2011-05-11T12:45:32-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 311383365 TriHealth Physician Enterprise Corp TRIH 5135696575 619 Oak Street - Accounting 3 West Cincinnati OH 45206 Michael Crofton 5135696575 2011-05-11 1 5137847100 2009 2016-02-24 21:20:13Z William Groneman 619 Oak Street - Accounting 3 West Cincinnati OH 45206 153297131 0 X www.TriHealth.com X 1993 OH Provides the community necessary medical care through primary care & specialty physicians. 13 2 1303 0 16923 8185 0 142298411 152623943 -2375 50138 673188 142348549 153294756 1719 0 0 103362944 111376529 0 0 51347143 54326561 154711806 165703090 -12363257 -12408334 29205515 30279302 50597500 64079621 -21391985 -33800319 TriHealth 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. 0 0 138818349 137956359 TriHealth 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. 138818349 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 172 0 1 1303 1 1 1 0 0 0 0 0 0 0 0 13 2 0 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 Christopher Hayner MD 60.00 X X 376301 0 39542 Stephen Bird MD 60.00 X 377474 0 44344 Stephen Cleves MD 60.00 X 444105 0 55040 J Edward Greene MD 60.00 X 311788 0 76412 Scott Massa MD 60.00 X 235559 0 57339 David Morad MD 60.00 X 560744 0 46264 John McDonough MD 1.00 X 0 0 0 Robert Stautberg 1.00 X X 0 0 0 John Prout 1.00 X 0 1075342 134799 Georges Feghali MD 1.00 X 0 463745 129908 William Groneman 1.00 X X 0 466760 133992 Craig Rucker 1.00 X 0 440236 82847 Jerry Oliphant 1.00 X 0 470122 106917 Donna Nienaber Esq 1.00 X 0 361282 116135 Vesta Johns 60.00 X 204743 0 68943 Timothy Gramman 60.00 X 287315 0 35339 Marc Orlando MD 60.00 X 1436973 0 52191 Steven Wunder MD 60.00 X 967742 0 58086 Donald Carruthers MD 60.00 X 793046 0 61525 John Schwegmann MD 60.00 X 736934 0 47603 George Kerlakian MD 60.00 X 820983 0 77888 7553707 3277487 1425114 220 0 1 0 Athena Health Inc 311 Arsenal St Watertown MA 02472 Billing 1661379 QCP Management Services LLC 2753 Erie Avenue Cincinnati OH 45208 Medical Office Management 763889 GE Healthcare IITS USA PO Box 277475 Atlanta GA 30384 Software 564253 Blue Chip 2000 6001 Madison Road Cincinnati OH 45227 Janitorial 363479 Ameripath Cincinnati Inc 9844 Redhill Dr Cincinnati OH 45242 Laboratory 275438 13 Patient Services 621990 136610530 136610530 Pharmacy Revenue 446110 15202529 15202529 Medical Director Fees 621990 802931 802931 Affiliated Org. Rent 531120 7953 7953 152623943 113367 113367 113367 113367 2375 -2375 -2375 -2375 Miscellaneous 621110 215268 198345 16923 EMR Reimbursement 621990 208111 208111 Transcription Revenue 621990 136442 136442 559821 153294756 137956359 16923 15321474 3221252 2624912 596340 94984913 88523457 6461456 3015178 1299030 1716148 5833159 4941022 892137 4322027 4295570 26457 360103 340 359763 57462 3725 53737 3130 3130 4254742 2822468 1432274 354732 13742 340990 3013196 1769879 1243317 1256913 1201218 55695 7647631 2472721 5174910 124381 74760 49621 2315866 531277 1784589 2019269 664192 1355077 Medical & Dietary 26793907 26213763 580144 Bad Debts 2650023 388533 2261490 Allocations 1800159 1800159 Miscellaneous 1344400 716648 627752 Repairs and Maintenance 330647 257962 72685 165703090 138818349 26884741 0 1825594 1870268 8332894 9201915 1895967 1688101 465778 964159 10407773 5185545 4486751 5222228 12198531 11060631 0 272000 29205515 30279302 19795263 24064952 27878 30802237 39986791 50597500 64079621 X -21391985 -33800319 -21391985 -33800319 29205515 30279302 X 0 0 0 X 104801479 125141911 136590465 142165959 152623943 661323757 104801479 125141911 136590465 142165959 152623943 661323757 0 0 0 661323757 120232 102514 84283 50138 150369 507536 120232 102514 84283 50138 150369 507536 132452 522819 655271 104921711 125244425 136674748 142348549 153297131 662486564 0.99820 0.00080 X Schedule A, Part II, Line 12, Explanation of Other Income: EMR Reimbursement Miscellaneous Transcription Revenue 0 0 0 0 0 0 0 0 1 8200 8200 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: During 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. 270000 270000 1849445 821207 1028238 1351874 426663 925211 5665034 3937675 1727359 1271420 1271420 5222228 Due to Related Organizations 39744921 Long-Term Debt 160849 Accrued Unemployment 81021 39986791 153294756 165703090 -12408334 -12408334 X 1 1 0 1 0 0 0 0 0 0 0 Christopher Hayner MD 344031 0 0 0 32270 0 22094 0 17448 0 415843 0 0 0 Stephen Bird MD 355065 0 0 0 22409 0 22380 0 21964 0 421818 0 0 0 Stephen Cleves MD 271299 0 155300 0 17506 0 38244 0 16796 0 499145 0 0 0 J Edward Greene MD 224041 0 23392 0 64355 0 61324 0 15088 0 388200 0 8288 0 Scott Massa MD 191126 0 32225 0 12208 0 46029 0 11310 0 292898 0 0 0 David Morad MD 521470 0 0 0 39274 0 27386 0 18878 0 607008 0 0 0 John Prout 0 749844 0 0 0 325498 0 125103 0 9696 0 1210141 0 256041 Georges Feghali MD 0 315280 0 107813 0 40652 0 107114 0 22794 0 593653 0 0 William Groneman 0 288066 0 99003 0 79691 0 110011 0 23981 0 600752 0 13602 Craig Rucker 0 286286 0 96468 0 57482 0 75220 0 7627 0 523083 0 0 Jerry Oliphant 0 353704 0 104862 0 11556 0 85338 0 21579 0 577039 0 0 Donna Nienaber Esq 0 257602 0 71856 0 31824 0 99929 0 16206 0 477417 0 0 Vesta Johns 149974 0 35739 0 19030 0 47202 0 21741 0 273686 0 0 0 Timothy Gramman 189439 0 77158 0 20718 0 17301 0 18038 0 322654 0 0 0 Marc Orlando MD 1329793 0 75000 0 32180 0 17301 0 34890 0 1489164 0 0 0 Steven Wunder MD 928731 0 0 0 39011 0 27249 0 30837 0 1025828 0 0 0 Donald Carruthers MD 776286 0 0 0 16760 0 21946 0 39579 0 854571 0 0 0 John Schwegmann MD 720075 0 0 0 16859 0 22269 0 25334 0 784537 0 0 0 George Kerlakian MD 782069 0 0 0 38914 0 53905 0 23983 0 898871 0 0 0 Part I, Line 1a During the calendar year 2009, J. Edward Greene, M.D. received a tax indemnification and gross up payment on a supplemental executive retirement plan payment. TriHealth Physician Enterprise Corp. included the entire tax indemnification and gross up payment as taxable income on the individual's Form W-2 for 2009. Part I, Line 4a 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 Physician Enterprise Corp. contributed, for the following individual listed in Schedule J, Part II, to a supplemental nonqualified retirement plan in the amount as noted: J. Edward Greene, M.D. - $17,997 In addition, 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 - $93,797 Donna Nienaber, Esq. - $45,985 Georges Feghali, M.D. - $65,434 William Groneman - $62,814 Craig Rucker - $52,321 Gerald Oliphant - $61,222 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 either TriHealth, Inc. or TriHealth Physician Enterprise Corp. as appropriate: William Groneman - $13,602 J. Edward Greene - $8,288 Part I, Line 8 Part 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. QCP Mgmt Services LLP More than 35% Owner 763889 Mgmt Fees 0 Form 990, Part VI, Section A, line 6 TriHealth Physician Enterprise Corp. has a single corporate member, TriHealth, Inc. Form 990, Part VI, Section A, line 7a TriHealth 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 7b TriHealth, 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 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 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 19 TriHealth Physician Enterprise Corp. will provide any documents open to public inspection upon request. Form 990, Part VII, Section A: Average Hours per Week Directors, Officers and Key Employees (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. Therefore, the compensation reported for those officers, directors and key employees in Form 990, Part VII - Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent payment in fulfillment of their duties as full-time, 60-hour-per-week employees of TriHealth. TriHealth G LLC 619 Oak Street - Accounting 3 West Cincinnati OH 45206 202305158 Physician Practices OH 111456743 24457184 N/A TriHealth Q LLC 619 Oak Street - Accounting 3 West Cincinnati OH 45206 202305015 Physician Practices OH 20679639 3049719 N/A TriHealth Physician Practices LLC 619 Oak Street - Accounting 3 West Cincinnati OH 45206 311444353 Physician Practices OH 21158374 2591588 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 TriHealth Physician Institute 619 Oak Street-Accounting 3 West Cincinnati OH 45206 311074519 Physician Practices OH Section 501(c)(3) Schedule A, Line 9 TriHealth Inc TriHealth Physician Solutions Inc 619 Oak Street - Accounting 3 West Cincinnati OH 45206 311444353 Claims Administration OH N/A C 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 TriHealth Inc J 1015262