Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1f · All other contributions, gifts and grants

  $904,022

• 2a · Program service revenue: SHARED SERVICES REV

  total $295,676,819 · related or exempt $295,676,819

• 2b · Program service revenue: AFFILIATED BILLING REV

  total $21,797,711 · related or exempt $21,797,711

• 2c · Program service revenue: JOINT VENTURE REVENUE

  total $14,317,746 · related or exempt $11,541,615 · unrelated business $2,776,131

• 2d · Program service revenue: AFFILIATED IT REVENUE

  total $10,101,178 · related or exempt $10,101,178

• 2e · Program service revenue: AFFILIATED RENTAL REV

  total $6,436,716 · excluded $6,436,716

• 2f · All other program service revenue

  total $404,457 · related or exempt $404,457

• 3 · Investment income

  total $108,127,539 · excluded $108,127,539

• 6a · Gross rents

  real property $659,535

• 6b · Less rental expenses

  real property $332,815

• 6c · Rental income or loss

  real property $326,720

• 6d · Net rental income or loss

  total $326,720 · excluded $326,720

• 7a · Gross sales of assets other than inventory

  securities $30,511,470 · other assets $1,000

• 7b · Less cost or other basis and sales expenses

  securities $20,521,412 · other assets $0

• 7c · Gain or loss

  securities $9,990,058 · other assets $1,000

• 7d · Net gain or loss

  total $9,991,058 · excluded $9,991,058

• 11a · Other revenue: VALUE BASED REVENUE

  total $2,652,777 · related or exempt $2,652,777

• 11b · Other revenue: PURCHASE CARD REBATES

  total $759,682 · related or exempt $759,682

• 11c · Other revenue: UNCLAIMED FUNDS

  total $384,962 · related or exempt $384,962

• 11d · All other revenue

  total $956,251 · related or exempt $956,251

• 11e · Other revenue, total

  $4,753,672

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $366,203 · program services $366,203

• 5 · Compensation of officers, directors and key employees

  total $12,677,016 · program services $12,677,016

• 6 · Compensation of disqualified persons

  total $1,805,775 · program services $1,805,775

• 7 · Other salaries and wages

  total $120,275,374 · program services $120,275,374

• 8 · Pension plan contributions

  total $127,021,315 · program services $127,021,315

• 9 · Other employee benefits

  total $31,516,774 · program services $31,516,774

• 10 · Payroll taxes

  total $10,317,628 · program services $10,317,628

• 11b · Fees: legal

  total $2,898,042 · program services $2,898,042

• 11c · Fees: accounting

  total $814,650 · program services $814,650

• 11d · Fees: lobbying

  total $29,405 · program services $29,405

• 11f · Fees: investment management

  total $318,881 · program services $318,881

• 11g · Fees: other

  total $66,667,494 · program services $66,667,494

• 12 · Advertising and promotion

  total $9,838,304 · program services $9,838,304

• 13 · Office expenses

  total $9,534,505 · program services $9,534,505

• 14 · Information technology

  total $37,080,247 · program services $37,080,247

• 16 · Occupancy

  total $9,241,882 · program services $9,241,882

• 17 · Travel

  total $691,464 · program services $691,464

• 19 · Conferences, conventions and meetings

  total $171,068 · program services $171,068

• 20 · Interest

  total $950,111 · program services $950,111

• 22 · Depreciation, depletion and amortization

  total $24,717,935 · program services $24,717,935

• 23 · Insurance

  total $3,121,323 · program services $3,121,323

• 24a · Other expenses: ALLOCATIONS

  total $1,557,132 · program services $1,557,132

• 24b · Other expenses: MEDICAL/DIETARY SUPPLY

  total $817,002 · program services $817,002

• 24c · Other expenses: NON-PATIENT BAD DEBT

  total $505,238 · program services $505,238

• 24d · Other expenses: UBI TAX

  total $195,000 · program services $195,000

• 24e · All other expenses

  total $1,314,386 · program services $1,314,386

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $2,201 · end of year $2,502

• 2 · Savings and temporary cash investments

  beginning of year $42,747,309 · end of year $76,529,320

• 4 · Accounts receivable

  beginning of year $9,393,091 · end of year $1,536,113

• 5 · Loans and receivables from officers and key people

  beginning of year $22,613,826 · end of year $35,873,765

• 7 · Other notes and loans receivable

  beginning of year $27,009,426 · end of year $34,629,413

• 8 · Inventories for sale or use

  beginning of year $1,194 · end of year $1,194

• 9 · Prepaid expenses and deferred charges

  beginning of year $19,817,992 · end of year $9,612,898

• 10a · Land, buildings and equipment: cost or other basis

  $346,439,638

• 10b · Land, buildings and equipment: accumulated depreciation

  $250,834,432

• 10c · Land, buildings and equipment, net

  beginning of year $102,170,943 · end of year $95,605,206

• 11 · Investments: publicly traded securities

  beginning of year $89,625,632 · end of year $124,128,586

• 12 · Investments: other securities

  beginning of year $20,113,406 · end of year $19,328,301

• 13 · Investments: program-related

  beginning of year $17,437,500 · end of year $16,653,000

• 14 · Intangible assets

  beginning of year $4,443,750 · end of year $3,618,750

• 15 · Other assets

  beginning of year $1,483,963,202 · end of year $1,698,247,793

• 17 · Accounts payable and accrued expenses

  beginning of year $64,103,203 · end of year $76,207,961

• 19 · Deferred revenue

  beginning of year $8,189,808 · end of year $9,898,739

• 23 · Secured mortgages and notes payable

  beginning of year $65,223,456 · end of year $59,773,602

• 25 · Other liabilities

  beginning of year $1,032,448 · end of year $1,038,476

• 27 · Net assets without donor restrictions

  beginning of year $1,700,790,557 · end of year $1,968,848,063

The filer's explanations (Part III)

PART I, LINE 1A

TAX INDEMNIFICATION AND GROSS UP PAYMENTS: ALL DIRECTORS IN AN EMPLOYMENT POSITION OF VICE PRESIDENT AND HIGHER WITHIN TRIHEALTH, INC. ARE ELIGIBLE TO RECEIVE TAX GROSS-UP PAYMENTS ON THE FOLLOWING BENEFITS: * SUPPLEMENTAL OR SPLIT DOLLAR LIFE INSURANCE * EXECUTIVE HEALTH PROGRAM SERVICES * LONG-TERM DISABILITY INSURANCE * LONG-TERM CARE INSURANCE * FINANCIAL COUNSELING * BUSINESS CLUB MEMBERSHIPS * HEALTH CLUB MEMBERSHIPS HEALTH OR SOCIAL CLUB OR INITIATION FEES: TRIHEALTH, INC. MAINTAINS A MEMBERSHIP IN A LOCAL SOCIAL CLUB IN THE NAME OF THE PRESIDENT & CEO AS THE SOCIAL CLUB REQUIRES THE MEMBERSHIP TO BE IN AN INDIVIDUAL'S NAME. THIS MEMBERSHIP IS A BUSINESS MEMBERSHIP FOR THE BENEFIT OF TRIHEALTH, INC. AS SUCH, THE MONTHLY DUES ARE PAID BY TRIHEALTH, INC. DURING THE CURRENT YEAR, THERE WAS NOT ANY PERSONAL USE BY THE PRESIDENT & CEO.

PART I, LINES 4A-B

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. DURING THE 2023 CALENDAR YEAR, NONE OF THE 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.

PART I, LINE 4A:

THE ORGANIZATION HAS A 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. DURING THE 2023 CALENDAR YEAR, THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC.: CATHY FRENCH - $448,510 JERRI IRBY - $16,538

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• HAND ASC LLC

  AMBULATORY SURGERY CENTER · OH · income $64,427 · assets $0

  Directly controlled by TRIHEALTH INC

• TRIHEALTH PHO ACO LLC

  INACTIVE · OH · income $0 · assets $0

  Directly controlled by TRIHEALTH INC

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• PREFERRED LAB PARTNERS LLC

  RELATED · LABORATORY SERVICES · KY · 50% owned · share of income $96,123 · share of assets $5,810,050

• HEALTHCARE SOLUTIONS NETWORK LLC

  UNRELATED · PHYSICIAN HOSPITAL ORGANIZATION · OH · 50% owned · share of income $110,381 · share of assets -$619,065

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• TRIHEALTH PHYSICIAN SOLUTIONS INC

  C · CLAIMS ADMINISTRATION · OH · 100% owned · share of income $1,395 · share of assets $571,396 · controlled entity

  Directly controlled by TRIHEALTH INC

• TRIHEALTH PHYSICIANS OF INDIANA INC

  C · PHYSICIAN PRACTICES · OH · 100% owned · share of income $1,479,061 · share of assets $527,852 · controlled entity

  Directly controlled by TRIHEALTH INC

• TRIHEALTH CIPHO INC

  C · PHYSICIAN HEALTH ORGANIZATION · OH · 100% owned · share of income $27,136,522 · share of assets $8,116,310 · controlled entity

  Directly controlled by TRIHEALTH INC

• PREMIERE MEDICAL OWNERS ASSOCIATION

  C · CONDO ASSOCIATION · OH · controlled entity

• SERVE INSURANCE LTD

  C · ALTERNATIVE RISK FINANCING · CJ · 100% owned · share of income $10,412,604 · share of assets $36,784,191 · controlled entity

  Directly controlled by TRIHEALTH INC