2022-05-13T18:13:01-05:00 2021-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2020-07-01 311438846 TRIHEALTH INC TRIH 5135696575 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 MICHAEL CROFTON VP FINANCE 5135696577 2022-05-13 1 MICHAEL CROFTON 999009999 SHAWNA M JANSONS P01222873 3174648600 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MARK CLEMENT 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 365692805 0 X WWW.TRIHEALTH.COM X 1994 OH TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE. 13 9 1299 9 947220 736127 13494530 15285354 334393026 318380051 2742761 17605585 6925332 3001028 357555649 354272018 1380150 1509889 0 0 163409822 178151199 0 0 0 204162543 184200101 368952515 363861189 -11396866 -9589171 1357132386 1622890698 178037705 176508051 1179094681 1446382647 X SEE SCHEDULE O 0 0 363861189 1509889 321164917 SEE SCHEDULE O 363861189 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 265 0 1 1299 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 13 9 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL CROFTON - VP FINANCE 5135696577 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 X SR SALLY DUFFY SECRETARY 1.00 3.00 X X 0 0 0 RALPH MICHAEL CHAIRPERSON 1.00 3.00 X X 0 0 0 MARK CLEMENT PRESIDENT/CEO 25.00 35.00 X X 1629592 0 390312 PHILLIP CASTELLINI TRUSTEE 1.00 3.00 X 0 0 0 KATHY KELLY VICE CHAIR (START 7/1/2020) 1.00 3.00 X X 0 0 0 THEODORE TORBECK TREASURER 1.00 3.00 X X 0 0 0 BOB COLLINS MD TRUSTEE 1.00 3.00 X 522009 0 0 PHILIP FOSTER TRUSTEE 1.00 3.00 X 0 0 0 QUINT STUDER TRUSTEE 1.00 3.00 X 0 0 0 RANCE DUKE TRUSTEE 1.00 3.00 X 0 0 0 DANNY FISCHER MD MED STAFF PRES-BETHESDA 1.00 3.00 X 0 53600 0 KURT KNOCHEL MD MED STAFF PRES-GOOD SAM 1.00 3.00 X 65625 45000 0 CYNTHIA BOOTH TRUSTEE (START 7/20) 1.00 3.00 X 0 0 0 ANDREW DEVOE ASST TREASURER/CFO 25.00 35.00 X 781924 0 206182 STEVE GRACEY ASST SECRETARY/SVP LEGAL 25.00 35.00 X 580022 0 161024 JENNIFER SKINNER CHIEF NURSING EXEC. 55.00 5.00 X 437597 0 145350 DAVID COOK CHIEF HR OFFICER 55.00 5.00 X 519518 0 151045 JOHN WARD SVP-BETHESDA REGION 50.00 10.00 X 593670 0 181585 STEVE MOMBACH SVP-AMBULATORY SERVICES 5.00 55.00 X 554539 0 163819 KEVIN JOSEPH MD CHIEF MEDICAL OFFICER 25.00 35.00 X 762578 0 172322 MARLA SILLIMAN SVP-GOOD SAM REGION 50.00 10.00 X 651006 0 163398 CATHY FRENCH CHIEF INFORMATION OFFICER 60.00 0.00 X 434612 0 139982 TERRI HANLON-BREMER SVP-EMP SOLS & POP HEALTH 30.00 30.00 X 362217 0 98612 WILLIAM GRONEMAN FORMER KEY EMPLOYEE 40.00 0.00 X 3170144 0 138896 BRYAN STRADER MD PHYSICIAN EXECUTIVE - TPP 0.00 60.00 X 648599 0 173505 VESTA JOHNS ADMIN EXEC-TPP 0.00 60.00 X 469351 0 129165 RANDY CURNOW JR PRESIDENT-TRIHEALTH PHO 0.00 60.00 X 784014 0 71266 GAYLE MATTSON PRESIDENT/CEO-HOSPICE 0.00 60.00 X 484925 0 99176 DONNA NIENABER ESQ FORMER OFFICER 0.00 0.00 X 710689 0 0 MICHAEL CROFTON FORMER OFFICER 60.00 0.00 X 397639 0 123828 MARY IRVIN FORMER KEY EMPLOYEE 0.00 0.00 X 119638 0 0 GAIL DONOVAN FORMER KEY EMPLOYEE 0.00 0.00 X 1542704 0 37815 16222612 98600 2747282 350 1 1 0 CATHOLIC HEALTHCARE INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 CLINICAL ENGINEERING 14130829 LUMERIS 13900 RIVERPORT DR ST LOUIS MO 63043 CONSULTING 6000000 PFS GROUP 2600 NORTH LOOP WEST SUITE 150 HOUSTON TX 77092 A/R COLLECTIONS 5366455 FIRSTSOURCE SOLUTIONS USA LLC 10400 LINN STATION ROAD SUITE 100 LOUISVILLE KY 40229 CONSULTING 4509037 MICROSOFT CORPORATION ONE MICROSOFT WAY REDMOND WA 98052 SOFTWARE LICENSING 4236135 161 138801 15146553 15285354 SHARED SERVICES REV 900099 278135106 278135106 AFFILIATED BILLING REV 900099 22485350 22485350 AFFILIATED IT REVENUE 900099 8594350 8594350 AFFILIATED RENTAL REV 531120 6784197 6784197 AFFILIATED UTILIZATION 900099 1376543 1376543 1004505 57285 947220 318380051 430374 430374 203056 0 203056 203056 203056 28595998 11375742 45045 17220256 -45045 17175211 17175211 VALUE BASED REVENUE 900099 1519748 1519748 PURCHASE CARD REBATES 900099 374564 374564 TAX INCENTIVE REVENUE 900099 266667 266667 636993 623887 13106 2797972 354272018 313433500 947220 24605944 X 1509889 1509889 9346530 9346530 6802120 6802120 119539878 119539878 9695761 9695761 25144275 25144275 7622635 7622635 296140 296140 3238994 3238994 683756 683756 502915 502915 60343104 60343104 6383805 6383805 8347638 8347638 27232352 27232352 10563381 10563381 197602 197602 227098 227098 1361378 1361378 28821372 28821372 6787069 6787069 ALLOCATION 16345011 16345011 MEDICAL/DIETARY SUPPLY 11007466 11007466 DUES & SUBSCRIPTIONS 879557 879557 UBI TAX 195000 195000 786463 786463 363861189 363861189 0 0 39061307 180680665 1509737 1160438 9856702 9856702 8447975 7474686 327680230 193419333 147997669 134260897 79245822 81090092 19445574 24039714 20000000 18831000 2118750 1893750 1029448850 1163602754 1357132386 1622890698 73887800 78172583 6648686 12051600 82113442 76571458 15387777 9712410 178037705 176508051 X 1179094681 1446382647 1179094681 1446382647 1357132386 1622890698 X -9589171 -1821936 7113299 271585774 X X 0 1 X 1 0 X X 2 BETHESDA HOSPITAL INC 310537122 3 1 0 126711618 GOOD SAMARITAN HOSPITAL OF CINTI 310537486 3 1 0 138647531 2 0 265359149 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 PART I, LINE 11G, COLUMN (VI) AMOUNT OF OTHER SUPPORT TRIHEALTH, INC. ("TRIHEALTH") WAS CREATED IN 1995 UNDER A JOINT OPERATING AGREEMENT BETWEEN BETHESDA HOSPITAL, INC. ("BETHESDA") AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("GOOD SAMARITAN"). TRIHEALTH'S PRIMARY PURPOSE IS TO OPERATE AND JOINTLY MANAGE BETHESDA, GOOD SAMARITAN AND THEIR VARIOUS SUBSIDIARIES AND AFFILIATES. IN CARRYING OUT ITS CHARITABLE PURPOSES, TRIHEALTH PROVIDES A COMPREHENSIVE AND INTEGRATED PROVIDER BASE TO OPTIMIZE THE HEALTH STATUS OF THE COMMUNITY. TRIHEALTH PROVIDES ADMINISTRATIVE SUPPORT SERVICES INCLUDING GENERAL ADMINISTRATION, INFORMATION SYSTEMS, FINANCE, HUMAN RESOURCES, AND OTHER GENERAL SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS. PART IV, SECTION A, LINE 1 THE AMENDED AND RESTATED ARTICLES OF INCORPORATION OF TRIHEALTH STATE THAT THE SPECIFIC PURPOSE FOR WHICH TRIHEALTH IS FORMED IS TO ACT FOR THE BENEFIT OF, AND TO CARRY OUT THE PURPOSES OF BETHESDA HOSPITAL, INC. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND TO CONDUCT ANY ACTIVITIES CONSISTENT WITH SUCH PURPOSE, THE NONPROFIT LAWS OF THE STATE OF OHIO AND INTERNAL REVENUE CODE SECTION 501(C)(3). THE MISSION OF EACH HOSPITAL IS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE THEY SERVE. PART IV, SECTION A, LINE 6 SINCE ITS ESTABLISHMENT IN 1995, TRIHEALTH, AS THE OPERATING ORGANIZATION, HAS DEVELOPED AN INTEGRATED HEALTH CARE SYSTEM CONSISTING OF 5 HOSPITALS, 3 AMBULATORY LOCATIONS AND APPROXIMATELY 125 PRIMARY AND SPECIALIST PHYSICIAN LOCATIONS SERVING GREATER CINCINNATI AND THE SURROUNDING AREA. ALL OF THESE ORGANIZATIONS AND/OR LOCATIONS ARE PART OF ORGANIZATIONS THAT ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) (SEE SCHEDULE R, PART II). ALTHOUGH NOT SPECIFICALLY IDENTIFIED BY NAME IN TRIHEALTH'S GOVERNING DOCUMENTS, TRIHEALTH SUPPORTS RELATED ORGANIZATIONS AND ACTIVITIES OF SUCH RELATED ORGANIZATIONS IN FURTHERANCE OF ITS CHARITABLE PURPOSE AND CONSISTENT WITH INTERNAL REVENUE CODE SECTION 501(C)(3). WITH RESPECT TO THESE ORGANIZATIONS, TRIHEALTH PROVIDES SUPPORT SERVICES INCLUDING GENERAL ADMINISTRATION, INFORMATION SYSTEMS, FINANCE, HUMAN RESOURCES, AND OTHER GENERAL SUPPORT SERVICES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 38626 38626 0 PART II-B, LINE 1: 1I) TRIHEALTH, INC. PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES. 2486186 2486186 50954484 19718336 31236148 34801656 9970844 24830812 223695271 162080992 61614279 15742633 1649161 14093472 134260897 DUE FROM RELATED ORGANIZATIONS 1086105238 INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS 10748694 RIGHT OF USE ASSETS - OPERATING LEASE 31784561 ESCROW DEPOSIT 557400 MALPRACTICE ASSET 911005 PENSION ASSETS 33495856 1163602754 ACCRUED EIB 3624000 ACCRUED WORKERS COMPENSATION 13072 MALPRACTICE LIABILITY 4011005 DEFERRED FICA TAX 2064333 9712410 X PART X, LINE 2: FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED COMBINED FINANCIAL STATEMENTS OF TRIHEALTH THAT REPORTS ITS AND ITS SUBSIDIARIES AND AFFILIATES LIABILITY, IF APPLICABLE, FOR UNCERTAIN TAX POSITIONS UNDER ASC 740-10-25: TRIHEALTH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2021 OR 2020. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 27186891 0 0 0 0 0 0 27186891 0 27186891 1 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 UPTOWN CONSORTIUM INC 619 OAK STREET SUITE 1100 CINCINNATI OH 45206 200688727 501(C)(3) 510527 GENERAL PURPOSES CHILDENS HOSPITAL MEDICAL CENTER 3333 BURNET AVE CINCINNATI OH 45229 310833936 501(C)(3) 250000 CRADLE CINCINNATI FUNDING LEGAL AID SOCIETY OF CINCINNATI 215 EAST NINTH STREET SUITE 200 CINCINNATI OH 45202 310536673 501(C)(3) 200000 M-HELP PROGRAM FUNDING UNITED WAY 2400 READING ROAD CINCINNATI OH 45202 310537502 501(C)(3) 100000 PROJECT LIFT FUNDING HEALTHY MOMS & BABES INC 2270 BANNING ROAD NO 200 CINCINNATI OH 45239 311155292 501(C)(3) 100000 GENERAL SUPPORT AMERICAN RED CROSS 431 18TH STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 65000 GENERAL PURPOSES UNITED SERVICE ORGANIZATIONS INC 2111 WILSON BLVD SUITE 1200 ARLINGTON VA 22201 131610451 501(C)(3) 25000 USO TRIBUTE CINCINNATI SPONSORSHIP CANCERFREE KIDS PO BOX 575 LOVELAND OH 45140 300087852 501(C)(3) 25000 SPONSORSHIP AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW SUITE 400 ATLANTA GA 30303 131788491 501(C)(3) 20000 SPONSORSHIP REDI CINCINNATI LLC 3 EAST FOURTH STREET SUITE 301 CINCINNATI OH 45202 20000 ANNUAL COMMITMENT FREESTORE FOODBANK INC 1141 CENTRAL PARKWAY CINCINNATI OH 45202 237122205 501(C)(3) 10000 SPONSORSHIP THE CLEVELAND CLINIC 6801 BRECKSVILLE RD RK1-85 INDEPENDENCE OH 44131 340714585 501(C)(3) 10000 NATIONAL COORDINATED MASKING CAMPAIGN FUNDING AMERICAN LUNG ASSOCIATION 4050 EXECUTIVE PARK DRIVE SUITE 402 402 CINCINNATI OH 45241 131632524 501(C)(3) 7500 SPONSORSHIP 12 1 PART I, LINE 2: TRIHEALTH OBTAINS AND STORES ALL NECESSARY INFORMATION FROM THE RECIPIENT ORGANIZATION RELATIVE TO HOW THE FUNDS WILL BE SPENT. X X 1 1 X X X X 1 1 0 0 0 0 0 0 0 WILLIAM GRONEMAN FORMER KEY EMPLOYEE 213378 0 53267 0 2903499 0 108325 0 30571 0 3309040 0 2605271 0 MARK CLEMENT PRESIDENT/CEO 1191203 0 378427 0 59962 0 368190 0 22122 0 2019904 0 0 0 GAIL DONOVAN FORMER KEY EMPLOYEE 862077 0 0 0 680627 0 37667 0 148 0 1580519 0 0 0 ANDREW DEVOE ASST TREASURER/CFO 601313 0 168640 0 11971 0 171410 0 34772 0 988106 0 0 0 KEVIN JOSEPH MD CHIEF MEDICAL OFFICER 575780 0 162734 0 24064 0 137605 0 34717 0 934900 0 0 0 RANDY CURNOW JR PRESIDENT-TRIHEALTH PHO 256399 0 78645 0 448970 0 55015 0 16251 0 855280 0 0 0 BRYAN STRADER MD PHYSICIAN EXECUTIVE - TPP 503736 0 122863 0 22000 0 138629 0 34876 0 822104 0 0 0 MARLA SILLIMAN SVP-GOOD SAM REGION 506447 0 120367 0 24192 0 151535 0 11863 0 814404 0 0 0 JOHN WARD SVP-BETHESDA REGION 462692 0 111601 0 19377 0 152276 0 29309 0 775255 0 0 0 STEVE GRACEY ASST SECRETARY/SVP LEGAL 451142 0 109395 0 19485 0 126766 0 34258 0 741046 0 0 0 STEVE MOMBACH SVP-AMBULATORY SERVICES 431124 0 102720 0 20695 0 142479 0 21340 0 718358 0 0 0 DONNA NIENABER ESQ FORMER OFFICER 0 0 0 0 710689 0 0 0 0 0 710689 0 710689 0 DAVID COOK CHIEF HR OFFICER 403700 0 97214 0 18604 0 121699 0 29346 0 670563 0 0 0 VESTA JOHNS ADMIN EXEC-TPP 374208 0 75109 0 20034 0 123594 0 5571 0 598516 0 0 0 GAYLE MATTSON PRESIDENT/CEO-HOSPICE 341960 0 107999 0 34966 0 97704 0 1472 0 584101 0 0 0 JENNIFER SKINNER CHIEF NURSING EXEC. 338846 0 80786 0 17965 0 124467 0 20883 0 582947 0 0 0 CATHY FRENCH CHIEF INFORMATION OFFICER 318461 0 110401 0 5750 0 116208 0 23774 0 574594 0 0 0 BOB COLLINS MD TRUSTEE 0 0 0 0 522009 0 0 0 0 0 522009 0 522009 0 MICHAEL CROFTON FORMER OFFICER 314734 0 77600 0 5305 0 97489 0 26339 0 521467 0 0 0 TERRI HANLON-BREMER SVP-EMP SOLS & POP HEALTH 293162 0 60204 0 8851 0 85337 0 13275 0 460829 0 0 0 MARY IRVIN FORMER KEY EMPLOYEE 0 0 0 0 119638 0 0 0 0 0 119638 0 119638 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS UP PAYMENTS: ALL DIRECTORS IN AN EMPLOYMENT POSITION OF VICE PRESIDENT AND HIGHER WITHIN TRIHEALTH, INC. ARE ELIGIBLE TO RECEIVE TAX GROSS-UP PAYMENTS ON THE FOLLOWING BENEFITS: * SUPPLEMENTAL OR SPLIT DOLLAR LIFE INSURANCE * EXECUTIVE HEALTH PROGRAM SERVICES * LONG-TERM DISABILITY INSURANCE * LONG-TERM CARE INSURANCE * FINANCIAL COUNSELING * BUSINESS CLUB MEMBERSHIPS * HEALTH CLUB MEMBERSHIPS HEALTH OR SOCIAL CLUB OR INITIATION FEES: TRIHEALTH, INC. MAINTAINS A MEMBERSHIP IN A LOCAL SOCIAL CLUB IN THE NAME OF THE PRESIDENT & CEO AS THE SOCIAL CLUB REQUIRES THE MEMBERSHIP TO BE IN AN INDIVIDUAL'S NAME. THIS MEMBERSHIP IS A BUSINESS MEMBERSHIP FOR THE BENEFIT OF TRIHEALTH, INC. AS SUCH, THE MONTHLY DUES ARE PAID BY TRIHEALTH, INC. DURING THE CURRENT YEAR, THERE WAS NOT ANY PERSONAL USE BY THE PRESIDENT & CEO. PART I, LINES 4A-B ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENT AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC.: WILLIAM GRONEMAN - $2,605,271 DONNA NIENABER - $670,465 ROBERT COLLINS, MD - $522,009 PART I, LINE 4A: THE ORGANIZATION HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. DURING THE 2020 CALENDAR YEAR, THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC.: GAIL DONOVAN - $680,000 RANDY CURNOW - $393,224 WILLIAM GRONEMAN - $72,986 TERRI CROFTON FAMILY MEMBER MICHAEL CROFTON FORMER OFFICER 38759 EMPLOYEE 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: THE AMOUNTS SHOWN IN PART IV, COLUMN (C) ARE AT FAIR MARKET VALUE. FORM 990, PART III, LINE 1 THE MISSION OF TRIHEALTH, INC. IS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE. WE PURSUE OUR MISSION BY PROVIDING A FULL RANGE OF HEALTH RELATED SERVICES INCLUDING PREVENTION, WELLNESS AND EDUCATION. CARE IS PROVIDED WITH COMPASSION CONSISTENT WITH THE VALUES OF OUR ORGANIZATION. TRIHEALTH, INC. SERVES AS THE ENTITY THAT PROVIDES JOINT MANAGEMENT OF BETHESDA HOSPITAL AND GOOD SAMARITAN HOSPITAL UNDER AN AFFILIATION AGREEMENT BETWEEN BETHESDA, INC. AND CATHOLIC HEALTH INITIATIVES. FORM 990, PART III, LINE 4A TRIHEALTH, INC. ("TRIHEALTH") COMBINES THE STRENGTHS OF TWO OF GREATER CINCINNATI'S FINEST HEALTH CARE ORGANIZATIONS, BETHESDA HOSPITAL, INC. ("BETHESDA") AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO ("GOOD SAMARITAN"). FORMED IN 1995, TRIHEALTH CREATED AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IT SERVES, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. TRIHEALTH IS DEDICATED TO DELIVERING THE BEST CARE POSSIBLE. BETHESDA AND GOOD SAMARITAN HAVE VALUES ROOTED IN SPIRITUAL HERITAGE AND COMPASSIONATE SERVICES TO THE COMMUNITY. BETHESDA WAS FOUNDED IN 1896 BY GERMAN METHODIST DEACONESSES TO CARE FOR CINCINNATI'S SICK AND POOR. A CATHOLIC ORGANIZATION, GOOD SAMARITAN WAS ESTABLISHED IN 1852 UNDER THE SPONSORSHIP OF THE SISTERS OF CHARITY TO PROVIDE CARE FOR THE POOR AND MEDICALLY UNDERSERVED. IN KEEPING WITH THESE EARLY PURPOSES, TRIHEALTH CONTINUES TO PROVIDE UNCOMPENSATED CARE TO THOSE IN NEED. THE "TRI" IN TRIHEALTH REPRESENTS ITS HOSPITALS, PHYSICIANS AND COMMUNITY WORKING TOGETHER TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE IT SERVES. THE "TRI" ALSO EXPRESSES OUR COMMITMENT TO THE PHYSICAL, MENTAL AND SPIRITUAL ASPECTS OF HEALTH. IN SERVING THE COMMUNITY'S NEEDS, TRIHEALTH OFFERS COMPREHENSIVE SERVICES AT MORE THAN 130 CONVENIENT LOCATIONS IN THE GREATER CINCINNATI AND TRISTATE AREA. ITS SITES INCLUDE FIVE HOSPITAL LOCATIONS AND PHYSICIAN OFFICE BUILDINGS IN ADDITION TO FITNESS, REHABILITATION, OCCUPATIONAL HEALTH AND OUTPATIENT CENTERS. TRIHEALTH ALSO PROVIDES SERVICES IN THE HOME AND IN THE WORKPLACE AND DELIVERS CARE AND EDUCATION COOPERATIVELY THROUGH COMMUNITY-BASED ORGANIZATIONS, SUCH AS CHURCHES, SCHOOLS, CLINICS AND SOCIAL AGENCIES. TRIHEALTH HOSPITALS HAVE BEEN RECOGNIZED LOCALLY AND NATIONALLY AS TOP-RATED IN MATERNITY CARE, NEONATAL INTENSIVE CARE, CARDIAC SURGERY AND CARDIOLOGY, ORTHOPEDICS, UROLOGY, NEUROLOGY/NEUROSURGERY, AND ENDOCRINOLOGY. TRIHEALTH PROVIDES ADMINISTRATIVE SUPPORT SERVICES FOR BOTH BETHESDA AND GOOD SAMARITAN AS WELL AS VARIOUS SUBSIDIARIES AND AFFILIATES. THE ADMINISTRATIVE SUPPORT SERVICES INCLUDE GENERAL ADMINISTRATION, INFORMATION SYSTEMS, FINANCE, HUMAN RESOURCES AND OTHER GENERAL SUPPORT SERVICES. THESE COSTS ARE ALLOCATED TO THE VARIOUS TRIHEALTH ENTITIES AND THE ENTITIES REIMBURSE TRIHEALTH AT COST. IN ADDITION, BETHESDA AND GOOD SAMARITAN EQUALLY FUND THE CASH FLOWS OF TRIHEALTH AND AS SUCH THE COSTS ALLOCATED BY TRIHEALTH ARE RECORDED AS EXPENSES ON THE FINANCIAL STATEMENTS OF BETHESDA AND GOOD SAMARITAN. THEREFORE, THE ALLOCATED SERVICE COSTS ARE PRESENTED ON TRIHEALTH'S FORM 990, PARTS VIII AND IX IN THE AGGREGATE AS THE EXPENSES ARE PRESENTED AS MANAGEMENT AND GENERAL EXPENSES ON THE FORMS 990 FOR BETHESDA AND GOOD SAMARITAN. FORM 990, PART VI, SECTION A, LINE 2 THE OFFICERS, DIRECTORS AND TRUSTEES OF TRIHEALTH, INC. LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARDS OF BETHESDA HOSPITAL, INC. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, BOTH AFFILIATED ENTITIES OF TRIHEALTH, INC. AS WELL AS TRIHEALTH HOSPITAL, INC. A SUBSIDIARY OF TRIHEALTH, INC. KEVIN JOSEPH, MD, MARK CLEMENT, JOHN WARD AND STEVE GRACEY HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL, AN AFFILIATED ENTITY OF TRIHEALTH, INC. KATHY KELLY, RANCE DUKE, CYNTHIA BOOTH, DANNY FISCHER, MD, QUINT STUDER AND BOB COLLINS, MD HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF BETHESDA, INC., THE SINGLE CORPORATE MEMBER OF BETHESDA HOSPITAL, INC. MARK CLEMENT AND JENNY SKINNER HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE, AN AFFILIATED ENTITY OF TRIHEALTH, INC. MARK CLEMENT, ANDREW DEVOE, STEVE GRACEY, DAVID COOK, KEVIN JOSEPH, MD, KURT KNOCHEL, MD, STEVE MOMBACH, JOHN WARD, MARLA SILLIMAN, TERRI HANLON-BREMER, CATHY FRENCH AND JENNIFER SKINNER HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED ENTITY BOARDS OF TRIHEALTH, INC. AND ITS SUBSIDIARIES AND AFFILIATES AS WELL AS BEING EMPLOYED BY TRIHEALTH, INC. OR ITS AFFILIATES/SUBSIDIARIES. FORM 990, PART VI, SECTION A, LINE 6 TRIHEALTH, INC. HAS TWO CORPORATE MEMBERS, BETHESDA, INC. AND CATHOLIC HEALTH INITIATIVES, THE PARENT ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. FORM 990, PART VI, SECTION A, LINE 7A TRIHEALTH, INC. HAS TWO CORPORATE MEMBERS, BETHESDA, INC. AND CATHOLIC HEALTH INITIATIVES, THE PARENT ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, WHO HAVE THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF TRIHEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B TRIHEALTH, INC. HAS TWO CORPORATE MEMBERS, BETHESDA, INC. AND CATHOLIC HEALTH INITIATIVES, THE PARENT ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, WHO MUST APPROVE AMENDMENTS TO TRIHEALTH INC.'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF FORM 990 PRIOR TO FILING AFTER REVIEW BY THE FINANCE AND AUDIT COMMITTEE OF THE BOARD, ALONG WITH THE COMMITTEE'S SUMMARY OF THE FORM 990. HOWEVER, FOR THE PROTECTION OF DONOR PRIVACY, SCHEDULE B - SCHEDULE OF CONTRIBUTORS WAS REMOVED FROM THE COPY PROVIDED TO THE BOARD. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE ORGANIZATION FILES THE RETURNS MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH NON-SUBSTANTIVE CHANGES ARE NOT SUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE CERTAIN FINANCIAL INTERESTS AND FIDUCIARY RELATIONSHIPS. THE EXECUTIVE COMMITTEE AND CORPORATE COUNSEL REVIEW RESPONSES, CONDUCT FURTHER INVESTIGATION (IF NECESSARY), AND DETERMINE WHEN A CONFLICT EXISTS WITH RESPECT TO A CERTAIN TRANSACTION. IF A CONFLICT EXISTS, THE TRANSACTION IS NOT TO BE ENTERED INTO UNLESS ALTERNATIVES ARE FULLY INVESTIGATED, AND IN THEIR ABSENCE, THE BOARD, WITHOUT THE PARTICIPATION OF THE INTERESTED MEMBER(S), DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. PLANS TO MANAGE THE CONFLICT DURING THE RELATIONSHIP ARE IMPLEMENTED. ALL DISCUSSIONS ARE APPROPRIATELY DOCUMENTED. ALL DIRECTORS AND MANAGERS, WHICH INCLUDE OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO ANNUALLY DISCLOSE ANY CIRCUMSTANCES, INCLUDING FAMILY AND BUSINESS RELATIONSHIPS, THAT MAY CREATE A CONFLICT OF INTEREST FOR THE ORGANIZATION. THESE RESPONSES ARE REVIEWED AND ACTED UPON BY A CONFLICT OF INTEREST COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE ANNUAL PROCESS PERFORMED BY TRIHEALTH, INC. INCLUDED: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; COMPENSATION SURVEY OR STUDY; AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ADDITIONALLY, ALL DISCUSSIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 TRIHEALTH, INC.'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE 16B DURING THE YEAR, TRIHEALTH, INC. PARTICIPATED IN A JOINT VENTURE WITH ONE OR MORE TAXABLE PERSONS AND/OR ORGANIZATIONS. AS OF THE END OF THE FISCAL YEAR, TRIHEALTH, INC. HAD NOT ADOPTED A WRITTEN POLICY OR PROCEDURE THAT REQUIRES THE ORGANIZATION TO NEGOTIATE, IN ITS TRANSACTIONS AND ARRANGEMENTS WITH OTHER MEMBERS OF THE VENTURE OR ARRANGEMENT, SUCH TERMS AND SAFEGUARDS AS ARE ADEQUATE TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED. HOWEVER, ALL JOINT VENTURES, WHEN ENTERED INTO, HAVE OUTSIDE LEGAL COUNSEL REVIEW OF THE OPERATING AGREEMENT OR OTHER ORGANIZATIONAL DOCUMENTS TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED PRIOR TO THE COMMENCEMENT OF THE JOINT VENTURE. ONCE THE JOINT VENTURE COMMENCES, TRIHEALTH, INC. PERSONNEL MONITORS ITS ACTIVITIES TO ENSURE THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED. FORM 990, PART VII, SECTION A - AVERAGE HOURS PER WEEK DIRECTORS (AS NOTED WITH A "MED STAFF PRES" REFERENCE) FOR TRIHEALTH, INC. SERVE ON THE BOARD IN THEIR CAPACITY AS MEDICAL STAFF PRESIDENT FOR EITHER BETHESDA HOSPITAL, INC. OR THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. COMPENSATION SHOWN OF $45,000 IS FOR HIS/HER DUTIES AS MEDICAL STAFF PRESIDENT OF THE RESPECTIVE HOSPITAL AND NOT FOR SERVING AS A DIRECTOR. IN ADDITION, THESE INDIVIDUALS ARE ALSO EMPLOYEES OF THE TRIHEALTH SYSTEM AND ANY REMAINING COMPENSATION SHOWN IS FOR THOSE DUTIES AND NOT FOR SERVING AS A DIRECTOR. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 15,681,407. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,681,407. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 18,520,445. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,520,445. CONSULTING: PROGRAM SERVICE EXPENSES 16,970,463. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,970,463. STAFFING: PROGRAM SERVICE EXPENSES 3,070,690. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,070,690. LINGUISTIC SERVICES: PROGRAM SERVICE EXPENSES 1,493,552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,493,552. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 524,648. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 524,648. CATERING: PROGRAM SERVICE EXPENSES 53,077. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,077. AMBULANCE SERVICES: PROGRAM SERVICE EXPENSES 305,086. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 305,086. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 3,723,736. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,723,736. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTION UNDER JOINT OPERATING AGREEMENT 243,122,504. CHANGE IN PENSION PLAN/SERP FUNDED STATUS 34,290,533. NET INCOME OF GOOD SAMARITAN HOSPITAL FREE CLINIC (FILES FORM 990) -15,221. CONTRIBUTION REVENUE RECOGNITION ADJUSTMENT -5,812,042. FORM 990, PART VI, LINE 1A THE BOARD OF TRUSTEES OF TRIHEALTH, INC. ("THE CORPORATION"), ESTABLISHED AN EXECUTIVE COMMITTEE WHICH MAY EXERCISE SUCH POWER AND AUTHORITY OF THE BOARD OF TRUSTEES IN INTERVALS BETWEEN MEETINGS OF THE BOARD AS AUTHORIZED BY THE BOARD. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT & CEO, SECRETARY AND TWO OTHER BOARD MEMBERS ALL IN ACCORDANCE WITH THE NETWORK AFFILIATION AGREEMENT. FORM 990, PART XII, LINE 2C THE FINANCIAL STATEMENTS OF TRIHEALTH, INC. ARE AUDITED WITH ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). TRIHEALTH HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF BOTH ITS AND ITS SUBSIDIARIES AND AFFILIATES FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF THE INDEPENDENT AUDITOR. DURING THE TAX YEAR, THERE WAS NOT A CHANGE IN THE PROCESS OF AUDIT OVERSIGHT AND/OR SELECTION OF AN INDEPENDENT AUDITOR BY TRIHEALTH. 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