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Nonprofiteer
← PARKVIEW WABASH HOSPITAL INC

Form 990 for tax year 2023

Filed by PARKVIEW WABASH HOSPITAL INC.

Totals

Total revenue
$68,700,551
Total expenses
$64,908,079
Contributions and grants received
$353,179
Grants paid
$372,384
Program service revenue
$68,136,159
Investment income
-$1,918
Other revenue
$213,131
Total assets, end of year
$41,251,499
Total liabilities, end of year
$45,962,482
Net assets or fund balances, end of year
-$4,710,983
Program services expenses (Part IX)
$53,833,736
Management and general expenses
$11,074,343
Fundraising expenses
$0
Program service expenses (Part III)
$53,833,736

Program services were 82.9% 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.

  • 1d · Related organizations

    $314,714

  • 1e · Government grants (contributions)

    $38,465

  • 2a · Program service revenue: NET PATIENT SERVICE

    total $68,014,859 · related or exempt $68,014,859

  • 2b · Program service revenue: PHARMACY

    total $90,624 · related or exempt $90,624

  • 2c · Program service revenue: INTERUNIT RENT

    total $24,168 · related or exempt $24,168

  • 2d · Program service revenue: MEALS ON WHEELS

    total $6,508 · related or exempt $6,508

  • 6a · Gross rents

    real property $29,062

  • 6b · Less rental expenses

    real property $62,320

  • 6c · Rental income or loss

    real property -$33,258

  • 6d · Net rental income or loss

    total -$33,258 · excluded -$33,258

  • 7a · Gross sales of assets other than inventory

    other assets $1,500

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

    other assets $3,418

  • 7c · Gain or loss

    other assets -$1,918

  • 7d · Net gain or loss

    total -$1,918 · excluded -$1,918

  • 11a · Other revenue: CAFETERIA

    total $240,905 · excluded $240,905

  • 11b · Other revenue: GIFT SHOP

    total $5,484 · excluded $5,484

  • 11e · Other revenue, total

    $246,389

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $372,384 · program services $372,384

  • 5 · Compensation of officers, directors and key employees

    total $682,029 · management and general $682,029

  • 7 · Other salaries and wages

    total $13,795,127 · program services $13,795,127

  • 9 · Other employee benefits

    total $4,462,871 · program services $4,462,871

  • 11g · Fees: other

    total $12,096,388 · program services $11,352,047 · management and general $744,341

  • 12 · Advertising and promotion

    total $1,575 · program services $375 · management and general $1,200

  • 13 · Office expenses

    total $766,389 · program services $729,606 · management and general $36,783

  • 16 · Occupancy

    total $1,691,188 · program services $1,659,374 · management and general $31,814

  • 17 · Travel

    total $19,270 · program services $17,240 · management and general $2,030

  • 19 · Conferences, conventions and meetings

    total $1,672 · program services $1,047 · management and general $625

  • 20 · Interest

    total $680,161 · program services $680,161

  • 22 · Depreciation, depletion and amortization

    total $2,221,379 · program services $2,214,524 · management and general $6,855

  • 23 · Insurance

    total $106,892 · program services $43,387 · management and general $63,505

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $9,528,126 · program services $9,528,126

  • 24b · Other expenses: CORP SERVICE ALLOCATION

    total $9,447,075 · management and general $9,447,075

  • 24c · Other expenses: PH CLINICAL SUPPORT

    total $4,606,251 · program services $4,606,251

  • 24d · Other expenses: HOSPITAL ASSESSMENT FEE

    total $4,283,803 · program services $4,283,803

  • 24e · All other expenses

    total $145,499 · program services $87,413 · management and general $58,086

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 $9,425,061 · end of year $9,447,655

  • 8 · Inventories for sale or use

    beginning of year $1,034,532 · end of year $1,109,523

  • 9 · Prepaid expenses and deferred charges

    beginning of year $22,559 · end of year $46,149

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

    $48,579,640

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

    $18,852,431

  • 10c · Land, buildings and equipment, net

    beginning of year $31,658,711 · end of year $29,727,209

  • 15 · Other assets

    beginning of year $1,132,533 · end of year $919,613

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,294,155 · end of year $2,273,561

  • 19 · Deferred revenue

    beginning of year $326,382

  • 20 · Tax-exempt bond liabilities

    beginning of year $21,174,945 · end of year $20,616,917

  • 25 · Other liabilities

    beginning of year $27,935,693 · end of year $23,072,004

  • 27 · Net assets without donor restrictions

    beginning of year -$8,456,429 · end of year -$4,710,983

Mission and programs · 2023

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.

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $53,833,736 · Grants $372,384 · Revenue $68,136,159

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Douglas Sparks

    DIRECTOR/PH PHYSICIAN

    Total calculated
    $561,079
    From this org
    $22,778
    From related orgs
    $473,493
    Other
    $64,808
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $22,778 + $396,456 related
    Bonus
    $0 + $31,419 related
    Other
    $0 + $45,618 related
    Deferred
    $1,666 + $34,634 related
    Nontaxable benefits
    $1,308 + $27,200 related
    Filer's total
    $25,752 + $535,327 related

  • Debra Potempa

    DIRECTOR/MARKET PRESIDENT

    Total calculated
    $379,538
    From this org
    $312,151
    From related orgs
    $0
    Other
    $67,387
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $273,549
    Bonus
    $32,597
    Other
    $6,005
    Deferred
    $51,313
    Nontaxable benefits
    $16,074
    Filer's total
    $379,538

  • William Rauh

    DIRECTOR/WBHOS CONTRACTED PHYSICIAN

    Total calculated
    $11,000
    From this org
    $11,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Howard Halderman

    DIRECTOR

    Total calculated
    $7,000
    From this org
    $5,000
    From related orgs
    $2,000
    Other
    $0
    Hours/week
    1 + 1 related

  • Kevin Bowman

    DIRECTOR/SECRETARY/TREASURER

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

  • Kelly Stouffer

    DIRECTOR/VICE CHAIR

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

  • Kent Terrill

    DIRECTOR/CHAIR

    Total calculated
    $7,500
    From this org
    $6,000
    From related orgs
    $1,500
    Other
    $0
    Hours/week
    1 + 1 related

  • Roger Cromer

    DIRECTOR

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

  • Patty Grant

    DIRECTOR

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

  • Benjamin Vanderpool

    DIRECTOR

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

  • Celia Cook-Huffman

    DIRECTOR

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

  • 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

  • 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

  • Cathy Wolfe

    WBHOS VP PATIENT CARE SVCS

    Total calculated
    $239,194
    From this org
    $198,936
    From related orgs
    $8,413
    Other
    $31,845
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $154,120
    Bonus
    $25,177
    Other
    $19,639 + $8,413 related
    Deferred
    $5,631 + $238 related
    Nontaxable benefits
    $24,922 + $1,054 related
    Filer's total
    $229,489 + $9,705 related

  • Paula Opheim

    WBHOS MGR PHARMACY

    Total calculated
    $218,513
    From this org
    $188,296
    From related orgs
    $0
    Other
    $30,217
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $174,049
    Bonus
    $13,012
    Other
    $1,235
    Deferred
    $13,285
    Nontaxable benefits
    $16,932
    Filer's total
    $218,513

  • Jami Metzger

    WBHOS NURSE PRACTITIONER

    Total calculated
    $222,367
    From this org
    $168,123
    From related orgs
    $2,572
    Other
    $51,672
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $148,403 + $2,572 related
    Bonus
    $17,550
    Other
    $2,170
    Deferred
    $19,161 + $293 related
    Nontaxable benefits
    $31,733 + $485 related
    Filer's total
    $219,017 + $3,350 related

  • Grace Stanley

    WBHOS NURSE PRACTITIONER

    Total calculated
    $183,926
    From this org
    $157,381
    From related orgs
    $0
    Other
    $26,545
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $142,663
    Bonus
    $11,492
    Other
    $3,226
    Deferred
    $14,151
    Nontaxable benefits
    $12,394
    Filer's total
    $183,926

  • Melanie Zolman

    WBHOS NURSE PRACTITIONER

    Total calculated
    $178,553
    From this org
    $155,237
    From related orgs
    $0
    Other
    $23,316
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $142,402
    Bonus
    $11,032
    Other
    $1,803
    Deferred
    $10,920
    Nontaxable benefits
    $12,396
    Filer's total
    $178,553

  • Rebecca White

    WBHOS REGISTERED NURSE

    Total calculated
    $165,111
    From this org
    $133,648
    From related orgs
    $9,500
    Other
    $21,963
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $130,308
    Bonus
    $1,700 + $9,500 related
    Other
    $1,640
    Deferred
    $9,384 + $667 related
    Nontaxable benefits
    $11,121 + $791 related
    Filer's total
    $154,153 + $10,958 related

  • Michael Packnett

    FORMER OFFICER/RETIRED PH CEO

    Total calculated
    $5,063,462
    From this org
    $0
    From related orgs
    $5,034,209
    Other
    $29,253
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $66,747 related
    Bonus
    $0 + $351,881 related
    Other
    $0 + $4,615,581 related
    Deferred
    $0 + $26,400 related
    Nontaxable benefits
    $0 + $2,853 related
    Filer's total
    $0 + $5,063,462 related

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; MELANIE ZOLMAN
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 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 CATHY WOLFE $14,099 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): GREG JOHNSON $84,817; MICHAEL PACKNETT $4,613,104; JEANNE' WICKENS $1,101,767 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 $4,613,104 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 OVER MORE THAN 10 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: GREG JOHNSON $119,000; DEBRA POTEMPA $47,648; 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

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.

  • 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

  • COMMUNITY HOSPITALS AND WELLNESS CENTERS PAIN MANAGEMENT LLC

    N/A · MEDICAL SERVICES · OH

  • 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
5 November 2024
IRS schema version
2023v5.1
Source object
202443109349301994

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