2016-05-13T10:52:26-05:00 2015-06-30 ERNST & YOUNG US LLP 800 YARD STREET SUITE 200 GRANDVIEW HEIGHTS OH 43212 990 2014-07-01 310538525 The Christ Hospital % TED SCHERPENBERG CONTROLLER CHRI 5135850000 2139 AUBURN AVENUE CINCINNATI OH 45219 SCOTT J HAMLIN SR VP FIN & PHYS OPS 5132631572 2016-05-12 true DIANE L BEAN P00104972 6142245678 2014 2016-08-17 19:52:53Z MICHAEL K KEATING 2139 AUBURN AVENUE CINCINNATI OH 45219 825627902 false X WWW.THECHRISTHOSPITAL.COM X 1891 OH TO IMPROVE THE HEALTH OF OUR COMMUNITY AND CREATE PATIENT VALUE BY PROVIDING EXCEPTIONAL OUTCOMES, AFFORDABLE CARE, AND THE FINEST EXPERIENCES. 14 7 6157 506 252313 0 4653842 2177841 762614710 797969261 7232165 8810817 18194956 16669983 792695673 825627902 986173 1095276 0 0 391608861 394389540 0 0 0 373766683 391749313 766361717 787234129 26333956 38393773 992162530 1066826046 534766676 546932460 457395854 519893586 X TO IMPROVE THE HEALTH OF OUR COMMUNITY AND CREATE PATIENT VALUE BY PROVIDING EXCEPTIONAL OUTCOMES, AFFORDABLE CARE, AND THE FINEST EXPERIENCES. false false 674335057 1095276 809813218 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 an 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 eight 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 six key service lines: cardiovascular care, orthopaedic and spine treatment, women's health, oncology, special surgery, and comprehensive medicine. 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 16 years, TCH has been recognized by U.S. News & World Report as one of the nation's top hospitals and has been named Cincinnati's most preferred hospital for 20 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 Becker's 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, 2015, TCH's inpatient admissions were approximately 30,000 and its outpatient visits exceeded 450,000. 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 has been ranked among the top 50 in the nation for orthopaedics by U.S. News & World Report (2015). 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 are constructing 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 will be 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 th 674335057 true true false true false false false false false true true false false true 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 466 0 true 6157 true true true true CJ false false false false false false false false X 14 7 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 CONTROLLER 5132631572 2139 AUBURN AVENUE CINCINNATI OH 45219 X James E Bushman DIRECTOR (THRU 10/2014) 1.0 1.0 X 0 0 0 R Kerry Clark DIRECTOR 1.0 1.0 X 0 0 0 Theodore H Emmerich DIRECTOR (THRU 10/2014) 1.0 1.0 X 0 0 0 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 55000 0 0 George H Vincent BOARD CHAIRMAN 1.0 1.0 X X 0 0 0 Thomas Broderick MD DIRECTOR 40.0 1.0 X 642559 0 48414 Alfred Kahn III MD DIRECTOR 40.0 1.0 X 1494788 0 14470 Michael K Keating PRESIDENT & CEO 40.0 1.0 X X 973634 0 121154 ERIC STAMLER MD DIRECTOR 1.0 1.0 X 48145 0 0 Robert Heimann Director 1.0 1.0 X 0 0 0 Chris Bergman VICE PRESIDENT & CFO 40.0 1.0 X 537833 0 84290 Robert Cody MD PHYSICIAN 40.0 0.0 X 1664431 0 14470 Slobodan Stanisic MD PHYSICIAN 40.0 0.0 X 1598997 0 20620 Manish Bhandari MD PHYSICIAN 40.0 0.0 X 1504138 0 25219 Brian Mannion MD PHYSICIAN 40.0 0.0 X 1339353 0 20620 Patrick Kirk MD PHYSICIAN 40.0 0.0 X 1273854 0 26319 11132732 0 375576 468 false true false MESSER CONSTRUCTION 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION 60895654 CONIFER HEALTH SOLUTIONS LLC 12020 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 FINANCIAL SERVICES 7141007 SODEXO INC 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 CATERING SERVIES 3157222 GG ORGANIZATION LTD 2600 NORTH LOOP WEST HOUSTON TX 77092 FINANCIAL SERVICES 2691240 RJ BEISCHEL BUILDING CO PO BOX 32067 CINCINNATI OH 45232 CONSTRUCTION 2434190 26 0 2171000 6841 0 2177841 NET PATIENT SERVICE REV 621990 785277153 785076703 200450 0 PHYSICIAN REVENUE 621110 1989700 1989700 0 0 PHARMACY SALES 446110 3515574 3515574 0 0 ALL OTHER PROGRAM SERVICE REVENUE 621990 7186834 7134971 51863 0 797969261 7258874 7258874 0 0 2760158 2760158 0 2760158 2760158 1551943 1551943 1551943 1551943 0 0 0 CAFETERIA/VENDING REVENUE 722210 2065868 0 0 2065868 PMPM PAYMENTS 900099 902034 902034 0 0 EDUCATION/REGISTRATION RE 611600 93428 93428 0 0 10848495 10848495 0 13909825 825627902 809560905 252313 13636843 X 1095276 1095276 0 0 0 0 0 0 4020287 3216230 804057 0 217242 173794 43448 0 324050066 259240053 64810013 0 7500112 6000090 1500022 0 36940696 29552557 7388139 0 21661137 17328910 4332227 0 0 0 0 0 1828059 1462447 365612 0 442500 354000 88500 0 0 0 0 0 0 0 766016 0 766016 0 82693711 72981606 9712105 1659545 1327636 331909 0 3054051 2443241 610810 0 9901215 7920972 1980243 0 0 0 0 0 25685951 20548761 5137190 0 428791 343033 85758 0 0 0 0 0 1229495 983596 245899 0 10830986 8664789 2166197 0 0 0 0 0 38941953 31153562 7788391 0 2625717 2100574 525143 0 MEDICAL SUPPLIES 190574366 190574366 0 0 DUES AND SUBSCRIPTIONS 10819265 8655412 2163853 0 RENTAL & LEASE OF EQUIPMENT 7378318 5902654 1475664 0 PRINTING AND PUBLICATIONS 984331 787464 196867 0 1905043 1524034 381009 787234129 674335057 112899072 0 0 44123109 46516244 128505681 51516444 0 0 100805127 104768603 0 0 0 0 0 0 14261998 16690014 9280874 11429493 1063238696 542441460 414261797 520797236 202814323 202877349 0 0 0 0 35957481 36096390 42152140 76134273 992162530 1066826046 120633652 117007000 0 0 0 0 357725342 355832171 0 0 0 0 3508660 2998624 0 0 52899022 71094665 534766676 546932460 X 387913559 497839426 69482295 22054160 0 0 457395854 519893586 992162530 1066826046 X 38393773 3326725 20777234 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 4230 false 0 false 0 false 0 4230 false false SCHEDULE C, 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: $4,230 122377000 5507000 352000 63120000 725000 64391000 147542000 24959000 255000 44255000 1027000 127474000 150886000 2766000 164000 5545000 729000 147542000 6700801 145099752 50373 964950 150885976 20777006 1871747 55866 15257956 745862 6700801 0.44530 0.00040 0.55430 false true true 48801835 48801835 193851437 86952937 106898500 15560024 2011708 13548316 477034481 386184853 90849628 327990919 67291962 260698957 520797236 SHORT TERM INVESTMENTS 42007884 LONG TERM INVESTMENTS 15814609 UNAMORTIZED BOND ISSUE COSTS 5911646 NON-CURRENT ASSETS 4987444 SECURITY DEPOSITS 17930 OTHER ASSETS 7394760 76134273 0 DEFERRED PENSION 73124980 DUE TO RELATED ORGANIZATION 13102484 DUE FROM THIRD PARTY PAYORS -4510972 ASSET RETIREMENT OBLIGATION 1469359 OTHER LIABILITIES -12091186 71094665 X SCHEDULE D, 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. SCHEDULE D, PART X, LINE 2 FIN 48 FOOTNOTE (ASC 740) CHRIST HOSPITAL HEALTH NETWORK (THE NETWORK) 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). THE NETWORK COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2015 AND 2014, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2015 AND 2014. Central America and the Caribbean 1 Program services GEN & PROF LIAB 1165586 Central America and the Caribbean 1 Investments, program-relate 10173620 2 2 11339206 11339206 true false true false false false PART, 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 4732756 5894756 -1162000 0.00000 79229658 46937000 32292658 0.04050 83962414 52831756 31130658 0.03900 647625 647625 0.00080 20402063 7834619 12567444 0.01580 6045258 3710639 2334619 0.00290 215875 215875 0.00030 27310821 11545258 15765563 0.01980 111273235 64377014 46896221 0.05880 true 16973000 655394 127615298 158870030 -31254732 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 12 true false false true X SEE SECTION C X true 12 true SEE SECTION C false 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 true X false X X X X true X false false PART V, SECTION B, LINE 7 The URL for the community health needs assessment is: http:/www.thechristhospital.com/news-and-community/chna PART V, SECTION B, LINE 10A The URL for the organization's most recently adopted implementation strategy is: http:/www.thechristhospital.com/news-and-community/chna PART V, SECTION B, LINE 11 THE CHRIST HOSPITAL (TCH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE YEAR ENDED JUNE 30, 2013 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. The process was designed to identify the most pressing health concerns in Hamilton County with special emphasis on vulnerable populations. The essential components examined in this process included the data indicators compiled on TCH's online community health dashboard of over 100 economical, environmental and health categories; the A.I.M. (Ask. Inform. Make a difference.) Community Health Needs Assessment; the Hamilton County Public Health Department's Community Health Assessment for Hamilton County; the Greater Cincinnati Community Health Status Survey; and The United Way of Greater Cincinnati's Bold Goals. Key findings were reviewed with our community partners and internal stakeholders to further identify gaps in existing services. The prevalent health concerns identified in the Hamilton County area through this needs assessment include: 1. Access to care 2. Breast and prostate cancer 3. Cardiovascular disease a. Hypertension b. Hyperlipidemia c. Stroke d. Congestive heart failure 4. Diabetes 5. Behaviors Related to Obesity 6. Maternal and Infant Health a. Low-birth weight babies b. Infant mortality rates Through initiatives (investments in programs to improve specific needs identified within the community) within its six key service lines, and continued support of The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital, LLC (Lindner Center), TCH is addressing the needs identified in its 2013 community health needs assessment. The following investments have been made by TCH to promote access to affordable healthcare within our community: Comprehensive Primary Care; Center for Health and Aging; TCH's Outpatient Clinic Offerings (including internal medicine and specialized clinical services); and Corporate Wellness Outreach. Each program targets a specific patient population and set individual goals aimed at developing community care and coordination pathways, increasing access points for affordable healthcare in addition to other targeted outcomes. Through the following investments, TCH is striving to improve the outcomes of our community affected by breast and prostate cancer: TCH's OB/Gyn Outpatient Clinic; Prostate Collaborative Committee; Breast Cancer Patient Navigator Program; American Cancer Society Partnership - Making Strides; and Subsidized Mammography Program. Each program targets a specific patient population and set individual goals aimed at improving the outcomes for patients, as well as increase the level of education and screening in the community. Utilizing the Lindner Center (which has participated in more than 1,200 clinical trials including multiple first-in-man and first-in-the-U.S. procedures, which have contributed to best practice standards for the care of patients); recent investments in TCH's Heart Tower (including the only heart failure center in the U.S. to be accredited by both the Joint Commission and the Heathcare Accreditation Colloquium); and expansion of itS primary care initiatives, TCH is tackling cardiovascular disease, diabetes and obesity through the following programs and investments: Comprehensive Primary Care; Center for Health and Aging; Corporate Wellness Outreach; Complete Health Improvement Plan (CHIP) offerings; and partnerships with the American Heart Association, YMCA and Cincinnati Sports. Each program targets a specific patient population and has set individual goals aimed at prevention education and screening for hypertension, hyperlipidemia, diabetes and obesity. By addressing these risk factors TCH hopes to reduce risk of congestive heart failure and stroke. TCH continues to make further investments in its Women's Health programs, and understands the importance of maternal and infant health needs within our community. Through the following programs and investments, TCH is addressing maternal and infant health needs of the community: TCH's Prenatal Clinic; Center for Centering Pregnancy; March of Dimes Partnership; Community Health Worker Program; and Cradle Cincinnati. Each program targets expecting or new mothers in at risk populations, and has set individual goals aimed at increasing access to care and ease of care for expecting motherS and increasing level of education for better outcomes. WHILE CONDUCTING ITS COMMUNITY NEEDS ASSESSMENT, TCH IDENTIFIED TWO HEALTH NEEDS WITHIN THE COMMUNITY - SEXUALLY-TRANSMITTED DISEASES, INCLUDING CHLAMYDIA, GONORRHEA AND SYPHILIS; AND ORAL CARE - WHICH FIT WITHIN ITS STRATEGIC MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY, BUT FOR WHICH ITS RESOURCES ARE SLIM. WHILE THESE AREAS DO NOT FALL WITHIN THE SCOPE OF THEIR CURRENT SERVICES, TCH IS COGNIZANT OF THE IMPORTANCE OF THESE ISSUES WITHIN THE COMMUNITY AND SUPPORTS THEM THROUGH COMMUNITY PARTNERSHIPS WITH GROUPS LIKE THE CINCINNATI DEPARTMENT OF HEALTH. CONTINUED FOCUS ON THESE TYPE OF COLLABORATIVE RELATIONSHIPS AND ONGOING VIGILANCE IN MONITORING PROGRESS IN THESE AREAS WILL CONTINUE. 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 As a first step towards understanding the health needs of our community, TCH has formed a community benefit and social accountability committee, consisting of a variety of internal and external stakeholders, to write the community benefit policy and to preside over key community benefit decisions. This committee is responsible for determining the health needs of the community TCH serves and implement proven programs and strategies that target those identified needs. They do this by analyzing a number of data sources including public health data, hospitalization data, health risk factor surveys, socioeconomic needs assessments, environmental standards and existing programs that had been developed for residents in their service area. The essential components examined in this process include the data indicators compiled on TCH's online community health dashboard of over 100 economical, environmental and health categories; the A.I.M. (Ask. Inform. Make a difference.) community health needs assessment; the Hamilton County public health department's community health assessment for Hamilton County; the Greater Cincinnati Community Health Status Survey and the United Way of Greater Cincinnati's Bold Goals. This community benefit data includes both qualitative and quantitative data; demographics including race, age, ethnicity and gender; socioeconomic data including income, education and health insurance rates; primary care and chronic disease needs of uninsured persons; and data on health disparities in health outcomes among minority groups. Key findings are reviewed to further identify gaps in existing community outreach and hospital based services. PATIENT EDUCATION OF ELIGIBILITY AND ASSISTANCE TCH posts its charity care policy and financial assistance contact 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 80.0% of the inpatient admissions, encompasses ten (10) counties in the Greater Cincinnati area including, Hamilton, Brown, Adams, Clermont, Butler and Warren counties in Ohio and Campbell, Kenton and Brown County in Kentucky. TCH's secondary service area, comprised of an additional 20.0% of the inpatient admissions, encompasses an additional four (4) counties including Adams, 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 815,400 with 14.2% of the population over the age of 65. Hamilton County population includes 13.6% of the population living at less than 100.0% of the federal poverty line. Approximately 68.9% of the Hamilton County population is Caucasian and 25.1% is African American; 2.1% of the population is Asian, and the remaining 4.0% is of other ethnicity. Within Hamilton County, 52.9% of the households have an average income level of less than $50,000; 27.8% of the average household income levels are $50,000 and $100,000; and 19.3% 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 KSI Clinical Services Portfolio Team 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 community were discontinuing that service. TCH also supports the community in numerous fund drives such as United Way, American Heart Association, diabetes walk, cancer walk and fine arts fund. At the beginning of each school year and at Christmas, TCH staff also donates school supplies and gifts to the students at Taft Elementary School located in Mt. Auburn. In addition, the staff provides mentoring opportunities to undergraduate and graduate student interns interested in healthcare careers and also to explorer scouts. AFFILIATED HEALTH CARE SYSTEM N/A STATE FILING OF COMMUNITY BENEFIT REPORT N/A true CENTER FOR CLOSING THE HEALTH GAP 3120 BURNETT AVEnue CINCINNATI OH 45229 200902286 501(c)(3) 300000 GENERAL SPONSORSHIP AMERICAN HEART ASSOCIATION INC 5211 MADISON ROAD CINCINNATI OH 452271411 135613797 501(c)(3) 225000 GENERAL SPONSORSHIP CENTER FOR RESPITE CARE PO BOX 141301 CINCINNATI OH 45250 202544994 501(c)(3) 150000 GENERAL SPONSORSHIP CINCINNATI SPORTS MALL 3950 RED BANK ROAD CINCINNATI OH 45227 311249621 N/A 103000 GENERAL SPONSORSHIP ARTHIRITIS FOUNDATION 7124 MIAMI AVENUE CINCINNATI OH 45243 316043937 501(c)(3) 73000 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 N/A 25000 GENERAL SPONSORSHIP YMCA OF GREATER CINCINNATI 1105 ELM STREET CINCINNATI OH 45202 310536719 501(c)(3) 25000 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 311846366 501(c)(3) 7000 GRANT SPONSORSHIP ARTSWAVE PO BOX 630561 CINCINNATI OH 45263 310537138 501(c)(3) 5643 GENERAL SPONSORSHIP UNITED WAY 2400 READING ROAD CINCINNATI OH 45202 310537502 501(c)(3) 12571 GENERAL SPONSORSHIP 10 2 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 false true false false false false false false false Robert Cody MD PHYSICIAN 1656907 0 0 0 7524 0 0 0 14470 0 1678901 0 0 0 Thomas Broderick MD DIRECTOR 637657 0 0 0 4902 0 27794 0 20620 0 690973 0 0 0 Alfred Kahn III MD DIRECTOR 1480310 0 0 0 14478 0 0 0 14470 0 1509258 0 0 0 Michael K Keating PRESIDENT & CEO 643610 0 325122 0 4902 0 94835 0 26319 0 1094788 0 0 0 Slobodan Stanisic MD PHYSICIAN 1579787 0 0 0 19210 0 0 0 20620 0 1619617 0 0 0 Manish Bhandari MD PHYSICIAN 1502428 0 0 0 1710 0 0 0 25219 0 1529357 0 0 0 Brian Mannion MD PHYSICIAN 1336731 0 0 0 2622 0 0 0 20620 0 1359973 0 0 0 Chris Bergman VICE PRESIDENT & CFO 357910 0 157521 0 22402 0 61271 0 23019 0 622123 0 0 0 Patrick Kirk MD PHYSICIAN 1268952 0 0 4902 0 0 0 26319 0 1300173 0 0 0 PART I, LINE 4B THE CHRIST HOSPITAL HAS A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN SENIOR EXECUTIVES. THE FOLLOWING INDIVIDUALS HAVE AN ACCRUAL REPORTED IN PART II, COLUMN(C): MICHAEL KEATING $94,835 CHRIS BERGMAN $49,171 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 0 0 334095250 0 27741427 0 5073444 1607333 0 172541247 127109132 31 2016 true false false true B 5385600 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 $640,619. 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. DEBORAH GERDES FAMILY MEMBER 181527 COMPENSATION - SEE PART V false PAIGE A DEBUYS FAMILY MEMBER 132805 COMPENSATION - SEE PART V false CINCINNATI SPINE INSTITUTE LLC ALFRED KAHN, DIRECTOR 183333 COMPENSATION - SEE PART V false Business Transactions DEBORAH GERDES, DAUGHTER OF THOMAS GERDES (DIRECTOR OF THE CHRIST HOSPITAL), IS EMPLOYED AS A PHYSICIAN BY THE CHRIST HOSPITAL PHYSICIANS, LLC (TCHP). MS. GERDES RECEIVED COMPENSATION OF $181,521 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2014. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES. THE SOLE MEMBER OF TCHP IS THE CHRIST HOSPITAL (TCH). PAIGE A. DEBUYS, SISTER OF ROBERT HEIMANN (DIRECTOR OF TCH), IS EMPLOYED AS A PHYSICIAN BY TCHP. MS. DEBUYS RECEIVED COMPENSATION OF $132,805 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2014. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES. THE SOLE MEMBER OF TCHP IS TCH. TCH PAID $183,333 TO THE CINCINNATI SPINE INSTITUTE, LLC FOR ITS ENGAGEMENT TO PROVIDE A MUSCULOSKELETAL SERVICE LINE EXECUTIVE MEDICAL DIRECTOR AT TCH THROUGH A DESIGNATED PHYSICIAN. PART VI, LINE 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 & officers is review annually and the review was last performed in April of 2015. The compensation committee is comprised of independent members and performs the review with the assistance of, and comparable data provided by, the hay group. 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 CHANGE IN PENSIONS ($15,548,000) EGDHA $32,838,000 OTHER $3,487,234 ------------- TOTAL $20,777,234 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PROFESSIONAL SERVICES TOTAL FEES:34133193 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE & REPAIR SERVICES TOTAL FEES:4627523 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICES CONTRACTS TOTAL FEES:11736165 FORM 990 PART IX LINE 11G DESCRIPTION:NON-CLINICAL SERVICES TOTAL FEES:12308143 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:1400659 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:10945828 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:6293779 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1248421 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 SPECIALISTS 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 -21344 2429146 TCH THE CHRIST HOSPITAL PHYSICIANS LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 273841691 MEDICAL PRACT OH 52508393 45682000 TCH THE CHRIST HOSPITAL INC 2139 AUBURN AVENUE CINCINNATI OH 45219 311080885 HC SYS PARENT OH 501(c)(3) 11a EDGHA false CHRIST HOSP EDU & CLINICAL RESEARCH FUND 2139 AUBURN AVENUE CINCINNATI OH 45219 311126561 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 AUXILIARY 2139 AUBURN AVENUE CINCINNATI OH 45219 201245159 SUPPORT TCH OH 501(c)(3) 11c TCH true THE CHRIST HOSPITAL FOUNDATION 2139 AUBURN AVENUE CINCINNATI OH 45219 264165492 SUPPORT TCH OH 501(c)(3) 7 TCH true GAMBLE REALTY COMPANY 2139 AUBURN AVENUE CINCINNATI OH 45219 311080683 REAL ESTATE OH 501(c)(3) N/A TCH true MASON PROP CO 2139 AUBURN AVENUE CINCINNATI OH 45219 311384679 SUPPORT TCH OH TCHHSC N/A TCHUSP SURGERY CENTER PARTNER 15305 DALLAS PKWY SUITE 1600 ADDISON TX 75001 271482322 MEDICAL PRACTICE OH TCH Related 1652253 4122189 false 0.50100 THE CHRIST HOSP SPINE SURGERY 4020 SMITH ROAD CINCINNATI OH 45209 MEDICAL PRACTICE 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 15823070 1807517 1.00000 true false false true false false false false false false true false false false false false false true false false TCH COLLEGE OF NURSING J 1267256 FMV TCH COLLEGE OF NURSING Q 100000 FMV ELIZABETH GAMBLE DEACONNESS HOME ASSOCIATION J 381169 FMV ELIZABETH GAMBLE DEACONNESS HOME ASSOCIATION C 32838000 FMV