TRIHEALTH PHYSICIAN INSTITUTE

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1989

Legal Domicile

Principal Officer

BRYAN STRADER MD

Phone

5135696575

Tax Period

2023-07-01 to 2024-06-30

TRIHEALTH PHYSICIAN INSTITUTE, founded in 1989, is a major nonprofit in the Health Care sector that reported $176.3M in total revenue in fiscal year 2023. Revenue grew 12% year-over-year, indicating healthy expansion. Expenses of $288.5M exceeded revenue, resulting in a 64% operating deficit.

Mission

TRIHEALTH PHYSICIAN INSTITUTE ("TPI") REPRESENTS THE POSITIONING OF TRIHEALTH'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.

Program Service Accomplishments

Program 1

Expenses: $253,363,069 Revenue: $173,069,266

THE REPORTABLE INDIVIDUALS OF TRIHEALTH PHYSICIAN INSTITUTE ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER...

THE REPORTABLE INDIVIDUALS OF TRIHEALTH PHYSICIAN INSTITUTE ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). TRIHEALTH, INC. 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, NONE OF THE INDIVIDUALS LISTED IN SCHEDULE J, PART II, RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $2,424,563

Program Service Revenue $172,132,664

Investment Income $744

Other Revenue $1,728,561

TOTAL REVENUE $176,286,532

Expense Breakdown

Grants Paid $47,051

Salaries & Benefits $0

Fundraising Expenses $0

Program Expenses $253,363,069

Other Expenses $288,404,670

TOTAL EXPENSES $288,451,721

Year-over-Year Comparison

	2023	2022	Change
Revenue	$176,286,532	$158,103,017	+0.1%
Expenses	$288,451,721	$257,877,691	+0.1%
Net Income	$-112,165,189	$-99,774,674	+0.1%

Key Indicators

✓ Grants to Organizations ✓ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

N/A

Employees

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$3,000,576

Total Directors

$3,071,777

Key Employees

$2,390,860

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
ANDREW DEVOE	TREASURER (END 2/24)	1.00	Officer Director	$0	$87,483	$1,209,124
MARLA SILLIMAN	TRUSTEE	1.00	Director	$0	$68,467	$929,282
JOHN WARD	TRUSTEE	1.00	Director	$0	$83,260	$933,371
STEVE GRACEY	SECRETARY	1.00	Officer	$0	$85,799	$830,534
BRYAN STRADER	PRESIDENT	30.00	Officer	$0	$95,217	$960,918
VESTA JOHNS	ADMINISTRATIVE EXECUTIVE	30.00	Key Emp	$0	$126,955	$767,531
JASON SCHWARTZ	VP-CLINICAL SERVICE LINES	30.00	Key Emp	$0	$58,487	$463,025
MARK WITTE	VP-CLINICAL SERVICE LINES	30.00	Key Emp	$0	$105,593	$560,999
JEREMIAH KIRKLAND	VP-CLINICAL SERVICE LINES	30.00	Key Emp	$0	$95,869	$599,305
BRIAN KUHN MD	PHYSICIAN	60.00	Highest	$0	$74,763	$1,354,445
EDWARD CRANE MD	PHYSICIAN	60.00	Highest	$0	$57,821	$1,202,579
MARK BROERING MD	PHYSICIAN	60.00	Highest	$0	$73,573	$1,221,217
SATEESH KESARI MD	PHYSICIAN	60.00	Highest	$0	$86,033	$1,456,371
MICHAEL SHEHATA MD	PHYSICIAN	60.00	Highest	$0	$57,894	$1,241,436
MARK CLEMENT	FORMER OFFICER	0.00		$0	$72,753	$2,292,310

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	No data	No data	No data	No data
2024	$176,286,532	$288,451,721	$12,587,644	$-112,165,189
2023	$158,103,017	$257,877,691	$13,087,118	$-99,774,674
2022	$76,134,963	$121,377,915	$12,718,255	$-45,242,952
2021	No data	No data	No data	No data
2020	No data	No data	No data	No data
2019	No data	No data	No data	No data
2018	No data	No data	No data	No data