2014-12-17T11:28:17-06:00 2014-06-30 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2013-07-01 370624255 Community Memorial Hospital Association % BRIAN ENGELKE COMM 6186354242 400 Caldwell Street Suite Staunton IL 62088 BRIAN ENGELKE CFO 6186354242 2014-12-16 true Donna J Larson P00043751 6186354242 2013 2015-11-30 17:44:51Z SUE E CAMPBELL 400 CALDWELL STREET STAUNTON IL 62088 15642745 false X WWW.STAUNTONHOSPITAL.ORG X 1946 IL COMMUNITY MEMORIAL HOSPITAL PROVIDES COMPASSIONATE PATIENT-CENTERED HEALTH CARE SERVICES, WHILE MAINTAINING CLINICAL EXCELLENCE AND FINANCIAL VIABILITY. 9 9 157 25 0 0 76921 136434 14243162 15324941 42054 30916 433080 150454 14795217 15642745 2000 2550 0 0 6769804 6876102 0 0 0 7814395 8548744 14586199 15427396 209018 215349 14303152 14810124 2243210 2342891 12059942 12467233 COMMUNITY MEMORIAL HOSPITAL PROVIDES COMPASSIONATE PATIENT-CENTERED HEALTH CARE SERVICES, WHILE MAINTAINING CLINICAL EXCELLENCE AND FINANCIAL VIABILITY. false false 13146548 2550 15340524 THE ORGANIZATION OPERATES A FULL SERVICE CRITICAL ACCESS HOSPITAL IN STAUNTON, ILLINOIS WITH A TOTAL OF 25 BEDS. TOTAL PATIENT DAYS FOR THE FISCAL YEAR ENDED JUNE 30, 2014 WAS 435 ACUTE CARE DAYS AND 620 SWING BED DAYS. THE HOSPITAL ALSO PROVIDED SERVICES TO 23,401 OUTPATIENTS AND 4,317 EMERGENCY DEPARTMENT PATIENTS. 13146548 true true false false false false false false false false true false true false false false true false 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 false false false false true 19 0 true 157 true false false false false false false false false false false X 9 9 false false false false true true false true true false false true true true true true true true true false IL X BRIAN ENGELKE 6186354242 400 CALDWELL STAUNTON IL 62088 X DON KASUBKE PRESIDENT, BOARD OF TRUSTEES 5.0 X X 0 0 0 SYLVIA LUX BOARD MEMBER 2.0 X 0 0 0 BERNICE HENKE SECRETARY 2.0 X X 0 0 0 HULDA BLACK TREASURER 2.0 X X 0 0 0 ED SARACCO VICE PRESIDENT, BD OF TRUSTEES 2.0 X X 0 0 0 MIKE COX BOARD MEMBER 2.0 X 0 0 0 JEROME LESICKO BOARD MEMBER 2.0 X 0 0 0 LARRY ZIGLAR BOARD MEMBER 2.0 X 0 0 0 NICOLAS PINEDA MD BOARD MEMBER/PHYSICIAN 32.0 X 124792 0 0 RON MUELLER BOARD MEMBER 2.0 X 0 0 0 SUE CAMPBELL CEO 40.0 X 160591 0 12436 BRIAN ENGELKE CFO 40.0 X 112116 0 11455 BHARATH POLA MD PHYSICIAN 32.0 X 206570 0 15128 JOSHUA POOS MD PHYSICIAN 32.0 X 185657 0 22454 SCOTT KATICH PHARMACIST 40.0 X 105680 0 17541 895406 0 79014 6 false true false ILLINOIS EMERGENCY PHYSICIANS PO BOX 674519 DETROIT MI 68267 EMERGENCY PHYSICIANS 1357779 HAROLD O'SHEA BUILDERS 3401 CONSTITUTION SPRINGFIELD IL 62711 CONTRACTOR 608997 ALTON PHYSICAL THERAPY 1719 CLAWSON ALTON IL 62002 PHYSICAL THERAPY 577670 SOUTH CENTTRAL ANESTHESIA 7461 LESLIE DR EDWARDSVILLE IL 62025 CRNA 284992 CPP WOUND CARE 3445 N CAUSEWAY BOULEVARD METAIRIE LA 70002 WOUND CARE 185375 10 136434 136434 NET PATIENT SERVICE REVENUE 621110 15324941 15324941 15324941 28416 28416 0 0 28940 0 28940 0 28940 28940 2500 0 2500 2500 2500 0 0 0 CAFETERIA 721000 37676 37676 ANCILLARY SERVICES 900099 15583 15583 OTHER INCOME 900099 68255 68255 121514 15642745 15340524 165787 X 550 550 2000 2000 0 0 388365 83110 305255 0 0 5101703 4323693 778010 97378 82528 14850 888963 753396 135567 399693 338740 60953 94511 94511 30662 30662 51605 51605 0 0 0 3223034 2731521 491513 32624 27649 4975 1373646 1349700 23946 129600 109836 19764 0 228198 193398 34800 8931 7569 1362 0 0 24823 24823 0 542189 459505 82684 258355 218956 39399 PROVISION FOR BAD DEBTS 1439584 1439584 EQUIPMENT RENTAL 561727 476064 85663 HOSPITAL PROVIDER ASSESSMENT 383170 383170 DUES & SUBSCRIPTIONS 72442 61395 11047 93643 79361 14282 15427396 13146548 2280848 0 1271703 1712577 628420 630753 0 0 2828097 2548153 0 0 0 0 0 0 238106 221461 221707 279299 13671543 8794122 3783876 4877421 4384610 3401885 0 0 946633 1138575 0 0 0 0 14303152 14810124 1422234 1471905 0 0 96077 267179 577767 504831 0 0 0 0 147132 98976 0 0 0 0 2243210 2342891 X 11113309 11328658 946633 1138575 0 0 12059942 12467233 14303152 14810124 X 215349 191942 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 520386 520386 0 3472958 2645404 827554 6996208 5868306 1127902 2681991 280412 2401579 4877421 INTEREST IN FRIENDS OF CMH 1138575 F 1138575 14201161 14201161 1441584 1441584 15642745 13985812 13985812 1441584 1441584 15427396 FIN 48 DISCLOSURE PART X, LINE 2 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. RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO REVENUE PER RETURN PART XI, LINE 4B SCHOLARSHIPS $ 2,000 BAD DEBT EXPENSE $1,439,584 ------------------------------------------------ TOTAL $1,441,584 THE ABOVE ACCOUNTS WERE CLASSIFIED WITH REVENUE ON THE AUDITED FINANCIAL STATEMENTS AND CLASSIFIED AS EXPENSES ON FORM 990. RECONCILIATION OF EXPENSE PER FINANCIAL STATEMENTS TO EXPENSE PER RETURN PART XII, LINE 4B SCHOLARSHIPS $ 2,000 BAD DEBT EXPENSE $1,439,584 ------------------------------------------------ TOTAL $1,441,584 THE ABOVE ACCOUNTS WERE CLASSIFIED WITH REVENUE ON THE AUDITED FINANCIAL STATEMENTS AND CLASSIFIED AS EXPENSES ON FORM 990. true true true X true X true true false false 24687 24687 0.00180 2414588 2759262 -344674 0.00000 2439275 2759262 -319987 0.00180 12085 12085 0.00090 11730 11730 0.00080 23815 23815 0.00170 2463090 2759262 -296172 0.00350 true 1439584 6627204 6441142 186062 X true true 1 1 COMMUNITY MEMORIAL HOSPITAL 400 CALDWELL STAUNTON IL 62088 STAUNTONHOSPITAL.ORG 414 X X X X COMMUNITY MEMORIAL HOSPITAL 1 true X X X X X X X X X 12 true false true X SEE PART V, SECTION C X X X X true false true true 100 true 200. true X X X true true X X true false X true X false false INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY PART V, SECTION B, LINE 3 THE HOSPITAL HAD TWO FOCUS GROUPS. THE FIRST FOCUS GROUP WAS HEALTH CARE PROFESSIONALS WHICH INCLUDED REPRESENTATIVES OF MACOUPIN COUNTY HEALTH DEPARTMENT, VNA-TIP (HOME HEALTH), STAUNTON AREA AMBULANCE, GLENWOOD SUPPORTIVE LIVING, HERITAGE MANOR (NURSING HOME), A LOCAL PHARMACIST AND HOSPITAL DEPARTMENT MANAGERS. THE SECOND FOCUS GROUP INCLUDED COMMUNITY LEADERS AND REPRESENTATIVES FROM THE LOCAL SCHOOL, THE TOWNSHIP SUPERVISOR, A COMMUNITY BASED AMBULANCE SERVICE, LEWIS AND CLARK COMMUNITY COLLEGE NURSING PROGRAM AND A LOCAL PHYSICIAN. A TOWN HALL MEETING WAS ALSO HELD FOR MEMBERS OF THE COMMUNITY. HOSPITAL FACILITY WEBSITE (URL) PART V, SECTION B, LINE 5A HTTP://WWW.STAUNTONHOSPITAL.ORG/2012_COMMUNITY_HEALTH_NEEDS_ASSESSMENT.PDF BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS PART V, SECTION B, LINE 12I THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDES FAMILY SIZE. DETERMINING MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS PART V, SECTION B, LINE 20D THE HOSPITAL HAS BOTH A CHARITY AND AN UNINSURED DISCOUNT POLICY. THE HOSPITAL'S STANDARD CHARGES ARE DISCOUNTED BASED UPON THE PATIENT'S ELIGIBILITY UNDER THESE PROGRAMS. 2 COMMUNITY MEMORIAL MEDICAL CLINIC 325 CALDWELL STAUNTON IL 62088 PHYSICIAN OFFICE COMMUNITY MEMORIAL MEDICAL CLINIC 311 EAST CENTRAL BENLD IL 62009 PHYSICIAN OFFICE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST PART I, LINE 7 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. PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN F THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $1,439,584 REPORTED ON PART IX, LINE 25. HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE 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. METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE FOR FAP ELIGIBLE PATIENTS 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 DEBTS EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT REVENUE THAT THE HOSPITAL WILL NOT COLLECT. FINANCIAL STATEMENT BAD DEBT EXPENSE PART III, LINE 4 FINANCIAL STATEMENT FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (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 UNCOLLECTIBLE ACCOUNTS 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 OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SHORTHFALL TREATED AS A COMMUNITY BENEFIT PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS WAS ALLOWABLE COST AS REPORTED IN OUR FISCAL YEAR 2014 MEDICARE COST REPORT. DEBT COLLECTION POLICY 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 FURTHER COLLECTION EFFORT. NEEDS ASSESSMENT: 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: 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. COMMUNITY INFORMATION: 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. PROMOTION OF COMMUNITY HEALTH: PART VI, LINE 5 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. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 NOT APPLICABLE STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 NOT APPLICABLE X X X false false false false false false false false false SUE CAMPBELL CEO 160591 0 0 0 0 0 4818 0 7618 0 173027 0 0 0 BHARATH POLA MD PHYSICIAN 206570 0 0 0 0 0 2066 0 13062 0 221698 0 0 0 JOSHUA POOS MD PHYSICIAN 185657 0 0 0 0 0 5570 0 16884 0 208111 0 0 0 A ILLINOIS FINANCE AUTHORITY 861091967 2010-06-25 780000 5500 SQ. FT. MEDICAL OFFICE BUILDI false false false A 0 0 780000 0 0 0 0 0 0 780000 0 0 2010 false false true true A false false false false 0.00000 0.00000 0.00000 false false false true A false false true false false false 0 false 0 false false A false GOVERNING BODY AND MANAGEMENT PART VI, SECTION A, LINES 6 & 7A COMMUNITY MEMORIAL HOSPITAL HAS ONE CLASS OF MEMBERS WHICH SHALL BE ENTITLED TO ONE REPRESENTATION AND ONE VOTE IN ALL MEETINGS OF COMMUNITY MEMORIAL HOSPITAL. THE ANNUAL MEETING OF THE MEMBERS IS HELD FOR THE PURPOSE OF ELECTING TRUSTEES AND TRANSACTING SUCH OTHER BUSINESS AS MAY COME BEFORE THE MEETING. EACH MEMBER IS ENTITLED TO ONE VOTE. FORM 990 REVIEW PROCESS PART VI, SECTION B, LINE 11 THE CFO REVIEWS THE FORM 990, WHICH IS THEN REVIEWED BY THE CEO, FOLLOWED BY THE BOARD. COMPLIANCE WITH CONFLICT OF INTEREST POLICY 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. PROCESS FOR DETERMINING COMPENSATION PART VI, SECTION B, LINE 15A & 15B THE BOARD OF TRUSTEES CONDUCTS AN ANNUAL EVALUATION OF OFFICERS AND KEY EMPLOYEES. THEY USE COMPARABILITY DATA RECEIVED FROM AN INDEPENDENT CONSULTANT AND SET SALARY BASED UPON COMPARABILITY DATA AND THEIR JOB PERFORMANCE. DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. THE CFO COMPENSATION IS DETERMINED BY THE CEO AND APPROVED BY THE BOARD OF DIRECTORS. ALL OTHER EMPLOYEES RECEIVE AN ANNUAL PRECENTAGE INCREASE BASED UPON THE HOSPITAL'S PREFORMANCE. PROCESS FOR MAKING GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC PART VI, SECTION C, LINE 19 COMMUNITY MEMORIAL HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER CHANGES IN FUND BALANCES PART XI, LINE 9 CHANGE IN INTEREST IN FOUNDATION 191,942 OTHER FEES FOR SERVICES PART IX, LINE 11G PROFESSIONAL FEES - PHYSICIAN 1,471,229 PROFESSIONAL FEES - NONPHYSICIAN 870,689 OTHER PURCHASED SERVICES 734,100 OTHER PROFESSIONAL SERVICES 147,016 ---------------------------------------------------- TOTAL 3,223,034