KNOX COMMUNITY HOSPITAL FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: KNOX COMMUNITY HOSPITAL FOUNDATION (EIN 31-1081020)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202133199349301903
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 I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T07:19:58-06:00	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	311081020	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	KNOX	BusinessNameControlTxt
Phone	7403939814	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	MARK ODENWELLER	PersonNm
Person Title	BOARD CHAIR	PersonTitleTxt
Phone	7403939814	PhoneNum
Signature	2021-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MARK	PersonFirstNm
Person Last	ODENWELLER	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	2021-11-08	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	MARK ODENWELLER	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	$1,408,520	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://WWW.KNOXCOMMHOSP.ORG/KC.NSF/VIEW/THEFOUNDA	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	CHARITABLE FUNDRAISER FOR KNOX COMMUNITY HOSPITAL	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$104,123	PYContributionsGrantsAmt
CY Contributions Grants	$1,407,629	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$1,140	PYInvestmentIncomeAmt
CY Investment Income	$891	CYInvestmentIncomeAmt
PY Other Revenue	$91,612	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$196,875	PYTotalRevenueAmt
CY Total Revenue	$1,408,520	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,070,158	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,767,786	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$0	PYOtherExpensesAmt
CY Other Expenses	$7,667	CYOtherExpensesAmt
PY Total Expenses	$3,070,158	PYTotalExpensesAmt
CY Total Expenses	$3,775,453	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,873,283	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,366,933	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,517,919	TotalAssetsBOYAmt
Total Assets EOY	$4,196,770	TotalAssetsEOYAmt
Total Liabilities BOY	$255	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,517,664	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,196,770	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF THE FOUNDATION FOR KNOX COMMUNITY HOSPITAL IS TO ESTABLISH AND MAINTAIN RELATIONSHIPS THAT GENERATE PHILANTHROPIC SUPPORT FOR THE HOSPITAL AND TO PROVIDE EDUCATION AND SUPPORT FOR EFFECTIVE HOSPITAL ADVOCACY AND GOVERNANCE THEREBY ENHANCING THE HOSPITAL'S ABILITY TO FULFILL ITS COMMUNITY HOSPITAL MISSION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$3,775,453	ExpenseAmt
Grant	$3,767,786	GrantAmt
Desc	THE "GREAT EXPECTATIONS" CAMPAIGN TO RAISE FUNDS AND SUPPORT FOR THE NEW WRIGHT FAMILY MEDICAL PAVILION ON THE CAMPUS OF KNOX COMMUNITY HOSPITAL, HAS RAISED OVER $10 MILLION IN GIFTS AND PLEDGES BY THE END OF 2020, THE THIRD YEAR OF A 4-YEAR CAMPAIGN.	Desc
Total Program Service Expenses	$3,775,453	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	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	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	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	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	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	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	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	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	7403939814	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

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
MARK ODENWELLER
CHAIRMAN	1.00	Yes (X)	Yes (X)	$0	$0	$0
DOLORES BOBO
VICE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
VICKIE SANT
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
KRISTI LOU SMALL
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
CLINT BAILEY
BOARD MEMBER-TERM BEGAN JAN'20	1.00	Yes (X)		$0	$0	$0
CHERI BUTCHER
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
ALICIA FREEMAN
BOARD MEMBER-TERM BEGAN JAN'20	1.00	Yes (X)		$0	$0	$0
JASON HALL
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
KOREY KIDWELL
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
LORI MCKEE
BOARD MEMBER-TERM BEGAN JAN'20	1.00	Yes (X)		$0	$0	$0
IAN WATSON
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
GORDY YANCE
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
SUSAN SUKYS
SECRETARY-TERM ENDED DEC'20	1.00	Yes (X)	Yes (X)	$0	$0	$0
CHARLES BRENNEMAN
BOARD MEMBER-TERM ENDED DEC'20	1.00	Yes (X)		$0	$0	$0
JEFF SCOTT
PRESIDENT	1.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$1,407,629	AllOtherContributionsAmt
Total Contributions	$1,407,629	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$891	TotalRevenueColumnAmt
Exclusion	$891	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,408,520	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$891	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,765,754	TotalAmt
Program Services	$3,765,754	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,032	TotalAmt
Program Services	$2,032	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,560	TotalAmt
Program Services	$2,560	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,886	TotalAmt
Program Services	$3,886	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$43	TotalAmt
Program Services	$43	ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,178	TotalAmt
Program Services	$1,178	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,775,453	TotalAmt
Program Services	$3,775,453	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$663,008	BOYAmt
EOY	$315,913	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,456,340	BOYAmt
EOY	$3,438,561	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$398,571	BOYAmt
EOY	$442,296	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,517,919	BOYAmt
EOY	$4,196,770	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$255	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$255	BOYAmt
EOY	$0	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	$6,400,496	BOYAmt
EOY	$4,043,624	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$117,168	BOYAmt
EOY	$153,146	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,517,664	BOYAmt
EOY	$4,196,770	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,517,919	BOYAmt
EOY	$4,196,770	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$2,366,933	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$46,039	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$404,069	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,682,364	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$803,996	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$104,123	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,407,629	CurrentTaxYearAmt
Total	$12,402,181	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$404,069	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,682,364	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$803,996	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$104,123	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,407,629	CurrentTaxYearAmt
Total	$12,402,181	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$3,202,633	SubstantialContributorsTotAmt
Public Support Total170	$9,199,548	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,107	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,403	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$792	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,140	CurrentTaxYearMinus1YearAmt
Current Tax Year	$891	CurrentTaxYearAmt
Total	$11,333	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,584	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$42,432	CurrentTaxYearMinus3YearsAmt
Total	$91,016	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$12,504,530	TotalSupportAmt
Public Support CY170	0.73570	PublicSupportCY170Pct
Public Support PY170	0.75840	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	MISCELLANEOUS INCOME - 2016 AMOUNT: $ 48,584. 2017 AMOUNT: $ 42,432.	ExplanationTxt

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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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 AVENUE	AddressLine1Txt
City	MOUNT VERNON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43050	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	310929576	RecipientEIN
IRC Section	501C3	IRCSectionDesc
Cash Grant	$3,757,371	CashGrantAmt
Non Cash Assistance	$8,383	NonCashAssistanceAmt
Valuation Method Used	COST	ValuationMethodUsedDesc
Non Cash Assistance	ITEMS FOR PALLIATIVE CARE/ONCOLOGY/WOMENS' HEALTH	NonCashAssistanceDesc
Purpose Of Grant	SUPPORT LOCAL HOSPITAL	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	FOUNDATION BOARD MEMBERS GATHER INFORMATION AND EVALUATE THE HOSPITAL'S EQUIPMENT NEEDS FOR COMPETING PROJECTS TO DETERMINE OPTIMUM USE OF FUNDS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE CORPORATION SHALL CONSIST OF TWO CLASSES OF MEMBERSHIP: VOTING MEMBERS AND NON-VOTING MEMBERS. THERE SHALL BE NO MORE THAN 45 VOTING MEMBERS OF THE FOUNDATION AND NO LIMIT ON NON-VOTING MEMBERS OF THE FOUNDATION. NEW VOTING MEMBERS AND THOSE RENEWING THEIR TERMS SHALL BE RECOMMENDED BY THE BOARD OF DIRECTORS OF THE FOUNDATION TO BE APPROVED BY THE VOTING MEMBERS AT THE ANNUAL MEETING. IN RECOMMENDING VOTING MEMBERS, THE BOARD OF DIRECTORS SHALL: 1. GIVE DUE REGARD TO THE RECOMMENDATIONS OF THE FOUNDATION'S NOMINATING COMMITTEE AND THE NOMINATING COMMITTEE SHALL SEEK TO IDENTIFY PROSPECTIVE VOTING MEMBERS WHO HAVE THE TALENT AND DESIRE TO HELP THE FOUNDATION ACHIEVE ITS GOALS AS SET FORTH IN ITS MISSION STATEMENT. 2. GIVE DUE REGARD TO THE KNOX COMMUNITY HOSPITAL MEDICAL STAFF'S NOMINATION FOR A PHYSICIAN REPRESENTATIVE AS A VOTING MEMBER TO THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7A	ANNUALLY, THOSE NOMINEES ELIGIBLE TO SERVE A 2-YEAR TERM AS DIRECTOR SHALL BE ELECTED AT AN ANNUAL MEETING OF THE VOTING MEMBERS.
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. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS. A COMMITTEE OF BOARD MEMBERS CONVENE TO REVIEW AND APPROVE PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE BOARD PRESIDENT. THE SCOPE OF THIS POLICY INCLUDES ALL BOARD MEMBERS. THE POLICY IS IN PLACE TO PROVIDE PROCEDURES FOR PREVENTION/DETECTION. THE COVERED PERSONS ARE TO RECUSE FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.