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MOUNT CARMEL HEALTH SYSTEM: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MOUNT CARMEL HEALTH SYSTEM (EIN 31-1439334)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-11
IRS object ID
201121319349300232
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-11T11:26:32-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311439334EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNT CARMEL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone6145464300Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJACQUELINE PRIMEAUName
TitleSVP AND CFOTitle
Phone6145464300Phone
Date Signed2011-05-11DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJACQUELINE PRIMEAUNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16150 EAST BROAD STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432131574ZIPCode
FieldValueIRS element (for citing)
Gross Receipts199662168GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.mountcarmelhealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionHEALTHCARE SYSTEM MANAGEMENT AND SUPPORTActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees9178TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI3457664TotalGrossUBI
Net Unrelated Business Txbl Income-76819NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year171562880ProgramServiceRevenuePriorYear
Program Service Revenue CY173499288ProgramServiceRevenueCY
Investment Income Prior Year-18483486InvestmentIncomePriorYear
Investment Income Current Year11257861InvestmentIncomeCurrentYear
Other Revenue Prior Year14548732OtherRevenuePriorYear
Other Revenue Current Year13495028OtherRevenueCurrentYear
Total Revenue Prior Year167628126TotalRevenuePriorYear
Total Revenue Current Year198252177TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year620335GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY733277GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year68000622SalariesEtcPriorYear
Salaries Etc Current Year68353761SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year124308671OtherExpensePriorYear
Other Expenses Current Year126879059OtherExpensesCurrentYear
Total Expenses Prior Year192929628TotalExpensesPriorYear
Total Expenses Current Year195966097TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-25301502RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2286080RevenuesLessExpensesCY
Total Assets BOY571601737TotalAssetsBOY
Total Assets EOY656577204TotalAssetsEOY
Total Liabilities BOY428148581TotalLiabilitiesBOY
Total Liabilities EOY421842032TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY143453156NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY234735172NetAssetsOrFundBalancesEOY
Mission DescriptionMOUNT CARMEL HEALTH SYSTEM'S PURPOSE IS 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense189294367Expense
Grants733277Grants
Revenue177868555Revenue
DescriptionMOUNT CARMEL HEALTH SYSTEM, AN OHIO NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES Five HOSPITALS IN THE COLUMBUS, OHIO AREA CONTAINING 1,196 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 MOUNT CARMEL HEALTH, SAINT ANN'S HOSPITAL, MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL, DILEY RIDGE MEDICAL CENTER, MOUNT CARMEL CARE CONTINUUM SERVICES CORPORATION, MOUNT CARMEL COLLEGE OF NURSING, MOUNT CARMEL HEALTH SYSTEM FOUNDATION AND MOUNT CARMEL HEALTH PLAN, INC. OHIO FOR-PROFIT MEMBER ORGANIZATIONS INCLUDE MOUNT CARMEL HEALTH HORIZONS CORPORATION, MOUNT CARMEL HEALTH PROVIDERS, INC., PRIMARY CARE NETWORK OF OHIO INC., AND MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES.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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionMISSIONTHE MISSION STATEMENT FOR MOUNT CARMEL HEALTH SYSTEM IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPELTO HEAL BODY, MIND AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIESAND TO STEWARD THE RESOURCES ENTRUSTED TO US.Description
FieldValueIRS element (for citing)
Total Program Service Expense189294367TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961107NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees9178NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JACQUELINE PRIMEAUBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6145464300TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
STAMPP CORBIN
SECRETARY2.00XX000
MICHAEL FLOWERS
CHAIR2.00XX000
HERB GLIMCHER
TRUSTEE THROUGH 12/092.00X000
MATTHEW HABASH
VICE CHAIR2.00XX000
CHARLES HICKEY MD
TRUSTEE2.00X000
SR RUTH M NICKERSON CSC
TREASURER2.00XX000
DAVID STEWART MD
TRUSTEE2.00X000
M ROSITA SCHILLER RSM
TRUSTEE2.00X000
MICHAEL SLUBOWSKI
TRUSTEE THROUGH 12/092.00X01617841154389
CLAUS VON ZYCHLIN
PRES & CEO; TRUSTEE20.00XX0100706970248
MICHAEL GONSIOROWSKI
TRUSTEE2.00X000
MICHAEL CURTIN
TRUSTEE THROUGH 12/092.00X000
PHILLIP SHUBERT MD
TRUSTEE2.00X499409037627
SUSAN TOMASKY
TRUSTEE2.00X000
J RICHARD OCONNELL
TRUSTEE AS OF 1/102.00X049514311123
CARL BERASI DO
TRUSTEE2.00X000
John Perez
TRUSTEE AS OF 1/102.00X000
JACQUELINE PRIMEAU
SVP & CFO20.00X049164232586
RONALD WHITESIDE
EVP AND SYSTEM COO20.00X0453976269271
ALAN PAPA
PRES & COO MCW2.00030110038337X
CYNTHIA SHEETS
SVP & CIO50.00039074854761X
PAULA AUTRY
PRESIDENT & COO, MCE2.00035340831691X
JANET MEEKS
PRESIDENT & COO, ST ANNS2.000376393100757X
JOHN HEISLER
SVP, HUMAN RESOURCES20.00029929543505X
HUGH JONES
SVP, STRATEGY & SYS DEV20.00028645032785X
DAVID DRYDEN
VP, FAC. DESIGN & MAINT.50.00166688030043X
JOSEPH SWEDISH
TRINITY HEALTH PRES&CEO2.0003023292798303X
KEDRICK ADKINS
TRINITY PRES INTEG SVCS2.0001453695130171X
RICHARD STRECK
CHIEF MEDICAL OFFICER50.00046904243231X
MICHELE HELBIG
EXEC DIR PHYSICIAN ORGS.50.00222267048011X
LYNDON CHRISTMAN
CEO, FAYETTE COUNTY HOSP.50.00220035015036X
MARY ANN WOLF
VP, HUMAN RESOURCES50.00211499043537X
DENNIS F RUPPEL
MEDICAL DIRECTOR50.00207114040246X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1527012TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs11019094TotalReportableCompFrmRltdOrgs
Total Other Compensation2025658TotalOtherCompensation
Number Individuals GT100 K263NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BVK DIRECT
250 WEST COVENTRY CT STE 300MILWAUKEEWI53217MARKETING & ADVERTISING1830090
dawson healthcare
3650 OLENTANGY RIVER ROADCOLUMBUSOH43214TEMPORARY SERVICES1216247
ESCRIPTION INC
PO BOX 845912KANSAS CITYMO64141TRANSCRIPTION SERVICES929574
DELOITTE CONSULTING
PO BOX 7247-6446PHILADELPHIAPA19170ACCOUNTING AND CONSULTING693975
NEXTGEN HEALTHCARE INFORMATION
PO BOX 809390CHICAGOIL60680MAINTENANCE SERVICES603978
FieldValueIRS element (for citing)
Number Of Contractors GT100 K58NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
SUBSIDIARY FEES900099171990155171990155
GIFT SHOPS4532201410315$1,410,315
CAFETERIA REVENUE90009998818$98,818
FieldValueIRS element (for citing)
Total Program Service Revenue173499288TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12100254TotalRevenueColumn
Exclusion$12,100,254ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4158964Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4158964Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4158964TotalRevenueColumn
Exclusion$4,158,964ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other567598Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1053433Securities
Other356558Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1053433Securities
Other211040Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-842393TotalRevenueColumn
Exclusion-$842,393ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MANAGEMENT FEES56149933619732816802545171
PROFESSIONAL FEES90009915906704574741133196

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4383421TotalRevenueColumn
Related Or Exempt Function Income2604124RelatedOrExemptFunctionIncome
Unrelated Business Revenue1779297UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue9336064TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column198252177TotalRevenueColumn
Related Or Exempt Function Income177868555RelatedOrExemptFunctionIncome
Unrelated Business Revenue3457664UnrelatedBusinessRevenue
Exclusion$16,925,958ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total733277Total
Program Services733277ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5199108Total
Management And General5199108ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total165912Total
Program Services165912ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total49028329Total
Program Services48609040ProgramServices
Management And General419289ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2946758Total
Program Services2946758ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7044981Total
Program Services6961603ProgramServices
Management And General83378ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3968673Total
Program Services3968673ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15734Total
Program Services15734ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1107499Total
Program Services1107499ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10800Total
Program Services10800ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8735659Total
Program Services8628136ProgramServices
Management And General107523ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3771047Total
Program Services3766941ProgramServices
Management And General4106ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9552311Total
Program Services9487277ProgramServices
Management And General65034ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total39508894Total
Program Services39507394ProgramServices
Management And General1500ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2519672Total
Program Services2083369ProgramServices
Management And General436303ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total362683Total
Program Services354546ProgramServices
Management And General8137ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total234866Total
Program Services234866ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18377589Total
Program Services18116323ProgramServices
Management And General261266ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total879064Total
Program Services879064ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
INTERCO. PURCHASED SERV2056970320569703
EQUIPMENT MAINTENANCE108666641079099575669
CONTRACT LABOR48070944807094
SUBSCRIPTIONS AND DUES156950915681341375
UBI TAXES309190309190

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3681081Total
Program Services3672039ProgramServices
Management And General9042ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total195966097Total
Program Services189294367ProgramServices
Management And General6671730ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18886BOY
EOY19206EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY24916573BOY
EOY20153908EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY12181063BOY
EOY28691399EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13030471BOY
EOY954957EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4955337BOY
EOY2602479EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis218124754LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec128510289LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY96326844BOY
EOY89614465EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY175643089BOY
EOY254090226EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY145451734BOY
EOY128693109EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY1151934EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY99077740BOY
EOY130605521EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY571601737BOY
EOY656577204EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY46496776BOY
EOY48897995EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY53000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY381651805BOY
EOY372891037EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY428148581BOY
EOY421842032EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY143453156BOY
EOY234735172EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY143453156BOY
EOY234735172EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY571601737BOY
EOY656577204EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL
8707902883011$0
MOUNT CARMEL HEALTH
3143796023011$0
ST ANN'S HOSPITAL
3144127013011$0
TRINITY HEALTH CORPORATION
35144342511111$8,605,113
DILEY RIDGE MEDICAL CENTER
3420323403011$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts8605113SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$10,087GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$74,456DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB84543TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis32473597OtherCostOrOtherBasis
Book Value32473597BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis71565358OtherCostOrOtherBasis
Depreciation32300179Depreciation
Book Value39265179BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis106676070OtherCostOrOtherBasis
Depreciation96210110Depreciation
Book Value10465960BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6432769InvestmentCostOrOtherBasis
Other Cost Or Other Basis976960OtherCostOrOtherBasis
Book Value7409729BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings89614465TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ABSOLUTE RETURN STRATEGY FUNDS60982029F
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES67711080F
FieldValueIRS element (for citing)
Total Of Book Value Securities128693109TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES2254781
INTERCOMPANY ACCOUNTS RECEIVABLES56203425
INVESTMENT IN AFFILIATES19712379
INTERCOMPANY OTHER LONG TERM ASSET52301831
OTHER133105
FieldValueIRS element (for citing)
Total Book Value Other Assets130605521TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY ACCOUNTS PAYABLE$1,757,850
DEFERRED COMPENSATION LIABILITY$450,866
OTHER CURRENT LIABILITIES$286,853
OTHER LONG TERM LIABILITIES$2,695,496
INTERCOMPANY NOTES PAYABLE$365,710,538
LEASE OBLIGATION$1,989,434
FieldValueIRS element (for citing)
Total Of Amounts372891037TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationMOUNT CARMEL HEALTH SYSTEM HAS A SEPARATE CONSOLIDATED AUDIT WHICH INCLUDES ALL WHOLLY OWNED, MAJORITY OWNED, AND CONTROLLED ORGANIZATIONS. MOUNT CARMEL HEALTH SYSTEM'S FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2010 DID NOT INCLUDE A FIN 48 FOOTNOTE. MOUNT CARMEL HEALTH SYSTEM is ALSO included in the consolidated financial statements of Trinity Health. Trinity Health's financial statements for the year ended June 30, 2010 did not include a FIN 48 footnote.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CAPITAL PARK FAMILY HEALTH CENTER INC
2150 AGLER RDCOLUMBUSOH43224383765547501(C)3300000COMMUNITY BENEFIT
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVEDALLASTX75231135613797501(C)325000COMMUNITY BENEFIT
THE COLUMBUS COALITION AGAINST FAMILY VIOLENCE
655 EAST LIVINGSTON AVENUECOLUMBUSOH43205542143915501(C)310000COMMUNITY BENEFIT
ARTHRITIS FOUNDATION INC
3740 RIDGE MILL DRIVEHILLIARDOH43026314419290501(C)310000COMMUNITY BENEFIT
COLUMBUS CHAMBER OF COMMERCE
150 SOUTH FRONT STCOLUMBUSOH43215314152950501(C)625000COMMUNITY BENEFIT
SOCIETY OF ST VINCENT DEPAUL
197 E GAY STREETCOLUMBUSOH43215314379603501(C)35500COMMUNITY BENEFIT
WESTERVILLE AREA RESOURCE MINISTRY
175A E BROADWAYWESTERVILLEOH43081311640355501(C)35200COMMUNITY BENEFIT
HEALTHY WORTHINGTON COALITION
PO BOX 190WORTHINGTONOH43085450532036501(C)36000COMMUNITY BENEFIT
GAHANNA CONVENTION AND VISITORS BUREAU
181 GRANVILLE STREETGAHANNAOH43230800322167501(C)625000COMMUNITY BENEFIT
WESTERVILLE SUNRISE ROTARY FOUNDATION
P O BOX 1200WESTERVILLEOH43086311481931501(C)317600COMMUNITY BENEFIT
WESTERVILLE PARKS FOUNDATION
350 N CLEVELAND AVEWESTERVILLEOH43081311719247501(C)35280COMMUNITY BENEFIT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: DONATIONS MADE BY MOUNT CARMEL HEALTH SYSTEM TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL SLUBOWSKI
069610806817250240008012592202846701772230094766
CLAUS VON ZYCHLIN
046616804424500984510428290274190107731700
PHILLIP SHUBERT MD
435053055991083650219690156580537036000
J RICHARD OCONNELL
04409250005421801112300050626600
JACQUELINE PRIMEAU
03439080707530769810223600102260524228060642
RONALD WHITESIDE
03575080709760254920248590020681072324700
ALAN PAPA
0236652050930013518014968023369033943700
CYNTHIA SHEETS
0315525060317014906043977010784044550900
PAULA AUTRY
0285305054883013220010195021496038509900
JANET MEEKS
0297542064380014471080824019933047715000
JOHN HEISLER
0241561044566013168021667021838034280000
HUGH JONES
0222663046769017018012051020734031923506759
DAVID DRYDEN
14540201741203874089070211360196731000
JOSEPH SWEDISH
0121445801607837020099707698990284040382159500
KEDRICK ADKINS
07124150611975012930501172500129210158386600
RICHARD STRECK
0370385077344021313022030021201051227300
MICHELE HELBIG
185728034934016050345360134750270278000
LYNDON CHRISTMAN
1921230238230408901475802780235071000
MARY ANN WOLF
1896680213420489035130084070255036000
DENNIS F RUPPEL
2062850008290196490205970247360000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4aReturnReference
ExplanationTHE FOLLOWING ARE PARTICIPANTS 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 ACCRUALS FOR 2009 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS $59,584 MICHAEL SLUBOWSKI $42,832 JOSEPH SWEDISH $249,263 CLAUS VON ZYCHLIN $22,044 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2009 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS $38,675 JANET MEEKS $59,610 CYNTHIA SHEETS $16,540 MICHAEL SLUBOWSKI $55,733 JOSEPH SWEDISH $493,225 RONALD WHITESIDE $206,250 Part II, Column B (ii): The following individuals received amounts 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). The following LTIP amounts are included in Schedule J, Part II, Column B(ii): KEDRICK ADKINS $337,826 MICHAEL SLUBOWSKI $403,918 JOSEPH SWEDISH $1,042,563 CLAUS VON ZYCHLIN $292,000Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
NEW ALBANY HOSPITAL MANAGEMENT COMPANY II LLC (NAHMC)
CARL BERASI, MCHS TRUSTEE, IS A PART OWNER, BD MEMBER & EMPLOYEE OF NAHMC1823428NEW ALBANY MANAGEMENT COMPANY II LLC CONTRACTS WITH MOUNT CARMEL HEALTH SYSTEM TO PROVIDE MANAGEMENT SERVICES TO MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL. THESE TRANSACTIONS WERE ALL AT ARMS LENGTH.0
PNC BANK
MICHAEL GONSIOROWSKI, MCHS TRUSTEE, IS REG. PRES. OF PNC'S CNTRL OH REGION1130772PNC BANK PROVIDES COMMERCIAL BANKING SERVICES TO MOUNT CARMEL HEALTH SYSTEM.0
ANGELA SMITH
FAMILY MEMBER OF CYNTHIA SHEETS, KEY EMPLOYEE94129EMPLOYMENT ARRANGEMENT0
MICHAEL SLAPER
FAMILY MEMBER OF MATTHEW HABASH, OFFICER AND TRUSTEE71783EMPLOYMENT ARRANGEMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 DIRECTORS 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. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE AS WELL AS THE BOARD OF TRUSTEES. 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 ORIGANIZATION 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 AN ANNUAL BASIS.
Form 990, Part VI, Section B, line 15TRINITY 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 ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE.
FORM 990, PART VII, SECTION A, 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: KEDRICK ADKINS - 53 HOURS PAULA AUTRY - 53 HOURS JOHN HEISLER - 35 HOURS HUGH JONES - 35 HOURS JANET MEEKS - 53 HOURS J. RICHARD O'CONNELL - 53 HOURS ALAN PAPA - 53 HOURS JACQUELINE PRIMEAU - 35 HOURS PHILLIP SHUBERT, MD - 48 HOURS MICHAEL SLUBOWSKI - 53 HOURS JOSEPH SWEDISH - 53 HOURS CLAUS VON ZYCHLIN - 35 HOURS RONALD WHITESIDE - 35 HOURSESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 2:MOUNT CARMEL HEALTH SYSTEM'S FINANCIAL INFORMATION WAS INCLUDED IN THE FY10 CONSOLIDATED FINANCIAL STATEMENTS OF 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CLR Investments LLC
120 W HARRIS STCADILLACMI49601320008631Real estate rental & developmentMI19827175469Trinity Health-Michigan
Saint Agnes Home Health and Hospice LLC
17410 COLLEGE PARKWAY STE 150LIVONIAMI48152382621935Provide home health servicesCA93676041116725Trinity Home Health Services Inc
Saint Mary's Pharmacy LLC
200 JEFFERSON AVE SEGRAND RAPIDSMI49503383404443PharmacyMI00Trinity Health-Michigan
Mount Carmel HealthProviders Two LLC
6150 E BROAD STREETCOLUMBUSOH43213201983271MEDICAL SERVICESOH00MOUNT CARMEL HEALTH PROVIDERS INC
PATHWAY HOSPICE LLC
1050 SW 3RD AVE SUITE 1600ONTARIOOR97914931310235HOSPICE CAREOR12735031512716SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
TRINITY HEALTH-WARDE LAB LLC
34605 W TWELVE MILE ROADFARMINGTON HILLSMI48331272681908REAL ESTATE RENTALDE00TRINITY HEALTH - MICHIGAN
MOUNT CARMEL HEALTH PROVIDERS III LLC
10 West Broad St Ste 2100COLUMBUSOH43215204145781MEDICAL SERVICESOH17410596043MOUNT CARMEL HEALTH PROVIDERS INC

Form990 Schedule R Part II Form990ScheduleRPartII (91 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
AMICARE HOSPICE SERVICES INC
27870 CABOT DRIVENOVIMI483772920382949053PROVIDE HOSPICE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC
AUXILIARY OF HOLY ROSARY HOSPITAL
351 SW 9TH STREETONTARIOOR97914943059469SUPPORTS SERVICES OF RELATED HOSPITALOR501(C)(3)9SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
BATTLE CREEK HEALTH SYSTEM
300 NORTH AVENUEBATTLE CREEKMI49016382776791HEALTHCARE SERVICESMI501(C)(3)3TRINITY HEALTH - MICHIGAN
BATTLE CREEK HEALTH SYSTEM AUXILIARY
300 NORTH AVENUEBATTLE CREEKMI49016383355520SUPPORT OF TAX EXEMPT HEALTH ORGANIZATIONMI501(C)(3)11, TYPE IBATTLE CREEK HEALTH SYSTEM
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUEPRIMGHARIA51245421500277Acute/Ambulatory healthcare servicesIA501(C)(3)3Mercy Health Services-Iowa Corp
BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION
255 NORTH WELCH AVENUEPRIMGHARIA51245262973307Support the services of related hospitalIA501(C)(3)11, TYPE IBaum Harmon Mercy Hospital
CAPITAL PARK FAMILY HEALTH CENTER INC
6150 EAST BROAD STREETCOLUMBUSOH43213311387838Operation of a federally qualified health center (formerly)OH501(C)(3)3Mount Carmel Health System
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995ANN ARBORMI48106382507173Further Trinity Health activities, organize and develop medical servicesMI501(C)(3)11, TYPE IITrinity Health-Michigan
Cranbrook Hospice Care
281 ENTERPRISE COURTBLOOMFIELD HILLSMI48302383320699Provide hospice health servicesMI501(C)(3)11, TYPE ITrinity Home Health Services Inc
Diley Ridge Medical Center
6150 EAST BROAD STREETCOLUMBUSOH43213342032340Hospital campus in Fairfield County OhioOH501(C)(3)3Mount Carmel Health System
Dubuque Mercy Health Foundation Inc
250 MERCY DRIVEDUBUQUEIA52001262227941Support the services of related hospitalIA501(C)(3)11, TYPE IMercy Health Services-Iowa Corp
Dyersville Health Foundation Inc
1111 3RD STREET SWDYERSVILLEIA52040205383271Support the services of related hospitalIA501(C)(3)11, TYPE IMercy Health Services-Iowa Corp
Hackley Hospital
1700 CLINTON ST PO BOX 3302MUSKEGONMI494433302381358196HEALTHCARE SERVICESMI501(C)(3)3Mercy Health Partners
Hackley Hospital Self Insurance Professional Liability Trust
PO BOX 3302MUSKEGONMI494433302382299878Self insurance for general and malpractice liabilityMI501(C)(3)11, TYPE III-FIMercy Health Partners
Hackley Life Counseling
1352 TERRACE STMUSKEGONMI494423545381386362Counseling, education, and supportMI501(C)(3)9Mercy Health Partners
Hackley Visiting Nurse Services and Hospice Inc
888 TERRACE STMUSKEGONMI49440381359598Provide home health care servicesMI501(C)(3)7Mercy Health Partners
Holy Cross Carenet Inc
PO BOX 9184FARMINGTON HILLSMI48333521945054Long-term care and rehabilitation for the elderlyMD501(C)(3)9Trinity Continuing Care Services
Holy Cross Hospital Foundation Inc
11801 TECH ROADSILVER SPRINGMD20904208428450Charitable fundraisingMD501(C)(3)11, TYPE IHoly Cross Hospital of Silver Spring Inc
Holy Cross Hospital of Silver Spring Inc
1500 FOREST GLEN RDSILVER SPRINGMD209101484520738041HEALTHCARE SERVICESMD501(C)(3)3Trinity Health Corporation
Holy Cross Medical Center
27870 CABOT DRIVENOVIMI483772920951985442HEALTHCARE SERVICES (FORMERLY)CA501(C)(3)3Trinity Health Corporation
HOLY ROSARY MEDICAL CENTER FOUNDATION
351 SW 9TH STREETONTARIOOR97914202683560SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)11, TYPE ISAINT ALPHONSUS MEDICAL CENTER-ONTARIO
Hospice of North Iowa
232 SECOND STREET SEMASON CITYIA504016208421173708Hospice health care servicesIA501(C)(3)7Mercy Health Services-Iowa Corp
Hospice of Washtenaw II
806 AIRPORT BLVDANN ARBORMI48108383320707Hospice health care servicesMI501(C)(3)11, TYPE ITrinity Health-Michigan
HPCN
1675 LEAHY STREETMUSKEGONMI49442300207909HEALTHCARE SERVICESMI501(C)(3)11, TYPE IIMercy Health Partners
Lakeshore Community Hospital Inc
72 S STATE STREETSHELBYMI494551228382549295Acute healthcare servicesMI501(C)(3)3Mercy Health Partners
Lifespan Inc
166 EAST GOODALE AVEBATTLE CREEKMI490372728383298476Provide hospice health servicesMI501(C)(3)9Battle Creek Health System
Marian Home Healthcare
801 5TH STREETSIOUX CITYIA51101383320705Provide home health care servicesIA501(C)(3)11, TYPE IMercy Health Services-Iowa Corp
McAuley Clinic Corporation
PO BOX 992ANN ARBORMI48106382561013HEALTHCARE SERVICES (FORMERLY)MI501(C)(3)3Catherine McAuley Health Services Corp
Mercy Amicare Home Healthcare Oakland
281 ENTERPRISE COURTBLOOMFIELD HILLSMI483020312383320698Provide home health care servicesMI501(C)(3)11, TYPE ITrinity Home Health Services Inc
Mercy Amicare Home Healthcare Port Huron
2540 16TH STREETPORT HURONMI48060383320701Provide home health care servicesMI501(C)(3)11, TYPE ITrinity Home Health Services Inc
Mercy Community Physicians
363 FREMONT STBATTLE CREEKMI49017264252468HEALTHCARE SERVICESMI501(C)(3)3Battle Creek Health System
Mercy General Health Partners Amicare Homecare
684 HARVEY STREETMUSKEGONMI49442383321856Provide home health care servicesMI501(C)(3)11, TYPE ITrinity Home Health Services Inc
Mercy Health Partners
1415 LEAHY STREETMUSKEGONMI49442382589966Healthcare system supportMI501(C)(3)11, TYPE ITrinity Health-Michigan
Mercy Health Services - Iowa Corp
1000 4TH STREET SWMASON CITYIA50401311373080HEALTHCARE SERVICESDE501(C)(3)3Trinity Health-Michigan
Mercy Healthcare Foundation
1410 N 4TH STCLINTONIA52732421316126Fundraising and financial assistance for hospital charitable servicesIA501(C)(3)11, TYPE IMercy Medical Center-Clinton
Mercy Hosp & Health Services of DetroitMarshall Park Health Services Inc
27870 CABOT DRIVENOVIMI483772920381562325Supports malpractice contingencies of closed hospitalMI501(C)(3)11, TYPE ITrinity Health-Michigan
Mercy Hospital Cadillac Foundation
400 HOBARTCADILLACMI496012331203357131Support the services of related hospitalMI501(C)(3)11, TYPE ITrinity Health-Michigan
Mercy Hospital Gift Shop
2601 ELECTRIC AVEPORT HURONMI48060381630480Volunteer Service AuxiliaryMI501(C)(3)11, TYPE ITrinity Health-Michigan
Mercy Medical Center - Clinton Inc
1410 NORTH 4TH STCLINTONIA527322940421336618To provide quality health careDE501(C)(3)3Mercy Health Services-Iowa Corp
Mercy Medical Center - Sioux City Foundation
801 5TH STREETSIOUX CITYIA51102141880022Support the services of related hospitalIA501(C)(3)7Mercy Health Services-Iowa Corp
Mercy Medical Center Foundation - North Iowa
1000 4TH STREET SWMASON CITYIA504012800421229151Support the services of related hospitalIA501(C)(3)11, TYPE III-FIMercy Health Services-Iowa Corp
MERCY MEDICAL CENTER FOUNDATION INC
1512 12TH AVENUE ROADNAMPAID83686261737256SUPPORT THE SERVICES OF RELATED HOSPITALID501(C)(3)7SAINT ALPHONSUS MEDICAL CENTER-NAMPA
Mercy North Homecare and Hospice
7985 MACKINAW TRAILCADILLACMI49601383313897Home health and hospice servicesMI501(C)(3)11, TYPE ITrinity Home Health Services Inc
Mercy Pavilion of Battle Creek
300 NORTH AVENUEBATTLE CREEKMI49016382783350Provides long-term care for the elderlyMI501(C)(3)9Battle Creek Health System
MERCY PHYSICIAN GROUP INC
1512 12TH AVENUE ROADNAMPAID83686208192593TO PROVIDE QUALITY HEALTH CAREID501(C)(3)9SAINT ALPHONSUS MEDICAL CENTER-NAMPA
Mercy Services for Aging Non-profit Housing Corporation
PO BOX 9184FARMINGTON HILLSMI483339184382719605Provides long-term care for the elderlyMI501(C)(3)11, TYPE IITrinity Continuing Care Services Inc
Midwest Medflight
1300 VICTORS WAYANN ARBORMI48108382684671Aeromedical transportMI501(C)(3)9Trinity Health-Michigan
Mount Carmel Care Continuum Services Corp
793 WEST STATE STREETCOLUMBUSOH43222311126211Cooperative hospital service organizationOH501(C)(3)3Mount Carmel Health System
Mount Carmel College of Nursing
6150 EAST BROAD STREETCOLUMBUSOH43213311308555College of nursingOH501(C)(3)2Mount Carmel Health
Mount Carmel Health
6150 EAST BROAD STREETCOLUMBUSOH43213314379602HEALTHCARE SERVICESOH501(C)(3)3Mount Carmel Health System
Mount Carmel Health Insurance Company
6150 EAST BROAD STREETCOLUMBUSOH43213251912781Health InsuranceOH501(C)(4)N/AMount Carmel Health System
Mount Carmel Health Plan Inc
6150 EAST BROAD STREETCOLUMBUSOH43213311471229Medicare HMO for seniorsOH501(C)(4)N/AMount Carmel Health System
Mount Carmel Health System
6150 EAST BROAD STREETCOLUMBUSOH43213311439334Healthcare system management and supportOH501(C)(3)11, TYPE ITrinity Health Corporation
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREETCOLUMBUSOH43213311113966SUPPORT THE SERVICES OF RELATED HOSPITALOH501(C)(3)11, TYPE IMOUNT CARMEL HEALTH SYSTEM
Mount Carmel Home Care LLC
1144 DUBLIN ROAD SUITE BCOLUMBUSOH43215262729300Provide home health care servicesOH501(C)(3)9Trinity Home Health Services Inc
Mount Carmel New Albany Surgical Hospital
7333 SMITHS MILL RDNEW ALBANYOH43054870790288HEALTHCARE SERVICESOH501(C)(3)3Mount Carmel Health System
MRI Mobile Services of West Michigan
1820 - 44TH STREETKENTWOODMI49508383073745OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)MI501(C)(3)9Trinity Health-Michigan
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUEMUSKEGONMI49440911932918FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICESMI501(C)(3)7MERCY HEALTH PARTNERS
Oakland Mercy Hospital
601 EAST 2ND STREETOAKLANDNE68045208072234HEALTHCARE SERVICESNE501(C)(3)3Mercy Health Services-Iowa Corp
Port Huron Mercy Family Care Inc
2601 ELECTRIC AVEPORT HURONMI48060201855647HEALTHCARE SERVICESMI501(C)(3)11, TYPE ITrinity Health-Michigan
Professional Med Team
965 FORK STREETMUSKEGONMI494423257382638284Medical care, transportation and educationMI501(C)(3)9Trinity Health-Michigan
Professional Office Corporation
1303 EAST HERNDON AVEFRESNOCA93720942839324HEALTHCARE SERVICESCA501(C)(3)11, TYPE ISaint Agnes Medical Center
Saint Agnes Medical Center
1303 EAST HERNDON AVEFRESNOCA93720941437713HEALTHCARE SERVICESCA501(C)(3)3Trinity Health Corporation
Saint Alphonsus Building Company Inc
1055 NORTH CURTIS RDBOISEID83706820401011Supports services of related hospitalID501(C)(3)11, TYPE ISaint Alphonsus Regional Medical Center Inc
Saint Alphonsus Diversified Care Inc
1055 NORTH CURTIS RDBOISEID83706943028978Supports services of related hospitalID501(C)(3)11, TYPE ISaint Alphonsus Regional Medical Center Inc
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROADBOISEID83706271929502HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTID501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY
3325 POCAHONTAS ROADBAKER CITYOR97814271790052TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC
SAINT ALPHONSUS MEDICAL CENTER-NAMPA
1512 12TH AVENUE ROADNAMPAID83686820200896TO PROVIDE QUALITY HEALTH CAREID501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
351 SW 9TH STREETONTARIOOR97914271789847TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC
Saint Joseph Regional Medical Center - Plymouth Campus Inc
1915 LAKE AVENUE PO BOX 670PLYMOUTHIN46563351142669Healthcare servicesIN501(C)(3)3Saint Joseph Regional Medical Center Inc
Saint Joseph Regional Medical Center - South Bend Campus Inc
PO BOX 1935SOUTH BENDIN466341935350868157Healthcare servicesIN501(C)(3)3Saint Joseph Regional Medical Center Inc
Saint Joseph Regional Medical Center Inc
801 EAST LASALLE AVESOUTH BENDIN46617351568821Healthcare system management and supportIN501(C)(3)11, TYPE ITrinity Health Corporation
Saint Joseph's Auxiliary of Marshall County
1915 LAKE AVENUEPLYMOUTHIN46563356043563Hospital Service AuxiliaryIN501(C)(3)11, TYPE IISaint Joseph Regional Medical Center - Plymouth Campus Inc
Saint Joseph's Tower Inc
PO BOX 9184FARMINGTON HILLSMI483339184311040468Provides housing for low income elderly individualsIN501(C)(3)9Trinity Continuing Care Services-Indiana
Saint Mary's Amicare Home Healthcare
1430 MONROE NWGRAND RAPIDSMI48905383320700Provide home health care servicesMI501(C)(3)11, TYPE ITrinity Home Health Services Inc
Saint Mary's Doran Foundation CO Saint Mary's Health Care
200 JEFFERSON ST SEGRAND RAPIDSMI49503381779602Supports services of related hospitalMI501(C)(3)7Trinity Health-Michigan
St Alphonsus Regional Medical Center
1055 NORTH CURTIS RDBOISEID83706820200895Healthcare servicesID501(C)(3)3Trinity Health Corporation
St John's Health System
27870 CABOT DRIVENOVIMI483772920350877584HEALTHCARE SERVICES (FORMERLY)IN501(C)(3)3Trinity Health Corporation
St Joseph Mercy Oakland Foundation
44405 WOODWARD AVEPONTIACMI48341352356789Supports services of related hospitalMI501(C)(3)11, TYPE ITrinity Health-Michigan
St Ann's Hospital
500 SOUTH CLEVELAND AVEWESTERVILLEOH43081314412701HEALTHCARE SERVICESOH501(C)(3)3Mount Carmel Health System
ST ELIZABETH HEALTH CARE FOUNDATION
3325 POCAHONTAS ROADBAKER CITYOR97814943164869SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)7SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
St Joseph's Medical Center Auxiliary
801 E LASALLE AVE PO BOX 1935SOUTH BENDIN466341935356033285Hospital Service AuxiliaryIN501(C)(4)N/ASaint Joseph Regional Medical Center - South Bend Campus Inc
The Foundation of Saint Joseph Regional Medical Center
4215 EDISON LAKES PARKWAYMISHAWAKAIN46545351654543Supports services of related hospitalIN501(C)(3)11, TYPE ISaint Joseph Regional Medical Center Inc
Trinity Continuing Care Services
PO BOX 9184FARMINGTON HILLSMI483339184382559656Management services for Long term care and senior living facilitiesMI501(C)(3)11, TYPE ITrinity Health Corporation
Trinity Continuing Care Services - Indiana Inc
PO BOX 9184FARMINGTON HILLSMI483339184930907047Provides long-term care and residential housingIN501(C)(3)9Trinity Continuing Care Services
Trinity Health - Michigan
27870 CABOT DRIVENOVIMI483772920382113393HEALTHCARE SERVICESMI501(C)(3)3Trinity Health Corporation
Trinity Health Corporation
27870 CABOT DRIVENOVIMI483772920351443425Healthcare system management and supportIN501(C)(3)11, TYPE IN/A
Trinity Health International
27870 CABOT DRIVENOVIMI483772920421253527Healthcare training and support servicesMI501(C)(3)11, TYPE ITrinity Health Corporation
Trinity Health Welfare Benefit Trust
27870 CABOT DRIVENOVIMI483772920208151733Retiree medical and retiree life insurance coverageMI501(C)(9)N/ATrinity Health Corporation
Trinity Home Health Services Inc
17410 COLLEGE PARKWAYLIVONIAMI48152382621935Home health care system management servicesMI501(C)(3)11, TYPE ITrinity Health Corporation
OSUMOUNT CARMEL HEALTH ALLIANCE
793 WEST STATE STREETCOLUMBUSOH43222311654603COOPERATIVE HEALTH CARE DELIVERY NETWORKOH501(C)(3)11, TYPE IMOUNT CARMEL HEALTH SYSTEM

Form990 Schedule R Part III Form990ScheduleRPartIII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
ADVANCED IMAGING SERVICES OF BATTLE CREEK
5352 BECKLEY ROAD STE ABATTLE CREEKMI49015204594297RADIOLOGY/IMAGINGMIN/AN/A00
ADVENT REHABILITATION LLC
560 FIFTH ST NW STE 404GRAND RAPIDSMI49504383306673REHABILITATION THERAPY SERVICESMIN/AN/A00
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311608125MEDICAL OFFICE BUILDING RENTALOHRELATED01MOUNT CARMEL HEALTH SYSTEM36947605609
BSV MEDICAL OFFICE BUILDING II LLC
855 M STREET TENTH FLOORFRESNOCA93721202673839MEDICAL OFFICE BUILDING RENTALCAN/AN/A00
CCH LABORATORY
775 SOUTH MAIN STREETCHELSEAMI48118382910400LABORATORYMIN/AN/A00
CENTRAL OHIO SLEEP MEDICINE LTD
5955 EAST BROAD STCOLUMBUSOH43213311701029SLEEP MEDICINE SERVICESOHRELATED00MOUNT CARMEL HEALTH SYSTEM38953308018
CLINTON IMAGING SERVICES LLC
1410 NORTH 4TH STCLINTONIA52732412044739MRI DIAGNOSTIC SERVICESIAN/AN/A00
FOREST PARK IMAGING LLC
1000 4TH STREET SWMASON CITYIA50401134365966X-RAY AND MAMMOGRAPHY SERVICESIAN/AN/A00
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROADANN ARBORMI48104382648446LABORATORYMIN/AN/A00
FRESNO IMAGING CENTER
1303 E HERNDON AVEFRESNOCA93720770363563DIAGNOSTIC IMAGINGCAN/AN/A00
HAWARDEN COMMUNITY CLINIC LLC
1122 AVENUE LHAWARDENIA51023201444339MEDICAL CLINICIAN/AN/A00
IDAHO GYNONCOLOGY SERVICES LLC
1055 N CURTIS RDBOISEID83706202975807PROVIDE GYN ONCOLOGY SERVICESIDN/AN/A00
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SWMASON CITYIA50401421328388MRI SERVICESIAN/AN/A00
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SWMASON CITYIA50401201960348SURGERY-SAME DAYIAN/AN/A00
MCE MOB IV LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222421544707MEDICAL OFFICE BUILDING RENTALOHRELATED01MOUNT CARMEL HEALTH SYSTEM3442494337320
MCMC POB III LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311392994MEDICAL OFFICE BUILDING RENTALOHRELATED01MOUNT CARMEL HEALTH SYSTEM1348241408638
MEDILUCENT MOB I
793 W STATE STREETCOLUMBUSOH43222204911370MEDICAL OFFICE BUILDING RENTALOHRELATED01MOUNT CARMEL HEALTH SYSTEM-921522253594
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SWMASON CITYIA50401134237594CARDIOVASCULAR SERVICESIAN/AN/A00
MERCY OUTPATIENT SURGERY CENTER LLC
1512 12TH AVENUE ROADNAMPAID83686841380439OUTPATIENT SURGERYIDN/AN/A00
MICHIANA HEALTH INFORMATION NETWORK LLC
215 WEST MADISON STREETSOUTH BENDIN46601352050128COMMUNITY BASED CLINICAL INFORMATION SYSTEM AND DATA DEPOSITORYINN/AN/A00
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311369473MEDICAL OFFICE BUILDING RENTALOHRELATED01MOUNT CARMEL HEALTH SYSTEM1815911825696
NEWCO AMBULATORY SURGERY CTR LLP
4190 24TH AVENUEFORT GRATIOTMI48059300136708OUTPATIENT SURGERY CENTERMIN/AN/A00
PLAZA SURGICAL CENTER
PO BOX 27230FRESNOCA93729371463357AMBULATORY SURGERYCAN/AN/A00
RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311531135MEDICAL OFFICE BUILDING RENTALOHRELATED01MOUNT CARMEL HEALTH SYSTEM49830905492
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102BOISEID83706510483218PHARMACYIDN/AN/A00
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200BYRON CENTERMI49315202443646PROVIDE OUTPATIENT SURGICAL CAREMIN/AN/A00
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DRCALDWELLID83605820526861RADIATION ONCOLOGYIDN/AN/A00
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311603660MEDICAL OFFICE BUILDING RENTALOHRELATED01MOUNT CARMEL HEALTH SYSTEM1318981803016
TAMARACK MEDICAL CLINIC LLC
610 VILLAGE DRIVEDONNELLYID83615201637921OUTPATIENT MEDICAL SERVICESIDN/AN/A00
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311784409MEDICAL OFFICE BUILDING RENTALOHRELATED01MOUNT CARMEL HEALTH SYSTEM1904552024725
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DRANN ARBORMI48106760820959RADIOLOGY/IMAGINGMIN/AN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
COMMUNITY HEALTH VENTURES INC
565 W WESTERN AVEMUSKEGONMI49440383522260SOFTWARE MARKETINGMIN/AC
GENERAL HEALTHCORP VENTURES INC
1820-44TH STREETKENTWOODMI49508382533165MEDICAL SERVICESMIN/AC
HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY STMUSKEGONMI49442382961814WEIGHT MANAGEMENTMIN/AC
HACKLEY HEALTH VENTURES INC
1415 LEAHY STMUSKEGONMI49442382589959OTHER MEDICAL SERVICESMIN/AC
HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY STMUSKEGONMI49442382578569HOME MEDICAL EQUIPMENTMIN/AC
HACKLEY ORTHOTICS & PROSTHETICS
1415 LEAHY STMUSKEGONMI49442382999815HEALTHCARE SERVICESMIN/AC
HACKLEY PROFESSIONAL CENTER
1415 LEAHY STMUSKEGONMI49442383024797REAL ESTATE RENTALMIN/AC
HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY STMUSKEGONMI49442382447870PHARMACYMIN/AC
HEF INC
1415 LEAHY STMUSKEGONMI49442383086401OFFICE STAFFINGMIN/AC
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROADSILVER SPRINGMD20904521986562HOME CARE SERVICESMDN/AC
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992ANN ARBORMI48106382475644PROVIDES OFFICE RENTAL SPACEMIN/AC
MARYLAND CARE GROUP INC
11801 TECH ROADSILVER SPRINGMD20904521815313HEALTHCARE HOLDINGMDN/AC
MEDNOW INC
1512 12TH AVENUE ROADNAMPAID83686820389927OUTPATIENT PHARMACYIDN/AC
MERCY MEDICAL SERVICES
801 5TH STREETSIOUX CITYIA51101421283849PRIMARY CARE PHYSICIANSIAN/AC
MICHIGAN PHYSICIAN SERVICES
44405 WOODWARD AVENUE H-5PONTIACMI48341383293125PHYSICIAN SERVICESMIN/AC
MICHIGAN ATHLETIC CLUB
2500 BURTONGRAND RAPIDSMI49546382647304ATHLETIC CLUBMIN/AC
MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC
6150 EAST BROAD STREETCOLUMBUSOH43213310971510BEHAVIORAL HEALTHCARE SERVICESOHCMOUNT CARMEL HEALTH SYSTEM-5248233663971.00000
MOUNT CARMEL HEALTH HORIZONS CORP
6150 EAST BROAD STREETCOLUMBUSOH43213311177652MEDICAL SERVICES/RENTOHCMOUNT CARMEL HEALTH SYSTEM1.00000
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREETCOLUMBUSOH43213311382442MEDICAL SERVICESOHCMOUNT CARMEL HEALTH SYSTEM-30082511-345310931.00000
NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SWMASON CITYIA50401421382308MEDICAL SERVICESIAN/AC
PRIMARY CARE NETWORK OF OHIO INC
6150 EAST BROAD STREETCOLUMBUSOH43213311422486HEALTH MANAGEMENT SERVICESOHCMOUNT CARMEL HEALTH SYSTEM4975531.00000
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230FRESNOCA93729770395267FORMERLY HEALTH MANAGEMENT NOW DISCONTINUED SUBSTANTIALLY ALL OPERATIONSCAN/AC
SAINT ALPHONSUS PHYSICIAN SERVICES INC
1055 NORTH CURTIS ROADBOISEID83706820477852PHYSICIAN CLINICSIDN/AC
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROADBOISEID837061370331078261PHYSICIANSIDN/AC
SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SEGRAND RAPIDSMI49546383450733ATHLETIC CLUBMIN/AC
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREETCOLUMBUSOH43213311531102FINANCE, INSURANCE AND REAL ESTATEOHCMOUNT CARMEL HEALTH SYSTEM1.00000
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
27870 CABOT DRIVENOVIMI483772920383410377GRANTOR TRUSTMIN/AT
TRINITY HEALTH SELF-INSURANCE PLAN
27870 CABOT DRIVENOVIMI483772920386742154GRANTOR TRUSTMIN/AT
TRINITY HEALTH SELF-INSURED WORKERS' COMPENSATION FUND
27870 CABOT DRIVENOVIMI483772920386742157GRANTOR TRUSTMIN/AT
VENZKE INSURANCE COMPANY LTD
980453602PROVISION OF INSURANCE COVERAGEN/ACPO BOX 1051 GRAND CAYMANGRAND CAYMANCJCJ
WESTSHORE HEALTH NETWORK
1820 44TH STREETKENTWOODMI49508383280200PHYSICIAN HOSPITAL ORGANIZATIONMIN/AC
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY STMUSKEGONMI49442383112035OCCUPATIONAL HEALTHMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (45 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
TRINITY HEALTH CORPORATION
Q16986604
TRINITY HEALTH CORPORATION
L55025752
TRINITY HEALTH CORPORATION
O66772562
TRINITY HEALTH CORPORATION
P852846
TRINITY HEALTH - MICHIGAN
L1669199
TRINITY HEALTH - MICHIGAN
A7093
TRINITY HEALTH - MICHIGAN
K267745
ST ALPHONSUS REGIONAL MEDICAL CENTER
K131979
MOUNT CARMEL COLLEGE OF NURSING
B1727626
MOUNT CARMEL COLLEGE OF NURSING
J196668
MOUNT CARMEL CARE CONTINUUM SERVICES CORP
B1396622
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
B2742607
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
K488125
MOUNT CARMEL HEALTH PARTNERS INC
O381922
MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC
B155338
MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC
O365844
DILEY RIDGE MEDICAL CENTER
A384589
DILEY RIDGE MEDICAL CENTER
K714659
DILEY RIDGE MEDICAL CENTER
P55573
MOUNT CARMEL HEALTH PROVIDERS INC
K2945598
MOUNT CARMEL HEALTH
O50331
PRIMARY CARE NETWORK OF OHIO INC
C311707
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL
C20688101
ST ANN'S HOSPITAL
C28767898
MOUNT CARMEL HEALTH
C30399093
MOUNT CARMEL HEALTH
K157224
MOUNT CARMEL HEALTH INSURANCE COMPANY
B5900000
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
K121720
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
K640262
TRINITY HEALTH CORPORATION
B8605113
MOUNT CARMEL HEALTH PROVIDERS INC
L91947
MCE MOB IV LIMITED PARTNERSHIP
C131580
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
C133452
ST ANN'S MEDICAL OFFICE BUILDING II LIMITED PARTNERSHIP
C82572
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
C113278
ST ANN'S HOSPITAL
K40335741
Mount Carmel Health Plan Inc
K7262787
Mount Carmel College of Nursing
K1432443
MOUNT CARMEL CARE CONTINUUM SERVICES CORP
K1883370
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
K382578
MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC
K226073
MOUNT CARMEL HEALTH
K106488949
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL
K7810717
MOUNT CARMEL HEALTH PROVIDERS INC
K6041695
RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
B126909