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COMMUNITY HEALTH SYSTEMS INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH SYSTEMS INC (EIN 39-1919806)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-13
IRS object ID
202411349349302331
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-13T09:33:21-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1170 N RADNOR-CHESTER RD SUITE 200AddressLine1Txt
CityRADNORCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391919806EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH SYSTEMS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone6083610311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line174 ECLIPSE BOULEVARDAddressLine1Txt
CityBELOITCityNm
State AbbreviationWIStateAbbreviationCd
ZIP535116214ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN W SMITHPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone6083610311PhoneNum
Signature2024-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEPHENPersonFirstNm
Person LastSMITHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSOLOMON MARDAKHAEVPreparerPersonNm
PTINP01806552PTIN
Phone6105653930PhoneNum
Preparation2024-05-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN W SMITHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line174 ECLIPSE BOULEVARDAddressLine1Txt
CityBELOITCityNm
State AbbreviationWIStateAbbreviationCd
ZIP535116214ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,590,358GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHSOFWI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionOUR MISSION IS TO PROVIDE HEALTH AND SOCIAL SERVICES THAT WILL PROMOTE COMFORT, HEALING, AND PREVENTION OF ILLNESSES AND INJURIES. OUR SERVICES ARE CULTURALLY COMPETENT AND SENSITIVE, COMMUNITY ORIENTED, AND PROVIDED REGARDLESS OF INCOME.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee130TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,813,425PYContributionsGrantsAmt
CY Contributions Grants$4,498,647CYContributionsGrantsAmt
PY Program Service Revenue$5,585,909PYProgramServiceRevenueAmt
CY Program Service Revenue$7,040,577CYProgramServiceRevenueAmt
PY Investment Income$1,528PYInvestmentIncomeAmt
CY Investment Income$49,384CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$1,750CYOtherRevenueAmt
PY Total Revenue$10,400,862PYTotalRevenueAmt
CY Total Revenue$11,590,358CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,808,816PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,967,960CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,726,910PYOtherExpensesAmt
CY Other Expenses$4,091,987CYOtherExpensesAmt
PY Total Expenses$10,535,726PYTotalExpensesAmt
CY Total Expenses$12,059,947CYTotalExpensesAmt
PY Revenues Less Expenses-$134,864PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$469,589CYRevenuesLessExpensesAmt
Total Assets BOY$4,164,091TotalAssetsBOYAmt
Total Assets EOY$6,394,105TotalAssetsEOYAmt
Total Liabilities BOY$1,348,449TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,048,052TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,815,642NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,346,053NetAssetsOrFundBalancesEOYAmt
MissionOUR MISSION IS TO PROVIDE HEALTH AND SOCIAL SERVICES THAT WILL PROMOTE COMFORT, HEALING, AND PREVENTION OF ILLNESSES AND INJURIES. OUR SERVICES ARE CULTURALLY COMPETENT AND SENSITIVE, COMMUNITY ORIENTED, AND PROVIDED REGARDLESS OF INCOME.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,247,467ExpenseAmt
Grant$0GrantAmt
Revenue$7,040,577RevenueAmt
DescCOMMUNITY HEALTH SYSTEMS, INC. OPERATES TWO SITES AND VARIOUS OUTREACH SITES IN LOCAL SCHOOLS, OFFERING A COMPLIMENT OF MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND PSYCHIATRY SERVICES IN BELOIT AND DARLINGTON, WISCONSIN. DURING FISCAL YEAR 2023, THERE WERE 34,400 VISITS.Desc
Total Program Service Expenses$7,247,467TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee130EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEPHEN W SMITHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6083610311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line174 ECLIPSE BOULEVARDAddressLine1Txt
CityBELOITCityNm
State AbbreviationWIStateAbbreviationCd
ZIP535116214ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DR CHRIS GREENWALDT
DENTAL DIRECTOR45.00Yes (X)$167,179$0$14,999
DR TROY DOETCH
CHIEF MEDICAL OFFICER32.00Yes (X)$163,873$0$13,073
STEPHEN W SMITH
CHIEF EXECUTIVE DIRECTOR45.00$153,495$0$18,814Yes (X)
DR NEILS BADIA
DENTIST40.00$141,374$0$7,935Yes (X)
DR FARHANA HAMID-SCANLIN
NURSE PRACTITIONER40.00$127,868$0$7,481Yes (X)
DR LAURA ANDERSON
NURSE PRACTITIONER40.00$113,356$0$10,130Yes (X)
BROOKLYN TRUMPY
DIRECTOR OF COMPLIANCE, QUALITY & RISK45.00$106,674$0$7,272Yes (X)
DR KIMBERLY NESTLER
PSYCHIATRIST10.00$103,700$0$0Yes (X)
CARYN DAVIS
DIRECTOR OF FINANCE45.00$83,350$0$30,004Yes (X)
PATRICK KUELZ THRU NOV 2022
CHAIR0.50$0$0$0Yes (X)Yes (X)
KRISTIN LOEHR
CHAIR/TREASURER0.50$0$0$0Yes (X)Yes (X)
RUTH GRAY
VICE CHAIR0.50$0$0$0Yes (X)Yes (X)
DANIEL BAROLSKY
SECRETARY0.50$0$0$0Yes (X)Yes (X)
YUSUF ADAMA FROM JAN 2023
DIRECTOR0.50$0$0$0Yes (X)
JEREMY BROWN
DIRECTOR0.50$0$0$0Yes (X)
CECILIA GILLHOUSE
DIRECTOR0.50$0$0$0Yes (X)
JESSICA GONZALES FROM JUN 2023
DIRECTOR0.50$0$0$0Yes (X)
BRETT GRANT
DIRECTOR0.50$0$0$0Yes (X)
LARA HERMANN FROM DEC 2022
DIRECTOR0.50$0$0$0Yes (X)
GINNA ISUNZA THRU NOV 2022
DIRECTOR0.50$0$0$0Yes (X)
DORIS MULDER
DIRECTOR0.50$0$0$0Yes (X)
BRENDA PINSON FROM NOV 2022
DIRECTOR0.50$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,160,869TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$109,708TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OCHIN INC
1881 SW NAITO PARKWAYPORTLANDOR97201COMPUTER SOFTWARE SERVICE AND SUPPORT$315,345
WIPFLI
10000 W INNOVATION DR SUITE 250MILWAUKEEWI53226ACCOUNTING SERVICES$133,774
KLOBUCAR CONSTRUCTION COMPANY
3217 E TORTOISE LANEBELOITWI53511CONSTRUCTION SERVICES$122,569
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$4,480,150GovernmentGrantsAmt
All Other Contributions$18,497AllOtherContributionsAmt
Total Contributions$4,498,647TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621300BusinessCd
Total Revenue Column$7,005,402TotalRevenueColumnAmt
Related Or Exempt Func Income$7,005,402RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,175TotalRevenueColumnAmt
Related Or Exempt Func Income$35,175RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,040,577TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,384TotalRevenueColumnAmt
Exclusion$49,384ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,750RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,750RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,750TotalRevenueColumnAmt
Exclusion$1,750ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,590,358TotalRevenueColumnAmt
Related Or Exempt Func Income$7,040,577RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$51,134ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$555,333TotalAmt
Program Services$323,900ProgramServicesAmt
Management And General$231,433ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,877,978TotalAmt
Program Services$3,589,358ProgramServicesAmt
Management And General$2,288,620ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$91,660TotalAmt
Management And General$91,660ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$935,374TotalAmt
Program Services$421,741ProgramServicesAmt
Management And General$513,633ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$507,615TotalAmt
Program Services$312,341ProgramServicesAmt
Management And General$195,274ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,053TotalAmt
Management And General$14,053ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,825TotalAmt
Management And General$57,825ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$697,459TotalAmt
Program Services$272,094ProgramServicesAmt
Management And General$425,365ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$116,183TotalAmt
Program Services$7,607ProgramServicesAmt
Management And General$108,576ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$74,083TotalAmt
Program Services$1,624ProgramServicesAmt
Management And General$72,459ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$476,916TotalAmt
Program Services$244,010ProgramServicesAmt
Management And General$232,906ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$627,402TotalAmt
Program Services$407,160ProgramServicesAmt
Management And General$220,242ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,556TotalAmt
Program Services$12,258ProgramServicesAmt
Management And General$19,298ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$51,326TotalAmt
Program Services$25,425ProgramServicesAmt
Management And General$25,901ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$44,507TotalAmt
Program Services$44,507ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$322,989TotalAmt
Program Services$217,709ProgramServicesAmt
Management And General$105,280ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL & PHARMACY SUPP$845,411$843,693$1,718
BAD DEBT EXPENSE$465,871$465,871
EQUIPMENT$152,256$42,762$109,494
LICENSES & SUBSCRIPTION$67,515$15,407$52,108

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$46,635TotalAmt
Management And General$46,635ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,059,947TotalAmt
Program Services$7,247,467ProgramServicesAmt
Management And General$4,812,480ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$156,874BOYAmt
EOY$131,175EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,390,767BOYAmt
EOY$807,417EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$142,557BOYAmt
EOY$374,297EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$331,566BOYAmt
EOY$508,429EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$20,394BOYAmt
EOY$33,045EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$123,657BOYAmt
EOY$136,917EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,753,302LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,015,229LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,814,430BOYAmt
EOY$738,073EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$183,846BOYAmt
EOY$3,664,752EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,164,091BOYAmt
EOY$6,394,105EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$572,754BOYAmt
EOY$629,678EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,260BOYAmt
EOY$1,260EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$774,435BOYAmt
EOY$3,417,114EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,348,449BOYAmt
EOY$4,048,052EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,815,642BOYAmt
EOY$2,346,053EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,815,642BOYAmt
EOY$2,346,053EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,164,091BOYAmt
EOY$6,394,105EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$469,589ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,558,254CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,116,100CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,427,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,813,425CurrentTaxYearMinus1YearAmt
Current Tax Year$4,498,647CurrentTaxYearAmt
Total$19,413,468TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,558,254CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,116,100CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,427,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,813,425CurrentTaxYearMinus1YearAmt
Current Tax Year$4,498,647CurrentTaxYearAmt
Total$19,413,468TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$19,413,468PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,519CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,554CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,528CurrentTaxYearMinus1YearAmt
Current Tax Year$51,134CurrentTaxYearAmt
Total$104,450TotalAmt
FieldValueIRS element (for citing)
Total Support$19,517,918TotalSupportAmt
Gross Receipts Rltd Activities$25,866,134GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99460PublicSupportCY170Pct
Public Support PY1700.99680PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,020,494OtherCostOrOtherBasisAmt
Depreciation$814,850DepreciationAmt
Book Value$205,644BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,732,808OtherCostOrOtherBasisAmt
Depreciation$1,200,379DepreciationAmt
Book Value$532,429BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$738,073TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM THIRD-PARTY REIMBURSEMENT$181,214
RIGHT-OF-USE ASSETS - OPERATING$2,636,324
RIGHT-OF-USE ASSETS - FINANCE$847,214
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,664,752TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
3RD PARTY REIMBURSEMENT PAYABLE$738,880
OPERATING LEASE LIABILITY$2,678,234
FieldValueIRS element (for citing)
Total Liability$3,417,114TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$11,124,487TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$11,124,487RevenueSubtotalAmt
Other Revenues Not Included$465,871OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$465,871RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,590,358TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,594,076TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,594,076ExpensesSubtotalAmt
Other Expenses Not Included$465,871OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$465,871ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,059,947TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 465,871.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 465,871.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR CHRIS GREENWALDT
DENTAL DIRECTOR$167,179$0$0$0$0$0$6,775$0$8,224$0$182,178$0$0$0
DR TROY DOETCH
CHIEF MEDICAL OFFICER$151,583$0$0$0$12,290$0$0$0$13,073$0$176,946$0$0$0
STEPHEN W SMITH
CHIEF EXECUTIVE DIRECTOR$150,570$0$0$0$2,925$0$6,293$0$12,521$0$172,309$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHE CORPORATION'S GOVERNING BODY DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE PREPARED FORM 990 IS REVIEWED AND APPROVED BY THE MEMBERS OF THE GOVERNING BODY AND MANAGEMENT BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICTS OF INTEREST MAY INCLUDE, BUT ARE NOT LIMITED TO RELATIONSHIPS, ASSOCIATIONS, OR BUSINESS DEALINGS WITH VENDORS, SUPPLIERS, OTHER HEALTHCARE ORGANIZATIONS, OR INDIVIDUALS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMUNITY HEALTH SYSTEM, INC.'S (CHS) EXECUTIVE TEAM MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR CHS EXECUTIVE TEAM SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR CHS EXECUTIVE TEAM SHALL DETERMINE WHETHER CHS CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT ISN'T REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR CHS EXECUTIVE TEAM SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN CHS' BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. IF THE GOVERNING BOARD OR CHS EXECUTIVE TEAM HAS REASONABLE CAUSE TO BELIEVE A MEMBER/EMPLOYEE HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE BOARD MEMBER/EMPLOYEE OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE BOARD MEMBER'S/EMPLOYEE'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR CHS EXECUTIVE TEAM WILL DETERMINE IF THE BOARD MEMBER/EMPLOYEE HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AND SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
FORM 990, PART VI, SECTION B, LINE 15ON AN ANNUAL BASIS, THE CORPORATION'S HUMAN RESOURCE MANAGER PROVIDES THE MEMBERS OF THE GOVERNING BODY WITH COMPENSATION DATA FOR COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) LATEST COMPENSATION SURVEYS. THE GOVERNING BODY ALSO PERFORMS AN ANNUAL PERFORMANCE REVIEW OF THE CORPORATION'S CHIEF EXECUTIVE OFFICER. THE MEMBERS OF THE GOVERNING BODY DETERMINE AND VOTE TO APPROVE THE COMPENSATION AMOUNTS FOR THE YEAR.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE FINANCE COMMITEE AND THE FULL BOARD REVIEW AND APPROVE THE AUDIT.