TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) R Glen Mayfield Director/Board Chairman	1.0	X	X	0	0
(2) George H Vincent Director/Sec & Treas	1.0	X	X	0	0
(3) Susan R Croushore Director/President & CEO	40.0	X	X	668,442	341,204
(4) Thomas H Broderick MD Director/Pres Medical Staff	1.0	X		588,989	68,056
(5) James E Bushman Director	1.0	X		0	0
(6) R Kerry Clark Director	1.0	X		0	0
(7) Theodore H Emmerich Director	1.0	X		0	0
(8) Scott D Farmer Director	1.0	X		0	0
(9) Thomas R Gerdes Director	1.0	X		0	0
(10) Victoria Buyinski Gluckman Director	1.0	X		0	0
(11) Jeb Head Director	1.0	X		0	0
(12) Roger L Howe Director	1.0	X		0	0
(13) Alfred Kahn III MD Director	8.0	X		131,539	338
(14) Michael K Keating Director	1.0	X		0	0
(15) Patrick Kirk MD Director/Physician	40.0	X		1,163,712	57,254
(16) Donald Raithel MD Director	1.0	X		0	0
(17) Chris E Bergman VP & Chief Financial Officer	40.0		X	481,171	136,859

(A) Name and business address	(B) Description of services	(C) Compensation
Al Neyer LLC 302 West 3rd Street CINCINNATI,OH45202	CONSTRUCTION	10,397,261
PEROT SYSTEMS CORPORATION 12020 COLLECTIONS CENTER DRIVE CHICAGO,IL60693	FINANCIAL SERVICES	7,371,745
CARETECH SOLUTIONS INC 901 WILSHIRE DRIVE SUITE 250 TROY,MI48084	IT SERVICES	7,262,548
SKIDMORE OWINGS MERRILL LLC 224 SOUTH MICHIGAN AVENUE CHICAGO,IL60604	CONSTRUCTION	5,894,037
DANIS BUILDING CONSTRUCTION 3233 NEWARK DRIVE MIAMISBURG,OH45342	CONSTRUCTION	4,494,986
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 56

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	1,114,188	1,114,188
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,634,495	2,907,596	726,899
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	269,809	215,847	53,962
7	Other salaries and wages	262,040,379	209,632,303	52,408,076
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,519,033	9,215,226	2,303,807
9	Other employee benefits .......	35,720,841	28,576,673	7,144,168
10	Payroll taxes ...........	17,439,357	13,951,486	3,487,871
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	2,766,520	2,213,216	553,304
c	Accounting ...........	518,000	414,400	103,600
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	29,884		29,884
g	Other ..........	57,550,764	46,040,611	11,510,153
12	Advertising and promotion ....	3,755,368	3,004,294	751,074
13	Office expenses .......	7,060,664	5,648,532	1,412,132
14	Information technology ......	6,975,020	5,580,016	1,395,004
15	Royalties ..	0
16	Occupancy ...........	16,057,282	12,845,826	3,211,456
17	Travel ............	398,290	318,632	79,658
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	787,674	630,139	157,535
20	Interest ...........	2,205,875	1,764,700	441,175
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	39,507,180	31,605,744	7,901,436
23	Insurance ..............	2,687,128	2,149,702	537,426
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	Medical Supplies	144,596,992	144,596,992
b	Medical Professional Fees	22,173,013	22,173,013
c	DUES AND SUBSCRIPTIONS	8,634,154	6,907,323	1,726,831
d	SETTLEMENTS	1,775,811	1,420,649	355,162
e
f	All other expenses	1,050,867	840,694	210,173
25	Total functional expenses. Add lines 1 through 24f	650,268,588	553,767,802	96,500,786	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	18,727,382	1	250,120,763
2	Savings and temporary cash investments .......	0	2	0
3	Pledges and grants receivable, net .........	151,143,136	3	0
4	Accounts receivable, net .........	78,296,917	4	84,289,986
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........	0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	10,542,544	8	9,534,319
9	Prepaid expenses and deferred charges ............	6,229,882	9	9,511,921
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	683,984,952
b	Less: accumulated depreciation. .....	10b	434,472,539	212,693,958	10c	249,512,413
11	Investments—publicly traded securities ..........	75,323,870	11	228,199,855
12	Investments—other securities. See Part IV, line 11 ......	0	12	3,529,000
13	Investments—program-related. See Part IV, line 11 ..	0	13	0
14	Intangible assets .........	30,143,410	14	28,408,662
15	Other assets. See Part IV, line 11 ...........	5,130,850	15	26,385,020
16	Total assets. Add lines 1 through 15 (must equal line 34)...	588,231,949	16	889,491,939
	17	Accounts payable and accrued expenses .	62,882,395	17	70,435,442
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	29,351,800	20	361,806,089
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	78,188,058	23	5,545,086
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	130,213,727	25	124,244,127
26	Total liabilities. Add lines 17 through 25.....	300,635,980	26	562,030,744
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	287,595,969	27	227,461,195
28	Temporarily restricted net assets .....	0	28	100,000,000
29	Permanently restricted net assets .....	0	29	0
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	287,595,969	33	327,461,195
34	Total liabilities and net assets/fund balances .....	588,231,949	34	889,491,939

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

The Christ Hospital

Employer identification number

31-0538525

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

The Christ Hospital

Employer identification number

31-0538525

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization The Christ Hospital
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization The Christ Hospital
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
The Christ Hospital

Employer identification number

31-0538525

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

The Christ Hospital

Employer identification number

31-0538525

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2011

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

26,866

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

26,866

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Lobbying Activities	SCHEDULE C, PART II-B, LINE 1F	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

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Christ Hospital

Employer identification number

31-0538525

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	6,700,801	20,777,006	28,349,209
b	Contributions ........	145,099,752	1,871,747	1,027,655
c	Net investment earnings, gains, and losses ...	50,373	55,866	537,682
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........		15,257,956	8,476,557
f	Administrative expenses ....	964,950	745,862	660,983
g	End of year balance ......	150,885,976	6,700,801	20,777,006

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

28.850 %

Permanent endowment SchDMd Bullet

0.180 %

Temporarily restricted endowment SchDMd Bullet

70.970 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	11,900,960		11,900,960
b	Buildings ................	147,297,917	69,773,122	75,388,650
c	Leasehold improvements ............	4,575,155	392,986	4,866,553
d	Equipment ................	467,071,830	327,291,712	112,045,474
e	Other .................	53,139,090	37,014,719	45,328,706
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				249,530,343

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
Deferred Pension Cost		114,567,695
Due to Related Organizations		7,613,448
Asset Retirement Obligation		1,262,062
Due to Third Party Payors		-383,890
Other Liabilities		1,184,812




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		124,244,127
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8
9	Total adjustments (net). Add lines 4 through 8 .........................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
INTENDED USE OF ENDOWMENT FUNDS	Schedule D, Part V, LINE 4	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.

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization
The Christ Hospital

Employer identification number

31-0538525

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ..............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(c) Number of employees or agents in region or independent contractors	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for region/investments in region
	Central America and the Caribbean	1	Program Services	Gen & Prof Liab Ins	1,714,213
	Central America and the Caribbean	1	Investments		14,265,076















3a	Sub-total .....	2			15,979,289
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2			15,979,289

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011

Schedule F (Form 990) 2011

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2011

Schedule F (Form 990) 2011Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2011

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2011

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation
ACCOUNTING METHOD	PART I, LINE 3, COLUMN (F)	EXPENDITURES WERE ACCOUNTED FOR USING THE ACCRUAL METHOD OF ACCOUNTING.

Schedule F (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Christ Hospital

Employer identification number

31-0538525

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

If "Yes," did the organization make it available to the public? ...............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	15,327,000		15,327,000	2.360 %
b Medicaid (from Worksheet 3, column a) .....	46,652,000	34,310,000	12,342,000	1.900 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .	11,981,000	4,857,000	7,124,000	1.100 %
dTotal Financial Assistance and Means-Tested Government Programs .....	73,960,000	39,167,000	34,793,000	5.360 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	1,419,399		1,419,399	0.220 %
f Health professions education (from Worksheet 5) ..	18,113,808	8,198,783	9,915,025	1.520 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)	6,090,264	3,242,271	2,847,993	0.440 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	116,327		116,327	0.020 %
jTotal Other Benefits ...	25,739,798	11,441,054	14,298,744	2.200 %
kTotal. Add lines 7d and 7j. ..	99,699,798	50,608,054	49,091,744	7.560 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other	34,581	34,581	0.010 %
10	Total	34,581	34,581	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense........

10,860,838

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

213,614

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

131,863,173

Enter Medicare allowable costs of care relating to payments on line 5.....

150,936,457

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-19,073,284

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	The Christ Hospital 2139 Auburn Avenue Cincinnati,OH45219	X	X	X	X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

The Christ Hospital

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 150.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?73
Name and address		Type of Facility (describe)
1	Outpatient Center - Anderson 7545 Beechmont Avenue Cincinnati,OH45255	Outpatient Center
2	Outpatient Center - Ft Wright KY 1955 Dixie Highway Ft Wright,KY41011	Outpatient Center
3	Outpatient Center - Green Township 5885 Harrison Avenue Cincinnati,OH45248	Outpatient Center
4	Outpatient Center - Red Bank 4440 Red Bank Expressway Cincinnati,OH45227	Outpatient Center
5	PhysOccupational Therapy - Anderson 7545 Beechmont Avenue Suite E Cincinnati,OH45255	Phys/Occupational Therapy
6	PhysOccupational Therapy - Cincinnati S 3950 Red Bank Road Cincinnati,OH45227	Phys/Occupational Therapy
7	PhysOccupational Therapy - Green Townsh 5885 Harrison Avenue Suite 2900 Cincinnati,OH45248	Phys/Occupational Therapy
8	PhysOccupational Therapy - Kenwood 8250 Kenwood Crossings Way Suite 2 Cincinnati,OH45236	Phys/Occupational Therapy
9	PhysOccupational Therapy - Mt Auburn 2123 Auburn Avenue Suite 224 Cincinnati,OH45219	Phys/Occupational Therapy
10	PhysOccupational Therapy - Pilates 2123 Auburn Avenue Suite 236 Cincinnati,OH45219	Phys/Occupational Therapy
11	The Christ Hospital Physicians 10506 Montgomery Road Suite 501 Cincinnati,OH45242	Physician Office
12	The Christ Hospital Physicians 1275 North High Street Hillsboro,OH45133	Physician Office
13	The Christ Hospital Physicians 1380 NW Washington Blvd Hamilton,OH45013	Physician Office
14	The Christ Hospital Physicians 1955 Dixie Highway Ft Wright,KY41011	Physician Office
15	The Christ Hospital Physicians 2123 Auburn Avenue Suite 100 Cincinnati,OH45219	Physician Office
16	The Christ Hospital Physicians 2156 Chamber Center Drive Fort Mitchell,KY41017	Physician Office
17	The Christ Hospital Physicians 230 Medical Center Drive Cincinnati,OH45679	Physician Office
18	The Christ Hospital Physicians 2355 Norwood Avenue Cincinnati,OH45212	Physician Office
19	The Christ Hospital Physicians 24 Compton Road Suite 205 Cincinnati,OH45216	Physician Office
20	The Christ Hospital Physicians 24 Six Pine Ranch Road Batesville,IN47006	Physician Office
21	The Christ Hospital Physicians 2567 Erie Avenue Cincinnati,OH45208	Physician Office
22	The Christ Hospital Physicians 2727 Madison Road Suite 208 Cincinnati,OH45209	Physician Office
23	The Christ Hospital Physicians 334 Thomas More Pkwy Suite 190 Crestview Hills,KY41017	Physician Office
24	The Christ Hospital Physicians 3805 Edwards Road Suite 300 Cincinnati,OH45209	Physician Office
25	The Christ Hospital Physicians 3950 Red Bank Road Cincinnati,OH45227	Physician Office
26	The Christ Hospital Physicians 425 Home Street Geargetown,OH45121	Physician Office
27	The Christ Hospital Physicians 4440 Red Bank Expressway Suite 200 Cincinnati,OH45227	Physician Office
28	The Christ Hospital Physicians 47 East Hollister Street Cincinnati,OH45219	Physician Office
29	The Christ Hospital Physicians 4760 E Galbraith Road Suite 109 Cincinnati,OH45236	Physician Office
30	The Christ Hospital Physicians 4803 Montgomery Road Suite 114 Cincinnati,OH45212	Physician Office
31	The Christ Hospital Physicians 4900 Babson Place Suite 400 Cincinnati,OH45227	Physician Office
32	The Christ Hospital Physicians 5680 Bridgetown Road Cincinnati,OH45248	Physician Office
33	The Christ Hospital Physicians 5885 Harrison Avenue Suite 1900 Cincinnati,OH45248	Physician Office
34	The Christ Hospital Physicians 608 Reading Road Suite B Mason,OH45040	Physician Office
35	The Christ Hospital Physicians 610 W Main Street Wilmington,OH45177	Physician Office
36	The Christ Hospital Physicians 630 West Main Street Wilmington,OH45177	Physician Office
37	The Christ Hospital Physicians 7335 Yankee Road Suite 201 Liberty Township,OH45044	Physician Office
38	The Christ Hospital Physicians 7426 Jager Ct Cincinnati,OH45255	Physician Office
39	The Christ Hospital Physicians 7451 South Mason Montgomery Road Mason,OH45040	Physician Office
40	The Christ Hospital Physicians 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
41	The Christ Hospital Physicians 7589 Tylers Place Blvd Cincinnati,OH45069	Physician Office
42	The Christ Hospital Physicians 7685 Beechmont Avenue Cincinnati,OH45255	Physician Office
43	The Christ Hospital Physicians 7759 University Drive West Chester,OH45069	Physician Office
44	The Christ Hospital Physicians 7809 Laurel Avenue Suite 11 Cincinnati,OH45243	Physician Office
45	The Christ Hospital Physicians 796 Old State Rt 74 Suite 100 Cincinnati,OH45245	Physician Office
46	The Christ Hospital Physicians 8250 Kenwood Crossings Way Cincinnati,OH45236	Physician Office
47	The Christ Hospital Physicians 98 Elm Street Lawrenceburg,IN47025	Physician Office
48	The Christ Hospital Diabetes & Endocrine 1955 Dixie Highway Suite E1 Ft Wright,KY41011	Specialty Center
49	The Christ Hospital Diabetes & Endocrine 5885 Harrison Avenue Suite 3200 Cincinnati,OH45248	Specialty Center
50	The Christ Hospital Diabetes & Endocrine 2727 Madison Road Suite 208 Cincinnati,OH45209	Specialty Center
51	The Christ Hospital Diabetes & Endocrine 4440 Red Bank Expressway Suite 210 Cincinnati,OH45227	Specialty Center
52	The Christ Hospital Health & Aging Cente 4900 Babson Place Suite 600 Cincinnati,OH45227	Specialty Center
53	Audiology Center 4900 Babson Place Suite 500 Oakley,OH45227	Specialty Center
54	Center for Health & Aging 4900 Babson Place Suite 600 Oakley,OH45227	Specialty Center
55	Diabetes & Endocrine Center 4440 Red Bank Expressway Suite 210 Cincinnati,OH45227	Specialty Center
56	Pelvic Floor Center 2123 Auburn Avenue Suite 322 Cincinnati,OH45219	Specialty Center
57	Spine Surgery Center 4020 Smith Road Cincinnati,OH45209	Surgery Center
58	Surgery Center - Red Bank Expressway 4850 Red Bank Expressway Cincinnati,OH45227	Surgery Center
59	Imaging Center - Anderson 7545 Beechmont Avenue Suite X Cincinnati,OH45255	Testing & Imaging Center
60	Imaging Center - Fort Wright 1955 Dixie Highway Suite E2 Ft Wright,KY41011	Testing & Imaging Center
61	Imaging Center - Green Township 5885 Harrison Avenue Suite 1100 Cincinnati,OH45248	Testing & Imaging Center
62	Imaging Center - Red Bank 4440 Red Bank Expressway Suite 100 Cincinnati,OH45227	Testing & Imaging Center
63	Laboratory Draw Site - Hyde Park 2727 Madison Road 2nd Floor Cincinnati,OH45209	Testing & Imaging Center
64	Testing Center - Anderson 7545 Beechmont Avenue Suite F Cincinnati,OH45255	Testing & Imaging Center
65	Testing Center - Mason 608 Reading Road Mason,OH45040	Testing & Imaging Center
66	Testing Center - Mt Auburn 2123 Auburn Avenue Suite 130 Cincinnati,OH45219	Testing & Imaging Center
67	Testing Center (Cardiovascular) - Anders 7545 Beechmont Avenue Suite E Cincinnati,OH45255	Testing & Imaging Center
68	Testing Center (Cardiovascular) - Ft Wr 1955 Dixie Highway Suite E2 Ft Wright,KY41011	Testing & Imaging Center
69	Testing Center (Cardiovascular) - Green 5885 Harrison Avenue Suite 1100 Cincinnati,OH45248	Testing & Imaging Center
70	Testing Center (Cardiovascular) - Libert 7335 Yankee Road Suite 201 Liberty Township,OH45044	Testing & Imaging Center
71	Testing Center (Cardiovascular) - Montgo 10506 Montgomery Road Suite 504 Cincinnati,OH45242	Testing & Imaging Center
72	Women's Imaging Center 2123 Auburn Avenue MOB Suite 324 Cincinnati,OH45219	Testing & Imaging Center
73	The Christ Hospital Urgent Care - Madiso 4440 Red Bank Expressway Suite 110 Cincinnati,OH45227	Urgent Care

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
PART I, LINE 7, COLUMN F		BAD DEBTS ARE NETTED AGAINST REVENUES IN PART VIII, AND AS SUCH ARE NOT INCLUDED IN THE TOTAL EXPENSES IN ORDER TO CALCULATE THE PERCENTAGE REPORTED IN COLUMN F ON SCHEDULE H, PART I AND PART II. 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

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
The Christ Hospital

Employer identification number
31-0538525

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) American Cancer Society340 POPLAR STREET HANOVER,OH17333	13-1788491	501(c)(3)	10,000	General support
(2) American Heart Assocation5211 MADISON ROAD CINCINNATI,OH45227	13-5613797	501(c)(3)	430,500	General support
(3) Arthritis Foundation7124 MIAMI AVENUE CINCINNATI,OH45243	31-6043937	501(c)(3)	60,000	General support
(4) Center for Closing the Health Gap3120 BURNET AVENUE CINCINNATI,OH45229	20-0902286	501(c)(3)	207,500	General support
(5) Center for Respite CarePO BOX 141301 CINCINNATI,OH45250	20-2544994	501(c)(3)	100,500	General support
(6) Cincinnati Sports Mall3950 RED BANK ROAD CINCINNATI,OH45227	31-1249621	N/A	100,000	Community Service
(7) Committee for Citizen Awareness1100 NH AVE NW WASHINGTON,DC20037	52-1451797	501(c)(3)	7,000	General support
(8) Foundation for Female Health Awareness7759 UNIV DRIVE WEST CHESTER,OH45069	52-2394793	501(c)(3)	151,188	General support
(9) Greater Cincinnati Health Council2100 SHERMAN AVE STE 100 CINCINNATI,OH45212	31-1188610	501(c)(3)	12,500	General support
(10) Life Center Organ Donor Network615 ELSINORE PLACE CINCINNATI,OH45202	31-1040508	501(c)(3)	10,000	General support
(11) Metropolitan Club Corporation50 E RIVERCENTER BLVD COVINGTON,KY41011		N/A	10,000	Sponsorship
(12) Procamps Inc4600 MCAULEY PLACE BLUE ASH,OH45242	45-2562041	N/A	15,000	Youth Sports Program

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2011

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Form 990, Schedule I	Description of Organization's Procedures for Monitoring the Use of Grants	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.

Schedule I (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Christ Hospital

Employer identification number

31-0538525

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) Susan R Croushore	(i) (ii)	509,146 0	154,393 0	4,903 0	316,357 0	24,847 0	1,009,646 0	0 0
(2) Thomas H Broderick MD	(i) (ii)	408,822 0	161,045 0	19,122 0	46,751 0	21,305 0	657,045 0	0 0
(3) Patrick Kirk MD	(i) (ii)	836,873 0	316,053 0	10,786 0	38,500 0	18,754 0	1,220,966 0	0 0
(4) Chris E Bergman	(i) (ii)	347,390 0	120,114 0	13,667 0	117,894 0	18,965 0	618,030 0	0 0
(5) Dean J Kereiakes MD	(i) (ii)	873,290 0	112,277 0	20,236 0	169,402 0	19,226 0	1,194,431 0	0 0
(6) Reed A Shank MD	(i) (ii)	317,871 0	417,884 0	20,132 0	38,500 0	21,414 0	815,801 0	0 0
(7) Stephen G Bennett MD	(i) (ii)	472,471 0	234,729 0	13,946 0	33,000 0	25,414 0	779,560 0	0 0
(8) Mickey M Karram MD	(i) (ii)	619,336 0	269,943 0	19,122 0	46,750 0	18,236 0	973,387 0	0 0
(9) Edward V Lim MD	(i) (ii)	527,629 0	439,613 0	21,016 0	46,301 0	20,029 0	1,054,588 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Supplemental Compensation Information		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

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
The Christ Hospital

Employer identification number
31-0538525

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	HAMILTON COUNTY OHIO	31-6000063		12-20-2010	30,000,000	SEE PART VI		X		X		X
B	HAMILTON COUNTY OHIO	31-6000063	40727TCS7	06-26-2012	333,431,995	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	1,779,700		0
2 Amount of bonds legally defeased . . . . . . . . . .	0		0
3 Total proceeds of issue . . . . . . . . . . . . .	30,021,765		333,431,995
4 Gross proceeds in reserve funds . . . . . . . .	0		0
5 Capitalized interest from proceeds . . . . . . . . . .	0		0
6 Proceeds in refunding escrows . . . . . . . . . . .	0		127,109,132
7 Issuance costs from proceeds . . . . . . . . . . .	0		5,073,444
8 Credit enhancement from proceeds . . . . . . . . . .	0		1,607,333
9 Working capital expenditures from proceeds . . . . . . .	0		0
10 Capital expenditures from proceeds . . . . . . . . . .	30,021,765		50,454,620
11 Other spent proceeds . . . . . . . . . . .	0		0
12 Other unspent proceeds . . . . . . . . . . .	0		147,187,466
13 Year of substantial completion . . . . . . . . . . .	2012		2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X
16 Has the final allocation of proceeds been made? . . . . . .		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .	X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .	X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .	X			X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.00000%		0.00000%		%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0.00000%		0.00000%		%		%
7 Does the bond issue meet the private security or payment test? . . .	X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?	X			X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X
b Name of provider . . . . . . . .	FIFTH THIRD BANK		0
c Term of hedge . . . . . . . .	9.9
d Was the hedge superintegrated? . . . .		X
e Was a hedge terminated? . . . . .		X
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X
b Name of provider . . . . . .	0		0
c Term of GIC . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X
6 Did the bond issue qualify for an exception to rebate? .	X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
PART I, LINE A, COLUMN F	0	DESCRIPTION OF PURPOSE HEALTHCARE FACILITIES VARIABLE RATE REVENUE BONDS (SERIES 2010 BONDS) WERE USED TO REFUND SEVERAL PATIENT CARE PROJECTS AND FINANCE THE
PART I, LINE B, COLUMN F	0

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Christ Hospital

Employer identification number

31-0538525

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) DEBORAH GERDES	FAMILY MEMBER	269,809	COMPENSATION - SEE PART V		No
(2) CINTAS	ENTITY - SEE PART V	335,299	INDEP CONTRACTOR - SEE PART V		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
BUSINESS TRANSACTIONS WITH INERESTED PERSONS	SCHEDULE L, PART IV	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.

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

The Christ Hospital

Employer identification number

31-0538525

Identifier	Return Reference	Explanation
DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS	PART III, LINE 4A	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 & 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 & 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 & 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.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	PART VI, LINE 6	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 & 15B COMPENSATION OF THE ORGANIZATION'S CEO & 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.
AVERAGE HOURS PER WEEK	PART VII, COLUMN (B)	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)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Christ Hospital

Employer identification number

31-0538525

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) THE CHRIST HOSPITAL MEDICAL ASSOC LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 26-1332866	MEDICAL PRACT	OH			TCH PHYS
(2) TCH CARDIOVASCULAR ASSOCIATES LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 26-3070266	MEDICAL PRACT	OH			TCH PHYS
(3) Lindner Ctr for Rsrch & Edu at TCH LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 26-3885165	MED RESEARCH	OH	2,760,756	1,318,334	TCH
(4) THE CHRIST HOSPITAL PHYSICIANS LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3841691	MEDICAL PRACT	OH	84,691,881	35,754,163	TCH
(5) TCH ORTHOPAEDIC ASSOCIATES LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-2352575	MEDICAL PRACT	OH			TCH PHYS
(6) TCH ORTHOPAEDIC ASSOCIATES II LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3088756	MEDICAL PRACT	OH			TCH PHYS
(7) TCH ORTHOPAEDIC ASSOC III LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3088817	MEDICAL PRACT	OH			TCH PHYS
(8) THE CHRIST HOSP SPINE SURGERY CENTER LLC 4020 SMITH ROAD CINCINNATI,OH45209 27-1482322	MEDICAL PRACT	OH			TCHUSP
(9) THE CHRIST HOSP MEDICAL SPECIALISTS LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-0577733	MEDICAL PRACT	OH			TCH PHYS
(10) TCH MEDICAL SPECIALISTS II LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 45-2681845	MEDICAL PRACT	OH			TCH PHYS
(11) HPL REALTY CO LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 45-4013544	REAL ESTATE	OH			TCH
(12) TCH MEDICAL ASSOCIATES II LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3999894	MEDICAL PRACT	OH			TCH PHYS
(13) TCH MEDICAL ASSOCIATES III LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-5467250	MEDICAL PRACT	OH			TCH PHYS
(14) PROFESSIONAL DIAGNOSTIC SERVICES LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3081840	MEDICAL SERV	OH			TCH CARDIO
(15) TCHUSP SURGERY CENTER 15305 DALLAS PKWY 1600 CINCINNATI,OH45219 27-2818625	MEDICAL PRACT	OH			TCH
(16) TCH CLINICALLY INTEGRATED NETWORK LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 45-4209314	PHO	OH			TCH

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) THE CHRIST HOSPITAL INC 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1080885	SUPPORT TCH	OH	501(C)(3)	11A	EDGHA		No
(2) CHRIST HOSP EDU & CLINICAL RESEARCH FUND 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1126561	SUPPORT TCH	OH	501(C)(3)	11A	TCH	Yes
(3) ELIZABETH GAMBLE DEACONESS HOME ASSOC 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1082756	SUPPORT TCH	OH	501(C)(3)	11A	NA		No
(4) THE CHRIST HOSPITAL COLLEGE OF NURSING 2139 AUBURN AVENUE CINCINNATI,OH45219 20-3823825	SUPPORT TCH	OH	501(C)(3)	2	TCH	Yes
(5) THE CHRIST HOSPITAL AUXILLIARY 2139 AUBURN AVENUE CINCINNATI,OH45219 20-1245159	SUPPORT TCH	OH	501(C)(3)	11C	TCH	Yes
(6) THE CHRIST HOSPITAL FOUNDATION 2139 AUBURN AVENUE CINCINNATI,OH45219 26-4165492	SUPPORT TCH	OH	501(C)(3)	11A	TCH	Yes
(7) Gamble Realty Company 2139 Auburn Avenue Cincinnati,OH45219 31-1080683	Real Estate	OH	501(c)(2)	N/A	EGDHA	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MASON PROP CO 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1384679	SUPPORT TCH	OH	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) MIDWEST ULTRASOUND INC 8250 KENWOOD CRSSNG STE 225 CINCINNATI,OH45236 31-1073540	MEDICAL LAB	OH	TCH	S-CORPORATION	5,187,907	0	100.000 %
(2) PROFESSIONAL READERS GROUP INC 8250 KENWOOD CRSSNG WAY STE 225 CINCINNATI,OH45236 31-1335218	MEDICAL PRACT	OH	TCH	S-CORPORATION	0	0	100.000 %
(3) THE CHRIST HOSPITAL HEALTH SERVICES CORP 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1066981	MEDICAL SERVICES	OH	NA	C-CORPORATION
(4) EXCEL INSURANCE COMPANY LTD 2139 Auburn Ave Cincinnati,OH45219 98-0386259	INSURANCE	CJ	TCH	C-CORPORATION	3,869,707	14,173,041	100.000 %

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) TCH COLLEGE OF NURSING	A	758,079	FMV
(2) TCH COLLEGE OF NURSING	I	1,365,779	FMV
(3) TCH COLLEGE OF NURSING	N	4,292,740	FMV
(4) TCH COLLEGE OF NURSING	P	688,212	FMV
(5) MASON PROPERTY CO	D	2,090,524	FMV
(6)

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE THE FINEST PATIENT EXPERIENCE AND IMPROVE THE HEALTH OF OUR COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	10
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	5,715
6	Total number of volunteers (estimate if necessary) ....	6	259
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	5,212,021
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	390,470	111,436,472
9	Program service revenue (Part VIII, line 2g) .........	624,052,618	659,423,009
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,014,363	1,123,705
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,718,757	886,335
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	636,176,208	772,869,521
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	927,581	1,114,188
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	305,348,509	330,623,914
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	324,167,573	318,530,486
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	630,443,663	650,268,588
19	Revenue less expenses. Subtract line 18 from line 12.......	5,732,545	122,600,933
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	588,231,949	889,491,939
21	Total liabilities (Part X, line 26).............	300,635,980	562,030,744
22	Net assets or fund balances. Subtract line 21 from line 20.....	287,595,969	327,461,195

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 553,767,802 including grants of $ 1,114,188 ) (Revenue $ 659,423,009 )
	SEE SCHEDULE O.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 553,767,802

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Dean J Kereiakes MD Physician	40.0	X	1,005,803	0	188,628
(19) Reed A Shank MD Physician	40.0	X	755,887	0	59,914
(20) Stephen G Bennett MD Physician	40.0	X	721,146	0	58,414
(21) Mickey M Karram MD Physician	40.0	X	908,401	0	64,986
(22) Edward V Lim MD Physician	40.0	X	988,258	0	66,330

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	7,413,348	0	1,041,983

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		100,000,000
e	Government grants (contributions)1e		11,419,509

f	All other contributions, gifts, grants, and similar amounts not included above1f		16,963
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			111,436,472
			Business Code
2a	Net Patient Service Revenue		621,990	640,371,990	635,182,842	5,189,148
b	OTHER PROGRAM SERVICE REVENUE		621,400	8,720,274	8,697,401	22,873
c	Physician Services		621,110	4,466,308	4,466,308
d	Pharmacy Sales		446,110	3,343,316	3,343,316
e	All other program service revenue			2,521,121	2,521,121
f	All other program service revenue .
g	Total. Add lines 2a–2f........			659,423,009
3	Investment income (including dividends, interest
	and other similar amounts).....			2,776,159		0	2,776,159
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	-1,697,402	49,948
b	Less: cost or other basis and sales expenses		5,000
c	Gain or (loss)	-1,697,402	44,948
d	Net gain or (loss)..........			-1,652,454			-1,652,454
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA/VENDING REVENUE		722,210	2,242,000			2,242,000
b	PMPM Payment		900,099	404,549			404,549
c	EDUCATION/REGISTRATION REVENUE		611,600	193,070			193,070
d	All other revenue ....			-1,953,284			-1,953,284
e	Total. Add lines 11a–11d ......			886,335
12	Total revenue. See Instructions....			772,869,521	654,210,988	5,212,021	2,010,040


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			18,727,382	1	250,120,763
2	Savings and temporary cash investments .......			0	2	0
3	Pledges and grants receivable, net .........			151,143,136	3	0
4	Accounts receivable, net .........			78,296,917	4	84,289,986
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........			0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			10,542,544	8	9,534,319
9	Prepaid expenses and deferred charges ............			6,229,882	9	9,511,921
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	683,984,952
b	Less: accumulated depreciation. .....	10b	434,472,539	212,693,958	10c	249,512,413
11	Investments—publicly traded securities ..........			75,323,870	11	228,199,855
12	Investments—other securities. See Part IV, line 11 ......			0	12	3,529,000
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets .........			30,143,410	14	28,408,662
15	Other assets. See Part IV, line 11 ...........			5,130,850	15	26,385,020
16	Total assets. Add lines 1 through 15 (must equal line 34)...			588,231,949	16	889,491,939
17	Accounts payable and accrued expenses .			62,882,395	17	70,435,442
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			29,351,800	20	361,806,089
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			78,188,058	23	5,545,086
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			130,213,727	25	124,244,127
26	Total liabilities. Add lines 17 through 25.....			300,635,980	26	562,030,744
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			287,595,969	27	227,461,195
28	Temporarily restricted net assets .....			0	28	100,000,000
29	Permanently restricted net assets .....			0	29	0
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			287,595,969	33	327,461,195
34	Total liabilities and net assets/fund balances .....			588,231,949	34	889,491,939

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No