Civic Intelligence

Bethesda Inc.

990 • Fiscal year 2017 • EIN 31-1108895

Jul 01, 2016 to Jun 30, 2017 • Filed on May 10, 2018

619 Oak Street - Accounting 3 WestCincinnati, OH 45206

(513) 569-6575

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

10th percentile

0.01x

Higher debt load relative to assets than 10% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

19th percentile

0.15x

Higher debt load relative to revenue than 19% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

92nd percentile

48%

Higher net margin than 92% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

86th percentile

$1,414,017

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 8.4% of source-year revenue.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

80th percentile

15%

Faster asset growth than 80% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2016 to 2017

Assets

Up

$169,172,307

Up $22,074,614 (+15%) from 2016

Net Assets

Up

$166,734,945

Up $21,553,981 (+15%) from 2016

Liabilities

Up

$2,437,362

Up $520,633 (+27%) from 2016

Revenue

Up

$16,801,673

Up $21,926,014 (+428%) from 2016

Expenses

Up

$8,793,436

Up $4,533,639 (+106%) from 2016

Net Income

Up

$8,008,237

Up $17,392,375 (+185%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0Assets 2010: $379,408,301Liabilities 2010: $6,330,981Net Assets 2010: $373,077,3202010Assets 2011: $421,797,466Liabilities 2011: $4,014,142Net Assets 2011: $417,783,3242011Assets 2012: $426,200,370Liabilities 2012: $3,735,907Net Assets 2012: $422,464,4632012Assets 2013: $441,908,192Liabilities 2013: $1,161,046Net Assets 2013: $440,747,1462013Assets 2014: $464,452,743Liabilities 2014: $2,554,884Net Assets 2014: $461,897,8592014Assets 2015: $144,210,653Liabilities 2015: $328,076Net Assets 2015: $143,882,5772015Assets 2016: $147,097,693Liabilities 2016: $1,916,729Net Assets 2016: $145,180,9642016Assets 2017: $169,172,307Liabilities 2017: $2,437,362Net Assets 2017: $166,734,9452017Assets 2018: $187,217,699Liabilities 2018: $6,996,050Net Assets 2018: $180,221,6492018Assets 2019: $188,509,934Liabilities 2019: $218,078Net Assets 2019: $188,291,8562019Assets 2020: $187,938,288Liabilities 2020: $2,593,551Net Assets 2020: $185,344,7372020Assets 2021: $223,681,263Liabilities 2021: $276,063Net Assets 2021: $223,405,2002021Assets 2022: $201,605,928Liabilities 2022: $228,524Net Assets 2022: $201,377,4042022Assets 2023: $207,595,897Liabilities 2023: $237,553Net Assets 2023: $207,358,3442023Assets 2024: $215,270,097Liabilities 2024: $105,256Net Assets 2024: $215,164,8412024

Highlighted filing

2017

Assets$169,172,307
Liabilities$2,437,362
Net Assets$166,734,945

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $856,6122010Expenses 2011: $4,023,1792011Expenses 2012: $4,681,8122012Expenses 2013: $3,727,0562013Revenue 2014: $17,631,585Expenses 2014: $3,085,726Net Income 2014: $14,545,8592014Revenue 2015: $5,589,437Expenses 2015: $2,207,038Net Income 2015: $3,382,3992015Revenue 2016: -$5,124,341Expenses 2016: $4,259,797Net Income 2016: -$9,384,1382016Revenue 2017: $16,801,673Expenses 2017: $8,793,436Net Income 2017: $8,008,2372017Revenue 2018: $13,911,898Expenses 2018: $8,932,360Net Income 2018: $4,979,5382018Revenue 2019: $5,247,379Expenses 2019: $10,994,740Net Income 2019: -$5,747,3612019Revenue 2020: $2,121,549Expenses 2020: $16,033,707Net Income 2020: -$13,912,1582020Revenue 2021: $53,259,567Expenses 2021: $14,725,379Net Income 2021: $38,534,1882021Revenue 2022: -$2,753,744Expenses 2022: $16,634,098Net Income 2022: -$19,387,8422022Revenue 2023: $1,334,320Expenses 2023: $15,766,767Net Income 2023: -$14,432,4472023Revenue 2024: $21,118,374Expenses 2024: $17,707,518Net Income 2024: $3,410,8562024

Highlighted filing

2017

Revenue$16,801,673
Expenses$8,793,436
Net Income$8,008,237
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 10, 2018
Return Version
2016v3.0
Gross Receipts
$35,672,518
Mission and Program Overview

Mission

To be a leader in contributing to the improvement of health/well-being in the cincinnati community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$112,489,219$131,749,858▲ $19,260,639
Investments Other Securities$27,493,568$33,185,263▲ $5,691,695
Land, Buildings, and Equipment, Net$4,472,719$4,237,186▼ $235,533
Total Assets$147,097,693$169,172,307▲ $22,074,614
Other Assets Total$2,642,187$0▼ $2,642,187
Liabilities
Other Liabilities$0$2,206,059▲ $2,206,059
Accounts Payable and Accrued Expenses$1,916,729$231,303▼ $1,685,426
Total Liabilities$1,916,729$2,437,362▲ $520,633
Net Assets / Fund Balance
Unrestricted Net Assets$145,180,964$166,734,945▲ $21,553,981
Total Net Assets Fund Balance$145,180,964$166,734,945▲ $21,553,981
Total Liabilities and Net Assets / Fund Balance$147,097,693$169,172,307▲ $22,074,614

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,580,699$986,442$4,567,141
Land$480,000-$480,000
Equipment$109,529$239,952$349,481
Leasehold Improvements$66,958$138,741$205,699
Other Securities$10,172,319--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Mark Delworth MdMed Staff Pres$123,600$123,600

Board Members and Trustees

NameTitle
Mark HolcombChairperson
Jill MillerPresident
Kathleen KellyVice Chairperson
Bill GrafTrustee
Craig Eisentrout MdTrustee
Dan MolinaTrustee
Edmund Jones MdTrustee
Grant HesserTrustee
Greg CarmichaelTrustee
J James PearceTrustee
Jonathan NiemeyerTrustee
Lisa KnutsonTrustee
Melissa ThomassonTrustee
Michael HaverkampTrustee
Myrtis PowellTrustee
Phillip CoxTrustee
Rance DukeTrustee
Stuart Donovan MdTrustee
Wayne ShircliffTrustee
Yvonne WashingtonTrustee
Chad ReardonTrustee (start 3/17)
Donna Nienaber EsqAsst. Sec. (end 7/16)
Steve GraceyAsst. Sec. (start 4/17)
Michael CroftonAsst. Treas. (end 4/17)
Brian KrauseAsst. Treas. (start 4/17)
John ProutFormer Key Employee
Craig RuckerFormer Officer
Glen Hofmann MdPhysician
Isela Robertshaw MdPhysician
Kasey Reynolds MdPhysician
Pradeep Warikoo MdPhysician
Ellen KatzSecretary
William TsacalisTreasurer
Charles CrowtherVP & Chief Invest Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$213,073
Investment Income
$16,399,905
Other Revenue
$188,695
Change in Net Assets
$8,008,237
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$7,218,794
Other Expenses$1,574,642
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$7,218,794--$7,218,794
Fees for Service Investment Mgmnt Fees-$581,225-$581,225
Fees for Services Other$214,235$109,967-$324,202
Occupancy-$72,617-$72,617
Office Expenses$1,569$5,952-$7,521
Travel$4,842$1,051-$5,893
Other Expenses$5,790$3,977-$3,977
Conferences and Meetings$955$2,789-$3,744
Advertising$800$2,050-$2,850
Information Technology$2,137--$2,137
Depreciation Depletion-$2,121-$2,121
Fees for Services Legal-$1,426-$1,426
All Other Expenses$145$799-$944
Total Functional Expenses$7,638,825$1,154,611$0$8,793,436
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Trihealth IncCincinnati, OH501(c)(3)Various Grant Support$7,138,753
Bethesda Foundation IncCincinnati, OH501(c)(3)Program Support$75,000

International Summary

Offices
0
Employees
0
Spending
$139,754,874

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments---$139,754,874
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 Organization$2,206,059
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 family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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 2

Wayne shircliff, mark delworth, md, craig eisentrout, md, michael haverkamp, myrtis powell and lisa knutson have a "business relationship" with each other by virtue of sitting on the board of bethesda hospital, inc., a subsidiary of bethesda, inc. As well as trihealth, inc., the good samaritan hospital of cincinnati, ohio, and trihealth hospital, inc., all affiliated entities. Edmund jones, md, grant hesser, rance duke, craig eisentrout, md, myrtis powell and bill graf have a "business relationship" with each other by virtue of sitting on the board of bethesda foundation, inc., a subsidiary of bethesda, inc. Michael crofton and myrtis powell have a "business relationship" with each other by virtue of sitting on the board of mccullough-hyde memorial hospital. Donna nienaber, esq., jill miller, michael crofton, steve gracey, brian krause, charles crowther, craig eisentrout, md and stuart donovan, 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. Or its affiliates/subsidiaries. Mark delworth, md and stuart donovan, md have a "business relationship" with each other by virtue of being officers of the bethesda hospital medical/dental staff.

Form 990, Part VI, Section A, Line 4

During the fiscal year, the code of regulations ("bylaws") of bethesda, inc. Were amended to remove the class b membership. Effective june 13, 2017, there is only one class of membership of bethesda, inc. And they are those persons who, at any time, are the duly elected and acting trustees. Each person taking office as a trustee shall become automatically a member of bethesda, inc. In addition, each person ceasing for any reason to be a trustee shall, at the same time, cease to be a member of bethesda, inc.

Form 990, Part VI, Section A, Line 6

The members of bethesda, inc. Are those persons who, at any time, are the duly elected and acting trustees. Each person taking office as a trustee shall become automatically a member of bethesda, inc., and each person ceasing for any reason to be a trustee shall, at the same time, cease to be a member.

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

The members of bethesda, inc. Are those persons who, at any time, are the duly elected and acting trustees. Each person taking office as a trustee shall become automatically a member of bethesda, inc., and each person ceasing for any reason to be a trustee shall, at the same time, cease to be a member. The members of bethesda, inc. Shall be entitled to vote in the election of the board of trustees, in the election of members, and in any other matters provided for in the code of regulations ("bylaws") or by law to be acted upon by the members of bethesda, inc.

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

As the current board of directors represent the members of bethesda, inc. All decisions are subject to approval by the members.

Form 990, Part VI, Section B, Line 11B

Prior to filing, all voting members of the board are provided an electronic copy of the form 990, after review by the finance and audit committee of the board, along with the committee's summary of the form 990. Subsequent to board review, the returns are filed making non-substantive changes as 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, inc.'s governing documents, conflicts of interest policy and financial statements are available upon request.

FORM 990, PART VII, SECTION A - AVERAGE HOURS PER WEEK:

The officers and directors for bethesda, inc. That show at least 60 hours per week, excluding the vp-treasury/investment services, 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. Compensation shown is for his/her duties as medical staff president of the respective hospital and not for serving as a director.

Form 990, Part VI, Line 1A

The board of trustees of bethesda, inc. ("the corporation"), established an executive committee which may transact all business of the board in the management of the corporation during the period between meetings of the board. It shall act in all personnel matters involving executive personnel including search, selection, employment, compensation, contracts and benefits and it shall assist the board in planning and developing activities or services to further the purposes of the corporation and to assist the community. The executive committee shall consist of the chairperson of the board, the vice chairperson, the president, secretary and treasurer.

Filing and Contact Details

Filer

Filer Name
Bethesda Inc
EIN
31-1108895
Phone
5135696575
Address
619 OAK STREET - ACCOUNTING 3 WEST, CINCINNATI, OH 45206

Signing Officer

Name
Brian Krause
Title
VP Finance
Phone
5135695126
Signed
2018-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jill Miller
Formed
1982
Legal Domicile
Oh
Voting Board Members
23
Independent Board Members
22
Employees
0
Volunteers
22

Preparer

Firm
Deloitte Tax Llp
Address
250 EAST FIFTH STREET, CINCINNATI, OH 45202
Preparer
Alicia Janisch
Phone
5137847100
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1

Bethesda, inc.'s focus is to collaborate with or fund local projects that can provide long-term, systemic solutions that improve how healthcare is provided. Outcomes would include reducing healthcare costs and enhancing the health of the community by enabling people to become more engaged in their own healthcare management.

Form 990, Part III, Line 4A

For over 100 years, bethesda inc., as parent to bethesda hospital, inc., has been a leader in developing, supporting and providing comprehensive health care services and innovative solutions to transform how health care is delivered in the greater cincinnati community. Since 1995, bethesda inc. Has been one of two joint sponsors of trihealth, inc., an integrated health delivery network that includes bethesda north hospital, good samaritan hospital, hospice of cincinnati, and other physician, fitness and wellness offerings, occupational health, community outreach, home health and ambulatory services. In addition, bethesda inc. Focuses on collaborating with and/or funding local projects that provide long-term, systemic solutions that improve how health care is provided in the greater cincinnati area. Outcomes may include reducing health care costs and enhancing the health of the community by enabling people to become more engaged in their own healthcare management. Finally, bethesda, inc. Supports its subsidiaries by helping them ensure strategic alignment with the purpose of achieving the overall mission to provide the community with exceptional healthcare.

FORM 990, PART XI, LINE 9:

Contributed capital from subsidiary 10,000,000. Transfer to subsidiary to fund community initiatives -1,745,273.

Form 990, Part XII, Line 2C

The financial statements of bethesda, inc. Are audited with its subsidiaries. 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.

Financial Statement Notes

PART X, LINE 2:

Following is the text of the footnote to the consolidated audited financial statements of bethesda, inc. ("company") that reports its and its subsidiaries liability, if applicable, for certain 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, 2017 and 2016.

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IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt19TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt20TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt21TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt22TRUSTEE (START 3/17)
IRS990/Form990PartVIISectionAGrp/TitleTxt23ASST. SEC. (END 7/16)
IRS990/Form990PartVIISectionAGrp/TitleTxt24ASST. TREAS. (END 4/17)
IRS990/Form990PartVIISectionAGrp/TitleTxt25VP & CHIEF INVEST OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt26PRESIDENT
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$215$0.11$215$21.1$17.7$3.41
2023Detailed filing. Detailed filing data is available for this year.$208$0.24$207$1.33$15.8$14.4
2022Detailed filing. Detailed filing data is available for this year.$202$0.23$201$2.75$16.6$19.4
2021Detailed filing. Detailed filing data is available for this year.$224$0.28$223$53.3$14.7$38.5
2020Detailed filing. Detailed filing data is available for this year.$188$2.59$185$2.12$16.0$13.9
2019Detailed filing. Detailed filing data is available for this year.$189$0.22$188$5.25$11.0$5.75
2018Detailed filing. Detailed filing data is available for this year.$187$7.00$180$13.9$8.93$4.98
2017Detailed filing. Detailed filing data is available for this year.$169$2.44$167$16.8$8.79$8.01
2016Detailed filing. Detailed filing data is available for this year.$147$1.92$145$5.12$4.26$9.38
2015Detailed filing. Detailed filing data is available for this year.$144$0.33$144$5.59$2.21$3.38
2014Detailed filing. Detailed filing data is available for this year.$464$2.55$462$17.6$3.09$14.5
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$442$1.16$441$3.73
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$426$3.74$422$4.68
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$422$4.01$418$4.02
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$379$6.33$373$0.86