BETHESDA HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BETHESDA HOSPITAL INC (EIN 31-0537122)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201421349349301177
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T08:09:27-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	440160260	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	312 WALNUT STREET SUITE 3000	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45202	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	310537122	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BETHESDA HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BETH	NameControl
Phone	5135696575	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	619 OAK STREET - ACCOUNTING 3 WEST	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45206	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL CROFTON	Name
Title	VP FINANCE	Title
Phone	5135696575	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00961884	PTIN
Phone	5136218300	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN S PROUT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	619 OAK STREET - ACCOUNTING 3 WEST	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45206	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	803446762	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.TRIHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1896	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	4588	TotalNbrEmployees
Total Nbr Volunteers	1400	TotalNbrVolunteers
Total Gross UBI	3695060	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1374854	ContributionsGrantsPriorYear
Contributions Grants Current Year	1464202	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	527662857	ProgramServiceRevenuePriorYear
Program Service Revenue CY	492854572	ProgramServiceRevenueCY
Investment Income Prior Year	11278871	InvestmentIncomePriorYear
Investment Income Current Year	28563530	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6934856	OtherRevenuePriorYear
Other Revenue Current Year	14695001	OtherRevenueCurrentYear
Total Revenue Prior Year	547251438	TotalRevenuePriorYear
Total Revenue Current Year	537577305	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	407512	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	270235	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	235046180	SalariesEtcPriorYear
Salaries Etc Current Year	235951491	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	259594841	OtherExpensePriorYear
Other Expenses Current Year	229256169	OtherExpensesCurrentYear
Total Expenses Prior Year	495048533	TotalExpensesPriorYear
Total Expenses Current Year	465477895	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	52202905	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	72099410	RevenuesLessExpensesCY
Total Assets BOY	717410479	TotalAssetsBOY
Total Assets EOY	745236425	TotalAssetsEOY
Total Liabilities BOY	367261093	TotalLiabilitiesBOY
Total Liabilities EOY	326300852	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	350149386	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	418935573	NetAssetsOrFundBalancesEOY
Mission Description	TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE. THIS IS ACCOMPLISHED BY PROVIDING A FULL RANGE OF HEALTH RELATED SERVICES INCLUDING PREVENTION, WELLNESS AND EDUCATION.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	381134088	Expense
Grants	270235	Grants
Revenue	523476975	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	381134088	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	447	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4588	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MICHAEL CROFTON	NamePerson
Telephone Number	5135696577	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	619 OAK STREET - ACCOUNTING 3 WEST	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45206	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
MICHAEL HAVERKAMP
TRUSTEE	1.00	3.00	X	0	0	0
ROBERT WALKER
CHAIRMAN	1.00	3.00	X	0	0	0	X
JOHN PROUT
PRESIDENT/CEO	15.00	45.00	X	0	1991921	331413	X
PAUL EDGETT III
TRUSTEE	1.00	3.00	X	0	0	0
THOMAS FINN
SECRETARY	1.00	3.00	X	0	0	0	X
MYRTIS POWELL
TRUSTEE	1.00	3.00	X	0	0	0
SR SALLY DUFFY
TRUSTEE	1.00	3.00	X	0	0	0
MICHAEL MCGRAW
VICE CHAIR/TREASURER	1.00	3.00	X	0	0	0	X
STEPHEN BLATT MD
TRUSTEE-MED STAFF PRES-GOOD SAM	1.00	18.00	X	0	168837	20252
STUART DONOVAN MD
TRUSTEE-MED STAFF PRES-BETHESDA	8.00	3.00	X	45000	20793	0
CRAIG EISENTROUT MD
TRUSTEE	1.00	3.00	X	0	0	0
WAYNE SHIRCLIFF
TRUSTEE	1.00	3.00	X	0	0	0
DONNA NIENABER ESQ
SVP CORP COUNSEL/ASST SECRTRY	15.00	45.00		0	540699	164782	X
CRAIG RUCKER
SVP CFO/ASST TREASURER	15.00	45.00		0	618981	143478	X
WILLIAM GRONEMAN
EXEC VP SYSTEM DEVELOPMENT	15.00	45.00		0	578641	178557		X
GERALD OLIPHANT
EXEC VP & COO	15.00	45.00		0	660542	139447		X
GEORGES FEGHALI MD
CHIEF MEDICAL OFFICER	15.00	45.00		0	664294	181461		X
JOHN ROBINSON MD
SVP-HOSPITAL OPERATIONS	25.00	35.00		0	353874	84193		X
BARB BOYNE
EXEC DIRECTOR-BETHESDA NORTH	60.00	0.00		0	192551	63900		X
DAVE DORNHEGGEN
COO-BETHESDA HOSPITAL	30.00	30.00		0	396095	120368		X
LOREN HIRATZKA MD
PHYSICIAN	60.00	0.00		200904	200000	38748			X
SANDRA LOBERT
PRESIDENT/CEO-HOSPICE OF CINCINNATI	60.00	0.00		236841	0	40701			X
RAYMOND HELLMANN MD
PHYSICIAN	60.00	0.00		236094	0	56309			X
ALAN ALTMAN MD
PHYSICIAN	60.00	0.00		232716	0	87858			X
LAURA TRICE MD
PHYSICIAN	60.00	0.00		221347	0	40369			X
MICHAEL CROFTON
FORMER OFFICER	15.00	45.00		0	300076	79447				X
SHER MCCLANAHAN
FORMER KEY EMPLOYEE	0.00	60.00		0	391477	114389				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1172902	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7078781	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1885672	TotalOtherCompensation
Number Individuals GT100 K	89	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	CLINICAL ENGINEERING	6160921
AMERICAN NURSING CARE INC
1700 EDISON DRIVE SUITE 300	MILFORD	OH	45150	NURSE STAFFING	2268485
ARUP
PO BOX 27964	SALT LAKE CITY	UT	84127	LABORATORY RESEARCH & DVLPMT	1704411
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVE SUITE 300	MILFORD	OH	45150	PATIENT TRANSPORTATION	1555045
BUTLER PHYSICIAN'S MGMT LLC
6770 CINCINNATI-DAYTON RD 112	LIBERTY TWP	OH	45044	MANAGEMENT	714596

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	43	NumberOfContractorsGT100K
Related Organizations	1231157	RelatedOrganizations
Government Grants	94209	GovernmentGrants
All Other Contributions	138836	AllOtherContributions
Total Contributions	1464202	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE	621990	487841217	485668398	2172819
JOA REVENUE	900099	3097026	3097026
JV REVENUE	900099	1081100	1081100
AFFILIATED ORG. RENTAL	532000	513337	513337
SENIOR SERVICES	900099	176700	176700

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	145192	TotalRevenueColumn
Related Or Exempt Function Income	145192	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	492854572	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3912135	TotalRevenueColumn
Exclusion	$3,912,135	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	193703	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	193703	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	193703	TotalRevenueColumn
Exclusion	$193,703	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	289920894	Securities
Other	57083	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	265243092	Securities
Other	83490	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	24677802	Securities
Other	-26407	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	24651395	TotalRevenueColumn
Related Or Exempt Function Income	24651395	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	802736	GrossSalesOfInventory
Cost Of Goods Sold	542875	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	259861	TotalRevenueColumn
Related Or Exempt Function Income	259861	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
EHR MEANINGFUL USE	900099	7197394	7197394
APOTHECARY	621990	4129240		1087855	$3,041,385
CAFETERIA	900099	1793845			$1,793,845

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1120958	TotalRevenueColumn
Related Or Exempt Function Income	686572	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	434386	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	14241437	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	537577305	TotalRevenueColumn
Related Or Exempt Function Income	523476975	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3695060	UnrelatedBusinessRevenue
Exclusion	$8,941,068	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	270235	Total
Program Services	270235	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3699151	Total
Management And General	3699151	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	177458182	Total
Program Services	150795940	ProgramServices
Management And General	26662242	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	12943130	Total
Program Services	10107589	ProgramServices
Management And General	2835541	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	28523400	Total
Program Services	22837304	ProgramServices
Management And General	5686096	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13327628	Total
Program Services	11222814	ProgramServices
Management And General	2104814	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3163433	Total
Program Services	3109179	ProgramServices
Management And General	54254	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2473862	Total
Management And General	2473862	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	317178	Total
Management And General	317178	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1308804	Total
Management And General	1308804	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	40893179	Total
Program Services	28807056	ProgramServices
Management And General	12086123	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2871155	Total
Program Services	208634	ProgramServices
Management And General	2662521	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5968904	Total
Program Services	3997496	ProgramServices
Management And General	1971408	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9572107	Total
Program Services	632229	ProgramServices
Management And General	8939878	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9051141	Total
Program Services	7339225	ProgramServices
Management And General	1711916	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1008492	Total
Program Services	739682	ProgramServices
Management And General	268810	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	9494803	Total
Program Services	9494803	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	29405199	Total
Program Services	21483740	ProgramServices
Management And General	7921459	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	496546	Total
Management And General	496546	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL/DIETARY SUPPLY	93373209	93045254	327955
EQUIPMENT & REPAIRS	9788648	9314243	474405
OHIO HOSPITAL FEE	7199859	7199859
OVERHEAD ALLOCATION	1375925		1375925

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1493725	Total
Program Services	528806	ProgramServices
Management And General	964919	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	465477895	Total
Program Services	381134088	ProgramServices
Management And General	84343807	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9574427	BOY
EOY	4633981	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	33584848	BOY
EOY	43043237	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	683	BOY
EOY	683	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1968887	BOY
EOY	2200187	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2107129	BOY
EOY	1906667	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	525256889	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	292986311	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	234827445	BOY
EOY	232270578	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	222351696	BOY
EOY	214404703	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	152817466	BOY
EOY	128729515	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	6375525	BOY
EOY	23748065	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	19353337	BOY
EOY	21994285	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	34449036	BOY
EOY	72304524	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	717410479	BOY
EOY	745236425	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	39843942	BOY
EOY	38276775	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3816013	BOY
EOY	2203519	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	223489752	BOY
EOY	213947487	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	100111386	BOY
EOY	71873071	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	367261093	BOY
EOY	326300852	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	339584163	BOY
EOY	407736039	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10565223	BOY
EOY	11199534	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	350149386	BOY
EOY	418935573	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	717410479	BOY
EOY	745236425	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	72099410	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	9997155	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	-1470585	ReconcilationPriorAdjustment
Reconcilation Other Changes	-11839793	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$6,206	OtherActivitiesAmount
Total Lobbying Expenditures IIB	6206	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	DURING THE TAX YEAR, BETHESDA HOSPITAL, INC. ("HOSPITAL") PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION ($2,051) OF WHICH RELATED TO LOBBYING ACTIVITIES. IN ADDITION, TRIHEALTH, INC., A RELATED ORGANIZATION OF HOSPITAL, WHICH PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO HOSPITAL, PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES. A PORTION OF THE AFOREMENTIONED ADMINISTRATIVE SUPPORT SERVICES ARE ALLOCATED TO HOSPITAL AND $4,155 OF THE AMOUNT SHOWN ON LINE 1I REPRESENTS HOSPITAL'S SHARE OF THESE LOBBYING EXPENSES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3566136	BeginningOfYearBalance
Contributions	716	Contributions
Investment Earnings Or Losses	415730	InvestmentEarningsOrLosses
Other Expenditures	24268	OtherExpenditures
End Of Year Balance	3958314	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3799868	BeginningOfYearBalance
Contributions	1251	Contributions
Investment Earnings Or Losses	-156863	InvestmentEarningsOrLosses
Other Expenditures	78120	OtherExpenditures
End Of Year Balance	3566136	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3112953	BeginningOfYearBalance
Contributions	79856	Contributions
Investment Earnings Or Losses	607059	InvestmentEarningsOrLosses
End Of Year Balance	3799868	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2666720	BeginningOfYearBalance
Contributions	1000	Contributions
Investment Earnings Or Losses	445233	InvestmentEarningsOrLosses
End Of Year Balance	3112953	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3561775	BeginningOfYearBalance
Investment Earnings Or Losses	-776353	InvestmentEarningsOrLosses
Other Expenditures	118702	OtherExpenditures
End Of Year Balance	2666720	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.80000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.20000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	957693	OtherCostOrOtherBasis
Book Value	957693	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	307587439	OtherCostOrOtherBasis
Depreciation	121014801	Depreciation
Book Value	186572638	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1941399	OtherCostOrOtherBasis
Depreciation	1275716	Depreciation
Book Value	665683	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	203995811	OtherCostOrOtherBasis
Depreciation	169133050	Depreciation
Book Value	34862761	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10774547	OtherCostOrOtherBasis
Depreciation	1562744	Depreciation
Book Value	9211803	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	232270578	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
EMERGING MARKETS	22425265	F
PRIVATE EQUITY	16957904	F
HEDGE FUNDS	28175436	F
REAL ESTATE	21852668	F
OTHER	39318242	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	128729515	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM RELATED ORGANIZATIONS	57368334
NETWORK AFFILIATION RECEIVABLE	4103248
INVESTMENT IN DIRECT AFFILIATE	4898225
MALPRACTICE INSURANCE/WORKERS COMPENSATION RECEIVABLE	5774717
ESCROW DEPOSIT	160000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	72304524	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
THIRD PARTY SETTLEMENTS	$6,018,879
PENSION LIABILITY	$29,765,256
ACCRUED EIB	$6,214,720
MALPRACTICE INSURANCE/WORKERS COMPENATION LIABILITY	$26,814,231
ENVIRONMENTAL REMEDIATION LIABILITY	$3,059,985

Field	Value	IRS element (for citing)
Total Of Amounts	71873071	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	INVESTMENT PROCEEDS FROM ENDOWMENT FUNDS ARE USED TO SUPPORT BETHESDA HOSPITAL, INC. PROGRAMS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE FINANCIAL STATEMENTS OF BETHESDA HOSPITAL, INC. ARE AUDITED AS PART OF TRIHEALTH AND ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF TRIHEALTH THAT REPORTS ITS AND ITS SUBSIDIARIES AND AFFILIATES LIABILITY, IF APPLICABLE, FOR CERTAIN TAX POSITIONS UNDER ASC 740-10-25: TRIHEALTH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2013, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2013. IN ADDITION, THE FINANCIAL STATEMENTS OF BETHESDA HOSPITAL, INC. ARE AUDITED AS PART OF ITS PARENT, BETHESDA, INC. FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BETHESDA, INC. ("COMPANY") THAT REPORTS ITS AND ITS SUBSIDIARIES LIABILITY, IF APPLICABLE, FOR CERTAIN TAX POSITIONS UNDER ASC 740-10-25: THE COMPANY COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2013 AND 2012, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2013 AND 2012.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16174403	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4539290	DirectOffsettingRevenue
Net Community Benefit Expense	11635113	NetCommunityBenefitExpense
Percent Of Total Expense	0.02500	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	49293842	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31442284	DirectOffsettingRevenue
Net Community Benefit Expense	17851558	NetCommunityBenefitExpense
Percent Of Total Expense	0.03840	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	65468245	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35981574	DirectOffsettingRevenue
Net Community Benefit Expense	29486671	NetCommunityBenefitExpense
Percent Of Total Expense	0.06340	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4372570	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2258094	DirectOffsettingRevenue
Net Community Benefit Expense	2114476	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9123788	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5878212	DirectOffsettingRevenue
Net Community Benefit Expense	3245576	NetCommunityBenefitExpense
Percent Of Total Expense	0.00700	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	109790	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41292	DirectOffsettingRevenue
Net Community Benefit Expense	68498	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47775	TotalCommunityBenefitExpense
Net Community Benefit Expense	47775	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13653923	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8177598	DirectOffsettingRevenue
Net Community Benefit Expense	5476325	NetCommunityBenefitExpense
Percent Of Total Expense	0.01170	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	79122168	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44159172	DirectOffsettingRevenue
Net Community Benefit Expense	34962996	NetCommunityBenefitExpense
Percent Of Total Expense	0.07510	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$41,101,937	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	90886442	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	99882941	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8996499	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 BN NORTHEAST CARDIAC CENTER LLC
CARDIAC CARE	0.57950	0.42050
2 HAND AMBULATORY SURGERY CENTER LLC
HAND AMBULATORY SURGERY CENTER	0.50000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
BETHESDA NORTH HOSPITAL
1	10500 MONTGOMERY ROAD	CINCINNATI	OH	45242	WWW.TRIHEALTH.COM	X	X	X	X	X
BETHESDA BUTLER HOSPITAL
2	3125 HAMILTON-MASON ROAD	HAMILTON	OH	45011	WWW.TRIHEALTH.COM	X	X			X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
BETHESDA NORTH HOSPITAL
1	1	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	0	0	1	1	100.000000000000	1	400.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	0	1	X	0	0
BETHESDA BUTLER HOSPITAL (ACQUIRED 312)
2	0																				1	1	100.000000000000	1	400.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	21	NumberOfOtherFacilities

Other Facilities OtherFacilities (21 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
BETHESDA MEDICAL CENTER-ARROW SPRINGS
100 ARROW SPRINGS BLVD	LEBANON	OH	45036	24-HOUR EMERGENCY ROOM AND COMPREHENSIVE OUTPATIENT SERVICES
BETHESDA NORTH OBGYN CLINIC
10498 MONTGOMERY ROAD	CINCINNATI	OH	45242	WOMEN'S HEALTH
BETHESDA OAK CAMPUS
619 OAK STREET	CINCINNATI	OH	45206	LAB, PHARMACY AND OUTPATIENT DRUG/ALCOHOL TREATMENT
BNH AMBULATORY TREATMENT CENTER
10506 MONTGOMERY ROAD	CINCINNATI	OH	45242	OUTPATIENT INFUSION AND CHEMOTHERAPY TREATMENT
BNH SLEEP CENTER
10475 MONTGOMERY ROAD	CINCINNATI	OH	45242	SLEEP CENTER
NORTH AMBULATORY SURGERY CENTER
10506 MONTGOMERY ROAD	CINCINNATI	OH	45242	OUTPATIENT SURGICAL CENTER
BETHESDA NORTH OUTPATIENT IMAGING CTR
10494 MONTGOMERY ROAD	CINCINNATI	OH	45242	OUTPATIENT IMAGING AND COMPREHENSIVE BREAST CARE CENTER
SENIORLINK - COURT STREET
415 WEST COURT STREET	CINCINNATI	OH	45203	SENIOR CARE/DAY HEALTH CENTERS
SENIORLINK - NORWOOD
4750 WESLEY AVENUE SUITE J	CINCINNATI	OH	45212	SENIOR CARE/DAY HEALTH CENTERS
TRIHEALTH NURSE MIDWIVES
3440 BURNET AVENUE 120	CINCINNATI	OH	45229	OUTPATIENT WOMEN'S HEALTH CLINIC
BETHESDA SURGERY CENTER
10615 MONTGOMERY ROAD 300	CINCINNATI	OH	45242	OUTPATIENT SURGICAL CENTER
BETHESDA HAND REHABILITATION
10700 MONTGOMERY ROAD	CINCINNATI	OH	45242	PHYSICAL THERAPY
BETHESDA LOVELAND PHYSICAL THERAPY
10675 LOVELAND-MADERIA ROAD	LOVELAND	OH	45140	PHYSICAL THERAPY
BETHESDA FAMILY PRACTICE CENTER
4441 MONTGOMERY ROAD SUITE 206	CINCINNATI	OH	45212	FAMILY MEDICINE CLINIC
BETHESDA ALCOHOLDRUG TREATMENT
11305 REED HARTMAN HWY	CINCINNATI	OH	45242	OUTPATIENT ALCOHOL AND DRUG TREATMENT
BETHESDA BUTLER PHYSICAL THERAPY
3035 HAMILTON-MASON ROAD	HAMILTON	OH	45011	PHYSICAL THERAPY
BETHESDA BUTLER IMAGING CENTER
3075 HAMILTON-MASON ROAD	HAMILTON	OH	45011	MEDICAL IMAGING
BETHESDA BUTLER SLEEP CENTER
3055 HAMILTON-MASON ROAD	HAMILTON	OH	45011	SLEEP MEDICINE CENTER
BETHESDA HAND REHABILITATION
538 OAK STREET	CINCINNATI	OH	45219	PHYSICAL THERAPY
BETHESDA ALCOHOLDRUG TREATMENT
619 OAK STREET	CINCINNATI	OH	45206	OUTPATIENT ALCOHOL AND DRUG TREATMENT
BETHESDA REHABILITATION
6020 MASON MONTGOMERY RD	MASON	OH	45040	PHYSICAL THERAPY

Form990 Schedule H Part VI Form990ScheduleHPartVI (23 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: BETHESDA HOSPITAL, INC. UTILIZES THE FEDERAL POVERTY GUIDELINES IN DETERMINING CHARITY CARE ELIGIBILITY. SEE THE RESPONSES TO PART I, LINES 3A AND 3B.AN INDIVIDUAL'S INCOME UNDER FPG IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE. TRIHEALTH HOSPITAL INC. UTILIZES THE FEDERAL POVERTY GUIDELINES ("FPG") IN DETERMINING CHARITY CARE ELIGIBILITY. SEE THE RESPONSES TO PART I, LINE 3A AND 3B.AN INDIVIDUAL'S INCOME UNDER FPG IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE. ADDITIONALLY, AN INDIVIDUAL'S INCOME IN RELATION TO HIS/HER MEDICAL EXPENSES IS ALSO TAKEN INTO ACCOUNT AND SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
PART I, LINE 6A: IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH, INC. TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. THE COMMUNITY BENEFIT PROVIDED BY BETHESDA HOSPITAL, INC. IS TRACKED ON A STANDALONE BASIS, HOWEVER ITS COMMUNITY BENEFIT IS REPORTED IN COMBINATION WITH THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO'S COMMUNITY BENEFIT IN A REPORT PREPARED BY TRIHEALTH, INC.
PART I, LINE 7: FOR THE AMOUNTS REPORTED AT COST, IN PART I, LINE 7, BETHESDA HOSPITAL, INC. UTILIZED WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES, WHICH WAS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H, TO CALCULATE THE COST-TO-CHARGE RATIO.
PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES COMMUNITY BENEFIT AMOUNT REPORTED IN PART I, LINE 7(G) DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART II: BETHESDA HOSPITAL, INC. DID NOT ENGAGE IN ANY COMMUNITY BUILDING ACTIVITIES DURING THE TAX YEAR.
PART III, LINE 4: BETHESDA HOSPITAL, INC.'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE TRIHEALTH AUDIT REPORT.NET PATIENT ACCOUNTS RECEIVABLE (PART OF FOOTNOTE B)NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE COLLECTED. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS.THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT PERIODICALLY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY AS NECESSARY THE PROVISIONS FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS RECEIVABLE IN THE PERIOD OF SERVICE BASED UPON HISTORICAL WRITE-OFF EXPERIENCE.AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, TRIHEALTH FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY TRIHEALTH. OVERALL, THE TOTAL WRITE-OFFS OF UNCOLLECTIBLE ACCOUNTS AND ALLOWANCES ON SELF-PAY PATIENT ACCOUNTS RECEIVABLE HAS NOT SIGNIFICANTLY CHANGED SINCE JUNE 30, 2012. TRIHEALTH HAS NOT EXPERIENCED SIGNIFICANT CHANGES INW RITE-OFF TRENDS AND HAS NOT CHANGED ITS CHARITY CARE POLICY SINCE JUNE 30, 2012. THE OVERALL ALLOWANCE PERCENTAGE FOR UNCOLLECTIBLE ACCOUNTS WENT FROM 56.2% (UNAUDITED) AT JUNE 30, 2012 TO 56.6% AT JUNE 30, 2013 AS A RESULT OF SLIGHT CHANGES IN PAYOR MIX AND THE TIMING OF WRITE-OFFS.FINANCIAL INSTRUMENTS THAT POTENTIALLY SUBJECT TRIHEALTH TO CONCENTRATIONS OF CREDIT RISK CONSIST PRIMARILY OF NON-GOVERNMENTAL PATIENT ACCOUNTS RECEIVABLE. TRIHEALTH GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHOM ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE PERCENTAGES OF GROSS PATIENT ACCOUNTS RECEIVABLE FROM PATIENTS AND THIRD-PARTY PAYORS AT JUNE 30 APPROXIMATED THE FOLLOWING: 2013 - MEDICARE 19%, MEDICAID 3%, MANAGED CARE 22%, SELF PAY 23%, COMMERCIAL AND OTHER 33%2012 (UNAUDITED) - MEDICARE 17%, MEDICAID 4%, MANAGED CARE 22%, SELF PAY 22%, COMMERCIAL AND OTHER 35%TRIHEALTH HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. THE BASIS FOR PAYMENT UNDER THESE AGREEMENTS INCLUDES PROSPECTIVELY DETERMINED RATES, COST REIMBURSEMENT, NEGOTIATED DISCOUNTS FROM ESTABLISHED RATES, AND PER DIEMPAYMENTS. PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEW AND INVESTIGATIONS. THE DIFFERENCES BETWEEN THE ESTIMATED AND ACTUAL ADJUSTMENTS ARE RECORDED AS PART OF NET PATIENT SERVICE REVENUE IN FUTURE PERIODS, AS THE AMOUNTS BECOME KNOWN, OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS. TRIHEALTH RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBT IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS.AS FOR THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, BETHESDA HOSPITAL, INC. DOES NOT REPORT ACTUAL BAD DEBT EXPENSE AS COMMUNITY BENEFIT. IF UPON FURTHER RESEARCH, IT IS ULTIMATELY DETERMINED THAT A PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER TRIHEALTH'S CHARITY CARE POLICY, THOSE COSTS WOULD BE RECLASSIFIED, AS APPROPRIATE, TO COMMUNITY BENEFIT AT THAT TIME.PLEASE NOTE THAT BAD DEBT EXPENSE IS NOT DETERMINED UNTIL AFTER ALL DISCOUNTS AND ANY ASSOCIATED PAYMENTS ARE TAKEN INTO ACCOUNT. IF ANY PAYMENTS ARE RECEIVED AFTER A PATIENT ACCOUNT IS DETERMINED TO BE BAD DEBT, THE ACCOUNT WILL BE ADJUSTED ACCORDINGLY AT THAT TIME.
PART III, LINE 8: BETHESDA HOSPITAL, INC. USES THE "STEPDOWN METHODOLOGY" IN DETERMINING THE MEDICARE ALLOWABLE COSTS REPORTED ON THE MEDICARE COST REPORT. THIS METHOD OF COST FINDING PROVIDES FOR THE ALLOCATION OF THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS WHICH UTILIZE SUCH SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. BETHESDA HOSPITAL, INC. DID NOT REPORT ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT IN PART III, LINE 7 OF THIS SCHEDULE.
PART III, LINE 9B: AS OF THE FILING OF THIS RETURN, BETHESDA HOSPITAL, INC., AS PART OF TRIHEALTH, INC., MAINTAINS A WRITTEN DEBT COLLECTION POLICY. TRIHEALTH, INC., WHO PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS, WILL NOT INITIATE COLLECTION PRACTICES ON PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. BEFORE COLLECTION ACTIONS ARE TAKEN, TRIHEALTH, INC. WILL MAKE REASONABLE EFFORTS, GENERALLY AS EARLY IN THE BILLING PROCESS AS POSSIBLE, TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. AFTER SUCH EFFORTS HAVE BEEN MADE AND A BALANCE REMAINS THAT IS THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR, TRIHEALTH, INC. MAY PURSUE, IN ITS SOLE DISCRETION, WHATEVER ACTIONS IT MAY BE ENTITLED TO TAKE UNDER LAW.
PART V, SECTION B, LINE 3: DURING THE COMMUNITY HEALTH NEED ASSESSMENT ("CHNA") PROCESS, INPUT WAS RECEIVED FROM ORGANIZATIONS FROM EACH OF THE FOUR COUNTIES THAT BETHESDA NORTH HOSPITAL ("BNH") SERVES REPRESENTING UNDERSERVED POPULATIONS USING THE FOLLOWING THREE APPROACHES. THE COMBINATION OF THESE METHODS PROVIDED A WIDE-RANGE OF DATA-COLLECTION OPPORTUNITIES ON WHICH THE CHNA WAS BASED.GROUP LEVEL ASSESSMENTS ("GLA") - GLAS WERE CONDUCTED WITH PROVIDERS OF SERVICES IN BNH'S SERVICE AREA. THESE ASSESSMENTS WERE PARTICIPATORY LARGE GROUP APPROACH (SIMILAR TO FOCUS GROUPS) IN WHICH QUALITATIVE DATA ARE GENERATED ABOUT AN	BETHESDA NORTH HOSPITAL
PART V, SECTION B, LINE 4: ADAMS COUNTY REGIONAL MEDICAL CENTERATRIUM MEDICAL CENTERDEARBORN COUNTY HOSPITALFORT HAMILTON HOSPITALLINDNER CENTER OF HOPEMARGARET MAY COMMUNITY HOSPITALMCCULLOUGH-HYDE MEMORIAL HOSPITALMERCY HEALTHGOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIOUC HEALTH	BETHESDA NORTH HOSPITAL
PART V, SECTION B, LINE 7: OBESITY - BETHESDA NORTH HOSPITAL WILL ADDRESS THIS NEED IS HAMILTON AND BUTLER COUNTIES, HOWEVER, IT WILL NOT, AT THIS TIME, ENTER INTO SPECIFIC PROGRAMS IN WARREN AND CLERMONT COUNTIES. THESE COUNTIES HAVE POPULATIONS THAT ARE SIGNIFICANTLY SMALLER AND LESS DENSE THAN HAMILTON AND BUTLER COUNTIES, THEREBY PRESENTING ADDITIONAL CHALLENGES FOR AN EFFECTIVE AND COMPREHENSIVE STRATEGY.SUBSTANCE ABUSE/MENTAL HEALTH - THIS NEED WILL NOT BE ADDRESSED BY BETHESDA NORTH HOSPITAL AS ITS AFFILIATED HOSPITAL IN THE TRIHEALTH, INC. SYSTEM, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO PROVIDES THIS CARE THROUGH ITS GERIATRIC AND ADULT BEHAVIORAL HEALTH PATIENT UNITS. IT WILL NOT ADDRESS MENTAL HEALTH NEEDS OTHERWISE AS THERE IS A COMPREHENSIVE OUTPATIENT PROGRAM FOR SUBSTANCE ABUSE ELSEWHERE IN THE TRIHEALTH, INC. SYSTEM, TO WHICH GOOD SAMARITAN HOSPITAL BELONGS. BETHESDA NORTH HOSPITAL BELIEVES THAT IT CAN LEVERAGE THE TRIHEALTH NETWORK TO ASSIST IN ADDRESSING PORTIONS OF THIS SIGNIFICANT NEED, THEREBY PERMITTING IT TO ALLOCATE RESOURCES TO OTHER SIGNIFICANT NEEDS.	BETHESDA NORTH HOSPITAL
PART V, SECTION B, LINE 12H: SELECT CLINIC DISCOUNT - ELIGIBLE SERVICES RENDERED IN OR ORDERED BY PHYSICIANS AT SELECT CLINICS MAY BE DISCOUNTED IN AN AMOUNT NOT TO EXCEED 85%.O/B CLINIC DISCOUNT - O/B CLINIC PATIENTS RECEIVING ELIGIBLE SERVICES WHO DO NOT QUALIFY FOR FREE CARE AND FOR WHOM THE CHARITY CARE DISCOUNT IS NOT SUFFICIENT MAY RECEIVE A DISCOUNTED FLAT FEE PRICE FOR SUCH SERVICES.UNIQUE CIRCUMSTANCES ALLOWANCE - ALLOWANCES MAY BE GRANTED TO PATIENTS WITH UNIQUE CIRCUMSTANCES WHO DO NOT QUALIFY FOR ANY OTHER FINANCIAL ASSISTANCE.	BETHESDA NORTH HOSPITAL
PART V, SECTION B, LINE 12H: SELECT CLINIC DISCOUNT - ELIGIBLE SERVICES RENDERED IN OR ORDERED BY PHYSICIANS AT SELECT CLINICS MAY BE DISCOUNTED IN AN AMOUNT NOT TO EXCEED 85%.O/B CLINIC DISCOUNT - O/B CLINIC PATIENTS RECEIVING ELIGIBLE SERVICES WHO DO NOT QUALIFY FOR FREE CARE AND FOR WHOM THE CHARITY CARE DISCOUNT IS NOT SUFFICIENT MAY RECEIVE A DISCOUNTED FLAT FEE PRICE FOR SUCH SERVICES.UNIQUE CIRCUMSTANCES ALLOWANCE - ALLOWANCES MAY BE GRANTED TO PATIENTS WITH UNIQUE CIRCUMSTANCES WHO DO NOT QUALIFY FOR ANY OTHER FINANCIAL ASSISTANCE.	BETHESDA BUTLER HOSPITAL (ACQUIRED 3/12)
PART V, SECTION B, LINE 14G: BETHESDA NORTH HOSPITAL DOES NOT PROVIDE A DETAILED COPY OF ITS FINANCIAL ASSISTANCE POLICY TO PATIENTS HOWEVER IT DOES PROVIDE A SUMMARY OF THE POLICY IN A MANNER LISTED IN LINES 13A-13E.IN ADDITION, SUCH INFORMATION SHALL BE PROVIDED IN LANGUAGES CONSIDERED TO BE COMMONLY SPOKEN BY THE POPULATION BETHESDA NORTH HOSPITAL SERVES. IF TRANSLATION OR OTHER ASSISTANCE IS NEEDED TO FACILITATE COMPLETION AND/OR UNDERSTANDING OF THE FINANCIAL ASSISTANCE POLICY AND/OR APPLICATION TRANSLATION AND OTHER REASONABLE REQUESTS FOR ASSISTANCE WILL BE PROVIDED.	BETHESDA NORTH HOSPITAL
PART V, SECTION B, LINE 14G: BETHESDA BUTLER COUNTY MEDICAL CENTER DOES NOT PROVIDE A DETAILED COPY OF ITS FINANCIAL ASSISTANCE POLICY TO PATIENTS HOWEVER IT DOES PROVIDE A SUMMARY OF THE POLICY IN A MANNER LISTED IN LINES 13A-13E.IN ADDITION, SUCH INFORMATION SHALL BE PROVIDED IN LANGUAGES CONSIDERED TO BE COMMONLY SPOKEN BY THE POPULATION BETHESDA BUTLER COUNTY MEDICAL CENTER SERVES. IF TRANSLATION OR OTHER ASSISTANCE IS NEEDED TO FACILITATE COMPLETION AND/OR UNDERSTANDING OF THE FINANCIAL ASSISTANCE POLICY AND/OR APPLICATION TRANSLATION AND OTHER REASONABLE REQUESTS FOR ASSISTANCE WILL BE PROVIDED.	BETHESDA BUTLER HOSPITAL (ACQUIRED 3/12)
PART V, SECTION B, LINE 20D: BETHESDA NORTH HOSPITAL ("BNH") ISSUES A BILLING STATEMENT TO ALL FAP-ELIGIBLE INDIVIDUALS THAT STATE GROSS CHARGES FOR THE CARE RECEIVED AS THE STARTING POINT FOR APPLYING THE DISCOUNTS AND DEDUCTIONS THE FAP-ELIGIBLE INDIVIDUAL IS ENTITLED TO UNDER ITS FAP, SUCH THAT THE AMOUNT THAT A FAP-ELIGIBLE IS REQUIRED TO PAY IS (I) LESS THAN THE GROSS CHARGES FOR SUCH CARE AND (II) TYPICALLY LESS THAN THE AMOUNTS GENERALLY BILLED TO PERSONS WITH INSURANCE. CURRENTLY, AS PART OF THE TRIHEALTH SYSTEM, BNH PROVIDES FREE CARE TO PATIENTS WHOSE INCOME FALLS BELOW 100% OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, IT PROVIDES DISCOUNTED CARE ON A SLIDING SCALE TO PATIENTS WITH INCOMES ALL THE WAY UP TO 400% OF THE FEDERAL POVERTY GUIDELINES. ANY UNINSURED PATIENT THAT FILLS OUT A FINANCIAL ASSISTANCE FORM AUTOMATICALLY RECEIVES A 40% DISCOUNT REGARDLESS OF INCOME WHILE OTHER PATIENTS RECEIVE A 45% DISCOUNT (INCOME BETWEEN 300% AND 400% OF POVERTY GUIDELINES), 60% DISCOUNT (INCOME BETWEEN 200% AND 300% OF POVERTY GUIDELINES), OR AN 80% DISCOUNT (INCOME BETWEEN 100% AND 200% OF POVERTY GUIDELINES). THE CURRENT AVERAGE DISCOUNT WITH COMMERCIAL INSURANCE COMPANIES IS 63% SO VIRTUALLY ALL PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE WITH INCOME UP TO 300% OF THE POVERTY GUIDELINES ARE RECEIVING DISCOUNTS EQUAL TO OR GREATER THAN THE AVERAGE COMMERCIAL INSURANCE DISCOUNT. IN ADDITION, BNH BELIEVES THE TRIHEALTH FINANCIAL ASSISTANCE POLICY IS GENEROUS AS MANY HOSPITALS DO NOT OFFER ANY FINANCIAL ASSISTANCE TO PATIENTS WITH INCOME OVER 300% OF THE POVERTY GUIDELINE. HOWEVER, IT PREFERS TO EXTEND DISCOUNTS TO SUCH INDIVIDUALS RATHER THAN DENY THEM ELIGIBILITY UNDER THE POLICY SO THAT SUCH INDIVIDUALS RECEIVE SOME FINANCIAL ASSISTANCE RATHER THAN NONE.	BETHESDA NORTH HOSPITAL
PART V, SECTION B, LINE 20D: BETHESDA BUTLER HOSPITAL ("BBH") ISSUES A BILLING STATEMENT TO ALL FAP-ELIGIBLE INDIVIDUALS THAT STATES GROSS CHARGES FOR THE CARE RECEIVED AS THE STARTING POINT FOR APPLYING THE DISCOUNTS AND DEDUCTIONS THE FAP-ELIGIBLE INDIVIDUAL IS ENTITLED TO UNDER ITS FAP, SUCH THAT THE AMOUNT THAT AN FAP-ELIGIBLE INDIVIDUAL IS REQUIRED TO PAY IS (I) LESS THAN THE GROSS CHARGES FOR SUCH CARE, AND (II) TYPICALLY LESS THAN THE AMOUNTS GENERALLY BILLED TO PERSONS WITH INSURANCE. CURRENTLY, AS PART OF THE TRIHEALTH SYSTEM, BBH PROVIDES FREE CARE TO PATIENTS WHOSE INCOME FALLS BELOW 100% OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, IT PROVIDES DISCOUNTED CARE ON A SLIDING SCALE TO PATIENTS WITH INCOMES ALL THE WAY UP TO 400% OF THE FEDERAL POVERTY GUIDELINES. ANY UNINSURED PATIENT THAT FILLS OUT A FINANCIAL ASSISTANCE FORM AUTOMATICALLY RECEIVES A 40% DISCOUNT REGARDLESS OF INCOME WHILE OTHER PATIENTS RECEIVE A 45% DISCOUNT (INCOME BETWEEN 300% AND 400% OF POVERTY GUIDELINES), 60% DISCOUNT (INCOME BETWEEN 200% AND 300% OF POVERTY GUIDELINES), OR AN 80% DISCOUNT (INCOME BETWEEN 100% AND 200% OF POVERTY GUIDELINES). THE CURRENT AVERAGE DISCOUNT WITH COMMERCIAL INSURANCE COMPANIES IS 63% SO VIRTUALLY ALL PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE WITH INCOME UP TO 300% OF THE POVERTY GUIDELINES ARE RECEIVING DISCOUNTS EQUAL TO OR GREATER THAN THE AVERAGE COMMERCIAL INSURANCE DISCOUNT. IN ADDITION, BBH BELIEVES THE TRIHEALTH FINANCIAL ASSISTANCE POLICY IS GENEROUS AS MANY HOSPITALS DO NOT OFFER ANY FINANCIAL ASSISTANCE TO PATIENTS WITH INCOME OVER 300% OF THE POVERTY GUIDELINE. HOWEVER, IT PREFERS TO EXTEND DISCOUNTS TO SUCH INDIVIDUALS RATHER THAN DENY THEM ELIGIBILITY UNDER THE POLICY SO THAT SUCH INDIVIDUALS RECEIVE SOME FINANCIAL ASSISTANCE RATHER THAN NONE.	BETHESDA BUTLER HOSPITAL (ACQUIRED 3/12)
PROPOSED TREASURY REGULATION SECTION 1.503(R)-3(D), AS PUBLISHED ON APRIL 5, 2013 IN THE FEDERAL REGISTER, STATES THAT "A HOSPITAL FACILITY THAT IS NEWLY ACQUIRED ..., MUST MEET THE REQUIREMENTS OF SECTION 501(R)(3) BY THE LAST DAY OF THE SECOND TAXABLE YEAR BEGINNING AFTER THE DATE, RESPECTIVELY, THE HOSPITAL FACILITY IS ACQUIRED; ...BETHESDA BUTLER HOSPITAL WAS ACQUIRED BY BETHESDA HOSPITAL, INC. ON MARCH 1, 2012. THEREFORE, IT IS NOT REQUIRED TO MEET THE COMMUNITY HEALTH NEEDS ASSESSMENT REQUIREMENT UNTIL JUNE 30, 2014. AS SUCH, THE RESPONSE TO QUESTION 1 OF SECTION B IS ANSWERED "NO" FOR THE CURRENT TAX YEAR.	COMMUNITY HEALTH NEEDS ASSESSMENT AND NEWLY ACQUIRED HOSPITAL FACILITIES	PART V, LINE 1
PART VI, LINE 2: IN 1896, BETHESDA HOSPITAL, INC. ("BETHESDA") BEGAN AS A HOME VISITING MINISTRY OF THE METHODIST DEACONESSES TO SERVE THE HEALTH NEEDS OF THE GERMAN IMMIGRANTS LIVING IN CINCINNATI. NOW THAT MINISTRY, ONCE LED BY DEACONESS LOUISE GOLDER AND HER BROTHER REV. CHRISTIAN GOLDER, HAS GROWN INTO SEVERAL HEALTH SERVICES FOR GREATER CINCINNATI. IN 1995, BETHESDA, INC. AND GOOD SAMARITAN HOSPITAL FORMED A PARTNERSHIP TO CREATE A LOCAL HEALTH SYSTEM: TRIHEALTH, INC. ("TRIHEALTH"). THE MISSION OF TRIHEALTH IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY THROUGH A FULL RANGE OF HEALTH RELATED SERVICES-PREVENTION, WELLNESS AND EDUCATION AND THUS EXEMPLIFY THE FOUNDING SPIRIT OF THE BETHESDA DEACONESSES.THE SERVICES DESCRIBED BELOW, AND OTHERS NOT LISTED, PROMOTE COMMUNITY HEALTH IN ACUTE ILLNESS, IN MANAGEMENT OF CHRONIC DISEASE, AND IN EDUCATION AND PREVENTION MEASURES. PROGRAMS SEEK TO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF BETHESDA DID NOT ADDRESS THE ROOT CAUSES OF LOW BIRTH WEIGHT AND PREMATURITY, THE BURDEN TO GOVERNMENT MEDICAL PROGRAMS SUCH AS MEDICAID WOULD BE EVEN GREATER. IN 2011 AND 2012, BETHESDA, AS A PART OF TRIHEALTH, PARTICIPATED IN AND WAS A FUNDER OF THE WORK OF A COLLABORATIVE, REGIONAL EFFORT, THE A.I.M. FOR BETTER HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT ("A.I.M."). IN THE AREAS ASSESSED, THOSE SURVEYED WERE MORE OFTEN UNDERSERVED, INCLUDING THE UNINSURED, THE UNDERINSURED, THOSE IN LOW SOCIOECONOMIC STATUS, MINORITIES, THOSE OVER THE AGE OF SIXTY-FIVE, OR THOSE WITH A DIAGNOSIS OF MENTAL ILLNESS. THE A.I.M., PUBLISHED IN THE SPRING OF 2012, WAS THE BASIS FOR BETHESDA'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ADOPTED IN FISCAL YEAR 2013. FREE AND DISCOUNTED SERVICES ARE PROVIDED FOR THOSE UNABLE TO PAY AND MEETING ELIGIBILITY CRITERIA. THROUGH THE HOSPITAL CARE ASSURANCE PROGRAM (HCAP), BETHESDA SERVES PATIENTS MEETING CRITERIA SET FORTH BY THE OHIO DEPARTMENT OF JOBS AND FAMILY SERVICES. BETHESDA POLICY IS TO PROVIDE CHARITY CARE ON A SLIDING SCALE DISCOUNTING WHEN THE FAMILY INCOME IS UP TO 400 PERCENT OF THE ANNUALLY ESTABLISHED FEDERAL POVERTY GUIDELINE. IT OFFERS AN UNINSURED DISCOUNT FOR MEDICALLY NECESSARY SERVICES FOR THOSE WHO HAVE NO INSURANCE AND WHO DO NOT QUALIFY FOR OTHER FINANCIAL ASSISTANCE OPTIONS. FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION WHICH IS AVAILABLE ON TRIHEALTH'S WEBSITE AND BROCHURES ABOUT FINANCIAL ASSISTANCE ARE VISIBLE AND AVAILABLE IN HOSPITAL REGISTRATION AND ADMITTING AREAS.BETHESDA PROVIDED $32.2 MILLION IN TOTAL COMMUNITY BENEFIT FOR FISCAL YEAR 2012. OF THAT TOTAL, $25.4 MILLION REPRESENTED UNCOMPENSATED CARE. THE AMOUNT OF BENEFIT FOR BOTH TRADITIONAL CHARITY CARE AND FOR THE UNPAID COST OF MEDICAID IS ONE MANIFESTATION OF THE RISING RATES OF PERSONS WITHOUT HEALTH INSURANCE. THE MEDICAID PUBLIC PROGRAM REIMBURSES HOSPITALS FOR SERVICES BUT PAYMENTS MAY NOT ALWAYS COVER THE TOTAL COST OF CARE AND MEDICATIONS. THE UNPAID COST OF MEDICARE IS NOT INCLUDED IN TOTAL COMMUNITY BENEFIT. BETHESDA IS COMMITTED TO FULFILLING THE MISSION OF COMPASSION TO THE VULNERABLE MEMBERS OF THE COMMUNITIES THEY SERVE.BETHESDA PARTICIPATES IN THE REGIONAL TRAUMA SYSTEM THUS PROVIDING THE COMMUNITY WITH ACCESS TO TRAUMA CARE. THE TWO EMERGENCY ROOMS OF BETHESDA PROVIDE 24-HOUR EMERGENCY CARE TO COMMUNITY MEMBERS LIVING IN THE NORTHEAST CORRIDOR OF CINCINNATI AS WELL AS WARREN, BUTLER, AND CLERMONT COUNTIES. BETHESDA IS A LEVEL III TRAUMA CENTER AS VERIFIED BY THE COMMITTEE ON TRAUMA OF THE AMERICAN COLLEGE OF SURGEONS. ONE EXAMPLE OF ONGOING EFFORTS BY BETHESDA TO IMPROVE THE HEALTH OF THE BROADER COMMUNITY ARE PROGRAMS TO ADDRESS THE IDENTIFIED HEALTH NEED OF DIABETES. DIABETES EDUCATORS EXTEND THE EDUCATION TO THE COMMUNITY BY PROVIDING CLASSES TO A DIVERSE POPULATION, FROM AREA INDUSTRIES AND FIREHOUSE GROUPS TO RETIREMENT CENTERS. A DIABETES SUPPORT GROUP MEETS FOR CONTINUED EDUCATION IN CHRONIC DISEASE MANAGEMENT. THOUGH HEALTHY WOMEN HEALTHY LIVES WAS INSTITUTED IN JULY 2007 BY GOOD SAMARITAN HOSPITAL WOMEN'S SERVICES TO IMPROVE THE HEALTH OF THE GREATER CINCINNATI COMMUNITY, IT IS NOW FISCALLY SUPPORTED BY BETHESDA HOSPITAL AS WELL, MAKING IT A TRIHEALTH SYSTEM PROGRAM. HEALTHY WOMEN HEALTHY LIVES IS AN APPROACH BASED ON THE PREMISE THAT PREVENTION, EARLY DETECTION, TREATMENT AND ACCESS TO HEALTH CARE SERVICES IMPROVE INDIVIDUAL AND COMMUNITY HEALTH OUTCOMES. THE FOCUS IS ON HEALTH RISKS ASSOCIATED WITH THE ONSET OF MENOPAUSE. WELL ORGANIZED SCREENING AND EDUCATION EVENTS BRING THE SERVICES TO AT RISK POPULATIONS OF AFRICAN AMERICAN, APPALACHIAN, HISPANIC, UNINSURED AND UNDERINSURED WOMEN FORTY YEARS OF AGE OR OLDER. SCREENING INCLUDES OSTEOPOROSIS, MAMMOGRAPHY, CHOLESTEROL, HYPERTENSION, AND OBESITY. EVERY WOMAN RECEIVES A NURSE CONSULTATION, A COPY OF THEIR RESULTS AND A WRITTEN PRIMARY CARE REFERRAL. WOMEN WITH ABNORMAL RESULTS ARE CONTACTED AND ASSISTED IN ACCESSING PRIMARY CARE. IN ADDITION, WOMEN NEEDING PREGNANCY AND GYNECOLOGIC CARE CAN ACCESS THIS SERVICE AT THE OB/GYN CENTER AT BETHESDA NORTH HOSPITAL. CARE IS PROVIDED BY THE MEDICAL RESIDENTS IN OBSTETRICS AND GYNECOLOGY, SUPERVISED BY FACULTY PHYSICIANS. FINANCIAL COUNSELORS AND CARE COORDINATORS ASSIST IN FINDING APPROPRIATE COVERAGE, PAYMENT PLANS AND FINANCIAL AID. AS MANY OF THE WOMEN SERVED BY THE OB/GYN CENTER AT BETHESDA NORTH HOSPITAL HAVE LIMITED PROFICIENCY IN ENGLISH, QUALIFIED BILINGUAL STAFF ASSIST IN LANGUAGE INTERPRETATION. THE TRIHEALTH THINK FIRST PROGRAM IS AN ESTABLISHED BETHESDA SERVICE FOCUSED ON INJURY PREVENTION. THE THINK FIRST PROGRAM STAFF WORKS WITH COMMUNITY PARTNERS TO PROVIDE INJURY PREVENTION PROGRAMS AND COMMUNITY AWARENESS EVENTS. COLLABORATING WITH THE EDUCATORS, THE MEDIA, CIVIC CLUBS AND CORPORATIONS, THINK FIRST TEACHES INJURY PREVENTION TO ALL AGE GROUPS. THE GREATER CINCINNATI COMMUNITY HAS IDENTIFIED A SIGNIFICANT HEALTH NEED IN INFANT MORTALITY AND PREMATURITY. TRIHEALTH HAS COMBINED EFFORTS WITH THE LARGER MEDICAL COMMUNITY, AGENCIES AND OTHER STAKEHOLDERS TO ADDRESS THIS ISSUE. JUST AT BETHESDA NORTH HOSPITAL, THERE WERE 4,012 DELIVERIES IN FISCAL YEAR 2013. THE PERCENTAGE THAT WERE BORN WEIGHING LESS THAN 2500 GRAMS DECREASED BY ALMOST 1% FROM FISCAL YEAR 2012. AS A SYSTEM, TRIHEALTH WORKS TO REDUCE ELECTIVE DELIVERIES BEFORE THE 39TH WEEK. THE CARE MANAGEMENT PROVIDED TO MOTHERS BY BETHESDA PERINATAL SOCIAL WORKERS AND CARE COORDINATORS HELP IN THIS GOAL.BETHESDA, WITH OTHER ORGANIZATIONS, PROVIDE SUPPORT TO THE RESPITE CENTER, SERVING THE ADULT HOMELESS OF CINCINNATI. THE RESPITE CENTER, WITH 14 BEDS AND 24 HOUR COVERAGE, PROVIDES FREE MEDICAL SERVICES AND ACCOMMODATIONS FOR HOMELESS PERSONS NEEDING SOME MEDICAL OVERSIGHT. RESPITE HELPS PEOPLE WITHOUT HOMES TOWARD INDEPENDENT LIVING IN PERMANENT HOUSING. BETHESDA CONTINUES A COMMITMENT TO EDUCATING THE NEXT GENERATION OF HEALTH CARE PROVIDERS--PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. COST IN EXCESS OF GOVERNMENTAL SUPPORT FOR MEDICAL EDUCATION PROGRAMS AT BETHESDA TOTALED APPROXIMATELY $2.7 MILLION IN FISCAL YEAR 2013.BETHESDA, AS PART OF TRIHEALTH, SPONSORS MEDICAL RESIDENCIES. THERE WERE 32 TOTAL RESIDENTS IN A JOINT OBSTETRICS AND GYNECOLOGY RESIDENCY AT TRIHEALTH HOSPITALS IN FISCAL YEAR 2013 WITH THREE GYNECOLOGY-UROLOGY FELLOWS. ALSO, THE BETHESDA FAMILY PRACTICE RESIDENCY INCLUDED 19 RESIDENTS AND TWO BETHESDA SPORTS MEDICINE FELLOWS IN FISCAL YEAR 2013.THE BETHESDA PARAMEDIC TRAINING PROGRAM IS A HOSPITAL-BASED PROGRAM ACCREDITED BY THE OHIO DEPARTMENT OF TRANSPORTATION. THROUGH THIS TRAINING PROGRAM, CERTIFIED EMERGENCY MEDICAL TECHNICIANS CAN ADVANCE TO THE PARAMEDIC LEVEL. EDUCATION IS COMPRISED OF DIDACTIC SESSIONS, WITH LAB, FIELD, AND HOSPITAL CLINICAL ROTATIONS. BETHESDA, AS A PART OF TRIHEALTH, COLLABORATES WITH LOCAL AND REGIONAL COLLEGES, UNIVERSITIES AND TRAINING CENTERS TO PROVIDE MENTORING, INTERNSHIPS, CLERKSHIPS, SUPERVISED EDUCATION AND CLINICAL ROTATIONS TO STUDENTS IN HEALTH FIELDS. THESE PARTNERSHIPS HELP STUDENTS LEARN ABOUT AND PREPARE FOR PROFESSIONS IN NURSE PRACTITIONER, RESPIRATORY THERAPY, RADIOLOGY TECHNOLOGY, STERILE PROCESSING, PHLEBOTOMY, MEDICAL LABORATORY, PHARMACY, SPEECH, AUDIOLOGY, PHYSICAL THERAPY, AND OCCUPATIONAL THERAPY. IN CONCLUSION, ASIDE FROM THE CHARITY CARE AND UNPAID COST OF MEDICARE PROGRAMS, BETHESDA PROVIDES THE COMMUNITY WITH HEALTH CARE SERVICES AND PROGRAMS, MEDICAL EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS FOR THE POOR AND THE BROADER COMMUNITY. THIS COMMITMENT TO COMMUNITY HEALTH REVEALS BETHESDA'S FOUNDING SPIRIT OF CONCERN FOR THE VULNERABLE. IT ALSO REFLECTS THE ONGOING, TANGIBLE EFFORTS AND CONTRIBUTIONS OF COUNTLESS EMPLOYEES, PHYSICIANS AND LEADERS LIVING THE CORE VALUES OF STEWARDSHIP AND RESPONSE TO COMMUNITY NEEDS.
PART VI, LINE 3: TRIHEALTH, INC. PERFORMS THE BILLING SERVICES FOR ALL AFFILIATED HOSPITALS INCLUDING BETHESDA HOSPITAL, INC. BROCHURES/APPLICATIONS, PROVIDED IN MULTIPLE LANGUAGES, ARE VISIBLE AND AVAILABLE IN THE REGISTRATION AND ADMITTING AREAS OF ALL TRIHEALTH AFFILIATED HOSPITALS. IN ADDITION, THE APPLICATION IS PRINTED ON THE REVERSE SIDE OF A PATIENT'S BILL WITH INSTRUCTIONS ON HOW TO COMPLETE THE APPLICATION AS WELL AS HOW TO RETURN IT. FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. FINALLY, TRIHEALTH INC.'S WEBSITE CONTAINS INFORMATION REGARDING ITS CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS WITH DIRECTIONS ON HOW TO CONTACT THE APPROPRIATE PERSONNEL TO INITIATE AN APPLICATION OR ASK QUESTIONS ABOUT THE PROCESS.
PART VI, LINE 4: LOCATED IN CINCINNATI, OHIO, BETHESDA HOSPITAL, INC. AND THE TRIHEALTH, INC. SYSTEM SERVE HAMILTON, BUTLER, WARREN, CLINTON AND CLERMONT COUNTIES IN OHIO, AS WELL AS PERSONS FROM INDIANA AND KENTUCKY. IN METROPOLITAN STATISTICAL AREAS, THE CINCINNATI-MIDDLETOWN REGION IS THE LARGEST IN OHIO. THE ESTIMATED POPULATION FOR THIS AREA IS 2,150,000. THE POPULATION WITHIN THE FIVE OHIO COUNTIES SERVED BY BETHESDA HOSPITAL, INC. AND TRIHEALTH, INC. IS ESTIMATED TO BE 1,663,000 AND 11.0 PERCENT OF THIS POPULATION IS UNINSURED.
PART VI, LINE 5: BETHESDA HOSPITAL, INC. IS COMPRISED OF VARIOUS MEDICAL SERVICES INCLUDING BETHESDA NORTH HOSPITAL ("NORTH"), BETHESDA MEDICAL CENTER AT ARROW SPRINGS ("ARROW SPRINGS") AND BETHESDA BUTLER HOSPITAL ("HOSPITAL"). ITS BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. NORTH IS A 458-BED ACUTE TERTIARY TEACHING HOSPITAL. NORTH PROVIDES A 24-HOUR EMERGENCY DEPARTMENT, INTENSIVE CARE UNITS AND A LEVEL II SPECIAL CARE NURSERY. SERVICES ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. IN ADDITION, NORTH HAS AN OPEN MEDICAL STAFF AND A HISTORY OF TRAINING AND EDUCATING MEDICAL RESIDENTS AND HEALTH CARE PROFESSIONALS. FINALLY IN CONCERT WITH THE HATTON INSTITUTE AT THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, AN AFFILIATED HOSPITAL, NORTH CONDUCTS MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS INCLUDING STUDIES THAT ARE NOT COMMERCIALLY SPONSORED. NORTH PARTICIPATES IN MEDICARE AND MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, AND HAS AN ACTIVE CHARITY CARE PROGRAM.ARROW SPRINGS COMPRISES A FULLY STAFFED 24-HOUR EMERGENCY DEPARTMENT, PRIMARY CARE AND SPECIALIST PHYSICIANS, DIAGNOSTIC SERVICES, OCCUPATIONAL MEDICINE, PHYSICAL THERAPY AND A PHARMACY. IT PROVIDES THE SAME HIGH-QUALITY, PATIENT-CENTERED CARE AND SERVICES THAT IS PROVIDED BY NORTH. BUTLER IS A 10-BED SURGICAL HOSPITAL WITH EIGHT OPERATING ROOMS, THREE ENDOSCOPY SUITES, TWO PROCEDURE ROOMS AND A 24-HOUR EMERGENCY DEPARTMENT.THE BETHESDA HOSPITAL, INC. SERVICES DESCRIBED ABOVE, AND OTHERS NOT LISTED, PROMOTE COMMUNITY HEALTH IN ACUTE ILLNESS, IN MANAGEMENT OF CHRONIC DISEASE, AND IN EDUCATION AND PREVENTION MEASURES WHICH SEEK TO REDUCE THE BURDENS ON THE GOVERNMENT.
PART VI, LINE 6: IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH, INC. TO CREATE AN INTEGRATED HEALTH DELIVERY SYSTEM WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE THEY SERVE, WITH AN EMPHASIS ON PREVENTION, WELLNESS AND EDUCATION. TRIHEALTH, INC.'S SITES INCLUDE FOUR HOSPITAL LOCATIONS AND VARIOUS PHYSICIAN OFFICE BUILDINGS THROUGHOUT THE GREATER CINCINNATI AREA IN ADDITION TO FITNESS, REHABILITATION, OCCUPATIONAL HEALTH, PALLIATIVE CARE SERVICES AND OUTPATIENT CENTERS. IT ALSO PROVIDES SERVICES IN HOMES AND WORKPLACES AND DELIVERS CARE AND EDUCATION COOPERATIVELY THROUGH COMMUNITY-BASED ORGANIZATIONS, SUCH AS CHURCHES, SCHOOLS, CLINICS AND SOCIAL AGENCIES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
UPTOWN CONSORTIUM INC
629 OAK STREET SUITE 306	CINCINNATI	OH	45206	200688727	501(C)(3)	142100	GENERAL PURPOSE
BETHESDA FOUNDATION INC
619 OAK STREET	CINCINNATI	OH	45206	237374129	501(C)(3)	27930	SPONSORSHIP
THE HEALTH COLLABORATIVE
2649 ERIE AVENUE 2ND FLOOR	CINCINNATI	OH	45208	311449807	501(C)(3)	20825	GENERAL PURPOSE
CENTER FOR RESPITE CARE INC
PO BOX 141301	CINCINNATI	OH	45229	202544994	501(C)(3)	24500	GENERAL PURPOSE
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
619 OAK STREET	CINCINNATI	OH	45206	311206047	501(C)(3)	5880	SPONSORSHIP
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	49000	SPONSORSHIP

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: BETHESDA HOSPITAL, INC. ("HOSPITAL") PROVIDES GRANTS TO OTHER ORGANIZATIONS DIRECTLY ON A VERY LIMITED BASIS. IN THOSE INSTANCES, THE DEPARTMENT GRANTING THE FUNDS IS RESPONSIBLE FOR OBTAINING AND STORING ALL NECESSARY INFORMATION FROM THE OTHER ORGANIZATION RELATIVE TO HOW THE FUNDS WILL BE SPENT. GENERALLY, GRANTS ARE PROVIDED, ON BEHALF OF HOSPITAL THROUGH TRIHEALTH, INC. ("TRIHEALTH"), A SUPPORTING ORGANIZATION OF HOSPITAL, WHICH PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO HOSPITAL. AS SUCH, TRIHEALTH IS RESPONSIBLE FOR MONITORING THE USE OF HOW THE FUNDS WILL BE SPENT.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN PROUT
PRESIDENT/CEO	0	897189	0	440000	0	654732	0	322151	0	9262	0	2323334	0	623396
STEPHEN BLATT MD
TRUSTEE-MED STAFF PRES-GOOD SAM	0	123837	0	0	0	45000	0	20252	0	0	0	189089	0	0
DONNA NIENABER ESQ
SVP CORP COUNSEL/ASST SECRTRY	0	317613	0	179465	0	43621	0	148484	0	16298	0	705481	0	0
CRAIG RUCKER
SVP CFO/ASST TREASURER	0	428317	0	166025	0	24639	0	132778	0	10700	0	762459	0	0
WILLIAM GRONEMAN
EXEC VP SYSTEM DEVELOPMENT	0	372208	0	147256	0	59177	0	152964	0	25593	0	757198	0	18369
GERALD OLIPHANT
EXEC VP & COO	0	461201	0	180472	0	18869	0	115686	0	23761	0	799989	0	0
GEORGES FEGHALI MD
CHIEF MEDICAL OFFICER	0	378527	0	268943	0	16824	0	159727	0	21734	0	845755	0	0
JOHN ROBINSON MD
SVP-HOSPITAL OPERATIONS	0	270570	0	71915	0	11389	0	59119	0	25074	0	438067	0	0
BARB BOYNE
EXEC DIRECTOR-BETHESDA NORTH	0	149317	0	36648	0	6586	0	44665	0	19235	0	256451	0	0
DAVE DORNHEGGEN
COO-BETHESDA HOSPITAL	0	275632	0	100029	0	20434	0	105199	0	15169	0	516463	0	0
LOREN HIRATZKA MD
PHYSICIAN	200454	0	450	200000	0	0	38748	0	0	0	239652	200000	0	0
SANDRA LOBERT
PRESIDENT/CEO-HOSPICE OF CINCINNATI	178419	0	42616	0	15806	0	33743	0	6958	0	277542	0	0	0
RAYMOND HELLMANN MD
PHYSICIAN	232619	0	200	0	3275	0	42503	0	13806	0	292403	0	0	0
ALAN ALTMAN MD
PHYSICIAN	214216	0	0	0	18500	0	64780	0	23078	0	320574	0	0	0
LAURA TRICE MD
PHYSICIAN	219319	0	200	0	1828	0	32786	0	7583	0	261716	0	0	0
MICHAEL CROFTON
FORMER OFFICER	0	214926	0	53626	0	31524	0	57136	0	22311	0	379523	0	0
SHER MCCLANAHAN
FORMER KEY EMPLOYEE	0	276370	0	95188	0	19919	0	103522	0	10867	0	505866	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 4B	ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS 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. TRIHEALTH, INC., THE RELATED ORGANIZATION THAT PAID THE SALARIES OF THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II, CONTRIBUTED, ON BEHALF OF THE FOLLOWING INDIVIDUALS, TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE AMOUNTS AS NOTED: JOHN PROUT - $270,273 DONNA NIENABER, ESQ. - $80,229 MICHAEL CROFTON - $19,219 CRAIG RUCKER - $90,400 SHER MCCLANAHAN - $48,246 WILLIAM GRONEMAN - $91,107 GERALD OLIPHANT - $94,160 GEORGES FEGHALI, MD - $101,398 JOHN ROBINSON, MD - $33,755 DAVE DORNHEGGEN - $48,639 SANDRA LOBERT - $11,304 IN ADDITION, THE FOLLOWING INDIVIDUAL LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC.: JOHN PROUT - $623,396 WILLIAM GRONEMAN - $18,369
PART III	PART I, LINE 3: TRIHEALTH, INC., A RELATED ORGANIZATION OF BETHESDA HOSPITAL, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. PART I, LINE 4A - SEVERANCE PAYMENTS: THE REPORTABLE INDIVIDUALS OF BETHESDA HOSPITAL, INC. 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). THESE INDIVIDUALS DO NOT HAVE EMPLOYMENT AGREEMENTS SO NO SPECIAL ARRANGEMENTS EXIST BEYOND TRIHEALTH, INC.'S 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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2012 CALENDAR YEAR.	SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THE OFFICERS, DIRECTORS AND TRUSTEES OF BETHESDA HOSPITAL, INC. LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARDS OF TRIHEALTH, INC., TRIHEALTH HOSPITAL, INC. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, ALL AFFILIATED ENTITIES OF BETHESDA HOSPITAL, INC. WAYNE SHIRCLIFF, STUART DONOVAN, MD, CRAIG EISENTROUT, MD, ROBERT L. WALKER, MICHAEL HAVERKAMP, AND MYRTIS POWELL HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF BETHESDA, INC., THE SINGLE CORPORATE MEMBER OF BETHESDA HOSPITAL, INC. JOHN PROUT AND CRAIG EISENTROUT, MD HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF BETHESDA FOUNDATION, INC., A RELATED ENTITY OF BETHESDA HOSPITAL, INC. JOHN PROUT AND MYRTIS POWELL HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE, AN AFFILIATED ENTITY OF BETHESDA HOSPITAL, INC. JOHN PROUT, DONNA NIENABER, ESQ., CRAIG RUCKER, WILLIAM GRONEMAN, GERALD OLIPHANT, STUART DONOVAN, MD, STEPHEN BLATT, MD, GEORGES FEGHALI, MD, JOHN ROBINSON, MD, BARB BOYNE AND DAVE DORNHEGGEN 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. SR. SALLY DUFFY AND MICHAEL MCGRAW HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER VIA AN UNRELATED TAX-EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6	BETHESDA HOSPITAL, INC. HAS TWO CORPORATE MEMBERS - BETHESDA, INC. (VOTING MEMBER) AND TRIHEALTH, INC. (NON-VOTING MEMBER).
FORM 990, PART VI, SECTION A, LINE 7A	BETHESDA, INC. HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF BETHESDA HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7B	BETHESDA, INC. MUST APPROVE CERTAIN FINANCIAL TRANSACTIONS, AMENDMENTS TO BETHESDA HOSPITAL, INC.'S GOVERNING DOCUMENTS AND THOSE MATTERS RESERVED BY OHIO LAW.
FORM 990, PART VI, SECTION B, LINE 11	MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 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 PRESENTATION TO THE BOARD, THE ORGANIZATION FILES THE RETURN MAKING ANY NON-SUBSTANTIVE CHANGES 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 BETHESDA HOSPITAL, INC.'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	BETHESDA HOSPITAL, INC.'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	CONTRIBUTED CAPITAL TO PARENT -10,000,000. LOSS ON UNCONSOLIDATED ORGANIZATIONS -28,593,284. CHANGE IN PENSION PLAN/SERP FUNDED STATUS 26,007,221. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS HELD AT FOUNDATION 754,806. MISCELLANEOUS -8,536.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART I, LINE 6	DURING THE TAX YEAR, BETHESDA HOSPITAL, INC. WAS ASSISTED BY 1,400 VOLUNTEERS WHO DONATED APPROXIMATELY 143,300 HOURS. VOLUNTEERS HELPED THROUGH THE FOLLOWING: BETHESDA NORTH HOSPITAL AND BETHESDA CENTER - ARROW SPRINGS ("HOSPITALS") THESE FACILITIES WERE ASSISTED BY 1,333 VOLUNTEERS WHO DONATED APPROXIMATELY 139,000 HOURS IN ALMOST EVERY DEPARTMENT OF THE HOSPITALS. VOLUNTEERS PROVIDED SERVICES IN THE VARIOUS WAITING ROOMS (E.G. ENDOSCOPIC CATHETERIZATION, SURGERY) AS WELL AS BOTH THE INPATIENT AND OUTPATIENT PHARMACIES AND ALL AREAS OF PHYSICAL THERAPY. ESCORT VOLUNTEERS DISCHARGED A LARGE PERCENTAGE OF BOTH INPATIENTS AND OUTPATIENTS AS WELL AS PERFORMING ERRANDS FOR THE HOSPITALS. ALSO VOLUNTEERS OF THE HOSPITALS PROVIDED HEALING TOUCH TO PATIENTS AND OUTPATIENTS, VISITED WITH PATIENTS AND THEIR FAMILIES, PROVIDED PASTORAL CARE SERVICES TO PATIENTS AND PROVIDED THE BOOK CART TO PATIENTS EACH DAY. FINALLY, CRAFTER VOLUNTEERS, WORKING FROM THEIR HOMES, MADE VARIOUS ITEMS FOR PATIENTS AND NEWBORNS. SENIOR SERVICES (SENIORITY AND SENIORLINK) - 4 VOLUNTEERS VOLUNTEERS OF SENIORITY, WHICH PROVIDES CONTINUING EDUCATION FOR OLDER ADULTS AND THEIR FAMILIES, ASSISTED IN VARIOUS SPECIAL EVENTS/PROJECTS AS WELL AS PROVIDED OFFICE HELP. SENIORLINK HELPS PEOPLE 55 AND OLDER WITH CHRONIC CARE NEEDS TO STAY HEALTHY AND INDEPENDENT AS LONG AS POSSIBLE BY PROVIDING PARTICIPANTS WITH MEDICAL AND SOCIAL SERVICES DELIVERED IN THEIR HOMES AND AT ONE OF THREE SENIORLINK DAY HEALTH CENTERS. VOLUNTEERS ASSISTED IN VARIOUS SERVICES OFFERED BY SENIORLINK.	VOLUNTEER INFORMATION
FORM 990, PART VI, SECTION A, LINE 1A	THE BOARD OF TRUSTEES OF BETHESDA HOSPITAL, INC. ("THE CORPORATION"), ESTABLISHED AN EXECUTIVE COMMITTEE WHICH MAY EXERCISE SUCH POWER AND AUTHORITY OF THE BOARD OF TRUSTEES IN INTERVALS BETWEEN MEETINGS OF THE BOARD AS AUTHORIZED BY THE BOARD. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT & CEO, THE SECRETARY AND TWO OTHER BOARD MEMBERS ALL IN ACCORDANCE WITH THE NETWORK AFFILIATION AGREEMENT.	EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY
FORM 990, PART XII, LINE 2C	THE FINANCIAL STATEMENTS OF BETHESDA HOSPITAL, INC. ("HOSPITAL") 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. IN ADDITION, HOSPITAL'S FINANCIAL STATEMENTS ARE AUDITED WITH BETHESDA, INC., THE PARENT ORGANIZATION OF HOSPITAL. BETHESDA, INC. HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF BOTH ITS AND ITS SUBSIDIARIES 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 EITHER TRIHEALTH OR BETHESDA, INC.	CHANGE IN PROCESS OF AUDIT OVERSIGHT OR SELECTION OF INDEPENDENT AUDITOR
FORM 990, PART VI, SECTION B, LINE 16B	DURING THE YEAR, BETHESDA HOSPITAL, INC. PARTICIPATED IN A JOINT VENTURE WITH ONE OR MORE TAXABLE PERSONS AND/OR ORGANIZATIONS. AS OF THE END OF THE FISCAL YEAR, BETHESDA HOSPITAL, INC. HAD NOT ADOPTED A WRITTEN POLICY OR PROCEDURE THAT REQUIRES THE ORGANIZATION TO NEGOTIATE, IN ITS TRANSACTIONS AND ARRANGEMENTS WITH OTHER MEMBERS OF THE VENTURE OR ARRANGEMENT, SUCH TERMS AND SAFEGUARDS AS ARE ADEQUATE TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED. HOWEVER, ALL JOINT VENTURES, WHEN ENTERED INTO, HAVE OUTSIDE LEGAL COUNSEL REVIEW OF THE OPERATING AGREEMENT OR OTHER ORGANIZATIONAL DOCUMENTS TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED PRIOR TO THE COMMENCEMENT OF THE JOINT VENTURE. ONCE THE JOINT VENTURE COMMENCES, BETHESDA HOSPITAL, INC. PERSONNEL MONITORS ITS ACTIVITITES TO ENSURE THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED.	ADOPTION OF WRITTEN POLICY AND PROCEDURES EVALUATING JV ARRANGEMENTS
FORM 990, PART VII, SECTION A	THE OFFICERS AND DIRECTORS FOR BETHESDA HOSPITAL, INC. 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. DIRECTORS (AS NOTED WITH A "MED STAFF PRES" REFERENCE) FOR BETHESDA HOSPITAL, INC. SERVE ON THE BOARD IN THEIR CAPACITY AS MEDICAL STAFF PRESIDENT FOR EITHER BETHESDA HOSPITAL, INC. OR THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. COMPENSATION SHOWN OF $45,000 IS FOR HIS/HER DUTIES AS MEDICAL STAFF PRESIDENT OF THE RESPECTIVE HOSPITAL AND NOT FOR SERVING AS A DIRECTOR. IN ADDITION, THESE INDIVIDUALS SERVE AS FACULTY AT THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO. REMAINING COMPENSATION SHOWN IS FOR THOSE DUTIES AND NOT FOR SERVING AS A DIRECTOR.	AVERAGE HOURS PER WEEK

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
BETHESDA INC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311108895	INVESTMENT MANAGEMENT	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 11C	N/A	0
BETHESDA FOUNDATION INC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	237374129	FUNDRAISING	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 7		1	BETHESDA INC
BETHESDA HEALTHCARE INC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311027660	HEALTHCARE SERVICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 11B		1	BETHESDA INC
BETHESDA FAMILY PRACTICE CENTER
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311242442	HEALTHCARE SERVICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 11C		1	BETHESDA HOSPITAL INC
BETHESDA PROPERTIES INC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311352694	PROPERTY MANAGEMENT	OH	SECTION 501(C)(2)			1	BETHESDA HOSPITAL INC
HOSPICE OF CINCINNATI INCORPORATED
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	310917155	HOSPICE SERVICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 9		1	BETHESDA HOSPITAL INC
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311179234	COUNSELING TO GRIEVING CHILDREN	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 7		1	HOSPICE OF CINCINNATI INCORPORATED
TRIHEALTH INC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311438846	SUPPORT AFFILIATED HOSPITALS	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 11B	N/A	1
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	310537486	INPATIENT AND OUTPATIENT SERVICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 3		1	TRIHEALTH INC
GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311778403	EDUCATION	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 2		1	THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	237419853	DIALYSIS	OH	SECTION 501(C)(2)			1	THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
GOOD SAMARITAN HOSPITAL FREE CLINIC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	273893817	HEALTHCARE SERVICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 7		1	TRIHEALTH INC
TRIHEALTH HOSPITALINC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	461393755	INPATIENT AND OUTPATIENT SERVICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 3		1	TRIHEALTH INC
TRIHEALTH PHYSICIAN ENTERPRISE CORP
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311383365	PHYSICIAN PRACTICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 9		1	TRIHEALTH INC
TRIHEALTH PHYSICIAN INSTITUTE
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311074519	PHYSICIAN PRACTICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 9		1	TRIHEALTH INC

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
BN NORTHEAST CARDIAC CENTER LLC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	201297322	CARDIAC CARE	OH	N/A	RELATED	-193256	0	1	0.57950
10600 MONTGOMERY LLC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	261964995	PROPERTY MANAGEMENT	OH	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
TJ CUBEDMONTGOMERY INC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	261964885	HOLDING COMPANY	OH	N/A	S	1
TRIHEALTH PHYSICIANS OF INDIANA INC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	461125130	PHYSICIAN PRACTICES	OH	N/A	C	1
TRIHEALTH PHYSICIAN SOLUTIONS INC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	311444353	CLAIMS ADMINISTRATION	OH	N/A	C	1
TRIHEALTH CIPHO INC
619 OAK STREET-ACCOUNTING 3 WEST	CINCINNATI	OH	45206	463294306	PHYSICIAN HEALTH ORGANIZATION	OH	N/A	C	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BETHESDA HEALTHCARE INC
A	32454	FMV
TRIHEALTH PHYSICIAN ENTERPRISE CORP
A	325433	FMV
TRIHEALTH PHYSICIAN INSTITUTE
A	155449	FMV
BETHESDA INC
B	10000000	CASH
BETHESDA FOUNDATION INC
C	1231157	CASH
GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
K	11440	FMV
BETHESDA PROPERTIES INC
K	1625583	FMV
BETHESDA HEALTHCARE INC
K	412467	FMV
TRIHEALTH PHYSICIAN ENTERPRISE CORP
K	8400	FMV
TRIHEALTH INC
K	5693	FMV
TRIHEALTH INC
L	176700	FMV
TRIHEALTH PHYSICIAN SOLUTIONS INC
M	274245	FMV
TRIHEALTH INC
P	81903207	COST
TRIHEALTH INC
P	188611040	COST
HOSPICE OF CINCINNATI INCORPORATED
O	32831230	FMV
BETHESDA INC
O	2004479	FMV
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
O	397029	FMV
BETHESDA FOUNDATION INC
O	1024561	FMV
BETHESDA PROPERTIES INC
O	463716	FMV