Mount Carmel Health System

“Lisa stein and larry english, board members of mount carmel health system (mount carmel), have a business relationship.”

“Mount carmel has contracted with central ohio orthopedic management company to manage the orthopedic program of mount carmel new albany surgical hospital (mc new albany). In 2018, mount carmel paid $4,639,365 to the management company, $1,317,200 of which covered both executive management of mc new albany and physician leadership of the orthopedic program. Under the management services agreement, central ohio orthopedic management company manages the day-to-day operation, management, and supervision of mc new albany and its orthopedic program. Included in the agreement is the provision by the management company of a chief operating officer, senior vice president of clinical services, senior financial analyst, and chief nursing officer for the hospital.”

“The sole member of mount carmel is trinity health corporation. See line 7 for additional information.”

“Trinity health corporation is the sole member of mount carmel. Trinity health corporation has the right to appoint all persons to the board of directors of mount carmel.”

“As sole member, trinity health corporation must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Trinity health corporation must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents.”

“Prior to filing, the form 990 for mount carmel is reviewed by senior management. In addition, certain key sections of the form are reviewed by the finance committee of the board of directors prior to filing. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.”

“Mount carmel has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of mount carmel, which includes directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of mount carmel and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to internal legal counsel and the integrity and compliance officer, from which legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of mount carmel (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to mount carmel of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of mount carmel (or a delegated committee of the board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board (or a delegated committee of the board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of mount carmel. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.”

“Questions 15a and 15b are answered "no" because the compensation for the ceo and certain officers and key management officials of mount carmel is established by trinity health, a related organization. In establishing compensation for these individuals, 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 these individuals are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit health care organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements. For other executives who are not part of the rebuttable presumption process, trinity health uses a market analysis to determine the appropriateness of the executive's compensation.”

“Mount carmel is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. In addition, mount carmel includes a copy of its most recently filed schedule h on both its own website and trinity health's website. Mount carmel's governing documents and conflict of interest policy are available upon request.”

“Doing business as names: dash cafe healthy living center healthier you materna - tea mc fitness mc fitness & health mc fitness center mount carmel care continuum services mount carmel east mount carmel health mount carmel hospice and palliative care mount carmel new albany hospital mount carmel new albany surgical hospital mount carmel st. Ann's mount carmel west mount carmel grove city mount carmel medical center mount carmel urgent care mount carmel sleep medicine”

“Equity transfers from affiliates 53,263,777. Change in equity in unconsolidated affiliates 12,588,096. Asset impairment -3,383,011. Other transations -3,540.”

“Mount carmel's financial statements were included in the fy19 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.”