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← COMMUNITY HOSPITALS AND WELLNESS CENTERS

Form 990 for tax year 2023

Filed by COMMUNITY HOSPITALS AND WELLNESS CENTERS.

Totals

Total revenue
$25,333,060
Total expenses
$20,513,390
Contributions and grants received
$12,976
Grants paid
$0
Program service revenue
$24,695,855
Investment income
$478,388
Other revenue
$145,841
Total assets, end of year
$119,525,040
Total liabilities, end of year
$53,988,345
Net assets or fund balances, end of year
$65,536,695
Program services expenses (Part IX)
$19,883,023
Management and general expenses
$630,367
Fundraising expenses
$0
Program service expenses (Part III)
$19,883,023

Program services were 96.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $11,976

  • 1f · All other contributions, gifts and grants

    $1,000

  • 2a · Program service revenue: NET PATIENT SERVICE

    total $23,695,590 · related or exempt $23,695,590

  • 2b · Program service revenue: CHWC PAIN MGMT LLC

    total $867,743 · related or exempt $867,743

  • 2c · Program service revenue: INTERUNIT RENT

    total $61,441 · related or exempt $61,441

  • 2d · Program service revenue: CHWPM BILLINGS

    total $54,416 · related or exempt $54,416

  • 2e · Program service revenue: MASSAGE THERAPY CLINIC

    total $16,665 · related or exempt $16,665

  • 3 · Investment income

    total $478,388 · excluded $478,388

  • 6a · Gross rents

    real property $74,649

  • 6b · Less rental expenses

    real property $31,471

  • 6c · Rental income or loss

    real property $43,178

  • 6d · Net rental income or loss

    total $43,178 · related or exempt $43,178

  • 11a · Other revenue: CAFETERIA

    total $134,950 · excluded $134,950

  • 11b · Other revenue: LOSS FROM VANTAGE HEALTHCARE

    total -$32,287 · unrelated business -$32,287

  • 11e · Other revenue, total

    $102,663

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $298,619 · management and general $298,619

  • 6 · Compensation of disqualified persons

    total $215,586 · program services $144,289 · management and general $71,297

  • 7 · Other salaries and wages

    total $7,329,813 · program services $7,329,813

  • 9 · Other employee benefits

    total $3,212,752 · program services $3,212,752

  • 11g · Fees: other

    total $3,104,257 · program services $2,961,201 · management and general $143,056

  • 13 · Office expenses

    total $288,401 · program services $259,721 · management and general $28,680

  • 16 · Occupancy

    total $686,985 · program services $672,499 · management and general $14,486

  • 17 · Travel

    total $5,378 · program services $4,891 · management and general $487

  • 19 · Conferences, conventions and meetings

    total $1,800 · program services $1,250 · management and general $550

  • 20 · Interest

    total $3,199 · management and general $3,199

  • 22 · Depreciation, depletion and amortization

    total $1,010,682 · program services $1,010,682

  • 23 · Insurance

    total $52,100 · program services $21,354 · management and general $30,746

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $3,381,132 · program services $3,381,132

  • 24b · Other expenses: FRANCHISE FEES & TAXES

    total $625,904 · program services $625,904

  • 24c · Other expenses: HCAP ASSESSMENT FEES

    total $121,300 · program services $121,300

  • 24d · Other expenses: TUITION & CERTIFICATION

    total $113,871 · program services $113,871

  • 24e · All other expenses

    total $61,611 · program services $22,364 · management and general $39,247

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,078,501 · end of year $3,445

  • 2 · Savings and temporary cash investments

    end of year $32,679,900

  • 4 · Accounts receivable

    beginning of year $17,936,683 · end of year $12,791,586

  • 8 · Inventories for sale or use

    beginning of year $1,928,686 · end of year $2,246,106

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,092,619 · end of year $1,020,409

  • 10a · Land, buildings and equipment: cost or other basis

    $34,780,426

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,078,677

  • 10c · Land, buildings and equipment, net

    beginning of year $67,371,036 · end of year $33,701,749

  • 11 · Investments: publicly traded securities

    beginning of year $31,767,191 · end of year $34,047,426

  • 12 · Investments: other securities

    beginning of year $587,358 · end of year $655,168

  • 15 · Other assets

    beginning of year $10,627,061 · end of year $2,379,251

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,147,919 · end of year $2,982,254

  • 20 · Tax-exempt bond liabilities

    beginning of year $24,171,619 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $11,243,690 · end of year $0

  • 25 · Other liabilities

    beginning of year $1,192,846 · end of year $51,006,091

Mission and programs · 2023

Mission

COMMUNITY HOSPITALS AND WELLNESS CENTERS WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.

Activities or mission (Part I)

IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.

  • EFFECTIVE OCTOBER 1, 2023, COMMUNITY HOSPITALS AND WELLNESS CENTERS (CHWC), ALONG WITH ITS TEAM OF CO-WORKERS, PHYSICIANS, AND ADVANCED PRACTICE PROVIDERS, OFFICIALLY AFFILIATED WITH PARKVIEW HEALTH SYSTEM, INC. CHWC IS BASED IN BRYAN, OHIO AND HAS TWO HOSPITALS IN WILLIAMS COUNTY AND AN OUTPATIENT CENTER IN FULTON COUNTY. UPON AFFILIATION, CHWC DESIGNATED THESE THREE FACILITIES AS PARKVIEW BRYAN HOSPITAL, PARKVIEW MONTPELIER HOSPITAL AND PARKVIEW ARCHBOLD. FEATURED SERVICES:PARKVIEW BRYAN HOSPITAL, A 98-BED CHARITABLE, NOT-FOR-PROFIT, COMMUNITY-OWNED HOSPITAL, PROVIDES COMPREHENSIVE, PATIENT-CENTERED(SEE SCHEDULE O FOR CONTINUATION)HEALTHCARE INCLUDING A REGIONAL INTERVENTIONAL CARDIOLOGY PROGRAM, FAMILY BIRTHING CENTER, RADIATION ONCOLOGY, EMERGENCY MEDICINE, SURGICAL SERVICES, AND INPATIENT AND OUTPATIENT SPECIALTY SERVICES. PARKVIEW MONTPELIER HOSPITAL, A 25-BED CHARITABLE, NOT-FOR-PROFIT, CRITICAL ACCESS HOSPITAL, PROVIDES HEALTHCARE SERVICES INCLUDING EMERGENCY MEDICINE, LAB AND DIAGNOSTIC IMAGING, REHABILITATION AND THERAPY SERVICES, AND SLEEP LAB.LOCATED IN FULTON COUNTY, PARKVIEW ARCHBOLD WITH NO INPATIENT BEDS, OPERATES FOUR SURGICAL SUITES, PHYSICIAN CLINICS AND PROVIDES A BROAD RANGE OF OUTPATIENT SERVICES. COMMUNITY BENEFIT:CHWC'S COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT NORTHWEST OHIO. CHWC COLLABORATES WITH A HOST OF AREA ORGANIZATIONS WHO SHARE CHWC'S MISSION AND VALUES. CHWC STRATEGICALLY INVESTS IN INITIATIVES THAT ADDRESS THE GREATEST COMMUNITY HEALTH NEEDS OUTLINED BY THE MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THE 2022 CHNA RESULTS, THE TOP HEALTH CONCERNS FOR WILLIAMS COUNTY, OHIO ARE ACCESS TO CARE, HEALTH BEHAVIORS, MENTAL HEALTH AND ADDICTION. BASED UPON THESE RESULTS, CHWC, ALONG WITH CRITICAL AREA HEALTH PARTNERS CREATE A COMMUNITY HEALTH IMPROVEMENT PLAN THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW TO ADDRESS EACH IDENTIFIED HEALTH NEED. FINANCIAL ASSISTANCE:CHWC IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE TO THOSE WHO NEED IT, REGARDLESS OF THEIR HEALTH STATUS OR ABILITY TO PAY. WITH FINANCIAL ASSISTANCE, PATIENTS CAN RECEIVE THE PARKVIEW CARE THEY EXPECT - NO MATTER WHAT MEDICAL OBSTACLES THEY MIGHT FACE. FINANCIAL ASSISTANCE SERVICES INCLUDE: 1) USING FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES, INCLUDING CHARITABLE CARE AND FINANCIAL ASSISTANCE POLICIES AND A STANDARD APPLICATION PROCESS; 2) PROVIDING EXTENDED PAYMENT PLAN OPTIONS; AND 3) PROVIDING EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY.AWARDS/RECOGNITION:AWARD: IN OCTOBER 2023, PARKVIEW BRYAN HOSPITAL WAS RECOGNIZED BY THE THE CHARTIS CENTER FOR OUTSTANDING RURAL HEALTHCARE.

    Expenses $19,883,023 · Revenue $24,739,033

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Chad Tinkel

    DIRECTOR/CHWC PRESIDENT

    Total calculated
    $990,969
    From this org
    $900,726
    From related orgs
    $0
    Other
    $90,243
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $347,866
    Bonus
    $244,487
    Other
    $308,373
    Deferred
    $63,794
    Nontaxable benefits
    $26,449
    Filer's total
    $990,969

  • Steve Bumb

    DIRECTOR/CHWC CHIEF OF STAFF

    Total calculated
    $436,182
    From this org
    $385,889
    From related orgs
    $0
    Other
    $50,293
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $343,862
    Bonus
    $40,450
    Other
    $1,577
    Deferred
    $21,998
    Nontaxable benefits
    $28,295
    Filer's total
    $436,182

  • Carolyn Sharrock-Dorsten

    DIRECTOR/MCHA PHYSICIAN

    Total calculated
    $427,694
    From this org
    $0
    From related orgs
    $355,933
    Other
    $71,761
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $302,136 related
    Bonus
    $0 + $48,029 related
    Other
    $0 + $5,768 related
    Deferred
    $0 + $36,300 related
    Nontaxable benefits
    $0 + $35,461 related
    Filer's total
    $0 + $427,694 related

  • Katrina Hester

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Christopher Kannel

    DIRECTOR/CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Cindy Reed

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Russ Davies

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Allyn Luce

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Lars Ellar

    DIRECTOR/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Elena West

    DIRECTOR/VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jim Watkins

    DIRECTOR/SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Greg Johnson

    DIRECTOR/REGIONAL MARKET PRESIDENT

    Total calculated
    $1,077,497
    From this org
    $0
    From related orgs
    $888,491
    Other
    $189,006
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $681,591 related
    Bonus
    $0 + $112,796 related
    Other
    $0 + $94,104 related
    Deferred
    $0 + $155,300 related
    Nontaxable benefits
    $0 + $33,706 related
    Filer's total
    $0 + $1,077,497 related

  • Richard Church

    DIRECTOR/PH CHIEF GWTH STR OFFICER

    Total calculated
    $819,725
    From this org
    $0
    From related orgs
    $630,011
    Other
    $189,714
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $517,021 related
    Bonus
    $0 + $71,738 related
    Other
    $0 + $41,252 related
    Deferred
    $0 + $143,100 related
    Nontaxable benefits
    $0 + $46,614 related
    Filer's total
    $0 + $819,725 related

  • Jeanne' Wickens

    PH CHIEF FINANCIAL OFFICER

    Total calculated
    $2,443,396
    From this org
    $0
    From related orgs
    $2,165,508
    Other
    $277,888
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $834,975 related
    Bonus
    $0 + $187,034 related
    Other
    $0 + $1,143,499 related
    Deferred
    $0 + $239,228 related
    Nontaxable benefits
    $0 + $38,660 related
    Filer's total
    $0 + $2,443,396 related

  • Elizabeth Grimes

    CHWC VP PAT CARE SVCS

    Total calculated
    $308,051
    From this org
    $258,320
    From related orgs
    $0
    Other
    $49,731
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,523
    Bonus
    $0
    Other
    $89,797
    Deferred
    $25,600
    Nontaxable benefits
    $24,131
    Filer's total
    $308,051

  • Ancel Patrick

    CHWC VP OPERATIONS

    Total calculated
    $368,102
    From this org
    $320,548
    From related orgs
    $0
    Other
    $47,554
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $196,526
    Bonus
    $0
    Other
    $124,022
    Deferred
    $22,376
    Nontaxable benefits
    $25,178
    Filer's total
    $368,102

  • Damoder Kesireddy

    CHWC PHYSICIAN

    Total calculated
    $830,862
    From this org
    $794,562
    From related orgs
    $0
    Other
    $36,300
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $590,859
    Bonus
    $183,879
    Other
    $19,824
    Deferred
    $36,300
    Nontaxable benefits
    $0
    Filer's total
    $830,862

  • Jose Parodi

    CHWC PHYSICIAN

    Total calculated
    $595,328
    From this org
    $567,787
    From related orgs
    $0
    Other
    $27,541
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $493,266
    Bonus
    $46,950
    Other
    $27,571
    Deferred
    $1,734
    Nontaxable benefits
    $25,807
    Filer's total
    $595,328

  • David Cooley

    CHWC PHYSICIAN

    Total calculated
    $926,500
    From this org
    $872,279
    From related orgs
    $0
    Other
    $54,221
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $704,973
    Bonus
    $143,920
    Other
    $23,386
    Deferred
    $34,324
    Nontaxable benefits
    $19,897
    Filer's total
    $926,500

  • Jodi Tinkel

    CHWC PHYSICIAN

    Total calculated
    $638,573
    From this org
    $622,487
    From related orgs
    $0
    Other
    $16,086
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $617,689
    Bonus
    $4,050
    Other
    $748
    Deferred
    $11,951
    Nontaxable benefits
    $4,135
    Filer's total
    $638,573

  • Khalid Minhas

    CHWC PHYSICIAN

    Total calculated
    $801,152
    From this org
    $758,265
    From related orgs
    $0
    Other
    $42,887
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $668,685
    Bonus
    $64,050
    Other
    $25,530
    Deferred
    $12,950
    Nontaxable benefits
    $29,937
    Filer's total
    $801,152

  • Christa Pomeroy

    FORMER OFFICER/PH DIRECTOR TREASURY

    Total calculated
    $304,545
    From this org
    $267,525
    From related orgs
    $0
    Other
    $37,020
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $207,232
    Bonus
    $12,500
    Other
    $47,793
    Deferred
    $8,618
    Nontaxable benefits
    $28,402
    Filer's total
    $304,545

  • Philip Ennen

    FORMER OFFICER

    Total calculated
    $366,527
    From this org
    $366,527
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $366,527
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $366,527

  • Michael Culler

    FORMER OFFICER

    Total calculated
    $123,976
    From this org
    $123,976
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $123,976
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $123,976

  • Janice David

    FORMER KEY EMPLOYEE/CURRENT MCHA PSA

    Total calculated
    $557,096
    From this org
    $535,854
    From related orgs
    $0
    Other
    $21,242
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $5,913
    Bonus
    $162,726
    Other
    $367,215
    Deferred
    $20,424
    Nontaxable benefits
    $818
    Filer's total
    $557,096

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF COMMUNITY HOSPITALS AND WELLNESS CENTERS' CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC.
PART I, LINE 4B
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): MICHAEL CULLER $123,976; JANICE DAVID $382,083; PHILIP ENNEN $366,527; ELIZABETH GRIMES $49,506; GREG JOHNSON $84,817; KHALID MINHAS $18,750; JOSE PARODI $18,750; ANCEL PATRICK $84,086; CHRISTA POMEROY $31,411; CHAD TINKEL $278,519; JEANNE' WICKENS $1,101,767 AMOUNTS LISTED ABOVE THAT HAVE BEEN REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990 OF THE ORGANIZATION OR RELATED ORGANIZATIONS WILL ALSO BE REFLECTED IN SCHEDULE J, PART II, COLUMN (F). FOR EXAMPLE, THE AMOUNT OF $1,107,767 REPORTED AS REQUIRED FOR JEANNE' WICKENS WAS A RESULT OF THE VESTING OF SUCH AMOUNT UNDER THE TERMS OF THE RESPECTIVE PLANS. HOWEVER, THESE AMOUNTS WERE PREVIOUSLY REPORTED IN JEANNE' WICKENS' DEFERRED COMPENSATION FROM PRIOR YEARS 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: RICHARD CHURCH $136,500; GREG JOHNSON $119,000; CHAD TINKEL $15,217; JEANNE' WICKENS $216,128
PART I, LINE 7
THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR MICP AND PICP. AT CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES FINAL PAYMENT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • COMMUNITY HOSPITALS AND WELLNESS CENTERS PAIN MANAGEMENT LLC

    RELATED · MEDICAL SERVICES · OH · 51% owned · share of income $867,743 · share of assets $1,535,185

    Directly controlled by COMMUNITY HOSPITALS AND WELLNESS CENTERS

  • ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC

    N/A · ORTHOPAEDIC HOSPITAL · IN

  • MANAGED CARE SERVICES LLC

    N/A · HEALTH PLAN ADMINISTRATION · IN

  • FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC

    N/A · SURGICAL SERVICES · IN

  • EXCEL SPORTS GROUP LLC

    N/A · SPORTS CAMPS & LEAGUES · IN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • PARKVIEW PROFESSIONAL PROGRAMS INC

    C · REFERENCE LAB · IN

  • WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC

    C · PROPERTY OWNERS ASSOCIATION · IN

  • PARKVIEW HEALTH SYSTEM INC 457(B) PLAN

    T · TRUST - 457(B) PLAN 003 · IN

  • PARKVIEW HEALTH SYSTEM SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN

    T · TRUST - SERP PLAN 004 · IN

  • PARKVIEW HEALTH SYSTEM INC 457(F) PLAN

    T · TRUST - 457(F) PLAN 005 · IN

  • PARKVIEW HEALTH SYSTEM SUPPLEMENTAL

    T · TRUST - SUPPLEMENTAL PLAN 008 · IN

  • PARKVIEW HEALTH SYSTEM EVPCEO

    T · TRUST - EVP/CEO PLAN 009 · IN

Provenance

Return type
form_990
Tax year
2023
Filed
8 November 2024
IRS schema version
2023v5.1
Source object
202413139349304701

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