Parkview Occupational Health Centers Inc.

“Director lisa schanbacher and officer jeanne' wickens have a business relationship as directors on the board of a related entity.”

“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 parkview occupational health centers, inc. With certain reserved powers.”

“The corporate member, parkview health system, inc. Ein 35-1972384, shall have the following reserved powers as defined in the network agreement: 1. The board of directors shall be comprised of three (3) directors. Each director shall be elected by the sole member of the corporation at the annual meeting of the membership. 2. The conflict of interest policy of the sole member of the corporation, which has been approved by the system-wide corporate compliance committee and approved by the sole member of the corporation, shall apply to the corporation. This conflict of interest policy can only be amended upon the approval of the board of directors of the sole member of the corporation. 3. It shall be the general rule that the employment of immediate family members (mother, father, sister, brother, son, daughter or spouse) of directors and executive management staff shall be permitted as authorized by the personnel policies of the corporation and the sole member of the corporation.”

“See schedule o explanation for form 990, part vi, section a, line 7a”

“At the current time no executive committee exists.”

“Pursuant to parkview health system inc.'s bylaws, the system audit committee may act on behalf of the corporation to provide review of the corporation and its subsidiary corporations' form 990 filings. Parkview occupational health centers, 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 the organization's governing body, prior to filing with the irs. On october 10, 2018, the system audit committee 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.”

“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."”

“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.”

“Copies of the organization's governing documents, conflict of interest policy, and financial statements are available upon request.”

“Parkview health system, inc. (ph), ein 35-1972384, is the common paying agent for the filing organization, parkview occupational health centers, inc., ein 35-2064353. Therefore, all applicable irs tax filings, including forms 1099, 1096, w-2 and w-3 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, 2017 was 571. The total number of employees reported on form w-3 and filed by the common paying agent, ph, for the year ended december 31, 2017 was 12,715. For purposes of completing form 990, part v, line 1a and 2a, the number reported for the parkview occupational health centers, inc. Was 11 and 149 respectively.”

“Lab: program service expenses 1,150,969. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,150,969. Cleaning: program service expenses 55,118. Management and general expenses 0. Fundraising expenses 0. Total expenses 55,118. Professional fees: program service expenses 42,712. Management and general expenses 0. Fundraising expenses 0. Total expenses 42,712. Physician professional fees: program service expenses 128,068. Management and general expenses 0. Fundraising expenses 0. Total expenses 128,068. Collection: program service expenses 0. Management and general expenses 21,070. Fundraising expenses 0. Total expenses 21,070. Other: program service expenses 149,319. Management and general expenses 101,960. Fundraising expenses 0. Total expenses 251,279.”

“Parkview health system, inc., ein 35-1972384, serves as the common paying agent for all tax-exempt organizations of the system. Salaries and wages of employees working for these organizations are charged directly to the organizations in which they work. The actual expenses for payroll taxes, employee benefits, and pension plan contributions are reflected on the books of parkview health system, inc. For financial reporting purposes. To account for benefit costs on the books of the other tax exempt organizations, an allocation methodology is utilized to charge these organizations with an estimate of the overall costs, referred to as a "benefit allocation" from parkview health system, inc. The allocation does not distinguish between the costs of the various components (i.e. Payroll taxes, employee benefits, and pension plan contributions). Therefore, for purposes of the form 990, part ix, the total benefit allocation for the employees' salaries and wages reported on line 7 is reflected on line 9 and not allocated between lines 8 or 10. For purposes of the form 990, part ix, lines 5 and 6 reflect compensation and benefit amounts reported in part vii.”