2020-05-12T16:08:32-05:00 2019-06-30 ERNST & YOUNG US LLP 221 E 4TH ST STE 2900 CINCINNATI OH 45202 990 2018-07-01 310538525 THE CHRIST HOSPITAL % Ted Scherpenberg CHRI 5135850000 2139 AUBURN AVENUE CINCINNATI OH 45219 ALMA HELPLING VP & CFO 5135850000 2020-05-11 true julie L sparks P01268401 5136121400 72.196.155.140 31049020201335000004 2020-05-12 P 39EE7DD29E90BE0401C8CC276E6B939C34F22AC1 39EE7DD29E90BE0401C8CC276E6B939C34F22AC1 2018 2021-01-29 14:40:06Z Arturo Polizzi 2139 Auburn Avenue Cincinnati OH 45219 1070203354 false X WWW.THECHRISTHOSPITAL.COM X 1891 OH To improve the health of our community and create patient value by providing exceptional outcomes, affordable care, and the finest experiences. 14 10 7791 300 1837 0 2122334 544490 947518004 1004832989 21603582 13606582 51407991 51219293 1022651911 1070203354 2150023 1827171 0 0 482215867 518212601 0 0 0 497219786 529580426 981585676 1049620198 41066235 20583156 1216274502 1256281830 599082585 620018061 617191917 636263769 X To improve the health of our community and create patient value by providing exceptional outcomes, affordable care, and the finest experiences. false false 844882164 1827171 1049816621 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 T14 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. THE NETWORK RECEIVED THE NRC HEALTH CONSUMER LOYALTY AWARD IN 2019. THE NETWORK RANKED #28 NATIONALLY OUT OF 100 NATIONALLY AND NUMBER ONE IN THE GREATER CINCINNATI REGION (FIRST YEAR GIVEN). TCH HAS BEEN GRANTED MAGNET RECOGNITION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR EXCELLENCE IN NURSING CARE. ADDITIONALLY, FOR THE 13TH 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, 2019, TCH'S INPATIENT ADMISSIONS WERE APPROXIMATELY 31,000 AND ITS OUTPATIENT VISITS EXCEEDED 630,000. 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, 2019, THE NETWORK PERFORMED 569 OPEN HEART SURGERIES, 1,474 ANGIOPLASTIES AND 2,464 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. IT HAS BEEN RANKED #1 CLINICAL CARDIOVASCULAR RESEARCH CENTER IN THE US FOR TWO consecutive YEARS BY THE MEDTRONIC CORPORATION, A WORLD LEADER IN MEDICAL DEVICE DEVELOPMENT. 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. TCH CONTINUES TO RANK IN THE TOP 20 IN TERMS OF MEDICARE JOINT SURGERY VOLUME, PERFORMING ON AVERAGE 80 TOTAL JOINT REPLACEMENTS PER WEEK. 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'S PHYSICIANS AND SURGEONS HAVE PERFORMED MORE INPATIENT TOTAL JOINT REPLACEMENT PROCEDURES THAT ANY OTHER HOSPITAL IN THE GREATER CINCINNATI REGION, AND RANKED 17TH IN FEDERAL FISCAL YEAR 2016 BY CMS FOR TOTAL JOINT REPLACEMENT VOLUME. IN ADDITION, 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 T 844882164 true true false true false false false false false true true true false false true true false true false true true false false false false false true true true false true true false false false false false false false false true false false false false false true true true true false false true 515 0 true 7791 true true true true CJ false false false false false false false false false false X 14 10 false false false false true true true true true false false true true true true true true true true true false OH X Ted Scherpenberg 5132631572 2139 Auburn Avenue Cincinnati OH 45219 R Kerry Clark DIRECTOR 1.0 1.0 X 0 0 0 Victoria B Gluckman DIRECTOR 1.0 1.0 X 0 0 0 Jeb Head DIRECTOR 1.0 1.0 X 0 0 0 Thomas R Gerdes Treasurer 1.0 1.0 X X 0 0 0 Deborah P Majoras Secretary 1.0 0.0 X X 0 0 0 George H Vincent Board Chairman 1.0 1.0 X X 0 0 0 Michael K Keating President & CEO (Thru 10/18) 40.0 1.0 X X 1268417 0 388338 Roger L Howe DIRECTOR 1.0 1.0 X 0 0 0 R Glen Mayfield DIRECTOR 1.0 1.0 X 0 0 0 Robert Heimann Director 1.0 1.0 X 0 0 0 James Devitt MD Director 1.0 0.0 X 0 0 0 Arturo Polizzi PRESIDENT & CEO (beg 10/18) 40.0 1.0 X X 469503 0 550385 Eric Stamler Director 1.0 0.0 X 0 0 0 Kathleen S Barclay DIRECTOR (thru 7/18) 1.0 0.0 X 0 0 0 ALMA HELPLING CFO & VP 40.0 1.0 X 730151 0 91468 Patrick Kirk MD PHYSICIAN 40.0 1.0 X 1486115 0 27144 Robert Cody MD PHYSICIAN 40.0 1.0 X 1407577 0 14570 MARC SCHNEIDER MD PHYSICIAN 40.0 1.0 X 1497509 0 26294 Slobodan Stanisic MD PHYSICIAN 40.0 1.0 X 1295806 0 26294 John Roberts MD PHYSICIAN 40.0 1.0 X 1279485 0 14570 9434563 0 1139063 602 false true false QUEST DIAGNOSTICS INC PO BOX 530458 ATLANTA GA 30374 HEALTHCARE SERVICES 6070438 laboratory corporation PO box 2270 BURLINGTON NC 27216 HEALTHCARE SERVICES 3073877 Ensemble RCM LLC PO Box 639076 CINCINNATI OH 45263 Financial Services 7047527 RJ Beischel Building Co PO Box 32067 CINCINNATI OH 45232 Construction 6393230 Medical Recovery Systems Inc 2055 Reading Rd Suite 500 CINCINNATI OH 45202 Financial Services 2830062 125 544490 0 544490 Net Patient Service Rev 621990 993979234 993977397 1837 0 Pharmacy Sales 446110 10853755 10853755 0 0 1004832989 13390547 13390547 0 0 2364634 2364634 0 2364634 2364634 216035 216035 216035 216035 0 0 0 0 0 0 0 0 0 Clinical Excellence Grant 22495795 22495795 0 0 HOSPITAL ANCILLARY REVENUE 3870437 0 0 3870437 AMBULATORY CARE REVENUE 13830445 13830445 0 0 8657982 8657982 0 48854659 1070203354 1049815374 1837 19841653 1827171 1827171 0 0 0 0 0 0 2998261 0 2998261 0 305743 244594 61149 434003839 323514337 110489502 0 10124133 8409539 1714594 0 42641240 34759179 7882061 0 28139385 22347943 5791442 0 0 0 0 0 1013052 53705 959347 0 507800 1155 506645 5750 0 5750 0 0 0 1592496 1592496 0 94799493 54343854 40455639 0 2597572 9765 2587807 0 3371422 2248193 1123229 0 12931967 1194161 11737806 0 0 0 0 0 23839474 21615934 2223540 0 540835 217061 323774 0 0 0 0 0 1224401 724606 499795 0 18226866 18226866 0 0 0 0 0 0 57413256 56956437 456819 0 6523013 5648700 874313 0 Medical Supplies 283400134 277563153 5836981 0 Dues & Subscriptions 13550693 12085690 1465003 0 Rental & Lease of Equip 6856712 2452586 4404126 0 Printing & Publications 729973 384488 345485 0 455517 53047 402470 1049620198 844882164 204738034 0 0 35575311 72096589 48190676 69407402 0 0 132021488 134766154 0 0 0 0 0 0 26061965 23384065 12373548 12221319 1308162728 756532361 565833203 551630367 353308644 210381995 0 134708021 0 0 12559935 12409833 30349732 35276085 1216274502 1256281830 138384192 153332642 0 0 0 0 391260041 325760257 0 0 0 0 11168283 66581437 0 0 58270069 74343725 599082585 620018061 X 569477860 589508187 47714057 46755582 0 0 617191917 636263769 1216274502 1256281830 X 20583156 15908655 0 0 0 -17419959 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 true 5750 false 0 false 0 false 0 5750 false PART II-B, LINE 1F LOBBYING ACTIVITIES THE CHRIST HOSPITAL PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION. A PERCENTAGE OF THE DUES RELATED TO LOBBYING. TOTAL DUES RELATED TO LOBBYING WERE THE FOLLOWING: OHIO HOSPITAL ASSOCIATION: $5,750 63057000 31808000 403000 53000 28457000 0 66758000 11235000 79175000 349000 27702000 63057000 7959000 8181000 25000 3209000 1721000 11235000 64391000 1739000 14000 55232000 2953000 7959000 122377000 5507000 352000 63120000 725000 64391000 0.00000 0.12380 0.87620 false true true 0 48801835 48801835 0 496466520 154400993 342065527 0 29376201 10326451 19049750 0 579991694 481111315 98880379 0 153526478 110693602 42832876 551630367 LIMITED LIABILITY COMPANY 134708021 F 134708021 0 Deferred Pension 69468273 Other Liabilities 2500 DUE TO RELATED PARTY 4872952 74343725 X Part V, Line 4 INTENDED USE OF ENDOWMENT FUNDS ALL FUNDS RECEIVED BY THE CHRIST HOSPITAL AND THE CHRIST HOSPITAL FOUNDATION, BOTH PERMANENTLY AND TEMPORARILY RESTRICTED, ARE USED IN LINE WITH THE DONOR'S INTENT. ALL FUNDS ARE MONITORED BY THE CHRIST HOSPITAL FOUNDATION AND GENERAL ACCOUNTING department AND IF EXPENSES ARE identified AS APPROPRIATE TO THE FUND, THE FUND WILL BE CHARGED FOR THE EXPENDITURE. FOR PERMANENTLY RESTRICTED FUNDS, INVESTMENT INCOME WILL BE ALLOCATED BETWEEN INCREASING THE FUND'S CORPUS AND BENEFITING THE PROGRAM AS SPECIFIED BY THE DONOR. Part X, Line 2 Fin 48 footnote (asc 740) 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, 2019 AND 2018, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2019 AND 2018. Central America and the Caribbean 1 Program services Gen & Prof Liab 2277144 Central America and the Caribbean 1 Investments, program-relate 11890975 2 2 14168119 14168119 true false true false false false PART 1, LINE 3 COLUMNN (F) ACCOUNTING METHOD EXPENDITURES WERE ACCOUNTED FOR USING THE ACCRUAL METHOD OF ACCOUNTING. true true X true X true X true true true false false 3346999 3346999 0.00320 107346214 63412276 43933939 0.04190 110693213 63412276 47280938 0.04510 679037 679037 0.00060 16936113 9507387 7428726 0.00710 5329666 2989747 2339919 0.00220 169759 169759 0.00020 23114575 12497134 10617441 0.01010 133807788 75909410 57898379 0.05520 true 37392774 568578 160649830 196407349 -35757519 X true true 1 1 The Christ Hospital 2139 Auburn Avenue Cincinnati OH 45219 www.thechristhospital.com X X X X X THE CHRIST HOSPITAL 1 false false true X X X X X X X X X 18 true true true true X SEE SECTION C X true 19 true SEE SECTION C false true X 150. 300. X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X true X false false 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 has 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 have reviewed the most prevalent health concerns in Hamilton County and have 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. 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/BILLPAY-INFO 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. 194 Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road 1100 Montgomery OH 45249 Physician Office Montgomery AOC 11140 Montgomery Road 1100 Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road 1200 Montgomery OH 45249 Phys/Occupational Therapy Montgomery AOC 11140 Montgomery Road 1300 Montgomery OH 45249 Physician Office Montgomery AOC 11140 Montgomery Road 2100 Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road 2200 Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road 2300 Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road 2400 Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road 2500 Montgomery OH 45249 Physician Office Montgomery AOC 11140 Montgomery Road 2500 Montgomery OH 45249 Physician Office Montgomery AOC 11140 Montgomery Road G200 Montgomery OH 45249 Testing & Imaging Center Montgomery AOC 11140 Montgomery Road G200 Montgomery OH 45249 Testing & Imaging Center Montgomery AOC 11140 Montgomery Road G300 Montgomery OH 45249 Testing & Imaging Center Montgomery AOC 11140 Montgomery Road G400 Montgomery OH 45249 Specialty Center Montgomery Surgery Center 11150 Montgomery Road 1000 Cincinnati OH 45249 Specialty Center Montgomery Surgery Center 11150 Montgomery Road 1100 Cincinnati OH 45249 Specialty Center Montgomery Surgery Center 11150 Montgomery Road G-100 Cincinnati OH 45249 Surgery Center Harpers Pointe 11340 Montgomery Road 208 Cincinnati OH 45249 Specialty Center The Medical Arts Bldg- Wilmington 1150 W Locust Street Unit 3 Wilmington OH 45177 Physician Office Loveland Building 1200 Cottonwood Lane Cincinnati OH 45140 Physician Office Wilder PT 1400 Gloria Terrell Drive Wilder KY 41076 Phys/Occupational Therapy TCHMA Burlington 1838 Florence Pike B Burlington KY 41005 Physician Office Ft Wright AOC 1949-2001 Dixie Highway A Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway B Ft Wright KY 41011 Testing & Imaging Center Ft Wright AOC 1949-2001 Dixie Highway C Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway C Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway D Ft Wright KY 41011 Physician Office Ft Wright AOC 1949-2001 Dixie Highway E1 Ft Wright KY 41011 Physician Office Ft Wright AOC 1949-2001 Dixie Highway E1 Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway E2 Ft Wright KY 41011 Testing & Imaging Center Ft Wright AOC 1949-2001 Dixie Highway F Ft Wright KY 41011 Urgent Care Ft Wright AOC 1949-2001 Dixie Highway G Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway H Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway J Ft Wright KY 41011 Phys/Occupational Therapy Ft Wright AOC 1949-2001 Dixie Highway K Ft Wright KY 41011 Physician Office Ft Wright AOC 1949-2001 Dixie Highway K Ft Wright KY 41011 Physician Office Ft Wright AOC 1949-2001 Dixie Highway L1 Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway M Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway D Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway H Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway H Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway B Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway H Ft Wright KY 41011 Phys/Occupational Therapy 2025 Reading Road 2025 Reading Road Cincinnati OH 45202 Physician Office TCHMS Reading Road 2055 Reading Road 480 Cincinnati OH 45202 Physician Office Auburn MOB 2123 Auburn Avenue 105 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 108 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 120 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 124 Cincinnati OH 45219 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue 130 Cincinnati OH 45219 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue 136 138 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 137 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 201 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 208 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 209 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 210 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 224 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 224 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 231 235 Cincinnati OH 45219 Physician Office Auburn MOB 2123 Auburn Avenue 242 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 300 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 303 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 307 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 308 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 322 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 324 Cincinnati OH 45219 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue 334 Cincinnati OH 45219 Physician Office Auburn MOB 2123 Auburn Avenue 335 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 341 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 400 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 440 Cincinnati OH 45219 Physician Office Auburn MOB 2123 Auburn Avenue 441 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 520 Cincinnati OH 45219 Physician Office Auburn MOB 2123 Auburn Avenue 624 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 720 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 723 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue A-28 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue A-41 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue A-44 Cincinnati OH 45219 Physician Office Auburn MOB 2123 Auburn Avenue G-3 Cincinnati OH 45219 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue 300 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 315 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 200 Cincinnati OH 45219 Physician Office Auburn MOB 2123 Auburn Avenue 630 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 204 Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue 720 Cincinnati OH 45219 Specialty Center The Joint and Spine Center 2139 Auburn Avenue C902A Cincinnati OH 45219 Specialty Center Chamber Center 2156 Chamber Center Drive Ft Mitchell KY 41017 Specialty Center TCHVA Adams Cty 1 230 Medical Center Drive Hospital Seaman OH 45679 Specialty Center TCHMS Norwood 2355 Norwood Avenue Floor 1 Cincinnati OH 45212 Specialty Center TCHMA Compton 24 Compton Rd Cincinnati OH 45216 Physician Office TCHMA - Walnut IM 312 Walnut Street 1160 Cincinnati OH 45202 Specialty Center TCHCVA - Margaret Mary 321 Mitchell Avenue Batesville IN 47006 Specialty Center Ludlow Hill Professional Building 368 Bielby Road 140 Lawrenceburg IN 47025 Specialty Center Rookwood Tower 3805 Edwards Road 130 Cincinnati OH 45209 Physician Office Rookwood Tower 3805 Edwards Road 300 Cincinnati OH 45209 Physician Office Rookwood Tower 3805 Edwards Road 320 350 Cincinnati OH 45209 Physician Office Rookwood Tower 3805 Edwards Road 350 Cincinnati OH 45209 Physician Office Rookwood Tower 3805 Edwards Road 360 Cincinnati OH 45209 Physician Office Rookwood Tower 3805 Edwards Road Cincinnati OH 45209 Testing & Imaging Center Red Bank Retail I 4400-4420 Red Bank Expressway Cincinnati OH 45227 Specialty Center Red Bank Crossing II 4440 Red Bank Expressway 100 Cincinnati OH 45227 Testing & Imaging Center Red Bank Crossing II 4440 Red Bank Expressway 110 Cincinnati OH 45227 Urgent Care Red Bank Crossing II 4440 Red Bank Expressway 120 Cincinnati OH 45227 Testing & Imaging Center Red Bank Crossing II 4440 Red Bank Expressway 210 Cincinnati OH 45227 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway 100 Cincinnati OH 45227 Physician Office Red Bank Crossing I 4460 Red Bank Expressway 110 120 Cincinnati OH 45227 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway 130 Cincinnati OH 45227 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway 200 Cincinnati OH 45227 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway 200 Cincinnati OH 45227 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway 220 Cincinnati OH 45227 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway 230 Cincinnati OH 45227 Specialty Center Linden Pointe Bldg D 4803 Montgomery Road 114 Norwood OH 45212 Physician Office Linden Pointe Bldg D 4803 Montgomery Road 120 Norwood OH 45212 Physician Office Linden Pointe Bldg D 4803 Montgomery Road 122 Norwood OH 45212 Specialty Center Linden Pointe Bldg E 4805 Montgomery Road 154 Cincinnati OH 45212 Specialty Center Linden Pointe Bldg E 4805 Montgomery Road 154 Cincinnati OH 45212 Specialty Center Red Bank Surgery Center 4850 Red Bank Road Cincinnati OH 45227 Specialty Center Babson 4900 Babson Place 400 Cincinnati OH 45227 Physician Office Babson 4900 Babson Place 500 Cincinnati OH 45227 Specialty Center Babson 4900 Babson Place 600 Cincinnati OH 45227 Specialty Center TCHMA Delhi 5314 Delhi Pike 1 Cincinnati OH 45238 Physician Office Mason PT 5382-A Cox Smith Road Mason OH 45040 Phys/Occupational Therapy Harrison Greene 5649 Harrison Avenue C Cincinnati OH 45248 Phys/Occupational Therapy TCHMA - Bridgetown 5680 Bridgetown Road Cincinnati OH 45248 Physician Office Green Township AOC 5885 Harrison Avenue 1100 Cincinnati OH 45248 Testing & Imaging Center Green Township AOC 5885 Harrison Avenue 1100 Cincinnati OH 45248 Testing & Imaging Center Green Township AOC 5885 Harrison Avenue 1700 Cincinnati OH 45248 Testing & Imaging Center Green Township AOC 5885 Harrison Avenue 1900 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 2100 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 2300 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 2500 Cincinnati OH 45248 Physician Office Green Township AOC 5885 Harrison Avenue 2900 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 3100 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 3200 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 3300 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 3500 Cincinnati OH 45248 Physician Office Green Township AOC 5885 Harrison Avenue 3700 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 2700 Cincinnati OH 45248 Physician Office Green Township AOC 5885 Harrison Avenue 3300 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 2300 Cincinnati OH 45248 Rehabilitation Green Township AOC 5885 Harrison Avenue 2300 Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue 2900 Cincinnati OH 45248 Phys/Occupational Therapy Green Township AOC 5885 Harrison Avenue 3300 Cincinnati OH 45248 Specialty Center Mason MOB 608 Reading Road B Mason OH 45040 Testing & Imaging Center Mason MOB 608 Reading Road D Mason OH 45040 Specialty Center Mason MOB 608 Reading Road B Mason OH 45040 Specialty Center Clinton Memorial Hospital 630 West Main Street 300 Wilmington OH 45177 Specialty Center TCHMA Clough Pike 6620 Clough Pike Cincinnati OH 45244 Physician Office Liberty Township AOC 6939 Cox Road 1500 Liberty Township OH 45069 Phys/Occupational Therapy Liberty Township AOC 6939 Cox Road 1500 Liberty Township OH 45069 Rehabilitation Liberty Township AOC 6939 Cox Road 1535 Liberty Township OH 45069 Testing & Imaging Center Liberty Township AOC 6939 Cox Road 250 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 260/261 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 260/261 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 260/261 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 270 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 271 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 350 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 360 Liberty Township OH 45069 Physician Office Liberty Township AOC 6939 Cox Road 370 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 370 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 370 Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road 370 Liberty Township OH 45069 Specialty Center Liberty Commons Medical Center 7335 Yankee Road 202 Liberty Township OH 45044 Physician Office Liberty Commons Medical Center 7335 Yankee Road A Liberty Township OH 45044 Specialty Center Liberty Commons Medical Center 7335 Yankee Road Liberty Township OH 45044 Specialty Center Liberty Commons Medical Center 7335 Yankee Road 202 Liberty Township OH 45044 Specialty Center TCHMA Mason Montgomery Rd 7451 Mason Montgomery Road 3 Mason OH 45040 Physician Office Anderson AOC 7545 Beechmont Avenue A Cincinnati OH 45255 Physician Office Anderson AOC 7545 Beechmont Avenue B Cincinnati OH 45255 Physician Office Anderson AOC 7545 Beechmont Avenue C Cincinnati OH 45255 Physician Office Anderson AOC 7545 Beechmont Avenue D-1 Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue D-2 RSF 1828 Cincinnati OH 45255 Testing & Imaging Center Anderson AOC 7545 Beechmont Avenue E Cincinnati OH 45255 Phys/Occupational Therapy Anderson AOC 7545 Beechmont Avenue F Cincinnati OH 45255 Testing & Imaging Center Anderson AOC 7545 Beechmont Avenue G Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue J Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue L Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue M Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue N Cincinnati OH 45255 Physician Office Anderson AOC 7545 Beechmont Avenue X Cincinnati OH 45255 Testing & Imaging Center Anderson AOC 7545 Beechmont Avenue K Cincinnati OH 45255 Specialty Center Wetherington 7589 Tylers Place Boulevard West Chester OH 45069 Physician Office Five Mile 7691 Five Mile Road 214 Cincinnati OH 45230 Specialty Center University Pointe Medical Office Cond 7759 University Drive Unit E West Chester OH 45069 Physician Office University Pointe Medical Office Cond 7777 University Drive H West Chester OH 45069 Physician Office Eastgate Medical Office Building 796 Old State Route 74 101 Cincinnati OH 45245 Specialty Center TCHMA Maderia 8041 Hosbrook Road 200 Cincinnati OH 45236 Physician Office Winton Road 8250 Winton Road 210 Cincinnati OH 45236 Specialty Center TCHOA Blue Ash 9250 Blue Ash Road Cincinnati OH 45242 Physician Office TCHCVA - Dearborn Cty 2 98 Elm Street PIH Lawrenceburg IN 47025 Physician Office Part I, Line 7, column F 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. As a result of certain changes required by ASU 2014-09, the majority of the Network's provision for bad debts is recorded as a direct reduction to net patient service revenue instead of being presented as a separate line on the consolidated statements of operations and changes in net assets. The adoption of ASU 2014-09 has no impact on the Network's patient accounts receivable as it was historically recorded net of the allowance for uncollectible accounts and contractual adjustments on the consolidated balance sheets. 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 $108,278,009 Allowable cost of care related to payments from above $(142,090,408) ------------ Shortfall from Medicare Managed Care Plans $(33,812,399) 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) $ 100,408,996 Allowable cost of care related to payments from above $(136,321,364) ------------- Shortfall related to the Medicare Part B Plans $ (35,912,368) (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 86% of inpatient admissions, encompasses seven counties in the greater Cincinnati area including, Hamilton, Clermont, Butler, Warren Counties in Ohio and Kenton, Boone and Campbell Counties in Kentucky. TCH's secondary service area, comprising an additional 9% of the inpatient admissions, encompasses an additional seven counties including Adams, Brown, Clinton and Highland counties in Ohio; Grant and Pendleton Counties in Kentucky and Dearborn County in Indiana. TCH largely serves Hamilton County, which has a population of approximately 817,000 with 15% of the population over the age of 65. Approximately The 15.4% of the Hamilton County population is living at or less than 100% of the Federal poverty rate. Approximately 65% of Hamilton county's population is Caucasian, approximately 25% is African American, approximately 3% is Asian, and approximately 3% is Hispanic, with the remaining 4% of other ethnicities. Within Hamilton County, 44% of the household have an average income level of less than $50,000; approximately an additional 29% of Household have income between true CENTER FOR CLOSING THE HEALTH GAP 3120 BURNET AVE CINCINNATI OH 45229 200902286 501(c)(3) 200000 GENERAL SPONSORSHIP AMERICAN HEART ASSOCIATION INC 5211 MADISON ROAD CINCINNATI OH 452271411 135613797 501(c)(3) 320000 GENERAL SPONSORSHIP BEACON ORTHOPAEDICS & EDUCATION FOUNDATION INC 500 E BUSINESS WAY CINCINNATI OH 45241 270643210 501(c)(3) 104000 GENERAL SPONSORSHIP CINCINNATI SPORTS MALL 3950 RED BANK ROAD CINCINNATI OH 45227 311249621 75000 GENERAL SPONSORSHIP Arthritis FOUNDATION 7124 MIAMI AVENUE CINCINNATI OH 45243 274014550 501(c)(3) 20000 GENERAL SPONSORSHIP CRADLE CINCINNATI 3333 BURNET AVE CINCINNATI OH 45229 310833936 501(c)(3) 37500 GENERAL SPONSORSHIP REDI CINCINNATI 3 EAST FOURTH STREET CINCINNATI OH 45202 472090230 37500 GENERAL SPONSORSHIP OAK HILLS LOCAL SCHOOL DISTRICT 6325 RAPID RUN ROAD CINCINNATI OH 45233 316000742 GOVT 191578 GENERAL SPONSORSHIP PRINCETON CITY SCHOOLS 3900 COTTINGHAM DRIVE CINCINNATI OH 45241 316006941 GOVT 352711 GENERAL SPONSORSHIP MADEIRA CITY SCHOOL DISTrict 7465 LOANNES DRIVE cincinnati OH 45243 316000862 GOVT 88922 GENERAL SPONSORSHIP ST VINCENT DE PAUL 1125 BANK STREET CINCINNATI OH 45214 310537510 501(C)(3) 10000 GENERAL SPONSORSHIP CENTER FOR RESPITE CARE 1615 REPUBLIC CINCINnATI OH 45202 202544994 501(c)(3) 105000 GENERAL SPONSORSHIP WYOMING CITY SCHOOL DISTRICT 420 SPRINGFIELD PIKE WYOMING OH 45215 316001020 govt 42960 GENERAL SPONSORSHIP KINGS HAMMER SOCCER CLUB 1018 TOWN DRIVE WILDER KY 41076 311213703 501(c)(3) 25000 GENERAL SPONSORSHIP MOELLER HIGH SCHOOL ATHLETICS 9100 MONTGOMERY ROAD CINCINNATI OH 45242 310624667 501(c)(3) 8500 GENERAL SPONSORSHIP AFRICAN AMERICAN CHAMBER OF COMMERCE 2945 GILBERT AVENUE CINCINNATI OH 45206 311504758 501(c)(6) 7500 GENERAL SPONSORSHIP lakota local school district 5572 princeton RD Liberty Twp OH 45011 316000897 govt 117500 General Sponsorship cincinnati united soccer club 411 circle freeway dr cincinnati OH 45246 311461867 501(c)(3) 25000 general sponsorship west chester liberty chamber alliance 8922 beckett RD west chester OH 45069 310901492 501(c)(3) 11250 general sponsorship cincinnati marlins inc 616 WN bend RD cincinnati OH 45224 310725166 501(c)(3) 6250 general sponsorship THE ABERCRUMBIE GROUP 10301 GIVERNY BLVD CINCINNATI OH 45241 300520187 20000 General Sponsorship METROPOLITAN CLUB CORPORATION 50 E RIVERCENTER BLVD COVINGTON KY 41011 611188518 6000 General Sponsorship 17 5 FORM 990, SCHEDULE I 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. X true true X X X X false true false false false false false false false Patrick Kirk MD PHYSICIAN 1481213 0 0 0 4902 0 0 0 27144 0 1513259 0 0 0 Robert Cody MD PHYSICIAN 1400053 0 0 0 7524 0 0 0 14570 0 1422147 0 0 0 MARC SCHNEIDER MD PHYSICIAN 1476422 0 0 0 21087 0 0 0 26294 0 1523803 0 0 0 Michael K Keating President & CEO (Thru 10/18) 789443 0 436025 0 42949 0 361043 0 27295 0 1656755 0 80043 0 ALMA HELPLING CFO & VP 430189 0 292539 0 7423 0 68026 0 23442 0 821619 0 0 0 Slobodan Stanisic MD PHYSICIAN 1276096 0 0 0 19710 0 0 0 26294 0 1322100 0 0 0 John Roberts MD PHYSICIAN 1216207 0 37754 0 25524 0 0 0 14570 0 1294055 0 0 0 Arturo Polizzi PRESIDENT & CEO (beg 10/18) 167934 0 300000 0 1569 0 546047 0 4338 0 1019888 0 0 0 Part I, 1a 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. 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 $ 361,043 Alma helpling $ 68,026 arturo polizzi $ 46,047 The following individual received a payout from the plan: Michael K. Keating $ 80,043 A HAMILTON COUNTY OHIO 316000063 2010-12-20 30000000 SEE PART VI false false false B HAMILTON COUNTY OHIO 316000063 40727TCS7 2012-06-26 333431995 SEE PART VI false false false A 10725000 0 30021765 0 0 0 0 0 0 30021765 0 0 2012 false false false true B 20140000 0 334095250 0 27741427 0 5073444 1607333 0 172541278 127109132 0 2016 true false false true A false false true true false 0.00150 0.00000 0.00150 false false false true B false false true true false 0.00000 0.01630 0.01630 false false false true A false true true true FIFTH THIRD BANK 6.5 false false false 0 false true B false true false false 0 false 0 false true A true B true 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. Deborah Gerdes Family Member 180871 Compensation - See Part V false Paige A Debuys Family Member 124872 Compensation - See Part V false Business Transactions 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 $180,871 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2018. 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 $124,872 DURING CALENDAR YEAR ENDED DECEMBER 31, 2018. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES. 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 CHIEF ACCOUNTING OFFICER, 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 CORPORATE COMPLIANCE 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 2019. 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 resonable 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. part xi, line 9 other changes in net assets Clinical Excellence Grant Funding Temporarily $ 24,637,000 restricted as to use at june 30, 2019 clinical excellence grant funding in support $ (22,495,795) for fy19 strategic investments in operations Clinical excellence grant funding in support $ (3,099,641) for fy19 strategic investments in capital expenditures Changes in Pension $ (23,584,672) Equity contributions by TCH to CON $ (102,463) other changes $ 7,225,612 ---------------- Total $ (17,419,959) 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 0 0 TCH 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 0 0 TCH 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 0 0 TCH LINDNER CTR RSCH & EDU AT TCH LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 263885165 MED RESEARCH OH -1039215 1027464 TCH THE CHRIST HOSPITAL PHYSICIANS LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 273841691 MEDICAL PRACT OH -59531266 63222550 TCH THE CHRIST HOSPITAL INC 2139 AUBURN AVENUE CINCINNATI OH 45219 311080885 HC SYS PARENT OH 501(c)(3) 12b EGDHA false CHRIST HOSPITAL EDU & CLINICAL RESEARCH 2139 AUBURN AVENUE CINCINNATI OH 45219 311226561 SUPPORT TCH OH 501(c)(3) 12a TCH true 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 true THE CHRIST HOSPITAL FOUNDATION 2139 AUBURN AVENUE CINCINNATI OH 45219 264165492 SUPPORT TCH OH 501(c)(3) 7 TCH true GAMBLE REALTY 2139 AUBURN AVENUE CINCINNATI OH 45219 311080683 REAL ESTATE OH 501(c)(2) N/A TCH true EXCEL INSURANCE COMPANY 2139 AUBURN AVENUE CINCINNATI OH 45219 980386259 INSURANCE OH TCH C Corp 1.00000 true THE CHRIST HOSPITAL HEALTH SERVICES CORP 2139 AUBURN AVENUE CINCINNATI OH 45219 311066981 MEDICAL SERVI OH TCH INC C Corp true false false true false false false false false false true false false false false false false true false false The Christ Hospital Foundation c 544490 FMV christ college of nursing & health sciences j 1368034 FMV christ college of nursing & health sciences q 100000 FMV PART I, IDENTIFICATION OF DISREGARDED ENTITIES Year-end loss and assets shown for The Christ Hospital Physicians, LLC ("TCH PHYS") includes income and assets for other disregarded entities listed.