KNOX COMMUNITY HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: KNOX COMMUNITY HOSPITAL (EIN 31-0929576)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202143199349316479
Schema version: 2020v4.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T14:03:20-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	351178661	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 N MERIDIAN ST SUITE 200	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310929576	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KNOX COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	KNOX	BusinessNameControlTxt
Phone	7403939623	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1330 COSHOCTON ROAD	AddressLine1Txt
City	MOUNT VERNON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43050	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL AMBROSIANI	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7403939623	PhoneNum
Signature	2021-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL	PersonFirstNm
Person Last	AMBROSIANI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	NATHAN A RODGERS CPA	PreparerPersonNm
PTIN	P01568275	PTIN
Phone	3176334705	PhoneNum
Preparation	2021-11-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BRUCE D WHITE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1330 COSHOCTON ROAD	AddressLine1Txt
City	MOUNT VERNON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43050	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$230,048,988	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KCH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPASSIONATE HEALTHCARE SERVICE THAT EXCEEDS THE EXPECTATIONS OF OUR COMMUNITY	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1507	TotalEmployeeCnt
Total Volunteers	99	TotalVolunteersCnt
Total Gross UBI	$15,216	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,067	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,121,380	PYContributionsGrantsAmt
CY Contributions Grants	$18,478,948	CYContributionsGrantsAmt
PY Program Service Revenue	$174,714,294	PYProgramServiceRevenueAmt
CY Program Service Revenue	$172,559,457	CYProgramServiceRevenueAmt
PY Investment Income	$3,136,196	PYInvestmentIncomeAmt
CY Investment Income	$2,932,421	CYInvestmentIncomeAmt
PY Other Revenue	$8,318,882	PYOtherRevenueAmt
CY Other Revenue	$3,602,427	CYOtherRevenueAmt
PY Total Revenue	$189,290,752	PYTotalRevenueAmt
CY Total Revenue	$197,573,253	CYTotalRevenueAmt
PY Grants And Similar Paid	$19,100	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,717	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$102,716,393	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$109,658,593	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$71,653,281	PYOtherExpensesAmt
CY Other Expenses	$78,413,705	CYOtherExpensesAmt
PY Total Expenses	$174,388,774	PYTotalExpensesAmt
CY Total Expenses	$188,078,015	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,901,978	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,495,238	CYRevenuesLessExpensesAmt
Total Assets BOY	$241,963,902	TotalAssetsBOYAmt
Total Assets EOY	$292,790,253	TotalAssetsEOYAmt
Total Liabilities BOY	$64,695,954	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$100,892,017	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$177,267,948	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$191,898,236	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$144,163,959	ExpenseAmt
Grant	$5,717	GrantAmt
Revenue	$175,503,432	RevenueAmt
Desc	OUR 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 HEALTH CARE. FOR 2020 THE HOSPITAL HAD 3,119 INPATIENT ADMISSIONS, 21,010 ER VISITS, 133,550 OUTPATIENT VISITS, 68,579 RADIOLOGY PROCEDURES, AND 4,989 INPATIENT & OUTPATIENT SURGERIES (INCLUDING ENDOSCOPIES). AT THE END OF 2020, THE HOSPITAL HAD 49 EMPLOYED PHYSICIANS WITH 154,306 OFFICE CLINIC VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	IN 2020, KNOX COMMUNITY HOSPITAL'S PRESENTATION OF EDUCATION EVENTS ATTENDED BY MEMBERS OF OUR COMMUNITY WERE LIMITED DUE TO THE COVID PANDEMIC.MANY OF OUR FREE MONTHLY SCREENINGS HAD TO BE CANCELLED DUE TO THE COVID PANDEMIC BUT WILL RETURN AS SOON AS FEASIBLE. THE SCREENINGS THAT WE PLAN TO CONTINUE IN THE FUTURE ARE: BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS, COLORECTAL CANCER SCREENINGS AND GLUCOSE SCREENINGS. KCH DID CONTINUE WITH THE 20 MINUTE HEART CHECKS WHICH INCLUDED LIPID AND GLUCOSE TESTING. WE CONTINUED TO OFFER A SUPPORT GROUP FOR BARIATRIC PATIENTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	THE EDUCATION DEPARTMENT CONTINUES TO OFFER FAMILY & FRIENDS CPR CLASSES. ADVANCE DIRECTIVE/LIVING WILL ASSISTANCE AND FREE NOTARY SERVICE WAS PROVIDED TO APPROXIMATELY 30 PEOPLE. EDUCATIONAL COLUMNS ARE SUPPLIED TO THE LOCAL NEWSPAPER COVERING TIMELY TOPICS OF INTEREST SUCH AS FLU, ANTIMICROBIAL STEWARDSHIP AND CONCUSSION THERAPY, TO NAME A FEW.AS PARTNERS WITH AREA NURSING SCHOOLS, WE PROVIDED CLINICAL SUPERVISION AND PRECEPTING TO STUDENTS FOR OVER 3,000 HOURS. A QUARTERLY HEALTH EDUCATION PUBLICATION CONTINUED TO PROVIDE HEALTH INFORMATION TO ALL 26,000 HOMES IN KNOX COUNTY. THIS PUBLICATION ALSO PROVIDED A CALENDAR OF COMMUNITY HEALTH EDUCATION EVENTS AND FREE SCREENINGS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Desc	THE BREAST HEALTH NAVIGATOR AT KCH APPLIED FOR AND RECEIVED FUNDS FROM THE SUSAN G. KOMEN FOUNDATION TO PROVIDE SCREENING MAMMOGRAMS AND FOLLOW UP CARE AS NEEDED FOR 250 WOMEN WHO ARE UNINSURED OR UNDERINSURED. KCH PROVIDES THE COMMUNITY AT LARGE WITH THE SERVICES OF BOTH A BREAST HEALTH NAVIGATOR AND A PATIENT NAVIGATOR AT NO CHARGE.THE ESTIMATED PREVALENCE OF DIABETES AMONG KNOX COUNTY ADULT RESIDENTS IS STEADY AT 13.8 PERCENT. KNOX COMMUNITY HOSPITAL RECOGNIZES THE NEED FOR EDUCATION AND SCREENINGS TO SERVE THIS POPULATION. IN 2020, WE WERE NOT ABLE TO OFFER THE FREE MONTHLY GLUCOSE SCREENINGS BUT PLAN TO REINSTITUTE THE PROGRAM POST COVID. THE OBVIOUS NEED TO SERVE THE POPULATION WITH DIABETES HAS LED TO A RESTRUCTURING OF OUR DIABETES PROGRAMS WITH IMPLEMENTATION BEGINNING IN 2018 WITH INFORMATION PRESENTED AT THE FOLLOWING PLACES IN 2020: YMCA TALKS PARTERNERSHIP WITH UNITED WAY, WELLNESS TO GO TALK WITH THE DIETITIAN, SENIOR HIGH SCHOOL MENTORSHIP TALK OF KNOX COUNTY, LIVING WITH DIABETES CLASSES AND GROCERY TOURS WERE SWITCHED TO A VIRTUAL TOUR VIA OUR WEBSITE. AS WELL AS COUNSELLING 302 IN-PATIENTS AND 123 OUT-PATIENTS.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 99 CONTRIBUTED 4,089 HOURS IN 2020.OUR COMMUNITY CARE NETWORK COORDINATOR ASSISTED WITH A VARIETY OF COMMUNITY EDUCATION EVENTS, SUCH AS: YMCA KOKO'S KIDS CLUB, YMCA YOUTH ENRICHMENT PROGRAM, HEADSTART KOKO'S WEBPAGE, BIRDS DRIVE-THRU WITH KNOX COUNTY PARK DISTRICT, GARDENING FOR BETTER HEALTH, AND PHEASANTS FOREVER YOUTH DRIVE-THRU.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$144,163,959	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	163	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1507	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL AMBROSIANI	PersonNm
Phone	7403939623	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1330 COSHOCTON RD	AddressLine1Txt
City	MT VERNON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43050	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
IAN WATSON
PRESIDENT	5.00	Yes (X)	Yes (X)	$0	$0	$0
SAM BARONE
VICE PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
KOREY KIDWELL
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
CAROL DOROUGH
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
JEFFERY BOUCHER
TRUSTEE	1.50	Yes (X)		$0	$0	$0
CHARLES BRENNEMAN
TRUSTEE	1.50	Yes (X)		$0	$0	$0
CHERI BUTCHER
TRUSTEE-TERM BEGAN JAN'20	1.50	Yes (X)		$0	$0	$0
THOMAS D MCKINLEY MD
TRUSTEE	40.00	Yes (X)		$314,156	$0	$60,300
AMY D MURNEN MD
TRUSTEE	40.00	Yes (X)		$225,782	$0	$32,483
MARC ODENWELLER
TRUSTEE	1.50	Yes (X)		$0	$0	$0
MARK RAMSER
TRUSTEE	1.50	Yes (X)		$0	$0	$0
VICKIE SANT
TRUSTEE	1.50	Yes (X)		$0	$0	$0
CHRIS SMITH
TRUSTEE-TERM BEGAN JAN'20	1.50	Yes (X)		$0	$0	$0
MICHAEL SULLIVAN MD
TRUSTEE	40.00	Yes (X)		$533,044	$0	$43,311
JAN THOMAS
TRUSTEE	1.50	Yes (X)		$0	$0	$0
BRUCE WHITE
CEO	40.00		Yes (X)	$429,011	$0	$104,632
MICHAEL AMBROSIANI
CFO	40.00		Yes (X)	$277,728	$0	$68,433
BRUCE BEHNER
COO	40.00		Yes (X)	$277,728	$0	$68,433
JEFFREY C NORTHUP
CHIEF MEDICAL OFFICER	40.00			$381,172	$0	$33,876	Yes (X)
CAROL N EMERY
CHIEF NURSING OFFICER	40.00			$197,613	$0	$48,042	Yes (X)
GREGORY CUSH
ORTHOPAEDIC SURGEON	40.00			$1,115,619	$0	$60,815		Yes (X)
JARRETT B HELMING
ORTHOPAEDIC SURGEON	40.00			$856,264	$0	$60,815		Yes (X)
BARRY S GEORGE
INVASIVE-INTERVENTIONAL CARDIOLOGIST	40.00			$848,239	$0	$60,614		Yes (X)
KENNETH H DOOLITTLE II
ORTHOPAEDIC SURGEON	40.00			$829,372	$0	$41,157		Yes (X)
CHRISTOPHER HETRICK
ENT-OTOLARYNGOLOGIST	40.00			$819,174	$0	$35,924		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,104,902	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$718,835	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	117	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUALIVIS
5930 CORNERSTONE CT W 300	SAN DIEGO	CA	92121	CONTRACT STAFFING	$2,220,130
ALLSCRIPTS LLC
24630 NETWORK PLACE	CHICAGO	IL	606731246	SOFTWARE COMPANY	$1,225,661
PCB
PO BOX 2051	NEW ALBANY	OH	43054	COLLECTION SERVICES FOR SELF-PAY PATIENT	$1,072,954
PREMIER UROLOGY CORP
PO BOX 677	LEWIS CENTER	OH	43035	UROLOGY SERVICES	$1,002,349
HEALOGICS WOUND CARE & HYPERBARIC SERVIC
28525 NETWORK PLACE	CHICAGO	IL	606731285	MANAGEMENT SERVICES FOR WOUND TREATMENT	$660,438

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	63	CntrctRcvdGreaterThan100KCnt
Government Grants	$13,742,452	GovernmentGrantsAmt
All Other Contributions	$4,736,496	AllOtherContributionsAmt
Noncash Contributions	$917,736	NoncashContributionsAmt
Total Contributions	$18,478,948	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENU	621110	$167,377,896	$167,377,896
340B PHARMACY REVENUE	446110	$5,181,561	$5,181,561

Field	Value	IRS element (for citing)
Total Program Service Revenue	$172,559,457	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,010,094	TotalRevenueColumnAmt
Exclusion	$2,010,094	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$26,088	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$26,088	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,088	TotalRevenueColumnAmt
Exclusion	$26,088	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$33,355,321	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$32,371,242	SecuritiesAmt
Other	$61,752	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$984,079	SecuritiesAmt
Other	-$61,752	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$922,327	TotalRevenueColumnAmt
Exclusion	$922,327	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$4,395	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,395	TotalRevenueColumnAmt
Exclusion	$4,395	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$26,060	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$42,741	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$16,681	TotalRevenueColumnAmt
Exclusion	-$16,681	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OPTICAL REVENUE	900099	$904,945	$904,945
FOOD AND NUTRITION	900099	$459,588		$459,588
JOINT VENTURES	900099	$298,518	$298,518

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,925,574	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,740,512	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$15,216	UnrelatedBusinessRevenueAmt
Exclusion	$169,846	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,588,625	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$197,573,253	TotalRevenueColumnAmt
Related Or Exempt Func Income	$175,503,432	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$15,216	UnrelatedBusinessRevenueAmt
Exclusion	$3,575,657	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,717	TotalAmt
Program Services	$5,717	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,095,743	TotalAmt
Management And General	$3,095,743	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$81,848,298	TotalAmt
Program Services	$66,861,875	ProgramServicesAmt
Management And General	$14,986,423	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,887,407	TotalAmt
Program Services	$5,626,323	ProgramServicesAmt
Management And General	$1,261,084	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,826,598	TotalAmt
Program Services	$14,562,548	ProgramServicesAmt
Management And General	$3,264,050	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$547	TotalAmt
Program Services	$447	ProgramServicesAmt
Management And General	$100	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$356,332	TotalAmt
Management And General	$356,332	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$49,040	TotalAmt
Management And General	$49,040	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,275,442	TotalAmt
Program Services	$12,985,865	ProgramServicesAmt
Management And General	$6,289,577	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$523,765	TotalAmt
Management And General	$523,765	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,206,181	TotalAmt
Program Services	$2,041,159	ProgramServicesAmt
Management And General	$165,022	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,892,938	TotalAmt
Management And General	$2,892,938	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,192,974	TotalAmt
Program Services	$246,817	ProgramServicesAmt
Management And General	$2,946,157	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$99,137	TotalAmt
Program Services	$56,865	ProgramServicesAmt
Management And General	$42,272	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$106,037	TotalAmt
Program Services	$60,823	ProgramServicesAmt
Management And General	$45,214	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,931,631	TotalAmt
Management And General	$1,931,631	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,788,682	TotalAmt
Program Services	$4,242,297	ProgramServicesAmt
Management And General	$4,546,385	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,066,094	TotalAmt
Program Services	$140,938	ProgramServicesAmt
Management And General	$925,156	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS AND SUPPLIES	$29,585,844	$29,585,844
MEDICAL PROFESSIONAL FE	$4,188,685	$4,188,685
BOOKS & SUBSCRIPTIONS	$509,713	$436,875	$72,838
DUES AND LICENSES	$177,371	$152,025	$25,346

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,463,839	TotalAmt
Program Services	$2,968,856	ProgramServicesAmt
Management And General	$494,983	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$188,078,015	TotalAmt
Program Services	$144,163,959	ProgramServicesAmt
Management And General	$43,914,056	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,660	BOYAmt
EOY	$6,962	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,595,079	BOYAmt
EOY	$17,741,590	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,932,894	BOYAmt
EOY	$28,020,849	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,826,716	BOYAmt
EOY	$1,889,149	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,506,512	BOYAmt
EOY	$4,125,692	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$199,548,410	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$88,779,455	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$88,610,164	BOYAmt
EOY	$110,768,955	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$91,228,833	BOYAmt
EOY	$123,764,779	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$324,413	BOYAmt
EOY	$276,707	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,915,631	BOYAmt
EOY	$6,195,570	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$241,963,902	BOYAmt
EOY	$292,790,253	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,497,919	BOYAmt
EOY	$18,931,737	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$50,019,170	BOYAmt
EOY	$64,485,766	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$178,865	BOYAmt
EOY	$17,474,514	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,695,954	BOYAmt
EOY	$100,892,017	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$165,346,226	BOYAmt
EOY	$186,459,281	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,921,722	BOYAmt
EOY	$5,438,955	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$177,267,948	BOYAmt
EOY	$191,898,236	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$241,963,902	BOYAmt
EOY	$292,790,253	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,495,238	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,455,944	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,320,894	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$5,224	OtherActivitiesAmt
Total Lobbying Expenditures	$5,224	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PORTION 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,993,805	BeginningYearBalanceAmt
Contributions	$2,198,503	ContributionsAmt
Investment Earnings Or Losses	-$1,386,486	InvestmentEarningsOrLossesAmt
Other Expenditures	$61,455	OtherExpendituresAmt
End Year Balance	$11,744,367	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$808,451	BeginningYearBalanceAmt
Contributions	$49,147	ContributionsAmt
Investment Earnings Or Losses	$10,199,771	InvestmentEarningsOrLossesAmt
Other Expenditures	$63,564	OtherExpendituresAmt
End Year Balance	$10,993,805	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,154,167	BeginningYearBalanceAmt
Contributions	$100,926	ContributionsAmt
Investment Earnings Or Losses	-$355,414	InvestmentEarningsOrLossesAmt
Other Expenditures	$91,228	OtherExpendituresAmt
End Year Balance	$808,451	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$834,023	OtherCostOrOtherBasisAmt
Book Value	$834,023	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$108,375,279	OtherCostOrOtherBasisAmt
Depreciation	$34,896,271	DepreciationAmt
Book Value	$73,479,008	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$767,511	OtherCostOrOtherBasisAmt
Depreciation	$747,725	DepreciationAmt
Book Value	$19,786	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$85,628,913	OtherCostOrOtherBasisAmt
Depreciation	$53,135,459	DepreciationAmt
Book Value	$32,493,454	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,942,684	OtherCostOrOtherBasisAmt
Book Value	$3,942,684	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$110,768,955	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
LEASEHOLD DEPOSITS	$178,865
THIRD PARTY PAYABLE	$93,471
REFUNDABLE ADVANCES	$17,202,178

Field	Value	IRS element (for citing)
Total Liability	$17,474,514	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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, 2020 AND 2019, 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

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,337,656	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$485,288	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,852,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,450,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,702,961	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,747,856	NetCommunityBenefitExpnsAmt
Total Expense	0.03590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,788,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,188,249	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,600,224	NetCommunityBenefitExpnsAmt
Total Expense	0.04570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	1108	PersonsServedCnt
Total Community Benefit Expns	$644,245	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,440	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$618,805	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	225	PersonsServedCnt
Total Community Benefit Expns	$177,924	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$225	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$177,699	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,008	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,008	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,358	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,358	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	1333	PersonsServedCnt
Total Community Benefit Expns	$871,535	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,665	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$845,870	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	1333	PersonsServedCnt
Total Community Benefit Expns	$29,660,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,213,914	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,446,094	NetCommunityBenefitExpnsAmt
Total Expense	0.05010	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,232	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,232	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,638	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,638	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,870	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,870	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,829,954	BadDebtExpenseAmt
Reimbursed By Medicare	$35,637,983	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$40,982,239	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,344,256	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 KNOX DIAGNOSTIC IMAGING LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MEDICAL SERVICES/ECHOCARDIOLOGY SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.03610	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.33510	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KNOX COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1330 COSHOCTON RD	AddressLine1Txt
City	MOUNT VERNON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43050	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.KNOXCOMMHOSP.ORG	WebsiteAddressTxt
State License	1030	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	DSH HOSPITAL; SOLE COMMUNITY HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	KNOX COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.KCH.ORG/HEALTH-NEEDS-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.KCH.ORG/HEALTH-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.KCH.ORG/FINANCIAL-ASSISTANCE-APPLICATION	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.KCH.ORG/FINANCIAL-ASSISTANCE-APPLICATION	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.KCH.ORG/FINANCIAL-ASSISTANCE-APPLICATION	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
KNOX COMMUNITY HOSPITAL	PART V, SECTION B, LINE 5: THE 2018 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 2018 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 2018.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 SIXTEEN 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 18 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 OF 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 HOSPITAL	PART V, SECTION B, LINE 6B: THE CREATION OF THE 2018 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 HOSPITAL	PART V, SECTION B, LINE 11: IN 2020, 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 TELEHEALTH 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.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.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 2018 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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2020 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 30 PEOPLEMANY OF OUR FREE MONTHLY SCREENINGS HAD TO BE CANCELLED DUE TO THE COVID PANDEMIC BUT WILL RETURN AS SOON AS FEASIBLE. THE SCREENINGS THAT WE PLAN TO CONTINUE IN THE FUTURE ARE: BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS, COLORECTAL CANCER SCREENINGS AND GLUCOSE SCREENINGS. KCH DID CONTINUE WITH THE 20 MINUTE HEART CHECKS WHICH INCLUDED LIPID AND GLUCOSE TESTING. WE CONTINUED TO OFFER A SUPPORT GROUP FOR BARIATRIC PATIENTS.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 3,000 HOURS. A QUARTERLY HEALTH EDUCATION PUBLICATION CONTINUED TO PROVIDE HEALTH INFORMATION TO ALL 26,000 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 FROM THE SUSAN G. KOMEN FOUNDATION TO PROVIDE SCREENING MAMMOGRAMS AND FOLLOW UP CARE 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.THE ESTIMATED PREVALENCE OF DIABETES AMONG KNOX COUNTY ADULT RESIDENTS INCREASED TO 13.8 PERCENT. KNOX COMMUNITY HOSPITAL RECOGNIZES THE NEED FOR EDUCATION AND SCREENINGS TO SERVE THIS POPULATION. IN 2020, WE OFFERED INFORMATION 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 BEGINNING IN 2018. VIRTUAL GROCERY STORE TOURS HAS BEEN THE NEWEST CHANGE INSPIRED IN 2020 TO ASSIST THIS POPULATION WHILE STILL BEING COVID AWARE. 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 99 CONTRIBUTED 4,089 HOURS IN 2020.
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 77% AND 80% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2020 AND 2019, RESPECTIVELY. IN ADDITION, THE HOSPITAL'S PROVISION FOR BAD DEBTS DECREASED APPROXIMATELY $186,000 FROM $10,738,000 FOR FISCAL YEAR 2019 TO $10,552,000 FOR FISCAL YEAR 2020. THE HOSPITAL HAS NOT SIGNIFICANTLY CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2020 AND 2019.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 2018, 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 2018 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 2018 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 2018.
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 2019 ESTIMATE OF THE POPULATION OF KNOX COUNTY IS 62,322. THERE ARE APPROXIMATELY 116 PEOPLE PER SQUARE MILE. KNOX COUNTY IS PREDOMINANTLY WHITE, CAUCASIANS COMPRISING 96.6% 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 2019 WAS ESTIMATED TO BE $55,131. THE 2019 UNEMPLOYMENT RATE WAS 3.6%, WHICH IS ON PAR WITH THE US RATE FOR THAT PERIOD OF TIME. 13.8% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. THE PERCENTAGE OF THE POPULATION UNDER 65 WITHOUT INSURANCE IS 8.7%. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 HAS RISEN TO 18.6%. OUR ELDERLY POPULATION IS SLIGHTLY HIGHER THAN THE STATE OR NATIONAL AVERAGE. KNOX COMMUNITY HOSPITAL RECOGNIZES THE UNIQUE HEALTH CHALLENGES THESE VULNERABLE POPULATIONS ENCOUNTER 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.THE ESTIMATED PREVALENCE OF DIABETES AMONG KNOX COUNTY ADULT RESIDENTS INCREASED TO 13.8 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.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.NEW TO THE MEDICAL STAFF IN 2020 WAS SUNIL BHAT, MD, INFECTIOUS DISEASE MEDICINEWE CONTINUE TO ADD PROVIDERS AND GROW SERVICES IDENTIFIED AS NEEDED WITHIN OUR COMMUNITY.FREE NOTARY SERVICE IS AVAILABLE EVERY WEEKDAY FROM 8 AM 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 RECIPIENTS 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 99 CONTRIBUTED APPROXIMATELY 4,089 HOURS IN 2020.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GREGORY CUSH
ORTHOPAEDIC SURGEON	$1,073,587	$0	$42,032	$0	$0	$0	$19,500	$0	$41,315	$0	$1,176,434	$0	$0	$0
JARRETT B HELMING
ORTHOPAEDIC SURGEON	$712,184	$0	$144,080	$0	$0	$0	$19,500	$0	$41,315	$0	$917,079	$0	$0	$0
BARRY S GEORGE
INVASIVE-INTERVENTIONAL CARDIOLOGIST	$848,239	$0	$0	$0	$0	$0	$19,500	$0	$41,114	$0	$908,853	$0	$0	$0
KENNETH H DOOLITTLE II
ORTHOPAEDIC SURGEON	$783,946	$0	$45,426	$0	$0	$0	$19,500	$0	$21,657	$0	$870,529	$0	$0	$0
CHRISTOPHER HETRICK
ENT-OTOLARYNGOLOGIST	$768,915	$0	$50,259	$0	$0	$0	$19,500	$0	$16,424	$0	$855,098	$0	$0	$0
MICHAEL SULLIVAN MD
TRUSTEE	$515,044	$0	$18,000	$0	$0	$0	$19,500	$0	$23,811	$0	$576,355	$0	$0	$0
BRUCE WHITE
CEO	$398,291	$0	$23,460	$0	$7,260	$0	$0	$0	$104,632	$0	$533,643	$0	$0	$0
JEFFREY C NORTHUP
CHIEF MEDICAL OFFICER	$350,041	$0	$31,131	$0	$0	$0	$13,275	$0	$20,601	$0	$415,048	$0	$0	$0
THOMAS D MCKINLEY MD
TRUSTEE	$280,550	$0	$33,606	$0	$0	$0	$19,500	$0	$40,800	$0	$374,456	$0	$0	$0
MICHAEL AMBROSIANI
CFO	$265,243	$0	$12,485	$0	$0	$0	$0	$0	$68,433	$0	$346,161	$0	$0	$0
BRUCE BEHNER
COO	$265,243	$0	$12,485	$0	$0	$0	$0	$0	$68,433	$0	$346,161	$0	$0	$0
AMY D MURNEN MD
TRUSTEE	$225,782	$0	$0	$0	$0	$0	$19,500	$0	$12,983	$0	$258,265	$0	$0	$0
CAROL N EMERY
CHIEF NURSING OFFICER	$179,343	$0	$18,270	$0	$0	$0	$7,776	$0	$40,266	$0	$245,655	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	HOSPITAL 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 7	SCHEDULE 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 QUORUM HEALTH RESOURCES, LLC. 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. 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 ORTHOPAEDIC 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. CHRISTOPHER HETRICK 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 OTORHINOLARYNGOLOGY. 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. THOMAS MCKINLEY 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 INTERNIST. 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. 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 ORTHOPAEDIC 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. 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.
SCHEDULE J, PART II, COLUMN B(II):	BONUS & INCENTIVE COMPENSATION LISTED IN PART II FOR OFFICERS AND KEY EMPLOYEES ARE AMOUNTS THAT WERE EARNED IN 2019 AND PAID THIS CURRENT YEAR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
VICKIE SANT
SEE PART V BELOW	SEE PART V BELOW	0
MARK RAMSER
SEE PART V BELOW	SEE PART V BELOW	0
KOREY KIDWELL
SEE PART V BELOW	SEE PART V BELOW	0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $479,931 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 $479,931 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 $479,931 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 M IRS990ScheduleM

Real Estate Residential RealEstateResidentialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$909,353	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$8,383	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	KNOX COMMUNITY HOSPITAL HAS ENTERED INTO AN INDEPENDENT CONTRACT AGREEMENT WITH QUORUM HEALTH RESOURCES, LLC TO PROVIDE MANAGEMENT SERVICES UNDER THE DIRECTION, CONTROL AND AUTHORITY OF THE HOSPITAL'S BOARD OF TRUSTEES. IN 2020, QUORUM HEALTH RESOURCES, LLC WAS PAID $1,742,228. OF THIS AMOUNT $977,207 RELATES TO COMPENSATION LISTED IN 990 PART PART VII AND SCHEDULE J, PART II FOR THE CEO, CFO, AND COO'S COMPENSATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE 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 12C	ALL 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 15	THE EXECUTIVE COMMITTEE OF KNOX COMMUNITY HOSPITAL IS THE COMPENSATION COMMITTEE/ARM OF THE GOVERNING BODY. QUORUM HEALTH RESOURCES, LLC 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 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,985,865. MANAGEMENT AND GENERAL EXPENSES 6,289,577. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,275,442.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN KNOX COMMUNITY HOSPITAL FOUNDATION -2,320,894.
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/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
KNOX COMMUNITY PAIN MANAGEMENT LLC
1330 COSHOCTON RD	MOUNT VERNON	OH	43050	452919911	PAIN MANAGEMENT SERVICES	OH	N/A	RELATED	$156,527	$184,370	0	Yes (1)	0.51000
KNOX DIAGNOSTIC IMAGING CENTER LLC
1330 COSHOCTON RD	MOUNT VERNON	OH	43050	920179889	MEDICAL SERVICES/ ECHOCARDIOLOGY SERVICES	OH	N/A	RELATED	$177,596	$341,322	0	Yes (1)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	KCH DEVELOPMENT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1330 COSHOCTON ROAD	AddressLine1Txt
City	MOUNT VERNON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43050	ZIPCd

Field	Value	IRS element (for citing)
EIN	311193847	EIN
Primary Activities	MEDICAL BUILDING	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Share Of Total Income	$127,840	ShareOfTotalIncomeAmt
Share Of EOY Assets	$152,359	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
KNOX DIAGNOSTIC IMAGING CENTER LLC
J	$86,370	ACTUAL
KNOX DIAGNOSTIC IMAGING CENTER LLC
O	$562,634	ACTUAL
KNOX DIAGNOSTIC IMAGING CENTER LLC
Q	$62,942	ACTUAL
KNOX COMMUNITY PAIN MANAGEMENT LLC
O	$518,779	ACTUAL
KNOX COMMUNITY PAIN MANAGEMENT LLC
Q	$128,620	ACTUAL
KNOX COMMUNITY PAIN MANAGEMENT LLC
J	$71,853	ACTUAL