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Nonprofiteer
← COMMUNITY HOSPITAL OF STAUNTON

Form 990 for tax year 2023

Filed by COMMUNITY HOSPITAL OF STAUNTON.

Totals

Total revenue
$21,569,800
Total expenses
$19,767,047
Contributions and grants received
$3,264
Grants paid
$9,470
Program service revenue
$20,908,899
Investment income
$378,622
Other revenue
$279,015
Total assets, end of year
$39,147,624
Total liabilities, end of year
$9,432,674
Net assets or fund balances, end of year
$29,714,950
Program services expenses (Part IX)
$15,916,326
Management and general expenses
$3,850,721
Fundraising expenses
$0
Program service expenses (Part III)
$15,916,326

Program services were 80.5% 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.

  • 1f · All other contributions, gifts and grants

    $3,264

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

    total $20,908,899 · related or exempt $20,908,899

  • 3 · Investment income

    total $321,984 · excluded $321,984

  • 6a · Gross rents

    real property $27,371

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $27,371

  • 6d · Net rental income or loss

    total $27,371 · excluded $27,371

  • 7a · Gross sales of assets other than inventory

    securities $787,619

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

    securities $730,981

  • 7c · Gain or loss

    securities $56,638

  • 7d · Net gain or loss

    total $56,638 · excluded $56,638

  • 11a · Other revenue: REBATE INCOME

    total $111,744 · related or exempt $111,744

  • 11b · Other revenue: ANCILLARY SERVICES

    total $87,072 · related or exempt $87,072

  • 11c · Other revenue: OTHER INCOME

    total $48,224 · related or exempt $48,224

  • 11d · All other revenue

    total $4,604 · excluded $4,604

  • 11e · Other revenue, total

    $251,644

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $8,045 · program services $8,045

  • 2 · Grants to domestic individuals

    total $1,425 · program services $1,425

  • 5 · Compensation of officers, directors and key employees

    total $456,848 · management and general $456,848

  • 7 · Other salaries and wages

    total $6,698,296 · program services $5,568,892 · management and general $1,129,404

  • 8 · Pension plan contributions

    total $39,419 · program services $33,888 · management and general $5,531

  • 9 · Other employee benefits

    total $831,150 · program services $669,315 · management and general $161,835

  • 10 · Payroll taxes

    total $460,395 · program services $359,799 · management and general $100,596

  • 11a · Fees: management

    total $80,826 · management and general $80,826

  • 11b · Fees: legal

    total $24,086 · management and general $24,086

  • 11c · Fees: accounting

    total $152,350 · management and general $152,350

  • 11f · Fees: investment management

    total $28,900 · management and general $28,900

  • 11g · Fees: other

    total $4,286,146 · program services $3,349,623 · management and general $936,523

  • 12 · Advertising and promotion

    total $19,420 · program services $15,177 · management and general $4,243

  • 13 · Office expenses

    total $2,532,958 · program services $2,510,128 · management and general $22,830

  • 14 · Information technology

    total $517,131 · program services $404,138 · management and general $112,993

  • 16 · Occupancy

    total $569,544 · program services $445,099 · management and general $124,445

  • 17 · Travel

    total $4,040 · program services $3,158 · management and general $882

  • 20 · Interest

    total $257,490 · program services $257,490

  • 22 · Depreciation, depletion and amortization

    total $1,395,741 · program services $1,090,767 · management and general $304,974

  • 23 · Insurance

    total $270,453 · program services $211,359 · management and general $59,094

  • 24a · Other expenses: HOSPITAL PROVIDER ASSES

    total $471,691 · program services $471,691

  • 24b · Other expenses: OTHER EXPENSES

    total $286,236 · program services $223,694 · management and general $62,542

  • 24c · Other expenses: MAINTENANCE & REPAIRS

    total $206,749 · program services $161,574 · management and general $45,175

  • 24d · Other expenses: EQUIPMENT

    total $85,680 · program services $66,959 · management and general $18,721

  • 24e · All other expenses

    total $82,028 · program services $64,105 · management and general $17,923

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,312,715 · end of year $4,248,219

  • 4 · Accounts receivable

    beginning of year $2,412,127 · end of year $2,719,651

  • 8 · Inventories for sale or use

    beginning of year $333,121 · end of year $286,741

  • 9 · Prepaid expenses and deferred charges

    beginning of year $132,613 · end of year $140,955

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

    $31,302,855

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

    $11,441,354

  • 10c · Land, buildings and equipment, net

    beginning of year $12,963,158 · end of year $19,861,501

  • 11 · Investments: publicly traded securities

    beginning of year $10,392,991 · end of year $11,728,086

  • 15 · Other assets

    beginning of year $308,300 · end of year $162,471

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,558,919 · end of year $2,036,899

  • 23 · Secured mortgages and notes payable

    beginning of year $7,582,663 · end of year $7,309,232

  • 25 · Other liabilities

    beginning of year $0 · end of year $86,543

  • 27 · Net assets without donor restrictions

    beginning of year $18,713,443 · end of year $29,714,950

Mission and programs · 2023

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, 2023 WAS 249 ACUTE DAYS AND 824 SWING BED DAYS. THE HOSPITAL ALSO PROVIDED SERVICES TO 23,602 OUTPATIENTS, 5,642 EMERGENCY DEPARTMENT VISITS, AND 4,670 PHYSICIAN OFFICE VISITS.

    Expenses $15,916,326 · Grants $9,470 · Revenue $21,155,939

As filed on the 2023 return.

Listed in Part VII

  • CLIFF HOMEIER

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1.5 + 0.25 related

  • DERREK TIBURZI

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    0.25

  • AILEE TAYLOR

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5

  • MIKE BROWN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • BILL HANKS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • RON MAEDGE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • BECKY PAINTER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.25

  • DONALD KASUBKE

    BOARD MEMBER (UNTIL 4/23)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • SUE CAMPBELL

    PRESIDENT & CEO (UNTIL 12/23)

    Total calculated
    $273,160
    From this org
    $260,898
    From related orgs
    $0
    Other
    $12,262
    Hours/week
    40 + 0.25 related

    Schedule J breakdown matched by us

    Base
    $255,052
    Bonus
    $0
    Other
    $5,846
    Deferred
    $3,944
    Nontaxable benefits
    $8,318
    Filer's total
    $273,160

  • LARRY SPOUR

    PRESIDENT & CEO

    Total calculated
    $183,688
    From this org
    $166,707
    From related orgs
    $0
    Other
    $16,981
    Hours/week
    40 + 0.25 related

    Schedule J breakdown matched by us

    Base
    $161,395
    Bonus
    $0
    Other
    $5,312
    Deferred
    $0
    Nontaxable benefits
    $16,981
    Filer's total
    $183,688

  • MICHAEL MARSHALL

    ANDERSON HEALTHCARE COO

    Total calculated
    $380,324
    From this org
    $0
    From related orgs
    $327,905
    Other
    $52,419
    Hours/week
    3.5 + 40.25 related

    Schedule J breakdown matched by us

    Base
    $0 + $322,019 related
    Bonus
    $0
    Other
    $0 + $5,886 related
    Deferred
    $0 + $23,000 related
    Nontaxable benefits
    $0 + $29,419 related
    Filer's total
    $0 + $380,324 related

  • PATRICK GARVEY

    ANDERSON HEALTHCARE CFO

    Total calculated
    $109,214
    From this org
    $0
    From related orgs
    $103,223
    Other
    $5,991
    Hours/week
    3.5 + 35.5 related

  • KEITH PAGE

    ANDERSON HEALTHCARE PRESIDENT/CEO

    Total calculated
    $670,541
    From this org
    $0
    From related orgs
    $560,441
    Other
    $110,100
    Hours/week
    3.5 + 40.25 related

    Schedule J breakdown matched by us

    Base
    $0 + $552,284 related
    Bonus
    $0
    Other
    $0 + $8,157 related
    Deferred
    $0 + $89,703 related
    Nontaxable benefits
    $0 + $20,397 related
    Filer's total
    $0 + $670,541 related

  • JOSH BUSCHLING

    PHYSICIAN

    Total calculated
    $281,437
    From this org
    $265,393
    From related orgs
    $0
    Other
    $16,044
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $259,994
    Bonus
    $0
    Other
    $5,399
    Deferred
    $7,726
    Nontaxable benefits
    $8,318
    Filer's total
    $281,437

  • TIFFANY SPUDICH

    PHARMACY MANAGER

    Total calculated
    $144,669
    From this org
    $122,904
    From related orgs
    $0
    Other
    $21,765
    Hours/week
    40

  • MELISSA OSTENDORF

    SPECIALTY CARE RN

    Total calculated
    $177,771
    From this org
    $149,494
    From related orgs
    $0
    Other
    $28,277
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $149,494
    Bonus
    $0
    Other
    $0
    Deferred
    $1,588
    Nontaxable benefits
    $26,689
    Filer's total
    $177,771

  • ROBIN PRUDEN

    SPECIALTY CARE RN

    Total calculated
    $114,556
    From this org
    $101,872
    From related orgs
    $0
    Other
    $12,684
    Hours/week
    36

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
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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

The filer's explanations (Part III)

PART I, LINE 4B
NAME: KEITH PAGE, DESCRIPTION: 2023 ANNUAL CONTRIBUTION, CURRENT YEAR AMOUNT: $9,515. PLAN DESCRIPTION: SECTION 457(F) PLAN OF RELATED ORGANIZATION NAME: MICHAEL MARSHALL, DESCRIPTION: 2023 ANNUAL CONTRIBUTION, CURRENT YEAR AMOUNT: $12,975. PLAN DESCRIPTION: SECTION 457(F) PLAN OF RELATED ORGANIZATION

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
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202423199349316012

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