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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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          <BusinessNameLine1Txt>KNOX COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1330 COSHOCTON AVENUE</AddressLine1Txt>
          <CityNm>MOUNT VERNON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43050</ZIPCd>
        </USAddress>
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        <IRCSectionDesc>501C3</IRCSectionDesc>
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        <NonCashAssistanceAmt>1209</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>ITEMS FOR PALLIATIVE CARE/ONCOLOGY/WOMENS' HEALTH</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>SUPPORT LOCAL HOSPITAL</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOUNDATION BOARD MEMBERS GATHER INFORMATION AND EVALUATE THE HOSPITAL'S EQUIPMENT NEEDS FOR COMPETING PROJECTS TO DETERMINE OPTIMUM USE OF FUNDS.</ExplanationTxt>
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    <IRS990ScheduleM documentId="RetDoc1042900001">
      <RealEstateResidentialGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>550000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THOSE NOMINEES ELIGIBLE TO SERVE A 2-YEAR TERM AS DIRECTOR SHALL BE ELECTED AT AN ANNUAL MEETING OF THE VOTING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>
