2023-05-13T00:03:06+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET SUITE 2900 CINCINNATI OH 45202 990 2021-07-01 310538525 The Christ Hospital CHRI 5135852000 2139 AUBURN AVENUE CINCINNATI OH 45219 DEBORAH HAYES PRESIDENT/CEO 5135852000 2023-05-13 true THEODORE SCHERPENBERG 999009999 Julie Sparks P01268401 5136121400 2021 2023-04-26 12:10:37Z DEBORAH HAYES 2139 AUBURN AVENUE CINCINNATI OH 45219 1227367876 false X WWW.THECHRISTHOSPITAL.COM X 1891 OH IMPROVE THE HEALTH OF OUR COMMUNITY AND CREATE PATIENT VALUE BY PROVIDING EXCEPTIONAL OUTCOMES AND THE FINEST EXPERIENCES, ALL IN AN AFFORDABLE WAY. 15 11 8068 103 37189 0 756424 581851 1073778257 1136967609 26439997 17022208 85610529 68797121 1186585207 1223368789 1404565 1371060 0 549604378 645979915 0 0 567632813 595270022 1118641756 1242620997 67943451 -19252208 1543782904 1433779859 791980495 670195286 751802409 763584573 IMPROVE THE HEALTH OF OUR COMMUNITY AND CREATE PATIENT VALUE BY PROVIDING EXCEPTIONAL OUTCOMES AND THE FINEST EXPERIENCES, ALL IN AN AFFORDABLE WAY. false false 999520310 1371060 1202624976 SEE SCHEDULE O 999520310 true true false true false false false false true true true false true true true false true false true true false false false false false true true true true true true false false false false false false false false true false false false false false true true true true false false true X 351 0 true 8068 true true true true CJ false false false false false false false false true false X 15 11 false false false false true true true true true false false true true true true true true true true true false OH X JENNIFER KREHBIEL 5132631528 2139 AUBURN AVENUE CINCINNATI OH 45219 DEBORAH HAYES PRESIDENT/CEO 40.0 1.0 X X 1067023 0 -58442 DEBORAH P MAJORAS SECRETARY 1.0 0.0 X X 0 0 0 JEB HEAD DIRECTOR/BOARD CHAIRMAN 1.0 1.0 X X 0 0 0 THOMAS R GERDES TREASURER 1.0 1.0 X X 0 0 0 AMY HANSON DIRECTOR 1.0 1.0 X 0 0 0 BARBARA TURNER DIRECTOR 1.0 1.0 X 0 0 0 GEORGE H VINCENT DIRECTOR 1.0 0.0 X 0 0 0 GERALDINE M VEHR PHYSICIAN & DIRECTOR 40.0 1.0 X 253926 0 10285 JAMES DEVITT MD DIRECTOR (THRU 10/21) 1.0 0.0 X 0 0 0 JENNIFER MANDERS PHYSICIAN & DIRECTOR 40.0 1.0 X 468077 0 28065 JOHN LANIER DIRECTOR 1.0 1.0 X 0 0 0 PATRICK LAFLEY DIRECTOR 1.0 1.0 X 0 0 0 R GLEN MAYFIELD DIRECTOR 1.0 1.0 X 0 0 0 R KERRY CLARK DIRECTOR 1.0 1.0 X 0 0 0 ROBERT HEIMANN DIRECTOR 1.0 1.0 X 0 0 0 VICTORIA B GLUCKMAN DIRECTOR 1.0 1.0 X 0 0 0 THEODORE SCHERPENBERG VP & CFO 40.0 1.0 X 613629 0 77059 DEAN J KEREIAKES MD PHYSICIAN 40.0 1.0 X 1487134 0 -169700 EDWARD V LIM MD PHYSICIAN 40.0 1.0 X 1385076 0 16587 JOHN M SMITH MD PHYSICIAN 40.0 1.0 X 1291254 0 27317 MARC SCHNEIDER MD PHYSICIAN 40.0 1.0 X 1556286 0 30917 PATRICK KIRK MD PHYSICIAN 40.0 1.0 X 1482457 0 31620 9604862 0 -6292 796 false true false Team Anesthesia LLC PO Box 639425 Cincinnati OH 45263 Healthcare Services 21666328 Ensemble RCM LLC PO Box 639076 Cincinnati OH 45263 Financial Services 13908068 Deloitte Consulting LLP PO Box 844717 Dallas TX 75284 Consulting Services 9059020 Quest Diagnostics Inc PO Box 530458 Atlanta GA 30374 Healthcare Services 5284910 RJ Beischel Building Co PO Box 32067 Cincinnati OH 45232 Construction 5218461 173 581851 581851 PATIENT SERVICE REVENUE 621990 1118603237 1118587591 15646 PHARMACY SALES 446110 18364372 18364372 0 0 0 0 1136967609 17006358 17006358 3118211 0 3118211 0 3118211 3118211 0 4014937 332204 3666883 -332204 348054 15850 15850 AMBULATORY CARE REVENUE 621110 19492889 19492889 CLINICAL EXCELLENCE GRANT 900099 18771552 18771552 CARES ACT STIMULUS FUNDS 900099 2712742 2712742 24701727 24680184 21543 0 65678910 1223368789 1202609330 37189 20140419 1130123 1130123 240937 240937 2459622 2459622 305476 212686 92790 556645986 419638361 137007625 9960494 6980152 2980342 43795430 35713027 8082403 32812907 25881934 6930973 1633579 0 1633579 530607 530607 7750 7750 2834443 2834443 115230864 68052196 47178668 0 3001996 32662 2969334 3582976 2667707 915269 15259440 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RESTRICTED RESTRICTED false false false false false true 7750 false false false 7750 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE CHRIST HOSPITAL PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION. A PERCENTAGE OF THE DUES RELATED TO LOBBYING. TOTAL CONTRIBUTIONS WERE THE FOLLOWING: OHIO HOSPITAL ASSOCIATION: $ 7,750 46689000 106898000 -88000 241000 44058000 109200000 44305000 33114000 2164000 161000 32733000 46689000 66758000 13544000 -132000 53000 35812000 44305000 63057000 31808000 403000 53000 28457000 66758000 11235000 79175000 349000 27702000 63057000 0.0 0.1035 0.8965 false true true 35372601 35372601 542314100 215039749 327274351 38130768 17605677 20525091 646883690 553657951 93225739 201320632 150418109 50902523 527300305 LIMITED LIABILITY COMPANY 247700396 F 247700396 OP LEASE RIGHT OF USE ASSETS 59398465 OTHER LONG TERM ASSETS 46016594 105415059 DEFERRED PENSION 18983184 DUE TO RELATED PARTIES 2056561 OPERATING LEASE LIABILITY 61331566 CONTRACT LIABILITIES 29452997 OTHER LIABILITIES 4000 111828308 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE THE CHRIST HOSPITAL (TCH) IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS A CHARITABLE ORGANIZATION QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). TCH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2022 AND 2021, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 AND 2021. Schedule D, Part V, Line 4 Intended uses of endowment funds ALL FUNDS RECEIVED BY THE CHRIST HOSPITAL ('TCH'), BOTH PERMANENT ENDOWMENTS AND TEMPORARY ENDOWMENTS, ARE USED IN LINE WITH THE DONOR'S INTENT. ALL FUNDS ARE MONITORED BY GENERAL ACCOUNTING AND IF EXPENSES ARE IDENTIFIED AS APPROPRIATE TO THE FUND, THE FUND WILL BE CHARGED FOR THE EXPENDITURE. FOR PERMANENT ENDOWMENTS, INVESTMENT INCOME WILL BE ALLOCATED BETWEEN INCREASING THE FUND'S CORPUS AND BENEFITING THE PROGRAM AS SPECIFIED BY THE DONOR. Central America and the Caribbean 0 1 Program Services GEN & PROF LIAB 165765 Central America and the Caribbean 0 1 Investments 13549385 0 2 0 0 0 2 13715150 0 13715150 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true X true X true X true true false false 1966289 1966289 0.0016 136697901 85181765 51516136 0.0415 0 0.0 0 0 138664190 85181765 53482425 0.0431 366362 366362 0.0003 19067072 6831959 12235113 0.0098 0 0.0 7726329 3682130 4044199 0.0033 91590 91590 0.0001 0 0 27251353 10514089 16737264 0.0135 0 0 165915543 95695854 70219689 0.0565 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 37103782 564183 165285514 179924944 -14639430 X true true 1 1 THE CHRIST HOSPITAL 2139 AUBURN AVENUE CINCINNATI OH 45219 WWW.THECHRISTHOSPITAL.COM 1187AHR X X X X X THE CHRIST HOSPITAL 1 false false true X X X X X X X X X 21 true true true true X https://www.thechristhospital.com/news-and-community/chna X true 22 true https://www.thechristhospital.com/news-and-community/chna false true X 150.0 300.0 X X X X true true X X X X true X https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources X https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources X https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E SEE NARRATIVE FOR PART V, SECTION B, LINE 11. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - THE CHRIST HOSPITAL. SEE NARRATIVE FOR PART V, SECTION B, LINE 11. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - THE CHRIST HOSPITAL. THE CHRIST HOSPITAL HEALTH NETWORK CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER CLINTON MEMORIAL HOSPITAL HIGHPOINT HEALTH KETTERING HEALTH NETWORK -FORT HAMILTON HOSPITAL -GRANDVIEW MEDICAL CENTER -GREENE MEMORIAL HOSPITAL -KETTERING BEHAVIORAL MEDICINE CENTER -KETTERING MEDICAL CENTER -SOIN MEDICAL CENTER -SOUTHVIEW MEDICAL CENTER -SYCAMORE MEDICAL CENTER LINDNER CENTER OF HOPE MERCY HEALTH | CINCINNATI REGION -MERCY HEALTH - ANDERSON HOSPITAL -MERCY HEALTH - CLERMONT HOSPITAL -MERCY HEALTH - FAIRFIELD HOSPITAL -MERCY HEALTH - WEST HOSPITAL -THE JEWISH HOSPITAL - MERCY HEALTH MERCY HEALTH | SPRINGFIELD REGION -MERCY HEALTH - URBANA HOSPITAL -SPRINGFIELD REGIONAL MEDICAL CENTER PREMIER HEALTH -ATRIUM MEDICAL CENTER -MIAMI VALLEY HOSPITAL -MIAMI VALLEY HOSPITAL NORTH -MIAMI VALLEY HOSPITAL SOUTH -UPPER VALLEY MEDICAL CENTER TRIHEALTH -BETHESDA BUTLER HOSPITAL -BETHESDA NORTH HOSPITAL -GOOD SAMARITAN HOSPITAL -MCCULLOUGH HYDE MEMORIAL HOSPITAL -TRIHEALTH EVENDALE HOSPITAL UC HEALTH -DANIEL DRAKE CENTER FOR POST - ACUTE CARE -UNIVERSITY OF CINCINNATI MEDICAL CENTER -WEST CHESTER HOSPITAL WAYNE HEALTHCARE WILSON HEALTH HEALTH DEPARTMENTS -ADAMS COUNTY HEALTH DEPARTMENT -BROWN COUNTY HEALTH DEPARTMENT -BUTLER COUNTY HEALTH DEPARTMENT -CHAMPAIGN-URBANA COUNTY DEPARTMENT -CINCINNATI HEALTH DEPARTMENT -CITY OF HAMILTON HEALTH DEPARTMENT -CLARK COUNTY COMBINED HEALTH DISTRICT -CLERMONT COUNTY PUBLIC HEALTH -CLINTON COUNTY HEALTH DEPARTMENT -DARKE COUNTY GENERAL HEALTH DISTRICT -FAYETTE COUNTY PUBLIC HEALTH -GREENE COUNTY PUBLIC HEALTH -HAMILTON COUNTY PUBLIC HEALTH -HIGHLAND COUNTY HEALTH DEPARTMENT -MIAMI COUNTY PUBLIC HEALTH -MIDDLETOWN CITY HEALTH DISTRICT -NORWOOD HEALTH DEPARTMENT -PIQUA CITY HEALTH DEPARTMENT -PREBLE COUNTY PUBLIC HEALTH -PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY -SIDNEY SHELBY COUNTY HEALTH DEPARTMENT -SPRINGDALE HEALTH DEPARTMENT -WARREN COUNTY COMBINED HEALTH DISTRICT Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - THE CHRIST HOSPITAL. The Christ Hospital conducted a Community Health Needs Assessment (CHNA) in Fiscal Year 2022 (July 1, 2021 - June 30, 2022) and sought input from a variety of community partners to gain valuable insight into the overall health and well-being of the community we serve. One of our primary partners in this endeavor was The Health Collaborative (THC), a nonprofit organization that works with its member hospitals on healthcare improvement projects and shares best practices. The Health Collaborative brought local hospitals together and led the effort to better understand the health needs of the community. Their community report shares data for the Southwest Ohio region (including Greater Dayton and Greater Cincinnati, which include Northern Kentucky and Southeastern Indiana). Service areas of hospitals vary, so this approach provides the most thorough picture of health needs locally and regionally. The Fiscal Year 2022 CHNA revealed the most prevalent health conditions in our community and conditions for which people most commonly did not receive treatment in past year, the social determinants of health (SDOH) that impact these poor health outcomes, and the systemic barriers that influence health disparities and inequities for our community members. Because physical, environmental, and behavioral factors greatly impact health conditions, this CHNA focused on the SDOH and the underlying structural barriers influencing the SDOH that impact the health of community members. The priorities were determined by the number of votes in the community meetings, the number of mentions on surveys, and areas where data demonstrated performance worse than state or national benchmarks or trending in the wrong direction. The prevalent health concerns identified in the Hamilton County area through this needs assessment include: * Access to Care and Services * Health Related Social Needs * Workforce Pipeline and Diversity Through a collaborative and meticulous process, The Christ Hospital and its community partners reviewed the most prevalent health concerns in Hamilton County and established a course of action as outlined below. The Implementation Plan focuses on programs, research, and education geared to target the prevalent health concerns facing the residents of Hamilton County. It is The Christ Hospital's goal to make a measurable impact on the health of our community. We recognize that community health needs are broad and comprehensive. While we bring our expertise and leadership to addressing these needs, we also understand that one entity's expertise cannot be broad enough to be the sole answer. Collaborations and partnerships are key to meeting those needs, and we partner with community organizations that complement our resources. The Implementation Plan was approved by The Christ Hospital Board of Directors on 10/19/2022. Access to Care and Services Access to Care and Services was highlighted as one of the top needs in Hamilton County. Improving access to care and services is an important step in to improve equitable outcomes for the region's top health needs. While our CHNA has outlined separate needs related to cardiovascular health, mental health services, substance abuse, and infant mortality, we believe each of these needs can be addressed through improved access to healthcare services. We envision a community where everyone in the region has access to healthcare when they need it, including services for behavioral health, heart disease and maternal health. Our implementation plan focuses on four main goals: (1) decreasing preventable emergency department visits for mental health and heart disease issues; (2) increasing access to behavioral health heart disease, and maternal health; (3) establishing a hospital-based Outpatient Behavioral Health Program, including substance abuse treatment; and (4) eliminating barriers to access and increase use of preventative services for behavioral health, heart disease, and maternal health. In order to achieve these goals, we will stand up a communicate cardiovascular clinic in partnership with St. Vincent DePaul to reduce the number of recurring heart related appointments and relatedly reduce the number of deaths from heart disease in the community. Additionally, in order to further address concerns surrounding infant mortality, we will become "Mama Certified," a program designed to address racial disparities in infant and maternal mortality in the community. Health-Related Social Needs Health-Related Social Needs addresses access to and use of resources for food and housing, with a focus on the development and strengthening of partnerships between providers and Community-Based Organizations. We envision a community where everyone in the region has access to food and stable housing. Our implementation plan focuses on four main goals: (1) increase coordination between healthcare systems and social service agencies to screen, refer, and follow up on patients' health-related social needs; (2) decrease hospital readmissions for health-related social needs; (3) improve coordination between healthcare systems and social service agencies by establishing a shared mechanism to screen, refer, and follow-up on patients' health-related social needs (i.e., housing, food insecurity); and (4) increase patient screenings in primary care offices to understand a patients Social Determinants of Health (SDOH). In order to achieve these goals, we will stand up a formal SDOH screening program in partnership with Aunt Bertha to increase capture of SDOH for primary care patients. Additionally, we will expand access to and referrals to Community-Based Organizations to help stabilize a patient's socially determined circumstances. In our efforts, we will prioritize the people and places experiencing significant health disparities and inequities (minority community members (Black, Asian American, Indian Native), military (active and veteran), LGBTQ+ individuals, under-insured and uninsured). Workforce Pipeline and Diversity Workforce Pipeline and Diversity addresses the healthcare education pipeline and encourages a workforce that is strong, reflects the diversity of our region, and delivers equitable care to everyone. We envision a community where everyone in the region has the possibility, potential and access to stable health care jobs. Our implementation plan focuses on four main goals: (1) increase the size of the healthcare education pipeline, (2) increase the number of racially and ethnically diverse students in the healthcare education pipeline, (3) reduce vacancy rates for key healthcare positions (i.e., physicians, nurses, clinical staff, management), (4) increase healthcare workforce diversity for key positions. In order to achieve these goals, we will stand up formal training program and pipeline with an established Community Based Organization to reduce vacancy rates for key entry level roles (i.e., Medical Assistants and Phlebotomists); establish a formal interviewing process that includes a diverse candidate pool and panel interview for management and above roles; provide incumbent worker training program opportunities, apprenticeships, and scholarships to assist employees in advancing education and careers in healthcare; and career exploration and work-based learning can include training experiences like an internship required for a credential or entry into an occupation, a clinical experience, or other paid or non-paid work experience. 203 Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway Cincinnati OH 45227 Specialty Center Red Bank Crossing II 4440 Red Bank Expressway Cincinnati OH 45227 Specialty Center Mason MOB 608 Reading Road Mason OH 45040 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Physician Office Liberty Commons Medical Center 7335 Yankee Road Liberty Township OH 45044 Specialty Center Red Bank Surgery Center 4850 Red Bank Road Cincinnati OH 45227 Specialty Center Miami Twp MOB 1171 State Route 28 Milford OH 45150 Physician Office Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Physician Office Rookwood Tower 3805 Edwards Road Cincinnati OH 45209 Physician Office Red Bank Crossing I 4460 Red Bank Expressway Cincinnati OH 45227 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway Cincinnati OH 45227 Specialty Center Montgomery Surgery Center 11150 Montgomery Road Cincinnati OH 45249 Surgery Center 2025 Reading Road 2025 Reading Road Cincinnati OH 45202 Physician Office Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Physician Office Linden Pointe Bldg D 4803 Montgomery Road Norwood OH 45212 Specialty Center TCHOA Blue Ash 9250 Blue Ash Road Cincinnati OH 45242 Physician Office Red Bank Crossing II 4440 Red Bank Expressway Cincinnati OH 45227 Testing & Imaging Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Specialty Center TCHMA Clough Pike 6620 Clough Pike Cincinnati OH 45244 Physician Office Red Bank Crossing I 4460 Red Bank Expressway Cincinnati OH 45227 Specialty Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Physician Office Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Physician Office Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Research Center Wetherington 7589 Tylers Place Boulevard West Chester OH 45069 Physician Office Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Physician Office Miami Twp MOB 1171 State Route 28 Milford OH 45150 Physician Office Red Bank Crossing II 4440 Red Bank Expressway Cincinnati OH 45227 Specialty Center TCHMA Compton 24 Compton Rd Cincinnati OH 45216 Physician Office Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Testing & Imaging Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Physician Office Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Physician Office Montgomery Surgery Center 11150 Montgomery Road Cincinnati OH 45249 Specialty Center Red Bank Retail I 4400-4420 Red Bank Expressway Cincinnati OH 45227 Phys/Occupational Therapy Red Bank Retail I 4400-4420 Red Bank Expressway Cincinnati OH 45227 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Testing & Imaging Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Physician Office Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Babson 4900 Babson Place Cincinnati OH 45227 Physician Office Eastgate Medical Office Building 796 Old State Route 74 Cincinnati OH 45245 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Loveland Building 1200 Cottonwood Lane Cincinnati OH 45230 Physician Office Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Physician Office Linden Pointe Bldg E 4805 Montgomery Road Cincinnati OH 45212 Specialty Center Linden Pointe Bldg E 4805 Montgomery Road Cincinnati OH 45212 Specialty Center Chamber Center 2156 Chamber Center Drive Ft Mitchell KY 41017 Specialty Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Physician Office Linden Pointe Bldg D 4803 Montgomery Road Norwood OH 45212 Physician Office Rookwood Tower 3805 Edwards Road Cincinnati OH 45209 Physician Office Mason MOB 608 Reading Road Mason OH 45040 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Physician Office Babson 4900 Babson Place Cincinnati OH 45227 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Specialty Center TCHMA - Bridgetown 5680 Bridgetown Road Cincinnati OH 45248 Physician Office Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Specialty Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Specialty Center TCHMA - Walnut IM 312 Walnut Street Cincinnati OH 45202 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Testing & Imaging Center Linden Pointe Bldg D 4803 Montgomery Road Norwood OH 45212 Physician Office TCHMA Maderia 8041 Hosbrook Road Cincinnati OH 45236 Physician Office Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Physician Office Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Physician Office Harrison Greene 5649 Harrison Avenue Cincinnati OH 45248 Phys/Occupational Therapy Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Physician Office Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Physician Office Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Physician Office Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Physician Office Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Testing & Imaging Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Green Twp Urgent Care 6560 Harrison Ave Cincinnati OH 45248 Physician Office Liberty Commons Medical Center 7335 Yankee Road Liberty Township OH 45044 Physician Office Red Bank Crossing I 4460 Red Bank Expressway Cincinnati OH 45227 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Physician Office Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway Cincinnati OH 45227 Physician Office Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Miami Twp MOB 1171 State Route 28 Milford OH 45150 Phys/Occupational Therapy Mason MOB 608 Reading Road Mason OH 45040 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Urgent Care Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Phys/Occupational Therapy Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Physician Office Liberty Commons Medical Center 7335 Yankee Road Liberty Township OH 45044 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Testing & Imaging Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Phys/Occupational Therapy Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Red Bank Crossing II 4440 Red Bank Expressway Cincinnati OH 45227 Physician Office Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Physician Office The Medical Arts Bldg- Wilmington 1150 W Locust Street Wilmington OH 45177 Physician Office Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Miami Twp MOB 1171 State Route 28 Milford OH 45150 Specialty Center Miami Twp MOB 1171 State Route 28 Milford OH 45150 Specialty Center Miami Twp MOB 1171 State Route 28 Milford OH 45150 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway Cincinnati OH 45227 Specialty Center Five Mile 7691 Five Mile Road Cincinnati OH 45230 Specialty Center TCHMA Delhi 5314 Delhi Pike Cincinnati OH 45238 Physician Office Winton Road 8250 Winton Road Cincinnati OH 45231 Specialty Center Winton Road 8250 Winton Road Cincinnati OH 45231 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Red Bank Crossing I 4460 Red Bank Expressway Cincinnati OH 45227 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Testing & Imaging Center Rookwood Tower 3805 Edwards Road Cincinnati OH 45209 Physician Office TCHMS Norwood 2355 Norwood Avenue Cincinnati OH 45212 Specialty Center Red Bank Crossing II 4440 Red Bank Expressway Cincinnati OH 45227 Specialty Center Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Mason MOB 608 Reading Road Mason OH 45040 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Ludlow Hill Professional Building 368 Bielby Road Lawrenceburg IN 47025 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Babson 4900 Babson Place Cincinnati OH 45227 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Testing & Imaging Center TCHMA Burlington 1838 Florence Pike Burlington KY 41005 Physician Office TCHCVA - Margaret Mary 321 Mitchell Avenue Batesville IN 47006 Specialty Center Harpers Pointe 11340 Montgomery Road Cincinnati OH 45249 Specialty Center Rookwood Tower 3805 Edwards Road Cincinnati OH 45209 Testing & Imaging Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Phys/Occupational Therapy Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Rehabilitation Red Bank Crossing II 4440 Red Bank Expressway Cincinnati OH 45227 Urgent Care Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Phys/Occupational Therapy Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Testing & Imaging Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Miami Twp MOB 1171 State Route 28 Milford OH 45150 Testing & Imaging Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Physician Office Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center Anderson AOC 7545 Beechmont Avenue Cincinnati OH 45255 Specialty Center TCHP - Batesville 1033 State Road 229 Batesville IN 47006 Physician Office Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Specialty Center Montgomery Surgery Center 11150 Montgomery Road Cincinnati OH 45249 Specialty Center Green Township AOC 5885 Harrison Avenue Cincinnati OH 45248 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Liberty Township AOC 6939 Cox Road Liberty Township OH 45069 Testing & Imaging Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center TCHCVA - Dearborn Cty 2 98 Elm Street Lawrenceburg IN 47025 Physician Office Ft Wright AOC 1949-2001 Dixie Highway Ft Wright KY 41011 Specialty Center Auburn MOB 2123 Auburn Avenue Cincinnati OH 45219 Specialty Center Red Bank Crossing II 4440 Red Bank Expressway Cincinnati OH 45227 Testing & Imaging Center The Christ Hospital 2139 Auburn Avenue Cincinnati OH 45219 Physician Office Montgomery AOC 11140 Montgomery Road Montgomery OH 45249 Specialty Center Schedule H, Part V, Section B, Line 1 PART V, SECTION A, LINE 1 THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR. Schedule H, Part V, Section B, Line 22 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. Schedule H, 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. Schedule H, Part III SECTION B IN ADDITION TO HOSPITAL-BASED REVENUE AND ALLOWABLE COST GENERATED FROM MEDICARE (INCLUDING DSH AND IME) ELIGIBLE PARTICIPANTS REPORTED IN PART III SECTION B, THE CHRIST HOSPITAL PROVIDES HOSPITAL-BASED SERVICES TO OTHER MEDICARE ELIGIBLE PARTICIPANTS, THROUGH MEDICARE PLANS SPONSORED BY MANAGED CARE PROVIDERS (MEDICARE MANAGED CARE PLANS). MEDICARE MANAGED CARE PLANS ARE HEALTH MAINTENANCE ORGANIZATIONS (HMOS) OR PREFERRED PROVIDER ORGANIZATIONS (PPOS) THAT PROVIDE BASIC MEDICARE COVERAGE PLUS OTHER COVERAGES TO FILL GAPS IN MEDICARE COVERAGE. THESE PLANS HAVE ARRANGEMENTS WITH CERTAIN PHYSICIANS, HOSPITALS AND HEALTH CARE PROVIDERS TO SERVE PATIENTS WHO ARE PLAN MEMBERS AT A CONTRACTED RATE. BELOW IS THE SHORTFALL RELATED TO HOSPITAL-BASED REVENUE AND ALLOWABLE COSTS UNDER MEDICARE MANAGED CARE PLANS: REVENUE RECEIVED FROM MEDICARE MANAGED CARE PLANS $158,149,377 ALLOWABLE COST OF CARE RELATED TO PAYMENTS FROM ABOVE $(209,403,177) SHORTFALL FROM MEDICARE MANAGED CARE PLANS $(51,253,800) ALSO, THE CHRIST HOSPITAL HAS CERTAIN MEDICARE PART B (PHYSICIAN-BASED) REVENUE AND ALLOWABLE COST RELATED TO SERVICES RENDERED ON BEHALF OF MEDICARE ELIGIBLE PARTICIPANTS BY EMPLOYED PHYSICIANS OF THE CHRIST HOSPITAL. THIS WOULD INCLUDE SERVICES PROVIDED UNDER TRADITIONAL MEDICARE, AS WELL AS MEDICARE MANAGED CARE PLANS. BELOW IS THE SHORTFALL RELATED TO THE DISREGARDED ENTITIES OF THE HOSPITAL: REVENUE RECEIVED FROM MEDICARE PART B PLANS (PHYSICIAN-BASED) $107,207,507 ALLOWABLE COST OF CARE RELATED TO PAYMENTS FROM ABOVE $(155,983,855) SHORTFALL RELATED TO THE MEDICARE PART B PLANS (PHYSICIAN-BASED) $(48,776,348) Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM N/A Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). TCH ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED AS AN IMPLICIT PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN TCH'S AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE SURPLUS (OR SHORTFALL) OCCURS WHEN THE FEDERAL GOVERNMENT REIMBURSES HOSPITALS IN EXCESS, OR BELOW, THEIR COSTS FOR TREATING MEDICARE PATIENTS. THE CHRIST HOSPITAL, LIKE MOST HOSPITALS AND HEALTH SYSTEMS, INCURRED A MEDICARE SHORTFALL FOR THE YEAR ENDED JUNE 30, 2022. THE SHORTFALL AMOUNT DISCLOSED IN PART III, SECTION B IS BASED ON HOSPITAL-BASED REVENUE AND ALLOWABLE COST (INCLUDING DSH AND IME) FROM TRADITIONAL MEDICARE PROGRAMS (I.E., THOSE NOT SPONSORED BY A MANAGED CARE PLAN). NON-NEGOTIABLE MEDICARE RATES FOR THE YEAR ENDED JUNE 30, 2022 WERE OUT-OF-LINE WITH THE TRUE COSTS OF CARING FOR THESE PATIENTS, DRIVING THIS SHORTFALL. BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, THE CHRIST HOSPITAL IS ALLEVIATING THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. BY CONTINUING TO SERVE PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THE CHRIST HOSPITAL IS PROMOTING THE HEALTH OF THE COMMUNITY, IN LINE WITH ITS CHARITABLE MISSION. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - THE CHRIST HOSPITAL: Line 16a URL: https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources; Schedule H, Part V, Section B, Line 16b FAP Application website - THE CHRIST HOSPITAL: Line 16b URL: https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THE CHRIST HOSPITAL: Line 16c URL: https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources; Schedule H, Part VI, Line 2 Needs assessment Our first step in conducting our 2022 Community Health Needs Assessment (CHNA) 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. To assess health needs and conduct a comprehensive and collaborative CHNA, we engaged The Health Collaborative (THC). THC is a nonprofit organization serving the Greater Cincinnati area and working with its member hospitals on health care improvement projects and shares best practices. This collaboration was facilitated by THC in partnership with the Greater Dayton Area Hospital Association (GDAHA) and includes partnership with 36 hospitals, 22 health departments, across 26 counties in Greater Cincinnati and the Greater Dayton Area, southeast Indiana, and northern Kentucky. The success of this CHNA is a result of the collaboration from local community champions, and strategic partners throughout the region who helped with community engagement and data collection efforts. Along with the data produced by collaboration with THC, we analyzed a variety of data sources including public health data, health risk factor surveys, socioeconomic needs assessments, environmental standards and existing programs developed for residents in the Greater Cincinnati region. In addition, we also sought to review any written comments received regarding community health needs in the previous assessment. The CHNA provides a comprehensive and detailed description of (1) how the Collaborative CHNA Team solicited and took into account input received from persons who represent the broad interests of the community, including those with special knowledge of, or expertise in, public health, (2) how and over what period of time such input was provided, (3) the names of organizations providing input and the nature and extent of the organizations input, (4) descriptions of the medically underserved, low income or minority populations being represented by organizations or individuals that provided input. Collectively, the entire process was overseen by an Advisory Committee of 41 members of the community, representing hospitals, public health departments, federally qualified health centers, community-based organizations, public health professional associations, funders, and hospital associations. Over 8,320 online community survey respondents, 859 health and social service provider respondents, in concert with over 50 targeted focused groups, provided a comprehensive, inclusive, and balanced data results. Schedule H, Part VI, Line 3 Patient education of eligibility for 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. Schedule H, Part VI, Line 4 Community information TCH'S PRIMARY SERVICE AREA, COMPRISING 86% OF INPATIENT ADMISSIONS, ENCOMPASSES TWELVE COUNTIES IN THE GREATER CINCINNATI AREA INCLUDING, HAMILTON, HIGHLAND, ADAMS, CLERMONT, CLINTON, BUTLER, AND WARREN COUNTIES IN OHIO; KENTON, BOONE, AND CAMPBELL COUNTIES IN KENTUCKY; AND DEARBORN AND FRANKLIN COUNTIES IN INDIANA. TCH'S SECONDARY SERVICE AREA COMPRISES AN ADDITIONAL 9% OF THE INPATIENT ADMISSIONS AND ENCOMPASSES AN ADDITIONAL SEVEN COUNTIES INCLUDING BROWN AND FAYETTE COUNTIES IN OHIO; GRANT, MASON, AND PENDLETON COUNTIES IN KENTUCKY; AND RIPLEY AND OHIO COUNTIES IN INDIANA. TCH LARGELY SERVICES HAMILTON COUNTY WHICH HAS A POPULATION OF APPROXIMATELY 826,139 WITH 16% OF THE POPULATION OVER THE AGE OF 65. THE HAMILTON COUNTY POPULATION CONSISTS OF APPROXIMATELY 16% OF THE POPULATION LIVING BELOW THE POVERTY LINE. APPROXIMATELY 64% OF HAMILTON COUNTY'S POPULATION IS WHITE WHILE 25% OF THE POPULATION IS AFRICAN AMERICAN, 3% IS ASIAN AMERICANS, AND REMAINING OTHER ETHNICITIES ACCOUNT FOR 8% OF THE POPULATION. WITHIN HAMILTON COUNTY, 41% OF THE HOUSEHOLDS HAVE AN AVERAGE INCOME OF LEVEL OF LESS THAN $50,000; APPROXIMATELY 28% OF HOUSEHOLDS HAVE INCOME BETWEEN $50,000-$100,000; AND AN ADDITIONAL 31% OF HOUSEHOLDS HAVE AN AVERAGE INCOME GREATER THAN $100,000. Schedule H, Part VI, Line 5 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 COMMUNITY WERE DISCONTINUING THAT SERVICE. TCH ALSO SUPPORTS THE COMMUNITY IN NUMEROUS FUND DRIVES SUCH AS UNITED WAY, AMERICAN HEART ASSOCIATION, DIABETES 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. true OAK HILLS LOCAL SCHOOL DISTRICT 6325 RAPID RUN ROAD CINCINNATI OH 45233 316000742 GOVT 210014 General Sponsorship CENTER FOR CLOSING THE HEALTH GAP 3120 BURNET AVENUE CINCINNATI OH 45229 200902286 501 (C) (3) 175000 General Sponsorship LAKOTA LOCAL SCHOOL DISTRICT 5572 PRINCETON ROAD LIBERTY TOWNSHIP OH 45011 316000897 GOVT 173750 General Sponsorship AMERICAN HEART ASSOCIATION INC 5211 MADISON ROAD CINCINNATI OH 45227 135613797 501 (C) (3) 125000 General Sponsorship WYOMING CITY SCHOOL DISTRICT 420 SPRINGFIELD PIKE WYOMING OH 45215 316001020 GOVT 107500 General Sponsorship MADEIRA CITY SCHOOL DIST 7465 LOANNES DRIVE CINCINNATI OH 45243 316000862 GOVT 55932 General Sponsorship THE ABERCRUMBIE GROUP 10301 GIVERNY BLVD CINCINNATI OH 45241 300520187 GOVT 55000 General Sponsorship CENTER FOR RESPITE CARE 1615 REPUBLIC CINCINNATI OH 45202 202544994 501 (C) (3) 50000 General Sponsorship WISE WELLNESS GUILD 3868 CLIFTON AVENUE CINCINNATI OH 45220 842972791 N/A 50000 General Sponsorship CINCINNATI UNITED SOCCER CLUB 411 CIRCLE FREEWAY DRIVE CINCINNATI OH 45246 311461867 501 (C) (3) 25000 General Sponsorship WEST CHESTER LIBERTY CHAMBER ALLIANCE 8922 BECKETT ROAD WEST CHESTER OH 45069 310901492 501 (C) (6) 24177 General Sponsorship NCH CENTER FOR PHILANTHROPY 350 7TH STREET NAPLES FL 34102 592314655 501 (C) (3) 15000 General Sponsorship CRADLE CINCINNATI 3333 BURNET AVENUE CINCINNATI OH 45229 310833936 501 (C) (3) 12500 General Sponsorship KINGS HAMMER SOCCER CLUB 1018 TOWN DRIVE WILDER KY 41076 311213703 501 (C) (3) 11250 General Sponsorship ST VINCENT DE PAUL 1125 BANK STREET CINCINNATI OH 45214 310537510 501 (C) (3) 10000 General Sponsorship REDI CINCINNATI LLC 3 EAST FOURTH STREET CINCINNATI OH 45202 472090230 N/A 10000 General Sponsorship GREATER CINCINNATI NORTHERN KY AFRICAN AMERICAN CHAMBER OF COMMERCE 2945 GILBERT AVENUE CINCINNATI OH 45206 311504758 501 (C) (6) 10000 General Sponsorship 13 4 EMERGENCY HARDSHIP ASSISTANCE 126 240937 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE CHRIST HOSPITAL PROVIDES FUNDING TO COMMUNITY ORGANIZATIONS THAT SUPPORT THE MISSION OF THE CHRIST HOSPITAL PRIMARILY FOCUSING ON 1) THOSE ORGANIZATIONS THAT EDUCATE THE COMMUNITY ABOUT HEALTH, WELLNESS AND PREVENTION, 2) THOSE INITIATIVES THAT IMPROVE THE HEALTH OF THE COMMUNITY, AND 3) THOSE INITIATIVES THAT ARE FOCUSED ON KEY CLINICAL SERVICE AREAS OF THE CHRIST HOSPITAL (INCLUDING CARDIOVASCULAR, MUSCULOSKELETAL, WOMEN'S HEALTH, PRIMARY CARE, ETC.). PRIOR TO RELEASING FUNDS, THE CHRIST HOSPITAL REVIEWS THE FUNDING RECIPIENT TO ENSURE THE FUNDS WILL BE USED TO FURTHER THE ABOVE STATED FUNDING CRITERIA. EMERGENCY ASSISTANCE GRANT FUNDING IS APPROVED BY AN INDEPENDENT COMMITTEE ON AN OBJECTIVE BASIS TO THOSE WHO MEET THE ELIGIBILITY REQUIREMENTS OF THE ASSISTANCE PROGRAM. X true true X X X X false true false false false false false false false DEBORAH HAYES PRESIDENT/CEO 803726 0 238951 0 24346 0 -78657 0 20215 0 1008581 0 75621 0 GERALDINE M VEHR PHYSICIAN & DIRECTOR 215679 0 12291 0 25956 0 0 0 10285 0 264211 0 0 0 JENNIFER MANDERS PHYSICIAN & DIRECTOR 466674 0 0 0 1403 0 0 0 28065 0 496142 0 0 0 THEODORE SCHERPENBERG VP & CFO 441931 0 170672 0 1026 0 64686 0 12373 0 690688 0 0 0 MARC SCHNEIDER MD PHYSICIAN 1504164 0 30000 0 22122 0 0 0 30917 0 1587203 0 0 0 PATRICK KIRK MD PHYSICIAN 1466233 0 0 0 16224 0 0 0 31620 0 1514077 0 0 0 EDWARD V LIM MD PHYSICIAN 1351477 0 0 0 33599 0 0 0 16587 0 1401663 0 0 0 JOHN M SMITH MD PHYSICIAN 1052652 0 225000 0 13602 0 0 0 27317 0 1318571 0 0 0 DEAN J KEREIAKES MD PHYSICIAN 1244394 0 208762 0 33978 0 -187814 0 18114 0 1317434 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees TCH MONITORS ALL EXPENSE REIMBURSEMENTS FOR SOCIAL CLUB DUES PAID FOR ON BEHALF OF TCH. SHOULD ANY EXPENSES BE DEEMED FOR PERSONAL USE, AN APPROPRIATE FRINGE BENEFIT WOULD BE INCLUDED IN THE EMPLOYEE'S COMPENSATION FOR THE PORTION OF THE SOCIAL CLUB DUES THAT RELATE TO PERSONAL USE. Social club dues were provided for two listed individuals (one officer and one Top 5 paid employee). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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): DEBORAH HAYES $185,137 THEODORE SCHERPENBERG $61,685 THE FOLLOWING INDIVIDUAL RECEIVED A PAYOUT FROM THE PLAN: DEBORAH HAYES $75,621 Schedule J, Part II, Column (C) The negative amount included in Part II, column (C) for Deborah Hayes and Dean Kereiakes represents the change in the present value of their DB plan accrued benefit amount. A HAMILTON COUNTY OHIO 316000063 000000000 2010-12-20 30000000 HEALTHCARE FACILITIES REVENUE BONDS false false B HAMILTON COUNTY OHIO 316000063 000000000 2022-06-01 81910000 Refunding of Series 2012 Bonds. false false false A 15171000 30021765 30021765 2012 false false true true B 81910000 215000 81695000 2022 true false false true A false false true true false 0.0 0.0 false false true B false false true true false 0.0 0.0043 0.0043 false false true A false false true false true true FIFTH THIRD BANK 3.5 false false false false true B false true false false false false false false true A true B true Schedule K, Part I, Column (f) LINE A THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II IS DUE TO INVESTMENT EARNINGS OF $21,765. DEBORAH GERDES FAMILY MEMBER 64170 COMPENSATION - SEE PART V false PAIGE A DEBUYS FAMILY MEMBER 148516 COMPENSATION - SEE PART V false Schedule L, Part IV 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 $64,170 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2021. 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 $148,516 DURING CALENDAR YEAR ENDED DECEMBER 31, 2021. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUED FULL SUITE OF PATIENT SERVICES THE NETWORK'S INPATIENT SERVICES INCLUDE ALL MAJOR CATEGORIES OF MEDICINE AND SURGERY, WITH THE EXCEPTION OF TRAUMA. THE NETWORK'S OUTPATIENT LOCATIONS PROVIDE PRIMARY AND SPECIALTY CARE AND DIAGNOSTICS. SPECIFIC SERVICES OFFERED BY THE NETWORK INCLUDE THE FOLLOWING: COMPREHENSIVE MEDICINE: ADULT/GERIATRIC INPATIENT BEHAVIORAL INTENSIVE CARE UNIT INTENSIVE OUTPATIENT TREATMENT PROGRAM NICHE INPATIENT GERIATRIC UNIT HEALTH AND AGING CENTER PALLIATIVE CARE PROGRAM ENDOCRINOLOGY/DIABETES EDUC. PROGRAM OUTPATIENT CLINIC REFERENCE LABORATORY INFECTIOUS DISEASE NEPHROLOGY NEUROLOGY PATHOLOGY PULMONOLOGY WOMEN'S HEALTH SERVICES: LABOR AND DELIVERY UNIT POST-PARTUM FAMILY UNIT SPECIAL CARE NURSERY UNIT OUTPATIENT LACTATION PROGRAM PERINATAL SERVICES GYNECOLOGY & GYNECOLOGICAL SERVICES DIAGNOSTIC MAMMOGRAPHY PELVIC FLOOR CENTER ORTHOPAEDIC AND SPINE: TOTAL JOINT REPLACEMENT/RECONSTRUCTION GENERAL ORTHOPAEDICS AND SPORTS MEDICINE ORTHOPAEDIC/NEUROSURGICAL SPINE CARE INPATIENT REHABILITATION SERVICES OUTPATIENT REHABILITATION SERVICES INTERVENTIONAL PAIN MANAGEMENT SERVICES PHYSIATRY PODIATRY ELECTRODIAGNOSTIC SERVICES IMAGING AND DIAGNOSTIC SERVICES: CT SCANNING DIAGNOSTIC IMAGING MRI NUCLEAR MEDICINE PET/CT SURGICAL SERVICES: COLON/RECTAL ENT/OTOLARYNGOLOGY GENERAL SURGERY NEUROLOGICAL UROLOGY SOLID ORGAN KIDNEY TRANSPLANT TISSUE/BONE GRAFTING CARDIOVASCULAR SERVICES: CARDIOVASCULAR SURGERY VASCULAR SURGERY CORONARY CARE ADVANCED HEART FAILURE TREATMENT ELECTROPHYSIOLOGY LAB MECHANICAL ASSIST DEVICE PROGRAM CARDIAC REHABILITATION SERVICES WOUND CENTER INTERVENTIONAL CARDIOLOGY INTERVENTIONAL RADIOLOGY ONCOLOGY: RADIATION ONCOLOGY CHEMOTHERAPY DEPARTMENT PHYSICS CANCER RESEARCH CANCER/TUMOR REGISTRY ONCOLOGICAL SURGERY INTENSIVE CARE SERVICES: CARDIOVASCULAR ICU MEDICAL ICU SURGICAL ICU CRITICAL CONNECTIONS EICU Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS 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 OVER 130 YEARS OF ITS OPERATIONS HAS BEEN TO IMPROVE THE HEALTH OF OUR COMMUNITY AND TO BE A REGIONAL EXEMPLAR IN CREATING PATIENT VALUE THROUGH EXCEPTIONAL OUTCOMES AND PATIENT EXPERIENCE PROVIDED AT AN AFFORDABLE AND RESPONSIBLE COST THAT ENSURES ACCESS TO ALL MEMBERS OF OUR COMMUNITY WITHOUT REGARD TO FINANCIAL STATUS OR OTHER FACTORS SUCH AS RACE, ETHNICITY, BELIEFS OR GENDER. THROUGH ITS MAIN HOSPITAL CAMPUS IN MT. AUBURN, TCH IS DEDICATED TO ITS URBAN-HOSPITAL ROOTS, REMAINING STEADFAST IN COMMITMENT TO DIVERSE AND ECONOMICALLY CHALLENGED NEIGHBORHOODS IN THE UPTOWN SECTION OF CINCINNATI, OHIO. WHILE MAINTAINING THIS URBAN COMMITMENT THROUGH ITS BASE OPERATIONS, TCH HAS ALSO DEVELOPED A NETWORK OF OUTPATIENT CENTERS, A REMOTE HOSPITAL LOCATION AND PHYSICIAN PRACTICES THAT ENSURE ACCESS TO CARE THROUGHOUT THE GREATER CINCINNATI REGION, INCLUDING SUBURBAN AND RURAL REGIONS OF THE AREA THAT SERVE 19 COUNTIES LOCATED IN THREE STATES. TCH HAS ORGANIZED AND MAINTAINS AN ACCREDITED STAFF OF MORE THAN 1,500 PHYSICIANS, AND OFFERS ADVANCED SERVICES AND TECHNOLOGIES THROUGH EXECUTIVE LEADERSHIP OF SEVEN KEY SERVICE LINES: CARDIOVASCULAR CARE, ORTHOPAEDIC AND SPINE TREATMENT, WOMEN'S HEALTH, ONCOLOGY, SPECIAL SURGERY, COMPREHENSIVE MEDICINE AND PRIMARY CARE. TCH MAINTAINS ITS SACRED TRUST WITH THE COMMUNITY AND GOVERNMENTAL OVERSIGHT PARTNERS IN EARNING AND MAINTAINING THE PRIVILEGE AND RESPONSIBILITIES OF TAX-EXEMPTION. THESE CORE COMMITMENTS INCLUDE ACTIVITIES THAT ARE NOT UNDERTAKEN FOR ECONOMIC GAIN, BUT IN FACT ARE PERFORMED AT A LOSS OR ARE WHOLLY UNREIMBURSED AND ARE PERFORMED AS A MATTER OF PUBLIC TRUST AND COMMITMENT. THESE CORE COMMITMENTS INCLUDE: 1. CHARITY CARE & CARE PROVIDED UNDER GOVERNMENTAL ASSISTANCE PROGRAMS - ACCESS TO CARE REGARDLESS OF ABILITY TO PAY AND FULL PARTICIPATION IN MEDICARE AND MEDICAID PROGRAMS WHEREIN ENTITLEMENT PAYMENTS ARE INSUFFICIENT TO COVER THE COSTS OF SERVICES PROVIDED. 2. MEDICAL EDUCATION - ASSURANCE OF SUFFICIENT NUMBERS AND COMPETENCY OF TRAINED AND LICENSED MEDICAL PROFESSIONALS TO MEET THE NEEDS OF OUR COMMUNITY. THIS INCLUDES RESIDENCY AND FELLOWSHIP TRAINING FOR PHYSICIANS THAT ARE OPERATED AT A FINANCIAL LOSS, AND FORMAL UNDERGRADUATE DEGREE TRAINING THROUGH ITS COLLEGE OF NURSING THAT REQUIRES SUBSIDIZATION THROUGH PHILANTHROPY AND PRIVATE SUPPORT. 3. RESEARCH & INNOVATION - THROUGH THE CARL & EDYTH LINDNER CENTER FOR RESEARCH AND EDUCATION AT THE CHRIST HOSPITAL, TCH INVESTS SUBSTANTIAL INTERNAL AND PHILANTHROPIC RESOURCES IN SUPPORTING THE ADVANCEMENT OF MEDICAL DISCOVERY AND IMPROVEMENT FOR THE PUBLIC GOOD THROUGH AN ARRAY OF CLINICAL TRIALS AND OTHER APPLICATION RESEARCH. THE ABOVE ACTIVITIES ARE THE ENDURING AND SACRED COMMITMENT AND RESPONSIBILITY OF TCH. YEAR IN AND YEAR OUT THESE COMMITMENTS WILL SERVE TO DEMONSTRATE HOW TCH HAS EARNED AND MAINTAINS ITS TAX-EXEMPT PRIVILEGE. TCH HAS CONSISTENTLY BEEN RECOGNIZED BY U.S. NEWS & WORLD REPORT AS ONE OF THE NATION'S TOP HOSPITALS, INCLUDING THE NUMBER ONE HOSPITAL IN THE GREATER CINCINNATI REGION AND RANKED "HIGHER PERFORMING" (TOP 10 PERCENT OF ALL HOSPITALS IN THE COUNTRY) IN SIX SPECIALTY SERVICES. FURTHER, TCH RANKED AS ONE OF NEWSWEEK'S "THE WORLD'S BEST HOSPITALS," RANKING FIRST IN THE CINCINNATI REGION. TCH HAS BEEN GRANTED MAGNET RECOGNITION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR EXCELLENCE IN NURSING CARE FOR THE THIRD TIME. ADDITIONALLY, FOR THE 16TH STRAIGHT YEAR, THE NETWORK WAS AWARDED HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR BEING IN THE TOP 1% IN THE NATION FOR PROVIDING HIGHEST CLINICAL QUALITY YEAR OVER YEAR. WHILE MAINTAINING ITS COMMITMENTS TO THE COMMUNITY, TCH IS IN A PERIOD OF RAPID GROWTH, INCLUDING THE EXPANSION OF AN AMBULATORY OUTPATIENT STRATEGY CONSISTING OF AN EMPLOYED PRIMARY CARE AND SPECIALTY PHYSICIAN NETWORK, NUMEROUS OUTPATIENT CENTERS OFFERING A VARIETY OF SERVICES, AND OTHER COMMUNITY INITIATIVES. WITH A STAFF OF MORE THAN 1,500 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, 2022, TCH'S INPATIENT ADJUSTED ADMISSIONS WERE APPROXIMATELY 57,000 AND ITS OUTPATIENT VISITS EXCEEDED 700,000. PATIENT SERVICES THE NETWORK OFFERS A WIDE RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES THROUGH VARIOUS REGIONAL, NATIONAL AND COMMUNITY-BASED DISTRIBUTION MODELS. THE NETWORK'S CLINICAL PROGRAMS ARE DIVERSIFIED, ORGANIZED AND DELIVERED ACROSS ITS SEVEN KEY SERVICE LINES, WHICH INCLUDE CARDIOVASCULAR CARE, ORTHOPAEDIC AND SPINE TREATMENT, WOMEN'S HEALTH, ONCOLOGY, SPECIALTY SURGERY, COMPREHENSIVE MEDICINE AND PRIMARY CARE. THE NETWORK MAINTAINS A LEADING OR SECOND LEADING POSITION IN THE GREATER CINCINNATI REGION FOR KEY SERVICE LINES INCLUDING CARDIOVASCULAR, JOINT AND SPINE AND WOMEN'S HEALTH. THE NETWORK'S POSITIONING IN THE MARKET WITHIN THESE KEY SERVICE LINE FURTHER HIGHLIGHTS THE CRITICAL ROLE THE NETWORK PLAYS IN THE DELIVERY OF CARE TO THE COMMUNITY IT SERVES. HEART AND VASCULAR FROM GROUND-BREAKING TREATMENTS OPTIONS - CERTAIN TREATMENTS THE NETWORK'S PHYSICIANS HELPED PIONEER - TO THE DOZEN OF SUBSPECIALIZED PROGRAMS DEVELOPED BY THE NETWORK TO CARE FOR THE VARIED AND COMPLEX CONDITIONS FOR THE HEART, THE NETWORK IS RECOGNIZED AS A LEADER IN CARDIOVASCULAR CARE AS EVIDENCED BY NUMEROUS AWARDS. FOR THE FISCAL YEAR ENDED JUNE 30, 2022, THE NETWORK PERFORMED 701 OPEN HEART SURGERIES, 2,069 ANGIOPLASTIES AND 3,421 CARDIAC CATHERIZATIONS, MORE THAN ANY OTHER HOSPITAL IN THE GREATER CINCINNATI REGION. FOR TWO CONSECUTIVE YEARS, TCH WAS RANKED "HIGH PERFORMING" IN CARDIOLOGY AND HEART SURGERY (IN THE TOP 50 NATIONALLY) BY U.S. NEWS & WORLD REPORT. TCH WAS ALSO RATED BY HEALTHGRADES AS ONE OF AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY (RANKED #2 IN THE STATE OF OHIO) AND ONE OF AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE. IN ADDITION TO THE VARIOUS AWARDS LISTED ABOVE, THE NETWORK HAS BEEN CREDITED WITH BEING THE FIRST HOSPITAL IN THE NATION TO PERFORM A NUMBER OF CARDIOVASCULAR PROCEDURES. THANKS TO THE LINDNER CENTER FOR RESEARCH, THE NETWORK'S CARDIOVASCULAR PROGRAM IS AT THE FOREFRONT OF INNOVATION AND HAS BECOME THE INTERNATIONAL LEADER IN CLINICAL CARDIOVASCULAR RESEARCH. THE IMPACT OF THIS COLLABORATION TRANSFORMS CARDIOVASCULAR CARE AND BRINGS NEW TREATMENTS TO PATIENTS IN THE GREATER CINCINNATI REGION LONG BEFORE THE TREATMENTS ARE AVAILABLE ELSEWHERE IN OUR COUNTRY. MUSCULOSKELETAL THROUGH ITS WORLD CLASS JOINT AND SPINE CENTER, BUILT IN 2015, THE NETWORK'S ORTHOPAEDIC AND SPINE TREATMENT PROGRAMS ATTRACT PATIENTS ACROSS THE US, BUT ULTIMATELY ALLOWING FOR EXCEPTIONAL ORTHOPAEDIC AND SPINE TREATMENT FOR PATIENTS IN THE GREATER CINCINNATI REGION. THE NETWORK PARTICIPATES IN MEDICARE'S COMPREHENSIVE CARE FOR JOINT REPLACEMENTS ('CJR') MODEL, WHERE IT HAS EXPERIENCED TOP 10 RESULTS NATIONWIDE, EARNING INCENTIVE PAYMENTS FOR DELIVERY OF JOINT REPLACEMENTS TO MEDICARE SPONSORED PATIENTS, ON THE BASIS OF NOT ONLY AFFORDABLE CARE BUT ALSO QUALITY OUTCOMES ACHIEVED. TCH OFFERS COMPREHENSIVE ORTHOPAEDIC AND SPINE SERVICES PROVIDED BY EXPERT SPECIALISTS WHO PROVIDE A COMPREHENSIVE RANGE OF SERVICES THAT FOCUS ON THE PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION OF MUSCULOSKELETAL DISORDERS. THE NETWORK CONTINUES TO DELIVER HIGH QUALITY OUTCOMES, RANKING "HIGH PERFORMING" BY US NEWS & WORLD REPORT. TCH ALSO RECEIVED THE JOINT REPLACEMENT EXCELLENCE AWARD BY HEALTHGRADES IN 2022. TCH USES A MULTI-DISCIPLINARY APPROACH TO DIAGNOSING AND TREATING BACK AND NECK PROBLEMS THROUGH ITS TEAM OF ORTHOPAEDIC SURGEONS, NEUROSURGEONS, INTERVENTIONAL RADIOLOGISTS, PAIN MANAGEMENT PHYSICIANS AND PHYSICAL THERAPISTS WHO WORK COLLABORATIVELY TO ENSURE THAT PATIENTS RECEIVE THE BEST POSSIBLE CARE FROM THE EXPERTS BEST SUITED TO PROVIDE IT. THE NETWORK'S PHYSICIANS AND SURGEONS HAVE PERFORMED MORE INPATIENT SPINE PROCEDURES THAN ANY OTHER HOSPITAL IN THE GREATER CINCINNATI REGION. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE VOTING MEMBER OF THE CHRIST HOSPITAL (TCH) IS THE CHRIST HOSPITAL, INC. (TCHI). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE VOTING MEMBER HAS THE AUTHORITY TO: - TO APPOINT MEMBERS TO THE GOVERNING BOARD OF TCH Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED TO THE SOLE CORPORATE MEMBER: 1.) TO RECEIVE THE NET ASSETS OF TCH UPON DISSOLUTION AND 2.) TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF TCH. SIGNIFICANT DECISIONS INCLUDE THOSE WITH THE POTENTIAL TO IMPACT THE MISSION AND VISION OF TCH. THE ELIZABETH GAMBLE DEACONESS HOME ASSOCIATION (EGDHA) IS A CONSENTING MEMBER OF TCH. EGDHA MUST CONSENT TO THE DISSOLUTION, MERGER, SALE OR DISPOSITION OF MATERIAL ASSETS OF TCH. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED BY THE ASSISTANT CONTROLLER, THE CONTROLLER, THE CFO, AND THE CEO. THE FORM IS THEN PRESENTED TO THE AUDIT AND RISK MANAGEMENT COMMITTEE AND BOARD FOR FINAL REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST (COI) DISCLOSURE FORMS ARE DISTRIBUTED ANNUALLY TO CERTAIN POTENTIALLY AFFECTED INDIVIDUALS. INDIVIDUALS ARE UNDER A DUTY TO DISCLOSE ANY POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN THE ANNUAL FILINGS OF THE DISCLOSURE FORM. INDIVIDUALS COVERED UNDER THE CONFLICT OF INTEREST POLICY INCLUDE OFFICERS AND DIRECTORS. CONFLICTS OF INTEREST ARE DETERMINED BASED ON RESPONSES TO THE COI ANNUAL CERTIFICATION. THESE ARE REVIEWED BY LEGAL SERVICES AND FORWARDED TO SENIOR MANAGEMENT. BASED ON THE NATURE OF THE JOB DUTIES AND SPECIFIC DISCLOSURES IN THE CERTIFICATION, FURTHER CLARIFICATION MAY BE REQUESTED AND/OR A DECISION TO IMPLEMENT ALTERNATIVE PROCEDURES THAT WILL ELIMINATE THE POTENTIAL CONFLICT OF INTEREST WILL BE MADE. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION OF THE ORGANIZATION'S CEO IS REVIEWED ANNUALLY BY THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REVIEW WAS LAST PERFORMED IN JULY 2022. 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees COMPENSATION OF THE ORGANIZATION'S VICE PRESIDENTS IS REVIEWED ANNUALLY BY THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REVIEW WAS LAST PERFORMED IN JULY 2022. 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. Form 990, Part VI, Line 19 Required documents available to the 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 REQUESTED. Form 990, Part VII, Section A, Line 1a, 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. Form 990, Part VII, Section B, Line 1 FORM 990, PART VII, SECTION B IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR CONSTRUCTION SERVICES MAY INCLUDE EXPENSE REIMBURSEMENT, IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE. PARTS VIII, IX AND X - IMPACT OF NOVEL CORONAVIRUS DISEASE 2019 PANDEMIC In March 2020, the World Health Organization designated the novel coronavirus disease 2019 (COVID-19) outbreak as a global pandemic. The extent of the COVID-19 pandemic's impact on TCH's operating results and financial condition have been and will continue to be driven by many factors, including, but not limited to, any future government-mandated or recommended suspensions of elective or other procedures, reduced patient volumes, increases in the number of uninsured and underinsured patients as a result of higher sustained rates of unemployment, and incremental expenses required for personnel, supplies and personal protective equipment. Because of these and other uncertainties, the duration and extent of the COVID-19 pandemic-related implications remain unknown. In response to the COVID-19 pandemic, federal and state governments passed legislation and took other administrative actions intended to assist health care providers in providing care to COVID-19 and other patients during the public health emergency. The Coronavirus Aid, Relief, and Economic Security (CARES) Act, which was enacted on March 27, 2020, authorized funding earmarked for hospitals and other health care providers. The funds are intended to compensate health care providers for lost revenues and incremental expenses incurred in response to the COVID-19 pandemic and are not required to be repaid provided the recipients attest to and comply with certain terms and conditions, including limitations on balance billing and not using the funds to reimburse expenses or losses that other sources are obligated to reimburse. Based on TCH's assessment of the underlying terms and conditions surrounding distributions received and recognized in prior periods, TCH is reasonably assured that the terms and conditions have been met and does not expect that any stimulus funds will be required to be repaid. For the years ended June 30, 2022 and 2021, TCH recognized $2.7 million and $26.8 million, respectively, in stimulus funds as part of the CARES Act, which are recorded as other revenue in the consolidated statement of operations and changes in net assets. In addition, the CARES Act provides for an expansion of the Medicare Accelerated and Advance Payment Program, whereby inpatient acute care hospitals and other eligible providers may request accelerated payment of up to 100% of their Medicare payment amount for a six-month period to be repaid through the withholding of future Medicare fee-for-service payments. Beginning one year after receipt, the Centers for Medicare & Medicaid Services (CMS) began recoupment of the accelerated and advance payments by withholding 25% of a participating provider's Medicare fee-for-service payments, which continued over 11 months. After this initial recoupment period, CMS began withholding 50% of the Medicare fee-for-service payments, which will continue for another 6 months. Once the recoupment periods are complete, any amounts that have not been offset by Medicare claims will be required to be repaid. TCH received $91.7 million in Medicare accelerated and advance payments from CMS in the year ended June 30, 2020, and recoupments began on the Medicare accelerated and advance payments in April 2021. TCH has recorded deferred revenue for Medicare services not yet rendered in the consolidated balance sheets in contract liabilities, if expected to be recouped within one year of the consolidated balance sheet date, and in long-term contract liabilities, if expected to be recouped in more than a year from the consolidated balance sheet date. As of June 30, 2022 and 2021, total contract liabilities for the Medicare accelerated and advance payments not yet recouped were $29.5 million and $82.8 million, respectively. The CARES Act also provides for deferred payment of the employer portion of social security taxes between March 27, 2020 and December 31, 2020, with 50% of the deferred amount due December 31, 2021 and the remaining 50% due December 31, 2022. TCH has deferred $7.5 million and $15.0 million in social security taxes at June 30, 2022 and 2021, respectively, which are recorded in the consolidated balance sheets in compensation and benefits, if due to be repaid within one year of the consolidated balance sheet date, and in long-term benefits and other liabilities, if due to be repaid in more than a year from the consolidated balance sheet date. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 24701727, Related or Exempt Function Revenue: 24680184, Unrelated Business Revenue: 21543, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CLINICAL EXCELLENCE GRANT TEMPORARILY RESTRICTED AS TO USE AT JUNE 30, 2022 - 95732211; CLINICAL EXCELLENCE GRANT IN SUPPORT FOR FY22 STRATEGIC INVESTMENTS IN OPERATIONS - -18771595; CHANGES IN PENSION - 9478831; GAIN ON EXTINGUISHMENT OF DEBT - 550678; OTHER CHANGES - 11837292; THE CHRIST HOSPITAL MEDICAL ASSOC LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 261332866 MEDICAL PRACT OH 0 0 TCH PHYS TCH MEDICAL SPECIALIST LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 452681845 MEDICAL PRACT OH 0 0 TCH PHYS HPL REALTY CO LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 454013544 REAL ESTATE OH 0 0 TCH TCH MEDICAL ASSOCIATES II LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 273999894 MEDICAL PRACT OH 0 0 TCH PHYS TCH MEDICAL ASSOCIATES III LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 275467250 MEDICAL PRACT OH 0 0 TCH PHYS TCH CLINICALLY INTEGRATED NETWORK LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 454209314 PHO OH 0 0 TCH TCH CARDIOVASCULAR ASSOCIATES LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 263070266 MEDICAL PRACT OH 0 0 TCH PHYS TCH ORTHOPAEDIC ASSOCIATES LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 272352575 MEDICAL PRACT OH 0 0 TCH PHYS TCHHN URGENT CARE LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 273088756 MEDICAL PRACT OH 0 0 TCH PHYS TCH ORTHOPAEDIC ASSOCIATES III LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 273088817 MEDICAL PRACT OH 0 0 TCH PHYS TCH MEDICAL SPECIALIST II LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 270577733 MEDICAL PRACT OH 0 0 TCH PHYS PROFESSIONAL DIAGNOSTIC SERVICES LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 273081840 MEDICAL SERVI OH 0 0 TCH LINDNER CTR RSCH & EDU AT TCH LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 263885165 MED RESEARCH OH -1127673 318762 TCH THE CHRIST HOSPITAL PHYSICIANS LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 273841691 MEDICAL PRACT OH -88435000 68719000 TCH BLUEGRASS PRINCIPAL HOLDINGS LLC 2139 AUBURN AVENUE CINCINNATI OH 45219 310538525 SUPPORT TCH OH 0 0 TCH THOROUGHBRED REAL ESTATE PARTNERS LLC 2139 Auburn Avenue Cincinnati OH 45219 HOLDING COMPANY OH 0 0 TCH THE CHRIST HOSPITAL INC 2139 AUBURN AVENUE CINCINNATI OH 45219 311080885 HC SYS PARENT OH 501(c)(3) Type II EGDHA false ELIZABETH GAMBLE DEACONESS HOME ASSOC 2139 AUBURN AVENUE CINCINNATI OH 45219 311082756 SUPPORT TCH OH 501(c)(3) Type I NA false THE CHRIST HOSPITAL OF NURSING & HEALTH sciences 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 COMPANY 2139 AUBURN AVENUE CINCINNATI OH 45219 311080683 REAL ESTATE OH 501(c)(2) TCH true THE CHRIST HOSPITAL HEALTH SERVICES CORP 2139 AUBURN AVENUE CINCINNATI OH 45219 311066981 MEDICAL SERVICES OH TCH INC C Corporation EXCEL INSURANCE COMPANY LTD 2139 AUBURN AVENUE CINCINNATI OH 45219 980386259 INSURANCE OH TCH C Corporation 1 true THE CHRIST HOSPITAL HEALTH NETWORK SERVICE CORPORATION 2139 AUBURN AVENUE cincinnati OH 45219 874120530 MEDICAL SVCS OH TCH C Corporation false ALLIANCE INTEGRATIVE MEDICINE LLC 2139 AUBURN AVENUE cincinnati OH 45219 205875764 MEDICAL SCVS OH THE CHRIST HOSPITAL HEALTH NETWORK SERVICE CORPORATION S Corporation false false false true false false false false false false true false false false false false false true true false THE CHRIST HOSPITAL FOUNDATION C 581851 FMV CHRIST COLLEGE OF NURSING & HEALTH SCIENCES J 1224723 FMV CHRIST COLLEGE OF NURSING & HEALTH SCIENCES Q 100000 FMV Schedule R, Part I IDENTIFICATION OF DISREGARDED ENTITIES YEAR-END LOSS AND ASSETS SHOWN FOR THE CHRIST HOSPITAL PHYSICIANS, LLC ("TCH PHYS") INCLUDES INCOME AND ASSETS FOR OTHER DISREGARDED ENTITIES LISTED.