2013-05-14T18:44:33-05:00 2012-06-30 ERNST & YOUNG US LLP 41 S HIGH STREET SUITE 1100 COLUMBUS OH 43215 990 2011-07-01 264165492 The Christ Hospital Foundation % JAMIE PHILLIPS EXEC DIR FIN CHRI 5135852000 2139 Auburn Avenue Cincinnati OH 45219 Chris E Bergman 2013-05-14 true 6142245678 2011 2016-02-24 21:20:13Z MICHAEL F KEATING 2139 AUBURN AVENUE CINCINNATI OH 45219 1574830 false X N/A X 2009 OH THE MISSION OF THE CHRIST HOSPITAL FOUNDATION IS TO SUPPORT THE CHRIST HOSPITAL IN ITS MISSION. 11 8 0 8 0 2620675 1524457 0 0 562860 50373 0 0 3183535 1574830 0 0 0 0 0 0 0 0 0 2885627 964950 2885627 964950 297908 609880 25544197 25904077 0 0 25544197 25904077 X SEE SCHEDULE O false false 964950 0 0 THE MISSION OF THE CHRIST HOSPITAL FOUNDATION IS TO CONDUCT AND SUPPORT ACTIVITIES EXCLUSIVELY FOR THE BENEFIT OF THE CHRIST HOSPITAL. THE MISSION OF THE CHRIST HOSPITAL IS TO provide the finest patient experience and improve the health of our community. THE CHRIST HOSPITAL FOUNDATION WAS CREATED TO CONTINUE AND FOSTER THE PHILANTHROPIC LEGACY OF THE CHRIST HOSPITAL. IT SUPPORTS THE HEALTH CARE PROGRAMS, MEDICAL EDUCATION, COMMUNITY PROGRAMS AND CAPITAL PROJECTS OF THE CHRIST HOSPITAL, ITS OUTPATIENT AND PHYSICIAN LOCATIONS AND THE CHRIST COLLEGE OF NURSING. OUR GOAL IS TO MAKE A LASTING IMPACT ON HEALTHCARE IN THE GREATER CINCINNATI REGION THROUGH CONTRIBUTIONS FROM INDIVIDUALS, CORPORATIONS AND FOUNDATIONS TO THE CHRIST HOSPITAL FOUNDATION. 964950 true true false false false false false false false true false false false false false 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 11 8 false false false false true true true true true false false true true true true true true false false false OH X JAMIE PHILLIPS EXEC DIR FIN 5135852000 2139 AUBURN AVENUE CINCINNATI OH 45219 VICTORIA BUYINSKI GLUCKMAN 1.0 X X CHRIS BERGMAN 1.0 X 0 481171 136859 KATHERINE MORGAN 1.0 X JEB HEAD 1.0 X JOHN ANNING 1.0 X THEODORE EMMERICH 1.0 X SUSAN CROUSHORE 1.0 X 0 668442 341204 R GLEN MAYFIELD 1.0 X VALERIE NEWELL 1.0 X KATHRYN WEICHERT MD 1.0 X RICHARD F KAMMERER 40.0 X X 238192 58006 0 1387805 536069 0 false true false NONE 0 1524457 227324 1524457 0 50373 50373 0 0 0 0 0 0 0 1574830 50373 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 SPRT 75113 75113 ONCOLOGY SERVICES PRG SPRT 349903 349903 COLLEGE PROGRAM SUPPORT 342548 342548 OTHER HOSPPITAL SRVS PRG SPRT 197386 197386 964950 964950 0 0 886813 1156237 0 0 2750000 2750000 161950 73637 0 0 0 0 0 0 0 0 0 0 0 21131934 21655296 0 0 0 0 0 0 613500 268907 25544197 25904077 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15593396 15343396 5600584 6065000 4350217 4495681 25544197 25904077 25544197 25904077 X 609880 -250000 X false true true X false X X X X false false false TCH 310538525 03 true 964950 1 964950 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6700801 1524457 50373 964950 7310681 20777006 1871747 55866 15257956 745862 6700801 28349209 1027655 537682 8476557 660983 20777006 0.26000 0.74000 false false 0 0 SCH 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 BENEFITING THE PROGRAM AS SPECIFIED BY THE DONOR. SCH D, PART X, LINE 2 FIN 48 FOOTNOTE THE COMPANY 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 COMPANY COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2012 AND 2011, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2012 AND 2011. false true false false false false false false false CHRIS BERGMAN 0 347390 0 120114 0 13667 117894 18965 0 618030 SUSAN CROUSHORE 0 509146 0 154393 0 4903 316357 24847 0 1009646 RICHARD F KAMMERER 195920 41340 932 42646 15360 296198 SUPPLEMENTAL INFORMATION PART I, LINE 3 COMPENSATION FOR THE PRESIDENT OF THE CHIRST HOSPITAL FOUNDATION IS DETERMINED BY THE CHRIST HOSPITAL, A RELATED ORGANIZATION. THE CHIRST 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 4B THE CHRIST HOSPITAL HAS A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN SENIOR EXECUTIVES. THE AMOUNTS BELOW ARE INCLUDED IN PART II, COLUMN C FOR THOSE INDIVIDUALS LISTED: SUSAN R CRUSHORE $187,293 CHRIS E BERGMAN $ 43,834 X 4 227324 FMV false false false ORGANIZATION'S MISSION PART III, LINE 1 THE CHRIST HOSPITAL FOUNDATION'S MISSION IS TO SUPPORT THE MISSION OF THE CHRIST HOSPITAL. THE CHRIST HOSPITAL'S MISSION IS TO BE THE LEADING HOSPITAL FOR OUR REGION, PROVIDING THE FINEST EXPERIENCE IN PERSONALIZED HEALTH CARE WHILE ADVANCING CLINICAL EXCELLENCE, TECHNOLOGY, AND EDUCATION. GOVERNING BODY & MANAGEMENT PART VI, LINE 6 THE SOLE MEMBER OF THE CHRIST HOSPITAL FOUNDATION (TCH FDN) IS THE CHRIST HOSPITAL (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. GOVERNING BODY & MANAGEMENT PART VI, LINES 7A AND 7B THE SOLE MEMBER OF THE CHRIST HOSPITAL FOUNDATION (TCH FDN) IS THE CHRIST HOSPITAL (TCH). TCH HAS THE AUTHORITY TO APPOINT MEMBERS TO THE GOVERNING BOARD OF TCH FDN. AS THE SOLE MEMBER OF TCH FDN, TCH HAS THE AUTHORITY 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 THE CHRIST HOSPITAL FOUNDATION. PROCESS TO REVIEW THE FORM 990 PART VI, LINE 11B 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 THE CHRIST HOSPITAL, AND THE PRESIDENT OF THE CHRIST HOSPITAL FOUNDATION. THE FORM IS THEN PRESENTED TO THE BOARD FOR FINAL REVIEW. POLICIES PART VI, LINE 12C 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. POLICIES PART VI, LINES 15A AND 15B NO OFFICERS, KEY EMPLOYEES, OR TOP MANAGEMENT OFFICIALS WERE COMPENSATED BY THE FILING ORGANIZATION. DISCLOSURE PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REASONABLE REQUEST. HOURS DEVOTED TO RELATED ORGANIZATIONS PART VII, SECTION A BOARD MEMBERS SUSAN CROUSHORE AND CHRIS BERGMAN DEVOTE 40 HOURS PER WEEK EACH TO THE CHRIST HOSPITAL, A RELATED ORGANIZATION, AS EMPLOYEES. SUSAN CROUSHORE ALSO SERVES ON THE CHRIST HOSPITAL BOARD OF DIRECTORS. BOARD MEMBERS THOMAS EMMERICH, VICTORIA GLUCKMAN, JEB HEAD AND R. GLEN MAYFIELD EACH DEVOTE 1 HOUR PER WEEK TO THE CHRIST HOSPITAL AS MEMBERS OF THE BOARD OF DIRECTORS. R. GLEN MAYFIELD ALSO DEVOTES ONE HOUR PER WEEK TO THE CHRIST HOSPITAL, INC., A RELATED ORGANIZATION, AS A BOARD MEMBER. OTHER CHANGES IN NET ASSETS PART XI, LINE 5 ($250,000) - OTHER CHANGE IN NET ASSETS FINANCIAL STATEMENTS AND REPORTING PART XI, LINE 2B THE CHRIST HOSPITAL FOUNDATION IS INCLUDED IN THE CONSOLIDATED SYSTEM-WIDE AUDIT OF THE CHRIST HOSPITAL AND SUBSIDIARIES. DISCLOSURE STATEMENT RELATED TO FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, FILED ON BEHALF OF THE TAXPAYER UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: THE CHRIST HOSPITAL ADDRESS: 2139 AUBURN AVENUE, CINCINNATI, OH 45219 IDENTIFYING NUMBER OF U.S. TAX RETURN WITH WHICH THE FORMS 5471 WERE OR WILL BE FILED: 31-0538525 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: Ogden, Utah THE CHRIST HOSPITAL 2139 AUBURN AVENUE CINCINNATI OH 45219 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 311080885 SUPPORT TCH 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 EGDHA true MASON PROP CO 2139 Auburn Ave CINCINNATI OH 45219 311384679 SUPPORT TCH OH CHHSC RELATED false MIDWEST ULTRASOUND 8250 KENWOOD CROSSING WAY STE 225 CINCINNATI OH 45236 311073540 MEDICAL LAB OH TCH S-CORPORATION PROFESSIONAL READERS GROUP 8250 KENWOOD CROSSING WAY STE 225 CINCINNATI OH 45236 311335218 MEDICAL PRACTICE OH TCH S-CORPORATION CHRIST HOSPITAL HEALTH SERVICES CORP 2139 AUBURN AVE CINCINNATI OH 45219 311066981 OTHER MEDICAL OH TCH INC C-CORPORATION EXCEL INSURANCE COMPANY LTD 2139 AUBURN AVE CINCINNATI OH 45219 980386259 INSURANCE CJ TCH C-CORPORATION false false false false false false false false false false false false false false false false true false CHRIST COLLEGE OF NURSING & HEALTH SCIENCES Q 342548 ACTUAL AMOUNT