STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BETHESDA HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BETHESDA HOSPITAL INC (EIN 31-0537122)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-15
IRS object ID
202041369349300714
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-15T07:58:18-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Line1250 EAST FIFTH STREET SUITE 1900AddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

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
Signature2020-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALICIA JANISCHPreparerPersonNm
PTINP00741382PTIN
Phone5137847100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.68.236.9IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-15IPDt
IP Tm07:40:44IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id7C4C65F4048F11F90FA55EE4E3CFA51667930AD2AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$710,329,990GrossReceiptsAmt
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 Independent8VotingMembersIndependentCnt
Total Employee4406TotalEmployeeCnt
Total Volunteers832TotalVolunteersCnt
Total Gross UBI$902,978TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,875,791PYContributionsGrantsAmt
CY Contributions Grants$945,906CYContributionsGrantsAmt
PY Program Service Revenue$622,118,415PYProgramServiceRevenueAmt
CY Program Service Revenue$611,708,927CYProgramServiceRevenueAmt
PY Investment Income$24,820,171PYInvestmentIncomeAmt
CY Investment Income$13,407,331CYInvestmentIncomeAmt
PY Other Revenue$10,205,887PYOtherRevenueAmt
CY Other Revenue$21,801,506CYOtherRevenueAmt
PY Total Revenue$663,020,264PYTotalRevenueAmt
CY Total Revenue$647,863,670CYTotalRevenueAmt
PY Grants And Similar Paid$831,030PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$315,064CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$278,226,829PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$274,943,724CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$286,919,871PYOtherExpensesAmt
CY Other Expenses$275,251,997CYOtherExpensesAmt
PY Total Expenses$565,977,730PYTotalExpensesAmt
CY Total Expenses$550,510,785CYTotalExpensesAmt
PY Revenues Less Expenses$97,042,534PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$97,352,885CYRevenuesLessExpensesAmt
Total Assets BOY$1,094,709,368TotalAssetsBOYAmt
Total Assets EOY$1,076,223,195TotalAssetsEOYAmt
Total Liabilities BOY$530,455,714TotalLiabilitiesBOYAmt
Total Liabilities EOY$504,942,942TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$564,253,654NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$571,280,253NetAssetsOrFundBalancesEOYAmt
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$455,583,861ExpenseAmt
Grant$315,064GrantAmt
Revenue$619,237,029RevenueAmt
DescSEE SCHEDULE HDesc
Total Program Service Expenses$455,583,861TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document417IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4406EmployeeCnt
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 Member8IndependentVotingMemberCnt
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 (36 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
CRAIG EISENTROUT MD
TRUSTEE1.0060.00Yes (X)$0$570,038$48,305
WAYNE SHIRCLIFF
CHAIRPERSON (END 6/19)1.003.00Yes (X)Yes (X)$0$0$0
RALPH MICHAEL
VICE CHAIR/TREASURER1.003.00Yes (X)Yes (X)$0$0$0
ROBERT COLLINS MD
TRUSTEE (START 7/18)1.003.00Yes (X)$0$202,461$27,381
MARK CLEMENT
PRESIDENT/CEO15.0045.00Yes (X)Yes (X)$0$1,463,838$316,037
PHILLIP CASTELLINI
TRUSTEE1.003.00Yes (X)$0$0$0
LISA KNUTSON
TRUSTEE (END 6/19)1.003.00Yes (X)$0$0$0
THEODORE TORBECK
TRUSTEE1.003.00Yes (X)$0$0$0
PHILIP FOSTER
TRUSTEE1.003.00Yes (X)$0$0$0
SCOTT FRIEDSTROM MD
MED STAFF PRES-GOOD SAM1.003.00Yes (X)$0$542,743$84,672
PHILLIP OBLINGER MD
MED STAFF PRES-BETHESDA1.003.00Yes (X)$45,000$84,851$0
QUINT STUDER
TRUSTEE (START 7/18)1.003.00Yes (X)$0$0$0
ANDREW DEVOE
ASST. TREASURER/CFO15.0045.00Yes (X)$0$772,272$170,726
STEVE GRACEY
ASST. SECRETARY/SVP LEGAL15.0045.00Yes (X)$0$450,171$125,258
GAIL DONOVAN
EXEC VP & COO (END 6/19)15.0045.00$0$928,244$200,684Yes (X)
STEFANIE NEWMAN
VP-CNO BETHESDA60.000.00$0$305,924$88,915Yes (X)
DAVID COOK
CHIEF HR OFFICER15.0045.00$0$460,282$122,582Yes (X)
LONDON QUICCI
EXEC DIR-BETHESDA NORTH60.000.00$0$313,522$46,151Yes (X)
BRETT KIRKPATRICK
EXEC DIR-BETHESDA BUTLER30.0030.00$0$165,089$28,532Yes (X)
KEVIN JOSEPH MD
CHIEF MEDICAL OFFICER15.0045.00$0$643,316$145,667Yes (X)
MARY IRVIN
CNE-TRIHEALTH (END 10/18)15.0045.00$0$398,718$130,448Yes (X)
JENNY SKINNER
CNE-TRIHEALTH (START 11/18)15.0045.00$0$303,281$62,227Yes (X)
ROB CERCEK
EVP POP HEALTH & PHYSICIAN PRACS15.0045.00$0$624,765$152,151Yes (X)
MICHAEL WEBB MD
PHYSICIAN60.000.00$223,762$0$54,865Yes (X)
RICHARD OKRAGLY MD
PHYSICIAN60.000.00$244,801$0$49,173Yes (X)
SAKUNTHALA NATARAJAN MD
PHYSICIAN60.000.00$233,900$0$60,832Yes (X)
ROBERT KUNKEL MD
PHYSICIAN60.000.00$268,248$0$54,101Yes (X)
SCOTT WOODS MD
PHYSICIAN60.000.00$249,743$0$57,667Yes (X)
JOHN PROUT
FORMER OFFICER0.0040.00$0$1,853,100$0Yes (X)
DONNA NIENABER ESQ
FORMER OFFICER0.000.00$0$361,585$31,808Yes (X)
MICHAEL CROFTON
FORMER OFFICER0.0060.00$0$394,919$118,485Yes (X)
WILLIAM GRONEMAN
FORMER KEY EMPLOYEE0.0040.00$0$462,416$142,930Yes (X)
GERALD OLIPHANT
FORMER KEY EMPLOYEE0.000.00$0$1,192,978$0Yes (X)
JOHN ROBINSON MD
FORMER KEY EMPLOYEE0.000.00$0$250,188$0Yes (X)
JASON NIEHAUS
FORMER KEY EMPLOYEE60.000.00$0$551,194$40,650Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,265,454TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,295,895TotReportableCompRltdOrgAmt
Total Other Compensation$2,360,247TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K208IndivRcvdGreaterThan100KCnt
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
PREFERRED LAB PARTNERS LLC
1 MEDICAL VILLAGE DRIVE SUITE BEDGEWOODKY41017LABORATORY$14,408,639
AMERICAN NURSING CARE INC
1700 EDISON DRIVE SUITE 300MILFORDOH45150NURSE STAFFING$3,414,504
ARUP LABORATORIES
500 CHIPETA WAYSALT LAKE CITYUT84108LABORATORY$1,743,069
TRI-STATE HEALTHCARE LAUNDRY
551 S LOOP ROADEDGEWOODKY41017LAUNDRY$1,630,735
MORRISON HEALTHCARE
400 NORTHRIDGE ROAD SUITE 600ATLANTAGA30350FOOD SERVICE$993,909
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K64CntrctRcvdGreaterThan100KCnt
Related Organizations$886,153RelatedOrganizationsAmt
Government Grants$56,253GovernmentGrantsAmt
All Other Contributions$3,500AllOtherContributionsAmt
Total Contributions$945,906TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT REVENUE621990$606,434,348$605,650,766$783,582
AFFILIATED ORG. RENTAL532000$10,025,487$10,025,487
HATTON RESEARCH900099$469,014$469,014
SENIOR HEALTH SERVICES900099$344,075$344,075
JOA REVENUE900099-$5,763,668-$5,763,668

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$199,671TotalRevenueColumnAmt
Related Or Exempt Func Income$80,275RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$119,396UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$611,708,927TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,839,269TotalRevenueColumnAmt
Exclusion$4,839,269ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$935,556RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$935,556RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$935,556TotalRevenueColumnAmt
Exclusion$935,556ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$70,103,117SecuritiesAmt
Other$218,602OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$61,194,718SecuritiesAmt
Other$558,939OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,908,399SecuritiesAmt
Other-$340,337OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,568,062TotalRevenueColumnAmt
Exclusion$8,568,062ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,033,307GrossSalesOfInventoryAmt
Cost Of Goods Sold$712,663CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$320,644TotalRevenueColumnAmt
Related Or Exempt Func Income$320,644RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
APOTHECARY621990$17,614,437$17,614,437
CAFETERIA900099$2,409,383$2,409,383
LAB SERVICES - RELATED900099$278,061$278,061

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$243,425TotalRevenueColumnAmt
Related Or Exempt Func Income$243,425RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$20,545,306OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$647,863,670TotalRevenueColumnAmt
Related Or Exempt Func Income$619,237,029RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$902,978UnrelatedBusinessRevenueAmt
Exclusion$26,777,757ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$315,064TotalAmt
Program Services$315,064ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,281,320TotalAmt
Management And General$4,281,320ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$2,729,214TotalAmt
Management And General$2,729,214ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$212,640,304TotalAmt
Program Services$172,685,085ProgramServicesAmt
Management And General$39,955,219ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,552,347TotalAmt
Program Services$6,667,347ProgramServicesAmt
Management And General$2,885,000ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,560,094TotalAmt
Program Services$20,747,979ProgramServicesAmt
Management And General$8,812,115ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,180,445TotalAmt
Program Services$12,674,379ProgramServicesAmt
Management And General$3,506,066ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$16,814,350TotalAmt
Program Services$16,814,350ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,754,841TotalAmt
Management And General$1,754,841ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$430,403TotalAmt
Management And General$430,403ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,241TotalAmt
Management And General$1,241ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$912,472TotalAmt
Management And General$912,472ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,192,582TotalAmt
Program Services$23,192,582ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,418,277TotalAmt
Program Services$90,327ProgramServicesAmt
Management And General$4,327,950ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,889,252TotalAmt
Program Services$3,182,696ProgramServicesAmt
Management And General$4,706,556ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,508,064TotalAmt
Program Services$731,246ProgramServicesAmt
Management And General$7,776,818ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,781,211TotalAmt
Program Services$10,508,760ProgramServicesAmt
Management And General$1,272,451ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$675,267TotalAmt
Program Services$259,265ProgramServicesAmt
Management And General$416,002ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$434,880TotalAmt
Program Services$214,341ProgramServicesAmt
Management And General$220,539ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,088,076TotalAmt
Program Services$15,802,382ProgramServicesAmt
Management And General$285,694ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$35,579,718TotalAmt
Program Services$27,310,469ProgramServicesAmt
Management And General$8,269,249ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,629,742TotalAmt
Program Services$1,629,742ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL/DIETARY SUPPLY$122,621,846$122,420,151$201,695
EQUIPMENT & REPAIRS$10,783,006$10,170,265$612,741
OHIO HOSPITAL FEE$9,484,451$9,484,451
DUES AND SUBSCRIPTIONS$239,742$239,742

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,012,576TotalAmt
Program Services$443,238ProgramServicesAmt
Management And General$1,569,338ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$550,510,785TotalAmt
Program Services$455,583,861ProgramServicesAmt
Management And General$94,926,924ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$85,229BOYAmt
EOY$60,922EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$77,233,979BOYAmt
EOY$72,547,523EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$238,684BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,946,809BOYAmt
EOY$11,908,303EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,896,132BOYAmt
EOY$1,319,725EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$799,476,349LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$417,160,389LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$338,957,656BOYAmt
EOY$382,315,960EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$364,252,208BOYAmt
EOY$297,537,350EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$51,052,246BOYAmt
EOY$57,926,230EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$163,630,052BOYAmt
EOY$184,511,909EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$37,882,379BOYAmt
EOY$37,702,879EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$54,533,994BOYAmt
EOY$30,392,394EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,094,709,368BOYAmt
EOY$1,076,223,195EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$53,976,029BOYAmt
EOY$57,717,358EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$159,790BOYAmt
EOY$34,821EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$411,229,471BOYAmt
EOY$404,764,402EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$38,333,721BOYAmt
EOY$24,970,149EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,756,703BOYAmt
EOY$17,456,212EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$530,455,714BOYAmt
EOY$504,942,942EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$543,326,917BOYAmt
EOY$548,440,383EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,926,737BOYAmt
EOY$22,839,870EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$564,253,654BOYAmt
EOY$571,280,253EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,094,709,368BOYAmt
EOY$1,076,223,195EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$97,352,885ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,345,475NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$97,671,761OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

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 OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$1,241GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$4,429OtherActivitiesAmt
Total Lobbying Expenditures$5,670TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
Explanation1F) TRIHEALTH, INC., A RELATED ORGANIZATION OF BETHESDA HOSPITAL, INC. ("HOSPITAL"), WHICH PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO HOSPITAL, PROVIDED A CONTRIBUTION TO THE CAMPAIGN FOR ISSUE #9 - CHILDREN'S SERVICES IN AN ATTEMPT TO GET THE LEVY PASSED. THE MONEY FROM THE LEVY WOULD BE USED TO PROVIDE SERVICES TO ABUSED AND NEGLECTED CHILDREN AND THEIR FAMILIES IN HAMILTON COUNTY, OHIO. THE SERVICES ARE MANDATED BY THE FEDERAL GOVERNMENT, BUT FUNDED AT THE LOCAL LEVEL. A PORTION OF THE AFOREMENTIONED ADMINISTRATIVE SUPPORT SERVICES ARE ALLOCATED TO HOSPITAL AND THE AMOUNT SHOWN ON LINE 1F REPRESENTS HOSPITAL'S SHARE OF THIS LOBBYING EXPENSE. 1I) DURING THE TAX YEAR, BETHESDA HOSPITAL, INC. ("HOSPITAL") PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION ($723) 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 $3,706 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$3,726,463BeginningYearBalanceAmt
Contributions$324,903ContributionsAmt
Investment Earnings Or Losses$17,126InvestmentEarningsOrLossesAmt
Other Expenditures$347,882OtherExpendituresAmt
End Year Balance$3,720,610EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,736,434BeginningYearBalanceAmt
Contributions$225ContributionsAmt
Investment Earnings Or Losses$101,344InvestmentEarningsOrLossesAmt
Other Expenditures$111,540OtherExpendituresAmt
End Year Balance$3,726,463EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,493,840BeginningYearBalanceAmt
Investment Earnings Or Losses$242,594InvestmentEarningsOrLossesAmt
End Year Balance$3,736,434EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,624,135BeginningYearBalanceAmt
Contributions$250ContributionsAmt
Investment Earnings Or Losses-$58,206InvestmentEarningsOrLossesAmt
Other Expenditures$72,339OtherExpendituresAmt
End Year Balance$3,493,840EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,097,830BeginningYearBalanceAmt
Investment Earnings Or Losses-$131,484InvestmentEarningsOrLossesAmt
Other Expenditures$342,211OtherExpendituresAmt
End Year Balance$3,624,135EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.94880PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.05120TermEndowmentBalanceEOYPct
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$4,480,479OtherCostOrOtherBasisAmt
Book Value$4,480,479BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$450,265,003OtherCostOrOtherBasisAmt
Depreciation$179,491,045DepreciationAmt
Book Value$270,773,958BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,474,501OtherCostOrOtherBasisAmt
Depreciation$2,002,222DepreciationAmt
Book Value$1,472,279BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$270,280,387OtherCostOrOtherBasisAmt
Depreciation$231,436,619DepreciationAmt
Book Value$38,843,768BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,975,979OtherCostOrOtherBasisAmt
Depreciation$4,230,503DepreciationAmt
Book Value$66,745,476BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$382,315,960TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
PRIVATE EQUITY$8,463,126F
HEDGE FUNDS$20,383,752F
REAL ESTATE$23,764,980F
PRIVATE DEBT$5,314,372F
FieldValueIRS element (for citing)
Total Book Value Securities$57,926,230TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN JOINT VENTURESDesc
Book Value$184,511,909BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$184,511,909TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
THIRD PARTY SETTLEMENTS$948,624
ACCRUED EIB$4,349,243
MALPRACTICE INSURANCE/WORKERS COMP LIABILITY$10,376,100
DUE TO RELATED ORGANIZATIONS$190,095
MISCELLANEOUS$1,592,150
FieldValueIRS element (for citing)
Total Liability$17,456,212TotalLiabilityAmt
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 PERFORMED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2019 OR 2018. 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 NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2019 OR 2018.

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$6,503,790TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,157,020DirectOffsettingRevenueAmt
Net Community Benefit Expns$346,770NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,483,669TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,111,786DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,371,883NetCommunityBenefitExpnsAmt
Total Expense0.05150TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$84,987,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,268,806DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,718,653NetCommunityBenefitExpnsAmt
Total Expense0.05210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,655,991TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$695,679DirectOffsettingRevenueAmt
Net Community Benefit Expns$960,312NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,451,792TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,456,239DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,995,553NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$116,009TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$116,009NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,376,665TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,376,665NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$259,954TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$259,954NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,860,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,151,918DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,708,493NetCommunityBenefitExpnsAmt
Total Expense0.01030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,847,870TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,420,724DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,427,146NetCommunityBenefitExpnsAmt
Total Expense0.06240TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,016TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$92,016NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,016TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$92,016NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$56,869,243BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$122,153,758ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$123,203,921CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,050,163MedicareSurplusOrShortfallAmt

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)18Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/Yes (X)Yes (1)18Yes (1)HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/0Yes (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)18Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/Yes (X)Yes (1)18Yes (1)HTTPS://WWW.TRIHEALTH.COM/ABOUT-TRIHEALTH/COMMUNITY/0Yes (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: PRIMARY DATA SOURCES ALMOST 1,300 PEOPLE HAD AN OPPORTUNITY TO IDENTIFY AND PRIORITIZE HEALTH AND HEALTH-RELATED ISSUES AT A MEETING OR BY SURVEY. TWENTY-THREE (23) COUNTY- OR DISTRICT-LEVEL PUBLIC HEALTH DEPARTMENTS RESPONDED BY SURVEY, AND THE CHNA TEAM ALSO RECEIVED SURVEY RESPONSES FROM 5 CITY-LEVEL HEALTH DEPARTMENTS. NINETY-SIX NONPROFIT ORGANIZATIONS COMPLETED SURVEYS, AND THEY SERVED RESIDENTS IN EVERY COUNTY. TOTAL RESPONSE FAR EXCEEDED THE LEVEL OF RESPONSE EXPERIENCED THREE YEARS EARLIER FOR THE 2016 CHNAS IN CINCINNATI AND DAYTON. PRIMARY DATA WAS OBTAINED, WITH A UNIFORM SET OF QUESTIONS, VIA THE FOLLOWING: * THERE WERE 42 MEETINGS, HELD IN 23 COUNTIES DURING MAY THROUGH JULY 2018, WHICH ATTRACTED 463 REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, THE GENERAL PUBLIC, AND/OR MEMBERS OF MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS TO IDENTIFY BARRIERS TO CARE, GIVE INPUT FOR CURRENT NEEDS ASSESSMENT, PRIORITIZE ISSUES, AND IDENTIFY RESOURCES TO ADDRESS HEALTH AND HEALTH-RELATED ISSUES. * ONLINE SURVEYS OF INDIVIDUALS (828), AGENCIES (96), AND PUBLIC HEALTH DEPARTMENTS (28) THROUGHOUT THE REGION FROM JUNE THROUGH AUGUST 2018. * THE REPORTING HOSPITAL DID NOT RECEIVE WRITTEN COMMENTS FROM THE PUBLIC REGARDING THE 2016 CHNA OR ITS RELATED IMPLEMENTATION STRATEGY. COMMUNITY MEETINGSOUTREACH ANY INDIVIDUAL OR AGENCY REPRESENTATIVE WHO GAVE THEIR ADDRESS DURING THE 2013 OR 2016 CHNA PROCESS WAS ADDED TO AN INVITE LIST, AND THE HEALTH COLLABORATIVE (THC) MAILED THEM AN INVITATION TO THE MEETING SCHEDULED IN THEIR COUNTY. THE CONSULTANTS ADDED NONPROFIT ORGANIZATIONS IN EACH COUNTY THAT HAD EITHER A PHONE NUMBER, STREET ADDRESS, OR EMAIL. THC SENT 544 EMAILS AND 376 LETTERS BY FIRST-CLASS MAIL. THE CONSULTANTS MADE PHONE CALLS TO AGENCIES THAT HAD NOT PREVIOUSLY ATTENDED A CHNA MEETING AS WELL AS TO STRATEGIC ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS AND/OR HAVE A BROAD REACH, E.G., UNITED WAY. THEY FOLLOWED UP WITH EMAILS. THC SENT FLYERS TO HOSPITALS AND TO MEETING HOST SITES FOR POSTING AND DISTRIBUTION. THE CONSULTANTS ALSO POSTED UPCOMING MEETINGS EVERY TWO WEEKS IN THE INTERACT FOR HEALTH E-NEWSLETTER: HEALTH WATCH, WHICH IS EMAILED ACROSS 20 COUNTIES. THE CONSULTANTS SENT FLYERS TO PUBLIC HEALTH DEPARTMENTS TO POST AND DISTRIBUTE. SOME HEALTH DEPARTMENTS PUBLICIZED MEETINGS ON THEIR SOCIAL MEDIA PAGES AND HELD ADDITIONAL MEETINGS. THERE WAS A 229% INCREASE IN MEETING ATTENDANCE, FROM 202 FOR THE 2016 CYCLE TO 463 FOR THE 2019 CYCLE. APPENDIX 1 OF THE CHNA, WHICH IS POSTED TO TRIHEALTH'S WEBSITE, INCLUDES A LIST OF MEETING ATTENDEES AND THE ORGANIZATIONS EACH REPRESENTS.PURPOSE OF MEETINGS THE PURPOSE OF THE MEETINGS WAS TO SOLICIT PUBLIC INPUT. THE DESIRE WAS TO ATTRACT INDIVIDUALS OR NONPROFIT ORGANIZATIONS WITH EXPERIENCE OR KNOWLEDGE TO SHARE, ESPECIALLY ON EMERGING ISSUES NOT CAPTURED BY THE SECONDARY DATA AND FROM THE PERSPECTIVES OF MEDICALLY UNDERSERVED, MINORITY, AND/OR LOW-INCOME POPULATIONS. THE OBJECTIVES WERE TO: * SHARE COUNTY-LEVEL HIGHLIGHTS FROM THE SECONDARY DATA (AND CITY-LEVEL FOR CINCINNATI HEALTH DEPARTMENT MEETINGS) * GATHER DIVERSE PEOPLE TO SHARE THEIR IDEAS -- GENERAL PUBLIC AND COMMUNITY LEADERS * RECEIVE INPUT FROM AGENCIES THAT REPRESENT VULNERABLE POPULATIONS * HEAR CONCERNS AND QUESTIONS ABOUT EXISTING HEALTH/HEALTH-RELATED ISSUES * OBTAIN INFORMATION ABOUT FINANCIAL AND NON-FINANCIAL BARRIERS TO HEALTH CARE * IDENTIFY RESOURCES AVAILABLE LOCALLY TO ADDRESS ISSUES * OBTAIN INSIGHT INTO LOCAL CONDITIONS FROM LOCAL PEOPLE * DISCOVER HEALTH AND HEALTH-RELATED PRIORITIES OF ATTENDEES MEETING FACILITATION A GROUP OF 2-3 CONSULTANTS WENT TO EACH MEETING, DEPENDING ON THE NUMBER OF RSVPS. EACH MEETING FOLLOWED THE SAME FORMAT AND AGENDA. REFRESHMENTS WERE SERVED, AND NAMETAGS WERE USED TO GENERATE A WELCOMING ATMOSPHERE. LOCATIONS WERE SELECTED FOR CONVENIENCE, ACCESS, AND TRUSTED REPUTATION IN THE COMMUNITY. THE FACILITATOR FIRST SHARED GENERAL TRISTATE AND STATE-SPECIFIC HEALTH AND HEALTH-RELATED DATA TO PROVIDE CONTEXT. THE SURVEY QUESTIONS WERE USED, BUT THE FIRST QUESTION ABOUT MOST SERIOUS HEALTH ISSUES WAS ASKED SEPARATELY. THIS TECHNIQUE WAS INTENDED TO CAPTURE FIRST THOUGHTS WITHOUT AN OPPORTUNITY TO BE INFLUENCED BY THE MORE SPECIFIC COUNTY-LEVEL DATA OR BY OTHER ATTENDEES. AFTER THE FIRST QUESTION, THE CONSULTANTS (A MEETING FACILITATOR AND AT LEAST ONE SCRIBE) SHARED A PROFILE OF THE COUNTY, INCLUDING A SUMMARY OF SECONDARY DATA. THE MEETINGS LASTED 90 MINUTES, OF WHICH 60 MINUTES WAS DEVOTED TO THE GROUP'S BRAINSTORMING. AT THE END, EACH PERSON WAS GIVEN 3 COLORED DOTS. THEY PLACED THE DOTS NEXT TO ISSUES THEY PRIORITIZED AS MOST IMPORTANT HEALTH CONDITIONS OR NEEDS OF THE COMMUNITY. THE AGENDA HANDOUT CONTAINED LINKS TO THE SURVEYS. SURVEYS THE CONSULTANTS DEVELOPED THREE TYPES OF SURVEYS: INDIVIDUAL CONSUMER; AGENCY; AND HEALTH DEPARTMENT. THE QUESTIONS REMAINED THE SAME FOR EACH SURVEY. THE AGENCY SURVEYS WERE PUSHED OUT VIA EMAIL AS WELL AS THE LINK WAS SHARED AT THE COMMUNITY MEETINGS. THE HEALTH DEPARTMENT VERSION ALSO REQUESTED THE QUALIFICATIONS OF THE RESPONDENTS. AS REQUIRED BY THE IRS, THE INDIVIDUAL CONSUMER SURVEY WAS ALSO TRANSLATED INTO SPANISH AND ADAPTED FOR MOBILE APPLICATION AT COMMUNITY EVENTS. THE CONSULTANTS USED SURVEYMONKEY TO COLLECT RESPONSES, TABULATE DATA, INTERPRET AND ANALYZE RESULTS, AND CREATE CATEGORIES TO TRACK KEY WORDS AND PHRASES. PAPER COPIES (TRANSLATED) WERE USED WITH SPANISH-SPEAKING FAMILIES, REFUGEES FROM RWANDA, AND AT TREATMENT FACILITIES. BOTH TRIHEALTH OUTREACH MINISTRIES AND SANTA MARIA COMMUNITY SERVICES PROVIDED THE ANSWERS ALREADY TRANSLATED INTO ENGLISH FOR THE CONSULTANTS. A TOTAL OF 113 IMMIGRANT SURVEYS WERE COMPLETED AND RETURNED. SEE APPENDIX 2 FOR THE SURVEY RESPONDENTS WHO IDENTIFIED THEMSELVES. APPENDIX 3 OF THE CHNA, WHICH IS POSTED TO TRIHEALTH'S WEBSITE, HAS A LIST OF HEALTH DEPARTMENT RESPONDENTS WITH THEIR QUALIFICATIONS.SECONDARY DATA SOURCES DATA COLLECTION COUNTY HEALTH RANKINGS (CHR) FORMED THE FOUNDATION FOR DATA COLLECTION WITH ITS COUNTY-LEVEL FOCUS ON HEALTH OUTCOMES, HEALTH FACTORS, HEALTH BEHAVIORS, QUALITY OF LIFE, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC FACTORS. ADDITIONAL SOURCES SUPPLEMENTED THE CHR DATA. PUBLICLY AVAILABLE HEALTH STATISTICS AND DEMOGRAPHICS WERE OBTAINED AT THE STATE AND COUNTY LEVEL. THE EPIDEMIOLOGISTS FOR PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY (PHDMC) VOLUNTEERED TO COLLECT DATA FOR THE STATE OF OHIO AND ITS COUNTIES. THEY INCLUDED DATA THROUGH 2016. OHIO'S 2017 DATA WAS NOT AVAILABLE IN TIME FOR THIS REPORT. THE NUMBER OF DATA MEASURES INCREASED BY 33%, FROM 106 IN 2016 TO 142 IN 2019. DATA SOURCES THE STANDARDS FOR RESEARCHING AND INCLUDING DATA WERE: * COMPARABLE (MEASURES WITH BENCHMARKS SUCH AS HEALTHY PEOPLE 2020 OR STATE/NATIONAL RATES) * COUNTY-LEVEL DATA (ZIP CODE LEVEL PREFERRED BUT RARE) * FOCUS ON HEALTH OUTCOME DATA (PREFERRED OVER SUBJECTIVE SURVEY DATA WHEN BOTH WERE AVAILABLE) * REPRODUCIBLE (NEW UPDATE AVAILABLE WITHIN THREE YEARS OR AT 3-YEAR INTERVALS VS. ONE-TIME) * REPUTABLE SOURCE * TREND DATA AVAILABLE (MORE THAN ONE DATA POINT; 3-5 YEARS PREFERRED) THE CHR WAS AN EXCELLENT STARTING POINT, BUT THE CONSULTANTS DISCOVERED ADDITIONAL SOURCES WITH MORE RECENT DATA AS WELL AS INDICATORS FOR MEASURES NOT COLLECTED BY CHR. THE PREVALENCE OF CERTAIN CANCERS, THE RAPID INCREASE OF HEROIN OVERDOSE DEATHS IN THE REGION, AND ADDITIONAL MORTALITY DATA ARE EXAMPLES OF SUPPLEMENTAL DATA. MANY EXCELLENT SOURCES OF INFORMATION DID NOT HAVE A BREAKDOWN BELOW THE STATE LEVEL OR DID NOT INCLUDE THE ENTIRE REGION. THE CONSULTANTS CONTACTED STATE HEALTH DEPARTMENTS, LOCAL HEALTH DEPARTMENTS, AND LOCAL EXPERTS. THE BIGGEST CHANGE FROM THE PRIOR CYCLE IS THAT THE DEPARTMENT OF HEALTH AND HUMAN SERVICES NO LONGER MAINTAINS THE HEALTH INDICATORS WAREHOUSE AS AN ONLINE SOURCE, AND IT HAD PROVIDED DATA FOR EIGHT KEY MEASURES. PHDMC EPIDEMIOLOGISTS CONSULTED THE OHIO DATA FOR DATA RANGES ENDING WITH 2016 AND ONE PERIOD PRIOR. DUE TO CHARACTER LIMITATION IN THE SOFTWARE, THESE DATA SOURCES COULD NOT BE INCLUDED IN THIS EXPLANATION. HOWEVER, THE DATA SOURCES AND DATES CAN BE FOUND ON PAGES 12 AND 13 OF THE CHNA POSTED ON TRIHEALTH'S WEBSITE.
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 5: PRIMARY DATA SOURCES ALMOST 1,300 PEOPLE HAD AN OPPORTUNITY TO IDENTIFY AND PRIORITIZE HEALTH AND HEALTH-RELATED ISSUES AT A MEETING OR BY SURVEY. TWENTY-THREE (23) COUNTY- OR DISTRICT-LEVEL PUBLIC HEALTH DEPARTMENTS RESPONDED BY SURVEY, AND THE CHNA TEAM ALSO RECEIVED SURVEY RESPONSES FROM 5 CITY-LEVEL HEALTH DEPARTMENTS. NINETY-SIX NONPROFIT ORGANIZATIONS COMPLETED SURVEYS, AND THEY SERVED RESIDENTS IN EVERY COUNTY. TOTAL RESPONSE FAR EXCEEDED THE LEVEL OF RESPONSE EXPERIENCED THREE YEARS EARLIER FOR THE 2016 CHNAS IN CINCINNATI AND DAYTON. PRIMARY DATA WAS OBTAINED, WITH A UNIFORM SET OF QUESTIONS, VIA THE FOLLOWING: * THERE WERE 42 MEETINGS, HELD IN 23 COUNTIES DURING MAY THROUGH JULY 2018, WHICH ATTRACTED 463 REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, THE GENERAL PUBLIC, AND/OR MEMBERS OF MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS TO IDENTIFY BARRIERS TO CARE, GIVE INPUT FOR CURRENT NEEDS ASSESSMENT, PRIORITIZE ISSUES, AND IDENTIFY RESOURCES TO ADDRESS HEALTH AND HEALTH-RELATED ISSUES. * ONLINE SURVEYS OF INDIVIDUALS (828), AGENCIES (96), AND PUBLIC HEALTH DEPARTMENTS (28) THROUGHOUT THE REGION FROM JUNE THROUGH AUGUST 2018. * THE REPORTING HOSPITAL DID NOT RECEIVE WRITTEN COMMENTS FROM THE PUBLIC REGARDING THE 2016 CHNA OR ITS RELATED IMPLEMENTATION STRATEGY. COMMUNITY MEETINGSOUTREACH ANY INDIVIDUAL OR AGENCY REPRESENTATIVE WHO GAVE THEIR ADDRESS DURING THE 2013 OR 2016 CHNA PROCESS WAS ADDED TO AN INVITE LIST, AND THE HEALTH COLLABORATIVE (THC) MAILED THEM AN INVITATION TO THE MEETING SCHEDULED IN THEIR COUNTY. THE CONSULTANTS ADDED NONPROFIT ORGANIZATIONS IN EACH COUNTY THAT HAD EITHER A PHONE NUMBER, STREET ADDRESS, OR EMAIL. THC SENT 544 EMAILS AND 376 LETTERS BY FIRST-CLASS MAIL. THE CONSULTANTS MADE PHONE CALLS TO AGENCIES THAT HAD NOT PREVIOUSLY ATTENDED A CHNA MEETING AS WELL AS TO STRATEGIC ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS AND/OR HAVE A BROAD REACH, E.G., UNITED WAY. THEY FOLLOWED UP WITH EMAILS. THC SENT FLYERS TO HOSPITALS AND TO MEETING HOST SITES FOR POSTING AND DISTRIBUTION. THE CONSULTANTS ALSO POSTED UPCOMING MEETINGS EVERY TWO WEEKS IN THE INTERACT FOR HEALTH E-NEWSLETTER: HEALTH WATCH, WHICH IS EMAILED ACROSS 20 COUNTIES. THE CONSULTANTS SENT FLYERS TO PUBLIC HEALTH DEPARTMENTS TO POST AND DISTRIBUTE. SOME HEALTH DEPARTMENTS PUBLICIZED MEETINGS ON THEIR SOCIAL MEDIA PAGES AND HELD ADDITIONAL MEETINGS. THERE WAS A 229% INCREASE IN MEETING ATTENDANCE, FROM 202 FOR THE 2016 CYCLE TO 463 FOR THE 2019 CYCLE. APPENDIX 1 OF THE CHNA, WHICH IS POSTED TO TRIHEALTH'S WEBSITE, INCLUDES A LIST OF MEETING ATTENDEES AND THE ORGANIZATIONS EACH REPRESENTS.PURPOSE OF MEETINGS THE PURPOSE OF THE MEETINGS WAS TO SOLICIT PUBLIC INPUT. THE DESIRE WAS TO ATTRACT INDIVIDUALS OR NONPROFIT ORGANIZATIONS WITH EXPERIENCE OR KNOWLEDGE TO SHARE, ESPECIALLY ON EMERGING ISSUES NOT CAPTURED BY THE SECONDARY DATA AND FROM THE PERSPECTIVES OF MEDICALLY UNDERSERVED, MINORITY, AND/OR LOW-INCOME POPULATIONS. THE OBJECTIVES WERE TO: * SHARE COUNTY-LEVEL HIGHLIGHTS FROM THE SECONDARY DATA (AND CITY-LEVEL FOR CINCINNATI HEALTH DEPARTMENT MEETINGS) * GATHER DIVERSE PEOPLE TO SHARE THEIR IDEAS -- GENERAL PUBLIC AND COMMUNITY LEADERS * RECEIVE INPUT FROM AGENCIES THAT REPRESENT VULNERABLE POPULATIONS * HEAR CONCERNS AND QUESTIONS ABOUT EXISTING HEALTH/HEALTH-RELATED ISSUES * OBTAIN INFORMATION ABOUT FINANCIAL AND NON-FINANCIAL BARRIERS TO HEALTH CARE * IDENTIFY RESOURCES AVAILABLE LOCALLY TO ADDRESS ISSUES * OBTAIN INSIGHT INTO LOCAL CONDITIONS FROM LOCAL PEOPLE * DISCOVER HEALTH AND HEALTH-RELATED PRIORITIES OF ATTENDEES MEETING FACILITATION A GROUP OF 2-3 CONSULTANTS WENT TO EACH MEETING, DEPENDING ON THE NUMBER OF RSVPS. EACH MEETING FOLLOWED THE SAME FORMAT AND AGENDA. REFRESHMENTS WERE SERVED, AND NAMETAGS WERE USED TO GENERATE A WELCOMING ATMOSPHERE. LOCATIONS WERE SELECTED FOR CONVENIENCE, ACCESS, AND TRUSTED REPUTATION IN THE COMMUNITY. THE FACILITATOR FIRST SHARED GENERAL TRISTATE AND STATE-SPECIFIC HEALTH AND HEALTH-RELATED DATA TO PROVIDE CONTEXT. THE SURVEY QUESTIONS WERE USED, BUT THE FIRST QUESTION ABOUT MOST SERIOUS HEALTH ISSUES WAS ASKED SEPARATELY. THIS TECHNIQUE WAS INTENDED TO CAPTURE FIRST THOUGHTS WITHOUT AN OPPORTUNITY TO BE INFLUENCED BY THE MORE SPECIFIC COUNTY-LEVEL DATA OR BY OTHER ATTENDEES. AFTER THE FIRST QUESTION, THE CONSULTANTS (A MEETING FACILITATOR AND AT LEAST ONE SCRIBE) SHARED A PROFILE OF THE COUNTY, INCLUDING A SUMMARY OF SECONDARY DATA. THE MEETINGS LASTED 90 MINUTES, OF WHICH 60 MINUTES WAS DEVOTED TO THE GROUP'S BRAINSTORMING. AT THE END, EACH PERSON WAS GIVEN 3 COLORED DOTS. THEY PLACED THE DOTS NEXT TO ISSUES THEY PRIORITIZED AS MOST IMPORTANT HEALTH CONDITIONS OR NEEDS OF THE COMMUNITY. THE AGENDA HANDOUT CONTAINED LINKS TO THE SURVEYS. SURVEYS THE CONSULTANTS DEVELOPED THREE TYPES OF SURVEYS: INDIVIDUAL CONSUMER; AGENCY; AND HEALTH DEPARTMENT. THE QUESTIONS REMAINED THE SAME FOR EACH SURVEY. THE AGENCY SURVEYS WERE PUSHED OUT VIA EMAIL AS WELL AS THE LINK WAS SHARED AT THE COMMUNITY MEETINGS. THE HEALTH DEPARTMENT VERSION ALSO REQUESTED THE QUALIFICATIONS OF THE RESPONDENTS. AS REQUIRED BY THE IRS, THE INDIVIDUAL CONSUMER SURVEY WAS ALSO TRANSLATED INTO SPANISH AND ADAPTED FOR MOBILE APPLICATION AT COMMUNITY EVENTS. THE CONSULTANTS USED SURVEYMONKEY TO COLLECT RESPONSES, TABULATE DATA, INTERPRET AND ANALYZE RESULTS, AND CREATE CATEGORIES TO TRACK KEY WORDS AND PHRASES. PAPER COPIES (TRANSLATED) WERE USED WITH SPANISH-SPEAKING FAMILIES, REFUGEES FROM RWANDA, AND AT TREATMENT FACILITIES. BOTH TRIHEALTH OUTREACH MINISTRIES AND SANTA MARIA COMMUNITY SERVICES PROVIDED THE ANSWERS ALREADY TRANSLATED INTO ENGLISH FOR THE CONSULTANTS. A TOTAL OF 113 IMMIGRANT SURVEYS WERE COMPLETED AND RETURNED. SEE APPENDIX 2 FOR THE SURVEY RESPONDENTS WHO IDENTIFIED THEMSELVES. APPENDIX 3 OF THE CHNA, WHICH IS POSTED TO TRIHEALTH'S WEBSITE, HAS A LIST OF HEALTH DEPARTMENT RESPONDENTS WITH THEIR QUALIFICATIONS.SECONDARY DATA SOURCES DATA COLLECTION COUNTY HEALTH RANKINGS (CHR) FORMED THE FOUNDATION FOR DATA COLLECTION WITH ITS COUNTY-LEVEL FOCUS ON HEALTH OUTCOMES, HEALTH FACTORS, HEALTH BEHAVIORS, QUALITY OF LIFE, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC FACTORS. ADDITIONAL SOURCES SUPPLEMENTED THE CHR DATA. PUBLICLY AVAILABLE HEALTH STATISTICS AND DEMOGRAPHICS WERE OBTAINED AT THE STATE AND COUNTY LEVEL. THE EPIDEMIOLOGISTS FOR PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY (PHDMC) VOLUNTEERED TO COLLECT DATA FOR THE STATE OF OHIO AND ITS COUNTIES. THEY INCLUDED DATA THROUGH 2016. OHIO'S 2017 DATA WAS NOT AVAILABLE IN TIME FOR THIS REPORT. THE NUMBER OF DATA MEASURES INCREASED BY 33%, FROM 106 IN 2016 TO 142 IN 2019. DATA SOURCES THE STANDARDS FOR RESEARCHING AND INCLUDING DATA WERE: * COMPARABLE (MEASURES WITH BENCHMARKS SUCH AS HEALTHY PEOPLE 2020 OR STATE/NATIONAL RATES) * COUNTY-LEVEL DATA (ZIP CODE LEVEL PREFERRED BUT RARE) * FOCUS ON HEALTH OUTCOME DATA (PREFERRED OVER SUBJECTIVE SURVEY DATA WHEN BOTH WERE AVAILABLE) * REPRODUCIBLE (NEW UPDATE AVAILABLE WITHIN THREE YEARS OR AT 3-YEAR INTERVALS VS. ONE-TIME) * REPUTABLE SOURCE * TREND DATA AVAILABLE (MORE THAN ONE DATA POINT; 3-5 YEARS PREFERRED) THE CHR WAS AN EXCELLENT STARTING POINT, BUT THE CONSULTANTS DISCOVERED ADDITIONAL SOURCES WITH MORE RECENT DATA AS WELL AS INDICATORS FOR MEASURES NOT COLLECTED BY CHR. THE PREVALENCE OF CERTAIN CANCERS, THE RAPID INCREASE OF HEROIN OVERDOSE DEATHS IN THE REGION, AND ADDITIONAL MORTALITY DATA ARE EXAMPLES OF SUPPLEMENTAL DATA. MANY EXCELLENT SOURCES OF INFORMATION DID NOT HAVE A BREAKDOWN BELOW THE STATE LEVEL OR DID NOT INCLUDE THE ENTIRE REGION. THE CONSULTANTS CONTACTED STATE HEALTH DEPARTMENTS, LOCAL HEALTH DEPARTMENTS, AND LOCAL EXPERTS. THE BIGGEST CHANGE FROM THE PRIOR CYCLE IS THAT THE DEPARTMENT OF HEALTH AND HUMAN SERVICES NO LONGER MAINTAINS THE HEALTH INDICATORS WAREHOUSE AS AN ONLINE SOURCE, AND IT HAD PROVIDED DATA FOR EIGHT KEY MEASURES. PHDMC EPIDEMIOLOGISTS CONSULTED THE OHIO DATA FOR DATA RANGES ENDING WITH 2016 AND ONE PERIOD PRIOR. DUE TO CHARACTER LIMITATION IN THE SOFTWARE, THESE DATA SOURCES COULD NOT BE INCLUDED IN THIS EXPLANATION. HOWEVER, THE DATA SOURCES AND DATES CAN BE FOUND ON PAGES 12 AND 13 OF THE CHNA POSTED ON TRIHEALTH'S WEBSITE.
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 6A: * THE CHRIST HOSPITAL HEALTH NETWORK, * CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, * CLINTON MEMORIAL HOSPITAL,* HIGHPOINT 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)* LINDNER CENTER OF HOPE* MERCY HEALTH-CINCINNATI REGION (MERCY HEALTH-ANDERSON HOSPITAL, MERCY HEALTH-CLERMONT HOSPITAL, MERCY HEALTH-FAIRFIELD HOSPITAL, MERCY HEALTH-WEST HOSPITAL, THE JEWISH HOSPITAL)* MERCY HEALTH-SPRINGFIELD REGION (MERCY HEALTH-URBANA HOSPITAL, SPRINGFIELD REGIONAL MEDICAL CENTER)* PREMIER HEALTH (ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL NORTH, MIAMI VALLEY HOSPITAL SOUTH, UPPER VALLEY MEDICAL CENTER)* TRIHEALTH (BETHESDA BUTLER HOSPITAL, BETHESDA NORTH HOSPITAL, GOOD SAMARITAN HOSPITAL, MCCULLOUGH-HYDE MEMORIAL HOSPITAL, TRIHEALTH EVENDALE HOSPITAL)* UC HEALTH (DANIEL DRAKE CENTER FOR POST-ACUTE CARE, UNIVERSITY OF CINCINNATI MEDICAL CENTER, WEST CHESTER HOSPITAL)* WILSON HEALTH* WAYNE HEALTHCARE
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 6A: * THE CHRIST HOSPITAL HEALTH NETWORK, * CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, * CLINTON MEMORIAL HOSPITAL,* HIGHPOINT 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)* LINDNER CENTER OF HOPE* MERCY HEALTH-CINCINNATI REGION (MERCY HEALTH-ANDERSON HOSPITAL, MERCY HEALTH-CLERMONT HOSPITAL, MERCY HEALTH-FAIRFIELD HOSPITAL, MERCY HEALTH-WEST HOSPITAL, THE JEWISH HOSPITAL)* MERCY HEALTH-SPRINGFIELD REGION (MERCY HEALTH-URBANA HOSPITAL, SPRINGFIELD REGIONAL MEDICAL CENTER)* PREMIER HEALTH (ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL NORTH, MIAMI VALLEY HOSPITAL SOUTH, UPPER VALLEY MEDICAL CENTER)* TRIHEALTH (BETHESDA BUTLER HOSPITAL, BETHESDA NORTH HOSPITAL, GOOD SAMARITAN HOSPITAL, MCCULLOUGH-HYDE MEMORIAL HOSPITAL, TRIHEALTH EVENDALE HOSPITAL)* UC HEALTH (DANIEL DRAKE CENTER FOR POST-ACUTE CARE, UNIVERSITY OF CINCINNATI MEDICAL CENTER, WEST CHESTER HOSPITAL)* WILSON HEALTH* WAYNE HEALTHCARE
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* GREATER DAYTON AREA HOSPITAL ASSOCIATION* ADAMS COUNTY HEALTH DEPARTMENT* BROWN COUNTY HEALTH DEPARTMENT* BUTLER COUNTY HEALTH DEPARTMENT* CHAMPAIGN-URBANA COUNTY HEALTH DEPARTMENT* CINCINNATI HEALTH DEPARTMENT* CITY OF HAMILTON HEALTH DEPARTMENT* CLARK COUNTY COMBINED HEALTH DEPARTMENT* CLERMONT COUNTY PUBLIC HEALTH* CLINTON COUNTY HEALTH DEPARTMENT* DARKE COUNTY GENERAL HEALTH DISTRICT* FAYETTE COUNTY PUBLIC HEALTH* GREENE COUNTY PUBLIC HEALTH* HAMILTON COUNTY PUBLIC HEALTH* HIGHLAND COUNTY HEALTH DEPARTMENT* MIAMI COUNTY PUBLIC HEALTH* MIDDLETOWN CITY HEALTH DISTRICT* NORWOOD HEALTH DEPARTMENT* PIQUA CITY HEALTH DEPARTMENT* PREBLE COUNTY PUBLIC HEALTH* PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY* SIDNEY SHELBY COUNTY HEALTH DEPARTMENT* SPRINGFIELD HEALTH DEPARTMENT* WARREN COUNTY COMBINED HEALTH DISTRICT* NORTHERN KENTUCKY HEALTH DEPARTMENT
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 6B: * THE HEALTH COLLABORATIVE* GREATER DAYTON AREA HOSPITAL ASSOCIATION* ADAMS COUNTY HEALTH DEPARTMENT* BROWN COUNTY HEALTH DEPARTMENT* BUTLER COUNTY HEALTH DEPARTMENT* CHAMPAIGN-URBANA COUNTY HEALTH DEPARTMENT* CINCINNATI HEALTH DEPARTMENT* CITY OF HAMILTON HEALTH DEPARTMENT* CLARK COUNTY COMBINED HEALTH DEPARTMENT* CLERMONT COUNTY PUBLIC HEALTH* CLINTON COUNTY HEALTH DEPARTMENT* DARKE COUNTY GENERAL HEALTH DISTRICT* FAYETTE COUNTY PUBLIC HEALTH* GREENE COUNTY PUBLIC HEALTH* HAMILTON COUNTY PUBLIC HEALTH* HIGHLAND COUNTY HEALTH DEPARTMENT* MIAMI COUNTY PUBLIC HEALTH* MIDDLETOWN CITY HEALTH DISTRICT* NORWOOD HEALTH DEPARTMENT* PIQUA CITY HEALTH DEPARTMENT* PREBLE COUNTY PUBLIC HEALTH* PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY* SIDNEY SHELBY COUNTY HEALTH DEPARTMENT* SPRINGFIELD HEALTH DEPARTMENT* WARREN COUNTY COMBINED HEALTH DISTRICT* NORTHERN KENTUCKY HEALTH DEPARTMENT
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 7D: COPY AVAILABLE WITHOUT CHARGE.PLEASE CONTACT TRIHEALTH MISSION AND CULTURE, 625 EDEN PARK DRIVE, 9TH FLOOR, CINCINNATI, OHIO 45202
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 7D: COPY AVAILABLE WITHOUT CHARGEPLEASE CONTACT TRIHEALTH MISSION AND CULTURE, 625 EDEN PARK DRIVE, 9TH FLOOR, CINCINNATI, OHIO 45202
BETHESDA NORTH HOSPITALPART V, SECTION B, LINE 11: DUE TO THE PROXIMITY OF TRIHEALTH EVENDALE HOSPITAL (TEH) AND BETHESDA NORTH HOSPITAL (BNH) (LESS THAN 5 MILES) AS WELL AS TEH BEING ONLY A SURGERY CENTER, THESE TWO HOSPITALS WILL WORK TOGETHER IN ADDRESSING THE SIGNIFICANT NEEDS OF THE AREA WITH BNH BEING THE LEADER AS IT IS ONE OF THE FLAGSHIP HOSPITALS OF THE TRIHEALTH SYSTEM.1) SUBSTANCE ABUSE/MENTAL HEALTH - IN RESPONSE TO THE ESCALATING OPIOID ADDICTION EPIDEMIC IN THE MARKET SERVED, A RELATED HOSPITAL, GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO (GSH) AND THE TRIHEALTH SYSTEM ENGAGED THE COMMUNITY IN AN ORGANIZED AND FOCUSED SET OF TACTICS TO ADDRESS THIS. SINCE OCTOBER 2017, THE TRIHEALTH OPIATE STEERING COMMITTEE AND THE GSH OPIATE PILOT CONTINUES TO FOCUS ON FIVE KEY AREAS: PREVENTION, TREATMENT, FUNDING, COMMUNITY PARTNERSHIPS AND TEAM MEMBER SUPPORT. THE FOCUS ON KEY AREAS HAS HELPED BUILD THE INFRASTRUCTURE NECESSARY TO PROVIDE TREATMENT NOT ONLY AT GSH BUT TO EXPAND KEY INITIATIVES TO OTHER TRIHEALTH HOSPITALS. PREVENTION* NARCAN DISTRIBUTION: NARCAN SERVES TO BLOCK THE EFFECTS OF OPIOIDS IN CASE OF AN ACCIDENTAL OVERDOSE. NARCAN WILL CONTINUE TO BE PROVIDED TO ALL ER PATIENTS WHO NEED IT WITHOUT COST TO THE PATIENT, AND GSH WILL CONTINUE ITS EDUCATION OF FIRST RESPONDERS AS NEW INFORMATION ARISES AND NEW RESPONDERS ARE TRAINED. TREATMENT * SUBSTANCE USE TREATMENT COORDINATORS (SUTC): BY JULY 2019, TRIHEALTH WILL HAVE A RESPONSE TO A GRANT PROPOSAL IT SUBMITTED TO BETHESDA FOUNDATION TO EXPAND THE SUTC ROLE TO BETHESDA NORTH HOSPITAL AS A PLATFORM FOR UTILIZING TELEHEALTH FOR FURTHER EXPANSION TO BETHESDA ARROW SPRINGS AMBULATORY CENTER AND MCCULLOUGH HYDE MEMORIAL HOSPITAL. SUTC HAS SPECIFIC SUBSTANCE USE TRAINING, CERTIFICATION AND EXPERIENCE IN SUBSTANCE USE DISORDERS (ALCOHOL, OPIATES ETC.). THE ROLE OF THE SUTC IS TO ENGAGE, ASSESS AND PROVIDE AN APPOINTMENT TO A TREATMENT PROGRAM WITHIN 24-48 HOURS AFTER DISCHARGE. * IN COLLABORATION WITH COMMUNITY PARTNERS BNH/TEH WILL CONTINUE TO TEST THE EFFICACY OF THIS ROLE AND EFFECTIVENESS AT MEETING THESE TARGETS. * IF THE PEER RECOVERY SPECIALIST IDENTIFIED IN THE GOOD SAMARITAN HOSPITAL PROGRESS REPORT RE: 2016 PRIORITIES IS EFFECTIVE IN REACHING OUT TO PATIENTS THAT MIGHT OTHERWISE BE RELUCTANT TO ENTER INTO RECOVERY, THIS FUNCTION WILL BE EVALUATED FOR EXPANSION TO OTHER TRIHEALTH ERS. * TRACKING OUTCOMES: THE TASK FORCE WILL BE MONITORING AN OPIOID DASHBOARD TO TRACK OUTCOMES SUCH AS UTILIZATION OF SUBSTANCE USE WITHDRAWAL MANAGEMENT ORDER SETS, BUPRENORPHINE INDUCTION (MEDICATION USED TO TREAT OPIATE ADDICTION), NARCAN DISPENSING ETC. THIS ALLOWS US TO MONITOR THE EFFECTIVENESS OF OUR INITIATIVES.2). INFANT MORTALITY - BNH PROVIDES OBSTETRIC ("OB") AND GYNECOLOGICAL SERVICES TO ALL COMERS VIA ITS OB CLINICS. THE OB CLINICS HAVE ADOPTED AN INNOVATIVE WOMAN CENTERED MEDICAL HOME MODEL MEANT TO REINFORCE COMPLIANCE WITH PREGNANT PATIENT OFFICE VISITS AND FOLLOW UP CARE. TRIHEALTH PROVIDES A BREASTFEEDING SUPPORT LINE FREE TO THE COMMUNITY, WHICH INCLUDES THE BNH/TEH SERVICE AREA.BNH AND TEH, THROUGH TRIHEALTH, WILL ALSO CONTINUE ITS LONG-TIME PARTNERSHIP WITH AND FUNDING OF SEVERAL ORGANIZATIONS (PROVIDING FUNDING AND HUMAN/CLINICAL RESOURCES) THAT TARGET INFANT MORTALITY AND CHILD HEALTH CONCERNS, INCLUDING; * CRADLE CINCINNATI - AN ORGANIZATION AIMED AT REDUCING INFANT MORTALITY THROUGH EDUCATION AND AWARENESS. CRADLE CINCINNATI'S GOALS ARE TO PREVENT PREMATURE BIRTHS, REDUCING TOBACCO USE AND SUBSTANCE ABUSE, AND PROMOTING SAFE SLEEP FOR BABIES THROUGH THREE APPROACHES: COMMUNICATIONS, MEDICAL, AND COMMUNITY. * HEALTHY BEGINNINGS, WHICH PROVIDES COMPREHENSIVE PRE-NATAL CARE TO THE UNDERSERVED. * HEALTHY MOMS AND BABES, WHICH PROVIDES HOME SERVICES FOR BOTH PRE-NATAL AND POST-DELIVERY SUPPORT FOR UNDERSERVED POPULATIONS. * TRIHEALTH'S THINK FIRST FOR YOUR BABY IS AN INJURY PREVENTION PROGRAM WITH A GOAL TO REDUCE UNINTENTIONAL INJURIES IN INFANTS UNDER THE AGE OF ONE YEAR THROUGH PRENATAL EDUCATION AND POST-PARTUM FOLLOW-UP. * OTHER PARTNERS INCLUDE MARCH OF DIMES AND SWEET CHEEKS DIAPER BANK. FINALLY, BNH AND TEH, THROUGH TRIHEALTH, WILL ALSO PROVIDE FINANCIAL SUPPORT TO OTHER ORGANIZATIONS THAT FOCUS RESOURCES ON INFANT MORTALITY AND MATERNAL HEALTH: * URBAN HEALTH PROJECT (OFFICE SPACE) * OB CLINICS * OB WOMAN CENTERED MEDICAL HOME MODEL * FUNDING FOR CRADLE CINCINNATI NEIGHBORHOOD BASED WOMAN CENTERED MEDICAL HOME * GOOD SAMARITAN FREE HEALTH CLINIC * HEALTHY BEGINNINGS * HEALTHY MOMS AND BABES * THINK FIRST FOR YOUR BABY * START STRONG * MARCH OF DIMES * SWEET CHEEKS DIAPER BANK3. CANCER - BNH, TEH AND TRIHEALTH CANCER INSTITUTE WILL CONTINUE THE TARGETED (MELANOMA, LUNG) FREE SCREENINGS AND FOLLOW UPS. THERE IS A MOBILE MAMMOGRAPHY UNIT THAT WILL CONTINUE TO DO SCREENING IN HIGH NEED AREAS WITHIN HAMILTON COUNTY E.G. AVONDALE, AND THE CITY OF HAMILTON IN BUTLER COUNTY. PATIENTS WITH POSITIVE RESULTS IDENTIFIED AT THE GOOD SAMARITAN FREE HEALTH CENTER WILL CONTINUE TO BE REFERRED TO BNH CLINIC PROVIDERS AND OBTAIN COVERAGE FROM STATE FUNDED BREAST AND CERVICAL CANCER PREVENTION (BCCP) FUNDING. BNH AND TEH THROUGH TRIHEALTH JUST BEGAN A PARTNERSHIP WITH THE ERICA HOLLOMAN FOUNDATION TO SCREEN PRIMARILY AFRICAN AMERICAN WOMEN AT RISK FOR A SPECIFIC KIND OF BREAST CANCER. BNH'S AND TEH'S FOCUS ON PREVENTION WILL CONTINUE TO DEMONSTRATE ITS COMMITMENT VIA IN KIND AND FINANCIAL SUPPORT OF OHIO CANCER RESEARCH, WHICH IS AN INDEPENDENT, STATEWIDE, NONPROFIT ORGANIZATION DEDICATED TO THE CURE AND PREVENTION OF THE MANY FORMS OF CANCER AND THE REDUCTION OF ITS DEBILITATING EFFECTS THROUGH AGGRESSIVE BASIC SEED MONEY RESEARCH, CANCER INFORMATION, AND AWARENESS. THE HOSPITALS PLAN TO CONTINUE FINANCIAL SUPPORT TO THE AMERICAN CANCER SOCIETY AND AMERICAN LUNG ASSOCIATION. 4. ACCESS TO CARE - THIS PRIORITY APPLIES ONLY TO BNH DUE TO THE NATURE OF TEH. CURRENTLY, BNH PROVIDES TRANSPORTATION FOR NEEDY PATIENTS WITH BUS TOKENS AND PAID UBER RIDES. GSH/TRIHEALTH WILL SEEK NEW PARTNERS AND IDENTIFY OTHER AVENUES TO EXPAND THIS TYPE OF SERVICE. IT IS NOT SOMETHING THAT HAS A NATURAL CONNECTION TO A HOSPITAL OR HEALTH SYSTEM LIKE THE OTHER THREE PRIORITIES. IF SPECIFIC ACTIONS THAT ARE WITHIN BNH AREAS OF EXPERTISE ARE NOT FOUND, BNH AND TEH WILL FOCUS ON 1-3 ABOVE.
BETHESDA BUTLER HOSPITALPART V, SECTION B, LINE 11: 1. SUBSTANCE ABUSE/MENTAL HEALTH - IN RESPONSE TO THE ESCALATING OPIOID ADDICTION EPIDEMIC IN THE MARKET SERVED, A RELATED HOSPITAL, THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO (GSH) AND THE TRIHEALTH SYSTEM ENGAGED THE COMMUNITY IN AN ORGANIZED AND FOCUSED SET OF TACTICS TO ADDRESS THIS. SINCE OCTOBER 2017, THE TRIHEALTH OPIATE STEERING COMMITTEE AND THE GSH OPIATE PILOT CONTINUES TO FOCUS ON FIVE KEY AREAS: PREVENTION, TREATMENT, FUNDING, COMMUNITY PARTNERSHIPS AND TEAM MEMBER SUPPORT. THE FOCUS ON KEY AREAS HAS HELPED BUILD THE INFRASTRUCTURE NECESSARY TO PROVIDE TREATMENT NOT ONLY AT GSH BUT TO EXPAND KEY INITIATIVES TO OTHER TRIHEALTH HOSPITALS, INCLUDING BETHESDA BUTLER HOSPITAL (BBH). PREVENTION * NARCAN DISTRIBUTION: NARCAN SERVES TO BLOCK THE EFFECTS OF OPIOIDS IN CASE OF AN ACCIDENTAL OVERDOSE. NARCAN WILL CONTINUE TO BE PROVIDED TO ALL ER PATIENTS WHO NEED IT WITHOUT COST TO THE PATIENT, AND BBH WILL CONTINUE ITS EDUCATION OF FIRST RESPONDERS AS NEW INFORMATION ARISES AND NEW RESPONDERS ARE TRAINED. TREATMENT * SUBSTANCE USE TREATMENT COORDINATORS (SUTC): IN DECEMBER 2018, TRIHEALTH EXPANDED THE ROLE OF THE SUBSTANCE USE TREATMENT COORDINATOR ("SUTC") TO BBH THROUGH A STATE GRANT. THE ROLE OF THE SUTC IS TO ENGAGE, ASSESS AND PROVIDE AN APPOINTMENT TO A TREATMENT PROGRAM WITHIN 24-48 HOURS AFTER DISCHARGE. IN COLLABORATION WITH COMMUNITY PARTNERS SUCH AS THE ADDICTION SERVICES COUNCIL, BRIGHTVIEW, TALBERT HOUSE ENGAGEMENT CENTER, TRIHEALTH AND BBH WILL CONTINUE TO TEST THE EFFICACY OF THIS ROLE AND EFFECTIVENESS AT MEETING THESE TARGETS. *BY JULY 2019, TRIHEALTH WILL HAVE A RESPONSE TO A GRANT PROPOSAL IT SUBMITTED TO BETHESDA FOUNDATION TO EXPAND THE SUTC ROLE TO BETHESDA NORTH HOSPITAL AS A PLATFORM FOR UTILIZING TELEHEALTH FOR FURTHER EXPANSION TO ARROW SPRINGS AND MCCULLOUGH HYDE MEMORIAL HOSPITAL (MHMH), A RELATED HOSPITAL. MHMH ALSO SERVES THE BUTLER COUNTY POPULATION. * IF THE PEER RECOVERY SPECIALIST IDENTIFIED IN THE PROGRESS REPORT RE: 2016 PRIORITIES IS EFFECTIVE IN REACHING OUT TO PATIENTS THAT MIGHT OTHERWISE BE RELUCTANT TO ENTER INTO RECOVERY, THIS FUNCTION WILL BE EVALUATED FOR EXPANSION TO BBH. * TRACKING OUTCOMES: THE TASK FORCE WILL BE MONITORING AN OPIOID DASHBOARD TO TRACK OUTCOMES SUCH AS UTILIZATION OF SUBSTANCE USE WITHDRAWAL MANAGEMENT ORDER SETS, BUPRENORPHINE INDUCTION (MEDICATION USED TO TREAT OPIATE ADDICTION), NARCAN DISPENSING ETC. THIS ALLOWS US TO MONITOR THE EFFECTIVENESS OF OUR INITIATIVES. BBH PARTICIPATES IN THE TRIHEALTH BEHAVIORAL HEALTH INTAKE, DESIGNED TO GET PATIENTS TO PROPER TREATMENT SETTINGS AND LOCATIONS EARLY ONCE THEY ARE IN ONE OF THE TRIHEALTH EMERGENCY DEPARTMENTS. EXPANDED TO 24 HR/7-DAY OPERATION * RESPONSIVE TO ALL EMERGENCY DEPARTMENTS WITHIN TRIHEALTH BBH THROUGH TRIHEALTH ALSO PLANS TO CONTINUE ITS SUPPORT FOR: * URBAN HEALTH PROJECT * UNITED WAY, WHICH FUNDS A NUMBER OF AGENCIES THAT AIM TO GET SUBSTANCE ABUSERS BACK ON THEIR FEET IN SOCIETY * NAMI SOUTHWEST OHIO * CAT FEST, HOSTED BY THE CENTER FOR ADDICTION TREATMENT (MAJOR SPONSOR ALCOHOL AND DRUG ADDICTION PROGRAM) 2. INFANT MORTALITY - BBH PARTNERS DIRECTLY WITH AN AREA FEDERALLY QUALIFIED HEALTH CENTER ("FQHC") CALLED PRIMARY HEALTH SOLUTIONS ON A PROGRAM CALLED PRIM (PARTNERSHIP TO REDUCE INFANT MORTALITY), OBTAINING AN OBSTETRICIAN/GYNECOLOGIST FOR PATIENTS THAT SHOW UP IN BBH'S EMERGENCY DEPARTMENT PREGNANT AND WITHOUT PRENATAL CARE. IN PARTNERSHIP WITH MIAMI UNIVERSITY SCHOOL OF NURSING, BBH WILL CONTINUE SCREENING OF ER PATIENTS FOR UNDERLYING SOCIAL DETERMINANTS OF HEALTH ISSUES AND REFER THEM TO PRIMARY HEALTH SOLUTIONS AND/OR COMMUNITY AGENCIES THAT CAN HELP WITH THE UNDERLYING SOCIAL ISSUES. FINALLY, BBH THROUGH TRIHEALTH ALSO PROVIDES FINANCIAL SUPPORT TO OTHER ORGANIZATIONS THAT FOCUS RESOURCES ON INFANT MORTALITY AND MATERNAL HEALTH: * GOOD SAMARITAN FREE HEALTH CLINIC * MARCH OF DIMES * SWEET CHEEKS DIAPER BANK 3. CANCER - BBH AND TRIHEALTH CANCER INSTITUTE WILL CONTINUE THE TARGETED (MELANOMA, LUNG) FREE SCREENINGS AND FOLLOW UPS. THERE IS A MOBILE MAMMOGRAPHY UNIT THAT WILL CONTINUE TO DO SCREENING IN HIGH NEED AREAS WITHIN THE CITY OF HAMILTON IN BUTLER COUNTY. BBH'S AND TRIHEALTH'S FOCUS ON PREVENTION WILL CONTINUE TO DEMONSTRATE ITS COMMITMENT VIA IN KIND AND FINANCIAL SUPPORT OF OHIO CANCER RESEARCH, WHICH IS AN INDEPENDENT, STATEWIDE, NONPROFIT ORGANIZATION DEDICATED TO THE CURE AND PREVENTION OF THE MANY FORMS OF CANCER AND THE REDUCTION OF ITS DEBILITATING EFFECTS THROUGH AGGRESSIVE BASIC SEED MONEY RESEARCH, CANCER INFORMATION, AND AWARENESS. THE HOSPITAL PLANS TO CONTINUE FINANCIAL SUPPORT TO THE AMERICAN CANCER SOCIETY AND AMERICAN LUNG ASSOCIATION. 4. ACCESS TO CARE - CURRENTLY, BBH PROVIDES TRANSPORTATION FOR NEEDY PATIENTS WITH BUS TOKENS AND PAID UBER RIDES. BBH/TRIHEALTH WILL SEEK NEW PARTNERS AND IDENTIFY OTHER AVENUES TO EXPAND THIS TYPE OF SERVICE. IT IS NOT SOMETHING THAT HAS A NATURAL CONNECTION TO A HOSPITAL OR HEALTH SYSTEM LIKE THE OTHER THREE PRIORITIES. IF SPECIFIC ACTIONS THAT ARE WITHIN BBH AREAS OF EXPERTISE ARE NOT FOUND, BBH WILL FOCUS ON 1-3 ABOVE, PARTICULARLY ON SUBSTANCE ABUSE.
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)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 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 - BNH AMBULATORY TREATMENT CENTER
10506 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT INFUSION AND CHEMOTHERAPY TREATMENT
4 - TRIHEALTH SLEEP MEDICINE
10475 MONTGOMERY ROADCINCINNATIOH45242SLEEP CENTER
5 - B NORTH MINIMALLY INVASIVE SURGERY CTR
10506 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT SURGICAL CENTER
6 - BETHESDA NORTH OUTPATIENT IMAGING CTR
10494 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT IMAGING AND COMPREHENSIVE BREAST CARE CENTER
7 - BETHESDA HAND REHABILITATION
10700 MONTGOMERY ROADCINCINNATIOH45242PHYSICAL THERAPY
8 - BETHESDA HAND REHABILITATION
538 OAK STREETCINCINNATIOH45206PHYSICAL THERAPY
9 - BETHESDA LOVELAND PHYSICAL THERAPY
10675 LOVELAND-MADERIA ROADLOVELANDOH45140PHYSICAL THERAPY
10 - BETHESDA FAMILY PRACTICE CENTER
1775 LEXINGTON AVECINCINNATIOH45212FAMILY MEDICINE CLINIC
11 - BETHESDA ALCOHOLDRUG TREATMENT
4410 CARVER WOODS DRIVECINCINNATIOH45242OUTPATIENT ALCOHOL AND DRUG TREATMENT
12 - BETHESDA BUTLER PHYSICAL THERAPY
3035 HAMILTON-MASON ROADHAMILTONOH45011PHYSICAL THERAPY
13 - BETHESDA BUTLER IMAGING CENTER
3075 HAMILTON-MASON ROADHAMILTONOH45011MEDICAL IMAGING
14 - TRIHEALTH SLEEP MEDICINE
3055 HAMILTON-MASON ROADHAMILTONOH45011SLEEP MEDICINE CENTER
15 - BETHESDA SURGERY CENTER
10615 MONTGOMERY ROAD 300CINCINNATIOH45242OUTPATIENT SURGICAL CENTER
16 - BETHESDA MONTGOMERY CARDIAC TESTING
10525 MONTGOMERY ROADCINCINNATIOH45242OUTPATIENT CARDIAC TESTING
17 - BETHESDA MONTGOMERY SLEEP CENTER
10535 MONTGOMERY ROADCINCINNATIOH45242SLEEP CENTER
18 - BETHESDA MRI KENWOOD
8311 MOTGOMERY ROADCINCINNATIOH45236MEDICAL IMAGING
19 - BETHESDA MRI WEST CHESTER
4900 WUNNENBERG WAYWEST CHESTEROH45069MEDICAL IMAGING
20 - MEDICENTER RADIATION THERAPY
10550 MONTGOMERY ROADCINCINNATIOH45242RADIATION THERAPY
21 - TRIHEALTH KENWOOD
8240 NORTHCREEK DRIVECINCINNATIOH45236INTEGRATED OUTPATIENT CENTER

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, MCCULLOUGH-HYDE MEMORIAL HOSPITAL AND TRIHEALTH HOSPITAL, INC.
PART I, LINE 7:FOR THE AMOUNTS REPORTED AT COST, IN PART I, LINE 7, BETHESDA HOSPITAL, INC. UTILIZED WORKSHEET 2 - RATIO OF PATIENT CARE COST-TO-CHARGES, WHICH WAS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H, TO CALCULATE THE COST-TO-CHARGE RATIO.
PART I, LINE 7G:THE SUBSIDIZED HEALTH SERVICES COMMUNITY BENEFIT AMOUNT REPORTED IN PART I, LINE 7(G) DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, 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 TO VARIOUS CHARITABLE ORGANIZATIONS WITHIN THE COMMUNITY TO ADDRESS HOMELESSNESS, TO INCREASE EDUCATIONAL OPPORTUNITIES AND TO BUILD AN ECONOMIC INFRASTRUCTURE.
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.PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (PART OF FOOTNOTE D - PAGES 22-27)THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT PERIODICALLY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY AS NECESSARY THE PROVISIONS FOR BAD DEBT AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS RECEIVABLE IN THE PERIOD OF SERVICE BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, TRIHEALTH FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY TRIHEALTH.AS A RESULT OF CERTAIN CHANGES REQUIRED BY ASU 2014-09, THE MAJORITY OF TRIHEALTH'S PROVISION FOR BAD DEBT IS RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE INSTEAD OF BEING PRESENTED AS A SEPARATE LINE ON THE COMBINED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS.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 2016 CHNA, TRIHEALTH, INC. AND ITS HOSPITALS JOINED THIRTY-ONE (31) OTHER HOSPITALS IN THE GREATER CINCINNATI-DAYTON REGION TO SPONSOR AND FUND A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT ENTITLED "SW OHIO, N KENTUCKY, SE INDIANA COMMUNITY HEALTH NEEDS ASSESSMENT REPORT 2019". THE COMPREHENSIVE CHNA SPANS TWENTY-FIVE (25) COUNTIES. THE REGIONAL CHNA REPORT COVERS GREATER DAYTON AND GREATER CINCINNATI, WHICH INCLUDES NORTHERN KENTUCKY AND SOUTHEASTERN INDIANA. THE 2019 CHNA REPORT SHARES DATA FOR THE WHOLE REGION AS WELL AS DETAILED COUNTY-LEVEL DATA. IT ALSO ADDED THE VOICE OF THE SOUTHWEST OHIO MEMBERS OF THE ASSOCIATION OF OHIO HEALTH COMMISSIONERS. DEVELOPING A BROAD CHNA HELPS FULFILL THE STATE OF OHIO'S REQUIREMENT MANDATING THAT HEALTH DEPARTMENTS AND HOSPITALS ALIGN THEIR ASSESSMENTS.HTTP://HEALTHCOLLAB.ORG/WP-CONTENT/UPLOADS/2019/02/2019-CHNA-REPORT-2-7-19.PDFFROM 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.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. THOUGH HEALTHY WOMEN HEALTHY LIVES WAS INSTITUTED IN JULY 2007 BY GOOD SAMARITAN HOSPITAL WOMEN'S SERVICES TO IMPROVE THE HEALTH OF THE GREATER CINCINNATI COMMUNITY, IT IS NOW FISCALLY SUPPORTED BY BETHESDA HOSPITAL AS WELL, MAKING IT A TRIHEALTH SYSTEM PROGRAM. HEALTHY WOMEN HEALTHY LIVES IS AN APPROACH BASED ON THE PREMISE THAT PREVENTION, EARLY DETECTION, TREATMENT AND ACCESS TO HEALTH CARE SERVICES IMPROVE INDIVIDUAL AND COMMUNITY HEALTH OUTCOMES. THE FOCUS IS ON HEALTH RISKS ASSOCIATED WITH THE ONSET OF MENOPAUSE. WELL ORGANIZED SCREENING AND EDUCATION EVENTS BRING THE SERVICES TO AT RISK POPULATIONS OF AFRICAN AMERICAN, APPALACHIAN, HISPANIC, UNINSURED AND UNDERINSURED WOMEN FORTY YEARS OF AGE OR OLDER. SCREENING INCLUDES OSTEOPOROSIS, MAMMOGRAPHY, CHOLESTEROL, HYPERTENSION, AND OBESITY. EVERY WOMAN RECEIVES A NURSE CONSULTATION, A COPY OF THEIR RESULTS AND A WRITTEN PRIMARY CARE REFERRAL. WOMEN WITH ABNORMAL RESULTS ARE CONTACTED AND ASSISTED IN ACCESSING PRIMARY CARE. IN ADDITION, WOMEN NEEDING PREGNANCY AND GYNECOLOGIC CARE CAN ACCESS THIS SERVICE AT THE OB/GYN CENTER AT BETHESDA NORTH HOSPITAL. CARE IS PROVIDED BY THE MEDICAL RESIDENTS IN OBSTETRICS AND GYNECOLOGY, SUPERVISED BY FACULTY PHYSICIANS. FINANCIAL COUNSELORS AND CARE COORDINATORS ASSIST IN FINDING APPROPRIATE COVERAGE, PAYMENT PLANS AND FINANCIAL AID. AS MANY OF THE WOMEN SERVED BY THE OB/GYN CENTER AT BETHESDA NORTH HOSPITAL HAVE LIMITED PROFICIENCY IN ENGLISH, QUALIFIED BILINGUAL STAFF ASSIST IN LANGUAGE INTERPRETATION. THE TRIHEALTH THINK FIRST PROGRAM IS AN ESTABLISHED BETHESDA SERVICE FOCUSED ON INJURY PREVENTION. THE THINK FIRST PROGRAM STAFF WORKS WITH COMMUNITY PARTNERS TO PROVIDE INJURY PREVENTION PROGRAMS AND COMMUNITY AWARENESS EVENTS. COLLABORATING WITH THE EDUCATORS, THE MEDIA, CIVIC CLUBS AND CORPORATIONS, THINK FIRST TEACHES INJURY PREVENTION TO ALL AGE GROUPS. BETHESDA, WITH OTHER ORGANIZATIONS, PROVIDE SUPPORT TO THE RESPITE CENTER, SERVING THE ADULT HOMELESS OF CINCINNATI. THE RESPITE CENTER, WITH 14 BEDS AND 24 HOUR COVERAGE, PROVIDES FREE MEDICAL SERVICES AND ACCOMMODATIONS FOR HOMELESS PERSONS NEEDING SOME MEDICAL OVERSIGHT. RESPITE HELPS PEOPLE WITHOUT HOMES TOWARD INDEPENDENT LIVING IN PERMANENT HOUSING. BETHESDA CONTINUES A COMMITMENT TO EDUCATING THE NEXT GENERATION OF HEALTH CARE PROVIDERS--PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. COST IN EXCESS OF GOVERNMENTAL SUPPORT FOR MEDICAL EDUCATION PROGRAMS 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 ONE HOSPITAL LOCATED IN MONTGOMERY, OHIO, A SUBURB OF CINCINNATI, AND ONE 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 820,000 WITH APPROXIMATELY 15.5% IN POVERTY AND APPROXIMATELY 7% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. BUTLER COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $52,500 WITH 90% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (36% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 15% OF THE POPULATION IS 65 YEARS AND OLDER, 65% IS WHITE, 27% IS AFRICAN-AMERICAN, 4% IS HISPANIC, 3% ASIAN AND 1% 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 205,000 WITH APPROXIMATELY 8.5% IN POVERTY AND APPROXIMATELY 6% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. CLERMONT COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $64,000 WITH 90% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (28% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 16% 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 232,000 WITH APPROXIMATELY 5% IN POVERTY AND APPROXIMATELY 5% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. CLERMONT COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $79,500 WITH 93% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (42% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 3.5%. APPROXIMATELY 15% OF THE POPULATION IS 65 YEARS AND OLDER, 86% IS WHITE, 6% ASIAN, 4% IS AFRICAN-AMERICAN, 3% IS HISPANIC, AND 1% OTHER.BETHESDA BUTLERBUTLER COUNTY IS ONE OF THE MOST POPULATED COUNTIES IN THE REGION AND INCLUDES THE CITIES OF HAMILTON, MIDDLETOWN AND OXFORD. MANY OF THE CITIES IN THE COUNTY ARE EXPERIENCING GROWTH, AND ONLY ABOUT 9% IS CONSIDERED RURAL. THE ESTIMATED POPULATION OF THE COUNTY IS 385,000 WITH APPROXIMATELY 12.5% IN POVERTY AND APPROXIMATELY 7% OF THE PEOPLE UNDER THE AGE OF 65 ARE WITHOUT HEALTH INSURANCE. BUTLER COUNTY HAS A MEDIAN INCOME OF APPROXIMATELY $62,000 WITH 90% OF THE POPULATION OVER THE AGE OF 24 HAVING A HIGH SCHOOL DIPLOMA OR HIGHER (30% BACHELOR'S DEGREE OR HIGHER) AND AN UNEMPLOYMENT RATE OF ABOUT 4%. APPROXIMATELY 15% OF THE POPULATION IS 65 YEARS AND OLDER, 80% IS WHITE, 9% IS AFRICAN-AMERICAN, 5% IS HISPANIC, 4% ASIAN AND 2% 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.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 (5) HOSPITALS, FIVE (5) 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 (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UPTOWN CONSORTIUM INC
619 OAK STREET SUITE 1100CINCINNATIOH45206200688727501(C)(3)$145,517GENERAL PURPOSES
LEGAL AID SOCIETY OF CINCINNATI
215 EAST NINTH STREET SUITE 200CINCINNATIOH45202310536673501(C)(3)$31,038M-HELP PROGRAM FUNDING
CENTER FOR RESPITE CARE INC
PO BOX 141301CINCINNATIOH45250202544994501(C)(3)$24,830GENERAL SUPPORT
FREESTORE FOODBANK INC
1141 CENTRAL PARKWAYCINCINNATIOH45202237122205501(C)(3)$13,962SPONSORSHIP
MARVIN LEWIS COMMUNITY FUND
700 WEST PETE ROSE WAY SUITE 560CINCINNATIOH45203202704690501(C)(3)$12,415SPONSORSHIP
AMERICAN CANCER SOCIETY INC
250 WILLIAMS STREET NW SUITE 400ATLANTAGA30303131788491501(C)(3)$9,932SPONSORSHIP
OVARIAN CANCER ALLIANCE OF GREATER CINCINNATI
4918 COOPER ROADCINCINNATIOH45242311287785501(C)(3)$9,932SPONSORSHIP
CINCINNATI BLUE LINE FOUNDATION
1900 CENTRAL PARKWAYCINCINNATIOH45214822744999501(C)(3)$9,932SPONSORSHIP
PEOPLE WORKING COOPERATIVELY
4612 PADDOCK RDCINCINNATIOH45229310859104501(C)(3)$7,946GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
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 (27 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
CRAIG EISENTROUT MD
TRUSTEE$0$554,870$0$8,331$0$6,837$0$24,946$0$23,359$0$618,343$0$0
ROBERT COLLINS MD
TRUSTEE (START 7/18)$0$12,259$0$0$0$190,202$0$26,020$0$1,361$0$229,842$0$142,080
MARK CLEMENT
PRESIDENT/CEO$0$1,107,242$0$290,035$0$66,561$0$296,751$0$19,286$0$1,779,875$0$0
SCOTT FRIEDSTROM MD
MED STAFF PRES-GOOD SAM$0$458,855$0$31,795$0$52,093$0$53,930$0$30,742$0$627,415$0$0
ANDREW DEVOE
ASST. TREASURER/CFO$0$556,794$0$151,014$0$64,464$0$140,748$0$29,978$0$942,998$0$0
STEVE GRACEY
ASST. SECRETARY/SVP LEGAL$0$354,959$0$69,720$0$25,492$0$95,586$0$29,672$0$575,429$0$0
GAIL DONOVAN
EXEC VP & COO (END 6/19)$0$717,014$0$165,900$0$45,330$0$191,343$0$9,341$0$1,128,928$0$0
STEFANIE NEWMAN
VP-CNO BETHESDA$0$236,229$0$50,895$0$18,800$0$61,483$0$27,432$0$394,839$0$0
DAVID COOK
CHIEF HR OFFICER$0$369,012$0$75,090$0$16,180$0$93,499$0$29,083$0$582,864$0$0
LONDON QUICCI
EXEC DIR-BETHESDA NORTH$0$268,373$0$35,315$0$9,834$0$35,898$0$10,253$0$359,673$0$0
BRETT KIRKPATRICK
EXEC DIR-BETHESDA BUTLER$0$119,137$0$10,000$0$35,952$0$13,015$0$15,517$0$193,621$0$0
KEVIN JOSEPH MD
CHIEF MEDICAL OFFICER$0$508,057$0$119,688$0$15,571$0$115,848$0$29,819$0$788,983$0$0
MARY IRVIN
CNE-TRIHEALTH (END 10/18)$0$319,189$0$64,450$0$15,079$0$110,735$0$19,713$0$529,166$0$0
JENNY SKINNER
CNE-TRIHEALTH (START 11/18)$0$252,891$0$41,282$0$9,108$0$44,950$0$17,277$0$365,508$0$0
ROB CERCEK
EVP POP HEALTH & PHYSICIAN PRACS$0$498,005$0$113,877$0$12,883$0$126,283$0$25,868$0$776,916$0$0
MICHAEL WEBB MD
PHYSICIAN$209,979$0$8,016$0$5,767$0$37,598$0$17,267$0$278,627$0$0$0
RICHARD OKRAGLY MD
PHYSICIAN$231,563$0$3,695$0$9,543$0$21,177$0$27,996$0$293,974$0$0$0
SAKUNTHALA NATARAJAN MD
PHYSICIAN$200,550$0$29,691$0$3,659$0$59,810$0$1,022$0$294,732$0$0$0
ROBERT KUNKEL MD
PHYSICIAN$238,257$0$18,982$0$11,009$0$29,511$0$24,590$0$322,349$0$0$0
SCOTT WOODS MD
PHYSICIAN$233,640$0$4,896$0$11,207$0$30,923$0$26,744$0$307,410$0$0$0
JOHN PROUT
FORMER OFFICER$0$0$0$0$0$1,853,100$0$0$0$0$0$1,853,100$0$1,793,100
DONNA NIENABER ESQ
FORMER OFFICER$0$164,891$0$0$0$196,694$0$31,603$0$205$0$393,393$0$0
MICHAEL CROFTON
FORMER OFFICER$0$307,398$0$73,892$0$13,629$0$90,608$0$27,877$0$513,404$0$0
WILLIAM GRONEMAN
FORMER KEY EMPLOYEE$0$306,929$0$87,289$0$68,198$0$119,197$0$23,733$0$605,346$0$0
GERALD OLIPHANT
FORMER KEY EMPLOYEE$0$0$0$0$0$1,192,978$0$0$0$0$0$1,192,978$0$1,192,978
JOHN ROBINSON MD
FORMER KEY EMPLOYEE$0$0$0$0$0$250,188$0$0$0$0$0$250,188$0$250,188
JASON NIEHAUS
FORMER KEY EMPLOYEE$0$321,048$0$81,827$0$148,319$0$15,949$0$24,701$0$591,844$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.: JOHN PROUT - $1,793,100 GERALD OLIPHANT - $1,192,978 JOHN ROBINSON, MD - $250,188 ROBERT COLLINS, MD - $142,080 WILLIAM GRONEMAN - $35,213
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 2018 CALENDAR YEAR, THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC.: DONNA NIENABER - $190,434 JASON NIEHAUS - $83,736

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF HAMILTON OHIO
A316000063407272V592017-04-12$316,011,223BUILDINGS AND STRUCTURES000
COUNTY OF HAMILTON OHIO
B3160000630000000002017-04-19$100,000,000BUILDINGS AND STRUCTURES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$318,562,674$3,974,594$290,303,260$24,284,820000Yes (1)
B$101,793,575$345,003$50,748,485$50,700,087000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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)00.021100.0211000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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
A0Yes (1)000000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 3, COLUMN A AND COLUMN BFormAndLineReferenceDesc
ExplanationTOTAL PROCEEDS SHOWN ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E) DUE TO THE AMOUNT OF INVESTMENT EARNINGS FOR THE FISCAL YEAR OF $2,551,451 AND $1,793,575 RESPECTIVELY.ExplanationTxt

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. GAIL DONOVAN, KEVIN JOSEPH, MD, MARK CLEMENT, ROB CERCEK AND STEVE GRACEY HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL, AN AFFILIATED ENTITY OF BETHESDA HOSPITAL, INC. WAYNE SHIRCLIFF, LISA KNUTSON, CRAIG EISENTROUT, MD, PHILLIP OBLINGER, MD, 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 CRAIG EISENTROUT, MD HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF BETHESDA FOUNDATION, INC., A RELATED ENTITY OF BETHESDA HOSPITAL, INC. MARK CLEMENT, MARY IRVIN AND SR. SALLY DUFFY 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, ANDREW DEVOE, ROB CERCEK, STEVE GRACEY, MARY IRVIN, JENNIFER SKINNER, DAVID COOK, LONDON QUICCI, GAIL DONOVAN, CRAIG EISENTROUT, MD, STEFANIE NEWMAN, PHILLIP OBLINGER, MD, SCOTT FRIEDSTROM, MD, BRETT KIRKPATRICK AND KEVIN JOSEPH, 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 -73,173,079. CHANGE IN PENSION PLAN/SERP FUNDED STATUS -9,740,577. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS HELD AT FOUNDATION 1,709,372. PENSION SETTLEMENT CHARGE -6,668,959. MISCELLANEOUS 201,482.
FORM 990, PART I, LINE 6DURING THE TAX YEAR, BETHESDA HOSPITAL, INC. WAS ASSISTED BY 832 VOLUNTEERS WHO DONATED 77,915 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)BETHESDA 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 NADirectControllingNACd
10600 MONTGOMERY LLC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202261964995PROPERTY MANAGEMENTOHN/A
HEALTHCARE SOLUTIONS NETWORK LLC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202472103334PHYSICIAN HOSPITAL ORGANIZATIONOHN/A
PREFERRED LAB PARTNERS LLC
ONE MEDICAL VILLAGE DRIVE SUITE BEDGEWOODKY41017824758763LABORATORY SERVICESKYN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
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$113,4541.00000
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 (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TRIHEALTH PHYSICIAN ENTERPRISE CORP
A$3,582,856FMV
GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
A$6,405,772FMV
BETHESDA HEALTHCARE INC
A$32,459FMV
TRIHEALTH INC
B$91,451,580CASH
BETHESDA INC
B$10,000,000CASH
BETHESDA FOUNDATION INC
C$886,153CASH
BETHESDA PROPERTIES INC
K$1,616,084FMV
BETHESDA HEALTHCARE INC
K$452,302FMV
TRIHEALTH PHYSICIAN ENTERPRISE CORP
K$8,400FMV
TRIHEALTH INC
K$527,914FMV
BETHESDA HEALTHCARE INC
L$278,061FMV
TRIHEALTH INC
M$94,329,518COST
TRIHEALTH INC
P$243,406,480COST
HOSPICE OF CINCINNATI INCORPORATED
O$39,308,972FMV
BETHESDA INC
O$3,046,529FMV
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
O$464,197FMV
BETHESDA FOUNDATION INC
O$1,261,289FMV
BETHESDA PROPERTIES INC
S$2,759,971CASH