2025-05-13T12:34:05-05:00 2024-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2023-07-01 310917155 HOSPICE OF CINCINNATI INCORPORATED HOSP 5138917700 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 MICHAEL CROFTON VP FINANCE 5135696577 2025-05-13 1 1 SHAWNA M JANSONS P01222873 3174648600 2023 2025-03-06 01:10:19Z GAYLE MATTSON 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 81531651 0 X WWW.HOSPICEOFCINCINNATI.ORG X 1977 OH COMPASSIONATE PHYSICAL, EMOTIONAL AND SPIRITUAL END-OF-LIFE CARE. 14 12 0 903 0 0 2997415 2966701 60479516 62735868 190563 5174118 34694 1203601 63702188 72080288 0 0 0 0 0 0 0 0 568952 60441185 63144836 60441185 63144836 3261003 8935452 92316720 103482265 2597304 3527545 89719416 99954720 X HOSPICE OF CINCINNATI CREATES THE BEST POSSIBLE AND MOST MEANINGFUL END-OF-LIFE EXPERIENCE FOR ALL THOSE WHO NEED CARE AND SUPPORT IN OUR COMMUNITY BY PROVIDING COMPASSIONATE PHYSICAL, EMOTIONAL AND SPIRITUAL CARE IN AN ATMOSPHERE OF SENSITIVITY AND RESPECT. 0 0 59365404 0 63607003 SEE SCHEDULE O 59365404 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X MICHAEL CROFTON - VP FINANCE 5135696577 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 X GAYLE MATTSON RN PRESIDENT & CEO 60.00 1.00 X X 0 586377 54000 TERESA ASH TRUSTEE 1.00 0.00 X 0 0 0 WILL GRONEMAN TREASURER 1.00 40.00 X X 0 547014 83962 CYNTHIA YOZWIAK TRUSTEE (END 7/23) 1.00 0.00 X 0 0 0 ANGELICA HARDEE TRUSTEE 1.00 0.00 X 0 0 0 COURTNEY SEITZ RN TRUSTEE 1.00 0.00 X 0 0 0 EDMUND W JONES MD TRUSTEE (END 6/24) 1.00 2.00 X 0 0 0 DAVID SCHLAUDECKER TRUSTEE 1.00 0.00 X 0 0 0 ERIN HURLBURT MD TRUSTEE 1.00 0.00 X 0 0 0 PETER RUEHLMAN MD TRUSTEE 1.00 0.00 X 0 0 0 JENNIFER SKINNER RN TRUSTEE (END 6/24) 1.00 60.00 X 0 708635 75584 BARBARA TOBIAS MD TRUSTEE 1.00 1.00 X 0 0 0 BRIAN BAIN TRUSTEE 1.00 0.00 X 0 0 0 ANDRE BOYD TRUSTEE 1.00 0.00 X 0 0 0 ROBIN COX TRUSTEE 1.00 0.00 X 0 0 0 SHELLI STROMP TRUSTEE 1.00 0.00 X 0 0 0 MARGARET NAMIE CHAIRPERSON (START 7/23) 1.00 0.00 X X 0 0 0 MARK CLEMENT CEO-TRIHEALTH 1.00 60.00 X 0 2219557 72753 SANDY HOLDEN DIRECTOR-CLINICAL OPERATIONS 60.00 0.00 X 0 183793 36403 KAREN ANZEL NURSE 60.00 0.00 X 0 261626 22368 MANISH SRIVASTAVA MD CHIEF MEDICAL ADMINISTRATOR 60.00 0.00 X 0 552708 57804 STEVEN ROBINSON MD PHYSICIAN 60.00 0.00 X 0 409169 69038 CATHERINE PHAM MD PHYSICIAN 60.00 0.00 X 0 352125 35068 SARA MAPLES MD PHYSICIAN 60.00 0.00 X 0 274683 12356 0 6095687 519336 0 0 1 0 MIDWEST MEDICAL TRANSPORT 4020 S 147TH ST OMAHA NE 68137 TRANSPORTATION 760773 BETHESDA FOUNDATION INC 10500 MONTGOMERY ROAD CINCINNATI OH 45242 CONTRIBUTION MANAGEMENT 568952 1ST GREEN COMMERCIAL CLEANING & LANDSCAP 3014 AMSTERDAM ROAD VILLA HILLS KY 41017 JANITORIAL 192180 AMERICAN NURSING CARE STAFFING 6281 TRI-RIDGE BLVD LOVELAND OH 45140 NURSE STAFFING 179557 4 111853 2854848 146688 2966701 PATIENT SERVICES 621990 62625414 62625414 RENTAL INCOME-RELATED 531120 110454 110454 62735868 681223 681223 332466 0 332466 332466 332466 13944258 9451363 4492895 4492895 4492895 CARES ACT FUNDING 621990 871135 871135 871135 72080288 63496549 0 5617038 65000 65000 1419 1419 134885 134885 2493318 2455166 38152 83081 82195 886 1760207 1750001 10206 37272 37257 15 2131386 2034983 96403 920271 915056 5215 43194 24901 18293 1678227 951982 726245 PAYROLL MANAGEMENT 49429964 47730455 1699509 MEDICAL/DIETARY SUPPLY 2814738 2811057 3681 CONTRIBUTION MGMT FEE 568952 568952 EQUIPMENT 350590 348716 1874 632332 223635 408697 63144836 59365404 3210480 568952 147 149 7972606 11599775 4565 2283 35610208 21402456 13691457 14207752 43094554 49467627 9181746 8778281 18371645 19426398 92316720 103482265 1870413 2204945 0 1252574 726891 70026 2597304 3527545 X 87790157 97655981 1929259 2298739 89719416 99954720 92316720 103482265 X 8935452 930371 369481 X X 0 1 X 1 0 X 2318903 2865068 4833536 2997415 2966701 15981623 52944905 55225018 57346226 60479516 62735868 288731533 55263808 58090086 62179762 63476931 65702569 304713156 189965 82218 20000 2845 83199 378227 0 189965 82218 20000 2845 83199 378227 304334929 538407 393908 463732 539991 681223 2617261 538407 393908 463732 539991 681223 2617261 4655 3488 500 34694 871135 914472 55806870 58487482 62643994 64051616 67254927 308244889 0.98730 0.98960 0.00850 0.00780 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CONSULTING REVENUE - 2019 AMOUNT: $ 4,600. 2020 AMOUNT: $ 3,465. MEDICAL RECORDS - 2019 AMOUNT: $ 55. 2020 AMOUNT: $ 23. MISCELLANEOUS - 2021 AMOUNT: $ 500. 2022 AMOUNT: $ 34,694. 2023 AMOUNT: $ 871,135. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1419 1419 0 PART II-B, LINE 1: DURING THE TAX YEAR, HOSPICE OF CINCINNATI, INCORPORATED PAID ANNUAL MEMBERSHIP DUES TO VARIOUS NATIONAL, STATE AND LOCAL ORGANIZATIONS, A PORTION OF WHICH RELATED TO LOBBYING ACTIVITIES. 3549841 128009 290835 -5000 3973685 3594103 2000 -46262 3549841 2598753 502000 -21129 -514479 3594103 2046223 3486 549044 2598753 2449907 2000 -26918 378766 2046223 0.94380 0.05620 0 1 1 2102355 2102355 17270033 9933264 7336769 5675683 3899389 1776294 10490277 7569803 2920474 71860 71860 14207752 REAL ESTATE 1723480 F PRIVATE EQUITY 2432267 F HEDGE FUNDS 2721674 F PRIVATE DEBT 1900860 F 8778281 DUE FROM RELATED ORGANIZATIONS 18180173 RIGHT OF USE ASSET - OPERATING LEASE 1246225 19426398 THIRD PARTY SETTLEMENTS 70026 70026 X PART V, LINE 4: INVESTMENT PROCEEDS FROM ENDOWMENT FUNDS ARE USED TO SUPPORT THE PROGRAMS OF HOSPICE OF CINCINNATI, INCORPORATED. PART X, LINE 2: THE FINANCIAL STATEMENTS OF HOSPICE OF CINCINNATI, INCORPORATED ARE AUDITED AS PART OF TRIHEALTH AND ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED COMBINED FINANCIAL STATEMENTS OF TRIHEALTH THAT REPORTS ITS AND ITS SUBSIDIARIES AND AFFILIATES LIABILITY, IF APPLICABLE, FOR CERTAIN TAX POSITIONS UNDER ASC 740-10-25. TRIHEALTH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023. IN ADDITION, THE FINANCIAL STATEMENTS OF HOSPICE OF CINCINNATI, INCORPORATED ARE AUDITED WITH BETHESDA, INC. FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BETHESDA, INC. ("COMPANY") THAT REPORTS ITS AND ITS SUBSIDIARIES' LIABILITY, IF APPLICABLE, FOR UNCERTAIN TAX POSITIONS UNDER ASC 740-10-25: THE COMPANY COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023. 0 1 0 0 0 0 0 0 0 MARK CLEMENT CEO-TRIHEALTH 0 1575958 0 606615 0 36984 0 47735 0 25018 0 2292310 0 0 JENNIFER SKINNER RN TRUSTEE (END 6/24) 0 434273 0 123845 0 150517 0 50578 0 25006 0 784219 0 0 GAYLE MATTSON RN PRESIDENT & CEO 0 408424 0 149361 0 28592 0 52075 0 1925 0 640377 0 0 WILL GRONEMAN TREASURER 0 382252 0 94141 0 70621 0 50533 0 33429 0 630976 0 0 MANISH SRIVASTAVA MD CHIEF MEDICAL ADMINISTRATOR 0 549083 0 0 0 3625 0 29043 0 28761 0 610512 0 0 STEVEN ROBINSON MD PHYSICIAN 0 406562 0 0 0 2607 0 27095 0 41943 0 478207 0 0 CATHERINE PHAM MD PHYSICIAN 0 351495 0 0 0 630 0 19932 0 15136 0 387193 0 0 SARA MAPLES MD PHYSICIAN 0 274144 0 0 0 539 0 11146 0 1210 0 287039 0 0 KAREN ANZEL NURSE 0 227986 0 31022 0 2618 0 21786 0 582 0 283994 0 0 SANDY HOLDEN DIRECTOR-CLINICAL OPERATIONS 0 151013 0 21618 0 11162 0 23580 0 12823 0 220196 0 0 PART I, LINE 4B ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS 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. DURING THE 2023 CALENDAR YEAR, NONE OF THE INDIVIDUALS LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC. PART I, LINE 3: TRIHEALTH, INC., A RELATED ORGANIZATION OF HOSPICE OF CINCINNATI, INCORPORATED, 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 HOSPICE OF CINCINNATI, INCORPORATED 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. NONE OF THE INDIVIDUALS LISTED IN SCHEDULE J, PART II RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2023 CALENDAR YEAR. X 7 146688 FAIR MARKET VALUE 0 0 1 1 PART I, COLUMN (B): HOSPICE OF CINCINNATI, INCORPORATED IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED DURING THE TAX YEAR. PART I, LINE 32B: WHEN HOSPICE OF CINCINNATI, INCORPORATED RECEIVES SECURITIES AS A NON-CASH CONTRIBUTION, THEY ARE GIVEN TO NORTHERN TRUST WHO THEN SELLS THEM AND DEPOSITS THE FUNDS FOR THE ORGANIZATION. FORM 990, PART III, LINE 4A FOR MORE THAN 40 YEARS, THE COMMUNITY HAS ENTRUSTED HOSPICE OF CINCINNATI, INCORPORATED TO PROVIDE PATIENTS AND FAMILY MEMBERS WITH PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT. HOSPICE OF CINCINNATI, INCORPORATED SERVES APPROXIMATELY 5,400 PATIENTS ANNUALLY, AS WELL AS PROVIDES SPIRITUAL, PSYCHO-SOCIAL, AND COMMUNITY RESOURCE SUPPORT TO THEIR FAMILIES AND LOVED ONES. WE PRIDE OURSELVES ON THE PERSONALIZED PLANS OF CARE DEVELOPED SPECIFICALLY TO MEET EACH PATIENT'S NEEDS. WE OFFER FOUR LEVELS OF CARE: - HOME CARE WHICH CARES FOR PATIENTS WHEREVER THEY CALL HOME, INCLUDING LONG-TERM CARE FACILITIES, - GENERAL INPATIENT CARE OFFERED AT ONE OF OUR FOUR DEDICATED INPATIENT CARE CENTERS, - RESPITE CARE, AND - CONTINUOUS CARE. RECOGNIZING THAT CARE IS MOST EFFECTIVE WHEN PROVIDED IN A CULTURALLY-SENSITIVE MANNER, WE SUPPORT AND NURTURE A CULTURE THAT VALUES INDIVIDUAL DIFFERENCES AND DIVERSITY, REGARDLESS OF AGE, RELIGIOUS BELIEFS, SEXUAL ORIENTATION, GENDER, RACE OR PHYSICAL ABILITIES. OPERATING INPATIENT CARE CENTERS IS A MISSION DRIVEN SERVICE, SINCE THEY REQUIRE COMMUNITY DONATIONS FOR FINANCIAL VIABILITY. AS A NOT-FOR-PROFIT HOSPICE, WE OFFER MANY EXTRA, NON-REIMBURSED SERVICES TO ASSIST WITH THE PATIENT'S COMFORT AND STATE OF MIND, SUCH AS HOLISTIC SERVICES, AND SOCIAL AND BEREAVEMENT COUNSELING, EVEN PRIOR TO DEATH. HOSPICE OF CINCINNATI, INCORPORATED REACHES OUT TO EVERY PATIENT'S FAMILY TO OFFER GRIEF SUPPORT AFTER DEATH, AND THROUGH MEMORIAL SERVICES, GRIEF SUPPORT GROUPS, ONE-ON-ONE COUNSELING, AND PHONE CALLS. WE ASSIST OVER 3,650 INDIVIDUALS ANNUALLY WITH THEIR GRIEF. CONSISTENT WITH OUR MISSION, BEREAVEMENT SUPPORT IS OFFERED TO THE COMMUNITY AT LARGE, EVEN THOSE WHO HAVE NOT UTILIZED OUR SERVICES. WE ALSO SPONSOR FERNSIDE, INC.: A CENTER FOR GRIEVING CHILDREN, WHICH IS A NATIONALLY RECOGNIZED GRIEF SUPPORT PROGRAM FOR CHILDREN DEALING WITH LOSS. IT OFFERS SUPPORT TO APPROXIMATELY 800 CHILDREN, TEENS AND ADULTS A YEAR THROUGH ANNUAL ATTENDANCE AT ITS SESSIONS FOR CHILDREN AND THEIR FAMILIES. ALL OF ITS SERVICES ARE OFFERED FREE OF CHARGE WITH THE FINANCIAL SUPPORT OF DONORS AND HOSPICE OF CINCINNATI, INCORPORATED. IN ADDITION, WE OFFER A ROBUST VOLUNTEER PROGRAM TO ASSIST WITH A VARIETY OF PATIENT AND FAMILY NEEDS, AND OFFER HOLISTIC THERAPIES SUCH AS MASSAGE, ART, MUSIC, AND PET THERAPIES TO ALLEVIATE SUFFERING AND LIFT PATIENT SPIRITS. FINALLY, HOSPICE OPERATES THE FIRST GRIEF SUPPORT CENTER IN THE GREATER CINCINNATI AREA. THE GOLDSTEIN FAMILY HOSPICE OF CINCINNATI AND FERNSIDE GRIEF CENTER ("CENTER") COMBINES ADULT AND CHILDREN'S GRIEF SERVICES-ALL FREE TO THE PUBLIC-UNDER ONE ROOF. THE CENTER HOUSES COUNSELING SUITES, A BEREAVEMENT EDUCATION LIBRARY AND GROUP MEETING ROOMS AS WELL AS THE OFFICES OF THE FERNSIDE STAFF AND HOSPICE OF CINCINNATI'S GRIEF COUNSELORS. ESTIMATES INDICATE GRIEF ISSUES AFFECT MORE THAN 135,000 PEOPLE IN THE GREATER CINCINNATI AREA ON AN ANNUAL BASIS. FOR MANY, THE ROAD TO HEALING CAN BE A CHALLENGING ONE, ULTIMATELY AFFECTING OVERALL HEALTH AND PRODUCTIVITY. THE CENTER PROVIDES A COMPREHENSIVE RESOURCE FOR PEOPLE OF ALL AGES TO PRODUCTIVELY GET BACK TO LIFE AFTER LOSS. FORM 990, PART VI, SECTION A, LINE 6 HOSPICE OF CINCINNATI, INCORPORATED HAS A SINGLE CORPORATE MEMBER, BETHESDA HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A HOSPICE OF CINCINNATI, INCORPORATED HAS A SINGLE CORPORATE MEMBER, BETHESDA HOSPITAL, INC., WHICH HAS THE ABILITY TO APPOINT MEMBERS TO THE GOVERNING BODY OF HOSPICE OF CINCINNATI, INCORPORATED. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING DECISIONS BY HOSPICE OF CINCINNATI, INCORPORATED (HOSPICE) REQUIRE APPROVAL BY BETHESDA HOSPITAL, INC.: CERTAIN REVISIONS TO HOSPICE'S GOVERNING DOCUMENTS OR MISSION; DISSOLUTION OR CONSOLIDATION OF HOSPICE; ANY TRANSACTION INVOLVING SUBSTANTIALLY ALL OF HOSPICE'S ASSETS; AND THE ADDITION OF MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THIS FORM 990 PRIOR TO FILING. HOWEVER, FOR THE PROTECTION OF DONOR PRIVACY, SCHEDULE B - SCHEDULE OF CONTRIBUTORS WAS REMOVED FROM THE COPY PROVIDED TO THE BOARD. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE ORGANIZATION FILES THE RETURN MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH NON-SUBSTANTIVE CHANGES ARE NOT SUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE CERTAIN FINANCIAL INTERESTS AND FIDUCIARY RELATIONSHIPS. THE EXECUTIVE COMMITTEE AND CORPORATE COUNSEL REVIEW RESPONSES, CONDUCT FURTHER INVESTIGATION (IF NECESSARY), AND DETERMINE WHEN A CONFLICT EXISTS WITH RESPECT TO A CERTAIN TRANSACTION. IF A CONFLICT EXISTS, THE TRANSACTION IS NOT TO BE ENTERED INTO UNLESS ALTERNATIVES ARE FULLY INVESTIGATED, AND IN THEIR ABSENCE, THE BOARD, WITHOUT THE PARTICIPATION OF THE INTERESTED MEMBER(S), DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. PLANS TO MANAGE THE CONFLICT DURING THE RELATIONSHIP ARE IMPLEMENTED. ALL DISCUSSIONS ARE APPROPRIATELY DOCUMENTED. ALL DIRECTORS AND MANAGERS, WHICH INCLUDE OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO ANNUALLY DISCLOSE ANY CIRCUMSTANCES, INCLUDING FAMILY AND BUSINESS RELATIONSHIPS, THAT MAY CREATE A CONFLICT OF INTEREST FOR THE ORGANIZATION. THESE RESPONSES ARE REVIEWED AND ACTED UPON BY A CONFLICT OF INTEREST COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 HOSPICE OF CINCINNATI, INCORPORATED'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 HOSPICE OF CINCINNATI, OHIO THAT SHOW AT LEAST 60 HOURS PER WEEK, EXCLUDING THE FILING ORGANIZATION'S PRESIDENT AND CEO, 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. FORM 990, PART XI, LINE 9: INCREASE/(DECREASE) IN TEMPORARILY RESTRICTED ASSETS 369,481. FORM 990, PART I, LINE 6 HOSPICE OF CINCINNATI, INCORPORATED ("HOSPICE") WAS ASSISTED BY 903 VOLUNTEERS WHO DONATED APPROXIMATELY 37,000 HOURS. VOLUNTEERS ASSIST WITH ESSENTIAL PATIENT CARE AS WELL AS SPIRITUAL AND HOLISTIC SERVICES IN HOSPICE'S INPATIENT CARE CENTERS, HOME CARE PROGRAM AND LONG TERM CARE FACILITIES. VOLUNTEERS ALSO GIVE ADMINISTRATIVE, CLERICAL AND FACILITY SUPPORT AND HELP WITH FUND RAISING AND COMMUNITY EVENTS. FORM 990, PART VI, LINE 1A THE EXECUTIVE COMMITTEE OF HOSPICE OF CINCINNATI, INCORPORATED CONSISTS OF THE CHAIRMAN OF THE BOARD, THE PRESIDENT & CEO AND TWO ADDITIONAL TRUSTEES. IT HAS POWER TO TRANSACT ALL BUSINESS OF THE BOARD IN THE MANAGEMENT OF HOSPICE OF CINCINNATI, INCORPORATED DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. FORM 990, PART XII, LINE 2C THE FINANCIAL STATEMENTS OF HOSPICE OF CINCINNATI, INCORPORATED ("HOSPICE") ARE AUDITED AS PART OF TRIHEALTH, INC. AND ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). TRIHEALTH HAS 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. IN ADDITION, HOSPICE'S FINANCIAL STATEMENTS ARE AUDITED WITH BETHESDA, INC., THE PARENT ORGANIZATION OF HOSPICE. BETHESDA, INC. HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF BOTH ITS AND ITS SUBSIDIARIES FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF THE INDEPENDENT AUDITOR. DURING THE TAX YEAR, THERE WAS NOT A CHANGE IN THE PROCESS OF AUDIT OVERSIGHT AND/OR SELECTION OF AN INDEPENDENT AUDITOR BY EITHER TRIHEALTH OR BETHESDA, INC. BETHESDA INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311108895 INVESTMENT MANAGEMENT OH SECTION 501(C)(3) SCHEDULE A, LINE 12C N/A 0 BETHESDA HOSPITAL INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537122 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 0 BETHESDA FOUNDATION INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237374129 FUNDRAISING OH SECTION 501(C)(3) SCHEDULE A, LINE 7 BETHESDA INC 0 BETHESDA HEALTHCARE INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311027660 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 12B TRIHEALTH INC 0 BETHESDA FAMILY PRACTICE CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311242442 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 12A BETHESDA HOSPITAL INC 1 BETHESDA PROPERTIES INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311352694 PROPERTY MANAGEMENT OH SECTION 501(C)(2) BETHESDA HOSPITAL INC 1 FERNSIDE INC A CENTER FOR GRIEVING CHILDREN 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311179234 COUNSELING TO GRIEVING CHILDREN OH SECTION 501(C)(3) SCHEDULE A, LINE 7 HOSPICE OF CINCINNATI INCORPORATED 1 TRIHEALTH INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311438846 SUPPORT TO AFFILIATED HOSPITALS OH SECTION 501(C)(3) SCHEDULE A, LINE 12B N/A 0 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537486 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 GOOD SAMARITAN COLLEGE OF NURSING AND HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311778403 EDUCATION OH SECTION 501(C)(3) SCHEDULE A, LINE 2 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 1 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 DIALYSIS OH SECTION 501(C)(2) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO 1 TRIHEALTH HOSPITAL INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 461393755 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 GOOD SAMARITAN HOSPITAL FREE CLINIC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 273893817 HEALTHCARE SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 7 TRIHEALTH INC 1 TRIHEALTH PHYSICIAN ENTERPRISE CORP 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311383365 PHYSICIAN PRACTICES OH SECTION 501(C)(3) SCHEDULE A, LINE 10 TRIHEALTH INC 1 TRIHEALTH PHYSICIAN INSTITUTE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311074519 PHYSICIAN PRACTICES OH SECTION 501(C)(3) SCHEDULE A, LINE 10 TRIHEALTH INC 1 MCCULLOUGH HYDE MEMORIAL HOSPITAL INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310650283 INPATIENT AND OUTPATIENT SERVICES OH SECTION 501(C)(3) SCHEDULE A, LINE 3 TRIHEALTH INC 1 BI3 FUND 625 EDEN PARK DRIVE 1ST FLOOR CINCINNATI OH 45202 932806450 GRANTMAKING OH SECTION 501(C)(3) SCHEDULE A, LINE 7 BETHESDA INC 1 10600 MONTGOMERY LLC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 261964995 PROPERTY MANAGEMENT OH N/A 0 0 HEALTHCARE SOLUTIONS NETWORK LLC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 472103334 PHYSICIAN HOSPITAL ORGANIZATION OH N/A 0 0 PREFERRED LAB PARTNERS LLC ONE MEDICAL VILLAGE DRIVE SUITE B EDGEWOOD KY 41017 824758763 LABORATORY SERVICES KY N/A 0 0 TJ CUBEDMONTGOMERY INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 261964885 HOLDING COMPANY OH N/A S 1 TRIHEALTH PHYSICIANS OF INDIANA INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 461125130 PHYSICIAN PRACTICES OH N/A C 1 TRIHEALTH PHYSICIAN SOLUTIONS INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311444353 CLAIMS ADMINISTRATION OH N/A C 1 TRIHEALTH CIPHO INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 463294306 PHYSICIAN HEALTH ORGANIZATION OH N/A C 1 PREMIERE MEDICAL OWNERS ASSOCIATION 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 141913019 CONDO ASSOCIATION OH N/A C 1 SERVE INSURANCE LTD PO BOX 69 CAMANA BAY GRAND CAYMANS CJ 981529310 ALTERNATIVE RISK FINANCING CJ N/A C 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 FERNSIDE INC A CENTER FOR GRIEVING CHILDREN A 110454 FMV BETHESDA INC C 111853 CASH BETHESDA FOUNDATION INC M 568952 COST BETHESDA HOSPITAL INC O 49429964 FMV TRIHEALTH INC P 13714873 FMV BETHESDA FOUNDATION INC S 2854848 CASH