2024-05-15T18:30:22-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2022-07-01 840935138 PARKVIEW HEALTH SYSTEM INC PARK 7195844534 400 W 16TH STREET PUEBLO CO 81003 JON RIGGS CFO 7195844534 2024-05-15 1 JON RIGGS 999009999 1 RYAN C HARRIS P00614618 3037409400 2024-05-15 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z JON RIGGS 400 W 16TH STREET PUEBLO CO 81003 63749696 0 X N/A X 1984 CO TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF PARKVIEW MEDICAL CENTER, INC. AND TO SUPPORT OTHER NON-PROFIT HEALTH CARE PROVIDERS ORGANIZED FOR CHARITABLE PURPOSE. 12 11 0 11 0 0 55070899 63748496 0 0 -7654 0 1200 1200 55064445 63749696 362242 1179470 0 0 0 0 0 0 0 54626710 63227829 54988952 64407299 75493 -657603 196545 165871 434403 1035055 -237858 -869184 TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF PARKVIEW MEDICAL CENTER,INC. AND TO SUPPORT OTHER NON-PROFIT HEALTH CARE PROVIDERS ORGANIZEDFOR CHARITABLE PURPOSE. 0 0 64304057 1179470 THE ORGANIZATION IS ORGANIZED AS A SUPPORTING ORGANIZATION TOPARKVIEW MEDICAL CENTER AND OPERATES EXCLUSIVELY TO PROVIDESUPPORT TO THE MEDICAL CENTER. 64304057 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CO X JON RIGGS 7195844534 400 W 16TH STREET PUEBLO CO 81003 X JUDY FONDA CHAIR 1.00 0.00 X X 0 0 0 VINCE VIGIL VICE CHAIR 1.00 0.00 X X 0 0 0 MARK KENNEDY SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 LESLIE BARNES PRESIDENT/CEO 1.00 40.00 X X 0 790014 36214 SHERRI BACA BOARD MEMBER 1.00 0.00 X 0 0 0 MARK DUNSMOOR BOARD MEMBER 1.00 0.00 X 0 0 0 GEORGE GIBSON MD BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL GROWNEY MD MEDICAL CHIEF OF STAFF 1.00 0.00 X 0 0 0 JIM HADLEY BOARD MEMBER 1.00 0.00 X 0 0 0 BRUCE JOHNSON MD BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN MILLEA DDS BOARD MEMBER 1.00 0.00 X 0 0 0 JUDY WEAVER BOARD MEMBER 1.00 0.00 X 0 0 0 DARRIN SMITH PRESIDENT/CEO 1.00 40.00 X 0 410344 45058 JON RIGGS CFO 1.00 40.00 X 0 447756 44795 ALI K MURAD MD PHYSICIAN 10.00 30.00 X 416669 1250008 46071 LUCAS KING PHYSICIAN 10.00 30.00 X 294898 884694 44795 JOHN DUGAL PHYSICIAN 10.00 30.00 X 277551 832653 46071 JENNIFER FITZPATRICK PHYSICIAN 10.00 30.00 X 256456 769368 20500 RICKLAND LIKES PHYSICIAN 10.00 30.00 X 227500 682501 44795 1473074 6067338 328299 5 0 1 0 0 63748496 63748496 BAD DEBTS 900099 1200 1200 1200 63749696 0 0 1200 1179470 1179470 10855 10855 5030 5030 66020 66020 9857 9857 10970 10970 MD PRACTICES 62921856 62921856 ADULT MEDICINE 202731 202731 CORPORATE REGISTRATION 510 510 64407299 64304057 103242 0 81944 0 700 0 113901 165871 196545 165871 291403 991055 143000 44000 434403 1035055 X -237858 -869184 -237858 -869184 196545 165871 -657603 26277 0 X X 0 1 X 1 0 X X 1 PARKVIEW MEDICAL CENTER 840935136 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART IV, SECTION D, LINE 3 PARKVIEW HEALTH SYSTEM IS THE PARENT AND SOLE MEMBER OF THE SUPPORTED ORGANIZATION, PARKVIEW MEDICAL CENTER. SCHEDULE A, PART IV, SECTION 3, LINE 3A PARKVIEW HEALTH SYSTEM IS THE PARENT AND SOLE MEMBER OF THE SUPPORTED ORGANIZATION, PARKVIEW MEDICAL CENTER. SCHEDULE A, PART IV, SECTION 3, LINE 3B PARKVIEW HEALTH SYSTEM IS THE PARENT AND SOLE MEMBER OF THE SUPPORTED ORGANIZATION, PARKVIEW MEDICAL CENTER. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 843926 6675 91341 941942 1124026 15379 -295479 843926 1053344 8663 62019 1124026 997144 9044 47156 1053344 903728 8786 84630 997144 1.00000 0 1 1 0 INVESTMENT PUEBLO HEALTH CARE 165871 F 165871 PART V, LINE 4 PARKVIEW HEALTH SYSTEM, INC. INDIRECTLY THROUGH PARKVIEW FOUNDATION,INC. HOLDS ENDOWMENT ASSETS. THE FOUNDATION ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT FUND THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. THE FOUNDATION EXPECTS DISTRIBUTIONS OF APPROXIMATELY FIVE PERCENT OF ASSETS ANNUALLY, ALTHOUGH THIS PERCENTAGE CAN VARY. 1 PUEBLO CITY-COUNTY LIBRARY 100 E ABRIENDO AVE PUEBLO CO 81004 840616785 STATE OF CO 10000 0 YOUTH PROGRAM PUBLO COMMUNITY COLLEGE 900 W ORMAN AVE PUEBLO CO 81004 840834567 STATE OF CO 538000 0 NURSING PROGRAM COLORADO STATE UNIVERSITY FORT COLLINS PUEBLO CO 80523 846000545 STATE OF CO 624320 0 NURSING PROGRAM 3 PART I, LINE 2: ALL EXPENDITURES ARE REVIEWED AND PRESENTED TO THE BOARD OF DIRECTORS IN SUMMARY FORM FOR APPROVAL. 0 0 0 0 0 0 0 0 0 ALI K MURAD MD PHYSICIAN 416669 1250008 0 0 0 0 5125 15375 6393 19178 428187 1284561 0 0 LUCAS KING PHYSICIAN 294898 884694 0 0 0 0 5125 15375 6074 18221 306097 918290 0 0 JOHN DUGAL PHYSICIAN 277551 832653 0 0 0 0 5125 15375 6393 19178 289069 867206 0 0 JENNIFER FITZPATRICK PHYSICIAN 256456 769368 0 0 0 0 5125 15375 0 0 261581 784743 0 0 RICKLAND LIKES PHYSICIAN 227500 682501 0 0 0 0 5125 15375 6074 18221 238699 716097 0 0 LESLIE BARNES PRESIDENT/CEO 0 790014 0 0 0 0 0 36214 0 0 0 826228 0 0 JON RIGGS CFO 0 447756 0 0 0 0 0 44795 0 0 0 492551 0 0 DARRIN SMITH PRESIDENT/CEO 0 410344 0 0 0 0 0 45058 0 0 0 455402 0 0 PART I, LINE 1A PARKVIEW HEALTH SYSTEM, INC. PROVIDES TRAVEL EXPENSES TO THE BOARD OF DIRECTORS, OFFICERS AND THEIR SPOUSES TO THE ANNUAL BOARD OF DIRECTORS MEETING. THE SPOUSES OF THE BOARD OF DIRECTORS AND OFFICERS RECEIVE A 1099 FOR THE AMOUNT OF EXPENSES PAID ON THEIR BEHALF. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS AND FINANCE COMMITTEE REVIEW AND APPROVE THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C AT EACH BOARD MEETING, IF THERE IS A DISCUSSION OF SELECTING OR ENGAGING A VENDOR OR SERVICE PROVIDER, ALL IN ATTENDANCE ARE ASKED TO RECUSE THEMSELVES FROM THIS DISCUSSION IF THERE COULD BE A PERCEIVED CONFLICT. ANNUALLY, THE ORGANIZATION REVIEWS AND DISCUSSES THE CONFLICT-OF-INTEREST POLICY, AND REQUESTS THAT EACH BOARD MEMBER AND OFFICER, LIST AND ACKNOWLEDGE ANY KNOWN CONFLICTS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE. PART V LINE 2A AND PART VII SECTION A LINE 1A AND 2 PARKVIEW ANCILLARY SERVICES, A SINGLE MEMBER LLC OF PARKVIEW HEALTH SYSTEM, LEASES EMPLOYEES FROM PARKVIEW MEDICAL CENTER. THESE W-2 WAGES ARE REPORTED BY THE COMMON PAYMASTER, PARKVIEW MEDICAL CENTER. THE ALLOCATED AMOUNT OF WAGES TO THE DISREGARDED ENTITY ARE REPORTED ON PART VII COLUMN D. PART XII, LINE 2C PARKVIEW HEALTH SYSTEM, HAS AN AUDIT AND COMPLIANCE COMMITTEE, THAT MEETS QUARTERLY. THIS COMMITTEE SELECTS THE INDEPENDENT ACCOUNTANT TO CONDUCT THE AUDIT AND OVERSEES THE AUDIT. PARKVIEW ANCILLARY SERVICES CORPORATION 400 WEST 16TH STREET PUEBLO CO 81003 841033516 MEDICAL SERVICES CO 63123891 25693 PARKVIEW HEALTH SYSTEM INC PARKVIEW MEDICAL CENTER INC 400 WEST 16TH STREET PUEBLO CO 81003 840935136 MEDICAL SERVICES CO 501 (C) (3) LINE 3 PARKVIEW HEALTH SYSTEM INC 1 PARKVIEW FOUNDATION 400 WEST 16TH STREET PUEBLO CO 81003 840701833 MEDICAL SERVICES CO 501 (C) (3) LINE 12A, I PARKVIEW MEDICAL CENTER INC 1 PUEBLO HEALTH CARE INC 400 W 16TH ST PUEBLO CO 81003 841508650 PHYSICIANS GR CO PHS C 298912 140178 1.00000 1 GREENWOOD BUILDING OWNERS' ASSOC 400 W 16TH ST PUEBLO CO 81003 900085057 OWNERS' ASSOC CO N/A C 0 PARKWEST UNIT OWNERS' ASSOC 400 W 16TH ST PUEBLO CO 81003 202572839 OWNERS' ASSOC CO N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 PARKVIEW MEDICAL CENTER C 63748496 CASH PAID