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Nonprofiteer
← COMMUNITY HOSPITAL OF STAUNTON

Form 990 for tax year 2022

Filed by COMMUNITY HOSPITAL OF STAUNTON.

Totals

Total revenue
$22,023,440
Total expenses
$19,396,714
Contributions and grants received
$939,440
Grants paid
$5,521
Program service revenue
$20,559,407
Investment income
$309,387
Other revenue
$215,206
Total assets, end of year
$27,855,025
Total liabilities, end of year
$9,141,582
Net assets or fund balances, end of year
$18,713,443
Program services expenses (Part IX)
$15,321,532
Management and general expenses
$4,075,182
Fundraising expenses
$0
Program service expenses (Part III)
$15,321,532

Program services were 79.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $23,850

  • 1e · Government grants (contributions)

    $688,287

  • 1f · All other contributions, gifts and grants

    $227,303

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $20,559,407 · related or exempt $20,559,407

  • 3 · Investment income

    total $230,257 · excluded $230,257

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $27,103

  • 6c · Rental income or loss

    real property $27,103 · personal property $0

  • 6d · Net rental income or loss

    total $27,103 · excluded $27,103

  • 7a · Gross sales of assets other than inventory

    securities $214,425

  • 7b · Less cost or other basis and sales expenses

    securities $124,579 · other assets $10,716

  • 7c · Gain or loss

    securities $89,846 · other assets -$10,716

  • 7d · Net gain or loss

    total $79,130 · excluded $79,130

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: CAFETERIA

    total $24,790 · excluded $24,790

  • 11b · Other revenue: ANCILLARY SERVICES

    total $39,912 · related or exempt $39,912

  • 11c · Other revenue: MEDICAL RECORDS

    total $1,363 · related or exempt $1,363

  • 11d · All other revenue

    total $122,038 · excluded $122,038

  • 11e · Other revenue, total

    $188,103

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,521 · program services $2,521

  • 2 · Grants to domestic individuals

    total $3,000 · program services $3,000

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $379,861 · management and general $379,861

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $6,475,887 · program services $5,060,906 · management and general $1,414,981

  • 8 · Pension plan contributions

    total $87,967 · program services $68,746 · management and general $19,221

  • 9 · Other employee benefits

    total $186,183 · program services $145,502 · management and general $40,681

  • 10 · Payroll taxes

    total $460,617 · program services $359,972 · management and general $100,645

  • 11a · Fees: management

    total $89,004 · management and general $89,004

  • 11b · Fees: legal

    total $7,685 · management and general $7,685

  • 11c · Fees: accounting

    total $116,253 · management and general $116,253

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $4,636,509 · program services $3,623,432 · management and general $1,013,077

  • 12 · Advertising and promotion

    total $17,234 · program services $13,468 · management and general $3,766

  • 13 · Office expenses

    total $2,250,711 · program services $2,230,425 · management and general $20,286

  • 14 · Information technology

    total $218,810 · program services $171,000 · management and general $47,810

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $323,128 · program services $252,525 · management and general $70,603

  • 17 · Travel

    total $838 · program services $655 · management and general $183

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $325,296 · program services $325,296

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $1,469,401 · program services $1,148,337 · management and general $321,064

  • 23 · Insurance

    total $629,851 · program services $492,229 · management and general $137,622

  • 24a · Other expenses: EQUIPMENT RENTAL

    total $510,711 · program services $399,121 · management and general $111,590

  • 24b · Other expenses: HOSPITAL PROVIDER ASSESSMENT

    total $377,557 · program services $377,557

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $114,284 · program services $89,313 · management and general $24,971

  • 24d · Other expenses: TRAINING & EDUCATION

    total $25,255 · program services $19,737 · management and general $5,518

  • 24e · All other expenses

    total $688,151 · program services $537,790 · management and general $150,361

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,353,483 · end of year $1,312,715

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $3,481,587 · end of year $2,412,127

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $242,558 · end of year $333,121

  • 9 · Prepaid expenses and deferred charges

    beginning of year $389,624 · end of year $132,613

  • 10a · Land, buildings and equipment: cost or other basis

    $25,027,068

  • 10b · Land, buildings and equipment: accumulated depreciation

    $12,063,910

  • 10c · Land, buildings and equipment, net

    beginning of year $13,160,814 · end of year $12,963,158

  • 11 · Investments: publicly traded securities

    beginning of year $8,448,296 · end of year $10,392,991

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $519,586 · end of year $308,300

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,689,032 · end of year $1,558,919

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $672,468 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $1,848,400 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $7,922,250 · end of year $7,582,663

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $17,463,798 · end of year $18,713,443

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

TO BE THE LEADER IN PROVIDING AND PROMOTING EXCELLENCE IN HEALTHCARE AND WELLNESS SERVICES IN PARTNERSHIP WITH THE COMMUNITIES WE SERVE.

Activities or mission (Part I)

COMMUNITY HOSPITAL OF STAUNTON PROVIDES COMPASSIONATE PATIENT-CENTERED HEALTH CARE SERVICES, WHILE MAINTAINING CLINICAL EXCELLENCE AND FINANCIAL VIABILITY.

  • 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, 2022 WAS 440 ACUTE DAYS AND 971 SWING BED DAYS. THE HOSPITAL ALSO PROVIDED SERVICES TO 17,968 OUTPATIENTS, 5,571 EMERGENCY DEPARTMENT VISITS, AND 4,844 PHYSICIAN OFFICE VISITS.

    Expenses $15,321,532 · Grants $5,521 · Revenue $20,600,682

As filed on the 2022 return.

Listed in Part VII

  • JOSH P BUSCHLINING

    PHYSICIAN

    Total calculated
    $275,417
    From this org
    $262,672
    From related orgs
    $0
    Other
    $12,745
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $262,119
    Bonus
    $0
    Other
    $553
    Deferred
    $3,848
    Nontaxable benefits
    $8,897
    Filer's total
    $275,417

  • SUE E CAMPBELL

    CEO

    Total calculated
    $215,700
    From this org
    $203,690
    From related orgs
    $0
    Other
    $12,010
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $202,376
    Bonus
    $0
    Other
    $1,314
    Deferred
    $3,182
    Nontaxable benefits
    $8,828
    Filer's total
    $215,700

  • MELISSA OSTENDORF

    ED NURSE

    Total calculated
    $176,764
    From this org
    $146,805
    From related orgs
    $0
    Other
    $29,959
    Hours/week
    52

    Schedule J breakdown matched by us

    Base
    $146,758
    Bonus
    $0
    Other
    $47
    Deferred
    $1,562
    Nontaxable benefits
    $28,397
    Filer's total
    $176,764

  • BRIAN ENGELKE

    CFO

    Total calculated
    $164,161
    From this org
    $149,671
    From related orgs
    $0
    Other
    $14,490
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $149,200
    Bonus
    $0
    Other
    $471
    Deferred
    $4,953
    Nontaxable benefits
    $9,537
    Filer's total
    $164,161

  • TIFFANY SPUDICH

    PHARMACY

    Total calculated
    $126,511
    From this org
    $103,701
    From related orgs
    $0
    Other
    $22,810
    Hours/week
    40

  • SUSAN LAUGHLIN

    ED NURSE

    Total calculated
    $106,742
    From this org
    $101,594
    From related orgs
    $0
    Other
    $5,148
    Hours/week
    41

  • STEVEN WHEALON

    PHYSICIAN

    Total calculated
    $104,880
    From this org
    $102,286
    From related orgs
    $0
    Other
    $2,594
    Hours/week
    30

  • AILEE TAYLOR

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • BECKY PAINTER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • BILL HANKS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • MIKE BROWN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 0.1 related

  • RON MAEDGE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 0.1 related

  • CLIFF HOMEIER

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2 + 0.1 related

  • DERREK TIBURZI

    TREASURER

    Total calculated
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202343179349311464

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