Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 716,910 | 905,757 | 1,619,159 | 4,281,035 | 2,495,153 | 10,018,014 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 365,058,892 | 371,904,946 | 360,651,761 | 396,528,427 | 307,894,005 | 1,802,038,031 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 14,935,851 | 15,570,907 | 14,426,017 | 14,317,943 | 13,982,823 | 73,233,541 |
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 380,711,653 | 388,381,610 | 376,696,937 | 415,127,405 | 324,371,981 | 1,885,289,586 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 1,885,289,586 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 380,711,653 | 388,381,610 | 376,696,937 | 415,127,405 | 324,371,981 | 1,885,289,586 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 123,105 | 138,465 | 101,065 | 61,915 | 55,294 | 479,844 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 24,402 | 118,815 | 19,109 | 162,326 | ||
| c | Add lines 10a and 10b. | 147,507 | 138,465 | 101,065 | 180,730 | 74,403 | 642,170 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 5,509,417 | 3,794,376 | 6,405,677 | 16,673,538 | 4,863,793 | 37,246,801 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 386,368,577 | 392,314,451 | 383,203,679 | 431,981,673 | 329,310,177 | 1,923,178,557 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS - 2017 AMOUNT: $ 1,565,130. 2018 AMOUNT: $ 547,453. 2019 AMOUNT: $ 1,477,736. 2020 AMOUNT: $ 1,595,343. 2021 AMOUNT: $ 761,893. MEDICAL RECORDS - 2017 AMOUNT: $ 67,093. EHR MEANINGFUL USE - 2017 AMOUNT: $ 239,513. 2018 AMOUNT: $ 238,002. QUALITY INCENTIVE - 2017 AMOUNT: $ 3,637,681. 2018 AMOUNT: $ 3,008,921. 2019 AMOUNT: $ 2,830,679. 2020 AMOUNT: $ 173,674. CARES ACT FUNDING - 2019 AMOUNT: $ 2,097,262. 2020 AMOUNT: $ 14,904,521. 2021 AMOUNT: $ 1,303,457. SETTLEMENT REVENUE - 2021 AMOUNT: $ 2,798,443. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES 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, OR ITS SUBSIDIARIES/AFFILIATES. |
| 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 | IN ADDITION TO THE RIGHTS AND POWERS OF TRIHEALTH, INC., AS SINGLE CORPORATE MEMBER (MEMBER) PROVIDED BY LAW, THE APPROVAL OF THE MEMBER SHALL BE REQUIRED FOR ALL OF THE FOLLOWING: (A) ALL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS SUBSIDIARIES INCLUDING ALL COMPONENTS REGARDING PHYSICIAN COMPENSATION; (B) THE PHYSICIAN COMPENSATION POLICY OF THE CORPORATION AND ITS SUBSIDIARIES, ALL MATTERS RESERVED TO THE MEMBER UNDER THAT POLICY, AND ANY CHANGES THERETO; (C) ANY BORROWINGS BY THE CORPORATION AND ITS SUBSIDIARIES IN EXCESS OF $500,000; (D) SALE OF ASSETS OF THE CORPORATION OR ITS SUBSIDIARIES WITH A VALUE OF $500,000 OR MORE IN A SINGLE TRANSACTION OR SERIES OF TRANSACTIONS; (E) ANY ACTION OR DECISION NOT TO TAKE ACTION (BY THE OFFICERS, THE CORPORATION, THE BOARD OF TRUSTEES OR ANY SUBSIDIARY OF THE CORPORATION) THAT COULD ADVERSELY AFFECT THE TAX-EXEMPT STATUS OF THE MEMBER OR ANY AFFILIATE OF THE MEMBER, OR THE COMPLIANCE WITH ANY BOND INDENTURE UNDER WHICH THE MEMBER OR ANY AFFILIATE OF THE MEMBER IS OBLIGATED; (F) ANY CHANGES IN THE MISSION, PURPOSES, PHILOSOPHY OR VALUES OF THE CORPORATION OR ANY OF ITS SUBSIDIARIES, AND ANY ACTION OR DECISION NOT TO TAKE ACTION (BY THE OFFICERS, THE CORPORATION, THE BOARD OF TRUSTEES OR ANY SUBSIDIARY OF THE CORPORATION) THAT MAY BE CONTRARY TO THE MISSION, PURPOSES, PHILOSOPHY OR VALUES OF THE MEMBER; (G) ANY TRANSACTION OR SERIES OF TRANSACTIONS WITH AN UNRELATED THIRD PARTY AS A RESULT OF WHICH THE CORPORATION OR ANY OF ITS SUBSIDIARIES WOULD (I) SELL ALL OR SUBSTANTIALLY ALL OF ITS ASSETS, (II) MERGE, CONSOLIDATE, OR OTHERWISE AFFILIATE WITH OR INTO ANY OTHER PERSON, (III) BECOME A PARTY TO ANY JOINT VENTURE, OR (IV) DISSOLVE AND WIND UP ITS AFFAIRS; (H) ANY STRATEGIC AND OTHER LONG-RANGE PLANS OF THE CORPORATION AND ITS SUBSIDIARIES. |
| FORM 990, PART VI, SECTION B, LINE 11B | MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 PRIOR TO FILING ALONG WITH SENIOR MANAGEMENT COMMENTARY PRIOR TO FILING. HOWEVER, FOR THE PROTECTION OF DONOR PRIVACY, SCHEDULE B - SCHEDULE OF CONTRIBUTORS WAS REMOVED FROM THE COPY PROVIDED TO THE BOARD. 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 C, LINE 19 | TRIHEALTH PHYSICIAN ENTERPRISE CORP.'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 ENTERPRISE CORP THAT SHOW AT LEAST 60 HOURS PER WEEK, EXCLUDING THOSE PAID BY THE FILING ORGANIZATION, 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. |
| FORM 990, PART XI, LINE 9: | RECLASS OF INTER-COMPANY PAYABLE TO NET ASSETS 116,786,353. |
| FORM 990, PART XII, LINE 2C | THE FINANCIAL STATEMENTS OF TRIHEALTH PHYSICIAN ENTERPRISE CORP. 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. |
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