What are the red flags for Michael A. Slubowski?

AHA Dossiers Power Map About

Michael A. Slubowski

Trustee, term 2026-2028

President & CEO | Trinity Health

Last verified November 4, 2026

6 Red Flags

Affiliations

•President & CEO of Trinity Health (Livonia, MI), named to succeed the prior CEO in a December 2018 announcement after serving as President & COO from 2017; Trinity is a Catholic system with 88 hospitals in 23 states, 134,000 employees and $26.8 billion in fiscal 2026 revenue.
•Elected to the AHA Board of Trustees for a three-year term beginning January 1, 2026.
•Named one of Modern Healthcare's 100 Most Influential People in Healthcare for 2025, his fourth consecutive year.
•Former President & CEO of SCL Health in Denver (about 2010-2017); earlier executive roles at Trinity Health, Henry Ford Health System, Samaritan Health Services (Phoenix) and Providence Hospital (Southfield, MI).
•Board member of Universal Technical Institute (NYSE: UTI), a publicly traded for-profit trade school.
•Trinity's advocacy works through the Catholic Health Association, Catholic Charities USA, the US Conference of Catholic Bishops and the Partnership for Medicaid coalition.

Financial / Compensation

•Slubowski's reported compensation was $7,298,977 for fiscal 2025 (year ended June 30, 2025: $7,249,746 reportable plus $49,231 other), per Trinity Health Corporation's Form 990.
•Schedule J breakdown (FY2025, Trinity Health Corporation): base salary $2.85M, bonus and incentive $3.41M, other reportable $989,597, retirement and deferred $20,425, nontaxable benefits $28,806; total $7.30M. Bonus and incentive pay was 47% of the total.
•His pay climbed from $4.40 million in fiscal 2022 to $5.34 million in fiscal 2023, $5.83 million in fiscal 2024 and $7.30 million in fiscal 2025, a 66% rise in three years.
•Trinity reported fiscal 2026 operating revenue of $26.8 billion, operating income before other items of $427.8 million (1.6% margin), and $281.1 million (1.1%) after $103.9 million in restructuring costs and $42.7 million in impairments.
•Trinity's fiscal 2026 excess of revenue over expenses was $2.3 billion (8.1% net margin), driven by a $728.4 million jump in investment earnings.
•Trinity held $17.4 billion in unrestricted cash and investments (251 days cash on hand) and $23.0 billion in net assets at June 30, 2026.
•Trinity's financial assistance (charity care at cost) fell 15% to $263.9 million in fiscal 2026 from $310.0 million in fiscal 2025, about 1% of revenue; total IRS-defined community benefit was $1.37 billion.
•Trinity reports Medicaid pays $500 million a year less than its costs and says the 2025 reconciliation law's Medicaid changes could push that loss above $1 billion annually.

Lobbying and Political

•Trinity Health reported $960,000 in in-house federal lobbying in 2025 plus $120,000 paid to McDermott+, about $1.08 million total; through Q3 2026 it reported $550,000 in-house, $60,000 to McDermott+ and $10,000 to Cozen O'Connor Public Strategies.
•Its Q3 2026 filing lists opposition to 340B program cuts and rebate models, opposition to Eli Lilly's 340B claims-data reporting demands, the Secure 340B Act and the 340B Patients Act.
•Trinity also lobbied on the Tax Exempt Hospital Transparency Act (H.R. 9504), against Medicare site-neutral payment cuts, and against Medicaid cuts in H.R. 1.
•Senate LDA records show about $928,000 in 2024 federal lobbying under the Trinity Health client name.
•Slubowski publicly campaigned against the House-passed One Big Beautiful Bill Act's Medicaid provisions in 2025, citing CBO estimates of 7.6 million people losing coverage.
•The AHA, where he is a trustee, reported $25.47 million in federal lobbying in 2025 and $14.39 million through Q3 2026.

Revolving Door

•No government posts found for Slubowski.
•Trinity's in-house lobbyist Margaret Randolph is a former staff assistant to Sen. Carl Levin (2007-2008) and senior legislative assistant to Rep. Dale Kildee (2010-2013), per LDA filings.
•Slubowski sits on the board of for-profit Universal Technical Institute while running a tax-exempt system, and on the AHA's governing board while Trinity lobbies on the same 340B program and tax-exemption bills.

Home System Record

•Trinity Health's charity care at cost was $317M (FY2025 hospital tax returns).
•Trinity Health has 1,761 340B contract pharmacy arrangements registered with HRSA (OPAIS registry, Sept. 29, 2026).
•Trinity described itself as 93 hospitals in 26 states in May 2025 and 92 hospitals in 25 states in December 2025; its fiscal 2026 fact sheet lists 88 hospitals in 23 states as it divests hospitals.
•Trinity exited its 49% stake in Emory Healthcare/St. Joseph's Health System in Atlanta in March 2025 for $300 million ($150 million cash plus a $150 million note).
•Trinity sold MercyOne Siouxland Medical Center in Sioux City, Iowa, to UnityPoint Health on September 1, 2025 for $3.5 million; the hospital had lost $91.2 million in fiscal 2025.
•On April 22, 2026 Trinity agreed to transfer Mercy Medical Center in Springfield, Massachusetts, to Baystate Health; the deal is expected to close in fiscal 2027 pending regulatory approval. Mercy lost $29.1 million in fiscal 2026.
•Trinity cut FTEs 1.2% in fiscal 2026, recorded $103.9 million in restructuring costs for administrative reductions, and in June 2026 began outsourcing IT service desk and application support roles to an outside vendor.
•Trinity hospitals operate under the Catholic Ethical and Religious Directives, which bar elective sterilization, contraception and abortion; acquisitions extend those limits to communities whose hospitals were previously secular.

Litigation and Scrutiny

•Trinity's fiscal 2026 audited statements disclose periodic government investigations and whistleblower litigation that 'in some instances' have led to significant settlements, without naming specific matters.
•Trinity recorded a $70.0 million one-time settlement gain in fiscal 2025 and a $17.2 million Change Healthcare cyberattack settlement in fiscal 2026.
•No new 2025-2026 False Claims Act settlements, antitrust actions or state AG actions against Trinity Health were found in available sources.

Red Flags

Slubowski's pay rose to $7.3 million in fiscal 2025, up 66% in three years, while Trinity pleaded poverty over Medicaid cuts.

Trinity cut charity care 15% to $263.9 million in fiscal 2026, about 1% of revenue, in the same year it booked a $2.3 billion surplus and grew cash to $17.4 billion.

Trinity lobbies against 340B program rebates and claims-data transparency and against the Tax Exempt Hospital Transparency Act, while its CEO sits on the AHA board setting the same positions.

Trinity trimmed jobs, outsourced IT staff and took $103.9 million in restructuring charges while investment earnings rose $728.4 million.

Trinity is shedding money-losing hospitals (Sioux City, Springfield) to competitors, consolidating those markets, while describing itself as a mission-driven provider for the vulnerable.

Religious Directives limit reproductive and some miscarriage care across Trinity's 88 hospitals, and its acquisitions have removed secular alternatives in some communities.

Pattern Summary

Slubowski runs one of the largest Catholic systems in the country as a balance-sheet machine: $17.4 billion in cash, a $2.3 billion surplus, and a CEO paid $7.3 million, alongside shrinking charity care and job cuts. Publicly he is a leading voice against Medicaid cuts and for the 340B program; in LDA filings Trinity fights 340B transparency and the Tax Exempt Hospital Transparency Act. His AHA seat ties Trinity's lobbying agenda directly to the industry's.

Michael A. Slubowski

Red Flags

Sources and Citations