COMMUNITY HEALTH SERVICES CORPORATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH SERVICES CORPORATION (EIN 39-1516772)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-11-15
- IRS object ID
- 201623209349312417
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T15:20:44-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wipfli LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3703 Oakwood Hills Pkwy | AddressLine1Txt |
| City | Eau Claire | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391516772 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Health Services Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 6083263200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 720 S Fremont Street | AddressLine1Txt |
| City | Prairie Du Chien | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53821 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | M Connie Achenbach | PersonNm |
| Person Title | Board Chairperson | PersonTitleTxt |
| Phone | 6083263200 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DONNA NELSON CPA | PreparerPersonNm |
| PTIN | P00968978 | PTIN |
| Phone | 7158323407 | PhoneNum |
| Preparation | 2016-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | M CONNIE ACHENBACH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 720 S Fremont Street | AddressLine1Txt |
| City | Prairie Du Chien | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53821 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,598,697 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.chscwi.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY HEALTH SERVICES CORPORATION IS A COMMUNITY OWNED ORGANIZATION WHICH WAS CREATED TO OVERSEE THE ACQUISITION, CONSTRUCTION, AND OPERATION OF RETIREMENT HOMES, SKILLED NURSING FACILITIES, AND HOUSING FOR PERSONS WITH SPECIFIC NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 299 | TotalEmployeeCnt |
| Total Volunteers | 85 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,410 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,028 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,687,750 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,322,377 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,636 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,877 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,600 | PYOtherRevenueAmt |
| CY Other Revenue | $257,415 | CYOtherRevenueAmt |
| PY Total Revenue | $9,703,396 | PYTotalRevenueAmt |
| CY Total Revenue | $10,598,697 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,153,405 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,193,507 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,323,719 | PYOtherExpensesAmt |
| CY Other Expenses | $3,774,185 | CYOtherExpensesAmt |
| PY Total Expenses | $9,477,124 | PYTotalExpensesAmt |
| CY Total Expenses | $9,967,692 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $226,272 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $631,005 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,030,623 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,548,312 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,031,478 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $918,162 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,999,145 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,630,150 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO HONOR THOSE ENTRUSTED TO OUR CARE WITH A WELCOME, CLEAN, COMFORTABLE ENVIRONMENT - A PLACE THEY WANT TO BE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,012,975 | ExpenseAmt |
| Revenue | $8,869,185 | RevenueAmt |
| Desc | COMMUNITY HEALTH SERVICES CORPORATION OPERATES TWO SKILLED NURSING FACILITIES. PRAIRIE NURSING FACILITY, LLC (PRAIRIE MAISON) IS A 64-BED FACILITY LOCATED IN PRAIRIE DU CHIEN, WISCONSIN AND SANNES SKOGDALEN NURSING FACILITY, LLC (SANNES SKOGDALEN) IS A 50-BED FACILITY LOCATED IN SOLDIERS GROVE, WISCONSIN. BOTH FACILITIES OFFER AROUND-THE-CLOCK CARE FOR PERSONS WHO REQUIRE THE SERVICES OF PROFESSIONAL NURSING STAFF OR ARE UNABLE TO LIVE INDEPENDENTLY. THE NURSING STAFF INCLUDES REGISTERED AND LICENSED NURSES, AS WELL AS CERTIFIED NURSING ASSISTANTS, WORKING AS A TEAM TO PROVIDE THE HIGHEST QUALITY CLINICAL AND PERSONAL CARE. SKILLED AND INTERMEDIATE SERVICES INCLUDE CARE FOR THOSE NEEDING LONG-TERM CARE, AND THOSE NEEDING OBSERVATION BY LICENSED NURSING STAFF AND/OR PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES. SKILLED AND INTERMEDIATE RESIDENTS ADDITIONALLY ENJOY A PERSON-CENTERED ACTIVITY PROGRAM, AN EXCEPTIONAL DINING PROGRAM, AND THE SERVICES OF A LICENSED SOCIAL WORKER. PRAIRIE MAISON HAD A TOTAL OF 22,625 OF RESIDENT DAYS AND SANNES SKOGDALEN HAD A TOTAL OF 17,371 RESIDENT DAYS DURING FISCAL YEAR 2016. AS AN EXTENSION OF SERVING THE NEEDS OF SENIORS IN THE LOCAL COMMUNITIES, THE NURSING FACILITIES PREPARE MEALS TO SERVE AT A SENIOR MEAL SITE, AND SOME ARE DELIVERED TO THE HOMEBOUND. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,058,916 | ExpenseAmt |
| Revenue | $2,021,897 | RevenueAmt |
| Desc | COMMUNITY HEALTH SERVICES CORPORATION OPERATES PRAIRIE MEMORIAL HOUSING, LLC LOCATED IN PRAIRIE DU CHIEN, WISCONSIN. PRAIRIE MEMORIAL HOUSING, LLC IS AN ASSISTED LIVING FACILITY WITH 24 RESIDENTIAL CARE APARTMENT COMPLEX UNITS AND 18 COMMUNITY BASED RESIDENTIAL FACILITY UNITS. THE ASSISTED LIVING COMBINES THE CARE OF ATTENTIVE STAFF WITH A SECURE AND SOOTHING ENVIRONMENT. PRIVATE BEDROOMS ARE ARRANGED AROUND A CENTRAL DINING AREA, KITCHEN AND LIVING ROOM, WITH WIDE HALLWAYS AND ROOMS THAT ARE EASY TO RECOGNIZE AND NAVIGATE. A SECURE COURTYARD ENABLES RESIDENTS TO ENJOY FRESH AIR, GARDENS AND GRASS. SERVICES AND AMENITIES PROVIDED AT BLUFF HAVEN INCLUDE 24 HOUR NURSING CARE, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, LAUNDRY, HOUSEKEEPING, PERSON-CENTERED ACTIVITIES, NURSING ASSISTANCE, CARE PLANNING, MEDICATION MANAGEMENT, NURSE CALL SYSTEM, SECURE ENVIRONMENT, AND AN OUTDOOR ENCLOSED PATIO AREA. THOSE NEEDING SKILLED CARE CAN TRANSITION TO THE SKILLED NURSING FACILITY LOCATED IN THE SAME BUILDING.COMMUNITY HEALTH SERVICES CORPORATION ALSO OPERATES LABATISSE APARTMENTS LOCATED IN PRAIRIE DU CHIEN, WISCONSIN. LABATISSE IS DESIGNED AS AN ELDERLY HOUSING OPTION FOR THOSE 50 YEARS OF AGE AND OLDER WHO ARE CAPABLE OF INDEPENDENT LIVING. THE APARTMENTS FEATURE A SECURE ENTRY, ON-SITE COIN OPERATED LAUNDRY, AND OFF STREET ASSIGNED PARKING. THE COMMUNITY ROOM AND SUN ROOM ALLOW SPACIOUS AREAS FOR TENANTS TO SOCIALIZE AND GATHER WITH FRIENDS AND FAMILY. LABATISSE OFFERS 22 ONE BEDROOM APARTMENTS AND 2 TWO BEDROOM APARTMENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $9,071,891 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 299 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lavern Bird | PersonNm |
| Phone | 6083268471 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 720 S Fremont Street | AddressLine1Txt |
| City | Prairie Du Chien | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53821 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| Dr Mark Grunwald | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Joe Atkins | ||||||
| treasurer | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Pete Flesch | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dr Joyce Czajkowski | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| lavern bird | ||||||
| ADMINISTRATOR | 45.00 | Yes (X) | $15,601 | $0 | $1,177 | Yes (X) |
| MC Achenbach | ||||||
| CHAIRPERSON | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Mike Davis | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Sara Ryan | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| steve jansen | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALESHA ERDENBERGER | ||||||
| ADMINISTRATOR | 45.00 | $53,760 | $0 | $19,594 | Yes (X) | |
| BARRY METEVIA | ||||||
| PRESIDENT (through 3/11/16) | 45.00 | $76,905 | $0 | $8,313 | Yes (X) | |
| JACqueline CARLEY | ||||||
| CFO/ADMINISTRATOR (through 2/26/16) | 45.00 | $88,131 | $0 | $17,976 | Yes (X) | |
| MARY JO WOLCOTT | ||||||
| ADMINISTRATOR (through 9/24/15) | 45.00 | $74,252 | $0 | $6,561 | Yes (X) | |
| ROBERT SEVERSON | ||||||
| VICE CHAIRSPERSON | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $308,649 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $53,621 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Aegis Therapies Inc | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8103 | AddressLine1Txt |
| City | Fort Smith | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Physical, Occupational, and Speech Thera | ServicesDesc |
| Compensation | $615,142 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $13,028 | AllOtherContributionsAmt |
| Total Contributions | $13,028 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Nursing Home Revenue | 623000 | $8,869,185 | $8,869,185 |
| ELDERLY HOUSING REVENUE | 623000 | $1,315,443 | $1,315,443 |
| APARTMENT REVENUE | 623990 | $137,749 | $137,749 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,322,377 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,877 | TotalRevenueColumnAmt |
| Exclusion | $5,877 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,035 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,035 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,035 | TotalRevenueColumnAmt |
| Exclusion | $8,035 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE PROCEEDS | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $249,380 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $249,380 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $249,380 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,598,697 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,571,757 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,912 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,104 | TotalAmt |
| Management And General | $356,104 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,637,332 | TotalAmt |
| Program Services | $4,474,207 | ProgramServicesAmt |
| Management And General | $163,125 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,302 | TotalAmt |
| Program Services | $21,776 | ProgramServicesAmt |
| Management And General | $2,526 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772,915 | TotalAmt |
| Program Services | $741,179 | ProgramServicesAmt |
| Management And General | $31,736 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,854 | TotalAmt |
| Program Services | $364,661 | ProgramServicesAmt |
| Management And General | $38,193 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75 | TotalAmt |
| Management And General | $75 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,285 | TotalAmt |
| Management And General | $28,285 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,689 | TotalAmt |
| Management And General | $18,689 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,907 | TotalAmt |
| Management And General | $116,907 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,601 | TotalAmt |
| Management And General | $11,601 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,860 | TotalAmt |
| Program Services | $281,048 | ProgramServicesAmt |
| Management And General | $3,812 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,234 | TotalAmt |
| Program Services | $26,693 | ProgramServicesAmt |
| Management And General | $17,541 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128 | TotalAmt |
| Program Services | $128 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $587,814 | TotalAmt |
| Program Services | $587,814 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,671 | TotalAmt |
| Management And General | $65,671 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies & Purchased Se | $1,560,708 | $1,545,421 | $15,287 |
| Food | $471,811 | $471,811 | |
| Bad Debt Expense | $309,778 | $309,778 | |
| Bed Assessment | $232,560 | $232,560 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,064 | TotalAmt |
| Program Services | $14,815 | ProgramServicesAmt |
| Management And General | $26,249 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,967,692 | TotalAmt |
| Program Services | $9,071,891 | ProgramServicesAmt |
| Management And General | $895,801 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,967,692 | TotalAmt |
| Program Services | $9,071,891 | ProgramServicesAmt |
| Management And General | $895,801 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,753 | BOYAmt |
| EOY | $167,855 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,194,486 | BOYAmt |
| EOY | $2,725,783 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $922,204 | BOYAmt |
| EOY | $957,919 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,979 | BOYAmt |
| EOY | $57,470 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,855 | BOYAmt |
| EOY | $64,595 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,107,387 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,532,697 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,648,346 | BOYAmt |
| EOY | $11,574,690 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,030,623 | BOYAmt |
| EOY | $15,548,312 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $598,320 | BOYAmt |
| EOY | $696,004 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $433,158 | BOYAmt |
| EOY | $222,158 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,031,478 | BOYAmt |
| EOY | $918,162 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,999,145 | BOYAmt |
| EOY | $14,630,150 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,999,145 | BOYAmt |
| EOY | $14,630,150 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,030,623 | BOYAmt |
| EOY | $15,548,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $631,005 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,169 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,923 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,232 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,410 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,028 | CurrentTaxYearAmt |
| Total | $37,762 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,691,609 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,491,920 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,530,918 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,688,509 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,322,377 | CurrentTaxYearAmt |
| Total | $48,725,333 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $995 | CurrentTaxYearMinus4YearsAmt |
| Total | $995 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,704,773 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,496,843 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,535,150 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,691,919 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,335,405 | CurrentTaxYearAmt |
| Total | $48,764,090 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $48,764,090 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,257 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,597 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,043 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,236 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,912 | CurrentTaxYearAmt |
| Total | $78,045 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,257 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,597 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,043 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,236 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,912 | CurrentTaxYearAmt |
| Total | $78,045 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,722,030 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,515,440 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,551,193 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,704,155 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,349,317 | CurrentTaxYearAmt |
| Total | $48,842,135 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99840 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99690 | PublicSupportPY509Pct |
| Investment Income CY | 0.00160 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00180 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $792 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $792 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | COMMUNITY HEALTH SERVICES CORPORATION PAYS ANNUAL ASSOCIATION DUES TO LEADINGAGE WISCONSIN, INC. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATION MATERIALS AND STAFF TRAINING AND DEVELOPMENT. A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL INDUSTRY ENVIRONMENT. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $354,908 | InvestmentCostOrOtherBasisAmt |
| Book Value | $354,908 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $13,797,535 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $3,469,715 | DepreciationAmt |
| Book Value | $10,327,820 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,954,944 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $2,062,982 | DepreciationAmt |
| Book Value | $891,962 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,574,690 | TotalBookValueLandBuildingsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 8b | There are no committees of the Board of Directors which have authority to act on behalf of the entire governing body. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is distributed to the board of directors for review at the board meeting prior to the 990 being submitted. |
| Form 990, Part VI, Section B, line 12c | Key employee conflict of interest statements are reviewed by the executive team and Board Of Directors. Board of Director's conflict of interest statements are reviewed by the President and Board of Directors. If a conflict is deemed to exist, the member must excuse themselves from discussion and voting on the topic. |
| Form 990, Part VI, Section B, line 15 | Community Health Services Corporation's Board of Directors sets the initial salary and benefit package for the administrators and president when they are hired. Market data and comparability data are used to determine a competitive salary and benefit package. In years subsequent to initial hire, administrative personnel receive the same cost of living salary increase as the rest of Community Health Services Corporation's employees which is approved by the Board of Directors annually. |
| Form 990, Part VI, Section C, line 19 | The financial statements and governing documents are available to the public upon request. |
| Form 990, Part XI, Line 2c: Oversight of the Independent Accountant: | The board of directors of Community Health Services Corporation reviews the audited financial statements at its board meeting and is responsible for the oversight and selection of the independent accountant. The board also takes time during the presentation of the annual financial statements to meet with the independent auditors. This process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|
| Sannes Skogdalen Nursing Facility LLC | |||||||||
| 101 Sunshine Blvd | Soldiers Grove | WI | 54655 | 383708039 | Nursing Home | WI | $3,702,471 | $2,016,142 | N/A |
| Prairie Nursing Facility LLC | |||||||||
| 700 s Fremont St | Prairie Du Chien | WI | 53821 | 201532236 | Nursing Home | WI | $5,164,906 | $1,429,197 | N/A |
| Prairie Memorial Housing LLC | |||||||||
| 720 S Fremont St | Prairie Du Chien | WI | 53821 | 391516772 | Elderly Housing | WI | $1,461,196 | $1,552,831 | N/A |