TY 2024 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/1099-NEC)
(1) AMY HANSON...................................................................... TREASURER (THRU 10/24) / DIRECTOR/BOARD CHAIRMAN (BEG 10/24)	1.0 ................. 1.0	X	X		0	0
(2) DEBORAH HAYES...................................................................... PRESIDENT/CEO	40.0 ................. 1.0	X	X		1,417,535	455,377
(3) GEORGE H VINCENT...................................................................... SECRETARY	1.0 ................. 0.0	X	X		0	0
(4) JOHN LANIER...................................................................... DIRECTOR (THRU 10/24) / TREASURER (BEG 10/24)	1.0 ................. 1.0	X	X		0	0
(5) BARBARA TURNER...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(6) JEB HEAD...................................................................... BOARD CHAIRMAN (THRU 10/24), DIRECTOR	1.0 ................. 1.0	X			0	0
(7) JENNIFER MANDERS...................................................................... PHYSICIAN & DIRECTOR	40.0 ................. 1.0	X			424,022	26,462
(8) JOHN BURNS...................................................................... DIRECTOR (BEG 1/25)	1.0 ................. 1.0	X			0	0
(9) MARK MANLEY MD...................................................................... PHYSICIAN & DIRECTOR	5.0 ................. 1.0	X			0	0
(10) PATRICK LAFLEY...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(11) R KERRY CLARK...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(12) ROBERT HEIMANN...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(13) SHAILESH JEJURIKAR...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(14) THOMAS R GERDES...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(15) VICTORIA B GLUCKMAN...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(16) THEODORE SCHERPENBERG...................................................................... VP & CFO	40.0 ................. 1.0		X		857,866	103,709
(17) DEAN J KEREIAKES MD...................................................................... PHYSICIAN	40.0 ................. 1.0			X	1,896,664	23,219

(A) Name and business address	(B) Description of services	(C) Compensation
TEAM ANESTHESIA LLC PO BOX 639425 CINCINNATI,OH45263	HEALTHCARE SERVICES	22,214,903
ENSEMBLE RCM LLC PO BOX 639076 CINCINNATI,OH45263	FINANCIAL SERVICES	17,083,672
RIGHTSOURCING INC PO Box 515743 Los Angeles,CA90051	HEALTHCARE SERVICES	14,268,070
LABORATORY CORPORATION PO BOX 2270 BURLINGTON,NC27216	HEALTHCARE SERVICES	9,085,786
Guidehouse 4511 Paysphere Circle Chicago,IL60674	Consulting Services	6,756,343
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 177

- TIN:

SCHEDULE A
(Form 990)

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

2024

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 5 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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 on 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 5 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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2024

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2024

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 0.015 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 0.035	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) 2024

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization The Christ Hospital

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. 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

2024

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2024

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 right arrow

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 right arrow

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

(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

28,625

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

28,625

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
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	THE CHRIST HOSPITAL PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION. A PERCENTAGE OF THE DUES RELATED TO LOBBYING. TOTAL CONTRIBUTIONS WERE THE FOLLOWING: OHIO HOSPITAL ASSOCIATION: $4,625 THE CHRIST HOSPITAL PAID CONSULTING FEES TO STATEHOUSE IMPACT GROUP FOR CONSULTING SERVICES RELATED TO LOBBYING. TOTAL CONTRIBUTIONS WERE THE FOLLOWING: STATEHOUSE IMPACT GROUP: $24,000 TOTAL - $28,625

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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 ....	49,903,000	110,296,000	109,200,000	46,689,000	44,305,000
b	Contributions ...	118,353,000	15,313,000	65,407,000	106,898,000	33,114,000
c	Net investment earnings, gains, and losses	1,436,000	2,554,000	-80,000	-88,000	2,164,000
d	Grants or scholarships ...	122,000	111,000	310,000	241,000	161,000
e	Other expenditures for facilities and programs ...	53,607,000	78,149,000	63,921,000	44,058,000	32,733,000
f	Administrative expenses ....
g	End of year balance ......	115,963,000	49,903,000	110,296,000	109,200,000	46,689,000

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

11.48 %

Term endowment right arrow

88.52 %

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 .....	35,434,530		35,434,530
b	Buildings ....	617,932,988	275,258,409	342,674,579
c	Leasehold improvements	37,805,678	24,343,322	13,462,356
d	Equipment ....	638,029,641	536,960,548	101,069,093
e	Other .....	167,803,456	121,010,301	46,793,155
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				539,433,713

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other 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) Closely-held equity interests
(B) Financial derivatives
(C) LIMITED LIABILITY COMPANY	183,710,116	F
(D) HEDGE FUND	53,250,818	F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	236,960,934

Part VIII

Investments - Program 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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				50,668,086
(2)OTHER LONG TERM ASSETS				72,797,015
(3)PENSION ASSET				508,760
(4)DUE FROM RELATED PARTIES
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				123,973,861

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
Federal Income Taxes
DEFERRED PENSION
OPERATING LEASE LIABILITY	52,822,144
Due to Third-Party Payors	4,888,068
OTHER LIABILITIES	1,997
DUE TO RELATED PARTIES	1,822,288
CONTRACT LIABILTIES


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	59,534,497
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) (Rev. 1-2025)

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	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
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	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

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	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
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	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

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

Schedule D, Part V, Line 4 Intended uses of endowment funds

ALL FUNDS RECEIVED BY THE CHRIST HOSPITAL ('TCH'), BOTH PERMANENT ENDOWMENTS AND TEMPORARY ENDOWMENTS, ARE USED IN LINE WITH THE DONOR'S INTENT. ALL FUNDS ARE MONITORED BY THE NETWORK'S OFFICERS, A GIFT FUND REVIEW COMMITTEE, AND GENERAL ACCOUNTING AND IF EXPENSES ARE IDENTIFIED AS APPROPRIATE TO THE FUND, THE FUND WILL BE CHARGED FOR THE EXPENDITURE.

Schedule D, Part X, Line 2 FIN 48 (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, 2025 AND 2024, AND DETERMINED NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2025 AND 2024.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

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 arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

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		(b) Number of offices in the 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	0	1	Program Services	GEN & PROF LIAB	199,023
	Central America and the Caribbean	0	1	Investments		23,156,178















3a	Sub-total ....	0	2			23,355,201
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	2			23,355,201

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 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) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

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
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	CENTRAL AMERICA AND THE CARIBBEAN-Accrual

Schedule F (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2024

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"? . . . . . . . . . . . . .

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

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		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(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) . . .			2,504,110	0	2,504,110	0.172 %
b	Medicaid (from Worksheet 3, column a) . . . . .			138,386,329	86,084,240	52,302,089	3.598 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	140,890,439	86,084,240	54,806,199	3.770 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			505,301	0	505,301	0.035 %
f	Health professions education (from Worksheet 5) . . .			18,044,902	7,296,640	10,748,262	0.739 %
g	Subsidized health services (from Worksheet 6) . . . .			0	0	0	0 %
h	Research (from Worksheet 7) .			9,790,479	7,676,798	2,113,681	0.145 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			126,325	0	126,325	0.009 %
j	Total. Other Benefits . .	0	0	28,467,007	14,973,438	13,493,569	0.928 %
k	Total. Add lines 7d and 7j .	0	0	169,357,446	101,057,678	68,299,768	4.699 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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					0	0 %
2	Economic development					0	0 %
3	Community support					0	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	0	0	0	0 %

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. ......

43,689,304

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. ......

270,835

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).....

173,717,214

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

206,338,530

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

-32,621,316

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) 2024

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 1187LH	X	X	X	X	X

Schedule H (Form 990) 2024

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 24

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): https://www.thechristhospital.com/news-and-community/chna

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 25

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

Yes

If "Yes" (list url): https://www.thechristhospital.com/news-and-community/chna

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) 2024

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 150.0%
and FPG family income limit for eligibility for discounted care of 300.0%

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):

https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources

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

https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources

A plain language summary of the FAP was widely available on a website (list url):
https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources

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) 2024

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) 2024

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) 2024

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
Schedule H, Part V, Section B, Line 3E	SEE NARRATIVE FOR PART V, SECTION B, LINE 11.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - THE CHRIST HOSPITAL. Oversight of this CHNA process was provided by a diverse Advisory Committee composed of representatives from hospitals, public health departments, federally qualified health centers, community-based organizations, professional associations, funding bodies, and hospital associations. Their leadership ensured that the CHNA process remained inclusive, equitable, and responsive to the needs of the broader community. Throughout the process, we held 12 advisory committee meetings and 6 task force meetings, which included 45 total partner organizations.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - THE CHRIST HOSPITAL. Adams County Regional Medical Center Atrium Medical Center Bethesda Arrow Springs Bethesda Butler Hospital Bethesda North Hospital Cincinnati Children's Clinton Memorial Hospital Regional Health System Daniel Drake Center for Post-Acute Care St. Elizabeth Dearborn County Hospital Fort Hamilton Hospital Good Samaritan Hospital - Cincinnati Good Samaritan Western Ridge Highland District Hospital Kettering Health Network Emergency - Middletown Lindner Center of HOPE Margaret Mary Hospital McCullough-Hyde Memorial Hospital Mercy Health - Anderson Hospital Mercy Health - Clermont Hospital Mercy Health - Fairfield Hospital Mercy Health - Harrison Medical Center Mercy Health - Mt. Orab Medical Center Mercy Health - Queen City Medical Center Mercy Health - Rookwood Medical Center Mercy Health - West Hospital St. Elizabeth Covington St. Elizabeth Edgewood St. Elizabeth Florence St. Elizabeth Fort Thomas St. Elizabeth Grant St. Elizabeth Owen The Christ Hospital The Christ Hospital Medical Center - Liberty Township The Jewish Hospital - Mercy Health TriHealth Evendale Hospital University of Cincinnati Medical Center West Chester Hospital
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - THE CHRIST HOSPITAL. Butler County General Health District and Southwest Association of Ohio Health Commissioners Cincinnati Health Department Clermont County Public Health Hamilton County Public Health Center for Closing the Health Gap Hamilton County Human Services Chamber United Way of Greater Cincinnati Urban League of Greater Southwestern Ohio bi3 Interact for Health The HealthCare Connection HealthSource of Ohio CareSource Butler County General Health District, Ohio Cincinnati Health Department, Ohio Norwood City Board of Health, Ohio City of Springdale Health Department, Ohio Clermont County Public Health, Ohio Clinton County Health District, Ohio Franklin County Health Department, Indiana Hamilton County Public Health, Ohio Ripley County Health Department, Indiana Warren County Health District, Ohio All-In Cincinnati Black Women Cultivating Change Cincinnati Compass Clermont County Board of Developmental Disabilities Community Builders Cradle Cincinnati Foodbank of Dayton Freestore Foodbank Greater Cincinnati Behavioral Health Services Greater Cincinnati Regional Food Policy Council Healthcare Access Now Housing Opportunities Made Equal (HOME) NAMI Southwest Ohio Refugee Connect Santa Maria Community Services Shared Harvest Food Bank Su Casa United Way of Greater Cincinnati
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - THE CHRIST HOSPITAL. The Christ Hospital Health Network (TCHHN) conducted a Community Health Needs Assessment (CHNA) in Fiscal Year 2022 and again in Fiscal Year 2025 (July 1, 2024 - June 30, 2025). Input from a variety of community partners provided valuable insight into the overall health and well-being of the community we serve. One of our primary partners was The Health Collaborative, a nonprofit organization that works with its member hospitals on healthcare improvement projects and shares best practices. For the fourth time, The Health Collaborative convened local hospitals and led efforts to better understand community health needs. Their regional report shares data for Southwest Ohio, including the Greater Cincinnati area, Northern Kentucky, and Southeastern Indiana. Because hospital service areas vary, this approach provides the most thorough picture of local and regional health needs. The Fiscal year 2025 CHNA explored the social determinants of health (SDOH) contributing to health behaviors and outcomes, along with the systemic barriers that drive disparities and health inequities within the community. Recognizing that physical, environmental, and behavioral factors play a critical role in health, the CHNA placed a strong emphasis on understanding the SDOH and the structural issues that shape them - factors that must be addressed to improve health outcomes for all community members. The priorities were determined by the number of votes in community meetings, the number of mentions in surveys, and data trends that were worse than state or national averages and impacted at least 16 counties (secondary data). The identified priorities ranked in the top eight across all primary data sources. Prevalent health concerns identified in Hamilton County include: * Heart Disease and Stroke Prevention * Mental Health * Homelessness Through a collaborative and meticulous process, TCHHN and its community partners have reviewed these concerns and established a course of action. This plan focuses on programs, research, and education geared to the community's top identified health concerns. Our goal is to make a measurable impact on community health. We recognize that one entity's expertise cannot be broad enough to address all needs; therefore, collaborations and partnerships are key to meeting them. The Implementation Plan was approved by TCHHN Board of Directors on 10/22/2025. Heart Disease and Stroke Prevention Chronic high blood pressure, or hypertension, can lead to heart disease and stroke - serious conditions that rank among the leading causes of death and the most frequent emergency department diagnoses in our region. These conditions are linked to inadequate housing and mental health challenges. We developed the following goals so that we may continue to make an impact on the community: 1. Increase access to PREVENTATIVE screening services. To achieve this goal, we will deploy a mobile heart unit to provide vascular screenings directly within the community, removing barriers to care for underserved populations, partnering with community organizations to engage at-risk individuals for testing. 2. Increase mental health support in the heart disease population. To achieve this goal, we will expand behavioral health consultant support within TCHHN's cardiology service line to integrate mental health care into cardiovascular disease management. We will coordinate with community-based mental health services and payor resources to ensure comprehensive, integrated care. Mental Health Mental health treatment and crisis prevention are crucial for individuals and communities. Mental health is closely linked to physical health and influenced by relationships, employment, and living environments. Lack of timely, affordable mental health services can contribute to poor outcomes, while supportive communities with access to quality housing, education, and jobs promote positive mental health. We aim to continue making an impact through the following goals: 1. Expand access to behavioral health consultants in ambulatory specialty services. To achieve this goal, we will recruit additional behavioral health consultants within ambulatory specialty services, focusing on high-risk populations to ensure timely and equitable access. We will strengthen our work with community-based mental health services and payor partners to align resources and extend program impact. 2. Reduce readmissions related to mental health diagnoses. To achieve this goal, we will ensure patients are seen by a provider within seven days of discharge to reduce relapse or readmission and improve continuity of care. We will partner with community organizations and payors to ensure seamless support during transition from hospital to community care. Homelessness Safe, stable housing is essential for health and well-being. Affordable rent, adequate space, and housing stability prevent stressors that can lead to chronic health conditions. High housing costs may limit resources for other necessities such as childcare, nutritious food, and healthcare. Poor quality housing can increase chronic stress, blood pressure, and mental health risks. We will continue to address these needs through the following goals: 1. Expand access to resources for patients facing housing crises. To achieve this goal, we will increase screening for SDOH to better identify needs and connect patients to appropriate resources. We will leverage community and payor partnerships to fill gaps in support as needed. 2. Provide quality, holistic medical care to people experiencing homelessness. To achieve this goal, we will offer financial support to the Center for Respite Care to allow patients without stable housing to receive needed care in a safe environment, while breaking the cycle of homelessness. The ongoing collaboration with the Center for Respite Care will ensure coordinated, comprehensive, and PATIENT-CENTERED services.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - THE CHRIST HOSPITAL. THE CHRIST HOSPITAL DOES NOT INITIATE EXTRAORDINARY COLLECTION ACTIONS.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - THE CHRIST HOSPITAL. THE CHRIST HOSPITAL DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS, AS IT IS NOT A REQUIREMENT.

Schedule H (Form 990) 2024

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?206
Name and address		Type of Facility (describe)
1	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
2	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
3	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Phys/Occupational Therapy
4	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
5	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Testing & Imaging Center
6	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
7	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
8	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
9	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
10	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
11	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
12	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
13	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Testing & Imaging Center
14	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
15	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Specialty Center
16	Anderson AOC 7545 Beechmont Avenue Cincinnati,OH45255	Physician Office
17	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
18	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
19	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
20	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
21	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
22	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
23	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Testing & Imaging Center
24	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
25	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
26	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Testing & Imaging Center
27	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Research Center
28	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
29	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
30	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
31	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
32	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
33	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Testing & Imaging Center
34	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
35	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
36	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
37	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
38	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
39	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
40	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
41	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
42	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
43	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
44	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
45	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
46	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
47	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
48	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
49	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
50	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
51	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
52	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
53	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
54	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Rehabilitation
55	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Rehabilitation
56	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
57	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
58	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
59	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
60	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
61	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
62	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Specialty Center
63	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Rehabilitation
64	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Physician Office
65	Auburn MOB 2123 Auburn Avenue Cincinnati,OH45219	Testing & Imaging Center
66	Babson 4900 Babson Place Cincinnati,OH45227	Physician Office
67	Babson 4900 Babson Place Cincinnati,OH45227	Specialty Center
68	Babson 4900 Babson Place Cincinnati,OH45227	Specialty Center
69	CON- 2025 Reading Road 2025 Reading Road Cincinnati,OH45202	Physician Office
70	Eastgate Medical Office Building 796 Old State Route 74 Cincinnati,OH45245	Specialty Center
71	Five Mile 7691 Five Mile Road Cincinnati,OH45230	Specialty Center
72	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Testing & Imaging Center
73	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
74	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Testing & Imaging Center
75	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Physician Office
76	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Physician Office
77	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Physician Office
78	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Phys/Occupational Therapy
79	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
80	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
81	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
82	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Urgent Care
83	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
84	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
85	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
86	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
87	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
88	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
89	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Physician Office
90	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Physician Office
91	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
92	Ft Wright AOC 1955 Dixie Highway Ft Wright,KY41011	Specialty Center
93	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Specialty Center
94	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Specialty Center
95	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Testing & Imaging Center
96	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Specialty Center
97	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Physician Office
98	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Testing & Imaging Center
99	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Testing & Imaging Center
100	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Specialty Center
101	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Specialty Center
102	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Physician Office
103	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Physician Office
104	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Physician Office
105	Green Township AOC 5885 Harrison Avenue Cincinnati,OH45248	Specialty Center
106	Green Twp Urgent Care 6560 Harrison Ave Cincinnati,OH45248	Physician Office
107	Harpers Pointe 11340 Montgomery Road Cincinnati,OH45249	Specialty Center
108	Harrison Greene 5649 Harrison Avenue Cincinnati,OH45248	Phys/Occupational Therapy
109	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45044	Specialty Center
110	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45044	Physician Office
111	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45044	Specialty Center
112	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45044	Specialty Center
113	Liberty Commons Medical Center 7335 Yankee Road Liberty Township,OH45044	Specialty Center
114	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Physician Office
115	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
116	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
117	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Physician Office
118	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Phys/Occupational Therapy
119	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Testing & Imaging Center
120	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
121	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
122	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
123	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
124	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
125	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Rehabilitation
126	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
127	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
128	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
129	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
130	Liberty Township AOC 6939 Cox Road Liberty Township,OH45069	Specialty Center
131	Linden Pointe Bldg D 4803 Montgomery Road Norwood,OH45212	Specialty Center
132	Linden Pointe Bldg D 4803 Montgomery Road Norwood,OH45212	Physician Office
133	Linden Pointe Bldg D 4803 Montgomery Road Norwood,OH45212	Physician Office
134	Linden Pointe Bldg E 4805 Montgomery Road Cincinnati,OH45212	Specialty Center
135	Mason MOB 608 Reading Road Mason,OH45040	Specialty Center
136	Mason MOB 608 Reading Road Mason,OH45040	Specialty Center
137	Mason MOB 608 Reading Road Mason,OH45040	Specialty Center
138	Mason MOB 608 Reading Road Mason,OH45040	Specialty Center
139	Mason Montgomery Road 7450 Mason Montgomery Road Mason,OH45040	Physician Office
140	Mason Montgomery Road 7450 Mason Montgomery Road Mason,OH45040	Specialty Center
141	Miami Twp MOB 1171 State Route 28 Milford,OH45150	Physician Office
142	Miami Twp MOB 1171 State Route 28 Milford,OH45150	Physician Office
143	Miami Twp MOB 1171 State Route 28 Milford,OH45150	Phys/Occupational Therapy
144	Miami Twp MOB 1171 State Route 28 Milford,OH45150	Testing & Imaging Center
145	Miami Twp MOB 1171 State Route 28 Milford,OH45150	Specialty Center
146	Miami Twp MOB 1171 State Route 28 Milford,OH45150	Specialty Center
147	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
148	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
149	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Testing & Imaging Center
150	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
151	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
152	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
153	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Testing & Imaging Center
154	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Testing & Imaging Center
155	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Physician Office
156	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Phys/Occupational Therapy
157	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Physician Office
158	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Physician Office
159	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Physician Office
160	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
161	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
162	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
163	Montgomery AOC 11140 Montgomery Road Montgomery,OH45249	Specialty Center
164	Montgomery Station 9122 Montgomery Road Cincinnati,OH45242	Physician Office
165	Montgomery Surgery Center 11150 Montgomery Road Cincinnati,OH45249	Specialty Center
166	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45227	Specialty Center
167	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45227	Specialty Center
168	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45227	Specialty Center
169	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45227	Specialty Center
170	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45227	Specialty Center
171	Red Bank Crossing I 4460 Red Bank Expressway Cincinnati,OH45227	Physician Office
172	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45227	Urgent Care
173	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45227	Specialty Center
174	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45227	Specialty Center
175	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45227	Testing & Imaging Center
176	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45227	Testing & Imaging Center
177	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45227	Specialty Center
178	Red Bank Crossing II 4440 Red Bank Expressway Cincinnati,OH45227	Physician Office
179	Red Bank Retail I 4400-4420 Red Bank Expressway Cincinnati,OH45227	Specialty Center
180	Red Bank Surgery Center 4850 Red Bank Road Cincinnati,OH45227	Specialty Center
181	Rookwood Tower 3805 Edwards Road Cincinnati,OH45209	Physician Office
182	Rookwood Tower 3805 Edwards Road Cincinnati,OH45209	Physician Office
183	Rookwood Tower 3805 Edwards Road Cincinnati,OH45209	Physician Office
184	Rookwood Tower 3805 Edwards Road Cincinnati,OH45209	Testing & Imaging Center
185	Rookwood Tower 3805 Edwards Road Cincinnati,OH45209	Physician Office
186	Rookwood Tower 3805 Edwards Road Cincinnati,OH45209	Physician Office
187	Shoppes of Delhi 5026 Delhi Pike Cincinnati,OH45238	Physician Office
188	Springboro OBGYN 264 W Central Avenue Springboro,OH45066	Physician Office
189	Springfield Township Mini AOC 8989 Winton Road Cincinnati,OH45231	Specialty Center
190	Springfield Township Mini AOC 8989 Winton Road Cincinnati,OH45231	Physician Office
191	Springfield Township Mini AOC 8989 Winton Road Cincinnati,OH45231	Specialty Center
192	Springfield Township Mini AOC 8989 Winton Road Cincinnati,OH45231	Testing & Imaging Center
193	TCHCVA- Wilmington 1150 W Locust Street Wilmington,OH45177	Physician Office
194	TCHMA - Bridgetown 5680 Bridgetown Road Cincinnati,OH45248	Physician Office
195	TCHMA Cold Spring 3955 Alexandria Pike Cold Spring,KY41076	Physician Office
196	TCHMA Loveland 1200 Cottonwood Lane Cincinnati,OH45140	Physician Office
197	TCHMA Maderia 8041 Hosbrook Road Cincinnati,OH45236	Physician Office
198	TCHMA Union 8780 US Highway 42 Union,KY41091	Physician Office
199	TCHMA- Wilmington 1184 W Locust Wilmington,OH45177	Physician Office
200	TCHMS Norwood 2355 Norwood Avenue Cincinnati,OH45212	Specialty Center
201	TCHOA Blue Ash 9250 Blue Ash Road Cincinnati,OH45242	Physician Office
202	TCHP - Batesville 1033 State Road 229 Batesville,IN47006	Physician Office
203	TCHP - Batesville 1033 State Road 229 Batesville,IN47006	Specialty Center
204	Tennessee Ave 1737 Tennessee Ave Cincinnati,OH45229	Testing & Imaging Center
205	Western Hills 3248 3248 Westbourne Drive Cincinnati,OH45248	Physician Office
206	Wetherington 7589 Tylers Place Boulevard West Chester,OH45069	Physician Office

Schedule H (Form 990) 2024

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
Schedule H, Part V, Section B, Line 22 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, 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.
Schedule H, 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 $214,663,747 ALLOWABLE COST OF CARE RELATED TO PAYMENTS FROM ABOVE $(266,579,752) SHORTFALL FROM MEDICARE MANAGED CARE PLANS $(51,916,005) 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) $127,341,188 ALLOWABLE COST OF CARE RELATED TO PAYMENTS FROM ABOVE $(203,498,313) SHORTFALL RELATED TO THE MEDICARE PART B PLANS (PHYSICIAN-BASED) $(76,157,125)
Schedule H, Part VI, Line 6	N/A
Schedule H, Part VI, Line 7	N/A
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHRIST HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS BASED UPON MANAGEMENT'S REVIEW OF PATIENT ACCOUNT RECORDS FOR WHICH PATIENT APPLIED FOR FINANCIAL ASSISTANCE AND WAS SUBSEQUENTLY DENIED DUE TO MISSING OR INCOMPLETE DOCUMENTATION. THE METHODOLOGY USED BY THE CHRIST HOSPITAL TO DETERMINE THIS AMOUNT REASONABLY ESTIMATES BAD DEBT ADJUSTMENTS ATTRIBUTABLE TO PATIENTS WHO COULD HAVE QUALIFY FOR FINANCIAL ASSISTANCE, BUT FOR WHOM INSUFFICIENT INFORMATION WAS OBTAINED TO DETERMINE THEIR ELIGIBILITY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). TCH ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED AS AN IMPLICIT PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN TCH'S AUDITED FINANCIAL STATEMENTS. 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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	MEDICARE SURPLUS (OR SHORTFALL) OCCURS WHEN THE FEDERAL GOVERNMENT REIMBURSES HOSPITALS IN EXCESS, OR BELOW, THEIR COSTS FOR TREATING MEDICARE PATIENTS. THE CHRIST HOSPITAL, LIKE MOST HOSPITALS AND HEALTH SYSTEMS, INCURRED A MEDICARE SHORTFALL FOR THE YEAR ENDED JUNE 30, 2025. THE SHORTFALL AMOUNT DISCLOSED IN PART III, SECTION B IS BASED ON HOSPITAL-BASED REVENUE AND ALLOWABLE COST (INCLUDING DSH AND IME) FROM TRADITIONAL MEDICARE PROGRAMS (I.E., THOSE NOT SPONSORED BY A MANAGED CARE PLAN). NON-NEGOTIABLE MEDICARE RATES FOR THE YEAR ENDED JUNE 30, 2025 WERE OUT-OF-LINE WITH THE TRUE COSTS OF CARING FOR THESE PATIENTS, DRIVING THIS SHORTFALL. BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, THE CHRIST HOSPITAL IS ALLEVIATING THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. BY CONTINUING TO SERVE PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THE CHRIST HOSPITAL IS PROMOTING THE HEALTH OF THE COMMUNITY, IN LINE WITH ITS CHARITABLE MISSION.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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.
Schedule H, Part V, Section B, Line 16a FAP website	- THE CHRIST HOSPITAL: Line 16a URL: https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources;
Schedule H, Part V, Section B, Line 16b FAP Application website	- THE CHRIST HOSPITAL: Line 16b URL: https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- THE CHRIST HOSPITAL: Line 16c URL: https://www.thechristhospital.com/patient-resources/patient-financial-services/financial-resources;
Schedule H, Part VI, Line 2 Needs assessment	The first step in conducting the 2025 Community Health Needs Assessment (CHNA) was to clearly define the community we serve. This process involved evaluating several key factors, including the geographic areas in which we operate, the populations we serve, and the Hospital's primary service lines and clinical functions. In identifying our community, we intentionally included medically underserved, low-income, and minority populations residing within our service area. We also considered all patients, regardless of their ability to pay, insurance status, or eligibility for financial assistance under our Financial Assistance Policy. This inclusive approach reflects our mission to provide equitable care and improve health outcomes across all populations. We partnered with The Health Collaborative (THC) to conduct a comprehensive and collaborative CHNA. This regional effort was facilitated by THC and included the participation of 21 hospitals and 10 health departments, spanning 18 counties across Greater Cincinnati, southeastern Indiana, and northern Kentucky. The success of this CHNA was made possible through the active engagement of local community leaders, strategic partners, and champions across the region who supported outreach, community engagement, and data collection efforts. In addition to the data collected THROUGH OUR partnership with THC, we analyzed multiple sources, including public health data, health risk factor surveys, socioeconomic needs assessments, environmental standards, and existing programs for residents in the greater Cincinnati region. We also reviewed written comments received from the previous assessment. The full Collaborative CHNA report offers a detailed account of the following: 1. The process of gathering community input, including contributions from individuals and organizations with special knowledge of, or expertise in, public health. 2. The timeline and methods used to collect community input. 3. The names and roles of participating organizations, as well as the nature and extent of their contributions. 4. Descriptions of medically underserved, low-income, and minority populations represented by participants throughout the process. Oversight of this process was provided by a diverse Advisory Committee composed of representatives from hospitals, public health departments, federally qualified health centers, community-based organizations, professional associations, funding bodies, and hospital associations. Their leadership ensured that the CHNA process remained inclusive, equitable, and responsive to the needs of the broader community. Throughout the process, we held 12 advisory committee meetings and 6 task force meetings, which included 45 total partner organizations.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	TCH POSTS ITS CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENT, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. TCH PROVIDES A COPY OF THE POLICY, OR SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH THE FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN THE PATIENT BILLS. TCH DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, WHERE APPLICABLE. ADDITIONALLY, TCH ASSISTS PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. TCH REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: - EXPLORE ELIGIBILITY, - FILE APPLICATION ON PATIENT'S BEHALF, - SCHEDULE AND ATTEND APPOINTMENTS, - PROVIDE TRANSPORTATION WHEN NECESSARY, - PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGHOUT THE REGISTRATION AND DISCHARGE PROCESS, PATIENTS AND THEIR COUNSELORS review available options. 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.
Schedule H, Part VI, Line 4 Community information	TCH'S PRIMARY SERVICE AREA, COMPRISING 91.5% OF INPATIENT ADMISSIONS, ENCOMPASSES TWELVE COUNTIES IN THE GREATER CINCINNATI AREA INCLUDING: ADAMS, BUTLER, CLERMONT, CLINTON, HAMILTON, HIGHLAND, AND WARREN COUNTIES IN OHIO; BOONE, CAMPBELL, AND KENTON COUNTIES IN KENTUCKY; DEARBORN AND FRANKLIN COUNTIES IN INDIANA. TCH'S SECONDARY SERVICE AREA COMPRISES AN ADDITIONAL 3.5% OF THE INPATIENT ADMISSIONS AND ENCOMPASSES AN ADDITIONAL SEVEN COUNTIES INCLUDING BROWN AND FAYETTE COUNTIES IN OHIO; GRANT, MASON, AND PENDLETON COUNTIES IN KENTUCKY; RIPLEY AND OHIO COUNTIES IN INDIANA. TCH LARGELY SERVES HAMILTON COUNTY WHICH HAS A POPULATION OF APPROXIMATELY 837,359 WITH 17% OF THE POPULATION OVER THE AGE OF 65. THE HAMILTON COUNTY POPULATION CONSISTS OF APPROXIMATELY 14.1% OF THE POPULATION LIVING BELOW THE POVERTY LINE. APPROXIMATELY 61% OF HAMILTON COUNTY'S POPULATION IS WHITE WHILE 25% OF THE POPULATION IS AFRICAN AMERICAN, 3% IS ASIAN AMERICAN, AND THE REMAINING OTHER ETHNICITIES ACCOUNT FOR 11% OF THE POPULATION. WITHIN HAMILTON COUNTY, 34% OF THE HOUSEHOLDS HAVE AN AVERAGE INCOME LEVEL OF LESS THAN $50,000; APPROXIMATELY 29% OF HOUSEHOLDS HAVE INCOME BETWEEN $50,000-$100,000; AND AN ADDITIONAL 37% OF HOUSEHOLDS HAVE AN AVERAGE INCOME GREATER THAN $100,000.
Schedule H, Part VI, Line 5 Promotion of community health	TCHHN operates an emergency room open to all persons regardless of ability to pay. In addition to providing emergency services, TCHHN uses a systematic approach to determine community health needs with input from organizations such as the Center for Closing the Health Gap, the TCHHN Family Advisory Council, and through the gathering of community health statistics by service line leaders and the marketing department. Information gathered through these sources has led to the deployment of the Palliative Care Program and the development of a Center for Health and Aging to address the special needs of geriatric patients. TCHHN also supports the community through numerous fund drives such as United Way, the American Heart Association, diabetes and cancer walks, and the Fine Arts Fund. At the beginning of each school year and the Winter Holiday Season, TCHHN team members donate school supplies and gifts to students at Taft Elementary School located in Mt. Auburn. In addition, TCHHN staff provide mentoring opportunities to undergraduate and graduate student interns/residents interested in healthcare careers, as well as to Explorer Scouts. TCHHN Team Member Resource Groups also play a large role in strengthening community engagement by supporting outreach efforts, volunteer activities, and partnerships that advance health equity and belonging across the region.

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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) FOREST HILLS LOCAL SCHOOL DISTRICT 7649 BEECHMONT AVENUE CINCINNATI,OH45255	31-6008411	501 (C) (3)	200,000	General Sponsorship
(2) CENTER FOR CLOSING THE HEALTH GAP IN GREATER CINCINNATI 3120 BURNET AVENUE CINCINNATI,OH45229	20-0902286	501 (C) (3)	175,000	General Sponsorship
(3) AMERICAN HEART ASSOCIATION INC 5211 MADISON ROAD CINCINNATI,OH45227	13-5613797	501 (C) (3)	155,000	General Sponsorship
(4) CENTER FOR RESPITE CARE 1615 REPUBLIC CINCINNATI,OH45202	20-2544994	501 (C) (3)	100,000	General Sponsorship
(5) THE ABERCRUMBIE GROUP 10301 GIVERNY BLVD CINCINNATI,OH45241	30-0520187	501 (C) (3)	55,000	General Sponsorship
(6) UNITED WAY OF GREATER CINCINNATI PO BOX 632711 CINCINNATI,OH45263	31-0537502	501 (C) (3)	50,000	General Sponsorship
(7) WYOMING CITY SCHOOL DISTRICT 420 SPRINGFIELD PIKE WYOMING,OH45215	31-6001020	501 (C) (3)	40,000	General Sponsorship
(8) GIVING VOICE FOUNDATION 2879 MARKBREIT AVENUE CINCINNATI,OH45209	87-3086554	501 (C) (3)	30,000	General Sponsorship
(9) WEST CHESTER LIBERTY CHAMBER ALLIANCE 8763 UNION CENTRE BLVD WEST CHESTER,OH45069	31-0901492	501 (C) (6)	28,375	General Sponsorship
(10) SAM HUBBARD FOUNDATION 3190 BRINTON TRAIL EVENDALE,OH45241	84-4402521	501 (C) (3)	26,000	General Sponsorship
(11) REDI CINCINNATI LLC 3 EAST FOURTH STREET CINCINNATI,OH45202	47-2090230		25,000	General Sponsorship
(12) BT RISE LLC 5320 STONY RUN COURT LIBERTY TOWNSHIP,OH45011	92-2812106		20,000	General Sponsorship
(13) CINCINNATI USA REGIONAL CHAMBER FOUNDATION 3 EAST FOURTH STREET CINCINNATI,OH45202	31-0239310	501 (C) (3)	16,000	General Sponsorship
(14) MATTHEW 25 MINISTRIES INC 11060 KENWOOD ROAD CINCINNATI,OH45242	31-1348100	501 (C) (3)	15,000	General Sponsorship
(15) METROPOLITAN CLUB CORPORATION 50 E RIVERCENTER BLVD COVINGTON,KY41011	61-1188518		15,000	General Sponsorship
(16) MARGARET MARY HEALTH FOUNDATION INC 321 MITCHELL AVENUE BATESVILLE,IN47006	45-5039355	501 (C) (3)	11,000	General Sponsorship
(17) ARTHRITIS FOUNDATION INC 1355 PEACHTREE STREET ATLANTA,GA30309	58-1341679	501 (C) (3)	10,000	General Sponsorship
(18) AMERICAN CITY BUSINESS JOURNALS INC 120 WEST MOREHEAD STREET CHARLOTTE,NC28202	43-1366184		8,250	General Sponsorship
(19) YWCA GREATER CINCINNATI 898 WALNUT STREET CINCINNATI,OH45202	31-0537518	501 (C) (3)	7,772	General Sponsorship
(20) BEACON ORTHOPAEDICS RESEARCH & EDUCATION FOUNDATION 500 E-BUSINESS WAY CINCINNATI,OH45241	27-0643210	501 (C) (3)	5,500	General Sponsorship
(21) XAVIER UNIVERSITY 3800 VICTORY PARKWAY CINCINNATI,OH45207	31-0537516	501 (C) (3)	5,000,000	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) Rev. 1-2025

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	99	122,306
(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

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds

THE CHRIST HOSPITAL PROVIDES FUNDING TO COMMUNITY ORGANIZATIONS THAT SUPPORT ITS MISSION, 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.). ALL FUNDS ARE MONITORED BY THE FOUNDATION'S OFFICERS, A GIFT FUND REVIEW COMMITTEE, AND GENERAL ACCOUNTING AND IF EXPENSES ARE IDENTIFIED AS APPROPRIATE TO THE FUND, THE FUND WILL BE CHARGED FOR THE EXPENDITURE. 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) Rev. 1-2025

Additional Data

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

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) (Rev. 1-2025)

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1DEBORAH HAYES PRESIDENT/CEO	(i) (ii)	1,003,450 ------------- 0	387,061 ------------- 0	27,024 ------------- 0	444,475 ------------- 0	10,902 ------------- 0	1,872,912 ------------- 0	64,276 ------------- 0
2JENNIFER MANDERS PHYSICIAN & DIRECTOR	(i) (ii)	398,400 ------------- 0	0 ------------- 0	25,622 ------------- 0	0 ------------- 0	26,462 ------------- 0	450,484 ------------- 0	0 ------------- 0
3THEODORE SCHERPENBERG VP & CFO	(i) (ii)	557,144 ------------- 0	277,082 ------------- 0	23,640 ------------- 0	89,434 ------------- 0	14,275 ------------- 0	961,575 ------------- 0	0 ------------- 0
4DEAN J KEREIAKES MD PHYSICIAN	(i) (ii)	1,646,430 ------------- 0	203,750 ------------- 0	46,484 ------------- 0	0 ------------- 0	23,219 ------------- 0	1,919,883 ------------- 0	0 ------------- 0
5MARC SCHNEIDER MD PHYSICIAN	(i) (ii)	1,523,600 ------------- 0	30,000 ------------- 0	27,902 ------------- 0	0 ------------- 0	39,171 ------------- 0	1,620,673 ------------- 0	0 ------------- 0
6JOHN SMITH MD PHYSICIAN	(i) (ii)	1,299,453 ------------- 0	112,500 ------------- 0	17,874 ------------- 0	0 ------------- 0	28,598 ------------- 0	1,458,425 ------------- 0	0 ------------- 0
7GEOFFREY ANSWINI MD PHYSICIAN	(i) (ii)	1,276,918 ------------- 0	75,000 ------------- 0	27,902 ------------- 0	46 ------------- 0	31,087 ------------- 0	1,410,953 ------------- 0	0 ------------- 0
8SASIDHAR KILARU MD PHYSICIAN	(i) (ii)	1,190,366 ------------- 0	27,688 ------------- 0	27,902 ------------- 0	0 ------------- 0	31,285 ------------- 0	1,277,241 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	TCH MONITORS ALL EXPENSE REIMBURSEMENTS FOR SOCIAL CLUB DUES PAID 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 RELATES TO PERSONAL USE. Social club dues were provided for two listed individuals (one officer and one Top 5 paid employee).
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE CHRIST HOSPITAL HAS A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN SENIOR EXECUTIVES. THE FOLLOWING INDIVIDUALS HAVE AN ACCRUAL REPORTED IN PART II, COLUMN (C): DEBORAH HAYES $380,751 THEODORE SCHERPENBERG $86,153 THE FOLLOWING INDIVIDUAL RECEIVED A PAYOUT FROM THE PLAN: DEBORAH HAYES $64,276

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

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Software Version:	2024v5.1

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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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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	000000000	12-20-2010	30,000,000	(SEE STATEMENT)		X		X		X
B	HAMILTON COUNTY OHIO	31-6000063	000000000	06-01-2022	81,910,000	the purpose of the issue is to refund the series 2012 Bonds dated 06/26/2012.		X		X		X
C	HAMILTON COUNTY OHIO	31-6000063	000000000	10-24-2022	22,451,000	TO REFUND A TAXABLE LINE OF CREDIT USED TO ACQUIRE AN AMBU. CTR.		X		X		X
D	HAMILTON COUNTY OHIO	31-6000063	40727TDN1	12-11-2023	49,135,000	The purpose of the issue is to refund a portion of the Series 2019 Bonds dated 12/31/2019.		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	19,894,000		29,530,000		2,263,000		0
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	30,021,765		81,910,000		22,451,000		50,856,497
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............			215,000		131,000		991,694
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	30,021,765
11 Other spent proceeds .............			81,695,000		22,319,122		49,864,803
12 Other unspent proceeds .............					878
13 Year of substantial completion .............	2012		2022		2022		2023
	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 2020, a current refunding issue)? ........		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X	X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

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		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		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		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		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 .........	0 %		0.17 %		0 %		0.17 %
6 Total of lines 4 and 5 .............	0 %		0.17 %		0 %		0.17 %
7 Does the bond issue meet the private security or payment test? ...		X		X		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		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0 %		0 %		0 %		0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		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		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		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X			X		X
b Exception to rebate? ........	X			X	X		X
c No rebate due? .........		X		X		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		X	X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider ..........	FIFTH THIRD BANK
c Term of hedge .........	50 %		0 %		250 %		0 %
d Was the hedge superintegrated? ......		X		X		X		X
e Was the hedge terminated? ........		X		X		X		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........	0 %		0 %		0 %		0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		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		X		X

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part II, Line 3	THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II IS DUE TO INVESTMENT EARNINGS OF $21,765.
Schedule K, Part II, Line 3	THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II IS DUE TO BOND PREMIUM OF $1,721,497.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE ISSUER NAME: HAMILTON COUNTY, OHIO	HEALTHCARE FACILITIES REVENUE BONDS

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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. ........................... $

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

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) (Rev. 1-2025)

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) PAIGE A DEBUYS	FAMILY MEMBER	150,394	COMPENSATION - SEE PART V		No
(2) ATKINS AND PEARCE	35% CONTROLLED ENTITY	162,138	HEALTHCARE SERVICES - SEE PART V		No
(3) ENCORE TECHNOLOGIES	35% CONTROLLED ENTITY	6,455,513	IT SERVICES - SEE PART V		No

Part V

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

Return Reference	Explanation
Schedule L, Part IV BUSINESS TRANSACTIONS	PAIGE A. DEBUYS, SISTER OF ROBERT HEIMANN (DIRECTOR OF TCH), IS EMPLOYED AS A PHYSICIAN BY TCHP. MS. DEBUYS RECEIVED COMPENSATION OF $150,394 DURING CALENDAR YEAR ENDED DECEMBER 31, 2024. TCHP IS A DISREGARDED ENTITY FOR TAX PURPOSES.
Schedule L, Part IV ATKINS AND PEARCE	JEB HEAD (DIRECTOR OF TCH) IS CEO AND OWNER OF ATKINS AND PEARCE. DURING FISCAL YEAR ENDED JUNE 30, 2025, ATKINS AND PEARCE PAID TCH $162,138 FOR AN ONSITE HEALTH CLINIC OPERATED BY TCH.
Schedule L, Part IV ENCORE TECHNOLOGIES	JOHN BURNS (DIRECTOR OF TCH) IS CEO AND OWNER OF ENCORE TECHNOLOGIES. DURING FISCAL YEAR ENDED JUNE 30, 2025, TCH PAID ENCORE TECHNOLOGIES $6,455,513 FOR IT SERVICES PROVIDED BY ENCORE TECHNOLOGIES.

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

The Christ Hospital

Employer identification number

31-0538525

Return Reference	Explanation
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS	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. FOR OVER 130 YEARS OF OPERATIONS, TCH'S MISSION 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 19 COUNTIES LOCATED IN THREE STATES. TCH HAS ORGANIZED AND MAINTAINS AN ACCREDITED STAFF OF MORE THAN 1,600 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, SPECIALTY 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, THE NUMBER THREE HOSPITAL IN THE STATE OF OHIO, AND AS "HIGH PERFORMING" IN 23 PROCEDURES AND CONDITIONS. FURTHER, TCH RANKED AS ONE OF NEWSWEEK'S "THE WORLD'S BEST HOSPITALS," RANKING FIRST IN THE CINCINNATI REGION AND SIXTH IN THE STATE OF OHIO. 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 1,600 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, 2025, TCH'S INPATIENT ADJUSTED ADMISSIONS WERE APPROXIMATELY 62,000 AND ITS OUTPATIENT VISITS WERE APPROXIMATELY 738,000. 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 TREATMENT OPTIONS - CERTAIN TREATMENTS THE NETWORK'S PHYSICIANS HELPED PIONEER - TO A 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, 2025, THE NETWORK PERFORMED 1,125 OPEN HEART SURGERIES, 1,407 ANGIOPLASTIES AND 5,911 CARDIAC CATHETERIZATIONS, MORE THAN ANY OTHER HOSPITAL IN THE GREATER CINCINNATI REGION. ADDITIONALLY, SINCE THE LAUNCH OF TCH'S HEART TRANSPLANT PROGRAM IN OCTOBER 2022, TCH HAS SUCCESSFULLY PERFORMED 50 HEART TRANSPLANTS AS OF JUNE 30, 2025 (18 HEART TRANSPLANTS COMPLETED DURING FY2025). TCH WAS NAMED AS ONE OF AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY, AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE, AND AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION BY HEALTHGRADES. 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:
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUED	COMPREHENSIVE MEDICINE: ADULT/GERIATRIC INPATIENT BEHAVIORAL INTENSIVE CARE UNIT NICHE INPATIENT GERIATRIC UNIT HEALTH AND AGING CENTER PALLIATIVE CARE PROGRAM ENDOCRINOLOGY/DIABETES EDUC. PROGRAM OUTPATIENT CLINIC REFERENCE LABORATORY INFECTIOUS DISEASE NEPHROLOGY NEUROLOGY PATHOLOGY PULMONOLOGY WOMEN'S HEALTH SERVICES: LABOR AND DELIVERY UNIT POST-PARTUM FAMILY UNIT SPECIAL CARE NURSERY UNIT OUTPATIENT LACTATION PROGRAM PERINATAL SERVICES GYNECOLOGY & GYNECOLOGICAL SERVICES DIAGNOSTIC MAMMOGRAPHY PELVIC FLOOR CENTER ORTHOPAEDIC AND SPINE: TOTAL JOINT REPLACEMENT/RECONSTRUCTION GENERAL ORTHOPAEDICS AND SPORTS MEDICINE ORTHOPAEDIC/NEUROSURGICAL SPINE CARE INPATIENT REHABILITATION SERVICES OUTPATIENT REHABILITATION SERVICES INTERVENTIONAL PAIN MANAGEMENT SERVICES PHYSIATRY PODIATRY ELECTRODIAGNOSTIC SERVICES IMAGING AND DIAGNOSTIC SERVICES: CT SCANNING DIAGNOSTIC IMAGING MRI NUCLEAR MEDICINE PET/CT SURGICAL SERVICES: COLON/RECTAL ENT/OTOLARYNGOLOGY GENERAL SURGERY NEUROLOGICAL UROLOGY SOLID ORGAN KIDNEY TRANSPLANT TISSUE/BONE GRAFTING CARDIOVASCULAR SERVICES: HEART TRANSPLANT CARDIOVASCULAR SURGERY VASCULAR SURGERY CORONARY CARE ADVANCED HEART FAILURE TREATMENT ELECTROPHYSIOLOGY LAB MECHANICAL ASSIST DEVICE PROGRAM CARDIAC REHABILITATION SERVICES WOUND CENTER INTERVENTIONAL CARDIOLOGY INTERVENTIONAL RADIOLOGY ONCOLOGY: GENOMICS RADIATION ONCOLOGY CHEMOTHERAPY DEPARTMENT PHYSICS CANCER RESEARCH CANCER/TUMOR REGISTRY ONCOLOGICAL SURGERY INTENSIVE CARE SERVICES: CARDIOVASCULAR ICU MEDICAL ICU SURGICAL ICU CRITICAL CONNECTIONS EICU
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE VOTING MEMBER OF THE CHRIST HOSPITAL (TCH) IS THE CHRIST HOSPITAL, INC. (TCHI).
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE VOTING MEMBER HAS THE AUTHORITY TO: - TO APPOINT MEMBERS TO THE GOVERNING BOARD OF TCH
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED TO THE SOLE CORPORATE MEMBER: 1.) TO RECEIVE THE NET ASSETS OF TCH UPON DISSOLUTION AND 2.) 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.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED BY THE ASSISTANT CONTROLLER, THE CONTROLLER, THE CFO, AND THE CEO. THE FORM IS THEN PRESENTED TO THE AUDIT AND RISK MANAGEMENT COMMITTEE AND BOARD FOR FINAL REVIEW.
Form 990, Part VI, Line 12c Conflict of interest policy	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.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	COMPENSATION OF THE ORGANIZATION'S CEO IS REVIEWED ANNUALLY BY THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REVIEW WAS LAST PERFORMED IN JULY 2025. THE COMPENSATION 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.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	COMPENSATION OF THE ORGANIZATION'S VICE PRESIDENTS IS REVIEWED ANNUALLY BY THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REVIEW WAS LAST PERFORMED IN JULY 2025. THE COMPENSATION 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.
Form 990, Part VI, Line 19 Required documents available to the public	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.
Form 990, Part VII, Section A, Line 1a, 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.
Form 990, Part VII, Section B, Line 1 FORM 990, PART VII, SECTION B	IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR CONSTRUCTION SERVICES MAY INCLUDE EXPENSE REIMBURSEMENT, IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All other revenue - Total Revenue: 14582851, Related or Exempt Function Revenue: 14581705, Unrelated Business Revenue: 1146, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	EGDHA GRANT FUNDING - 55202060; CHANGES IN PENSION - -2847270; LOSS ON DISPOSAL OF ASSETS - -1552160; OTHER CHANGES - 266531; Total - 51069161;

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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	0	0	TCH PHYS
(2) TCH MEDICAL SPECIALISTS II LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 45-2681845	MEDICAL PRACT	OH	0	0	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	0	0	TCH PHYS
(5) TCH MEDICAL ASSOCIATES III LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-5467250	MEDICAL PRACT	OH	0	0	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	0	0	TCH PHYS
(8) TCH ORTHOPAEDIC ASSOCIATES LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-2352575	MEDICAL PRACT	OH	0	0	TCH PHYS
(9) TCHHN URGENT CARE LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3088756	MEDICAL PRACT	OH	0	0	TCH PHYS
(10) TCH ORTHOPAEDIC ASSOCIATES III LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3088817	MEDICAL PRACT	OH	0	0	TCH PHYS
(11) PROFESSIONAL DIAGNOSTIC SERVICES LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3081840	MEDICAL SERVI	OH	0	0	TCH
(12) LINDNER CTR RSCH & EDU AT TCH LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 26-3885165	MED RESEARCH	OH	-594,624	337,169	TCH
(13) THE CHRIST HOSPITAL PHYSICIANS LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-3841691	MEDICAL PRACT	OH	-123,444,000	98,317,000	TCH
(14) BLUEGRASS PRINCIPAL HOLDINGS LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 31-0538525	SUPPORT TCH	OH	0	0	TCH
(15) THOROUGHBRED REAL ESTATE PARTNERS LLC 2139 Auburn Avenue Cincinnati,OH45219	HOLDING COMPANY	OH	0	0	TCH
(16) TCH MEDICAL SPECIALISTS LLC 2139 AUBURN AVENUE CINCINNATI,OH45219 27-0577733	MEDICAL PRACT	OH	0	0	TCH PHYS

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)	Type II	EGDHA		No
(2)ELIZABETH GAMBLE DEACONESS HOME ASSOC 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1082756	SUPPORT TCH	OH	501(c)(3)	Type I	NA		No
(3)THE CHRIST COLLEGE OF NURSING & HEALTH SCIENCES 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 COMPANY 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1080683	REAL ESTATE	OH	501(c)(2)		TCH	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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?		(k) Percentage ownership
(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	(k) Percentage ownership

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	(h) Percentage ownership	Yes	No
(1) THE CHRIST HOSPITAL HEALTH SERVICES CORP 2139 AUBURN AVENUE CINCINNATI,OH45219 31-1066981	MEDICAL SERVICES	OH	TCH INC	C Corporation	0	0		Yes
(2) EXCEL INSURANCE COMPANY LTD 2139 AUBURN AVENUE CINCINNATI,OH45219 98-0386259	INSURANCE	OH	TCH	C Corporation	0	0	100 %	Yes
(3) THE CHRIST HOSPITAL HEALTH NETWORK SERVICE CORPORATION 2139 AUBURN AVENUE cincinnati,OH45219 87-4120530	MEDICAL SVCS	OH	TCH	C Corporation	0	0		Yes
(4) ALLIANCE INTEGRATIVE MEDICINE LLC 6400 E GALBRAITH RD CINCINNATI,OH45236 20-5875764	MEDICAL SCVS	OH	THE CHRIST HOSPITAL HEALTH NETWORK SERVICE CORPORATION	C Corporation	0	0			No

Schedule R (Form 990) (Rev. 1-2025)

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) ............................

Yes

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	590,069	FMV
(2) CHRIST COLLEGE OF NURSING & HEALTH SCIENCES	J	1,370,536	FMV
(3) CHRIST COLLEGE OF NURSING & HEALTH SCIENCES	Q	100,000	FMV
(4) CHRIST COLLEGE OF NURSING & HEALTH SCIENCES	R	210,000	FMV

Schedule R (Form 990) (Rev. 1-2025)

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
Schedule R, 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) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

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	15
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 2024 (Part V, line 2a) ......	5	8,770
6	Total number of volunteers (estimate if necessary) .............	6	288
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	194,371
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	327,345	590,069
9	Program service revenue (Part VIII, line 2g) .........	1,273,143,782	1,361,223,004
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,741,325	37,242,587
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	100,931,498	92,607,500
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,385,143,950	1,491,663,160
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,289,128	6,115,203
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	692,961,678	735,314,679
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	678,974,842	712,181,697
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,373,225,648	1,453,611,579
19	Revenue less expenses. Subtract line 18 from line 12.......	11,918,302	38,051,581
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,436,406,751	1,550,094,015
21	Total liabilities (Part X, line 26).............	606,953,241	612,062,200
22	Net assets or fund balances. Subtract line 21 from line 20.....	829,453,510	938,031,815

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,163,985,883 including grants of $ 6,115,203 ) (Revenue $ 1,451,676,217 )
	SEE SCHEDULE O

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,163,985,883

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) GEOFFREY ANSWINI MD........................................................................ PHYSICIAN	40.0 .......................1.0	X	1,379,820	0	31,133
(19) JOHN SMITH MD........................................................................ PHYSICIAN	40.0 .......................1.0	X	1,429,827	0	28,598
(20) MARC SCHNEIDER MD........................................................................ PHYSICIAN	40.0 .......................1.0	X	1,581,502	0	39,171
(21) SASIDHAR KILARU MD........................................................................ PHYSICIAN	40.0 .......................1.0	X	1,245,956	0	31,285

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	10,233,192	0	738,954

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	590,069
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.......		590,069

		Business Code
2a	PATIENT SERVICE REVENUE	621999	1,338,444,933	1,338,251,708	193,225
b	PHARMACY SALES	456110	22,778,071	22,778,071
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		1,361,223,004

3 Investment income (including dividends, interest, and othersimilar amounts) ......			14,487,432			14,487,432
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	2,153,141
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	2,153,141	0
d	Net rental income or (loss).......			2,153,141			2,153,141
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	22,679,804	93,385
b	Less: cost or other basis and sales expenses	7b		18,034
c	Gain or (loss)	7c	22,679,804	75,351
d	Net gain or (loss).........			22,755,155			22,755,155
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	ELIZABETH GAMBLE DEACONESS HOME ASSOCIATION GRANTS		900099	34,397,940	34,397,940
b	AMBULATORY CARE REVENUE		621111	24,809,188	24,809,188
c	HOSPITAL FRANCHISE FEE PROGRAM		813990	16,664,380	16,664,380
d	All other revenue ....			14,582,851	14,581,705	1,146	0
e	Total. Add lines 11a–11d ......			90,454,359
12	Total revenue. See instructions.....			1,491,663,160	1,451,482,992	194,371	39,395,728

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	5,992,897	5,992,897
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	122,306	122,306
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	3,284,972		3,284,972
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	150,394	120,315	30,079
7	Other salaries and wages........	618,846,930	466,425,254	152,421,676
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	12,434,319	9,885,554	2,548,765
9	Other employee benefits .......	62,004,171	52,094,107	9,910,064
10	Payroll taxes ...........	38,593,893	31,133,013	7,460,880
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,083,979		1,083,979
c	Accounting ...........	585,000		585,000
d	Lobbying ...........	28,625		28,625
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,147,847		2,147,847
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	144,847,413	84,620,502	60,226,911	0
12	Advertising and promotion ....	4,671,015	840,569	3,830,446
13	Office expenses .......	5,293,973	3,127,747	2,166,226
14	Information technology ......	18,572,137	1,329,564	17,242,573
15	Royalties ..
16	Occupancy ...........	29,344,447	19,792,933	9,551,514
17	Travel ............	796,611	370,394	426,217
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,584,515	1,067,590	516,925
20	Interest ...........	11,927,760	11,927,760
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	53,303,467	52,656,878	646,589
23	Insurance ...	7,287,546	5,685,409	1,602,137
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	395,373,862	385,746,771	9,627,091
b	HOSPITAL FRANCHISE FEE PROGRAM	27,873,110	27,873,110
c	RENTAL & LEASE OF EQUIPMENT	3,161,189	2,046,865	1,114,324
d	DUES AND SUBSCRIPTIONS	2,755,228	781,351	1,973,877
e	All other expenses	1,543,973	344,994	1,198,979	0
25	Total functional expenses. Add lines 1 through 24e	1,453,611,579	1,163,985,883	289,625,696	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).

1	Cash–non-interest-bearing ........			48,849,135	1	55,394,384
2	Savings and temporary cash investments .........			16,611,831	2	15,004,617
3	Pledges and grants receivable, net ......			0	3	48,200,000
4	Accounts receivable, net .............			131,355,556	4	143,476,875
5	Loans and other receivables from 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 ............			27,983,244	8	28,981,009
9	Prepaid expenses and deferred charges ......			31,244,465	9	27,821,122
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,497,006,293
b	Less: accumulated depreciation	10b	957,572,580	542,890,640	10c	539,433,713
11	Investments—publicly traded securities .			282,441,318	11	315,652,631
12	Investments—other securities. See Part IV, line 11 .....			219,795,068	12	236,960,934
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			15,030,869	14	15,194,869
15	Other assets. See Part IV, line 11 ...........			120,204,625	15	123,973,861
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,436,406,751	16	1,550,094,015

17	Accounts payable and accrued expenses .....	188,826,239	17	207,489,385
18	Grants payable ...	0	18	4,000,000
19	Deferred revenue .........	500,000	19	0
20	Tax-exempt bond liabilities .........	145,062,260	20	132,486,248
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 ..	210,566,663	23	208,552,070
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	61,998,079	25	59,534,497
26	Total liabilities. Add lines 17 through 25..	606,953,241	26	612,062,200

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	814,382,914	27	880,673,422
28	Net assets with donor restrictions ...........	15,070,596	28	57,358,393
	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 .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	0	31	0
32	Total net assets or fund balances ...........	829,453,510	32	938,031,815
33	Total liabilities and net assets/fund balances ........	1,436,406,751	33	1,550,094,015

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