COMMUNITY HOSPITAL OF STAUNTON: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HOSPITAL OF STAUNTON (EIN 37-0624255)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-10-24
- IRS object ID
- 202512979349300821
- Schema version
- 2024v5.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-10-24T10:28:31-05:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370624255 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPITAL OF STAUNTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 6186354245 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 N CALDWELL ST | AddressLine1Txt |
| City | STAUNTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62088 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK J GARVEY CPA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6183916421 | PhoneNum |
| Signature | 2025-10-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHANIE MCCARTHY | PreparerPersonNm |
| PTIN | P01805699 | PTIN |
| Phone | 3149254300 | PhoneNum |
| Preparation | 2025-10-23 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LARRY F SPOUR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 N CALDWELL ST | AddressLine1Txt |
| City | STAUNTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62088 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $32,946,534 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STAUNTONHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1946 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY HOSPITAL OF STAUNTON PROVIDES COMPASSIONATE PATIENT-CENTERED HEALTH CARE SERVICES, WHILE MAINTAINING CLINICAL EXCELLENCE AND FINANCIAL VIABILITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 146 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,264 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,678 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,908,899 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,852,131 | CYProgramServiceRevenueAmt |
| PY Investment Income | $378,622 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,836,689 | CYInvestmentIncomeAmt |
| PY Other Revenue | $279,015 | PYOtherRevenueAmt |
| CY Other Revenue | $382,990 | CYOtherRevenueAmt |
| PY Total Revenue | $21,569,800 | PYTotalRevenueAmt |
| CY Total Revenue | $27,084,488 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,470 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,752 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,486,108 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,297,468 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,271,469 | PYOtherExpensesAmt |
| CY Other Expenses | $12,873,285 | CYOtherExpensesAmt |
| PY Total Expenses | $19,767,047 | PYTotalExpensesAmt |
| CY Total Expenses | $22,176,505 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,802,753 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,907,983 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $39,147,624 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,892,349 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,432,674 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,854,393 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,714,950 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,037,956 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO BE THE LEADER IN PROVIDING AND PROMOTING EXCELLENCE IN HEALTHCARE AND WELLNESS SERVICES IN PARTNERSHIP WITH THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,371,021 | ExpenseAmt |
| Grant | $5,752 | GrantAmt |
| Revenue | $25,208,266 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES A FULL SERVICE CRITICAL ACCESS HOSPITAL IN STAUNTON, ILLINOIS WITH A TOTAL OF 25 BEDS. TOTAL PATIENT DAYS FOR THE PERIOD ENDING DECEMBER 31, 2024 WAS 349 ACUTE DAYS AND 1,181 SWING BED DAYS. THE HOSPITAL ALSO PROVIDED SERVICES TO 23,713 OUTPATIENTS, 5,682 EMERGENCY DEPARTMENT VISITS, AND 4,765 PHYSICIAN OFFICE VISITS. | Desc |
| Total Program Service Expenses | $18,371,021 | 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 | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 146 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | Yes (1) | 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 | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICK GARVEY CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6183916421 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 STATE ROUTE 162 | AddressLine1Txt |
| City | MARYVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62062 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CLIFF HOMEIER | ||||||||
| PRESIDENT | 1.50 | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DERREK TIBURZI | ||||||||
| VICE PRESIDENT | 0.25 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| AILEE TAYLOR | ||||||||
| SECRETARY | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MIKE BROWN | ||||||||
| BOARD MEMBER | 0.25 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL HANKS | ||||||||
| BOARD MEMBER | 0.25 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BECKY PAINTER | ||||||||
| BOARD MEMBER | 0.25 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RON MAEDGE | ||||||||
| BOARD MEMBER | 0.25 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LARRY SPOUR | ||||||||
| PRESIDENT & CEO | 40.00 | 0.25 | Yes (X) | $219,471 | $0 | $28,795 | ||
| MICHAEL MARSHALL | ||||||||
| ANDERSON HEALTHCARE CEO | 3.50 | 40.25 | Yes (X) | $0 | $473,477 | $54,685 | ||
| PATRICK GARVEY | ||||||||
| ANDERSON HEALTHCARE CFO | 3.50 | 40.25 | Yes (X) | $0 | $306,997 | $30,836 | ||
| KEITH PAGE | ||||||||
| ANDERSON HEALTH PRES/CEO THRU 02/24 | 3.50 | 40.25 | Yes (X) | $0 | $922,691 | $19,262 | ||
| JOSH BUSCHLING | ||||||||
| PHYSICIAN | 32.00 | 0.00 | $283,819 | $0 | $16,503 | Yes (X) | ||
| TIFFANY SPUDICH | ||||||||
| PHARMACY MANAGER | 40.00 | 0.00 | $123,498 | $0 | $22,980 | Yes (X) | ||
| MELISSA OSTENDORF | ||||||||
| SPECIALTY CARE RN | 36.00 | 0.00 | $158,702 | $0 | $29,435 | Yes (X) | ||
| ROBIN PRUDEN | ||||||||
| SPECIALTY CARE RN | 36.00 | 0.00 | $133,467 | $0 | $13,967 | Yes (X) | ||
| ANGELYN MARIE | ||||||||
| SPECIALTY CARE RN | 36.00 | 0.00 | $124,528 | $0 | $21,063 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,043,485 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,703,165 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $237,526 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MIDWEST EMERGENCY DEPARTMENT | |||||
| 320 EAST US HIGHWAY 50 | OFALLON | MO | 622692704 | EMERGENCY PHYSICIANS | $1,498,936 |
| ANDERSON HOSPITAL | |||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | STAFFING | $1,492,395 |
| ALTON PHYSICAL THERAPY | |||||
| 1719 CLAWSON | ALTON | IL | 62002 | PHYSICAL THERAPY | $1,001,625 |
| AYA HEALTHCARE INC | |||||
| 1200 E CAMPBELL RD SUITE 108 | RICHARDSON | TX | 75081 | MEDICAL STAFFING | $382,146 |
| SHARED MEDICAL SERVICES | |||||
| 209 LIMESTONE PASS | COTTAGE GROVE | WI | 53527 | IMAGING SERVICES | $171,893 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $12,678 | AllOtherContributionsAmt |
| Total Contributions | $12,678 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $24,852,131 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,852,131 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,852,131 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $552,739 | TotalRevenueColumnAmt |
| Exclusion | $552,739 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,855 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,855 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,855 | TotalRevenueColumnAmt |
| Exclusion | $26,855 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,145,996 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,862,046 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,283,950 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,283,950 | TotalRevenueColumnAmt |
| Exclusion | $1,283,950 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER INCOME | 621110 | $285,798 | $285,798 |
| REBATE INCOME | 621110 | $69,896 | $69,896 |
| ANCILLARY SERVICES | 621110 | $441 | $441 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $356,135 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,084,488 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,208,266 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,863,544 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,752 | TotalAmt |
| Program Services | $5,752 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,266 | TotalAmt |
| Management And General | $248,266 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,563,389 | TotalAmt |
| Program Services | $6,090,533 | ProgramServicesAmt |
| Management And General | $1,472,856 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,298 | TotalAmt |
| Program Services | $84,635 | ProgramServicesAmt |
| Management And General | $23,663 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,185 | TotalAmt |
| Program Services | $686,510 | ProgramServicesAmt |
| Management And General | $173,675 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,330 | TotalAmt |
| Program Services | $404,293 | ProgramServicesAmt |
| Management And General | $113,037 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,574 | TotalAmt |
| Management And General | $81,574 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,026 | TotalAmt |
| Management And General | $2,026 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,595 | TotalAmt |
| Management And General | $28,595 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,704 | TotalAmt |
| Management And General | $37,704 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,803,692 | TotalAmt |
| Program Services | $2,972,586 | ProgramServicesAmt |
| Management And General | $831,106 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,002 | TotalAmt |
| Program Services | $35,169 | ProgramServicesAmt |
| Management And General | $9,833 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,117,242 | TotalAmt |
| Program Services | $3,089,146 | ProgramServicesAmt |
| Management And General | $28,096 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,253 | TotalAmt |
| Program Services | $442,527 | ProgramServicesAmt |
| Management And General | $123,726 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,952 | TotalAmt |
| Program Services | $377,428 | ProgramServicesAmt |
| Management And General | $105,524 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,524 | TotalAmt |
| Program Services | $4,318 | ProgramServicesAmt |
| Management And General | $1,206 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,094 | TotalAmt |
| Program Services | $251,094 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,365,101 | TotalAmt |
| Program Services | $1,066,822 | ProgramServicesAmt |
| Management And General | $298,279 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,489 | TotalAmt |
| Program Services | $200,446 | ProgramServicesAmt |
| Management And General | $56,043 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $1,577,806 | $1,577,806 | |
| HOSPITAL PROVIDER ASSES | $472,942 | $472,942 | |
| MAINTENANCE & REPAIRS | $294,673 | $230,287 | $64,386 |
| OTHER EXPENSES | $274,689 | $214,668 | $60,021 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,927 | TotalAmt |
| Program Services | $164,059 | ProgramServicesAmt |
| Management And General | $45,868 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,176,505 | TotalAmt |
| Program Services | $18,371,021 | ProgramServicesAmt |
| Management And General | $3,805,484 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,248,219 | BOYAmt |
| EOY | $4,120,753 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,719,651 | BOYAmt |
| EOY | $2,611,904 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,741 | BOYAmt |
| EOY | $280,405 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,955 | BOYAmt |
| EOY | $142,709 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,033,444 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,452,488 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,861,501 | BOYAmt |
| EOY | $10,580,956 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,728,086 | BOYAmt |
| EOY | $17,072,424 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,471 | BOYAmt |
| EOY | $83,198 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,147,624 | BOYAmt |
| EOY | $34,892,349 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,036,899 | BOYAmt |
| EOY | $1,674,641 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,309,232 | BOYAmt |
| EOY | $7,099,079 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,543 | BOYAmt |
| EOY | $80,673 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,432,674 | BOYAmt |
| EOY | $8,854,393 | 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 | $29,714,950 | BOYAmt |
| EOY | $26,037,956 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,714,950 | BOYAmt |
| EOY | $26,037,956 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,147,624 | BOYAmt |
| EOY | $34,892,349 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,907,983 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$444,411 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,140,566 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $546,486 | OtherCostOrOtherBasisAmt |
| Book Value | $546,486 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,636,431 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,676,541 | DepreciationAmt |
| Book Value | $8,959,890 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,850,527 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,775,947 | DepreciationAmt |
| Book Value | $1,074,580 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,580,956 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $80,673 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $80,673 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $151,374 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $151,374 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,201,898 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,926,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $275,291 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,353,272 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,926,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $426,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01920 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,074 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,913 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,913 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,987 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,987 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,376,259 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,926,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $449,652 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,577,806 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $950,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,097,669 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,445,593 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,652,076 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPITAL OF STAUNTON | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 CALDWELL | AddressLine1Txt |
| City | STAUNTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62088 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | STAUNTONHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 0000414 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPITAL OF STAUNTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://STAUNTONHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.STAUNTONHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.STAUNTONHOSPITAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.STAUNTONHOSPITAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.STAUNTONHOSPITAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COMMUNITY HOSPITAL OF STAUNTON | PART V, SECTION B, LINE 5: A COMMUNITY SURVEY WAS CONDUCTED FROM OCTOBER 12, 2024, TO OCTOBER 26, 2024, FOR COMMUNITY MEMBERS TO SUBMIT INPUT. IN NOVEMBER 2024, THREE COMMUNITY FOCUS GROUPS MET TO DISCUSS OVERALL HEALTH AND WELLNESS IN THE STAUNTON COMMUNITY HOSPITAL SERVICE AREA AND IDENTIFY HEALTH CONCERNS AND NEEDS IN DELIVERING HEALTHCARE AND HEALTH SERVICES TO IMPROVE WELLNESS AND REDUCE CHRONIC ILLNESS FOR ALL RESIDENTS. THE FOCUS GROUPS INCLUDED REPRESENTATION OF HEALTHCARE PROVIDERS, COMMUNITY LEADERS, COMMUNITY SERVICES PROVIDERS, SCHOOLS, FAITH-BASED ORGANIZATIONS, LOCAL ELECTED OFFICIALS, PUBLIC HEALTH, AND OTHERS. SEVERAL MEMBERS OF THESE GROUPS PROVIDED SERVICES TO UNDERSERVED AND UNSERVED PERSONS AS ALL OR PART OF THEIR ROLES. REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUPS: MACOUPIN COUNTY HEALTH DEPARTMENT, STAUNTON AREA AMBULANCE SERVICE, ST. PAUL'S CHURCH OF CHRIST, STAUNTON COMMUNITY SCHOOL UNIT #6, ST. FRANCIS WAY CLINIC, AND COMMUNITY HOSPITAL OF STAUNTON. |
| COMMUNITY HOSPITAL OF STAUNTON | PART V, SECTION B, LINE 11: COMMUNITY HOSPITAL OF STAUNTON IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS AND OBJECTIVES IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. (1) IMPROVED ACCESS TO AND KNOWLEDGE OF MENTAL/BEHAVIORAL HEALTH RESOURCESOBJECTIVES: -CONTINUE TO FOCUS ON IMPROVING ACCESS TO CARE FOR MENTAL/BEHAVIORAL HEALTH PROVIDERS USING COMMUNITY PARTNER RESOURCES AND ANDERSON HEALTH RESOURCES. -INVESTIGATE A PARTNERSHIP WITH THE SCHOOL SYSTEM TO IMPROVE COLLABORATION, EDUCATE STUDENTS AND TEACHERS, AND REDUCE THE STIGMA OF NEEDING OR SEEKING MENTAL HEALTH SERVICES. -REVIEW PRACTICES IN THE PRIMARY CARE OFFICES TO ENSURE ADEQUATE SCREENING AND FOLLOW-UP OF MENTAL HEALTH NEEDS ARE BEING COMPLETED. (2) IMPROVED ACCESS TO SPECIALTY CARE SERVICES OBJECTIVES: - EVALUATE THE PRIMARY AND SPECIALTY CARE SERVICES NEEDED IN THE COMMUNITY. POTENTIALLY RECRUIT OR PROVIDE THOSE SERVICES THROUGH ANDERSON HEALTH PARTNERSHIPS. - EVALUATE THE MENTAL AND SUBSTANCE ABUSE SERVICES PROVIDED IN THE COMMUNITY AND THE NEED FOR ADDITIONAL PROVIDERS/SERVICES. WORK WITH COMMUNITY PARTNERS AND ANDERSON HEALTH TO ENSURE GAPS ARE FILLED. - INVESTIGATE THE USE OF TELEMEDICINE TO ADDRESS SPECIALTY CARE NEEDS EFFECTIVELY. - WORK WITH CURRENT PROVIDERS IN THE SERVICE MARKET AREA TO RETAIN THEIR SERVICES TO CHS AND THE COMMUNITY. (3) IMPROVED COMMUNITY KNOWLEDGE OF AND ACCESS TO WAYS TO IMPROVE PERSONAL HEALTH.OBJECTIVES: -REVIEW PATIENT EDUCATIONAL DOCUMENTS TO ENSURE UNDERSTANDABLE EXPLANATIONS OF THE PATIENT'S CONDITION, CARE, AND TREATMENT. EDUCATE NURSING STAFF TO REINFORCE THE IMPORTANCE OF THIS ADDITIONAL EDUCATION WITH PATIENTS. - INVESTIGATE A PARTNERSHIP WITH LOCAL SCHOOLS UTILIZING EMPLOYEES TO EDUCATE STUDENTS ON THE BENEFITS OF DIET AND EXERCISE, STRATEGIES TO IMPROVE THEIR PHYSICAL AND MENTAL HEALTH, CHRONIC DISEASES AND MANAGEMENT, AND EXPOSURE TO HEALTH CAREERS AND JOB OPPORTUNITIES AT CHS. - CONTINUE THE PARTNERSHIP WITH THE SCHOOLS AND THE U OF I EXTENSION SERVICES TO PROMOTE HEALTHY COOKING AND EATING. - INCREASE FREE OR LOW-COST CANCER SCREENINGS IN THE COMMUNITY. - FOCUS ON MEN'S AND WOMEN'S HEALTH CORE PREVENTION SERVICES IN PRIMARY CARE OFFICES. - INVESTIGATE THE ADDITION OF RADIOLOGY LUNG SCREENINGS. - INVESTIGATE A PARTNERSHIP WITH THE COUNTY HEALTH DEPARTMENT TO EDUCATE THE COMMUNITY ON SMOKING CESSATION AND THE DANGERS OF SMOKING AND VAPING. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - COMMUNITY CLINIC OF STAUNTON | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 325 CALDWELL | AddressLine1Txt |
| City | STAUNTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62088 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | THE BAD DEBT EXPENSE AS REPORTED ON THE FINANCIAL STATEMENT HAS BEEN REPORTED ON LINE 2, THEREFORE, THE COSTING METHODOLOGY FOR THIS LINE IS BASED ON THE PATIENT CHARGES THAT WERE WRITTEN OFF ON THE BOOKS. NO BAD DEBT AMOUNTS WERE INCLUDED IN COMMUNITY BENEFIT. |
| PART III, LINE 3: | THE HOSPITAL BELIEVES THAT THE COMMUNITY BENEFIT OBTAINED FROM ITS CHARITY CARE IS UNDERSTATED DUE TO PATIENTS THAT COULD QUALIFY FOR CHARITY CARE BUT DO NOT APPLY OR PROVIDE INCOMPLETE INFORMATION. SOME CARE PROVIDED TO PATIENTS IS NOT CLASSIFIED AS CHARITY CARE DUE TO PATIENTS MISSING DOCUMENTATION THAT PROVES THEY QUALIFY FOR CHARITY CARE. THE HOSPITAL'S BAD DEBT DOES INCLUDE AMOUNTS THAT COULD BE CLASSIFIED AS CHARITY CARE IF THE PATIENTS WOULD APPLY OR PROVIDE THE APPROPRIATE INFORMATION TO COMPLETE THE CHARITY CARE APPLICATION. IN LINE WITH ITS MISSION, THE HOSPITAL PROVIDES A SAFETY NET FOR THE COMMUNITIES SERVED TO ACCESS MUCH NEEDED CARE BY OFFERING SOME SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR THOSE SERVICES. FOR SOME OF THEIR PATIENT SERVICES, THE HOSPITAL RECEIVES NO PAYMENT OR PAYMENT THAT IS LESS THAN THE FULL COST OF PROVIDING THE SERVICES. THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY THE HOSPITAL'S CRITERIA FOR FINANCIAL ASSISTANCE. IN SOME CASES, THE HOSPITAL DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. BAD DEBT EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT REVENUE THAT THE HOSPITAL WILL NOT COLLECT. PER US CENSUS BUREAU 13.8% OF MACOUPIN COUNTY IS BELOW THE POVERTY LEVEL. |
| PART III, LINE 8: | ANY SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE IT REPRESENTS THE UNREIMBURSED COSTS OF CARING FOR THE ELDERLY IN OUR COMMUNITY. |
| PART III, LINE 9B: | THERE IS NO COLLECTION PRACTICE ON PATIENTS WHO QUALIFY FOR CHARITY. ANY PATIENT WHO SUBMITS AN APPLICATION FOR CHARITY AND MEETS THE GUIDELINES SET IN OUR CHARITY POLICY HAS THEIR ACCOUNT WRITTEN OFF WITH NO COLLECTION EFFORT. |
| PART VI, LINE 2: | THE HOSPITAL'S BOARD IS MADE UP OF INDIVIDUALS WHO LIVE WITHIN THE HOSPITAL'S SERVICE AREA. THESE INDIVIDUALS ALONG WITH SUPPORT FROM THE HOSPITAL'S MANAGEMENT AND MEDICAL STAFF ARE CONTINUALLY REVIEWING HOW THE HOSPITAL CAN BE AN ASSET WITHIN OUR SERVICE AREA. THE HOSPITAL HAS ALSO CONDUCTED A COMMUNITY PERCEPTION SURVEY TO HELP IDENTIFY AREAS TO IMPROVE PATIENT CARE OR THE NEED FOR ADDITIONAL SERVICES. |
| PART VI, LINE 3: | INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS THAT THE HOSPITAL OFFERS IS LISTED ON THE HOSPITAL WEBSITE, AND IT IS PRINTED ON THE BOTTOM OF THE STATEMENTS THAT ARE MAILED TO THE PATIENTS. THE INFORMATION IS ALSO POSTED NEAR THE CASHIER'S WINDOW AND THE BUSINESS OFFICE STAFF ARE TRAINED TO PROVIDE THE INFORMATION TO PATIENTS THAT CALL INTO THE OFFICE AND DO NOT HAVE KNOWLEDGE OF THE PROGRAMS. |
| PART VI, LINE 4: | THE COMMUNITY THAT THE ORGANIZATION SERVES CONSISTS OF ABOUT A TWELVE MILE RADIUS SURROUNDING STAUNTON AND THE COMMUNITIES WITHIN THAT RADIUS ARE: WORDEN, HAMEL, ALHAMBRA, LIVINGSTON, NEW DOUGLAS, MT. OLIVE, BENLD, GILLESPIE, BUNKER HILL, AND PRAIRIETOWN. THIS IS A RURAL AREA WITH A DEPRESSED ECONOMIC CLIMATE. MANY OF THE INDIVIDUALS ARE ELDERLY, POOR, AND INDIGENT WHICH RESULTS IN HIGHER NUMBERS OF MEDICARE AND MEDICAID RECIPIENTS. |
| PART VI, LINE 5: | THE HOSPITAL RESTOCKS THE AMBULANCE OF ANY SUPPLIES USED DURING THE TRANSPORT OF PATIENTS AT NO COST TO THE AMBULANCE SERVICE. THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ACTIVITIES AND SERVICES THAT MEET UNMET COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. THE HOSPITAL DONATES TO THE LOCAL FOOD PANTRY AND SCHOOL SUPPLY DRIVES IN THE COMMUNITY. THE HOSPITAL PROVIDES SCHOLARSHIPS TO STUDENTS FROM THE SCHOOLS IN OUR SERVICE AREA THAT ARE SEEKING DEGREES IN HEALTHCARE. IN ADDITION, THE HOSPITAL PARTNERS WITH THE LOCAL SCHOOL AND THE UNIVERSITY OF ILLINOIS EXTENSION OFFICE TO PROVIDE FOOD/NUTRITION EDUCATION TO COMMUNITY MEMBERS. |
| PART VI, LINE 6: | ON 7/1/16 COMMUNITY HOSPITAL OF STAUNTON AFFILIATED WITH ANDERSON HOSPITAL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEITH PAGE | ||||||||||||||
| ANDERSON HEALTH PRES/CEO THRU 02/24 | $0 | $921,768 | $0 | $0 | $0 | $923 | $0 | $16,406 | $0 | $2,856 | $0 | $941,953 | $0 | $0 |
| MICHAEL MARSHALL | ||||||||||||||
| ANDERSON HEALTHCARE CEO | $0 | $421,438 | $0 | $40,500 | $0 | $11,539 | $0 | $24,331 | $0 | $30,354 | $0 | $528,162 | $0 | $0 |
| PATRICK GARVEY | ||||||||||||||
| ANDERSON HEALTHCARE CFO | $0 | $268,958 | $0 | $26,500 | $0 | $11,539 | $0 | $0 | $0 | $30,836 | $0 | $337,833 | $0 | $0 |
| JOSH BUSCHLING | ||||||||||||||
| PHYSICIAN | $247,280 | $0 | $25,000 | $0 | $11,539 | $0 | $7,830 | $0 | $8,673 | $0 | $300,322 | $0 | $0 | $0 |
| LARRY SPOUR | ||||||||||||||
| PRESIDENT & CEO | $192,932 | $0 | $15,000 | $0 | $11,539 | $0 | $0 | $0 | $28,795 | $0 | $248,266 | $0 | $0 | $0 |
| MELISSA OSTENDORF | ||||||||||||||
| SPECIALTY CARE RN | $158,702 | $0 | $0 | $0 | $0 | $0 | $1,681 | $0 | $27,754 | $0 | $188,137 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | NAME: KEITH PAGE, DESCRIPTION: 2024 ANNUAL CONTRIBUTION, CURRENT YEAR AMOUNT: $23,000. PLAN DESCRIPTION: SECTION 457(F) PLAN OF RELATED ORGANIZATION NAME: MICHAEL MARSHALL, DESCRIPTION: 2024 ANNUAL CONTRIBUTION, CURRENT YEAR AMOUNT: $23,000. PLAN DESCRIPTION: SECTION 457(F) PLAN OF RELATED ORGANIZATION | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, ANDERSON HEALTHCARE. |
| FORM 990, PART VI, SECTION A, LINE 7A | BOARD MEMBERS MUST BE APPROVED BY ANDERSON HEALTHCARE. |
| FORM 990, PART VI, SECTION A, LINE 7B | ANDERSON HEALTHCARE APPROVES BOARD MEMBERS AND ANNUAL BUDGETS. DECISIONS THAT REQUIRE APPROVAL INCLUDE REVISIONS TO THE MISSION; AMENDMENTS OF THE ORGANIZING DOCUMENTS; APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES AND THE PRESIDENT OF THE ORGANIZATION; APPROVAL OF STRATEGIC PLANS, BUDGETS, SALE OR LEASE OF ASSETS IN EXCESS OF $100,000, OR INCURRENCE OF DEBT; APPROVAL OF MERGERS OR AFFILIATIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO REVIEWS THE FORM 990, WHICH IS THEN REVIEWED BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY AND A DISCLOSURE STATEMENT ARE PRESENTED TO OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES ANNUALLY. THE DISCLOSURE STATEMENT MUST BE RETURNED AND IS REVIEWED BY FINANCIAL AUDITORS AND HOSPITAL ADMINISTRATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMMUNITY HOSPITAL OF STAUNTON'S CEO IS EVALUATED BY THE CEO OF ANDERSON HEALTHCARE. THE RESULTS OF THIS EVALUATION ARE USED TO DETERMINE ANY RATE INCREASE IN THE SAME MANNER AS ALL OTHER EMPLOYEES OF COMMUNITY HOSPITAL OF STAUNTON. THE ANDERSON HEALTHCARE CFO SERVES AS THE CFO FOR THE COMMUNITY HOSPITAL OF STAUNTON. THIS POSITION / ROLE IS EVALUATED BY THE CEO OF ANDERSON HEALTHCARE AND THE RESULTS OF THIS EVALUATION ARE USED TO DETERMINE ANY RATE INCREASE IN THE SAME MANNER AS ALL OTHER EMPLOYEES OF COMMUNITY HOSPITAL OF STAUNTON. |
| FORM 990, PART VI, SECTION C, LINE 19 | COMMUNITY HOSPITAL OF STAUNTON MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENT AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,506,043. MANAGEMENT AND GENERAL EXPENSES 421,075. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,927,118. OTHER FEES: PROGRAM SERVICE EXPENSES 1,466,543. MANAGEMENT AND GENERAL EXPENSES 410,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,876,574. |
| FORM 990, PART XI, LINE 9: | TRANSFERS BETWEEN AFFILIATES -8,140,566. |
| PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDERSON HOSPITAL FOUNDATION | |||||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 274548522 | SUPPORT ORG | IL | 501(C)(3) | LINE 7 | ANDERSON HOSPITAL | 0 | |
| ANDERSON HOSPITAL | |||||||||||
| ILLINOIS ROUTE 162 | MARYVILLE | IL | 62062 | 370662561 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | ANDERSON HEALTHCARE | 0 | |
| ANDERSON HEALTHCARE | |||||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 843965822 | HEALTHCARE | IL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| FRIENDS OF COMMUNITY MEMORIAL HOSPITAL | |||||||||||
| 400 N CALDWELL | STAUNTON | IL | 62088 | 363913722 | FUNDRAISING | IL | 501(C)(3) | LINE 10 | COMMUNITY HOSPITAL OF STAUNTON | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ANDERSON SURGERY CENTER LLC | ||||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 834200085 | SURGERY | IL | ANDERSON HOSPITAL | N/A | 0 | 0 |
| ANDERSON REHABILITATION INSTITUTE LLC | ||||||||||
| 6800 STATE ROUTE 162 | MARYVILLE | IL | 62062 | 832844780 | REHAB | IL | ANDERSON HOSPITAL | N/A | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | M | TransactionTypeTxt |
| Involved | $1,590,480 | InvolvedAmt |