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Nonprofiteer
← TRIHEALTH HOSPITAL INC

Form 990 for tax year 2023

Filed by TRIHEALTH HOSPITAL INC.

Totals

Total revenue
$2,567,500
Total expenses
$14,679,854
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$2,580,845
Investment income
-$13,345
Other revenue
$0
Total assets, end of year
$117,911,871
Total liabilities, end of year
$539,545
Net assets or fund balances, end of year
$117,372,326
Program services expenses (Part IX)
$2,227,245
Management and general expenses
$12,452,609
Fundraising expenses
$0
Program service expenses (Part III)
$2,227,245

Program services were 15.2% 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.

  • 2a · Program service revenue: PATIENT SERVICES

    total $2,580,845 · related or exempt $2,580,845

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

    other assets $13,345

  • 7c · Gain or loss

    other assets -$13,345

  • 7d · Net gain or loss

    total -$13,345 · excluded -$13,345

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,020,523 · program services $931,639 · management and general $88,884

  • 8 · Pension plan contributions

    total $32,355 · program services $29,398 · management and general $2,957

  • 9 · Other employee benefits

    total $153,400 · program services $127,332 · management and general $26,068

  • 10 · Payroll taxes

    total $75,047 · program services $69,132 · management and general $5,915

  • 11g · Fees: other

    total $253,720 · program services $46,737 · management and general $206,983

  • 13 · Office expenses

    total $70,399 · program services $65,202 · management and general $5,197

  • 14 · Information technology

    total $611 · program services $611

  • 16 · Occupancy

    total $505,911 · program services $85,911 · management and general $420,000

  • 17 · Travel

    total $915 · program services $915

  • 19 · Conferences, conventions and meetings

    total $500 · program services $500

  • 22 · Depreciation, depletion and amortization

    total $580,575 · program services $9,373 · management and general $571,202

  • 24a · Other expenses: IMPAIRMENT OF GOODWILL

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

  • 24b · Other expenses: MEDICAL/DIETARY SUPPLY

    total $787,041 · program services $783,660 · management and general $3,381

  • 24c · Other expenses: EQUIPMENT

    total $72,088 · program services $72,088

  • 24d · Other expenses: OVERHEAD ALLOCATION

    total $42,024 · management and general $42,024

  • 24e · All other expenses

    total $20,860 · program services $4,747 · management and general $16,113

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $599 · end of year $599

  • 4 · Accounts receivable

    beginning of year $376,544 · end of year $325,163

  • 8 · Inventories for sale or use

    beginning of year $20,821 · end of year $0

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

    $17,083,118

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

    $15,307,542

  • 10c · Land, buildings and equipment, net

    beginning of year $2,359,997 · end of year $1,775,576

  • 14 · Intangible assets

    beginning of year $66,383,311 · end of year $55,319,426

  • 15 · Other assets

    beginning of year $60,641,297 · end of year $60,491,107

  • 17 · Accounts payable and accrued expenses

    beginning of year $127,951 · end of year $129,994

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $239,613

  • 25 · Other liabilities

    beginning of year $169,938 · end of year $169,938

  • 27 · Net assets without donor restrictions

    beginning of year $129,484,680 · end of year $117,372,326

Mission and programs · 2023

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 $2,227,245 · Revenue $2,580,845

As filed on the 2023 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
    $2,292,310
    From this org
    $0
    From related orgs
    $2,219,557
    Other
    $72,753
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,575,958 related
    Bonus
    $0 + $606,615 related
    Other
    $0 + $36,984 related
    Deferred
    $0 + $47,735 related
    Nontaxable benefits
    $0 + $25,018 related
    Filer's total
    $0 + $2,292,310 related
  • Phillip Castellini

    TRUSTEE

    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
  • Kristin Coppage MD

    MED STAFF PRESIDENT (END 12/23)

    Total calculated
    $1,021,093
    From this org
    $0
    From related orgs
    $928,405
    Other
    $92,688
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $870,891 related
    Bonus
    $0 + $10,001 related
    Other
    $0 + $47,513 related
    Deferred
    $0 + $53,788 related
    Nontaxable benefits
    $0 + $38,900 related
    Filer's total
    $0 + $1,021,093 related
  • Lorraine Stephens MD

    MED STAFF PRESIDENT (END 12/23)

    Total calculated
    $354,513
    From this org
    $0
    From related orgs
    $292,686
    Other
    $61,827
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $173,451 related
    Bonus
    $0 + $6,710 related
    Other
    $0 + $112,525 related
    Deferred
    $0 + $23,015 related
    Nontaxable benefits
    $0 + $38,812 related
    Filer's total
    $0 + $354,513 related
  • Ken Patton Do

    MED STAFF PRES. (START 1/24)

    Total calculated
    $15,400
    From this org
    $0
    From related orgs
    $15,400
    Other
    $0
    Hours/week
    1 + 3 related
  • Kasey Rohling MD

    MED STAFF PRES. (START 1/24)

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    1 + 3 related
  • Andrew Devoe

    ASST TREASURER/CFO (END 2/24)

    Total calculated
    $1,209,124
    From this org
    $0
    From related orgs
    $1,121,641
    Other
    $87,483
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $786,423 related
    Bonus
    $0 + $273,587 related
    Other
    $0 + $61,631 related
    Deferred
    $0 + $47,606 related
    Nontaxable benefits
    $0 + $39,877 related
    Filer's total
    $0 + $1,209,124 related
  • Steve Gracey

    ASST SECRETARY/SVP LEGAL

    Total calculated
    $830,534
    From this org
    $0
    From related orgs
    $744,735
    Other
    $85,799
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $537,042 related
    Bonus
    $0 + $166,459 related
    Other
    $0 + $41,234 related
    Deferred
    $0 + $46,545 related
    Nontaxable benefits
    $0 + $39,254 related
    Filer's total
    $0 + $830,534 related
  • Kelvin Hanger

    PRESIDENT HOSPITAL COO

    Total calculated
    $608,002
    From this org
    $0
    From related orgs
    $535,008
    Other
    $72,994
    Hours/week
    10 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $396,752 related
    Bonus
    $0 + $106,312 related
    Other
    $0 + $31,944 related
    Deferred
    $0 + $32,913 related
    Nontaxable benefits
    $0 + $40,081 related
    Filer's total
    $0 + $608,002 related
  • Michael Crofton

    INTERIM CFO (START 3/24)

    Total calculated
    $541,535
    From this org
    $0
    From related orgs
    $464,763
    Other
    $76,772
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,643 related
    Bonus
    $0 + $84,701 related
    Other
    $0 + $43,419 related
    Deferred
    $0 + $50,761 related
    Nontaxable benefits
    $0 + $26,011 related
    Filer's total
    $0 + $541,535 related
  • Jenny Skinner

    CNE-TRIHEALTH

    Total calculated
    $784,219
    From this org
    $0
    From related orgs
    $708,635
    Other
    $75,584
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $434,273 related
    Bonus
    $0 + $123,845 related
    Other
    $0 + $150,517 related
    Deferred
    $0 + $50,578 related
    Nontaxable benefits
    $0 + $25,006 related
    Filer's total
    $0 + $784,219 related
  • Marla Silliman

    SVP-GOOD SAM REGION

    Total calculated
    $929,282
    From this org
    $0
    From related orgs
    $860,815
    Other
    $68,467
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $630,713 related
    Bonus
    $0 + $183,544 related
    Other
    $0 + $46,558 related
    Deferred
    $0 + $55,871 related
    Nontaxable benefits
    $0 + $12,596 related
    Filer's total
    $0 + $929,282 related
  • Helen Koselka MD

    CMO-TRIHEALTH

    Total calculated
    $985,523
    From this org
    $0
    From related orgs
    $897,845
    Other
    $87,678
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $632,082 related
    Bonus
    $0 + $179,312 related
    Other
    $0 + $86,451 related
    Deferred
    $0 + $47,735 related
    Nontaxable benefits
    $0 + $39,943 related
    Filer's total
    $0 + $985,523 related
  • Kristi Demaris

    CHARGE NURSE

    Total calculated
    $140,108
    From this org
    $102,708
    From related orgs
    $0
    Other
    $37,400
    Hours/week
    40
  • Melody Moss

    ASST NURSE MANAGER

    Total calculated
    $121,299
    From this org
    $104,464
    From related orgs
    $0
    Other
    $16,835
    Hours/week
    40
  • Steve Mombach

    FORMER KEY EMPLOYEE

    Total calculated
    $771,596
    From this org
    $0
    From related orgs
    $704,175
    Other
    $67,421
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $515,447 related
    Bonus
    $0 + $155,346 related
    Other
    $0 + $33,382 related
    Deferred
    $0 + $42,118 related
    Nontaxable benefits
    $0 + $25,303 related
    Filer's total
    $0 + $771,596 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 2023 CALENDAR YEAR, NONE OF THE 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.
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 2023 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.

  • HEALTHCARE SOLUTIONS NETWORK LLC

    PHYSICIAN HOSPITAL ORGANIZATION · OH

  • PREFERRED LAB PARTNERS LLC

    LABORATORY SERVICES · KY

Related corporations and trusts

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

  • TRIHEALTH PHYSICIANS OF INDIANA INC

    C · PHYSICIAN PRACTICES · OH · controlled entity

  • TRIHEALTH PHYSICIAN SOLUTIONS INC

    C · CLAIMS ADMINISTRATION · OH · controlled entity

  • TRIHEALTH CIPHO INC

    C · PHYSICIAN HEALTH ORGANIZATION · OH · controlled entity

  • PREMIERE MEDICAL OWNERS ASSOCIATION

    C · CONDO ASSOCIATION · OH · controlled entity

  • SERVE INSURANCE LTD

    C · ALTERNATIVE RISK FINANCING · CJ · controlled entity

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202531339349302498

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