NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Board of County Commissioners of the County of Butler, Ohio (the "County"), on Tuesday, April 28, 2026 at 9:30 a.m., at the Commissioners Chambers, 315 High Street, 2nd Floor, Hamilton, Ohio 45011, concerning the approval of the issuance by the County of Hamilton, Ohio, acting by and through the County Hospital Commission of Hamilton County (the "Issuer"), of one or more series of the Issuer's Healthcare Facilities Improvement and Refunding Revenue Bonds, Series 2026 (The Christ Hospital) (the "Series 2026 Bonds"), for the benefit of The Christ Hospital, an Ohio nonprofit corporation (the "Borrower"), and affiliates of the Borrower that are included in an Obligated Group with respect to the Series 2026 Bonds (the "Obligated Group"), in an aggregate principal amount not to exceed $185,000,000. If authorized, the Series 2026 Bonds will be qualified 501(c)(3) bonds as defined in Section 145 of the Internal Revenue Code of 1986, as amended (the "Code"). If the issuance of the Series 2026 Bonds is authorized, the proceeds of the Series 2026 Bonds will be made available to the Borrower and the Obligated Group and used to: (a) finance, refinance or reimburse the Borrower or other members of the Obligated Group for the costs of "hospital facilities" (as defined in Section 140.01 of the Ohio Revised Code), including, but not limited to: (i) The Christ Hospital Main Campus: 2139 Auburn Avenue, Cincinnati, Ohio 45219 (not to exceed $70,000,000); (ii) The Christ Hospital Outpatient Center Anderson Township: 7545 Beechmont Avenue, Cincinnati, Ohio 45255 (not to exceed $1,200,000); (iii) The Christ Hospital Outpatient Center Springfield Township: 8989 Winton Road, Cincinnati, Ohio 45231 (not to exceed $7,000,000); (iv) The Christ Hospital Outpatient Center Green Township: 5885 Harrison Avenue, Cincinnati, Ohio 45248 (not to exceed $100,000); (v) The Christ Hospital Physical and Occupational Therapy Green Township: 5649 Harrison Avenue, Cincinnati, Ohio 45248 (not to exceed $50,000); (vi) The Christ Hospital Outpatient Center Red Bank: 4440 & 4460 Red Bank Road, Cincinnati, Ohio 45227 (not to exceed $950,000); (vii) The Christ Hospital Outpatient Center Montgomery: 11140 & 11150 Montgomery Road, Montgomery, Ohio 45249 (not to exceed $750,000); (viii) The Christ Hospital Physicians Primary Care Wetherington: 7589 Tylers Place Boulevard, West Chester, Ohio 45069 (not to exceed $500,000); (ix) The Christ Hospital Physicians Spine Physicians Blue Ash: 9250 Blue Ash Road, Cincinnati, Ohio 45242 (not to exceed $50,000); (x) The Christ Hospital Medical Center Liberty Township: 6939 Cox Road, Liberty Township, Ohio 45069 (not to exceed $20,000,000); and (xi) The Christ Hospital Physicians Liberty Township: 7335 Yankee Road, Liberty Township, Ohio 45044 (not to exceed $2,000,000); (b) refund and retire all or a portion of the outstanding amount of the Issuer's (i) Healthcare Facilities Revenue Refunding Bonds, Series 2016 (The Christ Hospital), originally dated February 5, 2016, as reissued on December 1, 2025, originally issued in the principal amount of $23,877,200, and outstanding in the principal amount of $8,679,600 (as of April 1, 2026); and (ii) Healthcare Facilities Refunding Revenue Bonds, Series 2022B (The Christ Hospital), dated October 24, 2022, originally issued in the principal amount of $22,451,000, and outstanding in the principal amount of $18,986,000, the proceeds of which financed, refinanced or reimbursed costs of "hospital facilities" (as defined in Section 140.01 of the Ohio Revised Code) at one or more of the locations listed above; (c) refund and retire a commercial loan issued to the Borrower by U.S. Bank National Association (the "Bank") in the form of a Term Loan pursuant to the Term Loan Agreement, dated May 25, 2016, by and among the Borrower, the other members of the Obligated Group and the Bank, as amended, the proceeds of which financed, refinanced or reimbursed costs of "hospital facilities" (as defined in Section 140.01 of the Ohio Revised Code) at one or more of the locations listed above, in the original principal amount of $63,000,000, and outstanding in the principal amount of $58,900,000; (d) fund a debt service reserve fund and/or capitalized interest fund with respect to the Series 2026 Bonds, if necessary; and (e) pay certain costs of issuance of the Series 2026 Bonds. The expected initial legal owner or principal user of the projects listed in this notice is anticipated to be the Borrower. The Series 2026 Bonds and the interest thereon will be limited obligations of the Issuer payable solely from the revenues pledged to the Series 2026 Bonds. The Series 2026 Bonds will not constitute an indebtedness or a charge against the general credit or taxing power of the Issuer, the County, the State of Ohio or any political subdivision thereof. The full faith and credit of the Issuer, the County, the State of Ohio or any political subdivision thereof will not be pledged to the payment of the principal of or interest on the Series 2026 Bonds. The public hearing is required by Section 147(f) of the Code. Interested persons are invited to attend this public hearing using the information above and will be given the opportunity to express their views concerning the proposed issuance of the Series 2026 Bonds. Written comments may be submitted to Judi Boyko, County Administrator, 315 High Street, 6th Floor, Hamilton, Ohio 45011 until April 27, 2026. Subsequent to the public hearing, the Board of County Commissioners of the County will take the appropriate action required by Section 147(f) of the Code. 4-20/2026
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