PARK CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- PARK CENTER INC (EIN 35-1135451)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-10
- IRS object ID
- 202303149349304260
- Schema version
- 2022v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-10T14:15:41-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 E LAS OLAS BLVD SUITE 1100 | AddressLine1Txt |
| City | FORT LAUDERDALE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351135451 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 2603738429 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 909 E STATE BLVD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 468053404 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANNE' WICKENS | PersonNm |
| Person Title | PH CFO | PersonTitleTxt |
| Phone | 2602669313 | PhoneNum |
| Signature | 2023-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEANNE | PersonFirstNm |
| Person Last | WICKENS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRITTNEY KOCAJ | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 9542028600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICK HENVEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1450 PRODUCTION RD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46808 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $49,576,660 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | PARK CENTER, INC.'S MISSION IS TO RESTORE LIVES. BY PARTNERING WITH CONSUMERS, WE STRIVE TO SUPPORT AND FACILITATE THEIR JOURNEY TOWARD HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 417 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,335,582 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,504,843 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,304,990 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $32,323,041 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$6,674 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,639,364 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $274,370 | CYOtherRevenueAmt |
| PY Total Revenue | $38,633,898 | PYTotalRevenueAmt |
| CY Total Revenue | $45,741,618 | 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 | $21,273,103 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,192,518 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,799,544 | PYOtherExpensesAmt |
| CY Other Expenses | $17,200,780 | CYOtherExpensesAmt |
| PY Total Expenses | $36,072,647 | PYTotalExpensesAmt |
| CY Total Expenses | $43,393,298 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,561,251 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,348,320 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,282,606 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,494,855 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,494,049 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,468,696 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,788,557 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,026,159 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PARK CENTER, INC.'S MISSION IS TO RESTORE LIVES. BY PARTNERING WITH CONSUMERS, WE STRIVE TO SUPPORT AND FACILITATE THEIR JOURNEY TOWARD HEALTH.(SEE SCHEDULE O FOR CONTINUATION)PARK CENTER'S VISION IS A COMMUNITY WHERE:- BEHAVIORAL HEALTH CHALLENGES ARE NO LONGER IN THE SHADOWS,- PEOPLE WHO EXPERIENCE THE PAIN OF A BEHAVIORAL HEALTH ISSUE HAVE EASY ACCESS TO EFFECTIVE CARE,- THE BURDEN OF UNADDRESSED BEHAVIORAL HEALTH CHALLENGES NO LONGER REDUCE THE PRODUCTIVITY AND VIBRANCY OF OUR COMMUNITY, AND- PARK CENTER IS RECOGNIZED AS A VITAL CONTRIBUTOR TO THIS NEW REALITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $34,648,176 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $32,323,041 | RevenueAmt |
| Desc | PARK CENTER, INC. IS A COMMUNITY MENTAL HEALTH CENTER (CMHC) WITH OFFICES IN ALLEN, ADAMS, WELLS, HUNTINGTON AND WHITLEY COUNTIES. OUR GOAL IS TO PROVIDE QUALITY CARE AND SUPPORT TO PROMOTE WELLNESS AND HEALING FOR CLIENTS OF ALL AGES AND AT EVERY STAGE OF RECOVERY. AT PARK CENTER, WE OFFER A COMPREHENSIVE SELECTION OF SERVICES IN THE PROFESSIONAL SETTING YOU EXPECT, WHILE TAILORING TREATMENTS TO ACHIEVE THE PERSONAL CARE YOU DESERVE.DURING 2022, PARK CENTER, INC. CONTINUED IMPROVEMENT ON ACCESS FOR OUTPATIENT SERVICES BY STREAMLINING THE ASSESSMENT PROCESS BY CREATING A SPECIALIZED TEAM TO CONDUCT QUALITY AND IN-DEPTH ASSESSMENTS. WAIT(SEE SCHEDULE O FOR CONTINUATION)TIME FOR THE FIRST APPOINTMENT WENT FROM MORE THAN 10 DAYS TO AN AVERAGE OF SEVEN DAYS OR LESS. PARK CENTER, INC. ALSO CREATED WALK-IN ACCESS EVERY DAY FOR CLIENTS TO RECEIVE INTAKES OR CRISIS CARE WITHOUT WAITING. THE ASSESSMENT TEAM PROVIDED SERVICES FOR ROUTINE AND URGENT CLIENTS REDUCING PATIENTS IN LOCAL EMERGENCY DEPARTMENTS. ADDITIONALLY, PARK CENTER STARTED OVER 40 THERAPY GROUPS FOR CLIENTS REGARDING MENTAL HEALTH, TRAUMA, SUBSTANCE ABUSE AND DIALECTICAL BEHAVIOR THERAPY (DBT). PARK CENTER, INC. ALSO CREATED WALK-IN WEDNESDAYS FOR MEDICATION FOLLOW-UP APPOINTMENTS. NOT WAITING TO SEE A PRESCRIBER FOR FOLLOW-UP APPOINTMENT IN THE EVENT OF AN ISSUE HAS BEEN A CUSTOMER SATISFIER. ANOTHER ACCOMPLISHMENT IN 2022, WAS THE EXPANSION OF THE SOS TEAM TO A WELL-ROUNDED MOBILE INTERVENTION TEAM ADDRESSING A WIDE VARIETY OF CRISES INCLUDING SUICIDE. OUR TEAM OF LICENSED SOCIAL WORKERS, MENTAL HEALTH COUNSELORS, MARRIAGE AND FAMILY THERAPISTS, ADDICTION COUNSELORS, PSYCHIATRISTS, PHYSICIAN ASSISTANTS, ADVANCED NURSES AND PSYCHOLOGISTS ARE UNIQUELY QUALIFIED TO ADDRESS BEHAVIORAL HEALTH NEEDS. PARK CENTER, INC. OFFERS SPECIALIZED SERVICES IN EARLY CHILDHOOD MENTAL HEALTH, DIALECTAL BEHAVIORAL THERAPY (DBT), MEDICALLY ASSISTED TREATMENT (MAT) FOR OPIOID DISORDER, EATING DISORDERS, INTENSIVE OUTPATIENT (IOP), AND EARLY BREAK PSYCHOSIS TREATMENT. SERVICES ARE AVAILABLE TO BOTH THE CHILD AND ADULT POPULATION. DESPITE CONTINUED CHALLENGES OF THE PANDEMIC, THE ORGANIZATION CONTINUED TO PROVIDE ALL LEVELS OF CARE FOR CLIENTS UTILIZING A VARIETY OF TREATMENT METHODS TO REMOVE BARRIERS. PARK CENTER, INC. OFFERS COMMUNITY-BASED SERVICES IN ALLEN, ADAMS, HUNTINGTON, WHITLEY AND WELLS COUNTIES. THESE SERVICES ARE AVAILABLE BASED UPON AN ASSESSMENT OF NEED. OUR TEAM OF THERAPISTS AND CASEWORKERS WORK ALONGSIDE INDIVIDUALS IN THEIR HOME, SCHOOL AND COMMUNITY ENVIRONMENTS.PARK CENTER, INC. HAS A 16-BED ACUTE PSYCHIATRIC HOSPITAL FOR ADULTS LOCATED IN ALLEN COUNTY. THIS FACILITY PROVIDES SHORT-TERM STABILIZATION, ASSESSMENT, MEDICATION REVIEW AND TREATMENT PLANNING. PRIOR TO DISCHARGE, CLIENTS ARE ASSISTED WITH CREATING PLANS FOR SAFETY MANAGEMENT AND LINKING TO OTHER LESS INTENSIVE SERVICES.PARK CENTER, INC. HAS A NUMBER OF ADULT GROUP HOMES IN WHICH WE SERVE CLIENTS WITH MENTAL HEALTH AND CHEMICAL DEPENDENCY NEEDS. PARK CENTER, INC. ALSO HAS A RESIDENTIAL ADDICTIONS PROGRAM FOR INDIVIDUALS REFERRED BY THE COURT SYSTEM.PARK CENTER, INC. UTILIZES A HOSPITAL LIAISON AND A COURT LIAISON TO ASSIST CONSUMERS WITH HIGHER NEEDS. THE HOSPITAL LIAISON PROVIDES SUPPORT SERVICES TO INDIVIDUALS AT STATE OR LOCAL PSYCHIATRIC HOSPITALS. THE COURT LIAISON COLLABORATES WITH CONSUMERS, FAMILIES AND THE COURT SYSTEM WHEN THE SEVERITY OF SYMPTOMS REQUIRES EMERGENCY DETENTION, INVOLUNTARY COMMITMENTS AND GUARDIANSHIP. | Desc |
| Total Program Service Expenses | $34,648,176 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 | 0 | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 417 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEANNE' WICKENS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2602669313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1450 PRODUCTION RD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 468081167 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GREG JOHNSON | ||||||||
| DIRECTOR/PH CCIO | 0.00 | 40.00 | Yes (X) | $0 | $849,582 | $167,528 | ||
| CHARLES CLARK | ||||||||
| DIRECTOR/BHI PRESIDENT | 0.00 | 40.00 | Yes (X) | $0 | $384,458 | $101,340 | Yes (X) | |
| GARY ZWIERZYNSKI | ||||||||
| DIRECTOR/SECRETARY/TREASURER | 0.00 | 40.00 | Yes (X) | $0 | $333,894 | $87,825 | Yes (X) | |
| RICHARD ROBINSON | ||||||||
| DIRECTOR/CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $5,000 | $0 | Yes (X) | |
| JAN NES | ||||||||
| DIRECTOR/VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| THERESA BROWN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JEREMY BROWN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WENDY DAVIS | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TRAVIS FRIEND | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIM GALL | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN MANNING | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIE MEITZLER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGELA STEWART-MARTIN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL PACKNETT | ||||||||
| PH PRESIDENT & CEO | 0.00 | 40.00 | $0 | $2,602,841 | $338,299 | Yes (X) | ||
| JEANNE' WICKENS | ||||||||
| PH CHIEF FINANCIAL OFFICER | 0.00 | 40.00 | $0 | $1,264,400 | $357,767 | Yes (X) | ||
| CONNIE KERRIGAN | ||||||||
| PARKC COMM SUPPT SVCS DIR | 17.00 | 23.00 | $60,040 | $104,699 | $35,645 | Yes (X) | ||
| RODNEY GRIMES | ||||||||
| PARKC HOUSE SPV | 40.00 | 0.00 | $112,169 | $17,766 | $12,743 | Yes (X) | ||
| ELIZABETH DAY | ||||||||
| PARKC VP OPS BHI | 40.00 | 0.00 | $118,661 | $750 | $4,793 | Yes (X) | ||
| ZIPPORAH FONDO | ||||||||
| PARKC NURSE | 40.00 | 0.00 | $97,114 | $17,274 | $25,055 | Yes (X) | ||
| LORETTA GAGE | ||||||||
| PARKC NURSING SVCS MGR | 40.00 | 0.00 | $112,138 | $0 | $22,372 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $500,122 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,580,664 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,153,367 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA STREET | OMAHA | NE | 68154 | MEDICAL PERSONNEL | $2,949,528 |
| EXECUTIVE MANAGEMENT SERVICES | |||||
| PO BOX 31355 | SALT LAKE CITY | UT | 84131 | CLEANING SERVICES | $192,369 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,501 | RelatedOrganizationsAmt |
| Government Grants | $10,502,331 | GovernmentGrantsAmt |
| All Other Contributions | $11 | AllOtherContributionsAmt |
| Total Contributions | $10,504,843 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | $32,283,541 | $32,283,541 |
| INTERUNIT RENT | 531120 | $39,500 | $39,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $32,323,041 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $530,400 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $256,030 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $274,370 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,370 | TotalRevenueColumnAmt |
| Exclusion | $274,370 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,218,376 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,579,012 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,639,364 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,639,364 | TotalRevenueColumnAmt |
| Exclusion | $2,639,364 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,741,618 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,323,041 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,913,734 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,736,832 | TotalAmt |
| Program Services | $19,736,832 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,455,686 | TotalAmt |
| Program Services | $6,455,686 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,806 | TotalAmt |
| Management And General | $50,806 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,000 | TotalAmt |
| Management And General | $13,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,476,270 | TotalAmt |
| Program Services | $3,452,641 | ProgramServicesAmt |
| Management And General | $23,629 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,291,037 | TotalAmt |
| Program Services | $1,020,149 | ProgramServicesAmt |
| Management And General | $270,888 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,840,357 | TotalAmt |
| Program Services | $1,825,383 | ProgramServicesAmt |
| Management And General | $14,974 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,722 | TotalAmt |
| Program Services | $199,359 | ProgramServicesAmt |
| Management And General | $19,363 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,729 | TotalAmt |
| Program Services | $9,564 | ProgramServicesAmt |
| Management And General | $5,165 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,908 | TotalAmt |
| Program Services | $113,908 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $865,598 | TotalAmt |
| Program Services | $779,342 | ProgramServicesAmt |
| Management And General | $86,256 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,860 | TotalAmt |
| Program Services | $10,660 | ProgramServicesAmt |
| Management And General | $115,200 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| CORPORATE SERVICE ALLOC | $8,026,770 | $8,026,770 | |
| HOSPITAL ASSESSMENT FEE | $782,830 | $782,830 | |
| DUES & SUBSCRIPTIONS | $115,885 | $111,234 | $4,651 |
| MHFR ADMINISTRATIVE FEE | $112,207 | $112,207 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,801 | TotalAmt |
| Program Services | $144,964 | ProgramServicesAmt |
| Management And General | $7,837 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,393,298 | TotalAmt |
| Program Services | $34,648,176 | ProgramServicesAmt |
| Management And General | $8,745,122 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $538,075 | BOYAmt |
| EOY | $4,091,893 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,337,775 | BOYAmt |
| EOY | $651,192 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,331,229 | BOYAmt |
| EOY | $5,520,243 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,862 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,884 | BOYAmt |
| EOY | $153,510 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,097,816 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,846,000 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,934,693 | BOYAmt |
| EOY | $12,251,816 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,995,088 | BOYAmt |
| EOY | $1,826,201 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,282,606 | BOYAmt |
| EOY | $24,494,855 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,945,805 | BOYAmt |
| EOY | $1,445,709 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $608,068 | BOYAmt |
| EOY | $1,030,225 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $437,779 | BOYAmt |
| EOY | $345,722 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,502,397 | BOYAmt |
| EOY | $8,647,040 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,494,049 | BOYAmt |
| EOY | $11,468,696 | 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 | $10,788,557 | BOYAmt |
| EOY | $13,026,159 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,788,557 | BOYAmt |
| EOY | $13,026,159 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,282,606 | BOYAmt |
| EOY | $24,494,855 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,348,320 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$110,718 | OtherChangesInNetAssetsAmt |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $13,214,304 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,665,765 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,010,942 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,335,582 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,504,843 | CurrentTaxYearAmt |
| Total | $60,731,436 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,248,791 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,665,152 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,177,115 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,304,990 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,323,041 | CurrentTaxYearAmt |
| Total | $109,719,089 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,463,095 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,330,917 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,188,057 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,640,572 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,827,884 | CurrentTaxYearAmt |
| Total | $170,450,525 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $170,450,525 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,487 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,760 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $530,400 | CurrentTaxYearAmt |
| Total | $566,647 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,487 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,760 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $530,400 | CurrentTaxYearAmt |
| Total | $566,647 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,346 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $224,186 | CurrentTaxYearMinus3YearsAmt |
| Total | $290,532 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,555,928 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,564,863 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,188,057 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,640,572 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,358,284 | CurrentTaxYearAmt |
| Total | $171,307,704 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99500 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99680 | PublicSupportPY509Pct |
| Investment Income CY | 0.00330 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00030 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2018 AMOUNT: $ 66,346. 2019 AMOUNT: $ 13,908. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. DSH FEDERAL FUNDS - 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 210,278. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. | ExplanationTxt |
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 | $3,040 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,040 | 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 | OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO INDIANA COUNCIL USED FOR LOBBYING ACTIVITIES. | 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 | $1,202,234 | OtherCostOrOtherBasisAmt |
| Book Value | $1,202,234 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,985,618 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,330,897 | DepreciationAmt |
| Book Value | $9,654,721 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,950 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,649 | DepreciationAmt |
| Book Value | $23,301 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,533,227 | OtherCostOrOtherBasisAmt |
| Depreciation | $488,630 | DepreciationAmt |
| Book Value | $1,044,597 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $347,787 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,824 | DepreciationAmt |
| Book Value | $326,963 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,251,816 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESTRICTED FUND - RESIDENCES | $345,722 |
| RIGHT OF USE ASSETS | $1,455,044 |
| EST MEDICARE/MEDICAID SETTLEMENTS | $25,435 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,826,201 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY | $1,544,975 |
| EST 3RD PARTY SETTLEMENTS | $290,169 |
| NOTE PAYABLE TO PH | $3,444,058 |
| DUE TO/FROM INTERUNIT | $3,367,838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,647,040 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION IS AN AGENT FOR HELD FUNDS FOR PATIENTS' REPRESENTATIVE PAYEE ACCOUNTS. |
| PART X, LINE 2: | PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2018 AND PRIOR. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,093,030 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,093,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,755,286 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,594,596 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,160,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02670 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,957,233 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,204,914 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,752,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06340 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,805,549 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,799,510 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,006,039 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11530 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $54,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,965 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,965 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,433 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $58,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,863,982 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,799,510 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,064,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11670 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $1,355,367 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,290,249 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $65,118 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK CENTER INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1909 CAREW ST | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PARKCENTER.ORG | WebsiteAddressTxt |
| State License | 419-10-PIP | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | COMMUNITY MENTAL HEALTH CENTER | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, LINES 16A B & C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, LINES 16A B & C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, LINES 16A B & C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PARK CENTER, INC. | PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PARKVIEW HEALTH SYSTEM, INC., INCLUDING ITS AFFILIATE PARK CENTER, INC., WERE DILIGENT IN ENSURING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WAS INCLUDED, WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA. THE MAJORITY OF PARK CENTER, INC. PATIENTS ARE SERVED IN ALLEN, ADAMS, AND WELLS COUNTIES ACCORDING TO PARK CENTER, INC.'S ACTIVE CASES; THEREFORE, THE 2022 PARK CENTER CHNA PROVIDES AN OVERVIEW AND PROVIDER INPUT FROM THESE THREE SERVICE AREAS.IN GATHERING COMMUNITY INPUT, PARK CENTER, INC. OBTAINED THE FOLLOWING: 1) PRIMARY DATA COLLECTED THROUGH AN ONLINE SURVEY OF HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN EACH OF THE THREE COUNTIES THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN THESE COMMUNITIES (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.), AND 2) SECONDARY DATA COLLECTED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, INDIANA STATE DEPARTMENT OF HEALTH, ETC.).PARK CENTER SERVICE AREA PROVIDER INPUT WAS GATHERED VIA E-MAIL TO HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH AN EMBEDDED ONLINE SURVEY LINK. THE SURVEY COVERED ASPECTS OF THE PROVIDER'S WORK INCLUDING THE SETTING IN WHICH THEY PRACTICED, THE DURATION OF TIME IN PRACTICE IN THE REGION/COUNTY, AND THEIR PERCEPTION OF THE CHIEF MENTAL HEALTH-RELATED CONCERNS, BARRIERS TO CARE, AND AWARENESS OF AVAILABLE RESOURCES IN THEIR COMMUNITIES. PROVIDERS WERE NOT ASKED TO DISCLOSE THEIR SPECIFIC ORGANIZATION NAME IN ORDER TO PROTECT PARTICIPANT PRIVACY. A TOTAL OF 154 PROVIDERS RESPONDED TO THE SURVEY. MOST RESPONDENTS PRACTICED IN ALLEN COUNTY (55.2%), FOLLOWED BY ADAMS COUNTY (30.5%). RESPONDENTS WERE PRIMARILY FEMALE (72.7%), WHITE (83.8%), AND NON-HISPANIC (89.6%). THE SURVEY INCLUDED RESPONSES FROM MENTAL/BEHAVIORAL HEALTH PROVIDERS, SOCIAL WORKERS/CASE MANAGERS, REGISTERED NURSES, OTHER HEALTHCARE PROVIDERS, PUBLIC SECTOR WORKERS, EDUCATORS, COMMUNITY/SOCIAL SERVICE PROVIDERS, PHYSICIANS, PHYSICIAN'S ASSISTANTS, AND PUBLIC HEALTH/COMMUNITY HEALTH WORKERS.PARK CENTER, INC. HELD A MEETING ON OCTOBER 14, 2022, TO ENGAGE THE LEADERS AND BOARD MEMBERS IN THE PRIORITIZATION PROCESS. THE 11 ATTENDEES INCLUDED ADMINISTRATORS AND BOARD MEMBERS. ADDITIONALLY, FIVE RESEARCH AND COMMUNITY HEALTH IMPROVEMENT (CHI) TEAM MEMBERS WERE PRESENT TO FACILITATE THE SESSION; HOWEVER, THESE TEAM MEMBERS WERE NON-VOTING ATTENDEES. SURVEY DATA COLLECTION METHODS WERE EXPLAINED, AND THE SIX ISSUES WITH THE HIGHEST ENDORSEMENT AS A MENTAL HEALTH CONCERN WERE PRESENTED VIA SLIDES. THE GROUP OF STAKEHOLDERS DECIDED TO ADAPT THE SUBCATEGORIES BASED ON CURRENT TRENDS IN THE MENTAL HEALTH FIELD. ATTENDEES USED MENTIMETER, AN ANONYMOUS, SYNCHRONOUS POLLING SYSTEM, TO SCORE EACH HEALTH CONCERN USING FOUR CRITERIA: (1) SIGNIFICANCE OF THE HEALTH PROBLEM (I.E., HOW MANY PEOPLE ARE AFFECTED?); (2) SEVERITY OF THE HEALTH PROBLEM (I.E., HOW LIKELY IS IT TO LIMIT LENGTH AND QUALITY OF LIFE?); (3) SUITABILITY FOR A STRATEGIC INTERVENTION (I.E., CAN PARKVIEW ADDRESS THE PROBLEM?; AND (4) SDOH (I.E., DO SOCIAL DETERMINANTS OF HEALTH DRIVE HEALTH DISPARITIES IN RATES AND OUTCOMES?). FOR EACH HEALTH CONCERN, PARTICIPANTS WERE ASKED TO SCORE EACH CRITERION ON A SCALE OF 1 (VERY LITTLE) TO 10 (VERY MUCH). ONCE ALL SIX HEALTH CONCERNS WERE VOTED ON IN THE FIRST ROUND, THEIR OVERALL COMBINED SCORES ACROSS THE FOUR CRITERIA WERE COMPUTED, AND FIVE MENTAL HEALTH CONCERNS WERE THEN RANKED AGAIN AND DISCUSSED USING A CHATHAM HOUSE RULE CONDITION (WHEREBY THE GROUP AGREES THAT THE IDENTITY OF THE SPEAKER SHOULD REMAIN ANONYMOUS) AND A "PRO, CON, CON, PRO" DISCUSSION FORMAT TO ENCOURAGE BOTH SUPPORTIVE AND OPPOSITIONAL VIEWS TO BE PRESENTED FOR EACH HEALTH CONCERN. A LARGE-GROUP DISCUSSION ENSUED AROUND THE FIVE MENTAL HEALTH ISSUES, AND ATTENDEES WERE THEN ASKED TO VOTE AGAIN TO RANK THE FIVE HEALTH CONCERNS IN TERMS OF THEIR TOP PRIORITIES FOR PARK CENTER, INC. MOOD DISORDERS (CHILD/ADOLESCENT DEPRESSION), CHILDHOOD TRAUMA, AND SUBSTANCE USE/ABUSE WERE SELECTED AS TOP PRIORITIES. THE NEEDS ASSESSMENT, COMMUNITY SESSION DATA AND CHI COMMITTEE RECOMMENDATIONS WERE PRESENTED TO THE PARK CENTER BOARD OF DIRECTORS IN NOVEMBER 2022. THE BOARD OF DIRECTORS VOTED TO ADOPT THE ABOVE HEALTH PRIORITY RECOMMENDATIONS AT THE BOARD MEETING. PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN ALLEN, ADAMS AND WELLS COUNTIES: PARKVIEW ADMINISTRATION, PARK CENTER BOARD, PARKVIEW BEHAVIORAL INSTITUTE ADMINISTRATION AND PARKVIEW COMMUNITY OUTREACH. |
| PARK CENTER, INC. | PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: PARKVIEW HOSPITAL, INC. (EIN 35-0868085); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). |
| PARK CENTER, INC. | PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384), THROUGH PARKVIEW'S HEALTH SERVICES AND INFORMATICS RESEARCH (HSIR) GROUP, DESIGNED AND CONDUCTED BOTH PRIMARY AND SECONDARY DATA COLLECTION AND ANALYSIS ACTIVITIES FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). HSIR EMPLOYS MULTIPLE RESEARCH STAFF, WHICH INCLUDES PHD PREPARED SCIENTISTS, USER EXPERIENCE SPECIALISTS AND PROJECT MANAGERS. AS A RESEARCH UNIT EMBEDDED IN PARKVIEW, HSIR HAS DEDICATED TIME TO SUPPORT INITIATIVES THAT REQUIRE RESEARCH SKILLS, SUCH AS THE CHNA. |
| PARK CENTER, INC. | PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:PARK CENTER, INC. PROVIDES INPATIENT AND OUTPATIENT SERVICES EXCLUSIVELY TREATING MENTAL, BEHAVIORAL AND SUBSTANCE USE AILMENTS. WITH DEDICATION TO THE MISSION PARK CENTER, INC. IS BEST EQUIPPED TO FOCUS ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS. AS SUCH, PARK CENTER'S COMMUNITY HEALTH PRIORITIES ARE MENTAL HEALTH AND SUBSTANCE USE DISORDERS.SUBSTANCE ABUSEPARK CENTER, INC. ADDRESSES SUBSTANCE ABUSE TREATMENT WITH A CONTINUUM OF SERVICES FROM INPATIENT TO OUTPATIENT SERVICES. MEDICATION ASSISTED TREATMENT FOR OPIOID USE DISORDER, OUTPATIENT TREATMENT INCLUDING INDIVIDUAL AND GROUP THERAPY, AND RESIDENTIAL SERVICES FOR SUBSTANCE ABUSE AND ALCOHOL USE AND DEPENDENCY. OUR CARE PROVIDERS INCLUDE A TEAM OF BOARD-CERTIFIED ADDICTIONOLOGISTS, THERAPISTS, AND LICENSED ADDICTION COUNSELORS WHO WILL WALK BESIDE CLIENTS IN THEIR JOURNEY TO RECOVERY. PARK CENTER, INC. PARTNERS WITH COMMUNITY CORRECTIONS AND OTHER KEY COMMUNITY STAKEHOLDERS TO PROVIDE THE RIGHT LEVEL OF CARE TO THOSE IN NEED. PARK CENTER, INC. PROVIDES MULTIPLE INTENSIVE OUTPATIENT PROGRAMS (IOP) FOR THOSE WITH ADDICTIONS AND SUBSTANCE ABUSE NEEDS. CLIENTS PARTICIPATE IN OUR IOPS FOR THREE HOURS PER DAY, THREE TIMES A WEEK. PARK CENTER, INC. HAS AN ADDICTIONS RESIDENTIAL 3.5 PROGRAM THAT HOUSES INDIVIDUALS FOR UP TO 30 DAYS TO ASSIST IN THEIR TREATMENT. WHILE THERE, THEY RECEIVE INTENSIVE THERAPY, SUPPORT AND EDUCATION TO BE SUCCESSFUL STEPPING DOWN TO AN OUTPATIENT LEVEL OF CARE. IN ADDITION, PARK CENTER, INC. HAS A PEER SUPPORT PROGRAM THAT PARTNERS PEOPLE WITH A RECOVERY COACH WHO SEEKS TO DEVELOP AN INDIVIDUALIZED PERSONAL SUPPORT AND RECOVERY. MENTAL HEALTHPARK CENTER, INC. HAS ROBUST SERVICES THAT ADDRESS THE MENTAL HEALTH NEEDS IN THE COMMUNITY, ADDRESSING CHRONIC MENTAL HEALTH DISEASE, TRAUMA FROM ASSAULT, VIOLENT CRIMES OR SEXUAL VIOLENCE, CHILD ABUSE/ NEGLECT AND SUICIDE. PARK CENTER, INC. PROVIDES HOUSING THROUGH GROUP HOMES AND APARTMENT HOUSING FOR THE SERIOUSLY MENTALLY ILL AND PROVIDES CASE MANAGEMENT SERVICES ALONG WITH NURSING SERVICES TO ENSURE CLIENT SAFETY AND PROMOTE STABILITY IN THE COMMUNITY. PARK CENTER, INC. HAS ADULT CASE MANAGERS, WORKING WITH THOSE WHO ARE STRUGGLING WITH MENTAL ILLNESS IN THE COMMUNITY. THEY PROVIDE SKILL BUILDING AND CARE COORDINATION FOR THOSE TO GET THE SUPPORT THEY NEED TO MAINTAIN THEIR INDEPENDENCE SAFELY. PARK CENTER, INC. OFFERS A MOBILE INTERVENTION TEAM(SOS) PROGRAM. THE SOS PROGRAM NAVIGATORS WALK ALONGSIDE PATIENTS EXPERIENCING CRISIS INCLUDING BUT NOT LIMITED TO SUICIDALITY, DOMESTIC VIOLENCE OR TRAUMA. ADDITIONALLY, NAVIGATORS ENSURE PATIENTS HAVE FOLLOW-UP APPOINTMENTS, NECESSARY MEDICATIONS AND SAFETY PLANS AS WELL AS CONNECTIONS TO VALUABLE SERVICES LIKE CASE MANAGEMENT. PARK CENTER, INC. PARTNERS WITH SCHOOLS IN ALLEN AND ADAMS COUNTIES TO PROVIDE SKILLS TRAINING FOR STUDENTS WHO HAVE BEEN IDENTIFIED AS OR ARE HIGH RISK FOR NEED OF SERVICES. CASE MANAGERS ARE IN THE SCHOOL EVERY DAY ASSISTING THE STUDENTS AND LEARNING SKILLS THAT CAN HELP THEM BE SUCCESSFUL. ADDITIONALLY, THE CASE MANAGERS ARE PROVIDING RESOURCES AND OFFERING ADDITIONAL SERVICES FOR THE FAMILIES. PARK CENTER, INC.'S OUTPATIENT SERVICES MEET CLIENTS WHERE THEY ARE, WHETHER THAT IS IN-OFFICE OR IN THEIR HOME. IN-OFFICE SERVICES PROVIDES INDIVIDUAL, GROUP, AND INTENSIVE OUTPATIENT SUPPORT FOR A WIDE VARIETY OF MENTAL HEALTH NEEDS INCLUDING BUT NOT LIMITED TO DEPRESSION, TRAUMA, EATING DISORDERS, BIPOLAR DISORDER AND ANXIETY. HOME-BASED SERVICES REACH INTO CLIENTS' HOMES TO REMOVE BARRIERS IMPACTING THE COMMUNITY'S ABILITY TO RECEIVE TREATMENT. OUR HOME-BASED SERVICES WORK WITH DEPARTMENT OF CHILD SERVICES TO REDUCE AND PREVENT CHILD ABUSE AND NEGLECT BY HELPING PARENTS IN THEIR OWN ENVIRONMENT. THE THREE WISHES PROGRAM OFFERS ASSISTANCE TO PARENTS AND CARETAKERS BY PROVIDING KNOWLEDGE, RESOURCES AND SUPPORT. THE GOAL IS FOR THE CHILD TO FUNCTION IN TRADITIONAL ENVIRONMENTS, WHETHER THOSE ENVIRONMENTS ARE HOME, SCHOOL OR DAYCARE. THIS IS ACCOMPLISHED THROUGH A TEAM APPROACH, WITH PARENTS AS PARTNERS. OUR CARING TEAM PROVIDES THERAPY AND SKILLS TRAINING IN THE OFFICE, HOME OR COMMUNITY TO PROVIDE SUPPORT WHEREVER THE CHILD IS HAVING DIFFICULTY. PARK CENTER, INC. OFFERS COMPREHENSIVE MEDICATION SERVICES, INCLUDING ASSESSMENTS, MEDICATION REVIEWS, INJECTIONS AND MENTAL HEALTH EDUCATION FOR PEOPLE OF ALL AGES WITH ACCESS TO MEDICAL STAFF AND PSYCHOLOGISTS.IN ADDITION, PARK CENTER, INC. OPERATES A 16-BED PSYCHIATRIC HOSPITAL FOR ADULTS. LOCATED IN ALLEN COUNTY, THIS FACILITY PROVIDES SHORT-TERM STABILIZATION AND SUPPORT TO PEOPLE WHO ARE EXPERIENCING A PSYCHIATRIC EMERGENCY. PRIOR TO DISCHARGE, PATIENTS AND STAFF WORK TOGETHER TO CREATE A SAFETY PLAN. PATIENTS ALSO LINK TO OTHER, LESS INTENSIVE SERVICES TO HELP PREVENT FUTURE EMERGENCIES.SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED:BASED UPON FEASIBILITY AND AVAILABLE PUBLIC HEALTH INTERVENTIONS, THE HEALTH NEEDS DEFINED BELOW ARE NOT BEING ADDRESSED BY PARK CENTER, INC. FEASIBILITY INCLUDES THE SUITABILITY, AVAILABILITY OF RESOURCES, PRE-EXISTING COMMUNITY AGENCIES AND OTHER INTERNAL PARTNERS IN OUR SYSTEM.HOUSING- PARK CENTER, INC. WORKS WITH MANY COMMUNITY STAKEHOLDERS TO ADDRESS HOUSING NEEDS FOR EXAMPLE, HUD, BRIGHT POINT AND THE HOUSING AUTHORITY. IN ADDITION, PARK CENTER, INC. OPERATES TRANSITIONAL HOUSING APARTMENTS TO ASSIST WITH PEOPLE FINDING HOMES. CHILDCARE- PARK CENTER, INC. IS THE COMMUNITY MENTAL HEALTH CENTER (CMHC) AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE WILL PROVIDE REFERRALS TO ORGANIZATIONS WHO SPECIALIZE IN CHILDCARE NEEDS. PARK CENTER, INC. WILL CONNECT PEOPLE WITH RESOURCES AS NEEDED.ACCESS TO HEALTH FOOD- PARK CENTER, INC. IS THE CMHC AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE WILL PROVIDE REFERRALS TO FOOD BANKS AND CONNECT PEOPLE WITH RESOURCES AS NEEDED. TRANSPORTATION- PARK CENTER, INC. IS THE CMHC AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE WILL PROVIDE REFERRALS AND CONNECT PEOPLE WITH RESOURCES AS NEEDED.ACCESS TO BIRTH CONTROL- PARK CENTER, INC'S. EXPERTISE IS IN THE MENTAL HEALTH FIELD. PARK CENTER, INC. WILL CONNECT INDIVIDUAL WITH PROVIDERS THAT CAN PROVIDE GUIDANCE ON BIRTH CONTROL NEEDS. JOB TRAINING- PARK CENTER, INC. IS THE CMHC AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. PARK CENTER, INC. WILL ADDRESS MENTAL HEALTH NEEDS THAT CONTRIBUTE TO EMPLOYMENT NEEDS. PARK CENTER, INC. ALSO REFERS TO JOB TRAINING PROGRAMS LIKE LSSI WORKS AND OTHERS IN THE COMMUNITY. |
| PART V, LINES 16A, 16B AND 16C | HTTPS://WWW.PARKVIEW.COM/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 3E: | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295; PARK CENTER, INC. (EIN 35-1135451); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES. |
| PART I, LINE 7: | PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARK CENTER, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7CPARK CENTER, INC. ACCEPTS ALL CERTAIN MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARK CENTER, INC. CONTINUES ITS TRADITION OF PROVIDING SUPPORT TO NUMEROUS ORGANIZATIONS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. |
| PART III, LINE 2: | FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. |
| PART III, LINE 4: | BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 12 AND 23 - 27 OF ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARK CENTER, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARK CENTER, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARK CENTER, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION. |
| PART III, LINE 9B: | A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED. |
| PART VI, LINE 2: | DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B. IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, PARK CENTER, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, WORKING WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND FRONTLINE STAFF. PARK CENTER, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:1. HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS2. OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)3. REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) 4. PARK CENTER LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS OF DIRECTORS IN THE COMMUNITY5. OTHER PUBLIC HEALTH DATABASES (E.G. COMMUNITY COMMONS, COUNTY HEALTH RANKINGS) KEY HOSPITAL REPRESENTATIVES MAINTAIN ON-GOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. |
| PART VI, LINE 3: | DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE. |
| PART VI, LINE 4: | DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARK CENTER, INC. HAS THREE DESIGNATED PRIMARY CATCHMENT AREAS WHERE WE PROVIDE SERVICES. OUR SERVICES EXPAND ACROSS THE LIFETIME AND SUPPORT THOSE WITH SUBSTANCE USE AND MENTAL HEALTH NEEDS. OUR LARGEST COUNTY WITHIN OUR CATCHMENT AREA IS ALLEN COUNTY, COMPRISED OF URBAN, SUBURBAN AND RURAL COMMUNITIES. ALLEN COUNTY IS HOME TO THE SECOND-LARGEST CITY IN INDIANA BY POPULATION AND BOASTS THE LARGEST COUNTY BY ACREAGE IN INDIANA. THE OTHER TWO COUNTIES WE SERVE (ADAMS AND WELLS) ARE RURAL IN COMPOSITION. ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), ALLEN COUNTY, IS THE LARGEST URBAN (CONTAINS SUBURBAN AND RURAL AREAS TOO) AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 388,608 (2021). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF ALLEN COUNTY RESIDENTS IS APPROXIMATELY $61,456 WITH 12.3% LIVING BELOW THE FEDERAL POVERTY LEVEL (2017-2021). APPROXIMATELY 90.8% OF ALLEN COUNTY RESIDENTS HAVE HEALTH INSURANCE (2020).ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), ADAMS COUNTY, IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 35,961 (2021). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF ADAMS COUNTY RESIDENTS IS APPROXIMATELY $56,037 WITH 15.3% LIVING BELOW THE FEDERAL POVERTY LEVEL (2017-2021). APPROXIMATELY 87.7% OF ADAMS COUNTY RESIDENTS HAVE HEALTH INSURANCE (2020). ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), WELLS COUNTY, IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 28,197 (2021). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF WELLS COUNTY RESIDENTS IS APPROXIMATELY $62,802 WITH 7% LIVING BELOW THE FEDERAL POVERTY LEVEL (2017-2021). APPROXIMATELY 92.3% OF WELLS COUNTY RESIDENTS HAVE HEALTH INSURANCE (2020). HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, DEVELOPS SHORTAGE DESIGNATION CRITERIA INTENDED TO IDENTIFY A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS:1) DISCIPLINE: PRIMARY CAREMUA/P ID: 00955SERVICE AREA NAME: LOW INCOME - SOUTH FORT WAYNE SERVICE AREADESIGNATION TYPE: MUP LOW INCOMEINDEX OF MEDICAL UNDERSERVICE SCORE: 59.5 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL2) DISCIPLINE: MENTAL HEALTHHSPA ID: 7184233749HPSA NAME: MHCA 20 - ADAMS/ALLEN/WELLS COUNTIESDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS, ALLEN, WELLS COUNTIESHPSA SCORE:12 STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL3) DISCIPLINE: PRIMARY CAREHSPA ID: 1189991870HPSA NAME: NEIGHBORHOOD HEALTH CLINICS INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE:21 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL4) DISCIPLINE: PRIMARY CAREHSPA ID: 1189107418HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE:16 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL5) DISCIPLINE: MENTAL HEALTHHSPA ID: 7189991824HPSA NAME: NEIGHBORHOOD HEALTH CLINICS INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE:19 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL6) DISCIPLINE: MENTAL HEALTHHSPA ID: 7185458158HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE:16 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL7) DISCIPLINE: PRIMARY CAREMUA/P ID: 07885SERVICE AREA NAME: LOW INCOME - ADAMS COUNTYDESIGNATION TYPE: MEDICALLY UNDERSERVED POPULATION - LOW INCOMEINDEX OF MEDICAL UNDERSERVICE SCORE: 61.1 STATUS: DESIGNATEDRURAL STATUS: RURAL8) DISCIPLINE: PRIMARY CAREHSPA ID: 1189856255HPSA NAME: ADAMS COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS COUNTYHPSA SCORE:15 STATUS: DESIGNATEDRURAL STATUS: RURAL |
| PART VI, LINE 5: | PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).PARK CENTER, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY CLIENT, EVERY DAY. IN DOING SO, PARK CENTER, INC. HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR PARK CENTER, INC. THAT IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS RESIDING WITHIN THE ORGANIZATION'S PRIMARY SERVICE AREA AND EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.IN ORDER TO DELIVER EXCELLENT SERVICES TO THE WHOLE COMMUNITY, PARK CENTER, INC. RECOGNIZES THAT WE MUST INVEST IN THE FUTURE WORKFORCE. PARK CENTER, INC. HAS BEEN PARTNERING WITH SCHOOLS AND BUILDING A PIPELINE OF THERAPISTS AND MENTAL HEALTH PROFESSIONALS. IN 2022, PARK CENTER, INC. EXPANDED THEIR WORK WITH THE BEHAVIORAL HEALTH ACADEMY BY ADDING BALL STATE AND PURDUE UNIVERSITY WHILE STRENGTHENING THEIR RELATIONSHIP WITH INDIANA UNIVERSITY SCHOOL OF SOCIAL WORK. PARK CENTER HAD EIGHT STUDENTS GRADUATE FROM THIS PROGRAM AND SIX WERE HIRED ON AS FULL-TIME THERAPISTS ADDING MENTAL HEALTH RESOURCES TO THE COMMUNITY. ALONG WITH THE BEHAVIORAL HEALTH ACADEMY PROGRAM PARK CENTER, INC. WORKS WITH MULTIPLE OTHER SCHOOLS TO PROVIDE INTERNSHIPS FOR BOTH, UNDERGRADUATE AND GRADUATE DEGREES. IN 2022, PARK CENTER, INC. EXPANDED THEIR MOBILE INTERVENTION TEAM CALLED SOS. THEY ASSISTED WITH GETTING INDIVIDUALS THE SERVICES THEY NEEDED QUICKLY PREVENTING THE PERSON FROM HAVING TO GO TO THE EMERGENCY ROOM. INDIVIDUALS CAN CALL OUR HELPLINE SELF-REFERRAL PHONE LINE AND ARE CONNECTED WITH A MENTAL HEALTH PROFESSIONAL.PARK CENTER, INC. PROVIDED SPECIALIZED PROGRAMMING THAT TARGETS SPECIFIC NEEDS SUCH AS OUR SOS PROGRAM THAT MADE CONTACT IN A VARIETY OF WAYS WITH INDIVIDUALS IN CRISIS OVER 3,000 TIMES. 75% OF THE PEOPLE CONNECTED WITH THE SOS TEAM WERE ABLE TO STAY OUT OF THE HOSPITAL. OUR HOMELESS OUTREACH SERVICES CONNECTED 200 INDIVIDUALS TO SERVICES.PARK CENTER, INC. IS PROUD TO OFFER THE ONLY OUTPATIENT DIALECTICAL BEHAVIOR THERAPY (DBT) PROGRAM RECOGNIZED IN NORTHERN INDIANA. DIALECTICAL BEHAVIOR THERAPY IS AN INTENSIVE PROGRAM DESIGNED TO TREAT ADOLESCENTS AND ADULTS WHO HAVE BEEN DIAGNOSED WITH BORDERLINE PERSONALITY DISORDER, OR FOR WHOM DBT IS OTHERWISE INDICATED. PEOPLE WHO SEEK DBT SERVICES MAY FREQUENTLY SUFFER FROM THOUGHTS OF SUICIDE OR SUICIDE ATTEMPTS, SELF-INJURIOUS BEHAVIOR, EMOTIONAL DYSREGULATION, AND IMPULSIVITY. AT DBT, PATIENTS RECEIVE A COMBINATION OF ONE-ON-ONE THERAPY AND ATTEND A WEEKLY EDUCATIONAL GROUP. |
| PART VI, LINE 6: | IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES CUSTOMIZED TO MEET THE UNIQUE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN NORTHEAST INDIANA AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF MENTAL HEALTH WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES WITH A BOARD OF DIRECTORS THAT CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL ALWAYS BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE (IRS). PARKVIEW CONTRIBUTES TO THE OVERALL SUCCESS OF THE REGION THROUGH SIGNIFICANT INVOLVEMENT IN THE COMMUNITIES WE SERVE. BY DEVELOPING VARIOUS PARTNERSHIPS AND ALIGNMENTS WITH DIFFERENT SECTORS AND ORGANIZATIONS, PARKVIEW HELPS TO BENEFIT THE ECONOMY, QUALITY OF LIFE, AND HEALTH AND WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE EXCELLENT CARE TO EVERY PERSON, EVERY DAY WITHIN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS TO POSITIVELY IMPACT COMMUNITY HEALTH STATUS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IN |
| PART VI, LINE 7 CONT'D: | A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PACKNETT | ||||||||||||||
| PH PRESIDENT & CEO | $0 | $1,330,197 | $0 | $664,677 | $0 | $607,967 | $0 | $302,282 | $0 | $36,017 | $0 | $2,941,140 | $0 | $577,374 |
| JEANNE' WICKENS | ||||||||||||||
| PH CHIEF FINANCIAL OFFICER | $0 | $804,432 | $0 | $363,922 | $0 | $96,046 | $0 | $325,215 | $0 | $32,552 | $0 | $1,622,167 | $0 | $70,644 |
| GREG JOHNSON | ||||||||||||||
| DIRECTOR/PH CCIO | $0 | $589,394 | $0 | $203,987 | $0 | $56,201 | $0 | $125,684 | $0 | $41,844 | $0 | $1,017,110 | $0 | $48,677 |
| CHARLES CLARK | ||||||||||||||
| DIRECTOR/BHI PRESIDENT | $0 | $242,155 | $0 | $90,900 | $0 | $51,403 | $0 | $74,418 | $0 | $26,922 | $0 | $485,798 | $0 | $40,868 |
| GARY ZWIERZYNSKI | ||||||||||||||
| DIRECTOR/SECRETARY/TREASURER | $0 | $236,395 | $0 | $88,274 | $0 | $9,225 | $0 | $61,028 | $0 | $26,797 | $0 | $421,719 | $0 | $3,916 |
| CONNIE KERRIGAN | ||||||||||||||
| PARKC COMM SUPPT SVCS DIR | $58,769 | $75,627 | $750 | $28,401 | $521 | $671 | $3,454 | $6,024 | $9,537 | $16,630 | $73,031 | $127,353 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - TAX ON TAXABLE GIFT: ELIZABETH DAY $13 |
| PART I, LINE 3 | RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARK CENTER, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. |
| PART I, LINE 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): CHARLES CLARK $40,868; GREG JOHNSON $48,677; MICHAEL PACKNETT $577,374; JEANNE' WICKENS $70,644; GARY ZWIERZYNSKI $3,916 AMOUNTS LISTED ABOVE THAT HAVE BEEN REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990 WILL ALSO BE REFLECTED IN SCHEDULE J, PART II, COLUMN (F). FOR EXAMPLE, THE AMOUNT OF $577,374 REPORTED AS REQUIRED FOR MR. PACKNETT WAS A RESULT OF THE VESTING OF SUCH AMOUNT UNDER THE TERMS OF THE RESPECTIVE PLANS. HOWEVER, THESE AMOUNTS WERE PREVIOUSLY REPORTED IN MR. PACKNETT'S DEFERRED COMPENSATION AS THE AMOUNTS WERE DEFERRED UNDER THE PLANS. AS SUCH, THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) IS AN INDICATION OF AMOUNTS THAT HAVE BEEN REPORTED TWICE, ONCE AS A DEFERRAL AND ONCE AS VESTED. THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: CHARLES CLARK $40,868; GREG JOHNSON $92,134; MICHAEL PACKNETT $268,732; JEANNE' WICKENS $303,865; GARY ZWIERZYNSKI $39,678 |
| PART I, LINE 7 | MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A: | PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARK CENTER, INC., EIN 35-1135451. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099 AND 1096 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2022 WAS 627. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2022 WAS 17,284. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE PARK CENTER, INC. WAS 36 AND 417 RESPECTIVELY. |
| FORM 990, PART VI, SECTION A, LINE 1A | EXECUTIVE COMMITTEE A. COMPOSITION. THE EXECUTIVE COMMITTEE SHALL BE SUCH NUMBER OF DIRECTORS AS MAY FROM TIME-TO-TIME BE APPOINTED BY THE BOARD. B. RESPONSIBILITIES AND FUNCTIONS: THE RESPONSIBILITIES AND FUNCTIONS OF THE EXECUTIVE COMMITTEE AS DELEGATED TO SUCH COMMITTEE BY THE BOARD OF DIRECTORS ARE AS FOLLOWS: (1) TRANSACT ALL EMERGENCY BUSINESS BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS; (2) ASSIST THE BOARD OF DIRECTORS BY SERVING AS A FORUM WHERE STRATEGIC AND OTHER CRITICAL ISSUES MAY BE SUBSTANTIALLY DEVELOPED BEFORE GOING TO THE BOARD OF DIRECTORS FOR DISCUSSION AND CONSIDERATION; (3) SERVE AS THE EVALUATION COMMITTEE TO ANNUALLY EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND REPORT SUCH EVALUATION TO THE BOARD OF DIRECTORS; (4) OVERSEE THE PLANNING OF THE ANNUAL MEETING OF THE BOARD; (5) REVIEW PERSONNEL TRENDS, PROVIDE OVERSIGHT FOR ALL PERSONNEL FUNCTIONS OF THE CORPORATION TO INCLUDE, BUT NOT LIMITED TO: ANNUAL REVIEW OF SALARY SCHEDULES AND BENEFIT PROGRAMS; ANNUAL STAFFING PLAN; AFFIRMATIVE ACTION PLANS; AND SUCCESSION PLANS; (6) PERFORM SUCH OTHER TASKS OR PROJECTS AS MAY BE DELEGATED BY THE BOARD OF DIRECTORS; AND (7) MONITOR CONTRACTS FOR SERVICES DIRECTLY RELATED TO PATIENT CARE. |
| FORM 990, PART VI, SECTION A, LINE 2 | DIRECTOR GREG JOHNSON AND OFFICER JEANNE' WICKENS HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICERS MICHAEL PACKNETT AND JEANNE' WICKENS HAVE BUSINESS RELATIONSHIPS AS OFFICERS OF RELATED ENTITIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF PARK CENTER, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS STATED IN PARK CENTER, INC.'S BYLAWS UNDER ARTICLE IV - POWERS AND RESPONSIBILITIES, SECTION 4.3 - POWERS OF THE MEMBER: THE FOLLOWING POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE MEMBER, ACTING BY A MEMBER OF ITS SENIOR LEADERSHIP TEAM, AND THE MEMBER OR THE BOARD OF DIRECTORS SHALL ACT TO CARRY OUT THE MEMBER'S DIRECTIONS WITH RESPECT TO: A. APPOINTING DIRECTORS (INCLUDING APPOINTMENTS TO FILL VACANCIES) AND INITIATING THE REMOVAL OF, AND REMOVING, ANY DIRECTOR OF THE CORPORATION; B. APPOINTING (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATING THE REMOVAL OF, AND REMOVING, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; C. APPROVING AND ADOPTING THE STRATEGIC PLAN, AND ANY AMENDMENTS THERETO, FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; D. APPROVING AND ADOPTING THE CAPITAL AND OPERATING BUDGETS AND FINANCIAL PLANS, AND ANY AMENDMENTS THERETO, OF THE CORPORATION AND ITS AFFILIATES; E. APPROVING THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS BY THE CORPORATION AND ITS AFFILIATES, AND REQUIRING THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; F. APPROVING THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; G. REQUIRING AND DIRECTING THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING A PSYCHIATRIC HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; H. APPROVING PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS, DISSOLUTIONS OR ACQUISITIONS AND REQUIRING AND DIRECTING PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; I. EXCEPT AS OTHERWISE DIRECTED BY THE MEMBER, APPROVING DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE IN ANY NOVEL, QUALITATIVELY OR QUANTITATIVELY UNIQUE MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS, OTHER THAN (I) APPLICATIONS FOR FUNDING FROM THE DIVISION OF MENTAL HEALTH AND ADDICTIONS (OR ANY SUCCESSOR AGENCY), OR (II) ALLOCATIONS OF PUBLIC SUBSIDIES, OR ANY SIMILAR ARRANGEMENTS TO THE EXTENT THEY ARE IN THE ORDINARY COURSE OF THE CORPORATION'S EXISTING MANAGED CARE OR PURCHASING RELATIONSHIPS (E.G., MEDICAID MANAGED CARE AGREEMENTS, ETC.); J. DEVELOPING AND REQUIRING ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; K. APPROVING ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A PSYCHIATRIC HOSPITAL OR TO CLOSE THE HOSPITAL; AND L. APPROVING OR REQUIRING AND DIRECTING ANY AMENDMENT TO THE BYLAWS OR ARTICLES OF INCORPORATION OF THE CORPORATION OR AN AFFILIATE THEN IN EFFECT, AND THE ARTICLES OF INCORPORATION AND BYLAWS OR SIMILAR GOVERNING DOCUMENTS OF ANY NEWLY CREATED AFFILIATE, INCLUDING AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN THE JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE MEMBER; PROVIDED, THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN THIS SECTION 4.3 WITHOUT THE CONSENT OF MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A |
| FORM 990, PART VI, SECTION B, LINE 11B | PARK CENTER, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF PARK CENTER, INC.'S GOVERNING BODY, PRIOR TO FILING WITH THE IRS. ON OCTOBER 24, 2023, THE AUDIT COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." |
| FORM 990, PART VI, SECTION B, LINE 15 | LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. TO THE EXTENT THAT THE ORGANIZATION HAS A VICE PRESIDENT OR ABOVE, THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., HAS A PROCESS IN PLACE FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2022, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2022 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT COMPENSATION COMMITTEE MEMBERS. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A COMPETITIVE COMPENSATION ANALYSIS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AS WELL AS ALL EXECUTIVES AT THE VICE PRESIDENT LEVEL AND ABOVE. ALL DATA IS SHARED WITH THE BOARD OF DIRECTORS. THE BOARD APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO AND THEIR DIRECT REPORTS. APPROVAL IS ALSO PROVIDED FOR THE SALARY BUDGET FOR THE ENTIRE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | ASSET TRANSFERS/ADJUSTMENTS -110,718. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW HEALTH SYSTEM INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351972384 | HEALTH CARE | IN | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| PARKVIEW HOSPITAL INC | |||||||||||
| 11109 PARKVIEW PLAZA DR | FORT WAYNE | IN | 468451701 | 350868085 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW FOUNDATION INC | |||||||||||
| 3844 NEW VISION DR | FORT WAYNE | IN | 468451724 | 237220589 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | PARKVIEW HOSPITAL INC | |
| DEKALB MEMORIAL HOSPITAL INC | |||||||||||
| 1316 E 7TH ST | AUBURN | IN | 467062515 | 351064295 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW DEKALB HOSPITAL FOUNDATION INC | |||||||||||
| 1316 E 7TH ST | AUBURN | IN | 467062515 | 351064295 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | DEKALB MEMORIAL HOSPITAL INC | |
| HUNTINGTON MEMORIAL HOSPITAL INC | |||||||||||
| 2001 STULTS RD | HUNTINGTON | IN | 467501291 | 351970706 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC | |||||||||||
| 2001 STULTS RD | HUNTINGTON | IN | 467501291 | 320012095 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | HUNTINGTON MEMORIAL HOSPITAL INC | |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |||||||||||
| 207 N TOWNLINE RD | LAGRANGE | IN | 467611325 | 202401676 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC | |||||||||||
| 207 N TOWNLINE RD | LAGRANGE | IN | 467611325 | 833347115 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |||||||||||
| 401 N SAWYER RD | KENDALLVILLE | IN | 467552568 | 352087092 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC | |||||||||||
| 401 N SAWYER RD | KENDALLVILLE | IN | 467552568 | 352089183 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |
| PARKVIEW WABASH HOSPITAL INC | |||||||||||
| 10 JOHN KISSINGER DRIVE | WABASH | IN | 469921648 | 471753440 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW WABASH HOSPITAL FOUNDATION INC | |||||||||||
| 10 JOHN KISSINGER DR | WABASH | IN | 469921648 | 351921445 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | PARKVIEW WABASH HOSPITAL INC | |
| WHITLEY MEMORIAL HOSPITAL INC | |||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 467259492 | 351967665 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| WHITLEY MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 467259492 | 311190239 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | WHITLEY MEMORIAL HOSPITAL INC | |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | |||||||||||
| 442 W HIGH ST | BRYAN | OH | 435061681 | 341045870 | PHYSICIANS | OH | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 352064353 | OCCUPATIONAL HEALTH | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| OUABACHE VILLAGE INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 020731922 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| RICHARDVILLE APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 050543940 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| RICHARDVILLE APARTMENTS II INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 861077255 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| SEDDLEMEYER APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 352067590 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| WAYNEDALE APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 351972197 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| WAYNEDALE II APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 223972135 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| WOODSIDE APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 351937426 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 260143823 | ORTHOPAEDIC HOSPITAL | IN | N/A | N/A | 0 | 0 |
| MANAGED CARE SERVICES LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351996535 | HEALTH PLAN ADMINISTRATION | IN | N/A | N/A | 0 | 0 |
| FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 201394120 | SURGICAL SERVICES | IN | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351668888 | REFERENCE LAB | IN | N/A | C | 0 |
| WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC | |||||||||
| 202 W BERRY ST | FORT WAYNE | IN | 468022273 | 352058340 | PROPERTY OWNERS ASSOCIATION | IN | N/A | C | 0 |
| 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |