Civic Intelligence

Trihealth Physician Institute

EIN 31-1074519 • 501(c)3 • Cincinnati, OH

Profile

Trihealth physician institute provides speciality medical care to the greater cincinnati area.

619 Oak Street - Accounting 3 WestCincinnati, OH 45206

www.trihealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

98th percentile

1.57x

Higher debt load relative to assets than 98% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

19th percentile

0.11x

Higher debt load relative to revenue than 19% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

3rd percentile

-64%

Higher net margin than 3% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

93rd percentile

$2,292,310

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

13th percentile

-3.8%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

59th percentile

12%

Faster revenue growth than 59% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$12,587,644

Down $499,474 (-3.8%) from 2023

Liabilities

Down

$19,809,803

Down $465,637 (-2.3%) from 2023

Net Assets

Down

-$7,222,159

Down $33,837 (-0.5%) from 2023

Revenue

Up

$176,286,532

Up $18,183,515 (+12%) from 2023

Expenses

Up

$288,451,721

Up $30,574,030 (+12%) from 2023

Net Income

Down

-$112,165,189

Down $12,390,515 (-12%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0-$10M-$20MAssets 2010: $1,629,315Liabilities 2010: $3,973,137Net Assets 2010: -$2,343,8222010Assets 2011: $5,082,762Liabilities 2011: $15,322,047Net Assets 2011: -$10,239,2852011Assets 2012: $7,868,588Liabilities 2012: $6,691,518Net Assets 2012: $1,177,0702012Assets 2013: $15,700,267Liabilities 2013: $10,757,222Net Assets 2013: $4,943,0452013Assets 2014: $24,473,347Liabilities 2014: $14,841,782Net Assets 2014: $9,631,5652014Assets 2015: $26,696,390Liabilities 2015: $14,532,443Net Assets 2015: $12,163,9472015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021Assets 2022: $12,718,255Liabilities 2022: $18,062,938Net Assets 2022: -$5,344,6832022Assets 2023: $13,087,118Liabilities 2023: $20,275,440Net Assets 2023: -$7,188,3222023Assets 2024: $12,587,644Liabilities 2024: $19,809,803Net Assets 2024: -$7,222,1592024

Highlighted filing

2024

Assets$12,587,644
Liabilities$19,809,803
Net Assets-$7,222,159

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$200M$0-$200MExpenses 2010: $19,835,2392010Expenses 2011: $29,198,7212011Expenses 2012: $60,155,8352012Expenses 2013: $98,833,4212013Revenue 2014: $90,798,033Expenses 2014: $146,158,440Net Income 2014: -$55,360,4072014Revenue 2015: $118,049,601Expenses 2015: $181,422,352Net Income 2015: -$63,372,7512015Revenue 2016: $66,330,470Expenses 2016: $98,890,818Net Income 2016: -$32,560,3482016Revenue 2017: $0Expenses 2017: $0Net Income 2017: $02017Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $76,134,963Expenses 2022: $121,377,915Net Income 2022: -$45,242,9522022Revenue 2023: $158,103,017Expenses 2023: $257,877,691Net Income 2023: -$99,774,6742023Revenue 2024: $176,286,532Expenses 2024: $288,451,721Net Income 2024: -$112,165,1892024

Highlighted filing

2024

Revenue$176,286,532
Expenses$288,451,721
Net Income-$112,165,189

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.6$19.8$7.22$176$288$112
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.1$20.3$7.19$158$258$99.8
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.7$18.1$5.34$76.1$121$45.2
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.00$0.00
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.00$0.00
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.00$0.00
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.00$0.00
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.00$0.00
2016Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$66.3$98.9$32.6
2015Detailed filing. Detailed filing data is available for this year.$26.7$14.5$12.2$118$181$63.4
2014Detailed filing. Detailed filing data is available for this year.$24.5$14.8$9.63$90.8$146$55.4
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.7$10.8$4.94$98.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.87$6.69$1.18$60.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.08$15.3$10.2$29.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.63$3.97$2.34$19.8
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2016 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 9, 2017
Return Version
2015v3.0
Gross Receipts
$66,330,470
Mission and Program Overview

Mission

INACTIVE

Trihealth physician institute provides speciality medical care to the greater cincinnati area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$11,813,610--
Land, Buildings, and Equipment, Net$9,247,426--
Intangible Assets$5,419,841--
Other Notes and Loans Receivable, Net$207,571--
Cash and Non-Interest-Bearing Accounts$7,942--
Total Assets$26,696,390$0▼ $26,696,390
Liabilities
Accounts Payable and Accrued Expenses$14,532,443--
Total Liabilities$14,532,443$0▼ $14,532,443
Net Assets / Fund Balance
Unrestricted Net Assets$12,163,947$0▼ $12,163,947
Total Net Assets Fund Balance$12,163,947$0▼ $12,163,947
Total Liabilities and Net Assets / Fund Balance$26,696,390$0▼ $26,696,390
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael Shehata MdPhysicianFT$1,254,444$56,857$1,311,301
William Polzin MdPhysicianFT$1,143,143$84,642$1,227,785
Kristin Coppage MdPhysicianFT$1,054,025$54,160$1,108,185
Joel Sorger MdPhysicianFT$1,020,045$87,237$1,107,282
Joseph Thomas MdPhysicianFT$1,055,565$38,227$1,093,792

Board Members and Trustees

NameTitle
Gerald OliphantPresident/CEO (end 8/15)
William GronemanPresident/CEO (start 8/15)
Mark WitteExec Director cancer Institute
Greg BushExec Director digestive Inst
Lisa BakerExec Director heart Institute
Jay KochExec Director ortho & Spine Ins
Christy BrownExec Director surgical Institut
Melissa KennedyEXEC Director WOMEN'S INSTITUTE
John ProutTrustee
Mark ClementTrustee
Robert Collins MdTrustee
Marcia SwehlaChief Operating Officer
Donna Nienaber EsqSecretary
Michael CroftonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Prolink Healthcare LLCMedical Staffing10700 MONTGOMERY ROAD, Cincinnati, OH 45242$838,463
Mediware Information SystemsInformation Systems11711 W 79TH STREET, Lenexa, KS 66214$396,710
Cincinnati Children's Hospital Medical CMedical Services3333 BURNET AVE, Cincinnati, OH 45229$324,896
Equation ConsultingConsulting Services880 W HERITAGE PARK BLVD, Layton, UT 84041$311,038
St Elizabeth PhysiciansMedical Services334 THOMAS MORE PARKWAY STE 200, Crestview Hills, KY 41017$285,126
Revenue and Support

Revenue Composition

Contributions and Grants
$13,831
Program Service Revenue
$65,796,376
Investment Income
$0
Other Revenue
$520,263
All Other Contributions
$13,831
Change in Net Assets
$-32,560,348
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$78,792,479
Other Expenses$20,089,339
Grants and Similar Amounts Paid$9,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$67,691,410$5,717,331-$73,408,741
Fees for Services Other$4,806,785$773,656-$5,580,441
Occupancy$4,072,998$26,128-$4,099,126
Other Employee Benefits$2,975,355$164,103-$3,139,458
Depreciation Depletion$1,702,422$1,011,394-$2,713,816
Insurance$611,024$1,988,801-$2,599,825
Payroll Taxes$2,011,812$119,324-$2,131,136
Information Technology$402,488$911,641-$1,314,129
Office Expenses$452,871$66,387-$519,258
Travel$117,780$84,303-$202,083
Other Expenses$120,620$50,822-$171,442
Conferences and Meetings$77,595$71,654-$149,249
All Other Expenses$93,846$31,597-$125,443
Pension Plan Contributions$113,144--$113,144
Advertising$10,367$29,181-$39,548
Grants to Domestic Orgs$9,000--$9,000
Total Functional Expenses$87,270,096$11,620,722$0$98,890,818
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

The officers, directors, trustees and key employees 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.

FORM 990, PART VII, SECTION A - AVERAGE HOURS PER WEEK:

The officers and directors for trihealth physician institute that show at least 60 hours per week provide services to trihealth, inc. (a related organization who paid the individuals) and its subsidiaries/affiliates ("trihealth") as an entire system. Hours worked, including their duties as officers and directors of the filing organization, are not tracked on an entity by entity basis, thus the average hours per week disclosed are estimates to show that the time spent by these individuals relate to them fulfilling their duties as full-time, 60 hours-per-week employees of trihealth versus their duties as officers and directors of the filing organization. In addition, the compensation reported on form 990, part vii was paid to these individuals in fulfillment of their duties as employees of trihealth.

Filing and Contact Details

Filer

Filer Name
Trihealth Physician Institute
EIN
31-1074519
Phone
5135696575
Address
619 OAK STREET - ACCOUNTING 3 WEST, CINCINNATI, OH 45206

Signing Officer

Name
Brian Krause
Title
VP Finance
Phone
5135695126
Signed
2017-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Gerald Oliphant
Formed
1989
Legal Domicile
Oh
Voting Board Members
6
Independent Board Members
0
Employees
917
Volunteers
0

Preparer

Firm
Bkd Llp
Address
312 WALNUT STREET SUITE 3000, CINCINNATI, OH 45202
Phone
5136218300
Supplemental Narrative

Additional Explanations

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.

Form 990, Part III, Line 3

Effective january 1, 2016, the physicians and employees of trihealth physician institute (tpi) were part of a reorganization with its sister irc section 501(c)(3) organization trihealth physician enterprise corp (ein 31-1383365) where they were moved under one single tax ein. The assets and activities of tpi are stilled performed however it is under tpec. Tpi is inactive as of the aforementioned date.

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 n

FORM 990, PART XI, LINE 9:

Transfer of net assets to trihealth physician enterprise corp 20,396,401.

Form 990, Part XII, Line 2C

The financial statements of the trihealth physician institute are audited as part of trihealth, inc. And its subsidiaries and affiliates ("trihealth"). Trihealth has a committee that assumes the responsibility for oversight of the audit of both its and its subsidiaries and affiliates financial statements as well as the selection of the independent auditor. During the tax year, there was not a change in the process of audit oversight and/or selection of an independent auditor by trihealth.

Financial Statement Notes

PART X, LINE 2:

The financial statements of trihealth physician institute are audited as part of trihealth and its subsidiaries and affiliates ("trihealth"). Following is the text of the footnote to the audited combined financial statements of trihealth that reports its and its subsidiaries and affiliates liability, if applicable, for uncertain tax positions under asc 740-10-25: trihealth performed an analysis of uncertain tax positions and determined that no amounts were required to be recognized in the combined financial statements at either date.

Raw XML AppendixShowing 400 of 1,278 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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