2016-05-12T13:29:41-05:00 2015-06-30 440160260 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2014-07-01 311438846 TRIHEALTH INC TRIH 5135696575 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 BRIAN KRAUSE VP FINANCE 5135695126 2016-05-12 1 P00961884 5136218300 2014 2016-08-17 19:52:53Z JOHN S PROUT 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 211984771 0 X WWW. TRIHEALTH.COM X 1994 OH TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE. 12 8 2058 8 0 0 102644 139920 182531462 208505611 282254 1151756 1106718 1185692 184023078 210982979 1063800 1532429 0 0 97303626 112074099 0 0 0 86390393 97557372 184757819 211163900 -734741 -180921 404747531 465399353 180095645 69407062 224651886 395992291 X SEE SCHEDULE O 0 0 211163900 1532429 209005137 SEE SCHEDULE O 211163900 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 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 1 276 0 1 2058 1 0 0 0 0 0 0 0 0 0 0 X 12 8 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X BRIAN KRAUSE 5135695126 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 X MICHAEL HAVERKAMP TRUSTEE 1.00 3.00 X 0 0 0 JOHN PROUT CEO 25.00 35.00 X X 1899621 0 469213 PAUL EDGETT III TRUSTEE 1.00 3.00 X 0 0 0 MYRTIS POWELL TRUSTEE 1.00 3.00 X 0 0 0 SR SALLY DUFFY TRUSTEE 1.00 3.00 X 0 0 0 MICHAEL MCGRAW CHAIRMAN 1.00 3.00 X X 0 0 0 JOANN LOHR MD MED STAFF PRES-GOOD SAM 1.00 10.00 X 0 72462 1919 ALAN ALTMAN MD MED STAFF PRES-BETHESDA 1.00 10.00 X 0 679627 92671 CRAIG EISENTROUT MD TRUSTEE 1.00 3.00 X 0 513309 48728 WAYNE SHIRCLIFF VICE CHAIRMAN/TREASURER 1.00 3.00 X X 0 0 0 RALPH MICHAEL TRUSTEE 1.00 3.00 X 0 0 0 ELLEN KATZ TRUSTEE (START 11/14) 1.00 3.00 X 0 0 0 DONNA NIENABER ESQ SVP CORP COUNSEL/ASST SECR 25.00 35.00 X 559897 0 164078 CRAIG RUCKER SVP CFO/ASST TREASURER (END 8/14) 25.00 35.00 X 552575 0 105712 MICHAEL CROFTON SVP CFO/ASST TREASURER (START 9/14) 25.00 35.00 X 459900 0 112333 MARK CLEMENT PRESIDENT (START 5/15) 25.00 35.00 X 0 0 0 WILLIAM GRONEMAN EXEC VP SYSTEM DEVELOPMENT 25.00 35.00 X 655598 0 194358 GERALD OLIPHANT EXEC VP & COO 25.00 35.00 X 722085 0 162794 GEORGES FEGHALI MD CHIEF MEDICAL OFFICER (END 12/14) 25.00 35.00 X 650293 0 186696 ROBERT COLLINS MD CHIEF MEDICAL OFFICER (1/15) 60.00 0.00 X 427574 0 109307 JOHN ROBINSON MD SVP-HOSPITAL OPERATIONS 50.00 10.00 X 425790 0 104283 RICHARD MOORE CHIEF INFORMATION OFFICER 60.00 0.00 X 571451 0 140936 WALTER MCLARTY CHIEF HR OFFICER 60.00 0.00 X 451366 0 127241 SHER MCCLANAHAN SVP-CLINICAL TRANSFORMATION 60.00 0.00 X 726384 0 80542 MARY IRVIN SVP-CHIEF NURSING EXECUTIVE 60.00 0.00 X 395597 0 142958 8498131 1265398 2243769 224 0 1 0 PPIC PO BOX 540658 OMAHA NE 68154 INSURANCE 4342747 OPTIMEDIA 375 HUDSON STREET 7TH FLOOR NEW YORK NY 10014 MEDIA COMMUNICATION 3027397 EPIC SYSTEMS CORP 1979 MILKY WAY VERONA WI 53593 INFORMATION TECHNOLOGY 2915825 TAFT STETTINIUS HOLLISTER LLP 425 WALNUT STREET CINCINNATI OH 45202 LEGAL 2905581 FORSYTHE SOLUTIONS GROUP 7770 FRONTAGE ROAD SKOKIE IL 60077 INFORMATION TECHNOLOGY 2799015 124 139920 139920 SHARED SERVICES REV 900099 195366962 195366962 AFFILIATED BILLING REV 900099 12395178 12395178 AFFILIATED MGMNT FEE 900099 517917 517917 AFFILIATED RENTAL REV 531120 149571 149571 75983 75983 208505611 281666 281666 656562 837912 -181350 -181350 -181350 870090 0 870090 870090 870090 258187 163880 94307 94307 CAFETERIA REVENUE 900099 573209 573209 PURCHASE CARD REBATES 900099 352816 352816 VENDING REVENUE 900099 200000 200000 146710 146710 1272735 210982979 209005137 0 1837922 X 1532429 1532429 6859779 6859779 120517 120517 78033809 78033809 6784264 6784264 14633159 14633159 5642571 5642571 191832 191832 4276179 4276179 659150 659150 28526831 28526831 8239551 8239551 4659963 4659963 17390460 17390460 4022545 4022545 806751 806751 396429 396429 21588014 21588014 2692440 2692440 EQUIPMENT 1580694 1580694 DUES & SUBSCRIPTIONS 1098465 1098465 MEDICAL/DIETARY SUPPLY 546783 546783 ALLOCATION 447136 447136 434149 434149 211163900 211163900 0 0 32352872 7561738 3330 4104 19398130 19398130 597835 2381992 163101262 84717625 81074520 78383637 271320844 357669752 404747531 465399353 31381173 45074315 813395 770075 147901077 23562672 180095645 69407062 X 224651886 395992291 224651886 395992291 404747531 465399353 X -180921 171521326 X X 0 1 X 1 0 X X 2 BETHESDA HOSPITAL INC 310537122 3 1 0 91526083 GOOD SAMARITAN HOSPITAL OF CINTI 310537486 3 1 0 95261841 2 0 186787924 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 ORGANIZATIONS AND ACTIVITIES OF SUCH 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 19087 19087 0 PART II-B, LINE 1: DURING THE TAX YEAR, TRIHEALTH, INC. PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES. 9684864 3583058 6101806 5144143 2837152 2306991 138343878 77937357 60406521 9928377 360058 9568319 78383637 DUE FROM RELATED ORGANIZATIONS 348657764 INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS 828706 ESCROW DEPOSIT 4580000 MALPRACTICE ASSET 3603282 357669752 PENSION LIABILITY 6032593 ACCRUED EIB 4726095 ACCRUED WORKERS COMPENSATION 901826 MALPRACTICE LIABILITY 11902158 23562672 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 PERFORMED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2015 AND 2014, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT EITHER DATE. 1 UPTOWN CONSORTIUM INC 629 OAK STREET SUITE 306 CINCINNATI OH 45206 200688727 501(C)(3) 298555 GENERAL PURPOSES AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 15000 SPONSORSHIP GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC 619 OAK STREET CINCINNATI OH 45206 311206047 501(C)(3) 132000 SPONSORSHIP BETHESDA FOUNDATION INC 619 OAK STREET CINCINNATI OH 45206 237374129 501(C)(3) 132000 SPONSORSHIP THE HEALTH COLLABORATIVE 2649 ERIE AVENUE 2ND FLOOR CINCINNATI OH 45208 311449807 501(C)(3) 70000 GENERAL PURPOSES THE CHILDREN'S THEATER 5020 OAKLAWN DRSUITE 2000 CINCINNATI OH 45227 316026285 501(C)(3) 20000 SPONSORSHIP FRIARS CLUB INC 2316 HARRYWOOD COURT CINCINNATI OH 45239 310537485 501(C)(3) 20000 SPONSORSHIP MARVIN LEWIS COMMUNITY FUND 700 WEST PETE ROSE WAY NO 37 CINCINNATI OH 45203 202704690 501(C)(3) 35625 SPONSORSHIP CINCINNATI LANDMARK PRODUCTION 4990 GLENWAY AVE CINCINNATI OH 45238 202814659 501(C)(3) 20000 SPONSORSHIP CINCINNATI ZOO AND BOTANICAL GARDENS 3400 VINE STREET CINCINNATI OH 45220 310537171 501(C)(3) 44165 SPONSORSHIP CINCINNATI USA REGIONAL CHAMBER 441 VINE STREET NO 300 CINCINNATI OH 45202 310239310 501(C)(6) 10500 SPONSORSHIP MOUNT ST JOSEPH UNIVERSITY 5701 DELHI ROAD CINCINNATI OH 45233 237179567 501(C)(3) 5200 SPONSORSHIP YWCA OF GREATER CINCINNATI 898 WALNUT STREET CINCINNATI OH 45202 310537518 501(C)(3) 10000 SPONSORSHIP HEALTHY BEGINNINGS INC 47 E HOLLISTER CINCINNATI OH 45219 311380939 501(C)(3) 80000 GENERAL SUPPORT AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW SUITE 400 ATLANTA GA 30303 131788491 501(C)(3) 12500 SPONSORSHIP HEALTHY MOMS & BABES INC 2270 BANNING ROAD NO 200 CINCINNATI OH 45239 311155292 501(C)(3) 100000 GENERAL PURPOSES CLIFTON TOWN MEETING PO BOX 20042 CINCINNATI OH 45220 310710292 501(C)(3) 8000 SPONSORSHIP ARTHRITIS FOUNDATION GREAT LAKES REGION INC 3740 RIDGE MILL DR HILLIARD OH 43026 274014550 501(C)(3) 20000 SPONSORSHIP FREESTORE FOODBANK INC 1141 CENTRAL PARKWAY CINCINNATI OH 45202 237122205 501(C)(3) 55388 SPONSORSHIP CINCINNATI ARTS ASSOCIATION 650 WALNUT STREET CINCINNATI OH 45202 311310256 501(C)(3) 40000 SPONSORSHIP RIGHT TO LIFE OF GREATER CINCINNATI 1802 WEST GALBRAITH ROAD CINCINNATI OH 45239 310813987 501(C)(4) 10000 SPONSORSHIP THE CENTER FOR CLOSING THE HEALTH GAP IN GREATER CINCINNATI 3120 BURNET AVE ROOM 201 CINCINNATI OH 45229 200902286 501(C)(3) 200000 GENERAL PURPOSES UNITED SERVICE ORGANIZATIONS INC 2111 WILSON BLVD SUITE 1200 ARLINGTON VA 22201 131610451 501(C)(3) 15000 SPONSORSHIP CLIFTONFEST PARTNERS INCORPORATED 3620 HEDGEROW LANE CINCINNATI OH 45220 464667265 501(C)(3) 8000 SPONSORSHIP REDI CINCINNATI LLC 3 EAST FOURTH STREET SUITE 301 CINCINNATI OH 45202 501(C)(6) 10000 GENERAL PURPOSE CINCINNATI STATE STEM ACADEMY INC 3520 CENTRAL PKY CINCINNATI OH 45223 900867170 501(C)(3) 21153 GENERAL PURPOSE MAYFIELD EDUCATION & RESEARCH FOUNDATION 506 OAK STREET CINCINNATI OH 45219 310921099 501(C)(3) 10000 SPONSORSHIP THE CINCINNATI BALLET COMPANY INC 1555 CENTRAL PARKWAY CINCINNATI OH 45214 316050354 501(C)(3) 15000 SPONSORSHIP THE SPIRIT OF CINCINNATUS INC 4138 LINDEN AVE DEER PARK OH 45236 800352850 501(C)(3) 45000 SPONSORSHIP PATTY BRISBEN FOUNDATION FOR WOMEN'S SEXUAL HEALTH 655 PLUM STREET CINCINNATI OH 45202 204277190 501(C)(3) 15000 SPONSORSHIP BOWTIE FOUNDATION 1308 RACE STREET SUITE 101 CINCINNATI OH 45202 501(C)(3) 7500 SPONSORSHIP 28 3 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 X 1 1 0 0 0 0 0 0 0 JOHN PROUT CEO 999918 0 0 0 899703 0 459406 0 9807 0 2368834 0 858502 0 ALAN ALTMAN MD MED STAFF PRES-BETHESDA 0 632590 0 0 0 47037 0 68008 0 24663 0 772298 0 0 CRAIG EISENTROUT MD TRUSTEE 0 509121 0 0 0 4188 0 26268 0 22460 0 562037 0 0 DONNA NIENABER ESQ SVP CORP COUNSEL/ASST SECR 367879 0 159406 0 32612 0 149191 0 14887 0 723975 0 0 0 CRAIG RUCKER SVP CFO/ASST TREASURER (END 8/14) 320089 0 174532 0 57954 0 96120 0 9592 0 658287 0 0 0 MICHAEL CROFTON SVP CFO/ASST TREASURER (START 9/14) 297044 0 136647 0 26209 0 87580 0 24753 0 572233 0 0 0 WILLIAM GRONEMAN EXEC VP SYSTEM DEVELOPMENT 429983 0 152937 0 72678 0 167030 0 27328 0 849956 0 22635 0 GERALD OLIPHANT EXEC VP & COO 522235 0 180186 0 19664 0 137358 0 25436 0 884879 0 0 0 GEORGES FEGHALI MD CHIEF MEDICAL OFFICER (END 12/14) 436528 0 174577 0 39188 0 164261 0 22435 0 836989 0 0 0 ROBERT COLLINS MD CHIEF MEDICAL OFFICER (1/15) 325380 0 81722 0 20472 0 94905 0 14402 0 536881 0 0 0 JOHN ROBINSON MD SVP-HOSPITAL OPERATIONS 314943 0 95378 0 15469 0 79160 0 25123 0 530073 0 0 0 RICHARD MOORE CHIEF INFORMATION OFFICER 313288 0 102853 0 155310 0 126524 0 14412 0 712387 0 0 0 WALTER MCLARTY CHIEF HR OFFICER 303840 0 110363 0 37163 0 115820 0 11421 0 578607 0 0 0 SHER MCCLANAHAN SVP-CLINICAL TRANSFORMATION 416010 0 0 0 310374 0 76339 0 4203 0 806926 0 0 0 MARY IRVIN SVP-CHIEF NURSING EXECUTIVE 285296 0 90330 0 19971 0 120623 0 22335 0 538555 0 0 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 IN ADDITION, DURING THE CALENDAR YEAR 2013, WILLIAM GRONEMAN RECEIVED A TAX INDEMNIFICATION AND GROSS UP PAYMENT ON A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PAYMENT. TRIHEALTH, INC. INCLUDED THE ENTIRE TAX INDEMNIFICATION AND GROSS UP PAYMENT AS TAXABLE INCOME ON THE INDIVIDUAL'S FORM W-2 FOR 2014. 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. TRIHEALTH, INC. CONTRIBUTED, ON BEHALF OF THE FOLLOWING INDIVIDUALS, TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE AMOUNTS AS NOTED: JOHN PROUT - $401,161 DONNA NIENABER, ESQ. - $84,330 MICHAEL CROFTON - $56,175 CRAIG RUCKER - $55,867 WILLIAM GRONEMAN - $102,992 GERALD OLIPHANT - $110,403 GEORGES FEGHALI, MD - $107,373 RICHARD MOORE - $70,921 ROBERT COLLINS, MD - $41,161 JOHN ROBINSON, MD - $52,178 WALTER MCLARTY - $59,801 SHER MCCLANAHAN - $21,237 MARY IRVIN - $50,259 IN ADDITION, THE FOLLOWING INDIVIDUAL LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC.: JOHN PROUT - $858,502 WILLIAM GRONEMAN - $22,635 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 2014 CALENDAR YEAR, THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC.: SHER MCCLANHAN - $216,296 KATHLEEN OLIPHANT FAMILY MEMBER GERALD OLIPHANT CURRENT KEY EMPLOYEE 82070 EMPLOYEE 0 TERRI CROFTON FAMILY MEMBER MICHAEL CROFTON CURRENT OFFICER 38447 EMPLOYEE 0 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 4B 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 50 CONVENIENT LOCATIONS IN THE GREATER CINCINNATI AND TRISTATE AREA. ITS SITES INCLUDE TWO 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. WAYNE SHIRCLIFF, ALAN ALTMAN, MD, CRAIG EISENTROUT, MD, ELLEN KATZ, MICHAEL HAVERKAMP, AND MYRTIS POWELL 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. JOHN PROUT AND MYRTIS POWELL 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. JOHN PROUT, DONNA NIENABER, ESQ., CRAIG RUCKER, WILLIAM GRONEMAN, GERALD OLIPHANT, GEORGES FEGHALI, MD, MARK CLEMENT, MICHAEL CROFTON, ROBERT COLLINS, MD, ALAN ALTMAN, MD, AND JOANN LOHR, MD 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. SR. SALLY DUFFY AND MICHAEL MCGRAW HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER VIA AN UNRELATED TAX-EXEMPT ORGANIZATION. 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 11 MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF FORM 990 PRIOR TO FILING. 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 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 MEDICARE COMPLIANCE: PROGRAM SERVICE EXPENSES 745,337. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 745,337. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,116,765. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,116,765. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 6,429,802. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,429,802. RECRUITMENT/RELOCATION SERVICES: PROGRAM SERVICE EXPENSES 952,094. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 952,094. CONSULTING: PROGRAM SERVICE EXPENSES 8,499,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,499,364. STAFFING: PROGRAM SERVICE EXPENSES 2,034,824. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,034,824. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 6,748,645. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,748,645. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTION UNDER JOINT OPERATING AGREEMENT 76,066,344. CHANGE IN PENSION PLAN/SERP FUNDED STATUS -10,164,914. CAPITAL CONTRIBUTION TO MCCULLOUGH HYDE MEMORIAL HOSPITAL INC. -3,500,000. ELIMINATION OF INVESTMENT IN DIRECT SUBSIDIARIES 109,162,454. NET LOSS OF GOOD SAMARITAN HOSPITAL FREE CLINIC (FILES FORM 990) -48,953. MISCELLANEOUS 6,395. 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. BETHESDA HOSPITAL INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 310537122 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 310537486 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 TRIHEALTH PHYSICIAN ENTERPRISE CORP 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 311383365 PHYSICIAN PRACTICES OH SECTION 501(C)(3) SCHEDULE A, LINE 9 TRIHEALTH INC 1 TRIHEALTH PHYSICIAN INSTITUTE 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 311074519 PHYSICIAN PRACTICES OH SECTION 501(C)(3) SCHEDULE A, LINE 9 TRIHEALTH INC 1 GOOD SAMARITAN HOSPITAL FREE CLINIC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 273893817 FREE CLINIC OH SECTION 501(C)(3) SCHEDULE A, LINE 7 TRIHEALTH INC 1 TRIHEALTH HOSPITAL INC 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 461393755 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 BETHESDA HEALTHCARE INC 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 311027660 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 11B BETHESDA INC 1 BETHESDA FAMILY PRACTICE CENTER 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 311242442 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 11A BETHESDA HOSPITAL INC 1 BETHESDA PROPERTIES INC 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 311352694 PROPERTY MANAGEMENT OH SECTION 501(C)(2) BETHESDA HOSPITAL INC 1 HOSPICE OF CINCINNATI INCORPORATED 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 310917155 HOSPICE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 9 BETHESDA HOSPITAL INC 1 FERNSIDE INC A CENTER FOR GRIEVING CHILDREN 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 311179234 COUNSELING TO GRIEVING CHILDREN OH SECTION 501(C)(3) SCHEDULE A, LINE 7 HOSPICE OF CINCINNATI INCORPORATED 1 GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 311778403 EDUCATION OH SECTION 501(C)(3) SCHEDULE A, LINE 2 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 1 COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 237419853 DIALYSIS OH SECTION 501(C)(2) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 1 MCCULLOUGH HYDE MEMORIAL HOSPITAL INC 110 N POPLAR STREET OXFORD OH 45056 310650283 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 TRIHEALTH PHYSICIAN SOLUTIONS INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 311444353 CLAIMS ADMINISTRATION OH N/A C 4391671 3221933 1.00000 1 TRIHEALTH PHYSICIANS OF INDIANA INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 461125130 PHYSICIAN PRACTICES OH N/A C 1 TRIHEALTH CIPHO INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 463294306 PHYSICIAN HEALTH ORGANIZATION OH N/A C 34690 1.00000 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 1 0 1 1 0 TRIHEALTH PHYSICIAN ENTERPRISE CORP A 143648 FMV BETHESDA HOSPITAL INC A 5923 FMV MCCULLOUGH HYDE MEMORIAL HOSPITAL INC B 3500000 CASH TRIHEALTH PHYSICIAN ENTERPRISE CORP B 30333214 CASH TRIHEALTH PHYSICIAN INSTITUTE B 65903222 CASH BETHESDA HOSPITAL INC C 38033172 CASH THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO C 38033172 CASH BETHESDA PROPERTIES INC K 450299 FMV THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO K 1322 FMV BETHESDA HOSPITAL INC L 181142 FMV BETHESDA HOSPITAL INC L 91526083 COST THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO L 95852572 COST TRIHEALTH HOSPITAL INC L 3345786 COST BETHESDA HEALTHCARE INC M 1622682 FMV TRIHEALTH PHYSICIAN SOLUTIONS O 3124262 FMV GOOD SAMARITAN HOSPITAL FREE CLINIC O 382663 FMV THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO Q 198383888 COST BETHESDA HOSPITAL INC Q 191919395 COST TRIHEALTH PHYSICIAN ENTERPRISE CORP Q 77318078 COST TRIHEALTH PHYSICIAN INSTITUTE Q 35847256 COST TRIHEALTH PHYSICIAN SOLUTIONS Q 1455072 COST TRIHEALTH HOSPITAL INC Q 29171318 COST TRIHEALTH PHYSICIANS OF INDIANA INC Q 355068 COST TRIHEALTH CIPHO INC Q 203458 COST GOOD SAMARITAN HOSPITAL FREE CLINIC Q 229195 COST BETHESDA PROPERTIES INC Q 3921456 COST BETHESDA HEALTHCARE INC Q 8834843 COST HOSPICE OF CINCINNATI INCORPORATED Q 13186599 COST FERNSIDE INC A CENTER FOR GREIVING CHILDREN Q 149038 COST GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE Q 961429 COST