Civic Intelligence

Trihealth Inc.

990 • Fiscal year 2018 • EIN 31-1438846

Jul 01, 2017 to Jun 30, 2018 • Filed on May 14, 2019

625 Eden Park Drive 7th FloorCincinnati, OH 45202

(513) 569-6575

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

29th percentile

0.16x

Higher debt load relative to assets than 29% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Liabilities / Revenue

52nd percentile

0.54x

Higher debt load relative to revenue than 52% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Net Margin

23rd percentile

-0.3%

Higher net margin than 23% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Top Officer Pay

79th percentile

$1,759,117

Higher top officer pay than 79% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Asset Growth

97th percentile

49%

Faster asset growth than 97% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Revenue Growth

78th percentile

14%

Faster revenue growth than 78% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Assets

Up

$952,867,802

Up $315,094,810 (+49%) from 2017

Net Assets

Up

$799,506,924

Up $228,243,921 (+40%) from 2017

Liabilities

Up

$153,360,878

Up $86,850,889 (+131%) from 2017

Revenue

Up

$281,605,764

Up $34,814,680 (+14%) from 2017

Expenses

Up

$282,429,315

Up $24,346,619 (+9.4%) from 2017

Net Income

Up

-$823,551

Up $10,468,061 (+93%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$3.0B$2.0B$1.0B$0-$1.0BAssets 2010: $84,765,596Liabilities 2010: $104,842,139Net Assets 2010: -$20,076,5432010Assets 2011: $124,814,844Liabilities 2011: $107,801,550Net Assets 2011: $17,013,2942011Assets 2012: $178,585,720Liabilities 2012: $160,477,767Net Assets 2012: $18,107,9532012Assets 2013: $180,194,440Liabilities 2013: $176,351,393Net Assets 2013: $3,843,0472013Assets 2015: $465,399,353Liabilities 2015: $69,407,062Net Assets 2015: $395,992,2912015Assets 2016: $555,095,062Liabilities 2016: $62,557,932Net Assets 2016: $492,537,1302016Assets 2017: $637,772,992Liabilities 2017: $66,509,989Net Assets 2017: $571,263,0032017Assets 2018: $952,867,802Liabilities 2018: $153,360,878Net Assets 2018: $799,506,9242018Assets 2019: $1,150,513,364Liabilities 2019: $157,865,104Net Assets 2019: $992,648,2602019Assets 2020: $1,357,132,386Liabilities 2020: $178,037,705Net Assets 2020: $1,179,094,6812020Assets 2021: $1,622,890,698Liabilities 2021: $176,508,051Net Assets 2021: $1,446,382,6472021Assets 2024: $2,115,766,841Liabilities 2024: $146,918,778Net Assets 2024: $1,968,848,0632024Assets 2025: $2,395,779,084Liabilities 2025: $129,353,382Net Assets 2025: $2,266,425,7022025

Highlighted filing

2018

Assets$952,867,802
Liabilities$153,360,878
Net Assets$799,506,924

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $1,462,2922010Expenses 2011: $130,269,6702011Expenses 2012: $152,351,9462012Expenses 2013: $183,349,9882013Revenue 2015: $210,982,979Expenses 2015: $211,163,900Net Income 2015: -$180,9212015Revenue 2016: $217,349,843Expenses 2016: $222,960,307Net Income 2016: -$5,610,4642016Revenue 2017: $246,791,084Expenses 2017: $258,082,696Net Income 2017: -$11,291,6122017Revenue 2018: $281,605,764Expenses 2018: $282,429,315Net Income 2018: -$823,5512018Revenue 2019: $248,070,803Expenses 2019: $264,394,777Net Income 2019: -$16,323,9742019Revenue 2020: $357,555,649Expenses 2020: $368,952,515Net Income 2020: -$11,396,8662020Revenue 2021: $354,272,018Expenses 2021: $363,861,189Net Income 2021: -$9,589,1712021Revenue 2024: $472,837,638Expenses 2024: $474,444,154Net Income 2024: -$1,606,5162024Revenue 2025: $354,269,277Expenses 2025: $348,539,895Net Income 2025: $5,729,3822025

Highlighted filing

2018

Revenue$281,605,764
Expenses$282,429,315
Net Income-$823,551
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 14, 2019
Return Version
2017v2.3
Gross Receipts
$283,362,583
Mission and Program Overview

Mission

To improve the health status of the people we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$65,515,162$155,381,007▲ $89,865,845
Investments in Publicly Traded Securities$9,192,163$83,709,611▲ $74,517,448
Investments Other Securities$594,880$19,769,812▲ $19,174,932
Other Notes and Loans Receivable, Net$24,398,130$6,572,702▼ $17,825,428
Prepaid Expenses and Deferred Charges$3,206,789$3,959,106▲ $752,317
Savings and Temporary Cash Investments$5,156,856$2,808,483▼ $2,348,373
Intangible Assets$2,250,000$2,250,000→ $0
Accounts Receivable$2,126,863$1,417,531▼ $709,332
Total Assets$637,772,992$952,867,802▲ $315,094,810
Other Assets Total$525,332,149$676,999,550▲ $151,667,401
Liabilities
Accounts Payable and Accrued Expenses$31,559,454$66,336,099▲ $34,776,645
Mortgage Notes Payable Secured by Investment Property-$51,684,450-
Other Liabilities$33,384,279$20,688,912▼ $12,695,367
Deferred Revenue$1,566,256$14,651,417▲ $13,085,161
Total Liabilities$66,509,989$153,360,878▲ $86,850,889
Net Assets / Fund Balance
Unrestricted Net Assets$571,263,003$799,506,924▲ $228,243,921
Total Net Assets Fund Balance$571,263,003$799,506,924▲ $228,243,921
Total Liabilities and Net Assets / Fund Balance$637,772,992$952,867,802▲ $315,094,810

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$35,030,286$126,341,997$161,372,283
Buildings$54,358,617$10,637,050$64,995,667
Other Land Buildings$60,972,606$3,707,454$64,680,060
Leasehold Improvements$5,019,498$5,740,430$10,759,928
Other Assets Org$2,543,398--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mark ClementPresident/CEOPT$1,064,319$694,798$1,759,117
Gail DonovanExec VP & COOFT$692,100$434,813$1,126,913
William GronemanExec Vice Pres (end 11/17)PT$531,685$463,889$995,574
Andrew DevoeAsst Treasurer/CFOPT$406,729$530,009$936,738
Robert Collins MdCMO - (end 12/17)FT$442,689$323,601$766,290
Thomas Tami MdTpp Physician ExecutiveFT$434,798$264,824$699,622
Kevin Joseph MdCMO - (start 1/18)PT$398,878$275,850$674,728
Bryan Strader MdChief Hospital Medicine-pcsFT$595,082$62,862$657,944
Rob CercekEvp Pop Health & Physician PracticesFT$395,675$239,717$635,392
Steve MombachSVP-ambulatory ServicesPT$379,883$229,367$609,250
Jason NiehausVP - Bethesda RegionPT$397,240$204,743$601,983
David CookChief Hr OfficerFT$355,022$221,693$576,715
John WardChief Information OfficerFT$324,678$219,803$544,481
Mary IrvinSVP-chief Nursing Exec.FT$311,686$225,640$537,326
Michael CroftonFormer OfficerFT$302,565$207,857$510,422
Dennis Kolb MdVP-clinical IntegrationFT$328,550$152,417$480,967
Steve GraceyAsst Secretary/SVP LegalPT$278,422$194,203$472,625
Steven Johnson MdVP of Academic Affairs-$345,600$126,084$471,684
Donna Nienaber EsqFormer OfficerPT$188,415$265,699$454,114
John ProutFormer Officer-$252,304$252,304$252,304
Mark Delworth MdMed Staff Pres (end 12/17)-$54,821$48,600$103,421
Phillip Oblinger MdMed Staff Pres-bethesda (start 1/18)-$45,349$12,000$57,349
Margaret Lemasters MdMed Staff Pres (end 12/17)--$48,100$48,100

Board Members and Trustees

NameTitle
Wayne ShircliffChair
Ralph MichaelVice Chair/treasurer
Craig Eisentrout MdTrustee
Lisa KnutsonTrustee
Michael HaverkampTrustee
Myrtis PowellTrustee
Phillip CastelliniTrustee
Theodore TorbeckTrustee
Paul Edgett IiiTrustee (end 7/17)
Philip FosterTrustee (start 7/17)
Scott Friedstrom MdMed Staff Pres-good Sam (start 1/18)
Sr Sally DuffySecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
NavigantConsulting30 S WACKER DRIVE STE 3100, Chicago, IL 60606$13,799,226
Catholic Healthcare InitiativesClinical Engineering198 INVERNESS DRIVE WEST, Englewood, CO 80112$9,100,426
Acclara Solutions LLCRev Cycle Consulting13201 NORTHWEST FREEWAY SUITE 600, Houston, TX 77040$6,294,571
EpicSoftware Consulting1979 MILKY WAY, Verona, WI 53593$4,068,597
The Chartis Group LLCConsulting120 EAST 23RD STREET, New York, NY 10010$3,437,598
Revenue and Support

Revenue Composition

Contributions and Grants
$13,588,686
Program Service Revenue
$259,169,076
Investment Income
$3,467,353
Other Revenue
$5,380,649
All Other Contributions
$13,588,686
Change in Net Assets
$-823,551
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$144,460,381
Other Expenses$136,306,875
Grants and Similar Amounts Paid$1,662,059
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$96,806,151--$96,806,151
Fees for Services Other$61,611,797--$61,611,797
Other Employee Benefits$21,625,458--$21,625,458
Depreciation Depletion$19,731,733--$19,731,733
Information Technology$16,106,543--$16,106,543
Advertising$10,353,743--$10,353,743
Current Officers, Directors, Trustees, and Key Employees$9,635,145--$9,635,145
Pension Plan Contributions$9,417,747--$9,417,747
Office Expenses$7,214,596--$7,214,596
Payroll Taxes$6,907,678--$6,907,678
Occupancy$6,544,882--$6,544,882
Fees for Services Legal$5,223,430--$5,223,430
Grants to Domestic Orgs$1,662,059--$1,662,059
Interest$1,429,040--$1,429,040
Travel$1,103,854--$1,103,854
Insurance$953,508--$953,508
Fees for Services Accounting$717,017--$717,017
All Other Expenses$655,491--$655,491
Conferences and Meetings$561,346--$561,346
Other Expenses$446,873--$446,873
Comp Disqual Persons$68,202--$68,202
Fees for Services Management$65,878--$65,878
Fees for Service Investment Mgmnt Fees$15,766--$15,766
Total Functional Expenses$282,429,315$0$0$282,429,315
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Uptown Consortium IncCincinnati, OH501(c)(3)General Purposes$339,290
American Heart AssociationCincinnati, OH501(c)(3)Sponsorship$205,000
The Center for Closing the Health Gap in Greater CincinnatiCincinnati, OH501(c)(3)General Purposes$200,000
United Way of Greater CincinnatiCincinnati, OH501(c)(3)General Support$120,718
Healthy Moms & Babes IncCincinnati, OH501(c)(3)General Support$100,700
Good Samaritan Hospital Foundation of Cincinnati IncCincinnati, OH501(c)(3)General Support$80,000
Healthy Beginnings IncCincinnati, OH501(c)(3)General Support$80,000
American Cancer Society IncAtlanta, GA501(c)(3)Sponsorship$52,750
United Service Organizations of Central and Southern Ohio IncGrove City, OH501(c)(3)Sponsorship$51,000
Friars Club IncCincinnati, OH501(c)(3)General Support$32,000
The Karen Wellington Memorial Foundation for Living With Breast CancerCincinnati, OH501(c)(3)Sponsorship$28,000
The Matt Haverkamp FoundationCincinnati, OH501(c)(3)General Support$27,883
Freestore Foodbank IncCincinnati, OH501(c)(3)Sponsorship & Hurricane Relief$26,097
Clifton Cooperative MarketCincinnati, OH501(c)(3)Sponsorship$20,000
Crayons to ComputersCincinnati, OH501(c)(3)General Support$20,000
Gameplan 09 LLCCincinnati, OH501(c)(3)Sponsorship$20,000
Ovarian Cancer Alliance of Greater CincinnatiCincinnati, OH501(c)(3)Sponsorship$20,000
American Red CrossWashington, DC501(c)(3)Hurricane Irma Relief$15,000
Easter Seals TristateCincinnati, OH501(c)(3)Sponsorship$15,000
Jdrf Southwest Ohio ChapterCincinnati, OH501(c)(3)Sponsorship$15,000
Matthew 25 Ministries IncCincinnati, OH501(c)(3)Hurricane Relief$15,000
Sweet Cheeks Diaper BankCincinnati, OH501(c)(3)Sponsorship$15,000
Xavier UniversityCincinnati, OH501(c)(3)Sponsorship$10,120
Covington Ladies Home IncCovington, KY501(c)(3)Sponsorship$10,000
Episcopal Retirement Homes IncCincinnati, OH501(c)(3)Sponsorship$10,000
Give Back CincinnatiCincinnati, OH501(c)(3)General Support$10,000
Life Learning Center IncCovington, KY501(c)(3)General Support$10,000
March of DimesCincinnati, OH501(c)(3)Sponsorship$10,000
Mayfield Education & Research FoundationCincinnati, OH501(c)(3)Sponsorship$10,000
Nami Southwest OhioCincinnati, OH501(c)(3)Sponsorship$10,000
Ohio Cancer ResearchColumbus, OH501(c)(3)Sponsorship$10,000
People Working CooperativelyCincinnati, OH501(c)(3)General Support$10,000
Strategies to End Homelessness IncCincinnati, OH501(c)(3)General Support$10,000
The Cleveland Clinic FoundationIndependence, OH501(c)(3)General Support$10,000
American Lung Association of the Midland States IncDublin, OH501(c)(3)Sponsorship$7,500
Mccullough-hyde Memorial Hospital Endowment FundOxford, OH-Sponsorship$7,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Terri CroftonFamily Member Michael Crofton Former OfficerEmployeeNo$30,145
Kathleen OliphantFamily Member Gerald Oliphant Former Key EmployeeEmployeeNo$20,923
Michael Crofton JrFamily Member Michael Crofton Former OfficerEmployeeNo$17,134
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Malpractice Liability$15,024,185
Accrued Eib$4,900,000
Accrued Workers Compensation$764,727
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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. Robert collins, md, mark clement, gail donovan and myrtis powell have a "business relationship" with each other by virtue of sitting on the board of the mccullough-hyde memorial hospital, an affiliated entity of trihealth, inc. Wayne shircliff, mark delworth, md, craig eisentrout, md, lisa knutson, 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. Mark clement 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. Mark clement, andrew devoe, steve gracey, david cook, kevin joseph, md, rob cercek, william groneman, gail donovan, robert collins, md, craig eisentrout, md, scott friedstrom, md, phillip oblinger, md, steve mombach, john ward and mary irvin 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. Mark clement, craig eisentrout, md and myrtis powell have a "business relationship" with each other by virtue of sitting on the board of the bethesda foundation, inc., an affiliated entity.

Form 990, Part VI, Section A, Line 6

Trihealth, inc. Has two corporate members, bethesda, inc. And catholic health initiatives, the parent organization of the good samaritan hospital of cincinnati, ohio.

Form 990, Part VI, Section A, Line 7A

Trihealth, inc. Has two corporate members, bethesda, inc. And catholic health initiatives, the parent organization of the good samaritan hospital of cincinnati, ohio, who have the ability to elect members to the governing body of trihealth, inc.

Form 990, Part VI, Section A, Line 7B

Trihealth, inc. Has two corporate members, bethesda, inc. And catholic health initiatives, the parent organization of the good samaritan hospital of cincinnati, ohio, who must approve amendments to trihealth inc.'s bylaws.

Form 990, Part VI, Section B, Line 11B

Members of the board are provided an electronic copy of form 990 prior to filing after review by the finance and audit committee of the board, along with the committee's summary of the form 990. However, for the protection of donor privacy, schedule b - schedule of contributors was removed from the copy provided to the board. Subsequent to presentation to the board, the organization files the returns making any non-substantive changes necessary to effect e-filing. Any such non-substantive changes are not submitted to the board.

Form 990, Part VI, Section B, Line 12C

All board members are required to annually disclose certain financial interests and fiduciary relationships. The executive committee and corporate counsel review responses, conduct further investigation (if necessary), and determine when a conflict exists with respect to a certain transaction. If a conflict exists, the transaction is not to be entered into unless alternatives are fully investigated, and in their absence, the board, without the participation of the interested member(s), determines that the transaction is in the best interest of the organization. Plans to manage the conflict during the relationship are implemented. All discussions are appropriately documented. All directors and managers, which include officers and key employees, are required to annually disclose any circumstances, including family and business relationships, that may create a conflict of interest for the organization. These responses are reviewed and acted upon by a conflict of interest committee.

Form 990, Part VI, Section B, Line 15

In determining compensation of the organization's officers and key employees, the annual process performed by trihealth, inc. Included: compensation committee; independent compensation consultant; compensation survey or study; and approval by the board or compensation committee. Additionally, all discussions and decisions are contemporaneously documented.

Form 990, Part VI, Section C, Line 19

Trihealth, inc.'s governing documents, conflicts of interest policy and financial statements are available upon request.

Form 990, Part 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 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.

Filing and Contact Details

Filer

Filer Name
Trihealth Inc
EIN
31-1438846
Phone
5135696575
Address
625 EDEN PARK DRIVE 7TH FLOOR, CINCINNATI, OH 45202

Signing Officer

Name
Michael Crofton
Title
VP Finance
Phone
5135696577
Signed
2019-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Clement
Formed
1994
Legal Domicile
Oh
Voting Board Members
13
Independent Board Members
9
Employees
1,533
Volunteers
9

Preparer

Firm
Deloitte Tax Llp
Address
250 EAST FIFTH STREET SUITE 1900, CINCINNATI, OH 45202
Preparer
Alicia Janisch
Phone
5137847100
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1

The mission of trihealth, inc. Is to improve the health status of the people we serve. We pursue our mission by providing a full range of health related services including prevention, wellness and education. Care is provided with compassion consistent with the values of our organization. Trihealth, inc. Serves as the entity that provides joint management of bethesda hospital and good samaritan hospital under an affiliation agreement between bethesda, inc. And catholic health initiatives.

Form 990, Part III, Line 4A

Trihealth, inc. ("trihealth") combines the strengths of two of greater cincinnati's finest health care organizations, bethesda hospital, inc. ("bethesda") and the good samaritan hospital of cincinnati, ohio ("good samaritan"). Formed in 1995, trihealth created an integrated health delivery system whose mission is to improve the health of the people it serves, with an emphasis on prevention, wellness and education. Trihealth is dedicated to delivering the best care possible. Bethesda and good samaritan have values rooted in spiritual heritage and compassionate services to the community. Bethesda was founded in 1896 by german methodist deaconesses to care for cincinnati's sick and poor. A catholic organization, good samaritan was established in 1852 under the sponsorship of the sisters of charity to provide care for the poor and medically underserved. In keeping with these early purposes, trihealth continues to provide uncompensated care to those in need. The "tri" in trihealth represents its hospitals, physicians and community working together to improve the health and wellness of the people it serves. The "tri" also expresses our commitment to the physical, mental and spiritual aspects of health. In serving the community's needs, trihealth offers comprehensive services at more than 130 convenient locations in the greater cincinnati and tristate area. Its sites include five hospital locations and physician office buildings in addition to fitness, rehabilitation, occupational health and outpatient centers. Trihealth also provides services in the home and in the workplace and delivers care and education cooperatively through community-based organizations, such as churches, schools, clinics and social agencies. Trihealth hospitals have been recognized locally and nationally as top-rated in maternity care, neonatal intensive care, cardiac surgery and cardiology, orthopedics, urology, neurology/neurosurgery, and endocrinology. Trihealth provides administrative support services for both bethesda and good samaritan as well as various subsidiaries and affiliates. The administrative support services include general administration, information systems, finance, human resources and other general support services. These costs are allocated to the various trihealth entities and the entities reimburse trihealth at cost. In addition, bethesda and good samaritan equally fund the cash flows of trihealth and as such the costs allocated by trihealth are recorded as expenses on the financial statements of bethesda and good samaritan. Therefore, the allocated service costs are presented on trihealth's form 990, parts viii and ix in the aggregate as the expenses are presented as management and general expenses on the forms 990 for bethesda and good samaritan.

Form 990, Part IX, Line 11G

Medicare compliance: program service expenses 852,213. Management and general expenses 0. Fundraising expenses 0. Total expenses 852,213. Purchased services: program service expenses 30,347,481. Management and general expenses 0. Fundraising expenses 0. Total expenses 30,347,481. Collection services: program service expenses 2,024,878. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,024,878. Consulting: program service expenses 24,030,196. Management and general expenses 0. Fundraising expenses 0. Total expenses 24,030,196. Staffing: program service expenses 1,518,879. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,518,879. Linguistic services: program service expenses 1,079,189. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,079,189. Catering: program service expenses 202,389. Management and general expenses 0. Fundraising expenses 0. Total expenses 202,389. Miscellaneous: program service expenses 1,556,572. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,556,572.

FORM 990, PART XI, LINE 9:

Capital contribution under joint operating agreement 220,635,834. Trihealth way of leading funding deferral -10,000,000. Change in pension plan/serp funded status 8,816,661. Net income of good samaritan hospital free clinic (files form 990) 62,549. Non-financial insurance adjustment 2,715,904.

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.

Financial Statement Notes

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 and determined that no amounts were required to be recognized in the combined financial statements at june 30, 2018 and 2017.

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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt2923458
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt300
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt310
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt320
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt330
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt340
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE (END 7/17)
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt5CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt6VICE CHAIR/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt7PRESIDENT/CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt8MED STAFF PRES (END 12/17)
IRS990/Form990PartVIISectionAGrp/TitleTxt9MED STAFF PRES (END 12/17)
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt12TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt13TRUSTEE (START 7/17)
IRS990/Form990PartVIISectionAGrp/TitleTxt14MED STAFF PRES-GOOD SAM (START 1/18)
IRS990/Form990PartVIISectionAGrp/TitleTxt15MED STAFF PRES-BETHESDA (START 1/18)
IRS990/Form990PartVIISectionAGrp/TitleTxt16ASST TREASURER/CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt17ASST SECRETARY/SVP LEGAL
IRS990/Form990PartVIISectionAGrp/TitleTxt18EXEC VICE PRES (END 11/17)
IRS990/Form990PartVIISectionAGrp/TitleTxt19CMO - (END 12/17)
IRS990/Form990PartVIISectionAGrp/TitleTxt20SVP-CHIEF NURSING EXEC.
IRS990/Form990PartVIISectionAGrp/TitleTxt21EXEC VP & COO
IRS990/Form990PartVIISectionAGrp/TitleTxt22CHIEF HR OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt23CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt24SVP-AMBULATORY SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt25CMO - (START 1/18)
IRS990/Form990PartVIISectionAGrp/TitleTxt26EVP POP HEALTH & PHYSICIAN PRACTICES

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$2,396$129$2,266$354$349$5.73
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,116$147$1,969$473$474$1.61
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,623$177$1,446$354$364$9.59
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,357$178$1,179$358$369$11.4
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,151$158$993$248$264$16.3
2018Detailed filing. Detailed filing data is available for this year.$953$153$800$282$282$0.82
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$638$66.5$571$247$258$11.3
2016Detailed filing. Detailed filing data is available for this year.$555$62.6$493$217$223$5.61
2015Detailed filing. Detailed filing data is available for this year.$465$69.4$396$211$211$0.18
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$180$176$3.84$183
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$179$160$18.1$152
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$125$108$17.0$130
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$84.8$105$20.1$1.46