2025-05-13T12:34:04-05:00 2024-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2023-07-01 273893817 GOOD SAMARITAN HOSPITAL FREE CLINIC GOOD 5135696575 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 MICHAEL CROFTON VP FINANCE 5135696577 2025-05-13 1 1 SHAWNA M JANSONS P01222873 3174648600 2023 2025-03-06 01:10:19Z GOOD SAMARITAN HOSPITAL FREE HEALTH CENTER MARLA SILLIMAN 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 992554 0 X N/A X 2010 OH TO PROVIDE FREE HEALTH CARE TO THOSE WHO DON'T HAVE HEALTH INSURANCE NOR HAVE MEDICAID COVERAGE. 3 0 0 170 0 0 1663514 992554 0 0 0 0 0 0 1663514 992554 4584 14045 0 0 0 0 0 0 0 1003290 1023722 1007874 1037767 655640 -45213 5077428 4739220 0 0 5077428 4739220 X SEE SCHEDULE O 0 0 1037767 14045 0 SEE SCHEDULE O 1037767 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X MICHAEL CROFTON - VP FINANCE 5135696577 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 X MARK CLEMENT CHAIRPERSON 1.00 60.00 X X 0 2219557 72753 ANDREW DEVOE TREASURER (END 2/24) 1.00 60.00 X X 0 1121641 87483 MARLA SILLIMAN PRESIDENT 1.00 60.00 X X 0 860815 68467 JOHN WARD TRUSTEE 1.00 60.00 X 0 850111 83260 STEVE GRACEY SECRETARY 1.00 60.00 X 0 744735 85799 LINDA SMITH-BERRY EXECUTIVE DIRECTOR 30.00 30.00 X 0 133085 20084 0 5929944 417846 0 0 1 0 0 20000 972554 992554 992554 0 0 0 14045 14045 46 46 3002 3002 5081 5081 2076 2076 66081 66081 906 906 PAYROLL MANAGEMENT 855481 855481 MEDICAL SUPPLIES 71878 71878 EQUIPMENT 12674 12674 DUES AND SUBSCRIPTIONS 3181 3181 3316 3316 1037767 1037767 0 0 5077428 4739220 5077428 4739220 0 0 X 1483363 1438151 3594065 3301069 5077428 4739220 5077428 4739220 X -45213 -292995 X X 0 1 X 1 0 X 693972 1578498 1112457 1663514 992554 6040995 693972 1578498 1112457 1663514 992554 6040995 1633529 4407466 6040995 0.72960 0.68380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3594065 0 107854 500851 3201068 2775271 870381 60851 112438 3594065 2174246 650000 112438 161413 2775271 2117630 161413 104797 2174246 89133 -2028497 2117630 0.96630 0.03370 0 1 0 0 RECEIVEABLE FROM RELATED ORGANIZATIONS 4739220 4739220 X PART V, LINE 4: INVESTMENT PROCEEDS FROM ENDOWMNET FUNDS ARE USED TO SUPPORT PROGRAMS AT THE GOOD SAMARITAN HOSPITAL FREE CLINIC. PART X, LINE 2: THE FINANCIAL STATEMENTS OF GOOD SAMARITAN HOSPITAL FREE CLINIC 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, 2024 OR 2023. PART V, LINE 3B THE ENDOWMENT FUNDS OF THE GOOD SAMARITAN HOSPITAL FREE CLINIC ("CLINIC") ARE HELD BY THE GOOD SAMANARITAN HOSPITAL FOUNDATION OF CINCINNATI, INC. ("FOUNDATION"). THE FOUNDATION IS PART OF THE TRIHEALTH SYSTEM, AS IS THE CLINIC, BUT DOES NOT MEET THE REQUIREMENTS OF BEING CONSIDERED A RELATED ORGANIZATION FOR FORM 990 PURPOSES. 1 TRANSPORTATION FARE FOR PATIENTS IN NEED IN ORDER TO GET TO AND/OR GET FROM AN APPOINTMENT. 700 14045 PART I, LINE 2: THE GOOD SAMARITAN HOSPITAL FREE CLINIC PAYS FOR THE TRANSPORTATION DIRECTLY. 0 1 0 0 0 0 0 0 0 MARK CLEMENT CHAIRPERSON 0 1575958 0 606615 0 36984 0 47735 0 25018 0 2292310 0 0 ANDREW DEVOE TREASURER (END 2/24) 0 786423 0 273587 0 61631 0 47606 0 39877 0 1209124 0 0 JOHN WARD TRUSTEE 0 618637 0 193011 0 38463 0 50543 0 32717 0 933371 0 0 MARLA SILLIMAN PRESIDENT 0 630713 0 183544 0 46558 0 55871 0 12596 0 929282 0 0 STEVE GRACEY SECRETARY 0 537042 0 166459 0 41234 0 46545 0 39254 0 830534 0 0 LINDA SMITH-BERRY EXECUTIVE DIRECTOR 0 107097 0 18073 0 7915 0 9016 0 11068 0 153169 0 0 PART I, LINE 4B ELIGIBLE 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. DURING THE 2023 CALENDAR YEAR, NONE OF THE INDIVIDUALS LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC. PART I, LINE 3: TRIHEALTH, INC., A RELATED ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL FREE CLINIC, 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, LINE 4A: THE REPORTABLE INDIVIDUALS OF THE GOOD SAMARITAN HOSPITAL FREE CLINIC 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, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. DURING THE 2023 CALENDAR YEAR, NO REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. FORM 990, PART III, LINE 1 THE GOOD SAMARITAN HOSPITAL FREE CLINIC IS DEDICATED TO PROVIDING EXCELLENT PRIMARY HEALTH CARE AT NO CHARGE TO THOSE WHO ARE UNABLE TO AFFORD ADEQUATE HEALTH INSURANCE COVERAGE AND DO NOT HAVE MEDICAID COVERAGE, OR WHO ARE OTHERWISE IN NEED, REGARDLESS OF RACE, GENDER OR RELIGION. FORM 990, PART III, LINE 4A IN THE EARLY 2000S, IT WAS IDENTIFIED THAT MORE THAN 12,000 UNINSURED PEOPLE THAT LIVED IN PRICE HILL, A SUBURB OF CINCINNATI, OHIO, AND ITS SURROUNDING AREA HAD DIFFICULTY ACCESSING REGULAR HEALTH CARE. THESE INDIVIDUALS OFTEN WAITED THREE TO SIX MONTHS FOR AN APPOINTMENT AT A HEALTH CLINIC OR WENT TO A HOSPITAL EMERGENCY DEPARTMENT TO RECEIVE EPISODIC CARE. THIS DIVERSE COMMUNITY INCLUDED A LARGE NUMBER OF WORKING POOR WHO EARN TOO MUCH TO QUALIFY FOR PUBLIC ASSISTANCE PROGRAMS SUCH AS MEDICAID, BUT TOO LITTLE TO AFFORD HEALTH INSURANCE. TO ADDRESS THIS NEED, TRIHEALTH, INC., AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION ("IRC SEC.") 501(A) AS AN ORGANIZATION DESCRIBED IN IRC SEC. 501(C)(3), OPENED THE GOOD SAMARITAN HOSPITAL FREE CLINIC IN JANUARY, 2011 AND OPERATES UNDER THE NAME GOOD SAMARITAN FREE HEALTH CENTER ("CENTER"). THE CENTER EXEMPLIFIES THE TRIHEALTH INC. MISSION TO IMPROVE THE HEALTH STATUS OF THE PEOPLE IT SERVES BY PROVIDING A FULL RANGE OF HEALTH-RELATED SERVICES INCLUDING PREVENTION, WELLNESS AND EDUCATION. SINCE ITS OPENING, THE CENTER HAS HELPED THOUSANDS OF UNINSURED, NON MEDICAID/MEDICARE ELIGIBLE ADULTS FIND A MEDICAL HOME WHERE THEY ARE ABLE TO RECEIVE REGULAR PRIMARY HEALTH CARE. THE CENTER PROVIDES ADULT NON-EMERGENCY PRIMARY MEDICAL CARE (NO OBSTETRICS) AS WELL AS VARIOUS SPECIALTIES FOR PEOPLE WHO HAVE BEEN PRE-QUALIFIED AND FALL WITHIN POVERTY GUIDELINES. SERVICES INCLUDE: * DENTAL CARE * GASTROENTEROLOGICAL CARE * GYNECOLOGICAL CARE * MAMMOGRAMS * PHYSICAL THERAPY * RHEUMATOLOGY SERVICES * SICK VISITS * CHRONIC DISEASE CARE THE CENTER HAS OFFICE HOURS SIX DAYS A WEEK AND VISITS ARE BY APPOINTMENT ONLY, WITH MOST PATIENTS REFERRED BY THE NEARBY SANTA MARIA COMMUNITY SERVICES, ALSO AN ORGANIZATION RECOGNIZED BY THE IRS AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SEC. 501(A) AS AN ORGANIZATION DESCRIBED IN IRC SEC. 501(C)(3). THE AFORE-MENTIONED PRE-SCREENING OF PATIENTS IS PERFORMED BY THE CENTER AS WELL AS COMMUNITY HEALTH WORKERS OF THE SANTA MARIA COMMUNITY SERVICES AND TRIHEALTH OUTREACH MINISTRIES. THIS ALLOWS FOR THE ENGAGEMENT OF SOCIAL WORKERS AND HEALTH CARE WORKERS WHO ARE ALREADY DIRECTLY INVOLVED WITH THE UNDERSERVED COMMUNITY. THE CENTER IS SOLELY FUNDED THROUGH PHILANTHROPIC DOLLARS AND AS SUCH DOES NOT RECEIVE ANY REIMBURSEMENT FOR ITS SERVICES FROM THE PATIENTS, THIRD PARTY PAYORS INCLUDING ANY GOVERNMENTAL PAYORS OR ANY OTHER PERSON OR ENTITY. THE CLINIC PROVIDES THESE HEALTH CARE SERVICES THROUGH THE SERVICE OF VOLUNTEER PHYSICIANS AND OTHER LICENSED PRACTITIONERS. ON AVERAGE, OVER 14,000 APPOINTMENTS ARE SCHEDULED ANNUALLY WITH, ON AVERAGE, 9,200 KEPT RESULTING IN APPROXIMATELY $1,940,000 IN FREE HEALTHCARE TO THE COMMUNITY FOR THE 2023 TAX YEAR. THE SERVICES WERE PROVIDED THROUGH, ON AVERAGE, 170 VOLUNTEERS DONATING, ON AVERAGE, 7,000 HOURS ANNUALLY. PLEASE NOTE THAT FOR THOSE APPOINTMENTS THAT ARE NOT KEPT, CENTER PERSONNEL SPEND A SIGNIFICANT AMOUNT OF TIME FOLLOWING UP WITH THOSE INDIVIDUALS TO DETERMINE THE REASON. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE GOOD SAMARITAN HOSPITAL FREE CLINIC SHALL BE TRIHEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO ARTICLE II, SECTION 2.2 OF THE CODE OF REGULATIONS OF THE GOOD SAMARITAN HOSPITAL FREE CLINIC ("CLINIC"), THE SOLE MEMBER OF THE CORPORATION SHALL ELECT THE TRUSTEES OF THE CLINIC. FORM 990, PART VI, SECTION A, LINE 7B TRIHEALTH, INC., THE SOLE MEMBER OF THE GOOD SAMARITAN FREE CLINIC ("CLINIC"), HAS THE ABILITY TO APPROVE THE DECISIONS OF THE CLINIC'S GOVERNING BODY THAT ARE RESERVED TO IT BY OHIO LAW. FORM 990, PART VI, SECTION B, LINE 11B MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 PRIOR TO FILING. HOWEVER, FOR THE PROTECTION OF DONOR PRIVACY, SCHEDULE B - SCHEDULE OF CONTRIBUTORS WAS REMOVED FROM THE COPY PROVIDED TO THE BOARD. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE ORGANIZATION FILES THE 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 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 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 19 THE GOOD SAMARITAN HOSPITAL FREE CLINIC'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A - AVERAGE HOURS PER WEEK THE OFFICERS AND DIRECTORS FOR THE GOOD SAMARITAN HOSPITAL FREE CLINIC 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 MOSTLY 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. FORM 990, PART XI, LINE 9: CHANGE IN ENDOWMENT FUNDS HELD BY OUTSIDE ORGANIZATION -292,995. FORM 990, PART I, LINE 6 DURING THE TAX YEAR, THE GOOD SAMARITAN HOSPITAL FREE CLINIC BENEFITED FROM, ON AVERAGE, 7,000 VOLUNTEER HOURS WHICH WERE PROVIDED, ON AVERAGE, BY 170 VOLUNTEERS. FORM 990, PART XII, LINE 2C THE FINANCIAL STATEMENTS OF THE GOOD SAMARITAN HOSPITAL FREE CLINIC 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. TRIHEALTH INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311438846 SUPPORT AFFILIATED HOSPITAL OH SECTION 501(C)(3) SCHEDULE A, LINE 12B N/A 0 TRIHEALTH PHYSICIAN ENTERPRISE CORP 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311383365 PHYSICIAN PRACTICES OH SECTION 501(C)(3) SCHEDULE A, LINE 10 TRIHEALTH INC 1 TRIHEALTH PHYSICIAN INSTITUTE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311074519 PHYSICIAN SPECIALITY PRACTICES OH SECTION 501(C)(3) SCHEDULE A, LINE 10 TRIHEALTH INC 1 TRIHEALTH HOSPITAL INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 461393755 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 BETHESDA HOSPITAL INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537122 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 BETHESDA HEALTHCARE INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311027660 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 12B TRIHEALTH INC 1 BETHESDA FAMILY PRACTICE CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311242442 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 12A BETHESDA HOSPITAL INC 1 BETHESDA PROPERTIES INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311352694 PROPERTY MANAGEMENT OH SECTION 501(C)(2) BETHESDA HOSPITAL INC 1 HOSPICE OF CINCINNATI INCORPORATED 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310917155 HOSPICE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 10 BETHESDA HOSPITAL INC 1 FERNSIDE INC A CENTER FOR GRIEVING CHILDREN 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311179234 COUNSELING TO GRIEVING CHILDREN OH SECTION 501(C)(3) SCHEDULE A, LINE 7 HOSPICE OF CINCINNATI INCORPORATED 1 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537486 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311778403 EDUCATION OH SECTION 501(C)(3) SCHEDULE A, LINE 2 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 1 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 DIALYSIS OH SECTION 501(C)(2) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 1 MCCULLOUGH HYDE MEMORIAL HOSPITAL INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45052 310650283 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 HEALTHCARE SOLUTIONS NETWORK LLC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 472103334 PHYSICIAN HOSPITAL ORGANIZATION OH N/A 0 0 PREFERRED LAB PARTNERS LLC ONE MEDICAL VILLAGE DRIVE SUITE B EDGEWOOD KY 41017 824758763 LABORATORY SERVICES KY N/A 0 0 TRIHEALTH PHYSICIAN SOLUTIONS INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311444353 CLAIMS ADMINISTRATION OH N/A C 1 TRIHEALTH PHYSICIANS OF INDIANA INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 461125130 PHYSICIAN PRACTICES OH N/A C 1 TRIHEALTH CIPHO INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 463294306 PHYSICIAN HEALTH ORGANIZATION OH N/A C 1 PREMIERE MEDICAL OWNERS ASSOCIATION 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 141913019 CONDO ASSOCIATION OH N/A C 1 SERVE INSURANCE LTD PO BOX 69 CAMANA BAY GRAND CAYMANS CJ 981529310 ALTERNATIVE RISK FINANCING CJ N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 TRIHEALTH INC O 855481 FMV TRIHEALTH INC P 180164 COST