TRINITY HEALTH CORPORATION OFFICER'S CERTIFICATE
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1 TRINITY HEALTH CORPORATION OFFICER'S CERTIFICATE Pursuant to Sections 5. 7( d) and 5.12 of the Master Trust Indenture (Amended and Restated) dated as of July 1, 1998 (the "Master Indenture") between Trinity Health Corporation (formerly known as Holy Cross Health System Corporation) (the "Corporation") and The Bank of New York Mellon Trust Company, National Association (formerly known as The Bank of New York Trust Company, National Association) (the "Master Trustee"), attached is a schedule demonstrating the calculation of the Historical Debt Service Coverage Ratio of the Credit Group for the fiscal year ended June 30, The undersigned has made, or caused to be made, a review of the activities of each member of the Credit Group during the fiscal year ended June 30, 2013 for purposes of determining whether or not the members of the Credit Group have complied with all of the terms and conditions of the Master Indenture during such fiscal year and hereby certifies, in the name and on behalf of the Corporation, as follows: (1) Each member of the Credit Group has complied with all of the terms and conditions of the Master Indenture for the fiscal year ended June 30, 2013; and (2) Each member of the Credit Group has kept, observed, performed and fulfilled each and every covenant, provision and condition of the Master Indenture on its part to be performed; and (3) Each member of the Credit Group is not in default in the performance or observance of any of the terms, covenants, provisions or conditions of the Master Indenture applicable to such member.
2 Dated: November.Ll_, 2013 TION By: Senior V \e President and Chief Financial Officer
3 CALCULATION OF HISTORICAL DEBT SERVICE COVERAGE RATIO TRINITY HEALTH CORPORATION FISCAL YEAR ENDED JUNE 30, 2013 ($000) Income Available for Debt Service (A) $ 1,060,350 Debt Service Requirements on Long-Term Indebtedness (B) $ 196,321 Historical Debt Service Coverage Ratio (A-;..8) 5.4X
4 SECURITY INTEREST IN PLEDGED PROPERTY TRINITY HEALTH CORPORATION FISCAL YEAR ENDED JUNE 30, 2013 Designated Affiliates The Designated Affiliates account for a substantial portion of Trinity Health's total consolidated unrestricted revenue, excess of revenue over expenses and total assets. A list of the Designated Affiliates is attached hereto as Schedule I. The following table summarizes the relative portion of certain financial statistics accounted for by the Designated Affiliates, as compared to consolidated information for Trinity Health, for each of fiscal years 2012 and Fiscal Year Ended June 30, Unrestricted Revenue 89.8% 87.8% Excess of Revenue over Expenses<ll( 2 l 91.0% 92.8% Unrestricted Cash and Investments 86.5% 86.3% Total Assets 85.8% 86.1% Unrestricted Net Assets 85.7% 87.5% (!) Excludes the impact of bargain purchase and inherent contributions from Mercy Health System of Chicago of $141 million and Loyola University Health System of $76 million ( 2 ) Excludes the impact of non-controlling interest. SCHEDULE 1
5 SCHEDULE 1 Designated Affiliates< 1 l as of June 30, 2013 State Califomia Saint Agnes Medical Center< 2 ) Designated Affiliate Fresno Location Idaho Illinois Indiana Iowa Maryland Saint Alphonsus Regional Medical Center, IncYl Mercy Hospital Loyola University Medical Center< 2 l Gottlieb Memorial Hospital Saint Joseph Regional Medical Center- South Bend Campus, Inc.(2) Saint Joseph Regional Medical Center Plymouth Campus, Inc. Trinity Continuing Care Services -Indiana, Inc. Mercy Health Services- Iowa, Corp.(2) Mercy Medical Center- Clinton, Inc. Holy Cross Hospital of Silver Spring, Incorporated< 2 l Trinity Continuing Care Services - Indiana, Inc. Boise Nampa Maywood Melrose Park South Bend Plymouth South Bend Dubuque Dyersville Mason City New Hampton Sioux City Clinton Silver Spring Burtonsville Michigan Trinity Health- Michigan< 2 ) Mercy Health Partners Mercy Health Partners Hackley Campus Mercy Health Partners Lakeshore Campus Trinity Continuing Care Services Livonia Port Huron Ann Arbor Chelsea Howell Pontiac Cadillac Grayling Grand Rapids Shelby Warren Royal Oak Battle Creek Fraser Grand Rapids Grand Haven Ohio Oregon Mount Carmel Health System< 2 l Trinity St. Elizabeth Health Services Trinity Holy Rosary Medical Center Columbus New Albany Westerville Baker City Ontario (1) Does not inciude Trinity Health Home Services, other Designated Affiliates that do not own health care facilities or Mercy Health System of Chicago acquired April], 2012 (2) Material Designated Affiliate
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