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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2023, 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.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>480000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>480000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5523694</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2807627</DepreciationAmt>
        <BookValueAmt>2716067</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>460829</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>280821</DepreciationAmt>
        <BookValueAmt>180008</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1055812</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>530873</DepreciationAmt>
        <BookValueAmt>524939</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3901014</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>REAL ESTATE</Desc>
        <BookValueAmt>6452853</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>PRIVATE DEBT</Desc>
        <BookValueAmt>6054113</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>PRIVATE EQUITY</Desc>
        <BookValueAmt>9279110</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>HEDGE FUNDS</Desc>
        <BookValueAmt>13376533</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>35162609</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN AEIX</Desc>
        <BookValueAmt>13066400</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED ORGANIZATION</Desc>
        <BookValueAmt>863312</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>13929712</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ORGANIZATION</Desc>
        <Amt>300</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>300</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2023 OR 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>74226084</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EUROPE</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>1789444</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>76015528</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>76015528</TotalSpentAmt>
      <TransferToForeignCorpInd>1</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>1</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3 - ACTIVITIES PER REGION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRIHEALTH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>625 EDEN PARK DRIVE 7TH FLOOR</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>311438846</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7446867</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FUNDING OF NUMEROUS SYSTEM INITIATIVES AND PROJECTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FERNSIDE INC A CENTER FOR GRIEVING CHILDREN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>625 EDEN PARK DRIVE 7TH FLOOR</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>311179234</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1300000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT AND ENDOWMENT FUNDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BEST POINT BEHAVORIAL HEALTH (FKA THE CHILDREN'S HOME OF CINCINNATI)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5050 MADISON ROAD</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45227</ZIPCd>
        </USAddress>
        <RecipientEIN>310536969</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>888320</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>MATERNAL MENTAL HEALTH PLANNING GRANT &amp; BEHAVIORAL HEALTH SERVICES SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF GREATER CINCINNATI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2400 READING ROAD</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>310537502</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>625000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BLACK EMPOWERMENT WORKS HEALTH EQUITY FUND SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LIGHTHOUSE YOUTH SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 E MCMILLIAN ST</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>237046229</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>434531</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LIGHTHOUSE CLINIC SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GROUNDWORK OHIO ORGANIZATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4041 N HIGH STREET SUITE 204</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43214</ZIPCd>
        </USAddress>
        <RecipientEIN>852807114</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>393750</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>MATERNAL AND YOUNG CHILD HEALTH TRANSFORMATION CENTER SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE HEALTH COLLABORATIVE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>615 ELSINORE PLACE NO 500</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>311449807</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>386925</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>MAMA CERTIFIED PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPICE OF CINCINNATI INCORPORATED</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>625 EDEN PARK DRIVE 7TH FLOOR</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>310917155</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>375000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HEALTH EQUITY INITIATIVE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INTERACT FOR CHANGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3805 EDWARDS ROAD NO 500</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45209</ZIPCd>
        </USAddress>
        <RecipientEIN>300065901</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>350000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DATA FOR EQUITY CAPACITY BUILDING PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER CINCINNATI FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>720 E PETE ROSE WAY SUITE 120</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>310669700</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>275000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RACIAL EQUITY MATTERS, BOOTS ON THE GROUND &amp; GENERAL PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDRENS HOSPITAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3333 BURNET AVE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>310833936</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>131750</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CINCINNATI CRADLE CONNECTIONS SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MENTAL HEALTH &amp; ADDICTION ADVOCACY COALITION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4500 EUCLID AVE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <RecipientEIN>463402346</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>MENTAL HEALTH &amp; ADDICTION ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REFUGEECONNECT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2692 MADISON RD SUITE N1 395</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45208</ZIPCd>
        </USAddress>
        <RecipientEIN>824193107</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HEALTH NAVIGATOR PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BETHESDA FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>625 EDEN PARK DRIVE 7TH FLOOR</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
        <RecipientEIN>237374129</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>95000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIPS OF VARIOUS PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>URBAN LEAGUE OF GREATER SOUTHWESTERN OHIO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3458 READING ROAD</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>310565428</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>62500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19 HEALTH EQUITY INITIATIVE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROSEMARY'S BABIES CO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4439 READING ROAD</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>813727709</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S DEFENSE FUND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>840 FIRST STREET NE 300</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20002</ZIPCd>
        </USAddress>
        <RecipientEIN>520895622</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH POLICY INSTITUTE OF OHIO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>140 E TOWN ST NO 1000</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>300186863</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO CHILDREN'S ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2600 CORPORATE EXCHANGE DRIVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43231</ZIPCd>
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        <RecipientEIN>341168205</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3333 BURNET AVE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>311628467</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>45000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CAPACITY BUILDING GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FIRST STEP HOME</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2211 FULTON AVE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45206</ZIPCd>
        </USAddress>
        <RecipientEIN>311328492</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FAMILY UNITY CENTER PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE HEALTHCARE CONNECTION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1401 STEFFEN AVE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45215</ZIPCd>
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        <RecipientEIN>310822524</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CENTERING PREGNANCY PROGRAM SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MENTAL HEALTH WORKS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2600 VICTORY PARKWAY</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45206</ZIPCd>
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        <RecipientEIN>311565185</RecipientEIN>
        <IRCSectionDesc>501(C)(4)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
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        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>THE ABERCRUMBIE GROUP</BusinessNameLine1Txt>
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          <AddressLine1Txt>10301 GIVERNY BLVD</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45241</ZIPCd>
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        <RecipientEIN>300520187</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 THINK TANK ON EQUITY &amp; INCLUSION PARTNER</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCH OF DIMES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1550 CRYSTAL DRIVE SUITE 1300</AddressLine1Txt>
          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <RecipientEIN>131846366</RecipientEIN>
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        <PurposeOfGrantTxt>BIRTH EQUITY FUNDERS SUMMIT SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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        <USAddress>
          <AddressLine1Txt>625 EDEN PARK DRIVE 7TH FLOOR</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
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        <RecipientEIN>311206047</RecipientEIN>
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        <PurposeOfGrantTxt>GOOD SAMARITAN OB/GYN CENTER SUPPORT &amp; GALA SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PHILANTHROPY OHIO</BusinessNameLine1Txt>
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          <AddressLine1Txt>500 S FRONT STREET SUITE 900</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
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        <RecipientEIN>311111842</RecipientEIN>
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        <CashGrantAmt>12500</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 STATEHOUSE DAY SPONSORSHIP</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>25</Total501c3OrgCnt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2022 CALENDAR YEAR, NONE OF THE REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>KATHY KELLY, QUINT STUDER, 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 AND JILL MILLER 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, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE CURRENT BOARD OF DIRECTORS REPRESENT THE MEMBERS OF BETHESDA, INC. ALL DECISIONS ARE SUBJECT TO APPROVAL BY THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>BETHESDA, INC.'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A - AVERAGE HOURS PER WEEK:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRIBUTED CAPITAL FROM SUBSIDIARY 10,000,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>625 EDEN PARK DRIVE 7TH FLOOR</AddressLine1Txt>
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          <BusinessNameLine1Txt>FERNSIDE INC A CENTER FOR GRIEVING CHILDREN</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>COUNSELING TO GRIEVING CHILDREN</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TJ CUBEDMONTGOMERY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>625 EDEN PARK DRIVE 7TH FLOOR</AddressLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BETHESDA FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>55000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE OF CINCINNATI INCORPORATED</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>395000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FERNSIDE INC A CENTER FOR GRIEVING CHILDREN</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>1320000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BETHESDA HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>10000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BETHESDA PROPERTIES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>275665</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BETHESDA HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1588227</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BETHESDA FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>1675000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
