Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
EIN 31-1074519 • 501(c)3 • Cincinnati, OH
Profile
Trihealth physician institute provides speciality medical care to the greater cincinnati area.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
Liabilities / Revenue
19th percentile
Higher debt load relative to revenue than 19% of similar nonprofits.
Net Margin
3rd percentile
Higher net margin than 3% of similar nonprofits.
Top Officer Pay
93rd percentile
Higher top officer pay than 93% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
13th percentile
Faster asset growth than 13% of similar nonprofits.
Revenue Growth
59th percentile
Faster revenue growth than 59% of similar nonprofits.
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
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2016 below.
INACTIVE
Trihealth physician institute provides speciality medical care to the greater cincinnati area.
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Michael Shehata Md | Physician | FT | $1,254,444 | $56,857 | $1,311,301 |
| William Polzin Md | Physician | FT | $1,143,143 | $84,642 | $1,227,785 |
| Kristin Coppage Md | Physician | FT | $1,054,025 | $54,160 | $1,108,185 |
| Joel Sorger Md | Physician | FT | $1,020,045 | $87,237 | $1,107,282 |
| Joseph Thomas Md | Physician | FT | $1,055,565 | $38,227 | $1,093,792 |
| Name | Title |
|---|---|
| Gerald Oliphant | President/CEO (end 8/15) |
| William Groneman | President/CEO (start 8/15) |
| Mark Witte | Exec Director cancer Institute |
| Greg Bush | Exec Director digestive Inst |
| Lisa Baker | Exec Director heart Institute |
| Jay Koch | Exec Director ortho & Spine Ins |
| Christy Brown | Exec Director surgical Institut |
| Melissa Kennedy | EXEC Director WOMEN'S INSTITUTE |
| John Prout | Trustee |
| Mark Clement | Trustee |
| Robert Collins Md | Trustee |
| Marcia Swehla | Chief Operating Officer |
| Donna Nienaber Esq | Secretary |
| Michael Crofton | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Prolink Healthcare LLC | Medical Staffing | 10700 MONTGOMERY ROAD, Cincinnati, OH 45242 | $838,463 |
| Mediware Information Systems | Information Systems | 11711 W 79TH STREET, Lenexa, KS 66214 | $396,710 |
| Cincinnati Children's Hospital Medical C | Medical Services | 3333 BURNET AVE, Cincinnati, OH 45229 | $324,896 |
| Equation Consulting | Consulting Services | 880 W HERITAGE PARK BLVD, Layton, UT 84041 | $311,038 |
| St Elizabeth Physicians | Medical Services | 334 THOMAS MORE PARKWAY STE 200, Crestview Hills, KY 41017 | $285,126 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“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.”
“Trihealth physician institute has a single corporate member, trihealth, inc.”
“Trihealth physician institute ("tpi") has a single corporate member, trihealth, inc., which has the ability to elect members to the governing body of tpi.”
“Trihealth, inc. Must approve certain financial transactions and amendments to trihealth physician institute's governing documents.”
“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.”
“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.”
“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.”
“Trihealth physician institute's governing documents, conflicts of interest policy and financial statements are available upon request.”
“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.”
“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.”
“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.”
“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”
“Transfer of net assets to trihealth physician enterprise corp 20,396,401.”
“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.”
“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.”
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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| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 43760 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 193088 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 134995 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 132198 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 145213 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 61675 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 130898 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 38484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 24298 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 15700 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 12290 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 29853 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 29541 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 14274 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 29628 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 68020 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 30993 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 54039 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 35864 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JOHN PROUT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WILLIAM GRONEMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DONNA NIENABER ESQ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GERALD OLIPHANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MICHAEL CROFTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MARK CLEMENT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ROBERT COLLINS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MARCIA SWEHLA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | LISA BAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MARK WITTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | GREG BUSH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JAY KOCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | CHRISTY BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MELISSA KENNEDY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JOSEPH THOMAS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | WILLIAM POLZIN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MICHAEL SHEHATA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JOEL SORGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KRISTIN COPPAGE MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 1064164 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 1159765 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 1280308 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 1053243 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 1072321 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 2429327 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 662686 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 490116 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 704803 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 579691 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 516747 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 539152 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 280309 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 254555 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 200473 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 213643 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 231722 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 199614 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 206433 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT/CEO (START 8/15) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PRESIDENT/CEO (END 8/15) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | EXEC DIR-HEART INSTITUTE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | EXEC DIR-CANCER INSTITUTE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | EXEC DIR-DIGESTIVE INST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | EXEC DIR-ORTHO & SPINE INS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | EXEC DIR-SURGICAL INSTITUT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | EXEC DIR-WOMEN'S INSTITUTE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1989 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GrantAmt | 0 | 9000 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 9000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 9000 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 66330470 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 14970 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 272 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 911641 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 402488 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1314129 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1988801 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 611024 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2599825 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 5419841 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 247 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 9247426 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | OH |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 187521 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 187521 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 12163947 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 14970 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 14970 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 26128 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 4072998 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 4099126 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 66387 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 452871 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 519258 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 20396401 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 164103 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2975355 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3139458 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | OVERHEAD ALLOCATIONS |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 3 | EQUIPMENT EXPENSE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 2218 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 384437 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 187745 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 50822 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1569685 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 261757 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 169137 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 120620 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1571903 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 646194 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 356882 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 171442 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | QUALITY INCENTIVE REV. |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | EHR MEANINGFUL USE REV |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | MEDICAL RECORDS |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 169685 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 114456 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 2 | 33631 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 169685 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 114456 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 33631 |
| IRS990/OtherRevenueTotalAmt | 0 | 505293 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 5717331 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 67691410 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 73408741 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 207571 |
| IRS990/PartialLiquidationInd | 0 | 1 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 119324 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 2011812 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 2131136 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 113144 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 113144 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | GERALD OLIPHANT |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 531120 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 4 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | AFFILIATED RENT |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | MISCELLANEOUS |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | ONCALL REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | MEDICAL DIR. REVENUE |
| IRS990/ProgramServiceRevenueGrp/ExclusionAmt | 0 | 85523 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 65615389 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 38389 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 29165 |
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