2013-05-10T11:38:06-05:00 2012-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET CINCINNATI OH 45202 990 2011-07-01 311074519 TRIHEALTH PHYSICIAN INSTITUTE TRIH 5135696575 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 MICHAEL CROFTON 5135696575 2013-05-10 1 5137847100 2011 2016-02-24 21:20:13Z GERALD OLIPHANT 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 37006988 0 X WWW.TRIHEALTH.COM X 1989 OH TRIHEALTH PHYSICIAN INSTITUTE PROVIDES SPECIALITY MEDICAL CARE TO THE GREATER CINCINNATI AREA. 5 0 308 0 0 0 0 0 21281903 36883341 2845 0 18510 123647 21303258 37006988 9850 56147 0 0 23728597 49367233 0 0 0 5460274 10732455 29198721 60155835 -7895463 -23148847 5082762 7868588 15322047 6691518 -10239285 1177070 X SEE SCHEDULE O 1 0 58784290 37006988 SEE SCHEDULE O 58784290 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 81 0 1 308 1 0 0 0 0 0 0 0 0 0 0 X 5 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL CROFTON 5135696577 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 JOHN PROUT 1.00 X 0 1226184 296426 WILLIAM GRONEMAN 1.00 X 0 548818 164974 DONNA NIENABER ESQ 1.00 X X 0 481624 151957 GERALD OLIPHANT 1.00 X X 0 598073 124115 CRAIG RUCKER 1.00 X X 0 543549 129732 MARCIA SWEHLA 60.00 X 0 196401 45255 THOMAS MORAND MD 60.00 X 944981 0 47479 RYAN STEINMETZ MD 60.00 X 941010 0 35971 DANIEL WHITE MD 60.00 X 929631 0 37831 STEVEN KLEEMAN MD 60.00 X 882629 0 67722 RACHEL PAULS MD 60.00 X 738457 0 27587 4436708 3594649 1129049 90 0 1 0 COMPUTER TASK GROUP 800 DELAWARE AVE BUFFALO NY 14209 INFORMATION TECHOLOGY 229610 CAROL KING 2862 PATTERSON FARMS LANE CINCINNATI OH 45244 CONSULTING 109958 ESKRIBE INC 4260 TULLER ROAD DUBLIN OH 43017 TRANSCRIPTION 106072 3 PATIENT REVENUE 621110 36492386 36492386 GEROS MEDICAL REVENUE 621110 316614 316614 MEDICAL DIR. REVENUE 900099 55200 55200 PSYCHIATRY REVENUE 900099 19141 19141 36883341 MEDICAL READS 900099 64443 64443 MISCELLANEOUS 900099 48611 48611 MEDICAL RECORDS 900099 10593 10593 123647 37006988 37006988 0 0 56147 56147 44716890 43840393 876497 1122985 1122985 1798656 1774011 24645 1728702 1709655 19047 2500 2500 1351303 994073 357230 29580 29580 1648200 1637578 10622 121442 109876 11566 598553 598553 126338 99992 26346 1210614 1208281 2333 569462 549010 20452 BAD DEBTS 2669816 2669816 OVERHEAD ALLOCATIONS 1494124 1494124 MEDICAL SUPPLIES 533605 532836 769 DUES AND SUBSCRIPTIONS 195616 195616 181302 161764 19538 60155835 58784290 1371545 0 2298214 1912990 2473340 60213 85000 12600 20796 4105718 1022039 709310 3083679 89435 2205773 5082762 7868588 3777086 6691518 11544961 0 15322047 6691518 X -10239285 1177070 -10239285 1177070 5082762 7868588 X -23148847 34565202 X X 0 0 0 X 10137381 12139322 15911623 21281903 36883341 96353570 10137381 12139322 15911623 21281903 36883341 96353570 0 0 0 96353570 18000 18474 20950 2845 60269 18000 18474 20950 2845 60269 328867 584233 22481 18510 123647 1077738 10484248 12742029 15955054 21303258 37006988 97491577 0.98830 0.98000 0.00060 0.00110 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS MEDICAL RECORD REVENUE MEDICAL READS REVENUE 0 0 0 0 0 0 0 0 1 7084 7084 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: DURING 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. 1037678 173666 864012 2326975 848373 1478602 741065 741065 3083679 0 BETHESDA FOUNDATION INC 10500 MONTGOMERY ROAD CINCINNATI OH 45242 237374129 501(C)(3) 45000 EVENT SPONSORSHIP 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. 0 1 0 0 0 0 0 0 0 JOHN PROUT 0 859109 0 338532 0 28543 0 286218 0 10208 0 1522610 0 0 WILLIAM GRONEMAN 0 360315 0 120587 0 67916 0 141510 0 23464 0 713792 0 16587 DONNA NIENABER ESQ 0 301071 0 139124 0 41429 0 135545 0 16412 0 633581 0 0 GERALD OLIPHANT 0 433802 0 145983 0 18288 0 102679 0 21436 0 722188 0 0 CRAIG RUCKER 0 395101 0 130118 0 18330 0 120190 0 9542 0 673281 0 0 MARCIA SWEHLA 0 153308 0 41693 0 1400 0 27523 0 17732 0 241656 0 0 THOMAS MORAND MD 649181 0 289310 0 6490 0 27568 0 19911 0 992460 0 0 0 RYAN STEINMETZ MD 650550 0 289310 0 1150 0 14524 0 21447 0 976981 0 0 0 DANIEL WHITE MD 656049 0 270110 0 3472 0 19747 0 18084 0 967462 0 0 0 STEVEN KLEEMAN MD 621814 0 240134 0 20681 0 46798 0 20924 0 950351 0 0 0 RACHEL PAULS MD 520003 0 200899 0 17555 0 26280 0 1307 0 766044 0 0 0 PART I, LINE 4B ELIGIBLE 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 SUPPLEMENTAL INFORMATION PART III PART 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. DESCRIPTION OF ORGANIZATION MISSION: FORM 990, PART III, LINE 1 TRIHEALTH 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 SERVICES FORM 990, PART III, LINE 2 DURING 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 4A AS 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 2 THE 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 6 TRIHEALTH PHYSICIAN INSTITUTE HAS A SINGLE CORPORATE MEMBER, TRIHEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A TRIHEALTH 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 7B TRIHEALTH, INC. MUST APPROVE CERTAIN FINANCIAL TRANSACTIONS AND AMENDMENTS TO TRIHEALTH PHYSICIAN INSTITUTE'S GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11 MEMBERS 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 12C ALL 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 15 IN 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 19 TRIHEALTH 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 ORGANIZATION FORM 990, PART VII, SECTION A DIRECTORS 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. TRIHEALTH H LLC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 272413974 PHYSICIAN SPECIALTY PRACTICE OH 8210616 645481 N/A TRIHEALTH W LLC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 272414124 PHYSICIAN SPECIALTY PRACTICE OH 6140562 478474 N/A TRIHEALTH ONCOLOGY INSTITUTE LLC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 272041843 PHYSICIAN SPECIALTY PRACTICE OH 5698520 934541 N/A TRIHEALTH HEART INSTITUTE LLC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 451498126 PHYSICIAN SPECIALTY PRACTICE OH 13265728 5182854 N/A TRIHEALTH OS LLC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 455135815 PHYSICIAN SPECIALTY PRACTICE OH 0 0 N/A TRIHEALTH DIGESTIVE DISEASES INSTITUTE LLC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 455429760 PHYSICIAN SPECIALTY PRACTICE OH 0 0 N/A TRIHEALTH INC 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 311438846 SUPPORT AFFILIATED HOSPITALS OH SECTION 501(C)(3) SCHEDULE A, LINE 11B N/A 0 TRIHEALTH PHYSICIAN ENTERPRISE CORP 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 311383365 PHYSICIAN PRACTICES OH SECTION 501(C)(3) SCHEDULE A, LINE 9 TRIHEALTH INC 1 GOOD SAMARITAN HOSPITAL FREE CLINIC 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 273893817 FREE HEALTH CLINIC OH SECTION 501(C)(3) SCHEDULE A, LINE 7 TRIHEALTH INC 1 TRIHEALTH PHYSICIAN SOLUTIONS INC 619 OAK STREET-ACCOUNTING 3 WEST CINCINNATI OH 45206 311444353 CLAIMS ADMINISTRATION OH N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TRIHEALTH INC C 23148850 FMV