BETHESDA HEALTHCARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BETHESDA HEALTHCARE INC (EIN 31-1027660)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202201339349303095
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T10:05:53-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462045108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311027660 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETHESDA HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BETH | BusinessNameControlTxt |
| Phone | 5135696575 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 EDEN PARK DRIVE 7TH FLOOR | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL CROFTON | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Phone | 5135696577 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | CROFTON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWNA M JANSONS | PreparerPersonNm |
| PTIN | P01222873 | PTIN |
| Phone | 3174648600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK CLEMENT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 EDEN PARK DRIVE 7TH FLOOR | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,282,550 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TRIHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | OUTPATIENT SERVICES TO THE GREATER CINCINNATI COMMUNITY AND SURROUNDING SUBURBS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 353 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $4,229,424 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $384,965 | PYContributionsGrantsAmt |
| CY Contributions Grants | $345,100 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,141,372 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,985,598 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $449,263 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,942,871 | PYOtherRevenueAmt |
| CY Other Revenue | $2,457,242 | CYOtherRevenueAmt |
| PY Total Revenue | $23,469,208 | PYTotalRevenueAmt |
| CY Total Revenue | $24,237,203 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,309,723 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,268,600 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,314,196 | PYOtherExpensesAmt |
| CY Other Expenses | $11,810,403 | CYOtherExpensesAmt |
| PY Total Expenses | $25,623,919 | PYTotalExpensesAmt |
| CY Total Expenses | $27,079,003 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,154,711 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,841,800 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,268,358 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,498,793 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,553,475 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,625,710 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$6,285,117 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$9,126,917 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,337,360 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $21,025,006 | RevenueAmt |
| Desc | BETHESDA HEALTHCARE, INC. FULFILLS TRIHEALTH'S MISSION TO IMPROVE THE HEALTH STATUS OF THE PEOPLE WE SERVE BY EXTENDING HEALTHCARE AND RELATED DISEASE PREVENTION SERVICES INTO THE COMMUNITY AT DIVERSE LOCATIONS INCLUDING FREE STANDING FACILITIES AND EMPLOYER SITES. WE PROVIDE EMPLOYERS WITH EMPLOYEE ASSISTANCE COUNSELING, ON SITE OCCUPATIONAL HEALTH NURSING, AND ON SITE FITNESS PROGRAMS. WE OPERATE FITNESS CENTERS THAT INCLUDE STRATEGIC WELLNESS PROGRAMS AND OCCUPATIONAL MEDICINE CENTERS. | Desc |
| Total Program Service Expenses | $22,337,360 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 164 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 353 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL CROFTON - VP FINANCE | PersonNm |
| Phone | 5135696577 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 EDEN PARK DRIVE 7TH FLOOR | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARK CLEMENT | ||||||||||
| CHAIRPERSON | 1.00 | 60.00 | Yes (X) | Yes (X) | $0 | $1,629,592 | $390,312 | |||
| ANDREW DEVOE | ||||||||||
| TREASURER | 1.00 | 60.00 | Yes (X) | Yes (X) | $0 | $781,924 | $206,182 | |||
| STEVE GRACEY | ||||||||||
| SECRETARY | 1.00 | 60.00 | Yes (X) | Yes (X) | $0 | $580,022 | $161,024 | |||
| JOHN WARD | ||||||||||
| PRESIDENT (START 7/20) | 1.00 | 60.00 | Yes (X) | Yes (X) | $0 | $593,670 | $181,585 | |||
| TERRI HANLON-BREMER | ||||||||||
| COO-CORPORATE HEALTH | 40.00 | 20.00 | $0 | $362,217 | $98,612 | Yes (X) | ||||
| HEATHER LONG | ||||||||||
| DIR OF OPERATIONS (END 8/20) | 60.00 | 0.00 | $0 | $278,352 | $44,845 | Yes (X) | ||||
| STEVE MOMBACH | ||||||||||
| SVP-AMBULATORY SVCS | 10.00 | 50.00 | $0 | $554,539 | $163,819 | Yes (X) | ||||
| MALIA HARPER MD | ||||||||||
| MEDICAL DIRECTOR-CORP HEALTH | 60.00 | 0.00 | $344,900 | $0 | $77,958 | Yes (X) | ||||
| CHUC LE MD | ||||||||||
| FACILITY MEDICAL DIRECTOR | 60.00 | 0.00 | $216,656 | $0 | $87,709 | Yes (X) | ||||
| ERIC LUESSEN MD | ||||||||||
| FACILITY MEDICAL DIRECTOR | 60.00 | 0.00 | $223,891 | $0 | $47,020 | Yes (X) | ||||
| TIMOTHY HENKE MD | ||||||||||
| FACILITY MEDICAL DIRECTOR | 60.00 | 0.00 | $225,640 | $0 | $74,884 | Yes (X) | ||||
| JEFFREY HUTH | ||||||||||
| PRACTICE PHYSICIAN | 60.00 | 0.00 | $200,874 | $0 | $49,332 | Yes (X) | ||||
| DONNA NIENABER ESQ | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $710,689 | $0 | Yes (X) | ||||
| MICHAEL CROFTON | ||||||||||
| FORMER OFFICER | 0.00 | 60.00 | $0 | $397,639 | $123,828 | Yes (X) | ||||
| WILL GRONEMAN | ||||||||||
| FORMER OFFICER | 0.00 | 40.00 | $0 | $3,170,144 | $138,896 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,211,961 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,058,788 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,846,006 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GRAVITY DIAGNOSTICS | |||||
| 812 RUSSELL STREET | COVINGTON | KY | 41011 | FULL SERVICE LABORATORY | $796,500 |
| HYUR STAFFING SERVICES | |||||
| 300 E BUSINESS WAY SUITE 100A | CINCINNATI | OH | 45241 | STAFFING SERVICES | $376,841 |
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY | NORTH KANSAS CITY | MO | 64117 | CONSULTING | $231,338 |
| MEDTOX LABORATORIES INC | |||||
| PO BOX 1450 | MINNEAPOLIS | MN | 55485 | FULL SERVICE LABORATORY | $230,668 |
| SCIOTO SERVICES | |||||
| 3478 HAUCK ROAD STE D | CINCINNATI | OH | 45241 | JANITORIAL | $119,303 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $345,100 | RelatedOrganizationsAmt |
| Total Contributions | $345,100 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 621400 | $6,452,240 | $6,452,240 | |
| WORKSITE WELLNESS | 900099 | $5,955,674 | $4,119,250 | $1,836,424 |
| OCCUPATIONAL HEALTH | 900099 | $4,903,125 | $4,903,125 | |
| I/C EMPLOYEE WELLNESS | 900099 | $1,807,723 | $1,807,723 | |
| EAP SERVICES | 900099 | $1,139,530 | $1,139,530 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $727,306 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $727,306 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,985,598 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $24,834 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $24,834 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,834 | TotalRevenueColumnAmt |
| Exclusion | $24,834 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $451,950 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,687 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $449,263 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $449,263 | TotalRevenueColumnAmt |
| Exclusion | $449,263 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $87,287 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $42,660 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,627 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $44,627 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| PAVILION REVENUE | 713940 | $2,102,711 | $2,102,711 | |
| HEALTH & MEDICINE | 900099 | $245,662 | $245,662 | |
| NUTRITION REVENUE | 900099 | $6,849 | $6,849 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,559 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,559 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,387,781 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,237,203 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,188,582 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,229,424 | UnrelatedBusinessRevenueAmt |
| Exclusion | $474,097 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,155,663 | TotalAmt |
| Program Services | $10,151,093 | ProgramServicesAmt |
| Management And General | $2,004,570 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $654,166 | TotalAmt |
| Program Services | $540,406 | ProgramServicesAmt |
| Management And General | $113,760 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,603,443 | TotalAmt |
| Program Services | $1,404,239 | ProgramServicesAmt |
| Management And General | $199,204 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $855,328 | TotalAmt |
| Program Services | $727,081 | ProgramServicesAmt |
| Management And General | $128,247 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,755,946 | TotalAmt |
| Program Services | $3,709,558 | ProgramServicesAmt |
| Management And General | $46,388 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,145 | TotalAmt |
| Program Services | $37,145 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,730 | TotalAmt |
| Program Services | $158,774 | ProgramServicesAmt |
| Management And General | $4,956 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,106 | TotalAmt |
| Program Services | $216,200 | ProgramServicesAmt |
| Management And General | $177,906 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,419,895 | TotalAmt |
| Program Services | $2,195,757 | ProgramServicesAmt |
| Management And General | $224,138 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,456 | TotalAmt |
| Program Services | $28,619 | ProgramServicesAmt |
| Management And General | $837 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,298 | TotalAmt |
| Program Services | $10,140 | ProgramServicesAmt |
| Management And General | $5,158 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,985 | TotalAmt |
| Program Services | $647,448 | ProgramServicesAmt |
| Management And General | $213,537 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NON-PATIENT BAD DEBTS | $2,998,038 | $1,833,038 | $1,165,000 |
| MEDICAL/DIETARY SUPPLY | $478,793 | $478,705 | $88 |
| OVERHEAD ALLOCATIONS | $447,446 | $0 | $447,446 |
| EQUIPMENT | $143,958 | $143,093 | $865 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,607 | TotalAmt |
| Program Services | $56,064 | ProgramServicesAmt |
| Management And General | $9,543 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,079,003 | TotalAmt |
| Program Services | $22,337,360 | ProgramServicesAmt |
| Management And General | $4,741,643 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,692 | BOYAmt |
| EOY | $3,692 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,794,569 | BOYAmt |
| EOY | $4,581,776 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,674,886 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,964,163 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,209,267 | BOYAmt |
| EOY | $11,710,723 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,262 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,247,568 | BOYAmt |
| EOY | $2,202,602 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,268,358 | BOYAmt |
| EOY | $18,498,793 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,500,616 | BOYAmt |
| EOY | $2,086,756 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,641 | BOYAmt |
| EOY | $120,988 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,255,200 | BOYAmt |
| EOY | $2,722,487 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,685,018 | BOYAmt |
| EOY | $22,695,479 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,553,475 | BOYAmt |
| EOY | $27,625,710 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,285,117 | BOYAmt |
| EOY | -$9,126,917 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,285,117 | BOYAmt |
| EOY | -$9,126,917 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,268,358 | BOYAmt |
| EOY | $18,498,793 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,841,800 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETHESDA HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310537122 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | 0 | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART IV, SECTION C, LINE 1 | BETHESDA HEALTHCARE, INC. ("HEALTHCARE") IS A TYPE II SUPPORTING ORGANIZATION FOR BETHESDA HOSPITAL, INC. ("HOSPITAL") BECAUSE IT IS SUPERVISED AND CONTROLLED IN CONNECTION WITH THE HOSPITAL. HEALTHCARE AND HOSPITAL EACH HAVE THE SAME SOLE MEMBER, BETHESDA, INC., WHICH APPOINTS ALL OF THE DIRECTORS TO EACH ORGANIZATION. BY VIRTUE OF THIS COMMON PARENT, COMMON SUPERVISION AND CONTROL EXISTS BETWEEN HEALTHCARE AND HOSPITAL. FURTHER, 1/4 OF THE DIRECTORS OF HEALTHCARE ARE ALSO DIRECTORS OF THE HOSPITAL AND THE OTHER 3/4 OF THE DIRECTORS ARE OFFICERS OR KEY EMPLOYEES OF THE HOSPITAL. BECAUSE ALL OF THE DIRECTORS OF HEALTHCARE ARE EITHER DIRECTORS OF HOSPITAL OR INDIVIDUALS WHO HOLD IMPORTANT OFFICES AT HOSPITAL, HEALTHCARE, AND ITS DIRECTORS ARE RESPONSIVE TO THE NEEDS AND REQUIREMENTS OF HOSPITAL. BASED ON THE FOREGOING, HEALTHCARE IS A TYPE II SUPPORTING ORGANIZATION OF HOSPITAL BECAUSE IT IS SUPERVISED AND CONTROLLED IN CONNECTION WITH THE HOSPITAL THROUGH THEIR COMMON PARENT ORGANIZATION AND OVERLAP OF DIRECTORS, OFFICERS AND KEY EMPLOYEES. |
| SCHEDULE A, LINE 11G, COLUMN (VI) | BETHESDA HEALTHCARE, INC. DOES NOT FINACIALLY SUPPORT BETHESDA HOSPITAL, INC. ("HOSPITAL"). HOWEVER, IT PROVIDES VARIOUS NON-HOSPITAL BASED, HEALTHCARE-RELATED SERVICES AND RELIEVES THE HOSPITAL OF HAVING TO PROVIDE THOSE SERVICES SO THE HOSPITAL CAN PROVIDE THE SERVICES NECESSARY TO CARRY OUT ITS EXEMPT PURPOSES. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,862,263 | OtherCostOrOtherBasisAmt |
| Book Value | $4,862,263 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,534,041 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,256,921 | DepreciationAmt |
| Book Value | $5,277,120 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $706,901 | OtherCostOrOtherBasisAmt |
| Depreciation | $389,240 | DepreciationAmt |
| Book Value | $317,661 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,537,182 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,318,002 | DepreciationAmt |
| Book Value | $1,219,180 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,499 | OtherCostOrOtherBasisAmt |
| Book Value | $34,499 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,710,723 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT TO USE ASSETS - OPERATING LEASE | Desc |
| Book Value | $2,202,602 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,202,602 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED ORGANIZATION | $22,436,730 |
| DEFERRED FICA TAXES | $258,749 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,695,479 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FINANCIAL STATEMENTS OF BETHESDA HEALTHCARE, INC. ARE AUDITED AS PART OF TRIHEALTH, INC. AND ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). FOLLOWING IS THE TEXT TO THE FOOTNOTE TO THE AUDITED COMBINED FINANCIAL STATEMENTS OF TRIHEALTH THAT REPORTS ITS AND ITS SUBSIDIARIES' LIABILITY, IF APPPLICABLE, FOR CERTAIN 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, 2021 OR 2020. IN ADDITION, THE FINANCIAL STATEMENTS OF BETHESDA HEALTHCARE, INC. ARE AUDITED WITH 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 NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2021 OR 2020. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILL GRONEMAN | ||||||||||||||
| FORMER OFFICER | $0 | $213,378 | $0 | $53,267 | $0 | $2,903,499 | $0 | $108,325 | $0 | $30,571 | $0 | $3,309,040 | $0 | $2,605,271 |
| MARK CLEMENT | ||||||||||||||
| CHAIRPERSON | $0 | $1,191,203 | $0 | $378,427 | $0 | $59,962 | $0 | $368,190 | $0 | $22,122 | $0 | $2,019,904 | $0 | $0 |
| ANDREW DEVOE | ||||||||||||||
| TREASURER | $0 | $601,313 | $0 | $168,640 | $0 | $11,971 | $0 | $171,410 | $0 | $34,772 | $0 | $988,106 | $0 | $0 |
| JOHN WARD | ||||||||||||||
| PRESIDENT (START 7/20) | $0 | $462,692 | $0 | $111,601 | $0 | $19,377 | $0 | $152,276 | $0 | $29,309 | $0 | $775,255 | $0 | $0 |
| STEVE GRACEY | ||||||||||||||
| SECRETARY | $0 | $451,142 | $0 | $109,395 | $0 | $19,485 | $0 | $126,766 | $0 | $34,258 | $0 | $741,046 | $0 | $0 |
| STEVE MOMBACH | ||||||||||||||
| SVP-AMBULATORY SVCS | $0 | $431,124 | $0 | $102,720 | $0 | $20,695 | $0 | $142,479 | $0 | $21,340 | $0 | $718,358 | $0 | $0 |
| DONNA NIENABER ESQ | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $0 | $710,689 | $0 | $0 | $0 | $0 | $0 | $710,689 | $0 | $710,689 |
| MICHAEL CROFTON | ||||||||||||||
| FORMER OFFICER | $0 | $314,734 | $0 | $77,600 | $0 | $5,305 | $0 | $97,489 | $0 | $26,339 | $0 | $521,467 | $0 | $0 |
| TERRI HANLON-BREMER | ||||||||||||||
| COO-CORPORATE HEALTH | $0 | $293,162 | $0 | $60,204 | $0 | $8,851 | $0 | $85,337 | $0 | $13,275 | $0 | $460,829 | $0 | $0 |
| MALIA HARPER MD | ||||||||||||||
| MEDICAL DIRECTOR-CORP HEALTH | $333,404 | $0 | $10,902 | $0 | $594 | $0 | $49,740 | $0 | $28,218 | $0 | $422,858 | $0 | $0 | $0 |
| HEATHER LONG | ||||||||||||||
| DIR OF OPERATIONS (END 8/20) | $0 | $115,244 | $0 | $28,791 | $0 | $134,317 | $0 | $36,864 | $0 | $7,981 | $0 | $323,197 | $0 | $0 |
| CHUC LE MD | ||||||||||||||
| FACILITY MEDICAL DIRECTOR | $203,974 | $0 | $10,902 | $0 | $1,780 | $0 | $59,765 | $0 | $27,944 | $0 | $304,365 | $0 | $0 | $0 |
| TIMOTHY HENKE MD | ||||||||||||||
| FACILITY MEDICAL DIRECTOR | $213,744 | $0 | $10,902 | $0 | $994 | $0 | $39,892 | $0 | $34,992 | $0 | $300,524 | $0 | $0 | $0 |
| ERIC LUESSEN MD | ||||||||||||||
| FACILITY MEDICAL DIRECTOR | $159,967 | $0 | $10,902 | $0 | $53,022 | $0 | $32,485 | $0 | $14,535 | $0 | $270,911 | $0 | $0 | $0 |
| JEFFREY HUTH | ||||||||||||||
| PRACTICE PHYSICIAN | $189,078 | $0 | $10,902 | $0 | $894 | $0 | $27,838 | $0 | $21,494 | $0 | $250,206 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENT 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.: WILL GRONEMAN - $2,605,271 DONNA NIENABER - $670,465 |
| PART I, LINE 3 | TRIHEALTH, INC., A RELATED ORGANIZATION OF BETHESDA HEALTHCARE, 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 HEALTHCARE, 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 2020 CALENDAR YEAR, THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. HEATHER LONG - $107,272 WILL GRONEMAN - $72,986 ERIC LUESSEN, MD - $35,376 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | BETHESDA HEALTHCARE, INC. PROVIDES OUTPATIENT SERVICES TO THE GREATER CINCINNATI COMMUNITY AND SURROUNDING SUBURBS. HEALTH RELATED PROGRAMS AND SERVICES ARE PROVIDED TO CLIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE OR THE ABILITY TO PAY. EXAMPLES OF PROGRAMS SUPPORTED BY BETHESDA HEALTHCARE, INC. ARE: OCCUPATIONAL THERAPY, EMPLOYEE ASSISTANCE TO CORPORATE EMPLOYERS, PHYSICAL THERAPY, NUTRITION AND WEIGHT MANAGEMENT, COUNSELING, MENTAL HEALTH SERVICES, MANAGEMENT OF FITNESS CENTERS AT EMPLOYER SITES AND A FITNESS PAVILION. |
| FORM 990, PART VI, SECTION A, LINE 2 | THE OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF BETHESDA HEALTHCARE, INC. LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED ENTITY BOARDS OF TRIHEALTH, INC. AND ITS SUBSIDIARIES AND AFFILIATES OR BY BEING EMPLOYED BY TRIHEALTH, INC., A RELATED ORGANIZATION OF BETHESDA HEALTHCARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 6 | BETHESDA HEALTHCARE, INC. HAS A SINGLE CORPORATE MEMBER, BETHESDA, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | BETHESDA HEALTHCARE, INC. HAS A SINGLE CORPORATE MEMBER, BETHESDA, INC. WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF BETHESDA HEALTHCARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | BETHESDA, INC. MUST APPROVE AMENDMENTS TO BETHESDA HEALTHCARE, INC.'S GOVERNING DOCUMENTS, DISSOLUTION OR CONSOLIDATION OF BETHESDA HEALTHCARE, INC. AND ANY TRANSACTION INVOLVING SUBSTANTIALLY ALL OF BETHESDA HEALTHCARE'S PROPERTY. |
| FORM 990, PART VI, SECTION B, LINE 11B | MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 PRIOR TO FILING. HOWEVER, FOR THE PROTECTION OF DONOR PRIVACY, SCHEDULE B - SCHEDULE OF CONTRIBUTORS WAS REMOVED FROM THE COPY PROVIDED TO THE BOARD. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE ORGANIZATION FILES THE RETURN MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH NON-SUBSTANTIVE CHANGES ARE NOT SUBMITTED TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE CERTAIN FINANCIAL INTERESTS AND FIDUCIARY RELATIONSHIPS. THE EXECUTIVE COMMITTEE AND CORPORATE COUNSEL REVIEW RESPONSES, CONDUCT FURTHER INVESTIGATION (IF NECESSARY), AND DETERMINE WHEN A CONFLICT EXISTS WITH RESPECT TO A CERTAIN TRANSACTION. IF A CONFLICT EXISTS, THE TRANSACTION IS NOT TO BE ENTERED INTO UNLESS ALTERNATIVES ARE FULLY INVESTIGATED, AND IN THEIR ABSENCE, THE BOARD, WITHOUT THE PARTICIPATION OF THE INTERESTED MEMBER(S), DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. PLANS TO MANAGE THE CONFLICT DURING THE RELATIONSHIP ARE IMPLEMENTED. ALL DISCUSSIONS ARE APPROPRIATELY DOCUMENTED. ALL DIRECTORS AND MANAGERS, WHICH INCLUDE OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO ANNUALLY DISCLOSE ANY CIRCUMSTANCES, INCLUDING FAMILY AND BUSINESS RELATIONSHIPS, THAT MAY CREATE A CONFLICT OF INTEREST FOR THE ORGANIZATION. THESE RESPONSES ARE REVIEWED AND ACTED UPON BY A CONFLICT OF INTEREST COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | BETHESDA HEALTHCARE, INC.'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, SECTION A - AVERAGE HOURS PER WEEK: | THE OFFICERS AND DIRECTORS FOR BETHESDA HEALTHCARE, 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. |
| FORM 990, PART IX, LINE 11G | LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 1,469,180. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,469,180. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 66,412. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,412. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 26,763. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,763. CLAIMS MANAGEMENT: PROGRAM SERVICE EXPENSES 439,859. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 439,859. SALES STAFF SUPPORT: PROGRAM SERVICE EXPENSES 399,791. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 399,791. STAFFING: PROGRAM SERVICE EXPENSES 520,326. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 520,326. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 787,227. MANAGEMENT AND GENERAL EXPENSES 46,388. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 833,615. |
| FORM 990, PART XII, LINE 2C | THE FINANCIAL STATEMENTS OF BETHESDA HEALTHCARE, INC. 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. ALSO, THE FINANCIAL STATEMENTS OF BETHESDA HEALTHCARE, INC. ARE AUDITED WITH ITS PARENT, BETHESDA, INC. 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BETHESDA INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311108895 | INVESTMENT MANAGEMENT | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 12C | N/A | 0 | |
| BETHESDA HOSPITAL INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 310537122 | INPATIENT AND OUTPATIENT SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 3 | Yes (1) | BETHESDA INC | |
| BETHESDA FOUNDATION INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 237374129 | FUNDRAISING | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 7 | Yes (1) | BETHESDA INC | |
| HOSPICE OF CINCINNATI INCORPORATED | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 310917155 | HOSPICE SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 10 | Yes (1) | BETHESDA HOSPITAL INC | |
| FERNSIDE INC A CENTER FOR GRIEVING CHILDREN | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311179234 | COUNSELING TO GRIEVING CHILDREN | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 7 | Yes (1) | HOSPICE OF CINCINNATI INCORPORATED | |
| BETHESDA PROPERTIES INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311352694 | PROPERTY MANAGEMENT | OH | SECTION 501(C)(2) | Yes (1) | BETHESDA HOSPITAL INC | ||
| TRIHEALTH INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311438846 | SUPPORT AFFILIATED HOSPITALS | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 12B | N/A | 0 | |
| BETHESDA FAMILY PRACTICE CENTER | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311242442 | HEALTHCARE SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 12A | Yes (1) | BETHESDA HOSPITAL INC | |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 310537486 | INPATIENT AND OUTPATIENT SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 3 | 0 | TRIHEALTH INC | |
| GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311778403 | EDUCATION | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 2 | Yes (1) | THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO | |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 237419853 | DIALYSIS | OH | SECTION 501(C)(2) | Yes (1) | THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO | ||
| TRIHEALTH HOSPITAL INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 461393755 | INPATIENT AND OUTPATIENT SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 3 | Yes (1) | TRIHEALTH INC | |
| GOOD SAMARITAN HOSPITAL FREE CLINIC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 273893817 | HEALTHCARE SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 7 | Yes (1) | TRIHEALTH INC | |
| TRIHEALTH PHYSICIAN ENTERPRISE CORP | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311383365 | PHYSICIAN PRACTICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 10 | Yes (1) | TRIHEALTH INC | |
| TRIHEALTH PHYSICIAN INSTITUTE | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311074519 | PHYSICIAN PRACTICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 10 | Yes (1) | TRIHEALTH INC | |
| MCCULLOUGH HYDE MEMORIAL INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45052 | 310650283 | INPATIENT AND OUTPATIENT SERVICES | OH | SECTION 501(C)(3) | SCHEDULE A, LINE 3 | Yes (1) | TRIHEALTH INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| 10600 MONTGOMERY LLC | |||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 261964995 | PROPERTY MANAGEMENT | OH | N/A | 0 | 0 |
| HEALTHCARE SOLUTIONS NETWORK LLC | |||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 472103334 | PHYSICIAN HOSPITAL ORGANIZATION | OH | N/A | 0 | 0 |
| PREFERRED LAB PARTNERS LLC | |||||||||
| ONE MEDICAL VILLAGE DRIVE SUITE B | EDGEWOOD | KY | 41017 | 824758763 | LABORATORY SERVICES | KY | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TJ CUBEDMONTGOMERY INC | ||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 261964885 | HOLDING COMPANY | OH | N/A | S | Yes (1) | |||||
| TRIHEALTH PHYSICIANS OF INDIANA INC | ||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 461125130 | PHYSICIAN PRACTICES | OH | N/A | C | Yes (1) | |||||
| TRIHEALTH PHYSICIAN SOLUTIONS INC | ||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311444353 | CLAIMS ADMINISTRATION | OH | N/A | C | Yes (1) | |||||
| TRIHEALTH CIPHO INC | ||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 463294306 | PHYSICIAN HEALTH ORGANIZATION | OH | N/A | C | Yes (1) | |||||
| PREMIERE MEDICAL OWNERS ASSOCIATION | ||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 141913019 | CONDO ASSOCIATION | OH | N/A | C | Yes (1) | |||||
| SERVE INSURANCE LTD | ||||||||||||||
| 981529310 | ALTERNATIVE RISK FINANCING | N/A | C | Yes (1) | PO BOX 69 | CAMANA BAY | GRAND CAYMANS | CJ | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BETHESDA HOSPITAL INC | ||
| A | $456,930 | FMV |
| GOOD SAMARITAN HOSPIAL OF CINCINNATI OHIO | ||
| A | $29,798 | FMV |
| TRIHEALTH PHYSICIAN ENTERPRISE CORP | ||
| A | $220,687 | FMV |
| BETHESDA FOUNDATION INC | ||
| C | $345,100 | CASH |
| BETHESDA HOSPITAL INC | ||
| K | $33,109 | FMV |
| BETHESDA PROPERTIES INC | ||
| K | $210,569 | FMV |
| TRIHEALTH PHYSICIAN ENTERPRISE CORP | ||
| K | $49,920 | FMV |
| TRIHEALTH INC | ||
| L | $1,631,293 | FMV |
| TRIHEALTH INC | ||
| P | $11,810,402 | COST |