KNOX COMMUNITY HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
KNOX COMMUNITY HOSPITAL (EIN 31-0929576)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202333179349308998
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-13T15:29:25-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310929576EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KNOX COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKNOXBusinessNameControlTxt
Phone7403939623PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11330 COSHOCTON ROADAddressLine1Txt
CityMOUNT VERNONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43050ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL AMBROSIANIPersonNm
Person TitleCFOPersonTitleTxt
Phone7403939623PhoneNum
Signature2023-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastAMBROSIANIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEMILIE M KNIERIEM CPAPreparerPersonNm
PTINP01330194PTIN
Phone3176334705PhoneNum
Preparation2023-11-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRUCE D WHITEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11330 COSHOCTON ROADAddressLine1Txt
CityMOUNT VERNONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43050ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$261,500,990GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KCH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPASSIONATE HEALTHCARE SERVICE THAT EXCEEDS THE EXPECTATIONS OF OUR COMMUNITYActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1597TotalEmployeeCnt
Total Volunteers43TotalVolunteersCnt
Total Gross UBI$42,564TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$13,668NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,628,859PYContributionsGrantsAmt
CY Contributions Grants$3,104,936CYContributionsGrantsAmt
PY Program Service Revenue$207,003,150PYProgramServiceRevenueAmt
CY Program Service Revenue$201,559,526CYProgramServiceRevenueAmt
PY Investment Income$8,528,460PYInvestmentIncomeAmt
CY Investment Income$2,809,964CYInvestmentIncomeAmt
PY Other Revenue$3,742,988PYOtherRevenueAmt
CY Other Revenue$4,141,964CYOtherRevenueAmt
PY Total Revenue$233,903,457PYTotalRevenueAmt
CY Total Revenue$211,616,390CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$121,472,352PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$126,052,310CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$96,230,444PYOtherExpensesAmt
CY Other Expenses$103,005,234CYOtherExpensesAmt
PY Total Expenses$217,702,796PYTotalExpensesAmt
CY Total Expenses$229,064,544CYTotalExpensesAmt
PY Revenues Less Expenses$16,200,661PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$17,448,154CYRevenuesLessExpensesAmt
Total Assets BOY$310,076,124TotalAssetsBOYAmt
Total Assets EOY$260,687,581TotalAssetsEOYAmt
Total Liabilities BOY$97,420,647TotalLiabilitiesBOYAmt
Total Liabilities EOY$84,967,139TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$212,655,477NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$175,720,442NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF KNOX COMMUNITY HOSPITAL IS TO PROVIDE COMPASSIONATE HEALTHCARE SERVICE THAT EXCEEDS THE EXPECTATIONS OF OUR COMMUNITY. AS THE ONLY HOSPITAL IN KNOX COUNTY, WE OFFER A WIDE SPECTRUM OF HEALTHCARE SERVICES TO EVERY PERSON WHO NEEDS US, REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$169,535,717ExpenseAmt
Grant$7,000GrantAmt
Revenue$204,734,459RevenueAmt
DescOUR ASSISTANCE TO OUR COMMUNITY GOES BEYOND OFFERING PRIMARY SERVICES AND IMPACTS OUR COMMUNITY'S HEALTH AND QUALITY OF LIFE. KNOX COMMUNITY HOSPITAL IS AN ACUTE CARE HOSPITAL SERVING KNOX COUNTY IN OHIO AND SURROUNDING AREAS. THE HOSPITAL OFFERS A WIDE SPECTRUM OF HEALTHCARE SERVICES INCLUDING: INPATIENT AND OUTPATIENT HEATLH CARE. FOR 2022, THE HOSPITAL HAD 3,292 INPATIENT ADMISSIONS, 23,485 ER VISITS, 153,042 OUTPATIENT VISITS, 76,867 RADIOLOGY PROCEDURES, AND 5,850 INPATIENT & OUTPATIENT SURGERIES (INCLUDING ENDOSCOPIES). DURING 2022, THE HOSPITAL HAD 51 EMPLOYED PHYSICIANS WITH 174,663 OFFICE CLINIC VISITS.IN 2022, KNOX COMMUNITY HOSPITAL PROVIDED A RANGE OF HEALTH AWARENESS AND PREVENTION PROGRAMS, AS WELL AS SERVICES FREE OF CHARGE TO SUPPORT THE HEALTH AND WELLBEING OF THE KNOX AREA COMMUNITY. IN-PERSON EVENTS HAVE BEGUN RAMPING BACK UP POST COVID, KCH WAS ABLE TO PROVIDE PROGRAMS AND SERVICES FOR THE COMMUNITY BENEFIT BY A NUMBER OF METHODS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescVOLUNTEERS REMAINED ACTIVE IN SPECIFIC AREAS OF THE HOSPITAL, PROVIDING NEEDED SERVICES SUCH AS TOYS FOR PATIENTS WAITING WITH YOUNG CHILDREN, ASSISTING THE MARKETING DEPARTMENT WITH VARIOUS PROJECTS, AND STAFFING TWO GIFT SHOPS WHICH HELPS TO PROVIDE FUNDS FOR SCHOLARSHIPS BENEFITTING AREA STUDENTS ENTERING THE HEALTH CARE FIELD. A TOTAL OF 43 VOLUNTEERS SERVED 4,567 HOURS DURING THE YEAR.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescKCH HAS STRONG PARTNERSHIPS WITH THE NURSING SCHOOLS IN THE AREA COLLEGES/UNIVERSITIES, AND TOWARD THAT END, PROVIDED CLINICAL SUPERVISION AND PRECEPTING FOR STUDENTS. THE TOTAL NUMBER OF STUDENTS' CLINICAL HOURS IN 2022 WAS OVER 7,459, WITH ADDITIONAL 1,154 HOURS OF JOB SHADOWING, AS WELL. SINCE KCH IS THE ONLY HOSPITAL IN THE COUNTY, THIS IS CRITICAL TO HELP SUPPORT THESE STUDENTS' GOALS AND TO HELP MEET THE SHORTAGE OF NURSING STAFF THAT IS EVIDENT BOTH LOCALLY AND ACROSS THE COUNTRY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescACCORDING TO THE COMMUNITY HEALTH ASSESSMENT CONDUCTED IN 2021, THE PREVALENCE OF DIABETES AMONG OUR SERVICE POPULATION CONTINUES TO INCREASE AND HAS REACHED 10%. KNOX COMMUNITY HOSPITAL RECOGNIZED THE NEED TO EXPAND OUR DIABETES EDUCATION PROGRAM. KCH CONDUCTED DIABETES SUPPORT GROUP CLASSES FOR OVER 20 PARTICIPANTS FROM THE COMMUNITY. THE GROUPS DISCUSS DIABETES CONDITION, TREATMENTS AND PREVENTIVE MEASURES, WITH AN ADVANCED PRACTITIONER. DIABETES PREVENTION INFORMATION WAS ALSO DISTRIBUTED DURING THE CITY OF MOUNT VERNON'S "FIRST FRIDAY" EVENTS (HELD DURING JUNE THROUGH SEPTEMBER, MONTHLY). DURING NOVEMBER, DIABETES AWARENESS MONTH, THE FOLLOWING METHODS WERE USED TO INCREASE AWARENESS AND EDUCATE OUR COMMUNITY: SOCIAL MEDIA POSTS, PRESS RELEASE SENT TO MEDIA AND PUBLISHED ON WEBSITE, STREET LAMP BANNERS IN DOWNTOWN MOUNT VERNON, NEWSLETTER ARTICLE.THAT SAME COMMUNITY HEALTH ASSESSMENT IS CONDUCTED EVERY 3 YEARS THROUGH A PARTNERSHIP BETWEEN KCH AND KNOX PUBLIC HEALTH DEPARTMENT. WE ALSO PARTNER WITH KNOX PUBLIC HEALTH DEPARTMENT AND OTHER SERVICE ORGANIZATIONS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WHICH WILL ADDRESS THE NEEDS IDENTIFIED WITHIN THE CHA. FOR EXAMPLE, ONE OF THE WORK GROUPS DEVELOPED IS THE ACCESS TO (HEALTH) CARE WORK GROUP, WHICH IS REVIEWING THE BARRIERS FACED BY MANY LOCAL RESIDENTS SUCH AS LACK OF INSURANCE, INADEQUATE TRANSPORTATION, OR SIMPLY LACK OF KNOWLEDGE ABOUT HOW TO ESTABLISH A PRIMARY CARE PROVIDER. BOTH THE CHA AND THE CHIP DOCUMENTS ARE LINKED FROM THE HOSPITAL'S WEBSITE. TRANSPORTATION IS OFTEN A BARRIOR TO ACCESS, FOR EXAMPLE. KCH HAS A STRONG PARTNERSHIP WITH KNOX AREA TRANSIT, A PUBLIC TRANSPORTATION ORGANIZATION THAT OFFERS FREE OR REDUCED-FEE TRANSPORTATION TO/FROM MEDICAL APPOINTMENTS FOR AREA RESIDENTS. IN 2023, WE WILL BEGIN OFFERING OPPORTUNITIES FOR A KAT REPRESENTATIVE TO PROVIDE ON-SITE INFORMATION AT COMMUNITY PRESENTATIONS OR "DOC TALKS" HELD AT KCH. IN TERMS OF PARTICIPATION IN CHA AND CHIP ACTIVIITES DURING 2022, STAFF TIME TOTALLED APPROXIMATELY 32 HOURS, BETWEEN MARKETING AND QUALITY DEPARTMENT STAFF. MENTAL HEALTH CONTINUES TO BE A TOP PRIORITY CONCERN IDENTIFIED THROUGH THE COMMUNITY HEALTH ASSESSMENT. WHILE KCH DOES SEE PATIENTS WITH A MENTAL HEALTH OR BEHAVORIAL HEALTH CONDITION AND/OR DIAGNOSIS, WE COLLABORATE WITH APPROPRIATE AGENCIES TO SERVE THIS POPULATION. FOR EXAMPLE, THROUGH OUR EMERGENCY DEPARTMENT, ONCE A PATIENT HAS COMPLETED THE NECESSARY MEDICAL SCREENINGS, CRISIS ASSESSMENT MAY BE HANDLED BY A PARTNERING ORGANIZATION, BEHAVIORAL HEALTH PARTNERS, TO DETERMINE THE NEXT STEPS FOR THAT PATIENT. IN ADDITION, SUBSTANCE ABUSE IS SOMETIMES FOUND ALONG WITH MENTAL HEALTH CONCERNS, AND IN THOSE CASES, KCH MAY REFER TO NEW VISION OR THE FREEDOM CENTER FOR ADDITIONAL TREATMENT, IF APPROPRIATE. IN SHORT, KCH WORKS CLOSELY WITH OTHER LOCAL SERVICES TO SUPPORT THE NEEDS OF BEHAVIORAL HEALTH PATIENTS. IN 2023, A COLLABORATIVE EVENT WILL BE HELD IN DOWNTOWN MOUNT VERNON TO INCREASE AWARENESS OF ADDICTIONS/RECOVERY FROM SUBSTANCE ABUSE, AND KCH WILL BE A SPONSOR.CLASSES / SUPPORT GROUPS WERE HELD TO SUPPORT THE NEED FOR PATIENTS AND THEIR FAMILIES TO BE INVOLVED IN THEIR CARE AND UNDERSTAND THE NUANCES OF CERTAIN CONDITIONS. SOME OF THOSE CLASSES INCLUDED BARIATRICS (WEIGHT MANAGEMENT), CHILDBIRTH EDUCATION CLASSES, AND DIABETES EDUCATION, TO NAME A FEW. IN THE LATTER PART OF 2022, ATTENDANCE AT THESE CLASSES INCREASED AS COVID NUMBERS WANED. FOR THE CHILDBIRTH EDUCATION CLASSSES, THESE ARE IMPORTANT DUE TO OUR RURAL POPULATION AND THE LACK OF EDUCATION FOR MANY. THESE FREE CLASSES OFFER EXPECTANT PARENTS INFORMATION ABOUT LABOR AND CHILDBIRTH, AS WELL AS BASICS OF CARING FOR A NEWBORN. APPROXIMATELY 15-20 PEOPLE PARTICIPATED IN THE CHILDBIRTH CLASSES EACH MONTH, FOR A TOTAL OF 180 SERVED. STAFF HOURS TO PREPARE AND DELIVER THIS MATERIAL TOTALLED ABOUT 60 HOURS FOR THE YEAR. EXPENSES FOR THESE CLASSES AVERAGED $280 PER CLASS. THE AMERICAN RED CROSS RELIES UPON KNOX COMMUNITY HOSPITAL TO HOST BLOOD DRIVES REGULARLY TO SUPPORT ITS EFFORTS TO MAINTAIN ADEQUATE BLOOD SUPPLIES. DURING 2022 THROUGH 7 BLOOD DRIVES HOSTED IN THE EDUCATION RESOURCE ROOM AT KCH, A TOTAL OF 174 UNITS OF BLOOD WAS COLLECTED FROM 242 PEOPLE. THIS SPACE IS RENT-FREE TO THE RED CROSS, AMOUNTING TO 56 HOURS OF FREE SPACE USAGE DURING THE YEAR.THE KNOX COUNTY FAIR WAS HELD AND OPEN TO THE PUBLIC JULY 24 THROUGH 30, 2022, AND KCH HAD A BOOTH IN THE MERCHANT'S BUILDING WITH HEALTH EDUCATION INFORMATION PROVIDED ALONG WITH FREE BLOOD PRESSURE CHECKS. SIXTY-EIGHT (68) KCH STAFF WERE ON HAND AT THE EVENT FOR A TOTAL OF 136 VOLUNTEER HOURS. THE AVERAGE GATE ATTENDANCE EACH DAY OF THE FAIR IS NEARLY 10,000 MEMBERS OF THE COMMUNITY. EDUCATIONAL MATERIALS HANDED OUT INCLUDED WEIGHT MANAGEMENT, WOMEN'S HEALTH, DIABETES PREVENTION/AWARENESS, HOW TO FIND A PRIMARY CARE DOCTOR, SUBSTANCE ABUSE AWARENESS, AND MORE. SUPPLIES FOR THE FAIR TOTALLED APPROXIMATELY $3,000. OBESITY IS AN ONGOING PROBLEM FOR 37 PERCENT OF OUR COUNTY'S ADULT RESIDENTS, ACCORDING TO THE HEALTH NEEDS ASSESSMENT. IN AN EFFORT TO REDUCE THIS NUMBER AND SUPPORT THE LOCAL SCHOOLS' ATHLETIC PROGRAMS, KCH PROVIDED ATHLETIC TRAINING DURING THE SCHOOL YEAR IN 2022 FOR A NOMINAL FEE PER MONTH AT DANVILLE, UTICA, FREDERICKTOWN, EAST KNOX AND CENTERBURG WHILE ALSO DONATING $118K WORTH OF OUR TRAINERS' TIME. IN THE FALL OF 2022, KCH ALSO DONATED $7,500 TOWARD THE PURCHASE OF EXERCISE BALLS FOR THE "CRUNCH OUT OBESITY" PROGRAM BENFITING 500+ ELEMENTARY SCHOOL STUDENTS, IN PARTNERSHIP WITH UNITED WAY OF KNOX COUNTY. THESE EXERCISE BALLS WERE DISTRIBUTED IN HANDS-ON ACTIVITES TO GRADE SCHOOL STUDENTS, BY THE PHYSICAL EDUCATION TEACHERS.DURING 2022, IN PARTNERSHIP WITH WCLT-T-100 FM RADIO STATION, WE SPONSORED A "HEALTH MINUTE" PROGRAM FEATURING VARIOUS MEDICAL EXPERTS FROM KCH, PROVIDING HEALTH-RELATED INFORMATION TO THE COMMUNITY THROUGH A TWO-MINUTE RECORDED RADIO INTERVIEW. THE STATION HAS A WIDE LISTENING AREA AMONG ADULTS OVER AGE 35, AND TOPICS INCLUDED: WOMEN'S HEALTH, CONCUSSION AWARENESS, ROBOTIC SURGERY, SUBSTANCE ABUSE PREVENTION & TREATMENT, INPATIENT ACUTE REHABILITATION THERAPY, PHYSICAL THERAPY, AND HOME HEALTH. WE THEN POST THE RECORDED MESSAGE ON THE KCH WEBSITE.ANNUALLY, KCH RECOGNIZES "DONATE LIFE" MONTH IN APRIL BY USING RESOURCES TO BRING AWARENESS TO THE NEED FOR ORGAN, EYE AND TISSUE DONATIONS, AND TO ENCOURAGE PEOPLE TO BECOME REGISTERED DONORS. IN 2022, THE FOLLOWING METHODS WERE USED TO EDUCATE THE COMMUNITY ON THIS TOPIC: PRESS RELEASE PUBLISHED IN AREA NEWSPAPERS AND ON KCH WEBSITE; POSTS ON SOCIAL MEDIA OUTLETS; NEWSLETTER ARTICLE; KCH EMAIL; RADIO PUBLIC SERVICE ANNOUNCEMENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$169,535,717TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document189IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1597EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL AMBROSIANIPersonNm
Phone7403939623PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11330 COSHOCTON RDAddressLine1Txt
CityMT VERNONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43050ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SAM BARONE
PRESIDENT5.000.00Yes (X)Yes (X)$0$0$0
MARC ODENWELLER
VICE PRESIDENT2.000.00Yes (X)Yes (X)$0$0$0
IAN WATSON
TREASURER2.000.00Yes (X)Yes (X)$0$0$0
JEFFERY BOUCHER
TRUSTEE1.500.00Yes (X)$0$0$0
CHARLES BRENNEMAN
TRUSTEE1.500.00Yes (X)$0$0$0
CHERI BUTCHER
TRUSTEE1.500.00Yes (X)$0$0$0
BARRY S GEORGE MD
TRUSTEE/CARDIOLOGIST40.000.00Yes (X)$956,508$0$61,058
KOREY KIDWELL
TRUSTEE1.500.00Yes (X)$0$0$0
JULIE MILLER
TRUSTEE TERM BEGAN1.500.00Yes (X)$0$0$0
AMY D MURNEN MD
TRUSTEE/FAMILY MEDICINE40.000.00Yes (X)$215,495$0$33,271
MARK RAMSER
TRUSTEE1.500.00Yes (X)$0$0$0
VICKIE SANT
SECRETARY2.000.00Yes (X)Yes (X)$0$0$0
CHRISTOPHER E SMITH
TRUSTEE1.500.00Yes (X)$0$0$0
MICHAEL SULLIVAN MD
TRUSTEE/OBGYN40.000.00Yes (X)$514,321$0$34,594
JAN THOMAS
TRUSTEE1.500.00Yes (X)$0$0$0
CAROL DOROUGH
TRUSTEE PARTIAL YEAR2.000.00Yes (X)$0$0$0
BRUCE WHITE
CEO40.000.00Yes (X)$517,228$0$124,183
MICHAEL AMBROSIANI
CFO40.000.00Yes (X)$329,867$0$78,836
BRUCE BEHNER
COO40.000.00Yes (X)$328,132$0$78,836
JOHN HALL
CMO40.000.00$366,510$0$23,210Yes (X)
CAROL N EMERY
CHIEF NURSING OFFICER40.000.00$222,064$0$45,400Yes (X)
GREGORY CUSH
ORTHOPAEDIC SURGEON40.000.00$1,154,542$0$61,260Yes (X)
JARRETT B HELMING
ORTHOPAEDIC SURGEON40.000.00$1,084,468$0$61,260Yes (X)
KENNETH H DOOLITTLE II
ORTHOPAEDIC SURGEON40.000.00$878,830$0$41,731Yes (X)
ALIX TERCIUS
CARDIOLOGIST40.000.00$863,664$0$61,260Yes (X)
GANGARAM RASA
CARDIOLOGIST40.000.00$817,283$0$41,530Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,248,912TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$746,429TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K145IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUALIVIS
5930 CORNERSTONE CT W 300SAN DIEGOCA92121CONTRACT STAFFING$12,089,748
ALLSCRIPTS LLC
24630 NETWORK PLACECHICAGOIL606731246SOFTWARE COMPANY$1,366,326
PCB
PO BOX 2051NEW ALBANYOH43054COLLECTION SERVICES FOR SELF-PAY PATIENT$1,318,614
PREMIER UROLOGY CORP
PO BOX 677LEWIS CENTEROH43035UROLOGY SERVICES$1,136,275
HEALOGICS INC
28525 NETWORK PLACECHICAGOIL606731285MANAGEMENT SERVICES FOR WOUND TREATMENT$877,504
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K71CntrctRcvdGreaterThan100KCnt
Government Grants$1,803,727GovernmentGrantsAmt
All Other Contributions$1,301,209AllOtherContributionsAmt
Noncash Contributions$1,209NoncashContributionsAmt
Total Contributions$3,104,936TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENU621110$196,019,040$196,019,040
340B PHARMACY REVENUE621110$5,540,486$5,540,486
FieldValueIRS element (for citing)
Total Program Service Revenue$201,559,526TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,008,764TotalRevenueColumnAmt
Exclusion$2,008,764ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$36,964RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$36,964RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,964TotalRevenueColumnAmt
Exclusion$36,964ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$50,618,959SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$49,789,122SecuritiesAmt
Other$28,637OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$829,837SecuritiesAmt
Other-$28,637OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$801,200TotalRevenueColumnAmt
Exclusion$801,200ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$11,336FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,336TotalRevenueColumnAmt
Exclusion$11,336ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$63,261GrossSalesOfInventoryAmt
Cost Of Goods Sold$66,841CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,580TotalRevenueColumnAmt
Exclusion-$3,580ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
OPTICAL REVENUE900099$936,556$936,556
FOOD AND NUTRITION900099$538,063$538,063
JOINT VENTURES900099-$537,420-$537,420

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,160,045TotalRevenueColumnAmt
Related Or Exempt Func Income$2,775,797RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$42,564UnrelatedBusinessRevenueAmt
Exclusion$341,684ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,097,244OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$211,616,390TotalRevenueColumnAmt
Related Or Exempt Func Income$204,734,459RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$42,564UnrelatedBusinessRevenueAmt
Exclusion$3,734,431ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$7,000TotalAmt
Program Services$7,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,929,513TotalAmt
Management And General$3,929,513ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$90,502,501TotalAmt
Program Services$73,325,126ProgramServicesAmt
Management And General$17,177,375ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,954,917TotalAmt
Program Services$6,445,074ProgramServicesAmt
Management And General$1,509,843ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,665,379TotalAmt
Program Services$19,173,690ProgramServicesAmt
Management And General$4,491,689ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$383,605TotalAmt
Management And General$383,605ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$67,637TotalAmt
Management And General$67,637ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$720,923TotalAmt
Management And General$720,923ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,318,089TotalAmt
Program Services$18,480,806ProgramServicesAmt
Management And General$12,837,283ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$755,441TotalAmt
Management And General$755,441ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,076,013TotalAmt
Program Services$1,912,008ProgramServicesAmt
Management And General$164,005ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,452,435TotalAmt
Management And General$3,452,435ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,865,384TotalAmt
Program Services$487,811ProgramServicesAmt
Management And General$3,377,573ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$118,183TotalAmt
Program Services$70,945ProgramServicesAmt
Management And General$47,238ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$85,135TotalAmt
Program Services$51,107ProgramServicesAmt
Management And General$34,028ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,309,101TotalAmt
Management And General$3,309,101ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,271,731TotalAmt
Program Services$4,600,708ProgramServicesAmt
Management And General$5,671,023ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,265,602TotalAmt
Program Services$124,535ProgramServicesAmt
Management And General$1,141,067ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS AND SUPPLIES$34,955,743$34,955,743
MEDICAL PROFESSIONAL FE$4,741,546$4,741,546
BOOKS & SUBSCRIPTIONS$502,902$461,815$41,087
DUES AND LICENSES$149,976$137,723$12,253

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,965,788TotalAmt
Program Services$4,560,080ProgramServicesAmt
Management And General$405,708ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$229,064,544TotalAmt
Program Services$169,535,717ProgramServicesAmt
Management And General$59,528,827ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,232BOYAmt
EOY$17,844EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,048,446BOYAmt
EOY$3,514,135EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,091,579BOYAmt
EOY$31,941,214EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,357,081BOYAmt
EOY$2,710,979EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,180,792BOYAmt
EOY$4,144,980EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$213,204,779LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$97,539,591LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$115,908,273BOYAmt
EOY$115,665,188EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$134,438,981BOYAmt
EOY$92,153,769EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$229,001BOYAmt
EOY$181,295EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,799,739BOYAmt
EOY$10,358,177EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$310,076,124BOYAmt
EOY$260,687,581EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,035,468BOYAmt
EOY$20,326,577EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$63,074,399BOYAmt
EOY$61,845,138EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,310,780BOYAmt
EOY$2,795,424EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$97,420,647BOYAmt
EOY$84,967,139EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$210,362,802BOYAmt
EOY$173,912,658EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,292,675BOYAmt
EOY$1,807,784EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$212,655,477BOYAmt
EOY$175,720,442EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$310,076,124BOYAmt
EOY$260,687,581EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$17,448,154ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$19,008,010NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$478,871OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$7,371OtherActivitiesAmt
Total Lobbying Expenditures$7,371TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION OF ANNUAL MEMBERSHIP DUES TO OHA AND AHA PAID TO TRADE ASSOCIATIONS WITH A PORTION OF DUES ALLOCATED TO LOBBYING EXPENDITURES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,292,675BeginningYearBalanceAmt
Contributions$1,413,612ContributionsAmt
Investment Earnings Or Losses-$478,871InvestmentEarningsOrLossesAmt
Other Expenditures$1,419,632OtherExpendituresAmt
End Year Balance$1,807,784EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,438,955BeginningYearBalanceAmt
Contributions$2,541,146ContributionsAmt
Investment Earnings Or Losses-$2,175,112InvestmentEarningsOrLossesAmt
Other Expenditures$3,512,314OtherExpendituresAmt
End Year Balance$2,292,675EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,921,722BeginningYearBalanceAmt
Contributions$3,827,143ContributionsAmt
Investment Earnings Or Losses-$2,320,894InvestmentEarningsOrLossesAmt
Other Expenditures$7,989,016OtherExpendituresAmt
End Year Balance$5,438,955EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,744,367BeginningYearBalanceAmt
Contributions$3,053,809ContributionsAmt
Investment Earnings Or Losses-$2,851,669InvestmentEarningsOrLossesAmt
Other Expenditures$24,785OtherExpendituresAmt
End Year Balance$11,921,722EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,993,805BeginningYearBalanceAmt
Contributions$2,198,503ContributionsAmt
Investment Earnings Or Losses-$1,386,486InvestmentEarningsOrLossesAmt
Other Expenditures$61,455OtherExpendituresAmt
End Year Balance$11,744,367EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$853,626OtherCostOrOtherBasisAmt
Book Value$853,626BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,326,638OtherCostOrOtherBasisAmt
Depreciation$39,003,743DepreciationAmt
Book Value$68,322,895BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$762,313OtherCostOrOtherBasisAmt
Depreciation$759,074DepreciationAmt
Book Value$3,239BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$97,112,119OtherCostOrOtherBasisAmt
Depreciation$57,776,774DepreciationAmt
Book Value$39,335,345BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,150,083OtherCostOrOtherBasisAmt
Book Value$7,150,083BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$115,665,188TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LEASEHOLD DEPOSITS$178,865
THIRD PARTY PAYABLE$209,921
RIGHT OF USE LIABILITY$2,406,638
FieldValueIRS element (for citing)
Total Liability$2,795,424TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE HOSPITAL'S RESTRICTED FUNDS ARE USED FOR MINOR EXPENSES RELATING TO CARE FOR INDIGENT PATIENTS AND KOMEN AND HRSA GRANT FUNDS USED FOR THE HOSPITAL.
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ENTITIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,504,417TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,263,127DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,241,290NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,017,587TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,499,118DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,518,469NetCommunityBenefitExpnsAmt
Total Expense0.05030TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,522,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,762,245DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,759,759NetCommunityBenefitExpnsAmt
Total Expense0.05570TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,091,476TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,600DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,023,876NetCommunityBenefitExpnsAmt
Total Expense0.00880TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,786,532TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,786,532NetCommunityBenefitExpnsAmt
Total Expense0.00780TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,520TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,520NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,880,528TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,600DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,812,928NetCommunityBenefitExpnsAmt
Total Expense0.01660TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,402,532TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,829,845DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,572,687NetCommunityBenefitExpnsAmt
Total Expense0.07230TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,184TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,184NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,043TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,043NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,227TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,227NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$8,682,573BadDebtExpenseAmt
Reimbursed By Medicare$35,399,092ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$42,877,321CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,478,229MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 KNOX DIAGNOSTIC IMAGING LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMEDICAL SERVICES/ECHOCARDIOLOGY SERVICESPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.04670OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.28670PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KNOX COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11330 COSHOCTON RDAddressLine1Txt
CityMOUNT VERNONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43050ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.KCH.ORGWebsiteAddressTxt
State License1030StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherDSH HOSPITAL; SOLE COMMUNITY HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1KNOX COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.KCH.ORG/RESOURCES/HEALTH-NEEDS-ASSESSMENTOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.KCH.ORG/RESOURCES/HEALTH-NEEDS-ASSESSMENTStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.KCH.ORG/FINANCIAL-ASSISTANCE-APPLICATIONFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.KCH.ORG/FINANCIAL-ASSISTANCE-APPLICATIONFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.KCH.ORG/FINANCIAL-ASSISTANCE-APPLICATIONFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
KNOX COMMUNITY HOSPITALPART V, SECTION B, LINE 5: THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AS A COLLABORATIVE ENDEAVOR COMMISSIONED BY THE KNOX HEALTH PLANNING PARTNERSHIP. BOTH KNOX COMMUNITY HOSPITAL AND THE KNOX COUNTY HEALTH DEPARTMENT ARE MEMBERS OF KHPP, AND SHARED THE PRIMARY FINANCIAL RESPONSIBILITY FOR THE 2021 CHNA.THE KHPP SECURED THE SERVICES OF THE HOSPITAL COUNCIL OF NORTHWEST OHIO TO FACILITATE THE SURVEY, ASSESSMENT AND IMPROVEMENT PLAN TO ENSURE THE FINISHED REPORT MEETS THE NEEDS OF BOTH THE KNOX COUNTY HEALTH DEPARTMENT AND KCH, AND IS IN ALIGNMENT WITH THE OHIO DEPARTMENT OF HEALTH'S STATE HEALTH IMPROVEMENT PLAN, AND OTHER STATE AND FEDERAL REQUIREMENTS. THE FINAL REPORT WAS COMPLETED AND AVAILABLE IN THE FALL OF 2021. WE SOLICITED COMMENTS ABOUT THE EXISTING CHNA REPORT FROM A GROUP OF INDIVIDUALS SELECTED TO REPRESENT EACH OF THE UNIQUE POPULATION GROUPS AS DELINEATED IN THE REGULATIONS. THIS RESULTED IN WRITTEN COMMENTS THAT WERE TAKEN INTO CONSIDERATION DURING THIS PROCESS.WE DEPLOYED A CHNA "ROUND 1" SURVEY TO OUR LOCAL EXPERT ADVISORS TO GAIN INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. LOCAL EXPERT ADVISORS WERE LOCAL INDIVIDUALS SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS AND THE HOSPITAL'S DESIRE TO REPRESENT THE REGION'S GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATION. WE RECEIVED COMMUNITY INPUT FROM LOCAL EXPERT ADVISORS.INFORMATION ANALYSIS AUGMENTED BY LOCAL OPINIONS SHOWED HOW KNOX COUNTY RELATES TO ITS PEERS IN TERMS OF PRIMARY AND CHRONIC NEEDS AND OTHER ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS. RESPONDENTS COMMENTED ON WHETHER THEY BELIEVE CERTAIN POPULATION GROUPS ("PRIORITY POPULATIONS") NEED HELP TO IMPROVE THEIR CONDITION, AND IF SO, WHO NEEDS TO DO WHAT TO IMPROVE THE CONDITIONS OF THESE GROUPS.WHEN THE ANALYSIS WAS COMPLETE, WE PUT THE INFORMATION AND SUMMARY CONCLUSIONS BEFORE OUR LOCAL EXPERT ADVISORS WHO WERE ASKED TO AGREE OR DISAGREE WITH THE SUMMARY CONCLUSIONS. THEY WERE FREE TO AUGMENT POTENTIAL CONCLUSIONS WITH ADDITIONAL COMMENTS OF NEED, AND NEW NEEDS DID EMERGE FROM THIS EXCHANGE.HAVING TAKEN STEPS TO IDENTIFY POTENTIAL COMMUNITY NEEDS, THE LOCAL EXPERTS THEN PARTICIPATED IN A STRUCTURED COMMUNICATION TECHNIQUE CALLED A "WISDOM OF CROWDS" METHOD. THE PREMISE OF THIS APPROACH RELIES ON A PANEL OF EXPERTS WITH THE ASSUMPTION THAT THE COLLECTIVE WISDOM OF PARTICIPANTS IS SUPERIOR TO THE OPINION OF ANY ONE INDIVIDUAL, REGARDLESS OF THEIR PROFESSIONAL CREDENTIALS.IN THE HOSPITAL PROCESS, EACH LOCAL EXPERT HAD THE OPPORTUNITY TO INTRODUCE NEEDS PREVIOUSLY UNIDENTIFIED AND TO CHALLENGE CONCLUSIONS DEVELOPED FROM THE DATA ANALYSIS. WHILE THERE WERE A FEW OPINIONS OF THE DATA CONCLUSIONS NOT BEING COMPLETELY ACCURATE, THE VAST MAJORITY OF COMMENTS AGREED WITH OUR FINDINGS. WE DEVELOPED A SUMMARY OF ALL NEEDS IDENTIFIED BY ANY OF THE ANALYZED DATA SETS. THE LOCAL EXPERTS THEN ALLOCATED 100 POINTS AMONG THE POTENTIAL SIGNIFICANT NEED CANDIDATES, INCLUDING THE OPPORTUNITY TO AGAIN PRESENT ADDITIONAL NEEDS THAT WERE NOT IDENTIFIED FROM THE DATA. A RANK ORDER OF PRIORITIES EMERGED, WITH SOME NEEDS RECEIVING NONE OR VIRTUALLY NO SUPPORT, AND OTHER NEEDS RECEIVING IDENTICAL POINT ALLOCATIONS.WE DICHOTOMIZED THE RANK ORDER OF PRIORITIZED NEEDS INTO TWO GROUPS: "SIGNIFICANT AND "OTHER IDENTIFIED NEEDS." OUR CRITERIA FOR IDENTIFYING AND PRIORITIZING SIGNIFICANT NEEDS WAS BASED ON A DESCENDING FREQUENCY RANK ORDER OF THE NEEDS BASED ON TOTAL POINTS CAST BY THE LOCAL EXPERTS, FURTHER RANKED BY A DESCENDING FREQUENCY COUNT OF THE NUMBER LOCAL EXPERTS CASTING ANY POINTS FOR THE NEED. BY OUR DEFINITION, A SIGNIFICANT NEED HAD TO INCLUDE ALL RANK ORDERED NEEDS UNTIL AT LEAST FIFTY PERCENT (50%) OF ALL POINTS WERE INCLUDED AND TO THE EXTENT POSSIBLE, REPRESENTED POINTS ALLOCATED BY A MAJORITY OF VOTING LOCAL EXPERTS. THE DETERMINATION OF THE BREAK POINT "SIGNIFICANT" AS OPPOSED TO "OTHER" WAS A QUALITATIVE INTERPRETATION BY QHR AND THE KCH EXECUTIVE TEAM WHERE A REASONABLE BREAK POINT IN RANK ORDER OCCURRED.
KNOX COMMUNITY HOSPITALPART V, SECTION B, LINE 6B: THE CREATION OF THE 2021 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS A COLLABORATIVE COMMUNITY-WIDE EFFORT BETWEEN KNOX COMMUNITY HOSPITAL, THE KNOX COUNTY HEALTH DEPARTMENT, AND THE KNOX HEALTH PLANNING PARTNERSHIP.
KNOX COMMUNITY HOSPITALPART V, SECTION B, LINE 11: IN 2021, KCH CONTINUED TO ADDRESS THE SPECIFIC HEALTH NEEDS IDENTIFIED BY THE CHNA:1. CHRONIC DISEASE:A. CONTINUE TO SUPPORT KNOX HEALTH PLANNING PARTNERSHIP EFFORTS TO IMPLEMENT HEALTHY FOOD INITIATIVES.B. CONTINUE TO OFFER EMPLOYERS/BUSINESSES/ORGANIZATIONS WELLNESS PROGRAM OPTIONS AND WELLNESS INCENTIVE PROGRAMS FOR EMPLOYEES.I. KCH OFFERS WELLNESS PROGRAMS TO LOCAL EMPLOYERS THROUGH WELLNESS WORKS, INCLUDING A VARIETY OF HEALTH SCREENING AND EDUCATION PROGRAMS IN THE WORKPLACE.II. KCH ALSO PROVIDES A TELHEALTH PROGRAM THROUGH A COLLABORATION WITH SWIFTMD TO SEVERAL EMPLOYERS IN THE COMMUNITY, OFFERING LOW-COST ACCESSIBLE CARE FOR BASIC HEALTH NEEDS, REDUCING EMPLOYER HEALTHCARE COSTS AND MISSED WORK TIME FOR APPOINTMENTS, ETC.C. SUPPORT KNOX HEALTH PLANNING PARTNERSHIP EFFORTS TO IMPLEMENT A COMMUNITY-WIDE PHYSICAL ACTIVITY CAMPAIGN.D. KNOX COMMUNITY HOSPITAL HAS RECOGNIZED THE NEED TO EXPAND OUR DIABETES EDUCATION PROGRAM AND HAS INCREASED THE NUMBER OF DIABETES EDUCATORS ACCORDINGLY.E. IN 2021, WE PROVIDED GLUCOSE SCREENINGS AND SHARED INFORMATION ABOUT PREVENTING AND DEALING WITH DIABETES DURING THE CITY OF MOUNT VERNON'S "FIRST FRIDAY" EVENTS AND AT THE TOMATO SHOW IN FREDERICKTOWN.2. MENTAL HEALTH:A. CONTINUE TO SUPPORT KNOX HEALTH PLANNING PARTNERSHIP EFFORTS TO EXPAND MENTAL HEALTH FIRST AID TRAININGS.B. CONTINUE TO SUPPORT KNOX HEALTH PLANNING PARTNERSHIP EFFORTS TO INCREASE COMMUNITY AWARENESS OF SUBSTANCE ABUSE AND PREVENTION. SPECIFICALLY, KCH FINANCIALLY SUPPORTED THE CREATION AND DISTRIBUTION OF THE KNOX SUBSTANCE ABUSE ACTION TEAMS' RESOURCE TOOLKITS, WHICH PROVIDE SPECIFIC INFORMATION FOR A BROAD RANGE OF SERVICES AND RESOURCES AVAILABLE IN OUR COMMUNITY RELATED TO MENTAL HEALTH AND ADDICTION ISSUES.C. CONTINUE TO SUPPORT KNOX HEALTH PLANNING PARTNERSHIP EFFORTS TO INCREASE CONTINUING EDUCATION FOR PRIMARY CARE AND SUBSTANCE ABUSE DISORDER PROVIDERS.D. KCH'S WORKS WITH THE APPROPRIATE PARTNERING ORGANIZATIONS IF A PATIENT SHOWS THAT THEY NEED CRISIS ASSESSMENT AFTER OUR MEDICAL SCREENING(S); IN ORDER TO, DETERMINE THE NEXT STEPS FOR THAT PATIENT.E. SOME PATIENTS WITH SUBSTANCE ABUSE WHO SHOW SIGNS OF MENTAL HEALTH CONCERNS NEED TO BE REFERRED TO NEW VISION OR THE FREEDOM CENTER FOR ADDITIONAL TREATMENT.3. ACCESS TO CAREA. KCH HAS LED AN EFFORT TO INCREASE AWARENESS AND ACCESS TO EXISTING HEALTHCARE SERVICES ON PREVENTIVE CARE FOR THE KNOX HEALTH PLANNING PARTNERSHIP. KCH HAS COMPILED A LIST OF ALL KNOWN PREVENTIVE CARE ACTIVITIES COUNTY-WIDE AND HAS BEGUN TO EVALUATE THEIR PROMOTION AND EFFECTIVENESS. IN THE FOLLOWING MONTHS, WE WILL IDENTIFY 2-3 SPECIFIC STRATEGIES TO INCREASE AWARENESS OF THESE OPPORTUNITIES, AND MEASURE THEIR EFFECTIVENESS AGAINST THIS YEAR'S BASELINE DATA.B. CONTINUE TO SUPPORT KNOX HEALTH PLANNING PARTNERSHIP EFFORTS TO INCREASE AWARENESS AND AVAILABILITY OF BIRTH CONTROL.C. CONTINUE TO SUPPORT KNOX HEALTH PLANNING PARTNERSHIP EFFORTS TO INCREASE SEXUAL HEALTH EDUCATION AND PREVENTION.THE CREATION OF THE 2021 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS A COLLABORATIVE COMMUNITY-WIDE EFFORT BETWEEN KNOX COMMUNITY HOSPITAL, THE KNOX COUNTY HEALTH DEPARTMENT, AND THE KNOX HEALTH PLANNING PARTNERSHIP. THESE PARTNERS ASSIST WITH THE BURDEN OF ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA. THIS PARTNERSHIP ALLOWS THE HOSPITAL TO FOCUS ON 'WHAT WE DO BEST' WHILE OUR OTHER PARTNERS CONTINUE TO INVEST IN THE COMMUNITY BY ADDRESSING SIGNIFICANT NEEDS THAT FIT IN THEIR WHEELHOUSE. ABOVE, WE DESCRIBED THE ACTIONS THAT WE ARE TAKING TO ADDRESS THE NEEDS THAT WERE IDENTIFIED AND THE AREAS WHERE WE CONTINUE TO SUPPORT OUR PARTNERS IN THEIR EFFORTS TO PROVIDE NEEDED ASSISTANCE TO THE COMMUNITY. A FEW OF THE NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT (SOCIAL DETERMINANTS OF HEALTH, PARENTING, AND CANCER) ARE NOT SPECIFICALLY ADDRESSED BY THE COLLABORATION'S COMMUNITY HEALTH IMPROVEMENT PLAN. WHILE KCH OFFERS CHARITABLE CARE AND FINANCIAL ASSISTANCE TO ADDRESS POVERTY AND LACK OF RESOURCES AS A SOCIAL DETERMINANT OF HEALTH, KCH IS CHOOSING NOT TO RESPOND TO THE ISSUE OF PARENTING AT THIS TIME, AS IT FALLS OUTSIDE THE SCOPE OF OUR CORE MISSION AS A HOSPITAL. ADDITIONALLY, KCH IS CHOOSING NOT TO RESPOND TO CANCER AT THIS TIME, AS IT IS A CORE ELEMENT OF OUR OVERALL ORGANIZATIONAL BUSINESS AND STRATEGIC PLANNING. WE ARE NOT ANTICIPATING ANY NEW PROJECTS OR INITIATIVES IN THIS AREA, AND WE BELIEVE WE ALREADY PROVIDE OUTSTANDING HEALTHCARE SERVICES IN THIS AREA. WE FEEL WE CAN HAVE A GREATER IMPACT FOR THE COMMUNITY BY PUTTING NEW ATTENTION AND RESOURCES TOWARD THE OTHER NEEDS.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO FPG, THE ORGANIZATION USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY: MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY.
PART I, LINE 7:A COST-TO-CHARGE RATIO METHODOLOGY WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART 1, LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE 2022 IRS INSTRUCTIONS FOR SCHEDULE H.
PART II, COMMUNITY BUILDING ACTIVITIES:A CANCER PATIENT NURSE NAVIGATOR AND A BREAST CANCER NURSE NAVIGATOR PROVIDE SERVICE AT NO COST TO CANCER PATIENTS. KCH ALSO HAS A CARDIOLOGY PATIENT NAVIGATOR TO ASSIST PATIENTS WITH SERVICES OR ASSISTANCE WITH RESOURCES AND APPOINTMENTS.DIRECTIVE/LIVING WILL ASSISTANCE AND FREE NOTARY SERVICE WAS PROVIDED TO APPROXIMATELY 31 PEOPLE.SOME OF OUR FREE MONTHLY SCREENINGS HAD TO BE CANCELLED DURING THE COVID PANDEMIC BUT ARE GRADUALLY RETURNING. IN 2022, 250 FREE CHOLORECTAL CANCER SCREENING KITS WERE DISTRIBUTED TO COMMUNITY MEMBERS AND 62 SPECIMENS WERE RETURNED AND TESTED IN OUR LAB. KCH DID CONTINUE WITH THE 20 MINUTE HEART CHECKS, WHICH INCLUDED LIPID AND GLUCOSE TESTING. ADDITIONAL SCREENINGS THAT WE PLAN TO CONTINUE IN THE FUTURE INCLUDE BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS, COLORECTAL CANCER SCREENINGS AND GLUCOSE SCREENINGS. WE CONTINUED TO OFFER A SUPPORT GROUP FOR BARIATRIC PATIENTS, AS WELL AS SUPPORT GROUPS FOR DIABETES, CHILDBIRTH CLASSES, AND LACTATION SUPPORT. IN ADDITION, A NEW SERVICE THAT HAS STARTED IN 2023 IS CAR SEAT SAFETY CHECKS THROUGH A STAFF MEMBER WHO ACHIEVED CERTIFICATION IN THIS AREA. THE EDUCATION DEPARTMENT CONTINUES TO OFFER FAMILY & FRIENDS CPR CLASSES.AS PARTNERS WITH AREA NURSING SCHOOLS, WE PROVIDED CLINICAL SUPERVISION AND PRECEPTING TO STUDENTS FOR OVER 7,459 HOURS. A QUARTERLY HEALTH EDUCATION PUBLICATION CONTINUED TO PROVIDE HEALTH INFORMATION TO 25,946 HOMES IN KNOX COUNTY. THIS PUBLICATION ALSO PROVIDED A CALENDAR OF COMMUNITY HEALTH EDUCATION EVENTS AND FREE SCREENINGS.THE BREAST HEALTH NAVIGATOR AT KCH ASSISTED IN REQUESTING AND RECEIVING FUNDS FOR PATIENTS FROM THE GO PINK! BREAST HEALTH FUND TO ASSIST WITH MEDICAL SUPPLY COSTS AND RELATED ITEMS AS NEEDED FOR WOMEN WHO ARE UNINSURED OR UNDERINSURED. KCH PROVIDES THE COMMUNITY AT LARGE THE SERVICES OF BOTH A BREAST HEALTH NAVIGATOR AND A PATIENT NAVIGATOR AT NO CHARGE. IN ADDITION, THE BREAST HEALTH NAVIGATOR SERVED AS KEY SPEAKER TO 75 LOCAL WOMEN AT THE ANNUAL GO PINK! EVENT IN JUNE 2022, SHARING PREVENTION AND TREATMENT TIPS AND EDUCATION.THE ESTIMATED PREVALENCE OF DIABETES AMONG KNOX COUNTY ADULT RESIDENTS IS APPROXIMATELY TEN PERCENT ACCORDING TO WWW.COUNTYHEALTHRANKINGS.ORG 2022 HEALTH RANKINGS (BASED ON 2019 DATA). KNOX COMMUNITY HOSPITAL RECONGNIZES THE NEED FOR EDUCATION AND SCREENINGS TO SERVE THIS POPULATION. IN 2022, WE OFFERED INFORMATIVE PRESENTATION AT VARIOUS COMMUNITY EVENTS. THE OBVIOUS NEED TO SERVE THE POPULATION WITH DIABETES HAS LED TO A RESTRUCTURING OF OUR DIABETES PROGRAMS WITH IMPLEMENTATION THAT HAD BEGUN IN 2018 BUT CONTINUES TO EVOLVE. DIABETES SUPPORT GROUPS CONTINUE TO BE POPULAR IN 2022, ALONG WITH VIRTUAL GROCERY STORE TOURS TO PROVIDE NUTRITION INFORMATION. COMMUNITY HEALTH TALKS RETURNED IN 2022 INCLUDING AN EDUCATIONAL PRESENTATION BY ONE OF OUR ORTHOPAEDIC PHYSICIANS REGARDING JOINT HEALTH, HELD IN SEPTEMBER 2022 WITH 18 ACTIVE COMMUNITY MEMBERS ATTENDING. COMMUNITY MEMBERS UTILIZE THE HOSPITAL AS A VEHICLE TO CONNECT WITH AND CONTRIBUTE TO THE OVERALL WELL-BEING OF THE COMMUNITY THROUGH PHILANTHROPY AND VOLUNTEERING. A VOLUNTEER FORCE OF 43 CONTRIBUTED 4,567 HOURS IN 2022.
PART III, LINE 2:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE HOSPITAL'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 3:KNOX COMMUNITY HOSPITAL PROVIDES DETAILED INFORMATION ABOUT THE POVERTY GUIDELINES ON POSTED SIGNS THROUGHOUT THE FACILITY AS WELL AS THE HOSPITAL WEBSITE. THE HOSPITAL REGISTRARS ALSO EDUCATE ALL PATIENTS THAT ARE SELF-PAY OR EXPRESS A NEED FOR FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE.
PART III, LINE 4:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE HOSPITAL'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 68% AND 72% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2022 AND 2021, RESPECTIVELY. IN ADDITION, THE HOSPITAL'S PROVISION FOR BAD DEBTS DECREASED APPROXIMATELY $1,697,000 FROM $10,380,000 FOR FISCAL YEAR 2021 TO $8,683,000 FOR FISCAL YEAR 2022. THE HOSPITAL HAS NOT SIGNIFICANTLY CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2022 AND 2021.THE HOSPITAL DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD PARTY PAYORS RELATING TO DOUBTFUL ACCOUNTS.
PART III, LINE 8:MEDICARE IS THE LARGEST PAYOR OF KNOX COMMUNITY HOSPITAL AND THE HOSPITAL ACCEPTS THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. IF THE MEDICARE PARTICIPATION IS PREMISED ON THIS FACT, THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE AVAILABILITY, WHICH IS A COMMUNITY BENEFIT. ALONG THE SAME LINES, THE IRS REVENUE RULING 69-545 ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS. ACCORDING TO THIS RULING, IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN IT IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS ALSO IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.
PART III, LINE 9B:KNOX COMMUNITY HOSPITAL HAS THE SAME COLLECTION POLICY AND PROCEDURES THAT APPLY EQUALLY TO ALL PATIENTS, BOTH CHARITY CARE AND NON-CHARITY CARE PATIENTS. IF A PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THE PROCEDURES OUTLINED IN THE CHARITY CARE POLICY AND FINANCIAL ASSISTANCE POLICY WILL BE FOLLOWED. THE DEBT COLLECTION POLICY DOES NOT APPLY TO PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE.
PART VI, LINE 2:IN 2021, KNOX COMMUNITY HOSPITAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT. AS IN THE PAST, KCH WORKED WITH A NUMBER OF HEALTH PARTNERS AND AGENCIES TO DEVELOP THIS ASSESSMENT. KNOX COMMUNITY HOSPITAL USED A COMPREHENSIVE APPROACH TO DEVELOP THE COMMUNITY HEALTH NEEDS ASSESSMENT.THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT WAS PREPARED AS A COLLABORATIVE ENDEAVOR COMMISSIONED BY THE KNOX HEALTH PLANNING PARTNERSHIP. BOTH KNOX COMMUNITY HOSPITAL AND THE KNOX COUNTY HEALTH DEPARTMENT ARE MEMBERS OF KHPP, AND SHARED THE PRIMARY FINANCIAL RESPONSIBILITY FOR THE 2021 CHNA.THE KHPP SECURED THE SERVICES OF THE HOSPITAL COUNCIL OF NORTHWEST OHIO TO FACILITATE THE SURVEY, ASSESSMENT AND IMPROVEMENT PLAN TO ENSURE THE FINISHED REPORT MEETS THE NEEDS OF BOTH THE KNOX COUNTY HEALTH DEPARTMENT AND KCH, AND IS IN ALIGNMENT WITH THE OHIO DEPARTMENT OF HEALTH'S STATE HEALTH IMPROVEMENT PLAN, AND OTHER STATE AND FEDERAL REQUIREMENTS. THE FINAL REPORT WAS COMPLETED AND AVAILABLE IN THE FALL OF 2021.
PART VI, LINE 3:DETAILED INFORMATION ABOUT THE POVERTY GUIDELINES IS POSTED ON SIGNS THROUGHOUT THE FACILITY AND THAT INFORMATION IS REPEATED ON THE HOSPITAL WEBSITE. EVERY PATIENT STATEMENT INCLUDES INFORMATION ABOUT FINANCIAL ASSISTANCE AND AN APPLICATION FOR THAT ASSISTANCE. AT REGISTRATION, THOSE WHO ARE SELF-PAY OR EXPRESS A NEED FOR ASSISTANCE ARE EDUCATED BY THE REGISTRARS ABOUT RESOURCES AVAILABLE. THIS INCLUDES PATIENT FINANCIAL COUNSELORS.KNOX COMMUNITY HOSPITAL IMPLEMENTED A SLIDING SCALE FOR UP TO 350% OF THE FEDERAL POVERTY LEVEL TO ASSIST PATIENTS WITH THEIR PORTION OF CHARGES. CASE MANAGERS ADVOCATE FOR ASSISTANCE BY REFERRING PATIENTS TO KNOX COMMUNITY HOSPITAL FINANCIAL COUNSELORS, TOO. IN ADDITION, THE EMPLOYED PHYSICIANS IN THE DEPARTMENTS OF PRIMARY AND SPECIALTY CARE PARTICIPATE IN THE KCH FINANCIAL ASSISTANCE PROGRAM.WE OFFER A 20% DISCOUNT OFF GROSS CHARGES TO THE UNINSURED FOR HOSPITAL SERVICES AND A 40% DISCOUNT OFF PHYSICIAN SERVICES TO THE UNINSURED, AND A 10% PROMPT PAY DISCOUNT ON CO-INSURANCE AMOUNTS TO THOSE WITH INSURANCE IF THEY PAY THEIR PORTION WITHIN 30 DAYS OF THEIR FIRST STATEMENT.
PART VI, LINE 4:KNOX COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA IS KNOX COUNTY, OHIO. THE 2021 ESTIMATE OF THE POPULATION OF KNOX COUNTY IS 61,481. KNOX COUNTY IS PREDOMINANTLY WHITE, CAUCASIANS COMPRISING 96.4% OF THE POPULATION. CONSIDERED A RURAL AREA OF OHIO, KCH IS THE ONLY HOSPITAL IN KNOX COUNTY. (MOST RECENT STATISTICS AVAILABLE)THE MEDIAN HOUSEHOLD INCOME IN 2022 WAS ESTIMATED TO BE $57,749. THE 2022 UNEMPLOYMENT RATE WAS 3.6%, WHICH IS SLIGHTLY LOWER THAN THE US RATE FOR THAT PERIOD OF TIME. 19.8% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. THE PERCENTAGE OF THE POPULATION UNDER 65 WITHOUT INSURANCE IS 11.5%. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 HAS DECLINED TO 17.7%. OUR ELDERLY POPULATION IS SLIGHTLY HIGHER THAN THE STATE OR NATIONAL AVERAGE. KNOX COMMUNITY HOSPITAL RECOGNIZES THE UNIQUE HEALTH CHALLENGES THESE VULNERABLE POPULATIONS ENCOUTNER AND OFFERS PROGRAMS AND FREE SCREENINGS TO ASSIST THEM. (MOST RECENT STATISTICS AVAILABLE)
PART VI, LINE 5:HEART DISEASE CONTINUES TO BE THE LEADING CAUSE OF DEATH FOR KNOX COUNTY RESIDENTS. HEART DISEASE RATES PLACE KNOX COUNTY IN THE LOWER QUARTILE OF OHIO COUNTIES. KNOX COMMUNITY HOSPITAL HAS ORGANIZED EDUCATIONAL EVENTS AND LOW COST SCREENINGS FOR OUR SERVICE AREA.KCH CONTINUES TO OFFER LOW COST 20-MINUTE HEART CHECKS EVERY FEBRUARY. THIS ENCOURAGES THE COMMUNITY TO PLAN FOR THESE SCREENINGS ON A YEARLY BASIS. PROVIDING FREE EDUCATIONAL EVENTS BRINGS AWARENESS OF THESE SCREENINGS AND WHAT OUR COMMUNITY CAN DO TO IMPROVE THEIR HEART HEALTH. ALL RESIDENTS IN KNOX COUNTY RECEIVE A QUARTERLY HEALTH MAGAZINE THAT OFTEN FEATURES EASY-TO-UNDERSTAND TIPS FOR BETTER HEART HEALTH.COMMUNITY EDUCATION CLASSES ARE PROVIDED TO LOCAL COMMUNITY GROUPS IN THE FOLLOWING AREAS: BLS, PALS, HSAEDFA, FRIENDS & FAMILY CPR AND FIRST AID.KCH HAS A CARDIOLOGY PATIENT NAVIGATOR TO ASSIST PATIENTS WITH SERVICES OR ASSISTANCE WITH RESOURCES AND APPOINTMENTS.ISSUES OF ALCOHOL ABUSE AND SMOKING/TOBACCO IN KNOX COUNTY WERE IDENTIFIED AND RECOGNIZED AS MAJOR FACTORS FOR ORAL, HEAD AND NECK CANCER. OUR CANCER RESOURCE LIBRARY IN THE KNOX MEDICAL PAVILION PROVIDES EDUCATIONAL MATERIAL TO THE COMMUNITY. KCH HAS A BREAST HEALTH NAVIGATOR AND A CANCER NAVIGATOR TO COORDINATE PATIENT CARE ACTIVITIES TO SUPPORT THE TRANSITION FROM DIAGNOSIS TO TREATMENT; TO PROVIDE EDUCATIONAL RESOURCES FOR THE PATIENT AND THE FAMILY, AND ASSIST PATIENTS THROUGHOUT THEIR CARE. THIS SERVICE IS AVAILABLE TO ALL CANCER PATIENTS, REGARDLESS OF WHERE THEY RECEIVE CARE, AT NO CHARGE. IN ADDITION, IN 2022, A NEW COMPREHENSIVE AWARENESS AND MARKETING CAMPAGIN WAS CREATED TO INFORM THE PUBLIC ABOUT THE KCH CANCER CENTER TREATEMENT OPTIONS, WITH LOCAL PATIENTS PROVIDING TESTIMONIALS. THE ESTIMATED PREVALENCE OF DIABETES AMONG KNOX COUNTY ADULT RESIDENTS INCREASED TO 10 PERCENT. KNOX COMMUNITY HOSPITAL RECOGNIZES THE NEED FOR EDUCATION AND SCREENINGS TO SERVE THIS POPULATION. NEW EDUCATIONAL PROGRAMS ARE IN THE DEVELOPMENT PHASE TO ASSIST THIS SEGMENT OF OUR COMMUNITY.MONTHLY SUPPORT GROUPS WERE PROVIDED FOR BARIATRIC SUPPORT VIA THE CENTER FOR WEIGHT MANAGEMENT. AN AVERAGE ATTENDANCE OF 16 PEOPLE LEARN ABOUT WEIGHT LOSS ISSUES AND TREATMENT OPTIONS, AND EACH GROUP SESSION USES ABOUT 3 STAFF FOR A TOTAL OF 7 HOURS INCLUDING PREPARATION AND DELIVERY OF THE CLASS.OUR COMMITMENT TO OUR COMMUNITY IS DEMONSTRATED IN HOW WE USE OUR RESOURCES. FUNDS REMAINING AFTER EXPENSES ARE USED SOLELY TO INVEST IN THE HOSPITAL'S MISSION OF IMPROVED PATIENT SERVICES, TECHNOLOGY AND FACILITIES.OUR GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA AND NONE ARE CONTRACTORS OF KCH.KNOX COMMUNITY HOSPITAL ENHANCES THE OVERALL WELL-BEING OF THE COMMUNITY IN MANY WAYS. EACH YEAR WE SEARCH FOR NEW WAYS TO PROVIDE INFORMATION, CARE, SUPPORT AND SERVICE THAT IMPROVES THE WELL-BEING AND HEALTH OF OUR COMMUNITY.WE CONTINUE TO ADD PROVIDERS AND GROW SERVICES IDENTIFIED AS NEEDED WITHIN OUR COMMUNITY.FREE NOTARY SERVICE IS AVAILABLE EVERY WEEKDAY 8AM TO 4 PM TO ASSIST MEMBERS OF THE COMMUNITY WITH COMPLETING ADVANCE DIRECTIVES.SOME OF KCH'S PARTNERSHIPS WITH OTHERS IN THE COMMUNITY ALLOW CLINICAL STAFF TO MENTOR AND PRECEPT NURSING, RADIOLOGY, PHARMACY AND PHYSICAL THERAPY STUDENTS. KNOX COMMUNITY HOSPITAL IS INVOLVED WITH HEALTH PROFESSIONS EDUCATION WITH STUDENTS FROM MANY AREA NURSING AND HEALTHCARE PROGRAMS.THE HOSPITAL WORKS IN PARTNERSHIP WITH THE LOCAL HEALTH DEPARTMENT AND THE UNITED WAY OF KNOX COUNTY TO ADDRESS AND IDENTIFY CURRENT HEALTH NEEDS OF THE COMMUNITY. COLLABORATION WITH THESE AGENCIES ALLOWS US TO AVOID DUPLICATION OF NEEDED SERVICES AND OFFER WHAT MOST BENEFITS OUR COMMUNITY.AS THE ONLY HOSPITAL IN OUR SERVICE AREA, KNOX COMMUNITY HOSPITAL PROVIDES CARE FOR THE MAJORITY OF MEDICARE AND MEDICAID RECEIPIENTS IN KNOX COUNTY. OUR URGENT CARE CENTER AND OUR EMERGENCY DEPARTMENT CONTINUE TO BE SOURCES OF PRIMARY CARE FOR THE UNINSURED OR THOSE WITHOUT A FAMILY PHYSICIAN. COMMUNITY MEMBERS UTILIZE THE HOSPITAL AS A VEHICLE TO CONNECT WITH AND CONTRIBUTE TO THE OVERALL WELL-BEING OF THE COMMUNITY THROUGH PHILANTHROPY AND VOLUNTEERING. A VOLUNTEER FORCE OF 43 CONTRIBUTED APPROXIMATELY 4,567 HOURS IN 2022.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient7RecipientCnt
Cash Grant$7,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE KNOX COMMUNITY HOSPITAL AUXILIARY AWARDS HEALTH CAREER SCHOLARSHIPS TO AREA HIGH SCHOOL GRADUATES. ALL APPLICATIONS ARE REVIEWED BY THE AUXILIARY SCHOLARSHIP COMMITTEE; AND RECIPIENTS ARE SELECTED BASED ON THEIR SCHOLASTIC STANDING, COMMUNITY INVOLVEMENT, AND FINANCIAL NEED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GREGORY CUSH
ORTHOPAEDIC SURGEON$1,089,713$0$64,829$0$0$0$20,500$0$40,760$0$1,215,802$0$0$0
JARRETT B HELMING
ORTHOPAEDIC SURGEON$780,370$0$304,098$0$0$0$20,500$0$40,760$0$1,145,728$0$0$0
BARRY S GEORGE MD
TRUSTEE/CARDIOLOGIST$898,175$0$58,333$0$0$0$20,500$0$40,558$0$1,017,566$0$0$0
ALIX TERCIUS
CARDIOLOGIST$811,581$0$52,083$0$0$0$20,500$0$40,760$0$924,924$0$0$0
KENNETH H DOOLITTLE II
ORTHOPAEDIC SURGEON$789,457$0$89,373$0$0$0$20,500$0$21,231$0$920,561$0$0$0
GANGARAM RASA
CARDIOLOGIST$817,283$0$0$0$0$0$20,500$0$21,030$0$858,813$0$0$0
BRUCE WHITE
CEO$474,069$0$35,899$0$7,260$0$0$0$124,183$0$641,411$0$0$0
MICHAEL SULLIVAN MD
TRUSTEE/OBGYN$514,321$0$0$0$0$0$20,500$0$14,094$0$548,915$0$0$0
MICHAEL AMBROSIANI
CFO$305,567$0$24,300$0$0$0$0$0$78,836$0$408,703$0$0$0
BRUCE BEHNER
COO$305,567$0$22,565$0$0$0$0$0$78,836$0$406,968$0$0$0
JOHN HALL
CMO$366,510$0$0$0$0$0$3,643$0$19,567$0$389,720$0$0$0
CAROL N EMERY
CHIEF NURSING OFFICER$206,854$0$15,210$0$0$0$10,369$0$35,031$0$267,464$0$0$0
AMY D MURNEN MD
TRUSTEE/FAMILY MEDICINE$213,060$0$2,435$0$0$0$20,500$0$12,771$0$248,766$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHOSPITAL PURCHASES AN ANNUAL MEMBERSHIP TO LOCAL COUNTRY CLUB FOR RECRUITING AND FUNDRAISING ACTIVITIES FOR THE CEO, CFO, AND COO. THIS BENEFIT IS NOT INCLUDED IN THE INDIVIDUALS' COMPENSATION.
PART I, LINE 7SCHEDULE J, PART II: THE CEO, COO, AND CFO OF THE HOSPITAL ARE PAID BY AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE ORGANIZATION THROUGH A MANAGEMENT AGREEMENT WITH OVATION HEALTHCARE. DR. GREGORY CUSH IS PAID BASED ON WORK RVU ("WRVU" RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR A GENERAL ORTHOPEDIC SURGEON. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. JARRETT B. HELMING IS PAID BASED ON WORK RVU ("WRVU" RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR AN ORTHOPEDIC SURGEON. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. KENNETH DOOLITTLE IS PAID BASED ON WORK RVU ("WRVU" RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR A GENERAL ORTHOPEDIC SURGEON. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED SEMIANNUALLY. AT THE END OF EACH SIX MONTH PERIOD, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. ALIX TERCIUS IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR AN INVASIVE-INTERVENTIONAL CARDIOLOGIST. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. GANGARAM RASA IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR AN INVASIVE-INTERVENTIONAL CARDIOLOGIST. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. MICHAEL SULLIVAN IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR A OBGYN. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. BARRY GEORGE IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR AN INVASIVE-INTERVENTIONAL CARDIOLOGIST. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. AMY MURNEN IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HER SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S SHE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR A FAMILY MEDICINE PHYSICIAN. SHE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HER WRVU'S ARE REVIEWED SEMIANNUALLY. AT THE END OF EACH SIX MONTH PERIOD, IF HER EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HER ESTIMATED SALARY, PAYMENT IS MADE TO HER FOR THE EXCESS AMOUNT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
VICKIE SANT
SEE PART V BELOWSEE PART V BELOW0
MARK RAMSER
SEE PART V BELOWSEE PART V BELOW0
KOREY KIDWELL
SEE PART V BELOWSEE PART V BELOW0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE L, PART IV:VICKIE SANT IS A MEMBER OF THE GOVERNING BODY AND A TRUSTEE OF THE FINANCIAL INSTITUTION THAT IS USED BY KNOX COMMUNITY HOSPITAL. DURING THE YEAR, THE HOSPITAL PAID $544,751 TO PARK NATIONAL BANK FOR ASSET MANAGEMENT FEES. TO AVOID A CONFLICT OF INTEREST, MS. SANT ABSTAINS FROM VOTING ON ANY ISSUES RELATED TO THE BANKING ARRANGEMENT.
SCHEDULE L, PART IV:MARK RAMSER IS A MEMBER OF THE GOVERNING BODY AND A TRUSTEE OF THE FINANCIAL INSTITUTION THAT IS USED BY KNOX COMMUNITY HOSPITAL. DURING THE YEAR, THE HOSPITAL PAID $544,751 TO PARK NATIONAL BANK FOR ASSET MANAGEMENT FEES. TO AVOID A CONFLICT OF INTEREST, MR. RAMSER ABSTAINS FROM VOTING ON ANY ISSUES RELATED TO THE BANKING ARRANGEMENT.
SCHEDULE L, PART IV:KOREY KIDWELL IS A MEMBER OF THE GOVERNING BODY AND A TRUSTEE OF THE FINANCIAL INSTITUTION THAT IS USED BY KNOX COMMUNITY HOSPITAL. DURING THE YEAR, THE HOSPITAL PAID $544,751 TO PARK NATIONAL BANK FOR ASSET MANAGEMENT FEES. TO AVOID A CONFLICT OF INTEREST, MR. KIDWELL ABSTAINS FROM VOTING ON ANY ISSUES RELATED TO THE BANKING ARRANGEMENT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE COMMUNITY HOSPITAL HAS ENTERED INTO AN INDEPENDENT CONTRACT AGREEMENT WITH OVATION HEALTHCARE TO PROVIDE MANAGEMENT SERVICES UNDER THE DIRECTION, CONTROL AND AUTHORITY OF THE HOSPITAL'S BOARD OF TRUSTEES. IN 2022, OVATION HEALTHCARE WAS PAID $2,026,135.61. OF THIS AMOUNT $1,167,966.84 RELATES TO COMPENSATION LISTED IN 990 PART VII AND SCHEDULE J, PART II FOR THE CEO, CFO, AND COO'S COMPENSATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT AND AUDIT AND COMPLIANCE COMMITTEE. THE FULL GOVERNING BODY IS PRESENTED A COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL MEMBERS ARE REQUIRED TO READ AND SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT WHICH EDUCATES THEM ON THEIR RESPONSIBILITY TO DECLARE POTENTIAL AND SEEMING CONFLICTS OF INTEREST. THE STATEMENTS ARE PRESENTED TO AND REVIEWED BY THE BOARD EXECUTIVE COMMITTEE. THIS IS IMPORTANT BECAUSE THE MEMBERSHIP COMPOSITION OF THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR OF EACH COMMITTEE OF THE BOARD. THAT WAY, EACH COMMITTEE CHAIR IS AWARE OF THE DISCLOSED CONFLICTS AND POTENTIAL CONFLICTS OF INTEREST FOR THE MEMBERS WHO SERVE ON THEIR COMMITTEE. CHAIRS ARE AWARE THAT ANY AND ALL POTENTIAL CONFLICTS OF INTEREST WHICH MAY COME INTO PLAY DURING ANY BOARD ACTIVITY AND ANY BOARD COMMITTEE WORK SHOULD BE IDENTIFIED AND DECLARED TO THE GROUP. THE MEMBER WITH THE CONFLICT MAY BE ASKED TO RECUSE THEMSELVES FROM ANY VOTE, DISCUSSION, OR ATTENDANCE AT A MEETING REGARDING THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE OF KNOX COMMUNITY HOSPITAL IS THE COMPENSATION COMMITTEE/ARM OF THE GOVERNING BODY. OVATION HEALTHCARE PROVIDES THE NATIONAL PERSPECTIVE; USING THEIR SURVEYS, RANGES ARE ESTABLISHED FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE MAKES THE PROPOSAL FOR THE FULL BOARD TO APPROVE. THE EXECUTIVE COMMITTEE IS COMPRISED OF TRUSTEES DETERMINED TO BE INDEPENDENT ACCORDING TO THE BOARD POLICY. PAID PHYSICIAN BOARD MEMBERS ARE NOT INDEPENDENT DIRECTORS AND ARE EXCLUDED FROM THE EXECUTIVE COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,480,806. MANAGEMENT AND GENERAL EXPENSES 12,837,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,318,089.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN KNOX COMMUNITY HOSPITAL FOUNDATION -478,871.
FORM 990, PART XII, LINE 2C:THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
KNOX COMMUNITY PAIN MANAGEMENT LLC
1330 COSHOCTON RDMOUNT VERNONOH43050452919911PAIN MANAGEMENT SERVICESOHN/ARELATED$285,290$166,1380Yes (1)0.51000
KNOX DIAGNOSTIC IMAGING CENTER LLC
1330 COSHOCTON RDMOUNT VERNONOH43050920179889MEDICAL SERVICES/ ECHOCARDIOLOGY SERVICESOHN/ARELATED-$36,759$428,3400Yes (1)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1KCH DEVELOPMENTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11330 COSHOCTON ROADAddressLine1Txt
CityMOUNT VERNONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43050ZIPCd
FieldValueIRS element (for citing)
EIN311193847EIN
Primary ActivitiesMEDICAL BUILDINGPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Share Of Total Income$127,840ShareOfTotalIncomeAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KNOX DIAGNOSTIC IMAGING CENTER LLC
J$89,560ACTUAL
KNOX DIAGNOSTIC IMAGING CENTER LLC
O$1,014,061ACTUAL
KNOX DIAGNOSTIC IMAGING CENTER LLC
Q$66,775ACTUAL
KNOX COMMUNITY PAIN MANAGEMENT LLC
O$524,133ACTUAL
KNOX COMMUNITY PAIN MANAGEMENT LLC
Q$53,620ACTUAL
KNOX COMMUNITY PAIN MANAGEMENT LLC
J$77,714ACTUAL

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