Civic Intelligence

The Christ Hospital

EIN 31-0538525 • 501(c)3 • Cincinnati, OH

Profile

Improve the health of our community and create patient value by providing exceptional outcomes and the finest experiences, all in an affordable way.

2139 Auburn AvenueCincinnati, OH 45219

www.thechristhospital.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

68th percentile

0.47x

Higher debt load relative to assets than 68% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2022

Liabilities / Revenue

46th percentile

0.55x

Higher debt load relative to revenue than 46% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2022

Net Margin

18th percentile

-1.6%

Higher net margin than 18% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

6th percentile

-7.1%

Faster asset growth than 6% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Revenue Growth

28th percentile

3.1%

Faster revenue growth than 28% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Assets

Up

$1,436,406,751

Up $26,655,161 (+1.9%) from 2023

Liabilities

Up

$606,953,241

Up $2,898,229 (+0.5%) from 2023

Net Assets

Up

$829,453,510

Up $23,756,932 (+2.9%) from 2023

Revenue

Up

$1,385,143,950

Up $84,355,516 (+6.5%) from 2023

Expenses

Up

$1,373,225,648

Up $79,401,658 (+6.1%) from 2023

Net Income

Up

$11,918,302

Up $4,953,858 (+71%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0B$1.5B$1.0B$500M$0Assets 2010: $544,844,495Liabilities 2010: $308,826,318Net Assets 2010: $236,018,1772010Assets 2011: $588,231,949Liabilities 2011: $300,635,980Net Assets 2011: $287,595,9692011Assets 2012: $889,491,939Liabilities 2012: $562,030,744Net Assets 2012: $327,461,1952012Assets 2013: $917,859,689Liabilities 2013: $514,676,544Net Assets 2013: $403,183,1452013Assets 2014: $992,162,530Liabilities 2014: $534,766,676Net Assets 2014: $457,395,8542014Assets 2015: $1,066,826,046Liabilities 2015: $546,932,460Net Assets 2015: $519,893,5862015Assets 2016: $1,150,245,657Liabilities 2016: $640,315,972Net Assets 2016: $509,929,6852016Assets 2017: $1,137,972,535Liabilities 2017: $618,879,455Net Assets 2017: $519,093,0802017Assets 2018: $1,216,274,502Liabilities 2018: $599,082,585Net Assets 2018: $617,191,9172018Assets 2019: $1,256,281,830Liabilities 2019: $620,018,061Net Assets 2019: $636,263,7692019Assets 2020: $1,404,474,937Liabilities 2020: $817,528,432Net Assets 2020: $586,946,5052020Assets 2021: $1,543,782,904Liabilities 2021: $791,980,495Net Assets 2021: $751,802,4092021Assets 2022: $1,433,779,859Liabilities 2022: $670,195,286Net Assets 2022: $763,584,5732022Assets 2023: $1,409,751,590Liabilities 2023: $604,055,012Net Assets 2023: $805,696,5782023Assets 2024: $1,436,406,751Liabilities 2024: $606,953,241Net Assets 2024: $829,453,5102024

Highlighted filing

2024

Assets$1,436,406,751
Liabilities$606,953,241
Net Assets$829,453,510

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5B$1.0B$500M$0-$500MExpenses 2010: $586,280,1702010Expenses 2011: $630,443,6632011Expenses 2012: $650,268,5882012Expenses 2013: $733,754,1052013Revenue 2014: $792,695,673Expenses 2014: $766,361,717Net Income 2014: $26,333,9562014Revenue 2015: $825,627,902Expenses 2015: $787,234,129Net Income 2015: $38,393,7732015Revenue 2016: $880,991,918Expenses 2016: $860,102,105Net Income 2016: $20,889,8132016Revenue 2017: $919,113,533Expenses 2017: $920,050,387Net Income 2017: -$936,8542017Revenue 2018: $1,022,651,911Expenses 2018: $981,585,676Net Income 2018: $41,066,2352018Revenue 2019: $1,070,203,354Expenses 2019: $1,049,620,198Net Income 2019: $20,583,1562019Revenue 2020: $1,050,439,429Expenses 2020: $1,041,823,140Net Income 2020: $8,616,2892020Revenue 2021: $1,186,585,207Expenses 2021: $1,118,641,756Net Income 2021: $67,943,4512021Revenue 2022: $1,223,368,789Expenses 2022: $1,242,620,997Net Income 2022: -$19,252,2082022Revenue 2023: $1,300,788,434Expenses 2023: $1,293,823,990Net Income 2023: $6,964,4442023Revenue 2024: $1,385,143,950Expenses 2024: $1,373,225,648Net Income 2024: $11,918,3022024

Highlighted filing

2024

Revenue$1,385,143,950
Expenses$1,373,225,648
Net Income$11,918,302

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1,436$607$829$1,385$1,373$11.9
2023Detailed filing. Detailed filing data is available for this year.$1,410$604$806$1,301$1,294$6.96
2022Detailed filing. Detailed filing data is available for this year.$1,434$670$764$1,223$1,243$19.3
2021Detailed filing. Detailed filing data is available for this year.$1,544$792$752$1,187$1,119$67.9
2020Detailed filing. Detailed filing data is available for this year.$1,404$818$587$1,050$1,042$8.62
2019Detailed filing. Detailed filing data is available for this year.$1,256$620$636$1,070$1,050$20.6
2018Detailed filing. Detailed filing data is available for this year.$1,216$599$617$1,023$982$41.1
2017Detailed filing. Detailed filing data is available for this year.$1,138$619$519$919$920$0.94
2016Detailed filing. Detailed filing data is available for this year.$1,150$640$510$881$860$20.9
2015Detailed filing. Detailed filing data is available for this year.$1,067$547$520$826$787$38.4
2014Detailed filing. Detailed filing data is available for this year.$992$535$457$793$766$26.3
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$918$515$403$734
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$889$562$327$650
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$588$301$288$630
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$545$309$236$586
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$1,388,979,967
Mission and Program Overview

Mission

To improve the health of our community and create patient value by providing exceptional outcomes, affordable care, and the finest experiences.

Improve the health of our community and create patient value by providing exceptional outcomes and the finest experiences, all in an affordable way.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$539,220,940$542,890,640▲ $3,669,700
Investments in Publicly Traded Securities$236,019,568$282,441,318▲ $46,421,750
Investments Other Securities$207,363,003$219,795,068▲ $12,432,065
Accounts Receivable$132,224,207$131,355,556▼ $868,651
Cash and Non-Interest-Bearing Accounts$3,885,350$48,849,135▲ $44,963,785
Prepaid Expenses and Deferred Charges$32,469,239$31,244,465▼ $1,224,774
Inventories for Sale or Use$28,086,013$27,983,244▼ $102,769
Savings and Temporary Cash Investments$85,280,999$16,611,831▼ $68,669,168
Intangible Assets$15,042,833$15,030,869▼ $11,964
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Pd in Cap Srpls Land Bldg Eqp Fund$0--
Rtn Earn Endowment Incm Other Fnds$0--
Cap Stk Tr Prin Current Funds$0--
Loans From Officers Directors$0$0→ $0
Total Assets$1,409,751,590$1,436,406,751▲ $26,655,161
Other Assets Total$130,159,438$120,204,625▼ $9,954,813
Liabilities
Mortgage Notes Payable Secured by Investment Property$272,250,629$210,566,663▼ $61,683,966
Accounts Payable and Accrued Expenses$157,658,519$188,826,239▲ $31,167,720
Tax Exempt Bond Liabilities$107,194,697$145,062,260▲ $37,867,563
Other Liabilities$65,446,167$61,998,079▼ $3,448,088
Deferred Revenue$1,505,000$500,000▼ $1,005,000
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$604,055,012$606,953,241▲ $2,898,229
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$724,086,411$814,382,914▲ $90,296,503
Net Assets With Donor Restrictions$81,610,167$15,070,596▼ $66,539,571
Total Net Assets Fund Balance$805,696,578$829,453,510▲ $23,756,932
Total Liabilities and Net Assets / Fund Balance$1,409,751,590$1,436,406,751▲ $26,655,161

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$90,059,617$600,901,955$690,961,572
Buildings$340,814,115$258,467,209$599,281,324
Other Land Buildings$60,389,828$180,086,617$240,476,445
Leasehold Improvements$16,455,479$21,605,569$38,061,048
Land$35,171,601-$35,171,601
Other Assets Org$4,030,715--
Other Securities$219,795,068--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$110,296,000$15,313,000▲ $2,554,000$78,149,000$49,903,000
2022$109,200,000$65,407,000▼ $80,000$63,921,000$110,296,000
2021$46,689,000$106,898,000▼ $88,000$44,058,000$109,200,000
2020$44,305,000$33,114,000▲ $2,164,000$32,733,000$46,689,000
2019$66,758,000$13,544,000▼ $132,000$35,812,000$44,305,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Marc Schneider MdPhysicianFT$1,530,441$89,824$1,620,265
Deborah HayesPresident/CEOFT$967,805$613,429$1,581,234
Dean J Kereiakes MdPhysicianFT$1,417,932$121,981$1,539,913
John Smith MdPhysicianFT$1,127,546$209,444$1,336,990
Geoffrey Answini MdPhysicianFT$1,203,695$58,220$1,261,915
Robert Dowling MdPhysicianFT$978,585$281,289$1,259,874
Theodore ScherpenbergVP & CFOFT$500,003$238,579$738,582
Jennifer MandersPhysician & DirectorFT$423,425$97,862$521,287
Geraldine M VehrPhysician & Director (thru 9/23)FT$203,639$51,962$255,601

Board Members and Trustees

NameTitle
Jeb HeadDirector/board Chairman
Barbara TurnerDirector
John LanierDirector
Patrick LafleyDirector
R Kerry ClarkDirector
Robert HeimannDirector
Thomas R GerdesDirector
Victoria B GluckmanDirector
Shailesh JejurikarDirector (beg 7/23)
Mark Manley MdDirector (beg 9/23)
R Glen MayfieldDirector (thru 10/23)
George H VincentSecretary (beg 10/23)
Deborah P MajorasSecretary (thru 10/23)
Amy HansonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Ensemble Rcm LLCFinancial ServicesPO BOX 639076, Cincinnati, OH 45263$15,182,662
Team Anesthesia LLCHealthcare ServicesPO BOX 639425, Cincinnati, OH 45263$14,541,171
Danis Building Construction CoConstruction3233 NEWARK DRIVE, Miamisburg, OH 45342$10,226,535
University Of CincinnatiHealthcare ServicesPO BOX 932379, Cleveland, OH 44193$6,937,136
Laboratory CorporationHealthcare ServicesPO BOX 2270, Burlington, NC 27216$5,687,684
Revenue and Support

Revenue Composition

Contributions and Grants
$327,345
Program Service Revenue
$1,273,143,782
Investment Income
$10,741,325
Other Revenue
$100,931,498
Change in Net Assets
$11,918,302
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$692,961,678
Other Expenses$678,974,842
Grants and Similar Amounts Paid$1,289,128
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$439,808,136$145,219,666-$585,027,802
Fees for Services Other$82,350,839$54,897,383$0$137,248,222
Depreciation Depletion$62,625,652$551,566-$63,177,218
Other Employee Benefits$46,514,556$9,113,357-$55,627,913
Payroll Taxes$29,622,988$7,131,175-$36,754,163
Occupancy$17,965,481$6,722,775-$24,688,256
Information Technology$1,265,441$16,557,573-$17,823,014
Pension Plan Contributions$9,741,942$2,575,250-$12,317,192
Interest$12,215,417--$12,215,417
Insurance$7,662,239$1,643,134-$9,305,373
Office Expenses$2,794,642$2,537,714-$5,332,356
Advertising$770,410$3,109,539-$3,879,949
Current Officers, Directors, Trustees, and Key Employees-$3,096,703-$3,096,703
Other Expenses$792,876$1,605,544-$2,398,420
Fees for Service Investment Mgmnt Fees-$2,179,720-$2,179,720
Conferences and Meetings$1,124,816$401,888-$1,526,704
All Other Expenses$391,473$889,899$0$1,281,372
Grants to Domestic Orgs$1,178,376--$1,178,376
Fees for Services Legal-$1,038,194-$1,038,194
Travel$244,345$366,629-$610,974
Fees for Services Accounting-$556,200-$556,200
Comp Disqual Persons$110,324$27,581-$137,905
Grants to Domestic Individuals$110,752--$110,752
Fees for Services Lobbying-$7,750-$7,750
Total Functional Expenses$1,102,440,674$270,784,974$0$1,373,225,648
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Oak Hills Local School DistrictCincinnati, OH501 (c) (3)General Sponsorship$205,750
Forest Hills Local School DistrictCincinnati, OH501 (c) (3)General Sponsorship$200,000
Lakota Local School DistrictLiberty Township, OHGovtGeneral Sponsorship$155,000
American Heart Association IncCincinnati, OH501 (c) (3)General Sponsorship$135,000
Wyoming City School DistrictWyoming, OHGovtGeneral Sponsorship$135,000
Center for Respite CareCincinnati, OH501 (c) (3)General Sponsorship$100,000
Redi Cincinnati LLCCincinnati, OHGovtGeneral Sponsorship$50,000
The Abercrumbie GroupCincinnati, OH501 (c) (3)General Sponsorship$50,000
Giving Voice FoundationCincinnati, OH501 (c) (3)General Sponsorship$32,000
ArtswaveCincinnati, OH501 (c) (3)General Sponsorship$28,975
American City Business Journals IncCharlotte, NC501 (c) (3)General Sponsorship$17,500
Sam Hubbard FoundationEvendale, OH501 (c) (6)General Sponsorship$15,000
Ywca Greater CincinnatiCincinnati, OH501 (c) (3)General Sponsorship$12,500
West Chester Liberty Chamber AllianceWest Chester, OH501 (c) (3)General Sponsorship$10,850
University of Cincinnati FoundationCincinnati, OH501 (c) (3)General Sponsorship$10,800
Arthritis Foundation IncAtlanta, GA-General Sponsorship$10,000
Cincinnati USA Regional Chamber FoundationCincinnati, OH-General Sponsorship$10,000

International Summary

Offices
0
Employees
2
Spending
$20,122,738

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-01$19,903,314
Central America and the CaribbeanProgram ServicesGen & Prof Liab01$219,424
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-35% CONTROLLED ENTITYHealthcare Services - See Part VNo$179,434
-Family MemberCompensation - See Part VNo$137,905

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Pension$56,728,706
Operating Lease Liability$4,957,999
Other Liabilities$308,377
Due to Third-Party Payors$2,997
Due to Related Parties-
Contract Liabilties-

Bond Issues

BondIssuerIssuedIssue PricePurpose
BHamilton County Ohio2022-06-01$81,910,000the purpose of the issue is to refund the series 2012 Bonds dated 06/26/2012.
DHamilton County Ohio2023-12-11$49,135,000The purpose of the issue is to refund a portion of the Series 2019 Bonds dated 12/31/2019.
AHamilton County Ohio2010-12-20$30,000,000Healthcare facilities revenue bonds
CHamilton County Ohio2022-10-24$22,451,000To refund a taxable line of credit used to acquire an ambu. Ctr.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$81,910,000$22,319,122$19,535,000$131,000
D$50,856,497-$0-
A$30,021,765$81,695,000$18,228,000$215,000
C$22,451,000$49,864,803$1,108,000$991,694

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 2024. The compensation committee and governance committee is comprised of independent board members and performs the review with the assistance of, and comparable data provided by, mercer. Compensation arrangements have been determined reasonable and contemporaneously documented.

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 2024. The compensation committee and governance committee is comprised of independent board members and performs the review with the assistance of, and comparable data provided by, mercer. Compensation arrangements have been determined reasonable and contemporaneously documented.

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

OTHER OPERATING REVENUE - Total Revenue: 15811826, Related or Exempt Function Revenue: 15722381, Unrelated Business Revenue: 89445, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
The Christ Hospital
EIN
31-0538525
Phone
5135852000
Address
2139 AUBURN AVENUE, CINCINNATI, OH 45219

Signing Officer

Name
Deborah Hayes
Title
President/CEO
Phone
5135852000
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Formed
1891
Legal Domicile
Oh
Voting Board Members
14
Independent Board Members
9
Employees
8,386
Volunteers
244

Preparer

Firm
Ernst & Young US Llp
Address
221 EAST 4TH STREET, CINCINNATI, OH 45202
Preparer
Julie L Sparks
Phone
5136121400
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A PROGRAM SERVICE ACCOMPLISHMENT

The christ hospital ("tch") is an ohio nonprofit corporation formed in june of 1891. Tch is tax-exempt under section 501(c)(3) of the internal revenue code ("the code") and functions as a hospital organization as described in section 509(a)(1) and 170(b)(1)(a)(iii) of the code. Tch's mission for the over 130 years of its operations has been to improve the health of our community and to be a regional exemplar in creating patient value through exceptional outcomes and patient experience provided at an affordable and responsible cost that ensures access to all members of our community without regard to financial status or other factors such as race, ethnicity, beliefs or gender. Through its main hospital campus in mt. Auburn, tch is dedicated to its urban-hospital roots, remaining steadfast in commitment to diverse and economically challenged neighborhoods in the uptown section of cincinnati, ohio. While maintaining this urban commitment through its base operations, tch has also developed a network of outpatient centers, a remote hospital location and physician practices that ensure access to care throughout the greater cincinnati region, including suburban and rural regions of the area that serve 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, special surgery, comprehensive medicine and primary care. Tch maintains its sacred trust with the community and governmental oversight partners in earning and maintaining the privilege and responsibilities of tax-exemption. These core commitments include activities that are not undertaken for economic gain, but in fact are performed at a loss or are wholly unreimbursed and are performed as a matter of public trust and commitment. These core commitments include: 1. Charity care & care provided under governmental assistance programs - access to care regardless of ability to pay and full participation in medicare and medicaid programs wherein entitlement payments are insufficient to cover the costs of services provided. 2. Medical education - assurance of sufficient numbers and competency of trained and licensed medical professionals to meet the needs of our community. This includes residency and fellowship training for physicians that are operated at a financial loss, and formal undergraduate degree training through its college of nursing that requires subsidization through philanthropy and private support. 3. Research & innovation - through the carl & edyth lindner center for research and education at the christ hospital, tch invests substantial internal and philanthropic resources in supporting the advancement of medical discovery and improvement for the public good through an array of clinical trials and other application research. The above activities are the enduring and sacred commitment and responsibility of tch. Year in and year out these commitments will serve to demonstrate how tch has earned and maintains its tax-exempt privilege. Tch has consistently been recognized by u.s. News & world report as one of the nation's top hospitals, including the number one hospital in the greater cincinnati region, the top 10% in the region for orthopedic care, and as "high performing" in 14 areas of care. Further, tch ranked as one of newsweek's "the world's best hospitals," ranking first in the cincinnati region and fifth 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 ca

Form 990, Part III, Line 4A PROGRAM SERVICE ACCOMPLISHMENT - CONTINUED

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: 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: 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 XI, Line 9 Other changes in net assets or fund balances

Egdha grant funding - -42690831; changes in pension - 1744438; loss on impairment of lease - -104675; gain on extinguishment of debt - 9686104; other changes - 3072789;

Financial Statement Notes

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, 2024 and 2023, and determined no amounts were required to be recognized in the consolidated financial statements at june 30, 2024 and 2023.

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IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7PHYSICIAN & DIRECTOR (THRU 9/23)
IRS990/Form990PartVIISectionAGrp/TitleTxt8PHYSICIAN & DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR (BEG 9/23)
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR (THRU 10/23)
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR (BEG 7/23)
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP & CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt18PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt20PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt21PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt22PHYSICIAN
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