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Nonprofiteer
← TRIHEALTH HOSPITAL INC

Form 990 for tax year 2024

Filed by TRIHEALTH HOSPITAL INC.

Totals

Total revenue
$3,216,973
Total expenses
$14,475,725
Contributions and grants received
$11
Grants paid
$0
Program service revenue
$3,216,242
Investment income
$720
Other revenue
$0
Total assets, end of year
$114,973,857
Total liabilities, end of year
$8,860,283
Net assets or fund balances, end of year
$106,113,574
Program services expenses (Part IX)
$2,325,771
Management and general expenses
$12,149,954
Fundraising expenses
$0
Program service expenses (Part III)
$2,325,771

Program services were 16.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $11

  • 2a · Program service revenue: PATIENT SERVICES

    total $3,216,242 · related or exempt $3,216,242

  • 7a · Gross sales of assets other than inventory

    other assets $720

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $720

  • 7d · Net gain or loss

    total $720 · excluded $720

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,167,885 · program services $1,071,940 · management and general $95,945

  • 8 · Pension plan contributions

    total $40,483 · program services $37,097 · management and general $3,386

  • 9 · Other employee benefits

    total $175,801 · program services $147,905 · management and general $27,896

  • 10 · Payroll taxes

    total $89,033 · program services $82,291 · management and general $6,742

  • 11g · Fees: other

    total $51,676 · program services $39,371 · management and general $12,305

  • 13 · Office expenses

    total $47,902 · program services $40,343 · management and general $7,559

  • 14 · Information technology

    total $668 · program services $668

  • 16 · Occupancy

    total $486,690 · program services $50,012 · management and general $436,678

  • 17 · Travel

    total $28 · program services $28

  • 22 · Depreciation, depletion and amortization

    total $459,511 · program services $15,687 · management and general $443,824

  • 24a · Other expenses: IMPAIRMENT OF GOODWILL

    total $11,063,885 · management and general $11,063,885

  • 24b · Other expenses: MEDICAL/DIETARY SUPPLY

    total $752,749 · program services $747,175 · management and general $5,574

  • 24c · Other expenses: EQUIPMENT

    total $92,693 · program services $92,693

  • 24d · Other expenses: OVERHEAD ALLOCATION

    total $43,080 · management and general $43,080

  • 24e · All other expenses

    total $3,641 · program services $561 · management and general $3,080

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $599 · end of year $600

  • 4 · Accounts receivable

    beginning of year $325,163 · end of year $489,512

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $41,336,981

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $26,528,481

  • 10a · Land, buildings and equipment: cost or other basis

    $17,824,059

  • 10b · Land, buildings and equipment: accumulated depreciation

    $15,665,433

  • 10c · Land, buildings and equipment, net

    beginning of year $1,775,576 · end of year $2,158,626

  • 14 · Intangible assets

    beginning of year $55,319,426 · end of year $44,255,541

  • 15 · Other assets

    beginning of year $60,491,107 · end of year $204,116

  • 17 · Accounts payable and accrued expenses

    beginning of year $129,994 · end of year $277,181

  • 23 · Secured mortgages and notes payable

    beginning of year $239,613 · end of year $204,116

  • 25 · Other liabilities

    beginning of year $169,938 · end of year $8,378,986

  • 27 · Net assets without donor restrictions

    beginning of year $117,372,326 · end of year $106,113,574

Mission and programs · 2024

Mission

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.

Activities or mission (Part I)

TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE.

  • 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.

    Expenses $2,325,771 · Revenue $3,216,242

As filed on the 2024 return.

Listed in Part VII

  • SR SALLY DUFFY

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • RALPH MICHAEL

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • ROBERT COLLINS MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • MARK CLEMENT

    PRESIDENT/CEO

    Total calculated
    $2,633,757
    From this org
    $0
    From related orgs
    $2,558,073
    Other
    $75,684
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,651,024 related
    Bonus
    $0 + $769,875 related
    Other
    $0 + $137,174 related
    Deferred
    $0 + $49,708 related
    Nontaxable benefits
    $0 + $25,976 related
    Filer's total
    $0 + $2,633,757 related

  • PHILLIP CASTELLINI

    TRUSTEE (END 6/25)

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • KATHY KELLY

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • THEODORE TORBECK

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • PHILIP FOSTER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • QUINT STUDER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • RANCE DUKE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CYNTHIA BOOTH

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • KEN PATTON DO

    MED STAFF PRESIDENT-BETHESDA

    Total calculated
    $46,700
    From this org
    $0
    From related orgs
    $46,700
    Other
    $0
    Hours/week
    1 + 3 related

  • KASEY ROHLING MD

    MED STAFF PRESIDENT-GOOD SAM

    Total calculated
    $45,000
    From this org
    $0
    From related orgs
    $45,000
    Other
    $0
    Hours/week
    1 + 3 related

  • MICHAEL CROFTON

    TREASURER (7/24-6/25)

    Total calculated
    $606,906
    From this org
    $0
    From related orgs
    $524,900
    Other
    $82,006
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $342,253 related
    Bonus
    $0 + $176,187 related
    Other
    $0 + $6,460 related
    Deferred
    $0 + $54,214 related
    Nontaxable benefits
    $0 + $27,792 related
    Filer's total
    $0 + $606,906 related

  • STEVE GRACEY

    ASST SECRETARY/SVP LEGAL

    Total calculated
    $849,776
    From this org
    $0
    From related orgs
    $759,998
    Other
    $89,778
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $593,047 related
    Bonus
    $0 + $163,198 related
    Other
    $0 + $3,753 related
    Deferred
    $0 + $48,110 related
    Nontaxable benefits
    $0 + $41,668 related
    Filer's total
    $0 + $849,776 related

  • KELVIN HANGER

    PRESIDENT HOSPITAL COO

    Total calculated
    $665,270
    From this org
    $0
    From related orgs
    $592,634
    Other
    $72,636
    Hours/week
    10 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $437,048 related
    Bonus
    $0 + $122,043 related
    Other
    $0 + $33,543 related
    Deferred
    $0 + $30,324 related
    Nontaxable benefits
    $0 + $42,312 related
    Filer's total
    $0 + $665,270 related

  • MARLA SILLIMAN

    SVP-GOOD SAM REGION

    Total calculated
    $942,678
    From this org
    $0
    From related orgs
    $881,524
    Other
    $61,154
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $663,789 related
    Bonus
    $0 + $186,748 related
    Other
    $0 + $30,987 related
    Deferred
    $0 + $48,110 related
    Nontaxable benefits
    $0 + $13,044 related
    Filer's total
    $0 + $942,678 related

  • HELEN KOSELKA MD

    CMO-TRIHEALTH

    Total calculated
    $1,014,158
    From this org
    $0
    From related orgs
    $922,577
    Other
    $91,581
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $707,156 related
    Bonus
    $0 + $197,328 related
    Other
    $0 + $18,093 related
    Deferred
    $0 + $49,708 related
    Nontaxable benefits
    $0 + $41,873 related
    Filer's total
    $0 + $1,014,158 related

  • TERRI HANLON-BREMER

    COO-TRIHEALTH

    Total calculated
    $1,170,666
    From this org
    $0
    From related orgs
    $1,100,300
    Other
    $70,366
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $807,387 related
    Bonus
    $0 + $260,773 related
    Other
    $0 + $32,140 related
    Deferred
    $0 + $53,324 related
    Nontaxable benefits
    $0 + $17,042 related
    Filer's total
    $0 + $1,170,666 related

  • CYNTHIA ADAMS PHD RN

    CNE-TRIHEALTH (START 10/24)

    Total calculated
    $167,997
    From this org
    $0
    From related orgs
    $163,737
    Other
    $4,260
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $63,110 related
    Bonus
    $0 + $100,000 related
    Other
    $0 + $627 related
    Deferred
    $0 + $2,307 related
    Nontaxable benefits
    $0 + $1,953 related
    Filer's total
    $0 + $167,997 related

  • MARIA ASHDOWN

    INTERIM CNE (7/24-10/24)

    Total calculated
    $480,876
    From this org
    $0
    From related orgs
    $388,840
    Other
    $92,036
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $269,240 related
    Bonus
    $0 + $101,674 related
    Other
    $0 + $17,926 related
    Deferred
    $0 + $61,923 related
    Nontaxable benefits
    $0 + $30,113 related
    Filer's total
    $0 + $480,876 related

  • KRISTI DEMARIS

    CHARGE NURSE

    Total calculated
    $141,915
    From this org
    $103,286
    From related orgs
    $0
    Other
    $38,629
    Hours/week
    60

  • MELODY MOSS

    ASST NURSE MANAGER

    Total calculated
    $129,210
    From this org
    $111,361
    From related orgs
    $0
    Other
    $17,849
    Hours/week
    60

  • ANDREW DEVOE

    FORMER OFFICER

    Total calculated
    $271,957
    From this org
    $0
    From related orgs
    $239,052
    Other
    $32,905
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $129,459 related
    Bonus
    $0
    Other
    $0 + $109,593 related
    Deferred
    $0 + $18,521 related
    Nontaxable benefits
    $0 + $14,384 related
    Filer's total
    $0 + $271,957 related

  • DAVID COOK

    FORMER KEY EMPLOYEE

    Total calculated
    $428,584
    From this org
    $0
    From related orgs
    $428,584
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $428,584 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $428,584 related

  • JENNY SKINNER

    FORMER KEY EMPLOYEE

    Total calculated
    $554,509
    From this org
    $0
    From related orgs
    $503,066
    Other
    $51,443
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $257,015 related
    Bonus
    $0 + $136,874 related
    Other
    $0 + $109,177 related
    Deferred
    $0 + $35,075 related
    Nontaxable benefits
    $0 + $16,368 related
    Filer's total
    $0 + $554,509 related

  • STEVE MOMBACH

    FORMER KEY EMPLOYEE

    Total calculated
    $785,926
    From this org
    $0
    From related orgs
    $716,638
    Other
    $69,288
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $538,179 related
    Bonus
    $0 + $156,992 related
    Other
    $0 + $21,467 related
    Deferred
    $0 + $43,324 related
    Nontaxable benefits
    $0 + $25,964 related
    Filer's total
    $0 + $785,926 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
13 May 2026
IRS schema version
2024v5.5
Source object
202611339349301316

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