SPOELMAN
IRS990/Form990PartVIISectionAGrp/PersonNm17MATTHEW GRIFFIN MD
IRS990/Form990PartVIISectionAGrp/PersonNm18FABIAN FREGOLI MD
IRS990/Form990PartVIISectionAGrp/PersonNm19TOMASINE MARX
IRS990/Form990PartVIISectionAGrp/PersonNm20NANCY GRAEBNER
IRS990/Form990PartVIISectionAGrp/PersonNm21DAVID VANDENBERG MD
IRS990/Form990PartVIISectionAGrp/PersonNm22MATT BIERSACK MD
IRS990/Form990PartVIISectionAGrp/PersonNm23MICHAEL SAMYN
IRS990/Form990PartVIISectionAGrp/PersonNm24CAROL TARNOWSKY
IRS990/Form990PartVIISectionAGrp/PersonNm25DANIEL GREEN
IRS990/Form990PartVIISectionAGrp/PersonNm26DAVID MCEWEN
IRS990/Form990PartVIISectionAGrp/PersonNm27DAVID BAUMGARTNER MD
IRS990/Form990PartVIISectionAGrp/PersonNm28FRANK SAWYER
IRS990/Form990PartVIISectionAGrp/PersonNm29SARAH GILBERT
IRS990/Form990PartVIISectionAGrp/PersonNm30BILL MANNS
IRS990/Form990PartVIISectionAGrp/PersonNm31KURT MACDONALD
IRS990/Form990PartVIISectionAGrp/PersonNm32MELISSA KAROLAK
IRS990/Form990PartVIISectionAGrp/PersonNm33LOREE COLLETT
IRS990/Form990PartVIISectionAGrp/PersonNm34DALE NESBARY PHD
IRS990/Form990PartVIISectionAGrp/PersonNm35JAMES WOODS
IRS990/Form990PartVIISectionAGrp/PersonNm36DONNA DOLEMAN-DICKERSON
IRS990/Form990PartVIISectionAGrp/PersonNm37WAYMAN BRITT
IRS990/Form990PartVIISectionAGrp/PersonNm38JAN GARFINKLE
IRS990/Form990PartVIISectionAGrp/PersonNm39LUANN HANNASCH RSM
IRS990/Form990PartVIISectionAGrp/PersonNm40JOSE INFANTE
IRS990/Form990PartVIISectionAGrp/PersonNm41MARY FRANCIS LEWANDOWSKI CSSF
IRS990/Form990PartVIISectionAGrp/PersonNm42SPENCER MAIDLOW
IRS990/Form990PartVIISectionAGrp/PersonNm43JEAN NAGELKERK PHD
IRS990/Form990PartVIISectionAGrp/PersonNm44CANETTA REID
IRS990/Form990PartVIISectionAGrp/PersonNm45DAVID STEINBERGER MD
IRS990/Form990PartVIISectionAGrp/PersonNm46LINDA WERTHMAN RSM
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt01510236
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt31114752
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt41054971
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt51042376
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt6786910
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt170

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