SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
COMMUNITY HEALTH CENTER OF ST MARYS
HEALTHCARE AND NATHAN LITTAUER HOSPITAL
Employer identification number

14-1660137
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 PER BY-LAW, THE COMMUNITY SERVICES SUPPORT CORPORATION ("CSSC") SHALL BE THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A PER BY-LAW, CSSC, THE SOLE MEMBER OF THE CORPORATION, SHALL HAVE THE RESERVED POWER: WRITTEN NOTICE AS TO THE APPOITNMENT AND DISCHARGE OF THE CHIEF EXECUTIVE OFFICER, AND THE APPOINTMENT OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 8B NOT APPLICABLE.
FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE ORGANIZATION'S BOARD FINANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS SELF MONITORS COMPLIANCE BY SIGNING AN ANNUAL CONFLICT OF INTEREST AND DISCLOSURE STATEMENT.
FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2C: NO CHANGE FROM PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


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