PARKVIEW COMMUNITY HOSPITAL MEDICAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PARKVIEW COMMUNITY HOSPITAL MEDICAL (EIN 95-2477294)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202203189349317665
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T17:10:52-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 EAST FRONT STREET 301 | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952477294 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW COMMUNITY HOSPITAL MEDICAL | BusinessNameLine1Txt |
| Business Name Line2 | CENTER A NONPROFIT PUBLIC BENEFIT CORP | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 7148338506 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CO 26475 RANCHO PARKWAY SOUTH | AddressLine1Txt |
| City | LAKE FOREST | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92630 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID AVINA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7148338506 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | AVINA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAM BRUNSON CPA | PreparerPersonNm |
| PTIN | P01696998 | PTIN |
| Phone | 4067281800 | PhoneNum |
| Preparation | 2022-11-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Change | Yes (X) | NameChangeInd |
| Principal Officer | DAVID AVINA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CO 26475 RANCHO PARKWAY SOUTH | AddressLine1Txt |
| City | LAKE FOREST | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92630 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $235,126 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | THE PURPOSES OF THIS CORPORATION ARE TO RECEIVE FUNDS OF REAL AND/OR PERSONAL PROPERTY AND TO USE AND APPLY THE WHOLE OR ANY PART OF THE INCOME THEREFROM AND THE PRINCIPAL THEREOF EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES OR ACTIVITIES ASSOCIATED WITH THIS GOAL AS ALLOWED BY LAW. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $84,450 | PYInvestmentIncomeAmt |
| CY Investment Income | $217,028 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,127,435 | PYOtherRevenueAmt |
| CY Other Revenue | $18,098 | CYOtherRevenueAmt |
| PY Total Revenue | $1,211,885 | PYTotalRevenueAmt |
| CY Total Revenue | $235,126 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,100,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $500,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $39,804 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,158 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,581,263 | PYOtherExpensesAmt |
| CY Other Expenses | $4,599,429 | CYOtherExpensesAmt |
| PY Total Expenses | $21,721,067 | PYTotalExpensesAmt |
| CY Total Expenses | $5,125,587 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$20,509,182 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,890,461 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,777,855 | TotalAssetsBOYAmt |
| Total Assets EOY | $39,360,352 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,974,939 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,005,300 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,802,916 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,355,052 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE PURPOSES OF THIS CORPORATION ARE TO RECEIVE FUNDS OF REAL AND/OR PERSONAL PROPERTY AND TO USE AND APPLY THE WHOLE OR ANY PART OF THE INCOME THEREFROM AND THE PRINCIPAL THEREOF EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES OR ACTIVITIES ASSOCIATED WITH THIS GOAL AS ALLOWED BY LAW. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $500,000 | ExpenseAmt |
| Grant | $500,000 | GrantAmt |
| Desc | PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER OPERATIONS WERE SOLD TO AHMC HEALTHCARE INC. ALL OPERATIONS HAVE CEASED AND THE ORGANIZATION IS IN THE PROCESS OF WINDING DOWN. AS THE ORGANIZATION WINDS DOWN, REMAINING ASSETS WILL BE DISTRIBUTED TO PARKVIEW LEGACY FOUNDATION AND OTHER 501(C)(3) PUBLIC CHARITIES. | Desc |
| Total Program Service Expenses | $500,000 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID AVINA CFO | PersonNm |
| Phone | 7148338506 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CO 26475 RANCHO PARKWAY SOUTH | AddressLine1Txt |
| City | LAKE FOREST | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92630 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| PATRICIA REYNOLDS | ||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RICHARD RAMIREZ | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DWIGHT TATE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN DEMSHKI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| WENDELL TUCKER PHD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLES S MACK JR | ||||||
| CEO | 15.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID R AVINA CPA | ||||||
| CFO | 1.00 | Yes (X) | $26,158 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $26,158 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HERSHORIN & HENRY LLP | |||||
| 26475 RANCHO PARKWAY SOUTH | LAKE FOREST | CA | 92630 | LEGAL SERVICES | $428,752 |
| JACKSON LEWIS PC | |||||
| 200 SPECTRUM CENTER DRIVE SUITE 50 | IRVINE | CA | 92618 | LEGAL SERVICES | $168,227 |
| ROPES & GRAY LLP | |||||
| 3 EMBARCADERO CENTER | SAN FRANCISCO | CA | 94111 | LEGAL SERVICES | $142,370 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $177,860 | TotalRevenueColumnAmt |
| Exclusion | $177,860 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39,168 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39,168 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,168 | TotalRevenueColumnAmt |
| Exclusion | $39,168 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LITIGATION SETTLEMENT | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $18,098 | TotalRevenueColumnAmt |
| Exclusion | $18,098 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $18,098 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $235,126 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $235,126 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,000 | TotalAmt |
| Program Services | $500,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,158 | TotalAmt |
| Management And General | $26,158 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $915,827 | TotalAmt |
| Management And General | $915,827 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,740 | TotalAmt |
| Management And General | $88,740 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,487 | TotalAmt |
| Management And General | $36,487 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,053 | TotalAmt |
| Management And General | $216,053 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,146 | TotalAmt |
| Management And General | $4,146 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,151,600 | TotalAmt |
| Management And General | $2,151,600 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| QAF EXPENSES | $1,091,204 | $1,091,204 |
| LICENSES & TAXES | $49,776 | $49,776 |
| LEGAL SETTLEMENTS | $45,500 | $45,500 |
| MISCELLANEOUS EXPENSES | $96 | $96 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,125,587 | TotalAmt |
| Program Services | $500,000 | ProgramServicesAmt |
| Management And General | $4,625,587 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $722,551 | BOYAmt |
| EOY | $123,505 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,482,914 | BOYAmt |
| EOY | $4,906,436 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000,000 | BOYAmt |
| EOY | $2,000,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,248,653 | BOYAmt |
| EOY | $23,676,805 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,323,737 | BOYAmt |
| EOY | $8,653,606 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,777,855 | BOYAmt |
| EOY | $39,360,352 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $490,860 | BOYAmt |
| EOY | $380,300 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,484,079 | BOYAmt |
| EOY | $7,625,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,974,939 | BOYAmt |
| EOY | $8,005,300 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,802,916 | BOYAmt |
| EOY | $31,355,052 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,802,916 | BOYAmt |
| EOY | $31,355,052 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,777,855 | BOYAmt |
| EOY | $39,360,352 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$4,890,461 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,505,419 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $4,937,178 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $113,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $994,635 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,992 | CurrentTaxYearMinus2YearsAmt |
| Total | $1,126,906 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $161,078,724 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $171,079,856 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,814,533 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $476,186 | CurrentTaxYearMinus1YearAmt |
| Total | $407,449,299 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $161,192,003 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $172,074,491 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,833,525 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $476,186 | CurrentTaxYearMinus1YearAmt |
| Total | $408,576,205 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $408,576,205 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $84,450 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $177,860 | CurrentTaxYearAmt |
| Total | $262,310 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $84,450 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $177,860 | CurrentTaxYearAmt |
| Total | $262,310 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $760,891 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,289,105 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,630,322 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $651,249 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,098 | CurrentTaxYearAmt |
| Total | $26,349,665 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $161,952,894 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $178,363,596 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93,463,847 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,211,885 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $195,958 | CurrentTaxYearAmt |
| Total | $435,188,180 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93880 | PublicSupportCY509Pct |
| Investment Income CY | 0.00060 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE A, PART II | FormAndLineReferenceDesc |
| Explanation | PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER WAS SOLD TO AHMC HEALTHCARE INC. ALL OPERATIONS HAVE CEASED, AND THE ORGANIZATION IS IN THE PROCESS OF WINDING DOWN. THE ORGANIZATION MUST REMAIN OPEN UNTIL ALL PENDING LITIGATION AND OTHER LEGAL ISSUES HAVE BEEN RESOLVED WHICH COULD TAKE SEVERAL YEARS. PARKVIEW WILL NOT BE ACCEPTING DONATIONS NOR WILL IT HAVE ANY PROGRAM SERVICE REVENUE AS IT WINDS DOWN. THE MAIN SOURCE OF INCOME WILL BE INVESTMENT EARNINGS AND THESE EARNINGS WILL BE USED TO SETTLE OUTSTANDING LIABILITIES. ANY REMAINING ASSETS WILL BE DISTRIBUTED TO OTHER 501(C)(3) PUBLIC CHARITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | QAF FEES RECEIVEABLE | Desc |
| Book Value | $8,653,606 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,653,606 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SETTLEMENTS PAYABLE | Desc |
| Amt | $7,625,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,625,000 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW LEGACY FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3890 ORANGE STREET 11 | AddressLine1Txt |
| City | RIVERSIDE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 953290732 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $500,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | COMMUNITY BENEFIT. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS GET TO ELECT NEW MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS BY THE GOVERNING BODY ARE APPROVED BY ITS MEMBERS WHO ARE ONE AND THE SAME. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990S ARE PRESENTED BY THE CFO TO THE FINANCE COMMITTEE AFTER THEY ARE PREPARED AND PASSED AROUND TO THE BOARD MEMBERS FOR DISCUSSION. AT THAT TIME THERE IS A FORMAL DISCUSSION ABOUT THE RETURNS AND THE BAORD MEMBERS APPROVE THEM. THE APPROVAL IS NOTED IN OUR BOARD MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION INITIALLY ADOPTED A FORMAL CONFLICT OF INTEREST POLICY ("POLICY") ON OR ABOUT OCOTOBER 2, 1996, AND HAS AS AMENDED THE POLICY FROM TIME TO TIME. THE POLICY PROVIDES FOR A FAIR AND ORDERLY PROCESS FOR THE DISCLOSURE AND MANAGEMENT OF CONFLICTS OF INTEREST WHICH MAY EXIST FOR PERSONS WITH POSITIONS OF TRUST AND RESPONSIBILITY IN THE GONVERNANCE AND MANAGEMENT OF PCHMC AND ITS AFFILIATED ENTITIES, AND TO ASSURE THAT LAWS RELATING TO SUCH CONFLICTS ARE FOLLOWED. THE PURPOSE OF THE POLICY IS TO PROTECT PCHMC'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OR MAY OTHERWISE NOT BE IN PCHMC'S BEST INTERSTS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, EACH DIRECTOR ON PCHMC'S BOARD MUST DISCLOSE, ON AN ANNUAL BASIS, THE EXISTENCE OF MATERIAL FINANCIAL INTERESTS AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS WHO ARE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. MOREOVER, IN ORDER TO SAFEGUARD INDEPENDENT JUDGEMENT AND ACTION IN BUSINESS DECISIONS, EACH PERSON ENTRUSTED WITH A KEY POSITION OF RESPONSIBILITY IN PCHMC HAS A DUTY TO AVOID ACTING OUT OF ANY CONFLICT OF INTERST, OR APPEARANCE OF SUCH CONFLICT WHICH MAY ARISE FROM PERSONAL FINANCIAL INTEREST IN ENTITIES WHICH MAY ADVERSELY AFFECT OR CONFLICT WITH PCHMC'S BEST INTEREST. FOR PURPOSES OF THE POLICY, THE TERM" COVERED INDIVIDUALS" INCLUDE THE BOARD OF DIRECTORS, OFFICERS, MEMBERS OF THE EXECTUIVE COMMITTEE AND CERTAIN KEY MANAGEMENT EMPLOYEES OF PCHMC. ALL COVERED INDIVIDUALS ARE REQUIRED TO PREPARE AND SUBMIT THE FOLLOWING STATEMENTS: (1) INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT - UPON THE OCCURRENCE OF AN EVENT RENDERING A PERSON A COVERED INDIVIDUAL, HE OR SHE SHALL FILE WITH THE FILING OFFICER AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. (2) ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT - ALL COVERED INDIVIDUALS UNDER THIS POLICY SHALL PREPARE AND SUBMIT TO THE FILING OFFICER ON A YEARLY BASIS OR WHEN LEAVING SUCH POSITION, AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THOSE DETERMINED TO HAVE AN INTEREST IN OR BE CONFLICTED OUT BY VIRTUE OF APPLICATION OF THE POLICY ARE PRECLUDED FROM PARTICIPATING IN BOARD, COMMITTEE, OR MANAGEMENT ACTIONS. MOREOVER, THE CHAIRPERSON OF THE BOARD RETAINS THE RIGHT, UNDER APPROPRIATE CIRCUMSTANCES, TO FORM AN AD-HOC COMMITTEE TO INVESTIGATE AN ALLEGED POLICY VIOLATION, CONDUCT HEARINGS, AND, UNDER ALL CIRCUMSTANCES, TAKE APPROPRIATE REMEDIAL ACTION, INCLUDING WITHOUT LIMITATION, REMOVAL OF A DIRECTOR OR MANAGEMENT PERSONNEL. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION REPORTS VARIOUS FINANCIAL INFORMATION TO STATE AND FEDERAL AGENCIES, SUCH AS, AMOUNG OTHERS, OSPHD (CA) AND MEDICARE (CMS), AND WOULD MAKE THE INFORMATION AVAILABLE IN RESPONCE TO ANY REQUEST SO LONG AS THE INFORMATION REQUESTED IS NEITHER CONFIDENTIAL NOR PROTECTED FROM DISCLOSURE BY PEER REVIEW STATUTES, ATTORNEY CLIENT OR WORK PRODUCT PRIVELEGES OR SIMILAR PROTECTIONS. |