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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
OSUMOUNT CARMEL HEALTH ALLIANCE
 
Employer identification number

31-1654603
Return Reference Explanation
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.
FORM 990, PART XI, LINE 9: EQUITY DISTRIBUTIONS TO MEMBERS -24,354.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


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