2025-11-10T15:49:40-06:00 2025-03-31 310800053 CLARK SCHAEFER HACKETT & CO 14 EAST MAIN STREET SUITE 500 SPRINGFIELD OH 45502 990 2024-04-01 341120194 COMMUNITY AND RURAL HEALTH SERVICES INC COMM 4193338943 2221 HAYES AVENUE FREMONT OH 43420 JOSEPH LISZAK CEO 4193338943 2025-11-10 1 0 APRIL CAULFIELD P01949369 9373992000 2025-11-10 2024 2025-03-06 01:10:19Z COMMUNITY HEALTH SERVICES JOSEPH LISZAK 2221 HAYES AVENUE FREMONT OH 43420 12095767 0 X WWW.FREMONTCHS.COM X 1972 OH COMMUNITY HEALTH SERVICES WILL STRIVE TO BE THE MODEL FOR COMPREHENSIVE AND QUALITY HEALTH CARE. 12 12 144 14 0 0 5859308 5277286 6682394 6280823 261043 380716 99983 156942 12902728 12095767 0 0 0 0 8351929 8018805 0 0 0 3297437 3367881 11649366 11386686 1253362 709081 19048703 19703364 677778 623358 18370925 19080006 COMMUNITY HEALTH SERVICES WILL STRIVE TO BE THE MODEL FOR COMPREHENSIVE AND QUALITY HEALTH CARE. 0 0 8402595 6457765 COMMUNITY 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. 8402595 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 1 144 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X ASHLEY GAMBLE 4193348943 2221 HAYES AVENUE FREMONT OH 43420 JOSEPH LISZAK CEO 40.00 X 340947 0 33204 ASHLEY GAMBLE CFO 40.00 X 166353 0 11559 JENNIFER BECKER DENTAL DIRECTOR 24.00 X 174235 0 0 KEEDRICK CRAPP DENTIST 40.00 X 179911 0 5862 SAMANTHA BROOKE LINDSEY-HOSSLER DENTIST 40.00 X 179539 0 13098 YASMIN PIRZADA PHYSICIAN 32.00 X 180707 0 13027 AARTI CHELLIAH PHYSICIAN 35.00 X 201576 0 13977 JESSICA HATALA YATSONSKY DENTIST 40.00 X 176931 0 8153 MORGAN STANLEY CHAIR 1.00 X X 0 0 0 COURTNEY COMBS VICE CHAIR 1.00 X X 0 0 0 TIM BUIT TREASURER (ENDED JULY '24) 1.00 X X 0 0 0 IRMA CELESTINO BOARD MEMBER 1.00 X 0 0 0 JOSE SALINAS BOARD MEMBER 1.00 X 0 0 0 ZESTA JOHNSON BOARD MEMBER 1.00 1.00 X 0 0 0 ANN WISE BOARD MEMBER 1.00 1.00 X 0 0 0 DAVID O'NEAL BOARD MEMBER 1.00 X 0 0 0 MARK ADAMS BOARD MEMBER 1.00 X 0 0 0 JIM ELLIS BOARD MEMBER 1.00 1.00 X 0 0 0 DELORES BUREL BOARD MEMBER 1.00 X 0 0 0 MARK EGBERT BOARD MEMBER (ENDED OCT. '24) 1.00 1.00 X 0 0 0 JULIE MAYLE BOARD MEMBER 1.00 X 0 0 0 TONY WALKER BOARD MEMBER (STARTING DEC. '24) 1.00 X 0 0 0 1600199 0 98880 19 0 1 0 JANOTTA & HERNER INC 309 MONROE ST MONROEVILLE OH 44847 CONSTRUCTION SERVICES 439039 BENCO DENTAL PO BOX 731372 DALLAS TX 753971372 DENTAL SUPPLIES 291098 ECLINICAL WORKS 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 EHR SOFTWARE AND PRACTICE MANAGEMENT SOL 211913 CHARTER COMMUNICATIONS 400 WASHINGTON BLVD STAMFORD CT 06902 INTERNET AND WIFI SERVICES 132297 4 5175829 101457 5277286 PATIENT SERVICE REVENUE 621110 4897512 4897512 PHARMACY REVENUE 456110 1095600 1095600 VALUE BASED REIMBURSEMENT 900099 287711 287711 6280823 360716 360716 29107 0 29107 29107 29107 20000 0 20000 20000 20000 MISCELLANEOUS INCOME 621110 127835 127835 127835 12095767 6457765 0 360716 726298 139388 586910 6186430 4873820 1312610 140304 140304 444944 327520 117424 520829 390090 130739 49454 36099 13355 27000 19708 7292 1014551 958631 55920 28738 1725 27013 243260 56693 186567 525517 418570 106947 319871 252546 67325 167204 103098 64106 398426 330694 67732 57402 47644 9758 MEDICAL & DENTAL SUPPLI 318767 316647 2120 REPAIRS AND MAINTENANCE 174677 123255 51422 DUES AND SUBSCRIPTIONS 42529 5982 36547 MISCELLANEOUS 485 485 11386686 8402595 2984091 0 1784093 2460368 7342466 7654730 56059 31587 637465 433181 156025 94341 12352106 3334808 8921228 9017298 151367 11859 19048703 19703364 526411 611499 151367 11859 677778 623358 X 18370925 19080006 18370925 19080006 19048703 19703364 709081 0 X X 0 1 X 1 1 1 X 8607868 8402708 7416248 5859308 5277286 35563418 8607868 8402708 7416248 5859308 5277286 35563418 35563418 8843 6139 25956 270039 360716 671693 36235111 16088557 0.98150 0.98380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 708174 708174 10290610 2290259 8000351 16106 16106 0 1337216 1028443 308773 9017298 RIGHT-OF-USE LIABILITY 11859 11859 X 12095767 0 12095767 0 12095767 11386686 0 11386686 0 11386686 PART X, LINE 2: COMMUNITY 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. X X 0 0 0 0 0 0 0 0 0 JOSEPH LISZAK CEO 278296 0 62651 0 0 0 10334 0 22870 0 374151 0 0 0 ASHLEY GAMBLE CFO 140592 0 25761 0 0 0 5697 0 5862 0 177912 0 0 0 JENNIFER BECKER DENTAL DIRECTOR 160395 0 13840 0 0 0 0 0 0 0 174235 0 0 0 KEEDRICK CRAPP DENTIST 179586 0 325 0 0 0 0 0 5862 0 185773 0 0 0 SAMANTHA BROOKE LINDSEY-HOSSLER DENTIST 179214 0 325 0 0 0 7236 0 5862 0 192637 0 0 0 YASMIN PIRZADA PHYSICIAN 180307 0 400 0 0 0 7165 0 5862 0 193734 0 0 0 AARTI CHELLIAH PHYSICIAN 201176 0 400 0 0 0 8115 0 5862 0 215553 0 0 0 JESSICA HATALA YATSONSKY DENTIST 176606 0 325 0 0 0 2458 0 5695 0 185084 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B 990 DRAFT RETURNS ARE PROVIDED TO BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICIES ARE SIGNED ANNUALLY BY BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 WAGES 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 18 THE 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 19 THE ORGANIZATION MAKES AVAILABLE ALL DOCUMENTS AS REQUIRED BY LAW. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. COMMUNITY AND RURAL HEALTH SERVICES FOUNDATION INC 2221 HAYES AVE FREMONT OH 43420 341626761 TO HOLD HEALTHCARE FACILITIES FOR COMMUNITY & RURAL HEALTH SERVICES. OH 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0