DEKALB MEMORIAL HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- DEKALB MEMORIAL HOSPITAL INC (EIN 35-1064295)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-05
- IRS object ID
- 202423109349302047
- Schema version
- 2023v5.1
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-05T11:27:02-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 E LAS OLAS BLVD SUITE 1100 | AddressLine1Txt |
| City | FORT LAUDERDALE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351064295 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DEKA | BusinessNameControlTxt |
| Phone | 2603738429 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1316 E 7TH ST | AddressLine1Txt |
| City | AUBURN | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 467062515 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STANTON RISSER | PersonNm |
| Person Title | PH ACFO | PersonTitleTxt |
| Phone | 2602669380 | PhoneNum |
| Signature | 2024-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRITTNEY KOCAJ | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 9542028600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW DEKALB HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GREG JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1450 PRODUCTION RD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 468081167 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $82,948,863 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 373 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | $2,038,338 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $258,327 | PYContributionsGrantsAmt |
| CY Contributions Grants | $171 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $73,855,983 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $82,467,723 | CYProgramServiceRevenueAmt |
| PY Investment Income | $272,972 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,659 | CYInvestmentIncomeAmt |
| PY Other Revenue | $422,701 | PYOtherRevenueAmt |
| CY Other Revenue | $328,536 | CYOtherRevenueAmt |
| PY Total Revenue | $74,809,983 | PYTotalRevenueAmt |
| CY Total Revenue | $82,794,771 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $25,694 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $34,684 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,522,840 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,973,031 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $51,023,879 | PYOtherExpensesAmt |
| CY Other Expenses | $52,563,677 | CYOtherExpensesAmt |
| PY Total Expenses | $77,572,413 | PYTotalExpensesAmt |
| CY Total Expenses | $79,571,392 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,762,430 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,223,379 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,926,781 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,921,838 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,822,960 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,702,106 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,103,821 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $61,219,732 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DEKALB MEMORIAL HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $65,090,353 | ExpenseAmt |
| Grant | $34,684 | GrantAmt |
| Revenue | $80,429,385 | RevenueAmt |
| Desc | AS A NOT-FOR-PROFIT HOSPITAL, DEKALB MEMORIAL HOSPITAL, INC. IS COMMITTED TO PROVIDING EXCEPTIONAL CARE TO THE COMMUNITY WE HAVE PROUDLY SERVED FOR DECADES. AT DEKALB MEMORIAL HOSPITAL, INC., PATIENTS WILL FIND THE CARE TEAM PROVIDERS AND SPECIALTY SERVICES THEY NEED LOCALLY, ALONG WITH THE FULL RESOURCES OF PARKVIEW HEALTH, THE LARGEST HEALTH SYSTEM IN NORTHEAST INDIANA. WHETHER PATIENTS ARE VISITING THE DEKALB CAMPUS FOR A SCHEDULED APPOINTMENT, NEED EMERGENCY OR WALK-IN CARE OR ARE VISITING A LOVED ONE, OUR CAREGIVERS WILL MAKE SURE THEY FEEL LIKE FAMILY.(SEE SCHEDULE O FOR CONTINUATION)FEATURED SERVICES:LOCATED NEAR THE CENTER OF DEKALB COUNTY, DEKALB MEMORIAL HOSPITAL, INC. IS A 57-BED FACILITY FEATURING ORTHOPEDIC, SURGICAL SERVICES AND 24/7 EMERGENCY CARE. OUR PHYSICIANS, NURSES AND OTHER MEDICAL PROFESSIONALS DISTINGUISH THEMSELVES AS BEING THE MOST COMPASSIONATE CAREGIVERS PATIENTS WILL FIND ANYWHERE. THEY SHARE OUR GOAL OF PROVIDING THE BEST POSSIBLE PATIENT EXPERIENCE, AND THEY'RE DEDICATED TO CARING FOR PATIENTS AND THEIR FAMILIES.AS OUR POPULATION AGES, ACCESS TO ORTHOPEDIC CARE BECOMES MORE AND MORE IMPORTANT TO OUR LOCAL COMMUNITY. DEKALB MEMORIAL HOSPITAL, INC. HAS PRIORITIZED ITS ORTHOPEDIC FACILITIES AND SERVICES, DEBUTING ON-SITE ORTHOPEDIC PHYSICIAN SUITES, DIAGNOSTIC AREAS AND TREATMENT FACILITIES. PATIENTS CAN RECEIVE THE HIGHEST QUALITY ORTHOPEDIC TREATMENTS LOCALLY AND AVAILABLE CLOSER TO HOME. THE HOSPITAL'S NORTH CAMPUS SERVES AS A HUB FOR OFTEN INTERRELATED SERVICES LIKE ORTHOPEDICS, REHABILITATION AND OCCUPATIONAL HEALTH, PROVIDING CONVENIENCE FOR CLINICIANS, AS WELL AS PATIENTS WHO MAY FREQUENT THESE CARE DESTINATIONS IN THEIR TREATMENT JOURNEY.IN ADDITION TO GOLD-STANDARD FACILITIES, OUR EXPERIENCED TEAM OF ORTHOPEDIC PHYSICIANS BOASTS EXPERTISE IN MANY SOUGHT-AFTER PROCEDURES AND NON-SURGICAL OPTIONS. OUR COMPREHENSIVE SERVICES INCLUDE COMPLETE BONE, JOINT AND SPINE CARE, WITH TREATMENT AVAILABLE FOR A COMPLETE RANGE OF ORTHOPEDIC CONDITIONS, INCLUDING BONE CONDITIONS, TRAUMA, ATHLETIC INJURIES, JOINT DISORDERS, SPINAL ISSUES AND MUSCLE CARE. WE ARE EXCITED ABOUT THE SKILLED ORTHOPEDIC SURGEONS AT DEKALB MEMORIAL HOSPITAL, INC. WHETHER THEY ARE PROVIDING DIRECT CARE TO OUTPATIENTS AND IN-PATIENTS, OR PERFORMING SURGERIES, DEDICATED ORTHOPEDIC SPECIALISTS ARE HERE TO SERVE THE GROWING NEEDS OF THE LOCAL COMMUNITY.WE'RE VERY PROUD OF THE SURGICAL CENTER AT DEKALB MEMORIAL HOSPITAL, INC. AND THE EMPHASIS THAT HAS BEEN PLACED ON CREATING A HEALING ENVIRONMENT, FROM THE SOOTHING COLOR PALETTE TO THE ENHANCED TECHNOLOGY AND PRIVATE ROOMS. DEKALB MEMORIAL HOSPITAL INC.'S 40,000-SQUARE-FOOT SURGICAL CENTER INCLUDES 17 PRIVATE ROOMS, FOUR SURGICAL SUITES, THREE ENDOSCOPY SUITES, FIVE PATIENT INFUSION THERAPY TREATMENT AREAS AND A ROBOTIC SURGERY PROGRAM. THIS CENTER PROVIDES PATIENTS ACCESS TO ADVANCED TECHNOLOGY FOR THE DELIVERY OF QUALITY SURGICAL CARE, LEADING-EDGE TECHNOLOGIES AND A BROAD RANGE OF SURGICAL EXPERTISE. ONE EXAMPLE OF THIS TECHNOLOGY IS DA VINCI XI SURGICAL SYSTEM. THE SYSTEM ENABLES THE SURGEON TO VIEW STRUCTURES INSIDE THE PATIENT'S BODY IN VERY FINE DETAIL AND PERFORM DELICATE OPERATIONS WITH A HIGH DEGREE OF PRECISION. INCISIONS CAN BE SMALLER AND FEWER AND THE ENTIRE PROCESS IS LESS INVASIVE THAN TRADITIONAL SURGERY. OUR SURGICAL SPECIALISTS ARE ON CALL 24 HOURS A DAY, SEVEN DAYS A WEEK.THE DIAGNOSTIC IMAGING DEPARTMENT AT DEKALB MEMORIAL HOSPITAL, INC. PRIDES ITSELF ON PROVIDING AN ARRAY OF PREMIER DIAGNOSTIC AND SCREENING EXAMS TO MEET THE NEEDS OF OUR LOCAL COMMUNITY. IN RESPONSE TO THE ESCALATING PREVALENCE OF HEART DISEASE, OUR DEPARTMENT OFFERS CUTTING-EDGE CT CARDIAC SCREENING EXAMS. THROUGH COLLABORATIVE EFFORTS WITH CARDIOLOGY, WE DELIVER ECHOCARDIOGRAMS AND NUCLEAR MEDICINE MYOVIEW (HEART) EXAMS, ENSURING CONVENIENT ACCESS FOR PATIENTS AND EXPEDITIOUS SCHEDULING.MOREOVER, OUR COMMITMENT EXTENDS TO THE REALM OF WOMEN'S HEALTH, WITH COMPREHENSIVE SERVICES INCLUDING MAMMOGRAPHY, ULTRASOUND, AND DEXA (BONE DENSITY) SCANS. SETTING A BENCHMARK IN HEALTHCARE PROVISION, WE ARE ONE OF THE ONLY COMMUNITY HOSPITALS IN THE AREA OFFERING BREAST MRI EXAMS. OUR UNWAVERING DEDICATION IS UPHELD BY A TEAM OF HIGHLY SKILLED TECHNOLOGISTS AND THE UTILIZATION OF STATE-OF-THE-ART EQUIPMENT, ALL AIMED AT DELIVERING UNPARALLELED CARE TO OUR COMMUNITY.DEKALB MEMORIAL HOSPITAL, INC. FEATURES A 24/7 EMERGENCY DEPARTMENT (ED) THAT OFFERS COMPREHENSIVE AND QUALITY CARE IN A STATE-OF-THE ART SETTING. OUR EMERGENCY DEPARTMENT CONSISTS OF 13 PRIVATE EXAM ROOMS AND ONE TREATMENT ROOM. THE ED ALSO OFFERS PATIENTS AND STAFF THE LATEST IN TECHNOLOGICAL INNOVATION AND CARE. EXAMPLES INCLUDE COMPUTERS IN EVERY ROOM; A DIGITAL TRACKING BOARD PROVIDES DOCTORS AND NURSES WITH REAL-TIME COMMUNICATIONS AND STATUS UPDATES; STATE-OF-THE-ART CARDIAC MONITORING SYSTEMS; PATIENT BEDS FEATURE BUILT-IN DIGITAL SCALES; AND A ONE-CALL SYSTEM THAT PROVIDES QUICKER, DIRECT ACCESS TO AREA TERTIARY FACILITIES.AT THE HEART OF OUR ED IS A SPACIOUS, CENTRALLY LOCATED NURSES' STATION. DESIGNED TO OPTIMIZE AND ENHANCE WORKFLOW AND PATIENT MONITORING, THE NURSE'S STATION PUT ALL LEVELS OF TREATMENT ROOMS WITHIN THE DIRECT VIEW OF NURSES. COMBINED WITH TECHNOLOGICAL ADVANCES, THE ED AT DEKALB MEMORIAL HOSPITAL, INC. OFFERS PATIENTS THE UTMOST IN CARE, CONVENIENCE AND PRIVACY.FINANCIAL ASSISTANCE:DEKALB MEMORIAL 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: DEKALB MEMORIAL 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, DEKALB MEMORIAL 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 HOSPITALS 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, SUBSTANCE USE DISORDER AND OBESITY. BASED UPON THESE RESULTS, DEKALB MEMORIAL HOSPITAL, INC. CREATED AN IMPLEMENTATION STRATEGY THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW WE PLAN TO ADDRESS EACH IDENTIFIED HEALTH NEED. AWARDS/RECOGNITION:-LEAPFROG HOSPITAL SAFETY GRADE: SPRING - A FALL - A - THE CHARTIS CENTER FOR RURAL HEALTH PERFORMANCE LEADERSHIP AWARDS (PREVIOUSLY IVANTAGE HEALTH ANALYTICS)- CMS 5-STAR RATING- BECKER'S TOP HOSPITALS FOR STAFF RESPONSIVENESS- VIZIENT TOP COMMUNITY HOSPITAL | Desc |
| Total Program Service Expenses | $65,090,353 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 26 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 373 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | 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 | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STANTON RISSER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2602669380 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1450 PRODUCTION RD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 468081167 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS MASON | ||||||||||
| DIRECTOR/PH PHYSICIAN | 1.00 | 39.00 | Yes (X) | $9,196 | $405,873 | $73,918 | ||||
| NATASHA EICHER | ||||||||||
| DIRECTOR/MARKET PRESIDENT | 39.00 | 1.00 | Yes (X) | $363,341 | $0 | $104,491 | Yes (X) | |||
| DOUGLAS MORROW | ||||||||||
| DIRECTOR/CHAIR | 1.00 | 1.00 | Yes (X) | $6,000 | $1,250 | $0 | Yes (X) | |||
| THOMAS HARTMAN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $4,000 | $0 | $0 | ||||
| MICHAEL TULLIS | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,500 | $0 | $0 | ||||
| BRYAN NUGEN | ||||||||||
| DIRECTOR/SECRETARY/TREASURER | 1.00 | 0.00 | Yes (X) | $4,500 | $0 | $0 | Yes (X) | |||
| TRENTON STUCKEY | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,750 | $0 | $0 | ||||
| SCOTT PFLUGHOEFT | ||||||||||
| DIRECTOR/VICE CHAIR | 1.00 | 0.00 | Yes (X) | $4,500 | $0 | $0 | Yes (X) | |||
| CLARAMARY WINEBRENNER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,250 | $0 | $0 | ||||
| JEREMY PFISTER | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,000 | $0 | $0 | ||||
| GREG JOHNSON | ||||||||||
| DIRECTOR/REGIONAL MARKET PRESIDENT | 1.00 | 39.00 | Yes (X) | $0 | $888,491 | $189,006 | Yes (X) | |||
| JEANNE' WICKENS | ||||||||||
| PH CHIEF FINANCIAL OFFICER | 1.00 | 39.00 | $0 | $2,165,508 | $277,888 | Yes (X) | ||||
| KARRA HEGGEN | ||||||||||
| DMHOS VP PATIENT CARE SVCS | 39.00 | 1.00 | $263,484 | $0 | $34,219 | Yes (X) | ||||
| LON KEYES | ||||||||||
| DMHOS PHARMACY MGR | 40.00 | 0.00 | $195,160 | $0 | $28,287 | Yes (X) | ||||
| JACOB CLENDENEN | ||||||||||
| DMHOS PHARMACIST | 39.00 | 1.00 | $160,652 | $147 | $41,867 | Yes (X) | ||||
| PEGGY ROBERTS | ||||||||||
| DMHOS REGISTERED NURSE | 39.00 | 1.00 | $126,676 | $20,000 | $14,185 | Yes (X) | ||||
| BETHANY HEILEMAN | ||||||||||
| DMHOS PHARMACIST | 39.00 | 1.00 | $144,130 | $1,194 | $48,552 | Yes (X) | ||||
| ANTHONY STUMP | ||||||||||
| DMHOS MGR REHAB | 40.00 | 0.00 | $142,516 | $0 | $45,322 | Yes (X) | ||||
| MICHAEL PACKNETT | ||||||||||
| FORMER OFFICER/RETIRED PH CEO | 0.00 | 0.00 | $0 | $5,034,209 | $29,253 | Yes (X) | ||||
| BRET CLAGHORN | ||||||||||
| FORMER OFFICER/CURRENT PH VP | 0.00 | 40.00 | $0 | $261,770 | $62,463 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,439,655 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,778,442 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $949,451 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PARKVIEW HOSPITAL INC | |||||
| 11109 PARKVIEW PLAZA DR | FORT WAYNE | IN | 46845 | LABORATORY SERVICES | $3,462,746 |
| ASSOCIATED ANESTHESIOLOGISTS OF FORT WAY | |||||
| 10315 DAWSON CREEK BLVD SUITE A/B | FORT WAYNE | IN | 46825 | ANESTHESIOLOGISTS | $809,431 |
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA STREET | OMAHA | NE | 68154 | MEDICAL PERSONNEL | $551,689 |
| NORTHEAST INTERNAL MEDICINE ASSOC INC | |||||
| 2500 N DETROIT STREET | LAGRANGE | IN | 46761 | HOSPITALISTS | $318,000 |
| HOSPITAL LAUNDRY SERVICES INC | |||||
| 3322 CAVALIER DR | FORT WAYNE | IN | 46808 | LAUNDRY SERVICES | $185,912 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $171 | RelatedOrganizationsAmt |
| Total Contributions | $171 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $71,878,804 | $71,878,804 | |
| PHARMACY | 456110 | $9,131,499 | $7,093,161 | $2,038,338 |
| INTERUNIT RENT | 531120 | $1,193,599 | $1,193,599 | |
| EMS SUBSIDY | 621910 | $250,000 | $250,000 | |
| HEALTH/DISEASE EDUCATION CLASSES | 621990 | $8,211 | $8,211 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,610 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,610 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $82,467,723 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $140,908 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $152,433 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$11,525 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,525 | TotalRevenueColumnAmt |
| Exclusion | -$11,525 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,659 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,659 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,659 | TotalRevenueColumnAmt |
| Exclusion | -$1,659 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA | Desc |
| Business | 722514 | BusinessCd |
| Total Revenue Column | $340,061 | TotalRevenueColumnAmt |
| Exclusion | $340,061 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $340,061 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $82,794,771 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $80,429,385 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,038,338 | UnrelatedBusinessRevenueAmt |
| Exclusion | $326,877 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,684 | TotalAmt |
| Program Services | $34,684 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $810,868 | TotalAmt |
| Management And General | $810,868 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,728,354 | TotalAmt |
| Program Services | $19,728,354 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,433,809 | TotalAmt |
| Program Services | $6,433,809 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,381,209 | TotalAmt |
| Program Services | $6,069,202 | ProgramServicesAmt |
| Management And General | $312,007 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218 | TotalAmt |
| Program Services | $218 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,507,469 | TotalAmt |
| Program Services | $1,466,635 | ProgramServicesAmt |
| Management And General | $40,834 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,142 | TotalAmt |
| Program Services | $7,976 | ProgramServicesAmt |
| Management And General | $166 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,584,946 | TotalAmt |
| Program Services | $1,577,496 | ProgramServicesAmt |
| Management And General | $7,450 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,263 | TotalAmt |
| Program Services | $3,854 | ProgramServicesAmt |
| Management And General | $1,409 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,695 | TotalAmt |
| Program Services | $2,695 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,537 | TotalAmt |
| Program Services | $28,537 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,614,745 | TotalAmt |
| Program Services | $1,613,586 | ProgramServicesAmt |
| Management And General | $1,159 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,554 | TotalAmt |
| Program Services | $172,703 | ProgramServicesAmt |
| Management And General | $22,851 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $15,094,325 | $15,094,325 | |
| CORP SERVICE ALLOCATION | $13,248,323 | $13,248,323 | |
| PH CLINICAL SUPPORT | $8,961,708 | $8,961,708 | |
| HOSPITAL ASSESSMENT FEE | $3,799,938 | $3,799,938 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,605 | TotalAmt |
| Program Services | $94,633 | ProgramServicesAmt |
| Management And General | $35,972 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,571,392 | TotalAmt |
| Program Services | $65,090,353 | ProgramServicesAmt |
| Management And General | $14,481,039 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,950 | BOYAmt |
| EOY | $2,950 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,440 | BOYAmt |
| EOY | $418,767 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,292,554 | BOYAmt |
| EOY | $10,054,689 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,145,094 | BOYAmt |
| EOY | $1,398,237 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,711 | BOYAmt |
| EOY | $52,059 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,377,579 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,470,526 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,527,616 | BOYAmt |
| EOY | $31,907,053 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,783,416 | BOYAmt |
| EOY | $21,088,083 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,926,781 | BOYAmt |
| EOY | $64,921,838 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,022,963 | BOYAmt |
| EOY | $2,620,929 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $799,851 | BOYAmt |
| EOY | $1,081,177 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,822,960 | BOYAmt |
| EOY | $3,702,106 | 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 | $58,103,821 | BOYAmt |
| EOY | $61,219,732 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,103,821 | BOYAmt |
| EOY | $61,219,732 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,926,781 | BOYAmt |
| EOY | $64,921,838 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,223,379 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$107,468 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,599 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,599 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO INDIANA HOSPITAL AND HEALTH ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,509,748 | OtherCostOrOtherBasisAmt |
| Book Value | $4,509,748 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,870,586 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,424,603 | DepreciationAmt |
| Book Value | $20,445,983 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,290 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,290 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,430,580 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,859,383 | DepreciationAmt |
| Book Value | $4,571,197 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,557,375 | OtherCostOrOtherBasisAmt |
| Depreciation | $177,250 | DepreciationAmt |
| Book Value | $2,380,125 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,907,053 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE TO/FROM INTERUNIT | $20,178,746 |
| RIGHT OF USE ASSETS | $893,535 |
| EST 3RD PARTY SETTLEMENTS | $15,802 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $21,088,083 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY | $907,464 |
| EST MEDICARE/MEDICAID SETTLEMENTS | $173,713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,081,177 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2019 AND PRIOR. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,063,296 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,063,296 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,401,275 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,672,482 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,728,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06700 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,464,571 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,672,482 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,792,089 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08210 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,903,746 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,693,671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $210,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $116,681 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $116,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,272,361 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,529,186 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,743,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05300 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $114,639 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $114,639 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,407,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,222,857 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,184,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05930 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,871,998 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,895,339 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,976,659 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14140 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,224 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,224 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,224 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,224 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,745,387 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,347,530 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$602,143 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1316 EAST SEVENTH STREET | AddressLine1Txt |
| City | AUBURN | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46706 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| State License | 20-005041-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, LINES 16A B & C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, LINES 16A B & C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, LINES 16A B & C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DEKALB MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PARKVIEW HEALTH SYSTEM, INC., INCLUDING THE COMMUNITY HOSPITAL OF DEKALB MEMORIAL HOSPITAL, INC., WERE DILIGENT IN ENSURING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WAS INCLUDED, WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA. IN GATHERING COMMUNITY INPUT, PARKVIEW HEALTH SYSTEM, INC., INCLUDING DEKALB MEMORIAL HOSPITAL, INC., OBTAINED THE FOLLOWING: 1) PRIMARY DATA COLLECTED THROUGH A COMMUNITY SURVEY OF RESIDENTS IN EACH PARKVIEW HEALTH COUNTY, 2) PRIMARY DATA COLLECTED THROUGH AN ONLINE SURVEY OF HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN EACH COUNTY THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN OUR COMMUNITIES (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.), AND 3) SECONDARY DATA COLLECTED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, INDIANA STATE DEPARTMENT OF HEALTH, ETC.). COMMUNITY MEMBER AND PROVIDER INPUT WAS GATHERED FROM MARCH THROUGH MAY 2022 VIA MULTIPLE RECRUITMENT AND DATA COLLECTION METHODS: 1) E-MAIL TO HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH AN EMBEDDED ONLINE SURVEY LINK; 2) MAILED PAPER AND E-MAILED ONLINE SURVEYS TO COMMUNITY MEMBERS; 3) PAPER SURVEYS DISTRIBUTED TO INDIVIDUALS, CLINICS OR ORGANIZATIONS SERVING HISPANIC, AMISH, OR PEOPLE OF BURMA POPULATIONS; 4) IN-PERSON RECRUITMENT AT LOCATIONS PROVIDING SERVICES TO LOW-INCOME POPULATIONS IN EACH PARKVIEW HEALTH COUNTY; AND 5) PRESS RELEASE AND SOCIAL MEDIA NOTIFICATIONS WITH A SURVEY LINK. THE SURVEY WAS MADE AVAILABLE IN ENGLISH, SPANISH, AND BURMESE.HISPANIC, AMISH, PEOPLE OF BURMA, AND LOW-INCOME POPULATIONS WERE IDENTIFIED AS VULNERABLE POPULATIONS IN PARKVIEW HEALTH COUNTIES, AND THEREFORE SURVEY DISTRIBUTION AND DATA COLLECTION STRATEGIES INCLUDED FOCUSED EFFORTS TO OBTAIN COMMUNITY INPUT FROM THESE POPULATIONS. IN DEKALB COUNTY, THIS INCLUDED HISPANIC AND LOW-INCOME POPULATIONS. THE RESEARCH TEAM COORDINATED WITH COMMUNITY HEALTH WORKERS, LOCAL HEALTH DEPARTMENTS, AND KNOWN CONTACTS IN EACH COUNTY TO IDENTIFY LOCATIONS TO SURVEY UNDERREPRESENTED OR VULNERABLE POPULATIONS. IN DEKALB COUNTY, IN-PERSON TEAMS OF RESEARCH ASSISTANTS CONDUCTED COMMUNITY SURVEY OUTREACH AT THE LOCAL YMCA AND PUBLIC LIBRARY. DEKALB COUNTY HAD THE SECOND HIGHEST RATE OF COMMUNITY MEMBER PARTICIPATION AMONG THE EIGHT COUNTIES SURVEYED. REGARDING VULNERABLE POPULATIONS SURVEYED IN DEKALB COUNTY, 17.1% OF RESPONDENTS REPORTED AN INCOME OF < $35,000 AND 1.7% OF RESPONDENTS IDENTIFIED AS HISPANIC/LATINO. ADDITIONALLY, RESPONDENTS 65 YEARS AND OLDER WERE WELL-REPRESENTED (38.0%). THE PROVIDER SURVEY INCLUDED RESPONSES FROM PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, MENTAL/BEHAVIORAL HEALTH PROVIDERS, COMMUNITY/SOCIAL SERVICE PROVIDERS, SOCIAL WORKERS/CASE MANAGERS, AND PUBLIC SECTOR WORKERS. IN ADDITION TO DATA COLLECTION, DEKALB MEMORIAL HOSPITAL, INC. COLLABORATED WITH THE COMMUNITY AND PARTNERING ORGANIZATIONS TO SELECT AND PRIORITIZE DEKALB COUNTY'S HEALTH NEEDS. IN DOING SO, A MODIFIED HANLON METHOD WAS EMPLOYED TO PRIORITIZE HEALTH CONCERNS FOR PARKVIEW HEALTH HOSPITAL COMMUNITIES. THIS METHOD, ALSO KNOWN AS THE BASIC PRIORITY RATING SYSTEM (BPRS) 2.0, IS RECOMMENDED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) FOR PRIORITIZING COMMUNITY HEALTH NEEDS (GUIDE-TO-PRIORITIZATION-TECHNIQUES.PDF, N.D.). THIS METHOD IS PARTICULARLY USEFUL WHEN THE DESIRED OUTCOME IS AN OBJECTIVELY SELECTED LIST. EXPLICIT IDENTIFICATION OF FACTORS MUST BE CONSIDERED TO SET PRIORITIES, WHICH ENABLES A TRANSPARENT AND REPLICABLE PROCESS. PRIORITY SCORES ARE CALCULATED BASED ON THE SIZE OF THE HEALTH PROBLEM, SERIOUSNESS OF THE HEALTH PROBLEM AND THE AVAILABILITY OF EFFECTIVE HEALTH INTERVENTIONS. ON SEPTEMBER 26, 2022, DEKALB MEMORIAL HOSPITAL, INC. CONVENED A COMMUNITY MEETING TO PRIORITIZE THE SIGNIFICANT HEALTH ISSUES UNCOVERED IN THE 2022 CHNA REPORT. THE DATA FROM THE 2022 CHNA WAS PRESENTED TO A GROUP OF 38 COMMUNITY MEMBERS. THE GROUP OF COMMUNITY STAKEHOLDERS HAD THOUGHTFUL DISCUSSIONS AROUND THE DATA FROM THE ASSESSMENT AND PRIORITY RANKING SCORES, COMPLETED A PRIORITIZATION GRID EXERCISE TO CONSIDER SIGNIFICANCE, SEVERITY, SUITABILITY, AND HEALTH DISPARITY RELATED TO SOCIAL DETERMINANTS OF HEALTH, AND ELECTRONICALLY VOTED ON WHAT THEY THOUGHT SHOULD BE THE NUMBER 2 AND 3 PRIORITIES FOR DEKALB COUNTY BASED ON THE TOP 10 PRIORITIES IDENTIFIED IN THE CHNA. THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE ABUSE AND OBESITY AS THE TOP THREE PRIORITIES IN DEKALB COUNTY, ADOPTING THE #1 HEALTH PRIORITY OF MENTAL HEALTH THAT WAS SET FOR THE PARKVIEW HEALTH REGION ON AUGUST 22, 2022. PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN DEKALB COUNTY: PARKVIEW DEKALB ADMINISTRATION, WOMEN'S CARE CENTER OF NORTHEAST INDIANA, FORTIFY LIFE DEKALB COUNTY, CHILDREN FIRST OF DEKALB COUNTY, UNITED WAY DEKALB, INSPIRATION MINISTRIES, PARKVIEW BEHAVIORAL HEALTH, WARM HEART MINISTRIES, JUNIOR ACHIEVEMENT OF DEKALB COUNTY, YMCA, SWEITZER FAMILY FOUNDATION, IMAGE OF HOPE RANCH, JAM RECREATION CENTER OF DEKALB COUNTY, AND DEKALB SCHOOL CORPORATION.AS A CONTINUATION OF THE PRIORITIZATION PROCESS, INFORMATION FROM THE CHNA AND THE COMMUNITY SESSION WERE BROUGHT TO THE COMMUNITY HEALTH IMPROVEMENT (CHI) COMMITTEE AT DEKALB MEMORIAL HOSPITAL, INC. THE COMMITTEE HAD AN IN-DEPTH DISCUSSION AROUND THE DATA AND RESPONSES FROM THE COMMUNITY SESSION. BASED ON THIS DISCUSSION, THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE ABUSE AND OBESITY AS THE TOP 3 PRIORITIES IN DEKALB COUNTY. THE NEEDS ASSESSMENT, COMMUNITY SESSION DATA AND CHI COMMITTEE RECOMMENDATIONS WERE PRESENTED TO THE DEKALB HOSPITAL BOARD OF DIRECTORS ON OCTOBER 21, 2022. THE BOARD OF DIRECTORS VOTED TO ADOPT THE ABOVE HEALTH PRIORITY RECOMMENDATIONS AT THE BOARD MEETING. |
| DEKALB MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S 2022 CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440); PARK CENTER, INC. (EIN 35-1135451); AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). |
| DEKALB MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384), THROUGH PARKVIEW'S HEALTH SERVICES AND INFORMATICS RESEARCH (HSIR) GROUP, DESIGNED AND CONDUCTED BOTH PRIMARY AND SECONDARY DATA COLLECTION AND ANALYSIS ACTIVITIES FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). HSIR EMPLOYS MULTIPLE RESEARCH STAFF, WHICH INCLUDES PHD PREPARED SCIENTISTS, USER EXPERIENCE SPECIALISTS AND PROJECT MANAGERS. AS A RESEARCH UNIT EMBEDDED IN PARKVIEW, HSIR HAS DEDICATED TIME TO SUPPORT INITIATIVES THAT REQUIRE RESEARCH SKILLS, SUCH AS THE CHNA. |
| DEKALB MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED: MENTAL HEALTH: 1) PREVENTATIVE EDUCATION: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH THE HAROLD W. MCMILLEN CENTER FOR HEALTH EDUCATION IN EFFORT TO IMPROVE THE GENERAL KNOWLEDGE AROUND MENTAL HEALTH IN 100% OF PROGRAM PARTICIPANTS. PROGRAM PARTICIPANTS (K-12 STUDENTS) WILL DISCUSS TOPICS LIKE BULLYING, TEEN SUICIDE, DATING VIOLENCE AND SOCIAL AND EMOTIONAL HEALTH. IN ADDITION, PARTICIPANTS WILL BE ABLE TO LEARN AND PRACTICE SELF-REGULATION STRATEGIES. 2) WARM-A-HEART COMMUNITY OUTREACH: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH WARM-A-HEART COMMUNITY OUTREACH TO BUILD CONNECTIONS WITH AND SUPPORT THOSE ACCESSING THE FOODBANK. THROUGH THESE CONNECTIONS, INDIVIDUALS CAN BE LINKED TO THE AVAILABLE COMMUNITY RESOURCES THEY NEED. 3) QUESTION PERSUADE REFER (QPR): WHEN IT COMES TO MENTAL HEALTH, EARLY INTERVENTION CAN BE THE DIFFERENCE BETWEEN LIFE AND DEATH. DURING A CARDIOVASCULAR EMERGENCY, PERFORMING CPR CAN SAVE A LIFE. IN THE EVENT OF A MENTAL HEALTH EMERGENCY, QPR CAN BE USED IN THE SAME MANNER. THE QPR TECHNIQUE IS USED TO RECOGNIZE THE SIGNS THAT SOMEONE IS AT RISK OF SUICIDE, TO OFFER HOPE AND REFER THE PERSON TO THE CARE THEY NEED. PARTICIPANTS IN THIS PROGRAM WILL LEARN WARNING SIGNS OF SUICIDE CRISIS AND HOW TO RESPOND.4) DEKALB COUNTY MENTAL HEALTH COLLABORATIVE: THIS COLLABORATIVE WAS BROUGHT TOGETHER TO ADDRESS MENTAL HEALTH IN DEKALB COUNTY BY EXPLORING OPPORTUNITIES TO COLLABORATE BETTER. THIS GROUP CONSISTS OF PARTNERS FROM DEKALB MEMORIAL HOSPITAL, INC., LAW ENFORCEMENT, MENTAL HEALTH SERVICE PROVIDERS, LOCAL GOVERNMENT AND LOCAL NOT-FOR-PROFIT LEADERS AND STAKEHOLDERS.5) INSPIRATION MINISTRIES: DEKALB MEMORIAL HOSPITAL, INC. PARTNERED WITH INSPIRATION MINISTRIES TO ADDRESS SYSTEMIC COMMUNITY ISSUES SUCH AS ADDICTION AND POVERTY TO CREATE PRODUCTIVE INDIVIDUALS AND FAMILIES. INSPIRATION MINISTRIES IS A RECOVERY COMMUNITY ORGANIZATION THAT UTILIZES THE POWER OF COMMUNITY, PEER RECOVERY AND EVIDENCE-BASED PRACTICES TO PROMOTE HEALTHY LIFESTYLES AND INCREASE SPIRITUAL TRANSFORMATION. THIS CAN INCLUDE ADDICTION RECOVERY, FAMILY RECONCILIATION, CAREER BUILDING, FINANCIAL RESPONSIBILITY AND DRIVING RESTORATION. 6) ST. MARTINS HEALTHCARE: DEKALB MEMORIAL HOSPITAL, INC. PROVIDED SUPPORT TO ST. MARTINS BEHAVIORAL HEALTH SERVICES PROGRAM. THIS PROGRAM PROVIDES MENTAL HEALTH COUNSELING TO UNINSURED AND UNDERINSURED PATIENTS IN DEKALB, NOBLE, STEUBEN AND LAGRANGE COUNTIES. IN ADDITION TO COUNSELING, ST MARTINS OFFERS TOBACCO CESSATION EDUCATION AND TREATMENT FOR SUBSTANCE USE DISORDERS IF NEEDED. 7) CHILDREN FIRST CENTER: DEKALB MEMORIAL HOSPITAL, INC. PROVIDED SUPPORT TO THE CHILDREN FIRST CENTER TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN AND FAMILIES. THE PROGRAM CONNECTS PARTICIPANTS WITH APPROPRIATE SERVICES BASED ON THEIR FINANCIAL NEEDS, WHILE PROVIDING COUNSELING OR THERAPY TO TAKE CARE OF THEIR MENTAL HEALTH NEEDS. THEY HAVE LICENSED THERAPISTS THAT CAN MEET WITH THE FAMILIES IN THEIR HOME TO PROVIDE SUCH SERVICES. THIS REMOVES THE BARRIER OF TRANSPORTATION ALONG WITH THE FULL COST OF A COUNSELING APPOINTMENT. SUBSTANCE USE DISORDER: 1) PREVENTATIVE EDUCATION: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH THE HAROLD W. MCMILLEN CENTER FOR HEALTH EDUCATION IN EFFORT TO IMPROVE THE GENERAL KNOWLEDGE AROUND SUBSTANCE USE DISORDERS IN 100% OF PROGRAM PARTICIPANTS. PROGRAM PARTICIPANTS (K-12 STUDENTS) WILL DISCUSS MAKING HEALTHY CHOICES, TOBACCO (ALL GRADES), VAPING (GRADES 6-12), ALCOHOL (GRADES 6-12). IN ADDITION, PARTICIPANTS WILL BE ABLE TO LEARN AND PRACTICE SELF-REGULATION STRATEGIES.2) ST. MARTINS HEALTHCARE: DEKALB MEMORIAL HOSPITAL, INC. PROVIDED SUPPORT TO ST. MARTINS BEHAVIORAL HEALTH SERVICES PROGRAM. THIS PROGRAM PROVIDES MENTAL HEALTH COUNSELING TO UNINSURED AND UNDERINSURED PATIENTS IN DEKALB, NOBLE, STEUBEN AND LAGRANGE COUNTIES. IN ADDITION TO COUNSELING, ST MARTINS OFFERS TOBACCO CESSATION EDUCATION AND TREATMENT FOR SUBSTANCE USE DISORDERS IF NEEDED. |
| PART V, SECTION B, LINE 11 CONT'D: | 3) HEARTEN HOUSE: THIS PROGRAM ASSISTS WOMEN IN OVERCOMING DESTRUCTIVE THOUGHT AND BEHAVIOR PATTERNS. THE PROGRAM HAS A 16-BED FACILITY GIVING VULNERABLE WOMEN A PLACE TO STAY WHILE THEY OVERCOME THEIR BARRIERS. IN ADDITION TO PROVIDING THEM A PLACE TO STAY, THE PROGRAM SETS WOMEN UP WITH HEALTH INSURANCE, GETS THEM SOCIAL SECURITY CARDS, BIRTH CERTIFICATES AND ID'S. IT ALSO INCLUDES LIFE SKILLS CLASSES, HELP WITH SUBSTANCE USE DISORDERS, AND BIBLE STUDIES.4) PURSUE IMPLEMENTING AN INTENSIVE OUTPATIENT PROGRAM (IOP) AT DEKALB MEMORIAL HOSPITAL, INC.: IOPS ARE A MORE PROGRESSIVE APPROACH TO TRADITIONAL OUTPATIENT THERAPY WHEN YOU SEE A THERAPIST ONCE OR TWICE A WEEK IN THEIR OFFICE. AN IOP IS A DIFFERENT TYPE OF THERAPY (BOTH GROUP AND INDIVIDUAL) WHERE A PATIENT IS IN THERAPY FOR THREE HOURS A DAY, THREE DAYS A WEEK. WHILE THIS PROJECT IS STILL UNDERWAY, THE PURPOSE OF THIS INITIATIVE IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES IN DEKALB COUNTY. 5) INSTALL NALOXBOX IN DEKALB COUNTY: TO ACCOMPLISH THIS INITIATIVE, DEKALB MEMORIAL HOSPITAL, INC. PARTNERED WITH OVERDOSE LIFELINE, INC. IN 2023 TO INSTALL THEIR NALOXBOX ON DEKALB MEMORIAL HOSPITAL, INC.'S CAMPUS. IT IS OUR HOPE THAT THIS NALOXBOX WILL SAVE MANY LIVES IN OUR COMMUNITY. THIS PROJECT WAS PART OF AN INITIATIVE STARTED BY GOVERNOR ERIC HOLCOMB IN 2021 TO IMPROVE ACCESS TO NALOXONE TO REACH VULNERABLE POPULATIONS MORE EFFECTIVELY. THE PROGRAM IS COORDINATED BY OVERDOSE LIFELINE, INC., AN INDIANA NONPROFIT DEDICATED TO HELPING THOSE AFFECTED BY SUBSTANCE USE DISORDER.OBESITY: 1) COOKING DEMONSTRATIONS: COOKING DEMONSTRATIONS ARE GOING TO BE OFFERED TO THE COMMUNITY BY PARKVIEW HEALTH DIETICIANS IN DEKALB COUNTY. THESE CLASSES ARE GREAT FOR KIDS AND PARENTS. THIS CLASS WILL TEACH LITTLE ONES HOW TO BE ACTIVE PARTICIPANTS IN THE KITCHEN AND THEY HAVE THE CHANCE TO ENJOY THE FOOD THEY PREPARE. 2) JUDY A. MORRILL RECREATION CENTER (JAM CENTER): BY PARTNERING WITH THE JAM CENTER THROUGH PROGRAM SUPPORT, DEKALB MEMORIAL HOSPITAL, INC. HOPES TO INCREASE ACCESS TO PHYSICAL ACTIVITY THROUGHOUT THE COMMUNITY. THROUGH THE JAM CENTER, PROGRAM PARTICIPANTS CAN ACCESS A FULL-SIZE GYMNASIUM, FITNESS CENTER, AND AQUATIC CENTER (FEATURING A SPLASH PAD, SLIDE AND ZERO-ENTRY RAMP) ALL WHILE IN AN ENVIRONMENT THAT SUPPORTS EVERYONE REGARDLESS OF THEIR FITNESS LEVEL, AGE, BACKGROUND OR INCOME. THROUGH THIS FACILITY, THE JAM CENTER IS ABLE TO ADMINISTER A WIDE VARIETY OF PROGRAMMING THAT ALIGNS WITH OUR GOAL OF REDUCING OBESITY IN DEKALB COUNTY. EXAMPLES INCLUDE COSMIC KIDS YOGA, TRX (A BODYWEIGHT SUSPENSION TRAINING CLASS), SILVERSNEAKERS CLASSIC (A LOW-IMPACT FITNESS CLASS FOR SENIORS), AND TOGETHER SO MUCH LESS (A WEEKLY ACCOUNTABILITY GROUP FOCUSED ON TRACKING CALORIES). 3) WARM-A-HEART COMMUNITY OUTREACH: AT WARM-A-HEART COMMUNITY OUTREACH, THEY SERVE MEALS TO 90-110 CUSTOMERS A WEEK AND GIVE OUT 55-65 SETS OF GROCERIES A WEEK AT THIS POINT. THEY SERVE MEALS AND HAND OUT GROCERIES ON TUESDAYS AND THURSDAYS. THEIR PRIMARY SERVICE AREA IS DEKALB COUNTY, HOWEVER THEY DO SERVE SOME FAMILIES FROM STEUBEN AND NOBLE COUNTIES AS WELL. ANYONE THAT IS IN NEED AND WALKS THROUGH THEIR DOORS WILL BE PROVIDED WITH A MEAL ALONG WITH ENOUGH GROCERIES TO LAST APPROXIMATELY THREE TO FOUR DAYS. 4) PREVENTATIVE EDUCATION: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH MCMILLEN HEALTH TO OFFER STUDENTS PREVENTATIVE EDUCATION PROGRAMMING IN AN EFFORT TO INCREASE THEIR KNOWLEDGE ON LIVING A HEALTHY LIFESTYLE. ALL MCMILLEN PROGRAMMING TEACHES RESPONSIBLE DECISION MAKING, THE IMPORTANCE OF MAKING HEALTHY CHOICES, AND TAKING RESPONSIBILITY FOR THOSE CHOICES. THESE PROGRAMS SERVE THREE DEKALB COUNTY SCHOOL DISTRICTS AND FOUR ADDITIONAL SCHOOLS THAT HAVE A STUDENT POPULATION WITH 40% OR MORE STUDENTS IDENTIFIED AS ECONOMICALLY DISADVANTAGED. HEALTH NEEDS IDENTIFIED BY MOST RECENT CHNA THAT WERE NOT SELECTED AS A TOP PRIORITY, BUT DEKALB MEMORIAL HOSPITAL, INC. STILL ADDRESSES: WHILE CARDIOVASCULAR DISEASE AND DIABETES WERE NOT SELECTED AS A TOP HEALTH PRIORITY, THE HOSPITAL STILL ADDRESS BOTH NEEDS THROUGH THEIR SUPPORT OF OBESITY PROGRAMMING AT THE JAM CENTER; COOKING DEMONSTRATIONS OFFERED AT THE YMCA; AND MCMILLEN HEALTH'S OBESITY PREVENTATIVE EDUCATION. IDENTIFIED HEALTH NEEDS NOT BEING ADDRESSED THROUGH COMMUNITY HEALTH:DEKALB MEMORIAL HOSPITAL, INC. DID NOT ADDRESS THE FOLLOWING SEVEN HEALTH NEEDS IDENTIFIED AS A TOP TEN HEALTH CONCERN BY THE 2022 DEKALB MEMORIAL HOSPITAL, INC. CHNA: ASTHMA, CANCER, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, KIDNEY DISEASE, AND MOTHERS NOT IN EARLY PRENATAL CARE. BEING A COMMUNITY HOSPITAL, DEKALB MEMORIAL HOSPITAL, INC. DOES NOT HAVE THE RESOURCES NECESSARY TO EFFECTIVELY ADDRESS ALL TOP TEN HEALTH CONCERNS. THEREFORE, WE GATHERED COMMUNITY STAKEHOLDERS IN AN EFFORT TO PRIORITIZE DEKALB COUNTY'S TOP THREE HEALTH PRIORITIES. IN ADDITION TO THE PRIORITY RANKING SCORES (PG. 42 OF 2022 DEKALB MEMORIAL HOSPITAL, INC. CHNA), COMMUNITY STAKEHOLDERS CONSIDERED SIGNIFICANCE, SEVERITY, SUITABILITY, AND HEALTH DISPARITY RELATED TO SOCIAL DETERMINANTS OF HEALTH. THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE USE DISORDERS AND OBESITY AS THE TOP THREE PRIORITIES IN DEKALB COUNTY. |
| PART V, LINES 16A, 16B AND 16C: | HTTPS://WWW.PARKVIEW.COM/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 3E: | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295; PARK CENTER, INC. (EIN 35-1135451); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES. |
| PART I, LINE 7: | PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BDEKALB MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE (INCLUDING HEALTHY INDIANA PLAN - HIP), AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GAMOUNTS PRESENTED DO NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, DEKALB MEMORIAL HOSPITAL, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. |
| PART I, LN 7 COL(F): | PERCENT OF TOTAL EXPENSEDEKALB MEMORIAL HOSPITAL, INC. EXCLUDED $8,961,708 OF PH CLINICAL SUPPORT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.WORKFORCE DEVELOPMENT: DEKALB MEMORIAL HOSPITAL, INC. AS PART OF PARKVIEW HEALTH SYSTEM, INC. OFFERS INNOVATIVE LEARNING EXPERIENCES TO HIGH SCHOOL, UNIVERSITY AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 150 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH JOB SHADOWS AND OBSERVATIONS AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. |
| PART III, LINE 2: | FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. |
| PART III, LINE 4: | BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 13 AND 24 - 27 OF ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSDEKALB MEMORIAL HOSPITAL, INC. BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE DEKALB MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. |
| PART III, LINE 9B: | A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED. |
| PART VI, LINE 2: | DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B.IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, DEKALB MEMORIAL HOSPITAL, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, WORKING WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND FRONTLINE STAFF. DEKALB MEMORIAL HOSPITAL, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:1. HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS2. OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)3. REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) 4. PARKVIEW LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS OF DIRECTORS IN THE COMMUNITY5. OTHER PUBLIC HEALTH DATABASES (E.G. COMMUNITY COMMONS, COUNTY HEALTH RANKINGS) KEY HOSPITAL REPRESENTATIVES MAINTAIN ON-GOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. |
| PART VI, LINE 3: | DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE. |
| PART VI, LINE 4: | DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.DEKALB MEMORIAL HOSPITAL, INC., STANDS AS THE SOLE LICENSED HEALTHCARE FACILITY WITHIN DEKALB COUNTY. ACCORDING TO DATA PROVIDED BY THE CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), DEKALB COUNTY HAS A POPULATION OF 43,731 INDIVIDUALS (AS OF 2022). ADDITIONALLY, THE DATA REVEALS A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $68,110, WHILE ACKNOWLEDGING THAT 10% OF RESIDENTS GRAPPLE WITH FINANCIAL CHALLENGES, LIVING BELOW THE FEDERAL POVERTY LEVEL (FROM 2018 TO 2022). HEALTHCARE COVERAGE EXTENDS TO MOST OF DEKALB COUNTY'S RESIDENTS, WITH APPROXIMATELY 91.6% OF RESIDENTS COVERED BY HEALTH INSURANCE (AS OF 2021). ADDITIONALLY, MEDICAID PLAYS A SIGNIFICANT ROLE IN SAFEGUARDING THE WELL-BEING OF THE COMMUNITY, EXTENDING ITS COVERAGE TO 17.74% OF THE COUNTY'S INSURED POPULATION, AS CONFIRMED BY DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2022).HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, DEVELOPS SHORTAGE DESIGNATION CRITERIA INTENDED TO IDENTIFY A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). EACH HPSA DESIGNATION IS GIVEN A SCORE (RANGING FROM 0 TO 26) THAT EXPRESSES THE PRIORITY LEVEL FOR CLINICIAN ASSIGNMENT. MEANING, THE HIGHER THE HPSA SCORE, THE HIGHER THE PRIORITY IS. HRSA HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1186905830SERVICE AREA NAME: DEKALB COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: DEKALB COUNTYHPSA SCORE:8 STATUS: DESIGNATEDRURAL STATUS: RURAL2) DISCIPLINE: MENTAL HEALTHHPSA ID: 7186175063SERVICE AREA NAME: NORTHEASTERN CATCHMENT AREA 18DESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: DEKALB, LAGRANGE, NOBLE, AND STEUBEN COUNTIESHPSA SCORE:17 STATUS: DESIGNATEDRURAL STATUS: RURALALSO, LOCATED IN DEKALB COUNTY, A FREE MEDICAL, DENTAL AND VISION CLINIC, ST. MARTINS HEALTHCARE, INC., SERVES UNINSURED, LOW-INCOME INDIVIDUALS IN DEKALB AND NOBLE COUNTY. |
| PART VI, LINE 5: | PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).DEKALB MEMORIAL HOSPITAL, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY PATIENT, EVERY DAY. IN DOING SO, THE HOSPITAL HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR DEKALB MEMORIAL HOSPITAL, INC. THAT IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS RESIDING WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AND EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. WHILE THESE TWO COMPONENTS ARE CENTRAL IN PROVIDING THE HOSPITAL WITH A STRONG FOUNDATION, IT TAKES A LOT MORE THAN THIS TO MEET THE HOSPITAL'S STANDARD OF DELIVERING EXCELLENT CARE TO EVERY PATIENT, EVERY DAY. TO DEKALB MEMORIAL HOSPITAL, INC., ACHIEVING THIS STANDARD OF CARE REQUIRES FURTHERING EDUCATION AND RESEARCH, PARTNERING WITH COMMUNITY ORGANIZATIONS THROUGH COMMUNITY HEALTH, AND ADVANCING HEALTHCARE DELIVERY AND ACCESS. EDUCATION:DEKALB MEMORIAL HOSPITAL, INC. AS PART OF PARKVIEW HEALTH SYSTEM, INC. OFFERS INNOVATION LEARNING EXPERIENCES TO HIGH SCHOOL, UNIVERSITY AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 150 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH JOB SHADOWS AND OBSERVATIONS AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. PRIOR TO LAUNCHING THEIR CAREER, STUDENTS CAN ACCESS PARKVIEW'S SPECIALLY DESIGNED WORK-STUDY OPPORTUNITIES THAT HELP THEM BECOME PRACTICE-READY BY GRADUATION.BEYOND THE HOSPITAL WALLS, THE PARKVIEW EDUCATION CENTER (PEC) OFFERS YOUNG PEOPLE, COLLEGE STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. THIS FACILITY IS THE RESULT OF A COLLABORATION BETWEEN PARKVIEW HEALTH, FORT WAYNE COMMUNITY SCHOOLS (FWCS) AND IVY TECH COMMUNITY COLLEGE. TOGETHER WE ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. EDUCATORS CAN PARTNER ACROSS THE CONSORTIUM, SHARING NOT ONLY SPACE BUT RESOURCES, TECHNOLOGY, AND BEST PRACTICES. FURTHERMORE, PEC OFFERS BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS. THE CLASSROOMS, LABORATORIES AND COLLABORATIVE SPACES PROVIDE PARTICIPANTS FROM ALL SKILLSETS AND BACKGROUNDS WITH THE OPPORTUNITY TO GROW TOGETHER. THIS ENABLES HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, GIVES ADULTS THE CHANCE TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND GIVES PARKVIEW CO-WORKERS AN OPPORTUNITY TO ENHANCE THEIR SKILLS.DEKALB MEMORIAL HOSPITAL, INC. AS PART OF PARKVIEW HEALTH SYSTEM, INC. CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH INNOVATIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES. THIS INCLUDES THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND LOCAL UNIVERSITIES WORKING TOGETHER AT THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS, AS WELL AS DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM ON THE PARKVIEW RANDALLIA CAMPUS. THE CONSORTIUM IS A COLLABORATION BETWEEN THE HOSPITAL, TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY. TOGETHER THEY PRESENT ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE OFFERED TO ADDRESS SIGNIFICANT WORKFORCE GAPS AND SPECIALTY CARE ACCESS NEEDS IN THE COMMUNITY.RESEARCH:THE PARKVIEW RESEARCH CENTER (FOUNDED IN 1993) AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION HAS BROUGHT MORE THAN 800 CLINICAL TRIALS TO PATIENTS AND PROVIDERS FOR NOVEL AND POTENTIALLY LIFE-SAVING TREATMENTS, WITH AN AVERAGE OF 150 OPEN STUDIES AT ANY GIVEN TIME. THE PRIMARY FOCUS AT THE CENTER HAS BEEN PHASE II AND PHASE III SPONSORED CLINICAL TRIALS, WITH TWO-THIRDS OF OUR ACTIVE RESEARCH IN CANCER TREATMENTS. THE PARKVIEW RESEARCH CENTER ALSO PROVIDES ACCESS TO HUMANITARIAN USE DEVICES (HUD) AS WELL AS EXPANDED ACCESS PROGRAMS THAT ALLOW OUR PATIENTS ACCESS TO INVESTIGATIONAL DRUGS AND DEVICES IN LIFE-THREATENING OR SPECIAL CIRCUMSTANCES. THE PARKVIEW RESEARCH CENTER IS UNIQUELY SITUATED TO PARTICIPATE IN COLLABORATIVE RESEARCH EFFORTS WITH LOCAL AND NATIONAL ACADEMIC PARTNERS. ONE OF OUR OLDEST COLLABORATIONS IS WITH THE INDIANA UNIVERSITY SCHOOL OF MEDICINE ON THE STUDENT EDUCATION AND RESEARCH FELLOWSHIP (SERF) PROGRAM (FORMERLY THE MIDWEST ALLIANCE FOR HEALTH EDUCATION). THIS PROGRAM WAS ESTABLISHED MORE THAN 30 YEARS AGO AND CONTINUES TO SERVE THE SURROUNDING REGION. WITHIN THIS FELLOWSHIP PROGRAM, STUDENTS ARE IN-RESIDENCE FOR NINE WEEKS, LEARNING ABOUT RESEARCH AND INTERACTING WITH PARKVIEW PHYSICIANS ON ONGOING RESEARCH STUDIES. STUDENTS GAIN BASIC RESEARCH SKILLS AND DISSEMINATE THEIR WORK THROUGH A POSTER OR PODIUM PRESENTATION AT THE END OF THE PROGRAM.IN ADDITION TO TRAINING AND EDUCATION, THE MIRRO CENTER FOR RESEARCH AND INNOVATION ALSO HOUSES THE HEALTH SERVICES AND INFORMATICS RESEARCH GROUP, WHICH IS COMPRISED OF INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS AND USER-EXPERIENCE SPECIALISTS. THIS TEAM WORKS ON A BROAD ARRAY OF PROJECTS, INCLUDING INVESTIGATOR-INITIATED RESEARCH, PROGRAM EVALUATION, PILOT STUDIES, COMMUNITY SURVEYS AND USER-EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. EXAMPLES OF THEIR PROJECTS INCLUDE YOUTH MENTAL HEALTH RESEARCH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MUCH OF THIS TEAM'S WORK HAS LED TO PUBLICATION IN PEER-REVIEWED JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND THE DISSEMINATION OF FINDINGS TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY.COMMUNITY HEALTH:DEKALB MEMORIAL HOSPITAL, INC. IS COMMITTED TO THE INVESTMENT OF TIME AND RESOURCES, IN THE PROCESS AND CHALLENGES OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM. THE GOAL OF THE CHI PROGRAM IS TO UTILIZE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, PARTICULARLY THE UNDERSERVED. DEKALB MEMORIAL HOSPITAL, INC. SUPPORTS CHI EFFORTS BY COMMITTING A PERCENTAGE OF ITS NET INCOME ON AN ANNUAL BASIS. WITH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE, CONSISTING OF COMMUNITY LEADERS, MEMBERS OF THE PARKVIEW HOSPITAL, INC. BOARD OF DIRECTORS AND HOSPITAL MANAGEMENT, THESE FUNDS ARE USED TO STRATEGICALLY ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED BY THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS IS ACCOMPLISHED BY BUILDING INNOVATIVE INTERNAL AND EXTERNAL PROGRAMS IN COLLABORATION WITH COMMUNITY PARTNERS THAT ADDRESS IDENTIFIED HEALTH PRIORITIES. IN PARTNERING WITH OTHER ORGANIZATIONS TO IMPROVE THE HEALTH OF OUR COMMUNITY, THE CHI PROGRAM WORKS WITH SEVERAL COMMUNITY PARTNERS TO ADDRESS THE PRIORITIES OUTLINED BY DEKALB MEMORIAL HOSPITAL, INC.'S MOST RECENT CHNA. MCMILLEN HEALTH, INSPIRATION MINISTRIES, WARM-A-HEART COMMUNITY OUTREACH, JUDY A. MORRILL CENTER AND THE HEARTEN HOUSE ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. IN ADDITION TO CHI'S PARTNERSHIPS SEEKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, PARKVIEW ALSO VALUES AND MAINTAINS UPSTREAM PARTNERSHIPS WITH LOCAL, STATE AND FEDERAL GOVERNMENT LEADERS IN ORDER TO COLLABORATE ON PUBLIC POLICY THAT PROMOTES A HEALTHIER AND MORE VIBRANT COMMUNITY. PARKVIEW'S KEY ADVOCACY PILLARS INCLUDE REDUCING THE TOTAL COST OF CARE; PROTECTING AND EXPANDING ACCESS TO CARE; IMPROVING COMMUNITY HEALTH AND QUALITY OF PLACE; AND ADVANCING INFRASTRUCTURE, TALENT, RESEARCH AND INNOVATION.(NARRATIVE CONTINUED AFTER PART VI, LINE 7 CONT'D) |
| PART VI, LINE 6: | IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES CUSTOMIZED TO MEET THE UNIQUE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN NORTHEAST INDIANA AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES WITH A BOARD OF DIRECTORS THAT CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL ALWAYS BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE (IRS). PARKVIEW CONTRIBUTES TO THE OVERALL SUCCESS OF THE REGION THROUGH SIGNIFICANT INVOLVEMENT IN THE COMMUNITIES WE SERVE. BY DEVELOPING VARIOUS PARTNERSHIPS AND ALIGNMENTS WITH DIFFERENT SECTORS AND ORGANIZATIONS, PARKVIEW HELPS TO BENEFIT THE ECONOMY, QUALITY OF LIFE AND HEALTH/WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE THE BEST CARE TO EVERY PERSON, EVERY DAY WITHIN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS TO POSITIVELY IMPACT COMMUNITY HEALTH STATUS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IN |
| PART VI, LINE 7 CONT'D: | A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH. |
| PART VI, SUPPLEMENTAL INFORMATION, LINE 5 CONT'D: | CONTINUED FROM ABOVE: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).ADVANCING HEALTHCARE DELIVERY AND ACCESS:PARKVIEW CONTINUES TO ADVANCE INNOVATION IN PATIENT ACCESS TO HEALTHCARE SERVICES THROUGH ITS DIGITAL HEALTH AND VIRTUAL CARE TECHNOLOGY. PARKVIEW USES THE ELECTRONIC MEDICAL RECORD (EMR), THIRD PARTIES AND ADDITIONAL TOOLS TO FACILITATE VIRTUAL CONNECTIONS BETWEEN STAFF MEMBERS, PROVIDERS AND PATIENTS. THESE CONNECTIONS ENSURE THAT WE CAN CONNECT WITH COMMUNITY HOSPITALS, COMMUNITY PARTNERS AND PATIENTS TO EXPEDITE CARE THAT MAY HAVE PREVIOUSLY REQUIRED ADDITIONAL STAFFING, PATIENT MOVEMENT AND TRANSPORT, OR DELAYED CARE.ONE OF THE LARGEST PLATFORMS UTILIZED IS THE PATIENT PORTAL, BRANDED AS PARKVIEW'S MYCHART. PARKVIEW MYCHART IS AN EASY-TO-USE TOOL THAT ENABLES PATIENTS TO PLAY AN ACTIVE ROLE IN THEIR HEALTHCARE JOURNEY. IT OFFERS NOT ONLY CONVENIENT AND SECURE ACCESS TO MEDICAL RECORDS BUT ALSO A RANGE OF SERVICES, RESOURCES AND FEATURES THAT ENHANCE THE PATIENT EXPERIENCE. PATIENTS WHO INTEGRATE MYCHART INTO THEIR EVERYDAY LIFE CAN SAVE TIME ORGANIZING HEALTH AND INSURANCE INFORMATION, COMMUNICATE WITH THEIR PROVIDER OFFICE, VIEW SCHEDULING OPTIONS AND GAIN A BETTER UNDERSTANDING OF THEIR HEALTH AND WELL-BEING. OVER THE LAST 12 MONTHS, PARKVIEW HEALTH ENGAGED MORE THAN 500,000 PATIENTS THROUGH THE MYCHART PLATFORM, WHO LOGGED INTO THEIR ACCOUNT TO ACTIVELY MANAGE OR PARTICIPATE IN THEIR CARE. PARKVIEW ONDEMAND IS A TELEHEALTH PLATFORM THAT ALLOWS INDIVIDUALS TO CONNECT WITH A PROVIDER 24/7, ANYTIME AND ANYWHERE, THROUGH VIDEO VISITS USING A COMPUTER, TABLET OR SMARTPHONE. THIS SERVICE ENABLES PROVIDERS TO SEE PATIENTS FOR SIMPLE FOLLOW-UPS, WELLNESS EXAMS, AND NON-EMERGENCY CONDITIONS LIKE COLD AND FLU, ALLERGIES AND PINK EYE. CONVENIENTLY, PARKVIEW ONDEMAND CAN ALSO SUBMIT PRESCRIPTIONS DIRECTLY TO THE PATIENT'S PHARMACY OF CHOICE WHEN NEEDED.PARKVIEW ALSO OFFERS THE PARKVIEW HEALTH APP, AVAILABLE IN THE GOOGLE AND APPLE APP STORES. THIS APP CONNECTS USERS TO VARIOUS HELPFUL TOOLS DESIGNED TO ENHANCE THE PATIENT JOURNEY AND PROVIDE ACCESS TO HEALTH RECORDS. WITH THE APP, USERS CAN START A VIDEO VISIT, SCHEDULE A NEW PATIENT APPOINTMENT WITH A PRIMARY CARE PROVIDER, GET TURN-BY-TURN WAYFINDING INSIDE PARKVIEW REGIONAL MEDICAL CENTER AND PARKVIEW RANDALLIA, AMONG OTHER FEATURES. THE APP ALSO ALLOWS ACCESS TO THE USER'S PARKVIEW MYCHART ACCOUNT.PARKVIEW HAS FOCUSED RECENTLY ON LEVERAGING SOME OF OUR CONNECTIVITY OPTIONS TO CREATE VIRTUAL NURSING AND VIRTUAL SITTING OPTIONS. BY USING CAMERAS IN PATIENT ROOMS, A CAREGIVER CAN CONNECT BY VIDEO, TO TALK TO THE PATIENT. THIS ALLOWS VIRTUAL NURSING STAFF TO DISCUSS ADMISSION OR DISCHARGE INSTRUCTIONS, MEDICATION QUESTIONS, AND OTHER QUESTIONS THAT A PATIENT MAY HAVE, WHICH ASSISTS THE CAREGIVER AT THE BEDSIDE. FOR PATIENTS WHO HAVE MONITORING ORDERS AND REQUIRE CONSTANT SUPERVISION TO MAINTAIN THEIR SAFETY, A TEAM OF TRAINED STAFF MEMBERS ARE ABLE TO MONITOR PATIENTS ACROSS THE HEALTH SYSTEM THROUGH THE CAMERAS. THIS HELPS REDUCE FALLS, ALLOWS FOR QUICK INTERVENTION, AND SCALABLE RESOURCES DURING A TIME OF CHALLENGED LABOR CONSTRAINTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| INSPIRATION MINISTRIES INC | ||||||||
| 173 W OAK STREET | BUTLER | IN | 46721 | 800798094 | 501(C)(3) | $10,000 | $0 | HELP PEOPLE TRANSFORM THEIR LIVES IN TIMES OF TRANSITION |
| GARRETT COMMUNITY CENTER INC | ||||||||
| 1200 E HOUSTON STREET | GARRETT | IN | 46738 | 352010882 | 501(C)(3) | $6,684 | $0 | PROGRAMS TO CELEBRATE AND STRENGTHEN THE VIBRANT COMMUNITY BY CONNECTING PEOPLE AND ORGANIZATIONS THROUGH ACTIVITIES THAT IMPROVE THE QUALITY OF LIFE FOR THE GREATER GARRETT INDIANA AREA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PACKNETT | ||||||||||||||
| FORMER OFFICER/RETIRED PH CEO | $0 | $66,747 | $0 | $351,881 | $0 | $4,615,581 | $0 | $26,400 | $0 | $2,853 | $0 | $5,063,462 | $0 | $4,613,104 |
| JEANNE' WICKENS | ||||||||||||||
| PH CHIEF FINANCIAL OFFICER | $0 | $834,975 | $0 | $187,034 | $0 | $1,143,499 | $0 | $239,228 | $0 | $38,660 | $0 | $2,443,396 | $0 | $1,101,767 |
| GREG JOHNSON | ||||||||||||||
| DIRECTOR/REGIONAL MARKET PRESIDENT | $0 | $681,591 | $0 | $112,796 | $0 | $94,104 | $0 | $155,300 | $0 | $33,706 | $0 | $1,077,497 | $0 | $84,817 |
| THOMAS MASON | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | $9,196 | $327,956 | $0 | $29,809 | $0 | $48,108 | $804 | $35,496 | $833 | $36,785 | $10,833 | $478,154 | $0 | $0 |
| NATASHA EICHER | ||||||||||||||
| DIRECTOR/MARKET PRESIDENT | $253,450 | $0 | $47,021 | $0 | $62,870 | $0 | $71,793 | $0 | $32,698 | $0 | $467,832 | $0 | $38,673 | $0 |
| BRET CLAGHORN | ||||||||||||||
| FORMER OFFICER/CURRENT PH VP | $0 | $229,678 | $0 | $30,283 | $0 | $1,809 | $0 | $24,340 | $0 | $38,123 | $0 | $324,233 | $0 | $0 |
| KARRA HEGGEN | ||||||||||||||
| DMHOS VP PATIENT CARE SVCS | $202,846 | $0 | $32,782 | $0 | $27,856 | $0 | $18,228 | $0 | $15,991 | $0 | $297,703 | $0 | $0 | $0 |
| LON KEYES | ||||||||||||||
| DMHOS PHARMACY MGR | $179,772 | $0 | $13,408 | $0 | $1,980 | $0 | $15,568 | $0 | $12,719 | $0 | $223,447 | $0 | $0 | $0 |
| JACOB CLENDENEN | ||||||||||||||
| DMHOS PHARMACIST | $159,132 | $147 | $500 | $0 | $1,020 | $0 | $6,792 | $6 | $35,037 | $32 | $202,481 | $185 | $0 | $0 |
| BETHANY HEILEMAN | ||||||||||||||
| DMHOS PHARMACIST | $142,700 | $1,194 | $500 | $0 | $930 | $0 | $16,393 | $136 | $31,760 | $263 | $192,283 | $1,593 | $0 | $0 |
| ANTHONY STUMP | ||||||||||||||
| DMHOS MGR REHAB | $130,080 | $0 | $9,959 | $0 | $2,477 | $0 | $13,250 | $0 | $32,072 | $0 | $187,838 | $0 | $0 | $0 |
| PEGGY ROBERTS | ||||||||||||||
| DMHOS REGISTERED NURSE | $119,101 | $0 | $6,350 | $20,000 | $1,225 | $0 | $927 | $146 | $11,324 | $1,788 | $138,927 | $21,934 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF DEKALB MEMORIAL HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. |
| PART I, LINE 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): NATASHA EICHER $38,673; GREG JOHNSON $84,817; MICHAEL PACKNETT $4,613,104; JEANNE' WICKENS $1,101,767 AMOUNTS LISTED ABOVE THAT HAVE BEEN REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990 WILL ALSO BE REFLECTED IN SCHEDULE J, PART II, COLUMN (F). FOR EXAMPLE, THE AMOUNT OF $4,613,104 REPORTED AS REQUIRED FOR MR. PACKNETT WAS A RESULT OF THE VESTING OF SUCH AMOUNT UNDER THE TERMS OF THE RESPECTIVE PLANS. HOWEVER, THESE AMOUNTS WERE PREVIOUSLY REPORTED IN MR. PACKNETT'S DEFERRED COMPENSATION OVER MORE THAN 10 YEARS AS THE AMOUNTS WERE DEFERRED UNDER THE PLANS. AS SUCH, THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) IS AN INDICATION OF AMOUNTS THAT HAVE BEEN REPORTED TWICE, ONCE AS A DEFERRAL AND ONCE AS VESTED. THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: NATASHA EICHER $48,772; GREG JOHNSON $119,000; JEANNE' WICKENS $216,128 |
| PART I, LINE 7 | THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR MICP AND PICP. AT CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES FINAL PAYMENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINES 1A AND 2A: | PARKVIEW HEALTH SYSTEM, INC.(PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, DEKALB MEMORIAL HOSPITAL, INC., EIN 35-1064295. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2023 WAS 704. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2023 WAS 18,435. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE DEKALB MEMORIAL HOSPITAL, INC. WAS 26 AND 373 RESPECTIVELY. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER OR HIS/HER DESIGNEE, THE CURRENT CHIEF OF THE MEDICAL STAFF, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR OF THE BOARD, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED EIGHT (8) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION AS THE PLANNING COMMITTEE AND IN ANY OTHER MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR ITS RATIFICATION OF ITS ACTION. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF DEKALB MEMORIAL HOSPITAL, INC.: ARTICLE V - BOARD OF DIRECTORS: SECTION 2 - NUMBER AND CHARACTERISTICS THE NUMBER OF HOSPITAL MEDICAL STAFF THAT CAN BE VOTING BOARD MEMBERS WAS CHANGED FROM THREE (3), AND NOW READS A MINIMUM OF TWO (2), NOT TO EXCEED THREE (3). PRIOR TO THE CHANGE, THE CHAIR OF THE BOARD WAS REQUIRED TO RESIDE IN DEKALB COUNTY. THE CHANGE NOW REQUIRES THE CHAIR OF THE BOARD TO RESIDE IN OR BE EMPLOYED IN DEKALB COUNTY. ARTICLE VII - OFFICERS: VICE PRESIDENT OF FINANCE WAS REMOVED AS BEING AN OFFICER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF DEKALB MEMORIAL HOSPITAL, INC. WITH CERTAIN RESERVED POWERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS DEFINED IN THE NETWORK AGREEMENT: (I) APPOINT (INCLUDING TO FILL A VACANCY) AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT (INCLUDING TO FILL A VACANCY) AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, JOINT VENTURE, PARTNERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A |
| FORM 990, PART VI, SECTION B, LINE 11B | PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. DEKALB MEMORIAL HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 24, 2024, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE AND AUDIT COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." |
| FORM 990, PART VI, SECTION B, LINE 15 | LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., HAS A PROCESS IN PLACE FOR REVIEWING AND APPROVING COMPENSATION OF THE CEO & EVP LEVEL EXECUTIVES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2023, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL CEO & EVP LEVEL COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2023 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. IN ADDITION, AGGREGATE INFORMATION ON ALL OTHER EXECUTIVE ROLES (OUTSIDE OF THE CEO & EVPS) IS SHARED. THE COMPENSATION PACKAGE OF THE CEO AND EVPS WAS APPROVED BY A MAJORITY OF INDEPENDENT COMPENSATION COMMITTEE MEMBERS. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A SUMMARY OF THE EXECUTIVE COMPENSATION PROCESS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AND EVP LEVEL EXECUTIVES. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINES 5-10: | PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII. |
| FORM 990, PART XI, LINE 9: | ASSET TRANSFERS/ADJUSTMENTS -107,468. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB MEMORIAL PHARMACARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1316 E 7TH ST | AddressLine1Txt |
| City | AUBURN | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 467062515 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273514342 | EIN |
| Primary Activities | PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEKALB MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW HEALTH SYSTEM INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351972384 | HEALTH CARE | IN | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| PARKVIEW HEALTH FOUNDATION INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 921994990 | FUND MGMT | IN | 501(C)(3) | LINE 7 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW HOSPITAL INC | |||||||||||
| 11109 PARKVIEW PLAZA DR | FORT WAYNE | IN | 468451701 | 350868085 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW FOUNDATION INC | |||||||||||
| 3844 NEW VISION DR | FORT WAYNE | IN | 468451724 | 237220589 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | PARKVIEW HOSPITAL INC | |
| PARKVIEW DEKALB HOSPITAL FOUNDATION INC | |||||||||||
| 1316 E 7TH ST | AUBURN | IN | 467062515 | 356047817 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | Yes (1) | DEKALB MEMORIAL HOSPITAL INC | |
| HUNTINGTON MEMORIAL HOSPITAL INC | |||||||||||
| 2001 STULTS RD | HUNTINGTON | IN | 467501291 | 351970706 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC | |||||||||||
| 2001 STULTS RD | HUNTINGTON | IN | 467501291 | 320012095 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | HUNTINGTON MEMORIAL HOSPITAL INC | |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |||||||||||
| 207 N TOWNLINE RD | LAGRANGE | IN | 467611325 | 202401676 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC | |||||||||||
| 207 N TOWNLINE RD | LAGRANGE | IN | 467611325 | 833347115 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |||||||||||
| 401 N SAWYER RD | KENDALLVILLE | IN | 467552568 | 352087092 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC | |||||||||||
| 401 N SAWYER RD | KENDALLVILLE | IN | 467552568 | 352089183 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |
| PARKVIEW WABASH HOSPITAL INC | |||||||||||
| 10 JOHN KISSINGER DR | WABASH | IN | 469921648 | 471753440 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW WABASH HOSPITAL FOUNDATION INC | |||||||||||
| 10 JOHN KISSINGER DR | WABASH | IN | 469921648 | 351921445 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | PARKVIEW WABASH HOSPITAL INC | |
| WHITLEY MEMORIAL HOSPITAL INC | |||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 467259492 | 351967665 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| WHITLEY MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 467259492 | 311190239 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | WHITLEY MEMORIAL HOSPITAL INC | |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS | |||||||||||
| 433 W HIGH ST | BRYAN | OH | 435061690 | 341048666 | HOSPITAL CARE | OH | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| SHARE FOUNDATION OF COMMUNITY HOSPITALS OF WILLIAMS COUNTY INC | |||||||||||
| 433 W HIGH ST | BRYAN | OH | 435061690 | 341596175 | FUND MGMT | OH | 501(C)(3) | LINE 12B, II | 0 | COMMUNITY HOSPITALS AND WELLNESS CENTERS | |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | |||||||||||
| 442 W HIGH ST | BRYAN | OH | 435061681 | 341045870 | PHYSICIANS | OH | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 352064353 | OCCUPATIONAL HEALTH | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARK CENTER INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 351135451 | COMPREHENSIVE MENTAL HEALTH CENTER | IN | 501(C)(3) | LINE 10 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| OUABACHE VILLAGE INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 020731922 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| RICHARDVILLE APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 050543940 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| RICHARDVILLE APARTMENTS II INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 861077255 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| SEDDLEMEYER APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 352067590 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| WAYNEDALE APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 351972197 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| WAYNEDALE II APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 223972135 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| WOODSIDE APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 351937426 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 260143823 | ORTHOPAEDIC HOSPITAL | IN | N/A | N/A | 0 | 0 |
| MANAGED CARE SERVICES LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351996535 | HEALTH PLAN ADMINISTRATION | IN | N/A | N/A | 0 | 0 |
| FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 201394120 | SURGICAL SERVICES | IN | N/A | N/A | 0 | 0 |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS PAIN MANAGEMENT LLC | ||||||||||
| 433 W HIGH ST | BRYAN | OH | 435061690 | 461084537 | MEDICAL SERVICES | OH | N/A | N/A | 0 | 0 |
| EXCEL SPORTS GROUP LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 921435049 | SPORTS CAMPS & LEAGUES | IN | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351668888 | REFERENCE LAB | IN | N/A | C | 0 |
| WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC | |||||||||
| 202 W BERRY ST | FORT WAYNE | IN | 468022273 | 352058340 | PROPERTY OWNERS ASSOCIATION | IN | N/A | C | 0 |
| PARKVIEW HEALTH SYSTEM INC 457(B) PLAN | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 357048812 | TRUST - 457(B) PLAN 003 | IN | N/A | T | 0 |
| PARKVIEW HEALTH SYSTEM SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 357048813 | TRUST - SERP PLAN 004 | IN | N/A | T | 0 |
| PARKVIEW HEALTH SYSTEM INC 457(F) PLAN | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 357048810 | TRUST - 457(F) PLAN 005 | IN | N/A | T | 0 |
| PARKVIEW HEALTH SYSTEM SUPPLEMENTAL | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 996407150 | TRUST - SUPPLEMENTAL PLAN 008 | IN | N/A | T | 0 |
| PARKVIEW HEALTH SYSTEM EVPCEO | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 936856743 | TRUST - EVP/CEO PLAN 009 | IN | N/A | T | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |