PARK CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PARK CENTER INC (EIN 35-1135451)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-02
- IRS object ID
- 202233069349302893
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-02T17:35:31-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | 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 | 330 EAST JEFFERSON BLVD PO BOX 7 | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 466240007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | 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 | 2022-11-02 | 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 |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRITTNEY KOCAJ | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 5742323992 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL J PACKNETT | 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 | $38,654,022 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKVIEW.COM & WWW.PARKCENTER.ORG | 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 | 9 | VotingMembersIndependentCnt |
| Total Employee | 550 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,010,942 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,335,582 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,177,115 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,304,990 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,283 | PYInvestmentIncomeAmt |
| CY Investment Income | -$6,674 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $31,207,340 | PYTotalRevenueAmt |
| CY Total Revenue | $38,633,898 | 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 | $26,806,585 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,273,103 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,763,374 | PYOtherExpensesAmt |
| CY Other Expenses | $14,799,544 | CYOtherExpensesAmt |
| PY Total Expenses | $39,569,959 | PYTotalExpensesAmt |
| CY Total Expenses | $36,072,647 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,362,619 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,561,251 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,892,621 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,282,606 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,664,273 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,494,049 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,228,348 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,788,557 | 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.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 | $31,836,483 | ExpenseAmt |
| Revenue | $24,304,990 | 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 2021, PARK CENTER, INC. IMPROVED ACCESS FOR OUTPATIENT SERVICES BY REDUCING UNNECESSARY PAPERWORK FOR CLIENTS AND THERAPISTS RESULTING IN REDUCING INITIAL APPOINTMENT FROM TWO HOURS TO ONE HOUR WITH A FOCUS(SEE SCHEDULE O FOR CONTINUATION)ON THE CURRENT CLIENT PROBLEM, TREATMENT INTERVENTIONS AND INITIAL TREATMENT PLAN. WAIT TIME FOR THE FIRST APPOINTMENT WENT FROM MORE THAN 30 DAYS TO 10 DAYS OR LESS. PARK CENTER, INC. INCREASED CAPACITY FROM HAVING 18 NEW PATIENTS PER DAY TO 37 NEW PATIENTS PER DAY. PARK CENTER, INC. OPENED A WALK-IN CLINIC IN ALLEN COUNTY. THE CLINIC PROVIDED SERVICES FOR ROUTINE AND URGENT CLIENTS REDUCING PATIENTS OF LOCAL EMERGENCY DEPARTMENTS. ADDITIONALLY, PARK CENTER STARTED OVER 40 THERAPY GROUPS FOR CLIENTS REGARDING MENTAL HEALTH, TRAUMA, SUBSTANCE ABUSE, AND DIALECTICAL BEHAVIOR THERAPY (DBT). OUR TEAM OF LICENSED SOCIAL WORKERS, MENTAL HEALTH COUNSELORS, MARRIAGE AND FAMILY THERAPISTS, ADDICTION COUNSELORS, PSYCHIATRISTS, PHYSICIAN ASSISTANTS, ADVANCED NURSES, AND PSYCHOLOGISTS ARE UNIQUELY SKILLED TO ADDRESS YOUR 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. 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 OF 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.'S CARRIAGE HOUSE IS A MEMBER OF CLUB HOUSE INTERNATIONAL. THIS PROGRAM FOLLOWS THE SOCIAL REHABILITATION MODEL. IT PLACES EMPHASIS UPON RESPECT, INDEPENDENCE, AND PERSONAL RESPONSIBILITY.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 | $31,836,483 | 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 | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 550 | 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 | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 (21 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 CCIA | 0.00 | 40.00 | Yes (X) | $0 | $655,829 | $159,937 | ||
| CHARLES CLARK | ||||||||
| DIRECTOR/BHI PRESIDENT | 0.00 | 40.00 | Yes (X) | $0 | $602,426 | $94,276 | Yes (X) | |
| GARY ZWIERZYNSKI | ||||||||
| DIRECTOR/SECRETARY/TREASURER/PVH SVP | 0.00 | 40.00 | Yes (X) | $0 | $268,923 | $76,242 | Yes (X) | |
| BETH LOCK | ||||||||
| DIRECTOR/PH DIR GOVT/LEGISLATIVE AFFAIRS | 0.00 | 40.00 | Yes (X) | $0 | $123,104 | $21,062 | ||
| 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) | |
| 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 | ||
| JODI LEAS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN MANNING | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WYLIE SIRK | ||||||||
| DIRECTOR | 1.00 | 1.00 | 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 | $2,037,606 | $326,073 | Yes (X) | ||
| JEANNE' WICKENS | ||||||||
| PH CHIEF FINANCIAL OFFICER | 0.00 | 40.00 | $0 | $1,059,636 | $349,980 | Yes (X) | ||
| CLYDE NIX | ||||||||
| PARKC PRESIDENT/PARTIAL YR | 40.00 | 0.00 | $216,921 | $0 | $12,321 | Yes (X) | ||
| JASMINE KAUR | ||||||||
| PARKC PHYSICIAN | 40.00 | 0.00 | $341,341 | $0 | $27,072 | Yes (X) | ||
| ANDREA NAAUM | ||||||||
| PARKC PHYSICIAN | 40.00 | 0.00 | $295,874 | $0 | $25,319 | Yes (X) | ||
| SYED MUMTAZ | ||||||||
| PARKC PHYSICIAN | 40.00 | 0.00 | $132,783 | $0 | $18,518 | Yes (X) | ||
| MAHROKH SHAYANPOUR | ||||||||
| PARKC PHYSICIAN | 40.00 | 0.00 | $171,622 | $0 | $10,241 | Yes (X) | ||
| RONALD PANCNER | ||||||||
| PARKC PHYSICIAN | 40.00 | 0.00 | $227,929 | $0 | $8,680 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,386,470 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,752,524 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,129,721 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 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 | $1,739,815 |
| PARKVIEW HOSPITAL INC | |||||
| 11109 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | MEDICAL PERSONNEL | $828,432 |
| PARKVIEW HEALTH SYSTEM INC | |||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 46808 | MEDICAL PERSONNEL | $649,828 |
| EXECUTIVE MANAGEMENT SERVICES | |||||
| PO BOX 31355 | SALT LAKE CITY | UT | 84131 | CLEANING SERVICES | $211,699 |
| CLAIMAID | |||||
| 8141 ZIONSVILLE RD | INDIANAPOLIS | IN | 46268 | MEDICAID ENROLLMENT | $140,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $14,333,070 | GovernmentGrantsAmt |
| All Other Contributions | $2,512 | AllOtherContributionsAmt |
| Total Contributions | $14,335,582 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | $24,248,797 | $24,248,797 |
| APPLE SPICE SALES | 722320 | $56,193 | $56,193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,304,990 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,450 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $20,124 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$6,674 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,674 | TotalRevenueColumnAmt |
| Exclusion | -$6,674 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,633,898 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,304,990 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$6,674 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,242 | TotalAmt |
| Management And General | $229,242 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,916,793 | TotalAmt |
| Program Services | $15,916,793 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,502,078 | TotalAmt |
| Program Services | $4,502,078 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $624,990 | TotalAmt |
| Program Services | $614,692 | ProgramServicesAmt |
| Management And General | $10,298 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,786 | TotalAmt |
| Management And General | $45,786 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,550 | TotalAmt |
| Management And General | $5,550 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,372,297 | TotalAmt |
| Program Services | $5,110,264 | ProgramServicesAmt |
| Management And General | $262,033 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,423 | TotalAmt |
| Program Services | $8,341 | ProgramServicesAmt |
| Management And General | $82 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,469,565 | TotalAmt |
| Program Services | $1,398,420 | ProgramServicesAmt |
| Management And General | $71,145 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,150 | TotalAmt |
| Program Services | $95,150 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,005,637 | TotalAmt |
| Program Services | $1,945,324 | ProgramServicesAmt |
| Management And General | $60,313 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,045 | TotalAmt |
| Program Services | $94,725 | ProgramServicesAmt |
| Management And General | $1,320 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,712 | TotalAmt |
| Program Services | $7,312 | ProgramServicesAmt |
| Management And General | $400 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,009 | TotalAmt |
| Program Services | $91,009 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,112,827 | TotalAmt |
| Program Services | $1,095,720 | ProgramServicesAmt |
| Management And General | $17,107 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,862 | TotalAmt |
| Program Services | $3,998 | ProgramServicesAmt |
| Management And General | $276,864 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| CORPORATE SERVICE ALLOC | $3,149,486 | $3,149,486 | |
| HOSPITAL ASSESSMENT FEE | $750,243 | $750,243 | |
| MEDICAL SUPPLIES | $153,683 | $153,683 | |
| DUES & SUBSCRIPTIONS | $138,093 | $98,511 | $39,582 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,176 | TotalAmt |
| Program Services | $9,149 | ProgramServicesAmt |
| Management And General | $8,027 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,072,647 | TotalAmt |
| Program Services | $31,836,483 | ProgramServicesAmt |
| Management And General | $4,236,164 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,342,498 | BOYAmt |
| EOY | $538,075 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,752 | BOYAmt |
| EOY | $1,337,775 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,937,491 | BOYAmt |
| EOY | $4,331,229 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,155 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $28,862 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $258,642 | BOYAmt |
| EOY | $116,884 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,971,632 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,036,939 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,640,802 | BOYAmt |
| EOY | $15,934,693 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,303,281 | BOYAmt |
| EOY | $1,995,088 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,892,621 | BOYAmt |
| EOY | $24,282,606 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,304,938 | BOYAmt |
| EOY | $1,945,805 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,802 | BOYAmt |
| EOY | $608,068 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,800 | BOYAmt |
| EOY | $437,779 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,764,733 | BOYAmt |
| EOY | $10,502,397 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,664,273 | BOYAmt |
| EOY | $13,494,049 | 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 | $8,228,348 | BOYAmt |
| EOY | $10,788,557 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,228,348 | BOYAmt |
| EOY | $10,788,557 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,892,621 | BOYAmt |
| EOY | $24,282,606 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,561,251 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,042 | 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 | $11,729,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,214,304 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,665,765 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,010,942 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,335,582 | CurrentTaxYearAmt |
| Total | $61,956,428 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,164,868 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,248,791 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,665,152 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,177,115 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,304,990 | CurrentTaxYearAmt |
| Total | $98,560,916 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,894,703 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,463,095 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,330,917 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,188,057 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,640,572 | CurrentTaxYearAmt |
| Total | $160,517,344 | 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 | $160,517,344 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,992 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,487 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,760 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $55,239 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,992 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,487 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,760 | CurrentTaxYearMinus2YearsAmt |
| Total | $55,239 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $174,434 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,346 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $224,186 | CurrentTaxYearMinus2YearsAmt |
| Total | $464,966 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,088,129 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,555,928 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,564,863 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,188,057 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,640,572 | CurrentTaxYearAmt |
| Total | $161,037,549 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99680 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99550 | PublicSupportPY509Pct |
| Investment Income CY | 0.00030 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00050 | 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 - 2017 AMOUNT: $ 111,794. 2018 AMOUNT: $ 66,346. 2019 AMOUNT: $ 13,908. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. DSH FEDERAL FUNDS - 2017 AMOUNT: $ 62,640. 2019 AMOUNT: $ 210,278. 2020 AMOUNT: $ 0. 2021 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 | $64 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $64 | 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 VARIOUS PROFESSIONAL ASSOCIATIONS 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 | $1,414,734 | OtherCostOrOtherBasisAmt |
| Book Value | $1,414,734 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,460,843 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,269,237 | DepreciationAmt |
| Book Value | $12,191,606 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,930,628 | OtherCostOrOtherBasisAmt |
| Depreciation | $765,568 | DepreciationAmt |
| Book Value | $1,165,060 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,165,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,134 | DepreciationAmt |
| Book Value | $1,163,293 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,934,693 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESTRICTED FUND - RESIDENCES | $436,959 |
| RIGHT OF USE ASSETS | $1,558,129 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,995,088 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY | $1,576,625 |
| EST 3RD PARTY SETTLEMENTS | $169,230 |
| EST MEDICARE/MEDICAID SETTLEMENTS | $68,609 |
| NOTE PAYABLE TO PH | $3,799,726 |
| DUE TO/FROM INTERUNIT | $4,888,207 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,502,397 | 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, 2021 AND 2020, 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 2017 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 | $527,084 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $527,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01460 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,074,104 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,450,400 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,623,704 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07270 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,315,720 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,739,380 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,576,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04370 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,916,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,189,780 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,727,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13100 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $140,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $140,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $140,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $140,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,056,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,189,780 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,867,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13490 | 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 | $1,591,759 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,377,349 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $214,410 | 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 | 21 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | WWW.PARKCENTER.ORG | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | 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 | HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | 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:AS AN AFFILIATE OF PARKVIEW HEALTH SYSTEM, INC., PARK CENTER, INC. CONDUCTED A 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH THE PURPOSE OF BUILDING RELATIONSHIPS, GAINING INSIGHTS INTO COMMUNITY HEALTH RESOURCES, DEVELOPING CONSENSUS ABOUT PROBLEMS AND PRIORITIES RELATED TO MENTAL HEALTH, AND GAINING THE COMMITMENT OF COMMUNITY ORGANIZATIONS TO WORK TOGETHER IN IMPROVING THE HEALTH OF THE COMMUNITIES SERVED BY PARK CENTER. THE MAJORITY OF PARK CENTER, INC PATIENTS ARE SERVED IN ALLEN, ADAMS, AND WELLS COUNTIES ACCORDING TO PARK CENTER, INC. 'S ACTIVE CASES. THIS CHNA PROVIDES AN OVERVIEW AND COMMUNITY INPUT FROM THESE THREE SERVICE AREAS.THE IDENTIFICATION OF HEALTH NEEDS FOR THE PARK CENTER REGION WAS CARRIED OUT USING THREE SOURCES OF DATA: 1) AN ONLINE SURVEY OF LOCAL HEALTHCARE AND SOCIAL SERVICES PROVIDERS; 2) AN ONLINE SURVEY OF COMMUNITY RESIDENTS FROM ADAMS AND WELLS COUNTIES; AND 3) SECONDARY COUNTY LEVEL DATA OBTAINED FROM CREDIBLE ONLINE SOURCES. WE WERE ALSO NOT ABLE TO OBTAIN ENOUGH PROVIDER RESPONSES TO REPORT SPECIFICALLY FOR ADAMS AND WELLS COUNTIES, SO THE REPORT INSTEAD REFERENCES PROVIDER DATA REPRESENTATIVE OF PARK CENTER, INC. 'S SERVICE AREA IN NORTHEAST INDIANA IN ADDITION TO ALLEN COUNTY-SPECIFIC DATA.THE FOLLOWING RESULTS ARE FROM A PROVIDER SURVEY CONDUCTED FOR THE 2019 CHNA FOR PARKVIEW HOSPITAL, INC. THIS WAS AN ONLINE SURVEY OF HEALTH AND SOCIAL SERVICE PROVIDERS IN THE SEVEN-COUNTY AREA IN NORTHEAST INDIANA DURING JANUARY 2019 DESIGNED TO COLLECT PROVIDER PERCEPTIONS ABOUT COMMUNITY HEALTH NEEDS AND CONCERNS. THE SURVEY WAS DESIGNED BY THE PARK CENTER, INC. AND THE FAIRBANKS SCHOOL OF PUBLIC HEALTH BOTH OF IUPUI IN PARTNERSHIP WITH PARKVIEW HEALTH AND IMPLEMENTED USING QUALTRICS, AN ONLINE SURVEY SERVICE. THE PARKVIEW COMMUNITY BENEFIT TEAM, COLLABORATING WITH THE LEADERSHIP TEAM, DISTRIBUTED THE SURVEY TO HEALTH AND SOCIAL SERVICE PROVIDERS IN THEIR RESPECTIVE COUNTY. A TOTAL OF 83 PROVIDERS FROM ALLEN COUNTY RESPONDED TO THE SURVEY. THE SURVEY COVERED ASPECTS OF THE PROVIDER'S WORK INCLUDING THE SETTING IN WHICH THEY PRACTICED, THE DURATION OF TIME PRACTICING IN THE REGION/COUNTY, AND THEIR PERCEPTION OF THE CHIEF PUBLIC HEALTH CONCERNS, BARRIERS TO CARE, AND AVAILABLE RESOURCES IN THEIR COMMUNITIES. THE MAJORITY OF RESPONDENTS PRACTICED IN ALLEN COUNTY, HOWEVER 182 OTHER PROVIDERS RESPONDED FROM HUNTINGTON, KOSCIUSKO, LAGRANGE, NOBLE, WABASH AND WHITLEY COUNTIES.IN AUGUST 2021 ADAMS COUNTY CARES, INC., A CONVENER OF LOCAL SERVICE PROVIDERS, HOSTED AN EVENT WHERE ADAMS COUNTY NOT-FOR-PROFIT ORGANIZATIONS REPRESENTING VULNERABLE POPULATIONS WERE SURVEYED. THE HEALTH NEEDS SURVEY DESIGNED BY PARKVIEW COMMUNITY HEALTH WAS ADMINISTERED TO LOCAL SOCIAL SERVICE AGENCIES, GOVERNMENT AGENCIES, SCHOOLS, HEALTH CARE PROVIDERS, ETC., MANY OF WHICH SERVE AT-RISK INDIVIDUALS AND FAMILIES. THERE WERE 38 RESPONSES STEMMING FROM THIS GROUP.IN AN EFFORT TO IMPROVE THE COMMUNITY SURVEY DATA AVAILABLE FOR THIS REPORT, THE RESULTS OF THE 2019 ALLEN COUNTY CHNA COMMUNITY SURVEY WERE INCLUDED. THIS DATA IS ALSO IMPORTANT TO CONSIDER IN ADDITION TO THE ADAMS COUNTY COMMUNITY SURVEY DATA BECAUSE ALLEN COUNTY HAS THE LARGEST POPULATION IN THE SERVICE AREA. THE ALLEN COUNTY SURVEY WAS A COMMUNITY PHONE SURVEY CONDUCTED FROM APRIL THROUGH JUNE 2019 BY THE SURVEY RESEARCH LAB AT THE SCHOOL OF PUBLIC HEALTH AT THE UNIVERSITY OF ALABAMA SCHOOL, A PARTNER OF THE RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH. THE SURVEY WAS DESIGNED TO COLLECT COMMUNITY PERSPECTIVES ON THE TOP COMMUNITY HEALTH ISSUES IN THE PARK CENTER, INC. SERVICE AREA. A RANDOM, POPULATION SAMPLE OF 700 INDIVIDUALS WAS SELECTED FROM THE PARK CENTER, INC. SERVICE AREA. |
| PARK CENTER, INC. | PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES IN THAT PARK CENTER, INC., AS AN AFFILIATE OF PARKVIEW HEALTH SYSTEM, INC., UTILIZED PORTIONS OF THE CHNA CONDUCTED IN 2019 BY THE FOLLOWING ORGANIZATIONS: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:THE MOST RECENT ASSESSMENT WAS COMPLETED IN CONJUNCTION WITH THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES, WHICH IS A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI. CURRENT COMMUNITY HEALTH PRIORITIES FOR PARKVIEW-AFFILIATED HOSPITALS CAN BE FOUND IN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. |
| 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. CLIENT PARTICIPATE OUR IOPS FOR THREE HOURS PER DAY, THREE TIMES A WEEK. IN ADDITION, PARK CENTER, INC HAS 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. OFFERS THE SUICIDE OBVIATION SUPPORT (SOS) PROGRAM. THE SOS PROGRAM NAVIGATORS WALK ALONGSIDE, AT ELBOW'S LENGTH, TO PATIENTS EXPERIENCING SUICIDALITY, DOMESTIC VIOLENCE, OR BOTH. ADDITIONALLY, NAVIGATORS ENSURE PATIENTS HAVE FOLLOW-UP APPOINTMENTS, NECESSARY MEDICATIONS, AND SAFETY PLANS AS WELL AS CONNECT THEM TO VALUABLE SERVICES SUCH AS 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 TO LEARN SKILLS THAT CAN HELP THEM BE SUCCESSFUL. ADDITIONALLY, THE CASE MANAGERS ARE ALSO 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 IOP SERVICES 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 FOR THE COMMUNITY TO RECEIVING 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.INFANT DEATH - INFANT DEATH IS NOT A PRIMARY FOCUS, HOWEVER WE DO PROVIDE SERVICES AROUND MATERNAL THERAPY AND PROVIDE CASE MANAGEMENT FOR PARENT EDUCATION INVOLVING SAFE SLEEP. PARK CENTER, INC. USES THE AMERICAN SOCIETY OF ADDICTION MEDICINE (ASAM) CRITERIA FOR ADMISSION TO ITS ADDICTION TREATMENT PROGRAMS. PARK CENTER ALSO ADHERES TO THE FEDERALLY FUNDED ADMISSIONS PRIORITIES. PREFERENCE FOR TREATMENT IS MADE IN THIS ORDER:1. WOMAN WHO IS PREGNANT WITH INTRAVENOUS DRUG USE (IVDU)2. WOMAN IS PREGNANT3. PERSON WITH INTRAVENOUS DRUG USE (IVDU) DISABILITY NEEDS - PARK CENTER, INC. DOES NOT HAVE PROGRAMMING THAT IS SPECIFIC TO DISABILITY NEEDS BUT ALWAYS MAKES ACCOMMODATIONS AND REMOVES BARRIERS TO GET INDIVIDUALS WITH DISABILITIES INTO MENTAL HEALTH SERVICES. INFECTIOUS DISEASE - PARK CENTER, INC. DOES NOT HAVE PROGRAMMING AROUND INFECTIOUS DISEASE. PARK CENTER, INC. WILL PROVIDE RESOURCES AND REFERRALS TO OTHER PARTS OF THE PARKVIEW HEALTH SYSTEM WHO ARE EQUIPPED TO ADDRESS THIS NEED.AGING - AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA (AIHS) SERVES OLDER ADULTS, PERSONS WITH DISABILITIES AND THEIR CAREGIVERS IN NINE COUNTIES IN NORTHEAST INDIANA. THIS NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION IS A FEDERAL- AND STATE-DESIGNATED AREA AGENCY ON AGING AND AN AGING AND DISABILITY RESOURCE CENTER THAT PROVIDES STREAMLINED ACCESS TO INFORMATION, CARE OPTIONS, SHORT-TERM CASE MANAGEMENT AND BENEFITS ENROLLMENT ACROSS A SPECTRUM OF LONG-TERM CARE SERVICES. OBESITY - WHILE WE ARE NOT ADDRESSING OBESITY SPECIFICALLY, COMBATTING THE LONG-TERM IMPACT OF OBESITY, THROUGH BOTH PREVENTION AND TREATMENT, WE DO PROVIDE EDUCATION AND ENCOURAGE HEALTHY CHOICES. WE ALSO WILL MAKE REFERRALS TO MEDICAL SERVICES WITHIN THE CLIENT'S COMMUNITY TO CONNECT A CLIENT WITH THE SPECIALIZED SERVICES NEEDED.REPRODUCTIVE HEALTH - PARK CENTER, INC. PROVIDES EDUCATION AND REFERRALS TO PRIMARY CARE OR MEDICAL RESOURCES. OUR CASE MANAGERS WILL ENSURE INDIVIDUALS WITH REPRODUCTIVE HEALTH NEEDS ARE GIVEN RESOURCES.DENTAL CARE - PARK CENTER, INC. DOES NOT PROVIDE DENTAL CARE SERVICES. WE DO HELP CLIENTS LOCATE DENTAL SERVICES AND SCHEDULE APPOINTMENTS. OUR CASE MANAGERS PROVIDE EDUCATION ON GOOD HYGIENE FOR INDIVIDUALS AND CHILDREN. WE ALSO CAN CONNECT INDIVIDUALS WITH MATTHEW 25, WHICH PROVIDES DENTAL SERVICES INCLUDING EXAMS, X-RAYS, CLEANINGS, FILLINGS, EXTRACTIONS, AND DENTURES. INJURIES - PARK CENTER, INC. DOES NOT TREAT PHYSICAL INJURIES. PARK CENTER, INC. LOOKS TO OTHER PARKVIEW HEALTH SYSTEM PROVIDERS TO ADDRESS PHYSICAL INJURIES. PARK CENTER, INC. EMPLOYEES ARE TRAINED IN FIRST AID.TOBACCO USE - TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY, INDIANA, RELATED TO TOBACCO-FREE EFFORTS. TFAC PROVIDES INFORMATION ABOUT LOCAL SMOKING CESSATION PROGRAMS AND ADVOCATES FOR NO-SMOKING PUBLIC POLICY AT THE STATE LEVEL. THEIR GOALS INCLUDE DECREASING YOUTH AND ADULT TOBACCO USE, INCREASING PROTECTIONS AGAINST SECOND-HAND SMOKE AND BUILDING/MAINTAINING THE LOCAL TOBACCO CONTROL INFRASTRUCTURE. PARK CENTER, INC. OPERATES A TOBACCO-FREE CAMPUS. IN ADDITION, PARK CENTER, INC. CAN REFER TO PARKVIEW HOSPITAL, INC. WHICH HOLDS A PROGRAM, NICOTINE FREE FOR BABY AND ME CLASSES TO HELP PREGNANT WOMEN TO QUIT SMOKING. |
| PART V, SECTION B, LINE 1: | ON OCTOBER 1, 2018, PARK CENTER'S BYLAWS WERE AMENDED TO REFLECT PARKVIEW HEALTH SYSTEM, INC. AS ITS SOLE MEMBER. IN JANUARY AND FEBRUARY 2021, PARKVIEW HEALTH SYSTEM, INC.'S INTERNAL AUDIT DEPARTMENT PERFORMED A COMPREHENSIVE REVIEW OF ALL APPLICABLE POLICIES AND PRACTICES OF PARK CENTER UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE AND THE TREASURY REGULATIONS ISSUED THEREUNDER. AS A RESULT OF THE AUDIT, IT WAS DISCOVERED THAT IN PRIOR YEARS THE POSITION WAS TAKEN THAT PARK CENTER WAS NOT LICENSED AS A HOSPITAL FACILITY IN THE STATE OF INDIANA, BUT RATHER WAS DESIGNATED AS A "PRIVATE MENTAL HEALTH INSTITUTION" UNDER APPLICABLE STATE LAW. AS A RESULT OF THAT POSITION, PARK CENTER HAD NOT HISTORICALLY FILED SCHEDULE H OF FORM 990 OR MET ALL OF THE REQUIREMENTS OF SECTION 501(R). FURTHERMORE, PARK CENTER HAS BEEN CLASSIFIED AS AN ORGANIZATION DESCRIBED IN SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI), RATHER THAN AS A HOSPITAL DESCRIBED IN SECTION 170(B)(1)(A)(III). WHILE THE STATE LICENSING OF PARK CENTER HAS NOT CHANGED, PURSUANT TO THE INTERNAL AUDIT AND THE EVOLUTION OF PARK CENTER'S OPERATIONS OVER THE YEARS, PARK CENTER HAS DECIDED TO TAKE A CONSERVATIVE POSITION AND TREAT ITS OPERATIONS AS BEING NEWLY LICENSED AS A HOSPITAL FACILITY FOR PURPOSES OF SECTION 501(R) BEGINNING AS OF THE 2021 TAX YEAR. THUS, THE 2021 TAX YEAR IS THE FIRST YEAR THAT PARK CENTER IS FILING SCHEDULE H OF FORM 990 AND MEETING ALL OF THE APPLICABLE REQUIREMENTS OF SECTION 501(R). AS SUCH, ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WERE COMPLETED WITHIN THE TIMEFRAME ALLOTTED BY TREAS. REG. 1.501(R)-3(D)(3) (RELATING TO NEW HOSPITAL FACILITIES). |
| 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 (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE. |
| 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 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE. |
| 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 - 26 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. 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 ITS FRONTLINE STAFF. PARK CENTER, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:- HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS- OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)- REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) - PARKVIEW LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE COMMUNITY BOARDS IN THE COMMUNITY- 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 (2019), ALLEN COUNTY BOASTS A POPULATION OF 382,187 WHILE ADAMS HAS A POPULATION OF 35,961 AND WELLS HAS A POPULATION OF 28,206. DEMOGRAPHICALLY THE URBAN COUNTY OF ALLEN IS THE MOST DIVERSE, WITH 73.1% IDENTIFYING AS WHITE, 12% AS BLACK, AND 7.7 % AS HISPANIC. ADAMS AND WELLS COUNTIES ARE 93.6% WHITE AND 93.9% WHITE, RESPECTIVELY. INDIANA HAS AN OVERALL UNINSURED RATE OF 16%, WITH LOW-INCOME INDIVIDUALS HAVING AN OVERALL UNINSURED RATE OF 33.6%. (138 % OR LESS OF FEDERAL POVERTY). THE MEDIAN HOUSEHOLD INCOME OF RESIDENTS IN ALLEN COUNTY IS $57,104 WITH 12.6% OF INDIVIDUALS LIVING UNDER THE FEDERAL POVERTY GUIDELINE. REGARDING THE RURAL COUNTIES, THE MEDIAN HOUSEHOLD INCOME OF ADAMS COUNTY IS $52,712 WITH 16.5% OF INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY GUIDELINE, WHILE THE MEDIAN HOUSEHOLD INCOME OF WELLS COUNTY IS $57,565 WITH 8.2% OF INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY GUIDELINE. ACCORDING TO COUNTY HEALTH RANKINGS (2019) THE UNINSURED RATE IS 11% IN ALLEN, 14% IN ADAMS, AND 9% IN WELLS COUNTY. PARK CENTER, INC. IS ONE OF TWO CMHCS THAT SERVE THE AREAS WHERE WE ARE DESIGNATED AS THE CATCHMENT PROVIDERS. ALL THREE COUNTIES HAVE MEDICALLY UNDERSERVED AREAS- THE ENTIRETY OF ADAMS AND WELLS AND THE SOUTHEAST REGION OF FORT WAYNE. IN 2021 PARK CENTER, INC. SERVED 21,923 CLIENTS WITH INDIVIDUALS RECEIVING OVER 329,983 SERVICES. 77% OF INDIVIDUALS SERVED MADE $10,400 OR LESS ANNUALLY. THE PAYER MIX OF CLIENTS WAS 43% MEDICAID, 34% PRIVATE, 14% MEDICARE, 7% UNINSURED, AND 2% OTHER. OF THOSE WHO RECEIVED TREATMENT 76% WERE WHITE/CAUCASIAN, 15% WERE BLACK/AFRICAN AMERICAN, 3% WERE HISPANIC/LATINO AND 6% WERE OTHER OR DECLINED TO ANSWER. HEALTH RESOURCES AND 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:ALLEN COUNTY:1) DISCIPLINE: MENTAL HEALTHHPSA ID: 7183515359HPSA NAME: MHCA 20DESIGNATION TYPE: HIGH NEEDS GEOGRAPHIC HPSAHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL2) DISCIPLINE: PRIMARY CAREHPSA ID: 7189991824HPSA NAME: NEIGHBORHOOD HEALTH CLINIC INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERHPSA SCORE: 20STATUS: DESIGNATEDRURAL STATUS: NON-RURAL3) DISCIPLINE: PRIMARY CAREHPSA ID: CITY OF FORT WAYNEHPSA NAME: CITY OF FORT WAYNEDESIGNATION TYPE: HIGH NEEDS GEOGRAPHIC HPSAHPSA SCORE: 5STATUS: DESIGNATEDRURAL STATUS: NON-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 HAVE TO INVEST IN THE FUTURE WORKFORCE. PARK CENTER, INC. HAS BEEN PARTNERING WITH SCHOOLS AND BUILDING A PIPELINE OF THERAPISTS AND MENTAL HEALTH PROFESSIONALS. IN 2021, PARK CENTER, INC TEAMED UP WITH INDIANA UNVERSITY SCHOOL OF SOCIAL WORK TO LAUNCH THE FIRST BEHAVIORAL HEALTH ACADEMY. PARK CENTER TOOK EIGHT STUDENTS THIS YEAR TO MENTOR, EDUCATE, AND TO PROVIDE EXPERIENCE IN THE FIELD FOR A FULL ACADEMIC YEAR. ALONG WITH INDIANA UNIVERSITY, PARK CENTER, INC. WORKS WITH MULTIPLE OTHER SCHOOLS TO PROVIDE INTERNSHIPS FOR BOTH, UNDERGRADUATE AND GRADUATE DEGREES. IN 2021, PARK CENTER, INC. IMPLEMENTED A MOBILE INTERVENTION TEAM THAT ASSISTED WITH GETTING INDIVIDUALS THE SERVICES THEY NEEDED QUICKLY. 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 ASSISTED OVER 1300 ADULTS WITH SUICIDAL THOUGHTS AND OUR HOMELESS OUTREACH SERVICES CONNECTING 200 INDIVIDUALS INTO 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.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; PARK CENTER, 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 AND SUPPORTS THEIR RESPECTIVE COUNTY THROUGH INVESTMENTS OF COMMUNITY HEALTH IMPROVEMENT FUNDING AND PROGRAMMING 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 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES A BOARD OF DIRECTORS, WHICH 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, AT ALL TIMES, BE CONSIDERED TO BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE. 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 PROMOTE THE ECONOMY, QUALITY OF LIFE AND HEALTH/WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE THE BEST CARE TO EVERY PERSON, EVERY DAY IN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS IN AN EFFORT 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) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | 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 (11 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 | $1,220,966 | $0 | $259,085 | $0 | $557,555 | $0 | $292,805 | $0 | $33,268 | $0 | $2,363,679 | $0 | $507,042 |
| JEANNE' WICKENS | ||||||||||||||
| PH CHIEF FINANCIAL OFFICER | $0 | $770,820 | $0 | $142,288 | $0 | $146,528 | $0 | $320,169 | $0 | $29,811 | $0 | $1,409,616 | $0 | $124,406 |
| GREG JOHNSON | ||||||||||||||
| DIRECTOR/PH CCIA | $0 | $526,062 | $0 | $80,177 | $0 | $49,590 | $0 | $121,350 | $0 | $38,587 | $0 | $815,766 | $0 | $44,688 |
| CHARLES CLARK | ||||||||||||||
| DIRECTOR/BHI PRESIDENT | $0 | $231,940 | $0 | $36,260 | $0 | $334,226 | $0 | $69,695 | $0 | $24,581 | $0 | $696,702 | $0 | $324,171 |
| JASMINE KAUR | ||||||||||||||
| PARKC PHYSICIAN | $312,527 | $0 | $27,250 | $0 | $1,564 | $0 | $14,397 | $0 | $12,675 | $0 | $368,413 | $0 | $0 | $0 |
| GARY ZWIERZYNSKI | ||||||||||||||
| DIRECTOR/SECRETARY/TREASURER/PVH SVP | $0 | $225,048 | $0 | $35,240 | $0 | $8,635 | $0 | $51,771 | $0 | $24,471 | $0 | $345,165 | $0 | $3,576 |
| ANDREA NAAUM | ||||||||||||||
| PARKC PHYSICIAN | $282,138 | $0 | $12,250 | $0 | $1,486 | $0 | $12,122 | $0 | $13,197 | $0 | $321,193 | $0 | $0 | $0 |
| RONALD PANCNER | ||||||||||||||
| PARKC PHYSICIAN | $225,679 | $0 | $2,250 | $0 | $0 | $0 | $8,680 | $0 | $0 | $0 | $236,609 | $0 | $0 | $0 |
| CLYDE NIX | ||||||||||||||
| PARKC PRESIDENT/PARTIAL YR | $6,565 | $0 | $0 | $0 | $210,356 | $0 | $1,207 | $0 | $11,114 | $0 | $229,242 | $0 | $0 | $0 |
| MAHROKH SHAYANPOUR | ||||||||||||||
| PARKC PHYSICIAN | $170,336 | $0 | $1,000 | $0 | $286 | $0 | $5,599 | $0 | $4,642 | $0 | $181,863 | $0 | $0 | $0 |
| SYED MUMTAZ | ||||||||||||||
| PARKC PHYSICIAN | $130,382 | $0 | $1,000 | $0 | $1,401 | $0 | $5,929 | $0 | $12,589 | $0 | $151,301 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: JASMINE KAUR $1,000; ANDREA NAAUM $1,000 |
| 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, LINES 4A-B | SEVERANCE PAYMENT CLYDE NIX $193,385 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 $324,171; GREG JOHNSON $44,688; MICHAEL PACKNETT $507,042; JEANNE' WICKENS $124,406; GARY ZWIERZYNSKI $3,576 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 $507,042 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 $39,678; GREG JOHNSON $89,450; MICHAEL PACKNETT $260,905; JEANNE' WICKENS $299,869; GARY ZWIERZYNSKI $38,522 |
| 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 (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A: | PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, BECAME 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, 2021 WAS 593. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A THE NUMBER REPORTED FOR THE PARK CENTER, INC. WAS 40. |
| 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 4 | THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF PARK CENTER, INC.: ARTICLE III - BOARD OF DIRECTORS: WITHIN THIS SECTION, AS WELL AS THROUGHOUT THE BYLAWS, REFERENCE TO CLASS A DIRECTORS AND CLASS B DIRECTORS WAS REMOVED. CLASS B DIRECTORS RELATED TO PARK CENTER HOLDINGS, INC., AND PARK CENTER HOLDINGS, INC. WAS DISSOLVED AND CEASED OPERATIONS EFFECTIVE OCTOBER 6, 2021. ADDITIONALLY, THE REQUIREMENT THAT EACH BOARD MEMBER PHYSICALLY ATTEND AT LEAST ONE BOARD MEETING EACH CALENDAR YEAR WAS REMOVED. ARTICLE IV - POWERS AND RESPONSIBILITIES: THE REQUIREMENT OF THE BOARD TO ANNUALLY EVALUATE ITS PERFORMANCE WAS REMOVED. ARTICLE V - COMMITTEES OF THE BOARD OF DIRECTORS: REMOVED FINANCE COMMITTEE AND AUDIT & COMPLIANCE COMMITTEE AS BOARD COMMITTEES, AS THESE COMMITTEES ARE NOW LISTED AS SYSTEM BOARD COMMITTEES AND FALL UNDER THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. ARTICLE XVII - AMENDMENT OF RESTATED ARTICLES OF INCORPORATION & BYLAWS IS AS FOLLOWS: THE BYLAWS MAY BE AMENDED IN THE FOLLOWING MANNER: (A) FIRST, THE PROPOSED AMENDMENT SHALL BE SUBMITTED TO AND APPROVED FOR CONSIDERATION BY A MAJORITY VOTE OF THE BOARD AT WHICH A QUORUM IS IN ATTENDANCE. (B) SUBSEQUENTLY, AT A REGULAR OR SPECIAL MEETINGS OF THE BOARD, HELD NOT EARLIER THAN THREE (3) WEEKS FROM THE DATE OF THE FIRST MEETING DESCRIBED, THE PROPOSED AMENDMENT SHALL BE SUBMITTED FOR ACTION OF THE BOARD. A VOTE IN PERSON OR IN WRITING OF AT LEAST TWO-THIRDS (2/3) OF THE MEMBERS OF THE ENTIRE BOARD SHALL BE REQUIRED TO ADOPT THE PROPOSED AMENDMENTS. (C) THE AMENDMENT OF THE BYLAWS OF THE CORPORATION SHALL BE SUBJECT TO THE APPROVAL OF THE MEMBER. IN ADDITION, THE MEMBER MAY DIRECT THE BOARD TO ADOPT BYLAW AMENDMENTS. (D) A MAJORITY OF THE BOARD MAY WAIVE THE PROCEDURAL REQUIREMENTS OF SUBPARAGRAPHS (A) AND (B) ABOVE AND VOTE ON A PROPOSED AMENDMENT AT THE MEETING IN WHICH IT IS INTRODUCED. A VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE ENTIRE BOARD SHALL BE REQUIRED TO ADOPT THE PROPOSED AMENDMENT. THE BYLAWS OF THE CORPORATION SHALL BE REVIEWED AT LEAST EVERY OTHER YEAR. |
| 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 26, 2022, 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 VICE PRESIDENT OR ABOVE, THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., DETERMINES THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. |
| 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 IX, LINE 11G | OTHER: PROGRAM SERVICE EXPENSES 1,011,692. MANAGEMENT AND GENERAL EXPENSES 244,930. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,256,622. MEDICAL PERSONNEL & TREATMENT SERVICES: PROGRAM SERVICE EXPENSES 3,602,874. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,602,874. CLEANING & LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 355,698. MANAGEMENT AND GENERAL EXPENSES 17,103. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 372,801. MEDICAID ENROLLMENT SERVICES: PROGRAM SERVICE EXPENSES 140,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,000. |
| FORM 990, PART XI, LINE 9: | ASSET TRANSFERS/ADJUSTMENTS -1,042. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 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 | |
| PARK CENTER HOLDINGS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 843684074 | TO SUPPORT PARK CENTER INC | IN | 501(C)(3) | LINE 12D, III-O | 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 (2 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 |
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 | 0 | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | 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 |