2016-11-15T00:00:00-06:00 2014-12-31 351178661 Blue & Co LLC 8800 Lyra Drive Suite 450 Columbus OH 43240 990 2014-01-01 341552205 Tri-County Care Systems Inc TRI- 3303857200 425 W 5TH Street East Liverpool OH 43920 Tarun Ghosh CFO 3303857200 2016-11-11 1 Nancy Kirchner P00386751 6148852583 2016-11-10 2014 2017-02-10 21:41:12Z River Valley Health Partners East Liverpool Professionals Tarun Ghosh 425 W 5TH Street East Liverpool OH 43920 4713726 0 X N/A X 1986 OH TRI COUNTY CARE SYSTEMS INC. DBA RIVER VALLEY HEALTH PARTNERS IS A PARENT HOLDING COMPANY FOR THE NON-PROFIT COMPANIES OF EAST LIVERPOOL CITY HOSPITAL, OHIO VALLEY HOME HEALTH SERVICES, AND EAST LIVERPOOL PROFESSIONALS. OHIO VALLEY HOME HEALTH SERVICES ALSO MAINTAINS CONTROL OVER A FOR-PROFIT COMPANY CALLED AMERICAN COMMUNITY SERVICES AND A NON-PROFIT COMPANY CALLED OHIO VALLEY HOME CARE. 5 4 0 4 0 0 0 0 2462705 4669946 0 0 480152 43780 2942857 4713726 0 0 0 0 3264958 4418077 0 0 0 1953847 3553665 5218805 7971742 -2275948 -3258016 1071409 2442167 10508 1114393 1060901 1327774 TRI-COUNTY CARE SYSTEMS, INC. IS A PARENT HOLDING COMPANY FOR THE NON-PROFIT COMPANIES OF EAST LIVERPOOL CITY HOSPITAL, OHIO VALLEY HOME HEALTH SERVICES AND EAST LIVERPOOL PROFESSIONALS. 0 0 5685835 4713726 THE NUMBERS PROVIDED ARE FOR river valley physicians WHICH IS A DISREGARDED ENTITY OF TRI-COUNTY CARE SYSTEMS INC. they PROVIDE NEEDED PHYSICIAN SERVICES TO THE COMMUNITY WITHOUT DISCRIMination. 5685835 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X ANTHONY M PUORRO 3303862633 425 W FIFTH STREET EAST LIVERPOOL OH 43920 KENNETH COCHRAN CEO 40.00 X X 0 332717 0 JD GAURON TRUSTEE 1.00 X 0 0 0 MARK MANGANO PRESIDENT 1.00 X X 0 0 0 ROB O'HARA TRUSTEE 1.00 X 0 0 0 TERRENCE E ZIPFEL PHYSICIAN 40.00 X 0 416827 4648 PAMELA SMITH ADMINISTRATOR 1.00 40.00 X 0 0 0 BETH WEIR DIRECTOR 40.00 X 0 81467 10470 DR AGGARWAL PHYSICIAN 40.00 X 0 374500 0 DR TORRES PHYSICIAN 40.00 X 0 324815 4008 DR R PARULKAR PHYSICIAN 40.00 X 0 293125 36462 DR WRIGHT PHYSICIAN 40.00 X 0 272256 39988 KYLE JOHNSON FORMER CFO 1.00 40.00 X 0 205058 20272 0 2300765 115848 0 1 1 0 Weatherby Locums 6451 North Federal Highway Fort Lauderdale FL 33308 Locums for Ortho 604892 Comprehensive Surgical Group 3292 Stones Throw Ave Poland OH 44514 Locums for Surgery 515225 Quasitive Ventures 19800 Macarther Blvd Irvine CA 92612 Locums for Gastroentorology 409689 Renaissance 4295 Cromwell Road Chattanooga TN 37421 Billing Company 250154 Eclinicalwebb LLC 425 W 5th Street East Liverpool OH 43920 EMR System 180071 5 NET PATIENT REVENUE 623990 4667820 4667820 BAD DEBT RECOVERY 900099 2126 2126 4669946 EHR 900099 43780 43780 43780 4713726 4713726 0 0 X 3788291 3409462 378829 28254 25429 2825 601532 601532 2076214 851248 1224966 228770 228770 339934 244752 95182 78000 78000 232751 221113 11638 MEDICAL SUPPLIES 332299 332299 OTHER MISCELLANEOUS 263507 263507 PROPERTY TAXES 2190 2190 7971742 5685835 2285907 0 316 316 126572 5075 188456 972999 75000 75000 91591 126654 1328837 434619 582976 894218 58725 6498 309180 1071409 2442167 10508 1108182 0 6211 10508 1114393 X 1060901 1327774 1060901 1327774 1071409 2442167 X -3258016 3524889 X X 0 0 0 X X 2 City Hospital Association 340714583 3 1 0 0 Ohio Valley Home Health Services 341014198 9 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 X 1 1 Part VI Line 2a Tri-County Care Systems/RVP is the medical group associated with East Liverpool City Hospital. They currently employ the physicians and mid-levels that provide coverage to the primary care and specialty clinics supporting the hospital's patient population. Part VI Line 2b ALL THE PHYSICIANS AND MID-LEVELS ARE MEMBERS OF THE HOSPITAL'S MEDICAL STAFF AND UTILIZES THE HOSPITAL'S LAB AND IMAGING AS WELL AS OPERATING ROOMS FOR THEIR PATIENTS. 1328837 434619 894218 894218 Other Receivables 309180 309180 Line of Credit 24 Accrued Liabilities 6187 6211 0 0 0 0 0 0 0 0 0 KENNETH COCHRAN CEO 0 332717 0 0 0 0 0 0 0 0 0 332717 0 0 TERRENCE E ZIPFEL PHYSICIAN 0 416827 0 0 0 0 0 0 0 4648 0 421475 0 0 DR AGGARWAL PHYSICIAN 0 374500 0 0 0 0 0 0 0 0 0 374500 0 0 DR TORRES PHYSICIAN 0 324333 0 0 0 482 0 0 0 4008 0 328823 0 0 DR R PARULKAR PHYSICIAN 0 293125 0 0 0 0 0 36462 0 0 0 329587 0 0 DR WRIGHT PHYSICIAN 0 272256 0 0 0 0 0 36461 0 3527 0 312244 0 0 KYLE JOHNSON FORMER CFO 0 205058 0 0 0 0 0 0 0 0 0 205058 0 0 Dr Terrence Zipfel Transitional Loan X 75000 75000 0 1 1 75000 Form 990, Part VI, Section A, line 3 AMERICAN COMMUNITY SERVICES, INC. PROVIDES ADMINISTRATIVE MANAGEMENT AND CLERICAL SERVICES. Form 990, Part VI, Section B, line 11 A copy is provided to the finance committee of the board for review prior to filing. Form 990, Part VI, Section B, line 12c HOSPITAL TRUSTEES AND ADMINISTRATORS, MEDICAL STAFF MEMBERS AND AUXILIARY MEMBERS SERVING AS TRUSTEES WILL ANNUALLY COMPLETE AND SUBMIT THE BOARD OF TRUSTEES DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST. THE AFOREMENTIONED PARTIES WILL ACT IN ACCORD WITH THE BOARD'S BYLAW GOVERNING CONFLICT OF INTEREST. HOSPITAL ADMINISTRATORS AND MANAGEMENT EMPLOYEES WHO ARE MADE AWARE, EITHER DIRECTLY OR INDIRECTLY, OR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, WILL IMMEDIATELY REPORT IT TO THEIR SUPERIOR. THE AFOREMENTIONED PARTIES WILL THEREAFTER ACT IN ACCORD WITH THE GUIDANCE PROVIDED BY THE SUPERIOR OR HOSPITAL ADMINISTRATION. Form 990, Part VI, Section C, line 19 ALL ITEMS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part IX, line 11g PURCHASED SERVICES: Program service expenses 851,248. Management and general expenses 1,224,966. Fundraising expenses 0. Total expenses 2,076,214. Form 990, Part XI, line 9: Advance From Afilliate (East Liverpool City Hospital) 3,524,889. Form 990, Part XII, line 2b Tri-County Care Systems as an entity was not audited. However, their only activity, a wholly owned LLC, East Liverpool Professionals, was audited. EAST LIVERPOOL PROFESSIONALS LLC DBA RIVER VALLEY PHYSICIANS 425 W Fifth Street East Liverpool OH 43920 203986815 Employ Physicians OH River Valley Health Partners Ohio Valley Home Health Services 15679 St Rte 170 East Liverpool OH 43920 341014198 HOME HEALTH AGENCY OH 501(c)(3) Line 9 River Valley Health Partners 0 East Liverpool City Hospital 425 W Fifth Street East Liverpool OH 43920 340714583 ACUTE CARE HOSPITAL OH 501(c)(3) Line 3 River Valley Health Partners 0 American Community Services 422 W 6th Street East Liverpool OH 43920 341522019 ADMINISTRATIVE & BILLING SERVICES OH Ohio Valley Home Health Services C 0 Monroe Health Corporation 422 W 6th Street East Liverpool OH 43920 341562035 PHYSICIAN SERVICES OH ACS C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1