TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CLAUS VON ZYCHLIN........................................................................ PRES & CEO; TRUSTEE	50.00 .......................5.00	X	X	0	968,943	106,255
(2) MATTHEW HABASH........................................................................ CHAIR	2.00 .......................	X	X	0	0	0
(3) STAMPP CORBIN........................................................................ VICE CHAIR	2.00 .......................	X	X	0	0	0
(4) JOHN PEREZ........................................................................ SECRETARY UNTIL 12/12	2.00 .......................	X	X	0	0	0
(5) SR RUTH M NICKERSON CSC........................................................................ TREASURER	2.00 .......................	X	X	0	0	0
(6) DAVID STEWART MD........................................................................ TRUSTEE UNTIL 12/12	2.00 .......................	X		0	0	0
(7) SUSAN TOMASKY........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(8) J RICHARD O'CONNELL........................................................................ TRUSTEE; EVP & PRES TRINITY HLTH DIV.	2.00 .......................53.00	X		0	1,036,410	130,423
(9) CARL BERASI DO........................................................................ TRUSTEE UNTIL 12/12	2.00 .......................	X		0	0	0
(10) JORGE GOMEZ........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(11) SR JOY O'GRADY........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(12) ANANTHA PADMANABHAN MD........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(13) LISA STEIN........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(14) CHARLES HICKEY MD........................................................................ TRUSTEE AS OF 1/13	2.00 .......................	X		10,780	0	0
(15) PATRICK CAIN MD........................................................................ TRUSTEE AS OF 3/13	2.00 .......................	X		0	0	0
(16) KATHY GATTERDAM........................................................................ TRUSTEE AS OF 1/13	2.00 .......................	X		0	0	0
(17) MICHAEL GARDENIER TATUM LLC........................................................................ INTERIM SYS CFO 7/12 - 12/12	50.00 .......................5.00		X	466,032	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) RONALD WHITESIDE........................................................................ EXEC VP & SYSTEM COO UNTIL 5/13	50.00 .......................5.00	X				0	630,708	56,382
(19) KEITH COLEMAN........................................................................ CFO AS OF 12/12	50.00 .......................5.00	X				0	32,538	877
(20) CYNTHIA SHEETS........................................................................ SYSTEM SVP & CIO UNTIL 5/13	40.00 .......................15.00		X			0	407,077	47,269
(21) JANET MEEKS........................................................................ PRESIDENT & COO, ST ANNS	55.00 .......................		X			0	433,910	111,605
(22) HUGH JONES........................................................................ SYSTEM SVP CORPORATE DEVELOPMENT	42.00 .......................10.00		X			0	287,569	38,278
(23) ANNE BROWNING........................................................................ SYSTEM SVP HUMAN RESOURCES	50.00 .......................5.00		X			0	308,780	40,216
(24) CHARLES BRETT JUSTICE........................................................................ SYSTEM VP STRATEGIC ADVANCEMENT	55.00 .......................		X			159,012	0	36,803
(25) SEAN MCKIBBEN........................................................................ PRESIDENT & COO MCW	55.00 .......................		X			0	388,886	49,860
(26) RICHARD D'ENBEAU........................................................................ PRESIDENT & COO MCNASH	55.00 .......................		X			650,000	0	0
(27) BRINSLEY LEWIS........................................................................ PRESIDENT & COO MCE	55.00 .......................		X			0	165,087	11,070
(28) JOSEPH SWEDISH........................................................................ TRINITY HLTH PRES & CEO UNTIL 3/13	2.00 .......................53.00		X			0	3,233,500	601,476
(29) KEDRICK ADKINS........................................................................ TRINITY PRES INTEG SVC UNTIL 6/13	2.00 .......................53.00		X			0	1,821,619	126,167
(30) RICHARD STRECK........................................................................ CHIEF MEDICAL OFFICER	50.00 .......................			X		0	526,325	40,485
(31) PHILIP SHUBERT........................................................................ MEDICAL DIRECTOR, ST ANNS	50.00 .......................			X		505,015	0	52,544
(32) THOMAS HARTRANFT........................................................................ DIRECTOR GEN SURGERY RESIDENCY PROG	50.00 .......................			X		374,653	0	42,478
(33) MARTHA REIGEL........................................................................ SYSTEM VP MEDICAL AFFAIRS	50.00 .......................			X		372,804	0	31,379
(34) GERALD GIRARDI........................................................................ PERINATAL MEDICAL DIRECTOR	50.00 .......................			X		0	351,312	24,064
(35) JACQUELINE PRIMEAU........................................................................ FORMER OFFICER	0.00 .......................55.00				X	0	383,030	40,412
(36) PAULA AUTRY........................................................................ FORMER KEY EMPLOYEE	0.00 .......................				X	0	335,568	55,887
(37) MICHAEL MURPHY........................................................................ FORMER KEY EMPLOYEE	0.00 .......................				X	0	180,882	16,630
(38) JOHN HEISLER........................................................................ FORMER KEY EMPLOYEE	0.00 .......................52.00				X	0	413,294	37,074

(A) Name and business address	(B) Description of services	(C) Compensation
MESSER CONSTRUCTION5158 FISHWICK DRIVECINCINNATIOH45216	CONSTRUCTION SERVICES	36,328,421
HHA SERVICES22622 HARPER AVENUEST CLAIR SHORESMI48080	HOSPITAL SERVICES	4,756,620
CONSULTANT ANESTHESIOLOGISTS6001 E BROAD STREETCOLUMBUSOH43213	HEALTHCARE SERVICES	4,502,045
ELFORD INC1220 DUBLIN ROADCOLUMBUSOH43215	CONSTRUCTION SERVICES	4,288,780
COLUMBUS CYBERKNIFE LLC495 COOPER ROADWESTERVILLEOH43081	HEALTHCARE SERVICES	3,889,198
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 96

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	574,210	574,210
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	4,723,165		4,723,165
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	131,093	131,093
7	Other salaries and wages	370,332,473	331,324,220	39,008,253
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	23,918,077	21,341,894	2,576,183
9	Other employee benefits .......	32,509,891	28,921,867	3,588,024
10	Payroll taxes ...........	28,056,773	24,858,301	3,198,472
11	Fees for services (non-employees):
a	Management ......	2,183,261	854,881	1,328,380
b	Legal .........	1,101,687		1,101,687
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	71,372,099	46,006,063	25,366,036
12	Advertising and promotion ....	4,813,008	2,347	4,810,661
13	Office expenses .......	14,516,778	8,100,198	6,416,580
14	Information technology ......	52,229,595	38,127,604	14,101,991
15	Royalties ..
16	Occupancy ...........	22,107,997	18,493,463	3,614,534
17	Travel ............	1,089,823	727,038	362,785
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	444,288	289,688	154,600
20	Interest ...........	17,082,377	17,082,377
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	70,949,089	49,544,758	21,404,331
23	Insurance ..............	5,262,830	5,262,830
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	214,359,733	214,359,733
b	UBI TAXES	147,529		147,529
c	BAD DEBT	84,432,115	84,432,115
d	INTERCO. PURCHASED SVCS	24,672,149	17,750,065	6,922,084
e	All other expenses	59,399,791	45,355,350	14,044,441
25	Total functional expenses. Add lines 1 through 24e	1,106,409,831	953,540,095	152,869,736	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	260	1	25,297
2	Savings and temporary cash investments .........	30,938,512	2	21,815,683
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............		4	125,600,394
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	19,974,968	7	2,988,711
8	Inventories for sale or use ..............	1,022,678	8	17,420,915
9	Prepaid expenses and deferred charges ..........	1,240,400	9	3,044,390
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,281,903,972
b	Less: accumulated depreciation .....	10b	762,398,574	93,875,508	10c	519,505,398
11	Investments—publicly traded securities ..........	199,459,321	11	277,213,173
12	Investments—other securities. See Part IV, line 11 .....	324,201,601	12	265,418,921
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	1,003,295	14	44,837,110
15	Other assets. See Part IV, line 11 ...........	203,648,261	15	281,183,455
16	Total assets. Add lines 1 through 15 (must equal line 34)......	875,364,804	16	1,559,053,447
	17	Accounts payable and accrued expenses .........	63,901,458	17	122,558,302
18	Grants payable .................		18
19	Deferred revenue ................	5,740	19	1,000
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23	3,646,736
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	467,712,874	25	498,054,952
26	Total liabilities. Add lines 17 through 25.........	531,620,072	26	624,260,990
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	343,744,732	27	934,792,457
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	343,744,732	33	934,792,457
34	Total liabilities and net assets/fund balances ........	875,364,804	34	1,559,053,447

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization MOUNT CARMEL HEALTH SYSTEM

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization MOUNT CARMEL HEALTH SYSTEM

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

40,737

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

80,145

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

120,882

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
EXPLANATION OF LOBBYING ACTIVITIES:	PART II-B, LINE 1:	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.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................		46,101,435		46,101,435
b	Buildings ................		682,593,064	408,751,287	273,841,777
c	Leasehold improvements ............
d	Equipment ................		449,686,624	353,629,579	96,057,045
e	Other .................	6,651,703	96,871,146	17,708	103,505,141
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					519,505,398

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	81,250,690	F
(B) EQUITY METHOD INVESTMENTS	97,500,828	C
(C) HEDGE FUNDS	86,667,403	F






Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	265,418,921

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) MISCELLANEOUS RECEIVABLES				12,590,211
(2) INTERCOMPANY ACCOUNTS RECEIVABLE				173,823,043
(3) INVESTMENT IN UNCONSOL. AFFILIATES				38,793,941
(4) INTERCOMPANY OTHER LT ASSETS				54,008,616
(5) OTHER LONG-TERM ASSETS				832,593
(6) OTHER CURRENT ASSETS				1,135,051



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				281,183,455

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
INTERCOMPANY ACCOUNTS PAYABLE		11,119,288
DEFERRED COMPENSATION LIABILITY		960,826
OTHER CURRENT LIABILITIES		1,764,767
INTERCOMPANY NOTES PAYABLE		477,025,283
LEASE OBLIGATION		951,310
OTHER LONG-TERM LIABILITIES		3,507,050
ASSET RETIREMENT OBLIGATION (FIN 47)		2,726,428


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		498,054,952
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	4	32,647	38,874,069	9,846,192	29,027,877	2.840 %
b	Medicaid (from Worksheet 3, column a) ....	46	102,578	117,320,147	80,204,200	37,115,947	3.630 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	50	135,225	156,194,216	90,050,392	66,143,824	6.470 %
Other Benefits		13	56,616	2,914,297	7,701	2,906,596	0.280 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	13	56,616	2,914,297	7,701	2,906,596	0.280 %
f	Health professions education (from Worksheet 5) ..	3	670	20,552,314	6,455,784	14,096,530	1.380 %
g	Subsidized health services (from Worksheet 6) ..	6	15,721	2,513,570	96,528	2,417,042	0.240 %
h	Research (from Worksheet 7)	2	28,628	435,003		435,003	0.040 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	3	10,196	613,873		613,873	0.060 %
j	Total. Other Benefits ..	27	111,831	27,029,057	6,560,013	20,469,044	2.000 %
k	Total. Add lines 7d and 7j .	77	247,056	183,223,273	96,610,405	86,612,868	8.470 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1		538		538	0 %
3	Community support	2	9,693	10,499		10,499	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other	4	14,100	91,836	5,500	86,336	0.010 %
10	Total	7	23,793	102,873	5,500	97,373	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

28,378,240

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

189,609,533

Enter Medicare allowable costs of care relating to payments on line 5.....

183,971,914

Subtract line 6 from line 5. This is the surplus (or shortfall)........

5,637,619

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 BIG RUN URGENT CARE LTD	OPERATE URGENT CARE CENTERS	40.000 %	60.000 %
22 ST ANN'S MEDICAL OFFICE BUILDING II LIMITED PARTNERSHIP	MEDICAL OFFICE BLDG.	46.750 %	53.250 %
33 MCE MOB IV LIMITED PARTNERSHIP	MEDICAL OFFICE BLDG.	49.600 %	50.400 %
44 MCMC POB III LIMITED PARTNERSHIP	MEDICAL OFFICE BLDG.	25.170 %	74.830 %
55 MOUNT CARMEL EAST POB III LMITED PARTNERSHIP	MEDICAL OFFICE BLDG.	27.500 %	72.500 %
66 WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP	MEDICAL OFFICE BLDG.	44.330 %	55.670 %
77 MEDILUCENT MOB I	MEDICAL OFFICE BLDG.	25.000 %	75.000 %
88 EYE CENTER OF COLUMBUS LLC	EYE SURGERY AND TREATMENT CENTER	3.190 %	93.630 %
99 TAYLOR STATION SURGICAL CENTER LTD	AMBULATORY SURGERY CENTER	40.000 %	60.000 %
1010 CANAL WINCHESTER MOB LLC	MEDICAL OFFICE BLDG.	22.000 %	78.000 %
1111 GREEN STREET SURGERY CENTER LLC	AMBULATORY SURGERY CENTER	20.000 %	60.000 %
1212 SA MOB III LLC	MEDICAL OFFICE BLDG.	43.010 %	56.990 %
1313 NEW ALBANY SURGERY CENTER LLC	AMBULATORY SURGERY CENTER	40.000 %	60.000 %
1414 CONCORD RADIATION THERAPY LLC	CANCER TREATMENT CENTER	50.000 %	50.000 %
1515 MOUNT CARMEL HEALTH PARTNERS INC	HEALTHCARE SERVICES	50.000 %	50.000 %
1616 BIG RUN MEDICAL OFFICE BUILDING	MEDICAL OFFICE BLDG.	50.000 %	50.000 %
1717 CENTRAL OHIO SLEEP MEDICINE	SLEEP LAB AND TREATMENT CENTER	60.000 %	40.000 %
1818 COLUMBUS CYBERKNIFE	ROBOTIC CANCER TREATMENT CENTER	35.000 %	50.000 %

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?4 Name, address, and primary website address
1	MOUNT CARMEL EAST 6001 EAST BROAD STREET COLUMBUS,OH43213 WWW.MOUNTCARMELHEALTH.COM	X	X			X
2	MOUNT CARMEL WEST 793 WEST STATE STREET COLUMBUS,OH43222 WWW.MOUNTCARMELHEALTH.COM	X	X	X		X
3	MOUNT CARMEL ST ANN'S 500 SOUTH CLEVELAND AVENUE WESTERVILLE,OH43081 WWW.MOUNTCARMELHEALTH.COM	X	X	X		X
4	MOUNT CARMEL NEW ALBANY SURGICAL HOSP 7333 SMITHS MILL ROAD NEW ALBANY,OH43054 WWW.MOUNTCARMELHEALTH.COM	X	X		X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MOUNT CARMEL EAST
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MOUNT CARMEL WEST
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MOUNT CARMEL ST ANN'S
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MOUNT CARMEL NEW ALBANY SURGICAL HOSP
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?34
Name and address		Type of Facility (describe)
1	WESTAR HEALTH CENTER 444 N CLEVELAND AVE WESTERVILLE,OH43082	ANTICOAGULATION, HEART FAILURE CENTER, CARDIAC REHAB, REHAB & SPORTS MEDICI
2	MOUNT CARMEL EAST IMAGING CENTER 5969 E BROAD ST STE 100 COLUMBUS,OH43213	IMAGING CENTER
3	MOUNT CARMEL RADIATION THERAPY 3100 PLAZA PROPERTIES BLVD STE 120 COLUMBUS,OH43219	CANCER TREATMENT
4	MOUNT CARMEL ST ANN'S WOMENS HEALTH CEN 477 COOPER RD STE 100 WESTERVILLE,OH43081	WOMENS HEALTH
5	MOUNT CARMEL INFUSION SERVICES AND WOUND 5975 E BROAD ST STE 300 COLUMBUS,OH43213	CANCER TREATMENT, WOUND CENTER
6	MOUNT CARMEL ST ANN'S IMAGING CENTER & 495 COOPER RD STE 100 WESTERVILLE,OH43081	IMAGING CENTER, OUTPATIENT LAB
7	MOUNT CARMEL WEST REHAB & SPORTS MEDICIN 745 W STATE ST STE 700 COLUMBUS,OH43222	REHAB & SPORTS MEDICINE
8	MOUNT CARMEL HEALTH CENTER AT GROVE CITY 3000 MEADOW POND CT GROVE CITY,OH43123	OUTPATIENT LAB, REHAB & SPORTS MEDICINE, WOMENS HEALTH, URGENT CARE
9	MOUNT CARMEL REHAB & SPORTS MEDICINE AT 3775 TRUEMAN CT COLUMBUS,OH43026	REHAB & SPORTS MEDICINE
10	MOUNT CARMEL EAST REHAB & SPORTS MEDICI 5965 E BROAD ST STE 390 COLUMBUS,OH43213	REHAB & SPORTS MEDICINE
11	MOUNT CARMEL EAST BROAD STREET URGENT CA 6435 E BROAD ST COLUMBUS,OH43213	URGENT CARE
12	MOUNT CARMEL OCCUPATIONAL HEALTH 4171 ALRINGATE PLAZA STE 18 COLUMBUS,OH43228	OCCUPATIONAL HEALTH
13	MOUNT CARMEL HEALTH CENTER AT WEDGEWOOD 10330 SAWMILL PKWY POWELL,OH43065	WOMENS HEALTH
14	MOUNT CARMEL ST ANN'S CANCER CENTER 495 COOPER RD STE 120 WESTERVILLE,OH43081	CANCER TREATMENT
15	MOUNT CARMEL WEST WOMENS HEALTH 750 MOUNT CARMEL MALL STE 160 COLUMBUS,OH43222	WOMENS HEALTH
16	BIG RUN HEALTH CENTER 4300 CLIME RD COLUMBUS,OH43228	IMAGING CENTER, OUTPATIENT LAB
17	MOUNT CARMEL EAST WOMENS HEALTH 5965 E BROAD ST STE 100 COLUMBUS,OH43123	WOMENS HEALTH
18	SEDALIA MEDICAL CENTER 5339 HENDRON RD GROVEPORT,OH43125	OCCUPATIONAL HEALTH, OUTPATIENT LAB
19	MOUNT CARMEL CARDIAC REHAB & OUTPATIENT 150 TAYLOR STATION RD COLUMBUS,OH43213	CARDIAC REHAB, OUTPATIENT LAB
20	MOUNT CARMEL EAST OCCUPATIONAL HEALTH 5969 E BROAD ST STE 307 COLUMBUS,OH43213	OCCUPATIONAL HEALTH
21	TAYLOR STATION SURGERY CENTER 275 TAYLOR STATION RD COLUMBUS,OH43213	SURGERY CENTER
22	NEW ALBANY SURGERY CENTER 5040 FOREST DR STE 100 NEW ALBANY,OH43054	SURGERY CENTER
23	MOUNT CARMEL EAST ANTICOAGULATION STRUC 5965 E BROAD ST STE 200 COLUMBUS,OH43213	ANTICOAGULATION, HEART FAILURE CENTER, ATRIAL FIBRILATION CENTER, STRUCTURAL
24	GREEN STREET SURGERY CENTER 120 GREEN ST COLUMBUS,OH43222	SURGERY CENTER
25	MOUNT CARMEL WEST ANTICOAGULATION STRUC 730 W RICH ST COLUMBUS,OH43222	ANTICOAGULATION, HEART FAILURE CENTER, STRUCTURAL HEART
26	CENTRAL OHIO SLEEP MEDICINE 4625 MORSE RD STE 200 GAHANNA,OH43230	SLEEP MEDICINE
27	MOUNT CARMEL WEST CENTRAL MEDICAL CENTER 454 WEST CENTRAL AVE DELAWARE,OH43015	IMAGING CENTER, OUTPATIENT LAB
28	HIGHFIELD MRI - HILLIARD 3755 RIDGE MILL DR COLUMBUS,OH43026	IMAGING CENTER
29	HIGHFIELD MRI - POLARIS 1120 POLARIS PKWY COLUMBUS,OH43240	IMAGING CENTER
30	COLUMBUS CYBERKNIFE 495 COOPER RD STE 125 WESTERVILLE,OH43081	CANCER TREATMENT
31	MOUNT CARMEL PATASKALA MEDICAL CENTER OU 8200 HAXELTON-ETNA RD STE 50 PATASKALA,OH43062	OUTPATIENT LAB
32	MOUNT CARMEL OUTPATIENT LAB 85 MCNAUGHTEN RD STE 150 COLUMBUS,OH43213	OUTPATIENT LAB
33	MOUNT CARMEL WEST OUTPATIENT LAB 750 MOUNT CARMEL MALL RM 180 COLUMBUS,OH43222	OUTPATIENT LAB
34	EYE CENTER OF COLUMBUS 262 NEIL AVE STE 500 COLUMBUS,OH43215	COMMUNITY OPTHALMIC RESOURCES

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
		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 IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, THE HOSPITAL DIVISIONS OF MOUNT CARMEL HEALTH SYSTEM INCLUDE A COPY OF THEIR MOST RECENTLY FILED SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES MOUNT CARMEL HEALTH SYSTEM'S MOST RECENTLY FILED SCHEDULE H ON ITS 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, L7 COL(F): THE FOLLOWING NUMBER, $84,432,115, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
		PART II: COMMUNITY BUILDING ACTIVITIES - MOUNT CARMEL HEALTH SYSTEM (MCHS) CONTRIBUTED TO THE ECONOMIC AND CIVIC HEALTH OF THE SURROUNDING COMMUNITY BY SERVING IN AND CONTRIBUTING TO THE EFFORTS OF SEVERAL CHAMBERS OF COMMERCE AND OTHER CIVIC ORGANIZATIONS, BOTH IN THE CITY OF COLUMBUS AND IN SURROUNDING SUBURBS. MOUNT CARMEL'S LEADERS HAVE IDENTIFIED COMMUNITY NEEDS THROUGH THEIR SERVICE ON VARIOUS COMMUNITY BOARDS AND ADVISORY GROUPS. THEY HAVE ALSO GIVEN THEIR EXPERTISE TO THESE GROUPS AND HAVE BEEN ABLE TO ADVOCATE ON ISSUES SURROUNDING HEALTH IN THE COLUMBUS AREA. AS IN PAST YEARS, MOUNT CARMEL HEALTH SYSTEM MADE FINANCIAL CONTRIBUTIONS IN FISCAL YEAR 2013 TO A VARIETY OF NON-PROFIT SOCIAL SERVICES AGENCIES/ORGANIZATIONS, INCLUDING THOSE THAT HELP ADDRESS HEALTH, HOUSING, AND HUNGER. ST. ANN'S ALSO CONTRIBUTED TO THE ECONOMIC AND CIVIC HEALTH OF THE SURROUNDING COMMUNITY BY SERVING IN AND CONTRIBUTING TO THE EFFORTS OF THE CHAMBER OF COMMERCE AND OTHER CIVIC ORGANIZATIONS. ST. ANN'S COLLABORATES WITH THE WESTERVILLE COMMUNITY IN MANY OF THEIR COMMUNITY PROGRAMS SUCH AS THE SUMMER LUNCH PROGRAM FOR SCHOOL CHILDREN, AND PROVIDING A HEALTH NURSE FOR OTTERBEIN COLLEGE. ST. ANN'S ASSOCIATES SERVE ON SEVERAL BOARDS AND COMMITTEES IN THE COMMUNITY, AND ARE HELPING THE MAYOR'S OFFICE IN THEIR EFFORTS TO COMBINE A MEDICAL CLINIC WITH THEIR OUTREACH PROGRAM. SAFETY IS ALSO A CONCERN FOR THE GENERAL PUBLIC. MOUNT CARMEL FACILITIES RECOGNIZED THE COMMUNITY'S NEED TO BE PREPARED FOR ANY EMERGENCIES THAT MAY THREATEN THE HEALTH AND LIVES OF CITIZENS IN FRANKLIN AND SURROUNDING COUNTIES. MOUNT CARMEL HEALTH SYSTEM SAFETY AND SECURITY PERSONNEL ATTEND CITY- AND STATEWIDE MEETINGS AND PARTICIPATED IN TRAINING COMMUNITY LEADERS TO PLAN AND EXERCISE EMERGENCY RESPONSES IN THE EVENT OF DISASTER. THE MOUNT CARMEL HEALTH SYSTEM SAFETY AND SECURITY PERSONNEL TEACH VARIOUS SAFETY PROGRAMS TO MANY OTHER COLUMBUS AREA FIRST RESPONDERS.
		PART III, LINE 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 17 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 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 MINISTRY ORGANIZATION 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."METHODOLOGY USED FOR LINE 2: BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY. ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3 - MOUNT CARMEL HEALTH SYSTEM IDENTIFIES CHARITY PATIENTS AT THE TIME OF SERVICE AND INCLUDES A CHARITY APPLICATION WITH EVERY STATEMENT PER OHIO LAW.
		PART III, LINE 8: MOUNT CARMEL HEALTH SYSTEM DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
		PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
MOUNT CARMEL EAST		PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS.
MOUNT CARMEL WEST		PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS.
MOUNT CARMEL ST. ANN'S		PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.		PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE PROJECT WHICH FORMED A STEERING COMMITTEE THAT INCLUDED FOUR COLUMBUS HEALTH SYSTEMS, COLUMBUS CITY AND FRANKLIN COUNTY PUBLIC HEALTH, THE UNITED WAY OF CENTRAL OHIO, NEIGHBORHOOD HEALTH CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS, CENTRAL OHIO HOSPITAL COUNCIL, AND THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. OVERVIEW OF THESE MEETINGS WAS SHARED WITH COMMUNITY MEMBERS AND INPUT AND ADVICE SOLICITED AT COMMUNITY ADVISORY MEETINGS AND COMMUNITY HEALTH PLANNING SESSIONS.
MOUNT CARMEL EAST		PART V, SECTION B, LINE 4: NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY
MOUNT CARMEL WEST		PART V, SECTION B, LINE 4: NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY
MOUNT CARMEL ST. ANN'S		PART V, SECTION B, LINE 4: NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.		PART V, SECTION B, LINE 4: NATIONWIDE CHILDREN'S; OHIOHEALTH; WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSITY
MOUNT CARMEL EAST		PART V, SECTION B, LINE 5C: 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 5A: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT
MOUNT CARMEL WEST		PART V, SECTION B, LINE 5C: 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 5A: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT
MOUNT CARMEL ST. ANN'S		PART V, SECTION B, LINE 5C: 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 5A: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.		PART V, SECTION B, LINE 5C: 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 5A: HTTP://WWW.MOUNTCARMELHEALTH.COM/COMMUNITY-BENEFIT
MOUNT CARMEL EAST		PART V, SECTION B, LINE 7: THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MOUNT CARMEL EAST BECAUSE THEY ARE BEING ADDRESSED BY OTHER MOUNT CARMEL HEALTH SYSTEM FACILITIES OR COLLABORATIVE PARTNERS: BEHAVIORAL HEALTH IS BEING ADDRESSED BY MOUNT CARMEL WEST AND ST. ANN'S HOSPITALS, AS WELL AS COLLABORATIVE PARTNER DILEY RIDGE MEDICAL CENTER. INTERPERSONAL VIOLENCE IS BEING ADDRESSED BY MOUNT CARMEL NEW ALBANY.
MOUNT CARMEL WEST		PART V, SECTION B, LINE 7: THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MOUNT CARMEL WEST BECAUSE THEY ARE BEING ADDRESSED BY OTHER MOUNT CARMEL HEALTH SYSTEM FACILITIES: INTERPERSONAL VIOLENCE IS BEING ADDRESSED BY MOUNT CARMEL NEW ALBANY AND UNINTENTIONAL INJURIES ARE BEING ADDRESSED BY MOUNT CARMEL EAST AND ST. ANN'S HOSPITALS.
MOUNT CARMEL ST. ANN'S		PART V, SECTION B, LINE 7: INTERPERSONAL VIOLENCE IS NOT BEING ADDRESSED BY MOUNT CARMEL ST. ANN'S BECAUSE IT IS BEING ADDRESSED BY MOUNT CARMEL NEW ALBANY, ANOTHER MOUNT CARMEL HEALTH SYSTEM FACILITY.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.		PART V, SECTION B, LINE 7: THE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MOUNT CARMEL NEW ALBANY BECAUSE THEY ARE BEING ADDRESSED BY OTHER MOUNT CARMEL HEALTH SYSTEM FACILITIES OR COLLABORATIVE PARTNERS: BEHAVIORAL HEALTH IS BEING ADDRESSED BY MOUNT CARMEL WEST AND ST. ANN'S HOSPITALS, AS WELL AS COLLABORATIVE PARTNER DILEY RIDGE MEDICAL CENTER. HIGH INCIDENCE OF CANCER IS BEING ADDRESSED BY MOUNT CARMEL EAST, WEST, AND ST. ANN'S HOSPITALS, AS WELL AS COLLABORATIVE PARTNER DILEY RIDGE MEDICAL CENTER. HIGH RISK PREGNANCY IS BEING ADDRESSED BY MOUNT CARMEL EAST, WEST, AND ST. ANN'S HOSPITALS. UNINTENTIONAL INJURIES ARE BEING ADDRESSED BY MOUNT CARMEL EAST AND ST. ANN'S HOSPITALS.
MOUNT CARMEL EAST		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
MOUNT CARMEL WEST		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
MOUNT CARMEL ST. ANN'S		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
MOUNT CARMEL NEW ALBANY SURGICAL HOSP.		PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
		PART VI, LINE 2: NEEDS ASSESSMENT - MOUNT CARMEL HEALTH SYSTEM ASSESSES THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. 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. QUARTERLY MEETINGS WITH A COMMUNITY ADVISORY BOARD ARE HELD.
		PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MOUNT CARMEL HEALTH SYSTEM IS COMMITTED TO: -PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES; -CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES; -ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE; AND -BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITY.IN ACCORDANCE WITH AHA RECOMMENDATIONS, THE MOUNT CARMEL HEALTH SYSTEM HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: -PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS -MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS -OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS -IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER -IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSMOUNT CARMEL HEALTH SYSTEM WILL PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. THIS INFORMATION IS COMMUNICATED THROUGH PATIENT FINANCIAL SERVICES COLLEAGUES IN PATIENT REGISTRATION, CUSTOMER SERVICE, AND BILLING AND COLLECTIONS - ALL OF WHOM RECEIVE TRAINING REGARDING FEDERAL, STATE AND LOCAL PUBLIC FINANCIAL ASSISTANCE PROGRAMS AND MOUNT CARMEL'S PATIENT FINANCIAL ASSISTANCE PROGRAM.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. IN ADDITION, THE EXTERNAL COLLECTION AGENCIES AND EXTERNAL MEDICAID ELIGIBILITY VERIFICATION VENDOR WITH WHOM MOUNT CARMEL WORKS ALSO RECEIVE TRAINING REGARDING THESE PROGRAMS. ALL MOUNT CARMEL PATIENT FINANCIAL STATEMENTS INCLUDE A FINANCIAL ASSISTANCE APPLICATION AND PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.MOUNT CARMEL HEALTH SYSTEM OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE. MOUNT CARMEL HEALTH SYSTEM OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED FINANCIAL MEANS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS LIKE MEDICAID OR OTHER PUBLIC ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS COMMUNICATED VIA SIGNS THAT ARE PROMINENTLY DISPLAYED IN ALL PATIENT REGISTRATION AREAS. BROCHURES PLACED IN PATIENT REGISTRATION AREAS EDUCATE PATIENTS IN GREATER DETAIL ABOUT THE AVAILABILITY OF FEDERAL, STATE AND LOCAL ASSISTANCE PROGRAMS AS WELL AS MOUNT CARMEL'S PATIENT FINANCIAL ASSISTANCE PROGRAM. SUMMARIES OF FEDERAL, STATE AND LOCAL PUBLIC FINANCIAL ASSISTANCE PROGRAMS AND MOUNT CARMEL'S PATIENT FINANCIAL ASSISTANCE PROGRAM ALSO ARE MADE AVAILABLE THROUGH MOUNT CARMEL SERVICES THAT DIRECTLY INTERACT WITH THE COMMUNITY, INCLUDING MOUNT CARMEL COMMUNITY OUTREACH AND MOUNT CARMEL HEALTH STATIONS CLINICS; OTHER ORGANIZATIONS THAT SERVE THE UNINSURED AND UNDERINSURED SUCH AS ACCESS HEALTH COLUMBUS, SOCIAL SERVICES AGENCIES LIKE CATHOLIC SOCIAL SERVICES, HOMELESS SHELTERS, FEDERALLY QUALIFIED HEALTH CENTERS LIKE HEART OF OHIO FAMILY HEALTH CENTERS AND LOWER LIGHTS CHRISTIAN HEALTH CENTER. INFORMATION REGARDING PATIENT FINANCIAL ASSISTANCE PROGRAMS ALSO IS AVAILABLE ON THE MOUNT CARMEL WEBSITE AT HTTP://WWW.MOUNTCARMELHEALTH.COM/FINANCIALASSISTANCE.IN ADDITION TO ENGLISH, PATIENT FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE IN SPANISH AND SOMALI FOR THOSE WITH LIMITED ENGLISH PROFICIENCY, REFLECTING OTHER PREDOMINANT LANGUAGES SPOKEN IN THE COMMUNITIES SERVED. MOUNT CARMEL ALSO HAS INTERPRETING SERVICES AVAILABLE FOR LIMITED ENGLISH PROFICIENCY REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. MOUNT CARMEL HEALTH SYSTEM HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MOUNT CARMEL HEALTH SYSTEM MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. MOUNT CARMEL HEALTH SYSTEM EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES.
		PART VI, LINE 4: COMMUNITY INFORMATION - MOUNT CARMEL HEALTH SYSTEM PREDOMINATELY SERVES CENTRAL OHIO, WHICH INCLUDES FRANKLIN AND FIVE CONTIGUOUS COUNTIES (DELAWARE, FAIRFIELD, LICKING, MADISON AND PICKAWAY), AND IS HOME TO NEARLY 1.7 MILLION RESIDENTS. AMONG CENTRAL OHIO HOUSEHOLDS, 20% HAVE A HOUSEHOLD INCOME OF LESS THAN $25,000, AND ANOTHER 26% HAVE A HOUSEHOLD INCOME OF BETWEEN $25,000 AND $50,000. OVER THE NEXT FIVE YEARS, CENTRAL OHIO'S POPULATION IS EXPECTED TO EXPERIENCE A HIGH GROWTH RATE (18%) IN ADULTS AGE 55 AND OLDER AND A SLIGHT DECLINE IN ADULTS BETWEEN THE AGES OF 18 AND 34. IN 2009, APPROXIMATELY 33% OF THE POPULATION OVER AGE 25 HELD A BACHELOR'S OR HIGHER DEGREE, NEARLY FIVE PERCENTAGE POINTS HIGHER THAN THE NATIONAL AVERAGE. 27% OF THE RESIDENTS OF COLUMBUS LIVE AT OR BELOW THE NATIONAL POVERTY LEVEL AND 12.5% LIVE AT OR BELOW 50% OF POVERTY LEVEL. ACCORDING TO THE 2008-2009 OHIO FAMILY HEALTH SURVEY, 138,625 ADULTS IN FRANKLIN COUNTY BETWEEN THE AGES OF 18-64, OR ABOUT 19% OF THAT POPULATION, DO NOT HAVE HEALTH INSURANCE. THIS NUMBER IS SLIGHTLY HIGHER THAN THE STATEWIDE PERCENTAGE OF 17% UNINSURED ADULTS IN THAT AGE GROUP. CENTRAL OHIO FEATURES A DIVERSE EMPLOYER BASE, INCLUDING MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE AND AGRICULTURE. THE OHIO UNEMPLOYMENT RATE DECLINED TO 6.9% IN OCTOBER 2012. THE UNEMPLOYMENT RATE FOR FRANKLIN COUNTY WAS 6.1%. THE COMMUNITY NEED INDEX ON THE COLUMBUS WEST SIDE WHERE MOUNT CARMEL WEST IS LOCATED IS 4.8 ON A SCALE OF 1-5 WITH 1 BEING AN AREA OF LOW NEED AND 5 AN AREA WITH THE HIGHEST LEVEL OF NEED. MOUNT CARMEL EAST HOSPITAL IS LOCATED IN AN AREA WITH A 3.8 COMMUNITY NEED INDEX. ST. ANN'S IS LOCATED IN AN AREA WITH THE COMMUNITY NEED INDEX OF 2.2 WHICH IS MUCH LOWER THAN THE OTHER FACILITIES BUT WITH POCKETS OF HIGHER NEED WITHIN ITS SERVICE AREA. MOUNT CARMEL NEW ALBANY IS LOCATED IN AN AREA WITH THE LOWEST COMMUNITY NEED INDEX. IT IS 1.6 WHICH IS WHY MCNA REACHES OUT TO SUPPORT EFFORTS IN SURROUNDING COMMUNITIES.
		PART VI, LINE 5: OTHER INFORMATION - IN FISCAL YEAR 2013, PROJECTS FOR BOTH THE POOR AND BROADER COMMUNITY WERE SUPPORTED TO ASSIST INDIVIDUALS FACING EMOTIONAL AND PHYSICAL HEALTH CHALLENGES AS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. ONE OF THE PROJECTS IS A COLLABORATION BETWEEN MOUNT CARMEL HEALTH SYSTEM AND THE MOMS 2 BE PROGRAM. THIS PROGRAM TARGETS PREGNANT WOMEN AND MOST OF THE MOTHERS LIVE BELOW THE FEDERAL POVERTY LEVEL. 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 MOMS2B 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.THE RESULTS OF THE COMMUNITY NEEDS ASSESSMENT WERE ALSO USED IN PLANNING THE WORK OF MOUNT CARMEL'S COMMUNITY OUTREACH PROGRAM. THE COMMUNITY OUTREACH PROGRAM TARGETS SPECIFIC AREAS WHERE THE POPULATION HAS NOTABLE BARRIERS TO ACCESSING PHYSICAL, MENTAL AND SPIRITUAL HEALTHCARE. SOME OF THE BARRIERS INCLUDE A LACK OF INSURANCE, TRANSPORTATION, AND LANGUAGE DIFFERENCES TO NAME A FEW. MEDICAL SERVICES ARE PROVIDED ON THE MOBILE UNIT BY A FULL TIME PHYSICIAN AND FAMILY NURSE PRACTITIONER, REGISTERED NURSES, BILINGUAL CASE WORKERS, PASTORAL CARE STAFF, MENTAL HEALTH PROFESSIONALS AND SUPPORT STAFF. THE MISSION OF THE MOBILE COACH STAFF IS TWO-FOLD; FIRST, TO MEET THE IMMEDIATE MEDICAL NEED OF THE PATIENT AND SECONDLY TO ASSIST THEM IN ACCESSING PRIMARY CARE IN ORDER TO MEET THEIR LONG-TERM HEALTHCARE NEEDS. THE COACH PROVIDES SERVICES FREE OF CHARGE ON A FIRST COME, FIRST SERVED BASIS. 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. THE NEED FOR MENTAL HEALTH SERVICES WAS IDENTIFIED ON THE OUTREACH COACH. IT WAS DISCOVERED THAT MANY OF THE DIAGNOSES ARE OUTSIDE SCOPE OF OUTREACH PROVIDERS AND IT WAS VERY DIFFICULT TO GET PATIENTS INTO MENTAL HEALTH CARE IN AN APPROPRIATE TIME. MOUNT CARMEL HEALTH CREATED A PARTNERSHIP WITH SOUTH EAST MENTAL HEALTH TO MEET THE NEEDS OF THESE PATIENTS. AS PART OF THIS PARTNERSHIP THE OUTREACH MOBILE COACH HOUSES A PSYCHIATRIC NURSE PRACTITIONER AND CASEWORKER WHO PROVIDE SERVICES ON-SITE FOR OUTREACH PATIENTS. MOUNT CARMEL PROVIDES FUNDING FOR MEDICATIONS TO BE GIVEN ON-SITE AND LABORATORY TESTING IS COMPLETED AS NEEDED ON MOBILE COACH. MOUNT CARMEL HEALTH SYSTEM 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 MOUNT CARMEL HEALTH PROVIDES TO THE HOMELESS CITIZENS OF COLUMBUS. EACH NIGHT 1.6 MILLION MEN, WOMEN, AND CHILDREN USE TEMPORARY SHELTERS IN AMERICA. IN COLUMBUS, AN AVERAGE OF 630 PERSONS USES TEMPORARY SHELTERS EACH NIGHT AND IS HOMELESS LIVING ON THE LAND DURING THE DAY. THE OUTREACH DEPARTMENT FORMED A TEAM CONSISTING OF A PHYSICIAN OR NURSE PRACTITIONER, A MEDICAL TECHNICIAN, A CASE MANAGEMENT AND SOMETIMES A RN 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, MEDICAL CARE IS WELCOMED AND ACCEPTED. WE ALSO PROVIDE CONNECTIONS TO COMMUNITY RESOURCES FOR HOUSING, FOOD, DRUG AND ALCOHOL REHABILITATION AND MENTAL HEALTH SERVICES. THE COMMUNITY HEALTH RESOURCE CENTER IS LOCATED AT THE MOUNT CARMEL WEST CAMPUS AND IS A CENTER FOR THE ENTIRE COMMUNITY OF COLUMBUS. IT FEATURES A STATE OF THE ART CONSUMER HEALTH LIBRARY, DEMONSTRATION KITCHEN, HEALTHY LIVING CENTER, CHILDBIRTH EDUCATION AND OUTPATIENT LACTATION SUPPORT, SOCIAL PROGRAMMING AND NUMEROUS HEALTH AND WELLNESS SERVICES. THERE ARE COMMUNITY MEETING ROOMS AND CLASSROOMS FOR PUBLIC USE. MOUNT CARMEL HEALTH SYSTEM ALSO HELD EDUCATIONAL SESSIONS FOR THE COMMUNITY ON TOPICS SUCH AS SPIRITUALITY, ETHICS, HUMAN TRAFFICKING, CAREERS IN HEALTH CARE, AND VARIOUS HEALTH AND WELLNESS TOPICS.THROUGH MCNA'S OPERATION WALK, PATIENTS WERE PROVIDED WITH FREE CARE WHICH INCLUDED PRE AND POST OP CARE, SURGERY, HOSPITALIZATION, PHYSICAL THERAPY, MEDICATIONS AND ANY SUPPLIES NEEDED FOR THEIR CARE. THIS PROGRAM SERVES THE WORKING POOR BY ASSISTING THOSE WHO ARE UNINSURED TO OBTAIN SURGERY WHICH ENABLES THEM TO RETURN TO WORK AND ACTIVITIES OF DAILY LIVING. DURING THE FISCAL YEAR 2013, MOUNT CARMEL NEW ALBANY PROVIDED SURGERY AND CARE FOR 42 PATIENTS NEEDING JOINT IMPLANTS. MOUNT CARMEL NEW ALBANY REACHED BEYOND ITS ZIP CODE TO SUPPLY COLUMBUS AREA HOMELESS WITH SOCKS, FLASH LIGHTS AND FOOD.MOUNT CARMEL HEALTH SYSTEM IS ALSO AWARE OF THE DISPARITIES IN HEALTH CARE NATIONWIDE AND THE MCHS BOARD OF TRUSTEES APPROVED THE PLAN TO IDENTIFY AND ELIMINATE DISPARITIES AS PART OF THE TRINITY HEALTH EQUITY IN CARE INITIATIVE IN JULY OF 2009. LAST YEAR MOUNT CARMEL SPONSORED MEMBERS OF MCHS TO ATTEND THE DISPARITIES LEADERSHIP PROGRAM (DLP) IN BOSTON MASSACHUSETTS. THE DLP IS A YEAR-LONG EXECUTIVE EDUCATION PROGRAM DESIGNED FOR LEADERS FROM HOSPITALS, HEALTH PLANS AND OTHER HEALTH CARE ORGANIZATIONS. THE THREE GOALS OF THIS TRAINING ARE "TO CREATE A CADRE OF LEADERS IN HEALTH CARE EQUIPPED WITH AN IN-DEPTH KNOWLEDGE OF THE FIELD OF DISPARITIES, INCLUDING ROOT CAUSES AND RESEARCH TO DATE; B) CUTTING-EDGE QUALITY IMPROVEMENT STRATEGIES FOR IDENTIFYING AND ADDRESSING DISPARITIES; AND C) THE LEADERSHIP SKILLS TO IMPLEMENT THESE STRATEGIES AND HELP TRANSFORM THEIR ORGANIZATIONS". (THE DISPARITIES SOLUTION CENTER)MOUNT CARMEL IS INVOLVED IN LOCAL AND FOREIGN HEALTH ADVOCACY. THE FACULTY FROM THE MOUNT CARMEL COLLEGE OF NURSING MET WITH VARIOUS COMMUNITY GROUPS TO EDUCATE THE PUBLIC AND ADVOCATE FOR SCHOOL NUTRITION, DIABETES EDUCATION, SENIOR HEALTH ISSUES, AND WORLDWIDE HEALTH ISSUES SUCH AS HUNGER AND WOMEN'S HEALTH. MOUNT CARMEL HEALTH SYSTEM PROVIDES SUPPORT TO A CLINIC IN UGANDA BY PROVIDING NEEDED MEDICAL ITEMS AND OTHER ITEMS NEEDED FOR DAILY LIVING. ONE HUNDRED PERCENT OF MOUNT CARMEL'S SURPLUS REVENUE IS INVESTED BACK INTO SUPPORTING THE ORGANIZATION'S HEALTH CARE MINISTRY. 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 HEALTH SYSTEM MAINTAINS AN OPEN MEDICAL STAFF - MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS. MOUNT CARMEL ACTIVELY RECRUITS, AND EMPLOYS DOCTORS TO SERVE IN UNDER-SERVED AREAS OF THE COMMUNITY. MOUNT CARMEL HEALTH SYSTEM OPERATES A GRADUATE MEDICAL EDUCATION PROGRAM THAT TRAINS PHYSICIANS IN FAMILY PRACTICE, INTERNAL MEDICINE, OBSTETRICS & GYNECOLOGY, GENERAL SURGERY, ORTHOPEDIC SURGERY AND TRANSITIONAL YEAR (FOR PHYSICIANS WHO WANT TO PURSUE SUB-SPECIALTY TRAINING). MOUNT CARMEL ALSO OPERATES A COLLEGE OF NURSING THAT IS AMONG THE LARGEST BACCALAUREATE DEGREE GRANTING PROGRAMS IN OHIO. THE COLLEGE OFFERS BACHELOR OF SCIENCE, RN TO BSN COMPLETION AND MASTER OF SCIENCE DEGREES IN NURSING. THEY ALSO OFFER A GRADUATE CERTIFICATE IN NURSING EDUCATION AND A DIETETIC INTERNSHIP. WITH THE ASSISTANCE FROM THE FOUNDATION THE MOUNT CARMEL COLLEGE OF NURSING WAS ABLE TO PROVIDE 138 ACADEMIC SCHOLARSHIPS FOR EDUCATING FUTURE NURSES.
		PART VI, LINE 6: MOUNT CARMEL HEALTH SYSTEM IS PART OF CHE TRINITY HEALTH, THE SECOND-LARGEST CATHOLIC HEALTH CARE SYSTEM IN THE COUNTRY. CHE TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, CHE TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. OVERALL, THE ORGANIZATION INVESTS MORE THAN $800 MILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING EACH COMMUNITY'S SPECIFIC NEEDS.FOR MORE INFORMATION ABOUT CHE TRINITY HEALTH, VISIT WWW.NEWHEALTHMINISTRY.ORG.

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
MOUNT CARMEL HEALTH SYSTEM

Employer identification number
31-1439334

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) CAPITAL PARK FAMILY HEALTH CENTER INC 882 HAMILTON ROAD WHITEHALL,OH43213	38-3765547	501(C)3	275,000	COMMUNITY BENEFIT
(2) AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)3	25,000	COMMUNITY BENEFIT
(3) THE COLUMBUS FOUNDATION 1234 EAST BROAD STREET COLUMBUS,OH43205	31-6044264	501(C)3	5,000	COMMUNITY BENEFIT
(4) WESTERVILLE AREA CHAMBER OF COMMERCE 99 COMMERCE PARK DRIVE WESTERVILLE,OH43082	31-0737083	501(C)6	8,150	COMMUNITY BENEFIT
(5) LOWER LIGHTS CHRISTIAN HEALTH CENTER INC 1160 WEST BROAD STREET COLUMBUS,OH43222	31-1810355	501(C)3	69,167	COMMUNITY BENEFIT
(6) MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS,NY10605	13-1846366	501(C)3	5,000	COMMUNITY BENEFIT
(7) GAHANNA CONVENTION AND VISITORS BUREAU 167 MILL STREET GAHANNA,OH43230	80-0322167	501(C)6	16,760	COMMUNITY BENEFIT
(8) COLUMBUS BICENTENNIAL 2012 INC 1269 GRANDVIEW AVENUE COLUMBUS,OH43212	45-1730585	501(C)3	25,000	COMMUNITY BENEFIT
(9) FRANKLIN PARK CONSERVATORY WOMEN'S SUSTAINING BOARD 1777 EAST BROAD STREET COLUMBUS,OH43203	31-1191469	501(C)3	5,000	COMMUNITY BENEFIT
(10) WESTERVILLE SUNRISE ROTARY FOUNDATION PO BOX 1200 WESTERVILLE,OH43086	31-1481931	501(C)3	10,000	COMMUNITY BENEFIT
(11) FRANKLINTON GARDENS 909 W RICH STREET COLUMBUS,OH43222	45-4023198	501(C)3	10,000	COMMUNITY BENEFIT
(12) CHARITABLE PHARMACY OF CENTRAL OHIO 200 E LIVINGSTON AVE COLUMBUS,OH43215	27-0147099	501(C)3	25,000	COMMUNITY BENEFIT
(13) THANKSGIVING WATTLE (AKA PHOENIX EVENTS) 1180 REGENCY DRIVE COLUMBUS,OH43220	45-4021515	501(C)3	13,375	SPONSOR THANKSGIVING WATTLE
(14) RONALD MCDONALD HOUSE CHARITIES OF CENTRAL OHIO INC 711 E LIVINGSTON AVENUE COLUMBUS,OH43205	31-0890152	501(C)3	20,000	COMMUNITY BENEFIT
(15) TRAVIS MANION FOUNDATION PO BOX 1485 DOYLESTOWN,PA18901	41-2237951	501(C)3	5,000	COMMUNITY BENEFIT
(16) CITY OF GROVE CITY 4035 BROADWAY GROVE CITY,OH43123	31-6400527	CITY GOVERNMENT	20,000	COMMUNITY BENEFIT
(17) ROTARY INTERNATIONAL CLUB OF WESTERVILLE PO BOX 595 WESTERVILLE,OH43086	31-6050404	501(C)4	7,500	COMMUNITY BENEFIT
(18) WESTERVILLE AREA RESOURCE MINISTRY 175A EAST BROADWAY WESTERVILLE,OH43081	31-1640355	501(C)3	17,500	COMMUNITY BENEFIT
(19) VIOLET FESTIVAL INC PO BOX 361 PICKERINGTON,OH43147	31-1518034	501(C)4	20,000	COMMUNITY BENEFIT
(20) YOUNG WOMEN'S CHRISTIAN ASSOCIATION 65 S FOURTH STREET COLUMBUS,OH43215	31-4379597	501(C)3	10,000	COMMUNITY BENEFIT
(21) SOLEBRATE INC 5274 NORWICH STREET HILLIARD,OH43026		N/A	10,000	COMMUNITY BENEFIT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY MOUNT CARMEL HEALTH SYSTEM TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. 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.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)CLAUS VON ZYCHLINPRES & CEO; TRUSTEE	(i) (ii)	0 531,768	0 185,298	0 251,877	0 78,363	0 27,892	0 1,075,198	0 125,619
(2)J RICHARD O'CONNELLTRUSTEE; EVP & PRES TRINITY HLTH DIV	(i) (ii)	0 607,209	0 284,428	0 144,773	0 97,104	0 33,319	0 1,166,833	0 0
(3)MICHAEL GARDENIER TATUM LLCINTERIM SYS CFO 7/12 - 12/12	(i) (ii)	466,032 0	0 0	0 0	0 0	0 0	466,032 0	0 0
(4)RONALD WHITESIDEEXEC VP & SYSTEM COO UNTIL 5/13	(i) (ii)	0 388,350	0 95,935	0 146,423	0 36,471	0 19,911	0 687,090	0 0
(5)CYNTHIA SHEETSSYSTEM SVP & CIO UNTIL 5/13	(i) (ii)	0 324,917	0 79,039	0 3,121	0 37,417	0 9,852	0 454,346	0 0
(6)JANET MEEKSPRESIDENT & COO, ST ANNS	(i) (ii)	0 314,428	0 82,193	0 37,289	0 100,292	0 11,313	0 545,515	0 0
(7)HUGH JONESSYSTEM SVP CORPORATE DEVELOPMENT	(i) (ii)	0 234,834	0 51,962	0 773	0 19,953	0 18,325	0 325,847	0 0
(8)ANNE BROWNINGSYSTEM SVP HUMAN RESOURCES	(i) (ii)	0 251,006	0 56,500	0 1,274	0 20,110	0 20,106	0 348,996	0 0
(9)CHARLES BRETT JUSTICESYSTEM VP STRATEGIC ADVANCEMENT	(i) (ii)	138,149 0	17,729 0	3,134 0	12,830 0	23,973 0	195,815 0	0 0
(10)SEAN MCKIBBENPRESIDENT & COO MCW	(i) (ii)	0 268,658	0 88,817	0 31,411	0 27,919	0 21,941	0 438,746	0 0
(11)RICHARD D'ENBEAUPRESIDENT & COO MCNASH	(i) (ii)	650,000 0	0 0	0 0	0 0	0 0	650,000 0	0 0
(12)BRINSLEY LEWISPRESIDENT & COO MCE	(i) (ii)	0 93,064	0 35,000	0 37,023	0 8,907	0 2,163	0 176,157	0 0
(13)JOSEPH SWEDISHTRINITY HLTH PRES & CEO UNTIL 3/13	(i) (ii)	0 1,402,192	0 786,411	0 1,044,897	0 572,762	0 28,714	0 3,834,976	0 520,902
(14)KEDRICK ADKINSTRINITY PRES INTEG SVC UNTIL 6/13	(i) (ii)	0 784,856	0 366,716	0 670,047	0 112,792	0 13,375	0 1,947,786	0 265,335
(15)RICHARD STRECKCHIEF MEDICAL OFFICER	(i) (ii)	0 423,175	0 98,966	0 4,184	0 20,000	0 20,485	0 566,810	0 0
(16)PHILIP SHUBERTMEDICAL DIRECTOR, ST ANNS	(i) (ii)	502,213 0	0 0	2,802 0	28,765 0	23,779 0	557,559 0	0 0
(17)THOMAS HARTRANFTDIRECTOR GEN SURGERY RESIDENCY PROG	(i) (ii)	356,563 0	0 0	18,090 0	25,000 0	17,478 0	417,131 0	0 0
(18)MARTHA REIGELSYSTEM VP MEDICAL AFFAIRS	(i) (ii)	343,657 0	23,451 0	5,696 0	21,894 0	9,485 0	404,183 0	0 0
(19)GERALD GIRARDIPERINATAL MEDICAL DIRECTOR	(i) (ii)	0 347,999	0 0	0 3,313	0 7,500	0 16,564	0 375,376	0 0
(20)JACQUELINE PRIMEAUFORMER OFFICER	(i) (ii)	0 304,327	0 76,091	0 2,612	0 30,508	0 9,904	0 423,442	0 0
(21)PAULA AUTRYFORMER KEY EMPLOYEE	(i) (ii)	0 73,901	0 0	0 261,667	0 39,327	0 16,560	0 391,455	0 0
(22)MICHAEL MURPHYFORMER KEY EMPLOYEE	(i) (ii)	0 139,488	0 0	0 41,394	0 4,650	0 11,980	0 197,512	0 0
(23)JOHN HEISLERFORMER KEY EMPLOYEE	(i) (ii)	0 316,232	0 83,976	0 13,086	0 20,328	0 16,746	0 450,368	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	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 INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN CALENDAR 2012. THIS AMOUNT IS INCLUDED IN COLUMN B(III): PAULA AUTRY - $213,180 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $28,050 OF SEVERANCE FOR PAULA AUTRY WHICH WAS UNPAID AS OF 12/31/12. THE $28,050 WAS PAID AND INCLUDED IN PAULA AUTRY'S TAXABLE INCOME IN 2013. PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($250,000 FOR 2012). THE FOLLOWING ACCRUALS FOR 2012 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $100,292 BRINSLEY LEWIS - $4,219 SEAN MCKIBBEN - $12,201 JANET MEEKS - $23,422 J. RICHARD O'CONNELL - $77,104 JOSEPH SWEDISH - $543,977 CLAUS VON ZYCHLIN - $58,363 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2012 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: JANET MEEKS - $53,560 PART II: THE FOLLOWING INDIVIDUALS ARE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $185,540 JOSEPH SWEDISH - $530,000 RONALD WHITESIDE - $135,110 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.
SUPPLEMENTAL INFORMATION	PART III	PART II: MICHAEL GARDENIER - THE AMOUNT LISTED IN COLUMN B(I) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY MOUNT CARMEL HEALTH SYSTEM IN CALENDAR 2012 TO TATUM, LLC FOR MR. GARDENIER'S SERVICES AS INTERIM CFO. MOUNT CARMEL HEALTH SYSTEM DOES NOT KNOW HOW MUCH MR. GARDENIER RECEIVED AS WAGES FROM TATUM, LLC IN CALENDAR 2012. PART II: RICHARD D'ENBEAU - THE AMOUNT LISTED IN COLUMN B(I) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY MOUNT CARMEL HEALTH SYSTEM (MCHS) IN CALENDAR 2012 TO NEW ALBANY MANAGEMENT COMPANY II, LLC FOR MR. D'ENBEAU'S SERVICES, AS WELL AS FOR THE SERVICES OF THREE OTHER INDIVIDUALS. MCHS DOES NOT KNOW THE PORTION OF THE $650,000 THAT WAS FOR MR. D'ENBEAU'S SERVICES VS. THE OTHER THREE INDIVIDUALS. MCHS ALSO DOES NOT KNOW HOW MUCH MR. D'ENBEAU RECEIVED AS WAGES FROM THE MANAGEMENT COMPANY IN CALENDAR 2012. THE $650,000 IS INCLUDED IN THE TOTAL MANAGEMENT FEE REPORTED IN SCHEDULE L, PART IV.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) NEW ALBANY HOSPITAL MANAGEMENT COMPANY II LLC (NAHMC)	CARL BERASI, MCHS TRUSTEE, IS A PART OWNER, BD MEMBER & EMPLOYEE OF NAHMC	2,262,564	NEW ALBANY MANAGEMENT COMPANY II LLC CONTRACTS WITH MOUNT CARMEL HEALTH SYSTEM TO PROVIDE MANAGEMENT SERVICES TO MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL. THESE TRANSACTIONS WERE ALL AT ARMS LENGTH.		No
(2) ANGELA SMITH	FAMILY MEMBER OF CYNTHIA SHEETS, KEY EMPLOYEE	99,323	EMPLOYMENT ARRANGEMENT		No
(3) MCMC PROFESSIONAL OFFICE BUILDING III	DAVID STEWART, MCHS TRUSTEE, HAS A >5% OWNERSHIP INTEREST IN THIS J/V	1,129,334	MCHS RECEIVES INCOME AND DISTRIBUTIONS FROM ITS OWN PARTNERSHIP INTEREST IN MCMC PROF. OFFICE BLDG. III.		No
(4) GREEN STREET SURGERY CENTER	ANANTHA PADMANABHAN, MCHS TRUSTEE, HAS A >5% OWNERSHIP INTEREST IN THIS J/V	557,321	MCHS RECEIVES RENTAL INCOME AND DISTRIBUTIONS FROM ITS OWN PARTNERSHIP INTEREST IN GREEN STREET SURGERY CENTER.		No
(5) CARDINAL HEALTH INC	JORGE GOMEZ, MCHS TRUSTEE, IS AN OFFICER OF CARDINAL HEALTH	27,057,811	CARDINAL HEALTH PROVIDES MEDICAL PRODUCTS AND SERVICES TO MOUNT CARMEL HEALTH SYSTEM.		No
(6) TAYLOR STATION SURGERY CENTER	ANANTHA PADMANABHAN, MCHS TRUSTEE, HAS A >5% OWNERSHIP INTEREST IN THIS J/V	2,518,148	MCHS RECEIVES RENTAL INCOME AND DISTRIBUTIONS FROM ITS OWN PARTNERSHIP INTEREST IN TAYLOR STATION SURGERY CENTER.		No
(7) CENTRAL OHIO SLEEP MEDICINE	CHARLES B. JUSTICE, MCHS KEY EMP, IS ON THE BOARD OF CENTRAL OH SLEEP MED.	149,325	MCHS RECEIVES INCOME AND DISTRIBUTIONS FROM ITS OWN PARTHERSHIP INTEREST IN CENTRAL OHIO SLEEP MEDICINE.		No
(8) COLUMBUS EYE SURGERY CENTER	CHARLES HICKEY, MCHS TRUSTEE HAS A > 5% OWNERSHIP INTEREST IN THIS J/V	109,895	MCHS RECEIVES RENTAL INCOME FROM COLUMBUS EYE SURGERY CENTER		No
(9) HIGHFIELD MRI LTD	PATRICK CAIN, MCHS TRUSTEE, HAS AN INDIRECT OWNERSHIP INTEREST IN THIS J/V	436,665	MCHS RECEIVES INCOME AND DISTRIBUTIONS FROM ITS OWN PARTNERSHIP INTERST IN HIGHFIELD MRI.		No
(10) KURT SALMON AND ASSOCIATES	RICHARD D'ENBEAU, MCHS KEY EMPLOYEE, IS EMPLOYED BY KURT SALMON	136,366	KURT SALMON & ASSOC. PROVIDES ORTHO SERVICES LINE ADMINISTRATION SVCS TO MCHS.		No
(11) JOHN HICKEY	FAMILY MEMBER OF CHARLES HICKEY, MCHS TRUSTEE	31,770	EMPLOYMENT ARRANGEMENT		No
(12) AMERICAN KIDNEY STONE MANAGEMENT (AKSM)	DAVID STEWART, MCHS TRUSTEE, IS A BOARD MEMBER OF AKSM	128,375	AKSM PROVIDES LITHOTRIPSY SERVICES TO MCHS		No
(13) CENTRAL OHIO UROLOGY GROUP (COUG)	DAVID STEWART,MCHS TRUSTEE,IS EMPL. AS A UROLOGY SURGERY CONSULTANT W/ COUG	368,670	COUG PROVIDES UROLOGY SERVICES TO MCHS		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Identifier	Return Reference	Explanation
DOING BUSINESS AS NAMES:	FORM 990, PAGE 1	MOUNT CARMEL HEALTH MOUNT CARMEL EAST MOUNT CARMEL WEST MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL MOUNT CARMEL ST. ANN'S HOSPITAL MOUNT CARMEL CARE CONTINUUM SERVICES CORPORATION MOUNT CARMEL HOSPICE AND PALLIATIVE CARE
NEW PROGRAM SERVICES	FORM 990, PART III, LINE 2	EFFECTIVE JULY 1, 2012 THE FOLLOWING OHIO NON-PROFIT CORPORATIONS MERGED INTO MOUNT CARMEL HEALTH SYSTEM: (1) MOUNT CARMEL HEALTH EIN 31-4379602 (2) ST. ANN'S HOSPITAL EIN 31-4412701 (3) MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL EIN 87-0790288 AND (4) MOUNT CARMEL CARE CONTINUUM SERVICES CORPORATION EIN 31-1126211
	FORM 990, PART VI, SECTION A, LINE 2	RICHARD D'ENBEAU, PRESIDENT OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL AND JANET MEEKS, PRESIDENT OF ST. ANN'S HOSPITAL, HAVE A FAMILY RELATIONSHIP.
	FORM 990, PART VI, SECTION A, LINE 3	MOUNT CARMEL HEALTH SYSTEM HAS CONTRACTED WITH TATUM, LLC FOR THE PROVISION OF INTERIM CFO SERVICES. SEE SCHEDULE J, PART III FOR ADDITIONAL INFORMATION. MOUNT CARMEL HEALTH SYSTEM ALSO RECEIVES MANAGEMENT SERVICES FROM NEW ALBANY MANAGEMENT COMPANY II, LLC. UNDER THE MANAGEMENT SERVICES AGREEMENT, NEW ALBANY MANAGEMENT COMPANY MANAGES THE DAY-TO-DAY OPERATION, MANAGEMENT, AND SUPERVISION OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL. 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. SEE SCHEDULE J, PART III AND SCHEDULE L FOR ADDITIONAL INFORMATION.
	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 TRUSTEES 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, A MATERIAL CHANGE IN MISSION, 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. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE AS WELL AS THE BOARD OF TRUSTEES. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
	FORM 990, PART VI, SECTION B, LINE 12C	MOUNT CARMEL HEALTH SYSTEM HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF MOUNT CARMEL HEALTH SYSTEM, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH MOUNT CARMEL HEALTH SYSTEM'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MOUNT CARMEL HEALTH SYSTEM OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF MOUNT CARMEL HEALTH SYSTEM IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO MOUNT CARMEL HEALTH SYSTEM. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF MOUNT CARMEL HEALTH SYSTEM ON AN ANNUAL BASIS.
	FORM 990, PART VI, SECTION B, LINE 15	TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MOUNT CARMEL HEALTH SYSTEM 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 ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES -17,524,153. OTHER TRANSACTIONS 31,726,705. ADJUSTMENT DUE TO MERGERS (SEE PART III, LINE 2) 475,515,121.
	FORM 990, PART XII, LINE 2:	MOUNT CARMEL HEALTH SYSTEM'S FINANCIAL INFORMATION WAS INCLUDED IN THE FY13 CONSOLIDATED FINANCIAL STATEMENTS OF MOUNT CARMEL HEALTH SYSTEM, AS WELL AS THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. BOTH SETS OF CONSOLIDATED FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

MOUNT CARMEL HEALTH SYSTEM

Employer identification number

31-1439334

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) BIG RUN URGENT CARE LTD 6150 E BROAD STREET 3RD FLOOR COLUMBUS,OH43213 31-1581575	MEDICAL SERVICES	OH	0	5,694	MOUNT CARMEL HEALTH SYSTEM
(2) CONCORD RADIATION THERAPY LLC 3100 PLAZA PROPERTIES BLVD COLUMBUS,OH43219 20-8596889	MEDICAL SERVICES	OH	12,727,876	2,021,613	MOUNT CARMEL HEALTH SYSTEM

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS,MI49503 27-2491974	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN		No
(2) AMICARE HOSPICE SERVICES INC 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2949053	PROVIDE HOSPICE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC		No
(3) AUXILIARY OF HOLY ROSARY HOSPITAL 351 SW 9TH STREET ONTARIO,OR97914 94-3059469	SUPPORTS SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO		No
(4) BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 42-1500277	ACUTE/AMBULATORY HEALTHCARE SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP		No
(5) BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 26-2973307	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	BAUM HARMON MERCY HOSPITAL		No
(6) CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR,MI48106 38-2507173	FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES	MI	501(C)(3)	LINE 11B, II	TRINITY HEALTH-MICHIGAN		No
(7) CHE TRINITY INC 20555 VICTOR PARKWAY LIVONIA,MI48152 90-0931907	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	N/A		No
(8) COMMUNITY HEALTH PARTNERS OF SOUTH BEND PO BOX 3998 SOUTH BEND,IN46619 26-3051440	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC		No
(9) CRANBROOK HOSPICE CARE 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320699	PROVIDE HOSPICE HEALTH SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(10) DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS,OH43213 34-2032340	HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes
(11) DUBUQUE MERCY HEALTH FOUNDATION INC 250 MERCY DRIVE DUBUQUE,IA52001 26-2227941	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP		No
(12) DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE,IA52040 20-5383271	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP		No
(13) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK,IL60160 36-3332852	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	LINE 9	GOTTLIEB MEMORIAL HOSPITAL		No
(14) GOTTLIEB MEMORIAL FOUNDATION 701 W NORTH AVE MELROSE PARK,IL60160 74-3260011	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	LINE 11C, III-FI	N/A		No
(15) GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK,IL60160 36-2379649	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM		No
(16) HACKLEY HOSPITAL 1700 CLINTON ST PO BOX 3302 MUSKEGON,MI494433302 38-1358196	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS		No
(17) HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST PO BOX 3302 MUSKEGON,MI494433302 38-2299878	SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY	MI	501(C)(3)	LINE 11C, III-FI	MERCY HEALTH PARTNERS		No
(18) HACKLEY LIFE COUNSELING 1352 TERRACE ST MUSKEGON,MI494423545 38-1386362	COUNSELING, EDUCATION, AND SUPPORT	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS		No
(19) HACKLEY VISITING NURSE SERVICES AND HOSPICE INC 888 TERRACE ST MUSKEGON,MI49440 38-1359598	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS		No
(20) HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS,MI48333 52-1945054	LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY	MD	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES		No
(21) HOLY CROSS HEALTH FOUNDATION INC 11801 TECH ROAD SILVER SPRING,MD20904 20-8428450	CHARITABLE FUNDRAISING	MD	501(C)(3)	LINE 11A, I	HOLY CROSS HEALTH INC		No
(22) HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING,MD209101484 52-0738041	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(23) HOLY CROSS MEDICAL CENTER 20555 VICTOR PARKWAY LIVONIA,MI48152 95-1985442	HEALTHCARE SERVICES (FORMERLY)	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(24) HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY,IA504016208 42-1173708	HOSPICE HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP		No
(25) HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY,IA51104 38-3320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 11A, I	N/A		No
(26) HOSPICE OF WASHTENAW II 806 AIRPORT BLVD ANN ARBOR,MI48108 38-3320707	HOSPICE HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN		No
(27) IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3316559	PROVIDES OFFICE-BASED MEDICAL CARE	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN		No
(28) LAKESHORE COMMUNITY HOSPITAL INC 72 S STATE STREET SHELBY,MI494551228 38-2549295	ACUTE HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS		No
(29) LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-3342448	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION		No
(30) LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-4015560	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM		No
(31) MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY,IA51101 38-3320705	PROVIDE HOME HEALTH CARE SERVICES	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP		No
(32) MARYCREST HEIGHTS PO BOX 9184 FARMINGTON HILLS,MI48333 27-0291722	PROVIDES HOUSING FOR ELDERLY INDIVIDUALS	MI	501(C)(3)	LINE 11A, I	TRINITY CONTINUING CARE SERVICES		No
(33) MCAULEY CLINIC CORPORATION PO BOX 992 ANN ARBOR,MI48106 38-2561013	HEALTHCARE SERVICES (FORMERLY)	MI	501(C)(3)	LINE 3	CATHERINE MCAULEY HEALTH SERVICES CORP		No
(34) MERCY AMICARE HOME HEALTHCARE OAKLAND 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320698	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(35) MERCY AMICARE HOME HEALTHCARE PORT HURON 505 HURON AVENUE PORT HURON,MI48060 38-3320701	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(36) MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227350	SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM	IL	501(C)(3)	LINE 11A, I	MERCY HEALTH SYSTEM OF CHICAGO		No
(37) MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 684 HARVEY STREET MUSKEGON,MI49442 38-3321856	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(38) MERCY HEALTH NETWORK 1111 6TH AVENUE DES MOINES,IA50314 42-1478417	HEALTHCARE MANAGEMENT	DE	501(C)(3)	LINE 11A, I	N/A		No
(39) MERCY HEALTH PARTNERS 1415 LEAHY STREET MUSKEGON,MI49442 38-2589966	HEALTHCARE SYSTEM SUPPORT	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN		No
(40) MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY,IA50401 31-1373080	HEALTHCARE SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN		No
(41) MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3163327	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(42) MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST BK OF AMERICA 231 S LASALLE CHICAGO,IL60697 91-2092113	SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY	IL	501(C)(3)	LINE 11C, III-FI	MERCY HEALTH SYSTEM OF CHICAGO		No
(43) MERCY HEALTHCARE FOUNDATION 1410 N 4TH ST CLINTON,IA52732 42-1316126	FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES	IA	501(C)(3)	LINE 11C, III-FI	N/A		No
(44) MERCY HOSPITAL AND MEDICAL CENTER 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-2170152	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO		No
(45) MERCY HOSPITAL CADILLAC FOUNDATION 400 HOBART CADILLAC,MI496012331 20-3357131	SUPPORT THE SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN		No
(46) MERCY HOSPITAL GIFT SHOP 2601 ELECTRIC AVE PORT HURON,MI48060 38-1630480	VOLUNTEER SERVICE AUXILIARY	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN		No
(47) MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON,IA527322940 42-1336618	TO PROVIDE QUALITY HEALTH CARE	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP		No
(48) MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY,IA51102 14-1880022	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP		No
(49) MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY,IA504012800 42-1229151	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11C, III-FI	N/A		No
(50) MERCY NORTH HOMECARE AND HOSPICE 7985 MACKINAW TRAIL CADILLAC,MI49601 38-3313897	HOME HEALTH AND HOSPICE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(51) MERCY PHYSICIAN GROUP INC 1512 12TH AVENUE ROAD NAMPA,ID83686 20-8192593	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-NAMPA		No
(52) MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION PO BOX 9184 FARMINGTON HILLS,MI483339184 38-2719605	PROVIDES LONG-TERM CARE FOR THE ELDERLY	MI	501(C)(3)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES INC		No
(53) MIDWEST MEDFLIGHT 1300 VICTORS WAY ANN ARBOR,MI48108 38-2684671	AEROMEDICAL TRANSPORT	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN		No
(54) MISSION HEALTH CORPORATION 37595 SEVEN MILE ROAD LIVONIA,MI48152 38-3181557	FACILITY USED FOR AMBULATORY CARE	DE	501(C)(3)	LINE 11A, I	N/A		No
(55) MOUNT CARMEL COLLEGE OF NURSING 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes
(56) MOUNT CARMEL HEALTH INSURANCE COMPANY 6150 EAST BROAD STREET COLUMBUS,OH43213 25-1912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes
(57) MOUNT CARMEL HEALTH PLAN INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1471229	MEDICARE HMO FOR SENIORS	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes
(58) MOUNT CARMEL HEALTH SYSTEM 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1439334	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes
(59) MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1113966	SUPPORT THE SERVICES OF RELATED HOSPITAL	OH	501(C)(3)	LINE 11A, I	MOUNT CARMEL HEALTH SYSTEM	Yes
(60) MOUNT CARMEL HOME CARE LLC 1144 DUBLIN ROAD SUITE B COLUMBUS,OH43215 26-2729300	PROVIDE HOME HEALTH CARE SERVICES	OH	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC		No
(61) MRI MOBILE SERVICES OF WEST MICHIGAN 1820 - 44TH STREET KENTWOOD,MI49508 38-3073745	OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN		No
(62) MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON,MI49440 91-1932918	FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS		No
(63) OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND,NE68045 20-8072234	HEALTHCARE SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP		No
(64) OAKLAND MERCY HOSPITAL FOUNDATION 601 E 2ND STREET OAKLAND,NE68045 31-1678345	SUPPORTS SERVICES OF RELATED HOSPITAL	NE	501(C)(3)	LINE 11C, III-FI	N/A		No
(65) OSUMOUNT CARMEL HEALTH ALLIANCE 793 WEST STATE STREET COLUMBUS,OH43222 31-1654603	COOPERATIVE HEALTH CARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 11A, I	N/A		No
(66) PORT HURON MERCY FAMILY CARE INC 2601 ELECTRIC AVE PORT HURON,MI48060 20-1855647	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN		No
(67) PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON,MI494423257 38-2638284	MEDICAL CARE, TRANSPORTATION AND EDUCATION	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN		No
(68) PROFESSIONAL OFFICE CORPORATION 1303 EAST HERNDON AVE FRESNO,CA93720 94-2839324	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 11A, I	SAINT AGNES MEDICAL CENTER		No
(69) SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO,CA93720 94-1437713	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(70) SAINT ALPHONSUS BUILDING COMPANY INC 1055 NORTH CURTIS RD BOISE,ID83706 82-0401011	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC		No
(71) SAINT ALPHONSUS DIVERSIFIED CARE INC 1055 NORTH CURTIS RD BOISE,ID83706 94-3028978	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC		No
(72) SAINT ALPHONSUS FOUNDATION-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY,OR97814 94-3164869	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY		No
(73) SAINT ALPHONSUS FOUNDATION-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 20-2683560	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO		No
(74) SAINT ALPHONSUS HEALTH SYSTEM INC 1055 N CURTIS ROAD BOISE,ID83706 27-1929502	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(75) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY,OR97814 27-1790052	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC		No
(76) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0200896	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC		No
(77) SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC 1512 12TH AVENUE ROAD NAMPA,ID83686 26-1737256	SUPPORT THE SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA		No
(78) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 27-1789847	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC		No
(79) SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS RD BOISE,ID83706 82-0200895	HEALTHCARE SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC		No
(80) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC 1915 LAKE AVENUE PO BOX 670 PLYMOUTH,IN46563 35-1142669	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC		No
(81) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC PO BOX 1935 SOUTH BEND,IN466341935 35-0868157	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC		No
(82) SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-6033285	HOSPITAL SERVICE AUXILIARY	IN	501(C)(4)	N/A	SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND		No
(83) SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC 1915 LAKE AVENUE PLYMOUTH,IN46563 35-6043563	HOSPITAL SERVICE AUXILIARY	IN	501(C)(3)	LINE 11B, II	SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH		No
(84) SAINT JOSEPH REGIONAL MEDICAL CENTER INC 801 EAST LASALLE AVE SOUTH BEND,IN46617 35-1568821	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(85) SAINT JOSEPH'S TOWER INC PO BOX 9184 FARMINGTON HILLS,MI483339184 31-1040468	PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES-INDIANA		No
(86) SAINT MARY'S AMICARE HOME HEALTHCARE 1430 MONROE NW GRAND RAPIDS,MI49505 38-3320700	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC		No
(87) SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS,MI49503 38-1779602	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN		No
(88) ST JOSEPH MERCY OAKLAND FOUNDATION 44405 WOODWARD AVE PONTIAC,MI48341 35-2356789	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN		No
(89) THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER 4215 EDISON LAKES PARKWAY MISHAWAKA,IN46545 35-1654543	SUPPORTS SERVICES OF RELATED HOSPITAL	IN	501(C)(3)	LINE 11A, I	SAINT JOSEPH REGIONAL MEDICAL CENTER INC		No
(90) TRI-HOSPITAL EMERGENCY MEDICAL SERVICES 309 GRAND RIVER PORT HURON,MI48060 38-2485700	PROVIDE EMERGENCY AMBULANCE SERVICES	MI	501(C)(3)	LINE 11D, III-O	N/A		No
(91) TRI-HOSPITAL MRI CENTER 4190 24TH AVENUE FORT GRATIOT,MI48054 38-2884297	MRI SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN		No
(92) TRINITY CONTINUING CARE SERVICES PO BOX 9184 FARMINGTON HILLS,MI483339184 38-2559656	MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(93) TRINITY CONTINUING CARE SERVICES - INDIANA INC PO BOX 9184 FARMINGTON HILLS,MI483339184 93-0907047	PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES		No
(94) TRINITY HEALTH - MICHIGAN 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2113393	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION		No
(95) TRINITY HEALTH CORPORATION 20555 VICTOR PARKWAY LIVONIA,MI48152 35-1443425	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	CHE TRINITY INC		No
(96) TRINITY HEALTH INTERNATIONAL 20555 VICTOR PARKWAY LIVONIA,MI48152 42-1253527	HEALTHCARE TRAINING AND SUPPORT SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(97) TRINITY HEALTH WELFARE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 20-8151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION		No
(98) TRINITY HOME HEALTH SERVICES INC 17410 COLLEGE PARKWAY LIVONIA,MI48152 38-2621935	HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION		No
(99) CONTINUING CARE MANAGEMENT SERVICES NETWORK 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 35-2336834	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(100) VNA HOME HEALTH & HOSPICE 50 FODEN ROAD SOUTH PORTLAND,ME04106 01-0246804	HOME HEALTH & HOSPICE	ME	501(C)(3)	LINE 11A, I	MERCY HEALTH SYSTEM OF MAINE		No
(101) MERCY HOSPITAL 144 STATE STREET PORTLAND,MA04101 01-0211534	HOSPITAL	ME	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF MAINE		No
(102) MERCY HEALTH SYSTEM OF MAINE 144 STATE STREET PORTLAND,MA04101 01-0484074	MANAGEMENT & SUPPORT SERVICES	ME	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST		No
(103) SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION 1270 BELMONT AVE SCHENECTADY,NY12308 22-2505127	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 11A, I	SUNNYVIEW HOSPITAL & REHABILITATION CTR		No
(104) ST MARY'S WOODLAND VILLAGE INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1675183	DISCONTINUED OPERATIONS	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC		No
(105) MERCY CARE FOR KIDS INC 310 SOUTH MANNING BLVD ALBANY,NY12208 14-1717564	DAY CARE CENTER	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH CARE SERVICES		No
(106) OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND,NY12084 14-1743506	NURSING HOME FACILITY	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES		No
(107) ST PETER'S AUXILIARY 315 SOUTH MANNING BLVD ALBANY,NY01228 22-2843206	AUXILIARY	NY	501(C)(3)	LINE 11A, I	ST PETER'S HEALTH CARE SERVICES		No
(108) ST PETER'S HEALTH CARE SERVICES 315 SOUTH MANNING BLVD ALBANY,NY12208 22-2702507	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH PARTNERS		No
(109) ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY,NY12208 14-1348692	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES		No
(110) ST PETER'S HOSPITAL FOUNDATION INC 319 SOUTH MANNING BLVD SUITE 309 ALBANY,NY12208 22-2262982	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH CARE SERVICES		No
(111) EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY,NY12180 14-1818568	HOME HEALTH	NY	501(C)(3)	LINE 3	LTC(EDDY) INC		No
(112) THE COMMUNITY HOSPICE FOUNDATION INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 22-2692940	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC		No
(113) THE COMMUNITY HOSPICE INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 14-1608921	SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES		No
(114) VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY,NY12208 14-1438749	NURSING HOME & PHYSICAL REHAB	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL		No
(115) WARDE SERVICE CORPORATION INC 159 WOLF ROAD 3RD FLOOR ALBANY,NY12205 14-1732097	SUPPORTING & STRENGTHING THE MINISTRIES OF REL. SR. MERCY	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH CARE SERVICES		No
(116) NORTHEAST HEALTH INC 2212 BURDETT AVE TROY,NY12180 04-2450756	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS		No
(117) MEMORIAL HOSPITAL ALBANY NY 600 NORTHERN BLVD ALBANY,NY12204 14-1338457	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC		No
(118) SAMARITAN HOSPITAL OF TROY NEW YORK 2215 BURDETT AVE TROY,NY12180 14-1338544	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC		No
(119) THE NORTHEAST HEALTH FOUNDATION INC 2224 BURDETT AVE TROY,NY12180 22-2743478	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 7	NORTHEAST HEALTH INC		No
(120) SAMARITAN CHILD CARE CENTER INC 2213 BURDETT AVE TROY,NY12180 14-1710225	CHILD DAY CARE	NY	501(C)(3)	LINE 9	NORTHEAST HEALTH INC		No
(121) SHAKER PROPERTIES INC 2212 BURDETT AVE TROY,NY12180 22-3119822	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	NORTHEAST HEALTH INC		No
(122) SUNNYVIEW HOSPITAL & REHABILITATION CTR 1270 BELMONT AVE SCHENECTADY,NY12308 14-1338386	REHABILITATION HOSPITAL	NY	501(C)(3)	LINE 3	LTC (EDDY) INC		No
(123) JAMES A EDDY MEMORIAL GERIATRIC CENTER INC 2256 BURDETT AVE TROY,NY12180 22-2570478	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(124) CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1701597	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(125) HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY,NY12180 14-1725101	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(126) THE MARJORIE DOYLE ROCKWELL CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1793885	ADULT HOME/ALZHEIMERS	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(127) BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS,NY12159 14-1717028	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(128) HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH,NY12061 80-0102840	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(129) GLEN EDDY INC ONE GLEN EDDY DRIVE NISKAYUNA,NY12309 14-1794150	INDEPENDENT/ASSISTED LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(130) BEECHWOOD INC 2212 BURDETT AVE TROY,NY12180 14-1651563	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	LTC (EDDY) INC		No
(131) SENIOR CARE CONNECTION INC 504 STATE ST SCHENECTADY,NY12305 14-1708754	PACE PROGRAM	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(132) HOME AID SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY,NY12180 14-1514867	HOME CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC		No
(133) SETON HEALTH SYSTEM INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1776186	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS		No
(134) SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE 1 ABELE BLVD CLIFTON PARK,NY12065 14-1756230	SKILLED NURSING	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC		No
(135) SETON HEALTH FOUNDATION 1300 MASSACHUSETTS AVENUE TROY,NY12180 22-2345416	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11A, I	SETON HEALTH SYSTEM INC		No
(136) SETON AUXILIARY INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1505031	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC		No
(137) SETON LICENSED HOME CARE INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1809134	LICENSED HOME HEALTH AGENCY	NY	501(C)(3)	LINE 3	SETON HEALTH SYSTEM INC		No
(138) EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA,NY12020 14-1795732	HOME CARE	NY	501(C)(3)	LINE 9	HOME AID SERVICE OF EASTERN NEW YORK INC		No
(139) LTC (EDDY) INC 2212 BURDETT AVE TROY,NY12180 22-2564710	ELDERLY HEALTH/HOUSING SUPPORTING ORG	NY	501(C)(3)	LINE 11A, I	NORTHEAST HEALTH INC		No
(140) ST PETER'S HEALTH PARTNERS 315 SOUTH MANNING BLVD ALBANY,NY12208 45-3570715	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(141) ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC 315 SOUTH MANNING BLVD ALBANY,NY12208 46-1177336	PHYSICIANS PRACTICE	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS		No
(142) PROVIDENCE PLACE INC 5 GAMELIN STREET HOLYOKE,MA01040 04-3404084	RETIREMENT COMMUNITY	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(143) BRIGHTSIDE INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-2182395	BEHAVIORAL CARE	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(144) FARREN CARE CENTER INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-2501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(145) MERCY HOSPITAL INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-3398280	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(146) MERCY SPECIALIST PHYSICIANS INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 26-4033168	NEUROSURGERY MEDICAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(147) SISTERS OF PROVIDENCE CARE CENTERS INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 22-2541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(148) SISTERS OF PROVIDENCE HEALTH SYSTEM INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 04-3398374	MANAGEMENT & SUPPORT SERVICES	MA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST		No
(149) MERCY LIFE INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA01040 45-3086711	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(150) PIONEER VALLEY CARDIOLOGY ASSOCIATES INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-4208896	CARDIOLOGY SERVICES	MA	501(C)(3)	LINE 4	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(151) MERCY ONCOLOGY SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE,MA01040 45-4884805	ONCOLOGY MEDICAL SERVICES	MA	501(C)(3)	N/A	SISTERS OF PROVIDENCE HEALTH SYSTEM INC		No
(152) MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD,CT06117 06-1058086	INDEPENDENT LIVING	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC		No
(153) MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1492707	MANAGEMENT & SUPPORT SERVICES	CT	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST		No
(154) MERCY COMMUNITY HOMECARE SERVICES 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1488137	IN HOME HEALTH CARE	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC		No
(155) MERCY SERVICES 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1453323	SUPPORT SERVICES	CT	501(C)(3)	LINE 1	MERCY COMMUNITY HEALTH INC		No
(156) MERCYKNOLL INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0757380	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC		No
(157) SAINT MARY HOME II INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1164104	ELDERLY CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC		No
(158) ST MARY HOME INCORPORATED 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0646843	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC		No
(159) MERCY HEALTHCARE CENTER 114 WAWBEEK AVENUE TUPPER LAKE,NY12986 15-0532211	IN DISSOLUTION	NY	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(160) MERCY UIHLEIN HEALTH CORPORATION 185 OLD MILITARY ROAD LAKE PLACID,NY12946 16-1535133	MGT. & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	MERCY HEALTHCARE CENTER		No
(161) UIHLEIN MERCY CENTER 185 OLD MILITARY ROAD TUPPER LAKE,NY12986 15-0532190	IN DISSOLUTION	NY	501(C)(3)	LINE 3	MERCY HEALTHCARE CENTER		No
(162) ST JAMES MERCY FOUNDATION INC 411 CANISTEO STREET HORNELL,NY14843 16-1486437	FOUNDATION	NY	501(C)(3)	LINE 7	ST JAMES MERCY HEALTH SYSTEM INC		No
(163) ST JAMES MERCY HEALTH SYSTEM INC 411 CANISTEO STREET HORNELL,NY14843 22-3127184	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(164) ST JAMES MERCY HOSPITAL 411 CANISTEO STREET HORNELL,NY14843 16-0743310	HOSPITAL	NY	501(C)(3)	LINE 3	ST JAMES MERCY HEALTH SYSTEM INC		No
(165) MAXIS MEDICAL SERVICES 100 LINCOLN AVE CARBONDALE,PA18407 23-2577185	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM		No
(166) MARIAN COMMUNITY HOSPITAL 100 LINCOLN AVE CARBONDALE,PA18407 24-0711230	HOSPITAL	PA	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM		No
(167) MARIAN COMMUNITY HOSPITAL AUXILIARY 100 LINCOLN AVE CARBONDALE,PA18407 25-1874733	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM		No
(168) MAXIS FOUNDATION 100 LINCOLN AVE CARBONDALE,PA18407 23-2330090	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM		No
(169) MAXIS HEALTH SYSTEM 100 LINCOLN AVE CARBONDALE,PA18407 91-1940902	HEALTH CARE SYSTEM	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM		No
(170) TRI-COUNTY HUMAN SERVICES CENTER INC PO BOX 517 CARBONDALE,PA18407 23-1938528	BEHAVIORAL HEALTH ORGANIZATION	PA	501(C)(3)	LINE 7	MAXIS HEALTH SYSTEM		No
(171) COLUMBUS ACQUISITION CORP 1160 RAYMOND BOULEVARD NEWARK,NJ07102 26-2616342	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER		No
(172) SAINT MICHAELS MEDICAL CENTER 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616046	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(173) ST JAMES CARE INC 1160 RAYMOND BOULEVARD NEWARK,NJ07102 26-2616230	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER		No
(174) ST MICHAEL'S FOUNDATION INC 1160 RAYMOND BOULEVARD NEWARK,NJ07102 22-3311976	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	SAINT MICHAELS MEDICAL CENTER		No
(175) UNIVERSITY HEIGHTS PROPERTY COMPANY INC 1160 RAYMOND BOULEVARD NEWARK,NJ07102 22-3100162	MEDICAL PROPERTY HOLDING COMPANY	NJ	501(C)(2)	N/A	SAINT MICHAELS MEDICAL CENTER		No
(176) LIFE ST FRANCIS CORPORATION 601 HAMILTON AVENUE TRENTON,NJ08629 22-2797282	HEALTH SERVICES	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ		No
(177) ST FRANCIS MEDICAL CENTER FOUNDATION NJ 601 HAMILTON AVENUE TRENTON,NJ08629 52-1025476	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ		No
(178) ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVENUE TRENTON,NJ08629 22-3431049	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(179) LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2519529	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER		No
(180) LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2571699	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 9: 509(A)(2)	ST MARY MEDICAL CENTER		No
(181) LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 26-2976184	ELDERLY CARE	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER		No
(182) ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-1913910	HOSPITAL	PA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(183) ST MARY MEDICAL CENTER FOUNDATION INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2567468	FOUNDATION	PA	501(C)(3)	LINE 7	ST MARY MEDICAL CENTER		No
(184) EAST NORRITON PHYSICIAN SERVICES C/O ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2515999	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(185) MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-1352191	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(186) MERCY FAMILY SUPPORT 1001 BALTIMORE PIKE SUITE 301 SPRINGFIELD,PA19064 23-2325059	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(187) MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA C/O ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2829864	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(188) MERCY HEALTH PLAN C/O ONE WEST ELM STREET CONSHOHOCKEN,PA19428 22-2483605	HEALTH PLANS	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(189) MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2212638	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(190) MERCY HOME HEALTH 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-1352099	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(191) MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 301 SPRINGFIELD,PA19064 23-2325058	HOME HEALTH	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(192) MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2627944	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(193) MERCY SUBURBAN HOSPITAL ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-1396763	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(194) NAZARETH HEALTH CARE FOUNDATION 2701 HOLME AVENUE PHILADELPHIA,PA19152 23-2300951	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(195) NAZARETH HOSPITAL 2601 HOLME AVENUE PHILADELPHIA,PA19152 23-2794121	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(196) NAZARETH PHYSICIAN SERVICES INC 2601 HOLME AVENUE PHILADELPHIA,PA19152 20-3261266	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(197) NE PHYSICIAN SERVICES 2601 HOLME AVENUE PHILADELPHIA,PA19152 23-2497355	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(198) ST AGNES CONTINUING CARE CENTER 1900 S BROAD STREET PHILADELPHIA,PA19145 23-2840137	CONTINUING CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(199) ST AGNES CONTINUING CARE CENTER FOUNDATION 1900 S BROAD STREET PHILADELPHIA,PA19145 23-2415137	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA		No
(200) LIFE AT LOURDES INC 1600 HADDON AVENUE CAMDEN,NJ08108 26-1854750	ELDERLY CARE	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(201) LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568525	SUPPORTING ORGANIZATION	NJ	501(C)(3)	LINE 11B, II	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(202) LOURDES DIALYSIS AT INNOVA INC 1600 HADDON AVENUE CAMDEN,NJ08108 26-3237625	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(203) LOURDES MEDICAL CENTER BURLINGTON COUNTY 218 SUNSET ROAD WILLINGBORO,NJ08046 22-3612265	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(204) OUR LADY OF LOURDES HEALTH CARE SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568528	MANAGEMENT & SUPPORT SERVICES	NJ	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(205) OUR LADY OF LOURDES HEALTH FOUNDATION INC 1600 HADDON AVENUE CAMDEN,NJ08103 22-2351960	FOUNDATION	NJ	501(C)(3)	LINE 7	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(206) OUR LADY OF LOURDES MEDICAL CENTER 1600 HADDON AVENUE CAMDEN,NJ08103 21-0635001	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(207) LOURDES CARDIOLOGY SERVICES PC 1600 HADDON AVENUE CAMDEN,NJ08108 27-4357794	CARDIOLOGY SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES		No
(208) FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON,DE19805 22-3008680	ELDERCARE	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL		No
(209) ST FRANCIS FOUNDATION PO BOX 2500 WILMINGTON,DE19805 51-0374158	FOUNDATION	DE	501(C)(3)	LINE 11B, II	ST FRANCIS HOSPITAL		No
(210) ST FRANCIS HOSPITAL PO BOX 2500 WILMINGTON,DE19805 51-0064326	HOSPITAL	DE	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(211) LIFE AT ST FRANCIS HEALTHCARE INC 7TH CLAYTON STREETS WILMINGTON,DE19805 45-2569214	ELDERLY CARE	DE	501(C)(3)	LINE 3	ST FRANCIS HOSPITAL		No
(212) MCAULEY MINISTRIES MCAULEY HALL 3333 FIFTH AVENUE PITTSBURGH,PA15213 94-3436142	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM		No
(213) MERCY JEANNETTE HOSPITAL 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 25-1310602	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM		No
(214) MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH,PA15233 25-1604115	COMMUNITY TREATMENT	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM		No
(215) PITTSBURGH MERCY HEALTH SYSTEM 3333 5TH AVENUE PITTSBURGH,PA15213 25-1464211	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(216) ST JOSEPH'S OF THE PINES INC 100 GOSSMAN DRIVE SUITE B SOUTHERN PINES,NC28387 56-0694200	HOSPITAL	NC	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(217) LIFE ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SUITE B SOUTHERN PINES,NC28387 27-2159847	HEALTHCARE SERVICES	NC	501(C)(3)	LINE 3	ST JOSEPH'S OF THE PINES INC		No
(218) MERCY SENIOR CARE INC 300 CHATILLON ROAD PO BOX 866 ROME,GA30162 58-1366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(219) SAINT JOSEPH'S HEALTH SYSTEM INC 424 DECATUR STREET ATLANTA,GA30312 58-1744848	MANAGEMENT & SUPPORT SERVICES	GA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(220) SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA,GA30312 58-1752700	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(221) SAINT JOSEPH'S MERCY FOUNDATION INC 424 DECATUR STREET ATLANTA,GA30312 58-1448522	FUNDRAISING	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(222) MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA,GA30312 27-2046353	REAL ESTATE HOLDING COMPANY	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(223) ST MARY'S HEALTH CARE SYSTEM INC 1230 BAXTER STREET ATHENS,GA30606 58-0566223	HOSPITAL	GA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(224) ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 58-2544232	FUNDRAISING	GA	501(C)(3)	LINE 11B, II	ST MARY'S HEALTH CARE SYSTEM INC		No
(225) ST MARY'S HIGHLAND HILLS INC 1230 BAXTER STREET ATHENS,GA30606 02-0576648	ASSISTED LIVING & RETIREMENT COMMUNITY	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC		No
(226) ST MARY'S MEDICAL GROUP INC 1230 BAXTER STREET ATHENS,GA30606 26-1858563	HOSPITAL / PHYSICIAN SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC		No
(227) GOOD SAMARITAN HOSPITAL INC 1201 SILOAM ROAD GREENSBORO,GA30462 26-1720984	HOSPITAL	GA	501(C)(3)	LINE 3	SAINT JOSEPH'S HEALTH SYSTEM INC		No
(228) MERCY MEDICAL CORPORATION PO BOX 1090 101 VILLA DRIVE DAPHNE,AL36526 63-6002215	HOSPITAL	AL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(229) MERCY LIFE OF ALABAMA PO BOX 1090 101 VILLA DRIVE DAPHNE,AL36526 27-3163002	HOSPITAL	AL	501(C)(3)	LINE 3	MERCY MEDICAL CORPORATION		No
(230) ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR,FL34684 58-1492325	MANAGEMENT & SUPPORT SERVICES	FL	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST		No
(231) ST FRANCIS HOSPITAL INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR,FL34684 59-0624442	GRANT-MAKING ORGANIZATION	FL	501(C)(3)	LINE 11A, I	ALLEGANY FRANCISCAN MINISTRIES INC		No
(232) HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-0791028	HOSPITAL-HEALTHCARE PROVIDER	FL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(233) HOLY CROSS LONG-TERM INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 65-0787320	MEDICAL SERVICES	FL	501(C)(3)	LINE 3	HOLY CROSS HOSPITAL INC		No
(234) HOLY CROSS MEDICAL PROPERTIES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 65-0666283	MEDICAL BUILDING REAL ESTATE MANAGEMENT	FL	501(C)(2)	N/A	HOLY CROSS HOSPITAL INC		No
(235) SSJ HEALTH FOUNDATION INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 59-1709438	FUNDRAISING	FL	501(C)(3)	LINE 7	MERCY HOSPITAL INC		No
(236) MERCY HOSPITAL INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 59-0791034	HOSPITAL	FL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST		No
(237) MERCY MEDICAL DEVELOPMENT INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 59-2789194	OUTPATIENT SERVICES	FL	501(C)(3)	LINE 9	MERCY HOSPITAL INC		No
(238) MERCY MISSION SERVICES INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 65-0435764	HEALTH CARE	FL	501(C)(3)	LINE 11A, I	MERCY HOSPITAL INC		No
(239) MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 51-0461511	HOSPITAL	FL	501(C)(3)	LINE 3	MERCY HOSPITAL INC		No
(240) GLOBAL HEALTH MINISTRY 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-3068656	HEALTH CARE	PA	501(C)(3)	LINE 7	CATHOLIC HEALTH EAST		No
(241) INTRACOASTAL HEALTH SYSTEMS 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 65-0556413	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST		No
(242) CATHOLIC HEALTH EAST 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2929748	MANAGEMENT SERVICES	PA	501(C)(3)	LINE 11C, III-FI	CHE TRINITY INC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ADVENT REHABILITATION LLC 607 DEWEY AVENUE SUITE 300 GRAND RAPIDS,MI49504 38-3306673	REHABILITATION THERAPY SERVICES	MI	N/A
(2) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1608125	MEDICAL OFFICE BUILDING RENTAL	OH	MOUNT CARMEL HEALTH SYSTEM	RELATED	41,757	589,791		No		Yes		50.000 %
(3) CENTER FOR DIGESTIVE CARE LLC 5300 ELLIOTT DRIVE YPSILANTI,MI48197 03-0447062	PROVIDE GASTROINTESTINAL SERVICES	MI	N/A
(4) CENTRAL OHIO SLEEP MEDICINE LTD 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1701029	SLEEP MEDICINE SERVICES	OH	MOUNT CARMEL HEALTH SYSTEM	RELATED				No			No	60.000 %
(5) CLINTON IMAGING SERVICES LLC 615 VALLEY VIEW DR STE 202 MOLINE,IL61265 41-2044739	MRI DIAGNOSTIC SERVICES	IA	N/A
(6) FOREST PARK IMAGING LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A
(7) FRANCES WARDE MEDICAL LABORATORY 300 WEST TEXTILE ROAD ANN ARBOR,MI48104 38-2648446	LABORATORY	MI	N/A
(8) FRESNO IMAGING CENTER 1303 E HERNDON AVE FRESNO,CA93720 77-0363563	DIAGNOSTIC IMAGING	CA	N/A
(9) HAWARDEN REGIONAL HEALTH CLINICS LLC 1122 AVENUE L HAWARDEN,IA51023 20-1444339	MEDICAL CLINIC	IA	N/A
(10) IDAHO GYNONCOLOGY SERVICES LLC 1055 N CURTIS RD BOISE,ID83706 20-2975807	PROVIDE GYN ONCOLOGY SERVICES	ID	N/A
(11) INTERMOUNTAIN MEDICAL IMAGING LLC 877 WEST MAIN ST STE 603 BOISE,ID83702 82-0514422	PROVIDE IMAGING SERVICES	ID	N/A
(12) LOYOLA AMBULATORY SURGERY CENTER 3000 RIVERCHASE GALLERIA STE 500 BIRMINGHAM,AL35244 36-4119522	SURGICAL SERVICES	IL	N/A
(13) MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY,IA50401 42-1328388	MRI SERVICES	IA	N/A
(14) MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY,IA50401 20-1960348	SURGERY-SAME DAY	IA	N/A
(15) MCE MOB IV LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 42-1544707	MEDICAL OFFICE BUILDING RENTAL	OH	MOUNT CARMEL HEALTH SYSTEM	RELATED	406,362	4,162,351		No		Yes		49.870 %
(16) MCMC POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1392994	MEDICAL OFFICE BUILDING RENTAL	OH	MOUNT CARMEL HEALTH SYSTEM	RELATED	1,203,911	438,076		No		Yes		25.990 %
(17) MEDILUCENT MOB I 793 W STATE STREET COLUMBUS,OH43222 20-4911370	MEDICAL OFFICE BUILDING RENTAL	OH	MOUNT CARMEL HEALTH SYSTEM	RELATED	44,494	1,963,654		No		Yes		25.150 %
(18) MERCY ADVANCED MRI LLC 2525 SOUTH MICHIGAN AVE CHICAGO,IL60616 26-2116721	SUBLEASE MRI EQUIPMENT	IL	N/A
(19) MERCY HEART & VASCULAR LLC 2525 SOUTH MICHIGAN AVE CHICAGO,IL60616 20-5272726	SUBLEASE CT EQUIPMENT	IL	N/A
(20) MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY,IA50401 13-4237594	CARDIOVASCULAR SERVICES	IA	N/A
(21) MICHIANA HEALTH INFORMATION NETWORK LLC 215 WEST MADISON STREET SOUTH BEND,IN46601 35-2050128	COMMUNITY BASED CLINICAL INFO SYS & DATA DEPOSITORY	IN	N/A
(22) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1369473	MEDICAL OFFICE BUILDING RENTAL	OH	MOUNT CARMEL HEALTH SYSTEM	RELATED	184,712	1,910,496		No		Yes		29.400 %
(23) NEWCO AMBULATORY SURGERY CTR LLP 4190 24TH AVENUE FORT GRATIOT,MI48059 30-0136708	OUTPATIENT SURGERY CENTER	MI	N/A
(24) SARMED OUTPATIENT PHARMACY LLC 999 N CURTIS RD STE 102 BOISE,ID83706 51-0483218	PHARMACY	ID	N/A
(25) SIXTY FOURTH STREET LLC 2373 64TH ST STE 2200 BYRON CENTER,MI49315 20-2443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	N/A
(26) ST ALPHONSUS CALDWELL CANCER CTR LLC 3123 MEDICAL DR CALDWELL,ID83605 82-0526861	RADIATION ONCOLOGY	ID	N/A
(27) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1603660	MEDICAL OFFICE BUILDING RENTAL	OH	MOUNT CARMEL HEALTH SYSTEM	RELATED	166,214	1,784,684		No		Yes		46.990 %
(28) TAMARACK MEDICAL CLINIC LLC 402 OLD STATE HWY CASCADE,ID83611 20-1637921	OUTPATIENT MEDICAL SERVICES	ID	N/A
(29) WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 793 W STATE STREET COLUMBUS,OH43222 31-1784409	MEDICAL OFFICE BUILDING RENTAL	OH	MOUNT CARMEL HEALTH SYSTEM	RELATED	2,024,964	1,405,212		No		Yes		52.960 %
(30) WOODLAND IMAGING CENTER LLC 5301 E HURON RIVER DR ANN ARBOR,MI48106 76-0820959	RADIOLOGY/IMAGING	MI	N/A
(31) ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVENUE STE 201 ALBANY,NY12206 46-0463892	OUTPATIENT SURGERY	NY	N/A
(32) CATHERINE HORAN BUILDING LIMITED PARTNERSHIP 1221 MAIN STREET ROOM 108 HOLYOKE,MA010400000 04-2723429	PROPERTY MANAGEMENT	MA	N/A
(33) WESTERN MASSACHUSETTS PETCT IMAGING CENTER LLC 100 BAYVIEW CIRCLE STE 400 NEWPORT BEACH,CA92660 20-4744663	OUTPATIENT MEDICAL SERVICES	DE	N/A
(34) CENTRAL NEW JERSEY HEART SERVICES LLC 29 E 29TH STREET 2ND FLOOR BAYONNE,NJ07002 20-8525458	CARDIAC PROGRAM	NJ	N/A
(35) SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 36-4559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A
(36) THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2871206	OUTPATIENT SURGERY	PA	N/A
(37) EAST NORRITON MEDICAL ASSOCIATES ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2319531	MEDICAL OFFICE BUILDING	PA	N/A
(38) EAST NORRITON MEDICAL ASSOCIATES ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2319531	MEDICAL OFFICE BUILDING	PA	N/A
(39) GATEWAY HEALTH PLAN 300 GRANT STREET PITTSBURGH,PA15219 25-1691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA	N/A
(40) MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO,OH436990086 52-1931012	NURSING HOME	PA	N/A
(41) ST AGNES LONG TERM INTENSIVE CARE LLP C/O MERCY HEALTH SYSTEM ONE WEST EL CONSHOHOCKEN,PA19428 20-0984882	LONG TERM INTENSIVE CARE	PA	N/A
(42) ST AGNES LONG TERM INTENSIVE CARE LLP C/O MERCY HEALTH SYSTEM ONE WEST EL CONSHOHOCKEN,PA19428 20-0984882	LONG TERM INTENSIVE CARE	PA	N/A
(43) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP C/O NAZARETH HOSPITAL 2601 HOLME AV PHILADELPHIA,PA19152 23-2388040	MEDICAL OFFICE BUILDING	PA	N/A
(44) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP C/O NAZARETH HOSPITAL 2601 HOLME AV PHILADELPHIA,PA19152 23-2388040	MEDICAL OFFICE BUILDING	PA	N/A
(45) SJV MANAGEMENT LLC 200 CENTURY PKWY STE 200E MOUNT LAUREL,NJ08054 20-2273476	RADIOLOGY	NJ	N/A
(46) PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK,FL33334 35-2325646	AMBULATORY SURGERY CENTER	FL	N/A
(47) CENTER FOR SURGERY & DIGESTIVE ORDERS 3641 SOUTH MIAMI AVENUE MIAMI,FL33133 51-0438152	OUTPATIENT MEDICAL SERVICES	FL	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) COMMUNITY HEALTH VENTURES INC 565 W WESTERN AVE MUSKEGON,MI49440 38-3522260	SOFTWARE MARKETING	MI	N/A	C					No
(2) GOTTLIEB MANAGEMENT SERVICES INC 701 W NORTH AVE MELROSE PARK,IL60160 36-3330529	MANAGEMENT SERVICES	IL	N/A	C					No
(3) HACKLEY HEALTH MANAGEMENT CENTER 1415 LEAHY ST MUSKEGON,MI49442 38-2961814	WEIGHT MANAGEMENT	MI	N/A	C					No
(4) HACKLEY HEALTH VENTURES INC 1415 LEAHY ST MUSKEGON,MI49442 38-2589959	OTHER MEDICAL SERVICES	MI	N/A	C					No
(5) HACKLEY HEALTHCARE EQUIPMENT 1415 LEAHY ST MUSKEGON,MI49442 38-2578569	HOME MEDICAL EQUIPMENT	MI	N/A	C					No
(6) HACKLEY PROFESSIONAL CENTER 1415 LEAHY ST MUSKEGON,MI49442 38-3024797	REAL ESTATE RENTAL	MI	N/A	C					No
(7) HACKLEY PROFESSIONAL PHARMACY 1415 LEAHY ST MUSKEGON,MI49442 38-2447870	PHARMACY	MI	N/A	C					No
(8) HEF INC 1415 LEAHY ST MUSKEGON,MI49442 38-3086401	OFFICE STAFFING	MI	N/A	C					No
(9) HOLY CROSS PRIVATE HOME SERVICES CORP 11801 TECH ROAD SILVER SPRING,MD20904 52-1986562	HOME CARE SERVICES	MD	N/A	C					No
(10) HPC CO-OWNERS ASSOCIATION 1700 CLINTON MUSKEGON,MI49442 27-0734448	CONDOMINIUM ASSOCIATION	MI	N/A	C					No
(11) HURON ARBOR CORPORATION 5301 EAST HURON RIVER DR PO BOX 992 ANN ARBOR,MI48106 38-2475644	PROVIDES OFFICE RENTAL SPACE	MI	N/A	C					No
(12) IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3188895	MEDICAL MANAGEMENT	MI	N/A	C					No
(13) MARYLAND CARE GROUP INC 11801 TECH ROAD SILVER SPRING,MD20904 52-1815313	HEALTHCARE HOLDING	MD	N/A	C					No
(14) MEDNOW INC 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0389927	OUTPATIENT PHARMACY	ID	N/A	C					No
(15) MERCY MEDICAL SERVICES 801 5TH STREET SIOUX CITY,IA51101 42-1283849	PRIMARY CARE PHYSICIANS	IA	N/A	C					No
(16) MERCY SERVICES CORPORATION 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227348	DORMANT	IL	N/A	C					No
(17) MICHIGAN ATHLETIC CLUB 2500 BURTON GRAND RAPIDS,MI49546 38-2647304	ATHLETIC CLUB	MI	N/A	C					No
(18) MOUNT CARMEL HEALTH PROVIDERS INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1382442	MEDICAL SERVICES	OH	MOUNT CARMEL HEALTH SYSTEM	C	-37,113,730	21,165,510	100.000 %	Yes
(19) NORTH IOWA MERCY MEDICAL SERVICES INC 1000 4TH ST SW MASON CITY,IA50401 42-1382308	MEDICAL SERVICES	IA	N/A	C					No
(20) PRIORITY PLUS OF CALIFORNIA PO BOX 27230 FRESNO,CA93729 77-0395267	FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS	CA	N/A	C					No
(21) SAINT ALPHONSUS PHYSICIANS PA 1055 NORTH CURTIS ROAD BOISE,ID837061370 33-1078261	PHYSICIANS	ID	N/A	C					No
(22) SAINT MARY'S HEALTH MANAGEMENT COMPANY 1640 EAST PARIS SE GRAND RAPIDS,MI49546 38-3450733	ATHLETIC CLUB	MI	N/A	C					No
(23) SURGERY CENTER FINANCING CORPORATION 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1531102	FINANCE, INSURANCE AND REAL ESTATE	OH	MOUNT CARMEL HEALTH SYSTEM	C			100.000 %	Yes
(24) THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA,MI48152 45-2603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C					No
(25) TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 38-3410377	GRANTOR TRUST	MI	N/A	T					No
(26) VENZKE INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN GRAND CAYMAN CJ 98-0453602	PROVISION OF INSURANCE COVERAGE	CJ	N/A	C					No
(27) WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM 1820 44TH STREET SE KENTWOOD,MI49508 38-2700166	CONDOMINIUM ASSOCIATION	MI	N/A	C					No
(28) WESTSHORE HEALTH NETWORK 1820 44TH STREET KENTWOOD,MI49508 38-3280200	PHYSICIAN HOSPITAL ORGANIZATION	MI	N/A	C					No
(29) WORKPLACE HEALTH OF GRAND HAVEN 1415 LEAHY ST MUSKEGON,MI49442 38-3112035	OCCUPATIONAL HEALTH	MI	N/A	C					No
(30) SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY,NY12180 14-1607244	REAL ESTATE	NY	N/A	C					No
(31) AFFILIATED MANAGEMENT SERVICES CORPORATION INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1668024	REAL ESTATE	NY	N/A	C					No
(32) CATHERINE HORAN BUILDING INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-2938160	BUILDING MANAGEMENT	MA	N/A	C					No
(33) DIVERSIFIED COMMUNITY SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-3128890	MEDICAL SERVICES	MA	N/A	C					No
(34) MERCY INPATIENT MEDICAL ASSOCIATES INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-3029929	MEDICAL SERVICES	MA	N/A	C					No
(35) PROVIDENCE HOME CARE INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-3317426	HEALTH CARE SERVICES	MA	N/A	C					No
(36) SYSTEM COORDINATED SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 108 HOLYOKE,MA010400000 04-2938181	LAB SERVICES	MA	N/A	C					No
(37) PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST 1221 MAIN STREET ROOM 108 HOLYOKE,MA010400000 04-6608649	PROPERTY MANAGEMENT	MA	N/A	C					No
(38) SJM PROPERTIES INC 411 CANISTEO STREET HORNELL,NY148482101 16-1294991	PROPERTY HOLDINGS	NY	N/A	C					No
(39) CARBONDALE AREA PHYSICIANS' ASSOCIATION PC 100 LINCOLN AVE CARBONDALE,PA18407 23-2801677	MEDICAL INSURANCE CONTRACTING	PA	N/A	C					No
(40) CARBONDALE AREA PHYSICIANS' PHO INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2801676	INACTIVE	PA	N/A	C					No
(41) CARBONDALE PHYSICIANS' SERVICES INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2365077	PHARMACY	PA	N/A	C					No
(42) CHESTNUT RISK SERVICES LTD 11 VICTORIA STREET HAMILTON BD	INSURANCE	BD	N/A	C					No
(43) LIFECARE PHYSICIANS PC 601 HAMILTON AVENUE TRENTON,NJ086291986 26-1649038	HEALTH CARE SERVICES	NJ	N/A	C					No
(44) MULTICARE PLUS INC 601 HAMILTON AVENUE TRENTON,NJ086291986 22-3435844	INACTIVE	NJ	N/A	C					No
(45) LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 25-3795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C					No
(46) LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2625981	GENERAL PARTNER OF LMOB PARTNERS,	PA	N/A	C					No
(47) GATEWAY HEALTH PLAN INC 600 GRANT STREET PITTSBURGH,PA15219 25-1505506	HEALTH CARE	PA	N/A	C					No
(48) GATEWAY HEALTH PLAN INC OF OHIO 600 GRANT STREET PITTSBURGH,PA15219 30-0282076	HEALTH CARE	PA	N/A	C					No
(49) MCMC EASTWICK INC C/O MHS ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C					No
(50) HEALTH MANAGEMENT SERVICES ORG INC 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3366580	HEALTH CARE BILLING	NJ	N/A	C					No
(51) LOURDES MEDEICAL ASSOCIATES PA 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3361862	MEDICAL SERVICES	NJ	N/A	C					No
(52) JEANNETTE MEDICAL PROVIDERS 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 25-1787334	HOLDING COMPANY	PA	N/A	C					No
(53) JEANNETTE OBGYN GROUP 1 INC 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 23-2890748	HOLDING COMPANY	PA	N/A	C					No
(54) JEANNETTE PRIMARY CARE GROUP 1 INC 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 23-2890743	HOLDING COMPANY	PA	N/A	C					No
(55) GEORGIA HEALTH ENTERPRISES LLC 1230 BAXTER STREET ATHENS,GA30606 54-1806329	HEALTHCARE	GA	N/A	C					No
(56) ST MARY'S HIGHLAND HILLS VILLAGE INC 1660 JENNINGS MILL PKLY BOGART,GA30622 58-2276801	ASSISTED LIVING	GA	N/A	C					No
(57) GHE PHYSICIANS PC 3500 PIEDMONT ROAD ATLANTA,GA30305 58-2277939	PRACTICE MANAGEMENT	GA	N/A	C					No
(58) NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE HIGHWA,FL333080000 59-1145192	MEDICAL SERVICES	FL	N/A	C					No
(59) MERCY PHYSICIAN GROUP INC 3663 SOUTH MIAMI AVENUE MIAMI,FL33133 20-2970015	HEALTH CARE	FL	N/A	C					No
(60) STELLA MARIS INSURANCE COMPANY LIMITED PO BOX 69 GRAND CAYMAN,CAYMAN ISLANDSKY1-1102 CJ 98-0078266	INSURANCE	CJ	N/A	C					No
(61) CATHOLIC HEALTH EAST SENIOR SERVICES 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 37-1572595	SENIOR SERVICES	PA	N/A	C					No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) TRINITY HEALTH CORPORATION	E	30,000,000	PER BOOKS
(2) TRINITY HEALTH CORPORATION	M	67,455,402	PER BOOKS
(3) TRINITY HEALTH CORPORATION	P	68,967,126	PER BOOKS
(4) TRINITY HEALTH CORPORATION	Q	1,930,377	PER BOOKS
(5) TRINITY HEALTH CORPORATION	R	21,707,011	PER BOOKS
(6) TRINITY HEALTH CORPORATION	B	17,082,000	PER BOOKS
(7) MOUNT CARMEL COLLEGE OF NURSING	B	694,735	PER BOOKS
(8) MOUNT CARMEL COLLEGE OF NURSING	K	1,802,411	PER BOOKS
(9) MOUNT CARMEL HEALTH SYSTEM FOUNDATION	C	384,422	PER BOOKS
(10) MOUNT CARMEL HEALTH SYSTEM FOUNDATION	L	907,961	PER BOOKS
(11) MOUNT CARMEL HEALTH SYSTEM FOUNDATION	K	155,691	PER BOOKS
(12) DILEY RIDGE MEDICAL CENTER	A	458,240	PER BOOKS
(13) DILEY RIDGE MEDICAL CENTER	L	1,585,348	PER BOOKS
(14) MOUNT CARMEL HEALTH PROVIDERS INC	A	1,093,081	PER BOOKS
(15) MOUNT CARMEL HEALTH PROVIDERS INC	L	3,147,606	PER BOOKS
(16) MOUNT CARMEL HEALTH PROVIDERS INC	M	1,466,467	PER BOOKS
(17) MOUNT CARMEL HEALTH PROVIDERS INC	P	1,224,012	PER BOOKS
(18) MOUNT CARMEL HEALTH PROVIDERS INC	K	7,525,502	PER BOOKS
(19) TRINITY HEALTH - MICHIGAN	L	127,779	PER BOOKS
(20) TRINITY HEALTH - MICHIGAN	M	2,012,368	PER BOOKS
(21) TRINITY HEALTH - MICHIGAN	Q	55,662	PER BOOKS
(22) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC	L	220,830	PER BOOKS
(23) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC	L	1,191,771	PER BOOKS
(24) TRINITY HOME HEALTH SERVICES INC	P	141,158	PER BOOKS
(25) MOUNT CARMEL HEALTH PLAN INC	K	7,268,206	PER BOOKS
(26) MOUNT CARMEL HEALTH PLAN INC	C	20,000,000	PER BOOKS
(27) MCE MOB IV LIMITED PARTNERSHIP	C	259,116	PER TAX RETURN
(28) MCMC POB III LIMITED PARTNERSHIP	C	1,129,334	PER TAX RETURN
(29) CENTRAL OHIO SLEEP MEDICINE LTD	C		PER TAX RETURN
(30) WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP	C	1,817,836	PER TAX RETURN
(31) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP	C	76,230	PER TAX RETURN
(32) MOUNT CARMEL HEALTH PLAN INC	L	79,141,989	PER BOOKS
(33) MEDILUCENT MOB I	C	87,500	PER TAX RETURN
(34) ST ANN'S MEDICAL OFFICE BUILDING II LIMITED PARTNERSHIP	C	121,935	PER TAX RETURN
(35) MOUNT CARMEL HEALTH INSURANCE COMPANY	L	584,172	PER BOOKS

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: HEALTH CARE AND HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	10,253
6	Total number of volunteers (estimate if necessary) .............	6	1,596
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	6,025,271
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	600,829

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	978,127
9	Program service revenue (Part VIII, line 2g) .........	171,549,312	1,112,170,670
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	14,049,935	26,128,338
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	19,053,797	56,553,377
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	204,653,044	1,195,830,512
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	741,954	574,210
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	80,306,225	459,671,472
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	132,344,138	646,164,149
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	213,392,317	1,106,409,831
19	Revenue less expenses. Subtract line 18 from line 12.......	-8,739,273	89,420,681
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	875,364,804	1,559,053,447
21	Total liabilities (Part X, line 26).............	531,620,072	624,260,990
22	Net assets or fund balances. Subtract line 21 from line 20.....	343,744,732	934,792,457

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 953,540,095 including grants of $ 574,210 ) (Revenue $ 1,151,370,076 )
	MOUNT CARMEL HEALTH SYSTEM, AN OHIO NOT-FOR-PROFIT CORPORATION, OWNS AND/OR OPERATES FIVE HOSPITALS IN THE COLUMBUS, OHIO AREA CONTAINING 1,195 STAFFED BEDS AND VARIOUS OTHER ACUTE AND NONACUTE HEALTH SERVICE PROVIDERS AS WELL AS A LICENSED HEALTH MAINTENANCE ORGANIZATION. THE HEALTH SYSTEM PROVIDES SERVICES TO PATIENTS WHO RESIDE IN CENTRAL OHIO. OHIO NOT-FOR-PROFIT MEMBER ORGANIZATIONS INCLUDE DILEY RIDGE MEDICAL CENTER, MOUNT CARMEL COLLEGE OF NURSING, MOUNT CARMEL HEALTH SYSTEM FOUNDATION, MOUNT CARMEL HEALTH PLAN, INC., AND MOUNT CARMEL HEALTH INSURANCE COMPANY. OHIO FOR-PROFIT MEMBER ORGANIZATIONS INCLUDE MOUNT CARMEL HEALTH PROVIDERS, INC.MOUNT CARMEL HEALTH SYSTEM IS A MEMBER OF CHE TRINITY HEALTH.FOR MORE INFORMATION ON SPECIFIC SERVICES PROVIDED, PLEASE SEE MOUNT CARMEL HEALTH SYSTEM'S WEBSITE AT WWW.MOUNTCARMELHEALTH.COM.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	MISSION:THE MISSION STATEMENT FOR MOUNT CARMEL HEALTH SYSTEM IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTH IN THE SPIRIT OF THE GOSPEL TO HEAL BODY, MIND AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIES AND TO STEWARD THE RESOURCES ENTRUSTED TO US.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses953,540,095

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,538,296	11,905,438	1,697,634

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		12,000
e	Government grants (contributions)1e		3,330

f	All other contributions, gifts, grants, and similar amounts not included above1f		962,797

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			978,127
			Business Code
2a	NET PATIENT SVC REV		900099	1,095,330,580	1,092,338,637	2,991,943
b	SUBSIDIARY FEES		900099	16,840,090	16,840,090
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,112,170,670
3	Investment income (including dividends, interest, and other similar amounts).......			16,870,805			16,870,805
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	8,921,745	263,345
b	Less: rental expenses	0	0
c	Rental income or (loss)	8,921,745	263,345
d	Net rental income or (loss).......			9,185,090			9,185,090
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	8,315,831	3,908,356
b	Less: cost or other basis and sales expenses	0	2,966,654
c	Gain or (loss)	8,315,831	941,702
d	Net gain or (loss)..........			9,257,533			9,257,533
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	MEDICARE/MEDICAID HIT		900099	8,868,050	8,868,050
b	MANAGEMENT FEES		561499	6,011,605	5,095,536	916,069
c	CAFETERIA REVENUE		900099	4,687,884			4,687,884
d	All other revenue ....			27,800,748	25,195,066	2,117,259	488,423
e	Total. Add lines 11a–11d ......			47,368,287
12	Total revenue. See Instructions......			1,195,830,512	1,148,337,379	6,025,271	40,489,735


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			260	1	25,297
2	Savings and temporary cash investments .........			30,938,512	2	21,815,683
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............				4	125,600,394
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			19,974,968	7	2,988,711
8	Inventories for sale or use ..............			1,022,678	8	17,420,915
9	Prepaid expenses and deferred charges ..........			1,240,400	9	3,044,390
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,281,903,972
b	Less: accumulated depreciation .....	10b	762,398,574	93,875,508	10c	519,505,398
11	Investments—publicly traded securities ..........			199,459,321	11	277,213,173
12	Investments—other securities. See Part IV, line 11 .....			324,201,601	12	265,418,921
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			1,003,295	14	44,837,110
15	Other assets. See Part IV, line 11 ...........			203,648,261	15	281,183,455
16	Total assets. Add lines 1 through 15 (must equal line 34)......			875,364,804	16	1,559,053,447
17	Accounts payable and accrued expenses .........			63,901,458	17	122,558,302
18	Grants payable .................				18
19	Deferred revenue ................			5,740	19	1,000
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23	3,646,736
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			467,712,874	25	498,054,952
26	Total liabilities. Add lines 17 through 25.........			531,620,072	26	624,260,990
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			343,744,732	27	934,792,457
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			343,744,732	33	934,792,457
34	Total liabilities and net assets/fund balances ........			875,364,804	34	1,559,053,447