COMMUNITY HEALTH SERVICES CORPORATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY HEALTH SERVICES CORPORATION (EIN 39-1516772)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-11
IRS object ID: 202321319349302527
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-11T09:52:19-05:00	ReturnTs
Tax Period End	2022-06-30	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	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	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	6083268471	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 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	DR MARK GRUNWALD	PersonNm
Person Title	CHAIRPERSON	PersonTitleTxt
Phone	6083268471	PhoneNum
Signature	2023-04-26	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DR	PersonFirstNm
Person Last	MARK GRUNWALD	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2023-04-26	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	DR MARK GRUNWALD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 S FREMONT STREET	AddressLine1Txt
City	PRAIRIE DU CHIEN	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53821	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,275,155	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, MAINTENANCE, AND OPERATION OF SKILLED NURSING, ASSISTED LIVING, AND INDEPENDENT LIVING FACILITIES AND PROVIDE SERVICES NECESSARY TO ENHANCE OUR RESIDENTS/TENANTS EXPERIENCE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	135	TotalEmployeeCnt
Total Volunteers	9	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,345,595	PYContributionsGrantsAmt
CY Contributions Grants	$143,297	CYContributionsGrantsAmt
PY Program Service Revenue	$6,946,466	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,077,354	CYProgramServiceRevenueAmt
PY Investment Income	$26,102	PYInvestmentIncomeAmt
CY Investment Income	$29,798	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$24,706	CYOtherRevenueAmt
PY Total Revenue	$8,318,163	PYTotalRevenueAmt
CY Total Revenue	$7,275,155	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	$5,012,114	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,592,693	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,119,812	PYOtherExpensesAmt
CY Other Expenses	$3,035,821	CYOtherExpensesAmt
PY Total Expenses	$8,131,926	PYTotalExpensesAmt
CY Total Expenses	$7,628,514	CYTotalExpensesAmt
PY Revenues Less Expenses	$186,237	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$353,359	CYRevenuesLessExpensesAmt
Total Assets BOY	$14,559,175	TotalAssetsBOYAmt
Total Assets EOY	$14,172,835	TotalAssetsEOYAmt
Total Liabilities BOY	$855,913	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$822,932	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$13,703,262	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$13,349,903	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	$4,959,255	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$5,326,945	RevenueAmt
Desc	COMMUNITY HEALTH SERVICES CORPORATION OPERATES ONE SKILLED NURSING FACILITY. PRAIRIE NURSING FACILITY, LLC (PRAIRIE MAISON) IS A 50-BED FACILITY LOCATED IN PRAIRIE DU CHIEN, WISCONSIN. THIS FACILITY OFFERS 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 18,726 RESIDENT DAYS FOR THE YEAR THROUGH DECEMBER 31, 2021. AS AN EXTENSION OF SERVING THE NEEDS OF SENIORS IN THE LOCAL COMMUNITIES, THE NURSING FACILITY 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	$1,693,120	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,775,115	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 20 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 SUNROOM 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	$6,652,375	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	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	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
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 With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
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	Yes (1)	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	14	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	135	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
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CIERRA SNITKER	PersonNm
Phone	6083263200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 S FREMONT STREET	AddressLine1Txt
City	PRAIRIE DU CHIEN	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53821	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
DR MARK GRUNWALD
CHAIRPERSON/TRUSTEE	2.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT SEVERSON
VICE CHAIRSPERSON	1.00	Yes (X)	Yes (X)	$0	$0	$0
BRAD BERTHIAUME
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
DR JOYCE CZAJKOWSKI
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
JOE FRIAR
TRUSTEE	1.00	Yes (X)		$0	$0	$0
STEVE JANSEN
TRUSTEE (THRU OCT)	1.00	Yes (X)		$0	$0	$0
ILLENE OLSON
TRUSTEE	1.00	Yes (X)		$0	$0	$0
LYNN SCHRECK
TRUSTEE	1.00	Yes (X)		$0	$0	$0
CASEY ZIMPAL
TRUSTEE	1.00	Yes (X)		$0	$0	$0
RITA MOORE
MANAGING DIRECTOR/N.H. ADMINISTRATOR	45.00		Yes (X)	$119,544	$0	$6,981
DANA COTA
ASSISTED LIVING ADMINISTRATOR	45.00		Yes (X)	$84,289	$0	$5,954

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$203,833	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$12,935	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MJ CARE
PO BOX 6584	CAROL STREAM	IL	60197	THERAPY	$328,276
PRIME TIME HEALTHCARE
PO BOX 3544	OMAHA	NE	68103	CONTRACTED NURSING	$206,342
WIPFLI
1000 W INNOVATION DR SUITE 250	MILWAUKEE	WI	53226	CONTRACTED ADMINISTRATION	$136,363

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Government Grants	$143,297	GovernmentGrantsAmt
Total Contributions	$143,297	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING HOME REVENUE	623000	$5,191,250	$5,191,250
ELDERLY HOUSING REVENU	623000	$1,726,293	$1,726,293
APARTMENT REVENUE	623990	$159,811	$159,811

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,077,354	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,298	TotalRevenueColumnAmt
Exclusion	$24,298	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$5,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$5,500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,500	TotalRevenueColumnAmt
Exclusion	$5,500	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	BAD DEBT RECOVERIES	Desc
Business	900999	BusinessCd
Total Revenue Column	$24,706	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,706	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$24,706	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,275,155	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,102,060	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$29,798	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$236,141	TotalAmt
Management And General	$236,141	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,484,792	TotalAmt
Program Services	$3,207,320	ProgramServicesAmt
Management And General	$277,472	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$19,508	TotalAmt
Program Services	$18,827	ProgramServicesAmt
Management And General	$681	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$573,669	TotalAmt
Program Services	$506,025	ProgramServicesAmt
Management And General	$67,644	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$278,583	TotalAmt
Program Services	$241,005	ProgramServicesAmt
Management And General	$37,578	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,328	TotalAmt
Management And General	$6,328	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$35,775	TotalAmt
Management And General	$35,775	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$652,447	TotalAmt
Program Services	$586,508	ProgramServicesAmt
Management And General	$65,939	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,575	TotalAmt
Management And General	$8,575	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,966	TotalAmt
Program Services	$22,953	ProgramServicesAmt
Management And General	$12,013	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$205,525	TotalAmt
Program Services	$197,482	ProgramServicesAmt
Management And General	$8,043	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$24,713	TotalAmt
Program Services	$11,628	ProgramServicesAmt
Management And General	$13,085	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$509,940	TotalAmt
Program Services	$478,732	ProgramServicesAmt
Management And General	$31,208	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$81,779	TotalAmt
Management And General	$81,779	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$713,666	$683,891	$29,775
FOOD	$293,556	$293,556
HRSA FUND PAYMENT	$225,000	$225,000
BED ASSESSMENT	$111,520	$111,520

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$132,031	TotalAmt
Program Services	$67,928	ProgramServicesAmt
Management And General	$64,103	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,628,514	TotalAmt
Program Services	$6,652,375	ProgramServicesAmt
Management And General	$976,139	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,491,916	BOYAmt
EOY	$1,427,562	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,533,693	BOYAmt
EOY	$3,521,785	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$411,138	BOYAmt
EOY	$409,085	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,976	BOYAmt
EOY	$15,517	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$15,526,345	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,739,806	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$9,087,105	BOYAmt
EOY	$8,786,539	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,347	BOYAmt
EOY	$12,347	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,559,175	BOYAmt
EOY	$14,172,835	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$754,903	BOYAmt
EOY	$580,352	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$84,368	BOYAmt
EOY	$225,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$16,642	BOYAmt
EOY	$17,580	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$855,913	BOYAmt
EOY	$822,932	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,703,262	BOYAmt
EOY	$13,349,903	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$13,703,262	BOYAmt
EOY	$13,349,903	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,559,175	BOYAmt
EOY	$14,172,835	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$353,359	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	$1,721	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year	$1,345,595	CurrentTaxYearMinus1YearAmt
Current Tax Year	$143,297	CurrentTaxYearAmt
Total	$1,491,613	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,224,254	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,944,838	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,190,489	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,946,466	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,077,354	CurrentTaxYearAmt
Total	$36,383,401	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,225,975	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,945,838	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,190,489	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,292,061	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,220,651	CurrentTaxYearAmt
Total	$37,875,014	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)
Current Tax Year Minus2 Years	$314,434	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$591,180	CurrentTaxYearMinus1YearAmt
Current Tax Year	$922,080	CurrentTaxYearAmt
Total	$1,827,694	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$314,434	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$591,180	CurrentTaxYearMinus1YearAmt
Current Tax Year	$922,080	CurrentTaxYearAmt
Total	$1,827,694	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$36,047,320	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,679	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,150	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$43,097	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,102	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,298	CurrentTaxYearAmt
Total	$114,326	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,679	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,150	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$43,097	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,102	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,298	CurrentTaxYearAmt
Total	$114,326	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year	$24,706	CurrentTaxYearAmt
Total	$24,706	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,229,654	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,962,988	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,233,586	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,318,163	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,269,655	CurrentTaxYearAmt
Total	$38,014,046	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.94830	PublicSupportCY509Pct
Public Support PY509	0.97550	PublicSupportPY509Pct
Investment Income CY	0.00300	InvestmentIncomeCYPct
Investment Income PY	0.00230	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$706	OtherActivitiesAmt
Total Lobbying Expenditures	$706	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 AND WISCONSIN HEALTH CARE ASSOCIATION. 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

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$334,462	OtherCostOrOtherBasisAmt
Book Value	$334,462	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,497,737	OtherCostOrOtherBasisAmt
Depreciation	$4,769,055	DepreciationAmt
Book Value	$7,728,682	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,694,146	OtherCostOrOtherBasisAmt
Depreciation	$1,970,751	DepreciationAmt
Book Value	$723,395	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$8,786,539	TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, LINE 2B:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION COLLECTS SECURITY DEPOSITS FROM THEIR RESIDENTS WHEN THEY MOVE IN. THE DEPOSIT WILL BE HELD UNTIL THE RESIDENT MOVES OUT. A FULL REFUND WILL BE GIVEN AFTER MOVING OUT PER THE EXCEPTION OF FEES FOR CLEANING.	ExplanationTxt

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 11B	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 MANAGING DIRECTOR 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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PRAIRIE NURSING FACILITY LLC
700 S FREMONT ST	PRAIRIE DU CHIEN	WI	53821	201532236	NURSING HOME	WI	$5,338,035	$1,297,288	COMMUNITY HEALTH SERVICES CORPORATION
PRAIRIE MEMORIAL HOUSING LLC
720 S FREMONT ST	PRAIRIE DU CHIEN	WI	53821	391516772	ELDERLY HOUSING	WI	$1,902,186	$2,626,993	COMMUNITY HEALTH SERVICES CORPORATION

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HEALTH SERVICES FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	720 FREMONT ST	AddressLine1Txt
City	PRAIRIE DU CHIEN	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53821	ZIPCd

Field	Value	IRS element (for citing)
EIN	814044374	EIN
Primary Activities	FOUNDATION	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HEALTH SERVICES CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd