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COMMUNITY HEALTH SERVICES CORPORATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH SERVICES CORPORATION (EIN 39-1516772)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-13
IRS object ID
201443179349304354
Schema version
2013v3.0
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)
Return2014-11-13T14:11:21-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13703 OAKWOOD HILLS PARKWAYAddressLine1
CityEAU CLAIRECity
StateWIState
ZIP Code54701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391516772EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH SERVICES CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone6083263200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 S FREMONT STREETAddressLine1
CityPRAIRIE DU CHIENCity
StateWIState
ZIP Code53821ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonM CONNIE ACHENBACHPersonNm
Person TitleBOARD CHAIRPERSONPersonTitleTxt
Phone6083263200PhoneNum
Signature2014-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHOLLY POKRANDT CPAPreparerPersonNm
PTINP00449155PTIN
Phone7158323407PhoneNum
Preparation2014-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerM CONNIE ACHENBACHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 S FREMONT STREETAddressLine1
CityPRAIRIE DU CHIENCity
StateWIState
ZIP Code53821ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$9,551,443GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHSCWI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionCOMMUNITY 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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee278TotalEmployeeCnt
Total Volunteers85TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,923PYContributionsGrantsAmt
CY Contributions Grants$4,232CYContributionsGrantsAmt
PY Program Service Revenue$9,491,920PYProgramServiceRevenueAmt
CY Program Service Revenue$9,530,918CYProgramServiceRevenueAmt
PY Investment Income$13,797PYInvestmentIncomeAmt
CY Investment Income$11,493CYInvestmentIncomeAmt
PY Other Revenue$4,800PYOtherRevenueAmt
CY Other Revenue$4,800CYOtherRevenueAmt
PY Total Revenue$9,515,440PYTotalRevenueAmt
CY Total Revenue$9,551,443CYTotalRevenueAmt
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$5,979,531PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,017,194CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,486,315PYOtherExpensesAmt
CY Other Expenses$3,494,668CYOtherExpensesAmt
PY Total Expenses$9,465,846PYTotalExpensesAmt
CY Total Expenses$9,511,862CYTotalExpensesAmt
PY Revenues Less Expenses$49,594PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,581CYRevenuesLessExpensesAmt
Total Assets BOY$14,993,690TotalAssetsBOYAmt
Total Assets EOY$15,030,037TotalAssetsEOYAmt
Total Liabilities BOY$1,260,398TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,257,164TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,733,292NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,772,873NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE FOR THE ACQUISITION, CONSTRUCTION, AND OPERATION OF RETIREMENT HOMES, SKILLED NURSING FACILITIES, AND HOUSING FOR PERSONS WITH SPECIFIC NEEDS, AND THE PROVISION OF OTHER COMMUNITY SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,895,366ExpenseAmt
Revenue$8,439,555RevenueAmt
DescCOMMUNITY 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 22,548 RESIDENT DAYS AND SANNES SKOGDALEN HAD A TOTAL OF 17,012 RESIDENT DAYS DURING FISCAL YEAR 2014.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$716,652ExpenseAmt
Revenue$1,091,363RevenueAmt
DescCOMMUNITY 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 6 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
FieldValueIRS element (for citing)
Total Program Service Expenses$8,612,018TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 Required0ScheduleJRequiredInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee278EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJACQUELINE CARLEYPersonNm
Phone6086245244PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 S FREMONT STREETAddressLine1
CityPRAIRIE DU CHIENCity
StateWIState
ZIP Code53821ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MIKE DAVIS
DIRECTOR1.00Yes (X)$0$0$0
PHYLIS IVERSON
DIRECTOR1.00Yes (X)$0$0$0
KATHY LEARD
DIRECTOR1.00Yes (X)$0$0$0
CINDY STANDORF
DIRECTOR (THROUGH 11/2013)1.00Yes (X)$0$0$0
DR MARK GRUNWALD
DIRECTOR (THROUGH 7/2013)1.00Yes (X)$0$0$0
STEVE JANSEN
DIRECTOR1.00Yes (X)$0$0$0
LAVERN BIRD
DIRECTOR1.00Yes (X)$0$0$0
BILL SEXTON
DIRECTOR (THROUGH 11/2013)1.00Yes (X)$0$0$0
JULIA NELSON
DIRECTOR (THROUGH 11/2013)1.00Yes (X)$0$0$0
KATIE GARRITY
DIRECTOR (THROUGH 11/2013)1.00Yes (X)$0$0$0
MC ACHENBACH
CHAIRPERSON2.00Yes (X)$0$0$0Yes (X)
ROBERT SEVERSON
VICE CHAIRPERSON1.00Yes (X)$0$0$0Yes (X)
SARA RYAN
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JOE ATKINS
TREASURER2.00Yes (X)$0$0$0Yes (X)
BARRY METEVIA
PRESIDENT40.00$81,314$0$9,066Yes (X)
JACQUELINE CARLEY
CFO/ADMINISTRATOR40.00$82,411$0$19,843Yes (X)
MARY JO WOLCOTT
ADMINISTRATOR40.00$77,111$0$22,267Yes (X)
ALESHA ERDENBERGER
ADMINISTRATOR40.00$50,588$0$20,522Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$291,424TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$71,698TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AEGIS THERAPIES INCBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8103AddressLine1
CityFORT SMITHCity
StateTXState
ZIP Code72902ZIPCode
FieldValueIRS element (for citing)
ServicesTHERAPY SERVICESServicesDesc
Compensation$869,535CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$4,232AllOtherContributionsAmt
Total Contributions$4,232TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING HOME REVENUE623000$8,439,555$8,439,555
ELDERLY HOUSING REVENU623000$963,767$963,767
APARTMENT REVENUE623990$127,596$127,596
FieldValueIRS element (for citing)
Total Program Service Revenue$9,530,918TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,243TotalRevenueColumnAmt
Exclusion$11,243ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,800RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,800RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,800TotalRevenueColumnAmt
Exclusion$4,800ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$250OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$250OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$250TotalRevenueColumnAmt
Exclusion$250ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,551,443TotalRevenueColumnAmt
Related Or Exempt Func Income$9,530,918RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,293ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$363,120TotalAmt
Management And General$363,120ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,342,086TotalAmt
Program Services$4,147,730ProgramServicesAmt
Management And General$194,356ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,559TotalAmt
Program Services$29,559ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$855,564TotalAmt
Program Services$825,876ProgramServicesAmt
Management And General$29,688ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$426,865TotalAmt
Program Services$382,112ProgramServicesAmt
Management And General$44,753ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,540TotalAmt
Management And General$4,540ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,305TotalAmt
Management And General$17,305ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$237,292TotalAmt
Program Services$232,177ProgramServicesAmt
Management And General$5,115ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,120TotalAmt
Management And General$12,120ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$120,342TotalAmt
Management And General$120,342ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$276,693TotalAmt
Program Services$275,352ProgramServicesAmt
Management And General$1,341ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,511TotalAmt
Program Services$14,624ProgramServicesAmt
Management And General$13,887ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$72TotalAmt
Program Services$72ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$574,865TotalAmt
Program Services$574,865ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$66,114TotalAmt
Management And General$66,114ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES & PURCHASED SE$1,363,426$1,363,426
FOOD$439,383$439,383
BED ASSESSMENT$237,448$237,448
BAD DEBT EXPENSE$85,499$85,499

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$31,058TotalAmt
Program Services$3,895ProgramServicesAmt
Management And General$27,163ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,511,862TotalAmt
Program Services$8,612,018ProgramServicesAmt
Management And General$899,844ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$379,870BOYAmt
EOY$147,292EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,365,324BOYAmt
EOY$3,063,915EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$919,813BOYAmt
EOY$1,056,094EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$63,118BOYAmt
EOY$62,963EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$73,654BOYAmt
EOY$17,620EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,127,437LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,453,772LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,184,351BOYAmt
EOY$10,673,665EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,560BOYAmt
EOY$8,488EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,993,690BOYAmt
EOY$15,030,037EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$716,892BOYAmt
EOY$824,006EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$543,506BOYAmt
EOY$433,158EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,260,398BOYAmt
EOY$1,257,164EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,733,292BOYAmt
EOY$13,772,873EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,733,292BOYAmt
EOY$13,772,873EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,993,690BOYAmt
EOY$15,030,037EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$39,581ReconcilationRevenueExpnssAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,518CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,565CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,169CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,923CurrentTaxYearMinus1YearAmt
Current Tax Year$4,232CurrentTaxYearAmt
Total$32,407TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,479,390CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,335,955CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,691,609CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,491,920CurrentTaxYearMinus1YearAmt
Current Tax Year$9,530,918CurrentTaxYearAmt
Total$46,529,792TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$995CurrentTaxYearMinus2YearsAmt
Total$995TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,484,908CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,341,520CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,704,773CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,496,843CurrentTaxYearMinus1YearAmt
Current Tax Year$9,535,150CurrentTaxYearAmt
Total$46,563,194TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$46,563,194PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,101CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,597CurrentTaxYearMinus1YearAmt
Current Tax Year$16,043CurrentTaxYearAmt
Total$86,706TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,101CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,597CurrentTaxYearMinus1YearAmt
Current Tax Year$16,043CurrentTaxYearAmt
Total$86,706TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,774CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,991CurrentTaxYearMinus3YearsAmt
Total$52,765TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,505,783CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,408,219CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,722,030CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,515,440CurrentTaxYearMinus1YearAmt
Current Tax Year$9,551,193CurrentTaxYearAmt
Total$46,702,665TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99700PublicSupportCY509Pct
Public Support PY5090.99290PublicSupportPY509Pct
Investment Income CY0.00190InvestmentIncomeCYPct
Investment Income PY0.00550InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$437OtherActivitiesAmt
Total Lobbying Expenditures$437TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCOMMUNITY HEALTH SERVICES CORPORATION PAYS ANNUAL ASSOCIATION DUES TO THE WISCONSIN HEALTH CARE ASSOCIATION, INC. AND 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$354,908OtherCostOrOtherBasisAmt
Book Value$354,908BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,028,728OtherCostOrOtherBasisAmt
Depreciation$2,761,357DepreciationAmt
Book Value$9,267,371BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,743,801OtherCostOrOtherBasisAmt
Depreciation$1,692,415DepreciationAmt
Book Value$1,051,386BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,673,665TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationIN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, COMMUNITY HEALTH SERVICES CORPORATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. COMMUNITY HEALTH SERVICES CORPORATION HAS NOT RECORDED ANY ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2014 AND 2013. FEDERAL TAX RETURNS FOR THE YEARS 2011, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHERE 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 11THE 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 12CCOMMUNITY HEALTH SERVICES CORPORATION REQUIRES ITS BOARD MEMBERS TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15COMMUNITY 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 19THE 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtDirect Controlling NADirectControllingNACd
SANNES SKOGDALEN NURSING FACILITY LLC
101 SUNSHINE BLVDSOLDIERS GROVEWI54655383708039NURSING HOMEWI$3,538,682$1,599,916N/A
PRAIRIE NURSING FACILITY LLC
700 S FREMONT STPRAIRIE DU CHIENWI53821201532236NURSING HOMEWI$4,899,827$1,744,525N/A
PRAIRIE MEMORIAL HOUSING LLC
720 S FREMONT STPRAIRIE DU CHIENWI53821391516772ELDERLY HOUSINGWI$1,093,325$1,274,570N/A