MOUNT CARMEL HEALTH SYSTEM: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT CARMEL HEALTH SYSTEM (EIN 31-1439334)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201631379349300978
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T09:44:11-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311439334 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT CARMEL HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 6145464300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6150 EAST BROAD STREET NO WD381N | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 432131574 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICIA J CALLAHAN | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Phone | 6145464300 | PhoneNum |
| Signature | 2016-05-16 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROGER SPOELMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6150 EAST BROAD STREET NO WD381N | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 432131574 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,267,457,804 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MOUNTCARMELHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE AND HOSPITAL SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 10626 | TotalEmployeeCnt |
| Total Volunteers | 1069 | TotalVolunteersCnt |
| Total Gross UBI | $7,124,817 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,061,705 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,779,987 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,364,320 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,138,560,796 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,177,388,305 | CYProgramServiceRevenueAmt |
| PY Investment Income | $24,147,187 | PYInvestmentIncomeAmt |
| CY Investment Income | $24,032,316 | CYInvestmentIncomeAmt |
| PY Other Revenue | $59,151,573 | PYOtherRevenueAmt |
| CY Other Revenue | $62,558,623 | CYOtherRevenueAmt |
| PY Total Revenue | $1,223,639,543 | PYTotalRevenueAmt |
| CY Total Revenue | $1,267,343,564 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $883,692 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,248,848 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $470,458,734 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $495,841,295 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $204,886 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $657,917,776 | PYOtherExpensesAmt |
| CY Other Expenses | $638,957,440 | CYOtherExpensesAmt |
| PY Total Expenses | $1,129,260,202 | PYTotalExpensesAmt |
| CY Total Expenses | $1,136,047,583 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $94,379,341 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $131,295,981 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,801,724,954 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,864,209,817 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $612,795,177 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $661,839,266 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,188,929,777 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,202,370,551 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $921,180,525 | ExpenseAmt |
| Grant | $1,248,848 | GrantAmt |
| Revenue | $1,217,150,070 | RevenueAmt |
| Desc | MOUNT CARMEL HEALTH SYSTEM, 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 HEALTHCARE SERVICES AT FOUR CENTRAL OHIO HOSPITALS, CONTAINING 1,393 STAFFED BEDS, AS WELL AS A FREESTANDING EMERGENCY DEPARTMENT, SURGERY CENTERS, OUTPATIENT FACILITIES, PHYSICIAN OFFICES AND COMMUNITY OUTREACH SITES IN THE GREATER COLUMBUS AREA.MOUNT CARMEL HEALTH SYSTEM'S TEAM OF MORE THAN 8,000 EMPLOYEES, 1,500 PHYSICIANS AND 1,000 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 HEALTH SYSTEM 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 | Desc |
| Total Program Service Expenses | $921,180,525 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | Yes (1) | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1255 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 10626 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEITH COLEMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6145464619 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6150 EAST BROAD STREET | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43213 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CLAUS VON ZYCHLIN | ||||||||||
| DIRECTOR; MOUNT CARMEL SYS PRES & CEO | 50.00 | 5.00 | Yes (X) | Yes (X) | $0 | $953,375 | $49,298 | |||
| LISA STEIN | ||||||||||
| DIRECTOR, SEC THR 12/14 V CHR AT 1/15 | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN PEREZ | ||||||||||
| DIRECTOR; CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STAMPP CORBIN | ||||||||||
| DIRECTOR; VICE CHAIR THROUGH 12/14 | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOY O'GRADY CSC | ||||||||||
| DIRECTOR, SECRETARY AS OF 1/15 | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JORGE GOMEZ | ||||||||||
| DIRECTOR, TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CHARLES HICKEY MD | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $20,400 | $0 | $0 | ||||
| PATRICK CAIN MD | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUSAN TOMASKY | ||||||||||
| DIRECTOR THROUGH 12/14 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHY GATTERDAM | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| J RICHARD O'CONNELL | ||||||||||
| DIRECTOR THR 9/14;EVP TRINITY EAST GR | 1.00 | 54.00 | Yes (X) | $0 | $1,748,402 | $54,577 | ||||
| JUDITH ANNE BEATTIE CSC | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN GILLIGAN | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SALLY JEFFCOAT | ||||||||||
| DIRECTOR;EVP TRINITY WEST/MIDWEST GRP | 1.00 | 54.00 | Yes (X) | $0 | $1,069,085 | $45,673 | ||||
| PABLO VEGAS | ||||||||||
| DIRECTOR AS OF 1/15 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JORDAN HANSELL | ||||||||||
| DIRECTOR AS OF 1/15 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHARON TACKETT | ||||||||||
| DIRECTOR AS OF 1/15 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEITH COLEMAN | ||||||||||
| CFO | 50.00 | 5.00 | Yes (X) | $0 | $484,147 | $36,762 | ||||
| LAURA TRAINI | ||||||||||
| SVP AND CHIEF TRANSFOR OFFICER | 50.00 | 0.00 | $0 | $456,962 | $47,963 | Yes (X) | ||||
| JANET MEEKS | ||||||||||
| PRESIDENT & COO, ST ANN'S | 50.00 | 0.00 | $0 | $1,357,506 | $32,790 | Yes (X) | ||||
| HUGH JONES | ||||||||||
| SVP PLAN/MKTG BUS/NETWK DEV | 40.00 | 10.00 | $0 | $302,734 | $33,350 | Yes (X) | ||||
| ANNE BROWNING | ||||||||||
| SR VICE PRESIDENT HUMAN RESOURCES | 50.00 | 5.00 | $0 | $334,856 | $35,277 | Yes (X) | ||||
| SEAN MCKIBBEN | ||||||||||
| PRESIDENT & COO, MC WEST | 50.00 | 0.00 | $0 | $503,569 | $38,846 | Yes (X) | ||||
| BRINSLEY LEWIS | ||||||||||
| PRESIDENT & COO, MC EAST | 50.00 | 0.00 | $0 | $605,132 | $40,654 | Yes (X) | ||||
| CHARLES BRETT JUSTICE | ||||||||||
| SYSTEM VP STRATEGIC ADVANCEMENT | 50.00 | 0.00 | $182,274 | $0 | $30,419 | Yes (X) | ||||
| RICHARD STRECK | ||||||||||
| CHIEF CLINICAL OPERATIONS OFFICER | 50.00 | 0.00 | $0 | $578,056 | $38,619 | Yes (X) | ||||
| PHILIP J SHUBERT MD | ||||||||||
| DIRECTOR PERINATAL MEDICAL | 50.00 | 0.00 | $517,593 | $0 | $36,166 | Yes (X) | ||||
| GERALD GIRARDI | ||||||||||
| PERINATAL MEDICAL DIRECTOR | 50.00 | 0.00 | $0 | $377,820 | $30,748 | Yes (X) | ||||
| LARRY D SWANNER | ||||||||||
| VP MEDICAL AFFAIRS - ST WEST | 50.00 | 0.00 | $357,719 | $0 | $34,189 | Yes (X) | ||||
| CHARLES SANDERS | ||||||||||
| VICE PRES MEDICAL EDUCATION | 50.00 | 0.00 | $346,288 | $0 | $29,667 | Yes (X) | ||||
| JACQUELINE PRIMEAU | ||||||||||
| FORMER OFFICER | 0.00 | 50.00 | $0 | $225,615 | $29,470 | Yes (X) | ||||
| KEDRICK ADKINS | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $1,069,394 | $1,656 | Yes (X) | ||||
| RONALD WHITESIDE | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $162,281 | $2,315 | Yes (X) | ||||
| CYNTHIA SHEETS | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $132,259 | $3,141 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,424,274 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,361,193 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $651,580 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 320 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MESSER CONSTRUCTION | |||||
| 5158 FISHWICK DRIVE | CINCINNATI | OH | 45216 | CONSTRUCTION SERVICES | $13,739,309 |
| QUANDEL CONSTRUCTION GROUP | |||||
| 8181 WORTHINGTON RD | WESTERVILLE | OH | 43082 | CONSTRUCTION SERVICES | $10,579,029 |
| CENTRAL OHIO ORTHO MANAG COMP | |||||
| 3059 E MOUND ST | LOGAN | OH | 43138 | HEALTHCARE SERVICES | $6,858,663 |
| ABM HEALTHCARE SUPPORT SERVICE | |||||
| 153 EAST MAIN STREET STE 230 | COLUMBUS | OH | 43215 | HEALTHCARE SERVICES | $6,258,757 |
| TURNER CONSTRUCTION CO | |||||
| 535 GRISWOLD STE 200 | DETROIT | MI | 48226 | CONSTRUCTION SERVICES | $6,067,815 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 92 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,117,579 | RelatedOrganizationsAmt |
| Government Grants | $600 | GovernmentGrantsAmt |
| All Other Contributions | $246,141 | AllOtherContributionsAmt |
| Total Contributions | $3,364,320 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SVC REV | 622110 | $1,158,705,749 | $1,156,400,876 | $2,304,873 |
| SUBSIDIARY FEES | 561000 | $18,682,556 | $18,682,556 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,177,388,305 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,040,774 | TotalRevenueColumnAmt |
| Exclusion | $12,040,774 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,049,128 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,049,128 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,049,128 | TotalRevenueColumnAmt |
| Exclusion | $10,049,128 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,441,198 | SecuritiesAmt |
| Other | $664,584 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $114,240 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,441,198 | SecuritiesAmt |
| Other | $550,344 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,991,542 | TotalRevenueColumnAmt |
| Exclusion | $11,991,542 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| MANAGEMENT FEES | 561499 | $6,607,667 | $5,510,110 | $1,097,557 | |
| CAFETERIA REVENUE | 722514 | $5,249,396 | $5,249,396 | ||
| MEDICARE/MEDICAID HIT | 622110 | $4,086,042 | $4,086,042 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,566,390 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,470,486 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,722,387 | UnrelatedBusinessRevenueAmt |
| Exclusion | $373,517 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $52,509,495 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,267,343,564 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,217,150,070 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,124,817 | UnrelatedBusinessRevenueAmt |
| Exclusion | $39,704,357 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,248,848 | TotalAmt |
| Program Services | $1,248,848 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,543,139 | TotalAmt |
| Program Services | $20,400 | ProgramServicesAmt |
| Management And General | $5,522,739 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,355 | TotalAmt |
| Program Services | $151,359 | ProgramServicesAmt |
| Management And General | $299,996 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,597,357 | TotalAmt |
| Program Services | $361,853,922 | ProgramServicesAmt |
| Management And General | $45,593,757 | ManagementAndGeneralAmt |
| Fundraising | $149,678 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,404,024 | TotalAmt |
| Program Services | $11,861,963 | ProgramServicesAmt |
| Management And General | $1,537,146 | ManagementAndGeneralAmt |
| Fundraising | $4,915 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,327,650 | TotalAmt |
| Program Services | $32,003,824 | ProgramServicesAmt |
| Management And General | $4,310,575 | ManagementAndGeneralAmt |
| Fundraising | $13,251 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,517,770 | TotalAmt |
| Management And General | $32,517,770 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,805,247 | TotalAmt |
| Program Services | $2,805,247 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,073,502 | TotalAmt |
| Management And General | $1,073,502 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,000 | TotalAmt |
| Management And General | $48,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $907,473 | TotalAmt |
| Management And General | $907,473 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,463,447 | TotalAmt |
| Program Services | $65,780,785 | ProgramServicesAmt |
| Management And General | $12,679,821 | ManagementAndGeneralAmt |
| Fundraising | $2,841 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,731,662 | TotalAmt |
| Program Services | $204,666 | ProgramServicesAmt |
| Management And General | $4,526,996 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,588,068 | TotalAmt |
| Program Services | $7,431,112 | ProgramServicesAmt |
| Management And General | $5,154,737 | ManagementAndGeneralAmt |
| Fundraising | $2,219 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,110,222 | TotalAmt |
| Program Services | $2,133,172 | ProgramServicesAmt |
| Management And General | $51,977,050 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,606,249 | TotalAmt |
| Program Services | $26,237,379 | ProgramServicesAmt |
| Management And General | $4,338,239 | ManagementAndGeneralAmt |
| Fundraising | $30,631 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,451,441 | TotalAmt |
| Program Services | $945,520 | ProgramServicesAmt |
| Management And General | $505,331 | ManagementAndGeneralAmt |
| Fundraising | $590 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,048 | TotalAmt |
| Program Services | $359,987 | ProgramServicesAmt |
| Management And General | $167,061 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,952,861 | TotalAmt |
| Program Services | $15,952,861 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,267,599 | TotalAmt |
| Program Services | $60,465,732 | ProgramServicesAmt |
| Management And General | $23,801,867 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,509,428 | TotalAmt |
| Program Services | $7,483,681 | ProgramServicesAmt |
| Management And General | $25,747 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES EXPENS | $212,323,097 | $212,323,097 | $0 | $0 |
| BAD DEBT EXPENSE | $37,579,787 | $37,579,787 | $0 | $0 |
| I/C PURCHASED SERVICES | $29,336,301 | $22,481,694 | $6,854,607 | $0 |
| UNRELATED BUSINESS INCO | $442,286 | $422,750 | $19,536 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,233,722 | TotalAmt |
| Program Services | $51,432,739 | ProgramServicesAmt |
| Management And General | $12,800,222 | ManagementAndGeneralAmt |
| Fundraising | $761 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,136,047,583 | TotalAmt |
| Program Services | $921,180,525 | ProgramServicesAmt |
| Management And General | $214,662,172 | ManagementAndGeneralAmt |
| Fundraising | $204,886 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,794 | BOYAmt |
| EOY | $26,729 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,518,046 | BOYAmt |
| EOY | $42,372,414 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,548,640 | BOYAmt |
| EOY | $155,965,081 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,228,721 | BOYAmt |
| EOY | $1,432,556 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,641,985 | BOYAmt |
| EOY | $19,270,850 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,697,575 | BOYAmt |
| EOY | $3,707,823 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,336,637,810 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $775,249,452 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $567,881,956 | BOYAmt |
| EOY | $561,388,358 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,814,338 | BOYAmt |
| EOY | $335,362,767 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,259,206 | BOYAmt |
| EOY | $333,945,286 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,606,791 | BOYAmt |
| EOY | $41,281,473 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,500,902 | BOYAmt |
| EOY | $369,456,480 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,801,724,954 | BOYAmt |
| EOY | $1,864,209,817 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,235,063 | BOYAmt |
| EOY | $124,920,790 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,635 | BOYAmt |
| EOY | $721,518 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,713,381 | BOYAmt |
| EOY | $6,562,959 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $497,836,098 | BOYAmt |
| EOY | $529,633,999 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $612,795,177 | BOYAmt |
| EOY | $661,839,266 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,188,929,777 | BOYAmt |
| EOY | $1,202,370,551 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,188,929,777 | BOYAmt |
| EOY | $1,202,370,551 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,801,724,954 | BOYAmt |
| EOY | $1,864,209,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $131,295,981 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$13,678,575 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$104,176,632 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $22,153 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $89,020 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $111,173 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | MOUNT CARMEL HEALTH SYSTEM HAS MADE GRANTS TO OTHER ORGANIZATIONS IN THE FORM OF MEMBERSHIP DUES PAID TO A NATIONAL HEALTH CARE ORGANIZATION. THIS ORGANIZATION HAS PROVIDED MOUNT CARMEL HEALTH SYSTEM WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. IN ADDITION, PAYMENTS WERE MADE TO LOBBYING FIRMS TO ASSIST WITH FEDERAL EARMARK REQUESTS AND STATE LEGISLATIVE ADVOCACY. MOUNT CARMEL HEALTH SYSTEM MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Protection Natural Habitat | Yes (X) | ProtectionNaturalHabitatInd |
| Preservation Open Space | Yes (X) | PreservationOpenSpaceInd |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoringInd |
| Staff Hours Spent Enforcement | 0.00 | StaffHoursSpentEnforcementCnt |
| Expenses Incurred Enforcement | $0 | ExpensesIncurredEnforcementAmt |
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,788,371 | OtherCostOrOtherBasisAmt |
| Book Value | $44,788,371 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $736,074,716 | OtherCostOrOtherBasisAmt |
| Depreciation | $402,591,023 | DepreciationAmt |
| Book Value | $333,483,693 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $493,224,945 | OtherCostOrOtherBasisAmt |
| Depreciation | $371,092,856 | DepreciationAmt |
| Book Value | $122,132,089 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $6,651,703 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $55,898,075 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,565,573 | DepreciationAmt |
| Book Value | $60,984,205 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $561,388,358 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | $93,504,680 | F |
| EQUITY METHOD INVESTMENTS | $126,899,209 | C |
| HEDGE FUNDS | $113,541,397 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $333,945,286 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISCELLANEOUS RECEIVABLES | $8,889,228 |
| INTERCOMPANY ACCOUNTS RECEIVABLE | $251,173,629 |
| INVESTMENT IN UNCONSOL. AFFILIATES | $51,754,538 |
| INTERCOMPANY OTHER LT ASSETS | $56,973,015 |
| OTHER LONG-TERM ASSETS | $663,645 |
| OTHER CURRENT ASSETS | $2,425 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $369,456,480 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERED COMPENSATION LIABILITY | $1,417,481 |
| INTERCOMPANY ACCOUNTS PAYABLE | $11,884,128 |
| INTERCOMPANY NOTES PAYABLE | $512,272,510 |
| LEASE OBLIGATION | $53,078 |
| OTHER CURRENT LIABILITIES | $47,124 |
| OTHER LONG TERM LIABILITIES | $588,396 |
| ASSET RETIREMENT OBLIGATION (FIN 47) | $3,145,784 |
| ANNUITIES PAYABLE | $225,498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $529,633,999 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V | ENDOWMENTS HELD BY MOUNT CARMEL HEALTH SYSTEM FOUNDATION FOR THE BENEFIT OF MOUNT CARMEL HEALTH SYSTEM ARE REPORTED ON THE FORM 990 OF MOUNT CARMEL HEALTH SYSTEM FOUNDATION. |
| SCHEDULE D, PART II, LINE 9 | MOUNT CARMEL HEALTH SYSTEM ACQUIRED LAND THROUGH PURCHASE THAT INCLUDES A WETLAND CONSERVATION EASEMENT. THE CONSERVATION EASEMENT IS REPORTED AS LAND ON THE BALANCE SHEET OF MOUNT CARMEL HEALTH SYSTEM. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,431,776 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,271,491 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,160,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01290 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $180,641,138 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $115,250,223 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,390,915 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $203,072,914 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,521,714 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $79,551,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 96514 | PersonsServedCnt |
| Total Community Benefit Expns | $2,385,448 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $689,207 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,696,241 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 2600 | PersonsServedCnt |
| Total Community Benefit Expns | $19,841,895 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,819,531 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,022,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 29756 | PersonsServedCnt |
| Total Community Benefit Expns | $3,919,841 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,730,764 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,189,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 5777 | PersonsServedCnt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 9848 | PersonsServedCnt |
| Total Community Benefit Expns | $1,282,874 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,410 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,280,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 34 | ActivitiesOrProgramsCnt |
| Persons Served | 144495 | PersonsServedCnt |
| Total Community Benefit Expns | $27,430,058 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,241,912 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,188,146 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 34 | ActivitiesOrProgramsCnt |
| Persons Served | 144495 | PersonsServedCnt |
| Total Community Benefit Expns | $230,502,972 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $134,763,626 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,739,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08710 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 298 | PersonsServedCnt |
| Total Community Benefit Expns | $11,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 298 | PersonsServedCnt |
| Total Community Benefit Expns | $11,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,750 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $37,579,787 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $197,008,571 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $184,397,129 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $12,611,442 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (14 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 ST ANN'S MEDICAL OFFICE BUILDING II LIMITED PARTNERSHIP | ||
| MEDICAL OFFICE BLDG. | 0.46970 | 0.53030 |
| 2 MCE MOB IV LIMITED PARTNERSHIP | ||
| MEDICAL OFFICE BLDG. | 0.49860 | 0.50140 |
| 3 MCMC POB III LIMITED PARTNERSHIP | ||
| MEDICAL OFFICE BLDG. | 0.30140 | 0.69860 |
| 4 MCE POB III | ||
| MEDICAL OFFICE BLDG. | 0.29320 | 0.70680 |
| 5 WESTAR MOB LTP | ||
| MEDICAL OFFICE BLDG. | 0.91810 | 0.08190 |
| 6 MEDILUCENT MOB I | ||
| MEDICAL OFFICE BLDG. | 0.25230 | 0.74770 |
| 7 EYE CENTER OF COLUMBUS | ||
| AMBULATORY SURGERY CENTER | 0.02830 | 0.94340 |
| 8 TAYLOR STATION SURGICAL CENTER LTD | ||
| AMBULATORY SURGERY CENTER | 0.40000 | 0.60000 |
| 9 CANAL WINCHESTER MOB LLC | ||
| MEDICAL OFFICE BLDG. | 0.22000 | 0.78000 |
| 10 GREEN STREET SURGERY CENTER LLC | ||
| AMBULATORY SURGERY CENTER | 0.20000 | 0.60000 |
| 11 ST ANNS MOB III LLC | ||
| MEDICAL OFFICE BLDG. | 0.38140 | 0.61860 |
| 12 NEW ALBANY SURGERY CENTER LLC | ||
| AMBULATORY SURGERY CENTER | 0.40000 | 0.60000 |
| 13 BIG RUN MOB | ||
| MEDICAL OFFICE BLDG. | 0.76920 | 0.23080 |
| 14 COLUMBUS CYBERKNIFE | ||
| ROBOTIC CANCER TREATMENT | 0.35000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MOUNT CARMEL EAST | |||||||||||
| 1 | 6001 EAST BROAD STREET | COLUMBUS | OH | 43213 | WWW.MOUNTCARMELHEALTH.COM | REGISTRATION #1027 | Yes (X) | Yes (X) | Yes (X) | ||
| MOUNT CARMEL WEST | |||||||||||
| 2 | 793 WEST STATE STREET | COLUMBUS | OH | 43222 | WWW.MOUNTCARMELHEALTH.COM | REGISTRATION #1175 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
| MOUNT CARMEL ST ANN'S | |||||||||||
| 3 | 500 SOUTH CLEVELAND AVENUE | WESTERVILLE | OH | 43081 | WWW.MOUNTCARMELHEALTH.COM | REGISTRATION #1606 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP | |||||||||||
| 4 | 7333 SMITHS MILL ROAD | NEW ALBANY | OH | 43054 | WWW.MOUNTCARMELHEALTH.COM | REGISTRATION #1451 | Yes (X) | Yes (X) | Yes (X) | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MOUNT CARMEL EAST | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE SCHEDULE H, PART V, SECTION C | Yes (X) | Yes (X) | Yes (1) | 12 | Yes (1) | SEE SCHEDULE H, PART V, SECTION C | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| MOUNT CARMEL WEST | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE SCHEDULE H, PART V, SECTION C | Yes (X) | Yes (X) | Yes (1) | 12 | Yes (1) | SEE SCHEDULE H, PART V, SECTION C | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| MOUNT CARMEL ST ANN'S | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE SCHEDULE H, PART V, SECTION C | Yes (X) | Yes (X) | Yes (1) | 12 | Yes (1) | SEE SCHEDULE H, PART V, SECTION C | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE SCHEDULE H, PART V, SECTION C | Yes (X) | Yes (X) | Yes (1) | 12 | Yes (1) | SEE SCHEDULE H, PART V, SECTION C | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (41 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MOUNT CARMEL EAST | PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS. |
| MOUNT CARMEL WEST | PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS. |
| MOUNT CARMEL ST. ANN'S | PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS. |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP. | PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS. |
| MOUNT CARMEL EAST | PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INCLUDE NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY; MOUNT CARMEL WEST, MOUNT CARMEL ST. ANN'S; NEW ALBANY SURGICAL HOSPITAL AND DILEY RIDGE MEDICAL CENTER. |
| MOUNT CARMEL WEST | PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INCLUDE NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY; DILEY RIDGE MEDICAL CENTER, MOUNT CARMEL EAST; MOUNT CARMEL ST. ANN'S; AND MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL. |
| MOUNT CARMEL ST. ANN'S | PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INCLUDE NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY; DILEY RIDGE MEDICAL CENTER, MOUNT CARMEL WEST, MOUNT CARMEL EAST; AND MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL. |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP. | PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES INCLUDE NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY; DILEY RIDGE MEDICAL CENTER, MOUNT CARMEL WEST, MOUNT CARMEL ST. ANN'S; AND MOUNT CARMEL EAST. |
| MOUNT CARMEL EAST | PART V, SECTION B, LINE 6B: COLLABORATIVE ORGANIZATIONS INCLUDE CENTRAL OHIO TRAUMA CENTER, COLUMBUS NEIGHBORHOOD HEALTH CENTERS, HEART OF OHIO HEALTH CENTERS, LOWER LIGHTS CHRISTIAN HEALTH CENTERS, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UNITED WAY OF CENTRAL OHIO, CENTRAL OHIO HOSPITAL COUNCIL, THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, AND THE CENTER FOR PUBLIC HEALTH PRACTICE. |
| MOUNT CARMEL WEST | PART V, SECTION B, LINE 6B: COLLABORATIVE ORGANIZATIONS INCLUDE THE CENTRAL OHIO TRAUMA CENTER, COLUMBUS NEIGHBORHOOD HEALTH CENTERS, HEART OF OHIO HEALTH CENTERS, LOWER LIGHTS CHRISTIAN HEALTH CENTERS, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UNITED WAY OF CENTRAL OHIO, CENTRAL OHIO HOSPITAL COUNCIL, THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, AND THE CENTER FOR PUBLIC HEALTH PRACTICE. |
| MOUNT CARMEL ST. ANN'S | PART V, SECTION B, LINE 6B: COLLABORATIVE ORGANIZATIONS INCLUDE CENTRAL OHIO TRAUMA CENTER, COLUMBUS NEIGHBORHOOD HEALTH CENTERS, HEART OF OHIO HEALTH CENTERS, LOWER LIGHTS CHRISTIAN HEALTH CENTERS, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UNITED WAY OF CENTRAL OHIO, CENTRAL OHIO HOSPITAL COUNCIL, THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, THE CENTER FOR PUBLIC HEALTH PRACTICE. |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP. | PART V, SECTION B, LINE 6B: COLLABORATIVE ORGANIZATIONS INCLUDE CENTRAL OHIO TRAUMA CENTER, COLUMBUS NEIGHBORHOOD HEALTH CENTERS, HEART OF OHIO HEALTH CENTERS, LOWER LIGHTS CHRISTIAN HEALTH CENTERS, COLUMBUS PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UNITED WAY OF CENTRAL OHIO, CENTRAL OHIO HOSPITAL COUNCIL, THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, THE CENTER FOR PUBLIC HEALTH PRACTICE. |
| MOUNT CARMEL EAST | PART V, SECTION B, LINE 7D: THE ASSESSMENT WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JANUARY 13, 2013 AT THE COLUMBUS ATHLETIC CLUB. LOCAL AREA NEWS REPORTERS COVERED THE EVENT. COPIES WERE ALSO SHARED WITH LEADERS OF COMMUNITY ORGANIZATIONS AND OUR COMMUNITY ADVISORY BOARD.LINE 7A: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFITLINE 10A: HTTPS://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT |
| MOUNT CARMEL WEST | PART V, SECTION B, LINE 7D: THE ASSESSMENT WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JANUARY 13, 2013 AT THE COLUMBUS ATHLETIC CLUB. LOCAL AREA NEWS REPORTERS COVERED THE EVENT. COPIES WERE ALSO SHARED WITH LEADERS OF COMMUNITY ORGANIZATIONS AND OUR COMMUNITY ADVISORY BOARD.LINE 7A: WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFITLINE 10A: WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT |
| MOUNT CARMEL ST. ANN'S | PART V, SECTION B, LINE 7D: THE ASSESSMENT WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JANUARY 13, 2013 AT THE COLUMBUS ATHLETIC CLUB. LOCAL AREA NEWS REPORTERS COVERED THE EVENT. COPIES WERE ALSO SHARED WITH LEADERS OF COMMUNITY ORGANIZATIONS AND OUR COMMUNITY ADVISORY BOARD.LINE 7A: WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFITLINE 10A: WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP. | PART V, SECTION B, LINE 7D: THE ASSESSMENT WAS PRESENTED TO THE PUBLIC IN AN OPEN FORUM HELD ON JANUARY 13, 2013 AT THE COLUMBUS ATHLETIC CLUB. LOCAL AREA NEWS REPORTERS COVERED THE EVENT. COPIES WERE ALSO SHARED WITH LEADERS OF COMMUNITY ORGANIZATIONS AND OUR COMMUNITY ADVISORY BOARD.LINE 7A: WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFITLINE 10A: WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT |
| MOUNT CARMEL EAST | PART V, SECTION B, LINE 11: ACCESS TO CARE:ACCESS TO CARE WAS ADDRESSED BY MOUNT CARMEL EAST WITH INTEGRATED METHODS WHICH ALSO ADDRESS CANCER, CHRONIC AND INFECTIOUS DISEASES. THE FIRST WAS THE TRADITIONAL METHOD OF FINANCIAL ASSISTANCE FOR PATIENTS, LAST YEAR MOUNT CARMEL EAST PROVIDED FINANCIAL ASSISTANCE FOR 9,187 PATIENT VISITS. MOUNT CARMEL EAST SUPPORTED THREE COMMUNITY BASED HEALTH STATION CLINICS TO PROVIDE INCOME BASED CARE FOR OVER 3,000 PATIENT VISITS. MOUNT CARMEL EAST ALSO PROVIDED FINANCIAL SUPPORT FOR TWO LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (HEART OF OHIO FQHC) WHICH PROVIDED ACCESS TO PRIMARY CARE ON A SLIDING FEE SCALE. INFECTIOUS DISEASE:THE HEALTH STATION CLINIC PATIENTS RECEIVED PRIMARY CARE, FLU VACCINES, LABORATORY SERVICES, AND MEDICATION ASSISTANCE AS NEEDED. FLU VACCINES WERE ALSO GIVEN AT THE CHURCHES WHICH HOST THE HEALTH STATION CLINICS. CHRONIC DISEASE:THE HEALTH STATION CLINICS ALSO FOCUSES ON CHRONIC DISEASE AND HEALTH DISPARITIES BY PROVIDING SPECIALIZED DIABETIC CARE AND MANAGEMENT. HIGH INCIDENCE OF CANCER:MOUNT CARMEL EAST ALSO SUPPORTS THE CANCER SURVIVORSHIP SERVICES PROGRAMS. THESE PROGRAMS INCLUDE ACTIVITIES SUCH AS EXERCISE CLASSES, SUPPORT GROUPS, EDUCATION PROGRAMS, GENETIC COUNSELING AND SCREENING, A GAS CARD PROGRAM, AND NURSE NAVIGATORS. HIGH-RISK PREGNANCY:MOUNT CARMEL EAST PROVIDED FINANCIAL SUPPORT TO THE HEART OF OHIO FQHC TO PROVIDE CARE FOR AT RISK PREGNANT WOMEN. MOUNT CARMEL EAST IS ALSO PART OF THE OHIO BETTER BIRTH OUTCOMES, GREATER COLUMBUS INFANT MORTALITY TASKFORCE AND MANY WORKING SUB-COMMITTEES OF THESE GROUPS. UNINTENTIONAL INJURIES: MOUNT CARMEL EAST PROVIDED EXERCISE CLASSES FOR STRENGTH AND BALANCE FOR SENIORS IN A SAFE COMMUNITY ENVIRONMENT. IT ALSO CONDUCTED PUBLIC AWARENESS CLASSES AND EDUCATION OF SEAT BELT SAFETY. THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MOUNT CARMEL EAST BECAUSE THEY ARE BEING ADDRESSED BY OTHER MOUNT CARMEL HEALTH SYSTEM FACILITIES OR COLLABORATIVE PARTNERS: BEHAVIORAL HEALTH IS BEING ADDRESSED BY DILEY RIDGE MEDICAL CENTER, MOUNT CARMEL WEST AND ST. ANN'S HOSPITAL, AS WELL AS COMMUNITY RESOURCES LISTED ON PAGE 8 OF THE CHNA. INTERPERSONAL VIOLENCE IS BEING ADDRESSED DILEY RIDGE AND COMMUNITY RESOURCES LISTED ON PAGE 9 OF THE CHNA. |
| MOUNT CARMEL WEST | PART V, SECTION B, LINE 11: ACCESS TO CARE:THE RESULTS OF THE COMMUNITY NEEDS ASSESSMENT WERE USED IN PLANNING THE WORK OF MOUNT CARMEL WEST'S (MCW) COMMUNITY OUTREACH PROGRAM. THE COMMUNITY OUTREACH PROGRAM TARGETS SPECIFIC AREAS WHERE THE POPULATION HAS BARRIERS TO ACCESSING HEALTHCARE. SOME OF THE BARRIERS INCLUDE A LACK OF INSURANCE, TRANSPORTATION, AND LANGUAGE DIFFERENCES. MEDICAL SERVICES ARE PROVIDED ON THE MOBILE COACH BY A PHYSICIAN, NURSE PRACTITIONER, REGISTERED NURSES, BILINGUAL CASE WORKERS, PASTORAL CARE STAFF, MENTAL HEALTH PROFESSIONALS AND SUPPORT STAFF. THE MISSION OF THE MOBILE COACH STAFF IS TWO-FOLD: FIRST, TO MEET THE IMMEDIATE MEDICAL NEED OF THE PATIENT, AND SECOND, TO ASSIST THEM IN ACCESSING PRIMARY CARE IN ORDER TO MEET THEIR LONG-TERM HEALTHCARE NEEDS. THE COACH PROVIDES SERVICES FREE OF CHARGE. THE OUTREACH MOBILE COACH SERVES MANY HOMELESS IN COLUMBUS AND FRANKLIN COUNTY; MANY HAVE PHYSICAL AND MENTAL HEALTH NEEDS. 27% OF THE HOMELESS IN COLUMBUS ARE CONSIDERED TRI-MORBID: SUBSTANCE ABUSE, MENTAL HEALTH ISSUES AND A CHRONIC MEDICAL CONDITION. THIS COMPARES WITH ONLY 22% SURVEYED IN OTHER CITIES. MCW PROVIDES FUNDING FOR MEDICATIONS TO BE GIVEN ON-SITE, AND LABORATORY TESTING IS COMPLETED AS NEEDED ON MOBILE COACH. MCHS PROVIDED EQUIPMENT, SUCH AS LAPTOP, PRINTER AND MEDICAL BAG. THE MEDICAL BAG IS USED IN THE OUTREACH STREET MEDICINE PROGRAM. STREET MEDICINE IS A SERVICE MCW PROVIDES TO THE HOMELESS CITIZENS OF COLUMBUS. IN COLUMBUS, AN AVERAGE OF 630 PERSONS USE TEMPORARY SHELTERS EACH NIGHT AND ARE HOMELESS DURING THE DAY. THE OUTREACH DEPARTMENT FORMED A TEAM TO SEARCH OUT THESE CLIENTS AND MEET THEIR NEEDS BEFORE THEY BECOME URGENT OR LIFE THREATENING. THE TEAM LITERALLY SEARCHES THE INNER CITY AREAS FOR THE HOMELESS IN NEED OF CARE. ONCE THE TEAM HAS ESTABLISHED A TRUSTING RELATIONSHIP WITH THE CLIENT OR PATIENT, MEDICAL CARE IS WELCOMED AND ACCEPTED. THEY ALSO PROVIDE CONNECTIONS TO COMMUNITY RESOURCES FOR HOUSING, FOOD, DRUG AND ALCOHOL REHABILITATION AND MENTAL HEALTH SERVICES, AND HAVE SUPPLIED COLUMBUS-AREA HOMELESS WITH SOCKS, FLASH LIGHTS AND FOOD.MCW ALSO PROVIDES SPECIAL EVENTS AND HEALTH SCREENINGS IN THE COMMUNITY. THESE EVENTS ARE IN CONJUNCTION WITH OTHER ENTITIES SUCH AS CHURCHES AND COMMUNITY AGENCIES WHO ARE REACHING OUT TO A SPECIFIC POPULATION. MCW HELPED 942 PERSONS COMPLETE INITIAL SCREENINGS, GET REFERRALS TO RESOURCES AND OBTAIN INFORMATION ON THEIR HEALTH CONDITIONS. HIGH RISK PREGNANCYTHE COLLABORATION OF WELCOME HOME AND MOMS 2 B PROJECTS WERE SUPPORTED TO ASSIST INDIVIDUALS FACING HEALTH CHALLENGES AS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS PROGRAM TARGETS PREGNANT WOMEN, MOST OF WHOM LIVE BELOW THE FEDERAL POVERTY LEVEL. MOMS 2 B ADDRESSES SOCIAL DETERMINANTS LEADING TO HEALTH DISPARITIES IN MATERNAL AND INFANT OUTCOMES, ESPECIALLY HIGH INFANT MORTALITY. MANY MOMS 2 B PARTICIPANTS HAVE BEEN AFRICAN AMERICAN WITH THE AVERAGE AGE OF 24. THE WELCOME HOME PORTION OF THIS PROGRAM PROVIDES HOME VISITS, EDUCATION ON SAFE SLEEP, BREAST FEEDING AND NEEDED BABY SUPPLIES FOR NEW AND EXPECTANT MOMS. THE MOMS 2 B TEAM SPENDS THREE HOURS A WEEK AT EACH SITE TEACHING, TRAINING AND NURTURING WOMEN THROUGH THEIR PREGNANCY. AFTER DELIVERY, MOMS RETURN WITH THEIR NEWBORNS TO LEARN ABOUT POSITIVE PARENTING AND BONDING. THIS PROGRAM WAS EXPANDED AND THE WELCOME HOME PROGRAM PROVIDED 1405 HOME VISITS TO BABIES AND THEIR FAMILIES. THE WELCOME HOME VISITS PROVIDE A NEWBORN ASSESSMENT INCLUDING WEIGHT GAIN, JAUNDICE, NUTRITION, AND RESPIRATORY AND CARDIOVASCULAR STATUS; A MATERNAL HEALTH ASSESSMENT TO INCLUDE BREAST-FEEDING AND PSYCHOLOGICAL SUPPORT AND POST-PARTUM DEPRESSION SCREENING; AND EDUCATION ON INFANT AND CHILD MORTALITY RISKS, INCLUDING INFANT SAFE SLEEPING, ALCOHOL/DRUG CONSUMPTION, MEDICATION DOSAGE, SMOKING CESSATION, GUN CONTROL, PROPER NUTRITION, SMOKE DETECTOR USE, AND REFERRAL TO COMMUNITY RESOURCES. IN ADDITION TO THE HOME VISITS, THIS PROGRAM PROVIDED 311 FOLLOW UP PHONE CALLS TO MOMS AFTER THEIR VISITS AND ANOTHER 467 PHONE CALLS TO MOMS WHO HAD QUESTIONS BUT DID NOT REQUEST A HOME VISIT. REFERRALS WERE MADE FOR OVER 81% OF THE FAMILIES SEEN. THE MAJORITY OF MEDICAL REFERRALS ARE MADE TO THEIR PRIMARY PHYSICIAN OR PEDIATRICIAN, FOR REASONS SUCH AS LACTATION SUPPORT OR MATERNAL DEPRESSION SUPPORT.MOMS 2 B PROGRAM IS A COLLABORATIVE WITH THE MOUNT CARMEL WELCOME HOME PROGRAM AND THE OHIO STATE UNIVERSITY. THE MOMS2B MISSION IS TO EMPOWER PREGNANT WOMEN IN HIGH RISK NEIGHBORHOODS TO DELIVER FULL TERM HEALTHY BABIES BY PROVIDING WEEKLY GROUP SESSIONS FOCUSED ON EDUCATION, NUTRITION, AND CLINICAL AND SOCIAL SUPPORT THAT CONTINUES THROUGH THE BABY'S FIRST YEAR OF LIFE. MOMS 2 B AND OTHER COMMUNITY PROGRAMING IS HOUSED IN THE COMMUNITY HEALTH RESOURCE CENTER (CHRC) AT MOUNT CARMEL WEST. THE CHRC FEATURES A CONSUMER HEALTH LIBRARY, DEMONSTRATION KITCHEN, HEALTHY LIVING CENTER, CHILDBIRTH EDUCATION AND OUTPATIENT LACTATION SUPPORT, AND NUMEROUS HEALTH AND WELLNESS SERVICES. THERE ARE COMMUNITY MEETING ROOMS AND CLASSROOMS FOR PUBLIC USE. MCHS ALSO PRESENTED EDUCATIONAL SESSIONS FOR THE COMMUNITY ON TOPICS SUCH AS SPIRITUALITY, ETHICS, HUMAN TRAFFICKING, CAREERS IN HEALTH CARE, HEALTHY EATING AND VARIOUS WELLNESS TOPICS. OVER 6,000 COMMUNITY ENCOUNTERS HAVE BEEN HOSTED IN THIS FACILITY.CHRONIC DISEASEMCW PROVIDED HEALTH, EDUCATION AND SUPPORTIVE SERVICES TO HELP PREVENT AND MANAGE CHRONIC CONDITIONS THROUGH THE COMMUNITY HEALTH RESOURCE CENTER WHICH SERVED OVER 8,000 PERSONS. THE CONSUMER HEALTH LIBRARY ALSO PROVIDED PERSONALIZED HEALTH INFORMATION TO OVER 7,000 PERSONS. THE OUTREACH MOBILE COACH PROGRAM PROVIDED CARE TO THOSE WHO ARE HOMELESS, UNINSURED AND LOW INCOME WHO HAVE NO ALTERNATIVE FOR HEALTH CARE. THE COACH PROVIDED SERVICES TO OVER 6,000 PERSONS. MCW ALSO PROVIDED MEDICATION ASSISTANCE TO 4,700 PERSONS, SPENDING OVER $528,000. BEHAVIORAL HEALTH MCW OUTREACH PROGRAM FORMED A COLLABORATIVE ARRANGEMENT WITH SOUTHEAST, INC., TO PROVIDE BEHAVIORAL HEALTH SERVICES WITHIN THE COMMUNITY. AS PART OF THIS PARTNERSHIP THE OUTREACH MOBILE COACH HOUSES A PSYCHIATRIC NURSE PRACTITIONER AND CASEWORKER WHO PROVIDE SERVICES ON-SITE FOR OUTREACH PATIENTS.THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MOUNT CARMEL WEST BECAUSE THEY ARE BEING ADDRESSED BY OTHER MOUNT CARMEL HEALTH SYSTEM FACILITIES AND COMMUNITY RESOURCES: INTERPERSONAL VIOLENCE, UNINTENTIONAL INJURIES, HIGH INCIDENCE OF CANCER AND INFECTIOUS DISEASE ARE BEING ADDRESSED BY OTHER MOUNT CARMEL FACILITIES AND COMMUNITY RESOURCES LISTED ON PAGES 7-10 OF THE CHNA. |
| MOUNT CARMEL ST. ANN'S | PART V, SECTION B, LINE 11: ST. ANN'S FOCUSED ON A NUMBER OF COMMUNITY HEALTH NEEDS LAST YEAR WHICH INCLUDED ACCESS TO CARE, CHRONIC DISEASE, INFECTIOUS DISEASE, BEHAVIORAL HEALTH, HIGH INCIDENCE OF CANCER, HIGH RISK PREGNANCY, AND UNINTENTIONAL INJURIES. ACCESS TO CARE:ST. ANN'S PROVIDED FINANCIAL SUPPORT FOR A LOCAL FQHC (LOWER LIGHTS), WHICH PROVIDES PRIMARY CARE, VACCINES, LABORATORY SERVICES, MEDICATION ASSISTANCE AND HEALTH EDUCATION TO UNDERSERVED PATIENTS ON A SLIDING FEE SCALE. THIS ENSURES ACCESS TO CARE AND ASSISTANCE WITH DISEASE PREVENTION FOR THESE PATIENTS. ST. ANN'S ALSO PROVIDED ACCESS TO CARE BY PROVIDING FINANCIAL ASSISTANCE FOR 9,641 PATIENT VISITS LAST YEAR. THE MEDICAL STUDENTS ALSO PROVIDE HEALTH SCREENINGS AND HEALTH EDUCATION AT SEVERAL COMMUNITY EVENTS AND PROVIDED SPORTS PHYSICAL AT TWO AREA SCHOOLS. THE MEDICAL STUDENTS ALSO PROVIDED PRIMARY CARE AT GRACE FREE CLINIC.BEHAVIORAL HEALTH:BEHAVIORAL HEALTH EVENTS WERE HELD WHICH PROVIDED COMMUNITY MEMBERS WITH INFORMATION AND GAVE THEM OPPORTUNITIES TO ASK QUESTIONS. ST. ANN'S ALSO PROVIDED FREE CLASSES ON DEALING WITH DEPRESSION, ALZHEIMER'S AND ALSO STRENGTHENING CLASSES FOR ANYONE WITH OSTEOPOROSIS AND ARTHRITIS TO HELP PREVENT FALLS OR OTHER UNINTENTIONAL INJURIES. CLASSES WERE ALSO PROVIDED ON NON-TRADITIONAL CARE SUCH AS MEDITATION, AROMA THERAPY AND YOGA. 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. PROJECTS WERE SUPPORTED TO ASSIST INDIVIDUALS FACING HEALTH CHALLENGES AS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. ONE OF THE PROJECTS IS COLLABORATION BETWEEN THE MOUNT CARMEL HEALTH SYSTEM WELCOME HOME PROGRAM AND THE MOMS 2 BE PROGRAM. THIS PROGRAM TARGETS PREGNANT WOMEN, AND MOST OF THE MOTHERS LIVE BELOW THE FEDERAL POVERTY LEVEL. MOMS 2 B ADDRESSES SOCIAL DETERMINANTS LEADING TO HEALTH DISPARITIES IN MATERNAL AND INFANT OUTCOMES, ESPECIALLY HIGH INFANT MORTALITY. MANY MOMS 2 B PARTICIPANTS HAVE BEEN AFRICAN AMERICAN WITH THE AVERAGE AGE OF 24. THE WELCOME HOME PORTION OF THIS PROGRAM PROVIDES HOME VISITS, EDUCATION ON SAFE SLEEP, BREAST FEEDING AND NEEDED BABY SUPPLIES FOR NEW AND EXPECTANT MOMS. THE MOMS 2 B TEAM SPENDS THREE HOURS A WEEK AT EACH SITE TEACHING, TRAINING AND NURTURING WOMEN THROUGH THEIR PREGNANCY. AFTER DELIVERY, MOMS RETURN WITH THEIR NEWBORNS TO LEARN ABOUT POSITIVE PARENTING AND BONDING. THIS PROGRAM WAS EXPANDED AND THE WELCOME HOME PROGRAM PROVIDED 1405 HOME VISITS TO BABIES AND THEIR FAMILIES. IN ADDITION TO THE HOME VISITS THIS PROGRAM PROVIDED 311 FOLLOW UP PHONE CALLS TO MOMS AFTER THEIR VISITS AND ANOTHER 467 PHONE CALLS TO MOMS WHO HAD QUESTIONS BUT DID NOT REQUEST A HOME VISIT. REFERRALS WERE MADE FOR OVER 81% OF THE FAMILIES SEEN. THE MAJORITY OF MEDICAL REFERRALS ARE MADE TO THEIR PRIMARY PHYSICIAN OR PEDIATRICIAN, FOR REASONS SUCH AS LACTATION SUPPORT OR MATERNAL DEPRESSION SUPPORT.INTERPERSONAL VIOLENCE IS NOT BEING ADDRESSED BY MOUNT CARMEL ST. ANN'S BECAUSE IT IS BEING ADDRESSED BY DILEY RIDGE MEDICAL CENTER, ANOTHER MOUNT CARMEL HEALTH SYSTEM FACILITY, AND COMMUNITY RESOURCES LISTED ON PAGE 9 OF THE CHNA. |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP. | PART V, SECTION B, LINE 11: ACCESS TO CARE WAS AN IDENTIFIED NEED ADDRESSED BY MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL (MCNA). THROUGH MCNA'S OPERATION WALK, PATIENTS WERE PROVIDED WITH FREE CARE WHICH INCLUDED PRE AND POST OP CARE, SURGERY, HOSPITALIZATION, PHYSICAL THERAPY, MEDICATIONS AND ANY SUPPLIES NEEDED FOR THEIR CARE. THIS PROGRAM SERVES THE WORKING POOR BY ASSISTING THOSE WHO ARE UNINSURED TO OBTAIN SURGERY WHICH ENABLES THEM TO RETURN TO WORK AND ACTIVITIES OF DAILY LIVING. LAST YEAR MCNA PROVIDED SURGERY AND REHABILITATION CARE FOR 9 PATIENTS. MCNA ALSO PROVIDED CHARITY CARE AND HCAP TO 243 PATIENTS TO ENSURE THEIR ACCESS TO HEALTHCARE. CHRONIC DISEASE WAS ADDRESSED BY MCNA IN SUPPORT OF THE CHURCH PARTNERSHIPS COMMUNITY PROGRAM WHICH PROVIDES HEALTH PROMOTION AND HEALTH EDUCATION TO FAITH-BASED ORGANIZATIONS. INFECTIOUS DISEASE:CHURCH PARTNERSHIPS PROVIDE HEALTH FAIRS, HEALTH SCREENINGS, VACCINATIONS TO ADDRESS INFECTIOUS DISEASE, AND RESOURCE REFERRALS TO THE CONGREGATIONS AND SURROUNDING COMMUNITY. THEY ALSO PROVIDE TRAINING AND SUPPORT TO THE HEALTH TEAMS WHICH INCLUDE FAITH COMMUNITY NURSES AND OTHERS WITHIN THE CONGREGATIONS. CHURCH PARTNERSHIPS PROVIDE AVENUES TO SHARE HEALTH LITERACY ON HEALTHY LIFESTYLES AND DISEASE PREVENTION. IN ORDER TO EFFECTIVELY USE RESOURCES THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MOUNT CARMEL NEW ALBANY BECAUSE THEY ARE BEING ADDRESSED BY OTHER MOUNT CARMEL HEALTH SYSTEM FACILITIES OR COLLABORATIVE PARTNERS: BEHAVIORAL HEALTH IS BEING ADDRESSED BY MOUNT CARMEL WEST, ST. ANN'S HOSPITALS AND DILEY RIDGE MEDICAL CENTER. BEHAVIORAL HEALTH IS ALSO ADDRESSED BY COMMUNITY RESOURCES LISTED IN THE CHNA ON PAGE 8. HIGH INCIDENCE OF CANCER IS BEING ADDRESSED BY MOUNT CARMEL EAST, WEST, AND ST. ANN'S HOSPITALS, DILEY RIDGE MEDICAL CENTER AND COMMUNITY RESOURCES LISTED ON PAGE 8 OF THE CHNA. HIGH RISK PREGNANCY IS BEING ADDRESSED BY MOUNT CARMEL EAST, WEST, AND ST. ANN'S HOSPITALS, AND ALSO BY COMMUNITY RESOURCES LISTED ON PAGE 9 OF THE CHNA. UNINTENTIONAL INJURIES ARE BEING ADDRESSED BY MOUNT CARMEL EAST AND ST. ANN'S HOSPITALS, AND BY COMMUNITY RESOURCES LISTED ON PAGE 10 OF THE CHNA. INTERPERSONAL VIOLENCE IS BEING ADDRESSED BY DILEY RIDGE MEDICAL CENTER. |
| 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 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 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 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE. |
| MOUNT CARMEL WEST | PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE. |
| MOUNT CARMEL ST. ANN'S | PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE. |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP. | PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| MOUNT CARMEL EAST PART V, SECTION B, LINE 16A WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL EAST PART V, SECTION B, LINE 16B WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL EAST PART V, SECTION B, LINE 16C WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL WEST PART V, SECTION B, LINE 16A WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL WEST PART V, SECTION B, LINE 16B WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL WEST PART V, SECTION B, LINE 16C WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL ST. ANN'S PART V, SECTION B, LINE 16A WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL ST. ANN'S PART V, SECTION B, LINE 16B WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL ST. ANN'S PART V, SECTION B, LINE 16C WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP. PART V, SECTION B, LINE 16A WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP. PART V, SECTION B, LINE 16B WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSP. PART V, SECTION B, LINE 16C WEBSITE: | WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 79 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (79 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| MOUNT CARMEL HEALTH CENTER AT WEDGEWOOD | |||||
| 10330 SAWMILL PKWY STE 500 | POWELL | OH | 43065 | WOMENS HEALTH | |
| MOUNT CARMEL MRI | |||||
| 1120 POLARIS PKWY STE 110 | COLUMBUS | OH | 43240 | IMAGING CENTER | |
| MOUNT CARMEL HEALTH SYSTEM HOSPICE | |||||
| 1144 DUBLIN RD | COLUMBUS | OH | 43215 | MOUNT CARMEL HOSPICE | |
| MOUNT CARMEL OUTPATIENT LAB | |||||
| 150 TAYLOR STATION RD STE 130 | COLUMBUS | OH | 43213 | OUTPATIENT LAB | |
| MOUNT CARMEL CARDIAC REHAB | |||||
| 150 TAYLOR STATION RD STE 350 | COLUMBUS | OH | 43213 | CARDIAC REHAB | |
| OSUMOUNT CARMEL ALLIANCE-MADISON COUNTY | |||||
| 210 N MAIN ST | LONDON | OH | 43140 | 20% INTEREST IN COMMUNITY HOSPITAL | |
| MOUNT CARMEL MARBLE CLIFF LAB SERVICE CE | |||||
| 2100 MARBLE CLIFF OFFICE PARK STE A | COLUMBUS | OH | 43215 | OUTPATIENT LAB | |
| MOUNT CARMEL ST ANN'S LAB SERVICE CENTE | |||||
| 237 W SCHROCK RD STE A | WESTERVILLE | OH | 43081 | OUTPATIENT LAB | |
| EYE CENTER OF COLUMBUS | |||||
| 262 NEIL AVE STE 500 | COLUMBUS | OH | 43215 | COMMUNITY OPTHALMIC RESOURCES | |
| TAYLOR STATION SURGERY CENTER | |||||
| 275 TAYLOR STATION RD | COLUMBUS | OH | 43213 | AMBULATORY SURGERY CENTER | |
| MOUNT CARMEL SLEEP MEDICINE | |||||
| 2760 AIRPORT DR STE 120 | COLUMBUS | OH | 43219 | SLEEP MEDICINE | |
| MOUNT CARMEL URGENT CARE | |||||
| 3000 MEADOW POND CT STE 200 | GROVE CITY | OH | 43123 | URGENT CARE | |
| MOUNT CARMEL GROVE CITY OUTPATIENT LAB | |||||
| 3000 MEADOW POND CT STE 300 | GROVE CITY | OH | 43123 | OUTPATIENT LAB | |
| MOUNT CARMEL HEALTH REHABILITATION SERVI | |||||
| 3000 MEADOW POND CT STE 600 | GROVE CITY | OH | 43123 | REHAB & SPORTS MEDICINE | |
| MOUNT CARMEL RADIATION THERAPY | |||||
| 3100 PLAZA PROPERTIES BLVD STE 120 | COLUMBUS | OH | 43219 | CANCER TREATMENT | |
| MOUNT CARMEL MRI | |||||
| 3755 RIDGE MILL DR | HILLIARD | OH | 43026 | IMAGING CENTER | |
| MOUNT CARMEL REHAB & SPORTS MEDICINE | |||||
| 3775 TRUEMAN CT STE 300 | HILLIARD | OH | 43026 | REHAB & SPORTS MEDICINE | |
| MOUNT CARMEL MILL RUN IMAGING CENTER | |||||
| 3779 TRUEMAN CT STE 200 | HILLIARD | OH | 43026 | IMAGING CENTER, WOMENS HEALTH CENTER, OUTPATIENT LAB | |
| MOUNT CARMEL OCCUPATIONAL HEALTH | |||||
| 4171 ARLINGATE PLAZA STE 18 | COLUMBUS | OH | 43228 | OCCUPATIONAL HEALTH | |
| BIG RUN HEALTH CENTER | |||||
| 4300 CLIME RD STE 105 | COLUMBUS | OH | 43228 | OUTPATIENT LAB | |
| MOUNT CARMEL HEALTH SYSTEM IMAGING CENTE | |||||
| 4300 CLIME RD STE 120 | COLUMBUS | OH | 43228 | IMAGING CENTER | |
| MOUNT CARMEL HEALTH SYSTEM CENTRAL OHIO | |||||
| 4300 CLIME RD STE 130 | COLUMBUS | OH | 43228 | SLEEP MEDICINE | |
| BIG RUN HEALTH CENTER | |||||
| 4310 CLIME RD STE D | COLUMBUS | OH | 43228 | OUTPATIENT LAB | |
| WESTAR HEALTH CENTER | |||||
| 444 N CLEVELAND AVE STE 110 | WESTERVILLE | OH | 43082 | IMAGING CENTER, OUTPATIENT LAB | |
| WESTAR HEALTH CENTER | |||||
| 444 N CLEVELAND AVE STE 220 | WESTERVILLE | OH | 43082 | ANTICOAGULATION, HEART FAILURE CENTER | |
| MOUNT CARMEL REHAB & SPORTS MEDICINE | |||||
| 444 N CLEVELAND AVE STE 310 | WESTERVILLE | OH | 43082 | REHAB & SPORTS MEDICINE | |
| WESTAR HEALTH CENTER | |||||
| 444 N CLEVELAND AVE STE 320 | WESTERVILLE | OH | 43082 | CARDIAC REHAB | |
| MOUNT CARMEL WEST CENTRAL MEDICAL CENTER | |||||
| 454 WEST CENTRAL AVE STE B | DELAWARE | OH | 43015 | IMAGING CENTER, OUTPATIENT LAB | |
| MOUNT CARMEL ST ANN'S WOMENS HEALTH CEN | |||||
| 477 COOPER RD STE 100 | WESTERVILLE | OH | 43081 | WOMENS HEALTH | |
| MOUNT CARMEL ST ANN'S OUTPATIENT WOUND | |||||
| 477 COOPER RD STE 150 | WESTERVILLE | OH | 43081 | WOUND CARE CLINIC | |
| MOUNT CARMEL CLINICAL CARDIOVASCULAR SPE | |||||
| 477 COOPER RD STE 200 | WESTERVILLE | OH | 43081 | CARDIOVASCULAR CENTER | |
| MOUNT CARMEL ST ANN'S FAMILY MEDICINE | |||||
| 477 COOPER RD STE 309 | WESTERVILLE | OH | 43081 | FAMILY MEDICINE | |
| MOUNT CARMEL SLEEP MEDICINE | |||||
| 484 COUNTY LINE RD SUITE 140 | WESTERVILLE | OH | 43082 | SLEEP MEDICINE | |
| MOUNT CARMEL ST ANN'S OUTPATIENT LAB | |||||
| 495 COOPER RD STE 100 | WESTERVILLE | OH | 43081 | OUTPATIENT LAB | |
| MOUNT CARMEL ST ANN'S IMAGING CENTER | |||||
| 495 COOPER RD STE 101 | WESTERVILLE | OH | 43081 | IMAGING CENTER | |
| MOUNT CARMEL ST ANN'S | |||||
| 495 COOPER RD STE 106 | WESTERVILLE | OH | 43081 | ENDOSCOPY & PULMONARY | |
| MOUNT CARMEL ST ANN'S CANCER CENTER | |||||
| 495 COOPER RD STE 120 | WESTERVILLE | OH | 43081 | CANCER TREATMENT | |
| COLUMBUS CYBERKNIFE | |||||
| 495 COOPER RD STE 125 | WESTERVILLE | OH | 43081 | CANCER TREATMENT | |
| MOUNT CARMEL ST ANN'S DIABETES SELF-MAN | |||||
| 495 COOPER RD STE 210A | WESTERVILLE | OH | 43081 | DIABETES SELF-MANAGEMENT | |
| MOUNT CARMEL ST ANN'S OUTPATIENT LAB | |||||
| 495 COOPER RD STE 314 | WESTERVILLE | OH | 43081 | OUTPATIENT LAB | |
| MOUNT CARMEL ST ANN'S SURGICAL CARE CEN | |||||
| 495 COOPER RD STE 410 | WESTERVILLE | OH | 43081 | SURGICAL CARE | |
| MOUNT CARMEL ST ANN'S GI CENTER | |||||
| 495 COOPER RD STE 411 | WESTERVILLE | OH | 43081 | GASTROINTESTINAL CARE | |
| NEW ALBANY SURGERY CENTER | |||||
| 5040 FOREST DR STE 100 | NEW ALBANY | OH | 43054 | AMBULATORY SURGERY CENTER | |
| MOUNT CARMEL HEALTH CENTER AT GROVE CITY | |||||
| 5300 N MEADOWS DR | GROVE CITY | OH | 43123 | EMERGENCY CARE | |
| MOUNT CARMEL HEALTH CENTER AT GROVE CITY | |||||
| 5300 N MEADOWS DR | GROVE CITY | OH | 43123 | IMAGING CENTER | |
| MOUNT CARMEL HEALTH CENTER AT GROVE CITY | |||||
| 5300 N MEADOWS DR | GROVE CITY | OH | 43123 | OUTPATIENT LAB | |
| MOUNT CARMEL HEALTH CENTER AT GROVE CITY | |||||
| 5300 N MEADOWS DR | GROVE CITY | OH | 43123 | WOMENS HEALTH | |
| MOUNT CARMEL SEDALIA MEDICAL CENTER | |||||
| 5339 HENDRON RD | GROVEPORT | OH | 43125 | OCCUPATIONAL HEALTH | |
| MOUNT CARMEL SEDALIA LAB SERVICE CENTER | |||||
| 5343 HENDRON RD | GROVEPORT | OH | 43125 | OUTPATIENT LAB | |
| MOUNT CARMEL HEALTH CENTER AT GROVE CITY | |||||
| 5350 N MEADOWS DR STE 220 | GROVE CITY | OH | 43123 | ANTICOAGULATION, HEART FAILURE CENTER, CARDIAC REHAB | |
| MOUNT CARMEL HEALTH CENTER AT GROVE CITY | |||||
| 5350 N MEADOWS DR STE 240 | GROVE CITY | OH | 43123 | REHAB & SPORTS MEDICINE | |
| MOUNT CARMEL COLUMBUS CARDIOLOGY CONSULT | |||||
| 5350 N MEADOWS DR STE 260 | GROVE CITY | OH | 43123 | CARDIOLOGY CENTER | |
| MOUNT CARMEL NEW ALBANY HEALTH AND WELLN | |||||
| 55 N HIGH ST | NEW ALBANY | OH | 43054 | OUTPATIENT LAB | |
| MOUNT CARMEL EAST TESTING | |||||
| 5825 WESTBOURNE AV | COLUMBUS | OH | 43213 | STRESS TESTS AND NON-INVASIVE VASCULAR TESTING | |
| MOUNT CARMEL EAST WOMENS HEALTH | |||||
| 5965 E BROAD ST STE 100 | COLUMBUS | OH | 43213 | WOMENS HEALTH | |
| MOUNT CARMEL EAST ANTICOAGULATION HEART | |||||
| 5965 E BROAD ST STE 200 | COLUMBUS | OH | 43213 | ANTICOAGULATION, HEART FAILURE CENTER, HYPERTENSION CENTER | |
| MOUNT CARMEL EAST REHAB & SPORTS MEDICIN | |||||
| 5965 E BROAD ST STE 390 | COLUMBUS | OH | 43213 | REHAB & SPORTS MEDICINE | |
| MOUNT CARMEL EAST IMAGING CENTER | |||||
| 5969 E BROAD ST STE 100 | COLUMBUS | OH | 43213 | IMAGING CENTER | |
| MOUNT CARMEL EAST OCCUPATIONAL HEALTH | |||||
| 5969 E BROAD ST STE 307 | COLUMBUS | OH | 43213 | OCCUPATIONAL HEALTH | |
| MOUNT CARMEL WOUND & OSTOMY CARE CENTER | |||||
| 5975 E BROAD ST STE 204 | COLUMBUS | OH | 43213 | WOUND CENTER | |
| MOUNT CARMEL EAST INFUSION SERVICES | |||||
| 5975 E BROAD ST STE 300 | COLUMBUS | OH | 43213 | CANCER TREATMENT | |
| MOUNT CARMEL PICKERINGTON MEDICAL CENTER | |||||
| 641 HILL ROAD NORTH SUITE D | PICKERINGTON | OH | 43147 | OUTPATIENT LAB | |
| MOUNT CARMEL EAST BROAD STREET URGENT CA | |||||
| 6435 E BROAD ST THROUGH 9/30/2015 | COLUMBUS | OH | 43213 | URGENT CARE | |
| MOUNT CARMEL EAST BROAD STREET URGENT CA | |||||
| 6495 E BROAD ST SINCE 10/1/2015 | COLUMBUS | OH | 43213 | URGENT CARE | |
| MOUNT CARMEL COLUMBUS CARDIOLOGY CONSULT | |||||
| 6670 PERIMETER DR STE 100 | DUBLIN | OH | 43016 | CARDIOLOGY CENTER | |
| MOUNT CARMEL SPORTS MEDICINE SPECIALISTS | |||||
| 7100 GRAPHICS WAY STE 2200 OPENS | LEWIS CENTER | OH | 43035 | REHAB & SPORTS MEDICINE | DEC 2 |
| MOUNT CARMEL WEST ANTICOAGULATION | |||||
| 730 W RICH ST | COLUMBUS | OH | 43222 | ANTICOAGULATION, HEART FAILURE CENTER | |
| MOUNT CARMEL WEST REHAB & SPORTS MEDICIN | |||||
| 745 W STATE ST STE 700 | COLUMBUS | OH | 43222 | REHAB & SPORTS MEDICINE | |
| MOUNT CARMEL HEALTH CARDIAC IMAGING SERV | |||||
| 745 W STATE ST STE 750 | COLUMBUS | OH | 43222 | CARDIOLOGY CENTER | |
| MOUNT CARMEL WEST OUTPATIENT LAB | |||||
| 750 MOUNT CARMEL MALL RM 180 | COLUMBUS | OH | 43222 | OUTPATIENT LAB | |
| MOUNT CARMEL WEST WOMENS HEALTH | |||||
| 750 MOUNT CARMEL MALL STE 160 | COLUMBUS | OH | 43222 | WOMENS HEALTH | |
| CANAL WINCHESTER MEDICAL OFFICE BUILDING | |||||
| 7901 DILEY ROAD STE 205 | CANAL WINCHESTER | OH | 43110 | OUTPATIENT LAB | |
| MOUNT CARMEL HEART & VASCULAR SPECIALIST | |||||
| 7901 DILEY ROAD STE 230 | CANAL WINCHESTER | OH | 43110 | CARDIAC IMAGING | |
| MOUNT CARMEL METROWEST INTERNAL MEDICINE | |||||
| 815 WEST BROAD ST STE 200 | COLUMBUS | OH | 43222 | INTERNAL MEDICINE | |
| MOUNT CARMEL PATASKALA MEDICAL CENTER OU | |||||
| 8200 HAZELTON-ETNA ROAD SW SUITE 50 | PATASKALA | OH | 43062 | OUTPATIENT LAB | |
| MOUNT CARMEL OUTPATIENT LAB | |||||
| 85 MCNAUGHTEN RD STE 100 | COLUMBUS | OH | 43213 | OUTPATIENT LAB | |
| MOUNT CARMEL EAST VASCULAR SERVICES | |||||
| 85 MCNAUGHTEN RD STE 200 | COLUMBUS | OH | 43213 | VASCULAR SERVICES | |
| MOUNT CARMEL EAST COLUMBUS CARDIOLOGY CO | |||||
| 85 MCNAUGHTEN RD STE 300 | COLUMBUS | OH | 43213 | CARDIOLOGY CENTER | |
| MOUNT CARMEL EAST CARDIAC IMAGING | |||||
| 85 MCNAUGHTEN RD STE 350 | COLUMBUS | OH | 43213 | CARDIAC IMAGING | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. |
| PART I, LINE 6A: | MOUNT CARMEL HEALTH SYSTEM REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, MOUNT CARMEL HEALTH SYSTEM INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. |
| PART I, LINE 7: | THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. |
| PART I, LN 7 COL(F): | THE FOLLOWING NUMBER, $37,579,787, 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: | COMMUNITY BUILDING ACTIVITIES - MOUNT CARMEL HEALTH SYSTEM HOSPITALS CONTRIBUTED TO THE ECONOMIC AND CIVIC HEALTH OF THE SURROUNDING COMMUNITY BY SERVING IN AND CONTRIBUTING TO THE EFFORTS OF SEVERAL CHAMBERS OF COMMERCE AND OTHER CIVIC ORGANIZATIONS, BOTH IN THE CITY OF COLUMBUS AND IN SURROUNDING SUBURBS. MOUNT CARMEL'S LEADERS HAVE IDENTIFIED COMMUNITY NEEDS THROUGH THEIR SERVICE ON VARIOUS COMMUNITY BOARDS AND ADVISORY GROUPS. THEY HAVE ALSO GIVEN THEIR EXPERTISE TO THESE GROUPS AND HAVE BEEN ABLE TO ADVOCATE ON ISSUES SURROUNDING HEALTH IN THE COLUMBUS AREA, SUCH AS INFANT MORTALITY. AS IN PAST YEARS, MOUNT CARMEL HEALTH SYSTEM MADE FINANCIAL CONTRIBUTIONS IN FISCAL YEAR 2015 TO A VARIETY OF NON-PROFIT SOCIAL SERVICES AGENCIES/ORGANIZATIONS, INCLUDING THOSE THAT HELP ADDRESS HEALTH, HOUSING, AND HUNGER. MOUNT CARMEL HEALTH SYSTEM HOSPITALS RESPONDED TO THE COMMUNITY NEED FOR BLOOD DONATIONS BY PROVIDING SPACE AND TIME FOR COLLEAGUES TO DONATE AT THEIR FACILITY ON FIVE OCCASIONS DURING THE FISCAL YEAR. PROJECTS WERE SUPPORTED TO ASSIST INDIVIDUALS FACING HEALTH CHALLENGES AS IDENTIFIED IN THE COMMUNITY SUCH AS THE NEED FOR LUNCHES FOR STUDENTS DURING THE SUMMER MONTHS. IN ONE SUCH PROJECT, ST. ANN'S WORKED WITH THE COMMUNITY OF WESTERVILLE TO HELP PROVIDE LUNCHES, HEALTH SCREENINGS, AND HEALTH EDUCATION TO 200 COMMUNITY MEMBERS IN NEED LAST SUMMER. ST. ANN'S ALSO PARTICIPATED IN TWO FOOD DRIVES, DONATING THE FOOD TO LOCAL COMMUNITY FOOD PANTRIES.SAFETY IS ALSO A CONCERN FOR THE GENERAL PUBLIC. MOUNT CARMEL FACILITIES RECOGNIZED THE COMMUNITY'S NEED TO BE PREPARED FOR ANY EMERGENCIES THAT MAY THREATEN THE HEALTH AND LIVES OF CITIZENS IN FRANKLIN AND SURROUNDING COUNTIES. MOUNT CARMEL HEALTH SYSTEM SAFETY AND SECURITY PERSONNEL ATTEND CITY AND STATEWIDE MEETINGS AND PARTICIPATE IN TRAINING COMMUNITY LEADERS TO PLAN AND EXERCISE EMERGENCY RESPONSES IN THE EVENT OF DISASTER. THE MOUNT CARMEL HEALTH SYSTEM SAFETY AND SECURITY PERSONNEL TEACH VARIOUS SAFETY PROGRAMS TO MANY OTHER COLUMBUS AREA FIRST RESPONDERS. |
| PART III, LINE 2: | METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. |
| PART III, LINE 3: | MOUNT CARMEL HEALTH SYSTEM USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. 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 HEALTH SYSTEM IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MOUNT CARMEL HEALTH SYSTEM 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 HEALTH SYSTEM IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 15 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 8: | MOUNT CARMEL HEALTH SYSTEM 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 HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. |
| PART III, LINE 9B: | THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. |
| PART VI, LINE 2: | NEEDS ASSESSMENT - MOUNT CARMEL HEALTH SYSTEM (MCHS) ASSESSES THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. MCHS HOSPITALS MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY. MCHS HOSTS QUARTERLY MEETINGS WITH A COMMUNITY ADVISORY BOARD. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MOUNT CARMEL HEALTH SYSTEM IS COMMITTED TO:-PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES-CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES-ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE -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 HEALTH SYSTEM HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: -PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS-MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS-OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS-IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER-IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSMOUNT CARMEL HEALTH SYSTEM 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 HEALTHCARE 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 HEALTH SYSTEM OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE 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 SPANISH AND SOMALI, REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. MOUNT CARMEL HEALTH SYSTEM HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MOUNT CARMEL HEALTH SYSTEM MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. |
| PART VI, LINE 4: | COMMUNITY INFORMATION - MOUNT CARMEL HEALTH SYSTEM PREDOMINATELY SERVES CENTRAL OHIO, WHICH INCLUDES FRANKLIN AND FIVE CONTIGUOUS COUNTIES (DELAWARE, FAIRFIELD, LICKING, MADISON AND PICKAWAY), AND IS HOME TO NEARLY 1.7 MILLION RESIDENTS. AMONG CENTRAL OHIO HOUSEHOLDS, 20% HAVE A HOUSEHOLD INCOME OF LESS THAN $25,000, AND ANOTHER 26% HAVE A HOUSEHOLD INCOME OF BETWEEN $25,000 AND $50,000. THE MAJORITY OF THE POPULATION RESIDES IN FRANKLIN COUNTY. CENTRAL OHIO'S POPULATION IS EXPECTED TO EXPERIENCE A HIGH GROWTH RATE (18%) IN ADULTS AGE 55 AND OLDER AND A SLIGHT DECLINE IN ADULTS BETWEEN THE AGES OF 18 AND 34. IN 2009, APPROXIMATELY 33% OF THE POPULATION OVER AGE 25 HELD A BACHELOR'S OR HIGHER DEGREE, NEARLY FIVE PERCENTAGE POINTS HIGHER THAN THE NATIONAL AVERAGE. 27% OF THE RESIDENTS OF COLUMBUS LIVE AT OR BELOW THE NATIONAL POVERTY LEVEL AND 12.5% LIVE AT OR BELOW 50% OF POVERTY LEVEL. ACCORDING TO THE 2008-2009 OHIO FAMILY HEALTH SURVEY, 138,625 ADULTS IN FRANKLIN COUNTY BETWEEN THE AGES OF 18-64, OR ABOUT 19% OF THAT POPULATION, DO NOT HAVE HEALTH INSURANCE. THIS NUMBER IS SLIGHTLY HIGHER THAN THE STATEWIDE PERCENTAGE OF 17% UNINSURED ADULTS IN THAT AGE GROUP. ACCORDING TO THE 2015 OHIO MEDICAID ASSESSMENT SURVEY, THE STATE'S UNINSURED RATE FOR ADULTS FELL TO 8.7% IN 2015, WHILE THE RATE OF UNINSURED CHILDREN WAS 2%. (AUG 20, 2015)CENTRAL OHIO FEATURES A DIVERSE EMPLOYER BASE, INCLUDING GOVERNMENT, MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE AND AGRICULTURE. THE OHIO UNEMPLOYMENT RATE DECLINED TO 4.3% IN AUGUST 2015. THE UNEMPLOYMENT RATE FOR FRANKLIN COUNTY WAS 3.7%. THE COMMUNITY NEED INDEX ON THE COLUMBUS WEST SIDE WHERE MOUNT CARMEL WEST IS LOCATED IS 4.8 ON A SCALE OF 1-5, WITH 1 BEING AN AREA OF LOW NEED AND 5 AN AREA WITH THE HIGHEST LEVEL OF NEED. MOUNT CARMEL EAST HOSPITAL IS LOCATED IN AN AREA WITH A 3.8 COMMUNITY NEED INDEX. ST. ANN'S IS LOCATED IN AN AREA WITH THE COMMUNITY NEED INDEX OF 2.2, WHICH IS MUCH LOWER THAN THE OTHER FACILITIES BUT WITH POCKETS OF HIGHER NEED WITHIN ITS SERVICE AREA. MOUNT CARMEL NEW ALBANY IS LOCATED IN AN AREA WITH THE LOWEST COMMUNITY NEED INDEX AT 1.6, WHICH IS WHY MCNA REACHES OUT TO SUPPORT EFFORTS IN SURROUNDING COMMUNITIES. THERE ARE 4 ADULT HOSPITAL SYSTEMS AND 1 PEDIATRIC HOSPITAL SYSTEM IN THE COLUMBUS AREA. THERE ARE 11 FEDERALLY QUALIFIED HEATH CENTERS IN THE SAME AREA. |
| PART VI, LINE 5: | OTHER INFORMATION - MOUNT CARMEL HEALTH SYSTEM IS GOVERNED BY A 13-MEMBER BOARD OF TRUSTEES, WITH A MAJORITY OF THE SEATS ALLOCATED TO COMMUNITY REPRESENTATIVES AND LEADERS. OUR GOVERNANCE STRUCTURE ENSURES THAT THE COMMUNITY AND ITS INTERESTS ARE STRONGLY REPRESENTED IN IMPORTANT DECISION-MAKING. IN ADDITION, TWO SEATS ON MOUNT CARMEL'S BOARD ARE ALLOCATED TO RELIGIOUS WOMEN, WHO HELP ENSURE THAT THE ORGANIZATION REMAINS TRUE TO ITS CHARITABLE MISSION. 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. MCHS OPERATES A GRADUATE MEDICAL EDUCATION PROGRAM AND ALSO A COLLEGE OF NURSING. THE MCHS FOUNDATION AND THE MOUNT CARMEL COLLEGE OF NURSING PROVIDED 138 ACADEMIC SCHOLARSHIPS FOR EDUCATING FUTURE NURSES. THE GRADUATE MEDICAL EDUCATION PROGRAM OPERATES CLINICS FOR BOTH EDUCATION PURPOSES AND TO IMPROVE ACCESS AND CARE CONTINUITY FOR PATIENTS WITHOUT INSURANCE.THE FACULTY FROM MOUNT CARMEL COLLEGE OF NURSING AND MEDICAL EDUCATION MET WITH VARIOUS COMMUNITY GROUPS TO EDUCATE THE PUBLIC AND ADVOCATE FOR SCHOOL NUTRITION, DIABETES EDUCATION, SENIOR HEALTH ISSUES, AND WORLDWIDE HEALTH ISSUES SUCH AS HUNGER AND WOMEN'S HEALTH. MCHS PROVIDES SUPPORT TO MISSION TRIPS AND CLINICS IN UGANDA, NICARAGUA, AND PANAMA BY PROVIDING NEEDED MEDICAL ITEMS AND OTHER ITEMS NEEDED FOR DAILY LIVING.MOUNT CARMEL WEST PROVIDES COMMUNITY MEETING ROOMS AND CLASSROOMS FOR PUBLIC USE. THE HOSPITAL ALSO PRESENTED EDUCATIONAL SESSIONS FOR THE COMMUNITY ON TOPICS SUCH AS SPIRITUALITY, ETHICS, HUMAN TRAFFICKING, CAREERS IN HEALTH CARE, AND VARIOUS WELLNESS TOPICS. OVER 1,300 COMMUNITY RELATED EVENTS HAVE BEEN HOSTED IN THIS FACILITY. |
| PART VI, LINE 6: | MOUNT CARMEL HEALTH SYSTEM IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL REGIONAL HEALTH MINISTRIES DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS MORE THAN $800 MILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION | |||||||
| PO BOX 4002907 | DES MOINES | IA | 503402907 | 135613797 | 501(C)(3) | $20,000 | COMMUNITY BENEFIT |
| ARTHRITIS FOUNDATION | |||||||
| 3470 RIDGE MILL DR | HILLIARD | OH | 43026 | 274014550 | 501(C)(3) | $6,500 | COMMUNITY BENEFIT |
| BOY SCOUTS OF AMERICA | |||||||
| 807 KINNEAR ROAD | COLUMBUS | OH | 432121421 | 221576300 | 501(C)(3) | $6,300 | COMMUNITY BENEFIT |
| BUCKEYE RANCH FOUNDATION | |||||||
| 5665 HOOVER ROAD | GROVE CITY | OH | 43123 | 311593013 | 501(C)(3) | $5,000 | COMMUNITY BENEFIT |
| CATHOLIC SOCIAL SERVICE INC | |||||||
| 197 E GAY ST | COLUMBUS | OH | 43215 | 314379437 | 501(C)(3) | $6,000 | COMMUNITY BENEFIT |
| CENTRAL CROSSING HIGH SCHOOL | |||||||
| 4500 BIG RUN SOUTH RD | GROVE CITY | OH | 43123 | 316402588 | 501(C)(3) | $5,000 | COMMUNITY BENEFIT |
| CHARITABLE PHARMACY OF CENTRAL OHIO | |||||||
| 200 E LIVINGSTON AVE | COLUMBUS | OH | 43215 | 270147099 | 501(C)(3) | $25,000 | COMMUNITY BENEFIT |
| CITY OF GROVE CITY | |||||||
| 4035 BROADWAY | GROVE CITY | OH | 43123 | 316400527 | CITY GOVERNMENT | $10,600 | COMMUNITY BENEFIT |
| COLUMBUS METROPOLITAN CLUB | |||||||
| 100 E BROAD ST STE 100 | COLUMBUS | OH | 43215 | 310889324 | 501(C)(3) | $9,229 | COMMUNITY BENEFIT |
| COUNCIL ON HEALTH MOTHERS & BABIES | |||||||
| 3857 N HIGH ST STE 206 | COLUMBUS | OH | 43214 | 421546970 | 501(C)(3) | $7,600 | COMMUNITY BENEFIT |
| FRANKLINTON GARDENS | |||||||
| 909 W RICH ST | COLUMBUS | OH | 43222 | 454023198 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT |
| GAHANNA CONVENTION AND VISITORS | |||||||
| 167 MILL STREET | COLUMBUS | OH | 43230 | 800322167 | 501(C)(6) | $19,700 | COMMUNITY BENEFIT |
| GROVE CITY AREA CHAMBER OF COMMERCE | |||||||
| 4069 BROADWAY | GROVE CITY | OH | 43123 | 310922925 | 501(C)(6) | $12,575 | COMMUNITY BENEFIT |
| LEWIS CTR BUSINESS ASSOC | |||||||
| 8917 S OLD STATE RD | LEWIS CENTER | OH | 43035 | 320147224 | 501(C)(6) | $12,150 | COMMUNITY BENEFIT |
| LOWER LIGHTS CHRISTIAN HEALTH CENTER | |||||||
| 1160 W BROAD STREET | COLUMBUS | OH | 43222 | 311810355 | 501(C)(3) | $135,833 | COMMUNITY BENEFIT |
| MARCH OF DIMES | |||||||
| 975 EASTWIND DRIVE STE 150 | WESTERVILLE | OH | 43081 | 131846366 | 501(C)(3) | $36,500 | COMMUNITY BENEFIT |
| NEW ALBANY AREA CHAMBER OF COMMERCE | |||||||
| 220 MARKET SQUARE | NEW ALBANY | OH | 43054 | 311221292 | 501(C)(6) | $7,740 | COMMUNITY BENEFIT |
| NEW ALBANY COMMUNITY EVENTS | |||||||
| PO BOX 188 | NEW ALBANY | OH | 43054 | 262037123 | 501(C)(3) | $5,000 | COMMUNITY BENEFIT |
| PANCREATIC CANCER ACTION NTWRK | |||||||
| 1500 ROSECRANS AV | MANHATTAN BEACH | CA | 90266 | 330841281 | 501(C)(3) | $5,000 | COMMUNITY BENEFIT |
| PICKERINGTON AREA CHAMBER OF C | |||||||
| 13 W COLUMBUS ST | PICKERINGTON | OH | 43147 | 310946334 | 501(C)(6) | $7,250 | COMMUNITY BENEFIT |
| ROTARY CLUB OF WESTERVILLE | |||||||
| PO BOX 595 | WESTERVILLE | OH | 43086 | 316050404 | 501(C)(4) | $10,000 | COMMUNITY BENEFIT |
| UNITED WAY OF CENTRAL OHIO | |||||||
| 360 S THIRD ST | COLUMBUS | OH | 43215 | 314393712 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT |
| VIOLET FESTIVAL INC | |||||||
| PO BOX 361 | PICKERINGTON | OH | 43147 | 311518034 | 501(C)(4) | $30,000 | COMMUNITY BENEFIT |
| WALK WITH A DOC | |||||||
| 495 COOPER RD STE 411 | WESTERVILLE | OH | 43081 | 263253701 | 501(C)(3) | $7,500 | COMMUNITY BENEFIT |
| WESTERVILLE AREA CHAMBER OF CO | |||||||
| 90 COMMERCE PARK DR | WESTERVILLE | OH | 43082 | 310737083 | 501(C)(3) | $7,940 | COMMUNITY BENEFIT |
| WESTERVILLE AREA RESOURCE MINISTRY | |||||||
| 175 E BROADWAY AVE | WESTERVILLE | OH | 43081 | 311640355 | 501(C)(3) | $17,500 | COMMUNITY BENEFIT |
| WESTERVILLE PARKS AND RECREATION | |||||||
| 350 N CLEVELAND AVE | WESTERVILLE | OH | 43082 | 316401113 | CITY GOVERNMENT | $6,056 | COMMUNITY BENEFIT |
| WESTERVILLE SUNRISE ROTARY FOUNDATION (WENDY'S CHILI OPEN) | |||||||
| PO BOX 1786 | WESTERVILLE | OH | 43086 | 311481931 | 501(C)(3) | $10,000 | COMMUNITY BENEFIT |
| WESTERVILLE VISITORS AND CONVE | |||||||
| 20 W MAIN ST | WESTERVILLE | OH | 43081 | 311233383 | 501(C)(3) | $7,000 | COMMUNITY BENEFIT |
| YMCA OF CENTRAL OHIO | |||||||
| 40 W LONG ST | COLUMBUS | OH | 43215 | 314379594 | 501(C)(3) | $5,000 | COMMUNITY BENEFIT |
| YWCA | |||||||
| 65 S 4TH STREET | COLUMBUS | OH | 43215 | 314379597 | 501(C)(3) | $6,000 | COMMUNITY BENEFIT |
| COLUMBUS PARTNERSHIP (GREATER COLUMBUS CHAMBER OF COMMERCE) | |||||||
| 150 S FRONT ST | COLUMBUS | OH | 43215 | 314152950 | 501(C)(3) | $51,600 | COMMUNITY BENEFIT |
| CENTRAL OHIO HOSPITAL COUNCIL | |||||||
| 155 E BROAD ST FL 23 | COLUMBUS | OH | 43215 | 262795133 | 501(C)(3) | $87,698 | COMMUNITY BENEFIT |
| COLUMBUS COMMUNITY CLINICAL ONCOLOGY PROGRAM | |||||||
| 1335 DUBLIN RD STE 124-A | COLUMBUS | OH | 43215 | 311290751 | 501(C)(3) | $24,000 | COMMUNITY BENEFIT |
| AMERICAN COLLEGE OF SURGEONS | |||||||
| PO BOX 92425 | CHICAGO | IL | 606752425 | 362192800 | 501(C)(3) | $6,400 | COMMUNITY BENEFIT |
| AMERICAN COLLEGE OF PHYSICIANS | |||||||
| 190 N INDEPENDENCE MALL WEST | PHILADELPHIA | PA | 191061572 | 231520302 | 501(C)(3) | $5,162 | COMMUNITY BENEFIT |
| MID-OHIO FOODBANK | |||||||
| 3960 BROOKHAM DR | GROVE CITY | OH | 43123 | 310865343 | 501(C)(3) | $8,000 | COMMUNITY BENEFIT |
| HEART OF OHIO FAMILY HEALTH CENTER | |||||||
| 882 S HAMILTON ROAD | COLUMBUS | OH | 43213 | 383765547 | 501(C)(3) | $300,000 | COMMUNITY BENEFIT |
| CATHOLIC CONFERENCE OF OHIO DEPT ON HEALTH AFFAIRS | |||||||
| 9 E LONG ST STE 201 | COLUMBUS | OH | 43215 | 314418678 | 501(C)(3) | $5,735 | COMMUNITY BENEFIT |
| CATHOLIC DIOCESE OF COLUMBUS | |||||||
| 198 E BROAD ST | COLUMBUS | OH | 43215 | 314379603 | 501(C)(3) | $5,500 | COMMUNITY BENEFIT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 33 | Total501c3OrgCnt |
| Total Other Org | 7 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLAUS VON ZYCHLIN | ||||||||||||||
| DIRECTOR; MOUNT CARMEL SYS PRES & CE | $0 | $595,401 | $0 | $185,015 | $0 | $172,959 | $0 | $18,200 | $0 | $31,098 | $0 | $1,002,673 | $0 | $25,703 |
| J RICHARD O'CONNELL | ||||||||||||||
| DIRECTOR THR 9/14;EVP TRINITY EAST G | $0 | $791,024 | $0 | $532,372 | $0 | $425,006 | $0 | $18,200 | $0 | $36,377 | $0 | $1,802,979 | $0 | $174,337 |
| SALLY JEFFCOAT | ||||||||||||||
| DIRECTOR;EVP TRINITY WEST/MIDWEST GR | $0 | $603,463 | $0 | $201,629 | $0 | $263,993 | $0 | $18,200 | $0 | $27,473 | $0 | $1,114,758 | $0 | $118,482 |
| KEITH COLEMAN | ||||||||||||||
| CFO | $0 | $406,734 | $0 | $73,420 | $0 | $3,993 | $0 | $13,000 | $0 | $23,762 | $0 | $520,909 | $0 | $0 |
| LAURA TRAINI | ||||||||||||||
| SVP AND CHIEF TRANSFOR OFFICER | $0 | $384,661 | $0 | $68,526 | $0 | $3,775 | $0 | $25,982 | $0 | $21,981 | $0 | $504,925 | $0 | $0 |
| JANET MEEKS | ||||||||||||||
| PRESIDENT & COO, ST ANN'S | $0 | $354,206 | $0 | $96,183 | $0 | $907,117 | $0 | $21,666 | $0 | $11,124 | $0 | $1,390,296 | $0 | $338,639 |
| HUGH JONES | ||||||||||||||
| SVP PLAN/MKTG BUS/NETWK DEV | $0 | $256,424 | $0 | $45,473 | $0 | $837 | $0 | $13,000 | $0 | $20,350 | $0 | $336,084 | $0 | $0 |
| ANNE BROWNING | ||||||||||||||
| SR VICE PRESIDENT HUMAN RESOURCES | $0 | $274,665 | $0 | $49,808 | $0 | $10,383 | $0 | $13,000 | $0 | $22,277 | $0 | $370,133 | $0 | $0 |
| SEAN MCKIBBEN | ||||||||||||||
| PRESIDENT & COO, MC WEST | $0 | $337,063 | $0 | $100,490 | $0 | $66,016 | $0 | $13,807 | $0 | $25,039 | $0 | $542,415 | $0 | $0 |
| BRINSLEY LEWIS | ||||||||||||||
| PRESIDENT & COO, MC EAST | $0 | $406,703 | $0 | $111,305 | $0 | $87,124 | $0 | $14,076 | $0 | $26,578 | $0 | $645,786 | $0 | $0 |
| CHARLES BRETT JUSTICE | ||||||||||||||
| SYSTEM VP STRATEGIC ADVANCEMENT | $164,394 | $0 | $13,935 | $0 | $3,945 | $0 | $9,409 | $0 | $21,010 | $0 | $212,693 | $0 | $0 | $0 |
| RICHARD STRECK | ||||||||||||||
| CHIEF CLINICAL OPERATIONS OFFICER | $0 | $483,608 | $0 | $87,102 | $0 | $7,346 | $0 | $18,200 | $0 | $20,419 | $0 | $616,675 | $0 | $0 |
| PHILIP J SHUBERT MD | ||||||||||||||
| DIRECTOR PERINATAL MEDICAL | $514,311 | $0 | $0 | $0 | $3,282 | $0 | $21,093 | $0 | $15,073 | $0 | $553,759 | $0 | $0 | $0 |
| GERALD GIRARDI | ||||||||||||||
| PERINATAL MEDICAL DIRECTOR | $0 | $372,713 | $0 | $0 | $0 | $5,107 | $0 | $13,000 | $0 | $17,748 | $0 | $408,568 | $0 | $0 |
| LARRY D SWANNER | ||||||||||||||
| VP MEDICAL AFFAIRS - ST WEST | $321,434 | $0 | $33,893 | $0 | $2,392 | $0 | $18,630 | $0 | $15,559 | $0 | $391,908 | $0 | $0 | $0 |
| CHARLES SANDERS | ||||||||||||||
| VICE PRES MEDICAL EDUCATION | $313,571 | $0 | $30,368 | $0 | $2,349 | $0 | $13,000 | $0 | $16,667 | $0 | $375,955 | $0 | $0 | $0 |
| JACQUELINE PRIMEAU | ||||||||||||||
| FORMER OFFICER | $0 | $223,782 | $0 | $0 | $0 | $1,833 | $0 | $19,704 | $0 | $9,766 | $0 | $255,085 | $0 | $0 |
| KEDRICK ADKINS | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $0 | $1,069,394 | $0 | $0 | $0 | $1,656 | $0 | $1,071,050 | $0 | $1,056,681 |
| RONALD WHITESIDE | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $0 | $162,281 | $0 | $0 | $0 | $2,315 | $0 | $164,596 | $0 | $158,768 |
| CYNTHIA SHEETS | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $0 | $132,259 | $0 | $0 | $0 | $3,141 | $0 | $135,400 | $0 | $132,063 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | MOUNT CARMEL HEALTH SYSTEM IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MOUNT CARMEL HEALTH SYSTEM'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MOUNT CARMEL HEALTH SYSTEM'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2014. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $814,924 CYNTHIA SHEETS - $132,063 RONALD WHITESIDE - $158,768 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN AN INDIVIDUAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP PAYOUTS FOR 2014 ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JANET MEEKS $824,020 KEDRICK ADKINS $ -0- COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN THE NEW TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) EFFECTIVE JANUARY 1, 2014. THE PLAN WILL PROVIDE RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. THERE WERE NO PAYOUTS IN 2014. SALLY JEFFCOAT BRINSLEY LEWIS SEAN MCKIBBEN JANET MEEKS J. RICHARD O'CONNELL CLAUS VON ZYCHLIN THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($260,000 FOR 2014). THE PLAN WAS FROZEN DECEMBER 31, 2013. THE FOLLOWING PAYOUTS FOR 2014 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $242,986 SALLY JEFFCOAT - $126,988 JANET MEEKS - $11,002 J. RICHARD O'CONNELL - $185,824 CLAUS VON ZYCHLIN - $25,833 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ANGELA SMITH | |||
| FAMILY MEMBER OF CYNTHIA SHEETS, FORMER KEY EMPLOYEE | $99,183 | EMPLOYMENT ARRANGEMENT | 0 |
| JOHN C HICKEY | |||
| FAMILY MEMBER OF CHARLES HICKEY, MCHS TRUSTEE | $52,176 | EMPLOYMENT ARRANGEMENT | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1 | DOING BUSINESS AS NAMES: DASH CAFE HEALTH LIVING CENTER HEALTHIER YOU MC FITNESS MC FITNESS & HEALTH MC FITNESS CENTER MOUNT CARMEL CARE CONTINUUM SERVICES CORPORATION MOUNT CARMEL EAST MOUNT CARMEL HEALTH MOUNT CARMEL HOSPICE AND PALLIATIVE CARE 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 3 | MOUNT CARMEL HEALTH SYSTEM HAS CONTRACTED WITH CENTRAL OHIO ORTHOPEDIC MANAGEMENT COMPANY TO MANAGE THE OPTHOPEDIC PROGRAM OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL. IN 2014 MCHS PAID $6,858,663 TO THE MANAGEMENT COMPANY, WHICH COVERED BOTH EXECUTIVE MANAGEMENT OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL AND PHYSICIAN LEADERSHIP OF THE ORTHOPEDIC PROGRAM. UNDER THE MANAGEMENT SERVICES AGREEMENT, CENTRAL OHIO ORTHOPEDIC MANAGES THE DAY-TO-DAY OPERATION, MANAGEMENT, AND SUPERVISION OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL AND ITS ORTHOPEDIC PROGRAM. INCLUDED IN THE AGREEMENT IS THE PROVISION BY THE MANAGEMENT COMPANY OF A CHIEF OPERATING OFFICER, SENIOR VICE PRESIDENT OF CLINICAL SERVICES, SENIOR FINANCIAL ANALYST, AND CHIEF NURSING OFFICER FOR THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF MOUNT CARMEL HEALTH SYSTEM 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 HEALTH SYSTEM. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MOUNT CARMEL HEALTH SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 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 11 | PRIOR TO FILING, THE FORM 990 FOR MOUNT CARMEL HEALTH SYSTEM IS REVIEWED BY SENIOR MANAGEMENT. THE FORM 990 WAS REVIEWED AND APPROVED BY THE FINANCE AND GOVERNANCE COMMITTEE ON APRIL 27, 2016. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MOUNT CARMEL HEALTH SYSTEM 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 HEALTH SYSTEM , 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 HEALTH SYSTEM 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 HEALTH SYSTEM (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MOUNT CARMEL HEALTH SYSTEM OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MOUNT CARMEL HEALTH SYSTEM (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 HEALTH SYSTEM . 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 MOUNT CARMEL HEALTH SYSTEM'S CEO, OFFICERS, AND KEY MANAGEMENT OFFICIALS IS ESTABLISHED AND PAID 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 HEALTH SYSTEM ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | MOUNT CARMEL HEALTH SYSTEM IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MOUNT CARMEL HEALTH SYSTEM INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MOUNT CARMEL HEALTH SYSTEM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS TO AFFILIATES -30,874,342. CHANGE IN EQUITY IN UNCONSOLIDATED AFFILIATES 4,590,743. TRANSFER OF SMLLC NET ASSETS 1,975,464. OTHER TRANSACTIONS -79,868,497. |
| FORM 990, PART XII, LINE 2: | MOUNT CARMEL HEALTH SYSTEM'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY15 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| BIG RUN URGENT CARE LTD | |||||||||
| 6150 E BROAD STREET 3RD FLOOR | COLUMBUS | OH | 43213 | 311581575 | MEDICAL SERVICES | OH | $2,261,500 | $606,118 | MOUNT CARMEL HEALTH SYSTEM |
| HEALTH COLLABORATIVE OF CENTRAL OHIO LLC | |||||||||
| 6150 E BROAD STREET | COLUMBUS | OH | 43213 | 465603895 | ACCOUNTABLE CARE ORGANIZATION | OH | $0 | $413 | MOUNT CARMEL HEALTH SYSTEM |
| CENTRAL OHIO SLEEP MEDICINE LLC | |||||||||
| 6150 E BROAD STREET | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | $1,511,649 | $349,340 | MOUNT CARMEL HEALTH SYSTEM |
| MOUNT CARMEL HEALTH PARTNERS LLC | |||||||||
| 6150 E BROAD STREET | COLUMBUS | OH | 43213 | 471139205 | ACCOUNTABLE CARE ORGANIZATION | OH | $3,521,488 | $2,455,251 | MOUNT CARMEL HEALTH SYSTEM |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (223 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP | ||||||||||||
| 245 STATE ST SE | GRAND RAPIDS | MI | 49503 | 272491974 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| ALBANY MEMORIAL HOSPITAL | ||||||||||||
| 600 NORTHERN BLVD | ALBANY | NY | 12204 | 141338457 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | Yes (1) | ||
| ALLEGANY FRANCISCAN MINISTRIES INC | ||||||||||||
| 33920 US HIGHWAY 19 NORTH SUITE 269 | PALM HARBOR | FL | 34684 | 581492325 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | FL | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| AMICARE HOSPICE SERVICES INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382949053 | HOSPICE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| AUXILIARY OF HOLY ROSARY HOSPITAL | ||||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | VOLUNTEER SERVICE AUXILIARY | OR | 501(C)(3) | LINE 9 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | Yes (1) | ||
| BAUM HARMON MERCY HOSPITAL | ||||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 421500277 | HEALTHCARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION | ||||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | FOUNDATION | IA | 501(C)(3) | LINE 11A, I | BAUM HARMON MERCY HOSPITAL | Yes (1) | ||
| BEECHWOOD INC | ||||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 141651563 | TITLE HOLDING COMPANY | NY | 501(C)(2) | N/A | LTC (EDDY) INC | Yes (1) | ||
| BEVERWYCK INC | ||||||||||||
| 40 AUTUMN DRIVE | SLINGERLANDS | NY | 12159 | 141717028 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| BRIGHTSIDE INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 042182395 | HEALTHCARE SERVICES | MA | 501(C)(3) | LINE 9 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| CAPITAL REGION GERIATRIC CENTER INC | ||||||||||||
| 421 WEST COLUMBIA ST | COHOES | NY | 12047 | 141701597 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| CATHERINE MCAULEY HEALTH SERVICES CORP | ||||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | HEALTHCARE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| CATHOLIC HEALTH MINISTRIES | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM | 501(C)(3) | LINE 1 | 0 | VT | N/A | |||
| COLUMBUS ACQUISITION CORP | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616342 | INACTIVE ENTITY | NJ | 501(C)(3) | LINE 9 | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| COMMUNITY HEALTH PARTNERS OF SOUTH BEND | ||||||||||||
| PO BOX 3998 | SOUTH BEND | IN | 46619 | 263051440 | HEALTHCARE SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| CRANBROOK HOSPICE CARE | ||||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320699 | HOSPICE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| DILEY RIDGE MEDICAL CENTER | ||||||||||||
| 7911 DILEY ROAD | CANAL WINCHESTER | OH | 43110 | 342032340 | HEALTHCARE AND HOSPITAL SERVICES | OH | 501(C)(3) | LINE 3 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| DUBUQUE MERCY HEALTH FOUNDATION INC | ||||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | FOUNDATION | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| DYERSVILLE HEALTH FOUNDATION INC | ||||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | FOUNDATION | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| EAST NORRITON PHYSICIAN SERVICES | ||||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232515999 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (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 | Yes (1) | ||
| EMPIRE HOME INFUSION SERVICE INC | ||||||||||||
| 10 BLACKSMITH DRIVE | MALTA | NY | 12020 | 141795732 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 9 | HOME AIDE SERVICE OF EASTERN NEW YORK INC | Yes (1) | ||
| FARREN CARE CENTER INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 042501711 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| FRANCISCAN ELDERCARE CORPORATION | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 223008680 | LONG TERM CARE (INACTIVE) | DE | 501(C)(3) | LINE 9 | ST FRANCIS HOSPITAL | Yes (1) | ||
| GLEN EDDY INC | ||||||||||||
| ONE GLEN EDDY DRIVE | NISKAYUNA | NY | 12309 | 141794150 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| GLOBAL HEALTH MINISTRY | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 233068656 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 7 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| GLOBAL HEALTH MINISTRY (FKA TRINITY HEALTH INTERNATIONAL) | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 421253527 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| GOOD SAMARITAN HOSPITAL INC | ||||||||||||
| 5401 LAKE OCONEE PARKWAY | GREENSBORO | GA | 30642 | 261720984 | HEALTHCARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363332852 | COMMUNITY OUTREACH | IL | 501(C)(3) | LINE 9 | GOTTLIEB MEMORIAL HOSPITAL | Yes (1) | ||
| GOTTLIEB MEMORIAL FOUNDATION | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 743260011 | FOUNDATION | IL | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | ||
| GOTTLIEB MEMORIAL HOSPITAL | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 362379649 | HEALTHCARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC | ||||||||||||
| 1000 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | 237270669 | MEDICAL EDUCATION TRAINING PROGRAMS | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST | ||||||||||||
| PO BOX 3302 | MUSKEGON | MI | 49443 | 382299878 | SELF INSURANCE | MI | 501(C)(3) | LINE 11B, II | MERCY HEALTH PARTNERS | Yes (1) | ||
| HACKLEY LIFE COUNSELING | ||||||||||||
| 125 E SOUTHERN AVENUE | MUSKEGON | MI | 49442 | 381386362 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | MERCY HEALTH PARTNERS | Yes (1) | ||
| HAWTHORNE RIDGE INC | ||||||||||||
| 30 COMMUNITY WAY | EAST GREENBUSH | NY | 12061 | 800102840 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| HERITAGE HOUSE NURSING CENTER INC | ||||||||||||
| 2920 TIBBITS AVE | TROY | NY | 12180 | 141725101 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| HOLY CROSS CARENET INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48152 | 521945054 | LONG TERM CARE | MD | 501(C)(3) | LINE 9 | HOLY CROSS HEALTH INC | Yes (1) | ||
| HOLY CROSS HEALTH FOUNDATION INC | ||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 208428450 | FOUNDATION | MD | 501(C)(3) | LINE 7 | HOLY CROSS HEALTH INC | Yes (1) | ||
| HOLY CROSS HEALTH INC | ||||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 520738041 | HEALTHCARE AND HOSPITAL SERVICES | MD | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| HOLY CROSS HOSPITAL INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 590791028 | HEALTHCARE AND HOSPITAL SERVICES | FL | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (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 | Yes (1) | ||
| HOLY CROSS OUTPATIENT SERVICES INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 465421068 | HEALTHCARE SERVICES | FL | 501(C)(3) | LINE 9 | HOLY CROSS HOSPITAL INC | Yes (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 9 | LTC (EDDY) INC | Yes (1) | ||
| HOSPICE OF NORTH IOWA | ||||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 50401 | 421173708 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 9 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| HOSPICE OF SIOUXLAND | ||||||||||||
| 4300 HAMILTON BLVD | SIOUX CITY | IA | 51104 | 383320710 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 11A, I | 0 | N/A | ||
| HOSPICE OF WASHTENAW II | ||||||||||||
| 806 AIRPORT BLVD | ANN ARBOR | MI | 48108 | 383320707 | HOSPICE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| IHA HEALTH SERVICES CORPORATION | ||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383316559 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| INTRACOASTAL HEALTH SYSTEMS INC | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 650556413 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | FL | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| JAMES A EDDY MEMORIAL GERIATRIC CENTER INC | ||||||||||||
| 2256 BURDETT AVE | TROY | NY | 12180 | 222570478 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| LANGHORNE MRI INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232519529 | HEALTHCARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | ||
| LANGHORNE PHYSICIAN SERVICES INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232571699 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (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 | Yes (1) | ||
| LIFE AT ST FRANCIS HEALTHCARE INC | ||||||||||||
| 7TH CLAYTON STREETS | WILMINGTON | DE | 19805 | 452569214 | PACE PROGRAM | DE | 501(C)(3) | LINE 9 | ST FRANCIS HOSPITAL | Yes (1) | ||
| LIFE ST FRANCIS CORPORATION | ||||||||||||
| 1435 LIBERTY STREET | HAMILTON | NJ | 08629 | 222797282 | PACE PROGRAM | NJ | 501(C)(3) | LINE 11A, I | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (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 | Yes (1) | ||
| LIFE ST MARY | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 262976184 | PACE PROGRAM | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | ||
| LOURDES ANCILLARY SERVICES | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222568525 | VOLUNTEER SERVICE AUXILIARY | NJ | 501(C)(3) | LINE 11B, II | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOURDES CARDIOLOGY SERVICES PC | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 274357794 | HEALTHCARE SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOURDES DIALYSIS AT INNOVA INC | ||||||||||||
| 3716 CHURCH ROAD | MT LAUREL | NJ | 08054 | 263237625 | HEALTHCARE SERVICES (INACTIVE) | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOURDES MEDICAL CENTER OF BURLINGTON COUNTY | ||||||||||||
| 218 SUNSET ROAD | WILLINGBORO | NJ | 08046 | 223612265 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOYOLA UNIVERSITY HEALTH SYSTEM | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 363342448 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| LOYOLA UNIVERSITY MEDICAL CENTER | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 364015560 | HEALTHCARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| LTC (EDDY) INC | ||||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 222564710 | MANAGEMENT SERVICES FOR LONG TERM CARE | NY | 501(C)(3) | LINE 11B, II | NORTHEAST HEALTH INC | Yes (1) | ||
| MARIAN COMMUNITY HOSPITAL | ||||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 240711230 | HEALTHCARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 9 | MAXIS HEALTH SYSTEM | Yes (1) | ||
| MARIAN HOME HEALTHCARE | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | HOME HEALTH SERVICES (INACTIVE) | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MARYCREST HEIGHTS | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 270291722 | SENIOR LIVING COMMUNITY | MI | 501(C)(3) | LINE 11A, I | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MAXIS HEALTH SYSTEM | ||||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 911940902 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | PA | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MCAULEY CENTER INC | ||||||||||||
| 275 STEELE ROAD | WEST HARTFORD | CT | 06117 | 061058086 | SENIOR LIVING COMMUNITY | CT | 501(C)(3) | LINE 9 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MCAULEY CLINIC CORPORATION | ||||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTHCARE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 3 | CATHERINE MCAULEY HEALTH SERVICES CORP | Yes (1) | ||
| MCAULEY MINISTRIES | ||||||||||||
| 3333 FIFTH AVENUE | PITTSBURGH | PA | 15213 | 943436142 | GRANT MAKING | PA | 501(C)(3) | LINE 11A, I | PITTSBURGH MERCY HEALTH SYSTEM | Yes (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 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| MERCY AMICARE HOME HEALTHCARE PORT HURON | ||||||||||||
| 505 HURON AVENUE | PORT HURON | MI | 48060 | 383320701 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| MERCY CARE FOUNDATION | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581448522 | FOUNDATION | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 231352191 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY COMMUNITY HEALTH INC | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061492707 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | CT | 501(C)(3) | LINE 11B, II | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MERCY COMMUNITY HOMECARE SERVICES | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061488137 | HOME HEALTH SERVICES | CT | 501(C)(3) | LINE 9 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MERCY FAMILY SUPPORT | ||||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 232325059 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 9 | MERCY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY FOUNDATION INC | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363227350 | FOUNDATION | IL | 501(C)(3) | LINE 7 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | ||
| MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE | ||||||||||||
| 888 TERRACE STREET | MUSKEGON | MI | 49440 | 383321856 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232829864 | FOUNDATION | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY HEALTH NETWORK | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421478417 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | DE | 501(C)(3) | LINE 11A, I | 0 | N/A | ||
| MERCY HEALTH PARTNERS | ||||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | HEALTHCARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HEALTH PLAN | ||||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 222483605 | MEDICAID MANAGED CARE PLAN | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY HEALTH SERVICES - IOWA CORP | ||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTHCARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH SYSTEM OF CHICAGO | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363163327 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232212638 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTHCARE CENTER | ||||||||||||
| 114 WAWBEEK AVENUE | TUPPER LAKE | NY | 12986 | 150532211 | HEALTHCARE AND HOSPITAL SERVICES (INACTIVE) | NY | 501(C)(3) | LINE 3 | MERCY UIHLEIN HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTHCARE FOUNDATION-CLINTON | ||||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FOUNDATION | IA | 501(C)(3) | LINE 7 | 0 | N/A | ||
| MERCY HOME HEALTH | ||||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 231352099 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 9 | MERCY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY HOME HEALTH SERVICES | ||||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 232325058 | MANAGEMENT SERVICES FOR HOME HEALTH | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY HOSPITAL AND MEDICAL CENTER | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 362170152 | HEALTHCARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | ||
| MERCY HOSPITAL CADILLAC FOUNDATION | ||||||||||||
| 400 HOBART | CADILLAC | MI | 49601 | 203357131 | FOUNDATION | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HOSPITAL GIFT SHOP | ||||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 381630480 | VOLUNTEER SERVICE AUXILIARY | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HOSPITAL INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 043398280 | HEALTHCARE AND HOSPITAL SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| MERCY HOSPITAL INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 590791034 | HEALTHCARE SERVICES (INACTIVE) | FL | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY LIFE CENTER CORPORATION | ||||||||||||
| 1200 REEDSDALE STREET | PITTSBURGH | PA | 15233 | 251604115 | COMMUNITY OUTREACH | PA | 501(C)(3) | LINE 9 | PITTSBURGH MERCY HEALTH SYSTEM | Yes (1) | ||
| MERCY LIFE OF ALABAMA | ||||||||||||
| PO BOX 1090 | DAPHNE | AL | 36526 | 273163002 | PACE PROGRAM | AL | 501(C)(3) | LINE 3 | MERCY MEDICAL CORPORATION | Yes (1) | ||
| MERCY LIFE INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 453086711 | PACE PROGRAM | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE CARE CENTERS INC | Yes (1) | ||
| MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232627944 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| MERCY MEDICAL CENTER - CLINTON INC | ||||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 421336618 | HEALTHCARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (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 | Yes (1) | ||
| MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | ||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 421229151 | FOUNDATION | IA | 501(C)(3) | LINE 7 | 0 | N/A | ||
| MERCY MEDICAL CORPORATION | ||||||||||||
| PO BOX 1090 | DAPHNE | AL | 36526 | 636002215 | HOSPICE & HOME HEALTH SERVICES | AL | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY MEDICAL GROUP | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 454884805 | HEALTHCARE SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| MERCY NORTH HOMECARE AND HOSPICE | ||||||||||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | 383313897 | HOSPICE & HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| MERCY PHYSICIAN NETWORK | ||||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 461187365 | MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (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 | Yes (1) | ||
| MERCY SERVICES CORPORATION | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061453323 | HEALTHCARE SYSTEM SUPPORT (INACTIVE) | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MERCY SERVICES DOWNTOWN INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 272046353 | TITLE HOLDING COMPANY | GA | 501(C)(3) | LINE 11B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382719605 | LONG TERM CARE | MI | 501(C)(3) | LINE 11B, II | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MERCY SPECIALIST PHYSICIANS INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 264033168 | HEALTHCARE SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| MERCY SUBURBAN HOSPITAL | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 231396763 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY UIHLEIN HEALTH CORPORATION | ||||||||||||
| 185 OLD MILITARY ROAD | LAKE PLACID | NY | 12946 | 161535133 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | NY | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCYKNOLL INC | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 060757380 | LONG TERM CARE | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MISSION HEALTH CORPORATION | ||||||||||||
| 37595 SEVEN MILE ROAD | LIVONIA | MI | 48152 | 383181557 | BUILDING MANAGEMENT SERVICES | DE | 501(C)(3) | LINE 11A, I | 0 | N/A | ||
| 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 | Yes (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 | Yes (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 | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | HEALTHCARE AND HOSPITAL SERVICES | OH | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | FOUNDATION | OH | 501(C)(3) | LINE 11A, I | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HOME CARE LLC | ||||||||||||
| 501 WEST SCHROCK ROAD | WESTERVILLE | OH | 43081 | 262729300 | HOME HEALTH SERVICES | OH | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| MRI MOBILE SERVICES OF WEST MICHIGAN | ||||||||||||
| 1820 - 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | HEALTHCARE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MUSKEGON COMMUNITY HEALTH PROJECT | ||||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | COMMUNITY OUTREACH | MI | 501(C)(3) | LINE 7 | MERCY HEALTH PARTNERS | Yes (1) | ||
| NAZARETH HEALTH CARE FOUNDATION | ||||||||||||
| 2701 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232300951 | FOUNDATION | PA | 501(C)(3) | LINE 11B, II | NAZARETH HOSPITAL | Yes (1) | ||
| NAZARETH HOSPITAL | ||||||||||||
| 2601 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232794121 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| NAZARETH PHYSICIAN SERVICES INC | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 203261266 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| NE PHYSICIAN SERVICES | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232497355 | HEALTHCARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 9 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| NORTHEAST HEALTH INC | ||||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 042450756 | HEALTHCARE SYSTEM SUPPORT | NY | 501(C)(3) | LINE 11B, II | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| OAKLAND MERCY HOSPITAL | ||||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE AND HOSPITAL SERVICES | NE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| OAKLAND MERCY HOSPITAL FOUNDATION | ||||||||||||
| 601 E 2ND STREET | OAKLAND | NE | 68045 | 311678345 | FOUNDATION | NE | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | ||
| OSUMOUNT CARMEL HEALTH ALLIANCE | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311654603 | COOPERATIVE HEALTHCARE DELIVERY SYSTEM | OH | 501(C)(3) | LINE 11A, I | 0 | N/A | ||
| OUR LADY OF LOURDES HEALTH CARE SERVICES | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222568528 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NJ | 501(C)(3) | LINE 11B, II | MAXIS HEALTH SYSTEM | Yes (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 | Yes (1) | ||
| OUR LADY OF LOURDES MEDICAL CENTER | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 210635001 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (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 HEALTH CARE SERVICES | Yes (1) | ||
| PIONEER VALLEY CARDIOLOGY ASSOCIATES INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 454208896 | HEALTHCARE SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| PITTSBURGH MERCY HEALTH SYSTEM | ||||||||||||
| 3333 5TH AVENUE | PITTSBURGH | PA | 15213 | 251464211 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| PORT HURON MERCY FAMILY CARE INC | ||||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 201855647 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| PROBILITY THERAPY SERVICES | ||||||||||||
| 2058 S STATE STREET | ANN ARBOR | MI | 48104 | 202020239 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| PROFESSIONAL MED TEAM | ||||||||||||
| 965 FORK STREET | MUSKEGON | MI | 49442 | 382638284 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | MERCY HEALTH PARTNERS | Yes (1) | ||
| PROFESSIONAL OFFICE CORPORATION | ||||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | BUILDING MANAGEMENT SERVICES | CA | 501(C)(3) | LINE 11A, I | SAINT AGNES MEDICAL CENTER | Yes (1) | ||
| SAINT AGNES MEDICAL CENTER | ||||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE AND HOSPITAL SERVICES | CA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT ALPHONSUS BUILDING COMPANY INC | ||||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | BUILDING MANAGEMENT SERVICES | ID | 501(C)(3) | LINE 9 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| SAINT ALPHONSUS DIVERSIFIED CARE INC | ||||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | HEALTHCARE SYSTEM SUPPORT | ID | 501(C)(3) | LINE 11A, I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | Yes (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 | Yes (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 | Yes (1) | ||
| SAINT ALPHONSUS HEALTH SYSTEM INC | ||||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC | ||||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | HEALTHCARE AND HOSPITAL SERVICES | OR | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (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 | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC | ||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820200896 | HEALTHCARE AND HOSPITAL SERVICES | ID | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC | ||||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | HEALTHCARE AND HOSPITAL SERVICES | OR | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | HEALTHCARE AND HOSPITAL SERVICES | ID | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT JAMES CARE INC | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616230 | INACTIVE ENTITY | NJ | 501(C)(3) | LINE 9 | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | ||||||||||||
| PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | HEALTHCARE AND HOSPITAL SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | ||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 350868157 | HEALTHCARE AND HOSPITAL SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC | ||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 356033285 | VOLUNTEER SERVICE AUXILIARY | IN | 501(C)(4) | N/A | SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC | ||||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | VOLUNTEER SERVICE AUXILIARY | IN | 501(C)(3) | LINE 11B, II | SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 351568821 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT JOSEPH'S HEALTH SYSTEM INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581744848 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | GA | 501(C)(3) | LINE 11C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT JOSEPH'S MERCY CARE SERVICES INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581752700 | HEALTHCARE SERVICES | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| SAINT JOSEPH'S TOWER INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 311040468 | SENIOR LIVING COMMUNITY | IN | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES-INDIANA | Yes (1) | ||
| SAINT MARY HOME II INC | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061164104 | LONG TERM CARE | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| SAINT MARY'S AMICARE HOME HEALTHCARE | ||||||||||||
| 1430 MONROE NW | GRAND RAPIDS | MI | 49505 | 383320700 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| SAINT MARY'S FOUNDATION | ||||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | FOUNDATION | MI | 501(C)(3) | LINE 7 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| SAINT MICHAEL'S MEDICAL CENTER | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616046 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAMARITAN CHILD CARE CENTER INC | ||||||||||||
| 2213 BURDETT AVE | TROY | NY | 12180 | 141710225 | CHILD CARE | NY | 501(C)(3) | LINE 9 | NORTHEAST HEALTH INC | Yes (1) | ||
| SAMARITAN HOSPITAL OF TROY NEW YORK | ||||||||||||
| 2215 BURDETT AVE | TROY | NY | 12180 | 141338544 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | Yes (1) | ||
| SENIOR CARE CONNECTION INC | ||||||||||||
| 504 STATE ST | SCHENECTADY | NY | 12305 | 141708754 | PACE PROGRAM | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| SETON AUXILIARY INC | ||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141505031 | VOLUNTEER SERVICE AUXILIARY | NY | 501(C)(3) | LINE 9 | SETON HEALTH SYSTEM INC | Yes (1) | ||
| SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE | ||||||||||||
| 1 ABELE BLVD | CLIFTON PARK | NY | 12065 | 141756230 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | SETON HEALTH SYSTEM INC | Yes (1) | ||
| SETON HEALTH FOUNDATION INC | ||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 222345416 | FOUNDATION | NY | 501(C)(3) | LINE 11A, I | SETON HEALTH SYSTEM INC | Yes (1) | ||
| SETON HEALTH SYSTEM INC | ||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141776186 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SISTERS OF PROVIDENCE CARE CENTERS INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 222541103 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| SISTERS OF PROVIDENCE HEALTH SYSTEM INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 043398374 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | MA | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SJHSJOC HOLDINGS INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 472299757 | HEALTHCARE SYSTEM SUPPORT | GA | 501(C)(3) | LINE 11B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| ST AGNES CONTINUING CARE CENTER | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232840137 | PACE PROGRAM | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| ST AGNES CONTINUING CARE CENTER FOUNDATION | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232415137 | FOUNDATION | PA | 501(C)(3) | LINE 11B, II | ST AGNES CONTINUING CARE CENTER | Yes (1) | ||
| ST FRANCIS FOUNDATION | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510374158 | FOUNDATION | DE | 501(C)(3) | LINE 11A, I | ST FRANCIS HOSPITAL | Yes (1) | ||
| ST FRANCIS HOSPITAL | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510064326 | HEALTHCARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER FOUNDATION INC | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 521025476 | FOUNDATION | NJ | 501(C)(3) | LINE 11A, I | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER TRENTON NJ | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 223431049 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | MAXIS HEALTH SYSTEM | Yes (1) | ||
| ST JAMES MERCY FOUNDATION INC | ||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 161486437 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST JAMES MERCY HEALTH SYSTEM INC | Yes (1) | ||
| ST JAMES MERCY HEALTH SYSTEM INC | ||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 223127184 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST JAMES MERCY HOSPITAL | ||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 160743310 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST JAMES MERCY HEALTH SYSTEM INC | Yes (1) | ||
| ST JOSEPH MERCY OAKLAND FOUNDATION | ||||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | FOUNDATION | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (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 | Yes (1) | ||
| ST MARY BUILDING AND DEVELOPMENT COMPANY | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 461827502 | TITLE HOLDING COMPANY | PA | 501(C)(2) | N/A | ST MARY MEDICAL CENTER | Yes (1) | ||
| ST MARY EMERGENCY MEDICAL SERVICES | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 465354512 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (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 | Yes (1) | ||
| ST MARY MEDICAL CENTER | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 231913910 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (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 | Yes (1) | ||
| ST MARY'S FOUNDATION INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582544232 | FOUNDATION | GA | 501(C)(3) | LINE 11A, I | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| ST MARY'S HEALTH CARE SYSTEM INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 580566223 | HEALTHCARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (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 | Yes (1) | ||
| ST MARY'S MEDICAL GROUP INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 261858563 | HEALTHCARE SERVICES | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| ST MARY'S SACRED HEART HOSPITAL INC | ||||||||||||
| 367 CLEAR CREEK PARKWAY | LAVONIA | GA | 30553 | 473752176 | HEALTHCARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| ST MICHAEL'S FOUNDATION INC | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 223311976 | FOUNDATION | NJ | 501(C)(3) | LINE 11A, I | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| ST PETER'S AUXILIARY | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222843206 | VOLUNTEER SERVICE AUXILIARY | NY | 501(C)(3) | LINE 11A, I | ST PETER'S HEALTH CARE SERVICES | Yes (1) | ||
| ST PETER'S HEALTH CARE SERVICES | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222702507 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 9 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST PETER'S HEALTH PARTNERS | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 453570715 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 461177336 | HEALTHCARE SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST PETER'S HOSPITAL | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 141348692 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | ||
| ST PETER'S HOSPITAL FOUNDATION INC | ||||||||||||
| 319 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222262982 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | ||
| SUNNYVIEW HOSPITAL & REHABILITATION CENTER | ||||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 141338386 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | Yes (1) | ||
| SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION | ||||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 222505127 | FOUNDATION | NY | 501(C)(3) | LINE 11A, I | SUNNYVIEW HOSPITAL & REHABILITATION CENTER | Yes (1) | ||
| THE COMMUNITY HOSPICE FOUNDATION INC | ||||||||||||
| 295 VALLEY VIEW BLVD | RENSSELAER | NY | 12144 | 222692940 | FOUNDATION | NY | 501(C)(3) | LINE 7 | THE COMMUNITY HOSPICE INC | Yes (1) | ||
| THE COMMUNITY HOSPICE INC | ||||||||||||
| 295 VALLEY VIEW BLVD | RENSSELAER | NY | 12144 | 141608921 | HOSPICE SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | ||
| THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER | ||||||||||||
| 707 EAST CEDAR STREET | SOUTH BEND | IN | 46617 | 351654543 | FOUNDATION | IN | 501(C)(3) | LINE 11A, I | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| THE MARJORIE DOYLE ROCKWELL CENTER INC | ||||||||||||
| 421 WEST COLUMBIA ST | COHOES | NY | 12047 | 141793885 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| THE NORTHEAST HEALTH FOUNDATION INC | ||||||||||||
| 2224 BURDETT AVE | TROY | NY | 12180 | 222743478 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| TRI-HOSPITAL EMERGENCY MEDICAL SERVICES | ||||||||||||
| 309 GRAND RIVER | PORT HURON | MI | 48060 | 382485700 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 11D, III-O | 0 | N/A | ||
| TRI-HOSPITAL MRI CENTER | ||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48054 | 382884297 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| TRINITY CONTINUING CARE SERVICES | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382559656 | LONG TERM CARE | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY CONTINUING CARE SERVICES - INDIANA INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 930907047 | LONG TERM CARE | IN | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| TRINITY HEALTH - MICHIGAN | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382113393 | HEALTHCARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH CORPORATION | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 351443425 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH MINISTRIES | Yes (1) | ||
| TRINITY HEALTH PACE | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473073124 | PACE PROGRAM | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (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 | Yes (1) | ||
| TRINITY HOME HEALTH SERVICES INC | ||||||||||||
| 17410 COLLEGE PARKWAY | LIVONIA | MI | 48152 | 382621935 | MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| UIHLEIN MERCY CENTER | ||||||||||||
| 185 OLD MILITARY ROAD | LAKE PLACID | NY | 12946 | 150532190 | HEALTHCARE SERVICES (INACTIVE) | NY | 501(C)(3) | LINE 3 | MERCY UIHLEIN HEALTH CORPORATION | Yes (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 | Yes (1) | ||
| VILLA MARY IMMACULATE | ||||||||||||
| 301 HACKETT BLVD | ALBANY | NY | 12208 | 141438749 | LONG TERM CARE | NY | 501(C)(3) | LINE 3 | ST PETER'S HOSPITAL | Yes (1) | ||
| WESTSHORE HEALTH NETWORK | ||||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | HEALTH NETWORK | MI | 501(C)(4) | N/A | MERCY HEALTH PARTNERS | Yes (1) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | $64,489 | $853,084 | 0 | Yes (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 | HEALTHCARE 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 | |||||||
| EAST NORRITON MEDICAL ASSOCIATES | ||||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232319531 | MEDICAL OFFICE BUILDING | PA | 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 | |||||||
| FRESNO IMAGING CENTER | ||||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | FORMERLY DIAGNOSTIC IMAGING, IN DISSOLUTION | CA | N/A | |||||||
| GATEWAY HEALTH PLAN LP | ||||||||||||||
| 444 LIBERTY AVE | PITTSBURGH | PA | 15222 | 251691945 | MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE | PA | 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 | ||||||||||||||
| 3000 RIVERCHASE GALLERIA | BIRMINGHAM | AL | 35244 | 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 | $191,797 | $3,817,274 | 0 | Yes (1) | 0.49860 | |
| MCMC POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | MOUNT CARMEL HEALTH SYSTEM | RELATED | -$723 | $17,142 | 0 | Yes (1) | 0.30140 | |
| MEDILUCENT MOB I | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | MOUNT CARMEL HEALTH SYSTEM | RELATED | $159,110 | $1,953,263 | 0 | Yes (1) | 0.25230 | |
| 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 | $26,219 | $1,540,463 | 0 | Yes (1) | 0.29320 | |
| NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP | ||||||||||||||
| 2601 HOLME AVE | PHILADELPHIA | PA | 19152 | 232388040 | MEDICAL OFFICE BUILDING | PA | N/A | |||||||
| NEWCO AMBULATORY SURGERY CTR LLP | ||||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A | |||||||
| PHYSICIANS OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 1000 NE 56TH STREET | OAKLAND PARK | FL | 33334 | 352325646 | AMBULATORY SURGERY CENTER | FL | 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 | |||||||
| 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 | RADIATION ONCOLOGY | 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 | $134,035 | $1,672,996 | 0 | Yes (1) | 0.46970 | |
| ST MARY REHABILITATION HOSPITAL LLP | ||||||||||||||
| 680 SOUTH FORTH STREET | LOUISVILLE | KY | 40202 | 273938747 | HEALTHCARE SERVICES | DE | N/A | |||||||
| ST PETER'S AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 1375 WASHINGTON 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 | |||||||
| WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311784409 | MEDICAL OFFICE BUILDING RENTAL | OH | MOUNT CARMEL HEALTH SYSTEM | RELATED | -$1,176 | 0 | Yes (1) | 0.91810 | ||
| WOODLAND IMAGING CENTER LLC | ||||||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/ IMAGING | MI | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (50 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFILIATED MANAGEMENT SERVICES CORPORATION INC | |||||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141668024 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||||
| CARBONDALE PHYSICIANS' SERVICES INC | |||||||||||||||
| 100 LINCOLN AVE | CARBONDALE | PA | 18407 | 232365077 | PHARMACY | PA | N/A | C | Yes (1) | ||||||
| CATHERINE HORAN BUILDING CORP | |||||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 042938160 | BUILDING MANAGEMENT | MA | N/A | C | Yes (1) | ||||||
| CATHOLIC HEALTH EAST SENIOR SERVICES | |||||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 371572595 | SENIOR SERVICES | PA | N/A | C | Yes (1) | ||||||
| CHESTNUT RISK SERVICES LTD | |||||||||||||||
| INSURANCE | N/A | C | Yes (1) | 11 VICTORIA STREET | HAMILTON | BD | BD | ||||||||
| DIVERSIFIED COMMUNITY SERVICES INC | |||||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 043128890 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||||
| GOTTLIEB MANAGEMENT SERVICES INC | |||||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363330529 | MANAGEMENT SERVICES | IL | N/A | C | Yes (1) | ||||||
| HACKLEY HEALTH MANAGEMENT CENTER | |||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | Yes (1) | ||||||
| HACKLEY HEALTH VENTURES INC | |||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | Yes (1) | ||||||
| HACKLEY HEALTHCARE EQUIPMENT | |||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | Yes (1) | ||||||
| HACKLEY PROFESSIONAL CENTER | |||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | Yes (1) | ||||||
| HACKLEY PROFESSIONAL PHARMACY | |||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382447870 | PHARMACY | MI | N/A | C | Yes (1) | ||||||
| HEALTH MANAGEMENT SERVICES ORG INC | |||||||||||||||
| 500 GROVE STREET SUITE 100 | HADDON HEIGHTS | NJ | 08035 | 223366580 | MEDICAL ADMINISTRATION | NJ | N/A | C | Yes (1) | ||||||
| HEF INC | |||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383086401 | OFFICE STAFFING | MI | N/A | C | Yes (1) | ||||||
| HOLY CROSS PRIVATE HOME SERVICES CORP | |||||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521986562 | HOME CARE SERVICES | MD | N/A | C | Yes (1) | ||||||
| HPC CO-OWNERS ASSOCIATION | |||||||||||||||
| 1700 CLINTON | MUSKEGON | MI | 49442 | 270734448 | CONDOMINIUM ASSOCIATION | MI | N/A | C | Yes (1) | ||||||
| HURON ARBOR CORPORATION | |||||||||||||||
| 5301 EAST HURON RIVER DR PO BOX 992 | ANN ARBOR | MI | 48106 | 382475644 | PROVIDES OFFICE RENTAL SPACE | MI | N/A | C | Yes (1) | ||||||
| IHA AFFILIATION CORPORATION | |||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383188895 | MEDICAL MANAGEMENT | MI | N/A | C | Yes (1) | ||||||
| LANGHORNE SERVICES II INC | |||||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 253795549 | GENERAL PARTNER OF LMOB PARTNERS, II | PA | N/A | C | Yes (1) | ||||||
| LANGHORNE SERVICES INC | |||||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232625981 | GENERAL PARTNER OF LMOB PARTNERS | PA | N/A | C | Yes (1) | ||||||
| LIFECARE PHYSICIANS PC | |||||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 261649038 | HEALTH CARE SERVICES | NJ | N/A | C | Yes (1) | ||||||
| LOURDES MEDICAL ASSOCIATES PA | |||||||||||||||
| 500 GROVE STREET SUITE 100 | HADDON HEIGHTS | NJ | 08035 | 223361862 | MEDICAL SERVICES | NJ | N/A | C | Yes (1) | ||||||
| LOURDES URGENT CARE SERVICES PC | |||||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 464188202 | URGENT CARE CENTER | NJ | N/A | C | Yes (1) | ||||||
| MANNING MEDICAL PLLC | |||||||||||||||
| 315 S MANNING BLVD | ALBANY | NY | 12208 | 464331512 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||||
| MARYLAND CARE GROUP INC | |||||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521815313 | HEALTHCARE HOLDING | MD | N/A | C | Yes (1) | ||||||
| MCMC EASTWICK INC | |||||||||||||||
| C/O MHS ONE WEST ELM STREET STE 100 | CONSHOHOCKEN | PA | 19428 | 232184261 | MEDICAL OFFICE BUILDINGS | PA | N/A | C | Yes (1) | ||||||
| MEDNOW INC | |||||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | MEDICAL SERVICES | ID | N/A | C | Yes (1) | ||||||
| MERCY INPATIENT MEDICAL ASSOCIATES INC | |||||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 043029929 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||||
| MERCY MEDICAL SERVICES | |||||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | N/A | C | Yes (1) | ||||||
| MERCY SERVICES CORPORATION | |||||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363227348 | DORMANT | IL | N/A | C | Yes (1) | ||||||
| MICHIGAN ATHLETIC CLUB | |||||||||||||||
| 2500 BURTON | GRAND RAPIDS | MI | 49506 | 382647304 | ATHLETIC CLUB | MI | N/A | C | Yes (1) | ||||||
| MOUNT CARMEL HEALTH PROVIDERS INC | |||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311382442 | MEDICAL SERVICES | OH | N/A | C | Yes (1) | ||||||
| NURSING NETWORK INC | |||||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FORT LAUDERDALE | FL | 33308 | 591145192 | MEDICAL SERVICES | FL | N/A | C | Yes (1) | ||||||
| PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST | |||||||||||||||
| 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 046608649 | PROPERTY MANAGEMENT | MA | N/A | C | Yes (1) | ||||||
| PRIORITY PLUS OF CALIFORNIA | |||||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 770395267 | FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS | CA | N/A | C | Yes (1) | ||||||
| PROVIDENCE HOME CARE INC | |||||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 043317426 | HEALTH CARE SERVICES | MA | N/A | C | Yes (1) | ||||||
| SAINT ALPHONSUS HEALTH ALLIANCE INC | |||||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 820524649 | ACCOUNTABLE CARE ORGANIZATION | ID | N/A | C | Yes (1) | ||||||
| SAINT ALPHONSUS PHYSICIANS PA | |||||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 331078261 | PHYSICIANS | ID | N/A | C | Yes (1) | ||||||
| SAINT MARY'S HEALTH MANAGEMENT COMPANY | |||||||||||||||
| 200 JEFFERSON AVENUE SE | GRAND RAPIDS | MI | 49503 | 383450733 | ATHLETIC CLUB | MI | N/A | C | Yes (1) | ||||||
| SAMARITAN MEDICAL OFFICE BUILDING INC | |||||||||||||||
| 2212 BURDETT AVENUE | TROY | NY | 12180 | 141607244 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||||
| SJM PROPERTIES INC | |||||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 161294991 | PROPERTY HOLDINGS | NY | N/A | C | Yes (1) | ||||||
| ST MARY'S HIGHLAND HILLS VILLAGE INC | |||||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582276801 | ASSISTED LIVING | GA | N/A | C | Yes (1) | ||||||
| SURGERY CENTER FINANCING CORPORATION | |||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | C | Yes (1) | MOUNT CARMEL HEALTH SYSTEM | 1.00000 | |||||
| SYSTEM COORDINATED SERVICES INC | |||||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 042938181 | LAB SERVICES | MA | N/A | C | Yes (1) | ||||||
| THRE SERVICES LLC | |||||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 452603654 | REAL ESTATE BROKERAGE SERVICES | MI | N/A | C | Yes (1) | ||||||
| TRINITY HEALTH ACO INC | |||||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473794666 | ACCOUNTABLE CARE ORGANIZATION | DE | N/A | C | Yes (1) | ||||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | |||||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 383410377 | GRANTOR TRUST | MI | N/A | T | Yes (1) | ||||||
| VENZKE INSURANCE COMPANY LTD | |||||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | Yes (1) | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||||
| WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM | |||||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382700166 | CONDOMINIUM ASSOCIATION | MI | N/A | C | Yes (1) | ||||||
| WORKPLACE HEALTH OF GRAND HAVEN | |||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | Yes (1) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (30 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| TRINITY HEALTH-MICHIGAN | ||
| L | $57,577 | PER BOOKS |
| TRINITY HEALTH-MICHIGAN | ||
| M | $2,255,921 | PER BOOKS |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | ||
| L | $890,567 | PER BOOKS |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | ||
| L | $153,038 | PER BOOKS |
| MOUNT CARMEL COLLEGE OF NURSING | ||
| B | $1,063,110 | PER BOOKS |
| DILEY RIDGE MEDICAL CENTER | ||
| A | $60,613 | PER BOOKS |
| DILEY RIDGE MEDICAL CENTER | ||
| L | $1,746,955 | PER BOOKS |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||
| B | $586,179 | PER BOOKS |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||
| C | $3,085,029 | PER BOOKS |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||
| L | $1,039,071 | PER BOOKS |
| MOUNT CARMEL HEALTH PROVIDERS INC | ||
| L | $4,227,774 | PER BOOKS |
| MOUNT CARMEL HEALTH PROVIDERS INC | ||
| M | $5,116,149 | PER BOOKS |
| MOUNT CARMEL HEALTH PROVIDERS INC | ||
| P | $638,675 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| B | $26,410,328 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| M | $70,397,657 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| P | $53,286,717 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| Q | $1,432,870 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| R | $18,277,283 | PER BOOKS |
| TRINITY HOME HEALTH SERVICES INC | ||
| P | $165,968 | PER BOOKS |
| MOUNT CARMEL HEALTH PROVIDERS INC | ||
| C | $93,316 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| E | $40,000,000 | PER BOOKS |
| MOUNT CARMEL HEALTH PLAN | ||
| L | $105,042,575 | PER BOOKS |
| MOUNT CARMEL HEALTH INSURANCE COMPANY | ||
| L | $1,289,692 | PER BOOKS |
| DILEY RIDGE MEDICAL CENTER | ||
| C | $7,700,000 | PER BOOKS |
| MOUNT CARMEL HEALTH PARTNERS | ||
| C | $1,975,465 | PER BOOKS |
| MCE MOB IV LIMITED PARTNERSHIP | ||
| C | $218,395 | PER TAX RETURN |
| MEDILUCENT MOB I | ||
| C | $162,116 | PER TAX RETURN |
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | ||
| C | $76,230 | PER TAX RETURN |
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | ||
| C | $100,243 | PER TAX RETURN |
| WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||
| C | $89,879 | PER TAX RETURN |
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