TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) PHILLIP COX...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0
(2) RANCE DUKE...................................................................... TRUSTEE	1.00 ................. 2.00	X		0	0
(3) CRAIG EISENTROUT MD...................................................................... TRUSTEE (END 6/22)	1.00 ................. 1.00	X		0	0
(4) ELLEN KATZ...................................................................... CHAIRPERSON (END 6/22)/TRUSTEE	1.00 ................. 0.00	X	X	0	0
(5) WILLIAM TSACALIS...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0
(6) YVONNE WASHINGTON...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0
(7) STUART DONOVAN MD...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(8) KATHLEEN KELLY...................................................................... TRUSTEE	1.00 ................. 2.00	X		0	0
(9) MARK HOLCOMB...................................................................... TRUSTEE (END 6/22)	1.00 ................. 0.00	X		0	0
(10) LISA KNUTSON...................................................................... TRUSTEE (END 11/21)	1.00 ................. 0.00	X		0	0
(11) JILL MILLER...................................................................... PRESIDENT & CEO	60.00 ................. 0.00	X	X	301,771	88,491
(12) DAN MOLINA...................................................................... SECRETARY	1.00 ................. 0.00	X	X	0	0
(13) JONATHAN NIEMEYER...................................................................... TREASURER (END 6/22)/TRUSTEE	1.00 ................. 0.00	X	X	0	0
(14) MELISSA THOMASSON...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0
(15) CHAD REARDON...................................................................... TRUSTEE/TREASURER (START 6/22)	1.00 ................. 0.00	X	X	0	0
(16) CYNTHIA BOOTH...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(17) BOB COLLINS MD...................................................................... TRUSTEE/CHAIRPERSON (START 6/22)	1.00 ................. 1.00	X	X	0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) CLARK HANDY........................................................................ TRUSTEE (END 6/22)	1.00 .......................1.00	X			0	0
(19) QUINT STUDER........................................................................ TRUSTEE	1.00 .......................1.00	X			0	0
(20) DANNY FISCHER MD........................................................................ TRUSTEE (END 6/22)	1.00 .......................2.00	X			51,450	0
(21) DENISE KUPRIONIS........................................................................ TRUSTEE/VICE CHAIR (START 6/22)	1.00 .......................0.00	X	X		0	0
(22) KRISTINE GARRETT........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0
(23) BOB MITCHELL........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0
(24) CHRISTINE KUHNS........................................................................ TRUSTEE (START 9/21)	1.00 .......................0.00	X			0	0
(25) MICHAEL CROFTON........................................................................ ASST. TREASURER	1.00 .......................60.00		X		448,985	120,625
(26) CHARLES CROWTHER........................................................................ VP & CHIEF INVEST OFFICER	60.00 .......................0.00		X		451,682	120,221
(27) STEVE GRACEY........................................................................ ASST. SECRETARY	1.00 .......................60.00		X		655,772	127,434
(28) PRADEEP WARIKOO MD........................................................................ PHYSICIAN	60.00 .......................0.00			X	319,838	65,026
(29) KASEY REYNOLDS MD........................................................................ PHYSICIAN	60.00 .......................0.00			X	397,967	56,273
(30) ISELA ROBERTSHAW MD........................................................................ PHYSICIAN	60.00 .......................0.00			X	325,565	64,616
(31) JENNIFER ZIMMERMAN........................................................................ VP-EVALUATION & IMPACT	60.00 .......................0.00			X	153,787	40,982

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

BETHESDA INC

Employer identification number

31-1108895

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................1

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) BETHESDA HOSPITAL INC	310537122	3	Yes		0	0

Total 1					0	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Yes

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Yes

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Yes

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

Yes

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Yes

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Yes

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Yes

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
PART IV, SECTION A, LINE 6	BETHESDA INC. CURRENTLY SERVES AS THE PARENT AND SOLE VOTING MEMBER OF BETHESDA HOSPITAL, INC. IN ADDITION, BETHESDA, INC. WAS ESTABLISHED IN 1983 TO SERVE AS THE PARENT COMPANY OF BETHESDA HOSPITAL, INC., BETHESDA FOUNDATION, INC. AND BETHESDA HEALTHCARE, INC. EACH OF THESE ENTITIES IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A). BEGINNING IN 1995, BETHESDA INC. ALSO SERVES AS A CORPORATE MEMBER OF TRIHEALTH, INC., WHICH SERVES AS THE OPERATING COMPANY OF AN INTEGRATED HEALTH CARE SYSTEM (OF WHICH BETHESDA HOSPITAL, INC. AND BETHESDA HEALTHCARE, INC. ARE A PART) CONSISTING OF 5 HOSPITALS, 3 AMBULATORY LOCATIONS AND APPROXIMATELY 125 PRIMARY AND SPECIALIST PHYSICIAN LOCATIONS SERVING GREATER CINCINNATI AND THE SURROUNDING AREAS. FROM TIME TO TIME, BETHESDA, INC. WILL SPONSOR VARIOUS INITIATIVES, GENERALLY THROUGH TRIHEALTH, INC., TO LEAD HEALTH CARE TRANSFORMATION. BETHESDA INC.'S BYLAWS PERMIT HEALTHCARE GRANTS THAT WILL BENEFIT BETHESDA HOSPITAL, INC., TRIHEALTH INC. AND/OR THE GREATER CINCINNATI COMMUNITY, CONSISTENT WITH BETHESDA, INC.'S OBLIGATION AS A SUPPORTING ORGANIZATION OF BETHESDA HOSPITAL. SPECIFICALLY, IN FISCAL YEAR 2022, BETHESDA, INC. MADE GRANTS TO THE FOLLOWING GRANTEE ORGANIZATIONS: 1) TRIHEALTH, INC., AN OHIO NONPROFIT CORPORATION, 501(C)(3) ORGANIZATION (EIN: 31-1438846). * TRIHEALTH, INC. FUNDING FROM BETHESDA INC. WILL ENABLE TRIHEALTH TO RESEARCH, EVALUATE AND IDENTIFY EVIDENCE-BASED MODELS FROM INTEGRATING BEHAVIORAL HEALTH INTO ADULT PRIMARY CARE PRACTICES AND THREE KEY TRIHEALTH INSTITUTES. ALSO, IT HELPED FUND THE TRIHEALTH WAY OF LEADING INITIATIVE.
PART IV, SECTION D, LINE 3	YES, THE SUPPORTED ORGANIZATION (BETHESDA HOSPITAL, INC.) HAD A SIGNIFICANT VOICE IN BETHESDA, INC.'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF BETHESDA, INC.'S INCOME OR ASSETS AT ALL TIMES DURING THE TAX YEAR. SPECIFICALLY: 1) PURSUANT TO BETHESDA, INC.'S BYLAWS, BETHESDA, INC.'S GRANTS COMMITTEE SHALL INCLUDE AT LEAST TWO EXECUTIVE OFFICERS OF BETHESDA HOSPITAL, INC. 2) PURSUANT TO ITS BYLAWS, BETHESDA, INC. SHALL COORDINATE WITH BETHESDA HOSPITAL, INC. WITH RESPECT TO IDENTIFYING AND EVALUATING GRANTS. FURTHER, PURSUANT TO ITS BYLAWS, BETHESDA, INC. SHALL FULFILL THE FOLLOWING DUTIES (IN PART): (I) DEVELOP PROTOCOLS TO ASSIST IN MANAGING ITS GRANT FUNDING PROGRAM INCLUDING PROCEDURES FOR COORDINATION WITH BETHESDA HOSPITAL AND BETHESDA FOUNDATION, INC.; (II) ENSURE THAT PROJECTS UNDERTAKEN OR PURSUED BY BETHESDA HOSPITAL OR TRIHEALTH, INC. FOR WHICH BETHESDA, INC.'S FUNDING IS REQUESTED, ARE GIVEN CONSIDERATION FOR SUPPORT AND FUNDING; (III) REVIEW FUNDING REQUESTS FROM BETHESDA HOSPITAL AND MAKE RECOMMENDATIONS TO BETHESDA INC.'S BOARD ON THE AWARDING OF GRANTS TO BETHESDA HOSPITAL; AND (IV) REVIEW APPLICATIONS FOR COMMUNITY GRANTS AND IN COORDINATION WITH THE BETHESDA HOSPITAL REPRESENTATIVES ON THE COMMITTEE, PREPARE RECOMMENDATIONS FOR BETHESDA INC.'S BOARD'S APPROVAL AS TO GRANT PROPOSALS TO BE SUBMITTED TO THE BOARD OF TRUSTEES OF BETHESDA HOSPITAL FOR COMMUNITY GRANTS. 2) THE CHIEF FINANCIAL OFFICER (OR AN APPOINTEE) OF TRIHEALTH, INC., THE OPERATING COMPANY OF THE INTEGRATED HEALTH CARE SYSTEM OF WHICH BETHESDA HOSPITAL, INC. IS A PART, SERVES AS THE ASSISTANT TREASURER OF BETHESDA, INC. AND ATTENDS SUBSTANTIALLY ALL (IF NOT ALL) OF BETHESDA, INC.'S FINANCE COMMITTEE MEETINGS. 3) A NUMBER OF TRUSTEES AND OFFICERS OF BETHESDA HOSPITAL, INC. ALSO SERVE AS TRUSTEES OR OFFICERS OF BETHESDA, INC. THERE ARE 8 INDIVIDUALS THAT CURRENTLY SERVE AS AN OFFICER OR TRUSTEE OR BETHESDA HOSPITAL, INC. AND ALSO AS AN OFFICER OR TRUSTEE OF BETHESDA, INC.
PART IV, SECTION E, LINE 3A	BETHESDA, INC. HAS THE POWER TO REGULARLY APPOINT/ELECT 10 OF THE 13 MEMBERS OF THE GOVERNING BODY OF BETHESDA HOSPITAL, INC. (5 OF WHOM ARE RECOMMENDED BY BETHESDA, INC. AND 5 OF WHOM ARE RECOMMENDED BY CATHOLIC HEALTH INITIATIVES, AN UNRELATED TAX-EXEMPT ORGANIZATION). FURTHER, BETHESDA, INC. AS THE SOLE VOTING MEMBER ("VOTING MEMBER") OF BETHESDA HOSPITAL, INC. HAS AUTHORITY WITH RESPECT TO THE BOARD OF TRUSTEES INCLUDING THE FOLLOWING: 1) APPROVE THE REMOVAL OF A TRUSTEE FOR CAUSE UPON THE RECOMMENDATION OF THE BOARD OF TRUSTEES OF BETHESDA HOSPITAL, INC; AND 2) REMOVE ANY TRUSTEE OF THE BOARD OF TRUSTEES OF BETHESDA HOSPITAL, INC. WITH OUR WITHOUT CAUSE.
PART IV, SECTION E, LINE 3B	BETHESDA, INC. IS THE SOLE VOTING MEMBER OF BETHESDA HOSPITAL, INC. AS THE SOLE VOTING MEMBER, BETHESDA INC. HAS SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF BETHESDA HOSPITAL, INC. SPECIFICALLY, BETHESDA, INC. HAS AUTHORITY AS FOLLOWS (NOT AN EXHAUSTIVE LIST): 1) THE CHIEF EXECUTIVE OFFICER OF BETHESDA, INC. IS THE PERSON APPOINTED BY BETHESDA, INC. TO OVERSEE THE ACTIVITIES AND AFFAIRS OF BETHESDA HOSPITAL, INC. AND OTHER HEALTHCARE ENTITIES WITHIN THE BETHESDA INC. SYSTEM. 2) EXCEPT AS PROVIDED IN ANY GOVERNING DOCUMENT, BETHESDA, INC. SHALL HAVE ALL OF THE RIGHTS REGARDING MANAGEMENT AND CONTROL THAT ARE GRANTED OR PERMITTED TO A VOTING MEMBER UNDER OHIO LAW. 3) SUBJECT TO AN AFFILIATION AGREEMENT, BETHESDA, INC. HAS THE POWER TO TRANSFER ASSETS TO BETHESDA HOSPITAL, INC. AND FROM BETHESDA HOSPITAL, INC. 4) BETHESDA, INC. MAY GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. 5) THE BUSINESS, PROPERTY, AFFAIRS, AND FUNDS OF BETHESDA HOSPITAL, INC. SHALL BE MANAGED, SUPERVISED, AND CONTROLLED BY ITS BOARD IN CONFORMITY WITH APPLICABLE POLICIES, PROCEDURES, AND THE MISSION OF BETHESDA, INC. 6) ANY TRUSTEE OF BETHESDA HOSPITAL, INC. MAY BE REMOVED, WITH OR WITHOUT CAUSE, AT ANY TIME BY BETHESDA, INC. 7) BETHESDA, INC. SHALL APPROVE AMENDMENTS TO BETHESDA HOSPITAL, INC'S CODE OF REGULATIONS PROPOSED BY THE HOSPITAL'S BOARD AND, SUBJECT TO AN AFFILIATION AGREEMENT, BETHESDA, INC. SHALL AT ALL TIMES RETAIN THE RIGHT AND POWER TO UNILATERALLY AMEND BETHESDA HOSPITAL INC.'S CODE OF REGULATIONS. 8) THE BOARD OF TRUSTEES OF BETHESDA HOSPITAL, INC. SHALL PREPARE AND SUBMIT FOR THE REVIEW OF BETHESDA, INC.: (I) A REPORT ON THE MISSION AND PROFESSIONAL FINANCIAL ACTIVITIES OF BETHESDA HOSPITAL, INC.; (II) STATEMENTS OF THE OPERATING AND CAPITAL BUDGETS OF BETHESDA HOSPITAL, INC.; AND (III) A REPORT OF THE STRATEGIC PLANS AND OBJECTIVES OF BETHESDA HOSPITAL, INC. 9) BETHESDA, INC. MUST APPROVE CERTAIN FINANCIAL TRANSACTIONS UNDERTAKEN BY BETHESDA HOSPITAL, INC. 10) IN ADDITION, BETHESDA, INC. IS ONE OF TWO CORPORATE MEMBERS OF TRIHEALTH, INC., THE OPERATING COMPANY OF THE INTEGRATED HEALTH CARE SYSTEM OF WHICH BETHESDA HOSPITAL, INC. IS A PART. AS SUCH, IT HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF TRIHEALTH, INC. AND IT MUST APPROVE AMENDMENTS TO THE ORGANIZING DOCUMENTS OF TRIHEALTH, INC. AS WELL AS SPECIFIED TRANSACTIONS (E.G. APPROVAL OF A NEW CEO OF TRIHEALTH, INC., BUSINESS MERGERS, ETC.). IN ADDITION, AS THE PARENT ORGANIZATION OF BETHESDA HOSPITAL, INC., BETHESDA, INC. SUPPORTED THE HOSPITAL IN THE FOLLOWING WAYS: 1) PROFESSIONALLY MANAGED INVESTMENTS OF APPROXIMATELY $300 MILLION TO HELP BETHESDA HOSPITAL, INC. ACHIEVE ITS EXEMPT PURPOSE. 2) PROVIDED OVERSIGHT OF THE OPERATIONS OF BETHESDA HOSPITAL, INC. IN ADDITION, THE BOARD OF DIRECTORS OF BETHESDA, INC. ULTIMATELY APPROVED VARIOUS TRANSACTIONS PRIOR TO FINALIZATION BY BETHESDA HOSPITAL, INC.

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

BETHESDA INC

Employer identification number

31-1108895

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	480,000		480,000
b	Buildings ....	5,464,698	2,640,011	2,824,687
c	Leasehold improvements	460,829	263,812	197,017
d	Equipment ....	750,345	455,021	295,324
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,797,028

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) REAL ESTATE	7,912,505	F
(B) PRIVATE DEBT	5,770,904	F
(C) PRIVATE EQUITY	11,197,688	F
(D) HEDGE FUNDS	8,953,272	F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	33,834,369

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)INVESTMENT IN AEIX				12,695,200
(2)DUE FROM RELATED ORGANIZATION				731,700
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				13,426,900

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	300
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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 THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 OR 2021.

Return Reference

Explanation

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 THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 OR 2021.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
BETHESDA INC

Employer identification number

31-1108895

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	76,967,692
	EUROPE	0	0	INVESTMENTS	2,021,219















3a	Sub-total ....	0	0		78,988,911
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		78,988,911

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2021

Schedule F (Form 990) 2021Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART III ACCOUNTING METHOD:
PART I, LINE 3 - ACTIVITIES PER REGION	ONE ASPECT OF BETHESDA'S EXEMPT PURPOSE IS SUPPORTING ITS SUBSIDIARIES BY HELPING THEM ENSURE STRATEGIC ALIGNMENT WITH THE PURPOSE OF ACHIEVING THE OVERALL MISSION TO PROVIDE THE COMMUNITY WITH EXCEPTIONAL HEALTHCARE. TO ASSIST ITS SUBSIDIARIES IN THIS MISSION, BETHESDA, INC. INVESTS FUNDS ON THEIR BEHALF. FOR FINANCIAL STATEMENT PURPOSES, EACH SUBSIDIARY REPORTS A PORTION OF THESE INVESTMENTS ON ITS RESPECTIVE BALANCE SHEET. HOWEVER, BETHESDA, INC. IS THE ACTUAL HOLDER OF THE ASSOCIATED INVESTMENTS DISCLOSED IN PART I, LINE 3. THEREFORE, THE BOOK VALUE OF ALL APPLICABLE INVESTMENTS ARE DISCLOSED ON SCHEDULE F AND NOT JUST THE PORTION REPORTED ON BETHESDA, INC.'S BALANCE SHEET.

Schedule F (Form 990) 2021

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
BETHESDA INC

Employer identification number
31-1108895

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) BETHESDA FOUNDATION INC 10500 MONTGOMERY ROAD CINCINNATI,OH45242	23-7374129	501(C)(3)	6,177,500	TO FUND THE SCHOOL-TO-WORK ENDOWMENT AND ANNUAL SPONSORSHIP.
(2) TRIHEALTH INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202	31-1438846	501(C)(3)	2,664,823	TO SUPPORT VARIOUS HEALTH INNOVATION PROGRAMS.
(3) WOMEN HELPING WOMEN 215 EAST NINTH STREET 7TH FLOOR CINCINNATI,OH45202	31-0864991	501(C)(3)	1,000,000	TO SUPPORT INTERVENTION SERVICES, SHELTER AND HOUSING FOR VICTIMS OF DOMESTIC VIOLENCE.
(4) CHILDREN'S HOME OF NORTHERN KENTUCKY INC 200 HOME ROAD COVINGTON,KY41011	23-7068704	501(C)(3)	1,000,000	TO SUPPORT EXPANDING MENTAL HEALTH SERVICES IN A PANDEMIC CLIMATE
(5) GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202	31-1206047	501(C)(3)	940,573	TO FUND THE "WOMAN-CENTERED MEDICAL HOME FUND" FOR THE FACULTY MEDICAL CENTER PLUS ANNUAL GALA SUPPORT.
(6) GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202	31-0537486	501(C)(3)	740,520	TO FUND THE "WOMAN-CENTERED MEDICAL HOME FUND" FOR THE FACULTY MEDICAL CENTER.
(7) CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVE CINCINNATI,OH45229	31-0833936	501(C)(3)	527,000	ANNUAL SPONSORSHIP OF CRADLE CINCINNATI.
(8) GROUNDWORK OHIO ORGANIZATION 4041 N HIGH STREET SUITE 204 COLUMBUS,OH43214	85-2807114	501(C)(3)	437,500	TO SUPPORT VARIOUS COMMUNITY INNOVATION PROGRAMS.
(9) GREATER CINCINNATI FOUNDATION 720 E PETE ROSE WAY SUITE 120 CINCINNATI,OH45202	31-0669700	501(C)(3)	190,000	TO SPONSOR THE "RACIAL EQUITY MATTERS" EDUCATION SERIES.
(10) URBAN LEAGUE OF GREATER SOUTHWESTERN OHIO INC 3458 READING ROAD CINCINNATI,OH45229	31-0565428	501(C)(3)	126,000	ANNUAL SUPPORT
(11) AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS,TX75231	15-5613797	501(C)(3)	70,000	ANNUAL SUPPORT
(12) TALBERT HOUSE 2600 VICTORY PARKWAY CINCINNATI,OH45206	31-0713350	501(C)(3)	68,549	TO FUND A PRIMARY CARE CLINIC IN HAMILTON COUNTY, OHIO.
(13) HEALTH POLICY INSTITUTE OF OHIO 140 E TOWN STREET NO 1000 COLUMBUS,OH43215	30-0186863	501(C)(3)	65,000	TO PROVIDE CORE FUNDING SUPPORT FOR THIS ORGANIZATION'S RESEARCH AND ADVOCACY EFFORTS.
(14) BEST POINT BEHAVIORAL HEALTH 5050 MADISON ROAD CINCINNATI,OH45227	31-0536969	501(C)(3)	48,080	TO CREATE A STRATEGIC PLAN TO ADDRESS THE RESOURCE GAPS AND BARRIERS WITHIN THE MATERNAL MENTAL HEALTHCARE.
(15) PHILANTHROPY OHIO 500 S FRONT STREET COLUMBUS,OH43215	31-1111842	501(C)(3)	10,000	TO SUPPORT VARIOUS COMMUNITY INNOVATION PROGRAMS.
(16) GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES 1501 MADISON ROAD 2ND FLOOR CINCINNATI,OH45206	31-0802647	501(C)(3)	9,013	TO DEVELOP A SUSTAINABLE MODEL OF INTEGRATING BEHAVIORAL HEALTH SERVICES BY PROVIDING ON-SITE THERAPISTS.
(17) COHEAR PUBLIC BENEFIT LLC 791 E MC MILLIAN ST STE 101 CINCINNATI,OH45206	83-3069763		5,333	ORGANIZING AND FACILITATION OF TWO FOCUS GROUPS WITH LATINO COMMUNITY MEMBERS, COMPOSITION OF INSIGHTS REPORT.
(18) THE ABERCRUMBIE GROUP 10301 GIVERNY BLVD CINCINNATI,OH45241	30-0520187		7,500	TO SPONSOR THE 2022 THINK TANK ON EQUITY & INCLUSION IN HEALTHCARE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	BETHESDA, INC. MAINTAINS AN INDIVIDUAL RESPONSIBLE FOR MONITORING THE USE OF THE GRANTS IT AWARDS. REGULAR REPORTING IS REQUIRED OF THE GRANTEE AND FUNDS ARE NOT DISPERSED BY BETHESDA, INC. UNTIL THE INDIVIDUAL REVIEWS THE EXPENDITURES OF THE GRANTEE AND APPROVES THEM.

Schedule I (Form 990) 2021

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

BETHESDA INC

Employer identification number

31-1108895

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1STEVE GRACEY ASST. SECRETARY	(i) (ii)	0 ------------- 476,045	0 ------------- 149,376	0 ------------- 30,351	0 ------------- 115,788	0 ------------- 11,646	0 ------------- 783,206	0 ------------- 0
2CHARLES CROWTHER VP & CHIEF INVEST OFFICER	(i) (ii)	0 ------------- 344,453	0 ------------- 91,812	0 ------------- 15,417	0 ------------- 84,867	0 ------------- 35,354	0 ------------- 571,903	0 ------------- 0
3MICHAEL CROFTON ASST. TREASURER	(i) (ii)	0 ------------- 315,426	0 ------------- 126,740	0 ------------- 6,819	0 ------------- 97,505	0 ------------- 23,120	0 ------------- 569,610	0 ------------- 0
4KASEY REYNOLDS MD PHYSICIAN	(i) (ii)	0 ------------- 345,226	0 ------------- 51,250	0 ------------- 1,491	0 ------------- 21,197	0 ------------- 35,076	0 ------------- 454,240	0 ------------- 0
5JILL MILLER PRESIDENT & CEO	(i) (ii)	0 ------------- 237,181	0 ------------- 64,052	0 ------------- 538	0 ------------- 54,120	0 ------------- 34,371	0 ------------- 390,262	0 ------------- 0
6ISELA ROBERTSHAW MD PHYSICIAN	(i) (ii)	0 ------------- 287,363	0 ------------- 24,750	0 ------------- 13,452	0 ------------- 36,310	0 ------------- 28,306	0 ------------- 390,181	0 ------------- 0
7PRADEEP WARIKOO MD PHYSICIAN	(i) (ii)	0 ------------- 293,809	0 ------------- 8,700	0 ------------- 17,329	0 ------------- 50,772	0 ------------- 14,254	0 ------------- 384,864	0 ------------- 0
8JENNIFER ZIMMERMAN VP-EVALUATION & IMPACT	(i) (ii)	0 ------------- 137,851	0 ------------- 14,699	0 ------------- 1,237	0 ------------- 10,178	0 ------------- 30,804	0 ------------- 194,769	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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. NO INDIVIDUALS LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION.
PART I, LINE 3:	TRIHEALTH, INC., A RELATED ORGANIZATION OF BETHESDA, 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, 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 2021 CALENDAR YEAR, NONE OF THE REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC.

Schedule J (Form 990) 2021

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

BETHESDA INC

Employer identification number

31-1108895

Return Reference	Explanation
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 VI, SECTION A, LINE 2	KATHY KELLY, QUINT STUDER, DANNY FISCHER, MD, CYNTHIA BOOTH, BOB COLLINS, MD, RANCE DUKE AND STEVE GRACEY HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OR BEING OFFICERS 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. ROBERT MITCHELL, JILL MILLER AND CRAIG EISENTROUT, MD HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON THE BOARD OF BETHESDA FOUNDATION, INC., A SUBSIDIARY OF BETHESDA, INC. JILL MILLER, MICHAEL CROFTON, STEVE GRACEY, 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.
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 XI, LINE 9:	CONTRIBUTED CAPITAL FROM SUBSIDIARY 10,000,000.
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.
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, PAST CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, SECRETARY AND TREASURER (EACH WITH EX OFFICIO WITH VOTE), AND TWO OTHER MEMBERS OF THE BOARD SELECTED BY THE CHAIRPERSON OF THE BOARD.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

BETHESDA INC

Employer identification number

31-1108895

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?
(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	Yes	No
(1)BETHESDA FOUNDATION INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 23-7374129	FUNDRAISING	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 7	BETHESDA INC	Yes
(2)BETHESDA HEALTHCARE INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-1027660	HEALTHCARE SERVICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 12B	TRIHEALTH INC	Yes
(3)BETHESDA HOSPITAL INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-0537122	INPATIENT AND OUTPATIENT SERVICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 3	TRIHEALTH INC	Yes
(4)BETHESDA PROPERTIES INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-1352694	PROPERTY MANAGEMENT	OH	SECTION 501(C)(2)		BETHESDA HOSPITAL INC	Yes
(5)BETHESDA FAMILY PRACTICE CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 31-1242442	HEALTHCARE SERVICES	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 12A	BETHESDA HOSPITAL INC	Yes
(6)HOSPICE OF CINCINNATI INCORPORATED 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 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,OH45202 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,OH45202 31-1438846	SUPPORT AFFILIATED HOSPITALS	OH	SECTION 501(C)(3)	SCHEDULE A, LINE 12B	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) 10600 MONTGOMERY LLC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 26-1964995	PROPERTY MANAGEMENT	OH	BETHESDA INC	RELATED	93,968	1,743,365		No		Yes		99.020 %

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?
(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	Yes	No
(1) TJ CUBEDMONTGOMERY 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 26-1964885	HOLDING COMPANY	OH	BETHESDA INC	S	996	18,172	100.000 %	Yes
(2) PREMIERE MEDICAL OWNERS ASSOCIATION 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI,OH45202 14-1913019	CONDO ASSOCIATION	OH	N/A	C				Yes

Schedule R (Form 990) 2021

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

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) BETHESDA FOUNDATION INC	B	6,177,500	CASH
(2) BETHESDA HOSPITAL INC	C	10,000,000	CASH
(3) BETHESDA PROPERTIES INC	K	283,065	FMV
(4) BETHESDA HOSPITAL INC	O	1,385,078	FMV

Schedule R (Form 990) 2021

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)	(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO BE A LEADER IN CONTRIBUTING TO THE IMPROVEMENT OF HEALTH/WELL-BEING IN THE CINCINNATI COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	23
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	21
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	21
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,205,791
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	111,074

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	610,681	437,095
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	52,576,207	-3,256,913
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	72,679	66,074
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	53,259,567	-2,753,744
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	12,749,621	14,099,141
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,975,758	2,534,957
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	14,725,379	16,634,098
19	Revenue less expenses. Subtract line 18 from line 12.......	38,534,188	-19,387,842
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	223,681,263	201,605,928
21	Total liabilities (Part X, line 26).............	276,063	228,524
22	Net assets or fund balances. Subtract line 21 from line 20.....	223,405,200	201,377,404

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 15,293,254 including grants of $ 14,099,141 ) (Revenue $ 437,095 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses15,293,254

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	3,106,817	683,668

(A) Name and business address	(B) Description of services	(C) Compensation
RICK MILLER COMMUNICATIONS 7091 RAVENS RUN CINCINNATI,OH45244	MARKETING	258,710




2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a	INVESTMENT MGMT REV.	523920	437,095	437,095
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		437,095

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,710,873		1,205,791	505,082
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		520,555	6a
b	Less: rental expenses		454,481	6b
c	Rental income or (loss)		66,074	6c
d	Net rental income or (loss).......			66,074			66,074
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		66,613,876	7a
b	Less: cost or other basis and sales expenses		71,581,662	7b
c	Gain or (loss)		-4,967,786	7c
d	Net gain or (loss).........			-4,967,786			-4,967,786
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			-2,753,744	437,095	1,205,791	-4,396,630

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	14,099,141	14,099,141
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	819,906		819,906
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	216,954	207,314	9,640
12	Advertising and promotion ....	21,334	17,334	4,000
13	Office expenses .......	3,447	2,317	1,130
14	Information technology ......	718	548	170
15	Royalties ..
16	Occupancy ...........	15,307		15,307
17	Travel ............	8,774	7,887	887
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	20,019	13,010	7,009
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,239		1,239
23	Insurance ...
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PAYROLL MANAGEMENT	1,385,078	920,564	464,514
b	DUES & SUBSCRIPTIONS	17,584	17,380	204
c	OVERHEAD ALLOCATION	13,704		13,704
d	BUSINESS MEALS	3,073	3,073
e	All other expenses	7,820	4,686	3,134
25	Total functional expenses. Add lines 1 through 24e	16,634,098	15,293,254	1,340,844	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............				4
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......				9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	7,155,872
b	Less: accumulated depreciation	10b	3,358,844	4,072,460	10c	3,797,028
11	Investments—publicly traded securities .			160,402,244	11	150,547,631
12	Investments—other securities. See Part IV, line 11 .....			46,372,164	12	33,834,369
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			12,834,395	15	13,426,900
16	Total assets. Add lines 1 through 15 (must equal line 33)...			223,681,263	16	201,605,928

17	Accounts payable and accrued expenses .....	273,814	17	228,224
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	2,249	25	300
26	Total liabilities. Add lines 17 through 25..	276,063	26	228,524

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	223,405,200	27	201,377,404
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	223,405,200	32	201,377,404
33	Total liabilities and net assets/fund balances ........	223,681,263	33	201,605,928

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No