Maxis Health System

“The sole member of maxis health system is trinity health corporation. See line 7 for additional information.”

“Trinity health corporation is the sole member of maxis health system. Trinity health corporation has the right to appoint all persons to the board of directors of maxis health system.”

“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.”

“Prior to filing, the form 990 for maxis health system is reviewed by management.”

“Maxis health system has adopted trinity health's policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of maxis health system, 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 maxis health system 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 internal legal counsel and the integrity and compliance officer, 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 maxis health system (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to maxis health system of any financial or business interest that might result in or have the appearance of a conflict of interest. The board of directors of maxis health system (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 maxis health system. 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.”

“Questions 15a and 15b are answered "no" because the compensation for certain officers and key management officials of maxis health system is established by trinity health, a related organization. In establishing ceo and cfo compensation, 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 the ceo and cfo of maxis health system 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.”

“Maxis health system 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. Maxis health system's governing documents and conflict of interest policy are available upon request.”

“Maxis health system has board members who are members of religious orders, and as such, have taken vows of poverty. These religious sisters do not receive compensation for their services. Instead, trinity health corporation, a related organization, pays the religious order directly for the services received. Following are the names of the religious sisters, the names of their orders, and the amounts paid directly to the order: mary fanning, religious sisters of mercy - $35,000 kathleen popko, sisters of providence - $55,000 joan marie steadman, congregation of the sisters of the holy cross - $35,000 linda werthman, religious sisters of mercy - $55,000”

“Equity transfers from affiliates 1,604,937. Other transactions -11,572.”

“Maxis health system's financial statements were included in the fy19 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.”