2026-05-13T07:47:46-05:00 2025-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2024-07-01 461393755 TRIHEALTH HOSPITAL INC TRIH 5135696575 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 MICHAEL CROFTON VP-FINANCE 5135696577 2026-05-13 1 1 SHAWNA M JANSONS P01222873 3174648600 2024 2025-03-06 01:10:19Z MARK CLEMENT 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 3216973 0 X WWW.TRIHEALTH.COM X 2012 OH TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE. 13 10 26 10 0 0 0 11 2580845 3216242 -13345 720 0 0 2567500 3216973 0 0 0 0 1281325 1473202 0 0 0 13398529 13002523 14679854 14475725 -12112354 -11258752 117911871 114973857 539545 8860283 117372326 106113574 TO 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. 0 0 2325771 0 3216242 TRIHEALTH HOSPITAL, INC. OPERATES AN OUTPATIENT SURGERY CENTER WHICH PROVIDES THE COMMUNITY ACCESS TO A VARIETY OF PROCEDURES INCLUDING GENERAL SURGERY, ENDOSCOPY, ORTHOPEDICS, HAND SURGERY, EAR, NOSE AND THROAT, FACIAL PLASTICS, PODIATRY AND VEIN SURGERIES. THE 13,000-SQUARE-FOOT SURGERY CENTER HAS FOUR OPERATING ROOMS, TWO ENDOSCOPY ROOMS AND A LABORATORY.THE SURGERY CENTER IS CONNECTED TO TWO MEDICAL OFFICE BUILDINGS WITH ALL THREE BUILDINGS CREATING A 73,000-SQUARE-FOOT INTEGRATED PHYSICIAN OFFICE AND MEDICAL COMPLEX. 2325771 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 11 0 1 26 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X MICHAEL CROFTON - VP FINANCE 5135696577 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 X SR SALLY DUFFY SECRETARY 1.00 3.00 X X 0 0 0 RALPH MICHAEL VICE CHAIR 1.00 3.00 X X 0 0 0 ROBERT COLLINS MD TRUSTEE 1.00 3.00 X 0 0 0 MARK CLEMENT PRESIDENT/CEO 1.00 60.00 X X 0 2558073 75684 PHILLIP CASTELLINI TRUSTEE (END 6/25) 1.00 3.00 X 0 0 0 KATHY KELLY CHAIR 1.00 3.00 X X 0 0 0 THEODORE TORBECK TREASURER 1.00 3.00 X X 0 0 0 PHILIP FOSTER TRUSTEE 1.00 3.00 X 0 0 0 QUINT STUDER TRUSTEE 1.00 3.00 X 0 0 0 RANCE DUKE TRUSTEE 1.00 3.00 X 0 0 0 CYNTHIA BOOTH TRUSTEE 1.00 3.00 X 0 0 0 KEN PATTON DO MED STAFF PRESIDENT-BETHESDA 1.00 3.00 X 0 46700 0 KASEY ROHLING MD MED STAFF PRESIDENT-GOOD SAM 1.00 3.00 X 0 45000 0 MICHAEL CROFTON TREASURER (7/24-6/25) 1.00 60.00 X 0 524900 82006 STEVE GRACEY ASST SECRETARY/SVP LEGAL 1.00 60.00 X 0 759998 89778 KELVIN HANGER PRESIDENT HOSPITAL COO 10.00 50.00 X 0 592634 72636 MARLA SILLIMAN SVP-GOOD SAM REGION 1.00 60.00 X 0 881524 61154 HELEN KOSELKA MD CMO-TRIHEALTH 1.00 60.00 X 0 922577 91581 TERRI HANLON-BREMER COO-TRIHEALTH 1.00 60.00 X 0 1100300 70366 CYNTHIA ADAMS PHD RN CNE-TRIHEALTH (START 10/24) 1.00 60.00 X 0 163737 4260 MARIA ASHDOWN INTERIM CNE (7/24-10/24) 1.00 60.00 X 0 388840 92036 KRISTI DEMARIS CHARGE NURSE 60.00 0.00 X 103286 0 38629 MELODY MOSS ASST NURSE MANAGER 60.00 0.00 X 111361 0 17849 ANDREW DEVOE FORMER OFFICER 0.00 0.00 X 0 239052 32905 DAVID COOK FORMER KEY EMPLOYEE 0.00 0.00 X 0 428584 0 JENNY SKINNER FORMER KEY EMPLOYEE 0.00 0.00 X 0 503066 51443 STEVE MOMBACH FORMER KEY EMPLOYEE 1.00 60.00 X 0 716638 69288 214647 9871623 849615 2 1 1 0 0 11 11 PATIENT SERVICES 621400 3216242 3216242 3216242 720 0 720 720 720 3216973 3216242 0 720 1167885 1071940 95945 40483 37097 3386 175801 147905 27896 89033 82291 6742 51676 39371 12305 47902 40343 7559 668 668 486690 50012 436678 28 28 459511 15687 443824 IMPAIRMENT OF GOODWILL 11063885 11063885 MEDICAL/DIETARY SUPPLY 752749 747175 5574 EQUIPMENT 92693 92693 OVERHEAD ALLOCATION 43080 43080 3641 561 3080 14475725 2325771 12149954 0 599 600 325163 489512 0 41336981 0 26528481 17824059 15665433 1775576 2158626 55319426 44255541 60491107 204116 117911871 114973857 129994 277181 239613 204116 169938 8378986 539545 8860283 X 117372326 106113574 117372326 106113574 117911871 114973857 -11258752 0 X X 0 1 X 1 0 X 5000000 2303 11 5002314 22296306 284922 3218185 2580845 3216242 31596500 27296306 287225 3218185 2580845 3216253 36598814 0 0 0 36598814 73 73 27296379 287225 3218185 2580845 3216253 36598887 1.00000 1.00000 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: EHR INCENTIVE REVENUE - MEDICAL RECORDS - 2020 AMOUNT: $ 73. MISCELLANEOUS - 9723157 9659571 63586 6749413 5295325 1454088 1351489 710537 640952 2158626 THIRD PARTY SETTLEMENTS 339877 DUE TO RELATED ORGANIZATION 8039109 8378986 X PART X, LINE 2: THE 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, 2025 OR 2024. 0 1 0 0 0 0 0 0 0 MARK CLEMENT PRESIDENT/CEO 0 1651024 0 769875 0 137174 0 49708 0 25976 0 2633757 0 0 TERRI HANLON-BREMER COO-TRIHEALTH 0 807387 0 260773 0 32140 0 53324 0 17042 0 1170666 0 0 HELEN KOSELKA MD CMO-TRIHEALTH 0 707156 0 197328 0 18093 0 49708 0 41873 0 1014158 0 0 MARLA SILLIMAN SVP-GOOD SAM REGION 0 663789 0 186748 0 30987 0 48110 0 13044 0 942678 0 0 STEVE GRACEY ASST SECRETARY/SVP LEGAL 0 593047 0 163198 0 3753 0 48110 0 41668 0 849776 0 0 STEVE MOMBACH FORMER KEY EMPLOYEE 0 538179 0 156992 0 21467 0 43324 0 25964 0 785926 0 0 KELVIN HANGER PRESIDENT HOSPITAL COO 0 437048 0 122043 0 33543 0 30324 0 42312 0 665270 0 0 MICHAEL CROFTON TREASURER (7/24-6/25) 0 342253 0 176187 0 6460 0 54214 0 27792 0 606906 0 0 JENNY SKINNER FORMER KEY EMPLOYEE 0 257015 0 136874 0 109177 0 35075 0 16368 0 554509 0 0 MARIA ASHDOWN INTERIM CNE (7/24-10/24) 0 269240 0 101674 0 17926 0 61923 0 30113 0 480876 0 0 DAVID COOK FORMER KEY EMPLOYEE 0 0 0 0 0 428584 0 0 0 0 0 428584 0 428584 ANDREW DEVOE FORMER OFFICER 0 129459 0 0 0 109593 0 18521 0 14384 0 271957 0 0 CYNTHIA ADAMS PHD RN CNE-TRIHEALTH (START 10/24) 0 63110 0 100000 0 627 0 2307 0 1953 0 167997 0 0 PART I, LINE 3 TRIHEALTH, 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, 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 2024 CALENDAR YEAR, 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. *DAVID COOK - $428,584 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 2024 CALENDAR YEAR, NONE OF THE INDIVIDUAL(S) LISTED IN SCHEDULE J, PART II RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. MARK CLEMENT OFFICER SPLIT $ X 15773320 15773320 0 1 1 STEVE GRACEY OFFICER SPLIT $ X 2138915 2138915 0 1 1 MIKE CROFTON OFFICER SPLIT $ X 3115188 3115188 0 1 1 TERRI BREMER KEY EE SPLIT $ X 2639306 2639306 0 1 1 HELEN KOSELKA KEY EE SPLIT $ X 2265468 2265468 0 1 1 ANDREW DEVOE FMR OFCR SPLIT $ X 3240452 3240452 0 1 1 JENNY SKINNER FMR KE SPLIT $ X 1530622 1530622 0 1 1 STEVE MOMBACH FMR KE SPLIT $ X 8280423 8280423 0 1 1 MARLA SILLIMAN KEY EE SPLIT $ X 2353287 2353287 0 1 1 41336981 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF TRIHEALTH HOSPITAL, INC. 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 TRIHEALTH HOSPITAL, INC. ("HOSPITAL") THE SOLE MEMBER OF THE CORPORATION SHALL ELECT THE TRUSTEES OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B THE 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 11B MEMBERS 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 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 TRIHEALTH 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 WEEK THE 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 XII, LINE 2C THE 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. TRIHEALTH INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311438846 SUPPORT TO AFFILIATED HOSPITALS OH SECTION 501(C)(3) SCHEDULE A, LINE 12B N/A 0 GOOD SAMARITAN HOSPITAL FREE CLINIC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 273893817 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 7 TRIHEALTH INC 1 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 PRACTICES OH SECTION 501(C)(3) SCHEDULE A, LINE 10 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 45202 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 CINCINNATI OH 41017 824758763 LABORATORY SERVICES KY N/A 0 0 TRIHEALTH PHYSICIANS OF INDIANA INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 461125130 PHYSICIAN PRACTICES OH N/A C 1 TRIHEALTH PHYSICIAN SOLUTIONS INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311444353 CLAIMS ADMINISTRATION 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 CAYMAN CJ 981529310 ALTERNATIVE RISK FINANCING CJ N/A C 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 BETHESDA HOSPITAL INC K 329597 FMV TRIHEALTH INC P 1479128 COST