2022-05-13T10:05:53-05:00 2021-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2020-07-01 311027660 BETHESDA HEALTHCARE INC BETH 5135696575 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 MICHAEL CROFTON VP FINANCE 5135696577 2022-05-13 1 MICHAEL CROFTON 999009999 SHAWNA M JANSONS P01222873 3174648600 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MARK CLEMENT 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 24282550 0 X WWW.TRIHEALTH.COM X 1981 OH OUTPATIENT SERVICES TO THE GREATER CINCINNATI COMMUNITY AND SURROUNDING SUBURBS. 4 0 353 0 4229424 0 384965 345100 20141372 20985598 0 449263 2942871 2457242 23469208 24237203 0 0 0 0 17309723 15268600 0 0 0 8314196 11810403 25623919 27079003 -2154711 -2841800 20268358 18498793 26553475 27625710 -6285117 -9126917 X SEE SCHEDULE O 0 0 22337360 0 21025006 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. 22337360 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 164 0 1 353 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X MICHAEL CROFTON - VP FINANCE 5135696577 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 X MARK CLEMENT CHAIRPERSON 1.00 60.00 X X 0 1629592 390312 ANDREW DEVOE TREASURER 1.00 60.00 X X 0 781924 206182 STEVE GRACEY SECRETARY 1.00 60.00 X X 0 580022 161024 JOHN WARD PRESIDENT (START 7/20) 1.00 60.00 X X 0 593670 181585 TERRI HANLON-BREMER COO-CORPORATE HEALTH 40.00 20.00 X 0 362217 98612 HEATHER LONG DIR OF OPERATIONS (END 8/20) 60.00 0.00 X 0 278352 44845 STEVE MOMBACH SVP-AMBULATORY SVCS 10.00 50.00 X 0 554539 163819 MALIA HARPER MD MEDICAL DIRECTOR-CORP HEALTH 60.00 0.00 X 344900 0 77958 CHUC LE MD FACILITY MEDICAL DIRECTOR 60.00 0.00 X 216656 0 87709 ERIC LUESSEN MD FACILITY MEDICAL DIRECTOR 60.00 0.00 X 223891 0 47020 TIMOTHY HENKE MD FACILITY MEDICAL DIRECTOR 60.00 0.00 X 225640 0 74884 JEFFREY HUTH PRACTICE PHYSICIAN 60.00 0.00 X 200874 0 49332 DONNA NIENABER ESQ FORMER OFFICER 0.00 0.00 X 0 710689 0 MICHAEL CROFTON FORMER OFFICER 0.00 60.00 X 0 397639 123828 WILL GRONEMAN FORMER OFFICER 0.00 40.00 X 0 3170144 138896 1211961 9058788 1846006 15 1 1 0 GRAVITY DIAGNOSTICS 812 RUSSELL STREET COVINGTON KY 41011 FULL SERVICE LABORATORY 796500 HYUR STAFFING SERVICES 300 E BUSINESS WAY SUITE 100A CINCINNATI OH 45241 STAFFING SERVICES 376841 CERNER CORPORATION 2800 ROCKCREEK PARKWAY NORTH KANSAS CITY MO 64117 CONSULTING 231338 MEDTOX LABORATORIES INC PO BOX 1450 MINNEAPOLIS MN 55485 FULL SERVICE LABORATORY 230668 SCIOTO SERVICES 3478 HAUCK ROAD STE D CINCINNATI OH 45241 JANITORIAL 119303 5 345100 345100 PATIENT SERVICES 621400 6452240 6452240 WORKSITE WELLNESS 900099 5955674 4119250 1836424 OCCUPATIONAL HEALTH 900099 4903125 4903125 I/C EMPLOYEE WELLNESS 900099 1807723 1807723 EAP SERVICES 900099 1139530 1139530 727306 727306 20985598 24834 0 24834 24834 24834 451950 2687 449263 449263 449263 87287 42660 44627 44627 PAVILION REVENUE 713940 2102711 2102711 HEALTH & MEDICINE 900099 245662 245662 NUTRITION REVENUE 900099 6849 6849 32559 32559 2387781 24237203 19188582 4229424 474097 X 12155663 10151093 2004570 654166 540406 113760 1603443 1404239 199204 855328 727081 128247 3755946 3709558 46388 37145 37145 163730 158774 4956 394106 216200 177906 2419895 2195757 224138 29456 28619 837 15298 10140 5158 860985 647448 213537 NON-PATIENT BAD DEBTS 2998038 1833038 1165000 MEDICAL/DIETARY SUPPLY 478793 478705 88 OVERHEAD ALLOCATIONS 447446 0 447446 EQUIPMENT 143958 143093 865 65607 56064 9543 27079003 22337360 4741643 0 3692 3692 5794569 4581776 28674886 16964163 12209267 11710723 13262 0 2247568 2202602 20268358 18498793 2500616 2086756 112641 120988 3255200 2722487 20685018 22695479 26553475 27625710 X -6285117 -9126917 -6285117 -9126917 20268358 18498793 -2841800 0 X X 0 1 X 1 0 X X 1 BETHESDA HOSPITAL INC 310537122 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4862263 4862263 14534041 9256921 5277120 706901 389240 317661 8537182 7318002 1219180 34499 34499 11710723 RIGHT TO USE ASSETS - OPERATING LEASE 2202602 2202602 DUE TO RELATED ORGANIZATION 22436730 DEFERRED FICA TAXES 258749 22695479 X PART X, LINE 2: 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. 1 1 0 0 0 0 0 0 0 WILL GRONEMAN FORMER OFFICER 0 213378 0 53267 0 2903499 0 108325 0 30571 0 3309040 0 2605271 MARK CLEMENT CHAIRPERSON 0 1191203 0 378427 0 59962 0 368190 0 22122 0 2019904 0 0 ANDREW DEVOE TREASURER 0 601313 0 168640 0 11971 0 171410 0 34772 0 988106 0 0 JOHN WARD PRESIDENT (START 7/20) 0 462692 0 111601 0 19377 0 152276 0 29309 0 775255 0 0 STEVE GRACEY SECRETARY 0 451142 0 109395 0 19485 0 126766 0 34258 0 741046 0 0 STEVE MOMBACH SVP-AMBULATORY SVCS 0 431124 0 102720 0 20695 0 142479 0 21340 0 718358 0 0 DONNA NIENABER ESQ FORMER OFFICER 0 0 0 0 0 710689 0 0 0 0 0 710689 0 710689 MICHAEL CROFTON FORMER OFFICER 0 314734 0 77600 0 5305 0 97489 0 26339 0 521467 0 0 TERRI HANLON-BREMER COO-CORPORATE HEALTH 0 293162 0 60204 0 8851 0 85337 0 13275 0 460829 0 0 MALIA HARPER MD MEDICAL DIRECTOR-CORP HEALTH 333404 0 10902 0 594 0 49740 0 28218 0 422858 0 0 0 HEATHER LONG DIR OF OPERATIONS (END 8/20) 0 115244 0 28791 0 134317 0 36864 0 7981 0 323197 0 0 CHUC LE MD FACILITY MEDICAL DIRECTOR 203974 0 10902 0 1780 0 59765 0 27944 0 304365 0 0 0 TIMOTHY HENKE MD FACILITY MEDICAL DIRECTOR 213744 0 10902 0 994 0 39892 0 34992 0 300524 0 0 0 ERIC LUESSEN MD FACILITY MEDICAL DIRECTOR 159967 0 10902 0 53022 0 32485 0 14535 0 270911 0 0 0 JEFFREY HUTH PRACTICE PHYSICIAN 189078 0 10902 0 894 0 27838 0 21494 0 250206 0 0 0 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 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. 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 BETHESDA INC 1 BETHESDA FOUNDATION INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237374129 FUNDRAISING OH SECTION 501(C)(3) SCHEDULE A, LINE 7 BETHESDA INC 1 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 BETHESDA HOSPITAL INC 1 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 HOSPICE OF CINCINNATI INCORPORATED 1 BETHESDA PROPERTIES INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311352694 PROPERTY MANAGEMENT OH SECTION 501(C)(2) BETHESDA HOSPITAL INC 1 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 BETHESDA HOSPITAL INC 1 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 TRIHEALTH INC 0 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 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 1 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 DIALYSIS OH SECTION 501(C)(2) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 1 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 TRIHEALTH INC 1 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 TRIHEALTH INC 1 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 TRIHEALTH INC 1 TRIHEALTH PHYSICIAN INSTITUTE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311074519 PHYSICIAN PRACTICES OH SECTION 501(C)(3) SCHEDULE A, LINE 10 TRIHEALTH INC 1 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 TRIHEALTH INC 1 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 TJ CUBEDMONTGOMERY INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 261964885 HOLDING COMPANY OH N/A S 1 TRIHEALTH PHYSICIANS OF INDIANA INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 461125130 PHYSICIAN PRACTICES OH N/A C 1 TRIHEALTH PHYSICIAN SOLUTIONS INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311444353 CLAIMS ADMINISTRATION OH N/A C 1 TRIHEALTH CIPHO INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 463294306 PHYSICIAN HEALTH ORGANIZATION OH N/A C 1 PREMIERE MEDICAL OWNERS ASSOCIATION 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 141913019 CONDO ASSOCIATION OH N/A C 1 SERVE INSURANCE LTD PO BOX 69 CAMANA BAY GRAND CAYMANS CJ 981529310 ALTERNATIVE RISK FINANCING CJ N/A C 1 1 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 BETHESDA HOSPITAL INC A 456930 FMV GOOD SAMARITAN HOSPIAL OF CINCINNATI OHIO A 29798 FMV TRIHEALTH PHYSICIAN ENTERPRISE CORP A 220687 FMV BETHESDA FOUNDATION INC C 345100 CASH BETHESDA HOSPITAL INC K 33109 FMV BETHESDA PROPERTIES INC K 210569 FMV TRIHEALTH PHYSICIAN ENTERPRISE CORP K 49920 FMV TRIHEALTH INC L 1631293 FMV TRIHEALTH INC P 11810402 COST