PARKVIEW HOSPITAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PARKVIEW HOSPITAL INC (EIN 35-0868085)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202203159349300935
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T07:54:52-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | 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 | 330 E JEFFERSON BLVD PO BOX 7 | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 466240007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350868085 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 2603738429 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11109 PARKVIEW PLAZA DR | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 468451701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANNE' WICKENS | PersonNm |
| Person Title | PH CFO | PersonTitleTxt |
| Phone | 2602669313 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEANNE | PersonFirstNm |
| Person Last | WICKENS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRITTNEY KOCAJ | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 5742323992 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL J PACKNETT | 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 | 46808 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,771,959,874 | 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 | 1941 | 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 | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 6858 | TotalEmployeeCnt |
| Total Volunteers | 317 | TotalVolunteersCnt |
| Total Gross UBI | $54,524,328 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $977,625 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $74,399,665 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,835,215 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,389,357,496 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,675,135,420 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,180,381 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,513,808 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,943,800 | PYOtherRevenueAmt |
| CY Other Revenue | $17,336,947 | CYOtherRevenueAmt |
| PY Total Revenue | $1,477,881,342 | PYTotalRevenueAmt |
| CY Total Revenue | $1,708,821,390 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,918,791 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,594,432 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $399,813,851 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $448,836,975 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,064,118 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $970,895,595 | PYOtherExpensesAmt |
| CY Other Expenses | $1,115,066,070 | CYOtherExpensesAmt |
| PY Total Expenses | $1,372,628,237 | PYTotalExpensesAmt |
| CY Total Expenses | $1,565,497,477 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $105,253,105 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $143,323,913 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,033,692,957 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,071,562,635 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $485,261,292 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $380,103,763 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $548,431,665 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $691,458,872 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PARKVIEW HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,328,634,006 | ExpenseAmt |
| Grant | $1,594,432 | GrantAmt |
| Revenue | $1,628,002,124 | RevenueAmt |
| Desc | PARKVIEW HOSPITAL, INC. IS A CHARITABLE, NOT-FOR-PROFIT, COMMUNITY-OWNED HOSPITAL AND CONSISTS OF A 476-BED REGIONAL TERTIARY REFERRAL CENTER (PARKVIEW REGIONAL MEDICAL CENTER), AS WELL AS A 216-BED COMMUNITY HOSPITAL (PARKVIEW HOSPITAL RANDALLIA) AND AN 89-BED BEHAVIORAL HEALTH HOSPITAL (AFFILIATE OF PARKVIEW BEHAVIORAL HEALTH INSTITUTE), LOCATED IN FORT WAYNE, INDIANA. THE SERVICE AREA INCLUDES NORTHEAST INDIANA, NORTHWEST OHIO, AND SOUTH-CENTRAL MICHIGAN. PARKVIEW HOSPITAL, INC. IS HOME TO A VERIFIED LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER IN ADDITION TO THE SAMARITAN MEDICAL FLIGHT AND GROUND TRANSPORT SERVICES, AND A FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT.(SEE SCHEDULE O FOR CONTINUATION) | Desc |
| Total Program Service Expenses | $1,328,634,006 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | Yes (1) | 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 | 158 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 6858 | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEANNE' WICKENS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2602669313 | 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 (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PACKNETT | ||||||||||
| PH PRESIDENT & CEO | 0.00 | 40.00 | Yes (X) | Yes (X) | $0 | $2,037,606 | $326,073 | |||
| SATISH VELAGAPUDI | ||||||||||
| DIRECTOR/PH PHYSICIAN | 0.00 | 40.00 | Yes (X) | $48,182 | $639,719 | $51,997 | ||||
| JOHN BOWEN | ||||||||||
| DIRECTOR/PVHOS PRESIDENT | 40.00 | 0.00 | Yes (X) | Yes (X) | $486,672 | $0 | $117,687 | |||
| ERIN LACROSS | ||||||||||
| DIRECTOR-PARTIAL YR/PH SVP NPD | 6.00 | 34.00 | Yes (X) | $114,854 | $246,728 | $105,115 | ||||
| ABHIJIT SHUKLA | ||||||||||
| DIRECTOR/PH PHYSICIAN | 0.00 | 40.00 | Yes (X) | $48,263 | $329,371 | $59,000 | ||||
| LINDA FRANCIES | ||||||||||
| PVHOS VP NURSING | 40.00 | 0.00 | Yes (X) | $324,487 | $0 | $29,583 | ||||
| CLYDE NIX | ||||||||||
| DIRECTOR-PARTIAL YR/PARKC PRESIDENT | 0.00 | 40.00 | Yes (X) | $0 | $216,921 | $12,321 | ||||
| GREGG POLLANDER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $50,000 | $0 | $0 | ||||
| THOMAS KIMBROUGH | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,000 | $4,412 | $0 | ||||
| IRENE WALTERS | ||||||||||
| DIRECTOR/CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $7,000 | $3,250 | $0 | |||
| IAN BOYCE | ||||||||||
| DIRECTOR/VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $4,750 | $0 | $0 | |||
| DONOVAN COLEY | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $4,000 | $0 | $0 | ||||
| PALERMO GALINDO | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| RICHARD ROBINSON | ||||||||||
| DIRECTOR/SECRETARY/TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $5,000 | $0 | $0 | |||
| WILBUR SMITH | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| WENDY STEIN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| BRENDA GERBER | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| DAVID MCFADDEN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| MARK MICHAEL | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $4,250 | $0 | $0 | ||||
| DAVID NECKERS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $4,750 | $0 | $0 | ||||
| JEANNE' WICKENS | ||||||||||
| PH CHIEF FINANCIAL OFFICER | 0.00 | 40.00 | Yes (X) | $0 | $1,059,636 | $349,980 | ||||
| MICHAEL MIRRO | ||||||||||
| PVHOS CARO | 40.00 | 0.00 | $760,104 | $0 | $126,332 | Yes (X) | ||||
| MICHAEL YURKANIN | ||||||||||
| PVHOS CMO | 33.00 | 7.00 | $371,824 | $128,788 | $120,121 | Yes (X) | ||||
| MEGAN SMITH | ||||||||||
| PH SVP & COO PCI | 20.00 | 20.00 | $130,594 | $133,856 | $73,167 | Yes (X) | ||||
| GARY ZWIERZYNSKI | ||||||||||
| PVHOS SVP GME | 40.00 | 0.00 | $268,923 | $0 | $76,242 | Yes (X) | ||||
| JOSIAH WELLS | ||||||||||
| PVHOS VP OPERATIONS | 40.00 | 0.00 | $196,951 | $0 | $40,361 | Yes (X) | ||||
| MARK GILLESPIE | ||||||||||
| PVHOS VP OPERATIONS | 40.00 | 0.00 | $192,068 | $0 | $36,950 | Yes (X) | ||||
| CHRISTINE HEPLER | ||||||||||
| PVHOS VP OPERATIONS | 24.00 | 16.00 | $139,067 | $62,565 | $50,857 | Yes (X) | ||||
| CHRISTA POMEROY | ||||||||||
| PVHOS VP OPERATIONS | 40.00 | 0.00 | $174,856 | $0 | $34,040 | Yes (X) | ||||
| JESSICA MURPHY | ||||||||||
| PVHOS VP SURGICAL SERVICES | 40.00 | 0.00 | $207,952 | $0 | $52,938 | Yes (X) | ||||
| PAULA BOSTWICK | ||||||||||
| PVHOS VP BHI | 40.00 | 0.00 | $179,492 | $0 | $48,738 | Yes (X) | ||||
| GAIL ALTEKRUSE | ||||||||||
| PVHOS VP OPERATIONS | 16.00 | 24.00 | $79,217 | $126,223 | $47,893 | Yes (X) | ||||
| YUENIAN ZHANG | ||||||||||
| PVHOS CHIEF PHYSICIST | 40.00 | 0.00 | $316,294 | $0 | $64,293 | Yes (X) | ||||
| JEFFREY BROWN | ||||||||||
| PVHOS PHYSICIAN | 40.00 | 0.00 | $268,480 | $0 | $36,206 | Yes (X) | ||||
| JINGENG ZHU | ||||||||||
| PVHOS CERT RAD PHYSICIST MD | 40.00 | 0.00 | $239,557 | $0 | $15,554 | Yes (X) | ||||
| TARA JELLISON | ||||||||||
| PVHOS DIRECTOR PHARMACY | 40.00 | 0.00 | $229,651 | $0 | $44,429 | Yes (X) | ||||
| JOSHUA WINEBAUGH | ||||||||||
| PVHOS PHARMACIST | 40.00 | 0.00 | $294,097 | $0 | $37,438 | Yes (X) | ||||
| BENJAMIN MILES | ||||||||||
| FORMER OFFICER/CURRENT HPS PRESIDENT | 0.00 | 40.00 | $0 | $687,559 | $56,240 | Yes (X) | ||||
| MARLON WARDLOW | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | 0.00 | 40.00 | $0 | $350,162 | $105,267 | Yes (X) | ||||
| CHARLES CLARK | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT BHI PRESIDENT | 0.00 | 40.00 | $0 | $602,426 | $94,276 | Yes (X) | ||||
| MARCELINE ROGERS | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | 0.00 | 40.00 | $0 | $338,840 | $79,465 | Yes (X) | ||||
| MICHAEL GERUE | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | 0.00 | 40.00 | $0 | $383,678 | $123,164 | Yes (X) | ||||
| MOLLY CAIN | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | 0.00 | 40.00 | $0 | $321,449 | $86,820 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,180,335 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,673,189 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,502,547 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 447 | 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 |
|---|---|---|---|---|---|
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA STREET | OMAHA | NE | 68154 | MEDICAL PERSONNEL | $45,438,360 |
| TRELLISRX LLC | |||||
| 1180 W PEACHTREE ST NE | ATLANTA | GA | 30309 | PHARMACY SERVICES | $7,322,822 |
| PROLINK HEALTHCARE | |||||
| 4600 MONTGOMERY ROAD SUITE 300 | CINCINNATI | OH | 45212 | MEDICAL PERSONNEL | $7,063,449 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 912512 | PASADENA | CA | 91110 | DIAGNOSTIC SERVICES | $5,747,820 |
| TOTAL RENAL CARE INC | |||||
| PO BOX 781607 | PHILADELPHIA | PA | 19178 | MEDICAL SERVICES | $3,598,774 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 72 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $780,135 | RelatedOrganizationsAmt |
| Government Grants | $12,824,297 | GovernmentGrantsAmt |
| All Other Contributions | $1,230,783 | AllOtherContributionsAmt |
| Noncash Contributions | $28,252 | NoncashContributionsAmt |
| Total Contributions | $14,835,215 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE | 622000 | $1,556,853,842 | $1,556,853,842 | |
| PHARMACY | 446110 | $94,319,894 | $41,670,257 | $52,649,637 |
| LAB SERVICES | 621500 | $17,685,129 | $17,685,129 | |
| INTERUNIT RENT | 531120 | $4,069,721 | $4,069,721 | |
| FWCS CLINICS | 621990 | $688,264 | $688,264 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,518,570 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $993,273 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $525,297 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,675,135,420 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $442,138 | TotalRevenueColumnAmt |
| Exclusion | $442,138 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,370,637 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,761,021 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,609,616 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,609,616 | TotalRevenueColumnAmt |
| Exclusion | $2,609,616 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $62,362,796 | SecuritiesAmt |
| Other | $86,337 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $60,756,187 | SecuritiesAmt |
| Other | $621,276 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,606,609 | SecuritiesAmt |
| Other | -$534,939 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,071,670 | TotalRevenueColumnAmt |
| Exclusion | $1,071,670 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| CAFETERIA & MEALS | 722514 | $6,220,441 | $6,220,441 | ||
| ORTHO BILLINGS | 541900 | $3,463,911 | $2,133,142 | $1,330,769 | |
| RESEARCH CENTER | 541700 | $2,334,600 | $2,334,600 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,708,379 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,573,896 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $18,625 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,115,858 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,727,331 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,708,821,390 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,628,002,124 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $54,524,328 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,459,723 | 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 | $1,594,432 | TotalAmt |
| Program Services | $1,594,432 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,618,594 | TotalAmt |
| Management And General | $4,618,594 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $416,788 | TotalAmt |
| Program Services | $416,788 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,062,330 | TotalAmt |
| Program Services | $340,062,330 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,739,263 | TotalAmt |
| Program Services | $103,739,263 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $811 | TotalAmt |
| Management And General | $811 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,185 | TotalAmt |
| Management And General | $77,185 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,272,611 | TotalAmt |
| Program Services | $133,500,322 | ProgramServicesAmt |
| Management And General | $6,772,289 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,619 | TotalAmt |
| Program Services | $86,460 | ProgramServicesAmt |
| Management And General | $74,159 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,406,276 | TotalAmt |
| Program Services | $28,555,933 | ProgramServicesAmt |
| Management And General | $2,850,343 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $559,846 | TotalAmt |
| Program Services | $520,778 | ProgramServicesAmt |
| Management And General | $39,068 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,677,170 | TotalAmt |
| Program Services | $16,413,928 | ProgramServicesAmt |
| Management And General | $1,263,242 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $887,737 | TotalAmt |
| Program Services | $857,373 | ProgramServicesAmt |
| Management And General | $30,364 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,402 | TotalAmt |
| Program Services | $146,101 | ProgramServicesAmt |
| Management And General | $5,301 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,040 | TotalAmt |
| Program Services | $202,040 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,870,287 | TotalAmt |
| Program Services | $59,562,345 | ProgramServicesAmt |
| Management And General | $307,942 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,666,236 | TotalAmt |
| Program Services | $42,749 | ProgramServicesAmt |
| Management And General | $1,623,487 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $339,361,808 | $339,361,808 | |
| PH CLINICAL SUPPORT | $227,765,864 | $227,765,864 | |
| CORP SERVICE ALLOCATION | $217,116,109 | $217,116,109 | |
| FEDERAL & STATE INCOME | $370,000 | $370,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,520,069 | TotalAmt |
| Program Services | $75,805,492 | ProgramServicesAmt |
| Management And General | $650,459 | ManagementAndGeneralAmt |
| Fundraising | $1,064,118 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,565,497,477 | TotalAmt |
| Program Services | $1,328,634,006 | ProgramServicesAmt |
| Management And General | $235,799,353 | ManagementAndGeneralAmt |
| Fundraising | $1,064,118 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,885 | BOYAmt |
| EOY | $20,581 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,727,881 | BOYAmt |
| EOY | $356,099 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,013,306 | BOYAmt |
| EOY | $247,763,858 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,361,491 | BOYAmt |
| EOY | $28,326,383 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $837,635 | BOYAmt |
| EOY | $1,511,265 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,333,344,083 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $614,142,858 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $735,077,308 | BOYAmt |
| EOY | $719,201,225 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,360,234 | BOYAmt |
| EOY | $32,534,580 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,377,591 | BOYAmt |
| EOY | $2,570,635 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,491,443 | BOYAmt |
| EOY | $22,491,443 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,425,183 | BOYAmt |
| EOY | $16,786,566 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,033,692,957 | BOYAmt |
| EOY | $1,071,562,635 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,820,335 | BOYAmt |
| EOY | $72,635,775 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,837,253 | BOYAmt |
| EOY | $65,239,821 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $332,603,704 | BOYAmt |
| EOY | $242,228,167 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $485,261,292 | BOYAmt |
| EOY | $380,103,763 | 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 | $548,431,665 | BOYAmt |
| EOY | $691,458,872 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,431,665 | BOYAmt |
| EOY | $691,458,872 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,033,692,957 | BOYAmt |
| EOY | $1,071,562,635 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $143,323,913 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,209,543 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,506,249 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $64,819 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $64,819 | 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, AMERICAN HOSPITAL ASSOCIATION AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,489,500 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $202,426 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $49,273 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,642,653 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,276,765 | BeginningYearBalanceAmt |
| Contributions | $64,385 | ContributionsAmt |
| Investment Earnings Or Losses | $189,880 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $41,530 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,489,500 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $650,942 | BeginningYearBalanceAmt |
| Contributions | $454,072 | ContributionsAmt |
| Investment Earnings Or Losses | $193,952 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $22,201 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,276,765 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $707,386 | BeginningYearBalanceAmt |
| Contributions | $14,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$63,044 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $7,400 | GrantsOrScholarshipsAmt |
| End Year Balance | $650,942 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $672,505 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $55,081 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $20,200 | GrantsOrScholarshipsAmt |
| End Year Balance | $707,386 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.63300 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.36700 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,770,269 | OtherCostOrOtherBasisAmt |
| Book Value | $7,770,269 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $729,700,517 | OtherCostOrOtherBasisAmt |
| Depreciation | $303,646,986 | DepreciationAmt |
| Book Value | $426,053,531 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,536,234 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,246,111 | DepreciationAmt |
| Book Value | $1,290,123 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $476,879,827 | OtherCostOrOtherBasisAmt |
| Depreciation | $263,667,500 | DepreciationAmt |
| Book Value | $213,212,327 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,457,236 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,582,261 | DepreciationAmt |
| Book Value | $70,874,975 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $719,201,225 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY | $15,425,820 |
| EST. MEDICARE/MEDICAID SETTLEMENTS | $44,759,891 |
| EST. 3RD PARTY SETTLEMENTS | $43,495,172 |
| RESTRICTED FUNDS | $551,154 |
| DUE TO/FROM INTERUNIT | $137,996,130 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $242,228,167 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE USED FOR CHAPLAINCY SERVICES AND OPERATIONS RELATED TO PATIENT-FOCUSED CANCER CARE. |
| PART X, LINE 2: | 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, 2021 AND 2020, 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 2017 AND PRIOR. |
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 | 0 | ExpensesExceedBudgetInd |
| 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 | $14,313,701 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,313,701 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $143,178,101 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $104,894,356 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,283,745 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02860 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $134,298,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $112,434,082 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,863,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01630 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $291,789,802 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $217,328,438 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $74,461,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,755,295 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,297,643 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,457,652 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,135,391 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,969,519 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,165,872 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,178,651 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,126,463 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,052,188 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00980 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,119,420 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $443,339 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $676,081 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,256,344 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,256,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,445,101 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,836,964 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,608,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02290 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $394,234,903 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $289,165,402 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $105,069,501 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07850 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | 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 | $211,868,671 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $227,618,840 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$15,750,169 | 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 | PARKVIEW HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11109 PARKVIEW PLAZA DR | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46845 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| State License | 14-005020-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW 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 | 19 | 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 | 19 | 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 | HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | 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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PARKVIEW 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 2019 CHNA, PARKVIEW HOSPITAL, INC. AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) RESEARCH TEAM WERE DILIGENT IN ENSURING THE INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS WELL AS VULNERABLE AND UNDERSERVED POPULATIONS WERE CONSIDERED. LOCAL HEALTH DEPARTMENTS, MEDICAL PROFESSIONALS AND SOCIAL SERVICE AGENCIES THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN OUR COMMUNITIES WERE SURVEYED AND TOOK PART IN COMMUNITY HEALTH PLANNING SESSIONS.IN GATHERING QUALITATIVE COMMUNITY INPUT, PARKVIEW HOSPITAL, INC. AND ITS RESEARCH PARTNERS OBTAINED THE FOLLOWING: 1. PRIMARY DATA COLLECTED VIA AN ONLINE SURVEY (JANUARY 2019) OF PARKVIEW HEALTH SYSTEM, INC. HEALTHCARE PROVIDERS (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.) AND COMMUNITY SERVICE PROVIDERS REPRESENTING ALLEN COUNTY'S VULNERABLE POPULATIONS. THE HEALTH SYSTEM'S CHNA RESEARCH PARTNERS ALSO CONDUCTED A RANDOMIZED SURVEY OF THE COMMUNITY RESIDENTS IN EACH COUNTY WHERE AFFILIATE HOSPITALS RESIDE (FEBRUARY - APRIL 2019). IN AN EFFORT TO MEET THE NEEDS OF A SPECIFIC RURAL POPULATION, A PAPER VERSION OF THE SURVEY WAS ADMINISTERED TO THE AMISH POPULATION LOCATED IN LAGRANGE COUNTY (FEBRUARY - APRIL 2019), AND A HISPANIC FOCUS GROUP WAS HELD IN KOSCIUSKO COUNTY (MARCH 24, 2019). 2. SECONDARY DATA GATHERED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) PLATFORM AND OTHER LOCAL AND NATIONAL AGENCIES, EMPHASIZING THE SOCIAL AND ENVIRONMENTAL FACTORS CONTRIBUTING TO LOCAL HEALTH DISPARITIES.IN ADDITION TO DATA COLLECTION, PARKVIEW HOSPITAL, INC. TURNED TO THE COMMUNITY AND PARTNERING ORGANIZATIONS REPRESENTING VULNERABLE POPULATIONS WHEN SELECTING AND PRIORITIZING ALLEN COUNTY'S HEALTH NEEDS. THREE COMMUNITY SESSIONS BETWEEN AUGUST 26, 2019 AND SEPTEMBER 4, 2019 WERE HELD TO SHARE THE PARKVIEW'S CHNA RESULTS AND GATHER FEEDBACK FROM THESE LOCAL NON-PROFIT ORGANIZATIONS. IN EACH COMMUNITY ENGAGEMENT MEETING, PARTICIPANTS WORKED IN SMALL GROUPS TO COMPLETE A "ROADMAP" OUTLINING THEIR VISION FOR OUR COMMUNITY, POTENTIAL INTERVENTIONS, BARRIERS AND OTHER FACTORS RELATED TO THE HOSPITAL'S THREE HEALTH PRIORITIES. THE FEEDBACK GATHERED FROM THE COMMUNITY SESSIONS WAS USED IN CREATING OUR IMPLEMENTATION STRATEGY. FOR THE 2019 CHNA, A MODIFIED HANLON METHOD WAS USED TO PRIORITIZE HEALTH CONCERNS FOR THE COMMUNITIES PARKVIEW SERVES. 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.). ALTHOUGH COMPLEX TO IMPLEMENT, IT IS 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. THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES PRESENTED AN OVERVIEW OF THE REGIONAL CHNA FINDINGS ON JULY 16, 2019, TO ATTENDEES REPRESENTING PARKVIEW HEALTH SYSTEM, INC. IN TOTAL, OVER 60 INDIVIDUALS PARTICIPATED IN THE PRIORITIZATION PROCESS, INCLUDING REPRESENTATIVES FROM HOSPITAL SERVICE LINES, COMMUNITY HOSPITALS, HEALTHCARE PROVIDERS/PHYSICIANS, EXECUTIVE LEADERSHIP TEAM, COMMUNITY HEALTH AND HOSPITAL BOARD OF DIRECTORS. AFTER A THOROUGH REVIEW OF THE DATA AND CONSIDERABLE DISCUSSION, THE GROUP USED AN ELECTRONIC VOTING SYSTEM TO RANK THE VARIOUS HEALTH NEEDS IDENTIFIED IN THE CHNA. ULTIMATELY, THE GROUP VOTED ON SUBSTANCE USE DISORDER/MENTAL HEALTH AS THE SHARED HEALTH PRIORITY ACROSS THE HEALTH SYSTEM.AS A CONTINUATION OF THE PRIORITIZATION PROCESS, PARKVIEW HOSPITAL, INC. (ALLEN COUNTY) FORMED AN INTERNAL, MULTIDISCIPLINARY ADVISORY COUNCIL TO SELECT ADDITIONAL HEALTH PRIORITIES FOR PARKVIEW HOSPITAL, INC. THIS GROUP OF STAKEHOLDERS MET ON AUGUST 16, 2019 AND DISCUSSED THE RESULTS OF THE CHNA. AFTER A THOUGHTFUL REVIEW OF THE DATA AND EXTENSIVE DISCUSSION, THE ADVISORY COMMITTEE SELECTED MATERNAL/CHILD HEALTH AND CARDIOVASCULAR DISEASE/DIABETES AS ADDITIONAL PRIORITIES. PARKVIEW THEN HELD THE THREE AFOREMENTIONED COMMUNITY ENGAGEMENT SESSIONS. HEALTH PRIORITIES WERE PRESENTED AND ADOPTED ON NOVEMBER 6, 2019, BY PARKVIEW HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT COMMITTEE, A COMMITTEE OF THE PARKVIEW HOSPITAL, INC. BOARD OF DIRECTORS. |
| PARKVIEW HOSPITAL, INC. | PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: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); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). |
| PARKVIEW 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.; INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI) AND CONDUENT HEALTHY COMMUNITIES INSTITUTE. |
| PARKVIEW 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: UPON COMPLETION OF THE 2019 CHNA, PARKVIEW HOSPITAL, INC. AND PARTNERING COMMUNITY ORGANIZATIONS IDENTIFIED THE FOLLOWING AS ALLEN COUNTY'S TOP HEALTH CONCERNS: SUBSTANCE USE DISORDER/MENTAL HEALTH; CARDIOVASCULAR DISEASE AND DIABETES; AND MATERNAL/CHILD HEALTH. WHILE THE NEEDS OF ALLEN COUNTY HAVE EVOLVED SINCE 2016, THE NEEDS OF 2019 ARE STILL VERY SIMILAR. FOR EXAMPLE: - 2016 OBESITY VS. 2019 CARDIOVASCULAR DISEASE AND DIABETES - 2016 MENTAL HEALTH VS. 2019 SUBSTANCE USE DISORDER AND MENTAL HEALTH - 2016 AND 2019 MATERNAL/CHILD HEALTHDUE TO THE SIMILARITY, PARKVIEW HOSPITAL, INC. PLANS TO CONTINUE BUILDING UPON THE HEALTH INITIATIVES THAT BEGAN AFTER THE 2016 CHNA WHILE ADDRESSING ADDITIONAL PRIORITIES IDENTIFIED ON THE 2019 CHNA. IN RESPONSE TO THE 2019 CHNA, PARKVIEW HOSPITAL, INC. CREATED AN IMPLEMENTATION STRATEGY (POSTED MAY 2020), WHICH PROVIDES A COMPREHENSIVE SUMMARY OF THE HOSPITAL'S CURRENT PLANNED HEALTH PROMOTION INITIATIVES. IN SUMMATIVE FORM, THE IMPLEMENTATION STRATEGY REPORTED THE FOLLOWING FOR EACH DEFINED HEALTH CONCERN TO BE ADDRESSED: SUBSTANCE USE DISORDER/MENTAL HEALTH - TO ADDRESS SUBSTANCE USE DISORDER/MENTAL HEALTH, PARKVIEW HOSPITAL, INC. WITH SUPPORT FROM THE PARKVIEW BEHAVIORAL HEALTH INSTITUTE, DEFINED THREE GOALS SPECIFIC TO THE NEEDS OF ALLEN COUNTY: 1) REDUCE THE NUMBER OF OPIOID OVERDOSES AND DEATHS DUE TO OVERDOSE IN ALLEN COUNTY. TO ACHIEVE THIS GOAL, PARKVIEW HOSPITAL, INC. WILL BACK A PEER SUPPORT PROGRAM THAT PARTNERS PEOPLE WITH A RECOVERY COACH WHO SEEKS TO DEVELOP AN INDIVIDUALIZED PERSONAL SUPPORT AND RECOVERY PLAN.2) REDUCE THE NUMBER OF PRE-TERM BIRTHS DUE TO SUBSTANCE USE IN ALLEN COUNTY. TO ADDRESS ITS SECOND GOAL, THE PERINATAL SUBSTANCE USE DISORDER NAVIGATOR PROGRAM WAS STARTED. THIS PROGRAM IS EXCLUSIVELY FOR PREGNANT WOMEN WITH SUBSTANCE USE DISORDER. IT OFFERS WOMEN A HELPING HAND VIA A NURSE NAVIGATOR WHO COORDINATES CARE AND TRACKS PATIENTS TO ENSURE THEY HAVE ACCESS TO THE RESOURCES THEY NEED TO ACHIEVE THE BEST OUTCOMES.3) DECREASE THE NUMBER OF SUICIDE DEATHS IN ALLEN COUNTY. TO ACHIEVE ITS THIRD GOAL, PARKVIEW HOSPITAL, INC. OFFERS THE SUICIDE OBVIATION SUPPORT (SOS) PROGRAM. THE SOS PROGRAM NAVIGATORS WALK ALONGSIDE, AT ELBOW'S LENGTH, PATIENTS EXPERIENCING SUICIDALITY, DOMESTIC VIOLENCE, OR BOTH. THE TEAM FOLLOWS UP WITHIN A WEEK OF DISCHARGE FROM THE HOSPITAL, CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) OR THE EMERGENCY DEPARTMENT. ADDITIONALLY, NAVIGATORS ENSURE PATIENTS HAVE FOLLOW-UP APPOINTMENTS, NECESSARY MEDICATIONS, AND SAFETY PLANS AS WELL AS CONNECT THEM TO VALUABLE SERVICES SUCH AS CASE MANAGEMENT. USING THEIR COUNSELING ON ACCESS TO LETHAL MEANS (CALM) TRAINING, NAVIGATORS DISCUSS WITH PATIENTS ACCESS TO FIREARMS, MEDICATIONS AND OTHER LETHAL MEANS IN THEIR HOME AND DEVELOP A SUICIDE PREVENTION STRATEGY, DECREASING THE OPPORTUNITY FOR IMPULSIVE SUICIDE ATTEMPTS.CARDIOVASCULAR DISEASE & DIABETES - TO ADDRESS CARDIOVASCULAR DISEASE AND DIABETES, PARKVIEW HOSPITAL, INC. AND ITS PARTNERS DEFINED THE FOLLOWING GOALS AND INTERRELATED PROGRAMS: 1) REDUCE ADULT AND CHILDHOOD OBESITY IN ALLEN COUNTY. THIS GOAL WILL BE ADDRESSED THROUGH:A. TAKING ROOT HEALTH CHALLENGE: A PROGRAM CONTINUING FROM THE 2016 CHNA THAT PARTNERS WITH FORT WAYNE COMMUNITY SCHOOLS TO OFFER 4TH AND 5TH GRADERS THE OPPORTUNITY TO PARTICIPATE IN AEROBIC EXERCISE AND NUTRITIONAL EDUCATION. B. HEALTH EATING ACTIVE LIVING (HEAL) INITIATIVE: THIS INITIATIVE FOCUSES ON INCREASING ACCESSIBILITY AND CONSUMPTION OF FRESH PRODUCE IN UNDERSERVED AND FOOD DESERT AREAS IN ALLEN COUNTY. C. FITKIDS 360 (A STAGE TWO PEDIATRIC OBESITY TREATMENT PROGRAM): THIS PROGRAM FOCUSES ON IMPROVING OBESOGENIC RISK SCORES AND WELL-BEING BEHAVIORS OF PARTICIPANTS (CHILDREN AGES 5 TO 17 AND THEIR FAMILIES).2) REDUCE THE EFFECTS OF FOOD INSECURITY AND IMPACT OF CHRONIC DISEASE IN UNDERSERVED POPULATIONS. TO MEET THIS GOAL, PARKVIEW INITIATED VEGGIE RX (A NUTRITION PRESCRIPTION PROGRAM) THAT WORKS TO INCREASE ACCESS TO AND CONSUMPTION OF FRESH PRODUCE AND REDUCE THE EFFECTS OF CHRONIC DISEASE THROUGH DIETARY INTERVENTIONS.3) PREVENT OVERWEIGHT/OBESITY IN CHILDREN PARTICIPANTS DURING THE CRITICAL EARLY YEARS FROM 0 TO 3 YEARS OF AGE. TO MEET THIS GOAL PARKVIEW HOSPITAL, INC. WILL CONTINUE ITS WORK WITH THE SIMPLE SOLUTIONS FOR HEALTHY LIVING PROGRAM. THIS PROGRAM OFFERS FAMILY GOAL SETTING AND EDUCATION SESSIONS WITH THE PURPOSE OF INCREASING GOOD NUTRITION, PHYSICAL ACTIVITY, AND OTHER HEALTHY HABITS AMONG YOUNG FAMILY PARTICIPANTS.4) DECREASE THE RISKS ASSOCIATED WITH OBESITY AND CHRONIC ILLNESS FOR UNINSURED PARTICIPANTS. THIS EFFORT WILL BE ADDRESSED VIA THE NUTRITION/EXERCISE PROGRAM THAT OFFERS COOKING DEMONSTRATIONS, EXERCISE SESSIONS AND NUTRITION EDUCATION. 5) PROMOTE HEALTH AND WELL-BEING AND REDUCE FOOD INSECURITY. TO ACCOMPLISH THIS GOAL, PARKVIEW HOSPITAL, INC. WILL WORK WITH THE PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN, STRATEGICALLY POSITIONED WITHIN A DESIGNATED FOOD DESERT IN THE COMMUNITY. AT THE GREENHOUSE AND LEARNING KITCHEN, PARTICIPANTS CAN GET FRESH PRODUCE AND LEARN HOW TO GROW VEGETABLES AND COOK NUTRITIOUS MEALS FOR THEIR FAMILIES. ADDITIONALLY, MANY OF THE INITIATIVES MENTIONED ABOVE (E.G. HEAL INITIATIVE, SIMPLE SOLUTIONS, VEGGIE RX, ETC.) HOLD EDUCATIONAL SESSIONS AT THIS FACILITY TO INCREASE ACCESS FOR ALLEN COUNTY'S VULNERABLE POPULATIONS. MATERNAL/CHILD HEALTH - PARKVIEW HOSPITAL, INC. HAS DEVELOPED MULTIPLE EVIDENCE-BASED STRATEGIES TO ADDRESS INFANT MORTALITY WITH IMPROVED PRENATAL AND INPATIENT CARE AND THROUGH COLLABORATION WITH PARTNER ORGANIZATIONS TO MAKE OUR COMMUNITY A HEALTHIER PLACE FOR FAMILIES. THE FOLLOWING GOALS AND EFFORTS TO ADDRESS EACH GOAL WERE IDENTIFIED: 1) REDUCE THE NUMBER OF INFANT (<1 YEAR OF AGE) DEATHS IN ALLEN COUNTY DUE TO UNSAFE SLEEP. TO MEET THIS GOAL, THE CONTINUATION OF THE SAFE SLEEP CLASSES AND PACK 'N PLAY DISTRIBUTION PROGRAM IS REQUIRED. THIS PROGRAM PROVIDES PARTICIPANTS WITH FREE SAFE SLEEP EDUCATION, DISTRIBUTION OF A SAFE SLEEP KITS (INCLUDING A PACK 'N PLAY CRIB), CULTURAL SUPPORT AND HOME ENVIRONMENT SAFE SLEEP INSPECTIONS. 2) INCREASE THE NUMBER OF NEW MOMS IN PRIORITY POPULATIONS WHO ENGAGE IN EXCLUSIVE BREASTFEEDING. THIS GOAL IS BEING ADDRESSED THROUGH COMMUNITY BREASTFEEDING CLASSES AND A SUPPORT PROGRAM. THIS PROGRAM PROVIDES PARTICIPANTS WITH INSTRUCTION ON BREASTFEEDING HEALTH BENEFITS, MECHANICS, AND RESOURCES FOR ONGOING SUPPORT. 3) REDUCE VEHICULAR DEATH AND INJURY OF INFANTS IN ALLEN COUNTY. TO ADDRESS THIS GOAL, THE COMMUNITY HEALTH WORKER (SAFETY PIN) PROGRAM WILL CONTINUE TO PROVIDE ONE-ON-ONE CAR SEAT INSTALLATION EDUCATION ALONG WITH CULTURAL SUPPORT AND INTERPRETATION SERVICES IF NEEDED. 4) DECREASE INFANT (<1 YEAR OF AGE) MORTALITY RATE IN ALLEN COUNTY. TO MEET THIS GOAL, PARKVIEW HOSPITAL, INC. HAS BEEN WORKING WITH THE FETAL INFANT MORTALITY REVIEW (FIMR) INITIATIVE. FIMR IS A MULTIDISCIPLINARY GROUP ORGANIZED TO REVIEW CASES OF FETAL AND INFANT DEATHS FOR PREVENTION PURPOSES. THE PROGRAM SEEKS TO PROVIDE PARTICIPANTS WITH IMPROVED REFERRALS TO COMMUNITY RESOURCES AND A BETTER UNDERSTANDING OF BARRIERS AND SOCIAL NEEDS. 5) DECREASE THE RATE OF PRE-TERM BIRTHS. IN EFFORT TO MEET THIS GOAL, THE COMMUNITY HEALTH WORKER (SAFETY PIN) PROGRAM HAS BEEN MONITORING PRENATAL APPOINTMENT ATTENDANCE. THIS PROGRAM SEEKS TO DECREASE THE NUMBER OF PRENATAL VISIT "NO SHOWS" FOR PROGRAM PARTICIPANTS BY REDUCING BARRIERS TO ACCESSING CARE. SAFETY PIN COMMUNITY HEALTH WORKERS WORK WITH CLIENTS TO ASSESS FOR TRANSPORTATION RELIABILITY, IDENTIFY UNMET SOCIAL NEEDS, CO-CREATE INSURANCE AND TRANSPORTATION GOALS, AND SUBSEQUENTLY CONNECT PARTICIPANTS WITH CRITICAL COMMUNITY RESOURCES.6) IMPROVE THE HEALTH OF PREGNANT WOMEN AND INFANTS IN ALLEN COUNTY. THIS GOAL IS BEING ADDRESSED THROUGH EFFORTS TO REDUCE FOOD INSECURITY VIA THE COMMUNITY HEALTH WORKER (SAFETY PIN) PROGRAM. INTERVENTIONS INCLUDE FOOD INSECURITY SCREENING, REFERRALS TO RESOURCES, COACHING RELATED TO MEAL PREPARATION AND FOLLOW-THROUGH IN OBTAINING RESOURCES.(NARRATIVE CONTINUED AFTER PART V, LINE 16C) |
| PART V, SECTION B, LINE 11, CONT'D | 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 NOT BEING ADDRESSED:BASED UPON FEASIBILITY AND AVAILABLE PUBLIC HEALTH INTERVENTIONS, THE HEALTH NEEDS DEFINED BELOW ARE NOT BEING ADDRESSED BY PARKVIEW HOSPITAL, INC. FEASIBILITY INCLUDES THE SUITABILITY, COMMUNITY ACCEPTABILITY, AVAILABILITY OF RESOURCES, PRE-EXISTING COMMUNITY AGENCIES, COST-BENEFIT RATIO, AND LEGALITY OF POTENTIAL INTERVENTIONS. EVEN THOUGH PARKVIEW HOSPITAL, INC. IS NOT ADDRESSING THE FOLLOWING NEEDS SPECIFICALLY, THE HOSPITAL MAINTAINS CORRESPONDENCE WITH EXTERNAL AGENCIES ADDRESSING THESE NEEDS. AGING - AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA (AIHS) SERVES OLDER ADULTS, PERSONS WITH DISABILITIES AND THEIR CAREGIVERS IN NINE COUNTIES IN NORTHEAST INDIANA. THIS NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION IS A FEDERAL- AND STATE-DESIGNATED AREA AGENCY ON AGING AND AN AGING AND DISABILITY RESOURCE CENTER THAT PROVIDES STREAMLINED ACCESS TO INFORMATION, CARE OPTIONS, SHORT-TERM CASE MANAGEMENT AND BENEFITS ENROLLMENT ACROSS A SPECTRUM OF LONG-TERM CARE SERVICES. THROUGH THE CARE TRANSITIONS PROGRAM, AIHS PARTNERS WITH PARKVIEW HEALTH TO REDUCE MEDICARE READMISSIONS. IN ADDITION, THE AGENCY SERVES AS THE INITIAL COORDINATOR AND FISCAL AGENT FOR HONORING CHOICES INDIANA, WHICH IS AN INITIATIVE COMMITTED TO PROMOTING AND SUSTAINING ADVANCE CARE PLANNING (ACP) ACROSS THE STATE. HONORING CHOICES INDIANA ENSURES THAT INDIVIDUALS' FUTURE HEALTHCARE PREFERENCES ARE DISCUSSED, DOCUMENTED, AND HONORED. THROUGH HONORING CHOICES, PARKVIEW AND AIHS WORK TOGETHER TO TRAIN ACP FACILITATORS, PROMOTE BEST PRACTICE, AND INCREASE PUBLIC AWARENESS ABOUT THE VALUE OF DISCUSSING HEALTHCARE DECISION-MAKING IN ADVANCE OF MEDICAL CRISIS.OBESITY - WHILE WE ARE NOT ADDRESSING OBESITY SPECIFICALLY, COMBATTING THE LONG-TERM IMPACT OF OBESITY, THROUGH BOTH PREVENTION AND TREATMENT, IS FOUNDATIONAL TO OUR CURRENT EFFORTS RELATED TO CARDIOVASCULAR HEALTH AND DIABETES. WE PLAN TO CONTINUE AND BUILD ON OUR CURRENT COMMUNITY EFFORTS AIMED AT REDUCING/PREVENTING OBESITY AND IMPROVING HEALTHY LIVING PRACTICES AS A MEANS OF PREVENTING AND/OR TREATING CHRONIC DISEASE IN OUR COMMUNITY. TOBACCO USE - TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY, INDIANA, RELATED TO TOBACCO-FREE EFFORTS. TFAC PROVIDES INFORMATION ABOUT LOCAL SMOKING CESSATION PROGRAMS AND ADVOCATES FOR NO-SMOKING PUBLIC POLICY AT THE STATE LEVEL. THEIR GOALS INCLUDE DECREASING YOUTH AND ADULT TOBACCO USE, INCREASING PROTECTIONS AGAINST SECOND-HAND SMOKE AND BUILDING/MAINTAINING THE LOCAL TOBACCO CONTROL INFRASTRUCTURE. PARKVIEW HOSPITAL, INC. IS ALSO A SOURCE OF SMOKING CESSATION PROGRAMS AND OPERATES A TOBACCO-FREE CAMPUS. IN ADDITION, PARKVIEW HOSPITAL, INC. HOLDS A PROGRAM, NICOTINE FREE FOR BABY AND ME CLASSES TO HELP PREGNANT WOMEN TO QUIT SMOKING. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PARKVIEW MED PARK 11 OP PHARMACY | ||||
| 11104 PARKVIEW CIRCLE DR | FORT WAYNE | IN | 46845 | OP PHARMACY |
| 2 - PARKVIEW CANCER INSTITUTE LAB | ||||
| 11104 PARKVIEW CIRCLE DR | FORT WAYNE | IN | 46845 | LAB DRAW |
| 3 - CAREW MEDICAL PARK LAB | ||||
| 1818 CAREW ST | FORT WAYNE | IN | 46805 | LAB DRAW |
| 4 - BRYAN OH LAB | ||||
| 442 W HIGH ST | BRYAN | OH | 43506 | LAB DRAW |
| 5 - LIMA ROAD FAMILY MEDICINE LAB | ||||
| 11055 TWIN CREEKS COVE | FORT WAYNE | IN | 46804 | LAB DRAW |
| 6 - ST JOE ROAD LAB SERVICES | ||||
| 5693 YMCA PARK DR | FORT WAYNE | IN | 46835 | LAB DRAW |
| 7 - NORTH CLINTON LAB | ||||
| 5104 NORTH CLINTON | FORT WAYNE | IN | 46825 | LAB DRAW |
| 8 - OP THERAPY PRMC MOB11 | ||||
| 11104 PARKVIEW CIRCLE DR SUITE 050 | FORT WAYNE | IN | 46845 | OP THERAPY |
| 9 - ARCHBOLD OH LAB | ||||
| 121 WESTFIELD DR | ARCHBOLD | OH | 43502 | LAB DRAW |
| 10 - PRMC MOB2 OB-GYN LAB | ||||
| 111123 PARKVIEW PLAZA SUITE 101 | FORT WAYNE | IN | 46845 | LAB DRAW |
| 11 - MONTPELIER OH LAB | ||||
| 935 SNYDER | MONTPELIER | OH | 43543 | LAB DRAW |
| 12 - WAUSEON OH LAB | ||||
| 495 S SHOOP AVE | WAUSEON | OH | 43567 | LAB DRAW |
| 13 - PARKVIEW RESEARCH CENTER | ||||
| 10622 PARKVIEW PLAZA DR | FORT WAYNE | IN | 46845 | CLINICAL RESEARCH |
| 14 - WAYNEDALE TEMPLE LAB | ||||
| 8607 TEMPLE DR | FORT WAYNE | IN | 46809 | LAB DRAW |
| 15 - CAREW CENTER OB-GYN LAB | ||||
| 2414 EAST STATE | FORT WAYNE | IN | 46805 | LAB DRAW |
| 16 - GRABILL MAIN LAB | ||||
| 13430 MAIN ST | GRABILL | IN | 46741 | LAB DRAW |
| 17 - PARKVIEW CENTER FOR HEALTHY LIVING | ||||
| 1234 E DUPONT RD SUITE 2 | FORT WAYNE | IN | 46845 | HEALTH AND WELLNESS |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE. |
| 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 7BPARKVIEW HOSPITAL, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, 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 7CPARKVIEW HOSPITAL, INC. ACCEPTS ALL CERTAIN MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED 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 HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP 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 7HAMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO SUPPORT THE RESEARCH CONDUCTED BY THE PARKVIEW RESEARCH CENTER. SPEND IS BASED ON THE OPERATING EXPENSES ASSOCIATED WITH RESEARCH ACTIVITIES OVER AND ABOVE GRANTS AND OTHER REVENUE RECEIVED BY THE CENTER.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARKVIEW 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 EXPENSEPARKVIEW HOSPITAL, INC. EXCLUDED $227,765,864 OF PH CLINICAL SUPPORT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTES THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.ECONOMIC DEVELOPMENT:PARKVIEW HOSPITAL, INC. HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF OUR COMMUNITY AND THE NORTHEAST INDIANA REGION. THE HOSPITAL INVESTS IN PROJECTS THAT HELP TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF THE COMMUNITY. SOME OF THIS WORK IS ACCOMPLISHED THROUGH PARTICIPATION AND FINANCIAL SUPPORT OF ORGANIZATIONS THAT ARE PRIMARILY FOCUSED ON ECONOMIC DEVELOPMENT ACTIVITIES, E.G., THE REGIONAL CHAMBER OF NORTHEAST INDIANA. THE MISSION OF THIS ORGANIZATION IS "TO PROMOTE AN ENVIRONMENT IN WHICH INDIVIDUALS, BUSINESSES AND COMMUNITIES CAN THRIVE IN A GLOBAL ECONOMY." SERVING AS AN ADVOCATE FOR BUSINESS IN AN ELEVEN-COUNTY AREA, THEIR FOCUS IS ON WORKFORCE TALENT, A COMPETITIVE BUSINESS CLIMATE, RURAL INVESTMENT AND WORLD CLASS INFRASTRUCTURE. |
| 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 12 AND 23 - 26 OF ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARKVIEW HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE 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 MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARKVIEW HOSPITAL, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARKVIEW HOSPITAL, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION. |
| 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, PARKVIEW 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. PARKVIEW 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.THE FACILITIES OF PARKVIEW HOSPITAL, INC., CONSISTING OF THE PARKVIEW REGIONAL MEDICAL CENTER, PARKVIEW HOSPITAL RANDALLIA AND THE PARKVIEW BEHAVIORAL HEALTH INSTITUTE, ARE LOCATED IN ALLEN COUNTY. ACCORDING TO STATS INDIANA, ALLEN COUNTY, OR MORE SPECIFICALLY FORT WAYNE, INDIANA, IS THE LARGEST URBAN AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 382,187. IN ADDITION, CONDUENT HEALTHY COMMUNITIES INSTITUTE REPORTS THE MEDIAN INCOME OF ALLEN COUNTY RESIDENTS IS APPROXIMATELY $54,857, WITH 13.3% LIVING BELOW THE FEDERAL POVERTY LEVEL (2015-2019). APPROXIMATELY 89.4% OF ALLEN COUNTY RESIDENTS HAVE HEALTH INSURANCE (2019).ACCORDING TO THE INDIANA HOSPITAL ASSOCIATION DIMENSIONS DATABASE, PARKVIEW HOSPITAL, INC. FACILITIES (PARKVIEW HOSPITAL RANDALLIA, PARKVIEW REGIONAL MEDICAL CENTER AND PARKVIEW BEHAVIORAL HEALTH) IN ALLEN COUNTY HAD 29.3% OF INPATIENT DISCHARGES THAT WERE MEDICAID PATIENTS AND 3% WERE SELF-PAY. FOR OUTPATIENT PROCEDURES, 21.1% WERE MEDICAID PATIENTS, AND 2.9% PERCENT WERE SELF-PAY (2021). ALLEN COUNTY IS ALSO SERVED BY LUTHERAN HEALTH NETWORK, A FOR-PROFIT HEALTH SYSTEM OPERATING THREE HOSPITAL FACILITIES IN ALLEN COUNTY. HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS:ALLEN COUNTY:1) DISCIPLINE: MENTAL HEALTHHPSA ID: 7183515359HPSA NAME: MHCA 20DESIGNATION TYPE: HIGH NEEDS GEOGRAPHIC HPSAHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL2) DISCIPLINE: PRIMARY CAREHPSA ID: 7189991824HPSA NAME: NEIGHBORHOOD HEALTH CLINIC INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERHPSA SCORE: 20STATUS: DESIGNATEDRURAL STATUS: NON-RURAL3) DISCIPLINE: PRIMARY CAREHPSA ID: CITY OF FORT WAYNEHPSA NAME: CITY OF FORT WAYNEDESIGNATION TYPE: HIGH NEEDS GEOGRAPHIC HPSAHPSA SCORE: 5STATUS: DESIGNATEDRURAL STATUS: NON-RURALPARKVIEW AND THE NEIGHBORHOOD HEALTH CLINIC OPERATE A SATELLITE LOCATION IN SOUTHEAST FORT WAYNE (PARKVIEW NEIGHBORHOOD HEALTH CLINIC). IN ADDITION TO THE CLINIC, THE FACILITY HOUSES THE PARKVIEW CENTER FOR HEALTHY LIVING, WHICH PROVIDES HEALTH PREVENTION EDUCATION AND OTHER SERVICES TO PROMOTE HEALTHY LIVING PRACTICES TO THE LOCAL UNDERSERVED POPULATION. ALSO, LOCATED IN FORT WAYNE, A FREE MEDICAL, DENTAL AND VISION CLINIC, MATTHEW 25, SERVES UNINSURED, LOW-INCOME INDIVIDUALS IN NORTHEAST INDIANA AND NORTHWEST OHIO. PARKVIEW HOSPITAL, INC. LOCATED WITHIN LAFAYETTE MEDICAL CENTER IN FORT WAYNE, INDIANA, ALLIANCE HEALTH CENTERS PROVIDES PRIMARY MEDICAL AND BEHAVIORAL HEALTH CARE FOR PATIENTS OF ALL AGES, REGARDLESS OF ABILITY TO PAY.PARK CENTER, INC., AN AFFILIATE OF PARKVIEW HEALTH SYSTEM, INC., OFFERS AN ARRAY OF COMPREHENSIVE AND INDIVIDUALIZED INPATIENT AND OUTPATIENT TREATMENT SERVICES TO MEET THE MENTAL HEALTH NEEDS OF THE SERVICE AREA. PARK CENTER'S LOCATIONS ARE STRATEGICALLY PLACED THROUGHOUT THE DOWNTOWN AREA OF FORT WAYNE, INDIANA. |
| 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.).PARKVIEW 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 PARKVIEW 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 PARKVIEW HOSPITAL, INC., ACHIEVING THIS STANDARD OF CARE REQUIRES FURTHERING RESEARCH, PROMOTING EDUCATION, ADVANCING CLINICAL CARE AND BUILDING A STRONG COMMUNITY. FOUNDED IN 1993, THE PARKVIEW RESEARCH CENTER HAS BROUGHT MORE THAN 150 CLINICAL TRIALS TO PATIENTS AND PROVIDERS FOR NOVEL AND POTENTIALLY LIFE-SAVING TREATMENT. OUR MAJOR FOCUS HAS BEEN PHASE II AND PHASE III SPONSORED CLINICAL TRIALS. 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. THE STUDENT EDUCATION AND RESEARCH FELLOWSHIP (SERF) PROGRAM (FORMERLY THE MIDWEST ALLIANCE FOR HEALTH EDUCATION) WAS ESTABLISHED MORE THAN 30 YEARS AGO AND CONTINUES TO SERVE THE SURROUNDING REGION. WITHIN THIS FELLOWSHIP PROGRAM, STUDENTS ARE IN-RESIDENCE FOR A PERIOD OF NINE WEEKS, LEARNING ABOUT RESEARCH AND INTERACTING WITH PARKVIEW PHYSICIANS ON ONGOING RESEARCH STUDIES. STUDENTS GAIN BASIC SKILLS FOR THE CONDUCT OF RESEARCH AND DISSEMINATE THEIR WORK THROUGH A POSTER OR PODIUM PRESENTATION AT THE END OF THE PROGRAM.TO PROVIDE OPPORTUNITIES THAT WILL OPEN NEW DOORS AND POTENTIALLY REVOLUTIONIZE HEALTHCARE AND SAVE LIVES, THE PARKVIEW RESEARCH CENTER IS HOUSED WITHIN THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION. THIS $20 MILLION, 84,000-SQUARE-FOOT FACILITY LOCATED ON THE NORTH FORT WAYNE CAMPUS FEATURES MORE SPACE FOR RESEARCH, INNOVATION, AND EDUCATION. EDUCATION TAKES MANY FORMS AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION. FOR EXAMPLE, THROUGHOUT THE YEAR, MEDICAL PROFESSIONALS IN THE COMMUNITY CAN ATTEND MEDICAL SYMPOSIUMS OFFERED BY THE HOSPITAL'S CONTINUING EDUCATION DEPARTMENT. EDUCATION ALSO TAKES PLACE THROUGH THE ADDITION OF A STATE-OF-THE-ART MEDICAL SIMULATION LAB FEATURING SOME OF THE MOST ADVANCED MEDICAL SIMULATION TECHNOLOGY AVAILABLE TODAY. INDIVIDUAL PHYSICIANS AS WELL AS TEAMS OF CLINICAL PROFESSIONALS TRAIN IN ONE OF THREE LABS EQUIPPED WITH HIGH-FIDELITY MEDICAL MANNEQUINS. THE MEDICAL SIMULATION LAB ALSO FEATURES ADVANCED VIRTUAL REALITY SYSTEMS THAT PROVIDE TRAINING ON ENDOVASCULAR, LAPAROSCOPIC AND PULMONARY PROCEDURES.AS A STEWARD OF CONTINUING EDUCATION AND IMPROVING HEALTHCARE DELIVERY, PARKVIEW HOSPITAL, INC. VIA THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION, FOUND A WAY TO TAKE THE LEARNING EXPERIENCE OFFERED AT THE ADVANCED SIMULATION LAB BEYOND ITS WALLS AND INTO THE COMMUNITY. IN DOING SO, AN AMBULANCE DONATED BY THE WABASH FIRE DEPARTMENT WAS FITTED WITH MEDICAL SIMULATION TECHNOLOGY TO CREATE THE PARKVIEW ADVANCED MOBILE MEDICAL SIMULATION LAB. IT FEATURES HIGH-FIDELITY MANNEQUINS AND A DEDICATED TEAM OF TECHNICIANS WHO ENABLE THE MOBILE UNIT TO SIMULATE REALISTIC CARDIAC EVENTS, AMPUTATION, CRUSH INJURIES, MATERNAL/FETAL ISSUES, AIRWAY, MEDICAL RESCUES AND OTHERS. THIS ADVANCEMENT ALLOWS FOR MORE HEALTHCARE PROVIDERS AND FIRST RESPONDERS IN THE REGION TO DEVELOP AND EXPAND THEIR SKILL SET WITHIN AN INTERACTIVE, SAFE LEARNING ENVIRONMENT.THE HEALTH SYSTEM CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH PARTNERSHIPS BETWEEN PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND LOCAL UNIVERSITIES ON THE NORTH FORT WAYNE CAMPUS, AS WELL AS DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM ON THE RANDALLIA CAMPUS. THE CONSORTIUM IS A COLLABORATION BETWEEN THE HOSPITAL, TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY, AND PROVIDES ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE OFFERED, THUS ADDRESSING SIGNIFICANT WORKFORCE GAPS AND SPECIALTY CARE ACCESS NEEDS IN THE COMMUNITY. TO KEEP UP WITH THE DEMAND FOR HEALTH SERVICES OF THE CITY'S GROWING DOWNTOWN AREA, $55 MILLION WAS ALLOCATED TO IMPROVE THE PARKVIEW RANDALLIA CAMPUS. SOME OF THE IMPROVEMENTS INCLUDE AN EXPANDED INTENSIVE CARE UNIT, UPDATED AND REMODELED FAMILY BIRTHING CENTER, STATE-OF-THE-ART OPERATING THEATERS, SERVICE IMPROVEMENTS, CARDIAC CATHETERIZATION LAB AND OTHER RENOVATIONS TO THE FACILITY'S EXTERIOR. CURRENTLY THE PARKVIEW RANDALLIA CAMPUS IS ADDING A 20-BED MEDICAL SURGICAL FLOOR ON ITS SIXTH FLOOR AND AN ADDITIONAL 10-BEDS IN BOTH THE EAST AND SOUTH UNIT OF THE HOSPITAL. THIS PROJECT IS EXPECTED TO BE COMPLETED IN SUMMER 2022. THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS IS HOME TO THE PARKVIEW CANCER INSTITUTE, A 108,000 SQ. FT., $100 MILLION STATE-OF-THE-ART FACILITY USES AN INNOVATIVE PATIENT-CENTERED APPROACH TO CANCER CARE. CARE INCLUDES AN INTERDISCIPLINARY CLINICAL TEAM AND A PERSONAL CARE NAVIGATION PROGRAM. ALL CANCER-RELATED SERVICES ARE UNDER ONE ROOF REGARDLESS OF PATIENT NEEDS RELATED TO PREVENTION, TREATMENT OR AFTERCARE. EXPANSIVE COMMON AREAS WITH INDOOR GARDENS SEPARATE NON-CLINICAL SPACE FROM CLINICAL AREAS, AND INVITE PATIENTS AND THEIR FAMILIES TO TAKE RESPITE HERE.PARKVIEW REGIONAL MEDICAL CENTER EXPANDED ITS SOUTH TOWER RECENTLY IN RESPONSE TO A GROWING NUMBER OF PEOPLE WHO CONTINUE TO CHOOSE PARKVIEW AS THEIR PREFERRED PROVIDER FOR CARE. THIS $98 MILLION EXPANSION IS NECESSARY AS PARKVIEW HOSPITAL, INC. HAD INSUFFICIENT INPATIENT BED CAPACITY TO MEET THE GROWING DEMAND. THIS SURPLUS WILL NOT ONLY ALLOW FOR FUTURE EXPANSION PLANS BUT WILL ALSO CONTINUE TO SUPPORT PROJECTED INPATIENT DEMAND AND AMBULATORY CARE GROWTH.THE EXPANSION CONSISTS OF CONSTRUCTION OF A SIX-STORY, 168,000-SQUARE-FOOT MEDICAL TOWER. THE NEW TOWER WILL ALLOW THE HOSPITAL TO ADD 120 NEW INPATIENT BEDS AND 100 NEW CLINICAL POSITIONS, WITH ROUGHLY 63,000 SQUARE FEET OF ADDITIONAL SPACE. CURRENTLY IN OPERATION ARE THE SIXTH FLOOR (MEDICAL/SURGICAL AND PROGRESSIVE CARE), FIFTH FLOOR (GI/GU/GYN), FOURTH FLOOR (ONCOLOGY), THIRD FLOOR (3 MEDICAL), SECOND FLOOR (NEUROLOGY), FIRST FLOOR (A NEW EMERGENCY DEPARTMENT ENTRANCE AND A PATIENT DISCHARGE LOUNGE) AND THE LOWER LEVEL (MAINTENANCE AREAS).PARKVIEW HOSPITAL, INC. IS DEDICATED TO THE INVESTMENT OF TIME AND RESOURCES IN THE PROCESS AND CHALLENGES OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY. THROUGH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE COMPRISED OF COMMUNITY LEADERS, MEMBERS OF THE PARKVIEW HOSPITAL, INC. BOARD OF DIRECTORS AND HOSPITAL MANAGEMENT, THE COMMUNITY HEALTH IMPROVEMENT PROGRAM PROACTIVELY SEEKS TO BUILD COMMUNITY PARTNERSHIPS AND COLLABORATIONS TO PROMOTE HEALTH AND ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. OUR GOAL IS TO UTILIZE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE HEALTH STATUS, PARTICULARLY FOR THE UNDERSERVED. PARKVIEW HOSPITAL, INC. SUPPORTS THESE COMMUNITY HEALTH IMPROVEMENT EFFORTS THROUGH A COMMITMENT OF UP TO 10 PERCENT OF ITS NET INCOME ON AN ANNUAL BASIS.SEVERAL LOCAL HEALTH PARTNERS ASSIST IN IMPROVING ACCESS TO HEALTHCARE. MATTHEW 25 HEALTH AND DENTAL CLINIC, NEIGHBORHOOD HEALTH CLINIC, ALLIANCE HEALTH CENTER, NORTHEAST INDIANA POSITIVE RESOURCE CONNECTION (FORMERLY THE AIDS TASK FORCE), A HOPE CENTER (PREGNANCY CENTER), THE RESCUE MISSION (HOMELESS SHELTER) AND BRIGHTPOINT COVERING KIDS AND FAMILIES ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL PROVIDES FUNDING TO COMMUNITY TRANSPORTATION NETWORK AS THEY PROVIDE MEDICAL TRANSPORTATION FOR THE SENIOR, DISABLED AND LOW-INCOME POPULATIONS THROUGHOUT THE COMMUNITY.(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.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC. EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES AND SUPPORTS THEIR RESPECTIVE COUNTY THROUGH INVESTMENTS OF COMMUNITY HEALTH IMPROVEMENT FUNDING AND PROGRAMMING 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 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES A BOARD OF DIRECTORS, WHICH 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, AT ALL TIMES, BE CONSIDERED TO BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE. 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 PROMOTE 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 IN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS IN AN EFFORT 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.).INITIATIVES ADDRESSING THE HOSPITAL'S CURRENT HEALTH PRIORITIES INCLUDE SCHOOL-BASED NUTRITION AND ACTIVE LIFESTYLE CURRICULUMS/PROGRAMS; PARKVIEW'S COMMUNITY GREENHOUSE AND LEARNING KITCHEN PROGRAMMING; MATERNAL/INFANT INTERVENTION PROGRAMS; AND A BEHAVIORAL HEALTHCARE NAVIGATOR PROGRAM. THE HOSPITAL ALSO FUNDS AND MANAGES AN INTEGRATED COMMUNITY-BASED NURSING PROGRAM. THESE REGISTERED NURSES, ALONG WITH A REGISTERED RESPIRATORY THERAPIST AND COMMUNITY HEALTH WORKERS, DELIVER EDUCATION AND SERVICES OUTSIDE THE WALLS OF OUR FACILITIES TO ADDRESS COMMUNITY HEALTH ISSUES, ENGAGE VULNERABLE FAMILIES AND PROMOTE HEALTH IN POPULATIONS WHO ARE OTHERWISE UNDERSERVED BY THE TRADITIONAL HEALTHCARE SYSTEM. OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE MEDICATION ASSISTANCE, MOBILE MAMMOGRAPHY SERVICES, PEDIATRIC CARE MOBILE UNIT AND INJURY PREVENTION EDUCATION. AS A PART OF PROMOTING HEALTHY LIVING, THE HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE WAS DEVELOPED AS A COLLABORATION BETWEEN PARKVIEW HOSPITAL, INC., AND ST. JOSEPH COMMUNITY HEALTH FOUNDATION. IT CONSISTS OF THREE COMPONENTS, INCLUDING 1) OUR HEALING KITCHEN, A HEALTHY FOOD PREPARATION COURSE, 2) THE OPERATION OF MULTIPLE HEAL FARMERS MARKETS, WHERE SNAP AND WIC/SENIOR VOUCHERS ARE DOUBLED, AND 3) SUPPORT OF THE GATE (GROWTH IN AGRICULTURE THROUGH EDUCATION) URBAN GARDEN. THE HEAL PROGRAM ADDRESSES FOOD INSECURITY IN FOOD DESERT NEIGHBORHOODS ACROSS ALLEN COUNTY BY IMPROVING ACCESS TO FRESH, LOCAL PRODUCE AND PROVIDING EDUCATION ON FOOD PREPARATION AND PRESERVATION.THE PARKVIEW GREENHOUSE AND LEARNING KITCHEN IS LOCATED ON THE PARKVIEW BEHAVIORAL HEALTH INSTITUTE CAMPUS, WHICH IS A FEDERALLY DESIGNATED FOOD DESERT AREA. THIS FACILITY SERVES AS A HUB FOR PARKVIEW'S NUTRITION-RELATED OUTREACH EDUCATION PROGRAMS AND THE VEGGIERX PRODUCE PRESCRIPTION PROGRAM. THE PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN OFFERS FOOD TASTINGS, COOKING DEMONSTRATIONS AND HANDS-ON COOKING CLASSES, WHICH SERVE TO EDUCATE COMMUNITY MEMBERS ON WAYS TO SHOP FOR, PREPARE, STORE AND USE FRESH FOODS. CLASSES ARE TYPICALLY HELD WEEKLY AND ARE PROVIDED AT NO COST TO THE COMMUNITY. THE VEGGIERX PRODUCE PRESCRIPTION PROGRAM PROMOTES ACCESS TO HEALTHY FOODS FOR INDIVIDUALS IDENTIFIED AS FOOD INSECURE OR FOR UNDERSERVED COMMUNITY MEMBERS WITH CHRONIC DISEASE. VEGGIERX PROGRAM PARTICIPANTS ARE PROVIDED PRODUCE VOUCHERS THAT CAN BE USED AT LOCAL FARM MARKETS AS WELL AS HEALTHY LIVING EDUCATION, FOOD PREPARATION GUIDANCE, AND RECIPES.THE YEAR OF 2021 PRESENTED PARKVIEW HEALTH SYSTEM, INC. WITH MANY NEW CHALLENGES WITH THE SPREAD OF COVID-19 THROUGHOUT THE UNITED STATES. PARKVIEW HOSPITAL, INC. WAS AT THE CENTER OF THIS EFFORT ALONG WITH PARKVIEW HEALTH SYSTEM, INC., TREATING 70% OF THE REGIONS TOTAL COVID-19 PATIENT POPULATION. HOWEVER, BECAUSE OF THE HEALTH SYSTEM'S GROWTH AND PREPAREDNESS FOR SUCH TRYING TIMES, PARKVIEW WAS ABLE TO STEP UP AND OFFER MANY ADDITIONAL RESOURCES TO THE COMMUNITY. AS THE REGION'S LARGEST EMPLOYER, PARKVIEW HEALTH UNDERSTANDS THE COMPLEXITY OF MAINTAINING NORMAL BUSINESS OPERATIONS DURING A PANDEMIC. TO HELP, PARKVIEW DEVELOPED A PLATFORM TITLED BUSINESS CONNECT, WHICH IS A RESOURCE FOR AREA EMPLOYERS AND COMMUNITY PARTNERS TRYING TO MEET THE CHALLENGES BROUGHT BY COVID-19 WHILE PROTECTING THEIR EMPLOYEES' HEALTH AND SAFETY. BUSINESS CONNECT SHARES BEST PRACTICES, VALUABLE RESOURCES AND UP-TO-DATE GUIDANCE NEEDED TO OPERATE YOUR BUSINESS.IN 2021, PARKVIEW HELD 16 COMMUNITY-BASED COVID-19 VACCINE CLINICS TARGETING VULNERABLE POPULATIONS. PARKVIEW ALSO ESTABLISHED TWO TEMPORARY COMMUNITY VACCINE CLINICS AVAILABLE AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND AT THE FIRST CARE CLINIC ON NEW VISION DRIVE. THESE CLINICS WERE SET UP WITH AREAS FOR SYMPTOM SCREENING, REGISTRATION, VACCINATION, AND POST-INJECTION OBSERVATION. TOGETHER, THESE LOCATIONS DELIVERED A TOTAL OF 155,202 VACCINES. PARKVIEW ALSO OFFERED SEVERAL POP-UP CLINICS WITHIN ALLEN COUNTY THAT DELIVERED 610 VACCINES. OTHER CLINICS A PART OF NORMAL OPERATIONS (PPG AND OCCUPATIONAL HEALTH) DELIVERED 6,115 VACCINES. PARKVIEW HOSPITAL WAS AWARDED THE FOLLOWING ACCOLADES DURING 2021:APRIL 2021 - PARKVIEW HEALTH ACHIEVES ACCREDITATION FROM METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT EFFORT OF THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). PARKVIEW'S BARIATRIC SURGERY PROGRAM OPERATES UNDER PARKVIEW PHYSICIANS GROUP (PPG) - WEIGHT MANAGEMENT AND BARIATRIC SURGERY, AND PROCEDURES ARE COMPLETED AT PARKVIEW REGIONAL MEDICAL CENTER.JUNE 2021 - PARKVIEW HEALTH HOSPITALS RECOGNIZED WITH NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION BY THE NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION PROGRAM FOR THEIR COMMITMENT TO BEST PRACTICES AND EDUCATION ON INFANT SAFE SLEEP. |
| PART V, SECTION B, LINE 19: | DISCLOSURE STATEMENT FOR CORRECTION SECTION 501(R) OMISSIONS, ERRORS AND OTHER FAILURES PURSUANT TO INTERNAL REVENUE SERVICE REVENUE PROCEDURE 2015-21. IN JANUARY AND FEBRUARY 2021, THE ORGANIZATION'S INTERNAL AUDIT DEPARTMENT PERFORMED A COMPREHENSIVE REVIEW OF ALL APPLICABLE POLICIES AND PRACTICES UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE AND THE TREASURY REGULATIONS ISSUED THEREUNDER. THE AUDIT PERIOD WAS AUGUST 1, 2020, THROUGH DECEMBER 31, 2020. AS A RESULT OF THE AUDIT, MINOR POLICY CHANGES WERE MADE, AND MINOR PROCEDURAL CHANGES RELATED TO SECTION 501(R) COMPLIANCE WERE IMPLEMENTED.ALSO, IT WAS DETERMINED THAT 292 PATIENT ACCOUNTS WERE PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS-THAN-100% FINANCIAL ASSISTANCE, WERE NOT NOTIFIED REGARDING THE WAY TO APPLY FOR MORE GENEROUS ASSISTANCE UNDER THE FAP AND WERE INADVERTENTLY SUBJECT TO ADVERSE CREDIT REPORTING. THE ADVERSE CREDIT REPORTING, HOWEVER, WAS IMMEDIATELY REMOVED IN MAY 2021. IN ADDITION TO THE FINANCIAL ASSISTANCE NOTIFICATION ON ALL PATIENT STATEMENTS, THE HOSPITAL FACILITY INSTITUTED PROCEDURES TO PROVIDE WRITTEN NOTICE TO PATIENTS WHO RECEIVE PARTIAL PRESUMPTIVE FINANCIAL ASSISTANCE THAT INFORMS THE INDIVIDUAL REGARDING THE BASIS FOR THE PRESUMPTIVE FAP ELIGIBILITY DETERMINATION AND THE WAY TO APPLY FOR MORE GENEROUS ASSISTANCE DURING THE APPLICATION PERIOD. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| EARLY CHILDHOOD ALLIANCE INC | ||||||||
| 3800 NORTH ANTHONY | FORT WAYNE | IN | 46805 | 350953465 | 501(C)(3) | $408,298 | $0 | SUBSIDY FOR EARLY CHILDHOOD DEVELOPMENT & EDUCATION PROGRAMS |
| MATTHEW 25 INC | ||||||||
| 413 EAST JEFFERSON BLVD | FORT WAYNE | IN | 46802 | 351484951 | 501(C)(3) | $268,261 | $0 | HEALTHCARE SERVICES FOR UNINSURED, LAB SERVICES PROVIDED FOR MATTHEW 25 HEALTH CLINIC |
| UNIVERSITY OF SAINT FRANCIS OF FORT WAYNE INDIANA INC | ||||||||
| 2701 SPRING STREET | FORT WAYNE | IN | 46808 | 350886846 | 501(C)(3) | $200,000 | $0 | SCHOOL OF NURSING |
| NEIGHBORHOOD HEALTH CLINICS INC | ||||||||
| 1717 SOUTH CALHOUN STREET | FORT WAYNE | IN | 46802 | 351922483 | 501(C)(3) | $115,000 | $0 | HEALTHCARE SERVICES FOR UNINSURED AND UNDERINSURED |
| INDIANA UNIVERSITY FOUNDATION INC | ||||||||
| PO BOX 500 | BLOOMINGTON | IN | 47402 | 356018940 | 501(C)(3) | $75,000 | $0 | SCHOLARSHIPS - INDIANA UNIVERSITY SCHOOL OF MEDICINE-FORT WAYNE |
| ST JOSEPH COMMUNITY HEALTH FOUNDATION INC | ||||||||
| 347 W BERRY STREET SUITE 101 | FORT WAYNE | IN | 46802 | 311016570 | 501(C)(3) | $68,282 | $0 | HEALTHY EATING ACTIVE LIVING PROGRAM |
| FORENSIC NURSING SPECIALTIES INC DBA FORT WAYNE SEXUAL ASSAULT TREATMENT | ||||||||
| 1420 KERRWAY COURT | FORT WAYNE | IN | 46805 | 351943648 | 501(C)(3) | $50,000 | $0 | MEDICAL FORENSIC CARE PROGRAM |
| NORTHEAST INDIANA CHRISTIAN ACTION COUNCIL EDUCATION & CHARITABLE FUND | ||||||||
| 3630 HOBSON ROAD | FORT WAYNE | IN | 46805 | 311113254 | 501(C)(3) | $45,000 | $0 | SERVICES FOR PREGNANT WOMEN |
| NORTHEAST INDIANA POSITIVE RESOURCE CONNECTION INC | ||||||||
| 525 OXFORD STREET | FORT WAYNE | IN | 46806 | 311191147 | 501(C)(3) | $45,000 | $0 | COMPREHENSIVE SERVICES PROGRAM FOR THOSE WITH AIDS |
| CANCER SERVICES OF ALLEN COUNTY INC | ||||||||
| 6316 MUTUAL DRIVE | FORT WAYNE | IN | 46825 | 350965609 | 501(C)(3) | $40,000 | $0 | ADVOCATE PROGRAM FOR THOSE WITH A CANCER DIAGNOSIS |
| MENTAL HEALTH AMERICA IN ALLEN COUNTY INC | ||||||||
| 1025 WEST RUDISILL - BOX 8 | FORT WAYNE | IN | 46807 | 461326514 | 501(C)(3) | $40,000 | $0 | SUPPORT FOR INDIVIDUALS FACING MENTAL HEALTH CHALLENGES |
| COMMUNITY ACTION OF NORTHEAST INDIANA INC DBA BRIGHTPOINT | ||||||||
| 227 EAST WASHINGTON BOULEVARD | FORT WAYNE | IN | 46853 | 351111819 | 501(C)(3) | $35,000 | $0 | HEALTH INSURANCE ENROLLMENT PROGRAM |
| COMMUNITY TRANSPORTATION NETWORK INC | ||||||||
| 5601 INDUSTRIAL ROAD | FORT WAYNE | IN | 46825 | 352109955 | 501(C)(3) | $35,000 | $0 | MEDICAL TRANSPORTATION PROGRAM FOR THE UNDERSERVED |
| AMERICAN HEART ASSOCIATION INC | ||||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $30,000 | $0 | HEART DISEASE RESEARCH AND SERVICES FOR THOSE WITH HEART DISEASE |
| TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES INC | ||||||||
| 3320 NORTH CLINTON STREET | FORT WAYNE | IN | 46805 | 350913541 | 501(C)(3) | $30,000 | $0 | THERAPY AND WELLNESS PROGRAMS FOR DISABLED CHILDREN & ADULTS |
| PARKVIEW FOUNDATION INC | ||||||||
| 3844 NEW VISION DR | FORT WAYNE | IN | 46845 | 237220589 | 501(C)(3) | $29,991 | $0 | PROGRAM FUNDS |
| COMMUNITY HARVEST FOOD BANK OF NORTHEAST INDIANA INC | ||||||||
| PO BOX 10967 | FORT WAYNE | IN | 46855 | 311100607 | 501(C)(3) | $15,000 | $0 | OPERATIONS & PROGRAMS PROVIDING FOOD TO LOW-INCOME INDIVIDUALS & FAMILIES |
| HEALTHIER MOMS AND BABIES | ||||||||
| 215 E BERRY STREET | FORT WAYNE | IN | 46802 | 834507606 | 501(C)(3) | $15,000 | $0 | CASE MANAGEMENT PROGRAM FOR AT-RISK PREGNANT WOMEN |
| SUPER SHOT INC | ||||||||
| 1515 HOBSON ROAD | FORT WAYNE | IN | 46805 | 352122575 | 501(C)(3) | $15,000 | $0 | TO EDUCATE, PROMOTE VACCINATION AND INCREASE AVENUES FOR IMMUNIZATIONS FOR ALL CHILDREN IN ALLEN COUNTY AND SURROUNDING COMMUNITIES |
| A MOTHERS HOPE INC | ||||||||
| 13622 WALKER MILL | GRABILL | IN | 46741 | 472760786 | 501(C)(3) | $11,000 | $0 | HOMELESS SHELTER FOR PREGNANT WOMEN |
| HUMAN AGRICULTURAL COOPERATIVE INC | ||||||||
| 4617 BARRINGTON DRIVE | FORT WAYNE | IN | 46806 | 841916240 | 501(C)(3) | $11,000 | $0 | YOUTH FARMING PROGRAM |
| YMCA OF GREATER FORT WAYNE | ||||||||
| 347 W BERRY STREET SUITE 500 | FORT WAYNE | IN | 46802 | 350886850 | 501(C)(3) | $10,000 | $0 | DIABETES PREVENTION PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 22 | 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) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Personal Services | Yes (X) | PersonalServicesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | 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 (30 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 | ||||||||||||||
| PH PRESIDENT & CEO | $0 | $1,220,966 | $0 | $259,085 | $0 | $557,555 | $0 | $292,805 | $0 | $33,268 | $0 | $2,363,679 | $0 | $507,042 |
| JEANNE' WICKENS | ||||||||||||||
| PH CHIEF FINANCIAL OFFICER | $0 | $770,820 | $0 | $142,288 | $0 | $146,528 | $0 | $320,169 | $0 | $29,811 | $0 | $1,409,616 | $0 | $124,406 |
| MICHAEL MIRRO | ||||||||||||||
| PVHOS CARO | $493,642 | $0 | $77,236 | $0 | $189,226 | $0 | $118,017 | $0 | $8,315 | $0 | $886,436 | $0 | $169,726 | $0 |
| BENJAMIN MILES | ||||||||||||||
| FORMER OFFICER/CURRENT HPS PRESIDENT | $0 | $549,221 | $0 | $83,196 | $0 | $55,142 | $0 | $20,300 | $0 | $35,940 | $0 | $743,799 | $0 | $52,607 |
| SATISH VELAGAPUDI | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | $48,182 | $550,210 | $0 | $62,153 | $0 | $27,356 | $2,234 | $29,666 | $1,408 | $18,689 | $51,824 | $688,074 | $0 | $0 |
| CHARLES CLARK | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT BHI PRES | $0 | $231,940 | $0 | $36,260 | $0 | $334,226 | $0 | $69,695 | $0 | $24,581 | $0 | $696,702 | $0 | $324,171 |
| MICHAEL YURKANIN | ||||||||||||||
| PVHOS CMO | $369,077 | $85,901 | $1,250 | $19,600 | $1,497 | $23,287 | $62,836 | $21,764 | $26,383 | $9,138 | $461,043 | $159,690 | $0 | $0 |
| JOHN BOWEN | ||||||||||||||
| DIRECTOR/PVHOS PRESIDENT | $400,886 | $0 | $61,250 | $0 | $24,536 | $0 | $82,500 | $0 | $35,187 | $0 | $604,359 | $0 | $23,170 | $0 |
| MICHAEL GERUE | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | $0 | $306,618 | $0 | $47,590 | $0 | $29,470 | $0 | $87,319 | $0 | $35,845 | $0 | $506,842 | $0 | $27,017 |
| ERIN LACROSS | ||||||||||||||
| DIRECTOR-PARTIAL YR/PH SVP NPD | $43,914 | $245,478 | $43,384 | $1,250 | $27,556 | $0 | $25,290 | $54,328 | $8,099 | $17,398 | $148,243 | $318,454 | $26,561 | $0 |
| MARLON WARDLOW | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | $0 | $261,794 | $0 | $44,000 | $0 | $44,368 | $0 | $68,750 | $0 | $36,517 | $0 | $455,429 | $0 | $23,399 |
| ABHIJIT SHUKLA | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | $48,263 | $289,724 | $0 | $13,955 | $0 | $25,692 | $3,336 | $22,764 | $4,205 | $28,695 | $55,804 | $380,830 | $0 | $0 |
| MARCELINE ROGERS | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | $0 | $268,659 | $0 | $43,354 | $0 | $26,827 | $0 | $54,319 | $0 | $25,146 | $0 | $418,305 | $0 | $0 |
| MOLLY CAIN | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | $0 | $272,040 | $0 | $35,900 | $0 | $13,509 | $0 | $52,731 | $0 | $34,089 | $0 | $408,269 | $0 | $12,515 |
| YUENIAN ZHANG | ||||||||||||||
| PVHOS CHIEF PHYSICIST | $269,238 | $0 | $26,048 | $0 | $21,008 | $0 | $26,100 | $0 | $38,193 | $0 | $380,587 | $0 | $0 | $0 |
| LINDA FRANCIES | ||||||||||||||
| PVHOS VP NURSING | $247,174 | $0 | $56,867 | $0 | $20,446 | $0 | $14,500 | $0 | $15,083 | $0 | $354,070 | $0 | $0 | $0 |
| GARY ZWIERZYNSKI | ||||||||||||||
| PVHOS SVP GME | $225,048 | $0 | $35,240 | $0 | $8,635 | $0 | $51,771 | $0 | $24,471 | $0 | $345,165 | $0 | $3,576 | $0 |
| MEGAN SMITH | ||||||||||||||
| PH SVP & COO PCI | $92,095 | $109,862 | $26,556 | $2,000 | $11,943 | $21,994 | $17,202 | $17,632 | $18,930 | $19,403 | $166,726 | $170,891 | $11,723 | $0 |
| JOSHUA WINEBAUGH | ||||||||||||||
| PVHOS PHARMACIST | $270,601 | $0 | $3,250 | $0 | $20,246 | $0 | $26,100 | $0 | $11,338 | $0 | $331,535 | $0 | $0 | $0 |
| JEFFREY BROWN | ||||||||||||||
| PVHOS PHYSICIAN | $256,212 | $0 | $1,250 | $0 | $11,018 | $0 | $18,953 | $0 | $17,253 | $0 | $304,686 | $0 | $0 | $0 |
| TARA JELLISON | ||||||||||||||
| PVHOS DIRECTOR PHARMACY | $200,642 | $0 | $12,386 | $0 | $16,623 | $0 | $24,264 | $0 | $20,165 | $0 | $274,080 | $0 | $0 | $0 |
| JESSICA MURPHY | ||||||||||||||
| PVHOS VP SURGICAL SERVICES | $184,702 | $0 | $22,680 | $0 | $570 | $0 | $19,378 | $0 | $33,560 | $0 | $260,890 | $0 | $0 | $0 |
| JINGENG ZHU | ||||||||||||||
| PVHOS CERT RAD PHYSICIST MD | $230,059 | $0 | $3,250 | $0 | $6,248 | $0 | $2,920 | $0 | $12,634 | $0 | $255,111 | $0 | $0 | $0 |
| GAIL ALTEKRUSE | ||||||||||||||
| PVHOS VP OPERATIONS | $66,106 | $110,782 | $1,250 | $15,441 | $11,861 | $0 | $9,410 | $14,993 | $9,058 | $14,432 | $97,685 | $155,648 | $0 | $0 |
| CHRISTINE HEPLER | ||||||||||||||
| PVHOS VP OPERATIONS | $93,848 | $62,565 | $22,525 | $0 | $22,694 | $0 | $16,979 | $7,639 | $18,097 | $8,142 | $174,143 | $78,346 | $0 | $0 |
| JOSIAH WELLS | ||||||||||||||
| PVHOS VP OPERATIONS | $164,200 | $0 | $12,370 | $0 | $20,381 | $0 | $8,110 | $0 | $32,251 | $0 | $237,312 | $0 | $0 | $0 |
| CLYDE NIX | ||||||||||||||
| DIRECTOR-PARTIAL YR/PARKC PRESIDENT | $0 | $6,565 | $0 | $0 | $0 | $210,356 | $0 | $1,207 | $0 | $11,114 | $0 | $229,242 | $0 | $0 |
| MARK GILLESPIE | ||||||||||||||
| PVHOS VP OPERATIONS | $150,051 | $0 | $13,496 | $0 | $28,521 | $0 | $22,872 | $0 | $14,078 | $0 | $229,018 | $0 | $0 | $0 |
| PAULA BOSTWICK | ||||||||||||||
| PVHOS VP BHI | $156,762 | $0 | $20,474 | $0 | $2,256 | $0 | $16,460 | $0 | $32,278 | $0 | $228,230 | $0 | $0 | $0 |
| CHRISTA POMEROY | ||||||||||||||
| PVHOS VP OPERATIONS | $122,562 | $0 | $19,991 | $0 | $32,303 | $0 | $5,409 | $0 | $28,631 | $0 | $208,896 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: JEFFREY BROWN $3,500; PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: JOHN BOWEN $340 |
| PART I, LINE 3 | RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATION COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. |
| PART I, LINES 4A-B | SEVERANCE PAYMENT CLYDE NIX $193,385 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): JOHN BOWEN $23,170; MOLLY CAIN $12,515; CHARLES CLARK $324,171; BENJAMIN MILES $52,607; MICHAEL GERUE $27,017; ERIN LACROSS $26,561; MICHAEL MIRRO $169,726; MICHAEL PACKNETT $507,042; MEGAN SMITH $11,723; MARLON WARDLOW $23,399; JEANNE' WICKENS $124,406; GARY ZWIERZYNSKI $3,576 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 $507,042 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: JOHN BOWEN $68,000; MOLLY CAIN $39,270; CHARLES CLARK $ 39,678; MICHAEL GERUE $52,519; ERIN LACROSS $49,168; MICHAEL MIRRO $86,117; MICHAEL PACKNETT $260,905; MARCELINE ROGERS $19,519; MEGAN SMITH $17,708; $MARLON WARDLOW $48,450; JEANNE' WICKENS $299,869; MICHAEL YURKANIN $52,700; GARY ZWIERZYNSKI $38,522 |
| PART I, LINE 7 | MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| HEATHER HURSEY | |||
| FAMILY MEMBER OF DIRECTOR ERIN LACROSS | $179,633 | EMPLOYEE HEATHER HURSEY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC. | 0 |
| GRACE COLEY | |||
| FAMILY MEMBER OF DIRECTOR DONOVAN COLEY | $14,531 | EMPLOYEE GRACE COLEY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC. | 0 |
| AMANDA PLATO | |||
| FAMILY MEMBER OF KEY EMPLOYEE JESSICA MURPHY | $112,665 | EMPLOYEE AMANDA PLATO RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC. | 0 |
| GABRIELLE NIX | |||
| FAMILY MEMBER OF DIRECTOR CLYDE NIX | $109,959 | EMPLOYEE GABRIELLE NIX RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC. | 0 |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | TOYS, BLANKETS, N95 MASKS, POST MASTECTOMY ITEMS | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $28,252 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | ESTIMATED VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A: | SPECIALTY SERVICES INCLUDE A HEART INSTITUTE, A CERTIFIED COMPREHENSIVE STROKE CENTER, WOMEN'S & CHILDREN'S HOSPITAL, OUTPATIENT SERVICE CENTER AND CANCER INSTITUTE. AS AN ORGANIZATION THAT OPERATES EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES, THE PARKVIEW RESEARCH CENTER HOUSED IN THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION PROVIDES WORLD-CLASS EDUCATION FOR PARKVIEW CO-WORKERS, PHYSICIANS AND MEDICAL PROFESSIONALS. TRAINING TAKES PLACE IN CUTTING-EDGE MEDICAL SIMULATION CLASSROOMS AND TRAINING LABORATORIES MODELED AFTER CURRENT OPERATING ROOMS, EXAM ROOMS, PATIENT ROOMS AND AMBULANCES. PATIENT EXPECTATIONS FOR EXCELLENT CARE ARE SUPPORTED BY ENSURING THAT HEALTHCARE PROFESSIONALS ARE FAMILIAR WITH THE MOST INNOVATIVE AND EFFECTIVE TREATMENTS AVAILABLE. IN ADDITION TO TRAINING AND EDUCATION, THE MIRRO CENTER FOR RESEARCH AND INNOVATION 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. PARKVIEW REGIONAL MEDICAL CENTER EXPANDED ITS SOUTH TOWER RECENTLY IN RESPONSE TO A GROWING NUMBER OF PEOPLE WHO CONTINUE TO CHOOSE PARKVIEW AS THEIR PREFERRED PROVIDER FOR CARE. THIS $98 MILLION EXPANSION IS NECESSARY AS PARKVIEW HOSPITAL, INC. HAD INSUFFICIENT INPATIENT BED CAPACITY TO MEET THE GROWING DEMAND. THIS SURPLUS WILL NOT ONLY ALLOW FOR FUTURE EXPANSION PLANS BUT WILL ALSO CONTINUE TO SUPPORT PROJECTED INPATIENT DEMAND AND AMBULATORY CARE GROWTH. THE EXPANSION CONSISTS OF CONSTRUCTION OF A SIX-STORY, 168,000-SQUARE-FOOT MEDICAL TOWER. THE NEW TOWER WILL ALLOW THE HOSPITAL TO ADD 120 NEW INPATIENT BEDS AND 100 NEW CLINICAL POSITIONS, WITH ROUGHLY 63,000 SQUARE FEET OF ADDITIONAL SPACE. CURRENTLY IN OPERATION ARE THE SIXTH FLOOR (MEDICAL/SURGICAL AND PROGRESSIVE CARE), FIFTH FLOOR (GI/GU/GYN), FOURTH FLOOR (ONCOLOGY), THIRD FLOOR (3 MEDICAL), SECOND FLOOR (NEUROLOGY), FIRST FLOOR (A NEW EMERGENCY DEPARTMENT ENTRANCE AND A PATIENT DISCHARGE LOUNGE) AND THE LOWER LEVEL (MAINTENANCE AREAS). DURING 2018, PARK CENTER, INC. BECAME AN AFFILIATE OF PARKVIEW HEALTH INC., WORKING IN TANDEM WITH PARKVIEW BEHAVIORAL HEALTH INSTITUTE (PBHI) AND PARKVIEW PHYSICIANS GROUP (PPG) TO CREATE A COMPREHENSIVE CONTINUUM OF MENTAL HEALTH SERVICES. PARK CENTER, INC. IS A COMMUNITY MENTAL HEALTH CENTER WITH FACILITIES IN FORT WAYNE, AS WELL AS BLUFFTON AND DECATUR. BESIDES INTEGRATING SERVICES WHERE APPROPRIATE, THE TWO ORGANIZATIONS PLAN TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, ENHANCE CLINICAL PROCESSES, COORDINATE SUBSTANCE USE DISORDER PROGRAMS AND MAKE CAPITAL INVESTMENTS IN SELECT PARK CENTER FACILITIES. NURSING EXCELLENCE IS EVIDENT ACROSS PARKVIEW HEALTH SYSTEM, INC., OF WHICH PARKVIEW HOSPITAL, INC. IS A PART. PARKVIEW HEALTH CURRENTLY HOLDS MAGNET STATUS, WHICH DEMONSTRATES COMMITMENT TO NURSING PROFESSIONALISM, TEAMWORK AND SUPERIOR PATIENT CARE. AS OF 2019, THE PARKVIEW HEART INSTITUTE AT PARKVIEW HOSPITAL, INC. ENTERED INTO AN ALLIANCE WITH THE CLEVELAND CLINIC HEART & VASCULAR INSTITUTE. THIS AFFILIATION FORWARDS THE OPPORTUNITY FOR PROVIDERS FROM THE PARKVIEW HEART INSTITUTE TO COLLABORATE AND INNOVATE WITH PROVIDERS WHO ARE PART OF THE U.S. NEWS & WORLD REPORT'S NO. 1 RANKED CARDIOLOGY AND HEART SURGERY PROGRAM AT THE CLEVELAND CLINIC HEART & VASCULAR INSTITUTE. THROUGH THIS COLLABORATION, THE PARKVIEW HEART INSTITUTE AND ITS PATIENTS HAVE ACCESS TO THE BEST PRACTICES, LATEST TREATMENTS, TECHNOLOGY, AND INNOVATIONS THAT LED THE CLEVELAND CLINIC HEART AND VASCULAR INSTITUTE TO ITS NO. 1 RANKING FOR THE LAST 27 YEARS. THE PARKVIEW CANCER INSTITUTE IS A CERTIFIED MEMBER OF THE MD ANDERSON CANCER NETWORK, A PROGRAM OF MD ANDERSON CANCER CENTER, THE LEADING CANCER CENTER IN THE NATION AND A GLOBAL LEADER IN CANCER CARE. THIS COLLABORATIVE EFFORT BROUGHT THE NATION'S LEADING CANCER EXPERTISE TO PATIENTS HERE AT PARKVIEW. AS A CERTIFIED MEMBER OF MD ANDERSON CANCER NETWORK, PARKVIEW GAINED ACCESS TO THE PIONEERING CLINICAL GUIDELINES, TREATMENT PLANS AND BEST PRACTICES DEVELOPED BY THE EXPERTS AT MD ANDERSON. CERTIFIED SPECIALISTS AT THE PARKVIEW CANCER INSTITUTE ALSO HAVE DIRECT ACCESS TO MD ANDERSON EXPERTS TO CONSULT AND COLLABORATE ON CASES. IN ADDITION, PARKVIEW CAN NOW OFFER PATIENTS ACCESS TO SELECT CLINICAL TRIALS, SURGICAL OPTIONS NOT AVAILABLE ANYWHERE ELSE IN THE REGION AND HIGHLY RESPECTED SECOND OPINIONS. THE YEAR OF 2021 PRESENTED PARKVIEW HEALTH SYSTEM, INC. WITH MANY NEW CHALLENGES WITH THE SPREAD OF COVID-19 THROUGHOUT THE UNITED STATES. PARKVIEW HOSPITAL, INC. WAS AT THE CENTER OF THIS EFFORT ALONG WITH PARKVIEW HEALTH SYSTEM, INC., TREATING 70% OF THE REGIONS TOTAL COVID-19 PATIENT POPULATION. HOWEVER, BECAUSE OF THE HEALTH SYSTEM'S GROWTH AND PREPAREDNESS FOR SUCH TRYING TIMES, PARKVIEW WAS ABLE TO STEP UP AND OFFER MANY ADDITIONAL RESOURCES TO THE COMMUNITY. AS THE REGION'S LARGEST EMPLOYER, PARKVIEW HEALTH UNDERSTANDS THE COMPLEXITY OF MAINTAINING NORMAL BUSINESS OPERATIONS DURING A PANDEMIC. TO HELP, PARKVIEW DEVELOPED A PLATFORM TITLED BUSINESS CONNECT, WHICH IS A RESOURCE FOR AREA EMPLOYERS AND COMMUNITY PARTNERS TRYING TO MEET THE CHALLENGES BROUGHT BY COVID-19 WHILE PROTECTING THEIR EMPLOYEES' HEALTH AND SAFETY. BUSINESS CONNECT SHARES BEST PRACTICES, VALUABLE RESOURCES AND UP-TO-DATE GUIDANCE NEEDED TO OPERATE YOUR BUSINESS. IN 2021, PARKVIEW HELD 16 COMMUNITY-BASED COVID-19 VACCINE CLINICS TARGETING VULNERABLE POPULATIONS. PARKVIEW ALSO ESTABLISHED TWO TEMPORARY COMMUNITY VACCINE CLINICS AVAILABLE AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND AT THE FIRST CARE CLINIC ON NEW VISION DRIVE. THESE CLINICS WERE SET UP WITH AREAS FOR SYMPTOM SCREENING, REGISTRATION, VACCINATION, AND POST-INJECTION OBSERVATION. TOGETHER, THESE LOCATIONS DELIVERED A TOTAL OF 155,202 VACCINES. PARKVIEW ALSO OFFERED SEVERAL POP-UP CLINICS WITHIN ALLEN COUNTY THAT DELIVERED 610 VACCINES. OTHER CLINICS A PART OF NORMAL OPERATIONS (PPG AND OCCUPATIONAL HEALTH) DELIVERED 6,115 VACCINES. PARKVIEW HOSPITAL WAS AWARDED THE FOLLOWING ACCOLADES DURING 2021: APRIL 2021 - PARKVIEW HEALTH ACHIEVES ACCREDITATION FROM METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT EFFORT OF THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). PARKVIEW'S BARIATRIC SURGERY PROGRAM OPERATES UNDER PARKVIEW PHYSICIANS GROUP (PPG) - WEIGHT MANAGEMENT AND BARIATRIC SURGERY, AND PROCEDURES ARE COMPLETED AT PARKVIEW REGIONAL MEDICAL CENTER. JUNE 2021 - PARKVIEW HEALTH HOSPITALS WERE RECOGNIZED WITH NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION BY THE NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION PROGRAM FOR THEIR COMMITMENT TO BEST PRACTICES AND EDUCATION ON INFANT SAFE SLEEP. OCTOBER 2021 - THE PARKVIEW STANLEY WISSMAN STROKE CENTER HAS RECEIVED THE AMERICAN HEART ASSOCIATION'S (AHA) GOLD PLUS GET WITH THE GUIDELINES-STROKE QUALITY ACHIEVEMENT AWARD FOR THEIR COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES. OCTOBER 2021- FOR THE EIGHTH YEAR IN A ROW, PARKVIEW HEALTH SYSTEM, INC. HAS BEEN RECOGNIZED BY THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) AS ONE OF HEALTHCARE'S MOST WIRED HEALTH SYSTEMS. THIS RECOGNITION IS RESERVED FOR HEALTH SYSTEMS THAT HAVE DEMONSTRATED THE HIGHEST AND MOST INNOVATIVE USES OF TECHNOLOGY WITHIN THEIR HEALTH ORGANIZATIONS. NOVEMBER 2021 - THE "A" GRADE WAS AWARDED TO PARKVIEW REGIONAL MEDICAL CENTER (PRMC) AND AFFILIATES, WHICH INCLUDES PARKVIEW HOSPITAL RANDALLIA; AS WELL AS PARKVIEW DEKALB HOSPITAL; PARKVIEW HUNTINGTON HOSPITAL; AND PARKVIEW WHITLEY HOSPITAL. THE LEAPFROG GROUP, AN INDEPENDENT NATIONAL ORGANIZATION, ASSIGNS AN "A," "B," "C," "D, OR "F" GRADE TO GENERAL HOSPITALS ACROSS THE COUNTRY BASED ON MORE THAN 30 NATIONAL PERFORMANCE MEASURES REFLECTING ERRORS, INJURIES, ACCIDENTS AND INFECTIONS, AS WELL AS SYSTEMS HOSPITALS HAVE IN PLACE TO PREVENT HARM. |
| 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, PARKVIEW HOSPITAL, INC., EIN 35-0868085. 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, 2021 WAS 593. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2021 WAS 16,240. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE PARKVIEW HOSPITAL, INC. WAS 158 AND 6,858 RESPECTIVELY. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER, THE IMMEDIATE PAST CHAIR OF THE BOARD IF STILL SERVING AS A MEMBER OF THE BOARD, THE CURRENT PRESIDENT 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 NINE (9) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR RATIFICATION OF ITS ACTION. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 2 | DIRECTOR/OFFICER JOHN BOWEN AND OFFICER JEANNE' WICKENS HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. DIRECTOR/OFFICER MICHAEL PACKNETT AND OFFICER JEANNE' WICKENS HAVE BUSINESS RELATIONSHIPS AS OFFICERS OF RELATED ENTITIES. |
| 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 PARKVIEW 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: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) UPON RECOMMENDATION OF THE CORPORATION, THE CORPORATE MEMBER SHALL APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS BY THE CORPORATION AND ITS AFFILIATES, AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. SUCH RIGHT BY THE CORPORATE MEMBER TO DIRECT THE TRANSFER OF ASSETS SHALL NOT INCLUDE ANY TRANSFER WHICH WOULD CAUSE THE CORPORATION TO BE PUT INTO A FINANCIALLY VULNERABLE POSITION AS AN ONGOING CONCERN, NOR SHALL ANY SUCH TRANSFER CAUSE THE CORPORATION TO VIOLATE THE TERMS AND CONDITIONS OF ANY GIFTS, BEQUESTS, BOND COVENANTS, OR RESTRICTIONS SET FORTH IN EXHIBIT A. FURTHER, FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN THE JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. |
| 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 AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. PARKVIEW 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, PRIOR TO FILING WITH THE IRS. ON OCTOBER 26, 2022, THE SYSTEM 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 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. TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., DETERMINES THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. |
| 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 -547,684. INCOME (LOSS) FROM HOSPITAL LAUNDRY SERVICE, INC. 247,648. INCOME (LOSS) FROM PARKVIEW PROFESSIONAL PROGRAMS, INC. 52,800. BOOK/TAX DIFFERENCES K-1'S -1,319,720. ADJUST PRIOR YEAR ACCRUALS 60,707. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 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 FOUNDATION INC | |||||||||||
| 3844 NEW VISION DR | FORT WAYNE | IN | 468451724 | 237220589 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | Yes (1) | PARKVIEW HOSPITAL INC | |
| DEKALB MEMORIAL HOSPITAL INC | |||||||||||
| 1316 E 7TH ST | AUBURN | IN | 467062515 | 351064295 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW DEKALB HOSPITAL FOUNDATION INC | |||||||||||
| 1316 E 7TH ST | AUBURN | IN | 467062515 | 351064295 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | 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 | |
| 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 | |
| PARK CENTER HOLDINGS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 843684074 | TO SUPPORT PARK CENTER INC | IN | 501(C)(3) | LINE 12D, III-O | 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 (2 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | RELATED | 0 | 0 | PARKVIEW HEALTH SYSTEM INC | $1,319,720 | $1,440,775 | 0.10000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | |||||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351668888 | REFERENCE LAB | IN | PARKVIEW HOSPITAL INC | C | $2,891,891 | $369,185 | 1.00000 | Yes (1) | |
| WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC | |||||||||||||
| 202 W BERRY ST | FORT WAYNE | IN | 468022273 | 352058340 | PROPERTY OWNERS ASSOCIATION | IN | C | 0 | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PARKVIEW FOUNDATION INC | ||
| C | $727,135 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW FOUNDATION INC | ||
| M | $1,064,118 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW PROFESSIONAL PROGRAMS INC | ||
| Q | $2,840,126 | PART VII SUPPLEMENTAL INFORMATION |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 2, COLUMN (C): | FormAndLineReferenceDesc |
| Explanation | THE AMOUNTS REPORTED AS TRANSACTIONS WITH RELATED ORGANIZATIONS ARE CONSISTENT WITH THE AMOUNTS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS DEPENDING ON THE TYPE OF TRANSACTION INVOLVED. | ExplanationTxt |