2025-10-28T11:14:49-05:00 2024-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-01-01 310929576 KNOX COMMUNITY HOSPITAL KNOX 7403939623 1330 COSHOCTON AVE MOUNT VERNON OH 43050 DANIELLE O'BRIEN CFO 7403939623 2025-10-28 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2025-10-28 2024 2025-03-06 01:10:19Z X BRUCE D WHITE 1330 COSHOCTON AVE MOUNT VERNON OH 43050 258981445 0 X WWW.KCH.ORG X 1977 OH TO PROVIDE COMPASSIONATE HEALTHCARE SERVICE THAT EXCEEDS THE EXPECTATIONS OF OUR COMMUNITY. 14 11 1694 62 28348 10478 5677313 577503 219643670 209181287 5969338 5750693 4528341 7593871 235818662 223103354 9000 13000 0 0 135956849 142433344 0 0 0 98245664 102626698 234211513 245073042 1607149 -21969688 265134406 253179273 81402029 85025879 183732377 168153394 X 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. 0 0 195156542 13000 215532562 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 2024, THE HOSPITAL HAD 3,964 INPATIENT ADMISSIONS, 24,331 ER VISITS, 156,814 OUTPATIENT VISITS, 82,927 RADIOLOGY PROCEDURES, AND 5,889 INPATIENTS & OUTPATIENT SURGERIES (INCLUDING ENDOSCOPIES). DURING 2024, THE HOSPITAL HAD 48 EMPLOYED PHYSICIANS WITH 168,963 OFFICE CLINIC VISITS. IN 2024, KNOX COMMUNITY HOSPITAL PROVIDED A BROAD ARRAY OF HEALTH EDUCATION AND AWARENESS RESOURCES AS WELL AS PREVENTION INFORMATION, SERVICES AND SCREENINGS FREE OF CHARGE TO SUPPORT THE HEALTH AND WELLBEING OF THE KNOX AREA COMMUNITY. COMMUNITY EVENTS HAVE REMAINED STEADY OVER THE LAST YEAR, AS COMMUNITY ORGANIZATIONS PARTNER TO INCREASE AWARENESS, AND MOST HAVE RETURNED TO HOLDING IN-PERSON EVENTS THAT CEASED DURING COVID. KCH WAS ABLE TO PROVIDE PROGRAMS AND SERVICES FOR THE COMMUNITY BENEFIT THROUGH A NUMBER OF DIFFERENT METHODS. VOLUNTEERS REMAINED ACTIVE IN SPECIFIC AREAS OF THE HOSPITAL, PROVIDING NEEDED SERVICES SUCH ASSISTING VISITORS AT THE FRONT DESKS OF THE HOSPITAL'S THREE MAIN BUILDINGS, ASSISTING PATIENTS IN SURGERY WAITING, MANAGING THE TWO GIFT SHOPS AND ASSISTING IN THE CENTER FOR CANCER CARE. FUNDS RAISED THROUGH THE GIFT SHOPS PROVIDE HEALTH CARE SCHOLARSHIPS TO LOCAL STUDENTS. A TOTAL OF 62 VOLUNTEERS SERVED 10,661 HOURS DURING THE YEAR. KCH HAS STRONG PARTNERSHIPS WITH THE NURSING SCHOOLS IN THE AREA COLLEGES/UNIVERSITIES, AND TOWARD THAT END, PROVIDED CLINICAL SUPERVISION AND PRECEPTING FOR STUDENTS. THE TOTAL NUMBER OF STUDENTS' CLINICAL HOURS IN 2024 WAS 15,196, WITH ADDITIONAL 2,234 HOURS OF JOB SHADOWING, AS WELL. SINCE KCH IS THE ONLY HOSPITAL IN THE COUNTY, THIS IS CRITICAL TO HELP SUPPORT THESE STUDENTS' GOALS AND TO HELP MEET THE SHORTAGE OF NURSING STAFF THAT IS EVIDENT BOTH LOCALLY AND ACROSS THE COUNTRY. ACCORDING TO THE COMMUNITY HEALTH ASSESSMENT CONDUCTED IN 2024, 23% OF RESPONDENTS RANK CHRONIC DISEASES (DIABETES, HEART DISEASE, HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, CANCER, AND STROKES) AS A TOP COMMUNITY HEALTH CONCERN. ONE COMMUNITY MEMBER STATED, "MOST PEOPLE DON'T KNOW THEY HAVE HEART DISEASE." RESPONDENTS REPORTED THAT THEY BELIEVE THE TOP ISSUES FOR CHRONIC DISEASES ARE POOR DIET/OBESITY; ALCOHOL/TOBACCO/SUBSTANCE USE; LACK OF AFFORDABILITY; OLDER HOMES.TO HELP INCREASE AWARENESS OF POSSIBLE HEART DISEASE AND ACCESS TO CARE, KNOX COMMUNITY HOSPITAL CONDUCTED 20-MINUTE HEART CHECKS FOR A TOTAL OF 46 COMMUNITY MEMBERS, AT A GREATLY REDUCED FEE OF $20 PER PERSON. IN ADDITION, TO INCREASE CANCER AWARENESS AND PREVENTION, ONE OF OUR EFFORTS INCLUDED A CAMPAIGN REGARDING THE IMPORTANCE OF COLON CANCER SCREENINGS. HELD DURING MARCH, COLORECTAL CANCER AWARENESS MONTH, THE HOSPITAL USED WEBSITE, SOCIAL MEDIA, PRESS RELEASE, FLYERS AND MORE TO ENCOURAGE THE COMMUNITY TO PICK UP FREE COLON CANCER SCREENING KITS AND RETURN THE SAMPLES FOR TESTING IN OUR LABS. A TOTAL OF 400 KITS WERE PICKED UP AND 215 KITS WERE TESTED IN THE LAB.CLINICAL STAFF FROM BOTH DIABETES EDUCATION AND STROKE PREVENTION PROGRAMS SHARED EDUCATIONAL RESOURCES WITH 150+ SENIOR CITIZENS AT THE SENIOR RESOURCE DAY HELD IN SEPTEMBER 2024. THE HALF-DAY COMMUNITY EVENT WAS SPONSORED BY KNOX COUNTY TASK FORCE FOR OLDER ADULTS. INFORMATION WAS SHARED ABOUT CANCER, DIABETES PREVENTION, HEART DISEASE PREVENTION, SUBSTANCE ABUSE, STROKE AWARENESS, AND MORE DURING THE CITY OF MOUNT VERNON'S "FIRST FRIDAY" EVENTS (HELD MONTHLY FROM JUNE THROUGH SEPTEMBER). DURING NOVEMBER, DIABETES AWARENESS MONTH, THE FOLLOWING METHODS WERE USED TO INCREASE AWARENESS AND EDUCATE OUR COMMUNITY: SOCIAL MEDIA POSTS, PRESS RELEASE SENT TO MEDIA AND PUBLISHED ON WEBSITE, STREETLAMP BANNERS IN DOWNTOWN MOUNT VERNON. OBESITY IS AN ONGOING PROBLEM FOR THE COMMUNITY ACCORDING THE COMMUNITY HEALTH NEEDS ASSESSMENT, AND OFTEN BECOMES MORE CHALLENGING WHEN COMBINED WITH ONE OF THE ABOVE-MENTIONED CHRONIC DISEASES. IN AN EFFORT TO REDUCE THIS NUMBER AND SUPPORT THE LOCAL SCHOOLS' ATHLETIC PROGRAMS, KCH PROVIDED ATHLETIC TRAINING DURING THE SCHOOL YEAR IN 2024 FOR A NOMINAL FEE AT DANVILLE, UTICA,, FREDERICKTOWN, EAST KNOX, MOUNT VERNON AND CENTERBURG WHILE ALSO DONATING $221,776 WORTH OF OUR TRAINERS' TIME. IN THE FALL OF 2024, KCH ALSO DONATED $7,000 TOWARD THE PURCHASE OF BIKES, A BIKE RACK AND HELMETS FOR LOCAL GRADE SCHOOLS THROUGH A UNITED WAY OF KNOX COUNTY PROGRAM CALLED ALL KIDS BIKE. THIS PARTNERSHIP INCLUDES A TRAINING PROGRAM FOR THE GYM TEACHERS OF THOSE SCHOOLS TO HELP TEACH KIDS BIKE USE AND SAFETY.MENTAL HEALTH AND SUBSTANCE ABUSE CONTINUE TO BE A TOP PRIORITY CONCERNS IDENTIFIED THROUGH THE COMMUNITY HEALTH ASSESSMENT. WHEN KCH SEE PATIENTS WITH A MENTAL HEALTH OR BEHAVIORAL HEALTH CONDITION AND/OR DIAGNOSIS, WE OFTEN COLLABORATE WITH OTHER ORGANIZATIONS TO SERVE THIS POPULATION. FOR EXAMPLE, THROUGH OUR EMERGENCY DEPARTMENT, ONCE A PATIENT HAS COMPLETED THE NECESSARY MEDICAL SCREENINGS, CRISIS ASSESSMENT MAY BE HANDLED BY A PARTNERING ORGANIZATION SUCH AS BEHAVIORAL HEALTH PARTNERS, TO DETERMINE THE NEXT STEPS. IN ADDITION, SINCE SUBSTANCE ABUSE MAY BE COMBINED WITH MENTAL HEALTH CONCERNS, KCH MAY REFER TO NEW VISION (MEDICALLY STABILIZED WITHDRAWAL TREATMENT) OR THE FREEDOM CENTER FOR ADDITIONAL TREATMENT, IF APPROPRIATE. HOWEVER, DURING 2024, KCH CONDUCTED A BROAD-BASED EDUCATIONAL CAMPAIGN TO INCREASE AWARENESS OF THE WITHDRAWAL TREATMENT SERVICES OFFERED AT NEW VISION.CLASSES / SUPPORT GROUPS WERE HELD TO SUPPORT THE NEED FOR PATIENTS AND THEIR FAMILIES TO BE INVOLVED IN THEIR CARE AND UNDERSTAND THE NUANCES OF CERTAIN CONDITIONS. SOME OF THOSE CLASSES INCLUDED BARIATRICS (WEIGHT MANAGEMENT), CHILDBIRTH EDUCATION CLASSES, AND LACTATION SUPPORT FOR NEW PARENTS, TO NAME A FEW. IN THE LATTER PART OF 2024, ATTENDANCE AT THESE CLASSES INCREASED. THE CHILDBIRTH EDUCATION CLASSES ARE CRITICAL FOR OUR RURAL POPULATION DUE TO THE LACK OF EDUCATION FOR MANY. THESE FREE CLASSES OFFER EXPECTANT PARENTS' INFORMATION ABOUT LABOR AND CHILDBIRTH, AS WELL AS BASICS OF CARING FOR A NEWBORN. APPROXIMATELY 100 PEOPLE PARTICIPATED IN THE CHILDBIRTH CLASSES. STAFF HOURS TO PREPARE AND DELIVER THIS MATERIAL TOTALED ABOUT 53 HOURS FOR THE YEAR. EXPENSES FOR THESE CLASSES AVERAGED $343 PER CLASS.THE AMERICAN RED CROSS RELIES UPON KNOX COMMUNITY HOSPITAL TO HOST BLOOD DRIVES REGULARLY TO SUPPORT ITS EFFORTS TO MAINTAIN ADEQUATE BLOOD SUPPLIES. DURING 2024 THROUGH TEN BLOOD DRIVES HOSTED IN THE EDUCATION RESOURCE ROOM AT KCH, A TOTAL OF 300+ UNITS OF BLOOD* WAS COLLECTED FROM 300+ PEOPLE. THIS SPACE IS RENT-FREE TO THE RED CROSS, AMOUNTING TO 80 HOURS OF FREE SPACE USAGE DURING THE YEAR. *THIS ESTIMATED NUMBER OF UNITS IS BASED ON ONE UNIT PER PERSON, WHILE WE KNOW THAT SOME DO "POWER RED" DONATION WHICH MAY COUNT FOR MORE UNITS. THIS IS CONSERVATIVE ESTIMATE ONLY.HEART HEALTH IS A CRITICAL CONCERN THROUGHOUT THE KNOX COUNTY COMMUNITY, AND KCH PROVIDES A CARDIOVASCULAR DEPARTMENT THAT IS AN ACCREDITED CHEST PAIN CENTER. SINCE HEART FAILURE AND HEART ATTACKS ARE OFTEN RELATED TO OTHER CHRONIC CONDITIONS SUCH AS OBESITY AND SUBSTANCE ABUSE (PREVALENT PER THE COMMUNITY HEALTH NEEDS ASSESSMENT), KCH PROVIDES RELATED EDUCATION AT AREA EVENTS THROUGHOUT THE YEAR. OUR STROKE PREVENTION COORDINATOR, AMANDA WELLS, LEADS THE HOSPITAL'S NATIONALLY RECOGNIZED STROKE PREVENTION PROGRAM, AND PARTICIPATED IN THE HEALTH & SAFETY EVENT FOR AMISH IN SEPTEMBER 2024, SERVING UP TO 150 PEOPLE WITH STROKE PREVENTION AND AWARENESS RESOURCES. HELD ANNUALLY IN JULY, THE KNOX COUNTY FAIR IS VERY POPULAR AND WELL ATTENDED. KCH SPONSORED THE FAIR WITH A BOOTH SET UP FOR 2 DAYS ATTENDED BY STAFF FROM VARIOUS SERVICE LINES AT THE HOSPITAL. ALL SHARED HEALTH INFORMATION RELATED TO THOSE COMMON CONDITIONS, WITH APPROXIMATELY 3,000 MEMBERS OF THE COMMUNITY. EDUCATIONAL MATERIALS HANDED OUT INCLUDED WEIGHT MANAGEMENT, WOMEN'S HEALTH, DIABETES PREVENTION/AWARENESS, EARLY HEART ATTACK CARE, HOW TO FIND A PRIMARY CARE DOCTOR, SUBSTANCE ABUSE AWARENESS, AND MORE. SUPPLIES FOR THE FAIR TOTALED APPROXIMATELY $400.DURING 2024, IN PARTNERSHIP WITH WCLT-T-100 FM RADIO STATION, WE SPONSORED A "HEALTH MINUTE" PROGRAM FEATURING VARIOUS MEDICAL EXPERTS FROM KCH, PROVIDING HEALTH-RELATED INFORMATION TO THE COMMUNITY THROUGH A TWO-MINUTE RECORDED RADIO INTERVIEW. THE STATION HAS A WIDE LISTENING AREA AMONG ADULTS OVER AGE 35, AND TOPICS INCLUDED: PRIMARY CARE/FAMILY MEDICINE, WEIGHT MANAGEMENT, WOUND CARE, PODIATRY, ATHLETIC TRAINING/FITNESS, SUBSTANCE ABUSE PREVENTION & TREATMENT, AND PAIN MANAGEMENT. WE THEN POST THE RECORDED MESSAGE ON THE KCH WEBSITE FOR ADDITIONAL REACH.UNDER THE DIRECTION OF MID-OHIO CORPORATE CARE, WHICH IS A PARTNERSHIP WITH AREA EMPLOYERS, KCH PROVIDED WELLNESS ACTIVITIES AND RESOURCES TO 1,000+ LOCAL EMPLOYEES REPRESENTING AT LEAST A DOZEN DIFFERENT KNOX COUNTY EMPLOYERS. THESE ACTIVITIES AND RESOURCES INCLUDED FLU CLINICS, ERGONOMICS TRAINING, WALKING CHALLENGE, HEALTHY EATING PRESENTATIONS, WELLNESS TIPS VIA NEWSLETTER, AND MORE. IN MAY, 2024, THE KNOX COUNTY SAFETY COUNCIL CONSISTING OF ABOUT 60 AREA EMPLOYERS, HELD THEIR ANNUAL WELLNESS EVENT AT KCH WHERE THE HOSPITAL PROVIDED HEALTH RELATED INFORMATION IN PERSON AND THROUGH EDUCATIONAL MATERIALS FOR OVER 12 DIFFERENT SERVICES, AS WELL AS CHOLESTEROL AND BP SCREENINGS. 195156542 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 185 0 1 1694 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X DANIELLE O'BRIEN 7403939138 1330 COSHOCTON RD MT VERNON OH 43050 MARC ODENWELLER PRESIDENT 5.00 0.00 X X 0 0 0 CHERI BUTCHER VICE PRESIDENT 2.00 0.00 X X 0 0 0 IAN WATSON TREASURER 2.00 0.00 X X 0 0 0 MARK RAMSER SECRETARY 2.00 0.00 X X 0 0 0 SAM BARONE TRUSTEE 1.50 0.00 X 0 0 0 JEFFERY BOUCHER TRUSTEE 1.50 0.00 X 0 0 0 CHARLES BRENNEMAN TRUSTEE 1.50 0.00 X 0 0 0 JUDY GREGG TRUSTEE 1.50 0.00 X 0 0 0 KOREY KIDWELL TRUSTEE 1.50 0.00 X 0 0 0 VICKIE SANT TRUSTEE 1.50 0.00 X 0 0 0 JAN THOMAS TRUSTEE 1.50 0.00 X 0 0 0 AMY D MURNEN MD TRUSTEE/FAMILY MEDICINE 40.00 0.00 X 303919 0 36161 MICHAEL SULLIVAN MD TRUSTEE/OBGYN 40.00 0.00 X 551326 0 38179 KRISTEN WITHAM MD TRUSTEE/OBGYN 40.00 0.00 X 678063 0 67307 BRUCE WHITE CEO 40.00 0.00 X 590571 0 152367 MICHAEL AMBROSIANI CFO PARTIAL TERM 40.00 0.00 X 191804 0 44673 BRUCE BEHNER COO 40.00 0.00 X 348982 0 90037 DANIELLE O'BRIEN CFO 40.00 0.00 X 255885 0 21937 CAROL N EMERY CHIEF NURSING OFFICER 40.00 0.00 X 230680 0 29063 GREGORY CUSH ORTHOPAEDIC SURGEON 40.00 0.00 X 1182279 0 72243 JARRETT B HELMING ORTHOPAEDIC SURGEON 40.00 0.00 X 966809 0 72243 BARRY S GEORGE MD CARDIOLOGIST 40.00 0.00 X 945837 0 72243 GANGARAM RASA CARDIOLOGIST 40.00 0.00 X 899957 0 49260 ALIX TERCIUS CARDIOLOGIST 40.00 0.00 X 968214 0 72392 8114326 0 818105 165 0 1 0 VITUITY - OHIO INTENSIVISTES INC 2100 POWELL ST SUITE 400 EMERYVILLE CA 94608 CONTRACT HOSPITALIST 4199198 QUALIVIS 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 CONTRACT STAFFING 1427766 PREMIER UROLOGY CORP PO BOX 677 LEWIS CENTER OH 43035 UROLOGY SERVICES 1123862 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 606731246 SOFTWARE COMPANY 1076868 PCB PO BOX 2051 NEW ALBANY OH 43054 COLLECTION SERVICES FOR SELF-PAY PATIENT 1042204 79 500592 76911 577503 PATIENT SERVICE REVENU 621110 199325538 199325538 340B PHARMACY REVENUE 621110 9855749 9855749 209181287 2292856 2292856 36139 0 36139 36139 36139 39224375 35686409 80129 3537966 -80129 3457837 3457837 5066 0 5066 5066 129662 111553 18109 18109 PHARMACY REVENUE 621110 1842109 1842109 OPTICAL REVENUE 900099 1118509 1118509 JOINT VENTURES 900099 1053227 1053227 3520712 2337430 28348 1154934 7534557 223103354 215532562 28348 6964941 13000 13000 3488201 2996644 491557 103387537 88818164 14569373 9066564 7788904 1277660 26491042 22757924 3733118 673200 673200 82743 82743 268587 268587 22170291 12855195 9315096 572225 572225 2174252 1708910 465342 4119138 4119138 3894803 1355093 2539710 200177 69646 130531 80834 28124 52710 3725358 3725358 7675092 2472709 5202383 1540379 535934 1004445 DRUGS AND SUPPLIES 41202632 41202632 MEDICAL PROFESSIONAL FE 6335143 6335143 MEDICAID FRANCHISE FEE 5066099 3981833 1084266 BOOKS & SUBSCRIPTIONS 455943 358360 97583 2389802 1878327 511475 245073042 195156542 49916500 0 36041 43014 4804936 3094350 38306133 28952182 3212485 3142749 4793505 5230575 205520943 95209583 111956746 110311360 94935263 97075140 133589 1874996 6955708 3454907 265134406 253179273 20043028 22915260 59466982 61364301 1892019 746318 81402029 85025879 X 182053067 166236848 1679310 1916546 183732377 168153394 265134406 253179273 X -21969688 6145579 245126 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11032 11032 0 PART II-B, LINE 1: PORTION OF ANNUAL MEMBERSHIP DUES TO OHA AND AHA PAID TO TRADE ASSOCIATIONS WITH A PORTION OF DUES ALLOCATED TO LOBBYING EXPENDITURES. 1679310 77503 245126 85393 1916546 1807784 487029 -138254 477249 1679310 2292675 1413612 -478871 1419632 1807784 5438955 2541146 -2175112 3512314 2292675 11921722 3827143 -2320894 7989016 5438955 1.00000 0 0 963626 963626 108608914 32911705 75697209 127291 127291 0 93179873 62170587 31009286 2641239 2641239 110311360 RIGHT OF USE LIABILITY 496318 THIRD PARTY PAYABLE 250000 746318 X PART V, LINE 4: THE HOSPITAL'S RESTRICTED FUNDS ARE USED FOR MINOR EXPENSES RELATING TO CARE FOR INDIGENT PATIENTS 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, 2024 AND 2023, 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. 1 1 X 1 X 1 X 1 1 0 1 1 2724054 744737 1979317 0.00810 35561983 25527309 10034674 0.04090 38286037 26272046 12013991 0.04900 131544 2560504 103720 2456784 0.01000 514 1371883 625 1371258 0.00560 3073 3073 0.00000 132058 3935460 104345 3831115 0.01560 132058 42221497 26376391 15845106 0.06460 250 2508 2508 0.00000 180736 21119 21119 0.00010 180986 23627 23627 0.00010 0 22344798 32255493 37608070 -5352577 X 1 1 1 1 KNOX COMMUNITY HOSPITAL 1330 COSHOCTON RD MOUNT VERNON OH 43050 WWW.KCH.ORG 1030 X X X DSH HOSPITAL; SOLE COMMUNITY HOSPITAL KNOX COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 0 1 1 X HTTPS://WWW.KCH.ORG/COMMUNITY-HEALTH-ASSESSMENT X 1 24 1 HTTPS://WWW.KCH.ORG/COMMUNITY-HEALTH-ASSESSMENT 0 1 X 200.000000000000 350.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.KCH.ORG/FINANCIAL-ASSISTANCE-APPLICATION X HTTPS://WWW.KCH.ORG/FINANCIAL-ASSISTANCE-APPLICATION X HTTPS://WWW.KCH.ORG/FINANCIAL-ASSISTANCE-APPLICATION X X X X X 1 X 0 X X X 1 X 0 0 KNOX COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: THE 2024 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 2024 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 2024. 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 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 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 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 2024 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 2024, KCH CONTINUED TO ADDRESS THE SPECIFIC HEALTH NEEDS IDENTIFIED BY THE CHNA:1. 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 OFTHE 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.D. KCH'S WORKS WITH THE APPROPRIATE PARTNERING ORGANIZATIONS IF A PATIENT SHOWS THAT THEY NEED CRISIS ASSESSMENT AFTER OUR MEDICAL SCREENING(S); IN ORDER TO DETERMINE THE NEXT STEPS FOR THAT PATIENT.E. SOME PATIENTS WITH SUBSTANCE ABUSE WHO SHOW SIGNS OF MENTAL HEALTH CONCERNS NEED TO BE REFERRED TO NEW VISION OR THE FREEDOM CENTER FOR ADDITIONAL TREATMENT.2. 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 TELHEALTH PROGRAM THROUGH A COLLABORATION WITH SWIFTMD TO SEVERAL EMPLOYERS IN THE COMMUNITY, OFFERING LOW-COST ACCESSIBLE CARE FOR BASIC HEALTH NEEDS, REDUCING EMPLOYER HEALTHCARE COSTSAND MISSED WORK TIME FOR APPOINTMENTS, ETC.C. SUPPORT KNOX HEALTH PLANNING PARTNERSHIP EFFORTS TO IMPLEMENT A COMMUNITY-WIDE PHYSICAL ACTIVITY CAMPAIGN.D. KNOX COMMUNITY HOSPITAL HAS RECOGNIZED THE NEED TO EXPAND OUR DIABETES EDUCATION PROGRAM AND HAS INCREASED THE NUMBER OF DIABETES EDUCATORS ACCORDINGLY.E. IN 2024, WE PROVIDED GLUCOSE SCREENINGS AND SHARED INFORMATION ABOUT PREVENTING AND DEALING WITH DIABETES DURING THE CITY OF MOUNT VERNON'S "FIRST FRIDAY" EVENTS AND AT THE TOMATO SHOW IN FREDERICKTOWN.3. MATERNAL, INFANT, AND CHILD HEALTH:IN 2024, MATERNAL, INFANT, AND CHILD HEALTH REPLACED ACCESS TO CARE AS KNOX COUNTIES 3RD HIGHEST HEALTH NEED. THE 2024 KNOX COMMUNITY HEALTH IMPROVEMENT PLAN IS STILL IN THE PLANNING PHASE AND HAS NOT BEEN MADE AVAILABLE ON OUR WEBSITE AT THIS TIME. KNOX COMMUNITY HOSPITAL CURRENTLY PROVIDES THE FOLLOWING SERVICES TO MEET THE HEALTH CARE NEEDS OF MOTHERS, INFANTS AND CHILDREN.A. CURRENTLY EMPLOY FOUR PEDIATRICIANS TO PROVIDE HEALTH CARE FOR INFANTS AND CHILDREN.B. CURRENTLY EMPLOY 21 PROVIDERS IN THE INTERNAL AND FAMILY MEDICAL PRACTICE AREAS TO PROVIDE HEALTH CARE FOR ADULTS, INFANTS AND CHILDREN.C. PROVIDE PRENATAL AND POSTNATAL CARE THROUGH A PRACTICE OF 2 PHYSICIANS AND A MIDWIFE.D. KCH PROVIDES EDUCATION AND MATERIALS FOR NEW MOMS APPROXIMATELY TWICE PER MONTH.E. CHILDBIRTH CLASES ARE PROVIDED APPROXIMATELY SIX TIMES PER YEAR.F. IN APRIL OF 2024, KCH HELD A FOUR HOUR DRIVE UP EVENT FOR COMMUNITY MEMBERS TO HAVE THEIR CAR SEATS CHECKED BY A CERTIFIED CAR SEAT TECHNICIANS.G. IN 2024, KCH PROVIDED FIVE LACTATION CLASSES FOR THE BREATFEEDING COMMUNITY.H. KCH PROVIDES A SUPPORT GROUP FOR LOCAL NEW MOTHERS ON A MONTHLY BASIS.I. ADDITIONAL SERVICES MAY BE UPDATED OR ADDED AS KCH CONTINUES TO ACCESS THE HEALTH NEEDS IN THIS AREA. 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 2024 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.IN 2024, 400 FREE CHOLORECTAL CANCER SCREENING KITS WERE DISTRIBUTED TO COMMUNITY MEMBERS. KCH DID CONTINUE WITH THE 20 MINUTE HEART CHECKS, WHICH INCLUDED LIPID AND GLUCOSE TESTING. ADDITIONAL SCREENINGS THAT WE PLAN TO CONTINUE IN THE FUTURE INCLUDE BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS, COLORECTAL CANCER SCREENINGS AND GLUCOSE SCREENINGS. WE CONTINUED TO OFFER A SUPPORT GROUP FOR BARIATRIC PATIENTS, AS WELL AS SUPPORT GROUPS FOR DIABETES, CHILDBIRTH CLASSES, AND LACTATION SUPPORT. IN ADDITION, A NEW SERVICE THAT HAS STARTED IN 2023 IS CAR SEAT SAFETY CHECKS THROUGH A STAFF MEMBER WHO ACHIEVED CERTIFICATION IN THIS AREA. 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 15,196 HOURS. A QUARTERLY HEALTH EDUCATION PUBLICATION CONTINUED TO PROVIDE HEALTH INFORMATION TO APPROXIMATELY 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 FOR PATIENTS FROM THE GO PINK! BREAST HEALTH FUND TO ASSIST WITH MEDICAL SUPPLY COSTS AND RELATED ITEMS 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 IS APPROXIMATELY TEN PERCENT ACCORDING TO WWW.COUNTYHEALTHRANKINGS.ORG 2022 HEALTH RANKINGS (BASED ON 2019 DATA). KNOX COMMUNITY HOSPITAL RECONGNIZES THE NEED FOR EDUCATION AND SCREENINGS TO SERVE THIS POPULATION. IN 2022, WE OFFERED INFORMATIVE 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 THAT HAD BEGUN IN 2018 BUT CONTINUES TO EVOLVE. DIABETES SUPPORT GROUPS CONTINUE TO BE POPULAR IN 2022, ALONG WITH VIRTUAL GROCERY STORE TOURS TO PROVIDE NUTRITION INFORMATION. COMMUNITY HEALTH TALKS RETURNED IN 2022 INCLUDING AN EDUCATIONAL PRESENTATION BY ONE OF OUR ORTHOPAEDIC PHYSICIANS REGARDING JOINT HEALTH, HELD IN SEPTEMBER 2022 WITH 18 ACTIVE COMMUNITY MEMBERS ATTENDING. 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 63 CONTRIBUTED 10,661 HOURS IN 2024. 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.14.1% OF THE HOSPITAL'S ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS RELATED TO SELF-PAY PATIENTS AT DECEMBER 31, 2024. IN ADDITION, THE HOSPITAL'S PROVISION FOR BAD DEBTS INCREASED APPROXIMATELY $9,122,000 FROM $13,223,000 FOR FISCAL YEAR 2023 TO $22,345,000 FOR FISCAL YEAR 2024. THE HOSPITAL HAS NOT SIGNIFICANTLY CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2024 AND 2023.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 2024, 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 2024 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 2024 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 2024. 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 2024 ESTIMATE OF THE POPULATION OF KNOX COUNTY IS 63,848. KNOX COUNTY IS PREDOMINANTLY WHITE, CAUCASIANS COMPRISING 96.4% 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 2023 WAS ESTIMATED TO BE $73,988. THE 2022 UNEMPLOYMENT RATE WAS 3.6%, WHICH IS SLIGHTLY LOWER THAN THE US RATE FOR THAT PERIOD OF TIME. IN 2023, 11% OF THE POPULATION LIVED BELOW THE FEDERAL POVERTY LEVEL. THE PERCENTAGE OF THE POPULATION UNDER 65 WITHOUT INSURANCE IS 11.5%. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 HAS DECLINED TO 17.7%. OUR ELDERLY POPULATION IS SLIGHTLY HIGHER THAN THE STATE OR NATIONAL AVERAGE. KNOX COMMUNITY HOSPITAL RECOGNIZES THE UNIQUE HEALTH CHALLENGES THESE VULNERABLE POPULATIONS ENCOUTNER 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. IN ADDITION, IN 2022, A NEW COMPREHENSIVE AWARENESS AND MARKETING CAMPAGIN WAS CREATED TO INFORM THE PUBLIC ABOUT THE KCH CANCER CENTER TREATEMENT OPTIONS, WITH LOCAL PATIENTS PROVIDING TESTIMONIALS. THE ESTIMATED PREVALENCE OF DIABETES AMONG KNOX COUNTY ADULT RESIDENTS INCREASED TO 10 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 VIA THE CENTER FOR WEIGHT MANAGEMENT. AN AVERAGE ATTENDANCE OF 16 PEOPLE LEARN ABOUT WEIGHT LOSS ISSUES AND TREATMENT OPTIONS, AND EACH GROUP SESSION USES ABOUT 3 STAFF FOR A TOTAL OF 7 HOURS INCLUDING PREPARATION AND DELIVERY OF THE CLASS.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.WE CONTINUE TO ADD PROVIDERS AND GROW SERVICES IDENTIFIED AS NEEDED WITHIN OUR COMMUNITY.FREE NOTARY SERVICE IS AVAILABLE EVERY WEEKDAY 8AM 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 RECEIPIENTS 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 63 CONTRIBUTED APPROXIMATELY 10,661 HOURS IN 2024. 1 SCHOLARSHIPS 12 12000 PART I, LINE 2: THE KNOX COMMUNITY HOSPITAL AUXILIARY AWARDS HEALTH CAREER SCHOLARSHIPS TO AREA HIGH SCHOOL GRADUATES. THE (VOLUNTEER) AUXILIARY SCHOLARSHIP COMMITTEE REVIEWS ALL APPLICATIONS; AND RECIPIENTS ARE SELECTED BASED ON THEIR SCHOLASTIC STANDING, COMMUNITY INVOLVEMENT, AND FINANCIAL NEED. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 GREGORY CUSH ORTHOPAEDIC SURGEON 1133903 0 46000 0 2376 0 23000 0 49243 0 1254522 0 0 0 ALIX TERCIUS CARDIOLOGIST 927386 0 40000 0 828 0 23000 0 49392 0 1040606 0 0 0 JARRETT B HELMING ORTHOPAEDIC SURGEON 966449 0 0 0 360 0 23000 0 49243 0 1039052 0 0 0 BARRY S GEORGE MD CARDIOLOGIST 942747 0 0 0 3090 0 23000 0 49243 0 1018080 0 0 0 GANGARAM RASA CARDIOLOGIST 896867 0 0 0 3090 0 23000 0 26260 0 949217 0 0 0 KRISTEN WITHAM MD TRUSTEE/OBGYN 497402 0 180282 0 379 0 23000 0 44307 0 745370 0 0 0 BRUCE WHITE CEO 583311 0 0 0 7260 0 0 0 152367 0 742938 0 0 0 MICHAEL SULLIVAN MD TRUSTEE/OBGYN 548611 0 0 0 2715 0 23000 0 15179 0 589505 0 0 0 BRUCE BEHNER COO 348982 0 0 0 0 0 0 0 90037 0 439019 0 0 0 AMY D MURNEN MD TRUSTEE/FAMILY MEDICINE 203710 0 94166 0 6043 0 23000 0 13161 0 340080 0 0 0 DANIELLE O'BRIEN CFO 255525 0 0 0 360 0 10748 0 11189 0 277822 0 0 0 CAROL N EMERY CHIEF NURSING OFFICER 230320 0 0 0 360 0 7483 0 21580 0 259743 0 0 0 MICHAEL AMBROSIANI CFO PARTIAL TERM 191804 0 0 0 0 0 0 0 44673 0 236477 0 0 0 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: HISTORICALLY, 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 OVATION HEALTHCARE. BEGINNING JULY 1, 2024, ONLY THE CEO AND COO CONTINUED TO BE PAID CONTRACTUALLY THROUGH THE MANAGEMENT AGREEMENT. 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. 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 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. KRISTEN WITHAM 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 AN OBGYN. SHE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HER WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HER EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HER ESTIMATED SALARY, PAYMENT IS MADE TO HER 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 AN 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 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 QUARTERLY. AT THE END OF EACH QUARTER, IF HER EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HER ESTIMATED SALARY, PAYMENT IS MADE TO HER FOR THE EXCESS AMOUNT. FORM 990, PART VI, SECTION A, LINE 3 THE COMMUNITY HOSPITAL HAS ENTERED INTO AN INDEPENDENT CONTRACT AGREEMENT WITH OVATION HEALTHCARE TO PROVIDE MANAGEMENT SERVICES UNDER THE DIRECTION, CONTROL, AND AUTHORITY OF THE HOSPITAL'S BOARD OF TRUSTEES. IN 2024, OVATION HEALTHCARE WAS PAID $2,070,874. OF THIS AMOUNT $1,124,096 RELATES TO COMPENSATION LISTED IN 990 PART VII AND SCHEDULE J, PART II FOR THE CEO, CFO (PARTIAL YEAR 1/1/24 TO 06/30/24), 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. OVATION HEALTHCARE 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 XI, LINE 9: CHANGE IN INTEREST IN KNOX COMMUNITY HOSPITAL FOUNDATION LOSS ON AFFILIATE DISSOLUTION CHANGE KCH FOUNDATION INVEST-OTHR I 245,126. 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. THE KNOX COMMUNITY HOSPITAL FOUNDATION 1330 COSHOCTON ROAD MOUNT VERNON OH 43050 311081020 FUNDRAISE TO SUPPORT KNOX COMMUNITY HOSPITAL OH 501(C)(3) LINE 7 1 KNOX COMMUNITY PAIN MANAGEMENT LLC 1330 COSHOCTON RD MOUNT VERNON OH 43050 452919911 PAIN MANAGEMENT SERVICES OH N/A RELATED 874361 440527 0 1 0.51000 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 KNOX COMMUNITY PAIN MANAGEMENT LLC O 521266 ACTUAL KNOX COMMUNITY PAIN MANAGEMENT LLC Q 53620 ACTUAL KNOX COMMUNITY PAIN MANAGEMENT LLC J 77714 ACTUAL KNOX COMMUNITY HOSPITAL FOUNDATION C 500592 ACTUAL