2024-05-14T10:17:01-05:00 2023-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2022-07-01 900126510 KNOXVILLE HOSPITAL & CLINICS FOUNDATION KNOX 6418421401 1002 S LINCOLN ST KNOXVILLE IA 50138 CINDI FULLER PRESIDENT 6418421401 2024-05-08 1 CINDI FULLER 999009999 1 MEGAN L KOZIOL CPA P01544037 4023302660 2024-04-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CINDI FULLER 1002 S LINCOLN ST KNOXVILLE IA 50138 1156919 0 X HTTPS://KNOXVILLEHOSPITAL.ORG/FOUNDATION/ X 1999 IA TO SUPPORT KNOXVILLE COMMUNITY HOSPITAL, INC. BY PROVIDING NECESSARY FINANCIAL RESOURCES. 6 6 0 7 0 0 6273243 281785 0 0 53356 122242 -2614 1148 6323985 405175 44272 58300 0 0 0 0 59000 0 0 17070 23067 120342 81367 6203643 323808 7802059 8123499 0 1110 7802059 8122389 TO SECURE PHILANTHROPIC SUPPORT FROM INDIVIDUALS, BUSINESSES, AND ORGANIZATIONS FOR THE ADVANCEMENT OF EXCEPTIONAL HEALTH CARE AT KNOXVILLE HOSPITAL & CLINICS THROUGH ADVOCACY, FUNDRAISING, AND STEWARDSHIP OF CONTRIBUTIONS. 0 0 72999 58300 PROVIDING FINANCIAL SUPPORT FOR THE NEEDS OF KNOXVILLE COMMUNITY HOSPITAL, INC. 72999 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 1 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 X MAGGIE HAMILTON-BEYER 6418421401 1002 S LINCOLN ST KNOXVILLE IA 50138 MARTY ERRTHUM MEMBER THRU 1/23 1.00 39.00 X 0 147339 33100 KEVIN STITTSWORTH FOUNDATION DIRECTOR 20.00 20.00 X 0 84281 12034 CINDI FULLER PRESIDENT 1.00 1.00 X X 0 0 0 LILY MAASDAM VICE PRESIDENT 1.00 0.00 X X 0 0 0 SUZANNA HUIZER TREASURER 1.00 0.00 X X 0 0 0 JAY HOCH MEMBER 1.00 0.00 X 0 0 0 CARRIE LAUGHLIN MEMBER 1.00 0.00 X 0 0 0 DYLAN MORSE MEMBER 1.00 0.00 X 0 0 0 BRIAN MCNEILL MEMBER THRU 8/22 1.00 0.00 X 0 0 0 0 231620 45134 0 0 1 0 0 14626 10000 257159 281785 54215 54215 813658 745631 68027 68027 68027 7261 14626 6113 1148 1148 405175 0 0 123390 48300 48300 10000 10000 12645 4277 8368 BANKING FEES 10422 10422 81367 72999 8368 0 56867 71215 1727557 2823429 4928118 3959360 1089517 1269495 7802059 8123499 0 1110 0 1110 X 1606223 1713983 6195836 6408406 7802059 8122389 7802059 8123499 323808 -3478 0 X X 0 1 X 1 0 X 116980 292999 188383 1273243 281785 2153390 116980 292999 188383 1273243 281785 2153390 1223880 929510 31461 34434 40739 38703 54215 199552 8520 11054 5780 4440 1148 30942 493 1564 1540 3597 2387481 0.38930 0.34020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: THE HOSPITAL AND FOUNDATION ACCOUNT FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE HOSPITAL AND FOUNDATION RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2023, THE HOSPITAL AND FOUNDATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. GOLF OUTING 8750 6734 2016 GALA 13137 7892 5245 1000 5113 21887 14626 7261 1000 5113 6113 1148 1 KNOXVILLE COMMUNITY HOSPITAL 1002 S LINCOLN ST KNOXVILLE IA 50138 421087612 501(C)(3) 48300 0 TO SUPPORT THE PROGRAMS OF KNOXVILLE COMMUNITY HOSPITAL 1 0 TORNADO DISASTER RELIEF 1 10000 PART I, LINE 2: THE KNOXVILLE HOSPITAL & CLINCS FOUNDATION'S MISSION IS TO PROVIDE SUPPORT TO KNOXVILLE COMMUNITY HOSPITAL, INC. ANY REQUESTS FOR FUNDS BY KNOXVILLE COMMUNITY HOSPITAL, INC. ARE SUBSTANTIATED WITH DOCUMENTATION AND APPROVED BY THE FOUNDATION'S BOARD OF DIRECTORS. 0 0 0 0 0 0 0 0 0 MARTY ERRTHUM MEMBER THRU 1/23 0 139839 0 7500 0 0 0 13087 0 20013 0 180439 0 0 PART I, LINE 3: KNOXVILLE HOSPITAL & CLINICS FOUNDATION DOES NOT COMPENSATE ANY EMPLOYEES. THE BOARD MEMBER LISTED IN PART II IS EMPLOYED AND COMPENSATED BY KNOXVILLE COMMUNITY HOSPITAL, INC. (THE HOSPITAL), A RELATED ORGANIZATION OF KNOXVILLE HOSPITAL & CLINICS FOUNDATION. THE HOSPITAL USES THE IHA WAGE SURVEY AND COMPARATIVE ANALYSIS AND MARKET RATES TO DETERMINE COMPENSATION OF EMPLOYEES. WAGES ARE APPROVED BY THE HOSPITAL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE UPDATED MAY 2, 2023. LANGUAGE WAS ADDED TO SPECIFY THAT THE NOMINATING COMMITTEE FOR APPOINTMENT OF BOARD MEMBERS WILL CONSIST OF THE EXECUTIVE TEAM AND THE CEO. ADDITIONALLY, THE BYLAWS STATE THAT BOARD MEMBERS DO NOT HAVE TO LIVE WITHIN THE SERVICE AREA OF THE KNOXVILLE HOSPITAL & CLINICS ("HOSPITAL") AND MAY BE EMPLOYEES OR HAVE IMMEDIATE FAMILY MEMBERS EMPLOYED BY THE HOSPITAL. HOWEVER, NO MORE THAN ONE-THIRD OF THE BOARD CAN BE COMPRISED OF HOSPITAL EMPLOYEES AND/OR FAMILY MEMBERS. AN AMENDMENT WAS ADDED TO ALLOW VOTES TO BE CONDUCTED VIA EMAIL. THE POSITION OF "TREASURER" IS NO LONGER A REQUIRED OFFICER SINCE THE KNOXVILLE HOSPITAL & CLINICS FISCAL SERVICES ("FISCAL SERVICES") HAS BEEN CHARGED AS CUSTODIAN OF ALL FUNDS OF THE CORPORATION. THE FOUNDATION DIRECTOR CANNOT SIGN CHECKS EXCEEDING $500 WITHOUT PRIOR WRITTEN APPROVAL FROM THE BOARD. THE FOUNDATION DIRECTOR MUST ALSO NOTIFY THE PRESIDENT AND FISCAL SERVICES PRIOR TO SUBMITTING A CHECK TO PAYEES. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A CERTIFIED PUBLIC ACCOUNTANT AND DELIVERED TO THE FOUNDATION DIRECTOR AND THE CFO OF THE KNOXVILLE COMMUNITY HOSPITAL (THE HOSPITAL). THE FOUNDATION DIRECTOR AND THE HOSPITAL CFO REVIEW THE FORM 990 AND PRESENTS IT AT A BOARD MEETING FOLLOWING THE FILING OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C AT THE ANNUAL MEETING, THE COMPLIANCE OFFICER PROVIDES A COMPLIANCE OVERVIEW AND BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY. EVERY CONFLICT OF INTEREST ONCE RECOGNIZED, MUST BE EVALUATED. IF A CONFLICT EXISTS, THE INDIVIDUAL WILL NOT BE PRESENT DURING GENERAL DISCUSSION NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. 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. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OF THE HOSPITAL ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED DURING THE YEAR. KNOXVILLE COMMUNITY HOSPITAL INC 1002 SOUTH LINCOLN STREET KNOXVILLE IA 50138 421087612 HOSPITAL IA 501(C)(3) LINE 3 N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0