Civic Intelligence

Parkview Dekalb Hospital Foundation

EIN 35-6047817 • 501(c)3 • Auburn, IN

Profile

To serve as the primary fundraising entity for dekalb memorial hospital, inc. Funds are used for the continued improvement of the hospital's facilities, equipment, programs & services in accordance with the needs of the community where the hospital is located.

1316 E 7th StAuburn, IN 46706-2515

www.parkview.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2023

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2023

Net Margin

97th percentile

90%

Higher net margin than 97% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2023

Top Officer Pay

100th percentile

$5,063,462

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 11793.9% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2023

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2023

Revenue Growth

58th percentile

4.2%

Faster revenue growth than 58% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2023

Assets

Down

$0

Down $88,121 (-100%) from 2022

Liabilities

Flat

$0

Flat from 2022

Net Assets

Down

$0

Down $88,121 (-100%) from 2022

Revenue

Up

$42,933

Up $1,733 (+4.2%) from 2022

Expenses

Down

$4,269

Down $7,748 (-64%) from 2022

Net Income

Up

$38,664

Up $9,481 (+32%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600K$400K$200K$0Assets 2015: $461,765Liabilities 2015: $0Net Assets 2015: $461,7652015Assets 2016: $446,437Liabilities 2016: $0Net Assets 2016: $446,4372016Assets 2017: $488,192Liabilities 2017: $0Net Assets 2017: $488,1922017Assets 2018: $588,582Liabilities 2018: $0Net Assets 2018: $588,5822018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2020: $41,125Liabilities 2020: $49Net Assets 2020: $41,0762020Assets 2021: $65,077Liabilities 2021: $0Net Assets 2021: $65,0772021Assets 2022: $88,121Liabilities 2022: $0Net Assets 2022: $88,1212022Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023

Highlighted filing

2023

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500K-$1.0MRevenue 2015: $291,821Expenses 2015: $945,985Net Income 2015: -$654,1642015Revenue 2016: $31,739Expenses 2016: $48,775Net Income 2016: -$17,0362016Revenue 2017: $337,430Expenses 2017: $295,675Net Income 2017: $41,7552017Revenue 2018: $136,769Expenses 2018: $36,379Net Income 2018: $100,3902018Revenue 2019: $100,532Expenses 2019: $777,858Net Income 2019: -$677,3262019Revenue 2020: $145,464Expenses 2020: $104,388Net Income 2020: $41,0762020Revenue 2021: $68,367Expenses 2021: $44,366Net Income 2021: $24,0012021Revenue 2022: $41,200Expenses 2022: $12,017Net Income 2022: $29,1832022Revenue 2023: $42,933Expenses 2023: $4,269Net Income 2023: $38,6642023

Highlighted filing

2023

Revenue$42,933
Expenses$4,269
Net Income$38,664

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 5, 2024
Return Version
2023v5.1
Gross Receipts
$88,710
Mission and Program Overview

Mission

To support dekalb health, a hospital that was originally built with voluntary contributions from the citizens of dekalb county. The mission of the hospital, an independent healthcare organization, is to provide high quality healthcare services to the citizens of dekalb county and the surrounding service area.

To serve as the primary fundraising entity for dekalb memorial hospital, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$48,980$0▼ $48,980
Savings and Temporary Cash Investments$6,728$0▼ $6,728
Cash and Non-Interest-Bearing Accounts-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$88,121$0▼ $88,121
Other Assets Total$32,413$0▼ $32,413
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$69,559$0▼ $69,559
Net Assets With Donor Restrictions$18,562$0▼ $18,562
Total Net Assets Fund Balance$88,121$0▼ $88,121
Total Liabilities and Net Assets / Fund Balance$88,121$0▼ $88,121
Compensation and Service Providers

Employees

NameTitleOtherTotal
Michael TullisDirector$4,500$4,500
Claramary WinebrennerDirector$4,250$4,250

Board Members and Trustees

NameTitle
Natasha EicherDirector/market President
Kendra KlinkDirector
Rebecca SchmidtDirector
Karra HeggenDirector/dmhos VP Patient Care Svcs
Dena JacquayDirector/ph Chief Admin Officer
Michael PacknettFormer Officer/retired Ph CEO
JEANNE' WICKENSPh Chief Financial Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$38,226
Program Service Revenue
$3,913
Investment Income
$794
Other Revenue
$0
All Other Contributions
$37,492
Change in Net Assets
$38,664
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,098
Total Fundraising Expense$1,855
Grants and Similar Amounts Paid$171
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses-$2,054-$2,054
Office Expenses$4-$1,855$1,859
Fees for Service Investment Mgmnt Fees-$185-$185
Grants to Domestic Orgs$171--$171
Total Functional Expenses$175$2,239$1,855$4,269
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The executive committee shall be composed of: the chair; the vice-chair; the chief administrative officer; the chief administrative officer of parkview foundation, inc.; the president of dmh; and such other persons as identified by the chair, each of whom shall be entitled to vote. In no event shall the members of the executive committee exceed eight (8) people. The chair shall serve as chair of the executive committee. Meetings of the executive committee may be called by the chair or by three (3) executive committee members. The executive committee may act on behalf of the board in any matter when the board is not in session, reporting to the board for its ratification of its action, except in accord with act section 23-17-15-6 the executive committee may not: (a) authorize distributions; (b) approve or recommend to the members action required to be approved by the member under the act; (c) fill vacancies on the board or on a committee; or (d) adopt, amend, or repeal bylaws for the corporation.

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, dekalb memorial hospital, inc. Ein 35-1064295 is the sole member of parkview dekalb hospital foundation, inc. With certain reserved powers.

Form 990, Part VI, Section A, Line 7A

The member shall have as reserved powers the power to: (1) approve and adopt the strategic plan for the corporation, 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 and direct and monitor compliance with such plans, initiatives and arrangements; (2) approve and adopt the capital and operating budgets of the corporation; (3) approve the incurrence of any debt proposed by the corporation, and require the incurrence of debt by the corporation, where appropriate; (4) approve those transfers of assets by the corporation, whether by sale or gift, where the asset being transferred is an interest in real property or is an operating asset of the corporation, unless otherwise identified in previously approved strategic plans, initiatives, arrangements or budgets; (5) approve participation (including the exercise of renewal options) by the corporation in networks, affiliations, joint ventures, partnerships, and require participation by the corporation in such arrangements; and (6) approve any amendment to the bylaws or the articles of incorporation of the corporation, and require amendment of these governing documents as necessary or advisable to resolve significant ethical issues, to maintain tax-exempt status, or to prevent significant, adverse legal or financial effects to the corporation or the member. The member shall from time to time develop policies for the implementation of the reserved powers.

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

Pursuant to parkview health system inc.'s bylaws, the system compliance and audit committee may act on behalf of the corporation to provide review of the corporation and its subsidiary corporations' form 990 filings. Parkview dekalb hospital foundation, 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 and the system compliance and audit committee, prior to filing with the irs. On october 24, 2024, the system compliance and 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.

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 and audit 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. Related organization, parkview health system, inc., has a process in place for reviewing and approving compensation of the ceo & evp level executives. The process includes consultations with an independent compensation advisor and the review of appropriate comparability data; review and approval by the compensation committee of the governing body consisting of members who do not have a conflict of interest concerning the compensation; and contemporaneous documentation and recordkeeping with respect to deliberations and decisions regarding the compensation arrangements. In 2023, the compensation committee of parkview health system, inc. Reviewed and approved all ceo & evp level compensation, benefits, and perquisites for the 2023 compensation package, pursuant to the parkview health bylaws. In addition, aggregate information on all other executive roles (outside of the ceo & evps) is shared. The compensation package of the ceo and evps was approved by a majority of independent compensation committee members. Additionally, the compensation committee reviews and approves the plan documents for the management incentive compensation plan (micp) and the physician and provider incentive compensation plan (picp). The board of parkview health system, inc. Approves any changes in compensation for the ceo. Parkview's independent consultant prepares a summary of the executive compensation process using data from multiple published surveys prepared by independent firms for positions that are functionally comparable in similar-sized health systems and hospital organizations on both a regional and national basis. The independent consultant provides a statement of reasonableness of the compensation provided to the ceo and evp level executives.

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.

Filing and Contact Details

Filer

Filer Name
Parkview Dekalb Hospital Foundation
EIN
35-6047817
Phone
2603738429
Address
1316 E 7TH ST, AUBURN, IN 46706-2515

Signing Officer

Name
Stanton Risser
Title
Ph Acfo
Phone
2602669380
Signed
2024-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dena Jacquay
Formed
1964
Legal Domicile
In
Voting Board Members
7
Independent Board Members
4
Employees
0
Volunteers
2

Preparer

Firm
Crowe Llp
Address
401 E LAS OLAS BLVD STE 1100, FORT LAUDERDALE, FL 33301-4230
Preparer
Brittney Kocaj
Phone
9542028600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

As detailed in the articles of merger of nonprofit corporations, attached to this return and filed with the indiana secretary of state, the organization shall be merged with and into the legal entity of parkview health foundation, inc. (ein 92-1994990) an indiana nonprofit corporation governed by the laws of the state of indiana. Effective december 31, 2023, the organization's assets and liabilities shall become assets and liabilities of parkview health foundation, inc. To the extent any assets are subject to any restrictions upon use or other encumbrances or limitations, whether arising in contract, by law, or otherwise, all such restrictions, encumbrances, and/or limitations shall survive the merger. Parkview health foundation, inc. Received its determination letter from the internal revenue service recognizing it as a public charity exempt from federal income tax under sections 501(c)(3) and 170(b)(1)(a)(vi).

FORM 990, PART V, LINES 1A, 1B AND 2A:

Parkview health system, inc. (ph), ein 35-1972384 is the common paying agent for the filing organization, parkview dekalb hospital foundation, inc., ein 35-6047817. 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, 2023 was 704. The total number of employees reported on form w-3 and filed by the common paying agent, ph, for the year ended december 31, 2023 was 18,435. For purposes of completing form 990, part v, line 1a, 1b, and 2a, the number reported for the parkview dekalb hospital foundation, inc. Was 0 and 0 respectively.

FORM 990, PART XI, LINE 9:

Transfer of net assets to parkview health foundation, inc. -132,711.

Financial Statement Notes

PART X, LINE 2:

Parkview health system, inc. And subsidiaries - notes to the consolidated financial statements text of the footnote to the organization's financial statements that describes the liability for uncertain tax positions under fin 48 (asc 740): income taxes: the internal revenue service has determined that the corporation and certain affiliated entities are tax-exempt organizations as defined in section 501(c)(3) of the internal revenue code. Certain subsidiaries of the corporation are taxable entities, the tax expense and liabilities of which are not material to the consolidated financial statements. The corporation and its tax-exempt affiliated entities each file a form 990 (return of organization exempt from income tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the tax-exempt status of each entity, the continued tax-exempt status of bonds, the nature, characterization and taxability of joint venture income, and various positions relating to potential sources of unrelated business taxable income (reported on form 990t). As of december 31, 2023 and 2022, there are no unrecognized tax benefits resulting from uncertain tax positions. Forms 990 and 990t filed by the corporation and its tax-exempt affiliated entities are subject to examination by the internal revenue service up to three years from the extended due date of each return. Forms 990 and 990t filed by the corporation and its tax-exempt affiliated entities are generally no longer subject to examination for the year 2019 and prior.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0THE MISSION OF THE PARKVIEW FOUNDATIONS IS TO INSPIRE THE GENEROUS SPIRIT OF OUR COMMUNITY THAT BRINGS GIFTS OF HEALING AND COMFORT TO EVERYONE PARKVIEW SERVES.PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. ADHERES TO THIS MISSION. THE FOUNDATION RAISES FUNDS TO SUPPORT NEW PROGRAMS AND SERVICES, EDUCATIONAL NEEDS, AND INNOVATIVE TECHNOLOGY FOR THE DEKALB MEMORIAL HOSPITAL INC., D.B.A. PARKVIEW DEKALB HOSPITAL, WITH THE GOAL OF ENABLING THIS COMMUNITY HOSPITAL TO PROVIDE THE EXCELLENT CARE AND SERVICES THAT WOULD NOT BE POSSIBLE WITHOUT THE SUPPORT OF PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. DONORS.(SEE SCHEDULE O FOR CONTINUATION)PARKVIEW HEALTH SYSTEM, INC. MAINTAINS FOUNDATIONS FOR EACH OF ITS HOSPITALS. THESE NONPROFIT ORGANIZATIONS PROVIDE PHILANTHROPIC SUPPORT FOR PARKVIEW'S MISSION OF PROVIDING QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO PARKVIEW AND IMPROVING THE HEALTH OF THE COMMUNITIES PARKVIEW SERVES.THE GIFTS RECEIVED BY PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. WERE DESIGNATED TO TEMPORARILY RESTRICTED OR UNRESTRICTED FUNDS, ACCORDING TO DONOR WISHES, AND WERE USED FOR SEVERAL MISSION-DRIVEN PURPOSES THAT TOUCHED THE LIVES OF PARKVIEW DEKALB HOSPITAL PATIENTS AND THEIR FAMILIES IN NUMEROUS WAYS.THE FOLLOWING IS AN EXAMPLE OF PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. PROVIDING FUNDING TO PARKVIEW DEKALB HOSPITAL FOR VARIOUS HOSPITAL PROGRAMS, SERVICES, EQUIPMENT, AND IMPROVEMENTS:MEDICATION ASSISTANCE PROGRAM:-PARKVIEW DEKALB HOSPITAL'S MEDICATION ASSISTANCE PROGRAM (MAP) SERVES QUALIFIED PATIENTS WHO NEED ASSISTANCE IN PROCURING MEDICATIONS NEEDED FOR ACUTE ILLNESSES, LONG-TERM ASSISTANCE OR TO BE RELEASED FROM THE HOSPITAL. THE PROGRAM PROVIDES EMERGENCY MEDICATIONS OR VOUCHERS TO QUALIFIED PATIENTS FOR ESSENTIAL, NON-OPIOID PRESCRIPTIONS. NOT ONLY DOES THIS ASSIST IN REDUCING RE-ADMISSION RATES AT THE HOSPITAL, BUT IT ALSO ADDRESSES A CRITICAL AREA OF PARKVIEW'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY.
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IRS990/MissionDesc0TO SERVE AS THE PRIMARY FUNDRAISING ENTITY FOR DEKALB MEMORIAL HOSPITAL, INC. FUNDS ARE USED FOR THE CONTINUED IMPROVEMENT OF THE HOSPITAL'S FACILITIES, EQUIPMENT, PROGRAMS & SERVICES IN ACCORDANCE WITH THE NEEDS OF THE COMMUNITY WHERE THE HOSPITAL IS LOCATED.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2019 AND PRIOR.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MICHAEL PACKNETT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JEANNE' WICKENS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2DENA JACQUAY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3NATASHA EICHER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4KARRA HEGGEN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0FORMER OFFICER/RETIRED PH CEO
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2DIRECTOR/PH CHIEF ADMIN OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3DIRECTOR/MARKET PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4DIRECTOR/DMHOS VP PATIENT CARE SVCS
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW DEKALB HOSPITAL FOUNDATION, 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.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1SUPPLEMENTAL 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): NATASHA EICHER $38,673; DENA JACQUAY $685,401; 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: NATASHA EICHER $48,772; DENA JACQUAY $200,000; JEANNE' WICKENS $216,128
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 4B
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IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd01
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0NET ASSETS

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