HUNTINGTON MEMORIAL HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HUNTINGTON MEMORIAL HOSPITAL INC (EIN 35-1970706)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-07
- IRS object ID
- 202103119349300710
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-07T10:46:53-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 EAST JEFFERSON BLVD PO BOX 7 | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 466240007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351970706 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HUNT | BusinessNameControlTxt |
| Phone | 2603738429 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 STULTS ROAD | AddressLine1Txt |
| City | HUNTINGTON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46750 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANNE' WICKENS | PersonNm |
| Person Title | PH CFO | PersonTitleTxt |
| Phone | 2602669313 | PhoneNum |
| Signature | 2021-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEANNE | PersonFirstNm |
| Person Last | WICKENS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRITTNEY KOCAJ | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 5742323992 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HUNTINGTON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL J PACKNETT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1450 PRODUCTION RD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46808 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $122,347,047 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | HUNTINGTON MEMORIAL HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 353 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $217,711 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,969,214 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $73,010,264 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $62,114,305 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,313,278 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,877,725 | CYInvestmentIncomeAmt |
| PY Other Revenue | $157,015 | PYOtherRevenueAmt |
| CY Other Revenue | $58,840 | CYOtherRevenueAmt |
| PY Total Revenue | $74,698,268 | PYTotalRevenueAmt |
| CY Total Revenue | $72,020,084 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $358,663 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $332,533 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,104,595 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,690,519 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $169,534 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,720,643 | PYOtherExpensesAmt |
| CY Other Expenses | $41,518,261 | CYOtherExpensesAmt |
| PY Total Expenses | $64,183,901 | PYTotalExpensesAmt |
| CY Total Expenses | $63,541,313 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,514,367 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,478,771 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $66,868,332 | TotalAssetsBOYAmt |
| Total Assets EOY | $75,329,589 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,731,320 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,043,960 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $55,137,012 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $66,285,629 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HUNTINGTON MEMORIAL HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $50,463,183 | ExpenseAmt |
| Grant | $332,533 | GrantAmt |
| Revenue | $62,114,305 | RevenueAmt |
| Desc | QUALITY RECOGNITIONTHE STAFF OF HUNTINGTON MEMORIAL HOSPITAL, INC., STRIVES TO PROVIDE EXCELLENT CARE TO EVERY PERSON EVERY DAY. THE CONSISTENTLY HIGH-QUALITY CARE DELIVERED IS EVIDENCED BY THE HOSPITAL'S RECOGNITION WITH NUMEROUS STATE AND NATIONAL HONORS, INCLUDING ITS HAVING BEEN NAMED:- ONE OF THE NATION'S 100 TOP HOSPITALS BY IBM WATSON HEALTH -- RECEIVED IN 2020 FOR THE SEVENTH TIME- ONE OF THE TOP 100 RURAL & COMMUNITY HOSPITALS IN THE UNITED STATES BY THE CHARTIS CENTER FOR RURAL HEALTH -- RECEIVED IN 2020 FOR THE THIRD YEAR(SEE SCHEDULE O FOR CONTINUATION) | Desc |
| Total Program Service Expenses | $50,463,183 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 353 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEANNE' WICKENS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2602669313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1450 PRODUCTION RD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46808 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PACKNETT | ||||||||||
| DIRECTOR/PH PRESIDENT & CEO | 0.00 | 40.00 | Yes (X) | Yes (X) | $0 | $2,048,421 | $1,656,853 | |||
| STEVEN WYNDER | ||||||||||
| DIRECTOR/VICE CHAIR/PH PHYSICIAN | 0.00 | 40.00 | Yes (X) | Yes (X) | $11,840 | $1,018,790 | $58,348 | |||
| ROWENA YU-MENDADOR | ||||||||||
| DIRECTOR/PH PHYSICIAN | 0.00 | 40.00 | Yes (X) | $15,846 | $353,030 | $51,182 | ||||
| JULI JOHNSON | ||||||||||
| DIRECTOR/HMHOS PRESIDENT | 40.00 | 0.00 | Yes (X) | Yes (X) | $314,324 | $0 | $91,268 | |||
| JOHN NELSON | ||||||||||
| DIRECTOR/CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $6,250 | $3,250 | $0 | |||
| DEREK DYER | ||||||||||
| DIRECTOR/TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $4,250 | $0 | $0 | |||
| MATT ECKERT | ||||||||||
| DIRECTOR/SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $4,250 | $0 | $0 | |||
| SUSAN ZAHN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $4,250 | $0 | $0 | ||||
| CHARLES DAUGHERTY | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $4,000 | $0 | $0 | ||||
| JENNIFER NEWTON | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $4,000 | $0 | $0 | ||||
| ERICH ELLER | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,000 | $0 | $0 | ||||
| BARBARA DRUMMOND | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $2,750 | $0 | $0 | ||||
| JEANNE' WICKENS | ||||||||||
| PH CHIEF FINANCIAL OFFICER | 0.00 | 40.00 | Yes (X) | $0 | $1,084,552 | $339,895 | ||||
| TODD SIDER | ||||||||||
| HMHOS CMO COMMUNITY HOSPITALS | 11.00 | 29.00 | $147,033 | $174,799 | $60,801 | Yes (X) | ||||
| DOUGLAS SELIG | ||||||||||
| HMHOS VP PATIENT CARE | 40.00 | 0.00 | $245,017 | $0 | $47,236 | Yes (X) | ||||
| EDWARD STRUBEL | ||||||||||
| HMHOS PHARMACIST | 20.00 | 20.00 | $63,031 | $118,853 | $51,696 | Yes (X) | ||||
| BRYAN HALL | ||||||||||
| HMHOS MGR PHARMACY | 40.00 | 0.00 | $169,821 | $0 | $43,983 | Yes (X) | ||||
| STEVEN HOMRICH | ||||||||||
| HMHOS PHARMACIST | 34.00 | 6.00 | $119,696 | $26,568 | $32,795 | Yes (X) | ||||
| CYNTHIA MARSHALL | ||||||||||
| HMHOS MGR OR | 40.00 | 0.00 | $120,008 | $0 | $23,620 | Yes (X) | ||||
| ANGELA HORMANN | ||||||||||
| HMHOS MGR REH | 40.00 | 0.00 | $117,524 | $809 | $22,848 | Yes (X) | ||||
| SCOTT AMBURGEY | ||||||||||
| FORMER HC EMPLOYEE/CURRENT | 0.00 | 40.00 | $0 | $162,255 | $41,144 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,356,890 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,991,327 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,521,669 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PARKVIEW HOSPITAL INC | |||||
| 11109 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | LABORATORY SERVICES | $2,339,525 |
| CLINICAL COLLEAGUES INC | |||||
| PO BOX 824246 | PHILADELPHIA | PA | 19182 | ANESTHESIOLOGISTS | $1,147,088 |
| NORTHEAST INTERNAL MEDICINE ASSOC INC | |||||
| 2500 N DETROIT ST | LAGRANGE | IN | 46761 | HOSPITALISTS | $450,664 |
| HEALOGICS WOUND CARE & HYPERBARIC SERVIC | |||||
| PO BOX 551187 | JACKSONVILLE | FL | 32255 | MEDICAL SERVICES | $309,764 |
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA ST | OMAHA | NE | 68154 | NURSES | $292,813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $69,141 | RelatedOrganizationsAmt |
| Government Grants | $7,900,073 | GovernmentGrantsAmt |
| Total Contributions | $7,969,214 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE | 622000 | $61,235,802 | $61,235,802 |
| EMS SUBSIDY | 621910 | $472,200 | $472,200 |
| AMBULANCE SERVICES WBHOS | 621910 | $228,744 | $228,744 |
| PHARMACY | 446110 | $87,149 | $87,149 |
| INTERUNIT RENT | 531120 | $86,672 | $86,672 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,738 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,738 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $62,114,305 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $697,160 | TotalRevenueColumnAmt |
| Exclusion | $697,160 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $87,639 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $195,863 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$108,224 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$108,224 | TotalRevenueColumnAmt |
| Exclusion | -$108,224 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $51,308,465 | SecuritiesAmt |
| Other | $3,200 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $50,128,808 | SecuritiesAmt |
| Other | $2,292 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,179,657 | SecuritiesAmt |
| Other | $908 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,180,565 | TotalRevenueColumnAmt |
| Exclusion | $1,180,565 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 722210 | $139,654 | $139,654 |
| GIFT SHOP | 453220 | $26,920 | $26,920 |
| FITNESS CENTER - EMPLOYEES | 713940 | $490 | $490 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $167,064 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,020,084 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,114,305 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,936,565 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,533 | TotalAmt |
| Program Services | $332,533 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $935,961 | TotalAmt |
| Management And General | $935,961 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,687 | TotalAmt |
| Program Services | $16,687 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,443,296 | TotalAmt |
| Program Services | $15,443,296 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,294,575 | TotalAmt |
| Program Services | $5,294,575 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,892 | TotalAmt |
| Management And General | $100,892 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,453,432 | TotalAmt |
| Program Services | $5,648,676 | ProgramServicesAmt |
| Management And General | $804,756 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,732 | TotalAmt |
| Program Services | $1,732 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,160,007 | TotalAmt |
| Program Services | $1,104,491 | ProgramServicesAmt |
| Management And General | $55,516 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830 | TotalAmt |
| Program Services | $830 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,719,241 | TotalAmt |
| Program Services | $2,717,602 | ProgramServicesAmt |
| Management And General | $1,639 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,228 | TotalAmt |
| Program Services | $15,559 | ProgramServicesAmt |
| Management And General | $2,669 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,243 | TotalAmt |
| Program Services | $8,289 | ProgramServicesAmt |
| Management And General | $2,954 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,187 | TotalAmt |
| Program Services | $3,187 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,882,392 | TotalAmt |
| Program Services | $1,858,107 | ProgramServicesAmt |
| Management And General | $24,285 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,872 | TotalAmt |
| Program Services | $136,872 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| CORP SERVICE ALLOCATION | $10,933,908 | $10,933,908 | |
| PH CLINICAL SUPPORT | $9,458,384 | $9,458,384 | |
| MEDICAL SUPPLIES | $5,444,712 | $5,444,712 | |
| HOSPITAL ASSESSMENT FEE | $2,903,579 | $2,903,579 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $289,622 | TotalAmt |
| Program Services | $74,072 | ProgramServicesAmt |
| Management And General | $46,016 | ManagementAndGeneralAmt |
| Fundraising | $169,534 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,541,313 | TotalAmt |
| Program Services | $50,463,183 | ProgramServicesAmt |
| Management And General | $12,908,596 | ManagementAndGeneralAmt |
| Fundraising | $169,534 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,324 | BOYAmt |
| EOY | $2,324 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,816 | BOYAmt |
| EOY | $250,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,564,460 | BOYAmt |
| EOY | $9,976,536 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $538,815 | BOYAmt |
| EOY | $385,903 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,537 | BOYAmt |
| EOY | $70,274 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,801,537 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,357,868 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,372,541 | BOYAmt |
| EOY | $12,443,669 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,388,655 | BOYAmt |
| EOY | $44,797,946 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,000 | BOYAmt |
| EOY | $246,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,212,184 | BOYAmt |
| EOY | $7,156,937 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,868,332 | BOYAmt |
| EOY | $75,329,589 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,907,411 | BOYAmt |
| EOY | $2,699,734 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,629,703 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,823,909 | BOYAmt |
| EOY | $2,714,523 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,731,320 | BOYAmt |
| EOY | $9,043,960 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,137,012 | BOYAmt |
| EOY | $66,285,629 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,137,012 | BOYAmt |
| EOY | $66,285,629 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,868,332 | BOYAmt |
| EOY | $75,329,589 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,478,771 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,668,177 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,669 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,260 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,260 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO INDIANA HOSPITAL AND HEALTH ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $259,794 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,066 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,285 | GrantsOrScholarshipsAmt |
| End Year Balance | $261,575 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $251,351 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $3,443 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $259,794 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $250,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,351 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $251,351 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.95580 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.04420 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,097,447 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,274,629 | DepreciationAmt |
| Book Value | $7,822,818 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,500 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,026,290 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,606,149 | DepreciationAmt |
| Book Value | $4,420,141 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $645,300 | OtherCostOrOtherBasisAmt |
| Depreciation | $444,590 | DepreciationAmt |
| Book Value | $200,710 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,443,669 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE TO/FROM INTERUNIT | $6,741,341 |
| RIGHT OF USE ASSETS | $415,596 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,156,937 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| EST 3RD PARTY SETTLEMENTS | $826,040 |
| EST MEDICARE/MEDICAID SETTLEMENTS | $1,493,722 |
| LEASE LIABILITY | $394,761 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,714,523 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE GOAL OF THE HUNTINGTON COUNTY MEDICAL SOCIETY ENDOWMENT FUND IS TO PROVIDE SUPPORT FOR EDUCATION, TRAINING AND PROFESSIONAL CERTIFICATION REIMBURSEMENT FOR MEMBERS OF THE STAFF OF THE HOLLY D. SALE REHABILITATION AND WELLNESS CENTER AND THE PARKVIEW HUNTINGTON HOSPITAL CENTER FOR WOUND HEALING, AND THAT ARE CONSISTENT WITH THE MISSION AND PURPOSES OF THE FOUNDATION. |
| 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, 2020 AND 2019, 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 2016 AND PRIOR. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,288,250 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,288,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02380 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,918,748 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,035,406 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,883,342 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05330 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,242,222 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,342,364 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,899,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05360 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,449,220 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,377,770 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,071,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13070 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $83,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $269,050 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $269,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $352,719 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $352,719 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,801,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,377,770 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,424,169 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13720 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $54,523 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,288,984 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,818,413 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,529,429 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 STULTS ROAD | AddressLine1Txt |
| City | HUNTINGTON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46750 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| State License | 14-005081-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HUNTINGTON MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2019 CHNA, PARKVIEW HEALTH SYSTEM, INC. - INCLUDING HUNTINGTON MEMORIAL HOSPITAL, INC., AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) RESEARCH TEAM -- WERE DILIGENT IN ENSURING THAT THE INPUT OF PERSONS REPRESENTING THE BROADER INTERESTS OF THE COMMUNITY'S VULNERABLE POPULATIONS WAS CONSIDERED.IN GATHERING QUALITATIVE COMMUNITY INPUT, PARKVIEW HEALTH SYSTEM, INC. - INCLUDING HUNTINGTON MEMORIAL HOSPITAL, INC., AND ITS RESEARCH PARTNERS - OBTAINED THE FOLLOWING: 1) PRIMARY DATA OBTAINED THROUGH AN ONLINE SURVEY OF PARKVIEW HEALTHCARE PROVIDERS (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.) AND A SURVEY OF THE COMMUNITY RESIDENTS IN EACH PARKVIEW HEALTH COUNTY, AND 2) SECONDARY DATA FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, ETC.).HUNTINGTON COUNTY HAD THE SECOND HIGHEST RATE OF PARTICIPATION AMONG THE SEVEN COUNTIES SURVEYED ONLINE. ALL MEMBERS OF THE HEALTH & WELLNESS COALITION OF HUNTINGTON COUNTY WERE INVITED TO TAKE PART. MANY OF THESE PARTNERS WORK WITH INDIVIDUALS AND GROUPS IN THE AREAS IDENTIFIED AS THE TOP TWO COMMUNITY HEALTH ISSUES OF GREATEST CONCERN BY PROVIDERS AND THE TOP TWO SOCIAL SERVICE NEEDS BASED ON COMMUNITY PERCEPTION: SUBSTANCE ABUSE AND MENTAL HEALTH. THE POPULATION SUFFERING FROM MENTAL ILLNESS IS OUR MEDICALLY UNDERSERVED AND MOST VULNERABLE IN HUNTINGTON COUNTY. IN ADDITION TO DATA COLLECTION, HUNTINGTON MEMORIAL HOSPITAL, INC., TURNED TO THE COMMUNITY AND PARTNERING ORGANIZATIONS WHEN SELECTING AND PRIORITIZING HUNTINGTON COUNTY'S HEALTH NEEDS. IN DOING SO, A MODIFIED HANLON METHOD PRIORITIZED HEALTH CONCERNS FOR PARKVIEW HEALTH HOSPITAL COMMUNITIES. THIS METHOD, ALSO KNOWN AS THE BASIC PRIORITY RATING SYSTEM (BPRS) 2.0, IS RECOMMENDED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) FOR PRIORITIZING COMMUNITY HEALTH NEEDS (GUIDE-TO-PRIORITIZATION-TECHNIQUES.PDF, N.D.). 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 THE PARKVIEW HEALTH SYSTEM. IN TOTAL, MORE THAN 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 BOARDS OF DIRECTORS. AFTER A THOROUGH REVIEW OF THE DATA AND CONSIDERABLE DISCUSSION, THE GROUP USED AN ELECTRONIC VOTING SYSTEM TO RANK THE VARIOUS HEALTH NEEDS IDENTIFIED IN THE CHNA. ULTIMATELY, THE GROUP VOTED ON SUBSTANCE USE DISORDER/MENTAL HEALTH, AS THE SHARED HEALTH PRIORITY ACROSS THE HEALTH SYSTEM.AS A CONTINUATION OF THE PRIORITIZATION PROCESS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S BOARD OF DIRECTORS MET ON AUGUST 18, 2019, AND DISCUSSED THE RESULTS OF THE CHNA. AFTER A THOUGHTFUL REVIEW OF THE DATA AND EXTENSIVE DISCUSSION, THE BOARD CHOSE TO CONTINUE TO SUPPORT THE PRIOR WORK RELATED TO OBESITY AND SUBSTANCE ABUSE DISORDER IN ADDITION TO ADOPTING THE SHARED HEALTH PRIORITY OF MENTAL HEALTH. OUR HOSPITAL'S PRIORITIES WERE DISCUSSED WITH THE HUNTINGTON COUNTY HEALTH & WELLNESS COALITION ON SEPTEMBER 17, 2019. |
| HUNTINGTON MEMORIAL HOSPITAL, INC. | PART 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); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). |
| HUNTINGTON MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384): 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. |
| HUNTINGTON MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:OBESITY, HAVING A BODY MASS INDEX (BMI) GREATER THAN 30.0 KG/M, AFFECTS ALL AGE GROUPS. ELEVATED BMI AFFECTS PEOPLE OF DIFFERENT SOCIOECONOMIC STATUSES AND RACIAL/ETHNIC GROUPS DISPROPORTIONATELY. MANY COMPLICATIONS CAN OCCUR AS A DIRECT OR INDIRECT RESULT OF OBESITY. OBESITY RATES IN INDIANA ARE HIGHER THAN THE NATIONAL AVERAGE, WITH RATES IN MOST OF NORTHEAST INDIANA BEING ABOVE THE STATE AVERAGE. INDIANA'S ADULT OBESITY RATE IS THE 11TH HIGHEST IN THE NATION AT 35.3 PERCENT. FOR CHILDREN AGES 10 TO 17, 16.7 PERCENT ARE CONSIDERED OBESE, PUTTING INDIANA IN 16TH PLACE. IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S ACTIONS ARE TO SUPPORT THE FURTHER DEVELOPMENT OF HEALTHY LIFESTYLE CHOICES AMONG RESIDENTS OF HUNTINGTON COUNTY. THE CONTINUED STRATEGIC GOAL OF THE OBESITY INITIATIVE IS TO INCREASE ACCESS TO NUTRITIOUS FOOD AND PHYSICAL ACTIVITY IN HUNTINGTON COUNTY WITH THE SMART OBJECTIVE OF IMPROVING KNOWLEDGE AND BEHAVIOR RELATED TO NUTRITION AND ACTIVITY IN 100 PERCENT OF PROGRAM PARTICIPANTS. THE ANTICIPATED IMPACT IS REDUCTION OF THE OBESITY RATE AND THE CORRESPONDING CHRONIC DISEASES THAT GO HAND IN HAND WITH OBESITY. FUNDED PARTNERS HAVE PARTICIPATED IN VARIOUS ENDEAVORS TO PROMOTE HEALTHY LIVING AND THUS PREVENT OR TREAT OBESITY ACROSS THE LIFESPAN. MCMILLEN HEALTH CENTER PROVIDED 414 PREVENTIVE HEALTH EDUCATION SESSIONS FOCUSING ON OBESITY/NUTRITION IN GRADES K - 12, SERVING 416 STUDENTS. KNOWLEDGE INCREASE WAS DETERMINED TO BE 38 PERCENT, EXCEEDING THE GOAL OF 35 PERCENT. PARKVIEW HUNTINGTON FAMILY YMCA FUNDS ORIGINALLY EARMARKED FOR YOUTH MEMBERSHIPS ALONG WITH FUNDING INTENDED FOR THE ANNUAL 3RD GRADE SWIMMING PROGRAM AND AFTER-SCHOOL PROGRAMMING WERE ROUTED TO ASSIST MORE FAMILIES IN FINDING CHILDCARE DURING THE PANDEMIC. YOUTH MEMBERSHIPS, HOWEVER, WERE STILL PROVIDED TO 86 STUDENTS, OR 7 PERCENT OF HUNTINGTON COUNTY YOUTH IN GRADES 6 - 8 (AN ADDITIONAL 36 PERCENT OF STUDENTS ALREADY HAD MEMBERSHIPS). THOSE WHO WERE AWARDED MEMBERSHIPS CHECKED IN 351 TIMES DURING 2020. THE YMCA HAD HOPED 10 PERCENT OF THIS AGE GROUP WOULD PARTICIPATE IN A YMCA AFTER-SCHOOL PROGRAM AND THIS GOAL WAS EXCEEDED, WITH 26 PERCENT DOING SO. A LIVING TOWERS GARDEN FUNDED PROGRAM HAS PROVIDED THREE HYDROPONIC GARDENS TO A LOCAL ELEMENTARY SCHOOL. THE PROGRAM EXPANDED TO A LOCAL PRESCHOOL LAST YEAR, PROVIDING STUDENTS THERE WITH A TOWER. THE GARDEN WAS MOVED FROM FLINT SPRINGS ELEMENTARY TO THE PURDUE EXTENSION OFFICE DUE TO THE PANDEMIC AND USED TO SUPPLEMENT A COMMUNITY GARDEN AND LOCAL FOOD PANTRY UNTIL THE FALL SEMESTER. ONE CLASS WAS THEN ABLE TO PARTICIPATE AT A TIME PER COVID RESTRICTIONS. SIXTY STUDENTS WERE ABLE TO ENJOY A GARDEN SALAD, WITH AN ADDITIONAL 40 SALADS BEING SHARED WITH ADULTS WHO HELPED WITH THE CLASS. KIDS KAMPUS PRESCHOOL WAS ABLE TO HAVE TWO HARVESTS IN 2020. THE FIRST PROVIDED LETTUCE AND KALE SALADS TO 54 CHILDREN. THE SECOND HARVEST REACHED ONLY 20 CHILDREN DUE TO THE PANDEMIC. BLESSINGS IN A BACKPACK IS WORKING AT COMBATING FOOD INSECURITY BY SENDING, ON AVERAGE, 376 STUDENTS HOME WITH MEALS FOR THE WEEKEND THROUGHOUT THE SCHOOL YEAR (UP FROM 20 CHILDREN IN 2011 AND 317 DURING THE 2018-2019 SCHOOL YEAR). IN APRIL AND MAY, FOOD WAS DELIVERED BY THE COUNTY SCHOOL CORPORATION'S BUS DRIVERS TO STUDENTS' HOMES BECAUSE OF THE PANDEMIC. BLESSINGS IMPLEMENTED ADDITIONAL MEASURES FOR INFECTION PREVENTION, INCLUDING TOTE DISINFECTION AT EACH PACKING EVENT, SOCIAL DISTANCING DURING PACKING, AND VOLUNTEER SIGN-IN WITH CONTACT NUMBER IN THE EVENT CONTACT TRACING WAS REQUIRED. PARKVIEW BOYS & GIRLS CLUB OF HUNTINGTON COUNTY HAD 77 CLUB MEMBERS PARTICIPATE IN THE HEALTHY HABITS PROGRAM BETWEEN THE HUNTINGTON AND WARREN SITES IN 2020. FORTY-EIGHT KIDS TOOK HOME MEAL KITS THEY USED TO COOK FOR THEIR FAMILY ON 10 WEEKENDS DURING THE SUMMER. THE CLUB'S NUMBERS VARIED GREATLY THROUGHOUT 2020 DUE TO THE PANDEMIC, AND PHYSICAL ACTIVITY GOALS WERE NOT MET. THE HUNTINGTON SITE AVERAGED 194 CHILDREN PER DAY (RANGING FROM 354 PRE-COVID TO 40 DURING THE LOCKDOWN). CLUB LEADERS HAD HOPED 70 PERCENT OF MEMBERS WOULD PARTICIPATE IN 60 MINUTES OF ACTIVITY THREE DAYS PER WEEK. NINETY-NINE KIDS MET THIS GOAL BETWEEN BOTH SITES, AND 21 COMPLETED "DANCE CLUB" BY PUTTING ON A PERFORMANCE AT THE END OF THE YEAR. ADULTS FROM GROUP HOMES, TRANSITIONAL HOUSING, AND A MENTAL HEALTH FACILITY ARE ABLE TO INCREASE THEIR ACTIVITY TO COMBAT OBESITY WITH ACCESS TO WELLNESS THROUGH THE YMCA. THIS PROGRAM HAS GROWN FROM ONE GROUP HOME IN 2017 WITH THREE PARTICIPANTS COMPLETING A 12-WEEK FITNESS PROGRAM TO AS MANY AS 450 INDIVIDUAL VISITS IN JUNE OF 2020 BY PARTICIPANTS. THE PANDEMIC PREVENTED A SMALLER COMMUNITY IN THE COUNTY FROM OFFERING A SUMMER COOKING/FITNESS CAMP FOR GRADES K - 6, AND FUNDS WERE USED TO PROVIDE FIVE MEMBERSHIPS TO THEIR FITNESS FACILITY. ONE MEMBER USED THE FACILITY 315 TIMES THROUGHOUT THE YEAR! ALL AGES HAVE BENEFITED FROM THE HELPING HANDS COMMUNITY GARDEN. EIGHTY-EIGHT PERCENT OF THE GARDEN'S VISITORS INDICATE THEY CONSUME MORE FRUIT AND VEGETABLES THANKS TO THEIR ACCESS TO THE GARDEN. IN ADDITION, THE GARDEN CONTINUED TO PROVIDE A SPACE FOR HEALTHY OUTDOOR FAMILY-FRIENDLY ACTIVITIES MONTHLY WHEN WEATHER AND COVID RESTRICTIONS PERMITTED, INCLUDING A GARDEN PARTY, BUTTERFLY WORKSHOP, STIR-FRY FROM THE GARDEN, AND FALL HARVEST PARTY. SHUTDOWNS RELATED TO THE PANDEMIC PROVED TO BE A CHALLENGE FOR HOLDING SOME INTENDED COOKING PROGRAMS IN 2020, BUT A TOTAL OF 16 "SIMPLE AND HEALTHY" COOKING CLASSES (ONE WITH A FOUR-PART SERIES) WERE ABLE TO BE OFFERED, REACHING 102 PARTICIPANTS. ONE HUNDRED PERCENT REPORTED TRYING OR MAKING A NEW HEALTHY RECIPE AND 90 PERCENT WERE ABLE TO IDENTIFY ALL FOOD SAFETY RULES PRESENTED. AN AVERAGE OF 1,642 INDIVIDUALS PER MONTH BENEFITED FROM A YEAR-ROUND PRODUCE OPTION PROVIDED THROUGH LOVE, INC., A LOCAL FOOD PANTRY IN THE CITY OF HUNTINGTON; THAT TOTAL IS 573 MORE PEOPLE THAN IN 2019. MORE THAN 744 INDIVIDUALS PER MONTH BENEFITED THROUGH A RURAL COMMUNITY'S WARREN BREAD OF LIFE PANTRY, WHICH IS AN INCREASE OF ABOUT 300 PEOPLE COMPARED TO THE PREVIOUS YEAR. HUNTINGTON MEMORIAL HOSPITAL, INC.'S CHRONIC PAIN SUPPORT GROUP HAS ALSO ADDRESSED KEY ELEMENTS TO TACKLE THE OBESITY EPIDEMIC, BUT GROUP MEMBERS WERE ONLY ABLE TO MEET THREE TIMES IN 2020 PRIOR TO THE PANDEMIC. THE HOSPITAL'S "MY WELL-BEING" COMMITTEE PROVIDES RESOURCES FOR CO-WORKERS TO ENABLE THEM TO BE GOOD EXAMPLES FOR THE REST OF THE COMMUNITY. IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S OTHER VAST PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH GOAL IS TO ADDRESS SUBSTANCE ABUSE AND BREAK THE STIGMA OF MENTAL HEALTH IN HUNTINGTON COUNTY WITH THE SMART OBJECTIVE OF IMPROVING KNOWLEDGE AND/OR BEHAVIOR RELATED TO SUBSTANCE ABUSE AND MENTAL HEALTH IN 100 PERCENT OF PROGRAM PARTICIPANTS. THE ANTICIPATED IMPACT IS THE IMPROVED PHYSICAL, MENTAL, AND FINANCIAL WELL-BEING OF AREA RESIDENTS. PARTNERS ARE WORKING TO PREVENT AND TREAT ADDICTION AT ALL AGES. THROUGH YOUTH SERVICES BUREAU OF HUNTINGTON COUNTY (YSB), 100 PERCENT OF 66 ADULTS AND 177 SEVENTH-GRADERS WHO PARTICIPATED IN A SUICIDE PREVENTION PROGRAM DEMONSTRATED AN INCREASE IN KNOWLEDGE. COVID-19 HAD A MAJOR IMPACT ON YSB'S ABILITY TO PROVIDE TRAINING SESSIONS AFTER MARCH. HOWEVER, THE CRISIS HOTLINE ALWAYS REMAINED STAFFED, AND YOUNG PEOPLE WERE PROVIDED WITH IMMEDIATE CRISIS INTERVENTION AS NEEDED. (SEE PART V, SECTION B, LINE 11 CONT'D: FOR CONTINUATION OF NARRATIVE) |
| 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. |
| PART V, SECTION B, LINE 11 CONT'D: | PLACE OF GRACE TRANSITIONAL HOME SERVES WOMEN RE-ENTERING THE COMMUNITY AFTER INCARCERATION. ONE HUNDRED PERCENT OF GRADUATES WERE GAINFULLY EMPLOYED BY GRADUATION, 96 PERCENT REPORTED AN INCREASE IN KNOWLEDGE OF COMMUNITY RESOURCES, AND 84 PERCENT AN INCREASE IN SELF-ESTEEM BECAUSE OF PROGRAMMING OFFERED. FORTY-SEVEN PARKVIEW BOYS & GIRLS CLUB MEMBERS BETWEEN THE AGES OF 6 AND 12 FINISHED A PROGRAM LEARNING WAYS TO AVOID DRUGS, TOBACCO, AND ALCOHOL IN WHICH 95 PERCENT STATED THEY DID NOT DO DRUGS IN THE PRECEDING 30 DAYS. IN ADDITION, 93 PERCENT STATED THEY INCREASED THEIR KNOWLEDGE OF ABSTINENCE TO PREVENT TEEN PREGNANCY. THE CLUB ALSO PARTNERED WITH PLACE OF GRACE AND OFFERED FOUR PARENTS THE GUIDING GOOD CHOICES PROGRAM; 100 PERCENT OF PARTICIPANTS STATED THE PROGRAM HELPED THEM BETTER TALK TO THEIR CHILD(REN) ABOUT DRUGS AND ALCOHOL. CO-PARENTING FOR SUCCESSFUL KIDS, TAUGHT BY PURDUE EXTENSION, BENEFITED SEVEN PARTICIPANTS AT PLACE OF GRACE, HELPING FAMILIES COPE WITH DIVORCE AND CUSTODY. KNOWLEDGE INCREASED IN ALL AREAS: 43 PERCENT ON HOW CHILDREN ARE AFFECTED BY DIVORCE, 57 PERCENT ON "WHAT I CAN DO TO HELP MY CHILD(REN) ADJUST TO DIVORCE," 29 PERCENT ON HOW TO USE "I" MESSAGES, 29 PERCENT ON "HOW TO KEEP MY CHILD(REN) OUT OF THE MIDDLE" OF CONFLICT. REGARDING INTENDED BEHAVIOR CHANGE: 86 PERCENT INTEND TO HELP THEIR CHILD ADJUST TO DIVORCE BASED ON THEIR AGES AND STAGES, TO SEARCH FOR POSITIVES IN THEIR CHILD(REN)'S OTHER PARENT TO POINT OUT TO THE CHILD(REN), TO USE "I" MESSAGES MORE FREQUENTLY, TO STOP CRITICIZING THE OTHER PARENT IN FRONT OF THEIR CHILD(REN), TO USE STRATEGIES LEARNED IN CLASS TO KEEP THEIR CHILD(REN) "OUT OF THE MIDDLE" OF CONFLICT, TO DEVELOP AND FOLLOW A CHILD-FOCUSED CO-PARENTING PLAN, AND TO STOP ASKING THEIR CHILD(REN) TO RELAY MESSAGES TO THE OTHER PARENT. THE WALK AWAY PROGRAM AT THE HIGH SCHOOL WAS DESIGNED FOR THOSE WANTING TO "WALK AWAY" FROM ANXIETY, DEPRESSION, EXTRA WEIGHT, AND/OR SCHOOL AND HOME DRAMA. PARTICIPANTS WERE ABLE TO MEET FIVE TIMES PRIOR TO THE PANDEMIC AND 15 TIMES DURING THE FALL SEMESTER. THREE STUDENTS ATTENDED FAITHFULLY, AND EACH HAS AN ADULT MENTOR TO WALK WITH AS PURDUE EXTENSION EMPLOYEES HAVE JOINED THE PROGRAM. THERE IS A PLAN IN PLACE TO RECRUIT MORE STUDENTS FOR 2021. MCMILLEN HEALTH CENTER PROVIDED 26 PREVENTIVE HEALTH EDUCATION SESSIONS FOCUSING ON TOBACCO, ALCOHOL/DRUGS, AND SOCIAL/EMOTIONAL HEALTH IN GRADES BETWEEN K - 12, SERVING 1,082 STUDENTS. KNOWLEDGE INCREASE GOALS FOR ALL TOPICS WERE SET AT 35 PERCENT. REGARDING TOBACCO AND VAPING THE ACTUAL INCREASE WAS ALMOST 144 PERCENT, WHICH IS THOUGHT TO INDICATE STUDENTS CAME IN WITH NO KNOWLEDGE OF THE INFORMATION THAT WAS PRESENTED. SIMILARLY, RESULTS SHOWED A 116 PERCENT INCREASE RELATING TO SOCIAL AND EMOTIONAL HEALTH. THERE WAS A 60 PERCENT INCREASE IN KNOWLEDGE REGARDING DRUGS AND ALCOHOL. OTHER HEALTH NEEDS NOT BEING ADDRESSED:A. DIABETES, CARDIOVASCULAR DISEASE, AND CANCER - WHILE HUNTINGTON MEMORIAL HOSPITAL, INC., DID NOT SELECT THESE CHRONIC DISEASES AS TOP HEALTH PRIORITIES, OUR INTENT IS TO HELP TO PREVENT AND REDUCE THE PRESENCE OF CHRONIC CONDITIONS SUCH AS THE AFOREMENTIONED DISEASES BY ADDRESSING OBESITY THROUGH NUTRITION EDUCATION, INCREASED ACCESS TO HEALTHY FOODS, ACTIVE LIVING PROGRAMS, AND EDUCATION ON OTHER HEALTHY LIFESTYLE HABITS. B. MATERNAL/INFANT/CHILD HEALTH - PRENATAL CARE IS OFFERED BY HUNTINGTON MEMORIAL HOSPITAL, INC., VIA THE BIRTH PLANNING PROGRAM. WIC AND KIDS KAMPUS ALSO PROVIDE SERVICES. C. HEALTHCARE ACCESS (COST AND QUALITY) - HUNTINGTON MEMORIAL HOSPITAL, INC., COLLABORATES WITH PARKVIEW PHYSICIANS GROUP (PPG) TO PROVIDE THE MEDICAL COVERAGE NEEDED FOR THE COMMUNITY. IF AN INDIVIDUAL DOES NOT HAVE A LOCAL PRIMARY CARE PHYSICIAN, THEY ARE PROVIDED WITH A LIST OF THE LOCAL PHYSICIANS AND THEIR CONTACT NUMBERS. MATTHEW 25 HEALTH AND CARE, BASED IN FORT WAYNE, HAS A SATELLITE OFFICE IN THE HUNTINGTON COMMUNITY TO WHICH PPG OFFICES AND THE HOSPITAL CAN REFER PEOPLE WHO DO NOT HAVE HEALTH INSURANCE. D. CHRONIC KIDNEY DISEASE - MAJOR RISK FACTORS RELATED TO CHRONIC KIDNEY DISEASE ARE DIABETES, HIGH BLOOD PRESSURE, AND AGE (60 AND OLDER). BY DECREASING OBESITY, THE HOSPITAL AND ITS COMMUNITY PARTNERS ARE WORKING TO ADDRESS SUCH RISK FACTORS. E. ASTHMA - PATHFINDER KIDS KAMPUS -- A HUNTINGTON MEMORIAL HOSPITAL, INC., FUNDED PARTNER -- PROVIDES KIDS KLINIC, WHICH ADDRESSES THE NEEDS OF CHILDREN WITH ASTHMA. F. AGING - HUNTINGTON MEMORIAL HOSPITAL, INC., SUPPORTS PROGRAMMING THROUGH THE HUNTINGTON COUNTY COUNCIL ON AGING, A FUNDED PARTNER, WHICH IS INVOLVED WITH THE LOCAL HEALTH & WELLNESS COALITION. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 2 - PARKVIEW MEDICAL PLAZA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2708 GUILFORD STREET | AddressLine1Txt |
| City | HUNTINGTON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46750 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | LAB DRAW SITE | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE. |
| PART I, LINE 6A: | THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665) AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES. |
| PART I, LINE 7: | PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BHUNTINGTON MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7CHUNTINGTON MEMORIAL HOSPITAL, 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 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, HUNTINGTON MEMORIAL HOSPITAL, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. |
| PART I, LN 7 COL(F): | PERCENT OF TOTAL EXPENSEHUNTINGTON MEMORIAL HOSPITAL, INC. EXCLUDED $9,458,384 OF PH CLINICAL SUPPORT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.HUNTINGTON MEMORIAL HOSPITAL, INC., PROVIDES SUPPORT FOR LOCAL ECONOMIC DEVELOPMENT PROGRAMS. THESE EFFORTS ARE ALIGNED WITH THE HEALTH SYSTEM'S STRATEGIC INVOLVEMENT IN THE NORTHEAST INDIANA REGIONAL PARTNERSHIP'S VISION 2020, A REGIONAL INITIATIVE DESIGNED TO TRANSFORM NORTHEAST INDIANA INTO A TOP GLOBAL COMPETITOR BY FOCUSING ON A COMMON MISSION TO DEVELOP, ATTRACT AND RETAIN TALENT. VISION 2020'S REGIONAL PRIORITIES ARE TIED TO EDUCATION/WORKFORCE, BUSINESS CLIMATE, ENTREPRENEURSHIP, INFRASTRUCTURE, AND QUALITY OF LIFE FOR THE ELEVEN-COUNTY NORTHEAST INDIANA REGION. PROMOTION OF ECONOMIC DEVELOPMENT IN HUNTINGTON COUNTY IS A PART OF A COLLECTIVE PLAN TO IMPROVE THE QUALITY OF LIFE AND ULTIMATELY, THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY.HUNTINGTON MEMORIAL HOSPITAL, INC., ALSO SUPPORTS PHYSICIAN RECRUITMENT ACTIVITIES TO ASSIST IN TIMELY RESPONSE TO PATIENT CARE NEEDS IN THE COMMUNITY, SINCE ACCESS TO QUALITY CARE IS AN INTEGRAL COMPONENT OF IMPROVING THE WELL-BEING OF AREA RESIDENTS. THESE RECRUITMENT ACTIVITIES ARE BASED ON RESULTS OF A PERIODIC PHYSICIAN NEEDS ASSESSMENT. HUNTINGTON MEMORIAL HOSPITAL, INC., DEVELOPED A PHYSICIAN RECRUITMENT PLAN TO ADDRESS POTENTIAL GAPS IN PATIENT COVERAGE. HUNTINGTON MEMORIAL HOSPITAL, INC., STRIVES TO BRING THE HIGHEST-QUALITY, BEST-INTEGRATED, AND MOST COST-EFFECTIVE CARE AND INNOVATIVE TECHNOLOGY TO OUR COMMUNITIES. IN DOING SO, WE FOCUS OUR EFFORTS ON RECRUITING AN EXCEPTIONAL TEAM OF PHYSICIANS. EVERY MEMBER OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S HEALTHCARE TEAM IS RESPONSIBLE FOR NURTURING AN ENVIRONMENT OF EXCELLENCE, MAKING PARKVIEW THE BEST PLACE FOR CO-WORKERS TO WORK, PHYSICIANS TO PRACTICE MEDICINE, AND PATIENTS TO RECEIVE CARE. WE ARE COMMITTED TO PROVIDING EXCEPTIONAL CUSTOMER SERVICE TO ALL PEOPLE. WE KNOW HOW IMPORTANT CLINICAL, SERVICE AND OPERATIONAL EXCELLENCE IS TO THE SUCCESS OF HUNTINGTON MEMORIAL HOSPITAL, INC., AND WE RECOGNIZE HOW IMPORTANT OUR SUCCESS IS TO THE COMMUNITY. |
| 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. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER PARKVIEW HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS. |
| PART III, LINE 3: | COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE PROVISION FOR BAD DEBT IN ACCORDANCE WITH THE POLICIES OF HUNTINGTON MEMORIAL HOSPITAL, INC. HOWEVER, DURING THE COLLECTION PROCESS THERE IS A CONTINUOUS EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. THEREFORE, ONCE AN UNCOLLECTIBLE ACCOUNT HAS BEEN CHARGED OFF AND IT IS DETERMINED THROUGH THE COLLECTION PROCESS THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE UNCOLLECTIBLE ACCOUNT IS RECLASSIFIED TO CHARITY CARE AND ALL COLLECTION EFFORTS CEASE. PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, INCLUDING PATIENTS WHOSE ACCOUNTS HAVE BEEN PLACED WITH A COLLECTION AGENCY. THE AMOUNT REFLECTED ON LINE 3 WAS CALCULATED BY TOTALING THE ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT AND PLACED WITH A COLLECTION AGENCY, BUT SUBSEQUENTLY RECLASSIFIED AS CHARITY CARE DURING THE TAX YEAR. THE ACCOUNTS WERE RECLASSIFIED AS CHARITY CARE DUE TO THE FACT THAT PATIENTS APPLIED FOR, AND WERE APPROVED FOR, FINANCIAL ASSISTANCE AFTER THE ACCOUNTS WERE PLACED WITH A BAD DEBT AGENCY. |
| PART III, LINE 4: | BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 13 AND 24 - 27 OF ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE 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. HUNTINGTON MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, HUNTINGTON MEMORIAL HOSPITAL, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. HUNTINGTON MEMORIAL HOSPITAL, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION. |
| PART III, LINE 9B: | IF THE PATIENT CANNOT PAY IN FULL, THE OPTION OF A LOW INTEREST LOAN IS AVAILABLE WITH THE SAME DISCOUNT OFFERED FOR CASH PAYMENTS AS LONG AS THE LOAN IS ARRANGED WITHIN 30 DAYS OF THE FIRST GUARANTOR STATEMENT. IF THE PATIENT DEFAULTS ON THE LOAN, THE DISCOUNT WILL BE REVERSED AND THE PATIENT'S ACCOUNT WILL BE PLACED IN A COLLECTION AGENCY.INTEREST-FREE PAYMENTS WITH PAY-OUT NOT TO EXCEED THIRTY-SIX (36) MONTHS ARE AVAILABLE. THE MINIMUM MONTHLY PAYMENT IS $25.FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR THOSE PATIENTS WHO CANNOT PAY THEIR BILL. THOSE OPTIONS ARE GOVERNMENTAL ASSISTANCE OR FREE CARE THROUGH THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. THE HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON PARKVIEW.COM OR BY VISITING ANY HOSPITAL CASHIER OFFICE OR BY CALLING PATIENT ACCOUNTING AT 260.266.6700 OR TOLL FREE 855.814.0012. A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE ANYTIME DURING THE APPLICATION PERIOD. FAILURE TO MAKE ARRANGEMENTS AS LISTED ABOVE OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING PLACED IN A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES WHICH MAY ULTIMATELY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE. ADDITIONALLY, THE COLLECTION AGENCY MAY SUE AND OBTAIN A JUDGMENT AGAINST THE PATIENT FOR NON-PAYMENT. THESE ACTIONS WILL NOT OCCUR UNTIL 120 DAYS AFTER THE PATIENT IS SENT THEIR FIRST FOLLOW-UP STATEMENT INDICATING THE AMOUNT THEY OWE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN THOUGH THEY HAVE BEEN PLACED WITH A COLLECTION AGENCY. IF THE PATIENT WAS SENT THEIR FIRST NOTICE ON THE ACCOUNT FOR WHICH THEY ARE APPLYING FOR FREE CARE BETWEEN 120 DAYS AND THE END OF THE APPLICATION PERIOD, THE ACTIONS ABOVE WILL BE SUSPENDED UNTIL THE FREE CARE APPLICATION ELIGIBILITY IS DETERMINED. |
| 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., INCLUDING HUNTINGTON MEMORIAL HOSPITAL, INC., ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, WORKING WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND ITS FRONTLINE STAFF.- DATA COLLECTION FROM COMMUNITY HEALTH WORKERS- HCI SECONDARY DATA- MEETING WITH COMMUNITY PARTNERS- OBSERVATIONS FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS- REVIEW OF CHNA CONDUCTED BY LOCAL ORGANIZATIONSHOSPITAL REPRESENTATIVES MAINTAIN ONGOING 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.HUNTINGTON MEMORIAL HOSPITAL, INC., PRIMARILY SERVES THE HUNTINGTON COUNTY COMMUNITIES OF HUNTINGTON, ANDREWS, MARKLE, MT. ETNA, ROANOKE AND WARREN. ACCORDING TO WWW.STATS.INDIANA.EDU, IN 2020, HUNTINGTON COUNTY HAD APPROXIMATELY 36,395 RESIDENTS, PRIMARILY CAUCASIAN (95.8 PERCENT), FOLLOWED BY HISPANIC (2.5 PERCENT) AND AFRICAN-AMERICAN (1.0 PERCENT). THE COUNTY'S ANNUAL UNEMPLOYMENT RATE WAS 6.6 PERCENT. THE MEDIAN HOUSEHOLD INCOME IN HUNTINGTON COUNTY WAS $54,565. THE EMPLOYMENT AND EARNINGS BY INDUSTRY WAS HEAVILY MANUFACTURING-BASED (19.8 PERCENT) FOLLOWED BY HEALTHCARE/SOCIAL SERVICES (9.8 PERCENT) AND RETAIL TRADE (9.2 PERCENT). THE POVERTY RATE IN HUNTINGTON COUNTY STOOD AT 9.7 PERCENT. THE POPULATION OF HUNTINGTON COUNTY THAT ARE UNINSURED IS 9.43 PERCENT ACCORDING TO WWW.DATAUSA.IO. OF THOSE WITH INSURANCE, 14.4 PERCENT ARE ON MEDICAID. ACCORDING TO WWW.DATA.HRSA.GOV, THERE IS ONE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA IN THE SALAMONIE AREA OF HUNTINGTON COUNTY WHICH HAS TOO FEW PRIMARY CARE PROVIDERS. |
| 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 HUNTINGTON MEMORIAL HOSPITAL, INC., BOARD OF DIRECTORS COMPRISES INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON HUNTINGTON MEMORIAL HOSPITAL, INC., TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENT IS STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS EVER DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY. ADDITIONALLY, HUNTINGTON MEMORIAL HOSPITAL, INC., FUNDS COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND PARTNERS WITH COMMUNITY ORGANIZATIONS TO ENCOURAGE HEALTHIER LIFESTYLES AMONG THE CITIZENS OF NORTHEAST INDIANA. KEY PROJECTS AND AREAS OF FOCUS FUNDED THROUGH THE COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND OTHER HOSPITAL FUNDS INCLUDE:-INVESTMENT IN KEY ORGANIZATIONS (HEALTH PARTNERS) THAT ENCOURAGE HEALTHIER LIFESTYLES AMONG THE CITIZENS OF HUNTINGTON COUNTY AND NORTHEAST INDIANA. |
| 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.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; DEKALB MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC.THE CORPORATE MISSION AND VISION IS AS FOLLOWS: AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY: 1) TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS, 2) DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY 3) PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY 4)"EXCELLENT CARE, EVERY PERSON, EVERY DAY". 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 THE SEVEN-COUNTY AREA, THE HEALTH PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.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 IN OUR EFFORTS TO POSITIVELY IMPACT COMMUNITY HEALTH STATUS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IN |
| PART VI, LINE 7: | A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BOYS AND GIRLS CLUB OF HUNTINGTON COUNTY INC | |||||||
| 608 EAST STATE STREET | HUNTINGTON | IN | 46750 | 352094506 | 501(C)(3) | $115,716 | LIFE SKILLS PROGRAMS FOR ALL YOUNG PEOPLE |
| UNITED WAY OF HUNTINGTON COUNTY INC | |||||||
| PO BOX 347 | HUNTINGTON | IN | 46750 | 351134872 | 501(C)(3) | $42,120 | PROGRAMS & RESOURCES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF HUNTINGTON COUNTY |
| HUNTINGTON COUNTY COUNCIL ON AGING INC | |||||||
| 354 NORTH JEFFERSON STREET | HUNTINGTON | IN | 46750 | 351323270 | 501(C)(3) | $30,000 | HUNTINGTON AREA TRANSPORTATION AND PROGRAMMING |
| PATHFINDER SERVICES INC | |||||||
| 2824 THEATER AVE | HUNTINGTON | IN | 46750 | 351122311 | 501(C)(3) | $25,000 | LOCAL SICK-CARE DAYCARE FOR CHILDREN |
| PARKVIEW HUNTINGTON FAMILY YMCA INC | |||||||
| 1160 WEST 500 NORTH | HUNTINGTON | IN | 46750 | 350905959 | 501(C)(3) | $18,000 | PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL |
| LOVE IN THE NAME OF CHRIST OF HUNTINGTON COUNTY INC | |||||||
| 715 BRYON STREET | HUNTINGTON | IN | 46750 | 311144508 | 501(C)(3) | $15,000 | ASSISTANCE PROGRAM FOR THOSE IN NEED |
| PLACE OF GRACE INC | |||||||
| 540 GUILFORD STREET | HUNTINGTON | IN | 46750 | 471569406 | 501(C)(3) | $15,000 | PROVIDE STRUCTURAL ASSISTANCE TO WOMEN RECENTLY RELEASED FROM JAIL |
| BLESSINGS IN A BACKPACK INC | |||||||
| 4121 SHELBYVILLE ROAD | LOUISVILLE | KY | 40207 | 261964620 | 501(C)(3) | $15,000 | RESOURCES TO PROVIDE FOOD FOR ELEMENTARY SCHOOL CHILDREN WHO MIGHT OTHERWISE GO HUNGRY |
| HAROLD W MCMILLEN CENTER FOR HEALTH EDUCATION INC | |||||||
| 600 JIM KELLEY BLVD | FORT WAYNE | IN | 46816 | 351186994 | 501(C)(3) | $15,000 | PROVIDE VITAL & EFFECTIVE HEALTH EDUCATION THAT PROMOTES PHYSICAL, EMOTIONAL & SOCIAL WELL-BEING |
| YOUTH SERVICES BUREAU OF HUNTINGTON COUNTY INC | |||||||
| 1344 MAPLE DRIVE | HUNTINGTON | IN | 46750 | 311207251 | 501(C)(3) | $15,000 | ON YOUR WAY UP & SUICIDE PREVENTION PROGRAMS |
| CANCER SERVICES OF HUNTINGTON COUNTY INC | |||||||
| PO BOX 51 | HUNTINGTON | IN | 46750 | 351579660 | 501(C)(3) | $10,000 | FINANCIAL ASSISTANCE FOR INDIVIDUALS WITH A CANCER DIAGNOSIS |
| CANCER SERVICES OF ALLEN COUNTY INC | |||||||
| 6316 MUTUAL DRIVE | FORT WAYNE | IN | 46825 | 350965609 | 501(C)(3) | $8,000 | PATIENT ADVOCACY |
| PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC | |||||||
| 2001 STULTS ROAD | HUNTINGTON | IN | 46750 | 320012095 | 501(C)(3) | $7,564 | OPERATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | COMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PACKNETT | ||||||||||||||
| DIRECTOR/PH PRESIDENT & CEO | $0 | $1,193,402 | $0 | $487,482 | $0 | $367,537 | $0 | $1,624,548 | $0 | $32,305 | $0 | $3,705,274 | $0 | $319,527 |
| JEANNE' WICKENS | ||||||||||||||
| PH CHIEF FINANCIAL OFFICER | $0 | $750,792 | $0 | $262,181 | $0 | $71,579 | $0 | $309,952 | $0 | $29,943 | $0 | $1,424,447 | $0 | $49,457 |
| STEVEN WYNDER | ||||||||||||||
| DIRECTOR/VICE CHAIR/PH PHYSICIAN | $11,840 | $776,858 | $0 | $210,454 | $0 | $31,478 | $360 | $30,990 | $310 | $26,688 | $12,510 | $1,076,468 | $0 | $0 |
| ROWENA YU-MENDADOR | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | $15,846 | $267,621 | $0 | $61,297 | $0 | $24,112 | $1,102 | $24,548 | $1,097 | $24,435 | $18,045 | $402,013 | $0 | $0 |
| JULI JOHNSON | ||||||||||||||
| DIRECTOR/HMHOS PRESIDENT | $230,360 | $0 | $68,419 | $0 | $15,545 | $0 | $65,190 | $0 | $26,078 | $0 | $405,592 | $0 | $14,459 | $0 |
| TODD SIDER | ||||||||||||||
| HMHOS CMO COMMUNITY HOSPITALS | $86,421 | $172,249 | $38,684 | $0 | $21,928 | $2,550 | $14,323 | $17,027 | $13,455 | $15,996 | $174,811 | $207,822 | $0 | $0 |
| DOUGLAS SELIG | ||||||||||||||
| HMHOS VP PATIENT CARE | $176,767 | $0 | $49,455 | $0 | $18,795 | $0 | $21,650 | $0 | $25,586 | $0 | $292,253 | $0 | $9,158 | $0 |
| EDWARD STRUBEL | ||||||||||||||
| HMHOS PHARMACIST | $57,033 | $85,464 | $1,000 | $33,389 | $4,998 | $0 | $7,780 | $14,671 | $10,135 | $19,110 | $80,946 | $152,634 | $0 | $0 |
| BRYAN HALL | ||||||||||||||
| HMHOS MGR PHARMACY | $147,063 | $0 | $22,488 | $0 | $270 | $0 | $12,334 | $0 | $31,649 | $0 | $213,804 | $0 | $0 | $0 |
| SCOTT AMBURGEY | ||||||||||||||
| FORMER HC EMPLOYEE/CURRENT | $0 | $136,256 | $0 | $25,371 | $0 | $628 | $0 | $19,704 | $0 | $21,440 | $0 | $203,399 | $0 | $0 |
| STEVEN HOMRICH | ||||||||||||||
| HMHOS PHARMACIST | $117,065 | $26,425 | $2,000 | $0 | $631 | $143 | $8,582 | $1,905 | $18,256 | $4,052 | $146,534 | $32,525 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: TODD SIDER $2,508 |
| PART I, LINE 3 | RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. |
| PART I, LINE 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): JULI JOHNSON $14,459; MICHAEL PACKNETT $319,527; DOUGLAS SELIG $9,158; JEANNE' WICKENS $49,457 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 $319,527 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: JULI JOHNSON $35,265; MICHAEL PACKNETT $1,598,898; JEANNE' WICKENS $290,002 |
| PART I, LINE 7 | MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HEATHER ECKERT | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF DIRECTOR MATT ECKERT | RelationshipDescriptionTxt |
| Transaction | $16,687 | TransactionAmt |
| Transaction | EMPLOYEE HEATHER ECKERT RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM HUNTINGTON MEMORIAL HOSPITAL, INC. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A: | - ONE OF THE BEST PLACES TO WORK IN INDIANA BY THE INDIANA CHAMBER OF COMMERCE -- RECEIVED IN 2018 AND 2019 - ONE OF MODERN HEALTHCARE'S BEST PLACES TO WORK IN HEALTHCARE -- RECEIVED IN 2018 AND 2019 - ONE OF THE BECKER'S HOSPITAL REVIEW 100 GREAT COMMUNITY HOSPITALS -- RECEIVED IN 2019 FOR THE FIFTH CONSECUTIVE YEAR HOSPITAL SERVICES SERVICES INCLUDE: - FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT WITH EIGHT TREATMENT ROOMS, ONE TRAUMA BAY AND A "SAFE ROOM" FOR PATIENTS WHO MAY BE EXPERIENCING A BEHAVIORAL HEALTH CRISIS - TWO SURGICAL SUITES, ONE ENDOSCOPY ROOM, EIGHT PRE-/POST-OP ROOMS AND THREE RECOVERY ROOMS - MEDICAL INFUSION UNIT PROVIDING OUTPATIENT MEDICATIONS, INFUSIONS, TRANSFUSIONS AND CENTRAL LINE CARE UNDER THE SUPERVISION OF A DEDICATED RN - FAMILY BIRTHING CENTER WITH SIX PRIVATE LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOMS - REHABILITATION AND WELLNESS SERVICES INCLUDING ADULT AND PEDIATRIC PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, DIABETES EDUCATION, MEDICAL NUTRITION THERAPY, AND CARDIAC AND PULMONARY REHAB - FULL-SERVICE LAB AND PHARMACY, INCLUDING AN ATU CLINIC FOR PATIENTS TAKING BLOOD THINNERS - A SLEEP DISORDERS LAB OFFERING TWO PATIENT ROOMS FOR OVERNIGHT ON-SITE SLEEP STUDIES AND INSTRUCTION FOR PATIENTS RECEIVING HOME SLEEP STUDIES - AN OUTPATIENT CENTER FOR WOUND HEALING OFFERING BIOLOGIC AND BIOSYNTHETIC DRESSINGS, GROWTH FACTOR THERAPIES, NEGATIVE PRESSURE THERAPY, DEBRIDEMENT AND HYPERBARIC OXYGEN THERAPY - DIAGNOSTIC IMAGING SERVICES: 3D MAMMOGRAPHY, 3D AND 4D ULTRASOUND, CT SCAN, MRI, NUCLEAR MEDICINE, DEXA SCAN, EKG, EEG AND CARDIOPULMONARY PROCEDURES, VASCULAR SCREENING AND FLUOROSCOPY - ON-SITE CLINIC HOUSING SPECIALTY PHYSICIANS WHO TRAVEL TO HUNTINGTON ON SCHEDULED DAYS TO ACCOMMODATE THE NEEDS OF PATIENTS FOR CONSULTATIONS, FOLLOW-UP VISITS AND/OR PROCEDURES IN A NUMBER OF MEDICAL SPECIALTIES - PRIMARY CARE AND SPECIALTY SERVICES ON THE HOSPITAL CAMPUS AND IN NEARBY LOCATIONS COMMUNITY-FOCUSED AS A NOT-FOR-PROFIT HOSPITAL, MISSION IS CENTRAL TO HOW THE STAFF DELIVERS CARE. HUNTINGTON MEMORIAL HOSPITAL, INC., EXISTS TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF SURROUNDING COMMUNITIES. HUNTINGTON MEMORIAL HOSPITAL, INC., SUPPORTS THE NEEDS OF PEOPLE IN HUNTINGTON COUNTY WITH CERTIFIED NURSING STAFF, HEALTH EDUCATION AND OUTREACH PROGRAMS, AND FREE AND DISCOUNTED MEDICAL CARE. THE FIVE PROGRAMS LISTED HERE DEMONSTRATE SOME OF THE WAYS IN WHICH HUNTINGTON MEMORIAL HOSPITAL, INC., REACHES OUT TO NEIGHBORHOODS AND HELPS AREA RESIDENTS CREATE HEALTHIER LIVES. FINANCIAL ASSISTANCE HUNTINGTON MEMORIAL HOSPITAL, INC., IS COMMITTED TO MAKING MEDICALLY NECESSARY HEALTHCARE ACCESSIBLE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS WHOSE FAMILY INCOME DOES NOT EXCEED TWICE THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE PATIENT ACCESS TEAM INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY AS PART OF THE REGISTRATION PROCESS. THE HOSPITAL COMMITS TO PROVIDING THE BEST POSSIBLE CARE TO ALL. COMMUNITY HEALTH IMPROVEMENT INITIATIVES THE PURPOSE OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S COMMUNITY HEALTH IMPROVEMENT PROGRAM IS TO FUND COMMUNITY HEALTH IMPROVEMENT EFFORTS WITHIN THE HOSPITAL'S SERVICE AREA. THE HOSPITAL SETS ASIDE FUNDS ANNUALLY TO SUPPORT PROGRAMS OF SELECTED COMMUNITY HEALTH PARTNERS THAT ALIGN WITH HEALTH PRIORITIES IDENTIFIED PERIODICALLY BY THE COMMUNITY HEALTH ASSESSMENT. WITH ITS COMMUNITY HEALTH PARTNERS PROGRAM, HUNTINGTON MEMORIAL HOSPITAL, INC., INVESTS IN KEY ORGANIZATIONS THAT PROMOTE THE HEALTHY LIFESTYLE CHOICES AND WELL-BEING OF INDIVIDUALS, CHILDREN, AND FAMILIES OF HUNTINGTON COUNTY. IN CALENDAR YEAR 2020, THE HOSPITAL SELECTED 12 COMMUNITY AGENCIES OR ORGANIZATIONS WITH WHICH TO COLLABORATE IN ADDRESSING FOCUS AREAS: SUBSTANCE USE DISORDER/MENTAL HEALTH AND OBESITY. SUBSTANCE ABUSE DISORDER/MENTAL HEALTH IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S ACTIONS ARE TO ADDRESS SUBSTANCE ABUSE AND BREAK THE STIGMA OF MENTAL HEALTH IN HUNTINGTON COUNTY WITH THE SMART OBJECTIVE OF IMPROVING KNOWLEDGE AND/OR BEHAVIOR RELATED TO SUBSTANCE ABUSE AND MENTAL HEALTH IN 100 PERCENT OF PROGRAM PARTICIPANTS. THE ANTICIPATED IMPACT IS THE IMPROVED PHYSICAL, MENTAL, AND FINANCIAL WELL-BEING OF AREA RESIDENTS. PARTNERS ARE WORKING TO PREVENT AND TREAT ADDICTION AT ALL AGES. THROUGH YOUTH SERVICES BUREAU OF HUNTINGTON COUNTY (YSB), 100 PERCENT OF 66 ADULTS AND 177 SEVENTH-GRADERS WHO PARTICIPATED IN A SUICIDE PREVENTION PROGRAM DEMONSTRATED AN INCREASE IN KNOWLEDGE. COVID-19 HAD A MAJOR IMPACT ON YSB'S ABILITY TO PROVIDE TRAINING SESSIONS AFTER MARCH. HOWEVER, THE CRISIS HOTLINE ALWAYS REMAINED STAFFED, AND YOUNG PEOPLE WERE PROVIDED WITH IMMEDIATE CRISIS INTERVENTION AS NEEDED. PLACE OF GRACE TRANSITIONAL HOME SERVES WOMEN RE-ENTERING THE COMMUNITY AFTER INCARCERATION. ONE HUNDRED PERCENT OF GRADUATES WERE GAINFULLY EMPLOYED BY GRADUATION, 96 PERCENT REPORTED AN INCREASE IN KNOWLEDGE OF COMMUNITY RESOURCES, AND 84 PERCENT AN INCREASE IN SELF-ESTEEM BECAUSE OF PROGRAMMING OFFERED. FORTY-SEVEN PARKVIEW BOYS & GIRLS CLUB MEMBERS BETWEEN THE AGES OF 6 AND 12 FINISHED A PROGRAM LEARNING WAYS TO AVOID DRUGS, TOBACCO, AND ALCOHOL IN WHICH 95 PERCENT STATED THEY DID NOT DO DRUGS IN THE PRECEDING 30 DAYS. IN ADDITION, 93 PERCENT STATED THEY INCREASED THEIR KNOWLEDGE OF ABSTINENCE TO PREVENT TEEN PREGNANCY. THE CLUB ALSO PARTNERED WITH PLACE OF GRACE AND OFFERED FOUR PARENTS THE GUIDING GOOD CHOICES PROGRAM; 100 PERCENT OF PARTICIPANTS STATED THE PROGRAM HELPED THEM BETTER TALK TO THEIR CHILD(REN) ABOUT DRUGS AND ALCOHOL. CO-PARENTING FOR SUCCESSFUL KIDS, TAUGHT BY PURDUE EXTENSION, BENEFITED SEVEN PARTICIPANTS AT PLACE OF GRACE, HELPING FAMILIES COPE WITH DIVORCE AND CUSTODY. KNOWLEDGE INCREASED IN ALL AREAS: 43 PERCENT ON HOW CHILDREN ARE AFFECTED BY DIVORCE, 57 PERCENT ON "WHAT I CAN DO TO HELP MY CHILD(REN) ADJUST TO DIVORCE," 29 PERCENT ON HOW TO USE "I" MESSAGES, 29 PERCENT ON "HOW TO KEEP MY CHILD(REN) OUT OF THE MIDDLE" OF CONFLICT. REGARDING INTENDED BEHAVIOR CHANGE: 86 PERCENT INTEND TO HELP THEIR CHILD ADJUST TO DIVORCE BASED ON THEIR AGES AND STAGES, TO SEARCH FOR POSITIVES IN THEIR CHILD(REN)'S OTHER PARENT TO POINT OUT TO THE CHILD(REN), TO USE "I" MESSAGES MORE FREQUENTLY, TO STOP CRITICIZING THE OTHER PARENT IN FRONT OF THEIR CHILD(REN), TO USE STRATEGIES LEARNED IN CLASS TO KEEP THEIR CHILD(REN) "OUT OF THE MIDDLE" OF CONFLICT, TO DEVELOP AND FOLLOW A CHILD-FOCUSED CO-PARENTING PLAN, AND TO STOP ASKING THEIR CHILD(REN) TO RELAY MESSAGES TO THE OTHER PARENT. THE WALK AWAY PROGRAM AT THE HIGH SCHOOL WAS DESIGNED FOR THOSE WANTING TO "WALK AWAY" FROM ANXIETY, DEPRESSION, EXTRA WEIGHT, AND/OR SCHOOL AND HOME DRAMA. PARTICIPANTS WERE ABLE TO MEET FIVE TIMES PRIOR TO THE PANDEMIC AND 15 TIMES DURING THE FALL SEMESTER. THREE STUDENTS ATTENDED FAITHFULLY, AND EACH HAS AN ADULT MENTOR TO WALK WITH AS PURDUE EXTENSION EMPLOYEES HAVE JOINED THE PROGRAM. THERE IS A PLAN IN PLACE TO RECRUIT MORE STUDENTS FOR 2021. MCMILLEN HEALTH CENTER PROVIDED 26 PREVENTIVE HEALTH EDUCATION SESSIONS FOCUSING ON TOBACCO, ALCOHOL/DRUGS, AND SOCIAL/EMOTIONAL HEALTH IN GRADES K - 12, SERVING 1,082 STUDENTS. KNOWLEDGE INCREASE GOALS FOR ALL TOPICS WERE SET AT 35 PERCENT. REGARDING TOBACCO AND VAPING, THE ACTUAL INCREASE WAS ALMOST 144 PERCENT, WHICH IS THOUGHT TO INDICATE STUDENTS CAME IN WITH NO KNOWLEDGE OF THE INFORMATION THAT WAS PRESENTED. SIMILARLY, RESULTS SHOWED A 116 PERCENT INCREASE RELATING TO SOCIAL AND EMOTIONAL HEALTH. THERE WAS A 60 PERCENT INCREASE IN KNOWLEDGE REGARDING DRUGS AND ALCOHOL. OBESITY OBESITY, HAVING A BODY MASS INDEX (BMI) GREATER THAN 30.0 KG/M, AFFECTS ALL AGE GROUPS. ELEVATED BMI AFFECTS PEOPLE OF DIFFERENT SOCIOECONOMIC STATUSES AND RACIAL/ETHNIC GROUPS DISPROPORTIONATELY. MANY COMPLICATIONS CAN OCCUR AS A DIRECT OR INDIRECT RESULT OF OBESITY. OBESITY RATES IN INDIANA ARE HIGHER THAN THE NATIONAL AVERAGE, WITH RATES IN MOST OF NORTHEAST INDIANA BEING ABOVE THE STATE AVERAGE. INDIANA'S ADULT OBESITY RATE IS THE 11TH HIGHEST IN THE NATION AT 35.3 PERCENT. FOR CHILDREN AGES 10 TO 17, 16.7 PERCENT ARE CONSIDERED OBESE, PUTTING INDIANA IN 16TH PLACE. IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S ACTIONS ARE TO SUPPORT THE FURTHER DEVELOPMENT OF HEALTHY LIFESTYLE CHOICES AMONG RESIDENTS OF HUNTINGTON COUNTY. THE CONTINUED STRATEGIC GOAL OF THE OBESITY INITIATIVE IS TO INCREASE ACCESS TO NUTRITIOUS FOOD AND PHYSICAL ACTIVITY IN HUNTINGTON COUNTY WITH THE SMART OBJECTIVE OF IMPROVING KNOWLEDGE AND BEHAVIOR RELATED TO NUTRITION AND ACTIVITY IN 100 PERCENT OF PROGRAM PARTICIPANTS. THE ANTICIPATED IMPACT IS REDUCTION OF THE OBESITY RATE AND THE CORRESPONDING CHRONIC DISEASES THAT GO HAND IN HAND WITH OBESITY. |
| FORM 990, PART III, LINE 4A CONT'D FROM ABOVE: | FUNDED PARTNERS HAVE PARTICIPATED IN VARIOUS ENDEAVORS TO PROMOTE HEALTHY LIVING AND THUS PREVENT OR TREAT OBESITY ACROSS THE LIFESPAN. MCMILLEN HEALTH CENTER PROVIDED 414 PREVENTIVE HEALTH EDUCATION SESSIONS FOCUSING ON OBESITY/NUTRITION IN GRADES K - 12, SERVING 416 STUDENTS. KNOWLEDGE INCREASE WAS DETERMINED TO BE 38 PERCENT, EXCEEDING THE GOAL OF 35 PERCENT. PARKVIEW HUNTINGTON FAMILY YMCA FUNDS ORIGINALLY EARMARKED FOR YOUTH MEMBERSHIPS ALONG WITH FUNDING INTENDED FOR THE ANNUAL 3RD GRADE SWIMMING PROGRAM AND AFTER-SCHOOL PROGRAMMING WERE ROUTED TO ASSIST MORE FAMILIES IN FINDING CHILDCARE DURING THE PANDEMIC. YOUTH MEMBERSHIPS, HOWEVER, WERE STILL PROVIDED TO 86 STUDENTS OR 7 PERCENT OF HUNTINGTON COUNTY YOUTH IN GRADES 6 - 8 (AN ADDITIONAL 36 PERCENT OF STUDENTS ALREADY HAD MEMBERSHIPS). THOSE WHO WERE AWARDED MEMBERSHIPS CHECKED IN 351 TIMES DURING 2020. THE YMCA HAD HOPED 10 PERCENT OF THIS AGE GROUP WOULD PARTICIPATE IN A YMCA AFTER-SCHOOL PROGRAM AND THIS GOAL WAS EXCEEDED, WITH 26 PERCENT DOING SO. A LIVING TOWERS GARDEN FUNDED PROGRAM HAS PROVIDED THREE HYDROPONIC GARDENS TO A LOCAL ELEMENTARY SCHOOL. THE PROGRAM EXPANDED TO A LOCAL PRESCHOOL LAST YEAR, PROVIDING STUDENTS THERE WITH A TOWER. THE GARDEN WAS MOVED FROM FLINT SPRINGS ELEMENTARY TO THE PURDUE EXTENSION OFFICE DUE TO THE PANDEMIC AND USED TO SUPPLEMENT A COMMUNITY GARDEN AND LOCAL FOOD PANTRY UNTIL THE FALL SEMESTER. ONE CLASS WAS THEN ABLE TO PARTICIPATE AT A TIME PER COVID RESTRICTIONS. SIXTY STUDENTS WERE ABLE TO ENJOY A GARDEN SALAD, WITH AN ADDITIONAL 40 SALADS BEING SHARED WITH ADULTS WHO HELPED WITH THE CLASS. KIDS KAMPUS PRESCHOOL WAS ABLE TO HAVE TWO HARVESTS IN 2020. THE FIRST PROVIDED LETTUCE AND KALE SALADS TO 54 CHILDREN. THE SECOND HARVEST REACHED ONLY 20 CHILDREN DUE TO THE PANDEMIC. BLESSINGS IN A BACKPACK IS WORKING AT COMBATING FOOD INSECURITY BY SENDING, ON AVERAGE, 376 STUDENTS HOME WITH MEALS FOR THE WEEKEND THROUGHOUT THE SCHOOL YEAR (UP FROM 20 CHILDREN IN 2011 AND 317 DURING THE 2018-2019 SCHOOL YEAR). IN APRIL AND MAY, FOOD WAS DELIVERED BY THE COUNTY SCHOOL CORPORATION'S BUS DRIVERS TO STUDENTS' HOMES BECAUSE OF THE PANDEMIC. BLESSINGS IMPLEMENTED ADDITIONAL MEASURES FOR INFECTION PREVENTION, INCLUDING TOTE DISINFECTION AT EACH PACKING EVENT, SOCIAL DISTANCING DURING PACKING, AND VOLUNTEER SIGN-IN WITH CONTACT NUMBER IN THE EVENT CONTACT TRACING WAS REQUIRED. PARKVIEW BOYS & GIRLS CLUB OF HUNTINGTON COUNTY HAD 77 CLUB MEMBERS PARTICIPATE IN THE HEALTHY HABITS PROGRAM BETWEEN THE HUNTINGTON AND WARREN SITES IN 2020. FORTY-EIGHT KIDS TOOK HOME MEAL KITS THEY USED TO COOK FOR THEIR FAMILY ON 10 WEEKENDS DURING THE SUMMER. THE CLUB'S NUMBERS VARIED GREATLY THROUGHOUT 2020 DUE TO THE PANDEMIC, AND PHYSICAL ACTIVITY GOALS WERE NOT MET. THE HUNTINGTON SITE AVERAGED 194 CHILDREN PER DAY (RANGING FROM 354 PRE-COVID TO 40 DURING THE LOCKDOWN). CLUB LEADERS HAD HOPED 70 PERCENT OF MEMBERS WOULD PARTICIPATE IN 60 MINUTES OF ACTIVITY THREE DAYS PER WEEK. NINETY-NINE KIDS MET THIS GOAL BETWEEN BOTH SITES, AND 21 COMPLETED "DANCE CLUB" BY PUTTING ON A PERFORMANCE AT THE END OF THE YEAR. ADULTS FROM GROUP HOMES, TRANSITIONAL HOUSING, AND A MENTAL HEALTH FACILITY ARE ABLE TO INCREASE THEIR ACTIVITY TO COMBAT OBESITY WITH ACCESS TO WELLNESS THROUGH THE YMCA. THIS PROGRAM HAS GROWN FROM ONE GROUP HOME IN 2017 WITH THREE PARTICIPANTS COMPLETING A 12-WEEK FITNESS PROGRAM TO AS MANY AS 450 INDIVIDUAL VISITS IN JUNE OF 2020 BY PARTICIPANTS. THE PANDEMIC PREVENTED A SMALLER COMMUNITY IN THE COUNTY FROM OFFERING A SUMMER COOKING/FITNESS CAMP FOR GRADES K - 6, AND FUNDS WERE USED TO PROVIDE FIVE MEMBERSHIPS TO THEIR LOCAL FITNESS FACILITY. ONE MEMBER USED THE FACILITY 315 TIMES THROUGHOUT THE YEAR! ALL AGES HAVE BENEFITED FROM THE HELPING HANDS COMMUNITY GARDEN. EIGHTY-EIGHT PERCENT OF THE GARDEN'S VISITORS INDICATE THEY CONSUME MORE FRUIT AND VEGETABLES THANKS TO THEIR ACCESS TO THE GARDEN. IN ADDITION, THE GARDEN CONTINUED TO PROVIDE A SPACE FOR HEALTHY OUTDOOR FAMILY-FRIENDLY ACTIVITIES MONTHLY WHEN WEATHER AND COVID RESTRICTIONS PERMITTED, INCLUDING A GARDEN PARTY, BUTTERFLY WORKSHOP, STIR-FRY FROM THE GARDEN, AND FALL HARVEST PARTY. SHUTDOWNS RELATED TO THE PANDEMIC PROVED TO BE A CHALLENGE FOR HOLDING SOME INTENDED COOKING PROGRAMS IN 2020, BUT A TOTAL OF 16 "SIMPLE AND HEALTHY" COOKING CLASSES (ONE WITH A FOUR-PART SERIES) WERE ABLE TO BE OFFERED, REACHING 102 PARTICIPANTS. ONE HUNDRED PERCENT REPORTED TRYING OR MAKING A NEW HEALTHY RECIPE AND 90 PERCENT WERE ABLE TO IDENTIFY ALL THE FOOD SAFETY RULES PRESENTED. AN AVERAGE OF 1,642 INDIVIDUALS PER MONTH BENEFITED FROM A YEAR-ROUND PRODUCE OPTION PROVIDED THROUGH LOVE, INC., A LOCAL FOOD PANTRY IN THE CITY OF HUNTINGTON; THAT TOTAL IS 573 MORE PEOPLE THAN IN 2019. MORE THAN 744 INDIVIDUALS PER MONTH BENEFITED THROUGH A RURAL COMMUNITY'S WARREN BREAD OF LIFE PANTRY, WHICH IS AN INCREASE OF ABOUT 300 PEOPLE COMPARED TO THE PREVIOUS YEAR. HUNTINGTON MEMORIAL HOSPITAL, INC.'S CHRONIC PAIN SUPPORT GROUP HAS ALSO ADDRESSED KEY ELEMENTS TO TACKLE THE OBESITY EPIDEMIC, BUT GROUP MEMBERS WERE ONLY ABLE TO MEET THREE TIMES IN 2020 PRIOR TO THE PANDEMIC. THE HOSPITAL'S "MY WELL-BEING" COMMITTEE PROVIDES RESOURCES FOR CO-WORKERS TO ENABLE THEM TO BE GOOD EXAMPLES FOR THE REST OF THE COMMUNITY. PRIMARY HEALTH CARE/ACCESS HUNTINGTON MEMORIAL HOSPITAL, INC., COLLABORATES WITH PARKVIEW PHYSICIANS GROUP (PPG) TO PROVIDE THE MEDICAL COVERAGE NEEDED FOR THE COMMUNITY. IF AN INDIVIDUAL DOES NOT HAVE A LOCAL PRIMARY CARE PHYSICIAN, THEY ARE PROVIDED WITH A LIST OF THE LOCAL PHYSICIANS AND THEIR CONTACT NUMBERS. MATTHEW 25 HEALTH AND CARE BASED IN FORT WAYNE, HAS A SATELLITE OFFICE IN THE HUNTINGTON COMMUNITY TO WHICH PPG OFFICES AND THE HOSPITAL CAN REFER PEOPLE WHO DO NOT HAVE HEALTH INSURANCE. IN ADDITION, THE HOSPITAL PROVIDES SUPPORT FOR THE HUNTINGTON MEDICATION ASSISTANCE PROGRAM, WHICH ASSISTS THOSE WHO QUALIFY IN OBTAINING MEDICAL SUPPLIES AND PRESCRIPTION MEDICATIONS AT NO OR LOW COST. THE PROGRAM ALSO HELPS PATIENTS ENROLL IN PHARMACEUTICAL ASSISTANCE PROGRAMS. HEALTH SCREENING AND PREVENTION HUNTINGTON MEMORIAL HOSPITAL, INC., HISTORICALLY PARTICIPATED IN NUMEROUS HEALTH FAIRS AND ACTIVITIES THROUGHOUT THE YEAR TO PROVIDE HEALTH EDUCATION AND SCREENINGS FOR DISEASE PREVENTION, AND TO PROMOTE HEALTHY LIFESTYLES, BUT 2020 CHALLENGED THESE ENDEAVORS WITH PANDEMIC SHUTDOWNS AND SOCIAL DISTANCING GUIDELINES. HUNTINGTON MEMORIAL HOSPITAL, INC., WAS ABLE TO COLLABORATE WITH PARKVIEW CENTER FOR HEALTHY LIVING TO PROVIDE TWO SOCIALLY DISTANCED CHECK-UP DAY EVENTS TO PROVIDE REDUCED-COST LABORATORY WORK TO THE COMMUNITY. IN ADDITION, ONE HOSPITAL VOLUNTEER DONATED 40 HOURS PRIOR TO THE PANDEMIC IN 2020 TO TAKE 182 BLOOD PRESSURE READINGS FREE OF CHARGE ON TUESDAY MORNINGS IN THE HOSPITAL LOBBY. HUNTINGTON MEMORIAL HOSPITAL, INC.'S EMERGENCY MANAGEMENT SERVICES (EMS) AND INFECTION PREVENTIONIST ALSO PLAY A VITAL ROLE IN THE COMMUNITY WITH REGARD TO HEALTH PREVENTION SERVICES. FORTY-FOUR HOURS FROM EMS STAFF WERE DEVOTED TO CPR AND AED TRAINING REACHING 77 INDIVIDUALS AND FOUR HOURS FOR FIRST-AID TRAINING TO INSTRUCT FIVE STUDENTS. OUR INFECTION PREVENTIONIST PROVIDED A TWO-HOUR TRAINING ON BLOODBORNE PATHOGENS TO THE HUNTINGTON CITY POLICE DEPARTMENT AND A ONE-HOUR TRAINING ABOUT INFECTION PREVENTION FOR STAFF AT THE HERITAGE POINTE OF HUNTINGTON SENIOR LIVING FACILITY; THE LATTER PRESENTATION WAS RECORDED AND IS BEING USED TO TRAIN NEW HIRES. COMMUNITY NURSING HUNTINGTON MEMORIAL HOSPITAL, INC., INTENDED TO PROVIDE FUNDING TO KIDS KAMPUS TO PROVIDE SICK-CARE FOR YOUNGSTERS ENROLLED AT THE DAY CARE CENTER, WHICH IS AFFILIATED WITH PATHFINDER SERVICES. THERE WAS NO COMMUNITY DROP-OFF OF SICK CHILDREN DUE TO COVID RESTRICTIONS STARTING IN MARCH OF 2020. KIDS KAMPUS HOPES TO RE-OPEN BY LATE APRIL 2021. THE RONALD MCDONALD CARE MOBILE VISITS, ALONG WITH EYE AND DENTAL EXAMS, ALSO CEASED DURING THE PANDEMIC. INDIVIDUAL HEALTH COACHING CONSULTATIONS BETWEEN PARENTS AND PATHFINDER'S MEDICAL STAFF ALSO WERE NOT HELD DUE TO COVID, BUT PARENTS CONTINUED TO RECEIVE INFORMATION ABOUT HEALTHY EATING AND HEALTHY HABITS THROUGH NEWSLETTERS. |
| FORM 990, PART III, LINE 4A CONT'D FROM ABOVE: | HUNTINGTON MEMORIAL HOSPITAL, INC., AFFORDED 55 EXPECTANT PARENTS THE OPPORTUNITY TO ATTEND CHILDBIRTH CLASSES (IN PERSON OR VIRTUALLY) BY A REGISTERED NURSE WHO IS A CERTIFIED LACTATION CONSULTANT. THE CLASSES PROVIDE ANSWERS TO ANY QUESTIONS AN EXPECTANT MOTHER MAY HAVE; IN ADDITION, OTHER RESOURCES ARE AVAILABLE AT APPOINTMENTS WITH THE HOSPITAL'S BIRTH PLANNER. SOME 410 INDIVIDUALS ATTENDED BIRTH PLANNING APPOINTMENTS LAST YEAR (MAINLY VIRTUALLY). SIBLING CLASSES REACHED FIVE PARTICIPANTS, PREPARING CHILDREN TO BECOME BIG BROTHERS AND SISTERS. SINCE APRIL OF 2020, CLASSES HAVE BEEN CANCELLED DUE TO COVID. ADDITIONAL SUPPORT ONCE A BABY IS BORN INCLUDES THE BREASTFEEDING MOMS GROUP; EVERY WEDNESDAY, THE HOSPITAL LACTATION CONSULTANT PROVIDES WEIGHT CHECKS FOR INFANTS AND ANSWERS ANY QUESTIONS THE MOTHERS HAVE. THIS GROUP HELPED 205 MOMS, BABIES, AND SIBLINGS IN 2020. THE HOSPITAL'S EXTERNAL PARTNER WIC PROVIDES FOOD VOUCHERS FOR PREGNANT MOTHERS AND INFANTS IN NEED. EXPECTANT PARENTS ALSO HAVE THE OPPORTUNITY, THROUGH YOUTH SERVICES BUREAU (YSB) OF HUNTINGTON COUNTY, TO RECEIVE INCENTIVES SUCH AS CAR SEATS AND SAFETY ITEMS BY PARTICIPATING IN HEALTHY ACTIVITIES (WIC PRENATAL CLASSES, IMMUNIZATIONS, MENTAL HEALTH SERVICES, ETC.). AS PART OF YSB'S ON YOUR WAY UP PROGRAM, 37 CAR SEATS WERE DISTRIBUTED, AND PROPER INSTALLATION INSTRUCTIONS WERE PROVIDED. ALSO IN 2020, PARKVIEW PHYSICIANS GROUP PHYSICIANS AND HUNTINGTON MEMORIAL HOSPITAL, INC., CO-WORKERS WHO IDENTIFIED A NEED FOR SMOKING CESSATION AID REFERRED PATIENTS TO APPROPRIATE RESOURCES. DURING HOSPITAL ADMISSIONS, PATIENTS ARE ASKED SCREENING QUESTIONS REGARDING TOBACCO USE AND OFFERED HELP. THE TRANSITIONAL CARE NURSE PROVIDES THE 1-800-QUIT-NOW PAMPHLET AND ENCOURAGES THEM TO CALL THE PHONE NUMBER PROVIDED. THIS PROGRAM PROVIDES NICOTINE PATCHES AND GUM FREE OF CHARGE FOR THOSE WHO QUALIFY. PREVIOUSLY, THE PARKVIEW HUNTINGTON FAMILY YMCA OFFERED SMOKING CESSATION CLASSES, BUT THOSE WERE DISCONTINUED IN LATE 2016. HUNTINGTON MEMORIAL HOSPITAL, INC., IDENTIFIED THIS GAP IN SERVICES AND ENABLED ONE OF ITS REGISTERED NURSES TO BECOME CERTIFIED IN THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING PROGRAM. IN-PERSON CLASSES CEASED IN 2020 DUE TO COVID, BUT VIRTUAL CLASSES ARE BEING OFFERED AND ENCOURAGED. HUNTINGTON MEMORIAL HOSPITAL, INC., STRIVES TO BE A RESPONSIBLE CORPORATE CITIZEN AND TO CONTRIBUTE IN MEANINGFUL WAYS TO THE HEALTH AND WELL-BEING OF INDIVIDUALS AND ALL OF HUNTINGTON COUNTY. |
| 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, HUNTINGTON MEMORIAL HOSPITAL, INC., EIN 35-1970706. 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, 2020 WAS 738. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2020 WAS 15,150. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE HUNTINGTON MEMORIAL HOSPITAL, INC. WAS 33 AND 353 RESPECTIVELY. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER OR HIS/HER DESIGNEE, THE CURRENT CHIEF OF THE MEDICAL STAFF, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR OF THE BOARD, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED EIGHT (8) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION AS THE PLANNING COMMITTEE AND IN ANY OTHER MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR ITS RATIFICATION OF ITS ACTION. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF HUNTINGTON MEMORIAL HOSPITAL, INC. WITH CERTAIN RESERVED POWERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES, AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION'S ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JCAHO ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS LIST OR THE REQUIREMENT THAT APPOINTED DIRECTORS CAN BE REPRESENTATIVES OF HUNTINGTON COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A |
| FORM 990, PART VI, SECTION B, LINE 11B | PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. HUNTINGTON MEMORIAL HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 27, 2021, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." |
| FORM 990, PART VI, SECTION B, LINE 15 | LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., DETERMINES THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER: PROGRAM SERVICE EXPENSES 5,648,676. MANAGEMENT AND GENERAL EXPENSES 804,756. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,453,432. |
| FORM 990, PART IX, LINES 5-10: | PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII. |
| FORM 990, PART XI, LINE 9: | ASSET TRANSFERS/ADJUSTMENTS 1,669. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW HEALTH SYSTEM INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 46808 | 351972384 | HEALTH CARE | IN | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC | |||||||||||
| 2001 STULTS ROAD | HUNTINGTON | IN | 46750 | 320012095 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | Yes (1) | HUNTINGTON MEMORIAL HOSPITAL INC | |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |||||||||||
| 207 N TOWNLINE ROAD | LAGRANGE | IN | 46761 | 202401676 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC | |||||||||||
| 401 SAWYER ROAD | KENDALLVILLE | IN | 46755 | 352089183 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |||||||||||
| 401 SAWYER ROAD | KENDALLVILLE | IN | 46755 | 352087092 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| DEKALB MEMORIAL HOSPITAL INC | |||||||||||
| 1316 EAST SEVENTH STREET | AUBURN | IN | 46706 | 351064295 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | |||||||||||
| 442 W HIGH STREET | BRYAN | OH | 43506 | 341045870 | PHYSICIANS | OH | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARK CENTER HOLDINGS INC | |||||||||||
| 909 EAST STATE BLVD | FORT WAYNE | IN | 46805 | 843684074 | TO SUPPORT PARK CENTER, INC. | IN | 501(C)(3) | LINE 12D, III-O | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARK CENTER INC | |||||||||||
| 909 EAST STATE BLVD | FORT WAYNE | IN | 46805 | 351135451 | COMPREHENSIVE MENTAL HEALTH CENTER | IN | 501(C)(3) | LINE 10 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW DEKALB HOSPITAL FOUNDATION INC | |||||||||||
| 1316 EAST SEVENTH STREET | AUBURN | IN | 46706 | 356047817 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | DEKALB MEMORIAL HOSPITAL INC | |
| PARKVIEW FOUNDATION INC | |||||||||||
| 3844 NEW VISION DR | FORT WAYNE | IN | 46845 | 237220589 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | PARKVIEW HOSPITAL INC | |
| PARKVIEW HOSPITAL INC | |||||||||||
| 11109 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | 350868085 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC | |||||||||||
| 207 N TOWNLINE ROAD | LAGRANGE | IN | 46761 | 833347115 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 46808 | 352064353 | OCCUPATIONAL HEALTH | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW WABASH HOSPITAL FOUNDATION INC | |||||||||||
| 10 JOHN KISSINGER DRIVE | WABASH | IN | 46992 | 351921445 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | PARKVIEW WABASH HOSPITAL INC | |
| PARKVIEW WABASH HOSPITAL INC | |||||||||||
| 10 JOHN KISSINGER DRIVE | WABASH | IN | 46992 | 471753440 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| WHITLEY MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 46725 | 311190239 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | 0 | WHITLEY MEMORIAL HOSPITAL INC | |
| WHITLEY MEMORIAL HOSPITAL INC | |||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 46725 | 351967665 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 46808 | 260143823 | ORTHO HOSPITAL | IN | N/A | N/A | 0 | 0 |
| MANAGED CARE SERVICES LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 46808 | 351996535 | HEALTH PLAN ADMIN | IN | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 46808 | 351668888 | REFERENCE LAB | IN | N/A | C | 0 |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | |||||||||
| 442 W HIGH STREET | BRYAN | OH | 43506 | 341045870 | PHYSICIANS | OH | N/A | C | 0 |
| WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC | |||||||||
| 202 W BERRY ST SUITE 800 | FORT WAYNE | IN | 46802 | 352058340 | CONDO MANAGEMENT | IN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | M | TransactionTypeTxt |
| Involved | $169,534 | InvolvedAmt |
| Method Of Amount Determination | PART VII SUPPLEMENTAL INFORMATION | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 2, COLUMN (C): | FormAndLineReferenceDesc |
| Explanation | THE AMOUNTS REPORTED AS TRANSACTIONS WITH RELATED ORGANIZATIONS ARE CONSISTENT WITH THE AMOUNTS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS DEPENDING ON THE TYPE OF TRANSACTION INVOLVED. | ExplanationTxt |