2019-05-15T10:04:06-05:00 2018-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 990 2017-07-01 237374129 BETHESDA FOUNDATION INC BETH 5135696575 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 MICHAEL CROFTON VP FINANCE 5135696575 2019-05-14 1 ALICIA JANISCH P00741382 5137847100 174.226.148.89 2019-05-14 22:18:02 ED P 4A2558486EEC6DB97E73B1E5FE2049900CCE7E47 5D794220C68C161820A811785299AFD302F4C684 2017 2019-02-21 02:37:17Z X ANDREW SWALLOW 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 29617528 0 X WWW.BETHESDAFOUNDATION.COM X 1974 OH SUPPORT BETHESDA HOSPITAL TO ACCOMPLISH ITS STRATEGIC VISION AND MEET HEALTH CARE CHALLENGES. 20 17 0 140 0 0 11492197 1222536 599254 620946 11630034 20867372 464371 647541 24185856 23358395 5440935 10165137 0 0 0 0 0 0 552439 2522163 2909189 7963098 13074326 16222758 10284069 132758305 137020815 27918323 27081513 104839982 109939302 X SEE SCHEDULE O 0 0 10230176 10165137 620946 SEE SCHEDULE O 10230176 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 46 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 20 17 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X MICHAEL CROFTON - VP FINANCE 5135696577 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 RANCE DUKE TREASURER 1.00 1.00 X X 0 0 0 CRAIG EISENTROUT MD TRUSTEE 1.00 2.00 X 0 0 0 GRANT HESSER VICE CHAIR 1.00 0.00 X X 0 0 0 EDMUND JONES MD TRUSTEE 1.00 0.00 X 0 0 0 MYRTIS POWELL TRUSTEE 1.00 0.00 X 0 0 0 SUSAN WEINBERG MD TRUSTEE 1.00 0.00 X 0 0 0 JOHN PROUT TRUSTEE 1.00 60.00 X 0 252304 0 ANDREW SWALLOW PRESIDENT & CEO 60.00 0.00 X X 0 277253 62648 RACHID ABDALLAH TRUSTEE 1.00 0.00 X 0 0 0 BILL GRAF CHAIR 1.00 0.00 X X 0 0 0 TAD LAWRENCE III SECRETARY 1.00 0.00 X X 0 0 0 RONALD BROWN TRUSTEE 1.00 0.00 X 0 0 0 SPENCER CROPPER TRUSTEE 1.00 0.00 X 0 0 0 KATHY GRIGG TRUSTEE 1.00 0.00 X 0 0 0 JAY BEECH TRUSTEE 1.00 0.00 X 0 0 0 TIM ELSBROCK TRUSTEE 1.00 2.00 X 0 0 0 ROBERT MITCHELL TRUSTEE 1.00 0.00 X 0 0 0 ARTHUR ROBERTS TRUSTEE 1.00 0.00 X 0 0 0 MARK CLEMENT TRUSTEE 1.00 60.00 X 0 1443430 315687 PAM BAIRD TRUSTEE 1.00 0.00 X 0 0 0 LAURA KUMLER DIRECTOR OF DEVELOPMENT 60.00 0.00 X 0 108751 9646 0 2081738 387981 0 0 1 0 UNITED MAIL LLC 1221 HARRISON AVE CINCINNATI OH 45214 MARKETING 116264 1 306644 915892 24188 1222536 SERVICE FEE 900099 620946 620946 620946 1540973 1540973 25119350 5792951 19326399 19326399 19326399 1113723 306644 466182 647541 647541 23358395 620946 0 21514913 10165137 10165137 552052 552052 338963 14804 158875 165284 177661 50235 116097 11329 108083 72735 35348 4458 4458 7519 7519 8349 8349 89642 89642 PAYROLL MANAGEMENT 1208706 1125423 83283 OVERHEAD ALLOCATION 379039 121844 257195 DUES AND SUBSCRIPTIONS 15444 15444 BUSINESS MEALS 13985 13985 5288 5288 13074326 10230176 2291711 552439 25468 40943 11226011 10859072 1026892 882074 201841 144818 97959048 99226768 23097302 26749214 248635 0 132758305 137020815 624495 518305 27293828 26563208 27918323 27081513 X 100011669 104932646 1145157 1235159 3683156 3771497 104839982 109939302 132758305 137020815 X 10284069 -10410868 5226119 X X 0 1 X 1 0 X 2160421 1964266 2460840 1492197 1222536 9300260 2160421 1964266 2460840 1492197 1222536 9300260 2478848 6821412 1563616 1859000 921059 1596515 1540973 7481163 16781423 7068257 0.40650 0.41650 X 4413893 2225 483497 226165 4673450 3952601 2000 459292 4413893 4175985 2050 -135140 90294 3952601 4686323 -113525 396813 4175985 4505746 630 360130 180183 4686323 0.80700 0.19300 0 0 694117 607049 87068 300156 268734 31422 32619 6291 26328 144818 REAL ESTATE 12574981 F PRIVATE DEBT 2584880 F PRIVATE EQUITY 4222434 F HEDGE FUNDS 7366919 F 26749214 DUE TO RELATED ORGANIZATIONS 26563208 26563208 X PART V, LINE 4: INVESTMENT PROCEEDS FROM ENDOWMENT FUNDS ARE USED TO SUPPORT THE PROGRAMS OF BETHESDA HOSPITAL, INC. AND ITS SUBSIDIARIES. PART X, LINE 2: THE FINANCIAL STATEMENTS OF BETHESDA FOUNDATION, INC. ARE AUDITED WITH ITS PARENT, BETHESDA, INC. FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BETHESDA, INC. ("COMPANY") THAT REPORTS ITS AND ITS SUBSIDIARIES' LIABILITY, IF APPLICABLE, FOR UNCERTAIN TAX POSITIONS UNDER ASC 740-10-25: THE COMPANY COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2018 AND 2017. CELEBRATION OF ANGELS 432708 216444 216264 13894 26036 0 36541 BETHESDA LYCEUM 340273 90200 250073 0 72248 17500 36910 4 647386 0 647386 32221 54187 3200 173445 1420367 306644 1113723 46115 152471 20700 246896 466182 647541 PART II, COLUMNS (B) & (C) BETHESDA FOUNDATION, INC. ("FOUNDATION") COORDINATES, ON BEHALF OF HOSPICE OF CINCINNATI, INCORPORATED AND FERNSIDE, INC: A CENTER FOR GRIEVING CHILDREN, TWO RELATED ORGANIZATIONS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL TAXATION UNDER IRC SECTION 501(C)(3), THE FOLLOWING FUNDRAISING EVENTS SHOWN IN COLUMN (C) - OTHER EVENTS: * HOSPICE SUMMERTIME GOLF CLASSIC * GOURMET SENSATION * HIKE FOR HOSPICE - CINCINNATI * HIKE FOR HOSPICE - HAMILTON FOUNDATION HOLDS ALL REVENUE AND DONATIONS AND ONCE EXPENSES HAVE BEEN PAID, REMITS TO THE APPROPRIATE ORGANIZATION IDENTIFIED ABOVE THE NET REVENUE FROM THE SPECIFIC EVENT. 1 BETHESDA HOSPITAL INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537122 501(C)(3) 8130976 GENERAL SUPPORT TRIHEALTH INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311438846 501(C)(3) 1598531 POPULATION HEALTH INITIATIVES BETHESDA HEALTHCARE INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311027660 501(C)(3) 404696 TO PROVIDE PSYCHOLOGICAL SERVICES TO SCHOOLS FOR STUDENTS WITH VARIOUS BEHAVIORAL DIFFICULITIES. TRIHEALTH PHYSICIAN ENTERPRISE CORP 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311383365 501(C)(3) 30934 POPULATION HEALTH INITIATIVES 4 0 PART I, LINE 2: BETHESDA FOUNDATION, INC. HAS A STATED APPLICATION PROCESS AND TWO COMMITTEES THAT EVALUATE AND ACCEPT OR REJECT GRANT PROPOSALS. IN ADDITION, GRANTEES ARE REQUIRED TO MAKE A SIX MONTH REPORT ON THE PROGRESS OF THEIR GRANT. 0 1 0 0 0 0 0 0 0 JOHN PROUT TRUSTEE 0 0 0 0 0 252304 0 0 0 0 0 252304 0 12304 ANDREW SWALLOW PRESIDENT & CEO 0 202099 0 62706 0 12448 0 35788 0 26860 0 339901 0 0 MARK CLEMENT TRUSTEE 0 1064319 0 361237 0 17874 0 297460 0 18227 0 1759117 0 0 PART I, LINE 4B ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENT AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUAL 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 - $12,304 PART I, LINE 3: TRIHEALTH, INC., A RELATED ORGANIZATION OF BETHESDA FOUNDATION, 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 FOUNDATION, 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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2017 CALENDAR YEAR. FORM 990, PART III, LINE 1 THE MISSION OF BETHESDA FOUNDATION, INC. IS TO HELP ENSURE THAT BETHESDA HOSPITAL HAS THE RESOURCES NEEDED TO SUCCESSFULLY ACCOMPLISH ITS STRATEGIC VISION AND MEET THE HEALTHCARE CHALLENGES FACING THE LARGE, GROWING COMMUNITY IT SERVES. BETHESDA FOUNDATION, INC. CULTIVATES PHILANTHROPIC SUPPORT FOR INDIGENT CARE, MEDICAL EDUCATION AND RESEARCH, PATIENT SERVICES, FACILITIES AND COMMUNITY OUTREACH PROGRAMS PROVIDED BY BETHESDA HOSPITAL AND ITS RELATED ENTITIES. FORM 990, PART III, LINE 4A THE BETHESDA FOUNDATION, INC. ("FOUNDATION") IS ORGANIZED TO ACCEPT GIFTS AND BEQUESTS, ENGAGE IN FUNDRAISING ACTIVITIES, AND MANAGE AND INVEST THE ASSETS FOR THE USE AND BENEFIT OF BETHESDA HOSPITAL,INC. AND ITS SUBSIDIARIES ("HOSPITAL") IN THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH STATUS OF THE GROWING COMMUNITY IT SERVES. IN RECENT YEARS, THE FOUNDATION HAS SUPPORTED THE FOLLOWING PROJECTS ASSOCIATED WITH BETHESDA HOSPITAL, INC.: HAROLD & MARGRET THOMAS SPECIAL CARE NURSERY EVERY YEAR MORE THAN 4,400 BABIES ARE BORN AT BETHESDA HOSPITAL, INC. OF THOSE BABIES, APPROXIMATELY 5% ARE BORN IN NEED OF SPECIAL CARE. THE HAROLD & MARGRET THOMAS SPECIAL CARE NURSERY, WHICH OPENED ITS DOORS IN DECEMBER, 2009, PROVIDES THREE TIMES THE SPACE OF THE OLD NURSERY WITH EIGHT SINGLE ROOMS AND TWO DOUBLE ROOMS TO PROVIDE EXTRA SPACE FOR TWINS. IT OFFERS EACH INFANT AND FAMILY THE PRIVACY OF A SEPARATE ROOM WHICH WILL ENHANCE THE BONDING EXPERIENCE AS WELL AS DECREASE NOISE AND OTHER SENSORY STIMULATION. THE PROJECT COST $4 MILLION AND THE FOUNDATION RAISED $1.8 MILLION IN SUPPORT FROM THE COMMUNITY. MARY JO CROPPER FAMILY CENTER FOR BREAST CARE ("CENTER") THROUGH THE SUPPORT OF MANY GENEROUS DONORS TO THE BETHESDA FOUNDATION, THE MARY JO CROPPER FAMILY CENTER FOR BREAST CARE OPENED ITS DOORS IN AUGUST, 2009. THE CENTER PROVIDES A COMPREHENSIVE, MULTI-DISCIPLINARY BREAST CARE PROGRAM WITH A FULL SPECTRUM OF CLINICAL AND SUPPORT SERVICES ALONG WITH THE LATEST TECHNOLOGY. EMERGENCY CARE THE EXPERT STAFF OF BETHESDA HOSPITAL, INC.'S EMERGENCY DEPARTMENT NOW OFFERS GREATER CINCINNATI FASTER SERVICE IN A QUIETER, LESS CONGESTED ENVIRONMENT - ALL DUE TO A RENOVATION PROJECT FOUNDATION DONORS HELPED MAKE POSSIBLE. AS ONE OF THE BUSIEST ADULT EMERGENCY DEPARTMENTS IN GREATER CINCINNATI, THE PREVIOUS EMERGENCY DEPARTMENT WAS CONSTANTLY CHALLENGED BY ITS EVER-GROWING VOLUME. THE RENOVATION ADDED MORE TREATMENT ROOMS, AN INTERNAL RADIOLOGY ROOM FOR QUICKER SCHEDULING AND AN IMPROVED REGISTRATION AND TRIAGE SYSTEM. MOST IMPORTANTLY, THE RENOVATION POSITIONS BETHESDA HOSPITAL, INC. TO CONTINUE TO GROW WITH ITS COMMUNITY BOTH IN VOLUME AND IN ADVANCEMENT OF SERVICES. BETHESDA NORTH IS ONE OF THE TWO ADULT TRAUMA HOSPITALS IN HAMILTON COUNTY, TREATING APPRXIMATELY 1,000 TRAUMA PATIENTS OF THE 54,000 EMERGENCY VISITS ANNUALLY. PARAMEDIC TRAINING PARAMEDICS KNOW THAT EVERY MINUTE COUNTS WHEN SAVING A LIFE. BETHESDA HOSPITAL, INC. KNOWS THE IMPORTANCE OF SUPPLYING GREATER CINCINNATI LICENSED PARAMEDICS WHO CAN ADMINISTER ADVANCED, SPLIT-SECOND MEDICAL CARE. FOUNDATION BEGAN FUNDING THE PARAMEDIC TRAINING PROGRAM IN 1994 TO ANSWER A SHORTAGE OF PARAMEDICS IN THE COMMUNITY. ITS DONORS HAVE PRIMARILY FUNDED THE PROGRAM, WHICH IS WIDELY RECOGNIZED AS ONE OF THE MOST SUCCESSFUL IN THE STATE. NEARLY 30% OF HAMILTON COUNTY'S LICENSED PARAMEDICS ARE BETHESDA-TRAINED. PHYSICIAN MEDICAL RESEARCH OVER THE YEARS, FOUNDATION HAS GRANTED OVER $2 MILLION TO FUND IMPORTANT PHYSICIAN RESEARCH STUDIES. THESE STUDIES HELP BETHESDA HOSPITAL, INC. BETTER MEET THE HEALTH CARE NEEDS OF ITS COMMUNITY. PROVIDING OPPORTUNITIES FOR PHYSICIAN RESEARCH IS JUST ONE MORE WAY THAT FOUNDATION SAVES LIVES AND CHANGES LIVES. COMMUNITY FOUNDATION HAS A SERIOUS COMMITMENT TO IMPROVING THE HEALTH OF OUR DIVERSE COMMUNITY THROUGH A DYNAMIC COMMUNITY OUTREACH PROGRAM. BEHAVIORAL HEALTH INTERVENTION - WHAT STARTED OUT AS AN EFFORT TO PLACE NURSES IN CINCINNATI PUBLIC SCHOOLS QUICKLY SNOWBALLED INTO A PREVENTION-FOCUSED BEHAVIORAL HEALTH PROGRAM THAT CONTINUES, WITH DONOR SUPPORT, TO PLACE CLINICIANS IN SCHOOLS. TODAY, THE PROGRAM SERVES INNER-CITY YOUTH IN THREE SCHOOLS WITH FULL-TIME BEHAVIORAL HEALTH SPECIALISTS. ON A DAILY BASIS, FOUNDATION-FUNDED BEHAVIORAL HEALTH CLINICIANS IDENTIFY PROBLEMS AND ISSUES SO THAT CHILDREN RECEIVE INTERVENTION WHEN INTERVENTION IS NEEDED MOST. SOMETIMES, THIS EXTRA HELP CAN MEAN THE DIFFERENCE BETWEEN SUCCESS AND FAILURE IN THE CLASSROOM AND POTENTIALLY, SUCCESS IN LIFE. LIFELINE - THE LIFELINE EMERGENCY RESPONSE SYSTEM LINKS SUBSCRIBERS TO IMMEDIATE HELP - 24 HOURS A DAY. IF A SUBSCRIBER NEEDS HELP AT HOME BUT CANNOT GET TO A TELEPHONE, A SIMPLE PUSH OF THE BUTTON WORN ON THE BODY AUTOMATICALLY ALERTS THE TRAINED MONITORING STAFF AT BETHESDA HOSPITAL, INC. WHO WILL SEND HELP IMMEDIATELY. SECURITY, INDEPENDENCE AND PEACE OF MIND ALL RESULT FROM KNOWING THAT HELP IS JUST A PUSH OF A BUTTON AWAY. FOUNDATION HAS HELPED FUND LIFELINE FOR INDIGENT PATIENTS SINCE 2002. SANE - WOMEN TREATED AT BETHESDA HOSPITAL, INC. FOR SUSPECTED SEXUAL ASSAULT ARE FORTUNATE THEY CAN RECEIVE CARE FROM A TEAM OF SPECIALLY TRAINED NURSES. A SEXUAL ASSAULT NURSE EXAMINER (SANE) GOES THROUGH SPECIFIC CLASSROOM AND HANDS-ON TRAINING TO PROVIDE PROFESSIONAL, COMPREHENSIVE AND COMPLETE EVIDENCE COLLECTION FOR VICTIMS OF SEXUAL ASSAULT. THE SANE APPROACH HELPS AVOID RE-VICTIMIZATION OF THE SURVIVOR, BY OFFERING A SAFE ENVIRONMENT, ADVOCACY, EDUCATION AND APPROPRIATE FOLLOW UP SERVICES AND REFERRAL. BETHESDA HOSPITAL, INC. IS THE ONLY SUBURBAN HAMILTON COUNTY HOSPITAL TO OFFER SANE, MAKING IT A TRUSTED PLACE FOR ASSAULT VICTIMS TO SEEK CARE AND FOR LAW ENFORCEMENT AND EMS PERSONNEL TO REFER VICTIMS FOR APPROPRIATE CARE. FOUNDATION PROVIDED STARTUP FUNDS FOR THE SANE PROGRAM IN 1999 AND CONTINUES TO PROVIDE FINANCIAL SUPPORT. SENIORLINK - THIS PROGRAM OFFERS COMPREHENSIVE HEALTH CARE SERVICES TO ADDRESS THE MEDICAL, REHABILITATIVE, SOCIAL AND PERSONAL CARE NEEDS OF FRAIL SENIORS THROUGH ONE PROGRAM. SENIORLINK'S COMPREHENSIVE FALLS PREVENTION PROGRAM INCLUDES OSTEOPOROSIS SCREENINGS, TREATMENT AND EDUCATION, FALLS RISK ASSESSMENT BY A MULTI-DISCIPLINARY TEAM, AND USE OF HIP PROTECTORS. IN ADDITION, MANY ELDERLY PATIENTS HAVE BEEN SCREENED FOR OSTEOPOROSIS; FOLLOW-UP MEDICAL TREATMENT, EDUCATION AND SAFETY MODIFICATIONS ARE PROVIDED TO ALL PATIENTS DIAGNOSED WITH OSTEOPOROSIS. FOUNDATION HAS PROVIDED FUNDING TO THIS PROGRAM SINCE 2003. URBAN HEALTH PROJECT - SINCE 1992, FOUNDATION HAS SUPPORTED THE UNIVERSITY OF CINCINNATI MEDICAL SCHOOL'S URBAN HEALTH PROJECT (UHP). THE UHP CONNECTS FUTURE PHYSICIANS WITH UNDERSERVED PEOPLE IN THE COMMUNITY DURING AN EIGHT-WEEK SUMMER INTERNSHIP. MEDICAL STUDENTS WHO HAVE COMPLETED THEIR FIRST YEAR OF MEDICAL SCHOOL CAN APPLY FOR AN INTERNSHIP WORKING FOR AREA SOCIAL SERVICE AGENCIES. THE PHYSICIANS-IN-TRAINING ARE ASSIGNED RESPONSIBILITIES INCLUDING DIRECT PATIENT CARE TO EDUCATION OR COUNSELING DUTIES AT VARIOUS COMMUNITY AGENCIES. RELATED ORGANIZATION SUPPORT FINALLY, IN ADDITION TO THE ASSISTANCE PROVIDED TO BETHESDA HOSPITAL, INC., FOUNDATION PROVIDES SERVICES TO HOSPICE OF CINCINNATI, INCORPORATED AND FERNSIDE, INC.: A CENTER FOR GRIEVING CHILDREN, BOTH SUBSIDIARIES OF BETHESDA HOSPITAL, INC. THESE SERVICES INCLUDE CULTIVATING, SOLICITING AND MANAGING BOTH MAJOR GIFTS AND PLANNED GIFTS FOR BOTH ORGANIZATIONS AS WELL AS APPLYING FOR GRANTS FOR BOTH ORGANIZATIONS. FOUNDATION, ON THE ORGANIZATIONS' BEHALF, MAINTAINS A DONOR DATABASE AND PROCESSES THE INCOMING DONATIONS AND ACKNOWLEDGMENTS AND ONCE ANY RESTRICTIONS ARE MET, THE PROCEEDS ARE REMITTED TO THE ORGANIZATIONS. FOUNDATION COORDINATES VARIOUS FUNDRAISING EVENTS FOR EACH ORGANIZATION AS WELL (SEE SCHEDULE G FOR ADDITIONAL INFORMATION). PLEASE NOTE THAT THE AFOREMENTIONED ACTIVITY, OTHER THAN THE FUNDRAISING EVENTS, IS NOT REPORTED IN EITHER THE FOUNDATION'S FORM 990, PART VIII - STATEMENT OF REVENUE OR IN THE FOUNDATION'S FORM 990, PART IX - STATEMENT OF EXPENSES. THE ACTIVITY IS REPORTED ON EACH RELATED ORGANIZATION'S SEPARATE FORM 990. FORM 990, PART VI, SECTION A, LINE 2 EDMUND JONES, MD, ED OWENS III, RANCE DUKE, CRAIG EISENTROUT, MD, GRANT HESSER, BILL GRAF, MYRTIS POWELL AND JOHN PROUT HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF BETHESDA, INC., THE SINGLE CORPORATE MEMBER OF BETHESDA FOUNDATION, INC. MYRTIS POWELL AND MARK CLEMENT HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARDS OF THE GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE, AN AFFILIATED ENTITY. CRAIG EISENTROUT, MD, MYRTIS POWELL, AND MARK CLEMENT HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF TRIHEALTH, INC./BETHESDA HOSPITAL, INC./THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO/TRIHEALTH HOSPITAL, INC., ALL AFFILIATED ENTITIES. MARK CLEMENT AND MYRTIS POWELL HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF THE MCCULLOUGH-HYDE MEMORIAL HOSPITAL, AN AFFILIATED ENTITY. FORM 990, PART VI, SECTION A, LINE 6 BETHESDA FOUNDATION, INC. HAS A SINGLE CORPORATE MEMBER, BETHESDA, INC. FORM 990, PART VI, SECTION A, LINE 7A BETHESDA FOUNDATION, INC. HAS A SINGLE CORPORATE MEMBER, BETHESDA, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF BETHESDA FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7B BETHESDA, INC. MUST APPROVE AMENDMENTS TO BETHESDA FOUNDATION, INC.'S GOVERNING DOCUMENTS, DISSOLUTION OR CONSOLIDATION OF BETHESDA FOUNDATION, INC. AND ANY TRANSACTION INVOLVING SUBSTANTIALLY ALL OF BETHESDA FOUNDATION INC.'S PROPERTY. FORM 990, PART VI, SECTION B, LINE 11B MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 PRIOR TO FILING. HOWEVER, FOR THE PROTECTION OF DONOR PRIVACY, SCHEDULE B - SCHEDULE OF CONTRIBUTORS WAS REMOVED FROM THE COPY PROVIDED TO THE BOARD. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE ORGANIZATION FILES THE RETURN MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH NON-SUBSTANTIVE CHANGES ARE NOT SUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE CERTAIN FINANCIAL INTERESTS AND FIDUCIARY RELATIONSHIPS. THE EXECUTIVE COMMITTEE AND CORPORATE COUNSEL REVIEW RESPONSES, CONDUCT FURTHER INVESTIGATION (IF NECESSARY), AND DETERMINE WHEN A CONFLICT EXISTS WITH RESPECT TO A CERTAIN TRANSACTION. IF A CONFLICT EXISTS, THE TRANSACTION IS NOT TO BE ENTERED INTO UNLESS ALTERNATIVES ARE FULLY INVESTIGATED, AND IN THEIR ABSENCE, THE BOARD, WITHOUT THE PARTICIPATION OF THE INTERESTED MEMBER(S), DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. PLANS TO MANAGE THE CONFLICT DURING THE RELATIONSHIP ARE IMPLEMENTED. ALL DISCUSSIONS ARE APPROPRIATELY DOCUMENTED. ALL DIRECTORS AND MANAGERS, WHICH INCLUDE OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO ANNUALLY DISCLOSE ANY CIRCUMSTANCES, INCLUDING FAMILY AND BUSINESS RELATIONSHIPS, THAT MAY CREATE A CONFLICT OF INTEREST FOR THE ORGANIZATION. THESE RESPONSES ARE REVIEWED AND ACTED UPON BY A CONFLICT OF INTEREST COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 BETHESDA FOUNDATION, INC.'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET RELATED ENTITY CONTRIBUTION MANAGEMENT TRANSACTIONS -502,982. TRANSFER FROM PARENT TO FUND COMMUNITY INITIATIVES 1,785,234. BOOK-TO-TAX DUE TO RELATED ORGANIZATION FINANCIAL STATEMENT PRESENTATION 3,825,972. BOOK-TO-TAX CONTRIBUTION ADJUSTMENT MISCELLANEOUS ADJUSTMENT 117,895. FORM 990, PART XII, LINE 2C THE FINANCIAL STATEMENTS OF BETHESDA FOUNDATION, INC. ("FOUNDATION") ARE AUDITED WITH BETHESDA, INC., THE PARENT ORGANIZATION OF FOUNDATION. 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 BETHESDA, INC. FORM 990, PART VII, SECTION A THE OFFICERS AND DIRECTORS FOR BETHESDA FOUNDATION, INC. THAT SHOW AT LEAST 60 HOURS PER WEEK, EXCLUDING THE FILING ORGANIZATION'S PRESIDENT/CEO, PROVIDE SERVICES TO TRIHEALTH, INC. (A RELATED ORGANIZATION WHO PAID THE INDIVIDUALS) AND ITS SUBSIDIARIES/AFFILIATES ("TRIHEALTH") AS AN ENTIRE SYSTEM. HOURS WORKED, INCLUDING THEIR DUTIES AS OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION, ARE NOT TRACKED ON AN ENTITY BY ENTITY BASIS, THUS THE AVERAGE HOURS PER WEEK DISCLOSED ARE ESTIMATES TO SHOW THAT THE TIME SPENT BY THESE INDIVIDUALS RELATE TO THEM FULFILLING THEIR DUTIES AS FULL-TIME, 60 HOURS-PER-WEEK EMPLOYEES OF TRIHEALTH VERSUS THEIR DUTIES AS OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION. IN ADDITION, THE COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS IN FULFILLMENT OF THEIR DUTIES AS EMPLOYEES OF TRIHEALTH. FORM 990, PART I, LINE 6 DURING THE TAX YEAR, BETHESDA FOUNDATION, INC. ("FOUNDATION") BENEFITED FROM APPROXIMATELY 1,570 VOLUNTEER HOURS WHICH WERE PROVIDED BY AN ESTIMATED 140 INDIVIDUALS. THESE VOLUNTEERS WORKED IN MANY CAPACITIES FOR THE FOUNDATION INCLUDING: BOARD OF TRUSTEES - THE BOARD IS RESPONSIBLE FOR DEVELOPING POLICIES AND WORKING WITH THE FOUNDATION STAFF TO OVERSEE AND IMPLEMENT THEM. THEY ACTIVELY PARTICIPATE IN STRATEGIC DECISIONS AND MATTERS OF POLICY. MG/PG COMMITTEE MEMBERS - THESE MEMBERS INCREASE AWARENESS OF THE FOUNDATION AND THE ENTITIES/PROGRAMS THE FOUNDATION SUPPORTS TO ESTATE PLANNING PROFESSIONALS IN THE COMMUNITY. THE COMMITEE ALSO ENGAGES PHYSICIANS AS ADVOCATES FOR THE FOUNDATION WITH GRATEFUL PATIENTS. BETHESDA AUXILIARY VOLUNTEERS - THESE INDIVIDUALS HELP PLAN AUXILIARY ACTIVITIES, EVENTS, ASSIST VENDORS WITH SPECIAL SALES AND SUPPORT THE OVERALL MISSION OF BETHESDA NORTH HOSPITAL AND THE FOUNDATION. EVENT VOLUNTEERS - THESE INDIVIDUALS HELP WITH THE OVERALL PLANNING AND IMPLEMENTATION OF THE EVENTS ADMINISTERED BY THE FOUNDATION. THEY HELP SOLICIT DONATIONS AND SPONSORSHIPS AS WELL AS ASSIST WITH THE SET UP, REGISTRATION, RUNNING AND CLEAN UP OF THE VARIOUS EVENTS. OFFICE VOLUNTEERS - THESE INDIVIDUALS ASSIST WITH VARIOUS OFFICE DUTIES INCLUDING STUFFING ENVELOPES, COMPUTER WORK AND OTHER VARIOUS TASK. BETHESDA INC 625 EDEN PARK DRIVE 1ST FLOOR CINCINNATI OH 45202 311108895 INVESTMENT MANAGEMENT OH SECTION 501(C)(3) SCHEDULE A, LINE 12C N/A 0 BETHESDA HOSPITAL INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537122 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 BETHESDA INC 1 BETHESDA HEALTHCARE INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311027660 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 12B BETHESDA INC 1 BETHESDA FAMILY PRACTICE CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311242442 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 12A BETHESDA HOSPITAL INC 1 BETHESDA PROPERTIES INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311352694 PROPERTY MANAGEMENT OH SECTION 501(C)(2) BETHESDA HOSPITAL INC 1 HOSPICE OF CINCINNATI INCORPORATED 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310917155 HOSPICE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 7 BETHESDA HOSPITAL INC 1 FERNSIDE INC A CENTER FOR GRIEVING CHILDREN 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311179234 COUNSELING TO GRIEVING CHILDREN OH SECTION 501(C)(3) SCHEDULE A, LINE 7 HOSPICE OF CINCINNATI INCORPORATED 1 TRIHEALTH INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311438846 SUPPORT AFFILIATED HOSPITALS OH SECTION 501(C)(3) SCHEDULE A, LINE 12B N/A 0 10600 MONTGOMERY LLC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 261964995 PROPERTY MANAGEMENT OH N/A TJ CUBEDMONTGOMERY INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 261964885 HOLDING COMPANY OH N/A S 0 PREMIERE MEDICAL OWNERS ASSOCIATION 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 141913019 CONDO ASSOCIATION OH N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 BETHESDA HEALTHCARE INC B 404696 CASH BETHESDA HOSPITAL INC B 5658251 CASH BETHESDA INC C 45000 CASH HOSPICE OF CINCINNATI INCORPORATED L 620946 COST BETHESDA INC S 1785234 CASH FERNSIDE INC A CENTER FOR GRIEVING CHILDREN R 452248 CASH HOSPICE OF CINCINNATI INCORPORATED R 3850776 CASH BETHESDA HOSPITAL INC O 1208706 FMV