Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
A For the 2023 calendar year, or tax year beginning 01-01-2023 , and ending 12-31-2023
BCheck if applicable:
CName of organization
PARKVIEW HOSPITAL INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
11109 PARKVIEW PLAZA DR
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
FORT WAYNE, IN468451701
D Employer identification number

35-0868085
E Telephone number

(260) 373-8429
G Gross receipts $ 1,956,449,479
F Name and address of principal officer:
GREG JOHNSON
1450 PRODUCTION RD
FORT WAYNE,IN468081167
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.PARKVIEW.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1941
M State of legal domicile: IN
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) ...... 5 7,599
6 Total number of volunteers (estimate if necessary) ............. 6 333
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 3,249,982
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 114,310
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 57,784,807 5,923,130
9 Program service revenue (Part VIII, line 2g) ......... 1,815,665,084 1,910,992,676
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 426,126 -56,336
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 17,639,722 17,804,997
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,891,515,739 1,934,664,467
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,752,027 1,142,916
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 515,643,059 538,401,511
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,237,317,577 1,296,341,088
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,754,712,663 1,835,885,515
19 Revenue less expenses. Subtract line 18 from line 12....... 136,803,076 98,778,952
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,055,454,687 1,062,300,853
21 Total liabilities (Part X, line 26)............. 241,493,080 148,769,040
22 Net assets or fund balances. Subtract line 21 from line 20..... 813,961,607 913,531,813
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
2024-11-05
Signature of officer Date
STANTON RISSERPH ACFO
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
 
PTIN
P01320603
Firm's name
CROWE LLP
 
Firm's EIN 35-0921680
Firm's address
401 E LAS OLAS BLVD SUITE 1100
 
FORT LAUDERDALE, FL33301
Phone no. (954) 202-8600
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2023)
Page 2
Form 990 (2023)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: PARKVIEW HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,537,899,647 including grants of $ 1,142,916 ) (Revenue $ 1,915,574,030 )
PARKVIEW HOSPITAL, INC. IS A NOT-FOR-PROFIT, COMMUNITY-BASED HOSPITAL SERVING A NORTHEAST INDIANA AND NORTHWEST OHIO POPULATION OF MORE THAN 1.3 MILLION. PARKVIEW HOSPITAL, INC. CONSISTS OF PARKVIEW REGIONAL MEDICAL CENTER, PARKVIEW HOSPITAL RANDALLIA AND PARKVIEW BEHAVIORAL HEALTH INSTITUTE), LOCATED IN FORT WAYNE, INDIANA. PARKVIEW HOSPITAL, INC. IS HOME TO A VERIFIED LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER IN ADDITION TO THE SAMARITAN MEDICAL FLIGHT AND GROUND TRANSPORT SERVICES, AND A FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT. (SEE SCHEDULE O FOR CONTINUATION)FEATURED SERVICES:LOCATED ON THE NORTH SIDE OF FORT WAYNE, INDIANA, PARKVIEW REGIONAL MEDICAL CENTER (PRMC) IS A 587-BED REGIONAL TERTIARY REFERRAL CENTER DEDICATED TO BUILDING A HEALTHIER COMMUNITY. MORE THAN A HOSPITAL, PRMC IS AN ENTIRE CAMPUS DEVOTED TO THE HEALTH AND WELL-BEING OF ITS SURROUNDING COMMUNITIES. FEATURED SERVICES OF THE PRMC CAN BE FOUND ON CAMPUS AT THE PARKVIEW PACKNETT FAMILY CANCER INSTITUTE, PARKVIEW HEART INSTITUTE AND THE PARKVIEW WOMEN'S & CHILDREN'S HOSPITAL.PARKVIEW PACKNETT FAMILY CANCER INSTITUTE IS A STATE-OF-THE-ART FACILITY WHICH INCORPORATES A HEALING ENVIRONMENT THROUGH THE USE OF NATURAL LIGHTING, PRIVATE SPACES FOR FAMILIES, RESPITE ROOMS AND MORE. THIS PHYSICIAN-LED FACILITY USES AN ENHANCED NURSE NAVIGATOR SYSTEM THAT ALLOWS FOR COORDINATED CARE THROUGHOUT A PATIENT'S CANCER JOURNEY. THE INSTITUTE OFFERS INFUSION, RADIATION ONCOLOGY AND OTHER OUTPATIENT SERVICES, SUCH AS THE REGION'S ONLY CYBERKNIFE TECHNOLOGY THAT DESTROYS TUMORS IN DIFFICULT-TO-REACH AREAS.PARKVIEW HEART INSTITUTE (PHI), THE REGION'S ONLY DEDICATED HEART HOSPITAL AND AN AFFILIATE OF CLEVELAND CLINIC'S HEART, VASCULAR AND THORACIC INSTITUTE, IS DEDICATED TO THE PREVENTION, AWARENESS, DETECTION AND TREATMENT OF HEART DISEASE. PHYSICIANS, ADVANCED-PRACTICE PROVIDERS, NURSES AND CO-WORKERS WITHIN THE FACILITY DELIVER SPECIALIZED CARDIAC INTENSIVE CARE, ACUTE CARE AND SUPPORT ACCREDITED PROGRAMS SUCH AS HEART FAILURE, AFIB AND ELECTROPHYSIOLOGY. PHI OFFERS SIXTEEN OUTPATIENT SPECIALTY CLINICS TO SUPPORT PATIENTS WITH STANDARDIZED, PROTOCOL DRIVEN CARE BY A COLLABORATIVE TEAM DEDICATED TO TREATING THEIR CONDITION.PARKVIEW WOMEN'S & CHILDREN'S HOSPITAL INCLUDES A NEWLY RENOVATED 40-BED FAMILY BIRTHING CENTER THAT CONSISTS OF 16 LABOR AND DELIVERY ROOMS, FOUR TRIAGE BAYS, TWO OPERATING ROOMS, 24 POST-PARTUM ROOMS, AND A BRAND NEW 8-BED NEWBORN NURSERY. FOR OUR LITTLEST PATIENTS WHO NEED EXTRA CARE, OUR NEONATAL ICU HAS ALSO BEEN RECENTLY RENOVATED AND EXPANDED TO A TOTAL OF 45 BEDS (35 PRIVATE ROOMS AND 10 CONTINUOUS CARE BAYS). THE PEDIATRIC UNIT HAS 27 PRIVATE ROOMS TO MAKE THE STAY FOR YOUNG PATIENTS AS COMFORTING AS POSSIBLE.WITHIN THE HEART OF FORT WAYNE, INDIANA RESIDES PARKVIEW RANDALLIA HOSPITAL, A 225-BED COMMUNITY HOSPITAL SERVING AREA RESIDENTS AT ITS CURRENT LOCATION SINCE 1953. PARKVIEW RANDALLIA HOSPITAL CONTINUES TO BE A FULL-SERVICE CENTER OF HEALTHCARE ACTIVITY AND EXCELLENCE, DEDICATED TO PROVIDING EXCEPTIONAL SERVICE WITH KINDNESS AND CONCERN FOR EVERY INDIVIDUAL SITUATION. THIS FACILITY FEATURES A FAMILY BIRTHING CENTER, PARKVIEW CENTER FOR WOUND HEALING, SLEEP DISORDERS CENTER AND THE PARKVIEW REHABILITATION CENTER.FINANCIAL ASSISTANCE:PARKVIEW HOSPITAL, INC. IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE TO THOSE WHO NEED IT, REGARDLESS OF THEIR HEALTH STATUS OR ABILITY TO PAY. WITH OUR FINANCIAL ASSISTANCE, PATIENTS CAN RECEIVE THE PARKVIEW CARE THEY EXPECT - NO MATTER WHAT MEDICAL OBSTACLES THEY MIGHT FACE. OUR FINANCIAL ASSISTANCE SERVICES INCLUDE: 1) USING FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES, INCLUDING CHARITABLE CARE AND FINANCIAL ASSISTANCE POLICIES AND A STANDARD APPLICATION PROCESS; 2) PROVIDING EXTENDED PAYMENT PLAN OPTIONS; AND 3) PROVIDING EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY.COMMUNITY BENEFIT: PARKVIEW HOSPITAL, INC.'S COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT NORTHEAST INDIANA. THROUGH PARKVIEW'S COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM, PARKVIEW HOSPITAL, INC. COLLABORATES WITH OTHERS INSIDE AND OUTSIDE THE HEALTH SYSTEM WHO SHARE PARKVIEW'S MISSION AND VALUES. FUNDED BY A PERCENTAGE OF PARKVIEW'S NET OPERATING SURPLUS, CHI STRATEGICALLY REINVESTS DOLLARS INTO COMMUNITY ORGANIZATIONS AND INITIATIVES THAT ADDRESS THE GREATEST HEALTH NEEDS OUTLINED BY THE HOSPITAL'S MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THE 2022 CHNA RESULTS, THE TOP THREE HEALTH CONCERNS FOR PARKVIEW HOSPITAL, INC. ARE MENTAL HEALTH, OBESITY AND MATERNAL & CHILD HEALTH. BASED UPON THESE RESULTS, PARKVIEW HOSPITAL, INC. CREATES AN IMPLEMENTATION STRATEGY THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW WE PLAN TO ADDRESS EACH IDENTIFIED HEALTH NEED. AWARDS/RECOGNITION: PARKVIEW HOSPITAL INC. RECEIVED THE FOLLOWING AWARDS AND RECOGNITIONS IN 2023: -LEAPFROG HOSPITAL SAFETY GRADE: FALL A- INDIANA HOSPITAL ASSOCIATION CATEGORY OF EXCELLENCE -BECKER'S TOP RECOMMENDED HOSPITALS - PARKVIEW BEHAVIORAL HEALTH INSTITUTE RECEIVED THE 2023 PRESS GANEY HUMAN EXPERIENCE AWARD, WINNING THE NDNQI AWARD FOR OUTSTANDING NURSING QUALITY - PSYCHIATRIC HOSPITAL.- PRMC RECEIVED THE E-QUAL HONOR ROLL AWARD BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS FOR THEIR IMPROVEMENT IN EMERGENCY CARE RELATED TO OPIOID USE DISORDER TREATMENT.- ALL PARKVIEW HOSPITALS WITH A FAMILY BIRTHING CENTER IN INDIANA WERE RECOGNIZED IN THE INDIANA HOSPITAL ASSOCIATION'S FOURTH ANNUAL INSPIRE HOSPITAL OF DISTINCTION PROGRAM. PRMC WAS RECOGNIZED IN THE CATEGORY OF EXCELLENCE.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses1,537,899,647
Form 990 (2023)
Page 3
Form 990 (2023)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment
List of Attached Documents:
// Content
.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2023)
Page 4
Form 990 (2023)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
List of Attached Documents:
// Content
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
List of Attached Documents:
// Content
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
166
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2023)
Page 5
Form 990 (2023)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
7,599
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2023)
Page 6
Form 990 (2023)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
IN , OH
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
STANTON RISSER1450 PRODUCTION RD   FORT WAYNE,IN468081167 (260) 266-9380
Form 990 (2023)
Page 7
Form 990 (2023)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) GREG JOHNSON......................................................................
DIRECTOR/REGIONAL MARKET PRESIDENT
1.00
.................
39.00
X   X       0 888,491 189,006
(2) SATISH VELAGAPUDI......................................................................
DIRECTOR/PH PHYSICIAN
1.00
.................
39.00
X           47,926 634,262 57,546
(3) LINDA FRANCIES......................................................................
PVHOS CHIEF NURSING OFFICER
40.00
.................
0.00
X           409,448 0 83,196
(4) JOHN BOWEN......................................................................
DIRECTOR/PVHOS PRESIDENT
39.00
.................
1.00
X   X       616,722 0 142,810
(5) PETER CHAILLE......................................................................
DIRECTOR/PH PHYSICIAN
1.00
.................
39.00
X           0 883,731 74,106
(6) ABHIJIT SHUKLA......................................................................
DIRECTOR/PH PHYSICIAN
1.00
.................
39.00
X           0 312,710 70,274
(7) RUSS ABEL......................................................................
DIRECTOR
1.00
.................
0.00
X           4,500 0 0
(8) IAN BOYCE......................................................................
DIRECTOR/CHAIR
1.00
.................
1.00
X   X       6,500 2,000 0
(9) DONOVAN COLEY......................................................................
DIRECTOR
1.00
.................
0.00
X           4,500 0 0
(10) MARK DANIEL......................................................................
DIRECTOR
1.00
.................
0.00
X           3,000 0 0
(11) JOSEPH JORDAN......................................................................
DIRECTOR
1.00
.................
0.00
X           4,500 0 0
(12) THOMAS KIMBROUGH......................................................................
DIRECTOR/SECRETARY
1.00
.................
1.00
X   X       4,500 3,500 0
(13) TROY LINDER......................................................................
DIRECTOR
1.00
.................
0.00
X           3,250 0 0
(14) DAVID MCFADDEN......................................................................
DIRECTOR
1.00
.................
0.00
X           4,250 0 0
(15) MARK MICHAEL......................................................................
DIRECTOR/TREASURER
1.00
.................
0.00
X   X       4,250 0 0
(16) RICHARD ROBINSON......................................................................
DIRECTOR/VICE CHAIR
1.00
.................
1.00
X   X       4,500 0 0
(17) JUDY ROY......................................................................
DIRECTOR
1.00
.................
0.00
X           3,250 0 0
Form 990 (2023)
Page 8
Form 990 (2023)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) JEANNE' WICKENS........................................................................
PH CHIEF FINANCIAL OFFICER
1.00
.......................39.00
    X       0 2,165,508 277,888
(19) MICHAEL MIRRO........................................................................
PVHOS CHIEF ACADEM/RESEARCH OFFICER
40.00
.......................0.00
      X     752,870 0 139,805
(20) GARY ZWIERZYNSKI........................................................................
PVHOS SVP GRADUATE MEDICAL EDUCATION
39.00
.......................1.00
      X     343,888 68,585 24,652
(21) JOSIAH WELLS........................................................................
PVHOS VP OPERATIONS
40.00
.......................0.00
      X     278,360 0 37,456
(22) MARK GILLESPIE........................................................................
PVHOS VP OPERATIONS
40.00
.......................0.00
      X     252,244 0 55,767
(23) JESSICA MURPHY........................................................................
PVHOS VP SURGICAL SERVICES
40.00
.......................0.00
      X     236,577 0 58,397
(24) PAULA BOSTWICK........................................................................
PVHOS VP BHI
40.00
.......................0.00
      X     200,021 0 56,267
(25) GAIL ALTEKRUSE........................................................................
PVHOS VP OPERATIONS
40.00
.......................0.00
      X     241,756 0 54,403
(26) ERIN GOLDSBERRY........................................................................
PVHOS VP PAT CARE
40.00
.......................0.00
      X     224,478 0 38,113
(27) PATRICK WOODMAN........................................................................
PVHOS PHYSICIAN
24.00
.......................16.00
        X   296,087 154,933 22,935
(28) SUSAN STEFFY........................................................................
PVHOS CMO GRAD MED EDUCATION
20.00
.......................20.00
        X   227,836 175,848 78,571
(29) JEFFREY BROWN........................................................................
PVHOS PHYSICIAN
40.00
.......................0.00
        X   284,661 0 38,181
(30) CHUANYA ZHOA........................................................................
PVHOS SUPERVISOR CERT RAD PHYSICIST
40.00
.......................0.00
        X   283,423 0 38,878
(31) SARA BROWN........................................................................
PVHOS ASSOCIATE CMO
40.00
.......................0.00
        X   261,149 0 34,268
(32) MICHAEL PACKNETT........................................................................
FORMER OFFICER/RETIRED PH CEO
0.00
.......................0.00
          X 0 5,034,209 29,253
(33) MICHAEL YURKANIN........................................................................
FORMER KEY EMPLOYEE/CURRENT PH CMO
5.00
.......................35.00
          X 58,342 583,839 160,006
(34) MEGAN SMITH........................................................................
FORMER KEY EMPLOYEE/CURRENT PH SVP
0.00
.......................40.00
          X 0 459,430 134,418
(35) CHARLES CLARK........................................................................
FORMER KEY EMPLOYEE/FORMER BHI PRES
0.00
.......................40.00
          X 0 332,674 67,276
(36) MARCELINE ROGERS........................................................................
FORMER KEY EMPLOYEE/CURRENT PH SVP
0.00
.......................40.00
          X 0 377,517 117,782
(37) MICHAEL GERUE........................................................................
FORMER KEY EMPLOYEE/CURRENT PH SVP
0.00
.......................40.00
          X 0 494,001 142,103
(38) MOLLY CAIN........................................................................
FORMER KEY EMPLOYEE/CURRENT PH SVP
0.00
.......................40.00
          X 0 451,152 122,253
(39) CHRISTINE HEPLER........................................................................
FORMER KEY EMPLOYEE/CURRENT PH VP
0.00
.......................40.00
          X 0 246,072 59,147
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 5,062,788 13,268,462 2,404,757
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 595
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
FOCUSONE SOLUTIONS LLC

13609 CALIFORNIA STREET
OMAHA,NE68154
MEDICAL PERSONNEL 55,278,925
TRELLISRX LLC

1180 W PEACHTREE ST NE
ATLANTA,GA30309
PHARMACY SERVICES 14,560,232
QUEST DIAGNOSTICS

PO BOX 912512
PASADENA,CA91110
DIAGNOSTIC SERVICES 5,454,616
TOTAL RENAL CARE INC

PO BOX 781607
PHILADELPHIA,PA19178
MEDICAL SERVICES 3,704,925
HOSPITAL LAUNDRY SERVICES INC

3322 CAVALIER DR
FORT WAYNE,IN46808
LAUNDRY SERVICES 3,385,160
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 88
Form 990 (2023)
Page 9
Form 990 (2023)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 958,565
e Government grants (contributions)1e 4,672,720
f All other contributions, gifts, grants, and similar amounts not included above1f 291,845
g Noncash contributions included in lines 1a - 1f:$ 1g 70,382
h Total. Add lines 1a-1f....... 5,923,130
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE 622110 1,707,224,534 1,707,224,534    
b PHARMACY 456110 177,103,889 175,452,247 1,651,642  
c LAB SERVICES 621500 21,361,653 21,361,653    
d INTERUNIT RENT 531120 4,669,530 4,669,530    
e CENTER FOR HEALTHY LIVING 621999 241,670 195,002 46,668  
f All other program service revenue. 391,400 208,216 183,184  
g Total. Add lines 2a–2f ..... 1,910,992,676
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 565,043     565,043
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a 4,333,261  
b Less: rental expenses 6b 1,698,794  
c Rental income or (loss) 6c 2,634,467  
d Net rental income or (loss)....... 2,634,467     2,634,467
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 19,437,905 26,934
b Less: cost or other basis and sales expenses 7b 19,656,109 430,109
c Gain or (loss) 7c -218,204 -403,175
d Net gain or (loss)......... -621,379     -621,379
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
 OtherRevenueMiscAmt
Business Code
11a CAFETERIA & MEALS 722514 7,246,879     7,246,879
b ORTHO BILLINGS 541900 3,523,004 2,173,141 1,349,863  
c RESEARCH CENTER 541700 3,160,934 3,160,934    
d All other revenue .... 1,239,713 1,128,773 18,625 92,315
e Total. Add lines 11a–11d ...... 15,170,530
12 Total revenue. See instructions..... 1,934,664,467 1,915,574,030 3,249,982 9,917,325
Form 990 (2023)
Page 10
Form 990 (2023)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 1,142,916 1,142,916
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 4,414,978   4,414,978  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 233,578 233,578    
7 Other salaries and wages........ 403,344,756 403,344,756    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 130,408,199 130,408,199    
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 78,466   78,466  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 123,313,935 116,330,744 6,983,191  
12 Advertising and promotion .... 249,269 171,567 77,702  
13 Office expenses ....... 27,032,068 25,857,535 1,174,533  
14 Information technology ...... 828,080 821,109 6,971  
15 Royalties ..        
16 Occupancy ........... 20,553,436 18,995,073 1,558,363  
17 Travel ............ 1,468,107 1,379,459 88,648  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 298,497 295,906 2,591  
20 Interest ........... 535,210 504,809 30,401  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 47,943,694 47,653,157 290,537  
23 Insurance ... 2,014,404 108,514 1,905,890  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 420,757,528 420,757,528    
b CORP SERVICE ALLOCATION 280,509,730   280,509,730  
c PH CLINICAL SUPPORT 269,643,738 269,643,738    
d FEDERAL & STATE INCOME 330,000   330,000  
e All other expenses 100,784,926 100,251,059 533,867  
25 Total functional expenses. Add lines 1 through 24e 1,835,885,515 1,537,899,647 297,985,868 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2023)
Page 11
Form 990 (2023)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 20,806 1 117,820
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...... 410,836 3 1,490,721
4 Accounts receivable, net ............. 253,611,084 4 234,117,148
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 22,960,811 8 25,991,560
9 Prepaid expenses and deferred charges ...... 994,424 9 1,339,597
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,406,342,518
b Less: accumulated depreciation 10b 695,759,048 711,344,907 10c 710,583,470
11 Investments—publicly traded securities . 28,811,961 11 31,657,552
12 Investments—other securities. See Part IV, line 11 ..... 2,366,409 12 1,158,575
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 22,491,443 14 22,491,443
15 Other assets. See Part IV, line 11 ........... 12,442,006 15 33,352,967
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,055,454,687 16 1,062,300,853
Liabilities 17 Accounts payable and accrued expenses ..... 88,865,858 17 73,768,324
18 Grants payable ...   18  
19 Deferred revenue ......... 602,332 19 1,115,225
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 152,024,890 25 73,885,491
26 Total liabilities. Add lines 17 through 25.. 241,493,080 26 148,769,040
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 813,961,607 27 913,531,813
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 813,961,607 32 913,531,813
33 Total liabilities and net assets/fund balances ........ 1,055,454,687 33 1,062,300,853
Form 990 (2023)
Page 12
Form 990 (2023)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,934,664,467
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,835,885,515
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
98,778,952
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
813,961,607
5
Net unrealized gains (losses) on investments ...............
5
2,583,660
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-1,792,406
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
913,531,813
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2023)
Form 990 (2023)
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