2024-11-14T15:13:04-06:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 311081020 THE KNOX COMMUNITY HOSPITAL FOUNDATION KNOX 7403939814 1330 COSHOCTON ROAD MOUNT VERNON OH 43050 MARC ODENWELLER BOARD CHAIR 7403939814 2024-11-14 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2024-11-14 2023 2024-10-15 13:58:12Z MARC ODENWELLER 1330 COSHOCTON ROAD MOUNT VERNON OH 43050 204797 0 X HTTP://WWW.KNOXCOMMHOSP.ORG/KC.NSF/VIEW/THEFOUNDA X 1977 OH CHARITABLE FUNDRAISER FOR KNOX COMMUNITY HOSPITAL 6 5 0 5 0 0 904404 203648 0 0 1054 1149 0 0 905458 204797 1301209 403662 0 0 0 0 0 0 0 3013 6220 1304222 409882 -398764 -205085 1542787 1404888 0 355 1542787 1404533 X 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. 0 0 409882 403662 DURING 2023, THE FOUNDATION FOR KCH IMPLEMENTED A CAPITAL CAMPAIGN FOR THE BUILDING OF THE CENTERBURG HEALTH & WELLNESS FACILITY, AS WELL AS TIME IS MUSCLE CAMPAIGN FOR THE PURCHASE OF CARDIAC MONITORS. ADDITIONALLY, PAST MULTI-YEAR PLEDGES FROM THE GREAT EXPECTATIONS CAMPAIGN WERE RECEIVED FOR A TOTAL OF ABOUT $250,000 IN FUNDS RAISED DURING THE 2023 YEAR. 409882 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 5 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X KNOX COMMUNITY HOSPITAL - FISCAL SERVICES 7403939814 1330 COSHOCTON ROAD MOUNT VERNON OH 43050 MARC ODENWELLER CHAIRMAN 1.00 X X 0 0 0 CHERI BUTCHER VICE CHAIR 1.00 X X 0 0 0 VICKIE SANT TREASURER 1.00 X X 0 0 0 IAN WATSON BOARD MEMBER 1.00 X 0 0 0 BRUCE WHITE BOARD MEMBER 1.00 40.00 X 0 532340 137344 KOREY KIDWELL BOARD MEMBER 1.00 X 0 0 0 ALICE HUTZEL-BATESON PRESIDENT 1.00 40.00 X 0 82069 48233 0 614409 185577 0 0 1 0 0 203648 203648 1149 1149 204797 0 0 1149 403662 403662 200 200 6020 6020 409882 409882 0 0 518878 357088 48750 8750 550000 550000 550000 425159 489050 1542787 1404888 355 0 355 X 1289260 1089060 253527 315473 1542787 1404533 1542787 1404888 -205085 66831 0 X 0 0 0 X 104123 1407629 126467 904404 203648 2746271 104123 1407629 126467 904404 203648 2746271 1439942 1306329 1140 891 955 1054 1149 5189 2751460 0.47480 0.49520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 550000 550000 550000 0 KNOX COMMUNITY HOSPITAL 1330 COSHOCTON AVENUE MOUNT VERNON OH 43050 310929576 501C3 400000 3662 COST ITEMS FOR PALLIATIVE CARE/ONCOLOGY/WOMENS' HEALTH SUPPORT LOCAL HOSPITAL 1 PART I, LINE 2: FOUNDATION BOARD MEMBERS GATHER INFORMATION AND EVALUATE THE HOSPITAL'S EQUIPMENT NEEDS FOR COMPETING PROJECTS TO DETERMINE OPTIMUM USE OF FUNDS. 0 0 0 0 0 0 0 0 0 BRUCE WHITE BOARD MEMBER 0 525080 0 0 0 7260 0 0 0 137344 0 669684 0 0 PART I, LINE 3 KNOX COMMUNITY HOSPITAL, THE SUPPORTED ORGANIATION OF THE FOUNDATION, USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: -COMPENSATION COMMITTEE -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE ORGANIZATION'S CODE OF REGULATIONS DURING THE YEAR: -THE BOARD OF TRUSTEES SHALL CONSIST OF AT LEAST FIVE AND NO MORE THAN NINE TRUSTEES. -THE BOARD OF TRUSTEES SHALL CONSIST OF TWO CATEGORIES: APPOINTED TRUSTEES AND ELECTED TRUSTEES. -THE APPOINTED TRUSTEES MUST BE CURRENTLY SERVING AS A TRUSTEE ON THE KNOX COMMUNITY HOSPITAL BOARD OF TRUSTEEES. -THE APPOINT TRUSTEES SHALL BE APPOINTED BY KNOX COMMUNITY HOSPITAL -APPOINTED TRUSTEES' TERMS SHALL BE ONE YEAR AND RENEWED ANNUALLY WITH NO TERM LIMITIATIONS. -ELECTED TRUSTEES MUST NOT BE A TRUSTEE OF KNOX COMMUNITY HOSPITAL; THEY SHALL BE A COMMUNITY MEMBER OF KNOX COMMUNITY HOPSITAL'S PRIMARY SERVICE AREA. -THE APPOINTED TRUSTEES MUST CONSITITUTE A MAJORITY OF THE FOUNDATION'S TRUSTEES. -ELECTED TRUSTEES SHALL SERVE A THREE YEAR TERM, AND MAY BE ELECTED AGAIN AFTER A PERIOD OF ONE YEAR. FORM 990, PART VI, SECTION A, LINE 7A KNOX COMMUNITY HOSPITAL, THE SUPPORTED ORGANIZATION OF THE FOUNDATION, HAS THE RIGHT TO SELECT THE FOUNDATION'S APPOINTED TRUSTEES. 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. KNOX COMMUNITY HOSPITAL 1330 COSHOCTON ROAD MOUNT VERNON OH 43050 310929576 HOSPITAL OH 501(C)(3) LINE 3 N/A 0 KNOX COMMUNITY PAIN MANAGEMENT LLC 1330 COSHOCTON RD MOUNT VERNON OH 43050 452919911 PAIN MANAGEMENT SVCS OH N/A 0 0 KNOX DIAGNOSTIC IMAGING CENTER LLC 1330 COSHOCTON RD MOUNT VERNON OH 43050 920179889 MEDICAL SVCS OH N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0