The Greene County Board of Commissioners on July 31, 2025 approved a resolution providing applicable elected representative approval under federal tax rules for a proposed tax-exempt bond issuance by Hamilton County, Ohio, to benefit TriHealth and affiliated entities. The board also authorized entering into a participating public hospital agencies agreement under Ohio law.

Aubrey Searcy, bond counsel with Dinsmore & Shohl, told commissioners that Hamilton County will act as the issuer for a TriHealth financing and that federal Internal Revenue Code section 147 requires approval from elected representatives in jurisdictions where bond proceeds will be spent. TriHealth operates facilities that receive project funds in Greene County, including a TriHealth location at Miami Valley Hospital in Jamestown, the counsel said.

Searcy explained the participating public hospital agencies agreement as a mechanism created under Ohio Revised Code section 140 to streamline hospital financings across multiple counties and subdivisions when a single issuer is used. Commissioners voted to approve the required resolution and the agreement that authorizes Greene County to participate in the financing process.

Commissioner Mays moved to approve the applicable-elected-representative resolution and the public hospital agency agreement; the motion passed unanimously. County staff described the action as an approval required by federal tax regulations and an authorization to enter an intergovernmental-style agreement; it does not itself obligate the county to repay bonds or provide fiscal backing beyond the statutory structure described by bond counsel.