PARKVIEW HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PARKVIEW HOSPITAL INC (EIN 35-0868085)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2021-03-12
- IRS object ID
- 202120719349300537
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-03-12T15:47:41-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 E JEFFERSON BLVD PO BOX 7 | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 466240007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350868085 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 2603738429 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11109 PARKVIEW PLAZA DRIVE | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 468451701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANNE' WICKENS | PersonNm |
| Person Title | PH CFO | PersonTitleTxt |
| Phone | 2602669313 | PhoneNum |
| Signature | 2021-03-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRITTNEY KOCAJ | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 5742323992 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | MICHAEL J PACKNETT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 CORPORATE DRIVE | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46845 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,451,868,867 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | PARKVIEW 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 | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 6383 | TotalEmployeeCnt |
| Total Volunteers | 607 | TotalVolunteersCnt |
| Total Gross UBI | $8,599,423 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $592,749 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,571,551 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,825,235 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,201,079,150 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,366,744,141 | CYProgramServiceRevenueAmt |
| PY Investment Income | $559,066 | PYInvestmentIncomeAmt |
| CY Investment Income | $862,717 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,174,183 | PYOtherRevenueAmt |
| CY Other Revenue | $15,710,204 | CYOtherRevenueAmt |
| PY Total Revenue | $1,218,383,950 | PYTotalRevenueAmt |
| CY Total Revenue | $1,386,142,297 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,962,752 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,632,677 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $344,557,536 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $377,483,142 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,419,478 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $721,124,413 | PYOtherExpensesAmt |
| CY Other Expenses | $862,354,881 | CYOtherExpensesAmt |
| PY Total Expenses | $1,067,644,701 | PYTotalExpensesAmt |
| CY Total Expenses | $1,241,470,700 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $150,739,249 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $144,671,597 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $921,953,901 | TotalAssetsBOYAmt |
| Total Assets EOY | $983,318,582 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $624,786,701 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $543,201,876 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $297,167,200 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $440,116,706 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PARKVIEW HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,051,452,136 | ExpenseAmt |
| Grant | $1,632,677 | GrantAmt |
| Revenue | $1,364,178,408 | RevenueAmt |
| Desc | PARKVIEW HOSPITAL, INC. IS A CHARITABLE, NOT-FOR-PROFIT, COMMUNITY-OWNED HOSPITAL AND CONSISTS OF A 424-BED REGIONAL TERTIARY REFERRAL CENTER (PARKVIEW REGIONAL MEDICAL CENTER), AS WELL AS A 229-BED COMMUNITY HOSPITAL (PARKVIEW HOSPITAL RANDALLIA) AND A 103-BED BEHAVIORAL HEALTH HOSPITAL (PARKVIEW BEHAVIORAL HEALTH INSTITUTE), LOCATED IN FORT WAYNE, INDIANA. THE SERVICE AREA INCLUDES NORTHEAST INDIANA, NORTHWEST OHIO AND SOUTH-CENTRAL MICHIGAN. PARKVIEW HOSPITAL, INC. IS HOME TO A VERIFIED LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER IN ADDITION TO THE SAMARITAN MEDICAL FLIGHT AND GROUND TRANSPORT SERVICES AND A FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT. SPECIALTY SERVICES INCLUDE A HEART INSTITUTE, A CERTIFIED COMPREHENSIVE STROKE(SEE SCHEDULE O FOR CONTINUATION)CENTER, WOMEN'S & CHILDREN'S HOSPITAL, OUTPATIENT SERVICE CENTER AND CANCER INSTITUTE. AS AN ORGANIZATION THAT OPERATES EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES, THE PARKVIEW RESEARCH CENTER HOUSED IN THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION CENTER PROVIDES WORLD-CLASS EDUCATION FOR PARKVIEW CO-WORKERS, PHYSICIANS AND MEDICAL PROFESSIONALS. TRAINING TAKES PLACE IN CUTTING-EDGE MEDICAL SIMULATION CLASSROOMS AND TRAINING LABORATORIES MODELED AFTER CURRENT OPERATING ROOMS, EXAM ROOMS, PATIENT ROOMS AND AMBULANCES. PATIENT EXPECTATIONS FOR EXCELLENT CARE ARE SUPPORTED BY ENSURING THAT HEALTHCARE PROFESSIONALS ARE FAMILIAR WITH THE MOST INNOVATIVE AND EFFECTIVE TREATMENTS AVAILABLE. IN ADDITION TO TRAINING AND EDUCATION, THE MIRRO CENTER FOR RESEARCH AND INNOVATION CENTER HOUSES THE HEALTH SERVICES AND INFORMATICS RESEARCH GROUP, WHICH IS COMPRISED OF INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS AND USER EXPERIENCE SPECIALISTS. THIS TEAM WORKS ON A BROAD ARRAY OF PROJECTS, INCLUDING INVESTIGATOR-INITIATED RESEARCH, PROGRAM EVALUATION, PILOT STUDIES, COMMUNITY SURVEY STUDIES AND USER EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. EXAMPLES OF THEIR PROJECTS INCLUDE YOUTH MENTAL HEALTH RESEARCH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MUCH OF THIS TEAM'S WORK LEADS TO PUBLICATION IN PEER-REVIEWED JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND THE DISSEMINATION OF FINDINGS TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY.PARKVIEW REGIONAL MEDICAL CENTER IS CURRENTLY UNDERGOING EXPANSION OF ITS CORE TOWER IN RESPONSE TO A GROWING NUMBER OF PEOPLE THAT CONTINUE TO CHOOSE PARKVIEW AS THEIR PREFERRED PROVIDER FOR CARE. THIS EXPANSION IS NEEDED AS PARKVIEW HOSPITAL, INC. HAD INSUFFICIENT INPATIENT BED CAPACITY TO MEET THE GROWING DEMAND. THE EXPANSION CONSISTS OF CONSTRUCTION OF A SIX-STORY, 168,000-SQUARE-FOOT MEDICAL TOWER. THE NEW TOWER WILL ALLOW THE HOSPITAL TO ADD 72 NEW INPATIENT BEDS AND 100 NEW CLINICAL POSITIONS, WITH ROUGHLY 63,000 SQUARE FEET OF ADDITIONAL SPACE. THIS SURPLUS WILL NOT ONLY ALLOW FOR FUTURE EXPANSION PLANS BUT WILL ALSO CONTINUE TO SUPPORT PROJECTED INPATIENT DEMAND AND AMBULATORY CARE GROWTH.DURING 2018, PARK CENTER, INC. BECAME AN AFFILIATE OF PARKVIEW HEALTH INC., WORKING IN TANDEM WITH PARKVIEW BEHAVIORAL HEALTH INSTITUTE (PBHI) AND PARKVIEW PHYSICIANS GROUP (PPG) TO CREATE A COMPREHENSIVE CONTINUUM OF MENTAL HEALTH SERVICES. PARK CENTER, INC. IS A COMMUNITY MENTAL HEALTH CENTER WITH FACILITIES IN FORT WAYNE, AS WELL AS BLUFFTON AND DECATUR. BESIDES INTEGRATING SERVICES WHERE APPROPRIATE, THE TWO ORGANIZATIONS PLAN TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, ENHANCE CLINIC PROCESSES, COORDINATE SUBSTANCE USE DISORDER PROGRAMS AND MAKE CAPITAL INVESTMENTS IN SELECT PARK CENTER FACILITIES.PBHI WAS AWARDED THE 2019 NDNQI AWARD FOR OUTSTANDING NURSING QUALITY BY PRESS GANEY. THIS AWARD RECOGNIZES EXCELLENCE IN OVERALL PERFORMANCE IN NURSING QUALITY INDICATORS AS WELL AS THE HOSPITAL'S MEASURABLE IMPROVEMENTS IN NURSING PERFORMANCE AND PATIENT OUTCOMES. NURSING EXCELLENCE IS EVIDENT ELSEWHERE WITHIN PARKVIEW HEALTH SYSTEM, INC., OF WHICH PARKVIEW HOSPITAL, INC. IS A PART. PARKVIEW HEALTH CURRENTLY HOLDS MAGNET STATUS, WHICH DEMONSTRATES COMMITMENT TO NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. THE HEALTH SYSTEM EARNED THE ADVISORY BOARD WORKPLACE OF THE YEAR AWARD (2019), WHICH RECOGNIZES HOSPITALS AND HEALTH SYSTEMS NATIONWIDE THAT HAVE OUTSTANDING LEVELS OF EMPLOYEE ENGAGEMENT. THE SYSTEM WAS ALSO NAMED ONE OF AMERICA'S BEST EMPLOYERS BY FORBES MAGAZINE AND WAS RANKED NO. 171 OVERALL AND NO. 16 IN THE HEALTHCARE AND SOCIAL SERVICES INDUSTRY. FIVE PARKVIEW HOSPITALS WERE HONORED AMONG THE 2019 BEST PLACES TO WORK IN HEALTHCARE. ADDITIONALLY, PARKVIEW REGIONAL MEDICAL CENTER WAS RECOGNIZED WITH AN 'A' FOR FALL 2019 LEAPFROG HOSPITAL SAFETY GRADE, BASED ON ITS PERFORMANCE IN PREVENTING MEDICAL ERRORS, INJURIES, ACCIDENTS, INFECTIONS AND OTHER SITUATIONS THAT WOULD CAUSE HARM TO PATIENTS.WHILE CINCINNATI CHILDREN'S HOSPITAL AND PARKVIEW HEALTH, INC. HAVE COLLABORATED ON PEDIATRIC TRAUMA CARE FOR SEVERAL YEARS, IN SEPTEMBER 2018 THE TWO ORGANIZATIONS ENTERED AN AFFILIATION TO EXPAND PEDIATRIC CARE IN CARDIOLOGY, GASTROENTEROLOGY AND GENERAL SURGERY TO FAMILIES IN THE FORT WAYNE AREA. THE COLLABORATION WILL ALLOW PARKVIEW PHYSICIANS AND FAMILIES TO ENGAGE IN TELEHEALTH CONSULTATIONS VIA VIDEO CONFERENCING WITH SPECIALTY PHYSICIANS AT CINCINNATI CHILDREN'S HOSPITAL WHEN DEVELOPING PEDIATRIC-CARE PLANS.AS OF 2019, THE PARKVIEW HEART INSTITUTE AT PARKVIEW HOSPITAL, INC. IS IN AFFILIATION WITH THE CLEVELAND CLINIC HEART & VASCULAR INSTITUTE. THIS AFFILIATION FORWARDS THE OPPORTUNITY FOR PROVIDERS FROM THE PARKVIEW HEART INSTITUTE TO COLLABORATE AND INNOVATE WITH PROVIDERS A PART OF THE U.S. NEWS & WORLD REPORT'S NO 1. RANKED CARDIOLOGY AND HEART SURGERY PROGRAM AT THE CLEVELAND CLINIC HEART & VASCULAR INSTITUTE. THROUGH THIS COLLABORATION, THE PARKVIEW HEART INSTITUTE AND ITS PATIENTS HAVE ACCESS TO THE BEST PRACTICES, LATEST TREATMENTS, TECHNOLOGY AND INNOVATIONS THAT HAD LED THE CLEVELAND CLINIC HEART & VASCULAR INSTITUTE TO ITS NO. 1 RANKING FOR THE LAST 25 YEARS. ALSO, IN 2019, PARKVIEW CANCER INSTITUTE BECAME A CERTIFIED MEMBER OF MD ANDERSON CANCER NETWORK, A PROGRAM OF MD ANDERSON CANCER CENTER, AND IS THE LEADING CANCER CENTER IN THE NATION AND A GLOBAL LEADER IN CANCER CARE. THIS COLLABORATIVE EFFORT BROUGHT THE NATION'S LEADING CANCER EXPERTISE TO PATIENTS HERE AT PARKVIEW. AS A CERTIFIED MEMBER OF MD ANDERSON CANCER NETWORK, PARKVIEW GAINED ACCESS TO THE PIONEERING CLINICAL GUIDELINES, TREATMENT PLANS AND BEST PRACTICES DEVELOPED BY THE EXPERTS AT MD ANDERSON. CERTIFIED SPECIALISTS AT THE PARKVIEW CANCER INSTITUTE ALSO HAVE DIRECT ACCESS TO MD ANDERSON EXPERTS TO CONSULT AND COLLABORATE ON CASES. IN ADDITION, PARKVIEW CAN NOW OFFER PATIENTS ACCESS TO SELECT CLINICAL TRIALS, SURGICAL OPTIONS NOT AVAILABLE ANYWHERE ELSE IN THE REGION, AND HIGHLY RESPECTED SECOND OPINIONS. | Desc |
| Total Program Service Expenses | $1,051,452,136 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 155 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 6383 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 | 10501 CORPORATE DRIVE | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46845 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (40 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PACKNETT | ||||||||||
| DIRECTOR/PH PRESIDENT & CEO | 1.00 | 56.00 | Yes (X) | Yes (X) | $0 | $3,051,353 | $797,690 | |||
| JEANNE' WICKENS | ||||||||||
| PH CHIEF FINANCIAL OFFICER | 1.00 | 56.00 | Yes (X) | $0 | $843,129 | $327,919 | ||||
| MICHAEL MIRRO | ||||||||||
| PVHOS CARO | 40.00 | $1,015,385 | $0 | $60,167 | Yes (X) | |||||
| JUDITH BOERGER | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH CNE | 0.00 | 40.00 | $0 | $749,123 | $114,131 | Yes (X) | ||||
| BENJAMIN MILES | ||||||||||
| DIRECTOR/PVHOS PRESIDENT | 40.00 | 6.00 | Yes (X) | Yes (X) | $657,275 | $0 | $145,678 | |||
| GREG JOHNSON | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH CCIO | 0.00 | 41.00 | $0 | $562,568 | $147,677 | Yes (X) | ||||
| ALBERT MORRISON | ||||||||||
| DIRECTOR/PH PHYSICIAN | 1.00 | 39.00 | Yes (X) | $50,247 | $589,437 | $41,526 | ||||
| ABHIJIT SHUKLA | ||||||||||
| DIRECTOR/PH PHYSICIAN | 1.00 | 38.00 | Yes (X) | $56,974 | $392,705 | $58,094 | ||||
| DANIEL GARMAN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 1.00 | $0 | $459,924 | $0 | Yes (X) | ||||
| MICHAEL GERUE | ||||||||||
| PVHOS PHI COO | 40.00 | $357,482 | $0 | $61,551 | Yes (X) | |||||
| ROGER STIENECKER | ||||||||||
| FORMER HC EMPLOYEE/CURRENT PH IP&EP | 0.00 | 40.00 | $0 | $349,814 | $38,951 | Yes (X) | ||||
| ERIN LACROSS | ||||||||||
| PVHOS CNO | 40.00 | Yes (X) | $320,690 | $0 | $58,444 | |||||
| JOHN BOWEN | ||||||||||
| PVHOS COO RANDALLIA | 40.00 | $339,362 | $0 | $39,731 | Yes (X) | |||||
| MARCELINE ROGERS | ||||||||||
| PVHOS VP & CURRENT PH VP | 40.00 | 40.00 | $156,814 | $147,810 | $55,301 | Yes (X) | ||||
| MARLON WARDLOW | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | 0.00 | 40.00 | $0 | $293,545 | $59,439 | Yes (X) | ||||
| CHARLES CLARK | ||||||||||
| PVHOS PBH COO | 40.00 | 1.00 | $260,527 | $0 | $90,313 | Yes (X) | ||||
| YUENIAN ZHANG | ||||||||||
| PVHOS CHIEF PHYSICIST | 40.00 | $281,457 | $0 | $56,556 | Yes (X) | |||||
| JEFFREY BROWN | ||||||||||
| PVHOS PHYSICIAN | 40.00 | $254,250 | $0 | $30,387 | Yes (X) | |||||
| CHRISTOPHER JELLISON | ||||||||||
| FORMER HC EMPLOYEE/CURRENT PH VP | 0.00 | 40.00 | $0 | $237,218 | $34,298 | Yes (X) | ||||
| KEITH JACKSON | ||||||||||
| PVHOS HHIP SPV | 43.00 | $205,556 | $0 | $50,570 | Yes (X) | |||||
| EDWARD STRUBEL III | ||||||||||
| PVHOS DIR PHARMACY | 40.00 | $195,610 | $0 | $55,048 | Yes (X) | |||||
| MOLLY CAIN | ||||||||||
| PVHOS SVP NEUROLOGY | 40.00 | $211,702 | $0 | $33,417 | Yes (X) | |||||
| FEN-LEI CHANG | ||||||||||
| PVHOS PHYSICIAN | 24.00 | $212,083 | $0 | $7,332 | Yes (X) | |||||
| LINDA FRANCIES | ||||||||||
| PVHOS VP NURSING | 40.00 | $198,320 | $0 | $15,487 | Yes (X) | |||||
| PAUL WILSON | ||||||||||
| PARKC PRESIDENT & CEO | 1.00 | 40.00 | Yes (X) | $0 | $128,037 | $30,407 | ||||
| RAE GONTERMAN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | $138,207 | $0 | $0 | Yes (X) | |||||
| DAN STARR | ||||||||||
| DIRECTOR/CHAIR | 1.00 | 1.00 | Yes (X) | $6,250 | $4,340 | $0 | ||||
| THOMAS KIMBROUGH | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,500 | $4,316 | $0 | ||||
| DONOVAN COLEY | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $4,750 | $0 | $0 | |||||
| PALERMO GALINDO | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $4,750 | $0 | $0 | |||||
| WILBUR SMITH | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $4,750 | $0 | $0 | |||||
| MARK MICHAEL | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $4,500 | $0 | $0 | |||||
| IAN BOYCE | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,250 | $0 | $0 | ||||
| BRENDA GERBER | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $4,250 | $0 | $0 | |||||
| RICHARD ROBINSON | ||||||||||
| DIRECTOR/SECRETARY/TREASURER | 1.00 | 1.00 | Yes (X) | $4,250 | $0 | $0 | ||||
| WENDY STEIN | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $4,250 | $0 | $0 | |||||
| IRENE WALTERS | ||||||||||
| DIRECTOR/VICE CHAIR | 1.00 | Yes (X) | $4,250 | $0 | $0 | |||||
| DAVID MCFADDEN | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $4,000 | $0 | $0 | |||||
| DAVID NECKERS | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $4,000 | $0 | $0 | |||||
| GREGG POLLANDER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $797 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,970,691 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,814,116 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,410,114 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 254 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA STREET | OMAHA | NE | 68154 | NURSES | $13,411,544 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 912512 | PASADENA | CA | 91110 | DIAGNOSTIC SERVICES | $4,327,596 |
| AVANT HEALTHCARE PROFESSIONALS LLC | |||||
| 1211 SEMORAN BLVD SUITE 227 | CASSELBERRY | FL | 32707 | NURSES | $3,914,576 |
| TOTAL RENAL CARE INC | |||||
| PO BOX 781607 | PHILADELPHIA | PA | 19178 | MEDICAL SERVICES | $2,815,223 |
| HOSPITAL LAUNDRY SERVICES INC | |||||
| 3322 CAVALIER DRIVE | FORT WAYNE | IN | 46808 | LAUNDRY SERVICES | $2,508,925 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 75 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $656,809 | RelatedOrganizationsAmt |
| Government Grants | $2,002,718 | GovernmentGrantsAmt |
| All Other Contributions | $165,708 | AllOtherContributionsAmt |
| Noncash Contributions | $33,026 | NoncashContributionsAmt |
| Total Contributions | $2,825,235 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE | 622000 | $1,315,527,226 | $1,315,527,226 | |
| PHARMACY | 446110 | $29,215,019 | $22,610,177 | $6,604,842 |
| LAB SERVICES | 621500 | $15,480,897 | $15,480,897 | |
| INTERUNIT RENT | 900099 | $3,661,601 | $3,661,601 | |
| FWCS CLINICS | 621990 | $681,450 | $681,450 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,177,948 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,457,154 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $720,794 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,366,744,141 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $624,519 | TotalRevenueColumnAmt |
| Exclusion | $624,519 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,744,638 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,166,813 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,577,825 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,577,825 | TotalRevenueColumnAmt |
| Exclusion | $2,577,825 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $63,593,761 | SecuritiesAmt |
| Other | $204,194 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $63,332,450 | SecuritiesAmt |
| Other | $227,307 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $261,311 | SecuritiesAmt |
| Other | -$23,113 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $238,198 | TotalRevenueColumnAmt |
| Exclusion | $238,198 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| CAFETERIA & MEALS | 722210 | $5,891,284 | $5,891,284 | ||
| ORTHO BILLINGS | 541900 | $3,330,858 | $2,075,696 | $1,255,162 | |
| RESEARCH CENTER | 900099 | $2,215,630 | $2,215,630 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,694,607 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $468,577 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $18,625 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,207,405 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $13,132,379 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,386,142,297 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,364,178,408 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,599,423 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,539,231 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,632,677 | TotalAmt |
| Program Services | $1,632,677 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,227,402 | TotalAmt |
| Management And General | $4,227,402 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,691 | TotalAmt |
| Program Services | $204,691 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,125,519 | TotalAmt |
| Program Services | $273,856,683 | ProgramServicesAmt |
| Management And General | $1,268,836 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,925,530 | TotalAmt |
| Program Services | $97,465,196 | ProgramServicesAmt |
| Management And General | $460,334 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,383 | TotalAmt |
| Management And General | $70,383 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,140,036 | TotalAmt |
| Program Services | $62,105,512 | ProgramServicesAmt |
| Management And General | $8,034,524 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,584 | TotalAmt |
| Program Services | $203,366 | ProgramServicesAmt |
| Management And General | $29,218 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,157,004 | TotalAmt |
| Program Services | $23,373,879 | ProgramServicesAmt |
| Management And General | $2,783,125 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,828 | TotalAmt |
| Program Services | $286,802 | ProgramServicesAmt |
| Management And General | $26 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,582,492 | TotalAmt |
| Program Services | $14,622,904 | ProgramServicesAmt |
| Management And General | $959,588 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,531,169 | TotalAmt |
| Program Services | $1,430,452 | ProgramServicesAmt |
| Management And General | $100,717 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,395 | TotalAmt |
| Program Services | $421,160 | ProgramServicesAmt |
| Management And General | $28,235 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,812 | TotalAmt |
| Program Services | $290,812 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,281,869 | TotalAmt |
| Program Services | $52,247,317 | ProgramServicesAmt |
| Management And General | $34,552 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,995,438 | TotalAmt |
| Program Services | $35,275 | ProgramServicesAmt |
| Management And General | $1,960,163 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $237,747,734 | $237,747,734 | |
| PH CLINICAL SUPPORT | $196,642,876 | $196,642,876 | |
| CORP SERVICE ALLOCATION | $166,898,664 | $166,898,664 | |
| FEDERAL & STATE INCOME | $165,000 | $165,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,882,597 | TotalAmt |
| Program Services | $88,884,800 | ProgramServicesAmt |
| Management And General | $578,319 | ManagementAndGeneralAmt |
| Fundraising | $2,419,478 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,241,470,700 | TotalAmt |
| Program Services | $1,051,452,136 | ProgramServicesAmt |
| Management And General | $187,599,086 | ManagementAndGeneralAmt |
| Fundraising | $2,419,478 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,033 | BOYAmt |
| EOY | $20,551 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,620,610 | BOYAmt |
| EOY | $194,765,679 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,698,534 | BOYAmt |
| EOY | $17,938,846 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,142,651 | BOYAmt |
| EOY | $963,189 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,274,727,320 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $567,711,518 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,033,997 | BOYAmt |
| EOY | $707,015,802 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,541,687 | BOYAmt |
| EOY | $26,470,418 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,587,388 | BOYAmt |
| EOY | $2,288,614 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,491,443 | BOYAmt |
| EOY | $22,491,443 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,805,558 | BOYAmt |
| EOY | $11,364,040 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $921,953,901 | BOYAmt |
| EOY | $983,318,582 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,739,093 | BOYAmt |
| EOY | $78,337,864 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,188,965 | BOYAmt |
| EOY | $3,006,407 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,088,919 | BOYAmt |
| EOY | $6,319,440 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $553,769,724 | BOYAmt |
| EOY | $455,538,165 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $624,786,701 | BOYAmt |
| EOY | $543,201,876 | 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 | $297,167,200 | BOYAmt |
| EOY | $440,116,706 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,167,200 | BOYAmt |
| EOY | $440,116,706 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $921,953,901 | BOYAmt |
| EOY | $983,318,582 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $144,671,597 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,142,315 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,864,406 | 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 | $47,133 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $47,133 | 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 | $650,942 | BeginningYearBalanceAmt |
| Contributions | $454,072 | ContributionsAmt |
| Investment Earnings Or Losses | $193,952 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $22,201 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,276,765 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $707,386 | BeginningYearBalanceAmt |
| Contributions | $14,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$63,044 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $7,400 | GrantsOrScholarshipsAmt |
| End Year Balance | $650,942 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $672,505 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $55,081 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $20,200 | GrantsOrScholarshipsAmt |
| End Year Balance | $707,386 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $642,805 | BeginningYearBalanceAmt |
| Contributions | $225 | ContributionsAmt |
| Investment Earnings Or Losses | $41,324 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $11,849 | GrantsOrScholarshipsAmt |
| End Year Balance | $672,505 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $625,781 | BeginningYearBalanceAmt |
| Contributions | $535 | ContributionsAmt |
| Investment Earnings Or Losses | $27,888 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $11,399 | GrantsOrScholarshipsAmt |
| End Year Balance | $642,805 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.76790 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.23210 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,584,819 | OtherCostOrOtherBasisAmt |
| Book Value | $6,584,819 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $622,430,756 | OtherCostOrOtherBasisAmt |
| Depreciation | $270,555,751 | DepreciationAmt |
| Book Value | $351,875,005 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,562,665 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,078,026 | DepreciationAmt |
| Book Value | $3,484,639 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $506,305,315 | OtherCostOrOtherBasisAmt |
| Depreciation | $257,734,691 | DepreciationAmt |
| Book Value | $248,570,624 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $126,843,765 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,343,050 | DepreciationAmt |
| Book Value | $96,500,715 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $707,015,802 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| EST. MEDICARE/MEDICAID SETTLEMENTS | $9,622,725 |
| EST. 3RD PARTY SETTLEMENTS | $4,446,824 |
| RESTRICTED FUNDS | $392,221 |
| DUE TO/FROM INTERUNIT | $441,076,395 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $455,538,165 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE USED FOR CHAPLAINCY SERVICES AND OPERATIONS RELATED TO PATIENT-FOCUSED CANCER CARE. |
| PART X, LINE 2: | PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2019 AND 2018, 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 NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2015 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 | 0 | FPGReferenceDiscountedCareInd |
| 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 | $20,935,311 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,935,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,422,208 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $92,002,809 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,419,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01420 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,934,110 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $74,157,334 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,776,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $206,291,629 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $166,160,143 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,131,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,107,207 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,452,778 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,654,429 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,135,959 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,220,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,915,455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,044,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $983,716 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,060,783 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,269,039 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $96,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,173,039 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,414,205 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,414,205 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,970,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,752,998 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,217,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $223,262,538 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $169,913,141 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $53,349,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04610 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,275 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,275 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,275 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $70,275 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $83,865,407 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $753,957 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $185,370,515 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $195,419,632 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,049,117 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11109 PARKVIEW PLAZA DRIVE | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46845 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| State License | 14-005020-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| 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 | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PARKVIEW HOSPITAL, INC. | PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2019 CHNA, PARKVIEW HOSPITAL, INC. AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) RESEARCH TEAM WERE DILIGENT IN ENSURING THE INPUT FROM PERSONS REPRESENTING THE BROADER INTERESTS OF THE COMMUNITY'S VULNERABLE POPULATIONS WERE CONSIDERED. IN GATHERING QUALITATIVE COMMUNITY INPUT, PARKVIEW HOSPITAL, INC. AND ITS RESEARCH PARTNERS OBTAINED THE FOLLOWING: 1) PRIMARY DATA COLLECTED VIA AN ONLINE SURVEY OF PARKVIEW HEALTH SYSTEM, INC. HEALTHCARE PROVIDERS (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.) AND COMMUNITY SERVICE PROVIDERS REPRESENTING ALLEN COUNTY'S VULNERABLE POPULATIONS. ADDITIONALLY, THE HEALTH SYSTEMS CHNA RESEARCH PARTNERS CONDUCTED A RANDOMIZED SURVEY OF THE COMMUNITY RESIDENTS IN EACH PARKVIEW HEALTH COUNTY. 2) SECONDARY DATA GATHERED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES, EMPHASIZING THE SOCIAL AND ENVIRONMENTAL FACTORS CONTRIBUTING TO LOCAL HEALTH DISPARITIES.IN ADDITION TO DATA COLLECTION, PARKVIEW HOSPITAL, INC. TURNED TO THE COMMUNITY AND PARTNERING ORGANIZATIONS REPRESENTING VULNERABLE POPULATIONS WHEN SELECTING AND PRIORITIZING ALLEN COUNTY'S HEALTH NEEDS. 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 OVER 60 INDIVIDUALS PARTICIPATED IN THE PRIORITIZATION PROCESS, INCLUDING REPRESENTATIVES FROM HOSPITAL SERVICE LINES, COMMUNITY HOSPITALS, HEALTHCARE PROVIDERS/PHYSICIANS, EXECUTIVE LEADERSHIP TEAM, COMMUNITY HEALTH AND HOSPITAL BOARD OF DIRECTORS. AFTER A THOROUGH REVIEW OF THE DATA AND CONSIDERABLE DISCUSSION, THE GROUP USED AN ELECTRONIC VOTING SYSTEM TO RANK THE VARIOUS HEALTH NEEDS IDENTIFIED IN THE CHNA. ULTIMATELY, THE GROUP VOTED ON SUBSTANCE USE DISORDER/MENTAL HEALTH, AS THE SHARED HEALTH PRIORITY ACROSS THE HEALTH SYSTEM.AS A CONTINUATION OF THE PRIORITIZATION PROCESS, PARKVIEW HOSPITAL, INC. (ALLEN COUNTY) FORMED AN INTERNAL, MULTI-DISCIPLINARY ADVISORY COUNCIL TO SELECT ADDITIONAL HEALTH PRIORITIES FOR PARKVIEW HOSPITAL, INC. THIS GROUP OF STAKEHOLDERS MET ON AUGUST 16, 2019 AND DISCUSSED THE RESULTS OF THE CHNA. AFTER A THOUGHTFUL REVIEW OF THE DATA AND EXTENSIVE DISCUSSION, THE ADVISORY COMMITTEE SELECTED MATERNAL/CHILD HEALTH AND CARDIOVASCULAR DISEASE/DIABETES AS ADDITIONAL PRIORITIES. WE ALSO HELD THREE COMMUNITY SESSIONS TO SHARE THE ALLEN COUNTY CHNA RESULTS AND TO GATHER FEEDBACK FROM LOCAL NON-PROFIT AND PUBLIC HEALTH ORGANIZATIONS. IN EACH COMMUNITY ENGAGEMENT MEETING, PARTICIPANTS WORKED IN SMALL GROUPS TO COMPLETE A "ROADMAP" OUTLINING THEIR VISION FOR OUR COMMUNITY, POTENTIAL INTERVENTIONS, BARRIERS AND OTHER FACTORS RELATED TO THE HOSPITAL'S THREE HEALTH PRIORITIES. ADDITIONALLY, THE TOP THREE HEALTH PRIORITIES WERE PRESENTED TO AND ADOPTED BY PARKVIEW HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT COMMITTEE, A COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. |
| PARKVIEW HOSPITAL, INC. | PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). |
| PARKVIEW HOSPITAL, INC. | PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC.; INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI) AND CONDUENT HEALTHY COMMUNITIES INSTITUTE. |
| PARKVIEW HOSPITAL, INC. | PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:UPON COMPLETION OF THE 2019 CHNA, PARKVIEW HOSPITAL, INC. AND PARTNERING COMMUNITY ORGANIZATIONS IDENTIFIED THE FOLLOWING AS ALLEN COUNTY'S TOP HEALTH CONCERNS: SUBSTANCE USE DISORDER/MENTAL HEALTH; CARDIOVASCULAR DISEASE AND DIABETES; AND MATERNAL/CHILD HEALTH. WHILE THE NEEDS OF ALLEN COUNTY HAVE EVOLVED SINCE 2016, THE NEEDS OF 2019 ARE STILL VERY SIMILAR, FOR EXAMPLE: - 2016 OBESITY VS. 2019 CARDIOVASCULAR DISEASE AND DIABETES- 2016 MENTAL HEALTH VS. 2019 SUBSTANCE USE DISORDER AND MENTAL HEALTH- 2016 AND 2019 MATERNAL/CHILD HEALTHDUE TO THE SIMILARITY, PARKVIEW HOSPITAL, INC. PLANS TO CONTINUE BUILDING UPON THE HEALTH INITIATIVES THAT BEGAN AFTER THE 2016 CHNA WHILE ADDRESSING ADDITIONAL PRIORITIES IDENTIFIED ON THE 2019 CHNA. IN RESPONSE TO THE 2019 CHNA, PARKVIEW HOSPITAL, INC. CREATED OUR IMPLEMENTATION STRATEGY (POSTED MAY 2020), WHICH PROVIDES A COMPREHENSIVE SUMMARY OF THE HOSPITALS CURRENT PLANNED HEALTH PROMOTION INITIATIVES. IN SUMMATIVE FORM, THE IMPLEMENTATION STRATEGY REPORTED THE FOLLOWING FOR EACH DEFINED HEALTH CONCERN TO BE ADDRESSED: SUBSTANCE USE DISORDER/MENTAL HEALTH - TO ADDRESS SUBSTANCE USE DISORDER/MENTAL HEALTH, PARKVIEW HOSPITAL, INC. WITH SUPPORT FROM THE PARKVIEW BEHAVIORAL INSTITUTE, DEFINED THREE GOALS SPECIFIC TO THE NEEDS OF ALLEN COUNTY: 1) REDUCE THE NUMBER OF OPIOID OVERDOSES AND DEATHS DUE TO OVERDOSE IN ALLEN COUNTY. TO ACHIEVE THIS GOAL, PARKVIEW HOSPITAL, INC. WILL BACK A PEER SUPPORT GROUP THAT PARTNERS PEOPLE WITH A RECOVERY COACH WHO SEEKS TO DEVELOP AN INDIVIDUALIZED PERSONAL SUPPORT AND RECOVERY PLAN.2) REDUCE THE NUMBER OF PRE-TERM BIRTHS DUE TO SUBSTANCE USE IN ALLEN COUNTY. TO ADDRESS ITS SECOND GOAL, THE PERINATAL SUBSTANCE USE DISORDER NAVIGATOR PROGRAM WAS STARTED. THIS PROGRAM IS EXCLUSIVELY FOR PREGNANT WOMEN WITH SUBSTANCE USE DISORDER. IT OFFERS WOMEN A HELPING HAND VIA A NURSE NAVIGATOR WHO COORDINATES CARE AND TRACKS PATIENTS TO ENSURE THEY HAVE ACCESS TO THE RESOURCES THEY NEED TO ACHIEVE THE BEST OUTCOMES.3) DECREASE THE NUMBER OF SUICIDE DEATHS FOR ALL AGE GROUPS IN ALLEN COUNTY. TO ACHIEVE ITS THIRD GOAL, PARKVIEW HOSPITAL, INC. DECIDED TO CONTINUE AND GROW ITS EFFORTS THROUGH THE ZERO SUICIDE PROGRAM. THIS PROGRAM PROVIDES EDUCATION AND SKILL-BUILDING TRAINING FOR THE COMMUNITY MEMBERS REGARDING SUICIDE AND HOW TO RECOGNIZE AND RESPOND TO AN INDIVIDUAL IN CRISIS USING THE ZERO SUICIDE MODEL OF CARE.CARDIOVASCULAR DISEASE & DIABETES - TO ADDRESS CARDIOVASCULAR DISEASE AND DIABETES, PARKVIEW HOSPITAL, INC. AND ITS PARTNERS DEFINED THE FOLLOWING GOALS AND INTERRELATED PROGRAMS: 1) REDUCE ADULT AND CHILDHOOD OBESITY IN ALLEN COUNTY. THIS GOAL WILL BE ADDRESSED THROUGH:A. TAKING ROOT HEALTH CHALLENGE: A PROGRAM CONTINUING FROM THE 2016 CHNA THAT PARTNERS WITH FORT WAYNE COMMUNITY SCHOOLS TO OFFER 4TH AND 5TH GRADERS THE OPPORTUNITY TO PARTICIPATE IN AEROBIC EXERCISE AND NUTRITIONAL EDUCATION. B. HEALTH EATING ACTIVE LIVING (HEAL) INITIATIVE: THIS INITIATIVE KEYS IN ON INCREASING ACCESSIBILITY AND CONSUMPTION OF FRESH PRODUCE IN UNDERSERVED AND FOOD DESERT AREAS IN ALLEN COUNTY. C. FITKIDS360 (A STAGE TWO PEDIATRIC OBESITY TREATMENT PROGRAM): PROGRAM FOCUSES ON IMPROVING OBESOGENIC RISK SCORES AND WELL-BEING BEHAVIORS OF PARTICIPANTS (CHILDREN AGES 5 TO 17 AND THEIR FAMILIES).2) REDUCE THE LONG-TERM COMPLICATIONS AND SLOW THE PROGRESSION ASSOCIATED WITH DIABETES FOR VULNERABLE POPULATIONS WITH PRE-DIABETES OR A DIABETES DIAGNOSIS. THIS IS A CONTINUED PURSUIT FROM THE HOSPITALS 2013 CHNA THAT WILL BE ADDRESSED VIA THE DIABETES EDUCATION PROGRAM. THIS PROGRAM ALLOWS VULNERABLE POPULATIONS TO HAVE ACCESS TO DIABETES AND HEALTHY LIFESTYLE EDUCATION CLASSES (INCLUDING THE AADE 7 SELF-CARE BEHAVIORS), AND OPPORTUNITIES FOR SCREENING AND A1C TESTING. 3) REDUCE EFFECTS OF FOOD INSECURITY AND IMPACT OF CHRONIC DISEASE FOR THOSE REFERRED TO THE PROGRAM. TO MEET THIS GOAL, PARKVIEW INITIATED VEGGIE RX (A NUTRITION PRESCRIPTION PROGRAM) THAT WORKS TO INCREASE ACCESS TO AND INTAKE OF FRESH PRODUCE AND REDUCE THE EFFECTS OF CHRONIC DISEASE THROUGH DIETARY INTERVENTIONS.4) PREVENT OVERWEIGHT/OBESITY IN CHILDREN PARTICIPANTS DURING THE CRITICAL EARLY YEARS FROM 0 TO 3 YEARS OF AGE. TO MEET THIS GOAL PARKVIEW HOSPITAL, INC. WILL CONTINUE ITS WORK WITH THE SIMPLE SOLUTIONS FOR HEALTHY LIVING PROGRAM. THIS PROGRAM OFFERS FAMILY GOAL SETTING AND EDUCATION SESSIONS WITH THE PURPOSE OF INCREASING GOOD NUTRITION, PHYSICAL ACTIVITY AND OTHER HEALTHY HABITS AMONG YOUNG FAMILY PARTICIPANTS.5) DECREASE THE RISKS ASSOCIATED WITH OBESITY AND CHRONIC ILLNESS FOR UNINSURED PARTICIPANTS. THIS EFFORT WILL BE ADDRESSED VIA THE NUTRITION/EXERCISE PROGRAM THAT OFFERS COOKING DEMONSTRATIONS, EXERCISE SESSIONS AND NUTRITION EDUCATION. 6) PROMOTE HEALTH AND WELL-BEING AND REDUCE FOOD INSECURITY. TO ACCOMPLISH THIS GOAL, PARKVIEW HOSPITAL, INC. WILL WORK WITH THE PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN STRATEGICALLY POSITIONED WITHIN A DESIGNATED FOOD DESERT WITHIN THE COMMUNITY. WITHIN THE GREENHOUSE AND LEARNING KITCHEN, PARTICIPANTS CAN OBTAIN AND LEARN HOW TO GROW VEGETABLES AND COOK NUTRITIOUS MEALS FOR THEIR FAMILIES. IN ADDITION, MANY OF THE INITIATIVES MENTIONED ABOVE (I.E. HEAL INITIATIVE, SIMPLE SOLUTIONS, VEGGIE RX, ETC.) HOLD EDUCATION SESSIONS WITHIN THIS FACILITY TO INCREASE ACCESS FOR ALLEN COUNTY'S VULNERABLE POPULATIONS. MATERNAL/CHILD HEALTH - PARKVIEW HOSPITAL, INC. HAS DEVELOPED MULTIPLE EVIDENCE-BASED STRATEGIES TO ADDRESS INFANT MORTALITY THROUGH IMPROVED PRENATAL AND INPATIENT CARE AND IN WORKING WITH PARTNER ORGANIZATIONS TO MAKE OUR COMMUNITY A HEALTHIER PLACE FOR FAMILIES. THE FOLLOWING GOALS AND EFFORTS TO ADDRESS EACH GOAL WERE IDENTIFIED: 1) REDUCE THE NUMBER OF INFANT (<1 YEAR OF AGE) DEATHS IN ALLEN COUNTY DUE TO UNSAFE SLEEP. TO MEET THIS GOAL, THE CONTINUATION OF THE SAFE SLEEP CLASSES AND PACK 'N PLAY DISTRIBUTION PROGRAM IS NEEDED. THIS PROGRAM PROVIDES PARTICIPANTS WITH FREE SAFE SLEEP EDUCATION, DISTRIBUTION OF A SAFE SLEEP KIT (INCLUDING A PACK 'N PLAY CRIB), CULTURAL SUPPORT AND IN-HOME ENVIRONMENTAL SAFE SLEEP INSPECTIONS. 2) INCREASE THE NUMBER OF NEW MOMS IN PRIORITY POPULATIONS WHO ENGAGE IN EXCLUSIVE BREASTFEEDING. THIS GOAL IS BEING ADDRESSED THROUGH COMMUNITY BREASTFEEDING CLASSES AND SUPPORT PROGRAM. THIS PROGRAM PROVIDES PARTICIPANTS WITH INSTRUCTION ON BREASTFEEDING HEALTH BENEFITS, MECHANICS AND RESOURCES FOR ONGOING SUPPORT. 3) REDUCE VEHICULAR DEATH AND INJURY OF INFANTS IN ALLEN COUNTY. TO ADDRESS THIS GOAL, THE CONTINUED COMMUNITY HEALTH WORKER (SAFETY PIN) PROGRAM WILL PROVIDE ONE-ON-ONE CAR SEAT INSTALLATION EDUCATION ALONG WITH CULTURAL SUPPORT AND INTERPRETATION SERVICES IF NEEDED. 4) DECREASE THE NUMBER OF INFANT (<1 YEAR OF AGE) MORTALITY RATE IN ALLEN COUNTY. TO MEET THIS GOAL, PARKVIEW HOSPITAL, INC. HAS BEEN WORKING WITH THE FETAL INFANT MORTALITY REVIEW (FIMR) INITIATIVE. FIMR IS A MULTIDISCIPLINARY GROUP ORGANIZED TO REVIEW CASES OF FETAL AND INFANT DEATHS FOR PREVENTION PURPOSES. THE PROGRAM SEEKS TO PROVIDE PARTICIPANTS WITH IMPROVED REFERRALS TO COMMUNITY RESOURCES AND A BETTER UNDERSTANDING OF BARRIERS AND SOCIAL NEEDS. 5) DECREASE THE RATE OF PRE-TERM BIRTHS. IN EFFORT TO MEET THIS GOAL, THE COMMUNITY HEALTH WORKER (SAFETY PIN) PROGRAM HAS BEEN MONITORING VISIT ATTENDANCE. THE PROGRAM SEEKS TO DECREASE THE NUMBER OF "NO SHOW" PRENATAL FOR PROGRAM PARTICIPANTS BY REDUCING ACCESS BARRIERS TO CARE. IT WILL ACCOMPLISH THIS BY SCREENING FOR TRANSPORTATION RELIABILITY, IDENTIFYING SOCIAL NEEDS, CO-CREATING INSURANCE AND TRANSPORTATION GOALS, AND THEN CONNECTING PARTICIPANTS WITH COMMUNITY RESOURCES. 6) IMPROVE THE HEALTH OF PREGNANT WOMEN AND INFANTS IN ALLEN COUNTY. THIS GOAL IS BEING ADDRESSED THROUGH EFFORTS TO REDUCE FOOD INSECURITY VIA THE COMMUNITY HEALTH WORKER (SAFETY PIN) PROGRAM. INTERVENTIONS INCLUDE: FOOD INSECURITY SCREENING, REFERRALS TO RESOURCES, COACHING RELATED TO PREPARATION AND FOLLOW THROUGH IN OBTAINING RESOURCES.SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED:BASED UPON FEASIBILITY AND AVAILABLE PUBLIC HEALTH INTERVENTIONS, THE HEALTH NEEDS DEFINED BELOW ARE NOT BEING ADDRESSED BY PARKVIEW HOSPITAL, INC. FEASIBILITY INCLUDES THE SUITABILITY, COMMUNITY ACCEPTABILITY, AVAILABILITY OF RESOURCES, PRE-EXISTING COMMUNITY AGENCIES, COST-BENEFIT RATIO AND LEGALITY OF POTENTIAL INTERVENTIONS. EVEN THOUGH PARKVIEW HOSPITAL, INC. IS NOT ADDRESSING THE FOLLOWING NEEDS SPECIFICALLY, THE HOSPITAL MAINTAINS CORRESPONDENCE WITH EXTERNAL AGENCIES ADDRESSING THESE NEEDS. (NARRATIVE CONTINUED AFTER PART V, LINE 16C) |
| PART V, SECTION B, LINE 11, CONT'D | DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED CONT'D:AGING - AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA (AIHS) SERVES OLDER ADULTS, PERSONS WITH DISABILITIES AND THEIR CAREGIVERS IN NINE COUNTIES IN NORTHEAST INDIANA. THIS NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION IS A FEDERAL AND STATE DESIGNATED AREA AGENCY ON AGING AND AN AGING AND DISABILITY RESOURCE CENTER THAT PROVIDES STREAMLINED ACCESS TO INFORMATION, CARE OPTIONS, SHORT-TERM CASE MANAGEMENT AND BENEFITS ENROLLMENT ACROSS A SPECTRUM OF LONG-TERM CARE SERVICES. THROUGH THE CARE TRANSITIONS PROGRAM, AIHS PARTNERS WITH PARKVIEW HEALTH TO REDUCE MEDICARE READMISSIONS. IN ADDITION, THE AGENCY SERVES AS THE INITIAL COORDINATOR AND FISCAL AGENT FOR HONORING CHOICES INDIANA, WHICH IS AN INITIATIVE COMMITTED TO PROMOTING AND SUSTAINING ADVANCE CARE PLANNING (ACP) ACROSS THE STATE. HONORING CHOICES INDIANA ENSURES THAT INDIVIDUALS' FUTURE HEALTHCARE PREFERENCES ARE DISCUSSED, DOCUMENTED, AND HONORED. THROUGH HONORING CHOICES, PARKVIEW AND AIHS WORK TOGETHER TO TRAIN ACP FACILITATORS, PROMOTE BEST PRACTICE AND INCREASE PUBLIC AWARENESS ABOUT THE VALUE OF DISCUSSING HEALTH CARE DECISION MAKING IN ADVANCE OF MEDICAL CRISIS.OBESITY - WHILE WE ARE NOT ADDRESSING OBESITY SPECIFICALLY, COMBATTING THE LONG-TERM IMPACT OF OBESITY IS FOUNDATIONAL TO OUR CURRENT EFFORTS RELATED TO CARDIOVASCULAR HEALTH AND DIABETES. WE PLAN TO CONTINUE AND BUILD ON OUR CURRENT COMMUNITY EFFORTS AIMED AT REDUCING/PREVENTING OBESITY AND IMPROVING HEALTHY LIVING PRACTICES AS A MEANS OF PREVENTING AND/OR TREATING CHRONIC DISEASE IN OUR COMMUNITY. TOBACCO USE - TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY, INDIANA, RELATED TO TOBACCO-FREE EFFORTS. TFAC PROVIDES INFORMATION ABOUT LOCAL SMOKING CESSATION PROGRAMS AND ADVOCATES FOR NO-SMOKING PUBLIC POLICY AT THE STATE LEVEL. THEIR GOALS INCLUDE DECREASING YOUTH AND ADULT TOBACCO USE, INCREASING PROTECTIONS AGAINST SECONDHAND SMOKE, AND BUILDING/MAINTAINING THE LOCAL TOBACCO CONTROL INFRASTRUCTURE. PARKVIEW HOSPITAL, INC. IS ALSO A SOURCE OF SMOKING CESSATION PROGRAMS AND OPERATES A TOBACCO FREE CAMPUS. IN ADDITION, PARKVIEW HOSPITAL, INC. HOLDS A PROGRAM, NICOTINE FREE FOR BABY AND ME CLASSES TO HELP PREGNANT WOMEN TO QUIT SMOKING. |
| PART V, SECTION B, LINE 3E: | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 20 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - PARKVIEW MED PARK 11 OP PHARMACY | |||||
| 11104 PARKVIEW CIRCLE DRIVE | FORT WAYNE | IN | 46845 | OP PHARMACY | |
| 2 - PARKVIEW CANCER INSTITUTE LAB | |||||
| 11104 PARKVIEW CIRCLE DRIVE | FORT WAYNE | IN | 46845 | LAB DRAW | |
| 3 - BRYAN OH LAB | |||||
| 442 W HIGH STREET | BRYAN | OH | 43506 | LAB DRAW | |
| 4 - CAREW MEDICAL PARK LAB | |||||
| 1818 CAREW STREET | FORT WAYNE | IN | 46805 | LAB DRAW | |
| 5 - OP THERAPY PRMC MOB11 | |||||
| 11104 PARKVIEW CIRCLE DRIVE SUITE | FORT WAYNE | IN | 46845 | OP THERAPY | 050 |
| 6 - LIMA ROAD FAMILY MEDICINE LAB | |||||
| 11055 TWIN CREEKS COVE | FORT WAYNE | IN | 46804 | LAB DRAW | |
| 7 - ST JOE ROAD LAB SERVICES | |||||
| 5693 YMCA PARK DRIVE | FORT WAYNE | IN | 46835 | LAB DRAW | |
| 8 - PRMC MOB2 OB-GYN LAB | |||||
| 111123 PARKVIEW PLAZA SUITE 101 | FORT WAYNE | IN | 46845 | LAB DRAW | |
| 9 - PARKVIEW WOODLAND PLAZA AMBULATORY SITE | |||||
| 1234 DUPONT RD | FORT WAYNE | IN | 46845 | LAB DRAW | |
| 10 - ARCHBOLD OH LAB | |||||
| 121 WESTFIELD DRIVE | ARCHBOLD | OH | 43502 | LAB DRAW | |
| 11 - CAREW CENTER OB-GYN LAB | |||||
| 2414 EAST STATE | FORT WAYNE | IN | 46805 | LAB DRAW | |
| 12 - MONTPELIER OH LAB | |||||
| 935 SNYDER | MONTPELIER | OH | 43543 | LAB DRAW | |
| 13 - PARKVIEW RESEARCH CENTER | |||||
| 10622 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | CLINICAL RESEARCH | |
| 14 - RHEUMATOLOGY NEW VISION LAB | |||||
| 3816 NEW VISION DRIVE | FORT WAYNE | IN | 46845 | LAB DRAW | |
| 15 - NORTH CLINTON LAB | |||||
| 5104 NORTH CLINTON | FORT WAYNE | IN | 46825 | LAB DRAW | |
| 16 - GRABILL MAIN LAB | |||||
| 13430 MAIN ST | GRABILL | IN | 46741 | LAB DRAW | |
| 17 - WAYNEDALE TEMPLE LAB | |||||
| 8607 TEMPLE DRIVE | FORT WAYNE | IN | 46809 | LAB DRAW | |
| 18 - WAUSEON OH LAB SHOOP AVE | |||||
| 495 S SHOOP AVE | WAUSEON | OH | 43567 | LAB DRAW | |
| 19 - PARKVIEW CENTER FOR HEALTHY LIVING | |||||
| 1234 E DUPONT RD SUITE 2 | FORT WAYNE | IN | 46845 | HEALTH AND WELLNESS | |
| 20 - PARKVIEW HEALTH & FITNESS | |||||
| 3000 E STATE BLVD | FORT WAYNE | IN | 46805 | HEALTH FITNESS | |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE. |
| PART I, LINE 6A: | THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665) AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES. |
| PART I, LINE 7: | NOTE TO READER REGARDING PART I, LINES 7B & 7KPARKVIEW HOSPITAL, INC. EXPERIENCED A REDUCTION IN ITS TOTAL COMMUNITY BENEFIT PERCENTAGE FROM 2018 TO 2019 PRIMARILY DUE TO THE FINANCIAL IMPACT OF CERTAIN MEDICAID STATE DISPROPORTIONATE SHARE HOSPITAL (DSH) ELIGIBILITY BENEFITS (REFLECTED IN SCHEDULE H, PART I, LINE 7B). DUE TO TIMING OF DSH QUALIFICATION OF PARKVIEW HOSPITAL, INC., THE RECEIPT OF BENEFITS OF DSH ELIGIBILITY FOR STATE FISCAL YEARS 2018 AND 2019 OCCURRED DURING THE 2019 TAX YEAR.PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARKVIEW HOSPITAL, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7CPARKVIEW HOSPITAL, INC. ACCEPTS ALL CERTAIN MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GCOSTS ASSOCIATED WITH THE MOBILE MAMMOGRAPHY PROGRAM AND THE ASSESSMENTS AND REFERRALS OF INDIVIDUALS THROUGH THE PARKVIEW BEHAVIORAL HEALTH ACCESS CENTER WHERE INCLUDED AS SUBSIDIZED HEALTH SERVICES.PART I, LINE 7HAMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO SUPPORT THE RESEARCH CONDUCTED BY THE PARKVIEW RESEARCH CENTER. SPEND IS BASED ON THE OPERATING EXPENSES ASSOCIATED WITH RESEARCH ACTIVITIES OVER AND ABOVE GRANTS AND OTHER REVENUE RECEIVED BY THE CENTER.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARKVIEW HOSPITAL, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. |
| PART I, LN 7 COL(F): | PERCENT OF TOTAL EXPENSEPARKVIEW HOSPITAL, INC. EXCLUDED $83,865,407 OF BAD DEBT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTES THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.ECONOMIC DEVELOPMENT:PARKVIEW HOSPITAL, INC. HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF OUR COMMUNITY AND THE NORTHEAST INDIANA REGION. PARKVIEW INVESTS IN PROJECTS THAT HELP TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF THE COMMUNITY. SUPPORT OF FORT WAYNE PARKS AND RECREATION AND FRIENDS OF THE RIVER, INC. IS A PART OF A MULTIPLE-YEAR PLAN FOR URBAN REVITALIZATION, RIVERFRONT DEVELOPMENT AND THE PROMOTION OF ECONOMIC GROWTH IN NORTHEAST INDIANA. PARKVIEW HOSPITAL, INC. HAS PLAYED A SIGNIFICANT ROLE IN THESE EFFORTS AND SUPPORTS ACTIVITIES THAT ENGAGE FAMILIES IN THE USE OF PROMENADE PARK, THE FIRST PHASE OF RIVERFRONT DEVELOPMENT. THE PARK IS HOME TO THE PARKVIEW TREE CANOPY TRAIL, A SECTION OF THE RIVERGREENWAY TRAIL ALONG THE BANKS OF THE ST. MARYS, ST. JOSEPH AND MAUMEE RIVERS. WORKFORCE DEVELOPMENT:ORGANIZED IN PART TO PROMOTE CLINICAL EDUCATION, PARKVIEW HOSPITAL, INC., PARTNERS WITH NUMEROUS AREA EDUCATIONAL INSTITUTIONS. THESE PARTNERSHIPS FOSTER A VARIETY OF STUDENT LEARNING OPPORTUNITIES IN THE HEALTHCARE FIELD FOR HIGH SCHOOL AND COLLEGE STUDENTS. THE STUDENT SERVICES DEPARTMENT COORDINATES CLINICAL EDUCATIONAL EXPERIENCES BY OFFERING JOB SHADOWING AND INTERNSHIPS. JOB SHADOWING ALLOWS STUDENTS TO OBSERVE A CO-WORKER FOR THE PURPOSE OF GAINING GENERAL KNOWLEDGE ABOUT A SPECIFIC CLINICAL CAREER. THE GOAL OF THE INTERNSHIP PROGRAM IS TO PROVIDE CAREER EXPLORATION WITH A WORKPLACE MENTOR TO BRIDGE THE CONNECTION BETWEEN ACADEMIC LEARNING AND WORK-RELATED EXPERIENCES, PROVIDE AN OPPORTUNITY TO REFINE CAREER CHOICES, AND TO CREATE A SMOOTH TRANSITION INTO POST-SECONDARY EDUCATION OR THE WORLD OF WORK. |
| PART III, LINE 2: | BAD DEBT ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER GENERALLY ACCEPTED ACCOUNTING STANDARDS IS REPORTED IN ACCORDANCE WITH ASU 2014-09 AND HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15. TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES ACCOUNTING FOR BAD DEBT EXPENSE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS AT PAGES 13 AND 25 - 29. |
| PART III, LINE 3: | COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE PROVISION FOR BAD DEBT IN ACCORDANCE WITH THE POLICIES OF PARKVIEW 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, INCLUDING PATIENTS WHOSE ACCOUNTS HAVE BEEN PLACED IN A BAD DEBT 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 25 - 29 OF ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARKVIEW HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARKVIEW HOSPITAL, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARKVIEW HOSPITAL, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION. |
| PART III, LINE 9B: | 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 IN 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 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. PARKVIEW HOSPITAL, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:- HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS- OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKER'S)- REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) - PARKVIEW LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE COMMUNITY BOARDS IN THE COMMUNITY- OTHER PUBLIC HEALTH DATABASES (E.G. COMMUNITY COMMONS, COUNTY HEALTH RANKINGS) KEY HOSPITAL REPRESENTATIVES MAINTAIN ON-GOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. |
| PART VI, LINE 3: | DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE. |
| PART VI, LINE 4: | DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.THE FACILITIES OF PARKVIEW HOSPITAL, INC., CONSISTING OF THE PARKVIEW REGIONAL MEDICAL CENTER, PARKVIEW HOSPITAL RANDALLIA AND THE PARKVIEW BEHAVIORAL HEALTH INSTITUTE, ARE LOCATED IN ALLEN COUNTY. ACCORDING STATS INDIANA, ALLEN COUNTY, OR MORE SPECIFICALLY FORT WAYNE, INDIANA IS THE LARGEST URBAN AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 379,299 (2019). THE MEDIAN INCOME OF ALLEN COUNTY RESIDENTS IS APPROXIMATELY $54,473, WITH 13.5% LIVING BELOW THE FEDERAL POVERTY LEVEL (2018). APPROXIMATELY 89.7% OF ALLEN COUNTY RESIDENTS HAVE HEALTH INSURANCE WITH 22.8% OF RESIDENTS HAVING PUBLIC HEALTH INSURANCE ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE.ACCORDING TO TRUVEN HEALTH ANALYTICS, IN 2019, 19.6 PERCENT OF ALLEN COUNTY RESIDENTS ARE ENROLLED IN MEDICAID AND 9.1 PERCENT ARE UNINSURED. IN 2019, FOR PARKVIEW HOSPITAL, INC. FACILITIES (PARKVIEW HOSPITAL RANDALLIA, PARKVIEW REGIONAL MEDICAL CENTER, AND PARKVIEW BEHAVIORAL HEALTH) IN ALLEN COUNTY, 22.7 PERCENT OF INPATIENT DISCHARGES WERE MEDICAID PATIENTS AND 5.3 PERCENT WERE SELF-PAY. FOR OUTPATIENT PROCEDURES, 15.9 PERCENT WERE MEDICAID PATIENTS AND 5.0 PERCENT WERE SELF-PAY.ALLEN COUNTY IS ALSO SERVED BY LUTHERAN HEALTH NETWORK, A FOR-PROFIT HEALTH SYSTEM OPERATING THREE HOSPITAL FACILITIES IN ALLEN COUNTY. A PORTION OF SOUTHEAST FORT WAYNE IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA) BY THE FEDERAL GOVERNMENT. THERE IS ONE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN ALLEN COUNTY, NEIGHBORHOOD HEALTH CLINIC. THEIR PRIMARY LOCATION IS LOCATED NEAR DOWNTOWN. IN 2014, PARKVIEW AND THE NEIGHBORHOOD HEALTH CLINIC OPENED A SATELLITE LOCATION IN SOUTHEAST FORT WAYNE (PARKVIEW NEIGHBORHOOD HEALTH CLINIC). IN ADDITION TO THE CLINIC, THE FACILITY HOUSES THE PARKVIEW CENTER FOR HEALTHY LIVING, WHICH PROVIDES HEALTH PREVENTION EDUCATION AND OTHER SERVICES TO PROMOTE HEALTHY LIVING PRACTICES TO THE LOCAL UNDERSERVED POPULATION. ALSO, LOCATED IN FORT WAYNE, A FREE MEDICAL, DENTAL AND VISION CLINIC, MATTHEW 25, SERVES UNINSURED, LOW-INCOME INDIVIDUALS IN NORTHEAST INDIANA AND NORTHWEST OHIO. PARKVIEW HOSPITAL, INC. PROVIDES FINANCIAL AND IN-KIND SUPPORT TO THE AFOREMENTIONED CLINICS. |
| PART VI, LINE 5: | PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).PARKVIEW HOSPITAL, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY PATIENT, EVERY DAY. IN DOING SO, THE HOSPITAL HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR PARKVIEW HOSPITAL, INC. THAT IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS RESIDING WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA; AND EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. WHILE THESE TWO COMPONENTS ARE CENTRAL IN PROVIDING THE HOSPITAL WITH A STRONG FOUNDATION, IT TAKES A LOT MORE THAN THIS TO MEET THE HOSPITALS STANDARD OF DELIVERING EXCELLENT CARE TO EVERY PATIENT EVERY DAY. TO PARKVIEW HOSPITAL, INC. IT EXTENDS TO FURTHERING RESEARCH, PROMOTING EDUCATION, ADVANCING CLINICAL CARE, AND BUILDING A STRONG COMMUNITY. IN FURTHERING RESEARCH DURING THE FIRST 25 YEARS OF ITS OPERATION, THE PARKVIEW RESEARCH CENTER, IN CONJUNCTION WITH PHYSICIAN PARTNERS, HAS COMPLETED MORE THAN 500 CLINICAL STUDIES THAT HAVE ENHANCED HEALTHCARE FOR EVERYONE. HISTORICALLY, THE FOCUS HAS BEEN ON "BENCH-TO-BEDSIDE" RESEARCH - TESTING THE EFFECTIVENESS OF EMERGING PHARMACEUTICALS, MEDICAL DEVICES AND PROTOCOLS. THIS PROCESS HAS BEEN TRADITIONALLY KNOWN WITHIN THE HEALTHCARE INDUSTRY AS TRANSLATIONAL RESEARCH, DESCRIBING HOW MEDICAL DISCOVERIES ARE PROVEN EFFECTIVE THROUGHOUT PATIENT CARE. HOWEVER, AS THE DELIVERY OF HEALTHCARE CONTINUED TO CHANGE, TRANSLATIONAL RESEARCH HAD EVOLVED TO IDENTIFY WHICH NEW MEDICAL THERAPIES ARE BEST SUITED FOR MANAGING SPECIFIC CHRONIC DISEASES. IN CONJUNCTION WITH GENETIC TESTING AND PATIENT-FOCUSED COUNSELING, TRANSLATIONAL RESEARCH CAN HELP PARKVIEW HOSPITAL, INC. ADOPT THE HIGHEST-QUALITY AND SAFEST MEDICAL CARE PRACTICES BASED UPON THE PATIENT'S NEEDS FOR TREATMENT AND PREVENTION.TO PROVIDE OPPORTUNITIES THAT WILL OPEN NEW DOORS AND, POTENTIALLY, REVOLUTIONIZE HEALTHCARE AND SAVE LIVES, THE PARKVIEW RESEARCH CENTER WAS LATER HOUSED WITHIN THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION UPON COMPLETION OF CONSTRUCTION IN 2015. THIS $20 MILLION, 84,000-SQUARE-FOOT FACILITY LOCATED ON THE NORTH-FORT WAYNE CAMPUS FEATURES MORE SPACE FOR RESEARCH, INNOVATION AND EDUCATION. EDUCATION TAKES MANY FORMS AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION. FOR EXAMPLE, THROUGHOUT THE YEAR MEDICAL PROFESSIONALS IN THE COMMUNITY CAN ATTEND MEDICAL SYMPOSIUMS OFFERED BY THE HOSPITALS CONTINUING EDUCATION DEPARTMENT. EDUCATION ALSO TAKES PLACE THROUGH THE ADDITION OF A STATE-OF-THE-ART MEDICAL SIMULATION LAB FEATURING SOME OF THE MOST ADVANCED MEDICAL SIMULATION TECHNOLOGY AVAILABLE TODAY. INDIVIDUAL PHYSICIANS AS WELL AS TEAMS OF CLINICAL PROFESSIONAL'S TRAIN IN ONE OF THREE LABS EQUIPPED WITH HIGH-FIDELITY MEDICAL MANIKINS. THE MEDICAL SIMULATION LAB ALSO FEATURES ADVANCED VIRTUAL REALITY SYSTEMS FOR TRAINING ON ENDOVASCULAR, LAPAROSCOPIC AND PULMONARY PROCEDURES.AS A STEWARD OF CONTINUING EDUCATION AND IMPROVING HEALTHCARE DELIVERY, PARKVIEW HOSPITAL, INC. VIA THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION FOUND A WAY TO BRING THE LEARNING EXPERIENCE OFFERED BY ITS ADVANCED SIMULATION LAB BEYOND ITS WALLS AND INTO THE COMMUNITY. IN DOING SO, AN AMBULANCE DONATED BY THE WABASH FIRE DEPARTMENT WAS FITTED WITH MEDICAL SIMULATION TECHNOLOGY TO CREATE THE PARKVIEW ADVANCED MOBILE MEDICAL SIMULATION LAB. IT FEATURES HIGH-FIDELITY MANIKINS AND A DEDICATED TEAM OF TECHNICIANS THAT ENABLES THE MOBILE UNIT TO SIMULATE REALISTIC CARDIAC EVENTS, AMPUTATION, CRUSH INJURIES, MATERNAL/FETAL ISSUES, AIRWAY, MEDICAL RESCUES, AND MANY MORE. THIS ADVANCEMENT ALLOWS FOR MORE HEALTHCARE PROVIDERS AND FIRST RESPONDERS IN THE REGION TO DEVELOP AND EXPAND THEIR SKILL SET WITHIN AN INTERACTIVE, SAFE LEARNING ENVIRONMENT.THE HEALTH SYSTEM CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH PARTNERSHIPS BETWEEN PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND LOCAL UNIVERSITIES ON THE NORTH-FORT WAYNE CAMPUS, AS WELL AS DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM ON THE RANDALLIA CAMPUS. THE CONSORTIUM IS A COLLABORATIVE EFFORT BETWEEN THE HOSPITAL, TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY AND PROVIDES ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE OFFERED, THUS ADDRESSING SIGNIFICANT WORKFORCE GAP AND SPECIALTY CARE ACCESS NEEDS IN THE COMMUNITY. SINCE THE PARKVIEW REGIONAL MEDICAL CENTER OPENED IN 2012, THE HEALTH SYSTEM EXPERIENCED A GROWING DEMAND FOR CARE AND SERVICES THROUGHOUT THE GROWING DOWNTOWN AREA OF FORT WAYNE, INDIANA. MANY RESIDENTS CONTINUE TO CHOOSE THIS LOCATION AS THEIR PREFERRED SOURCE OF HEALTH CARE SINCE 1953. TO MEET THE INCREASED NEEDS OF THE CITY'S GROWING DOWNTOWN AREA, $55 MILLION WERE ALLOCATED TO IMPROVE THE PARKVIEW RANDALLIA CAMPUS. SOME OF THE IMPROVEMENTS INCLUDE: AN EXPANDED INTENSIVE CARE UNIT, UPDATED AND REMODELED FAMILY BIRTHING CENTER, STATE-OF-THE-ART OPERATING THEATERS, SERVICE IMPROVEMENTS, A CARDIAC CATHETERIZATION LAB, AND OTHER RENOVATIONS TO THE FACILITY'S EXTERIOR. THE NEW CANCER INSTITUTE OPENED ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS IN JUNE 2018. THE 108,000 SQ. FT., $100 MILLION STATE-OF-THE-ART FACILITY USES AN INNOVATIVE PATIENT-CENTERED APPROACH TO CANCER CARE. CARE INCLUDES AN INTER-DISCIPLINARY CLINICAL TEAM AND A PERSONAL CARE NAVIGATION PROGRAM. ALL CANCER-RELATED SERVICES ARE UNDER ONE ROOF WHETHER ENGAGED IN PREVENTION, TREATMENT OR AFTERCARE. EXPANSIVE COMMON AREAS WITH INDOOR GARDENS SEPARATE FROM CLINICAL AREAS ARE AVAILABLE FOR USE BY PATIENTS AND THEIR FAMILIES.PARKVIEW REGIONAL MEDICAL CENTER IS CURRENTLY UNDERGOING EXPANSION OF ITS CORE TOWER IN RESPONSE TO A GROWING NUMBER OF PEOPLE THAT CONTINUE TO CHOOSE PARKVIEW AS THEIR PREFERRED PROVIDER FOR CARE. THIS EXPANSION IS NEEDED AS PARKVIEW HOSPITAL, INC. HAD INSUFFICIENT INPATIENT BED CAPACITY TO MEET THE GROWING DEMAND. THE EXPANSION CONSISTS OF CONSTRUCTION OF A SIX-STORY, 168,000-SQUARE-FOOT MEDICAL TOWER. THE NEW TOWER WILL ALLOW THE HOSPITAL TO ADD 72 NEW INPATIENT BEDS AND 100 NEW CLINICAL POSITIONS, WITH ROUGHLY 63,000 SQUARE FEET OF ADDITIONAL SPACE. THIS SURPLUS WILL NOT ONLY ALLOW FOR FUTURE EXPANSION PLANS BUT WILL ALSO CONTINUE TO SUPPORT PROJECTED INPATIENT DEMAND AND AMBULATORY CARE GROWTH.PARKVIEW HOSPITAL, INC. IS DEDICATED TO THE INVESTMENT OF TIME AND RESOURCES IN THE PROCESS AND CHALLENGES OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY. THROUGH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE COMPRISED OF COMMUNITY LEADERS, MEMBERS OF THE PARKVIEW HOSPITAL, INC. BOARD OF DIRECTORS AND HOSPITAL MANAGEMENT, THE COMMUNITY HEALTH IMPROVEMENT PROGRAM PROACTIVELY SEEKS TO BUILD COMMUNITY PARTNERSHIPS AND COLLABORATIONS TO PROMOTE HEALTH AND MEET IDENTIFIED COMMUNITY HEALTH NEEDS. OUR GOAL IS TO UTILIZE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE HEALTH STATUS, PARTICULARLY FOR THE UNDERSERVED. PARKVIEW HOSPITAL, INC. SUPPORTS THESE COMMUNITY HEALTH IMPROVEMENT EFFORTS THROUGH A COMMITMENT OF UP TO 10 PERCENT OF ITS NET INCOME ON AN ANNUAL BASIS.SEVERAL LOCAL HEALTH PARTNERS ASSIST IN IMPROVING ACCESS TO HEALTH CARE. MATTHEW 25 HEALTH AND DENTAL CLINIC, NEIGHBORHOOD HEALTH CLINIC, NORTHEAST INDIANA POSITIVE RESOURCE CONNECTION (FORMERLY THE AIDS TASK FORCE), A HOPE CENTER (PREGNANCY CENTER), THE RESCUE MISSION (HOMELESS SHELTER) AND BRIGHTPOINT COVERING KIDS AND FAMILIES ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL PROVIDES FUNDING TO COMMUNITY TRANSPORTATION NETWORK AS THEY PROVIDE MEDICAL TRANSPORTATION FOR THE SENIOR, DISABLED AND LOW-INCOME POPULATIONS THROUGHOUT THE COMMUNITY.INITIATIVES RELATED TO CURRENT HEALTH PRIORITIES INCLUDE SCHOOL-BASED NUTRITION AND ACTIVE LIFESTYLE CURRICULUMS/PROGRAMS, THE OPENING OF PARKVIEW'S COMMUNITY GREENHOUSE AND LEARNING KITCHEN, MATERNAL/INFANT INTERVENTION PROGRAMS, AND A BEHAVIORAL HEALTHCARE NAVIGATOR PROGRAM. THE HOSPITAL FUNDS AND MANAGES AN INTEGRATED COMMUNITY-BASED NURSING PROGRAM. THESE REGISTERED NURSES, ALONG WITH A REGISTERED DIETITIAN, REGISTERED RESPIRATORY THERAPIST AND COMMUNITY HEALTH WORKERS, DELIVER EDUCATION AND SERVICES OUTSIDE THE WALLS OF OUR FACILITIES TO ADDRESS COMMUNITY HEALTH ISSUES, ENGAGE VULNERABLE FAMILIES, AND PROMOTE HEALTH IN POPULATIONS WHO ARE OTHERWISE UNDERSERVED BY THE TRADITIONAL HEALTHCARE SYSTEM. OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE MEDICATION ASSISTANCE, MOBILE MAMMOGRAPHY SERVICES AND INJURY PREVENTION EDUCATION. (NARRATIVE CONTINUED AFTER PART VI, LINE 7) |
| PART VI, LINE 6: | IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC. (AFFILIATED OCTOBER 2019); PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; HUNTINGTON 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.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES AND SUPPORTS THEIR RESPECTIVE COUNTY THROUGH INVESTMENTS OF COMMUNITY HEALTH IMPROVEMENT DOLLARS AND PROGRAMMING CUSTOMIZED TO MEET THE UNIQUE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN THE SIX-COUNTY AREA AS PART OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES A BOARD OF DIRECTORS, WHICH CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE CONSIDERED TO BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE. PARKVIEW CONTRIBUTES TO THE OVERALL SUCCESS OF THE REGION THROUGH SIGNIFICANT INVOLVEMENT IN THE COMMUNITIES WE SERVE. BY DEVELOPING VARIOUS PARTNERSHIPS AND ALIGNMENTS WITH DIFFERENT SECTORS AND ORGANIZATIONS, PARKVIEW HELPS TO 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. |
| PART VI, SUPPLEMENTAL INFORMATION, LINE 5, CONT'D | CONTINUED FROM ABOVE: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).AS A PART OF PROMOTING HEALTHY LIVING, THE HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE WAS DEVELOPED AS A COLLABORATION BETWEEN PARKVIEW HOSPITAL, INC. AND ST. JOSEPH COMMUNITY HEALTH FOUNDATION. IT CONSISTS OF THREE COMPONENTS, INCLUDING: OUR HEALING KITCHEN, A NUTRITIOUS FOOD PREPARATION COURSE; THE OPERATION OF FIVE HEAL FARMERS MARKETS, WHERE SNAP AND WIC/SENIOR VOUCHERS ARE DOUBLED, AND SUPPORT OF THE GATE (GROWTH IN AGRICULTURE THROUGH EDUCATION) URBAN GARDEN. THE HEAL PROGRAM WAS CREATED TO DECREASE FOOD INSECURITY IN FOOD DESERT NEIGHBORHOODS ACROSS ALLEN COUNTY BY IMPROVING ACCESS TO FRESH, LOCAL PRODUCE AND PROVIDE EDUCATION ON FOOD PREPARATION AND PRESERVATION.CONSTRUCTION OF THE PARKVIEW GREENHOUSE AND LEARNING KITCHEN WAS COMPLETED IN LATE 2018. THE FACILITY IS LOCATED ON THE PARKVIEW BEHAVIORAL HEALTH INSTITUTE CAMPUS, WHICH IS A FEDERALLY DESIGNATED FOOD DESERT AREA. THIS FACILITY SERVES AS A HUB FOR PARKVIEW'S NUTRITION-RELATED OUTREACH EDUCATION PROGRAMS. FOOD TASTINGS, COOKING DEMONSTRATIONS AND HANDS-ON COOKING CLASSES, EDUCATE COMMUNITY MEMBERS ON WAYS TO SHOP FOR, PREPARE, STORE AND USE FRESH FOODS BEGAN MID-2019. CLASSES ARE HELD WEEKLY AND ARE PROVIDED AT NO COST FOR COMMUNITY MEMBERS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| EARLY CHILDHOOD ALLIANCE INC | |||||||
| 3800 NORTH ANTHONY | FORT WAYNE | IN | 46805 | 350953465 | 501(C)(3) | $401,673 | PROGRAMS TO IMPROVE THE EDUCATIONAL, HEALTH & EMOTIONAL WELL-BEING OF YOUNG CHILDREN |
| UNIVERSITY OF SAINT FRANCIS OF FORT WAYNE INDIANA INC | |||||||
| 2701 SPRING STREET | FORT WAYNE | IN | 46808 | 350886846 | 501(C)(3) | $175,500 | SCHOOL OF NURSING SCHOLARSHIP PROGRAM |
| MATTHEW 25 INC | |||||||
| 413 EAST JEFFERSON BLVD | FORT WAYNE | IN | 46802 | 351484951 | 501(C)(3) | $271,284 | MEDICAL, DENTAL, HEARING AND VISION SERVICES PROVIDED TO UNINSURED, LOW-INCOME RESIDENTS OF NORTHEAST INDIANA AND NORTHWEST OHIO |
| NEIGHBORHOOD HEALTH CLINICS INC | |||||||
| 1717 SOUTH CALHOUN STREET | FORT WAYNE | IN | 46802 | 351922483 | 501(C)(3) | $100,000 | HEALTHCARE SERVICES FOR UNINSURED OR UNDERINSURED PATIENTS |
| ST JOSEPH COMMUNITY HEALTH FOUNDATION INC | |||||||
| 347 WEST BERRY STREET SUITE 101 | FORT WAYNE | IN | 46802 | 311016570 | 501(C)(3) | $58,945 | HEALTHY EATING ACTIVE LIVING INITIATIVE |
| AMERICAN HEART ASSOCIATION INC | |||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $57,500 | HEART DISEASE RESEARCH AND SERVICES FOR THOSE WITH HEART DISEASE |
| COMMUNITY TRANSPORTATION NETWORK INC | |||||||
| 5601 INDUSTRIAL ROAD | FORT WAYNE | IN | 46825 | 352109955 | 501(C)(3) | $55,000 | MEDICAL TRANSPORTATION PROGRAM FOR THE UNDERSERVED |
| JOSHUA HAND INC | |||||||
| 4202 HESSEN CASSEL RD | FORT WAYNE | IN | 46806 | 454723576 | 501(C)(3) | $50,000 | PROGRAMS AND OPERATIONS |
| FORENSIC NURSING SPECIALTIES INC DBA FORT WAYNE SEXUAL ASSAULT TREATMENT | |||||||
| 1420 KERRWAY COURT | FORT WAYNE | IN | 46805 | 351943648 | 501(C)(3) | $50,000 | MEDICAL FORENSIC CARE PROGRAM FOR THOSE VICTIMIZED BY SEXUAL ASSAULT AND ABUSE |
| NORTHEAST INDIANA CHRISTIAN ACTION COUNCIL EDUCATION & CHARITABLE FUND | |||||||
| 3630 HOBSON ROAD | FORT WAYNE | IN | 46805 | 311113254 | 501(C)(3) | $49,400 | PREGNANCY TESTING, SERVICES AND EDUCATION FOR EXPECTANT AND NEW MOTHERS |
| NORTHEAST INDIANA POSITIVE RESOURCE CONNECTION INC | |||||||
| 525 OXFORD STREET | FORT WAYNE | IN | 46806 | 311191147 | 501(C)(3) | $45,000 | CASE MANAGEMENT SERVICES FOR INDIGENT AIDS PATIENTS |
| CANCER SERVICES OF ALLEN COUNTY INC | |||||||
| 6316 MUTUAL DRIVE | FORT WAYNE | IN | 46825 | 350965609 | 501(C)(3) | $45,000 | ADVOCATE PROGRAM FOR THOSE WITH A CANCER DIAGNOSIS |
| MENTAL HEALTH AMERICA IN ALLEN COUNTY INC | |||||||
| 1025 WEST RUDISILL - BOX 8 | FORT WAYNE | IN | 46807 | 461326514 | 501(C)(3) | $35,000 | SUPPORT FOR INDIVIDUALS FACING MENTAL HEALTH CHALLENGES |
| TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES INC | |||||||
| 3320 NORTH CLINTON STREET | FORT WAYNE | IN | 46805 | 350913541 | 501(C)(3) | $30,000 | THERAPY AND WELLNESS PROGRAMS FOR DISABLED CHILDREN & ADULTS |
| HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY | |||||||
| 1100 W 42ND STREET | INDIANAPOLIS | IN | 46208 | 356005697 | GOVT ORG | $26,250 | HEALTH INSURANCE ENROLLMENT SERVICES FOR THE UNDERSERVED |
| FRIENDS OF THE RIVER INC | |||||||
| 429 EAST DUPONT ROAD 145 | FORT WAYNE | IN | 46825 | 050608001 | 501(C)(3) | $21,000 | PROGRAMS TO SUPPORT FORT WAYNE RIVERS |
| AGING AND IN HOME SERVICES OF NORTHEAST INDIANA INC | |||||||
| 2927 LAKE AVE | FORT WAYNE | IN | 46805 | 351341437 | 501(C)(3) | $20,000 | MEAL VOUCHER NUTRITION PROGRAM |
| YMCA OF GREATER FORT WAYNE | |||||||
| 347 W BERRY STREET SUITE 500 | FORT WAYNE | IN | 46802 | 350886850 | 501(C)(3) | $19,000 | PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL |
| LEUKEMIA AND LYMPHOMA SOCIETY INC | |||||||
| 3 INTERNATIONAL DRIVE | RYE BROOK | NY | 10573 | 135644916 | 501(C)(3) | $17,500 | BLOOD CANCER RESEARCH |
| AMERICAN CANCER SOCIETY INC | |||||||
| 250 WILLIAMS ST NW SUITE 400 | ATLANTA | GA | 30303 | 131788491 | 501(C)(3) | $15,500 | CANCER RESEARCH AND SERVICES FOR THOSE WITH A CANCER DIAGNOSIS |
| MARCH OF DIMES INC | |||||||
| 303 STABLE DRIVE | FORT WAYNE | IN | 46825 | 131846366 | 501(C)(3) | $10,000 | RESEARCH & PROGRAMS TO DECREASE BIRTH DEFECTS AND INFANT MORTALITY |
| FORT WAYNE MEDICAL SOCIETY FOUNDATION INC | |||||||
| 709 CLAY STREET SUITE 101 | FORT WAYNE | IN | 46802 | 356049685 | 501(C)(3) | $10,000 | SPONSORSHIP OF COMMUNITY EVENT PROVIDING MOTHERS-TO-BE WITH EDUCATION, SUPPORT, AND TOOLS TOWARD A HEALTHY PREGNANCY AND DELIVERY |
| FORT WAYNE CLUB HOUSE INC DBA THE CARRIAGE HOUSE | |||||||
| 3327 LAKE AVE | FORT WAYNE | IN | 46805 | 352026647 | 501(C)(3) | $10,000 | JOB AND LIFE SKILLS PROGRAM DESIGNED FOR THOSE WITH A MENTAL HEALTH DIAGNOSIS |
| NORTHSIDE NEIGHBORHOOD ASSOCIATION INC | |||||||
| PO BOX 12691 | FORT WAYNE | IN | 46864 | 351341282 | 501(C)(3) | $10,000 | PROGRAMS TO SUPPORT NEIGHBORHOOD |
| COMMUNITY ACTION OF NORTHEAST INDIANA INC DBA BRIGHTPOINT | |||||||
| 227 EAST WASHINGTON BOULEVARD | FORT WAYNE | IN | 46853 | 351111819 | 501(C)(3) | $8,750 | HEALTH INSURANCE ENROLLMENT PROGRAM |
| PACK SHACK OF NORTHWEST ARKANSAS INC | |||||||
| 1091 E LOWELL AVENUE | CAVE SPRINGS | AR | 72718 | 463323793 | 501(C)(3) | $8,000 | FEED THE FUNNEL WHERE MEALS ARE PROVIDED FOR THE UNDERSERVED |
| STANDING AGAINST VIOLENCE EVERYDAY | |||||||
| PO BOX 80354 | FORT WAYNE | IN | 46898 | 463274069 | 501(C)(3) | $5,453 | SPECIALIZED TRAINING AND EQUIPMENT FOR FORT WAYNE POLICE DEPARTMENT EMERGENCY SERVICES TEAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 27 | 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) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Personal Services | Yes (X) | PersonalServicesInd |
| 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 (26 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 | $1,115,831 | $0 | $248,595 | $0 | $1,686,927 | $0 | $758,944 | $0 | $38,746 | $0 | $3,849,043 | $0 | $1,637,768 |
| JEANNE' WICKENS | ||||||||||||||
| PH CHIEF FINANCIAL OFFICER | $0 | $689,476 | $0 | $131,971 | $0 | $21,682 | $0 | $295,719 | $0 | $32,200 | $0 | $1,171,048 | $0 | $0 |
| MICHAEL MIRRO | ||||||||||||||
| PVHOS CARO | $464,801 | $0 | $92,514 | $0 | $458,070 | $0 | $30,800 | $0 | $29,367 | $0 | $1,075,552 | $0 | $439,070 | $0 |
| JUDITH BOERGER | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH CNE | $0 | $330,389 | $0 | $66,841 | $0 | $351,893 | $0 | $83,847 | $0 | $30,284 | $0 | $863,254 | $0 | $309,409 |
| BENJAMIN MILES | ||||||||||||||
| DIRECTOR/PVHOS PRESIDENT | $521,812 | $0 | $99,771 | $0 | $35,692 | $0 | $107,141 | $0 | $38,537 | $0 | $802,953 | $0 | $32,390 | $0 |
| GREG JOHNSON | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH CCIO | $0 | $482,957 | $0 | $74,709 | $0 | $4,902 | $0 | $108,957 | $0 | $38,720 | $0 | $710,245 | $0 | $0 |
| ALBERT MORRISON | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | $50,024 | $586,822 | $0 | $0 | $223 | $2,615 | $605 | $7,095 | $2,657 | $31,169 | $53,509 | $627,701 | $0 | $0 |
| ABHIJIT SHUKLA | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | $56,974 | $353,675 | $0 | $16,638 | $0 | $22,392 | $3,193 | $22,007 | $4,168 | $28,726 | $64,335 | $443,438 | $0 | $0 |
| DANIEL GARMAN | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $0 | $459,924 | $0 | $0 | $0 | $0 | $0 | $459,924 | $459,924 | $0 |
| MICHAEL GERUE | ||||||||||||||
| PVHOS PHI COO | $284,268 | $0 | $56,908 | $0 | $16,306 | $0 | $25,284 | $0 | $36,267 | $0 | $419,033 | $0 | $14,819 | $0 |
| ROGER STIENECKER | ||||||||||||||
| FORMER HC EMPLOYEE/CURRENT PH IP&EP | $0 | $298,889 | $0 | $29,087 | $0 | $21,838 | $0 | $19,600 | $0 | $19,351 | $0 | $388,765 | $0 | $0 |
| ERIN LACROSS | ||||||||||||||
| PVHOS CNO | $269,382 | $0 | $50,375 | $0 | $933 | $0 | $25,200 | $0 | $33,244 | $0 | $379,134 | $0 | $0 | $0 |
| JOHN BOWEN | ||||||||||||||
| PVHOS COO RANDALLIA | $303,278 | $0 | $35,234 | $0 | $850 | $0 | $5,600 | $0 | $34,131 | $0 | $379,093 | $0 | $0 | $0 |
| MARCELINE ROGERS | ||||||||||||||
| PVHOS VP & CURRENT PH VP | $106,598 | $137,087 | $35,860 | $10,723 | $14,356 | $0 | $15,134 | $14,266 | $13,333 | $12,568 | $185,281 | $174,644 | $13,366 | $0 |
| MARLON WARDLOW | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | $0 | $230,449 | $0 | $43,212 | $0 | $19,884 | $0 | $19,600 | $0 | $39,839 | $0 | $352,984 | $0 | $0 |
| CHARLES CLARK | ||||||||||||||
| PVHOS PBH COO | $220,377 | $0 | $35,200 | $0 | $4,950 | $0 | $66,003 | $0 | $24,310 | $0 | $350,840 | $0 | $0 | $0 |
| YUENIAN ZHANG | ||||||||||||||
| PVHOS CHIEF PHYSICIST | $252,662 | $0 | $26,815 | $0 | $1,980 | $0 | $19,600 | $0 | $36,956 | $0 | $338,013 | $0 | $0 | $0 |
| JEFFREY BROWN | ||||||||||||||
| PVHOS PHYSICIAN | $250,797 | $0 | $0 | $0 | $3,453 | $0 | $12,827 | $0 | $17,560 | $0 | $284,637 | $0 | $0 | $0 |
| CHRISTOPHER JELLISON | ||||||||||||||
| FORMER HC EMPLOYEE/CURRENT PH VP | $0 | $215,070 | $0 | $20,858 | $0 | $1,290 | $0 | $7,117 | $0 | $27,181 | $0 | $271,516 | $0 | $0 |
| KEITH JACKSON | ||||||||||||||
| PVHOS HHIP SPV | $193,888 | $0 | $1,425 | $0 | $10,243 | $0 | $22,000 | $0 | $28,570 | $0 | $256,126 | $0 | $0 | $0 |
| EDWARD STRUBEL III | ||||||||||||||
| PVHOS DIR PHARMACY | $174,009 | $0 | $20,311 | $0 | $1,290 | $0 | $24,017 | $0 | $31,031 | $0 | $250,658 | $0 | $0 | $0 |
| MOLLY CAIN | ||||||||||||||
| PVHOS SVP NEUROLOGY | $190,786 | $0 | $20,279 | $0 | $637 | $0 | $1,777 | $0 | $31,640 | $0 | $245,119 | $0 | $0 | $0 |
| FEN-LEI CHANG | ||||||||||||||
| PVHOS PHYSICIAN | $189,996 | $0 | $22,087 | $0 | $0 | $0 | $6,363 | $0 | $969 | $0 | $219,415 | $0 | $0 | $0 |
| LINDA FRANCIES | ||||||||||||||
| PVHOS VP NURSING | $195,523 | $0 | $0 | $0 | $2,797 | $0 | $1,381 | $0 | $14,106 | $0 | $213,807 | $0 | $0 | $0 |
| PAUL WILSON | ||||||||||||||
| PARKC PRESIDENT & CEO | $0 | $125,006 | $0 | $0 | $0 | $3,031 | $0 | $18,751 | $0 | $11,656 | $0 | $158,444 | $0 | $0 |
| RAE GONTERMAN | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $138,207 | $0 | $0 | $0 | $0 | $0 | $138,207 | $0 | $138,207 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TRAVEL FOR COMPANIONS - TAXABLE EXPENSE REIMBURSEMENT FOR FAMILY MEMBER PAID TO: BENJAMIN MILES $916 PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: BENJAMIN MILES $675 NON-TAXABLE MANDATORY ANNUAL MEDICAL PHYSICAL PAID FOR: BENJAMIN MILES $2,270 |
| PART I, LINE 3 | RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATION COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. |
| PART I, 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): JUDITH BOERGER $309,409; MICHAEL GERUE $14,819; DANIEL GARMAN $459,924; RAY GONTERMAN $138,207; BENJAMIN MILES $32,390; MICHAEL MIRRO $439,070; MICHAEL PACKNETT $1,637,768; MARCELINE ROGERS $13,366; 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 $1,637,768 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: JUDITH BOERGER $58,647; CHARLES CLARK $37,400; GREG JOHNSON $78,157; BENJAMIN MILES $87,541; MICHAEL PACKNETT $733,744; JEANNE' WICKENS $281,719; |
| 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 (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| HEATHER HURSEY | |||
| FAMILY MEMBER OF DIRECTOR ERIN LACROSS | $144,624 | EMPLOYEE HEATHER HURSEY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC. | 0 |
| GRACE COLEY | |||
| FAMILY MEMBER OF DIRECTOR DONOVAN COLEY | $60,067 | EMPLOYEE GRACE COLEY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC. | 0 |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | TOYS, BABY ITEMS, BREAST PROSTHESES, MASTECTOMY BRAS, ETC. | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $33,026 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | ESTIMATED VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINES 1A AND 2A: | PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARKVIEW HOSPITAL, INC., EIN 35-0868085. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2019 WAS 524. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2019 WAS 15,019. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE PARKVIEW HOSPITAL, INC. WAS 155 AND 6,383 RESPECTIVELY. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER, THE IMMEDIATE PAST CHAIR OF THE BOARD IF STILL SERVING AS A MEMBER OF THE BOARD, THE CURRENT PRESIDENT OF THE MEDICAL STAFF, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR OF THE BOARD, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED NINE (9) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR RATIFICATION OF ITS ACTION. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF PARKVIEW HOSPITAL, INC. WITH CERTAIN RESERVED POWERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) UPON RECOMMENDATION OF THE CORPORATION, THE CORPORATE MEMBER SHALL APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS BY THE CORPORATION AND ITS AFFILIATES, AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. SUCH RIGHT BY THE CORPORATE MEMBER TO DIRECT THE TRANSFER OF ASSETS SHALL NOT INCLUDE ANY TRANSFER WHICH WOULD CAUSE THE CORPORATION TO BE PUT INTO A FINANCIALLY VULNERABLE POSITION AS AN ONGOING CONCERN, NOR SHALL ANY SUCH TRANSFER CAUSE THE CORPORATION TO VIOLATE THE TERMS AND CONDITIONS OF ANY GIFTS, BEQUESTS, BOND COVENANTS, OR RESTRICTIONS SET FORTH IN EXHIBIT A. FURTHER, FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN THE JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A |
| FORM 990, PART VI, SECTION B, LINE 11B | PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. PARKVIEW HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, PRIOR TO FILING WITH THE IRS. ON OCTOBER 6, 2020, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." |
| FORM 990, PART VI, SECTION B, LINE 15 | LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., DETERMINES THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINES 5-10: | PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII. |
| FORM 990, PART XI, LINE 9: | ASSET TRANSFERS/ADJUSTMENTS -3,610,798. INCOME (LOSS) FROM HOSPITAL LAUNDRY SERVICE, INC. 226,387. INCOME (LOSS) FROM PARKVIEW PROFESSIONAL PROGRAMS, INC. -525,160. BOOK/TAX DIFFERENCES K-1'S 45,165. |
| FORM 990, BOX B - AMENDED RETURN | THE AMENDED RETURN REPORTS A CHANGE TO PART VII, SECTION A AND SCHEDULE J, PART II FOR MICHAEL PACKNETT'S DEFERRED COMPENSATION ONLY. ON THE ORIGINALLY FILED RETURN, THE DEFERRED COMPENSATION FOR MICHAEL PACKNETT WAS INCORRECTLY REPORTED (AT PART VII, SECTION A AND AT SCHEDULE J, PART II, COLUMN (C) OF $2,854,466). THE AMENDED FORM 990 SHOWS THE CORRECT 2019 DEFERRAL OF $758,944. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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 | |||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 351972384 | HEALTH CARE | IN | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| PARKVIEW FOUNDATION INC | |||||||||||
| 10622 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | 237220589 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | Yes (1) | PARKVIEW HOSPITAL INC | |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | |||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 352064353 | OCCUP HEALTH | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM 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 | |
| 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 | |
| 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 | |
| HUNTINGTON MEMORIAL HOSPITAL INC | |||||||||||
| 2001 STULTS ROAD | HUNTINGTON | IN | 46750 | 351970706 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM 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 | |
| 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 | |
| PARK CENTER HOLDINGS INC | |||||||||||
| 909 EAST STATE BLVD | FORT WAYNE | IN | 46805 | 843684074 | TO SUPPORT PARK CENTER, INC. | IN | 501(C)(3) | LINE 12B, II | 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 | |
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 | ||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 260143823 | ORTHO HOSPITAL | IN | N/A | N/A | 0 | 0 |
| MANAGED CARE SERVICES LLC | ||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | |||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 351668888 | REFERENCE LAB | IN | PARKVIEW HOSPITAL INC | C | $3,443,082 | $509,301 | 1.00000 | Yes (1) | |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | |||||||||||||
| 442 W HIGH STREET | BRYAN | OH | 43506 | 341045870 | PHYSICIANS | OH | C | 0 | N/A | ||||
| WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC | |||||||||||||
| 202 W BERRY ST SUITE 800 | FORT WAYNE | IN | 46802 | 352058340 | CONDO MANAGEMENT | IN | C | 0 | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PARKVIEW FOUNDATION INC | ||
| C | $643,309 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW FOUNDATION INC | ||
| M | $2,419,478 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW PROFESSIONAL PROGRAMS INC | ||
| Q | $4,118,918 | PART VII SUPPLEMENTAL INFORMATION |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 2, COLUMN (C): | FormAndLineReferenceDesc |
| Explanation | THE AMOUNTS REPORTED AS TRANSACTIONS WITH RELATED ORGANIZATIONS ARE CONSISTENT WITH THE AMOUNTS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS DEPENDING ON THE TYPE OF TRANSACTION INVOLVED. | ExplanationTxt |