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PARKVIEW HEALTH SYSTEM INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PARKVIEW HEALTH SYSTEM INC (EIN 35-1972384)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-08
IRS object ID
202213129349303881
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-08T15:56:08-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1330 E JEFFERSON BLVD P O BOX 7AddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP466240007ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351972384EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPARKBusinessNameControlTxt
Phone2603738429PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 PRODUCTION RDAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP468081167ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNE' WICKENSPersonNm
Person TitlePH CFOPersonTitleTxt
Phone2602669313PhoneNum
Signature2022-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEANNEPersonFirstNm
Person LastWICKENSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTNEY KOCAJPreparerPersonNm
PTINP01320603PTIN
Phone5742323992PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL J PACKNETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 PRODUCTION RDAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP468081167ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,204,809,821GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PARKVIEW.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionIMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee6234TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$4,031,661TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$187,167NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$21,938,223PYContributionsGrantsAmt
CY Contributions Grants$3,933,120CYContributionsGrantsAmt
PY Program Service Revenue$858,222,419PYProgramServiceRevenueAmt
CY Program Service Revenue$914,411,039CYProgramServiceRevenueAmt
PY Investment Income$49,664,690PYInvestmentIncomeAmt
CY Investment Income$106,239,719CYInvestmentIncomeAmt
PY Other Revenue$3,395,762PYOtherRevenueAmt
CY Other Revenue$2,610,460CYOtherRevenueAmt
PY Total Revenue$933,221,094PYTotalRevenueAmt
CY Total Revenue$1,027,194,338CYTotalRevenueAmt
PY Grants And Similar Paid$2,587,639PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,793,351CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$649,494,411PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$724,921,998CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$37,500PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$37,500CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$37,500CYTotalFundraisingExpenseAmt
PY Other Expenses$265,912,292PYOtherExpensesAmt
CY Other Expenses$275,504,922CYOtherExpensesAmt
PY Total Expenses$918,031,842PYTotalExpensesAmt
CY Total Expenses$1,005,257,771CYTotalExpensesAmt
PY Revenues Less Expenses$15,189,252PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,936,567CYRevenuesLessExpensesAmt
Total Assets BOY$2,712,217,032TotalAssetsBOYAmt
Total Assets EOY$2,683,944,468TotalAssetsEOYAmt
Total Liabilities BOY$1,336,886,158TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,203,536,709TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,375,330,874NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,480,407,759NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY- TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS- DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY- PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY- "EXCELLENT CARE, EVERY PERSON, EVERY DAY"MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$969,105,105ExpenseAmt
Grant$4,793,351GrantAmt
Revenue$910,210,166RevenueAmt
DescPARKVIEW HEALTH SYSTEM, INC. IS A CHARITABLE, NOT-FOR-PROFIT, COMMUNITY-OWNED HEALTH SYSTEM. IT WAS INCORPORATED IN MAY 1995 AND NOW SUPPORTS THE FOLLOWING HOSPITALS: 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. THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC. IS THE FIRST SPECIALTY HOSPITAL IN NORTHEAST INDIANA DEVOTED SOLELY TO ORTHOPEDIC SURGERY AND POST-SURGERY PATIENT CARE. THIS 37-BED STATE-OF-THE-ART FACILITY INCLUDES AN INPATIENT UNIT,(SEE SCHEDULE O FOR CONTINUATION)AN INPATIENT REHABILITATION GYM AND ORTHO NORTHEAST MEDICAL OFFICES.THE SERVICE AREA FOR PARKVIEW HEALTH SYSTEM, INC. INCLUDES NORTHEAST INDIANA, NORTHWEST OHIO AND SOUTH-CENTRAL MICHIGAN. PARKVIEW HEALTH OFFERS AN ARRAY OF SPECIALTY SERVICES TO ITS SERVICE AREA WHICH INCLUDE A VERIFIED LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, A HEART INSTITUTE, A CERTIFIED COMPREHENSIVE STROKE CENTER, WOMEN'S & CHILDREN'S HOSPITAL, OUTPATIENT SERVICE CENTER, A BEHAVIORAL HEALTH INSTITUTE, AND CANCER INSTITUTE. PARKVIEW REGIONAL MEDICAL CENTER IS UNDERGOING EXPANSION, ADDING A SOUTH TOWER 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 SOUTH 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 HEALTH SYSTEM, INC. EMPLOYS MORE THAN 13,000 FULL- AND PART-TIME CO-WORKERS. THIS INCLUDES PARKVIEW PHYSICIANS GROUP (PPG) WHICH CONSIST OF 986 PROVIDERS REPRESENTING MORE THAN 40 SPECIALTIES IN MORE THAN 200 LOCATIONS ACROSS NORTHEAST INDIANA AND NORTHWEST OHIO. OF THE 986 PROVIDERS, 554 OF THEM ARE PRIMARY AND SPECIALTY CARE PHYSICIANS WITH THE REMAINING 432 BEING ADVANCED PRACTICE PROVIDERS. THESE PROFESSIONALS PROVIDE CARE TO RESIDENTS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. IN 2021, 95 PHYSICIANS AND 76 ADVANCED PRACTICE PROVIDERS WERE RECRUITED, SIGNIFICANTLY INCREASING THE SYSTEM'S ABILITY TO MEET LOCAL HEALTH NEEDS. PARKVIEW HEALTH EMPLOYS FOUR FULL-TIME PHYSICIAN RECRUITERS AND ONE FULL-TIME SOURCING SPECIALIST WHOSE TIME IS DEVOTED SOLELY TO RECRUITING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. ALL PHYSICIAN RECRUITMENT ACTIVITY IS BASED ON A PHYSICIAN NEEDS ASSESSMENT, BOARD-APPROVED STRATEGIC PLAN AND THE OVERSIGHT OF THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. IN SUPPORTING THE WORK OF PARKVIEW HEALTH SYSTEM, INC. THE MIRRO RESEARCH AND INNOVATION CENTER, LOCATED ON THE CAMPUS OF PARKVIEW REGIONAL MEDICAL CENTER, PROVIDES WORLD-CLASS EDUCATION FOR PARKVIEW CO-WORKERS, PHYSICIANS AND MEDICAL PROFESSIONALS IN CUTTING-EDGE MEDICAL SIMULATION CLASSROOMS AND TRAINING LABORATORIES MODELED AFTER CURRENT OPERATING ROOMS, EXAM ROOMS, PATIENT ROOMS AND AMBULANCES. IN ADDITION TO HOSPITAL-RELATED INITIATIVES, THE MIRRO RESEARCH AND INNOVATION CENTER ENGAGES IN PROJECTS RELATED TO COMMUNITY HEALTH THROUGH ITS HEALTH SERVICES AND INFORMATICS RESEARCH TEAM. THE HEALTH SERVICES AND INFORMATICS RESEARCH TEAM 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 SURVEY STUDIES AND USER-EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. SOME EXAMPLES OF THEIR PROJECTS AND FOCUS AREAS INCLUDE YOUTH MENTAL HEALTH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MOST OF THE TEAM'S WORK HAS RESULTED IN PEER-REVIEWED PUBLICATIONS IN JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND DISSEMINATION OF INFORMATION TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY. 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, AS PART OF NORMAL OPERATIONS (PPG AND OCCUPATIONAL HEALTH) DELIVERED 6,115 VACCINES. PARKVIEW HEALTH SYSTEM, INC. 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.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. PARTICIPANTS ALSO RECEIVE CERTIFICATION BASED ON THEIR OVERALL PERFORMANCE, WITH LEVEL 10 BEING THE HIGHEST. FOR 2021, PARKVIEW WAS CERTIFIED AT LEVEL NINE FOR ACUTE CARE AND LEVEL 10 FOR AMBULATORY CARE.NOVEMBER 2021 - PARKVIEW ORTHO HOSPITAL HAS EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ADVANCED TOTAL HIP AND KNEE REPLACEMENT CERTIFICATION BY DEMONSTRATING CONTINUOUS COMPLIANCE WITH ITS PERFORMANCE STANDARDS. THE GOLD SEAL IS A SYMBOL OF QUALITY THAT REFLECTS AN ORGANIZATION'S COMMITMENT TO PROVIDING SAFE AND QUALITY PATIENT CARE.Desc
Total Program Service Expenses$969,105,105TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation EasementsYes (1)ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document315IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee6234EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryJAForeignCountryCd
Foreign CountrySWForeignCountryCd
Foreign CountryDAForeignCountryCd
Foreign CountrySZForeignCountryCd
Foreign CountryBRForeignCountryCd
Foreign CountryCOForeignCountryCd
Foreign CountryNOForeignCountryCd
Foreign CountryRSForeignCountryCd
Foreign CountryIDForeignCountryCd
Foreign CountryPLForeignCountryCd
Foreign CountryPOForeignCountryCd
Foreign CountryGRForeignCountryCd
Foreign CountryHUForeignCountryCd
Foreign CountryMYForeignCountryCd
Foreign CountryEIForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEANNE' WICKENSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2602669313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 PRODUCTION RDAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP468081167ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (53 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO40.000.00Yes (X)Yes (X)$2,037,606$0$326,073
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PCE PRESIDENT40.000.00Yes (X)Yes (X)$1,310,565$0$376,107
RICK HENVEY
DIRECTOR/PH CHIEF OPERATING OFFICER40.000.00Yes (X)Yes (X)$1,088,916$0$354,082
JOSHUA KLINE
DIRECTOR/PH CHIEF MEDICAL OFF - PPG40.000.00Yes (X)$506,145$0$138,745
THOMAS MILLER
DIRECTOR/PH PHYSICIAN33.007.00Yes (X)$590,847$0$66,225
ALAN MCGEE
DIRECTOR/ORTHO PHYSICIAN7.002.00Yes (X)$507,250$0$0
JAMES STAPEL
DIRECTOR/PH PHYSICIAN6.001.00Yes (X)$22,480$1,433$2,151
DAVID HAIST
DIRECTOR/CHAIR1.000.00Yes (X)Yes (X)$15,000$0$0
SHERRYL RHINESMITH
DIRECTOR1.001.00Yes (X)$4,061$6,500$0
HOWARD HALDERMAN
DIRECTOR1.001.00Yes (X)$3,000$6,500$0
JOHN NELSON
DIRECTOR1.001.00Yes (X)$4,000$6,500$0
BRIAN EMERICK
DIRECTOR/SECRETARY1.000.00Yes (X)Yes (X)$7,662$0$0
MARILYN MORAN-TOWNSEND
DIRECTOR1.000.00Yes (X)$9,000$0$0
DOUGLAS MORROW
DIRECTOR1.001.00Yes (X)$1,500$6,250$0
THOMAS KIMBROUGH
DIRECTOR1.001.00Yes (X)$4,412$4,000$0
DAN STARR
DIRECTOR1.000.00Yes (X)$7,750$0$0
IRENE WALTERS
DIRECTOR1.001.00Yes (X)$3,250$7,000$0
MARGARET BROOKS
DIRECTOR1.000.00Yes (X)$6,500$0$0
LUTHER WHITFIELD
DIRECTOR1.000.00Yes (X)$6,750$0$0
MICHAEL AXEL
DIRECTOR/TREASURER1.001.00Yes (X)Yes (X)$6,501$0$0
JERRY LONG
DIRECTOR1.000.00Yes (X)$7,500$0$0
WENDY ROBINSON
DIRECTOR1.000.00Yes (X)$5,750$0$0
STEPHEN WRIGHT
DIRECTOR1.000.00Yes (X)$5,000$0$0
GEORGE BENNETT
DIRECTOR1.001.00Yes (X)$2,250$6,000$0
JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER40.000.00Yes (X)$1,059,636$0$349,980
NEIL SHARMA
PCI PRESIDENT40.000.00$1,004,434$0$196,527Yes (X)
ROY ROBERTSON
PHI PRESIDENT40.000.00$956,640$0$190,030Yes (X)
MITCHELL STUCKY
PH PHYSICIAN EXECUTIVE OFFICER40.000.00$789,329$0$148,847Yes (X)
RONALD DOUBLE
PH CHIEF INFORMATION OFFICER40.000.00$643,756$0$288,744Yes (X)
DENA JACQUAY
PH CHIEF ADMINISTRATIVE OFFICER40.000.00$690,548$0$273,502Yes (X)
BENJAMIN MILES
HPS PRESIDENT10.0030.00$687,559$0$56,240Yes (X)
GREG JOHNSON
PH CHIEF CLINICAL INTEG OFFICER40.000.00$655,829$0$159,937Yes (X)
DAVID STOREY
PH CHIEF LEGAL & COMPLIANCE OFFICER40.000.00$633,142$0$150,326Yes (X)
CHARLES CLARK
BHI PRESIDENT40.000.00$602,426$0$94,276Yes (X)
JEFFREY BOORD
PH CHIEF QUALITY & SAFETY40.000.00$576,465$0$131,369Yes (X)
JASON ROW
PH CHIEF MEDICAL OFFICER-PPG40.000.00$582,977$0$137,935Yes (X)
THOMAS BOND
PH CHIEF MEDICAL OFFICER-PPG40.000.00$509,365$0$138,909Yes (X)
MARK PIERCE
PH CHIEF MED INFORMATICS OFFICER40.000.00$463,049$0$118,171Yes (X)
JOLYNN SUKO
PH CHIEF INNOVATION OFFICER40.000.00$473,300$0$108,566Yes (X)
GERALD GRANNAN
PH SVP & COO - PPG40.000.00$455,722$0$120,039Yes (X)
GARY BREUER
PH SVP & ENTERPRISE REV CYCLE40.000.00$461,699$0$112,684Yes (X)
DAVID JEANS
PH SVP PAYER/EMPLOYER HLTH40.000.00$410,024$0$108,589Yes (X)
ROGER STIENECKER
PH MD IP & EP40.000.00$387,561$0$48,235Yes (X)
DONNA VAN VLERAH
PH SVP SUPPORT DIVISION40.000.00$387,115$0$83,748Yes (X)
PHILIP SMITH
PH SVP STRATEGY & BUSINESS40.000.00$453,893$0$14,017Yes (X)
KENNETH AUSTIN
PH PHYSICIAN40.000.00$1,111,372$0$38,139Yes (X)
JAMES DOZIER
PH PHYSICIAN40.000.00$1,311,604$0$39,469Yes (X)
STEVEN WYNDER
PH PHYSICIAN40.000.00$944,062$0$59,280Yes (X)
STEPHANIE FALATKO
PH PHYSICIAN40.000.00$1,011,772$0$41,248Yes (X)
WILLIAM YOUNG
PH PHYSICIAN40.000.00$1,090,266$0$38,966Yes (X)
SUZANNE EHINGER
FORMER KEY EMPLOYEE0.000.00$1,315,239$0$0Yes (X)
JEFFREY BROOKES
FORMER KEY EMPLOYEE0.000.00$547,818$0$0Yes (X)
BARBARA CLAYTON
FORMER KEY EMPLOYEE0.000.00$205,956$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$26,586,253TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$44,183TotReportableCompRltdOrgAmt
Total Other Compensation$4,511,156TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1147IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397PHYSICIANS$13,004,298
LOCUMTENENS
PO BOX 405547ATLANTAGA30384PHYSICIANS$2,713,663
PROGRESSIVE PARKING SOLUTIONS
628 W BROADWAY STE 203N LITTLE ROCKAR72114COVID 19 EMERGENCY PERSONNEL$2,566,935
BOYDEN & YOUNGBLUTT
120 WEST SUPERIOR STFORT WAYNEIN46802MARKETING ANALYTICS$2,111,867
OLIVER WYMAN
PO BOX 3800-28BOSTONMA02241CONSULTING$1,905,065
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K98CntrctRcvdGreaterThan100KCnt
Related Organizations$492,665RelatedOrganizationsAmt
Government Grants$2,637,687GovernmentGrantsAmt
All Other Contributions$802,768AllOtherContributionsAmt
Total Contributions$3,933,120TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CORP SERVICE ALLOCATION561000$281,650,014$281,650,014
NET PATIENT SERVICE621110$274,160,328$274,160,328
PH CLINICAL SUPPORT561499$262,821,016$262,821,016
ORTHOPAEDIC HOSPITAL AT PARKVIEW621110$39,746,991$39,746,991
INTERUNIT RENT532000$13,520,192$13,520,192

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,512,498TotalRevenueColumnAmt
Related Or Exempt Func Income$38,311,625RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,200,873UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$914,411,039TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,874,976TotalRevenueColumnAmt
Unrelated Business Revenue-$169,212UnrelatedBusinessRevenueAmt
Exclusion$22,044,188ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,965,404RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,726,756RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,238,648RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,238,648TotalRevenueColumnAmt
Exclusion$2,238,648ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,259,250,625SecuritiesAmt
Other$2,845OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,174,856,169SecuritiesAmt
Other$32,558OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$84,394,456SecuritiesAmt
Other-$29,713OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,364,743TotalRevenueColumnAmt
Exclusion$84,364,743ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Business722100BusinessCd
Total Revenue Column$371,812TotalRevenueColumnAmt
Exclusion$371,812ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$371,812OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,027,194,338TotalRevenueColumnAmt
Related Or Exempt Func Income$910,210,166RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,031,661UnrelatedBusinessRevenueAmt
Exclusion$109,019,391ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,793,351TotalAmt
Program Services$4,793,351ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$23,342,089TotalAmt
Management And General$23,342,089ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$2,516,188TotalAmt
Program Services$447,175ProgramServicesAmt
Management And General$2,069,013ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$547,769,780TotalAmt
Program Services$547,769,780ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$85,397,886TotalAmt
Program Services$85,397,886ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$65,896,055TotalAmt
Program Services$65,896,055ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,123,719TotalAmt
Program Services$436,525ProgramServicesAmt
Management And General$687,194ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$781,054TotalAmt
Management And General$781,054ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$61,500TotalAmt
Management And General$61,500ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$37,500TotalAmt
Fundraising$37,500FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,938,514TotalAmt
Management And General$3,938,514ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$56,130,325TotalAmt
Program Services$53,301,690ProgramServicesAmt
Management And General$2,828,635ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,406,701TotalAmt
Program Services$2,406,701ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,900,420TotalAmt
Program Services$16,820,999ProgramServicesAmt
Management And General$79,421ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$48,929,240TotalAmt
Program Services$48,879,226ProgramServicesAmt
Management And General$50,014ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,028,245TotalAmt
Program Services$24,978,840ProgramServicesAmt
Management And General$49,405ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,121,598TotalAmt
Program Services$1,103,900ProgramServicesAmt
Management And General$17,698ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$478,375TotalAmt
Program Services$448,723ProgramServicesAmt
Management And General$29,652ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$25,106,036TotalAmt
Program Services$25,106,036ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$45,033,054TotalAmt
Program Services$45,023,122ProgramServicesAmt
Management And General$9,932ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,313,567TotalAmt
Program Services$6,106,484ProgramServicesAmt
Management And General$1,207,083ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$22,104,117$22,104,117
RECRUITMENT$4,760,505$4,760,505
PROVIDER CME, LICENSES$3,417,936$3,413,369$4,567
DUES & SUBSCRIPTIONS$2,462,358$1,967,706$494,652

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,407,658TotalAmt
Program Services$7,942,915ProgramServicesAmt
Management And General$464,743ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,005,257,771TotalAmt
Program Services$969,105,105ProgramServicesAmt
Management And General$36,115,166ManagementAndGeneralAmt
Fundraising$37,500FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,577BOYAmt
EOY$20,481EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$474,443,348BOYAmt
EOY$175,428,484EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,216,528BOYAmt
EOY$32,940,558EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,182,409BOYAmt
EOY$2,844,006EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$23,805,578BOYAmt
EOY$28,711,201EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,968,028BOYAmt
EOY$39,965,172EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$698,499,257LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$353,985,119LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$351,846,402BOYAmt
EOY$344,514,138EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$910,299,144BOYAmt
EOY$1,267,294,723EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$256,843,125BOYAmt
EOY$475,640,563EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$120,810,093BOYAmt
EOY$112,875,028EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$39,465,849BOYAmt
EOY$35,567,365EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$470,316,951BOYAmt
EOY$168,142,749EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,712,217,032BOYAmt
EOY$2,683,944,468EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$191,603,528BOYAmt
EOY$212,339,710EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$13,906,035BOYAmt
EOY$5,362,069EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$571,904,902BOYAmt
EOY$548,924,120EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$179,927,533BOYAmt
EOY$169,877,745EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$379,544,160BOYAmt
EOY$267,033,065EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,336,886,158BOYAmt
EOY$1,203,536,709EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,375,330,874BOYAmt
EOY$1,480,407,759EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,375,330,874BOYAmt
EOY$1,480,407,759EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,712,217,032BOYAmt
EOY$2,683,944,468EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$21,936,567ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$67,652,552NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$15,487,766OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations8SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (8 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
PARKVIEW HOSPITAL INC
3508680853Yes (1)$217,116,109$0
DEKALB MEMORIAL HOSPITAL INC
3510642953Yes (1)$8,650,528$0
HUNTINGTON MEMORIAL HOSPITAL INC
3519707063Yes (1)$9,642,367$0
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
2024016763Yes (1)$5,501,835$0
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
3520891833Yes (1)$9,019,567$0
PARKVIEW WABASH HOSPITAL INC
4717534403Yes (1)$6,982,783$0
WHITLEY MEMORIAL HOSPITAL INC
3519676653Yes (1)$14,707,210$0
PARK CENTER INC
35113545110Yes (1)$3,149,486$0
FieldValueIRS element (for citing)
Supported Organizations Total8SupportedOrganizationsTotalCnt
Support Sum$274,769,885SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgYes (1)OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION A, LINE 5A:PARK CENTER, INC. (EIN: 35-1135451) WAS ADDED AS A SUPPORTED ORGANIZATION. PARKVIEW HEALTH SYSTEM, INC. AND PARK CENTER, INC. ENTERED INTO A MEMBER SUBSTITUTION AGREEMENT PURSUANT TO THE TERMS OF WHICH PARKVIEW HEALTH SYSTEM, INC. BECAME THE SOLE CORPORATE MEMBER OF PARK CENTER, INC., AND, AS SUCH, ACQUIRED CERTAIN RESERVED POWERS OVER PARK CENTER, INC. THE INTEGRATION OF PARK CENTER, INC. INTO THE PARKVIEW HEALTH SYSTEM WAS UNDERTAKEN TO PRESERVE AND ENHANCE EXISTING BEHAVIORAL HEALTH SERVICES IN THE LOCAL COMMUNITY AND TO EXPAND THOSE SERVICES TO THE BROADER GEOGRAPHIC AREA SERVED BY PARKVIEW HEALTH SYSTEM, INC.
PART IV, SECTION D, LINE 3:THERE IS OVERLAP OF KEY MEMBERS OF THE MANAGEMENT TEAM OF PARKVIEW HEALTH SYSTEM, INC. AND ITS SUPPORTED ORGANIZATIONS. THIS DEGREE OF COMMONALITY ACROSS THE DIRECTORS AND OFFICERS OF PARKVIEW HEALTH SYSTEM, INC. AND THE SUPPORTED ORGANIZATIONS ASSURES A CLOSE AND CONTINUOUS WORKING RELATIONSHIP BETWEEN PARKVIEW HEALTH SYSTEM, INC. AND ITS SUPPORTED ORGANIZATIONS WHILE ALSO ASSURING THAT THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN INVESTMENT POLICIES AND THE USE OF INCOME AND ASSETS.
PART IV, SECTION E, LINE 3A:PARKVIEW HEALTH SYSTEM, INC. SERVES AS THE PARENT ORGANIZATION AND SOLE CORPORATE MEMBER OF EACH OF THE SUPPORTED ORGANIZATIONS. AS SUCH, PARKVIEW HEALTH SYSTEM, INC. POSSESSES CERTAIN RESERVED POWERS OVER EACH SUPPORTED ORGANIZATION RELATED TO, AMONG OTHER THINGS, THE APPOINTMENT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND REMOVAL OF DIRECTORS AND CERTAIN OFFICERS OF THE SUPPORTED ORGANIZATION. THE RESERVED POWERS ARE SET FORTH IN THEIR ENTIRETY IN EACH RESPECTIVE SUPPORTED ORGANIZATION'S GOVERNING DOCUMENTS.
PART IV, SECTION E, LINE 3B:PARKVIEW HEALTH SYSTEM, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS THROUGH CERTAIN RESERVED POWERS THAT PARKVIEW HEALTH SYSTEM, INC. HOLDS OVER THE SUPPORTED ORGANIZATIONS, SUCH AS THE POWER TO APPROVE AND ADOPT THE STRATEGIC PLAN, OPERATING AND CAPITAL BUDGETS, INCURRENCE OF DEBT, AND OTHER SIGNIFICANT TRANSACTIONS, OF THE SUPPORTED ORGANIZATIONS.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$61,500DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$134,410OtherActivitiesAmt
Total Lobbying Expenditures$195,910TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationDIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY THE CORYDON GROUP, LLC $30,000 AND STRATEGIC HEALTH CARE $31,500. OTHER ACTIVITIES - REPRESENTS THE PORTION OF DUES PAID TO VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Natural HabitatYes (X)ProtectionNaturalHabitatInd
Total Easements2TotalEasementsCnt
Total Acreage10.00TotalAcreageCnt
States Easements Held1StatesEasementsHeldCnt
Written Policy Monitoring0WrittenPolicyMonitoringInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$18,423,093InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$43,910,055OtherCostOrOtherBasisAmt
Book Value$62,333,148BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$286,816,398OtherCostOrOtherBasisAmt
Depreciation$130,099,570DepreciationAmt
Book Value$156,716,828BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,993,113OtherCostOrOtherBasisAmt
Depreciation$26,827,830DepreciationAmt
Book Value$13,165,283BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$251,019,045OtherCostOrOtherBasisAmt
Depreciation$180,382,126DepreciationAmt
Book Value$70,636,919BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,337,553OtherCostOrOtherBasisAmt
Depreciation$16,675,593DepreciationAmt
Book Value$41,661,960BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$344,514,138TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

FieldValueIRS element (for citing)
Book Value$243,831,915BookValueAmt
Method ValuationFMethodValuationCd

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
PRIVATE EQUITY$41,620,286F
COMMINGLED FUNDS$190,188,362F
FieldValueIRS element (for citing)
Total Book Value Securities$475,640,563TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
RIGHT OF USE ASSETS$32,088,151
EST MEDICARE/MEDICAID SETTLEMENTS$22,103
DUE TO/FROM INTERUNIT$103,066,825
MISCELLANEOUS$2,112,602
BROKER PENDING TRADES$20,159,842
NOTE RECEIVABLE FROM PARK CENTER$3,799,726
NOTE RECEIVABLE FROM WMHOS$6,893,500
FieldValueIRS element (for citing)
Total Book Value Other Assets$168,142,749TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
LEASE LIABILITY$33,317,078
ACC RETIREMENTS COST$157,458,179
RESERVE FOR SIGNATURE CARE$13,827,443
RESERVE FOR MALPRACTICE$10,861,455
RESERVE FOR VBC$11,000,000
BROKER PENDING TRADES$40,568,910
FieldValueIRS element (for citing)
Total Liability$267,033,065TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 5:A THIRD PARTY ENVIRONMENTAL COMPANY COMPLETES ALL THE REQUIRED ANNUAL MONITORING INSPECTION AND REPORTING AS PART OF THE 10 YEAR REQUIREMENT WITHIN THE EXISTING PERMIT. IF ANY ENCROACHMENTS BY THE OWNER ON THE MITIGATION AREAS ARE OBSERVED THEY ARE REPORTED AND ENFORCED THROUGH APPROPRIATE LEGAL CHANNELS.
PART II, LINE 9:THE ORGANIZATION RECORDS THE PAYMENTS TO THE THIRD PARTY ENVIRONMENTAL COMPANY AS A FEES FOR SERVICES EXPENSE ON THE INCOME STATEMENT.
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 G IRS990ScheduleG

FieldValueIRS element (for citing)
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonCANDACE SCHULERPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17022 PALLADIO SQUAREAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46804ZIPCd
FieldValueIRS element (for citing)
ActivityGRANT WRITING SERVICESActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$37,500RetainedByContractorAmt
Net To Organization-$37,500NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$37,500TotalRetainedByContractorsAmt
Total Net To Organization-$37,500TotalNetToOrganizationAmt
Licensed StatesINLicensedStatesCd
Licensed StatesOHLicensedStatesCd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE G, PART I, LINE 2B, COLUMN IV:FormAndLineReferenceDesc
ExplanationGROSS RECEIPTS FROM ACTIVITY: THE GROSS RECEIPTS ASSOCIATED WITH THE ACTIVITIES OF THE PROFESSIONAL FUNDRAISERS ARE NOT READILY ASCERTAINABLE AS THE GRANT WRITING SERVICES WERE RENDERED ON BEHALF OF MULTIPLE PARKVIEW ORGANIZATIONS AND WERE NOT DIRECTLY CONNECTED WITH SPECIFIC FUNDRAISING ACTIVITIES. AS SUCH, NO AMOUNTS HAVE BEEN DISCLOSED IN PART I, LINE 2B, COLUMN IV.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$184,411TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$184,411NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,554,979TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,289,061DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,265,918NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,761,600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,759,919DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,681NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,500,990TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,048,980DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,452,010NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,783,575TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,150,263DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,633,312NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$869,234TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,698DirectOffsettingRevenueAmt
Net Community Benefit Expns$821,536NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,329,266TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,217,910DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,111,356NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,212,194TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,212,194NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,194,269TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,415,871DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,778,398NetCommunityBenefitExpnsAmt
Total Expense0.01970TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,695,259TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,464,851DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,230,408NetCommunityBenefitExpnsAmt
Total Expense0.02120TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$352,356TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$352,356NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$575,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$575,000NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$346,176TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$346,176NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$863,213TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$863,213NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,136,745TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,136,745NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,039,995ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,295,064CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,255,069MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 IMAGING SERVICES HOLDING COMPANY LLC
HOLDING COMPANY0.500000.50000
2 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
ORTHOPAEDIC HOSPITAL0.600000.40000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111130 PARKVIEW CIRCLEAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46845ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PARKVIEW.COMWebsiteAddressTxt
State License14-005845-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART 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 HEALTH SYSTEM, INC. AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) RESEARCH TEAM WERE DILIGENT IN ENSURING THERE WAS INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS WELL AS VULNERABLE AND UNDERSERVED POPULATIONS. 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 HEALTH SYSTEM, 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 HEALTH SYSTEM, INC. TURNED TO THE COMMUNITY AND PARTNERING ORGANIZATIONS REPRESENTING VULNERABLE POPULATIONS WHEN SELECTING AND PRIORITIZING ALLEN COUNTY'S HEALTH NEEDS. THREE COMMUNITY SESSIONS WERE HELD BETWEEN AUGUST 26, 2019 AND SEPTEMBER 4, 2019 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.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.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: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); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440).
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: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.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART 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:OBESITY: ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC WILL CONTINUE TO PARTNER WITH PARKVIEW HOSPITAL, INC. IN ITS EFFORTS TO PROMOTE HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY, AND INJURY PREVENTION EDUCATION IN NORTHEAST INDIANA AND NORTHWEST OHIO. PARKVIEW SPORTS MEDICINE IS PROUD TO PROVIDE AREA HIGH SCHOOLS, UNIVERSITIES, AND SPORTS CLUBS - INCLUDING FORT WAYNE COMMUNITY SCHOOLS - WITH MORE THAN 70 ATHLETIC TRAINERS. THE COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINERS (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA RELATED TO ACTIVITIES OF HEALTHY LIVING (E.G., NUTRITION CLASSES FOR OUR CLUB SPORT TEAMS AND INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES). OUR CERTIFIED ATHLETIC TRAINERS SERVE OVER 40 SCHOOLS AND CLUBS IN NORTHEAST INDIANA AND NORTHWEST OHIO. THEY WORK AT THE SCHOOLS AND PROMOTE SAFETY ON THE SIDELINES THROUGH PREVENTIVE SERVICES, INJURY REHABILITATION AND EMERGENCY CARE AT EACH PRACTICE AND ALL HOME GAMES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE. HEALTH NEEDS IDENTIFIED AND WHY THE HOSPITAL DOES NOT INTEND TO ADDRESS THESE AS PART OF THE IMPLEMENTATION STRATEGY: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. AIHS PROVIDES STREAMLINED ACCESS TO INFORMATION, CARE OPTIONS, SHORT-TERM CASE MANAGEMENT AND BENEFIT 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 TO ENSURE INDIVIDUALS' FUTURE HEALTHCARE PREFERENCES ARE DISCUSSED, DOCUMENTED, AND HONORED. CARDIOVASCULAR DISEASE/DIABETES - WHILE WE ARE NOT ADDRESSING CARDIOVASCULAR DISEASE/DIABETES, SPECIFICALLY, WE WILL BE ADDRESSING OBESITY BY PROMOTING HEALTH AND WELL-BEING. MANY OF OUR OUTREACH INITIATIVES THAT CURRENTLY ADDRESS OR PREVENT OBESITY WILL CONTINUE AND MAY PREVENT OR TREAT CHRONIC DISEASE. IN ADDITION, PARKVIEW HOSPITAL, INC. HAS ADOPTED CARDIOVASCULAR DISEASE/DIABETES AS ONE OF ITS HEALTH PRIORITIES. TOBACCO USE - TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY, INDIANA, RELATED TO TOBACCO-FREE EFFORTS. TFAC PROVIDES INFORMATION ON RESOURCES 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 FOR SMOKING CESSATION PROGRAMS AND OPERATES A TOBACCO-FREE CAMPUS. IN ADDITION, THE PROGRAM NICOTINE FREE FOR BABY AND ME IS USED TO HELP PREGNANT WOMEN STOP SMOKING AND IS AVAILABLE THROUGH PARKVIEW'S COMMUNITY OUTREACH PROGRAMMING. MATERNAL/CHILD HEALTH - PARKVIEW ORTHO HOSPITAL'S EXPERTISE IS CLEARLY IN THE ORTHOPEDIC FIELD. IN ADDITION, PARKVIEW HOSPITAL IS ADDRESSING MATERNAL/CHILD HEALTH ALONG WITH OTHER COMMUNITY PARTNERS IN ALLEN COUNTY. SUBSTANCE USE DISORDER/MENTAL HEALTH - AGAIN, PARKVIEW ORTHO HOSPITAL'S EXPERTISE IS CLEARLY IN THE ORTHOPEDIC FIELD. IN ADDITION, THE OTHER HOSPITAL ENTITIES OF PARKVIEW HEALTH ALONG WITH VARIOUS COMMUNITY PARTNERS ARE ADDRESSING SUBSTANCE USE DISORDER/MENTAL HEALTH IN NORTHEAST INDIANA.
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.
FieldValueIRS element (for citing)
Facility124FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (124 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PARKVIEW PHYSICIANS GROUP
11108 PARKVIEW CIRCLEFORT WAYNEIN468451730PHYSICIAN OFFICE
2 - PARKVIEW PHYSICIANS GROUP
11109 PARKVIEW PLAZA DRIVEFORT WAYNEIN468451701PHYSICIAN OFFICE
3 - PARKVIEW PHYSICIANS GROUP
1818 CAREW STFORT WAYNEIN468054788PHYSICIAN OFFICE
4 - PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLEFORT WAYNEIN468451730PHYSICIAN OFFICE
5 - PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DRIVEFORT WAYNEIN468451707PHYSICIAN OFFICE
6 - PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DRIVEFORT WAYNEIN468451713PHYSICIAN OFFICE
7 - PARKVIEW PHYSICIANS GROUP
3909 NEW VISION DRIVEFORT WAYNEIN468451725PHYSICIAN OFFICE
8 - PARKVIEW PHYSICIANS GROUP
11050 PARKVIEW CIRCLEFORT WAYNEIN468451739PHYSICIAN OFFICE
9 - PARKVIEW PHYSICIANS GROUP
2200 RANDALLIA DRFORT WAYNEIN468054638PHYSICIAN OFFICE
10 - PARKVIEW PHYSICIANS GROUP
11143 PARKVIEW PLAZA DRFORT WAYNEIN468451728PHYSICIAN OFFICE/PHYSICAL THERAPY SERVICES
11 - PARKVIEW PHYSICIANS GROUP
1270 E STATE RD 205COLUMBIA CITYIN467259492PHYSICIAN OFFICE
12 - PARKVIEW PHYSICIANS GROUP
2003 STULTS RDHUNTINGTONIN467501291PHYSICIAN OFFICE
13 - PARKVIEW PHYSICIANS GROUP
8 JOHN KISSINGER DRIVEWABASHIN469921914PHYSICIAN OFFICE
14 - PARKVIEW PHYSICIANS GROUP
10515 ILLINOIS RDFORT WAYNEIN468149182PHYSICIAN OFFICE/PHYSICAL THERAPY SERVICES
15 - PARKVIEW PHYSICIANS GROUP
1234 E DUPONT RDFORT WAYNEIN468251545PHYSICIAN OFFICE
16 - PARKVIEW PHYSICIANS GROUP
8911 LIBERTY MILLS RDFORT WAYNEIN468046311PHYSICIAN OFFICE
17 - PARKVIEW PHYSICIANS GROUP
11055 TWIN CREEKS COVEFORT WAYNEIN468452204PHYSICIAN OFFICE
18 - PARKVIEW PHYSICIANS GROUP
2708 GUILFORD STHUNTINGTONIN467509701PHYSICIAN OFFICE
19 - PARKVIEW PHYSICIANS GROUP
1355 MARINERS DRWARSAWIN465827145PHYSICIAN OFFICE
20 - PARKVIEW PHYSICIANS GROUP
8028 CARNEGIE BLVDFORT WAYNEIN468045787PHYSICIAN OFFICE
21 - NORTHEAST INDIANA CANCER CTR LLC
516 E MAUMEE STANGOLAIN46703PHYSICIAN OFFICE
22 - PARKVIEW PHYSICIANS GROUP
2231 CAREW STWAYNEIN468054713PHYSICIAN OFFICE
23 - PARKVIEW PHYSICIANS GROUP
5693 YMCA PARK DRIVE WESTFORT WAYNEIN468353280PHYSICIAN OFFICE
24 - PARKVIEW PHYSICIANS GROUP
5110 N CLINTONFORT WAYNEIN468255735PHYSICIAN OFFICE
25 - PARKVIEW PHYSICIANS GROUP
1314 E SEVENTH STAUBURNIN467062535PHYSICIAN OFFICE
26 - PARKVIEW PHYSICIANS GROUP
4402 E STATE BLVDFORT WAYNEIN468156917PHYSICIAN OFFICE
27 - IMAGING SYSTEMS HOLDINGS LLC
3707 NEW VISION DRIVEFORT WAYNEIN46845IMAGING SERVICES
28 - PARKVIEW PHYSICIANS GROUP
306 E MAUMEE STANGOLAIN467032035PHYSICIAN OFFICE
29 - PARKVIEW PHYSICIANS GROUP
104 NICHOLAS PLACEAVILLAIN467100069PHYSICIAN OFFICE
30 - PARKVIEW PHYSICIANS GROUP
1331 MINNICH RDNEW HAVENIN467742051PHYSICIAN OFFICE
31 - PARKVIEW PHYSICIANS GROUP
6920 POINTE INVERNESS WAYFORT WAYNEIN46804PHYSICIAN OFFICE
32 - PARKVIEW PHYSICIANS GROUP
885 WEST CONNEXION WAYCITYIN467251044PHYSICIAN OFFICE
33 - PARKVIEW PHYSICIANS GROUP
1316 E SEVENTH STAUBURNIN467062523PHYSICIAN OFFICE
34 - PARKVIEW PHYSICIANS GROUP
3946 ICE WAYFORT WAYNEIN468051018PHYSICAL THERAPY SERVICES
35 - PARKVIEW PHYSICIANS GROUP
512 NORTH PROFESSIONAL WAYKENDALLVILLEIN467552927PHYSICIAN OFFICE
36 - PARKVIEW PHYSICIANS GROUP
1720 BEACON STFORT WAYNEIN468054749PHYSICIAN OFFICE
37 - PARKVIEW PHYSICIANS GROUP
207 N TOWNLINE RDLAGRANGEIN467611325PHYSICIAN OFFICE
38 - PARKVIEW PHYSICIANS GROUP
326 SAWYER RDKENDALLVILLEIN467552573PHYSICIAN OFFICE
39 - PARKVIEW PHYSICIANS GROUP
8233 GLENCARIN BLVDFORT WAYNEIN468045784PHYSICIAN OFFICE
40 - PARKVIEW PHYSICIANS GROUP
1310 E SEVENTH STAUBURNIN467062518PHYSICIAN OFFICE
41 - PARKVIEW PHYSICIANS GROUP
2512 E DUPONT RD STE 100FORT WAYNEIN468044128PHYSICIAN OFFICE
42 - PARKVIEW PHYSICIANS GROUP
916 W 7TH STAUBURNIN467062013PHYSICIAN OFFICE
43 - PARKVIEW PHYSICIANS GROUP
1104 N WAYNE STNORTH MANCHESTERIN469621001PHYSICIAN OFFICE
44 - PARKVIEW PHYSICIANS GROUP
401 N SAWYER RDKENDALLVILLEIN467552568PHYSICIAN OFFICE
45 - PARKVIEW PHYSICIANS GROUP
10620 CORPORATE DRIVEFORT WAYNEIN468451711PHYSICIAN OFFICE
46 - PARKVIEW PHYSICIANS GROUP
5050 N CLINTON STFORT WAYNEIN468255886PHYSICAL THERAPY SERVICES
47 - PARKVIEW PHYSICIANS GROUP
1655 N CASS STWABASHIN469921916PHYSICIAN OFFICE
48 - PARKVIEW PHYSICIANS GROUP
3828 NEW VISION DRFORT WAYNEIN468451708PHYSICIAN OFFICE
49 - PARKVIEW PHYSICIANS GROUP
8607 TEMPLE DRIVEFORT WAYNEIN46809PHYSICIAN OFFICE
50 - PARKVIEW PHYSICIANS GROUP
1464 LINCOLNWAY SOUTHLIGONIERIN467679601PHYSICIAN OFFICE
51 - PARKVIEW PHYSICIANS GROUP
8175 W US 20SHIPSHEWANAIN46565PHYSICIAN OFFICE
52 - PARKVIEW PHYSICIANS GROUP
4084 NORTH US HIGHWAY 33CHURUBUSCOIN467239563PHYSICIAN OFFICE
53 - PARKVIEW PHYSICIANS GROUP
1306 E 7TH ST STE AAUBURNIN467062537PHYSICIAN OFFICE
54 - PARKVIEW PHYSICIANS GROUP
577 GEIGER DRIVEROANOKEIN467838877PHYSICIAN OFFICE
55 - PARKVIEW PHYSICIANS GROUP
620 W NORTH STCOLUMBIA CITYIN467251214PHYSICIAN OFFICE
56 - PARKVIEW PHYSICIANS GROUP
11130 PARKVIEW CIRCLE DRFORT WAYNEIN468451735PHYSICAL THERAPY SERVICES
57 - PARKVIEW PHYSICIANS GROUP
13430 MAIN STGRABILLIN467412001PHYSICIAN OFFICE
58 - PARKVIEW PHYSICIANS GROUP
1007 W RUDISILL BLVDFORT WAYNEIN468072170PHYSICIAN OFFICE
59 - PARKVIEW PHYSICIANS GROUP
128 N RANDOLPH STGARRETTIN467381138PHYSICIAN OFFICE
60 - PARKVIEW PHYSICIANS GROUP
5680 YMCA PARK DRIVE WESTFORT WAYNEIN46835PHYSICIAN OFFICE
61 - PARKVIEW PHYSICIANS GROUP
817 TRAIL RIDGE RDALBIONIN467011534PHYSICIAN OFFICE
62 - PARKVIEW PHYSICIANS GROUP
6108 MAPLECREST RDFORT WAYNEIN468352524PHYSICIAN OFFICE
63 - PARKVIEW PHYSICIANS GROUP
410 SAWYER RDKENDALLVILLEIN467552573PHYSICIAN OFFICE
64 - PARKVIEW PHYSICIANS GROUP
2814 THEATER AVEHUNTINGTONIN467507978PHYSICIAN OFFICE
65 - PARKVIEW PHYSICIANS GROUP
2001 STULTS RDHUNTINGTONIN467501291PHYSICIAN OFFICE
66 - PARKVIEW PHYSICIANS GROUP
2600 N DETROIT STLAGRANGEIN467611154PHYSICIAN OFFICE
67 - PARKVIEW PHYSICIANS GROUP
420 SAWYER RDKENDALLVILLEIN467552572PHYSICIAN OFFICE
68 - PARKVIEW PHYSICIANS GROUP
4665 STATE RD 5SOUTH WHITLEYIN467879101PHYSICIAN OFFICE
69 - PARKVIEW PHYSICIANS GROUP
7030 POINTE INVERNESS WAY STE 335FORT WAYNEIN468049298PHYSICIAN OFFICE
70 - PARKVIEW PHYSICIANS GROUP
12124 LIMA RDFORT WAYNEIN468189508PHYSICAL THERAPY SERVICES
71 - PARKVIEW PHYSICIANS GROUP
1260 E STATE RD 205COLUMBIA CITYIN467259492PHYSICIAN OFFICE
72 - PARKVIEW PHYSICIANS GROUP
5 MATCHETTE DRIVEPIERCETONIN465629073PHYSICIAN OFFICE
73 - PARKVIEW PHYSICIANS GROUP
2500 EAST BELLEFONTAINE RDHAMILTONIN467429352PHYSICIAN OFFICE
74 - PARKVIEW PHYSICIANS GROUP
10012 AUBURN PARK DRFORT WAYNEIN46825PHYSICIAN OFFICE
75 - PARKVIEW PHYSICIANS GROUP
470 BENNETT DRIVEWARRENIN467929272PHYSICIAN OFFICE
76 - PARKVIEW PHYSICIANS GROUP
200 INTERTECH PARKWAYANGOLAIN467037346PHYSICAL THERAPY SERVICES
77 - PARKVIEW PHYSICIANS GROUP
409 E WASHINGTON STBUTLERIN467211175PHYSICIAN OFFICE
78 - PARKVIEW PHYSICIANS GROUP
1517 CATALPA STFORT WAYNEIN46802PHYSICIAN OFFICE
79 - PARKVIEW PHYSICIANS GROUP
412 SAWYER RDKENDALLVILLEIN467552572PHYSICIAN OFFICE
80 - PARKVIEW PHYSICIANS GROUP
838 S HARRISON STFORT WAYNEIN468022206PHYSICAL THERAPY SERVICES
81 - PARKVIEW PHYSICIANS GROUP
3905 CARROLL RDFORT WAYNEIN468189528PHYSICIAN OFFICE
82 - PARKVIEW PHYSICIANS GROUP
213 FAIRVIEW BLVDKENDALLVILLEIN467552988PHYSICIAN OFFICE
83 - PARKVIEW PHYSICIANS GROUP
710 N EAST STWABASHIN469921914PHYSICIAN OFFICE
84 - PARKVIEW PHYSICIANS GROUP
10 JOHN KISSINGER DRIVEWABASHIN469921914PHYSICIAN OFFICE
85 - PARKVIEW PHYSICIANS GROUP
2701 SPRING STFORT WAYNEIN468083939PHYSICIAN OFFICE
86 - PARKVIEW PHYSICIANS GROUP
1 UNIVERSITY AVEANGOLAIN467031764PHYSICIAN OFFICE
87 - PARKVIEW PHYSICIANS GROUP
815 HIGH ST STE BDECATURIN467332351PHYSICIAN OFFICE
88 - PARKVIEW PHYSICIANS GROUP
1129 FIRST STHUNTINGTONIN467502313PHYSICIAN OFFICE
89 - PARKVIEW PHYSICIANS GROUP
604 E COLLEGE AVENORTH MANCHESTERIN469621276PHYSICIAN OFFICE
90 - PARKVIEW PHYSICIANS GROUP
1169 N MAIN STBLUFFTONIN467141360PHYSICIAN OFFICE
91 - PARKVIEW PHYSICIANS GROUP
303 SOUTH MAIN ST STE 404BLUFFTONIN467142503PHYSICIAN OFFICE
92 - PARKVIEW PHYSICIANS GROUP
801 E HOUSTON STGARRETTIN467381662PHYSICIAN OFFICE
93 - PARKVIEW PHYSICIANS GROUP
3898 NEW VISION DR STE DFORT WAYNEIN468451718PHYSICIAN OFFICE
94 - PARKVIEW PHYSICIANS GROUP
1600 E WASHINGTON BLVDFORT WAYNEIN468031228PHYSICIAN OFFICE
95 - PARKVIEW PHYSICIANS GROUP
344 N MAIN STCOLUMBIA CITYIN467251745PHYSICIAN OFFICE
96 - PARKVIEW PHYSICIANS GROUP
1516 LEESBURG RDFORT WAYNEIN46808PHYSICIAN OFFICE
97 - PARKVIEW PHYSICIANS GROUP
1050 PRODUCTION RDFORT WAYNEIN46808PHYSICIAN OFFICE
98 - PARKVIEW PHYSICIANS GROUP
2303 COLLEGE AVEHUNTINGTONIN467501237PHYSICIAN OFFICE
99 - PARKVIEW PHYSICIANS GROUP
11725 LINCOLN HWY ENEW HAVENIN46774PHYSICIAN OFFICE
100 - PARKVIEW PHYSICIANS GROUP
5104 N CLINTONWAYNEIN468255720PHYSICIAN OFFICE
101 - PARKVIEW PHYSICIANS GROUP
10307 DUPONT CIRCLE DR W STE BFORT WAYNEIN468251633PHYSICIAN OFFICE
102 - PARKVIEW PHYSICIANS GROUP
1381 N WAYNE STANGOLAIN467032348PHYSICIAN OFFICE
103 - PARKVIEW PHYSICIANS GROUP
2414 E STATE BLVD STE 101FORT WAYNEIN468054760PHYSICIAN OFFICE
104 - PARKVIEW PHYSICIANS GROUP
11115 PARKVIEW PLAZA DRIVEFORT WAYNEIN468451701PHYSICIAN OFFICE
105 - PARKVIEW PHYSICIANS GROUP
516 E MAUMEE STANGOLAIN46703CANCER TREATMENTS
106 - PARKVIEW PHYSICIANS GROUP
6130 TRIER RDFORT WAYNEIN468155378PHYSICIAN OFFICE
107 - PARKVIEW PHYSICIANS GROUP
3816 NEW VISION DRIVEFORT WAYNEIN468451708PHYSICIAN OFFICE
108 - PARKVIEW PHYSICIANS GROUP
7900 W JEFFERSON BLVD STE 301FORT WAYNEIN468044128PHYSICIAN OFFICE
109 - PARKVIEW PHYSICIANS GROUP
2812 THEATER AVEHUNTINGTONIN46750PHYSICIAN OFFICE
110 - PARKVIEW PHYSICIANS GROUP
8004 CARNEGIE BLVDFORT WAYNEIN468045785PHYSICIAN OFFICE
111 - PARKVIEW PHYSICIANS GROUP
1515 HOBSON RDFORT WAYNEIN468054802PHYSICIAN OFFICE
112 - PARKVIEW PHYSICIANS GROUP
1025 MANCHESTER AVEWABASHIN469921425PHYSICIAN OFFICE
113 - PARKVIEW PHYSICIANS GROUP
1095 W RUDISILL BLVDFORT WAYNEIN468072162PHYSICIAN OFFICE
114 - PARKVIEW PHYSICIANS GROUP
112 S MAIN STMILFORDIN46542PHYSICIAN OFFICE
115 - PARKVIEW PHYSICIANS GROUP
150 GROWTH PARKWAYANGOLAIN467039313PHYSICIAN OFFICE
116 - PARKVIEW PHYSICIANS GROUP
15707 OLD LIMA RDHUNTERTOWNIN46748PHYSICIAN OFFICE
117 - PARKVIEW PHYSICIANS GROUP
1900 CAREW ST STE 3AFORT WAYNEIN468054765PHYSICIAN OFFICE
118 - PARKVIEW PHYSICIANS GROUP
203 EAST DOUGLAS AVEFORT WAYNEIN468023534PHYSICIAN OFFICE
119 - PARKVIEW PHYSICIANS GROUP
2710 LAKE AVENUEFORT WAYNEIN468055412PHYSICIAN OFFICE
120 - PARKVIEW PHYSICIANS GROUP
2930 LAKE AVENUEFORT WAYNEIN468055416PHYSICIAN OFFICE
121 - PARKVIEW PHYSICIANS GROUP
3974 NEW VISION DRIVEFORT WAYNEIN468451712PHYSICIAN OFFICE
122 - PARKVIEW PHYSICIANS GROUP
400 ASH STWABASHIN469921954PHYSICIAN OFFICE
123 - PARKVIEW PHYSICIANS GROUP
410 E MITCHELL STKENDALLVILLEIN467551890PHYSICIAN OFFICE
124 - PARKVIEW PHYSICIANS GROUP
4666 W JEFFERSON BLVDFORT WAYNEIN468046892PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:NOTE TO READER - THE AMOUNTS LISTED ON LINES 7A-C REFLECT ONLY THE FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC AS PARKVIEW HEALTH SYSTEM, INC.'S MEMBER HOSPITALS OF 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); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295) PARK CENTER, INC. (EIN 35-1135451) FILE THEIR OWN RESPECTIVE FORM 990. 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 HEALTH SYSTEM, 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 HEALTH SYSTEM, INC. ACCEPTS ALL 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 ARE PHYSICIAN PRACTICES THAT PROVIDE SERVICES THAT MEET IDENTIFIED COMMUNITY NEEDS DESPITE PRODUCING FINANCIAL LOSSES.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARKVIEW HEALTH SYSTEM, 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 II, COMMUNITY BUILDING ACTIVITIES:DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.PARKVIEW HEALTH SYSTEM, INC. HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF OUR COMMUNITY AND THE NORTHEAST INDIANA REGION. PARKVIEW INVESTS IN PROJECTS THAT IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF THE COMMUNITY.PHYSICAL IMPROVEMENTS/HOUSING:THE PARKVIEW FAMILY PARK IS A RECREATIONAL PARK AREA LOCATED ON THE NORTH FORT WAYNE CAMPUS, WHICH IS THE HOME TO THE PARKVIEW REGIONAL MEDICAL CENTER. PARKVIEW HEALTH SYSTEM, INC. MAKES THE PARK AVAILABLE TO THE GENERAL PUBLIC AND MAINTAINS THE PROPERTY TO ENHANCE THE COMMUNITY AND PROMOTE PHYSICAL ACTIVITY. ECONOMIC DEVELOPMENT: PARKVIEW HEALTH SYSTEM, INC. FOSTERS ECONOMIC DEVELOPMENT IN SEVERAL WAYS. PARKVIEW HEALTH SYSTEM, INC. HAS PLAYED A KEY ROLE IN THE NORTHEAST INDIANA REGIONAL PARTNERSHIP'S VISION 2030, AN INITIATIVE DESIGNED TO TRANSFORM NORTHEAST INDIANA INTO A TOP TIER GLOBAL COMPETITOR BY FOCUSING ON A COMMON MISSION TO DEVELOP, ATTRACT AND RETAIN TALENT. PARKVIEW HEALTH SYSTEM, INC. HAS BEEN INSTRUMENTAL IN WORKING WITH THIS GROUP OF COMMUNITY REPRESENTATIVES FROM BUSINESS, EDUCATION, GOVERNMENT AND FOUNDATION SECTORS TO DEVELOP A COMPELLING AND ACTIONABLE VISION FOR THE 11-COUNTY NORTHEAST INDIANA REGION. VISION 2030'S PRIORITIES ARE TO INCREASE PER CAPITA PERSONAL INCOME, POPULATION SIZE, AND POST-SECONDARY AND CERTIFICATE ATTAINMENT IN NORTHEAST INDIANA. COMMUNITY PARTNERSHIP FUNDING WAS PROVIDED TO ELEVATE VENTURES, INC. TO SUPPORT THESE EFFORTS.THE HEALTH SYSTEM CONTINUES TO CONTRIBUTE TO DOWNTOWN FORT WAYNE REVITALIZATION EFFORTS THROUGH A DONATION TO THE FORT WAYNE REDEVELOPMENT COMMISSION FOR ANNUAL MAINTENANCE COSTS FOR THE PARKVIEW FIELD BALLPARK, HOME TO THE FORT WAYNE TIN CAPS MINOR LEAGUE BASEBALL TEAM. COMPLETED IN 2009, THE BASEBALL PARK SERVED AS A SPRINGBOARD TO SIGNIFICANT DOWNTOWN DEVELOPMENT AND REVITALIZATION. LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS LEADERSHIP DEVELOPMENT IN THE COMMUNITY IN CONJUNCTION WITH ECONOMIC DEVELOPMENT EFFORTS TO IMPROVE THE QUALITY OF LIFE IN ALLEN COUNTY AND THE REGION. STRONG LEADERS PLAY A KEY ROLE IN BUILDING THRIVING COMMUNITIES.PARKVIEW'S COMMUNITY PARTNER DEVELOPMENT CENTER WAS CREATED TO PROVIDE TOOLS AND RESOURCES FOR LOCAL NON-PROFIT ORGANIZATIONS AND THEIR LEADERS THROUGH TRAINING, COACHING, ORGANIZATIONAL DEVELOPMENT AND STRATEGIC PLANNING.
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 HEALTH SYSTEM, 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 HEALTH SYSTEM, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARKVIEW HEALTH SYSTEM, 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 HEALTH SYSTEM, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, WORKING WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND ITS FRONTLINE STAFF. PARKVIEW HEALTH SYSTEM, 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.PARKVIEW HEALTH SYSTEM, INC. SERVES AN 11-COUNTY AREA (ADAMS, ALLEN, DEKALB, HUNTINGTON, KOSCIUSKO, LAGRANGE, NOBLE, STEUBEN, WABASH, WELLS AND WHITLEY) IN NORTHEAST INDIANA, AS WELL AS PARTS OF NORTHWEST OHIO. ACCORDING TO STATS INDIANA, THE TOTAL POPULATION OF THE HEALTH SYSTEM'S 11-COUNTY SERVICE AREA IS APPROXIMATELY 793,165 PEOPLE. PARKVIEW HEALTH SYSTEM, INC. OPERATES HOSPITALS IN ALLEN, DEKALB, HUNTINGTON, LAGRANGE, NOBLE, WABASH AND WHITLEY COUNTIES. OF THE SEVEN COUNTIES IN WHICH PARKVIEW HEALTH SYSTEM, INC. OPERATES HOSPITALS, ALLEN COUNTY IS THE AREA'S ONLY URBAN AREA, IN AN OTHERWISE RURAL AREA, AND ROUGHLY MAKES UP 48.2% OF THE SERVICE AREA POPULATION.ACCORDING TO THE INDIANA HOSPITAL ASSOCIATION DIMENSIONS DATABASE, PARKVIEW HEALTH SYSTEM, INC. FACILITIES HAD 25.1% OF INPATIENT DISCHARGES THAT WERE MEDICAID PATIENTS AND 2.9% WERE SELF-PAY. FOR OUTPATIENT PROCEDURES, 19.2% WERE MEDICAID PATIENTS, AND 2.9% PERCENT WERE SELF-PAY (2021).ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (2018), THE MEAN PERCENTAGE OF HOUSEHOLDS LIVING BELOW THE FEDERAL POVERTY LEVEL IS 9.9% FOR THE SEVEN-COUNTY AREA [RANGING FROM 7.8%% (NOBLE COUNTY) TO 12.4% (WABASH COUNTY)]. THE MEDIAN HOUSEHOLD INCOME WITHIN THE SEVEN-COUNTY AREA RANGES FROM $53,632 (HUNTINGTON) TO $64,498 (LAGRANGE). AS OF NOVEMBER 2021, THE PERCENTAGE OF UNEMPLOYED WORKERS IN THE CIVILIAN LABOR FORCE RANGES FROM 1.2% (LAGRANGE COUNTY) TO 2.1% (ALLEN COUNTY). THERE IS ONLY ONE OTHER EXTERNAL (FOR-PROFIT) HEALTH SYSTEM WITHIN THE 10-COUNTY AREA IN WHICH PARKVIEW OPERATES HOSPITALS. THIS SYSTEM OPERATES THREE HOSPITALS.HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, DEVELOPS SHORTAGE DESIGNATION CRITERIA INTENDED TO IDENTIFY A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). HRSA HAS DESIGNATED THE FOLLOWING:ALLEN COUNTY:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1189991870HPSA NAME: NEIGHBORHOOD HEALTH CLINICS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERHPSA SCORE: 21STATUS: DESIGNATEDRURAL STATUS: NON-RURAL2) DISCIPLINE: MENTAL HEALTHHPSA ID: 7189991824HPSA NAME: NEIGHBORHOOD HEALTH CLINIC INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERHPSA SCORE: 19STATUS: DESIGNATEDRURAL STATUS: NON-RURAL3) DISCIPLINE: PRIMARY CAREHPSA ID: 1189107418HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKEHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: NON-RURAL4) DISCIPLINE: MENTAL HEALTH HPSA ID: 7185458158HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKEHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: NON-RURALKOSCIUSKO COUNTY: 1) DISCIPLINE: PRIMARY CAREHPSA ID: 1187177279HPSA NAME: OTIS R BOWEN CENTER FOR HUMAN SERVICES INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKEHPSA SCORE: 12STATUS: DESIGNATEDRURAL STATUS: RURAL2) DISCIPLINE: MENTAL HEALTHHPSA ID: 7188376199HPSA NAME: OTIS R BOWEN CENTER FOR HUMAN SERVICES INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKEHPSA SCORE: 14STATUS: DESIGNATEDRURAL STATUS: RURALSTEUBEN COUNTY: 1) DISCIPLINE: PRIMARY CAREHPSA ID: 1186471309HPSA NAME: STEUBEN COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSAHPSA FTE SHORT: 2.2HPSA SCORE: 11STATUS: DESIGNATEDRURAL STATUS: RURALMULTI-COUNTY DESIGNATIONS:1) COUNTIES: ADAMS, ALLEN AND WELLS COUNTY DISCIPLINE: MENTAL HEALTHHPSA ID: 7184233749HPSA NAME: MHCA 20 - ADAMS/ALLEN/WELLS COUNTIESDESIGNATION TYPE: GEOGRAPHIC HPSAHPSA FTE SHORT: 11.37HPSA SCORE: 12STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL2) COUNTIES: DEKALB, LAGRANGE, NOBLE AND STEUBEN COUNTYDISCIPLINE: MENTAL HEALTHHPSA ID: 7186175063HPSA NAME: NORTHEASTERN CATCHMENT AREA 18DESIGNATION TYPE: GEOGRAPHIC HPSAHPSA FTE SHORT: 7.03HPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: RURAL3) COUNTIES: HUNTINGTON, KOSCIUSKO, MARSHALL, WABASH AND WHITLEY COUNTYDISCIPLINE: MENTAL HEALTHHPSA ID: 7186918305HPSA NAME: MENTAL HEALTH CATCHMENT AREA 28 - WARSAWDESIGNATION TYPE: GEOGRAPHIC HPSAHPSA FTE SHORT: 11.02HPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL
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.).THE MAJORITY OF THE PARKVIEW HEALTH SYSTEM, INC. BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN THE HEALTH SYSTEM'S PRIMARY SERVICE AREA. AS PARENT OF THE SYSTEM'S VARIOUS HOSPITAL ENTITIES AND PHYSICIAN PRACTICES, PARKVIEW HEALTH SERVES IN AN OVERSIGHT CAPACITY TO FORM AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. EACH OF OUR HEALTHCARE FACILITIES ARE EFFICIENTLY SUPPORTED WITH CENTRALIZED, COST-EFFECTIVE ADMINISTRATIVE SUPPORT AND GUIDANCE TO FORM A COMPLETE AND COMPREHENSIVE CARE DELIVERY SYSTEM FOR THE REGION. PARKVIEW HEALTH SYSTEM, INC. SERVES TO MEET ITS MISSION TO ITS COMMUNITIES BY CONDUCTING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT OF THE REGION AND OFFERING THE SERVICES NECESSARY FOR A SAFER AND HEALTHIER POPULATION.DATA AND FEEDBACK OBTAINED THROUGH THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS, PHYSICIAN SURVEYS, AND TREND AND TREATMENT ANALYSIS WERE UTILIZED IN PARKVIEW HEALTH SYSTEM, INC.'S STRATEGIC PLANNING PROCESS. THROUGH THIS PROCESS, HOSPITALS WITHIN PARKVIEW HEALTH SYSTEM, INC. AS WELL AS THE ORTHOPEDIC HOSPITAL HAVE ESTABLISHED SEVERAL PRIORITY AREAS THAT ALIGN WITH THE COMMUNITY'S NEEDS AND OUR SYSTEM'S MISSION, VISION AND GOALS. ALL HOSPITAL ENTITIES SHARE THE COMMUNITY HEALTH PRIORITY OF SUBSTANCE USE DISORDER AND MENTAL HEALTH, WITH THE EXCEPTION OF THE ORTHOPEDIC HOSPITAL. OTHER TOP COMMUNITY HEALTH PRIORITIES ADOPTED THROUGHOUT THE HEALTH SYSTEM INCLUDE MATERNAL/CHILD HEALTH, OBESITY AND CARDIOVASCULAR DISEASE AND DIABETES. THROUGH PARKVIEW HEALTH SYSTEM, INC., AFFILIATED HOSPITALS' FUNDING IS ALLOCATED ON AN ANNUAL BASIS TO SUPPORT LOCAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES. COMMITTEE PARTICIPATION AND RESOURCES ARE COMMITTED TO SUPPORT LOCAL HEALTH INITIATIVES AND PARTNER ORGANIZATIONS THAT ADDRESS THE IDENTIFIED HEALTH PRIORITIES SPECIFIC TO EACH COMMUNITY. ADDITIONALLY, THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC, PART OF PARKVIEW HEALTH SYSTEM INC. (IN PARTNERSHIP WITH PARKVIEW HOSPITAL, INC. AND LOCAL SCHOOLS), CONTINUES TO WORK TO REDUCE OBESITY BY PROMOTING HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY AND INJURY PREVENTION EDUCATION. AS PART OF THIS WORK, A COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINER (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA ON HEALTHY LIVING PRACTICES. INCLUDED IN THIS PROGRAM ARE NUTRITION CLASSES FOR CLUB SPORT TEAMS AND INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE.TO REINFORCE THESE EFFORTS, THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC. IS PROUD TO ASSIST AREA HIGH SCHOOLS, UNIVERSITIES AND SPORTS CLUBS BY PROVIDING MORE THAN 70 ATHLETIC TRAINERS. OUR CERTIFIED ATHLETIC TRAINERS SERVE OVER 40 SCHOOLS AND CLUBS IN NORTHEAST INDIANA AND NORTHWEST OHIO. THEY WORK AT THE SCHOOLS AND PROMOTE SAFETY ON THE SIDELINES THROUGH PREVENTIVE SERVICES, INJURY REHABILITATION AND EMERGENCY CARE AT EACH PRACTICE AND EVERY HOME GAME.IN CARRYING OUT OUR MISSION TO IMPROVE ACCESS TO HEALTHCARE AS A NOT-FOR-PROFIT HEALTH SYSTEM, PARKVIEW HEALTH SYSTEM, INC. CONTINUES ITS FOCUS ON THE RECRUITMENT AND TRAINING OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS, AS WELL AS OTHER HEALTHCARE PROFESSIONALS SUCH AS NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS AND NURSES IN SEVERAL LOCATIONS IN THE REGION. TO INCREASE ACCESS TO SERVICES BEYOND HOSPITAL AND TRADITIONAL PHYSICIAN OFFICE SETTINGS, PARKVIEW HAS DEVELOPED WALK-IN CLINICS WITH EXTENDED HOURS IN SEVERAL LOCATIONS THROUGHOUT THE REGION. PARKVIEW ORTHO HOSPITAL, INC. OFFERS A WALK-IN ORTHOPEDIC CLINIC TO PROVIDE SAME-DAY SERVICE FOR INDIVIDUALS WITH MINOR ORTHOPEDIC AND SPORTS INJURIES. ANOTHER WAY PARKVIEW ADVANCES PATIENT ACCESS TO HEALTHCARE SERVICES IS THROUGH TECHNOLOGY. PARKVIEW ONDEMAND, A TELEHEALTH PLATFORM THAT CONNECTS INDIVIDUALS WITH A PROVIDER 24/7 ANYTIME, ANYWHERE THROUGH VIDEO VISITS VIA A COMPUTER, TABLET OR SMARTPHONE. WITH THIS SERVICE, PROVIDERS CAN SEE PATIENTS FOR SIMPLE FOLLOW-UPS, WELLNESS EXAMS, AND NON-EMERGENCY CONDITIONS SUCH AS COLD AND FLU, ALLERGIES, AND PINK EYE. ALSO CONVENIENT, IF NEEDED, PARKVIEW ONDEMAND CAN SUBMIT PRESCRIPTIONS DIRECTLY TO THE PHARMACY OF THE PATIENT'S CHOICE.SINCE 1993, PARKVIEW RESEARCH CENTER HAS BROUGHT OVER 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 TRIALS. EACH YEAR THOUSANDS OF PEOPLE, INCLUDING HEALTHY INDIVIDUALS, GENEROUSLY VOLUNTEER AS CLINICAL STUDY PARTICIPANTS. THESE STUDIES CONTRIBUTE TO IMPROVING THE DIAGNOSIS, TREATMENT, AND PREVENTION OF A WIDE VARIETY OF DISEASES. ADDITIONALLY, 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. AS PART OF THE PARKVIEW RESEARCH CENTER, THE HEALTH SERVICES AND INFORMATICS RESEARCH TEAM ENGAGES IN A VARIETY OF COMMUNITY HEALTH-RELATED RESEARCH INITIATIVES. THE TEAM 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 SURVEY STUDIES AND USER-EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. SOME EXAMPLES OF THEIR PROJECTS INCLUDE YOUTH MENTAL HEALTH STUDIES, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MOST OF THE TEAM'S WORK RESULTS IN PEER-REVIEWED PUBLICATIONS IN JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND DISSEMINATING INFORMATION TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY.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 COLLABORATIVE EFFORT 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 GAP AND SPECIALTY CARE ACCESS NEEDS IN THE COMMUNITY. ANOTHER PROGRAM ACCESSIBLE TO STUDENTS THROUGH THE PARKVIEW RESEARCH CENTER IS THE STUDENT EDUCATION AND RESEARCH FELLOWSHIP (SERF) PROGRAM (FORMERLY THE MIDWEST ALLIANCE FOR HEALTH EDUCATION). THIS PROGRAM WAS ESTABLISHED MORE THAN 30 YEARS AGO AND CONTINUES TO SERVE THE SURROUNDING REGION. WITHIN THIS FELLOWSHIP PROGRAM, STUDENTS ARE IN-RESIDENCE FOR 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.(NARRATIVE CONTINUED AFTER PART VI, LINE 7)
PART VI, LINE 6:IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES CUSTOMIZED TO MEET THE UNIQUE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN NORTHEAST INDIANA AS PART OF THE 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 WITH A BOARD OF DIRECTORS THAT CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL ALWAYS BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE (IRS). PARKVIEW CONTRIBUTES TO THE OVERALL SUCCESS OF THE REGION THROUGH SIGNIFICANT INVOLVEMENT IN THE COMMUNITIES WE SERVE. BY DEVELOPING VARIOUS PARTNERSHIPS AND ALIGNMENTS WITH DIFFERENT SECTORS AND ORGANIZATIONS, PARKVIEW HELPS TO BENEFIT THE ECONOMY, QUALITY OF LIFE AND HEALTH/WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE THE BEST CARE TO EVERY PERSON, EVERY DAY WITHIN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS TO POSITIVELY IMPACT COMMUNITY HEALTH STATUS.
PART VI, LINE 7, REPORTS FILED WITH STATESIN
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'DCONTINUED 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.).IN ADDITION TO PARTNERSHIPS WITH TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY, PARKVIEW HEALTH SYSTEM, INC. IDENTIFIED THE NEED TO PARTNER WITH HIGH SCHOOL STUDENTS, UNIVERSITIES AND HEALTHCARE SYSTEMS TO PROVIDE AN INNOVATIVE LEARNING EXPERIENCE THAT ALLOWS TEENS AND YOUNG ADULTS TO EXPLORE HEALTHCARE-RELATED CAREERS. THE PARKVIEW EDUCATION CENTER (PEC) IS THE RESULT OF AN INNOVATIVE ASSOCIATION BETWEEN PARKVIEW HEALTH, FORT WAYNE COMMUNITY SCHOOLS (FWCS) AND IVY TECH COMMUNITY COLLEGE. PEC OFFERS YOUNG PEOPLE, COLLEGE STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. PEC IS A STATE-OF-THE-ART FACILITY THAT HOUSES PARKVIEW'S TRAINING AND ONBOARDING ACTIVITIES, FWCS CAREER ACADEMY'S HEALTH SCIENCE PROGRAMS AND IVY TECH'S HEALTH SERVICES TRAINING PROGRAMS. FURTHERMORE, PEC PROVIDES BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS. THE CLASSROOMS, LABORATORIES AND COLLABORATIVE SPACES PROVIDE SPACE FOR PEOPLE FROM ALL SKILLSETS AND BACKGROUNDS TO GROW TOGETHER, ENABLING HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, GIVING ADULTS THE CHANCE TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND PROVIDE OPPORTUNITIES FOR PARKVIEW CO-WORKERS TO ENHANCE THEIR SKILLS.THROUGH THE PEC, WE CAN ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. EDUCATORS CAN PARTNER ACROSS THE CONSORTIUM, SHARING NOT ONLY SPACE BUT RESOURCES, TECHNOLOGY AND BEST PRACTICES. YOUNG ADULTS CAN LITERALLY SEE PICTURES OF THEIR FUTURE AS THEY MEET AND INTERACT WITH EXPERTS IN THEIR FIELDS OF INTEREST. LEARNERS CAN ENCOURAGE EACH OTHER DESPITE THEIR AGE, ACADEMIC ACCOMPLISHMENTS OR EXPERIENCE LEVELS.EVEN THOUGH HEALTHCARE CAREERS ARE THE PRIMARY FOCUS, THE PEC HOSTS A VARIETY OF CLASSES, MEETINGS AND ACTIVITIES FOR VARIOUS OTHER CAREERS. INVESTING IN BOTH CURRENT AND FUTURE LEADERS RESULTS IN BETTER OUTCOMES FOR LOCAL ORGANIZATIONS AND, IN TURN, OUR COMMUNITIES. LEARNING ACTIVITIES OF ALL KINDS WILL ENHANCE THE KNOWLEDGE OF OUR FUTURE LEADERS AND MAKE THEM MORE EFFECTIVE. THE PEC WAS BUILT WITH THE BELIEF THAT ALLOWING SUCH A DIVERSE GROUP OF PEOPLE TO SHARE IDEAS FUELS INNOVATION AND RESULTS IN A MORE COMPREHENSIVE LEARNING EXPERIENCE FOR CURRENT AND ASPIRING HEALTHCARE PROFESSIONALS. BY OFFERING AN INNOVATIVE APPROACH TO EDUCATION, WE ARE HELPING TO ENSURE THAT HEALTHCARE IN OUR REGION WILL THRIVE WELL INTO THE FUTURE.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, AS PART OF NORMAL OPERATIONS (PPG AND OCCUPATIONAL HEALTH), DELIVERED 6,115 VACCINES.
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 90 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BRIDGE OF GRACE INC
5100 GAYWOOD DRFORT WAYNEIN46806454056745501(C)(3)$1,200,000$0DEVELOPMENT OF FQHC CLINIC MODEL UNDER ALLIANCE HEALTH
ALLIANCE HEALTH CENTERS INC
2700 LAFAYETTE ST STE 050FORT WAYNEIN46806852036759501(C)(3)$951,247$0SUPPORT FOR THE DELIVERY OF MEDICAL SERVICES
MANCHESTER UNIVERSITY INC
604 E COLLEGE AVENORTH MANCHESTERIN46962350868127501(C)(3)$250,000$0NURSING PROGRAM SUPPORT
IHA HOSPITAL ASSISTANCE FOUNDATION INC
1 AMERICAN SQUARE STE 1900INDIANAPOLISIN46282455573749501(C)(3)$228,024$0PROMOTE A STABLE & DIVERSE HOSPITAL INFRASTRUCTURE THROUGHOUT INDIANA
PARKVIEW FOUNDATION INC
3844 NEW VISION DRFORT WAYNEIN46845237220589501(C)(3)$168,845$0PROGRAM FUNDS
CITY OF FORT WAYNE REDEVELOPMENT COMMISSION
ONE EAST MAIN STFORT WAYNEIN46802GOVT ORG$150,000$0CAPITAL MAINTENANCE & IMPROVEMENT FUND FOR PARKVIEW FIELD & SUPPORT FOR VARIOUS CITY EVENTS
MARIAN UNIVERSITY INC
3200 COLD STRING RDINDIANAPOLISIN46222350868175501(C)(3)$150,000$0ULTRASOUND EQUIPMENT AND CURRICULAR DEVELOPMENT
RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA
11109 PARKVIEW PLAZA DRFORT WAYNEIN46845351950376501(C)(3)$115,000$0PEDIATRIC RESEARCH & PROGRAMS PROVIDING SUPPORT FOR ALL PEDIATRIC FAMILIES
TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES INC
3320 NORTH CLINTON STFORT WAYNEIN46805350913541501(C)(3)$100,270$0SUPPORTING THERAPY & WELLNESS PROGRAMS FOR DISABLED CHILDREN & ADULTS
HUNTINGTON UNIVERSITY INC
2303 COLLEGE AVEHUNTINGTONIN46750350868101501(C)(3)$100,000$0NURSING PROGRAM SUPPORT
INDIANA INSTITUTE OF TECHNOLOGY INC
1600 EAST WASHINGTON BLVDFORT WAYNEIN46803350845258501(C)(3)$100,000$0NURSING PROGRAM SUPPORT
INDIANA UNIVERSITY
1024 E 3RD ST ROOM 132BLOOMINGTONIN47405356001673501(C)(3)$100,000$0NURSING PROGRAM SUPPORT
IVY TECH FOUNDATION INC
50 W FALL CREEK PKWY NORTH DRINDIANAPOLISIN46208237073977501(C)(3)$100,000$0NURSING PROGRAM SUPPORT
NORTHWEST STATE COMMUNITY COLLEGE FOUNDATION
22600 STATE ROUTE 34ARCHBOLDOH43502341259297501(C)(3)$100,000$0NURSING PROGRAM SUPPORT
TRINE UNIVERSITY INC
ONE UNIVERSITY AVEANGOLAIN46703350715530501(C)(3)$100,000$0NURSING PROGRAM SUPPORT
TROY CENTER SCHOOL
709 W BUSINESS 30COLUMBIA CITYIN46725460634748501(C)(3)$100,000$0WELLBEING & MENTAL HEALTH SUPPORT
YWCA OF NORTHEAST INDIANA INC
5920 DECATUR RDFORT WAYNEIN46816350868220501(C)(3)$100,000$0DOMESTIC VIOLENCE PREVENTION EDUCATION PROGRAMS & SERVICES FOR SURVIVORS
PURDUE UNIVERSITY
2550 NORTHWESTERN AVE STE 1100WEST LAFAYETTEIN47906356002041501(C)(3)$60,000$0HEALTH RELATED SCHOLARSHIP PROGRAM
BOYS AND GIRLS CLUB OF FORT WAYNE INC
2609 FAIRFIELD AVEFORT WAYNEIN46807351778767501(C)(3)$50,000$0AFTER-SCHOOL AND SUMMER PROGRAMS THAT PROVIDE POSITIVE, EDUCATIONAL EXPERIENCES FOR LOW-INCOME CHILDREN
FORT 4 FITNESS INC
6014 HUGUENARD ROAD STE CFORT WAYNEIN46818261936423501(C)(3)$50,000$0PROGRAMS TO PROMOTE ACTIVE & HEALTHY LIVING
GLOBAL LEADERSHIP SUMMIT AND BEYOND INC
921 E DUPONT RDFORT WAYNEIN46825472474572501(C)(3)$50,000$0LEADERSHIP GROWTH & DEVELOPMENT
PARKVIEW HOSPITAL INC
10622 PARKVIEW PLAZA DRFORT WAYNEIN46845350868085501(C)(3)$35,000$0HOSPITAL RESEARCH PROGRAM
ELEVATE VENTURES INC
50 EAST 91ST STE 213INDIANAPOLISIN46240274118692501(C)(3)$25,000$0FOCUSED ON BUILDING SUSTAINABLE INNOVATION & ENTREPRENEURSHIP CULTURES THROUGHOUT INDIANA
AMERICAN ASSOCIATION OF PHYSICIANS OF INDIAN ORGIN
600 ENTERPRISE DR STE 108OAK BROOKIL60523382532505501(C)(3)$20,000$0TO BRING TOGETHER INDIVIDUALS & ORGANIZATIONS OF INDIA ORIGIN PRACTICING IN THE UNITED STATES TO CONDUCT SEMINARS & EDUCATIONAL PROGRAMS TO ACQUAINT
LIVE HEALTHY HOOSIERS INC
10235 LAKE SEBAGO DRFORT WAYNEIN46804463782635501(C)(3)$11,500$0TO EMPOWER PEOPLE TO TAKE RESPONSIBILITY FOR THEIR HEALTH
AFRICAN AMERICAN HEALTH CARE ALLIANCE OF FORT WAYNE INC
2727 OLD POND COVEFORT WAYNEIN46815352134195501(C)(3)$10,000$0PROMOTE, SUPPORT & ENHANCE THE EDUCATION OF THE AFRICAN AMERICAN COMMUNITY REGARDING HEALTH CARE ISSUES & ASSISTING IN INDIVIDUALS PURSUING CAREERS IN HEALTH CARE
FORT WAYNE CLUBHOUSE INC DBA THE CARRIAGE HOUSE
3327 LAKE AVEFORT WAYNEIN46805352026647501(C)(3)$10,000$0PROVIDE SUPPORT TO MENTALLY ILL INDIVIDUALS THROUGH REHABILITATION SERVICES, PREVOCATIONAL, TRANSITIONAL & SUPPORTED EMPLOYMENT, & THE ADJUSTMENT OF THESE INDIVIDUALS IN THE COMMUNITY
FieldValueIRS element (for citing)
Total501c3 Org27Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCOMMUNITY 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

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO$1,220,966$0$259,085$0$557,555$0$292,805$0$33,268$0$2,363,679$0$507,042$0
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PCE PRESIDENT$840,567$0$154,751$0$315,247$0$343,540$0$32,567$0$1,686,672$0$285,723$0
RICK HENVEY
DIRECTOR/PH CHIEF OPERATING OFFICER$858,032$0$154,267$0$76,617$0$321,562$0$32,520$0$1,442,998$0$73,995$0
JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER$770,820$0$142,288$0$146,528$0$320,169$0$29,811$0$1,409,616$0$124,406$0
JAMES DOZIER
PH PHYSICIAN$1,189,998$0$1,250$0$120,356$0$20,300$0$19,169$0$1,351,073$0$0$0
SUZANNE EHINGER
FORMER KEY EMPLOYEE$0$0$0$0$1,315,239$0$0$0$0$0$1,315,239$0$1,315,239$0
NEIL SHARMA
PCI PRESIDENT$786,371$0$121,556$0$96,507$0$156,647$0$39,880$0$1,200,961$0$75,867$0
KENNETH AUSTIN
PH PHYSICIAN$967,940$0$116,076$0$27,356$0$20,300$0$17,839$0$1,149,511$0$0$0
ROY ROBERTSON
PHI PRESIDENT$743,572$0$114,728$0$98,340$0$160,508$0$29,522$0$1,146,670$0$73,938$0
WILLIAM YOUNG
PH PHYSICIAN$980,711$0$1,250$0$108,305$0$20,300$0$18,666$0$1,129,232$0$0$0
STEPHANIE FALATKO
PH PHYSICIAN$998,614$0$1,250$0$11,908$0$14,500$0$26,748$0$1,053,020$0$0$0
STEVEN WYNDER
PH PHYSICIAN$811,775$0$95,691$0$36,596$0$31,900$0$27,380$0$1,003,342$0$0$0
DENA JACQUAY
PH CHIEF ADMINISTRATIVE OFFICER$560,351$0$85,250$0$44,947$0$230,913$0$42,589$0$964,050$0$41,667$0
MITCHELL STUCKY
PH PHYSICIAN EXECUTIVE OFFICER$520,613$0$78,945$0$189,771$0$119,954$0$28,893$0$938,176$0$173,543$0
RONALD DOUBLE
PH CHIEF INFORMATION OFFICER$495,735$0$78,575$0$69,446$0$247,435$0$41,309$0$932,500$0$45,044$0
GREG JOHNSON
PH CHIEF CLINICAL INTEG OFFICER$526,062$0$80,177$0$49,590$0$121,350$0$38,587$0$815,766$0$44,688$0
DAVID STOREY
PH CHIEF LEGAL & COMPLIANCE OFFICER$507,217$0$76,982$0$48,943$0$111,929$0$38,397$0$783,468$0$47,233$0
BENJAMIN MILES
HPS PRESIDENT$549,221$0$83,196$0$55,142$0$20,300$0$35,940$0$743,799$0$52,607$0
JASON ROW
PH CHIEF MEDICAL OFFICER-PPG$403,793$0$138,976$0$40,208$0$100,723$0$37,212$0$720,912$0$38,498$0
JEFFREY BOORD
PH CHIEF QUALITY & SAFETY$413,714$0$66,509$0$96,242$0$94,260$0$37,109$0$707,834$0$73,870$0
CHARLES CLARK
BHI PRESIDENT$231,940$0$36,260$0$334,226$0$69,695$0$24,581$0$696,702$0$324,171$0
THOMAS MILLER
DIRECTOR/PH PHYSICIAN$541,339$0$23,670$0$25,838$0$31,900$0$34,325$0$657,072$0$0$0
THOMAS BOND
PH CHIEF MEDICAL OFFICER-PPG$404,746$0$62,039$0$42,580$0$103,695$0$35,214$0$648,274$0$37,678$0
JOSHUA KLINE
DIRECTOR/PH CHIEF MEDICAL OFF - PPG$383,891$0$62,027$0$60,227$0$100,781$0$37,964$0$644,890$0$39,017$0
JOLYNN SUKO
PH CHIEF INNOVATION OFFICER$357,788$0$90,780$0$24,732$0$79,834$0$28,732$0$581,866$0$23,022$0
MARK PIERCE
PH CHIEF MED INFORMATICS OFFICER$368,976$0$56,936$0$37,137$0$80,510$0$37,661$0$581,220$0$34,515$0
GERALD GRANNAN
PH SVP & COO - PPG$359,941$0$55,340$0$40,441$0$81,602$0$38,437$0$575,761$0$33,039$0
GARY BREUER
PH SVP & ENTERPRISE REV CYCLE$345,375$0$56,100$0$60,224$0$76,663$0$36,021$0$574,383$0$38,102$0
JEFFREY BROOKES
FORMER KEY EMPLOYEE$0$0$0$0$547,818$0$0$0$0$0$547,818$0$547,818$0
DAVID JEANS
PH SVP PAYER/EMPLOYER HLTH$350,306$0$53,767$0$5,951$0$74,019$0$34,570$0$518,613$0$3,329$0
ALAN MCGEE
DIRECTOR/ORTHO PHYSICIAN$486,500$0$1,250$0$19,500$0$0$0$0$0$507,250$0$0$0
DONNA VAN VLERAH
PH SVP SUPPORT DIVISION$288,222$0$46,809$0$52,084$0$77,734$0$6,014$0$470,863$0$27,828$0
PHILIP SMITH
PH SVP STRATEGY & BUSINESS$0$0$45,991$0$407,902$0$4,210$0$9,807$0$467,910$0$100,150$0
ROGER STIENECKER
PH MD IP & EP$309,757$0$30,950$0$46,854$0$26,100$0$22,135$0$435,796$0$0$0
BARBARA CLAYTON
FORMER KEY EMPLOYEE$0$0$0$0$205,956$0$0$0$0$0$205,956$0$205,956$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATRAVEL FOR COMPANIONS - TAXABLE EXPENSE REIMBURSEMENT FOR FAMILY MEMBER PAID TO: MICHAEL AXEL $501; BRIAN EMERICK $412; THOMAS KIMBROUGH $412; SHERRYL RHINESMITH $411; DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: KENNETH AUSTIN $3,500; JAMES DOZIER $3,500; STEPHANIE FALATKO $3,500; THOMAS MILLER $3,500; ROGER STIENECKER $2,042; STEVEN WYNDER $3,500; WILLAM YOUNG $3,500 PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: RAYMOND DUSMAN $2,500; GERALD GRANNAN $2,500; DENA JACQUAY $1,570; BENJAMIN MILES $825; MICHAEL PACKNETT $1,295; SHERRYL RHINESMITH $150; MITCHELL STUCKY $1,750 NON-TAXABLE MANDATORY ANNUAL MEDICAL PHYSICAL PAID FOR: RONALD DOUBLE $2,777; RAYMOND DUSMAN $1,949; GERALD GRANNAN $2,697; DENA JACQUAY $3,828; DAVID STOREY $2,669
PART I, LINES 4A-BSEVERANCE PAYMENT PHILIP SMITH $212,265 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): THOMAS BOND $37,678; JEFFREY BOORD $73,870; GARY BREUER $38,102; JEFFREY BROOKES $547,818; CHARLES CLARK $324,171; BARBARA CLAYTON $205,956; RONALD DOUBLE $45,044; RAYMOND DUSMAN $285,723; SUZANNE EHINGER $1,315,239; GERALD GRANNAN $33,039; RICK HENVEY $73,995; DENA JACQUAY $41,667; DAVID JEANS $3,329; GREG JOHNSON $44,688; JOSHUA KLINE $39,017; BENJAMIN MILES $52,607; MICHAEL PACKNETT $507,042; MARK PIERCE $34,515; ROY ROBERTSON $73,938; JASON ROW $38,498; NEIL SHARMA $75,867; PHILIP SMITH $100,150; JAMES STAPEL $16; DAVID STOREY $47,233; MITCHELL STUCKY $173,543; JOLYNN SUKO $23,022; DONNA VAN VLERAH $27,828; JEANNE' WICKENS $124,406 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: THOMAS BOND $68,895; JEFFREY BOORD $73,960; GARY BREUER $62,163; CHARLES CLARK $39,678; RONALD DOUBLE $212,635; RAYMOND DUSMAN $311,640; GERALD GRANNAN $61,302; RICK HENVEY $298,362; DENA JACQUAY $200,463; DAVID JEANS $59,519; GREG JOHNSON $89,450; JOSHUA KLINE $68,881; MICHAEL PACKNETT $260,905; MARK PIERCE $63,110; ROY ROBERTSON $128,608; JASON ROW $68,823; NEIL SHARMA $136,347; DAVID STOREY $85,829; MITCHELL STUCKY $88,054; JOLYNN SUKO $59,534; DONNA VAN VLERAH $51,634; JEANNE' WICKENS $299,869
PART I, LINE 7MANAGEMENT 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY
A35160231645471AAS12009-08-27$223,665,000SEE PART VI000
INDIANA FINANCE AUTHORITY
B35160231645471AHR62012-05-24$94,631,826SEE PART VIYes (1)00
INDIANA FINANCE AUTHORITY
C351602316NONEAVAIL2021-08-02$53,445,000SEE PART VI000
INDIANA FINANCE AUTHORITY
D35160231645471AQB12017-08-10$130,491,406SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmt
A$1,960,000$223,915,573$1,369,431$193,601$149,086,870$73,265,6712011Yes (1)0Yes (1)Yes (1)
B$25,775,000$94,631,897$1,022,698$93,731,9702012Yes (1)Yes (1)Yes (1)Yes (1)$2,425,000
C$1,580,000$53,445,000$53,445,0002018Yes (1)0Yes (1)Yes (1)
D$30,345,000$130,491,406$1,283,614$129,207,79220170Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000600.000600Yes (1)0.00890Yes (1)Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000300.000300Yes (1)0.02570Yes (1)Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)00Yes (1)
D0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000700.000700Yes (1)0.00020Yes (1)Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)0Yes (1)000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)Yes (1)000Yes (1)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K NOTE TO READER:ENTITY 2 DESIGNATION USED SOLELY TO ACCOMMODATE REPORTING FIFTH BOND ISSUE. ENTITY 2 IS NOT A DIFFERENT ENTITY THAN ENTITY 1.
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE ASERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS WHICH WERE ISSUED ON JULY 28, 2005
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE B:SERIES 2012 - 1) PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009 2) FULLY REFUNDED OUTSTANDING BONDS FOR 1998 SERIES BOND ISSUE WHICH WAS ISSUED ON NOVEMBER 24, 1998
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE C:SERIES 2016B - REISSUANCE OF 2016B BONDS ORIGINALLY ISSUED ON 8/17/16. THE PROCEEDS OF WHICH WERE ORIGINALLY USED FOR NEW MONEY FOR THE CONSTRUCTION OF NEW CANCER INSTITUTE IN FORT WAYNE, IN.
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE D:SERIES 2017 - PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009.
ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $71 EARNED ON COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART III, COLUMNS A-B, LINES 8A-C:THE ORGANIZATION HAS ENTERED INTO A VOLUNTARY CLOSING AGREEMENT WITH THE IRS WITH RESPECT TO THE BOND-FINANCED PROPERTY THAT WAS SOLD.
ENTITY 1, SCHEDULE K, PART III, COLUMNS A,B & D, LINES 8A-C:IN ADDITION TO THE VOLUNTARY CLOSING AGREEMENT, THE ORGANIZATION HAS EXERCISED REMEDIAL ACTION WITH RESPECT TO THE SALE OF CERTAIN BOND FINANCED ASSETS.
ENTITY 1, SCHEDULE K, PART IV, COLUMN A, LINE 2C:BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011.
ENTITY 1, SCHEDULE K, PART IV, COLUMN B, LINE 2C:REBATE CALCULATION PERFORMED ON DECEMBER 4, 2012.
ENTITY 1, SCHEDULE K, PART IV, COLUMN C, LINE 2C:NO CALCULATION REQUIRED BECAUSE THE BONDS ARE DRAW BONDS AND NO PROCEEDS WERE INVESTED.
ENTITY 1, SCHEDULE K, PART IV, COLUMN D, LINE 2C:REBATE CALCULATION PERFORMED ON JANUARY 23, 2019.
ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE A:1) PARTIALLY REFUNDED OUTSTANDING 2016C SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 17, 2016. 2) NEW MONEY FOR CONSTRUCTION IN EXPANDING HOSPITAL AND HEALTHCARE SERVICES IN FORT WAYNE, IN. 3) THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2018A (PARKVIEW HEALTH) (THE "2018A BONDS"), 2018C (PARKVIEW HEALTH) (THE "2018C BONDS") AND 2019A (PARKVIEW HEALTH) (FORWARD DELIVERY) (THE "2019A BONDS") WERE ALL SOLD AT SUBSTANTIALLY THE SAME TIME AND PURSUANT TO THE SAME PLAN OF FINANCE AND, AS A RESULT, CONSTITUTE A SINGLE ISSUE FOR FEDERAL TAX PURPOSES AND WERE REPORTED ON A SINGLE 8038. THE 2018A BONDS AND THE 2018C BONDS WERE ISSUED ON NOVEMBER 1, 2018. THE 2019A BONDS, HOWEVER, WERE NOT ISSUED UNTIL FEBRUARY 1, 2019 AT WHICH TIME THEY WERE ISSUED IN ORDER TO CURRENTLY REFUND THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2009A (PARKVIEW HEALTH SYSTEM OBLIGATED GROUP) (THE "2009A BONDS").
ENTITY 2, SCHEDULE K, PART II, COLUMN A, LINE 3:THIS INCLUDES INTEREST OF $1,942,840 EARNED ON PROJECT FUNDS.
ENTITY 1 & ENTITY 2, SCHEDULE K, PART III, ALL COLUMNS, LINE 7:BECAUSE PARKVIEW MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, TO ENSURE THAT THE PRIVATE BUSINESS USE LIMIT IS NOT EXCEEDED, PARKVIEW DOES NOT CALCULATE THE AMOUNT OF PRIVATE PAYMENTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDIANA FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN351602316BondIssuerEIN
CUSIP45471ARM6CUSIPNum
Bond Issued2018-11-01BondIssuedDt
Issue Price$140,710,853IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$7,310,000RetiredAmt
Total Proceeds$142,653,684TotalProceedsAmt
Capital Expenditures$93,451,866CapitalExpendituresAmt
Other Spent Proceeds$49,201,827OtherSpentProceedsAmt
Substantial Completion2020SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research AgreementsYes (1)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (1)EngageBondCounselResearchInd
Private Bus Use By Others0.00010PrivateBusUseByOthersPct
Total Private Business Use0.00010TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BROOKS CONSTRUCTION
ENTITY OF WHICH DIRECTOR MARGARET BROOKS OWNED A 35% OR GREATER INTEREST$387,541VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH.0
JOHN STOREY
FAMILY MEMBER OF KEY EMPLOYEE DAVID STOREY$53,577EMPLOYEE JOHN STOREY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC.0
KYLEE BENNETT
FAMILY MEMBER OF FORMER KEY EMPLOYEE SUZANNE EHINGER$89,127EMPLOYEE KYLEE BENNETT RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC.0
ALYSSA EHINGER
FAMILY MEMBER OF FORMER KEY EMPLOYEE SUZANNE EHINGER$27,457EMPLOYEE ALYSSA EHINGER RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4A CONT'D:NOVEMBER 2021 - PARKVIEW ORTHO HOSPITAL HAS BEEN NAMED A 2021 NATIONAL DATABASE OF NURSING QUALITY INDICATORS (NDNQI) AWARD FOR OUTSTANDING NURSING QUALITY WINNER BY PRESS GANEY, A NATIONAL LEADER IN HEALTHCARE CONSUMER AND WORKFORCE ENGAGEMENT. PARKVIEW ORTHO HOSPITAL, OWNED IN PARTNERSHIP WITH ORTHO NORTHEAST, IS ONE OF SIX HEALTHCARE ORGANIZATIONS TO WIN THE ACCOLADE, WHICH RECOGNIZES THE HOSPITAL AS A TOP PERFORMING ORGANIZATION ACROSS 17 QUALITY MEASURES. 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 AS WELL AS RELATED ENTITIES. 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 PARKVIEW HEALTH SYSTEM, INC. WAS 315 AND 6,234 RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE SHALL CONSIST OF A MAXIMUM OF TEN (10) MEMBERS, THE MAJORITY OF WHOM SHALL BE INDEPENDENT AND DISINTERESTED, AND SHALL INCLUDE THE PARKVIEW HEALTH BOARD CHAIR WHO SHALL ALSO SERVE AS CHAIR OF THE COMMITTEE, THE PARKVIEW HEALTH BOARD VICE CHAIR, THE PARKVIEW HEALTH BOARD CHAIR-ELECT, IF APPLICABLE, THE PARKVIEW HEALTH PRESIDENT AND CHIEF EXECUTIVE OFFICER AND UP TO SIX (6) "AT LARGE" MEMBERS NOMINATED ANNUALLY BY THE GOVERNANCE COMMITTEE AND APPOINTED BY THE PARKVIEW HEALTH BOARD CHAIR. ALL MEMBERS SHALL HAVE VOTING RIGHTS. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION. IN ADDITION, THE COMMITTEE SHALL PERFORM ALL RESPONSIBILITIES DELEGATED TO IT BY THE BOARD AND MAY EXERCISE ALL POWERS OF THE BOARD; PROVIDED, HOWEVER, THE COMMITTEE MAY NOT (I) APPROVE PARKVIEW HEALTH STRATEGIC PLANS, (II) FILL BOARD VACANCIES, (III) AMEND OR REPEAL THE BYLAWS OF PARKVIEW HEALTH OR (IV) TAKE ANY OTHER ACTION PROHIBITED BY LAW OR PROHIBITED BY PARKVIEW HEALTH'S BYLAWS OR ARTICLES OF INCORPORATION. THE DUTIES OF THE EXECUTIVE COMMITTEE SHALL BE MORE FULLY SET FORTH IN THE EXECUTIVE COMMITTEE CHARTER APPROVED FROM TIME TO TIME BY A MAJORITY VOTE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET NO LESS FREQUENTLY THAN QUARTERLY, ON ALTERNATE MONTHS FROM THE BOARD AND SHALL PROVIDE REGULAR REPORTS TO THE FULL BOARD.
FORM 990, PART VI, SECTION A, LINE 2DIRECTOR/OFFICER RICK HENVEY, OFFICER JEANNE' WICKENS AND KEY EMPLOYEES MITCHELL STUCKY, PHILIP SMITH, DAVID STOREY HAVE BUSINESS RELATIONSHIPS AS DIRECTORS ON THE BOARDS OF RELATED ENTITIES. OFFICER JEANNE' WICKENS AND KEY EMPLOYEES GREG JOHNSON, DAVID JEANS, BENJAMIN MILES 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. DIRECTOR/OFFICER DAVID HAIST AND DIRECTOR MARGARET BROOKS HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BAN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, 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 12CAS 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 15REGARDING LINES 15A AND 15B, TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE ORGANIZATION USED A PROCESS FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2020, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2020 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT COMPENSATION COMMITTEE MEMBERS. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A COMPETITIVE COMPENSATION ANALYSIS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AS WELL AS ALL EXECUTIVES AT THE VICE PRESIDENT LEVEL AND ABOVE. ALL DATA IS SHARED WITH THE BOARD OF DIRECTORS. THE BOARD APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO AND HIS DIRECT REPORTS. APPROVAL IS ALSO PROVIDED FOR THE SALARY BUDGET FOR THE ENTIRE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP).
FORM 990, PART VI, SECTION C, LINE 19COPIES 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 XLINES 11, 12, 13, 17, 20, 23, 25 HAVE BEEN RECLASSED ON THE BEGINNING OF YEAR BALANCE SHEET IN ORDER TO BE CONSISTENT WITH IRS FORM 990 INSTRUCTIONS.
FORM 990, PART XI, LINE 9:ASSET ADJUSTMENT TRANSFERS 92,883. BOOK/TAX DIFF FROM K-1'S -4,755,889. AMORTIZE BOND SWAP OCI 21,411. ADJUST OCI FOR PENSION 20,179,361. ADJUST PRIOR YEAR ACCRUALS -50,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NORTH CLINTON DEVELOPMENT LLC
F/K/A TRICON DIEBOLD DEVELOPMENT LLFORT WAYNEIN468081167464037822REAL ESTATEIN$0$0PARKVIEW HEALTH SYSTEM INC
PARKVIEW CARE PARTNERS LLC
1450 PRODUCTION RDFORT WAYNEIN468081167462201508CLINICAL INTEGRATION NETWORKIN-$1,315,387$12,392,252PARKVIEW HEALTH SYSTEM INC
PARKVIEW ACCOUNTABLE CARE LLC
1450 PRODUCTION RDFORT WAYNEIN468081167812787982ACCOUNTABLE CARE ORGANIZATIONIN$0$0PARKVIEW HEALTH SYSTEM INC
PARKVIEW STRATEGIC ENTERPRISES LLC
1450 PRODUCTION RDFORT WAYNEIN468081167832076007HOLDING COMPANYIN$0$0PARKVIEW HEALTH SYSTEM INC
PARKVIEW RETAIL SERVICES LLC
1450 PRODUCTION RDFORT WAYNEIN468081167832081254RETAILIN$367,995$479,726PARKVIEW HEALTH SYSTEM INC
FOUNDATION SURGERY AFFLIATE OF FORT WAYNE LLC
1450 PRODUCTION RDFORT WAYNEIN468081167201394120SURGICAL SERVICESIN-$90,256$3,456,318PARKVIEW HEALTH SYSTEM INC
PARKVIEW INNOVATIONS LLC
1450 PRODUCTION RDFORT WAYNEIN468081167872099471INTELLECTUAL PROPERTY & INNOVATIONIN$0$0PARKVIEW HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DRFORT WAYNEIN468451701350868085HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW FOUNDATION INC
3844 NEW VISION DRFORT WAYNEIN468451724237220589FUND MGMTIN501(C)(3)LINE 12A, IPARKVIEW HOSPITAL INCYes (1)
DEKALB MEMORIAL HOSPITAL INC
1316 E 7TH STAUBURNIN467062515351064295HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW DEKALB HOSPITAL FOUNDATION INC
1316 E 7TH STAUBURNIN467062515351064295FUND MGMTIN501(C)(3)LINE 12A, IDEKALB MEMORIAL HOSPITAL INCYes (1)
HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS RDHUNTINGTONIN467501291351970706HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS RDHUNTINGTONIN467501291320012095FUND MGMTIN501(C)(3)LINE 12A, IHUNTINGTON MEMORIAL HOSPITAL INCYes (1)
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE RDLAGRANGEIN467611325202401676HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC
207 N TOWNLINE RDLAGRANGEIN467611325833347115FUND MGMTIN501(C)(3)LINE 12A, ICOMMUNITY HOSPITAL OF LAGRANGE COUNTY INCYes (1)
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 N SAWYER RDKENDALLVILLEIN467552568352087092HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 N SAWYER RDKENDALLVILLEIN467552568352089183FUND MGMTIN501(C)(3)LINE 12A, ICOMMUNITY HOSPITAL OF NOBLE COUNTY INCYes (1)
PARKVIEW WABASH HOSPITAL INC
10 JOHN KISSINGER DRWABASHIN469921648471753440HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW WABASH HOSPITAL FOUNDATION INC
10 JOHN KISSINGER DRWABASHIN469921648351921445FUND MGMTIN501(C)(3)LINE 12A, IPARKVIEW WABASH HOSPITAL INCYes (1)
WHITLEY MEMORIAL HOSPITAL INC
1260 E STATE ROAD 205COLUMBIA CITYIN467259492351967665HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 E STATE ROAD 205COLUMBIA CITYIN467259492311190239FUND MGMTIN501(C)(3)LINE 12A, IWHITLEY MEMORIAL HOSPITAL INCYes (1)
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH STBRYANOH435061681341045870PHYSICIANSOH501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
1450 PRODUCTION RDFORT WAYNEIN468081167352064353OCCUPATIONAL HEALTHIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARK CENTER INC
909 E STATE BLVDFORT WAYNEIN468053404351135451COMPREHENSIVE MENTAL HEALTH CENTERIN501(C)(3)LINE 10PARKVIEW HEALTH SYSTEM INCYes (1)
PARK CENTER HOLDINGS INC
909 E STATE BLVDFORT WAYNEIN468053404843684074TO SUPPORT PARK CENTER INCIN501(C)(3)LINE 12D, III-OPARKVIEW HEALTH SYSTEM INCYes (1)
OUABACHE VILLAGE INC
909 E STATE BLVDFORT WAYNEIN468053404020731922PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INCYes (1)
RICHARDVILLE APARTMENTS INC
909 E STATE BLVDFORT WAYNEIN468053404050543940PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INCYes (1)
RICHARDVILLE APARTMENTS II INC
909 E STATE BLVDFORT WAYNEIN468053404861077255PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INCYes (1)
SEDDLEMEYER APARTMENTS INC
909 E STATE BLVDFORT WAYNEIN468053404352067590PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INCYes (1)
WAYNEDALE APARTMENTS INC
909 E STATE BLVDFORT WAYNEIN468053404351972197PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INCYes (1)
WAYNEDALE II APARTMENTS INC
909 E STATE BLVDFORT WAYNEIN468053404223972135PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INCYes (1)
WOODSIDE APARTMENTS INC
909 E STATE BLVDFORT WAYNEIN468053404351937426PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
1450 PRODUCTION RDFORT WAYNEIN468081167260143823ORTHOPEADIC HOSPITALINPARKVIEW HEALTH SYSTEM INCRELATED$50,205,065$36,572,7100Yes (1)0.60000
MANAGED CARE SERVICES LLC
1450 PRODUCTION RDFORT WAYNEIN468081167351996535HEALTH PLAN ADMINISTRATIONINPARKVIEW HEALTH SYSTEM INCRELATED$11,877,475$16,622,6480Yes (1)0.90000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
PARKVIEW PROFESSIONAL PROGRAMS INC
1450 PRODUCTION RDFORT WAYNEIN468081167351668888REFERENCE LABINN/AC0
WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC
202 W BERRY STFORT WAYNEIN468022273352058340PROPERTY OWNERS ASSOCIATIONINCYes (1)PARKVIEW HEALTH SYSTEM INC$137,389$416,9310.92300
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (46 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HUNTINGTON MEMORIAL HOSPITAL INC
A$1,219,220PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
A$1,469,163PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
A$528,442PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
A$138,886PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
A$4,878,162PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
A$2,932,560PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
A$685,012PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
A$1,668,747PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
B$168,845PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
C$492,665PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
D$6,893,500PART VII SUPPLEMENTAL INFORMATION
PARK CENTER INC
D$3,799,726PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
J$1,219,220PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
J$1,469,163PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
J$528,442PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
J$138,886PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
J$4,878,162PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
J$2,932,560PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
J$685,012PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
J$1,668,747PART VII SUPPLEMENTAL INFORMATION
DEKALB MEMORIAL HOSPITAL INC
K$1,101,686PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
K$118,611PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
K$3,839,255PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
K$84,276PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
K$997,024PART VII SUPPLEMENTAL INFORMATION
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
L$10,458,074PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
L$217,116,109PART VII SUPPLEMENTAL INFORMATION
DEKALB MEMORIAL HOSPITAL INC
L$8,650,528PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
L$9,642,367PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
L$5,501,835PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
L$9,019,567PART VII SUPPLEMENTAL INFORMATION
PARK CENTER INC
L$3,149,486PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
L$1,823,756PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
L$4,340,095PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
L$101,871PART VII SUPPLEMENTAL INFORMATION
MANAGED CARE SERVICES LLC
L$566,218PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
L$6,982,783PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
L$14,707,210PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
Q$227,765,864PART VII SUPPLEMENTAL INFORMATION
DEKALB MEMORIAL HOSPITAL INC
Q$5,842,514PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
Q$7,445,946PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Q$3,759,427PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
Q$6,062,935PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
Q$3,062,685PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
Q$8,881,644PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
S$96,942PART VII SUPPLEMENTAL INFORMATION

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 2, COLUMN (C):FormAndLineReferenceDesc
ExplanationTHE 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