PARKVIEW HEALTH SYSTEM INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PARKVIEW HEALTH SYSTEM INC (EIN 35-1972384)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-06
- IRS object ID
- 202043119349301714
- Schema version
- 2019v5.1
- Note
- A later return for the same period supersedes this one.
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-06T12:12:23-06:00 | 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 P O 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 | 351972384 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HEALTH SYSTEM 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 | 10501 CORPORATE DRIVE | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46845 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANNE' WICKENS | PersonNm |
| Person Title | PH CFO | PersonTitleTxt |
| Phone | 2602669313 | PhoneNum |
| Signature | 2020-11-03 | 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 |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 204.58.171.16 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-03 | IPDt |
| IP Tm | 14:29:28 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B38744F01C9F8B49338464F7361C640636AC5E7B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B38744F01C9F8B49338464F7361C640636AC5E7B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL J PACKNETT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 CORPORATE DRIVE | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46845 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,220,320,292 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY- TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS- DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY- PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY- "EXCELLENT CARE, EVERY PERSON, EVERY DAY" | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 5647 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $4,391,466 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $196,717 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,234,387 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,504,117 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $676,168,565 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $771,408,572 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,480,369 | PYInvestmentIncomeAmt |
| CY Investment Income | $33,572,148 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,347,080 | PYOtherRevenueAmt |
| CY Other Revenue | $3,614,413 | CYOtherRevenueAmt |
| PY Total Revenue | $710,230,401 | PYTotalRevenueAmt |
| CY Total Revenue | $811,099,250 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,766,866 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,641,383 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $508,183,637 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $570,071,162 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $164,009 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $164,009 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $259,413,553 | PYOtherExpensesAmt |
| CY Other Expenses | $280,707,528 | CYOtherExpensesAmt |
| PY Total Expenses | $775,364,056 | PYTotalExpensesAmt |
| CY Total Expenses | $857,584,082 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$65,133,655 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$46,484,832 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,633,547,628 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,473,282,476 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,303,726,930 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,144,237,230 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,329,820,698 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,329,045,246 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY- TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS- DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY- PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY- "EXCELLENT CARE, EVERY PERSON, EVERY DAY" | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $821,738,677 | ExpenseAmt |
| Grant | $6,641,383 | GrantAmt |
| Revenue | $767,017,106 | RevenueAmt |
| Desc | PARKVIEW HEALTH SYSTEM, INC. IS A CHARITABLE, NOT-FOR-PROFIT, COMMUNITY-OWNED HEALTH SYSTEM. IT WAS INCORPORATED IN MAY 1995 AND NOW SUPPORTS THE FOLLOWING HOSPITALS: PARKVIEW HOSPITAL, INC.; HUNTINGTON MEMORIAL 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.; AND WHITLEY MEMORIAL HOSPITAL, INC. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. IS A 60 PERCENT OWNER IN THE PARTNERSHIP OF THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC. THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC. IS THE FIRST SPECIALTY HOSPITAL IN NORTHEAST INDIANA DEVOTED SOLELY TO ORTHOPEDIC SURGERY AND POST-SURGERY PATIENT CARE.(SEE SCHEDULE O FOR CONTINUATION)THIS 37-BED STATE-OF-THE-ART FACILITY INCLUDES AN INPATIENT UNIT, AN INPATIENT REHABILITATION GYM AND ORTHO NORTHEAST MEDICAL OFFICES.THE SERVICE AREA FOR PARKVIEW HEALTH SYSTEM, INC. INCLUDES NORTHEAST INDIANA, NORTHWEST OHIO AND SOUTH-CENTRAL MICHIGAN. OTHER SPECIALTY SERVICES INCLUDE A VERIFIED LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, HEART INSTITUTE, A CERTIFIED COMPREHENSIVE STROKE CENTER, WOMEN'S & CHILDREN'S HOSPITAL, OUTPATIENT SERVICE CENTER AND CANCER INSTITUTE. TO MEET INCREASING DEMAND FOR CARE AND SERVICES, THE HOSPITAL BEGAN AN EXPANSION PROJECT OF A SIX-STORY, 168,000 SQUARE FOOT MEDICAL TOWER THAT WILL ACCOMMODATE 72 ADDITIONAL INPATIENT BEDS. APPROXIMATELY 63,000 SQUARE FEET OF THE NEW TOWER WILL SERVE AS SHELL SPACE, ALLOWING FOR FUTURE EXPANSION TO SUPPORT FORECASTED INPATIENT AND AMBULATORY CARE GROWTH. THE LOWER LEVEL, FIRST FLOOR AND SIXTH FLOOR OF THE EXPANDED TOWER ARE SCHEDULED TO BE OPERATIONAL BY MID-SEPTEMBER 2020. IN THE MONTHS THAT FOLLOW, THE ORGANIZATION ALSO EXPECTS THE FIFTH FLOOR AND THEN THE FOURTH FLOOR TO BE READY TO ADMIT PATIENTS. THIS GROWTH HAS ALLOWED FOR THE PARKVIEW HEALTH SYSTEM, INC. TO OFFER ITS COMMUNITY GREATER ACCESS AND CONVENIENCE TO ITS PROVIDERS AND SPECIALTY SERVICES THAT THEY MIGHT OTHERWISE NOT BE ABLE TO ACCESS.PARKVIEW HEALTH SYSTEM, INC. EMPLOYS 516 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF PARKVIEW PHYSICIANS GROUP. THESE PHYSICIANS, ALONG WITH 396 ADVANCED PRACTICE PROVIDERS, PROVIDE CARE TO RESIDENTS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO, REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. FIFTY-SEVEN NEW PHYSICIANS AND 83 ADVANCED PRACTICE PROVIDERS WERE RECRUITED IN 2019, SIGNIFICANTLY INCREASING THE SYSTEM'S ABILITY TO MEET LOCAL HEALTH NEEDS. PARKVIEW HEALTH EMPLOYS FOUR FULL-TIME PHYSICIAN RECRUITERS AND ONE FULL-TIME SOURCING SPECIALIST WHOSE TIME IS DEVOTED SOLELY TO RECRUITING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. ALL PHYSICIAN RECRUITMENT ACTIVITY IS BASED ON A PHYSICIAN NEEDS ASSESSMENT, BOARD APPROVED STRATEGIC PLAN AND THE OVERSIGHT OF THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS.IN SUPPORTING THE WORK OF PARKVIEW HEALTH SYSTEM, INC. MEDICAL PROFESSIONALS, THE MIRRO RESEARCH AND INNOVATION CENTER, LOCATED ON THE CAMPUS OF PARKVIEW REGIONAL MEDICAL CENTER, PROVIDES WORLD-CLASS EDUCATION FOR PARKVIEW CO-WORKERS, PHYSICIANS AND MEDICAL PROFESSIONALS IN CUTTING-EDGE MEDICAL SIMULATION CLASSROOMS AND TRAINING LABORATORIES MODELED AFTER CURRENT ORS, EXAM ROOMS, PATIENT ROOMS AND AMBULANCES. IN ADDITION TO HOSPITAL RELATED INITIATIVES, THE MIRRO RESEARCH AND INNOVATION CENTER ENGAGES IN PROJECTS RELATED TO COMMUNITY HEALTH THROUGH ITS HEALTH SERVICES AND INFORMATICS RESEARCH TEAM. THE HEALTH SERVICES AND INFORMATICS RESEARCH TEAM IS COMPRISED OF INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS, AND USER EXPERIENCE SPECIALISTS. THIS TEAM WORKS ON A BROAD ARRAY OF PROJECTS, INCLUDING INVESTIGATOR-INITIATED RESEARCH, PROGRAM EVALUATION, PILOT STUDIES, COMMUNITY SURVEY STUDIES AND USER EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. SOME EXAMPLES OF THEIR PROJECTS, AND FOCUS AREAS INCLUDE YOUTH MENTAL HEALTH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MOST OF THE TEAM'S WORK LEADS TO PEER REVIEWED PUBLICATIONS IN JOURNALS, PRESENTATIONS AT TOP TIER SCIENTIFIC CONFERENCES, AND DISSEMINATING INFORMATION TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY. AS A RESULT OF THE HARD WORK AND DEDICATED PROFESSIONALS OF PARKVIEW HEALTH SYSTEM, INC. IN 2019, THE HEALTH SYSTEM ACCOMPLISHED THE FOLLOWING: - MAINTAINED MAGNET STATUS BY DEMONSTRATING COMMITMENT TO NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. - PARKVIEW HEALTH HAS AGAIN BEEN NAMED ONE OF THE NATION'S 15 TOP HEALTH SYSTEMS BY IBM WATSON HEALTH. THE STUDY, WHICH IDENTIFIES THE TOP FIVE SYSTEMS IN THREE CATEGORIES ACCORDING TO SIZE, NAMED PARKVIEW AMONG THE TOP FIVE IN THE MEDIUM-SIZE CATEGORY FOR 2019.- NAMED ONE OF THE AMERICA'S BEST LARGE EMPLOYERS IN 2019 BY FORBES MAGAZINE. PARKVIEW HEALTH SYSTEM, INC. WAS RANKED NO. 171 OVERALL AND NO. 16 IN THE HEALTHCARE SOCIAL SERVICES INDUSTRY.- THE PARKVIEW CANCER INSTITUTE BECAME A CERTIFIED MEMBER OF THE MD ANDERSON CANCER NETWORK, A PROGRAM OF MD ANDERSON CANCER CENTER. - THE PARKVIEW HEART INSTITUTE BECAME AN AFFILIATE OF THE NATION'S TOP-RANKED HEART PROGRAM, THE CLEVELAND CLINIC HEART AND VASCULAR INSTITUTE, FURTHER ELEVATING CARDIOVASCULAR CARE FOR PATIENTS IN THE REGION.- FOR THE SIXTH YEAR IN A ROW, PARKVIEW HEALTH SYSTEM, INC. HAS BEEN RECOGNIZED AS ONE OF THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) "HEALTHCARE'S MOST WIRED HEALTH SYSTEMS." FOR 2019, THE HEALTH SYSTEM WAS RANKED IN THE 97TH PERCENTILE OF ORGANIZATIONS SURVEYED AND EARNED RECOGNITION AS A CERTIFIED LEVEL NINE MOST WIRED ORGANIZATION. ACCORDING TO CHIME, ORGANIZATIONS IN LEVEL 9 OR 10 ARE OFTEN LEADERS IN HEALTHCARE TECHNOLOGY WHO ACTIVELY PUSH THE INDUSTRY FORWARD. - DURING 2019, PARKVIEW BEHAVIORAL HEALTH (PBH) ADOPTED AN INSTITUTE MODEL WHICH BRINGS TOGETHER PBH, PARK CENTER AND PARKVIEW PHYSICIANS GROUP - PSYCHIATRY. THIS ALLOWS FOR A SEAMLESS EXPERIENCE THROUGH ENHANCED CLINICAL PROCESSES, BETTER COORDINATION OF TREATMENT PROGRAMS, RAPID RESPONSE TO THE EVER-CHANGING NEEDS OF THE COMMUNITY AND ADVANCEMENT OF MENTAL HEALTH IN THE REGION. - PRESS GANEY RECOGNIZED PBH WITH TWO PRESTIGIOUS AWARDS IN 2019: THE NDNQI AWARD FOR OUTSTANDING NURSING QUALITY AND THE SUCCESS STORY AWARD. | Desc |
| Total Program Service Expenses | $821,738,677 | 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 | Yes (1) | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | 161 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5647 | 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 | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | JA | ForeignCountryCd |
| Foreign Country | SW | ForeignCountryCd |
| Foreign Country | DA | ForeignCountryCd |
| Foreign Country | SZ | ForeignCountryCd |
| Foreign Country | BR | ForeignCountryCd |
| Foreign Country | CO | ForeignCountryCd |
| Foreign Country | NO | ForeignCountryCd |
| Foreign Country | RS | ForeignCountryCd |
| Foreign Country | ID | ForeignCountryCd |
| Foreign Country | PL | ForeignCountryCd |
| Foreign Country | PO | ForeignCountryCd |
| Foreign Country | GR | ForeignCountryCd |
| Foreign Country | HU | ForeignCountryCd |
| Foreign Country | MY | ForeignCountryCd |
| 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 | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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 (51 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PACKNETT | ||||||||||
| DIRECTOR/PH PRESIDENT & CEO | 40.00 | 17.00 | Yes (X) | Yes (X) | $3,051,353 | $0 | $2,893,212 | |||
| RAYMOND DUSMAN | ||||||||||
| DIRECTOR/VICE CHAIR/PH CHI | 40.00 | Yes (X) | Yes (X) | $983,998 | $0 | $370,453 | ||||
| RICK HENVEY | ||||||||||
| PH CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $977,415 | $0 | $325,263 | |||||
| JAMES DOZIER | ||||||||||
| PH PHYSICIAN | 40.00 | 1.00 | $1,253,036 | $0 | $29,682 | Yes (X) | ||||
| KENNETH AUSTIN | ||||||||||
| PH PHYSICIAN | 45.00 | 1.00 | $1,160,670 | $0 | $35,762 | Yes (X) | ||||
| JEANNE' WICKENS | ||||||||||
| PH CHIEF FINANCIAL OFFICER | 40.00 | 17.00 | Yes (X) | $843,129 | $0 | $327,919 | ||||
| NEIL SHARMA | ||||||||||
| PRESIDENT PARKVIEW CANCER INSTITUTE | 40.00 | $969,142 | $0 | $185,996 | Yes (X) | |||||
| STEVEN WYNDER | ||||||||||
| PH PHYSICIAN | 40.00 | 1.00 | $1,042,284 | $12,907 | $56,911 | Yes (X) | ||||
| WILLIAM YOUNG | ||||||||||
| PH PHYSICIAN | 40.00 | $1,028,724 | $0 | $29,171 | Yes (X) | |||||
| STEPHANIE FALATKO | ||||||||||
| PH PHYSICIAN | 45.00 | $1,017,902 | $0 | $31,105 | Yes (X) | |||||
| MITCHELL STUCKY | ||||||||||
| PH PHYSICIAN EXECUTIVE OFFICER | 40.00 | $900,518 | $0 | $144,742 | Yes (X) | |||||
| ROY ROBERTSON | ||||||||||
| PRESIDENT PARKVIEW HEART INSTITUTE | 40.00 | $831,777 | $0 | $178,939 | Yes (X) | |||||
| JUDITH BOERGER | ||||||||||
| PH CHIEF NURSING EXECUTIVE | 40.00 | $749,123 | $0 | $114,131 | Yes (X) | |||||
| RONALD DOUBLE | ||||||||||
| PH CHIEF INFORMATION OFFICER | 40.00 | $565,866 | $0 | $267,306 | Yes (X) | |||||
| DENA JACQUAY | ||||||||||
| PH CHIEF COMMUNITY & HUMAN RESOURCES OFFICER | 40.00 | $522,721 | $0 | $244,977 | Yes (X) | |||||
| GREG JOHNSON | ||||||||||
| PH CHIEF CLINICAL INTEGRATION OFFICER | 40.00 | 1.00 | $562,568 | $0 | $147,677 | Yes (X) | ||||
| DAVID STOREY | ||||||||||
| PH SVP GENERAL COUNSEL | 40.00 | $563,770 | $0 | $141,715 | Yes (X) | |||||
| THOMAS MILLER | ||||||||||
| DIRECTOR/PH CMO | 32.00 | 7.00 | Yes (X) | $490,304 | $92,073 | $61,454 | ||||
| THOMAS BOND | ||||||||||
| PH CHIEF MEDICAL OFFICER-PPG | 40.00 | $473,107 | $0 | $134,111 | Yes (X) | |||||
| JASON ROW | ||||||||||
| PH CHIEF MED OFFICER PPG | 40.00 | $472,314 | $0 | $132,735 | Yes (X) | |||||
| JOSHUA KLINE | ||||||||||
| DIRECTOR/PH CHIEF MED OFFICER | 40.00 | Yes (X) | $471,229 | $0 | $126,696 | |||||
| JEFFREY BOORD | ||||||||||
| PH CHIEF QUALITY & SAFETY | 40.00 | $462,763 | $0 | $116,631 | Yes (X) | |||||
| MARK PIERCE | ||||||||||
| PH CHIEF MED INFORMATICS O | 40.00 | $432,131 | $0 | $118,387 | Yes (X) | |||||
| GERALD GRANNAN | ||||||||||
| PH SVP & COO - PPG | 40.00 | $418,995 | $0 | $108,569 | Yes (X) | |||||
| SCOTT JAMES | ||||||||||
| PH SVP & COO SVR LINE LEADER | 40.00 | $381,772 | $0 | $102,235 | Yes (X) | |||||
| PATRICIA BRAHE | ||||||||||
| PH SVP SVR LINE LEADER | 40.00 | $404,917 | $0 | $69,588 | Yes (X) | |||||
| DAVID JEANS | ||||||||||
| PH SVP PAYER/EMPLOYER&HEALTH PLAN | 40.00 | $368,563 | $0 | $98,016 | Yes (X) | |||||
| PHILIP SMITH | ||||||||||
| PH SVP STRATEGY & BUSINESS | 40.00 | $367,184 | $0 | $96,052 | Yes (X) | |||||
| JOLYNN SUKO | ||||||||||
| PH SVP SVR LINE LEADER | 40.00 | $369,449 | $0 | $81,407 | Yes (X) | |||||
| DONNA VAN VLERAH | ||||||||||
| PH SVP SUPPORT DIVISION | 40.00 | $362,770 | $0 | $80,546 | Yes (X) | |||||
| JOSPEH WOLFCALE | ||||||||||
| PH SVP LAB/IMAGING & CONSUMERISM | 41.00 | $364,360 | $0 | $33,733 | Yes (X) | |||||
| ALAN MCGEE | ||||||||||
| DIRECTOR/PH SVR LINE LEADER | 7.00 | 2.00 | Yes (X) | $303,155 | $92,304 | $0 | ||||
| MARK KADLEC | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | $135,319 | $0 | $0 | Yes (X) | |||||
| DAVID HAIST | ||||||||||
| DIRECTOR/CHAIR | 1.00 | Yes (X) | $15,432 | $0 | $0 | |||||
| JOHN NELSON | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $5,400 | $6,382 | $0 | ||||
| SHERRYL RHINESMITH | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,577 | $6,750 | $0 | ||||
| DAN STARR | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,340 | $6,250 | $0 | ||||
| JIM HEUER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $3,500 | $6,500 | $0 | ||||
| HOWARD HALDERMAN | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $3,859 | $6,060 | $0 | ||||
| MARILYN MORAN-TOWNSEND | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $8,890 | $0 | $0 | |||||
| THOMAS KIMBROUGH | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,316 | $4,500 | $0 | ||||
| LARRY ROWLAND | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $8,810 | $0 | $0 | |||||
| BRIAN EMERICK | ||||||||||
| DIRECTOR/SECRETARY | 1.00 | Yes (X) | $7,750 | $0 | $0 | |||||
| LUTHER WHITFIELD | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $6,560 | $0 | $0 | |||||
| MICHAEL AXEL | ||||||||||
| DIRECTOR/TREASURER | 1.00 | 1.00 | Yes (X) | $6,454 | $0 | $0 | ||||
| JERRY LONG | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $6,060 | $0 | $0 | |||||
| WENDY ROBINSON | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $6,054 | $0 | $0 | |||||
| MARGARET BROOKS | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $6,000 | $0 | $0 | |||||
| STEPHEN WRIGHT | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $4,750 | $0 | $0 | |||||
| BRIAN DECAMP | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RON ELSENBAUMER | ||||||||||
| DIRECTOR/PARTIAL YEAR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $23,405,080 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $233,726 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $6,885,121 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 916 | 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 |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | PHYSICIANS | $14,771,067 |
| HURON CONSULTING SERVICES LLC | |||||
| PO BOX 71223 | CHICAGO | IL | 60694 | CONSULTING | $8,266,753 |
| LOCUMTENENS | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | PHYSICIANS | $6,073,781 |
| PEAK HEALTH SOLUTIONS INC | |||||
| PO BOX 744869 | ATLANTA | GA | 30374 | MEDICAL CODING | $2,457,559 |
| BOYDEN & YOUNGBLUTT | |||||
| 120 WEST SUPERIOR ST | FORT WAYNE | IN | 46802 | MARKETING ANALYTICS | $2,285,433 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 103 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $99,255 | RelatedOrganizationsAmt |
| Government Grants | $45,152 | GovernmentGrantsAmt |
| All Other Contributions | $2,359,710 | AllOtherContributionsAmt |
| Total Contributions | $2,504,117 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE | 621110 | $231,966,362 | $231,966,362 |
| PH CLINICAL SUPPORT | 561499 | $231,725,936 | $231,725,936 |
| CORP SERVICE ALLOCATION | 561000 | $217,819,296 | $217,819,296 |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW | 621110 | $40,042,001 | $40,042,001 |
| INTERUNIT RENT | 532000 | $12,415,375 | $12,415,375 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,439,602 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,048,136 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,391,466 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $771,408,572 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,781,696 | TotalRevenueColumnAmt |
| Exclusion | $23,781,696 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,188,226 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,246,514 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,941,712 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,941,712 | TotalRevenueColumnAmt |
| Exclusion | $1,941,712 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,414,763,524 | SecuritiesAmt |
| Other | $1,456 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,404,841,092 | SecuritiesAmt |
| Other | $133,436 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,922,432 | SecuritiesAmt |
| Other | -$131,980 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,790,452 | TotalRevenueColumnAmt |
| Exclusion | $9,790,452 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA REVENUE | Desc |
| Business | 722100 | BusinessCd |
| Total Revenue Column | $1,672,701 | TotalRevenueColumnAmt |
| Exclusion | $1,672,701 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,672,701 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $811,099,250 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $767,017,106 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,391,466 | UnrelatedBusinessRevenueAmt |
| Exclusion | $37,186,561 | 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 | $6,641,383 | TotalAmt |
| Program Services | $6,641,383 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,459,919 | TotalAmt |
| Management And General | $24,459,919 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,857 | TotalAmt |
| Program Services | $158,538 | ProgramServicesAmt |
| Management And General | $135,319 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,445,560 | TotalAmt |
| Program Services | $444,445,560 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,574,053 | TotalAmt |
| Program Services | $48,574,053 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,297,773 | TotalAmt |
| Program Services | $52,297,773 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $707,827 | TotalAmt |
| Program Services | $592,577 | ProgramServicesAmt |
| Management And General | $115,250 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,967 | TotalAmt |
| Management And General | $604,967 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,703 | TotalAmt |
| Management And General | $135,703 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,009 | TotalAmt |
| Fundraising | $164,009 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,672,563 | TotalAmt |
| Management And General | $2,672,563 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,757,911 | TotalAmt |
| Program Services | $65,816,336 | ProgramServicesAmt |
| Management And General | $5,941,575 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,192,425 | TotalAmt |
| Program Services | $2,187,515 | ProgramServicesAmt |
| Management And General | $4,910 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,945,341 | TotalAmt |
| Program Services | $15,727,537 | ProgramServicesAmt |
| Management And General | $217,804 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,712,913 | TotalAmt |
| Program Services | $42,624,197 | ProgramServicesAmt |
| Management And General | $88,716 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,867,873 | TotalAmt |
| Program Services | $22,812,081 | ProgramServicesAmt |
| Management And General | $55,792 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,468,422 | TotalAmt |
| Program Services | $2,176,195 | ProgramServicesAmt |
| Management And General | $292,227 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $921,175 | TotalAmt |
| Program Services | $834,930 | ProgramServicesAmt |
| Management And General | $86,245 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,181,876 | TotalAmt |
| Program Services | $21,181,876 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,588,610 | TotalAmt |
| Program Services | $42,578,054 | ProgramServicesAmt |
| Management And General | $10,556 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,060,907 | TotalAmt |
| Program Services | $5,876,278 | ProgramServicesAmt |
| Management And General | $184,629 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| FEDERAL & STATE INCOME | $105,146 | $105,146 | |
| MEDICAL SUPPLIES | $19,610,869 | $19,610,869 | |
| BAD DEBT | $13,831,369 | $13,831,369 | |
| PROVIDER CME, LICENSES | $4,392,712 | $4,392,712 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,948,919 | TotalAmt |
| Program Services | $9,378,844 | ProgramServicesAmt |
| Management And General | $570,075 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857,584,082 | TotalAmt |
| Program Services | $821,738,677 | ProgramServicesAmt |
| Management And General | $35,681,396 | ManagementAndGeneralAmt |
| Fundraising | $164,009 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,413 | BOYAmt |
| EOY | $18,446 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,550,875 | BOYAmt |
| EOY | $163,534,831 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,324,652 | BOYAmt |
| EOY | $27,996,829 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,852,025 | BOYAmt |
| EOY | $1,847,279 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,780,103 | BOYAmt |
| EOY | $13,404,851 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,928,872 | BOYAmt |
| EOY | $30,665,944 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $734,546,457 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $338,132,487 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $359,204,739 | BOYAmt |
| EOY | $396,413,970 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $944,390,050 | BOYAmt |
| EOY | $990,821,340 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,225,604 | BOYAmt |
| EOY | $260,013,371 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,582,124 | BOYAmt |
| EOY | $29,514,271 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $801,688,171 | BOYAmt |
| EOY | $559,051,344 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,633,547,628 | BOYAmt |
| EOY | $2,473,282,476 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,100,281 | BOYAmt |
| EOY | $164,952,591 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,445,898 | BOYAmt |
| EOY | $4,432,274 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $645,991,354 | BOYAmt |
| EOY | $627,952,587 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,321,136 | BOYAmt |
| EOY | $81,752,039 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $466,868,261 | BOYAmt |
| EOY | $265,147,739 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,303,726,930 | BOYAmt |
| EOY | $1,144,237,230 | 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 | $1,329,820,698 | BOYAmt |
| EOY | $1,329,045,246 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,329,820,698 | BOYAmt |
| EOY | $1,329,045,246 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,633,547,628 | BOYAmt |
| EOY | $2,473,282,476 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$46,484,832 | ReconcilationRevenueExpnssAmt |
| Donated Services And Use Fclts | $72,764,694 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | -$27,055,314 | 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 6 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (6 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| PARKVIEW HOSPITAL INC | ||||
| 350868085 | 3 | Yes (1) | $166,898,664 | $0 |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||||
| 351970706 | 3 | Yes (1) | $8,989,332 | $0 |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||||
| 202401676 | 3 | Yes (1) | $5,615,736 | $0 |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||||
| 352089183 | 3 | Yes (1) | $9,192,144 | $0 |
| PARKVIEW WABASH HOSPITAL INC | ||||
| 471753440 | 3 | Yes (1) | $6,929,388 | $0 |
| WHITLEY MEMORIAL HOSPITAL INC | ||||
| 351967665 | 3 | Yes (1) | $11,231,520 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 6 | SupportedOrganizationsTotalCnt |
| Support Sum | $208,856,784 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | 0 | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION E, LINE 3A: | PARKVIEW HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATION'S SUPPORTED ORGANIZATIONS PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AND PARKVIEW WABASH HOSPITAL, INC. THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR PARKVIEW HOSPITAL, INC. 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. |
| PART IV, SECTION E, LINE 3A CONT'D: | THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. |
| PART IV, SECTION E, LINE 3A CONT'D: | THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. |
| PART IV, SECTION E, LINE 3A CONT'D: | THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR HUNTINGTON MEMORIAL HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES, AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION'S ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JCAHO ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS LIST OR THE REQUIREMENT THAT APPOINTED DIRECTORS CAN BE REPRESENTATIVES OF HUNTINGTON COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. |
| PART IV, SECTION E, LINE 3A CONT'D: | THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR WHITLEY MEMORIAL HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION 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 JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A OR THE REQUIREMENT THAT ELECTED DIRECTORS BE REPRESENTATIVES OF WHITLEY COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF THESE BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. |
| PART IV, SECTION E, LINE 3A CONT'D: | THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR PARKVIEW WABASH HOSPITAL, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. |
| PART IV, SECTION E, LINE 3B: | SEE EXPLANATION FOR FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A |
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 | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $135,703 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $36,674 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $172,377 | 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 | DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY THE CORYDON GROUP, LLC $101,578 AND STRATEGIC HEALTH CARE $34,125. OTHER ACTIVITIES - REPRESENTS THE PORTION OF DUES PAID TO VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Protection Natural Habitat | Yes (X) | ProtectionNaturalHabitatInd |
| Total Easements | 2 | TotalEasementsCnt |
| Total Acreage | 10.00 | TotalAcreageCnt |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoringInd |
| Expenses Incurred Enforcement | $9,050 | ExpensesIncurredEnforcementAmt |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $18,423,093 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $44,071,545 | OtherCostOrOtherBasisAmt |
| Book Value | $62,494,638 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $280,624,282 | OtherCostOrOtherBasisAmt |
| Depreciation | $109,346,077 | DepreciationAmt |
| Book Value | $171,278,205 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,191,945 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,860,271 | DepreciationAmt |
| Book Value | $15,331,674 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $334,648,294 | OtherCostOrOtherBasisAmt |
| Depreciation | $196,386,952 | DepreciationAmt |
| Book Value | $138,261,342 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,587,298 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,539,187 | DepreciationAmt |
| Book Value | $9,048,111 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $396,413,970 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $123,519,304 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS IN JVS, MCHA & WRPLX | Desc |
| Book Value | $136,494,067 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $260,013,371 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE TO/FROM INTERUNIT | $498,293,811 |
| MISCELLANEOUS | $1,609,579 |
| BROKER PENDING TRADES | $49,793,091 |
| NOTE RECEIVABLE FROM PARK CENTER | $2,461,363 |
| NOTE RECEIVABLE FROM WMHOS | $6,893,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $559,051,344 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACC RETIREMENTS COST | $154,492,108 |
| RESERVE FOR SIGNATURE CARE | $14,247,453 |
| RESERVE FOR MALPRACTICE | $9,058,534 |
| BROKER PENDING TRADES | $87,346,634 |
| MISCELLANEOUS | $3,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $265,147,739 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 5: | A THIRD PARTY ENVIRONMENTAL COMPANY COMPLETES ALL THE REQUIRED ANNUAL MONITORING INSPECTION AND REPORTING AS PART OF THE 10 YEAR REQUIREMENT WITHIN THE EXISTING PERMIT. IF ANY ENCROACHMENTS BY THE OWNER ON THE MITIGATION AREAS ARE OBSERVED THEY ARE REPORTED AND ENFORCED THROUGH APPROPRIATE LEGAL CHANNELS. |
| PART II, LINE 9: | THE ORGANIZATION RECORDS THE PAYMENTS TO THE THIRD PARTY ENVIRONMENTAL COMPANY AS A FEES FOR SERVICES EXPENSE ON THE INCOME STATEMENT. |
| PART X, LINE 2: | PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 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 G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| GERMAIN & CO INC | ||||||||
| 9039 SPRINGBORO PIKE SUITE A | MIAMISBURG | OH | 46342 | GRANT WRITING SERVICES | 0 | $0 | $85,884 | -$85,884 |
| SNF WRITING SOLUTIONS LLC | ||||||||
| P O BOX 7652 | GREENWOOD | IN | 46142 | GRANT WRITING SERVICES | 0 | $0 | $44,850 | -$44,850 |
| CANDACE SCHULER | ||||||||
| 7022 PALLADIO SQUARE | FORT WAYNE | IN | 46804 | GRANT WRITING SERVICES | 0 | $0 | $33,275 | -$33,275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $164,009 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$164,009 | TotalNetToOrganizationAmt |
| Licensed States | IN | LicensedStatesCd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE G, PART I, LINE 2B, COLUMN (V) | THE TOTAL PAYMENT OF $85,884 TO PROFESSIONAL FUNDRAISER, GERMAIN & CO, INC., CONSISTED OF $80,000 FOR GRANT WRITING SERVICES AND $5,884 FOR REIMBURSEMENT OF TRAVEL EXPENSES. THE TOTAL PAYMENT OF $44,850 TO PROFESSIONAL FUNDRAISER, SNF WRITING SOLUTIONS, LLC, CONSISTED OF $44,688 FOR GRANT WRITING SERVICES AND $162 FOR REIMBURSEMENT OF TRAVEL EXPENSES. |
| SCHEDULE G, PART I, LINE 2B, COLUMN IV: | GROSS RECEIPTS FROM ACTIVITY: THE GROSS RECEIPTS ASSOCIATED WITH THE ACTIVITIES OF THE PROFESSIONAL FUNDRAISERS ARE NOT READILY ASCERTAINABLE AS THE GRANT WRITING SERVICES WERE RENDERED ON BEHALF OF MULTIPLE PARKVIEW ORGANIZATIONS AND WERE NOT DIRECTLY CONNECTED WITH SPECIFIC FUNDRAISING ACTIVITIES. AS SUCH, NO AMOUNTS HAVE BEEN DISCLOSED IN PART I, LINE 2B, COLUMN IV. |
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 | $253,221 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $253,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,243,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,259,021 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $984,712 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,645,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,092,476 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,142,530 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,351,497 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,237,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,428,932 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,074,524 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,354,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $401,105 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $401,105 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $660,703 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,661 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $634,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,245,267 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,245,267 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,736,007 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,101,185 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,634,822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,878,537 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,452,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,872,755 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01300 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $299,855 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $299,855 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $181,050 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $181,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,052,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,052,573 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,577,978 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,577,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,831,369 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $180,907 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $10,869,072 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,952,011 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,082,939 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 IMAGING SERVICES HOLDING COMPANY LLC | ||
| HOLDING COMPANY | 0.50000 | 0.50000 |
| 2 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||
| ORTHOPAEDIC HOSPITAL | 0.60000 | 0.40000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11119 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 | 14-005845-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH | 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC | PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2019 CHNA, PARKVIEW HEALTH SYSTEM, INC. AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) RESEARCH TEAM MADE SURE TO GET THE INPUT FROM PERSONS REPRESENTING THE BROADER INTERESTS OF THE COMMUNITY, WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA.AS PART OF THE RESEARCH PROCESS, PARKVIEW HEALTH SYSTEM, INC. AND ITS RESEARCH PARTNERS OBTAINED THE FOLLOWING: 1) PRIMARY DATA WAS COLLECTED VIA AN ONLINE SURVEY OF PARKVIEW HEALTH SYSTEM, INC. AND COMMUNITY HEALTHCARE AND SOCIAL SERVICE PROVIDERS (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.). ADDITIONALLY, THE HEALTH SYSTEM'S CHNA RESEARCH PARTNERS CONDUCTED A TELEPHONE SURVEY, WHICH INCLUDED COMMUNITY RESIDENTS FROM EACH COUNTY IN THE PARKVIEW HEALTH SERVICE REGION. 2) SECONDARY DATA WAS GATHERED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES.IN ADDITION TO DATA COLLECTION, PARKVIEW HEALTH SYSTEM, INC. TURNED TO THE COMMUNITY AND PARTNERING ORGANIZATIONS WHEN SELECTING AND PRIORITIZING ALLEN COUNTY'S HEALTH NEEDS. AS RECOMMENDED BY THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES, A MODIFIED HANLON METHOD WAS USED TO PRIORITIZE HEALTH CONCERNS FOR PARKVIEW HEALTH HOSPITAL COMMUNITIES. THIS METHOD, ALSO KNOWN AS THE BASIC PRIORITY RATING SYSTEM (BPRS) 2.0, IS RECOMMENDED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) FOR PRIORITIZING COMMUNITY HEALTH NEEDS (GUIDE-TO-PRIORITIZATION-TECHNIQUES.PDF, N.D.). 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, THUS ENABLING 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, THE EXECUTIVE LEADERSHIP TEAM AND THE 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. HOWEVER, GIVEN ITS AREA OF EXPERTISE, PARKVIEW ORTHOPEDIC HOSPITAL, INC. WILL FOCUS PRIMARILY ON OBESITY RELATED INITIATIVES. EACH AFFILIATE HOSPITAL ALSO HELD COMMUNITY SESSIONS TO SHARE THE CHNA RESULTS, AND TO GATHER FEEDBACK FROM LOCAL NON-PROFIT AND PUBLIC HEALTH ORGANIZATIONS. SESSIONS INCLUDED OUTLINING THE VISON FOR THE COMMUNITY, POTENTIAL INTERVENTIONS, BARRIERS AND OTHER FACTORS RELATED TO THE HEALTH PRIORITIES. ADDITIONALLY, THE TOP HEALTH PRIORITIES FOR EACH AFFILIATE HOSPITAL WERE PRESENTED TO AND ADOPTED BY THE ENTITY'S RESPECTIVE HOSPITAL BOARD OF DIRECTORS. |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC | PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440). |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC | PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI) AND CONDUENT HEALTHY COMMUNITIES INSTITUTE. |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC | PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:OBESITY: ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC WILL CONTINUE TO PARTNER WITH PARKVIEW HOSPITAL, INC. IN ITS EFFORTS TO PROMOTE HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY AND INJURY PREVENTION EDUCATION IN NORTHEAST INDIANA AND NORTHWEST OHIO. PARKVIEW SPORTS MEDICINE IS PROUD TO PROVIDE AREA HIGH SCHOOLS, UNIVERSITIES AND SPORTS CLUBS - INCLUDING FORT WAYNE COMMUNITY SCHOOLS - WITH OVER 70 ATHLETIC TRAINERS AT NO COST. THE COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINERS (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA RELATED TO ACTIVITIES OF HEALTHY LIVING (E.G. NUTRITION CLASSES FOR OUR CLUB SPORT TEAMS AND INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES). OUR CERTIFIED ATHLETIC TRAINERS SERVE OVER 40 SCHOOLS AND CLUBS IN NORTHEAST INDIANA AND NORTHWEST OHIO. THEY WORK AT THE SCHOOLS AND PROVIDE SAFETY ON THE SIDELINES THROUGH PREVENTIVE SERVICES, INJURY REHABILITATION AND EMERGENCY CARE AT EACH PRACTICE AND ALL HOME GAMES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE. HEALTH NEEDS IDENTIFIED AND WHY THE HOSPITAL DOES NOT INTEND TO ADDRESS THESE AS PART OF THE IMPLEMENTATION STRATEGY:AGING - AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA (AIHS) SERVES OLDER ADULTS, PERSONS WITH DISABILITIES AND THEIR CAREGIVERS IN NINE COUNTIES IN NORTHEAST INDIANA. THIS NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION IS A FEDERAL AND STATE DESIGNATED AREA AGENCY ON AGING AND AN AGING AND DISABILITY RESOURCE CENTER. AIHS PROVIDES STREAMLINED ACCESS TO INFORMATION, CARE OPTIONS, SHORT-TERM CASE MANAGEMENT AND 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 TO ENSURE INDIVIDUALS' FUTURE HEALTH CARE PREFERENCES ARE DISCUSSED, DOCUMENTED, AND HONORED. THROUGH HONORING CHOICES, PARKVIEW AND AIHS WORK TOGETHER TO TRAIN ACP FACILITATORS, PROMOTE BEST PRACTICE AND INCREASE PUBLIC AWARENESS ABOUT THE VALUE OF DISCUSSING HEALTHCARE DECISION MAKING IN ADVANCE OF MEDICAL CRISISCARDIOVASCULAR DISEASE/DIABETES - WHILE WE ARE NOT ADDRESSING CARDIOVASCULAR DISEASE/DIABETES SPECIFICALLY, WE WILL BE ADDRESSING OBESITY BY PROMOTING HEALTH AND WELL-BEING. MANY OF OUR OUTREACH INITIATIVES THAT CURRENTLY ADDRESS OR PREVENT OBESITY WILL CONTINUE AND MAY PREVENT OR TREAT CHRONIC DISEASE. IN ADDITION, PARKVIEW HOSPITAL, INC. HAS ADOPTED CARDIOVASCULAR DISEASE/DIABETES AS ONE OF THEIR HEALTH PRIORITIES. TOBACCO USE - TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY, INDIANA, RELATED TO TOBACCO FREE EFFORTS. TFAC PROVIDES INFORMATION ON RESOURCES ABOUT LOCAL SMOKING CESSATION PROGRAMS AND ADVOCATES FOR NO-SMOKING PUBLIC POLICY AT THE STATE LEVEL. THEIR GOALS INCLUDE DECREASING YOUTH AND ADULT TOBACCO USE, INCREASING PROTECTIONS AGAINST SECONDHAND SMOKE, AND BUILDING/MAINTAINING THE LOCAL TOBACCO CONTROL INFRASTRUCTURE. PARKVIEW HOSPITAL, INC. IS ALSO A SOURCE FOR SMOKING CESSATION PROGRAMS AND OPERATES A TOBACCO FREE CAMPUS. IN ADDITION, THE PROGRAM NICOTINE FREE FOR BABY AND ME IS USED TO HELP PREGNANT WOMEN STOP SMOKING IS AVAILABLE THROUGH PARKVIEW'S COMMUNITY OUTREACH PROGRAMMING. MATERNAL/CHILD HEALTH - PARKVIEW ORTHO HOSPITAL'S EXPERTISE IS CLEARLY IN THE ORTHOPEDIC FIELD. IN ADDITION, PARKVIEW HOSPITAL IS ADDRESSING MATERNAL/CHILD HEALTH ALONG WITH OTHER COMMUNITY PARTNERS IN ALLEN COUNTY. SUBSTANCE USE DISORDER/MENTAL HEALTH - AGAIN, PARKVIEW ORTHO HOSPITAL'S EXPERTISE IS CLEARLY IN THE ORTHOPEDIC FIELD. IN ADDITION, THE OTHER HOSPITAL ENTITIES OF PARKVIEW HEALTH ALONG WITH VARIOUS COMMUNITY PARTNERS ARE ADDRESSING SUBSTANCE USE DISORDER/MENTAL HEALTH IN NORTHEAST INDIANA. |
| PART V, SECTION B, LINE 3E: | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 129 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (129 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PARKVIEW PHYSICIANS GROUP | ||||
| 11108 PARKVIEW CIRCLE DRIVE | FORT WAYNE | IN | 468451730 | PHYSICIAN OFFICE |
| 2 - PARKVIEW PHYSICIANS GROUP | ||||
| 1818 CAREW STREET | FORT WAYNE | IN | 468054788 | PHYSICIAN OFFICE |
| 3 - PARKVIEW PHYSICIANS GROUP | ||||
| 11109 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 468451701 | PHYSICIAN OFFICE |
| 4 - PARKVIEW PHYSICIANS GROUP | ||||
| 442 WEST HIGH STREET | BRYAN | OH | 435061681 | PHYSICIAN OFFICE |
| 5 - PARKVIEW PHYSICIANS GROUP | ||||
| 11104 PARKVIEW CIRCLE DRIVE | FORT WAYNE | IN | 468451730 | PHYSICIAN OFFICE |
| 6 - PARKVIEW PHYSICIANS GROUP | ||||
| 11141 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 468451713 | PHYSICIAN OFFICE |
| 7 - PARKVIEW PHYSICIANS GROUP | ||||
| 11123 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 468451707 | PHYSICIAN OFFICE |
| 8 - PARKVIEW PHYSICIANS GROUP | ||||
| 3909 NEW VISION DRIVE | FORT WAYNE | IN | 468451725 | PHYSICIAN OFFICE |
| 9 - PARKVIEW PHYSICIANS GROUP | ||||
| 11050 PARKVIEW CIRCLE | FORT WAYNE | IN | 468451739 | PHYSICIAN OFFICE |
| 10 - PARKVIEW PHYSICIANS GROUP | ||||
| 1270 E STATE ROAD 205 | COLUMBIA CITY | IN | 467259492 | PHYSICIAN OFFICE |
| 11 - PARKVIEW PHYSICIANS GROUP | ||||
| 2003 STULTS ROAD | HUNTINGTON | IN | 467501291 | PHYSICIAN OFFICE |
| 12 - PARKVIEW PHYSICIANS GROUP | ||||
| 8911 LIBERTY MILLS RD | FORT WAYNE | IN | 468046311 | PHYSICIAN OFFICE |
| 13 - PARKVIEW PHYSICIANS GROUP | ||||
| 2200 RANDALLIA DR | FORT WAYNE | IN | 468054638 | PHYSICIAN OFFICE |
| 14 - PARKVIEW PHYSICIANS GROUP | ||||
| 10515 ILLINOIS ROAD | FORT WAYNE | IN | 468149182 | PHYSICIAN OFFICE |
| 15 - PARKVIEW PHYSICIANS GROUP | ||||
| 1234 E DUPONT ROAD | FORT WAYNE | IN | 468251545 | PHYSICIAN OFFICE |
| 16 - PARKVIEW PHYSICIANS GROUP | ||||
| 1355 MARINERS DR | WARSAW | IN | 465827145 | PHYSICIAN OFFICE |
| 17 - PARKVIEW PHYSICIANS GROUP | ||||
| 8028 CARNEGIE BLVD | FORT WAYNE | IN | 468045787 | PHYSICIAN OFFICE |
| 18 - PARKVIEW PHYSICIANS GROUP | ||||
| 11143 PARKVIEW PLAZA DR | FORT WAYNE | IN | 468451728 | PHYSICIAN OFFICE |
| 19 - PARKVIEW PHYSICIANS GROUP | ||||
| 2708 GUILFORD STREET | HUNTINGTON | IN | 467509701 | PHYSICIAN OFFICE |
| 20 - PARKVIEW PHYSICIANS GROUP | ||||
| 121 WESTFIELD DR | ARCHBOLD | OH | 435021056 | PHYSICIAN OFFICE |
| 21 - PARKVIEW PHYSICIANS GROUP | ||||
| 306 E MAUMEE STREET | ANGOLA | IN | 467032035 | PHYSICIAN OFFICE |
| 22 - PARKVIEW PHYSICIANS GROUP | ||||
| 2231 CAREW ST FORT | WAYNE | IN | 468054713 | PHYSICIAN OFFICE |
| 23 - PARKVIEW PHYSICIANS GROUP | ||||
| 1331 MINNICH ROAD | NEW HAVEN | IN | 467742051 | PHYSICIAN OFFICE |
| 24 - PARKVIEW PHYSICIANS GROUP | ||||
| 11055 TWIN CREEKS COVE | FORT WAYNE | IN | 468452204 | PHYSICIAN OFFICE |
| 25 - PARKVIEW PHYSICIANS GROUP | ||||
| 5693 YMCA PARK DRIVE WEST | FORT WAYNE | IN | 468353280 | PHYSICIAN OFFICE |
| 26 - PARKVIEW PHYSICIANS GROUP | ||||
| 104 NICHOLAS PLACE | AVILLA | IN | 467100069 | PHYSICIAN OFFICE |
| 27 - PARKVIEW PHYSICIANS GROUP | ||||
| 8 JOHN KISSINGER DRIVE | WABASH | IN | 469921914 | PHYSICIAN OFFICE |
| 28 - IMAGING SYSTEMS HOLDINGS LLC | ||||
| 3707 NEW VISION DRIVE | FORT WAYNE | IN | 46845 | IMAGING SERVICES |
| 29 - PARKVIEW PHYSICIANS GROUP | ||||
| 1655 N CASS STREET | WABASH | IN | 469921916 | PHYSICIAN OFFICE |
| 30 - PARKVIEW PHYSICIANS GROUP | ||||
| 6920 POINTE INVERNESS WAY | FORT WAYNE | IN | 46804 | PHYSICIAN OFFICE |
| 31 - PARKVIEW PHYSICIANS GROUP | ||||
| 935 SNYDER AVE | MONTPELIER | OH | 435431251 | PHYSICIAN OFFICE |
| 32 - PARKVIEW ORTHO PERFORMANCE CTR LLC | ||||
| 11130 PARKVIEW CIRCLE DRIVE | FORT WAYNE | IN | 46845 | PHYSICAL THERAPY SERVICES |
| 33 - PARKVIEW PHYSICIANS GROUP | ||||
| 885 CONNEXION WAY COL | CITY | IN | 467251044 | PHYSICIAN OFFICE |
| 34 - PARKVIEW PHYSICIANS GROUP | ||||
| 326 SAWYER ROAD | KENDALLVILLE | IN | 467552573 | PHYSICIAN OFFICE |
| 35 - PARKVIEW PHYSICIANS GROUP | ||||
| 5110 N CLINTON | FORT WAYNE | IN | 468255735 | PHYSICIAN OFFICE |
| 36 - PARKVIEW PHYSICIANS GROUP | ||||
| 207 N TOWNLINE ROAD | LAGRANGE | IN | 467611325 | PHYSICIAN OFFICE |
| 37 - PARKVIEW PHYSICIANS GROUP | ||||
| 512 NORTH PROFESSIONAL WAY | KENDALLVILLE | IN | 467552927 | PHYSICIAN OFFICE |
| 38 - PARKVIEW ORTHO PERFORMANCE CTR LLC | ||||
| 3946 ICE WAY | FORT WAYNE | IN | 46805 | PHYSICAL THERAPY SERVICES |
| 39 - PARKVIEW PHYSICIANS GROUP | ||||
| 1104 N WAYNE STREET | NORTH MANCHESTER | IN | 469621001 | PHYSICIAN OFFICE |
| 40 - PARKVIEW PHYSICIANS GROUP | ||||
| 725 S SHOOP AVE | WAUSEON | OH | 435671702 | PHYSICIAN OFFICE |
| 41 - PARKVIEW PHYSICIANS GROUP | ||||
| 4402 E STATE BLVD | FORT WAYNE | IN | 468156917 | PHYSICIAN OFFICE |
| 42 - PARKVIEW PHYSICIANS GROUP | ||||
| 3946 ICE WAY | FORT WAYNE | IN | 468051018 | PHYSICIAN OFFICE |
| 43 - PARKVIEW PHYSICIANS GROUP | ||||
| 10620 CORPORATE DRIVE | FORT WAYNE | IN | 468451711 | PHYSICIAN OFFICE |
| 44 - PARKVIEW ORTHO PERFORMANCE CTR LLC | ||||
| 10515 ILLINOIS RD | FORT WAYNE | IN | 46814 | PHYSICAL THERAPY SERVICES |
| 45 - PARKVIEW ORTHO PERFORMANCE CTR LLC | ||||
| 5050 N CLINTON ST | FORT WAYNE | IN | 46825 | PHYSICAL THERAPY SERVICES |
| 46 - PARKVIEW PHYSICIANS GROUP | ||||
| 1310 E SEVENTH STREET | AUBURN | IN | 467062518 | PHYSICIAN OFFICE |
| 47 - PARKVIEW PHYSICIANS GROUP | ||||
| 8607 TEMPLE DRIVE | FORT WAYNE | IN | 46809 | PHYSICIAN OFFICE |
| 48 - PARKVIEW PHYSICIANS GROUP | ||||
| 13430 MAIN STREET | GRABILL | IN | 467412001 | PHYSICIAN OFFICE |
| 49 - PARKVIEW PHYSICIANS GROUP | ||||
| 495 S SHOOP AVE | WAUSEON | OH | 435671719 | PHYSICIAN OFFICE |
| 50 - PARKVIEW PHYSICIANS GROUP | ||||
| 401 N SAWYER RD | KENDALLVILLE | IN | 467552568 | PHYSICIAN OFFICE |
| 51 - PARKVIEW PHYSICIANS GROUP | ||||
| 4084 NORTH US HIGHWAY 33 | CHURUBUSCO | IN | 467239563 | PHYSICIAN OFFICE |
| 52 - PARKVIEW ORTHO PERFORMANCE CTR LLC | ||||
| 5680 YMCA PARK DRIVE WEST | FORT WAYNE | IN | 46835 | PHYSICAL THERAPY SERVICES |
| 53 - PARKVIEW PHYSICIANS GROUP | ||||
| 3828 NEW VISION DR | FORT WAYNE | IN | 468451708 | PHYSICIAN OFFICE |
| 54 - PARKVIEW PHYSICIANS GROUP | ||||
| 8175 W US 20 | SHIPSHEWANA | IN | 46565 | PHYSICIAN OFFICE |
| 55 - PARKVIEW PHYSICIANS GROUP | ||||
| 620 W NORTH STREET | COLUMBIA CITY | IN | 467251214 | PHYSICIAN OFFICE |
| 56 - PARKVIEW PHYSICIANS GROUP | ||||
| 2600 N DETROIT STREET | LAGRANGE | IN | 467611154 | PHYSICIAN OFFICE |
| 57 - PARKVIEW PHYSICIANS GROUP | ||||
| 1464 LINCOLNWAY SOUTH | LIGONIER | IN | 467679601 | PHYSICIAN OFFICE |
| 58 - PARKVIEW PHYSICIANS GROUP | ||||
| 2814 THEATER AVE | HUNTINGTON | IN | 467507978 | PHYSICIAN OFFICE |
| 59 - PARKVIEW PHYSICIANS GROUP | ||||
| 1515 HOBSON ROAD | FORT WAYNE | IN | 468054802 | PHYSICIAN OFFICE |
| 60 - PARKVIEW PHYSICIANS GROUP | ||||
| 817 TRAIL RIDGE ROAD | ALBION | IN | 467011534 | PHYSICIAN OFFICE |
| 61 - PARKVIEW PHYSICIANS GROUP | ||||
| 3816 NEW VISION DRIVE | FORT WAYNE | IN | 468451708 | PHYSICIAN OFFICE |
| 62 - PARKVIEW PHYSICIANS GROUP | ||||
| 6130 TRIER ROAD | FORT WAYNE | IN | 468155378 | PHYSICIAN OFFICE |
| 63 - PARKVIEW PHYSICIANS GROUP | ||||
| 577 GEIGER DRIVE | ROANOKE | IN | 467838877 | PHYSICIAN OFFICE |
| 64 - PARKVIEW PHYSICIANS GROUP | ||||
| 3898 NEW VISION DR | FORT WAYNE | IN | 468451718 | PHYSICIAN OFFICE |
| 65 - PARKVIEW ORTHO CENTER LLC | ||||
| 11420 PARKVIEW CIRCLE DRIVE | FORT WAYNE | IN | 46845 | SURGERY CENTER |
| 66 - PARKVIEW PHYSICIANS GROUP | ||||
| 140 FOX ROAD STE 402 | VAN WERT | OH | 458913406 | PHYSICIAN OFFICE |
| 67 - PARKVIEW PHYSICIANS GROUP | ||||
| 6108 MAPLECREST ROAD | FORT WAYNE | IN | 468352524 | PHYSICIAN OFFICE |
| 68 - PARKVIEW PHYSICIANS GROUP | ||||
| 208 N COLUMBUS ST | HICKSVILLE | OH | 435261250 | PHYSICIAN OFFICE |
| 69 - PARKVIEW PHYSICIANS GROUP | ||||
| 4665 STATE ROAD 5 | SOUTH WHITLEY | IN | 467879101 | PHYSICIAN OFFICE |
| 70 - PARKVIEW PHYSICIANS GROUP | ||||
| 410 SAWYER ROAD | KENDALLVILLE | IN | 467552573 | PHYSICIAN OFFICE |
| 71 - PARKVIEW PHYSICIANS GROUP | ||||
| 7030 POINTE INVERNESS WAY | FORT WAYNE | IN | 468049298 | PHYSICIAN OFFICE |
| 72 - PARKVIEW ORTHO PERFORMANCE CTR LLC | ||||
| 12124 LIMA RD | FORT WAYNE | IN | 46818 | PHYSICAL THERAPY SERVICES |
| 73 - PARKVIEW PHYSICIANS GROUP | ||||
| 12124 LIMA RD | FORT WAYNE | IN | 468189508 | PHYSICIAN OFFICE |
| 74 - PARKVIEW PHYSICIANS GROUP | ||||
| 420 N SAWYER RD | KENDALLVILLE | IN | 467552572 | PHYSICIAN OFFICE |
| 75 - PARKVIEW PHYSICIANS GROUP | ||||
| 2001 STULTS ROAD | HUNTINGTON | IN | 467501291 | PHYSICIAN OFFICE |
| 76 - PARKVIEW PHYSICIANS GROUP | ||||
| 2500 EAST BELLEFONTAINE ROAD | HAMILTON | IN | 467429352 | PHYSICIAN OFFICE |
| 77 - PARKVIEW PHYSICIANS GROUP | ||||
| 5 MATCHETTE DRIVE | PIERCETON | IN | 465629073 | PHYSICIAN OFFICE |
| 78 - PARKVIEW ORTHO PERFORMANCE CTR LLC | ||||
| 838 HARRISON ST | FORT WAYNE | IN | 46802 | PHYSICAL THERAPY SERVICES |
| 79 - PARKVIEW PHYSICIANS GROUP | ||||
| 10012 AUBURN PARK DR | FORT WAYNE | IN | 46825 | PHYSICIAN OFFICE |
| 80 - PARKVIEW ORTHO PERFORMANCE CTR LLC | ||||
| 200 INTERTECH PARKWAY | ANGOLA | IN | 46703 | PHYSICAL THERAPY SERVICES |
| 81 - PARKVIEW PHYSICIANS GROUP | ||||
| 200 INTERTECH PARKWAY | ANGOLA | IN | 467037346 | PHYSICIAN OFFICE |
| 82 - PARKVIEW PHYSICIANS GROUP | ||||
| 1517 CATALPA ST | FORT WAYNE | IN | 46802 | PHYSICIAN OFFICE |
| 83 - PARKVIEW PHYSICIANS GROUP | ||||
| 15707 OLD LIMA ROAD | HUNTERTOWN | IN | 46748 | PHYSICIAN OFFICE |
| 84 - PARKVIEW PHYSICIANS GROUP | ||||
| 2812 THEATER AVE | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE |
| 85 - PARKVIEW PHYSICIANS GROUP | ||||
| 1007 W RUDISILL BLVD | FORT WAYNE | IN | 468072170 | PHYSICIAN OFFICE |
| 86 - PARKVIEW PHYSICIANS GROUP | ||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 467259492 | PHYSICIAN OFFICE |
| 87 - PARKVIEW PHYSICIANS GROUP | ||||
| 3905 CARROLL RD | FORT WAYNE | IN | 468189528 | PHYSICIAN OFFICE |
| 88 - PARKVIEW PHYSICIANS GROUP | ||||
| 470 BENNETT DRIVE | WARREN | IN | 467929272 | PHYSICIAN OFFICE |
| 89 - PARKVIEW PHYSICIANS GROUP | ||||
| 412 SAWYER ROAD | KENDALLVILLE | IN | 467552572 | PHYSICIAN OFFICE |
| 90 - FOUNDATION SURGERY AFF OF FT WAYNE LLC | ||||
| 8004 CARNEGIE BLVD | FORT WAYNE | IN | 46804 | SURGERY CENTER |
| 91 - PARKVIEW PHYSICIANS GROUP | ||||
| 213 FAIRVIEW BLVD | KENDALLVILLE | IN | 467552988 | PHYSICIAN OFFICE |
| 92 - PARKVIEW PHYSICIANS GROUP | ||||
| 112 S MAIN ST | MILFORD | IN | 46542 | PHYSICIAN OFFICE |
| 93 - PARKVIEW PHYSICIANS GROUP | ||||
| 2701 SPRING ST | FORT WAYNE | IN | 468083939 | PHYSICIAN OFFICE |
| 94 - NORTHEAST INDIANA CANCER CTR LLC | ||||
| 516 E MAUMEE STREET | ANGOLA | IN | 46703 | PHYSICIAN OFFICE |
| 95 - PARKVIEW PHYSICIANS GROUP | ||||
| 1129 FIRST STREET | HUNTINGTON | IN | 467502313 | PHYSICIAN OFFICE |
| 96 - PARKVIEW PHYSICIANS GROUP | ||||
| 8004 CARNEGIE BLVD | FORT WAYNE | IN | 468045785 | PHYSICIAN OFFICE |
| 97 - PARKVIEW PHYSICIANS GROUP | ||||
| 10 JOHN KISSINGER DRIVE | WABASH | IN | 469921914 | PHYSICIAN OFFICE |
| 98 - PARKVIEW PHYSICIANS GROUP | ||||
| 9742 US 127 | SHERWOOD | OH | 435569739 | PHYSICIAN OFFICE |
| 99 - PARKVIEW PHYSICIANS GROUP | ||||
| 344 N MAIN STREET | COLUMBIA CITY | IN | 467251745 | PHYSICIAN OFFICE |
| 100 - PARKVIEW PHYSICIANS GROUP | ||||
| 1316 E SEVENTH STREET | AUBURN | IN | 467062523 | PHYSICIAN OFFICE |
| 101 - PARKVIEW PHYSICIANS GROUP | ||||
| 1095 W RUDISILL BLVD | FORT WAYNE | IN | 468072162 | PHYSICIAN OFFICE |
| 102 - PARKVIEW PHYSICIANS GROUP | ||||
| 2930 LAKE AVENUE | FORT WAYNE | IN | 468055416 | PHYSICIAN OFFICE |
| 103 - PARKVIEW PHYSICIANS GROUP | ||||
| 1600 E WASHINGTON BLVD | FORT WAYNE | IN | 468031228 | PHYSICIAN OFFICE |
| 104 - PARKVIEW PHYSICIANS GROUP | ||||
| 1 UNIVERSITY AVE | ANGOLA | IN | 467031764 | PHYSICIAN OFFICE |
| 105 - PARKVIEW PHYSICIANS GROUP | ||||
| 1516 LEESBURG RD | FORT WAYNE | IN | 46808 | PHYSICIAN OFFICE |
| 106 - PARKVIEW PHYSICIANS GROUP | ||||
| 2303 COLLEGE AVE | HUNTINGTON | IN | 467501237 | PHYSICIAN OFFICE |
| 107 - PARKVIEW PHYSICIANS GROUP | ||||
| 1050 PRODUCTION RD | FORT WAYNE | IN | 46808 | PHYSICIAN OFFICE |
| 108 - PARKVIEW PHYSICIANS GROUP | ||||
| 604 E COLLEGE AVE | NORTH MANCHESTER | IN | 469621276 | PHYSICIAN OFFICE |
| 109 - PARKVIEW PHYSICIANS GROUP | ||||
| 710 N EAST STREET | WABASH | IN | 469921914 | PHYSICIAN OFFICE |
| 110 - PARKVIEW PHYSICIANS GROUP | ||||
| 11725 LINCOLN HWY E | NEW HAVEN | IN | 46774 | PHYSICIAN OFFICE |
| 111 - PARKVIEW PHYSICIANS GROUP | ||||
| 2414 E STATE BLVD SUITE 101 | FORT WAYNE | IN | 468054760 | PHYSICIAN OFFICE |
| 112 - PARKVIEW PHYSICIANS GROUP | ||||
| 5104 N CLINTON FORT | WAYNE | IN | 468255720 | PHYSICIAN OFFICE |
| 113 - PARKVIEW PHYSICIANS GROUP | ||||
| 1381 N WAYNE ST | ANGOLA | IN | 467032348 | PHYSICIAN OFFICE |
| 114 - PARKVIEW PHYSICIANS GROUP | ||||
| 1035 WEST WAYNE ST | PAULDING | OH | 458791544 | PHYSICIAN OFFICE |
| 115 - PARKVIEW PHYSICIANS GROUP | ||||
| 11115 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 468451701 | PHYSICIAN OFFICE |
| 116 - PARKVIEW PHYSICIANS GROUP | ||||
| 1025 MANCHESTER AVE | WABASH | IN | 469921425 | PHYSICIAN OFFICE |
| 117 - PARKVIEW PHYSICIANS GROUP | ||||
| 1306 E 7TH ST STE A | AUBURN | IN | 467062537 | PHYSICIAN OFFICE |
| 118 - PARKVIEW PHYSICIANS GROUP | ||||
| 410 E MITCHELL ST | KENDALLVILLE | IN | 467551890 | PHYSICIAN OFFICE |
| 119 - PARKVIEW PHYSICIANS GROUP | ||||
| 1314 E SEVENTH STREET | AUBURN | IN | 467062535 | PHYSICIAN OFFICE |
| 120 - PARKVIEW PHYSICIANS GROUP | ||||
| 150 GROWTH PARKWAY | ANGOLA | IN | 467039313 | PHYSICIAN OFFICE |
| 121 - PARKVIEW PHYSICIANS GROUP | ||||
| 1720 BEACON STREET | FORT WAYNE | IN | 468054749 | PHYSICIAN OFFICE |
| 122 - PARKVIEW PHYSICIANS GROUP | ||||
| 1900 CAREW STREET SUITE 3A | FORT WAYNE | IN | 468054765 | PHYSICIAN OFFICE |
| 123 - PARKVIEW PHYSICIANS GROUP | ||||
| 203 EAST DOUGLAS AVE | FORT WAYNE | IN | 468023534 | PHYSICIAN OFFICE |
| 124 - PARKVIEW PHYSICIANS GROUP | ||||
| 2710 LAKE AVENUE | FORT WAYNE | IN | 468055412 | PHYSICIAN OFFICE |
| 125 - PARKVIEW PHYSICIANS GROUP | ||||
| 324 W VINE STREET | EDGERTON | OH | 435179600 | PHYSICIAN OFFICE |
| 126 - PARKVIEW PHYSICIANS GROUP | ||||
| 3974 NEW VISION DRIVE | FORT WAYNE | IN | 468451712 | PHYSICIAN OFFICE |
| 127 - PARKVIEW PHYSICIANS GROUP | ||||
| 400 ASH STREET | WABASH | IN | 469921954 | PHYSICIAN OFFICE |
| 128 - PARKVIEW PHYSICIANS GROUP | ||||
| 4666 W JEFFERSON BLVD | FORT WAYNE | IN | 468046892 | PHYSICIAN OFFICE |
| 129 - PARKVIEW PHYSICIANS GROUP | ||||
| 7900 W JEFFERSON BLVD SUITE 102 | FORT WAYNE | IN | 468044128 | PHYSICIAN OFFICE |
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 - THE AMOUNTS LISTED ON LINES 7A-C REFLECT ONLY THE FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC AS PARKVIEW HEALTH SYSTEM, INC.'S MEMBER HOSPITALS OF PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295) FILE THEIR OWN RESPECTIVE FORM 990. PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7CPARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GCOSTS ASSOCIATED WITH THE RONALD MCDONALD MOBILE CARE PROGRAM, EAST ALLEN COUNTY SCHOOLS NEARSITE CLINIC AND THE NORTHWEST ALLEN COUNTY SCHOOLS CLINIC WHERE INCLUDED AS SUBSIDIZED HEALTH SERVICES.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARKVIEW HEALTH SYSTEM, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. |
| PART I, LN 7 COL(F): | PERCENT OF TOTAL EXPENSEPARKVIEW HEALTH SYSTEM, INC. EXCLUDED $13,831,369 OF BAD DEBT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.PHYSICAL IMPROVEMENTS/HOUSING:THE PARKVIEW FAMILY PARK IS A RECREATIONAL PARK AREA LOCATED ON THE NORTH FORT WAYNE CAMPUS, WHICH IS THE HOME TO THE PARKVIEW REGIONAL MEDICAL CENTER. PARKVIEW HEALTH SYSTEM, INC. MADE THE PARK AVAILABLE TO THE GENERAL PUBLIC AND MAINTAINS THE PROPERTY TO ENHANCE THE COMMUNITY AND PROMOTE PHYSICAL ACTIVITY. PARKVIEW HEALTH SYSTEM, INC. SUPPORTS HABITAT FOR HUMANITY THROUGH CASH DONATIONS AND IN-KIND WORK CREWS TO BUILD NEW HOMES FOR FAMILIES WHO QUALIFY. HABITAT FOR HUMANITY OF GREATER FORT WAYNE HAS A PROVEN TRACK RECORD OF HOME RETENTION FOR THOSE THEY SERVE. THIS ORGANIZATION PROVIDES A COMPREHENSIVE HOME OWNERSHIP PROGRAM THAT PROMOTES SELF-SUFFICIENCY BY HAVING QUALIFIED FAMILIES INVEST IN WHAT THE PROGRAM REFERS TO AS SWEAT EQUITY. THIS INVESTMENT ENTAILS COMPLETING COURSEWORK THAT PREPARES THE FAMILY FOR HOMEOWNERSHIP, VOLUNTEERING WITH OTHER HABITAT BUILDING PROJECTS, AND THEN ASSISTING WITH THE CONSTRUCTION OF THEIR OWN HOME. ECONOMIC DEVELOPMENT: PARKVIEW HEALTH SYSTEM, INC. FOSTERS ECONOMIC DEVELOPMENT IN SEVERAL WAYS. PARKVIEW HEALTH SYSTEM, INC. HAS PLAYED A KEY ROLE IN THE NORTHEAST INDIANA REGIONAL PARTNERSHIP'S VISION 2030, A REGIONAL INITIATIVE DESIGNED TO TRANSFORM NORTHEAST INDIANA INTO A TOP GLOBAL COMPETITOR BY FOCUSING ON A COMMON MISSION TO DEVELOP, ATTRACT AND RETAIN TALENT. PARKVIEW HEALTH SYSTEM, INC. HAS BEEN INSTRUMENTAL IN WORKING WITH THIS GROUP OF COMMUNITY REPRESENTATIVES FROM BUSINESS, EDUCATION, GOVERNMENT AND FOUNDATION SECTORS TO DEVELOP A COMPELLING AND ACTIONABLE VISION FOR THE 11-COUNTY NORTHEAST INDIANA REGION. VISION 2030'S PRIORITIES ARE TIED TO EDUCATION/WORKFORCE, BUSINESS CLIMATE, ENTREPRENEURSHIP, INFRASTRUCTURE AND QUALITY OF LIFE FOR THE NORTHEAST INDIANA REGION.LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS LEADERSHIP DEVELOPMENT IN THE COMMUNITY IN CONJUNCTION WITH ECONOMIC DEVELOPMENT EFFORTS TO IMPROVE THE QUALITY OF LIFE IN ALLEN COUNTY AND THE REGION. STRONG LEADERS PLAY A KEY ROLE IN BUILDING THRIVING COMMUNITIES.AS THE LARGEST EMPLOYER IN NORTHEAST INDIANA, PARKVIEW HEALTH SYSTEM, INC. SERVES AS A SIGNIFICANT SPONSOR TO PROMOTE ACCESS TO THE GLOBAL LEADERSHIP SUMMIT, A GLOBAL LEADERSHIP CONFERENCE, WHICH PROVIDES TWO DAYS OF TRAINING ON SERVANT LEADERSHIP PRINCIPLES. THIS CONFERENCE INVOLVES MANY OTHER LOCAL EMPLOYERS AND IS OPEN TO THE PUBLIC. PARKVIEW'S COMMUNITY PARTNER DEVELOPMENT CENTER WAS CREATED TO PROVIDE TOOLS AND RESOURCES FOR LOCAL NON-PROFIT ORGANIZATIONS AND THEIR LEADERS THROUGH TRAINING, COACHING, DEVELOPMENT AND STRATEGIC PLANNING. TRAININGS INCLUDE CONDUCTING NEEDS ASSESSMENTS; CREATING DEVELOPMENT PLANS THAT BUILD ON ORGANIZATIONAL STRENGTHS; LEADERSHIP COURSES ON BEST PRACTICES AND LEADERSHIP PRINCIPLES; AS WELL AS NEEDS-BASED RESTORATIVE INTERVENTIONS DESIGNED TO PROMOTE ORGANIZATIONAL TEAM COHESIVENESS. WORKFORCE DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS PHYSICIAN RECRUITMENT ACTIVITIES TO ASSIST IN TIMELY RESPONSE TO PATIENT CARE NEEDS IN THE COMMUNITY. RECRUITMENT ACTIVITIES ARE BASED ON THE RESULTS OF A PERIODIC PHYSICIAN NEEDS ASSESSMENT. PARKVIEW HEALTH SYSTEM, INC. DEVELOPS A PHYSICIAN RECRUITMENT PLAN TO ADDRESS POTENTIAL GAPS IN PATIENT COVERAGE. PARKVIEW HEALTH SYSTEM, INC. STRIVES TO BRING THE BEST INTEGRATED, QUALITY, AND COST-EFFECTIVE CARE AND INNOVATIVE TECHNOLOGY AVAILABLE TO OUR COMMUNITIES. IN DOING SO, WE FOCUS OUR EFFORTS ON RECRUITING AN EXCEPTIONAL TEAM OF PHYSICIANS. ORGANIZED IN PART TO PROMOTE CLINICAL EDUCATION, PARKVIEW HEALTH SYSTEM, 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 HEALTH SYSTEM, 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 HEALTH SYSTEM, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARKVIEW HEALTH SYSTEM, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARKVIEW HEALTH SYSTEM, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION. |
| PART III, LINE 9B: | 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 HEALTH SYSTEM, 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 HEALTH SYSTEM, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:- HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS- OBSERVATIONS FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKER'S)- REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY OTHER LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) - PARKVIEW LEADERSHIP'S SERVICE ON HEALTH-RELATED AND SOCIAL SERVICE COMMUNITY BOARDS, COMMITTEES AND TASK FORCESKEY HOSPITAL REPRESENTATIVES MAINTAIN ONGOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITIES WE SERVE. |
| PART VI, LINE 3: | DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE. |
| PART VI, LINE 4: | DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARKVIEW HEALTH SYSTEM, INC. SERVES AN 11-COUNTY AREA (ADAMS, ALLEN, DEKALB, HUNTINGTON, KOSCIUSKO, LAGRANGE, NOBLE, STEUBEN, WABASH, WELLS AND WHITLEY) IN NORTHEAST INDIANA, AS WELL AS PARTS OF NORTHWEST OHIO. ACCORDING TO STATS INDIANA, THE TOTAL POPULATION OF THE HEALTH SYSTEM'S 11-COUNTY SERVICE AREA IS APPROXIMATELY 789,735 PEOPLE. PARKVIEW HEALTH SYSTEM, INC. OPERATES HOSPITALS IN ALLEN, HUNTINGTON, LAGRANGE, NOBLE, WABASH AND WHITLEY COUNTIES. OF THE SIX COUNTIES IN WHICH PARKVIEW HEALTH SYSTEM, INC. OPERATES HOSPITALS, ALLEN COUNTY IS THE AREA'S ONLY URBAN AREA IN AN OTHERWISE RURAL AREA, AND ROUGHLY MAKES UP 66.8% OF THE AREA POPULATION.EVEN THOUGH PARKVIEW'S PATIENT SERVICE AREA EXTENDS FAR BEYOND THE SIX COUNTIES WHERE PARKVIEW HOSPITAL ENTITIES RESIDE, ADDRESSING POPULATION HEALTH PRIORITIES IS GROUNDED LARGELY ON THE DEGREE OF ACCESSIBILITY THAT COMMUNITY MEMBERS POSSESS TO ASSISTANCE PROGRAMS, COMMUNITY RESOURCES, ETC. IN ORDER TO BEST IMPROVE POPULATION HEALTH ACROSS THE COMMUNITIES THAT THE HEALTH SYSTEM SERVES, COMMUNITY HEALTH IMPROVEMENT INITIATIVES ARE PRIMARILY PROVIDED TO COMMUNITIES WITHIN EACH OF THE SIX COUNTIES. ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (2018), THE MEDIAN PERCENTAGE OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL IS 9.7% FOR THE SIX-COUNTY AREA (RANGING FROM 7.3% TO 14.3%). THE MEAN HOUSEHOLD INCOME WITHIN THE SIX-COUNTY AREA IS $55,518 AND RANGES FROM $50,637 (WABASH) TO $61,153 (WHITLEY). THE UNEMPLOYMENT RATE RANGES FROM 2.8 PERCENT (LAGRANGE COUNTY) TO 3.1 PERCENT (HUNTINGTON, NOBLE AND WABASH COUNTY) ON AVERAGE DURING 2019, ACCORDING TO STATS INDIANA. THERE IS ONLY ONE OTHER EXTERNAL FOR-PROFIT HEALTH SYSTEM OPERATING THREE HOSPITALS WITHIN THE 6-COUNTY AREA PARKVIEW OPERATES HOSPITALS. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, DEVELOPS SHORTAGE DESIGNATION CRITERIA AND USES THEM TO DECIDE WHETHER OR NOT A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY IS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). HRSA HAS DESIGNATED THE FOLLOWING:ALLEN COUNTY:- MUA/MUP ID: 00955- DISCIPLINE: PRIMARY CARE- SERVICE AREA NAME: LOW INCOME - SOUTH FORT WAYNE SERVICE AREA - DESIGNATION TYPE: MUP LOW INCOME- INDEX OF MEDICAL UNDERSERVICE SCORE: 59.5- STATUS: DESIGNATED- RURAL STATUS: NON-RURALHUNTINGTON COUNTY:-MUA/MUP ID: 00985- DISCIPLINE: PRIMARY CARE- SERVICE AREA NAME: SALAMONIE SERVICE AREA- DESIGNATION TYPE: MEDICALLY UNDERSERVED AREA- INDEX OF MEDICAL UNDERSERVICE SCORE: 52.9- STATUS: DESIGNATED- RURAL STATUS: RURALKOSCIUSKO COUNTY: -MUA/MUP ID: 07874- DISCIPLINE: PRIMARY CARE- SERVICE AREA NAME: LOW INCOME - WARSAW SERVICE AREA- DESIGNATION TYPE: MUP LOW INCOME- INDEX OF MEDICAL UNDERSERVICE SCORE: 57.3- STATUS: DESIGNATED- RURAL STATUS: RURALWABASH COUNTY:-MUA/MUP ID: 1181155511N/- DISCIPLINE: PRIMARY CARE- SERVICE AREA NAME: LI-WABASH COUNTY- DESIGNATION TYPE: MUP LOW INCOME- INDEX OF MEDICAL UNDERSERVICE SCORE: 57.7- STATUS: DESIGNATED- RURAL STATUS: RURALDATA SOURCE FOR HRSA DESIGNATIONS: HTTPS://DATA.HRSA.GOV/TOOLS/SHORTAGE-AREA/HPSA-FIND |
| PART VI, LINE 5: | PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).THE MAJORITY OF THE PARKVIEW HEALTH SYSTEM, INC. BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN THE HEALTH SYSTEM'S PRIMARY SERVICE AREA.PARKVIEW HEALTH SYSTEM, INC., AS PARENT OF THE SYSTEM'S VARIOUS HOSPITAL ENTITIES AND PHYSICIAN PRACTICES, SERVES IN AN OVERSIGHT CAPACITY TO FORM AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EACH OF OUR HEALTHCARE FACILITIES ARE EFFICIENTLY SUPPORTED WITH CENTRALIZED, COST-EFFECTIVE ADMINISTRATIVE SUPPORT AND GUIDANCE TO FORM A COMPLETE AND COMPREHENSIVE CARE DELIVERY SYSTEM FOR THE REGION. PARKVIEW HEALTH SYSTEM, INC. SERVES TO MEET ITS MISSION TO ITS COMMUNITIES BY CONDUCTING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT OF THE REGION AND OFFERING THE SERVICES NECESSARY FOR A SAFER AND HEALTHIER POPULATION.DATA OBTAINED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS, PHYSICIAN SURVEYS, AND TREND AND TREATMENT ANALYSIS ARE UTILIZED IN PARKVIEW HEALTH SYSTEM, INC.'S STRATEGIC PLANNING PROCESS. THROUGH THIS PROCESS, PARKVIEW HEALTH SYSTEM, INC. HAS ESTABLISHED SEVERAL PRIORITY AREAS. THESE PRIORITY AREAS ALIGN WITH THE SYSTEM'S MISSION, VISION AND GOALS. ALL HOSPITAL ENTITIES SHARE THE COMMUNITY HEALTH PRIORITY OF SUBSTANCE USE DISORDER AND MENTAL HEALTH. OTHER TOP COMMUNITY HEALTH PRIORITIES ADOPTED THROUGHOUT THE HEALTH SYSTEM INCLUDE MATERNAL/CHILD HEALTH, OBESITY, AND CARDIOVASCULAR DISEASE AND DIABETES. THROUGH PARKVIEW HEALTH SYSTEM, INC. COMMUNITY HOSPITALS, FUNDING IS ALLOCATED ON AN ANNUAL BASIS TO SUPPORT LOCAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES. COMMITTEE PARTICIPATION AND RESOURCES ARE COMMITTED TO SUPPORTING HEALTH INITIATIVES AND PARTNER ORGANIZATIONS THAT ADDRESS IDENTIFIED HEALTH PRIORITIES SPECIFIC TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES THAT WE SERVE. INITIATIVES TO ADDRESS SUBSTANCE USE DISORDER AND MENTAL HEALTH INCLUDE THE PEER SUPPORT SERVICES FOR OPIOID USE DISORDER; PERINATAL SUBSTANCE USE DISORDER NAVIGATOR PROGRAM; AND THE ZERO SUICIDE PROGRAM.IN ADDITION TO THE WORK ACCOMPLISHED THROUGH THE COMMUNITY HOSPITALS, THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC. PART OF PARKVIEW HEALTH SYSTEM INC., (IN PARTNERSHIP WITH PARKVIEW HOSPITAL, INC. AND LOCAL SCHOOLS) CONTINUES TO COMBAT OBESITY BY PROMOTING HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY AND INJURY PREVENTION EDUCATION. IN SUPPORTING THIS FEAT, A COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINER (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA RELATED TO ACTIVITIES OF HEALTHY LIVING. THIS INCLUDES INITIATIVES SUCH AS NUTRITION CLASSES FOR OUR CLUB SPORT TEAMS, INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE.TO REINFORCE THESE EFFORTS, THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC. IS PROUD TO PROVIDE AREA HIGH SCHOOLS, UNIVERSITIES AND SPORTS CLUBS - INCLUDING FORT WAYNE COMMUNITY SCHOOLS - WITH OVER 70 ATHLETIC TRAINERS AT NO COST. OUR CERTIFIED ATHLETIC TRAINERS SERVE OVER 40 SCHOOLS AND CLUBS IN NORTHEAST INDIANA AND NORTHWEST OHIO. THEY WORK AT THE SCHOOLS AND PROVIDE SAFETY ON THE SIDELINES THROUGH PREVENTATIVE SERVICES, INJURY REHABILITATION AND EMERGENCY CARE AT EVERY PRACTICE AND EVERY HOME GAME.IN CARRYING OUT OUR MISSION TO IMPROVE ACCESS TO HEALTHCARE AS A NOT-FOR-PROFIT HEALTH SYSTEM, PARKVIEW HEALTH SYSTEM, INC. CONTINUES ITS FOCUS ON THE RECRUITMENT AND TRAINING OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS, AS WELL AS OTHER HEALTHCARE PROFESSIONALS SUCH AS NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS AND NURSES IN SEVERAL LOCATIONS IN THE REGION. TO INCREASE ACCESS TO SERVICES BEYOND HOSPITAL AND TRADITIONAL PHYSICIAN OFFICE SETTINGS, PARKVIEW HAS DEVELOPED WALK-IN CLINICS WITH EXTENDED HOURS IN SEVERAL LOCATIONS THROUGHOUT THE REGION. PARKVIEW ORTHO HOSPITAL, INC. INTRODUCED A WALK-IN ORTHOPEDIC CLINIC TO PROVIDE SAME-DAY SERVICE FOR INDIVIDUALS WITH MINOR ORTHOPEDIC AND SPORTS INJURIES. PARKVIEW ALSO LAUNCHED PARKVIEW ONDEMAND, A TELEHEALTH PLATFORM THAT CONNECTS INDIVIDUALS WITH A PROVIDER 24/7 FOR NON-EMERGENCY CONDITIONS SUCH AS COLD AND FLU, ALLERGIES AND PINK EYE.PARKVIEW HOSPITAL, INC., HAS FOSTERED CLINICAL RESEARCH SERVICES THROUGH THE PARKVIEW RESEARCH CENTER TO PARKVIEW HEALTH SYSTEM, INC. PHYSICIANS FOR OVER 25 YEARS. THE PROGRAM HAS DEVELOPED AREAS OF SPECIALIZATION IN CARDIOLOGY, NEUROLOGY, RADIATION ONCOLOGY, EMERGENCY MEDICINE AND CRITICAL CARE SERVICES DURING THAT TIME. THE PARKVIEW RESEARCH CENTER RELOCATED TO THE NEWLY CONSTRUCTED PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION IN 2015 ON THE NORTH FORT WAYNE CAMPUS, BRINGING TOGETHER PHYSICIANS, PHARMACISTS, NURSES AND ALLIED HEALTHCARE PROFESSIONALS TO COLLABORATE ON INNOVATIVE SOLUTIONS FOR PATIENT CARE. THE ADVANCED MEDICAL SIMULATION LAB ALLOWS MULTIDISCIPLINARY CARE TEAMS THE OPPORTUNITY TO ENHANCE CLINICAL AND COMMUNICATION SKILLS IN ORDER TO IMPROVE THE QUALITY OF CARE PROVIDED.AS PART OF THE PARKVIEW RESEARCH CENTER, THE HEALTH SERVICES AND INFORMATICS RESEARCH TEAM ENGAGES IN A VARIETY OF COMMUNITY HEALTH RELATED RESEARCH INITIATIVES. THE TEAM IS COMPRISED OF INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS AND USER EXPERIENCE SPECIALISTS. THIS TEAM WORKS ON A BROAD ARRAY OF PROJECTS, INCLUDING INVESTIGATOR-INITIATED RESEARCH, PROGRAM EVALUATION, PILOT STUDIES, COMMUNITY SURVEY STUDIES AND USER EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. SOME EXAMPLES OF THEIR PROJECTS INCLUDE YOUTH MENTAL HEALTH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MOST OF THE TEAM'S WORK LEADS TO PEER-REVIEWED PUBLICATIONS IN JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND DISSEMINATING INFORMATION TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY.THE HEALTH SYSTEM CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH PARTNERSHIPS BETWEEN PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND LOCAL UNIVERSITIES ON THE NORTH FORT WAYNE CAMPUS, AS WELL AS DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM ON THE RANDALLIA CAMPUS. THE CONSORTIUM IS A COLLABORATIVE EFFORT BETWEEN THE HOSPITAL, TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY AND PROVIDES ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE OFFERED, THUS ADDRESSING SIGNIFICANT WORKFORCE GAP AND SPECIALTY CARE ACCESS NEEDS IN THE COMMUNITY. IN ADDITION TO THE HEALTH SYSTEMS PARTNERSHIPS WITH TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY, PARKVIEW HEALTH SYSTEM, INC. SAW THE NEED TO PULL HIGH SCHOOL STUDENTS, UNIVERSITIES AND HEALTH CARE SYSTEMS TOGETHER TO PROVIDE AN INNOVATIVE LEARNING EXPERIENCE THAT WILL ALLOW TEENS AND YOUNG ADULTS TO FIND OUT WHAT CAREER OPTIONS ARE AVAILABLE IN HEALTHCARE. THE PARKVIEW EDUCATION CENTER (PEC) IS THE RESULT OF AN INNOVATIVE ASSOCIATION BETWEEN PARKVIEW HEALTH, FORT WAYNE COMMUNITY SCHOOLS (FWCS) AND IVY TECH COMMUNITY COLLEGE. PEC OFFERS YOUNG PEOPLE, COLLEGE STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. PEC IS A STATE-OF-THE-ART FACILITY THAT IS COMPRISED OF PARKVIEW'S TRAINING AND ONBOARDING ACTIVITIES, FWCS CAREER ACADEMY'S HEALTH SCIENCE PROGRAMS AND IVY TECH'S HEALTH SERVICES TRAINING PROGRAMS. FURTHERMORE, PEC PROVIDES BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS. THE CLASSROOMS, LABORATORIES AND COLLABORATIVE SPACES PROVIDE PEOPLE FROM ALL SKILLSETS AND BACKGROUNDS TO GROW TOGETHER, ENABLING HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, GIVING ADULTS THE CHANCE TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND EQUIPPING PARKVIEW CO-WORKERS TO ENHANCE THEIR SKILLS.THROUGH THE PEC, WE CAN ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. EDUCATORS CAN PARTNER ACROSS THE CONSORTIUM, SHARING NOT ONLY SPACE, BUT ALSO RESOURCES, TECHNOLOGY AND BEST PRACTICES. YOUNG ADULTS CAN LITERALLY SEE PICTURES OF THEIR FUTURE AS THEY MEET AND INTERACT WITH EXPERTS IN THEIR FIELDS OF INTEREST. LEARNERS CAN ENCOURAGE EACH OTHER DESPITE THEIR AGE, ACADEMIC ACCOMPLISHMENTS OR EXPERIENCE LEVELS.(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 AND 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 CUSTOMIZED TO MEET THE UNIQUE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN THE SEVEN-COUNTY AREA, THE HEALTH PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES WITH A BOARD OF DIRECTORS THAT CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL ALWAYS BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE. 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.).EVEN THOUGH HEALTHCARE CAREERS ARE THE PRIMARY FOCUS, THE PEC DRAWS IN A VARIETY OF CLASSES, MEETINGS AND ACTIVITIES FOR MULTIPLE CAREERS. INVESTING IN BOTH CURRENT AND FUTURE LEADERS RESULTS IN BETTER OUTCOMES FOR ORGANIZATIONS AND, IN TURN, OUR COMMUNITIES. LEARNING ACTIVITIES OF ALL KINDS WILL ENHANCE THE KNOWLEDGE OF OUR FUTURE LEADERS AND MAKE THEM MORE EFFECTIVE. THE PEC WAS BUILT WITH THE BELIEF THAT ALLOWING SUCH A DIVERSE GROUP OF PEOPLE TO SHARE IDEAS FUELS INNOVATION AND RESULTS IN A MORE COMPREHENSIVE LEARNING EXPERIENCE FOR CURRENT AND ASPIRING HEALTHCARE PROFESSIONALS. BY OFFERING AN INNOVATIVE APPROACH TO EDUCATION, WE'RE HELPING TO ENSURE THAT HEALTHCARE IN OUR REGION WILL THRIVE WELL INTO THE FUTURE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (107 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE HONEYWELL FOUNDATION INC | |||||||||||
| 275 WEST MARKET STREET | WABASH | IN | 46992 | 350390706 | 501(C)(3) | $1,040,000 | CAPITAL CAMPAIGN & EDUCATIONAL OUTREACH FUND | ||||
| UNIVERSITY OF SAINT FRANCIS OF FORT WAYNE INDIANA INC | |||||||||||
| 2701 SPRING STREET | FORT WAYNE | IN | 46808 | 350886846 | 501(C)(3) | $597,272 | CAPITAL CAMPAIGN & SCHOOL OF NURSING SCHOLARSHIP PROGRAM | ||||
| YMCA OF DEKALB COUNTY | |||||||||||
| 533 NORTH STREET | AUBURN | IN | 46706 | 350868958 | 501(C)(3) | $555,000 | CAPITAL CAMPAIGN & PROGRAMS FOSTERING YOUTH DEVELOPMENT & HEALTHY LIVING | ||||
| MANCHESTER UNIVERSITY INC | |||||||||||
| 604 E COLLEGE AVENUE | NORTH MANCHESTER | IN | 46962 | 350868127 | 501(C)(3) | $509,000 | EQUIPMENT NEEDS FOR BACCALAUREATE NURSING SKILL LABORATORY | ||||
| INDIANA INSTITUTE OF TECHNOLOGY INC | |||||||||||
| 1600 E WASHINGTON BLVD | FORT WAYNE | IN | 46803 | 350845258 | 501(C)(3) | $500,000 | SUPPORT FOR ADDITION OF THE CENTER FOR HEALTH SCIENCES & NURSING - EXPANSION & RENOVATION OF THE ZOLLNER ENGINEERING CENTER | ||||
| COVENANT COMMUNITY DEVELOPMENT CORPORATION | |||||||||||
| 3420 E PAULDING RD | FORT WAYNE | IN | 46816 | 474667808 | 501(C)(3) | $350,000 | IMPACT CENTER BUILDING CAMPAIGN | ||||
| AMANI FAMILY SERVICES INC | |||||||||||
| 2456 LAKE AVENUE | FORT WAYNE | IN | 46805 | 412205791 | 501(C)(3) | $5,000 | PROGRAMS TO ASSIST IMMIGRANT AND REFUGEE FAMILIES AND THE COMMUNITY TO PROMOTE SAFETY, ENCOURAGE PERSONAL GROWTH, AND FOSTER A SPIRIT OF BELONGING | $269,438 | NBV | LAND AND BUILDING AT 5104 N CLINTON STREET, FORT WAYNE, IN 46825 | |
| CITY OF FORT WAYNE REDEVELOPMENT COMMISSION | |||||||||||
| ONE EAST MAIN STREET | FORT WAYNE | IN | 46802 | GOVT ORG | $210,000 | CAPITAL MAINTENANCE & IMPROVEMENT FUND FOR PARKVIEW FIELD & SUPPORT FOR VARIOUS CITY EVENTS | |||||
| BOYS AND GIRLS CLUB OF FORT WAYNE | |||||||||||
| 2609 FAIRFIELD AVENUE | FORT WAYNE | IN | 46807 | 351778767 | 501(C)(3) | $152,400 | CAPITAL CAMPAIGN & AFTER-SCHOOL AND SUMMER PROGRAMS THAT PROVIDE POSITIVE, EDUCATIONAL EXPERIENCES FOR LOW-INCOME CHILDREN | ||||
| EMERGENCY MEDICINE EDUCATIONAL FOUNDATION OF NORTHEAST INDIANA | |||||||||||
| 3640 NEW VISION DRIVE | FORT WAYNE | IN | 46845 | 465584998 | 501(C)(3) | $150,000 | SUPPORT OF EMERGENCY MEDICINE EDUCATION AND TRAINING | ||||
| FORT WAYNE PHILHARMONIC ORCHESTRA INC | |||||||||||
| 4901 FULLER DRIVE | FORT WAYNE | IN | 46835 | 350791163 | 501(C)(3) | $110,000 | PROGRAMS TO INSPIRE AND FOSTER A LOVE OF CLASSICAL MUSIC | ||||
| IHA HOSPITAL ASSISTANCE FOUNDATION INC | |||||||||||
| 1 AMERICAN SQUARE SUITE 1900 | INDIANAPOLIS | IN | 46282 | 455573749 | 501(C)(3) | $103,574 | PROMOTE A STABLE AND DIVERSE HOSPITAL INFRASTRUCTURE THROUGHOUT INDIANA | ||||
| ASSOCIATED CHURCHES OF FORT WAYNE IND INC | |||||||||||
| 602 E WAYNE STREET | FORT WAYNE | IN | 46802 | 350905944 | 501(C)(3) | $100,000 | PROGRAMS TO CONNECT LOCAL CHURCHES WITH THE GREATEST NEED IN THE COMMUNITY | ||||
| ECKHART LIBRARY FOUNDATION INC | |||||||||||
| 130 E SEVENTH STREET | AUBURN | IN | 46706 | 824858476 | 501(C)(3) | $100,000 | CAPITAL CAMPAIGN | ||||
| ELEVATE VENTURES INC | |||||||||||
| 50 E 91ST STREET STE 213 | INDIANAPOLIS | IN | 46240 | 274118692 | 501(C)(3) | $100,000 | COMMUNITY PARTNERSHIP PLEDGE - ELEVATE VENTURES & NORTHEAST INDIANA PARTNERSHIP | ||||
| ARTS UNITED OF GREATER FORT WAYNE INC | |||||||||||
| 300 EAST MAIN STREET | FORT WAYNE | IN | 46802 | 350992067 | 501(C)(3) | $98,333 | PROGRAMS SUPPORTING THE ADVANCEMENT OF THE ARTS AND CULTURE | ||||
| FORT WAYNE COMMUNITY SCHOOLS | |||||||||||
| 1200 S CLINTON STREET | FORT WAYNE | IN | 46802 | GOVT ORG | $78,750 | MUSIC PROGRAMS | |||||
| UNITY PERFORMING ARTS FOUNDATION INC | |||||||||||
| PO BOX 10394 | FORT WAYNE | IN | 46852 | 352110907 | 501(C)(3) | $75,000 | SUPPORT FOR CHARACTER, ARTISTRY & LEADERSHIP DEVELOPMENT FOR CHILDREN AND ADOLESCENTS | ||||
| RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA | |||||||||||
| 11109 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | 351950376 | 501(C)(3) | $62,800 | CAPITAL CAMPAIGN, PEDIATRIC RESEARCH & PROGRAMS PROVIDING SUPPORT FOR ALL PEDIATRIC FAMILIES | ||||
| FORT 4 FITNESS | |||||||||||
| 2826 S CALHOUN STREET | FORT WAYNE | IN | 46807 | 261936423 | 501(C)(3) | $60,000 | PROGRAMS TO PROMOTE ACTIVE AND HEALTHY LIVING | ||||
| FELLOWSHIP OF CHRISTIAN ATHLETES | |||||||||||
| 578 GEIGER DR STE A1 | ROANOKE | IN | 46783 | 440610626 | 501(C)(3) | $50,000 | SUPPORT OF MINISTRY FOR COACHES AND ATHLETES BASED ON CHRISTIAN PRINCIPLES | ||||
| TROY CENTER SCHOOL | |||||||||||
| 709 W BUSINESS 30 | COLUMBIA CITY | IN | 46725 | 460634748 | 501(C)(3) | $50,000 | SCHOOL PROGRAMS | ||||
| YOUTH FOR CHRIST OF NORTHERN INDIANA INC | |||||||||||
| 3427 OAKBROOK PKWY | FORT WAYNE | IN | 46825 | 351051837 | 501(C)(3) | $41,500 | EDUCATION PROGRAMS WITH A CHRISTIAN RELIGIOUS VALUES TO CHILDREN RANGING IN AGE FROM MIDDLE-SCHOOL TO HIGH SCHOOL TEENS | ||||
| FORT WAYNE CLUB HOUSE INC DBA THE CARRIAGE HOUSE | |||||||||||
| 3327 LAKE AVE | FORT WAYNE | IN | 46805 | 352026647 | 501(C)(3) | $40,900 | JOB AND LIFE SKILLS PROGRAM DESIGNED FOR THOSE WITH A MENTAL HEALTH DIAGNOSIS | ||||
| ALWAYS 100 INC | |||||||||||
| 3946 ICE WAY | FORT WAYNE | IN | 46805 | 453586802 | 501(C)(3) | $40,000 | SPORTS AND ATHLETIC TRAINING PROGRAMS | ||||
| GLOBAL LEADERSHIP SUMMIT AND BEYOND | |||||||||||
| 7400 EAST STATE BLVD | FORT WAYNE | IN | 46815 | 472474572 | 501(C)(3) | $40,000 | LEADERSHIP TRAINING FOR COMMUNITY MEMBERS | ||||
| AFRICAN-AMERICAN HEALTHCARE ALLIANCE OF FORT WAYNE INC | |||||||||||
| 4950 IRIS AVENUE | FORT WAYNE | IN | 46825 | 352134195 | 501(C)(3) | $32,900 | HEALTHCARE SCHOLARSHIPS | ||||
| FORT WAYNE AIR SHOW INC | |||||||||||
| 111 E WAYNE STREET | FORT WAYNE | IN | 46804 | 454229251 | 501(C)(3) | $31,726 | SUPPORT FORT WAYNE AIR SHOW AND FORT WAYNE AIR NATIONAL GUARD | ||||
| THE FORT WAYNE RESCUE MISSION MINISTRIES INC | |||||||||||
| 301 W SUPERIOR ST | FORT WAYNE | IN | 46802 | 351054670 | 501(C)(3) | $30,850 | PROGRAMS TO PROVIDE SHELTER FOR THE HOMELESS, FOOD FOR THE HUNGRY AND HOPE FOR THEIR FUTURE | ||||
| BRIDGE OF GRACE COMPASSIONATE MINISTRIES | |||||||||||
| 5100 GAYWOOD DRIVE | FORT WAYNE | IN | 46806 | 454056745 | 501(C)(3) | $30,000 | SPONSORSHIP FOR COMPASSIONATE MINISTRIES CENTER AND ITS PROGRAMS AND PROJECTS | ||||
| IVY TECH FOUNDATION INC | |||||||||||
| 50 WEST FALL CREEK PARKWAY NORTH | INDIANAPOLIS | IN | 46208 | 237073977 | 501(C)(3) | $30,000 | SCHOLARSHIP PROGRAMS | DRIVE | |||
| WOLF LAKE FREE HEALTH CLINIC INC | |||||||||||
| PO BOX 323 | COLUMBIA CITY | IN | 46725 | 352355801 | 501(C)(3) | $25,000 | HEALTHCARE PROGRAMS | ||||
| BLACKHAWK CHRISTIAN SCHOOL | |||||||||||
| 7400 EAST STATE BLVD | FORT WAYNE | IN | 46815 | 351285808 | 501(C)(3) | $23,750 | SUPPORT TO PROVIDE QUALITY CHRISTIAN EDUCATION | ||||
| BLESSINGS IN A BACKPACK INC | |||||||||||
| 111 EAST WAYNE STREET STE 555 | FORT WAYNE | IN | 46802 | 262627847 | 501(C)(3) | $21,500 | FOOD DISTRIBUTION PROGRAM FOR LOW-INCOME CHILDREN | ||||
| CITY OF BRYAN | |||||||||||
| 1399 E HIGH STREET | BRYAN | OH | 43516 | GOVT ORG | $21,482 | SUPPORT FOR AED'S THROUGHOUT THE PARKS | |||||
| YMCA OF GREATER FORT WAYNE | |||||||||||
| 347 W BERRY STREET | FORT WAYNE | IN | 46802 | 350886850 | 501(C)(3) | $20,650 | PROGRAMS FOSTERING YOUTH DEVELOPMENT, HEALTHY LIVING & SOCIAL RESPONSIBILITY | ||||
| MARCH OF DIMES INC | |||||||||||
| 303 STABLE DRIVE | FORT WAYNE | IN | 46825 | 131846366 | 501(C)(3) | $20,025 | RESEARCH & PROGRAMS TO DECREASE BIRTH DEFECTS AND INFANT MORTALITY | ||||
| EASTER SEALS OF NORTHEAST INDIANA INC | |||||||||||
| 4919 COLDWATER RD | FORT WAYNE | IN | 46825 | 350869058 | 501(C)(3) | $20,000 | PROGRAMS TO ASSIST CHILDREN & ADULTS WITH DISABILITIES & SPECIAL NEEDS | ||||
| STEUBEN COUNTY COMMUNITY FOUNDATION | |||||||||||
| 1701 N WAYNE STREET | ANGOLA | IN | 46703 | 351857065 | 501(C)(3) | $20,000 | COMMUNITY PROGRAMS | ||||
| WABASH COUNTY YMCA INC | |||||||||||
| 500 S CASS STREET | WABASH | IN | 46992 | 350733765 | 501(C)(3) | $19,008 | YOUTH PROGRAMS | ||||
| JUNIOR ACHIEVEMENT NORTHERN INDIANA | |||||||||||
| 601 NOBLE DRIVE | FORT WAYNE | IN | 46825 | 350922731 | 501(C)(3) | $18,550 | EXPERIENTIAL-BASED LIFE SKILL PROGRAMS FOR CHILDREN | ||||
| ERIN'S HOUSE | |||||||||||
| 5670 YMCA PARK DRIVE WEST | FORT WAYNE | IN | 46835 | 351884264 | 501(C)(3) | $17,500 | PROGRAMS SUPPORTING CHILDREN WHO HAVE SUFFERED THE DEATH OF A LOVED ONE | ||||
| LIVE HEALTHY HOOSIERS INC | |||||||||||
| 10235 LAKE SEBAGO DR | FORT WAYNE | IN | 46804 | 463782635 | 501(C)(3) | $17,500 | PROGRAMS THAT EMPOWERS INDIVIDUALS TO TAKE PERSONAL RESPONSIBILITY FOR THEIR HEALTH | ||||
| FORT WAYNE CIVIC THEATRE INC | |||||||||||
| 303 E MAIN STREET | FORT WAYNE | IN | 46802 | 356001476 | 501(C)(3) | $16,500 | PROGRAMS TO ENTERTAIN, ENLIGHTEN, INSPIRE, EDUCATE AND ENRICH THE COMMUNITY THROUGH QUALITY LIVE THEATRE | ||||
| ST VINCENT DE PAUL CHURCH | |||||||||||
| 1502 EAST WALLEN ROAD | FORT WAYNE | IN | 46825 | 351003124 | 501(C)(3) | $16,337 | MISSION TRIPS | ||||
| FORT WAYNE MEDICAL SOCIETY FOUNDATION INC | |||||||||||
| 709 CLAY STREET SUITE 101 | FORT WAYNE | IN | 46802 | 356049685 | 501(C)(3) | $15,500 | SPONSORSHIP OF COMMUNITY EVENT PROVIDING MOTHERS-TO-BE WITH EDUCATION, SUPPORT, AND TOOLS TOWARD A HEALTHY PREGNANCY AND DELIVERY | ||||
| PURDUE RESEARCH FOUNDATION | |||||||||||
| 2101 E COLISEUM BLVD KETTLER 139 | FORT WAYNE | IN | 46805 | 351052049 | 501(C)(3) | $15,422 | SCHOLARSHIP PROGRAMS | ||||
| BRAINS FOR HOPE FOUNDATION INC | |||||||||||
| 7726 INVERNESS LAKES DRIVE | FORT WAYNE | IN | 46804 | 814456605 | 501(C)(3) | $15,000 | PEDIATRIC CANCER RESEARCH | ||||
| BRYAN BOOSTERS INC | |||||||||||
| PO BOX 224 | BRYAN | OH | 43506 | 341419275 | 501(C)(3) | $15,000 | CAPITAL CAMPAIGN FOR NEW TENNIS COURTS | ||||
| CURRICULUM OPPORTUNITIES AND RESOURCES FOR EDUCATORS INC | |||||||||||
| 839 NORTHCREST SHOPPING CENTER | FORT WAYNE | IN | 46805 | 300526171 | 501(C)(3) | $15,000 | OPERATING EXPENSES, UNIFORMS, BADGES ETC. | ||||
| FORT WAYNE SUMMER SWIM AND DIVE INC | |||||||||||
| 415 EAST COOK ROAD SUITE 500 | FORT WAYNE | IN | 46825 | 814484528 | 501(C)(3) | $15,000 | SPONSORSHIP OF SWIM PROGRAMS | ||||
| IMANI BAPTIST TEMPLE | |||||||||||
| 2920 INDIANA AVE | FORT WAYNE | IN | 46807 | 135563018 | 501(C)(3) | $15,000 | MARTIN LUTHER KING COMMEMORATIVE EVENT | ||||
| THREE RIVERS FESTIVAL | |||||||||||
| 102 THREE RIVERS NORTH | FORT WAYNE | IN | 46802 | 351338028 | 501(C)(3) | $15,000 | SPONSORSHIP FOR FIREWORKS, KIDS FUN RUN, INTERNATIONAL VILLAGE | ||||
| LEUKEMIA AND LYMPHOMA SOCIETY INC | |||||||||||
| PO BOX 80365 | FORT WAYNE | IN | 46898 | 135644916 | 501(C)(3) | $13,500 | RESEARCH EFFORTS RELATED TO BLOOD CANCER | ||||
| LEAGUE FOR THE BLIND AND DISABLED INC | |||||||||||
| 5821 S ANTHONY BLVD | FORT WAYNE | IN | 46816 | 350876341 | 501(C)(3) | $13,000 | PROGRAMS THAT ASSIST THOSE WITH DISABILITIES | ||||
| GIGIS PLAYHOUSE | |||||||||||
| 2350 W HIGGINS ROAD | HOFFMAN ESTATES | IL | 60169 | 200058563 | 501(C)(3) | $12,500 | SUPPORTING THERAPEUTIC, EDUCATIONAL & CAREER TRAINING PROGRAMS SERVING CHILDREN AND ADULTS WITH DOWN SYNDROME | ||||
| EARLY CHILDHOOD ALLIANCE INC | |||||||||||
| 3800 NORTH ANTHONY | FORT WAYNE | IN | 46805 | 350953465 | 501(C)(3) | $12,400 | PROGRAMS TO IMPROVE THE EDUCATIONAL, HEALTH & EMOTIONAL WELL-BEING OF YOUNG CHILDREN | ||||
| FORT WAYNE MUSEUM OF ART | |||||||||||
| 311 EAST MAIN STREET | FORT WAYNE | IN | 46802 | 350953440 | 501(C)(3) | $11,000 | PROGRAMS TO COLLECT, PRESERVE AND PRESENT ART THROUGHOUT THE REGION | ||||
| CANTERBURY SCHOOL INC | |||||||||||
| 5601 COVINGTON RD | FORT WAYNE | IN | 46804 | 351410931 | 501(C)(3) | $10,500 | EDUCATIONAL PROGRAMS | ||||
| SCAN INC | |||||||||||
| 500 W MAIN STREET | FORT WAYNE | IN | 46802 | 310899309 | 501(C)(3) | $10,250 | PROGRAMS FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT | ||||
| ADAMS COUNTY MEMORIAL HOSPITAL AND DEVELOPMENT FOUNDATION | |||||||||||
| 1100 MERCER AVENUE PO BOX 151 | DECATUR | IN | 46733 | 351432587 | 501(C)(3) | $10,000 | HOSPITAL PROGRAMS - SPONSORSHIP FOR THE FOUNDATION GOLF CLASSIC | ||||
| AMERICAN RED CROSS | |||||||||||
| 2025 E STREET NW | WASHINGTON | DC | 20006 | 530196605 | 501(C)(3) | $10,000 | PROGRAMS THAT PREVENT AND ALLEVIATE HUMAN SUFFERING IN THE FACE OF EMERGENCIES | ||||
| COMMUNITY FOUNDATION OF GREATER FORT WAYNE INC | |||||||||||
| 555 E WAYNE STREET | FORT WAYNE | IN | 46802 | 351119450 | 501(C)(3) | $10,000 | SUPPORT THE WORK OF THE FIRST WOMEN'S AND GIRL'S STUDY IN GREATER FORT WAYNE | ||||
| COMMUNITY TRANSPORTATION NETWORK INC | |||||||||||
| 5601 INDUSTRIAL ROAD | FORT WAYNE | IN | 46825 | 352109955 | 501(C)(3) | $10,000 | MEDICAL TRANSPORTATION PROGRAM FOR THE UNDERSERVED | ||||
| COURAGEOUS HEALING INC | |||||||||||
| 10974 BARRYMORE RUN | ROANOKE | IN | 46783 | 833333360 | 501(C)(3) | $10,000 | MINORITY MENTAL HEALTH AND CULTURALLY-SENSITIVE PROGRAMS | ||||
| CROSSWINDS INC | |||||||||||
| 4150 ILLINOIS RD | FORT WAYNE | IN | 46804 | 454222417 | 501(C)(3) | $10,000 | PROGRAMS SUPPORTING FAMILY COUNSELING AND RESIDENTIAL PROGRAMS FOR TROUBLED TEENS | ||||
| DESTINY RESCUE USA INC | |||||||||||
| PO BOX 752 | NORTH WEBSTER | IN | 46555 | 262467690 | 501(C)(3) | $10,000 | RESCUING CHILDREN FROM SEXUAL EXPLOITATION | ||||
| EAST ALLEN COUNTY SCHOOLS EDUCATIONAL FOUNDATION INC | |||||||||||
| 1240 SR 930 E | NEW HAVEN | IN | 46774 | 371487238 | 501(C)(3) | $10,000 | SCHOOL PROGRAMS | ||||
| EMBASSY THEATRE FOUNDATION INC | |||||||||||
| 125 W JEFFERSON BLVD | FORT WAYNE | IN | 46802 | 237355731 | 501(C)(3) | $10,000 | PROGRAMS PROVIDING WIDE RANGE OF ARTS AND ENTERTAINMENT | ||||
| FORT WAYNE CHILDRENS CHOIR INC | |||||||||||
| 2101 E COLISEUM BLVD | FORT WAYNE | IN | 46805 | 351638989 | 501(C)(3) | $10,000 | TO PROVIDE A CHORAL PROGRAM EXEMPLIFYING ARTISTIC AND EDUCATIONAL EXCELLENCE FOR CHILDREN FROM DIVERSE BACKGROUNDS | ||||
| FORT WAYNE COMMISSION FOR AFRICAN AMERICAN MALES INC | |||||||||||
| PO BOX 10831 | FORT WAYNE | IN | 46853 | 473146908 | 501(C)(3) | $10,000 | SPONSORSHIP FOR SUMMER COMMUNITY CELEBRATION FOR THE SOCIAL STATUS OF BLACK MEN | ||||
| HISPANIC LEADERSHIP COALITION OF NORTHEAST INDIANA INC | |||||||||||
| 235 W CREIGHTON AVENUE | FORT WAYNE | IN | 46807 | 204336796 | 501(C)(3) | $10,000 | SCHOLARSHIPS | ||||
| KATE'S KART | |||||||||||
| 10376 LEO ROAD STE A | FORT WAYNE | IN | 46845 | 262615368 | 501(C)(3) | $10,000 | DISTRIBUTION OF BOOKS TO HOSPITALIZED CHILDREN | ||||
| LATINOS COUNT INC | |||||||||||
| 428 W SHERWOOD TERRACE | FORT WAYNE | IN | 46807 | 461151642 | 501(C)(3) | $10,000 | SCHOLARSHIP PROGRAMS | ||||
| MAKE-A-WISH FOUNDATION OF OHIO KENTUCKY AND INDIANA INC | |||||||||||
| 6201 CORPORATE DRIVE STE 100 | INDIANAPOLIS | IN | 46278 | 341471131 | 501(C)(3) | $10,000 | SUPPORT MAKING AN IMPACT IN THE LIFE OF A CRITICALLY ILL LOCAL CHILD | ||||
| MOTHER TO MOTHER INC | |||||||||||
| 7217 CHADWICK DR | FORT WAYNE | IN | 46816 | 820781459 | 501(C)(3) | $10,000 | FAMILY GRIEF CONFERENCE | ||||
| NORTHEAST INDIANA FOUNDATION INC | |||||||||||
| 200 E MAIN STR STE 910 | FORT WAYNE | IN | 46802 | 593812438 | 501(C)(3) | $10,000 | INDIANA EARLY LEARNING SUMMIT SPONSORSHIP | ||||
| NORTHEAST INDIANA INNOVATION CENTER | |||||||||||
| 3201 STELLHORN RD | FORT WAYNE | IN | 46815 | 352097779 | 501(C)(3) | $10,000 | EVENT SPONSOR OF THE 2019 IDEAS AT WORK EVENT | ||||
| NORTHEAST INDIANA CHRISTIAN ACTION COUNCIL EDUCATION & CHARITABLE FUND | |||||||||||
| 3630 HOBSON ROAD | FORT WAYNE | IN | 46815 | 311113254 | 501(C)(3) | $10,000 | PREGNANCY TESTING, SERVICES AND EDUCATION FOR EXPECTANT AND NEW MOTHERS | ||||
| OUT OF A JAM INC | |||||||||||
| 3506 STELLHORN ROAD | FORT WAYNE | IN | 46815 | 812862936 | 501(C)(3) | $10,000 | 100+ WOMEN WHO CARE PROGRAM | ||||
| PAULS PLACE SUPPORT FOR FAMILIES INC | |||||||||||
| PO BOX 12305 | FORT WAYNE | IN | 46863 | 810997964 | 501(C)(3) | $10,000 | 100+ WOMEN WHO CARE PROGRAM | ||||
| THE ROSE HOME INC | |||||||||||
| 2208 WAYNE TRACE | FORT WAYNE | IN | 46803 | 260833406 | 501(C)(3) | $10,000 | 100+ WOMEN WHO CARE PROGRAM | ||||
| STEUBEN COUNTY UNITED WAY INC | |||||||||||
| 317 S WAYNE STREET STE 3D | ANGOLA | IN | 46703 | 237168857 | 501(C)(3) | $10,000 | PROGRAMS TO IMPROVE EDUCATION AND CUT THE NUMBER OF HIGH SCHOOL DROPOUTS | ||||
| TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES INC | |||||||||||
| 3320 NORTH CLINTON ST | FORT WAYNE | IN | 46805 | 350913541 | 501(C)(3) | $10,000 | SUPPORTING THERAPY AND WELLNESS PROGRAMS FOR DISABLED CHILDREN & ADULTS | ||||
| WOMENS CARE CENTER FOUNDATION INC | |||||||||||
| 360 N NOTRE DAME AVE | SOUTH BEND | IN | 46617 | 383651599 | 501(C)(3) | $10,000 | PROVIDE SUPPORT & RAISE AWARENESS OF EXPECTANT AND NEW MOTHERS IN NEED OF ASSISTANCE | ||||
| YWCA OF NORTHEAST INDIANA INC | |||||||||||
| 5920 DECATUR RD | FORT WAYNE | IN | 46816 | 350868220 | 501(C)(3) | $10,000 | DOMESTIC VIOLENCE PREVENTION EDUCATION PROGRAMS AND SERVICES FOR SURVIVORS | ||||
| NORTHWEST ALLEN COUNTY SCHOOLS | |||||||||||
| 13119 COLDWATER ROAD | FORT WAYNE | IN | 46845 | GOVT ORG | $8,000 | STUDENT SCHOLARSHIPS AND STAFF PROFESSIONAL DEVELOPMENT | |||||
| FORGOTTEN CHILDREN WORLDWIDE | |||||||||||
| 650 N MAIN ST | BLUFFTON | IN | 46714 | 260609769 | 501(C)(3) | $7,500 | SAFEGUARDS ORPHANS AND VULNERABLE CHILDREN FROM POVERTY, ABANDONMENT, AND THE EVILS OF HUMAN TRAFFICKING | ||||
| SANGAM CHARITABLE FOUNDATION INC | |||||||||||
| 10214 CHESTNUT PLAZA DRIVE 121 | FORT WAYNE | IN | 46814 | 311120273 | 501(C)(3) | $7,500 | SHRUTI INDIAN PERFORMANCE SERIES | ||||
| THE LUTHERAN HEALTH FOUNDATION OF NORTHEAST INDIANA INC | |||||||||||
| 3024 FAIRFIELD AVE | FORT WAYNE | IN | 46807 | 350886840 | 501(C)(3) | $7,500 | ADVANCING MENTAL HEALTH MINISTRY | ||||
| SCIENCE CENTRAL INC | |||||||||||
| 1950 N CLINTON | FORT WAYNE | IN | 46805 | 311032583 | 501(C)(3) | $7,320 | HANDS-ON SCIENCE EDUCATION RESOURCE PROGRAMS | ||||
| ANTHONY WAYNE AREA COUNCIL INC | |||||||||||
| 8315 W JEFFERSON BLVD | FORT WAYNE | IN | 46804 | 350876343 | 501(C)(3) | $7,000 | PROGRAM SPONSORSHIPS | ||||
| FORT WAYNE URBAN LEAGUE INC | |||||||||||
| 2135 S HANNA STREET | FORT WAYNE | IN | 46803 | 350869052 | 501(C)(3) | $7,000 | SPONSORSHIP OF ANNUAL EVENTS TO SUPPORT NEEDED SERVICES PROVIDED TO VULNERABLE POPULATIONS | ||||
| AYERS COMMUNICATIONS INC | |||||||||||
| PO BOX 13761 | FORT WAYNE | IN | 46865 | 453952772 | 501(C)(3) | $6,500 | SPONSORSHIP EVENT TO PROVIDE SCHOLARSHIPS | ||||
| FORT WAYNE ZOOLOGICAL SOCIETY INC | |||||||||||
| 3411 SHERMAN BLVD | FORT WAYNE | IN | 46808 | 356068234 | 501(C)(3) | $6,000 | TO CONNECT KIDS WITH ANIMALS, STRENGTHEN FAMILIES AND INSPIRE PEOPLE TO CARE ABOUT THE WORLD AROUND THEM | ||||
| NAACP | |||||||||||
| 2513 S CALHOUN STR | FORT WAYNE | IN | 46807 | 356072055 | 501(C)(3) | $6,000 | MARJORIE D. WICKLIFFE FREEDOM FUND BANQUET | ||||
| ONE HEART DISABILITY MINISTRY | |||||||||||
| 1400 W WASHINGTON CTR RD | FORT WAYNE | IN | 46825 | 463493341 | 501(C)(3) | $6,000 | OUTREACH FOR ADULTS WITH DISABILITIES | ||||
| RESPECT360 INC | |||||||||||
| PO BOX 309 | HUNTERTOWN | IN | 46748 | 474090921 | 501(C)(3) | $6,000 | SCHOLARSHIP PROGRAM | ||||
| TRINE UNIVERSITY INC | |||||||||||
| ONE UNIVERSITY AVENUE | ANGOLA | IN | 46703 | 350715530 | 501(C)(3) | $6,000 | SPONSORSHIP FOR STUDENT SCHOLARSHIP PROGRAM | ||||
| UNITED WAY OF WHITLEY COUNTY | |||||||||||
| 128 W VAN BUREN ST | COLUMBIA CITY | IN | 46725 | 237300114 | 501(C)(3) | $6,000 | POWER OF THE PURSE EVENT | ||||
| CROSS CONNECTIONS INC | |||||||||||
| 4618 E STATE STREET STE 300 | FORT WAYNE | IN | 46815 | 261637652 | 501(C)(3) | $5,800 | OUTREACH FOR ADULTS WITH DISABILITIES | ||||
| HOPE ALIVE INC | |||||||||||
| 1747 N WELLS STREET | FORT WAYNE | IN | 46808 | 351365346 | 501(C)(3) | $5,700 | SUPPORT GROUPS AND COUNSELING | ||||
| INTERNATIONAL ALLIED MISSIONS | |||||||||||
| 5928 HIXSON PIKE STE 396 | HIXSON | TN | 37343 | 621631607 | 501(C)(3) | $5,500 | MEDICAL MISSION TRIPS | ||||
| WASHINGTON ELEMENTARY SCHOOL | |||||||||||
| 1200 S CLINTON STR | FORT WAYNE | IN | 46802 | GOVT ORG | $5,450 | TAKING ROOT PROGRAM PHYSICAL CHALLENGE PROGRAM FOR CHILDREN | |||||
| EMMARY BUTLER FOUNDATION INC | |||||||||||
| 5775 PEREGRINE PLACE APT 302 | FORT WAYNE | IN | 46804 | 814167518 | 501(C)(3) | $5,400 | SCHOLARSHIP PROGRAMS | ||||
| HABITAT FOR HUMANITY OF GREATER FORT WAYNE INC | |||||||||||
| 2020 E WASHINGTON BLVD STE 500 | FORT WAYNE | IN | 46803 | 351687064 | 501(C)(3) | $5,400 | SAFE HOUSING FOR THE UNDERSERVED | ||||
| COMBINED COMMUNITY SERVICES INC | |||||||||||
| 1195 MARINERS DRIVE | WARSAW | IN | 46582 | 351615506 | 501(C)(3) | $5,318 | LOVE THY NEIGHBOR PROGRAM | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 107 | 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 |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 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 | $1,115,831 | $0 | $248,595 | $0 | $1,686,927 | $0 | $2,854,466 | $0 | $38,746 | $0 | $5,944,565 | $0 | $1,637,768 | $0 |
| RAYMOND DUSMAN | ||||||||||||||
| DIRECTOR/VICE CHAIR/PH CHI | $798,093 | $0 | $156,747 | $0 | $29,158 | $0 | $334,118 | $0 | $36,335 | $0 | $1,354,451 | $0 | $0 | $0 |
| RICK HENVEY | ||||||||||||||
| PH CHIEF OPERATING OFFICER | $782,709 | $0 | $146,290 | $0 | $48,416 | $0 | $281,380 | $0 | $43,883 | $0 | $1,302,678 | $0 | $45,868 | $0 |
| JAMES DOZIER | ||||||||||||||
| PH PHYSICIAN | $1,231,198 | $0 | $0 | $0 | $21,838 | $0 | $9,800 | $0 | $19,882 | $0 | $1,282,718 | $0 | $0 | $0 |
| KENNETH AUSTIN | ||||||||||||||
| PH PHYSICIAN | $955,008 | $0 | $177,841 | $0 | $27,821 | $0 | $19,600 | $0 | $16,162 | $0 | $1,196,432 | $0 | $0 | $0 |
| JEANNE' WICKENS | ||||||||||||||
| PH CHIEF FINANCIAL OFFICER | $689,476 | $0 | $131,971 | $0 | $21,682 | $0 | $295,719 | $0 | $32,200 | $0 | $1,171,048 | $0 | $0 | $0 |
| NEIL SHARMA | ||||||||||||||
| PRESIDENT PARKVIEW CANCER INSTITUTE | $758,703 | $0 | $190,299 | $0 | $20,140 | $0 | $145,847 | $0 | $40,149 | $0 | $1,155,138 | $0 | $0 | $0 |
| STEVEN WYNDER | ||||||||||||||
| PH PHYSICIAN | $857,057 | $12,466 | $154,913 | $0 | $30,314 | $441 | $30,423 | $377 | $25,792 | $319 | $1,098,499 | $13,603 | $0 | $0 |
| WILLIAM YOUNG | ||||||||||||||
| PH PHYSICIAN | $1,005,368 | $0 | $0 | $0 | $23,356 | $0 | $9,800 | $0 | $19,371 | $0 | $1,057,895 | $0 | $0 | $0 |
| STEPHANIE FALATKO | ||||||||||||||
| PH PHYSICIAN | $1,015,590 | $0 | $0 | $0 | $2,312 | $0 | $9,100 | $0 | $22,005 | $0 | $1,049,007 | $0 | $0 | $0 |
| MITCHELL STUCKY | ||||||||||||||
| PH PHYSICIAN EXECUTIVE OFFICER | $493,976 | $0 | $76,286 | $0 | $330,256 | $0 | $113,799 | $0 | $30,943 | $0 | $1,045,260 | $0 | $314,178 | $0 |
| ROY ROBERTSON | ||||||||||||||
| PRESIDENT PARKVIEW HEART INSTITUTE | $661,535 | $0 | $146,340 | $0 | $23,902 | $0 | $141,368 | $0 | $37,571 | $0 | $1,010,716 | $0 | $0 | $0 |
| JUDITH BOERGER | ||||||||||||||
| PH CHIEF NURSING EXECUTIVE | $330,389 | $0 | $66,841 | $0 | $351,893 | $0 | $83,847 | $0 | $30,284 | $0 | $863,254 | $0 | $309,409 | $0 |
| RONALD DOUBLE | ||||||||||||||
| PH CHIEF INFORMATION OFFICER | $466,660 | $0 | $75,304 | $0 | $23,902 | $0 | $237,380 | $0 | $29,926 | $0 | $833,172 | $0 | $0 | $0 |
| DENA JACQUAY | ||||||||||||||
| PH CHIEF COMMUNITY & HUMAN RESOURCES | $430,597 | $0 | $63,219 | $0 | $28,905 | $0 | $204,000 | $0 | $40,977 | $0 | $767,698 | $0 | $26,965 | $0 |
| GREG JOHNSON | ||||||||||||||
| PH CHIEF CLINICAL INTEGRATION OFFICE | $482,957 | $0 | $74,709 | $0 | $4,902 | $0 | $108,957 | $0 | $38,720 | $0 | $710,245 | $0 | $0 | $0 |
| DAVID STOREY | ||||||||||||||
| PH SVP GENERAL COUNSEL | $474,811 | $0 | $87,819 | $0 | $1,140 | $0 | $103,798 | $0 | $37,917 | $0 | $705,485 | $0 | $0 | $0 |
| THOMAS MILLER | ||||||||||||||
| DIRECTOR/PH CMO | $416,386 | $92,073 | $51,361 | $0 | $22,557 | $0 | $21,216 | $3,984 | $30,522 | $5,732 | $542,042 | $101,789 | $0 | $0 |
| THOMAS BOND | ||||||||||||||
| PH CHIEF MEDICAL OFFICER-PPG | $384,556 | $0 | $59,687 | $0 | $28,864 | $0 | $98,540 | $0 | $35,571 | $0 | $607,218 | $0 | $26,215 | $0 |
| JASON ROW | ||||||||||||||
| PH CHIEF MED OFFICER PPG | $384,040 | $0 | $59,625 | $0 | $28,649 | $0 | $95,672 | $0 | $37,063 | $0 | $605,049 | $0 | $26,939 | $0 |
| JOSHUA KLINE | ||||||||||||||
| DIRECTOR/PH CHIEF MED OFFICER | $364,479 | $0 | $59,676 | $0 | $47,074 | $0 | $90,127 | $0 | $36,569 | $0 | $597,925 | $0 | $26,729 | $0 |
| JEFFREY BOORD | ||||||||||||||
| PH CHIEF QUALITY & SAFETY | $378,221 | $0 | $62,920 | $0 | $21,622 | $0 | $79,824 | $0 | $36,807 | $0 | $579,394 | $0 | $0 | $0 |
| MARK PIERCE | ||||||||||||||
| PH CHIEF MED INFORMATICS O | $349,190 | $0 | $57,363 | $0 | $25,578 | $0 | $80,852 | $0 | $37,535 | $0 | $550,518 | $0 | $22,956 | $0 |
| GERALD GRANNAN | ||||||||||||||
| PH SVP & COO - PPG | $342,026 | $0 | $53,109 | $0 | $23,860 | $0 | $71,783 | $0 | $36,786 | $0 | $527,564 | $0 | $16,339 | $0 |
| SCOTT JAMES | ||||||||||||||
| PH SVP & COO SVR LINE LEADER | $289,747 | $0 | $72,306 | $0 | $19,719 | $0 | $68,604 | $0 | $33,631 | $0 | $484,007 | $0 | $18,714 | $0 |
| PATRICIA BRAHE | ||||||||||||||
| PH SVP SVR LINE LEADER | $192,084 | $0 | $46,785 | $0 | $166,048 | $0 | $53,604 | $0 | $15,984 | $0 | $474,505 | $0 | $143,340 | $0 |
| DAVID JEANS | ||||||||||||||
| PH SVP PAYER/EMPLOYER&HEALTH PLAN | $328,780 | $0 | $37,167 | $0 | $2,616 | $0 | $60,809 | $0 | $37,207 | $0 | $466,579 | $0 | $0 | $0 |
| PHILIP SMITH | ||||||||||||||
| PH SVP STRATEGY & BUSINESS | $283,907 | $0 | $61,069 | $0 | $22,208 | $0 | $67,610 | $0 | $28,442 | $0 | $463,236 | $0 | $17,974 | $0 |
| JOLYNN SUKO | ||||||||||||||
| PH SVP SVR LINE LEADER | $294,915 | $0 | $57,335 | $0 | $17,199 | $0 | $52,794 | $0 | $28,613 | $0 | $450,856 | $0 | $15,660 | $0 |
| DONNA VAN VLERAH | ||||||||||||||
| PH SVP SUPPORT DIVISION | $273,571 | $0 | $46,523 | $0 | $42,676 | $0 | $73,870 | $0 | $6,676 | $0 | $443,316 | $0 | $19,401 | $0 |
| JOSPEH WOLFCALE | ||||||||||||||
| PH SVP LAB/IMAGING & CONSUMERISM | $286,452 | $0 | $46,867 | $0 | $31,041 | $0 | $1,400 | $0 | $32,333 | $0 | $398,093 | $0 | $0 | $0 |
| ALAN MCGEE | ||||||||||||||
| DIRECTOR/PH SVR LINE LEADER | $303,155 | $73,227 | $0 | $0 | $0 | $19,077 | $0 | $0 | $0 | $0 | $303,155 | $92,304 | $0 | $0 |
| MARK KADLEC | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $135,319 | $0 | $0 | $0 | $0 | $0 | $135,319 | $0 | $135,319 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TRAVEL FOR COMPANIONS - TAXABLE EXPENSE REIMBURSEMENT FOR FAMILY MEMBER PAID TO: MICHAEL AXEL $704; THOMAS BOND $27; RAYMOND DUSMAN $134; GERALD GRANNAN $119; DAVID HAIST $1,182; HOWARD HALDERMAN $1,859; RICK HENVEY $145; THOMAS KIMBROUGH $1,066; JOSHUA KLINE $205; JERRY LONG $60; MARILYN MORAN-TOWNSEND $890; JOHN NELSON $2,150; MICHAEL PACKNETT $126; SHERRYL RHINESMITH $327; WENDY ROBINSON $1,054; LARRY ROWLAND $60; DAN STARR $590; LUTHER WHITFIELD $60; JEANNE' WICKENS $60 PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: RAYMOND DUSMAN $2,500; GERALD GRANNAN $2,500; DENA JACQUAY $230; MICHAEL PACKNETT $315; MITCHELL STUCKY $1,600 NON-TAXABLE MANDATORY ANNUAL MEDICAL PHYSICAL PAID FOR: JUDITH BOERGER $3,142; RONALD DOUBLE $2,430; RAYMOND DUSMAN $5,087; GERALD GRANNAN $1,137; RICK HENVEY $6,467; DENA JACQUAY $2,469; MICHAEL PACKNETT $2,683; DAVID STOREY $1,875; MITCHELL STUCKY $720; JEANNE' WICKENS $1,914 |
| PART I, LINES 4A-B | SEVERANCE PAYMENT JOSEPH WOLFCALE $11,425 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - JUDITH BOERGER $309,409; THOMAS BOND $26,215; PATRICIA BRAHE $143,340; GERALD GRANNAN $16,339; RICK HENVEY $45,868; DENA JACQUAY $26,965: SCOTT JAMES $18,714; MARK KADLEC $135,319 JOSHUA KLINE $26,729; MICHAEL PACKNETT $1,637,768; MARK PIERCE $22,956; JASON ROW $26,939; PHILIP SMITH $17,974; MITCHELL STUCKY $314,178; JOLYNN SUKO $15,660; DONNA VAN VLERAH $19,401 PARTICIPANTS DEFERRED - 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. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR ALL OF THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE COST OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. 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. JUDITH BOERGER $58,647; THOMAS BOND $64,940; JEFFREY BOORD $65,824; PATRICIA BRAHE $35,349; RONALD DOUBLE $203,780; RAYMOND DUSMAN $303,318; GERALD GRANNAN $57,783; RICK HENVEY $281,380; DENA JACQUAY $174,600; SCOTT JAMES $49,168; DAVID JEANS $56,102; GREG JOHNSON $78,157; JOSHUA KLINE $64,927; MICHAEL PACKNETT $2,829,266; MARK PIERCE $59,488; ROY ROBERTSON $110,568; JASON ROW $64,872; NEIL SHARMA $126,247; PHILIP SMITH $48,195; DAVID STOREY $78,598; MITCHELL STUCKY $82,999; JOLYNN SUKO $38,794; DONNA VAN VLERAH $48,670; 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 K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY | ||||||||
| A | 351602316 | 45471AAS1 | 2009-08-27 | $223,665,000 | SEE PART VI | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| B | 351602316 | 45471AHR6 | 2012-05-24 | $94,631,826 | SEE PART VI | Yes (1) | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| C | 351602316 | NONEAVAIL | 2016-08-17 | $58,000,000 | SEE PART VI | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| D | 351602316 | 45471AQB1 | 2017-08-10 | $130,491,406 | SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Bond DefeasedBondDefeasedAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,960,000 | $223,915,573 | $1,369,431 | $193,601 | $149,086,870 | $73,265,671 | 2011 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $14,885,000 | $94,631,897 | $1,022,698 | $93,731,970 | 2012 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | $2,425,000 | ||
| C | $3,010,000 | $58,000,000 | $58,000,000 | 2018 | 0 | 0 | Yes (1) | Yes (1) | ||||
| D | $13,280,000 | $130,491,406 | $1,283,614 | $129,207,792 | 2017 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00040 | 0.00040 | 0 | Yes (1) | 0.00890 | Yes (1) | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00020 | 0.00020 | 0 | Yes (1) | 0.02570 | Yes (1) | Yes (1) |
| C | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) | ||||
| D | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00040 | 0.00040 | 0 | Yes (1) | 0.00020 | Yes (1) | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WELLS FARGO & PNC | ||||||||||||
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | 20.000000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| C | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| D | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K NOTE TO READER: | ENTITY 2 DESIGNATION USED SOLELY TO ACCOMMODATE REPORTING FIFTH BOND ISSUE. ENTITY 2 IS NOT A DIFFERENT ENTITY THAN ENTITY 1. |
| ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE A | SERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS WHICH WERE ISSUED ON JULY 28, 2005 |
| ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE B: | SERIES 2012 - 1) PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009 2) FULLY REFUNDED OUTSTANDING BONDS FOR 1998 SERIES BOND ISSUE WHICH WAS ISSUED ON NOVEMBER 24, 1998 |
| ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE C: | SERIES 2016B - NEW MONEY FOR THE CONSTRUCTION OF NEW CANCER INSTITUTE IN FORT WAYNE, IN. |
| ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE D: | SERIES 2017 - PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009. |
| ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3: | THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS. |
| ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3: | THIS AMOUNT INCLUDES INTEREST OF $71 EARNED ON COST OF ISSUANCE FUNDS. |
| ENTITY 1, SCHEDULE K, PART III, COLUMNS A-B, LINES 8A-C: | THE ORGANIZATION HAS ENTERED INTO A VOLUNTARY CLOSING AGREEMENT WITH THE IRS WITH RESPECT TO THE BOND-FINANCED PROPERTY THAT WAS SOLD. |
| ENTITY 1, SCHEDULE K, PART IV, COLUMN A, LINE 2C: | BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011. |
| ENTITY 1, SCHEDULE K, PART IV, COLUMN B, LINE 2C: | REBATE CALCULATION PERFORMED ON DECEMBER 4, 2012. |
| ENTITY 1, SCHEDULE K, PART IV, COLUMN C, LINE 2C: | NO CALCULATION REQUIRED BECAUSE THE BONDS ARE DRAW BONDS AND NO PROCEEDS WERE INVESTED. |
| ENTITY 1, SCHEDULE K, PART IV, COLUMN D, LINE 2C: | REBATE CALCULATION PERFORMED ON JANUARY 23, 2019. |
| ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE A: | 1) PARTIALLY REFUNDED OUTSTANDING 2016C SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 17, 2016. 2) NEW MONEY FOR CONSTRUCTION IN EXPANDING HOSPITAL AND HEALTHCARE SERVICES IN FORT WAYNE, IN. 3) THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2018A (PARKVIEW HEALTH) (THE "2018A BONDS"), 2018C (PARKVIEW HEALTH) (THE "2018C BONDS") AND 2019A (PARKVIEW HEALTH) (FORWARD DELIVERY) (THE "2019A BONDS") WERE ALL SOLD AT SUBSTANTIALLY THE SAME TIME AND PURSUANT TO THE SAME PLAN OF FINANCE AND, AS A RESULT, CONSTITUTE A SINGLE ISSUE FOR FEDERAL TAX PURPOSES AND WERE REPORTED ON A SINGLE 8038. THE 2018A BONDS AND THE 2018C BONDS WERE ISSUED ON NOVEMBER 1, 2018. THE 2019A BONDS, HOWEVER, WERE NOT ISSUED UNTIL FEBRUARY 1, 2019 AT WHICH TIME THEY WERE ISSUED IN ORDER TO CURRENTLY REFUND THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2009A (PARKVIEW HEALTH SYSTEM OBLIGATED GROUP) (THE "2009A BONDS"). |
| ENTITY 2, SCHEDULE K, PART II, COLUMN A, LINE 3: | THIS INCLUDES INTEREST OF $1,700,353 EARNED ON PROJECT FUNDS. |
| ENTITY 2, SCHEDULE K, PART III, COLUMN A, LINES 8A-C | THE ORGANIZATION HAS ENTERED INTO A VOLUNTARY CLOSING AGREEMENT WITH THE IRS WITH RESPECT TO THE BOND-FINANCED PROPERTY THAT WAS SOLD. |
| ENTITY 1 & ENTITY 2, SCHEDULE K, PART III, ALL COLUMNS, LINE 7: | BECAUSE PARKVIEW MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, TO ENSURE THAT THE PRIVATE BUSINESS USE LIMIT IS NOT EXCEEDED, PARKVIEW DOES NOT CALCULATE THE AMOUNT OF PRIVATE PAYMENTS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA FINANCE AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 351602316 | BondIssuerEIN |
| CUSIP | 45471ARM6 | CUSIPNum |
| Bond Issued | 2018-11-01 | BondIssuedDt |
| Issue Price | $140,710,853 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,910,000 | RetiredAmt |
| Total Proceeds | $142,411,205 | TotalProceedsAmt |
| Capital Expenditures | $53,839,904 | CapitalExpendituresAmt |
| Other Spent Proceeds | $49,201,827 | OtherSpentProceedsAmt |
| Unspent | $39,369,475 | UnspentAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | Yes (1) | AnyResearchAgreementsInd |
| Engage Bond Counsel Research | Yes (1) | EngageBondCounselResearchInd |
| Private Bus Use By Others | 0.00020 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00020 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | Yes (1) | ChangeInUseBondFinancedPropInd |
| Change In Use Bond Financed Prop | 0.01190 | ChangeInUseBondFinancedPropPct |
| Remedial Action Taken | Yes (1) | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| BROOKS CONSTRUCTION | |||
| ENTITY OF WHICH DIRECTOR MARGARET BROOKS OWNED A 35% OR GREATER INTEREST | $482,582 | VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH. | 0 |
| DAVID JAMES | |||
| FAMILY MEMBER OF KEY EMPLOYEE SCOTT JAMES | $107,754 | EMPLOYEE DAVID JAMES RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC. | 0 |
| JOHN STOREY | |||
| FAMILY MEMBER OF KEY EMPLOYEE DAVID STOREY | $50,785 | EMPLOYEE JOHN STOREY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 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 AS WELL AS RELATED ENTITIES. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 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 PARKVIEW HEALTH SYSTEM, INC. WAS 161 AND 5,647 RESPECTIVELY. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL CONSIST OF A MAXIMUM OF NINE (9) MEMBERS, INCLUDING THE FOLLOWING: THE PARKVIEW HEALTH BOARD CHAIR WHO SHALL ALSO SERVE AS CHAIR OF THE COMMITTEE, THE PARKVIEW HEALTH BOARD VICE CHAIR, THE PARKVIEW HEALTH PRESIDENT AND CHIEF EXECUTIVE OFFICER AND UP TO SIX (6) "AT LARGE" MEMBERS NOMINATED ANNUALLY BY THE GOVERNANCE COMMITTEE AND APPOINTED BY THE PARKVIEW HEALTH BOARD CHAIR. ALL MEMBERS SHALL HAVE VOTING RIGHTS. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION. IN ADDITION, THE COMMITTEE SHALL PERFORM ALL RESPONSIBILITIES DELEGATED TO IT BY THE BOARD AND MAY EXERCISE ALL POWERS OF THE BOARD; PROVIDED, HOWEVER, THE COMMITTEE MAY NOT (I) APPROVE PARKVIEW HEALTH STRATEGIC PLANS, (II) FILL BOARD VACANCIES, (III) AMEND OR REPEAL THE BYLAWS OF PARKVIEW HEALTH OR (IV) TAKE ANY OTHER ACTION PROHIBITED BY LAW OR PROHIBITED BY PARKVIEW HEALTH'S BYLAWS OR ARTICLES OF INCORPORATION. THE DUTIES OF THE EXECUTIVE COMMITTEE SHALL BE MORE FULLY SET FORTH IN THE EXECUTIVE COMMITTEE CHARTER APPROVED FROM TIME TO TIME BY A MAJORITY VOTE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET NO LESS FREQUENTLY THAN QUARTERLY, ON ALTERNATE MONTHS FROM THE BOARD AND SHALL PROVIDE REGULAR REPORTS TO THE FULL BOARD. |
| FORM 990, PART VI, SECTION A, LINE 2 | OFFICER JEANNE' WICKENS, RAYMOND DUSMAN, DIRECTOR ALAN MCGEE, AND KEY EMPLOYEES THOMAS BOND, DAVID JEANS, GREG JOHNSON, MITCHELL STUCKY, HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICERS JEANNE' WICKENS, RICK HENVEY, AND KEY EMPLOYEES MITCHELL STUCKY, PHILIP SMITH, DAVID STOREY HAVE BUSINESS RELATIONSHIPS AS DIRECTORS ON THE BOARDS OF RELATED ENTITIES. KEY EMPLOYEES GREG JOHNSON, DAVID JEANS AND OFFICER JEANNE' WICKENS HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER JEANNE' WICKENS AND KEY EMPLOYEE PHILIP SMITH HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. DIRECTORS MARGARET BROOKS AND DAVID HAIST HAVE A BUSINESS RELATIONSHIP. DIRECTORS JERRY LONG AND DAVID HAIST HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 4 | DURING 2019, THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF PARKVIEW HEALTH SYSTEM, INC.: ARTICLE IV - BOARD OF DIRECTORS, SECTION 2 - NUMBER AND QUALIFICATIONS, IS AS FOLLOWS: THE BOARD OF DIRECTORS SHALL BE COMPOSED OF NO MORE THAN TWENTY-FIVE (25) DIRECTORS. THE COMPOSITION OF THE BOARD OF DIRECTORS SHALL CONSIST OF THE FOLLOWING: (A) EIGHT (8) EX-OFFICIO VOTING MEMBERS, WHO SHALL CONSIST OF A REPRESENTATIVE OF EACH PARKVIEW HOSPITAL, PARKVIEW WHITLEY HOSPITAL, PARKVIEW HUNTINGTON HOSPITAL, PARKVIEW NOBLE HOSPITAL, PARKVIEW LAGRANGE HOSPITAL, PARKVIEW WABASH HOSPITAL, PARKVIEW DEKALB HOSPITAL AND PARKVIEW PHYSICIANS GROUP, WHICH REPRESENTATIVE SHALL BE THE BOARD CHAIR OR SUCH OTHER MEMBER OF THE BOARD AS DESIGNATED BY THE RESPECTIVE BOARD; (B) UP TO FIFTEEN (15) AT-LARGE PHYSICIAN OR COMMUNITY LEADERS; AND (C) THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE CHIEF PHYSICIAN EXECUTIVE OF THE CORPORATION. A MAJORITY OF THE BOARD OF DIRECTORS SHALL, AT ALL TIMES, BE CONSIDERED TO BE INDEPENDENT, AS DEFINED BY THE INTERNAL REVENUE SERVICE. ELECTED DIRECTORS SHALL BE SELECTED FROM AMONG PERSONS, INCLUDING RESIDENTS OF THE COMMUNITIES SERVED BY THE CORPORATION, WHO HAVE DEMONSTRATED THEIR ABILITY TO PARTICIPATE EFFECTIVELY IN THE DISCHARGE OF CORPORATE RESPONSIBILITIES AND WHO ARE ABLE AND WILLING TO SERVE AND WHO SATISFY THE CRITERIA FOR BOARD PARTICIPATION. CONSIDERATION SHOULD BE GIVEN TO PROMOTE DIVERSITY ON THE BOARD OF DIRECTORS. ONE OF THE PRIMARY FUNCTIONS OF THE SYSTEM BOARD WILL BE TO CREATE THE VISION AND STRATEGIC PLAN. AS A RESULT, DIRECTORS SHALL BE INDIVIDUALS WHO HAVE DEMONSTRATED LEADERSHIP SKILLS, RELEVANT EXPERTISE, INTEGRITY, DEMONSTRATED PROFESSIONAL / BUSINESS SUCCESS AND WHO ARE PEOPLE OF VISION. WHEN VACANCIES ON THE BOARD OCCUR BY REASON OF DEATH, RESIGNATION, OR OTHERWISE, THE NUMBER OF DIRECTORS SHALL BE REDUCED BY SUCH VACANCIES UNTIL QUALIFIED REPLACEMENTS ARE ELECTED, AS SET FORTH IN ARTICLE IV, SECTION 4. IT SHALL BE THE DUTY OF DIRECTORS TO ATTEND REGULAR, SPECIAL AND ANNUAL MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 11B | AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 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 | REGARDING LINES 15A AND 15B, TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE ORGANIZATION USED A PROCESS FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2017, THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2017 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT BOARD MEMBERS. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A COMPETITIVE COMPENSATION ANALYSIS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AS WELL AS ALL EXECUTIVES AT THE VICE PRESIDENT LEVEL AND ABOVE. ALL DATA IS SHARED WITH THE BOARD OF DIRECTORS. THE BOARD APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO AND HIS DIRECT REPORTS. APPROVAL IS ALSO PROVIDED FOR THE SALARY BUDGET FOR THE ENTIRE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). |
| FORM 990, PART VI, SECTION C, LINE 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 ADJUSTMENT TRANSFERS 95,563. BOOK/TAX DIFF FROM K-1'S 13,862,715. AMORTIZE BOND SWAP OCI 42,600. CLOSING OF NOTE BETWEEN LGHOS AND PVSYS -5,896,241. ADJUST OCI FOR PENSION -36,373,898. ADJUST PRIOR YEAR ACCRUALS 1,213,947. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| NORTH CLINTON DEVELOPMENT LLC | |||||||||
| F/K/A TRICON DIEBOLD DEVELOPMENT LL | FORT WAYNE | IN | 46845 | 464037822 | REAL ESTATE | IN | $0 | $0 | PARKVIEW HEALTH SYSTEM INC |
| PARKVIEW CARE PARTNERS LLC | |||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 462201508 | CLINICAL INTEGRATION NETWORK | IN | $5,234,317 | $8,034,617 | PARKVIEW HEALTH SYSTEM INC |
| PARKVIEW ACCOUNTABLE CARE LLC | |||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 812787982 | ACCOUNTABLE CARE ORGANIZATION | IN | $0 | $0 | PARKVIEW HEALTH SYSTEM INC |
| PARKVIEW STRATEGIC ENTERPRISES LLC | |||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 832076007 | HOLDING COMPANY | IN | $0 | $0 | PARKVIEW HEALTH SYSTEM INC |
| PARKVIEW RETAIL SERVICES LLC | |||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 832081254 | RETAIL | IN | $0 | $0 | PARKVIEW HEALTH SYSTEM INC |
| FOUNDATION SURGERY AFFLIATE OF FORT WAYNE LLC | |||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 201394120 | SURGICAL SERVICES | IN | $2,402,135 | $2,182,388 | PARKVIEW HEALTH SYSTEM INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW HOSPITAL INC | ||||||||||
| 11109 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | 350868085 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| PARKVIEW FOUNDATION INC | ||||||||||
| 10622 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | 237220589 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | PARKVIEW HOSPITAL INC | Yes (1) |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 352064353 | OCCUP HEALTH | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||||||||||
| 207 N TOWNLINE ROAD | LAGRANGE | IN | 46761 | 202401676 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC | ||||||||||
| 207 N TOWNLINE ROAD | LAGRANGE | IN | 46761 | 833347115 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | Yes (1) |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||||||||||
| 401 SAWYER ROAD | KENDALLVILLE | IN | 46755 | 352087092 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC | ||||||||||
| 401 SAWYER ROAD | KENDALLVILLE | IN | 46755 | 352089183 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | COMMUNITY HOSPITAL OF NOBLE COUNTY INC | Yes (1) |
| WHITLEY MEMORIAL HOSPITAL INC | ||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 46725 | 351967665 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| WHITLEY MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 46725 | 311190239 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | WHITLEY MEMORIAL HOSPITAL INC | Yes (1) |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||||||||||
| 2001 STULTS ROAD | HUNTINGTON | IN | 46750 | 351970706 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC | ||||||||||
| 2001 STULTS ROAD | HUNTINGTON | IN | 46750 | 320012095 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | HUNTINGTON MEMORIAL HOSPITAL INC | Yes (1) |
| PARKVIEW WABASH HOSPITAL INC | ||||||||||
| 10 JOHN KISSINGER DRIVE | WABASH | IN | 46992 | 471753440 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| PARKVIEW WABASH HOSPITAL FOUNDATION INC | ||||||||||
| 10 JOHN KISSINGER DRIVE | WABASH | IN | 46992 | 351921445 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | PARKVIEW WABASH HOSPITAL INC | Yes (1) |
| PARK CENTER INC | ||||||||||
| 909 EAST STATE BLVD | FORT WAYNE | IN | 46805 | 351135451 | COMPREHENSIVE MENTAL HEALTH CENTER | IN | 501(C)(3) | LINE 10 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| 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 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| DEKALB MEMORIAL HOSPITAL INC | ||||||||||
| 1316 EAST SEVENTH STREET | AUBURN | IN | 46706 | 351064295 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | Yes (1) |
| PARKVIEW DEKALB HOSPITAL FOUNDATION INC | ||||||||||
| 1316 EAST SEVENTH STREET | AUBURN | IN | 46706 | 356047817 | FUND MGMT | IN | 501(C)(3) | LINE 12A, I | DEKALB MEMORIAL HOSPITAL INC | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | |||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 260143823 | ORTHO HOSPITAL | IN | PARKVIEW HEALTH SYSTEM INC | RELATED | $50,742,229 | $61,233,788 | 0 | Yes (1) | 0.60000 |
| MANAGED CARE SERVICES LLC | |||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 351996535 | HEALTH PLAN ADMIN | IN | PARKVIEW HEALTH SYSTEM INC | RELATED | -$406,482 | $7,043,688 | 0 | Yes (1) | 0.90000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | |||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 351668888 | REFERENCE LAB | IN | N/A | C | 0 | ||||
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | |||||||||||||
| 442 W HIGH STREET | BRYAN | OH | 43506 | 341045870 | PHYSICIANS | OH | C | Yes (1) | PARKVIEW HEALTH SYSTEM INC | $24,948,859 | $4,393,050 | 1.00000 | |
| WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC | |||||||||||||
| 202 W BERRY ST SUITE 800 | FORT WAYNE | IN | 46802 | 352058340 | CONDO MANAGEMENT | IN | C | Yes (1) | PARKVIEW HEALTH SYSTEM INC | $111,731 | $299,359 | 0.92300 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | 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 | Yes (1) | 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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | 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 (40 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| A | $1,278,114 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| A | $1,478,923 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||
| A | $487,078 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW FOUNDATION INC | ||
| A | $133,493 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| A | $4,042,083 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| A | $2,917,481 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW WABASH HOSPITAL INC | ||
| A | $469,362 | PART VII SUPPLEMENTAL INFORMATION |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||
| A | $1,603,947 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW FOUNDATION INC | ||
| C | $99,255 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| D | $6,893,500 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| J | $1,278,114 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| J | $1,478,923 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||
| J | $487,078 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW FOUNDATION INC | ||
| J | $133,493 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| J | $4,042,083 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| J | $2,917,481 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW WABASH HOSPITAL INC | ||
| J | $469,362 | PART VII SUPPLEMENTAL INFORMATION |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||
| J | $1,603,947 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| K | $114,005 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| K | $3,558,554 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| K | $955,146 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW ORTHO PERFORMANCE CENTER LLC | ||
| K | $61,560 | PART VII SUPPLEMENTAL INFORMATION |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||
| L | $10,700,228 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| L | $166,898,664 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| L | $8,989,332 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| L | $5,615,736 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| L | $9,192,144 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||
| L | $1,892,532 | |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||
| L | $6,056,376 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW FOUNDATION INC | ||
| L | $260,208 | PART VII SUPPLEMENTAL INFORMATION |
| MANAGED CARE SERVICES LLC | ||
| L | $753,396 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW WABASH HOSPITAL INC | ||
| L | $6,929,388 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| L | $11,231,520 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| Q | $196,642,876 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| Q | $8,441,177 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| Q | $3,508,072 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| Q | $8,689,395 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW WABASH HOSPITAL INC | ||
| Q | $3,864,682 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| Q | $10,579,733 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| R | $460,279 | 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 |