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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number
35-1972384
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) PARKVIEW HEALTH FOUNDATION INC
1450 PRODUCTION RD
FORT WAYNE,IN46808
92-1994990 501(C)(3) 5,050,087 0     PROGRAM FUNDS
(2) TRINE UNIVERSITY INC
ONE UNIVERSITY AVE
ANGOLA,IN46703
35-0715530 501(C)(3) 0 1,125,297 BOOK 13.47 ACRES AT 3517 UNION CHAPEL RD FORT WAYNE IN FUTURE EDUCATIONAL INSTITUTION SITE
(3) ALLIANCE HEALTH CENTERS INC
2700 LAFAYETTE ST STE 110
FORT WAYNE,IN46806
85-2036759 501(C)(3) 837,534 0     SUPPORT FOR THE DELIVERY OF MEDICAL SERVICES
(4) CITY OF FORT WAYNE REDEVELOPMENT COMMISSION
ONE EAST MAIN ST
FORT WAYNE,IN46802
GOVT ORG 150,000 0     CAPITAL MAINTENANCE & IMPROVEMENT FUND FOR PARKVIEW FIELD & SUPPORT FOR VARIOUS CITY EVENTS
(5) EMERGENCY MEDICINE EDUCATIONAL FOUNDATION OF NORTHEAST IN
3640 NEW VISION DR STE A
FORT WAYNE,IN46845
46-5584998 501(C)(3) 150,000 0     SUPPORT OF EMERGENCY MEDICINE EDUCATION AND TRAINING
(6) EARLY CHILDHOOD ALLIANCE INC
3800 ANTHONY BLVD CC1220
FORT WAYNE,IN46805
35-0953465 501(C)(3) 114,000 0     EARLY CHILDHOOD EDUCATION, CHILD WELFARE, PARENT EDUCATION
(7) TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES INC
3320 NORTH CLINTON ST
FORT WAYNE,IN46805
35-0913541 501(C)(3) 102,000 0     SUPPORTING THERAPY & WELLNESS PROGRAMS FOR DISABLED CHILDREN & ADULTS
(8) EAST ALLEN COUNTY SCHOOLS
1240 SR 930 E
NEW HAVEN,IN46774
GOVT ORG 50,000 0     SCHOOL PROGRAMS
(9) ELEVATE VENTURES INC
50 EAST 91ST ST 213
INDIANAPOLIS,IN46240
27-4118692 501(C)(3) 50,000 0     FOCUSED ON BUILDING SUSTAINABLE INNOVATION & ENTREPRENEURSHIP CULTURES THROUGHOUT INDIANA
(10) PARKVIEW FOUNDATION INC
3844 NEW VISION DR
FORT WAYNE,IN46845
23-7220589 501(C)(3) 48,235 0     PROGRAM FUNDS
(11) BLESSINGS IN A BACKPACK INC
111 EAST WAYNE ST STE 555
FORT WAYNE,IN46802
26-2627847 501(C)(3) 43,890 0     FOOD DISTRIBUTION PROGRAM FOR LOW-INCOME CHILDREN
(12) PARKVIEW HOSPITAL INC
10622 PARKVIEW PLAZA DR
FORT WAYNE,IN46845
35-0868085 501(C)(3) 30,000 0     PROGRAM FUNDS
(13) SUPER SHOT INC
1515 HOBSON RD
FORT WAYNE,IN46805
35-2122575 501(C)(3) 30,000 0     TO EDUCATE, PROMOTE VACCINATION AND INCREASE AVENUES FOR IMMUNIZATIONS FOR ALL CHILDREN IN ALLEN COUNTY AND SURROUNDING COMMUNITIES
(14) THE ARC OF NORTHEAST INDIANA INC
4919 COLDWATER RD
FORT WAYNE,IN46825
35-0998711 501(C)(3) 25,000 0     LEADING THE WAY TO FULL EQUITY, ACCESS AND INCLUSION BY PROVIDING LIFE CHANGING PROGRAMS AND SERVICES FOR PEOPLE WITH DISABILITIES AND THEIR FAMILIES
(15) JUNIOR ACHIEVEMENT NORTHERN INDIANA INC
601 NOBLE DR
FORT WAYNE,IN46825
35-0922731 501(C)(3) 20,667 0     EXPERIENTIAL-BASED LIFE SKILL PROGRAMS FOR CHILDREN
(16) YMCA OF GREATER FORT WAYNE
347 WEST BERRY ST STE 500
FORT WAYNE,IN46802
35-0886850 501(C)(3) 18,100 0     DIABETES PREVENTION PROGRAM
(17) FORT WAYNE CIVIC THEATRE INC
303 E MAIN ST
FORT WAYNE,IN46802
35-6001476 501(C)(3) 17,500 0     PROGRAMS TO ENTERTAIN, ENLIGHTEN, INSPIRE, EDUCATE AND ENRICH THE COMMUNITY THROUGH QUALITY LIVE THEATRE
(18) AMGA FOUNDATION INC
ONE PRINCE ST
ALEXANDRIA,VA22314
54-6059304 501(C)(3) 12,100 0     EDUCATION AND RESEARCH PROGRAMS
(19) FORT WAYNE SUMMER SWIM & DIVE INC
415 E COOK RD
FORT WAYNE,IN46825
81-4484528 501(C)(3) 10,000 0     SPONSORSHIP OF SWIM PROGRAMS
(20) FORT WAYNE COMMUNITY SCHOOLS
1200 S CLINTON ST
FORT WAYNE,IN46802
GOVT ORG 5,300 0     SCHOOL PROGRAMS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
20
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2023
Page 2

Schedule I (Form 990) 2023
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: COMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS.
Schedule I (Form 990) 2023



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