TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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) ERIC STAMLER MD...................................................................... DIRECTOR	40.0 ................. 1.0	X			427,795	0
(2) Robert Heimann...................................................................... Director	1.0 ................. 1.0	X			0	0
(3) KATY BARCLAY...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(4) R Kerry Clark...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(5) Victoria B Gluckman...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(6) Jeb Head...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(7) Thomas R Gerdes...................................................................... Treasurer	1.0 ................. 1.0	X	X		0	0
(8) Deborah P Majoras...................................................................... Secretary	1.0 ................. 0.0	X	X		0	0
(9) George H Vincent...................................................................... Board Chairman	1.0 ................. 1.0	X	X		0	0
(10) Michael K Keating...................................................................... President & CEO	40.0 ................. 1.0	X	X		790,451	234,863
(11) Roger L Howe...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(12) R Glen Mayfield...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(13) Donald J Raithel MD...................................................................... DIRECTOR (THRU 9/2017)	1.0 ................. 1.0	X			0	0
(14) James Devitt...................................................................... Director (Begin 9/2017)	1.0 ................. 0.0	X			0	0
(15) ALMA HELPLING...................................................................... CFO	40.0 ................. 1.0		X		334,484	29,331
(16) Slobodan Stanisic MD...................................................................... PHYSICIAN	40.0 ................. 1.0			X	1,359,209	25,359
(17) Patrick Kirk MD...................................................................... PHYSICIAN	40.0 ................. 1.0			X	1,506,570	26,359

(A) Name and business address	(B) Description of services	(C) Compensation
DANIS BUILDING CONSTRUCTION CO, 3233 NEWARK DRIVE MIAMISBURG,OH45342	CONSTRUCTION	15,133,056
CONIFER HEALTH SOLUTIONS LLC, 901 MAIN STREET DALLAS,TX75202	FINANCIAL SERVICES	7,467,431
QUEST DIAGNOSTICS INC, PO BOX 530458 ATLANTA,GA30353	HEALTHCARE SERVICES	5,843,941
laboratory corporation, PO box 2270 BURLINGTON,NC27216	HEALTHCARE SERVICES	3,634,246
cbts technology solutions, 1507 solutions center CHICAGO,IL60677	technology services	3,346,554
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 111

- 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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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. See section 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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. If the organization did not check a 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—2019. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. 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 VI 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the 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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization THE CHRIST HOSPITAL

Part I Contributors	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
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization THE CHRIST HOSPITAL		Employer identification number 31-0538525

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization THE CHRIST HOSPITAL			Employer identification number 31-0538525
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

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 SchCMd Bullet

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 SchCMd Bullet

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable 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) 2019

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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

5,375

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 ....................................................................................................

5,375

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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1F	LOBBYING ACTIVITIES THE CHRIST HOSPITAL PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION. A PERCENTAGE OF THE DUES RELATED TO LOBBYING. TOTAL DUES RELATED TO LOBBYING WERE THE FOLLOWING: OHIO HOSPITAL ASSOCIATION: $5,375

Schedule C (Form 990 or 990EZ) 2019

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," on 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB 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)

Revenue included on 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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

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

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	11,235,000	7,959,000	64,391,000	122,377,000	147,542,000
b	Contributions ...	79,175,000	8,181,000	1,739,000	5,507,000	24,959,000
c	Net investment earnings, gains, and losses	349,000	25,000	14,000	352,000	255,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	27,702,000	3,209,000	55,232,000	63,120,000	44,255,000
f	Administrative expenses ....		1,721,000	2,953,000	725,000	1,027,000
g	End of year balance ......	63,057,000	11,235,000	7,959,000	64,391,000	127,474,000

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

4.970 %

Term endowment SchDMd Bullet

95.030 %

The percentages on 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" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	48,801,834		48,801,834
b	Buildings ....	491,843,142	135,167,185	356,675,957
c	Leasehold improvements	28,944,747	8,099,370	20,845,377
d	Equipment ....	563,721,085	457,290,793	106,430,292
e	Other .....	132,033,274	98,953,531	33,079,743
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				565,833,203

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	58,270,069
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	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 XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	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 XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Part V, Line 4

INTENDED USE OF ENDOWMENT FUNDS ALL FUNDS RECEIVED BY THE CHRIST HOSPITAL AND THE CHRIST HOSPITAL FOUNDATION, BOTH PERMANENTLY AND TEMPORARILY RESTRICTED, ARE USED IN LINE WITH THE DONOR'S INTENT. ALL FUNDS ARE MONITORED BY THE CHRIST HOSPITAL FOUNDATION AND GENERAL ACCOUNTING AND IF EXPENSES ARE IDENIFIED 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.

Part X, Line 2

Fin 48 footnote (asc 740) THE CHRIST HOSPITAL (TCH) 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). TCH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONs IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT JUNE 30, 2018 AND 2017, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2018 AND 2017.

Schedule D (Form 990) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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" on 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. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, 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 the region	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	1	Program services	GEN & PROF LIAB	2,808,460
	Central America and the Caribbean	1	Investments, program-relate		11,890,975















3a	Sub-total ....	2			14,699,435
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2			14,699,435

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated 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 noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

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

Part III can be duplicated 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

Page 5

Part V

Supplemental Information
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.

ReturnReference	Explanation
PART 1, LINE 3 COLUMNN (F)	ACCOUNTING METHOD EXPENDITURES WERE ACCOUNTED FOR USING THE ACCRUAL METHOD OF ACCOUNTING.

Schedule F (Form 990) 2019

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

THE CHRIST HOSPITAL

Employer identification number

31-0538525

Part I

Financial Assistance 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) as a factor in determining 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 as a factor in determining 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 used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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, as a factor in determining 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

Financial Assistance and Means-Tested Government Programs		(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) . . .	3,288,290		3,288,290	0.330 %
b	Medicaid (from Worksheet 3, column a) . . . . .	97,928,932	60,280,148	37,647,784	3.840 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	101,217,222	60,280,148	40,936,074	4.170 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	482,616		482,616	0.050 %
f	Health professions education (from Worksheet 5) . . .	17,680,236	9,359,183	8,321,053	0.850 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	5,149,001	3,513,013	1,635,988	0.170 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	160,872		160,872	0.020 %
j	Total. Other Benefits . .	23,472,725	12,872,196	10,600,529	1.090 %
k	Total. Add lines 7d and 7j .	124,689,947	73,152,344	51,536,603	5.260 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(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
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

26,891,428

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

436,018

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

167,859,000

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

202,343,000

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

-34,484,000

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 .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	THE CHRIST HOSPITAL 2139 AUBURN AVENUE CINCINNATI,OH45219 www.thechristhospital.com	X	X	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	THE CHRIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	THE CHRIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.%
and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SECTION C

The FAP application form was widely available on a website (list url):

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	THE CHRIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	THE CHRIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B, LINE 3e	SEE NARRATIVE FOR PART V, SECTION B, LINE 11. PART V, SECTION B, LINEs 6a and 6b SEE NARRATIVE FOR PART V, SECTION B, LINE 11. PART V, SECTION B, LINE 6B ADAMS COUNTY REGIONAL MEDICAL CENTER THE CHRIST HOSPITAL HEALTH NETWORK CINCINNATI CHILDRENS HOSPITAL MEDICAL CENTER DEARBORN COUNTY HOSPITAL LINDNER CENTER OF HOPE MARGARET MARY HEALTH MERCY HEALTH: MERCY HEALTH ANDERSON HOSPITAL MERCY HEALTH CLERMONT HOSPITAL MERCY HEALTH FAIRFIELD HOSPITAL THE JEWISH HOSPITAL - MERCY HEALTH MERCY HEALTH WEST HOSPITAL MCCULLOUGH-HYDE MEMORIAL HOSPITAL PREMIER HEALTH: ATRIUM MEDICAL CENTER TRIHEALTH: BETHESDA NORTH HOSPITAL BETHESDA BUTLER HOSPITAL GOOD SAMARITAN HOSPITAL TRIHEALTH EVENDALE HOSPITAL UC HEALTH: DANIEL DRAKE CENTER FOR POST-ACUTE CARE UNIVERSITY OF CINCINNATI MEDICAL CENTER WEST CHESTER HOSPITAL PART V, SECTION B, LINE 7 THE URL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTP:/WWW.THECHRISTHOSPITAL.COM/NEWS-AND-COMMUNITY/CHNA PART V, SECTION B, LINE 10A THE URL FOR THE ORGANIZATION'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS: HTTP:/WWW.THECHRISTHOSPITAL.COM/NEWS-AND-COMMUNITY/CHNA
PART V, SECTION B, LINE 11	THE CHRIST HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN FISCAL YEAR 2016 (JULY 1, 2015 JUNE 30, 2016) AND SOUGHT INPUT FROM A VARIETY OF COMMUNITY PARTNERS IN ORDER TO GAIN VALUABLE INSIGHT INTO THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY WE SERVE. ONE OF OUR PRIMARY PARTNERS IN THIS ENDEAVOR WAS THE HEALTH COLLABORATIVE, A NONPROFIT ORGANIZATION THAT WORKS WITH ITS MEMBER HOSPITALS ON HEALTHCARE IMPROVEMENT PROJECTS AND SHARES BEST PRACTICES. THE HEALTH COLLABORATIVE BROUGHT 20 HOSPITALS TOGETHER, INCLUDING THE CHRIST HOSPITAL, AND LED THE EFFORT TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY. ALONG WITH THE DATA PRODUCED BY THE HEALTH COLLABORATIVE, WE ANALYZED A NUMBER OF DATA SOURCES INCLUDING PUBLIC HEALTH DATA, HEALTH RISK FACTOR SURVEYS, SOCIOECONOMIC NEEDS ASSESSMENTS, ENVIRONMENTAL STANDARDS AND EXISTING PROGRAMS THAT HAD BEEN DEVELOPED FOR RESIDENTS IN THE GREATER CINCINNATI REGION. IN ADDITION, THE CHRIST HOSPITAL ALSO SOUGHT TO REVIEW ANY WRITTEN COMMENTS RECEIVED REGARDING COMMUNITY HEALTH NEEDS IN THE PREVIOUS ASSESSMENT. TO DATE, TO THE BEST OF OUR KNOWLEDGE, NO WRITTEN COMMENTS HAVE BEEN RECEIVED AND, THUS, WRITTEN COMMENTS WERE NOT AVAILABLE FOR CONSIDERATION IN THIS IMPLEMENTATION STRATEGY. THE PREVALENT HEALTH CONCERNS IDENTIFIED IN THE HAMILTON COUNTY AREA THROUGH THIS NEEDS ASSESSMENT INCLUDE: - ACCESS TO CARE - DIABETES AND OBESITY - INFANT MORTALITY - LUNG CANCER - MENTAL HEALTH THROUGH A COLLABORATIVE AND WELL-THOUGHT-OUT PROCESS, THE CHRIST HOSPITAL AND ITS COMMUNITY PARTNERS HAVE REVIEWED THE MOST PREVALENT HEALTH CONCERNS IN HAMILTON COUNTY AND HAVE ESTABLISHED A COURSE OF ACTION. THIS PLAN FOCUSES ON PROGRAMS, RESEARCH AND EDUCATION THAT SPECIFICALLY TARGET SOME OF THE MOST PRESSING HEALTH CONCERNS FACING THE RESIDENTS OF HAMILTON COUNTY WITH THE HOPE OF MAKING MEASURABLE IMPACT ON THE HEALTH OF OUR COMMUNITY. WE RECOGNIZE THAT COMMUNITY HEALTH NEEDS ARE BROAD AND COMPREHENSIVE, AND WHILE WE BRING OUR EXPERTISE AND LEADERSHIP TO ADDRESSING SELECT NEEDS, WE ALSO UNDERSTAND THAT ONE ENTITYS EXPERTISE CANNOT BE BROAD ENOUGH TO BE THE SOLE ANSWER. BECAUSE OF THIS, COLLABORATIONS AND PARTNERSHIPS ARE KEY TO MEETING THOSE NEEDS, AND WE PARTNER WITH COMMUNITY ORGANIZATIONS THAT COMPLEMENT OUR RESOURCES. THIS IMPLEMENTATION PLAN WAS APPROVED BY THE CHRIST HOSPITAL BOARD OF DIRECTORS IN TAX YEAR 2016. TO INCREASE ACCESS TO CARE, THE CHRIST HOSPITAL WILL SEEK TO DEVELOP A COMMUNITY PARAMEDICINE PROGRAM IN PARTNERSHIP WITH THE CINCINNATI FIRE DEPARTMENT THAT PROVIDES POST-ACUTE CHECKS TO PATIENTS WITH A HIGH RISK OF REHOSPITALIZATION. PRIMARY COLLABORATION WILL BE WITH THE CINCINNATI FIRE DEPARTMENT, WHO WILL PROVIDE THE COMMUNITY PARAMEDICS, VEHICLES, AND EQUIPMENT TO DELIVER MEDICAL SERVICES TO PATIENTS. MEDICAL SERVICES WILL INCLUDE IN-PERSON HEALTH ASSESSMENTS OF PATIENTS IN THEIR HOMES, COMPLIANCE WITH DISCHARGE ORDERS AND MEDICATIONS, PATIENT SAFETY AT HOME, AND MONITORING FOR ANY CHANGES THAT COULD RESULT IN PREVENTABLE HOSPITAL READMISSION. SECONDARY COLLABORATION WILL OCCUR WITH LOCAL SOCIAL SERVICES SUCH AS THE UNITED WAY AND COUNCIL ON AGING, WHO WILL SERVE AS A REFERRAL SOURCE TO PROVIDE NON-MEDICAL RESOURCES NEEDED TO IMPROVE PATIENT INDEPENDENCE, EXPERIENCE, AND OUTCOMES. DIABETES AND EDUCATION SERVICES AT THE CHRIST HOSPITAL PROVIDE EDUCATION FOR BOTH BLOOD SUGAR CONTROL AND OBESITY WITHIN THE DIABETIC POPULATION, RESULTING IN IMPROVED HEALTH METRICS AND REDUCED COMPLICATIONS. THE DIABETES AND EDUCATION SERVICES WILL HOST CLASSES AND EMPLOY SPECIALLY TRAINED NURSES AND REGISTERED DIETICIANS. THE DIABETES AND EDUCATION SERVICES CURRENTLY HAVE OVER 7.0 FULL-TIME EMPLOYEES ("FTES") WHO SUPPORT PATIENTS WITH DIABETES. THIS INCLUDES INPATIENT AND OUTPATIENT NURSES AND DIETICIANS WHO ARE CERTIFIED DIABETES EDUCATORS. THEY WILL CONTINUE TO USE THESE EMPLOYEES TO HOST CLASSES, PROVIDE ONE-ON-ONE CONSULTATIONS AND CONTINUED SUPPORT FOR PATIENTS NEEDING ASSISTANCE IN MANAGING THEIR DIABETES. ADDITIONALLY, THESE NURSES AND DIETICIANS HELP COORDINATE THE EFFORTS OF BOTH INPATIENT AND OUTPATIENT EDUCATION. THEY VERIFY AMERICAN DIABETES ASSOCIATION COMPLIANCE AS IT RELATES TO THE SUBJECT OF CLASSES AND INFORMATION PROVIDED TO PATIENTS. CLASSES PROVIDED BY THESE INDIVIDUALS INCLUDE SPECIFIC SUBJECT MATTER SUCH AS: GESTATIONAL DIABETES, PREDIABETES, MEDICAL NUTRITION THERAPY AND DIABETES SELF-MANAGEMENT TRAINING. PARTICIPATION IN OPPORTUNITIES TO EDUCATE PATIENTS AND THE COMMUNITY ON INFANT MORTALITY AND SAFE SLEEP PRACTICES WILL LEAD TO SAFE SLEEP COMPLIANCE FOR FAMILIES WITH NEW BABIES. CURRENTLY, 100% OF PARENTS WITHIN THE CHRIST HOSPITAL ARE PRACTICING SAFE SLEEP TECHNIQUES. THE GOAL WAS MET BY FISCAL YEAR 2018. THE CHRIST HOSPITAL WILL UTILIZE A COORDINATED TEAM OF EDUCATORS, NURSES, NURSE PRACTITIONERS AND MEDICAL DIRECTORS TO IMPROVE EDUCATION REGARDING INFANT MORTALITY AND DISSEMINATE THAT INFORMATION IN A TIMELY MANNER. THIS TEAM WILL ALSO COLLABORATIVELY WORK WITH CRADLE CINCINNATI, THE MARCH OF DIMES, THE NATIONAL INSTITUTE FOR HEALTH AND THE CINCINNATI HEALTH DEPARTMENT AS WELL AS CRIBS FOR KIDS TO ASSIST FAMILIES IN NEED AND EDUCATE THE PUBLIC AND HEALTHCARE PROVIDERS ALIKE. THIS WILL OCCUR IN THE HOSPITAL SETTING AS WELL AS IN CHILDBIRTH EDUCATION CLASSES AND IN VARIOUS COMMUNITY OUTREACH SETTINGS. THE PARTNERSHIPS WITH THESE ORGANIZATIONS ASSIST US IN ACQUIRING EDUCATIONAL MATERIALS FOR STAFF AS WELL AS FOR THE PUBLIC, AND ASSIST US IN ACQUIRING SUPPLIES AS WELL. THE CHRIST HOSPITAL WILL INCREASE THE NUMBER OF LOW-DOSE CT LUNG CANCER SCREENINGS IN OUR PRIMARY CARE OFFICES AND MONITOR THE PERCENT OF PATIENT SCREENED. CURRENTLY THE NUMBER OF LOW-DOSE CT LUNG CANCER SCREENINGS IS 27 PER YEAR, WITH THE GOAL OF IMPROVING THAT TO 52 PER YEAR. THERE WILL ALSO BE UTILIZATION OF THE LUNG NODULE PROGRAM TO MONITOR PATIENTS AT HIGH RISK FOR LUNG CANCER, AND TO FOLLOW HIGH RISK PATIENTS REGULARLY TO FACILITATE EARLY DETECTION FOR THOSE WHO DEVELOP LUNG CANCER. THE CHRIST HOSPITAL WILL IMPLEMENT THESE STRATEGIES WITH THE COLLABORATION OF ORGANIZATIONS SUCH AS: AMERICAN LUNG ASSOCIATION, LUNG CANCER ALLIANCE, AMERICAN LUNG ASSOCIATION, CANCER FAMILY CARE, CANCER SUPPORT COMMUNITY, AMERICAN CANCER SOCIETY, NATIONAL CANCER INSTITUTE, NATIONAL COALITION FOR CANCER SURVIVORSHIP AND NATIONAL COMPREHENSIVE CANCER NETWORK. THE CHRIST HOSPITAL WILL WORK TO CREATE A COMPREHENSIVE OUTPATIENT PROGRAM THAT ADDRESSES THE NEEDS OF PATIENTS WITH MENTAL HEALTH CONDITIONS. THIS PROGRAM WILL INCLUDE EDUCATIONAL SERVICES, FACILITATION OF SUPPORT GROUPS AND MORE SPECIFIC SERVICES TO ADDRESS MENTAL HEALTH CONCERNS. THIS PROGRAM WILL ALLOW THE CHRIST HOSPITAL TO TREAT THE MENTAL HEALTH POPULATION WITH CARE APPROPRIATE FOR THEIR CONDITIONS. THIS TARGETED CARE WILL ALSO CONTRIBUTE TO THE OVERALL UNDERSTANDING OF MENTAL HEALTH NEEDS, HELPING TO DEBUNK MYTHS AND MISUNDERSTANDINGS. A TEAM OF COORDINATED PRACTITIONERS, INCLUDING CLINICAL THERAPISTS, NURSE PRACTITIONERS, PSYCHIATRISTS AND MEDICAL DIRECTORS WILL WORK TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES FOR PATIENTS AND MAKE CARE RECEIVED MORE COMPREHENSIVE. OUR ONGOING WORK HAS YIELDED FAVORABLE RESULTS. ACROSS ALL SECTORS PROGRESS IS BEING MADE TO MEET OUR GOALS. SPECIFICALLY, THE DIABETES CENTER PATIENTS BMI AVERAGE AND A1C SCORES HAVE DECREASED FROM FY15. THERE WAS 100% PARTICIPATION IN SAFE SLEEP PRACTICES AND TECHNIQUES IN THE LAST 4 QUARTERS OF FY 2017. THIS IS AN 18% INCREASE OVER FY 2015 QUARTER 4 REPORT AND HAS EXCEED GOAL BY 3%. ADDITIONALLY, THERE HAS BEEN AN INCREASE IN THE NUMBER OF LOW DOSE CT SCREENINGS PROVIDED BY OUR PRIMARY CARE OFFICES. ALTHOUGH SOME DATA IS NOT REFLECTIVE, DUE TO A LAG IN OUR SYSTEM, A MORE ACCURATE REFLECTION OF OUR WORK WILL BE AVAILABLE CLOSER TO THE END OF OUR FISCAL YEAR. LASTLY, a partner to help establish the hospital's comprehensive outpatient mental health program has been identified and significant efforts are underway to build the program.
part v, section b, lines 16a, 16b and 16c	THE FAP, FAP APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.THECHRISTHOSPITAL.COM/PATIENT-RESOURCES/BILLPAY-INFO PART V, SECTION B, LINE 22D 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. TCH 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 AN ANNUAL COMPUTATION OF AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. TCH 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 TCH'S CHARITY PROGRAMS. TCH WORKS WITH ALL PATIENTS BASED ON THEIR INDIVIDUAL SITUATION TO ENSURE OUR MISSION IS BEING CARRIED OUT WITHIN THE COMMUNITY IN WHICH WE SERVE.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. 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?169
Name and address		Type of Facility (describe)
1	Outpatient Center - Auburn MOB 2123 Auburn Avenue STE A-28 Cincinnati,OH45219	Outpatient Center
2	PhysOccupational Therapy - Montgomery A 11140 Montgomery Road STE 1200 Montgomery,OH45249	Phys/Occupational Therapy
3	PhysOccupational Therapy - Wilder PT 1400 Gloria Terrell Drive Wilder,KY41076	Phys/Occupational Therapy
4	PhysOccupational Therapy - Ft Wright A 1949-2001 Dixie Highway STE J Ft Wright,KY41011	Phys/Occupational Therapy
5	PhysOccupational Therapy - Auburn MOB 2123 Auburn Avenue STE 224 Cincinnati,OH45219	Phys/Occupational Therapy
6	PhysOccupational Therapy - Cincinnati S 3950 Red Bank Road Cincinnati,OH45227	Phys/Occupational Therapy
7	PhysOccupational Therapy - Mason PT 5382-A Cox Smith Road Mason,OH45040	Phys/Occupational Therapy
8	PhysOccupational Therapy - Harrison Gre 5649 Harrison Avenue Cincinnati,OH45248	Phys/Occupational Therapy
9	PhysOccupational Therapy - Anderson AOC 7545 Beechmont Avenue STE E Cincinnati,OH45255	Phys/Occupational Therapy
10	PhysOccupational Therapy - Milford PT 970 974 Lila Avenue Milford,OH45150	Phys/Occupational Therapy
11	The Christ Hospital Physicians 11140 Montgomery Road STE 1300 Montgomery,OH45249	Physician Office
12	The Christ Hospital Physicians 1949-2001 Dixie Highway STE E1 Ft Wright,KY41011	Physician Office
13	The Christ Hospital Physicians 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
14	The Christ Hospital Physicians 2123 Auburn Avenue STE 137 Cincinnati,OH45219	Physician Office
15	The Christ Hospital Physicians 321 Mitchell Avenue Batesville,IN47006	Physician Office
16	The Christ Hospital Physicians 4440 Red Bank Expressway STE 200 Cincinnati,OH45227	Physician Office
17	The Christ Hospital Physicians 5885 Harrison Avenue STE 1900 Cincinnati,OH45248	Physician Office
18	The Christ Hospital Physicians 630 West Main Street STE 300 Wilmington,OH45177	Physician Office
19	The Christ Hospital Physicians 7335 Yankee Road STE A Liberty Township,OH45044	Physician Office
20	The Christ Hospital Physicians 7545 Beechmont Avenue STE D-1 Cincinnati,OH45255	Physician Office
21	The Christ Hospital Physicians 98 Elm Street STE PIH Lawrenceburg,IN47025	Physician Office
22	The Christ Hospital Physicians 11140 Montgomery Road STE 2500 Montgomery,OH45249	Physician Office
23	The Christ Hospital Physicians 1200 Cottonwood Lane Cincinnati,OH45140	Physician Office
24	The Christ Hospital Physicians 1838 Florence Pike STE B Burlington,KY41005	Physician Office
25	The Christ Hospital Physicians 1949-2001 Dixie Highway STE D Ft Wright,KY41011	Physician Office
26	The Christ Hospital Physicians 1949-2001 Dixie Highway STE L1 Ft Wright,KY41011	Physician Office
27	The Christ Hospital Physicians 2123 Auburn Avenue STE 200 Cincinnati,OH45219	Physician Office
28	The Christ Hospital Physicians 2123 Auburn Avenue STE 204 Cincinnati,OH45219	Physician Office
29	The Christ Hospital Physicians 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
30	The Christ Hospital Physicians 2123 Auburn Avenue STE 331 Cincinnati,OH45219	Physician Office
31	The Christ Hospital Physicians 2123 Auburn Avenue STE 334 Cincinnati,OH45219	Physician Office
32	The Christ Hospital Physicians 2123 Auburn Avenue STE 440 Cincinnati,OH45219	Physician Office
33	The Christ Hospital Physicians 2123 Auburn Avenue STE 520 Cincinnati,OH45219	Physician Office
34	The Christ Hospital Physicians 2123 Auburn Avenue STE A-41 Cincinnati,OH45219	Physician Office
35	The Christ Hospital Physicians 2156 Chamber Center Drive Ft Mitchell,KY41017	Physician Office
36	The Christ Hospital Physicians 24 Compton Rd Cincinnati,OH45216	Physician Office
37	The Christ Hospital Physicians 312 Walnut Street STE 1160 Cincinnati,OH45202	Physician Office
38	The Christ Hospital Physicians 3805 Edwards Road STE 130 Cincinnati,OH45209	Physician Office
39	The Christ Hospital Physicians 3805 Edwards Road STE 300 Cincinnati,OH45209	Physician Office
40	The Christ Hospital Physicians 3805 Edwards Road Cincinnati,OH45209	Physician Office
41	The Christ Hospital Physicians 3805 Edwards Road STE 350 Cincinnati,OH45209	Physician Office
42	The Christ Hospital Physicians 3805 Edwards Road STE 360 Cincinnati,OH45209	Physician Office
43	The Christ Hospital Physicians 4440 Red Bank Expressway STE 210 Cincinnati,OH45227	Physician Office
44	The Christ Hospital Physicians 4460 Red Bank Expressway STE 100 Cincinnati,OH45227	Physician Office
45	The Christ Hospital Physicians 4803 Montgomery Road STE 114 Norwood,OH45212	Physician Office
46	The Christ Hospital Physicians 4803 Montgomery Road STE 120 Norwood,OH45212	Physician Office
47	The Christ Hospital Physicians 4900 Babson Place STE 400 Cincinnati,OH45227	Physician Office
48	The Christ Hospital Physicians 5314 Delhi Pike STE 1 Cincinnati,OH45238	Physician Office
49	The Christ Hospital Physicians 5680 Bridgetown Road Cincinnati,OH45248	Physician Office
50	The Christ Hospital Physicians 5714 Signal Hill Court STE C Milford,OH45150	Physician Office
51	The Christ Hospital Physicians 5885 Harrison Avenue STE 2500 Cincinnati,OH45248	Physician Office
52	The Christ Hospital Physicians 5885 Harrison Avenue STE 3200 Cincinnati,OH45248	Physician Office
53	The Christ Hospital Physicians 5885 Harrison Avenue STE 3500 Cincinnati,OH45248	Physician Office
54	The Christ Hospital Physicians 6620 Clough Pike Cincinnati,OH45244	Physician Office
55	The Christ Hospital Physicians 7335 Yankee Road STE 202 Liberty Township,OH45044	Physician Office
56	The Christ Hospital Physicians 7451 Mason Montgomery Road STE 3 Mason,OH45040	Physician Office
57	The Christ Hospital Physicians 7545 Beechmont Avenue STE A Cincinnati,OH45255	Physician Office
58	The Christ Hospital Physicians 7545 Beechmont Avenue STE C Cincinnati,OH45255	Physician Office
59	The Christ Hospital Physicians 7545 Beechmont Avenue STE K Cincinnati,OH45255	Physician Office
60	The Christ Hospital Physicians 7545 Beechmont Avenue STE N Cincinnati,OH45255	Physician Office
61	The Christ Hospital Physicians 7589 Tylers Place Boulevard West Chester,OH45069	Physician Office
62	The Christ Hospital Physicians 8041 Hosbrook Road STE 200 Cincinnati,OH45236	Physician Office
63	The Christ Hospital Physicians 11140 Montgomery Road STE 1100 Montgomery,OH45249	Physician Office
64	The Christ Hospital Physicians 1949-2001 Dixie Highway STE K Ft Wright,KY41011	Physician Office
65	The Christ Hospital Physicians 368 Bielby Road STE 140 Lawrenceburg,IN47025	Physician Office
66	The Christ Hospital Physicians 3950 Red Bank Road Cincinnati,OH45227	Physician Office
67	The Christ Hospital Physicians 4460 Red Bank Expressway Cincinnati,OH45227	Physician Office
68	The Christ Hospital Physicians 4850 Red Bank Road Cincinnati,OH45227	Physician Office
69	The Christ Hospital Physicians 5885 Harrison Avenue STE 2300 Cincinnati,OH45248	Physician Office
70	The Christ Hospital Physicians 7545 Beechmont Avenue STE J Cincinnati,OH45255	Physician Office
71	The Christ Hospital Physicians 9250 Blue Ash Road STE Cincinnati,OH45242	Physician Office
72	The Christ Hospital Physicians 2123 Auburn Avenue STE 723 Cincinnati,OH45219	Physician Office
73	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office/Business Cent
74	Auburn MOB 2123 Auburn Avenue STE 428 Cincinnati,OH45219	Physician Office/Business Cent
75	Auburn MOB 2123 Auburn Avenue STE 528 Cincinnati,OH45219	Physician Office/Business Cent
76	Montgomery AOC 11140 Montgomery Road STE 1100 Montgomery,OH45249	Specialty Center
77	Montgomery AOC 11140 Montgomery Road STE 2100 Montgomery,OH45249	Specialty Center
78	Montgomery AOC 11140 Montgomery Road STE 2200 Montgomery,OH45249	Specialty Center
79	Montgomery AOC 11140 Montgomery Road STE 2300 Montgomery,OH45249	Specialty Center
80	Montgomery AOC 11140 Montgomery Road STE 2400 Montgomery,OH45249	Specialty Center
81	Montgomery AOC 11140 Montgomery Road STE G400 Montgomery,OH45249	Specialty Center
82	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
83	Montgomery Surgery Center 11150 Montgomery Road STE 1000 Cincinnati,OH45249	Specialty Center
84	Montgomery Surgery Center 11150 Montgomery Road STE 1100 Cincinnati,OH45249	Specialty Center
85	Harpers Pointe 11340 Montgomery Road STE 208 Cincinnati,OH45249	Specialty Center
86	Ft Wright AOC 1949-2001 Dixie Highway STE C Ft Wright,KY41011	Specialty Center
87	Ft Wright AOC 1949-2001 Dixie Highway STE E1 Ft Wright,KY41011	Specialty Center
88	Ft Wright AOC 1949-2001 Dixie Highway STE G Ft Wright,KY41011	Specialty Center
89	Ft Wright AOC 1949-2001 Dixie Highway STE M Ft Wright,KY41011	Specialty Center
90	TCHMS Reading Road 2055 Reading Road STE 480 Cincinnati,OH45202	Specialty Center
91	Auburn MOB 2123 Auburn Avenue STE 108 Cincinnati,OH45219	Specialty Center
92	Auburn MOB 2123 Auburn Avenue STE 120 Cincinnati,OH45219	Specialty Center
93	Auburn MOB 2123 Auburn Avenue STE 208 Cincinnati,OH45219	Specialty Center
94	Auburn MOB 2123 Auburn Avenue STE 209 Cincinnati,OH45219	Specialty Center
95	Auburn MOB 2123 Auburn Avenue STE 210 Cincinnati,OH45219	Specialty Center
96	Auburn MOB 2123 Auburn Avenue STE 232 Cincinnati,OH45219	Specialty Center
97	Auburn MOB 2123 Auburn Avenue STE 238 Cincinnati,OH45219	Specialty Center
98	Auburn MOB 2123 Auburn Avenue STE 242 Cincinnati,OH45219	Specialty Center
99	Auburn MOB 2123 Auburn Avenue STE 300 Cincinnati,OH45219	Specialty Center
100	Auburn MOB 2123 Auburn Avenue STE 307 Cincinnati,OH45219	Specialty Center
101	Auburn MOB 2123 Auburn Avenue STE 308 Cincinnati,OH45219	Specialty Center
102	Auburn MOB 2123 Auburn Avenue STE 322 Cincinnati,OH45219	Specialty Center
103	Auburn MOB 2123 Auburn Avenue STE 624 Cincinnati,OH45219	Specialty Center
104	Auburn MOB 2123 Auburn Avenue STE 720 Cincinnati,OH45219	Specialty Center
105	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
106	TCHMS Norwood 2355 Norwood Avenue Floor 1 Cincinnati,OH45212	Specialty Center
107	Red Bank Crossing I 4460 Red Bank Expressway STE 130 Cincinnati,OH45227	Specialty Center
108	Red Bank Crossing I 4460 Red Bank Expressway STE 200 Cincinnati,OH45227	Specialty Center
109	Red Bank Crossing I 4460 Red Bank Expressway STE 220 Cincinnati,OH45227	Specialty Center
110	Linden Pointe Bldg E 4805 Montgomery Road STE 154 Cincinnati,OH45212	Specialty Center
111	Green Township AOC 5885 Harrison Avenue STE 2900 Cincinnati,OH45248	Specialty Center
112	Green Township AOC 5885 Harrison Avenue STE 3100 Cincinnati,OH45248	Specialty Center
113	Green Township AOC 5885 Harrison Avenue STE 3200 Cincinnati,OH45248	Specialty Center
114	Green Township AOC 5885 Harrison Avenue STE 3300 Cincinnati,OH45248	Specialty Center
115	Green Township AOC 5885 Harrison Avenue STE 3700 Cincinnati,OH45248	Specialty Center
116	Mason MOB 608 Reading Road STE B Mason,OH45040	Specialty Center
117	Mason MOB 608 Reading Road STE C Mason,OH45040	Specialty Center
118	Mason MOB 608 Reading Road STE D Mason,OH45040	Specialty Center
119	Clinton Memorial Hospital 630 West Main Street STE 309 Wilmington,OH45177	Specialty Center
120	Anderson AOC 7545 Beechmont Avenue STE B Cincinnati,OH45255	Specialty Center
121	Anderson AOC 7545 Beechmont Avenue STE G Cincinnati,OH45255	Specialty Center
122	Anderson AOC 7545 Beechmont Avenue STE K Cincinnati,OH45255	Specialty Center
123	Anderson AOC 7545 Beechmont Avenue STE M Cincinnati,OH45255	Specialty Center
124	Five Mile 7691 Five Mile Road STE 214 Cincinnati,OH45230	Specialty Center
125	Five Mile 7691 Five Mile Road STE 215 Cincinnati,OH45230	Specialty Center
126	University Pointe Medical Office Condomi 7759 University Drive Unit E West Chester,OH45069	Specialty Center
127	University Pointe Medical Office Condomi 7777 University Drive STE H West Chester,OH45069	Specialty Center
128	Eastgate Medical Office Building 796 Old State Route 74 STE 101 Cincinnati,OH45245	Specialty Center
129	Winton Road 8250 Winton Road STE 210 Cincinnati,OH45236	Specialty Center
130	Montgomery Surgery Center 11150 Montgomery Road STE 1100 Cincinnati,OH45249	Specialty Center
131	Ft Wright AOC 1949-2001 Dixie Highway STE A Ft Wright,KY41011	Specialty Center
132	Ft Wright AOC 1949-2001 Dixie Highway STE H Ft Wright,KY41011	Specialty Center
133	Auburn MOB 2123 Auburn Avenue STE 105 Cincinnati,OH45219	Specialty Center
134	Auburn MOB 2123 Auburn Avenue STE 234 Cincinnati,OH45219	Specialty Center
135	Auburn MOB 2123 Auburn Avenue STE 303 Cincinnati,OH45219	Specialty Center
136	Auburn MOB 2123 Auburn Avenue STE 335 Cincinnati,OH45219	Specialty Center
137	Auburn MOB 2123 Auburn Avenue STE 341 Cincinnati,OH45219	Specialty Center
138	Auburn MOB 2123 Auburn Avenue STE G-3 Cincinnati,OH45219	Specialty Center
139	Red Bank Crossing I 4460 Red Bank Expressway STE 230 Cincinnati,OH45227	Specialty Center
140	Babson 4900 Babson Place STE 500 Cincinnati,OH45227	Specialty Center
141	Babson 4900 Babson Place Cincinnati,OH45227	Specialty Center
142	Babson 4900 Babson Place STE 600 Cincinnati,OH45227	Specialty Center
143	Green Township AOC 5885 Harrison Avenue STE 2100 Cincinnati,OH45248	Specialty Center
144	Anderson AOC 7545 Beechmont Avenue STE L Cincinnati,OH45255	Specialty Center
145	Surgery Center - Auburn MOB 2123 Auburn Avenue STE 201 Cincinnati,OH45219	Surgery Center
146	Surgery Center - Green Township AOC 5885 Harrison Avenue STE 3300 Cincinnati,OH45248	Surgery Center
147	Montgomery Surgery Center 11150 Montgomery Road STE G-100 Cincinnati,OH45249	Surgery Center
148	Imaging Center - Montgomery AOC 11140 Montgomery Road STE G200 Montgomery,OH45249	Testing & Imaging Center
149	Imaging Center - Ft Wright AOC 1949-2001 Dixie Highway STE E2 Ft Wright,KY41011	Testing & Imaging Center
150	Imaging Center - Auburn MOB 2123 Auburn Avenue STE 324 Cincinnati,OH45219	Testing & Imaging Center
151	Imaging Center - Red Bank Crossing II 4440 Red Bank Expressway STE 100 Cincinnati,OH45227	Testing & Imaging Center
152	Imaging Center - Green Township AOC 5885 Harrison Avenue STE 1100 Cincinnati,OH45248	Testing & Imaging Center
153	Imaging Center - Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Testing & Imaging Center
154	Testing Center - Montgomery AOC 11140 Montgomery Road STE G200 Montgomery,OH45249	Testing & Imaging Center
155	Testing Center - Ft Wright AOC 1949-2001 Dixie Highway STE E2 Ft Wright,KY41011	Testing & Imaging Center
156	Testing Center - Green Township AOC 5885 Harrison Avenue STE 1100 Cincinnati,OH45248	Testing & Imaging Center
157	Testing Center - Liberty Commons Medical 7335 Yankee Road STE A Liberty Township,OH45044	Testing & Imaging Center
158	Testing Center - Anderson AOC 7545 Beechmont Avenue STE X Cincinnati,OH45255	Testing & Imaging Center
159	Testing Center - Auburn MOB 2123 Auburn Avenue STE 130 Cincinnati,OH45219	Testing & Imaging Center
160	Testing Center - Mason MOB 608 Reading Road STE B Mason,OH45040	Testing & Imaging Center
161	Testing Center - Montgomery AOC 11140 Montgomery Road STE G300 Montgomery,OH45249	Testing & Imaging Center
162	Testing Center - Ft Wright AOC 1949-2001 Dixie Highway STE B Ft Wright,KY41011	Testing & Imaging Center
163	Testing Center - Auburn MOB 2123 Auburn Avenue STE 124 Cincinnati,OH45219	Testing & Imaging Center
164	Testing Center - Rookwood Tower 3805 Edwards Road Cincinnati,OH45209	Testing & Imaging Center
165	Testing Center - Red Bank Crossing II 4440 Red Bank Expressway STE 120 Cincinnati,OH45227	Testing & Imaging Center
166	Testing Center - Green Township AOC 5885 Harrison Avenue STE 1700 Cincinnati,OH45248	Testing & Imaging Center
167	Testing Center - Anderson AOC 7545 Beechmont Avenue STE F Cincinnati,OH45255	Testing & Imaging Center
168	Urgent Care - Ft Wright AOC 1949-2001 Dixie Highway STE F Ft Wright,KY41011	Urgent Care
169	Urgent Care - Red Bank Crossing II 4440 Red Bank Expressway STE 110 Cincinnati,OH45227	Urgent Care

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference

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 THE CHRIST HOSPITAL (TCH) APPLIES A COST-TO-CHARGE RATIO FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS TO DETERMINE FINANCIAL ASSISTANCE PROVIDED AT COST. PART III, LINES 2 AND 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 TCH'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 PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE AND FINANCIAL ASSISTANCE ARE NOT SENT TO COLLECTIONS UNLESS A DETERMINATION IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY HAS BEEN MADE THAT THE PATIENT HAS THE FINANCIAL RESOURCES TO PAY SOME PORTION OF THEIR BILL BUT REFUSES TO DO SO. Part III, section B In addition to hospital-based revenue and allowable cost generated from Medicare (including DSH and IME) eligible participants reported in Part III Section B, The Christ Hospital provides hospital-based services to other Medicare eligible participants, through Medicare plans sponsored by managed care providers (Medicare Managed Care Plans). Medicare Managed Care Plans are Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs) that provide basic Medicare coverage plus other coverages to fill gaps in Medicare coverage. These plans have arrangements with certain physicians, hospitals and health care providers to serve patients who are plan members at a contracted rate. Below is the shortfall related to hospital-based revenue and allowable costs under Medicare Managed Care Plans: Revenue received from Medicare Managed Care Plans $101,344,000 Allowable cost of care related to payments from above $131,212,000 ------------ Shortfall from Medicare Managed Care Plans $(29,868,000) Also, The Christ Hospital has certain Medicare Part B (physician-based) revenue and allowable cost related to services rendered on behalf of Medicare eligible participants by employed physicians of The Christ Hospital. This would include services provided under traditional Medicare, as well as Medicare Managed Care Plans. Below is the shortfall related to the disregarded entities of the Hospital: Revenue received from Medicare Part B Plans (physician-based) $ 87,850,644 Allowable cost of care related to payments from above $121,093,879 ------------- Shortfall related to the Medicare Part B Plans $(33,243,235) (physician-based) Part VI NEEDS ASSESSMENT OUR FIRST STEP IN CONDUCTING OUR 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS TO DEFINE THE COMMUNITY WE SERVE. TO DO SO WE CONSIDERED A NUMBER OF RELEVANT FACTS AND CIRCUMSTANCES, INCLUDING THE GEOGRAPHIC AREA WE SERVE, THE TARGET POPULATIONS WE SERVE, AND OUR PRINCIPAL FUNCTIONS AS A HOSPITAL, WHICH INCLUDE OUR SERVICE LINES. IN DEFINING THE COMMUNITY WE SERVE, WE SPECIFICALLY INCLUDED THE MEDICALLY UNDERSERVED, LOW INCOME AND THE MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREA FROM WHICH WE DRAW PATIENTS. IN ADDITION, WE INCLUDED ALL PATIENTS WITHOUT REGARD TO WHETHER (OR HOW MUCH) THEY OR THEIR INSURERS PAY FOR CARE RECEIVED OR WHETHER THEY ARE ELIGIBLE FOR ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY. WE ASSESSED THE HEALTH NEEDS OF THE COMMUNITY IN COLLABORATION WITH OTHER NONPROFIT HOSPITALS WHOSE COMMUNITIES OVERLAPPED WITH OURS AND THE HEALTH COLLABORATIVE. THE HEALTH COLLABORATIVE IS A NONPROFIT ORGANIZATION SERVING THE GREATER CINCINNATI AREA. IT WORKS WITH ITS MEMBER HOSPITALS ON HEALTH CARE IMPROVEMENT PROJECTS AND SHARES BEST PRACTICES. THE HEALTH COLLABORATIVE BROUGHT 20 HOSPITALS TOGETHER, INCLUDING THE CHRIST HOSPITAL, TO CONDUCT A COMPREHENSIVE, COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (COLLABORATIVE CHNA). THE COLLABORATIVE CHNA ALSO PROVIDES A DETAILED DESCRIPTION OF (1) HOW THE COLLABORATIVE CHNA TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH, (2) HOW AND OVER WHAT PERIOD OF TIME SUCH INPUT WAS PROVIDED, (3) THE NAMES OF ORGANIZATIONS PROVIDING INPUT AND THE NATURE AND EXTENT OF THE ORGANIZATIONS INPUT, (4) DESCRIPTIONS OF THE MEDICALLY UNDERSERVED, LOW INCOME OR MINORITY POPULATIONS BEING REPRESENTED BY ORGANIZATIONS OR INDIVIDUALS THAT PROVIDED INPUT. IN ADDITION, THE CHRIST HOSPITAL REVIEWED ANY WRITTEN COMMENTS RECEIVED REGARDING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. TO DATE, TO THE BEST OF OUR KNOWLEDGE, NO WRITTEN COMMENTS HAVE BEEN RECEIVED AND, THUS, WRITTEN COMMENTS WERE NOT AVAILABLE FOR CONSIDERATION IN THIS ASSESSMENT. FOR EASE OF REFERENCE, THE FOLLOWING PROVIDES AN EXECUTIVE OVERVIEW OF SOME OF THE PROCESSES, METHODS AND DATA INPUT COLLECTION AND ANALYSIS USED TO CONDUCT THE COLLABORATIVE CHNA. REPRESENTATIVES FROM 11 HEALTHCARE SYSTEMS (REPRESENTING 20 HOSPITALS), INCLUDING THE CHRIST HOSPITAL) MET FIVE TIMES AND COMPRISED THE COLLABORATIVE CHNA COMMITTEE. THIS GROUP ASSISTED IN PROCESS DESIGN, PROVIDED FEEDBACK TO THE CONSULTANT AND THE HEALTH COLLABORATIVE AND SHARED BEST PRACTICES WITH EACH OTHER. THE COLLABORATIVE CHNA COMMITTEE ALSO INCLUDED REPRESENTATIVES FROM THE CINCINNATI HEALTH DEPARTMENT, HAMILTON COUNTY PUBLIC HEALTH, INTERACT FOR HEALTH (A REGIONAL PHILANTHROPIC ORGANIZATION) AND A PHYSICIAN/PROFESSOR FROM XAVIER UNIVERSITY. CONSISTENT SOURCES OF COMPARABLE DATA WERE AVAILABLE ONLY AT THE STATE AND COUNTY LEVELS, AND THEREFORE EACH PARTICIPATING HOSPITAL IDENTIFIED WHICH COUNTIES CONTAINED THEIR SERVICES AREAS. SERVICE AREAS SPANNED 19 COUNTIES OVER THREE STATES. THE CINCINNATI-MIDDLETOWN METROPOLITAN STATISTICAL AREA INCLUDES AN ADDITIONAL FOUR COUNTIES (BRACKEN, GALLATIN, GRANT, AND PENDLETON), AND SO THE COLLABORATIVE CHNA ASSESSED THE NEEDS OF CITIZENS FOR 23 COUNTIES IN TOTAL. RESULTS IN THE COLLABORATIVE CHNA INCLUDE DATA FROM A STRUCTURED SURVEY, QUALITATIVE DATA FROM MULTIPLE FOCUS GROUPS, AN ANALYSIS OF AVAILABLE SECONDARY DATA AND FINDINGS FROM HEALTH DEPARTMENT INTERVIEWS AND SURVEYS. THE CHNA TEAM COLLECTED 106 MEASURES FROM PUBLICLY AVAILABLE SOURCES, STARTING WITH THE COUNTY HEALTH RANKINGS. CRITERIA FOR INCLUSION INCLUDED AVAILABILITY OF TREND DATA AT THE COUNTY LEVEL AND EASE OF COMPARISON AND UPDATING. PRIMARY DATA COLLECTION INVOLVED INTERVIEWS OF PUBLIC HEALTH OFFICIALS; ONLINE AND PAPER SURVEYS; AND COMMUNITY FOCUS GROUPS. THERE WERE FOUR DISTINCT STAKEHOLDER GROUPS WITH SEPARATE ANALYSIS FOR COMPARISON: (1) CONSUMERS AND ORGANIZATIONS WHICH ATTENDED MEETINGS, (2) INDIVIDUALS SURVEYED, (3) ORGANIZATIONS SURVEYED AND (4) HEALTH DEPARTMENTS (COLLECTIVELY, STAKEHOLDERS). ALL RESPONDENTS ANSWERED QUESTIONS ABOUT SERIOUS HEALTH ISSUES, ISSUES HANDLED WELL, ISSUES NOT ADDRESSED ENOUGH, AND BARRIERS TO CARE. HOSPITALS INVITED NONPROFIT AGENCIES AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS TO ATTEND MEETINGS AND COMPLETE SURVEYS. MORE THAN 80 SENT REPRESENTATIVES TO PARTICIPATE IN FOCUS GROUPS. PARTICIPATING ORGANIZATIONS PROVIDED THE NAME OF, AND AREAS SERVED BY, THEIR ORGANIZATION. SURVEY RESPONDENTS ALSO IDENTIFIED THE TYPES OF VULNERABLE POPULATIONS SERVED. MEETING ATTENDEES SHARED THE NAMES OF THE INDIVIDUALS REPRESENTING EACH ORGANIZATION. IN TOTAL, MORE THAN 600 PEOPLE PROVIDED INPUT FOR THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. IMPORTANTLY, THIS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CLOSE COORDINATION WITH A BROADER COLLECTIVE IMPACT ON HEALTH REGIONAL EFFORT, ALSO LED BY THE HEALTH COLLABORATIVE. COLLECTIVE IMPACT ON HEALTH INCLUDED A SIGNIFICANT MICROSIMULATION MODELING PROCESS FOR NOT ONLY UNDERSTANDING THE CURRENT STATE, BUT ALSO FOR MODELING WHAT THE COMMUNITY COULD HOPE TO AC

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) CENTER FOR CLOSING THE HEALTH GAP 3120 BURNET AVEnue CINCINNATI,OH45229	20-0902286	501(c)(3)	200,000	GENERAL SPONSORSHIP
(2) AMERICAN HEART ASSOCIATION INC 5211 MADISON ROAD CINCINNATI,OH452271411	13-5613797	501(c)(3)	112,500	GENERAL SPONSORSHIP
(3) BEACON ORTHOPAEDICS & EDUCATION FOUNDATION INC 500 E BUSINESS WAY CINCINNATI,OH45241	27-0643210	501(c)(3)	153,000	GENERAL SPONSORSHIP
(4) CINCINNATI SPORTS MALL 3950 RED BANK ROAD CINCINNATI,OH45227	31-1249621		87,500	GENERAL SPONSORSHIP
(5) ARTHIRITIS FOUNDATION 7124 MIAMI AVENUE CINCINNATI,OH45243	27-4014550	501(c)(3)	60,000	GENERAL SPONSORSHIP
(6) CRADLE CINCINNATI 3333 BURNET AVE CINCINNATI,OH45229	31-0833936	501(c)(3)	12,500	GENERAL SPONSORSHIP
(7) REDI CINCINNATI 3 EAST FOURTH STREET CINCINNATI,OH45202	47-2090230		25,000	GENERAL SPONSORSHIP
(8) OAK HILLS LOCAL SCHOOL DISTRICT 6325 RAPID RUN ROAD CINCINNATI,OH45233	31-6000742	GOVT	186,894	GENERAL SPONSORSHIP
(9) PRINCETON CITY SCHOOLS 3900 COTTINGHAM DRIVE CINCINNATI,OH45241	31-6006941	GOVT	558,338	GENERAL SPONSORSHIP
(10) MADEIRA CITY SCHOOL DISTrict 7465 LOANNES DRIVE cincinnati,OH45243	31-6000862	GOVT	59,761	GENERAL SPONSORSHIP
(11) ST VINCENT DE PAUL 1125 BANK STREET CINCINNATI,OH45214	31-0537510	501(C)(3)	10,000	GENERAL SPONSORSHIP
(12) CENTER FOR RESPITE CARE 1615 REPUBLIC CINCINnATI,OH45202	20-2544994	501(c)(3)	100,000	GENERAL SPONSORSHIP
(13) THE HEALTH COLLABORATIVE 615 ELSINORE PLACE CINCINnATI,OH45202	31-1449807	501(c)(3)	73,300	GENERAL SPONSORSHIP
(14) WYOMING CITY SCHOOL DISTRICT 420 SPRINGFIELD PIKE WYOMING,OH45215	31-6001020	govt	107,269	GENERAL SPONSORSHIP
(15) KINGS HAMMER SOCCER CLUB 1018 TOWN DRIVE WILDER,KY41076	31-1213703	501(c)(3)	25,000	GENERAL SPONSORSHIP
(16) MOELLER HIGH SCHOOL ATHLETICS 9100 MONTGOMERY ROAD CINCINNATI,OH45242	31-0624667	501(c)(3)	12,900	GENERAL SPONSORSHIP
(17) lakota local school district 5572 princeton road liberty township,OH45011	31-6000897	govt	315,000	General Sponsorship
(18) cincinnati united soccer club 411 circle freeway drive cincinnati,OH45246	31-1461867	501(c)(3)	25,000	general sponsorship
(19) west chester liberty chamber alliance 8922 beckett road west chester,OH45069	31-0901492	501(c)(3)	10,000	general sponsorship
(20) cincinnati marlins inc 616 west north bend road cincinnati,OH45224	31-0725166	501(c)(3)	6,063	general sponsorship

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

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

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) 2019

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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

Yes

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

Yes

Indicate which, if any, of the following the filing organization used 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

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

Cat. No. 50053T

Schedule J (Form 990) 2019

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 on 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 (E) amounts for that individual.

(A) Name and Title		(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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1Slobodan Stanisic MD PHYSICIAN	(i) (ii)	1,339,499 ------------- 0	0 ------------- 0	19,710 ------------- 0	0 ------------- 0	25,359 ------------- 0	1,384,568 ------------- 0	0 ------------- 0
2ERIC STAMLER MD DIRECTOR	(i) (ii)	406,431 ------------- 0	0 ------------- 0	21,364 ------------- 0	0 ------------- 0	0 ------------- 0	427,795 ------------- 0	0 ------------- 0
3Patrick Kirk MD PHYSICIAN	(i) (ii)	1,501,668 ------------- 0	0 ------------- 0	4,902 ------------- 0	0 ------------- 0	26,359 ------------- 0	1,532,929 ------------- 0	0 ------------- 0
4Scott Hamlin THRU 617 Senior Vice Pre. & CFO	(i) (ii)	297,419 ------------- 0	0 ------------- 0	12,332 ------------- 0	0 ------------- 0	14,194 ------------- 0	323,945 ------------- 0	0 ------------- 0
5Robert Cody MD PHYSICIAN	(i) (ii)	1,373,216 ------------- 0	0 ------------- 0	7,524 ------------- 0	0 ------------- 0	13,894 ------------- 0	1,394,634 ------------- 0	0 ------------- 0
6MANISH BHANDARI MD Physician	(i) (ii)	1,336,096 ------------- 0	0 ------------- 0	1,710 ------------- 0	0 ------------- 0	25,359 ------------- 0	1,363,165 ------------- 0	0 ------------- 0
7MARC SCHNEIDER MD PHYSICIAN	(i) (ii)	1,395,489 ------------- 0	0 ------------- 0	19,710 ------------- 0	0 ------------- 0	25,359 ------------- 0	1,440,558 ------------- 0	0 ------------- 0
8Michael K Keating President & CEO	(i) (ii)	746,943 ------------- 0	0 ------------- 0	43,508 ------------- 0	208,542 ------------- 0	26,321 ------------- 0	1,025,314 ------------- 0	0 ------------- 0
9ALMA HELPLING CFO	(i) (ii)	330,735 ------------- 0	0 ------------- 0	3,749 ------------- 0	6,616 ------------- 0	22,715 ------------- 0	363,815 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

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

Return Reference

Explanation

Part I, 1a

TCH monitors all expense reimbursements for social club dues paid for on behalf of TCH. Should any expenses be deemed for personal use, an appropriate fringe benefit would be included in the employees compensation for the portion of the social club dues that relate to personal use. part i, line 4b THE CHRIST HOSPITAL HAS A 457(F) NON-QUALIFIED DEFERRED COMpENSATION PLAN FOR CERTAIN SENIOR EXECUTIVES. THE FOLLOWING INDIVIUDALS HAVE AN ACCRUAL REPORTED IN PART II, COLUMN (C): michael k. keating $208,542 Alma helpling $6,616

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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		06-26-2012	333,431,995	SEE PART VI		X		X		X
B	HAMILTON COUNTY OHIO	31-6000063		12-20-2010	30,000,000	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	13,110,000		9,329,700
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	334,095,250		30,021,765
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	27,741,427		0
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	5,073,444		0
8 Credit enhancement from proceeds .............	1,607,333		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	172,541,278		30,021,765
11 Other spent proceeds .............	127,109,132		0
12 Other unspent proceeds .............	0		0
13 Year of substantial completion .............	2016		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

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?
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 %		0.300 %
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 .........	0.600 %		0 %
6 Total of lines 4 and 5 .............	0.600 %		0.300 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X
9 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 the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...	X			X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X
b Name of provider ..........	0		fifth third bank
c Term of hedge .........			750 %
d Was the hedge superintegrated? ......				X
e Was the hedge terminated? ........				X

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a 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? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Part I, Line A, Column F	THE DIFFERENCE BETWEEN PART I, COLUMN(E) AND PART II IS DUE TO INVESTMENT EARNINGS OF $663,255.
PART I, LINE B, COLUMN F	THE DIFFERENCE BETWEEN PART I, COLUMN(E) AND PART II IS DUE TO INVESTMENT EARNINGS OF $21,765.

Schedule K (Form 990) 2019

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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), section 501(c)(4), and section 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

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






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

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

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	193,973	COMPENSATION - SEE PART V		No
(2) PAIGE A DEBUYS	FAMILY MEMBER	125,586	COMPENSATION - SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

Business Transactions

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 $193,973 DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2017. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES. PAIGE A. DEBUYS, SISTER OF ROBERT HEIMANN (DIRECTOR OF TCH), IS EMPLOYED AS A PHYSICIAN BY TCHP. MS. DEBUYS RECEIVED COMPENSATION OF $125,586 DURING CALENDAR YEAR ENDED DECEMBER 31, 2017. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES.

Schedule L (Form 990 or 990-EZ) 2019

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

THE CHRIST HOSPITAL

Employer identification number

31-0538525

Return Reference	Explanation
part vi, lines 6, 7a & 7b	Description of classes of members or stockholders THE SOLE VOTING 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. SIGNIFICANT DECISIONS INCLUDE THOSE WITH THE POTENTIAL TO IMPACT THE MISSION AND VISION OF TCH. THE ELIZABETH GAMBLE DEACONESS HOME ASSOCIATION (EGDHA) IS A CONSENTING MEMBER OF TCH. EGDHA MUST CONSENT TO THE DISSOLUTION, MERGER, SALE OR DISPOSITION OF MATERIAL ASSETS OF TCH.
part vi, line 11b	process used to review form 990 THE FORM 990 IS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED BY THE CHIEF ACCOUNTING OFFICER, THE CFO, AND THE CEO. THE FORM IS THEN PRESENTED TO THE AUDIT AND RISK MANAGEMENT COMMITTEE AND BOARD FOR FINAL REVIEW.
part vi, line 12c	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST CONFLICT OF INTEREST (COI) DISCLOSURE FORMS ARE DISTRIBUTED ANNUALLY TO CERTAIN POTENTIALLY AFFECTED INDIVIDUALS. INDIVIDUALS ARE UNDER A DUTY TO DISCLOSE ANY POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN THE ANNUAL FILINGS OF THE DISCLOSURE FORM. INDIVIDUALS COVERED UNDER THE CONFLICT OF INTEREST POLICY INCLUDE OFFICERS AND DIRECTORS. CONFLICTS OF INTEREST ARE DETERMINED BASED ON RESPONSES TO THE COI ANNUAL CERTIFICATION. THESE ARE REVIEWED BY LEGAL SERVICES AND CORPORATE COMPLIANCE AND FORWARDED TO SENIOR MANAGEMENT. BASED ON THE NATURE OF THE JOB DUTIES AND SPECIFIC DISCLOSURES IN THE CERTIFICATION, FURTHER CLARIFICATION MAY BE REQUESTED AND/OR A DECISION TO IMPLEMENT ALTERNATIVE PROCEDURES THAT WILL ELIMINATE THE POTENTIAL CONFLICT OF INTEREST WILL BE MADE.
part vi, lines 15a and 15b	compensation determination process COMPENSATION OF THE ORGANIZATION'S CEO & VICE PRESIDENT IS REVIEWED ANNUALLY BY THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REVIEW WAS LAST PERFORMED IN APRIL OF 2018. THE COMPENSATION COMMITTEE AND GOVERNANCE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS AND PERFORMS THE REVIEW WITH THE ASSISTANCE OF, AND COMPARABLE DATA PROVIDED BY, MERCER. COMPENSATION ARRANGEMENTS HAVE BEEN DETERMINED REASONABLE AND CONTEMPORANEOUSLY DOCUMENTED. part vi, line 19 the organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon a resonable request and as requested.
part vii, column (b)	AVERAGE HOURS PER WEEK OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES DEVOTE SIGNIFICANT TIME AND EFFORT TO THE OPERATIONS AND OVERSIGHT OF TCH. 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.
part xi, line 9	other changes in net assets Clinical Excellence Grant Funding Temporarily $ 47,714,057 restricted as to use at june 30, 2018 clinical excellence grant funding in support $ 5,565,034 of FY18 capital expenditures Other funding in support of fy18 capital $ 662,829 expenditures Changes in Pension $ 14,345,034 Equity contributions by TCH to CON $ (1,112,676) other changes $ (2,879,946) ------------- Total $ 64,294,332

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 (if applicable) 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 MEDICAL SPECIALIST LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 45-2681845	MEDICAL PRACT	OH			TCH PHYS
(3) HPL REALTY CO LLC 2139 auburn avenue CINCINNATI,OH45219 45-4013544	REAL ESTATE	OH			TCH
(4) TCH MEDICAL ASSOCIATES II LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3999894	MEDICAL PRACT	OH			TCH PHYS
(5) TCH MEDICAL ASSOCIATES III LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-5467250	MEDICAL PRACT	OH			TCH PHYS
(6) TCH CLINICALLY INTEGRATED NETWORK LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 45-4209314	PHO	OH			TCH
(7) TCH CARDIOVASCULAR ASSOCIATES LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 26-3070266	MEDICAL PRACT	OH			TCH PHYS
(8) TCH ORTHOPAEDIC ASSOCIATES LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-2352575	MEDICAL PRACT	OH			TCH PHYS
(9) TCHHN URGENT CARE LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3088756	MEDICAL PRACT	OH			TCH PHYS
(10) TCH ORTHOPAEDIC ASSOCIATES III LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3088817	MEDICAL PRACT	OH			TCH PHYS
(11) TCH MEDICAL SPECIALIST II LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-0577733	MEDICAL PRACT	OH			TCH PHYS
(12) PROFESSIONAL DIAGNOSTIC SERVICES LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3081840	MEDICAL SERVI	OH			TCH
(13) LINDNER CTR RSCH & EDU AT TCH LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 26-3885165	MED RESEARCH	OH	-590,225	2,700,956	TCH
(14) THE CHRIST HOSPITAL PHYSICIANS LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3841691	MEDICAL PRACT	OH	-61,041,615	61,145,870	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 entity?
(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	HC SYS PARENT	OH	501(c)(3)	12b	EGDHA		No
(2)CHRIST HOSPITAL EDU & CLINICAL RESEARCH 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1226561	SUPPORT TCH	OH	501(c)(3)	12a	TCH	Yes
(3)ELIZABETH GAMBLE DEACONESS HOME ASSOC 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1082756	SUPPORT TCH	OH	501(c)(3)	12a	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 FOUNDATION 2139 AUBURN AVENUE CINCINNATI,OH45219 26-4165492	SUPPORT TCH	OH	501(c)(3)	7	TCH	Yes
(6)GAMBLE REALTY 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1080683	REAL ESTATE	OH	501(c)(2)	N/A	TCH	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) EXCEL INSURANCE COMPANY 2139 AUBURN AVENUE CINCINNATI,OH45219 98-0386259	INSURANCE	OH	TCH	C Corp			100.000 %	Yes
(2) THE CHRIST HOSPITAL HEALTH SERVICES CORP 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1066981	MEDICAL SERVICES	OH	TCH INC	C Corp				Yes

Schedule R (Form 990) 2019

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

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

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

Yes

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

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

f Dividends from related organization(s) ............................

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

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

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

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

Yes

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

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

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

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

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

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

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

Yes

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

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

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) THE CHRIST HOSPITAL FOUNDATION	c	120,334	FMV
(2) christ college of nursing & health sciences	j	1,309,834	FMV
(3) christ college of nursing & health sciences	q	100,000	FMV

Schedule R (Form 990) 2019

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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation
PART I, IDENTIFICATION OF DISREGARDED ENTITIES	Year-end loss and assets shown for The Christ Hospital Physicians, LLC ("TCH PHYS") includes income and assets for other disregarded entities listed.

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF OUR COMMUNITy and create patient value by providing exceptional outcomes, affordable care, and the finest experiences.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	5,529
6	Total number of volunteers (estimate if necessary) .............	6	300
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,709
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,162,589	2,122,334
9	Program service revenue (Part VIII, line 2g) .........	888,568,954	947,518,004
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,023,414	21,603,582
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	21,358,576	51,407,991
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	919,113,533	1,022,651,911
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,697,935	2,150,023
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)	439,699,831	482,215,867
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–24e)....	478,652,621	497,219,786
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	920,050,387	981,585,676
19	Revenue less expenses. Subtract line 18 from line 12.......	-936,854	41,066,235
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,137,972,535	1,216,274,502
21	Total liabilities (Part X, line 26).............	618,879,455	599,082,585
22	Net assets or fund balances. Subtract line 21 from line 20.....	519,093,080	617,191,917

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 834,783,558 including grants of $ 2,150,023 ) (Revenue $ 993,155,243 )
	THE CHRIST HOSPITAL ("TCH") IS AN OHIO NONPROFIT CORPORATION FORMED IN JUNE OF 1891. TCH IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("THE CODE") AND FUNCTIONS AS A HOSPITAL ORGANIZATION AS DESCRIBED IN SECTION 509(A)(1) AND 170(B)(1)(A)(III) OF THE CODE. TCH'S MISSION FOR THE 130 YEARS OF ITS OPERATIONS HAS BEEN TO IMPROVE THE HEALTH OF OUR COMMUNITY AND TO BE A REGIONAL EXEMPLAR IN CREATING PATIENT VALUE THROUGH EXCEPTIONAL OUTCOMES AND PATIENT EXPERIENCE PROVIDED AT AN AFFORDABLE AND RESPONSIBLE COST THAT ENSURES ACCESS TO ALL MEMBERS OF OUR COMMUNITY WITHOUT REGARD TO FINANCIAL STATUS OR OTHER FACTORS SUCH AS RACE, ETHNICITY, BELIEFS OR GENDER. THROUGH ITS MAIN HOSPITAL CAMPUS IN MT. AUBURN, TCH IS DEDICATED TO ITS URBAN-HOSPITAL ROOTS, REMAINING STEADFAST IN COMMITMENT TO DIVERSE AND ECONOMICALLY CHALLENGED NEIGHBORHOODS IN THE UPTOWN SECTION OF CINCINNATI, OHIO. WHILE MAINTAINING THIS URBAN COMMITMENT THROUGH ITS BASE OPERATIONS, TCH HAS ALSO DEVELOPED A NETWORK OF OUTPATIENT CENTERS AND PHYSICIAN PRACTICES THAT ENSURE ACCESS TO CARE THROUGHOUT THE GREATER CINCINNATI REGION, INCLUDING SUBURBAN AND RURAL REGIONS OF THE AREA THAT SERVE TEN COUNTIES LOCATED IN THREE STATES. TCH HAS ORGANIZED AND MAINTAINS AN ACCREDITED STAFF OF MORE THAN 1,200 PHYSICIANS, AND OFFERS ADVANCED SERVICES AND TECHNOLOGIES THROUGH EXECUTIVE LEADERSHIP OF SEVEN KEY SERVICE LINES: CARDIOVASCULAR CARE, ORTHOPAEDIC AND SPINE TREATMENT, WOMEN'S HEALTH, ONCOLOGY, SPECIAL SURGERY, COMPREHENSIVE MEDICINE AND PRIMARY CARE. TCH MAINTAINS ITS SACRED TRUST WITH THE COMMUNITY AND GOVERNMENTAL OVERSIGHT PARTNERS IN EARNING AND MAINTAINING THE PRIVILEGE AND RESPONSIBILITIES OF TAX-EXEMPTION. THESE CORE COMMITMENTS INCLUDE ACTIVITIES THAT ARE NOT UNDERTAKEN FOR ECONOMIC GAIN, BUT IN FACT ARE PERFORMED AT A LOSS OR ARE WHOLLY UNREIMBURSED AND ARE PERFORMED AS A MATTER OF PUBLIC TRUST AND COMMITMENT. THESE CORE COMMITMENTS INCLUDE: 1. CHARITY CARE & CARE PROVIDED UNDER GOVERNMENTAL ASSISTANCE PROGRAMS - ACCESS TO CARE REGARDLESS OF ABILITY TO PAY AND FULL PARTICIPATION IN MEDICARE AND MEDICAID PROGRAMS WHEREIN ENTITLEMENT PAYMENTS ARE INSUFFICIENT TO COVER THE COSTS OF SERVICES PROVIDED. 2. MEDICAL EDUCATION - ASSURANCE OF SUFFICIENT NUMBERS AND COMPETENCY OF TRAINED AND LICENSED MEDICAL PROFESSIONALS TO MEET THE NEEDS OF OUR COMMUNITY. THIS INCLUDES RESIDENCY AND FELLOWSHIP TRAINING FOR PHYSICIANS THAT ARE OPERATED AT A FINANCIAL LOSS, AND FORMAL UNDERGRADUATE DEGREE TRAINING THROUGH ITS COLLEGE OF NURSING THAT REQUIRES SUBSIDIZATION THROUGH PHILANTHROPY AND PRIVATE SUPPORT. 3. RESEARCH & INNOVATION - THROUGH THE CARL & EDYTH LINDNER CENTER FOR RESEARCH AND EDUCATION AT THE CHRIST HOSPITAL, LLC, TCH INVESTS SUBSTANTIAL INTERNAL AND PHILANTHROPIC RESOURCES IN SUPPORTING THE ADVANCEMENT OF MEDICAL DISCOVERY AND IMPROVEMENT FOR THE PUBLIC GOOD THROUGH AN ARRAY OF CLINICAL TRIALS AND OTHER APPLICATION RESEARCH. THE ABOVE ACTIVITIES ARE THE ENDURING AND SACRED COMMITMENT AND RESPONSIBILITY OF TCH. YEAR IN AND YEAR OUT THESE COMMITMENTS WILL SERVE TO DEMONSTRATE HOW TCH HAS EARNED AND MAINTAINS ITS TAX-EXEMPT PRIVILEGE. FOR THE PAST 18 YEARS, TCH HAS BEEN RECOGNIZED BY U.S. NEWS & WORLD REPORT AS ONE OF THE NATION'S TOP HOSPITALS AND RECEIVED THE REGIONAL CONSUMER LOYALTY AWARD FROM NRC HEALTH, RANKING #1 IN OUR REGION. TCH HAS BEEN GRANTED MAGNET RECOGNITION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR EXCELLENCE IN NURSING CARE. ADDITIONALLY, TCH WAS NAMED AS ONE OF THE NATION'S 100 TOP HOSPITALS BY IBM WATSON HEALTH FOR EIGHT CONSECUTIVE YEARS. WHILE MAINTAINING ITS COMMITMENTS TO THE COMMUNITY, 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, A REMOTE HOSPITAL LOCATED IN LIBERTY TOWNSHIP, OHIO, AND OTHER COMMUNITY INITIATIVES. WITH A STAFF OF MORE THAN 1,200 PHYSICIANS, TCH OFFERS ADVANCED SERVICES AND TECHNOLOGIES IN CARDIOVASCULAR CARE, ORTHOPAEDIC AND SPINE TREATMENT, WOMEN'S HEALTH, ONCOLOGY, SPECIALTY 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, 2018, TCH'S INPATIENT ADMISSIONS WERE APPROXIMATELY 32,000 AND ITS OUTPATIENT VISITS EXCEEDED 547,000. 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 COMPREHENSIVE MEDICINE. 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. FOR 14 CONSECUTIVE YEARS, TCH HAS BEEN NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY WATSON HEALTH, FORMERLY TRUVEN HEALTH ANALYTICS. 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 14TH 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. 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. OUR NATIONALLY RECOGNIZED JOINT & SPINE CENTER HAS BECOME A DESTINATION FOR THOSE SEEKING JOINT REPLACEMENT AND SPINE SURGERY. TCH 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 IS NOT ONLY COMMITTED TO BRINGING EXCEPTIONAL 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 HAVE CONSTRUCTED A $265 MILLION EXPANSION AND IMPROVEMENT OF OUR MAIN CAMPUS IN MT. AUBURN, THE CENTERPIECE OF WHICH INCLUDES A UNIQUE FACILITY DEDICATED SOLELY TO ORTHOPAEDIC AND SPINE CARE - THE CHRIST HOSPITAL JOINT & SPINE CENTER. THE FACILITY SUPPORTS PHYSICIANS, PATIENTS AND FAMILIES IN AN EFFICIENT, HEALING AND TECHNOLOGICALLY ADVANCED ENVIRONMENT. IT IS 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. ONCOLOGY TCH INCLUDES A NEWLY RENOVATED 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 AND ACUTE CARE FOR THE ELDERLY 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.

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 expenses834,783,558

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(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) Robert Cody MD........................................................................ PHYSICIAN	40.0 .......................1.0	X		1,380,740	0	13,894
(19) MANISH BHANDARI MD........................................................................ Physician	40.0 .......................1.0	X		1,337,806	0	25,359
(20) MARC SCHNEIDER MD........................................................................ PHYSICIAN	40.0 .......................1.0	X		1,415,199	0	25,359
(21) Scott Hamlin THRU 617........................................................................ Senior Vice Pre. & CFO	40.0 .......................1.0		X	309,751	0	14,194

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,862,005	0	394,718

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	0
d	Related organizations		1d
e	Government grants (contributions)		1e	0

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,122,334

g	Noncash contributions included in lines 1a - 1f:$		1g	0

h Total. Add lines 1a-1f.......		2,122,334

		Business Code
2a	NET PATIENT SERVICE REV	621990	942,104,405	942,102,696	1,709	0
b	PHYSICIAN REVENUE	621110	211,135	211,135	0
c	PHARMACY SALES	446110	5,202,464	5,202,464	0	0
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		947,518,004

3 Investment income (including dividends, interest, and othersimilar amounts) ......			10,635,603			10,635,603
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		2,322,783	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	2,322,783	6c
d	Net rental income or (loss).......			2,322,783			2,322,783
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........			10,967,979			10,967,979
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CLINICAL EXCELLENCE GRANT			21,067,000	21,067,000	0	0
b	CAFETERIA/VENDING REVENUE			3,446,260		0	3,446,260
c	CPC+ REVENUE			6,092,680	6,092,680	0	0
d	All other revenue ....			18,479,268	18,479,268	0
e	Total. Add lines 11a–11d ......			49,085,208
12	Total revenue. See instructions.....			1,022,651,911	993,155,243	1,709	27,372,625

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,150,023	2,150,023
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0	0
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	1,816,925	0	1,816,925	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	323,945	259,156	64,789	0
7	Other salaries and wages........	405,182,088	324,145,670	81,036,418	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,439,444	6,751,555	1,687,889	0
9	Other employee benefits .......	40,944,729	32,755,783	8,188,946	0
10	Payroll taxes ...........	25,508,736	20,406,989	5,101,747	0
11	Fees for services (non-employees):
a	Management ......	0	0	0	0
b	Legal .........	947,282	757,826	189,456	0
c	Accounting ...........	461,000	368,800	92,200	0
d	Lobbying ...........	5,375	4,300	1,075	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	903,294		903,294	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	90,001,676	72,001,341	18,000,335	0
12	Advertising and promotion ....	3,391,794	2,713,435	678,359	0
13	Office expenses .......	3,246,457	2,597,166	649,291	0
14	Information technology ......	11,461,056	9,168,845	2,292,211	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	25,473,692	20,378,954	5,094,738	0
17	Travel ............	393,845	315,076	78,769	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	1,442,640	1,154,112	288,528	0
20	Interest ...........	17,877,973	14,302,378	3,575,595	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	54,966,452	43,973,162	10,993,290	0
23	Insurance ...	5,596,938	4,477,550	1,119,388	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	256,305,943	256,305,943	0	0
b	DUE & SUBSCRIPTIONS	12,584,884	10,067,907	2,516,977	0
c	RENTAL & LEASE OF EQUIP	8,555,778	6,844,622	1,711,156	0
d	PRINTING & PUBLICATIONS	879,134	703,307	175,827	0
e	All other expenses	2,724,573	2,179,658	544,915
25	Total functional expenses. Add lines 1 through 24e	981,585,676	834,783,558	146,802,118	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).	0

1	Cash–non-interest-bearing ........			46,619,696	1	35,575,311
2	Savings and temporary cash investments .........			752,395	2	48,190,676
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			123,009,738	4	132,021,488
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			18,870,336	8	26,061,965
9	Prepaid expenses and deferred charges ......			13,236,741	9	12,373,548
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,265,344,082
b	Less: accumulated depreciation	10b	699,510,879	556,881,406	10c	565,833,203
11	Investments—publicly traded securities .			320,382,069	11	353,308,644
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			12,748,985	14	12,559,935
15	Other assets. See Part IV, line 11 ...........			45,471,169	15	30,349,732
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,137,972,535	16	1,216,274,502

17	Accounts payable and accrued expenses .....	128,735,195	17	138,384,192
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	405,016,580	20	391,260,041
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	9,274,836	23	11,168,283
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	75,852,844	25	58,270,069
26	Total liabilities. Add lines 17 through 25..	618,879,455	26	599,082,585

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	519,093,080	32	617,191,917
33	Total liabilities and net assets/fund balances ........	1,137,972,535	33	1,216,274,502

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, Return by a U.S. Transferor of Property to a Foreign Corporation (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 separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	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, Information 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No