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        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>737839</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>3030</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN RENNER</NamePerson>
        <Title>FORMER VP-FINANCE</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>298014</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>32526</OtherCompensation>
      </Form990PartVIISectionA>
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      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>488015</TotalOtherCompensation>
      <NumberIndividualsGT100K>207</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Caretech Solutions Inc</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>POST OFFICE 67471</AddressLine1>
            <City>DETROIT</City>
            <State>MI</State>
            <ZIPCode>48267</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>IT SUPPORT</DescriptionOfServices>
        <Compensation>8089528</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Masterplan</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>9582 TOPANGA CANYON BLVD</AddressLine1>
            <City>CHATSWORHT</City>
            <State>CA</State>
            <ZIPCode>91311</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>BUILDING SUPPORT</DescriptionOfServices>
        <Compensation>5572346</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>DANIS BUILDING CONSTRUCTION</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3233 NEWARK DRIVE</AddressLine1>
            <City>MIAMISBURG</City>
            <State>OH</State>
            <ZIPCode>45342</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Perot Systems Corporation</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
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            <State>IL</State>
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          </AddressUS>
        </AddressOfContractor>
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      <ContractorCompensation>
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          <NamePerson>HEALTH ALLIANCE OF GTR CINTI</NamePerson>
        </NameOfContractor>
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          <AddressUS>
            <AddressLine1>PO BOX 634723</AddressLine1>
            <City>CINCINNATI</City>
            <State>OH</State>
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        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN RESIDENT</DescriptionOfServices>
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      <TotalContributions>444204</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net Patient Revenue</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>538938307</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>538938307</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Rental Income Related to Exempt Purpose</Description>
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        <RelatedOrExemptFunctionIncome>4744353</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Gain/(Loss) from Joint Venture</Description>
        <BusinessCode>900003</BusinessCode>
        <TotalRevenueColumn>-28916</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-627429</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>598513</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>546748419</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1459482</TotalRevenueColumn>
        <ExclusionAmount>1459482</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Television</Description>
        <BusinessCode>517000</BusinessCode>
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        <ExclusionAmount>16525</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Cafeteria</Description>
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        <ExclusionAmount>2098093</ExclusionAmount>
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      <OtherRevenueMisc>
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        <ExclusionAmount>87332</ExclusionAmount>
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      <MiscellaneousRevenue>
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        <ExclusionAmount>1309362</ExclusionAmount>
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      <TotalRevenue>
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        <RelatedOrExemptFunctionIncome>546149906</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>4970794</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>687749</Total>
        <ProgramServices>687749</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>4042181</Total>
        <ProgramServices>3233745</ProgramServices>
        <ManagementAndGeneral>808436</ManagementAndGeneral>
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      <CompDisqualPersons>
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      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>213741456</Total>
        <ProgramServices>170993165</ProgramServices>
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      <PensionPlanContributions>
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        <ProgramServices>5725666</ProgramServices>
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      <OtherEmployeeBenefits>
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        <ProgramServices>26797942</ProgramServices>
        <ManagementAndGeneral>6699485</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>12063534</ProgramServices>
        <ManagementAndGeneral>3015883</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>4430317</Total>
        <ProgramServices>3544254</ProgramServices>
        <ManagementAndGeneral>886063</ManagementAndGeneral>
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      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ProgramServices>3010654</ProgramServices>
        <ManagementAndGeneral>752663</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
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        <ProgramServices>47437992</ProgramServices>
        <ManagementAndGeneral>11859498</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
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        <ProgramServices>3243724</ProgramServices>
        <ManagementAndGeneral>810931</ManagementAndGeneral>
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      </Advertising>
      <OfficeExpenses>
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        <ProgramServices>105167375</ProgramServices>
        <ManagementAndGeneral>26291844</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>14364685</Total>
        <ProgramServices>11491748</ProgramServices>
        <ManagementAndGeneral>2872937</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
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        <ProgramServices>250999</ProgramServices>
        <ManagementAndGeneral>62750</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>725842</Total>
        <ProgramServices>580674</ProgramServices>
        <ManagementAndGeneral>145168</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
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        <ProgramServices>1111948</ProgramServices>
        <ManagementAndGeneral>277987</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>54895514</Total>
        <ProgramServices>43916411</ProgramServices>
        <ManagementAndGeneral>10979103</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>3905432</ProgramServices>
        <ManagementAndGeneral>976358</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Collection Fees</Description>
        <Total>7909374</Total>
        <ProgramServices>6327499</ProgramServices>
        <ManagementAndGeneral>1581875</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Taxes</Description>
        <Total>873</Total>
        <ProgramServices>698</ProgramServices>
        <ManagementAndGeneral>175</ManagementAndGeneral>
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      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues &amp; Subscriptions</Description>
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        <ProgramServices>5165702</ProgramServices>
        <ManagementAndGeneral>1291426</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
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        <ProgramServices>13991370</ProgramServices>
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        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>641758</Total>
        <ProgramServices>513406</ProgramServices>
        <ManagementAndGeneral>128352</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
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        <BOY>24417820</BOY>
        <EOY>4183364</EOY>
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      <TotalAssets>
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        <EOY>544844495</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>78475947</EOY>
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      <OtherLiabilities>
        <BOY>129404618</BOY>
        <EOY>160006434</EOY>
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      <TotalLiabilities>
        <BOY>259546456</BOY>
        <EOY>308826318</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
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        <EOY>0</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>236018177</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>615056136</BOY>
        <EOY>544844495</EOY>
      </TotalLiabNetAssetsFundBalances>
      <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">
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      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
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      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
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      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
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        <ReturnReference>PART II-B, LINE 1F</ReturnReference>
        <Explanation>THE CHRIST HOSPITAL PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERCIAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THE DUES RELATED TO LOBBYING. TOTAL EXPENDITURES RELATED TO LOBBYING WERE THE FOLLOWING: - OHIO HOSPITAL ASSOCIATION: $ 6,997 - AMERICAN HOSPITAL ASSOCIATION: $18,827 TOTAL: $25,824</Explanation>
      </Form990ScheduleCPartIV>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>PART II-B, LINE 1I</ReturnReference>
        <Explanation>THE CHRIST HOSPITAL PAID $7,500 TO DINSMORE PUBLIC SECTOR ADVISORS, LLC FOR LOBBYING SERVICES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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      <HeldWorksOfArtAmts />
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        <BookValue>35678843</BookValue>
      </OtherLandBuildings>
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      <OtherLiabilities>
        <Description>Malpractice Claims</Description>
        <Amount>3349857</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Asset Retirement Obligation</Description>
        <Amount>1140379</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTIES</Description>
        <Amount>-3191655</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>158707853</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>160006434</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 DISCLOSURE</Identifier>
        <ReturnReference>PART XIV</ReturnReference>
        <Explanation>The Company completed an analysis of uncertain tax positions in accordance with applicable accounting guidance at June 30, 2010 and 2009, and determined no amounts were required to be recognized in the consolidated financial statements at June 30, 2010 and 2009.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
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        <DirectOffsettingRevenue>-282987</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15803862</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02780</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>37803099</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>31488288</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6314811</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01110</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>2376130</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1703120</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>673010</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
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        <DirectOffsettingRevenue>32908421</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>22791683</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04010</PercentOfTotalExpense>
      </TotalCharityCare>
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        <NetCommunityBenefitExpense>337976</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <DirectOffsettingRevenue>5749398</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12646663</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02220</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <Research>
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        <DirectOffsettingRevenue>2486079</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2877044</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00510</PercentOfTotalExpense>
      </Research>
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          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
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          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
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          <State>OH</State>
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          <State>OH</State>
          <ZIPCode>45227</ZIPCode>
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          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
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          <State>OH</State>
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          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
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          <State>OH</State>
          <ZIPCode>45328</ZIPCode>
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        <Other>PHYSICIAN OFFICE</Other>
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        <Name>
          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
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          <State>OH</State>
          <ZIPCode>45248</ZIPCode>
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          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
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          <State>OH</State>
          <ZIPCode>45216</ZIPCode>
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        <Name>
          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
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        <Address>
          <AddressLine1>4411 MONTGOMERY ROAD SUITE 201</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45212</ZIPCode>
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          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
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          <State>OH</State>
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          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
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          <State>OH</State>
          <ZIPCode>45243</ZIPCode>
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          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
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          <State>OH</State>
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          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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          <State>OH</State>
          <ZIPCode>45013</ZIPCode>
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          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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        <Address>
          <AddressLine1>321 MITCHELL AVENUE</AddressLine1>
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          <State>OH</State>
          <ZIPCode>47006</ZIPCode>
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          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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        <Address>
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          <State>OH</State>
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          <State>OH</State>
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          <State>OH</State>
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          <State>OH</State>
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          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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          <State>OH</State>
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          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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          <AddressLine1>2123 AUBURN AVENUE SUITE 100</AddressLine1>
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          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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          <AddressLine1>2123 AUBURN AVENUE SUITE 144</AddressLine1>
          <City>CINCINNATI</City>
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          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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          <State>OH</State>
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        <Name>
          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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          <AddressLine1>2841 BOUDINOT AVE SUITE 200</AddressLine1>
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          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
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        <Name>
          <BusinessNameLine1>THE CHRIST HOSPITAL IMAGING CENTER</BusinessNameLine1>
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        <CostingMethodUsed>COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2.</CostingMethodUsed>
        <PercentOfTotalExpenseExpln>BAD DEBTS INCLUDED IN PART IX, LINE 25 TOTALED $17,489,212. THIS AMOUNT HAS BEEN REMOVED FROM THE TOTAL EXPENSES IN ORDER TO CALCULATE THE PERCENTAGE REPORTED IN COLUMN F ON SCHEDULE H, PART I AND PART II.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE 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 HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS 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. AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR PART III, LINE 2. THE ESTIMATED AMOUNT OF 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.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>COSTS REPORTED ON LINE 6 ARE OBTAINED FROM THE MEDICARE COST REPORT WHICH IS BASED ON A COST TO CHARGE RATIO.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>PATIENTS 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.</DebtCollectionPolicy>
        <NeedsAssessment>THE CHRIST HOSPITAL ("TCH") USES EXISTING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS SUCH AS THE 2008 UNITED WAY OF GREATER CINCINNATI REPORT (THE STATE OF THE COMMUNITY - A REPORT ON THE SOCIO-ECONOMIC HEALTH OF THE GREATER CINCINNATI REGION) AND THE HEALTH IMPROVEMENT COLLABORATIVE OF GREATER CINCINNATI REPORT (INDICATORS OF HEALTHY COMMUNITIES 2006). TCH ALSO UTILIZES HOSPITAL PERSONNEL AND PHYSICIANS WHO HAVE IDENTIFIED COMMUNITY NEEDS BASED ON ADMISSION/DISCHARGE AND OTHER HOSPITAL DATA. BASED ON THIS DATA AND INFORMATION, TCH ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. TCH RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; 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. TCH INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS MARKET RESEARCH AND THE ANALYSIS OF HEALTH CARE UTILIZATION DATA BASES. IN ADDITION, SERVICE USE IS FORECAST UTILIZING LICENSED POPULATION BASED SOFTWARE. TCH HAS DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT PLANNING, REPORTING, MONITORING AND IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND SERVICES. COMMUNITY BENEFIT ACTIVITIES AND PROGRAM EFFECTIVENESS ARE REPORTED TO APPROPRIATE EXECUTIVES AND ANALYZED TO ENSURE EFFECTIVENESS.</NeedsAssessment>
        <PatientEducationAssistance>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 FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. TCH DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH 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: o EXPLORE ELIGIBILITY, o FILE APPLICATIONS ON PATIENT'S BEHALF, o SCHEDULE AND ATTEND APPOINTMENTS, o PROVIDE TRANSPORTATION WHEN NECESSARY, o PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGHOUT THE REGISTRATION AND DISCHARGE PROCESSES, 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.</PatientEducationAssistance>
        <CommunityInformation>KEY CUSTOMER GROUPS FOR THE CHRIST HOSPITAL ("TCH") ARE THE COMMUNITY WE SERVE, PATIENTS, AND THEIR FAMILY MEMBERS. THE COMMUNITY IS SEGMENTED INTO A PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA). TCH'S PSA - OR WHERE 80% OF THE HOSPITAL'S ADMISSIONS COME FROM - ENCOMPASSES 10 COUNTIES IN THE GREATER CINCINNATI AREA: HAMILTON, BROWN, BUTLER, WARREN, CLERMONT, AND ADAMS IN OHIO, CAMPBELL, KENTON, BOONE IN KENTUCKY AND DEARBORN COUNTY IN INDIANA. THE ORGANIZATION'S SSA - WHERE THE REMAINING 20% OF HOSPITAL ADMISSIONS COME FROM - ENCOMPASSES AN ADDITIONAL FIVE COUNTIES: CLINTON AND HIGHLAND IN OHIO; AND FRANKLIN, OHIO AND RIPLEY COUNTIES IN INDIANA. THE MAIN SERVICE AREA TCH SERVES, CINCINNATI, HAS AN APPROXIMATE POPULATION OF 332,252 WITH 12.3% BEING OVER THE AGE OF 65. THE POPULATION INCLUDES 2.9% WHICH ARE UNINSURED AND 7.1% WHICH ARE MEDICAID RECIPIENTS. THE POPULATION INCLUDES 3.4% NON-ENGLISH SPEAKING PEOPLE AND 5.7% OF RESIDENTS ARE IN HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES. THE LARGEST ETHNIC GROUP IN THE COMMUNITY SERVED BY THE HOSPITAL IS GERMAN. APPROXIMATELY 24% OF THE POPULATION IS OF GERMAN DESCENT. THE OCCUPATION CLASSIFICATION IN THE COMMUNITY CONSISTS OF 26% BLUE COLLAR, 60% WHITE COLLAR, AND 14% SERVICE AND FARM WORKERS.</CommunityInformation>
        <CommunityBuildingActivities>THE CHRIST HOSPITAL ("TCH") PROVIDES COMMUNITY SUPPORT BY ASSISTING IN DISASTER PREPAREDNESS. PREPARING FOR DISASTER IS AN IMPORTANT ROLE FOR THE HOSPITAL TO ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER, INDUSTRIAL ACCIDENT, OR OTHER LARGE SCALE EMERGENCY. IN ADDITION, TCH HAS ON ONGOING COMMITMENT TO THE MT. AUBURN COMMUNITY THROUGH SERVICE WORK AND DONATIONS, AS WELL AS A COMMUNITY TO SERVICE OF THE POOR AND UNDERSERVED OF THE CINCINNATI AND REGIONAL COMMUNITIES.</CommunityBuildingActivities>
        <OtherInformation>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 ORGANIZATIONS SUCH AS THE CENTER FOR CLOSING THE HEALTH GAP, THE TCH FAMILY ADVISORY COUNCIL, AND THE GATHERING OF COMMUNITY HEALTH STATISTICS BY THE KSI CLINICAL SERVICES PORTFOLIO TEAM AND BY THE MARKETING DEPARTMENT. INFORMATION GATHERED THROUGH THESE SOURCES HAS LED TO THE DEPLOYMENT OF THE PALLIATIVE CARE PROGRAM, A CENTER FOR HEALTH AND AGING TO ADDRESS THE SPECIAL NEEDS OF GERIATRIC PATIENTS AND A NEWLY REMODELED BEHAVIORAL HEALTH UNIT AT A TIME WHEN OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY WERE DISCONTINUING THAT SERVICE. THE HOSPITAL ALSO SUPPORTS THE COMMUNITY IN NUMEROUS FUND DRIVES SUCH AS UNITED WAY, AMERICAN HEART ASSOCIATION, DIABETES WALK, CANCER WALK AND FINE ARTS FUND. AT THE BEGINNING OF EACH SCHOOL YEAR AND AT CHRISTMAS, TCH STAFF ALSO DONATES SCHOOL SUPPLIES AND GIFTS TO THE STUDENTS AT TAFT ELEMENTARY SCHOOL LOCATED IN MT. AUBURN. IN ADDITION, THE STAFF PROVIDES MENTORING OPPORTUNITIES TO UNDERGRADUATE AND GRADUATE STUDENT INTERNS INTERESTED IN HEALTHCARE CAREERS AND ALSO TO EXPLORER SCOUTS.</OtherInformation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>YWCA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>898 WALNUT STREET</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>310537518</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5050</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SERVICE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CINCINNATI BUSINESS COURRIER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>13821 COLLECTIONS CENTER DR</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60693</ZIPCode>
        </AddressUS>
        <EINOfRecipient>134085084</EINOfRecipient>
        <AmountOfCashGrant>8750</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SERVICE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LIFECENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>615 ELSINORE PLACE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>452021459</ZIPCode>
        </AddressUS>
        <EINOfRecipient>311040508</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SERVICE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN DIABETES ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1701 NORTH BEAUREGARD STREET</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>VA</State>
          <ZIPCode>22311</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131623888</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SERVICE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>THANKSGIVING DAY RACE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3243 LINWOOD ROAD</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45226</ZIPCode>
        </AddressUS>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SERVICE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ARTHRITIS FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>7124 MIAMI AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45243</ZIPCode>
        </AddressUS>
        <EINOfRecipient>316043937</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>65000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SERVICE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CENTER FOR RESPITE CARE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 141301</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45250</ZIPCode>
        </AddressUS>
        <EINOfRecipient>202544994</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>100000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SERVICE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN HEART ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5211 MADISON ROAD</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>452271411</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>190500</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SERVICE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CENTER FOR CLOSING THE HEALTH GAP</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3120 BURNET AVE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45229</ZIPCode>
        </AddressUS>
        <EINOfRecipient>200902286</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>210000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY SERVICE</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>7</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>2</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>GENERAL INFORMATION ON GRANTS AND ASSISTANCE</Identifier>
        <ReturnReference>PART I, LINE 2</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 IMRPOVE 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>
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      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <Form990ScheduleJPartII>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>RICK TOLSON</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
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      <Form990ScheduleJPartII>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>32299</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2779</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>486977</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN SCHNEIDER</NamePerson>
        <BaseCompensationFilingOrg>676119</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>43506</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>719625</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DEAN KEREIAKES</NamePerson>
        <BaseCompensationFilingOrg>1016051</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>42421</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5530</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1064002</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN RUNYON</NamePerson>
        <BaseCompensationFilingOrg>788265</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>41973</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>940</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>831178</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN CORL</NamePerson>
        <BaseCompensationFilingOrg>727485</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>34455</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2779</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>764719</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EDWARD SCHLOSS</NamePerson>
        <BaseCompensationFilingOrg>714208</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>35265</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5030</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>754503</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOSEPH CHOO</NamePerson>
        <BaseCompensationFilingOrg>703384</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>34455</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3030</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>740869</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>QUESTIONS REGARDING COMPENSATION</Identifier>
        <ReturnReference>PART I, LINE 5A</ReturnReference>
        <Explanation>PHYSICIANS ARE PAID A BI-WEEKLY SALARY OR "DRAW". AT THE END OF EACH QUARTER, THEIR YTD COMPENSATION IS COMPARED TO WHAT THEIR ACTUAL YTD PRODUCTION WAS. EACH CHARGE GENERATED HAS A WORK RELATIVE VALUE UNIT (RVU) ASSIGNED TO IT. THE TOTAL NUMBER OF WORK RVU'S GENERATED ARE THEN COMPARED TO A GRID THAT TCHMA DEVELOPED. BASED ON WHERE THE PHYSICIAN HITS IN ANNUALIZED WORK RVU PRODUCTION, THE PHYSICIAN IS CREDITED WITH A PERCENTAGE FOR CHARGES GENERATED. IF THIS NUMBER IS GREATER THAN WHAT THE PHYSICIAN WAS PAID BI-WEEKLY (PLUS ANY OTHER BONUS PAYMENT MADE WITHIN THE FISCAL YEAR), THE PHYSICIAN GETS THE DIFFERENCE. IF AT THE END OF THE FISCAL YEAR, THE PHYSICIAN IS IN A POSITION WHERE THE COMPENSATION PAID IS MORE THAN WHAT IS COMPUTED, THEY OWE THAT MONEY BACK TO TCHMA.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE PAYMENT</Identifier>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>JOHN RENNER, FORMER VICE PRESIDENT OF FINANCE, ENDED HIS EMPLOYMENT WITH THE CHRIST HOSPITAL DURING THE FISCAL YEAR ENDED JUNE 30, 2009. MR. RENNER RECEIVED $234,749 IN SEVERANCE PAYMENTS DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2009.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DEBORAH GERDES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF BOARD MEMBER</Relationship>
        <AmountOfTransaction>212108</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCH. O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SCOTT FARMER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER</Relationship>
        <AmountOfTransaction>474408</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCH. 0</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MICHAEL KEATING</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER</Relationship>
        <AmountOfTransaction>80835</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCH. O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>GOVERNING BODY AND MANAGEMENT</Identifier>
        <ReturnReference>PART VI, SECTION A, 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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING BODY AND MANAGEMENT</Identifier>
        <ReturnReference>PART VI, SECTION A, LINES 7A &amp; 7B</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE CHRIST HOSPITAL (TCH) IS THE CHRIST HOSPITAL, INC. (TCHI). TCHI HAS THE AUTHORITY TO APPOINT MEMBERS TO THE GOVERNING BOARD OF TCH. AS THE SOLE MEMBER OF TCH, HAS THE AUTHORITY TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF TCH.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS TO REVIEW THE FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 11B</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED BY THE REPORTING AND AUDIT MANAGER, CONTROLLER, CFO, AND CEO. THE FORM IS THEN PRESENTED TO THE FINANCE COMMITTEE AND BOARD FOR FINAL REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>POLICIES</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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 MANAGER LEVEL AND ABOVE. THE DIRECTOR OF COMPLIANCE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>POLICIES</Identifier>
        <ReturnReference>PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, AND KEY EMPLOYEES IS REVIEWED ANNUALLY. THE COMPENSATION COMMITTEE PERFORMS THE REVIEW WITH THE ASSISTANCE OF THE HAY GROUP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 15A &amp; 15B</ReturnReference>
        <Explanation>COMPENSATION REVIEW IS COMPLETED ANNUALLY BY THE COMPENSATION COMMITTEE WITH THE ASSISTANCE OF THE HAY GROUP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DISCLOSURE</Identifier>
        <ReturnReference>PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON A REASONABLE REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BUSINESS TRANSACTIONS W/ INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV</ReturnReference>
        <Explanation>DEBORAH GERDES, DAUGHTER OF THOMAS GERDES (BOARD MEMBER OF THE CHRIST HOSPITAL), IS EMPLOYED AS A PHYSICIAN BY THE CHRIST HOSPITAL MEDICAL ASSOCIATES (TCHMA). MS. GERDES RECEIVED COMPENSATION OF $212,108 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2009. TCHMA IS A DISREGARDED ENTITY FOR TAX PURPOSES. THE SOLE MEMBER OF TCHMA IS THE CHRIST HOSPITAL. SCOTT D. FARMER IS A BOARD MEMBER OF THE CHRIST HOSPITAL. MR. FARMER SERVES AS PRESIDENT AND CHIEF EXECUTIVE OFFICE OF THE CINTAS CORPORATION. THE CHRIST HOSPITAL CONTRACTED WITH THE CINTAS CORPORATION TO PERFORM SERVICES FOR THE HOSPITAL. THE CHRIST HOSPITAL PAID CINTAS CORPORATION $474,408 DURING THE FISCAL YEAR ENDED JUNE 30, 2010. MICHAEL K. KEATING IS A BOARD MEMBER OF THE CHRIST HOSPITAL. MR. KEATING HAS A REPORTABLE OWNERSHIP PERCENTAGE IN CENTRAL BUSINESS GROUP. DURING THE FISCAL YEAR ENDED JUNE 30, 2010, THE CHRIST HOSPITAL PAID CENTRAL BUSINESS GROUP $80,835 FOR SERVICES. SUBSEQUENT TO JUNE 30, 2010, MR. KEATING COMPLETELY DIVESTED HIS OWNERSHIP INTEREST IN CENTRAL BUSINESS GROUP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VII, COLUMN (B)</Identifier>
        <ReturnReference>AVERAGE HOURS PER WEEK</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").</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSPITAL MEDICAL ASSOCIATES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>261332866</EIN>
        <PrimaryActivities>MEDICAL PRACT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSPITAL CARDIOVASCULAR ASSOC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>263070266</EIN>
        <PrimaryActivities>MEDICAL PRACT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LINDNER CENTER FOR RESEARCH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>263885165</EIN>
        <PrimaryActivities>MED. RESEARCH</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <TotalIncome>2789479</TotalIncome>
        <EOYAssets>7325486</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSPITAL PHYSICIANS LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>273841691</EIN>
        <PrimaryActivities>MEDICAL PRACT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSP ORTHOPEDIC ASSOCIATES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>272352575</EIN>
        <PrimaryActivities>MEDICAL PRACT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSP ORTHOPEDIC ASSOCIATES II</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>273088756</EIN>
        <PrimaryActivities>MEDICAL PRACT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSP ORTHOPEDIC ASSOC III</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>273088817</EIN>
        <PrimaryActivities>MEDICAL PRACT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSP SPINE SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4020 SMITH ROAD</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45209</ZIPCode>
        </AddressUS>
        <EIN>271482322</EIN>
        <PrimaryActivities>MEDICAL PRACT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSP MEDICAL SPECIALISTS LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>270577733</EIN>
        <PrimaryActivities>MEDICAL PRACT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>311080885</EIN>
        <PrimaryActivities>SUPPORT TCH</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRIST HOSP EDU &amp; CLINICAL RESEARCH FUND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>311126561</EIN>
        <PrimaryActivities>SUPPORT TCH</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELIZABETH GAMBLE DEACONESS HOME ASSOC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>311082756</EIN>
        <PrimaryActivities>SUPPORT TCH</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSPITAL COLLEGE OF NURSING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>203823825</EIN>
        <PrimaryActivities>SUPPORT TCH</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSPITAL AUXILLIARY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>201245159</EIN>
        <PrimaryActivities>SUPPORT TCH</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CHRIST HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>264165492</EIN>
        <PrimaryActivities>SUPPORT TCH</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </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>TCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TCHUSP SURGERY CNR</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>15305 DALLAS PARKWAY 1600</AddressLine1>
          <City>ADDISON</City>
          <State>TX</State>
          <ZIPCode>75001</ZIPCode>
        </AddressUS>
        <EIN>272818625</EIN>
        <PrimaryActivity>MEDICAL PRACTICE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MIDWEST ULTRASOUND</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8250 KENWOOD CROSSING WAY SUITE 22</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>7923599</ShareOfTotalIncome>
        <ShareOfEOYAssets>1705977</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PROFESSIONAL READERS GROUP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8250 KENWOOD CROSSING WAY SUITE 22</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45236</ZIPCode>
        </AddressUS>
        <EIN>311335218</EIN>
        <PrimaryActivity>MEDICAL PRACTICE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>S-CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>1159790</ShareOfTotalIncome>
        <ShareOfEOYAssets>258655</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHRIST HOSPITAL HEALTH SERVICES CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2139 AUBURN AVENUE</AddressLine1>
          <City>CINICNNATI</City>
          <State>OH</State>
          <ZIPCode>45219</ZIPCode>
        </AddressUS>
        <EIN>311066981</EIN>
        <PrimaryActivity>OTHER MEDICAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TCH INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-CORPORATION</TypeOfEntity>
        <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>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TCH COLLEGE OF NURSING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>1375135</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TCH COLLEGE OF NURSING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>4490307</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TCH COLLEGE OF NURSING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>565226</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>