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MOUNT CARMEL HEALTH SYSTEM: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MOUNT CARMEL HEALTH SYSTEM (EIN 31-1439334)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-14
IRS object ID
201511349349305946
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-14T14:40:56-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311439334EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNT CARMEL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone6145464300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16150 EAST BROAD STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432131574ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEITH COLEMANPersonNm
Person TitleSVP & CFOPersonTitleTxt
Phone6145464300PhoneNum
Signature2015-05-14SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerCLAUS VON ZYCHLINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16150 EAST BROAD STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432131574ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,224,126,938GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOUNTCARMELHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionHEALTH CARE AND HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee10220TotalEmployeeCnt
Total Volunteers1732TotalVolunteersCnt
Total Gross UBI$5,256,772TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$487,525NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$978,127PYContributionsGrantsAmt
CY Contributions Grants$1,779,987CYContributionsGrantsAmt
PY Program Service Revenue$1,112,170,670PYProgramServiceRevenueAmt
CY Program Service Revenue$1,138,560,796CYProgramServiceRevenueAmt
PY Investment Income$26,128,338PYInvestmentIncomeAmt
CY Investment Income$24,147,187CYInvestmentIncomeAmt
PY Other Revenue$56,553,377PYOtherRevenueAmt
CY Other Revenue$59,151,573CYOtherRevenueAmt
PY Total Revenue$1,195,830,512PYTotalRevenueAmt
CY Total Revenue$1,223,639,543CYTotalRevenueAmt
PY Grants And Similar Paid$574,210PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$883,692CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$459,671,472PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$470,458,734CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$646,164,149PYOtherExpensesAmt
CY Other Expenses$657,917,776CYOtherExpensesAmt
PY Total Expenses$1,106,409,831PYTotalExpensesAmt
CY Total Expenses$1,129,260,202CYTotalExpensesAmt
PY Revenues Less Expenses$89,420,681PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$94,379,341CYRevenuesLessExpensesAmt
Total Assets BOY$1,559,053,447TotalAssetsBOYAmt
Total Assets EOY$1,801,724,954TotalAssetsEOYAmt
Total Liabilities BOY$624,260,990TotalLiabilitiesBOYAmt
Total Liabilities EOY$612,795,177TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$934,792,457NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,188,929,777NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMOUNT CARMEL HEALTH SYSTEM'S PURPOSE IS TO PROVIDE HEALTH CARE AND TO GOVERN, MANAGE AND PROVIDE ADMINISTRATIVE SERVICES TO ITS SUBSIDIARIES. THE ADMINISTRATIVE SERVICES PROVIDED BY MOUNT CARMEL HEALTH SYSTEM FOR THE SUBSIDIARIES ALLOW FOR ECONOMIES OF SCALE THAT PERMIT THE SUBSIDIARIES TO PROVIDE HEALTHCARE SERVICES TO PATIENTS AT A REASONABLE COST. SEE SCHEDULE H FOR MORE INFORMATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$953,210,128ExpenseAmt
Grant$883,692GrantAmt
Revenue$1,178,124,574RevenueAmt
DescMOUNT CARMEL HEALTH SYSTEM, AN OHIO NOT-FOR-PROFIT CORPORATION, OWNS AND/OR OPERATES FOUR HOSPITALS IN THE COLUMBUS, OHIO AREA CONTAINING 1,393 STAFFED BEDS AND VARIOUS OTHER ACUTE AND NONACUTE HEALTH SERVICE PROVIDERS AS WELL AS A LICENSED HEALTH MAINTENANCE ORGANIZATION. THE HEALTH SYSTEM PROVIDES SERVICES TO PATIENTS WHO RESIDE IN CENTRAL OHIO. OHIO NOT-FOR-PROFIT MEMBER ORGANIZATIONS INCLUDE DILEY RIDGE MEDICAL CENTER, MOUNT CARMEL COLLEGE OF NURSING, MOUNT CARMEL HEALTH SYSTEM FOUNDATION, MOUNT CARMEL HEALTH PLAN, INC., AND MOUNT CARMEL HEALTH INSURANCE COMPANY. OHIO FOR-PROFIT MEMBER ORGANIZATIONS INCLUDE MOUNT CARMEL HEALTH PROVIDERS, INC.MOUNT CARMEL HEALTH SYSTEM IS A MEMBER OF TRINITY HEALTH.FOR MORE INFORMATION ON SPECIFIC SERVICES PROVIDED, PLEASE SEE MOUNT CARMEL HEALTH SYSTEM'S WEBSITE AT WWW.MOUNTCARMELHEALTH.COM.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescMISSION:THE MISSION STATEMENT FOR MOUNT CARMEL HEALTH SYSTEM IS AS FOLLOWS:WE, MOUNT CARMEL HEALTH SYSTEM AND TRINITY HEALTH SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$953,210,128TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation EasementsYes (1)ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1438IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10220EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEITH COLEMANBusinessNameLine1
FieldValueIRS element (for citing)
Phone6145464619PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16150 EAST BROAD STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43213ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CLAUS VON ZYCHLIN
TRUSTEE; PRES & CEO50.005.00Yes (X)Yes (X)$0$1,133,349$104,030
STAMPP CORBIN
TRUSTEE; VICE CHAIR2.000.00Yes (X)Yes (X)$0$0$0
JOHN PEREZ
TRUSTEE; CHAIR AT 1/142.000.00Yes (X)Yes (X)$0$0$0
MATTHEW HABASH
TRUSTEE & CHAIR THR 12/132.000.00Yes (X)Yes (X)$0$0$0
SR RUTH M NICKERSONCSC
TRUSTEE & TREASURER THR 12/132.000.00Yes (X)Yes (X)$0$0$0
JORGE GOMEZ
TRUSTEE; TREASURER AS OF 1/142.000.00Yes (X)Yes (X)$0$0$0
LISA STEIN
TRUSTEE; SEC AS OF 1/142.000.00Yes (X)Yes (X)$0$0$0
SUSAN TOMASKY
TRUSTEE2.000.00Yes (X)$0$0$0
J RICHARD O'CONNELL
TRUSTEE; THC EVP & PRES WEST/MIDWEST2.0053.00Yes (X)$0$1,673,574$145,485
SR JOY O'GRADY
TRUSTEE2.000.00Yes (X)$0$0$0
ANANTHA PADMANABHANMD
TRUSTEE THROUGH 12/132.000.00Yes (X)$43,116$0$2,156
CHARLES HICKEYMD
TRUSTEE2.000.00Yes (X)$13,475$0$0
PATRICK CAINMD
TRUSTEE2.000.00Yes (X)$0$0$0
KATHY GATTERDAM
TRUSTEE2.000.00Yes (X)$0$0$0
JUDITH BEATTIECSC
TRUSTEE AS OF 1/142.000.00Yes (X)$0$0$0
JOHN GILLIGAN
TRUSTEE AS OF 1/142.000.00Yes (X)$0$0$0
KEITH COLEMAN
CFO50.005.00Yes (X)$0$517,411$30,926
LAURA TRAINI
SVP AND CHIEF TRANSFOR OFFICER50.000.00$118,172$272,362$43,377Yes (X)
JANET MEEKS
PRESIDENT & COO, ST ANN'S50.000.00$0$566,317$135,836Yes (X)
HUGH JONES
SVP PLAN/MKTG BUS/NETWK DEV40.0010.00$0$304,809$34,277Yes (X)
ANNE BROWNING
SR VICE PRESIDENT HUMAN RESOURCES50.005.00$0$336,717$34,613Yes (X)
SEAN MCKIBBEN
PRESIDENT & COO, MC WEST50.000.00$0$499,163$45,282Yes (X)
BRINSLEY LEWIS
PRESIDENT & COO, MC EAST50.000.00$0$514,626$68,628Yes (X)
CHARLES BRETT JUSTICE
SYSTEM VP STRATEGIC ADVANCEMENT50.000.00$177,360$0$34,372Yes (X)
RICHARD STRECK
CHIEF CLINICAL OPERATIONS OFFICER50.000.00$0$688,687$31,441Yes (X)
PHILLIP J SHUBERT MD
DIRECTOR PERINATAL MEDICAL50.000.00$525,928$0$40,565Yes (X)
MARTHA M REIGEL
VP MEDICAL AFFAIRS - ST ANN'S50.000.00$420,939$0$26,572Yes (X)
LARRY D SWANNER
VP MEDICAL AFFAIRS - MC WEST40.000.00$391,912$0$35,601Yes (X)
THOMAS HARTRANFT
DIR - GEN SURGERY RES PROG40.000.00$369,613$0$35,527Yes (X)
JOHN HEISLER
FORMER KEY EMPLOYEE0.000.00$0$134,499$14,920Yes (X)
JACQUELINE PRIMEAU
FORMER OFFICER0.0050.00$0$219,460$30,590Yes (X)
JOSEPH SWEDISH
FORMER KEY EMPLOYEE0.000.00$0$1,463,995$28,888Yes (X)
KEDRICK ADKINS
FORMER KEY EMPLOYEE0.000.00$0$1,808,589$1,739,236Yes (X)
RONALD WHITESIDE
FORMER OFFICER0.000.00$0$530,663$190,348Yes (X)
CYNTHIA SHEETS
FORMER KEY EMPLOYEE0.000.00$0$428,980$167,111Yes (X)
MICHAEL SLUBOWSKI
FORMER KEY EMPLOYEE0.000.00$0$231,799$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,060,515TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,325,000TotReportableCompRltdOrgAmt
Total Other Compensation$3,019,781TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K296IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
MESSER CONSTRUCTION
5158 FISHWICK DRIVECINCINNATIOH45216CONSTRUCTION SERVICES$40,779,914
QUANDEL CONSTRUCTION GROUP
8181 WORTHINGTON RDWESTERVILLEOH43082CONSTRUCTION SERVICES$15,998,915
HHA SERVICES
22622 HARPER AVENUEST CLAIR SHORESMI48080HOSPITAL SERVICES$5,097,099
CONSULTANT ANESTHESIOLOGISTS
6001 E BROAD STREETCOLUMBUSOH43213HEALTHCARE SERVICES$3,386,250
BRUNER CORPORATION
3637 LACON ROADHILLIARDOH43026REPAIR & MAINTENANCE$3,366,339
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K99CntrctRcvdGreaterThan100KCnt
Related Organizations$1,649,020RelatedOrganizationsAmt
Government Grants$3,610GovernmentGrantsAmt
All Other Contributions$127,357AllOtherContributionsAmt
Total Contributions$1,779,987TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SVC REV622110$1,119,235,884$1,117,218,975$2,016,909
SUBSIDIARY FEES561000$19,324,912$19,324,912
FieldValueIRS element (for citing)
Total Program Service Revenue$1,138,560,796TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,680,787TotalRevenueColumnAmt
Exclusion$8,680,787ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,900,703RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,900,703RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,900,703TotalRevenueColumnAmt
Exclusion$8,900,703ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,075,795SecuritiesAmt
Other$878,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$487,395OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$15,075,795SecuritiesAmt
Other$390,605OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,466,400TotalRevenueColumnAmt
Exclusion$15,466,400ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
GOV'T SUBSIDY- EHR622110$7,780,022$7,780,022
MANAGEMENT FEES561499$5,387,302$4,351,465$1,035,837
CAFETERIA REVENUE722514$5,004,671$5,004,671

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,078,875TotalRevenueColumnAmt
Related Or Exempt Func Income$29,449,200RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,204,026UnrelatedBusinessRevenueAmt
Exclusion$425,649ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$50,250,870OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,223,639,543TotalRevenueColumnAmt
Related Or Exempt Func Income$1,178,124,574RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,256,772UnrelatedBusinessRevenueAmt
Exclusion$38,478,210ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$883,692TotalAmt
Program Services$883,692ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,811,041TotalAmt
Program Services$13,475ProgramServicesAmt
Management And General$4,797,566ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$145,309TotalAmt
Program Services$145,309ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$382,890,868TotalAmt
Program Services$341,470,437ProgramServicesAmt
Management And General$41,420,431ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$21,335,925TotalAmt
Program Services$18,928,234ProgramServicesAmt
Management And General$2,407,691ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,219,945TotalAmt
Program Services$27,675,285ProgramServicesAmt
Management And General$3,544,660ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$30,055,646TotalAmt
Program Services$26,495,132ProgramServicesAmt
Management And General$3,560,514ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,053,712TotalAmt
Program Services$3,053,712ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,261,084TotalAmt
Management And General$1,261,084ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,681TotalAmt
Management And General$19,681ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$48,075TotalAmt
Management And General$48,075ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$822,681TotalAmt
Management And General$822,681ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$73,668,547TotalAmt
Program Services$62,872,472ProgramServicesAmt
Management And General$10,796,075ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,296,590TotalAmt
Program Services$71,789ProgramServicesAmt
Management And General$4,224,801ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,360,930TotalAmt
Program Services$7,108,453ProgramServicesAmt
Management And General$6,252,477ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$52,576,208TotalAmt
Program Services$523,290ProgramServicesAmt
Management And General$52,052,918ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,677,114TotalAmt
Program Services$25,658,347ProgramServicesAmt
Management And General$4,018,767ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,177,696TotalAmt
Program Services$798,644ProgramServicesAmt
Management And General$379,052ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$638,440TotalAmt
Program Services$485,396ProgramServicesAmt
Management And General$153,044ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,729,964TotalAmt
Program Services$15,729,964ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$75,790,129TotalAmt
Program Services$54,064,390ProgramServicesAmt
Management And General$21,725,739ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,424,465TotalAmt
Program Services$10,424,465ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$207,586,296$207,586,296
BAD DEBT$82,070,555$82,070,555
INTERCO. PURCHASED SVCS$26,002,575$19,564,501$6,438,074
CONTRACT LABOR$21,089,689$12,651,708$8,437,981

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$38,623,345TotalAmt
Program Services$34,934,582ProgramServicesAmt
Management And General$3,688,763ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,129,260,202TotalAmt
Program Services$953,210,128ProgramServicesAmt
Management And General$176,050,074ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,297BOYAmt
EOY$26,794EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,815,683BOYAmt
EOY$29,518,046EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$125,600,394BOYAmt
EOY$122,548,640EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,988,711BOYAmt
EOY$1,228,721EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,420,915BOYAmt
EOY$19,641,985EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,044,390BOYAmt
EOY$2,697,575EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,332,109,308LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$764,227,352LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$519,505,398BOYAmt
EOY$567,881,956EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$277,213,173BOYAmt
EOY$286,814,338EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$265,418,921BOYAmt
EOY$253,259,206EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$44,837,110BOYAmt
EOY$42,606,791EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$281,183,455BOYAmt
EOY$475,500,902EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,559,053,447BOYAmt
EOY$1,801,724,954EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$122,558,302BOYAmt
EOY$109,235,063EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$10,635EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,646,736BOYAmt
EOY$5,713,381EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$498,054,952BOYAmt
EOY$497,836,098EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$624,260,990BOYAmt
EOY$612,795,177EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$934,792,457BOYAmt
EOY$1,188,929,777EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$934,792,457BOYAmt
EOY$1,188,929,777EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,559,053,447BOYAmt
EOY$1,801,724,954EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$94,379,341ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,008,217NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$132,749,762OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$108,446GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$86,086DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$194,532TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationMOUNT CARMEL HEALTH SYSTEM HAS MADE GRANTS TO OTHER ORGANIZATIONS IN THE FORM OF MEMBERSHIP DUES PAID TO A NATIONAL HEALTH CARE ORGANIZATION. THIS ORGANIZATION HAS PROVIDED MOUNT CARMEL HEALTH SYSTEM WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. IN ADDITION, PAYMENTS WERE MADE TO LOBBYING FIRMS TO ASSIST WITH FEDERAL EARMARK REQUESTS AND STATE LEGISLATIVE ADVOCACY. MOUNT CARMEL HEALTH SYSTEM MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Natural HabitatYes (X)ProtectionNaturalHabitatInd
Preservation Open SpaceYes (X)PreservationOpenSpaceInd
Modified Easements0ModifiedEasementsCnt
States Easements Held1StatesEasementsHeldCnt
Written Policy Monitoring0WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement0.00StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement$0ExpensesIncurredEnforcementAmt
Agent Trustee Etc0AgentTrusteeEtcInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,959,545OtherCostOrOtherBasisAmt
Book Value$45,959,545BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$717,048,154OtherCostOrOtherBasisAmt
Depreciation$417,521,344DepreciationAmt
Book Value$299,526,810BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$460,184,123OtherCostOrOtherBasisAmt
Depreciation$346,686,027DepreciationAmt
Book Value$113,498,096BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,651,703InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$102,265,783OtherCostOrOtherBasisAmt
Depreciation$19,981DepreciationAmt
Book Value$108,897,505BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$567,881,956TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES$53,884,938F
EQUITY METHOD INVESTMENTS$118,546,862C
HEDGE FUNDS$80,827,406F
FieldValueIRS element (for citing)
Total Book Value Securities$253,259,206TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
MISCELLANEOUS RECEIVABLES$150,240,379
INTERCOMPANY ACCOUNTS RECEIVABLE$218,456,051
INVESTMENT IN UNCONSOL. AFFILIATES$50,208,356
INTERCOMPANY OTHER LT ASSETS$54,556,209
OTHER LONG-TERM ASSETS$661,103
OTHER CURRENT ASSETS$1,378,804
FieldValueIRS element (for citing)
Total Book Value Other Assets$475,500,902TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DEFERRED COMPENSATION LIABILITY$1,224,169
OTHER CURRENT LIABILITIES$1,659,390
INTERCOMPANY NOTES PAYABLE$482,197,046
LEASE OBLIGATION$673,055
OTHER LONG-TERM LIABILITIES$880,118
INTERCOMPANY ACCOUNTS PAYABLE$8,288,325
ASSET RETIREMENT OBLIGATION (FIN 47$2,913,995
FieldValueIRS element (for citing)
Total Liability$497,836,098TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART VENDOWMENTS HELD BY MOUNT CARMEL HEALTH SYSTEM FOUNDATION FOR THE BENEFIT OF MOUNT CARMEL HEALTH SYSTEM ARE REPORTED ON THE FORM 990 OF MOUNT CARMEL HEALTH SYSTEM FOUNDATION.
SCHEDULE D, PART II, LINE 9MOUNT CARMEL HEALTH SYSTEM ACQUIRED LAND THROUGH PURCHASE THAT INCLUDES A WETLAND CONSERVATION EASEMENT. THE CONSERVATION EASEMENT IS REPORTED AS LAND ON THE BALANCE SHEET OF MOUNT CARMEL HEALTH SYSTEM.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,086,851TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,653,624DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,433,227NetCommunityBenefitExpnsAmt
Total Expense0.02240TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$142,583,099TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$97,938,298DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,644,801NetCommunityBenefitExpnsAmt
Total Expense0.04260TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$176,669,950TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$108,591,922DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,078,028NetCommunityBenefitExpnsAmt
Total Expense0.06500TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served32940PersonsServedCnt
Total Community Benefit Expns$1,723,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,997DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,707,949NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served960PersonsServedCnt
Total Community Benefit Expns$20,095,405TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,006,473DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,088,932NetCommunityBenefitExpnsAmt
Total Expense0.01250TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served14799PersonsServedCnt
Total Community Benefit Expns$2,574,742TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$408,459DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,166,283NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served24408PersonsServedCnt
Total Community Benefit Expns$391,128TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$391,128NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served13774PersonsServedCnt
Total Community Benefit Expns$921,089TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,870DirectOffsettingRevenueAmt
Net Community Benefit Expns$919,219NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs31ActivitiesOrProgramsCnt
Persons Served86881PersonsServedCnt
Total Community Benefit Expns$25,706,310TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,432,799DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,273,511NetCommunityBenefitExpnsAmt
Total Expense0.01750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs31ActivitiesOrProgramsCnt
Persons Served86881PersonsServedCnt
Total Community Benefit Expns$202,376,260TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$116,024,721DirectOffsettingRevenueAmt
Net Community Benefit Expns$86,351,539NetCommunityBenefitExpnsAmt
Total Expense0.08250TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served82PersonsServedCnt
Total Community Benefit Expns$1,447TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,447NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served10676PersonsServedCnt
Total Community Benefit Expns$3,979TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,979NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served13239PersonsServedCnt
Total Community Benefit Expns$27,581TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,418DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,163NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served23997PersonsServedCnt
Total Community Benefit Expns$33,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,418DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,589NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$28,053,224BadDebtExpenseAmt
Bad Debt Expense Attributable$3,833,811BadDebtExpenseAttributableAmt
Reimbursed By Medicare$193,665,653ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$181,398,005CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$12,267,648MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (16 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ST ANN'S MEDICAL OFFICE BUILDING II LIMITED PARTNERSHIP
MEDICAL OFFICE BLDG.0.469700.53030
2 MCE MOB IV LIMITED PARTNERSHIP
MEDICAL OFFICE BLDG.0.496300.50370
3 MCMC POB III LIMITED PARTNERSHIP
MEDICAL OFFICE BLDG.0.251700.74830
4 MCE POB III
MEDICAL OFFICE BLDG.0.277000.72300
5 WESTAR MOB LTP
MEDICAL OFFICE BLDG.0.864000.13600
6 MEDILUCENT MOB I
MEDICAL OFFICE BLDG.0.252300.74770
7 EYE CENTER OF COLUMBUS
AMBULATORY SURGERY CENTER0.029500.94100
8 TAYLOR STATION SURGICAL CENTER LTD
AMBULATORY SURGERY CENTER0.400000.60000
9 CANAL WINCHESTER MOB LLC
MEDICAL OFFICE BLDG.0.220000.78000
10 GREEN STREET SURGERY CENTER LLC
AMBULATORY SURGERY CENTER0.200000.60000
11 ST ANNS MOB III LLC
MEDICAL OFFICE BLDG.0.369400.63060
12 NEW ALBANY SURGERY CENTER LLC
AMBULATORY SURGERY CENTER0.400000.60000
13 BIG RUN MOB
MEDICAL OFFICE BLDG.0.769200.23080
14 MOUNT CARMEL HEALTH PARTNERS INC
HEALTHCARE SERVICES0.500000.50000
15 CENTRAL OHIO SLEEP MEDICINE
SLEEP AND TREATMENT CENTER0.600000.40000
16 COLUMBUS CYBERKNIFE
ROBOTIC CANCER TREATMENT0.350000.50000
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityInd
MOUNT CARMEL EAST
16001 EAST BROAD STREETCOLUMBUSOH43213WWW.MOUNTCARMELHEALTH.COMREGISTRATIOYes (X)Yes (X)Yes (X)
MOUNT CARMEL WEST
2793 WEST STATE STREETCOLUMBUSOH43222WWW.MOUNTCARMELHEALTH.COMREGISTRATIOYes (X)Yes (X)Yes (X)Yes (X)
MOUNT CARMEL ST ANN'S
3500 SOUTH CLEVELAND AVENUEWESTERVILLEOH43081WWW.MOUNTCARMELHEALTH.COMREGISTRATIOYes (X)Yes (X)Yes (X)Yes (X)
MOUNT CARMEL NEW ALBANY SURGICAL HOSP
47333 SMITHS MILL ROADNEW ALBANYOH43054WWW.MOUNTCARMELHEALTH.COMREGISTRATIOYes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNumCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Upon RequestRptAvailableUponRequestIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndExec Community Wide PlanExecCommunityWidePlanIndInclude Operational PlanIncludeOperationalPlanIndAdopt BudgetAdoptBudgetIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndAsset LevelAssetLevelIndMedical IndigencyMedicalIndigencyIndInsurance StatusInsuranceStatusIndState RegulationStateRegulationIndResidencyResidencyIndOther FactorsOtherFactorsIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndAvailable On RequestAvailableOnRequestIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
MOUNT CARMEL EAST
1Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)Yes (1)Yes (1)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.000000000000Yes (1)400.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
MOUNT CARMEL WEST
2Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)Yes (1)Yes (1)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.000000000000Yes (1)400.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
MOUNT CARMEL ST ANN'S
3Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)Yes (1)Yes (1)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.000000000000Yes (1)400.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
MOUNT CARMEL NEW ALBANY SURGICAL HOSP
4Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)Yes (1)Yes (1)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.000000000000Yes (1)400.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (32 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MOUNT CARMEL EASTPART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS.
MOUNT CARMEL WESTPART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS.
MOUNT CARMEL ST. ANN'SPART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS.
MOUNT CARMEL EASTPART V, SECTION B, LINE 4: NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY; MOUNT CARMEL WEST, MOUNT CARMEL ST. ANN'S; AND MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL.
MOUNT CARMEL WESTPART V, SECTION B, LINE 4: NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY; MOUNT CARMEL EAST; MOUNT CARMEL ST. ANN'S; AND MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL.
MOUNT CARMEL ST. ANN'SPART V, SECTION B, LINE 4: NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY; MOUNT CARMEL WEST, MOUNT CARMEL EAST; AND MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.PART V, SECTION B, LINE 4: NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY; MOUNT CARMEL WEST, MOUNT CARMEL ST. ANN'S; AND MOUNT CARMEL EAST.
MOUNT CARMEL EASTPART V, SECTION B, LINE 5D: THE ASSESSMENT WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JANUARY 13, 2013 AT THE COLUMBUS ATHLETIC CLUB. LOCAL AREA NEWS REPORTERS COVERED THE EVENT. COPIES WERE ALSO SHARED WITH LEADERS OF COMMUNITY ORGANIZATIONS AND OUR COMMUNITY ADVISORY BOARD.
MOUNT CARMEL WESTPART V, SECTION B, LINE 5D: THE ASSESSMENT WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JANUARY 13, 2013 AT THE COLUMBUS ATHLETIC CLUB. LOCAL AREA NEWS REPORTERS COVERED THE EVENT. COPIES WERE ALSO SHARED WITH LEADERS OF COMMUNITY ORGANIZATIONS AND OUR COMMUNITY ADVISORY BOARD.
MOUNT CARMEL ST. ANN'SPART V, SECTION B, LINE 5D: THE ASSESSMENT WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JANUARY 13, 2013 AT THE COLUMBUS ATHLETIC CLUB. LOCAL AREA NEWS REPORTERS COVERED THE EVENT. COPIES WERE ALSO SHARED WITH LEADERS OF COMMUNITY ORGANIZATIONS AND OUR COMMUNITY ADVISORY BOARD.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.PART V, SECTION B, LINE 5D: THE ASSESSMENT WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JANUARY 13, 2013 AT THE COLUMBUS ATHLETIC CLUB. LOCAL AREA NEWS REPORTERS COVERED THE EVENT. COPIES WERE ALSO SHARED WITH LEADERS OF COMMUNITY ORGANIZATIONS AND OUR COMMUNITY ADVISORY BOARD.
MOUNT CARMEL EASTPART V, SECTION B, LINE 7: THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MOUNT CARMEL EAST BECAUSE THEY ARE BEING ADDRESSED BY OTHER MOUNT CARMEL HEALTH SYSTEM FACILITIES OR COLLABORATIVE PARTNERS: BEHAVIORAL HEALTH IS BEING ADDRESSED BY MOUNT CARMEL WEST AND ST. ANN'S HOSPITAL, AS WELL AS COLLABORATIVE PARTNER DILEY RIDGE MEDICAL CENTER. INTERPERSONAL VIOLENCE IS BEING ADDRESSED BY MOUNT CARMEL NEW ALBANY.
MOUNT CARMEL WESTPART V, SECTION B, LINE 7: THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MOUNT CARMEL WEST BECAUSE THEY ARE BEING ADDRESSED BY OTHER MOUNT CARMEL HEALTH SYSTEM FACILITIES: INTERPERSONAL VIOLENCE IS BEING ADDRESSED BY MOUNT CARMEL NEW ALBANY AND UNINTENTIONAL INJURIES ARE BEING ADDRESSED BY MOUNT CARMEL EAST AND ST. ANN'S HOSPITALS.
MOUNT CARMEL ST. ANN'SPART V, SECTION B, LINE 7: INTERPERSONAL VIOLENCE IS NOT BEING ADDRESSED BY MOUNT CARMEL ST. ANN'S BECAUSE IT IS BEING ADDRESSED BY MOUNT CARMEL NEW ALBANY, ANOTHER MOUNT CARMEL HEALTH SYSTEM FACILITY.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.PART V, SECTION B, LINE 7: THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MOUNT CARMEL NEW ALBANY BECAUSE THEY ARE BEING ADDRESSED BY OTHER MOUNT CARMEL HEALTH SYSTEM FACILITIES OR COLLABORATIVE PARTNERS: BEHAVIORAL HEALTH IS BEING ADDRESSED BY MOUNT CARMEL WEST AND ST. ANN'S HOSPITALS, AS WELL AS COLLABORATIVE PARTNER DILEY RIDGE MEDICAL CENTER. HIGH INCIDENCE OF CANCER IS BEING ADDRESSED BY MOUNT CARMEL EAST, WEST, AND ST. ANN'S HOSPITALS, AS WELL AS COLLABORATIVE PARTNER DILEY RIDGE MEDICAL CENTER. HIGH RISK PREGNANCY IS BEING ADDRESSED BY MOUNT CARMEL EAST, WEST, AND ST. ANN'S HOSPITALS. UNINTENTIONAL INJURIES ARE BEING ADDRESSED BY MOUNT CARMEL EAST AND ST. ANN'S HOSPITALS.
MOUNT CARMEL EASTPART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
MOUNT CARMEL WESTPART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
MOUNT CARMEL ST. ANN'SPART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
MOUNT CARMEL EASTPART V, SECTION B, LINE 14G: MOUNT CARMEL EAST:DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, AND ON THE BACK OF ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON BILLING STATEMENTS, AND UPON REQUEST. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE.
MOUNT CARMEL WESTPART V, SECTION B, LINE 14G: MOUNT CARMEL WEST:DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, AND ON THE BACK OF ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON BILLING STATEMENTS, AND UPON REQUEST. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE.
MOUNT CARMEL ST. ANN'SPART V, SECTION B, LINE 14G: MOUNT CARMEL ST. ANN'S:DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, AND ON THE BACK OF ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON BILLING STATEMENTS, AND UPON REQUEST. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.PART V, SECTION B, LINE 14G: MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL:DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST. FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY INFORMATION AND FAP APPLICATION FORMS ARE AVAILABLE IN ALL PATIENT REGISTRATION AREAS, EMERGENCY ROOMS, WAITING ROOMS, ADMISSION OFFICES, AND ON THE BACK OF ALL PATIENT STATEMENTS. PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE FAP UPON REGISTRATION AND ADMISSION, ON BILLING STATEMENTS, AND UPON REQUEST. THE FAP SUMMARY AND FAP APPLICATION ARE AVAILABLE AT HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE.
MOUNT CARMEL EASTPART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
MOUNT CARMEL WESTPART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
MOUNT CARMEL ST. ANN'SPART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
MOUNT CARMEL EAST - PART V, SECTION B, LINE 5A:HTTP://WWW.MOUNTCARMELHEALTH.COM/WORKFILES/PDF/HEALTHMAP2013_MCE.PDF
MOUNT CARMEL WEST - PART V, SECTION B, LINE 5A:HTTP://WWW.MOUNTCARMELHEALTH.COM/WORKFILES/PDF/HEALTHMAP2013_MCW.PDF
MOUNT CARMEL ST. ANN'S-PART V, SECTION B, LINE 5A:HTTP://WWW.MOUNTCARMELHEALTH.COM/WORKFILES/PDF/HEALTHMAP2013_MCSA.PDF
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL - PART V, SECTION B, LINE 5A:HTTP://WWW.MOUNTCARMELHEALTH.COM/WORKFILES/PDF/HEALTH-MAP-2013-MOUNT-CARMEL-NEW-ALBANY.PDF
FieldValueIRS element (for citing)
Facility39FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (39 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
WESTAR HEALTH CENTER
444 N CLEVELAND AVEWESTERVILLEOH43082ANTICOAGULATION, HEART FAILURE CENTER, CARDIAC REHAB, REHAB & SPORTS MEDICI
MOUNT CARMEL EAST IMAGING CENTER
5969 E BROAD ST STE 100COLUMBUSOH43213IMAGING CENTER
MOUNT CARMEL RADIATION THERAPY
3100 PLAZA PROPERTIES BLVD STE 120COLUMBUSOH43219CANCER TREATMENT
MOUNT CARMEL ST ANN'S WOMENS HEALTH CEN
477 COOPER RD STE 100WESTERVILLEOH43081WOMENS HEALTH
MOUNT CARMEL INFUSION SERVICES AND WOUND
5975 E BROAD ST STE 300COLUMBUSOH43213CANCER TREATMENT, WOUND CENTER
MOUNT CARMEL ST ANN'S IMAGING CENTER &
495 COOPER RD STE 100WESTERVILLEOH43081IMAGING CENTER, OUTPATIENT LAB
MOUNT CARMEL WEST REHAB & SPORTS MEDICIN
745 W STATE ST STE 700COLUMBUSOH43222REHAB & SPORTS MEDICINE
MOUNT CARMEL HEALTH CENTER AT GROVE CITY
5300 NORTH MEADOWS DRIVEGROVE CITYOH43123OUTPATIENT LAB, REHAB & SPORTS MEDICINE, WOMENS HEALTH, URGENT CARE
MOUNT CARMEL REHAB & SPORTS MEDICINE AT
3775 TRUEMAN CTCOLUMBUSOH43026REHAB & SPORTS MEDICINE
MOUNT CARMEL EAST REHAB & SPORTS MEDICI
5965 E BROAD ST STE 390COLUMBUSOH43213REHAB & SPORTS MEDICINE
MOUNT CARMEL EAST BROAD STREET URGENT CA
6435 E BROAD STCOLUMBUSOH43213URGENT CARE
MOUNT CARMEL OCCUPATIONAL HEALTH
4171 ALRINGATE PLAZA STE 18COLUMBUSOH43228OCCUPATIONAL HEALTH
MOUNT CARMEL HEALTH CENTER AT WEDGEWOOD
10330 SAWMILL PKWYPOWELLOH43065WOMENS HEALTH
MOUNT CARMEL ST ANN'S CANCER CENTER
495 COOPER RD STE 120WESTERVILLEOH43081CANCER TREATMENT
MOUNT CARMEL WEST WOMENS HEALTH
750 MOUNT CARMEL MALL STE 160COLUMBUSOH43222WOMENS HEALTH
BIG RUN HEALTH CENTER
3779 TRUEMAN COURTHILLIARDOH43026IMAGING CENTER, OUTPATIENT LAB
MOUNT CARMEL EAST WOMENS HEALTH
5965 E BROAD ST STE 100COLUMBUSOH43123WOMENS HEALTH
SEDALIA MEDICAL CENTER
5339 HENDRON RDGROVEPORTOH43125OCCUPATIONAL HEALTH, OUTPATIENT LAB
MOUNT CARMEL CARDIAC REHAB & OUTPATIENT
150 TAYLOR STATION RDCOLUMBUSOH43213CARDIAC REHAB, OUTPATIENT LAB
MOUNT CARMEL EAST OCCUPATIONAL HEALTH
5969 E BROAD ST STE 307COLUMBUSOH43213OCCUPATIONAL HEALTH
TAYLOR STATION SURGERY CENTER
275 TAYLOR STATION RDCOLUMBUSOH43213SURGERY CENTER
NEW ALBANY SURGERY CENTER
5040 FOREST DR STE 100NEW ALBANYOH43054SURGERY CENTER
MOUNT CARMEL EAST ANTICOAGULATION STRUC
5965 E BROAD ST STE 200COLUMBUSOH43213ANTICOAGULATION, HEART FAILURE CENTER, ATRIAL FIBRILATION CENTER, STRUCTURAL
GREEN STREET SURGERY CENTER
120 GREEN STCOLUMBUSOH43222SURGERY CENTER
MOUNT CARMEL WEST ANTICOAGULATION STRUC
730 W RICH STCOLUMBUSOH43222ANTICOAGULATION, HEART FAILURE CENTER, STRUCTURAL HEART
MOUNT CARMEL SLEEP MEDICINE
484 COUNTY LINE RD SUITE 140WESTERVILLEOH43082SLEEP MEDICINE
MOUNT CARMEL WEST CENTRAL MEDICAL CENTER
454 WEST CENTRAL AVEDELAWAREOH43015IMAGING CENTER, OUTPATIENT LAB
HIGHFIELD MRI - HILLIARD
3755 RIDGE MILL DRCOLUMBUSOH43026IMAGING CENTER
HIGHFIELD MRI - POLARIS
1120 POLARIS PKWYCOLUMBUSOH43240IMAGING CENTER
COLUMBUS CYBERKNIFE
495 COOPER RD STE 125WESTERVILLEOH43081CANCER TREATMENT
MOUNT CARMEL PATASKALA MEDICAL CENTER OU
8200 HAZELTON-ETNA RD STE 50PATASKALAOH43062OUTPATIENT LAB
MOUNT CARMEL OUTPATIENT LAB
85 MCNAUGHTEN RD STE 100COLUMBUSOH43213OUTPATIENT LAB
MOUNT CARMEL WEST OUTPATIENT LAB
750 MOUNT CARMEL MALL RM 180COLUMBUSOH43222OUTPATIENT LAB
EYE CENTER OF COLUMBUS
262 NEIL AVE STE 500COLUMBUSOH43215COMMUNITY OPTHALMIC RESOURCES
MOUNT CARMEL METROWEST INTERNAL MEDICINE
815 WEST BROAD ST STE 200COLUMBUSOH43222INTERNAL MEDICINE
MOUNT CARMEL COLUMBUS CARDIOLOGY CONSULT
85 MCNAUGHTEN RD STE 300COLUMBUSOH43213CARDIOLOGY CENTER
MOUNT CARMEL COLUMBUS CARDIOLOGY
6670 PERIMETER DR STE 100DUBLINOH43016CARDIOLOGY CENTER
MT CARMEL CLINICAL CARDIOVASCULAR SPECIL
477 COOPER RD STE 200WESTERVILLEOH43081CARDIOVASCULAR CENTER
EEGEMG DIAGNOSTICS
495 COOPER RD STE 307/308WESTERVILLEOH43081DIAGNOSTIC CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A:MOUNT CARMEL HEALTH SYSTEM REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, MOUNT CARMEL HEALTH SYSTEM INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
PART I, LINE 7:THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, LN 7 COL(F):THE FOLLOWING NUMBER, $82,070,555, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:MOUNT CARMEL HEALTH SYSTEM (MCHS) CONTRIBUTED TO THE ECONOMIC AND CIVIC HEALTH OF THE SURROUNDING COMMUNITY BY SERVING IN AND CONTRIBUTING TO THE EFFORTS OF SEVERAL CHAMBERS OF COMMERCE AND OTHER CIVIC ORGANIZATIONS, BOTH IN THE CITY OF COLUMBUS AND IN SURROUNDING SUBURBS. MOUNT CARMEL'S LEADERS HAVE IDENTIFIED COMMUNITY NEEDS THROUGH THEIR SERVICE ON VARIOUS COMMUNITY BOARDS AND ADVISORY GROUPS. THEY HAVE ALSO GIVEN THEIR EXPERTISE TO THESE GROUPS AND HAVE BEEN ABLE TO ADVOCATE ON ISSUES SURROUNDING HEALTH IN THE COLUMBUS AREA. AS IN PAST YEARS, MOUNT CARMEL HEALTH SYSTEM MADE FINANCIAL CONTRIBUTIONS IN FISCAL YEAR 2014 TO A VARIETY OF NON-PROFIT SOCIAL SERVICES AGENCIES/ORGANIZATIONS, INCLUDING THOSE THAT HELP ADDRESS HEALTH, HOUSING, AND HUNGER. ST. ANN'S ALSO CONTRIBUTED TO THE ECONOMIC AND CIVIC HEALTH OF THE SURROUNDING COMMUNITY BY SERVING IN AND CONTRIBUTING TO THE EFFORTS OF THE CHAMBER OF COMMERCE AND OTHER CIVIC ORGANIZATIONS. ST. ANN'S COLLABORATES WITH THE WESTERVILLE COMMUNITY IN MANY OF THEIR COMMUNITY PROGRAMS SUCH AS THE SUMMER LUNCH PROGRAM FOR SCHOOL CHILDREN. ST. ANN'S ASSOCIATES SERVE ON SEVERAL BOARDS AND COMMITTEES IN THE COMMUNITY, AND ARE HELPING THE MAYOR'S OFFICE IN THEIR EFFORTS TO COMBINE A MEDICAL CLINIC WITH THEIR OUTREACH PROGRAM. SAFETY IS ALSO A CONCERN FOR THE GENERAL PUBLIC. MOUNT CARMEL FACILITIES RECOGNIZED THE COMMUNITY'S NEED TO BE PREPARED FOR ANY EMERGENCIES THAT MAY THREATEN THE HEALTH AND LIVES OF CITIZENS IN FRANKLIN AND SURROUNDING COUNTIES. MOUNT CARMEL HEALTH SYSTEM SAFETY AND SECURITY PERSONNEL ATTEND CITY- AND STATEWIDE MEETINGS AND PARTICIPATED IN TRAINING COMMUNITY LEADERS TO PLAN AND EXERCISE EMERGENCY RESPONSES IN THE EVENT OF DISASTER. THE MOUNT CARMEL HEALTH SYSTEM SAFETY AND SECURITY PERSONNEL TEACH VARIOUS SAFETY PROGRAMS TO MANY OTHER COLUMBUS AREA FIRST RESPONDERS.
PART III, LINE 2:METHODOLOGY USED FOR LINE 2: BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY. ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.
PART III, LINE 3:MOUNT CARMEL HEALTH SYSTEM IMPLEMENTED A PRESUMPTIVE CHARITY MODEL AFTER THE END OF THE TAX YEAR. BECAUSE THIS MODEL WAS NOT IN PLACE DURING THIS TAX YEAR, MOUNT CARMEL HEALTH SYSTEM ESTIMATED THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS WHO WOULD BE ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY IN TAX YEAR 6/30/14 BY USING 6/30/15 DATA FROM THIS NEW PRESUMPTIVE CHARITY MODEL.
PART III, LINE 4:MOUNT CARMEL HEALTH SYSTEM IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY REGIONAL HEALTH MINISTRY AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."
PART III, LINE 8:MOUNT CARMEL HEALTH SYSTEM DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B:THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2:NEEDS ASSESSMENT - MOUNT CARMEL HEALTH SYSTEM ASSESSES THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. MCHS HOSPITALS MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY. MCHS HOSTS QUARTERLY MEETINGS WITH A COMMUNITY ADVISORY BOARD.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MOUNT CARMEL HEALTH SYSTEM IS COMMITTED TO: -PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES; -CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES; -ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE; AND -BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITY.IN ACCORDANCE WITH AHA RECOMMENDATIONS, THE MOUNT CARMEL HEALTH SYSTEM HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: -PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS -MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS -OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS -IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER -IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSMOUNT CARMEL HEALTH SYSTEM WILL PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. THIS INFORMATION IS COMMUNICATED THROUGH PATIENT FINANCIAL SERVICES COLLEAGUES IN PATIENT REGISTRATION, CUSTOMER SERVICE, AND BILLING AND COLLECTIONS - ALL OF WHOM RECEIVE TRAINING REGARDING FEDERAL, STATE AND LOCAL PUBLIC FINANCIAL ASSISTANCE PROGRAMS AND MOUNT CARMEL'S PATIENT FINANCIAL ASSISTANCE PROGRAM.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. IN ADDITION, THE EXTERNAL COLLECTION AGENCIES AND EXTERNAL MEDICAID ELIGIBILITY VERIFICATION VENDOR WITH WHOM MOUNT CARMEL WORKS ALSO RECEIVE TRAINING REGARDING THESE PROGRAMS. ALL MOUNT CARMEL PATIENT FINANCIAL STATEMENTS INCLUDE A FINANCIAL ASSISTANCE APPLICATION AND PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY OR COLLECTION CYCLE.MOUNT CARMEL HEALTH SYSTEM OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS COMMUNICATED VIA SIGNS THAT ARE PROMINENTLY DISPLAYED IN ALL PATIENT REGISTRATION AREAS. BROCHURES PLACED IN PATIENT REGISTRATION AREAS EDUCATE PATIENTS IN GREATER DETAIL ABOUT THE AVAILABILITY OF FEDERAL, STATE AND LOCAL ASSISTANCE PROGRAMS AS WELL AS MOUNT CARMEL'S PATIENT FINANCIAL ASSISTANCE PROGRAM. SUMMARIES OF FEDERAL, STATE AND LOCAL PUBLIC FINANCIAL ASSISTANCE PROGRAMS AND MOUNT CARMEL'S PATIENT FINANCIAL ASSISTANCE PROGRAM ALSO ARE MADE AVAILABLE THROUGH MOUNT CARMEL SERVICES THAT DIRECTLY INTERACT WITH THE COMMUNITY, INCLUDING MOUNT CARMEL COMMUNITY OUTREACH AND MOUNT CARMEL HEALTH STATIONS CLINICS; OTHER ORGANIZATIONS THAT SERVE THE UNINSURED AND UNDERINSURED SUCH AS ACCESS HEALTH COLUMBUS, SOCIAL SERVICES AGENCIES LIKE CATHOLIC SOCIAL SERVICES, AND HOMELESS SHELTERS; AND FEDERALLY QUALIFIED HEALTH CENTERS HEART OF OHIO FAMILY HEALTH CENTERS AND LOWER LIGHTS CHRISTIAN HEALTH CENTER. INFORMATION REGARDING PATIENT FINANCIAL ASSISTANCE PROGRAMS ALSO IS AVAILABLE ON THE MOUNT CARMEL WEBSITE AT HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE.IN ADDITION TO ENGLISH, PATIENT FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE IN SPANISH AND SOMALI FOR THOSE WITH LIMITED ENGLISH PROFICIENCY, REFLECTING OTHER PREDOMINANT LANGUAGES SPOKEN IN THE COMMUNITIES SERVED. MOUNT CARMEL ALSO HAS INTERPRETING SERVICES AVAILABLE FOR LIMITED ENGLISH PROFICIENCY REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. MOUNT CARMEL HEALTH SYSTEM HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MOUNT CARMEL HEALTH SYSTEM MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. MOUNT CARMEL HEALTH SYSTEM EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES.
PART VI, LINE 4:COMMUNITY INFORMATION - MOUNT CARMEL HEALTH SYSTEM PREDOMINATELY SERVES CENTRAL OHIO, WHICH INCLUDES FRANKLIN AND FIVE CONTIGUOUS COUNTIES (DELAWARE, FAIRFIELD, LICKING, MADISON AND PICKAWAY), AND IS HOME TO NEARLY 1.7 MILLION RESIDENTS. AMONG CENTRAL OHIO HOUSEHOLDS, 20% HAVE A HOUSEHOLD INCOME OF LESS THAN $25,000, AND ANOTHER 26% HAVE A HOUSEHOLD INCOME OF BETWEEN $25,000 AND $50,000. OVER THE NEXT FIVE YEARS, CENTRAL OHIO'S POPULATION IS EXPECTED TO EXPERIENCE A HIGH GROWTH RATE (18%) IN ADULTS AGE 55 AND OLDER AND A SLIGHT DECLINE IN ADULTS BETWEEN THE AGES OF 18 AND 34. IN 2009, APPROXIMATELY 33% OF THE POPULATION OVER AGE 25 HELD A BACHELOR'S OR HIGHER DEGREE, NEARLY FIVE PERCENTAGE POINTS HIGHER THAN THE NATIONAL AVERAGE. 27% OF THE RESIDENTS OF COLUMBUS LIVE AT OR BELOW THE NATIONAL POVERTY LEVEL AND 12.5% LIVE AT OR BELOW 50% OF POVERTY LEVEL. ACCORDING TO THE 2008-2009 OHIO FAMILY HEALTH SURVEY, 138,625 ADULTS IN FRANKLIN COUNTY BETWEEN THE AGES OF 18-64, OR ABOUT 19% OF THAT POPULATION, DO NOT HAVE HEALTH INSURANCE. THIS NUMBER IS SLIGHTLY HIGHER THAN THE STATEWIDE PERCENTAGE OF 17% UNINSURED ADULTS IN THAT AGE GROUP. PRELIMINARY FINDINGS FROM THE STATE OF OHIO OHIO-HEALTH ISSUES POLL SHOW THAT THE UNINSURED RATE HAS FALLEN TO 11 OR 12% IN ADULTS UNDER 65 FOR AUGUST 2014. CENTRAL OHIO FEATURES A DIVERSE EMPLOYER BASE, INCLUDING GOVERNMENT, MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE AND AGRICULTURE. THE OHIO UNEMPLOYMENT RATE DECLINED TO 6.9% IN OCTOBER 2013. THE UNEMPLOYMENT RATE FOR FRANKLIN COUNTY WAS 6.2%. THE COMMUNITY NEED INDEX ON THE COLUMBUS WEST SIDE WHERE MOUNT CARMEL WEST IS LOCATED IS 4.8 ON A SCALE OF 1-5 WITH 1 BEING AN AREA OF LOW NEED AND 5 AN AREA WITH THE HIGHEST LEVEL OF NEED. MOUNT CARMEL EAST HOSPITAL IS LOCATED IN AN AREA WITH A 3.8 COMMUNITY NEED INDEX. ST. ANN'S IS LOCATED IN AN AREA WITH THE COMMUNITY NEED INDEX OF 2.2 WHICH IS MUCH LOWER THAN THE OTHER FACILITIES BUT WITH POCKETS OF HIGHER NEED WITHIN ITS SERVICE AREA. MOUNT CARMEL NEW ALBANY IS LOCATED IN AN AREA WITH THE LOWEST COMMUNITY NEED INDEX. IT IS 1.6 WHICH IS WHY MCNA REACHES OUT TO SUPPORT EFFORTS IN SURROUNDING COMMUNITIES.
PART VI, LINE 5:OTHER INFORMATION - IN FISCAL YEAR 2013, PROJECTS WERE SUPPORTED TO ASSIST INDIVIDUALS FACING HEALTH CHALLENGES AS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. ONE OF THE PROJECTS IS COLLABORATION BETWEEN MCHS AND THE MOMS 2 BE PROGRAM. THIS PROGRAM TARGETS PREGNANT WOMEN AND MOST OF THE MOTHERS LIVE BELOW THE FEDERAL POVERTY LEVEL. MOMS 2 B ADDRESSES SOCIAL DETERMINANTS LEADING TO HEALTH DISPARITIES IN MATERNAL AND INFANT OUTCOMES ESPECIALLY HIGH INFANT MORTALITY. MANY MOMS 2 B PARTICIPANTS HAVE BEEN AFRICAN AMERICAN WITH THE AVERAGE AGE OF 24. THE WELCOME HOME PORTION OF THIS PROGRAM PROVIDES HOME VISITS, EDUCATION ON SAFE SLEEP, BREAST FEEDING AND NEEDED BABY SUPPLIES FOR NEW AND EXPECTANT MOMS. THE MOMS 2 B TEAM SPENDS THREE HOURS A WEEK AT EACH SITE TEACHING, TRAINING AND NURTURING WOMEN THROUGH THEIR PREGNANCY. AFTER DELIVERY, MOMS RETURN WITH THEIR NEWBORNS TO LEARN ABOUT POSITIVE PARENTING AND BONDING. MOMS 2 B IS HOUSED IN THE COMMUNITY HEALTH RESOURCE CENTER (CHRC) AT MOUNT CARMEL WEST. THE CHRC FEATURES A CONSUMER HEALTH LIBRARY, DEMONSTRATION KITCHEN, HEALTHY LIVING CENTER, CHILDBIRTH EDUCATION AND OUTPATIENT LACTATION SUPPORT, AND NUMEROUS HEALTH AND WELLNESS SERVICES. THERE ARE COMMUNITY MEETING ROOMS AND CLASSROOMS FOR PUBLIC USE. MCHS ALSO PRESENTED EDUCATIONAL SESSIONS FOR THE COMMUNITY ON TOPICS SUCH AS SPIRITUALITY, ETHICS, HUMAN TRAFFICKING, CAREERS IN HEALTH CARE, AND VARIOUS WELLNESS TOPICS. OVER 1,300 COMMUNITY RELATED EVENTS HAVE BEEN HOSTED IN THIS FACILITY.THE RESULTS OF THE COMMUNITY NEEDS ASSESSMENT WERE USED IN PLANNING THE WORK OF MOUNT CARMEL'S COMMUNITY OUTREACH PROGRAM. THE COMMUNITY OUTREACH PROGRAM TARGETS SPECIFIC AREAS WHERE THE POPULATION HAS BARRIERS TO ACCESSING HEALTHCARE. SOME OF THE BARRIERS INCLUDE A LACK OF INSURANCE, TRANSPORTATION, AND LANGUAGE DIFFERENCES. MEDICAL SERVICES ARE PROVIDED ON THE MOBILE COACH BY A PHYSICIAN, NURSE PRACTITIONER, REGISTERED NURSES, BILINGUAL CASE WORKERS, PASTORAL CARE STAFF, MENTAL HEALTH PROFESSIONALS AND SUPPORT STAFF. THE MISSION OF THE MOBILE COACH STAFF IS TWO-FOLD; FIRST, TO MEET THE IMMEDIATE MEDICAL NEED OF THE PATIENT, AND SECONDLY, TO ASSIST THEM IN ACCESSING PRIMARY CARE IN ORDER TO MEET THEIR LONG-TERM HEALTHCARE NEEDS. THE COACH PROVIDES SERVICES FREE OF CHARGE. THE OUTREACH MOBILE COACH SERVES MANY HOMELESS IN COLUMBUS AND FRANKLIN COUNTY; MANY HAVE PHYSICAL AND MENTAL HEALTH NEEDS. 27% OF THE HOMELESS IN COLUMBUS ARE CONSIDERED TRI-MORBID: SUBSTANCE ABUSE, MENTAL HEALTH ISSUES AND A CHRONIC MEDICAL CONDITION. THIS COMPARES WITH ONLY 22% SURVEYED IN OTHER CITIES. MOUNT CARMEL HEALTH SYSTEM CREATED A PARTNERSHIP WITH SOUTH EAST MENTAL HEALTH TO MEET THE NEEDS OF THESE PATIENTS. AS PART OF THIS PARTNERSHIP THE OUTREACH MOBILE COACH HOUSES A PSYCHIATRIC NURSE PRACTITIONER AND CASEWORKER WHO PROVIDE SERVICES ON-SITE FOR OUTREACH PATIENTS.MCHS PROVIDES FUNDING FOR MEDICATIONS TO BE GIVEN ON-SITE AND LABORATORY TESTING IS COMPLETED AS NEEDED ON MOBILE COACH. MCHS PROVIDED EQUIPMENT, SUCH AS LAPTOP, PRINTER AND MEDICAL BAG. THE MEDICAL BAG IS USED IN THE OUTREACH STREET MEDICINE PROGRAM. STREET MEDICINE IS A SERVICE MCHS PROVIDES TO THE HOMELESS CITIZENS OF COLUMBUS. IN COLUMBUS, AN AVERAGE OF 630 PERSONS USES TEMPORARY SHELTERS EACH NIGHT AND IS HOMELESS DURING THE DAY. THE OUTREACH DEPARTMENT FORMED A TEAM TO SEARCH OUT THESE CLIENTS AND MEET THEIR NEEDS BEFORE THEY BECOME URGENT OR LIFE THREATENING. THE TEAM LITERALLY SEARCHES THE INNER CITY AREAS FOR THE HOMELESS IN NEED OF CARE. ONCE THE TEAM HAS ESTABLISHED A TRUSTING RELATIONSHIP WITH THE CLIENT OR PATIENT, MEDICAL CARE IS WELCOMED AND ACCEPTED. THEY ALSO PROVIDE CONNECTIONS TO COMMUNITY RESOURCES FOR HOUSING, FOOD, DRUG AND ALCOHOL REHABILITATION AND MENTAL HEALTH SERVICES, AND HAS SUPPLIED COLUMBUS-AREA HOMELESS WITH SOCKS, FLASH LIGHTS AND FOOD.THROUGH MCNA'S OPERATION WALK, PATIENTS WERE PROVIDED WITH FREE CARE WHICH INCLUDED PRE AND POST OP CARE, SURGERY, HOSPITALIZATION, PHYSICAL THERAPY, MEDICATIONS AND ANY SUPPLIES NEEDED FOR THEIR CARE. THIS PROGRAM SERVES THE WORKING POOR BY ASSISTING THOSE WHO ARE UNINSURED TO OBTAIN SURGERY WHICH ENABLES THEM TO RETURN TO WORK AND ACTIVITIES OF DAILY LIVING. DURING THE FISCAL YEAR 2014, MOUNT CARMEL NEW ALBANY PROVIDED SURGERY AND CARE FOR 13 PATIENTS. MOUNT CARMEL IS INVOLVED IN LOCAL AND FOREIGN HEALTH ADVOCACY. THE FACULTY FROM THE MOUNT CARMEL COLLEGE OF NURSING MET WITH VARIOUS COMMUNITY GROUPS TO EDUCATE THE PUBLIC AND ADVOCATE FOR SCHOOL NUTRITION, DIABETES EDUCATION, SENIOR HEALTH ISSUES, AND WORLDWIDE HEALTH ISSUES SUCH AS HUNGER AND WOMEN'S HEALTH. MCHS PROVIDES SUPPORT TO MISSION TRIPS AND CLINICS IN UGANDA, NICARAGUA, AND PANAMA BY PROVIDING NEEDED MEDICAL ITEMS AND OTHER ITEMS NEEDED FOR DAILY LIVING. ONE HUNDRED PERCENT OF MCHS SURPLUS REVENUE IS INVESTED BACK INTO SUPPORTING THE ORGANIZATION'S HEALTH CARE MINISTRY. MCHS IS GOVERNED BY A 13-MEMBER BOARD OF TRUSTEES, WITH A MAJORITY OF THE SEATS ALLOCATED TO COMMUNITY REPRESENTATIVES AND LEADERS. OUR GOVERNANCE STRUCTURE ENSURES THAT THE COMMUNITY AND ITS INTERESTS ARE STRONGLY REPRESENTED IN IMPORTANT DECISION-MAKING. IN ADDITION, TWO SEATS ON MOUNT CARMEL'S BOARD ARE ALLOCATED TO RELIGIOUS WOMEN, WHO HELP ENSURE THAT THE ORGANIZATION REMAINS TRUE TO ITS CHARITABLE MISSION. MCHS MAINTAINS AN OPEN MEDICAL STAFF - MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS. MOUNT CARMEL ACTIVELY RECRUITS, AND EMPLOYS DOCTORS TO SERVE IN UNDER-SERVED AREAS OF THE COMMUNITY. MCHS OPERATES A GRADUATE MEDICAL EDUCATION PROGRAM AND ALSO A COLLEGE OF NURSING. THE MCHS FOUNDATION AND THE MOUNT CARMEL COLLEGE OF NURSING PROVIDED 138 ACADEMIC SCHOLARSHIPS FOR EDUCATING FUTURE NURSES. THE GRADUATE MEDICAL EDUCATION PROGRAM OPERATES CLINICS FOR BOTH EDUCATION PURPOSES AND TO IMPROVE ACCESS AND CARE CONTINUITY FOR PATIENTS WITHOUT INSURANCE.
PART VI, LINE 6:MOUNT CARMEL HEALTH SYSTEM IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. OVERALL, THE ORGANIZATION INVESTS MORE THAN $800 MILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmt
AMERICAN HEART ASSOCIATION
PO BOX 4002907DES MOINESIA503402907135613797501(C)3$20,000COMMUNITY BENEFIT
BOY SCOUTS OF AMERICA
807 KINNEAR ROADCOLUMBUSOH432121421221576300501(C)3$30,000COMMUNITY BENEFIT
BUCKEYE RANCH FOUNDATION
5665 HOOVER ROADGROVE CITYOH43123311593013501(C)3$5,000COMMUNITY BENEFIT
CHARITABLE PHARMACY OF CENTRAL OHIO
200 E LIVINGSTON AVECOLUMBUSOH43215270147099501(C)3$25,000COMMUNITY BENEFIT
CITY OF GROVE CITY
4035 BROADWAYGROVE CITYOH43123316400527CITY GOVERNMENT$21,200COMMUNITY BENEFIT
COUNCIL ON HEALTH MOTHERS & BABIES
3857 N HIGH ST STE 206COLUMBUSOH43214421546970501(C)3$6,760COMMUNITY BENEFIT
GAHANNA CONVENTION AND VISITORS
167 MILL STREETGAHANNAOH43230800322167501(C)6$19,750COMMUNITY BENEFIT
GATHERING USA
3520 SNOUFFER RD STE 200COLUMBUSOH43235592810392501(C)3$5,000COMMUNITY BENEFIT
GROVE CITY AREA CHAMBER OF COMMERCE
4069 BROADWAYGROVE CITYOH43123310922925501(C)6$11,000COMMUNITY BENEFIT
HEART OF OHIO FAMILY HEALTH CENTER
882 S HAMILTON ROADCOLUMBUSOH43213383765547501(C)3$300,000COMMUNITY BENEFIT
LOWER LIGHTS CHRISTIAN HEALTH CENTER
1160 W BROAD STREETCOLUMBUSOH43222311810355501(C)3$202,500COMMUNITY BENEFIT
MARCH OF DIMES
975 EASTWIND DRIVE STE 150WESTERVILLEOH43081131846366501(C)3$6,500COMMUNITY BENEFIT
NEW ALBANY AREA CHAMBER OF COMMERCE
55 W MAIN STREET POB 202NEW ALBANYOH43054311221292501(C)6$7,000COMMUNITY BENEFIT
ROTARY CLUB OF WESTERVILLE
PO BOX 595WESTERVILLEOH43086316050404501(C)4$8,500COMMUNITY BENEFIT
ULTRAFIT-USA INC
PO BOX 629HILLIARDOH43026311150781501(C)3$15,000COMMUNITY BENEFIT
WALK WITH A DOC
495 COOPER RD STE 411WESTERVILLEOH43081263253701501(C)3$5,000COMMUNITY BENEFIT
WESTERVILLE AREA RESOURCE MINISTRY
175 E BROADWAY AVEWESTERVILLEOH43081311640355501(C)3$17,500COMMUNITY BENEFIT
WESTERVILLE PARKS AND RECREATION
350 N CLEVELAND AVEWESTERVILLEOH43082316401113CITY GOVERNMENT$9,112COMMUNITY BENEFIT
WESTERVILLE SUNRISE ROTARY FOUNDATION (WENDY'S CHILI OPEN)
PO BOX 1786WESTERVILLEOH43086311481931501(C)3$10,000COMMUNITY BENEFIT
YWCA
65 S 4TH STREETCOLUMBUSOH43215314379597501(C)3$6,000COMMUNITY BENEFIT
PHOENIX EVENTS LLC
1180 REGENCY DRIVECOLUMBUSOH43220454021515$11,500COMMUNITY BENEFIT$0
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDONATIONS MADE BY MOUNT CARMEL HEALTH SYSTEM TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CLAUS VON ZYCHLIN
TRUSTEE; PRES & CEO$0$539,068$0$474,686$0$119,595$0$76,055$0$27,975$0$1,237,379$0$23,713
J RICHARD O'CONNELL
TRUSTEE; THC EVP & PRES WEST/MIDWEST$0$731,422$0$769,386$0$172,766$0$111,806$0$33,679$0$1,819,059$0$0
KEITH COLEMAN
CFO$0$389,476$0$72,374$0$55,561$0$12,750$0$18,176$0$548,337$0$0
LAURA TRAINI
SVP AND CHIEF TRANSFOR OFFICER$46,616$269,732$54,077$0$17,479$2,630$0$24,344$5,265$13,768$123,437$310,474$0$0
JANET MEEKS
PRESIDENT & COO, ST ANN'S$0$320,812$0$190,681$0$54,824$0$125,259$0$10,577$0$702,153$0$7,570
HUGH JONES
SVP PLAN/MKTG BUS/NETWK DEV$0$239,899$0$64,115$0$795$0$14,993$0$19,284$0$339,086$0$0
ANNE BROWNING
SR VICE PRESIDENT HUMAN RESOURCES$0$263,539$0$70,665$0$2,513$0$14,660$0$19,953$0$371,330$0$0
SEAN MCKIBBEN
PRESIDENT & COO, MC WEST$0$286,651$0$173,700$0$38,812$0$23,358$0$21,924$0$544,445$0$0
BRINSLEY LEWIS
PRESIDENT & COO, MC EAST$0$369,757$0$84,600$0$60,269$0$45,389$0$23,239$0$583,254$0$0
CHARLES BRETT JUSTICE
SYSTEM VP STRATEGIC ADVANCEMENT$154,829$0$18,600$0$3,931$0$10,784$0$23,588$0$211,732$0$0$0
RICHARD STRECK
CHIEF CLINICAL OPERATIONS OFFICER$0$457,686$0$224,066$0$6,935$0$12,750$0$18,691$0$720,128$0$0
PHILLIP J SHUBERT MD
DIRECTOR PERINATAL MEDICAL$513,046$0$0$0$12,882$0$23,886$0$16,679$0$566,493$0$0$0
MARTHA M REIGEL
VP MEDICAL AFFAIRS - ST ANN'S$346,237$0$68,547$0$6,155$0$17,850$0$8,722$0$447,511$0$0$0
LARRY D SWANNER
VP MEDICAL AFFAIRS - MC WEST$305,550$0$84,060$0$2,302$0$19,112$0$16,489$0$427,513$0$0$0
THOMAS HARTRANFT
DIR - GEN SURGERY RES PROG$354,990$0$0$0$14,623$0$17,850$0$17,677$0$405,140$0$0$0
JOHN HEISLER
FORMER KEY EMPLOYEE$0$116,500$0$0$0$17,999$0$8,789$0$6,131$0$149,419$0$0
JACQUELINE PRIMEAU
FORMER OFFICER$0$217,378$0$0$0$2,082$0$21,231$0$9,359$0$250,050$0$0
JOSEPH SWEDISH
FORMER KEY EMPLOYEE$0$344,758$0$0$0$1,119,237$0$21,706$0$7,182$0$1,492,883$0$0
KEDRICK ADKINS
FORMER KEY EMPLOYEE$0$504,488$0$873,685$0$430,416$0$1,730,702$0$8,534$0$3,547,825$0$45,090
RONALD WHITESIDE
FORMER OFFICER$0$153,136$0$89,872$0$287,655$0$176,173$0$14,175$0$721,011$0$0
CYNTHIA SHEETS
FORMER KEY EMPLOYEE$0$129,989$0$80,789$0$218,202$0$159,568$0$7,543$0$596,091$0$0
MICHAEL SLUBOWSKI
FORMER KEY EMPLOYEE$0$0$0$0$0$231,799$0$0$0$0$0$231,799$0$231,799

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3MOUNT CARMEL HEALTH SYSTEM IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MOUNT CARMEL HEALTH SYSTEM'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MOUNT CARMEL HEALTH SYSTEM'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2013. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): KEDRICK ATKINS - $ 310,298 CYNTHIA SHEETS - $ 194,951 RONALD WHITESIDE - $ 238,151 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/13: KEDRICK ADKINS - $1,347,759 ($814,924 PAID IN 2014 AND $532,835 TO BE PAID IN 2015) CYNTHIA SHEETS - $132,063 (PAID IN 2014) RONALD WHITESIDE - $158,768 (PAID IN 2014) PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($255,000 FOR 2013). THE FOLLOWING ACCRUALS FOR 2013 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $106,281 BRINSLEY LEWIS - $31,063 SEAN MCKIBBEN - $14,246 JANET MEEKS - $37,431 J. RICHARD O'CONNELL - $99,056 CLAUS VON ZYCHLIN - $63,305 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2013 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $258,812 JANET MEEKS - $66,150 PART II: THE FOLLOWING INDIVIDUALS WERE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOSEPH SWEDISH - $543,977 MICHAEL SLUBOWSKI - $231,799 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. PART II, COLUMN B (II): THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS IN 2013 FROM A LONG-TERM INCENTIVE PLAN (LTIP). PARTICIPANTS IN THE LTIP (CEO'S AND CERTAIN TRINITY EXECUTIVES) WERE ELIGIBLE TO RECEIVE A PAYMENT UNDER THE PLAN ONLY IF CERTAIN CULTURE OF SAFETY SURVEY SCORE TARGETS WERE ACHIEVED AT THE END OF A THREE-YEAR PERIOD (FY11 THROUGH FY13). THE FOLLOWING LTIP AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II): KEDRICK ADKINS - $372,833 SEAN MCKIBBEN - $91,746 JANET MEEKS - $103,165 J. RICHARD O'CONNELL - $294,870 RICHARD STRECK - $100,061 CLAUS VON ZYCHLIN - $252,477

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ANGELA SMITH
FAMILY MEMBER OF CYNTHIA SHEETS, FORMER KEY EMPLOYEE$95,423EMPLOYMENT ARRANGEMENT0
GREEN STREET SURGERY CENTER
ANANTHA PADMANABHAN, MCHS TRUSTEE, HAS A >5% OWNERSHIP INTEREST IN THIS J/V$338,608MCHS RECEIVES RENTAL INCOME AND DISTRIBUTIONS FROM ITS OWN PARTNERSHIP INTEREST IN GREEN STREET SURGERY CENTER.0
CARDINAL HEALTH INC
JORGE GOMEZ, MCHS TRUSTEE, IS AN OFFICER OF CARDINAL HEALTH$29,174,430CARDINAL HEALTH PROVIDES MEDICAL PRODUCTS AND SERVICES TO MOUNT CARMEL HEALTH SYSTEM.0
TAYLOR STATION SURGERY CENTER
ANANTHA PADMANABHAN, MCHS TRUSTEE, HAS A >5% OWNERSHIP INTEREST IN THIS J/V$2,148,754MCHS RECEIVES DISTRIBUTIONS FROM ITS OWN PARTNERSHIP INTEREST IN TAYLOR STATION SURGERY CENTER.0
COLUMBUS EYE SURGERY CENTER
CHARLES HICKEY, MCHS TRUSTEE HAS A > 5% OWNERSHIP INTEREST IN THIS J/V$191,446MCHS RECEIVES RENTAL INCOME FROM COLUMBUS EYE SURGERY CENTER0
HIGHFIELD MRI LTD
PATRICK CAIN, MCHS TRUSTEE, HAS AN INDIRECT OWNERSHIP INTEREST IN THIS J/V$175,000MCHS RECEIVES DISTRIBUTIONS FROM ITS OWN PARTNERSHIP INTEREST IN HIGHFIELD MRI.0
JOHN C HICKEY
FAMILY MEMBER OF CHARLES HICKEY, MCHS TRUSTEE$49,886EMPLOYMENT ARRANGEMENT0
COLUMBUS OPTHALMOLOGY ASSOCIATES
CHARLES HICKEY, MCHS TRUSTEE HAS A > 5% OWNERSHIP INTEREST IN THIS J/V$214,094MCHS RECEIVES RENTAL INCOME FROM COLUMBUS OPTHALMOLOGY ASSOCIATES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1DOING BUSINESS AS NAMES: MOUNT CARMEL HEALTH MOUNT CARMEL EAST MOUNT CARMEL WEST MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL MOUNT CARMEL ST. ANN'S MOUNT CARMEL CARE CONTINUUM SERVICES CORPORATION MOUNT CARMEL HOSPICE AND PALLIATIVE CARE
FORM 990, PART VI, SECTION A, LINE 3MOUNT CARMEL HEALTH SYSTEM HAS CONTRACTED WITH CENTRAL OHIO ORTHOPEDIC MANAGEMENT COMPANY TO MANAGE THE OPTHOPEDIC PROGRAM OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL. IN 2013 MCHS PAID $3,295,410 TO THE MANAGEMENT COMPANY, WHICH COVERED BOTH EXECUTIVE MANAGEMENT OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL AND PHYSICIAN LEADERSHIP OF THE ORTHOPEDIC PROGRAM. UNDER THE MANAGEMENT SERVICES AGREEMENT, CENTRAL OHIO ORTHOPEDIC MANAGES THE DAY-TO-DAY OPERATION, MANAGEMENT, AND SUPERVISION OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL AND ITS ORTHOPEDIC PROGRAM. INCLUDED IN THE AGREEMENT IS THE PROVISION BY THE MANAGEMENT COMPANY OF A CHIEF OPERATING OFFICER, SENIOR VICE PRESIDENT OF CLINICAL SERVICES, SENIOR FINANCIAL ANALYST, AND CHIEF NURSING OFFICER FOR THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF MOUNT CARMEL HEALTH SYSTEM IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7ATRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF MOUNT CARMEL HEALTH SYSTEM. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF MOUNT CARMEL HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BAS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO FILING, THE FORM 990 FOR MOUNT CARMEL HEALTH SYSTEM IS REVIEWED BY SENIOR MANAGEMENT. THE FORM 990 WAS SENT TO THE BOARD OF TRUSTEES FOR REVIEW. THE FORM 990 WAS REVIEWED WITH THE FINANCE COMMITTEE ON APRIL 23, 2015 AND RECOMMENDED FOR APPROVAL TO THE BOARD. THE FORM 990 WAS REVIEWED AND APPROVED BY THE EXECUTIVE AND GOVERNANCE COMMITTEE ON APRIL 24, 2015. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CMOUNT CARMEL HEALTH SYSTEM HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF MOUNT CARMEL HEALTH SYSTEM, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH MOUNT CARMEL HEALTH SYSTEM'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MOUNT CARMEL HEALTH SYSTEM OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF MOUNT CARMEL HEALTH SYSTEM IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO MOUNT CARMEL HEALTH SYSTEM. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF MOUNT CARMEL HEALTH SYSTEM ON A YEARLY BASIS.
FORM 990, PART VI, SECTION B, LINE 15QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR MOUNT CARMEL HEALTH SYSTEM'S CEO, OFFICERS, AND KEY MANAGEMENT OFFICIALS IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MOUNT CARMEL HEALTH SYSTEM ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19MOUNT CARMEL HEALTH SYSTEM IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MOUNT CARMEL HEALTH SYSTEM INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MOUNT CARMEL HEALTH SYSTEM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN EQUITY IN UNCONSOLIDATED AFFILIATES 7,104,186. ACQUISITION OF JOINT VENTURES 520,976. ASSET IMPAIRMENT -19,215,811. EQUITY TRANSFERS TO/FROM AFFILIATES -14,541,632. OTHER TRANSACTIONS: 158,882,043.
FORM 990, PART XII, LINE 2:MOUNT CARMEL HEALTH SYSTEM'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY14 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BIG RUN URGENT CARE LTD
6150 E BROAD STREET 3RD FLOORCOLUMBUSOH43213311581575MEDICAL SERVICESOH$1,861,045$495,654MOUNT CARMEL HEALTH SYSTEM
HEALTH COLLABORATIVE OF CENTRAL OHIO LLC
6150 E BROAD STREETCOLUMBUSOH43213465603895ACCOUNTABLE CARE ORGANIZATIONOH$0$0MOUNT CARMEL HEALTH SYSTEM
CENTRAL OHIO SLEEP MEDICINE LLC
6150 E BROAD STREETCOLUMBUSOH43213311701029SLEEP MEDICINE SERVICESOH$806,271$338,029MOUNT CARMEL HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (239 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SEGRAND RAPIDSMI49503272491974HEALTHCARE SERVICESMI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269PALM HARBORFL34684581492325MANAGEMENT & SUPPORT SERVICESFL501(C)(3)LINE 11A, ICATHOLIC HEALTH EASTYes (1)
AMICARE HOSPICE SERVICES INC
20555 VICTOR PARKWAYLIVONIAMI48152382949053PROVIDE HOSPICE SERVICESMI501(C)(3)LINE 9TRINITY HOME HEALTH SERVICES INCYes (1)
AUXILIARY OF HOLY ROSARY HOSPITAL
351 SW 9TH STREETONTARIOOR97914943059469SUPPORTS SERVICES OF RELATED HOSPITALOR501(C)(3)LINE 9SAINT ALPHONSUS MEDICAL CENTER-ONTARIOYes (1)
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUEPRIMGHARIA51245421500277ACUTE/AMBULATORY HEALTHCARE SERVICESIA501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION
255 NORTH WELCH AVENUEPRIMGHARIA51245262973307SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 11A, IBAUM HARMON MERCY HOSPITALYes (1)
BEECHWOOD INC
2212 BURDETT AVETROYNY12180141651563REAL ESTATE HOLDINGNY501(C)(2)N/ALTC (EDDY) INCYes (1)
BEVERWYCK INC
40 AUTUMN DRIVESLINGERLANDSNY12159141717028INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITYNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
BRIGHTSIDE INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040042182395BEHAVIORAL CAREMA501(C)(3)LINE 9SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STCOHOESNY12047141701597NURSING HOMENY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995ANN ARBORMI48106382507173FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICESMI501(C)(3)LINE 11B, IITRINITY HEALTH-MICHIGANYes (1)
CATHOLIC HEALTH EAST
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073232929748MANAGEMENT SERVICESPA501(C)(3)LINE 11C, III-FICHE TRINITY INCYes (1)
CHE TRINITY INC
20555 VICTOR PARKWAYLIVONIAMI48152900931907HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 11B, II0N/A
COLUMBUS ACQUISITION CORP
111 CENTRAL AVENUENEWARKNJ07102262616342INACTIVE ENTITYNJ501(C)(3)LINE 9SAINT MICHAELS MEDICAL CENTERYes (1)
COMMUNITY HEALTH PARTNERS OF SOUTH BEND
PO BOX 3998SOUTH BENDIN46619263051440HEALTHCARE SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
CONTINUING CARE MANAGEMENT SERVICES NETWORK
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073352336834MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
CRANBROOK HOSPICE CARE
1111 W LONG LAKE RD STE 102TROYMI48098383320699PROVIDE HOSPICE HEALTH SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREETCOLUMBUSOH43213342032340HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIOOH501(C)(3)LINE 3MOUNT CARMEL HEALTH SYSTEMYes (1)
DUBUQUE MERCY HEALTH FOUNDATION INC
250 MERCY DRIVEDUBUQUEIA52001262227941SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 11A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SWDYERSVILLEIA52040205383271SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 11A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
EAST NORRITON PHYSICIAN SERVICES
C/O ONE WEST ELM STREETCONSHOHOCKENPA19428232515999PHYSICIAN SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000TROYNY12180141818568HOME HEALTHNY501(C)(3)LINE 3LTC(EDDY) INCYes (1)
EMPIRE HOME INFUSION SERVICES INC
10 BLACKSMITH DRIVEMALTANY12020141795732HOME CARENY501(C)(3)LINE 9HOME AIDE SERVICE OF EASTERN NEW YORK INCYes (1)
FARREN CARE CENTER INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040042501711LONG TERM CAREMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500WILMINGTONDE19805223008680ELDERCAREDE501(C)(3)LINE 9ST FRANCIS HOSPITALYes (1)
GLEN EDDY INC
ONE GLEN EDDY DRIVENISKAYUNANY12309141794150INDEPENDENT/ASSISTED LIVING COMMUNITYNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
GLOBAL HEALTH MINISTRY
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073233068656HEALTH CAREPA501(C)(3)LINE 7CATHOLIC HEALTH EASTYes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAYGREENSBOROGA30642261720984HOSPITALGA501(C)(3)LINE 3SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVEMELROSE PARKIL60160363332852SUPPORT THE SERVICES OF RELATED HOSPITALIL501(C)(3)LINE 9GOTTLIEB MEMORIAL HOSPITALYes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVEMELROSE PARKIL60160743260011SUPPORT THE SERVICES OF RELATED HOSPITALIL501(C)(3)LINE 11C, III-FI0N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVEMELROSE PARKIL60160362379649HEALTHCARE SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC
1000 MONROE AVENUE NWGRAND RAPIDSMI49503237270669MEDICAL EDUCATION TRAINING PROGRAMSMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
HACKLEY HOSPITAL
1700 CLINTON ST PO BOX 3302MUSKEGONMI49443381358196HEALTHCARE SERVICESMI501(C)(3)LINE 3MERCY HEALTH PARTNERSYes (1)
HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST
PO BOX 3302MUSKEGONMI49443382299878SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITYMI501(C)(3)LINE 11C, III-FIMERCY HEALTH PARTNERSYes (1)
HACKLEY LIFE COUNSELING
1352 TERRACE STMUSKEGONMI49442381386362COUNSELING, EDUCATION, AND SUPPORTMI501(C)(3)LINE 9MERCY HEALTH PARTNERSYes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAYEAST GREENBUSHNY12061800102840INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITYNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVETROYNY12180141725101NURSING HOMENY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
HOLY CROSS CARENET INC
PO BOX 9184FARMINGTON HILLSMI48333521945054LONG-TERM CARE AND REHABILITATION FOR THE ELDERLYMD501(C)(3)LINE 9TRINITY CONTINUING CARE SERVICESYes (1)
HOLY CROSS HEALTH FOUNDATION INC
11801 TECH ROADSILVER SPRINGMD20904208428450CHARITABLE FUNDRAISINGMD501(C)(3)LINE 11A, IHOLY CROSS HEALTH INCYes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN RDSILVER SPRINGMD20910520738041HEALTHCARE SERVICESMD501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308590791028HOSPITAL-HEALTHCARE PROVIDERFL501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
HOLY CROSS LONG TERM CARE INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308650787320MEDICAL SERVICESFL501(C)(3)LINE 3HOLY CROSS HOSPITAL INCYes (1)
HOLY CROSS MEDICAL CENTER
20555 VICTOR PARKWAYLIVONIAMI48152951985442HEALTHCARE SERVICES (FORMERLY)CA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS MEDICAL PROPERTIES INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308650666283MEDICAL BUILDING REAL ESTATE MANAGEMENTFL501(C)(2)N/AHOLY CROSS HOSPITAL INCYes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK
433 RIVER ST SUITE 3000TROYNY12180141514867HOME CARENY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SEMASON CITYIA50401421173708HOSPICE HEALTH CARE SERVICESIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
HOSPICE OF SIOUXLAND
4300 HAMILTON BLVDSIOUX CITYIA51104383320710HOSPICE SERVICESIA501(C)(3)LINE 11A, I0N/A
HOSPICE OF WASHTENAW II
806 AIRPORT BLVDANN ARBORMI48108383320707HOSPICE HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383316559PROVIDES OFFICE-BASED MEDICAL CAREMI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
INTRACOASTAL HEALTH SYSTEMS INC
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073650556413MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11A, ICATHOLIC HEALTH EASTYes (1)
JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVETROYNY12180222570478NURSING HOMENY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
LAKESHORE COMMUNITY HOSPITAL INC
72 S STATE STREETSHELBYMI49455382549295ACUTE HEALTHCARE SERVICESMI501(C)(3)LINE 3MERCY HEALTH PARTNERSYes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232519529INACTIVE ENTITYPA501(C)(3)LINE 9ST MARY MEDICAL CENTERYes (1)
LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232571699PHYSICIAN SERVICESPA501(C)(3)LINE 9ST MARY MEDICAL CENTERYes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUEPENNSAUKENNJ08109261854750ELDERLY CARENJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
7TH CLAYTON STREETSWILMINGTONDE19805452569214ELDERLY CAREDE501(C)(3)LINE 9ST FRANCIS HOSPITALYes (1)
LIFE ST FRANCIS CORPORATION
601 HAMILTON AVENUETRENTONNJ08629222797282HEALTH SERVICESNJ501(C)(3)LINE 11A, IST FRANCIS MEDICAL CENTER TRENTON NJYes (1)
LIFE ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE SUITE BSOUTHERN PINESNC28387272159847HEALTHCARE SERVICESNC501(C)(3)LINE 3ST JOSEPH'S OF THE PINES INCYes (1)
LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047262976184ELDERLY CAREPA501(C)(3)LINE 9ST MARY MEDICAL CENTERYes (1)
LOURDES ANCILLARY SERVICES
1600 HADDON AVENUECAMDENNJ08103222568525SUPPORTING ORGANIZATIONNJ501(C)(3)LINE 11B, IIOUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUECAMDENNJ08103274357794CARDIOLOGY SERVICESNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES DIALYSIS AT INNOVA INC
3716 CHURCH ROADMT LAURELNJ08054263237625HOSPITALNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
218 SUNSET ROADWILLINGBORONJ08046223612265HOSPITALNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUEMAYWOODIL60153363342448HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 11B, IITRINITY HEALTH CORPORATIONYes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUEMAYWOODIL60153364015560HEALTHCARE SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
LTC (EDDY) INC
2212 BURDETT AVETROYNY12180222564710ELDERLY HEALTH/HOUSING SUPPORTING ORGNY501(C)(3)LINE 11B, IINORTHEAST HEALTH INCYes (1)
MARIAN COMMUNITY HOSPITAL
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073240711230HOSPITALPA501(C)(3)LINE 9MAXIS HEALTH SYSTEMYes (1)
MARIAN COMMUNITY HOSPITAL AUXILIARY
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073251874733FUNDRAISINGPA501(C)(3)LINE 11B, IIMAXIS FOUNDATIONYes (1)
MARIAN HOME HEALTHCARE
801 5TH STREETSIOUX CITYIA51101383320705PROVIDE HOME HEALTH CARE SERVICESIA501(C)(3)LINE 11A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
MARYCREST HEIGHTS
PO BOX 9184FARMINGTON HILLSMI48333270291722PROVIDES HOUSING FOR ELDERLY INDIVIDUALSMI501(C)(3)LINE 11A, ITRINITY CONTINUING CARE SERVICESYes (1)
MAXIS FOUNDATION
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073232330090FUNDRAISINGPA501(C)(3)LINE 11B, IIMAXIS HEALTH SYSTEMYes (1)
MAXIS HEALTH SYSTEM
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073911940902HEALTH CARE SYSTEMPA501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
MAXIS MEDICAL SERVICES
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073232577185PHYSICIAN PRACTICESPA501(C)(3)LINE 9MAXIS HEALTH SYSTEMYes (1)
MCAULEY CENTER INC
275 STEELE ROADWEST HARTFORDCT06117061058086INDEPENDENT LIVINGCT501(C)(3)LINE 9MERCY COMMUNITY HEALTH INCYes (1)
MCAULEY CLINIC CORPORATION
PO BOX 992ANN ARBORMI48106382561013HEALTHCARE SERVICES (FORMERLY)MI501(C)(3)LINE 3CATHERINE MCAULEY HEALTH SERVICES CORPYes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUEPITTSBURGHPA15213943436142MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11A, IPITTSBURGH MERCY HEALTH SYSTEMYes (1)
MEMORIAL HOSPITAL ALBANY NY
600 NORTHERN BLVDALBANYNY12204141338457GENERAL HOSPITALNY501(C)(3)LINE 3NORTHEAST HEALTH INCYes (1)
MERCY AMICARE HOME HEALTHCARE OAKLAND
1111 W LONG LAKE RD STE 102TROYMI48098383320698PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
MERCY AMICARE HOME HEALTHCARE PORT HURON
505 HURON AVENUEPORT HURONMI48060383320701PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
MERCY CARE FOUNDATION
424 DECATUR STREETATLANTAGA30312581448522FUNDRAISINGGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREETCONSHOHOCKENPA19428231352191ACUTE CARE HOSPITALPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUEWEST HARTFORDCT06117061492707MANAGEMENT & SUPPORT SERVICESCT501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
MERCY COMMUNITY HOMECARE SERVICES
2021 ALBANY AVENUEWEST HARTFORDCT06117061488137IN HOME HEALTH CARECT501(C)(3)LINE 9MERCY COMMUNITY HEALTH INCYes (1)
MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064232325059HOME HEALTHPA501(C)(3)LINE 9MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227350SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEMIL501(C)(3)LINE 11A, IMERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
684 HARVEY STREETMUSKEGONMI49442383321856PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
C/O ONE WEST ELM STREETCONSHOHOCKENPA19428232829864FUNDRAISINGPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HEALTH NETWORK
1111 6TH AVENUEDES MOINESIA50314421478417HEALTHCARE MANAGEMENTDE501(C)(3)LINE 11A, I0N/A
MERCY HEALTH PARTNERS
1415 LEAHY STREETMUSKEGONMI49442382589966HEALTHCARE SYSTEM SUPPORTMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
MERCY HEALTH PLAN
C/O ONE WEST ELM STREETCONSHOHOCKENPA19428222483605HEALTH PLANSPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SWMASON CITYIA50401311373080HEALTHCARE SERVICESDE501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363163327HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST
BK OF AMERICA 231 S LASALLECHICAGOIL60697912092113SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITYIL501(C)(3)LINE 11C, III-FIMERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY HEALTH SYSTEM OF MAINE
144 STATE STREETPORTLANDME04101010484074MANAGEMENT & SUPPORT SERVICESME501(C)(3)LINE 11C, III-FICATHOLIC HEALTH EASTYes (1)
MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREETCONSHOHOCKENPA19428232212638MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUETUPPER LAKENY12986150532211IN DISSOLUTIONNY501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
MERCY HEALTHCARE FOUNDATION-CLINTON
1410 N 4TH STCLINTONIA52732421316126FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICESIA501(C)(3)LINE 11C, III-FI0N/A
MERCY HOME HEALTH
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064231352099HOME HEALTHPA501(C)(3)LINE 9MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064232325058HOME HEALTHPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HOSPITAL
144 STATE STREETPORTLANDME04101010211534HOSPITALME501(C)(3)LINE 3MERCY HEALTH SYSTEM OF MAINEYes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616362170152HEALTHCARE SERVICESIL501(C)(3)LINE 3MERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBARTCADILLACMI49601203357131SUPPORT THE SERVICES OF RELATED HOSPITALMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
MERCY HOSPITAL GIFT SHOP
2601 ELECTRIC AVEPORT HURONMI48060381630480VOLUNTEER SERVICE AUXILIARYMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
MERCY HOSPITAL INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040043398280ACUTE CAREMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
MERCY HOSPITAL INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308590791034HOSPITALFL501(C)(3)LINE 11C, III-FICATHOLIC HEALTH EASTYes (1)
MERCY JEANNETTE HOSPITAL
3805 WEST CHESTER PIKENEWTOWN SQUAREPA19073251310602INACTIVE ENTITYPA501(C)(3)LINE 9PITTSBURGH MERCY HEALTH SYSTEMYes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREETPITTSBURGHPA15233251604115COMMUNITY TREATMENTPA501(C)(3)LINE 9PITTSBURGH MERCY HEALTH SYSTEMYes (1)
MERCY LIFE OF ALABAMA
PO BOX 1090 101 VILLA DRIVEDAPHNEAL36526273163002HOSPITALAL501(C)(3)LINE 3MERCY MEDICAL CORPORATIONYes (1)
MERCY LIFE INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040453086711ACUTE CAREMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREETCONSHOHOCKENPA19428232627944PHYSICIAN PRACTICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH STCLINTONIA52732421336618TO PROVIDE QUALITY HEALTH CAREDE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREETSIOUX CITYIA51102141880022SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SWMASON CITYIA50401421229151SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 11C, III-FI0N/A
MERCY MEDICAL CORPORATION
PO BOX 1090 101 VILLA DRIVEDAPHNEAL36526636002215HOSPITALAL501(C)(3)LINE 9CATHOLIC HEALTH EASTYes (1)
MERCY MEDICAL DEVELOPMENT INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308592789194OUTPATIENT SERVICESFL501(C)(3)LINE 9MERCY HOSPITAL INCYes (1)
MERCY MISSION SERVICES INC
3661 SOUTH MIAMI AVENUEMIAMIFL33133650435764HEALTH CAREFL501(C)(3)LINE 3MERCY HOSPITAL INCYes (1)
MERCY NORTH HOMECARE AND HOSPICE
7985 MACKINAW TRAILCADILLACMI49601383313897HOME HEALTH AND HOSPICE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
MERCY ONCOLOGY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040454884805ONCOLOGY MEDICAL SERVICESMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308510461511HOSPITALFL501(C)(3)LINE 9MERCY HOSPITAL INCYes (1)
MERCY SENIOR CARE INC
424 DECATUR STREETATLANTAGA30312581366508COMMUNITY OUTREACHGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES CORPORATION
2021 ALBANY AVENUEWEST HARTFORDCT06117061453323SUPPORT SERVICESCT501(C)(3)LINE 1MERCY COMMUNITY HEALTH INCYes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREETATLANTAGA30312272046353REAL ESTATE HOLDING COMPANYGA501(C)(3)LINE 11B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184FARMINGTON HILLSMI48333382719605PROVIDES LONG-TERM CARE FOR THE ELDERLYMI501(C)(3)LINE 11B, IITRINITY CONTINUING CARE SERVICESYes (1)
MERCY SPECIALIST PHYSICIANS INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040264033168NEUROSURGERY MEDICAL SERVICESMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREETCONSHOHOCKENPA19428231396763ACUTE CARE HOSPITALPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY UIHLEIN HEALTH CORPORATION
185 OLD MILITARY ROADLAKE PLACIDNY12946161535133MGT. & SUPPORT SERVICESNY501(C)(3)LINE 11B, IIMERCY HEALTHCARE CENTERYes (1)
MERCYKNOLL INC
2021 ALBANY AVENUEWEST HARTFORDCT06117060757380SKILLED NURSINGCT501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
MIDWEST MEDFLIGHT
1300 VICTORS WAYANN ARBORMI48108382684671AEROMEDICAL TRANSPORTMI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
MISSION HEALTH CORPORATION
37595 SEVEN MILE ROADLIVONIAMI48152383181557FACILITY USED FOR AMBULATORY CAREDE501(C)(3)LINE 11A, I0N/A
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREETCOLUMBUSOH43213311308555COLLEGE OF NURSINGOH501(C)(3)LINE 2MOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREETCOLUMBUSOH43213251912781HEALTH INSURANCEOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREETCOLUMBUSOH43213311471229MEDICARE HMO FOR SENIORSOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREETCOLUMBUSOH43213311439334HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTOH501(C)(3)LINE 3TRINITY HEALTH CORPORATION0
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREETCOLUMBUSOH43213311113966SUPPORT THE SERVICES OF RELATED HOSPITALOH501(C)(3)LINE 11A, IMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HOME CARE LLC
1144 DUBLIN ROAD SUITE BCOLUMBUSOH43215262729300PROVIDE HOME HEALTH CARE SERVICESOH501(C)(3)LINE 9TRINITY HOME HEALTH SERVICES INCYes (1)
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 - 44TH STREETKENTWOODMI49508383073745OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)MI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUEMUSKEGONMI49440911932918FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICESMI501(C)(3)LINE 7MERCY HEALTH PARTNERSYes (1)
NAZARETH HEALTH CARE FOUNDATION
2701 HOLME AVENUEPHILADELPHIAPA19152232300951FUNDRAISINGPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NAZARETH HOSPITAL
2601 HOLME AVENUEPHILADELPHIAPA19152232794121ACUTE CARE HOSPITALPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NAZARETH PHYSICIAN SERVICES INC
ONE WEST ELM STREETCONSHOHOCKENPA19428203261266PHYSICIAN PRACTICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NE PHYSICIAN SERVICES
ONE WEST ELM STREETCONSHOHOCKENPA19428232497355PHYSICIAN PRACTICESPA501(C)(3)LINE 9MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NORTHEAST HEALTH INC
2212 BURDETT AVETROYNY12180042450756SUPPORTING ORGANIZATIONNY501(C)(3)LINE 11B, IIST PETER'S HEALTH PARTNERSYes (1)
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREETOAKLANDNE68045208072234HEALTHCARE SERVICESNE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREETOAKLANDNE68045311678345SUPPORTS SERVICES OF RELATED HOSPITALNE501(C)(3)LINE 11C, III-FI0N/A
OSUMOUNT CARMEL HEALTH ALLIANCE
793 WEST STATE STREETCOLUMBUSOH43222311654603COOPERATIVE HEALTH CARE DELIVERY SYSTEMOH501(C)(3)LINE 11A, I0N/A
OUR LADY OF LOURDES HEALTH CARE SERVICES
1600 HADDON AVENUECAMDENNJ08103222568528MANAGEMENT & SUPPORT SERVICESNJ501(C)(3)LINE 11A, ICATHOLIC HEALTH EASTYes (1)
OUR LADY OF LOURDES HEALTH FOUNDATION INC
1600 HADDON AVENUECAMDENNJ08103222351960FOUNDATIONNJ501(C)(3)LINE 7OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
OUR LADY OF LOURDES MEDICAL CENTER
1600 HADDON AVENUECAMDENNJ08103210635001HOSPITALNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANEGUILDERLANDNY12084141743506NURSING HOME FACILITYNY501(C)(3)LINE 3ST PETER'S HEALTH CARE SERVICESYes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040454208896CARDIOLOGY SERVICESMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
PITTSBURGH MERCY HEALTH SYSTEM
3333 5TH AVENUEPITTSBURGHPA15213251464211MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11C, III-FICATHOLIC HEALTH EASTYes (1)
PORT HURON MERCY FAMILY CARE INC
2601 ELECTRIC AVEPORT HURONMI48060201855647HEALTHCARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
PROFESSIONAL MED TEAM
965 FORK STREETMUSKEGONMI49442382638284MEDICAL CARE, TRANSPORTATION AND EDUCATIONMI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
PROFESSIONAL OFFICE CORPORATION
1303 EAST HERNDON AVEFRESNOCA93720942839324HEALTHCARE SERVICESCA501(C)(3)LINE 11A, ISAINT AGNES MEDICAL CENTERYes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVEFRESNOCA93720941437713HEALTHCARE SERVICESCA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RDBOISEID83706820401011SUPPORTS SERVICES OF RELATED HOSPITALID501(C)(3)LINE 11A, ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INCYes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RDBOISEID83706943028978SUPPORTS SERVICES OF RELATED HOSPITALID501(C)(3)LINE 11A, ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INCYes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814943164869SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)LINE 11A, ISAINT ALPHONSUS MEDICAL CENTER - BAKER CITYYes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914202683560SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)LINE 11A, ISAINT ALPHONSUS MEDICAL CENTER-ONTARIOYes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROADBOISEID83706271929502HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTID501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814271790052TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROADNAMPAID83686261737256SUPPORT THE SERVICES OF RELATED HOSPITALID501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER-NAMPAYes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
1512 12TH AVENUE ROADNAMPAID83686820200896TO PROVIDE QUALITY HEALTH CAREID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914271789847TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RDBOISEID83706820200895HEALTHCARE SERVICESID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT JAMES CARE INC
111 CENTRAL AVENUENEWARKNJ07102262616230INACTIVE ENTITYNJ501(C)(3)LINE 9SAINT MICHAELS MEDICAL CENTERYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
1915 LAKE AVENUE PO BOX 670PLYMOUTHIN46563351142669HEALTHCARE SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
PO BOX 1935SOUTH BENDIN46634350868157HEALTHCARE SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545356033285HOSPITAL SERVICE AUXILIARYIN501(C)(4)N/ASAINT JOSEPH REGIONAL MEDICAL CENTER-S BENDYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUEPLYMOUTHIN46563356043563HOSPITAL SERVICE AUXILIARYIN501(C)(3)LINE 11B, IISAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTHYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
801 EAST LASALLE AVESOUTH BENDIN46617351568821HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREETATLANTAGA30312581744848MANAGEMENT & SUPPORT SERVICESGA501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREETATLANTAGA30312581752700COMMUNITY OUTREACHGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 9184FARMINGTON HILLSMI48333311040468PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALSIN501(C)(3)LINE 9TRINITY CONTINUING CARE SERVICES-INDIANAYes (1)
SAINT MARY HOME II INC
2021 ALBANY AVENUEWEST HARTFORDCT06117061164104ELDERLY CARECT501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NWGRAND RAPIDSMI49505383320700PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SEGRAND RAPIDSMI49503381779602SUPPORTS SERVICES OF RELATED HOSPITALMI501(C)(3)LINE 7TRINITY HEALTH-MICHIGANYes (1)
SAINT MICHAELS MEDICAL CENTER
111 CENTRAL AVENUENEWARKNJ07102262616046HOSPITALNJ501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
SAMARITAN CHILD CARE CENTER INC
2213 BURDETT AVETROYNY12180141710225CHILD DAY CARENY501(C)(3)LINE 9NORTHEAST HEALTH INCYes (1)
SAMARITAN HOSPITAL OF TROY NEW YORK
2215 BURDETT AVETROYNY12180141338544GENERAL HOSPITALNY501(C)(3)LINE 3NORTHEAST HEALTH INCYes (1)
SENIOR CARE CONNECTION INC
504 STATE STSCHENECTADYNY12305141708754PACE PROGRAMNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUETROYNY12180141505031SUPPORTING ORGANIZATIONNY501(C)(3)LINE 9SETON HEALTH SYSTEM INCYes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
1 ABELE BLVDCLIFTON PARKNY12065141756230SKILLED NURSINGNY501(C)(3)LINE 9SETON HEALTH SYSTEM INCYes (1)
SETON HEALTH FOUNDATION INC
1300 MASSACHUSETTS AVENUETROYNY12180222345416SUPPORTING ORGANIZATIONNY501(C)(3)LINE 11A, ISETON HEALTH SYSTEM INCYes (1)
SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUETROYNY12180141776186HOSPITALNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SISTERS OF PROVIDENCE CARE CENTERS INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040222541103LONG TERM CAREMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
SISTERS OF PROVIDENCE HEALTH SYSTEM INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040043398374MANAGEMENT & SUPPORT SERVICESMA501(C)(3)LINE 11A, ICATHOLIC HEALTH EASTYes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREETATLANTAGA30312472299757REAL ESTATE HOLDING COMPANYGA501(C)(3)LINE 11B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
SSJ HEALTH FOUNDATION INC
3661 SOUTH MIAMI AVENUEMIAMIFL33133591709438FUNDRAISINGFL501(C)(3)LINE 7MERCY HOSPITAL INCYes (1)
ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVEPONTIACMI48341352356789SUPPORTS SERVICES OF RELATED HOSPITALMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
ST AGNES CONTINUING CARE CENTER
ONE WEST ELM STREETCONSHOHOCKENPA19428232840137CONTINUING CARE SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
ST AGNES CONTINUING CARE CENTER FOUNDATION
ONE WEST ELM STREETCONSHOHOCKENPA19428232415137FUNDRAISINGPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
ST FRANCIS FOUNDATION
PO BOX 2500WILMINGTONDE19805510374158FOUNDATIONDE501(C)(3)LINE 11B, IIST FRANCIS HOSPITALYes (1)
ST FRANCIS HOSPITAL
PO BOX 2500WILMINGTONDE19805510064326HOSPITALDE501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
ST FRANCIS HOSPITAL INC
33920 US HIGHWAY 19 NORTH SUITE 269PALM HARBORFL34684590624442GRANT-MAKING ORGANIZATIONFL501(C)(3)LINE 11A, IALLEGANY FRANCISCAN MINISTRIES INCYes (1)
ST FRANCIS MEDICAL CENTER FOUNDATION INC
601 HAMILTON AVENUETRENTONNJ08629521025476FOUNDATIONNJ501(C)(3)LINE 11A, IST FRANCIS MEDICAL CENTER TRENTON NJYes (1)
ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUETRENTONNJ08629223431049HOSPITALNJ501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
ST JAMES MERCY FOUNDATION INC
411 CANISTEO STREETHORNELLNY14843161486437FOUNDATIONNY501(C)(3)LINE 7ST JAMES MERCY HEALTH SYSTEM INCYes (1)
ST JAMES MERCY HEALTH SYSTEM INC
411 CANISTEO STREETHORNELLNY14843223127184MANAGEMENT & SUPPORT SERVICESNY501(C)(3)LINE 11C, III-FICATHOLIC HEALTH EASTYes (1)
ST JAMES MERCY HOSPITAL
411 CANISTEO STREETHORNELLNY14843160743310HOSPITALNY501(C)(3)LINE 3ST JAMES MERCY HEALTH SYSTEM INCYes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE SUITE BSOUTHERN PINESNC28387560694200HOSPITALNC501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
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1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047461827502BUILDING DEVELOPMENT COMPANYPA501(C)(2)N/AST MARY MEDICAL CENTERYes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047465354512EMERGENCY MEDICAL SERVICESPA501(C)(3)LINE 9ST MARY MEDICAL CENTERYes (1)
ST MARY HOME INCORPORATED
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ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047231913910HOSPITALPA501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
ST MARY MEDICAL CENTER FOUNDATION INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232567468FOUNDATIONPA501(C)(3)LINE 7ST MARY MEDICAL CENTERYes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREETATHENSGA30606582544232FUNDRAISINGGA501(C)(3)LINE 11A, IST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREETATHENSGA30606580566223HOSPITALGA501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
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1230 BAXTER STREETATHENSGA30606020576648ASSISTED LIVING & RETIREMENT COMMUNITYGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREETATHENSGA30606261858563HOSPITAL / PHYSICIAN SERVICESGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MICHAEL'S FOUNDATION INC
111 CENTRAL AVENUENEWARKNJ07102223311976FOUNDATIONNJ501(C)(3)LINE 11A, ISAINT MICHAELS MEDICAL CENTERYes (1)
ST PETER'S AUXILIARY
315 SOUTH MANNING BLVDALBANYNY12208222843206AUXILIARYNY501(C)(3)LINE 11A, IST PETER'S HEALTH CARE SERVICESYes (1)
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315 SOUTH MANNING BLVDALBANYNY12208222702507MANAGEMENT & SUPPORT SERVICESNY501(C)(3)LINE 9ST PETER'S HEALTH PARTNERSYes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVDALBANYNY12208453570715MANAGEMENT & SUPPORT SERVICESNY501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
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315 SOUTH MANNING BLVDALBANYNY12208461177336PHYSICIANS PRACTICENY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
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315 SOUTH MANNING BLVDALBANYNY12208141348692HOSPITALNY501(C)(3)LINE 3ST PETER'S HEALTH CARE SERVICESYes (1)
ST PETER'S HOSPITAL FOUNDATION INC
319 SOUTH MANNING BLVD SUITE 114ALBANYNY12208222262982FUNDRAISING & PUBLIC RELATIONSNY501(C)(3)LINE 7ST PETER'S HEALTH CARE SERVICESYes (1)
SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION
1270 BELMONT AVESCHENECTADYNY12308222505127SUPPORTING FOUNDATIONNY501(C)(3)LINE 11A, ISUNNYVIEW HOSPITAL & REHABILITATION CTRYes (1)
SUNNYVIEW HOSPITAL & REHABILITATION CTR
1270 BELMONT AVESCHENECTADYNY12308141338386REHABILITATION HOSPITALNY501(C)(3)LINE 3NORTHEAST HEALTH INCYes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
295 VALLEY VIEW BLVDRENSSELAERNY12144222692940FUNDRAISING & PUBLIC RELATIONSNY501(C)(3)LINE 7THE COMMUNITY HOSPICE INCYes (1)
THE COMMUNITY HOSPICE INC
295 VALLEY VIEW BLVDRENSSELAERNY12144141608921SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIESNY501(C)(3)LINE 3ST PETER'S HEALTH CARE SERVICESYes (1)
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421 WEST COLUMBIA STCOHOESNY12047141793885ADULT HOME/ALZHEIMERSNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
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2224 BURDETT AVETROYNY12180222743478SUPPORTING FOUNDATIONNY501(C)(3)LINE 7NORTHEAST HEALTH INCYes (1)
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PO BOX 9184FARMINGTON HILLSMI48333930907047PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSINGIN501(C)(3)LINE 9TRINITY CONTINUING CARE SERVICESYes (1)
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20555 VICTOR PARKWAYLIVONIAMI48152382113393HEALTHCARE SERVICESMI501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
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20555 VICTOR PARKWAYLIVONIAMI48152351443425HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 11B, IICHE TRINITY INCYes (1)
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20555 VICTOR PARKWAYLIVONIAMI48152421253527HEALTHCARE TRAINING AND SUPPORT SERVICESMI501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
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17410 COLLEGE PARKWAYLIVONIAMI48152382621935HOME HEALTH CARE SYSTEM MANAGEMENT SERVICESMI501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
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185 OLD MILITARY ROADTUPPER LAKENY12986150532190IN DISSOLUTIONNY501(C)(3)LINE 3MERCY HEALTHCARE CENTERYes (1)
UNIVERSITY HEIGHTS PROPERTY COMPANY INC
111 CENTRAL AVENUENEWARKNJ07102223100162MEDICAL PROPERTY HOLDING COMPANYNJ501(C)(2)N/ASAINT MICHAELS MEDICAL CENTERYes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVDALBANYNY12208141438749NURSING HOME & PHYSICAL REHABNY501(C)(3)LINE 3ST PETER'S HOSPITALYes (1)
VNA HOME HEALTH & HOSPICE
50 FODEN ROADSOUTH PORTLANDME04106010246804HOME HEALTH & HOSPICEME501(C)(3)LINE 11A, IMERCY HEALTH SYSTEM OF MAINEYes (1)
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1820 44TH STREETKENTWOODMI49508383280200SUPPORT SERVICESMI501(C)(4)N/AMERCY HEALTH PARTNERSYes (1)

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C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040042938160BUILDING MANAGEMENTMAN/ACYes (1)
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVEMELROSE PARKIL60160363330529MANAGEMENT SERVICESILN/ACYes (1)
HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY STMUSKEGONMI49442382961814WEIGHT MANAGEMENTMIN/ACYes (1)
HACKLEY HEALTH VENTURES INC
1415 LEAHY STMUSKEGONMI49442382589959OTHER MEDICAL SERVICESMIN/ACYes (1)
HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY STMUSKEGONMI49442382578569HOME MEDICAL EQUIPMENTMIN/ACYes (1)
HACKLEY PROFESSIONAL CENTER
1415 LEAHY STMUSKEGONMI49442383024797REAL ESTATE RENTALMIN/ACYes (1)
HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY STMUSKEGONMI49442382447870PHARMACYMIN/ACYes (1)
HEALTH MANAGEMENT SERVICES ORG INC
500 GROVE STREET SUITE 100HADDON HEIGHTSNJ08035223366580HEALTH CARE BILLINGNJN/ACYes (1)
HEF INC
1415 LEAHY STMUSKEGONMI49442383086401OFFICE STAFFINGMIN/ACYes (1)
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROADSILVER SPRINGMD20904521986562HOME CARE SERVICESMDN/ACYes (1)
HPC CO-OWNERS ASSOCIATION
1700 CLINTONMUSKEGONMI49442270734448CONDOMINIUM ASSOCIATIONMIN/ACYes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992ANN ARBORMI48106382475644PROVIDES OFFICE RENTAL SPACEMIN/ACYes (1)
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383188895MEDICAL MANAGEMENTMIN/ACYes (1)
DIVERSIFIED COMMUNITY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040043128890MEDICAL SERVICESMAN/ACYes (1)
MERCY INPATIENT MEDICAL ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040043029929MEDICAL SERVICESMAN/ACYes (1)
PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST
1221 MAIN STREET ROOM 108HOLYOKEMA01040046608649PROPERTY MANAGEMENTMAN/ACYes (1)
PROVIDENCE HOME CARE INC
C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040043317426HEALTH CARE SERVICESMAN/ACYes (1)
SYSTEM COORDINATED SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040042938181LAB SERVICESMAN/ACYes (1)
LIFECARE PHYSICIANS PC
601 HAMILTON AVENUETRENTONNJ08629261649038HEALTH CARE SERVICESNJN/ACYes (1)
LOURDES MEDICAL ASSOCIATES PA
500 GROVE STREET SUITE 100HADDON HEIGHTSNJ08035223361862MEDICAL SERVICESNJN/ACYes (1)
MARYLAND CARE GROUP INC
11801 TECH ROADSILVER SPRINGMD20904521815313HEALTHCARE HOLDINGMDN/ACYes (1)
MCMC EASTWICK INC
C/O MHS ONE WEST ELM STREET STE 100CONSHOHOCKENPA19428232184261MEDICAL OFFICE BUILDINGSPAN/ACYes (1)
MEDNOW INC
1512 12TH AVENUE ROADNAMPAID83686820389927OUTPATIENT PHARMACYIDN/ACYes (1)
JEANNETTE MEDICAL PROVIDERS
3805 WEST CHESTER PIKENEWTOWN SQUAREPA19073251787334HOLDING COMPANYPAN/ACYes (1)
MERCY MEDICAL SERVICES
801 5TH STREETSIOUX CITYIA51101421283849PRIMARY CARE PHYSICIANSIAN/ACYes (1)
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227348DORMANTILN/ACYes (1)
MICHIGAN ATHLETIC CLUB
2500 BURTONGRAND RAPIDSMI49546382647304ATHLETIC CLUBMIN/ACYes (1)
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREETCOLUMBUSOH43213311382442MEDICAL SERVICESOHCYes (1)MOUNT CARMEL HEALTH SYSTEM-$38,513,684$29,314,4661.00000
NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SWMASON CITYIA50401421382308MEDICAL SERVICESIAN/ACYes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAYFORT LAUDERDALEFL33308591145192MEDICAL SERVICESFLN/ACYes (1)
JEANNETTE OBGYN GROUP 1 INC
3805 WEST CHESTER PIKENEWTOWN SQUAREPA19073232890748HOLDING COMPANYPAN/ACYes (1)
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230FRESNOCA93729770395267FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONSCAN/ACYes (1)
JEANNETTE PRIMARY CARE GROUP 1 INC
3805 WEST CHESTER PIKENEWTOWN SQUAREPA19073232890743HOLDING COMPANYPAN/ACYes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROADBOISEID83706820524649ACCOUNTABLE CARE ORGANIZATIONIDN/ACYes (1)
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROADBOISEID83706331078261PHYSICIANSIDN/ACYes (1)
SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SEGRAND RAPIDSMI49546383450733ATHLETIC CLUBMIN/ACYes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUETROYNY12180141607244REAL ESTATENYN/ACYes (1)
SJM PROPERTIES INC
411 CANISTEO STREETHORNELLNY14843161294991PROPERTY HOLDINGSNYN/ACYes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047253795549GENERAL PARTNER OF LMOB PARTNERS, IIPAN/ACYes (1)
STELLA MARIS INSURANCE COMPANY LIMITED
980632008INSURANCEN/ACYes (1)PO BOX 69GRAND CAYMANCJCJCAYMAN ISLANDSKY1-1102
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREETCOLUMBUSOH43213311531102FINANCE, INSURANCE AND REAL ESTATEOHCYes (1)MOUNT CARMEL HEALTH SYSTEM1.00000
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232625981GENERAL PARTNER OF LMOB PARTNERS,PAN/ACYes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAYLIVONIAMI48152452603654REAL ESTATE BROKERAGE SERVICESMIN/ACYes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152383410377GRANTOR TRUSTMIN/ATYes (1)
VENZKE INSURANCE COMPANY LTD
980453602PROVISION OF INSURANCE COVERAGEN/ACYes (1)PO BOX 1051 GRAND CAYMANGRAND CAYMANCJCJ
WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM
1820 44TH STREET SEKENTWOODMI49508382700166CONDOMINIUM ASSOCIATIONMIN/ACYes (1)
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY STMUSKEGONMI49442383112035OCCUPATIONAL HEALTHMIN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (30 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TRINITY HOME HEALTH SERVICES INC
P$144,239PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
L$971,557PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
L$162,240PER BOOKS
TRINITY HEALTH CORPORATION
B$13,662,745PER BOOKS
TRINITY HEALTH CORPORATION
M$67,721,989PER BOOKS
TRINITY HEALTH CORPORATION
P$37,697,561PER BOOKS
TRINITY HEALTH CORPORATION
Q$1,032,747PER BOOKS
TRINITY HEALTH CORPORATION
R$20,491,674PER BOOKS
MOUNT CARMEL COLLEGE OF NURSING
K$262,224PER BOOKS
MOUNT CARMEL COLLEGE OF NURSING
B$1,005,163PER BOOKS
DILEY RIDGE MEDICAL CENTER
A$447,929PER BOOKS
DILEY RIDGE MEDICAL CENTER
L$1,688,985PER BOOKS
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
C$1,959,437PER BOOKS
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
L$860,618PER BOOKS
MOUNT CARMEL HEALTH PLAN
L$90,110,123PER BOOKS
MOUNT CARMEL HEALTH INSURANCE COMPANY
L$943,787PER BOOKS
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
C$76,230PER TAX RETURN
MCMC POB III LIMITED PARTNERSHIP
C$135,900PER TAX RETURN
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
C$102,300PER TAX RETURN
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
C$178,450PER TAX RETURN
MCE MOB IV LIMITED PARTNERSHIP
C$259,116PER TAX RETURN
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
B$171,674PER TAX RETURN
TRINITY HEALTH CORPORATION
E$13,800,000PER BOOKS
TRINITY HEALTH - MICHIGAN
L$89,269PER BOOKS
TRINITY HEALTH - MICHIGAN
M$2,183,413PER BOOKS
MOUNT CARMEL HEALTH PROVIDERS
A$969,323PER BOOKS
MOUNT CARMEL HEALTH PROVIDERS
K$168,416PER BOOKS
MOUNT CARMEL HEALTH PROVIDERS
L$3,463,498PER BOOKS
MOUNT CARMEL HEALTH PROVIDERS
M$3,627,278PER BOOKS
MOUNT CARMEL HEALTH PROVIDERS
P$224,184PER BOOKS