STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BETHESDA HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
BETHESDA HOSPITAL INC (EIN 31-0537122)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-13
IRS object ID
202401349349303340
Schema version
2022v5.0
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)
Return2024-05-13T10:33:08-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310537122EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETHESDA HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone5135696575PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 EDEN PARK DRIVE 7TH FLOORAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL CROFTONPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone5135696577PhoneNum
Signature2024-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastCROFTONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNA M JANSONSPreparerPersonNm
PTINP01222873PTIN
Phone3174648600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK CLEMENTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 EDEN PARK DRIVE 7TH FLOORAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$942,359,430GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TRIHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1896FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee3584TotalEmployeeCnt
Total Volunteers486TotalVolunteersCnt
Total Gross UBI$1,849,966TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,507,882PYContributionsGrantsAmt
CY Contributions Grants$21,717,015CYContributionsGrantsAmt
PY Program Service Revenue$789,376,335PYProgramServiceRevenueAmt
CY Program Service Revenue$864,074,245CYProgramServiceRevenueAmt
PY Investment Income$786,125PYInvestmentIncomeAmt
CY Investment Income$6,456,696CYInvestmentIncomeAmt
PY Other Revenue$43,391,715PYOtherRevenueAmt
CY Other Revenue$4,257,525CYOtherRevenueAmt
PY Total Revenue$835,062,057PYTotalRevenueAmt
CY Total Revenue$896,505,481CYTotalRevenueAmt
PY Grants And Similar Paid$302,056PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$382,755CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$323,261,206PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$335,679,252CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$408,472,044PYOtherExpensesAmt
CY Other Expenses$441,933,754CYOtherExpensesAmt
PY Total Expenses$732,035,306PYTotalExpensesAmt
CY Total Expenses$777,995,761CYTotalExpensesAmt
PY Revenues Less Expenses$103,026,751PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$118,509,720CYRevenuesLessExpensesAmt
Total Assets BOY$1,276,495,484TotalAssetsBOYAmt
Total Assets EOY$1,303,230,765TotalAssetsEOYAmt
Total Liabilities BOY$684,395,825TotalLiabilitiesBOYAmt
Total Liabilities EOY$694,073,589TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$592,099,659NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$609,157,176NetAssetsOrFundBalancesEOYAmt
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$653,403,553ExpenseAmt
Grant$382,755GrantAmt
Revenue$864,555,201RevenueAmt
DescSEE SCHEDULE HDesc
Total Program Service Expenses$653,403,553TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document390IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3584EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL CROFTON - VP FINANCEPersonNm
Phone5135696577PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 EDEN PARK DRIVE 7TH FLOORAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SR SALLY DUFFY
SECRETARY1.003.00Yes (X)Yes (X)$0$0$0
RALPH MICHAEL
VICE CHAIR1.003.00Yes (X)Yes (X)$0$0$0
ROBERT COLLINS MD
TRUSTEE1.003.00Yes (X)$0$0$0
MARK CLEMENT
PRESIDENT/CEO25.0035.00Yes (X)Yes (X)$0$2,238,265$79,463
PHILLIP CASTELLINI
TRUSTEE1.003.00Yes (X)$0$0$0
KATHY KELLY
CHAIR1.003.00Yes (X)Yes (X)$0$0$0
THEODORE TORBECK
TREASURER1.003.00Yes (X)Yes (X)$0$0$0
PHILIP FOSTER
TRUSTEE1.003.00Yes (X)$0$0$0
QUINT STUDER
TRUSTEE1.003.00Yes (X)$0$0$0
RANCE DUKE
TRUSTEE1.003.00Yes (X)$0$0$0
CYNTHIA BOOTH
TRUSTEE1.003.00Yes (X)$0$0$0
KRISTIN COPPAGE MD
MED STAFF PRESIDENT-GOOD SAM1.0060.00Yes (X)$0$940,721$97,227
LORRAINE STEPHENS MD
MED STAFF PRESIDENT-BETHESDA60.003.00Yes (X)$244,008$0$74,007
ANDREW DEVOE
ASST TREASURER/EVP CFO25.0035.00Yes (X)$0$1,284,173$95,684
STEVE GRACEY
ASST SECRETARY/SVP LEGAL25.0035.00Yes (X)$0$675,796$84,250
DAVID COOK
SVP-CHIEF HR OFFICER (END 9/22)25.0035.00$0$592,888$136,807Yes (X)
JENNY SKINNER
SVP-CHIEF NURSING EXECUTIVE25.0035.00$0$555,853$67,157Yes (X)
JOHN WARD
SVP-BETHESDA REGION55.005.00$0$775,177$89,387Yes (X)
HELEN KOSELKA MD
CHIEF MEDICAL OFFICER25.0035.00$0$770,817$100,206Yes (X)
TERRI HANLON-BREMER
CHIEF OPERATING OFFICER25.0035.00$0$830,439$79,566Yes (X)
JAIME EASTERLING
PRES. & COO-BETHESDA (END 5/23)60.000.00$0$495,552$77,367Yes (X)
SUSAN MACY
CNO-BETHESDA60.000.00$0$357,891$54,349Yes (X)
JEREMIAH KIRKLAND
PRES. & COO-BUTLER (START 7/22)30.0030.00$0$466,839$89,478Yes (X)
JOHN HUTSON MD
PRES. & COO-BETHESDA (START 6/23)60.000.00$0$512,892$202,788Yes (X)
RICAHRD OKRAGLY MD
PHYSICIAN60.000.00$264,965$0$67,547Yes (X)
ROBERT KUNKEL MD
PHYSICIAN60.000.00$248,108$0$62,069Yes (X)
ELIZABETH BEITER MD
PHYSICIAN60.000.00$239,679$0$59,543Yes (X)
SCOTT WOODS MD
PHYSICIAN60.000.00$279,007$0$49,821Yes (X)
MICHAEL WEBB MD
PHYSICIAN60.000.00$241,079$0$65,000Yes (X)
WILL GRONEMAN
FORMER KEY EMPLOYEE0.0060.00$0$408,837$77,563Yes (X)
GAIL DONOVAN
FORMER KEY EMPLOYEE0.000.00$0$582,038$0Yes (X)
KEVIN JOSEPH MD
FORMER KEY EMPLOYEE0.000.00$0$660,175$46,579Yes (X)
REBECCA BAUTE
FORMER KEY EMPLOYEE0.000.00$0$329,199$50,034Yes (X)
MICHAEL EVERETT
FORMER KEY EMPLOYEE0.0060.00$0$396,854$69,497Yes (X)
LONDON QUICCI
FORMER KEY EMPLOYEE0.000.00$0$270,047$19,741Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,516,846TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,144,453TotReportableCompRltdOrgAmt
Total Other Compensation$1,895,130TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K488IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AMERICAN NURSING CARE
6281 TRI-RIDGE BLVDLOVELANDOH45140STAFFING$16,341,616
PREFERRED LAB PARTNERS LLC
1 MEDICAL VILLAGE DRIVE SUITE BEDGEWOODKY41017LABORATORY$15,967,812
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112CLINICAL MAINTENANCE$7,108,104
SEVEN HILLS ANESTHESIA
4030 SMITH ROAD SUITE 325CINCINNATIOH45209ANESTHESIA$3,466,469
BEACON ORTHOPEDICS & SPORTS MEDICINE
500 E BUSINESS WAYCINCINNATIOH45241REHABILITATION$2,309,231
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K83CntrctRcvdGreaterThan100KCnt
Related Organizations$21,447,523RelatedOrganizationsAmt
Government Grants$56,873GovernmentGrantsAmt
All Other Contributions$212,619AllOtherContributionsAmt
Total Contributions$21,717,015TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT REVENUE621990$752,573,895$751,462,912$1,110,983
PHARMACY621990$69,248,063$69,248,063
JOA REVENUE SHARE621990$25,169,264$25,169,264
AFFILIATED ORG. RENTAL532000$15,585,286$15,585,286
MEDICAL RESEARCH541700$433,963$433,963

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,063,774TotalRevenueColumnAmt
Related Or Exempt Func Income$324,791RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$738,983UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$864,074,245TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,526,253TotalRevenueColumnAmt
Exclusion$4,526,253ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,130,598RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,130,598RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,130,598TotalRevenueColumnAmt
Exclusion$1,130,598ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$47,770,577SecuritiesAmt
Other$13,815OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$45,853,949SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,916,628SecuritiesAmt
Other$13,815OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,930,443TotalRevenueColumnAmt
Exclusion$1,930,443ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$9,804GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,804TotalRevenueColumnAmt
Related Or Exempt Func Income$9,804RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA621990$2,645,971$2,645,971
LAB SERVICES621990$240,673$240,673
MEDICAL RECORDS621990$13,133$13,133

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$217,346TotalRevenueColumnAmt
Related Or Exempt Func Income$217,346RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,117,123OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$896,505,481TotalRevenueColumnAmt
Related Or Exempt Func Income$777,871,886RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,849,966UnrelatedBusinessRevenueAmt
Exclusion$95,066,614ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$382,755TotalAmt
Program Services$382,755ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,497,586TotalAmt
Program Services$318,015ProgramServicesAmt
Management And General$5,179,571ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,359,406TotalAmt
Management And General$1,359,406ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$257,191,465TotalAmt
Program Services$211,107,627ProgramServicesAmt
Management And General$46,083,838ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,486,448TotalAmt
Program Services$10,828,190ProgramServicesAmt
Management And General$2,658,258ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$38,317,476TotalAmt
Program Services$28,099,822ProgramServicesAmt
Management And General$10,217,654ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,826,871TotalAmt
Program Services$16,001,073ProgramServicesAmt
Management And General$3,825,798ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$16,656,231TotalAmt
Program Services$16,656,231ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,715,383TotalAmt
Program Services$15,412ProgramServicesAmt
Management And General$1,699,971ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$389,758TotalAmt
Management And General$389,758ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$719,340TotalAmt
Management And General$719,340ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$52,934,422TotalAmt
Program Services$39,262,981ProgramServicesAmt
Management And General$13,671,441ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,657,687TotalAmt
Program Services$292,133ProgramServicesAmt
Management And General$5,365,554ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,737,274TotalAmt
Program Services$8,630,714ProgramServicesAmt
Management And General$5,106,560ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,133,088TotalAmt
Program Services$1,518,642ProgramServicesAmt
Management And General$10,614,446ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,775,503TotalAmt
Program Services$19,252,493ProgramServicesAmt
Management And General$2,523,010ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$430,438TotalAmt
Program Services$173,196ProgramServicesAmt
Management And General$257,242ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$292,691TotalAmt
Program Services$179,945ProgramServicesAmt
Management And General$112,746ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$19,829,625TotalAmt
Program Services$19,683,610ProgramServicesAmt
Management And General$146,015ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,720,375TotalAmt
Program Services$36,451,527ProgramServicesAmt
Management And General$11,268,848ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,239,477TotalAmt
Program Services$3,001,758ProgramServicesAmt
Management And General$2,237,719ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/DIETARY SUPPLY$206,539,419$206,347,774$191,645
OHIO HOSPITAL FEE$20,297,708$20,297,708$0
EQUIPMENT & REPAIRS$13,753,997$13,267,645$486,352
DUES AND SUBSCRIPTIONS$626,750$626,750$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,484,588TotalAmt
Program Services$1,007,552ProgramServicesAmt
Management And General$477,036ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$777,995,761TotalAmt
Program Services$653,403,553ProgramServicesAmt
Management And General$124,592,208ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$61,949BOYAmt
EOY$23,845EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$88,700,864BOYAmt
EOY$94,873,305EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,881,787BOYAmt
EOY$18,493,940EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$99,700BOYAmt
EOY$99,700EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,005,162,451LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$493,517,687LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$478,099,245BOYAmt
EOY$511,644,764EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$328,795,715BOYAmt
EOY$322,122,275EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$53,677,764BOYAmt
EOY$61,228,268EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$221,654,741BOYAmt
EOY$205,822,896EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$26,248,281BOYAmt
EOY$22,498,527EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$63,275,438BOYAmt
EOY$66,423,245EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,276,495,484BOYAmt
EOY$1,303,230,765EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$78,227,412BOYAmt
EOY$72,228,915EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$234,560BOYAmt
EOY$148,933EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$558,528,109BOYAmt
EOY$551,644,021EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,156,879BOYAmt
EOY$6,919,494EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,248,865BOYAmt
EOY$63,132,226EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$684,395,825BOYAmt
EOY$694,073,589EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$560,384,524BOYAmt
EOY$594,546,352EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,715,135BOYAmt
EOY$14,610,824EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$592,099,659BOYAmt
EOY$609,157,176EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,276,495,484BOYAmt
EOY$1,303,230,765EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$118,509,720ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,331,255NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$119,783,458OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$12,763OtherActivitiesAmt
Total Lobbying Expenditures$12,763TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
Explanation1I) DURING THE TAX YEAR, BETHESDA HOSPITAL, INC. ("HOSPITAL") PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION ($115) 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 $12,648 OF THE AMOUNT SHOWN ON LINE 1I REPRESENTS HOSPITAL'S SHARE OF THESE LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,431,716BeginningYearBalanceAmt
Contributions$3,025ContributionsAmt
Investment Earnings Or Losses-$213,494InvestmentEarningsOrLossesAmt
Other Expenditures$0OtherExpendituresAmt
End Year Balance$4,221,247EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,556,021BeginningYearBalanceAmt
Contributions$12,907ContributionsAmt
Investment Earnings Or Losses-$242,245InvestmentEarningsOrLossesAmt
Other Expenditures$894,967OtherExpendituresAmt
End Year Balance$4,431,716EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,742,157BeginningYearBalanceAmt
Contributions$1,000,130ContributionsAmt
Investment Earnings Or Losses$813,734InvestmentEarningsOrLossesAmt
Other Expenditures$0OtherExpendituresAmt
End Year Balance$5,556,021EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,720,610BeginningYearBalanceAmt
Contributions$375ContributionsAmt
Investment Earnings Or Losses$93,665InvestmentEarningsOrLossesAmt
Other Expenditures$72,493OtherExpendituresAmt
End Year Balance$3,742,157EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,726,463BeginningYearBalanceAmt
Contributions$324,903ContributionsAmt
Investment Earnings Or Losses$17,126InvestmentEarningsOrLossesAmt
Other Expenditures$347,882OtherExpendituresAmt
End Year Balance$3,720,610EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,358,750OtherCostOrOtherBasisAmt
Book Value$5,358,750BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$596,883,759OtherCostOrOtherBasisAmt
Depreciation$238,408,192DepreciationAmt
Book Value$358,475,567BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,887,655OtherCostOrOtherBasisAmt
Depreciation$2,398,156DepreciationAmt
Book Value$1,489,499BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$307,330,423OtherCostOrOtherBasisAmt
Depreciation$248,553,728DepreciationAmt
Book Value$58,776,695BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,701,864OtherCostOrOtherBasisAmt
Depreciation$4,157,611DepreciationAmt
Book Value$87,544,253BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$511,644,764TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN JOINT VENTURESDesc
Book Value$205,822,896BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$205,822,896TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED ORGANIZATIONS$54,319,388
RIGHT OF USE ASSET - OPERATING LEASE$6,816,088
INVESTMENT IN OUTSIDE ENTITIES$2,214,377
MALPRACTICE INSURANCE ASSET$3,073,392
FieldValueIRS element (for citing)
Total Book Value Other Assets$66,423,245TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
THIRD PARTY SETTLEMENTS$4,523,619
MALPRACTICE INSURANCE/WORKERS COMP LIABILITY$3,073,392
DUE TO RELATED ORGANIZATIONS$55,535,215
FieldValueIRS element (for citing)
Total Liability$63,132,226TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:INVESTMENT PROCEEDS FROM ENDOWMENT FUNDS ARE USED TO SUPPORT BETHESDA HOSPITAL, INC. PROGRAMS.
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 COMBINED FINANCIAL STATEMENTS OF TRIHEALTH THAT REPORTS ITS AND ITS SUBSIDIARIES AND AFFILIATES LIABILITY, IF APPLICABLE, FOR UNCERTAIN TAX POSITIONS UNDER ASC 740-10-25: TRIHEALTH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2023 OR 2022. 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 UNCERTAIN TAX POSITIONS UNDER ASC 740-10-25: THE COMPANY COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2023 OR 2022.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,549,403TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,229,086DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,320,317NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$116,137,752TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$86,417,379DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,720,373NetCommunityBenefitExpnsAmt
Total Expense0.03820TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$124,687,155TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$91,646,465DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,040,690NetCommunityBenefitExpnsAmt
Total Expense0.04250TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,060,943TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,338,881DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,722,062NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,232,556TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,232,556NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,022TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,022NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,944,091TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,944,091NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$321,250TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$321,250NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,571,862TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,338,881DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,232,981NetCommunityBenefitExpnsAmt
Total Expense0.01060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$144,259,017TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$102,985,346DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,273,671NetCommunityBenefitExpnsAmt
Total Expense0.05310TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,402TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,402NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,402TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,402NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$43,989,192BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$125,895,692ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$149,761,079CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$23,865,387MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsInd
BETHESDA NORTH HOSPITAL
110500 MONTGOMERY ROADCINCINNATIOH45242WWW.TRIHEALTH.COM1024Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
BETHESDA BUTLER HOSPITAL
23125 HAMILTON-MASON ROADHAMILTONOH45011WWW.TRIHEALTH.COM1457Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
BETHESDA NORTH HOSPITAL
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)21Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE URL IN QUESTION 10A BELOW.Yes (X)Yes (1)21Yes (1)WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/FULFILLING-OUR-MISSION-AND-VALUES0Yes (1)Yes (X)150.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/Yes (X)HTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/Yes (X)HTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
BETHESDA BUTLER HOSPITAL
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)21Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE URL IN QUESTION 10A BELOW.Yes (X)Yes (1)21Yes (1)WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/FULFILLING-OUR-MISSION-AND-VALUES0Yes (1)Yes (X)150.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTPS://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/Yes (X)HTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/Yes (X)HTTP://WWW.TRIHEALTH.COM/TOOLS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 5: THE REGIONAL CHNA METHODOLOGY AND RESULTS WERE GENERATED THROUGH AN INCLUSIVE, COMPREHENSIVE, AND BALANCED DATA COLLECTION STRATEGY.COMPREHENSIVE DATA COLLECTION THE NEEDS ASSESSMENT UTILIZED A MIXED-METHOD APPROACH TO DATA COLLECTION INCLUDING SECONDARY QUANTITATIVE DATA AND PRIMARY QUANTITATIVE (REGIONAL CHNA COMMUNITY AND PROVIDER SURVEYS) AND QUALITATIVE (FOCUS GROUPS AND INTERVIEWS) DATA. SECONDARY DATA COLLECTION, WHICH BEGAN IN JANUARY OF 2021, SOUGHT TO UNDERSTAND THE GREATEST HEALTH CONDITIONS OF THE REGION, INCLUDING PREVALENCE AND IMPACT ON COMMUNITY MEMBERS. THESE RESULTS INFORMED THE CREATION OF SURVEY ITEMS THAT WERE ORGANIZED AROUND A SET OF CO-CREATED RESEARCH QUESTIONS. EACH DATA COLLECTION STRATEGY ADHERED TO A RECRUITMENT PLAN TO ENSURE A REPRESENTATIVE SAMPLE OF COMMUNITY MEMBERS, VOICES OF MARGINALIZED POPULATIONS, AND PROVIDERS ACROSS THE HEALTH AND SOCIAL SERVICES SECTORS WERE CAPTURED.OVERALL, THE SCOPE OF DATA COLLECTION WAS ROBUST AND INFORMED THE RESULTS OF THIS REGIONAL CHNA. THIS INCLUDES:8,321 COMMUNITY SURVEYS AVAILABLE APRIL, 2021 THROUGH JUNE, 2021, IN FIVE LANGUAGES. WITHIN THIS SAMPLE, REPRESENTATION WAS SEEN ACROSS 26 COUNTIES, MALES, FEMALES, AGES 18-65+, BLACK/AFRICAN AMERICAN, MULTIRACIAL, ASIAN, AMERICAN INDIAN, ALASKAN NATIVE, WHITE, AND HISPANIC/LATINO POPULATIONS. 859 PROVIDER SURVEYS, AVAILABLE APRIL, 2021 THROUGH MAY, 2021, INCLUSIVE OF BEHAVIORAL HEALTH, EDUCATION, EMERGENCY MEDICAL SERVICES, FAITH-BASED ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS, JUSTICE/CORRECTIONS, MEDICAL CARE (ADULT, GERIATRIC, PEDIATRIC) ORAL HEALTH, ORGANIZATIONS ADDRESSING HEALTH RELATED SOCIAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH, PHARMACEUTICAL, AND PUBLIC HEALTH DEPARTMENTS. - PROVIDERS ALSO REPRESENTED ADMINISTRATION, DIRECT PATIENT CARE, ACADEMIC, SUPPORT STAFF, AND SUPERVISORS/MANAGEMENT. - PROVIDERS REPORTED SERVING A VARIETY OF POPULATIONS INCLUDING CHILDREN/YOUTH, PEOPLE WITH DISABILITIES, ETHNIC MINORITIES, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IN THE JUSTICE SYSTEM, VETERANS, YOUNG ADULTS, LOW-INCOME POPULATIONS, AND LGBTQ+ POPULATIONS. 51 FOCUS GROUPS WITH 234 PEOPLE WERE HELD FROM MAY, 2021 THROUGH JULY, 2021, REPRESENTING ALL THREE MSAS. SPECIFICALLY, RECRUITMENT FOR THESE FOCUS GROUPS WERE BASED ON ADVISORY COMMITTEE IDENTIFICATION OF POPULATIONS WHO ARE TRADITIONALLY UNDERREPRESENTED, MARGINALIZED, OR EXPERIENCE GREATEST HEALTH DISPARITIES. - POPULATIONS REPRESENTED IN THESE FOCUS GROUPS INCLUDE ADULT MEN, THOSE EXPERIENCING FOSTER CARE OR FOSTER PARENTING, YOUTH AND ADULTS WITH DISABILITIES, ETHNIC, CULTURAL AND LANGUAGE MINORITIES, FIRST AND SECOND-GENERATION IMMIGRANTS, PEOPLE EXPERIENCING HOMELESSNESS, THOSE INVOLVED IN THE JUSTICE SYSTEM, LOW-INCOME FAMILIES AND INDIVIDUALS, PARENTS, VETERANS, OLDER ADULTS, COMMUNITY MEMBERS WITH LIVED EXPERIENCE OF MENTAL HEALTH AND/OR ADDICTION, AND FIRST RESPONDERS. 38 STAKEHOLDER INTERVIEWS WERE HELD SEPTEMBER 27, 2021 THROUGH OCTOBER 31, 2021, ACROSS HEALTH AND SOCIAL SERVICE PROVIDERS, SPECIFICALLY WITH THE FOLLOWING BEING REPRESENTED: MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD), PUBLIC HEALTH, HOSPITAL SYSTEMS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), TRANSPORTATION, HOUSING, FOOD ACCESS, HEALTHCARE ACCESS AND POLICY, SCHOOL-BASED HEALTH AND CHILDREN'S HEALTH CARE, MATERNAL AND INFANT CARE, LGBTQ+ HEALTH CARE, PHARMACY ACCESS, AND HEALTHCARE WORKFORCE DEVELOPMENT. DUE TO CHARACTER LIMITATION IN THE SOFTWARE, THESE DATA SOURCES COULD NOT BE INCLUDED IN THIS EXPLANATION. HOWEVER, APPENDIX C OF THE CHNA CONTAINS A DETAILED DESCRIPTION OF EACH DATA COLLECTION STRATEGY INCLUDING THE SAMPLING OR RECRUITMENT STRATEGY, AND ANALYSIS. THIS CAN BE FOUND ON PAGES 59 THROUGH 69 OF THE CHNA POSTED ON TRIHEALTH'S WEBSITE.DATA COLLECTION WAS ALSO COMPREHENSIVE IN THAT COMMUNITY MEMBERS, SOCIAL SERVICE PROVIDERS AND HEALTHCARE PROFESSIONALS WERE NOT ONLY ASKED "WHAT COULD BE BETTER," BUT ALSO "WHAT IS WORKING." AS A RESULT, THIS REGIONAL CHNA INCLUDES A COLLECTION OF ASSETS AND RECOMMENDED POLICY AND PRACTICE INITIATIVES IDENTIFIED BY THE COMMUNITY THAT DIRECTLY TIE TO SYSTEM BARRIERS. THE SYMBOL (TO THE LEFT) CAN BE FOUND THROUGHOUT THIS REPORT. THIS SYMBOL IDENTIFIES A POLICY OR PRACTICE THAT ADDRESSES THE HEALTH NEED DISCUSSED IN THAT SECTION. NO DATA INFORMATION GAPS WERE IDENTIFIED WHILE CONDUCTING THE CHNA.CO-CREATED RESEARCH QUESTIONS TO CREATE THE GUIDING RESEARCH QUESTIONS, THE HEALTHCARE PROVIDERS PARTICIPATED IN A GROUP PROCESS, FACILITATED BY MEASUREMENT RESOURCES COMPANY (MRC), TO IDENTIFY THE EMERGING CURIOSITIES RELATED TO COMMUNITY HEALTH. THE EXERCISE FOCUSED ON MOVING BEYOND WHAT IS KNOWN THROUGH SECONDARY DATA AND ASKING QUESTIONS THAT CAN LEAD TO ACTION. THE FOLLOWING RESEARCH QUESTIONS WERE CO-CREATED BY THE ADVISORY COMMITTEE. 1. WHAT ARE THE GREATEST HEALTH NEEDS IN THE COMMUNITY? 2. HOW DO THE GREATEST HEALTH NEEDS DIFFER ACROSS COMMUNITIES AND COMMUNITY MEMBERS? 3. WHAT SOCIAL DETERMINANTS OF HEALTH (SDOH) DRIVE THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 4. WHAT ARE THE SYSTEMIC BARRIERS OF THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 5. WHAT ARE THE STRUCTURAL BARRIERS PROVIDERS FACE IN MEETING THE NEEDS OF THE COMMUNITY? 6. WHAT SPECIFIC ACTION STEPS CAN BE TAKEN BY VARIOUS PARTNERS TO ADDRESS THE ROOT CAUSES AND ACHIEVE MORE EQUITABLE HEALTH OUTCOMES? A. WHAT COMMUNITY-BASED EXPERTISE SHOULD BE LEVERAGED? B. WHAT BEST PRACTICES ARE BEING IMPLEMENTED? TO ANSWER THESE RESEARCH QUESTIONS, A FRAMEWORK WAS DEVELOPED FOR CENTERING EQUITY AND A COMPREHENSIVE UNDERSTANDING OF THE DRIVERS OF HEALTH CONDITIONS. FROM THIS FRAMEWORK, MRC AND THE ADVISORY COMMITTEE CO-CREATED A MIXED-METHOD DATA COLLECTION STRATEGY.EQUITY-CENTERED FRAMEWORK HEALTH EQUITY MEANS EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. TO ACHIEVE AN UNDERSTANDING OF HEALTH EQUITY, EACH DATA COLLECTION STRATEGY INCLUDED MECHANISMS TO:1. HEAR THE VOICES OF COMMUNITY MEMBERS AND BE INTENTIONAL ABOUT ENGAGING COMMUNITY MEMBERS WHO ARE HISTORICALLY UNDERREPRESENTED IN COMMUNITY DATA. 2. ASK QUESTIONS ABOUT HEALTH EXPERIENCES, OUTCOMES, BARRIERS, AND SOLUTIONS. 3. DISAGGREGATE THE DATA BY REGION, AGE, RACE, AND GENDER AND OTHER CHARACTERISTICS WITH SUFFICIENT SAMPLE SIZES. 4. USE THE DATA TO CLEARLY IDENTIFY THE UNIQUE EXPERIENCES OF COMMUNITY MEMBERS.
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 5: THE REGIONAL CHNA METHODOLOGY AND RESULTS WERE GENERATED THROUGH AN INCLUSIVE, COMPREHENSIVE, AND BALANCED DATA COLLECTION STRATEGY.COMPREHENSIVE DATA COLLECTION THE NEEDS ASSESSMENT UTILIZED A MIXED-METHOD APPROACH TO DATA COLLECTION INCLUDING SECONDARY QUANTITATIVE DATA AND PRIMARY QUANTITATIVE (REGIONAL CHNA COMMUNITY AND PROVIDER SURVEYS) AND QUALITATIVE (FOCUS GROUPS AND INTERVIEWS) DATA. SECONDARY DATA COLLECTION, WHICH BEGAN IN JANUARY OF 2021, SOUGHT TO UNDERSTAND THE GREATEST HEALTH CONDITIONS OF THE REGION, INCLUDING PREVALENCE AND IMPACT ON COMMUNITY MEMBERS. THESE RESULTS INFORMED THE CREATION OF SURVEY ITEMS THAT WERE ORGANIZED AROUND A SET OF CO-CREATED RESEARCH QUESTIONS. EACH DATA COLLECTION STRATEGY ADHERED TO A RECRUITMENT PLAN TO ENSURE A REPRESENTATIVE SAMPLE OF COMMUNITY MEMBERS, VOICES OF MARGINALIZED POPULATIONS, AND PROVIDERS ACROSS THE HEALTH AND SOCIAL SERVICES SECTORS WERE CAPTURED.OVERALL, THE SCOPE OF DATA COLLECTION WAS ROBUST AND INFORMED THE RESULTS OF THIS REGIONAL CHNA. THIS INCLUDES:8,321 COMMUNITY SURVEYS AVAILABLE APRIL, 2021 THROUGH JUNE, 2021, IN FIVE LANGUAGES. WITHIN THIS SAMPLE, REPRESENTATION WAS SEEN ACROSS 26 COUNTIES, MALES, FEMALES, AGES 18-65+, BLACK/AFRICAN AMERICAN, MULTIRACIAL, ASIAN, AMERICAN INDIAN, ALASKAN NATIVE, WHITE, AND HISPANIC/LATINO POPULATIONS. 859 PROVIDER SURVEYS, AVAILABLE APRIL, 2021 THROUGH MAY, 2021, INCLUSIVE OF BEHAVIORAL HEALTH, EDUCATION, EMERGENCY MEDICAL SERVICES, FAITH-BASED ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS, JUSTICE/CORRECTIONS, MEDICAL CARE (ADULT, GERIATRIC, PEDIATRIC) ORAL HEALTH, ORGANIZATIONS ADDRESSING HEALTH RELATED SOCIAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH, PHARMACEUTICAL, AND PUBLIC HEALTH DEPARTMENTS. - PROVIDERS ALSO REPRESENTED ADMINISTRATION, DIRECT PATIENT CARE, ACADEMIC, SUPPORT STAFF, AND SUPERVISORS/MANAGEMENT. - PROVIDERS REPORTED SERVING A VARIETY OF POPULATIONS INCLUDING CHILDREN/YOUTH, PEOPLE WITH DISABILITIES, ETHNIC MINORITIES, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IN THE JUSTICE SYSTEM, VETERANS, YOUNG ADULTS, LOW-INCOME POPULATIONS, AND LGBTQ+ POPULATIONS. 51 FOCUS GROUPS WITH 234 PEOPLE WERE HELD FROM MAY, 2021 THROUGH JULY, 2021, REPRESENTING ALL THREE MSAS. SPECIFICALLY, RECRUITMENT FOR THESE FOCUS GROUPS WERE BASED ON ADVISORY COMMITTEE IDENTIFICATION OF POPULATIONS WHO ARE TRADITIONALLY UNDERREPRESENTED, MARGINALIZED, OR EXPERIENCE GREATEST HEALTH DISPARITIES. - POPULATIONS REPRESENTED IN THESE FOCUS GROUPS INCLUDE ADULT MEN, THOSE EXPERIENCING FOSTER CARE OR FOSTER PARENTING, YOUTH AND ADULTS WITH DISABILITIES, ETHNIC, CULTURAL AND LANGUAGE MINORITIES, FIRST AND SECOND-GENERATION IMMIGRANTS, PEOPLE EXPERIENCING HOMELESSNESS, THOSE INVOLVED IN THE JUSTICE SYSTEM, LOW-INCOME FAMILIES AND INDIVIDUALS, PARENTS, VETERANS, OLDER ADULTS, COMMUNITY MEMBERS WITH LIVED EXPERIENCE OF MENTAL HEALTH AND/OR ADDICTION, AND FIRST RESPONDERS. 38 STAKEHOLDER INTERVIEWS WERE HELD SEPTEMBER 27, 2021 THROUGH OCTOBER 31, 2021, ACROSS HEALTH AND SOCIAL SERVICE PROVIDERS, SPECIFICALLY WITH THE FOLLOWING BEING REPRESENTED: MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD), PUBLIC HEALTH, HOSPITAL SYSTEMS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), TRANSPORTATION, HOUSING, FOOD ACCESS, HEALTHCARE ACCESS AND POLICY, SCHOOL-BASED HEALTH AND CHILDREN'S HEALTH CARE, MATERNAL AND INFANT CARE, LGBTQ+ HEALTH CARE, PHARMACY ACCESS, AND HEALTHCARE WORKFORCE DEVELOPMENT. DUE TO CHARACTER LIMITATION IN THE SOFTWARE, THESE DATA SOURCES COULD NOT BE INCLUDED IN THIS EXPLANATION. HOWEVER, APPENDIX C OF THE CHNA CONTAINS A DETAILED DESCRIPTION OF EACH DATA COLLECTION STRATEGY INCLUDING THE SAMPLING OR RECRUITMENT STRATEGY, AND ANALYSIS. THIS CAN BE FOUND ON PAGES 59 THROUGH 69 OF THE CHNA POSTED ON TRIHEALTH'S WEBSITE.DATA COLLECTION WAS ALSO COMPREHENSIVE IN THAT COMMUNITY MEMBERS, SOCIAL SERVICE PROVIDERS AND HEALTHCARE PROFESSIONALS WERE NOT ONLY ASKED "WHAT COULD BE BETTER," BUT ALSO "WHAT IS WORKING." AS A RESULT, THIS REGIONAL CHNA INCLUDES A COLLECTION OF ASSETS AND RECOMMENDED POLICY AND PRACTICE INITIATIVES IDENTIFIED BY THE COMMUNITY THAT DIRECTLY TIE TO SYSTEM BARRIERS. THE SYMBOL (TO THE LEFT) CAN BE FOUND THROUGHOUT THIS REPORT. THIS SYMBOL IDENTIFIES A POLICY OR PRACTICE THAT ADDRESSES THE HEALTH NEED DISCUSSED IN THAT SECTION. NO DATA INFORMATION GAPS WERE IDENTIFIED WHILE CONDUCTING THE CHNA.CO-CREATED RESEARCH QUESTIONS TO CREATE THE GUIDING RESEARCH QUESTIONS, THE HEALTHCARE PROVIDERS PARTICIPATED IN A GROUP PROCESS, FACILITATED BY MEASUREMENT RESOURCES COMPANY (MRC), TO IDENTIFY THE EMERGING CURIOSITIES RELATED TO COMMUNITY HEALTH. THE EXERCISE FOCUSED ON MOVING BEYOND WHAT IS KNOWN THROUGH SECONDARY DATA AND ASKING QUESTIONS THAT CAN LEAD TO ACTION. THE FOLLOWING RESEARCH QUESTIONS WERE CO-CREATED BY THE ADVISORY COMMITTEE. 1. WHAT ARE THE GREATEST HEALTH NEEDS IN THE COMMUNITY? 2. HOW DO THE GREATEST HEALTH NEEDS DIFFER ACROSS COMMUNITIES AND COMMUNITY MEMBERS? 3. WHAT SOCIAL DETERMINANTS OF HEALTH (SDOH) DRIVE THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 4. WHAT ARE THE SYSTEMIC BARRIERS OF THESE GREATEST HEALTH NEEDS AMONG DIFFERENT COMMUNITIES AND COMMUNITY MEMBERS? 5. WHAT ARE THE STRUCTURAL BARRIERS PROVIDERS FACE IN MEETING THE NEEDS OF THE COMMUNITY? 6. WHAT SPECIFIC ACTION STEPS CAN BE TAKEN BY VARIOUS PARTNERS TO ADDRESS THE ROOT CAUSES AND ACHIEVE MORE EQUITABLE HEALTH OUTCOMES? A. WHAT COMMUNITY-BASED EXPERTISE SHOULD BE LEVERAGED? B. WHAT BEST PRACTICES ARE BEING IMPLEMENTED? TO ANSWER THESE RESEARCH QUESTIONS, A FRAMEWORK WAS DEVELOPED FOR CENTERING EQUITY AND A COMPREHENSIVE UNDERSTANDING OF THE DRIVERS OF HEALTH CONDITIONS. FROM THIS FRAMEWORK, MRC AND THE ADVISORY COMMITTEE CO-CREATED A MIXED-METHOD DATA COLLECTION STRATEGY.EQUITY-CENTERED FRAMEWORK HEALTH EQUITY MEANS EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. TO ACHIEVE AN UNDERSTANDING OF HEALTH EQUITY, EACH DATA COLLECTION STRATEGY INCLUDED MECHANISMS TO:1. HEAR THE VOICES OF COMMUNITY MEMBERS AND BE INTENTIONAL ABOUT ENGAGING COMMUNITY MEMBERS WHO ARE HISTORICALLY UNDERREPRESENTED IN COMMUNITY DATA. 2. ASK QUESTIONS ABOUT HEALTH EXPERIENCES, OUTCOMES, BARRIERS, AND SOLUTIONS. 3. DISAGGREGATE THE DATA BY REGION, AGE, RACE, AND GENDER AND OTHER CHARACTERISTICS WITH SUFFICIENT SAMPLE SIZES. 4. USE THE DATA TO CLEARLY IDENTIFY THE UNIQUE EXPERIENCES OF COMMUNITY MEMBERS.
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 6A: * THE CHRIST HOSPITAL MT. AUBURN, * CINCINNATI CHILDREN'S HOSPITAL (CINCINNATI CHILDREN'S BURNET CAMPUS, CINCINNATI CHILDREN'S LIBERTY CAMPUS, CINCINNATI CHILDREN'S COLLEGE HILL CAMPUS)* ADAMS COUNTY REGIONAL MEDICAL CENTER,* MARGARET MARY HEALTH, * KETTERING HEALTH NETWORK (FORT HAMILTON HOSPITAL, GRANDVIEW MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, KETTERING BEHAVIORAL MEDICINE CENTER, KETTERING MEDICAL CENTER, SOIN MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SYCAMORE MEDICAL CENTER)* THE C&F LINDNER CENTER OF HOPE* BON SECOURS MERCY HEALTH (BON SECOURS MERCY HEALTH-ANDERSON HOSPITAL, BON SECOURS MERCY HEALTH-CLERMONT HOSPITAL, BON SECOURS MERCY HEALTH-FAIRFIELD HOSPITAL, BON SECOURS MERCY HEALTH-WEST HOSPITAL, BON SECOURS JEWISH HOSPITAL)* MERCY HEALTH URBANA HOSPITAL* MERCY HEALTH SPRINGFIELD REGIONAL MEDICAL CENTER* PREMIER HEALTH (ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL NORTH, MIAMI VALLEY HOSPITAL SOUTH, UPPER VALLEY MEDICAL CENTER)* TRIHEALTH (TRIHEALTH BETHESDA BUTLER HOSPITAL, TRIHEALTH BETHESDA NORTH HOSPITAL, TRIHEALTH GOOD SAMARITAN HOSPITAL, TRIHEALTH MCCULLOUGH-HYDE MEMORIAL HOSPITAL, TRIHEALTH GOOD SAMARITAN EVENDALE HOSPITAL)* UC HEALTH (UC HEALTH DRAKE CENTER FOR POST-ACUTE CARE, UC HEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER, UC HEALTH WEST CHESTER HOSPITAL)* WILSON MEMORIAL HEALTH* WAYNE HEALTHCARE
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 6A: * THE CHRIST HOSPITAL MT. AUBURN, * CINCINNATI CHILDREN'S HOSPITAL (CINCINNATI CHILDREN'S BURNET CAMPUS, CINCINNATI CHILDREN'S LIBERTY CAMPUS, CINCINNATI CHILDREN'S COLLEGE HILL CAMPUS)* ADAMS COUNTY REGIONAL MEDICAL CENTER,* MARGARET MARY HEALTH, * KETTERING HEALTH NETWORK (FORT HAMILTON HOSPITAL, GRANDVIEW MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, KETTERING BEHAVIORAL MEDICINE CENTER, KETTERING MEDICAL CENTER, SOIN MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SYCAMORE MEDICAL CENTER)* THE C&F LINDNER CENTER OF HOPE* BON SECOURS MERCY HEALTH (BON SECOURS MERCY HEALTH-ANDERSON HOSPITAL, BON SECOURS MERCY HEALTH-CLERMONT HOSPITAL, BON SECOURS MERCY HEALTH-FAIRFIELD HOSPITAL, BON SECOURS MERCY HEALTH-WEST HOSPITAL, BON SECOURS JEWISH HOSPITAL)* MERCY HEALTH URBANA HOSPITAL* MERCY HEALTH SPRINGFIELD REGIONAL MEDICAL CENTER* PREMIER HEALTH (ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL NORTH, MIAMI VALLEY HOSPITAL SOUTH, UPPER VALLEY MEDICAL CENTER)* TRIHEALTH (TRIHEALTH BETHESDA BUTLER HOSPITAL, TRIHEALTH BETHESDA NORTH HOSPITAL, TRIHEALTH GOOD SAMARITAN HOSPITAL, TRIHEALTH MCCULLOUGH-HYDE MEMORIAL HOSPITAL, TRIHEALTH GOOD SAMARITAN EVENDALE HOSPITAL)* UC HEALTH (UC HEALTH DRAKE CENTER FOR POST-ACUTE CARE, UC HEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER, UC HEALTH WEST CHESTER HOSPITAL)* WILSON MEMORIAL HEALTH* WAYNE HEALTHCARE
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* GREATER DAYTON AREA HOSPITAL ASSOCIATION* ADAMS COUNTY HEALTH DEPARTMENT* AUGLAIZE COUNTY HEALTH DEPARTMENT* BROWN COUNTY HEALTH DEPARTMENT* BUTLER COUNTY HEALTH DEPARTMENT* CHAMPAIGN COUNTY HEALTH DEPARTMENT* CITY OF CINCINNATI HEALTH DEPARTMENT* CITY OF HAMILTON HEALTH DEPARTMENT* CLARK COUNTY HEALTH DEPARTMENT* CLERMONT COUNTY HEALTH DEPARTMENT* CLINTON COUNTY HEALTH DEPARTMENT* DARKE COUNTY HEALTH DEPARTMENT* FAYETTE COUNTY HEALTH DEPARTMENT* GREENE COUNTY HEALTH DEPARTMENT* HAMILTON COUNTY HEALTH DEPARTMENT* HIGHLAND COUNTY HEALTH DEPARTMENT* MIAMI COUNTY HEALTH DEPARTMENT* MONTGOMERY COUNTY HEALTH DEPARTMENT* CITY OF NORWOOD HEALTH DEPARTMENT* CITY OF PIQUA HEALTH DEPARTMENT* PREBLE COUNTY HEALTH DEPARTMENT* SHELBY COUNTY HEALTH DEPARTMENT* SPRINGDALE HEALTH DEPARTMENT* WARREN COUNTY COMBINED HEALTH DISTRICT
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* GREATER DAYTON AREA HOSPITAL ASSOCIATION* ADAMS COUNTY HEALTH DEPARTMENT* AUGLAIZE COUNTY HEALTH DEPARTMENT* BROWN COUNTY HEALTH DEPARTMENT* BUTLER COUNTY HEALTH DEPARTMENT* CHAMPAIGN COUNTY HEALTH DEPARTMENT* CITY OF CINCINNATI HEALTH DEPARTMENT* CITY OF HAMILTON HEALTH DEPARTMENT* CLARK COUNTY HEALTH DEPARTMENT* CLERMONT COUNTY HEALTH DEPARTMENT* CLINTON COUNTY HEALTH DEPARTMENT* DARKE COUNTY HEALTH DEPARTMENT* FAYETTE COUNTY HEALTH DEPARTMENT* GREENE COUNTY HEALTH DEPARTMENT* HAMILTON COUNTY HEALTH DEPARTMENT* HIGHLAND COUNTY HEALTH DEPARTMENT* MIAMI COUNTY HEALTH DEPARTMENT* MONTGOMERY COUNTY HEALTH DEPARTMENT* CITY OF NORWOOD HEALTH DEPARTMENT* CITY OF PIQUA HEALTH DEPARTMENT* PREBLE COUNTY HEALTH DEPARTMENT* SHELBY COUNTY HEALTH DEPARTMENT* SPRINGDALE HEALTH DEPARTMENT* WARREN COUNTY COMBINED HEALTH DISTRICT
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 7D: COPY AVAILABLE WITHOUT CHARGE.PLEASE CONTACT TRIHEALTH MISSION AND CULTURE BY EITHER TELEPHONE (513-569-6248), E-MAIL (FRANK_NATION@TRIHEALTH.COM) OR MAIL (625 EDEN PARK DRIVE, 9TH FLOOR, CINCINNATI, OHIO 45202).
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 7D: COPY AVAILABLE WITHOUT CHARGE.PLEASE CONTACT TRIHEALTH MISSION AND CULTURE BY EITHER TELEPHONE (513-569-6248), E-MAIL (FRANK_NATION@TRIHEALTH.COM) OR MAIL (625 EDEN PARK DRIVE, 9TH FLOOR, CINCINNATI, OHIO 45202).
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 11: 1. SUBSTANCE ABUSE/MENTAL HEALTH - GIVEN THE HIGH PREVALENCE OF SUBSTANCE ABUSE IN THIS AREA, PARTICULARLY OPIOID ABUSE, THE FACT THAT CURRENT WORK IS NOT COMPLETED AND THERE ARE MANY COMMUNITY PARTNERS THAT ARE ENGAGING ALONG WITH TRIHEALTH, SUBSTANCE ABUSE REMAINS ONE OF THE TOP PRIORITY COMMUNITY NEEDS FOR TRIHEALTH AND BETHESDA NORTH HOSPITAL ("BNH"). THE GOAL IS TO IMPROVE EARLY IDENTIFICATION AND TREATMENT, AS WELL AS EDUCATION, TO THOSE IN OUR COMMUNITY WHO NEED THE RIGHT CARE, IN THE RIGHT SETTING, AT THE RIGHT TIME REGARDING SUBSTANCE ABUSE AND MENTAL HEALTH TO IMPROVE HEALTH OUTCOMES. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:SUBSTANCE ABUSE TREATMENT COORDINATORS - PROVIDE RN/SOCIAL WORKER WITH SPECIFIC SUBSTANCE USE TRAINING AND/OR CERTIFICATION AT INPATIENT SERVICES AND EMERGENCY DEPARTMENT LOCATIONS TO ENGAGE, ASSESS, AND PROVIDE APPOINTMENTS TO TREATMENT WITHIN 24-48 HOURS AFTER DISCHARGE. OUTPATIENT ALCOHOL AND TREATMENT PROGRAM - OFFER SUPPORT AND TREATMENT TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, IN A STRUCTURED, OUTPATIENT SETTING. INTEGRATED BEHAVIORAL HEALTH MODEL - DEVELOP A BEHAVIORAL HEALTH CARE MODEL OVER THE NEXT 18 MONTHS TO PROACTIVELY IDENTIFY PATIENT NEEDS USING A COMPREHENSIVE BEHAVIORAL HEALTH ASSESSMENT AND PROVIDE TREATMENT AS INDICATED. BEHAVIORAL HEALTH INTAKE PROGRAM - REFER PATIENTS FROM THE EMERGENCY DEPARTMENT TO THE APPROPRIATE TREATMENT SETTING AND LOCATION. BNH PLANS TO ADDRESS THESE INITIATIVES BY PROVIDING REGISTERED NURSES, PHYSICIANS, COMMUNITY HEALTH EDUCATORS, PHILANTHROPIC CASH GRANTS, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT. IT WILL DO SO IN PARTNERSHIP WITH BI3, ADDICTION SERVICES COUNCIL, BRIGHTVIEW, TALBERT HOUSE, NAMI OF SOUTHWEST OHIO, URBAN HEALTH PROJECT, CENTER FOR ADDICTION TREATMENT, GOOD SAMARITAN FREE HEALTH CLINIC. 2. MATERNAL/CHILD HEALTH - GIVEN THE HIGH PREVALENCE IN CERTAIN GEOGRAPHIC AREAS, THE FACT THAT CURRENT WORK IS BEING EFFECTIVE AND IS NOT COMPLETED AND THERE ARE MANY COMMUNITY PARTNERS THAT ARE ENGAGING ALONG WITH TRIHEALTH. THE GOAL IS TO REDUCE INFANT MORTALITY RATES IN OUR SERVICE AREA, AS WELL AS IMPROVE OUTCOMES FOR MATERNAL HEALTH WITH EMPHASIS ON EDUCATION, CLINICAL CARE, AND COMMUNITY OUTREACH. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:OB GYN CENTER - THE CENTER WILL PROVIDE OBSTETRICS AND GYNECOLOGICAL SERVICES TO ALL, WITH SPECIAL ATTENTION TO HEALTH DISPARITIES AND THE UNDERSERVED, IMPROVING INFANT MORTALITY OUTCOMES AND WOMEN'S HEALTH. WOMAN CENTERED MEDICAL HOME MODEL - PROGRAM WILL PROVIDE A COMPLEX NETWORK OF CARE, DELIVERED BY DEDICATED CASE MANAGERS, SOCIAL WORKERS, LACTATION CONSULTANTS, BEHAVIORAL HEALTH CONSULTANTS, COMMUNITY HEALTH WORKERS, FINANCIAL COUNSELORS, AND LEGAL AID CONSULTANTS TO PROVIDE EXCELLENT CARE WHILE ADDRESSING SOCIAL DETERMINANTS OF HEALTH. HOPE PROGRAM - PROGRAM WILL PROVIDE PATIENT-CENTERED CARE TO CHEMICALLY DEPENDENT PREGNANT WOMEN IMPROVING BIRTH OUTCOMES AND MATERNAL SUBSTANCE-FREE OUTCOMES. BNH PLANS TO ADDRESS THESE INITIATIVES BY PROVIDING RNS, DEDICATED CASE MANAGER, LACTATION EDUCATOR, BEHAVIORAL HEALTH SOCIAL WORKER, DIETICIANS, GENETIC COUNSELORS AND ASSISTANCE WITH TRANSPORTATION, FOOD PANTRY, HOME FURNISHINGS AND BABY ITEMS. IT WILL DO SO IN PARTNERSHIP WITH CRADLE CINCINNATI, URBAN HEALTH PROJECT, MARCH OF DIMES, TALBERT HOUSE FATHERHOOD PROJECT, SWEET CHEEKS DIAPER BANK, START STRONG, THINK FIRST FOR YOUR BABY, HEALTHY BEGINNINGS, HEALTHY MOMS AND BABES, GS FREE CLINIC, EVERY CHILD SUCCEEDS, CRIBS FOR KIDS, CHILDBIRTH EDUCATION ASSOCIATION. 3. ACCESS TO CARE CONTINUING THE WORK OF TRIHEALTH/BETHESDA CLINICS AND THE FREE HEALTH CENTER IS ESSENTIAL TO SUSTAINED GAINS IN IMPROVING ACCESS FOR UN- AND UNDERINSURED PEOPLE. THERE IS AN OPPORTUNITY TO BUILD ON CURRENT SIMILAR WORK THAT FUNDS PATIENTS' ACCESS TO HEALTH CARE VIA RIDES TO APPOINTMENTS, HOME FROM THE EMERGENCY DEPARTMENT AND SO FORTH.THE GOAL IS TO IMPROVE ACCESS TO CARE FOR THE UNDERSERVED POPULATIONS WITH EMPHASIS ON EDUCATION, ASSESSMENT, CARE DELIVERY AND CONNECTION TO RESOURCES WITHIN BNH, TRIHEALTH AND/OR COMMUNITY ORGANIZATIONS AND PROGRAMS. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:GOOD SAMARITAN FREE CLINIC A RELATED TAX-EXEMPT ORGANIZATION TO BNH, IT IS THE ONLY FREE HEALTH CENTER IN SOUTHWEST OHIO OPEN SIX DAYS PER WEEK. IT PROVIDES ACCESS TO COMPREHENSIVE, PERSONALIZED HEALTHCARE SERVICES TO MORE THAN 1500 UNINSURED PATIENTS ANNUALLY. FACULTY MEDICAL CENTER - PROGRAM WILL PROVIDE A COMPLEX NETWORK OF CARE, DELIVERED BY PROVIDERS FROM OUR GRADUATE MEDICAL EDUCATION PROGRAM WHO ARE DEDICATED TO PROVIDING EXCELLENT CLINICAL PRIMARY CARE TO THE UNDERSERVED WHILE ADDRESSING SOCIAL DETERMINANTS OF HEALTH.TRIHEALTH OUTREACH PROGRAMS COORDINATION - IMPROVE COORDINATION OF PROGRAMS DIRECTLY TO THE UNDERSERVED COMMUNITY WITH CONNECTION TO TRIHEALTH AND COMMUNITY ORGANIZATIONS. PROGRAM COORDINATION TO INCLUDE MOBILE MAMMOGRAPHY, FREE HEALTH SCREENINGS, SENIORITY, THINK FIRST EDUCATION, PHARMACY ASSISTANCE, FOOD PROGRAMS, LEGAL AID, ADVOCACY, AND HOUSING REPAIR.BNH PLANS TO ADDRESS THESE INITIATIVES BY PROVIDING MAMMOGRAPHY VAN, NURSES, SOCIAL WORKERS, PHYSICIANS, ASSISTANCE WITH FOOD, TRANSPORTATION, LEGAL AID, SPACE AND RESOURCES FOR CLINICS, COMMUNITY WORKERS, MENTAL HEALTH SPECIALISTS. IT WILL DO SO IN PARTNERSHIP WITH PEOPLE WORKING COLLABORATIVELY, LEGAL AID OF GREATER CINCINNATI, FREE STORE FOODBANK, GREATER CINCINNATI FOUNDATION, UNITED WAY, HEALTH COLLABORATIVE, SVDP CHARITABLE PHARMACY, AND VARIOUS COMMUNITY ORGANIZATION EVENTS.4. DISEASE MANAGEMENT - SEVERAL SPECIFIC CHRONIC HEALTH ISSUES HYPERTENSION, DEPRESSION, DIABETES AND CANCERS RESULTING FROM POSTPONED SCREENINGS ALL ARE AFFECTING BLACK MALES IN THE COMMUNITY DISPROPORTIONALLY, SO WERE COMBINED INTO "DISEASE MANAGEMENT". THE GOAL IS TO IMPROVE EDUCATION, DATA COLLECTION, ASSESSMENTS, INTERVENTIONS, CULTURALLY COMPETENT CARE AND CARE MANAGEMENT, BNH WILL ADDRESS AND IMPROVE SPECIFIC CHRONIC HEALTH ISSUES THAT ARE IMPACTED BY DISPARITIES, SUCH AS HYPERTENSION, DEPRESSION, DIABETES, AND CANCERS. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:HEALTH DISPARITIES DATA COLLECTION - IMPLEMENT A NEW GRANT FUNDED PROGRAM TO COLLECT HEALTH DISPARITY DATA REGARDING CHRONIC DISEASE TO ASSESS SOCIAL DETERMINANTS OF HEALTH ASSIST WITH INTERVENTIONS AND TRACK OUTCOMES. COORDINATE EXISTING (AND NEW) CHRONIC HEALTH PROGRAMS WITH AN EMPHASIS ON HEALTH DISPARITIES - COORDINATE AND ASSIMILATE CURRENT (AND FUTURE) PROGRAMS THAT ADDRESS CHRONIC DISEASE IN AREAS OF CRITICAL NEED BASED ON ZIP CODES, ETHNICITY, GENDER, AND OTHER SOCIAL DETERMINANTS OF HEALTH. DIVERSITY, EQUITY, AND INCLUSION (DEI) CARE STRATEGY - IMPROVE THE DEI CARE STRATEGY TO FOCUS ON ACCURATE DEI DOCUMENTATION IN EPIC, CULTURALLY COMPETENT CARE MODEL EDUCATION, WORKFORCE DIVERSITY, BOLD PROGRAM, GRADUATE MEDICAL EDUCATION DIVERSITY INITIATIVES, SCHOOL TO WORK PROGRAM, AND SYSTEM DEI TRAINING. TRIHEALTH (OF WHICH BNH IS A PART) PLANS TO ADDRESS THESE INITIATIVES BY CREATING A POSITION OF DIRECTOR OF HEALTH EQUITIES WITHIN THE SYSTEM, CHRONIC HEALTH OUTREACH PROGRAMS AND A COMMUNITY HEALTH NEEDS COMMITTEE AS WELL AS THE UTILIZATION OF NURSES, PHYSICIANS, COMMUNITY HEALTH EDUCATORS, PHILANTHROPIC GRANTS, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT. IT WILL DO SO IN PARTNERSHIP WITH BI3, MEHARRY MEDICAL COLLEGE (HBCU), VINCENT BROWN CONSULTING, HEALTH COLLABORATIVE, INTERACT FOR HEALTH, UNITED WAY, LUMERIS, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, NAMI, RIDECINCINNATI.IN ITS IMPLEMENTATION PLAN, BNH PROVIDED A LIST OF COMMUNITY RESOURCES AND OTHER TRIHEALTH SYSTEM PROGRAMS AVAILABLE TO HELP ADDRESS THESE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. HOWEVER, DUE TO SOFTWARE CONSTRAINTS, THEY ARE NOT IDENTIFIED HERE. THIS LIST CAN BE FOUND ON PAGES 10-12 OF THE PLAN FOUND AT THE FOLLOWING URL (HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/HEALTH-NEEDS-ASSESSMENT).PLEASE NOTE THAT ALL OF THE ABOVE NEEDS BEING ADDRESSED ARE IN LINE WITH THE STATE HEALTH IMPROVEMENT PLAN (SHIP) 2020-2022. THE SIGNIFICANT HEALTH NEEDS FROM THE 2022 CHNA THAT BNH WILL NOT ADDRESS ARE AS FOLLOWS: ARTHRITIS OR OSTEOPOROSIS, LUNG/RESPIRATORY RELATED CONDITIONS, INCLUDING ASTHMA, AND ORAL/DENTAL DISEASE.THESE NEEDS ARE NOT CURRENTLY BEING ADDRESSED BY BNH AS THEY ARE DEEMED TO BE NOT PARTICULARLY ACUTE WITHIN BETHESDA HOSPITAL'S FOUR-COUNTY COMMUNITY SERVED (HAMILTON, BUTLER, CLERMONT AND WARREN COUNTIES, OHIO) BASED ON THE CRITERIA/RESEARCH USED IN THE DECISION-MAKING PROCESS.
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 11: 1. SUBSTANCE ABUSE/MENTAL HEALTH - GIVEN THE HIGH PREVALENCE OF SUBSTANCE ABUSE IN THIS AREA, PARTICULARLY OPIOID ABUSE, THE FACT THAT CURRENT WORK IS NOT COMPLETED AND THERE ARE MANY COMMUNITY PARTNERS THAT ARE ENGAGING ALONG WITH TRIHEALTH, SUBSTANCE ABUSE REMAINS ONE OF THE TOP PRIORITY COMMUNITY NEEDS FOR TRIHEALTH AND BETHESDA BUTLER HOSPITAL ("BBH"). THE GOAL IS TO IMPROVE EARLY IDENTIFICATION AND TREATMENT, AS WELL AS EDUCATION, TO THOSE IN OUR COMMUNITY WHO NEED THE RIGHT CARE, IN THE RIGHT SETTING, AT THE RIGHT TIME REGARDING SUBSTANCE ABUSE AND MENTAL HEALTH TO IMPROVE HEALTH OUTCOMES. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:SUBSTANCE ABUSE TREATMENT COORDINATORS - PROVIDE RN/SOCIAL WORKER WITH SPECIFIC SUBSTANCE USE TRAINING AND/OR CERTIFICATION AT INPATIENT SERVICES AND EMERGENCY DEPARTMENT LOCATIONS TO ENGAGE, ASSESS, AND PROVIDE APPOINTMENTS TO TREATMENT WITHIN 24-48 HOURS AFTER DISCHARGE. OUTPATIENT ALCOHOL AND TREATMENT PROGRAM - OFFER SUPPORT AND TREATMENT TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, IN A STRUCTURED, OUTPATIENT SETTING. INTEGRATED BEHAVIORAL HEALTH MODEL - DEVELOP A BEHAVIORAL HEALTH CARE MODEL OVER THE NEXT 18 MONTHS TO PROACTIVELY IDENTIFY PATIENT NEEDS USING A COMPREHENSIVE BEHAVIORAL HEALTH ASSESSMENT AND PROVIDE TREATMENT AS INDICATED. BEHAVIORAL HEALTH INTAKE PROGRAM - REFER PATIENTS FROM THE EMERGENCY DEPARTMENT TO THE APPROPRIATE TREATMENT SETTING AND LOCATION. BBH PLANS TO ADDRESS THESE INITIATIVES BY PROVIDING REGISTERED NURSES, PHYSICIANS, COMMUNITY HEALTH EDUCATORS, PHILANTHROPIC CASH GRANTS, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT. IT WILL DO SO IN PARTNERSHIP WITH BI3, ADDICTION SERVICES COUNCIL, BRIGHTVIEW, TALBERT HOUSE, NAMI OF SOUTHWEST OHIO, URBAN HEALTH PROJECT, CENTER FOR ADDICTION TREATMENT, GOOD SAMARITAN FREE HEALTH CLINIC. 2. ACCESS TO CARE CONTINUING THE WORK OF TRIHEALTH/BETHESDA CLINICS AND THE FREE HEALTH CENTER IS ESSENTIAL TO SUSTAINED GAINS IN IMPROVING ACCESS FOR UN- AND UNDERINSURED PEOPLE. THERE IS AN OPPORTUNITY TO BUILD ON CURRENT SIMILAR WORK THAT FUNDS PATIENTS' ACCESS TO HEALTH CARE VIA RIDES TO APPOINTMENTS, HOME FROM THE EMERGENCY DEPARTMENT AND SO FORTH.THE GOAL IS TO IMPROVE ACCESS TO CARE FOR THE UNDERSERVED POPULATIONS WITH EMPHASIS ON EDUCATION, ASSESSMENT, CARE DELIVERY AND CONNECTION TO RESOURCES WITHIN BBH, TRIHEALTH AND/OR COMMUNITY ORGANIZATIONS AND PROGRAMS. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:GOOD SAMARITAN FREE CLINIC A RELATED TAX-EXEMPT ORGANIZATION TO BBH, IT IS THE ONLY FREE HEALTH CENTER IN SOUTHWEST OHIO OPEN SIX DAYS PER WEEK. IT PROVIDES ACCESS TO COMPREHENSIVE, PERSONALIZED HEALTHCARE SERVICES TO MORE THAN 1500 UNINSURED PATIENTS ANNUALLY. FACULTY MEDICAL CENTER - PROGRAM WILL PROVIDE A COMPLEX NETWORK OF CARE, DELIVERED BY PROVIDERS FROM OUR GRADUATE MEDICAL EDUCATION PROGRAM WHO ARE DEDICATED TO PROVIDING EXCELLENT CLINICAL PRIMARY CARE TO THE UNDERSERVED WHILE ADDRESSING SOCIAL DETERMINANTS OF HEALTH.TRIHEALTH OUTREACH PROGRAMS COORDINATION - IMPROVE COORDINATION OF PROGRAMS DIRECTLY TO THE UNDERSERVED COMMUNITY WITH CONNECTION TO TRIHEALTH AND COMMUNITY ORGANIZATIONS. PROGRAM COORDINATION TO INCLUDE MOBILE MAMMOGRAPHY, FREE HEALTH SCREENINGS, SENIORITY, THINK FIRST EDUCATION, PHARMACY ASSISTANCE, FOOD PROGRAMS, LEGAL AID, ADVOCACY, AND HOUSING REPAIR.BBH PLANS TO ADDRESS THESE INITIATIVES BY PROVIDING MAMMOGRAPHY VAN, NURSES, SOCIAL WORKERS, PHYSICIANS, ASSISTANCE WITH FOOD, TRANSPORTATION, LEGAL AID, SPACE AND RESOURCES FOR CLINICS, COMMUNITY WORKERS, MENTAL HEALTH SPECIALISTS. IT WILL DO SO IN PARTNERSHIP WITH PEOPLE WORKING COLLABORATIVELY, LEGAL AID OF GREATER CINCINNATI, FREE STORE FOODBANK, GREATER CINCINNATI FOUNDATION, UNITED WAY, HEALTH COLLABORATIVE, SVDP CHARITABLE PHARMACY, AND VARIOUS COMMUNITY ORGANIZATION EVENTS.3. DISEASE MANAGEMENT - SEVERAL SPECIFIC CHRONIC HEALTH ISSUES HYPERTENSION, DEPRESSION, DIABETES AND CANCERS RESULTING FROM POSTPONED SCREENINGS ALL ARE AFFECTING BLACK MALES IN THE COMMUNITY DISPROPORTIONALLY, SO WERE COMBINED INTO "DISEASE MANAGEMENT". THE GOAL IS TO IMPROVE EDUCATION, DATA COLLECTION, ASSESSMENTS, INTERVENTIONS, CULTURALLY COMPETENT CARE AND CARE MANAGEMENT, BBH WILL ADDRESS AND IMPROVE SPECIFIC CHRONIC HEALTH ISSUES THAT ARE IMPACTED BY DISPARITIES, SUCH AS HYPERTENSION, DEPRESSION, DIABETES, AND CANCERS. THE STRATEGY OR PROGRAMS NEEDED TO ACHIEVE THIS GOAL IS AS FOLLOWS:HEALTH DISPARITIES DATA COLLECTION - IMPLEMENT A NEW GRANT FUNDED PROGRAM TO COLLECT HEALTH DISPARITY DATA REGARDING CHRONIC DISEASE TO ASSESS SOCIAL DETERMINANTS OF HEALTH ASSIST WITH INTERVENTIONS AND TRACK OUTCOMES. COORDINATE EXISTING (AND NEW) CHRONIC HEALTH PROGRAMS WITH AN EMPHASIS ON HEALTH DISPARITIES - COORDINATE AND ASSIMILATE CURRENT (AND FUTURE) PROGRAMS THAT ADDRESS CHRONIC DISEASE IN AREAS OF CRITICAL NEED BASED ON ZIP CODES, ETHNICITY, GENDER, AND OTHER SOCIAL DETERMINANTS OF HEALTH. DIVERSITY, EQUITY, AND INCLUSION (DEI) CARE STRATEGY - IMPROVE THE DEI CARE STRATEGY TO FOCUS ON ACCURATE DEI DOCUMENTATION IN EPIC, CULTURALLY COMPETENT CARE MODEL EDUCATION, WORKFORCE DIVERSITY, BOLD PROGRAM, GRADUATE MEDICAL EDUCATION DIVERSITY INITIATIVES, SCHOOL TO WORK PROGRAM, AND SYSTEM DEI TRAINING. TRIHEALTH (OF WHICH BBH IS A PART) PLANS TO ADDRESS THESE INITIATIVES BY CREATING A POSITION OF DIRECTOR OF HEALTH EQUITIES WITHIN THE SYSTEM, CHRONIC HEALTH OUTREACH PROGRAMS AND A COMMUNITY HEALTH NEEDS COMMITTEE AS WELL AS THE UTILIZATION OF NURSES, PHYSICIANS, COMMUNITY HEALTH EDUCATORS, PHILANTHROPIC GRANTS, OUTREACH COMMUNICATION, AND PROGRAM MANAGEMENT SUPPORT. IT WILL DO SO IN PARTNERSHIP WITH BI3, MEHARRY MEDICAL COLLEGE (HBCU), VINCENT BROWN CONSULTING, HEALTH COLLABORATIVE, INTERACT FOR HEALTH, UNITED WAY, LUMERIS, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, NAMI, RIDECINCINNATI.IN ITS IMPLEMENTATION PLAN, BBH PROVIDED A LIST OF COMMUNITY RESOURCES AND OTHER TRIHEALTH SYSTEM PROGRAMS AVAILABLE TO HELP ADDRESS THESE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IT SERVES. HOWEVER, DUE TO SOFTWARE CONSTRAINTS, THEY ARE NOT IDENTIFIED HERE. THIS LIST CAN BE FOUND ON PAGES 10 THROUGH 12 OF THE PLAN FOUND AT THE FOLLOWING URL (HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/HEALTH-NEEDS-ASSESSMENT).PLEASE NOTE THAT ALL OF THE ABOVE NEEDS BEING ADDRESSED ARE IN LINE WITH THE STATE HEALTH IMPROVEMENT PLAN (SHIP) 2020-2022. THE SIGNIFICANT HEALTH NEEDS FROM THE 2022 CHNA THAT BBH WILL NOT ADDRESS ARE AS FOLLOWS: ARTHRITIS OR OSTEOPOROSIS, LUNG/RESPIRATORY RELATED CONDITIONS, INCLUDING ASTHMA, AND ORAL/DENTAL DISEASE.THESE NEEDS ARE NOT CURRENTLY BEING ADDRESSED BY BBH AS THEY ARE DEEMED TO BE NOT PARTICULARLY ACUTE WITHIN BBH'S COMMUNITY SERVED OF BUTLER COUNTY, OHIO BASED ON THE CRITERIA/RESEARCH USED IN THE DECISION-MAKING PROCESS.AS FOR THE REASON AS TO WHY THE MATERNAL HEALTH COMPLICATIONS PRIORITY IS NOT BEING ADDRESSED, IT IS DUE TO THIS PRIORITY BEING ADDRESSED BY OTHER TRIHEALTH HOSPITALS (SEE THE SCHEDULE H FOR BETHESDA NORTH HOSPITAL WITH THIS FORM 990 AS WELL AS THE SCHEDULE H FOR GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO (EIN 31-0537486)) AS WELL AS OTHER TRIHEALTH PARTNERS.
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 13B: SEE PART VI RESPONSE TO PART I, LINE 3C.
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 13B: SEE PART VI RESPONSE TO PART I, LINE 3C.
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 13H: SEE PART VI RESPONSE TO PART I, LINE 3C.
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 13H: SEE PART VI RESPONSE TO PART I, LINE 3C.
FieldValueIRS element (for citing)
Facility18FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - BETHESDA MEDICAL CENTER-ARROW SPRINGS
100 ARROW SPRINGS BLVDLEBANONOH4503624-HOUR EMERGENCY ROOM AND COMPREHENSIVE OUTPATIENT SERVICES
2 - BETHESDA OBGYN CENTER RESIDENT CLINIC
10495 MONTGOMERY ROADCINCINNATIOH45242WOMEN'S HEALTH
3 - TRIHEALTH SLEEP MEDICINE
10475 MONTGOMERY ROADCINCINNATIOH45242SLEEP CENTER
4 - B NORTH MINIMALLY INVASIVE SURGERY CTR
10506 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT SURGICAL CENTER
5 - BETHESDA HAND REHABILITATION
10700 MONTGOMERY ROADCINCINNATIOH45242PHYSICAL THERAPY
6 - BETHESDA LOVELAND PHYSICAL THERAPY
10675 LOVELAND-MADERIA ROADLOVELANDOH45140PHYSICAL THERAPY
7 - BETHESDA FAMILY PRACTICE CENTER
1775 LEXINGTON AVECINCINNATIOH45212FAMILY MEDICINE CLINIC
8 - BETHESDA ALCOHOLDRUG TREATMENT
4410 CARVER WOODS DRIVECINCINNATIOH45242OUTPATIENT ALCOHOL AND DRUG TREATMENT
9 - BETHESDA BUTLER PHYSICAL THERAPY
3055 HAMILTON-MASON ROADHAMILTONOH45011PHYSICAL THERAPY
10 - BETHESDA BUTLER IMAGING CENTER
3075 HAMILTON-MASON ROADHAMILTONOH45011MEDICAL IMAGING
11 - TRIHEALTH SLEEP MEDICINE
3055 HAMILTON-MASON ROADHAMILTONOH45011SLEEP MEDICINE CENTER
12 - BETHESDA SURGERY CENTER
10615 MONTGOMERY ROAD 300CINCINNATIOH45242OUTPATIENT SURGICAL CENTER
13 - BETHESDA MONTGOMERY CARDIAC TESTING
10525 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT CARDIAC TESTING
14 - BETHESDA MONTGOMERY SLEEP CENTER
10535 MONTGOMERY ROADCINCINNATIOH45242SLEEP CENTER
15 - BETHESDA MRI KENWOOD
8311 MOTGOMERY ROADCINCINNATIOH45236MEDICAL IMAGING
16 - TRIHEALTH KENWOOD
8240 NORTHCREEK DRIVECINCINNATIOH45236INTEGRATED OUTPATIENT CENTER
17 - THOMAS COMPREHENSIVE CARE CENTER
10506A MONTGOMERY RDCINCINNATIOH45242SPECIALTY SERVICES
18 - TRIHEALTH PHARMACY SOLUTIONS
4623 WESLEY AVE SUITE NCINCINNATIOH45212SPECIALTY PHARMACY

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:BETHESDA HOSPITAL, INC. UTILIZES THE FEDERAL POVERTY GUIDELINES ("FPG") 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. 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 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 A REPORT PREPARED BY TRIHEALTH IN COMBINATION WITH ITS RELATED HOSPITALS - THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND MCCULLOUGH-HYDE MEMORIAL HOSPITAL.
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, LN 7 COL(F):BAD DEBT EXPENSE IS NOT INCLUDED ON FORM 990, PART IX, LINE 25. IT IS PRESENTED ON FORM 990, PART VIII, LINE 2 AS A DEDUCTION FROM PATIENT SERVICE REVENUE WHICH CORRESPONDS TO ITS FINANCIAL STATEMENT PRESENTATION. SEE RESPONSE TO PART III, LINE 4. THEREFORE, NO ADJUSTMENT TO TOTAL EXPENSES SHOWN ON FORM 990, PART IX, LINE 25 IS NECESSARY.
PART II, COMMUNITY BUILDING ACTIVITIES:BETHESDA HOSPITAL, INC. PROVIDED CASH DONATIONS THROUGH TRIHEALTH TO VARIOUS CHARITABLE ORGANIZATIONS WITHIN THE COMMUNITY TO ADDRESS HOMELESSNESS, TO INCREASE EDUCATIONAL OPPORTUNITIES AND TO BUILD AN ECONOMIC INFRASTRUCTURE.IN ADDITION, DURING THE TAX YEAR, BETHESDA HOSPITAL, INC. HELD A SERVE DAY WHERE 85 TEAM MEMBERS DONATED A TOTAL OF 341 HOURS AND ASSISTED THREE (3) LOCAL ORGANIZATIONS WITH VARIOUS COMMUNITY SERVICE PROJECTS.
PART III, LINE 2:SEE PART VI RESPONSE TO PART III, LINE 4.
PART III, LINE 3:SEE PART VI RESPONSE TO PART III, LINE 4.
PART III, LINE 4:BETHESDA HOSPITAL, INC.'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE TRIHEALTH AUDIT REPORT.PLEASE NOTE THAT UNDER ACCOUNTING STANDARDS UPDATE NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH THE TRIHEALTH SYSTEM ADOPTED DURING THE TAX YEAR 2019 (FISCAL YEAR ENDED JUNE 30, 2020), BAD DEBT IS CONSIDERED AN "IMPLICIT PRICE CONCESSION AND IS NOT DISTINGUISHED FROM A CONTRACTUAL ADJUSTMENT UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND THEREFORE THERE IS NO LONGER A SPECIFIC DISCLOSURE FOR BAD DEBT IN THE CURRENT YEAR AUDIT REPORT.SEE PATIENT SERVICE REVENUE (PART OF FOOTNOTE B - PAGES 18-22) FOR ADDITIONAL DETAIL REGARDING THE ABOVE-MENTIONED STANDARD AS WELL AS HOW THE TRIHEALTH SYSTEM ACCOUNTS FOR PATIENT SERVICE REVENUE.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 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. CHNAAS A FOLLOW UP TO THE 2018 CHNA, TRIHEALTH, INC. AND ITS HOSPITALS JOINED THIRTY-ONE (31) OTHER HOSPITALS AND TWENTY-TWO (22) HEALTH DEPARTMENTS IN THE GREATER CINCINNATI-DAYTON REGION TO SPONSOR AND FUND A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT FOR 2021. THE COMPREHENSIVE CHNA SPANS TWENTY-SIX (26) COUNTIES. THE REGIONAL CHNA REPORT COVERS GREATER DAYTON AND GREATER CINCINNATI, WHICH INCLUDES NORTHERN KENTUCKY AND SOUTHEASTERN INDIANA. IN THIS REGIONAL CHNA, HEALTH ENCOMPASSES PHYSICAL, MENTAL, AND SOCIAL CONDITIONS. HEALTH CARE IS INCLUSIVE OF HOSPITALS AND EMERGENCY ROOMS, PRIMARY CARE, BEHAVIORAL HEALTH, SPECIALTY CARE (I.E., VISION, DENTAL, CHIROPRACTIC, ETC.) AND SOCIAL SERVICES THAT SUPPORT HEALTH OR LINK COMMUNITY MEMBERS TO HEALTH CARE. THE 2021 CHNA REPORT SHARES DATA FOR THE WHOLE REGION AS WELL AS DETAILED COUNTY-LEVEL DATA. ALSO, THIS REGIONAL CHNA INCLUDES A COMPREHENSIVE DATA-DRIVEN APPROACH TO DEFINE THE CURRENT STATE OF HEALTH AND HEALTH EQUITY WITH THE GOAL OF INFORMING A COLLECTIVE, PRIORITIZE AN ACTIONABLE AGENDA FOR IMPROVING HEALTH OUTCOMES ACROSS THE REGION OVER THE NEXT THREE YEARS. LIKE THE STATEWIDE HEALTH IMPROVEMENT PLAN (SHIP) FOR OHIO, THIS REGIONAL CHNA EXPLORES THE PRIORITY FACTORS THAT INFLUENCE HEALTH INCLUDING PERCEPTIONS OF HEALTHCARE QUALITY AND ACCESS, HEALTH BEHAVIORS AND COMMUNITY CONDITIONS (I.E., SOCIAL DETERMINANTS OF HEALTH). GUIDED BY THE SHIP, THE REGIONAL CHNA FOCUSES ON THE PRIORITY HEALTH OUTCOMES RELATED TO CHRONIC DISEASE, MENTAL HEALTH AND ADDICTION, AND MATERNAL AND INFANT HEALTH. THE RECOMMENDATIONS PUT FORTH IN THIS NEEDS ASSESSMENT SUPPORT THE PRIORITIES OF THE SHIP AND PROVIDE A FRAMEWORK FOR WORKING COLLABORATIVELY IN ADDRESSING DISPARITIES AND BARRIERS TO A HEALTHIER COMMUNITY. A COPY OF THE REGIONAL CHNA CAN BE FOUND AT THE FOLLOWING URL (HTTPS://HEALTHCOLLAB.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/).FROM THIS LARGER REPORT, TRIHEALTH DEVELOPED A CHNA AND ASSOCIATED IMPLEMENTATION STRATEGY FOR EACH OF ITS FACILITIES BASED ON THE COUNTY BREAKDOWN AND DISCUSSION WITH TRIHEALTH LEADERS WITH EXPERTISE IN THE AREAS WHICH NEED TO BE ADDRESSED. THE FULL TEXT OF THESE CHNAS ARE AVAILABLE ON TRIHEALTH'S WEBSITE. SEE SCHEDULE H, PART V, LINE 7A FOR THE URL.PROGRAM SERVICE ACCOMPLISHMENTSFREE 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 300 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.DURING THE YEAR, BETHESDA PROVIDED COMMUNITY BENEFIT (INCLUDING UNCOMPENSATED CARE) AS SHOWN ON PART I, LINE 7A. 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. 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. 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 AS SHOWN ON PART I, LINE 7H.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:WITH BETHESDA NORTH HOSPITAL LOCATED IN MONTGOMERY, OHIO, A SUBURB OF CINCINNATI, AND BETHESDA BUTLER HOSPITAL LOCATED NEAR HAMILTON, OHIO, BETHESDA HOSPITAL, INC. AND THE TRIHEALTH SYSTEM SERVE PRIMARILY HAMILTON, BUTLER, WARREN AND CLERMONT COUNTIES IN OHIO AS WELL AS SOME PERSONS FROM INDIANA AND KENTUCKY. BETHESDA NORTH HOSPITALHAMILTON COUNTY IS THE MOST POPULATED COUNTY IN THE REGION AND IS HOME TO THE LARGEST CITY, CINCINNATI. THE ESTIMATED POPULATION OF THE COUNTY IS 825,000 WITH APPROXIMATELY 13% IN POVERTY AND APPROXIMATELY 8% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. HAMILTON COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $59,000 WITH 92% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (39% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 16% OF THE POPULATION IS 65 YEARS AND OLDER, 64% IS WHITE, 27% IS AFRICAN-AMERICAN, 4% IS HISPANIC, 3% ASIAN AND 2% OTHER.CLERMONT COUNTY IS A LARGE COUNTY WHICH WAS ONCE MOSTLY RURAL BUT HAS BECOME MORE SUBURBAN AND IS ONE OF OHIO'S APPALACHIAN COUNTIES. THE ESTIMATED POPULATION OF THE COUNTY IS 210,000 WITH APPROXIMATELY 9% IN POVERTY AND APPROXIMATELY 7% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. CLERMONT COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $70,000 WITH 90% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (29% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 18% OF THE POPULATION IS 65 YEARS AND OLDER, 93% IS WHITE, 2% IS AFRICAN-AMERICAN, 2% IS HISPANIC, 1.5% ASIAN AND 1.5% OTHER.WARREN COUNTY IS ONE OF THE FASTEST GROWING COUNTIES IN OHIO, BOTH IN RESIDENTIAL AND COMMERCIAL GROWTH. THE ESTIMATED POPULATION OF THE COUNTY IS 247,000 WITH APPROXIMATELY 5% IN POVERTY AND APPROXIMATELY 5% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. WARREN COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $89,500 WITH 94% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (44% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 3.5%. APPROXIMATELY 15% OF THE POPULATION IS 65 YEARS AND OLDER, 84% IS WHITE, 7% ASIAN, 4% IS AFRICAN-AMERICAN, 3% IS HISPANIC, AND 2% OTHER.BETHESDA BUTLERBUTLER COUNTY IS ONE OF THE MOST POPULATED COUNTIES IN THE REGION AND INCLUDES THE CITIES OF HAMILTON, MIDDLETOWN AND OXFORD. THE ESTIMATED POPULATION OF THE COUNTY IS 390,000 WITH APPROXIMATELY 10% IN POVERTY AND APPROXIMATELY 8% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. BUTLER COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $69,000 WITH 92% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (31% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 16% OF THE POPULATION IS 65 YEARS AND OLDER, 78% IS WHITE, 10% IS AFRICAN-AMERICAN, 5% IS HISPANIC, 4% ASIAN AND 3% OTHER.
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 AN OVER 50-BED SURGICAL HOSPITAL LOCATED NEAR HAMILTON, OHIO. IT PROVIDES EVERYTHING FROM SURGERY, CARDIOLOGY AND IMAGING TO PHYSICAL THERAPY AND SLEEP STUDIES. WITH EIGHT OPERATING ROOMS, THREE ENDOSCOPY SUITES, TWO PROCEDURE ROOMS AND A FULL-SERVICE 24-HOUR EMERGENCY DEPARTMENT, THE HOSPITAL IS COMPLEMENTED BY ADDITIONAL SERVICES AND PHYSICIAN OFFICES FOR PRIMARY CARE, PEDIATRICS AND SPECIALTY CARE ON CAMPUS.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.BETHESDA HOSPITAL, INC. SERVES ALMOST 620,000 PEOPLE ANNUALLY. THIS INCLUDES ALMOST 24,000 ADMISSIONS, APPROXIMATELY 85,000 EMERGENCY ROOM VISITS, MORE THAN 485,000 OUTPATIENT VISITS, AND ALMOST 3,700 NEW BABIES EACH YEAR.SEE RESPONSE TO PART VI, LINE 2 FOR ADDITIONAL INFORMATION.
PART VI, LINE 6:IN 1995, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO AND BETHESDA HOSPITAL, INC. FORMED A PARTNERSHIP CALLED TRIHEALTH IN ORDER 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.THROUGH FIVE (4) HOSPITALS, FIVE (13) AMBULATORY LOCATIONS AND OVER 125 SITES OF CARE (EMPLOYING OVER 600 PHYSICIANS INCLUDING RESIDENTS), TRIHEALTH PROVIDES A WIDE RANGE OF CLINICAL, EDUCATIONAL, PREVENTIVE AND SOCIAL PROGRAMS. TRIHEALTH'S NON-HOSPITAL SERVICES INCLUDE PHYSICIAN PRACTICE MANAGEMENT, FITNESS CENTERS AND FITNESS CENTER MANAGEMENT, OCCUPATIONAL HEALTH CENTERS, HOME HEALTH AND HOSPICE CARE.HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
3333 BURNET AVECINCINNATIOH45229310833936501(C)(3)$242,250$0CRADLE CINCINNATI PROGRAM SUPPORT
UPTOWN CONSORTIUM INC
3440 BURNET AVE SUITE 130CINCINNATIOH45229200688727501(C)(3)$70,253$0GENERAL SUPPORT
HEALTHY MOMS & BABES INC
2270 BANNING ROAD NO 200CINCINNATIOH45239311155292501(C)(3)$48,450$0GENERAL SUPPORT
FRIAR'S CLUB INC
4300 VINE STREETCINCINNATIOH45217310537485501(C)(3)$9,690$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationBETHESDA 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARK CLEMENT
PRESIDENT/CEO$0$1,519,500$0$527,124$0$191,641$0$55,675$0$23,788$0$2,317,728$0$0
ANDREW DEVOE
ASST TREASURER/EVP CFO$0$738,138$0$488,508$0$57,527$0$58,175$0$37,509$0$1,379,857$0$0
KRISTIN COPPAGE MD
MED STAFF PRESIDENT-GOOD SAM$0$886,848$0$6,251$0$47,622$0$60,135$0$37,092$0$1,037,948$0$0
TERRI HANLON-BREMER
CHIEF OPERATING OFFICER$0$594,629$0$164,565$0$71,245$0$58,558$0$21,008$0$910,005$0$0
HELEN KOSELKA MD
CHIEF MEDICAL OFFICER$0$575,564$0$148,657$0$46,596$0$62,752$0$37,454$0$871,023$0$0
JOHN WARD
SVP-BETHESDA REGION$0$586,982$0$152,196$0$35,999$0$58,486$0$30,901$0$864,564$0$0
STEVE GRACEY
ASST SECRETARY/SVP LEGAL$0$500,083$0$140,225$0$35,488$0$47,484$0$36,766$0$760,046$0$0
DAVID COOK
SVP-CHIEF HR OFFICER (END 9/22)$0$369,091$0$124,174$0$99,623$0$117,733$0$19,074$0$729,695$0$0
JOHN HUTSON MD
PRES. & COO-BETHESDA (START 6/23)$0$393,798$0$117,108$0$1,986$0$170,883$0$31,905$0$715,680$0$0
KEVIN JOSEPH MD
FORMER KEY EMPLOYEE$0$28,084$0$0$0$632,091$0$37,234$0$9,345$0$706,754$0$0
JENNY SKINNER
SVP-CHIEF NURSING EXECUTIVE$0$411,320$0$106,058$0$38,475$0$43,403$0$23,754$0$623,010$0$0
GAIL DONOVAN
FORMER KEY EMPLOYEE$0$0$0$0$0$582,038$0$0$0$0$0$582,038$0$582,038
JAIME EASTERLING
PRES. & COO-BETHESDA (END 5/23)$0$378,549$0$81,712$0$35,291$0$55,176$0$22,191$0$572,919$0$0
JEREMIAH KIRKLAND
PRES. & COO-BUTLER (START 7/22)$0$359,294$0$86,254$0$21,291$0$57,766$0$31,712$0$556,317$0$0
WILL GRONEMAN
FORMER KEY EMPLOYEE$0$251,279$0$0$0$157,558$0$54,235$0$23,328$0$486,400$0$55,510
MICHAEL EVERETT
FORMER KEY EMPLOYEE$0$305,487$0$76,013$0$15,354$0$37,675$0$31,822$0$466,351$0$0
SUSAN MACY
CNO-BETHESDA$0$285,757$0$60,206$0$11,928$0$37,500$0$16,849$0$412,240$0$0
REBECCA BAUTE
FORMER KEY EMPLOYEE$0$65,431$0$0$0$263,768$0$36,417$0$13,617$0$379,233$0$0
RICAHRD OKRAGLY MD
PHYSICIAN$249,208$0$0$0$15,757$0$31,656$0$35,891$0$332,512$0$0$0
SCOTT WOODS MD
PHYSICIAN$260,386$0$0$0$18,621$0$17,430$0$32,391$0$328,828$0$0$0
LORRAINE STEPHENS MD
MED STAFF PRESIDENT-BETHESDA$186,842$0$6,037$0$51,129$0$36,849$0$37,158$0$318,015$0$0$0
ROBERT KUNKEL MD
PHYSICIAN$228,485$0$0$0$19,623$0$31,094$0$30,975$0$310,177$0$0$0
MICHAEL WEBB MD
PHYSICIAN$232,349$0$0$0$8,730$0$42,274$0$22,726$0$306,079$0$0$0
ELIZABETH BEITER MD
PHYSICIAN$230,677$0$0$0$9,002$0$28,862$0$30,681$0$299,222$0$0$0
LONDON QUICCI
FORMER KEY EMPLOYEE$0$0$0$0$0$270,047$0$0$0$19,741$0$289,788$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BELIGIBLE 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. THE FOLLOWING INDIVIDUAL(S) LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC.: GAIL DONOVAN - $582,038 WILL GRONEMAN - $55,510
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: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). TRIHEALTH, INC. HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. DURING THE 2022 CALENDAR YEAR, THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC.: KEVIN JOSEPH, MD - $572,594 LONDON QUICCI - $220,784 REBECCA BAUTE - $218,335 WILL GRONEMAN - $89,632

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF HAMILTON OHIO (LINE A)
A316000063407272V592017-04-12$316,011,223BUILDINGS AND STRUCTURES000
COUNTY OF HAMILTON OHIO (LINE B)
B3160000630000000002020-05-14$148,454,656BUILDINGS, STRUCTURES & REFUND OF TAXABLE & TAX-EXEMPT BONDS ISSUED 9/29/15000
COUNTY OF HAMILTON OHIO (LINE C)
C3160000634072722B82021-05-27$100,000,000BUILDINGS, STRUCTURES, EQUIPMENT, REFUND OF TAX-EXEMPT BONDS ISSUED 4/12/17000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$3,125,000$318,817,614$3,974,594$314,505,586$337,4342020000Yes (1)
B$154,550,819$1,811,516$67,820,350$36,938,431Yes (1)Yes (1)0Yes (1)$47,980,522
C$600,000$100,765,319$1,011,750$16,786,101$82,902,020Yes (1)00Yes (1)$65,448

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)00.015100.0151000Yes (1)
B0Yes (1)Yes (1)Yes (1)000Yes (1)
C0Yes (1)Yes (1)Yes (1)00.019700.0197000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)000Yes (1)Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: COUNTY OF HAMILTON, OHIO (LINE A) DATE THE REBATE COMPUTATION WAS PERFORMED: 04/12/2022
PART II, LINE 3, COLUMN A, COLUMN B AND COLUMN CTOTAL PROCEEDS SHOWN ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E) DUE TO THE INVESTMENT EARNINGS.
PART II, LINE 11, COLUMN ATHE REMAINING UNSPENT FUNDS WAS DEPOSITED TO THE CREDIT OF THE BOND FUNDS AND APPLIED AS A CREDIT AGAINST BASIC RENT WITH RESPECT TO PRINCIPAL ON THE BONDS PURSUANT TO SECTION 2.24 OF THE SUBLEASE.
PART II, LINE 11, COLUMN BTHE AMOUNT SHOWN HERE CONSISTS OF $36,646,925 SPENT TO RETIRE PRINCIPAL AND INTEREST OF PRIOR BONDS, PLUS $291,506 FOR A SWAP TERMINATION FEE PAID WITH RESPECT TO THE RETIRED TAX-EXEMPT DEBT. THE REFUNDING CONSISTED OF PRIOR TAX-EXEMPT BONDS ($9,324,915) AND PRIOR TAXABLE BONDS ($27,322,010) OF MCCULLOUGH-HYDE MEMORIAL HOSPITAL, A RELATED IRC SECTION 501(C)(3) ORGANIZATION OF BETHESDA HOSPITAL, INC.
PART II, LINE 11, COLUMN CTHE AMOUNT SHOWN HERE WAS SPENT TO RETIRE PRINCIPAL AND INTEREST OF PRIOR TAX-EXEMPT BONDS HELD BY THE TAXPAYER.
PART IV, LINE 6, COLUMN ASUCH AMOUNT WAS APPROPRIATELY YIELD RESTRICTED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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., TRIHEALTH HOSPITAL, INC. AND THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, ALL AFFILIATED ENTITIES OF BETHESDA HOSPITAL, INC. MICHAEL EVERETT, HELEN KOSELKA, MD, MARK CLEMENT, JOHN WARD AND STEVE GRACEY HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EITHER SITTING ON THE BOARD OF OR BEING A KEY EMPLOYEE OF THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL, AN AFFILIATED ENTITY OF BETHESDA HOSPITAL, INC. KATHY KELLY, RANCE DUKE, CYNTHIA BOOTH, BOB COLLINS, MD AND QUINT STUDER 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. MARK CLEMENT AND JENNY SKINNER HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE, A RELATED ENTITY. MARK CLEMENT, TERRI HANLON-BREMER, ANDREW DEVOE, JOHN WARD, STEVE GRACEY, JENNIFER SKINNER, DAVID COOK, HELEN KOSELKA, MD, KRISTIN COPPAGE, MD, LORRAINE STEPHENS, MD, JAMIE EASTERLING, SUSAN MACY, JEREMIAH KIRKLAND, AND JOHN HUTSON, 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 B, LINE 11BMEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 PRIOR TO FILING AFTER REVIEW BY THE FINANCE AND AUDIT COMMITTEE OF THE BOARD, ALONG WITH THE COMMITTEE'S SUMMARY OF THE FORM 990. 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 C, LINE 19BETHESDA 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 -90,710,603. CHANGE IN PENSION PLAN/SERP FUNDED STATUS -5,056,845. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS HELD AT FOUNDATION -17,010,078. NET SPECIAL FUNDS ACTIVITY -94,233. ADJUSTMENT TO TRUE UP INVESTMENT IN TRIHEALTH, INC. 3,088,301.
FORM 990, PART I, LINE 6DURING THE TAX YEAR, BETHESDA HOSPITAL, INC. WAS ASSISTED BY 486 VOLUNTEERS WHO DONATED APPROXIMATELY 50,100 HOURS.
FORM 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.
FORM 990, PART XII, LINE 2CTHE 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.
FORM 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 ACTIVITIES TO ENSURE THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED.
FORM 990, PART VII, SECTION A - AVERAGE HOURS PER WEEKTHE 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. IN ADDITION, THESE INDIVIDUALS PROVIDE SERVICES AS EMPLOYEES OF VARIOUS RELATED ENTITIES FOR WHICH THEY RECEIVE COMPENSATION. NONE OF THE COMPENSATION SHOWN IS FOR SERVING AS A DIRECTOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BETHESDA INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311108895POPULATION HEALTHOHSECTION 501(C)(3)SCHEDULE A, LINE 12CN/A0
BETHESDA FOUNDATION INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202237374129FUNDRAISINGOHSECTION 501(C)(3)SCHEDULE A, LINE 7Yes (1)BETHESDA INC
BETHESDA HEALTHCARE INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311027660HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 12BYes (1)TRIHEALTH INC
BETHESDA FAMILY PRACTICE CENTER
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311242442HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 12AYes (1)BETHESDA HOSPITAL INC
BETHESDA PROPERTIES INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311352694PROPERTY MANAGEMENTOHSECTION 501(C)(2)Yes (1)BETHESDA HOSPITAL INC
HOSPICE OF CINCINNATI INCORPORATED
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310917155HOSPICE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 10Yes (1)BETHESDA HOSPITAL INC
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311179234COUNSELING TO GRIEVING CHILDRENOHSECTION 501(C)(3)SCHEDULE A, LINE 7Yes (1)HOSPICE OF CINCINNATI INCORPORATED
TRIHEALTH INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311438846SUPPORT AFFILIATED HOSPITALSOHSECTION 501(C)(3)SCHEDULE A, LINE 12BN/AYes (1)
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310537486INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 3Yes (1)TRIHEALTH INC
GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311778403EDUCATIONOHSECTION 501(C)(3)SCHEDULE A, LINE 2Yes (1)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202237419853DIALYSISOHSECTION 501(C)(2)Yes (1)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
GOOD SAMARITAN HOSPITAL FREE CLINIC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202273893817HEALTHCARE SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 7Yes (1)TRIHEALTH INC
TRIHEALTH HOSPITALINC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202461393755INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 3Yes (1)TRIHEALTH INC
TRIHEALTH PHYSICIAN ENTERPRISE CORP
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311383365PHYSICIAN PRACTICESOHSECTION 501(C)(3)SCHEDULE A, LINE 10Yes (1)TRIHEALTH INC
TRIHEALTH PHYSICIAN INSTITUTE
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311074519PHYSICIAN PRACTICESOHSECTION 501(C)(3)SCHEDULE A, LINE 10Yes (1)TRIHEALTH INC
MCCULLOUGH HYDE MEMORIAL HOSPITAL INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310650283INPATIENT AND OUTPATIENT SERVICESOHSECTION 501(C)(3)SCHEDULE A, LINE 3Yes (1)TRIHEALTH INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
10600 MONTGOMERY LLC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202261964995PROPERTY MANAGEMENTOHN/A00
HEALTHCARE SOLUTIONS NETWORK LLC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202472103334PHYSICIAN HOSPITAL ORGANIZATIONOHN/A00
PREFERRED LAB PARTNERS LLC
ONE MEDICAL VILLAGE DRIVE SUITE BEDGEWOODKY41017824758763LABORATORY SERVICESKYN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
TJ CUBEDMONTGOMERY INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202261964885HOLDING COMPANYOHN/ASYes (1)
TRIHEALTH PHYSICIANS OF INDIANA INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202461125130PHYSICIAN PRACTICESOHN/ACYes (1)
TRIHEALTH PHYSICIAN SOLUTIONS INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311444353CLAIMS ADMINISTRATIONOHN/ACYes (1)
TRIHEALTH CIPHO INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202463294306PHYSICIAN HEALTH ORGANIZATIONOHN/ACYes (1)
PREMIERE MEDICAL OWNERS ASSOCIATION
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202141913019CONDO ASSOCIATIONOHCYes (1)BETHESDA HOSPITAL INC$113,3461.00000
SERVE INSURANCE LTD
981529310ALTERNATIVE RISK FINANCINGN/ACYes (1)PO BOX 69CAMANA BAYGRAND CAYMANCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TRIHEALTH PHYSICIAN ENTERPRISE CORP
A$3,684,798FMV
TRIHEALTH PHYSICIAN INSTITUTE
A$2,010,492FMV
GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
A$9,533,654FMV
BETHESDA HEALTHCARE INC
A$34,451FMV
TRIHEALTH HOSPITAL INC
A$316,942FMV
TRIHEALTH INC
A$4,950FMV
TRIHEALTH INC
B$77,002,719CASH
BETHESDA INC
B$10,000,000CASH
BETHESDA FOUNDATION INC
C$21,447,523CASH
BETHESDA PROPERTIES INC
K$1,992,269FMV
BETHESDA HEALTHCARE INC
K$471,973FMV
TRIHEALTH PHYSICIAN ENTERPRISE CORP
K$51,511FMV
TRIHEALTH INC
K$571,467FMV
TRIHEALTH INC
M$124,255,624COST
TRIHEALTH INC
P$387,385,410COST
HOSPICE OF CINCINNATI INCORPORATED
O$47,585,645FMV
BETHESDA INC
O$1,588,227FMV
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
O$481,870FMV
BETHESDA FOUNDATION INC
O$1,290,246FMV
BETHESDA PROPERTIES INC
S$2,552,825CASH