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The Christ Hospital (TCH) in Cincinnati, Ohio, is a 555-bed acute care hospital, recognized as the leader in adult care in Greater Cincinnati, and ranked among the top 50 hospitals in the country. At 1.5 million square feet, the institution was outgrowing its Mt. Auburn campus. The team developed a master plan that identifies growth needs; prioritizes sites for future expansion; aligns the campus to create the best patient, physician, and staff experience; and differentiates TCH in the marketplace. Initial projects include new streets and entries, a parking garage, relocation of the materials handling operations, central utility plant improvements, a new public circulation concourse, and the 251,100-square-foot Orthopedic and Spine Center.