FURP.ORG / PUBLIC DATA EXPLORER

COMMUNITY AND RURAL HEALTH SERVICES: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY AND RURAL HEALTH SERVICES (EIN 34-1120194)
Tax period
2024-04-01 to 2025-03-31
Filed
2025-11-10
IRS object ID
202523149349305717
Schema version
2024v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-10T15:49:40-06:00ReturnTs
Tax Period End2025-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN310800053PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK SCHAEFER HACKETT & COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114 EAST MAIN STREET SUITE 500AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45502ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341120194EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY AND RURAL HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone4193338943PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12221 HAYES AVENUEAddressLine1Txt
CityFREMONTCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43420ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH LISZAKPersonNm
Person TitleCEOPersonTitleTxt
Phone4193338943PhoneNum
Signature2025-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAPRIL CAULFIELDPreparerPersonNm
PTINP01949369PTIN
Phone9373992000PhoneNum
Preparation2025-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJOSEPH LISZAKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12221 HAYES AVENUEAddressLine1Txt
CityFREMONTCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43420ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,095,767GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FREMONTCHS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionCOMMUNITY HEALTH SERVICES WILL STRIVE TO BE THE MODEL FOR COMPREHENSIVE AND QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee144TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,859,308PYContributionsGrantsAmt
CY Contributions Grants$5,277,286CYContributionsGrantsAmt
PY Program Service Revenue$6,682,394PYProgramServiceRevenueAmt
CY Program Service Revenue$6,280,823CYProgramServiceRevenueAmt
PY Investment Income$261,043PYInvestmentIncomeAmt
CY Investment Income$380,716CYInvestmentIncomeAmt
PY Other Revenue$99,983PYOtherRevenueAmt
CY Other Revenue$156,942CYOtherRevenueAmt
PY Total Revenue$12,902,728PYTotalRevenueAmt
CY Total Revenue$12,095,767CYTotalRevenueAmt
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$8,351,929PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,018,805CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,297,437PYOtherExpensesAmt
CY Other Expenses$3,367,881CYOtherExpensesAmt
PY Total Expenses$11,649,366PYTotalExpensesAmt
CY Total Expenses$11,386,686CYTotalExpensesAmt
PY Revenues Less Expenses$1,253,362PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$709,081CYRevenuesLessExpensesAmt
Total Assets BOY$19,048,703TotalAssetsBOYAmt
Total Assets EOY$19,703,364TotalAssetsEOYAmt
Total Liabilities BOY$677,778TotalLiabilitiesBOYAmt
Total Liabilities EOY$623,358TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,370,925NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,080,006NetAssetsOrFundBalancesEOYAmt
MissionCOMMUNITY HEALTH SERVICES WILL STRIVE TO BE THE MODEL FOR COMPREHENSIVE AND QUALITY HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,402,595ExpenseAmt
Revenue$6,457,765RevenueAmt
DescCOMMUNITY HEALTH SERVICES OFFERS A FULL SPECTRUM OF HEALTH CARE SERVICES PROVIDED BY PHYSICIANS, ADVANCED PRACTITIONERS, DENTISTS, COUNSELORS, AND OTHER HEALTH CARE PROFESSIONALS WHO ARE DEDICATED TO MEETING THE HIGHEST STANDARDS OF CARE.Desc
Total Program Service Expenses$8,402,595TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee144EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 CommitteesYes (1)MinutesOfCommitteesInd
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 Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonASHLEY GAMBLEPersonNm
Phone4193348943PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12221 HAYES AVENUEAddressLine1Txt
CityFREMONTCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43420ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
JOSEPH LISZAK
CEO40.00Yes (X)$340,947$0$33,204
ASHLEY GAMBLE
CFO40.00Yes (X)$166,353$0$11,559
JENNIFER BECKER
DENTAL DIRECTOR24.00$174,235$0$0Yes (X)
KEEDRICK CRAPP
DENTIST40.00$179,911$0$5,862Yes (X)
SAMANTHA BROOKE LINDSEY-HOSSLER
DENTIST40.00$179,539$0$13,098Yes (X)
YASMIN PIRZADA
PHYSICIAN32.00$180,707$0$13,027Yes (X)
AARTI CHELLIAH
PHYSICIAN35.00$201,576$0$13,977Yes (X)
JESSICA HATALA YATSONSKY
DENTIST40.00$176,931$0$8,153Yes (X)
MORGAN STANLEY
CHAIR1.00Yes (X)$0$0$0Yes (X)
COURTNEY COMBS
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
TIM BUIT
TREASURER (ENDED JULY '24)1.00Yes (X)$0$0$0Yes (X)
IRMA CELESTINO
BOARD MEMBER1.00$0$0$0Yes (X)
JOSE SALINAS
BOARD MEMBER1.00$0$0$0Yes (X)
ZESTA JOHNSON
BOARD MEMBER1.00$0$0$0Yes (X)1.00
ANN WISE
BOARD MEMBER1.00$0$0$0Yes (X)1.00
DAVID O'NEAL
BOARD MEMBER1.00$0$0$0Yes (X)
MARK ADAMS
BOARD MEMBER1.00$0$0$0Yes (X)
JIM ELLIS
BOARD MEMBER1.00$0$0$0Yes (X)1.00
DELORES BUREL
BOARD MEMBER1.00$0$0$0Yes (X)
MARK EGBERT
BOARD MEMBER (ENDED OCT. '24)1.00$0$0$0Yes (X)1.00
JULIE MAYLE
BOARD MEMBER1.00$0$0$0Yes (X)
TONY WALKER
BOARD MEMBER (STARTING DEC. '24)1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,600,199TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$98,880TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
JANOTTA & HERNER INC
309 MONROE STMONROEVILLEOH44847CONSTRUCTION SERVICES$439,039
BENCO DENTAL
PO BOX 731372DALLASTX753971372DENTAL SUPPLIES$291,098
ECLINICAL WORKS
2 TECHNOLOGY DRIVEWESTBOROUGHMA01581EHR SOFTWARE AND PRACTICE MANAGEMENT SOL$211,913
CHARTER COMMUNICATIONS
400 WASHINGTON BLVDSTAMFORDCT06902INTERNET AND WIFI SERVICES$132,297
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$5,175,829GovernmentGrantsAmt
All Other Contributions$101,457AllOtherContributionsAmt
Total Contributions$5,277,286TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$4,897,512$4,897,512
PHARMACY REVENUE456110$1,095,600$1,095,600
VALUE BASED REIMBURSEMENT900099$287,711$287,711
FieldValueIRS element (for citing)
Total Program Service Revenue$6,280,823TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$360,716TotalRevenueColumnAmt
Exclusion$360,716ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$29,107RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$29,107RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,107TotalRevenueColumnAmt
Related Or Exempt Func Income$29,107RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$20,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$20,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,000TotalRevenueColumnAmt
Related Or Exempt Func Income$20,000RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business621110BusinessCd
Total Revenue Column$127,835TotalRevenueColumnAmt
Related Or Exempt Func Income$127,835RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$127,835OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,095,767TotalRevenueColumnAmt
Related Or Exempt Func Income$6,457,765RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$360,716ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$726,298TotalAmt
Program Services$139,388ProgramServicesAmt
Management And General$586,910ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,186,430TotalAmt
Program Services$4,873,820ProgramServicesAmt
Management And General$1,312,610ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$140,304TotalAmt
Management And General$140,304ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$444,944TotalAmt
Program Services$327,520ProgramServicesAmt
Management And General$117,424ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$520,829TotalAmt
Program Services$390,090ProgramServicesAmt
Management And General$130,739ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$49,454TotalAmt
Program Services$36,099ProgramServicesAmt
Management And General$13,355ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,000TotalAmt
Program Services$19,708ProgramServicesAmt
Management And General$7,292ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,014,551TotalAmt
Program Services$958,631ProgramServicesAmt
Management And General$55,920ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$28,738TotalAmt
Program Services$1,725ProgramServicesAmt
Management And General$27,013ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$243,260TotalAmt
Program Services$56,693ProgramServicesAmt
Management And General$186,567ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$525,517TotalAmt
Program Services$418,570ProgramServicesAmt
Management And General$106,947ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$319,871TotalAmt
Program Services$252,546ProgramServicesAmt
Management And General$67,325ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$167,204TotalAmt
Program Services$103,098ProgramServicesAmt
Management And General$64,106ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$398,426TotalAmt
Program Services$330,694ProgramServicesAmt
Management And General$67,732ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$57,402TotalAmt
Program Services$47,644ProgramServicesAmt
Management And General$9,758ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL & DENTAL SUPPLI$318,767$316,647$2,120
REPAIRS AND MAINTENANCE$174,677$123,255$51,422
DUES AND SUBSCRIPTIONS$42,529$5,982$36,547
MISCELLANEOUS$485$485

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,386,686TotalAmt
Program Services$8,402,595ProgramServicesAmt
Management And General$2,984,091ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,784,093BOYAmt
EOY$2,460,368EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,342,466BOYAmt
EOY$7,654,730EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,059BOYAmt
EOY$31,587EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$637,465BOYAmt
EOY$433,181EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$156,025BOYAmt
EOY$94,341EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,352,106LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,334,808LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,921,228BOYAmt
EOY$9,017,298EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$151,367BOYAmt
EOY$11,859EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,048,703BOYAmt
EOY$19,703,364EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$526,411BOYAmt
EOY$611,499EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$151,367BOYAmt
EOY$11,859EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$677,778BOYAmt
EOY$623,358EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,370,925BOYAmt
EOY$19,080,006EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,370,925BOYAmt
EOY$19,080,006EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,048,703BOYAmt
EOY$19,703,364EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$709,081ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,607,868CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,402,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,416,248CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,859,308CurrentTaxYearMinus1YearAmt
Current Tax Year$5,277,286CurrentTaxYearAmt
Total$35,563,418TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,607,868CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,402,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,416,248CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,859,308CurrentTaxYearMinus1YearAmt
Current Tax Year$5,277,286CurrentTaxYearAmt
Total$35,563,418TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$35,563,418PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,843CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,139CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,956CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$270,039CurrentTaxYearMinus1YearAmt
Current Tax Year$360,716CurrentTaxYearAmt
Total$671,693TotalAmt
FieldValueIRS element (for citing)
Total Support$36,235,111TotalSupportAmt
Gross Receipts Rltd Activities$16,088,557GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98150PublicSupportCY170Pct
Public Support PY1700.98380PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$708,174OtherCostOrOtherBasisAmt
Book Value$708,174BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,290,610OtherCostOrOtherBasisAmt
Depreciation$2,290,259DepreciationAmt
Book Value$8,000,351BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,106OtherCostOrOtherBasisAmt
Depreciation$16,106DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,337,216OtherCostOrOtherBasisAmt
Depreciation$1,028,443DepreciationAmt
Book Value$308,773BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,017,298TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRIGHT-OF-USE LIABILITYDesc
Amt$11,859Amt
FieldValueIRS element (for citing)
Total Liability$11,859TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,095,767TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$12,095,767RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,095,767TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,386,686TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,386,686ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,386,686TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationCOMMUNITY AND RURAL HEALTH SERVICES, INC. IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO COMMUNITY AND RURAL HEALTH SERVICES, INC.'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. COMMUNITY AND RURAL HEALTH SERVICES, INC.'S REPORTING RETURNS ARE SUBJECT TO AUDIT BY FEDERAL AND STATE TAXING AUTHORITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH LISZAK
CEO$278,296$0$62,651$0$0$0$10,334$0$22,870$0$374,151$0$0$0
ASHLEY GAMBLE
CFO$140,592$0$25,761$0$0$0$5,697$0$5,862$0$177,912$0$0$0
JENNIFER BECKER
DENTAL DIRECTOR$160,395$0$13,840$0$0$0$0$0$0$0$174,235$0$0$0
KEEDRICK CRAPP
DENTIST$179,586$0$325$0$0$0$0$0$5,862$0$185,773$0$0$0
SAMANTHA BROOKE LINDSEY-HOSSLER
DENTIST$179,214$0$325$0$0$0$7,236$0$5,862$0$192,637$0$0$0
YASMIN PIRZADA
PHYSICIAN$180,307$0$400$0$0$0$7,165$0$5,862$0$193,734$0$0$0
AARTI CHELLIAH
PHYSICIAN$201,176$0$400$0$0$0$8,115$0$5,862$0$215,553$0$0$0
JESSICA HATALA YATSONSKY
DENTIST$176,606$0$325$0$0$0$2,458$0$5,695$0$185,084$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B990 DRAFT RETURNS ARE PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICIES ARE SIGNED ANNUALLY BY BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15WAGES ARE REVIEWED AND APPROVED BY THE BOARD BASED UPON EDUCATION, YEARS OF EXPERIENCE, AND THE MARKETPLACE, WHICH CONSISTS OF OTHER HEALTH CENTERS IN THE REGION.
FORM 990, PART VI, SECTION C, LINE 18THE RETURN IS KEPT IN THE CORPORATE FINANCIAL FILES, AND IS AVAILABLE UPON REQUEST. THE 990 IS ALSO AVAILABLE VIA THE INTERNET ON GUIDESTAR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES AVAILABLE ALL DOCUMENTS AS REQUIRED BY LAW.
PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY AND RURAL HEALTH SERVICES FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12221 HAYES AVEAddressLine1Txt
CityFREMONTCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43420ZIPCd
FieldValueIRS element (for citing)
EIN341626761EIN
Primary ActivitiesTO HOLD HEALTHCARE FACILITIES FOR COMMUNITY & RURAL HEALTH SERVICES.PrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12C, III-FIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd