STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PARKVIEW HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
PARKVIEW HOSPITAL INC (EIN 35-0868085)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-11
IRS object ID
201933159349303723
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-11T15:04:50-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1330 E JEFFERSON BLVD PO BOX 7AddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP466240007ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN350868085EIN

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line111109 PARKVIEW PLAZA DRIVEAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP468451701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNE' WICKENSPersonNm
Person TitlePH CFOPersonTitleTxt
Phone2602669313PhoneNum
Signature2019-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH J KEBERPreparerPersonNm
PTINP00240883PTIN
Phone5742323992PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.58.171.16IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-11IPDt
IP Tm15:19:08IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB38744F01C9F8B49338464F7361C640636AC5E7BAtSubmissionCreationDeviceId
At Submission Filing Device IdB38744F01C9F8B49338464F7361C640636AC5E7BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL J PACKNETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46845ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,352,981,063GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PARKVIEW.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPARKVIEW HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee6045TotalEmployeeCnt
Total Volunteers459TotalVolunteersCnt
Total Gross UBI$3,315,845TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$788,052NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,041,089PYContributionsGrantsAmt
CY Contributions Grants$1,571,551CYContributionsGrantsAmt
PY Program Service Revenue$1,064,173,440PYProgramServiceRevenueAmt
CY Program Service Revenue$1,201,079,150CYProgramServiceRevenueAmt
PY Investment Income$1,890,726PYInvestmentIncomeAmt
CY Investment Income$559,066CYInvestmentIncomeAmt
PY Other Revenue$14,614,715PYOtherRevenueAmt
CY Other Revenue$15,174,183CYOtherRevenueAmt
PY Total Revenue$1,081,719,970PYTotalRevenueAmt
CY Total Revenue$1,218,383,950CYTotalRevenueAmt
PY Grants And Similar Paid$2,032,639PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,962,752CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$317,145,435PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$344,557,536CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$26,664PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$634,088,348PYOtherExpensesAmt
CY Other Expenses$721,124,413CYOtherExpensesAmt
PY Total Expenses$953,293,086PYTotalExpensesAmt
CY Total Expenses$1,067,644,701CYTotalExpensesAmt
PY Revenues Less Expenses$128,426,884PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$150,739,249CYRevenuesLessExpensesAmt
Total Assets BOY$868,168,767TotalAssetsBOYAmt
Total Assets EOY$921,953,901TotalAssetsEOYAmt
Total Liabilities BOY$564,500,500TotalLiabilitiesBOYAmt
Total Liabilities EOY$624,786,701TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$303,668,267NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$297,167,200NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPARKVIEW HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$907,727,276ExpenseAmt
Grant$1,962,752GrantAmt
Revenue$1,203,944,496RevenueAmt
DescPARKVIEW HOSPITAL, INC. IS A CHARITABLE, NOT-FOR-PROFIT, COMMUNITY-OWNED HOSPITAL AND CONSISTS OF A 424-BED REGIONAL TERTIARY REFERRAL CENTER (PARKVIEW REGIONAL MEDICAL CENTER), AS WELL AS A 229-BED COMMUNITY HOSPITAL (PARKVIEW HOSPITAL RANDALLIA) AND A 103-BED BEHAVIORAL HEALTH HOSPITAL (PARKVIEW BEHAVIORAL HEALTH), LOCATED IN FORT WAYNE, INDIANA. THE SERVICE AREA INCLUDES NORTHEAST INDIANA, NORTHWEST OHIO AND SOUTH CENTRAL MICHIGAN. PARKVIEW HOSPITAL, INC. IS HOME TO A VERIFIED LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER IN ADDITION TO THE SAMARITAN MEDICAL FLIGHT AND GROUND TRANSPORT SERVICES AND A FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT. SPECIALTY SERVICES INCLUDE A HEART INSTITUTE, A CERTIFIED PRIMARY STROKE CENTER, WOMEN'S &(SEE SCHEDULE O FOR CONTINUATION)CHILDREN'S HOSPITAL, OUTPATIENT SERVICE CENTER AND CANCER INSTITUTE. THE NEWLY CONSTRUCTED PARKVIEW CANCER INSTITUTE OPENED IN JUNE 2018 ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS. AS AN ORGANIZATION THAT OPERATES EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES, THE PARKVIEW RESEARCH CENTER HOUSED IN THE MIRRO RESEARCH AND INNOVATION CENTER PROVIDES WORLD-CLASS EDUCATION FOR PARKVIEW CO-WORKERS, PHYSICIANS AND MEDICAL PROFESSIONALS. TRAINING TAKES PLACE IN CUTTING-EDGE MEDICAL SIMULATION CLASSROOMS AND TRAINING LABORATORIES MODELED AFTER CURRENT OPERATING ROOMS, EXAM ROOMS, PATIENT ROOMS AND AMBULANCES. PATIENT EXPECTATIONS FOR EXCELLENT CARE ARE SUPPORTED BY ENSURING THAT HEALTHCARE PROFESSIONALS ARE FAMILIAR WITH THE MOST INNOVATIVE AND EFFECTIVE TREATMENTS AVAILABLE.IN AN EFFORT TO MEET GROWING CONSUMER 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 EXPANSION IS SLATED TO OPEN IN 2020.DURING 2018, PARK CENTER, INC. BECAME AN AFFILIATE OF PARKVIEW HEALTH INC., WORKING IN TANDEM WITH PARKVIEW BEHAVIORAL HEALTH (PBH) AND PARKVIEW PHYSICIANS GROUP (PPG) TO CREATE A COMPREHENSIVE CONTINUUM OF MENTAL HEALTH CARE. PARK CENTER, INC. IS A COMMUNITY MENTAL HEALTH CENTER WITH FACILITIES IN FORT WAYNE, AS WELL AS BLUFFTON AND DECATUR. BESIDES INTEGRATING SERVICES WHERE APPROPRIATE, THE TWO ORGANIZATIONS PLAN TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, ENHANCE CLINIC PROCESSES, COORDINATE ADDICTION TREATMENT PROGRAMS AND MAKE CAPITAL INVESTMENTS IN SELECT PARK CENTER FACILITIES. PBH WAS AWARDED THE 2018 NDNQI AWARD FOR OUTSTANDING NURSING QUALITY BY PRESS GANEY. THIS AWARD RECOGNIZES THE PSYCHIATRIC HOSPITAL THAT HAS ACHIEVED EXCELLENCE IN OVERALL PERFORMANCE IN NURSING QUALITY INDICATORS AND HAS ALSO MADE IMPRESSIVE AND MEASURABLE IMPROVEMENTS IN NURSING PERFORMANCE AND PATIENT OUTCOMES. ALSO RELATED TO NURSING EXCELLENCE, PARKVIEW HEALTH SYSTEM, INC., OF WHICH PARKVIEW HOSPITAL, INC. IS A PART, CURRENTLY HOLDS MAGNET STATUS, WHICH DEMONSTRATES COMMITMENT TO NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. WHILE CINCINNATI CHILDREN'S HOSPITAL AND PARKVIEW HEALTH, INC. HAVE COLLABORATED ON PEDIATRIC TRAUMA CARE FOR SEVERAL YEARS, IN SEPTEMBER 2018 THE TWO ORGANIZATIONS ENTERED INTO AN AFFILIATION TO EXPAND PEDIATRIC CARE IN CARDIOLOGY, GASTROENTEROLOGY AND GENERAL SURGERY TO FAMILIES IN THE FORT WAYNE AREA. THE COLLABORATION WILL ALLOW THE PARKVIEW PHYSICIAN AND FAMILIES TO ENGAGE IN TELEHEALTH CONSULTATIONS VIA VIDEO CONFERENCING WITH A SPECIALTY PHYSICIAN AT CINCINNATI CHILDREN'S HOSPITAL WHEN DEVELOPING CHILD CARE PLANS. THE HEALTH SYSTEM EARNED THE ADVISORY BOARD WORKPLACE OF THE YEAR AWARD WHICH RECOGNIZES HOSPITALS AND HEALTH SYSTEMS NATIONWIDE THAT HAVE OUTSTANDING LEVELS OF EMPLOYEE ENGAGEMENT. THE SYSTEM WAS ALSO NAMED ONE OF AMERICA'S BEST EMPLOYERS BY FORBES MAGAZINE AND WAS RANKED NO. 93 OVERALL AND NO. 14 IN THE HEALTHCARE AND SOCIAL SERVICES INDUSTRY.Desc
Total Program Service Expenses$907,727,276TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document176IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee6045EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46845ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BENJAMIN MILES
DIRECTOR/PVHOS PRESIDENT40.001.00Yes (X)Yes (X)$655,188$0$140,126
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO1.0056.00Yes (X)Yes (X)$0$1,447,044$759,330
ALBERT MORRISON
DIRECTOR/PH PHYSICIAN1.0015.00Yes (X)$74,534$598,029$34,991
ABHIJIT SHUKLA
DIRECTOR/PH PHYSICIAN16.0024.00Yes (X)$46,785$352,707$55,346
ERIN LACROSS
PVHOS CNO40.000.00Yes (X)$280,447$0$86,690
PAUL WILSON
PARKC PRESIDENT & CEO1.0040.00Yes (X)$0$28,637$6,551
IAN BOYCE
DIRECTOR1.001.00Yes (X)$4,514$0$0
DONOVAN COLEY
DIRECTOR1.000.00Yes (X)$4,514$0$0
PALERMO GALINDO
DIRECTOR1.000.00Yes (X)$4,500$0$0
BRENDA GERBER
DIRECTOR1.000.00Yes (X)$3,264$0$0
THOMAS KIMBROUGH
DIRECTOR1.001.00Yes (X)$4,000$4,637$0
DAVID MCFADDEN
DIRECTOR1.000.00Yes (X)$4,264$0$0
MARK MICHAEL
DIRECTOR1.000.00Yes (X)$4,500$0$0
DAVID NECKERS
DIRECTOR1.000.00Yes (X)$4,264$0$0
GREGG POLLANDER
DIRECTOR1.001.00Yes (X)$750$150$0
RICHARD ROBINSON
DIRECTOR/SECRETARY/TREASURER1.001.00Yes (X)$4,514$1,259$0
WILBUR SMITH
DIRECTOR1.000.00Yes (X)$4,750$0$0
DAN STARR
DIRECTOR/CHAIR1.001.00Yes (X)$6,514$3,974$0
WENDY STEIN
DIRECTOR1.000.00Yes (X)$4,764$4,764$0
IRENE WALTERS
DIRECTOR/VICE CHAIR1.000.00Yes (X)$4,750$4,750$0
JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER1.0056.00Yes (X)$0$869,537$314,918
CHARLES CLARK
PVHOS PBH COO40.000.00$264,206$0$84,405Yes (X)
MICHAEL GERUE
PVHOS PHI COO40.000.00$336,785$0$110,169Yes (X)
MARCELINE ROGERS
PVHOS VP SURGICAL SVCS40.000.00$284,534$0$77,527Yes (X)
MICHAEL MIRRO
PVHOS CARO40.000.00$607,839$0$138,201Yes (X)
RAE GONTERMAN
PVHOS VP OPS-CI40.000.00$229,717$0$49,552Yes (X)
JOHN BOWEN
PVHOS COO RANDALLIA40.000.00$214,976$0$68,182Yes (X)
YUENIAN ZHANG
PVHOS CHIEF PHYSICIST40.000.00$278,746$0$53,502Yes (X)
JACQUELINE AKEY
PVHOS PHYSICIAN40.002.00$218,420$45,889$45,770Yes (X)
JOHN STANFORD
PVHOS MED DIR CV SURGERY24.000.00$243,049$130$8,675Yes (X)
JOSHUA WINEBAUGH
PVHOS PHARMACIST57.000.00$213,191$0$24,948Yes (X)
KEITH JACKSON
PVHOS PHARMACY SPV43.000.00$196,502$0$47,209Yes (X)
SUZANNE EHINGER
FORMER OFFICER/CURRENT PH CHIEF EXP0.0040.00$0$624,186$144,427Yes (X)
GREG JOHNSON
FORMER KEY EMPLOYEE/CURRENT PH CCIO0.0040.00$0$559,034$142,220Yes (X)
JUDITH BOERGER
FORMER KEY EMPLOYEE/CURRENT PH CNE0.0040.00$0$461,347$109,228Yes (X)
MARLON WARDLOW
FORMER KEY EMPLOYEE/CURRENT PH VP0.0040.00$0$305,440$83,165Yes (X)
ROGER STIENECKER
FORMER HC EMPLOYEE/CURRENT PH MD IP&EP0.0040.00$0$374,786$44,173Yes (X)
CHRISTOPHER JELLISON
FORMER HC EMPLOYEE/CURRENT PH DIR PHAR0.0040.00$0$236,343$36,413Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,204,781TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,922,643TotReportableCompRltdOrgAmt
Total Other Compensation$2,665,718TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K206IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA STREETOMAHANE68154NURSES$10,772,622
QUEST DIAGNOSTICS NICHOLS INST INC
12346 COLLECTION CENTER DRCHICAGOIL60693DIAGNOSTIC SERVICES$5,070,782
AVANT HEALTHCARE PROFESSIONALS LLC
1211 SEMORAN BLVD SUITE 227CASSELBERRYFL32707NURSES$3,022,267
FOUNDATION SURGERY AFFILIATE OF FORT WAY
8004 CARNEGIE BLVDFORT WAYNEIN46804MEDICAL SERVICES$2,516,827
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608FLIGHT SERVICES$2,406,396
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K69CntrctRcvdGreaterThan100KCnt
Related Organizations$918,617RelatedOrganizationsAmt
Government Grants$622,364GovernmentGrantsAmt
All Other Contributions$30,570AllOtherContributionsAmt
Noncash Contributions$38,305NoncashContributionsAmt
Total Contributions$1,571,551TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE622000$1,160,160,702$1,160,160,702
PHARMACY446110$20,965,313$19,397,022$1,568,291
LAB SERVICES621500$14,975,198$14,975,198
INTERUNIT RENT900099$2,821,840$2,821,840
FWCS CLINICS621990$681,446$681,446

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,474,651TotalRevenueColumnAmt
Related Or Exempt Func Income$1,020,523RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$454,128UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,201,079,150TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$518,805TotalRevenueColumnAmt
Exclusion$518,805ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,964,759RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,659,340RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,305,419RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,305,419TotalRevenueColumnAmt
Exclusion$2,305,419ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,131,920,887SecuritiesAmt
Other$57,147OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,131,734,527SecuritiesAmt
Other$203,246OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$186,360SecuritiesAmt
Other-$146,099OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,261TotalRevenueColumnAmt
Exclusion$40,261ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA & MEALS722210$5,545,219$5,545,219
ORTHO BILLINGS541900$3,426,941$2,152,140$1,274,801
RESEARCH CENTER900099$2,054,539$2,054,539

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,842,065TotalRevenueColumnAmt
Related Or Exempt Func Income$681,086RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$18,625UnrelatedBusinessRevenueAmt
Exclusion$1,142,354ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,868,764OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,218,383,950TotalRevenueColumnAmt
Related Or Exempt Func Income$1,203,944,496RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,315,845UnrelatedBusinessRevenueAmt
Exclusion$9,552,058ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,962,752TotalAmt
Program Services$1,962,752ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,820,085TotalAmt
Management And General$3,820,085ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$190,322TotalAmt
Program Services$190,322ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$256,340,558TotalAmt
Program Services$255,251,501ProgramServicesAmt
Management And General$1,089,057ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$84,206,571TotalAmt
Program Services$83,835,311ProgramServicesAmt
Management And General$371,260ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$71,940TotalAmt
Management And General$71,940ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$62,964,574TotalAmt
Program Services$55,578,709ProgramServicesAmt
Management And General$7,385,865ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$211,973TotalAmt
Program Services$195,304ProgramServicesAmt
Management And General$16,669ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$24,975,717TotalAmt
Program Services$22,920,499ProgramServicesAmt
Management And General$2,055,218ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$853,398TotalAmt
Program Services$853,398ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,521,027TotalAmt
Program Services$14,737,910ProgramServicesAmt
Management And General$783,117ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,400,925TotalAmt
Program Services$1,286,894ProgramServicesAmt
Management And General$114,031ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$613,147TotalAmt
Program Services$573,095ProgramServicesAmt
Management And General$40,052ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$257,007TotalAmt
Program Services$257,007ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,053,236TotalAmt
Program Services$46,810,402ProgramServicesAmt
Management And General$242,834ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,714,887TotalAmt
Program Services$40,151ProgramServicesAmt
Management And General$1,674,736ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$198,451,865$198,451,865
PH CLINICAL SUPPORT$152,303,895$152,303,895
CORP SERVICE ALLOCATION$141,390,895$141,390,895
FEDERAL & STATE INCOME$173,338$173,338

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$73,166,589TotalAmt
Program Services$72,478,261ProgramServicesAmt
Management And General$688,328ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,067,644,701TotalAmt
Program Services$907,727,276ProgramServicesAmt
Management And General$159,917,425ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,415BOYAmt
EOY$32,033EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$144,050,406BOYAmt
EOY$171,620,610EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$28,272BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,163,449BOYAmt
EOY$19,698,534EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$981,668BOYAmt
EOY$1,142,651EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,203,665,467LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$525,631,470LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$652,420,943BOYAmt
EOY$678,033,997EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$24,136,518BOYAmt
EOY$23,541,687EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,240,539BOYAmt
EOY$2,587,388EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$22,491,443BOYAmt
EOY$22,491,443EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,635,114BOYAmt
EOY$2,805,558EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$868,168,767BOYAmt
EOY$921,953,901EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$57,481,479BOYAmt
EOY$61,739,093EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,095,483BOYAmt
EOY$4,188,965EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,611,120BOYAmt
EOY$5,088,919EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$496,312,418BOYAmt
EOY$553,769,724EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$564,500,500BOYAmt
EOY$624,786,701EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$303,668,267BOYAmt
EOY$297,167,200EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$303,668,267BOYAmt
EOY$297,167,200EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$868,168,767BOYAmt
EOY$921,953,901EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$150,739,249ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,227,126NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$156,013,190OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$44,632OtherActivitiesAmt
Total Lobbying Expenditures$44,632TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationOTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO INDIANA HOSPITAL AND HEALTH ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, INDIANA ASSOCIATION OF HOMES & SERVICES FOR THE AGING, INC., AMERICAN ASSOCIATION OF HOMES & SERVICES FOR THE AGING, INC. AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$707,386BeginningYearBalanceAmt
Contributions$14,000ContributionsAmt
Investment Earnings Or Losses-$63,044InvestmentEarningsOrLossesAmt
Grants Or Scholarships$7,400GrantsOrScholarshipsAmt
End Year Balance$650,942EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$672,505BeginningYearBalanceAmt
Investment Earnings Or Losses$55,081InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,200GrantsOrScholarshipsAmt
End Year Balance$707,386EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$642,805BeginningYearBalanceAmt
Contributions$225ContributionsAmt
Investment Earnings Or Losses$41,324InvestmentEarningsOrLossesAmt
Grants Or Scholarships$11,849GrantsOrScholarshipsAmt
End Year Balance$672,505EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$625,781BeginningYearBalanceAmt
Contributions$535ContributionsAmt
Investment Earnings Or Losses$27,888InvestmentEarningsOrLossesAmt
Grants Or Scholarships$11,399GrantsOrScholarshipsAmt
End Year Balance$642,805EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$636,041BeginningYearBalanceAmt
Contributions$689ContributionsAmt
Investment Earnings Or Losses$27,585InvestmentEarningsOrLossesAmt
Grants Or Scholarships$38,534GrantsOrScholarshipsAmt
End Year Balance$625,781EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.80860PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.19140TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,770,319OtherCostOrOtherBasisAmt
Book Value$6,770,319BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$615,458,970OtherCostOrOtherBasisAmt
Depreciation$252,295,607DepreciationAmt
Book Value$363,163,363BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,308,514OtherCostOrOtherBasisAmt
Depreciation$7,965,459DepreciationAmt
Book Value$4,343,055BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$485,892,430OtherCostOrOtherBasisAmt
Depreciation$238,355,548DepreciationAmt
Book Value$247,536,882BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$83,235,234OtherCostOrOtherBasisAmt
Depreciation$27,014,856DepreciationAmt
Book Value$56,220,378BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$678,033,997TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
EST. MEDICARE/MEDICAID SETTLEMENTS$2,716,088
EST. 3RD PARTY RECEIVABLES$6,883,072
RESTRICTED FUNDS$339,871
DUE TO/FROM INTERUNIT$543,830,693
FieldValueIRS element (for citing)
Total Liability$553,769,724TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS ARE USED FOR CHAPLAINCY SERVICES.
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): PAGE 15 OF ATTACHED FINANCIAL STATEMENTS. 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, 2018 AND 2017, 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 2014 AND PRIOR.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,813,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,813,214NetCommunityBenefitExpnsAmt
Total Expense0.01780TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,526,062TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$82,963,455DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,562,607NetCommunityBenefitExpnsAmt
Total Expense0.03250TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,158,764TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,586,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,572,117NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$207,498,040TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$148,550,102DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,947,938NetCommunityBenefitExpnsAmt
Total Expense0.05890TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,357,589TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$301,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,056,412NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,278,829TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,122,166DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,156,663NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,986,591TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$775,240DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,211,351NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$531,987TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$531,987NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,556,793TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,556,793NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,711,789TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,198,583DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,513,206NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$222,209,829TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$150,748,685DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,461,144NetCommunityBenefitExpnsAmt
Total Expense0.07150TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$67,156,127BadDebtExpenseAmt
Bad Debt Expense Attributable$1,095,405BadDebtExpenseAttributableAmt
Reimbursed By Medicare$161,921,052ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$182,088,717CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$20,167,665MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111109 PARKVIEW PLAZA DRIVEAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46845ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PARKVIEW.COMWebsiteAddressTxt
State License14-005020-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PARKVIEW.COM/LOCALHEALTHNEEDSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.PARKVIEW.COM/LOCALHEALTHNEEDSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PARKVIEW HOSPITAL, INC.PART V, SECTION B, LINE 5: PARKVIEW HEALTH SYSTEM, INC. INCLUDING PARKVIEW HOSPITAL, INC. CONDUCTED ITS LAST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. OVER THE COURSE OF ADMINISTERING THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) RESEARCH TEAM WORKED TO ENSURE THAT THE NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WERE TAKEN INTO ACCOUNT. THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT USED THREE SOURCES OF PRIMARY DATA: 1) A PHONE SURVEY OF THE COMMUNITY CONDUCTED ON BEHALF OF PARKVIEW HOSPITAL, INC. AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) BY THE EAGLETON CENTER FOR PUBLIC INTEREST POLLING (A CENTER OF RUTGERS UNIVERSITY) COMPLETED IN MARCH 2016; 2) AN ONLINE SURVEY DEVELOPED BY THE IN-PHC AND DISTRIBUTED BY THE HOSPITAL TO AREA PROVIDERS INCLUDING PUBLIC HEALTH OFFICIALS, OTHER HEALTHCARE PROFESSIONALS AND VARIOUS SOCIAL SERVICE ORGANIZATIONS THAT SPECIALIZE IN AIDING VULNERABLE POPULATIONS COMPLETED IN JUNE 2016; AND 3) FOCUS GROUPS WITH SPECIFIC VULNERABLE POPULATIONS, INCLUDING THE HISPANIC/LATINO AND AFRICAN AMERICAN POPULATIONS WERE CONDUCTED BY IN-PHC IN ALLEN, NOBLE AND KOSCIUSKO COUNTIES. FOR THE AMISH COMMUNITY IN LAGRANGE COUNTY, A WRITTEN SURVEY WAS DISTRIBUTED THROUGH COMMUNITY LEADERS. FOCUS GROUP AND WRITTEN SURVEY DATA COLLECTION WAS COMPLETED IN THE SUMMER OF 2016.CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATA BASE WAS USED TO ACCESS SECONDARY DATA FOR THE SEVEN-COUNTY AREA. STATE AND NATIONAL DATA WAS OBTAINED THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY HEALTH RANKINGS, HEALTH INDICATORS WAREHOUSE, INDIANA STATE DEPARTMENT OF HEALTH, INDIANA UNIVERSITY CENTER FOR HEALTH POLICY AND THE U.S. CENSUS BUREAU.
PARKVIEW HOSPITAL, INC.PART V, SECTION B, LINE 6A: COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823).
PARKVIEW HOSPITAL, INC.PART V, SECTION B, LINE 6B: PARKVIEW HEALTH SYSTEM, INC.; INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI) AND CONDUENT HEALTHY COMMUNITIES INSTITUTE.
PARKVIEW HOSPITAL, INC.PART V, SECTION B, LINE 11: SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:OBESITY - PARKVIEW HOSPITAL, INC. CONTINUED OUTREACH PROGRAMS ESTABLISHED IN 2014 TO ADDRESS OBESITY PRIMARILY IN LOW-INCOME AREAS OF ALLEN COUNTY. ACTIONS TO ADDRESS THE ISSUE OF OBESITY CENTER AROUND PROGRAMS THAT ENGAGE CHILDREN AND FAMILIES AND INCLUDE THE FOLLOWING PROGRAMS: 1) THE HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE; 2) PLANTING HEALTHY SEEDS FOR 3RD AND 4TH GRADERS; 3) PLANTING HEALTHY SEEDS: EARLY CHILDHOOD EDITION; 4) PLANTING HEALTHY SEEDS: AFTER-SCHOOL EDITION; 5) TAKING ROOT WELL-BEING CHALLENGE PROGRAM FOR 4TH AND 5TH GRADERS; 6) SIMPLE SOLUTIONS FOR PARENTS OF LOW-INCOME, PRE-SCHOOL CHILDREN AND; 7) THE COMMUNITY NURSING NUTRITION AND DIABETES EDUCATION PROGRAM AND CARDIOVASCULAR/DIABETES SCREENING PROGRAM; 8) CREATION OF THE PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN LOCATED IN A DESIGNATED FOOD DESERT AREAPARKVIEW HAS FOCUSED ITS EFFORTS IN AREAS DEEMED TO PRODUCE THE HIGHEST IMPACT FOR OBESITY PREVENTION. ANTICIPATED IMPACT INCLUDE THE FOLLOWING: 1) INCREASE ACCESS TO FRESH, AFFORDABLE AND LOCALLY GROWN FOOD; 2) INCREASE CONSUMPTION OF FRESH PRODUCE; 3) PROVIDE CURRICULUM FOR ELEMENTARY AND MIDDLE SCHOOL STUDENTS AND PARENTS OF PRE-SCHOOL CHILDREN RELATED TO PHYSICAL ACTIVITY AND NUTRITION; 4) PROVIDE PREVENTIVE HEALTH AND SKILL-BUILDING CLASSES FOR FAMILIES AND PREGNANT WOMEN; 5) ENHANCE AND INCREASE PROVIDER DIRECTED WELLNESS RESOURCES INCLUDING REFERRALS TO HEALTH MANAGEMENT PROGRAMS IN THE COMMUNITY.MATERNAL/CHILD HEALTH - PARKVIEW HOSPITAL, INC. HAS DEVELOPED MULTIPLE EVIDENCE-BASED STRATEGIES TO ADDRESS INFANT MORTALITY THROUGH IMPROVED PRENATAL AND INPATIENT CARE AND IN WORKING WITH PARTNER ORGANIZATIONS TO MAKE OUR COMMUNITY A HEALTHIER PLACE FOR FAMILIES. STRATEGIES INCLUDE THE FOLLOWING: 1) IMPLEMENT PROGRAMS DESIGNED TO REDUCE RISKS AND INCREASE HEALTHY BEHAVIORS AMONG PREGNANT WOMEN; 2) ADDRESS HEALTH DISPARITIES AND SEEK WAYS TO IMPROVE HEALTH OUTCOMES IN THE 46806 ZIP CODE; 3) BUILD UPON EXISTING STRENGTHS TO LEAD THE REGION IN PERINATAL CARE AND SERVICES FOR FAMILIES; 4) INCREASE EFFORTS TO RAISE AWARENESS AND BUILD RELATIONSHIPS WITH COMMUNITY PARTNERS. SEVERAL PROGRAMS WERE LAUNCHED OR EXPANDED TO CARRY OUT THE AFOREMENTIONED STRATEGIES AND INCLUDE THE FOLLOWING: 1) THE COMMUNITY HEALTH WORKER (CHW) AND COMMUNITY NURSING OUTREACH PROGRAMS PROVIDE HOME VISITS AND SUPPORT GROUP EDUCATION ON SAFE SLEEP, CAR SEAT SAFETY, BREASTFEEDING, PERIOD OF PURPLE CRYING AND BABY AND ME TOBACCO FREE; 2) FOOTPRINTS FORT WAYNE, A COMMUNITY COLLECTIVE IMPACT INITIATIVE; 3) THE FETAL INFANT MORTALITY REVIEW (FIMR) TEAM, A MULTI-DISCIPLINARY GROUP ORGANIZED TO REVIEW CASES OF FETAL AND INFANT DEATHS FOR PREVENTION PURPOSES. MENTAL HEALTH - MENTAL AND BEHAVIORAL HEALTH (MBH) JUST LIKE PHYSICAL HEALTH IS A CRUCIAL ASPECT OF OVERALL WELL-BEING FOR INDIVIDUALS WHO RESIDE WITHIN OUR COMMUNITIES. IN FACT, MBH IS THE ONE ASPECT OF HEALTH THAT IMPACTS ALL OTHER ASPECTS OF HEALTH. STRATEGIES TO ADDRESS MENTAL HEALTH NEEDS IN OUR COMMUNITY INCLUDE THE FOLLOWING: 1) ADDRESS THE STIGMA ASSOCIATED WITH MBH THROUGH THE DEVELOPMENT OF COMMON MESSAGING AND STRATEGIES THAT ENCOURAGE INDIVIDUALS TO BE WILLING TO SEEK CARE EARLIER IN THE DISEASE PROCESS; 2) INCREASE AWARENESS OF RESOURCES, I.E., THE BEHAVIORAL HEALTH HELPLINE, MBH RESOURCES WITHIN THE COMMUNITY AND PARKVIEW INCLUDING, EMERGENT AND URGENT CARE 3) IMPROVE ACCESS TO CARE FOR INDIVIDUALS WHOSE LIVES ARE IMPACTED BY MBH DISORDERS, THROUGH ENHANCED PROGRAMMING OPTIONS AND NAVIGATION SERVICES; 4) PROVIDE EDUCATION AND SKILL-BUILDING TRAINING FOR THE COMMUNITY MEMBERS REGARDING SUICIDE AND HOW TO RECOGNIZE AND RESPOND TO AN INDIVIDUAL IN CRISIS USING THE ZERO SUICIDE MODEL OF CARE EDUCATIONAL PROGRAMOTHER HEALTH NEEDS NOT BEING ADDRESSED:-TOBACCO USE: TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY RELATED TO TOBACCO FREE EFFORTS. TFAC PROVIDES INFORMATION ON RESOURCES ABOUT LOCAL SMOKING CESSATION PROGRAMS AND ADVOCATES FOR NO-SMOKING PUBLIC POLICY. PARKVIEW HOSPITAL, INC. IS A SOURCE OF SMOKING CESSATION PROGRAMS AND OPERATES A TOBACCO-FREE CAMPUS. -DIABETES, CARDIOVASCULAR DISEASE AND CANCER: WHILE PARKVIEW HOSPITAL DID NOT SELECT THESE CHRONIC DISEASES AS TOP HEALTH PRIORITIES, OUR INTENT IS TO HELP TO PREVENT AND REDUCE THE PRESENCE OF CHRONIC CONDITIONS LIKE THE AFOREMENTIONED DISEASES BY ADDRESSING OBESITY THROUGH NUTRITION EDUCATION, INCREASED ACCESS TO HEALTHY FOODS, ACTIVE LIVING PROGRAMS AND EDUCATION ON OTHER HEALTHY LIFESTYLE HABITS.-DRUGS/ALCOHOL ABUSE AND ADDICTION - ONE OF PARKVIEW HOSPITAL, INC.'S HEALTH PRIORITIES IS MENTAL HEALTH. MANY INDIVIDUALS BEING ASSISTED AND REFERRED THROUGH PARKVIEW BEHAVIORAL HEALTH CARE NAVIGATION PROGRAM ARE AFFECTED BY DRUG AND ALCOHOL ABUSE AND ADDICTION.-SEXUALLY TRANSMITTED DISEASES (STDS): THE FORT WAYNE-ALLEN COUNTY HEALTH DEPARTMENT, IN CONJUNCTION WITH MATTHEW 25 HEALTH CLINIC, OPERATES A SEXUALLY TRANSMITTED DISEASE (STD) CLINIC. THE NE INDIANA POSITIVE RESOURCE CONNECTION (FORMERLY THE AIDS TASK FORCE) PROVIDES STD PREVENTION EDUCATION TO TEENS AND ADULTS.-CHRONIC KIDNEY DISEASE: MAJOR RISK FACTORS RELATED TO CHRONIC KIDNEY DISEASE ARE DIABETES, HIGH BLOOD PRESSURE AND AGE OF 60 AND OLDER. THE LOCAL CHAPTER OF THE NATIONAL KIDNEY FOUNDATION FOCUSES ON PREVENTION EDUCATION AND SERVES AS A RESOURCE TO THOSE AFFECTED BY KIDNEY DISEASE AND THEIR FAMILIES. ADDITIONALLY, THE FOUNDATION PROVIDES KIDNEY EARLY EVALUATION PROGRAM (KEEP) HEALTHY KIDNEY SCREENING EVENTS.-ASTHMA: WHILE ASTHMA WAS NOT SELECTED AS A TOP HEALTH PRIORITY, PARKVIEW HOSPITAL, INC. COMMUNITY NURSING PROGRAM ADMINISTERS AN ASTHMA PROGRAM THAT PROVIDES INTERVENTION THAT MOVES PATIENTS BEYOND EMERGENCY RESCUE CARE TO A MORE PROACTIVE CARE APPROACH. THE PROGRAM INCLUDES EDUCATION, INFORMATION, AND STRATEGIES FOR FOLLOW-UP CARE THAT ARE BOTH INEXPENSIVE AND EFFECTIVE. THIS PROGRAM INCORPORATES MULTIPLE BEST PRACTICES, BUNDLES MANY OF THE RESOURCES ALREADY AVAILABLE AND IN USE, AND APPLIES PRINCIPLES OF CASE MANAGEMENT/CARE NAVIGATION AND PROVIDES SERVICES TO PATIENTS IN A SERIES OF ONE-ON-ONE CONTACTS OVER TIME TO FACILITATE LONG-TERM ASTHMA MANAGEMENT.-AGING: AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA SERVES OLDER ADULTS, PERSONS WITH DISABILITIES AND THEIR CAREGIVERS IN NINE COUNTIES AS A PART OF THIS REGION. THIS NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION IS A FEDERAL AND STATE DESIGNATED AREA AGENCY ON AGING AND AN AGING AND DISABILITY RESOURCE CENTER WHICH PROVIDES A 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, AGING AND IN-HOME SERVICES PARTNERS WITH PARKVIEW HEALTH IN AN EFFORT TO REDUCE MEDICARE READMISSIONS. PARKVIEW HOSPITAL, INC. ALSO OFFER SENIOR SERVICES TO THOSE AGE 50 AND OVER IN THEIR LOCAL COMMUNITIES. SERVICES INCLUDE HEALTH PREVENTION EDUCATION AND INFORMATION ON COMMUNITY RESOURCES, SELF-CARE AND SAFETY. -PRIMARY CARE ACCESS: INCREASING ACCESS TO HEALTHCARE IS A STRATEGIC INITIATIVE FOR THE HEALTH SYSTEM. PARKVIEW CONDUCTS PERIODIC STUDIES TO DETERMINE THE AREAS WHERE PHYSICIANS ARE NEEDED AND, THEN, RECRUITS PHYSICIANS ACCORDINGLY. ALLEN COUNTY HAS A STRONG HEALTHCARE SAFETY NET THAT ADDRESSES THE NEEDS OF INDIVIDUALS THAT ARE UNINSURED OR UNDERINSURED. PARTICIPATING ORGANIZATIONS IN THE SAFETY NET INCLUDE MATTHEW 25 HEALTH AND DENTAL CLINIC AND NEIGHBORHOOD HEALTH CLINICS, BOTH OF WHICH ARE SUPPORTED IN PART BY PARKVIEW HOSPITAL, INC., FORT WAYNE-ALLEN COUNTY HEALTH DEPARTMENT AND OTHER HEALTH-RELATED ORGANIZATIONS. PARKVIEW ONDEMAND OFFERS TELEHEALTH SERVICES WHERE CLIENTS CAN TALK TO A PRIMARY CARE PHYSICIAN ANYTIME, ANYWHERE THROUGH CONVENIENT VIDEO OR MOBILE APP VISITS. WITH THE BIRTH OF THE LOCAL RONALD MCDONALD CARE MOBILE PROGRAM, PARKVIEW PHYSICIANS GROUP BEGAN STAFFING THE UNIT WITH PEDIATRIC PROVIDERS WHO DELIVER HEALTHCARE SERVICES FOR CHILDREN AGES 0 TO 18. THE CARE MOBILE DELIVERS NO-CHARGE SERVICES TO FAMILIES WITHOUT MEDICAL INSURANCE.
FieldValueIRS element (for citing)
Facility25FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - PARKVIEW MED PARK 11 OP PHARMACY
11104 PARKVIEW CIRCLE DRIVEFORT WAYNEIN46845OP PHARMACY
2 - BRYAN OH LAB
442 W HIGH STREETBRYANOH43506LAB DRAW
3 - CAREW MEDICAL PARK LAB
1818 CAREW STREETFORT WAYNEIN46805LAB DRAW
4 - PARKVIEW CANCER INSTITUTE LAB
11104 PARKVIEW CIRCLE DRIVEFORT WAYNEIN46845LAB DRAW
5 - OP THERAPY PRMC MOB11
11104 PARKVIEW CIRCLE DRIVE SUITEFORT WAYNEIN46845OP THERAPY050
6 - LIMA ROAD FAMILY MEDICINE LAB
11055 TWIN CREEKS COVEFORT WAYNEIN46804LAB DRAW
7 - ST JOE ROAD LAB SERVICES
5693 YMCA PARK DRIVEFORT WAYNEIN46835LAB DRAW
8 - PARKVIEW WOODLAND PLAZA AMBULATORY SITE
1234 DUPONT RDFORT WAYNEIN46845LAB DRAW
9 - MONTPELIER OH LAB
935 SNYDERMONTPELIEROH43543LAB DRAW
10 - PRMC MOB2 OB-GYN LAB
111123 PARKVIEW PLAZA SUITE 101FORT WAYNEIN46845LAB DRAW
11 - PARKVIEW RESEARCH CENTER
10622 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845CLINICAL RESEARCH
12 - RHEUMATOLOGY NEW VISION LAB
3816 NEW VISION DRIVEFORT WAYNEIN46845LAB DRAW
13 - CAREW CENTER OB-GYN LAB
2414 EAST STATEFORT WAYNEIN46805LAB DRAW
14 - GRABILL MAIN LAB
13430 MAIN STGRABILLIN46741LAB DRAW
15 - NORTH CLINTON LAB
5104 NORTH CLINTONFORT WAYNEIN46825LAB DRAW
16 - WAYNEDALE TEMPLE LAB
8607 TEMPLE DRIVEFORT WAYNEIN46809LAB DRAW
17 - WAUSEON OH LAB SHOOP AVE
495 S SHOOP AVEWAUSEONOH43567LAB DRAW
18 - PRMC MOB11 LAB
11104 PARKVIEW CIRCLEFORT WAYNEIN46845LAB DRAW
19 - PARKVIEW CENTER FOR HEALTHY LIVING
1234 E DUPONT RD SUITE 2FORT WAYNEIN46845HEALTH AND WELLNESS
20 - WARSAW DUBOIS LAB
2300 DUBOIS AVEWARSAWIN46580LAB DRAW
21 - PARKVIEW HEALTH & FITNESS
3000 E STATE BLVDFORT WAYNEIN46805HEALTH FITNESS
22 - ARCHBOLD OH LAB
121 WESTFIELD DRIVEARCHBOLDOH43502LAB DRAW
23 - HOBSON LAB
1515 HOBSON ROADFORT WAYNEIN46805LAB DRAW
24 - LAKE AVE 1 LAB
2710 LAKE AVEFORT WAYNEIN46805LAB DRAW
25 - TRIER 2 LAB
6130 TRIER RDFORT WAYNEIN46815LAB DRAW

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE.
PART I, LINE 6A:THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665) AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES.
PART I, LINE 7:PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARKVIEW HOSPITAL, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7CPARKVIEW HOSPITAL, INC. ACCEPTS ALL CERTAIN MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GCOSTS ASSOCIATED WITH THE MOBILE MAMMOGRAPHY PROGRAM AND THE ASSESSMENTS AND REFERRALS OF INDIVIDUALS THROUGH THE PARKVIEW BEHAVIORAL HEALTH ACCESS CENTER WHERE INCLUDED AS SUBSIDIZED HEALTH SERVICES.PART I, LINE 7HAMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO SUPPORT THE RESEARCH CONDUCTED BY THE PARKVIEW RESEARCH CENTER. SPEND IS BASED ON THE OPERATING EXPENSES ASSOCIATED WITH RESEARCH ACTIVITIES OVER AND ABOVE GRANTS AND OTHER REVENUE RECEIVED BY THE CENTER.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARKVIEW HOSPITAL, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES.
PART I, LN 7 COL(F):PERCENT OF TOTAL EXPENSEPARKVIEW HOSPITAL, INC. EXCLUDED $67,156,127 OF BAD DEBT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTES THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.ECONOMIC DEVELOPMENT:PARKVIEW HOSPITAL, INC. HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF OUR COMMUNITY AND THE NORTHEAST INDIANA REGION. PARKVIEW INVESTS IN PROJECTS THAT HELP TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF THE COMMUNITY. SUPPORT FOR FRIENDS OF THE RIVER, INC. IS A PART OF A MULTIPLE-YEAR PLAN FOR URBAN REVITALIZATION AND THE PROMOTION OF ECONOMIC DEVELOPMENT IN NORTHEAST INDIANA. PARKVIEW HOSPITAL, INC. HAS PLAYED A SIGNIFICANT ROLE IN THESE EFFORTS AND SUPPORTS THE RIVERFRONT REVITALIZATION PROJECT.
PART III, LINE 2:THE AMOUNT REPORTED IS CONSISTENT WITH THE AMOUNT REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS.DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS (BAD DEBT RECOVERIES) ARE FACTORED INTO THE ALLOWANCE FOR BAD DEBT ESTIMATION PROCESS.
PART III, LINE 3:COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE PROVISION FOR BAD DEBT IN ACCORDANCE WITH THE POLICIES OF PARKVIEW HOSPITAL, INC. HOWEVER, DURING THE COLLECTION PROCESS THERE IS A CONTINUOUS EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. THEREFORE, ONCE AN UNCOLLECTIBLE ACCOUNT HAS BEEN CHARGED OFF AND IT IS DETERMINED THROUGH THE COLLECTION PROCESS THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE UNCOLLECTIBLE ACCOUNT IS RECLASSIFIED TO CHARITY CARE AND ALL COLLECTION EFFORTS CEASE. PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME, INCLUDING PATIENTS WHOSE ACCOUNTS HAVE BEEN PLACED IN A BAD DEBT AGENCY. THE AMOUNT REFLECTED ON LINE 3 WAS CALCULATED BY TOTALING THE ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT AND PLACED WITH A COLLECTION AGENCY, BUT SUBSEQUENTLY RECLASSIFIED AS CHARITY CARE DURING THE TAX YEAR. THE ACCOUNTS WERE RECLASSIFIED AS CHARITY CARE DUE TO THE FACT THAT PATIENTS APPLIED FOR, AND WERE APPROVED FOR, FINANCIAL ASSISTANCE AFTER THE ACCOUNTS WERE PLACED WITH A BAD DEBT AGENCY.
PART III, LINE 4:BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGE 12 OF ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARKVIEW HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARKVIEW HOSPITAL, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARKVIEW HOSPITAL, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION.
PART III, LINE 9B:IF THE PATIENT CANNOT PAY IN FULL, THE OPTION OF A LOW INTEREST LOAN IS AVAILABLE WITH THE SAME DISCOUNT OFFERED FOR CASH PAYMENTS AS LONG AS THE LOAN IS ARRANGED WITHIN 30 DAYS OF THE FIRST GUARANTOR STATEMENT. IF THE PATIENT DEFAULTS ON THE LOAN, THE DISCOUNT WILL BE REVERSED AND THE PATIENT'S ACCOUNT WILL BE PLACED IN A COLLECTION AGENCY.INTEREST-FREE PAYMENTS WITH PAY-OUT NOT TO EXCEED TWELVE (12) 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 IDENTIFYING HEALTH NEEDS THROUGH THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, PARKVIEW HOSPITAL, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:-OTHER COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS-USE OF CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA PLATFORM -OBSERVATIONS BY HEALTHCARE PROFESSIONALS WHO WORK WITH VULNERABLE POPULATIONS-SPECIFIC REQUESTS PROMPTED BY OTHER PROFESSIONALS IN THE COMMUNITYHOSPITAL REPRESENTATIVES MAINTAIN ON-GOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE.
PART VI, LINE 3:DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE.
PART VI, LINE 4:DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.THE FACILITIES OF PARKVIEW HOSPITAL, INC., CONSISTING OF THE PARKVIEW REGIONAL MEDICAL CENTER, PARKVIEW HOSPITAL RANDALLIA AND PARKVIEW BEHAVIORAL HEALTH ARE LOCATED IN FORT WAYNE, THE PRIMARY URBAN AREA IN THE HEALTH SYSTEM'S SERVICE AREA. ACCORDING TO STATS INDIANA 2018, FORT WAYNE REPORTED A POPULATION OF 267,633 AND COMPRISES 71.3 PERCENT OF THE TOTAL ALLEN COUNTY POPULATION. NEW HAVEN, THE LARGEST TOWN IN THE COUNTY, ACCOUNTS FOR 4.2 PERCENT OF THE COUNTY POPULATION. THE TOTAL POPULATION IN ALLEN COUNTY IS 375,351, A 5.6 PERCENT INCREASE SINCE THE 2010 CENSUS. IN 2017, APPROXIMATELY 13.1 PERCENT OF THE POPULATION IN ALLEN COUNTY WAS REPORTED TO BE BELOW THE FEDERAL POVERTY LEVEL. THE PER CAPITA PERSONAL (ANNUAL) INCOME WAS $44,525 AND THE MEDIAN HOUSEHOLD INCOME WAS $52,661. AS OF APRIL 2019, THE UNEMPLOYMENT RATE WAS 2.7 PERCENT. A PORTION OF SOUTHEAST FORT WAYNE IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA) BY THE FEDERAL GOVERNMENT. THERE IS ONE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN ALLEN COUNTY, NEIGHBORHOOD HEALTH CLINIC. THEIR PRIMARY LOCATION IS LOCATED NEAR DOWNTOWN. IN 2014, PARKVIEW AND THE NEIGHBORHOOD HEALTH CLINIC OPENED A SATELLITE LOCATION IN SOUTHEAST FORT WAYNE (PARKVIEW NEIGHBORHOOD HEALTH CLINIC). IN ADDITION TO THE CLINIC, THE FACILITY HOUSES THE PARKVIEW CENTER FOR HEALTHY LIVING WHICH PROVIDES HEALTH PREVENTION EDUCATION TO THE LOCAL UNDERSERVED POPULATION.ACCORDING TO TRUVEN HEALTH ANALYTICS, IN 2019, 19.6 PERCENT OF ALLEN COUNTY RESIDENTS ARE ENROLLED IN MEDICAID AND 9.1 PERCENT ARE UNINSURED. IN 2018, FOR PARKVIEW HOSPITAL, INC. FACILITIES IN ALLEN COUNTY, 20.3 PERCENT OF INPATIENT DISCHARGES WERE MEDICAID PATIENTS AND 4.6 PERCENT WERE SELF-PAY. FOR OUTPATIENT PROCEDURES, 24.6 PERCENT WERE MEDICAID PATIENTS AND 8.2 PERCENT WERE SELF-PAY.
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.).IN AN EFFORT TO BEST MEET PATIENT NEEDS, AREA QUALIFIED PHYSICIANS MAY APPLY FOR PRIVILEGES AT PARKVIEW HOSPITAL, INC. ADDITIONALLY, THE CONTINUING MEDICAL EDUCATION DEPARTMENT'S MEDICAL SYMPOSIUMS HELD THROUGHOUT THE YEAR ARE OPEN TO ALL AREA HEALTHCARE PROFESSIONALS. THE MAJORITY OF THE PARKVIEW HOSPITAL, INC. BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA.PARKVIEW HOSPITAL, INC., HAS FOSTERED CLINICAL RESEARCH SERVICES THROUGH THE PARKVIEW RESEARCH CENTER, TO PARKVIEW HEALTH SYSTEM, INC. PHYSICIANS FOR OVER 25 YEARS. IT HAS DEVELOPED AREAS OF SPECIALIZATION IN CARDIOLOGY, NEUROLOGY, RADIATION ONCOLOGY, EMERGENCY MEDICINE AND CRITICAL CARE SERVICES DURING THAT TIME. THE CENTER HAS CONDUCTED OVER 500 CLINICAL TRIALS. CURRENTLY, THERE ARE OVER 150 ACTIVE STUDIES PRIMARILY IN DRUG AND DEVICE CLINICAL RESEARCH IN THE AREAS OF CARDIOLOGY, ONCOLOGY, NEUROLOGY, ORTHOPEDICS AND PSYCHIATRY. THE PARKVIEW RESEARCH CENTER RELOCATED TO THE MIRRO CENTER FOR RESEARCH AND INNOVATION UPON ITS COMPLETION IN 2015. THIS $20 MILLION, 84,000 SQUARE FOOT FACILITY ON THE NORTH CAMPUS FEATURES SPACE FOR RESEARCH, INNOVATION AND EDUCATION AS WELL AS A HIGH-FIDELITY HUMAN PATIENT SIMULATION CENTER. 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.THE HOSPITAL 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 THE 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 WILL PROVIDE NEW ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY WILL BE OFFERED, THUS ADDRESSING A SIGNIFICANT WORKFORCE GAP AND SPECIALTY CARE ACCESS NEED IN THE COMMUNITY. PARKVIEW HOSPITAL, INC. CONTINUED WORK ON A $55 MILLION, MULTI-YEAR RENOVATION AT THE RANDALLIA LOCATION. WHILE THIS FACILITY PROVIDES COMMUNITY-CENTRIC HEALTHCARE SERVICES, PARKVIEW HOSPITAL, INC. IS REPOSITIONING THE RANDALLIA CAMPUS AS PART OF A FUTURE USES PLAN PROCESS. BEGINNING IN 2014, RENOVATIONS HAVE INCLUDED THE FOLLOWING:-ADDITION OF THE CENTER FOR WOUND HEALING AND OUTPATIENT INFUSION CENTER -ALL NEW FAMILY BIRTHING CENTER AND STATE-OF-THE-ART INTENSIVE CARE UNIT -LOGISTICS CENTER TO COORDINATE BED MANAGEMENT, EMS, FLIGHT DISPATCH AND OTHER VITAL HEALTH SYSTEM COMMUNICATIONS-PROCEDURAL CENTER ALLOWING FOR IN-PATIENT CATHETERIZATION PROCEDURES -CONSTRUCTION OF AN ADDITIONAL ENTRANCE WITH NEW CENTRALIZED REGISTRATION AREA-RENOVATION OF THE PHYSICAL THERAPY DEPARTMENT -AN EMERGENCY ROOM REMODEL FOCUSED ON BEHAVIORAL HEALTH SECURE HOLD ROOMS-EXISTING SPACE WAS REDESIGNED AND RENOVATED TO HOUSE THE 12-BED MEDICAL/SURGICAL PATIENT CARE UNIT WITH STATE-OR-THE-ART FEATURES-RENOVATION OF 20 PATIENT ROOMS-OTHER INFRASTRUCTURE UPGRADESADDITIONAL UPGRADES INCLUDED THE ADDITION OF SHELL SPACE FOR FUTURE EXPANSION AND RENOVATION OF AN ADDITIONAL 20 PATIENT ROOMS. THE NEW CANCER INSTITUTE OPENED ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS IN JUNE 2018. THE 108,000 SQ. FT., $100 MILLION STATE-OF-THE-ART FACILITY USES AN INNOVATIVE PATIENT-CENTERED APPROACH TO CANCER CARE. CARE INCLUDES AN INTER-DISCIPLINARY CLINICAL TEAM AND A PERSONAL CARE NAVIGATION PROGRAM. ALL CANCER-RELATED SERVICES ARE UNDER ONE ROOF WHETHER ENGAGED IN PREVENTION, TREATMENT OR AFTERCARE. EXPANSIVE COMMON AREAS WITH INDOOR GARDENS SEPARATE FROM CLINICAL AREAS ARE AVAILABLE FOR USE BY PATIENTS AND THEIR FAMILIES.PARKVIEW HOSPITAL, INC. IS DEDICATED TO THE INVESTMENT OF TIME AND RESOURCES IN THE PROCESS AND CHALLENGES OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY. THROUGH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE COMPOSED OF COMMUNITY LEADERS, MEMBERS OF THE PARKVIEW HOSPITAL, INC. BOARD OF DIRECTORS AND HOSPITAL MANAGEMENT, THE COMMUNITY HEALTH IMPROVEMENT PROGRAM PROACTIVELY SEEKS TO BUILD COMMUNITY PARTNERSHIPS AND COLLABORATIONS IN DEVELOPING AND IMPLEMENTING HEALTH INITIATIVES TO MEET IDENTIFIED COMMUNITY HEALTH NEEDS. OUR GOAL IS TO UTILIZE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE HEALTH STATUS, PARTICULARLY FOR THE UNDERSERVED. PARKVIEW HOSPITAL, INC. SUPPORTS THESE COMMUNITY HEALTH IMPROVEMENT EFFORTS THROUGH A COMMITMENT OF UP TO 10 PERCENT OF ITS NET INCOME ON AN ANNUAL BASIS.SEVERAL LOCAL HEALTH PARTNERS ASSIST IN IMPROVING ACCESS TO HEALTHCARE. MATTHEW 25 HEALTH AND DENTAL CLINIC, NEIGHBORHOOD HEALTH CLINIC, NORTHEAST INDIANA POSITIVE RESOURCE CONNECTION (FORMERLY THE AIDS TASK FORCE), A HOPE CENTER (PREGNANCY CENTER), THE RESCUE MISSION (HOMELESS SHELTER) AND BRIGHTPOINT COVERING KIDS AND FAMILIES ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL PROVIDES FUNDING TO COMMUNITY TRANSPORTATION NETWORK AS THEY PROVIDE MEDICAL TRANSPORTATION FOR THE SENIOR, DISABLED AND LOW-INCOME POPULATIONS THROUGHOUT THE COMMUNITY.INITIATIVES RELATED TO CURRENT HEALTH PRIORITIES INCLUDE SCHOOL-BASED NUTRITION AND ACTIVE LIFESTYLE CURRICULUMS/PROGRAMS, OPENING OF PARKVIEW'S COMMUNITY GREENHOUSE AND LEARNING KITCHEN, MATERNAL/INFANT INTERVENTION PROGRAMS, AND A BEHAVIORAL HEALTH CARE NAVIGATOR PROGRAM. THE HOSPITAL FUNDS AND MANAGES AN INTEGRATED COMMUNITY-BASED NURSING PROGRAM. THESE REGISTERED NURSES, ALONG WITH A REGISTERED DIETITIAN, REGISTERED RESPIRATORY THERAPIST AND COMMUNITY HEALTH WORKER, DELIVER EDUCATION AND SERVICES OUTSIDE THE FOUR WALLS OF OUR FACILITIES TO ADDRESS COMMUNITY HEALTH ISSUES, ENGAGE FAMILIES THROUGH OUTREACH, AND SERVE POPULATIONS IN OUR COMMUNITY WHO ARE OTHERWISE UNDERSERVED BY THE TRADITIONAL HEALTHCARE SYSTEM. OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE MEDICATION ASSISTANCE, MOBILE MAMMOGRAPHY SERVICES AND INJURY PREVENTION EDUCATION.AS A PART OF PROMOTING HEALTHY LIVING, THE HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE WAS DEVELOPED AS A COLLABORATION BETWEEN PARKVIEW HOSPITAL, INC. AND ST. JOSEPH COMMUNITY HEALTH FOUNDATION. IT CONSISTS OF THREE COMPONENTS INCLUDING OUR HEALING KITCHEN, A NUTRITIOUS FOOD PREPARATION COURSE, OPERATION OF FIVE SEASONAL HEAL FARM MARKETS WHERE SNAP AND WIC/SENIOR VOUCHERS ARE DOUBLED AND SUPPORT OF THE GATE (GROWTH IN AGRICULTURE THROUGH EDUCATION) URBAN GARDEN. THE HEAL PROGRAM WAS DESIGNED TO DECREASE FOOD INSECURITY AND THE PLIGHT OF FOOD DESERT NEIGHBORHOODS IN ALLEN COUNTY BY IMPROVING ACCESS TO FRESH, LOCAL PRODUCE AND WITH EDUCATION ON FOOD PREPARATION AND PRESERVATION.CONSTRUCTION OF THE PARKVIEW GREENHOUSE AND LEARNING KITCHEN WAS COMPLETED IN LATE 2018. THE FACILITY IS LOCATED ON THE PARKVIEW BEHAVIORAL HEALTH CAMPUS, WHICH IS A FEDERALLY DESIGNATED FOOD DESERT AREA. THIS FACILITY SERVES AS A HUB FOR PARKVIEW'S NUTRITION-RELATED OUTREACH EDUCATION PROGRAMS. FOOD TASTINGS, COOKING DEMONSTRATIONS AND HANDS-ON COOKING CLASSES TO EDUCATE COMMUNITY MEMBERS ON HOW TO SHOP FOR, PREPARE, STORE AND USE FRESH FOODS BEGAN MID-2019.
PART VI, LINE 6:IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.: COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. THE CORPORATE MISSION AND VISION IS AS FOLLOWS: AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY: 1) TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS, 2) DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY 3) PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES 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 OBESITY/HEALTHY LIFESTYLE PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.PARKVIEW CONTRIBUTES TO THE OVERALL SUCCESS OF THE REGION THROUGH SIGNIFICANT INVOLVEMENT IN THE COMMUNITIES WE SERVE. BY DEVELOPING VARIOUS PARTNERSHIPS AND ALIGNMENTS WITH DIFFERENT SECTORS AND ORGANIZATIONS, PARKVIEW HELPS TO BENEFIT THE ECONOMY, QUALITY OF LIFE AND HEALTH/WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE THE BEST CARE TO EVERY PERSON, EVERY DAY WITHIN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS IN OUR EFFORTS TO POSITIVELY IMPACT COMMUNITY HEALTH STATUS.
PART VI, LINE 7, REPORTS FILED WITH STATESIN
PART VI, LINE 7:A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (37 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
EARLY CHILDHOOD ALLIANCE INC
3320 FAIRFIELD AVENUEFORT WAYNEIN46807350953465501(C)(3)$431,521PROGRAMS TO IMPROVE THE EDUCATIONAL, HEALTH & EMOTIONAL WELL-BEING OF YOUNG CHILDREN
MATTHEW 25 INC
413 EAST JEFFERSON BLVDFORT WAYNEIN46802351484951501(C)(3)$248,446HEALTHCARE AND DENTAL SERVICES PROVIDED TO THE INDIGENT
UNIVERSITY OF SAINT FRANCIS OF FORT WAYNE INDIANA INC
2701 SPRING STREETFORT WAYNEIN46808350886846501(C)(3)$175,000SCHOOL OF NURSING SCHOLARSHIP PROGRAM
THE LUTHERAN HEALTH FOUNDATION OF INDIANA INC
3024 FAIRFIELD AVEFORT WAYNEIN46807350886840501(C)(3)$100,250HEALING OUR COMMUNITY WITH HOPE PROGRAM
NEIGHBORHOOD HEALTH CLINICS INC
1717 S CALHOUN STREETFORT WAYNEIN46802351922483501(C)(3)$90,000HEALTHCARE SERVICES FOR UNINSURED OR UNDERINSURED PATIENTS
ST JOSEPH COMMUNITY HEALTH FOUNDATION
347 W BERRY STREET STE 101FORT WAYNEIN46802311016570501(C)(3)$77,439HEALTHY EATING ACTIVE LIVING INITIATIVE
NORTHEAST INDIANA CHRISTIAN ACTION COUNCIL EDUCATION AND C H A
3630 HOBSON ROADFORT WAYNEIN46815311113254501(C)(3)$47,046SUPPORTING STI TESTING PROGRAM
FORENSIC NURSING SPECIALTIES INC
2270 LAKE AVENUEFORT WAYNEIN46805351943648501(C)(3)$42,500MEDICAL FORENSIC CARE PROGRAM FOR THOSE VICTIMIZED BY SEXUAL ASSAULT AND ABUSE
NORTHEAST IN POSITIVE RESOURCE CONNECTION INC
525 OXFORD STREETFORT WAYNEIN46806311191147501(C)(3)$33,750CASE MANAGEMENT SERVICES FOR INDIGENT AIDS PATIENTS
CANCER SERVICES OF ALLEN COUNTY INC
6316 MUTUAL DRIVEFORT WAYNEIN46825350965609501(C)(3)$30,000CANCER PATIENT ADVOCATE PROGRAM
AMERICAN CANCER SOCIETY
250 WILLIAMS ST NWATLANTAGA30303131788491501(C)(3)$27,500CANCER RESEARCH AND PROGRAMS ASSISTING CANCER PATIENTS
MENTAL HEALTH AMERICA IN ALLEN COUNTY INC
2200 LAKE AVE STE 105FORT WAYNEIN46805461326514501(C)(3)$27,250SUPPORT FOR INDIVIDUALS FACING MENTAL HEALTH CHALLENGES
SCIENCE CENTRAL INC
1950 N CLINTON STRFORT WAYNEIN46805311032583501(C)(3)$25,352EVENT SPONSORSHIPS TO SUPPORT THIS SCIENCE MUSEUM FOR CHILDREN
FELLOWSHIP OF CHRISTIAN ATHLETES
8701 LEEDS ROADKANSAS CITYMO64129440610626501(C)(3)$25,000PROGRAMS TO LEAD EVERY COACH AND ATHLETE INTO A GROWING RELATIONSHIP WITH JESUS CHRIST AND HIS CHURCH
HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
3835 NORTH RURAL STREETINDIANAPOLISIN46205356005697501(C)(3)$24,000HEALTH INSURANCE ENROLLMENT SERVICES FOR THE UNDERSERVED
TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES INC
3320 N CLINTON STREETFORT WAYNEIN46805350913541501(C)(3)$22,500THERAPY AND WELLNESS PROGRAMS FOR DISABLED CHILDREN & ADULTS
FORT WAYNE BALLET INC
300 E MAIN STREETFORT WAYNEIN46802356006394501(C)(3)$20,000SPONSORSHIP OF ANNUAL FUNDRAISING EVENT TO BENEFIT THE BALLET
CITY OF FORT WAYNE - PARKS AND RECREATION
705 E STATE STREETFORT WAYNEIN46805GOVT ORG$20,000PROGRAMS THAT BRING THE COMMUNITY TOGETHER FOR FAMILY FUN ACTIVITIES
FRIENDS OF THE RIVER INC
429 EAST DUPONT ROAD 145FORT WAYNEIN46825050608001501(C)(3)$20,000PROGRAMS TO SUPPORT FORT WAYNE RIVERS
LEUKEMIA AND LYMPHOMA SOCIETY INC
3 INTERNATIONAL DRIVE SUITE 200RYE BROOKNY10573135644916501(C)(3)$18,500RESEARCH PROGRAMS FOR BLOOD CANCER
COMMUNITY TRANSPORTATION NETWORK INC
5601 INDUSTRIAL ROADFORT WAYNEIN46825352109955501(C)(3)$17,500MEDICAL TRANSPORTATION PROGRAM
HISPANIC LEADERSHIP COALITION OF NORTHEAST INDIANA INC
235 W CREIGHTON AVEFORT WAYNEIN46807204336796501(C)(3)$15,000GALA SPONSORSHIP TO SUPPORT STUDENT SCHOLARSHIPS
PARKVIEW FOUNDATION INC
10622 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845237220589501(C)(3)$13,822OPERATIONS
SCAN INC
500 W MAIN STREETFORT WAYNEIN46802310899309501(C)(3)$12,800SPONSORSHIP FOR DUCK RACE BENEFITTING THE PREVENTION OF CHILD ABUSE AND NEGLECT
CROSSROAD CHILD & FAMILY SERVICES INC
2525 LAKE AVEFORT WAYNEIN468055457350869050501(C)(3)$10,000CHILD AND FAMILY SUPPORT SERVICES
FORT WAYNE MEDICAL SOCIETY FOUNDATION INC
700 BROADWAY STE 316FORT WAYNEIN46802356049685501(C)(3)$10,000SPONSORSHIP OF COMMUNITY EVENT PROVIDING MOTHERS-TO-BE WITH EDUCATION, SUPPORT, AND TOOLS TOWARD A HEALTHY PREGNANCY AND DELIVERY
LATINOS COUNT INC
428 W SHERWOOD TERRACEFORT WAYNEIN46807461151642501(C)(3)$10,000SPONSORSHIP OF SCHOLARSHIP PROGRAM
MARCH OF DIMES INC
303 STABLE DRIVEFORT WAYNEIN46825131846366501(C)(3)$10,000RESEARCH & PROGRAMS TO DECREASE BIRTH DEFECTS AND INFANT MORTALITY
NORTHSIDE NEIGHBORHOOD ASSOCIATION INC
PO BOX 5394FORT WAYNEIN46895351341282501(C)(3)$10,000PROGRAMS TO SUPPORT NEIGHBORHOOD
RESPECT 360 INC
PO BOX 309HUNTERTOWNIN46746474090921501(C)(3)$10,000PROGRAM THAT PROMOTES SELF RESPECT AND RESPECT FOR OTHERS DESIGNED FOR MIDDLE SCHOOL STUDENTS
VERA BRADLEY FOUNDATION FOR BREAST CANCER
PO BOX 80201FORT WAYNEIN46898352058177501(C)(3)$10,000SUPPORT FOR RESEARCH
HABITAT FOR HUMANITY OF GREATER FORT WAYNE INC
2020 E WASHINGTON BLVD STE 500FORT WAYNEIN46803351687064501(C)(3)$9,850SUPPORT FOR BUILDING HOMES FOR THE UNDERSERVED POPULATION
DESTINY LIFE CENTER CHURCH OF GOD
3601 WARSAW STREETFORT WAYNEIN46806352157218501(C)(3)$9,360MINISTRY PROGRAM
WOMENS CARE CENTER FOUNDATION INC
360 N NOTRE DAME AVESOUTH BENDIN46617383651599501(C)(3)$9,000TO RAISE AWARENESS OF EXPECTANT AND NEW MOTHERS IN NEED OF ASSISTANCE
FORT WAYNE ZOOLOGICAL SOCIETY INC
3411 SHERMAN BLVDFORT WAYNEIN46808356068234501(C)(3)$7,455TO CONNECT KIDS WITH ANIMALS, STRENGTHEN FAMILIES AND INSPIRE PEOPLE TO CARE ABOUT THE WORLD AROUND THEM
PACK SHACK OF NORTHWEST ARKANSAS INC
1091 E LOWELL AVECAVE SPRINGSAR72718463323793501(C)(3)$6,261FEED THE FUNNEL PARTY WHERE MEALS ARE PREPARED FOR THE UNDERSERVED
AMERICAN HEART ASSOCIATION INC
PO BOX 50035PRESCOTTAZ86304135613797501(C)(3)$5,600GALA SPONSORSHIP SUPPORTING HEART DISEASE RESEARCH AND SERVICES FOR THOSE WITH HEART DISEASE
FieldValueIRS element (for citing)
Total501c3 Org37Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCOMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BENJAMIN MILES
DIRECTOR/PVHOS PRESIDENT$507,288$0$111,879$0$36,021$0$104,242$0$35,884$0$795,314$0$31,782$0
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO$0$1,060,073$0$345,323$0$41,648$0$723,342$0$35,988$0$2,206,374$0$0
ALBERT MORRISON
DIRECTOR/PH PHYSICIAN$74,534$596,497$0$0$0$1,532$375$3,009$3,503$28,104$78,412$629,142$0$0
ABHIJIT SHUKLA
DIRECTOR/PH PHYSICIAN$46,785$302,666$0$28,007$0$22,034$2,899$21,851$3,583$27,013$53,267$401,571$0$0
ERIN LACROSS
PVHOS CNO$244,610$0$35,053$0$784$0$56,340$0$30,350$0$367,137$0$0$0
JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER$0$642,848$0$176,468$0$50,221$0$284,505$0$30,413$0$1,184,455$0$28,885
CHARLES CLARK
PVHOS PBH COO$201,568$0$57,954$0$4,684$0$62,071$0$22,334$0$348,611$0$0$0
MICHAEL GERUE
PVHOS PHI COO$258,044$0$58,939$0$19,802$0$77,200$0$32,969$0$446,954$0$18,452$0
MARCELINE ROGERS
PVHOS VP SURGICAL SVCS$227,450$0$40,211$0$16,873$0$54,855$0$22,672$0$362,061$0$15,874$0
MICHAEL MIRRO
PVHOS CARO$448,972$0$107,783$0$51,084$0$109,059$0$29,142$0$746,040$0$32,451$0
RAE GONTERMAN
PVHOS VP OPS-CI$157,928$0$33,176$0$38,613$0$30,084$0$19,468$0$279,269$0$10,008$0
JOHN BOWEN
PVHOS COO RANDALLIA$213,970$0$0$0$1,006$0$36,064$0$32,118$0$283,158$0$0$0
YUENIAN ZHANG
PVHOS CHIEF PHYSICIST$242,593$0$34,173$0$1,980$0$19,250$0$34,252$0$332,248$0$0$0
JACQUELINE AKEY
PVHOS PHYSICIAN$204,971$14,874$7,800$31,015$5,649$0$17,542$3,685$20,282$4,261$256,244$53,835$0$0
JOHN STANFORD
PVHOS MED DIR CV SURGERY$187,500$100$0$0$55,549$30$7,500$4$1,170$1$251,719$135$55,579$0
JOSHUA WINEBAUGH
PVHOS PHARMACIST$210,933$0$965$0$1,293$0$14,987$0$9,961$0$238,139$0$0$0
KEITH JACKSON
PVHOS PHARMACY SPV$185,539$0$965$0$9,998$0$21,042$0$26,167$0$243,711$0$0$0
SUZANNE EHINGER
FORMER OFFICER/CURRENT PH CHIEF EXP$0$480,080$0$114,327$0$29,779$0$116,594$0$27,833$0$768,613$0$0
GREG JOHNSON
FORMER KEY EMPLOYEE/CURRENT PH CCIO$0$449,856$0$103,778$0$5,400$0$106,130$0$36,090$0$701,254$0$0
JUDITH BOERGER
FORMER KEY EMPLOYEE/CURRENT PH CNE$0$319,956$0$74,952$0$66,439$0$81,690$0$27,538$0$570,575$0$23,446
MARLON WARDLOW
FORMER KEY EMPLOYEE/CURRENT PH VP$0$213,378$0$44,250$0$47,812$0$47,322$0$35,843$0$388,605$0$28,496
ROGER STIENECKER
FORMER HC EMPLOYEE/CURRENT PH MD IP&$0$311,180$0$42,268$0$21,338$0$19,250$0$24,923$0$418,959$0$0
CHRISTOPHER JELLISON
FORMER HC EMPLOYEE/CURRENT PH DIR PH$0$206,631$0$28,422$0$1,290$0$14,290$0$22,123$0$272,756$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AFIRST-CLASS OR CHARTER TRAVEL - NON-TAXABLE CHARTER FLIGHTS FOR LEADERSHIP SITE VISITS TO MD ANDERSON, HOUSTON, TX REGARDING PARKVIEW CANCER INSTITUTE BECOMING A CERTIFIED MEMBER OF MD ANDERSON CANCER NETWORK: MICHAEL PACKNETT TRAVEL FOR COMPANIONS - TAXABLE EXPENSE REIMBURSEMENT FOR FAMILY MEMBER PAID TO: JOHN BOWEN $419; CHARLES CLARK $198; MICHAEL GERUE $4; BENJAMIN MILES $2,150; MICHAEL MIRRO $133; MARCELINE ROGERS $9; IAN BOYCE $14; DONOVAN COLEY $14; BRENDA GERBER $14; DAVID MCFADDEN $14; DAVID NECKERS $14; RICHARD ROBINSON $14; DAN STARR $14 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: TAX ON TAXABLE GIFT: RAE GONTERMAN $235 PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: BENJAMIN MILES $950 NON-TAXABLE MANDATORY ANNUAL MEDICAL PHYSICAL PAID FOR: BENJAMIN MILES $2,119
PART I, LINE 3RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATION COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC.
PART I, LINE 4B,SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - JUDITH BOERGER $23,446; MICHAEL GERUE $18,452; RAY GONTERMAN $10,008; BENJAMIN MILES $31,782; MICHAEL MIRRO $32,451; MARCELINE ROGERS $15,874; JOHN STANFORD $55,579; MARLON WARDLOW $28,496; JEANNE' WICKENS $28,885 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 $56,940; JOHN BOWEN $34,850; CHARLES CLARK $33,060; SUZANNE EHINGER $83,594; MICHAEL GERUE $44,200; RAE GONTERMAN $21,047; GREG JOHNSON $75,880; ERIN LACROSS $31,590; BENJAMIN MILES $84,992; MICHAEL MIRRO $78,809; MICHAEL PACKNETT $698,592; MARCELINE ROGERS $26,504; MARLON WARDLOW $28,072; JEANNE' WICKENS $274,192
PART I, LINE 7MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
HEATHER HURSEY
FAMILY MEMBER OF DIRECTOR ERIN LACROSS$128,143EMPLOYEE HEATHER HURSEY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC.0
GRACE COLEY
FAMILY MEMBER OF DIRECTOR DONOVAN COLEY$14,949EMPLOYEE GRACE COLEY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC.0
JAN GODFREY
FAMILY MEMBER OF KEY EMPLOYEE RAE GONTERMAN$47,230EMPLOYEE JAN GODFREY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC.0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescTOYS, BOOKS, BLANKETS, BABY ITEMS, ETC.Desc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$38,305NoncashContributionsRptF990Amt
Method Of Determining RevenuesESTIMATED VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION USED NUMBER OF CONTRIBUTORS FOR LINE 25.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINES 1A AND 2A:PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARKVIEW HOSPITAL, INC., EIN 35-0868085. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2018 WAS 568. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2018 WAS 13,593. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE PARKVIEW HOSPITAL, INC. WAS 176 AND 6,045 RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER, THE IMMEDIATE PAST CHAIR OF THE BOARD IF STILL SERVING AS A MEMBER OF THE BOARD, THE CURRENT PRESIDENT OF THE MEDICAL STAFF, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR OF THE BOARD, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED NINE (9) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR RATIFICATION OF ITS ACTION. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS.
FORM 990, PART VI, SECTION A, LINE 2OFFICERS BENJAMIN MILES AND JEANNE' WICKENS HAVE BUSINESS RELATIONSHIPS AS DIRECTORS ON THE BOARDS OF RELATED ENTITIES.
FORM 990, PART VI, SECTION A, LINE 4DURING 2018, THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF PARKVIEW HOSPITAL, INC.: ARTICLE V, GOVERNING BODY, SECTION 2, NUMBER AND CHARATERISTICS PARAGRAPH ONE WAS CHANGED AND NOW READS AS FOLLOWS: THE BOARD SHALL BE COMPOSED OF NO MORE THAN TWENTY (20) DIRECTORS, INCLUDING THE FOLLOWING EX OFFICIO DIRECTORS: PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF PARKVIEW HEALTH SYSTEM, INC. OR THE DESIGNATED VICE PRESIDENT OF THE CORPORATE MEMBER, THE PRESIDENT OF THE MEDICAL STAFF, THE IMMEDIATE PAST PRESIDENT OF THE MEDICAL STAFF, PRESIDENT-ELECT OF THE MEDICAL STAFF (IF APPLICABLE), THE CHIEF NURSING OFFICER OF PRMC AND AFFILIATES; AND THE SUPERINTENDENT OF THE FORT WAYNE DISTRICT OF THE UNITED METHODIST CHURCH, AND A DESIGNEE OF PARK CENTER, INC., WHICH DESIGNEE SHALL BE SUBJECT TO THE APPROVAL OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF PARKVIEW HOSPITAL, INC. WITH CERTAIN RESERVED POWERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) UPON RECOMMENDATION OF THE CORPORATION, THE CORPORATE MEMBER SHALL APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS BY THE CORPORATION AND ITS AFFILIATES, AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. SUCH RIGHT BY THE CORPORATE MEMBER TO DIRECT THE TRANSFER OF ASSETS SHALL NOT INCLUDE ANY TRANSFER WHICH WOULD CAUSE THE CORPORATION TO BE PUT INTO A FINANCIALLY VULNERABLE POSITION AS AN ONGOING CONCERN, NOR SHALL ANY SUCH TRANSFER CAUSE THE CORPORATION TO VIOLATE THE TERMS AND CONDITIONS OF ANY GIFTS, BEQUESTS, BOND COVENANTS, OR RESTRICTIONS SET FORTH IN EXHIBIT A. FURTHER, FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN THE JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW.
FORM 990, PART VI, SECTION A, LINE 7BSEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A
FORM 990, PART VI, SECTION B, LINE 11BPURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. PARKVIEW HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, PRIOR TO FILING WITH THE IRS. ON OCTOBER 2, 2019, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES.
FORM 990, PART VI, SECTION B, LINE 12CAS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL."
FORM 990, PART VI, SECTION B, LINE 15LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., DETERMINES THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
PART VII, SECTION APARKVIEW CENTER, INC. BECAME A RELATED ORGANIZATION ON OCTOBER 1, 2018. DIRECTOR PAUL WILSON IS EMPLOYED BY PARK CENTER, INC. AND COMPENSATION IS REPORTED FOR THE PERIOD OF OCTOBER 1, 2018 THROUGH DECEMBER 31, 2018.
FORM 990, PART IX, LINES 5-10:PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII.
FORM 990, PART XI, LINE 9:ASSET TRANSFERS/ADJUSTMENTS 302,413. CURRENT YEAR EARNINGS TRANSFERRED TO PARENT -155,525,776. INCOME (LOSS) FROM HOSPITAL LAUNDRY SERVICE, INC. 268,129. INCOME (LOSS) FROM PARKVIEW PROFESSIONAL PROGRAMS, INC. -921,280. BOOK/TAX DIFFERENCES K-1'S -136,676.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PARKVIEW HEALTH SYSTEM INC
10501 CORPORATE DRIVEFORT WAYNEIN46845351972384HEALTH CAREIN501(C)(3)LINE 12C, III-FIN/A0
PARKVIEW FOUNDATION INC
10622 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845237220589FUND MGMTIN501(C)(3)LINE 12A, IYes (1)PARKVIEW HOSPITAL INC
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
10501 CORPORATE DRIVEFORT WAYNEIN46845352064353OCCUP HEALTHIN501(C)(3)LINE 30PARKVIEW HEALTH SYSTEM INC
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 SAWYER ROADKENDALLVILLEIN46755352087092HOSPITAL CAREIN501(C)(3)LINE 30PARKVIEW HEALTH SYSTEM INC
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE ROADLAGRANGEIN46761202401676HOSPITAL CAREIN501(C)(3)LINE 30PARKVIEW HEALTH SYSTEM INC
WHITLEY MEMORIAL HOSPITAL INC
1260 E STATE ROAD 205COLUMBIA CITYIN46725351967665HOSPITAL CAREIN501(C)(3)LINE 30PARKVIEW HEALTH SYSTEM INC
HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS ROADHUNTINGTONIN46750351970706HOSPITAL CAREIN501(C)(3)LINE 30PARKVIEW HEALTH SYSTEM INC
PARKVIEW WABASH HOSPITAL INC
10 JOHN KISSINGER DRIVEWABASHIN46992471753440HOSPITAL CAREIN501(C)(3)LINE 30PARKVIEW HEALTH SYSTEM INC
PARK CENTER INC
909 EAST STATE BLVDFORT WAYNEIN46805351135451COMPREHENSIVE MENTAL HEALTH CENTERIN501(C)(3)LINE 100PARKVIEW HEALTH SYSTEM INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845260143823ORTHO HOSPITALINN/AN/A00
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804201394120SURGICAL SERVICESINN/AN/A00
MANAGED CARE SERVICES LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845351996535HEALTH PLAN ADMININN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PARKVIEW PROFESSIONAL PROGRAMS INC
10501 CORPORATE DRIVEFORT WAYNEIN46845351668888REFERENCE LABINPARKVIEW HOSPITAL INCC$4,275,409$1,034,4601.000000
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH STREETBRYANOH43506341045870PHYSICIANSOHC0N/A
WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC
202 W BERRY ST SUITE 800FORT WAYNEIN46802352058340CONDO MANAGEMENTINC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PARKVIEW FOUNDATION INC
C$698,953PART VII SUPPLEMENTAL INFORMATION
PARKVIEW PROFESSIONAL PROGRAMS INC
Q$4,525,300PART VII SUPPLEMENTAL INFORMATION

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 2, COLUMN (C):FormAndLineReferenceDesc
ExplanationTHE AMOUNTS REPORTED AS TRANSACTIONS WITH RELATED ORGANIZATIONS ARE CONSISTENT WITH THE AMOUNTS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS DEPENDING ON THE TYPE OF TRANSACTION INVOLVED.ExplanationTxt