CHRIST HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CHRIST HOSPITAL (EIN 31-0538525)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-14
IRS object ID: 202101349349303530
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-14T11:32:54-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	221 E 4TH ST STE 2900	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310538525	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Christ Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JENNIFER KREHBIEL	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	5135852000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2139 AUBURN AVENUE	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45219	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THEODORE SCHERPENBERG	PersonNm
Person Title	VP & CFO	PersonTitleTxt
Phone	5135852000	PhoneNum
Signature	2021-05-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	julie L sparks	PreparerPersonNm
PTIN	P01268401	PTIN
Phone	5136121400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Deborah Hayes	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2139 Auburn Avenue	AddressLine1Txt
City	Cincinnati	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45219	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,060,680,087	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.THECHRISTHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1891	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	improve the health of our community and create patient value by providing exceptional outcomes and the finest experiences, all in an affordable way.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	7995	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$311,001	TotalGrossUBIAmt
PY Contributions Grants	$544,490	PYContributionsGrantsAmt
CY Contributions Grants	$323,106	CYContributionsGrantsAmt
PY Program Service Revenue	$1,004,832,989	PYProgramServiceRevenueAmt
CY Program Service Revenue	$953,792,057	CYProgramServiceRevenueAmt
PY Investment Income	$13,606,582	PYInvestmentIncomeAmt
CY Investment Income	$16,543,020	CYInvestmentIncomeAmt
PY Other Revenue	$51,219,293	PYOtherRevenueAmt
CY Other Revenue	$79,781,246	CYOtherRevenueAmt
PY Total Revenue	$1,070,203,354	PYTotalRevenueAmt
CY Total Revenue	$1,050,439,429	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,827,171	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,335,123	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$518,212,601	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$515,842,323	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$529,580,426	PYOtherExpensesAmt
CY Other Expenses	$524,645,694	CYOtherExpensesAmt
PY Total Expenses	$1,049,620,198	PYTotalExpensesAmt
CY Total Expenses	$1,041,823,140	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,583,156	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,616,289	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,256,281,830	TotalAssetsBOYAmt
Total Assets EOY	$1,404,474,937	TotalAssetsEOYAmt
Total Liabilities BOY	$620,018,061	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$817,528,432	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$636,263,769	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$586,946,505	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Improve the health of our community and create patient value by providing exceptional outcomes and the finest experiences, all in an affordable way.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$833,801,952	ExpenseAmt
Grant	$1,335,123	GrantAmt
Revenue	$1,031,171,340	RevenueAmt
Desc	THE CHRIST HOSPITAL ("TCH") IS AN OHIO NONPROFIT CORPORATION FORMED IN JUNE OF 1891. TCH IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("THE CODE") AND FUNCTIONS AS A HOSPITAL ORGANIZATION AS DESCRIBED IN SECTION 509(A)(1) AND 170(B)(1)(A)(III) OF THE CODE. TCH'S MISSION FOR THE NEARLY 130 YEARS OF ITS OPERATIONS HAS BEEN TO IMPROVE THE HEALTH OF OUR COMMUNITY AND TO BE A REGIONAL EXEMPLAR IN CREATING PATIENT VALUE THROUGH EXCEPTIONAL OUTCOMES AND PATIENT EXPERIENCE PROVIDED AT AN AFFORDABLE AND RESPONSIBLE COST THAT ENSURES ACCESS TO ALL MEMBERS OF OUR COMMUNITY WITHOUT REGARD TO FINANCIAL STATUS OR OTHER FACTORS SUCH AS RACE, ETHNICITY, BELIEFS OR GENDER. THROUGH ITS MAIN HOSPITAL CAMPUS IN MT. AUBURN, TCH IS DEDICATED TO ITS URBAN-HOSPITAL ROOTS, REMAINING STEADFAST IN COMMITMENT TO DIVERSE AND ECONOMICALLY CHALLENGED NEIGHBORHOODS IN THE UPTOWN SECTION OF CINCINNATI, OHIO. WHILE MAINTAINING THIS URBAN COMMITMENT THROUGH ITS BASE OPERATIONS, TCH HAS ALSO DEVELOPED A NETWORK OF OUTPATIENT CENTERS, A REMOTE HOSPITAL LOCATION AND PHYSICIAN PRACTICES THAT ENSURE ACCESS TO CARE THROUGHOUT THE GREATER CINCINNATI REGION, INCLUDING SUBURBAN AND RURAL REGIONS OF THE AREA THAT SERVE 14 COUNTIES LOCATED IN THREE STATES. TCH HAS ORGANIZED AND MAINTAINS AN ACCREDITED STAFF OF MORE THAN 1,000 PHYSICIANS, AND OFFERS ADVANCED SERVICES AND TECHNOLOGIES THROUGH EXECUTIVE LEADERSHIP OF SEVEN KEY SERVICE LINES: CARDIOVASCULAR CARE, ORTHOPAEDIC AND SPINE TREATMENT, WOMEN'S HEALTH, ONCOLOGY, SPECIAL SURGERY, COMPREHENSIVE MEDICINE AND PRIMARY CARE. TCH MAINTAINS ITS SACRED TRUST WITH THE COMMUNITY AND GOVERNMENTAL OVERSIGHT PARTNERS IN EARNING AND MAINTAINING THE PRIVILEGE AND RESPONSIBILITIES OF TAX-EXEMPTION. THESE CORE COMMITMENTS INCLUDE ACTIVITIES THAT ARE NOT UNDERTAKEN FOR ECONOMIC GAIN, BUT IN FACT ARE PERFORMED AT A LOSS OR ARE WHOLLY UNREIMBURSED AND ARE PERFORMED AS A MATTER OF PUBLIC TRUST AND COMMITMENT. THESE CORE COMMITMENTS INCLUDE: 1. CHARITY CARE & CARE PROVIDED UNDER GOVERNMENTAL ASSISTANCE PROGRAMS - ACCESS TO CARE REGARDLESS OF ABILITY TO PAY AND FULL PARTICIPATION IN MEDICARE AND MEDICAID PROGRAMS WHEREIN ENTITLEMENT PAYMENTS ARE INSUFFICIENT TO COVER THE COSTS OF SERVICES PROVIDED. 2. MEDICAL EDUCATION - ASSURANCE OF SUFFICIENT NUMBERS AND COMPETENCY OF TRAINED AND LICENSED MEDICAL PROFESSIONALS TO MEET THE NEEDS OF OUR COMMUNITY. THIS INCLUDES RESIDENCY AND FELLOWSHIP TRAINING FOR PHYSICIANS THAT ARE OPERATED AT A FINANCIAL LOSS, AND FORMAL UNDERGRADUATE DEGREE TRAINING THROUGH ITS COLLEGE OF NURSING THAT REQUIRES SUBSIDIZATION THROUGH PHILANTHROPY AND PRIVATE SUPPORT. 3. RESEARCH & INNOVATION - THROUGH THE CARL & EDYTH LINDNER CENTER FOR RESEARCH AND EDUCATION AT THE CHRIST HOSPITAL, TCH INVESTS SUBSTANTIAL INTERNAL AND PHILANTHROPIC RESOURCES IN SUPPORTING THE ADVANCEMENT OF MEDICAL DISCOVERY AND IMPROVEMENT FOR THE PUBLIC GOOD THROUGH AN ARRAY OF CLINICAL TRIALS AND OTHER APPLICATION RESEARCH. THE ABOVE ACTIVITIES ARE THE ENDURING AND SACRED COMMITMENT AND RESPONSIBILITY OF TCH. YEAR IN AND YEAR OUT THESE COMMITMENTS WILL SERVE TO DEMONSTRATE HOW TCH HAS EARNED AND MAINTAINS ITS TAX-EXEMPT PRIVILEGE. TCH HAS CONSISTENTLY BEEN RECOGNIZED BY U.S. NEWS & WORLD REPORT AS ONE OF THE NATION'S TOP HOSPITALS, INCLUDING THE NUMBER ONE HOSPITAL IN THE GREATER CINCINNATI REGION AND RANKED "HIGHER PERFORMING" (TOP 10 PERCENT OF ALL HOSPITALS IN THE COUNTRY) IN SIX SPECIALTY SERVICES. FURTHER, TCH RANKED AS ONE OF BECKER'S HOSPITAL REVIEW "100 GREATEST HOSPITALS IN AMERICAAS ONE OF NEWSWEEK'S "THE WORLD'S BEST HOSPITALS," RANKING FIRST IN THE CINCINNATI REGION. TCH RECEIVED THE NRC HEALTH CONSUMER LOYALTY AWARD IN 2020. TCH HAS BEEN GRANTED MAGNET RECOGNITION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR EXCELLENCE IN NURSING CARE. ADDITIONALLY, FOR THE 14TH STRAIGHT YEAR, THE NETWORK WAS AWARDED HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR BEING IN THE TOP 1% IN THE NATION FOR PROVIDING HIGHEST CLINICAL QUALITY YEAR OVER YEAR. WHILE MAINTAINING ITS COMMITMENTS TO THE COMMUNITY, TCH IS IN A PERIOD OF RAPID GROWTH, INCLUDING THE EXPANSION OF AN AMBULATORY OUTPATIENT STRATEGY CONSISTING OF AN EMPLOYED PRIMARY CARE AND SPECIALTY PHYSICIAN NETWORK, NUMEROUS OUTPATIENT CENTERS OFFERING A VARIETY OF SERVICES, AND OTHER COMMUNITY INITIATIVES. WITH A STAFF OF MORE THAN 1,000 PHYSICIANS, TCH OFFERS ADVANCED SERVICES AND TECHNOLOGIES IN CARDIOVASCULAR CARE, ORTHOPAEDIC AND SPINE TREATMENT, WOMEN'S HEALTH, ONCOLOGY, SPECIALTY SURGERY, AND A HOST OF OUTPATIENT SERVICES SUCH AS PHYSICIAN PRACTICES, IMAGING, TESTING, PHYSICAL AND OCCUPATIONAL THERAPY, WOUND HEALING, DIABETES CARE, AND MORE. FOR THE FISCAL YEAR ENDED JUNE 30, 2020, TCH'S INPATIENT ADMISSIONS WERE APPROXIMATELY 22,000 AND ITS OUTPATIENT VISITS EXCEEDED 590,000. THESE VOLUMES WERE SIGNIFICANTLY IMPACTED BY THE COVID-19 GOVERNMENT-MANDATED SHUT DOWN OF ELECTIVE PROCEDURES, BEGINNING IN MID-MARCH 2020 THROUGH JUNE 2020. PATIENT SERVICES THE NETWORK OFFERS A WIDE RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES THROUGH VARIOUS REGIONAL, NATIONAL AND COMMUNITY-BASED DISTRIBUTION MODELS. THE NETWORK'S CLINICAL PROGRAMS ARE DIVERSIFIED, ORGANIZED AND DELIVERED ACROSS ITS SEVEN KEY SERVICE LINES, WHICH INCLUDE CARDIOVASCULAR CARE, ORTHOPAEDIC AND SPINE TREATMENT, WOMEN'S HEALTH, ONCOLOGY, SPECIALTY SURGERY, COMPREHENSIVE MEDICINE AND PRIMARY CARE. THE NETWORK MAINTAINS A LEADING OR SECOND LEADING POSITION IN THE GREATER CINCINNATI REGION FOr KEY SERVICE LINES INCLUDING CARDIOVASCULAR, JOINT AND SPINE AND WOMEN'S HEALTH. THE NETWORK'S POSITIONING IN THE MARKET WITHIN THESE KEY SERVICE LINE FURTHER HIGHLIGHTS THE CRITICAL ROLE THE NETWORK PLAYS IN THE DELIVERY OF CARE TO THE COMMUNITY IT SERVES. HEART AND VASCULAR FROM GROUND-BREAKING TREATMENTS OPTIONS - CERTAIN TREATMENTS THE NETWORK'S PHYSICIANS HELPED PIONEER - TO THE DOZEN OF SUBSPECIALIZED PROGRAMS DEVELOPED BY THE NETWORK TO CARE FOR THE VARIED AND COMPLEX CONDITIONS FOR THE HEART, THE NETWORK IS RECOGNIZED AS A LEADER IN CARDIOVASCULAR CARE AS EVIDENCED BY NUMEROUS AWARDS. FOR THE FISCAL YEAR ENDED JUNE 30, 2020, THE NETWORK PERFORMED 519 OPEN HEART SURGERIES, 2,135 ANGIOPLASTIES AND 2,917 CARDIAC CATHERIZATIONS, MORE THAN ANY OTHER HOSPITAL IN THE GREATER CINCINNATI REGION. FOR 14 CONSECUTIVE YEARS, TCH HAS BEEN NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS IN THE US BY IBM WATSON HEALTH. IN ADDITION, FOR 3 CONSECUTIVE YEARS TCH HAS BEEN NAMED TO BECKERS HOSPITAL REVIEW'S 100 HOSPITALS AND HEALTH SYSTEMS WITH A GREAT HEART PROGRAM. IN ADDITION TO THE VARIOUS AWARDS LISTED ABOVE, THE NETWORK HAS BEEN CREDITED WITH BEING THE FIRST HOSPITAL IN THE NATION TO PERFORM A NUMBER OF CARDIOVASCULAR PROCEDURES. THANKS TO THE LINDNER CENTER FOR RESEARCH, THE NETWORK'S CARDIOVASCULAR PROGRAM IS AT THE FOREFRONT OF INNOVATION AND HAS BECOME THE INTERNATIONAL LEADER IN CLINICAL CARDIOVASCULAR RESEARCH. THE IMPACT OF THIS COLLABORATION TRANSFORMS CARDIOVASCULAR CARE AND BRINGS NEW TREATMENTS TO PATIENTS IN THE GREATER CINCINNATI REGION LONG BEFORE THE TREATMENTS ARE AVAILABLE ELSEWHERE IN OUR COUNTRY. MUSCULOSKELETAL THROUGH ITS WORLD CLASS JOINT AND SPINE CENTER, BUILT IN 2015, THE NETWORK'S ORTHOPAEDIC AND SPINE TREATMENT PROGRAMS ATTRACT PATIENTS ACROSS THE US, BUT ULTIMATELY ALLOWING FOR EXCEPTIONAL ORTHOPAEDIC AND SPINE TREATMENT FOR PATIENTS IN THE GREATER CINCINNATI REGION. THE NETWORK PARTICIPATES IN MEDICARE'S COMPREHENSIVE CARE FOR JOINT REPLACEMENTS ('CJR') MODEL, WHERE IT HAS EXPERIENCED TOP 10 RESULTS NATIONWIDE, EARNING INCENTIVE PAYMENTS FOR DELIVERY OF JOINT REPLACEMENTS TO MEDICARE SPONSORED PATIENTS, ON THE BASIS OF NOT ONLY AFFORDABLE CARE BUT ALSO QUALITY OUTCOMES ACHIEVED. TCH OFFERS COMPREHENSIVE ORTHOPAEDIC AND SPINE SERVICES PROVIDED BY EXPERT SPECIALISTS WHO PROVIDE A COMPREHENSIVE RANGE OF SERVICES THAT FOCUS ON THE PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION OF MUSCULOSKELETAL DISORDERS. THE NETWORK CONTINUES TO DELIVER HIGH QUALITY OUTCOMES, RANKING "HIGH PERFORMING" BY US NEWS & WORLD REPORT. TCH USES A MULTI-DISCIPLINARY APPROACH TO DIAGNOSING AND TREATING BACK AND NECK PROBLEMS THROUGH ITS TEAM OF ORTHOPAEDIC SURGEONS, NEUROSURGEONS, INTERVENTIONAL RADIOLOGISTS, PAIN MANAGEMENT PHYSICIANS AND PHYSICAL THERAPISTS WHO WORK COLLABORATIVELY TO ENSURE THAT PATIENTS RECEIVE THE BEST POSSIBLE CARE FROM THE EXPERTS BEST SUITED TO PROVIDE IT. THE NETWORK'S PHYSICIANS AND SURGEONS HAVE PERFORMED MORE INPATIENT SPINE PROCEDURES THAN ANY OTHER HOSPITAL IN THE GREATER CINCINNATI REGION. FULL SUITE OF PATIENT SERVICES THE NETWORK'S INPATIENT SERVICES INCLUDE ALL MAJOR CATEGORIES OF MEDICINE AND SURGERY, WITH THE EXCEPTION OF TRAUMA. THE NETWORK'S OUTPATIENT LOCATIONS PROVIDE PRIMARY AND SPECIALTY CARE AND DIAGNOSTICS. SPECIFIC SERVICES OFFERED BY THE NETWORK INCLUDE THE FOLLOWING: Comprehensive Medicine: Adult/Geriatric Inpatient Behavioral Intensive Care Unit Intensive Outpati	Desc
Total Program Service Expenses	$833,801,952	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	357	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7995	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JENNIFER KREHBIEL	PersonNm
Phone	5132631528	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2139 Auburn Avenue	AddressLine1Txt
City	Cincinnati	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45219	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Patrick Kirk MD
PHYSICIAN	40.0	1.0	Yes (X)	$2,026,618	$0	$28,974
Arturo Polizzi
PRESIDENT & CEO (Thru 10/20)	40.0	1.0		$1,338,481	$0	$338,975	Yes (X)	Yes (X)
Edward Lim MD
Physician	40.0	1.0	Yes (X)	$1,546,157	$0	$25,433
MARC SCHNEIDER MD
PHYSICIAN	40.0	1.0	Yes (X)	$1,467,407	$0	$27,324
Slobodan Stanisic MD
PHYSICIAN	40.0	1.0	Yes (X)	$1,445,787	$0	$29,824
Robert Cody MD
PHYSICIAN	40.0	1.0	Yes (X)	$1,366,395	$0	$15,166
ALMA HELPLING
CFO & VP (Thru 06/20)	40.0	1.0		$614,283	$0	$91,966		Yes (X)
Michael K Keating
Director (Thru 10/20)	40.0	1.0		$471,591	$0	$138,358	Yes (X)
Eric Stamler MD
PHYSICIAN & DIR (thru 9/19)	40.0	1.0		$436,574	$0	$0	Yes (X)
Geraldine M Vehr MD
Physician & dir (beg 10/19)	40.0	1.0		$302,141	$0	$9,034	Yes (X)
R Kerry Clark
DIRECTOR	1.0	1.0		$0	$0	$0	Yes (X)
Victoria B Gluckman
DIRECTOR	1.0	1.0		$0	$0	$0	Yes (X)
Jeb Head
DIRECTOR	1.0	1.0		$0	$0	$0	Yes (X)
Thomas R Gerdes
Treasurer	1.0	1.0		$0	$0	$0	Yes (X)	Yes (X)
Deborah P Majoras
Secretary	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
George H Vincent
Board Chairman	1.0	1.0		$0	$0	$0	Yes (X)	Yes (X)
Roger L Howe
DIRECTOR (THRU 10/20)	1.0	1.0		$0	$0	$0	Yes (X)
R Glen Mayfield
DIRECTOR	1.0	1.0		$0	$0	$0	Yes (X)
Robert Heimann
Director	1.0	1.0		$0	$0	$0	Yes (X)
James Devitt MD
Director	1.0	0.0		$0	$0	$0	Yes (X)
Patrick Lafley
Director (beg 07/19)	1.0	1.0		$0	$0	$0	Yes (X)
Amy Hanson
Director (Beg 04/20)	1.0	1.0		$0	$0	$0	Yes (X)
John Lanier
Director (beg 07/19)	1.0	1.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,015,434	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$705,054	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	560	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Ensemble RCM LLC
PO Box 639076	CINCINNATI	OH	45263	Financial Services	$10,666,433
laboratory corporation
PO box 2270	BURLINGTON	NC	27216	HEALTHCARE SERVICES	$4,596,576
Quest Diagnostics Inc
PO Box 530458	ATLANTA	GA	30374	Healthcare Services	$4,468,561
Team Anesthesia LLC
PO Box 639425	CINCINNATI	OH	45263	Healthcare Services	$3,971,842
Medical Recovery Systems Inc
2055 Reading Rd Suite 500	CINCINNATI	OH	45202	Financial Services	$3,166,690

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	119	CntrctRcvdGreaterThan100KCnt
Related Organizations	$323,106	RelatedOrganizationsAmt
Total Contributions	$323,106	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Patient Service Revenue	621990	$938,603,792	$938,292,791	$311,001	$0
Pharmacy Sales	446110	$15,188,265	$15,188,265	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$953,792,057	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,349,827	TotalRevenueColumnAmt
Exclusion	$14,349,827	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,401,963	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,401,963	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,401,963	TotalRevenueColumnAmt
Exclusion	$2,401,963	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,733,605	SecuritiesAmt
Other	$8,700,246	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$10,240,658	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,733,605	SecuritiesAmt
Other	-$1,540,412	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,193,193	TotalRevenueColumnAmt
Exclusion	$2,193,193	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CLINICAL EXCELLENCE GRANT	$22,830,442	$22,830,442	$0	$0
CARES ACT STIMULUS FUNDS	$20,096,927	$20,096,927	$0	$0
AMBULATORY CARE REVENUE	$14,684,336	$14,684,336	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,767,578	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,767,578	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$77,379,283	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,050,439,429	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,030,860,339	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$311,001	UnrelatedBusinessRevenueAmt
Exclusion	$18,944,983	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,103,955	TotalAmt
Program Services	$1,103,955	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$231,168	TotalAmt
Program Services	$231,168	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,741,402	TotalAmt
Management And General	$3,741,402	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$356,328	TotalAmt
Program Services	$356,328	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$429,198,803	TotalAmt
Program Services	$324,172,761	ProgramServicesAmt
Management And General	$105,026,042	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,677,662	TotalAmt
Program Services	$6,362,734	ProgramServicesAmt
Management And General	$1,314,928	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$44,846,787	TotalAmt
Program Services	$36,773,562	ProgramServicesAmt
Management And General	$8,073,225	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$30,021,341	TotalAmt
Program Services	$24,374,777	ProgramServicesAmt
Management And General	$5,646,564	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,204,585	TotalAmt
Management And General	$1,204,585	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$426,839	TotalAmt
Management And General	$426,839	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,375	TotalAmt
Management And General	$17,375	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,163,595	TotalAmt
Management And General	$2,163,595	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$98,684,781	TotalAmt
Program Services	$48,758,300	ProgramServicesAmt
Management And General	$49,926,481	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,124,998	TotalAmt
Program Services	$9,992	ProgramServicesAmt
Management And General	$2,115,006	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,219,468	TotalAmt
Program Services	$2,235,815	ProgramServicesAmt
Management And General	$983,653	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,564,115	TotalAmt
Program Services	$998,650	ProgramServicesAmt
Management And General	$12,565,465	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$24,663,292	TotalAmt
Program Services	$22,274,647	ProgramServicesAmt
Management And General	$2,388,645	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$392,672	TotalAmt
Program Services	$170,349	ProgramServicesAmt
Management And General	$222,323	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$703,257	TotalAmt
Program Services	$367,933	ProgramServicesAmt
Management And General	$335,324	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,713,087	TotalAmt
Program Services	$15,713,087	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$60,264,091	TotalAmt
Program Services	$59,686,931	ProgramServicesAmt
Management And General	$577,160	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,564,163	TotalAmt
Program Services	$5,273,625	ProgramServicesAmt
Management And General	$1,290,538	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$272,933,745	$268,527,797	$4,405,948	$0
DUES & SUBSCRIPTIONS	$15,583,319	$14,123,625	$1,459,694	$0
RENTAL & LEASE OF EQUIP	$4,648,671	$1,960,458	$2,688,213	$0
PRINTING & PUBLICATIONS	$755,267	$309,389	$445,878	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,018,374	TotalAmt
Program Services	$16,069	ProgramServicesAmt
Management And General	$1,002,305	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,041,823,140	TotalAmt
Program Services	$833,801,952	ProgramServicesAmt
Management And General	$208,021,188	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$72,096,589	BOYAmt
EOY	$171,297,169	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$69,407,402	BOYAmt
EOY	$30,794,213	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$134,766,154	BOYAmt
EOY	$101,976,466	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$23,384,065	BOYAmt
EOY	$21,652,991	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,221,319	BOYAmt
EOY	$13,561,571	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,365,151,690	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$815,999,037	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$551,630,367	BOYAmt
EOY	$549,152,653	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$210,381,995	BOYAmt
EOY	$221,771,187	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$134,708,021	BOYAmt
EOY	$176,354,962	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,409,833	BOYAmt
EOY	$12,331,718	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$35,276,085	BOYAmt
EOY	$105,582,007	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,256,281,830	BOYAmt
EOY	$1,404,474,937	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$153,332,642	BOYAmt
EOY	$157,742,468	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$4,651,880	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$325,760,257	BOYAmt
EOY	$117,026,722	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$66,581,437	BOYAmt
EOY	$278,344,560	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$74,343,725	BOYAmt
EOY	$259,762,802	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$620,018,061	BOYAmt
EOY	$817,528,432	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$589,508,187	BOYAmt
EOY	$563,193,114	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,755,582	BOYAmt
EOY	$23,753,391	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$636,263,769	BOYAmt
EOY	$586,946,505	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,256,281,830	BOYAmt
EOY	$1,404,474,937	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,616,289	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$859,332	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$58,792,885	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$17,375	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Other Activities	$0	OtherActivitiesAmt
Total Lobbying Expenditures	$17,375	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1F	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES THE CHRIST HOSPITAL PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION. A PERCENTAGE OF THE DUES RELATED TO LOBBYING. ADDITIONALLY, THE CHRIST HOSPITAL CONTRIBUTED TO THE MOVE FORWARD POLITICAL ACTION COMMITTEE. TOTAL CONTRIBUTIONS WERE THE FOLLOWING: Ohio Hospital Association: $ 7,375 Move Forward PAC: $ 10,000	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$66,758,000	BeginningYearBalanceAmt
Contributions	$13,544,000	ContributionsAmt
Investment Earnings Or Losses	-$132,000	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$53,000	GrantsOrScholarshipsAmt
Other Expenditures	$35,812,000	OtherExpendituresAmt
End Year Balance	$44,305,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$63,057,000	BeginningYearBalanceAmt
Contributions	$31,808,000	ContributionsAmt
Investment Earnings Or Losses	$403,000	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$53,000	GrantsOrScholarshipsAmt
Other Expenditures	$28,457,000	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$66,758,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,235,000	BeginningYearBalanceAmt
Contributions	$79,175,000	ContributionsAmt
Investment Earnings Or Losses	$349,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$27,702,000	OtherExpendituresAmt
End Year Balance	$63,057,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,959,000	BeginningYearBalanceAmt
Contributions	$8,181,000	ContributionsAmt
Investment Earnings Or Losses	$25,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,209,000	OtherExpendituresAmt
Administrative Expenses	$1,721,000	AdministrativeExpensesAmt
End Year Balance	$11,235,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$64,391,000	BeginningYearBalanceAmt
Contributions	$1,739,000	ContributionsAmt
Investment Earnings Or Losses	$14,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$55,232,000	OtherExpendituresAmt
Administrative Expenses	$2,953,000	AdministrativeExpensesAmt
End Year Balance	$7,959,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.23220	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.76780	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$39,787,321	OtherCostOrOtherBasisAmt
Book Value	$39,787,321	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$528,544,838	OtherCostOrOtherBasisAmt
Depreciation	$174,348,630	DepreciationAmt
Book Value	$354,196,208	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,637,458	OtherCostOrOtherBasisAmt
Depreciation	$12,631,502	DepreciationAmt
Book Value	$18,005,956	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$611,761,805	OtherCostOrOtherBasisAmt
Depreciation	$505,438,726	DepreciationAmt
Book Value	$106,323,079	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$154,420,268	OtherCostOrOtherBasisAmt
Depreciation	$123,580,179	DepreciationAmt
Book Value	$30,840,089	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$549,152,653	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	LIMITED LIABILITY COMPANY	Desc
Book Value	$176,354,962	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$176,354,962	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
OP LEASE RIGHT OF USE ASSETS	$68,922,061
OTHER LONG TERM ASSETS	$36,659,946

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$105,582,007	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DEFERRED PENSION	$92,581,671
DUE TO RELATED PARTIES	$5,986,088
OPERATING LEASE LIABILITY	$69,496,118
CONTRACT LIABILITIES	$91,694,926
OTHER LIABILITIES	$3,999

Field	Value	IRS element (for citing)
Total Liability	$259,762,802	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4

ENDOWMENT FUNDS ALL FUNDS RECEIVED BY THE CHRIST HOSPITAL FOUNDATION('THE FOUNDATION'), BOTH PERMANENT ENDOWMENTS AND TEMPORARY ENDOWMENTS, ARE USED IN LINE WITH THE DONOR'S INTENT. ALL FUNDS ARE MONITORED BY GENERAL ACCOUNTING AND IF EXPENSES ARE IDENTIFIED AS APPROPRIATE TO THE FUND, THE FUND WILL BE CHARGED FOR THE EXPENDITURE. FOR PERMANENT ENDOWMENTS, INVESTMENT INCOME WILL BE ALLOCATED BETWEEN INCREASING THE FUND'S CORPUS AND BENEFITING THE PROGRAM AS SPECIFIED BY THE DONOR.

PART X, LINE 2

ASC 740 footnote THE CHRIST HOSPITAL (TCH) IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS A CHARITABLE ORGANIZATION QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). TCH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONs IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2020 AND 2019, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2020 AND 2019.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	1	Program Services	Gen & Prof Liab	-$103,665
Central America and the Caribbean	1	Investments		$13,965,254

Field	Value	IRS element (for citing)
Subtotal Employees	2	SubtotalEmployeesCnt
Total Employee	2	TotalEmployeeCnt
Subtotal Spent	$13,861,589	SubtotalSpentAmt
Total Spent	$13,861,589	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART 1, LINE 3 COLUMNN (F)	FormAndLineReferenceDesc
Explanation	ACCOUNTING METHOD EXPENDITURES WERE ACCOUNTED FOR USING THE ACCRUAL METHOD OF ACCOUNTING.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,406,114	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,406,114	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$105,187,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,730,153	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,457,454	NetCommunityBenefitExpnsAmt
Total Expense	0.04270	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,593,721	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,730,153	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,863,568	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$371,192	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$371,192	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,793,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,644,823	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,149,174	NetCommunityBenefitExpnsAmt
Total Expense	0.00970	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,101,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,912,901	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,188,684	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,798	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$92,798	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,359,572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,557,724	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,801,848	NetCommunityBenefitExpnsAmt
Total Expense	0.01330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$130,953,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,287,877	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,665,416	NetCommunityBenefitExpnsAmt
Total Expense	0.05830	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$41,436,568	BadDebtExpenseAmt
Bad Debt Expense Attributable	$630,066	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$148,496,132	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$183,009,740	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$34,513,608	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE CHRIST HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2139 AUBURN AVENUE	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45219	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.thechristhospital.com	WebsiteAddressTxt
State License	1187AHR	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE CHRIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section A, Line 1	THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR. PART V, SECTION B, LINE 3e SEE NARRATIVE FOR PART V, SECTION B, LINE 11. PART V, SECTION B, LINEs 6a and 6b SEE NARRATIVE FOR PART V, SECTION B, LINE 11. PART V, SECTION B, LINE 6B The Christ Hospital Health Network Cincinnati Children's Hospital Medical Center Clinton Memorial Hospital Highpoint Health Kettering Health Network Fort Hamilton Hospital Grandview Medical Center Greene Memorial Hospital Kettering Behavioral Medicine Center Kettering Medical Center Soin Medical Center Southview Medical Center Sycamore Medical Center Lindner Center of HOPE Mercy Health \| Cincinnati Region Mercy Health - Anderson Hospital Mercy Health - Clermont Hospital Mercy Health - Fairfield Hospital Mercy Health - West Hospital The Jewish Hospital - Mercy Health Mercy Health \| Springfield Region Mercy Health - Urbana Hospital Springfield Regional Medical Center Premier Health Atrium Medical Center Miami Valley Hospital Miami Valley Hospital North Miami Valley Hospital South Upper Valley Medical Center TriHealth Bethesda Butler Hospital Bethesda North Hospital Good Samaritan Hospital McCullough Hyde Memorial Hospital TriHealth Evendale Hospital UC Health Daniel Drake Center for Post - Acute Care University of Cincinnati Medical Center West Chester Hospital Wayne HealthCare Wilson Health Health Departments Adams County Health Department Brown County Health Department Butler County Health Department Champaign-Urbana County Department Cincinnati Health Department City of Hamilton Health Department Clark County Combined Health District Clermont County Public Health Clinton County Health Department Darke County General Health District Fayette County Public Health Greene County Public Health Hamilton County Public Health Highland County Health Department Miami County Public Health Middletown City Health District Norwood Health Department Piqua City Health Department Preble County Public Health Public Health - Dayton & Montgomery County Sidney Shelby County Health Department Springdale Health Department Warren County Combined Health District PART V, SECTION B, LINE 7 THE URL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTP:/WWW.THECHRISTHOSPITAL.COM/NEWS-AND-COMMUNITY/CHNA PART V, SECTION B, LINE 10A THE URL FOR THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS: HTTP:/WWW.THECHRISTHOSPITAL.COM/NEWS-AND-COMMUNITY/CHNA
PART V, SECTION B, LINE 11	The Christ Hospital (TCH) conducted a community health needs assessment in Fiscal Year 2019 (July 1, 2018 - June 30, 2019) and sought input from a variety of community partners to gain valuable insight into the overall health and well-being of the community we serve. One of our primary partners in this endeavor was The Health Collaborative, a nonprofit organization that works with its member hospitals on healthcare improvement projects and shares best practices. The Health Collaborative brought local hospitals together for the third time and led the effort to better understand the health needs of the community. Their community report shares data for the Southwest Ohio region (including Greater Dayton and Greater Cincinnati, which include Northern Kentucky and Southeastern Indiana). Service areas of hospitals vary, so this approach provides the most thorough picture of health needs locally and regionally. Along with the data produced by The Health Collaborative, TCH ANALYZED A VARIETY of data sources including public health data, health risk factor surveys, socioeconomic needs assessments, environmental standards and existing programs that had been developed for residents in the Greater Cincinnati region. In addition, TCH also sought to review any written comments received regarding community health needs in the previous assessment. The priorities were determined by the number of votes in the community meetings, the number of mentions on surveys, and areas where data demonstrated performance worse than state or national benchmarks or trending in the wrong direction and impacting at least 16 counties (secondary data). The 5 identified priorities ranked in the top 8 for all primary data sources. The prevalent health concerns identified in the Hamilton County area through this needs assessment include: Substance Abuse Mental Health Access to Care Chronic Heart Disease Healthy Behaviors THROUGH A COLLABORATIVE AND METICULOUS PROCESS, TCH AND ITS COMMUNITY PARTNERS REVIEWED THE MOST PREVALENT HEALTH CONCERNS IN HAMILTON COUNTY AND ESTABLISHED A COURSE OF ACTION. This Implementation Plan focuses on programs, research, and education geared to target the prevalent health concerns facing the residents of Hamilton County. It is TCH's goal to make a measurable impact on the health of our community. We recognize that community health needs are broad and comprehensive. While we bring our expertise and leadership to addressing these needs, we also understand that one entity's expertise cannot be broad enough to be the sole answer. Collaborations and partnerships are key to meeting those needs, and we partner with community organizations that complement our resources. The Implementation Plan was approved by TCH Board of Directors on 10/16/2019. Due to the complexity of substance abuse, the approach to addressing this will be through a partnership and supportive role, which will also include exploration into the underlying problems leading to addiction in order gather insights for prevention and quality treatment. TCH will engage TCH staff with the Hamilton County Heroin Task Force, with a goal to reduce the number of deaths from heroin overdoses. TCH's partnership with the Hamilton County Heroin Task Force will include a group of hospital members who will engage and proactively work in partnership with the Task Force. The main areas of focus and expertise for the Task Force include prevention, treatment, harm reduction, law enforcement, and first responders. TCH will implement a Controlled Substance Policy. The policy will include a definition of controlled substances, guidance on prescription distribution and fulfillment, patient use of controlled substances and appropriate monitoring of suspicious behavior, with a goal of reducing the prescribing of high dose opiates, which will, in turn, help manage the exposure and distribution of opiates and reduce the availability of substances in the community. In July 2019, TCH established an Outpatient Behavioral Health Program, which includes substance abuse treatment with a goal of providing expanded access to treatment and prevention through the hospital Outpatient program. As previously noted, TCH opened Behavioral Health Outpatient Clinic at its Mt. Auburn campus in July 2019 to serve the needs of patients with mental health and substance abuse conditions. This includes partial hospitalization, intensive outpatient services and treatment. TCH will also continue the Comprehensive Primary Care Plus program that includes office based Primary Care Behavioral Health services to holistically address patient needs. These actions will decrease the rate at which patients are re-admitted to the hospital and revisits to the Emergency Department and will provide a much-needed Outpatient Service to the community. The Comprehensive Primary Care Plus program improves access to Primary Care Mental Health professionals in the communities where the patients live. Both actions will work in tandem to increase access to care. The services will also contribute to the overall understanding of community mental health needs, helping to debunk myths and misunderstandings. TCH will work to provide access to Pharmaceuticals to those who are underserved and to those in need with a goal to improve the quality of care for patients who require pharmaceutical treatment. TCH will work in collaboration with St. Vincent DePaul Pharmacy to provide free pharmacy services to the uninsured and underinsured community. TCH will increase medical care access for the homeless by providing after care to the homeless post- discharge from the hospital through collaboration with the Center for Respite Care, Homeless Medical Recovery. The mission is to partner in providing quality holistic medical care to homeless people who need a safe place to heal, while assisting them in breaking the cycle of homelessness and reducing the number of readmissions to the hospital. TCH will expand partnerships with ride sharing platforms to provide assistance to patients needing access to our facilities. Additionally, the establishment of the Outpatient Behavioral Health Program increases access to Outpatient Behavioral Health to vulnerable Hamilton County populations. TCH is working in collaboration with the Center for Respite Care, Homeless Medical Recovery, to provide after care when homeless patients are discharged from the hospital. The mission is to partner in providing quality holistic medical care to homeless people who need a safe place to heal, while assisting them in breaking the cycle of homelessness. TCH will provide access to preventative vascular screenings in the community served. Early detection of heart disease through screenings facilitate access to care, and the likelihood of effective intervention and treatment. Additionally, TCH will provide access to innovative technology by offering clinical trials across a wide spectrum of cardiovascular diseases. Offering CTO clinical trials to the community will create options to prevent further disease progression. The TCH Heart Failure Clinic offers advanced heart treatment options to the Hamilton County and rural communities increasing access to specialty care. TCH will Actively participate and support the Mount Auburn Gardens Initiative and Collaboration (M.A.G.I.C.) by attending meetings and work days to drive community engagement in the gardens to offer more healthy food options as well as be a source of physical activity for Mt. Auburn community members. The efforts for in-kind support will address food scarcity in Mt. Auburn and encourage healthy eating among its residents. TCH will provide financial support and participation in Mt. Auburn's 14-week lifestyle modification intervention program, Do Right! Block by Block campaign, which will help improve the lives of the underserved through education and the development of a sustainable culture of health throughout the community. TCH will provide financial support to the American Heart Association/GO Red for Women and Heart Walk which will provide healthy heart tips and education for the community. TCH will offer free physicals at events to help encourage the community to live active lifestyles and promote exercise. Additionally, smoking cessation efforts will decrease incidence of chronic lung disease and multiple cancers. our ongoing work has yielded favorable results. across all sectors progress is being made to meet our goals: . opioid use across the network is trending down, with a decrease of 29% in opioid doses administered in fiscal year 2020 when compared to our baseline (fy2019). . the network expanded its behavioral health consultants (bhcs) to all primary care offices. for those practices that have a high volume of referrals, availability to the bhcs has increased. as a result, the network has experienced a decrease in average length of stay ('los') in the inpatient psychiatry units, with an average los of 2.9 days at june 30, 2020 (bel
part v, section b, lines 16a, 16b and 16c	THE FAP, FAP APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING WEBSITE: https://www.thechristhospital.com/patient-resources/patient-financial- services/financial-resources/financial-assistance PART V, SECTION B, LINE 22D INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE - HOSPITAL DETERMINATION OF THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR MEDICALLY NECESSARY CARE. TCH MAINTAINS A FINANCIAL ASSISTANCE PROGRAM POLICY THAT OUTLINES THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE PROGRAM ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE AMOUNT CHARGED TO FINANCIAL ASSISTANCE PROGRAM ELIGIBLE INDIVIDUALS FOR EMERGENCY OR MEDICALLY NECESSARY CARE IS REPRESENTATIVE OF AN ANNUAL COMPUTATION OF AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. TCH PROVIDES FURTHER ADJUSTMENTS TO AMOUNTS CHARGED BASED ON A VARIETY OF FACTORS, INCLUDING PATIENT INCOME INFORMATION AND OTHER SOURCES WHEN INADEQUATE INFORMATION IS PROVIDED BY THE PATIENT TO QUALIFY UNDER TCH'S CHARITY PROGRAMS. TCH WORKS WITH ALL PATIENTS BASED ON THEIR INDIVIDUAL SITUATION TO ENSURE OUR MISSION IS BEING CARRIED OUT WITHIN THE COMMUNITY IN WHICH WE SERVE.

Field	Value	IRS element (for citing)
Facility	233	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (233 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Mason MOB
608 Reading Road	Mason	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Physician Office
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Liberty Commons Medical Center
7335 Yankee Road	Liberty Township	OH	45255	Specialty Center
Montgomery Surgery Center
11150 Montgomery Road	Cincinnati	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Red Bank Surgery Center
4850 Red Bank Road	Cincinnati	OH	45255	Specialty Center
Miami Twp MOB
1171 State Route 28	Milford	OH	45255	Physician Office
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Testing & Imaging Center
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Physician Office
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Physician Office
Rookwood Tower
3805 Edwards Road	Cincinnati	OH	45255	Physician Office
Red Bank Crossing I
4460 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Montgomery Surgery Center
11150 Montgomery Road	Cincinnati	OH	45255	Surgery Center
2025 Reading Road
2025 Reading Road	Cincinnati	OH	45219	Physician Office
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Physician Office
Linden Pointe Bldg D
4803 Montgomery Road	Norwood	OH	45219	Specialty Center
TCHOA Blue Ash
9250 Blue Ash Road	Cincinnati	OH	45219	Physician Office
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Testing & Imaging Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
TCHMA Clough Pike
6620 Clough Pike	Cincinnati	OH	45219	Physician Office
Red Bank Crossing I
4460 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Physician Office
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Physician Office
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Research Center
Wetherington
7589 Tylers Place Boulevard	West Chester	OH	45219	Physician Office
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
TCHMA Mason Montgomery Rd
7451 Mason Montgomery Road	Mason	OH	45219	Physician Office
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Physician Office
Miami Twp MOB
1171 State Route 28	Milford	OH	45255	Physician Office
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
TCHMA Compton
24 Compton Rd	Cincinnati	OH	45219	Physician Office
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Testing & Imaging Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Physician Office
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Physician Office
Montgomery Surgery Center
11150 Montgomery Road	Cincinnati	OH	45255	Specialty Center
Red Bank Retail I
4400-4420 Red Bank Expressway	Cincinnati	OH	45219	Specialty Center
Red Bank Retail I
4400-4420 Red Bank Expressway	Cincinnati	OH	45219	Phys/Occupational Therapy
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Testing & Imaging Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Testing & Imaging Center
Rookwood Tower
3805 Edwards Road	Cincinnati	OH	45255	Physician Office
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Testing & Imaging Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Babson
4900 Babson Place	Cincinnati	OH	45219	Physician Office
Eastgate Medical Office Building
796 Old State Route 74	Cincinnati	OH	45227	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Testing & Imaging Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Cincinnati Sports Mall
3950 Red Bank Road	Cincinnati	OH	45245	Phys/Occupational Therapy
Rookwood Tower
3805 Edwards Road	Cincinnati	OH	45255	Physician Office
Loveland Building
1200 Cottonwood Lane	Cincinnati	OH	45230	Physician Office
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Physician Office
Liberty Commons Medical Center
7335 Yankee Road	Liberty Township	OH	45255	Specialty Center
Linden Pointe Bldg E
4805 Montgomery Road	Cincinnati	OH	41011	Specialty Center
Linden Pointe Bldg E
4805 Montgomery Road	Cincinnati	OH	41011	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Physician Office
Chamber Center
2156 Chamber Center Drive	Ft Mitchell	KY	41011	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Physician Office
Linden Pointe Bldg D
4803 Montgomery Road	Norwood	OH	45219	Physician Office
Rookwood Tower
3805 Edwards Road	Cincinnati	OH	45255	Physician Office
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Physician Office
Babson
4900 Babson Place	Cincinnati	OH	45219	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
TCHMA - Bridgetown
5680 Bridgetown Road	Cincinnati	OH	41011	Physician Office
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
TCHMA - Walnut IM
312 Walnut Street	Cincinnati	OH	41011	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Testing & Imaging Center
Linden Pointe Bldg D
4803 Montgomery Road	Norwood	OH	45219	Physician Office
TCHMA Maderia
8041 Hosbrook Road	Cincinnati	OH	45248	Physician Office
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Physician Office
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Physician Office
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Physician Office
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Physician Office
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Physician Office
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Physician Office
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Physician Office
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Testing & Imaging Center
Milford PT
970 974 Lila Avenue	Milford	OH	45248	Phys/Occupational Therapy
Liberty Commons Medical Center
7335 Yankee Road	Liberty Township	OH	45255	Physician Office
Red Bank Crossing I
4460 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Physician Office
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway	Cincinnati	OH	45255	Physician Office
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Cincinnati Sports Mall
3950 Red Bank Road	Cincinnati	OH	45245	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Testing & Imaging Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Miami Twp MOB
1171 State Route 28	Milford	OH	45255	Phys/Occupational Therapy
Mason MOB
608 Reading Road	Mason	OH	45255	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Urgent Care
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Phys/Occupational Therapy
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Physician Office
Liberty Commons Medical Center
7335 Yankee Road	Liberty Township	OH	45255	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Testing & Imaging Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Phys/Occupational Therapy
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Physician Office
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Physician Office
The Medical Arts Bldg- Wilmington
1150 W Locust Street	Wilmington	OH	45249	Physician Office
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Liberty Commons Medical Center
7335 Yankee Road	Liberty Township	OH	45255	Testing & Imaging Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Miami Twp MOB
1171 State Route 28	Milford	OH	45255	Specialty Center
Miami Twp MOB
1171 State Route 28	Milford	OH	45255	Specialty Center
Miami Twp MOB
1171 State Route 28	Milford	OH	45255	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Five Mile
7691 Five Mile Road	Cincinnati	OH	45249	Specialty Center
Harrison Greene
5649 Harrison Avenue	Cincinnati	OH	45249	Phys/Occupational Therapy
TCHMA Delhi
5314 Delhi Pike	Cincinnati	OH	45249	Physician Office
Winton Road
8250 Winton Road	Cincinnati	OH	45249	Specialty Center
Winton Road
8250 Winton Road	Cincinnati	OH	45249	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Testing & Imaging Center
Rookwood Tower
3805 Edwards Road	Cincinnati	OH	45255	Physician Office
TCHMS Norwood
2355 Norwood Avenue	Cincinnati	OH	45249	Specialty Center
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Testing & Imaging Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Ludlow Hill Professional Building
368 Bielby Road	Lawrenceburg	IN	45249	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Babson
4900 Babson Place	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Testing & Imaging Center
TCHMA Burlington
1838 Florence Pike	Burlington	KY	45227	Physician Office
TCHCVA - Margaret Mary
321 Mitchell Avenue	Batesville	IN	45227	Specialty Center
Harpers Pointe
11340 Montgomery Road	Cincinnati	OH	45227	Specialty Center
Rookwood Tower
3805 Edwards Road	Cincinnati	OH	45255	Testing & Imaging Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Phys/Occupational Therapy
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Rehabilitation
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Urgent Care
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Phys/Occupational Therapy
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Testing & Imaging Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Testing & Imaging Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Testing & Imaging Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Miami Twp MOB
1171 State Route 28	Milford	OH	45255	Testing & Imaging Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center
Five Mile
7691 Five Mile Road	Cincinnati	OH	45249	Physician Office
TCHMA Milford
5714 Signal Hill Court	Milford	OH	45227	Physician Office
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Specialty Center
Clinton Memorial Hospital
630 West Main Street	Wilmington	OH	45209	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Specialty Center
Montgomery Surgery Center
11150 Montgomery Road	Cincinnati	OH	45255	Specialty Center
Montgomery Surgery Center
11150 Montgomery Road	Cincinnati	OH	45255	Specialty Center
Montgomery Surgery Center
11150 Montgomery Road	Cincinnati	OH	45255	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Testing & Imaging Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Liberty Township AOC
6939 Cox Road	Liberty Township	OH	41011	Testing & Imaging Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
TCHCVA - Dearborn Cty 2
98 Elm Street	Lawrenceburg	IN	47346	Physician Office
Ft Wright AOC
1949-2001 Dixie Highway	Ft Wright	KY	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
Red Bank Crossing II
4440 Red Bank Expressway	Cincinnati	OH	45255	Testing & Imaging Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45255	Specialty Center
Green Township AOC
5885 Harrison Avenue	Cincinnati	OH	45219	Specialty Center

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 7, column F	FormAndLineReferenceDesc
Explanation	BAD DEBTS ARE NETTED AGAINST REVENUES IN PART VIII, AND AS SUCH ARE NOT INCLUDED IN THE TOTAL EXPENSES IN ORDER TO CALCULATE THE PERCENTAGE REPORTED IN COLUMN F ON SCHEDULE H, PART I AND PART II. PART I, LINE 7 THE CHRIST HOSPITAL (TCH) APPLIES A COST-TO-CHARGE RATIO FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS TO DETERMINE FINANCIAL ASSISTANCE PROVIDED AT COST. PART III, LINES 2 AND 4 The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category. The results of this review are then used to make modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. PART III, LINE 8 COSTS REPORTED ON LINE 6 ARE OBTAINED FROM THE MEDICARE COST REPORT WHICH IS BASED ON A COST TO CHARGE RATIO. PART III, LINE 9B PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE AND FINANCIAL ASSISTANCE ARE NOT SENT TO COLLECTIONS UNLESS A DETERMINATION IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY HAS BEEN MADE THAT THE PATIENT HAS THE FINANCIAL RESOURCES TO PAY SOME PORTION OF THEIR BILL BUT REFUSES TO DO SO. Part III, section B In addition to hospital-based revenue and allowable cost generated from Medicare (including DSH and IME) eligible participants reported in Part III Section B, The Christ Hospital provides hospital-based services to other Medicare eligible participants, through Medicare plans sponsored by managed care providers (Medicare Managed Care Plans). Medicare Managed Care Plans are Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs) that provide basic Medicare coverage plus other coverages to fill gaps in Medicare coverage. These plans have arrangements with certain physicians, hospitals and health care providers to serve patients who are plan members at a contracted rate. Below is the shortfall related to hospital-based revenue and allowable costs under Medicare Managed Care Plans: Revenue received from Medicare Managed Care Plans $111,487,013 Allowable cost of care related to payments from above $(144,048,221) ------------ Shortfall from Medicare Managed Care Plans $(32,561,208) Also, The Christ Hospital has certain Medicare Part B (physician-based) revenue and allowable cost related to services rendered on behalf of Medicare eligible participants by employed physicians of The Christ Hospital. This would include services provided under traditional Medicare, as well as Medicare Managed Care Plans. Below is the shortfall related to the disregarded entities of the Hospital: Revenue received from Medicare Part B Plans (physician-based) $ 99,071,364 Allowable cost of care related to payments from above $(138,165,052) ------------- Shortfall related to the Medicare Part B Plans $ (39,093,687) (physician-based) Part VI NEEDS ASSESSMENT Our first step in conducting our 2019 Community Health Needs Assessment was to define the community we serve. To do so we considered a number of relevant facts and circumstances, including the geographic area we serve, the target populations we serve, and our principle functions as a hospital, which include our service lines. In defining the community we serve, we specifically included the medically underserved, low income and the minority populations who live in the geographic area from which we draw patients. In addition, we included all patients without regard to whether (or how much) they or their insurers pay for care received or whether they are eligible for assistance under our financial assistance policy. We assessed the health needs by engaging the Health Collaborative to conduct a comprehensive and collaborative Community Health Needs Assessment. The Health Collaborative is a nonprofit organization serving the Greater Cincinnati area. It works with its member hospitals on health care improvement projects and shares best practices. The Health Collaborative brought 35 hospitals and 28 local health departments together, including The Christ Hospital, to conduct a comprehensive, collaborative community health needs assessment (Collaborative CHNA). The Collaborative Report also provides a comprehensive and detailed description of (1) how the Collaborative CHNA Team solicited and took into account input received from persons who represent the broad interests of the community, including those with special knowledge of, or expertise in, public health, (2) how and over what period of time such input was provided, (3) the names of organizations providing input and the nature and extent of the organizations input, (4) descriptions of the medically underserved, low income or minority populations being represented by organizations or individuals that provided input. Collectively within 25 counties over 35 hospitals, 28 health departments, including Hamilton County Department of Health, 100 community groups and organizations, and participation of community members. Over 140 data measures were deployed including primary and secondary data over 1400 qualitative surveys. The CHNA team reached out to the local health departments in the spring of 2017 to take the first steps towards the State of Ohio's requirement that health departments and hospitals align their assessments starting in 2020. As a result, the CHNA team has researched more secondary data measures, included hospital utilization data, oversampled vulnerable populations, and engaged more participants. A total of 1,416 people or organizations completed a survey or attended a meeting. A significant part of the increase was due to local health departments helping to promote and conduct meetings. PATIENT EDUCATION OF ELIGIBILITY AND ASSISTANCE TCH POSTS ITS CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTRACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENT, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. TCH PROVIDES A COPY OF THE POLICY, OR SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH THE FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN THE PATIENT BILLS. TCH DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, WHERE APPLICABLE. ADDITIONALLY, TCH ASSISTS PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. TCH REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: - EXPLORE ELIGIBILITY, - FILE APPLICATION ON PATIENT'S BEHALF, - SCHEDULE AND ATTEND APPOINTMENTS, - PROVIDE TRANSPORTATION WHEN NECESSARY, - PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGHOUT THE REGISTRATION AND DISCHARGE PROCESS, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. TCH UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. TCH REPRESENTATIVES ARE AVAILABLE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. COMMUNITY INFORMATION TCH's primary service area, comprising 88.0% of inpatient admissions, encompasses seven counties in the Greater Cincinnati area including, Hamilton, Clermont, Butler, and Warren Counties in Ohio and Kenton, Boone, and Campbell Counties in Kentucky. TCH's secondary service area comprises an additional 9.0% of the inpatient admissions and encompasses an additional seven counties including Adams, Brown, Clinton and Highland Counties in Ohio; Grant and Pendleton Counties in Kentucky; Dearborn County in Indiana. TCH largely services Hamilton County which has a population of approximately 801,921 with 15.9% of the population over the age of 65. The Hamilton County population consists of approximately 14.6% of the population living at or less than 100% of the Federal poverty rate. Approximately 65.9% of Hamilton County's population is White while 26.9% of the population is African American, 2.7% is Asian Americans, and remaining other ethnicities account for 4.5% of the population. Within Hamilton County, 42.9% of the households have an average income of level of less than $50,000; approximately 38.1% of households have income between $50,000-$100,000; and an additional 19.0% of households have an average income greater than $100,000. PROMOTION OF COMMUNITY HEALTH TCH OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, A SYSTEMATIC APPROACH IS USED TO DETERMINE COMMUNITY HEALTH NEEDS WITH INPUT FROM ORGANIZATIONS SUCH AS THE CENTER FOR CLOSING THE HEALTH GAP, THE TCH FAMILY ADVISORY COUNCIL, AND THE GATHERING OF COMMUNITY HEALTH STATISTICS BY THE SERVICE LINE	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CENTER FOR CLOSING THE HEALTH GAP
3120 BURNET AVE	CINCINNATI	OH	45229	200902286	501(c)(3)	$175,000	GENERAL SPONSORSHIP
AMERICAN HEART ASSOCIATION INC
5211 MADISON ROAD	CINCINNATI	OH	452271411	135613797	501(c)(3)	$125,000	GENERAL SPONSORSHIP
CINCINNATI SPORTS MALL
3950 RED BANK ROAD	CINCINNATI	OH	45227	311249621		$18,750	GENERAL SPONSORSHIP
Arthritis FOUNDATION
7124 MIAMI AVENUE	CINCINNATI	OH	45243	274014550	501(c)(3)	$40,000	GENERAL SPONSORSHIP
CRADLE CINCINNATI
3333 BURNET AVE	CINCINNATI	OH	45229	310833936	501(c)(3)	$25,000	GENERAL SPONSORSHIP
REDI CINCINNATI
3 EAST FOURTH STREET	CINCINNATI	OH	45202	472090230		$10,000	GENERAL SPONSORSHIP
OAK HILLS LOCAL SCHOOL DISTRICT
6325 RAPID RUN ROAD	CINCINNATI	OH	45233	316000742	GOVT	$204,286	GENERAL SPONSORSHIP
MADEIRA CITY SCHOOL DISTrict
7465 LOANNES DRIVE	cincinnati	OH	45243	316000862	GOVT	$15,432	GENERAL SPONSORSHIP
ST VINCENT DE PAUL
1125 BANK STREET	CINCINNATI	OH	45214	310537510	501(C)(3)	$10,000	GENERAL SPONSORSHIP
CENTER FOR RESPITE CARE
1615 REPUBLIC	CINCINnATI	OH	45202	202544994	501(c)(3)	$50,000	GENERAL SPONSORSHIP
WYOMING CITY SCHOOL DISTRICT
420 SPRINGFIELD PIKE	WYOMING	OH	45215	316001020	govt	$102,300	GENERAL SPONSORSHIP
KINGS HAMMER SOCCER CLUB
1018 TOWN DRIVE	WILDER	KY	41076	311213703	501(c)(3)	$25,000	GENERAL SPONSORSHIP
lakota local school district
5572 princeton RD	Liberty Twp	OH	45011	316000897	govt	$264,000	General Sponsorship
cincinnati united soccer club
411 circle freeway dr	cincinnati	OH	45246	311461867	501(c)(3)	$25,000	general sponsorship
cincinnati marlins inc
616 WN bend RD	cincinnati	OH	45224	310725166	501(c)(3)	$9,187	general sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	emergency hardship assistance	GrantTypeTxt
Recipient	194	RecipientCnt
Cash Grant	$231,168	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE CHRIST HOSPITAL PROVIDES FUNDING TO COMMUNITY ORGANIZATIONS THAT SUPPORT THE MISSION OF THE CHRIST HOSPITAL PRIMARILY FOCUSING ON 1) THOSE ORGANIZATIONS THAT EDUCATE THE COMMUNITY ABOUT HEALTH, WELLNESS AND PREVENTION, 2) THOSE INITIATIVES THAT IMPROVE THE HEALTH OF THE COMMUNITY, AND 3) THOSE INITIATIVES THAT ARE FOCUSED ON KEY CLINICAL SERVICE AREAS OF THE CHRIST HOSPITAL (INCLUDING CARDIOVASCULAR, MUSCULOSKELETAL, WOMEN'S HEALTH, PRIMARY CARE, ETC.). PRIOR TO RELEASING FUNDS, THE CHRIST HOSPITAL REVIEWS THE FUNDING RECIPIENT TO ENSURE THE FUNDS WILL BE USED TO FURTHER THE ABOVE STATED FUNDING CRITERIA. Emergency assistance grant funding is approved by an independent committee on an objective basis to those who meet the eligibility requirements of the assistance program.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARC SCHNEIDER MD
PHYSICIAN	$1,445,785	$0	$0	$0	$21,622	$0	$0	$0	$27,324	$0	$1,494,731	$0	$0	$0
Michael K Keating
Director (Thru 10/20)	$346,609	$0	$99,250	$0	$25,732	$0	$110,034	$0	$28,324	$0	$609,949	$0	$110,344	$0
ALMA HELPLING
CFO & VP (Thru 06/20)	$460,759	$0	$146,000	$0	$7,524	$0	$69,953	$0	$22,013	$0	$706,249	$0	$0	$0
Slobodan Stanisic MD
PHYSICIAN	$1,441,400	$0	$0	$0	$4,387	$0	$0	$0	$29,824	$0	$1,475,611	$0	$0	$0
Arturo Polizzi
PRESIDENT & CEO (Thru 10/20)	$845,596	$0	$480,000	$0	$12,885	$0	$310,798	$0	$28,177	$0	$1,677,456	$0	$250,000	$0
Eric Stamler MD
PHYSICIAN & DIR (thru 9/19)	$413,479	$0	$0	$0	$23,095	$0	$0	$0	$0	$0	$436,574	$0	$0	$0
Patrick Kirk MD
PHYSICIAN	$1,725,795	$0	$285,000	$0	$15,823	$0	$0	$0	$28,974	$0	$2,055,592	$0	$0	$0
Robert Cody MD
PHYSICIAN	$1,343,784	$0	$0	$0	$22,611	$0	$0	$0	$15,166	$0	$1,381,561	$0	$0	$0
Geraldine M Vehr MD
Physician & dir (beg 10/19)	$240,830	$0	$20,000	$0	$41,311	$0	$0	$0	$9,034	$0	$311,175	$0	$0	$0
Edward Lim MD
Physician	$1,262,946	$0	$250,000	$0	$33,211	$0	$0	$0	$25,433	$0	$1,571,590	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, 1a	FormAndLineReferenceDesc
Explanation	TCH monitors all expense reimbursements for social club dues paid for on behalf of TCH. Should any expenses be deemed for personal use, an appropriate fringe benefit would be included in the employee's compensation for the portion of the social club dues that relate to personal use. Social club dues were provided for one listed individual (one Officer). part i, line 4b THE CHRIST HOSPITAL HAS A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN SENIOR EXECUTIVES. THE FOLLOWING INDIVIUDALS HAVE AN ACCRUAL REPORTED IN PART II, COLUMN (C): MICHAEL K. KEATING $ 102,097 ALMA HELPLING $ 61,620 ARTURO POLIZZI $ 302,398 The following individual received a payout from the plan: MICHAEL K. KEATING $ 110,344	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
HAMILTON COUNTY OHIO
A	316000063	2010-12-20	$30,000,000	SEE PART VI	false	false	false
HAMILTON COUNTY OHIO
B	316000063	2012-06-26	$333,431,995	SEE PART VI	false	false	false	40727TCS7

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$12,163,000	$0	$30,021,765	$0	$0	$0	$0	$0	$0	$30,021,765	$0	$0	2012	false	false	false	Yes (true)
B	$27,625,000	$198,875,000	$334,095,250	$0	$27,741,427	$0	$5,073,444	$1,607,333	$0	$172,541,278	$127,109,132	$0	2016	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	false	false	Yes (true)	Yes (true)	false	0.00150	0.00150	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.00000	0.01630	false	false	false	Yes (true)	0.01630

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
FIFTH THIRD BANK
A	false	Yes (true)	Yes (true)	Yes (true)	5.5	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false				false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE A, COLUMN F	The difference between Part I, Column (E) and Part II is due to investment earnings of $21,765.
Part I, Line B, Column F	The difference between part I, column (E) and part II is due to investment earnings of $663,255.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Deborah Gerdes
Family Member	$217,338	Compensation - See Part V	false
Paige A Debuys
Family Member	$138,990	Compensation - See Part V	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Business Transactions	FormAndLineReferenceDesc
Explanation	Deborah Gerdes, daughter of Thomas Gerdes (Director of The Christ Hospital), is employed as a physician by The Christ Hospital Physicians, LLC (TCHP). Ms. Gerdes received compensation of $217,338 during the calendar year ended December 31, 2019. TCHP is a disregarded entity for tax purposes. Paige A. Debuys, sister of Robert Heimann (Director of TCH), is employed as a physician by TCHP. Ms. Debuys received compensation of $138,990 during calendar year ended December 31, 2019. TCHP is a disregarded entity for tax purposes.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART VI, LINES 6, 7A & 7B	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE VOTING MEMBER OF THE CHRIST HOSPITAL (TCH) IS THE CHRIST HOSPITAL, INC. (TCHI). TCHI HAS THE FOLLOWING AUTHORITY WITH RESPECT TO TCH: 1.) TO APPOINT MEMBERS TO THE GOVERNING BOARD OF TCH, 2.) TO RECEIVE THE NET ASSETS OF TCH UPON DISSOLUTION AND 3.) TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF TCH. SIGNIFICANT DECISIONS INCLUDE THOSE WITH THE POTENTIAL TO IMPACT THE MISSION AND VISION OF TCH. THE ELIZABETH GAMBLE DEACONESS HOME ASSOCIATION (EGDHA) IS A CONSENTING MEMBER OF TCH. EGDHA MUST CONSENT TO THE DISSOLUTION, MERGER, SALE OR DISPOSITION OF MATERIAL ASSETS OF TCH.
PART VI, LINE 11B	PROCESS USED TO REVIEW FORM 990 THE FORM 990 IS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED BY THE CONTROLLER, THE CFO, AND THE CEO. THE FORM IS THEN PRESENTED TO THE AUDIT AND RISK MANAGEMENT COMMITTEE AND BOARD FOR FINAL REVIEW.
PART VI, LINE 12C	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST CONFLICT OF INTEREST (COI) DISCLOSURE FORMS ARE DISTRIBUTED ANNUALLY TO CERTAIN POTENTIALLY AFFECTED INDIVIDUALS. INDIVIDUALS ARE UNDER A DUTY TO DISCLOSE ANY POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN THE ANNUAL FILINGS OF THE DISCLOSURE FORM. INDIVIDUALS COVERED UNDER THE CONFLICT OF INTEREST POLICY INCLUDE OFFICERS AND DIRECTORS. CONFLICTS OF INTEREST ARE DETERMINED BASED ON RESPONSES TO THE COI ANNUAL CERTIFICATION. THESE ARE REVIEWED BY LEGAL SERVICES AND FORWARDED TO SENIOR MANAGEMENT. BASED ON THE NATURE OF THE JOB DUTIES AND SPECIFIC DISCLOSURES IN THE CERTIFICATION, FURTHER CLARIFICATION MAY BE REQUESTED AND/OR A DECISION TO IMPLEMENT ALTERNATIVE PROCEDURES THAT WILL ELIMINATE THE POTENTIAL CONFLICT OF INTEREST WILL BE MADE.
PART VI, LINES 15A AND 15B	COMPENSATION DETERMINATION PROCESS COMPENSATION OF THE ORGANIZATION'S CEO & VICE PRESIDENTS IS REVIEWED ANNUALLY BY THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REVIEW WAS LAST PERFORMED IN JULY 2020. THE COMPENSATION COMMITTEE AND GOVERNANCE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS AND PERFORMS THE REVIEW WITH THE ASSISTANCE OF, AND COMPARABLE DATA PROVIDED BY, MERCER. COMPENSATION ARRANGEMENTS HAVE BEEN DETERMINED REASONABLE AND CONTEMPORANEOUSLY DOCUMENTED.
PART VI, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON A REASONABLE REQUEST AND AS REQUESTED.
PART VII, COLUMN (B)	AVERAGE HOURS PER WEEK OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES DEVOTE SIGNIFICANT TIME AND EFFORT TO THE OPERATIONS AND OVERSIGHT OF TCH. FROM TIME TO TIME, AS SITUATIONS DICTATE, THESE INDIVIDUALS MAY DEVOTE SIGNIFICANTLY MORE TIME TO THE OPERATIONS AND OVERSIGHT OF THE ORGANIZATION THAN IS REPORTED ON FORM 990, PART VII. Parts VIII, IX and X Impact of Novel Coronavirus Disease 2019 Pandemic In March 2020, the World Health Organization designated the novel coronavirus disease 2019 ('COVID 19') outbreak as a global pandemic. The COVID 19 outbreak, coupled with government-mandated restrictions on hospital services following Ohio Governor Mike DeWine's declaration of a state of emergency related to the COVID 19 pandemic on March 9, 2020, significantly impacted the operations of TCH beginning in mid-March 2020 and continuing through the fourth quarter of the year ended June 30, 2020. Financially, the government-mandated postponement of non-essential procedures and other scheduled appointments adversely and significantly affected operating revenue of TCH through significant reductions in patient volumes. While the initial restrictions on hospital services eased across both May and June (as Ohio health care providers were permitted to resume surgeries and procedures previously delayed due to the COVID 19 state of emergency), certain requirements remained in place related to timely COVID 19 testing and screening of patients and staff and the conservation and monitoring of personal protective equipment, other critical supplies, and equipment. Patient service revenue related to patients with a COVID 19 diagnosis represented approximately 2% of TCH's patient service revenue for the year ended June 30, 2020. To respond to the resulting operating revenue shortfalls, TCH implemented various cost reduction efforts, which included a reduction in executive compensation; the temporary furlough of workers where TCH's services had been curtailed and reduced; and deferring or cancelling consulting projects and other purchased services, where possible. The extent of the COVID 19 pandemic's adverse impact on TCH's operating results and financial condition were and will continue to be driven by many factors, including, but not limited to, government-mandated or recommended suspensions of elective or other procedures, reduced patient volumes, increases in the number of uninsured and underinsured patients as a result of higher sustained rates of unemployment, and incremental expenses required for supplies and personal protective equipment. Because of these and other uncertainties, the duration and extent of the COVID 19 pandemic-related implications and length of time until TCH's operations normalize remain unknown. In response to the COVID 19 pandemic, federal and state governments passed legislation and took other administrative actions intended to assist health care providers in providing care to COVID 19 and other patients during the public health emergency. The Coronavirus Aid, Relief, and Economic Security (CARES) Act, which was enacted on March 27, 2020, authorized $100 billion in funding earmarked for hospitals and other health care providers. The funds were intended to compensate health care providers for lost revenues and incremental expenses incurred in response to the COVID 19 pandemic and are not required to be repaid provided the recipients attest to and comply with certain terms and conditions, including limitations on balance billing and not using the funds to reimburse expenses or losses that other sources are obligated to reimburse. TCH received $20.1 million in stimulus funds from the U.S. Department of Health and Human Services as a part of the CARES Act, and these funds are recorded as other revenue in the consolidated statement of operations and changes in net assets for the year ended June 30, 2020. In addition, the CARES Act provided for an expansion of the Medicare Accelerated and Advance Payment Program, whereby inpatient acute care hospitals and other eligible providers may request accelerated payment of up to 100% of their Medicare payment amount for a six-month period to be repaid through the withholding of future Medicare fee-for-service payments beginning one year after receipt. After seventeen months, any amounts that have not been offset by Medicare claims will be required to be repaid. TCH has received $91.7 million in Medicare accelerated and advance payments from the Centers for Medicare & Medicaid Services. TCH has recorded a liability equal to its repayment obligation to Medicare for services not rendered within contract liabilities in the consolidated balance sheet at June 30, 2020. The CARES Act also provided for deferred payment of the employer portion of social security taxes between March 27, 2020 and December 31, 2020, with 50% of the deferred amount due December 31, 2021 and the remaining 50% due December 31, 2022. TCH has deferred $5.0M in social security taxes through June 30, 2020, which is included in long-term benefits and other liabilities in the consolidated balance sheet.
part xi, line 9	other changes in net assets Clinical Excellence Grant Funding Temporarily $ 7,730,000 restricted as to use at june 30, 2020 clinical excellence grant funding in support $ (22,830,442) for fy20 strategic investments in operations Changes in Pension $ (31,347,000) Equity contributions by TCH to CON $ (200,551) loss on extinguishment of debt $ (15,873,209) other changes $ 3,728,317 ---------------- Total $ (58,792,885)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt
THE CHRIST HOSPITAL MEDICAL ASSOC LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	261332866	MEDICAL PRACT	OH	TCH PHYS
TCH MEDICAL SPECIALIST LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	452681845	MEDICAL PRACT	OH	TCH PHYS
HPL REALTY CO LLC
2139 auburn avenue	CINCINNATI	OH	45219	454013544	REAL ESTATE	OH	TCH	$0	$0
TCH MEDICAL ASSOCIATES II LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	273999894	MEDICAL PRACT	OH	TCH PHYS
TCH MEDICAL ASSOCIATES III LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	275467250	MEDICAL PRACT	OH	TCH PHYS
TCH CLINICALLY INTEGRATED NETWORK LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	454209314	PHO	OH	TCH	$0	$0
TCH CARDIOVASCULAR ASSOCIATES LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	263070266	MEDICAL PRACT	OH	TCH PHYS
TCH ORTHOPAEDIC ASSOCIATES LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	272352575	MEDICAL PRACT	OH	TCH PHYS
TCHHN URGENT CARE LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	273088756	MEDICAL PRACT	OH	TCH PHYS
TCH ORTHOPAEDIC ASSOCIATES III LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	273088817	MEDICAL PRACT	OH	TCH PHYS
TCH MEDICAL SPECIALIST II LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	270577733	MEDICAL PRACT	OH	TCH PHYS
PROFESSIONAL DIAGNOSTIC SERVICES LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	273081840	MEDICAL SERVI	OH	TCH	$0	$0
LINDNER CTR RSCH & EDU AT TCH LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	263885165	MED RESEARCH	OH	TCH	-$702,187	$492,035
THE CHRIST HOSPITAL PHYSICIANS LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	273841691	MEDICAL PRACT	OH	TCH	-$68,758,000	$71,536,000
bluegrass principal holdings llc
2139 AUBURN AVENUE	CINCINNATI	OH	45219	310538525	Support TCH	OH	tch

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
THE CHRIST HOSPITAL INC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	311080885	HC SYS PARENT	OH	501(c)(3)	12b	EGDHA	false
ELIZABETH GAMBLE DEACONESS HOME ASSOC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	311082756	SUPPORT TCH	OH	501(c)(3)	12a	NA	false
THE CHRIST HOSPITAL COLLEGE OF NURSING
2139 AUBURN AVENUE	CINCINNATI	OH	45219	203823825	SUPPORT TCH	OH	501(c)(3)	2	TCH	Yes (true)
THE CHRIST HOSPITAL FOUNDATION
2139 AUBURN AVENUE	CINCINNATI	OH	45219	264165492	SUPPORT TCH	OH	501(c)(3)	7	TCH	Yes (true)
GAMBLE REALTY
2139 AUBURN AVENUE	CINCINNATI	OH	45219	311080683	REAL ESTATE	OH	501(c)(2)	N/A	TCH	Yes (true)
CHRIST HOSPITAL EDU & CLINICAL RESEARCH
2139 AUBURN AVENUE	CINCINNATI	OH	45219	311126561	SUPPORT TCH	OH	501(c)(3)	12a	TCH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
EXCEL INSURANCE COMPANY
2139 AUBURN AVENUE	CINCINNATI	OH	45219	980386259	INSURANCE	OH	TCH	C Corp	1.00000	Yes (true)
THE CHRIST HOSPITAL HEALTH SERVICES CORP
2139 AUBURN AVENUE	CINCINNATI	OH	45219	311066981	MEDICAL Services	OH	TCH INC	C Corp		Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
The Christ Hospital Foundation
c	$323,106	FMV
christ college of nursing & health sciences
j	$1,452,235	FMV
christ college of nursing & health sciences
q	$100,000	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, IDENTIFICATION OF DISREGARDED ENTITIES	FormAndLineReferenceDesc
Explanation	Year-end loss and assets shown for The Christ Hospital Physicians, LLC ("TCH PHYS") includes income and assets for other disregarded entities listed.	ExplanationTxt