Civic Intelligence

Bethesda Hospital Inc

EIN 31-0537122 • 501(c)3 • Cincinnati, OH

Profile

To 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.

625 Eden Park Drive 7th FloorCincinnati, OH 45202

www.trihealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

73rd percentile

0.51x

Higher debt load relative to assets than 73% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.75x

Higher debt load relative to revenue than 62% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

53rd percentile

7.1%

Higher net margin than 53% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

56th percentile

$2,292,310

Higher top officer pay than 56% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

24th percentile

3.3%

Faster asset growth than 24% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

20th percentile

2.3%

Faster revenue growth than 20% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$1,346,275,157

Up $43,044,392 (+3.3%) from 2023

Liabilities

Down

$689,604,560

Down $4,469,029 (-0.6%) from 2023

Net Assets

Up

$656,670,597

Up $47,513,421 (+7.8%) from 2023

Revenue

Up

$917,339,159

Up $20,833,678 (+2.3%) from 2023

Expenses

Up

$851,829,722

Up $73,833,961 (+9.5%) from 2023

Net Income

Down

$65,509,437

Down $53,000,283 (-45%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.5B$1.0B$500M$0Assets 2010: $672,248,069Liabilities 2010: $388,192,297Net Assets 2010: $284,055,7722010Assets 2011: $705,816,400Liabilities 2011: $337,017,150Net Assets 2011: $368,799,2502011Assets 2012: $717,410,479Liabilities 2012: $367,261,093Net Assets 2012: $350,149,3862012Assets 2013: $745,236,425Liabilities 2013: $326,300,852Net Assets 2013: $418,935,5732013Assets 2014: $792,794,824Liabilities 2014: $324,175,185Net Assets 2014: $468,619,6392014Assets 2015: $787,462,268Liabilities 2015: $320,742,135Net Assets 2015: $466,720,1332015Assets 2016: $817,420,215Liabilities 2016: $359,187,755Net Assets 2016: $458,232,4602016Assets 2017: $1,147,727,202Liabilities 2017: $639,176,390Net Assets 2017: $508,550,8122017Assets 2018: $1,094,709,368Liabilities 2018: $530,455,714Net Assets 2018: $564,253,6542018Assets 2019: $1,076,223,195Liabilities 2019: $504,942,942Net Assets 2019: $571,280,2532019Assets 2020: $1,219,368,332Liabilities 2020: $682,046,006Net Assets 2020: $537,322,3262020Assets 2021: $1,339,963,974Liabilities 2021: $729,591,836Net Assets 2021: $610,372,1382021Assets 2022: $1,276,495,484Liabilities 2022: $684,395,825Net Assets 2022: $592,099,6592022Assets 2023: $1,303,230,765Liabilities 2023: $694,073,589Net Assets 2023: $609,157,1762023Assets 2024: $1,346,275,157Liabilities 2024: $689,604,560Net Assets 2024: $656,670,5972024

Highlighted filing

2024

Assets$1,346,275,157
Liabilities$689,604,560
Net Assets$656,670,597

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0B$500M$0Expenses 2010: $460,247,3262010Expenses 2011: $472,807,8512011Expenses 2012: $495,048,5332012Expenses 2013: $465,477,8952013Revenue 2014: $552,275,151Expenses 2014: $476,272,222Net Income 2014: $76,002,9292014Revenue 2015: $551,900,100Expenses 2015: $480,306,635Net Income 2015: $71,593,4652015Revenue 2016: $571,829,375Expenses 2016: $500,948,605Net Income 2016: $70,880,7702016Revenue 2017: $606,533,188Expenses 2017: $525,732,926Net Income 2017: $80,800,2622017Revenue 2018: $663,020,264Expenses 2018: $565,977,730Net Income 2018: $97,042,5342018Revenue 2019: $647,863,670Expenses 2019: $550,510,785Net Income 2019: $97,352,8852019Revenue 2020: $686,286,971Expenses 2020: $646,600,390Net Income 2020: $39,686,5812020Revenue 2021: $853,365,646Expenses 2021: $693,920,683Net Income 2021: $159,444,9632021Revenue 2022: $835,062,057Expenses 2022: $732,035,306Net Income 2022: $103,026,7512022Revenue 2023: $896,505,481Expenses 2023: $777,995,761Net Income 2023: $118,509,7202023Revenue 2024: $917,339,159Expenses 2024: $851,829,722Net Income 2024: $65,509,4372024

Highlighted filing

2024

Revenue$917,339,159
Expenses$851,829,722
Net Income$65,509,437

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1,346$690$657$917$852$65.5
2023Detailed filing. Detailed filing data is available for this year.$1,303$694$609$897$778$119
2022Detailed filing. Detailed filing data is available for this year.$1,276$684$592$835$732$103
2021Detailed filing. Detailed filing data is available for this year.$1,340$730$610$853$694$159
2020Detailed filing. Detailed filing data is available for this year.$1,219$682$537$686$647$39.7
2019Detailed filing. Detailed filing data is available for this year.$1,076$505$571$648$551$97.4
2018Detailed filing. Detailed filing data is available for this year.$1,095$530$564$663$566$97.0
2017Detailed filing. Detailed filing data is available for this year.$1,148$639$509$607$526$80.8
2016Detailed filing. Detailed filing data is available for this year.$817$359$458$572$501$70.9
2015Detailed filing. Detailed filing data is available for this year.$787$321$467$552$480$71.6
2014Detailed filing. Detailed filing data is available for this year.$793$324$469$552$476$76.0
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$745$326$419$465
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$717$367$350$495
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$706$337$369$473
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$672$388$284$460
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 13, 2025
Return Version
2023v6.0
Gross Receipts
$1,063,125,565
Mission and Program Overview

Mission

To 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.

To improve the health status of the people we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$511,644,764$516,159,946▲ $4,515,182
Investments in Publicly Traded Securities$322,122,275$329,616,136▲ $7,493,861
Investments Program Related$205,822,896$240,004,489▲ $34,181,593
Accounts Receivable$94,873,305$102,276,742▲ $7,403,437
Investments Other Securities$61,228,268$56,052,451▼ $5,175,817
Inventories for Sale or Use$18,493,940$21,128,433▲ $2,634,493
Intangible Assets$22,498,527$18,748,772▼ $3,749,755
Prepaid Expenses and Deferred Charges$99,700$172,251▲ $72,551
Cash and Non-Interest-Bearing Accounts$23,845$26,393▲ $2,548
Total Assets$1,303,230,765$1,346,275,157▲ $43,044,392
Other Assets Total$66,423,245$62,089,544▼ $4,333,701
Liabilities
Tax Exempt Bond Liabilities$551,644,021$545,162,017▼ $6,482,004
Accounts Payable and Accrued Expenses$72,228,915$68,070,282▼ $4,158,633
Other Liabilities$63,132,226$58,447,599▼ $4,684,627
Mortgage Notes Payable Secured by Investment Property$6,919,494$17,924,662▲ $11,005,168
Deferred Revenue$148,933--
Total Liabilities$694,073,589$689,604,560▼ $4,469,029
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$594,546,352$625,341,669▲ $30,795,317
Net Assets With Donor Restrictions$14,610,824$31,328,928▲ $16,718,104
Total Net Assets Fund Balance$609,157,176$656,670,597▲ $47,513,421
Total Liabilities and Net Assets / Fund Balance$1,303,230,765$1,346,275,157▲ $43,044,392

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$371,280,398$256,376,235$627,656,633
Equipment$64,529,755$247,202,864$311,732,619
Other Land Buildings$74,462,223$4,890,898$79,353,121
Land$5,342,850-$5,342,850
Leasehold Improvements$544,720$2,669,223$3,213,943
Investment Program Related Org$240,004,489--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$4,221,247$125▲ $713,352$7,846$4,926,878
2022$4,431,716$3,025▼ $213,494-$4,221,247
2021$5,556,021$12,907▼ $242,245$894,967$4,431,716
2020$3,742,157$1,000,130▲ $813,734-$5,556,021
2019$3,720,610$375▲ $93,665$72,493$3,742,157
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Scott Woods MdPhysicianFT$257,365$147,866$405,231
Michael Webb MdPhysicianFT$232,491$141,131$373,622
Lorraine Stephens MdMed Staff Pres (end 12/23)FT$173,451$181,062$354,513
Richard Okragly MdPhysicianFT$248,165$83,558$331,723
Johnathan Sorscher MdPhysicianFT$230,898$79,877$310,775
Robert Kunkel MdPhysicianFT$212,952$86,618$299,570
Ken Patton DoMed Staff Pres (start 1/24)-$15,400-$15,400
Kasey Rohling MdMed Staff Pres (start 1/24)--$12,000$12,000

Board Members and Trustees

NameTitle
Kathy KellyChair
Mark ClementPresident/CEO
Ralph MichaelVice Chair
Cynthia BoothTrustee
Philip FosterTrustee
Phillip CastelliniTrustee
Quint StuderTrustee
Rance DukeTrustee
Robert Collins MdTrustee
Steve GraceyAsst Secretary/SVP Legal
Andrew DevoeAsst Treasurer (end 2/24)
Will GronemanChief Hr Officer (10/23-1/24)
Jerri IrbyChief Hr Officer (end 10/23)
Helen Koselka MdChief Medical Officer
Jenny SkinnerChief Nursing Exec (end 6/24)
Terri Hanlon-bremerChief Operating Officer
Susan MacyCNO-bethesda (end 2/24)
Jamie EasterlingFormer Key Employee
Michael EverettFormer Key Employee
Michael CroftonInterim CFO (start 3/24)
Kristin Coppage MdMed Staff Pres (end 12/23)
John Hutson MdPres. & COO-bethesda
Jeremiah KirklandPres. & COO-butler
Sr Sally DuffySecretary
John WardSVP-bethesda Region
Theodore TorbeckTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Preferred Lab Partners LLCLaboratory1 MEDICAL VILLAGE DRIVE SUITE B, Edgewood, KY 41017$18,125,318
Commonspirit HealthClinical Maintenance198 INVERNESS DRIVE WEST, Englewood, CO 80112$8,598,661
Seven Hills AnesthesiaAnesthesia4030 SMITH ROAD SUITE 325, Cincinnati, OH 45209$6,674,572
American Nursing CareStaffing6281 TRI-RIDGE BLVD, Loveland, OH 45140$6,076,343
Beacon Orthopedics & Sports MedicineRehabilitation500 E BUSINESS WAY, Cincinnati, OH 45241$2,010,213
Revenue and Support

Revenue Composition

Contributions and Grants
$5,625,882
Program Service Revenue
$958,627,678
Investment Income
$-51,610,299
Other Revenue
$4,695,898
All Other Contributions
$114,790
Change in Net Assets
$65,509,437
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$489,338,302
Salaries, Compensation, and Employee Benefits$362,329,779
Grants and Similar Amounts Paid$161,641
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$231,455,143$48,598,142-$280,053,285
Depreciation Depletion$37,490,563$9,713,281-$47,203,844
Fees for Services Other$32,936,203$12,884,085-$45,820,288
Other Employee Benefits$28,992,365$11,996,405-$40,988,770
Occupancy$21,385,756$2,290,173-$23,675,929
Payroll Taxes$16,422,518$4,574,779-$20,997,297
Interest$19,708,672$106,681-$19,815,353
Fees for Services Management$19,174,227--$19,174,227
Pension Plan Contributions$11,386,259$3,135,033-$14,521,292
Office Expenses$9,449,763$4,922,975-$14,372,738
Information Technology$1,336,730$11,804,139-$13,140,869
Current Officers, Directors, Trustees, and Key Employees$369,913$4,946,795-$5,316,708
Advertising$86,772$4,343,952-$4,430,724
All Other Expenses$1,648,034$2,263,213-$3,911,247
Other Expenses$2,577,163$64,588-$2,577,163
Insurance$1,707,513$724,674-$2,432,187
Fees for Services Legal$67,572$1,279,196-$1,346,768
Fees for Service Investment Mgmnt Fees-$860,570-$860,570
Travel$171,497$305,212-$476,709
Comp Disqual Persons-$452,427-$452,427
Fees for Services Accounting-$359,586-$359,586
Conferences and Meetings$169,264$75,910-$245,174
Grants to Domestic Orgs$161,641--$161,641
Fees for Services Lobbying$835$12,980-$13,815
Total Functional Expenses$725,716,849$126,112,873$0$851,829,722
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Healthy Moms & Babes IncCincinnati, OH501(c)(3)General Support$46,347
Cincinnati Zoo and Botanical GardensCincinnati, OH501(c)(3)Sponsorship$30,898
Cincinnati Museum CenterCincinnati, OH501(c)(3)Capital Support$8,828
FRIAR'S CLUB INCCincinnati, OH501(c)(3)General Support$8,828
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Organizations$45,887,437
Third Party Settlements$7,561,707
Malpractice Insurance/workers Comp Liability$3,091,478
Joa Revenue Share Payable$1,906,977

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACounty of Hamilton Ohio (line A)2017-04-12$316,011,223BUILDINGS AND STRUCTURES
BCounty of Hamilton Ohio (line B)2020-05-14$148,454,656Buildings, structures & refund of taxable & tax-exempt bonds issued 9/29/15
CCounty of Hamilton Ohio (line C)2021-05-27$100,000,000Buildings, structures, equipment, refund of tax-exempt bonds issued 4/19/17

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$318,770,658$290,478$3,795,000$3,974,594
B$155,844,810$36,938,431$5,200,000$1,811,516
C$100,849,187$82,902,020-$1,011,750

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
Yes
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Bethesda hospital, inc. Has two corporate members - bethesda, inc. (voting member) and trihealth, inc. (non-voting member).

Form 990, Part VI, Section A, Line 7A

Bethesda, inc. Has the ability to elect members to the governing body of bethesda hospital, inc.

Form 990, Part VI, Section A, Line 7B

Bethesda, 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 11B

Members 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 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 hospital, inc.'s governing documents, conflicts of interest policy and financial statements are available upon request.

Form 990, Part VI, Section A, Line 1A

The 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 VI, Section B, Line 16B

During 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 Week

The 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.

Filing and Contact Details

Filer

Filer Name
Bethesda Hospital Inc
EIN
31-0537122
Phone
5135696575
Address
625 EDEN PARK DRIVE 7TH FLOOR, CINCINNATI, OH 45202

Signing Officer

Name
Michael Crofton
Title
VP Finance
Phone
5135696577
Signed
2025-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Clement
Formed
1896
Legal Domicile
Oh
Voting Board Members
13
Independent Board Members
10
Employees
3,650
Volunteers
524

Preparer

Firm
Deloitte Tax Llp
Address
111 MONUMENT CIRCLE SUITE 4200, INDIANAPOLIS, IN 46204-5108
Preparer
Shawna M Jansons
Phone
3174648600
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Contributed capital to parent -2,000,000. Loss on unconsolidated organizations -100,194,714. Change in pension plan/serp funded status 62,389,922. Change in temporarily restricted net assets held at foundation 16,825,015. Net special funds activity -106,910. Adjustment to true up investment in trihealth, inc. 462,231.

Form 990, Part I, Line 6

During the tax year, bethesda hospital, inc. Was assisted by 524 volunteers who donated approximately 62,400 hours.

Form 990, Part XII, Line 2C

The 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.

Financial Statement Notes

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 completed an analysis of uncertain tax positions and determined that no amounts were required to be recognized in the combined financial statements at june 30, 2024 or 2023. 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 that no amounts were required to be recognized on the consolidated financial statements at june 30, 2024 or 2023.

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IRS990/Form990PartVIISectionAGrp/TitleTxt13MED STAFF PRES (START 1/24)
IRS990/Form990PartVIISectionAGrp/TitleTxt14MED STAFF PRES (START 1/24)
IRS990/Form990PartVIISectionAGrp/TitleTxt15ASST TREASURER (END 2/24)
IRS990/Form990PartVIISectionAGrp/TitleTxt16ASST SECRETARY/SVP LEGAL
IRS990/Form990PartVIISectionAGrp/TitleTxt17CHIEF HR OFFICER (10/23-1/24)

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