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            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60604</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>5894037</Compensation>
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          <NamePerson>DANIS BUILDING CONSTRUCTION</NamePerson>
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          <AddressUS>
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            <City>MIAMISBURG</City>
            <State>OH</State>
            <ZIPCode>45342</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
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        <Total>1114188</Total>
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      <GrantsToDomesticIndividuals>
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      </GrantsToDomesticIndividuals>
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      </ForeignGrants>
      <BenefitsToMembers>
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      <FeesForServicesLobbying>
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        <ProgramServices>46040611</ProgramServices>
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      <Advertising>
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        <ManagementAndGeneral>751074</ManagementAndGeneral>
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        <ProgramServices>5648532</ProgramServices>
        <ManagementAndGeneral>1412132</ManagementAndGeneral>
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      <InformationTechnology>
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        <ManagementAndGeneral>79658</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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      </TravelEntrtnmntPublicOfficials>
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        <Total>787674</Total>
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        <ProgramServices>1764700</ProgramServices>
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        <Total>0</Total>
      </PaymentsToAffiliates>
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        <Total>39507180</Total>
        <ProgramServices>31605744</ProgramServices>
        <ManagementAndGeneral>7901436</ManagementAndGeneral>
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        <ManagementAndGeneral>537426</ManagementAndGeneral>
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        <Description>Medical Supplies</Description>
        <Total>144596992</Total>
        <ProgramServices>144596992</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medical Professional Fees</Description>
        <Total>22173013</Total>
        <ProgramServices>22173013</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
        <Total>8634154</Total>
        <ProgramServices>6907323</ProgramServices>
        <ManagementAndGeneral>1726831</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SETTLEMENTS</Description>
        <Total>1775811</Total>
        <ProgramServices>1420649</ProgramServices>
        <ManagementAndGeneral>355162</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>1050867</Total>
        <ProgramServices>840694</ProgramServices>
        <ManagementAndGeneral>210173</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ProgramServices>553767802</ProgramServices>
        <ManagementAndGeneral>96500786</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      </CashNonInterestBearing>
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      <FollowSFAS117>X</FollowSFAS117>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>122600933</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-82735707</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
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      <TotalDirectLobbying />
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      <TotalExemptPurposeExpenditures />
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      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
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      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>26866</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>Lobbying Activities</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1F</ReturnReference>
        <Explanation>The Christ Hospital paid membership dues to the Ohio Hospital Association and the American Hospital Association. A percentage of the dues related to lobbying. Total dues expenditures related to lobbying were the following: Ohio Hospital Association: $ 6,785 American Hospital Association: $20,081 ------- Total $26,866</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years />
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      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
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        <BookValue>11900960</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>69773122</Depreciation>
        <BookValue>75388650</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <Depreciation>392986</Depreciation>
        <BookValue>4866553</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <BookValue>112045474</BookValue>
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      <OtherLandBuildings>
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        <Depreciation>37014719</Depreciation>
        <BookValue>45328706</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>249530343</TotalOfBookValueLandBuildings>
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        <Description>Deferred Pension Cost</Description>
        <Amount>114567695</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Related Organizations</Description>
        <Amount>7613448</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Asset Retirement Obligation</Description>
        <Amount>1262062</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Third Party Payors</Description>
        <Amount>-383890</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Liabilities</Description>
        <Amount>1184812</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>124244127</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>INTENDED USE OF ENDOWMENT FUNDS</Identifier>
        <ReturnReference>Schedule D, Part V, LINE 4</ReturnReference>
        <Explanation>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 THE FOUNDATION AND GENERAL ACCOUNTING AND IF EXPENSES ARE IDENTIFIED AS APPROPRIATE TO THE FUND, THE FUND WILL BE CHARGED FOR THE EXPENDITURE. FOR PERMANENTLY RESTRICTED FUNDS, INVESTMENT INCOME WILL BE ALLOCATED BETWEEN INCREASING THE FUND'S CORPUS AND BENEFITING THE PROGRAM AS SPECIFIED BY THE DONOR. ASC 740 / FIN 48 Schedule D, Part X, Line 2 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.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
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      <TotalAmountSpent>15979289</TotalAmountSpent>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
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          <FacilityType>Physician Office</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Physicians</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7809 Laurel Avenue Suite 11</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45243</ZIPCode>
          </Address>
          <FacilityType>Physician Office</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Physicians</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>796 Old State Rt 74 Suite 100</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45245</ZIPCode>
          </Address>
          <FacilityType>Physician Office</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Physicians</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>8250 Kenwood Crossings Way</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45236</ZIPCode>
          </Address>
          <FacilityType>Physician Office</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Physicians</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>98 Elm Street</AddressLine1>
            <City>Lawrenceburg</City>
            <State>IN</State>
            <ZIPCode>47025</ZIPCode>
          </Address>
          <FacilityType>Physician Office</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Diabetes &amp; Endocrine</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1955 Dixie Highway Suite E1</AddressLine1>
            <City>Ft Wright</City>
            <State>KY</State>
            <ZIPCode>41011</ZIPCode>
          </Address>
          <FacilityType>Specialty Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Diabetes &amp; Endocrine</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5885 Harrison Avenue Suite 3200</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45248</ZIPCode>
          </Address>
          <FacilityType>Specialty Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Diabetes &amp; Endocrine</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2727 Madison Road Suite 208</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45209</ZIPCode>
          </Address>
          <FacilityType>Specialty Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Diabetes &amp; Endocrine</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4440 Red Bank Expressway Suite 210</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45227</ZIPCode>
          </Address>
          <FacilityType>Specialty Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Health &amp; Aging Cente</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4900 Babson Place Suite 600</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45227</ZIPCode>
          </Address>
          <FacilityType>Specialty Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Audiology Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4900 Babson Place Suite 500</AddressLine1>
            <City>Oakley</City>
            <State>OH</State>
            <ZIPCode>45227</ZIPCode>
          </Address>
          <FacilityType>Specialty Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Center for Health &amp; Aging</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4900 Babson Place Suite 600</AddressLine1>
            <City>Oakley</City>
            <State>OH</State>
            <ZIPCode>45227</ZIPCode>
          </Address>
          <FacilityType>Specialty Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Diabetes &amp; Endocrine Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4440 Red Bank Expressway Suite 210</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45227</ZIPCode>
          </Address>
          <FacilityType>Specialty Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Pelvic Floor Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2123 Auburn Avenue Suite 322</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45219</ZIPCode>
          </Address>
          <FacilityType>Specialty Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Spine Surgery Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4020 Smith Road</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45209</ZIPCode>
          </Address>
          <FacilityType>Surgery Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Surgery Center - Red Bank Expressway</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4850 Red Bank Expressway</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45227</ZIPCode>
          </Address>
          <FacilityType>Surgery Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Imaging Center - Anderson</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7545 Beechmont Avenue Suite X</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45255</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Imaging Center - Fort Wright</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1955 Dixie Highway Suite E2</AddressLine1>
            <City>Ft Wright</City>
            <State>KY</State>
            <ZIPCode>41011</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Imaging Center - Green Township</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5885 Harrison Avenue Suite 1100</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45248</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Imaging Center - Red Bank</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4440 Red Bank Expressway Suite 100</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45227</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Laboratory Draw Site - Hyde Park</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2727 Madison Road 2nd Floor</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45209</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Testing Center - Anderson</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7545 Beechmont Avenue Suite F</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45255</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Testing Center - Mason</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>608 Reading Road</AddressLine1>
            <City>Mason</City>
            <State>OH</State>
            <ZIPCode>45040</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Testing Center - Mt Auburn</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2123 Auburn Avenue Suite 130</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45219</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Testing Center (Cardiovascular) - Anders</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7545 Beechmont Avenue Suite E</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45255</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Testing Center (Cardiovascular) - Ft Wr</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1955 Dixie Highway Suite E2</AddressLine1>
            <City>Ft Wright</City>
            <State>KY</State>
            <ZIPCode>41011</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Testing Center (Cardiovascular) - Green</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5885 Harrison Avenue Suite 1100</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45248</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Testing Center (Cardiovascular) - Libert</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7335 Yankee Road Suite 201</AddressLine1>
            <City>Liberty Township</City>
            <State>OH</State>
            <ZIPCode>45044</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Testing Center (Cardiovascular) - Montgo</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>10506 Montgomery Road Suite 504</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45242</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Women's Imaging Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2123 Auburn Avenue MOB Suite 324</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45219</ZIPCode>
          </Address>
          <FacilityType>Testing &amp; Imaging Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>The Christ Hospital Urgent Care - Madiso</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4440 Red Bank Expressway Suite 110</AddressLine1>
            <City>Cincinnati</City>
            <State>OH</State>
            <ZIPCode>45227</ZIPCode>
          </Address>
          <FacilityType>Urgent Care</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7, COLUMN F</Identifier>
        <Explanation>BAD DEBTS ARE NETTED AGAINST REVENUES IN PART VIII, AND AS SUCH ARE NOT INCLUDED IN THE TOTAL EXPENSES IN ORDER TO CALCULATE THE PERCENTAGE REPORTED IN COLUMN F ON SCHEDULE H, PART I AND PART II. PART I, LINE 7 TCH applies a cost-to-charge ratio from the medicare cost report to determine financial assistance provided at cost. PART III, LINE 4 NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE LESS THE PROVISION FOR BAD DEBTS ARE RECORDED AT ESTIMATED AMOUNTS EXPECTED TO BE COLLECTED. THESE ESTIMATED AMOUNTS ARE SUBJECT TO FURTHER ADJUSTMENTS UPON REVIEW BY THIRD-PARTY PAYORS. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING CURRENT BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE OF SELF-PAY ACCOUNTS RECEIVABLE INCLUDING THOSE BALANCES AFTER INSURANCE PAYMENTS AND NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ESTIMATED AMOUNT FOR THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY REPORTED ON PART III, LINE 3 WAS DETERMINED USING MANAGEMENT'S BEST ESTIMATE BASED ON AVAILABLE PATIENT DATA. PART III, LINE 8 COSTS REPORTED ON LINE 6 ARE OBTAINED FROM THE MEDICARE COST REPORT WHICH IS BASED ON A COST TO CHARGE RATIO. PART III, LINE 9B PATIENT'S KNOWN TO QUALIFY FOR CHARITY CARE AND FINANCIAL ASSISTANCE ARE NOT SENT TO COLLECTIONS UNLESS A DETERMINATION HAS BEEN MADE THAT THE PATIENT HAS THE FINANCIAL RESOURCES TO PAY SOME PORTION OF THEIR BILL BUT REFUSE TO DO SO. PART V, SECTION B, LINE 19D 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 The Christ Hospital 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 a consistent discounted amount provided to all uninsured patients. The Christ Hospital 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 The Christ Hospital's charity programs. The Christ Hospital works with all patients' based on their individual situation to ensure our mission is being carried out within the community in which we serve. NEEDS ASSESSMENT As a first step towards understanding the health needs of our community, The Christ Hospital (TCH) has formed a Community Benefit and Social Accountability Committee consisting of a variety of internal and external stakeholders to write community benefit policy and to preside over key community benefit decisions. This committee is responsible for determining the health needs of the community TCH serves and implement proven programs and strategies that target those identified needs. They do this by analyzing a number of data sources including public health data, hospitalization data, health risk factor surveys, socioeconomic needs assessments, environmental standards and existing programs that had been developed for residents in their service area. The essential components examined in this process include the data indicators compiled on TCH's online community health dashboard of over 100 economical, environmental and health categories; the A.I.M. (Ask. Inform. Make a difference.) Community Health Needs Assessment; the Hamilton County Public Health Department's Community Health Assessment for Hamilton County; the Greater Cincinnati Community Health Status Survey and The United Way of Greater Cincinnati's Bold Goals. This community benefit data includes both qualitative and quantitative data; demographics including race, age, ethnicity and gender; socioeconomic data including income, education and health insurance rates; primary care and chronic disease needs of uninsured persons; and data on health disparities in health outcomes among minority groups. Key findings are reviewed to further identify gaps in existing community outreach and hospital based services. PATIENT EDUCATION OF ELIGIBILITY AND ASSISTANCE THE CHRIST HOSPITAL (TCH) POSTS ITS CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENT, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. TCH PROVIDES A COPY OF THE POLICY, OR SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH THE FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN THE PATIENT BILLS. TCH DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, WHERE APPLICABLE. ADDITIONALLY, TCH ASSISTS PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. TCH REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: - EXPLORE ELIGIBILITY, - FILE APPLICATION ON PATIENT'S BEHALF, - SCHEDULE AND ATTEND APPOINTMENTS, - PROVIDE TRANSPORTATION WHEN NECESSARY, - PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGHOUT THE REGISTRATION AND DISCHARGE PROCESS, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. TCH UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. TCH REPRESENTATIVES ARE AVAILABLE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. COMMUNITY INFORMATION The Christ Hospital (TCH) primary service area, comprised of 80.0% of the inpatient admissions, encompasses five (5) counties in the greater Cincinnati area including, Hamilton, Clermont, Butler and Warren counties in Ohio and Campbell county in Kentucky. TCH's secondary service area, comprised of an additional 15.0% of the inpatient admissions, encompasses an additional eight (8) counties including Adams, Clinton, Brown and Highland Counties in Ohio; Kenton and Boone Counties in Kentucky; and Dearborn and Ripley Counties in Indiana. The remaining service area is comprised of 5.0% of inpatient admissions, encompassing numerous other counties in Ohio, southwest Indiana and Northern Kentucky. The TCH service area largely serves Hamilton County, which has a population of approximately 867,000 with 13.9% of the population over the age of 65. Hamilton County population includes 15.2% of the population living at less than 100.0% of the federal poverty line. Approximately 71.0% of the Hamilton County population is Caucasian and 25.0% is African American; 2.0% of the population is Asian, and the remaining 2.0% is of other ethnicity. Within Hamilton County, 51.4% of the households have an average income level of less than $50,000; 29.1% of the average household income levels are $50,000 and $100,000; and 19.4% of the average household income levels are greater than $100,000. PROMOTION OF COMMUNITY HEALTH THE CHRIST HOSPITAL (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 ORGANIZATION SUCH AS THE CENTER FOR CLOSING THE HEALTH GAP, THE TCH FAMILY ADVISORY COUNCIL, AND THE GATHERING OF COMMUNITY HEALTH STATISTICS BY THE KSI CLINICAL SERVICES PORTFOLIO TEAM AND BY THE MARKETING DEPARTMENT. INFORMATION GATHERED THROUGH THESE SOURCES HAS LED TO THE DEPLOYMENT OF THE PALLIATIVE CARE PROGRAM, A CENTER FOR HEALTH AND AGING TO ADDRESS THE SPECIAL NEEDS OF GERIATRIC PATIENTS AND A NEWLY REMODELED BEHAVORIAL HEALTH UNIT AT A TIME WHEN OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY WERE DISCONTINUING THAT SERVICE. TCH ALSO SUPPORTS THE COMMUNITY IN NUMBEROUS FUND DRIVES SUCH AS UNITED WAY, AMERICAN HEART ASSOCIATION, DIABETES WALK, CANCER WALK AND FINE ARTS FUND. AT THE BEGINNING OF EACH SCHOOL YEAR AND AT CHRISTMAS, TCH STAFF ALSO DONATES SCHOOL SUPPLIES AND GIFTS TO THE STUDENTS AT TAFT ELEMENTARY SCHOOL LOCATED IN MT. AUBURN. IN ADDITION, THE STAFF PROVIDES MENTORING OPPORTUNITIES TO UNDERGRADUATE AND GRADUATE STUDENT INTERNS INTERESTED IN HEALTHCARE CAREERS AND ALSO TO EXPLORER SCOUTS. AFFILIATED HEALTH CARE SYSTEM N/A STATE FILING OF COMMUNITY BENEFIT REPORT N/A</Explanation>
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          <AddressLine1>3950 RED BANK ROAD</AddressLine1>
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          <BusinessNameLine1>Committee for Citizen Awareness</BusinessNameLine1>
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          <BusinessNameLine1>Foundation for Female Health Awareness</BusinessNameLine1>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Greater Cincinnati Health Council</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2100 SHERMAN AVE STE 100</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45212</ZIPCode>
        </AddressUS>
        <EINOfRecipient>311188610</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>12500</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Life Center Organ Donor Network</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>615 ELSINORE PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>311040508</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Metropolitan Club Corporation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>50 E RIVERCENTER BLVD</AddressLine1>
          <City>COVINGTON</City>
          <State>KY</State>
          <ZIPCode>41011</ZIPCode>
        </AddressUS>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Sponsorship</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Procamps Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4600 MCAULEY PLACE</AddressLine1>
          <City>BLUE ASH</City>
          <State>OH</State>
          <ZIPCode>45242</ZIPCode>
        </AddressUS>
        <EINOfRecipient>452562041</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>Youth Sports Program</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>9</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>3</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Form 990, Schedule I</Identifier>
        <ReturnReference>Description of Organization's Procedures for Monitoring the Use of Grants</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Susan R Croushore</NamePerson>
        <BaseCompensationFilingOrg>509146</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>154393</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>4903</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>316357</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24847</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1009646</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Thomas H Broderick MD</NamePerson>
        <BaseCompensationFilingOrg>408822</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>161045</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>19122</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>46751</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21305</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>657045</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Patrick Kirk MD</NamePerson>
        <BaseCompensationFilingOrg>836873</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>316053</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>10786</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>38500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18754</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1220966</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Chris E Bergman</NamePerson>
        <BaseCompensationFilingOrg>347390</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>120114</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>13667</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>117894</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18965</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>618030</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dean J Kereiakes MD</NamePerson>
        <BaseCompensationFilingOrg>873290</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>112277</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>20236</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>169402</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19226</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1194431</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Reed A Shank MD</NamePerson>
        <BaseCompensationFilingOrg>317871</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>417884</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>20132</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>38500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21414</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>815801</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen G Bennett MD</NamePerson>
        <BaseCompensationFilingOrg>472471</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>234729</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>13946</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>33000</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25414</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>779560</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mickey M Karram MD</NamePerson>
        <BaseCompensationFilingOrg>619336</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>269943</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>19122</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>46750</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18236</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>973387</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Edward V Lim MD</NamePerson>
        <BaseCompensationFilingOrg>527629</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>439613</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>21016</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>46301</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20029</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1054588</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <Explanation>PHYSICIANS ARE PAID A BI-WEEKLY SALARY OR "DRAW". AT THE END OF EACH QUARTER, THEIR YTD COMPENSATION IS COMPARED TO THEIR ACTUAL YTD WORK RELATIVE VALUE UNITS (RVU). COMPENSATION IS THEN ADJUSTED UP OR DOWN BASED ON A COMPARISON OF THE SALARY PAID YTD AND THE RVUS PRODUCED. 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</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HAMILTON COUNTY OHIO</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>316000063</IssuerEIN>
        <DateIssued>2010-12-20</DateIssued>
        <IssuePrice>30000000</IssuePrice>
        <DescriptionOfPurpose>SEE PART VI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HAMILTON COUNTY OHIO</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>316000063</IssuerEIN>
        <CUSIPNumber>40727TCS7</CUSIPNumber>
        <DateIssued>2012-06-26</DateIssued>
        <IssuePrice>333431995</IssuePrice>
        <DescriptionOfPurpose>SEE PART VI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>1779700</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>30021765</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>30021765</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>333431995</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>127109132</RefundingEscrow>
        <IssuanceCostsFromProceeds>5073444</IssuanceCostsFromProceeds>
        <CreditEnhancement>1607333</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>50454620</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>147187466</AmountUnspent>
        <YearOfSubstCompletion>2014</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>FIFTH THIRD BANK</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>9.9</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
      <Form990ScheduleKPartVI>
        <Identifier>PART I, LINE A, COLUMN F</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>DESCRIPTION OF PURPOSE HEALTHCARE FACILITIES VARIABLE RATE REVENUE BONDS (SERIES 2010 BONDS) WERE USED TO REFUND SEVERAL PATIENT CARE PROJECTS AND FINANCE THE</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>PART I, LINE B, COLUMN F</Identifier>
        <ReturnReference>0</ReturnReference>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DEBORAH GERDES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER</Relationship>
        <AmountOfTransaction>269809</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION - SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CINTAS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>ENTITY - SEE PART V</Relationship>
        <AmountOfTransaction>335299</AmountOfTransaction>
        <DescriptionOfTransaction>INDEP CONTRACTOR - SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS WITH INERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV</ReturnReference>
        <Explanation>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 $269,809 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2011. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES. THE SOLE MEMBER OF TCHP IS THE CHRIST HOSPITAL. SCOTT D. FARMER IS A DIRECTOR OF THE CHRIST HOSPITAL. MR. FARMER SERVES AS CHIEF EXECUTIVE OFFICER OF THE CINTAS CORPORATION. THE CHRIST HOSPITAL CONTRACTED WITH THE CINTAS CORPORATION TO PERFORM SERVICES FOR THE CHRIST HOSPITAL. THE CHRIST HOSPITAL PAID CINTAS CORPORATION $335,299 DURING THE FISCAL YEAR ENDED JUNE 30, 2012.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>PART III, LINE 4A</ReturnReference>
        <Explanation>THE CHRIST HOSPITAL (TCH) delivers integrated, individualized healthcare and wellness services through its comprehensive physician network, advanced specialty services and the region's Most Preferred Hospital (National Research Corporation). TCH is an independent 555-bed tertiary care, teaching hospital located in Cincinnati, Ohio. TCH offers a wide range of medical, surgical and testing services at its main campus (the Hospital) in the Mt. Auburn neighborhood approximately one mile north of downtown Cincinnati, and at more than 100 outpatient and physician practice locations throughout Greater Cincinnati. TCH's mission is to provide the finest patient experience and improve the health of the Greater Cincinnati community. This includes providing high-quality personalized healthcare to the community we serve, regardless of an individual's circumstances or ability to pay. Its vision is to be a national leader in clinical excellence and patient experience. The foundation of TCH's mission consists of five core values known as ExCELS (Excellence, Compassion, Efficiency, Leadership, Safety). As the guiding principles of TCH's unique culture, the ExCELS core values are integrated into the organization's Performance Management System, and the employees of TCH are evaluated on how well they demonstrate the these core values. For the past 13 years, TCH has been recognized by U.S. News &amp; World Report as one of the nation's top hospitals and has been named Cincinnati's Most Preferred Hospital for 17 consecutive years by National Research Corporation. TCH has been granted Magnet recognition from the American Nurses Credentialing Center for excellence in nursing care. Additionally, TCH was recognized by the Leapfrog Group as one of 65 adult hospitals in the country leading the nation in patient safety. 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 nearly 1,000 physicians, TCH offers advanced services and technologies in cardiovascular care, orthopaedic and spine treatment, women's health, oncology, geriatrics, cancer, major 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, 2012, TCH's inpatient admissions were approximately 25,000 and its outpatient visits exceeded 200,000. TCH Centers of Excellence TCH takes pride in its self-designated Centers of Excellence, which include Heart and Vascular, Musculoskeletal, Women's Health, Oncology, and Geriatrics. Each specialized Center of Excellence offers comprehensive care and is staffed by a team of skilled physicians, nurses and other healthcare practitioners who participate in specialty training in their respective medical and/or surgical area of expertise on an ongoing basis. Heart and Vascular TCH provides care to thousands of cardiovascular patients every year and offers comprehensive programs in areas such as heart valve disease, advanced heart failure, heart rhythm disturbances, coronary artery disease and a robust clinical research program through The Lindner Research Center. TCH has been named one of the nation's 50 Top Cardiovascular Hospitals by Truven Health Analytics, formerly Thomson Reuters. The study examined the performance of more than 1,000 hospitals by analyzing outcomes for patients with heart failure, heart attacks, and those who received coronary bypass surgery and percutaneous coronary interventions. This is the 9th time TCH has been recognized with this honor. TCH's ranking reflects decades of experience in performing complex heart and vascular procedures, the unparalleled skill of its physicians and the expertise of its staff. Additionally, TCH received the Get With The Guidelines-Heart Failure Gold Quality Achievement Award from the American Heart Association. The recognition signifies that TCH has achieved at least two years of 85% or higher adherence to the guidelines of care recommended by the American Heart Association/American College of Cardiology. Musculoskeletal TCH offers comprehensive orthopaedic and spine services provided by expert specialists who provide a comprehensive range of services that focus on the prevention, diagnosis, treatment and rehabilitation of musculoskeletal disorders. The hospital's highly specialized Spine Institute uses a multi-disciplinary approach to diagnosing and treating back and neck problems through its team of orthopaedic surgeons, neurosurgeons, interventional radiologists, pain management physicians and physical therapists who work collaboratively to ensure that patients receive the best possible care from the experts best suited to provide it. TCH's physicians and surgeons have performed more spine procedures than any other hospital in the Greater Cincinnati area. TCH has been ranked among the top 50 in the nation for orthopaedics by U.S. News &amp; World Report (2012). TCH is not only committed to bringing superior medicine to our communities today - we also invest in the resources, technologies and services needed to support the healthcare needs of our community well into the future. That's why we are constructing a $265 million expansion and improvement of our main campus in Mt. Auburn, the centerpiece of which includes the development of a unique facility dedicated solely to orthopaedic and spine care - The Christ Hospital Orthopaedic &amp; Spine Center. The new facility will support physicians, patients and families in an efficient, healing and technologically advanced environment. It will be the only one locally, and one of only a few in the country, to offer a single purpose facility with a focus on comprehensive orthopaedic and spine services and research. Women's Health TCH offers a wide range of specialized services for women, including a dedicated Women's Surgery Center, as well as a multidisciplinary team of physicians dedicated to treating urogynecology and pelvic floor disorders. TCH is committed to providing patients with exceptional experiences, In 2012, the hospital was named among the Top 100 Hospitals for Patient Experience by WomenCertified and earned the company's Women's Choice Award Out of 4,600 facilities, TCH was recognized as one of the top hospitals for patient experience in both Obstetrics and Heart Care. Oncology TCH includes a Cancer Center that offers a full range of the most advanced cancer services available, including a robust research program and a resource center for patients. TCH provides comprehensive outpatient services, a 30-bed dedicated inpatient medical oncology unit and hospice services, as well as a dedicated suite for High Dose Rate (HDR) radiation therapy. The hospital is accredited by the American College of Surgeons (ACoS), an agency that evaluates quality and outcome data for cancer centers across the nation, and a member of the Association of Community Cancer Centers (ACCC), the leading education and advocacy organization of the cancer team. The organization's other Centers of Excellence also have unique characteristics that differentiate the level of quality and service for Greater Cincinnati. Successful patient-centered programs such as Palliative Care are also drawing the attention of payors in the market who want to work collaboratively to improve both value and quality of health care for the region.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>PART VI, LINE 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE CHRIST HOSPITAL (TCH) IS THE CHRIST HOSPITAL, INC. (TCHI). TCHI HAS THE FOLLOWING AUTHORITY WITH RESPECT TO TCH: 1.) TO APPOINT MEMBERS TO THE GOVERNING BOARD OF TCH, 2.) TO RECEIVE THE NET ASSETS OF TCH UPON DISSOLUTION AND 3.) TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF TCH. GOVERNING BODY AND MANAGEMENT PART VI, LINE 7A AND 7B THE SOLE MEMBER OF THE CHRIST HOSPITAL (TCH) IS THE CHRIST HOSPITAL, INC. (THCI). TCHI HAS THE AUTHORITY TO APPOINT MEMBERS TO THE GOVERNING BOARD OF TCH. AS THE SOLE MEMBER OF TCH, TCHI HAS THE AUTHORITY TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF TCH. PROCESS USED TO REVIEW 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, CFO, AND CEO. THE FORM IS THEN PRESENTED TO THE AUDIT AND FINANCE COMMITTEE AND BOARD FOR FINAL REVIEW. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST 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. THE CHRIST HOSPITAL HAS ADOPTED TWO POLICIES; 1) FOR MEMBERS OF THE BOARD OF DIRECTORS, AND 2) FOR MEDICAL STAFF AND EMPLOYEES AT THE MANGER LEVEL AND ABOVE. THE CHIEF COMPLIANCE OFFICER REVIEWS ANY POTENTIAL CONFLICTS THAT ARE REPORTED OR DISCLOSED AND RECOMMENDS APPROPRIATE ACTIONS TO THE EXECUTIVE TEAM. IN MOST CASES, THE RESTRICTIONS ARE THAT THE INDIVIDUAL MAY NOT PARTICIPATE IN ANY DELIBERATIONS OR DECISIONS REGARDING THE PERSON OR MATTER THAT MAY BE THE SOURCE OF THE POTENTIAL CONFLICT. COMPENSATION DETERMINATION PROCESS PART VI, LINES 15A &amp; 15B COMPENSATION OF THE ORGANIZATION'S CEO &amp; OFFICERS IS REVIEWED ANNUALLY AND THE REVIEW WAS LAST PERFORMED IN MAY OF 2012. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS AND PERFORMS THE REVIEW WITH THE ASSISTANCE OF, AND COMPARABLE DATA PROVIDED, BY THE HAY GROUP. COMPENSATION ARRANGEMENTS HAVE BEEN DETERMINED REASONABLE AND CONTEMPORANEOUSLY DOCUMENTED. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY AND FIN STMTS TO PUBLIC PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON A REASONABLE REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVERAGE HOURS PER WEEK</Identifier>
        <ReturnReference>PART VII, COLUMN (B)</ReturnReference>
        <Explanation>OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES DEVOTE SIGNIFICANT TIME AND EFFORT TO THE OPERATIONS AND OVERSIGHT OF THE CHRIST HOSPITAL. 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, COLUMN (B) ("AVERAGE HOURS PER WEEK"). HOURS WORKED FOR RELATED ORGANIZATION PART VII, COLUMN (B) CERTAIN DIRECTORS FOR THE CHRIST HOSPITAL PROVIDE SERVICES TO OTHER RELATED ORGANIZATIONS. HOURS WORKED ARE NOT TRACKED ON AN ENTITY BY ENTITY BASIS, THEREFORE ALL OFFICERS' HOURS REPORTED ON FORM 990, PART VII REPRESENT AGGREGATE HOURS WORKED PER WEEK FOR ALL ENTITIES. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 CHANGE IN PENSION LIABILITY ($54,125,381) PRIOR PERIOD ADJUSMENT RELATED TO PENSION LIAB. ($32,000,000) UNREALIZED LOSSES ON INTEREST RATE SWAP ($1,773,821) OTHER CURRENT PERIOD ADJUSTMENTS ($1,125,494) NET CHANGE IN UNREALIZED GAINS ON INVESTMENTS $1,101,082 CHANGES RELATED TO K-1 iNCOME $5,187,907 ------------ TOTAL ($82,735,707)</Explanation>
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        <EIN>264165492</EIN>
        <PrimaryActivities>SUPPORT TCH</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Gamble Realty Company</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 Auburn Avenue</AddressLine1>
          <City>Cincinnati</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>311080683</EIN>
        <PrimaryActivities>Real Estate</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EGDHA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MASON PROP CO</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>311384679</EIN>
        <PrimaryActivity>SUPPORT TCH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MIDWEST ULTRASOUND INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8250 KENWOOD CRSSNG STE 225</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45236</ZIPCode>
        </AddressUS>
        <EIN>311073540</EIN>
        <PrimaryActivity>MEDICAL LAB</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>S-CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>5187907</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PROFESSIONAL READERS GROUP INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8250 KENWOOD CRSSNG WAY STE 225</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45236</ZIPCode>
        </AddressUS>
        <EIN>311335218</EIN>
        <PrimaryActivity>MEDICAL PRACT</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>S-CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>THE CHRIST HOSPITAL HEALTH SERVICES CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>311066981</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-CORPORATION</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>EXCEL INSURANCE COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2139 Auburn Ave</AddressLine1>
          <City>Cincinnati</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>980386259</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>TCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>3869707</ShareOfTotalIncome>
        <ShareOfEOYAssets>14173041</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TCH COLLEGE OF NURSING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>758079</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TCH COLLEGE OF NURSING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>1365779</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TCH COLLEGE OF NURSING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>4292740</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TCH COLLEGE OF NURSING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>688212</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MASON PROPERTY CO</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>2090524</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>