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ObjectId: 202401349349303340 - Submission: 2024-05-13
TIN: 31-0537122
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
22
Open to Public Inspection
Name of the organization
BETHESDA HOSPITAL INC
Employer identification number
31-0537122
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
BETHESDA INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1108895
POPULATION HEALTH
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 12C
N/A
No
(2)
BETHESDA FOUNDATION INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
23-7374129
FUNDRAISING
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 7
BETHESDA INC
Yes
(3)
BETHESDA HEALTHCARE INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1027660
HEALTHCARE SERVICES
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 12B
TRIHEALTH INC
Yes
(4)
BETHESDA FAMILY PRACTICE CENTER
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1242442
HEALTHCARE SERVICES
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 12A
BETHESDA HOSPITAL INC
Yes
(5)
BETHESDA PROPERTIES INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1352694
PROPERTY MANAGEMENT
OH
SECTION 501(C)(2)
BETHESDA HOSPITAL INC
Yes
(6)
HOSPICE OF CINCINNATI INCORPORATED
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-0917155
HOSPICE SERVICES
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 10
BETHESDA HOSPITAL INC
Yes
(7)
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1179234
COUNSELING TO GRIEVING CHILDREN
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 7
HOSPICE OF CINCINNATI INCORPORATED
Yes
(8)
TRIHEALTH INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1438846
SUPPORT AFFILIATED HOSPITALS
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 12B
N/A
Yes
(9)
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-0537486
INPATIENT AND OUTPATIENT SERVICES
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 3
TRIHEALTH INC
Yes
(10)
GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1778403
EDUCATION
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 2
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
Yes
(11)
COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
23-7419853
DIALYSIS
OH
SECTION 501(C)(2)
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
Yes
(12)
GOOD SAMARITAN HOSPITAL FREE CLINIC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
27-3893817
HEALTHCARE SERVICES
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 7
TRIHEALTH INC
Yes
(13)
TRIHEALTH HOSPITALINC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
46-1393755
INPATIENT AND OUTPATIENT SERVICES
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 3
TRIHEALTH INC
Yes
(14)
TRIHEALTH PHYSICIAN ENTERPRISE CORP
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1383365
PHYSICIAN PRACTICES
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 10
TRIHEALTH INC
Yes
(15)
TRIHEALTH PHYSICIAN INSTITUTE
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1074519
PHYSICIAN PRACTICES
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 10
TRIHEALTH INC
Yes
(16)
MCCULLOUGH HYDE MEMORIAL HOSPITAL INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-0650283
INPATIENT AND OUTPATIENT SERVICES
OH
SECTION 501(C)(3)
SCHEDULE A, LINE 3
TRIHEALTH INC
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2022
Page 2
Schedule R (Form 990) 2022
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
10600 MONTGOMERY LLC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
26-1964995
PROPERTY MANAGEMENT
OH
N/A
No
No
(2)
HEALTHCARE SOLUTIONS NETWORK LLC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
47-2103334
PHYSICIAN HOSPITAL ORGANIZATION
OH
N/A
No
No
(3)
PREFERRED LAB PARTNERS LLC
ONE MEDICAL VILLAGE DRIVE SUITE B
EDGEWOOD
,
KY
41017
82-4758763
LABORATORY SERVICES
KY
N/A
No
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
TJ CUBEDMONTGOMERY INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
26-1964885
HOLDING COMPANY
OH
N/A
S
Yes
(2)
TRIHEALTH PHYSICIANS OF INDIANA INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
46-1125130
PHYSICIAN PRACTICES
OH
N/A
C
Yes
(3)
TRIHEALTH PHYSICIAN SOLUTIONS INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
31-1444353
CLAIMS ADMINISTRATION
OH
N/A
C
Yes
(4)
TRIHEALTH CIPHO INC
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
46-3294306
PHYSICIAN HEALTH ORGANIZATION
OH
N/A
C
Yes
(5)
PREMIERE MEDICAL OWNERS ASSOCIATION
625 EDEN PARK DRIVE 7TH FLOOR
CINCINNATI
,
OH
45202
14-1913019
CONDO ASSOCIATION
OH
BETHESDA HOSPITAL INC
C
113,346
100.000 %
Yes
(6)
SERVE INSURANCE LTD
PO BOX 69
CAMANA BAY
,
GRAND CAYMAN
CJ
98-1529310
ALTERNATIVE RISK FINANCING
CJ
N/A
C
Yes
Schedule R (Form 990) 2022
Page 3
Schedule R (Form 990) 2022
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
Yes
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
TRIHEALTH PHYSICIAN ENTERPRISE CORP
A
3,684,798
FMV
(2)
TRIHEALTH PHYSICIAN INSTITUTE
A
2,010,492
FMV
(3)
GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
A
9,533,654
FMV
(4)
BETHESDA HEALTHCARE INC
A
34,451
FMV
(5)
TRIHEALTH HOSPITAL INC
A
316,942
FMV
(6)
TRIHEALTH INC
A
4,950
FMV
(7)
TRIHEALTH INC
B
77,002,719
CASH
(8)
BETHESDA INC
B
10,000,000
CASH
(9)
BETHESDA FOUNDATION INC
C
21,447,523
CASH
(10)
BETHESDA PROPERTIES INC
K
1,992,269
FMV
(11)
BETHESDA HEALTHCARE INC
K
471,973
FMV
(12)
TRIHEALTH PHYSICIAN ENTERPRISE CORP
K
51,511
FMV
(13)
TRIHEALTH INC
K
571,467
FMV
(14)
TRIHEALTH INC
M
124,255,624
COST
(15)
TRIHEALTH INC
P
387,385,410
COST
(16)
HOSPICE OF CINCINNATI INCORPORATED
O
47,585,645
FMV
(17)
BETHESDA INC
O
1,588,227
FMV
(18)
FERNSIDE INC A CENTER FOR GRIEVING CHILDREN
O
481,870
FMV
(19)
BETHESDA FOUNDATION INC
O
1,290,246
FMV
(20)
BETHESDA PROPERTIES INC
S
2,552,825
CASH
Schedule R (Form 990) 2022
Page 4
Schedule R (Form 990) 2022
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2022
Page 5
Schedule R (Form 990) 2022
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation
Schedule R (Form 990) 2022
Additional Data
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