MOUNT CARMEL HEALTH SYSTEM FOUNDATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT CARMEL HEALTH SYSTEM FOUNDATION (EIN 31-1113966)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-09
- IRS object ID
- 201111299349300216
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-09T10:04:38-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311113966 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT CARMEL HEALTH SYSTEM FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 6145464300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6150 EAST BROAD STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 432131574 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACQUELINE PRIMEAU | Name |
| Title | SVP & CFO | Title |
| Phone | 6145464300 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT CARMEL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JACQUELINE PRIMEAU | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6150 EAST BROAD STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 432131574 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8248462 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | WWW.MOUNTCARMELFOUNDATION.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | SUPPORT MOUNT CARMEL HEALTH SYSTEM | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3970777 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2813626 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -13246863 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5188443 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -22954 | OtherRevenuePriorYear |
| Other Revenue Current Year | 113922 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | -9299040 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8115991 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1497822 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1554262 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1101505 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3008732 | OtherExpensePriorYear |
| Other Expenses Current Year | 3261824 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4506554 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4816086 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -13805594 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3299905 | RevenuesLessExpensesCY |
| Total Assets BOY | 90764631 | TotalAssetsBOY |
| Total Assets EOY | 100606313 | TotalAssetsEOY |
| Total Liabilities BOY | 2106334 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2103778 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 88658297 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 98502535 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF MOUNT CARMEL HEALTH SYSTEM FOUNDATION IS TO SOLICIT AND RECEIVE GIFTS, GRANTS, BEQUESTS, AND OTHER FINANCIAL AID FROM THE GENERAL PUBLIC AND OTHER SOURCES FOR THE SUPPORT AND MAINTENANCE OF THE CHARITABLE ACTIVITIES OF MOUNT CARMEL HEALTH SYSTEM. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3710997 | Expense |
| Grants | 1554262 | Grants |
| Revenue | 154540 | Revenue |
| Description | MOUNT CARMEL HEALTH SYSTEM FOUNDATION IS THE SOLE FUNDRAISING ARM OF THE MOUNT CARMEL HEALTH SYSTEM AND RAISES CHARITABLE DONATIONS THROUGH TARGETED INDIVIDUAL CAMPAIGNS, SPECIAL EVENTS AND FOUNDATION AND CORPORATE GRANTS. FOUNDATION STAFF MEMBERS PROCESS AND ACKNOWLEDGE ALL CONTRIBUTIONS, MAINTAIN ONGOING RELATIONSHIPS WITH DONORS, AND ENSURE THAT ALL GIFTS ARE USED ACCORDING TO THE DONORS' WISHES. MOUNT CARMEL HEALTH SYSTEM FOUNDATION WAS ESTABLISHED IN 1984 TO PROVIDE ASSISTANCE TO THE MOUNT CARMEL HEALTH SYSTEM AND TO THE HEALTH AND WELL BEING OF THE COMMUNITY WE SERVE. THE FOUNDATION PROVIDES QUALITY HEALTH CARE THROUGH COMMUNITY OUTREACH PROGRAMS INCLUDING FREE IMMUNIZATIONS, WELL-BABY CARE, AND PRENATAL INCENTIVE PROGRAMS, AMONG MANY OTHER COMMUNITY PROGRAMS. IN ADDITION, THE FOUNDATION LENDS SUPPORT TO HEALTH-CENTERED EDUCATIONAL PROGRAMMING AND RESOURCES TO THE COMMUNITY. THE FOUNDATION SUPPORTS MEDICAL EDUCATION FOR PHYSICIANS AND ASSOCIATES, COMMUNITY EDUCATION, THE MOUNT CARMEL COLLEGE OF NURSING AND MOUNT CARMEL HOSPICE AS WELL AS MANY OTHER AREAS OF THE HEALTH SYSTEM.THE FOLLOWING MOUNT CARMEL ENTITIES OR DEPARTMENTS RECEIVED GRANTS FROM THE MOUNT CARMEL HEALTH SYSTEM FOUNDATION IN FISCAL 2010:- HOSPICE/PALLIATIVE CARE- MEDICAL AND STAFF EDUCATION- COLLEGE OF NURSING- CRIME AND TRAUMA ASSISTANCE- WOMEN'S SERVICES- MISSION AND OUTREACHTHE ABOVE MOUNT CARMEL ENTITIES OR DEPARTMENTS PROVIDED THE FOLLOWING PROGRAMS:- SUPPORT OF NURSING CONTINUING EDUCATION AT MOUNT CARMEL EAST- SUPPORT OF PASTORAL CARE AT MOUNT CARMEL FACILITIES- SUPPORT OF COMMUNITY OUTREACH THROUGH THE MOBILE MEDICAL COACH PROGRAM TO PROVIDE HEALTH SCREENINGS, EDUCATION TO EPISODIC AND SOMETIMES URGENT CARE NEEDS FOR NEEDY UNINSURED AND HOMELESS- PROVIDE SCHOLARSHIPS TO COLLEGE OF NURSING STUDENTS- SUPPORT PRESCRIPTION EASE PROGRAM WHICH HELPS PATIENTS AND PHYSICIAN OFFICES NAVIGATE THE MAZE OF PHARMACEUTICAL COMPANY ENROLLMENT REQUIREMENTS AND PAPERWORK TO HELP NEEDY PATIENTS GET THE MEDICATIONS THEY NEED AT LOW OR NO COST- GLUCOMETER SUPPLIES FOR UNINSURED DIABETIC PATIENTS | Description |
| Total Program Service Expense | 3710997 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 1 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACQUELINE PRIMEAU | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6145464300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6150 EAST BROAD STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 432131574 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|
| LINDA GAUSE | |||||||
| TRUSTEE; CHAIR THROUGH 8/09 | 1.00 | X | X | 0 | 0 | 0 | |
| MSGR JOSEPH HENDRICKS | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| FLOYD JONES | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| PAT MCCURDY | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| CLAUS VON ZYCHLIN | |||||||
| TRUSTEE/PRES & CEO | 1.00 | X | X | 0 | 1007069 | 70248 | |
| JONATHAN FEIBEL MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| SU LOK | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| SR BARBARA HAHL | |||||||
| TRUSTEE; TREASURER THROUGH 8/09 | 1.00 | X | X | 0 | 0 | 8213 | |
| GEORGE LEWANDOWSKI MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| LISA ESCHLEMAN | |||||||
| SECRETARY AS OF 9/09; TRUSTEE | 1.00 | X | X | 0 | 0 | 0 | |
| THOMAS RIZZO | |||||||
| TRUSTEE THROUGH 8/09 | 1.00 | X | 0 | 0 | 0 | ||
| DAVID COLOMBO MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM ZOX | |||||||
| TREASURER AS OF 9/09; TRUSTEE | 1.00 | X | X | 0 | 0 | 0 | |
| KAREN DAYS | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| JEFFREY SOPP | |||||||
| TRUSTEE THROUGH 8/09 | 1.00 | X | 0 | 0 | 0 | ||
| BRENDA STIER | |||||||
| CHAIR as of 9/09; V. CHR THRU 08/09 | 1.00 | X | X | 0 | 0 | 0 | |
| FRANK BETTENDORF | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| LARRY ENGLISH | |||||||
| V CHAIR as of 9/09; SEC THRU 08/09 | 1.00 | X | X | 0 | 0 | 0 | |
| TODD JENKINS MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| LINDA KAUFFMAN | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| LEWIS SMOOT JR | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DOUGLAS STEIN | |||||||
| EXECUTIVE DIRECTOR | 45.00 | X | 0 | 189817 | 29391 | ||
| ROBERT DUNN | |||||||
| TRUSTEE AS OF 9/09 | 1.00 | X | 0 | 0 | 0 | ||
| CHARLES GEHRING | |||||||
| TRUSTEE AS OF 9/09 | 1.00 | X | 0 | 0 | 0 | ||
| AUGUSTUS PARKER MD | |||||||
| TRUSTEE AS OF 9/09 | 1.00 | X | 0 | 0 | 0 | ||
| JACQUELINE PRIMEAU | |||||||
| SVP & CFO | 1.00 | X | 0 | 491642 | 32586 | ||
| RONALD WHITESIDE | |||||||
| SVP SYSTEM COO | 1.00 | X | 0 | 453976 | 269271 | ||
| JOHN HEISLER | |||||||
| SVP, HUMAN RESOURCES | 1.00 | 0 | 299295 | 43505 | X | ||
| HUGH JONES | |||||||
| SVP, STRATEGY & SYS DEV | 1.00 | 0 | 286450 | 32785 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2728249 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 485999 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUND EVALUATION GROUP LLC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 EAST FIFTH ST STE 1600 | AddressLine1 |
| City | CINCINNATI | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | FINANCIAL SERVICES | DescriptionOfServices |
| Compensation | 127436 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 308899 | FundraisingEvents |
| Related Organizations | 53740 | RelatedOrganizations |
| Government Grants | 994831 | GovernmentGrants |
| All Other Contributions | 1456156 | AllOtherContributions |
| Noncash Contributions | 63258 | NoncashContributions |
| Total Contributions | 2813626 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2711024 | TotalRevenueColumn |
| Exclusion | $2,711,024 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2477419 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2477419 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2477419 | TotalRevenueColumn |
| Exclusion | $2,477,419 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 62150 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 308899 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 105828 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -43678 | TotalRevenueColumn |
| Exclusion | -$43,678 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 29703 | GrossIncomeGaming |
| Gaming Direct Expenses | 26643 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3060 | TotalRevenueColumn |
| Exclusion | $3,060 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 154540 | TotalRevenueColumn |
| Related Or Exempt Function Income | 154540 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 154540 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8115991 | TotalRevenueColumn |
| Related Or Exempt Function Income | 154540 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $5,147,825 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1023920 | Total |
| Program Services | 1023920 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 530342 | Total |
| Program Services | 530342 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1401 | Total |
| Program Services | 1401 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 474385 | Total |
| Program Services | 309296 | ProgramServices |
| Management And General | 2531 | ManagementAndGeneral |
| Fundraising | 162558 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227498 | Total |
| Program Services | 206487 | ProgramServices |
| Management And General | 246 | ManagementAndGeneral |
| Fundraising | 20765 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6927 | Total |
| Program Services | 6927 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35018 | Total |
| Program Services | 25944 | ProgramServices |
| Fundraising | 9074 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51767 | Total |
| Program Services | 51312 | ProgramServices |
| Fundraising | 455 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38907 | Total |
| Program Services | 38907 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162 | Total |
| Program Services | 162 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1215 | Total |
| Fundraising | 1215 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| LBR COSTS PD BY PARENT | 1441393 | 838566 | 807 | 602020 |
| CORPORATE ALLOCATION | 382578 | 382578 | ||
| INTERCO. PURCHASED SVCS | 56405 | 56405 | ||
| SUBSCRIPTIONS & DUES | 19069 | 13547 | 5522 | |
| EQUIPMENT MAINTENANCE | 6605 | 6605 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 518494 | Total |
| Program Services | 275003 | ProgramServices |
| Fundraising | 243491 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4816086 | Total |
| Program Services | 3710997 | ProgramServices |
| Management And General | 3584 | ManagementAndGeneral |
| Fundraising | 1101505 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5788647 | BOY |
| EOY | 2120480 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1200566 | BOY |
| EOY | 205641 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11087 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11087 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90744 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59079924 | BOY |
| EOY | 78450337 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24089504 | BOY |
| EOY | 19621938 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 515246 | BOY |
| EOY | 207917 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90764631 | BOY |
| EOY | 100606313 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60104 | BOY |
| EOY | 47373 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2046230 | BOY |
| EOY | 2056405 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2106334 | BOY |
| EOY | 2103778 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81106831 | BOY |
| EOY | 92310054 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5971366 | BOY |
| EOY | 4541388 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1580100 | BOY |
| EOY | 1651093 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88658297 | BOY |
| EOY | 98502535 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90764631 | BOY |
| EOY | 100606313 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (8 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| MOUNT CARMEL HEALTH SYSTEM | |||||
| 311439334 | 11, TYPE I | 1 | 1 | 1 | $795,312 |
| MOUNT CARMEL HEALTH | |||||
| 314379602 | 3 | 0 | 1 | 1 | $7,303 |
| MOUNT CARMEL COLLEGE OF NURSING | |||||
| 311308555 | 2 | 0 | 1 | 1 | $731,995 |
| MOUNT CARMEL CARE CONTINUUM SERVICES | |||||
| 311126211 | 3 | 0 | 1 | 1 | $19,652 |
| ST ANN'S HOSPITAL | |||||
| 314412701 | 3 | 0 | 1 | 1 | $0 |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | |||||
| 870790288 | 3 | 0 | 1 | 1 | $0 |
| TRINITY HEALTH CORPORATION | |||||
| 351443425 | 11, TYPE I | 0 | 1 | 1 | $0 |
| diley ridge medical center | |||||
| 342032340 | 3 | 0 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 8 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 1554262 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2676595 | BeginningOfYearBalance |
| Contributions | 523634 | Contributions |
| Investment Earnings Or Losses | 13638 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3213867 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3405249 | BeginningOfYearBalance |
| Contributions | -15572 | Contributions |
| Investment Earnings Or Losses | -79082 | InvestmentEarningsOrLosses |
| Other Expenditures | 634000 | OtherExpenditures |
| End Of Year Balance | 2676595 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.43130 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.51380 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.05490 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2165 | OtherCostOrOtherBasis |
| Depreciation | 2165 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8922 | OtherCostOrOtherBasis |
| Depreciation | 8922 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | 10323961 | F |
| ABSOLUTE RETURN STRATEGY FUNDS | 9297977 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 19621938 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY ACCOUNTS PAYABLE | $56,405 |
| INTERCOMPANY NOTES PAYABLE | $2,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2056405 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | THE ENDOWMENT FUNDS WILL BE USED AS FOLLOWS: HOSPICE, COLLEGE OF NURSING (INCLUDING SCHOLARSHIPS), FACILITIES, GRADUATE MEDICAL EDUCATION, CONTINUING MEDICAL EDUCATION, CONSTRUCTION OF NEW FACILITIES, GENERAL PURPOSE, OPERATIONS, OB/GYN RESIDENCY EDUCATION AND INTERN IMPROVEMENT. |
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | MOUNT CARMEL HEALTH SYSTEM FOUNDATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS SOLE MEMBER, MOUNT CARMEL HEALTH SYSTEM (MCHS). MCHS' FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2010 DID NOT INCLUDE A FIN 48 FOOTNOTE. MOUNT CARMEL HEALTH SYSTEM FOUNDATION is ALSO included in the consolidated financial statements of Trinity Health (THE SOLE MEMBER OF MOUNT CARMEL HEALTH SYSTEM). Trinity Health's financial statements for the year ended June 30, 2010 did not include a FIN 48 footnote. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CHAMPAGNE AND DIAMONDS GALA | NameOfEvent1 |
| Gross Receipts Event1 | 240957 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 206307 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 34650 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 59851 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 1630 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 5300 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 7125 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF INVITATIONAL | NameOfEvent2 |
| Gross Receipts Event2 | 130092 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 102592 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 27500 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 5973 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 24267 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 1682 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 371049 | GrossReceiptsTotal |
| Charitable Contributions Total | 308899 | CharitableContributionsTotal |
| Gross Revenue Total Events | 62150 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 5973 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 84118 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 1630 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 5300 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 8807 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 105828 | DirectExpenseSummaryEvents |
| Net Income Summary | -43678 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 29703 | GrossRevenueOtherGaming |
| Non Cash Prizes Other Gaming | 26053 | NonCashPrizesOtherGaming |
| Other Direct Expenses Other Gaming | 590 | OtherDirectExpensesOtherGaming |
| Volunteer Labor Other Gaming | 1 | VolunteerLaborOtherGaming |
| Volunteer Labor Prcnt Other Gaming | 1.00000 | VolunteerLaborPrcntOtherGaming |
| Gross Revenue Total Gaming | 29703 | GrossRevenueTotalGaming |
| Non Cash Prizes Total Gaming | 26053 | NonCashPrizesTotalGaming |
| Other Direct Expenses Total Gaming | 590 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 26643 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 3060 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | OH | StatesWhereGamingConducted |
| Licensed | 0 | Licensed |
| Explanation If No | ACCORDING TO OHIO REVISED CODE 1716.03, MOUNT CARMEL HEALTH SYSTEM FOUNDATION IS NOT REQUIRED TO REGISTER WITH THE ATTORNEY GENERAL FOR A GAMING LICENSE SINCE IT IS AN EXEMPT ENTITY UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), AND ITS INTENT IS NOT TO MAKE A PROFIT BUT RATHER TO RAISE FUNDS FOR THE ORGANIZATION. | ExplanationIfNo |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 0 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 0.00000 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAM POWELL | BusinessNameLine1 |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6150 EAST BROAD STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 432131574 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
Gaming Manager Name Business GamingManagerNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAM POWELL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Manager Services Provided | PART OF PAM POWELL'S RESPONSIBILITIES ARE TO OVERSEE ALL FUNCTIONS INVOLVING THE FOUNDATION'S FINANCES. PAM DOES NOT RECEIVE A SPECIFIED SALARY FOR GAMING MANAGER. | GamingManagerServicesProvided |
| Gaming Manager Is Employee | X | GamingManagerIsEmployee |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| MT CARMEL HEALTH | |||||||
| 6150 E BROAD ST | COLUMBUS | OH | 43213 | 314379602 | 501(C)(3) | 7303 | INDIRECT COSTS SUPPORTED BY THE MT. SINAI/NCI PALLIATIVE CLINICAL RESEARCH GRANT |
| MT CARMEL HEALTH SYSTEM | |||||||
| 6150 E BROAD ST | COLUMBUS | OH | 43213 | 311439334 | 501(C)(3) | 793498 | SUPPORT FOR OUTREACH PROGRAMS |
| MT CARMEL HEALTH SYSTEM | |||||||
| 6150 E BROAD ST | COLUMBUS | OH | 43213 | 311439334 | 501(C)(3) | 1814 | MAMMOGRAMS FOR UNDER/UNINSURED AND SISTER ROSE THOMAS FUND |
| MT CARMEL COLLEGE OF NURSING | |||||||
| 6150 E BROAD ST | COLUMBUS | OH | 43213 | 311308555 | 501(C)(3) | 201653 | SCHOLARSHIPS |
| MT CARMEL CARE CONTINUUM SERVICES | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311126211 | 501(C)(3) | 19652 | INDIRECT COSTS SUPPORTED BY THE MT. SINAI/NCI PALLIATIVE CLINICAL RESEARCH GRANT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|
| SCHOLARSHIPS TO ATTEND MOUNT CARMEL COLLEGE OF NURSING | 244 | 513434 | |||
| BOOKS FOR MOUNT CARMEL COLLEGE OF NURSING STUDENTS | 41 | 7000 | FMV | BOOKS | |
| CHARLIE'S JAVA JOLT STUDENT WORKERS | 8 | 9908 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: THE GRANTS MADE BY MOUNT CARMEL HEALTH SYSTEM FOUNDATION ARE LIMITED TO TAX-EXEMPT MOUNT CARMEL ENTITIES AND ARE MADE IN FURTHERANCE OF THEIR EXEMPT PURPOSE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLAUS VON ZYCHLIN | |||||||||||||
| 0 | 466168 | 0 | 442450 | 0 | 98451 | 0 | 42829 | 0 | 27419 | 0 | 1077317 | 0 | 0 |
| DOUGLAS STEIN | |||||||||||||
| 0 | 170964 | 0 | 18626 | 0 | 227 | 0 | 8981 | 0 | 20410 | 0 | 219208 | 0 | 0 |
| JACQUELINE PRIMEAU | |||||||||||||
| 0 | 343908 | 0 | 70753 | 0 | 76981 | 0 | 22360 | 0 | 10226 | 0 | 524228 | 0 | 60642 |
| RONALD WHITESIDE | |||||||||||||
| 0 | 357508 | 0 | 70976 | 0 | 25492 | 0 | 248590 | 0 | 20681 | 0 | 723247 | 0 | 0 |
| JOHN HEISLER | |||||||||||||
| 0 | 241561 | 0 | 44566 | 0 | 13168 | 0 | 21667 | 0 | 21838 | 0 | 342800 | 0 | 0 |
| HUGH JONES | |||||||||||||
| 0 | 222663 | 0 | 46769 | 0 | 17018 | 0 | 12051 | 0 | 20734 | 0 | 319235 | 0 | 6759 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4a | ReturnReference |
| Explanation | THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2009 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: RONALD WHITESIDE - $206,250 PART I, LINE 4B: THE FOLLOWING IS A PARTICIPANT IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2009). THE FOLLOWING ACCRUAL FOR 2009 FOR THIS PLAN IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: CLAUS VON ZYCHLIN - $22,044 Part II, Column B (ii): CLAUS VON ZYCHLIN received $292,000 in 2009 from a long-term incentive plan (LTIP). Participants in the LTIP (CEOS and certain Trinity executives) were eligible to receive a payment under the plan only if certain patient loyalty improvement targets were achieved by the end of a three-year period (FY07 through FY09). | Explanation |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 5000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 41260 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | MISCELLANEOUS | Description |
| Number Of Contributions | 5 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 16998 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | THE SOLE MEMBER OF MOUNT CARMEL HEALTH SYSTEM FOUNDATION IS MOUNT CARMEL HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. | |
| Form 990, Part VI, Section A, line 7a | MOUNT CARMEL HEALTH SYSTEM IS THE SOLE MEMBER OF MOUNT CARMEL HEALTH SYSTEM FOUNDATION. MOUNT CARMEL HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF trustees OF MOUNT CARMEL HEALTH SYSTEM FOUNDATION. | |
| Form 990, Part VI, Section A, line 7b | AS SOLE MEMBER, MOUNT CARMEL HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MOUNT CARMEL HEALTH SYSTEM 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 11 | MOUNT CARMEL HEALTH SYSTEM FOUNDATION'S FORM 990 WAS REVIEWED BY MANAGEMENT. MANAGEMENT REVIEW TOOK PLACE BEFORE THE FORM 990 WAS FILED WITH THE INTERNAL REVENUE SERVICE. | |
| Form 990, Part VI, Section B, line 12c | MOUNT CARMEL HEALTH SYSTEM FOUNDATION 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 FOUNDATION, 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 FOUNDATION'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 FOUNDATION 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 FOUNDATION 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 FOUNDATION. 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 FOUNDATION ON AN ANNUAL BASIS. | |
| Form 990, Part VI, Section B, line 15 | 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 FOUNDATION 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 19 | MOUNT CARMEL HEALTH SYSTEM FOUNDATION 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 ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. | |
| FORM 990, PART VII, SECTION A, LINE 1, COLUMN B: | THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: SR. BARBARA HAHL - 54 HOURS JOHN HEISLER - 54 HOURS HUGH JONES - 54 HOURS JACQUELINE PRIMEAU - 54 HOURS CLAUS VON ZYCHLIN - 54 HOURS RONALD WHITESIDE - 54 HOURS | ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: |
| FORM 990, PART VII, SECTION A: | SR. BARBARA HAHL IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. BARBARA DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO MOUNT CARMEL HEALTH SYSTEM EXCEPT FOR INSURANCE BENEFITS ($5,093) AND THE USE OF A LEASED CAR ($3,120). INSTEAD, A TOTAL OF $257,696 WAS PAID BY MOUNT CARMEL HEALTH SYSTEM DIRECTLY TO THE SISTERS OF THE HOLY CROSS FOR SR. BARBARA'S SERVICES. | |
| Form 990, Part XI, Line 2: | MOUNT CARMEL HEALTH SYSTEM FOUNDATION's financial statements were included in the FY10 consolidated financial statements of ITS SOLE MEMBER, MOUNT CARMEL HEALTH SYSTEM, AS WELL AS THE CONSOLIDATED FINANCIAL STATEMENTS OF Trinity Health. BOTH SETS OF CONSOLIDATED FINANCIAL STATEMENTS were audited by an independent public accounting firm. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CLR Investments LLC | |||||||||
| 120 W HARRIS ST | CADILLAC | MI | 49601 | 320008631 | Real estate rental & development | MI | 19827 | 175469 | Trinity Health-Michigan |
| Saint Agnes Home Health and Hospice LLC | |||||||||
| 17410 COLLEGE PARKWAY STE 150 | LIVONIA | MI | 48152 | 382621935 | Provide home health services | CA | 9367604 | 1116725 | Trinity Home Health Services Inc |
| Saint Mary's Pharmacy LLC | |||||||||
| 200 JEFFERSON AVE SE | GRAND RAPIDS | MI | 49503 | 383404443 | Pharmacy | MI | 0 | 0 | Trinity Health-Michigan |
| Mount Carmel HealthProviders Two LLC | |||||||||
| 6150 E BROAD STREET | COLUMBUS | OH | 43213 | 201983271 | MEDICAL SERVICES | OH | 0 | 0 | MOUNT CARMEL HEALTH PROVIDERS INC |
| PATHWAY HOSPICE LLC | |||||||||
| 1050 SW 3RD AVE SUITE 1600 | ONTARIO | OR | 97914 | 931310235 | HOSPICE CARE | OR | 1273503 | 1512716 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO |
| TRINITY HEALTH-WARDE LAB LLC | |||||||||
| 34605 W TWELVE MILE ROAD | FARMINGTON HILLS | MI | 48331 | 272681908 | REAL ESTATE RENTAL | DE | 0 | 0 | TRINITY HEALTH - MICHIGAN |
| MOUNT CARMEL HEALTH PROVIDERS III LLC | |||||||||
| 10 West Broad St Ste 2100 | COLUMBUS | OH | 43215 | 204145781 | MEDICAL SERVICES | OH | 1741059 | 6043 | MOUNT CARMEL HEALTH PROVIDERS INC |
Form990 Schedule R Part II Form990ScheduleRPartII (90 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|
| AMICARE HOSPICE SERVICES INC | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382949053 | PROVIDE HOSPICE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | |
| AUXILIARY OF HOLY ROSARY HOSPITAL | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | SUPPORTS SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 9 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | |
| BATTLE CREEK HEALTH SYSTEM | ||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382776791 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | TRINITY HEALTH - MICHIGAN | |
| BATTLE CREEK HEALTH SYSTEM AUXILIARY | ||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 383355520 | SUPPORT OF TAX EXEMPT HEALTH ORGANIZATION | MI | 501(C)(3) | 11, TYPE I | BATTLE CREEK HEALTH SYSTEM | |
| BAUM HARMON MERCY HOSPITAL | ||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 421500277 | Acute/Ambulatory healthcare services | IA | 501(C)(3) | 3 | Mercy Health Services-Iowa Corp | |
| BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION | ||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | Support the services of related hospital | IA | 501(C)(3) | 11, TYPE I | Baum Harmon Mercy Hospital | |
| CAPITAL PARK FAMILY HEALTH CENTER INC | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311387838 | Operation of a federally qualified health center (formerly) | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| CATHERINE MCAULEY HEALTH SERVICES CORP | ||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | Further Trinity Health activities, organize and develop medical services | MI | 501(C)(3) | 11, TYPE II | Trinity Health-Michigan | |
| Cranbrook Hospice Care | ||||||||||
| 281 ENTERPRISE COURT | BLOOMFIELD HILLS | MI | 48302 | 383320699 | Provide hospice health services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Diley Ridge Medical Center | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 342032340 | Hospital campus in Fairfield County Ohio | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| Dubuque Mercy Health Foundation Inc | ||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | Support the services of related hospital | IA | 501(C)(3) | 11, TYPE I | Mercy Health Services-Iowa Corp | |
| Dyersville Health Foundation Inc | ||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | Support the services of related hospital | IA | 501(C)(3) | 11, TYPE I | Mercy Health Services-Iowa Corp | |
| Hackley Hospital | ||||||||||
| 1700 CLINTON ST PO BOX 3302 | MUSKEGON | MI | 494433302 | 381358196 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | Mercy Health Partners | |
| Hackley Hospital Self Insurance Professional Liability Trust | ||||||||||
| PO BOX 3302 | MUSKEGON | MI | 494433302 | 382299878 | Self insurance for general and malpractice liability | MI | 501(C)(3) | 11, TYPE III-FI | Mercy Health Partners | |
| Hackley Life Counseling | ||||||||||
| 1352 TERRACE ST | MUSKEGON | MI | 494423545 | 381386362 | Counseling, education, and support | MI | 501(C)(3) | 9 | Mercy Health Partners | |
| Hackley Visiting Nurse Services and Hospice Inc | ||||||||||
| 888 TERRACE ST | MUSKEGON | MI | 49440 | 381359598 | Provide home health care services | MI | 501(C)(3) | 7 | Mercy Health Partners | |
| Holy Cross Carenet Inc | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 521945054 | Long-term care and rehabilitation for the elderly | MD | 501(C)(3) | 9 | Trinity Continuing Care Services | |
| Holy Cross Hospital Foundation Inc | ||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 208428450 | Charitable fundraising | MD | 501(C)(3) | 11, TYPE I | Holy Cross Hospital of Silver Spring Inc | |
| Holy Cross Hospital of Silver Spring Inc | ||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 209101484 | 520738041 | HEALTHCARE SERVICES | MD | 501(C)(3) | 3 | Trinity Health Corporation | |
| Holy Cross Medical Center | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 951985442 | HEALTHCARE SERVICES (FORMERLY) | CA | 501(C)(3) | 3 | Trinity Health Corporation | |
| HOLY ROSARY MEDICAL CENTER FOUNDATION | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 202683560 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | |
| Hospice of North Iowa | ||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 504016208 | 421173708 | Hospice health care services | IA | 501(C)(3) | 7 | Mercy Health Services-Iowa Corp | |
| Hospice of Washtenaw II | ||||||||||
| 806 AIRPORT BLVD | ANN ARBOR | MI | 48108 | 383320707 | Hospice health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| HPCN | ||||||||||
| 1675 LEAHY STREET | MUSKEGON | MI | 49442 | 300207909 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE II | Mercy Health Partners | |
| Lakeshore Community Hospital Inc | ||||||||||
| 72 S STATE STREET | SHELBY | MI | 494551228 | 382549295 | Acute healthcare services | MI | 501(C)(3) | 3 | Mercy Health Partners | |
| Lifespan Inc | ||||||||||
| 166 EAST GOODALE AVE | BATTLE CREEK | MI | 490372728 | 383298476 | Provide hospice health services | MI | 501(C)(3) | 9 | Battle Creek Health System | |
| Marian Home Healthcare | ||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | Provide home health care services | IA | 501(C)(3) | 11, TYPE I | Mercy Health Services-Iowa Corp | |
| McAuley Clinic Corporation | ||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTHCARE SERVICES (FORMERLY) | MI | 501(C)(3) | 3 | Catherine McAuley Health Services Corp | |
| Mercy Amicare Home Healthcare Oakland | ||||||||||
| 281 ENTERPRISE COURT | BLOOMFIELD HILLS | MI | 483020312 | 383320698 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Mercy Amicare Home Healthcare Port Huron | ||||||||||
| 2540 16TH STREET | PORT HURON | MI | 48060 | 383320701 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Mercy Community Physicians | ||||||||||
| 363 FREMONT ST | BATTLE CREEK | MI | 49017 | 264252468 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | Battle Creek Health System | |
| Mercy General Health Partners Amicare Homecare | ||||||||||
| 684 HARVEY STREET | MUSKEGON | MI | 49442 | 383321856 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Mercy Health Partners | ||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | Healthcare system support | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Mercy Health Services - Iowa Corp | ||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTHCARE SERVICES | DE | 501(C)(3) | 3 | Trinity Health-Michigan | |
| Mercy Healthcare Foundation | ||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | Fundraising and financial assistance for hospital charitable services | IA | 501(C)(3) | 11, TYPE I | Mercy Medical Center-Clinton | |
| Mercy Hosp & Health Services of DetroitMarshall Park Health Services Inc | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 381562325 | Supports malpractice contingencies of closed hospital | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Mercy Hospital Cadillac Foundation | ||||||||||
| 400 HOBART | CADILLAC | MI | 496012331 | 203357131 | Support the services of related hospital | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Mercy Hospital Gift Shop | ||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 381630480 | Volunteer Service Auxiliary | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Mercy Medical Center - Clinton Inc | ||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 527322940 | 421336618 | To provide quality health care | DE | 501(C)(3) | 3 | Mercy Health Services-Iowa Corp | |
| Mercy Medical Center - Sioux City Foundation | ||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51102 | 141880022 | Support the services of related hospital | IA | 501(C)(3) | 7 | Mercy Health Services-Iowa Corp | |
| Mercy Medical Center Foundation - North Iowa | ||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 504012800 | 421229151 | Support the services of related hospital | IA | 501(C)(3) | 11, TYPE III-FI | Mercy Health Services-Iowa Corp | |
| MERCY MEDICAL CENTER FOUNDATION INC | ||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 261737256 | SUPPORT THE SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 7 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | |
| Mercy North Homecare and Hospice | ||||||||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | 383313897 | Home health and hospice services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Mercy Pavilion of Battle Creek | ||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382783350 | Provides long-term care for the elderly | MI | 501(C)(3) | 9 | Battle Creek Health System | |
| MERCY PHYSICIAN GROUP INC | ||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 208192593 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 9 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | |
| Mercy Services for Aging Non-profit Housing Corporation | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 382719605 | Provides long-term care for the elderly | MI | 501(C)(3) | 11, TYPE II | Trinity Continuing Care Services Inc | |
| Midwest Medflight | ||||||||||
| 1300 VICTORS WAY | ANN ARBOR | MI | 48108 | 382684671 | Aeromedical transport | MI | 501(C)(3) | 9 | Trinity Health-Michigan | |
| Mount Carmel Care Continuum Services Corp | ||||||||||
| 793 WEST STATE STREET | COLUMBUS | OH | 43222 | 311126211 | Cooperative hospital service organization | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| Mount Carmel College of Nursing | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | College of nursing | OH | 501(C)(3) | 2 | Mount Carmel Health | |
| Mount Carmel Health | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 314379602 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| Mount Carmel Health Insurance Company | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 251912781 | Health Insurance | OH | 501(C)(4) | N/A | Mount Carmel Health System | |
| Mount Carmel Health Plan Inc | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311471229 | Medicare HMO for seniors | OH | 501(C)(4) | N/A | Mount Carmel Health System | |
| Mount Carmel Health System | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | Healthcare system management and support | OH | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OH | 501(C)(3) | 11, TYPE I | MOUNT CARMEL HEALTH SYSTEM | |
| Mount Carmel Home Care LLC | ||||||||||
| 1144 DUBLIN ROAD SUITE B | COLUMBUS | OH | 43215 | 262729300 | Provide home health care services | OH | 501(C)(3) | 9 | Trinity Home Health Services Inc | |
| Mount Carmel New Albany Surgical Hospital | ||||||||||
| 7333 SMITHS MILL RD | NEW ALBANY | OH | 43054 | 870790288 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| MRI Mobile Services of West Michigan | ||||||||||
| 1820 - 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) | MI | 501(C)(3) | 9 | Trinity Health-Michigan | |
| MUSKEGON COMMUNITY HEALTH PROJECT | ||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES | MI | 501(C)(3) | 7 | MERCY HEALTH PARTNERS | |
| Oakland Mercy Hospital | ||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE SERVICES | NE | 501(C)(3) | 3 | Mercy Health Services-Iowa Corp | |
| Port Huron Mercy Family Care Inc | ||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 201855647 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Professional Med Team | ||||||||||
| 965 FORK STREET | MUSKEGON | MI | 494423257 | 382638284 | Medical care, transportation and education | MI | 501(C)(3) | 9 | Trinity Health-Michigan | |
| Professional Office Corporation | ||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTHCARE SERVICES | CA | 501(C)(3) | 11, TYPE I | Saint Agnes Medical Center | |
| Saint Agnes Medical Center | ||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE SERVICES | CA | 501(C)(3) | 3 | Trinity Health Corporation | |
| Saint Alphonsus Building Company Inc | ||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | Supports services of related hospital | ID | 501(C)(3) | 11, TYPE I | Saint Alphonsus Regional Medical Center Inc | |
| Saint Alphonsus Diversified Care Inc | ||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | Supports services of related hospital | ID | 501(C)(3) | 11, TYPE I | Saint Alphonsus Regional Medical Center Inc | |
| SAINT ALPHONSUS HEALTH SYSTEM INC | ||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | |
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY | ||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA | ||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820200896 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | |
| Saint Joseph Regional Medical Center - Plymouth Campus Inc | ||||||||||
| 1915 LAKE AVENUE PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | Healthcare services | IN | 501(C)(3) | 3 | Saint Joseph Regional Medical Center Inc | |
| Saint Joseph Regional Medical Center - South Bend Campus Inc | ||||||||||
| PO BOX 1935 | SOUTH BEND | IN | 466341935 | 350868157 | Healthcare services | IN | 501(C)(3) | 3 | Saint Joseph Regional Medical Center Inc | |
| Saint Joseph Regional Medical Center Inc | ||||||||||
| 801 EAST LASALLE AVE | SOUTH BEND | IN | 46617 | 351568821 | Healthcare system management and support | IN | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
| Saint Joseph's Auxiliary of Marshall County | ||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | Hospital Service Auxiliary | IN | 501(C)(3) | 11, TYPE II | Saint Joseph Regional Medical Center - Plymouth Campus Inc | |
| Saint Joseph's Tower Inc | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 311040468 | Provides housing for low income elderly individuals | IN | 501(C)(3) | 9 | Trinity Continuing Care Services-Indiana | |
| Saint Mary's Amicare Home Healthcare | ||||||||||
| 1430 MONROE NW | GRAND RAPIDS | MI | 48905 | 383320700 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Saint Mary's Doran Foundation CO Saint Mary's Health Care | ||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | Supports services of related hospital | MI | 501(C)(3) | 7 | Trinity Health-Michigan | |
| St Alphonsus Regional Medical Center | ||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | Healthcare services | ID | 501(C)(3) | 3 | Trinity Health Corporation | |
| St John's Health System | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 350877584 | HEALTHCARE SERVICES (FORMERLY) | IN | 501(C)(3) | 3 | Trinity Health Corporation | |
| St Joseph Mercy Oakland Foundation | ||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | Supports services of related hospital | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| St Ann's Hospital | ||||||||||
| 500 SOUTH CLEVELAND AVE | WESTERVILLE | OH | 43081 | 314412701 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| ST ELIZABETH HEALTH CARE FOUNDATION | ||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 943164869 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 7 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | |
| St Joseph's Medical Center Auxiliary | ||||||||||
| 801 E LASALLE AVE PO BOX 1935 | SOUTH BEND | IN | 466341935 | 356033285 | Hospital Service Auxiliary | IN | 501(C)(4) | N/A | Saint Joseph Regional Medical Center - South Bend Campus Inc | |
| The Foundation of Saint Joseph Regional Medical Center | ||||||||||
| 4215 EDISON LAKES PARKWAY | MISHAWAKA | IN | 46545 | 351654543 | Supports services of related hospital | IN | 501(C)(3) | 11, TYPE I | Saint Joseph Regional Medical Center Inc | |
| Trinity Continuing Care Services | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 382559656 | Management services for Long term care and senior living facilities | MI | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
| Trinity Continuing Care Services - Indiana Inc | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 930907047 | Provides long-term care and residential housing | IN | 501(C)(3) | 9 | Trinity Continuing Care Services | |
| Trinity Health - Michigan | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382113393 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | Trinity Health Corporation | |
| Trinity Health Corporation | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 351443425 | Healthcare system management and support | IN | 501(C)(3) | 11, TYPE I | N/A | |
| Trinity Health International | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 421253527 | Healthcare training and support services | MI | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
| Trinity Health Welfare Benefit Trust | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 208151733 | Retiree medical and retiree life insurance coverage | MI | 501(C)(9) | N/A | Trinity Health Corporation | |
| Trinity Home Health Services Inc | ||||||||||
| 17410 COLLEGE PARKWAY | LIVONIA | MI | 48152 | 382621935 | Home health care system management services | MI | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
Form990 Schedule R Part III Form990ScheduleRPartIII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED IMAGING SERVICES OF BATTLE CREEK | ||||||||||
| 5352 BECKLEY ROAD STE A | BATTLE CREEK | MI | 49015 | 204594297 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 |
| ADVENT REHABILITATION LLC | ||||||||||
| 560 FIFTH ST NW STE 404 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | N/A | 0 | 0 |
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| BSV MEDICAL OFFICE BUILDING II LLC | ||||||||||
| 855 M STREET TENTH FLOOR | FRESNO | CA | 93721 | 202673839 | MEDICAL OFFICE BUILDING RENTAL | CA | N/A | N/A | 0 | 0 |
| CCH LABORATORY | ||||||||||
| 775 SOUTH MAIN STREET | CHELSEA | MI | 48118 | 382910400 | LABORATORY | MI | N/A | N/A | 0 | 0 |
| CENTRAL OHIO SLEEP MEDICINE LTD | ||||||||||
| 5955 EAST BROAD ST | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | N/A | N/A | 0 | 0 |
| CLINTON IMAGING SERVICES LLC | ||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A | N/A | 0 | 0 |
| FOREST PARK IMAGING LLC | ||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A | N/A | 0 | 0 |
| FRANCES WARDE MEDICAL LABORATORY | ||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | N/A | 0 | 0 |
| FRESNO IMAGING CENTER | ||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | DIAGNOSTIC IMAGING | CA | N/A | N/A | 0 | 0 |
| HAWARDEN COMMUNITY CLINIC LLC | ||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | N/A | 0 | 0 |
| IDAHO GYNONCOLOGY SERVICES LLC | ||||||||||
| 1055 N CURTIS RD | BOISE | ID | 83706 | 202975807 | PROVIDE GYN ONCOLOGY SERVICES | ID | N/A | N/A | 0 | 0 |
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A | N/A | 0 | 0 |
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||||||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | N/A | N/A | 0 | 0 |
| MCE MOB IV LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| MCMC POB III LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| MEDILUCENT MOB I | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| MERCY HEART CTR OP SERVICES LLC | ||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A | N/A | 0 | 0 |
| MERCY OUTPATIENT SURGERY CENTER LLC | ||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 841380439 | OUTPATIENT SURGERY | ID | N/A | N/A | 0 | 0 |
| MICHIANA HEALTH INFORMATION NETWORK LLC | ||||||||||
| 215 WEST MADISON STREET | SOUTH BEND | IN | 46601 | 352050128 | COMMUNITY BASED CLINICAL INFORMATION SYSTEM AND DATA DEPOSITORY | IN | N/A | N/A | 0 | 0 |
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| NEWCO AMBULATORY SURGERY CTR LLP | ||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A | N/A | 0 | 0 |
| PLAZA SURGICAL CENTER | ||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 371463357 | AMBULATORY SURGERY | CA | N/A | N/A | 0 | 0 |
| RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311531135 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| SARMED OUTPATIENT PHARMACY LLC | ||||||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A | N/A | 0 | 0 |
| SIXTY FOURTH STREET LLC | ||||||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A | N/A | 0 | 0 |
| ST ALPHONSUS CALDWELL CANCER CTR LLC | ||||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | RADIATION ONCOLOGY | ID | N/A | N/A | 0 | 0 |
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| TAMARACK MEDICAL CLINIC LLC | ||||||||||
| 610 VILLAGE DRIVE | DONNELLY | ID | 83615 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A | N/A | 0 | 0 |
| WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311784409 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| WOODLAND IMAGING CENTER LLC | ||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH VENTURES INC | ||||||||||||
| 565 W WESTERN AVE | MUSKEGON | MI | 49440 | 383522260 | SOFTWARE MARKETING | MI | N/A | C | ||||
| GENERAL HEALTHCORP VENTURES INC | ||||||||||||
| 1820-44TH STREET | KENTWOOD | MI | 49508 | 382533165 | MEDICAL SERVICES | MI | N/A | C | ||||
| HACKLEY HEALTH MANAGEMENT CENTER | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | ||||
| HACKLEY HEALTH VENTURES INC | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | ||||
| HACKLEY HEALTHCARE EQUIPMENT | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | ||||
| HACKLEY ORTHOTICS & PROSTHETICS | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382999815 | HEALTHCARE SERVICES | MI | N/A | C | ||||
| HACKLEY PROFESSIONAL CENTER | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | ||||
| HACKLEY PROFESSIONAL PHARMACY | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382447870 | PHARMACY | MI | N/A | C | ||||
| HEF INC | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383086401 | OFFICE STAFFING | MI | N/A | C | ||||
| HOLY CROSS PRIVATE HOME SERVICES CORP | ||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521986562 | HOME CARE SERVICES | MD | N/A | C | ||||
| HURON ARBOR CORPORATION | ||||||||||||
| 5301 EAST HURON RIVER DR PO BOX 992 | ANN ARBOR | MI | 48106 | 382475644 | PROVIDES OFFICE RENTAL SPACE | MI | N/A | C | ||||
| MARYLAND CARE GROUP INC | ||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521815313 | HEALTHCARE HOLDING | MD | N/A | C | ||||
| MEDNOW INC | ||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | OUTPATIENT PHARMACY | ID | N/A | C | ||||
| MERCY MEDICAL SERVICES | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | N/A | C | ||||
| MICHIGAN PHYSICIAN SERVICES | ||||||||||||
| 44405 WOODWARD AVENUE H-5 | PONTIAC | MI | 48341 | 383293125 | PHYSICIAN SERVICES | MI | N/A | C | ||||
| MICHIGAN ATHLETIC CLUB | ||||||||||||
| 2500 BURTON | GRAND RAPIDS | MI | 49546 | 382647304 | ATHLETIC CLUB | MI | N/A | C | ||||
| MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 310971510 | BEHAVIORAL HEALTHCARE SERVICES | OH | N/A | C | ||||
| MOUNT CARMEL HEALTH HORIZONS CORP | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311177652 | MEDICAL SERVICES/RENT | OH | N/A | C | ||||
| MOUNT CARMEL HEALTH PROVIDERS INC | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311382442 | MEDICAL SERVICES | OH | N/A | C | ||||
| NORTH IOWA MERCY MEDICAL SERVICES INC | ||||||||||||
| 1000 4TH ST SW | MASON CITY | IA | 50401 | 421382308 | MEDICAL SERVICES | IA | N/A | C | ||||
| PRIMARY CARE NETWORK OF OHIO INC | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311422486 | HEALTH MANAGEMENT SERVICES | OH | N/A | C | ||||
| PRIORITY PLUS OF CALIFORNIA | ||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 770395267 | FORMERLY HEALTH MANAGEMENT NOW DISCONTINUED SUBSTANTIALLY ALL OPERATIONS | CA | N/A | C | ||||
| SAINT ALPHONSUS PHYSICIAN SERVICES INC | ||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 820477852 | PHYSICIAN CLINICS | ID | N/A | C | ||||
| SAINT ALPHONSUS PHYSICIANS PA | ||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 837061370 | 331078261 | PHYSICIANS | ID | N/A | C | ||||
| SAINT MARY'S HEALTH MANAGEMENT COMPANY | ||||||||||||
| 1640 EAST PARIS SE | GRAND RAPIDS | MI | 49546 | 383450733 | ATHLETIC CLUB | MI | N/A | C | ||||
| SURGERY CENTER FINANCING CORPORATION | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | N/A | C | ||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | ||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 383410377 | GRANTOR TRUST | MI | N/A | T | ||||
| TRINITY HEALTH SELF-INSURANCE PLAN | ||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 386742154 | GRANTOR TRUST | MI | N/A | T | ||||
| TRINITY HEALTH SELF-INSURED WORKERS' COMPENSATION FUND | ||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 386742157 | GRANTOR TRUST | MI | N/A | T | ||||
| VENZKE INSURANCE COMPANY LTD | ||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||
| WESTSHORE HEALTH NETWORK | ||||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | PHYSICIAN HOSPITAL ORGANIZATION | MI | N/A | C | ||||
| WORKPLACE HEALTH OF GRAND HAVEN | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| TRINITY HEALTH CORPORATION | |
| L | 56405 |
| MOUNT CARMEL HEALTH SYSTEM | |
| C | 2742607 |
| MOUNT CARMEL HEALTH SYSTEM | |
| O | 474405 |
| MOUNT CARMEL HEALTH SYSTEM | |
| L | 398053 |