TRIHEALTH HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
TRIHEALTH HOSPITAL INC (EIN 46-1393755)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-13
IRS object ID
202201339349303605
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T10:05:54-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461393755EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRIHEALTH HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTRIHBusinessNameControlTxt
Phone5135696575PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 EDEN PARK DRIVE 7TH FLOORAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL CROFTONPersonNm
Person TitleVP-FINANCEPersonTitleTxt
Phone5135696577PhoneNum
Signature2022-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastCROFTONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNA M JANSONSPreparerPersonNm
PTINP01222873PTIN
Phone3174648600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK CLEMENTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 EDEN PARK DRIVE 7TH FLOORAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,296,379GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TRIHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee288TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$63,481,333PYProgramServiceRevenueAmt
CY Program Service Revenue$22,296,306CYProgramServiceRevenueAmt
PY Investment Income$31,950PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$1,383,404PYOtherRevenueAmt
CY Other Revenue$5,000,073CYOtherRevenueAmt
PY Total Revenue$64,896,687PYTotalRevenueAmt
CY Total Revenue$27,296,379CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,909,361PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,714,171CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$52,460,286PYOtherExpensesAmt
CY Other Expenses$31,759,002CYOtherExpensesAmt
PY Total Expenses$71,369,647PYTotalExpensesAmt
CY Total Expenses$37,473,173CYTotalExpensesAmt
PY Revenues Less Expenses-$6,472,960PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,176,794CYRevenuesLessExpensesAmt
Total Assets BOY$195,847,111TotalAssetsBOYAmt
Total Assets EOY$156,563,677TotalAssetsEOYAmt
Total Liabilities BOY$31,055,401TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,873,121TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$164,791,710NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$154,690,556NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE. THIS IS ACCOMPLISHED BY PROVIDING A FULL RANGE OF HEALTH RELATED SERVICES INCLUDING PREVENTION, WELLNESS AND EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$34,034,270ExpenseAmt
Grant$0GrantAmt
Revenue$27,296,379RevenueAmt
DescSEE SCHEDULE HDesc
Total Program Service Expenses$34,034,270TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document63IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee288EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL CROFTON - VP FINANCEPersonNm
Phone5135696577PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 EDEN PARK DRIVE 7TH FLOORAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SR SALLY DUFFY
SECRETARY1.003.00Yes (X)Yes (X)$0$0$0
RALPH MICHAEL
CHAIR1.003.00Yes (X)Yes (X)$0$0$0
ROBERT COLLINS MD
TRUSTEE1.003.00Yes (X)$0$522,009$0
MARK CLEMENT
PRESIDENT/CEO5.0055.00Yes (X)Yes (X)$0$1,629,592$390,312
PHILLIP CASTELLINI
TRUSTEE1.003.00Yes (X)$0$0$0
KATHY KELLY
VICE CHAIR (START 7/2020)1.003.00Yes (X)Yes (X)$0$0$0
THEODORE TORBECK
TREASURER1.003.00Yes (X)Yes (X)$0$0$0
PHILIP FOSTER
TRUSTEE1.003.00Yes (X)$0$0$0
QUINT STUDER
TRUSTEE1.003.00Yes (X)$0$0$0
RANCE DUKE
TRUSTEE1.003.00Yes (X)$0$0$0
DANNY FISCHER MD
MED STAFF PRESIDENT-BETHESDA1.003.00Yes (X)$0$53,600$0
KURT KNOCHEL MD
MED STAFF PRESIDENT-GOOD SAM1.003.00Yes (X)$0$110,625$0
CYNTHIA BOOTH
TRUSTEE (START 7/2020)1.003.00Yes (X)$0$0$0
ANDREW DEVOE
ASST TREASURER/CFO5.0055.00Yes (X)$0$781,924$206,182
STEVE GRACEY
ASST SECRETARY/SVP LEGAL5.0055.00Yes (X)$0$580,022$161,024
KELVIN HANGER
PRESIDENT-TRIHEALTH HOSPIT60.000.00$0$431,830$98,097Yes (X)
SUELLEN JONES
NURSING ADMIN-EVENDALE60.000.00$197,934$0$33,844Yes (X)
DAVID COOK
CHIEF HR OFFICER5.0055.00$0$519,518$151,045Yes (X)
KEVIN JOSEPH MD
CHIEF MEDICAL OFFICER5.0055.00$0$762,578$172,322Yes (X)
JENNY SKINNER
CNE-TRIHEALTH15.0045.00$0$437,597$145,350Yes (X)
MARLA SILLIMAN
VP-GOOD SAM REGION15.0045.00$0$651,006$163,398Yes (X)
DEBORAH MONTGOMERY
MGR-TRIHEALTH HAND SURGERY60.000.00$121,501$0$25,028Yes (X)
MELISSA PAYNE
PHARMACIST60.000.00$154,169$0$44,434Yes (X)
SALLY VEATCH
NURSE MGR-EVENDALE60.000.00$125,451$0$41,699Yes (X)
VALENTINA DEDMAN
NURSE MGR-EVENDALE60.000.00$118,313$0$31,655Yes (X)
SHERRI JOYCE
NURSE MGR-EVENDALE60.000.00$122,359$0$35,021Yes (X)
DONNA NIENABER ESQ
FORMER OFFICER0.000.00$0$710,689$0Yes (X)
MICHAEL CROFTON
FORMER OFFICER0.0060.00$0$397,639$123,828Yes (X)
WILLIAM GRONEMAN
FORMER KEY EMPLOYEE0.0040.00$0$3,170,144$138,896Yes (X)
GAIL DONOVAN
FORMER KEY EMPLOYEE0.000.00$0$1,542,704$37,815Yes (X)
MARY IRVIN
FORMER KEY EMPLOYEE0.000.00$0$119,638$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$839,727TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,421,115TotReportableCompRltdOrgAmt
Total Other Compensation$1,999,950TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112CLINICAL MAINTENANCE$202,071
BEACON ORTHOPAEDICS
500 E BUSINESS WAYSHARONVILLEOH45241PHYSICAL THERAPY STAFFING$124,576
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICESDesc
Business621400BusinessCd
Total Revenue Column$22,296,306TotalRevenueColumnAmt
Related Or Exempt Func Income$22,296,306RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$22,296,306TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CARES ACT FUNDING900099$5,000,000$5,000,000
MEDICAL RECORDS900099$73$73
FieldValueIRS element (for citing)
Other Revenue Total$5,000,073OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,296,379TotalRevenueColumnAmt
Related Or Exempt Func Income$27,296,379RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$231,777TotalAmt
Management And General$231,777ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,154,230TotalAmt
Program Services$4,111,900ProgramServicesAmt
Management And General$42,330ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$240,359TotalAmt
Program Services$130,430ProgramServicesAmt
Management And General$109,929ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$768,288TotalAmt
Program Services$684,037ProgramServicesAmt
Management And General$84,251ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$319,517TotalAmt
Program Services$300,108ProgramServicesAmt
Management And General$19,409ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$225,040TotalAmt
Program Services$6,092ProgramServicesAmt
Management And General$218,948ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$165,380TotalAmt
Program Services$137,575ProgramServicesAmt
Management And General$27,805ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$240,032TotalAmt
Program Services$186,265ProgramServicesAmt
Management And General$53,767ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,943TotalAmt
Program Services$2,943ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,194,963TotalAmt
Program Services$987,684ProgramServicesAmt
Management And General$207,279ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,198TotalAmt
Program Services$1,048ProgramServicesAmt
Management And General$150ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$395TotalAmt
Program Services$395ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$667,620TotalAmt
Management And General$667,620ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,344,611TotalAmt
Program Services$20,992,540ProgramServicesAmt
Management And General$352,071ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,642TotalAmt
Program Services$16,642ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/DIETARY SUPPLY$5,642,296$5,632,680$9,616
OVERHEAD ALLOCATION$1,500,551$115,665$1,384,886
EQUIPMENT$389,046$363,520$25,526
OHIO HOSPITAL FEE$355,166$355,166

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,119TotalAmt
Program Services$9,580ProgramServicesAmt
Management And General$3,539ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$37,473,173TotalAmt
Program Services$34,034,270ProgramServicesAmt
Management And General$3,438,903ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$599BOYAmt
EOY$601EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,685,185BOYAmt
EOY$303,922EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,044,155BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,273BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,847,123LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,444,661LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$39,350,677BOYAmt
EOY$5,402,462EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$99,574,966BOYAmt
EOY$88,511,081EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$49,172,256BOYAmt
EOY$62,345,611EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$195,847,111BOYAmt
EOY$156,563,677EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,263,578BOYAmt
EOY$965,616EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$412,232EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$23,290,556BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$501,267BOYAmt
EOY$495,273EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,055,401BOYAmt
EOY$1,873,121EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$164,791,710BOYAmt
EOY$154,690,556EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$164,791,710BOYAmt
EOY$154,690,556EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$195,847,111BOYAmt
EOY$156,563,677EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,176,794ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$75,640OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,757,321OtherCostOrOtherBasisAmt
Depreciation$9,757,321DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,709,395OtherCostOrOtherBasisAmt
Depreciation$2,976,803DepreciationAmt
Book Value$3,732,592BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,380,407OtherCostOrOtherBasisAmt
Depreciation$710,537DepreciationAmt
Book Value$1,669,870BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,402,462TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM RELATED ORGANIZATIONDesc
Book Value$62,345,611BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$62,345,611TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY SETTLEMENTS$193,426
DEFERRED FICA TAX$301,847
FieldValueIRS element (for citing)
Total Liability$495,273TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FINANCIAL STATEMENTS OF TRIHEALTH HOSPITAL, INC. ARE AUDITED AS PART OF TRIHEALTH AND ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). 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 CERTAIN 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$198,590TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$198,590NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,011,725TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$672,735DirectOffsettingRevenueAmt
Net Community Benefit Expns$338,990NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,210,315TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$672,735DirectOffsettingRevenueAmt
Net Community Benefit Expns$537,580NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,210,315TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$672,735DirectOffsettingRevenueAmt
Net Community Benefit Expns$537,580NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$296,195BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$3,362,556ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,870,839CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$491,717MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRIHEALTH EVENDALE HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13155 GLENDALE-MILFORD RDAddressLine1Txt
CityEVENDALECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45241ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.TRIHEALTH.COMWebsiteAddressTxt
State License1482StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TRIHEALTH EVENDALE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/OwnWebsiteURLTxt
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
TRIHEALTH EVENDALE HOSPITALPART V, SECTION B, LINE 5: PRIMARY DATA SOURCES ALMOST 1,300 PEOPLE HAD AN OPPORTUNITY TO IDENTIFY AND PRIORITIZE HEALTH AND HEALTH-RELATED ISSUES AT A MEETING OR BY SURVEY. TWENTY-THREE (23) COUNTY- OR DISTRICT-LEVEL PUBLIC HEALTH DEPARTMENTS RESPONDED BY SURVEY, AND THE CHNA TEAM ALSO RECEIVED SURVEY RESPONSES FROM 5 CITY-LEVEL HEALTH DEPARTMENTS. NINETY-SIX NONPROFIT ORGANIZATIONS COMPLETED SURVEYS, AND THEY SERVED RESIDENTS IN EVERY COUNTY. TOTAL RESPONSE FAR EXCEEDED THE LEVEL OF RESPONSE EXPERIENCED THREE YEARS EARLIER FOR THE 2016 CHNAS IN CINCINNATI AND DAYTON. PRIMARY DATA WAS OBTAINED, WITH A UNIFORM SET OF QUESTIONS, VIA THE FOLLOWING: * THERE WERE 42 MEETINGS, HELD IN 23 COUNTIES DURING MAY THROUGH JULY 2018, WHICH ATTRACTED 463 REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, THE GENERAL PUBLIC, AND/OR MEMBERS OF MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS TO IDENTIFY BARRIERS TO CARE, GIVE INPUT FOR CURRENT NEEDS ASSESSMENT, PRIORITIZE ISSUES, AND IDENTIFY RESOURCES TO ADDRESS HEALTH AND HEALTH-RELATED ISSUES. * ONLINE SURVEYS OF INDIVIDUALS (828), AGENCIES (96), AND PUBLIC HEALTH DEPARTMENTS (28) THROUGHOUT THE REGION FROM JUNE THROUGH AUGUST 2018. * THE REPORTING HOSPITAL DID NOT RECEIVE WRITTEN COMMENTS FROM THE PUBLIC REGARDING THE 2016 CHNA OR ITS RELATED IMPLEMENTATION STRATEGY. COMMUNITY MEETINGSOUTREACH ANY INDIVIDUAL OR AGENCY REPRESENTATIVE WHO GAVE THEIR ADDRESS DURING THE 2013 OR 2016 CHNA PROCESS WAS ADDED TO AN INVITE LIST, AND THE HEALTH COLLABORATIVE (THC) MAILED THEM AN INVITATION TO THE MEETING SCHEDULED IN THEIR COUNTY. THE CONSULTANTS ADDED NONPROFIT ORGANIZATIONS IN EACH COUNTY THAT HAD EITHER A PHONE NUMBER, STREET ADDRESS, OR EMAIL. THC SENT 544 EMAILS AND 376 LETTERS BY FIRST-CLASS MAIL. THE CONSULTANTS MADE PHONE CALLS TO AGENCIES THAT HAD NOT PREVIOUSLY ATTENDED A CHNA MEETING AS WELL AS TO STRATEGIC ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS AND/OR HAVE A BROAD REACH, E.G., UNITED WAY. THEY FOLLOWED UP WITH EMAILS. THC SENT FLYERS TO HOSPITALS AND TO MEETING HOST SITES FOR POSTING AND DISTRIBUTION. THE CONSULTANTS ALSO POSTED UPCOMING MEETINGS EVERY TWO WEEKS IN THE INTERACT FOR HEALTH E-NEWSLETTER: HEALTH WATCH, WHICH IS EMAILED ACROSS 20 COUNTIES. THE CONSULTANTS SENT FLYERS TO PUBLIC HEALTH DEPARTMENTS TO POST AND DISTRIBUTE. SOME HEALTH DEPARTMENTS PUBLICIZED MEETINGS ON THEIR SOCIAL MEDIA PAGES AND HELD ADDITIONAL MEETINGS. THERE WAS A 229% INCREASE IN MEETING ATTENDANCE, FROM 202 FOR THE 2016 CYCLE TO 463 FOR THE 2019 CYCLE. APPENDIX 1 OF THE CHNA, WHICH IS POSTED TO TRIHEALTH'S WEBSITE, INCLUDES A LIST OF MEETING ATTENDEES AND THE ORGANIZATIONS EACH REPRESENTS.PURPOSE OF MEETINGS THE PURPOSE OF THE MEETINGS WAS TO SOLICIT PUBLIC INPUT. THE DESIRE WAS TO ATTRACT INDIVIDUALS OR NONPROFIT ORGANIZATIONS WITH EXPERIENCE OR KNOWLEDGE TO SHARE, ESPECIALLY ON EMERGING ISSUES NOT CAPTURED BY THE SECONDARY DATA AND FROM THE PERSPECTIVES OF MEDICALLY UNDERSERVED, MINORITY, AND/OR LOW-INCOME POPULATIONS. THE OBJECTIVES WERE TO: * SHARE COUNTY-LEVEL HIGHLIGHTS FROM THE SECONDARY DATA (AND CITY-LEVEL FOR CINCINNATI HEALTH DEPARTMENT MEETINGS) * GATHER DIVERSE PEOPLE TO SHARE THEIR IDEAS -- GENERAL PUBLIC AND COMMUNITY LEADERS * RECEIVE INPUT FROM AGENCIES THAT REPRESENT VULNERABLE POPULATIONS * HEAR CONCERNS AND QUESTIONS ABOUT EXISTING HEALTH/HEALTH-RELATED ISSUES * OBTAIN INFORMATION ABOUT FINANCIAL AND NON-FINANCIAL BARRIERS TO HEALTH CARE * IDENTIFY RESOURCES AVAILABLE LOCALLY TO ADDRESS ISSUES * OBTAIN INSIGHT INTO LOCAL CONDITIONS FROM LOCAL PEOPLE * DISCOVER HEALTH AND HEALTH-RELATED PRIORITIES OF ATTENDEES MEETING FACILITATION A GROUP OF 2-3 CONSULTANTS WENT TO EACH MEETING, DEPENDING ON THE NUMBER OF RSVPS. EACH MEETING FOLLOWED THE SAME FORMAT AND AGENDA. REFRESHMENTS WERE SERVED, AND NAMETAGS WERE USED TO GENERATE A WELCOMING ATMOSPHERE. LOCATIONS WERE SELECTED FOR CONVENIENCE, ACCESS, AND TRUSTED REPUTATION IN THE COMMUNITY. THE FACILITATOR FIRST SHARED GENERAL TRISTATE AND STATE-SPECIFIC HEALTH AND HEALTH-RELATED DATA TO PROVIDE CONTEXT. THE SURVEY QUESTIONS WERE USED, BUT THE FIRST QUESTION ABOUT MOST SERIOUS HEALTH ISSUES WAS ASKED SEPARATELY. THIS TECHNIQUE WAS INTENDED TO CAPTURE FIRST THOUGHTS WITHOUT AN OPPORTUNITY TO BE INFLUENCED BY THE MORE SPECIFIC COUNTY-LEVEL DATA OR BY OTHER ATTENDEES. AFTER THE FIRST QUESTION, THE CONSULTANTS (A MEETING FACILITATOR AND AT LEAST ONE SCRIBE) SHARED A PROFILE OF THE COUNTY, INCLUDING A SUMMARY OF SECONDARY DATA. THE MEETINGS LASTED 90 MINUTES, OF WHICH 60 MINUTES WAS DEVOTED TO THE GROUP'S BRAINSTORMING. AT THE END, EACH PERSON WAS GIVEN 3 COLORED DOTS. THEY PLACED THE DOTS NEXT TO ISSUES THEY PRIORITIZED AS MOST IMPORTANT HEALTH CONDITIONS OR NEEDS OF THE COMMUNITY. THE AGENDA HANDOUT CONTAINED LINKS TO THE SURVEYS. SURVEYS THE CONSULTANTS DEVELOPED THREE TYPES OF SURVEYS: INDIVIDUAL CONSUMER; AGENCY; AND HEALTH DEPARTMENT. THE QUESTIONS REMAINED THE SAME FOR EACH SURVEY. THE AGENCY SURVEYS WERE PUSHED OUT VIA EMAIL AS WELL AS THE LINK WAS SHARED AT THE COMMUNITY MEETINGS. THE HEALTH DEPARTMENT VERSION ALSO REQUESTED THE QUALIFICATIONS OF THE RESPONDENTS. AS REQUIRED BY THE IRS, THE INDIVIDUAL CONSUMER SURVEY WAS ALSO TRANSLATED INTO SPANISH AND ADAPTED FOR MOBILE APPLICATION AT COMMUNITY EVENTS. THE CONSULTANTS USED SURVEYMONKEY TO COLLECT RESPONSES, TABULATE DATA, INTERPRET AND ANALYZE RESULTS, AND CREATE CATEGORIES TO TRACK KEY WORDS AND PHRASES. PAPER COPIES (TRANSLATED) WERE USED WITH SPANISH-SPEAKING FAMILIES, REFUGEES FROM RWANDA, AND AT TREATMENT FACILITIES. BOTH TRIHEALTH OUTREACH MINISTRIES AND SANTA MARIA COMMUNITY SERVICES PROVIDED THE ANSWERS ALREADY TRANSLATED INTO ENGLISH FOR THE CONSULTANTS. A TOTAL OF 113 IMMIGRANT SURVEYS WERE COMPLETED AND RETURNED. SEE APPENDIX 2 FOR THE SURVEY RESPONDENTS WHO IDENTIFIED THEMSELVES. APPENDIX 3 OF THE CHNA, WHICH IS POSTED TO TRIHEALTH'S WEBSITE, HAS A LIST OF HEALTH DEPARTMENT RESPONDENTS WITH THEIR QUALIFICATIONS.SECONDARY DATA SOURCES DATA COLLECTION COUNTY HEALTH RANKINGS (CHR) FORMED THE FOUNDATION FOR DATA COLLECTION WITH ITS COUNTY-LEVEL FOCUS ON HEALTH OUTCOMES, HEALTH FACTORS, HEALTH BEHAVIORS, QUALITY OF LIFE, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC FACTORS. ADDITIONAL SOURCES SUPPLEMENTED THE CHR DATA. PUBLICLY AVAILABLE HEALTH STATISTICS AND DEMOGRAPHICS WERE OBTAINED AT THE STATE AND COUNTY LEVEL. THE EPIDEMIOLOGISTS FOR PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY (PHDMC) VOLUNTEERED TO COLLECT DATA FOR THE STATE OF OHIO AND ITS COUNTIES. THEY INCLUDED DATA THROUGH 2016. OHIO'S 2017 DATA WAS NOT AVAILABLE IN TIME FOR THIS REPORT. THE NUMBER OF DATA MEASURES INCREASED BY 33%, FROM 106 IN 2016 TO 142 IN 2019. DATA SOURCES THE STANDARDS FOR RESEARCHING AND INCLUDING DATA WERE: * COMPARABLE (MEASURES WITH BENCHMARKS SUCH AS HEALTHY PEOPLE 2020 OR STATE/NATIONAL RATES) * COUNTY-LEVEL DATA (ZIP CODE LEVEL PREFERRED BUT RARE) * FOCUS ON HEALTH OUTCOME DATA (PREFERRED OVER SUBJECTIVE SURVEY DATA WHEN BOTH WERE AVAILABLE) * REPRODUCIBLE (NEW UPDATE AVAILABLE WITHIN THREE YEARS OR AT 3-YEAR INTERVALS VS. ONE-TIME) * REPUTABLE SOURCE * TREND DATA AVAILABLE (MORE THAN ONE DATA POINT; 3-5 YEARS PREFERRED) THE CHR WAS AN EXCELLENT STARTING POINT, BUT THE CONSULTANTS DISCOVERED ADDITIONAL SOURCES WITH MORE RECENT DATA AS WELL AS INDICATORS FOR MEASURES NOT COLLECTED BY CHR. THE PREVALENCE OF CERTAIN CANCERS, THE RAPID INCREASE OF HEROIN OVERDOSE DEATHS IN THE REGION, AND ADDITIONAL MORTALITY DATA ARE EXAMPLES OF SUPPLEMENTAL DATA. MANY EXCELLENT SOURCES OF INFORMATION DID NOT HAVE A BREAKDOWN BELOW THE STATE LEVEL OR DID NOT INCLUDE THE ENTIRE REGION. THE CONSULTANTS CONTACTED STATE HEALTH DEPARTMENTS, LOCAL HEALTH DEPARTMENTS, AND LOCAL EXPERTS. THE BIGGEST CHANGE FROM THE PRIOR CYCLE IS THAT THE DEPARTMENT OF HEALTH AND HUMAN SERVICES NO LONGER MAINTAINS THE HEALTH INDICATORS WAREHOUSE AS AN ONLINE SOURCE, AND IT HAD PROVIDED DATA FOR EIGHT KEY MEASURES. PHDMC EPIDEMIOLOGISTS CONSULTED THE OHIO DATA FOR DATA RANGES ENDING WITH 2016 AND ONE PERIOD PRIOR. DUE TO CHARACTER LIMITATION IN THE SOFTWARE, THESE DATA SOURCES COULD NOT BE INCLUDED IN THIS EXPLANATION. HOWEVER, THE DATA SOURCES AND DATES CAN BE FOUND ON PAGES 12 AND 13 OF THE CHNA POSTED ON TRIHEALTH'S WEBSITE.
TRIHEALTH EVENDALE HOSPITALPART V, SECTION B, LINE 6A: * THE CHRIST HOSPITAL HEALTH NETWORK, * CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, * CLINTON MEMORIAL HOSPITAL,* HIGHPOINT HEALTH, * KETTERING HEALTH NETWORK (FORT HAMILTON HOSPITAL, GRANDVIEW MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, KETTERING BEHAVIORAL MEDICINE CENTER, KETTERING MEDICAL CENTER, SOIN MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SYCAMORE MEDICAL CENTER)* LINDNER CENTER OF HOPE* MERCY HEALTH-CINCINNATI REGION (MERCY HEALTH-ANDERSON HOSPITAL, MERCY HEALTH-CLERMONT HOSPITAL, MERCY HEALTH-FAIRFIELD HOSPITAL, MERCY HEALTH-WEST HOSPITAL, THE JEWISH HOSPITAL)* MERCY HEALTH-SPRINGFIELD REGION (MERCY HEALTH-URBANA HOSPITAL, SPRINGFIELD REGIONAL MEDICAL CENTER)* PREMIER HEALTH (ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL NORTH, MIAMI VALLEY HOSPITAL SOUTH, UPPER VALLEY MEDICAL CENTER)* TRIHEALTH (BETHESDA BUTLER HOSPITAL, BETHESDA NORTH HOSPITAL, GOOD SAMARITAN HOSPITAL, MCCULLOUGH-HYDE MEMORIAL HOSPITAL, TRIHEALTH EVENDALE HOSPITAL)* UC HEALTH (DANIEL DRAKE CENTER FOR POST-ACUTE CARE, UNIVERSITY OF CINCINNATI MEDICAL CENTER, WEST CHESTER HOSPITAL)* WILSON HEALTH* WAYNE HEALTHCARE
TRIHEALTH EVENDALE HOSPITALPART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* GREATER DAYTON AREA HOSPITAL ASSOCIATION* ADAMS COUNTY HEALTH DEPARTMENT* BROWN COUNTY HEALTH DEPARTMENT* BUTLER COUNTY HEALTH DEPARTMENT* CHAMPAIGN-URBANA COUNTY HEALTH DEPARTMENT* CINCINNATI HEALTH DEPARTMENT* CITY OF HAMILTON HEALTH DEPARTMENT* CLARK COUNTY COMBINED HEALTH DEPARTMENT* CLERMONT COUNTY PUBLIC HEALTH* CLINTON COUNTY HEALTH DEPARTMENT* DARKE COUNTY GENERAL HEALTH DISTRICT* FAYETTE COUNTY PUBLIC HEALTH* GREENE COUNTY PUBLIC HEALTH* HAMILTON COUNTY PUBLIC HEALTH* HIGHLAND COUNTY HEALTH DEPARTMENT* MIAMI COUNTY PUBLIC HEALTH* MIDDLETOWN CITY HEALTH DISTRICT* NORWOOD HEALTH DEPARTMENT* PIQUA CITY HEALTH DEPARTMENT* PREBLE COUNTY PUBLIC HEALTH* PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY* SIDNEY SHELBY COUNTY HEALTH DEPARTMENT* SPRINGFIELD HEALTH DEPARTMENT* WARREN COUNTY COMBINED HEALTH DISTRICT* NORTHERN KENTUCKY HEALTH DEPARTMENT
TRIHEALTH EVENDALE HOSPITALPART V, SECTION B, LINE 7D: AVAILABLE UPON REQUEST WITHOUT CHARGE.PLEASE CONTACT TRIHEALTH MISSION AND CULTURE, 625 EDEN PARK DRIVE, 9TH FLOOR, CINCINNATI, OHIO 45202.
TRIHEALTH EVENDALE HOSPITALPART V, SECTION B, LINE 11: DUE TO THE PROXIMITY OF TRIHEALTH EVENDALE HOSPITAL (TEH) AND BETHESDA NORTH HOSPITAL (BNH) (LESS THAN 5 MILES) AS WELL AS TEH BEING ONLY A SURGERY CENTER, THESE TWO HOSPITALS WILL WORK TOGETHER IN ADDRESSING THE SIGNIFICANT NEEDS OF THE AREA WITH BNH BEING THE LEADER AS IT IS ONE OF THE FLAGSHIP HOSPITALS OF THE TRIHEALTH SYSTEM.1) SUBSTANCE ABUSE/MENTAL HEALTH - IN RESPONSE TO THE ESCALATING OPIOID ADDICTION EPIDEMIC IN THE MARKET SERVED, A RELATED HOSPITAL, GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO (GSH) AND THE TRIHEALTH SYSTEM ENGAGED THE COMMUNITY IN AN ORGANIZED AND FOCUSED SET OF TACTICS TO ADDRESS THIS. SINCE OCTOBER 2017, THE TRIHEALTH OPIATE STEERING COMMITTEE AND THE GSH OPIATE PILOT CONTINUES TO FOCUS ON FIVE KEY AREAS: PREVENTION, TREATMENT, FUNDING, COMMUNITY PARTNERSHIPS AND TEAM MEMBER SUPPORT. THE FOCUS ON KEY AREAS HAS HELPED BUILD THE INFRASTRUCTURE NECESSARY TO PROVIDE TREATMENT NOT ONLY AT GSH BUT TO EXPAND KEY INITIATIVES TO OTHER TRIHEALTH HOSPITALS. PREVENTION* NARCAN DISTRIBUTION: NARCAN SERVES TO BLOCK THE EFFECTS OF OPIOIDS IN CASE OF AN ACCIDENTAL OVERDOSE. NARCAN WILL CONTINUE TO BE PROVIDED TO ALL ER PATIENTS WHO NEED IT WITHOUT COST TO THE PATIENT, AND GSH WILL CONTINUE ITS EDUCATION OF FIRST RESPONDERS AS NEW INFORMATION ARISES AND NEW RESPONDERS ARE TRAINED. TREATMENT * SUBSTANCE USE TREATMENT COORDINATORS (SUTC): BY JULY 2019, TRIHEALTH WILL HAVE A RESPONSE TO A GRANT PROPOSAL IT SUBMITTED TO BETHESDA FOUNDATION TO EXPAND THE SUTC ROLE TO BETHESDA NORTH HOSPITAL AS A PLATFORM FOR UTILIZING TELEHEALTH FOR FURTHER EXPANSION TO BETHESDA ARROW SPRINGS AMBULATORY CENTER AND MCCULLOUGH HYDE MEMORIAL HOSPITAL. SUTC HAS SPECIFIC SUBSTANCE USE TRAINING, CERTIFICATION AND EXPERIENCE IN SUBSTANCE USE DISORDERS (ALCOHOL, OPIATES ETC.). THE ROLE OF THE SUTC IS TO ENGAGE, ASSESS AND PROVIDE AN APPOINTMENT TO A TREATMENT PROGRAM WITHIN 24-48 HOURS AFTER DISCHARGE. * IN COLLABORATION WITH COMMUNITY PARTNERS BNH/TEH WILL CONTINUE TO TEST THE EFFICACY OF THIS ROLE AND EFFECTIVENESS AT MEETING THESE TARGETS. * IF THE PEER RECOVERY SPECIALIST IDENTIFIED IN THE GOOD SAMARITAN HOSPITAL PROGRESS REPORT RE: 2016 PRIORITIES IS EFFECTIVE IN REACHING OUT TO PATIENTS THAT MIGHT OTHERWISE BE RELUCTANT TO ENTER INTO RECOVERY, THIS FUNCTION WILL BE EVALUATED FOR EXPANSION TO OTHER TRIHEALTH ERS. * TRACKING OUTCOMES: THE TASK FORCE WILL BE MONITORING AN OPIOID DASHBOARD TO TRACK OUTCOMES SUCH AS UTILIZATION OF SUBSTANCE USE WITHDRAWAL MANAGEMENT ORDER SETS, BUPRENORPHINE INDUCTION (MEDICATION USED TO TREAT OPIATE ADDICTION), NARCAN DISPENSING ETC. THIS ALLOWS US TO MONITOR THE EFFECTIVENESS OF OUR INITIATIVES.2). INFANT MORTALITY - BNH PROVIDES OBSTETRIC ("OB") AND GYNECOLOGICAL SERVICES TO ALL COMERS VIA ITS OB CLINICS. THE OB CLINICS HAVE ADOPTED AN INNOVATIVE WOMAN CENTERED MEDICAL HOME MODEL MEANT TO REINFORCE COMPLIANCE WITH PREGNANT PATIENT OFFICE VISITS AND FOLLOW UP CARE. TRIHEALTH PROVIDES A BREASTFEEDING SUPPORT LINE FREE TO THE COMMUNITY, WHICH INCLUDES THE BNH/TEH SERVICE AREA.BNH AND TEH, THROUGH TRIHEALTH, WILL ALSO CONTINUE ITS LONG-TIME PARTNERSHIP WITH AND FUNDING OF SEVERAL ORGANIZATIONS (PROVIDING FUNDING AND HUMAN/CLINICAL RESOURCES) THAT TARGET INFANT MORTALITY AND CHILD HEALTH CONCERNS, INCLUDING; * CRADLE CINCINNATI - AN ORGANIZATION AIMED AT REDUCING INFANT MORTALITY THROUGH EDUCATION AND AWARENESS. CRADLE CINCINNATI'S GOALS ARE TO PREVENT PREMATURE BIRTHS, REDUCING TOBACCO USE AND SUBSTANCE ABUSE, AND PROMOTING SAFE SLEEP FOR BABIES THROUGH THREE APPROACHES: COMMUNICATIONS, MEDICAL, AND COMMUNITY. * HEALTHY BEGINNINGS, WHICH PROVIDES COMPREHENSIVE PRE-NATAL CARE TO THE UNDERSERVED. * HEALTHY MOMS AND BABES, WHICH PROVIDES HOME SERVICES FOR BOTH PRE-NATAL AND POST-DELIVERY SUPPORT FOR UNDERSERVED POPULATIONS. * TRIHEALTH'S THINK FIRST FOR YOUR BABY IS AN INJURY PREVENTION PROGRAM WITH A GOAL TO REDUCE UNINTENTIONAL INJURIES IN INFANTS UNDER THE AGE OF ONE YEAR THROUGH PRENATAL EDUCATION AND POST-PARTUM FOLLOW-UP. * OTHER PARTNERS INCLUDE MARCH OF DIMES AND SWEET CHEEKS DIAPER BANK. FINALLY, BNH AND TEH, THROUGH TRIHEALTH, WILL ALSO PROVIDE FINANCIAL SUPPORT TO OTHER ORGANIZATIONS THAT FOCUS RESOURCES ON INFANT MORTALITY AND MATERNAL HEALTH: * URBAN HEALTH PROJECT (OFFICE SPACE) * OB CLINICS * OB WOMAN CENTERED MEDICAL HOME MODEL * FUNDING FOR CRADLE CINCINNATI NEIGHBORHOOD BASED WOMAN CENTERED MEDICAL HOME * GOOD SAMARITAN FREE HEALTH CLINIC * HEALTHY BEGINNINGS * HEALTHY MOMS AND BABES * THINK FIRST FOR YOUR BABY * START STRONG * MARCH OF DIMES * SWEET CHEEKS DIAPER BANK3. CANCER - BNH, TEH AND TRIHEALTH CANCER INSTITUTE WILL CONTINUE THE TARGETED (MELANOMA, LUNG) FREE SCREENINGS AND FOLLOW UPS. THERE IS A MOBILE MAMMOGRAPHY UNIT THAT WILL CONTINUE TO DO SCREENING IN HIGH NEED AREAS WITHIN HAMILTON COUNTY E.G. AVONDALE, AND THE CITY OF HAMILTON IN BUTLER COUNTY. PATIENTS WITH POSITIVE RESULTS IDENTIFIED AT THE GOOD SAMARITAN FREE HEALTH CENTER WILL CONTINUE TO BE REFERRED TO BNH CLINIC PROVIDERS AND OBTAIN COVERAGE FROM STATE FUNDED BREAST AND CERVICAL CANCER PREVENTION (BCCP) FUNDING. BNH AND TEH THROUGH TRIHEALTH JUST BEGAN A PARTNERSHIP WITH THE ERICA HOLLOMAN FOUNDATION TO SCREEN PRIMARILY AFRICAN AMERICAN WOMEN AT RISK FOR A SPECIFIC KIND OF BREAST CANCER. BNH'S AND TEH'S FOCUS ON PREVENTION WILL CONTINUE TO DEMONSTRATE ITS COMMITMENT VIA IN KIND AND FINANCIAL SUPPORT OF OHIO CANCER RESEARCH, WHICH IS AN INDEPENDENT, STATEWIDE, NONPROFIT ORGANIZATION DEDICATED TO THE CURE AND PREVENTION OF THE MANY FORMS OF CANCER AND THE REDUCTION OF ITS DEBILITATING EFFECTS THROUGH AGGRESSIVE BASIC SEED MONEY RESEARCH, CANCER INFORMATION, AND AWARENESS. THE HOSPITALS PLAN TO CONTINUE FINANCIAL SUPPORT TO THE AMERICAN CANCER SOCIETY AND AMERICAN LUNG ASSOCIATION. 4. ACCESS TO CARE - THIS PRIORITY APPLIES ONLY TO BNH DUE TO THE NATURE OF TEH. CURRENTLY, BNH PROVIDES TRANSPORTATION FOR NEEDY PATIENTS WITH BUS TOKENS AND PAID UBER RIDES. GSH/TRIHEALTH WILL SEEK NEW PARTNERS AND IDENTIFY OTHER AVENUES TO EXPAND THIS TYPE OF SERVICE. IT IS NOT SOMETHING THAT HAS A NATURAL CONNECTION TO A HOSPITAL OR HEALTH SYSTEM LIKE THE OTHER THREE PRIORITIES. IF SPECIFIC ACTIONS THAT ARE WITHIN BNH AREAS OF EXPERTISE ARE NOT FOUND, BNH AND TEH WILL FOCUS ON 1-3 ABOVE.
TRIHEALTH EVENDALE HOSPITALPART V, SECTION B, LINE 13B: SEE PART VI RESPONSE RELATED TO PART I, LINE 3C.
TRIHEALTH EVENDALE HOSPITALPART V, SECTION B, LINE 13H: SEE PART VI RESPONSE RELATED TO PART I, LINE 3C.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - TRIHEALTH SURGERY CENTER WEST
3660 EDGEWOOD DRIVECINCINNATIOH45211OUTPATIENT SURGERY CENTER
2 - TRIHEALTH HAND SURGERY CENTER
538 OAK STREET SUITE 200CINCINNATIOH45219OUTPATIENT SURGERY CENTER
3 - TRIHEALTH ENDOSCOPY CENTER NORTH
10600 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT ENDOSCOPY CENTER
4 - TRIHEALTH SURGERY CENTER ANDERSON
7810 FIVE MILE ROADCINCINNATIOH45230OUTPATIENT SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:TRIHEALTH HOSPITAL INC. UTILIZES THE FEDERAL POVERTY GUIDELINES ("FPG") IN DETERMINING CHARITY CARE ELIGIBILITY. SEE THE RESPONSES TO PART I, LINE 3A AND 3B.AN INDIVIDUAL'S INCOME UNDER FPG IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE. ADDITIONALLY, AN INDIVIDUAL'S INCOME IN RELATION TO HIS/HER MEDICAL EXPENSES IS ALSO TAKEN INTO ACCOUNT AND SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. FINALLY, TRIHEALTH HOSPITAL, INC. PROVIDES DISCOUNTED CARE AT SELECT CLINICS.
PART I, LINE 6A:IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. IN 2013, TRIHEALTH ORGANIZED TRIHEALTH HOSPITAL, INC. TO SUPPORT ITS MISSION.THE COMMUNITY BENEFIT PROVIDED BY TRIHEALTH HOSPITAL, INC. IS TRACKED ON A STANDALONE BASIS; HOWEVER, ITS COMMUNITY BENEFIT IS REPORTED IN A REPORT PREPARED BY TRIHEALTH IN COMBINATION WITH ITS RELATED HOSPITALS - BETHESDA HOSPITAL, INC., THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND MCCULLOUGH-HYDE MEMORIAL HOSPITAL.
PART I, LINE 7:FOR THE AMOUNTS REPORTED AT COST IN PART I, LINE 7, TRIHEALTH HOSPITAL, INC. UTILIZED WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES, WHICH WAS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H, TO CALCULATE THE COST-TO-CHARGE RATIO.
PART I, LN 7 COL(F):BAD DEBT EXPENSE IS NOT INCLUDED ON FORM 990, PART IX, LINE 25. IT IS PRESENTED ON FORM 990, PART VIII, LINE 2 AS A DEDUCTION FROM PATIENT SERVICE REVENUE WHICH CORRESPONDS TO ITS FINANCIAL STATEMENT PRESENTATION. SEE RESPONSE TO PART III, LINE 4. THEREFORE, NO ADJUSTMENT TO TOTAL EXPENSES SHOWN ON FORM 990, PART IX, LINE 25 IS NECESSARY.
PART II, COMMUNITY BUILDING ACTIVITIES:TRIHEALTH HOSPITAL, INC. DID NOT ENGAGE IN ANY COMMUNITY BUILDING ACTIVITIES DURING THE TAX YEAR.
PART III, LINE 2:SEE PART VI RESPONSE TO PART III, LINE 4.
PART III, LINE 3:SEE PART VI RESPONSE TO PART III, LINE 4.
PART III, LINE 4:TRIHEALTH HOSPITAL INC.'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE TRIHEALTH AUDIT REPORT.PLEASE NOTE THAT UNDER ACCOUNTING STANDARDS UPDATE NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH THE TRIHEALTH SYSTEM ADOPTED DURING THE TAX YEAR 2019 (FISCAL YEAR ENDED JUNE 30, 2020), BAD DEBT IS CONSIDERED AN "IMPLICIT PRICE CONCESSION AND IS NOT DISTINGUISHED FROM A CONTRACTUAL ADJUSTMENT UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND THEREFORE THERE IS NO LONGER A SPECIFIC DISCLOSURE FOR BAD DEBT IN THE CURRENT YEAR AUDIT REPORT.SEE PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (PART OF FOOTNOTE B - PAGES 20-23) FOR ADDITIONAL DETAIL REGARDING THE ABOVE-MENTIONED STANDARD AS WELL AS HOW THE TRIHEALTH SYSTEM ACCOUNTS FOR PATIENT SERVICE REVENUE.AS FOR THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, TRIHEALTH HOSPITAL, INC. DOES NOT REPORT ACTUAL BAD DEBT EXPENSE AS COMMUNITY BENEFIT. IF UPON FURTHER RESEARCH, IT IS ULTIMATELY DETERMINED THAT A PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER TRIHEALTH'S CHARITY CARE POLICY, THOSE COSTS WOULD BE RECLASSIFIED, AS APPROPRIATE, TO COMMUNITY BENEFIT AT THAT TIME.PLEASE NOTE THAT BAD DEBT EXPENSE IS NOT DETERMINED UNTIL AFTER ALL DISCOUNTS AND ANY ASSOCIATED PAYMENTS ARE TAKEN INTO ACCOUNT. IF ANY PAYMENTS ARE RECEIVED AFTER A PATIENT ACCOUNT IS DETERMINED TO BE BAD DEBT, THE ACCOUNT WILL BE ADJUSTED ACCORDINGLY AT THAT TIME.
PART III, LINE 8:TRIHEALTH, INC. USES THE "STEPDOWN METHODOLOGY" IN DETERMINING THE MEDICARE ALLOWABLE COSTS REPORTED ON THE MEDICARE COST REPORT. THIS METHOD OF COST FINDING PROVIDES FOR THE ALLOCATION OF THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS WHICH UTILIZE SUCH SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. TRIHEALTH HOSPITAL,INC. DID NOT REPORT ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT IN PART III, LINE 7 OF THIS SCHEDULE.
PART III, LINE 9B:AS OF THE FILING OF THIS RETURN, TRIHEALTH HOSPITAL, INC., AS PART OF TRIHEALTH, INC., MAINTAINS A WRITTEN DEBT COLLECTION POLICY. TRIHEALTH, INC., WHO PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS, WILL NOT INITIATE COLLECTION PRACTICES ON PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. BEFORE COLLECTION ACTIONS ARE TAKEN, TRIHEALTH, INC. WILL MAKE REASONABLE EFFORTS, GENERALLY AS EARLY IN THE BILLING PROCESS AS POSSIBLE, TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. AFTER SUCH EFFORTS HAVE BEEN MADE AND A BALANCE REMAINS THAT IS THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR, TRIHEALTH, INC. MAY PURSUE, IN ITS SOLE DISCRETION, WHATEVER ACTIONS IT MAY BE ENTITLED TO TAKE UNDER LAW.
PART VI, LINE 2:IN 1995, BETHESDA HOSPITAL, INC. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO FORMED A PARTNERSHIP TO CREATE A LOCAL HEALTH SYSTEM: TRIHEALTH, INC. ("TRIHEALTH"). THE MISSION OF TRIHEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION.IN JANUARY 2013, TRIHEALTH ACQUIRED EVENDALE MEDICAL CENTER AND FORMED TRIHEALTH HOSPITAL, INC. THE HOSPITAL CAMPUS CONSISTS OF TEN OPERATING ROOMS, 29 INPATIENT ROOMS AND A COMPLETE IMAGING AND DIAGNOSTIC FACILITY. SERVICES RANGE FROM INPATIENT SURGERY TO ORTHOPEDICS, GYNECOLOGY AND OUTPATIENT IMAGING.AS A FOLLOW UP TO THE 2016 CHNA, TRIHEALTH, INC. AND ITS HOSPITALS JOINED THIRTY-ONE (31) OTHER HOSPITALS IN THE GREATER CINCINNATI-DAYTON REGION TO SPONSOR AND FUND A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT ENTITLED "SW OHIO, N KENTUCKY, SE INDIANA COMMUNITY HEALTH NEEDS ASSESSMENT REPORT 2019". THIS NEW COMPREHENSIVE CHNA SPANS TWENTY-FIVE (25) COUNTIES. THE REGIONAL CHNA REPORT COVERS GREATER DAYTON AND GREATER CINCINNATI, WHICH INCLUDES NORTHERN KENTUCKY AND SOUTHEASTERN INDIANA. THE 2019 CHNA REPORT SHARES DATA FOR THE WHOLE REGION AS WELL AS DETAILED COUNTY-LEVEL DATA. IT ALSO ADDED THE VOICE OF THE SOUTHWEST OHIO MEMBERS OF THE ASSOCIATION OF OHIO HEALTH COMMISSIONERS. DEVELOPING A BROAD CHNA HELPS FULFILL THE STATE OF OHIO'S REQUIREMENT MANDATING THAT HEALTH DEPARTMENTS AND HOSPITALS ALIGN THEIR ASSESSMENTS.FROM THIS LARGER REPORT, TRIHEALTH DEVELOPED A CHNA AND ASSOCIATED IMPLEMENTATION STRATEGY FOR EACH OF ITS FACILITIES BASED ON THE COUNTY BREAKDOWN AND DISCUSSION WITH TRIHEALTH LEADERS WITH EXPERTISE IN THE AREAS WHICH NEED TO BE ADDRESSED.
PART VI, LINE 3:TRIHEALTH, INC. PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS INCLUDING TRIHEALTH HOSPITAL, INC. BROCHURES/APPLICATIONS, PROVIDED IN MULTIPLE LANGUAGES, ARE VISIBLE AND AVAILABLE IN THE REGISTRATION AND ADMITTING AREAS OF ALL TRIHEALTH AFFILIATED HOSPITALS. IN ADDITION, THE APPLICATION IS PRINTED ON THE REVERSE SIDE OF A PATIENT'S BILL WITH INSTRUCTIONS ON HOW TO COMPLETE THE APPLICATION AS WELL AS HOW TO RETURN IT. FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. FINALLY, TRIHEALTH, INC.'S WEBSITE CONTAINS INFORMATION REGARDING ITS CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT THE APPROPRIATE PERSONNEL TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS.
PART VI, LINE 4:LOCATED IN CINCINNATI, OHIO, TRIHEALTH HOSPITAL, INC. AND THE TRIHEALTH SYSTEM SERVE PRIMARILY HAMILTON, BUTLER, WARREN AND CLERMONT COUNTIES IN OHIO AS WELL AS SOME PERSONS FROM INDIANA AND KENTUCKY. HAMILTON COUNTY IS THE MOST POPULATED COUNTY IN THE REGION AND IS HOME TO THE LARGEST CITY, CINCINNATI. THE ESTIMATED POPULATION OF THE COUNTY IS 820,000 WITH APPROXIMATELY 15.5% IN POVERTY AND APPROXIMATELY 7% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. BUTLER COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $52,500 WITH 90% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (36% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 15% OF THE POPULATION IS 65 YEARS AND OLDER, 65% IS WHITE, 27% IS AFRICAN-AMERICAN, 4% IS HISPANIC, 3% ASIAN AND 1% OTHER.BUTLER COUNTY IS ONE OF THE MOST POPULATED COUNTIES IN THE REGION AND INCLUDES THE CITIES OF HAMILTON, MIDDLETOWN AND OXFORD. MANY OF THE CITIES IN THE COUNTY ARE EXPERIENCING GROWTH, AND ONLY ABOUT 9% IS CONSIDERED RURAL. THE ESTIMATED POPULATION OF THE COUNTY IS 385,000 WITH APPROXIMATELY 12.5% IN POVERTY AND APPROXIMATELY 7% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. BUTLER COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $62,000 WITH 90% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (30% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 15% OF THE POPULATION IS 65 YEARS AND OLDER, 80% IS WHITE, 9% IS AFRICAN-AMERICAN, 5% IS HISPANIC, 4% ASIAN AND 2% OTHER.CLERMONT COUNTY IS A LARGE COUNTY WHICH WAS ONCE MOSTLY RURAL BUT HAS BECOME MORE SUBURBAN AND IS ONE OF OHIO'S APPALACHIAN COUNTIES. THE ESTIMATED POPULATION OF THE COUNTY IS 205,000 WITH APPROXIMATELY 8.5% IN POVERTY AND APPROXIMATELY 6% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. CLERMONT COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $64,000 WITH 90% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (28% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 16% OF THE POPULATION IS 65 YEARS AND OLDER, 93% IS WHITE, 2% IS AFRICAN-AMERICAN, 2% IS HISPANIC, 1.5% ASIAN AND 1.5% OTHER.WARREN COUNTY IS ONE OF THE FASTEST GROWING COUNTIES IN OHIO, BOTH IN RESIDENTIAL AND COMMERCIAL GROWTH. THE ESTIMATED POPULATION OF THE COUNTY IS 232,000 WITH APPROXIMATELY 5% IN POVERTY AND APPROXIMATELY 5% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. CLERMONT COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $79,500 WITH 93% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (42% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 3.5%. APPROXIMATELY 15% OF THE POPULATION IS 65 YEARS AND OLDER, 86% IS WHITE, 6% ASIAN, 4% IS AFRICAN-AMERICAN, 3% IS HISPANIC, AND 1% OTHER.
PART VI, LINE 5:TRIHEALTH HOSPITAL, INC. IS COMPRISED OF VARIOUS MEDICAL SERVICES AT VARIOUS LOCATIONS INCLUDING TRIHEALTH EVENDALE HOSPITAL AND TRIHEALTH SURGERY CENTER WEST, EACH OF WHICH HAS AN OPEN MEDICAL STAFF. ITS BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES.TRIHEALTH EVENDALE HOSPITAL CONSISTS OF TEN OPERATING ROOMS, 29 INPATIENT ROOMS AND A COMPLETE IMAGING AND DIAGNOSTIC FACILITY. SERVICES RANGE FROM INPATIENT SURGERY TO ORTHOPEDICS, GYNECOLOGY AND OUTPATIENT IMAGING.TRIHEALTH SURGERY CENTER WEST CONSISTS OF FOUR OPERATING ROOMS AND TWO PROCEDURE ROOMS.TRIHEALTH HAND SURGERY CENTER IS A SPACIOUS, STATE-OF-THE-ART, OUTPATIENT SURGICAL FACILITY, EQUIPPED TO PERFORM SOPHISTICATED HAND SURGERY PROCEDURES.TRIHEALTH ENDOSCOPY CENTER NORTH PROVIDES COMPETENT, SAFE, HIGH QUALITY, COST EFFECTIVE AND ACCESSIBLE CARE. THE CENTER PROVIDES SERVICE TO INDIVIDUALS THAT RANGE IN AGE FROM ADOLESCENCE (14-17 WEIGHING GREATER THAN 100 POUNDS) THROUGH THE ELDERLY ADULT (80 YEARS PLUS). TRIHEALTH SURGERY CENTER ANDERSON OFFERS THE LATEST TECHNOLOGIES AND MINIMALLY INVASIVE PROCEDURES PROVEN TO ENHANCE CLINICAL OUTCOMES. IT FEATURES FOUR OPERATING ROOMS, ONE ENDOSCOPY ROOM AND A LABORATORY. THE CENTER FOCUSES ON PATIENT/FAMILY-CENTERED CARE INCLUDING PEDIATRICS.
PART VI, LINE 6:IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH IN ORDER TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION.THROUGH FIVE (5) HOSPITALS, FIVE (5) AMBULATORY LOCATIONS AND OVER 125 SITES OF CARE (EMPLOYING OVER 600 PHYSICIANS INCLUDING RESIDENTS), TRIHEALTH PROVIDES A WIDE RANGE OF CLINICAL, EDUCATIONAL, PREVENTIVE AND SOCIAL PROGRAMS. TRIHEALTH'S NON-HOSPITAL SERVICES INCLUDE PHYSICIAN PRACTICE MANAGEMENT, FITNESS CENTERS AND FITNESS CENTER MANAGEMENT, OCCUPATIONAL HEALTH CENTERS, HOME HEALTH AND HOSPICE CARE.HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM GRONEMAN
FORMER KEY EMPLOYEE$0$213,378$0$53,267$0$2,903,499$0$108,325$0$30,571$0$3,309,040$0$2,605,271
MARK CLEMENT
PRESIDENT/CEO$0$1,191,203$0$378,427$0$59,962$0$368,190$0$22,122$0$2,019,904$0$0
GAIL DONOVAN
FORMER KEY EMPLOYEE$0$862,077$0$0$0$680,627$0$37,667$0$148$0$1,580,519$0$0
ANDREW DEVOE
ASST TREASURER/CFO$0$601,313$0$168,640$0$11,971$0$171,410$0$34,772$0$988,106$0$0
KEVIN JOSEPH MD
CHIEF MEDICAL OFFICER$0$575,780$0$162,734$0$24,064$0$137,605$0$34,717$0$934,900$0$0
MARLA SILLIMAN
VP-GOOD SAM REGION$0$506,447$0$120,367$0$24,192$0$151,535$0$11,863$0$814,404$0$0
STEVE GRACEY
ASST SECRETARY/SVP LEGAL$0$451,142$0$109,395$0$19,485$0$126,766$0$34,258$0$741,046$0$0
DONNA NIENABER ESQ
FORMER OFFICER$0$0$0$0$0$710,689$0$0$0$0$0$710,689$0$710,689
DAVID COOK
CHIEF HR OFFICER$0$403,700$0$97,214$0$18,604$0$121,699$0$29,346$0$670,563$0$0
JENNY SKINNER
CNE-TRIHEALTH$0$338,846$0$80,786$0$17,965$0$124,467$0$20,883$0$582,947$0$0
KELVIN HANGER
PRESIDENT-TRIHEALTH HOSPIT$0$298,766$0$120,004$0$13,060$0$66,521$0$31,576$0$529,927$0$0
ROBERT COLLINS MD
TRUSTEE$0$0$0$0$0$522,009$0$0$0$0$0$522,009$0$522,009
MICHAEL CROFTON
FORMER OFFICER$0$314,734$0$77,600$0$5,305$0$97,489$0$26,339$0$521,467$0$0
SUELLEN JONES
NURSING ADMIN-EVENDALE$166,529$0$26,814$0$4,591$0$24,118$0$9,726$0$231,778$0$0$0
MELISSA PAYNE
PHARMACIST$153,205$0$500$0$464$0$16,473$0$27,961$0$198,603$0$0$0
SALLY VEATCH
NURSE MGR-EVENDALE$116,106$0$7,950$0$1,395$0$30,161$0$11,538$0$167,150$0$0$0
SHERRI JOYCE
NURSE MGR-EVENDALE$72,905$0$7,950$0$41,504$0$18,245$0$16,776$0$157,380$0$0$0
MARY IRVIN
FORMER KEY EMPLOYEE$0$0$0$0$0$119,638$0$0$0$0$0$119,638$0$119,638

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3TRIHEALTH, INC., A RELATED ORGANIZATION OF TRIHEALTH HOSPITAL, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE.
PART I, LINES 4A-BELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS 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 INDIVIDUAL(S) 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 REPORTABLE INDIVIDUALS OF TRIHEALTH HOSPITAL, INC., WITH THE EXCEPTION OF A FEW, ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION, RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). TRIHEALTH, INC. HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH 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 WILLIAM GRONEMAN - $72,986 SHERRI JOYCE - $31,948

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE OFFICERS, DIRECTORS AND TRUSTEES OF TRIHEALTH HOSPITAL, 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 HOSPITAL, INC. AS WELL AS TRIHEALTH, INC., THE SINGLE CORPORATE MEMBER OF TRIHEALTH HOSPITAL, INC. KEVIN JOSEPH, MD, MARK CLEMENT 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 HOSPITAL, INC. RANCE DUKE, KATHY KELLY, CYNTHIA BOOTH, DANNY FISHER, 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., AN AFFILIATED ENTITY OF TRIHEALTH 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 HOSPITAL, INC. MARK CLEMENT, MARLA SILLIMAN, KELVIN HANGAR, SUELLEN JONES, ANDREW DEVOE, DAVID COOK, STEVE GRACEY, KEVIN JOSEPH, MD, KURT KNOCHLER, MD, 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. TRIHEALTH, INC. IS THE SINGLE CORPORATE MEMBER OF TRIHEALTH HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF TRIHEALTH HOSPITAL, INC. SHALL BE TRIHEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 7APURSUANT TO ARTICLE II, SECTION 2.2 OF THE CODE OF REGULATIONS OF TRIHEALTH HOSPITAL, INC. ("HOSPITAL") THE SOLE MEMBER OF THE CORPORATION SHALL ELECT THE TRUSTEES OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER OF TRIHEALTH HOSPITAL, INC. ("HOSPITAL") HAS THE ABILITY TO APPROVE THE DECISIONS OF THE HOSPITAL'S GOVERNING BODY THAT ARE RESERVED TO IT BY OHIO LAW.
FORM 990, PART VI, SECTION B, LINE 11BMEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS 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. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE ORGANIZATION FILES THE RETURN 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 12CALL 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 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 CAUSE 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 C, LINE 19TRIHEALTH HOSPITAL, INC.'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A - AVERAGE HOURS PER WEEKTHE OFFICERS AND DIRECTORS FOR TRIHEALTH HOSPITAL, INC. THAT SHOW AT LEAST 60 HOURS PER WEEK PROVIDE SERVICES TO TRIHEALTH, INC. (A RELATED ORGANIZATION WHO PAID THE INDIVIDUALS) AND ITS SUBSIDIARIES/AFFILIATES ("TRIHEALTH") AS AN ENTIRE SYSTEM. HOURS WORKED, INCLUDING THEIR DUTIES AS OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION, ARE NOT TRACKED ON AN ENTITY BY ENTITY BASIS, THUS THE AVERAGE HOURS PER WEEK DISCLOSED ARE ESTIMATES TO SHOW THAT THE TIME SPENT BY THESE INDIVIDUALS RELATE TO THEM FULFILLING THEIR DUTIES AS FULL-TIME, 60 HOURS-PER-WEEK EMPLOYEES OF TRIHEALTH VERSUS THEIR DUTIES AS OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION. IN ADDITION, THE COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS IN FULFILLMENT OF THEIR DUTIES AS EMPLOYEES OF TRIHEALTH. DIRECTORS (AS NOTED WITH A "MED STAFF PRES" REFERENCE) FOR BETHESDA HOSPITAL, 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. IN ADDITION, THESE INDIVIDUALS PROVIDE SERVICES AS EMPLOYEES OF VARIOUS RELATED ENTITIES FOR WHICH THEY RECEIVE COMPENSATION. NONE OF THE COMPENSATION SHOWN IS FOR SERVING AS A DIRECTOR.
FORM 990, PART XI, LINE 9:LEASE TRANSFER TO RELATED ORGANIZATION 75,640.
FORM 990, PART XII, LINE 2CTHE FINANCIAL STATEMENTS OF TRIHEALTH HOSPITAL, INC. ARE AUDITED AS PART OF TRIHEALTH, INC. AND 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
TRIHEALTH INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311438846SUPPORT TO AFFILIATED HOSPITALSOHSECTION 501(C)(3)SCHEDULE A, LINE 12BN/A0
GOOD SAMARITAN HOSPITAL FREE CLINIC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202273893817HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 7Yes (1)TRIHEALTH INC
TRIHEALTH PHYSICIAN ENTERPRISE CORP
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311383365PHYSICIAN PRACTICESOHSECTION 501(C)(3)SCHEDULE A, LINE 10Yes (1)TRIHEALTH INC
TRIHEALTH PHYSICIAN INSTITUTE
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311074519PHYSICIAN PRACTICESOHSECTION 501(C)(3)SCHEDULE A, LINE 10Yes (1)TRIHEALTH INC
BETHESDA HOSPITAL INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310537122INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 30TRIHEALTH INC
BETHESDA HEALTHCARE INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311027660HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 12BYes (1)BETHESDA INC
BETHESDA FAMILY PRACTICE CENTER
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311242442HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 12AYes (1)BETHESDA HOSPITAL INC
BETHESDA PROPERTIES INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311352694PROPERTY MANAGEMENTOHSECTION 501(C)(2)Yes (1)BETHESDA HOSPITAL INC
HOSPICE OF CINCINNATI INCORPORATED
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310917155HOSPICE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 10Yes (1)BETHESDA HOSPITAL INC
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311179234COUNSELING TO GRIEVING CHILDRENOHSECTION 501(C)(3)SCHEDULE A, LINE 7Yes (1)HOSPICE OF CINCINNATI INCORPORATED
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310537486INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 30TRIHEALTH INC
GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311778403EDUCATIONOHSECTION 501(C)(3)SCHEDULE A, LINE 2Yes (1)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202237419853DIALYSISOHSECTION 501(C)(2)Yes (1)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
MCCULLOUGH HYDE MEMORIAL HOSPITAL INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310650283INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 3Yes (1)TRIHEALTH INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
HEALTHCARE SOLUTIONS NETWORK LLC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202472103334PHYSICIAN HOSPITAL ORGANIZATIONOHN/A00
PREFERRED LAB PARTNERS LLC
ONE MEDICAL VILLAGE DRIVE SUITE BCINCINNATIOH41017824758763LABORATORY SERVICESKYN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
TRIHEALTH PHYSICIANS OF INDIANA INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202461125130PHYSICIAN PRACTICESOHN/ACYes (1)
TRIHEALTH PHYSICIAN SOLUTIONS INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311444353CLAIMS ADMINISTRATIONOHN/ACYes (1)
TRIHEALTH CIPHO INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202463294306PHYSICIAN HEALTH ORGANIZATIONOHN/ACYes (1)
PREMIERE MEDICAL ASSOCIATION
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202141913019CONDO ASSOCIATIONOHN/ACYes (1)
SERVE INSURANCE LTD
981529310ALTERNATIVE RISK FINANCINGN/ACYes (1)PO BOX 69CAMANA BAYGRAND CAYMANCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BETHESDA PROPERTIES INC
K$76,491FMV
BETHESDA HOSPITAL INC
K$580,108FMV
TRIHEALTH INC
P$31,759,330COST

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