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Nonprofiteer
← PARKVIEW WABASH HOSPITAL INC

Form 990 for tax year 2024

Filed by PARKVIEW WABASH HOSPITAL INC.

Totals

Total revenue
$74,493,647
Total expenses
$66,738,594
Contributions and grants received
$250,247
Grants paid
$14,875
Program service revenue
$74,026,144
Investment income
-$13,692
Other revenue
$230,948
Total assets, end of year
$40,140,578
Total liabilities, end of year
$37,132,924
Net assets or fund balances, end of year
$3,007,654
Program services expenses (Part IX)
$54,059,579
Management and general expenses
$12,679,015
Fundraising expenses
$0
Program service expenses (Part III)
$54,059,579

Program services were 81.0% 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.

  • 1d · Related organizations

    $250,247

  • 2a · Program service revenue: NET PATIENT SERVICE

    total $73,939,757 · related or exempt $73,939,757

  • 2b · Program service revenue: INTERUNIT RENT

    total $51,118 · related or exempt $51,118

  • 2c · Program service revenue: PHARMACY

    total $28,311 · related or exempt $28,311

  • 2d · Program service revenue: MEDICAL STAFF DUES

    total $5,000 · related or exempt $5,000

  • 2e · Program service revenue: MEALS ON WHEELS

    total $1,958 · related or exempt $1,958

  • 6a · Gross rents

    real property $19,806

  • 6b · Less rental expenses

    real property $24,367

  • 6c · Rental income or loss

    real property -$4,561

  • 6d · Net rental income or loss

    total -$4,561 · excluded -$4,561

  • 7b · Less cost or other basis and sales expenses

    other assets $13,692

  • 7c · Gain or loss

    other assets -$13,692

  • 7d · Net gain or loss

    total -$13,692 · excluded -$13,692

  • 11a · Other revenue: CAFETERIA

    total $229,667 · excluded $229,667

  • 11b · Other revenue: GIFT SHOP

    total $5,842 · excluded $5,842

  • 11e · Other revenue, total

    $235,509

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $14,875 · program services $14,875

  • 5 · Compensation of officers, directors and key employees

    total $621,897 · management and general $621,897

  • 6 · Compensation of disqualified persons

    total $281,207 · management and general $281,207

  • 7 · Other salaries and wages

    total $13,906,946 · program services $13,906,946

  • 9 · Other employee benefits

    total $4,894,890 · program services $4,894,890

  • 11g · Fees: other

    total $10,797,202 · program services $9,893,310 · management and general $903,892

  • 12 · Advertising and promotion

    total $843 · program services $843

  • 13 · Office expenses

    total $737,491 · program services $690,683 · management and general $46,808

  • 14 · Information technology

    total $2,127 · program services $2,127

  • 16 · Occupancy

    total $1,705,326 · program services $1,666,608 · management and general $38,718

  • 17 · Travel

    total $24,187 · program services $17,908 · management and general $6,279

  • 19 · Conferences, conventions and meetings

    total $6,213 · program services $3,504 · management and general $2,709

  • 20 · Interest

    total $649,649 · program services $649,649

  • 22 · Depreciation, depletion and amortization

    total $2,080,451 · program services $2,073,874 · management and general $6,577

  • 23 · Insurance

    total $103,087 · program services $41,418 · management and general $61,669

  • 24a · Other expenses: CORP SERVICE ALLOCATION

    total $10,644,142 · management and general $10,644,142

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $10,417,432 · program services $10,417,432

  • 24c · Other expenses: PH CLINICAL SUPPORT

    total $4,892,448 · program services $4,892,448

  • 24d · Other expenses: HOSPITAL ASSESSMENT FEE

    total $4,825,083 · program services $4,825,083

  • 24e · All other expenses

    total $133,098 · program services $67,981 · management and general $65,117

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,350 · end of year $1,350

  • 4 · Accounts receivable

    beginning of year $9,447,655 · end of year $10,302,451

  • 8 · Inventories for sale or use

    beginning of year $1,109,523 · end of year $948,171

  • 9 · Prepaid expenses and deferred charges

    beginning of year $46,149 · end of year $43,157

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

    $47,963,663

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

    $19,729,526

  • 10c · Land, buildings and equipment, net

    beginning of year $29,727,209 · end of year $28,234,137

  • 15 · Other assets

    beginning of year $919,613 · end of year $611,312

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,273,561 · end of year $2,245,395

  • 20 · Tax-exempt bond liabilities

    beginning of year $20,350,505 · end of year $19,500,844

  • 25 · Other liabilities

    beginning of year $23,338,416 · end of year $15,386,685

  • 27 · Net assets without donor restrictions

    beginning of year -$4,710,983 · end of year $3,007,654

Mission and programs · 2024

Mission

PARKVIEW WABASH HOSPITAL, INC. 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.

  • PARKVIEW WABASH HOSPITAL, INC. IS A 25-BED, CRITICAL ACCESS HOSPITAL ESTABLISHED IN 1919. IT HAS BEEN A MEMBER OF PARKVIEW HEALTH, INC., SINCE 2015. THE CAMPUS OPENED IN 2018 AND INCLUDES A TWO-STORY 82,000-SQUARE-FOOT HOSPITAL AND A 31,000-SQUARE-FOOT MEDICAL OFFICE BUILDING, HOME TO PARKVIEW PHYSICIANS GROUP AND SERVICES. THE HOSPITAL FEATURES AMENITIES BEYOND THE TYPICAL MEDICAL SERVICES (DESCRIBED BELOW) TO INCLUDE A FULL-SERVICE CAFE, CHAPEL, GIFT SHOP, AND ONE-MILE PAVED WALKING PATH WITH PICNIC PAVILION. THE PRIMARY SERVICE AREA INCLUDES ALL OF WABASH COUNTY, WITH EXPANSION INTO MIAMI AND GRANT COUNTIES. (SEE SCHEDULE O FOR CONTINUATION)SERVICES OFFERED:OUR PRIMARY SERVICE AREA INCLUDES 30,670 (2023) RESIDENTS OF WABASH COUNTY. THOSE RESIDENTS HAVE ACCESS TO CARE CLOSE TO HOME. THE PARKVIEW WABASH HOSPITAL, INC., OFFERS 18 INPATIENT ROOMS EQUIPPED WITH "SMART BEDS AND A CENTRAL MONITORING SYSTEM. OF THOSE BEDS, 14 ARE MEDICAL SURGICAL, AND FOUR ARE CONSTANT CARE UNIT ROOMS. ALL ROOMS HAVE REMOTE MONITORING CAPABILITIES, WITH TELEHEALTH AVAILABLE FOR CONSULTATIONS.PARKVIEW WABASH HOSPITAL, INC., OFFERS A SWING BED PROGRAM, KNOWN AS THE CONTINUING CARE PROGRAM, THAT COMBINES 24-HOUR SKILLED NURSING CARE WITH REHABILITATION THERAPIES TO HELP PATIENTS TRANSITION BACK TO HOME OR TO A LONG-TERM CARE FACILITY FOLLOWING SURGERY OR AN ILLNESS. THE FOCUS IS ON HELPING THE PATIENT REGAIN STRENGTH, MOBILITY, AND INDEPENDENCE WHILE ASSESSING THE SERVICES OR EQUIPMENT NEEDED TO ACHIEVE THOSE GOALS.A NINE-BED EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY, 365 DAYS A YEAR BY BOARD-CERTIFIED PHYSICIANS AND REGISTERED NURSES WHO ARE TRAINED IN EMERGENCY MEDICINE AND CARE. THE ROOMS INCLUDE A TRAUMA ROOM AND A "SAFE ROOM" FOR PATIENTS WHO MAY BE EXPERIENCING A BEHAVIORAL HEALTH CRISIS.TWO SURGICAL SUITES, ONE ENDOSCOPY ROOM, AND SIX PRIVATE PRE-/POST-OP ROOMS MAKE UP OUR SURGERY DEPARTMENT. SURGICAL SERVICES INCLUDE GENERAL SURGERY, UROLOGY, ENDOSCOPY, GYNECOLOGY, ORTHOPEDICS, PAIN MANAGEMENT, AND COLORECTAL. WE PERFORM LAPAROSCOPIC AND ENDOSCOPIC PROCEDURES AND OFFER 24-HOUR COVERAGE.PARKVIEW WABASH HOSPITAL, INC. PROVIDES A FULL BREADTH OF REHABILITATIVE SERVICES - BOTH INPATIENT AND OUTPATIENT. THE REHAB PLACE OF PARKVIEW WABASH HOSPITAL, LOCATED AT THE WABASH COUNTY YMCA, OFFERS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, AQUATIC REHAB, WOMEN'S HEALTH THERAPY, AND SPORTS MEDICINE. OUR INPATIENT AND SWING BED PROGRAMS INCLUDE PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY AS WELL. ADDITIONALLY, WE OFFER OUTPATIENT CARDIAC AND PULMONARY REHABILITATION.PATIENTS WHO MAY REQUIRE INTRAVENOUS CHEMOTHERAPY, INTRAVENOUS HYDRATION, OR OTHER MEDICATIONS, PORT PLACEMENTS, OR BLOOD TRANSFUSIONS CAN STAY CLOSE TO HOME AND BE CARED FOR IN OUR OUTPATIENT INFUSION DEPARTMENT.THE HOSPITAL OFFERS A WIDE RANGE OF OUTPATIENT DIAGNOSTIC SERVICES FROM ADVANCED IMAGING - CT, MRI, AND NUCLEAR MEDICINE - TO CARDIAC MONITORING, PULMONARY FUNCTION TESTING, VASCULAR AND HEARTSMART SCREENING, AS WELL AS AN IMAGING CENTER WITH 3D MAMMOGRAPHY, BONE DENSITY SCANNING, AND ULTRASOUND. WE ALSO OFFER A FULL-SERVICE LABORATORY.PARKVIEW WABASH HOSPITAL, INC., IN PARTNERSHIP WITH PARKVIEW BEHAVIORAL HEALTH, OFFERS OUTPATIENT ALCOHOL AND OPIOID DEPENDENCY MEDICATION TREATMENT. INTENSIVE OUTPATIENT GROUP TREATMENT OFFERS THREE PHASES OF GROUP SESSIONS FOR TREATMENT, ENABLING PATIENTS TO ENGAGE IN DAILY ROUTINES AND CONTINUE LIVING AT HOME. ANOTHER LONG-STANDING BEHAVIORAL HEALTH SERVICE IS LIFEBRIDGE OUTPATIENT PROGRAM FOR SENIORS, WHICH OFFERS MEDICAL MANAGEMENT AND GROUP/INDIVIDUAL THERAPY FOR THOSE OLDER THAN 65.OTHER SERVICES INCLUDE AN ATU WALK-IN CLINIC TO ASSIST WARFARIN PATIENTS AND MONITOR BLOOD-THINNER MEDICATION DOSING; AN ON-SITE SLEEP CENTER AS WELL AS HOME SLEEP STUDIES TO DIAGNOSE AND TREAT SLEEP-RELATED DISORDERS; AND NUMEROUS PHYSICIAN SPECIALTY CLINICS.WABASH-AREA RESIDENTS ALSO HAVE ACCESS TO A WALK-IN CLINIC OPEN SEVEN DAYS PER WEEK AND AN OFF-CAMPUS OCCUPATIONAL THERAPY DEPARTMENT.FINANCIAL POLICY:PARKVIEW WABASH HOSPITAL, INC. IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE TO THOSE WHO NEED IT, REGARDLESS OF THEIR HEALTH STATUS OR ABILITY TO PAY. WITH OUR FINANCIAL ASSISTANCE, PATIENTS CAN RECEIVE THE PARKVIEW CARE THEY EXPECT - NO MATTER WHAT FINANCIAL OBSTACLES THEY MIGHT FACE. OUR FINANCIAL ASSISTANCE SERVICES INCLUDE USING FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES, INCLUDING CHARITABLE CARE AND FINANCIAL ASSISTANCE POLICIES AND A STANDARD APPLICATION PROCESS; AND PROVIDING EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY.ANY PATIENT EXPERIENCING FINANCIAL HARDSHIP CAN REACH OUR SINGLE BILLING OFFICE TO DISCUSS OPTIONS AT 260-266-6700 OR TOLL-FREE AT 855-814-0012. COMMUNITY BENEFIT: PARKVIEW WABASH HOSPITAL, INC.'S COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT OUR COMMUNITY. THROUGH PARKVIEW'S COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM, PARKVIEW WABASH HOSPITAL, INC. COLLABORATES WITH OTHERS INSIDE AND OUTSIDE PARKVIEW HEALTH SYSTEM, INC., WHO SHARE PARKVIEW'S MISSION AND VALUES. FUNDED BY A PERCENTAGE OF PARKVIEW'S NET OPERATING SURPLUS, CHI STRATEGICALLY REINVESTS DOLLARS INTO COMMUNITY ORGANIZATIONS AND INITIATIVES THAT ADDRESS THE GREATEST HEALTH NEEDS OUTLINED BY THE HOSPITAL'S MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THESE RESULTS, THE TOP THREE HEALTH CONCERNS FOR PARKVIEW WABASH HOSPITAL, INC. ARE MENTAL HEALTH, SUBSTANCE USE, AND OBESITY. BASED UPON THESE RESULTS, PARKVIEW WABASH HOSPITAL, INC., CREATES AN IMPLEMENTATION STRATEGY THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW WE PLAN TO ADDRESS EACH IDENTIFIED HEALTH NEED. WE ARE DEDICATED TO IMPROVING AND INSPIRING THE HEALTH OF THE COMMUNITIES WE SERVE. WE ACCOMPLISH THIS THROUGH DELIVERING WORLD-CLASS TEAMWORK AND EXCELLENT CARE. WE PARTNER WITH PATIENTS AND OTHER COMMUNITY ORGANIZATIONS TO TAILOR PERSONALIZED HEALTH JOURNEYS. EXCELLENCE, INNOVATION, AND VALUE ARE IMPORTANT TO OUR PATIENTS AND US. OUR CARE IS DELIVERED WHILE ALWAYS KEEPING IN MIND CONVENIENCE, COMPASSION, AND EXCELLENCE BOTH IN COST AND QUALITY. WE DEVELOP AND VALUE RELATIONSHIPS WITH OUR PATIENTS AND OUR COMMUNITY.AWARDS:PARKVIEW WABASH HOSPITAL, INC., WAS AWARDED THE FOLLOWING ACCOLADES DURING 2024:-BECKER'S TOP HOSPITALS FOR STAFF RESPONSIVENESS-BECKER'S QUIETEST HOSPITALS-INDIANA CHAMBER OF COMMERCE'S BEST PLACES TO WORK IN INDIANA-ASHE SUSTAINED PERFORMANCE AWARD

    Expenses $54,059,579 · Grants $14,875 · Revenue $74,026,144

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • JEANNE' WICKENS

    PH CHIEF FINANCIAL OFFICER/PRTL YR

    Total calculated
    $1,865,163
    From this org
    $0
    From related orgs
    $1,647,203
    Other
    $217,960
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $991,526 related
    Bonus
    $0 + $492,356 related
    Other
    $0 + $163,321 related
    Deferred
    $0 + $186,966 related
    Nontaxable benefits
    $0 + $30,994 related
    Filer's total
    $0 + $1,865,163 related

  • GREG JOHNSON

    DIRECTOR/REGIONAL MARKET PRESIDENT

    Total calculated
    $1,595,130
    From this org
    $0
    From related orgs
    $1,520,046
    Other
    $75,084
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $760,582 related
    Bonus
    $0 + $263,340 related
    Other
    $0 + $496,124 related
    Deferred
    $0 + $37,950 related
    Nontaxable benefits
    $0 + $37,134 related
    Filer's total
    $0 + $1,595,130 related

  • DEBRA POTEMPA

    DIRECTOR/MARKET PRESIDENT

    Total calculated
    $576,939
    From this org
    $551,970
    From related orgs
    $0
    Other
    $24,969
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $298,478
    Bonus
    $105,210
    Other
    $148,282
    Deferred
    $6,900
    Nontaxable benefits
    $18,069
    Filer's total
    $576,939

  • DOUGLAS SPARKS

    DIRECTOR/PH PHYSICIAN

    Total calculated
    $567,799
    From this org
    $8,778
    From related orgs
    $487,665
    Other
    $71,356
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $8,778 + $423,978 related
    Bonus
    $0 + $31,831 related
    Other
    $0 + $31,856 related
    Deferred
    $671 + $37,279 related
    Nontaxable benefits
    $591 + $32,815 related
    Filer's total
    $10,040 + $557,759 related

  • STANTON RISSER

    PH ASSOCIATE CHIEF FINANCIAL OFFICER

    Total calculated
    $267,588
    From this org
    $0
    From related orgs
    $218,745
    Other
    $48,843
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $190,916 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $2,829 related
    Deferred
    $0 + $35,417 related
    Nontaxable benefits
    $0 + $13,426 related
    Filer's total
    $0 + $267,588 related

  • PAULA OPHEIM

    WBHOS PHARMACY MGR

    Total calculated
    $260,029
    From this org
    $225,101
    From related orgs
    $0
    Other
    $34,928
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,282
    Bonus
    $26,051
    Other
    $768
    Deferred
    $15,866
    Nontaxable benefits
    $19,062
    Filer's total
    $260,029

  • SHERRY SCHOENING

    WBHOS SUPERVISOR OP THERAPY

    Total calculated
    $234,822
    From this org
    $175,870
    From related orgs
    $0
    Other
    $58,952
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,364
    Bonus
    $19,560
    Other
    $2,946
    Deferred
    $19,996
    Nontaxable benefits
    $38,956
    Filer's total
    $234,822

  • JAMI METZGER

    WBHOS NURSE PRACTITIONER

    Total calculated
    $229,313
    From this org
    $172,680
    From related orgs
    $311
    Other
    $56,322
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $149,658 + $311 related
    Bonus
    $21,352
    Other
    $1,670
    Deferred
    $19,528 + $35 related
    Nontaxable benefits
    $36,693 + $66 related
    Filer's total
    $228,901 + $412 related

  • GRACE STANLEY

    WBHOS NURSE PRACTITIONER

    Total calculated
    $195,273
    From this org
    $166,031
    From related orgs
    $0
    Other
    $29,242
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $142,962
    Bonus
    $19,836
    Other
    $3,233
    Deferred
    $14,933
    Nontaxable benefits
    $14,309
    Filer's total
    $195,273

  • ALLISON PERSHING

    WBHOS OR MGR

    Total calculated
    $165,360
    From this org
    $15,892
    From related orgs
    $147,155
    Other
    $2,313
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $15,858
    Bonus
    $0
    Other
    $34 + $147,155 related
    Deferred
    $1,170
    Nontaxable benefits
    $1,143
    Filer's total
    $18,205 + $147,155 related

  • WILLIAM RAUH

    DIRECTOR/PH CONTRACTED LABOR

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    1 + 1 related

  • KENT TERRILL

    DIRECTOR/CHAIR

    Total calculated
    $8,250
    From this org
    $6,500
    From related orgs
    $1,750
    Other
    $0
    Hours/week
    1 + 1 related

  • KELLY STOUFFER

    DIRECTOR/VICE CHAIR

    Total calculated
    $4,500
    From this org
    $4,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • BENJAMIN VANDERPOOL

    DIRECTOR

    Total calculated
    $4,500
    From this org
    $4,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • CELIA COOK-HUFFMAN

    DIRECTOR

    Total calculated
    $4,418
    From this org
    $4,418
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • KEVIN BOWMAN

    DIRECTOR/SECRETARY/TREASURER

    Total calculated
    $4,250
    From this org
    $4,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • ROGER CROMER

    DIRECTOR

    Total calculated
    $4,250
    From this org
    $4,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • ANDREW BAIN

    DIRECTOR

    Total calculated
    $3,250
    From this org
    $3,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • AMANDA LOPEZ

    DIRECTOR

    Total calculated
    $3,250
    From this org
    $3,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • CATHY WOLFE

    FORMER KEY EMPLOYEE

    Total calculated
    $160,461
    From this org
    $160,461
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $160,461
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $160,461

  • MARILYN CUSTER-MITCHELL

    FORMER OFFICER

    Total calculated
    $120,746
    From this org
    $120,746
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $120,746
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $120,746

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

  • 1a · Discretionary spending account
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 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 1A
DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: JAMI METZGER; GRACE STANLEY
PART I, LINE 3
RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW WASBASH HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF THE 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 THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC.
PART I, LINES 4A-B
SEVERANCE PAYMENT ALLISON PERSHING $147,155; CATHY WOLFE $160,461 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFITS. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE AMOUNT OF THE BENEFITS MAY VARY YEARLY. 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): MARILYN CUSTER-MITCHELL $120,746; GREG JOHNSON $488,600; DEBRA POTEMPA $135,374; JEANNE' WICKENS $125,575 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 OUTLINED 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: STANTON RISSER $35,417; JEANNE' WICKENS $162,816
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 THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR MICP AND PICP. AT THE CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES THE 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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2024
Filed
6 November 2025
IRS schema version
2024v5.2
Source object
202533109349304088

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