TRIHEALTH PHYSICIAN ENTERPRISES CORP: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TRIHEALTH PHYSICIAN ENTERPRISES CORP (EIN 31-1383365)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201341309349301734
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 STREET SUITE 1900AddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311383365EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRIHEALTH PHYSICIAN ENTERPRISE CORPBusinessNameLine1
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 PersonWILLIAM GRONEMANNameOfPrincipalOfficerPerson

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 Receipts174929516GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TRIHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDES THE COMMUNITY NECESSARY MEDICAL CARE THROUGH PRIMARY CARE & SPECIALTY PHYSICIANS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees1454TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI37356TotalGrossUBI
Net Unrelated Business Txbl Income34726NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year166139485ProgramServiceRevenuePriorYear
Program Service Revenue CY174534183ProgramServiceRevenueCY
Investment Income Prior Year-5309InvestmentIncomePriorYear
Investment Income Current Year-109864InvestmentIncomeCurrentYear
Other Revenue Prior Year716621OtherRevenuePriorYear
Other Revenue Current Year395333OtherRevenueCurrentYear
Total Revenue Prior Year166850797TotalRevenuePriorYear
Total Revenue Current Year174819652TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3090GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2170GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year122373848SalariesEtcPriorYear
Salaries Etc Current Year126325514SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year57436311OtherExpensePriorYear
Other Expenses Current Year63036769OtherExpensesCurrentYear
Total Expenses Prior Year179813249TotalExpensesPriorYear
Total Expenses Current Year189364453TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-12962452RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14544801RevenuesLessExpensesCY
Total Assets BOY34311566TotalAssetsBOY
Total Assets EOY35366218TotalAssetsEOY
Total Liabilities BOY81074337TotalLiabilitiesBOY
Total Liabilities EOY36122886TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-46762771NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-756668NetAssetsOrFundBalancesEOY
Mission DescriptionTRIHEALTH PHYSICIAN ENTERPRISE CORP. PROVIDES THE COMMUNITY WITH NECESSARY MEDICAL CARE THROUGH PRIMARY CARE AND SPECIALTY PHYSICIANS SUPPORTING THE MISSIONS OF BETHESDA HOSPITAL, INC. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense160542026Expense
Grants2170Grants
Revenue160634650Revenue
DescriptionTRIHEALTH PHYSICIAN ENTERPRISE CORP. ("TPEC") IS THE SOLE MEMBER OF VARIOUS PHYSICIAN GROUPS ALIGNED WITH TRIHEALTH, INC. THE MORE THAN 200 PHYSICIANS PRACTICING WITHIN THESE GROUPS BENEFIT FROM AN INTERCONNECTIVITY WITH SERVICES AND INFORMATION AT TRIHEALTH HOSPITALS AND AMBULATORY CARE CENTERS. THIS RESULTS IN MORE STREAMLINED, PATIENT-FOCUSED CARE, PROVIDED WITH AN EMPHASIS ON QUALITY AND SAFETY. THE PHYSICIAN GROUPS INCLUDE PRIMARY CARE PHYSICIANS (FAMILY PRACTICE, GENERAL PRACTICE, GYNECOLOGY, INTERNAL MEDICINE, AND PEDIATRICS) AS WELL AS SPECIALIST PHYSICIANS (ALLERGY MEDICINE, COLORECTAL SURGERY, DERMATOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, PHYSICIAL REHABILITATION, PODIATRY, OTOLARYNGOLOGY, RHEUMATOLOGY, ORTHOPEDICS).Description
Total Program Service Expense160542026TotalProgramServiceExpense
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 Liabilities1ReportOtherLiabilities
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 Organizations0GrantsToOrganizations
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 Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096177NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1454NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
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 (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHRISTOPHER HAYNER MD
TRUSTEE60.00X383591057208
STEPHEN BIRD MD
TRUSTEE60.00X430868047388
STEPHEN CLEVES MD
TRUSTEE60.00X442391055753
SCOTT MASSA MD
TRUSTEE60.00X265846045423
DAVID MORAD MD
TRUSTEE60.00X610883068289
JOHN MCDONOUGH MD
TRUSTEE1.00X000
ROBERT STAUTBERG
TRUSTEE1.00X000
JOHN PROUT
TRUSTEE (SCH O)1.00X01226184296426
GEORGES FEGHALI MD
TRUSTEE (SCH O)1.00X0513570155997
WILLIAM GRONEMAN
PRESIDENT/CEO (SCH O)1.00X0548818164974X
CRAIG RUCKER
TREASURER/CFO (SCH O)1.00X0543549129732X
JERRY OLIPHANT
TRUSTEE (SCH O)1.00X0598073124115
DONNA NIENABER ESQ
SECRETARY (SCH O)1.000481624151957X
VESTA JOHNS
COO - TPP60.00251611086109X
TIMOTHY GRAMMAN
COO - GHA60.00279305046471X
MARC ORLANDO MD
PHYSICIAN60.001451843066401X
STEVEN WUNDER MD
PHYSICIAN60.00925996073322X
GEORGE KERLAKIAN MD
PHYSICIAN60.00921618074338X
JOHN SCHWEGMANN MD
PHYSICIAN60.00793809053886X
NANCY MCDONOUGH MD
PHYSICIAN60.00714303092793X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7472064TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3911818TotalReportableCompFrmRltdOrgs
Total Other Compensation1790582TotalOtherCompensation
Number Individuals GT100 K259NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ATHENA HEALTH INC
311 ARSENAL STWATERTOWNMA02472BILLING1626660
GE HEALTHCARE IITS USA
PO BOX 277475ATLANTAGA30384SOFTWARE648163
QCP MANAGEMENT SERVICES LLC
2753 ERIE AVENUECINCINNATIOH45208MEDICAL OFFICE MANAGEMENT624996
EQUATION CONSULTING INC
2650 S DECKER LAKE BLVDSALT LAKE CITYUT84119CONSULTING342668
NUANCE COMMUNICATIONS INC
1 WAYSIDE ROADBURLINGTONMA01803TECHNOLOGY302025
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT SERVICES621990160474565160474565
PHARMACY REVENUE44611014051218$14,051,218
AFFILIATED ORG. RENT5311208400$8,400
FieldValueIRS element (for citing)
Total Program Service Revenue174534183TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real88028Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real88028Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column88028TotalRevenueColumn
Exclusion$88,028ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other109864Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-109864Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-109864TotalRevenueColumn
Related Or Exempt Function Income-109864RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
TRANSCRIPTION REVENUE621990142798142798
MEDICAL RECORDS621990115409115409
MISCELLANEOUS900099490981174237356
FieldValueIRS element (for citing)
Total Other Revenue307305TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column174819652TotalRevenueColumn
Related Or Exempt Function Income160634650RelatedOrExemptFunctionIncome
Unrelated Business Revenue37356UnrelatedBusinessRevenue
Exclusion$14,147,646ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2170Total
Program Services2170ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3071136Total
Program Services2407640ProgramServices
Management And General663496ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total339546Total
Program Services339546ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total105872122Total
Program Services100332420ProgramServices
Management And General5539702ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4143556Total
Program Services2668300ProgramServices
Management And General1475256ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7589002Total
Program Services6509190ProgramServices
Management And General1079812ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5310152Total
Program Services5052603ProgramServices
Management And General257549ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1000934Total
Program Services625934ProgramServices
Management And General375000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19248Total
Management And General19248ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4845500Total
Program Services2935707ProgramServices
Management And General1909793ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total708470Total
Program Services51617ProgramServices
Management And General656853ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2984336Total
Program Services1329503ProgramServices
Management And General1654833ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1476744Total
Program Services1399599ProgramServices
Management And General77145ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8621250Total
Program Services3422077ProgramServices
Management And General5199173ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total162039Total
Program Services108836ProgramServices
Management And General53203ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total222Total
Program Services222ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1829635Total
Program Services844258ProgramServices
Management And General985377ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2123351Total
Program Services534206ProgramServices
Management And General1589145ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL & DIETARY3058193030104058477872
BAD DEBTS36101146323472977767
ALLOCATIONS33528243352824
UBI TAX39007003200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1716272Total
Program Services1241093ProgramServices
Management And General475179ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total189364453Total
Program Services160542026ProgramServices
Management And General28822427ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2308115BOY
EOY2080261EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11032338BOY
EOY12108962EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1807978BOY
EOY1650539EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY282666BOY
EOY3106EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14826105LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7702089LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7049659BOY
EOY7124016EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY11558810BOY
EOY12399334EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY272000BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34311566BOY
EOY35366218EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30614687BOY
EOY35980060EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY109239BOY
EOY43222EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY50350411BOY
EOY99604EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY81074337BOY
EOY36122886EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-46762771BOY
EOY-756668EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-46762771BOY
EOY-756668EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34311566BOY
EOY35366218EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-14544801ReconcilationRevenueExpenses
Reconcilation Other Changes60550904ReconcilationOtherChanges
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 Years119490067CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years126443822CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years137413461CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151990725CurrentTaxYearMinus1Year
Current Tax Year160459562CurrentTaxYear
Total695797637Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17100398CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15722137CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15202529CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14438620CurrentTaxYearMinus1Year
Current Tax Year14074621CurrentTaxYear
Total76538305Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years136590465CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years142165959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years152615990CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year166429345CurrentTaxYearMinus1Year
Current Tax Year174534183CurrentTaxYear
Total772335942Total

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 Total509772335942PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years50138CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years121320CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year127969CurrentTaxYearMinus1Year
Current Tax Year88028CurrentTaxYear
Total471738Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years6583CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34032CurrentTaxYearMinus1Year
Current Tax Year29517CurrentTaxYear
Total70132Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years50138CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years127903CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year162001CurrentTaxYearMinus1Year
Current Tax Year117545CurrentTaxYear
Total541870Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years132452CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years542898CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year556014CurrentTaxYearMinus1Year
Current Tax Year269949CurrentTaxYear
Total1501313Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years136674748CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years142348549CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years153286791CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year167147360CurrentTaxYearMinus1Year
Current Tax Year174921677CurrentTaxYear
Total774379125Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99740PublicSupportPercentage509
Prior Year Support Percentage0.99750PriorYearSupportPercentage
Investment Income Percentage0.00070InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: EMR REIMBURSEMENT MISCELLANEOUS TRANSCRIPTION REVENUE MEDICAL RECORDSGeneralExplanation

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$12,886OtherActivitiesAmount
Total Lobbying Expenditures IIB12886TotalLobbyingExpendituresIIB
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 ENTERPRISE CORP. PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis270000OtherCostOrOtherBasis
Book Value270000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1878489OtherCostOrOtherBasis
Depreciation999801Depreciation
Book Value878688BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2093705OtherCostOrOtherBasis
Depreciation887010Depreciation
Book Value1206695BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8229505OtherCostOrOtherBasis
Depreciation5815278Depreciation
Book Value2414227BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2354406OtherCostOrOtherBasis
Book Value2354406BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7124016TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
LONG-TERM DEBT$33,550
ACCRUED UNEMPLOYMENT$66,054
FieldValueIRS element (for citing)
Total Of Amounts99604TotalOfAmounts

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 (18 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
CHRISTOPHER HAYNER MD
3832600003310383690188390440799000
STEPHEN BIRD MD
4304540004140269490204390478256000
STEPHEN CLEVES MD
2979850143400010060378430179100498144000
SCOTT MASSA MD
21235505245901032038618068050311269000
DAVID MORAD MD
58990902020007740413590269300679172000
JOHN PROUT
0859109033853202854302862180102080152261000
GEORGES FEGHALI MD
036060601223750305890133633022364066956700
WILLIAM GRONEMAN
0360315012058706791601415100234640713792016587
CRAIG RUCKER
03951010130118018330012019009542067328100
JERRY OLIPHANT
043380201459830182880102679021436072218800
DONNA NIENABER ESQ
030107101391240414290135545016412063358100
VESTA JOHNS
197243047349070190622450238640337720000
TIMOTHY GRAMMAN
218371052130088040258220206490325776000
MARC ORLANDO MD
145159000025303704602935501518244000
STEVEN WUNDER MD
9252220007740438910294310999318000
GEORGE KERLAKIAN MD
88634403450007740475180268200995956000
JOHN SCHWEGMANN MD
7933950004140267860271000847695000
NANCY MCDONOUGH MD
7139110003920627900300030807096000

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 TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE AMOUNTS AS NOTED: JOHN PROUT - $236,082 DONNA NIENABER, ESQ. - $68,563 GEORGES FEGHALI, M.D. - $76,814 WILLIAM GRONEMAN - $80,979 CRAIG RUCKER - $78,831 GERALD OLIPHANT - $82,817 FINALLY,THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC. AS APPROPRIATE: WILLIAM GRONEMAN - $16,587
PART IIIPART I, LINE 3: TRIHEALTH, INC., A RELATED ORGANIZATION OF TRIHEALTH PHYSICIAN ENTERPRISE CORP. ("TPEC"), USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF TPEC'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 ENTERPRISE CORP. 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
QCP MGMT SERVICES LLC
MORE THAN 5% MEMBER STEPHEN CLEVES, M.D. CURRENT TRUSTEE624996MGMT FEES0
JAY HAYNER MD
FAMILY MEMBER CHRISTOPHER HAYNER, M.D. CURRENT TRUSTEE339546EMPLOYEE0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2JOHN PROUT, GEORGES FEGHALI, M.D., WILLIAM GRONEMAN, CRAIG RUCKER, JERRY OLIPHANT, DONNA NIENABER, ESQ. THE ABOVE-MENTIONED OFFICERS, DIRECTORS AND TRUSTEES OF TRIHEALTH PHYSICIAN ENTERPRISE CORP. (TPEC) 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 TPEC.
FORM 990, PART VI, SECTION A, LINE 6TRIHEALTH PHYSICIAN ENTERPRISE CORP. HAS A SINGLE CORPORATE MEMBER, TRIHEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 7ATRIHEALTH PHYSICIAN ENTERPRISE CORP. (TPEC) HAS A SINGLE CORPORATE MEMBER, TRIHEALTH, INC. WHICH HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF TPEC.
FORM 990, PART VI, SECTION A, LINE 7BTRIHEALTH, INC. MUST APPROVE CERTAIN FINANCIAL TRANSACTIONS, BUDGETS AND COMPENSATION, CHANGES TO TRIHEALTH PHYSICIAN ENTERPRISE CORP.'S GOVERNING DOCUMENTS OR MISSION, FORMATION OF SUBSIDIARIES AND CERTAIN OPERATIONAL PROCESS.
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. DURING THIS TAX YEAR, THE ORGANIZATION INADVERTENTLY FAILED TO SOLICIT INFORMATION REGARDING CERTAIN FINANCIAL INTERESTS AS REQUIRED UNDER ITS POLICY; HOWEVER, IT CONTINUED TO ENFORCE AND MONITOR COMPLIANCE AS OTHERWISE REQUIRED WITH ALL OTHER INFORMATION IT SOLICITED AND RECEIVED.
FORM 990, PART VI, SECTION B, LINE 15IN DETERMINING COMPENSATION OF THE TRIHEALTH PHYSICIAN ENTERPRISE CORP.'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 ENTERPRISE CORP.'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:RECLASS OF INTER-COMPANY PAYABLE TO NET ASSETS 60,550,904. TOTAL TO FORM 990, PART XI, LINE 5: 60,550,904.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART VII, SECTION ADIRECTORS AND OFFICERS (AS NOTED WITH A "SCH O" REFERENCE) FOR TRIHEALTH PHYSICIAN ENTERPRISE CORP. 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.ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATION

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsDirect Controlling Entity NADirectControllingEntityNA
TRIHEALTH G LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206202305158PHYSICIAN PRACTICESOH11995086626658733N/A
TRIHEALTH Q LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206202305015PHYSICIAN PRACTICESOH215371732818806N/A
TRIHEALTH PHYSICIAN PRACTICES LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206311444353PHYSICIAN PRACTICESOH282832865033469N/A
TRIHEALTH HF LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206273473834PHYSICIAN PRACTICESOH5048327746162N/A
TRIHEALTH U LLC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206455135559URGENT CARE CENTERSOH00N/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 INSTITUTE
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311074519PHYSICIAN SPECIALTY 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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
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 Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TRIHEALTH INC
R1861201COST
TRIHEALTH INC
J438120FMV
TRIHEALTH INC
C14543703FMV
TRIHEALTH PHYSICIAN SOLUTIONS INC
L68040FMV

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