2018-05-15T11:59:03-05:00 2017-06-30 990 2016-07-01 311439334 MOUNT CARMEL HEALTH SYSTEM MOUN 6145464300 6150 EAST BROAD STREET NO WD381N COLUMBUS OH 432131574 PAUL MORRIS EXEC. VICE PRESIDENT AND CFO 6145464300 2018-05-15 170.232.227.252 2018-05-15 11:58:37 ED P 35AC94A1FAC5B16065C63EDF775E62CBF38CE8E8 A2B15496AE771C31CCB6773B738FCC3D92853580 2016 2021-01-29 14:40:06Z SEE SCHEDULE O EDWARD LAMB 6150 EAST BROAD STREET NO WD381N COLUMBUS OH 432131574 1353400360 0 0928 X WWW.MOUNTCARMELHEALTH.COM X 1995 OH TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES. 13 10 11193 894 7285088 3266082 3749170 2881986 1229018773 1274925638 -2820142 15114846 63325680 60348250 1293273481 1353270720 1004154 1373348 0 0 527584999 536580689 0 0 263805 683263848 697965763 1211853001 1235919800 81420480 117350920 2052818353 2206745391 819113951 826141209 1233704402 1380604182 X WE, MOUNT CARMEL HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. MOUNT CARMEL HEALTH SYSTEM IS A MEMBER OF TRINITY HEALTH. 0 0 1043778844 1373348 1311709903 MOUNT CARMEL HEALTH SYSTEM (MOUNT CARMEL), LOCATED IN COLUMBUS, OHIO HAS BEEN A LEADER IN PATIENT CARE FOR MORE THAN 125 YEARS. TODAY, WITH PHYSICIAN PARTNERS, THE SYSTEM PROVIDES AN ARRAY OF CUTTING-EDGE, PATIENT-FOCUSED PRIMARY AND SPECIALTY HEALTH CARE SERVICES AT FOUR CENTRAL OHIO HOSPITALS, CONTAINING 1,427 REGISTERED BEDS, AS WELL AS AN INPATIENT REHABILITATION HOSPITAL, FREESTANDING EMERGENCY CENTERS, SURGERY CENTERS, URGENT CARE CENTERS, OUTPATIENT FACILITIES, PRIMARY CARE AND SPECIALTY CARE PHYSICIAN OFFICES AND COMMUNITY OUTREACH SITES IN THE GREATER COLUMBUS AREA.MOUNT CARMEL'S TEAM OF MORE THAN 10,000 EMPLOYEES, 2,000 PHYSICIANS AND 900 VOLUNTEERS IS COMMITTED TO THE QUALITY CARE OF PATIENTS AND THEIR FAMILIES. TOGETHER, MORE THAN A HALF-MILLION PATIENTS ARE SERVED EACH YEAR. EACH YEAR MOUNT CARMEL PROVIDES TENS OF MILLIONS OF DOLLARS IN UNCOMPENSATED BENEFITS TO THE COMMUNITY. WE'RE ALSO ACTIVELY ENGAGED IN THE COMMUNITY THROUGH BUSINESS, CIVIC AND SERVICE ORGANIZATIONS, AND THROUGH OUR FINANCIAL SUPPORT OF OTHER NOT-FOR-PROFIT ORGANIZATIONS AND SOCIAL SERVICES AGENCIES.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.MOUNTCARMELHEALTH.COM 1043778844 1 1 0 1 0 0 1 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 1310 0 1 11193 1 1 1 0 0 0 0 0 0 0 0 0 X 13 10 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X PAUL MORRIS 6145464619 6150 EAST BROAD STREET COLUMBUS OH 43213 JOHN PEREZ DIRECTOR; CHAIR 2.00 0.00 X X 0 0 0 LISA STEIN DIRECTOR; VICE CHAIR 2.00 0.00 X X 0 0 0 JORDAN HANSELL DIRECTOR; TREASURER 2.00 0.00 X X 0 0 0 EDWARD LAMB DIRECTOR & MCHS PRES/CEO AT 11/16 48.00 7.00 X X 0 150607 21835 ROGER SPOELMAN DIR & MCHS INT PRES/CEO THR 11/16 1.00 54.00 X X 0 1060999 42408 JUDITH ANNE BEATTIE CSC DIRECTOR 2.00 0.00 X 0 0 0 LARRY ENGLISH DIRECTOR 2.00 0.00 X 0 0 0 KATHY GATTERDAM DIRECTOR 2.00 0.00 X 0 0 0 JOHN GILLIGAN DIRECTOR 2.00 0.00 X 0 0 0 CHARLES HICKEY MD DIRECTOR 5.00 0.00 X 22675 0 0 SALLY JEFFCOAT DIRECTOR; EVP TRINITY WEST/MID GROUP 1.00 54.00 X 0 1396522 41561 JOY O'GRADY CSC DIRECTOR 2.00 0.00 X 0 0 0 TANISHA ROBINSON DIRECTOR 2.00 0.00 X 0 0 0 PABLO VEGAS DIRECTOR 2.00 0.00 X 0 0 0 DANIEL POWELL MOUNT CARMEL INTERIM CFO 50.00 5.00 X 243692 0 10302 DANIEL HACKETT SECRETARY; MANAGING COUNSEL 50.00 0.00 X 0 369221 43388 UNHEE KIM PRESIDENT, ST. ANN'S 55.00 0.00 X 0 472598 95796 SEAN MCKIBBEN PRESIDENT & COO, MC WEST 53.00 2.00 X 0 562907 41558 MICHAEL WILKINS PRESIDENT & COO, MC EAST 53.00 2.00 X 0 429411 75685 DIANE DOUCETTE PRESIDENT, MC NEW ALBANY 55.00 0.00 X 0 446430 92483 RICHARD STRECK CHIEF CLINICAL OPERATIONS OFFICER 50.00 0.00 X 0 691852 34808 PHILLIP SHUBERT MD DIRECTOR PERINATAL MEDICAL 50.00 0.00 X 618807 0 33326 JOHN KAVANAUGH INTERIM SR MANAGEMENT 50.00 0.00 X 556154 0 9234 DANIEL WENDORFF PRESIDENT - HEALTH PARTNERS 50.00 0.00 X 427467 0 35973 CHARLES SANDERS JR VP MEDICAL EDUCATION 50.00 0.00 X 396842 0 36146 DIANA ZITTER OBGYN ATTENDING PHYSICIAN 50.00 0.00 X 387480 0 21190 LYNDON CHRISTMAN FORMER KEY EMPLOYEE 0.00 0.00 X 107073 0 8565 CHARLES BRETT JUSTICE FORMER KE; SYS VP STRATEGIC ADVANCMT 48.00 2.00 X 122059 148144 36211 JACQUELINE PRIMEAU FORMER OFFICER; TRIN VP M&A 0.00 50.00 X 0 294379 30587 CLAUS VON ZYCHLIN FORMER OFFICER; CONSULTANT 50.00 0.00 X 0 966101 787668 KEITH COLEMAN FORMER OFFICER 0.00 0.00 X 0 568940 212188 BRINSLEY LEWIS PRESIDENT & COO, MC EAST THR 9/15 0.00 0.00 X 0 548248 21596 LAURA TRAINI FORMER KEY EMPLOYEE 0.00 0.00 X 0 164494 9611 2882249 8270853 1742119 479 1 1 0 MESSER CONSTRUCTION 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION SERVICES 41330176 GRESHAM SMITH AND PARTNERS 155 E BROAD ST COLUMBUS OH 43215 ARCHITECT SERVICES 7436370 TURNER CONSTRUCTION CO 535 GRISWOLD STE 200 DETROIT MI 48226 CONSTRUCTION SERVICES 6363455 CENTRAL OHIO ORTHOPEDIC MANAGEMENT CO 3059 E MOUND ST LOGAN OH 43138 HEALTH CARE SERVICES 5622526 AVI FOODSYSTEMS INC 2590 ELM ROAD NE WARREN OH 44483 FOOD SERVICES 5393775 129 2803200 937 77849 2881986 NET PATIENT SERVICE REVENUE 622110 1256179563 1254212633 1966930 SUBSIDIARY FEES 551114 18746075 18746075 1274925638 8032238 8032238 10932908 0 10932908 10932908 10932908 7073042 139206 0 129640 7073042 9566 7082608 7082608 PROF SERVICE AGREEMENT REV 622110 10229487 10229487 MANAGEMENT FEES 561499 5747194 5137675 609519 CAFETERIA REVENUE 722514 5345989 5345989 28092672 23384033 4708639 49415342 1353270720 1311709903 7285088 31393743 1373348 1373348 3622081 22675 3599406 2767473 2767473 439369596 388446302 50722772 200522 17361382 15246224 2107288 7870 40631069 35662234 4950426 18409 32829088 28633687 4180621 14780 4014359 4014359 703895 703895 14500 14500 60883 60883 1060212 1060212 104666011 91604151 13059000 2860 7189593 398138 6791455 9560514 6096653 3459513 4348 57441651 1586528 55855123 32620324 29316378 3293740 10206 1339979 953834 382928 3217 443654 345577 97376 701 18594872 18594872 91655126 65991691 25663435 10333302 10333302 MEDICAL SUPPLIES EXP 223085335 223085335 BAD DEBT EXPENSE 45412588 45412588 I/C PURCHASED SERVICES 38254614 29252405 9002209 UNRELATED BUS INC TAXES 929720 929720 50584631 46478843 4104896 892 1235919800 1043778844 191877151 263805 27043 26809 69509694 77844661 155492920 154873227 1399564 1485002 20894753 23577885 4960878 6078149 1631312358 874116569 620813342 757195789 354517272 326717908 339080695 288084683 40861155 40440837 445261037 530420441 2052818353 2206745391 134847530 136938554 108072 319308 7851788 7692883 676306561 681190464 819113951 826141209 X 1233704402 1380571602 636 31944 1233704402 1380604182 2052818353 2206745391 X 117350920 63646024 -34097164 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 29527 1 119529 0 0 149056 0 PART II-B, LINE 1: MOUNT CARMEL HEALTH SYSTEM (MOUNT CARMEL) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED MOUNT CARMEL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. MOUNT CARMEL ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST TO MOUNT CARMEL. X X 1 0 0.00 0 0 31944 31944 1.00000 0 1 1 46139009 46139009 764191005 454658137 309532868 557789405 419447073 138342332 6651703 256541236 11359 263181580 757195789 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 128718688 F EQUITY METHOD INVESTMENTS 98071382 C HEDGE FUNDS 61294613 F 288084683 MISCELLANEOUS RECEIVABLES 11425332 INTERCOMPANY ACCOUNTS RECEIVABLE 387931550 INVESTMENT IN UNCONSOL. AFFILIATES 61038355 INTERCOMPANY OTHER LT ASSETS 69934241 OTHER LONG-TERM ASSETS 89220 OTHER CURRENT ASSETS 1743 530420441 DEFERRED COMPENSATION LIABILITY 1882956 INTERCOMPANY ACCOUNTS PAYABLE 35117099 INTERCOMPANY NOTES PAYABLE 639607738 LEASE OBLIGATION 883528 OTHER CURRENT LIABILITIES 32911 OTHER LONG TERM LIABILITIES 295501 ASSET RETIREMENT OBLIGATION (FIN 47) 3145233 ANNUITIES PAYABLE 225498 681190464 SCHEDULE D, PART V ENDOWMENTS HELD BY MOUNT CARMEL HEALTH SYSTEM FOUNDATION FOR THE BENEFIT OF MOUNT CARMEL HEALTH SYSTEM (MOUNT CARMEL) ARE REPORTED ON THE FORM 990 OF MOUNT CARMEL HEALTH SYSTEM FOUNDATION. THE FUNDS WILL BE USED BY MOUNT CARMEL FOR HOSPICE/PALLIATIVE CARE, FACILITIES, GRADUATE AND CONTINUING MEDICAL EDUCATION, OB/GYN RESIDENCY EDUCATION, INTERN IMPROVEMENT, CHAPLAINCY, MCSA LABOR/DELIVERY STAFF EDUCATION, MCE STAFF EDUCATION, RADIATION ONCOLOGY DEPARTMENTS, WOMEN'S HEALTH, CANCER SERVICES, OPERATIONS, GENERAL PURPOSE, AND MISSION AND OUTREACH. SCHEDULE D, PART II, LINE 9 MOUNT CARMEL ACQUIRED LAND THROUGH PURCHASE THAT INCLUDES A WETLAND CONSERVATION EASEMENT. THE CONSERVATION EASEMENT IS REPORTED AS LAND ON THE BALANCE SHEET OF MOUNT CARMEL. 1 1 X 1 X 1 X 1 1 1 0 1 1 22322955 22322955 0.01880 210615058 143216031 67399027 0.05660 232938013 143216031 89721982 0.07540 17 128032 3919846 542419 3377427 0.00280 3 2162 21618228 9707703 11910525 0.01000 8 55947 3915045 2389447 1525598 0.00130 1 2620 14358 0 14358 0.00000 8 10010 1659250 1311 1657939 0.00140 37 198771 31126727 12640880 18485847 0.01550 37 198771 264064740 155856911 108207829 0.09090 2 280 18454 18454 0.00000 2 280 18454 18454 0.00000 1 45412588 0 224116698 217261899 6854799 X 1 1 1 ST ANN'S MEDICAL OFFICE BUILDING II LIMITED PARTNERSHIP MEDICAL OFFICE BLDG. 0.46980 0.53020 2 MCE MOB IV LIMITED PARTNERSHIP MEDICAL OFFICE BLDG. 0.49840 0.50160 3 MCE POB III MEDICAL OFFICE BLDG. 0.29150 0.70850 4 MEDILUCENT MOB I MEDICAL OFFICE BLDG. 0.25130 0.74870 5 EYE CENTER OF COLUMBUS AMBULATORY SURGERY CENTER 0.02680 0.04000 0.90650 6 TAYLOR STATION SURGICAL CENTER AMBULATORY SURGERY CENTER 0.40000 0.60000 7 CANAL WINCHESTER MOB MEDICAL OFFICE BLDG. 0.22000 0.78000 8 COLUMBUS CYBERKNIFE ROBOTIC CANCER TREATMENT 0.35000 0.50000 9 GREEN STREET SURGERY CENTER AMBULATORY SURGERY CENTER 0.20000 0.60000 10 ST ANNS MOB III LLC MEDICAL OFFICE BLDG. 0.38140 0.55590 11 NEW ALBANY SURGERY CENTER AMBULATORY SURGERY CENTER 0.35000 0.65000 12 BIG RUN MOB LIMITED PARTNERSHIP MEDICAL OFFICE BLDG. 0.76920 0.23080 13 EASTWIND SURGICAL LLC AMBULATORY SURGERY CENTER 0.30010 0.24710 4 1 MOUNT CARMEL EAST 6001 EAST BROAD STREET COLUMBUS OH 43213 WWW.MOUNTCARMELHEALTH.COM REGISTRATION #1027 X X X 2 MOUNT CARMEL WEST 793 WEST STATE STREET COLUMBUS OH 43222 WWW.MOUNTCARMELHEALTH.COM REGISTRATION #1175 X X X X 3 MOUNT CARMEL ST ANN'S 500 SOUTH CLEVELAND AVENUE WESTERVILLE OH 43081 WWW.MOUNTCARMELHEALTH.COM REGISTRATION #1606 X X X X 4 MOUNT CARMEL NEW ALBANY SURGICAL HOSP 7333 SMITHS MILL ROAD NEW ALBANY OH 43054 WWW.MOUNTCARMELHEALTH.COM REGISTRATION #1451 X X X MOUNT CARMEL EAST 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X HTTP://WWW.CENTRALOHIOHOSPITALS.ORG/CHNA.HTML X X 1 15 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MOUNT CARMEL WEST 2 0 0 1 X X X X X X X X X 15 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X HTTP://WWW.CENTRALOHIOHOSPITALS.ORG/CHNA.HTML X X 1 15 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MOUNT CARMEL ST ANN'S 3 0 0 1 X X X X X X X X X 15 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X HTTP://WWW.CENTRALOHIOHOSPITALS.ORG/CHNA.HTML X X 1 15 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MOUNT CARMEL NEW ALBANY SURGICAL HOSP 4 0 0 1 X X X X X X X X X 15 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X HTTP://WWW.CENTRALOHIOHOSPITALS.ORG/CHNA.HTML X X 1 15 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MOUNT CARMEL EAST PART V, SECTION B, LINE 5: THE MOUNT CARMEL HEALTH SYSTEM (MOUNT CARMEL) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE PROJECT LED BY CENTRAL OHIO HOSPITAL COUNCIL THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS AND THE FOLLOWING ORGANIZATIONS: COLUMBUS AND FRANKLIN COUNTY PUBLIC HEALTH (WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH); UNITED WAY OF CENTRAL OHIO AND PRIMARYONE HEALTH (REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS); CENTRAL OHIO AREA AGENCY ON AGING AND OHIO DEPARTMENT OF AGING (REPRESENTING THE SENIOR POPULATION); HEALTHCARE FOR THE HOMELESS (REPRESENTING THE HOMELESS POPULATION); AND OHIO DEPARTMENT OF HEALTH, OHIO DISABILITY AND HEALTH PROGRAM (REPRESENTING THOSE WITH DISABILITIES). THE INPUT WAS GATHERED THROUGH THIS STEERING COMMITTEE, WHICH BEGAN CONDUCTING WORK SESSIONS IN JUNE 2014 AND MET PERIODICALLY TO DISCUSS DATA SETS TO INCLUDE OR OMIT DEPENDING ON ITS NEGATIVE IMPACT TO THE HEALTH OF THE COMMUNITY. AN OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS, AND INPUT AND ADVICE WAS SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS. BY JUNE 2015, COMMUNITY MEMBERS PROVIDED FEEDBACK REGARDING THE TOP NEEDS, AND THE CHNA WAS RELEASED ON JUNE 8, 2016. MOUNT CARMEL WEST PART V, SECTION B, LINE 5: THE MOUNT CARMEL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE PROJECT LED BY CENTRAL OHIO HOSPITAL COUNCIL THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS AND THE FOLLOWING ORGANIZATIONS: COLUMBUS AND FRANKLIN COUNTY PUBLIC HEALTH (WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH); UNITED WAY OF CENTRAL OHIO AND PRIMARYONE HEALTH (REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS); CENTRAL OHIO AREA AGENCY ON AGING AND OHIO DEPARTMENT OF AGING (REPRESENTING THE SENIOR POPULATION); HEALTHCARE FOR THE HOMELESS (REPRESENTING THE HOMELESS POPULATION); AND OHIO DEPARTMENT OF HEALTH, OHIO DISABILITY AND HEALTH PROGRAM (REPRESENTING THOSE WITH DISABILITIES). THE INPUT WAS GATHERED THROUGH THIS STEERING COMMITTEE, WHICH BEGAN CONDUCTING WORK SESSIONS IN JUNE 2014 AND MET PERIODICALLY TO DISCUSS DATA SETS TO INCLUDE OR OMIT DEPENDING ON ITS NEGATIVE IMPACT TO THE HEALTH OF THE COMMUNITY. AN OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS, AND INPUT AND ADVICE WAS SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS. BY JUNE 2015, COMMUNITY MEMBERS PROVIDED FEEDBACK REGARDING THE TOP NEEDS, AND THE CHNA WAS RELEASED ON JUNE 8, 2016. MOUNT CARMEL ST. ANN'S PART V, SECTION B, LINE 5: THE MOUNT CARMEL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE PROJECT LED BY CENTRAL OHIO HOSPITAL COUNCIL THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS AND THE FOLLOWING ORGANIZATIONS: COLUMBUS AND FRANKLIN COUNTY PUBLIC HEALTH (WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH); UNITED WAY OF CENTRAL OHIO AND PRIMARYONE HEALTH (REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS); CENTRAL OHIO AREA AGENCY ON AGING AND OHIO DEPARTMENT OF AGING (REPRESENTING THE SENIOR POPULATION); HEALTHCARE FOR THE HOMELESS (REPRESENTING THE HOMELESS POPULATION); AND OHIO DEPARTMENT OF HEALTH, OHIO DISABILITY AND HEALTH PROGRAM (REPRESENTING THOSE WITH DISABILITIES). THE INPUT WAS GATHERED THROUGH THIS STEERING COMMITTEE, WHICH BEGAN CONDUCTING WORK SESSIONS IN JUNE 2014 AND MET PERIODICALLY TO DISCUSS DATA SETS TO INCLUDE OR OMIT DEPENDING ON ITS NEGATIVE IMPACT TO THE HEALTH OF THE COMMUNITY. AN OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS, AND INPUT AND ADVICE WAS SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS. BY JUNE 2015, COMMUNITY MEMBERS PROVIDED FEEDBACK REGARDING THE TOP NEEDS, AND THE CHNA WAS RELEASED ON JUNE 8, 2016. MOUNT CARMEL NEW ALBANY SURGICAL HOSP. PART V, SECTION B, LINE 5: THE MOUNT CARMEL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE PROJECT LED BY CENTRAL OHIO HOSPITAL COUNCIL THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS AND THE FOLLOWING ORGANIZATIONS: COLUMBUS AND FRANKLIN COUNTY PUBLIC HEALTH (WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH); UNITED WAY OF CENTRAL OHIO AND PRIMARYONE HEALTH (REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS); CENTRAL OHIO AREA AGENCY ON AGING AND OHIO DEPARTMENT OF AGING (REPRESENTING THE SENIOR POPULATION); HEALTHCARE FOR THE HOMELESS (REPRESENTING THE HOMELESS POPULATION); AND OHIO DEPARTMENT OF HEALTH, OHIO DISABILITY AND HEALTH PROGRAM (REPRESENTING THOSE WITH DISABILITIES). THE INPUT WAS GATHERED THROUGH THIS STEERING COMMITTEE, WHICH BEGAN CONDUCTING WORK SESSIONS IN JUNE 2014 AND MET PERIODICALLY TO DISCUSS DATA SETS TO INCLUDE OR OMIT DEPENDING ON ITS NEGATIVE IMPACT TO THE HEALTH OF THE COMMUNITY. AN OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS, AND INPUT AND ADVICE WAS SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS. BY JUNE 2015, COMMUNITY MEMBERS PROVIDED FEEDBACK REGARDING THE TOP NEEDS, AND THE CHNA WAS RELEASED ON JUNE 8, 2016. MOUNT CARMEL EAST PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INVOLVED IN CONDUCTING THE FRANKLIN COUNTY CHNA INCLUDED NATIONWIDE CHILDREN'S, OHIOHEALTH, WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY, MOUNT CARMEL WEST (MC WEST), MOUNT CARMEL ST. ANN'S (MC ST. ANN'S), MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL (MC NEW ALBANY), AND DILEY RIDGE MEDICAL CENTER. MOUNT CARMEL WEST PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INVOLVED IN CONDUCTING THE FRANKLIN COUNTY CHNA INCLUDED NATIONWIDE CHILDREN'S, OHIOHEALTH, WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY, MOUNT CARMEL EAST (MC EAST), MC ST. ANN'S, MC NEW ALBANY, AND DILEY RIDGE MEDICAL CENTER. MOUNT CARMEL ST. ANN'S PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INVOLVED IN CONDUCTING THE FRANKLIN COUNTY CHNA INCLUDED NATIONWIDE CHILDREN'S, OHIOHEALTH, WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY, MC EAST, MC WEST, MC NEW ALBANY, AND DILEY RIDGE MEDICAL CENTER. MOUNT CARMEL NEW ALBANY SURGICAL HOSP. PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INVOLVED IN CONDUCTING THE FRANKLIN COUNTY CHNA INCLUDED NATIONWIDE CHILDREN'S, OHIOHEALTH, WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY, MC EAST, MC WEST, MC ST. ANN'S, AND DILEY RIDGE MEDICAL CENTER. MOUNT CARMEL EAST PART V, SECTION B, LINE 6B: THE COLLABORATIVE ORGANIZATIONS INVOLVED IN THE FRANKLIN COUNTY CHNA INCLUDED: CENTRAL OHIO AREA AGENCY ON AGING, CENTRAL OHIO TRAUMA CENTER, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UNITED WAY OF CENTRAL OHIO, CENTRAL OHIO HOSPITAL COUNCIL, PRIMARYONE HEALTH, HEALTHCARE FOR THE HOMELESS, OHIO DEPARTMENT OF AGING, OHIO DEPARTMENT OF HEALTH OHIO DISABILITY AND HEALTH PROGRAM, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, CENTER FOR PUBLIC HEALTH PRACTICE. MOUNT CARMEL WEST PART V, SECTION B, LINE 6B: THE COLLABORATIVE ORGANIZATIONS INVOLVED IN THE FRANKLIN COUNTY CHNA INCLUDED: CENTRAL OHIO AREA AGENCY ON AGING, CENTRAL OHIO TRAUMA CENTER, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UNITED WAY OF CENTRAL OHIO, CENTRAL OHIO HOSPITAL COUNCIL, PRIMARYONE HEALTH, HEALTHCARE FOR THE HOMELESS, OHIO DEPARTMENT OF AGING, OHIO DEPARTMENT OF HEALTH OHIO DISABILITY AND HEALTH PROGRAM, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, CENTER FOR PUBLIC HEALTH PRACTICE. MOUNT CARMEL ST. ANN'S PART V, SECTION B, LINE 6B: THE COLLABORATIVE ORGANIZATIONS INVOLVED IN THE FRANKLIN COUNTY CHNA INCLUDED: CENTRAL OHIO AREA AGENCY ON AGING, CENTRAL OHIO TRAUMA CENTER, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UNITED WAY OF CENTRAL OHIO, CENTRAL OHIO HOSPITAL COUNCIL, PRIMARYONE HEALTH, HEALTHCARE FOR THE HOMELESS, OHIO DEPARTMENT OF AGING, OHIO DEPARTMENT OF HEALTH OHIO DISABILITY AND HEALTH PROGRAM, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, CENTER FOR PUBLIC HEALTH PRACTICE. MOUNT CARMEL NEW ALBANY SURGICAL HOSP. PART V, SECTION B, LINE 6B: THE COLLABORATIVE ORGANIZATIONS INVOLVED IN THE FRANKLIN COUNTY CHNA INCLUDED: CENTRAL OHIO AREA AGENCY ON AGING, CENTRAL OHIO TRAUMA CENTER, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UNITED WAY OF CENTRAL OHIO, CENTRAL OHIO HOSPITAL COUNCIL, PRIMARYONE HEALTH, HEALTHCARE FOR THE HOMELESS, OHIO DEPARTMENT OF AGING, OHIO DEPARTMENT OF HEALTH OHIO DISABILITY AND HEALTH PROGRAM, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, CENTER FOR PUBLIC HEALTH PRACTICE. MOUNT CARMEL EAST PART V, SECTION B, LINE 7D: THE CHNA FOR FRANKLIN COUNTY WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JUNE 8, 2016 AT THE BOAT HOUSE AT CONFLUENCE PARK, WHERE COPIES WERE SHARED WITH THE PUBLIC AND LEADERS OF COMMUNITY ORGANIZATIONS. MOUNT CARMEL HAS MADE THE DOCUMENT AVAILABLE TO THE COMMUNITY AT HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT, WHERE INDIVIDUALS CAN READ ELECTRONICALLY, DOWNLOAD, OR PRINT A COPY. PRINT COPIES CAN BE REQUESTED BY CONTACTING THE HOSPITAL BY PHONE OR EMAIL. ELECTRONIC COPIES OF THE CHNA CAN BE ACCESSED AT HTTP://WWW.CENTRALOHIOHOSPITALS.ORG/CHNA.HTML. MOUNT CARMEL WEST PART V, SECTION B, LINE 7D: THE CHNA FOR FRANKLIN COUNTY WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JUNE 8, 2016 AT THE BOAT HOUSE AT CONFLUENCE PARK, WHERE COPIES WERE SHARED WITH THE PUBLIC AND LEADERS OF COMMUNITY ORGANIZATIONS. MOUNT CARMEL HAS MADE THE DOCUMENT AVAILABLE TO THE COMMUNITY AT HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT, WHERE INDIVIDUALS CAN READ ELECTRONICALLY, DOWNLOAD, OR PRINT A COPY. PRINT COPIES CAN BE REQUESTED BY CONTACTING THE HOSPITAL BY PHONE OR EMAIL. ELECTRONIC COPIES OF THE CHNA CAN BE ACCESSED AT HTTP://WWW.CENTRALOHIOHOSPITALS.ORG/CHNA.HTML. MOUNT CARMEL ST. ANN'S PART V, SECTION B, LINE 7D: THE CHNA FOR FRANKLIN COUNTY WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JUNE 8, 2016 AT THE BOAT HOUSE AT CONFLUENCE PARK, WHERE COPIES WERE SHARED WITH THE PUBLIC AND LEADERS OF COMMUNITY ORGANIZATIONS. MOUNT CARMEL HAS MADE THE DOCUMENT AVAILABLE TO THE COMMUNITY AT HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT, WHERE INDIVIDUALS CAN READ ELECTRONICALLY, DOWNLOAD, OR PRINT A COPY. PRINT COPIES CAN BE REQUESTED BY CONTACTING THE HOSPITAL BY PHONE OR EMAIL. ELECTRONIC COPIES OF THE CHNA CAN BE ACCESSED AT HTTP://WWW.CENTRALOHIOHOSPITALS.ORG/CHNA.HTML. MOUNT CARMEL NEW ALBANY SURGICAL HOSP. PART V, SECTION B, LINE 7D: THE CHNA FOR FRANKLIN COUNTY WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JUNE 8, 2016 AT THE BOAT HOUSE AT CONFLUENCE PARK, WHERE COPIES WERE SHARED WITH THE PUBLIC AND LEADERS OF COMMUNITY ORGANIZATIONS. MOUNT CARMEL HAS MADE THE DOCUMENT AVAILABLE TO THE COMMUNITY AT HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT, WHERE INDIVIDUALS CAN READ ELECTRONICALLY, DOWNLOAD, OR PRINT A COPY. PRINT COPIES CAN BE REQUESTED BY CONTACTING THE HOSPITAL BY PHONE OR EMAIL. ELECTRONIC COPIES OF THE CHNA CAN BE ACCESSED AT HTTP://WWW.CENTRALOHIOHOSPITALS.ORG/CHNA.HTML. MOUNT CARMEL EAST PART V, SECTION B, LINE 11: OBESITY:CANCER SURVIVORSHIP SERVICES HAS PROGRAMS AND SERVICES TO PREVENT DISEASE RECURRENCE AND IMPROVE OVERALL HEALTH AND WELL-BEING THROUGH PHYSICAL ACTIVITIES SUCH AS GENTLE YOGA, PILATES, AEROBICS, AND WEIGHT TRAINING. URBAN HEALTH MANAGEMENT'S DIABETES PREVENTION PROGRAM NOT ONLY FOCUSES ON PREVENTING DIABETES, BUT ALSO ASSISTS PARTICIPANTS IN DEVELOPING HEALTHY HABITS THAT MAY LEAD TO WEIGHT LOSS.INFANT MORTALITY:MOMS2B (M2B), A COLLABORATION BETWEEN OHIO STATE UNIVERSITY AND MOUNT CARMEL'S WELCOME HOME PROGRAM, IS A PROGRAM THAT EMPOWERS PREGNANT WOMEN IN HIGH RISK AREAS TO DELIVER HEALTHY BABIES. WEEKLY GROUP SESSIONS FOCUSED ON EDUCATION, NUTRITION, CLINICAL AND SOCIAL SUPPORT ARE OFFERED THROUGH THE PROGRAM AND CONTINUE THROUGH THE BABY'S FIRST YEAR. WELCOME HOME PROVIDES IN-HOME NEWBORN AND MATERNAL HEALTH AND WELLNESS ASSESSMENTS AND HOME VISITS TO FAMILIES PARTICIPATING IN M2B. OVERALL, WELCOME HOME PROVIDED SERVICES TO OVER 12,000 HOUSEHOLDS. ADDITIONALLY, IN FY 2017, MC EAST PROVIDED FINANCIAL SUPPORT TO LOCAL FEDERAL QUALIFIED HEALTH CENTERS (FQHC'S) TO PROVIDE CARE FOR AT-RISK PREGNANT WOMEN. MC EAST IS ALSO PART OF THE OHIO BETTER BIRTH OUTCOMES AND PROVIDES SUPPORT FOR CELEBRATE ONE. ACCESS TO CARE:IN FY 2017, FINANCIAL ASSISTANCE WAS PROVIDED TO 1,124 PATIENTS. MC EAST SUPPORTS THREE COMMUNITY-BASED HEALTH STATION CLINICS THAT PROVIDED INCOME-BASED CARE FOR OVER 9,000 PATIENT VISITS. THE LOW-INCOME PHARMACY ASSISTED OVER 3,400 LOW-INCOME PATIENTS IN ACQUIRING CRITICAL MEDICATIONS AT LOW OR NO COST THROUGH PARTNERSHIPS WITH PHARMACEUTICAL COMPANIES. ADDITIONALLY, MC EAST PROVIDED FINANCIAL SUPPORT FOR TWO LOCAL FQHC'S, WHICH PROVIDED ACCESS TO PRIMARY CARE ON A SLIDING FEE SCALE. CHRONIC CONDITIONS:THE HEALTH STATION CLINICS, PART OF MOUNT CARMEL, FOCUS ON CHRONIC DISEASE AND HEALTH DISPARITIES BY PROVIDING CARE FOR CHRONIC CONDITIONS WITHIN THE AREAS IDENTIFIED IN THE CHNA AS HAVING THE HIGHEST NEED. MC EAST SUPPORTS THE CANCER SURVIVORSHIP SERVICES THAT INCLUDE EXERCISE CLASSES, SUPPORT GROUPS, EDUCATION PROGRAMS, GENETIC COUNSELING AND SCREENING, NURSE NAVIGATORS, AND OTHER PROGRAMS TO OVER 12,000 INDIVIDUALS. MOUNT CARMEL'S URBAN HEALTH MANAGEMENT PROGRAM PROVIDES COMMUNITY-BASED DIABETES PREVENTION SERVICES, WHICH TEACH AT-RISK COMMUNITY MEMBERS AND THEIR SUPPORT PERSON HOW TO IMPROVE THEIR HEALTH TO AVOID BECOMING DIABETIC.LIMITED RESOURCES AND SCOPE OF PRACTICE WERE REASONS EACH HOSPITAL IN MOUNT CARMEL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN THE FY 2016 CHNA. THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MC EAST, BUT ARE BEING ADDRESSED BY OTHER MOUNT CARMEL FACILITIES OR COLLABORATIVE PARTNERS: MENTAL HEALTH AND ADDICTION IS BEING ADDRESSED BY DILEY RIDGE MEDICAL CENTER, MC WEST AND MC ST. ANN'S, AS WELL AS COMMUNITY RESOURCES LISTED ON PAGE 18 OF THE CHNA. INFECTIOUS DISEASE IS BEING ADDRESSED BY MC WEST, MC NEW ALBANY, AND COMMUNITY RESOURCES LISTED ON PAGE 26 OF THE CHNA. MOUNT CARMEL WEST PART V, SECTION B, LINE 11: OBESITY:MC WEST'S HEALTHY LIVING CENTER (HLC) HOSTS A MONTHLY COOKING CLASS TO TEACH ADULTS AND YOUTH THE IMPORTANCE OF HEALTHY EATING HABITS AND MAINTAINING A HEALTHY WEIGHT. FITNESS CLASSES AS WELL AS EDUCATIONAL EVENTS ABOUT UNDERSTANDING EATING DISORDERS ARE HOSTED AND CO-SPONSORED BY HLC. OVER 38,000 COMMUNITY ENCOUNTERS HAVE TAKEN PLACE IN THIS FACILITY.SOCCER FOR SUCCESS IS AN EVIDENCE-BASED, HEALTH-CENTERED, AFTER-SCHOOL MENTORING MODEL THAT IS DESIGNED TO ELIMINATE CHILDHOOD OBESITY AND PROMOTE HEALTHY LIFESTYLES FOR UNDERSERVED CHILDREN AND YOUTH. MOUNT CARMEL'S PARTNERSHIP WITH COLUMBUS RECREATION AND PARKS ENABLED THE EXTENSION OF SOCCER FOR SUCCESS TO SIX ADDITIONAL LOCATIONS ON COLUMBUS' WEST SIDE. THERE WERE 150 PARTICIPANTS IN ITS FIRST SEASON.ACCESS TO CARE:THE OUTREACH MOBILE COACH SERVED NEARLY 16,000 LOW-INCOME AND HOMELESS INDIVIDUALS IN TARGETED AREAS WHERE THE POPULATION HAS BARRIERS ACCESSING HEALTH CARE. THE OUTREACH STREET MEDICINE PROGRAM PROVIDES SERVICES TO HOMELESS CITIZENS BEFORE THEIR ILLNESSES BECOME URGENT OR LIFE THREATENING. THE PROGRAM ALSO PROVIDES THEM WITH CONNECTIONS TO COMMUNITY RESOURCES TO ADDRESS ADDITIONAL NEEDS.MC WEST HELD SPECIAL EVENTS FOR 2,114 INDIVIDUALS WHO RECEIVED HEALTH SCREENINGS AND OBTAINED INFORMATION ON THEIR HEALTH CONDITIONS OR WERE REFERRED FOR ADDITIONAL ASSISTANCE. MC WEST ALSO PROVIDED FINANCIAL ASSISTANCE FOR 1,557 PATIENTS.MENTAL HEALTH AND ADDICTION:THE OUTREACH PROGRAM PARTNERS WITH SOUTHEAST, INC. TO PROVIDE BEHAVIORAL HEALTH SERVICES. AS PART OF THIS PARTNERSHIP, THE OUTREACH MOBILE COACH HOUSES A PSYCHIATRIC NURSE PRACTITIONER AND CASEWORKER AT CLINICS THAT PROVIDE ON-SITE SERVICES FOR MOBILE COACH AND STREET MEDICINE PATIENTS. MC WEST IS PART OF PROJECT DAWN (DEATHS AVOIDED WITH NALOXONE), A COMMUNITY-BASED OVERDOSE EDUCATION AND NALOXONE DISTRIBUTION PROGRAM. THE PROGRAM ADMINISTERS NALOXONE AT NO COST TO PARTICIPANTS AND EDUCATES THEM ON HOW TO RECOGNIZE THE SYMPTOMS AND TYPES OF OVERDOSE, TO PERFORM RESCUE BREATHING, AND TO CALL EMERGENCY SERVICES. MC WEST PROVIDED EDUCATION AND NALOXONE TO 260 COMMUNITY MEMBERS IN FY 2017.CHRONIC CONDITIONS:MC WEST PROVIDED HEALTH EDUCATION AND SUPPORTIVE SERVICES TO PREVENT AND MANAGE CHRONIC CONDITIONS THROUGH THE HLC, WHICH SERVED OVER 38,000 PERSONS IN FY 2017. THE OUTREACH MOBILE COACH PROVIDED CARE TO OVER 15,000 HOMELESS, UNINSURED, UNDERINSURED, AND LOW-INCOME PERSONS FOR VARIOUS CONDITIONS, INCLUDING CHRONIC CONDITIONS. PRESCRIPTIONEASE MATCHES QUALIFYING PATIENTS WITH PHARMACEUTICAL ASSISTANCE PROGRAMS, INCREASING PATIENT MEDICATION COMPLIANCE, AND FOLLOWS UP WITH PATIENTS TO ENSURE THEY HAVE RECEIVED REFILLS OR TO REENROLL. MEDICATION ASSISTANCE WAS PROVIDED TO OVER 416 INDIVIDUALS, SECURING OVER $501,000 IN FREE MEDICATION IN FY 2017.INFECTIOUS DISEASE:THE OUTREACH MOBILE COACH PROVIDED INFLUENZA, TDAP, AND PNEUMONIA VACCINATIONS FOR THOSE FACING BARRIERS AT NO COST TO THE PATIENT.LIMITED RESOURCES AND SCOPE OF PRACTICE WERE REASONS EACH HOSPITAL IN MOUNT CARMEL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN THE FY 2016 CHNA.THE FOLLOWING NEED IS NOT BEING ADDRESSED BY MC WEST, BUT IS BEING ADDRESSED BY OTHER MOUNT CARMEL FACILITIES AND COMMUNITY RESOURCES: INFANT MORTALITY IS BEING ADDRESSED BY MC EAST, MC ST. ANN'S, AND COMMUNITY RESOURCES LISTED ON PAGE 13 OF THE CHNA. MOUNT CARMEL ST. ANN'S PART V, SECTION B, LINE 11: OBESITY:MC ST. ANN'S MY TIME PROGRAM HAS CLASSES AND EVENTS PRIMARILY FOR WOMEN OVER 40. OFFERINGS INCLUDE EXERCISE AND NUTRITION CLASSES.ADDITIONALLY, MC ST. ANN'S SUPPLIED VOLUNTEERS TO PROVIDE HEALTHY LUNCHES AND ENRICHMENT ACTIVITIES TO CHILDREN AND THEIR PARENTS PARTICIPATING IN WESTERVILLE AREA RESOURCE MINISTRY KID'S LUNCH PROGRAM. MC ST. ANN'S ALSO PARTICIPATED IN FOOD DRIVES, DONATING THE FOOD TO LOCAL COMMUNITY FOOD PANTRIES.INFANT MORTALITY:IN FY 2017, MC ST. ANN'S PROVIDED CAR SEATS AND PACK-N-PLAY CRIBS TO NEW PARENTS TO ASSIST WITH BABY SAFE SLEEP AND SAFETY AS PART OF THE FOCUS ON INFANT MORTALITY AND INJURY PREVENTION. ACCESS TO CARE: MC ST. ANN'S PROVIDED FINANCIAL SUPPORT FOR A LOCAL FQHC, ENSURING ACCESS TO CARE AND ASSISTANCE WITH DISEASE PREVENTION FOR PATIENTS. MC ST. ANN'S ALSO PROVIDED FINANCIAL ASSISTANCE FOR 1,665 PATIENT VISITS. THE LOW-INCOME PHARMACY ASSISTS LOW-INCOME PATIENTS IN ACQUIRING CRITICAL MEDICATIONS AT VERY LOW TO NO COST, SIGNIFICANTLY INCREASING ACCESS TO MEDICATIONS FOR 1,937 INDIVIDUALS IN FY 2017.MENTAL HEALTH AND ADDICTION:THE MY TIME PROGRAM, DESCRIBED ABOVE, ALSO OFFERS CLASSES SUCH AS SELF-CARE TO MANAGE STRESS, BUILDING RESILIENCE DURING TURBULENT TIMES, AND LEARNING HOW TO MANAGE ONESELF DURING CONFRONTATIONAL INTERACTIONS.CHRONIC CONDITIONS:REGISTERED NURSES SPECIALIZING IN STROKE EDUCATION AND PREVENTION TRAVEL TO AREA SCHOOLS, FAITH-BASED ORGANIZATIONS, AND BUSINESSES TO EDUCATE THE COMMUNITY ON STROKE FACTORS, RISKS, AND HOW TO IDENTIFY INDIVIDUALS WHO ARE SUFFERING FROM A STROKE AND WHAT SHOULD BE DONE TO PROVIDE ASSISTANCE.LIMITED RESOURCES AND SCOPE OF PRACTICE WERE REASONS EACH HOSPITAL IN MOUNT CARMEL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN THE FY 2016 CHNA. THE FOLLOWING NEED IS NOT BEING ADDRESSED BY MC ST. ANN'S, BUT IS BEING ADDRESSED BY OTHER MOUNT CARMEL HOSPITALS AND COMMUNITY RESOURCES: INFECTIOUS DISEASE IS BEING ADDRESSED BY MC WEST, MC NEW ALBANY, AND COMMUNITY RESOURCES LISTED ON PAGE 26 OF THE CHNA. MOUNT CARMEL NEW ALBANY SURGICAL HOSP. PART V, SECTION B, LINE 11: CHRONIC CONDITIONS:MC NEW ALBANY SUPPORTS THE CHURCH PARTNERSHIPS PROGRAM, ENABLING THE PROVISION OF HEALTH PROMOTION AND HEALTH EDUCATION TO FAITH-BASED ORGANIZATIONS. DURING HEALTH FAIRS AND COMMUNITY EVENTS, CHURCH PARTNERSHIPS PROVIDES INDIVIDUALS WITH HEALTH SCREENINGS AND REFERRALS FOR ADDITIONAL CARE, IF NEEDED. IN FY 2017, THE CHURCH PARTNERSHIPS PROGRAM PROVIDED 177 HEALTH SCREENINGS.INFECTIOUS DISEASE:CHURCH PARTNERSHIPS PROVIDED HEALTH FAIRS AND VACCINATIONS TO ADDRESS INFECTIOUS DISEASE. IN FY 2017, THE CHURCH PARTNERSHIPS PROGRAM PROVIDED 68 FLU VACCINATIONS.LIMITED RESOURCES AND SCOPE OF PRACTICE WERE REASONS EACH HOSPITAL IN MOUNT CARMEL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN THE FY 2016 CHNA. THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MC NEW ALBANY, BUT ARE BEING ADDRESSED BY OTHER MOUNT CARMEL FACILITIES OR COLLABORATIVE PARTNERS: OBESITY IS BEING ADDRESSED AT MC EAST, MC WEST, MC ST. ANN'S, AND COMMUNITY RESOURCES LISTED ON PAGE 11 OF THE CHNA. INFANT MORTALITY IS BEING ADDRESSED BY MC EAST, MC ST. ANN'S, AND COMMUNITY RESOURCES LISTED ON PAGE 13 OF THE CHNA. ACCESS TO CARE IS BEING ADDRESSED BY MC EAST, MC WEST, MC ST. ANN'S, AND COMMUNITY RESOURCES LISTED ON PAGES 15 AND 16 OF THE CHNA. MENTAL HEALTH AND ADDICTION IS BEING ADDRESSED BY MC WEST, MC ST. ANN'S, DILEY RIDGE MEDICAL CENTER, AND COMMUNITY RESOURCES LISTED ON PAGE 18 OF THE CHNA. MOUNT CARMEL EAST PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. MOUNT CARMEL WEST PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. MOUNT CARMEL ST. ANN'S PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. MOUNT CARMEL NEW ALBANY SURGICAL HOSP. PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. MOUNT CARMEL EAST - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. MOUNT CARMEL WEST - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. MOUNT CARMEL ST. ANN'S - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. MOUNT CARMEL NEW ALBANY SURGICAL HOSP. - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. MOUNT CARMEL EAST - PART V, SECTION B, LINE 7A: CHNA URL: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT MOUNT CARMEL EAST - PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY URL: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT MOUNT CARMEL WEST - PART V, SECTION B, LINE 7A: CHNA URL: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT MOUNT CARMEL WEST - PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY URL: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT MOUNT CARMEL ST. ANN'S - PART V, SECTION B, LINE 7A: CHNA URL: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT MOUNT CARMEL ST. ANN'S - PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY URL: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT MOUNT CARMEL NEW ALBANY - PART V, SECTION B, LINE 7A: CHNA URL: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT MOUNT CARMEL NEW ALBANY - PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY URL: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT 87 1 - MOUNT CARMEL HEALTH CENTER-GROVE CITY 5300 N MEADOWS DR GROVE CITY OH 43123 EMERGENCY CARE 2 - MOUNT CARMEL HEALTH CENTER-GROVE CITY 5300 N MEADOWS DR GROVE CITY OH 43123 IMAGING CENTER 3 - MOUNT CARMEL HEALTH CENTER-GROVE CITY 5300 N MEADOWS DR GROVE CITY OH 43123 OUTPATIENT LAB DRAWS 4 - MOUNT CARMEL HEALTH CENTER-GROVE CITY 5300 N MEADOWS DR GROVE CITY OH 43123 WOMENS HEALTH 5 - MOUNT CARMEL CARE CONTINUUM SERVICES 1144 DUBLIN RD COLUMBUS OH 43215 HOSPICE 6 - NEW ALBANY SURGERY CENTER 5040 FOREST DR STE 100 NEW ALBANY OH 43054 AMBULATORY SURGERY CENTER 7 - TAYLOR STATION SURGERY CENTER 275 TAYLOR STATION RD COLUMBUS OH 43213 AMBULATORY SURGERY CENTER 8 - EYE CENTER OF COLUMBUS 262 NEIL AVE STE 500 COLUMBUS OH 43215 COMMUNITY OPTHALMIC RESOURCES 9 - MOUNT CARMEL ST ANN'S INFUSION THERAPY 495 COOPER RD STE 115 WESTERVILLE OH 43081 INFUSION THERAPY 10 - MOUNT CARMEL ANTICOAGULATION 495 COOPER RD STE 330 WESTERVILLE OH 43081 ANTICOAGULATION, HEART FAILURE CENTER 11 - MOUNT CARMEL ST ANN'S OUTPATIENT LAB 495 COOPER RD STE 100 WESTERVILLE OH 43081 OUTPATIENT LAB DRAWS 12 - MOUNT CARMEL ST ANN'S IMAGING CENTER 495 COOPER RD STE 101 WESTERVILLE OH 43081 IMAGING CENTER 13 - MOUNT CARMEL ST ANN'S ENDOSCOPY & PULMON 495 COOPER RD STE 106 WESTERVILLE OH 43081 ENDOSCOPY & PULMONARY 14 - MOUNT CARMEL ST ANN'S CANCER CENTER 495 COOPER RD STE 120 WESTERVILLE OH 43081 CANCER TREATMENT 15 - COLUMBUS CYBERKNIFE 495 COOPER RD STE 125 WESTERVILLE OH 43081 CANCER TREATMENT 16 - MOUNT CARMEL ST ANN'S DIABETES MGMT 495 COOPER RD STE 210A WESTERVILLE OH 43081 DIABETES SELF-MANAGEMENT 17 - MOUNT CARMEL ST ANN'S OUTPATIENT LAB 495 COOPER RD STE 314 WESTERVILLE OH 43081 OUTPATIENT LAB DRAWS 18 - MOUNT CARMEL ST ANN'S SURGICAL CARE CEN 495 COOPER RD STE 410 WESTERVILLE OH 43081 SURGICAL CARE 19 - MOUNT CARMEL ST ANN'S GI CENTER 495 COOPER RD STE 411 WESTERVILLE OH 43081 GASTROINTESTINAL CARE 20 - MOUNT CARMEL ST ANN'S ANTICOAGULATION CE 7100 GRAPHICS WAY STE 1500 LEWIS CENTER OH 43035 ANTICOAGULATION 21 - MOUNT CARMEL ST ANN'S CARDIOVASCULAR SER 7100 GRAPHICS WAY STE 1500 LEWIS CENTER OH 43035 CARDIOVASCULAR CENTER 22 - MOUNT CARMEL LEWIS CENTER LAB SERVICE CE 7100 GRAPHICS WAY STE 1600 LEWIS CENTER OH 43035 OUTPATIENT LAB DRAWS 23 - MOUNT CARMEL ST ANN'S OCCUPATION HLTH 7100 GRAPHICS WAY STE 1650 LEWIS CENTER OH 43035 OCCUPATIONAL HEALTH 24 - MOUNT CARMEL ST ANN'S IMAGING SERVICES 7100 GRAPHICS WAY STE 1700 LEWIS CENTER OH 43035 IMAGING CENTER 25 - MOUNT CARMEL ST ANN'S WOMENS HEALTH CEN 7100 GRAPHICS WAY STE 1800 LEWIS CENTER OH 43035 WOMENS HEALTH 26 - MOUNT CARMEL ST ANN'S EMERGENCY CARE 7100 GRAPHICS WAY STE 1900 LEWIS CENTER OH 43035 EMERGENCY CARE 27 - MOUNT CARMEL ST ANN'S CARDIAC REHAB 7100 GRAPHICS WAY STE 2100 LEWIS CENTER OH 43035 CARDIAC REHABILITATION 28 - MOUNT CARMEL FITNESS & HEALTH 7100 GRAPHICS WAY STE 2200 LEWIS CENTER OH 43035 PHYSICAL THERAPY 29 - MOUNT CARMEL SPORTS MEDICINE SPECIAL 7100 GRAPHICS WAY STE 2400 LEWIS CENTER OH 43035 REHAB & SPORTS MEDICINE 30 - MOUNT CARMEL WOUND CARE CENTER EAST 5965 E BROAD ST STE 120 COLUMBUS OH 43213 WOUND CARE CLINIC 31 - MOUNT CARMEL EAST WOMENS HEALTH 5965 E BROAD ST STE 100 COLUMBUS OH 43213 WOMENS HEALTH 32 - MOUNT CARMEL EAST ANTICOAGULATION CTR 5965 E BROAD ST STE 200 COLUMBUS OH 43213 ANTICOAGULATION, HEART FAILURE CENTER, HYPERTENSION CENTER 33 - MOUNT CARMEL EAST REHAB & SPORTS MED 5965 E BROAD ST STE 390 COLUMBUS OH 43213 REHAB & SPORTS MEDICINE, PHYSICAL THERAPY 34 - MOUNT CARMEL ST ANN'S WOMENS HEALTH CEN 477 COOPER RD STE 100 WESTERVILLE OH 43081 WOMENS HEALTH 35 - MOUNT CARMEL ST ANN'S OP WOUND CARE 477 COOPER RD STE 150 WESTERVILLE OH 43081 WOUND CARE CLINIC 36 - MOUNT CARMEL CLINICAL CARDIOVASCULAR SPE 477 COOPER RD STE 200 WESTERVILLE OH 43081 CARDIOVASCULAR CENTER 37 - MOUNT CARMEL ST ANN'S FAMILY MEDICINE 477 COOPER RD STE 309 WESTERVILLE OH 43081 FAMILY MEDICINE 38 - MOUNT CARMEL OUTPATIENT LAB 85 MCNAUGHTEN RD STE 100 COLUMBUS OH 43213 OUTPATIENT LAB DRAWS 39 - MOUNT CARMEL EAST VASCULAR SERVICES 85 MCNAUGHTEN RD STE 200 COLUMBUS OH 43213 VASCULAR SERVICES 40 - MOUNT CARMEL EAST CARDIAC IMAGING 85 MCNAUGHTEN RD STE 350 COLUMBUS OH 43213 CARDIAC IMAGING 41 - EASTWIND SURGICAL CENTER 955 EASTWIND DRIVE STE 150 WESTERVILLE OH 43081 NEUROSURGERY CENTER 42 - MOUNT CARMEL URGENT CARE 3000 MEADOW POND CT STE 200 GROVE CITY OH 43123 URGENT CARE 43 - MOUNT CARMEL GROVE CITY OUTPATIENT LAB 3000 MEADOW POND CT STE 300 GROVE CITY OH 43123 OUTPATIENT LAB DRAWS 44 - MOUNT CARMEL HEALTH REHAB SERVICES 3000 MEADOW POND CT STE 600 GROVE CITY OH 43123 REHAB & SPORTS MEDICINE 45 - MOUNT CARMEL HEALTH CENTER-GROVE CITY 5350 N MEADOWS DR STE 220 GROVE CITY OH 43123 ANTICOAGULATION, HEART FAILURE CENTER, CARDIAC REHAB 46 - MOUNT CARMEL HEALTH CENTER-GROVE CITY 5350 N MEADOWS DR STE 240 GROVE CITY OH 43123 REHAB & SPORTS MEDICINE 47 - MOUNT CARMEL HEALTH CENTER-GROVE CITY 5350 N MEADOWS DR STE 260 GROVE CITY OH 43123 NUCLEAR MEDICINE & CARDIAC IMAGING 48 - MOUNT CARMEL EAST IMAGING CENTER 5969 E BROAD ST STE 100 COLUMBUS OH 43213 IMAGING CENTER 49 - MOUNT CARMEL EAST OCCUPATIONAL HEALTH 5969 E BROAD ST STE 307 COLUMBUS OH 43213 OCCUPATIONAL HEALTH 50 - MOUNT CARMEL WEST REHAB & SPORTS MED 745 W STATE ST STE 700 COLUMBUS OH 43222 REHAB & SPORTS MEDICINE, PHYSICAL THERAPY 51 - MOUNT CARMEL HEALTH CARDIAC IMAGING 745 W STATE ST STE 750 COLUMBUS OH 43222 CARDIOLOGY CENTER 52 - MOUNT CARMEL WEST OUTPATIENT LAB 750 MOUNT CARMEL MALL RM 180 COLUMBUS OH 43222 OUTPATIENT LAB DRAWS 53 - MOUNT CARMEL WEST WOMENS HEALTH 750 MOUNT CARMEL MALL STE 160 COLUMBUS OH 43222 WOMENS HEALTH 54 - MOUNT CARMEL WOUND & OSTOMY CARE CTR 5975 E BROAD ST STE 204 COLUMBUS OH 43213 WOUND & OSTOMY CARE 55 - MOUNT CARMEL EAST INFUSION SERVICES 5975 E BROAD ST STE 300 COLUMBUS OH 43213 CANCER TREATMENT 56 - MOUNT CARMEL REHABILITATION HOSPITAL IN 597 EXECUTIVE CAMPUS DR WESTERVILLE OH 43082 INPATIENT REHABILITATION HOSPITAL 57 - MOUNT CARMEL OUTPATIENT LAB 150 TAYLOR STATION RD STE 130 COLUMBUS OH 43213 OUTPATIENT LAB DRAWS 58 - MOUNT CARMEL CARDIAC REHAB 150 TAYLOR STATION RD STE 350 COLUMBUS OH 43213 CARDIAC AND PULMONARY REHAB 59 - MOUNT CARMEL CARDIAC IMAGING 7901 DILEY ROAD STE 230 CANAL WINCHESTER OH 43110 CARDIAC IMAGING 60 - MOUNT CARMEL OUTPATIENT LAB 7901 DILEY ROAD STE 205 CANAL WINCHESTER OH 43110 OUTPATIENT LAB DRAWS 61 - MOUNT CARMEL SLEEP MEDICINE 2760 AIRPORT DR STE 120 COLUMBUS OH 43219 SLEEP MEDICINE 62 - MOUNT CARMEL SLEEP MEDICINE 484 COUNTY LINE RD SUITE 140 WESTERVILLE OH 43082 SLEEP MEDICINE 63 - MOUNT CARMEL EAST BROAD STREET URGENT CA 6495 E BROAD ST SINCE 10/1/2015 COLUMBUS OH 43213 URGENT CARE 64 - MOUNT CARMEL RADIATION THERAPY 3100 PLAZA PROPERTIES BLVD STE 120 COLUMBUS OH 43219 CANCER TREATMENT 65 - MOUNT CARMEL MRI CENTER 3755 RIDGE MILL DR HILLIARD OH 43026 IMAGING CENTER 66 - MOUNT CARMEL REHAB & SPORTS MEDICINE 3775 TRUEMAN CT STE 300 HILLIARD OH 43026 REHAB & SPORTS MEDICINE, PHYSICAL THERAPY 67 - MOUNT CARMEL MILL RUN IMAGING CENTER 3779 TRUEMAN CT STE 200 HILLIARD OH 43026 IMAGING CENTER, WOMENS HEALTH CENTER, OUTPATIENT LAB 68 - MOUNT CARMEL OCCUPATIONAL HEALTH 4171 ARLINGATE PLAZA STE 18 COLUMBUS OH 43228 OCCUPATIONAL HEALTH 69 - MOUNT CARMEL REHAB & SPORTS MEDICINE 444 N CLEVELAND AVE STE 310 WESTERVILLE OH 43082 CARDIAC REHAB & SPORTS MEDICINE 70 - MOUNT CARMEL EAST TESTING 5825 WESTBOURNE AV COLUMBUS OH 43213 STRESS TESTS AND NON-INVASIVE VASCULAR TESTING 71 - MOUNT CARMEL CARDIAC IMAGING 6670 PERIMETER DR STE 100 DUBLIN OH 43016 CARDIOLOGY CENTER 72 - MOUNT CARMEL WEST ANTICOAGULATION 730 W RICH ST COLUMBUS OH 43222 ANTICOAGULATION, HEART FAILURE CENTER 73 - MOUNT CARMEL METROWEST INTERNAL MED 815 WEST BROAD ST STE 200 COLUMBUS OH 43222 INTERNAL MEDICINE 74 - MOUNT CARMEL HEALTH CENTER-WEDGEWOOD 10330 SAWMILL PKWY STE 500 POWELL OH 43065 OUTPATIENT LAB DRAWS 75 - MOUNT CARMEL MARBLE CLIFF LAB SERVICE CE 2100 MARBLE CLIFF OFFICE PARK STE A COLUMBUS OH 43215 OUTPATIENT LAB DRAWS 76 - MOUNT CARMEL ST ANN'S LAB SERV CTR 237 W SCHROCK RD STE A WESTERVILLE OH 43081 OUTPATIENT LAB DRAWS 77 - BIG RUN HEALTH CENTER 4310 CLIME RD STE D COLUMBUS OH 43228 OUTPATIENT LAB DRAWS 78 - MOUNT CARMEL SEDALIA LAB SERVICE CTR 5343 HENDRON RD GROVEPORT OH 43125 OUTPATIENT LAB DRAWS 79 - MOUNT CARMEL NEW ALBANY HEALTH & WELL 55 N HIGH ST NEW ALBANY OH 43054 OUTPATIENT LAB DRAWS 80 - MOUNT CARMEL PICKERINGTON MEDICAL CTR 641 HILL ROAD NORTH SUITE D PICKERINGTON OH 43147 OUTPATIENT LAB DRAWS 81 - MOUNT CARMEL PATASKALA MEDICAL CENTER OU 8200 HAZELTON-ETNA ROAD SW SUITE 50 PATASKALA OH 43062 OUTPATIENT LAB DRAWS 82 - MOUNT CARMEL MRI - POLARIS 1120 POLARIS PKWY STE 110 COLUMBUS OH 43240 IMAGING CENTER 83 - MOUNT CARMEL SEDALIA MEDICAL CENTER 5339 HENDRON RD GROVEPORT OH 43125 OCCUPATIONAL HEALTH 84 - BIG RUN HEALTH CENTER 4300 CLIME RD STE 105 COLUMBUS OH 43228 OUTPATIENT LAB DRAWS 85 - WESTAR HEALTH CENTER 444 N CLEVELAND AVE STE 110 WESTERVILLE OH 43082 IMAGING CENTER, OUTPATIENT LAB 86 - WESTAR HEALTH CENTER 444 N CLEVELAND AVE STE 220 WESTERVILLE OH 43082 ANTICOAGULATION, HEART FAILURE CENTER 87 - WESTAR HEALTH CENTER 444 N CLEVELAND AVE STE 320 WESTERVILLE OH 43082 CARDIAC REHAB PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: MOUNT CARMEL REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, MOUNT CARMEL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MOUNT CARMEL ALSO SUBMITS THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PLAN WITH THE OHIO DEPARTMENT OF HEALTH EVERY THIRD YEAR IN ACCORDANCE WITH STATE OF OHIO REQUIREMENTS. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $45,412,588, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: IN FY 2017, MOUNT CARMEL HOSPITALS CONTRIBUTED TO THE ECONOMIC AND CIVIC HEALTH OF THE SURROUNDING COMMUNITIES BY SERVING IN AND CONTRIBUTING TO THE EFFORTS OF SEVERAL CHAMBERS OF COMMERCE AND OTHER CIVIC ORGANIZATIONS, BOTH IN THE CITY OF COLUMBUS AND IN SURROUNDING SUBURBS. MOUNT CARMEL'S LEADERS HAVE GIVEN THEIR EXPERTISE TO THESE GROUPS AND HAVE BEEN ABLE TO ADVOCATE ON ISSUES IMPACTING THE HEALTH OF CENTRAL OHIO CITIZENS, SUCH AS THE NUMBER ONE HEALTH INDICATOR NOTED IN FRANKLIN COUNTY HEALTHMAP 2016: OBESITY. AS IN PAST YEARS, MOUNT CARMEL MADE FINANCIAL CONTRIBUTIONS IN FISCAL YEAR 2017 TO A VARIETY OF NON-PROFIT SOCIAL SERVICES AGENCIES/ORGANIZATIONS, INCLUDING THOSE THAT HELP ADDRESS HEALTH, HOUSING, AND HUNGER. COLLEAGUES PARTICIPATE IN MULTIPLE FOOD DRIVES COLLECTING MONETARY AND NON-PERISHABLE FOOD ITEMS FOR VARIOUS FOOD PANTRIES IN THE CENTRAL OHIO AREA. HEALTH SYSTEM ADVOCATES MET WITH GOVERNMENT OFFICIALS REGARDING HUNGER AND BUDGET ITEMS TO ENSURE THE SUPPLY OF FOOD TO RECIPIENTS OF MEALS ON WHEELS.FRANKLINTON, LOCATED ON THE WEST SIDE OF COLUMBUS, HAS ONE OF THE LOWEST HIGH SCHOOL GRADUATION RATES IN THE CITY. WITH THE MOUNT CARMEL COLLEGE OF NURSING (MC COLLEGE OF NURSING) LOCATED IN FRANKLINTON, FACULTY MEMBERS PROVIDE TUTORING AND HEALTH EDUCATION FOR STUDENTS AT STARLING ELEMENTARY AND AVONDALE ELEMENTARY SCHOOLS TO HELP IMPROVE LITERACY AND MATH SKILLS FOR STUDENTS IN SUPPORT OF THEIR SUCCESS AND COMMUNITY HEALTH. MC COLLEGE OF NURSING FACULTY SERVE ON AVONDALE'S SCHOOL SERVICE BOARD AS COUNCIL MEMBERS, WHERE THEY HAVE COLLECTED AND DELIVERED SCHOOL SUPPLIES AND WARM WINTER ITEMS FOR STUDENTS. FACULTY MEMBERS OF MC COLLEGE OF NURSING AND MC WEST COLLEAGUES PARTICIPATE IN THE WESTSIDE HEALTH ADVISORY COMMITTEE. THIS GROUP CONCENTRATES ON THE NEEDS OF ZIP CODES 43204, 43222, 43223, AND 43228, PARTICULARLY OBESITY, CHRONIC DISEASES, AND MENTAL HEALTH. COLLEAGUES PARTICIPATE ON VARIOUS BOARDS OF DIRECTORS, MEET WITH LOCAL AND STATE GOVERNMENT OFFICIALS, PARTICIPATE IN AND PRESENT WEBINARS/SEMINARS, AND ARE INVOLVED IN COALITIONS TO IMPROVE THE LIVES OF THE COMMUNITY. PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: MOUNT CARMEL USES A PREDICTIVE MODEL THAT INCORPORATES DISTINCT VARIABLES, SUCH AS SOCIO-ECONOMIC SCORE AND ESTIMATED FEDERAL POVERTY LEVEL (FPL) TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, MOUNT CARMEL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MOUNT CARMEL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: MOUNT CARMEL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: MOUNT CARMEL DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - MOUNT CARMEL ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, MOUNT CARMEL HOSPITALS MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MOUNT CARMEL IS COMMITTED TO:-PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES-CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES-ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE -BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, MOUNT CARMEL HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: -PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS-MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS-OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS-IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER-IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSMOUNT CARMEL COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UNTIL ONE YEAR AFTER THE FIRST BILLING STATEMENT TO THE PATIENT. MOUNT CARMEL OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. MOUNT CARMEL HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MOUNT CARMEL MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION - MOUNT CARMEL PREDOMINATELY SERVES CENTRAL OHIO, WHICH INCLUDES FRANKLIN AND FIVE CONTIGUOUS COUNTIES (DELAWARE, FAIRFIELD, LICKING, MADISON AND PICKAWAY), AND IS HOME TO NEARLY 2 MILLION RESIDENTS. AMONG FRANKLIN COUNTY HOUSEHOLDS, 28.2% HAVE AN INCOME OF LESS THAN $30,000, AND ANOTHER 19.4% HAVE A HOUSEHOLD INCOME OF BETWEEN $30,000 AND $50,000. IN 2016, APPROXIMATELY 37% OF THE FRANKLIN COUNTY POPULATION OVER AGE 25 HELD A BACHELOR'S OR HIGHER DEGREE. OF THE FRANKLIN COUNTY RESIDENTS, 35% LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL AND 8.5% LIVE BELOW 50% OF POVERTY LEVEL. ACCORDING TO THE OHIO COUNTY PROFILES FOR FRANKLIN COUNTY, 139,096 ADULTS IN FRANKLIN COUNTY BETWEEN THE AGES OF 18-64, OR ABOUT 11% OF THAT POPULATION, DO NOT HAVE HEALTH INSURANCE. CENTRAL OHIO FEATURES A DIVERSE EMPLOYER BASE, INCLUDING GOVERNMENT, MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE AND AGRICULTURE. THE OHIO UNEMPLOYMENT RATE WAS 5.4% IN AUGUST 2017. THE UNEMPLOYMENT RATE FOR FRANKLIN COUNTY IN AUGUST 2017 WAS AN ESTIMATED 4.3%. THE COMMUNITY NEED INDEX ON THE COLUMBUS' WEST SIDE, WHERE MC WEST IS LOCATED, IS 4.6 ON A SCALE OF 1-5, WITH 1 BEING AN AREA OF LOW NEED AND 5 AN AREA WITH THE HIGHEST LEVEL OF NEED. MC EAST IS LOCATED IN AN AREA WITH A 4.2 COMMUNITY NEED INDEX. MC ST. ANN'S IS LOCATED IN AN AREA WITH A COMMUNITY NEED INDEX OF 2.4, WHICH IS MUCH LOWER THAN THE OTHER FACILITIES BUT WITH POCKETS OF HIGHER NEED WITHIN ITS SERVICE AREA. MC NEW ALBANY IS LOCATED IN AN AREA WITH A COMMUNITY NEED INDEX OF 2. ACCORDING TO OHIO COUNTY PROFILES, 16 REGISTERED HOSPITALS ARE LOCATED WITHIN FRANKLIN COUNTY, OFFERING THE COMMUNITY A TOTAL OF 6,056 BEDS. THESE 16 FACILITIES CONSIST OF FOUR ADULT HOSPITAL SYSTEMS, ONE PEDIATRIC HOSPITAL SYSTEM, AND 11 FEDERALLY QUALIFIED HEALTH CENTERS IN FRANKLIN COUNTY. PART VI, LINE 5: OTHER INFORMATION - MOUNT CARMEL IS GOVERNED BY A 13-MEMBER BOARD OF DIRECTORS, WITH A MAJORITY OF THE SEATS ALLOCATED TO COMMUNITY REPRESENTATIVES AND LEADERS. OUR GOVERNANCE STRUCTURE ENSURES THAT THE COMMUNITY AND ITS INTERESTS ARE STRONGLY REPRESENTED IN IMPORTANT DECISION MAKING. IN ADDITION, TWO SEATS ON MOUNT CARMEL'S BOARD ARE ALLOCATED TO RELIGIOUS WOMEN, WHO HELP ENSURE THAT THE ORGANIZATION REMAINS TRUE TO ITS CHARITABLE MISSION. MOUNT CARMEL HOSPITALS MAINTAIN AN OPEN MEDICAL STAFF; MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS. MOUNT CARMEL ACTIVELY RECRUITS AND EMPLOYS DOCTORS TO SERVE IN UNDER-SERVED AREAS OF THE COMMUNITY. MOUNT CARMEL OPERATES A GRADUATE MEDICAL EDUCATION PROGRAM AND A COLLEGE OF NURSING. THE MOUNT CARMEL HEALTH SYSTEM FOUNDATION AND THE MC COLLEGE OF NURSING PROVIDED 212 STUDENTS WITH 61 DIFFERENT ACADEMIC SCHOLARSHIPS FOR EDUCATING FUTURE NURSES. THE GRADUATE MEDICAL EDUCATION PROGRAM OPERATES CLINICS FOR BOTH EDUCATION PURPOSES AND TO IMPROVE ACCESS AND CARE CONTINUITY FOR PATIENTS WITHOUT INSURANCE.MOUNT CARMEL PROVIDED MANY LEARNING OPPORTUNITIES TO THE COMMUNITY IN FY 2017. THE HEALTH SYSTEM HELPED PROFESSIONALS CONTINUE THEIR EDUCATION AND STRIVED TO INSPIRE FUTURE HEALTH CARE PROVIDERS, EDUCATED EMERGENCY MEDICAL SERVICE PROFESSIONALS AND FIRE FIGHTERS IN VARIOUS TOWNSHIPS AND COUNTIES TO KEEP ABREAST ON THE MOST MODERN AND APPROPRIATE EMERGENCY TREATMENT OPTIONS. MOUNT CARMEL EDUCATED MIDDLE AND HIGH SCHOOL STUDENTS ABOUT THE WARNING SIGNS OF STROKE AND WHAT THEY SHOULD DO IF THEY WITNESS SOMEONE HAVING A STROKE.THE FACULTY FROM MC COLLEGE OF NURSING MET WITH REPRESENTATIVES FROM CONGRESS AND VARIOUS COMMUNITY GROUPS TO EDUCATE THE PUBLIC AND ADVOCATE FOR SCHOOL NUTRITION, DIABETES EDUCATION, AND SENIOR HEALTH ISSUES. ELEVEN MC COLLEGE OF NURSING STUDENTS PARTICIPATED IN A MISSION TRIP TO VERO BEACH, FLORIDA TO ASSIST WITH THE CONSTRUCTION OF HOMES WITH HABITAT FOR HUMANITY. THE STUDENTS AT THE MC COLLEGE OF NURSING HELPED FOSTER THE HEALTH SYSTEM'S PARTNERSHIP WITH COLUMBUS RECREATION AND PARKS' SOCCER FOR SUCCESS PROGRAM BY PERFORMING HEALTH SCREENINGS AND HEALTH INFORMATION WITH PROGRAM PARTICIPANTS. THE MOUNT CARMEL PERINATAL AREAS AT MC WEST, MC EAST AND MC ST. ANN'S HAVE IMPROVED BREASTFEEDING RATES AMONG MOTHERS IN THE SERVICE AREA AND COMPLETED STEPS TOWARDS RECEIVING BABY-FRIENDLY STATUS. BABY-FRIENDLY HOSPITALS ARE HOSPITALS THAT ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS. RECENTLY CERTIFIED THROUGH OHIO FIRST STEPS, AN OHIO HOSPITAL ASSOCIATION INITIATIVE, SEVEN OUT OF TEN STEPS TOWARD BABY-FRIENDLY STATUS HAVE BEEN ACCOMPLISHED, COMPLETING THE DISCOVERY AND DEVELOPMENT PHASES. MOUNT CARMEL IS CURRENTLY IN THE DISSEMINATION PHASE.WITHIN THE LAST YEAR, ALL MOUNT CARMEL HOSPITALS ALTERED VENDING MACHINE POLICIES, ENSURING ALL VENDING MACHINES DEDICATE AT LEAST 70 PERCENT OF THEIR INVENTORY TO PROVIDING HEALTHY OPTIONS. ACKNOWLEDGING THAT HEALTH CARE EXTENDS BEYOND THE WALLS OF OUR HOSPITALS, MOUNT CARMEL COLLEAGUES ADVOCATED FOR POLICY CHANGES AFFECTING HEALTH CARE AND OTHER PERTINENT SOCIAL ISSUES. IN RECENT ADVOCACY EFFORTS, MOUNT CARMEL, ALONG WITH OTHER COMMUNITY ORGANIZATIONS, WAS INSTRUMENTAL IN THE PASSING OF TOBACCO 21 IN THE CITY OF COLUMBUS, PROHIBITING THE SALE OF TOBACCO PRODUCTS TO INDIVIDUALS UNDER THE AGE OF 21. PART VI, LINE 6: MOUNT CARMEL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2017, GOALS INCLUDED 1) PARTICIPATING IN LOCAL COALITION AND ADVOCACY EFFORTS AIMED AT CURBING TOBACCO USE AND PREVENTING OBESITY, 2) ASSESSING CAPACITY TO IDENTIFY AND SUPPORT INDIVIDUALS THAT ARE HOUSING INSECURE AND ACKNOWLEDGING OTHER BARRIERS INDIVIDUALS HAVE ACCESSING HEALTH CARE AND 3) EXPANDING ACCESS AND DELIVERY OF DIABETES PREVENTION PROGRAMS. TRINITY HEALTH ACKNOWLEDGES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), AWARDING EIGHT COMMUNITIES FUNDING TO IMPROVE THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES IN PARTNERSHIP WITH THE LOCAL TRINITY HEALTH MEMBER HOSPITAL. THE AWARDED COMMUNITIES FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES THAT SPECIFICALLY IMPACT COMMUNITY IDENTIFIED NEEDS AND THAT WILL REDUCE CHILDHOOD OBESITY AND YOUTH TOBACCO USE. IN FISCAL YEAR 2017, TRINITY HEALTH INVESTED $2.7 MILLION IN TCI.AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND VULNERABLE, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND DEVELOPING PROGRAMS AND POLICIES TO SPECIFICALLY SUPPORT VULNERABLE POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS OVER $1.1 BILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 AMERICAN HEART ASSOCIATION 5455 N HIGH ST COLUMBUS OH 43214 135613797 501(C)(3) 18150 COMMUNITY BENEFIT ARTHRITIS FOUNDATION GREAT LAKES REGION 3740 RIDGE MILL DR HILLIARD OH 43026 274014560 501(C)(3) 6500 COMMUNITY BENEFIT ARTHRITIS FOUNDATION CENTRAL OHIO 3740 RIDGE MILL DR HILLIARD OH 43026 581341679 501(C)(3) 3300 COMMUNITY BENEFIT BOY SCOUTS OF AMERICA 807 KINNEAR ROAD COLUMBUS OH 43212 221576300 501(C)(3) 6280 COMMUNITY BENEFIT CATHOLIC SOCIAL SERVICES 197 E GAY ST COLUMBUS OH 43215 314379437 501(C)(3) 11750 COMMUNITY BENEFIT LEWIS CENTER BUSINESS ASSOCIATION - CELEBRATE COMMUNITY 1497 COTTONWOOD DR LEWIS CENTER OH 43035 320147224 501(C)(6) 15000 COMMUNITY BENEFIT THE CENTER FOR FAMILY SAFETY AND HEALING 655 E LIVINGSTON AVE COLUMBUS OH 43205 020627166 501(C)(3) 12712 NEW ALBANY CLASSIC SPONSORSHIP CENTRAL CROSSING HIGH SCHOOL NJROTC UNIT 4500 BIG RUN SOUTH RD GROVE CITY OH 43123 203152372 GOVERNMENT 5000 COMMUNITY BENEFIT CENTRAL OHIO HOSPITAL COUNCIL 155 E BROAD ST FL 23 COLUMBUS OH 43215 262795133 501(C)(3) 100010 COMMUNITY BENEFIT CHARITABLE PHARMACY OF CENTRAL OHIO 200 E LIVINGSTON AVE COLUMBUS OH 43215 270147099 501(C)(3) 25000 COMMUNITY BENEFIT CITY OF GROVE CITY 4035 BROADWAY GROVE CITY OH 43123 316400527 MUNICIPALITY 5600 COMMUNITY BENEFIT COLUMBUS 2020 150 S FRONT ST STE 200 COLUMBUS OH 43215 271509190 501(C)(6) 30000 COMMUNITY BENEFIT COLUMBUS METROPOLITAN CLUB 100 E BROAD ST STE 100 COLUMBUS OH 43215 310889324 501(C)(3) 11090 COMMUNITY BENEFIT COLUMBUS PARTNERSHIP (GREATER COLUMBUS CHAMBER OF COMMERCE) 150 S FRONT ST COLUMBUS OH 43215 314152950 501(C)(6) 55000 COMMUNITY BENEFIT FRANKLINTON GARDENS 909 W RICH ST COLUMBUS OH 43222 454023198 501(C)(3) 20000 COMMUNITY BENEFIT GAHANNA CONVENTION & VISITORS BUREAU 167 MILL ST GAHANNA OH 43230 800322167 501(C)(6) 18050 COMMUNITY BENEFIT GLADDEN COMMUNITY HOUSE 183 HAWKES AV COLUMBUS OH 43223 314379476 501(C)(3) 9800 GOLD SPONSORSHIP - MARCHING FOR MORE HEART OF OHIO FAMILY HEALTH CENTER 882 S HAMILTON ROAD COLUMBUS OH 43213 383765547 501(C)(3) 300000 COMMUNITY BENEFIT KIDSMILES PEDIATRIC DENTAL CLINIC 770 BETHEL RD COLUMBUS OH 43214 263706958 501(C)(3) 5000 COMMUNITY BENEFIT LOWER LIGHTS CHRISTIAN HEALTH CENTER INC 1160 W BROAD ST COLUMBUS OH 43222 311810355 501(C)(3) 390000 COMMUNITY BENEFIT MARCH OF DIMES FOUNDATION 2831 E MAIN ST 2ND FL COLUMBUS OH 43209 131846366 501(C)(3) 5900 MARCH FOR BABIES SPONSOR NEW ALBANY CHAMBER OF COMMERCE 55 W MAIN ST NEW ALBANY OH 43054 311221292 501(C)(6) 6400 COMMUNITY BENEFIT NEW ALBANY COMMUNITY EVENTS BOARD PO BOX 188 NEW ALBANY OH 43054 262037123 501(C)(4) 5000 FREEDOM PRESENTING SPONSORSHIP PANCREATIC CANCER ACTION NETWORK 1500 ROSECRANS AV MANHATTAN BEACH CA 90266 330841281 501(C)(3) 5000 COMMUNITY BENEFIT GROVE CITY FOOD PANTRY 2710 COLUMBUS ST GROVE CITY OH 43123 331126888 501(C)(3) 7500 COMMUNITY BENEFIT PICKERINGTON AREA CHAMBER 13 W COLUMBUS ST PICKERINGTON OH 43147 310946334 501(C)(6) 5200 COMMUNITY BENEFIT ROTARY CLUB OF WESTERVILLE PO BOX 595 WESTERVILLE OH 43086 316050404 501(C)(3) 15000 COMMUNITY BENEFIT THE BUCKEYE RANCH 5665 HOOVER ROAD GROVE CITY OH 43123 310642111 501(C)(3) 5000 COMMUNITY BENEFIT WALK WITH A DOC 495 COOPER RD STE 209 WESTERVILLE OH 43081 263253701 501(C)(3) 5000 COMMUNITY BENEFIT WESTERVILLE AREA CHAMBER OF COMMERCE 90 COMMERCE PARK DR WESTERVILLE OH 43082 310737083 501(C)(6) 11315 COMMUNITY BENEFIT WESTERVILLE AREA RESOURCE MINISTRY (WARM) 150 HEATHERDOWN DR WESTERVILLE OH 43081 311640355 501(C)(3) 17500 COMMUNITY BENEFIT WESTERVILLE PARKS FOUNDATION 350 N CLEVELAND AVE WESTERVILLE OH 43082 311719247 501(C)(3) 6056 COMMUNITY BENEFIT WESTERVILLE SUNRISE ROTARY PO BOX 1200 WESTERVILLE OH 43086 311481931 501(C)(3) 10000 COMMUNITY BENEFIT WESTERVILLE VISITORS BUREAU 20 W MAIN ST WESTERVILLE OH 43081 311233383 501(C)(6) 9320 COMMUNITY BENEFIT YMCA OF CENTRAL OHIO 40 W LONG ST COLUMBUS OH 43215 314379594 501(C)(3) 10000 ANNUAL GIVING GIFT BOYS & GIRLS CLUBS OF COLUMBUS 1108 CITY PARK AVE STE 301 COLUMBUS OH 43206 314387575 501(C)(3) 9420 COMMUNITY BENEFIT COLUMBUS RUNNING COMPANY CHARITY FUND 6465 PERIMETER DR DUBLIN OH 43016 020803171 501(C)(3) 5000 COMMUNITY BENEFIT CONCORD COUNSELING SERVICES 700 BROOKSEDGE BLVD WESTERVILLE OH 43081 310821940 501(C)(3) 31900 COMMUNITY BENEFIT DOWN SYNDROME ASSOCIATION OF CENTRAL OHIO 510 E NORTH BROADWAY 4TH FLOOR COLUMBUS OH 43214 311126185 501(C)(3) 5000 COMMUNITY BENEFIT FRANKLINTON BOARD OF TRADE INC PO BOX 23315 COLUMBUS OH 43223 311159107 501(C)(3) 5572 SPONSORSHIP NATIONAL NIGHT OUT NEW ALBANY COMMUNITY FOUNDATION 220 MARKET ST STE 205 NEW ALBANY OH 43054 311409264 501(C)(3) 23660 COMMUNITY BENEFIT NEW ALBANY WOMENS NETWORK PO BOX 87 NEW ALBANY OH 43054 311620626 501(C)(3) 10000 COMMUNITY BENEFIT CITY OF POWELL 47 HALL ST POWELL OH 43065 310858049 MUNICIPALITY 15000 FESTIVAL SPONSORSHIP DIOCESE OF COLUMBUS 9 E LONG STREET SUITE 201 COLUMBUS OH 43215 314379603 501(C)(3) 5500 PAROCHIAL SCHOOLS - BISHOPS GOLF CLASSIC 35 9 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. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. X 1 1 1 1 0 0 0 0 0 0 0 EDWARD LAMB DIRECTOR & MCHS PRES/CEO AT 11/16 0 91169 0 50000 0 9438 0 20552 0 1283 0 172442 0 0 ROGER SPOELMAN DIR & MCHS INT PRES/CEO THR 11/16 0 698008 0 193463 0 169528 0 15900 0 26508 0 1103407 0 0 SALLY JEFFCOAT DIRECTOR; EVP TRINITY WEST/MID GROUP 0 825512 0 239747 0 331263 0 11925 0 29636 0 1438083 0 85393 DANIEL POWELL MOUNT CARMEL INTERIM CFO 243692 0 0 0 0 0 10302 0 0 0 253994 0 0 0 DANIEL HACKETT SECRETARY; MANAGING COUNSEL 0 303374 0 57116 0 8731 0 11925 0 31463 0 412609 0 0 UNHEE KIM PRESIDENT, ST. ANN'S 0 383884 0 81334 0 7380 0 71554 0 24242 0 568394 0 0 SEAN MCKIBBEN PRESIDENT & COO, MC WEST 0 350365 0 114479 0 98063 0 11925 0 29633 0 604465 0 0 MICHAEL WILKINS PRESIDENT & COO, MC EAST 0 324794 0 55076 0 49541 0 59126 0 16559 0 505096 0 0 DIANE DOUCETTE PRESIDENT, MC NEW ALBANY 0 352740 0 81616 0 12074 0 68212 0 24271 0 538913 0 0 RICHARD STRECK CHIEF CLINICAL OPERATIONS OFFICER 0 505597 0 115933 0 70322 0 11925 0 22883 0 726660 0 0 PHILLIP SHUBERT MD DIRECTOR PERINATAL MEDICAL 614286 0 0 0 4521 0 15373 0 17953 0 652133 0 0 0 JOHN KAVANAUGH INTERIM SR MANAGEMENT 556154 0 0 0 0 0 9234 0 0 0 565388 0 0 0 DANIEL WENDORFF PRESIDENT - HEALTH PARTNERS 374418 0 49784 0 3265 0 15900 0 20073 0 463440 0 0 0 CHARLES SANDERS JR VP MEDICAL EDUCATION 346899 0 46868 0 3075 0 11925 0 24221 0 432988 0 0 0 DIANA ZITTER OBGYN ATTENDING PHYSICIAN 385817 0 0 0 1663 0 12732 0 8458 0 408670 0 0 0 LYNDON CHRISTMAN FORMER KEY EMPLOYEE 49202 0 0 0 57871 0 0 0 8565 0 115638 0 44931 0 CHARLES BRETT JUSTICE FORMER KE; SYS VP STRATEGIC ADVANCMT 102272 130062 0 17870 19787 212 8092 8634 11521 7964 141672 164742 0 0 JACQUELINE PRIMEAU FORMER OFFICER; TRIN VP M&A 0 271215 0 20510 0 2654 0 15900 0 14687 0 324966 0 0 CLAUS VON ZYCHLIN FORMER OFFICER; CONSULTANT 0 425410 0 196060 0 344631 0 755351 0 32317 0 1753769 0 0 KEITH COLEMAN FORMER OFFICER 0 183776 0 89583 0 295581 0 191498 0 20690 0 781128 0 0 BRINSLEY LEWIS PRESIDENT & COO, MC EAST THR 9/15 0 0 0 32921 0 515327 0 0 0 21596 0 569844 0 449816 LAURA TRAINI FORMER KEY EMPLOYEE 0 56298 0 56394 0 51802 0 6210 0 3401 0 174105 0 0 PART I, LINE 1A MOUNT CARMEL HEALTH SYSTEM (MOUNT CARMEL) PAID $3,900 TO THE COLUMBUS CLUB FOR DUES IN CALENDAR 2016. CLAUS VON ZYCHLIN UTILIZED THE CLUB FOR BUSINESS PURPOSES. BECAUSE THE CLUB WAS USED 100% FOR BUSINESS, THE DUES WERE NOT REPORTED AS TAXABLE INCOME. PART I, LINE 3 MOUNT CARMEL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MOUNT CARMEL'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MOUNT CARMEL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2016. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: LYNDON CHRISTMAN - $44,931 KEITH COLEMAN - $239,563 BRINSLEY LEWIS - $413,458 CLAUS VON ZYCHLIN - $179,938 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/16: KEITH COLEMAN - $189,998 (PAID IN 2017) CLAUS VON ZYCHLIN - $743,426 ($615,576 PAID IN 2017 AND $127,850 TO BE PAID IN 2018) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2016. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2016, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2016. THE FOLLOWING PAYOUTS FOR 2016 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEITH COLEMAN - $51,124 SALLY JEFFCOAT - $205,506 BRINSLEY LEWIS - $71,455 SEAN MCKIBBEN - $83,845 ROGER SPOELMAN - $146,595 RICHARD STRECK - $60,651 LAURA TRAINI - $50,579 CLAUS VON ZYCHLIN - $143,771 THE FOLLOWING ACCRUALS FOR 2016 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: DIANE DOUCETTE - $55,718 UNHEE KIM - $59,404 EDWARD LAMB - $20,417 MICHAEL WILKINS - $47,628 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($265,000 FOR 2016). THE FOLLOWING PAYOUTS FOR 2016 FOR THESE PLANS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DANIEL HACKETT - $5,333 SALLY JEFFCOAT - $92,254 BRINSLEY LEWIS - $37,756 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. FORM 990, PAGE 1 DOING BUSINESS AS NAMES: DASH CAFE HEALTHY LIVING CENTER HEALTHIER YOU MATERNA - TEA MC FITNESS MC FITNESS & HEALTH MC FITNESS CENTER MOUNT CARMEL CARE CONTINUUM SERVICES MOUNT CARMEL EAST MOUNT CARMEL HEALTH MOUNT CARMEL HOSPICE AND PALLIATIVE CARE MOUNT CARMEL NEW ALBANY HOSPITAL MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL MOUNT CARMEL ST. ANN'S MOUNT CARMEL WEST MOUNT CARMEL GROVE CITY MOUNT CARMEL MEDICAL CENTER MOUNT CARMEL URGENT CARE MOUNT CARMEL SLEEP MEDICINE FORM 990, PART VI, SECTION A, LINE 2 LISA STEIN AND LARRY ENGLISH, BOARD MEMBERS OF MOUNT CARMEL HEALTH SYSTEM (MOUNT CARMEL), HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 MOUNT CARMEL HAS CONTRACTED WITH CENTRAL OHIO ORTHOPEDIC MANAGEMENT COMPANY TO MANAGE THE ORTHOPEDIC PROGRAM OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL (MC NEW ALBANY). IN 2016, MOUNT CARMEL PAID $5,622,526 TO THE MANAGEMENT COMPANY, WHICH COVERED BOTH EXECUTIVE MANAGEMENT OF MC NEW ALBANY AND PHYSICIAN LEADERSHIP OF THE ORTHOPEDIC PROGRAM. UNDER THE MANAGEMENT SERVICES AGREEMENT, CENTRAL OHIO ORTHOPEDIC MANAGES THE DAY-TO-DAY OPERATION, MANAGEMENT, AND SUPERVISION OF MC NEW ALBANY AND ITS ORTHOPEDIC PROGRAM. INCLUDED IN THE AGREEMENT IS THE PROVISION BY THE MANAGEMENT COMPANY OF A CHIEF OPERATING OFFICER, SENIOR VICE PRESIDENT OF CLINICAL SERVICES, SENIOR FINANCIAL ANALYST, AND CHIEF NURSING OFFICER FOR THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MOUNT CARMEL IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF MOUNT CARMEL. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MOUNT CARMEL. FORM 990, PART VI, SECTION A, LINE 7B AS 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, AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR MOUNT CARMEL IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. A PRESENTATION OF KEY ASPECTS OF THE RETURN WILL BE DISCUSSED AT THE FIRST BOARD MEETING HELD AFTER THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MOUNT CARMEL HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF MOUNT CARMEL, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MOUNT CARMEL AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. 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 PROVIDED TO INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF MOUNT CARMEL (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MOUNT CARMEL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MOUNT CARMEL (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF MOUNT CARMEL. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MOUNT CARMEL IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND CFO COMPENSATION, 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 THE CEO AND CFO OF MOUNT CARMEL 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 HEALTH CARE 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 IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MOUNT CARMEL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MOUNT CARMEL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -41,778,804. EQUITY TRANSFER TO AFFILIATE AS REQUIRED BY OHIO DEPT. OF INSURANCE -3,500,000. CHANGE IN EQUITY IN UNCONSOLIDATED AFFILIATES 5,695,608. OTHER TRANSACTIONS 5,486,032. FORM 990, PART XII, LINE 2: MOUNT CARMEL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY17 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. HEALTH COLLABORATIVE OF CENTRAL OHIO LLC 6150 E BROAD STREET COLUMBUS OH 43213 465603895 ACCOUNTABLE CARE ORGANIZATION OH 0 43 MOUNT CARMEL HEALTH SYSTEM MOUNT CARMEL HEALTH PARTNERS LLC 6150 E BROAD STREET COLUMBUS OH 43213 471139205 ACCOUNTABLE CARE ORGANIZATION OH 4545695 4270317 MOUNT CARMEL HEALTH SYSTEM ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA ST COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CARING PARTNERS HOME HEALTH INC 1200 EARHART RD ANN ARBOR MI 48105 201681131 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 GLACIER HILLS INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR MI 48106 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 COLUMBUS ACQUISITION CORP 111 CENTRAL AVENUE NEWARK NJ 07102 262616342 INACTIVE ENTITY NJ 501(C)(3) LINE 10 SAINT MICHAEL'S MEDICAL CENTER 1 CRANBROOK HOSPICE CARE 1111 W LONG LAKE RD STE 102 TROY MI 48098 383320699 HOSPICE SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 10 ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 FARREN CARE CENTER INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 COMMUNITY OUTREACH IL 501(C)(3) LINE 10 GOTTLIEB MEMORIAL HOSPITAL 1 GOTTLIEB MEMORIAL FOUNDATION 701 W NORTH AVE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12C, III-FI N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC 945 OTTAWA AVE NW GRAND RAPIDS MI 49503 237270669 MEDICAL EDUCATION TRAINING PROGRAMS MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 HACKLEY LIFE COUNSELING 125 E SOUTHERN AVENUE MUSKEGON MI 49442 381386362 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC PO BOX 2153 WATERBURY CT 06722 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN RD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS MEDICAL PROPERTIES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 650666283 BUILDING MANAGEMENT SERVICES FL 501(C)(2) N/A HOLY CROSS HOSPITAL INC 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME & COMMUNITY HEALTH SERVICES INC 114 WOODLAND STREET HARTFORD CT 06105 810723591 HOME HEALTH SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY NY 12180 141514867 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 50401 421173708 HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP 1 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51104 383320710 HOSPICE SERVICES IA 501(C)(3) LINE 12A, I N/A 0 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383316559 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 JOHNSON HEALTH CARE INC 114 WOODLAND STREET HARTFORD CT 06105 810709903 HEALTH CARE SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 JOHNSON MEMORIAL HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 475676956 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 JOHNSON MEMORIAL MEDICAL CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 810696923 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY HEALTH OF NEW ENGLAND CORP INC 1 LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232519529 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232571699 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILMINGTON DE 19805 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL 1 LIFE ST FRANCIS CORPORATION 1435 LIBERTY STREET HAMILTON NJ 08629 222797282 PACE PROGRAM NJ 501(C)(3) LINE 10 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 LIFE ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES NC 28387 272159847 PACE PROGRAM NC 501(C)(3) LINE 3 ST JOSEPH OF THE PINES INC 1 LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN NJ 08103 222568525 VOLUNTEER SERVICE AUXILIARY NJ 501(C)(3) LINE 12B, II OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOURDES CARDIOLOGY SERVICES PC 1600 HADDON AVENUE CAMDEN NJ 08103 274357794 HEALTH CARE SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOURDES MEDICAL CENTER OF BURLINGTON COUNTY 218 SUNSET ROAD WILLINGBORO NJ 08046 223612265 HEALTH CARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK IL 60160 474147171 TRANSPORATION SERVICES IL 501(C)(3) LINE 10 LOYOLA UNIVERSITY MEDICAL CENTER 1 LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363342448 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 LTC (EDDY) INC 2212 BURDETT AVE TROY NY 12180 222564710 MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS 1 MARIAN COMMUNITY HOSPITAL 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 240711230 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 MAXIS HEALTH SYSTEM 1 MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY IA 51101 383320705 HOME HEALTH SERVICES (INACTIVE) IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 MAXIS HEALTH SYSTEM 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 911940902 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD CT 06117 061058086 SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC 1 MCAULEY CLINIC CORPORATION PO BOX 992 ANN ARBOR MI 48106 382561013 HEALTH CARE SERVICES (INACTIVE) MI 501(C)(3) LINE 3 CATHERINE MCAULEY HEALTH SERVICES CORP 1 MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH PA 15213 943436142 GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC 1 MEMORIAL HOSPITAL ALBANY NY 600 NORTHERN BLVD ALBANY NY 12204 141338457 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 MERCY AMICARE HOME HEALTHCARE OAKLAND 1111 W LONG LAKE RD STE 102 TROY MI 48098 383320698 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY AMICARE HOME HEALTHCARE PORT HURON 17410 COLLEGE PARKWAY STE 150 LIVONIA MI 48152 383320701 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY CARE FOUNDATION 424 DECATUR STREET ATLANTA GA 30312 581448522 FOUNDATION GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 231352191 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD CT 06117 061492707 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES 1 MERCY FAMILY SUPPORT 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 232325059 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363227350 FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 888 TERRACE STREET MUSKEGON MI 49440 383321856 HOSPICE & HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232829864 FOUNDATION PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY HEALTH NETWORK INC 1111 6TH AVENUE DES MOINES IA 50314 421478417 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12B, II N/A 0 MERCY HEALTH PARTNERS 1500 E SHERMAN BLVD MUSKEGON MI 49444 382589966 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 MERCY HEALTH PLAN ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 222483605 MEDICAID MANAGED CARE PLAN PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY IA 50401 311373080 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363163327 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232212638 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 MERCY HEALTHCARE CENTER 114 WAWBEEK AVENUE TUPPER LAKE NY 12986 150532211 HEALTH CARE AND HOSPITAL SERVICES (INACTIVE) NY 501(C)(3) LINE 3 MERCY UIHLEIN HEALTH CORPORATION 1 MERCY HEALTHCARE FOUNDATION - CLINTON 1410 N 4TH ST CLINTON IA 52732 421316126 FOUNDATION IA 501(C)(3) LINE 7 N/A 0 MERCY HOME HEALTH 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 231352099 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 232325058 MANAGEMENT SERVICES FOR HOME HEALTH PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY HOSPITAL AND MEDICAL CENTER 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 362170152 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY HOSPITAL CADILLAC FOUNDATION 1820 44TH ST SE KENTWOOD MI 49508 203357131 FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 MERCY HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791034 HEALTH CARE SERVICES (INACTIVE) FL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH PA 15233 251604115 COMMUNITY OUTREACH PA 501(C)(3) LINE 10 PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE AL 36670 273163002 PACE PROGRAM AL 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 MERCY LIFE INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 453086711 PACE PROGRAM MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE CARE CENTERS INC 1 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232627944 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON IA 52732 421336618 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY IA 51102 141880022 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY IA 50401 421229151 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CORPORATION PO BOX 7957 MOBILE AL 36670 636002215 PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 MERCY MEDICAL GROUP INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 454884805 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY PHYSICIAN NETWORK ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 461187365 MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY SENIOR CARE INC 424 DECATUR STREET ATLANTA GA 30312 581366508 COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA GA 30312 272046353 TITLE HOLDING COMPANY GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION PO BOX 9184 FARMINGTON HILLS MI 48333 382719605 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 MERCY SPECIALIST PHYSICIANS INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 264033168 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY SUBURBAN HOSPITAL ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 231396763 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY UIHLEIN HEALTH CORPORATION 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE NY 19073 161535133 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 MISSION HEALTH CORPORATION 37595 SEVEN MILE ROAD LIVONIA MI 48152 383181557 BUILDING MANAGEMENT SERVICES DE 501(C)(3) LINE 12A, I N/A 0 MOUNT CARMEL COLLEGE OF NURSING 6150 EAST BROAD STREET COLUMBUS OH 43213 311308555 COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM 1 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 1 MOUNT CARMEL HEALTH PLAN INC 6150 EAST BROAD STREET COLUMBUS OH 43213 311471229 MEDICARE HMO OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH SYSTEM 6150 EAST BROAD STREET COLUMBUS OH 43213 311439334 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 0 MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS OH 43213 311113966 FOUNDATION OH 501(C)(3) LINE 12A, I MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HOME CARE LLC 501 WEST SCHROCK ROAD WESTERVILLE OH 43081 262729300 HOME HEALTH SERVICES OH 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MOUNT SINAI HOSPITAL FOUNDATION INC 500 BLUE HILLS AVENUE HARTFORD CT 06112 222584082 FOUNDATION CT 501(C)(3) LINE 12C, III-FI N/A 0 MOUNT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 061422973 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 MOUNT ST JOSEPH 7 HIGHTOWER STREET WATERVILLE ME 04901 010274998 LONG TERM CARE ME 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC 1 MRI MOBILE SERVICES OF WEST MICHIGAN 1820 44TH STREET KENTWOOD MI 49508 383073745 HEALTH CARE SERVICES (INACTIVE) MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON MI 49440 911932918 COMMUNITY OUTREACH MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS 1 NAZARETH HEALTH CARE FOUNDATION 2701 HOLME AVENUE PHILADELPHIA PA 19152 232300951 FOUNDATION PA 501(C)(3) LINE 12A, I NAZARETH HOSPITAL 1 NAZARETH HOSPITAL 2601 HOLME AVENUE PHILADELPHIA PA 19152 232794121 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 NAZARETH PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 203261266 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 NE PHYSICIAN SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232497355 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND NE 68045 208072234 HEALTH CARE AND HOSPITAL SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 OAKLAND MERCY HOSPITAL FOUNDATION 601 E 2ND STREET OAKLAND NE 68045 311678345 FOUNDATION NE 501(C)(3) LINE 12A, I OAKLAND MERCY HOSPITAL 1 ONE THOUSAND CORPORATION 114 WOODLAND STREET HARTFORD CT 06105 060922325 BUILDING MANAGEMENT SERVICES CT 501(C)(2) N/A SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 1 OSUMOUNT CARMEL HEALTH ALLIANCE 6150 EAST BROAD STREET COLUMBUS OH 43213 311654603 COOPERATIVE HEALTH CARE DELIVERY SYSTEM OH 501(C)(3) LINE 12A, I N/A 0 OUR LADY OF LOURDES HEALTH CARE SERVICES INC 1600 HADDON AVENUE CAMDEN NJ 08103 222568528 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NJ 501(C)(3) LINE 12B, II MAXIS HEALTH SYSTEM 1 OUR LADY OF LOURDES HEALTH FOUNDATION INC 1600 HADDON AVENUE CAMDEN NJ 08103 222351960 FOUNDATION NJ 501(C)(3) LINE 7 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 OUR LADY OF LOURDES MEDICAL CENTER 1600 HADDON AVENUE CAMDEN NJ 08103 210635001 HEALTH CARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND NY 12084 141743506 LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL 1 PIONEER VALLEY CARDIOLOGY ASSOCIATES INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 454208896 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 PITTSBURGH MERCY HEALTH SYSTEM INC 3333 5TH AVENUE PITTSBURGH PA 15213 251464211 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 PROBILITY THERAPY SERVICES 2058 S STATE STREET ANN ARBOR MI 48104 202020239 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON MI 49442 382638284 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS 1 RIVERBEND MEDICAL GROUP INC 271 CAREW ST SPRINGFIELD MA 01104 811807730 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 SJ MANAGEMENT COMPANY OF SYRACUSE INC 301 PROSPECT AVENUE SYRACUSE NY 13203 271763712 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER 1 SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO CA 93720 941437713 HEALTH CARE AND HOSPITAL SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 SAINT AGNES MEDICAL FOUNDATION 1303 EAST HERNDON AVE FRESNO CA 93720 942839324 HEALTH CARE SERVICES CA 501(C)(3) LINE 12A, I SAINT AGNES MEDICAL CENTER 1 SAINT ALPHONSUS BUILDING COMPANY INC 1055 NORTH CURTIS RD BOISE ID 83706 820401011 BUILDING MANAGEMENT SERVICES ID 501(C)(3) LINE 10 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC 1 SAINT ALPHONSUS DIVERSIFIED CARE INC 1055 NORTH CURTIS RD BOISE ID 83706 943028978 HEALTH CARE SYSTEM SUPPORT ID 501(C)(3) LINE 12A, I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC 1 SAINT ALPHONSUS FOUNDATION-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY OR 97814 943164869 FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY 1 SAINT ALPHONSUS FOUNDATION-ONTARIO INC 351 SW 9TH STREET ONTARIO OR 97914 202683560 FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO 1 SAINT ALPHONSUS HEALTH SYSTEM INC 1055 N CURTIS ROAD BOISE ID 83706 271929502 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS 351 SW 9TH STREET ONTARIO OR 97914 943059469 VOLUNTEER SERVICE AUXILIARY OR 501(C)(3) LINE 10 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO 1 SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY OR 97814 271790052 HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC 1512 12TH AVENUE ROAD NAMPA ID 83686 261737256 FOUNDATION ID 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-NAMPA 1 SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC 1512 12TH AVENUE ROAD NAMPA ID 83686 820200896 HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC 351 SW 9TH STREET ONTARIO OR 97914 271789847 HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS RD BOISE ID 83706 820200895 HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT FRANCIS EMERGENCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 451994612 HEALTH CARE SERVICES CT 501(C)(3) LINE 12B, II TRINITY HEALTH OF NEW ENGLAND PNO INC 1 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND STREET HARTFORD CT 06105 060646813 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 061008255 FOUNDATION CT 501(C)(3) LINE 12B, II SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 1 SAINT JAMES CARE INC 111 CENTRAL AVENUE NEWARK NJ 07102 262616230 INACTIVE ENTITY NJ 501(C)(3) LINE 10 SAINT MICHAEL'S MEDICAL CENTER 1 SAINT JOSEPH PACE INC 20555 VICTOR PARKWAY LIVONIA MI 48152 473129127 PACE PROGRAM IN 501(C)(3) LINE 7 TRINITY HEALTH PACE 1 SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC PO BOX 670 PLYMOUTH IN 46563 351142669 HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 350868157 HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC 1915 LAKE AVENUE PLYMOUTH IN 46563 356043563 VOLUNTEER SERVICE AUXILIARY IN 501(C)(3) LINE 12B, II SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC 1 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 351568821 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 SAINT JOSEPH'S HEALTH SYSTEM INC 424 DECATUR STREET ATLANTA GA 30312 581744848 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA GA 30312 581752700 HEALTH CARE SERVICES GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 SAINT JOSEPH'S TOWER INC PO BOX 9184 FARMINGTON HILLS MI 48333 311040468 SENIOR LIVING COMMUNITY IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES - INDIANA INC 1 SAINT MARY'S AMICARE HOME HEALTHCARE 1430 MONROE NW STE 120 GRAND RAPIDS MI 49505 383320700 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS MI 49503 381779602 FOUNDATION MI 501(C)(3) LINE 7 TRINITY HEALTH-MICHIGAN 1 SAINT MARY'S HOSPITAL FOUNDATION INC 56 FRANKLIN STREET WATERBURY CT 06706 222528400 FOUNDATION CT 501(C)(3) LINE 7 SAINT MARY'S HOSPITAL INC 1 SAINT MARY'S HOSPITAL INC 56 FRANKLIN STREET WATERBURY CT 06706 060646844 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 SAINT MICHAEL'S FOUNDATION INC 111 CENTRAL AVENUE NEWARK NJ 07102 223311976 FOUNDATION NJ 501(C)(3) LINE 12A, I SAINT MICHAEL'S MEDICAL CENTER 1 SAINT MICHAEL'S MEDICAL CENTER INC 111 CENTRAL AVENUE NEWARK NJ 07102 262616046 HEALTH CARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 MAXIS HEALTH SYSTEM 1 SAMARITAN CHILD CARE CENTER INC 2215 BURDETT AVE TROY NY 12180 141710225 CHILD CARE SERVICES NY 501(C)(3) LINE 10 ST PETER'S HEALTH PARTNERS 1 SAMARITAN HOSPITAL 2215 BURDETT AVE TROY NY 12180 141338544 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 SENIOR CARE CONNECTION INC 504 STATE ST SCHENECTADY NY 12305 141708754 PACE PROGRAM NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 SETON AUXILIARY INC 1300 MASSACHUSETTS AVENUE TROY NY 12180 141505031 VOLUNTEER SERVICE AUXILIARY NY 501(C)(3) LINE 10 SETON HEALTH SYSTEM INC 1 SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE ONE ABELE BLVD CLIFTON PARK NY 12065 141756230 LONG TERM CARE NY 501(C)(3) LINE 10 SETON HEALTH SYSTEM INC 1 SETON HEALTH FOUNDATION INC 1300 MASSACHUSETTS AVENUE TROY NY 12180 222345416 FOUNDATION NY 501(C)(3) LINE 12A, I SETON HEALTH SYSTEM INC 1 SETON HEALTH SYSTEM INC 1300 MASSACHUSETTS AVENUE TROY NY 12180 141776186 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 SISTERS OF PROVIDENCE CARE CENTERS INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 222541103 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 SISTERS OF PROVIDENCE HEALTH SYSTEM INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 043398374 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT MA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 SJHSJOC HOLDINGS INC 424 DECATUR STREET ATLANTA GA 30312 472299757 HEALTH CARE SYSTEM SUPPORT GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC 1 ST AGNES CONTINUING CARE CENTER ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232840137 PACE PROGRAM PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 ST AGNES CONTINUING CARE CENTER FOUNDATION ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232415137 FOUNDATION PA 501(C)(3) LINE 12A, I ST AGNES CONTINUING CARE CENTER 1 ST FRANCIS FOUNDATION PO BOX 2500 WILMINGTON DE 19805 510374158 FOUNDATION DE 501(C)(3) LINE 12A, I ST FRANCIS HOSPITAL 1 ST FRANCIS HOSPITAL INC PO BOX 2500 WILMINGTON DE 19805 510064326 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 ST FRANCIS MEDICAL CENTER FOUNDATION INC 601 HAMILTON AVENUE TRENTON NJ 08629 521025476 FOUNDATION NJ 501(C)(3) LINE 7 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVENUE TRENTON NJ 08629 223431049 HEALTH CARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 MAXIS HEALTH SYSTEM 1 ST JAMES MERCY HEALTH SYSTEM INC 411 CANISTEO STREET HORNELL NY 14843 223127184 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) NY 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ST JOSEPH MERCY OAKLAND FOUNDATION 44405 WOODWARD AVE PONTIAC MI 48341 352356789 FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES NC 28387 560694200 LONG TERM CARE NC 501(C)(3) LINE 3 TRINITY CONTINUING CARE SERVICES 1 ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER 206 PROSPECT AVENUE SYRACUSE NY 13203 202497520 COLLEGE OF NURSING NY 501(C)(3) LINE 2 ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST JOSEPH'S HEALTH CENTER PROPERTIES INC 301 PROSPECT AVENUE SYRACUSE NY 13203 237219294 BUILDING MANAGEMENT SERVICES NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S HEALTH INC 301 PROSPECT AVENUE SYRACUSE NY 13203 474754987 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVENUE SYRACUSE NY 13203 150532254 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC 301 PROSPECT AVENUE SYRACUSE NY 13203 222149775 FOUNDATION NY 501(C)(3) LINE 12A, I ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S MEDICAL PC 301 PROSPECT AVENUE SYRACUSE NY 13203 273899821 HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST JOSEPH'S PHYSICIAN HEALTH PC 301 PROSPECT AVENUE SYRACUSE NY 13203 161516863 HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST MARY BUILDING AND DEVELOPMENT 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 461827502 TITLE HOLDING COMPANY PA 501(C)(2) N/A ST MARY MEDICAL CENTER 1 ST MARY EMERGENCY MEDICAL SERVICES 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 465354512 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 ST MARY HOME INCORPORATED 2021 ALBANY AVENUE WEST HARTFORD CT 06117 060646843 LONG TERM CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC 1 ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 231913910 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 ST MARY MEDICAL CENTER FOUNDATION INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232567468 FOUNDATION PA 501(C)(3) LINE 7 ST MARY MEDICAL CENTER 1 ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS GA 30606 582544232 FOUNDATION GA 501(C)(3) LINE 12A, I ST MARY'S HEALTH CARE SYSTEM INC 1 ST MARY'S GOOD SAMARITAN FOUNDATION INC 1230 BAXTER STREET ATHENS GA 30606 811660088 FOUNDATION GA 501(C)(3) LINE 12A, I ST MARY'S HEALTH CARE SYSTEM INC 1 ST MARY'S HEALTH CARE SYSTEM INC 1230 BAXTER STREET ATHENS GA 30606 580566223 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 ST MARY'S HIGHLAND HILLS INC 1230 BAXTER STREET ATHENS GA 30606 020576648 SENIOR LIVING COMMUNITY GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 ST MARY'S MEDICAL GROUP INC 1230 BAXTER STREET ATHENS GA 30606 261858563 HEALTH CARE SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 ST MARY'S SACRED HEART HOSPITAL INC 367 CLEAR CREEK PARKWAY LAVONIA GA 30553 473752176 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 ST PETER'S HEALTH PARTNERS 315 SOUTH MANNING BLVD ALBANY NY 12208 453570715 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC 315 SOUTH MANNING BLVD ALBANY NY 12208 461177336 HEALTH CARE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY NY 12208 141348692 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 ST PETER'S HOSPITAL FOUNDATION INC 310 SOUTH MANNING BLVD ALBANY NY 12208 222262982 FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS 1 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER 1270 BELMONT AVE SCHENECTADY NY 12308 141338386 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC 1270 BELMONT AVE SCHENECTADY NY 12308 222505127 FOUNDATION NY 501(C)(3) LINE 12A, I SUNNYVIEW HOSPITAL AND REHABILITATION CENTER 1 THE COMMUNITY HOSPICE FOUNDATION INC 445 NEW KARNER RD ALBANY NY 12205 222692940 FOUNDATION NY 501(C)(3) LINE 7 THE COMMUNITY HOSPICE INC 1 THE COMMUNITY HOSPICE INC 445 NEW KARNER RD ALBANY NY 12205 141608921 HOSPICE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER 707 EAST CEDAR STREET SOUTH BEND IN 46617 351654543 FOUNDATION IN 501(C)(3) LINE 7 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC 2256 BURDETT AVE TROY NY 12180 222570478 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 THE MARJORIE DOYLE ROCKWELL CENTER INC 421 WEST COLUMBIA ST COHOES NY 12047 141793885 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 THE MERCY HOSPITAL INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 043398280 HEALTH CARE AND HOSPITAL SERVICES MA 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 THE NORTHEAST HEALTH FOUNDATION INC 310 SOUTH MANNING BLVD ALBANY NY 12208 222743478 FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS 1 THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 060660403 VOLUNTEER SERVICE AUXILIARY CT 501(C)(3) LINE 12B, II N/A 0 TRI-HOSPITAL EMERGENCY MEDICAL SERVICES 309 GRAND RIVER PORT HURON MI 48060 382485700 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I N/A 0 TRINITY CONTINUING CARE SERVICES PO BOX 9184 FARMINGTON HILLS MI 48333 382559656 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 TRINITY CONTINUING CARE SERVICES - INDIANA INC PO BOX 9184 FARMINGTON HILLS MI 48333 930907047 LONG TERM CARE IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 TRINITY HEALTH - MICHIGAN 20555 VICTOR PARKWAY LIVONIA MI 48152 382113393 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 TRINITY HEALTH CORPORATION 20555 VICTOR PARKWAY LIVONIA MI 48152 351443425 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12B, II CATHOLIC HEALTH MINISTRIES 1 TRINITY HEALTH LIFE PENNSYLVANIA INC 20555 VICTOR PARKWAY LIVONIA MI 48152 475244984 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 TRINITY HEALTH OF NEW ENGLAND CORPORATION INC 114 WOODLAND STREET HARTFORD CT 06105 061491191 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC 114 WOODLAND STREET HARTFORD CT 06105 061450168 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 TRINITY HEALTH PACE 20555 VICTOR PARKWAY LIVONIA MI 48152 473073124 PACE PROGRAM MI 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 TRINITY HEALTH WELFARE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA MI 48152 208151733 RETIREE MEDICAL AND RETIREE LIFE INSURANCE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION 1 TRINITY HOME HEALTH SERVICES 17410 COLLEGE PARKWAY STE 150 LIVONIA MI 48152 382621935 MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 UIHLEIN MERCY CENTER 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 150532190 HEALTH CARE SERVICES (INACTIVE) NY 501(C)(3) LINE 3 MERCY UIHLEIN HEALTH CORPORATION 1 UNIVERSITY HEIGHTS PROPERTY COMPANY INC 111 CENTRAL AVENUE NEWARK NJ 07102 223100162 TITLE HOLDING COMPANY NJ 501(C)(2) N/A SAINT MICHAEL'S MEDICAL CENTER 1 VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY NY 12208 141438749 LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL 1 WESTSHORE HEALTH NETWORK 1820 44TH STREET KENTWOOD MI 49508 383280200 HEALTH NETWORK MI 501(C)(4) N/A MERCY HEALTH PARTNERS 1 ADVENT REHABILITATION LLC 607 DEWEY AVENUE SUITE 300 GRAND RAPIDS MI 49504 383306673 REHABILITATION THERAPY SERVICES MI N/A BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS OH 43222 311608125 MEDICAL OFFICE BUILDING RENTAL OH MOUNT CARMEL HEALTH SYSTEM RELATED 65852 786053 0 1 0.76920 CATHERINE HORAN BUILDING ASSOCIATES LP 1221 MAIN STREET SUITE 105 HOLYOKE MA 01040 042723429 PROPERTY MANAGEMENT MA N/A CENTENNIAL SURGUNIT LLC 502 CENTENNIAL BLVD SUITE 1 VOORHEES NJ 08043 223580847 HEALTH CARE SERVICES NJ N/A CENTER FOR DIGESTIVE CARE LLC 5300 ELLIOTT DRIVE YPSILANTI MI 48197 030447062 PROVIDE GASTROINTESTINAL SERVICES MI N/A CENTRAL NEW JERSEY HEART SERVICES LLC PO BOX 148 BAYONNE NJ 07002 208525458 CARDIAC PROGRAM NJ N/A CLINTON IMAGING SERVICES LLC 615 VALLEY VIEW DR STE 202 MOLINE IL 61265 412044739 MRI DIAGNOSTIC SERVICES IA N/A DIAGNOSTIC IMAGING OF SOUTHBURY LLC 385 MAIN STREET SOUTH SOUTHBURY CT 06488 061487582 IMAGING CENTER CT N/A FOREST PARK IMAGING LLC 1000 4TH STREET SW MASON CITY IA 50401 134365966 X-RAY AND MAMMOGRAPHY SERVICES IA N/A FRANCES WARDE MEDICAL LABORATORY 300 WEST TEXTILE ROAD ANN ARBOR MI 48104 382648446 LABORATORY MI N/A GATEWAY HEALTH PLAN LP 444 LIBERTY AVE SUITE 2100 PITTSBURGH PA 15222 251691945 MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION PA N/A GREATER HARTFORD LITHOTRIPSY LLC 144 WOODLAND ST HARTFORD CT 06105 061578891 LITHOTRIPSY SERVICES CT N/A HAWARDEN REGIONAL HEALTH CLINICS LLC 1122 AVENUE L HAWARDEN IA 51023 201444339 MEDICAL CLINIC IA N/A IDAHO ASC HOLDINGS LLC 1055 N CURTIS ROAD BOISE ID 83706 364729605 HOLDING COMPANY FOR AMBULATORY SURGERY ID N/A INNOVATIVE HEALTH ALLIANCE OF NEW YORK LLC 14 COLUMBIA CIRCLE DRIVE ALBANY NY 12203 465676066 ACCOUNTABLE CARE ORGANIZATION NY N/A LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 364119522 SURGICAL SERVICES IL N/A MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY IA 50401 421328388 MRI SERVICES IA N/A MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY IA 50401 201960348 SURGERY-SAME DAY IA N/A MCE MOB IV LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS OH 43222 421544707 MEDICAL OFFICE BUILDING RENTAL OH MOUNT CARMEL HEALTH SYSTEM RELATED 260429 3552300 0 1 0.49840 MDRMRI TECHNICAL SERVICES LLC 5640 EAST TAFT ROAD 3770 SYRACUSE NY 13220 161590982 MRI SERVICES NY N/A MEDILUCENT MOB I 793 W STATE STREET COLUMBUS OH 43222 204911370 MEDICAL OFFICE BUILDING RENTAL OH MOUNT CARMEL HEALTH SYSTEM RELATED 98534 1767225 0 1 0.25130 MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON CT 06111 061490483 REHABILITATION SERVICES CT N/A MERCY ADVANCED MRI LLC 2525 SOUTH MICHIGAN AVE CHICAGO IL 60616 262116721 SUBLEASE MRI EQUIPMENT IL N/A MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY IA 50401 134237594 CARDIOVASCULAR SERVICES IA N/A MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO OH 43699 521931012 NURSING HOME PA N/A MERCYUSP HEALTH VENTURES LLC 15305 DALLAS PARKWAY STE 1600 LB 28 ADDISON TX 75001 471290300 OUTPATIENT SURGERY IA N/A MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS OH 43222 311369473 MEDICAL OFFICE BUILDING RENTAL OH MOUNT CARMEL HEALTH SYSTEM RELATED 145688 1566190 0 1 0.29150 NAUGATUCK VALLEY MRI LIMITED PARTNERSHIP 1389 WEST MAIN ST WATERBURY CT 06708 061239526 IMAGING CENTER CT N/A NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP C/O NAZARETH HOSP 2601 HOLME AVE PHILADELPHIA PA 19152 232388040 MEDICAL OFFICE BUILDING PA N/A OSWEGO HEALTH HOME CARE LLC 113 SCHUYLER STREET FULTON NY 13069 472463736 HOME HEALTH CARE NY N/A PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK FL 33334 352325646 AMBULATORY SURGERY CENTER FL N/A RADISSON SJH PROPERTIES LLC 5000 CAMPUSWOOD DRIVE SUITE 100 EAST SYRACUSE NY 13057 461892799 MEDICAL OFFICE BUILDING NY N/A SARMED OUTPATIENT PHARMACY LLC 999 N CURTIS RD STE 102 BOISE ID 83706 510483218 PHARMACY ID N/A SIXTY FOURTH STREET LLC 2373 64TH ST STE 2200 BYRON CENTER MI 49315 202443646 PROVIDE OUTPATIENT SURGICAL CARE MI N/A SJLS LLC 7650 SE 27TH ST STE 200 MERCER ISLAND WA 98040 201796650 DIALYSIS SERVICES NY N/A SJV MANAGEMENT LLC 200 CENTURY PKWY STE 200E MOUNT LAUREL NJ 08054 202273476 RADIOLOGY NJ N/A SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 364559869 INVESTMENT AND OPERATION OF A MEDICAL BUILDING PA N/A ST AGNES LONG-TERM INTENSIVE CARE LLP C/O MHS ONE WEST ELM ST STE 100 CONSHOHOCKEN PA 19428 200984882 LONG TERM INTENSIVE CARE PA N/A ST ALPHONSUS CALDWELL CANCER CTR LLC 3123 MEDICAL DR CALDWELL ID 83605 820526861 HEALTH CARE SERVICES ID N/A ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS OH 43222 311603660 MEDICAL OFFICE BUILDING RENTAL OH MOUNT CARMEL HEALTH SYSTEM RELATED -20890 1513323 0 1 0.46980 ST JOSEPH'S IMAGING ASSOCIATES PLLC 104 UNION AVE SUITE 905 SYRACUSE NY 13203 161104293 RADIOLOGY SERVICES NY N/A ST MARY REHABILITATION HOSPITAL LLP 680 SOUTH FORTH STREET LOUISVILLE KY 40202 273938747 HEALTH CARE SERVICES DE N/A ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVENUE STE 201 ALBANY NY 12206 460463892 OUTPATIENT SURGERY NY N/A TAMARACK MEDICAL CLINIC LLC 402 LAKE CASCADE PARKWAY CASCADE ID 83611 201637921 OUTPATIENT MEDICAL SERVICES ID N/A THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232871206 OUTPATIENT SURGERY PA N/A TRINITY HEALTH PARTNERS LLC 20555 VICTOR PARKWAY LIVONIA MI 48152 472798085 POPULATION HEALTH MANAGEMENT DE N/A WOODLAND IMAGING CENTER LLC 5301 E HURON RIVER DR ANN ARBOR MI 48106 760820959 RADIOLOGY/ IMAGING MI N/A AFFILIATED MANAGEMENT SERVICES CORPORATION INC 1300 MASSACHUSETTS AVENUE TROY NY 12180 141668024 REAL ESTATE NY N/A C 1 CARBONDALE PHYSICIANS' SERVICES INC 100 LINCOLN AVE CARBONDALE PA 18407 232365077 PHARMACY PA N/A C 1 CATHERINE HORAN BUILDING CORP 1233 MAIN STREET HOLYOKE MA 01040 042938160 BUILDING MANAGEMENT MA N/A C 1 CHESTNUT RISK SERVICES LTD 11 VICTORIA STREET HAMILTON BD INSURANCE BD N/A C 1 DIVERSIFIED COMMUNITY SERVICES INC 1233 MAIN STREET HOLYOKE MA 01040 043128890 MEDICAL SERVICES MA N/A C 1 FHS SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 272995699 MEDICAL SERVICES NY N/A C 1 FRANCISCAN ASSOCIATES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 202991688 MEDICAL SERVICES NY N/A C 1 FRANCISCAN HEALTH SUPPORT INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161236354 MEDICAL SERVICES NY N/A C 1 FRANCISCAN MANAGEMENT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161351193 MANAGEMENT SERVICES NY N/A C 1 FRANKLIN MEDICAL GROUP PC 56 FRANKLIN ST WATERBURY CT 06706 061470493 PHYSICIAN OFFICE CT N/A C 1 GOTTLIEB MANAGEMENT SERVICES INC 701 W NORTH AVE MELROSE PARK IL 60160 363330529 MANAGEMENT SERVICES IL N/A C 1 HEF INC 1820 44TH STREET SE KENTWOOD MI 49508 383086401 OFFICE STAFFING MI N/A C 1 HACKLEY HEALTH MANAGEMENT INC 1820 44TH STREET SE KENTWOOD MI 49508 382961814 WEIGHT MANAGEMENT MI N/A C 1 HACKLEY HEALTH VENTURES INC 1820 44TH STREET SE KENTWOOD MI 49508 382589959 OTHER MEDICAL SERVICES MI N/A C 1 HACKLEY HEALTHCARE EQUIPMENT CORP 1820 44TH STREET SE KENTWOOD MI 49508 382578569 HOME MEDICAL EQUIPMENT MI N/A C 1 HACKLEY PROFESSIONAL PHARMACY INC 1820 44TH STREET SE KENTWOOD MI 49508 382447870 PHARMACY MI N/A C 1 HEALTH CARE MANAGEMENT ADMINISTRATORS INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161450960 HEALTH CARE MANAGEMENT NY N/A C 1 HEALTH MANAGEMENT SERVICES ORG INC 500 GROVE STREET SUITE 100 HADDON HEIGHTS NJ 08035 223366580 MEDICAL ADMINISTRATION NJ N/A C 1 HOLY CROSS PRIVATE HOME SERVICES CORP 1500 FOREST GLEN RD SILVER SPRING MD 20910 521986562 HOME CARE SERVICES MD N/A C 1 HURON ARBOR CORPORATION 5301 EAST HURON RIVER DR ANN ARBOR MI 48106 382475644 PROVIDES OFFICE RENTAL SPACE MI N/A C 1 IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383188895 MEDICAL MANAGEMENT MI N/A C 1 LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 253795549 GENERAL PARTNER OF LMOB PARTNERS, II PA N/A C 1 LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232625981 GENERAL PARTNER OF LMOB PARTNERS PA N/A C 1 LIFECARE PHYSICIANS PC 601 HAMILTON AVENUE TRENTON NJ 08629 261649038 HEALTH CARE SERVICES NJ N/A C 1 LOURDES MEDICAL ASSOCIATES PA 500 GROVE STREET SUITE 100 HADDON HEIGHTS NJ 08035 223361862 MEDICAL SERVICES NJ N/A C 1 LOURDES URGENT CARE SERVICES PC 1600 HADDON AVENUE CAMDEN NJ 08103 464188202 URGENT CARE CENTER NJ N/A C 1 MARYLAND CARE GROUP INC 1500 FOREST GLEN RD SILVER SPRING MD 20910 521815313 HEALTH CARE HOLDING MD N/A C 1 MCMC EASTWICK INC C/O MHS ONE WEST ELM STREET STE 100 CONSHOHOCKEN PA 19428 232184261 MEDICAL OFFICE BUILDINGS PA N/A C 1 MEDNOW INC 1512 12TH AVENUE ROAD NAMPA ID 83686 820389927 MEDICAL SERVICES ID N/A C 1 MERCY HOME CARE INC 1233 MAIN STREET HOLYOKE MA 01040 043317426 HEALTH CARE SERVICES MA N/A C 1 MERCY INPATIENT MEDICAL ASSOCIATES INC 1233 MAIN STREET HOLYOKE MA 01040 043029929 MEDICAL SERVICES MA N/A C 1 MERCY MEDICAL SERVICES 801 5TH STREET SIOUX CITY IA 51101 421283849 PRIMARY CARE PHYSICIANS IA N/A C 1 MERCY SERVICES CORPORATION 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363227348 DORMANT IL N/A C 1 MOUNT CARMEL HEALTH PROVIDERS INC 6150 EAST BROAD STREET COLUMBUS OH 43213 311382442 MEDICAL SERVICES OH MOUNT CARMEL HEALTH SYSTEM C -67036132 51349246 1.00000 1 NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE FL 33308 591145192 MEDICAL SERVICES FL N/A C 1 SAINT ALPHONSUS HEALTH ALLIANCE INC 1055 NORTH CURTIS ROAD BOISE ID 83706 820524649 ACCOUNTABLE CARE ORGANIZATION ID N/A C 1 SAINT ALPHONSUS PHYSICIANS PA 1055 NORTH CURTIS ROAD BOISE ID 83706 331078261 HEALTH CARE SERVICES (INACTIVE) ID N/A C 1 SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC 114 WOODLAND STREET STE 4312 HARTFORD CT 06105 061384686 MEDICAL SERVICES CT N/A C 1 SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD CT 06105 061432373 MEDICAL SERVICES CT N/A C 1 SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY NY 12180 141607244 REAL ESTATE NY N/A C 1 SJM PROPERTIES INC 411 CANISTEO STREET HORNELL NY 14843 161294991 PROPERTY HOLDINGS NY N/A C 1 SJPE PRACTICE MANAGEMENT SERVICES INC 301 PROSPECT AVE SYRACUSE NY 13203 454164964 MANAGEMENT SERVICES NY N/A C 1 SJRMC HOLDINGS INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 474763735 PROPERTY HOLDINGS IN N/A C 1 ST ELIZABETH HEALTH SUPPORT SERVICES INC 2209 GENESEE STREET UTICA NY 13501 161540486 MEDICAL SERVICES NY N/A C 1 ST MARY'S HIGHLAND HILLS VILLAGE INC 1230 BAXTER STREET ATHENS GA 30606 582276801 ASSISTED LIVING GA N/A C 1 SYSTEM COORDINATED SERVICES INC 1233 MAIN STREET HOLYOKE MA 01040 042938161 LAB SERVICES MA N/A C 1 THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA MI 48152 452603654 REAL ESTATE BROKERAGE SERVICES MI N/A C 1 TRI-HOSPITAL MRI CENTER 4190 24TH AVENUE FORT GRATIOT MI 48054 382884297 HEALTH CARE SERVICES MI N/A C 1 TRINITY ASSURANCE LTD PO BOX 1051 GRAND CAYMAN GRAND CAYMAN CJ 980453602 PROVISION OF INSURANCE COVERAGE CJ N/A C 1 TRINITY HEALTH ACO INC 20555 VICTOR PARKWAY LIVONIA MI 48152 473794666 ACCOUNTABLE CARE ORGANIZATION DE N/A C 1 TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA MI 48152 383410377 GRANTOR TRUST MI N/A T 1 TRINITY SENIOR SERVICES MANAGEMENT INC PO BOX 9184 FARMINGTON HILLS MI 48333 371572595 SENIOR SERVICES PA N/A C 1 WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM 1820 44TH STREET SE KENTWOOD MI 49508 382700166 CONDOMINIUM ASSOCIATION MI N/A C 1 WORKPLACE HEALTH OF GRAND HAVEN INC 1820 44TH STREET SE KENTWOOD MI 49508 383112035 OCCUPATIONAL HEALTH MI N/A C 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 TRINITY HEALTH - MICHIGAN M 2313148 PER BOOKS TRINITY HEALTH CORPORATION B 38550652 PER BOOKS TRINITY HEALTH CORPORATION L 626236 PER BOOKS TRINITY HEALTH CORPORATION M 109438491 PER BOOKS TRINITY HEALTH CORPORATION P 26727575 PER BOOKS TRINITY HEALTH CORPORATION Q 9819913 PER BOOKS TRINITY HEALTH CORPORATION R 24912451 PER BOOKS TRINITY HEALTH ACO INC S 1621248 PER BOOKS MOUNT CARMEL HEALTH PLAN INC L 108207691 PER BOOKS MOUNT CARMEL COLLEGE OF NURSING C 833000 PER BOOKS MOUNT CARMEL COLLEGE OF NURSING K 288667 PER BOOKS DILEY RIDGE MEDICAL CENTER C 8750000 PER BOOKS DILEY RIDGE MEDICAL CENTER L 1638576 PER BOOKS MOUNT CARMEL HEALTH SYSTEM FOUNDATION B 2291136 PER BOOKS MOUNT CARMEL HEALTH SYSTEM FOUNDATION C 2779286 PER BOOKS MOUNT CARMEL HEALTH SYSTEM FOUNDATION L 1240919 PER BOOKS MOUNT CARMEL HEALTH INSURANCE COMPANY B 3500000 PER BOOKS MOUNT CARMEL HEALTH INSURANCE COMPANY L 2429265 PER BOOKS MOUNT CARMEL HEALTH PROVIDERS INC A 2175341 PER BOOKS MOUNT CARMEL HEALTH PROVIDERS INC L 396931 PER BOOKS MOUNT CARMEL HEALTH PROVIDERS INC M 9646989 PER BOOKS MOUNT CARMEL HEALTH PROVIDERS INC P 854097 PER BOOKS MCE MOB IV LIMITED PARTNERSHIP C 184262 PER TAX RETURN MEDILUCENT MOB I C 167909 PER TAX RETURN MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP C 140898 PER TAX RETURN ST ANN'S MEDICAL OFFICE BUILDING II LIMITED PARTNERSHIP C 50820 PER TAX RETURN