TRIHEALTH PHYSICIAN INSTITUTE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TRIHEALTH PHYSICIAN INSTITUTE (EIN 31-1074519)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201331309349301908
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-10T11:38:06-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 EAST FIFTH STREETAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311074519EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRIHEALTH PHYSICIAN INSTITUTEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTRIHNameControl
Phone5135696575Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL CROFTONName
TitleVP FINANCETitle
Phone5135696575Phone
Date Signed2013-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGERALD OLIPHANTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37006988GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TRIHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTRIHEALTH PHYSICIAN INSTITUTE PROVIDES SPECIALITY MEDICAL CARE TO THE GREATER CINCINNATI AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees308TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21281903ProgramServiceRevenuePriorYear
Program Service Revenue CY36883341ProgramServiceRevenueCY
Investment Income Prior Year2845InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year18510OtherRevenuePriorYear
Other Revenue Current Year123647OtherRevenueCurrentYear
Total Revenue Prior Year21303258TotalRevenuePriorYear
Total Revenue Current Year37006988TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9850GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY56147GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year23728597SalariesEtcPriorYear
Salaries Etc Current Year49367233SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5460274OtherExpensePriorYear
Other Expenses Current Year10732455OtherExpensesCurrentYear
Total Expenses Prior Year29198721TotalExpensesPriorYear
Total Expenses Current Year60155835TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-7895463RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-23148847RevenuesLessExpensesCY
Total Assets BOY5082762TotalAssetsBOY
Total Assets EOY7868588TotalAssetsEOY
Total Liabilities BOY15322047TotalLiabilitiesBOY
Total Liabilities EOY6691518TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-10239285NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1177070NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense58784290Expense
Revenue37006988Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense58784290TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109681NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees308NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL CROFTONNamePerson
Telephone Number5135696577TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN PROUT
TRUSTEE (SCH O)1.00X01226184296426
WILLIAM GRONEMAN
TRUSTEE (SCH O)1.00X0548818164974
DONNA NIENABER ESQ
SECRETARY (SCH O)1.00X0481624151957X
GERALD OLIPHANT
PRESIDENT/CEO (SCH O)1.00X0598073124115X
CRAIG RUCKER
TREASURER (SCH O)1.00X0543549129732X
MARCIA SWEHLA
CHIEF OPERATING OFFICER60.00019640145255X
THOMAS MORAND MD
PHYSICIAN60.00944981047479X
RYAN STEINMETZ MD
PHYSICIAN60.00941010035971X
DANIEL WHITE MD
PHYSICIAN60.00929631037831X
STEVEN KLEEMAN MD
PHYSICIAN60.00882629067722X
RACHEL PAULS MD
PHYSICIAN60.00738457027587X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4436708TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3594649TotalReportableCompFrmRltdOrgs
Total Other Compensation1129049TotalOtherCompensation
Number Individuals GT100 K90NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COMPUTER TASK GROUP
800 DELAWARE AVEBUFFALONY14209INFORMATION TECHOLOGY229610
CAROL KING
2862 PATTERSON FARMS LANECINCINNATIOH45244CONSULTING109958
ESKRIBE INC
4260 TULLER ROADDUBLINOH43017TRANSCRIPTION106072
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE6211103649238636492386
GEROS MEDICAL REVENUE621110316614316614
MEDICAL DIR. REVENUE9000995520055200
PSYCHIATRY REVENUE9000991914119141
FieldValueIRS element (for citing)
Total Program Service Revenue36883341TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL READS9000996444364443
MISCELLANEOUS9000994861148611
MEDICAL RECORDS9000991059310593
FieldValueIRS element (for citing)
Total Other Revenue123647TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37006988TotalRevenueColumn
Related Or Exempt Function Income37006988RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total56147Total
Program Services56147ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total44716890Total
Program Services43840393ProgramServices
Management And General876497ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1122985Total
Program Services1122985ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1798656Total
Program Services1774011ProgramServices
Management And General24645ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1728702Total
Program Services1709655ProgramServices
Management And General19047ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2500Total
Management And General2500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1351303Total
Program Services994073ProgramServices
Management And General357230ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total29580Total
Program Services29580ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1648200Total
Program Services1637578ProgramServices
Management And General10622ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total121442Total
Program Services109876ProgramServices
Management And General11566ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total598553Total
Program Services598553ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total126338Total
Program Services99992ProgramServices
Management And General26346ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1210614Total
Program Services1208281ProgramServices
Management And General2333ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total569462Total
Program Services549010ProgramServices
Management And General20452ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS26698162669816
OVERHEAD ALLOCATIONS14941241494124
MEDICAL SUPPLIES533605532836769
DUES AND SUBSCRIPTIONS195616195616

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total181302Total
Program Services161764ProgramServices
Management And General19538ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total60155835Total
Program Services58784290ProgramServices
Management And General1371545ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2298214BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1912990BOY
EOY2473340EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY60213BOY
EOY85000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12600BOY
EOY20796EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4105718LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1022039LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY709310BOY
EOY3083679EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY89435BOY
EOY2205773EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5082762BOY
EOY7868588EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3777086BOY
EOY6691518EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11544961BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15322047BOY
EOY6691518EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-10239285BOY
EOY1177070EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-10239285BOY
EOY1177070EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5082762BOY
EOY7868588EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-23148847ReconcilationRevenueExpenses
Reconcilation Other Changes34565202ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10137381CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12139322CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15911623CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21281903CurrentTaxYearMinus1Year
Current Tax Year36883341CurrentTaxYear
Total96353570Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10137381CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12139322CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15911623CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21281903CurrentTaxYearMinus1Year
Current Tax Year36883341CurrentTaxYear
Total96353570Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50996353570PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2845CurrentTaxYearMinus1Year
Total60269Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2845CurrentTaxYearMinus1Year
Total60269Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years328867CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years584233CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18510CurrentTaxYearMinus1Year
Current Tax Year123647CurrentTaxYear
Total1077738Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10484248CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12742029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15955054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21303258CurrentTaxYearMinus1Year
Current Tax Year37006988CurrentTaxYear
Total97491577Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98830PublicSupportPercentage509
Prior Year Support Percentage0.98000PriorYearSupportPercentage
Investment Income Percentage0.00060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS MEDICAL RECORD REVENUE MEDICAL READS REVENUEGeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$7,084OtherActivitiesAmount
Total Lobbying Expenditures IIB7084TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDURING THE TAX YEAR, TRIHEALTH PHYSICIAN INSTITUTE PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1037678OtherCostOrOtherBasis
Depreciation173666Depreciation
Book Value864012BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2326975OtherCostOrOtherBasis
Depreciation848373Depreciation
Book Value1478602BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis741065OtherCostOrOtherBasis
Book Value741065BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3083679TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1BETHESDA FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110500 MONTGOMERY ROADAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45242ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient237374129EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant45000AmountOfCashGrant
Purpose Of GrantEVENT SPONSORSHIPPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: TRIHEALTH PHYSICIAN INSTITUTE ("TPI") GENERALLY PROVIDES FUNDS ONLY TO RELATED TAX-EXEMPT ORGANIZATIONS FOR SPECIFIC ONE-TIME ACTIVITIES (E.G. SPONSORSHIPS OF FUNDRAISING EVENTS) AND NOT ONGOING ACTIVITIES. THESE RELATED TAX-EXEMPT ORGANIZATIONS PROVIDE RECEIPTS OF SUCH SPONSORSHIPS WHICH SERVE AS TPI'S SUBSTANTIATION. THUS, THE NEED TO MONITOR THE USE OF THE FUNDS IS NOT NEEDED BY TPI.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN PROUT
0859109033853202854302862180102080152261000
WILLIAM GRONEMAN
0360315012058706791601415100234640713792016587
DONNA NIENABER ESQ
030107101391240414290135545016412063358100
GERALD OLIPHANT
043380201459830182880102679021436072218800
CRAIG RUCKER
03951010130118018330012019009542067328100
MARCIA SWEHLA
015330804169301400027523017732024165600
THOMAS MORAND MD
6491810289310064900275680199110992460000
RYAN STEINMETZ MD
6505500289310011500145240214470976981000
DANIEL WHITE MD
6560490270110034720197470180840967462000
STEVEN KLEEMAN MD
62181402401340206810467980209240950351000
RACHEL PAULS MD
5200030200899017555026280013070766044000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENT 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. TRIHEALTH, INC. THE RELATED ORGANIZATION THAT PAID THE SALARIES OF THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II, CONTRIBUTED, ON BEHALF OF THE FOLLOWING INDIVIDUALS, TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE AMOUNTS AS NOTED: JOHN PROUT - $236,082 WILLIAM GRONEMAN - $80,979 DONNA NIENABER, ESQ. - $68,563 GERALD OLIPHANT - $82,817 CRAIG RUCKER - $78,831 IN ADDITION, THE FOLLOWING INDIVIDUAL LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC.: WILLIAM GRONEMAN - $16,587
PART IIIPART I, LINE 3: TRIHEALTH, INC., A RELATED ORGANIZATION OF TRIHEALTH PHYSICIAN INSTITUTE, 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 4A - SEVERANCE PAYMENTS: THE REPORTABLE INDIVIDUALS OF TRIHEALTH PHYSICIAN INSTITUTE 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). THESE INDIVIDUALS DO NOT HAVE EMPLOYMENT AGREEMENTS SO NO SPECIAL ARRANGEMENTS EXIST BEYOND TRIHEALTH, INC.'S STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2011 CALENDAR YEAR.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF ORGANIZATION MISSION:FORM 990, PART III, LINE 1TRIHEALTH PHYSICIAN INSTITUTE ("TPI") REPRESENTS THE POSITIONING OF TRIHEALTH, INC.'S MEDICAL RESOURCES TO MEET THE NEEDS OF THE INCREASING ALIGNMENT OF PHYSICIANS AND HOSPITAL PROVIDERS IN ORDER TO DEVELOP MORE EFFICIENT SYSTEMS OF CARE AND TO ADDRESS THE CHALLENGES OF HEALTHCARE REFORM. SPECIFICALLY, TPI'S MISSION IS TO BETTER SERVE THE GIVEN SPECIALTY NEEDS OF THE GREATER CINCINNATI REGION BY IMPROVING ACCESS TO QUALITY WITHIN THE GIVEN SPECIALTY AND IMPROVING COST EFFICIENCIES AND ENTERPRISE VALUE IN DELIVERING SUCH CARE.
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2DURING TAX YEAR 2011, TRIHEALTH PHYSICIAN INSTITUTE INITIATED THE TRIHEALTH HEART INSTITUTE. THIS INSTITUTE IS DESIGNED AROUND TRADITIONAL CARDIOVASCULAR DISEASE PROCESSES: VESSEL DISEASE, VALVULAR DISEASE, HEART FAILURE, ATHEROSCLEROSIS, VASCULAR DISEASE AND CO-MORBID CONDITIONS LEADING TO OR IMPACTING ON CARDIAC MORBIDITY AND MORTALITY. IT BRINGS TOGETHER THE EXPERTISE, RESEARCH AND INNOVATIVE CLINICAL TECHNIQUES NECESSARY TO GET THE PATIENT BACK TO HIS/HER NORMAL LIFE AS SOON AS POSSIBLE. THIS INSTITUTE IS A LEADER IN THE DIAGNOSIS AND TREATMENT OF ARRHYTHMIA AND THE ONLY PROVIDER IN THE CITY OFFERING A FULL RANGE OF OPTIONS FOR THE TREATMENT OF ATRIAL FIBRILLATION, INCLUDING CATHETER ABLATION AND MINI-MAZE. IN ADDITION, THE CENTERS AND DEPARTMENTS WITHIN THE INSTITUTE ARE DESIGNED TO EXPAND ACCESS TO AT-RISK SUBGROUPS THAT MIGHT OTHERWISE FACE MULTIPLE ORGANIZATIONAL BARRIERS TO CARE INCLUDING WOMEN WITH UNDIAGNOSED CORONARY DISEASE AND RACIAL SUBGROUPS, MANY WITH POORLY MANAGED CO-MORBID DISEASE.
PROGRAM SERVICE ACCOMPLISHMENTS:FORM 990, PART III, LINE 4AAS THE LANDSCAPE OF HEALTH CARE CONTINUES TO EVOLVE BOTH IN THE NATION AND THE GREATER CINCINNATI REGION AND AS THE PATIENT CARE NEEDS OF THE COMMUNITY SERVED BY TRIHEALTH, INC. DEMANDS MORE COORDINATED, PATIENT CENTRIC MODELS OF CARE, IT IS IMPORTANT FOR TRIHEALTH, INC. TO STRUCTURE ITS PROGRAMS AND ITS PROVIDERS TO MEET THESE NEEDS. ONE OF THE KEY COMPONENTS OF THIS IS TO BETTER ALIGN PHYSICIAN AND HOSPITAL PROVIDERS IN ORDER TO PROMOTE GREATER FOCUS ON COLLABORATION, QUALITY IMPROVEMENT AND PATIENT CENTRIC CARE MODELS THAT DRIVE EFFICIENCY AND PATIENT SATISFACTION. TRIHEALTH PHYSICIAN INSTITUTE ("TPI") REPRESENTS THE POSITIONING OF TRIHEALTH, INC.'S MEDICAL RESOURCES TO MEET THE NEEDS OF THIS INCREASING ALIGNMENT OF PHYSICIANS AND HOSPITALS PROGRAMS TO DEVELOP BETTER SYSTEMS OF CARE AND TO ADDRESS THE CHALLENGES OF HEALTH CARE REFORM. THE FOCUS OF TPI IS TO: * OPTIMIZE THE DELIVERY OF HEALTH CARE SERVICES TO PATIENTS IN THE GREATER CINCINNATI REGION BY DEVELOPING AND USING INNOVATIVE CARE MODELS AND SUPPORTING THE GROWTH OF PHYSICIAN LEADERS AND OVERALL ADVANCEMENT OF MEDICAL PRACTICE. * DEVELOP COLLABORATIVE RELATIONSHIPS BETWEEN PHYSICIANS AND TRIHEALTH, INC.'S AFFILIATED HOSPITALS IN ORDER TO FOSTER A COMPREHENSIVE, MULTI-DISCIPLINARY APPROACH TO PATIENT CARE. * ACHIEVE IMPROVED HEALTH CARE QUALITY AND PATIENT OUTCOMES BY DEVELOPING AND IMPLEMENTING EVIDENCE-BASED CLINICAL PROTOCOLS, CLINICAL PATHWAYS, AND DISEASE AND UTILIZATION MANAGEMENT MODELS. * DEVELOP AND IMPLEMENT HEALTH EDUCATION INITIATIVES THROUGH COMMUNITY OUTREACH ACTIVITIES, SEMINARS AND HEALTH FAIRS, AND GRADUATE MEDICAL EDUCATION PROGRAMS WITHIN TRIHEALTH, INC.'S AFFILIATED HOSPITALS. * ENHANCE RESEARCH OPPORTUNITIES THROUGH CLINICAL TRIALS AND AFFILIATIONS WITH NEW AND EXISTING RESEARCH PROGRAMS IN THE GREATER CINCINNATI REGION. TPI OFFERINGS TPI FUNCTIONALITY IS DEFINED BY SPECIALTY AND DISEASE PROCESS CALLED AN "INSTITUTE." EACH INSTITUTE IS DESIGNED TO PROVIDE SEAMLESS CARE CONTINUITY INCLUDING PRIMARY CARE MANAGEMENT AND SUBSPECIALTY REFERRALS TO PATIENT SPECIFIC NEEDS. KEY FUNCTIONAL ATTRIBUTES INCLUDE CONNECTIVITY BETWEEN PRIMARY CARE, SPECIALISTS AND CONSULTANTS TO ASSURE READY ACCESS TO CLINICAL INFORMATION FOR TIMELY DECISION-MAKING. THE ONCOLOGY INSTITUTE - IN GENERAL, THE ONCOLOGY INSTITUTE FOCUSES ON PATIENTS REFERRED FROM BOTH PRIMARY CARE AND SUB SPECIALISTS REQUIRING FURTHER DIAGNOSTIC WORK-UP FOR SUSPECT MALIGNANCY. IN ADDITION, TO PROSPECTIVE TREATMENT OF DISEASE, THIS INSTITUTE SERVES AS A CATALYST FOR HEALTH - RISK PROMOTIONS ADDRESSING CANCER RISK FACTORS, THE NEED FOR SCREENING, FAMILY HISTORY, SUN EXPOSURE AND SMOKING AMONG OTHERS. THESE PRIMARY AND SECONDARY INITIATIVES ALLOWS THE ONCOLOGY INSTITUTE TO PARTICIPATE IN DEFINING THE HEALTH OF THE COMMUNITY RATHER THAN REACTING TO THE ADVERSE OUTCOMES OF RISKY HEALTH BEHAVIORS. IT ALSO IS AN ACTIVE PARTICIPANT IN THE CATHOLIC HEALTH ONCOLOGY, A NATIONAL COLLABORATIVE WITH THE NATIONAL CANCER INSTITUTE AND THE AMERICAN SOCIETY OF CLINICAL ONCOLOGISTS. THE INSTITUTE FOR WOMEN'S HEALTH - THIS INSTITUTE OFFERS A BROAD SPECTRUM OF SERVICES TO MEET THE NEEDS OF ALL AGES OF WOMEN SEEKING CARE INCLUDING GYNECOLOGIC AND OBSTETRIC SERVICES. AS A MATTER OF FACT, COUPLED WITH FETAL SURGERY COLLABORATION WITH CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, THE INSTITUTE FOR WOMEN'S HEALTH OFFERS THE PATIENT THE WIDEST ARRAY OF SERVICE OFFERINGS AVAILABLE IN CINCINNATI. IN ADDITION, SEAMLESS REFERRAL RELATIONSHIPS WILL BE ESTABLISHED WITH SUBSPECIALTY PROGRAMS INCLUDING ANDROLOGY, BREAST CARE, ONCOLOGY, RECONSTRUCTIVE PLASTIC SURGERY AND ENDOCRINOLOGY. THE HEART INSTITUTE - THE HEART INSTITUTE IS DESIGNED AROUND TRADITIONAL CARDIOVASCULAR DISEASE PROCESSES: VESSEL DISEASE, VALVULAR DISEASE, HEART FAILURE, ATHEROSCLEROSIS, VASCULAR DISEASE AND CO-MORBID CONDITIONS LEADING TO OR IMPACTING ON CARDIAC MORBIDITY AND MORTALITY. IT BRINGS TOGETHER THE EXPERTISE, RESEARCH AND INNOVATIVE CLINICAL TECHNIQUES NECESSARY TO GET THE PATIENT BACK TO HIS/HER NORMAL LIFE AS SOON AS POSSIBLE. THIS INSTITUTE IS A LEADER IN THE DIAGNOSIS AND TREATMENT OF ARRHYTHMIA AND THE ONLY PROVIDER IN THE CITY OFFERING A FULL RANGE OF OPTIONS FOR THE TREATMENT OF ATRIAL FIBRILLATION, INCLUDING CATHETER ABLATION AND MINI-MAZE. IN ADDITION, THE CENTERS AND DEPARTMENTS WITHIN THE INSTITUTE ARE DESIGNED TO EXPAND ACCESS TO AT-RISK SUBGROUPS THAT MIGHT OTHERWISE FACE MULTIPLE ORGANIZATIONAL BARRIERS TO CARE INCLUDING WOMEN WITH UNDIAGNOSED CORONARY DISEASE AND RACIAL SUBGROUPS, MANY WITH POORLY MANAGED CO-MORBID DISEASE. FINALLY, TPI WILL COORDINATE THE HOSPITALIST PROGRAM OF TRIHEALTH, INC. THAT IS USED BY TRIHEALTH, INC.'S AFFILIATED HOSPITALS. A HOSPITALIST IS A PHYSICIAN WHO MAY BE ASSIGNED TO A PATIENT BY HIS/HER PRIMARY CARE PHYSICIAN ("PCP") OR BY THE EMERGENCY DEPARTMENT PHYSICIAN IF THE PATIENT DOES NOT HAVE A PCP. THE HOSPITALIST WILL CARE FOR THE PATIENT FROM ADMISSION TO DISCHARGE AND WILL KEEP IN TOUCH WITH HIS/HER PCP IN THOSE SITUATIONS WHERE APPLICABLE.
FORM 990, PART VI, SECTION A, LINE 2THE OFFICERS, DIRECTORS AND TRUSTEES OF TRIHEALTH PHYSICIAN INSTITUTE (TPI) LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED ENTITY BOARDS OF TRIHEALTH, INC. AND ITS SUBSIDIARIES AND AFFILIATES AS WELL AS BEING EMPLOYED BY TRIHEALTH, INC., THE SINGLE CORPORATE MEMBER OF TPI.
FORM 990, PART VI, SECTION A, LINE 6TRIHEALTH PHYSICIAN INSTITUTE HAS A SINGLE CORPORATE MEMBER, TRIHEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 7ATRIHEALTH PHYSICIAN INSTITUTE ("TPI") HAS A SINGLE CORPORATE MEMBER, TRIHEALTH, INC., WHICH HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF TPI.
FORM 990, PART VI, SECTION A, LINE 7BTRIHEALTH, INC. MUST APPROVE CERTAIN FINANCIAL TRANSACTIONS AND AMENDMENTS TO TRIHEALTH PHYSICIAN INSTITUTE'S GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF FORM 990 PRIOR TO FILING ALONG WITH SENIOR MANAGEMENT COMMENTARY PRIOR TO FILING. SUBSEQUENT TO BOARD REVIEW, THE RETURNS ARE FILED MAKING NON-SUBSTANTIVE CHANGES AS NECESSARY TO EFFECT E-FILING. ANY SUCH NON-SUBSTANTIVE CHANGES ARE NOT SUBMITTED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CALL 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 THE 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 CREATE 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 B, LINE 15IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE ANNUAL PROCESS PERFORMED BY TRIHEALTH, INC. (A RELATED ORGANIZATION WHO PAID THE INDIVIDUALS), INCLUDED: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; COMPENSATION SURVEY OR STUDY; AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ADDITIONALLY, ALL DISCUSSIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19TRIHEALTH PHYSICIAN INSTITUTE'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:RECLASS INTERCOMPANY PAYABLE TO CAPITAL CONTRIBUTION 34,565,202. TOTAL TO FORM 990, PART XI, LINE 5: 34,565,202.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONFORM 990, PART VII, SECTION ADIRECTORS AND OFFICERS (AS NOTED WITH A "SCH O" REFERENCE) FOR TRIHEALTH PHYSICIAN INSTITUTE PROVIDE SERVICES TO TRIHEALTH, INC. (A RELATED ORGANIZATION WHO PAID THE INDIVIDUALS) AND ITS SUBSIDIARIES/AFFILIATES ("TRIHEALTH"). HOURS WORKED ARE NOT TRACKED ON AN ENTITY BY ENTITY BASIS. THE COMPENSATION REPORTED ON THE FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS IN FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOURS-PER-WEEK EMPLOYEES OF TRIHEALTH.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsDirect Controlling Entity NADirectControllingEntityNA
TRIHEALTH H LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206272413974PHYSICIAN SPECIALTY PRACTICEOH8210616645481N/A
TRIHEALTH W LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206272414124PHYSICIAN SPECIALTY PRACTICEOH6140562478474N/A
TRIHEALTH ONCOLOGY INSTITUTE LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206272041843PHYSICIAN SPECIALTY PRACTICEOH5698520934541N/A
TRIHEALTH HEART INSTITUTE LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206451498126PHYSICIAN SPECIALTY PRACTICEOH132657285182854N/A
TRIHEALTH OS LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206455135815PHYSICIAN SPECIALTY PRACTICEOH00N/A
TRIHEALTH DIGESTIVE DISEASES INSTITUTE LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206455429760PHYSICIAN SPECIALTY PRACTICEOH00N/A

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
TRIHEALTH INC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311438846SUPPORT AFFILIATED HOSPITALSOHSECTION 501(C)(3)SCHEDULE A, LINE 11BN/A0
TRIHEALTH PHYSICIAN ENTERPRISE CORP
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311383365PHYSICIAN PRACTICESOHSECTION 501(C)(3)SCHEDULE A, LINE 91TRIHEALTH INC
GOOD SAMARITAN HOSPITAL FREE CLINIC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206273893817FREE HEALTH CLINICOHSECTION 501(C)(3)SCHEDULE A, LINE 71TRIHEALTH INC

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TRIHEALTH PHYSICIAN SOLUTIONS INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1619 OAK STREET-ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode
FieldValueIRS element (for citing)
EIN311444353EIN
Primary ActivityCLAIMS ADMINISTRATIONPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1TRIHEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved23148850AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination

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