2014-05-15T12:41:33-05:00 2013-06-30 ERNST & YOUNG US LLP 41 SOUTH HIGH STREET STE 1100 COLUMBUS OH 43215 990 2012-07-01 264165492 The Christ Hospital Foundation % Ted Scherpenberg Controller CHRI 5135852000 2139 Auburn Avenue Suite Cincinnati OH 45219 CHRIS BERGMAN 5132631572 2014-05-15 true 6142245678 2012 2015-11-30 17:44:51Z MICHAEL K KEATING 2139 AUBURN AVENUE CINCINNATI OH 45219 1091828 false X N/A X 2009 OH THE MISSION OF THE CHRIST HOSPITAL FOUNDATION IS TO SUPPORT THE CHRIST HOSPITAL IN ITS MISSION. 13 7 0 7 0 1524457 1028000 0 0 50373 63828 0 0 1574830 1091828 0 0 0 0 0 0 0 0 0 964950 728526 964950 728526 609880 363302 25904077 25882968 0 -384411 25904077 26267379 X SEE SCHEDULE O false false 728526 0 0 SEE SCHEDULE O 0 0 0 728526 true true false false false false false false false true false false false false true true false true false false false false false false false false false false false true false false false false false false false false true false false false false true true false false false true 0 0 0 false false false false false false false false false false X 13 7 false false false false true true true true true false false true true true true true true false false false OH X Ted Scherpenberg Controller 5132631572 2139 AUBURN AVENUE CINCINNATI OH 45219 THEODORE EMMERICH 1.0 1.0 X 0 0 0 VICTORIA B GLUCKMAN 1.0 1.0 X X 0 0 0 JEB HEAD 1.0 1.0 X 0 0 0 Katherine Morgan 1.0 X 0 0 0 John Anning 1.0 X 0 0 0 Valerie Newell 1.0 X 0 0 0 Kathryn Weichert MD 1.0 X 0 2175 0 Richard F Kammerer 40.0 X X 0 205311 25124 Michael K Keating 1.0 40.0 X 0 0 0 Chris Bergman 1.0 40.0 X 0 368552 68197 Bob Strub MD 1.0 X 0 139415 0 Heather Adkins 1.0 40.0 X 0 229432 39666 Carl Coburn 1.0 X 0 0 0 SUSAN CROUSHORE 1.0 40.0 X 0 1244660 24016 0 2189545 157003 0 false true false NONE 0 159000 869000 145727 1028000 0 63828 63828 0 0 0 0 0 0 0 0 0 0 1091828 63828 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 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 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 HEART & VASCULAR SRVS PRG SP 149636 149636 ONCOLOGY SERVICES PRG SPRT 71584 71584 COLLEGE PROGRAM SUPPORT 355405 355405 OTHER HOSPITAL SRVS PRG SPR 151901 151901 728526 728526 0 0 1156237 537893 0 0 2750000 1250000 73637 83421 0 0 0 0 0 0 0 0 0 0 0 21655296 24011654 0 0 0 0 0 0 268907 0 25904077 25882968 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -384411 0 -384411 X 15343396 16680161 6065000 5629981 4495681 3957237 25904077 26267379 25904077 25882968 363302 X false true X true false X X X X false false false TCH 310538525 03 true 728526 1 728526 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7311000 2766000 64000 1086000 729000 8326000 6700801 1524457 50373 964950 7310681 20777006 1871747 55866 15257956 745862 6700801 28349209 1027655 537682 8476557 660983 20777006 0.35470 0.64530 false false 0 OTHER LIABILITIES -384411 -384411 X SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ALL FUNDS RECEIVED BY THE CHRIST HOSPITAL FOUNDATION, BOTH PERMANENTLY AND TEMPORARILY RESTRICTED, 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 PERMANENTLY RESTRICTED FUNDS, INVESTMENT INCOME WILL BE ALLOCATED BETWEEN INCREASING THE FUND'S CORPUS AND BENEFITTING THE PROGRAM AS SPECIFIED BY THE DONOR. SCHEDULE D, PART X, LINE 2 FIN 48 FOOTNOTE (ASC 740) 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, 2013 AND 2012, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2013 AND 2012. true true false false false false false false false Richard F Kammerer 0 194420 0 10000 0 891 0 12533 0 12591 0 230435 0 0 Chris Bergman 0 346650 0 0 0 21902 0 50864 0 17333 0 436749 0 0 Heather Adkins 0 228687 0 0 0 745 0 21730 0 17936 0 269098 0 0 SUSAN CROUSHORE 0 480750 0 0 0 763910 0 6079 0 17937 0 1268676 0 187293 Supplemental Compensation Information PART I, LINE 3 COMPENSATION FOR THE PRESIDENT OF THE CHRIST HOSPITAL FOUNDATION IS DETERMINED BY THE CHRist HOSPITAL, A RELATED ORGANIZATION. THE CHriST HOSPITAL UTILIZES AN COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS AND PERFORMS AN ANNUAL REVIEW WITH THE ASSITANCE OF AND COMPARABLE DATA PROVIDED BY THE HAY GROUP. COMPENSATION HAS BEEN DETERMINED REASONABLE AND CONTEMPORANEOUSLY DOCUMENTED. PART I, LINE 4A UPON SEPARATION FROM SERVICE, MS. CROUSHORE WAS ELIGIBLE FOR A TWO YEAR SALARY CONTINUANCE PLAN. PART I, LINE 4B THE CHRIST HOSPITAL HAS A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN SENIOR EXECUTIVES. THE FOLLOWING INDIVIDUAL RECEIVED A TAXABLE DISTRIBUTION IN CONNECTION WITH HER SEPARATION WHICH IS REPORTED IN PART II, COLUMN (BIII): SUSAN CROUSHORE THE AMOUNTS BELOW ARE INCLUDED IN COLUMN (C) FOR THE INDIVIDUALs LISTED: CHRIS E. BERGMAN $36,751 heather adkins $23,351 X 2 115727 other X Computer Software & Office Furniture 1 30000 FMV false false false PART III, LINE 1 ORGANIZATION'S MISSION THE MISSION OF THE CHRIST HOSPITAL FOUNDATION (tch fdn) IS TO SUPPORT THE MISSION OF THE CHRIST HOSPITAL (tch). tch'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY AND CREATE PATIENT VALUE BY PROVIDING EXCEPTIONAL OUTCOMES, AFFORDABLE CARE, AND THE FINEST EXPERIENCES. PART III, LINE 4 PROGRAM SERVICES THE MISSION OF tch fdn IS TO CONDUCT AND SUPPORT ACTIVITIES EXCLUSIVELY FOR THE BENEFIT OF tch. THE mission of tch IS TO IMPROVE THE HEALTH OF OUR COMMUNITY AND CREATE PATIENT VALUE BY PROVIDING EXCEPTIONAL OUTCOMES, AFFORDABLE CARE, AND THE FINEST EXPERIENCES. tch fdn WAS CREATED TO CONTINUE AND FOSTER THE PHILANTHROPIC LEGACY OF tch. IT SUPPORTS THE HEALTH CARE PROGRAMS, MEDICAL EDUCATION, COMMUNITY PROGRAMS AND CAPITAL PROJECTS OF tch, ITS OUTPATIENT AND PHYSICIAN LOCATIONS AND THE CHRIST COLLEGE OF NURSING and health sciences. tch fdn's GOAL IS TO MAKE A LASTING IMPACT ON HEALTHCARE IN THE GREATER CINCINNATI REGION THROUGH CONTRIBUTIONS FROM INDIVIDUALS, CORPORATIONS, AND FOUNDATIONS TO tch fdn. PART VI, LINE 6, 7A & 7B GOVERNING BODY AND MANAGEMENT THE SOLE MEMBER OF TCH FDN IS tch. TCH HAS THE FOLLOWING AUTHORITY WITH RESPECT TO TCH FDN: 1.) TO APPOINT MEMBERS TO THE GOVERNING BOARD OF TCH FDN, 2.) TO RECEIVE THE NET ASSETS OF TCH FDN UPON DISSOLUTION, AND 3.) TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF TCH FDN. significant decisions include those with the potential to impact the mission and vision of tch fdn. PART VI, LINE 11B PROCESS TO REVIEW THE FORM 990 THE FORM 990 IS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED BY THE EXECUTIVE DIRECTOR OF FINANCE, CONTROLLER, AND CFO OF tch, AND THE PRESIDENT OF tch fdn. THE FORM IS THEN PRESENTED TO TCH FDN's BOARD OF DIRECTORS FOR FINAL REVIEW. PART VI, LINE 12C POLICIES 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 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, LINE 15A AND 15B POLICIES NO OFFICERS, KEY EMPLOYEES, OR TOP MANAGEMENT OFFICIALS WERE COMPENSATED BY THE FILING ORGANIZATION. PART VI, LINE 19 DISCLOSURE THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REASONABLE REQUEST and as required. THE CHRIST HOSPITAL 310538525 HOSPITAL OH 501(C)(3) 3 TCH INC 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 COLLEGE OH 501(C)(3) 2 TCH true THE CHRIST HOSPITAL AUXILLIARY 2139 AUBURN AVENUE CINCINNATI OH 45219 201245159 SUPPORT TCH OH 501(C)(3) 11C TCH true THE CHRIST HOSPITAL INC 2139 AUBURN AVENUE CINCINNATI OH 45219 310180885 HC Sys Parent OH 501(C)(3) 11A EGDHA false GAMBLE REALTY COMPANY 2139 AUBURN AVENUE CINCINNATI OH 45219 311080683 REAL ESTATE OH 501(C)(2) N/A TCH true MASON PROP CO 311384679 SUPPORT TCH CHHSC RELATED false CHRIST HOSPITAL HEALTH SERVICES CORP 2139 AUBURN AVENUE CINCINNATI OH 45219 311066981 OTHER MEDICAL OH TCH INC C-CORPORATION -30645 229910 1.00000 false EXCEL INSURANCE COMPANY LTD 2139 AUBURN AVENUE CINCINNATI OH 45219 980386259 INSURANCE CJ TCH C-CORPORATION true false false false false false false false false false false false false false false false false false true false CHRIST COLLEGE OF NURSING & HEALTH SCIENCES R 355405 ACTUAL AMOUNT