2020-10-27T10:23:35-05:00 2019-12-31 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2019-01-01 370624255 Community Memorial Hospital Association % BRIAN ENGELKE COMM 6186354242 400 Caldwell Street Staunton IL 62088 BRIAN ENGELKE CFO 6186354242 2020-05-15 true Donna J Larson P00043751 3142315544 167.68.126.162 43032820203015000000 2020-10-27 P 039BC1633B95B4199F385E2AAE9FA36DFDA012D1 B60A4EE9D24CBCA4447F2481469D084F848E2D39 2019 2021-01-29 14:40:06Z SUE E CAMPBELL 400 N CALDWELL STAUNTON IL 62088 18555649 false X WWW.STAUNTONHOSPITAL.ORG X 1946 IL COMMUNITY HOSPITAL OF STAUNTON PROVIDES COMPASSIONATE PATIENT-CENTERED HEALTH CARE SERVICES, WHILE MAINTAINING CLINICAL EXCELLENCE AND FINANCIAL VIABILITY. 8 8 137 20 0 0 139983 90218 19266796 18157856 82133 63486 226525 213530 19715437 18525090 7075 13270 0 0 7873027 7678202 0 0 0 11519479 10722182 19399581 18413654 315856 111436 24382464 25494486 12108113 12592030 12274351 12902456 COMMUNITY HOSPITAL OF STAUNTON PROVIDES COMPASSIONATE PATIENT-CENTERED HEALTH CARE SERVICES, WHILE MAINTAINING CLINICAL EXCELLENCE AND FINANCIAL VIABILITY. false false 15051999 13270 18218552 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, 2019 WAS 456 ACUTE DAYS AND 580 SWING BED DAYS. THE HOSPITAL ALSO PROVIDED SERVICES TO 20,984 OUTPATIENTS, 4,936 EMERGENCY DEPARTMENT VISITS, AND 4,936 PHYSICIAN OFFICE VISITS. 15051999 true true false false false false false false false false true false false false false false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 24 0 true 137 true false false false false false false false false false false false false X 8 8 true false false false true true true true true false false true true true true true true false false false IL X BRIAN ENGELKE 6186354242 400 CALDWELL STAUNTON IL 62088 X SUE CAMPBELL CEO 40.0 2.0 X 195860 0 9841 JOSHUA POOS MD PHYSICIAN 40.0 0.0 X 149924 0 10943 BRIAN ENGELKE CFO 40.0 0.0 X 134458 0 14223 EDDY SARACCO VICE PRESIDENT 2.0 0.0 X X 0 0 0 BRIAN URY TRUSTEE 2.0 0.0 X 0 0 0 AILEE TAYLOR TRUSTEE 2.0 0.0 X 0 0 0 BERNICE HENKE SECRETARY 2.0 0.01 X X 0 0 0 CLIFF HOMEIER TRUSTEE 2.0 2.0 X 0 0 0 DON KASUBKE PRESIDENT 5.0 0.01 X X 0 0 0 HULDA BLACK TREASURER 2.0 0.0 X X 0 0 0 JEROME LESICKO TRUSTEE 2.0 0.0 X 0 0 0 MIKE COX TRUSTEE 2.0 0.0 X 0 0 0 TIM WILLIAMSON TRUSTEE 2.0 0.0 X 0 0 0 480242 0 35007 3 false true false ILLINOIS EMERGENCY PHYSICIAN PO BOX 674579 DETROIT MI 482674579 EMERGENCY PHYSICIANS 1501766 SCHWEGEL PHYSICAL THERAPY 1719 CLAWSON ALTON IL 62002 PHYSICAL THERAPY 647392 CPSI PO BOX 850309 MOBILE AL 366850309 COMPUTER SUPPORT 154122 OS INC PO BOX 311 PEWAUKEE WI 53072 BILLING 131316 ANDERSON HOSPITAL 6800 STATE ROUTE 162 MARYVILLE IL 62062 STAFFING 3370531 6 90218 90218 NET PATIENT SERVICE REVENUE 621110 18157856 18157856 18157856 88045 88045 0 0 37217 37217 0 37217 37217 6000 30559 -24559 -24559 -24559 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 36541 36541 ANCILLARY SERVICES 900099 56039 56039 MEDICAL RECORDS 900099 4657 4657 79076 79076 176313 18525090 18218552 216320 X 9270 9270 4000 4000 0 0 354382 354382 0 6203466 5020465 1183001 48450 39211 9239 817072 661256 155816 254832 206236 48596 171460 171460 49397 49397 96192 96192 0 0 0 3270181 2646558 623623 19236 15568 3668 2052731 2006921 45810 29108 23557 5551 0 362488 293362 69126 2899 2346 553 0 0 365540 365540 0 1356400 1097735 258665 350919 283999 66920 PROVISION FOR BAD DEBTS 1099337 1099337 0 EQUIPMENT RENTAL 631483 511059 120424 0 HOSPITAL PROVIDER ASSESSMENT 344456 344456 0 DUES & SUBSCRIPTIONS 168826 136631 32195 0 351529 284492 67037 18413654 15051999 3361655 0 2357166 1226701 363178 587141 0 0 2975189 3332948 0 0 0 0 0 0 323372 243126 202107 240376 24232528 10766613 14225869 13465915 3935583 6398279 0 0 0 0 0 0 0 0 24382464 25494486 1401278 2132728 0 0 0 0 2469801 2216676 0 0 0 0 8237034 8242626 0 0 0 0 12108113 12592030 X 11957426 12856967 316925 45489 12274351 12902456 24382464 25494486 111436 516669 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 546486 546486 8453822 3797630 4656192 12930508 6203187 6727321 2301712 765796 1535916 13465915 SCHEDULE D, PART X, LINE 2 FIN 48 DISCLOSURE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X 125. true X true true false false 18206 18206 0.00110 3106565 2525481 581083 0.03360 3124771 2525481 599289 0.03470 21403 21403 0.00120 24445 24445 0.00140 45848 45848 0.00260 3170619 2525481 645137 0.03730 true 1099337 6634397 6871772 -237375 X true false 1 1 COMMUNITY MEMORIAL HOSPITAL 400 CALDWELL STAUNTON IL 62088 STAUNTONHOSPITAL.ORG 414 X X X X COMMUNITY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 18 true false false true X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 125. 200. true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY: THE HOSPITAL HAD TWO FOCUS GROUPS. THE FIRST FOCUS GROUP WAS COMMUNITY LEADERS. THE SECOND FOCUS GROUP INCLUDED MEDICAL PROFESSIONALS. REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUPS: HERITAGE HEALTH NURSING HOME, GILLESPIE-BENLD AMBULANCE, ST. PAUL'S CHURCH OF CHRIST, ILLINOIS VALLEY ECONOMIC DEVELOPMENT, AND COMMUNITY HOSPITAL OF STAUNTON. SCHEDULE H, PART V, SECTION B, LINE 7A HOSPITAL FACILITY WEBSITE (URL): https://www.stauntonhospital.org/index.php/about-us/community-health-needs -assessment SCHEDULE H, PART V, SECTION B, LINE 11 SIGNIFICANT NEEDS: THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED 5 SIGNIFICANT NEEDS AND PRIORITIZED THEM AS FOLLOWS: 1) MENTAL HEALTH - IT WAS IDENTIFIED THAT THERE IS A LACK OF MENTAL HEALTH SERVICES THROUGHOUT RURAL ILLINOIS. THE HOSPITAL PLANS TO ADDRESS THIS ISSUE BY EXPLORING OPTIONS FOR PROVIDING SERVICES THROUGH ITS RURAL HEALTH CLINIC OR TELEHEALTH SERVICES. IT WILL ALSO EXPLORE LOOKING AT OPTIONS FOR PROVIDING TRANSPORTATION TO OTHER TOWNS FOR SERVICES. 2) ACCESS TO FOOD - IT WAS IDENTIFIED THAT THERE IS A LACK OF ACCESS TO NUTRITIOUS FOOD FOR THE YOUTH AND ELDERLY IN THE COMMUNITY. THE HOSPITAL PLANS TO CONTINUE TO PROVIDE FINANCIAL SUPPORT TO LOCAL ORGANIZATIONS WHO PROVIDE PREPARED MEALS AND MAINTAIN A FOOD PANTRY. THE HOSPITAL WILL ALSO EXPLORE SPONSORING A VISITING FOOD TRUCK TO BRING ADDITIONAL FOOD TO THE AREA. 3) HOMELESSNESS - WAS ALSO IDENTIFIED AS A NEED WITHIN THE COMMUNITY. THE HOSPITAL WILL EXPLORE OPPORTUNITIES AND OPTIONS FOR THE ESTABLISHMENT OF EMERGENCY SHELTER LOCATIONS. 4) DAY CARE SERVICES - THE FOURTH NEED IDENTIFIED WAS THE NEED FOR DAY CARE SERVICES FOR WELL AND ILL CHILDREN. THE HOSPITAL WILL EXPLORE THE FEASIBILITY OF PROVIDING THESE SERVICES AND LOOK FOR PARTNERS TO HELP ADDRESS THIS NEED. 5) ALZHEIMER'S/DEMENTIA - THE FINAL PRIORITY WAS ALZHEIMER'S AND DEMENTIA CARE. THE HOSPITAL RECOGNIZES A SHORTAGE OF RESIDENTIAL CARE FOR PERSONS SUFFERING FROM DEMENTIA AND ALZHEIMER'S IN THE STAUNTON COMMUNITY. COMMUNITY HOSPITAL WILL CONSIDER REASONABLE SUPPORT FOR ANY PARTNERS OR OTHERS THAT PROPOSE TO ADDRESS THE NEED IN STAUNTON. SCHEDULE H, PART V, SECTION B, LINE 10A HOSPITAL FACILITY IMPLEMENTATION STRATEGY (URL): https://www.stauntonhospital.org/index.php/about-us/community-health-needs -assessment SCHEDULE H, PART V, SECTION B, LINE 16 FAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY AVAILABILITY: https://www.stauntonhospital.org/index.php/patients-visitors/financial-ass istance 2 STAUNTON MEDICAL CLINIC 325 CALDWELL STAUNTON IL 62088 CLINIC BENLD CLINIC 311 EAST CENTRAL BENLD IL 62009 CLINIC SCHEDULE H, PART III, SECTION A, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE: 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. SCHEDULE H, PART III, SECTION A, LINE 3 METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE FOR FAP ELIGIBLE PATIENTS: 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. SCHEDULE H, PART III, SECTION A, LINE 4 PAGE 10-14 SCHEDULE H, PART III, SECTION B, LINE 8 SHORTFALL TREATED AS A COMMUNITY BENEFIT: THE COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS WAS ALLOWABLE COST AS REPORTED IN OUR FISCAL YEAR 2019 MEDICARE COST REPORT. ANY SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE IT REPRESENTS THE UNREIMBURSED COSTS OF CARING FOR THE ELDERLY IN OUR COMMUNITY. SCHEDULE H, PART III, SECTION C, LINE 9B DEBT COLLECTION POLICY: 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. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: 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. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: 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. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: 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. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL RESTOCKS THE AMBULANCES 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. SUCH PROGRAMS INCLUDE HEALTH SCREENINGS AND ASSESSMENTS, PARENTAL EDUCATION AND CARE, CPR TRAINING, BABY SITTER TRAINING, FIRST AID TRAINING, SUPPORT FOR VITAL COMMUNITY SERVICES, TRAUMA CARE, COMMUNITY EDUCATIONAL SERVICES, AND VARIOUS SUPPORT GROUPS. THE HOSPITAL PARTICIPATES IN EVENTS AND HEALTH FAIRS IN EACH OF THE COMMUNITIES WITHIN THE SERVICE AREA, AND IT DONATES STAFF LABOR, SUPPLIES, AND OTHER GOODS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: NOT APPLICABLE SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $1,099,337 REPORTED ON PART IX, LINE 24A. HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: ON 7/1/16 COMMUNITY MEMORIAL HOSPITAL AFFILIATED WITH ANDERSON HOSPITAL X X false false false false false false false false false SUE CAMPBELL CEO 195860 0 0 0 0 0 2964 0 6877 0 205701 0 JOSHUA POOS MD PHYSICIAN 149924 0 0 0 10943 160867 A ILLINOIS FINANCE AUTHORITY 861091967 2010-06-25 780000 5500 SQ FT. MEDICAL OFFICE BUILDIN false false false B CITY OF STAUNTON 376001380 2014-07-10 3000000 HOSPITAL RENOVATION false false false A 733166 0 780000 0 0 0 0 0 0 780000 0 0 2010 false false true true B 830158 0 3000000 0 0 0 60000 0 0 2940000 0 0 2016 false false true true A false false false false 0 false false false true B false false false false 0 false false false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true A true B true FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: BRIAN URY AND EDDY SARACCO HAVE A BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, SOUTHWESTERN ILLINOIS HEALTH FACILITIES, INC., D/B/A ANDERSON HOSPITAL (EIN 37-0662561). FORM 990, PART VI, SECTION A, LINE 7A POWER OF APPOINTMENT: BOARD MEMBERS MUST BE APPROVED BY ANDERSON HOSPITAL FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS: ANDERSON HOSPITAL 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 FORM 990 REVIEW PROCESS: THE CFO REVIEWS THE FORM 990, WHICH IS THEN REVIEWED BY THE CEO, FOLLOWED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY: 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 15A PROCESS FOR DETERMINING COMPENSATION: COMMUNITY HOSPITAL OF STAUNTON'S CEO IS EVALUATED BY THE CEO OF ANDERSON HOSPITAL. 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. COMMUNITY HOSPITAL OF STAUNTON'S CFO IS EVALUATED BY THE CEO OF COMMUNITY HOSPITAL OF STAUNTON. 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 PROCESS FOR MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: COMMUNITY MEMORIAL HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:1812682 FORM 990 PART IX LINE 11G DESCRIPTION:NONPHYSICIAN PROFESSIONAL FEES TOTAL FEES:509937 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:104552 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:843010 SOUTHWESTERN ILLINOIS HEALTH FACILITIES ILLINOIS ROUTE 162 MARYVILLE IL 62062 370662561 HEALTHCARE IL 501(C)(3) 3 NA false ANDERSON HOSPITAL FOUNDATION 6800 STATE ROUTE 162 MARYVILLE IL 62062 274548522 SUPPORT ORG IL 501(C)(3) 7 SW IL HEALTH false FRIENDS OF COMMUNITY MEMORIAL HOSPITAL 400 N CALDWELL STAUNTON IL 62088 363913722 FUNDRAISING IL 501(C)(3) 10 COM MEM HOSP true Anderson Surgery Center LLC 6800 State Route Maryville IL 62062 834200085 SURGERY IL NA N/A 0 0 0 0.00000 false false false false true false false false false false false false true false true true false false false