View data for this organization below, or select additional hospitals to create a comparison view.
Compare tax-exempt hospitals

Search tax-exempt hospitals
for comparison purposes.

Trinity Health - Michigan

20555 Victor Parkway
Livonia, MI 48152
EIN: 382113393
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: St Joseph Mercy Saline Hospital
400 West Russell Street
Saline, MI 48176
7 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count82Medicare provider number230212Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Trinity Health - MichiganDisplay data for year:

Community Benefit Spending- 2011
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
7.89%
Spending by Community Benefit Category- 2011
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2011
Additional data

Community Benefit Expenditures: 2011

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 2,287,152,146
      Total amount spent on community benefits
      as % of operating expenses
      		$ 180,451,878
      7.89 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 45,768,226
        2.00 %
        Medicaid
        as % of operating expenses
        		$ 53,488,890
        2.34 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 8,304,273
        0.36 %
        Health professions education
        as % of operating expenses
        		$ 32,692,624
        1.43 %
        Subsidized health services
        as % of operating expenses
        		$ 22,642,803
        0.99 %
        Research
        as % of operating expenses
        		$ 7,742,901
        0.34 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 8,519,901
        0.37 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 1,292,260
        0.06 %
        Community building*
        as % of operating expenses        		$ 379,699
        0.02 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)18
          Physical improvements and housing1
          Economic development1
          Community support2
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building5
          Community health improvement advocacy3
          Workforce development6
          Other0
          Persons served (optional)2,196
          Physical improvements and housing0
          Economic development637
          Community support25
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building1,351
          Community health improvement advocacy53
          Workforce development130
          Other0
          Community building expense
          as % of operating expenses          		$ 379,699
          0.02 %
          Physical improvements and housing
          as % of community building expenses
          		$ 32,947
          8.68 %
          Economic development
          as % of community building expenses
          		$ 19,024
          5.01 %
          Community support
          as % of community building expenses
          		$ 5,657
          1.49 %
          Environmental improvements
          as % of community building expenses
          		$ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          		$ 0
          0 %
          Coalition building
          as % of community building expenses
          		$ 24,399
          6.43 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 10,517
          2.77 %
          Workforce development
          as % of community building expenses
          		$ 287,155
          75.63 %
          Other
          as % of community building expenses
          		$ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2011

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses        		$ 33,327,756
        1.46 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses        		$ 5,026,391
        15.08 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
        Filed lawsuitNot available
        Placed liens on residenceNot available
        Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court)Not available

    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES

    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available

    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2011

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?Not available
        Did the CHNA define the community served by the tax-exempt hospital?Not available
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?Not available
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?Not available
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?Not available
        Did the tax-exempt hospital execute the implementation strategy?Not available
        Did the tax-exempt hospital participate in the development of a community-wide plan?Not available

    Supplemental Information: 2011

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
      • 4A (Expenses $ 2105311246 including grants of $ 1478755) (Revenue $ 2278676393)
TRINITY HEALTH - MICHIGAN OPERATED HOSPITALS IN 7 AREAS OF MICHIGAN THAT PROVIDED 503,029 DAYS OF HEALTHCARE SERVICES TO THEIR COMMUNITIES.THE MISSION STATEMENT OF TRINITY HEALTH - MICHIGAN IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPELTO HEAL BODY, MIND, AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIESAND TO STEWARD THE RESOURCES ENTRUSTED TO US.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 6A: TRINITY HEALTH - MICHIGAN REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG. IN ADDITION, THE HOSPITAL DIVISIONS OF TRINITY HEALTH - MICHIGAN INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES TRINITY HEALTH - MICHIGAN'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE.
      PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITALS' COST ACCOUNTING SYSTEMS.
      PART I, L7 COL(F): THE FOLLOWING NUMBER, $96,660,130, 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 - ST. JOSEPH MERCY OAKLAND (PONTIAC) CONDUCTS A NUMBER OF PROGRAMS THAT HELP SUPPORT THE COMMUNITY. THE BIOTERRORISM RESPONSE AND PREPAREDNESS ACTIVITIES OF ST. JOSEPH MERCY OAKLAND ARE MANDATED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, IN ORDER TO PROMOTE AND PROTECT THE HEALTH AND WELFARE OF MEMBERS OF OUR COMMUNITY IN THE FACE OF TERRORISM: CHEMICAL, BIOLOGICAL, NUCLEAR, ETC. COMMUNITY BUILDING ACTIVITIES - MERCY HOSPITAL CADILLAC ENGAGES IN SEVERAL DISTINCT COMMUNITY-BUILDING ACTIVITIES THAT ARE VERY SIGNIFICANT IN IMPROVING THE GENERAL HEALTH OF THE COMMUNITY. THROUGH THE COMMUNITY HEALTH IMPROVEMENT ADVOCACY INITIATIVE, STATE AND FEDERAL REPRESENTATIVES ARE CONTACTED TO SUPPORT NEEDED RURAL HEALTH DELIVERY AT THE POINT OF NEED. THE PHYSICIAN RECRUITMENT AND DEVELOPMENT ATTRACTS AND RETAINS PHYSICIANS WHO WILL HAVE A DEGREE OF LONGEVITY IN OUR SERVICE AREA FOR THE GOOD OF THE COMMUNITY. COALITION BUILDING IS ALSO OF GREAT IMPORTANCE IN OUR COMMUNITY. HOSPITAL LEADERS ARE MEMBERS OF THE HUMAN SERVICES LEADERSHIP COLLABORATIVE, THE CADILLAC CHAMBER OF COMMERCE, AND THE CADILLAC COMMUNITY HEALTH COALITION, THE NORTHERN MICHIGAN SUBSTANCE ABUSE COORDINATING AGENCY, THE POVERTY REDUCTION COALITION, THE SUICIDE COALITION AND OTHER COMMUNITY GROUPS.COMMUNITY BUILDING ACTIVITIES - MERCY HOSPITAL GRAYLING CONDUCTS SEVERAL DISTINCT COMMUNITY-BUILDING ACTIVITIES THAT ARE SIGNIFICANT IN IMPROVING THE GENERAL HEALTH OF THE COMMUNITY. MERCY GRAYLING ACTIVELY WORKS TO SECURE NEEDED PHYSICIAN SPECIALTIES FOR THE SERVICE AREA INCLUDING PRIMARY CARE, OBSTETRICS, PEDIATRICS AND SURGERY. MERCY HAS SUCCESSFULLY ADDED A PEDIATRICIAN, THREE MID-LEVEL PROVIDERS, AND AN ANESTHESIA PHYSICIAN TO ITS PHYSICIAN NETWORK. THE ADDITION OF THESE PROVIDERS EXPANDS SERVICES TO THE COMMUNITY IN AREAS OF GREATEST NEED.COMMUNITY HEALTH IMPROVEMENT THROUGH COALITION BUILDING IS ALSO IMPORTANT IN OUR COMMUNITY. HOSPITAL LEADERS ARE MEMBERS OF THE GRAYLING PROMOTIONAL ASSOCIATION, GRAYLING ECONOMIC DEVELOPMENT COMMITTEE, AND CRAWFORD, OSCODA AND ROSCOMMON COUNTIES COLLABORATIVE BODIES WHICH BRING AGENCIES TOGETHER MONTHLY INCLUDING PUBLIC SCHOOL SYSTEMS, PUBLIC HEALTH AND MENTAL HEALTH AND IS ACTIVELY INVOLVED WITH THE CRAWFORD COUNTY COMMISSION ON AGING AND RIVER HOUSE, A LOCAL SHELTER FOR WOMEN AND CHILDREN. MERCY HOSPITAL GRAYLING SUPPORTS VARIOUS TRINITY HEALTH NATIONAL AND STATE EFFORTS TO ADVOCATE FOR THE HEALTH NEEDS OF THE VULNERABLE AND UNDERSERVED.COMMUNITY BUILDING ACTIVITIES - ST. JOSEPH MERCY PORT HURON (SJMPH) LEADERSHIP IS ACTIVELY INVOLVED IN COMMUNITY ACTIVITIES THROUGH REPRESENTATION ON VARIOUS COMMUNITY BOARDS. THIS INCLUDES COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS/WORKSHOPS TO IMPROVE OVERALL COMMUNITY HEALTH. COMMUNITY BOARD INVOLVEMENT INCLUDES LOCAL ORGANIZATIONS SUCH AS:YMCA BOARD - THIS BOARD GOVERNS THE LOCAL YMCA AND PROVIDES SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME, SENIORS, AND MENTALLY CHALLENGED INDIVIDUALS. VNA BOARD - THIS BOARD GOVERNS THE LOCAL VISITING NURSES ASSOCIATION AND PROVIDES NURSING SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME AND SENIORS. MID-CITY NUTRITION (SOUP KITCHEN) - SJMPH PARTICIPATES IN A REGULAR MONTHLY ROTATION PREPARING AND SERVICE MEALS TO THE HOMELESS AND NEEDY IN PORT HURON. PORT HURON CHAMBER OF COMMERCE BOARD - OUR HOSPITAL SUPPLIES A BOARD MEMBER AND ALSO FINANCIAL SUPPORT TO THE LOCAL CHAMBER. ROSS MEDICAL ACADEMY ADVISORY BOARD - THIS ORGANIZATION EDUCATES AND TRAINS LOCAL INDIVIDUALS FOR MEDICAL ASSISTANT POSITIONS BOTH AT OUR HOSPITAL AND THROUGHOUT THE COMMUNITY.BAKER COLLEGE ADVISORY BOARD - THE BOARD GOVERNS THE COLLEGE AND PROVIDES INPUT INTO INSTRUCTION NEEDED IN THE COMMUNITY, PARTICULARLY IN THE HEALTH CARE FIELDS. PARTNERS AT HEART BOARD OF DIRECTORS - THIS BOARD GOVERNS THE AREA'S PARTNERS AT HEART PROGRAM AND PROVIDES CARDIAC SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME INDIVIDUALS AND ESPECIALLY SENIORS. PEOPLES' CLINIC PHYSICIAN COMMITTEE - THIS BOARD GOVERNS OUR PEOPLES' CLINIC WHICH PROVIDES NEEDED HEALTH SERVICES AND PRESCRIPTIONS TO THE UNINSURED AND UNDERINSURED. COMMUNITY BUILDING ACTIVITIES - ST. MARY MERCY LIVONIA IS A CORPORATE SPONSOR FOR THE CRISTO REY SCHOOL AND MERCY EDUCATION PROGRAM. CRISTO REY STUDENTS SPEND FOUR DAYS EACH WEEK IN THE CLASSROOM, STRIVING FOR ACADEMIC EXCELLENCE AND ARE INVOLVED IN SERVICE ACTIVITIES IN THEIR COMMUNITY. THE MERCY EDUCATION PROJECT (MEP) PROVIDES A CARING, SUPPORTIVE LEARNING ENVIRONMENT FOR LOW-INCOME WOMEN AND GIRLS WHO HAVE EXPERIENCED EDUCATIONAL FAILURE. OUTREACH TO THE POOR AND HOMELESS IS PART OF OUR MISSION. ST. MARY MERCY HOSPITAL PROVIDES EXECUTIVE OVERSIGHT AND CAPITAL FUNDING FOR MERCY PRIMARY CARE IN DETROIT, MI. MEMBERSHIP ON THE SOUTHEASTERN MICHIGAN AMERICAN RED CROSS AND YMCA BOARDS AND ATTENDANCE AT THE MONTHLY CIRCLE OF CARE COALITION MEETINGS PROVIDED A VENUE FOR NETWORKING WITH COMMUNITY LEADER AND PARTNERS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. ST. MARY MERCY HOSPITAL CONDUCTS A PROGRAM TO ASSIST WITH HAVING LEGAL RIGHTS SET FOR AN INDIVIDUAL. COMMUNITY BUILDING ACTIVITIES - SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) (ANN ARBOR) SERVES ON COMMUNITY TASK FORCES AND COALITIONS TO HELP ADDRESS THE NEEDS OF THE SERVICE AREA. SJMHS PARTICIPATES IN DIVERSITY COUNCILS, MINISTRY ASSOCIATIONS, HEALTH COALITIONS, AND HEALTH IMPROVEMENT COUNCILS. THE HOSPITAL ALSO PROVIDES AN ARENA FOR YOUNG PEOPLE TO JOB SHADOW PROFESSIONALS IN A VARIETY OF HEALTH CAREERS.
      "PART III, LINE 4: TRINITY HEALTH - MICHIGAN IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM THOSE STATEMENTS: ""SUBSTANTIALLY ALL OF THE CORPORATION'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO PATIENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE CORPORATION'S ESTIMATE FOR ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS BY PAYOR.""COSTING METHODOLOGY FOR LINES 2 AND 3: AMOUNTS ARE CALCULATED ON LINE 2 USING A COST TO CHARGE RATIO METHODOLOGY.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.IN GENERAL, THE AMOUNT ON LINE 3 WAS CALCULATED BASED ON INFORMATION RECEIVED FROM EXTERNAL COLLECTION AGENCIES."
      PART III, LINE 8: TRINITY HEALTH - MICHIGAN DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
      PART III, LINE 9B: THE ORGANIZATION'S COLLECTION POLICY CONTAINS THE CRITERIA FOR FINANCIAL ASSISTANCE, AND CONTAINS THE FOLLOWING VERBIAGE FOR ARRANGEMENTS WITH OUTSIDE COLLECTION AGENCIES: THE AGREEMENT MUST DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY OUTSIDE COLLECTION AGENTS ACTING ON BEHALF OF THE ORGANIZATION, ALL OF WHICH MUST BE IN COMPLIANCE WITH THIS POLICY.
      ST. JOSEPH MERCY ANN ARBOR
PART V, SECTION B, LINE 13G: BROCHURES ARE DISTRIBUTED TO PATIENTS WITH INFORMATION TO CONTACT FOR ASSISTANCE. CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AND PATIENT STATEMENTS REGARDING OUR ASSISTANCE PROGRAM.
      SAINT MARY'S HEALTH CARE
PART V, SECTION B, LINE 13G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES ARE ONLY PROVIDED ON REQUEST. STATEMENTS PROVIDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE NUMBER(S) TO CALL ARE PROVIDED TO PATIENTS AT PRE-REGISTRATION, REGISTRATION, ON THE HOSPITAL WEBSITE, POSTINGS IN REGISTRATION AREAS AND ADMISSIONS OFFICES, AND INCLUDED ON ALL BILLING STATEMENTS SENT TO THE PATIENT/GUARANTOR.
      ST. JOSEPH MERCY OAKLAND
PART V, SECTION B, LINE 13G: DUE TO ITS COMPLEXITY, THE FACILITY DOES NOT POST OR DISTRIBUTE THE FULL POLICY. BROCHURES AND POSTERS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE THROUGHOUT THE FACILITY AND ON THE INTERNET.
      ST. MARY MERCY LIVONIA
PART V, SECTION B, LINE 13G: DUE TO ITS COMPLEXITY, THE FACILITY DOES NOT POST OR DISTRIBUTE THE FULL POLICY. BROCHURES AND POSTERS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE THROUGHOUT THE FACILITY AND ON THE INTERNET.
      ST. JOSEPH MERCY LIVINGSTON
PART V, SECTION B, LINE 13G: BROCHURES ARE DISTRIBUTED TO PATIENTS WITH INFORMATION TO CONTACT FOR ASSISTANCE. CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AND PATIENT STATEMENTS REGARDING OUR ASSISTANCE PROGRAM.
      CHELSEA COMUNITY HOSPITAL
PART V, SECTION B, LINE 13G: BROCHURES ARE DISTRIBUTED TO PATIENTS WITH INFORMATION TO CONTACT FOR ASSISTANCE. CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AND PATIENT STATEMENTS REGARDING OUR ASSISTANCE PROGRAM.
      ST. JOSEPH MERCY PORT HURON
PART V, SECTION B, LINE 13G: DUE TO ITS COMPLEXITY, THE FACILITY DOES NOT POST OR DISTRIBUTE THE FULL POLICY. BROCHURES AND POSTERS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE THROUGHOUT THE FACILITY AND ON THE INTERNET.
      ST. JOSEPH MERCY SALINE
PART V, SECTION B, LINE 13G: BROCHURES ARE DISTRIBUTED TO PATIENTS WITH INFORMATION TO CONTACT FOR ASSISTANCE. CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AND PATIENT STATEMENTS REGARDING OUR ASSISTANCE PROGRAM.
      ST. JOSEPH MERCY ANN ARBOR
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 200% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
      SAINT MARY'S HEALTH CARE
PART V, SECTION B, LINE 19D: INDIVIDUALS/HOUSEHOLDS 150% AND BELOW THE FPG ARE ELIGIBLE FOR 100% FREE CARE; THOSE BETWEEN 150% AND 200% OF THE FPG ARE SUBJECT TO A NOMINAL CHARGE BASED ON THE TYPE OF SERVICE; THOSE BETWEEN 200% AND 400% OF THE FPG ARE ELIGIBLE FOR A DISCOUNT BASED ON THE AVERAGE DISCOUNT PROVIDED TO COMMERCIAL PAYERS.
      ST. JOSEPH MERCY OAKLAND
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 150% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
      ST. MARY MERCY LIVONIA
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 100% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
      ST. JOSEPH MERCY LIVINGSTON
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 200% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
      CHELSEA COMUNITY HOSPITAL
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 200% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
      ST. JOSEPH MERCY PORT HURON
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 150% BUT NOT EXCEEDING 300% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
      MERCY HOSPITAL GRAYLING
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 100% BUT NOT EXCEEDING 300% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
      MERCY HOSPITAL CADILLAC
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 100% BUT NOT EXCEEDING 300% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
      ST. JOSEPH MERCY SALINE
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 200% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
      PART VI, LINE 2: NEEDS ASSESSMENT - TRINITY HEALTH-MICHIGAN ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. TRINITY HEALTH-MICHIGAN IS COMPRISED OF TEN ENTITIES, EACH OF WHICH COMPLETES ITS OWN ASSESSMENT. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR TRINITY HEALTH-MICHIGAN'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE TRINITY HEALTH-MICHIGAN COMMUNITY NEEDS ASSESSMENTS PROVIDE THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED - IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE TRINITY HEALTH-MICHIGAN COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. THE COMMUNITY NEEDS ASSESSMENTS ARE CURRENT AS OF 2012 FOR GRAND RAPIDS; 2010 FOR PORT HURON, 2011 FOR CADILLAC, AND OAKLAND; AND 2012 FOR ANN ARBOR (INCLUDING LIVINGSTON AND SALINE), LIVONIA, GRAYLING, AND OAKLAND.
      PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - TRINITY HEALTH-MICHIGAN IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AHA RECOMMENDATIONS, TRINITY HEALTH-MICHIGAN HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSTRINITY HEALTH-MICHIGAN COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL 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 HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE. TRINITY HEALTH-MICHIGAN OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES. 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 PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES AND IN ADMISSION PACKAGES DURING INTAKE. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH IN SEVERAL COMMUNITIES, REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS. TRINITY HEALTH-MICHIGAN'S HOSPITALS HAVE ESTABLISHED WRITTEN POLICIES FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. TRINITY HEALTH-MICHIGAN MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. OUR HOSPITALS EDUCATE STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES.
      PART VI, LINE 4: COMMUNITY INFORMATION - ST. JOSEPH MERCY OAKLAND (PONTIAC):ST. JOSEPH MERCY OAKLAND SERVES ALL OF OAKLAND COUNTY, NORTH OF EIGHT MILE ROAD, MOST COMMUNITY BENEFIT INITIATIVES FOCUS ON PONTIAC. THE 2012 RACIAL BREAKDOWN FOR OAKLAND COUNTY IS: WHITE NOT HISPANIC 75.1%; AFRICAN AMERICAN 13.6%; AMERICAN INDIAN AND ALASKAN NATIVE 0.3%; ASIAN 5.6%; PERSONS REPORTING TWO OR MORE RACES 2.2%; AND HISPANIC OR LATINO 3.5%. ESTIMATES FOR THE CITY OF PONTIAC ARE: WHITE NOT HISPANIC 37.1%; AFRICAN AMERICAN 47.4%; AMERICAN INDIAN AND ALASKA NATIVE 0.8%; ASIAN 2.4%; PERSONS REPORTING TWO OR MORE RACES 2.4%; HISPANIC OR LATINO 3.5%. THERE IS NO PREDICTION FOR ANY SIGNIFICANT CHANGE IN THESE RACE DEMOGRAPHICS. PONTIAC'S UNEMPLOYMENT RATE, DOWN FROM A HIGH OF 31.1% IN OCTOBER 2009, WAS STILL AT A STAGGERING 26.6% IN JUNE OF 2011, 19.1% IN APRIL OF 2012, AND BACK UP TO 21.6% IN MAY 2012. THESE FIGURES CAN BE COMPARED TO THE MICHIGAN UNEMPLOYMENT RATES OF 10.5% AND 8.3%, AND THE OAKLAND COUNTY RATES OF 10.9% IN APRIL AND THE CURRENT 7.4%. WHILE SHOWING IMPROVEMENT, THE RECENT DATA SHOWED, AT ITS WORST, A SIGNIFICANT RISE IN UNEMPLOYMENT COMPARED TO THE PRE-RECESSION YEAR OF 2007-PONTIAC, UP 60.9%; MICHIGAN UP 43.5%; AND OAKLAND COUNTY UP 72.1%. DESPITE THE FACT THAT THE RISE IN UNEMPLOYMENT FOR THE ENTIRE UNITED STATES HAS BEEN MUCH HIGHER, AT 89.6%, IT SHOULD BE REMEMBERED THAT MICHIGAN, AND ESPECIALLY PONTIAC, BEGAN THEIR RECESSIONS BETWEEN 10 AND 30 YEARS AGO, SO RECENT INCREASES ADD INSULT TO GREATER EXISTING INJURY, AND THUS APPEAR LESS SIGNIFICANT.SAINT MARY'S HEALTH CARE (GRAND RAPIDS):KENT COUNTY IS CONSIDERED THE PRIMARY MARKET AREA OF SAINT MARY'S HEALTH CARE. KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE SAINT MARY'S HEALTH CARE, METROPOLITAN HEALTH, SPECTRUM HEALTH-BUTTERWORTH CAMPUS, SPECTRUM HEALTH-BLODGETT CAMPUS, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES SIX PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. IN 2010, THERE WERE 608,453 PEOPLE LIVING IN KENT COUNTY MEANING 6.1 PERCENT OF MICHIGAN'S POPULATION LIVES IN KENT COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR KENT COUNTY IS $50,801. TWENTY-SIX PERCENT OF THE POPULATION IS BELOW THE AGE OF 18 AND ELEVEN PERCENT IS 65 YEARS OF AGE AND OLDER. EIGHTY-THREE PERCENT OF THE POPULATION IS WHITE, 10.3 PERCENT BLACK, AND 9.9 PERCENT LATINO. EIGHTY-EIGHT PERCENT ARE HIGH SCHOOL GRADUATES AND 30 PERCENT HAVE A BACHELOR'S DEGREE. THE CURRENT UNEMPLOYMENT RATE IS 8.5 PERCENT.MERCY HOSPITAL CADILLAC:MERCY HOSPITAL CADILLAC SERVES A RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF MISSAUKEE AND WEXFORD COUNTIES (WHERE THE HOSPITAL IS LOCATED), ALONG WITH PORTIONS OF OSCEOLA, KALKASKA, MANISTEE AND LAKE COUNTIES. THE SERVICE REGION ENCOMPASSES THE COMMUNITIES OF CADILLAC, LAKE CITY, MANTON, MESICK AND MCBAIN. MERCY HOSPITAL CADILLAC IS THE ONLY IN-PATIENT AND EMERGENCY SERVICE PROVIDER FOR THIS SERVICE REGION. IT IS DESIGNATED A SOLE COMMUNITY PROVIDER. THE U.S. CENSUS DATA FROM 2010 HAVE NOTED THAT AN INCREASING SEGMENT OF THE POPULATION IS ELDERLY. WITH ADVANCED AGE USUALLY COMES AN INCREASED RATE OF CHRONIC DISEASE. MERCY HOSPITAL GRAYLING:MERCY HOSPITAL GRAYLING SERVES A SPARSELY POPULATED, RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF CRAWFORD COUNTY (WHERE THE HOSPITAL IS LOCATED) AND MOST OF ROSCOMMON COUNTY, AS WELL AS MUCH OF OSCODA COUNTY AND SMALL PORTIONS OF MONTMORENCY AND OTSEGO COUNTIES. MERCY HOSPITAL GRAYLING IS THE ONLY INPATIENT AND EMERGENCY SERVICE PROVIDER FOR THIS REGION. THERE ARE NEARLY 50,000 PEOPLE LIVING IN MERCY GRAYLING'S THREE COUNTY SERVICE AREAS. FROM 2000-2010, THE POPULATION IN CRAWFORD, OSCODA AND ROSCOMMON COUNTIES HAS DECREASED, WITH THE LARGEST DECREASE OCCURRING IN OSCODA COUNTY. THE PERCENTAGE OF PERSONS BELOW POVERTY CONTINUES TO BE HIGHER IN ALL THREE COUNTIES THAN IN ALL OF MICHIGAN WITH ROSCOMMON HAVING THE HIGHEST RATE AT 22.2% COMPARED TO MICHIGAN'S RATE OF 14.8%.THE CONCERN FOR SINGLE PARENT STATUS SURFACES AS AN ONGOING ISSUE FOR OUR COMMUNITY FAMILIES TODAY. CHILDREN THAT ARE LIVING IN SINGLE PARENT HOUSEHOLDS ARE HIGHER THAN MICHIGAN IN BOTH CRAWFORD (38%) AND ROSCOMMON (45%), WITH OSCODA BEING SLIGHTLY LOWER AT 26%. MICHIGAN'S OVERALL RATE IS 32%.ST. JOSEPH MERCY PORT HURON:ST. JOSEPH MERCY PORT HURON IS LOCATED IN ST. CLAIR COUNTY IN SOUTHEASTERN MICHIGAN. SHARING A BORDER WITH CANADA, THE COUNTY IS HOME TO THE BLUE WATER BRIDGE, ONE OF THE BUSIEST INTERNATIONAL BORDER CROSSINGS IN NORTH AMERICA. DUE TO ITS PROXIMITY TO CANADA AND THE HIGH CONCENTRATION OF MANUFACTURING ON BOTH SIDES OF THE BRIDGE, ST. CLAIR COUNTY HAS BEEN IDENTIFIED BY THE FEDERAL GOVERNMENT AS A HIGH-RISK AREA FOR DISASTER.BASED ON 2000 U.S. CENSUS BUREAU DATA, ST. CLAIR COUNTY HAS 164,235 RESIDENTS, 94.9% OF WHOM ARE CAUCASIAN, 5.1% BLACK OR AFRICAN AMERICAN AND 2.2% HISPANIC OR LATINO. LOCATED AT THE BASE OF LAKE HURON AND THE MOUTH OF THE ST. CLAIR RIVER, THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES ELEVEN ZIP CODES IN ST. CLAIR COUNTY AND TWO ZIP CODES IN SANILAC COUNTY. NONE OF THESE ZIP CODES RANK AS EXCELLENT COMPARED TO THE U.S. MEAN, AND NONE RANK POOR COMPARED TO THE U.S. MEAN. THE COUNTY IS 734 SQUARE MILES, ENCOMPASSING 33 COMMUNITIES, WITH THE LARGEST INDUSTRIAL SECTOR BEING AGRICULTURE, FORESTRY & FISHING AND STRONG TIES TO THE AUTOMOTIVE INDUSTRY, WITH AN EMPHASIS ON PLASTICS MANUFACTURING. THE COUNTY'S FOUR LARGEST EMPLOYERS INCLUDE TWO UTILITY COMPANIES AND TWO COMMUNITY HEALTHCARE PROVIDERS. ST. JOSEPH MERCY IS THE FOURTH LARGEST EMPLOYER IN THE COUNTY. SAINT MARY MERCY LIVONIA:ST MARY MERCY LIVONIA'S PRIMARY SERVICE AREA INCLUDES CANTON, LIVONIA, NORTHVILLE, NOVI, PLYMOUTH, REDFORD AND WESTLAND. MANY OF THE RESIDENTS HAVE BEEN AFFECTED BY THE ECONOMIC CHALLENGES THAT HAVE AFFECTED OUR NATION AND CITY. HOME FORECLOSURES, DEBT DUE TO MEDICAL BILLS, UNEMPLOYMENT AND INCREASED COST OF LIVING WITH NO WAGE INCREASES HAVE CAUSED MANY PEOPLE TO MAKE DIFFICULT CHOICES ABOUT THEIR HEALTH CARE. BASED UPON THE 2010 CENSUS DATA, MEDIAN INCOME RANGES FROM $46,308 IN WESTLAND TO $81,541 IN NORTHVILLE, WHICH IS CONSIDERABLY LESS THAN THE 2000 CENSUS DATA. THE NUMBER OF PERSONS LIVING IN POVERTY IN WESTLAND, 6.7%, IS ABOUT THE SAME AS IN 2000, WHILE IN NORTHVILLE THE NUMBER IS 2.5%, HIGHER THAN THE 2000 CENSUS. THE 65+ AGE GROUP POPULATION RANGES FROM 17.7% IN LIVONIA TO 8.9% IN CANTON. SAINT JOSEPH MERCY HEALTH SYSTEM (ANN ARBOR):SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) IS A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE AND SOUTHWESTERN OAKLAND COUNTIES. SJMHS SPECIALIZES IN CANCER, CARDIOVASCULAR, ORTHOPEDICS, NEUROSCIENCES, AND WOMEN AND CHILDREN'S HEALTH. IT ALSO OFFERS TREATMENT AND CARE IN EMERGENCY SERVICES, SURGERY, ENDOSCOPY, RADIOLOGY, AND HOME CARE/HOSPICE. THE SJMHS HEALTH CARE NETWORK INCLUDES FOUR HOSPITALS: ST. JOSEPH MERCY ANN ARBOR, ST. MARY MERCY HOSPITAL IN LIVONIA, CHELSEA COMMUNITY HOSPITAL, AND SAINT JOSEPH MERCY LIVINGSTON IN HOWELL. COMBINED, THESE HOSPITALS ARE LICENSED FOR 1,090 INPATIENT BEDS. BASED ON 2011 DATA, THE AVERAGE HOUSEHOLD INCOME IN THE SJMHS SERVICES AREA IS $74,533 COMPARED TO THE AVERAGE FOR THE UNITED STATES OF $69,376. THIRTEEN PERCENT OF THE SERVICE AREA'S POPULATION IS BELOW FEDERAL POVERTY GUIDELINES. ABOUT 10% OF THE SERVICE AREA POPULATION RECEIVES MEDICAID OR OTHER ASSISTANCE, WHILE 13% ARE UNINSURED OR UNDERINSURED. THE NON-ENGLISH SPEAKING POPULATION COMPRISES 8.4% OF THE TOTAL.THE LARGEST SEGMENT OF THE SERVICE AREA POPULATION, 29.6% IS BETWEEN 35 AND 54 YEARS OF AGE, COMPARED TO THE NATIONAL AVERAGE OF 27.6%. CHILDREN 0-14 YEARS MAKE UP 18.5% OF THE TOTAL POPULATION, COMPARED TO THE NATIONAL AVERAGE OF 20.2%. THE OVER-55 POPULATION ACCOUNTS FOR 25.2% OF THE TOTAL, COMPARED TO THE NATIONAL AVERAGE OF 25%. ONLY 8.9% OF THE SERVICE AREA POPULATION DOES NOT HAVE A HIGH SCHOOL EDUCATION, COMPARED TO THE NATIONAL AVERAGE OF 15.1%.
      PART VI, LINE 5: OTHER INFORMATION - SAINT MARY'S HEALTH CARE IN GRAND RAPIDS IS A ONE-THIRD PARTNER, WITH THE MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE AND MARY FREE BED REHABILITATION HOSPITAL, IN THE COMMUNITY'S ONLY CERTIFIED ALS (AMYOTROPHIC LATERAL SCLEROSIS) TREATMENT CENTER FOR LOU GEHRIG'S DISEASE. SAINT MARY'S ALSO PARTICIPATES IN NUMEROUS CANCER, NEUROSCIENCE, AND HIV/AIDS RESEARCH BOTH INDEPENDENTLY AND IN COLLABORATION WITH NATIONAL AND LOCAL ORGANIZATIONS. AT MERCY HOSPITAL - CADILLAC, MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA FOR ALL APPROPRIATE DEPARTMENTS. THE ORGANIZATION IS THE SOLE COMMUNITY PROVIDER, AND OFFERS VOLUNTEER OPPORTUNITIES TO MEMBERS OF THE COMMUNITY.AT MERCY HOSPITAL - GRAYLING, MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA FOR ALL APPROPRIATE DEPARTMENTS. THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY, PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS, AND PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. MEDICARE AND MEDICAID ARE THE PRIMARY PAYERS FOR THE HOSPITAL AND THE OUTPATIENT CLINICS. THE ORGANIZATION IS THE SOLE COMMUNITY PROVIDER OF HEALTHCARE SERVICES FOR MUCH OF THE REGION. MERCY HOSPITAL GRAYLING IS AN ACTIVE PARTICIPANT IN AND SUPPORTER OF THE AUSABLE FREE CLINIC WHICH PROVIDES MEDICAL SERVICES TO THOSE WHO ARE UNINSURED OR UNDERINSURED. IN ADDITION TO COALITION BUILDING, MERCY HOSPITAL GRAYLING OFFERS NUMEROUS PROGRAMS TO ASSIST PATIENTS IN THE MANAGEMENT OF CHRONIC DISEASE, SUCH AS DIABETES PROGRAMS THAT ARE OFTEN FREE OF CHARGE AND AN ON-STAFF CERTIFIED DIABETES EDUCATOR. A WELLNESS COACH IS ALSO EMPLOYED TO PROVIDE SERVICES TO PATIENTS WITH HIGH BLOOD PRESSURE, HIGH CHOLESTEROL AND OTHER CHRONIC CONDITIONS. IN ADDITION, FREE EDUCATIONAL CLASSES AND SEMINARS ARE OFFERED WITHIN THE COMMUNITY BY STAFF AND PROVIDERS.SINCE 1990, ST. JOSEPH MERCY PORT HURON HAS SPONSORED THE PEOPLES' CLINIC FOR BETTER HEALTH. THIS FREE CLINIC HAS BEEN THE CORNERSTONE OF ST. JOSEPH MERCY'S COMMUNITY INITIATIVES FOR THE POOR AND UNDERSERVED. IN ADDITION, APPROXIMATELY $1.3 MILLION IN PRESCRIPTION MEDICATIONS IS DISTRIBUTED ANNUALLY THROUGH THE CLINIC AT NO CHARGE TO PATIENTS. FOR THE PAST SEVERAL YEARS, ST. JOSEPH MERCY HAS OPERATED THE PEOPLES' CLINIC FOR A FOURTH DAY EACH WEEK. THIS HAS INCREASED THE SERVICE TO THE UNINSURED AND UNDERINSURED OF OUR COUNTY BY 33%. A SIGNIFICANT PROGRAM AT THE CLINIC IS THE SWEET TOUCH PROGRAM; THIS IS DESIGNED TO MONITOR AND MANAGE THE CHRONIC DISEASE OF DIABETES TO THE POOR AND UNINSURED POPULATION. THROUGH VARIOUS FUNDRAISING EVENTS AND ACTIVITIES, ST. JOSEPH MERCY OFFERS REDUCED-COST MAMMOGRAPHY AND OTHER BREAST CANCER DIAGNOSTIC SERVICES TO PATIENTS THROUGHOUT THE COMMUNITY WITH NO INSURANCE OR RESOURCES TO PAY FOR THEIR CARE. RESPONDING TO THE COMMUNITY NEED FOR MORE INPATIENT BEHAVIORAL MEDICINE SERVICES, ST. MARY MERCY HOSPITAL IN LIVONIA RENOVATED THE BEHAVIORAL MEDICINE UNIT (PSYCH AND CHEMICAL DEPENDENCY), INCREASED CAPACITY AND IMPROVED THE ADMISSION PROCESS TO PROVIDE AN EXCELLENT PATIENT EXPERIENCE. OTHER COMMUNITY HEALTH SERVICES INCLUDE CLINICAL RESEARCH IN THE OUR LADY OF HOPE CANCER CENTER AND GRADUATE MEDICAL EDUCATION PROGRAM; HEALTH EDUCATION AND SCREENING; SUPPORT GROUPS AND SUPPORTING THE JOY SOUTHFIELD AND WAYNE HOPE CLINICS BY PROVIDING LAB SERVICES, RADIOLOGY TESTING AND A DIABETES EDUCATION AND MANAGEMENT PROGRAM. THE MISSION, HERITAGE AND VALUES OF SAINT JOSEPH MERCY HEALTH SYSTEM IN ANN ARBOR CALL FOR US TO LEAD AND COLLABORATE WITH OTHERS IN COMMUNITY HEALTH INITIATIVES. COMMUNITY COLLABORATION IS ESSENTIAL TO ACHIEVE IMPROVEMENTS IN HEALTH AND ACCESS TO HEALTHCARE. THE WASHTENAW HEALTH PLAN (WHP) REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, THE UNIVERSITY OF MICHIGAN AND SJMHS TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. THE HOSPITALS ALSO PROVIDE THIS POPULATION WITH FREE OR REDUCED-FEE CLINICAL SERVICES.ST. JOSEPH MERCY ANN ARBOR WAS THE LEAD AGENCY IN THE ORIGINATION OF THE WASHTENAW HOUSING ALLIANCE (WHA), A COALITION OF NINE SOCIAL SERVICE AGENCIES DEALING WITH HOUSING OF VARIOUS TYPES, WHOSE MISSION IS TO END HOMELESSNESS IN WASHTENAW COUNTY. IN ADDITION, SJMHS AND ITS BOARD MEMBERS WERE KEY IN BUILDING THE DELONIS CENTER IN DOWNTOWN ANN ARBOR. THIS CENTER PROVIDES NEEDED ACCOMMODATIONS FOR THE HOMELESS, AS WELL AS SOCIAL AND HEALTH SUPPORT SERVICES. SJMHS OPERATES TWO CLINICS THAT SUPPLY FREE OR REDUCED-FEE HEALTH CARE SERVICES TO AT-RISK POPULATIONS. THE NEIGHBORHOOD HEALTH CLINIC IS LOCATED IN DOWNTOWN YPSILANTI, WHILE THE ACADEMIC OB/GYN CLINIC IS LOCATED ON THE ANN ARBOR HOSPITAL CAMPUS.
      PART VI, LINE 6: TRINITY HEALTH-MICHIGAN IS A MEMBER ORGANIZATION OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE SYSTEMS IN THE COUNTRY. BASED IN LIVONIA, MICHIGAN, TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEVELOP, AND ARE HELD ACCOUNTABLE FOR ACHIEVING, COMMUNITY BENEFIT GOALS THAT INCLUDE DEVELOPING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS LIKE DIABETES, HEALTH EDUCATION AND PROMOTION INITIATIVES, AND OUTREACH FOR THE ELDERLY. IN FISCAL YEAR 2012, THIS INCLUDED OVER $615 MILLION IN SUCH COMMUNITY BENEFITS. THEREFORE, TRINITY HEALTH TAKES A SYSTEM APPROACH IN ITS COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION, AND IS CONSEQUENTLY ABLE TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ARE HELPING PROMOTE AND ADDRESS THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.