2017-05-11T14:32:24-05:00 2016-06-30 ERNST & YOUNG US LLP 800 YARD STREET SUITE 200 GRANDVIEW HEIGHTS OH 43212 990 2015-07-01 310538525 The Christ Hospital % TED SCHERPENBERG CHRI 5135850000 2139 AUBURN AVENUE CINCINNATI OH 45219 SCOTT J HAMLIN SR VP FIN & PHYS OPS 5135850000 2017-05-09 true DIANE L BEAN P00104972 6142245678 2015 2021-01-29 14:40:06Z MICHAEL K KEATING 2139 AUBURN AVENUE CINCINNATI OH 45219 880991918 false X WWW.THECHRISTHOSPITAL.COM X 1891 OH TO IMPROVE THE HEALTH OF OUR COMMUNITY AND CREATE PATIENT VALUE BY PROVIDING EXCEPTIONAL OUTCOMES, AFFORDABLE CARE, AND THE FINEST EXPERIENCES. 15 9 6514 351 73279 0 2177841 3362000 797969261 851586375 8810817 6562568 16669983 19480975 825627902 880991918 1095276 1316505 0 0 394389540 424903547 0 0 0 391749313 433882053 787234129 860102105 38393773 20889813 1066826046 1150245657 546932460 640315972 519893586 509929685 X TO IMPROVE THE HEALTH OF OUR COMMUNITY AND CREATE PATIENT VALUE BY PROVIDING EXCEPTIONAL OUTCOMES, AFFORDABLE CARE, AND THE FINEST EXPERIENCES. false false 730201904 1316505 865984055 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 125 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 1,000 physicians, and offers advanced services and technologies through executive leadership of sEVEN key service lines: cardiovascular care, orthopaedic and spine treatment, women's health, oncology, special surgery, comprehensive medicine AND PRIMARY CARE. TCH maintains its sacred trust with the community and governmental oversight partners in earning and maintaining the privilege and responsibilities of tax-exemption. These core commitments include activities that are not undertaken for economic gain, but in fact are performed at a loss or are wholly unreimbursed and are performed as a matter of public trust and commitment. These core commitments include: 1. charity care & care provided under governmental assistance programs - access to care regardless of ability to pay and full participation in Medicare and Medicaid programs wherein entitlement payments are insufficient to cover the costs of services provided. 2. medical education - assurance of sufficient numbers and competency of trained and licensed medical professionals to meet the needs of our community. This includes residency and fellowship training for physicians that are operated at a financial loss, and formal undergraduate degree training through its college of nursing that requires subsidization through philanthropy and private support. 3. research & innovation - through the Carl & Edyth Lindner center for research and education at the Christ hospital, TCH invests substantial internal and philanthropic resources in supporting the advancement of medical discovery and improvement for the public good through an array of clinical trials and other application research. The above activities are the enduring and sacred commitment and responsibility of TCH. Year in and year out these commitments will serve to demonstrate how TCH has earned and maintains its tax-exempt privilege. For the past 17 years, TCH has been recognized by U.S. news & world report as one of the nation's top hospitals and has been named Cincinnatis most preferred hospital for 21 consecutive years by national research corporation. TCH has been granted magnet recognition from the American nurses credentialing center for excellence in nursing care. Additionally, TCH was recognized by the Beckers hospital review 100 great hospitals in America (2014-2015). While maintaining its commitments to the community, TCH is in a period of rapid growth, including the expansion of an ambulatory outpatient strategy consisting of an employed primary care and specialty physician network, numerous outpatient centers offering a variety of services, and other community initiatives. with a staff of more than 1,000 physicians, TCH offers advanced services and technologies in cardiovascular care, orthopaedic and spine treatment, women's health, oncology, specialty surgery, and a host of outpatient services such as physician practices, imaging, testing, physical and occupational therapy, wound healing, diabetes care, and more. For the fiscal year ended June 30, 2016, TCH's inpatient admissions were approximately 30,000 and its outpatient visits exceeded 500,000. 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. TCH has been named one of the nation's 50 top cardiovascular hospitals by Truven Health Analytics, formerly Thomson Reuters. 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 12th 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. Additionally, TCH received the get with the guidelines-heart failure gold quality achievement award from the American heart association. The recognition signifies that TCH has achieved at least two years of 85% or higher adherence to the guidelines of care recommended by the American heart association/American college of cardiology. 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. The hospital's highly specialized spine institute 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's physicians and surgeons have performed more spine procedures than any other hospital in the greater Cincinnati area. TCH is not only committed to bringing superior 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 the development of a unique facility dedicated solely to orthopaedic and spine care - the Christ hospital joint & spine center. The new facility will support 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 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 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 730201904 true true false true false false false false false true true false false false true true false true false true true false false false false false true true true false true true false false false false false false false false true true false false false false true true true true false false true 408 0 true 6514 true true true true CJ false false false false false false false false X 15 9 false false false false true true true true true false false true true true true true true true true true false OH X TED SCHERPENBERG 5132631572 2139 AUBURN AVENUE CINCINNATI OH 45219 X Thomas R Gerdes TREASURER 1.0 1.0 X X 0 0 0 Victoria B Gluckman DIRECTOR 1.0 1.0 X 0 0 0 Jeb Head DIRECTOR 1.0 1.0 X 0 0 0 Roger L Howe DIRECTOR 1.0 1.0 X 0 0 0 Deborah P Majoras SECRETARY 1.0 0.0 X X 0 0 0 R Glen Mayfield DIRECTOR 1.0 1.0 X 0 0 0 Donald J Raithel MD DIRECTOR 1.0 1.0 X 0 0 0 George H Vincent BOARD CHAIRMAN 1.0 1.0 X X 0 0 0 Thomas Broderick MD DIRECTOR (THRU 9/2015) 40.0 1.0 X 629487 0 178348 Alfred Kahn III MD DIRECTOR 40.0 1.0 X 1154720 0 13514 Michael K Keating PRESIDENT & CEO 40.0 1.0 X X 988049 0 119069 ERIC STAMLER MD DIRECTOR 1.0 1.0 X 312478 0 0 Robert Heimann Director 1.0 1.0 X 0 0 0 KATY BARCLAY DIRECTOR (eff 1/2016) 1.0 1.0 X 0 0 0 JAMES DEVITT DIRECTOR (Eff 9/2015) 1.0 1.0 X 18750 0 0 R Kerry Clark DIRECTOR 1.0 1.0 X 0 0 0 Chris Bergman VICE PRE. & CFO (THRU 11/2015) 40.0 1.0 X 828435 0 374923 Scott Hamlin EFF 122015 Senior Vice Pre. & CFO 40.0 1.0 X 284703 0 37008 Slobodan Stanisic MD PHYSICIAN 40.0 0.0 X 1315489 0 19243 Manish Bhandari MD PHYSICIAN 40.0 0.0 X 1385631 0 23796 Patrick Kirk MD PHYSICIAN 40.0 0.0 X 1369499 0 24896 John Roberts MD Physician 40.0 0.0 X 1243124 0 13514 Robert Cody MD PHYSICIAN 40.0 0.0 X 1600397 0 13514 11130762 0 817825 239 false true false MESSER CONSTRUCTION CO 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION 19729075 DANIS BUILDING CONSTRUCTION CO 3233 NEWARK DRIVE MIAMISBURG OH 45342 CONSTRUCTION 8594632 CONIFER HEALTH SOLUTIONS LLC 12020 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 FINANCIAL SERVICES 5299545 SODEXO INC 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 CATERING SERVICES 5183092 CBTS 1507 SOLUTIONS CENTER CHICAGO IL 60677 FINANCIAL SERVICES 4176268 108 0 670776 2691224 0 3362000 NET PATIENT SERVICE REV 621990 839123909 839056525 67384 0 PHYSICIAN REVENUE 621110 1932309 1932309 0 0 PHARMACY SALES 446110 3713813 3713813 0 0 ALL OTHER PROGRAM SERVICE 621990 6816344 6810449 5895 0 851586375 7323905 7323905 0 0 2470951 2470951 0 2470951 2470951 -761337 -761337 -761337 -761337 0 0 0 CPCI REVENUE 900099 3200905 3200905 0 0 CAFETERIA/VENDING REVENUE 722210 2612344 0 0 2612344 PMPM PAYMENT 900099 560588 560588 0 0 10636187 10636187 0 17010024 880991918 865910776 73279 11645863 X 1316505 1316505 0 0 0 0 0 0 4724128 3779302 944826 0 282908 226326 56582 0 351833869 281467095 70366774 0 8556540 6845232 1711308 0 36588571 29270857 7317714 0 22917531 18334025 4583506 0 0 0 0 0 1245394 996315 249079 0 429600 343680 85920 0 0 0 0 0 0 0 710803 0 710803 0 81200034 64960027 16240007 2373803 1899042 474761 0 2904466 2323573 580893 0 10900344 8720275 2180069 0 0 0 0 0 27316035 21852828 5463207 0 464125 371300 92825 0 0 0 0 0 1370871 1096697 274174 0 15293284 12234627 3058657 0 0 0 0 0 51214003 40971202 10242801 0 3898835 3119068 779767 0 MEDICAL SUPPLIES 212127810 212127810 0 0 DUES & SUBSCRIPTIONS 11743804 9395043 2348761 0 RENTAL & LEASE OF EQUIP 9046208 7236966 1809242 0 PRINTING & PUBLICATIONS 980982 784786 196196 0 661652 529322 132330 860102105 730201904 129900201 0 0 46516244 50178140 51516444 9806749 0 0 104768603 131810085 0 0 0 0 0 0 16690014 19384325 11429493 13454897 1145525169 592507773 520797236 553017396 202877349 295362008 0 0 0 0 36096390 35715124 76134273 41516933 1066826046 1150245657 117007000 111389979 0 0 0 0 355832171 411219465 0 0 0 0 2998624 9595244 0 0 71094665 108111284 546932460 640315972 X 497839426 506853416 22054160 3076269 0 0 519893586 509929685 1066826046 1150245657 X 20889813 -5296680 0 0 0 -25557034 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 true 4320 false 0 false 0 false 0 4320 false Part II-B, Line 1F Lobbying Activities THE CHRIST HOSPITAL PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION. A PERCENTAGE OF THE DUES RELATED TO LOBBYING. TOTAL DUES EXPENDITURES RELATED TO LOBBYING WERE THE FOLLOWING: OHIO HOSPITAL ASSOCIATION: $4,320 64391000 1739000 14000 55232000 2953000 7959000 122377000 5507000 352000 63120000 725000 64391000 147542000 24959000 255000 44255000 1027000 127474000 150886000 2766000 164000 5545000 729000 147542000 6700801 145099752 50373 964950 150885976 0.00000 0.00340 0.99660 false true true 48801834 48801834 429594594 100834563 328760031 25756741 3801889 21954852 520537474 410585392 109952082 120834526 77285929 43548597 553017396 0 DEFERRED PENSION 109785947 DUE TO RELATED ORGANIZATION 579177 OTHER LIABILITIES 136455 DUE FROM THIRD PARTY PAYORS -2390295 108111284 X PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS ALL FUNDS RECEIVED BY THE CHRIST HOSPITAL AND THE CHRIST HOSPITAL FOUNDATION, BOTH PERMANENTLY AND TEMPORARILY RESTRICTED, ARE USED IN LINE WITH THE DONOR'S INTENT. ALL FUNDS ARE MONITORED BY THE FOUNDATION AND GENERAL ACCOUNTING AND IF EXPENSES ARE IDENTIFIED AS APPROPRIATE TO THE FUND, THE FUND WILL BE CHARGED FOR THE EXPENDITURE. FOR PERMANENTLY RESTRICTED FUNDS, INVESTMENT INCOME WILL BE ALLOCATED BETWEEN INCREASING THE FUND'S CORPUS AND BENEFITING THE PROGRAM AS SPECIFIED BY THE DONOR. PART X, LINE 2 FIN 48 FOOTNOTE (ASC 740) THE CHRIST HOSPITAL (TCH) IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS A CHARITABLE ORGANIZATION QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). TCH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2016 AND 2015, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2016 AND 2015. Central America and the Caribbean 1 Program Services GEN & PROF LIAB 2171813 Central America and the Caribbean 1 Investments, program-relate 8519337 2 2 10691150 10691150 true false true false false false PART 1, LINE 3, COLUMN(F) ACCOUNTING METHOD EXPENDITURES WERE ACCOUNTED FOR USING THE ACCRUAL METHOD OF ACCOUNTING. true true true X true X true true true false false 2336710 2961006 -624296 0.00000 97119711 55356321 41763390 0.04850 99456421 58317327 41139094 0.04850 571350 571350 0.00070 21215070 9240353 11974717 0.01390 6175643 3710639 2465004 0.00290 190450 190450 0.00020 28152513 12950992 15201521 0.01770 127608934 71268319 56340615 0.06620 true 17685029 707400 136133065 173264001 -37130936 X true true 1 1 THE CHRIST HOSPITAL 2139 AUBURN AVENUE CINCINNATI OH 45219 www.thechristhospital.com X X X X THE CHRIST HOSPITAL 1 false false true X X X X X X X X X 15 true true true true X SEE SECTION C X true 16 true SEE SECTION C false true X 150. 300. X X X true true X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X true X false X X X X true X false false PART V, SECTION B, LINEs 6a and 6b SEE NARRATIVE FOR PART V, SECTION B, LINE 11. 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 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, 95% of parents within The Christ Hospital are practicing safe sleep techniques. The goal is to reach 99% compliance 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. 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. 102 Outpatient Center - Ft Wright KY 1955 Dixie Highway Ft Wright KY 41011 Outpatient Center Outpatient Center - Red Bank 4440 Red Bank Expressway Cincinnati OH 45227 Outpatient Center Outpatient Center - Green Township 5885 Harrison Avenue Cincinnati OH 45248 Outpatient Center Outpatient Center - Anderson 7545 Beechmont Avenue Cincinnati OH 45255 Outpatient Center PhysOccupational Therapy - Wilder 1400 Gloria Terrell Drive Wilder KY 41076 Phys/Occupational Therapy PhysOccupational Therapy - Mt Auburn 2123 Auburn Avenue Suite 224 Cincinnati OH 45219 Phys/Occupational Therapy PhysOccupational Therapy - Pilates 2123 Auburn Avenue Suite 236 Cincinnati OH 45219 Phys/Occupational Therapy PhysOccupational Therapy - Crestview Hi 330 Thomas More Parkway Ste 202 Crestview Hills KY 41017 Phys/Occupational Therapy PhysOccupational Therapy - Cincinnati S 3950 Red Bank Road Cincinnati OH 45227 Phys/Occupational Therapy PhysOccupational Therapy - Mason 5382-A Cox Smith Road Mason OH 45040 Phys/Occupational Therapy PhysOccupational Therapy - Green Townsh 5885 Harrison Avenue Suite 2900 Cincinnati OH 45248 Phys/Occupational Therapy PhysOccupational Therapy - Anderson 7545 Beechmont Avenue Suite E Cincinnati OH 45255 Phys/Occupational Therapy PhysOccupational Therapy - Kenwood 8250 Kenwood Crossings Way Suite 2 Cincinnati OH 45236 Phys/Occupational Therapy PhysOccupational Therapy - Milford 970 974 Lila Avenue Milford OH 45150 Phys/Occupational Therapy The Christ Hospital Physicians 10506 Montgomery Road Suite 501 Cincinnati OH 45242 Physician Office The Christ Hospital Physicians 1275 North High Street Hillsboro OH 45133 Physician Office The Christ Hospital Physicians 1380 NW Washington Blvd Hamilton OH 45013 Physician Office The Christ Hospital Physicians 1955 Dixie Highway Ft Wright KY 41011 Physician Office The Christ Hospital Physicians 2123 Auburn Avenue Suite 100 Cincinnati OH 45219 Physician Office The Christ Hospital Physicians 2156 Chamber Center Drive Fort Mitchell KY 41017 Physician Office The Christ Hospital Physicians 230 Medical Center Drive Cincinnati OH 45679 Physician Office The Christ Hospital Physicians 2355 Norwood Avenue Cincinnati OH 45212 Physician Office The Christ Hospital Physicians 24 Compton Road Suite 205 Cincinnati OH 45216 Physician Office The Christ Hospital Physicians 24 Six Pine Ranch Road Batesville IN 47006 Physician Office The Christ Hospital Physicians 2567 Erie Avenue Cincinnati OH 45208 Physician Office The Christ Hospital Physicians 2727 Madison Road Suite 208 Cincinnati OH 45209 Physician Office The Christ Hospital Physicians 312 Walnut Street Ste 1160 Cincinnati OH 45202 Physician Office The Christ Hospital Physicians 330 Thomas More Parkway Ste 201 Crestview Hills KY 41017 Physician Office The Christ Hospital Physicians 334 Thomas More Pkwy Suite 190 Crestview Hills KY 41017 Physician Office The Christ Hospital Physicians 3805 Edwards Road Suite 300 Cincinnati OH 45209 Physician Office The Christ Hospital Physicians 3805 Edwards Road Suite 130 Cincinnati OH 45209 Physician Office The Christ Hospital Physicians 3950 Red Bank Road Cincinnati OH 45227 Physician Office The Christ Hospital Physicians 4440 Red Bank Expressway Suite 200 Cincinnati OH 45227 Physician Office The Christ Hospital Physicians 4803 Montgomery Road Suite 114 Cincinnati OH 45212 Physician Office The Christ Hospital Physicians 4803 Montgomery Road Suite 120 Cincinnati OH 45212 Physician Office The Christ Hospital Physicians 4803 Montgomery Road Suite 122 Cincinnati OH 45212 Physician Office The Christ Hospital Physicians 4805 Montgomery Road Ste 101 Cincinnati OH 45212 Physician Office The Christ Hospital Physicians 4900 Babson Place Suite 400 Cincinnati OH 45227 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 Suite 1900 Cincinnati OH 45248 Physician Office The Christ Hospital - TCHCVA Testing Cen 5885 Harrison Avenue Suite 2100 Cincinnati OH 45248 Physician Office The Christ Hospital - The Christ Hospita 5885 Harrison Avenue Suite 2300 Cincinnati OH 45248 Physician Office The Christ Hospital - TCHCVA 5885 Harrison Avenue Suite 2500 Cincinnati OH 45248 Physician Office The Christ Hospital - The Christ Hospita 5885 Harrison Avenue Suite 2700 Cincinnati OH 45248 Physician Office The Christ Hospital - TCHOA 5885 Harrison Avenue Suite 3100 Cincinnati OH 45248 Physician Office The Christ Hospital - TCHOA 5885 Harrison Avenue Suite 3300 Cincinnati OH 45248 Physician Office The Christ Hospital - TCHMS 5885 Harrison Avenue Suite 3500 Cincinnati OH 45248 Physician Office The Christ Hospital - TCHMS 5885 Harrison Avenue Suite 3700 Cincinnati OH 45248 Physician Office The Christ Hospital - The Christ Hospita 5885 Harrison Avenue Suite 3900 Cincinnati OH 45248 Physician Office The Christ Hospital Physicians 608 Reading Road Suite B Mason OH 45040 Physician Office The Christ Hospital Physicians 608 Reading Road Suite C Mason OH 45040 Physician Office The Christ Hospital Physicians 608 Reading Road Suite D Mason OH 45040 Physician Office The Christ Hospital Physicians 608 Reading Road Suite E Mason OH 45040 Physician Office The Christ Hospital Physicians 630 W Main Street Suite 300 Wilmington OH 45177 Physician Office The Christ Hospital Physicians 630 West Main Street Wilmington OH 45177 Physician Office The Christ Hospital Physicians 7335 Yankee Road Suite 201 Liberty Township OH 45044 Physician Office The Christ Hospital Physicians 7426 Jager Ct Cincinnati OH 45255 Physician Office The Christ Hospital Physicians 7451 South Mason Montgomery Road Mason OH 45040 Physician Office The Christ Hospital Physicians 7545 Beechmont Avenue Cincinnati OH 45255 Physician Office The Christ Hospital Physicians 7545 Beechmont Avenue Suite J Cincinnati OH 45255 Physician Office The Christ Hospital Physicians 7545 Beechmont Avenue Suite K Cincinnati OH 45255 Physician Office The Christ Hospital Physicians 7545 Beechmont Avenue Suite L Cincinnati OH 45255 Physician Office The Christ Hospital Physicians 7545 Beechmont Avenue Suite M Cincinnati OH 45255 Physician Office The Christ Hospital Physicians 7589 Tylers Place Blvd Cincinnati OH 45069 Physician Office The Christ Hospital Physicians 7685 Beechmont Avenue Cincinnati OH 45255 Physician Office The Christ Hospital Physicians 7759 University Drive West Chester OH 45069 Physician Office The Christ Hospital Physicians 7809 Laurel Avenue Suite 11 Cincinnati OH 45243 Physician Office The Christ Hospital Physicians 796 Old State Rt 74 Suite 100 Cincinnati OH 45245 Physician Office The Christ Hospital Physicians 796 Old State Rt 74 Suite 101 Cincinnati OH 45245 Physician Office The Christ Hospital Physicians 8250 Kenwood Crossings Way Cincinnati OH 45236 Physician Office The Christ Hospital Physicians 98 Elm Street Lawrenceburg IN 47025 Physician Office The Christ Hospital - TCHMS 7691 Five Mile Road Cincinnati OH 45230 Physician Office The Christ Hospital - The Christ Hospita 237 William Howard Taft Road Cincinnati OH 45219 Physician Office/Business Cent The Christ Hospital Diabetes & Endocrine 1955 Dixie Highway Suite E1 Ft Wright KY 41011 Specialty Center Pelvic Floor Center 2123 Auburn Avenue Suite 322 Cincinnati OH 45219 Specialty Center The Christ Hospital Diabetes & Endocrine 2727 Madison Road Suite 208 Cincinnati OH 45209 Specialty Center The Christ Hospital Diabetes & Endocrine 4440 Red Bank Expressway Suite 210 Cincinnati OH 45227 Specialty Center Diabetes & Endocrine Center 4440 Red Bank Expressway Suite 210 Cincinnati OH 45227 Specialty Center Audiology Center 4900 Babson Place Suite 500 Oakley OH 45227 Specialty Center The Christ Hospital Health & Aging Cente 4900 Babson Place Suite 600 Cincinnati OH 45227 Specialty Center Center for Health & Aging 4900 Babson Place Suite 600 Oakley OH 45227 Specialty Center The Christ Hospital Diabetes & Endocrine 5885 Harrison Avenue Suite 3200 Cincinnati OH 45248 Specialty Center Spine Surgery Center 4020 Smith Road Cincinnati OH 45209 Surgery Center Surgery Center - Red Bank Expressway 4850 Red Bank Expressway Cincinnati OH 45227 Surgery Center Testing Center (Cardiovascular) - Montgo 10506 Montgomery Road Suite 504 Cincinnati OH 45242 Testing & Imaging Center Imaging Center - Fort Wright 1955 Dixie Highway Suite E2 Ft Wright KY 41011 Testing & Imaging Center Testing Center (Cardiovascular) - Ft Wr 1955 Dixie Highway Suite A Ft Wright KY 41011 Testing & Imaging Center The Christ Hospital Physicians 1955 Dixie Highway Suite B Ft Wright KY 41011 Testing & Imaging Center The Christ Hospital Physicians 1955 Dixie Highway Suite D Ft Wright KY 41011 Testing & Imaging Center Women's Imaging Center 2123 Auburn Avenue MOB Suite 324 Cincinnati OH 45219 Testing & Imaging Center Testing Center - Mt Auburn 2123 Auburn Avenue Suite 130 Cincinnati OH 45219 Testing & Imaging Center Laboratory Draw Site - Hyde Park 2727 Madison Road 2nd Floor Cincinnati OH 45209 Testing & Imaging Center Imaging Center - Red Bank 4440 Red Bank Expressway Suite 100 Cincinnati OH 45227 Testing & Imaging Center Imaging Center - Green Township 5885 Harrison Avenue Suite 1100 Cincinnati OH 45248 Testing & Imaging Center Testing Center (Cardiovascular) - Green 5885 Harrison Avenue Suite 1100 Cincinnati OH 45248 Testing & Imaging Center Testing Center - Mason 608 Reading Road Suite A Mason OH 45040 Testing & Imaging Center Testing Center (Cardiovascular) - Libert 7335 Yankee Road Suite 201 Liberty Township OH 45044 Testing & Imaging Center Testing Center (Cardiovascular) - Anders 7545 Beechmont Avenue Suite E Cincinnati OH 45255 Testing & Imaging Center Testing Center - Anderson 7545 Beechmont Avenue Suite F Cincinnati OH 45255 Testing & Imaging Center Imaging Center - Anderson 7545 Beechmont Avenue Suite X Cincinnati OH 45255 Testing & Imaging Center The Christ Hospital Urgent Care - Madiso 4440 Red Bank Expressway Suite 110 Cincinnati OH 45227 Urgent Care PART I, LINE 7, COLUMN F BAD DEBTS ARE NETTED AGAINST REVENUES IN PART VIII, AND AS SUCH ARE NOT INCLUDED IN THE TOTAL EXPENSES IN ORDER TO CALCULATE THE PERCENTAGE REPORTED IN COLUMN F ON SCHEDULE H, PART I AND PART II. PART I, LINE 7 The Christ Hospital (TCH) applies a cost-to-charge ratio from Worksheet 2 of the Form 990, Schedule H instructions to determine financial assistance provided at cost. PART III, LINES 2 AND 4 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 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 accomplish together over a longer period of time to improve health, healthcare and affordability (e.g. the Triple Aim). At present, three action teams are developing prioritized regional interventions strategies and an optimal measure set for assessing progress over time. Patient Education of Eligibility and Assistance TCH posts its charity care policy and financial assistance contract information in admissions areas, emergency department, and other areas of the organization's facilities in which eligible patients are likely to be present. TCH provides a copy of the policy, or summary thereof, and financial assistance contact information to patients as part of the intake process and with discharge materials. Additionally, a copy of the policy or a summary along with the financial assistance contact information is included in the patient bills. TCH discusses with the patient the availability of various government benefits, such as medicaid or state programs, where applicable. Additionally, TCH assists patients in obtaining medical benefits through federal, state, and hospital programs. TCH representatives will provide the following services at no cost to the patient: - Explore Eligibility, - File application on Patient's behalf, - Schedule and attend appointments, - Provide transportation when necessary, - Provide medical documentation to social security administration for disability claims. Throughout the registration and discharge process, patients and their counselors look at what options are available. TCH understands that not everyone can pay for healthcare services. TCH representatives are available to offer options and assistance for those who are uninsured or underinsured. Community Information TCH's primary service area, comprised of 75% of the inpatient admissions, encompasses ten (10) counties in the greater Cincinnati area including, Hamilton, Brown, Adams, Clermont, Butler and Warren counties in Ohio, Campbell, Kenton and BOONE counties in Kentucky AND DEARBORN COUNTY IN INDIANA. TCH's secondary service area, comprised of an additional 25% of the inpatient admissions, encompasses an additional four (4) counties including, Clinton and Highland counties in Ohio; Pendleton and Grant counties in Kentucky. TCH's service area largely serves Hamilton County, which has a population of approximately 808,000 with 14.4% of the population over the age of 65. Hamilton county population includes 16.6% of the population living at less than 100.0% of the federal poverty line. Approximately 68.8% of the Hamilton county population is Caucasian and 26.2% is African American; 2.5% of the population is Asian, and the remaining 2.5% is of other ethnicity. Within Hamilton County, 60.1% of the households have an average income level of less than $50,000; 27.2% of the average household income levels are $50,000 and $100,000; and 12.5% of the average household income levels are greater than $100,000. Promotion of Community Health TCH operates an emergency room open to all persons regardless of ability to pay. in addition to providing emergency services, a systematic approach is used to determine community health needs with input from organizations such as the center for closing the health gap, the TCH family advisory council, and the gathering of community health statistics by the service line leaders and by the marketing department. Information gathered through these sources has led to the deployment of the palliative care program, a center for health and aging to address the special needs of geriatric patients and a newly remodeled behavioral health unit at a time when other healthcare providers in the commu true CENTER FOR CLOSING THE HEALTH GAP 3120 BURNETT AVEnue CINCINNATI OH 45229 200902286 501(c)(3) 200000 GENERAL SPONSORSHIP AMERICAN HEART ASSOCIATION INC 5211 MADISON ROAD CINCINNATI OH 452271411 135613797 501(c)(3) 225000 GENERAL SPONSORSHIP BEACON ORTHOPAEDICS & EDUCATION FOUNDATION INC 500 E BUSINESS WAY CINCINNATI OH 45241 270643210 501(c)(3) 170139 GENERAL SPONSORSHIP CINCINNATI SPORTS MALL 3950 RED BANK ROAD CINCINNATI OH 45227 311249621 34400 GENERAL SPONSORSHIP ARTHIRITIS FOUNDATION 7124 MIAMI AVENUE CINCINNATI OH 45243 274014550 501(c)(3) 58000 GENERAL SPONSORSHIP CRADLE CINCINNATI 3333 BURNET AVE CINCINNATI OH 45229 310833936 501(c)(3) 50000 GENERAL SPONSORSHIP REDI CINCINNATI 3 EAST FOURTH STREET CINCINNATI OH 45202 472090230 25000 GENERAL SPONSORSHIP OAK HILLS LOCAL SCHOOL DISTRICT 6325 RAPID RUN ROAD CINCINNATI OH 45233 316000742 GOVT 166978 GENERAL SPONSORSHIP HEALTHY COMMUNITIES INSTITUTE 2054 UNIVERSITY AVENUE BERKLEY CA 94704 300484431 501(c)(3) 14000 GENERAL SPONSORSHIP MARCH OF DIMES 10806 KENWOOD ROAD CINCINNATI OH 45242 131846366 501(c)(3) 7500 GRANT SPONSORSHIP THE HEALTH COLLABORATIVE 615 ELSINORE PLACE CINCINNATI OH 45202 311449807 501(c)(3) 122500 GENERAL SPONSORSHIP PRINCETON CITY SCHOOLS 3900 COTTINGHAM DRIVE CINCINNATI OH 45241 316006941 GOVT 114132 GENERAL SPONSORSHIP FOUNDATION FOR FEMALE HEALTH AWARENESS 7759 UNIVERSITY DRIVE WEST CHESTER OH 45069 522394793 501(c)(3) 50000 GENERAL SPONSORSHIP MADEIRA CITY SCHOOL DISTrict 7465 LOANNES DRIVE cincinnati OH 45243 316000862 GOVT 28692 GENERAL SPONSORSHIP PROCAMPS INC 4600 MCAULEY PLACE CINCINNATI OH 45242 452562041 20000 GENERAL SPONSORSHIP UNITED WAY 2400 READING ROAD CINCINNATI OH 45202 310537502 501(c)(3) 15163 GENERAL SPONSORSHIP ST VINCENT DE PAUL 1125 BANK STREET CINCINNATI OH 45214 310537510 501(C)(3) 10000 GENERAL SPONSORSHIP 11 6 FORM 990, SCHEDULE I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE CHrIST HOSPITAL PROVIDES FUNDING TO COMMUNITY ORGANIZATIONS THAT SUPPORT THE MISSION OF THE CHRIST HOSPITAL PRIMARILY FOCUSING ON 1) THOSE ORGANIZATIONS THAT EDUCATE THE COMMUNITY ABOUT HEALTH, WELLNESS AND PREVENTION, 2) THOSE INITIATIVES THAT IMPROVE THE HEALTH OF THE COMMUNITY, AND 3) THOSE INITIATIVES THAT ARE FOCUSED ON KEY CLINICAL SERVICE AREAS OF THE CHRIST HOSPITAL (INCLUDING CARDIOVASCULAR, MUSCULOSKELETAL, WOMEN'S HEALTH, PRIMARY CARE, ETC.). PRIOR TO RELEASING FUNDS, THE CHRIST HOSPITAL REVIEWS THE FUNDING RECIPIENT TO ENSURE THE FUNDS WILL BE USED TO FURTHER THE ABOVE STATED FUNDING CRITERIA. X X X X true true false false false false false false false Thomas Broderick MD DIRECTOR (THRU 9/2015) 624585 0 0 0 4902 0 159105 0 19243 0 807835 0 0 0 Alfred Kahn III MD DIRECTOR 1131236 0 0 0 23484 0 0 0 13514 0 1168234 0 0 0 Michael K Keating PRESIDENT & CEO 632525 0 330000 0 25524 0 94073 0 24996 0 1107118 0 0 0 Slobodan Stanisic MD PHYSICIAN 1295779 0 0 0 19710 0 0 0 19243 0 1334732 0 0 0 Manish Bhandari MD PHYSICIAN 934666 0 449255 0 1710 0 0 0 23796 0 1409427 0 0 0 ERIC STAMLER MD DIRECTOR 291774 0 0 0 20704 0 0 0 0 0 312478 0 0 0 Chris Bergman VICE PRE. & CFO (THRU 11/2015) 329619 0 115803 0 383013 0 352091 0 22832 0 1203358 0 273628 0 Patrick Kirk MD PHYSICIAN 1364597 0 0 0 4902 0 0 0 24896 0 1394395 0 0 0 Scott Hamlin EFF 122015 Senior Vice Pre. & CFO 257387 0 25000 0 2316 0 28335 0 8673 0 321711 0 0 0 John Roberts MD Physician 976982 0 240618 0 25524 0 0 0 13514 0 1256638 0 0 0 Robert Cody MD PHYSICIAN 1592873 0 0 0 7524 0 0 0 13514 0 1613911 0 0 0 Part I, Line 4A Upon separation from service, Mr. Bergman was eligible for a twelve month salary continuance plan. Part I, Line 4B THE CHRIST HOSPITAL HAS A 457(F) NON-QUALIFIED DEFERRED COMPLENSATION PLAN FOR CERTAIN SENIOR EXECUTIVE. THE FOLLOWING INDIVIDUALS HAVE AN ACCRUAL REPORTED IN PART ii, COLUMN (C): MICHAEL KEATING $94,073 SCOTT HAMLIN $28,335 The following individual received a payout from the plan: Chris E. Bergman $315,907 A HAMILTON COUNTY OHIO 316000063 40727TCS7 2012-06-26 333431995 SEE PART VI false false false B HAMILTON COUNTY OHIO 316000063 2010-12-20 30000000 SEE PART VI false false false A 6410000 0 334095250 0 27741427 0 5073444 1607333 0 172541278 127109132 0 2016 true false false true B 6699900 0 30021765 0 0 0 0 0 0 30021765 0 0 2012 false false false true A false false true true false 0 false false false true B false false true true false 0 false false false true A false true false false 0 false 0 false true B false true true true FIFTH THIRD BANK 9.9 false false false 0 false true A true B true PART I, LINE A, COLUMN F Description of Purpose HOSPITAL FACILITIES FIXED RATE REVENUE BONDS (SERIES 2012 BONDS) WERE USED TO FUND THE CONSTRUCTION OF THE CHRIST HOSPITAL ORTHOPAEDIC AND SPINE CENTER PROJECT, PAY DOWN PRIOR BORROWINGS, AND PAY THE RELATED COST OF ISSUANCE. THE DIFFERENCE BETWEEN PART I, COLUMN(E) AND PART II IS DUE TO INVESTMENT EARNINGS OF $663,255. PART I, LINE B, COLUMN F Description of Purpose HEALTHCARE FACILITIES VARIABLE RATE REVENUE BONDS (SERIES 2010 BONDS) WERE USED TO REFUND SEVERAL PATIENT CARE PROJECTS AND FINANCE THE CONSTRUCTIONS OF THE GREEN TOWNSHIP AMBULATORY OUTPATIENT CENTER. THE DIFFERENCE BETWEEN PART I, COLUMN(E) AND PART II IS DUE TO INVESTMENT EARNINGS OF $21,765. PART IV, LINE 2C, COLUMN B NO REBATE DUE REBATE COMPUTATION WAS PERFORMED ON MAY 28, 2013. CINCINNATI SPINE INSTITUTE LLC ALFRED KAHN, DIRECTOR 886667 COMPENSATION - SEE PART V false DEBORAH GERDES FAMILY MEMBER 149446 COMPENSATION - SEE PART V false PAIGE A DEBUYS FAMILY MEMBER 133462 COMPENSATION - SEE PART V false Business Transactions TCH PAID $886,667 TO THE CINCINNATI SPINE INSTITUTE, LLC FOR ITS ENGAGEMENT TO PROVIDE A MUSCULOSKELETAL SERVICE LINE EXECUTIVE MEDICAL DIRECTOR AT TCH THROUGH A DESIGNATED PHYSICIAN. DIRECTOR AT TCH THROUGH A DESIGNATED PHYSICIAN. 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 $149,446 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2015. 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 $133,462 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2015. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES. PART VI, LINES 6, 7A & 7B DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS The sole 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. Part VI, Line 11b Process Used to Review Form 990 The form 990 is prepared and reviewed by an outside accounting firm. The form 990 is then reviewed by the Controller, Sr. VP Finance & Physician Operations and 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's is reviewed annually by the Compensation and Governance Committee of the Board of Directors. The review was last performed in April of 2016. 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 Avail of Gov Docs, Conflict of Interest Policy and Fin Stmts to Public The organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon a reasonable request and as required. 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 CHANGES IN PENSIONS ($43,999,000) OTHER $14,160,419 EQUITY TRANSFER FROM PARENT $ 4,281,547 ------------- TOTAL ($25,557,034) 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 TCH ORTHOPAEDIC ASSOCIATES II 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 RSRSCH & EDU AT TCH LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 263885165 MED RESEARCH OH 568678 1865744 TCH THE CHRIST HOSPITAL PHYSICIANS LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 273841691 MEDICAL PRACT OH 62653679 50180000 TCH THE CHRIST HOSPITAL INC 2139 AUBURN AVENUE CINCINNATI OH 45219 311080885 HC SYS PARENT OH 501(c)(3) 11a EDGHA false CHRIST HOSPITAL EDU & CLINICAL RESEARCH 2139 AUBURN AVENUE CINCINNATI OH 45219 311226561 SUPPORT TCH OH 501(c)(3) 11a TCH true ELIZABETH GAMBLE DEACONESS HOME ASSOC 2139 AUBURN AVENUE CINCINNATI OH 45219 311082756 SUPPORT TCH OH 501(c)(3) 11a NA false THE CHRIST HOSPITAL COLLEGE OF NURSING 2139 AUBURN AVENUE CINCINNATI OH 45219 203823825 SUPPORT TCH OH 501(c)(3) 2 TCH true THE CHRIST HOSPITAL FOUNDATION 2139 AUBURN AVENUE CINCINNATI OH 45219 264165492 SUPPORT TCH OH 501(c)(3) 7 TCH true GAMBLE REALTY 2139 AUBURN AVENUE CINCINNATI OH 45219 311080683 REAL ESTATE OH 501(c)(3) N/A TCH true MASON PROP CO 2139 AUBURN AVE CINCINNATI OH 45219 311384679 SUPPORT TCH OH TCHHSC N/A TCHUSP SURG CENTER 15305 DALLAS PKWY SUITE 1600 CINCINNATI TX 75001 271482322 MEDICAL PRACTICE OH TCH RELATED 1771689 8608100 false false 0.50100 THE CHRIST HOSP SPINE SURGERY 4020 SMITH ROAD CINCINNATI OH 45209 MEDICAL PRACT OH TCHUSP N/A 0.25500 THE CHRIST HOSPITAL HEALTH SERVICES CORP 2139 AUBURN AVENUE CINCINNATI OH 45219 311066981 MEDICAL SERVICE OH TCH INC C-CorpORATION true EXCEL INSURANCE COMPANY LTD 2139 AUBURN AVENUE CINCINNATI OH 45219 980386259 INSURANCE CJ TCH C-CorpORATION 5647060 10601617 1.00000 true false false true false false false false false false true false false false false false false true false false THE COLLEGE OF NURSING J 1267256 FMV THE COLLEGE OF NURSING Q 100000 FMV ELIZABETH GAMBLE DEACONNESS HOME ASSOCIATION J 440085 FMV Christ Hospital Clinical Research Fund C 550000 FMV THE CHRIST HOSPITAL FOUNDATION C 2141224 FMV PART I, IDENTIFICATION OF DISREGARDED ENTITIES Year-end income and assets shown for The Christ Hospital Physicians, LLC ("TCH PHYS") includes income and assets for other disregarded entities listed.