2024-10-22T15:25:24-05:00 2023-12-31 990 2023-01-01 311654603 OSUMOUNT CARMEL HEALTH ALLIANCE OSUM 6145464300 3100 EASTON SQUARE PL 300 COLUMBUS OH 432196290 ANDY PRIDAY CHIEF FINANCIAL OFFICER 6145464300 2024-10-22 1 2023 2024-10-15 13:58:12Z TAUANA MCDONALD 3100 EASTON SQUARE PL 300 COLUMBUS OH 432196290 2048002 0 X N/A X 1999 OH TO OPERATE A COOPERATIVE HEALTH CARE DELIVERY SYSTEM 6 0 0 0 0 0 0 0 0 2048002 0 0 0 0 0 2048002 0 0 0 0 0 0 0 0 0 425375 0 425375 0 -425375 2048002 21446432 23494434 0 0 21446432 23494434 X TO BUILD BETTER HEALTH CARE IN MADISON COUNTY, OHIO AND THE SURROUNDING COMMUNITIES BY PROVIDING ADDITIONAL HEALTH CARE RESOURCES AND IMPROVED ACCESS TO SPECIALIZED MEDICAL SERVICES. 0 0 0 0 2048002 OSU/MOUNT CARMEL HEALTH ALLIANCE IS AN ORGANIZATION FORMED BY THE OHIO STATE UNIVERSITY (OSU), AN INSTRUMENTALITY OF THE STATE OF OHIO WHICH OPERATES THE OHIO STATE UNIVERSITY MEDICAL CENTER, AND MOUNT CARMEL HEALTH SYSTEM (MCHS), A TAX-EXEMPT HEALTH CARE SYSTEM. OSU AND MCHS RECOGNIZED THAT THE HEALTH CARE DELIVERY ENVIRONMENT IS PROMPTING THE FORMATION OF A VARIETY OF MERGED, COMBINED AND/OR COOPERATIVE HEALTH CARE DELIVERY NETWORKS AND SYSTEMS. SUCH COOPERATIVE UNDERTAKINGS REPRESENT COLLABORATIVE EFFORTS OF HEALTH CARE PROVIDERS TO BETTER ADMINISTER, MANAGE, PROVIDE AND PLAN FOR THE DELIVERY OF HEALTH CARE SERVICES. IN RESPONSE TO THESE ENVIRONMENTAL FACTORS, OSU AND MCHS FORMED THE HEALTH ALLIANCE TO ACHIEVE THE FOLLOWING OBJECTIVES:A. ENHANCE THE ABILITY OF OSU AND MCHS TO RESPOND TO THE HEALTH CARE NEEDS OF THE COMMUNITIES THEY SERVE BY COMBINING THEIR CAPABILITIES, RESOURCES AND SERVICES TO FACILITATE HEALTH CARE DELIVERY THROUGHOUT THE CENTRAL OHIO AREA;B. REDUCE THE COST OF HEALTH CARE SERVICES TO THE COMMUNITIES SERVED, IN PART BY ELIMINATION OF DUPLICATE HEALTH CARE TECHNOLOGIES, SERVICES AND PROGRAMS WITHIN COMMUNITIES;C. RESPOND EFFICIENTLY TO THE OPPORTUNITIES TO DEVELOP HEALTH CARE NETWORKS AND SYSTEMS, PARTICULARLY THROUGH COLLABORATIVE AND COOPERATIVE EFFORTS AMONG THE OSU-MOUNT CARMEL HEALTH ALLIANCE (HEALTH ALLIANCE) AND OTHER POTENTIAL PARTNERS IN THE CENTRAL OHIO AREA.THE HEALTH ALLIANCE AND ITS RELATED ENTITIES PROVIDE SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED, INCLUDING THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. THE HEALTH ALLIANCE STRIVES TO ENHANCE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH IT OPERATES. 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 X DON DAVIES - BAILEY CAVALIERI LLC 6142213155 10 WEST BROAD STREET 21ST FLOOR COLUMBUS OH 43215 JAY ANDERSON TRUSTEE 2.00 48.00 X 0 1632144 179969 LORRAINE LUTTON TRUSTEE 2.00 53.00 X 0 1423100 298936 TAUANA MCDONALD TRUSTEE; CHAIR 2.00 48.00 X X 0 713269 66232 MICHAEL MORAN TRUSTEE 2.00 48.00 X 0 476377 94333 PATRICK ROBERTSON TRUSTEE 2.00 48.00 X 0 447003 91638 THOMAS BLINCOE TRUSTEE 2.00 48.00 X 0 295558 61414 0 4987451 792522 0 0 1 0 0 INV-MADISON CTY HOSP. 900099 2048002 2048002 2048002 2048002 2048002 0 0 0 0 0 0 21446432 23494434 21446432 23494434 0 0 X 21446432 23494434 21446432 23494434 21446432 23494434 2048002 0 X 0 0 0 X X 2 MOUNT CARMEL HEALTH SYSTEM 311439334 3 1 0 0 THE OHIO STATE UNIVERSITY 316025986 2 1 0 0 2 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 FORM 990, SCHEDULE A, PART IV SECTION A, LINE 2: SUPPORTED ORGANIZATION OHIO STATE UNIVERSITY DOES NOT HAVE AN IRS DETERMINATION OF STATUS UNDER SECTION 509(A)(1); IT IS NOT REQUIRED TO OBTAIN RECOGNITION OF ITS PUBLIC CHARITY STATUS BECAUSE IT IS A STATE UNIVERSITY. IT HAS BEEN DETERMINED THAT OHIO STATE UNIVERSITY QUALIFIES AS A PUBLIC CHARITY DESCRIBED IN SECTION 509(A)(1) BECAUSE IT IS A STATE UNIVERSITY UNDER SECTION 170(B)(1)(A)(II). PART I, LINE 12G, COLUMN (VI) OSU/MOUNT CARMEL HEALTH ALLIANCE SUPPORTS THE CHARITABLE PURPOSES OF ITS SUPPORTED ORGANIZATIONS BY OPERATING A COOPERATIVE HEALTH CARE DELIVERY SYSTEM TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES THEY SERVE BY PROVIDING SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED IN THESE COMMUNITIES. 0 INVESTMENT IN MADISON COUNTY HOSPITAL 23494434 23494434 0 1 0 0 0 0 0 0 0 JAY ANDERSON TRUSTEE 0 1056261 0 510431 0 65452 0 151922 0 28047 0 1812113 0 0 LORRAINE LUTTON TRUSTEE 0 884282 0 401288 0 137530 0 245813 0 53123 0 1722036 0 111562 TAUANA MCDONALD TRUSTEE; CHAIR 0 462267 0 165830 0 85172 0 19800 0 46432 0 779501 0 0 MICHAEL MORAN TRUSTEE 0 373575 0 93988 0 8814 0 75002 0 19331 0 570710 0 0 PATRICK ROBERTSON TRUSTEE 0 279921 0 96128 0 70954 0 63591 0 28047 0 538641 0 0 THOMAS BLINCOE TRUSTEE 0 207387 0 56344 0 31827 0 41920 0 19494 0 356972 0 0 PART I, LINE 4B THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2023, AND THEIR NON-VESTED BENEFITS FOR 2023 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2023 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: LORRAINE LUTTON - $112,826 TAUANA MCDONALD - $72,537 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUAL FOR 2023 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: LORRAINE LUTTON - $230,963 MICHAEL MORAN - $60,152 FORM 990, PART VI, SECTION A, LINE 6 THE TWO MEMBERS OF THE HEALTH ALLIANCE ARE THE OHIO STATE UNIVERSITY (OSU) AND MOUNT CARMEL HEALTH SYSTEM (MCHS). SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A THE TWO MEMBERS OF THE HEALTH ALLIANCE HAVE THE RIGHT TO ELECT THE BOARD OF TRUSTEES. MCHS HAS THE RIGHT TO APPOINT THREE TRUSTEES, AND OSU HAS THE RIGHT TO APPOINT THREE TRUSTEES. MADISON COUNTY HOSPITAL HAS THE RIGHT TO SUBMIT A LIST OF THREE INDIVIDUALS TO SERVE AS THE SEVENTH TRUSTEE. THEREAFTER, THE TRUSTEES ELECTED BY MCHS AND OSU WILL ELECT THE SEVENTH TRUSTEE FROM THE SUBMITTED LIST. FORM 990, PART VI, SECTION A, LINE 7B EACH DECISION OF THE BOARD OF TRUSTEES REQUIRES THE CONSENT OF AT LEAST TWO TRUSTEES APPOINTED BY MCHS AND TWO TRUSTEES APPOINTED BY THE OSU. FORM 990, PART VI, SECTION A, LINE 8B THE HEALTH ALLIANCE DOES NOT HAVE ANY COMMITTEES OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR THE HEALTH ALLIANCE IS REVIEWED BY MANAGEMENT. EACH MEMBER OF 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 THE BYLAWS OF THE HEALTH ALLIANCE REQUIRE THAT TRUSTEES ANNOUNCE A POSSIBLE CONFLICT OF INTEREST WHENEVER A TRUSTEE HAS CAUSE TO BELIEVE THAT A MATTER TO BE VOTED UPON WOULD INVOLVE HIM/HER IN A POSSIBLE CONFLICT OF INTEREST. THE QUESTION OF WHETHER AN ACTUAL CONFLICT EXISTS IS TO BE DECIDED BY A MAJORITY VOTE OF THE BOARD OF TRUSTEES, EXCLUDING THE TRUSTEE ANNOUNCING THE POSSIBLE CONFLICT OF INTEREST. IN ADDITION, ANY OTHER PERSON MAY RAISE THE QUESTION OF CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST WITH RESPECT TO ANY TRUSTEE PRESENT AND THE QUESTION SO RAISED SHALL BE DECIDED IN THE SAME MANNER AS IF THE TRUSTEE HIMSELF/HERSELF HAD ANNOUNCED THE POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE OHIO SECRETARY OF STATE WEBSITE. MOUNT CARMEL HEALTH SYSTEM 3100 EASTON SQUARE PL COLUMBUS OH 43219 311439334 OWNS AND OPERATES FOUR HOSPITALS IN COLUMBUS OH 501(C)(3) LINE 3 N/A 0 THE OHIO STATE UNIVERSITY ENARSON HALL 154 W 12TH AVE COLUMBUS OH 43210 316025986 UNIVERSITY OH 501(C)(3) LINE 2 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0