CHRIST HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHRIST HOSPITAL (EIN 31-0538525)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201921349349310457
Schema version: 2017v2.3
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	2019-05-14T18:43:24-05:00	ReturnTs
Tax Period End	2018-06-30	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	312 WALNUT ST STE 1900	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	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	% TED SCHERPENBERG	InCareOfNm
Business Name Control	CHRI	BusinessNameControlTxt
Phone	5135850000	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	ALMA HELPLING	PersonNm
Person Title	VP & CFO	PersonTitleTxt
Phone	5135850000	PhoneNum
Signature	2019-05-14	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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	72.196.153.178	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	31049020191345000003	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	79704D1B1FD29BF7C0C26D7B259B714D6034963E	AtSubmissionCreationDeviceId
At Submission Filing Device Id	39EE7DD29E90BE0401C8CC276E6B939C34F22AC1	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ARTURO POLIZZI	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	$1,022,651,911	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	TO IMPROVE THE HEALTH OF OUR COMMUNITy and create patient value by providing exceptional outcomes, affordable care, and the finest experiences.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	5529	TotalEmployeeCnt
Total Volunteers	300	TotalVolunteersCnt
Total Gross UBI	$1,709	TotalGrossUBIAmt
PY Contributions Grants	$2,162,589	PYContributionsGrantsAmt
CY Contributions Grants	$2,122,334	CYContributionsGrantsAmt
PY Program Service Revenue	$888,568,954	PYProgramServiceRevenueAmt
CY Program Service Revenue	$947,518,004	CYProgramServiceRevenueAmt
PY Investment Income	$7,023,414	PYInvestmentIncomeAmt
CY Investment Income	$21,603,582	CYInvestmentIncomeAmt
PY Other Revenue	$21,358,576	PYOtherRevenueAmt
CY Other Revenue	$51,407,991	CYOtherRevenueAmt
PY Total Revenue	$919,113,533	PYTotalRevenueAmt
CY Total Revenue	$1,022,651,911	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,697,935	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,150,023	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$439,699,831	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$482,215,867	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$478,652,621	PYOtherExpensesAmt
CY Other Expenses	$497,219,786	CYOtherExpensesAmt
PY Total Expenses	$920,050,387	PYTotalExpensesAmt
CY Total Expenses	$981,585,676	CYTotalExpensesAmt
PY Revenues Less Expenses	-$936,854	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$41,066,235	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,137,972,535	TotalAssetsBOYAmt
Total Assets EOY	$1,216,274,502	TotalAssetsEOYAmt
Total Liabilities BOY	$618,879,455	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$599,082,585	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$519,093,080	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$617,191,917	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH OF OUR COMMUNITY AND CREATE PATIENT VALUE BY PROVIDING EXCEPTIONAL OUTCOMES, AFFORDABLE CARE, AND THE FINEST EXPERIENCES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$834,783,558	ExpenseAmt
Grant	$2,150,023	GrantAmt
Revenue	$993,155,243	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 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 AND PHYSICIAN PRACTICES THAT ENSURE ACCESS TO CARE THROUGHOUT THE GREATER CINCINNATI REGION, INCLUDING SUBURBAN AND RURAL REGIONS OF THE AREA THAT SERVE TEN COUNTIES LOCATED IN THREE STATES. TCH HAS ORGANIZED AND MAINTAINS AN ACCREDITED STAFF OF MORE THAN 1,200 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, LLC, 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. FOR THE PAST 18 YEARS, TCH HAS BEEN RECOGNIZED BY U.S. NEWS & WORLD REPORT AS ONE OF THE NATION'S TOP HOSPITALS AND RECEIVED THE REGIONAL CONSUMER LOYALTY AWARD FROM NRC HEALTH, RANKING #1 IN OUR REGION. TCH HAS BEEN GRANTED MAGNET RECOGNITION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR EXCELLENCE IN NURSING CARE. ADDITIONALLY, TCH WAS NAMED AS ONE OF THE NATION'S 100 TOP HOSPITALS BY IBM WATSON HEALTH FOR EIGHT CONSECUTIVE YEARS. 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, A REMOTE HOSPITAL LOCATED IN LIBERTY TOWNSHIP, OHIO, AND OTHER COMMUNITY INITIATIVES. WITH A STAFF OF MORE THAN 1,200 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, 2018, TCH'S INPATIENT ADMISSIONS WERE APPROXIMATELY 32,000 AND ITS OUTPATIENT VISITS EXCEEDED 547,000. TCH CENTERS OF EXCELLENCE TCH TAKES PRIDE IN ITS SELF-DESIGNATED CENTERS OF EXCELLENCE, WHICH INCLUDE HEART AND VASCULAR, MUSCULOSKELETAL, WOMEN'S HEALTH, ONCOLOGY, AND COMPREHENSIVE MEDICINE. EACH SPECIALIZED CENTER OF EXCELLENCE OFFERS COMPREHENSIVE CARE AND IS STAFFED BY A TEAM OF SKILLED PHYSICIANS, NURSES AND OTHER HEALTHCARE PRACTITIONERS WHO PARTICIPATE IN SPECIALTY TRAINING IN THEIR RESPECTIVE MEDICAL AND/OR SURGICAL AREA OF EXPERTISE ON AN ONGOING BASIS. HEART AND VASCULAR TCH PROVIDES CARE TO THOUSANDS OF CARDIOVASCULAR PATIENTS EVERY YEAR AND OFFERS COMPREHENSIVE PROGRAMS IN AREAS SUCH AS HEART VALVE DISEASE, ADVANCED HEART FAILURE, HEART RHYTHM DISTURBANCES, CORONARY ARTERY DISEASE AND A ROBUST CLINICAL RESEARCH PROGRAM THROUGH THE LINDNER RESEARCH CENTER. FOR 14 CONSECUTIVE YEARS, TCH HAS BEEN NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY WATSON HEALTH, FORMERLY TRUVEN HEALTH ANALYTICS. THE STUDY EXAMINED THE PERFORMANCE OF MORE THAN 1,000 HOSPITALS BY ANALYZING OUTCOMES FOR PATIENTS WITH HEART FAILURE, HEART ATTACKS, AND THOSE WHO RECEIVED CORONARY BYPASS SURGERY AND PERCUTANEOUS CORONARY INTERVENTIONS. THIS IS THE 14TH TIME TCH HAS BEEN RECOGNIZED WITH THIS HONOR. TCH'S RANKING REFLECTS DECADES OF EXPERIENCE IN PERFORMING COMPLEX HEART AND VASCULAR PROCEDURES, THE UNPARALLELED SKILL OF ITS PHYSICIANS AND THE EXPERTISE OF ITS STAFF. MUSCULOSKELETAL 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. OUR NATIONALLY RECOGNIZED JOINT & SPINE CENTER HAS BECOME A DESTINATION FOR THOSE SEEKING JOINT REPLACEMENT AND SPINE SURGERY. 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. TCH IS NOT ONLY COMMITTED TO BRINGING EXCEPTIONAL MEDICINE TO OUR COMMUNITIES TODAY - WE ALSO INVEST IN THE RESOURCES, TECHNOLOGIES AND SERVICES NEEDED TO SUPPORT THE HEALTHCARE NEEDS OF OUR COMMUNITY WELL INTO THE FUTURE. THAT'S WHY WE HAVE CONSTRUCTED A $265 MILLION EXPANSION AND IMPROVEMENT OF OUR MAIN CAMPUS IN MT. AUBURN, THE CENTERPIECE OF WHICH INCLUDES A UNIQUE FACILITY DEDICATED SOLELY TO ORTHOPAEDIC AND SPINE CARE - THE CHRIST HOSPITAL JOINT & SPINE CENTER. THE FACILITY SUPPORTS PHYSICIANS, PATIENTS AND FAMILIES IN AN EFFICIENT, HEALING AND TECHNOLOGICALLY ADVANCED ENVIRONMENT. IT IS THE ONLY ONE LOCALLY, AND ONE OF ONLY A FEW IN THE COUNTRY, TO OFFER A SINGLE PURPOSE FACILITY WITH A FOCUS ON COMPREHENSIVE ORTHOPAEDIC AND SPINE SERVICES AND RESEARCH. WOMEN'S HEALTH TCH OFFERS A WIDE RANGE OF SPECIALIZED SERVICES FOR WOMEN, INCLUDING A DEDICATED WOMEN'S SURGERY CENTER, AS WELL AS A MULTIDISCIPLINARY TEAM OF PHYSICIANS DEDICATED TO TREATING UROGYNECOLOGY AND PELVIC FLOOR DISORDERS. TCH IS COMMITTED TO PROVIDING PATIENTS WITH EXCEPTIONAL EXPERIENCES. ONCOLOGY TCH INCLUDES A NEWLY RENOVATED CANCER CENTER THAT OFFERS A FULL RANGE OF THE MOST ADVANCED CANCER SERVICES AVAILABLE, INCLUDING A ROBUST RESEARCH PROGRAM AND A RESOURCE CENTER FOR PATIENTS. TCH PROVIDES COMPREHENSIVE OUTPATIENT SERVICES, A 30-BED DEDICATED INPATIENT MEDICAL ONCOLOGY UNIT AND HOSPICE SERVICES, AS WELL AS A DEDICATED SUITE FOR HIGH DOSE RATE (HDR) RADIATION THERAPY. THE HOSPITAL IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS (ACOS), AN AGENCY THAT EVALUATES QUALITY AND OUTCOME DATA FOR CANCER CENTERS ACROSS THE NATION, AND A MEMBER OF THE ASSOCIATION OF COMMUNITY CANCER CENTERS (ACCC), THE LEADING EDUCATION AND ADVOCACY ORGANIZATION OF THE CANCER TEAM. THE ORGANIZATION'S OTHER CENTERS OF EXCELLENCE ALSO HAVE UNIQUE CHARACTERISTICS THAT DIFFERENTIATE THE LEVEL OF QUALITY AND SERVICE FOR GREATER CINCINNATI. SUCCESSFUL PATIENT-CENTERED PROGRAMS SUCH AS PALLIATIVE CARE AND ACUTE CARE FOR THE ELDERLY ARE ALSO DRAWING THE ATTENTION OF PAYORS IN THE MARKET WHO WANT TO WORK COLLABORATIVELY TO IMPROVE BOTH VALUE AND QUALITY OF HEALTH CARE FOR THE REGION.	Desc
Total Program Service Expenses	$834,783,558	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	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	false	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	443	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5529	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	TED SCHERPENBERG	PersonNm
Phone	5132631572	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 (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ERIC STAMLER MD
DIRECTOR	40.0	1.0	Yes (X)	$427,795	$0	$0
Robert Heimann
Director	1.0	1.0	Yes (X)	$0	$0	$0
KATY BARCLAY
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
R Kerry Clark
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
Victoria B Gluckman
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
Jeb Head
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
Thomas R Gerdes
Treasurer	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
Deborah P Majoras
Secretary	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
George H Vincent
Board Chairman	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
Michael K Keating
President & CEO	40.0	1.0	Yes (X)	$790,451	$0	$234,863	Yes (X)
Roger L Howe
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
R Glen Mayfield
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
Donald J Raithel MD
DIRECTOR (THRU 9/2017)	1.0	1.0	Yes (X)	$0	$0	$0
James Devitt
Director (Begin 9/2017)	1.0	0.0	Yes (X)	$0	$0	$0
ALMA HELPLING
CFO	40.0	1.0		$334,484	$0	$29,331	Yes (X)
Slobodan Stanisic MD
PHYSICIAN	40.0	1.0		$1,359,209	$0	$25,359		Yes (X)
Patrick Kirk MD
PHYSICIAN	40.0	1.0		$1,506,570	$0	$26,359		Yes (X)
Robert Cody MD
PHYSICIAN	40.0	1.0		$1,380,740	$0	$13,894		Yes (X)
MANISH BHANDARI MD
Physician	40.0	1.0		$1,337,806	$0	$25,359		Yes (X)
MARC SCHNEIDER MD
PHYSICIAN	40.0	1.0		$1,415,199	$0	$25,359		Yes (X)
Scott Hamlin THRU 617
Senior Vice Pre. & CFO	40.0	1.0		$309,751	$0	$14,194			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,862,005	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$394,718	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
DANIS BUILDING CONSTRUCTION CO
3233 NEWARK DRIVE	MIAMISBURG	OH	45342	CONSTRUCTION	$15,133,056
CONIFER HEALTH SOLUTIONS LLC
901 MAIN STREET	DALLAS	TX	75202	FINANCIAL SERVICES	$7,467,431
QUEST DIAGNOSTICS INC
PO BOX 530458	ATLANTA	GA	30353	HEALTHCARE SERVICES	$5,843,941
laboratory corporation
PO box 2270	BURLINGTON	NC	27216	HEALTHCARE SERVICES	$3,634,246
cbts technology solutions
1507 solutions center	CHICAGO	IL	60677	technology services	$3,346,554

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	111	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$2,122,334	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,122,334	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REV	621990	$942,104,405	$942,102,696	$1,709	$0
PHYSICIAN REVENUE	621110	$211,135	$211,135	$0
PHARMACY SALES	446110	$5,202,464	$5,202,464	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$947,518,004	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,635,603	TotalRevenueColumnAmt
Exclusion	$10,635,603	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	$2,322,783	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,322,783	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,322,783	TotalRevenueColumnAmt
Exclusion	$2,322,783	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,967,979	TotalRevenueColumnAmt
Exclusion	$10,967,979	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	$21,067,000	$21,067,000	$0	$0
CAFETERIA/VENDING REVENUE	$3,446,260		$0	$3,446,260
CPC+ REVENUE	$6,092,680	$6,092,680	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,479,268	TotalRevenueColumnAmt
Related Or Exempt Func Income	$18,479,268	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$49,085,208	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,022,651,911	TotalRevenueColumnAmt
Related Or Exempt Func Income	$993,155,243	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,709	UnrelatedBusinessRevenueAmt
Exclusion	$27,372,625	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,150,023	TotalAmt
Program Services	$2,150,023	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,816,925	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,816,925	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$323,945	TotalAmt
Program Services	$259,156	ProgramServicesAmt
Management And General	$64,789	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$405,182,088	TotalAmt
Program Services	$324,145,670	ProgramServicesAmt
Management And General	$81,036,418	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,439,444	TotalAmt
Program Services	$6,751,555	ProgramServicesAmt
Management And General	$1,687,889	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$40,944,729	TotalAmt
Program Services	$32,755,783	ProgramServicesAmt
Management And General	$8,188,946	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$25,508,736	TotalAmt
Program Services	$20,406,989	ProgramServicesAmt
Management And General	$5,101,747	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$947,282	TotalAmt
Program Services	$757,826	ProgramServicesAmt
Management And General	$189,456	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$461,000	TotalAmt
Program Services	$368,800	ProgramServicesAmt
Management And General	$92,200	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,375	TotalAmt
Program Services	$4,300	ProgramServicesAmt
Management And General	$1,075	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$903,294	TotalAmt
Management And General	$903,294	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$90,001,676	TotalAmt
Program Services	$72,001,341	ProgramServicesAmt
Management And General	$18,000,335	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,391,794	TotalAmt
Program Services	$2,713,435	ProgramServicesAmt
Management And General	$678,359	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,246,457	TotalAmt
Program Services	$2,597,166	ProgramServicesAmt
Management And General	$649,291	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,461,056	TotalAmt
Program Services	$9,168,845	ProgramServicesAmt
Management And General	$2,292,211	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$25,473,692	TotalAmt
Program Services	$20,378,954	ProgramServicesAmt
Management And General	$5,094,738	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$393,845	TotalAmt
Program Services	$315,076	ProgramServicesAmt
Management And General	$78,769	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,442,640	TotalAmt
Program Services	$1,154,112	ProgramServicesAmt
Management And General	$288,528	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,877,973	TotalAmt
Program Services	$14,302,378	ProgramServicesAmt
Management And General	$3,575,595	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$54,966,452	TotalAmt
Program Services	$43,973,162	ProgramServicesAmt
Management And General	$10,993,290	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,596,938	TotalAmt
Program Services	$4,477,550	ProgramServicesAmt
Management And General	$1,119,388	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$256,305,943	$256,305,943	$0	$0
DUE & SUBSCRIPTIONS	$12,584,884	$10,067,907	$2,516,977	$0
RENTAL & LEASE OF EQUIP	$8,555,778	$6,844,622	$1,711,156	$0
PRINTING & PUBLICATIONS	$879,134	$703,307	$175,827	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,724,573	TotalAmt
Program Services	$2,179,658	ProgramServicesAmt
Management And General	$544,915	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$981,585,676	TotalAmt
Program Services	$834,783,558	ProgramServicesAmt
Management And General	$146,802,118	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	$46,619,696	BOYAmt
EOY	$35,575,311	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$752,395	BOYAmt
EOY	$48,190,676	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	$123,009,738	BOYAmt
EOY	$132,021,488	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	$18,870,336	BOYAmt
EOY	$26,061,965	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,236,741	BOYAmt
EOY	$12,373,548	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,265,344,082	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$699,510,879	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$556,881,406	BOYAmt
EOY	$565,833,203	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$320,382,069	BOYAmt
EOY	$353,308,644	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$12,748,985	BOYAmt
EOY	$12,559,935	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$45,471,169	BOYAmt
EOY	$30,349,732	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,137,972,535	BOYAmt
EOY	$1,216,274,502	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$128,735,195	BOYAmt
EOY	$138,384,192	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	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$405,016,580	BOYAmt
EOY	$391,260,041	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	$9,274,836	BOYAmt
EOY	$11,168,283	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	$75,852,844	BOYAmt
EOY	$58,270,069	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$618,879,455	BOYAmt
EOY	$599,082,585	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$519,093,080	BOYAmt
EOY	$569,477,860	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$47,714,057	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$519,093,080	BOYAmt
EOY	$617,191,917	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,137,972,535	BOYAmt
EOY	$1,216,274,502	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$41,066,235	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,261,730	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$64,294,332	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
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

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	$5,375	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	$5,375	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. TOTAL DUES RELATED TO LOBBYING WERE THE FOLLOWING: OHIO HOSPITAL ASSOCIATION: $5,375	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$122,377,000	BeginningYearBalanceAmt
Contributions	$5,507,000	ContributionsAmt
Investment Earnings Or Losses	$352,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$63,120,000	OtherExpendituresAmt
Administrative Expenses	$725,000	AdministrativeExpensesAmt
End Year Balance	$64,391,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$147,542,000	BeginningYearBalanceAmt
Contributions	$24,959,000	ContributionsAmt
Investment Earnings Or Losses	$255,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$44,255,000	OtherExpendituresAmt
Administrative Expenses	$1,027,000	AdministrativeExpensesAmt
End Year Balance	$127,474,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.04970	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.95030	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)
Other Cost Or Other Basis	$48,801,834	OtherCostOrOtherBasisAmt
Book Value	$48,801,834	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$491,843,142	OtherCostOrOtherBasisAmt
Depreciation	$135,167,185	DepreciationAmt
Book Value	$356,675,957	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,944,747	OtherCostOrOtherBasisAmt
Depreciation	$8,099,370	DepreciationAmt
Book Value	$20,845,377	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$563,721,085	OtherCostOrOtherBasisAmt
Depreciation	$457,290,793	DepreciationAmt
Book Value	$106,430,292	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,033,274	OtherCostOrOtherBasisAmt
Depreciation	$98,953,531	DepreciationAmt
Book Value	$33,079,743	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$565,833,203	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED PENSION	$52,754,307
OTHER LIABILITIES	$2,500
DUE TO RELATED PARTY	$5,513,262

Field	Value	IRS element (for citing)
Total Liability	$58,270,069	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 AND IF EXPENSES ARE IDENIFIED 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, 2018 AND 2017, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2018 AND 2017.

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	$2,808,460
Central America and the Caribbean	1	Investments, program-relate		$11,890,975

Field	Value	IRS element (for citing)
Subtotal Employees	2	SubtotalEmployeesCnt
Total Employee	2	TotalEmployeeCnt
Subtotal Spent	$14,699,435	SubtotalSpentAmt
Total Spent	$14,699,435	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
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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,288,290	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,288,290	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,928,932	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,280,148	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,647,784	NetCommunityBenefitExpnsAmt
Total Expense	0.03840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$101,217,222	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,280,148	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,936,074	NetCommunityBenefitExpnsAmt
Total Expense	0.04170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$482,616	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$482,616	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,680,236	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,359,183	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,321,053	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,149,001	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,513,013	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,635,988	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$160,872	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$160,872	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,472,725	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,872,196	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,600,529	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,689,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,152,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,536,603	NetCommunityBenefitExpnsAmt
Total Expense	0.05260	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$26,891,428	BadDebtExpenseAmt
Bad Debt Expense Attributable	$436,018	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$167,859,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$202,343,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$34,484,000	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
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	15	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	16	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 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 ADAMS COUNTY REGIONAL MEDICAL CENTER THE CHRIST HOSPITAL HEALTH NETWORK CINCINNATI CHILDRENS HOSPITAL MEDICAL CENTER DEARBORN COUNTY HOSPITAL LINDNER CENTER OF HOPE MARGARET MARY HEALTH MERCY HEALTH: MERCY HEALTH ANDERSON HOSPITAL MERCY HEALTH CLERMONT HOSPITAL MERCY HEALTH FAIRFIELD HOSPITAL THE JEWISH HOSPITAL - MERCY HEALTH MERCY HEALTH WEST HOSPITAL MCCULLOUGH-HYDE MEMORIAL HOSPITAL PREMIER HEALTH: ATRIUM MEDICAL CENTER TRIHEALTH: BETHESDA NORTH HOSPITAL BETHESDA BUTLER HOSPITAL GOOD SAMARITAN HOSPITAL TRIHEALTH EVENDALE HOSPITAL UC HEALTH: DANIEL DRAKE CENTER FOR POST-ACUTE CARE UNIVERSITY OF CINCINNATI MEDICAL CENTER WEST CHESTER HOSPITAL 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 CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN FISCAL YEAR 2016 (JULY 1, 2015 JUNE 30, 2016) AND SOUGHT INPUT FROM A VARIETY OF COMMUNITY PARTNERS IN ORDER 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 20 HOSPITALS TOGETHER, INCLUDING THE CHRIST HOSPITAL, AND LED THE EFFORT TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY. ALONG WITH THE DATA PRODUCED BY THE HEALTH COLLABORATIVE, WE ANALYZED A NUMBER 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, THE CHRIST HOSPITAL ALSO SOUGHT TO REVIEW ANY WRITTEN COMMENTS RECEIVED REGARDING COMMUNITY HEALTH NEEDS IN THE PREVIOUS ASSESSMENT. TO DATE, TO THE BEST OF OUR KNOWLEDGE, NO WRITTEN COMMENTS HAVE BEEN RECEIVED AND, THUS, WRITTEN COMMENTS WERE NOT AVAILABLE FOR CONSIDERATION IN THIS IMPLEMENTATION STRATEGY. THE PREVALENT HEALTH CONCERNS IDENTIFIED IN THE HAMILTON COUNTY AREA THROUGH THIS NEEDS ASSESSMENT INCLUDE: - ACCESS TO CARE - DIABETES AND OBESITY - INFANT MORTALITY - LUNG CANCER - MENTAL HEALTH THROUGH A COLLABORATIVE AND WELL-THOUGHT-OUT PROCESS, THE CHRIST HOSPITAL AND ITS COMMUNITY PARTNERS HAVE REVIEWED THE MOST PREVALENT HEALTH CONCERNS IN HAMILTON COUNTY AND HAVE ESTABLISHED A COURSE OF ACTION. THIS PLAN FOCUSES ON PROGRAMS, RESEARCH AND EDUCATION THAT SPECIFICALLY TARGET SOME OF THE MOST PRESSING HEALTH CONCERNS FACING THE RESIDENTS OF HAMILTON COUNTY WITH THE HOPE OF MAKING MEASURABLE IMPACT ON THE HEALTH OF OUR COMMUNITY. WE RECOGNIZE THAT COMMUNITY HEALTH NEEDS ARE BROAD AND COMPREHENSIVE, AND WHILE WE BRING OUR EXPERTISE AND LEADERSHIP TO ADDRESSING SELECT NEEDS, WE ALSO UNDERSTAND THAT ONE ENTITYS EXPERTISE CANNOT BE BROAD ENOUGH TO BE THE SOLE ANSWER. BECAUSE OF THIS, COLLABORATIONS AND PARTNERSHIPS ARE KEY TO MEETING THOSE NEEDS, AND WE PARTNER WITH COMMUNITY ORGANIZATIONS THAT COMPLEMENT OUR RESOURCES. THIS IMPLEMENTATION PLAN WAS APPROVED BY THE CHRIST HOSPITAL BOARD OF DIRECTORS IN TAX YEAR 2016. TO INCREASE ACCESS TO CARE, THE CHRIST HOSPITAL WILL SEEK TO DEVELOP A COMMUNITY PARAMEDICINE PROGRAM IN PARTNERSHIP WITH THE CINCINNATI FIRE DEPARTMENT THAT PROVIDES POST-ACUTE CHECKS TO PATIENTS WITH A HIGH RISK OF REHOSPITALIZATION. PRIMARY COLLABORATION WILL BE WITH THE CINCINNATI FIRE DEPARTMENT, WHO WILL PROVIDE THE COMMUNITY PARAMEDICS, VEHICLES, AND EQUIPMENT TO DELIVER MEDICAL SERVICES TO PATIENTS. MEDICAL SERVICES WILL INCLUDE IN-PERSON HEALTH ASSESSMENTS OF PATIENTS IN THEIR HOMES, COMPLIANCE WITH DISCHARGE ORDERS AND MEDICATIONS, PATIENT SAFETY AT HOME, AND MONITORING FOR ANY CHANGES THAT COULD RESULT IN PREVENTABLE HOSPITAL READMISSION. SECONDARY COLLABORATION WILL OCCUR WITH LOCAL SOCIAL SERVICES SUCH AS THE UNITED WAY AND COUNCIL ON AGING, WHO WILL SERVE AS A REFERRAL SOURCE TO PROVIDE NON-MEDICAL RESOURCES NEEDED TO IMPROVE PATIENT INDEPENDENCE, EXPERIENCE, AND OUTCOMES. DIABETES AND EDUCATION SERVICES AT THE CHRIST HOSPITAL PROVIDE EDUCATION FOR BOTH BLOOD SUGAR CONTROL AND OBESITY WITHIN THE DIABETIC POPULATION, RESULTING IN IMPROVED HEALTH METRICS AND REDUCED COMPLICATIONS. THE DIABETES AND EDUCATION SERVICES WILL HOST CLASSES AND EMPLOY SPECIALLY TRAINED NURSES AND REGISTERED DIETICIANS. THE DIABETES AND EDUCATION SERVICES CURRENTLY HAVE OVER 7.0 FULL-TIME EMPLOYEES ("FTES") WHO SUPPORT PATIENTS WITH DIABETES. THIS INCLUDES INPATIENT AND OUTPATIENT NURSES AND DIETICIANS WHO ARE CERTIFIED DIABETES EDUCATORS. THEY WILL CONTINUE TO USE THESE EMPLOYEES TO HOST CLASSES, PROVIDE ONE-ON-ONE CONSULTATIONS AND CONTINUED SUPPORT FOR PATIENTS NEEDING ASSISTANCE IN MANAGING THEIR DIABETES. ADDITIONALLY, THESE NURSES AND DIETICIANS HELP COORDINATE THE EFFORTS OF BOTH INPATIENT AND OUTPATIENT EDUCATION. THEY VERIFY AMERICAN DIABETES ASSOCIATION COMPLIANCE AS IT RELATES TO THE SUBJECT OF CLASSES AND INFORMATION PROVIDED TO PATIENTS. CLASSES PROVIDED BY THESE INDIVIDUALS INCLUDE SPECIFIC SUBJECT MATTER SUCH AS: GESTATIONAL DIABETES, PREDIABETES, MEDICAL NUTRITION THERAPY AND DIABETES SELF-MANAGEMENT TRAINING. PARTICIPATION IN OPPORTUNITIES TO EDUCATE PATIENTS AND THE COMMUNITY ON INFANT MORTALITY AND SAFE SLEEP PRACTICES WILL LEAD TO SAFE SLEEP COMPLIANCE FOR FAMILIES WITH NEW BABIES. CURRENTLY, 100% OF PARENTS WITHIN THE CHRIST HOSPITAL ARE PRACTICING SAFE SLEEP TECHNIQUES. THE GOAL WAS MET BY FISCAL YEAR 2018. THE CHRIST HOSPITAL WILL UTILIZE A COORDINATED TEAM OF EDUCATORS, NURSES, NURSE PRACTITIONERS AND MEDICAL DIRECTORS TO IMPROVE EDUCATION REGARDING INFANT MORTALITY AND DISSEMINATE THAT INFORMATION IN A TIMELY MANNER. THIS TEAM WILL ALSO COLLABORATIVELY WORK WITH CRADLE CINCINNATI, THE MARCH OF DIMES, THE NATIONAL INSTITUTE FOR HEALTH AND THE CINCINNATI HEALTH DEPARTMENT AS WELL AS CRIBS FOR KIDS TO ASSIST FAMILIES IN NEED AND EDUCATE THE PUBLIC AND HEALTHCARE PROVIDERS ALIKE. THIS WILL OCCUR IN THE HOSPITAL SETTING AS WELL AS IN CHILDBIRTH EDUCATION CLASSES AND IN VARIOUS COMMUNITY OUTREACH SETTINGS. THE PARTNERSHIPS WITH THESE ORGANIZATIONS ASSIST US IN ACQUIRING EDUCATIONAL MATERIALS FOR STAFF AS WELL AS FOR THE PUBLIC, AND ASSIST US IN ACQUIRING SUPPLIES AS WELL. THE CHRIST HOSPITAL WILL INCREASE THE NUMBER OF LOW-DOSE CT LUNG CANCER SCREENINGS IN OUR PRIMARY CARE OFFICES AND MONITOR THE PERCENT OF PATIENT SCREENED. CURRENTLY THE NUMBER OF LOW-DOSE CT LUNG CANCER SCREENINGS IS 27 PER YEAR, WITH THE GOAL OF IMPROVING THAT TO 52 PER YEAR. THERE WILL ALSO BE UTILIZATION OF THE LUNG NODULE PROGRAM TO MONITOR PATIENTS AT HIGH RISK FOR LUNG CANCER, AND TO FOLLOW HIGH RISK PATIENTS REGULARLY TO FACILITATE EARLY DETECTION FOR THOSE WHO DEVELOP LUNG CANCER. THE CHRIST HOSPITAL WILL IMPLEMENT THESE STRATEGIES WITH THE COLLABORATION OF ORGANIZATIONS SUCH AS: AMERICAN LUNG ASSOCIATION, LUNG CANCER ALLIANCE, AMERICAN LUNG ASSOCIATION, CANCER FAMILY CARE, CANCER SUPPORT COMMUNITY, AMERICAN CANCER SOCIETY, NATIONAL CANCER INSTITUTE, NATIONAL COALITION FOR CANCER SURVIVORSHIP AND NATIONAL COMPREHENSIVE CANCER NETWORK. THE CHRIST HOSPITAL WILL WORK TO CREATE A COMPREHENSIVE OUTPATIENT PROGRAM THAT ADDRESSES THE NEEDS OF PATIENTS WITH MENTAL HEALTH CONDITIONS. THIS PROGRAM WILL INCLUDE EDUCATIONAL SERVICES, FACILITATION OF SUPPORT GROUPS AND MORE SPECIFIC SERVICES TO ADDRESS MENTAL HEALTH CONCERNS. THIS PROGRAM WILL ALLOW THE CHRIST HOSPITAL TO TREAT THE MENTAL HEALTH POPULATION WITH CARE APPROPRIATE FOR THEIR CONDITIONS. THIS TARGETED CARE WILL ALSO CONTRIBUTE TO THE OVERALL UNDERSTANDING OF MENTAL HEALTH NEEDS, HELPING TO DEBUNK MYTHS AND MISUNDERSTANDINGS. A TEAM OF COORDINATED PRACTITIONERS, INCLUDING CLINICAL THERAPISTS, NURSE PRACTITIONERS, PSYCHIATRISTS AND MEDICAL DIRECTORS WILL WORK TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES FOR PATIENTS AND MAKE CARE RECEIVED MORE COMPREHENSIVE. OUR ONGOING WORK HAS YIELDED FAVORABLE RESULTS. ACROSS ALL SECTORS PROGRESS IS BEING MADE TO MEET OUR GOALS. SPECIFICALLY, THE DIABETES CENTER PATIENTS BMI AVERAGE AND A1C SCORES HAVE DECREASED FROM FY15. THERE WAS 100% PARTICIPATION IN SAFE SLEEP PRACTICES AND TECHNIQUES IN THE LAST 4 QUARTERS OF FY 2017. THIS IS AN 18% INCREASE OVER FY 2015 QUARTER 4 REPORT AND HAS EXCEED GOAL BY 3%. ADDITIONALLY, THERE HAS BEEN AN INCREASE IN THE NUMBER OF LOW DOSE CT SCREENINGS PROVIDED BY OUR PRIMARY CARE OFFICES. ALTHOUGH SOME DATA IS NOT REFLECTIVE, DUE TO A LAG IN OUR SYSTEM, A MORE ACCURATE REFLECTION OF OUR WORK WILL BE AVAILABLE CLOSER TO THE END OF OUR FISCAL YEAR. LASTLY, a partner to help establish the hospital's comprehensive outpatient mental health program has been identified and significant efforts are underway to build the program.
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.

Field	Value	IRS element (for citing)
Facility	169	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (169 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Outpatient Center - Auburn MOB
2123 Auburn Avenue STE A-28	Cincinnati	OH	45219	Outpatient Center
PhysOccupational Therapy - Montgomery A
11140 Montgomery Road STE 1200	Montgomery	OH	45249	Phys/Occupational Therapy
PhysOccupational Therapy - Wilder PT
1400 Gloria Terrell Drive	Wilder	KY	41076	Phys/Occupational Therapy
PhysOccupational Therapy - Ft Wright A
1949-2001 Dixie Highway STE J	Ft Wright	KY	41011	Phys/Occupational Therapy
PhysOccupational Therapy - Auburn MOB
2123 Auburn Avenue STE 224	Cincinnati	OH	45219	Phys/Occupational Therapy
PhysOccupational Therapy - Cincinnati S
3950 Red Bank Road	Cincinnati	OH	45227	Phys/Occupational Therapy
PhysOccupational Therapy - Mason PT
5382-A Cox Smith Road	Mason	OH	45040	Phys/Occupational Therapy
PhysOccupational Therapy - Harrison Gre
5649 Harrison Avenue	Cincinnati	OH	45248	Phys/Occupational Therapy
PhysOccupational Therapy - Anderson AOC
7545 Beechmont Avenue STE E	Cincinnati	OH	45255	Phys/Occupational Therapy
PhysOccupational Therapy - Milford PT
970 974 Lila Avenue	Milford	OH	45150	Phys/Occupational Therapy
The Christ Hospital Physicians
11140 Montgomery Road STE 1300	Montgomery	OH	45249	Physician Office
The Christ Hospital Physicians
1949-2001 Dixie Highway STE E1	Ft Wright	KY	41011	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue STE 137	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
321 Mitchell Avenue	Batesville	IN	47006	Physician Office
The Christ Hospital Physicians
4440 Red Bank Expressway STE 200	Cincinnati	OH	45227	Physician Office
The Christ Hospital Physicians
5885 Harrison Avenue STE 1900	Cincinnati	OH	45248	Physician Office
The Christ Hospital Physicians
630 West Main Street STE 300	Wilmington	OH	45177	Physician Office
The Christ Hospital Physicians
7335 Yankee Road STE A	Liberty Township	OH	45044	Physician Office
The Christ Hospital Physicians
7545 Beechmont Avenue STE D-1	Cincinnati	OH	45255	Physician Office
The Christ Hospital Physicians
98 Elm Street STE PIH	Lawrenceburg	IN	47025	Physician Office
The Christ Hospital Physicians
11140 Montgomery Road STE 2500	Montgomery	OH	45249	Physician Office
The Christ Hospital Physicians
1200 Cottonwood Lane	Cincinnati	OH	45140	Physician Office
The Christ Hospital Physicians
1838 Florence Pike STE B	Burlington	KY	41005	Physician Office
The Christ Hospital Physicians
1949-2001 Dixie Highway STE D	Ft Wright	KY	41011	Physician Office
The Christ Hospital Physicians
1949-2001 Dixie Highway STE L1	Ft Wright	KY	41011	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue STE 200	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue STE 204	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue STE 331	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue STE 334	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue STE 440	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue STE 520	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue STE A-41	Cincinnati	OH	45219	Physician Office
The Christ Hospital Physicians
2156 Chamber Center Drive	Ft Mitchell	KY	41017	Physician Office
The Christ Hospital Physicians
24 Compton Rd	Cincinnati	OH	45216	Physician Office
The Christ Hospital Physicians
312 Walnut Street STE 1160	Cincinnati	OH	45202	Physician Office
The Christ Hospital Physicians
3805 Edwards Road STE 130	Cincinnati	OH	45209	Physician Office
The Christ Hospital Physicians
3805 Edwards Road STE 300	Cincinnati	OH	45209	Physician Office
The Christ Hospital Physicians
3805 Edwards Road	Cincinnati	OH	45209	Physician Office
The Christ Hospital Physicians
3805 Edwards Road STE 350	Cincinnati	OH	45209	Physician Office
The Christ Hospital Physicians
3805 Edwards Road STE 360	Cincinnati	OH	45209	Physician Office
The Christ Hospital Physicians
4440 Red Bank Expressway STE 210	Cincinnati	OH	45227	Physician Office
The Christ Hospital Physicians
4460 Red Bank Expressway STE 100	Cincinnati	OH	45227	Physician Office
The Christ Hospital Physicians
4803 Montgomery Road STE 114	Norwood	OH	45212	Physician Office
The Christ Hospital Physicians
4803 Montgomery Road STE 120	Norwood	OH	45212	Physician Office
The Christ Hospital Physicians
4900 Babson Place STE 400	Cincinnati	OH	45227	Physician Office
The Christ Hospital Physicians
5314 Delhi Pike STE 1	Cincinnati	OH	45238	Physician Office
The Christ Hospital Physicians
5680 Bridgetown Road	Cincinnati	OH	45248	Physician Office
The Christ Hospital Physicians
5714 Signal Hill Court STE C	Milford	OH	45150	Physician Office
The Christ Hospital Physicians
5885 Harrison Avenue STE 2500	Cincinnati	OH	45248	Physician Office
The Christ Hospital Physicians
5885 Harrison Avenue STE 3200	Cincinnati	OH	45248	Physician Office
The Christ Hospital Physicians
5885 Harrison Avenue STE 3500	Cincinnati	OH	45248	Physician Office
The Christ Hospital Physicians
6620 Clough Pike	Cincinnati	OH	45244	Physician Office
The Christ Hospital Physicians
7335 Yankee Road STE 202	Liberty Township	OH	45044	Physician Office
The Christ Hospital Physicians
7451 Mason Montgomery Road STE 3	Mason	OH	45040	Physician Office
The Christ Hospital Physicians
7545 Beechmont Avenue STE A	Cincinnati	OH	45255	Physician Office
The Christ Hospital Physicians
7545 Beechmont Avenue STE C	Cincinnati	OH	45255	Physician Office
The Christ Hospital Physicians
7545 Beechmont Avenue STE K	Cincinnati	OH	45255	Physician Office
The Christ Hospital Physicians
7545 Beechmont Avenue STE N	Cincinnati	OH	45255	Physician Office
The Christ Hospital Physicians
7589 Tylers Place Boulevard	West Chester	OH	45069	Physician Office
The Christ Hospital Physicians
8041 Hosbrook Road STE 200	Cincinnati	OH	45236	Physician Office
The Christ Hospital Physicians
11140 Montgomery Road STE 1100	Montgomery	OH	45249	Physician Office
The Christ Hospital Physicians
1949-2001 Dixie Highway STE K	Ft Wright	KY	41011	Physician Office
The Christ Hospital Physicians
368 Bielby Road STE 140	Lawrenceburg	IN	47025	Physician Office
The Christ Hospital Physicians
3950 Red Bank Road	Cincinnati	OH	45227	Physician Office
The Christ Hospital Physicians
4460 Red Bank Expressway	Cincinnati	OH	45227	Physician Office
The Christ Hospital Physicians
4850 Red Bank Road	Cincinnati	OH	45227	Physician Office
The Christ Hospital Physicians
5885 Harrison Avenue STE 2300	Cincinnati	OH	45248	Physician Office
The Christ Hospital Physicians
7545 Beechmont Avenue STE J	Cincinnati	OH	45255	Physician Office
The Christ Hospital Physicians
9250 Blue Ash Road STE	Cincinnati	OH	45242	Physician Office
The Christ Hospital Physicians
2123 Auburn Avenue STE 723	Cincinnati	OH	45219	Physician Office
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Physician Office/Business Cent
Auburn MOB
2123 Auburn Avenue STE 428	Cincinnati	OH	45219	Physician Office/Business Cent
Auburn MOB
2123 Auburn Avenue STE 528	Cincinnati	OH	45219	Physician Office/Business Cent
Montgomery AOC
11140 Montgomery Road STE 1100	Montgomery	OH	45249	Specialty Center
Montgomery AOC
11140 Montgomery Road STE 2100	Montgomery	OH	45249	Specialty Center
Montgomery AOC
11140 Montgomery Road STE 2200	Montgomery	OH	45249	Specialty Center
Montgomery AOC
11140 Montgomery Road STE 2300	Montgomery	OH	45249	Specialty Center
Montgomery AOC
11140 Montgomery Road STE 2400	Montgomery	OH	45249	Specialty Center
Montgomery AOC
11140 Montgomery Road STE G400	Montgomery	OH	45249	Specialty Center
Montgomery AOC
11140 Montgomery Road	Montgomery	OH	45249	Specialty Center
Montgomery Surgery Center
11150 Montgomery Road STE 1000	Cincinnati	OH	45249	Specialty Center
Montgomery Surgery Center
11150 Montgomery Road STE 1100	Cincinnati	OH	45249	Specialty Center
Harpers Pointe
11340 Montgomery Road STE 208	Cincinnati	OH	45249	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway STE C	Ft Wright	KY	41011	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway STE E1	Ft Wright	KY	41011	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway STE G	Ft Wright	KY	41011	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway STE M	Ft Wright	KY	41011	Specialty Center
TCHMS Reading Road
2055 Reading Road STE 480	Cincinnati	OH	45202	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 108	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 120	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 208	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 209	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 210	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 232	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 238	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 242	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 300	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 307	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 308	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 322	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 624	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 720	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue	Cincinnati	OH	45219	Specialty Center
TCHMS Norwood
2355 Norwood Avenue Floor 1	Cincinnati	OH	45212	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway STE 130	Cincinnati	OH	45227	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway STE 200	Cincinnati	OH	45227	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway STE 220	Cincinnati	OH	45227	Specialty Center
Linden Pointe Bldg E
4805 Montgomery Road STE 154	Cincinnati	OH	45212	Specialty Center
Green Township AOC
5885 Harrison Avenue STE 2900	Cincinnati	OH	45248	Specialty Center
Green Township AOC
5885 Harrison Avenue STE 3100	Cincinnati	OH	45248	Specialty Center
Green Township AOC
5885 Harrison Avenue STE 3200	Cincinnati	OH	45248	Specialty Center
Green Township AOC
5885 Harrison Avenue STE 3300	Cincinnati	OH	45248	Specialty Center
Green Township AOC
5885 Harrison Avenue STE 3700	Cincinnati	OH	45248	Specialty Center
Mason MOB
608 Reading Road STE B	Mason	OH	45040	Specialty Center
Mason MOB
608 Reading Road STE C	Mason	OH	45040	Specialty Center
Mason MOB
608 Reading Road STE D	Mason	OH	45040	Specialty Center
Clinton Memorial Hospital
630 West Main Street STE 309	Wilmington	OH	45177	Specialty Center
Anderson AOC
7545 Beechmont Avenue STE B	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue STE G	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue STE K	Cincinnati	OH	45255	Specialty Center
Anderson AOC
7545 Beechmont Avenue STE M	Cincinnati	OH	45255	Specialty Center
Five Mile
7691 Five Mile Road STE 214	Cincinnati	OH	45230	Specialty Center
Five Mile
7691 Five Mile Road STE 215	Cincinnati	OH	45230	Specialty Center
University Pointe Medical Office Condomi
7759 University Drive Unit E	West Chester	OH	45069	Specialty Center
University Pointe Medical Office Condomi
7777 University Drive STE H	West Chester	OH	45069	Specialty Center
Eastgate Medical Office Building
796 Old State Route 74 STE 101	Cincinnati	OH	45245	Specialty Center
Winton Road
8250 Winton Road STE 210	Cincinnati	OH	45236	Specialty Center
Montgomery Surgery Center
11150 Montgomery Road STE 1100	Cincinnati	OH	45249	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway STE A	Ft Wright	KY	41011	Specialty Center
Ft Wright AOC
1949-2001 Dixie Highway STE H	Ft Wright	KY	41011	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 105	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 234	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 303	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 335	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE 341	Cincinnati	OH	45219	Specialty Center
Auburn MOB
2123 Auburn Avenue STE G-3	Cincinnati	OH	45219	Specialty Center
Red Bank Crossing I
4460 Red Bank Expressway STE 230	Cincinnati	OH	45227	Specialty Center
Babson
4900 Babson Place STE 500	Cincinnati	OH	45227	Specialty Center
Babson
4900 Babson Place	Cincinnati	OH	45227	Specialty Center
Babson
4900 Babson Place STE 600	Cincinnati	OH	45227	Specialty Center
Green Township AOC
5885 Harrison Avenue STE 2100	Cincinnati	OH	45248	Specialty Center
Anderson AOC
7545 Beechmont Avenue STE L	Cincinnati	OH	45255	Specialty Center
Surgery Center - Auburn MOB
2123 Auburn Avenue STE 201	Cincinnati	OH	45219	Surgery Center
Surgery Center - Green Township AOC
5885 Harrison Avenue STE 3300	Cincinnati	OH	45248	Surgery Center
Montgomery Surgery Center
11150 Montgomery Road STE G-100	Cincinnati	OH	45249	Surgery Center
Imaging Center - Montgomery AOC
11140 Montgomery Road STE G200	Montgomery	OH	45249	Testing & Imaging Center
Imaging Center - Ft Wright AOC
1949-2001 Dixie Highway STE E2	Ft Wright	KY	41011	Testing & Imaging Center
Imaging Center - Auburn MOB
2123 Auburn Avenue STE 324	Cincinnati	OH	45219	Testing & Imaging Center
Imaging Center - Red Bank Crossing II
4440 Red Bank Expressway STE 100	Cincinnati	OH	45227	Testing & Imaging Center
Imaging Center - Green Township AOC
5885 Harrison Avenue STE 1100	Cincinnati	OH	45248	Testing & Imaging Center
Imaging Center - Anderson AOC
7545 Beechmont Avenue	Cincinnati	OH	45255	Testing & Imaging Center
Testing Center - Montgomery AOC
11140 Montgomery Road STE G200	Montgomery	OH	45249	Testing & Imaging Center
Testing Center - Ft Wright AOC
1949-2001 Dixie Highway STE E2	Ft Wright	KY	41011	Testing & Imaging Center
Testing Center - Green Township AOC
5885 Harrison Avenue STE 1100	Cincinnati	OH	45248	Testing & Imaging Center
Testing Center - Liberty Commons Medical
7335 Yankee Road STE A	Liberty Township	OH	45044	Testing & Imaging Center
Testing Center - Anderson AOC
7545 Beechmont Avenue STE X	Cincinnati	OH	45255	Testing & Imaging Center
Testing Center - Auburn MOB
2123 Auburn Avenue STE 130	Cincinnati	OH	45219	Testing & Imaging Center
Testing Center - Mason MOB
608 Reading Road STE B	Mason	OH	45040	Testing & Imaging Center
Testing Center - Montgomery AOC
11140 Montgomery Road STE G300	Montgomery	OH	45249	Testing & Imaging Center
Testing Center - Ft Wright AOC
1949-2001 Dixie Highway STE B	Ft Wright	KY	41011	Testing & Imaging Center
Testing Center - Auburn MOB
2123 Auburn Avenue STE 124	Cincinnati	OH	45219	Testing & Imaging Center
Testing Center - Rookwood Tower
3805 Edwards Road	Cincinnati	OH	45209	Testing & Imaging Center
Testing Center - Red Bank Crossing II
4440 Red Bank Expressway STE 120	Cincinnati	OH	45227	Testing & Imaging Center
Testing Center - Green Township AOC
5885 Harrison Avenue STE 1700	Cincinnati	OH	45248	Testing & Imaging Center
Testing Center - Anderson AOC
7545 Beechmont Avenue STE F	Cincinnati	OH	45255	Testing & Imaging Center
Urgent Care - Ft Wright AOC
1949-2001 Dixie Highway STE F	Ft Wright	KY	41011	Urgent Care
Urgent Care - Red Bank Crossing II
4440 Red Bank Expressway STE 110	Cincinnati	OH	45227	Urgent Care

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 NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE LESS THE PROVISION FOR BAD DEBTS ARE RECORDED AT ESTIMATED AMOUNTS EXPECTED TO BE COLLECTED. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING CURRENT 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 OF SELF-PAY ACCOUNTS RECEIVABLE INCLUDING THOSE BALANCES AFTER INSURANCE PAYMENTS AND NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ESTIMATED AMOUNT FOR THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER TCH'S CHARITY CARE POLICY REPORTED ON PART III, LINE 3 WAS DETERMINED USING MANAGEMENT'S BEST ESTIMATE BASED ON AVAILABLE PATIENT DATA. 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 $101,344,000 Allowable cost of care related to payments from above $131,212,000 ------------ Shortfall from Medicare Managed Care Plans $(29,868,000) 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) $ 87,850,644 Allowable cost of care related to payments from above $121,093,879 ------------- Shortfall related to the Medicare Part B Plans $(33,243,235) (physician-based) Part VI NEEDS ASSESSMENT OUR FIRST STEP IN CONDUCTING OUR 2016 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 PRINCIPAL 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 OF THE COMMUNITY IN COLLABORATION WITH OTHER NONPROFIT HOSPITALS WHOSE COMMUNITIES OVERLAPPED WITH OURS AND THE HEALTH COLLABORATIVE. 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 20 HOSPITALS TOGETHER, INCLUDING THE CHRIST HOSPITAL, TO CONDUCT A COMPREHENSIVE, COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (COLLABORATIVE CHNA). THE COLLABORATIVE CHNA ALSO PROVIDES A 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. IN ADDITION, THE CHRIST HOSPITAL REVIEWED ANY WRITTEN COMMENTS RECEIVED REGARDING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. TO DATE, TO THE BEST OF OUR KNOWLEDGE, NO WRITTEN COMMENTS HAVE BEEN RECEIVED AND, THUS, WRITTEN COMMENTS WERE NOT AVAILABLE FOR CONSIDERATION IN THIS ASSESSMENT. FOR EASE OF REFERENCE, THE FOLLOWING PROVIDES AN EXECUTIVE OVERVIEW OF SOME OF THE PROCESSES, METHODS AND DATA INPUT COLLECTION AND ANALYSIS USED TO CONDUCT THE COLLABORATIVE CHNA. REPRESENTATIVES FROM 11 HEALTHCARE SYSTEMS (REPRESENTING 20 HOSPITALS), INCLUDING THE CHRIST HOSPITAL) MET FIVE TIMES AND COMPRISED THE COLLABORATIVE CHNA COMMITTEE. THIS GROUP ASSISTED IN PROCESS DESIGN, PROVIDED FEEDBACK TO THE CONSULTANT AND THE HEALTH COLLABORATIVE AND SHARED BEST PRACTICES WITH EACH OTHER. THE COLLABORATIVE CHNA COMMITTEE ALSO INCLUDED REPRESENTATIVES FROM THE CINCINNATI HEALTH DEPARTMENT, HAMILTON COUNTY PUBLIC HEALTH, INTERACT FOR HEALTH (A REGIONAL PHILANTHROPIC ORGANIZATION) AND A PHYSICIAN/PROFESSOR FROM XAVIER UNIVERSITY. CONSISTENT SOURCES OF COMPARABLE DATA WERE AVAILABLE ONLY AT THE STATE AND COUNTY LEVELS, AND THEREFORE EACH PARTICIPATING HOSPITAL IDENTIFIED WHICH COUNTIES CONTAINED THEIR SERVICES AREAS. SERVICE AREAS SPANNED 19 COUNTIES OVER THREE STATES. THE CINCINNATI-MIDDLETOWN METROPOLITAN STATISTICAL AREA INCLUDES AN ADDITIONAL FOUR COUNTIES (BRACKEN, GALLATIN, GRANT, AND PENDLETON), AND SO THE COLLABORATIVE CHNA ASSESSED THE NEEDS OF CITIZENS FOR 23 COUNTIES IN TOTAL. RESULTS IN THE COLLABORATIVE CHNA INCLUDE DATA FROM A STRUCTURED SURVEY, QUALITATIVE DATA FROM MULTIPLE FOCUS GROUPS, AN ANALYSIS OF AVAILABLE SECONDARY DATA AND FINDINGS FROM HEALTH DEPARTMENT INTERVIEWS AND SURVEYS. THE CHNA TEAM COLLECTED 106 MEASURES FROM PUBLICLY AVAILABLE SOURCES, STARTING WITH THE COUNTY HEALTH RANKINGS. CRITERIA FOR INCLUSION INCLUDED AVAILABILITY OF TREND DATA AT THE COUNTY LEVEL AND EASE OF COMPARISON AND UPDATING. PRIMARY DATA COLLECTION INVOLVED INTERVIEWS OF PUBLIC HEALTH OFFICIALS; ONLINE AND PAPER SURVEYS; AND COMMUNITY FOCUS GROUPS. THERE WERE FOUR DISTINCT STAKEHOLDER GROUPS WITH SEPARATE ANALYSIS FOR COMPARISON: (1) CONSUMERS AND ORGANIZATIONS WHICH ATTENDED MEETINGS, (2) INDIVIDUALS SURVEYED, (3) ORGANIZATIONS SURVEYED AND (4) HEALTH DEPARTMENTS (COLLECTIVELY, STAKEHOLDERS). ALL RESPONDENTS ANSWERED QUESTIONS ABOUT SERIOUS HEALTH ISSUES, ISSUES HANDLED WELL, ISSUES NOT ADDRESSED ENOUGH, AND BARRIERS TO CARE. HOSPITALS INVITED NONPROFIT AGENCIES AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS TO ATTEND MEETINGS AND COMPLETE SURVEYS. MORE THAN 80 SENT REPRESENTATIVES TO PARTICIPATE IN FOCUS GROUPS. PARTICIPATING ORGANIZATIONS PROVIDED THE NAME OF, AND AREAS SERVED BY, THEIR ORGANIZATION. SURVEY RESPONDENTS ALSO IDENTIFIED THE TYPES OF VULNERABLE POPULATIONS SERVED. MEETING ATTENDEES SHARED THE NAMES OF THE INDIVIDUALS REPRESENTING EACH ORGANIZATION. IN TOTAL, MORE THAN 600 PEOPLE PROVIDED INPUT FOR THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. IMPORTANTLY, THIS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CLOSE COORDINATION WITH A BROADER COLLECTIVE IMPACT ON HEALTH REGIONAL EFFORT, ALSO LED BY THE HEALTH COLLABORATIVE. COLLECTIVE IMPACT ON HEALTH INCLUDED A SIGNIFICANT MICROSIMULATION MODELING PROCESS FOR NOT ONLY UNDERSTANDING THE CURRENT STATE, BUT ALSO FOR MODELING WHAT THE COMMUNITY COULD HOPE TO AC	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (20 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 AVEnue	CINCINNATI	OH	45229	200902286	501(c)(3)	$200,000	GENERAL SPONSORSHIP
AMERICAN HEART ASSOCIATION INC
5211 MADISON ROAD	CINCINNATI	OH	452271411	135613797	501(c)(3)	$112,500	GENERAL SPONSORSHIP
BEACON ORTHOPAEDICS & EDUCATION FOUNDATION INC
500 E BUSINESS WAY	CINCINNATI	OH	45241	270643210	501(c)(3)	$153,000	GENERAL SPONSORSHIP
CINCINNATI SPORTS MALL
3950 RED BANK ROAD	CINCINNATI	OH	45227	311249621		$87,500	GENERAL SPONSORSHIP
ARTHIRITIS FOUNDATION
7124 MIAMI AVENUE	CINCINNATI	OH	45243	274014550	501(c)(3)	$60,000	GENERAL SPONSORSHIP
CRADLE CINCINNATI
3333 BURNET AVE	CINCINNATI	OH	45229	310833936	501(c)(3)	$12,500	GENERAL SPONSORSHIP
REDI CINCINNATI
3 EAST FOURTH STREET	CINCINNATI	OH	45202	472090230		$25,000	GENERAL SPONSORSHIP
OAK HILLS LOCAL SCHOOL DISTRICT
6325 RAPID RUN ROAD	CINCINNATI	OH	45233	316000742	GOVT	$186,894	GENERAL SPONSORSHIP
PRINCETON CITY SCHOOLS
3900 COTTINGHAM DRIVE	CINCINNATI	OH	45241	316006941	GOVT	$558,338	GENERAL SPONSORSHIP
MADEIRA CITY SCHOOL DISTrict
7465 LOANNES DRIVE	cincinnati	OH	45243	316000862	GOVT	$59,761	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)	$100,000	GENERAL SPONSORSHIP
THE HEALTH COLLABORATIVE
615 ELSINORE PLACE	CINCINnATI	OH	45202	311449807	501(c)(3)	$73,300	GENERAL SPONSORSHIP
WYOMING CITY SCHOOL DISTRICT
420 SPRINGFIELD PIKE	WYOMING	OH	45215	316001020	govt	$107,269	GENERAL SPONSORSHIP
KINGS HAMMER SOCCER CLUB
1018 TOWN DRIVE	WILDER	KY	41076	311213703	501(c)(3)	$25,000	GENERAL SPONSORSHIP
MOELLER HIGH SCHOOL ATHLETICS
9100 MONTGOMERY ROAD	CINCINNATI	OH	45242	310624667	501(c)(3)	$12,900	GENERAL SPONSORSHIP
lakota local school district
5572 princeton road	liberty township	OH	45011	316000897	govt	$315,000	General Sponsorship
cincinnati united soccer club
411 circle freeway drive	cincinnati	OH	45246	311461867	501(c)(3)	$25,000	general sponsorship
west chester liberty chamber alliance
8922 beckett road	west chester	OH	45069	310901492	501(c)(3)	$10,000	general sponsorship
cincinnati marlins inc
616 west north bend road	cincinnati	OH	45224	310725166	501(c)(3)	$6,063	general sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

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.	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 (9 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
Slobodan Stanisic MD
PHYSICIAN	$1,339,499	$0	$0	$0	$19,710	$0	$0	$0	$25,359	$0	$1,384,568	$0	$0	$0
ERIC STAMLER MD
DIRECTOR	$406,431	$0	$0	$0	$21,364	$0	$0	$0	$0	$0	$427,795	$0	$0	$0
Patrick Kirk MD
PHYSICIAN	$1,501,668	$0	$0	$0	$4,902	$0	$0	$0	$26,359	$0	$1,532,929	$0	$0	$0
Scott Hamlin THRU 617
Senior Vice Pre. & CFO	$297,419	$0	$0	$0	$12,332	$0	$0	$0	$14,194	$0	$323,945	$0	$0	$0
Robert Cody MD
PHYSICIAN	$1,373,216	$0	$0	$0	$7,524	$0	$0	$0	$13,894	$0	$1,394,634	$0	$0	$0
MANISH BHANDARI MD
Physician	$1,336,096	$0	$0	$0	$1,710	$0	$0	$0	$25,359	$0	$1,363,165	$0	$0	$0
MARC SCHNEIDER MD
PHYSICIAN	$1,395,489	$0	$0	$0	$19,710	$0	$0	$0	$25,359	$0	$1,440,558	$0	$0	$0
Michael K Keating
President & CEO	$746,943	$0	$0	$0	$43,508	$0	$208,542	$0	$26,321	$0	$1,025,314	$0	$0	$0
ALMA HELPLING
CFO	$330,735	$0	$0	$0	$3,749	$0	$6,616	$0	$22,715	$0	$363,815	$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 employees 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 $208,542 Alma helpling $6,616	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
HAMILTON COUNTY OHIO
A	316000063	2012-06-26	$333,431,995	SEE PART VI	false	false	false
HAMILTON COUNTY OHIO
B	316000063	2010-12-20	$30,000,000	SEE PART VI	false	false	false

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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$13,110,000	$0	$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)
B	$9,329,700	$0	$30,021,765	$0	$0	$0	$0	$0	$0	$30,021,765	$0	$0	2012	false	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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00000	0.00600	0.00600	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.00300	0.00000	0.00300	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	No Rebate DueNoRebateDueInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	Yes (true)	false	false	false	0	false	Yes (true)
fifth third bank
B	false	Yes (true)	Yes (true)	false	0	false	Yes (true)	Yes (true)	7.5	false	false

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 $663,255.
PART I, LINE B, COLUMN F	THE DIFFERENCE BETWEEN PART I, COLUMN(E) AND PART II IS DUE TO INVESTMENT EARNINGS OF $21,765.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DEBORAH GERDES
FAMILY MEMBER	$193,973	COMPENSATION - SEE PART V	false
PAIGE A DEBUYS
FAMILY MEMBER	$125,586	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 $193,973 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2017. 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 $125,586 DURING CALENDAR YEAR ENDED DECEMBER 31, 2017. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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 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 PRESIDENT IS REVIEWED ANNUALLY BY THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REVIEW WAS LAST PERFORMED IN APRIL OF 2018. 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 $ 47,714,057 restricted as to use at june 30, 2018 clinical excellence grant funding in support $ 5,565,034 of FY18 capital expenditures Other funding in support of fy18 capital $ 662,829 expenditures Changes in Pension $ 14,345,034 Equity contributions by TCH to CON $ (1,112,676) other changes $ (2,879,946) ------------- Total $ 64,294,332

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (14 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
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
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
LINDNER CTR RSCH & EDU AT TCH LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	263885165	MED RESEARCH	OH	TCH	-$590,225	$2,700,956
THE CHRIST HOSPITAL PHYSICIANS LLC
2139 AUBURN AVENUE	CINCINNATI	OH	45219	273841691	MEDICAL PRACT	OH	TCH	-$61,041,615	$61,145,870

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
CHRIST HOSPITAL EDU & CLINICAL RESEARCH
2139 AUBURN AVENUE	CINCINNATI	OH	45219	311226561	SUPPORT TCH	OH	501(c)(3)	12a	TCH	Yes (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	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)

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	$120,334	FMV
christ college of nursing & health sciences
j	$1,309,834	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