Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 11,729,835 | 13,214,304 | 9,665,765 | 13,010,942 | 14,335,582 | 61,956,428 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 21,164,868 | 24,248,791 | 10,665,152 | 18,177,115 | 24,304,990 | 98,560,916 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 32,894,703 | 37,463,095 | 20,330,917 | 31,188,057 | 38,640,572 | 160,517,344 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 160,517,344 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 32,894,703 | 37,463,095 | 20,330,917 | 31,188,057 | 38,640,572 | 160,517,344 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 18,992 | 26,487 | 9,760 | 0 | 0 | 55,239 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 18,992 | 26,487 | 9,760 | 55,239 | ||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 174,434 | 66,346 | 224,186 | 464,966 | ||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 33,088,129 | 37,555,928 | 20,564,863 | 31,188,057 | 38,640,572 | 161,037,549 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | 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. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| 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. |
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