2. 2 © Copyright 2008 Trinity Health – Novi, Michigan One of the largest health systems in the US. Catholic sponsorship 47 hospitals owned or managed; over 379 outpatient clinics; 34 long-term care facilities, 35 home care and hospice agencies Revenues of $7 billion 47,000+ associates 8,000 active staff physicians Nearly $400 million in community benefit ministry Facts & Figures

3. 3 © Copyright 2008 Trinity Health – Novi, Michigan We serve together in Trinity Health, in the spirit of the Gospel, to heal body, mind and spirit, to improve the health of our communities, and to steward the resources entrusted to us. Respect Social Justice Compassion Care for the Poor and Underserved Excellence Mission Core Values Vision Inspired by our Catholic faith tradition, Trinity Health will be distinguished by an unrelenting focus on clinical and service outcomes as we seek to create excellence in the care experience. Trinity Health will become the most trusted health partner for life.

4. 4 © Copyright 2008 Trinity Health – Novi, Michigan History Created in May 2000 by the consolidation of Holy Cross Health System and Mercy Health Services, Trinity Health carries on two rich traditions of serving persons in need. Roots in Congregation of the Sisters of the Holy Cross, founded in 1841 by Father Basil Anthony Moreau Over the next 100 years, the Sisters opened hospitals and health care facilities throughout the country, responding to the needs of the times In 1979, Holy Cross Health System was formed, sponsored by the Congregation of the Sisters of the Holy Cross In 1831, Catherine McAuley founded the Sisters of Mercy in Dublin, Ireland After Catherine’s death in 1841, the Sisters of Mercy took their mission to America where they founded hospitals, schools, and orphanages In 1976, the Sisters created a health system to link and better support their hospitals Holy Cross Health System Mercy Health Services

5. 5 © Copyright 2008 Trinity Health – Novi, Michigan Awards and Recognition 2009: Trinity Health is one of the 10 top health systems in the country –According to the Thomson Reuters 100 Top Hospitals: Health System Quality/Efficiency Benchmarks study First “Senior Emergency Department” in the nation Nation’s largest community-based hospital health IT initiative Numerous Thompson Reuters Top 100 awards ‘AA’ bond rating reflecting strong financial performance

6. 6 © Copyright 2008 Trinity Health – Novi, Michigan Areas of Strategic Focus Community Benefit Ministry Excellence in Care Experience Best People / Spiritual Workplace Accelerated Integration Financial Stewardship Physician Alignment Accountable Health Networks

7. 7 © Copyright 2008 Trinity Health – Novi, Michigan Highlights Implement comparative effectiveness research through the Trinity Health Institute for Health and Community Benefits using one of nation’s largest databases of clinical information Implement unified service organizations –Revenue Management –Accounts Payable –Organization Talent & Effectiveness –Clinical Operations Assess the impact of health reform and develop strategies to respond Implement ambulatory care models and physician alignment strategies Implement clinical quality initiatives, including initiatives to reduce clinical defects and serious reportable events Implement operational improvement initiatives, including labor management best practices

9. 9 © Copyright 2008 Trinity Health – Novi, Michigan Strong commitment from senior leadership with two preceptors assigned to each fellow Opportunity to work with senior leadership and interact with governance Availability of system and local opportunities. Opportunity to contribute to projects and initiatives that matter. Tailored to meet the needs and interest of the fellow. Opportunity to identify and build upon your strengths and weaknesses. Goal of retention after Fellowship What are the Benefits of the Fellowship Program? Mentorship Work with Leaders Network Make it Personal Strengths and Weaknesses Retention

10. 10 © Copyright 2008 Trinity Health – Novi, Michigan What are the Projects of Current/Former Fellows? Here are some sample projects: Surgery expansion project Completion of a medical staff development plan Six sigma training Hospital labor productivity management Business plan for a cancer center Development of a diabetes care management program Community needs assessment Development of a primary health center for associates Materials management redesign Participation in the implementation of a mobile medical unit Fellowship recruitment

11. 11 © Copyright 2008 Trinity Health – Novi, Michigan Other Experiences During the Fellowship Year Orientation at Home Office during first week to meet with senior leadership and obtain information about Trinity Health and its initiatives Participation at System Leadership Council Meetings (both system and local) Attendance at –governance related activities –one or more professional conferences, such as ACHE –Trinity Health Clinical Conference –other system leadership meetings where possible

12. 12 © Copyright 2008 Trinity Health – Novi, Michigan What Opportunities are Available with Trinity Health After the Fellowship? The Fellowship Program Administrator works closely with the fellow throughout the year since retention is a key goal. –After the first three months, fellows will meet with the Program Administrator to ascertain career interests. –On a quarterly basis thereafter, the fellow meets with the Program Administrator to verify interests, geographic preferences and performance strengths. –Throughout the year, the Program Administrator works actively with system leaders to identify possible employment opportunities for each fellow within Trinity Health.

13. 13 © Copyright 2008 Trinity Health – Novi, Michigan Where are Current Fellows Located and Who are Their Preceptors? Battle Creek Health System Battle Creek, MI –Primary Preceptor: Chief Executive Officer –Secondary Preceptor: Director, Physician Services, Trinity Health Mount Carmel Health System Columbus, OH –Primary Preceptors: Chief Operating Officer and SVP, Strategy and System Development –Secondary Preceptor: VP, Insurance/Risk Management, Trinity Health Saint Alphonsus Regional Medical Center Boise, ID –Primary Preceptors: Chief Executive Officer and Saint Alphonsus Medical Group Chief Executive Officer –Secondary Preceptor: VP, Strategic Planning, Trinity Health

14. 14 © Copyright 2008 Trinity Health – Novi, Michigan Where are Current Fellows Located and Who are Their Preceptors? St. Mary Mercy Livonia Livonia, MI –Primary Preceptor: Chief Executive Officer –Secondary Preceptor: SVP, Strategic Planning and Marketing, Trinity Health St. Joseph Mercy Oakland Pontiac, MI –Primary Preceptor: Chief Operating Officer and Chief Experience Officer –Secondary Preceptor: SVP, Supply Chain & Capital Projects, Trinity Health Saint Joseph Mercy Health System Ann Arbor, MI –Primary Preceptor: Chief Executive Officer –Secondary Preceptor: SVP, Organizational Integrity & Audit Services, Trinity Health Trinity Health Focus: Community Benefit and Advocacy Novi, MI –Primary Preceptor: EVP, Trinity Institute for Health and Community Benefit –Secondary Preceptor: Chief Operating Officer, St. Joseph Mercy Oakland

15. 15 © Copyright 2008 Trinity Health – Novi, Michigan Where are the Locations for Next Year’s Fellowship? St. Mary Mercy Livonia Livonia, MI Primary Preceptor: Chief Executive Officer www.stmarymercy.org Mercy Medical Center Sioux City, IA Primary Preceptor: Executive Vice President, Chief Operating Officer www.mercysiouxcity.com Holy Cross Hospital Silver Spring, MD Primary Preceptor: SVP, Medical Affairs, Chief Medical Officer www.holycrosshealth.org Saint Alphonsus Regional Medical Center Boise, ID Primary Preceptor: Chief Executive Officer www.saintalphonsus.org Mount Carmel Health System Columbus, OH Primary Preceptor: Chief Operating Officer www.mountcarmelhealth.com Saint Joseph Mercy Health System Ann Arbor, MI Primary Preceptor: Chief Executive Officer www.sjmercyhealth.org

16. 16 © Copyright 2008 Trinity Health – Novi, Michigan Where are the Locations for Next Year’s Fellowship? Mercy Health Partners Muskegon, MI Primary Preceptor: VP, Regional Network and System Development www.mghp.com Battle Creek Health System Battle Creek, MI Primary Preceptor: Chief Executive Officer www.bchealth.com St. Joseph Mercy Oakland Pontiac, MI Primary Preceptor: Chief Operating Officer www.stjoesoakland.org Trinity Health Home Office, Finance Focus Novi, MI Primary Preceptor: Senior Vice President, Treasury & Chief Investment Officer www.trinity-health.org Trinity Health Home Office, Operations Performance Leadership Focus Novi, MI Primary Preceptor: Vice President, Operations Performance Leadership www. trinity-health.org

17. 17 © Copyright 2008 Trinity Health – Novi, Michigan What is the Fellowship Selection Process? Applications due October 20, 2010 All face-to-face interviews will take place at the Home Office on November 17 –A dinner with former/current fellows will be held the night before interviews are scheduled –On the interview day, small panel interviews will be conducted with primary and secondary preceptors –Lunch with the Senior Management Team Offers extended shortly after interview day and decisions expected from candidates Start date: June 27, 2011

18. 18 © Copyright 2008 Trinity Health – Novi, Michigan Questions? http://www.trinity-health.org/Careers/FellowshipProgram/index.htm

20. 20 © Copyright 2008 Trinity Health – Novi, Michigan Appendix

21. 21 © Copyright 2008 Trinity Health – Novi, Michigan Trinity Health System Leadership Council Rick O’Connell Executive Vice President, Chief Operating Officer - Hospital Networks Terry O’Rourke, MD Executive Vice President and Chief Clinical Officer Debra Canales Executive Vice President and Chief Administrative Officer Michael Slubowski President, Health Networks Kedrick Adkins, Jr. President, Integrated Services Dan Dwyer Senior Vice President, Mission Integration Catherine DeClercq, OP Senior Vice President, Governance and Stewardship Joe Swedish President and Chief Executive Officer Paul Neumann Senior Vice President and General Counsel Benjamin Carter Senior Vice President and Chief Financial Officer

22. 22 © Copyright 2008 Trinity Health – Novi, Michigan Trinity Health System Leadership Council Paul Browne Senior Vice President and Chief Information Officer James Bosscher Senior Vice President, Treasury and Chief Investment Officer Michael Holper Senior Vice President, Organization Integrity and Audit Services Maria Szymanski Senior Vice President, Chief Development Officer, VeLois Bowers Senior Vice President, Diversity and Organizational Development Paul Conlon Senior Vice President, Clinical Quality and Patient Safety Daniel Hale Executive Vice President, Trinity Institute for Health and Community Benefits Preston Gee Senior Vice President, Strategic Planning and Marketing Gay Landstrom, RN Senior Vice President and Chief Nursing Officer Michael Murphy Senior Vice President, Physician Practice Leadership Louis Fierens II Senior Vice President, Supply Chain and Capital Projects