Trinity Health Corporation

NOTICE OF PUBLIC HEARING

NOTICE IS HEREBY GIVEN that commencing at 9:00 a.m., on November 10, 2026, the Michigan Finance Authority (“MFA”) will hold a public hearing by teleconference, in accordance with Treasury Regulation §1.147(f)-1 and Revenue Procedure 2022-20, for purposes of federal tax law with respect to the proposed issuance of one or more series or subseries of hospital revenue bonds (the “Bonds”), by MFA in an amount not to exceed $1,400,000,000 pursuant to a plan of finance for various capital facilities, as more fully described below. 

The teleconference can be accessed by dialing the following toll-free number and entering the following meeting identification and passcode at 9:00 a.m. on November 10, 2026:

Toll-Free Number: (877) 402-9757
Access Code: 3764895#

The proceeds of the Bonds will be loaned to Trinity Health Corporation, an Indiana nonprofit corporation.  Trinity Health Corporation is the sole corporate member of: (i) Saint Agnes Medical Center, a California nonprofit corporation (“Saint Agnes”); (ii) Holy Cross Hospital, Inc. (“Holy Cross”), a Florida not-for-profit corporation; (iii) St. Mary’s Health Care System, Inc. (“St. Mary’s Health”), a Georgia nonprofit corporation; (iv) Loyola University Health System (“LUHS”), Loyola University Medical Center (“LUMC”), Gottlieb Memorial Hospital (“Gottlieb”), and Gottlieb Community Health Services Corporation dba MacNeal Hospital (“MacNeal”), each an Illinois not-for-profit corporation; (v) Saint Joseph Regional Medical Center, Inc. (“SJRMC”), Saint Joseph Regional Medical Center – South Bend Campus Inc. (“SJRMC – South Bend”), Saint Joseph Regional Medical Center – Plymouth Campus Inc. (“SJRMC – Plymouth”), each an Indiana nonprofit corporation, and TCCS (defined below) which is the sole corporate member of Trinity Continuing Care Services-Indiana (“TCCS – Indiana”), an Indiana nonprofit corporation; (vi) Mercy Health Services – Iowa, Corp. (“MHS – Iowa”), a Delaware nonprofit corporation and the ultimate parent of Mercy Medical Center – Clinton, Inc. (“MMC – Clinton”), a Delaware nonprofit corporation; (vii) Holy Cross Health, Inc. (“Holy Cross – Maryland”), a Maryland nonprofit corporation; (viii) The Mercy Hospital, Inc. (doing business as Mercy Medical Center) (“Mercy – Mass”), a Massachusetts nonprofit corporation, and Sisters of Providence Health System, Inc. (“Providence”), a Massachusetts nonprofit corporation; (ix) Trinity Health – Michigan (“TH – Michigan”) (formerly known as Mercy Health Services and Sisters of Mercy Health Corporation), Mercy Health Partners (“Mercy – Muskegon”), Trinity Continuing Care Services (“TCCS”), Trinity Health PACE (“PACE”) and Trinity Home Health Services (“THHS”), each a Michigan nonprofit membership corporation; (x) St. Joseph’s Health, Inc. (“St. Joseph’s Health”), St. Joseph’s Hospital Health Center (“St. Joseph’s Hospital”), St. Joseph’s Health Center Properties, Inc. (“St. Joseph’s Health Center”), St. Peter’s Health Partners (“St. Peter’s Health”), Samaritan Hospital of Troy, New York, dba Samaritan Hospital (“Samaritan”), and Seton Health at Schuyler Ridge Residential Healthcare dba Schuyler Ridge (“Schuyler”), each a New York not-for-profit corporation; (xi) Mount Carmel Health System (“Mount Carmel”), an Ohio nonprofit corporation; (xii) Saint Alphonsus Medical Center, Inc. – Baker City (“SAMC – Baker City”), an Oregon nonprofit corporation (formerly known as St. Elizabeth Hospital) and Saint Alphonsus Medical Center, Inc. – Ontario (“SAMC – Ontario”), an Oregon nonprofit corporation (formerly known as Holy Rosary Medical Center); (xiii) St. Mary Medical Center (“St. Mary Medical Center”), Nazareth Hospital (“Nazareth”), and Mercy Catholic Medical Center of Southeastern Pennsylvania (“SEPA”), each a Pennsylvania non-profit corporation.

Trinity Health Corporation and its subsidiaries and affiliates, including the affiliates listed above, are collectively referred to as “Trinity Health.”

The public hearing is intended to comply with the public approval requirements of Section 147(f) of the Internal Revenue Code of 1986, as amended (the “Code”).

The Bonds will provide funds to (1) finance or refinance the Project, (2) current refund the Bonds To Be Refunded (defined below), and (3) to pay costs of issuance of the Bonds.  The “Project” consists of the California Project, the Florida Project, the Georgia Project, the Illinois Project, the Indiana Project, the Iowa Project, the Maryland Project, the Massachusetts Project, the Michigan Project, the New York Project, the Ohio Project, the Oregon Project and the Pennsylvania Project, each as defined below, and each of which, except as otherwise specified, is owned and operated by Trinity Health. Certain of the Projects may include a refunding component of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds, the Series 2017 Bonds and/or the Series A 2017 Bonds, each as defined below (collectively, the “Bonds To Be Refunded”).

California

The “California Project” may include the refunding of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds, the Series 2017 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Florida

The “Florida Project” consists of the refinancing of additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: (A) in an approximate amount of $16,500,000 with respect to the facilities located at the main campus located at 4725 N. Federal Highway, Fort Lauderdale, Florida (commonly known as Holy Cross Hospital); (B) in an approximate amount of $2,000,000 with respect to the facilities located at 5601 N. Dixie Highway, Fort Lauderdale, Florida (commonly known as Holy Cross Hospital); (C) in an approximate amount of $3,000,000 with respect to the facilities located at 200 E. Sunrise Boulevard, Fort Lauderdale, Florida (commonly known as Holy Cross Medical Group); and (D) in an approximate amount of $21,500,000 with respect to the facilities located at 340 S. Federal Highway, Deerfield Beach, Florida (commonly known as Holy Cross Health Center & Emergency Care); and other related acquisitions, improvements, equipment, construction and reconstruction located thereon.

The Florida Project may also include the refunding of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds, the Series 2017 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Georgia

The “Georgia Project” may include the refunding of all or a portion of the Series 2015 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Illinois

The “Illinois Project” consists of the refinancing of additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: (A) in an approximate amount of $70,000,000 with respect to the facilities located at 2160 S. First Avenue, Maywood, Illinois (commonly known as Loyola University Medical Center); (B) in an approximate amount of $6,000,000 with respect to the facilities located at 701 W. North Ave, Melrose Park, Illinois (commonly known as Gottlieb Memorial Hospital); (C) in an approximate amount of $4,000,000 with respect to the facilities located at 3249 S. Oak Park Avenue, Berwyn, Illinois (commonly known as MacNeal Health Care & Hospital); (D) in an approximate amount of $2,000,000 with respect to the facilities located at 28301 Ferry Road, Warrenville, Illinois (commonly known as Loyola Medical Warrenville Ambulatory Care Center) and (E) in an approximate amount of $1,500,000 with respect to the facilities located at 801 Illini Drive, Silvis, Illinois (commonly known as Mercy One Genesis Medical Center Silvis); and other related acquisitions, improvements, equipment, construction and reconstruction.

The Illinois Project may also include the refunding of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds, the Series 2017 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below.

Indiana

The “Indiana Project” consists of the refinancing of additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: (A) in an approximate amount of $10,500,000 with respect to the facilities located at 5215 Holy Cross Parkway, Mishawaka, Indiana (commonly known as Saint Joseph Health System Mishawaka Medical Center); and (B) in an approximate amount of $1,500,000 with respect to the facilities located at 611 E. Douglas Road, Mishawaka, Indiana (commonly known as Saint Joseph Health System Family Medicine Center); and other related acquisitions, improvements, equipment, construction and reconstruction.

The Indiana Project may also include the refunding of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Iowa

The “Iowa Project” consists of the refinancing of additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: (A) in an approximate amount of $2,000,000 with respect to the facilities located at 1410 N. 4th Street, Clinton, Iowa (commonly known as MercyOne Clinton Medical Center – North Campus); (B) in an approximate amount of $5,500,000 with respect to the facilities located at 1010 4th Street SW, Mason City, Iowa (commonly known as MercyOne Forest Park Family Medicine); (C) in an approximate amount of $15,000,000 with respect to the facilities located at 1227 East Rusholme Street, Davenport, Iowa (commonly known as MercyOne Genesis Davenport Medical Center); (D) in an approximate amount of $1,500,000 with respect to the facilities located at 250 S. Crescent Drive, Mason City, Iowa (commonly known as MercyOne North Iowa Medical Center); (E) in an approximate amount of $1,000,000 with respect to the facilities located at 5880 University Avenue, West Des Moines, Iowa (commonly known as MercyOne Iowa Heart Center West Des Moines); (F) in an approximate amount of $5,500,000 with respect to the facilities located at 301 N. 4th Avenue, Eldridge, Iowa (commonly known as MercyOne Genesis Eldridge Family Medicine); (G) in an approximate amount of $5,000,000 with respect to the facilities located at 3421 West 9th Street, Waterloo, Iowa (MercyOne Waterloo Medical Center); (H) in an approximate amount of $9,000,000 with respect to the facilities located at 1111 6th Avenue, Des Moines, Iowa (MercyOne Des Moines Medical Center); and (I) in an approximate amount of $4,500,000 with respect to the facilities located at 1755 59th Place, West Des Moines, Iowa (MercyOne West Des Moines Medical Center); and other related acquisitions, improvements, equipment, construction, and reconstruction.

The Iowa Project may also include the refunding of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Maryland

The “Maryland Project” consists of the refinancing of additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: (A) in an approximate amount of $2,500,000 with respect to the facilities located at 11700 Beltsville Road, Calverton, Maryland (commonly known as Holy Cross Health Network); (B) in an approximate amount of $15,000,000 with respect to the facilities located at 1500 Forest Glen Road, Silver Springs, Maryland (commonly known as Holy Cross Hospital); and (C) in an approximate amount of $5,500,000 with respect to the facilities located at 19801 Observation Drive, Germantown, Maryland (commonly known as Holy Cross Germantown Hospital); and other related acquisitions, improvements, equipment, construction, and reconstruction.

The Maryland Project may also include the refunding of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds, the Series 2017 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Massachusetts

The “Massachusetts Project” may include the refunding of all or a portion of the Series 2016 Bonds and/or the Series 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Michigan

The “Michigan Project” consists of the financing or refinancing of additions and improvements to and equipment for hospitals or other healthcare facilities owned and operated by Trinity Health at the following locations: (A) in an approximate amount of $32,000,000 with respect to facilities located at 5301, 5303 and 5360 McAuley Drive, Ypsilanti, Michigan and 5320 Elliot Drive, Ypsilanti, Michigan (commonly known as Trinity Health Ann Arbor Hospital); (B) in an approximate amount of $15,000,000 with respect to facilities located at 200 Jefferson Avenue SE, Grand Rapids, Michigan (commonly known as Trinity Grand Rapids Hospital); (C) in an approximate amount of $77,000,000 with respect to facilities located at 7555 Grand River Road, Brighton, Michigan (commonly known as Trinity Health Livingston Hospital or Trinity Health Medical Center – Brighton); (D) in an approximate amount of $8,500,000 with respect to facilities located at 36475 Five Mile Road, Livonia, Michigan (commonly known as Trinity Health Livonia Hospital); (E) in an approximate amount of $15,000,000 with respect to facilities located at 1309 Sheldon Road, Grand Haven, Michigan and 1500 East Sherman Boulevard, Muskegon, Michigan (commonly known as Trinity Health Grand Haven and Trinity Health Muskegon Hospital); and (F) in an approximate amount of $9,500,000 with respect to facilities located at 1375 S. Lapeer Road, Orion Township, Michigan and 44405 Woodward Avenue, Pontiac, Michigan (commonly known as Trinity Health Oakland Hospital); and other related acquisitions, improvements, equipment, construction, and reconstruction.

The Michigan Project may also include the refunding of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds, the Series 2017 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

New York

The “New York Project” consists of the refinancing of additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: (A) in an approximate amount of $10,000,000 with respect to the main campus facilities located at 301 Prospect Avenue, Syracuse, New York (commonly known as St. Joseph’s Hospital Health Center), (B) in an approximate amount of $3,500,000 with respect to facilities located at 2215 Burdett Avenue, Troy, New York (commonly known as Samaritan Hospital), (C) in an approximate amount of $1,000,000 with respect to the facilities located at 1300 Massachusetts Avenue, Troy, New York (commonly known as Samaritan Hospital), and, (D) in an approximate amount of $21,000,000 with respect to the main campus facilitates located at 315 S. Manning Boulevard, Albany, New York (York (commonly known as St. Peter’s Hospital); and other related acquisitions, improvements, equipment, construction, and reconstruction.

The New York Project may also include the refunding of all or a portion of the Series 2015 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Ohio

The “Ohio Project” consists of the refinancing of additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: (A) in an approximate amount of $10,000,000 with respect to the facilities located at 5955 and 6001 East Broad Street, Columbus, Ohio (commonly known as Mount Carmel Health East and the Mount Carmel Corporate); (B) in an approximate amount of $3,500,000 with respect to the facilities located at 500 South Cleveland Avenue, Westerville, Ohio (commonly known as Mount Carmel St. Ann’s); (C) in an approximate amount of $2,500,000 with respect to the facilities located at the ambulatory care center and other facilities located at 5300 North Meadows Drive, Grove City, Ohio (commonly known as Mount Carmel Health West Grove City); (D) in an approximate amount of $62,500,000 with respect to the facilities located at 4105 Emerald Parkway, Dublin, Ohio (commonly known as Mount Carmel Dublin); and (E) in an approximate amount of less than $1,500,000 with respect to the facilities located at 7333 Smith’s Mill Road, New Albany, Ohio (commonly known as New Albany Surgical Hospital); and other related acquisitions, improvements, equipment, construction, and reconstruction. 

The Ohio Project may also include the refunding of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds, the Series 2017 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Oregon

The “Oregon Project” may include the refunding of all or a portion of the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

Pennsylvania

The “Pennsylvania Project” may include the refunding of all or a portion of the Series 2015 Bonds, the Series 2016 Bonds, the Series 2017 Bonds and/or the Series A 2017 Bonds.  See “THE BONDS TO BE REFUNDED” below. 

The Bonds to be Refunded

The “Bonds To Be Refunded” may include all or a portion of the Series 2015 Bonds, the Series 2016 Bonds, the Series 2017 Bonds and the Series A 2017 Bonds, each as defined below.

The “Series 2015 Bonds” include each of the following series:

•$164,010,000 Montgomery County, Maryland Revenue Bonds (Trinity Health Credit Group) Series 2015MD

•$561,215,0000 Michigan Finance Authority Hospital Revenue and Refunding Bonds (Trinity Health Credit Group) Series 2015MI

The “Series 2016 Bonds” include each of the following series:

•$41,390,000 Montgomery County, Maryland Revenue Bonds (Trinity Health Credit Group) Series 2016MD

•$271,015,000 Michigan Finance Authority Hospital Revenue and Refunding Bonds (Trinity Health Credit Group) Series 2016MI

The “Series 2017 Bonds” include each of the following series:

•$30,065,000 Maryland Health and Higher Educational Facilities Authority Revenue Bonds (Trinity Health Credit Group) Series 2017MD

•$165,205,000 Michigan Finance Authority Hospital Revenue and Refunding Bonds (Trinity Health Credit Group) Series 2017MI

•$91,765,000 County of Franklin, Ohio Revenue Bonds (Trinity Health Credit Group) Series 2017OH

The “Series A 2017 Bonds” include each of the following series:

•$837,425,000 Michigan Finance Authority Hospital Revenue and Refunding Bonds (Trinity Health Credit Group) Series A 2017-MI

•$106,520,000 County of Franklin, Ohio Revenue Bonds (Trinity Health Credit Group) Series A 2017-OH

Series 2015 Bonds

The Series 2015 Bonds provided funds to finance or refinance the 2015 Project and to pay costs of issuance of the Series 2015 Bonds.  The “2015 Project” consists of the 2015 California Project, the 2015 Florida Project, the 2015 Georgia Project, the 2015 Illinois Project, the 2015 Indiana Project, the 2015 Iowa Project, the 2015 Maryland Project, the 2015 Michigan Project, the 2015 New York Project, the 2015 Ohio Project and the 2015 Pennsylvania Project, each as defined below.

The “2015 California Project” includes the refunding, in an amount not more than $20,000,000, of the Michigan State Hospital Finance Authority Revenue and Refunding Bonds (Trinity Health Credit Group) Series 2008A-1 (Fixed Rate Bonds) (the “Prior 2008A-MI Bonds”) which refunded all or a portion of the California Statewide Communities Development Authority Variable Rate Revenue Bonds (Trinity Health Credit Group) Series 2004A (the “Prior 2004A California Bonds”); and the California Statewide Communities Development Authority, Variable Rate Revenue Bonds (Trinity Health Credit Group) Series 2003G (the “Prior 2003G California Bonds”).  The proceeds of the Prior 2004A California Bonds were used to finance the costs of acquisition, construction, furnishing and equipping of certain health facilities of Saint Agnes Medical Center located at (i) 1303 East Herndon Avenue; (ii) 1111 East Spruce Avenue, (iii) 1201 East Herndon Avenue; (iv) 1245 East Herndon Avenue; (v) 1360 East Herndon Avenue, (vi) 7130 North Millbrook Avenue, and (vii) 7202 North Millbrook Avenue, all located in the City of Fresno, California.  The projects financed and refinanced by the Prior 2004A California Bonds are owned and operated by Trinity Health.  The proceeds of the Prior 2003G California Bonds were used to refund the City of Fresno Health Facility Revenue Bonds, Series 1993A (Holy Cross Health System Corporation) and the City of Fresno Health Facility Revenue Bonds, Series 1993B (Holy Cross Health System Corporation) (together, the “1993 California Bonds”).  The proceeds of the 1993 California Bonds were used to (i) finance the renovation of healthcare facilities located at the Hospital, and (ii) refund all or a portion of the City of Fresno Health Facility Revenue Bonds (Saint Agnes Hospital) Series 1986, the proceeds of which were issued to finance the construction, renovation, and improvement of, and acquisition of equipment for an affiliate of Trinity Health.  The projects financed and refinanced by the Prior 2003G California Bonds and the 1993 California Bonds are owned and operated by Trinity Health. 

The “2015 Florida Project” consists of the financing or refinancing of not more than $15,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities owned and operated by Holy Cross, including, but not limited to, renovations, improvements and equipment acquisitions relating to the relocation of the pharmacy department, and renovations, improvement and equipment acquisitions relating to certain clinical areas such as pain management, the maternity department and Holy Cross Medical Group.  The Florida Project is located at the Holy Cross main campus at 4725 North Federal Highway, Fort Lauderdale, Florida 33308; and at one or more of the following addresses: the HealthPlex Facility at 1000 NE 56th Street, Fort Lauderdale, Florida 33334; 5597 N. Dixie Highway, Oakland Park, Florida 33334; 5601 N. Dixie Highway, Oakland Park, Florida 33334; 4701 N. Federal Highway, Ft. Lauderdale, Florida 33308; 1309 S. Federal Highway, Ft. Lauderdale, Florida 33316; 2001 N. Federal Highway, Pompano Beach, Florida 33062; and 333 NW 70th Avenue, Plantation, Florida 33317.

The “2015 Georgia Project” consists of the financing or refinancing of not more than $11,000,000 relating to additions and improvements to and equipment for hospital or other health care facilities owned and operated by St. Mary’s Health Care System, Inc., 1230 Baxter Street, Athens, Georgia 30606, including, but not limited to, (1) miscellaneous construction, renovations, improvements and equipping of the emergency department, operating rooms, NICU, MRI suite and other clinical and nonclinical areas of St. Mary’s Hospital, 1230 Baxter Street, Athens, Georgia 30606; and (2) miscellaneous construction, renovations, improvements and equipping of St. Mary’s Outpatient Radiology, 2470 Daniels Bridge Road, Building 300, Athens, Georgia 30606, including, but not limited to, renovations and installation of an MRI suite; and (3) miscellaneous construction, renovations, improvements and equipment acquisitions at St. Mary’s Wound Healing & Infusion Center, 4017 Atlanta Highway, Athens, Georgia 30606; St. Mary’s Hospice House, 1660 Jennings Mill Road, Watkinsville, Georgia 30677; St. Mary’s Industrial Medicine, 4017 Atlanta Highway, Suite B, Athens, Georgia 30606; and St. Mary’s Outpatient Laboratory, 740 Prince Avenue, Suite 12-B, Athens, Georgia 30606.

The “2015 Illinois Project” consists of the financing or refinancing of not more than $75,000,000 relating to additions and improvements to, and equipment for, hospitals or other healthcare facilities owned and operated by Trinity Health at the following locations: property owned or leased by LUHS in unincorporated Cook County, Illinois, bordered generally by the Veterans Administration Hospital on the south and west, the State of Illinois Madden Mental Health Center on the north, and First Avenue on the east; property bordered by 183rd Street to the south, 94th Avenue to the east, 179th Street to the north and LaGrange Road to the west, in Tinley Park, Cook County, Illinois; 1S260 Summit Avenue, Oakbrook Terrace, Illinois; 1S224 Summit, Oakbrook Terrace, Illinois; 17W740 22nd Street, Oakbrook Terrace, Illinois; 6800 N. Frontage Road, Burr Ridge, Illinois; 1030 W. Higgins, Park Ridge, Illinois; 6440 Main Street, Woodridge, Illinois; 8780 Golf Road, Niles, Illinois; Two Westbrook Corporate Center, Westchester, Illinois; 7511 Lemont Road, Darien, Illinois; 140 E. Loop Road, Wheaton, Illinois; 2166 Gladstone Court, Suite A, Glendale Heights, Illinois; 9608 Roberts Road, Hickory Hills, Illinois; 321 N. LaGrange Road, LaGrange Park, Illinois; 1950 S. Harlem Avenue, North Riverside, Illinois; 1211-19 W. Roosevelt Road, Maywood, Illinois; 2160 - 2197 S. First Avenue, Maywood, Illinois; 300 N. York Road, Elmhurst, Illinois; 7005 W. North Avenue, Oak Park, Illinois; 15300 West Avenue, Orland Park, Illinois; 16621 S. 107th Ct., Orland Park, Illinois; 15624 Marian Drive, Homer Glen, Illinois; 551 W. North Ave, Melrose Park, Illinois; 555 W. North Ave, Melrose Park, Illinois; 675 W. North Ave, Melrose Park, Illinois; 701 W. North Ave, Melrose Park, Illinois; 703 W. North Avenue, Melrose Park, Illinois; 715 W. North Ave, Melrose Park, Illinois; 719 W. North Ave, Melrose Park, Illinois; 905 W. North Ave, Melrose Park, Illinois; 911 W. North Ave, Melrose Park, Illinois; 9651 W. Irving Park Rd., Schiller Park, Illinois; 7255 W. Grand Ave., Elmwood Park, Illinois; 8488 W. Grand Ave., River Grove, Illinois; 7634 W. Belmont, Chicago, Illinois; 2525 S. Michigan, Chicago, Illinois; 5525 S. Pulaski, Chicago, Illinois; 8541 S. State Street, Chicago, Illinois; 1100 Lake St., Oak Park, Illinois; 4701 N. Cumberland Ave., Norridge, Illinois; 6645 W. North Ave., Oak Park, Illinois; and 7617 West North Avenue, River Forest, Illinois.

The “2015 Indiana Project” consists of the financing or refinancing of not more than $25,000,000 relating to additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: (i) 801 East LaSalle Avenue, South Bend, Indiana, (ii) 1915 Lake Avenue, South Bend, Indiana, (iii) 5215 Holy Cross Parkway, South Bend, Indiana, (iv) 3606 East Jefferson Boulevard, South Bend, Indiana, (v) 3575 Moreau Court, South Bend, Indiana, (vi) 707 E. Cedar Street, South Bend, Indiana, (vii) 17321 SR 23, South Bend, Indiana, (viii) 12563 SR 23, Granger, Indiana, (ix) 250 E. Day Road, Mishawaka, Indiana, (x) 611 E. Douglas Road, Mishawaka, Indiana, (xi) 215 W. 4th Street, Mishawaka, Indiana and (xii) 921 Lake Shore Drive, Culver, Indiana, (xiii) 209 Jefferson Street, Plymouth, Indiana, (xiv) 1919 Lake Avenue, Plymouth, Indiana, (xv) 53940 Carmichael Drive, South Bend, Indiana, (xvi) 60205 Bodnar Boulevard, Mishawaka, Indiana, (xvii) 810 E. Park Place, Mishawaka, Indiana, (xviii) 837 E. Cedar, South Bend, Indiana, (xix) 2349 Lake Avenue, Plymouth, Indiana, (xx) 510 W. Adams Street, Plymouth, Indiana, (xxi) 3602 South Ironwood Drive, South Bend, Indiana, (xxii) 17475 Dugdale Drive, South Bend, Indiana, (xxiii) 2930 W. Cleveland Road, South Bend, Indiana, (xxiv) 114 N. Washington Street, Bourbon, Indiana, (xxv) 420 W. 4th Street, Mishawaka, Indiana, (xxvi) 326 Chapin Street, South Bend, Indiana and other related acquisitions, improvements, equipment, construction, and reconstruction, located thereon.  The Indiana Project also includes the refunding, in an amount not more than $6,000,000, of the Indiana Health and Educational Facility Financing Authority Revenue Bonds (Trinity Health Credit Group) Series 2006B (the “Prior 2006B Indiana Bonds”) which consisted of additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health, Saint Joseph Regional Medical Center or related health care corporations at, the following locations: (1) Saint Joseph Medical Center – South Bend Campus located at 801 East LaSalle Avenue, South Bend, Indiana, at 720 Cedar Street, South Bend, Indiana and at 837 Cedar Street, South Bend, Indiana; (2) Saint Joseph Medical Center – Plymouth Campus located at 1915 Lake Avenue, Plymouth, Indiana; (3) Saint Joseph Community Hospital – South Bend Campus located at 215 West 4th Street and at 250 East Day Road, Mishawaka, Indiana; and (4) St. Joseph Cancer Institute - 707 Cedar St., South Bend, Indiana. 

The “2015 Iowa Project” consists of the financing or refinancing of not more than $40,000,000 relating to additions and improvements to, and equipment for, hospitals or other healthcare facilities owned and operated by Trinity Health at the following locations: 1000 4th St. SW, Mason City, Iowa; 910 Eisenhower Avenue, Mason City, Iowa; 150 Mercy Drive, Dubuque, Iowa; 250 Mercy Drive, Dubuque, Iowa; 622 Jones Street, Sioux City, Iowa; 2101 Court Street, Sioux City, Iowa*; 902 5th Street, Sioux City, Iowa*; 801 5th Street, Sioux City, Iowa*; 308 North Maple Avenue, New Hampton, Iowa; 201 South Linn Avenue, New Hampton, Iowa; 308 North Maple Avenue, New Hampton, Iowa; 1410 North 4th Street, Clinton, Iowa; 638 South Bluff Boulevard, Clinton, Iowa; 707 Gilbert Street, Charles City, Iowa; 111 Third Street SW, Dyersville, Iowa; 850 13th Avenue N., Clinton, Iowa; 1631 4th Street SW, Mason City, Iowa, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon.

The “2015 Maryland Project” consists of the financing or refinancing of not more than $200,000,000 relating to additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 1500 Forest Glen Road, Silver Spring, Maryland, 19801 Observation Drive, Germantown, Maryland, 7987 Georgia Avenue, Silver Spring, Maryland, and 10720 Columbia Pike, Silver Spring, Maryland and other related acquisitions, improvements, equipment, construction, and reconstruction.  The Maryland Project also includes the refunding of not more than $45,000,000 of the portion of the Prior 2008A-MI Bonds which refunded all or a portion of (1) the Montgomery County, Maryland’s Variable Rate Economic Development Revenue Bonds (Trinity Health Credit Group) Series 2004D (the “Prior 2004D Maryland Bonds”), the proceeds of which were used to (i) finance the acquisition, construction and equipping of health care facilities located at Holy Cross Hospital of Silver Spring, Inc., 1500 Forest Glen Road, Silver Spring, Maryland (“Holy Cross Hospital”), which is owned and operated by Trinity Health, and (ii) to pay certain costs of issuing the Series 2004D Maryland Bonds; and (2) the Maryland Industrial Development Financing Authority’s Variable Rate Refunding Revenue Bonds (Trinity Health Credit Group) Series 2003F (the “Series 2003F Maryland Bonds”), the proceeds of which were used to: (i) refund the Maryland Industrial Development Financing Authority Revenue Bonds Series 1993 (Holy Cross Health System Corporation) (the “1993 Maryland Bonds”), including the payment of accrued interest and premium on the 2003F Maryland Prior Bonds; and (ii) pay certain costs of issuing the Series 2003F Maryland Bonds.  The proceeds of the 1993 Maryland Bonds were used to finance the acquisition, construction expansion, rehabilitation, renovation, and equipping by Trinity Health of the hospital facility and related parking facility at Holy Cross Hospital.  The projects financed and refinanced by the 1993 Maryland Bonds are owned and operated by Trinity Health and are located at the addresses referenced above or at 13975 Connecticut Avenue, Aspen Hill, Maryland, 702 Russell Avenue, Gaithersburg, Maryland, or 3415-3422 Greencastle Road, Burtonsville, Maryland.

The “2015 Michigan Project” consists of the financing or refinancing of not more than $600,000,000 relating to additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 1500 East Sherman Boulevard, Muskegon, Michigan; 1560 East Sherman Boulevard, Muskegon, Michigan; 1675 Leahy, Muskegon, Michigan; 2061 Electric Avenue, Port Huron, Michigan*; 4190 24th Avenue, Fort Gratiot, Michigan; 220 Cherry Street SE, Grand Rapids, Michigan; 250 Cherry Street SE, Grand Rapids, Michigan; 200 Jefferson Avenue SE, Grand Rapids, Michigan; 300 Lafayette Avenue SE, Grand Rapids, Michigan; 704 Oak Street, Cadillac, Michigan; 1100 Michigan Avenue, Grayling, Michigan; 36475 W. Five Mile, Livonia, Michigan; 44405 Woodward Avenue, Pontiac, Michigan; 5301 E. Huron River Drive, Ann Arbor, Michigan; 5340-5401 McAuley Drive, Ypsilanti, Michigan; 400 Russell Street, Saline Michigan; 5305 E. Huron River Drive, Ann Arbor, Michigan; 1600 Canton Center Road, Canton, Michigan; 620 Byron Road, Howell, Michigan; 775 S. Main Street, Chelsea, Michigan; 1515 Commerce Parkway, Chelsea, Michigan; 400 Hobart Street, Cadillac, Michigan*; 33300 Utica Road, Fraser, Michigan; 1700 Clinton Street, Muskegon, Michigan; 7575 Grand River Avenue, Brighton, Michigan; 20555 Victor Parkway, Livonia, Michigan; 33300 Utica Road, Fraser, Michigan; 715-720 West Fourth Street, Royal Oak, Michigan; 5210 Highland Road, Waterford, Michigan; 5220 Highland Road, Waterford, Michigan; 320 Town Center Boulevard, White Lake, Michigan; 235 Wealthy Street SE, Grand Rapids, Michigan; 307 Jefferson Avenue SE, Grand Rapids, Michigan; 309 Jefferson Avenue SE, Grand Rapids, Michigan; 1740 Village Drive, Muskegon, Michigan; 1700 Oak Avenue, Muskegon, Michigan; 15468-15475 Middlebelt Road, Livonia, Michigan; 873 West Avon Road, Rochester Hills, Michigan; 17825 Fifteen Mile Road, Clinton Township, Michigan; 6401 Prairie Street, Norton Shores, Michigan; 1820 44th Street SE, Kentwood, Michigan; 475 S. State Street, Sparta, Michigan; 6050 Northland Drive, Rockford, Michigan; 72 S. State Street, Shelby, Michigan; 5333 McAuley Drive, Ann Arbor, Michigan; 5325 Elliott Drive, Ypsilanti, Michigan; 3075 W. Clark Road, Ypsilanti, Michigan, and related properties, including construction, renovation, equipment acquisition and miscellaneous capital expenditures related thereto.  The 2015 Michigan Project included the refunding, in an amount not more than $110,000,000, of the Michigan State Hospital Finance Authority Revenue Bonds (Trinity Health Credit Group) Series 2006A (the “Prior 2006A Michigan Bonds”) which consisted of additions and improvements to and equipment for hospitals or other health care facilities owned by the Trinity Health or related healthcare corporations at the following locations: (A) facilities owned and operated by Trinity Health – Michigan consisting of (1) Saint Joseph Mercy Health System, located at 5301-5395 East Huron River Drive, Ann Arbor, Michigan, at 201 South Hamilton, Ypsilanti, Michigan, at 400 Russell, Saline, Michigan, at 620 Byron Road, Howell, Michigan and at 7575 Grand River Avenue, Brighton, Michigan; (2) Mercy General Health Partners, located at 1500-1506 East Sherman Boulevard, Muskegon, Michigan, at 1440 E. Sherman Drive, Muskegon, Michigan and at 1700 Oak Avenue, Muskegon, Michigan; (3) Saint Joseph Mercy Oakland, located at 44405 Woodward Avenue, Pontiac, Michigan; (4) Trinity Health – Michigan, located at 29000 Meadowbrook Road, Novi, Michigan; and (5) Saint Mary’s Health Care, located at 197 Jefferson Street, SE, at 200 Jefferson Street, SE, at 300 Lafayette Avenue, SW, at 2374 64th, SW and 20 Sheldon SE, all in Grand Rapids, Michigan and (B) facilities owned and operated by Battle Creek Health System, located at 300 North Avenue, at 16 East Emmett, at 80 North 20th Street, and at 165 Washington, Battle Creek, Michigan. 

The 2015 Michigan Project also included the refunding, in an amount not more than $310,000,000, of the Prior 2008A-MI Bonds which consisted of additions and improvements to and equipment for hospitals or other health care facilities at the following locations: 1500 East Sherman, Muskegon, Michigan, 2061 Electric Ave., Port Huron, Michigan*, 4190 24th Ave., Fort Gratiot, Michigan, 220 Cherry St., Grand Rapids, Michigan, 200 Jefferson SE, Grand Rapids, Michigan, 704 Oak Street, Cadillac, Michigan*, 1100 Michigan Ave., Grayling, Michigan*, 36475 W. Five Mile, Livonia, Michigan, 44405 Woodward Ave., Pontiac, Michigan, 5301 E. Huron River Dr., Ann Arbor, Michigan, 400 Russell Street, Ann Arbor, Michigan, 5305 E. Huron River Dr., Ann Arbor, Michigan, 1600 Canton Center Road, Ann Arbor, Michigan, 620 Byron Rd., Ann Arbor, Michigan, 300 North Avenue, Battle Creek, Michigan*, 165 Washington Ave., Battle Creek, Michigan*, 775 S. Main St., Chelsea, Michigan and 1515 Commerce Parkway, Chelsea, Michigan (the latter two facilities, collectively, the “Chelsea Facilities”). 

The Prior 2008A-MI Bonds were also used to (A) current refund the Michigan State Hospital Finance Authority (“MSHFA”) Variable Rate Revenue Bonds (Trinity Health Credit Group) Series 2004E and 2004F (the “Prior 2024 Michigan Bonds”), the proceeds of which were used to finance the costs of acquisition, construction, furnishing and equipping of certain health facilities consisting of (i) St. Mary Mercy Hospital; (ii) Saint Joseph Mercy Health System, located at 5301 East Huron River Drive, Ann Arbor, Michigan, at 620 Byron Road, Howell, Michigan and at 7575 Grand River Road, Brighton, Michigan; (ii) Mercy General Health Partners, located at 1500 East Sherman Boulevard, Muskegon, Michigan; (iv) Mercy Hospital-Port Huron*; (v) Trinity Health - Michigan, located at 29000 Meadowbrook Road, Novi, Michigan; (vi) Saint Mary’s Mercy Medical Center, located at 200 Jefferson Street, SE, Grand Rapids, Michigan; (vii) Saint Joseph Mercy Oakland, 44405 Woodward Avenue, Pontiac, Michigan 48341 (“St. Joseph Mercy Oakland”); and (viii) Battle Creek Health System, 300 North Avenue, Battle Creek, Michigan* and 165 Washington Avenue North, Battle Creek, Michigan; and (B) current refund the MSHFA Variable Rate Revenue Bonds (Trinity Health Credit Group) Series 2003A (the “Prior 2003 Michigan Bonds), the proceeds of which were used to refund the MSHFA’s outstanding Hospital Revenue Refunding Bonds (Sisters of Mercy Health Corporation Obligated Group) 1993 Series P (the “Series P Bonds”) issued in the original aggregate principal amount of $153,335,000 and pay certain expenses incurred in connection with the issuance of the 2003 Series A Bonds.  The proceeds of the Series P Bonds were loaned to Trinity Health and used, together with other available funds of Trinity Health, to (i) current refund the MSHFA’s Hospital Gross Revenue and First Mortgage Bonds (Mercy Hospital, Cadillac, Michigan*) Series A, issued on January 27, 1977 (the “Series 1977A Bonds”); (ii) advance refund the Michigan State Hospital Finance Authority Hospital Revenue Refunding Bonds (Sisters of Mercy Health Corporation) Series G (the “Series G Bonds”), issued on December 17, 1986; (iii) advance refund the Michigan State Hospital Finance Authority Hospital Revenue Refunding Bonds (Sisters of Mercy Health Corporation) Series I (the “Series I Bonds”), issued on April 6, 1989; and (iv) advance refund the Michigan State Hospital Finance Authority Hospital Revenue Bonds (Sisters of Mercy Health Corporation) 1991 Series J (the “Series J Bonds”), issued on June 28, 1991 (v) fund a debt service reserve fund, and (vi) pay the costs of issuing the Series P Bonds.  The proceeds of the Series G Bonds were used, together with other available funds of Trinity Health to advance refund the Michigan State Hospital Finance Authority Hospital Revenue Bonds (Sisters of Mercy Health Corporation), Series A, dated September 1, 1980, the proceeds of which were used to finance the construction, acquisition, improvement, renovation or alteration of (i) the Mercy Hospital healthcare facilities located at 1100 Michigan Avenue, Grayling, Michigan and 1500 East Sherman Boulevard, Muskegon, Michigan, (ii) St. Joseph Mercy Oakland, and (iii) the Samaritan Center, Deaconess Unit, located at 3261 East Jefferson Avenue, Detroit, Michigan and 10100 East Jefferson Avenue, Detroit, Michigan.  The proceeds of the Series I Bonds were used, together with other available funds of Trinity Health, to refund a portion of the outstanding Michigan State Hospital Finance Authority Hospital Revenue Bonds (Sisters of Mercy Health Corporation), Series D, dated May 1, 1983, issued in the original aggregate principal amount of $17,000,000, the proceeds of which were used to finance acquisitions, improvements, construction and equipping of healthcare facilities located at Mercy Hospital - Port Huron*.  The proceeds of the Series J Bonds were used to finance acquisitions, improvements, construction and equipping of healthcare facilities at the following locations: (i) St. Joseph Mercy Livingston Hospital, 620 Byron Road, Howell, Michigan; (ii) St. Joseph Mercy Hospital, 5301 East Huron River Drive, Ann Arbor, Michigan; (iii) Senior Health Building, 5361 McAuley Drive, Ann Arbor, Michigan; (iv) Professional Office Building, 5305 McAuley Drive, Ann Arbor, Michigan; (v) Reichert Health Building, 5333 McAuley Drive, Ann Arbor, Michigan; (vi) Huron Oaks Building, 5401 McAuley Drive, Ann Arbor, Michigan; (vii) Clark Professional Office Plaza, 3145 Clark Road, Ypsilanti, Michigan; and (viii) Arbor Health Building, 990 W. Ann Arbor Trail, Plymouth, Michigan.

The “2015 New York Project” is the advance refunding, in an amount not more than $230,000,000, of the following bonds issued for the benefit of the St. Peter’s Hospital of the City of Albany, a New York not-for-profit corporation having an address of 315 South Manning Boulevard, Albany, New York (the “St. Peter’s”) and the related refinancing of the projects described herein through the advance refunding of such bonds: (i) City of Albany Industrial Development Agency Civic Facility Revenue Bonds (St. Peter’s Hospital of the City of Albany Project), Series 2008A, Series 2008B, Series 2008C, Series 2008D and Series 2008E (collectively, the “Series 2008 Albany Bonds”); and (ii) City of Albany Capital Resource Corporation Tax-Exempt Revenue Bonds (St. Peter’s Hospital of the City of Albany Project), Series 2011 (the “Series 2011 Albany Bonds,” and, collectively with the Series 2008 Albany Bonds, the “Prior St. Peter’s Bonds”).  The proceeds of the Series 2008 Albany Bonds were used by St. Peter’s to finance and refinance: (A)(i) the acquisition of an interest in land containing approximately 20.05 acres located at 315 South Manning Boulevard in the City of Albany, Albany County, New York, together with the existing hospital facility located at 315 South Manning Boulevard, Albany, New York; (ii) the reconstruction and renovation of portions of Floors numbers Ground through 9 in buildings known as McAuley, Gabrilove, Mercy, Brady Farrell, Cusack and Nolan Riddle; (iii) the construction of an approximately 273,000 square-foot pavilion to St. Peter’s main hospital facility; (iv) the construction of a 3-story parking facility on St. Peter’s main hospital campus; and (v) the acquisition and installation of certain machinery and equipment; (B) the refunding of a portion of certain tax-exempt revenue bonds issued in 1993 on behalf of St. Peter’s to finance certain capital projects at St. Peter’s non-clinical facilities; and (C) the funding of a debt service reserve fund for the Series 2008 Albany Bonds and the payment of costs of issuing the Series 2008 Albany Bonds.  The proceeds of the Series 2011 Albany Bonds were used by St. Peter’s to finance and refinance: (A) the reconstruction and renovation of various portions of St. Peter’s main hospital facility; (B) the construction and equipping of an approximately 273,000 square-foot pavilion to St. Peter’s main hospital facility; (C) the acquisition and installation of certain machinery and equipment; and (D) the funding of a debt service reserve fund for the Series 2011 Albany Bonds, payment of capitalized interest on the Series 2011 Albany Bonds and the payment of costs of issuing the Series 2011 Albany Bonds. 

The “2015 Ohio Project” consists of the financing or refinancing of not more than $150,000,000 relating to additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: (A) 5969, 6001 and 6150 East Broad Street, Columbus, Ohio (commonly known as Mount Carmel East and the Corporate Service Center); (B) 777 and 793 West State Street, Columbus, Ohio, (commonly known as Mount Carmel West); (C) 480 and 500 South Cleveland Avenue, Westerville, Ohio, and 495 Cooper Road, Westerville, Ohio (commonly known as Mount Carmel St. Ann’s); (D) 7277 and 7333 Smith’s Mill Road, New Albany, Ohio (commonly known as Mount Carmel New Albany); and (E) the ambulatory care center and other facilities located at 5300 and 5350 North Meadows Drive, Grove City, Ohio and other related acquisitions, improvements, equipment, construction, and reconstruction. 

The “2015 Pennsylvania Project” consists of the financing or refinancing of not more than $20,000,000 relating to additions and improvements to, and equipment for, hospitals or other healthcare facilities owned and operated by St. Mary Medical Center and located on the St. Mary Medical Center main campus at 1201 Langhorne-Newtown Road, Langhorne Pennsylvania 19047 and at the St. Mary Rehabilitation Hospital campus located on Langhorne-Newtown Road across the street from the main hospital campus.  The Pennsylvania Project also includes the refunding, in an amount not more than $15,000,000, of the outstanding Saint Mary Hospital Authority Health System Revenue Bonds, Catholic Health East Issue, Series 2004B (the “Series 2004B Pennsylvania Bonds”), the proceeds of which were used to finance construction, renovations and improvements of the St. Mary Medical Center facilities located at its main hospital campus and to pay costs of issuance of the Series 2004B Pennsylvania Bonds and to fund a debt service reserve fund for the Series 2004B Pennsylvania Bonds.  The Pennsylvania Project to be financed and refinanced with the proceeds of the Bonds are owned and operated by St. Mary and are located on the St. Mary main campus at 1201 Langhorne-Newtown Road, Langhorne, Pennsylvania 19047 and at its rehabilitation hospital campus located on Langhorne-Newtown Road across the street from the main hospital campus. 

Series 2016 Bonds

The Series 2016 Bonds provided funds to finance or refinance the 2016 Project and to pay costs of issuance of the Series 2016 Bonds.  The “2016 Project” consists of the 2016 California Project, the 2016 Florida Project, the 2016 Illinois Project, the 2016 Indiana Project, the 2016 Iowa Project, the 2016 Maryland Project, the 2016 Massachusetts Project, the 2016 Michigan Project, the 2016 Ohio Project and the 2016 Pennsylvania Project, each as defined below, and each of which, except as otherwise specified, is owned and operated by Trinity Health.

The “2016 California Project” consists of the financing or refinancing of not more than $20,000,000 relating to additions and improvements to, and equipment for, hospitals and other healthcare facilities owned and operated by Trinity Health at the following locations: 1303 East Herndon Avenue; 1111 East Spruce Avenue; 1201 East Herndon Avenue; 1245 East Herndon Avenue; 1360 East Herndon Avenue; 7130 North Millbrook Avenue; 7202 North Millbrook Avenue; and 1313 East Herndon Avenue, all located in the City of Fresno, California; and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon. The California Project also includes the refunding, of not more than $5,000,000, of the Prior 2008A-MI Bonds which refunded all or a portion of Prior 2004A California Bonds and the Prior 2003G California Bonds, which refunded the 1993 California Bonds, all as described above under the heading “THE BONDS TO BE REFUNDED – Series 2015 Bonds.”

The “2016 Florida Project” consists of the financing or refinancing of not more than $20,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities owned and operated by Holy Cross, including, but not limited to, renovations, improvements and equipment acquisitions relating to the relocation of the pharmacy department, roof and infrastructural replacements, and renovations, improvement and equipment acquisitions relating to certain clinical areas, including but not limited to, ambulatory care, the maternity department, diagnostic imaging and Holy Cross Medical Group.  The Florida Project is located at the Holy Cross main campus at 4725 North Federal Highway, Ft. Lauderdale, Florida 33308; and at one or more of the following addresses: the HealthPlex Facility at 1000 NE 56th Street, Ft. Lauderdale, Florida 33334; 5597 N. Dixie Highway, Oakland Park, Florida 33334; 5601 N. Dixie Highway, Oakland Park, Florida 33334; 4701 N. Federal Highway, Ft. Lauderdale, Florida 33308; 1309 S. Federal Highway, Ft. Lauderdale, Florida 33316; 2001 N. Federal Highway, Pompano Beach, Florida 33062; and 333 NW 70th Avenue, Plantation, Florida 33317. 

The “2016 Illinois Project” consists of the financing or refinancing of not more than $55,000,000 relating to additions and improvements to, and equipment for, hospitals or other healthcare facilities owned and operated by Trinity Health at the following locations: Tinley Park, Cook County, Illinois; 1S260 Summit Avenue, Oakbrook Terrace, Illinois; 1S224 Summit, Oakbrook Terrace, Illinois; 17W740 22nd Street, Oakbrook Terrace, Illinois; 6800 N. Frontage Road, Burr Ridge, Illinois; 1030 W. Higgins, Park Ridge, Illinois; 6440 Main Street, Woodridge, Illinois; 8780 Golf Road, Niles, Illinois; Two Westbrook Corporate Center, Westchester, Illinois; 7511 Lemont Road, Darien, Illinois; 140 E. Loop Road, Wheaton, Illinois; 2166 Gladstone Court, Suite A, Glendale Heights, Illinois; 9608 Roberts Road, Hickory Hills, Illinois; 321 N. LaGrange Road, LaGrange Park, Illinois; 1950 S. Harlem Avenue, North Riverside, Illinois; 1211-19 W. Roosevelt Road, Maywood, Illinois; 2160 - 2197 S. First Avenue, Maywood, Illinois; 300 N. York Road, Elmhurst, Illinois; 7005 W. North Avenue, Oak Park, Illinois; 15300 West Avenue, Orland Park, Illinois; 16621 S. 107th Ct., Orland Park, Illinois; 15624 Marian Drive, Homer Glen, Illinois; 551 W. North Ave, Melrose Park, Illinois; 555 W. North Ave, Melrose Park, Illinois; 675 W. North Ave, Melrose Park, Illinois; 701 W. North Ave, Melrose Park, Illinois; 703 W. North Avenue, Melrose Park, Illinois; 715 W. North Ave, Melrose Park, Illinois; 719 W. North Ave, Melrose Park, Illinois; 905 W. North Ave, Melrose Park, Illinois; 911 W. North Ave, Melrose Park, Illinois; 9651 W. Irving Park Rd., Schiller Park, Illinois; 7255 W. Grand Ave., Elmwood Park, Illinois; 8488 W. Grand Ave., River Grove, Illinois; 7634 W. Belmont, Chicago, Illinois; 2525 S. Michigan, Chicago, Illinois; 5525 S. Pulaski, Chicago, Illinois; 8541 S. State Street, Chicago, Illinois; 1100 Lake St., Oak Park, Illinois; 4701 N. Cumberland Ave., Norridge, Illinois; 6645 W. North Ave., Oak Park, Illinois; and 7617 West North Avenue, River Forest, Illinois.

The “2016 Indiana Project” consists of the financing or refinancing of not more than $20,000,000 relating to additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 801 East LaSalle Avenue, South Bend, Indiana; 1915 Lake Avenue, South Bend, Indiana; 5215 Holy Cross Parkway, South Bend, Indiana; 3606 East Jefferson Boulevard, South Bend, Indiana; 3575 Moreau Court, South Bend, Indiana; 707 E. Cedar Street, South Bend, Indiana; 17321 SR 23, South Bend, Indiana; 12563 SR 23, Granger, Indiana; 250 E. Day Road, Mishawaka, Indiana; 611 E. Douglas Road, Mishawaka, Indiana; 215 W. 4th Street, Mishawaka, Indiana; 921 Lake Shore Drive, Culver, Indiana; 209 Jefferson Street, Plymouth, Indiana; 1919 Lake Avenue, Plymouth, Indiana; 53940 Carmichael Drive, South Bend, Indiana; 60205 Bodnar Boulevard, Mishawaka, Indiana; 810 E. Park Place, Mishawaka, Indiana; 837 E. Cedar, South Bend, Indiana; 2349 Lake Avenue, Plymouth, Indiana; 510 W. Adams Street, Plymouth, Indiana; 3602 South Ironwood Drive, South Bend, Indiana; 17475 Dugdale Drive, South Bend, Indiana; 2930 W. Cleveland Road, South Bend, Indiana; 114 N. Washington Street, Bourbon, Indiana; 420 W. 4th Street, Mishawaka, Indiana; 326 Chapin Street, South Bend, Indiana and other related acquisitions, improvements, equipment, construction, and reconstruction, located thereon. 

The “2016 Iowa Project” consists of the financing or refinancing of not more than $40,000,000 relating to additions and improvements to, and equipment for, hospitals or other healthcare facilities owned and operated by Trinity Health at the following locations: 1000 4th St. SW, Mason City, Iowa; 401 South 15th St., Clear Lake, Iowa; 910 Eisenhower Avenue, Mason City, Iowa; 150 Mercy Drive, Dubuque, Iowa; 250 Mercy Drive, Dubuque, Iowa; 622 Jones Street, Sioux City, Iowa; 2101 Court Street, Sioux City, Iowa*; 902 5th Street, Sioux City, Iowa*; 801 5th Street, Sioux City, Iowa*; 308 North Maple Avenue, New Hampton, Iowa; 201 South Linn Avenue, New Hampton, Iowa; 308 North Maple Avenue, New Hampton, Iowa; 1410 North 4th Street, Clinton, Iowa; 638 South Bluff Boulevard, Clinton, Iowa; 707 Gilbert Street, Charles City, Iowa; 111 Third Street SW, Dyersville, Iowa; 850 13th Avenue N., Clinton, Iowa; 1631 4th Street SW, Mason City, Iowa, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon.

The “2016 Maryland Project” consists of the financing or refinancing of additions and improvements to and equipment for hospitals or other health care facilities located at: 1500 Forest Glen Road, Silver Spring, Maryland, 19801 Observation Drive, Germantown, Maryland, 7987 Georgia Avenue, Silver Spring, Maryland, and 10720 Columbia Pike, Silver Spring, Maryland and other related acquisitions, improvements, equipment, construction and reconstruction.  The Maryland Project also includes the advance refunding of a portion of the Prior 2008A-MI Bonds which current refunded all or a portion of the Prior 2004D Maryland Bonds and the Prior 2003F Maryland Bonds, which refunded the 1993 Maryland Bonds, all as described above under the heading “THE BONDS TO BE REFUNDED – Series 2015 Bonds.”

The “2016 Massachusetts Project” consists of the financing or refinancing of not more than $25,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities owned and operated by Sisters of Providence, including, but not limited to: (A) the following projects at Mercy Medical Center, located at 271 Carew Street, Springfield, Massachusetts: (i) construction, renovations and expansion of the Sister Caritas Cancer Center; (ii) HVAC replacements and improvements; and (iii) renovations and improvements to patient rooms and to patient care and clinical areas, including, without limitation, imaging services and facilities; and (B) construction, renovations and improvements to the elderly care facilities of Mercy Life located at 2112 Riverdale Street, West Springfield, Massachusetts.

The “2016 Michigan Project” consists of the financing or refinancing of not more than $100,000,000 relating to additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 1500 East Sherman Boulevard, Muskegon, Michigan; 1560 East Sherman Boulevard, Muskegon, Michigan; 1675 Leahy, Muskegon, Michigan; 4190 24th Avenue, Fort Gratiot, Michigan; 220 Cherry Street SE, Grand Rapids, Michigan; 250 Cherry Street SE, Grand Rapids, Michigan; 200 Jefferson Avenue SE, Grand Rapids, Michigan; 300 Lafayette Avenue SE, Grand Rapids, Michigan; 36475 W. Five Mile, Livonia, Michigan; 44405 Woodward Avenue, Pontiac, Michigan; 5301 E. Huron River Drive, Ann Arbor, Michigan; 5340-5401 McAuley Drive, Ypsilanti, Michigan; 400 Russell Street, Saline Michigan; 5305 E. Huron River Drive, Ann Arbor, Michigan; 1600 Canton Center Road, Canton, Michigan; 620 Byron Road, Howell, Michigan; 775 S. Main Street, Chelsea, Michigan; 1515 Commerce Parkway, Chelsea, Michigan; 400 Hobart Street, Cadillac, Michigan; 33300 Utica Road, Fraser, Michigan; 1700 Clinton Street, Muskegon, Michigan; 7575 Grand River Avenue, Brighton, Michigan; 20555 Victor Parkway, Livonia, Michigan; 33300 Utica Road, Fraser, Michigan; 715-720 West Fourth Street, Royal Oak, Michigan; 5210 Highland Road, Waterford, Michigan; 5220 Highland Road, Waterford, Michigan; 320 Town Center Boulevard, White Lake, Michigan; 235 Wealthy Street SE, Grand Rapids, Michigan; 307 Jefferson Avenue SE, Grand Rapids, Michigan; 309 Jefferson Avenue SE, Grand Rapids, Michigan; 1740 Village Drive, Muskegon, Michigan; 1700 Oak Avenue, Muskegon, Michigan; 15468-15475 Middlebelt Road, Livonia, Michigan; 873 West Avon Road, Rochester Hills, Michigan; 17825 Fifteen Mile Road, Clinton Township, Michigan; 6401 Prairie Street, Norton Shores, Michigan; 1820 44th Street SE, Kentwood, Michigan; 475 S. State Street, Sparta, Michigan; 6050 Northland Drive, Rockford, Michigan; 72 S. State Street, Shelby, Michigan; 5333 McAuley Drive, Ann Arbor, Michigan; 5325 Elliott Drive, Ypsilanti, Michigan; 3075 W. Clark Road, Ypsilanti, Michigan, and related properties, including construction, renovation, equipment acquisition and miscellaneous capital expenditures related thereto. 

The 2016 Michigan Project also includes the refunding, in an amount not more than $35,000,000, of the Michigan State Hospital Finance Authority Refunding Revenue Bonds (Trinity Health Credit Group) Series 2005D (the “Prior 2005D-MI Bonds”) which advance refunded a portion of the Michigan State Hospital Finance Authority Revenue and Refunding Bonds (Mercy Health Services Obligation Group), 1999 Series X (the “Prior 1999 Bonds”).  The proceeds of the Prior 1999 Bonds were used to construct, renovate and equip health care facilities at 5361 McAuley Drive, Superior Township, Washtenaw County, Michigan, 1210 West Saginaw Street, Lansing, Michigan and 6071 West Outer Drive, Detroit, Michigan.

The 2016 Michigan Project also includes the refunding, in an amount not more than $25,000,000, of the Prior 2008A-MI Bonds which financed or refinanced the Chelsea Facilities and current refunded all or a portion of the Prior 2004 Michigan Bonds, the proceeds of which financed Michigan healthcare facilities and current refunded the Prior 2003 Michigan Bonds, the proceeds of which were used to refund the Series P Bonds, the Series 1977A Bonds, the Series I Bonds and the Series J Bonds, all as described above under the heading “THE BONDS TO BE REFUNDED – Series 2015 Bonds.”

The “2016 Ohio Project” consists of the financing or refinancing of not more than $50,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities owned and operated by Trinity Health at the following locations: Mount Carmel East Hospital, 6001 East Broad Street, Columbus, Ohio (“Mount Carmel East”); 5969 and 6150 East Broad Street, Columbus, Ohio; Mount Carmel West Hospital, 777 and 793 West State Street, Columbus, Ohio (“Mount Carmel West”); 480 and 500 South Cleveland Avenue, Westerville, Ohio (commonly known as Mount Carmel St. Ann’s), 495 Cooper Road, Westerville, Ohio; 7277 and 7333 Smith’s Mill Road, New Albany, Ohio (commonly known as Mount Carmel New Albany); and the ambulatory care center and other facilities located at 5300 and 5350 North Meadows Drive, Grove City, Ohio (commonly known as Mount Carmel Grove City) and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon. 

The 2016 Ohio Project also includes the current refunding, of not more than $40,000,000 of the County of Franklin, Ohio Refunding Revenue Bonds (Trinity Health Credit Group) Series 2005A (the “Prior 2005A -OH Bonds) which advance refunded all or a portion of the County of Franklin, Ohio Hospital Revenue Bonds, Series 1996 (Holy Cross Health System Corporation) (the “Prior 1996 Ohio Bonds”).  The proceeds of the Prior 1996 Ohio Bonds were used to finance the costs of acquisition, construction, furnishing and equipping of certain health care facilities owned and operated by Trinity Health at the following locations: Mount Carmel East; Mount Carmel West; 55 North High Street, New Albany, Ohio; 5955 East Broad Street, Columbus, Ohio; 5969 East Broad Street, Columbus, Ohio; 127 South Davis Street, Columbus, Ohio; and 500 South Cleveland Avenue, Westerville, Ohio, including the expansion of the emergency department, cardio-pulmonary services, addition of two cardiac catheterization labs, expansion, relocation and consolidation of 23 medical, surgical and neurological ICU beds, expansion of laboratory, expansion of outpatient registration, renovation of business office and registration, relocation and expansion of radiology department, addition of general circulation corridors, addition of mechanical penthouse, construction of a helipad and the replacement of the existing linear accelerator at Mount Carmel Medical Center, in downtown Columbus, Ohio.

The “2016 Pennsylvania Project” consists of the financing or refinancing of not more than $20,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities including, but not limited to, construction, renovations and equipping of St. Mary Medical Center’s patient care areas, nursing areas, and labor and delivery department and located on the St. Mary Medical Center’s main campus at 1201 Langhorne-Newtown Road, Langhorne Pennsylvania.

Series 2017 Bonds

The Series 2017 Bonds provided funds to finance or refinance the 2017 Project and to pay costs of issuance of the Series 2017 Bonds.  The “2017 Project” consists of the 2017 California Project, the 2017 Florida Project, the 2017 Illinois Project, the 2017 Indiana Project, the 2017 Maryland Project, the 2017 Massachusetts Project, the 2017 Michigan Project, the 2017 Ohio Project and the 2017 Pennsylvania Project, each as defined below, and each of which, except as otherwise specified, is owned and operated by Trinity Health.

The “2017 California Project” consists of the financing or refinancing of not more than $15,000,000 relating to additions and improvements to, and equipment for, hospitals and other health care facilities located at: 1303 East Herndon Avenue, Fresno, California, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon.

The “2017 Florida Project” consists of the financing or refinancing of not more than $15,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities located at: 4725 N. Federal Highway, Ft. Lauderdale, Florida; 2901 Coral Hills Drive, Coral Springs, Florida; and 114 North Flagler Ave, Pompano Beach, Florida, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon. 

The “2017 Illinois Project” consists of the financing or refinancing of not more than $40,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities located at: 2160 S. First Avenue, Maywood, Illinois; 15300 West Avenue, Orland Park, Illinois; 15624 Marian Drive, Homer Glen, Illinois; 701 W. North Avenue, Melrose Park, Illinois, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon.

The “2017 Indiana Project” consists of the financing or refinancing of not more than $10,000,000 relating to additions and improvements to and equipment for hospitals or other health care facilities located at 250 E. Day Road, Mishawaka, Indiana, and other related acquisitions, improvements, equipment, construction, and reconstruction, located thereon.

The “2017 Maryland Project” consists of the financing or refinancing of not more than $50,000,000 of additions and improvements to, and equipment for, hospitals or other health care facilities located at: 19801 Observation Drive, Germantown, Maryland; 1500 Forest Glen Road, Silver Spring, Maryland; and 10720 Columbia Pike, Silver Spring, Maryland, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon

The “2017 Massachusetts Project” consists of the financing or refinancing of not more than $20,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities located at 271 Carew Street, Springfield, Massachusetts, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon.

The “2017 Michigan Project” consists of the financing or refinancing of not more than $100,000,000 relating to additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 200 Jefferson Avenue SE, Grand Rapids, Michigan; 300 Lafayette Avenue SE, Grand Rapids, Michigan; 6050 Northland Drive, Rockford, Michigan; 72 S. State Street, Shelby, Michigan; 1500 East Sherman Boulevard, Muskegon, Michigan; 1212 East Sherman Boulevard, Muskegon, Michigan; 2550 Roberts Street, Muskegon, Michigan; 2525 Roberts Street, Muskegon, Michigan; 5670 West US10, Ludington, Michigan; 5340-5401 McAuley Drive, Ypsilanti, Michigan; 620 Byron Road, Howell, Michigan; 36475 W. Five Mile, Livonia, Michigan; 44405 Woodward Avenue, Pontiac, Michigan; 15468 Middlebelt Road, Livonia, Michigan; and related properties, including construction, renovation, equipment acquisition and miscellaneous capital expenditures related thereto. 

The 2017 Michigan Project also includes the refunding, in an amount not more than $80,000,000, of all or a portion of the Prior 2006A Michigan Bonds, all as described above under the heading “THE BONDS TO BE REFUNDED – Series 2015 Bonds.”

The “2017 Ohio Project” consists of the financing or refinancing of not more than $91,765,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities located at: 6001 East Broad Street, Columbus, Ohio (Mount Carmel East and the Corporate Service Center); 777 West State Street, Columbus, Ohio, (Mount Carmel West); 500 South Cleveland Avenue, Westerville, Ohio; the ambulatory care center and other facilities located at 5300 North Meadows Drive, Grove City, Ohio; and other related acquisitions, improvements, equipment, construction, and reconstruction.

The “2017 Pennsylvania Project” consists of the financing or refinancing of not more than $20,000,000 for the construction, renovation, expansion, equipping and furnishing of health care facilities at the following locations: (1) with respect to St. Mary Medical Center, at its main hospital campus located at 1201 Langhorne-Newtown Road, Langhorne, Pennsylvania; (2) with respect to Mercy Fitzgerald Hospital, at its main hospital campus located at 1500 Landsdowne Avenue, Darby, Pennsylvania; (3) with respect to Mercy Philadelphia Hospital, at its main hospital campus located at 501 South 54th Street, Philadelphia, Pennsylvania; and (4) with respect to Nazareth Hospital, at its main hospital campus located at 2601 Holme Avenue, Philadelphia, Pennsylvania.

Series A 2017 Bonds

The Series A 2017 Bonds provided funds to finance or refinance the 2017A Project and to pay costs of issuance of the Series A 2017 Bonds.  The “2017A Project” consists of the 2017A California Project, the 2017A Florida Project, the 2017A Illinois Project, the 2017A Iowa Project, the 2017A Maryland Project, the 2017A Michigan Project, the 2017A New York Project, the 2017A Ohio Project and the 2017A Pennsylvania Project, each as defined below, and each of which, except as otherwise specified, is owned and operated by Trinity Health.

The “2017A California Project” consists of the financing or refinancing of not more than $10,000,000 relating to additions and improvements to, and equipment for, hospitals and other health care facilities located at: 1303 East Herndon Avenue, Fresno, California, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon; and refinancing of taxable commercial paper issued by Trinity Health to purchase and cancel, on December 1, 2017, a portion of the prior issued Michigan State Hospital Finance Authority Revenue and Refunding Bonds (Trinity Health Credit Group) Series 2008A-2 (the “Prior 2008A-2 Michigan Bonds”), a portion of which refunded, on a current basis the Prior 2004A California Bonds and the Prior 2003G California Bonds, which refunded the 1993 California Bonds, all as described above under the heading “THE BONDS TO BE REFUNDED – Series 2015 Bonds.”

The “2017A Florida Project” consists of the financing or refinancing of not more than $20,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities located at: 4725 N. Federal Highway, Ft. Lauderdale, Florida; and 3481 N. University Drive, Coral Springs, Florida; and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon.

The “2017A Illinois Project” consists of the financing or refinancing of not more than $150,000,000 relating to additions and improvements to, and equipment for, hospitals or other health care facilities located at: 2160 S. First Avenue, Maywood, Illinois; and 701 W. North Avenue, Melrose Park, Illinois, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon.

The “2017A Iowa Project” consists of the financing or refinancing of not more than $15,000,000 relating to additions and improvements to, and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 250 Mercy Drive, Dubuque, Iowa, 111 Third Street, Dyersville, Iowa, 1000 4th Street SW, Mason City, Iowa, and 801 5th Street, Sioux City, Iowa

The “2017A Maryland Project” consists of the financing or refinancing of not more than $50,000,000 relating to the costs of acquisition, construction, furnishing and equipping of certain health care facilities, including (without limitation) for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 19801 Observation Drive, Germantown, Maryland; 1500 Forest Glen Road, Silver Spring, Maryland; and 10720 Columbia Pike, Silver Spring, Maryland, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon.  The 2017A Maryland Bonds also refinanced taxable commercial paper issued by Trinity Health to purchase and cancel, on December 1, 2017, a portion of the Prior 2008A-2 Michigan Bonds, a portion of which refunded on a current basis the Prior 2004D Maryland Bonds and the Prior 2003F Maryland Bonds, which refunded the 1993 Maryland Bonds, all as described above under the heading “THE BONDS TO BE REFUNDED – Series 2015 Bonds.

The “2017A Michigan Project” consists of the refinancing of taxable commercial paper issued by Trinity Health to purchase and cancel, on December 1, 2017, a portion of the prior issued Prior 2008A-2 Michigan Bonds which financed or refinanced the costs additions and improvements to and equipment for hospitals or other health care facilities at the following locations: 1700 Clinton, Muskegon, Michigan; 72 S. State Street, Shelby, Michigan; 1500 East Sherman, Muskegon, Michigan; 2061 Electric Ave., Port Huron, Michigan*; 4190 24th Ave., Fort Gratiot, Michigan; 220 Cherry St., Grand Rapids, Michigan; 200 Jefferson SE, Grand Rapids, Michigan; 704 Oak Street, Cadillac, Michigan; 1100 Michigan Ave., Grayling, Michigan*; 36475 W. Five Mile, Livonia, Michigan; 44405 Woodward Ave., Pontiac, Michigan; 5301 E. Huron River Dr., Ann Arbor, Michigan; 400 Russell Street, Saline, Michigan; 5305 E. Huron River Dr., Ann Arbor, Michigan; 1600 Canton Center Road, Canton, Michigan; 620 Byron Rd., Howell, Michigan; 300 North Avenue, Battle Creek, Michigan; 165 Washington Ave., Battle Creek, Michigan*; 36475 Five Mile Road, Livonia, Michigan; 7575 Grand River Road, Brighton, Michigan; 29000 Meadowbrook Road, Novi, Michigan; 200 Jefferson Street, SE, Grand Rapids, Michigan; 44405 Woodward Avenue, Pontiac, Michigan; 400 Hobart Street, Cadillac, Michigan*; 3261 East Jefferson Avenue, Detroit, Michigan; 10100 East Jefferson Avenue, Detroit, Michigan; 5361 McAuley Drive, Ann Arbor, Michigan; 5305 McAuley Drive, Ann Arbor, Michigan; 5333 McAuley Drive, Ann Arbor, Michigan; 5401 McAuley Drive, Ann Arbor, Michigan; 3145 Clark Road, Ypsilanti, Michigan; and 990 W. Ann Arbor Trail, Plymouth, Michigan. 

The 2017A Michigan project also included the advance refunding of all or a portion of the following: (i) Indiana Finance Authority Revenue and Refunding Bonds (Trinity Health Credit Group), Series 2009A (the “Prior 2009A Indiana Bonds”); (ii) State of Connecticut Health and Educational Facilities Authority Health System Revenue Bonds, Catholic Health East Issue, Series 2010 (the “Prior 2010 Connecticut Bonds”); (iii) Saint Mary Hospital Authority (Pennsylvania) Health System Revenue Bonds, Catholic Health East Issue, Series 2010A (the “Prior 2010A Pennsylvania Bonds”); (iv) Indiana Finance Authority Revenue and Refunding Bonds (Trinity Health Credit Group), Series 2010B (the “Prior 2010B Indiana Bonds”), (v) Hospital Facility Authority of the City of Ontario, Oregon Revenue Bonds (Trinity Health Credit Group), Series 2010E (the “Prior 2010E Oregon Bonds”); (vi) Illinois Finance Authority Revenue Bonds (Trinity Health Credit Group), Series 2011IL (the “Prior 2011 Illinois Bonds”); (vii) City of Tampa, Florida Health System Revenue Bonds, Catholic Health East Issue, Series 2012A (the “Prior 2012A Tampa Bonds”); (viii) Saint Mary Hospital Authority (Pennsylvania) Health System Revenue Bonds, Catholic Health East Issue, Series 2012A (the “Prior 2012A Pennsylvania Bonds”.

The Prior 2009A Indiana Bonds were used to finance, refinance or reimburse the costs of the following projects: (1) additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 801 East LaSalle, South Bend, Indiana, 1915 Lake Avenue, Plymouth, Indiana, and 5215 Holy Cross Parkway, Mishawaka, Indiana, and other related acquisitions, improvements, equipment, construction, and reconstruction; (2) additions and improvements to and equipment for hospitals or other health care facilities owned by Trinity Health, located at 1303 East Herndon Avenue, Fresno, California and 7130 North Milbrook Avenue, Fresno, California, and other related acquisitions, improvements, equipment, construction, and reconstruction; (3) additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at 1500 Forest Glen Road, Silver Spring, Maryland, and other related acquisitions, improvements, equipment, construction, and reconstruction; and (4) costs of outstanding taxable commercial paper used to finance the acquisition of certain healthcare and hospital facilities owned and operated by Trinity Health at 775 S. Main Street, Chelsea, Michigan and 1515 Commerce Parkway, Chelsea, Michigan and other related acquisitions, improvements, equipment, construction, and reconstruction. 

The Prior 2009A Indiana Bonds were also used to refund the following bonds: (1) Indiana Health Facility Financing Authority Revenue Bonds Series 1998 (Holy Cross Health System Corporation) (the “Prior Indiana Series 1998 Bonds”).  The proceeds of the Prior Indiana Series 1998 Bonds were used to (i) finance, refinance or reimburse the costs of additions and improvements to, and equipment for, hospitals or other health care facilities at the following locations: (1) 3606 East Jefferson Boulevard, South Bend, Indiana, (2) 3575 Moreau Court, South Bend, Indiana, (3) 707 East Cedar Street, South Bend, Indiana, (4) 801 East LaSalle Avenue, South Bend, Indiana, (5) 320 South St. Joseph Street, South Bend, Indiana, (6) 1120 South Ironwood Drive, South Bend, Indiana, (7) 215 West 4th Street, Mishawaka, Indiana, (8) 250 East Day Road, Mishawaka, Indiana, (9) 201 Lincolnway West, Mishawaka, Indiana, and (10) 1915 Lake Avenue, Plymouth, Indiana, (ii) refund the Hospital Authority of Madison County Hospital Revenue Refunding and Improvement Bonds, Series 1991 (Saint John’s Health Care Corporation) (the “Prior Madison County Bonds”), (iii) refund the Hospital Authority of Marshall County Hospital Revenue Refunding Bonds, Series 1991 (Holy Cross Parkview Hospital, Inc.) (the “Prior Marshall County Bonds”), and (iv) refund the Hospital Authority of St. Joseph County Hospital Revenue Refunding and Improvement Bonds, Series 1991 (Saint Joseph’s Medical Center, Inc.) (the “Prior St. Joseph County Bonds”).  The proceeds of the Prior Madison County Bonds were used to (i) finance, refinance or reimburse the costs of additions and improvements to, and equipment for, hospitals or other health care facilities located at 2015 Jackson Street, Anderson, Indiana, and (ii) refund the Hospital Authority of Madison County Hospital Facility Refunding and Improvement Revenue Bonds, Series 1983 (Saint John’s Hickey Memorial Hospital, Inc.), which were issued for the purposes of financing, refinancing and reimbursing certain project costs relating to the health care facilities of Saint John’s Health System Corporation located at 2015 Jackson Street, Anderson, Indiana, and advance refunding the Hospital Authority of Madison County Hospital Facility Revenue Bonds, Series A (Saint John’s Hickey Memorial Hospital, Inc.), which were issued in 1979 for the benefit of Saint John’s Health System Corporation and the Hospital Authority of Madison County Hospital Facility Revenue Bonds, Series B (Saint John’s Hickey Memorial Hospital, Inc.), which were issued in 1982 for the benefit of Saint John’s Health System Corporation.  The proceeds of the Prior Marshall County Bonds were used to (i) refund the Hospital Authority of Marshall County Variable Rate Hospital Revenue Demand Bonds, Series 1985 (Holy Cross Parkview Hospital, Inc.), which were issued for the purpose of financing, refinancing and reimbursing certain project costs relating to the health care facilities of Saint Joseph Regional Medical Center – Plymouth Campus, located at 1915 Lake Avenue, Plymouth, Indiana.  The proceeds of the Prior Saint Joseph County Bonds were used to (i) finance the acquisition, construction and equipping of improvements to Saint Joseph’s Medical Center, an Indiana nonprofit corporation (“Saint Joseph’s Medical Center”), and (ii) advance refund the Hospital Authority of Saint Joseph County Hospital Facility Refunding and Improvement Revenue Bonds, Series 1983 (Saint Joseph’s Medical Center, Inc.), which were issued for the purposes of financing, refinancing and reimbursing certain project costs relating to other health care facilities of Saint Joseph’s Medical Center and advance refunding the Hospital Authority of Saint Joseph County Hospital Revenue Refunding Bonds, Series 1978 (Saint Joseph’s Hospital of South Bend, Inc.) and the Hospital Authority of Saint Joseph County Hospital Facility Revenue Bonds, Series 1979 (Saint Joseph’s Hospital of South Bend, Inc.), which were issued for the benefit of Saint Joseph’s Medical Center, located at 801 East LaSalle Avenue, South Bend, Indiana; and the (2) City of Fresno, California, Health System Facility Revenue Refunding Bonds, Series 1998 (Holy Cross Health System Corporation), the proceeds of which were used to refund the City of Fresno, California Health Facility Revenue Bonds (Saint Agnes Medical Center), Series 1991, the proceeds of which were used to finance the costs of acquisition, construction, furnishing and equipping of certain health facilities located at Saint Agnes Medical Center, 1303 East Herndon Avenue, Fresno, California.

The Prior 2010 Connecticut Bonds were used by Mercy Community Health to refinance construction, renovations, and equipment expenditures at the facilities owned and operated by Mercy Community Health located at 2021 Albany Avenue, West Hartford, Connecticut 06117, and its affiliates, St. Mary Home I and St Mary Home II, located at 2021 Albany Avenue, West Hartford, Connecticut 06117, The McAuley Center, Incorporated located at 275 Steele Road, West Hartford, Connecticut 06117, Mercy Community Home Care Services, Inc. located at 275 Steel Road, West Hartford, Connecticut 06117 and Mercy Services, Inc. located at 275 Steele Road, West Hartford, Connecticut 06117.

The Prior 2010A Pennsylvania Bonds were used to finance or refinance projects on behalf of St. Mary, including the construction, renovation, expansion, equipping and furnishing healthcare facilities located at the main hospital campus at 1201 Langhorne-Newtown Road, Langhorne, Pennsylvania. The Prior 2010A Pennsylvania Bonds also refunded, on a current basis, a portion of the 1998A-3 Florida Bonds, the proceeds of which were applied and reallocated pursuant to the change-in-use rules under the Code to finance the acquisition of and miscellaneous capital expenditures at St. Mary Medical Center, 1201 Langhorne-Newtown Road, Langhorne, Pennsylvania and at Nazareth Hospital, 2601 Holme Avenue, Philadelphia, Pennsylvania.

The Prior 2010B Indiana Bonds were used to finance, refinance or reimburse the costs of the following projects: (1) additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 801 East LaSalle Avenue, South Bend, Indiana, 1915 Lake Avenue, South Bend, Indiana, and 5215 Holy Cross Parkway, South Bend, Indiana, and other related acquisitions, improvements, equipment, construction, and reconstruction, located thereon; (2) additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health, located at 1303 East Herndon Avenue, Fresno, California, and other related acquisitions, improvements, equipment, construction, and reconstruction, located thereon; (3) additions and improvements to, and equipment for, hospitals or other health care facilities owned and operated by Trinity Health at the following locations: 1000 4th St. SW, Mason City, Iowa, 910 Eisenhower Avenue, Mason City, Iowa, 150 Mercy Drive, Dubuque, Iowa, 250 Mercy Drive, Dubuque, Iowa, 622 Jones Street, Sioux City, Iowa, 2101 Court Street, Sioux City, Iowa*, 902 5th Street, Sioux City, Iowa*, 801 5th Street, Sioux City, Iowa*, 308 North Maple Avenue, New Hampton, Iowa, 201 South Linn Avenue, New Hampton, Iowa, 308 North Maple Avenue, New Hampton, Iowa, 1410 North 4th Street, Clinton, Iowa, 638 South Bluff Boulevard, Clinton, Iowa, 707 Gilbert Street, Charles City, Iowa, and other related acquisitions, improvements, equipment, construction, and reconstruction located thereon; and (4) additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Trinity Health at 1500 Forest Glen Road, Silver Spring, Maryland, and other related acquisitions, improvements, equipment, construction, and reconstruction, located thereon.

The Prior 2010B Indiana Bonds were also used to refund on a current basis the following bonds: (1) The Indiana Health and Education Facility Financing Authority’s Revenue Bonds Series 1998 (Holy Cross Health System Corporation) (the “IHEFFA Series 1998 Bonds”), the proceeds of which were used to (i) finance, refinance or reimburse the costs of additions and improvements to, and equipment for, hospitals or other health care facilities at the following locations: (1) 3606 East Jefferson Boulevard, South Bend, Indiana, and (2) 3575 Moreau Court, South Bend, Indiana; (ii) refund the Hospital Authority of Madison County Hospital Revenue Refunding and Improvement Bonds, Series 1991 (Saint John’s Health Care Corporation) (the “Madison County Bonds”); (iii) refund the Hospital Authority of Marshall County Hospital Revenue Refunding Bonds, Series 1991 (Holy Cross Parkview Hospital, Inc.) (the “Marshall County Bonds”); and (iv) refund the Hospital Authority of St. Joseph County Hospital Revenue Refunding and Improvement Bonds, Series 1991 (Saint Joseph’s Medical Center, Inc.) (the “St. Joseph County Bonds”).  The proceeds of the Madison County Bonds were used to (i) finance, refinance or reimburse the costs of additions and improvements to, and equipment for, hospitals or other health care facilities located at 2015 Jackson Street, Anderson, Indiana and (ii) refund certain revenue bonds of the Hospital Authority of Madison County, which were issued in 1983 for the purposes of financing, refinancing and reimbursing certain project costs relating to the health care facilities of Saint John’s Health System Corporation located at 2015 Jackson Street, Anderson, Indiana (“Saint John’s Health System”), and advance refunding certain other revenue bonds of the Hospital Authority of Madison County Issued in 1979 and 1982 for the benefit of Saint John’s Health System.  The proceeds of the Marshall County Bonds were used to refund certain revenue bonds of the Hospital Authority of Marshall County, which were issued in 1985 for the purpose of financing, refinancing and reimbursing certain project costs relating to the health care facilities of Saint Joseph Regional Medical Center – Plymouth Campus, located at 1915 Lake Avenue, Plymouth, Indiana 46563.  The proceeds of the St. Joseph County Bonds were used to (i) finance the acquisition, construction and equipping of improvements to Saint Joseph’s Medical Center, an Indiana nonprofit corporation, located at 801 East LaSalle Avenue, South Bend, Indiana (“Saint Joseph’s Medical Center”), and (ii) advance refund certain revenue bonds of the Hospital Authority of Saint Joseph County which were issued in 1983 for the purposes of financing, refinancing and reimbursing certain project costs relating to other health care facilities of Saint Joseph’s Medical Center and advance refunding certain other revenue bonds of the Hospital Authority of Saint Joseph County issued in 1978 and 1979 for the benefit of Saint Joseph’s Medical Center.  The projects financed and refinanced by the IHEFFA Series 1998 Bonds are owned and operated by Trinity Health (except for those at 3575 Moreau Court, South Bend, Indiana, which were sold); and the (2) The City of Fresno Health System Facility Revenue Refunding Bonds, Series 1998 (Holy Cross Health System Corporation) (the “City of Fresno Series 1998 Bonds”), the proceeds of which were used to refund the City of Fresno Health Facility Revenue Bonds (Saint Agnes Medical Center), Series 1991 (the “City of Fresno Series 1991 Bonds”), the proceeds of which were used to finance the costs of acquisition, construction, furnishing and equipping of certain health facilities located at 1303 East Herndon Avenue, Fresno, California.

The Prior 2010E Oregon Bonds were used to finance or refinance the acquisition of hospital facilities located at (i) 3325 Pocahontas Road, Baker City, Oregon and related properties, and (ii) 351 SW 9th Street, Ontario, Oregon and related properties, including construction, renovation, equipment acquisition and miscellaneous capital expenditures related thereto.

The Prior 2011 Illinois Bonds were used to finance or refinance additions and improvements to and equipment for hospitals or other health care facilities at the following locations: property owned or leased by LUHS in unincorporated Cook County, Illinois, bordered generally by the Veterans Administration Hospital on the south and west, the State of Illinois Madden Mental Health Center on the north, and First Avenue on the east; property bordered by 183rd Street to the south, 94th Avenue to the east, 179th Street to the north and LaGrange Road to the west, in Tinley Park, Cook County, Illinois; 1S260 Summit Avenue, Oakbrook Terrace, Illinois; 1S224 Summit, Oakbrook Terrace, Illinois; 17W740 22nd Street, Oakbrook Terrace, Illinois; 6800 N. Frontage Road, Burr Ridge, Illinois; 1030 W. Higgins, Park Ridge, Illinois; 6440 Main Street, Woodridge, Illinois; 8780 Golf Road, Niles, Illinois; Two Westbrook Corporate Center, Westchester, Illinois; 7511 Lemont Road, Darien, Illinois; 140 E. Loop Road, Wheaton, Illinois; 2166 Gladstone Court, Suite A, Glendale Heights, Illinois; 9608 Roberts Road, Hickory Hills, Illinois; 321 N. LaGrange Road, LaGrange Park, Illinois; 1950 S. Harlem Avenue, North Riverside, Illinois; 1211-19 W. Roosevelt Road, Maywood, Illinois; 300 N. York Road, Elmhurst, Illinois; 7005 W. North Avenue, Oak Park, Illinois; 15300 West Avenue, Orland Park, Illinois; 16621 S. 107th Ct., Orland Park, Illinois; 15624 Marian Drive, Homer Glen, Illinois; 551 W. North Ave, Melrose Park, Illinois; 555 W. North Ave, Melrose Park, Illinois; 675 W. North Ave, Melrose Park, Illinois; 701 W. North Ave, Melrose Park, Illinois; 715 W. North Ave, Melrose Park, Illinois; 719 W. North Ave, Melrose Park, Illinois; 905 W. North Ave, Melrose Park, Illinois; 911 W. North Ave, Melrose Park, Illinois; 9651 W. Irving Park Rd., Schiller Park, Illinois; 7255 W. Grand Ave., Elmwood Park, Illinois; 8488 W. Grand Ave., River Grove, Illinois; 7634 W. Belmont, Chicago, Illinois; 1100 Lake St., Oak Park, Illinois; 4701 N. Cumberland Ave., Norridge, Illinois; 6645 W. North Ave., Oak Park, Illinois; and 7617 West North Avenue, River Forest, Illinois.

The Prior 2012A Tampa Bonds were used to finance or refinance various projects, including additions and improvements to and equipment for hospitals or other health care facilities owned and operated by Holy Cross.  The Prior 2012A Tampa Bonds also refunded, on a current basis, the City of Tampa, Florida Health System Revenue Bonds, Catholic Health East Issue, Series 1998A-2, which were used to provide funds to finance or refinance the acquisition, construction, renovation, installation, improving and equipping of capital improvements at the main campus of Holy Cross located at 4725 North Federal Highway, Fort Lauderdale, Florida.

The Prior 2012A Pennsylvania Bonds were used to refund the following bonds: (1) on a current basis, the City of Tampa’s Health System Revenue Bonds, the 1998A-3 Florida Bonds, the proceeds of which were applied and reallocated pursuant to the change-in-use rules under the Code to finance the acquisition of and miscellaneous capital expenditures at St. Mary Medical Center, 1201 Langhorne-Newtown Road, Langhorne, Pennsylvania and at Nazareth Hospital, 2601 Holme Avenue, Philadelphia, Pennsylvania; and (2) the Delaware County Authority (Pennsylvania) Health System Revenue Bonds, Catholic Health East Issue, Series 1998A, the proceeds of which were used to finance and refinance the acquisition costs of, and miscellaneous capital improvements at Mercy Health System of Southeastern, Pennsylvania, One West Elm Street #100, Conshohocken, Pennsylvania; Mercy Fitzgerald Hospital, at its main hospital campus located at 1500 Landsdowne Avenue, Darby, Pennsylvania; Mercy Philadelphia Hospital, at its main hospital campus located at 501 South 54th Street, Philadelphia, Pennsylvania; and Nazareth Hospital, at its main hospital campus located at 2601 Holme Avenue, Philadelphia, Pennsylvania.

The “2017A New York Project” consists of the refinancing (including the payment of the redemption price of various maturities of taxable commercial paper notes issued by Trinity Health) of expenditures relating to hospitals or other health care facilities located at 1300 Massachusetts Avenue, Troy, New York; 2215 Burdett Avenue and 2231 Burdett Avenue, Troy, New York; 79 Vandenburgh Avenue, Troy, New York; 8 Meadowview Dr., Schaghticoke, New York; 2 Empire Drive, Rensselaer, New York; 315 S. Manning Boulevard, 314 S. Manning Boulevard and 317 S. Manning Boulevard, Albany, New York; 600 Northern Boulevard, Albany, New York; 1440 and 1444 Western Avenue, Albany, New York; 28 Warehouse Row, Albany, New York; 2 Palisades Avenue, Albany, New York; 400 Patroon Creek, Albany, New York; 326 Pearl Street, Albany, New York; 583 New Scotland Avenue, Albany, New York; 425 New Scotland Avenue, Albany, New York; 845 Central Avenue, Albany, New York; 64 Second Avenue, Albany, New York; and 56 Morton Avenue, Albany, New York.

The “2017A Ohio Project” consists of the financing or refinancing of not more than $106,520,000 relating to additions and improvements to and equipment for hospitals or other health care facilities located at: 6001 East Broad Street, Columbus, Ohio (Mount Carmel East and the Corporate Service Center); 777 West State Street, Columbus, Ohio, (Mount Carmel West); 500 South Cleveland Avenue, Westerville, Ohio; the ambulatory care center and other facilities located at 5300 North Meadows Drive, Grove City, Ohio; and other related acquisitions, improvements, equipment, construction, and reconstruction.

The “2017A Pennsylvania Project” consists of the refinancing (including the payment of the redemption price of various maturities of taxable commercial paper notes issued by Trinity Health) of expenditures relating to hospitals or other health care facilities located at: 1201 Langhorne-Newtown Road, Langhorne, Pennsylvania (St. Mary Medical Center); 1500 Landsdowne Avenue, Darby, Pennsylvania (Mercy Fitzgerald Hospital); 501 South 54th Street, Philadelphia, Pennsylvania (Mercy Philadelphia Hospital), 2601 Holme Avenue, Philadelphia, Pennsylvania (Nazareth Hospital) and other related acquisitions, improvements, equipment, construction, and reconstruction.

The hearing will provide a reasonable opportunity for expression of opinion, argument on the merits and introduction of documentary evidence pertaining to the proposed issuance of the Bonds.  Written comments will be accepted by the MFA at TreasMFA@michigan.gov, but must be received on or before the time and date of the hearing.  Any questions regarding the hearing should be directed to Graham Davidson at (517) 335-0994 in advance of the meeting.

The Bonds will be limited obligations of MFA payable only from loan repayments to be made to MFA and certain funds and accounts established by or pursuant to the bond indenture(s) under which the Bonds will be issued.  The Bonds will not be a general obligation of MFA and will not be a debt of the State of Michigan or any political subdivision of the State of Michigan, including MFA.  MFA has no taxing power and the issuance of the Bonds will not obligate the State of Michigan or any political subdivision of the State of Michigan to levy or pledge any form of taxation for the Bonds or to make any appropriation for the payment of the Bonds.

Dated: October 30, 2026

John Barton, Authorized Officer
Michigan Finance Authority
Richard H. Austin State Office Building
430 West Allegan, First Floor
Lansing, Michigan 48922
Telephone: (517) 335-0994