TY 2019 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) Patrick Kirk MD...................................................................... PHYSICIAN	40.0 ................. 1.0			X	2,026,618	28,974
(2) Arturo Polizzi...................................................................... PRESIDENT & CEO (Thru 10/20)	40.0 ................. 1.0	X	X		1,338,481	338,975
(3) Edward Lim MD...................................................................... Physician	40.0 ................. 1.0			X	1,546,157	25,433
(4) MARC SCHNEIDER MD...................................................................... PHYSICIAN	40.0 ................. 1.0			X	1,467,407	27,324
(5) Slobodan Stanisic MD...................................................................... PHYSICIAN	40.0 ................. 1.0			X	1,445,787	29,824
(6) Robert Cody MD...................................................................... PHYSICIAN	40.0 ................. 1.0			X	1,366,395	15,166
(7) ALMA HELPLING...................................................................... CFO & VP (Thru 06/20)	40.0 ................. 1.0		X		614,283	91,966
(8) Michael K Keating...................................................................... Director (Thru 10/20)	40.0 ................. 1.0	X			471,591	138,358
(9) Eric Stamler MD...................................................................... PHYSICIAN & DIR (thru 9/19)	40.0 ................. 1.0	X			436,574	0
(10) Geraldine M Vehr MD...................................................................... Physician & dir (beg 10/19)	40.0 ................. 1.0	X			302,141	9,034
(11) R Kerry Clark...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(12) Victoria B Gluckman...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(13) Jeb Head...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(14) Thomas R Gerdes...................................................................... Treasurer	1.0 ................. 1.0	X	X		0	0
(15) Deborah P Majoras...................................................................... Secretary	1.0 ................. 0.0	X	X		0	0
(16) George H Vincent...................................................................... Board Chairman	1.0 ................. 1.0	X	X		0	0
(17) Roger L Howe...................................................................... DIRECTOR (THRU 10/20)	1.0 ................. 1.0	X			0	0

(A) Name and business address	(B) Description of services	(C) Compensation
Ensemble RCM LLC, PO Box 639076 CINCINNATI,OH45263	Financial Services	10,666,433
laboratory corporation, PO box 2270 BURLINGTON,NC27216	HEALTHCARE SERVICES	4,596,576
Quest Diagnostics Inc, PO Box 530458 ATLANTA,GA30374	Healthcare Services	4,468,561
Team Anesthesia LLC, PO Box 639425 CINCINNATI,OH45263	Healthcare Services	3,971,842
Medical Recovery Systems Inc, 2055 Reading Rd Suite 500 CINCINNATI,OH45202	Financial Services	3,166,690
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 119

- 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
RESTRICTED	,	$ RESTRICTED	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

17,375

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

17,375

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. ADDITIONALLY, THE CHRIST HOSPITAL CONTRIBUTED TO THE MOVE FORWARD POLITICAL ACTION COMMITTEE. TOTAL CONTRIBUTIONS WERE THE FOLLOWING: Ohio Hospital Association: $ 7,375 Move Forward PAC: $ 10,000

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 ....	66,758,000	63,057,000	11,235,000	7,959,000	64,391,000
b	Contributions ...	13,544,000	31,808,000	79,175,000	8,181,000	1,739,000
c	Net investment earnings, gains, and losses	-132,000	403,000	349,000	25,000	14,000
d	Grants or scholarships ...	53,000	53,000
e	Other expenditures for facilities and programs ...	35,812,000	28,457,000	27,702,000	3,209,000	55,232,000
f	Administrative expenses ....		0		1,721,000	2,953,000
g	End of year balance ......	44,305,000	66,758,000	63,057,000	11,235,000	7,959,000

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

23.220 %

Term endowment SchDMd Bullet

76.780 %

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 .....	0	39,787,321		39,787,321
b	Buildings ....		528,544,838	174,348,630	354,196,208
c	Leasehold improvements		30,637,458	12,631,502	18,005,956
d	Equipment ....		611,761,805	505,438,726	106,323,079
e	Other .....		154,420,268	123,580,179	30,840,089
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					549,152,653

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 (A) LIMITED LIABILITY COMPANY	176,354,962	F
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	176,354,962

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
(1)OP LEASE RIGHT OF USE ASSETS				68,922,061
(2)OTHER LONG TERM ASSETS				36,659,946
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				105,582,007

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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	259,762,802
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

ENDOWMENT FUNDS ALL FUNDS RECEIVED BY THE CHRIST HOSPITAL FOUNDATION('THE FOUNDATION'), BOTH PERMANENT ENDOWMENTS AND TEMPORARY ENDOWMENTS, ARE USED IN LINE WITH THE DONOR'S INTENT. ALL FUNDS ARE MONITORED BY GENERAL ACCOUNTING AND IF EXPENSES ARE IDENTIFIED AS APPROPRIATE TO THE FUND, THE FUND WILL BE CHARGED FOR THE EXPENDITURE. FOR PERMANENT ENDOWMENTS, INVESTMENT INCOME WILL BE ALLOCATED BETWEEN INCREASING THE FUND'S CORPUS AND BENEFITING THE PROGRAM AS SPECIFIED BY THE DONOR.

PART X, LINE 2

ASC 740 footnote 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, 2020 AND 2019, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2020 AND 2019.

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	-103,665
	Central America and the Caribbean	1	Investments		13,965,254















3a	Sub-total ....	2			13,861,589
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2			13,861,589

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? . . . . . .

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) . . .	2,406,114		2,406,114	0.230 %
b	Medicaid (from Worksheet 3, column a) . . . . .	105,187,607	60,730,153	44,457,454	4.270 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	107,593,721	60,730,153	46,863,568	4.500 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	371,192		371,192	0.040 %
f	Health professions education (from Worksheet 5) . . .	16,793,997	6,644,823	10,149,174	0.970 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	6,101,585	2,912,901	3,188,684	0.310 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	92,798		92,798	0.010 %
j	Total. Other Benefits . .	23,359,572	9,557,724	13,801,848	1.330 %
k	Total. Add lines 7d and 7j .	130,953,293	70,287,877	60,665,416	5.830 %

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. ......

41,436,568

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. ......

630,066

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).....

148,496,132

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

183,009,740

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

-34,513,608

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 1187AHR	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 18

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 19

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 A, Line 1	THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR. 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 The Christ Hospital Health Network Cincinnati Children's Hospital Medical Center Clinton Memorial Hospital Highpoint Health Kettering Health Network Fort Hamilton Hospital Grandview Medical Center Greene Memorial Hospital Kettering Behavioral Medicine Center Kettering Medical Center Soin Medical Center Southview Medical Center Sycamore Medical Center Lindner Center of HOPE Mercy Health \| Cincinnati Region Mercy Health - Anderson Hospital Mercy Health - Clermont Hospital Mercy Health - Fairfield Hospital Mercy Health - West Hospital The Jewish Hospital - Mercy Health Mercy Health \| Springfield Region Mercy Health - Urbana Hospital Springfield Regional Medical Center Premier Health Atrium Medical Center Miami Valley Hospital Miami Valley Hospital North Miami Valley Hospital South Upper Valley Medical Center TriHealth Bethesda Butler Hospital Bethesda North Hospital Good Samaritan Hospital McCullough Hyde Memorial Hospital TriHealth Evendale Hospital UC Health Daniel Drake Center for Post - Acute Care University of Cincinnati Medical Center West Chester Hospital Wayne HealthCare Wilson Health Health Departments Adams County Health Department Brown County Health Department Butler County Health Department Champaign-Urbana County Department Cincinnati Health Department City of Hamilton Health Department Clark County Combined Health District Clermont County Public Health Clinton County Health Department Darke County General Health District Fayette County Public Health Greene County Public Health Hamilton County Public Health Highland County Health Department Miami County Public Health Middletown City Health District Norwood Health Department Piqua City Health Department Preble County Public Health Public Health - Dayton & Montgomery County Sidney Shelby County Health Department Springdale Health Department Warren County Combined Health District 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 (TCH) conducted a community health needs assessment in Fiscal Year 2019 (July 1, 2018 - June 30, 2019) and sought input from a variety of community partners 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 local hospitals together for the third time and led the effort to better understand the health needs of the community. Their community report shares data for the Southwest Ohio region (including Greater Dayton and Greater Cincinnati, which include Northern Kentucky and Southeastern Indiana). Service areas of hospitals vary, so this approach provides the most thorough picture of health needs locally and regionally. Along with the data produced by The Health Collaborative, TCH ANALYZED A VARIETY 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, TCH also sought to review any written comments received regarding community health needs in the previous assessment. The priorities were determined by the number of votes in the community meetings, the number of mentions on surveys, and areas where data demonstrated performance worse than state or national benchmarks or trending in the wrong direction and impacting at least 16 counties (secondary data). The 5 identified priorities ranked in the top 8 for all primary data sources. The prevalent health concerns identified in the Hamilton County area through this needs assessment include: Substance Abuse Mental Health Access to Care Chronic Heart Disease Healthy Behaviors THROUGH A COLLABORATIVE AND METICULOUS PROCESS, TCH AND ITS COMMUNITY PARTNERS REVIEWED THE MOST PREVALENT HEALTH CONCERNS IN HAMILTON COUNTY AND ESTABLISHED A COURSE OF ACTION. This Implementation Plan focuses on programs, research, and education geared to target the prevalent health concerns facing the residents of Hamilton County. It is TCH's goal to make a measurable impact on the health of our community. We recognize that community health needs are broad and comprehensive. While we bring our expertise and leadership to addressing these needs, we also understand that one entity's expertise cannot be broad enough to be the sole answer. Collaborations and partnerships are key to meeting those needs, and we partner with community organizations that complement our resources. The Implementation Plan was approved by TCH Board of Directors on 10/16/2019. Due to the complexity of substance abuse, the approach to addressing this will be through a partnership and supportive role, which will also include exploration into the underlying problems leading to addiction in order gather insights for prevention and quality treatment. TCH will engage TCH staff with the Hamilton County Heroin Task Force, with a goal to reduce the number of deaths from heroin overdoses. TCH's partnership with the Hamilton County Heroin Task Force will include a group of hospital members who will engage and proactively work in partnership with the Task Force. The main areas of focus and expertise for the Task Force include prevention, treatment, harm reduction, law enforcement, and first responders. TCH will implement a Controlled Substance Policy. The policy will include a definition of controlled substances, guidance on prescription distribution and fulfillment, patient use of controlled substances and appropriate monitoring of suspicious behavior, with a goal of reducing the prescribing of high dose opiates, which will, in turn, help manage the exposure and distribution of opiates and reduce the availability of substances in the community. In July 2019, TCH established an Outpatient Behavioral Health Program, which includes substance abuse treatment with a goal of providing expanded access to treatment and prevention through the hospital Outpatient program. As previously noted, TCH opened Behavioral Health Outpatient Clinic at its Mt. Auburn campus in July 2019 to serve the needs of patients with mental health and substance abuse conditions. This includes partial hospitalization, intensive outpatient services and treatment. TCH will also continue the Comprehensive Primary Care Plus program that includes office based Primary Care Behavioral Health services to holistically address patient needs. These actions will decrease the rate at which patients are re-admitted to the hospital and revisits to the Emergency Department and will provide a much-needed Outpatient Service to the community. The Comprehensive Primary Care Plus program improves access to Primary Care Mental Health professionals in the communities where the patients live. Both actions will work in tandem to increase access to care. The services will also contribute to the overall understanding of community mental health needs, helping to debunk myths and misunderstandings. TCH will work to provide access to Pharmaceuticals to those who are underserved and to those in need with a goal to improve the quality of care for patients who require pharmaceutical treatment. TCH will work in collaboration with St. Vincent DePaul Pharmacy to provide free pharmacy services to the uninsured and underinsured community. TCH will increase medical care access for the homeless by providing after care to the homeless post- discharge from the hospital through collaboration with the Center for Respite Care, Homeless Medical Recovery. The mission is to partner in providing quality holistic medical care to homeless people who need a safe place to heal, while assisting them in breaking the cycle of homelessness and reducing the number of readmissions to the hospital. TCH will expand partnerships with ride sharing platforms to provide assistance to patients needing access to our facilities. Additionally, the establishment of the Outpatient Behavioral Health Program increases access to Outpatient Behavioral Health to vulnerable Hamilton County populations. TCH is working in collaboration with the Center for Respite Care, Homeless Medical Recovery, to provide after care when homeless patients are discharged from the hospital. The mission is to partner in providing quality holistic medical care to homeless people who need a safe place to heal, while assisting them in breaking the cycle of homelessness. TCH will provide access to preventative vascular screenings in the community served. Early detection of heart disease through screenings facilitate access to care, and the likelihood of effective intervention and treatment. Additionally, TCH will provide access to innovative technology by offering clinical trials across a wide spectrum of cardiovascular diseases. Offering CTO clinical trials to the community will create options to prevent further disease progression. The TCH Heart Failure Clinic offers advanced heart treatment options to the Hamilton County and rural communities increasing access to specialty care. TCH will Actively participate and support the Mount Auburn Gardens Initiative and Collaboration (M.A.G.I.C.) by attending meetings and work days to drive community engagement in the gardens to offer more healthy food options as well as be a source of physical activity for Mt. Auburn community members. The efforts for in-kind support will address food scarcity in Mt. Auburn and encourage healthy eating among its residents. TCH will provide financial support and participation in Mt. Auburn's 14-week lifestyle modification intervention program, Do Right! Block by Block campaign, which will help improve the lives of the underserved through education and the development of a sustainable culture of health throughout the community. TCH will provide financial support to the American Heart Association/GO Red for Women and Heart Walk which will provide healthy heart tips and education for the community. TCH will offer free physicals at events to help encourage the community to live active lifestyles and promote exercise. Additionally, smoking cessation efforts will decrease incidence of chronic lung disease and multiple cancers. our ongoing work has yielded favorable results. across all sectors progress is being made to meet our goals: . opioid use across the network is trending down, with a decrease of 29% in opioid doses administered in fiscal year 2020 when compared to our baseline (fy2019). . the network expanded its behavioral health consultants (bhcs) to all primary care offices. for those practices that have a high volume of referrals, availability to the bhcs has increased. as a result, the network has experienced a decrease in average length of stay ('los') in the inpatient psychiatry units, with an average los of 2.9 days at june 30, 2020 (bel
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/patient-financial- services/financial-resources/financial-assistance 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?233
Name and address		Type of Facility (describe)
1	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
2	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
3	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45255	Specialty Center
4	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Specialty Center
5	Mason MOB 608 Reading Road Mason,OH45255	Specialty Center
6	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Physician Office
7	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
8	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
9	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
10	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
11	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
12	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
13	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45255	Specialty Center
14	Montgomery Surgery Center 11150 Montgomery Road Cincinnati,OH45255	Specialty Center
15	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
16	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
17	Red Bank Surgery Center 4850 Red Bank Road Cincinnati,OH45255	Specialty Center
18	Miami Twp MOB 1171 State Route 28 Milford,OH45255	Physician Office
19	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Testing & Imaging Center
20	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Physician Office
21	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Physician Office
22	Rookwood Tower 3805 Edwards Road Cincinnati,OH45255	Physician Office
23	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45255	Specialty Center
24	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45255	Specialty Center
25	Montgomery Surgery Center 11150 Montgomery Road Cincinnati,OH45255	Surgery Center
26	2025 Reading Road 2025 Reading Road Cincinnati,OH45219	Physician Office
27	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Physician Office
28	Linden Pointe Bldg D 4803 Montgomery Road Norwood,OH45219	Specialty Center
29	TCHOA Blue Ash 9250 Blue Ash Road Cincinnati,OH45219	Physician Office
30	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Testing & Imaging Center
31	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
32	TCHMA Clough Pike 6620 Clough Pike Cincinnati,OH45219	Physician Office
33	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45255	Specialty Center
34	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Physician Office
35	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
36	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
37	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
38	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Research Center
39	Wetherington 7589 Tylers Place Boulevard West Chester,OH45219	Physician Office
40	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Specialty Center
41	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
42	TCHMA Mason Montgomery Rd 7451 Mason Montgomery Road Mason,OH45219	Physician Office
43	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Physician Office
44	Miami Twp MOB 1171 State Route 28 Milford,OH45255	Physician Office
45	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Specialty Center
46	TCHMA Compton 24 Compton Rd Cincinnati,OH45219	Physician Office
47	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Testing & Imaging Center
48	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
49	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Physician Office
50	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
51	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
52	Montgomery Surgery Center 11150 Montgomery Road Cincinnati,OH45255	Specialty Center
53	Red Bank Retail I 4400-4420 Red Bank Expressway Cincinnati,OH45219	Specialty Center
54	Red Bank Retail I 4400-4420 Red Bank Expressway Cincinnati,OH45219	Phys/Occupational Therapy
55	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Testing & Imaging Center
56	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Testing & Imaging Center
57	Rookwood Tower 3805 Edwards Road Cincinnati,OH45255	Physician Office
58	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Testing & Imaging Center
59	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
60	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
61	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
62	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
63	Babson 4900 Babson Place Cincinnati,OH45219	Physician Office
64	Eastgate Medical Office Building 796 Old State Route 74 Cincinnati,OH45227	Specialty Center
65	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Testing & Imaging Center
66	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
67	Cincinnati Sports Mall 3950 Red Bank Road Cincinnati,OH45245	Phys/Occupational Therapy
68	Rookwood Tower 3805 Edwards Road Cincinnati,OH45255	Physician Office
69	Loveland Building 1200 Cottonwood Lane Cincinnati,OH45230	Physician Office
70	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
71	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Physician Office
72	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45255	Specialty Center
73	Linden Pointe Bldg E 4805 Montgomery Road Cincinnati,OH41011	Specialty Center
74	Linden Pointe Bldg E 4805 Montgomery Road Cincinnati,OH41011	Specialty Center
75	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Physician Office
76	Chamber Center 2156 Chamber Center Drive Ft Mitchell,KY41011	Specialty Center
77	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
78	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
79	Linden Pointe Bldg D 4803 Montgomery Road Norwood,OH45219	Physician Office
80	Rookwood Tower 3805 Edwards Road Cincinnati,OH45255	Physician Office
81	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
82	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
83	Babson 4900 Babson Place Cincinnati,OH45219	Specialty Center
84	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
85	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
86	TCHMA - Bridgetown 5680 Bridgetown Road Cincinnati,OH41011	Physician Office
87	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
88	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
89	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
90	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
91	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
92	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
93	TCHMA - Walnut IM 312 Walnut Street Cincinnati,OH41011	Specialty Center
94	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Testing & Imaging Center
95	Linden Pointe Bldg D 4803 Montgomery Road Norwood,OH45219	Physician Office
96	TCHMA Maderia 8041 Hosbrook Road Cincinnati,OH45248	Physician Office
97	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
98	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
99	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
100	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Physician Office
101	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Physician Office
102	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
103	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
104	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
105	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Physician Office
106	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Physician Office
107	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
108	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
109	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
110	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
111	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
112	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
113	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Testing & Imaging Center
114	Milford PT 970 974 Lila Avenue Milford,OH45248	Phys/Occupational Therapy
115	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45255	Physician Office
116	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45255	Specialty Center
117	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
118	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
119	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
120	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
121	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
122	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
123	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
124	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45255	Physician Office
125	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
126	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
127	Cincinnati Sports Mall 3950 Red Bank Road Cincinnati,OH45245	Specialty Center
128	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Testing & Imaging Center
129	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
130	Miami Twp MOB 1171 State Route 28 Milford,OH45255	Phys/Occupational Therapy
131	Mason MOB 608 Reading Road Mason,OH45255	Specialty Center
132	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Urgent Care
133	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Phys/Occupational Therapy
134	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
135	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45255	Specialty Center
136	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
137	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
138	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45255	Specialty Center
139	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Testing & Imaging Center
140	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Phys/Occupational Therapy
141	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
142	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
143	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
144	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
145	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
146	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
147	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
148	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
149	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
150	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
151	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Specialty Center
152	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Physician Office
153	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
154	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
155	The Medical Arts Bldg- Wilmington 1150 W Locust Street Wilmington,OH45249	Physician Office
156	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
157	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45255	Testing & Imaging Center
158	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
159	Miami Twp MOB 1171 State Route 28 Milford,OH45255	Specialty Center
160	Miami Twp MOB 1171 State Route 28 Milford,OH45255	Specialty Center
161	Miami Twp MOB 1171 State Route 28 Milford,OH45255	Specialty Center
162	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45255	Specialty Center
163	Five Mile 7691 Five Mile Road Cincinnati,OH45249	Specialty Center
164	Harrison Greene 5649 Harrison Avenue Cincinnati,OH45249	Phys/Occupational Therapy
165	TCHMA Delhi 5314 Delhi Pike Cincinnati,OH45249	Physician Office
166	Winton Road 8250 Winton Road Cincinnati,OH45249	Specialty Center
167	Winton Road 8250 Winton Road Cincinnati,OH45249	Specialty Center
168	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
169	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45255	Specialty Center
170	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
171	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Testing & Imaging Center
172	Rookwood Tower 3805 Edwards Road Cincinnati,OH45255	Physician Office
173	TCHMS Norwood 2355 Norwood Avenue Cincinnati,OH45249	Specialty Center
174	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Specialty Center
175	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Testing & Imaging Center
176	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
177	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
178	Ludlow Hill Professional Building 368 Bielby Road Lawrenceburg,IN45249	Specialty Center
179	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
180	Babson 4900 Babson Place Cincinnati,OH45219	Specialty Center
181	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Testing & Imaging Center
182	TCHMA Burlington 1838 Florence Pike Burlington,KY45227	Physician Office
183	TCHCVA - Margaret Mary 321 Mitchell Avenue Batesville,IN45227	Specialty Center
184	Harpers Pointe 11340 Montgomery Road Cincinnati,OH45227	Specialty Center
185	Rookwood Tower 3805 Edwards Road Cincinnati,OH45255	Testing & Imaging Center
186	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Phys/Occupational Therapy
187	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Rehabilitation
188	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Urgent Care
189	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Phys/Occupational Therapy
190	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Testing & Imaging Center
191	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Testing & Imaging Center
192	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
193	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
194	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
195	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
196	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Testing & Imaging Center
197	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
198	Miami Twp MOB 1171 State Route 28 Milford,OH45255	Testing & Imaging Center
199	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
200	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
201	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center
202	Five Mile 7691 Five Mile Road Cincinnati,OH45249	Physician Office
203	TCHMA Milford 5714 Signal Hill Court Milford,OH45227	Physician Office
204	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
205	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
206	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
207	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
208	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
209	Clinton Memorial Hospital 630 West Main Street Wilmington,OH45209	Specialty Center
210	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
211	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
212	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
213	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
214	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
215	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
216	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
217	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
218	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
219	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
220	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Specialty Center
221	Montgomery Surgery Center 11150 Montgomery Road Cincinnati,OH45255	Specialty Center
222	Montgomery Surgery Center 11150 Montgomery Road Cincinnati,OH45255	Specialty Center
223	Montgomery Surgery Center 11150 Montgomery Road Cincinnati,OH45255	Specialty Center
224	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Testing & Imaging Center
225	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
226	Liberty Township AOC 6939 Cox Road Liberty Township,OH41011	Testing & Imaging Center
227	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
228	TCHCVA - Dearborn Cty 2 98 Elm Street Lawrenceburg,IN47346	Physician Office
229	Ft Wright AOC 1949-2001 Dixie Highway Ft Wright,KY45219	Specialty Center
230	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
231	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45255	Testing & Imaging Center
232	Montgomery AOC 11140 Montgomery Road Montgomery,OH45255	Specialty Center
233	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45219	Specialty Center

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 The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category. The results of this review are then used to make modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. 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 $111,487,013 Allowable cost of care related to payments from above $(144,048,221) ------------ Shortfall from Medicare Managed Care Plans $(32,561,208) 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) $ 99,071,364 Allowable cost of care related to payments from above $(138,165,052) ------------- Shortfall related to the Medicare Part B Plans $ (39,093,687) (physician-based) Part VI NEEDS ASSESSMENT Our first step in conducting our 2019 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 principle 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 by engaging the Health Collaborative to conduct a comprehensive and collaborative Community Health Needs Assessment. 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 35 hospitals and 28 local health departments together, including The Christ Hospital, to conduct a comprehensive, collaborative community health needs assessment (Collaborative CHNA). The Collaborative Report also provides a comprehensive and 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. Collectively within 25 counties over 35 hospitals, 28 health departments, including Hamilton County Department of Health, 100 community groups and organizations, and participation of community members. Over 140 data measures were deployed including primary and secondary data over 1400 qualitative surveys. The CHNA team reached out to the local health departments in the spring of 2017 to take the first steps towards the State of Ohio's requirement that health departments and hospitals align their assessments starting in 2020. As a result, the CHNA team has researched more secondary data measures, included hospital utilization data, oversampled vulnerable populations, and engaged more participants. A total of 1,416 people or organizations completed a survey or attended a meeting. A significant part of the increase was due to local health departments helping to promote and conduct meetings. PATIENT EDUCATION OF ELIGIBILITY AND ASSISTANCE TCH POSTS ITS CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTRACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENT, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. TCH PROVIDES A COPY OF THE POLICY, OR SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH THE FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN THE PATIENT BILLS. TCH DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, WHERE APPLICABLE. ADDITIONALLY, TCH ASSISTS PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. TCH REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: - EXPLORE ELIGIBILITY, - FILE APPLICATION ON PATIENT'S BEHALF, - SCHEDULE AND ATTEND APPOINTMENTS, - PROVIDE TRANSPORTATION WHEN NECESSARY, - PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGHOUT THE REGISTRATION AND DISCHARGE PROCESS, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. TCH UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. TCH REPRESENTATIVES ARE AVAILABLE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. COMMUNITY INFORMATION TCH's primary service area, comprising 88.0% of inpatient admissions, encompasses seven counties in the Greater Cincinnati area including, Hamilton, Clermont, Butler, and Warren Counties in Ohio and Kenton, Boone, and Campbell Counties in Kentucky. TCH's secondary service area comprises an additional 9.0% of the inpatient admissions and encompasses an additional seven counties including Adams, Brown, Clinton and Highland Counties in Ohio; Grant and Pendleton Counties in Kentucky; Dearborn County in Indiana. TCH largely services Hamilton County which has a population of approximately 801,921 with 15.9% of the population over the age of 65. The Hamilton County population consists of approximately 14.6% of the population living at or less than 100% of the Federal poverty rate. Approximately 65.9% of Hamilton County's population is White while 26.9% of the population is African American, 2.7% is Asian Americans, and remaining other ethnicities account for 4.5% of the population. Within Hamilton County, 42.9% of the households have an average income of level of less than $50,000; approximately 38.1% of households have income between $50,000-$100,000; and an additional 19.0% of households have an average income greater than $100,000. PROMOTION OF COMMUNITY HEALTH TCH OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, A SYSTEMATIC APPROACH IS USED TO DETERMINE COMMUNITY HEALTH NEEDS WITH INPUT FROM ORGANIZATIONS SUCH AS THE CENTER FOR CLOSING THE HEALTH GAP, THE TCH FAMILY ADVISORY COUNCIL, AND THE GATHERING OF COMMUNITY HEALTH STATISTICS BY THE SERVICE LINE

Schedule H (Form 990) 2019

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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 AVE CINCINNATI,OH45229	20-0902286	501(c)(3)	175,000	GENERAL SPONSORSHIP
(2) AMERICAN HEART ASSOCIATION INC 5211 MADISON ROAD CINCINNATI,OH452271411	13-5613797	501(c)(3)	125,000	GENERAL SPONSORSHIP
(3) CINCINNATI SPORTS MALL 3950 RED BANK ROAD CINCINNATI,OH45227	31-1249621		18,750	GENERAL SPONSORSHIP
(4) Arthritis FOUNDATION 7124 MIAMI AVENUE CINCINNATI,OH45243	27-4014550	501(c)(3)	40,000	GENERAL SPONSORSHIP
(5) CRADLE CINCINNATI 3333 BURNET AVE CINCINNATI,OH45229	31-0833936	501(c)(3)	25,000	GENERAL SPONSORSHIP
(6) REDI CINCINNATI 3 EAST FOURTH STREET CINCINNATI,OH45202	47-2090230		10,000	GENERAL SPONSORSHIP
(7) OAK HILLS LOCAL SCHOOL DISTRICT 6325 RAPID RUN ROAD CINCINNATI,OH45233	31-6000742	GOVT	204,286	GENERAL SPONSORSHIP
(8) MADEIRA CITY SCHOOL DISTrict 7465 LOANNES DRIVE cincinnati,OH45243	31-6000862	GOVT	15,432	GENERAL SPONSORSHIP
(9) ST VINCENT DE PAUL 1125 BANK STREET CINCINNATI,OH45214	31-0537510	501(C)(3)	10,000	GENERAL SPONSORSHIP
(10) CENTER FOR RESPITE CARE 1615 REPUBLIC CINCINnATI,OH45202	20-2544994	501(c)(3)	50,000	GENERAL SPONSORSHIP
(11) WYOMING CITY SCHOOL DISTRICT 420 SPRINGFIELD PIKE WYOMING,OH45215	31-6001020	govt	102,300	GENERAL SPONSORSHIP
(12) KINGS HAMMER SOCCER CLUB 1018 TOWN DRIVE WILDER,KY41076	31-1213703	501(c)(3)	25,000	GENERAL SPONSORSHIP
(13) lakota local school district 5572 princeton RD Liberty Twp,OH45011	31-6000897	govt	264,000	General Sponsorship
(14) cincinnati united soccer club 411 circle freeway dr cincinnati,OH45246	31-1461867	501(c)(3)	25,000	general sponsorship
(15) cincinnati marlins inc 616 WN bend RD cincinnati,OH45224	31-0725166	501(c)(3)	9,187	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) emergency hardship assistance	194	231,168
(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. Emergency assistance grant funding is approved by an independent committee on an objective basis to those who meet the eligibility requirements of the assistance program.

Schedule I (Form 990) 2019

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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)
1MARC SCHNEIDER MD PHYSICIAN	(i) (ii)	1,445,785 ------------- 0	0 ------------- 0	21,622 ------------- 0	0 ------------- 0	27,324 ------------- 0	1,494,731 ------------- 0	0 ------------- 0
2Michael K Keating Director (Thru 10/20)	(i) (ii)	346,609 ------------- 0	99,250 ------------- 0	25,732 ------------- 0	110,034 ------------- 0	28,324 ------------- 0	609,949 ------------- 0	110,344 ------------- 0
3ALMA HELPLING CFO & VP (Thru 06/20)	(i) (ii)	460,759 ------------- 0	146,000 ------------- 0	7,524 ------------- 0	69,953 ------------- 0	22,013 ------------- 0	706,249 ------------- 0	0 ------------- 0
4Slobodan Stanisic MD PHYSICIAN	(i) (ii)	1,441,400 ------------- 0	0 ------------- 0	4,387 ------------- 0	0 ------------- 0	29,824 ------------- 0	1,475,611 ------------- 0	0 ------------- 0
5Arturo Polizzi PRESIDENT & CEO (Thru 10/20)	(i) (ii)	845,596 ------------- 0	480,000 ------------- 0	12,885 ------------- 0	310,798 ------------- 0	28,177 ------------- 0	1,677,456 ------------- 0	250,000 ------------- 0
6Eric Stamler MD PHYSICIAN & DIR (thru 9/19)	(i) (ii)	413,479 ------------- 0	0 ------------- 0	23,095 ------------- 0	0 ------------- 0	0 ------------- 0	436,574 ------------- 0	0 ------------- 0
7Patrick Kirk MD PHYSICIAN	(i) (ii)	1,725,795 ------------- 0	285,000 ------------- 0	15,823 ------------- 0	0 ------------- 0	28,974 ------------- 0	2,055,592 ------------- 0	0 ------------- 0
8Robert Cody MD PHYSICIAN	(i) (ii)	1,343,784 ------------- 0	0 ------------- 0	22,611 ------------- 0	0 ------------- 0	15,166 ------------- 0	1,381,561 ------------- 0	0 ------------- 0
9Geraldine M Vehr MD Physician & dir (beg 10/19)	(i) (ii)	240,830 ------------- 0	20,000 ------------- 0	41,311 ------------- 0	0 ------------- 0	9,034 ------------- 0	311,175 ------------- 0	0 ------------- 0
10Edward Lim MD Physician	(i) (ii)	1,262,946 ------------- 0	250,000 ------------- 0	33,211 ------------- 0	0 ------------- 0	25,433 ------------- 0	1,571,590 ------------- 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 employee's compensation for the portion of the social club dues that relate to personal use. Social club dues were provided for one listed individual (one Officer). 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 $ 102,097 ALMA HELPLING $ 61,620 ARTURO POLIZZI $ 302,398 The following individual received a payout from the plan: MICHAEL K. KEATING $ 110,344

Schedule J (Form 990) 2019

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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		12-20-2010	30,000,000	SEE PART VI		X		X		X
B	HAMILTON COUNTY OHIO	31-6000063	40727TCS7	06-26-2012	333,431,995	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	12,163,000		27,625,000
2 Amount of bonds legally defeased ..............	0		198,875,000
3 Total proceeds of issue ..................	30,021,765		334,095,250
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	0		27,741,427
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	0		5,073,444
8 Credit enhancement from proceeds .............	0		1,607,333
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	30,021,765		172,541,278
11 Other spent proceeds .............	0		127,109,132
12 Other unspent proceeds .............	0		0
13 Year of substantial completion .............	2012		2016
	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)? ........		X	X
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)? ........		X		X
16 Has the final allocation of proceeds been made? ..........		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part Ⅲ

Private Business Use

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

For 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 ....	0.150 %		0 %
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 .........			1.630 %
6 Total of lines 4 and 5 .............	0.150 %		1.630 %
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		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 ..........	FIFTH THIRD BANK		0
c Term of hedge .........	550 %
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 $21,765.
Part I, Line B, Column F	The difference between part I, column (E) and part II is due to investment earnings of $663,255.

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	217,338	Compensation - See Part V		No
(2) Paige A Debuys	Family Member	138,990	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 $217,338 during the calendar year ended December 31, 2019. 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 $138,990 during calendar year ended December 31, 2019. 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 CONTROLLER, 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 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 PRESIDENTS IS REVIEWED ANNUALLY BY THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REVIEW WAS LAST PERFORMED IN JULY 2020. 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 REASONABLE 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. Parts VIII, IX and X Impact of Novel Coronavirus Disease 2019 Pandemic In March 2020, the World Health Organization designated the novel coronavirus disease 2019 ('COVID 19') outbreak as a global pandemic. The COVID 19 outbreak, coupled with government-mandated restrictions on hospital services following Ohio Governor Mike DeWine's declaration of a state of emergency related to the COVID 19 pandemic on March 9, 2020, significantly impacted the operations of TCH beginning in mid-March 2020 and continuing through the fourth quarter of the year ended June 30, 2020. Financially, the government-mandated postponement of non-essential procedures and other scheduled appointments adversely and significantly affected operating revenue of TCH through significant reductions in patient volumes. While the initial restrictions on hospital services eased across both May and June (as Ohio health care providers were permitted to resume surgeries and procedures previously delayed due to the COVID 19 state of emergency), certain requirements remained in place related to timely COVID 19 testing and screening of patients and staff and the conservation and monitoring of personal protective equipment, other critical supplies, and equipment. Patient service revenue related to patients with a COVID 19 diagnosis represented approximately 2% of TCH's patient service revenue for the year ended June 30, 2020. To respond to the resulting operating revenue shortfalls, TCH implemented various cost reduction efforts, which included a reduction in executive compensation; the temporary furlough of workers where TCH's services had been curtailed and reduced; and deferring or cancelling consulting projects and other purchased services, where possible. The extent of the COVID 19 pandemic's adverse impact on TCH's operating results and financial condition were and will continue to be driven by many factors, including, but not limited to, government-mandated or recommended suspensions of elective or other procedures, reduced patient volumes, increases in the number of uninsured and underinsured patients as a result of higher sustained rates of unemployment, and incremental expenses required for supplies and personal protective equipment. Because of these and other uncertainties, the duration and extent of the COVID 19 pandemic-related implications and length of time until TCH's operations normalize remain unknown. In response to the COVID 19 pandemic, federal and state governments passed legislation and took other administrative actions intended to assist health care providers in providing care to COVID 19 and other patients during the public health emergency. The Coronavirus Aid, Relief, and Economic Security (CARES) Act, which was enacted on March 27, 2020, authorized $100 billion in funding earmarked for hospitals and other health care providers. The funds were intended to compensate health care providers for lost revenues and incremental expenses incurred in response to the COVID 19 pandemic and are not required to be repaid provided the recipients attest to and comply with certain terms and conditions, including limitations on balance billing and not using the funds to reimburse expenses or losses that other sources are obligated to reimburse. TCH received $20.1 million in stimulus funds from the U.S. Department of Health and Human Services as a part of the CARES Act, and these funds are recorded as other revenue in the consolidated statement of operations and changes in net assets for the year ended June 30, 2020. In addition, the CARES Act provided for an expansion of the Medicare Accelerated and Advance Payment Program, whereby inpatient acute care hospitals and other eligible providers may request accelerated payment of up to 100% of their Medicare payment amount for a six-month period to be repaid through the withholding of future Medicare fee-for-service payments beginning one year after receipt. After seventeen months, any amounts that have not been offset by Medicare claims will be required to be repaid. TCH has received $91.7 million in Medicare accelerated and advance payments from the Centers for Medicare & Medicaid Services. TCH has recorded a liability equal to its repayment obligation to Medicare for services not rendered within contract liabilities in the consolidated balance sheet at June 30, 2020. The CARES Act also provided for deferred payment of the employer portion of social security taxes between March 27, 2020 and December 31, 2020, with 50% of the deferred amount due December 31, 2021 and the remaining 50% due December 31, 2022. TCH has deferred $5.0M in social security taxes through June 30, 2020, which is included in long-term benefits and other liabilities in the consolidated balance sheet.
part xi, line 9	other changes in net assets Clinical Excellence Grant Funding Temporarily $ 7,730,000 restricted as to use at june 30, 2020 clinical excellence grant funding in support $ (22,830,442) for fy20 strategic investments in operations Changes in Pension $ (31,347,000) Equity contributions by TCH to CON $ (200,551) loss on extinguishment of debt $ (15,873,209) other changes $ 3,728,317 ---------------- Total $ (58,792,885)

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	0	0	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	0	0	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	0	0	TCH
(13) LINDNER CTR RSCH & EDU AT TCH LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 26-3885165	MED RESEARCH	OH	-702,187	492,035	TCH
(14) THE CHRIST HOSPITAL PHYSICIANS LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3841691	MEDICAL PRACT	OH	-68,758,000	71,536,000	TCH
(15) bluegrass principal holdings llc 2139 AUBURN AVENUE CINCINNATI,OH45219 31-0538525	Support TCH	OH			tch

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled 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)ELIZABETH GAMBLE DEACONESS HOME ASSOC 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1082756	SUPPORT TCH	OH	501(c)(3)	12a	NA		No
(3)THE CHRIST HOSPITAL COLLEGE OF NURSING 2139 AUBURN AVENUE CINCINNATI,OH45219 20-3823825	SUPPORT TCH	OH	501(c)(3)	2	TCH	Yes
(4)THE CHRIST HOSPITAL FOUNDATION 2139 AUBURN AVENUE CINCINNATI,OH45219 26-4165492	SUPPORT TCH	OH	501(c)(3)	7	TCH	Yes
(5)GAMBLE REALTY 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1080683	REAL ESTATE	OH	501(c)(2)	N/A	TCH	Yes
(6)CHRIST HOSPITAL EDU & CLINICAL RESEARCH 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1126561	SUPPORT TCH	OH	501(c)(3)	12a	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	323,106	FMV
(2) christ college of nursing & health sciences	j	1,452,235	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: improve the health of our community and create patient value by providing exceptional outcomes and the finest experiences, all in an affordable way.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	7,995
6	Total number of volunteers (estimate if necessary) .............	6	250
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	311,001
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) .........	544,490	323,106
9	Program service revenue (Part VIII, line 2g) .........	1,004,832,989	953,792,057
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	13,606,582	16,543,020
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	51,219,293	79,781,246
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,070,203,354	1,050,439,429
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,827,171	1,335,123
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)	518,212,601	515,842,323
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)....	529,580,426	524,645,694
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,049,620,198	1,041,823,140
19	Revenue less expenses. Subtract line 18 from line 12.......	20,583,156	8,616,289
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,256,281,830	1,404,474,937
21	Total liabilities (Part X, line 26).............	620,018,061	817,528,432
22	Net assets or fund balances. Subtract line 21 from line 20.....	636,263,769	586,946,505

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 833,801,952 including grants of $ 1,335,123 ) (Revenue $ 1,031,171,340 )
	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 NEARLY 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, A REMOTE HOSPITAL LOCATION AND PHYSICIAN PRACTICES THAT ENSURE ACCESS TO CARE THROUGHOUT THE GREATER CINCINNATI REGION, INCLUDING SUBURBAN AND RURAL REGIONS OF THE AREA THAT SERVE 14 COUNTIES LOCATED IN THREE STATES. TCH HAS ORGANIZED AND MAINTAINS AN ACCREDITED STAFF OF MORE THAN 1,000 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, 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. TCH HAS CONSISTENTLY BEEN RECOGNIZED BY U.S. NEWS & WORLD REPORT AS ONE OF THE NATION'S TOP HOSPITALS, INCLUDING THE NUMBER ONE HOSPITAL IN THE GREATER CINCINNATI REGION AND RANKED "HIGHER PERFORMING" (TOP 10 PERCENT OF ALL HOSPITALS IN THE COUNTRY) IN SIX SPECIALTY SERVICES. FURTHER, TCH RANKED AS ONE OF BECKER'S HOSPITAL REVIEW "100 GREATEST HOSPITALS IN AMERICAAS ONE OF NEWSWEEK'S "THE WORLD'S BEST HOSPITALS," RANKING FIRST IN THE CINCINNATI REGION. TCH RECEIVED THE NRC HEALTH CONSUMER LOYALTY AWARD IN 2020. TCH HAS BEEN GRANTED MAGNET RECOGNITION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR EXCELLENCE IN NURSING CARE. ADDITIONALLY, FOR THE 14TH STRAIGHT YEAR, THE NETWORK WAS AWARDED HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR BEING IN THE TOP 1% IN THE NATION FOR PROVIDING HIGHEST CLINICAL QUALITY YEAR OVER YEAR. 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, AND OTHER COMMUNITY INITIATIVES. WITH A STAFF OF MORE THAN 1,000 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, 2020, TCH'S INPATIENT ADMISSIONS WERE APPROXIMATELY 22,000 AND ITS OUTPATIENT VISITS EXCEEDED 590,000. THESE VOLUMES WERE SIGNIFICANTLY IMPACTED BY THE COVID-19 GOVERNMENT-MANDATED SHUT DOWN OF ELECTIVE PROCEDURES, BEGINNING IN MID-MARCH 2020 THROUGH JUNE 2020. PATIENT SERVICES THE NETWORK OFFERS A WIDE RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES THROUGH VARIOUS REGIONAL, NATIONAL AND COMMUNITY-BASED DISTRIBUTION MODELS. THE NETWORK'S CLINICAL PROGRAMS ARE DIVERSIFIED, ORGANIZED AND DELIVERED ACROSS ITS SEVEN KEY SERVICE LINES, WHICH INCLUDE CARDIOVASCULAR CARE, ORTHOPAEDIC AND SPINE TREATMENT, WOMEN'S HEALTH, ONCOLOGY, SPECIALTY SURGERY, COMPREHENSIVE MEDICINE AND PRIMARY CARE. THE NETWORK MAINTAINS A LEADING OR SECOND LEADING POSITION IN THE GREATER CINCINNATI REGION FOr KEY SERVICE LINES INCLUDING CARDIOVASCULAR, JOINT AND SPINE AND WOMEN'S HEALTH. THE NETWORK'S POSITIONING IN THE MARKET WITHIN THESE KEY SERVICE LINE FURTHER HIGHLIGHTS THE CRITICAL ROLE THE NETWORK PLAYS IN THE DELIVERY OF CARE TO THE COMMUNITY IT SERVES. HEART AND VASCULAR FROM GROUND-BREAKING TREATMENTS OPTIONS - CERTAIN TREATMENTS THE NETWORK'S PHYSICIANS HELPED PIONEER - TO THE DOZEN OF SUBSPECIALIZED PROGRAMS DEVELOPED BY THE NETWORK TO CARE FOR THE VARIED AND COMPLEX CONDITIONS FOR THE HEART, THE NETWORK IS RECOGNIZED AS A LEADER IN CARDIOVASCULAR CARE AS EVIDENCED BY NUMEROUS AWARDS. FOR THE FISCAL YEAR ENDED JUNE 30, 2020, THE NETWORK PERFORMED 519 OPEN HEART SURGERIES, 2,135 ANGIOPLASTIES AND 2,917 CARDIAC CATHERIZATIONS, MORE THAN ANY OTHER HOSPITAL IN THE GREATER CINCINNATI REGION. FOR 14 CONSECUTIVE YEARS, TCH HAS BEEN NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS IN THE US BY IBM WATSON HEALTH. IN ADDITION, FOR 3 CONSECUTIVE YEARS TCH HAS BEEN NAMED TO BECKERS HOSPITAL REVIEW'S 100 HOSPITALS AND HEALTH SYSTEMS WITH A GREAT HEART PROGRAM. IN ADDITION TO THE VARIOUS AWARDS LISTED ABOVE, THE NETWORK HAS BEEN CREDITED WITH BEING THE FIRST HOSPITAL IN THE NATION TO PERFORM A NUMBER OF CARDIOVASCULAR PROCEDURES. THANKS TO THE LINDNER CENTER FOR RESEARCH, THE NETWORK'S CARDIOVASCULAR PROGRAM IS AT THE FOREFRONT OF INNOVATION AND HAS BECOME THE INTERNATIONAL LEADER IN CLINICAL CARDIOVASCULAR RESEARCH. THE IMPACT OF THIS COLLABORATION TRANSFORMS CARDIOVASCULAR CARE AND BRINGS NEW TREATMENTS TO PATIENTS IN THE GREATER CINCINNATI REGION LONG BEFORE THE TREATMENTS ARE AVAILABLE ELSEWHERE IN OUR COUNTRY. MUSCULOSKELETAL THROUGH ITS WORLD CLASS JOINT AND SPINE CENTER, BUILT IN 2015, THE NETWORK'S ORTHOPAEDIC AND SPINE TREATMENT PROGRAMS ATTRACT PATIENTS ACROSS THE US, BUT ULTIMATELY ALLOWING FOR EXCEPTIONAL ORTHOPAEDIC AND SPINE TREATMENT FOR PATIENTS IN THE GREATER CINCINNATI REGION. THE NETWORK PARTICIPATES IN MEDICARE'S COMPREHENSIVE CARE FOR JOINT REPLACEMENTS ('CJR') MODEL, WHERE IT HAS EXPERIENCED TOP 10 RESULTS NATIONWIDE, EARNING INCENTIVE PAYMENTS FOR DELIVERY OF JOINT REPLACEMENTS TO MEDICARE SPONSORED PATIENTS, ON THE BASIS OF NOT ONLY AFFORDABLE CARE BUT ALSO QUALITY OUTCOMES ACHIEVED. TCH OFFERS COMPREHENSIVE ORTHOPAEDIC AND SPINE SERVICES PROVIDED BY EXPERT SPECIALISTS WHO PROVIDE A COMPREHENSIVE RANGE OF SERVICES THAT FOCUS ON THE PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION OF MUSCULOSKELETAL DISORDERS. THE NETWORK CONTINUES TO DELIVER HIGH QUALITY OUTCOMES, RANKING "HIGH PERFORMING" BY US NEWS & WORLD REPORT. 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. THE NETWORK'S PHYSICIANS AND SURGEONS HAVE PERFORMED MORE INPATIENT SPINE PROCEDURES THAN ANY OTHER HOSPITAL IN THE GREATER CINCINNATI REGION. FULL SUITE OF PATIENT SERVICES THE NETWORK'S INPATIENT SERVICES INCLUDE ALL MAJOR CATEGORIES OF MEDICINE AND SURGERY, WITH THE EXCEPTION OF TRAUMA. THE NETWORK'S OUTPATIENT LOCATIONS PROVIDE PRIMARY AND SPECIALTY CARE AND DIAGNOSTICS. SPECIFIC SERVICES OFFERED BY THE NETWORK INCLUDE THE FOLLOWING: Comprehensive Medicine: Adult/Geriatric Inpatient Behavioral Intensive Care Unit Intensive Outpati

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 expenses833,801,952

(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)	(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) R Glen Mayfield........................................................................ DIRECTOR	1.0 .......................1.0	X	0	0	0
(19) Robert Heimann........................................................................ Director	1.0 .......................1.0	X	0	0	0
(20) James Devitt MD........................................................................ Director	1.0 .......................0.0	X	0	0	0
(21) Patrick Lafley........................................................................ Director (beg 07/19)	1.0 .......................1.0	X	0	0	0
(22) Amy Hanson........................................................................ Director (Beg 04/20)	1.0 .......................1.0	X	0	0	0
(23) John Lanier........................................................................ Director (beg 07/19)	1.0 .......................1.0	X	0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,015,434	0	705,054

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	323,106
e	Government grants (contributions)		1e

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

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

h Total. Add lines 1a-1f.......		323,106

		Business Code
2a	Patient Service Revenue	621990	938,603,792	938,292,791	311,001	0
b	Pharmacy Sales	446110	15,188,265	15,188,265	0	0
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		953,792,057

3 Investment income (including dividends, interest, and othersimilar amounts) ......			14,349,827			14,349,827
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		2,401,963	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	2,401,963	6c
d	Net rental income or (loss).......			2,401,963			2,401,963
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	8,700,246	3,733,605	7a
b	Less: cost or other basis and sales expenses	10,240,658	0	7b
c	Gain or (loss)	-1,540,412	3,733,605	7c
d	Net gain or (loss).........			2,193,193			2,193,193
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			22,830,442	22,830,442	0	0
b	CARES ACT STIMULUS FUNDS			20,096,927	20,096,927	0	0
c	AMBULATORY CARE REVENUE			14,684,336	14,684,336	0	0
d	All other revenue ....			19,767,578	19,767,578	0	0
e	Total. Add lines 11a–11d ......			77,379,283
12	Total revenue. See instructions.....			1,050,439,429	1,030,860,339	311,001	18,944,983

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,103,955	1,103,955
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	231,168	231,168
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	3,741,402		3,741,402
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	356,328	356,328
7	Other salaries and wages........	429,198,803	324,172,761	105,026,042
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,677,662	6,362,734	1,314,928
9	Other employee benefits .......	44,846,787	36,773,562	8,073,225
10	Payroll taxes ...........	30,021,341	24,374,777	5,646,564
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,204,585		1,204,585
c	Accounting ...........	426,839		426,839
d	Lobbying ...........	17,375		17,375
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	2,163,595		2,163,595
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	98,684,781	48,758,300	49,926,481	0
12	Advertising and promotion ....	2,124,998	9,992	2,115,006
13	Office expenses .......	3,219,468	2,235,815	983,653
14	Information technology ......	13,564,115	998,650	12,565,465
15	Royalties ..	0
16	Occupancy ...........	24,663,292	22,274,647	2,388,645
17	Travel ............	392,672	170,349	222,323
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	703,257	367,933	335,324
20	Interest ...........	15,713,087	15,713,087
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	60,264,091	59,686,931	577,160
23	Insurance ...	6,564,163	5,273,625	1,290,538
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	272,933,745	268,527,797	4,405,948	0
b	DUES & SUBSCRIPTIONS	15,583,319	14,123,625	1,459,694	0
c	RENTAL & LEASE OF EQUIP	4,648,671	1,960,458	2,688,213	0
d	PRINTING & PUBLICATIONS	755,267	309,389	445,878	0
e	All other expenses	1,018,374	16,069	1,002,305
25	Total functional expenses. Add lines 1 through 24e	1,041,823,140	833,801,952	208,021,188	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 ........			72,096,589	1	171,297,169
2	Savings and temporary cash investments .........			69,407,402	2	30,794,213
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			134,766,154	4	101,976,466
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 ............			23,384,065	8	21,652,991
9	Prepaid expenses and deferred charges ......			12,221,319	9	13,561,571
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,365,151,690
b	Less: accumulated depreciation	10b	815,999,037	551,630,367	10c	549,152,653
11	Investments—publicly traded securities .			210,381,995	11	221,771,187
12	Investments—other securities. See Part IV, line 11 .....			134,708,021	12	176,354,962
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			12,409,833	14	12,331,718
15	Other assets. See Part IV, line 11 ...........			35,276,085	15	105,582,007
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,256,281,830	16	1,404,474,937

17	Accounts payable and accrued expenses .....	153,332,642	17	157,742,468
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	4,651,880
20	Tax-exempt bond liabilities .........	325,760,257	20	117,026,722
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 ..	66,581,437	23	278,344,560
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	74,343,725	25	259,762,802
26	Total liabilities. Add lines 17 through 25..	620,018,061	26	817,528,432

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	589,508,187	27	563,193,114
28	Net assets with donor restrictions ...........	46,755,582	28	23,753,391
	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 ...........	636,263,769	32	586,946,505
33	Total liabilities and net assets/fund balances ........	1,256,281,830	33	1,404,474,937

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