BETHESDA HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BETHESDA HOSPITAL INC (EIN 31-0537122)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201311309349301911
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-10T11:38:06-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 EAST FIFTH STREETAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310537122EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHESDA HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBETHNameControl
Phone5135696575Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL CROFTONName
TitleVP FINANCETitle
Phone5135696575Phone
Date Signed2013-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN S PROUTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode
FieldValueIRS element (for citing)
Gross Receipts573830859GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TRIHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1896YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees4364TotalNbrEmployees
Total Nbr Volunteers1384TotalNbrVolunteers
Total Gross UBI4028723TotalGrossUBI
Net Unrelated Business Txbl Income-112667NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6620381ContributionsGrantsPriorYear
Contributions Grants Current Year1374854ContributionsGrantsCurrentYear
Program Service Revenue Prior Year490584196ProgramServiceRevenuePriorYear
Program Service Revenue CY527662857ProgramServiceRevenueCY
Investment Income Prior Year32432306InvestmentIncomePriorYear
Investment Income Current Year11278871InvestmentIncomeCurrentYear
Other Revenue Prior Year6979590OtherRevenuePriorYear
Other Revenue Current Year6934856OtherRevenueCurrentYear
Total Revenue Prior Year536616473TotalRevenuePriorYear
Total Revenue Current Year547251438TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year353065GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY407512GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year223198502SalariesEtcPriorYear
Salaries Etc Current Year235046180SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year249256284OtherExpensePriorYear
Other Expenses Current Year259594841OtherExpensesCurrentYear
Total Expenses Prior Year472807851TotalExpensesPriorYear
Total Expenses Current Year495048533TotalExpensesCurrentYear
Revenues Less Expenses Prior Year63808622RevenuesLessExpensesPriorYear
Revenues Less Expenses CY52202905RevenuesLessExpensesCY
Total Assets BOY705816400TotalAssetsBOY
Total Assets EOY717410479TotalAssetsEOY
Total Liabilities BOY337017150TotalLiabilitiesBOY
Total Liabilities EOY367261093TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY368799250NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY350149386NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense423984997Expense
Grants407512Grants
Revenue525087685Revenue
DescriptionSEE SCHEDULE HDescription
Total Program Service Expense423984997TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096374NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4364NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body0MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL CROFTONNamePerson
Telephone Number5135696577TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1619 OAK STREET - ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
STEPHEN SCHRANTZ
SECRETARY1.00XX000
MICHAEL HAVERKAMP
TRUSTEE1.00X000
ROBERT WALKER
CHAIRMAN1.00XX000
JOHN PROUT
PRESIDENT/CEO (SCH O)1.00XX01226184296426
PAUL EDGETT III
TRUSTEE1.00X000
SILVANIA NG MD
TRUSTEE (SCH O-MED STAFF PRES)1.00X4500000
THOMAS FINN
TRUSTEE1.00X000
MYRTIS POWELL
TRUSTEE1.00X000
MARC ALEXANDER MD
TRUSTEE (SCH O-MED STAFF PRES)1.00X0450000
SR MARY ELLEN MURPHY
TRUSTEE1.00X000
MICHAEL MCGRAW
VICE CHAIR/TREASURER1.00XX000
STEPHEN BLATT MD
TRUSTEE (SCH O)1.00X012903715131
STUART DONOVAN MD
TRUSTEE (SCH O-MED STAFF PRES)1.00X1200000
CRAIG EISENTROUT MD
TRUSTEE (START 9/2011)1.00X000
WAYNE SHIRCLIFF
TRUSTEE (START 1/2012)1.00X000
DONNA NIENABER ESQ
ASST. SECRETARY (SCH O)1.00X0481624151957
CRAIG RUCKER
ASST TREAS/CFO (SCH O)1.00X0543549129732
SHER MCCLANAHAN
CHIEF OPERATING OFFICER-BN60.00036459084415X
WILLIAM GRONEMAN
EXEC VP (SCH O)1.000548818164974X
GERALD OLIPHANT
EXEC VP & COO (SCH O)1.000598073124115X
GEORGES FEGHALI MD
CMO (SCH O)1.000513570155997X
STEVEN JOHNSON MD
PHYSICIAN60.00251966035587X
ALAN ALTMAN MD
PHYSICIAN60.00234535077607X
LAURA TRICE MD
PHYSICIAN60.00230964036775X
ANTHONY BORZOTTA MD
PHYSICIAN60.00228569062634X
SANDRA LOBERT
PRESIDENT/CEO-HOSPICE60.00224645038468X
MICHAEL CROFTON
FORMER OFFICER (SCH O)0.00027899575312X
ROBERT HALONEN
FORMER OFFICER0.0002278860X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1227679TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4957326TotalReportableCompFrmRltdOrgs
Total Other Compensation1449130TotalOtherCompensation
Number Individuals GT100 K90NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112CLINICAL ENGINEERING4998911
ARUP
PO BOX 27964SALT LAKE CITYUT84127LABORATORY RESEARCH & DVLPMT1893852
TRI-STATE HEALTHCARE LAUNDRY INC
551 S LOOP ROADEDGEWOODKY41017LAUNDRY SERVICE1532627
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVE SUITE 300MILFORDOH45150PATIENT TRANSPORTATION1438855
AMERICAN NURSING CARE INC
1700 EDISON DRIVE SUITE 300MILFORDOH45150NURSING STAFFING1063874
FieldValueIRS element (for citing)
Number Of Contractors GT100 K43NumberOfContractorsGT100K
Related Organizations1374854RelatedOrganizations
Total Contributions1374854TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT REVENUE6219905298260435279003471925696
NONPATIENT LAB REVENUE621990525496525496
AFFILIATED ORG. RENTAL532000421280$421,280
RESEARCH REVENUE900099254039254039
JOA REVENUE900099-3765197-3765197

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column401196TotalRevenueColumn
Related Or Exempt Function Income401196RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue527662857TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4108528TotalRevenueColumn
Exclusion$4,108,528ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real197222Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real197222Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column197222TotalRevenueColumn
Exclusion$197,222ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities33535360Securities
Other214404Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities26496750Securities
Other82671Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7038610Securities
Other131733Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7170343TotalRevenueColumn
Exclusion$7,170,343ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory73441GrossSalesOfInventory
Cost Of Goods Sold0CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column73441TotalRevenueColumn
Related Or Exempt Function Income73441RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
APOTHECARY62199040358121186564$2,849,248
CAFETERIA9000991251556$1,251,556
GIFT SHOP REVENUE453220761999$761,999

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column614826TotalRevenueColumn
Related Or Exempt Function Income223859RelatedOrExemptFunctionIncome
Unrelated Business Revenue390967UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue6664193TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column547251438TotalRevenueColumn
Related Or Exempt Function Income525087685RelatedOrExemptFunctionIncome
Unrelated Business Revenue4028723UnrelatedBusinessRevenue
Exclusion$16,760,176ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total353346Total
Program Services353346ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total54166Total
Program Services54166ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2638170Total
Management And General2638170ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total177001104Total
Program Services150656993ProgramServices
Management And General26344111ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11680249Total
Program Services9129095ProgramServices
Management And General2551154ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total31301424Total
Program Services26034466ProgramServices
Management And General5266958ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12425233Total
Program Services10585748ProgramServices
Management And General1839485ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2349070Total
Program Services2289198ProgramServices
Management And General59872ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1993232Total
Management And General1993232ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total328578Total
Management And General328578ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1585566Total
Management And General1585566ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total35960756Total
Program Services29919900ProgramServices
Management And General6040856ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3087875Total
Program Services219867ProgramServices
Management And General2868008ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5920975Total
Program Services3318448ProgramServices
Management And General2602527ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10797666Total
Program Services296280ProgramServices
Management And General10501386ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9133463Total
Program Services7914697ProgramServices
Management And General1218766ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1025476Total
Program Services857832ProgramServices
Management And General167644ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9546820Total
Program Services9546820ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23327219Total
Program Services20059903ProgramServices
Management And General3267316ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total377331Total
Management And General377331ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL/DIETARY SUPPLY9456488794273767291120
BAD DEBT4431464044314640
OHIO HOSPITAL FEE67091416709141
REPAIRS & MAINTENANCE63973905958845438545

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2174756Total
Program Services1491845ProgramServices
Management And General682911ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total495048533Total
Program Services423984997ProgramServices
Management And General71063536ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7898961BOY
EOY9574427EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32143839BOY
EOY33584848EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY100373BOY
EOY683EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1730580BOY
EOY1968887EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2381597BOY
EOY2107129EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis508238158LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec273410713LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY221439207BOY
EOY234827445EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY245041961BOY
EOY222351696EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY155123411BOY
EOY152817466EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1944613BOY
EOY6375525EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY19353337EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY38011858BOY
EOY34449036EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY705816400BOY
EOY717410479EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY52352693BOY
EOY39843942EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2242145BOY
EOY3816013EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY212090276BOY
EOY223489752EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY70332036BOY
EOY100111386EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY337017150BOY
EOY367261093EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY360544378BOY
EOY339584163EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8254872BOY
EOY10565223EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY368799250BOY
EOY350149386EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY705816400BOY
EOY717410479EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses52202905ReconcilationRevenueExpenses
Reconcilation Other Changes-70852769ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$7,137OtherActivitiesAmount
Total Lobbying Expenditures IIB7137TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDURING THE TAX YEAR, BETHESDA HOSPITAL, INC. ("HOSPITAL") PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION ($985) 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 $6,152 OF THE AMOUNT SHOWN ON LINE 1I REPRESENTS HOSPITAL'S SHARE OF THESE LOBBYING EXPENSES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3799868BeginningOfYearBalance
Contributions1251Contributions
Investment Earnings Or Losses-156863InvestmentEarningsOrLosses
Other Expenditures78120OtherExpenditures
End Of Year Balance3566136EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3112953BeginningOfYearBalance
Contributions79856Contributions
Investment Earnings Or Losses607059InvestmentEarningsOrLosses
Other Expenditures0OtherExpenditures
End Of Year Balance3799868EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2666720BeginningOfYearBalance
Contributions1000Contributions
Investment Earnings Or Losses445233InvestmentEarningsOrLosses
Other Expenditures0OtherExpenditures
End Of Year Balance3112953EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3561775BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-776353InvestmentEarningsOrLosses
Other Expenditures118702OtherExpenditures
End Of Year Balance2666720EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.89000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.11000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis957693OtherCostOrOtherBasis
Book Value957693BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis298567530OtherCostOrOtherBasis
Depreciation110081456Depreciation
Book Value188486074BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1451160OtherCostOrOtherBasis
Depreciation1121516Depreciation
Book Value329644BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis194955719OtherCostOrOtherBasis
Depreciation161052521Depreciation
Book Value33903198BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12306056OtherCostOrOtherBasis
Depreciation1155220Depreciation
Book Value11150836BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings234827445TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
EMERGING MARKETS33901738F
PRIVATE EQUITY4902082F
HEDGE FUNDS55460739F
REAL ESTATE19013668F
OTHER39539239F
FieldValueIRS element (for citing)
Total Of Book Value Securities152817466TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENTS$4,687,016
OTHER LIABILITIES$205,000
PENSION LIABILITY$58,676,030
ACCRUED EIB$7,142,591
MALPRACTICE INSURANCE/WORKERS COMPENATION LIABILITY$26,332,994
ENVIRONMENTAL REMEDIATION LIABILITY$3,067,755
FieldValueIRS element (for citing)
Total Of Amounts100111386TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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:FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BETHESDA HOSPITAL, INC. ("HOSPITAL") THAT REPORTS ITS AND ITS SUBSIDIARIES LIABILITY, IF APPLICABLE, FOR CERTAIN TAX POSITIONS UNDER ASC 740-10-25: THE HOSPITAL COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2012 AND 2011, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2012 AND 2011.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense14026992TotalCommunityBenefitExpense
Direct Offsetting Revenue4083210DirectOffsettingRevenue
Net Community Benefit Expense9943782NetCommunityBenefitExpense
Percent Of Total Expense0.02210PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense44212205TotalCommunityBenefitExpense
Direct Offsetting Revenue23755377DirectOffsettingRevenue
Net Community Benefit Expense20456828NetCommunityBenefitExpense
Percent Of Total Expense0.04540PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense58239197TotalCommunityBenefitExpense
Direct Offsetting Revenue27838587DirectOffsettingRevenue
Net Community Benefit Expense30400610NetCommunityBenefitExpense
Percent Of Total Expense0.06750PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4219038TotalCommunityBenefitExpense
Direct Offsetting Revenue1955234DirectOffsettingRevenue
Net Community Benefit Expense2263804NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense9803707TotalCommunityBenefitExpense
Direct Offsetting Revenue6448425DirectOffsettingRevenue
Net Community Benefit Expense3355282NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense72053TotalCommunityBenefitExpense
Direct Offsetting Revenue52176DirectOffsettingRevenue
Net Community Benefit Expense19877NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense137611TotalCommunityBenefitExpense
Net Community Benefit Expense137611NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14232409TotalCommunityBenefitExpense
Direct Offsetting Revenue8455835DirectOffsettingRevenue
Net Community Benefit Expense5776574NetCommunityBenefitExpense
Percent Of Total Expense0.01270PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense72471606TotalCommunityBenefitExpense
Direct Offsetting Revenue36294422DirectOffsettingRevenue
Net Community Benefit Expense36177184NetCommunityBenefitExpense
Percent Of Total Expense0.08020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$44,314,640BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare88768627AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare95488336CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6719709MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 BN NORTHEAST CARDIAC CENTER LLC
CARDIAC CARE0.579500.42050
2 HAND AMBULATORY SURGERY CENTER LLC
HAND AMBULATORY SURGERY CENTER0.500000.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

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

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24Hours
BETHESDA NORTH HOSPITAL
110500 MONTGOMERY ROADCINCINNATIOH45242XXXXX
BETHESDA BUTLER COUNTY MEDICAL CENTER
23125 HAMILTON-MASON ROADHAMILTONOH45011XX

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

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
BETHESDA NORTH HOSPITAL
111100.0000000000001400.0000000000001XXXXXX11XX101X00
BETHESDA BUTLER COUNTY MEDICAL CENTER
211100.0000000000001400.0000000000001XXXXXX11XX101X00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities18NumberOfOtherFacilities

Other Facilities OtherFacilities (18 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
BETHESDA MEDICAL CENTER-ARROW SPRINGS
100 ARROW SPRINGS BLVDLEBANONOH4503624-HOUR EMERGENCY ROOM AND COMPREHENSIVE OUTPATIENT SERVICES
BETHESDA NORTH OBGYN CLINIC
10498 MONTGOMERY ROADCINCINNATIOH45242WOMEN'S HEALTH
BETHESDA OAK CAMPUS
619 OAK STREETCINCINNATIOH45206LAB, PHARMACY AND OUTPATIENT DRUG/ALCOHOL TREATMENT
BNH AMBULATORY TREATMENT CENTER
10506 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT INFUSION AND CHEMOTHERAPY TREATMENT
BNH SLEEP CENTER
10475 MONTGOMERY ROADCINCINNATIOH45242SLEEP CENTER
NORTH AMBULATORY SURGERY CENTER
10506 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT SURGICAL CENTER
BETHESDA NORTH OUTPATIENT IMAGING CTR
10494 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT IMAGING AND COMPREHENSIVE BREAST CARE CENTER
SENIORLINK - COURT STREET
415 WEST COURT STREETCINCINNATIOH45203SENIOR CARE/DAY HEALTH CENTERS
SENIORLINK - NORWOOD
4750 WESLEY AVENUE SUITE JCINCINNATIOH45212SENIOR CARE/DAY HEALTH CENTERS
BETHESDA SURGERY CENTER
10615 MONTGOMERY ROAD 300CINCINNATIOH45242OUTPATIENT SURGICAL CENTER
TRIHEALTH NURSE MIDWIVES
3440 BURNET AVENUE 120CINCINNATIOH45229OUTPATIENT WOMEN'S HEALTH CLINIC
MONTGOMERY HAND PHYSICAL THERAPY
10700 MONTGOMERY ROADCINCINNATIOH45242PHYSICAL THERAPY
BETHESDA LOVELAND PHYSICAL THERAPY
10675 LOVELAND-MADERIA ROADLOVELANDOH45140PHYSICAL THERAPY
BETHESDA FAMILY PRACTICE CENTER
4441 MONTGOMERY ROAD SUITE 206CINCINNATIOH45212FAMILY MEDICINE CLINIC
BLUE ASH ALCOHOLDRUG TREATMENT
11305 REED HARTMAN HWYCINCINNATIOH45242OUTPATIENT ALCOHOL AND DRUG TREATMENT
BETHESDA BUTLER CTY PHYSICAL THERAPY
3125 HAMILTON-MASON ROADHAMILTONOH45011PHYSICAL THERAPY
BETHESDA BUTLER COUNTY IMAGING CENTER
3125 HAMILTON-MASON ROADHAMILTONOH45011MEDICAL IMAGING
BETHESDA BUTLER COUNTY SLEEP CENTER
3125 HAMILTON-MASON ROADHAMILTONOH45011SLEEP MEDICINE CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanationIdentifierIdentifier
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. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. 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 I, L7 COL(F): $44,314,640 OF BAD DEBT EXPENSE THAT WAS INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A) HAS BEEN REMOVED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES IN SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II: BETHESDA HOSPITAL, INC. DID NOT ENGAGE IN ANY COMMUNITY BUILDING ACTIVITIES DURING THE TAX YEAR.
PART III, LINE 4: NET PATIENT ACCOUNTS RECEIVABLE (PART OF FOOTNOTE A)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. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. FINANCIAL INSTRUMENTS THAT POTENTIALLY SUBJECT THE HOSPITAL TO CONCENTRATIONS OF CREDIT RISK CONSIST PRIMARILY OF NONGOVERNMENTAL PATIENT ACCOUNTS RECEIVABLE. THE HOSPITAL 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: 2012 - MEDICARE 17%, MEDICAID 3%, MANAGED CARE 21%, SELF PAY 26%, COMMERCIAL AND OTHER 33%2011 - MEDICARE 20%, MEDICAID 2%, MANAGED CARE 19%, SELF PAY 25%, COMMERCIAL AND OTHER 34%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.
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 11H: 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 11H: 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 COUNTY MEDICAL CENTER
PART V, SECTION B, LINE 13G: 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 13G: 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 COUNTY MEDICAL CENTER
PART V, SECTION B, LINE 19D: BETHESDA NORTH HOSPITAL 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. BETHESDA NORTH HOSPITAL'S ROBUST POLICY PROVIDES DISCOUNTS TO INDIVIDUALS WITH INCOME AT 400% OF THE FEDERAL POVERTY GUIDELINES BASED ON A SLIDING SCALE. ALTHOUGH IT IS POSSIBLE THAT THE LOWEST DISCOUNT ON SUCH SCALE MAY RESULT IN CHARGES THAT ARE MORE THAN THE AVERAGE GENERALLY BILLED TO INDIVIDUALS WITH INSURANCE, 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 19D: BETHESDA BUTLER COUNTY MEDICAL CENTER 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. BETHESDA BUTLER COUNTY MEDICAL CENTER'S ROBUST POLICY PROVIDES DISCOUNTS TO INDIVIDUALS WITH INCOME AT 400% OF THE FEDERAL POVERTY GUIDELINES BASED ON A SLIDING SCALE. ALTHOUGH IT IS POSSIBLE THAT THE LOWEST DISCOUNT ON SUCH SCALE MAY RESULT IN CHARGES THAT ARE MORE THAN THE AVERAGE GENERALLY BILLED TO INDIVIDUALS WITH INSURANCE, 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 COUNTY MEDICAL CENTER
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.BETHESDA BUTLER COUNTY WAS ACQUIRED IN MARCH 2012. THIS INPATIENT SURGICAL HOSPITAL PRIMARILY SERVES THE POPULATION OF THIS FAST GROWING COUNTY WHERE 11% OF THE POPULATION IS UNINSURED. AN EMERGENCY ROOM IS CURRENTLY UNDER CONSTRUCTION ON THE CAMPUS. 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. 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, WILL BE THE BASIS FOR INCREASED ORGANIZATION AND COLLABORATION WITHIN AND AMONG HOSPITALS, HEALTH DEPARTMENTS AND SERVICE PROVIDERS TO BETTER ADDRESS THE HEALTH NEEDS AND DISPARITIES EXPERIENCED BY MANY PEOPLE AND FAMILIES IN THE REGION.THE TRIHEALTH COMMUNITY HEALTH INITIATIVE FOR DIABETES, LED BY THE TRIHEALTH PHYSICIAN PRACTICES AND OUTPATIENT CLINICS WITH DIABETES EDUCATORS, FOCUSES ON ONGOING MANAGEMENT OF DIABETES IN PATIENT EDUCATION AND EMPOWERMENT. PHYSICIAN PRACTICES TRACK EFFECTIVENESS THROUGH MEASURES SUCH AS HEMOGLOBIN A1C, A MEASURE OF PATIENT DIABETES SELF-MANAGEMENT. 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 $36.1 MILLION IN TOTAL COMMUNITY BENEFIT FOR FISCAL YEAR 2012. OF THAT TOTAL, $30.4 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. 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 HEALTH ISSUE. BETHESDA MATERNAL FETAL PHYSICIANS AND HEALTH CARE PROFESSIONALS COLLABORATE WITH OBSTETRICIANS IN THE COMMUNITY IN REDUCING UNNECESSARY PRETERM BIRTHS. TRIHEALTH ALSO SUPPORTS ON OUTREACH TO AT-RISK MOTHERS.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 2012.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 2012 WITH THREE GYNECOLOGY-UROLOGY FELLOWS. ALSO, THE BETHESDA FAMILY PRACTICE RESIDENCY INCLUDED 19 RESIDENTS AND TWO BETHESDA SPORTS MEDICINE FELLOWS IN FISCAL YEAR 2012.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. COST IN EXCESS OF SUPPORT FOR THIS PROGRAM TOTALED APPROXIMATELY $700,000.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 12.0 PERCENT OF THIS POPULATION IS UNINSURED.
PART VI, LINE 5: BETHESDA HOSPITAL, INC. IS COMPRISED OF VARIOUS MEDICAL SERVICES INCLUDING BETHESDA NORTH HOSPITAL ("NORTH") AND BETHESDA MEDICAL CENTER AT ARROW SPRINGS ("ARROW SPRINGS"). ITS BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. NORTH IS A 360-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. BOTH OF THESE FACILITIES ARE DIGITALLY CONNECTED, ALLOWING PHYSICIANS TO CONSULT ON PATIENT CARE AND SHARE RECORDS AND TEST RESULTS IMMEDIATELY.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 TWO 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

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UPTOWN CONSORTIUM INC
629 OAK STREET SUITE 306CINCINNATIOH45206200688727501(C)(3)142100GENERAL PURPOSE
COALITION TO PROTECT AMERICA'S HEALTH CARE
PO BOX 30211BETHESDAMD20824522253225501(C)(4)7350CONTRIBUTION TO SUPPORT THE RAISING OF PUBLIC AWARENESS REGARDING AMERICA'S HEALTH CARE
THE CENTER FOR CLOSING THE HEALTH GAP IN GREATER CINCINNATI
3120 BURNET AVENUE SUITE 201CINCINNATIOH45229200902286501(C)(3)102165GENERAL PURPOSE
ARTHRITIS FOUNDATION INC
7124 MIAMI AVECINCINNATIOH45243316043937501(C)(3)9800SPONSORSHIP
CENTER FOR RESPITE CARE INC
PO BOX 141301CINCINNATIOH45229202544994501(C)(3)24500GENERAL PURPOSE
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
619 OAK STREETCINCINNATIOH45206311206047501(C)(3)5880SPONSORSHIP
MAYFIELD EDUCATION & RESEARCH FUND
506 OAK STREETCINCINNATIOH45219310921099501(C)(3)9800SPONSORSHIP
AMERICAN HEART ASSOCIATION
5455 N HIGH STREETCOLUMBUSOH43214135613797501(C)(3)36750SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantPROVISION OF CRIBS AND CAR SEATS TO INDIVIDUALS UNABLE TO PURCHASE THE ITEMS.TypeOfGrant
Number Of Recipients147NumberOfRecipients
Amount Of Non Cash Assistance54166AmountOfNonCashAssistance
Method Of ValuationFAIR MARKET VALUEMethodOfValuation
Description Of Non Cash AssistanceCRIBS AND CAR SEATSDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN PROUT
0859109033853202854302862180102080152261000
DONNA NIENABER ESQ
030107101391240414290135545016412063358100
CRAIG RUCKER
03951010130118018330012019009542067328100
SHER MCCLANAHAN
0269208075938019444073378011037044900500
WILLIAM GRONEMAN
0360315012058706791601415100234640713792016587
GERALD OLIPHANT
043380201459830182880102679021436072218800
GEORGES FEGHALI MD
036060601223750305890133633022364066956700
STEVEN JOHNSON MD
21944503186406570178080177790287553000
ALAN ALTMAN MD
216035000185000562210213860312142000
LAURA TRICE MD
2290300001934029538072370267739000
ANTHONY BORZOTTA MD
22586500027040416890209450291203000
SANDRA LOBERT
169642039289015714031883065850263113000
MICHAEL CROFTON
0206505050637021853053006022306035430700
ROBERT HALONEN
000002278860000022788600

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BELIGIBLE 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 - $236,082 DONNA NIENABER, ESQ. - $68,563 MICHAEL CROFTON - $16,824 CRAIG RUCKER - $78,831 SHER MCCLANAHAN - $43,210 WILLIAM GRONEMAN - $80,979 GERALD OLIPHANT - $82,817 GEORGES FEGHALI, MD - $76,814 SANDRA LOBERT - $10,653 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.: WILLIAM GRONEMAN - $16,587
PART IIIPART 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 2011 CALENDAR YEAR.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2IN MARCH 2012, BETHESDA HOSPITAL, INC. BEGAN OPERATING BETHESDA HOSPITAL BUTLER COUNTY MEDICAL CENTER ("CENTER"). THE CENTER IS A 10-BED SURGICAL HOSPITAL WITH EIGHT (8) OPERATING ROOMS, THREE (3) ENDOSCOPY SUITES AND TWO (2) PROCEDURE ROOMS. SURGERY SERVICES, MEDICAL IMAGING SERVICES, A SLEEP MEDICINE CENTER, PATHOLOGY, LABORATORY SERVICES AND PHYSICAL THERAPY SERVICES ARE AVAILABLE ON SITE AS WELL AS CARDIOLOGY AND CANCER CARE. A 17-BED EMERGENCY DEPARTMENT IS CURRENTLY UNDER CONSTRUCTION AND DUE TO OPEN IN EARLY 2013. THE NEW EMERGENCY DEPARTMENT WILL HAVE A HELIPAD FOR THE TRANSPORT OF CRITICALLY ILL PATIENTS AND WILL BE SUPPORTED BY A FULL SUITE OF DIAGNOSTIC SERVICES ONSITE AS WELL AS SURGICAL AND INPATIENT CARE.
FORM 990, PART VI, SECTION A, LINE 2THE 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. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, BOTH AFFILIATED ENTITIES OF BETHESDA HOSPITAL, INC. SYLVANIA NG, MD, 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, DONNA NIENABER, ESQ., CRAIG RUCKER, SHER MCCLANAHAN, WILLIAM GRONEMAN, GERALD OLIPHANT, MARC ALEXANDER, MD, STEPHEN BLATT, MD AND GEORGES FEGHALI, MD 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.
FORM 990, PART VI, SECTION A, LINE 6BETHESDA HOSPITAL, INC. HAS TWO CORPORATE MEMBERS - BETHESDA, INC. (VOTING MEMBER) AND TRIHEALTH, INC. (NON-VOTING MEMBER).
FORM 990, PART VI, SECTION A, LINE 7ABETHESDA, INC. HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF BETHESDA HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7BBETHESDA, 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 A, LINE 8AIT IS THE COMMON PRACTICE OF THE ORGANIZATION TO DISSEMINATE A COPY OF THE PROPOSED MINUTES OF THE PREVIOUS MEETING TO THE BOARD OR COMMITTEE PRIOR TO THE NEXT MEETING AND TO DISCUSS AND APPROVE SUCH MINUTES AT THE NEXT MEETING. FOR 8 OF THE 9 MEETINGS OF THE BOARD AND EXECUTIVE COMMITTEE, THE MINUTES WERE CONTEMPORANEOUSLY DOCUMENTED. ON ONE OCCASION, HOWEVER, MINUTES FROM THE IMMEDIATELY PREVIOUS MEETING WERE NOT PUT ON THE AGENDA FOR A SPECIAL MEETING OF THE BOARD. SUCH MINUTES WERE REVIEWED AND APPROVED AT THE NEXT REGULAR MEETING OF THE BOARD, WHICH OCCURRED 91 DAYS AFTER THE PREVIOUS MEETING OCCURRED.
FORM 990, PART VI, SECTION B, LINE 11MEMBERS 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 12CALL 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 15IN 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 19BETHESDA HOSPITAL, INC.'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -12,293,023. CONTRIBUTED CAPITAL TO PARENT -10,000,000. LOSS ON UNCONSOLIDATED ORGANIZATIONS -16,075,812. CHANGE IN PENSION PLAN/SERP FUNDED STATUS -34,794,489. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 2,310,555. TOTAL TO FORM 990, PART XI, LINE 5: -70,852,769.
VOLUNTEER INFORMATIONFORM 990, PART I, LINE 6DURING THE TAX YEAR, BETHESDA HOSPITAL, INC. WAS ASSISTED BY 1,384 VOLUNTEERS WHO DONATED APPROXIMATELY 140,500 HOURS. VOLUNTEERS HELPED THROUGH THE FOLLOWING: BETHESDA NORTH HOSPITAL AND BETHESDA CENTER - ARROW SPRINGS ("HOSPITALS") THESE FACILITIES WERE ASSISTED BY 1,378 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) - 6 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.
EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITYFORM 990, PART VI, SECTION A, LINE 1ATHE 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.
CHANGE IN PROCESS OF AUDIT OVERSIGHT OR SELECTION OF INDEPENDENT AUDITORFORM 990, PART XII, LINE 2CTHE FINANCIAL STATEMENTS OF BETHESDA HOSPITAL, INC. ("HOSPITAL") ARE AUDITED WITH ITS SUBSIDIARIES. HOSPITAL HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF BOTH ITS AND ITS SUBSIDIARIES FINANCIAL STATEMENTS. 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 HOSPITAL OR BETHESDA, INC.
ADOPTION OF WRITTEN POLICY AND PROCEDURES EVALUATING JV ARRANGEMENTSFORM 990, PART VI, SECTION B, LINE 16BDURING 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.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONFORM 990, PART VII, SECTION ADIRECTORS AND OFFICERS (AS NOTED WITH A "SCH O" REFERENCE) FOR BETHESDA HOSPITAL, INC. PROVIDE SERVICES TO TRIHEALTH, INC. (A RELATED ORGANIZATION WHO PAID THE INDIVIDUALS) AND ITS SUBSIDIARIES/AFFILIATES ("TRIHEALTH"). HOURS WORKED ARE NOT TRACKED ON AN ENTITY BY ENTITY BASIS. THE COMPENSATION REPORTED ON THE FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS IN FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOURS-PER-WEEK EMPLOYEES OF TRIHEALTH. DIRECTORS (AS NOTED WITH A "SCH O-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 IS FOR HIS/HER DUTIES AS MEDICAL STAFF PRESIDENT OF THE RESPECTIVE HOSPITAL AND NOT FOR SERVING AS A DIRECTOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BETHESDA INC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311108895INVESTMENT MANAGEMENTOHSECTION 501(C)(3)SCHEDULE A, LINE 11CN/A0
BETHESDA FOUNDATION INC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206237374129FUNDRAISINGOHSECTION 501(C)(3)SCHEDULE A, LINE 71BETHESDA INC
BETHESDA HEALTHCARE INC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311027660HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 11B1BETHESDA INC
BETHESDA FAMILY PRACTICE CENTER
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311242442HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 11C1BETHESDA HOSPITAL INC
BETHESDA PROPERTIES INC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311352694PROPERTY MANAGEMENTOHSECTION 501(C)(2)1BETHESDA HOSPITAL INC
HOSPICE OF CINCINNATI INCORPORATED
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206310917155HOSPICE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 71BETHESDA HOSPITAL INC
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311179234COUNSELING TO GRIEVING CHILDRENOHSECTION 501(C)(3)SCHEDULE A, LINE 71HOSPICE OF CINCINNATI INCORPORATED
TRIHEALTH INC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206311438846SUPPORT AFFILIATED HOSPITALSOHSECTION 501(C)(3)SCHEDULE A, LINE 11BN/A1
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206310537486INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 31TRIHEALTH INC

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
BN NORTHEAST CARDIAC CENTER LLC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206201297322CARDIAC CAREOHN/ARELATED86886299602010.57950
10600 MONTGOMERY LLC
619 OAK STREET-ACCOUNTING 3 WESTCINCINNATIOH45206261964995PROPERTY MANAGEMENTOHN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TJ CUBEDMONTGOMERY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1619 OAK STREET-ACCOUNTING 3 WESTAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45206ZIPCode
FieldValueIRS element (for citing)
EIN261964885EIN
Primary ActivityHOLDING COMPANYPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntitySTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BETHESDA HEALTHCARE INC
A32590FMV
TRIHEALTH INC
A59355FMV
BETHESDA PROPERTIES INC
J1512547FMV
BETHESDA HEALTHCARE INC
J412285FMV
TRIHEALTH INC
K64349FMV
BETHESDA INC
B10000000CASH
BETHESDA FOUNDATION INC
C1374854CASH
TRIHEALTH INC
O68420992COST
HOSPICE OF CINCINNATI INCORPORATED
N31351319FMV
BETHESDA INC
N261335FMV
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
N389081FMV
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
J11440FMV
TRIHEALTH INC
J4927FMV
TRIHEALTH INC
B16150000CASH
BETHESDA FOUNDATION INC
N1081062FMV
BETHESDA PROPERTIES INC
N494614FMV

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