WHITLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- WHITLEY MEMORIAL HOSPITAL INC (EIN 35-1967665)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-06
- IRS object ID
- 202533109349304428
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-06T17:28:33-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 E LAS OLAS BLVD SUITE 1100 | AddressLine1Txt |
| City | FORT LAUDERDALE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351967665 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITLEY MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WHIT | BusinessNameControlTxt |
| Phone | 2603738429 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1260 E STATE ROAD 205 | AddressLine1Txt |
| City | COLUMBIA CITY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 467259492 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STANTON RISSER | PersonNm |
| Person Title | PH ACFO | PersonTitleTxt |
| Phone | 2602669380 | PhoneNum |
| Signature | 2025-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRITTNEY KOCAJ | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 9542028600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW WHITLEY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GREG JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1450 PRODUCTION RD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 468081167 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $159,842,787 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 604 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $153,431 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,146,687 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $103,069,517 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $123,506,600 | CYProgramServiceRevenueAmt |
| PY Investment Income | $763,078 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,826,799 | CYInvestmentIncomeAmt |
| PY Other Revenue | $127,939 | PYOtherRevenueAmt |
| CY Other Revenue | $410,072 | CYOtherRevenueAmt |
| PY Total Revenue | $104,113,965 | PYTotalRevenueAmt |
| CY Total Revenue | $128,890,158 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $45,381 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $48,603 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,701,101 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $42,812,318 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $59,608,821 | PYOtherExpensesAmt |
| CY Other Expenses | $75,857,180 | CYOtherExpensesAmt |
| PY Total Expenses | $92,355,303 | PYTotalExpensesAmt |
| CY Total Expenses | $118,718,101 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,758,662 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,172,057 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $175,491,247 | TotalAssetsBOYAmt |
| Total Assets EOY | $195,275,570 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $35,079,496 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $43,266,346 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $140,411,751 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $152,009,224 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WHITLEY MEMORIAL HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $97,041,725 | ExpenseAmt |
| Grant | $48,603 | GrantAmt |
| Revenue | $123,506,600 | RevenueAmt |
| Desc | WHITLEY MEMORIAL HOSPITAL, INC. IS A MEMBER OF PARKVIEW HEALTH SYSTEM, INC. THE LEGAL ENTITY INCLUDES FULL-SERVICE HOSPITALS IN WHITLEY COUNTY AND KOSCIUSKO COUNTY, DEDICATED TO IMPROVING AND INSPIRING THE HEALTH OF THE COMMUNITIES. THIS IS ACCOMPLISHED THROUGH DELIVERING WORLD-CLASS TEAMWORK AND EXCELLENT CARE. THE HOSPITALS PARTNER WITH PATIENTS AND OTHER COMMUNITY ORGANIZATIONS TO TAILOR PERSONALIZED HEALTH JOURNEYS. EXCELLENCE, INNOVATION, AND VALUE ARE IMPORTANT TO OUR PATIENTS AND TO US. CARE IS DELIVERED WHILE ALWAYS KEEPING IN MIND CONVENIENCE, COMPASSION, AND EXCELLENCE, BOTH IN COST AND IN QUALITY. WE DEVELOP AND VALUE RELATIONSHIPS WITH OUR PATIENTS AND OUR COMMUNITY.(SEE SCHEDULE O FOR CONTINUATION) | Desc |
| Total Program Service Expenses | $97,041,725 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 604 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STANTON RISSER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2602669380 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1450 PRODUCTION RD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 468081167 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| GREG JOHNSON | |||||||||
| DIRECTOR/REGIONAL MARKET PRESIDENT | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $1,520,046 | $75,084 | ||
| SVETLANA HAGAN | |||||||||
| DIRECTOR/PH PHYSICIAN | 1.00 | 39.00 | Yes (X) | $0 | $301,683 | $58,217 | |||
| SCOTT GABRIEL | |||||||||
| DIRECTOR/MARKET PRESIDENT | 40.00 | 0.00 | Yes (X) | Yes (X) | $446,779 | $0 | $129,915 | ||
| CINDY BAKER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,250 | $0 | $0 | |||
| TORREY BAUER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,000 | $0 | $0 | |||
| BRIDGET DOLOHANTY-JOHNSON | |||||||||
| DIRECTOR/VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $4,500 | $0 | $0 | ||
| ALAN GROSSNICKLE | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,250 | $0 | $0 | |||
| RICHARD HADDAD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,250 | $0 | $0 | |||
| KATHLEEN HEUER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,250 | $0 | $0 | |||
| MARK JOHNSON | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $4,500 | $0 | $0 | |||
| DAVID LIEB | |||||||||
| DIRECTOR/PH CONTRACTED LABOR | 1.00 | 1.00 | Yes (X) | $0 | $18,000 | $0 | |||
| DJ SIGLER JR | |||||||||
| DIRECTOR/SECRETARY/TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $4,250 | $0 | $0 | ||
| ANGELA GAKSTATTER-TOM | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,250 | $0 | $0 | |||
| BRAD VOELZ | |||||||||
| DIRECTOR/CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $6,500 | $2,750 | $0 | ||
| JANE WEAR | |||||||||
| DIRECTOR/PARTIAL YR | 1.00 | 0.00 | Yes (X) | $2,750 | $0 | $0 | |||
| CHRISTOPHER WRIGHT | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $3,250 | $0 | $0 | |||
| JEANNE' WICKENS | |||||||||
| PH CHIEF FINANCIAL OFFICER/PRTL YR | 1.00 | 39.00 | Yes (X) | $0 | $1,647,203 | $217,960 | |||
| STANTON RISSER | |||||||||
| PH ASSOCIATE CHIEF FINANCIAL OFFICER | 1.00 | 39.00 | Yes (X) | $0 | $218,745 | $48,843 | |||
| JEFFREY ROCKETT | |||||||||
| WMHOS VP OUTPATIENT CARE SVCS | 32.00 | 8.00 | $244,653 | $60,055 | $59,247 | Yes (X) | |||
| ASHLEY WIRGES | |||||||||
| WMHOS VP PATIENT CARE SVCS | 40.00 | 0.00 | $234,307 | $0 | $54,764 | Yes (X) | |||
| AMANDA KNOWLES | |||||||||
| WMHOS PHARMACY MGR | 40.00 | 0.00 | $272,513 | $0 | $56,508 | Yes (X) | |||
| STACY FRANK | |||||||||
| WMHOS NURSING SVCS MGR | 40.00 | 0.00 | $173,387 | $0 | $28,815 | Yes (X) | |||
| PETER TALATI | |||||||||
| WMHOS REHAB MGR | 40.00 | 0.00 | $171,748 | $0 | $45,028 | Yes (X) | |||
| ANGELIA RAMIREZ | |||||||||
| WMHOS NURSING SVCS MGR | 40.00 | 0.00 | $171,715 | $0 | $46,869 | Yes (X) | |||
| BENJAMIN MAGGARD | |||||||||
| WMHOS PHARMACIST | 40.00 | 0.00 | $166,199 | $0 | $51,407 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,926,301 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,768,482 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $872,657 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 39 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PARKVIEW HOSPITAL INC | |||||
| 11109 PARKVIEW PLAZA DR | FORT WAYNE | IN | 46845 | LABORATORY SERVICES | $4,942,840 |
| CLINICAL COLLEAGUES INC | |||||
| PO BOX 824246 | PHILADELPHIA | PA | 19182 | ANESTHESIOLOGISTS | $3,230,473 |
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA ST | OMAHA | NE | 68154 | MEDICAL PERSONNEL | $1,682,160 |
| NORTHEAST INTERNAL MEDICINE ASSOC INC | |||||
| 2500 N DETROIT ST | LAGRANGE | IN | 46761 | HOSPITALISTS | $815,048 |
| PROFESSIONAL EMERGENCY PHYSICIANS INC | |||||
| 3640 NEW VISION DR SUITE A | FORT WAYNE | IN | 46845 | PHYSICIANS | $282,097 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $166,835 | RelatedOrganizationsAmt |
| Government Grants | $979,852 | GovernmentGrantsAmt |
| Noncash Contributions | $1,625 | NoncashContributionsAmt |
| Total Contributions | $1,146,687 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $121,334,471 | $121,334,471 |
| INTERUNIT RENT | 531120 | $1,104,940 | $1,104,940 |
| EMS SUBSIDY | 621910 | $1,059,303 | $1,059,303 |
| MEAL VOUCHERS | 624210 | $5,672 | $5,672 |
| MASSAGE THERAPY CLINIC | 621990 | $1,914 | $1,914 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $300 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $300 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $123,506,600 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,360,883 | TotalRevenueColumnAmt |
| Exclusion | $1,360,883 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,825 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,366 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$6,541 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,541 | TotalRevenueColumnAmt |
| Exclusion | -$6,541 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $33,387,479 | SecuritiesAmt |
| Other | $4,700 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $30,900,646 | SecuritiesAmt |
| Other | $25,617 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,486,833 | SecuritiesAmt |
| Other | -$20,917 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,465,916 | TotalRevenueColumnAmt |
| Exclusion | $2,465,916 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722514 | $393,965 | $393,965 |
| GIFT SHOP | 459420 | $22,648 | $22,648 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $416,613 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $128,890,158 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $123,506,600 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,236,871 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,603 | TotalAmt |
| Program Services | $48,603 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,202,988 | TotalAmt |
| Management And General | $1,202,988 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,970,864 | TotalAmt |
| Program Services | $30,970,864 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,638,466 | TotalAmt |
| Program Services | $10,638,466 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,023 | TotalAmt |
| Management And General | $192,023 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,058,469 | TotalAmt |
| Program Services | $11,280,103 | ProgramServicesAmt |
| Management And General | $1,778,366 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,873 | TotalAmt |
| Program Services | $750 | ProgramServicesAmt |
| Management And General | $1,123 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,818,804 | TotalAmt |
| Program Services | $2,735,971 | ProgramServicesAmt |
| Management And General | $82,833 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,095 | TotalAmt |
| Program Services | $9,929 | ProgramServicesAmt |
| Management And General | $166 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,106,674 | TotalAmt |
| Program Services | $5,059,549 | ProgramServicesAmt |
| Management And General | $47,125 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,530 | TotalAmt |
| Program Services | $33,373 | ProgramServicesAmt |
| Management And General | $5,157 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,385 | TotalAmt |
| Program Services | $3,085 | ProgramServicesAmt |
| Management And General | $9,300 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,693 | TotalAmt |
| Program Services | $36,693 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,548,936 | TotalAmt |
| Program Services | $4,478,644 | ProgramServicesAmt |
| Management And General | $70,292 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,046 | TotalAmt |
| Program Services | $133,842 | ProgramServicesAmt |
| Management And General | $63,204 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| CORP SERVICE ALLOCATION | $18,166,183 | $18,166,183 | |
| MEDICAL SUPPLIES | $17,438,811 | $17,438,811 | |
| PH CLINICAL SUPPORT | $8,609,867 | $8,609,867 | |
| HOSPITAL ASSESSMENT FEE | $5,369,507 | $5,369,507 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,284 | TotalAmt |
| Program Services | $193,668 | ProgramServicesAmt |
| Management And General | $57,616 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,718,101 | TotalAmt |
| Program Services | $97,041,725 | ProgramServicesAmt |
| Management And General | $21,676,376 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,248 | BOYAmt |
| EOY | $3,448 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,738,675 | BOYAmt |
| EOY | $22,024,152 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,027,721 | BOYAmt |
| EOY | $1,565,832 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,763 | BOYAmt |
| EOY | $177,902 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $119,788,731 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,911,916 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,331,011 | BOYAmt |
| EOY | $93,876,815 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,256,754 | BOYAmt |
| EOY | $76,257,679 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $984,075 | BOYAmt |
| EOY | $1,369,742 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,491,247 | BOYAmt |
| EOY | $195,275,570 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,811,240 | BOYAmt |
| EOY | $5,227,558 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,268,256 | BOYAmt |
| EOY | $38,038,788 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,079,496 | BOYAmt |
| EOY | $43,266,346 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,411,751 | BOYAmt |
| EOY | $152,009,224 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,411,751 | BOYAmt |
| EOY | $152,009,224 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,491,247 | BOYAmt |
| EOY | $195,275,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,172,057 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,345,232 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $80,184 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,576 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,576 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | REPRESENTS THE PORTION OF THE DUES PAID TO THE INDIANA HOSPITAL ASSOCIATION AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $616,560 | OtherCostOrOtherBasisAmt |
| Book Value | $616,560 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,941,649 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,416,970 | DepreciationAmt |
| Book Value | $52,524,679 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,824 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,824 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,511,296 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,565,577 | DepreciationAmt |
| Book Value | $33,945,719 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,670,402 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,880,545 | DepreciationAmt |
| Book Value | $6,789,857 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $93,876,815 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| EST MEDICARE/MEDICAID SETTLEMENTS | $394,442 |
| LEASE LIABILITY | $1,128,162 |
| DUE TO/FROM INTERUNIT | $36,516,184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,038,788 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2019 AND PRIOR. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 275.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $873,354 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $873,354 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,184,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,852,481 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,332,020 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07570 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,057,855 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,852,481 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,205,374 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08360 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $179,750 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,765 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $171,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $525,548 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $525,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,789,656 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,074,689 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,714,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05190 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,212 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,568,166 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,082,454 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,485,712 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05900 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,626,021 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,934,935 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,691,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14260 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,182 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,182 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,540,982 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,826,364 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,285,382 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITLEY MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1260 E STATE ROAD 205 | AddressLine1Txt |
| City | COLUMBIA CITY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46725 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PARKVIEW.COM | WebsiteAddressTxt |
| State License | 005090-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITLEY MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION B, LINE 7A | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION B, LINE 10A | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 275.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, LINES 16A B & C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, LINES 16A B & C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, LINES 16A B & C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WHITLEY MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PARKVIEW HEALTH SYSTEM, INC., INCLUDING WHITLEY MEMORIAL HOSPITAL, INC., DILIGENTLY ENSURED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WAS INCLUDED WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA. IN GATHERING COMMUNITY INPUT, PARKVIEW HEALTH SYSTEM, INC., INCLUDING WHITLEY MEMORIAL HOSPITAL, INC., OBTAINED THE FOLLOWING: 1) PRIMARY DATA COLLECTED THROUGH A COMMUNITY SURVEY OF RESIDENTS IN EACH PARKVIEW HEALTH COUNTY, 2) PRIMARY DATA COLLECTED THROUGH AN ONLINE SURVEY OF HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN EACH COUNTY THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN OUR COMMUNITIES (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.), AND 3) SECONDARY DATA COLLECTED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, INDIANA STATE DEPARTMENT OF HEALTH, ETC.). COMMUNITY MEMBER AND PROVIDER INPUT WAS GATHERED FROM MARCH THROUGH MAY 2022 VIA MULTIPLE RECRUITMENT AND DATA COLLECTION METHODS: 1) E-MAIL TO HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH AN EMBEDDED ONLINE SURVEY LINK; 2) MAILED PAPER AND E-MAILED ONLINE SURVEYS TO COMMUNITY MEMBERS; 3) PAPER SURVEYS DISTRIBUTED TO INDIVIDUALS, CLINICS OR ORGANIZATIONS SERVING HISPANIC, AMISH, OR PEOPLE OF BURMA POPULATIONS; 4) IN-PERSON RECRUITMENT AT LOCATIONS PROVIDING SERVICES TO LOW-INCOME POPULATIONS IN EACH PARKVIEW HEALTH COUNTY; AND 5) PRESS RELEASE AND SOCIAL MEDIA NOTIFICATIONS WITH A SURVEY LINK. THE SURVEY WAS MADE AVAILABLE IN ENGLISH, SPANISH, AND BURMESE.HISPANIC, AMISH, PEOPLE OF BURMA, AND LOW-INCOME POPULATIONS WERE IDENTIFIED AS VULNERABLE POPULATIONS IN PARKVIEW HEALTH COUNTIES. THEREFORE, SURVEY DISTRIBUTION AND DATA COLLECTION STRATEGIES INCLUDED FOCUSED EFFORTS TO OBTAIN COMMUNITY INPUT FROM THESE POPULATIONS. IN WHITLEY AND KOSCIUSKO COUNTIES, THIS INCLUDED HISPANIC AND LOW-INCOME POPULATIONS. THE RESEARCH TEAM COORDINATED WITH COMMUNITY HEALTH WORKERS, LOCAL HEALTH DEPARTMENTS, AND KNOWN CONTACTS IN EACH COUNTY TO IDENTIFY LOCATIONS TO SURVEY UNDERREPRESENTED OR VULNERABLE POPULATIONS. IN WHITLEY AND KOSCIUSKO COUNTIES, IN-PERSON TEAMS OF RESEARCH ASSISTANTS CONDUCTED COMMUNITY SURVEY OUTREACH AT THE LOCAL YMCA. REGARDING VULNERABLE POPULATIONS SURVEYED IN WHITLEY COUNTY, 13.3% OF RESPONDENTS REPORTED AN INCOME OF < $35,000, AND 0.5% IDENTIFIED AS HISPANIC/LATINO. IN KOSCIUSKO COUNTY, 13.6% OF RESPONDENTS REPORTED AN INCOME OF < $35,000, AND 1.0% IDENTIFIED AS HISPANIC/LATINO. ADDITIONALLY, RESPONDENTS 65 YEARS AND OLDER WERE WELL-REPRESENTED IN BOTH COUNTIES (46.3% IN WHITLEY COUNTY AND 51.8% IN KOSCIUSKO COUNTY). THE PROVIDER SURVEY INCLUDED RESPONSES FROM PHYSICIANS, PHYSICIAN'S ASSISTANTS, NURSE PRACTITIONERS, REGISTERED NURSES, MENTAL/BEHAVIORAL HEALTH PROVIDERS, OTHER HEALTHCARE PROVIDERS, COMMUNITY/SOCIAL SERVICE PROVIDERS, PUBLIC HEALTH/COMMUNITY HEALTH WORKERS, SOCIAL WORKERS/CASE MANAGERS, PUBLIC SECTOR WORKERS, AND EDUCATORS. IN ADDITION TO DATA COLLECTION, WHITLEY MEMORIAL HOSPITAL, INC. COLLABORATED WITH THE COMMUNITY AND PARTNERING ORGANIZATIONS TO SELECT AND PRIORITIZE WHITLEY AND KOSCIUSKO COUNTIES' HEALTH NEEDS. A MODIFIED HANLON METHOD WAS EMPLOYED TO PRIORITIZE HEALTH CONCERNS FOR PARKVIEW HEALTH HOSPITAL COMMUNITIES. THIS METHOD, ALSO KNOWN AS THE BASIC PRIORITY RATING SYSTEM (BPRS) 2.0, IS RECOMMENDED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) FOR PRIORITIZING COMMUNITY HEALTH NEEDS (GUIDE-TO-PRIORITIZATION-TECHNIQUES.PDF, N.D.). THIS METHOD IS BENEFICIAL WHEN THE DESIRED OUTCOME IS AN OBJECTIVELY SELECTED LIST. EXPLICIT IDENTIFICATION OF FACTORS MUST BE CONSIDERED TO SET PRIORITIES, WHICH ENABLES A TRANSPARENT AND REPLICABLE PROCESS. PRIORITY SCORES ARE CALCULATED BASED ON THE SIZE OF THE HEALTH PROBLEM, THE SERIOUSNESS OF THE HEALTH PROBLEM, AND THE AVAILABILITY OF EFFECTIVE HEALTH INTERVENTIONS.A PRIORITIZATION SESSION WAS HELD BY PARKVIEW HEALTH SYSTEM, INC. ON AUGUST 22, 2022, TO REVIEW THE FINDINGS FROM THE HEALTH SERVICES AND INFORMATICS RESEARCH GROUP TO ESTABLISH THE SHARED PRIORITY FOR THE SYSTEM. THE TOP PRIORITY OF MENTAL HEALTH WAS CHOSEN BY THE SYSTEM GROUP, AND WHITLEY MEMORIAL HOSPITAL, INC. DECIDED TO FOLLOW THIS LEAD. THE INFORMATION FROM THE PRIORITIZATION SESSION WAS SHARED WITH THE PARKVIEW WHITLEY COMMUNITY HEALTH IMPROVEMENT COMMITTEE (CHI) ON SEPTEMBER 2, 2022, TO ESTABLISH ANY ADDITIONAL PRIORITIES. THIS COMMITTEE OVERSEES THE CHI PROCESS AND COMPRISES THE HOSPITAL BOARD AND COMMUNITY MEMBERS. THE COMMITTEE DECIDED TO CONTINUE WITH SUBSTANCE ABUSE AS A SECOND PRIORITY BECAUSE OF THE CLOSE TIES TO MENTAL HEALTH. OBESITY WAS HIGH IN THE CHNA RESULTS; HOWEVER, IT IS VERY BROAD AND CHALLENGING TO TACKLE. THE GROUP FELT THAT WORKING ON ONE ASPECT OF OBESITY COULD BE MORE IMPACTFUL. WITH THAT IN MIND, OBESITY WAS CHOSEN AS A THIRD PRIORITY, WITH A FOCUS ON FOOD INSECURITY. THE THREE PRIORITIES FOR WHITLEY MEMORIAL HOSPITAL, INC. ARE MENTAL HEALTH, SUBSTANCE USE DISORDER, AND OBESITY- FOOD INSECURITY. THE PRIORITY SESSION INFORMATION AND CHI COMMITTEE RECOMMENDATIONS WERE PRESENTED TO THE WHITLEY MEMORIAL HOSPITAL, INC. BOARD OF DIRECTORS IN DECEMBER 2022, FOR THEIR APPROVAL. PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN WHITLEY AND KOSCIUSKO COUNTIES: PARKVIEW BOARD, PARKVIEW COMMUNITY HEALTH IMPROVEMENT, PARKVIEW ADMINISTRATION, AND WHITLEY COUNTY CONSOLIDATED SCHOOLS. |
| WHITLEY MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:PARKVIEW HOSPITAL, INC. (EIN 35-0868085); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440); PARK CENTER, INC. (EIN 35-1135451) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). |
| WHITLEY MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384), THROUGH PARKVIEW'S HEALTH SERVICES AND INFORMATICS RESEARCH (HSIR) GROUP, DESIGNED AND CONDUCTED BOTH PRIMARY AND SECONDARY DATA COLLECTION AND ANALYSIS ACTIVITIES FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). HSIR EMPLOYS MULTIPLE RESEARCH STAFF, WHICH INCLUDES PHD PREPARED SCIENTISTS, USER EXPERIENCE SPECIALISTS AND PROJECT MANAGERS. AS A RESEARCH UNIT EMBEDDED IN PARKVIEW, HSIR HAS DEDICATED TIME TO SUPPORT INITIATIVES THAT REQUIRE RESEARCH SKILLS, SUCH AS THE CHNA. |
| WHITLEY MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:SUBSTANCE USE DISORDERS:PARKVIEW WHITLEY HOSPITAL, INC. WORKS CLOSELY WITH COMMUNITY PARTNERS TO ADDRESS ADDICTIONS AND MENTAL HEALTH. WHITLEY COUNTY HAS A LIMITED NUMBER OF MENTAL HEALTH RESOURCES AND SUBSTANCE ABUSE FACILITIES, AND THIS POSES CHALLENGES IN PARTNERSHIP CAPABILITIES. TO HELP ADDRESS AND PREVENT SUBSTANCE ABUSE ISSUES IN THE COMMUNITY, WE PARTNERED WITH MISSION 25, WHICH IS A LOCAL TRANSITIONAL HOUSING FACILITY THAT NOT ONLY HELPS THOSE WHO ARE HOMELESS BUT ALSO HELPS GUIDE THEM TO GAIN THE TOOLS THEY NEED TO LIVE ON THEIR OWN. ASSISTING WITH JOBS, MENTAL HEALTH AND ADDICTION OBSTACLES, NUTRITION EDUCATION, MONEY MANAGEMENT, AND SO MUCH MORE. IN 2024, 86% OF ELIGIBLE RESIDENTS RECEIVED UNLIMITED ACCESS TO INDIVIDUALIZED CARE FOR ADDICTION AND MENTAL HEALTH ISSUES, AN INCREASE OF 7% OVER THE PREVIOUS YEAR. 100% OF CHILD CLIENTS SAID THEY WERE BETTER WHEN THEY LEFT THAN WHEN THEY CAME. FOR THREE YEARS RUNNING, 95-100% OF INDIVIDUALS RECEIVED UNLIMITED ACCESS TO INDIVIDUAL CARE FOR MENTAL HEALTH ISSUES. MENTAL HEALTH:PARKVIEW WHITLEY HOSPITAL, INC. ALSO PARTNERS WITH THE CENTER FOR WHITLEY COUNTY YOUTH, A LOCAL ORGANIZATION THAT PROVIDES MEALS, ACTIVITIES, AND SUPPORT FOR THE TEEN POPULATION IN ALL THREE COUNTY SCHOOL SYSTEMS. THEY SERVE HEALTHY SNACKS AFTER SCHOOL AND BALANCED DINNERS. HAVING ADULT MENTORS WHO PROVIDE POSITIVE REINFORCEMENT AND GUIDE THEM IN MAKING POSITIVE CHOICES MAKES A HUGE DIFFERENCE FOR THESE AT-RISK STUDENTS. IN 2024, THE CENTER SERVED 1,432 STUDENTS, AN EVER-INCREASING NUMBER. THE STUDENTS ARE SURVEYED ANNUALLY, AND IN THE MOST RECENT SURVEY, 100% OF STUDENTS REPORTED THEY FEEL A SENSE OF BELONGING AT THE CENTER, 97% AGREED THEY HAVE MADE NEW FRIENDS AT THE CENTER, AND 88% OF PARENTS AGREE THAT THE PROGRAMS HELP PREPARE THEIR CHILD FOR FUTURE CHALLENGES. IN WHITLEY COUNTY, HEALTH INDICATORS HAVE SHOWN AN INCREASED NUMBER OF CHILD ABUSE AND NEGLECT CASES IN THE COMMUNITY, AND WHITLEY MEMORIAL HOSPITAL, INC. FEELS STRONGLY THAT THIS MAY BE DIRECTLY TIED TO A LACK OF MENTAL HEALTH RESOURCES. THEREFORE, WHITLEY MEMORIAL HOSPITAL, INC. PARTNERED WITH BABE, A LOCAL ORGANIZATION THAT WORKS WITH FAMILIES BY INCENTIVIZING POSITIVE BEHAVIORS FOR PARENTS OF CHILDREN THROUGH AGE 5. THE RELATIONSHIPS AND LEARNING OPPORTUNITIES THROUGH THIS PROGRAM ARE A TREMENDOUS BOOST FOR PARENTS' MENTAL HEALTH. THE PARENTS RECEIVE COUPONS FOR ATTENDANCE AT EDUCATIONAL PROGRAMS, GOING TO DOCTOR VISITS, TAKING THEIR CHILD TO THE LIBRARY, AND A MULTITUDE OF OTHER POSITIVE PARENTING BEHAVIORS. THESE COUPONS CAN BE REDEEMED FOR DIAPERS, CLOTHING, CAR SEATS, ETC. FOR THEIR CHILDREN. THOUSANDS OF DIAPERS ARE DISTRIBUTED ANNUALLY. COUPON DISTRIBUTION HELPS FAMILIES REDUCE STRESS BY PROVIDING MUCH-NEEDED ITEMS, AND THE FELLOWSHIP AND LEARNING OPPORTUNITIES HELP THE MENTAL HEALTH OF THE FAMILIES IN MANY WAYS.OBESITY:WHITLEY MEMORIAL HOSPITAL, INC. ALSO PARTNERED WITH A LOCAL ORGANIZATION, ONE COMMUNITY, WHICH OFFERS FREE LUNCHES AND ACTIVITIES TO SOUTH WHITLEY SCHOOL-AGE CHILDREN IN THE SUMMER. MANY OF THE CHILDREN IN THE PROGRAM ARE HOME ALONE THROUGHOUT THE DAY. THE KIDS CONNECT PROGRAM PROVIDES THEM WITH A MEAL, FUN, AND, MOST IMPORTANTLY, POSITIVE ROLE MODELS. EATING A HEALTHY MEAL AND GETTING EXERCISE HELPS THEM ON THEIR PATH TO BEING HEALTHY ADULTS. IN 2024, THE KIDS CONNECT PROGRAM SERVED 945 MEALS TO LOCAL CHILDREN. THERE WERE 80 PARTICIPANTS, AND 98% OF THOSE STAYED FOR THE DAILY ACTIVITIES THAT PROVIDE PHYSICAL ACTIVITY AND SOCIAL INTERACTIONS. BY PROVIDING A BALANCED MEAL AND GROUP PHYSICAL ACTIVITIES, THIS PROGRAM IS NOT ONLY BENEFICIAL FOR OBESITY BUT ALSO FOR THE MENTAL HEALTH OF CHILDREN IN THE SOUTH WHITLEY COMMUNITY. THIS PROGRAM CONTINUES TO IMPACT CHILDREN MENTALLY AND PHYSICALLY. WHITLEY MEMORIAL HOSPITAL, INC. PARTNERED WITH TROY CENTER, ASSISTING THEM WITH MEALS FOR THEIR STUDENTS. TROY CENTER IS AN ACCREDITED, INDEPENDENT ALTERNATIVE SCHOOL HELPING STUDENTS GAIN AN EDUCATION AND EARN A DIPLOMA AT THEIR OWN PACE, PROVIDING AN EDUCATIONAL OPTION FOR THOSE WHOSE LEARNING/BEHAVIORAL NEEDS WERE NOT BEING MET IN A TRADITIONAL SCHOOL SETTING. CHILDREN WITH EMPTY BELLIES HAVE DIFFICULTY LEARNING, AND 82% OF THEIR STUDENTS WOULD FALL IN THE FREE & REDUCED LUNCH CATEGORY. THEY SERVED 7,200 LUNCHES TO STUDENTS IN 2024; THERE WERE APPROXIMATELY 40 STUDENT LUNCHES DAILY. LUNCH ALWAYS INCLUDES A VEGETABLE AND A FRESH FRUIT OPTION, WHICH MANY STUDENTS MAY NOT HAVE ACCESS TO OUTSIDE OF SCHOOL.CARDIOVASCULAR DISEASE:WHITLEY MEMORIAL HOSPITAL, INC. OFFERS THREE CHECK-UP DAYS PER YEAR TO HELP PATIENTS MONITOR SUCH THINGS AS CHOLESTEROL LEVELS, BLOOD PRESSURE, AND OTHER CARDIOVASCULAR FACTORS. THIS EVENT PROVIDED REDUCED-FEE LABORATORY TESTING FOR 166 COMMUNITY MEMBERS IN 2024. IN ADDITION, THE PARKVIEW WARSAW CENTER FOR HEALTHY LIVING COORDINATED THREE EVENTS DURING THE YEAR AT THE PARKVIEW WARSAW YMCA WITH 94 PARTICIPANTS. THESE EVENTS ARE WELL KNOWN IN THE COMMUNITY AND OFFER A VALUABLE SERVICE, ESPECIALLY TO THOSE WHO ARE UNINSURED OR UNDER-INSURED.MULTI-COUNTY MEDICAL OUTREACH CLINIC IN WHITLEY COUNTY, AND ST. ANTHONY'S FREE CLINIC IN KOSCIUSKO COUNTY RECEIVES IN-KIND LAB SERVICES THROUGH WHITLEY MEMORIAL HOSPITAL, INC. TO SERVE THE NEEDS OF THEIR UNDERINSURED AND UNINSURED PATIENTS. CANCER: WHITLEY MEMORIAL HOSPITAL, INC., AND THE WHITLEY COUNTY COMMUNITY FOUNDATION PARTNER TOGETHER TO PROVIDE FREE MAMMOGRAPHY SCREENING TO WOMEN WHO ARE UNINSURED OR UNDERINSURED. THROUGH THE WOMEN'S GIVING CIRCLE, A FUND OF THE WHITLEY COUNTY COMMUNITY FOUNDATION, VOUCHERS ARE GIVEN TO WOMEN WHO ARE UNINSURED OR UNDERINSURED, WHICH CAN BE REDEEMED AT THE HOSPITAL FOR MAMMOGRAMS. PARKVIEW KOSCIUSKO HAD A MAJOR PRESENCE AT THE KOSCIUSKO COMMUNITY WELLNESS FAIR IN SEPTEMBER 2024. SOME OF THE SERVICES OFFERED WERE FREE MAMMOGRAMS TO 14 WOMEN, COUPLED WITH CONNECTION TO SERVICES FOR 20 ADDITIONAL WOMEN THROUGH FRANCINE'S FRIENDS MOBILE MAMMOGRAPHY. WHITLEY MEMORIAL HOSPITAL, INC. SERVES AS A COMMUNITY LEADER, PARTNERING WITH OTHER KEY COMMUNITY ORGANIZATIONS TO PROMOTE A CULTURE OF HEALTHY DECISIONS THAT PROMOTE THE SAFETY AND WELL-BEING OF INFANTS AND CHILDREN BEFORE AND AFTER THEIR BIRTH. THE HOSPITAL WILL CONTINUE TO ESTABLISH NEW PROGRAMS AND FOSTER EXISTING PROGRAMS AND RELATIONSHIPS WITH OTHER ORGANIZATIONS. THE FAMILY BIRTHING CENTER, NOW LOCATED IN KOSCIUSKO COUNTY, CURRENTLY OFFERS LAMAZE CHILDBIRTH EDUCATION, BREASTFEEDING CLASSES, BREASTFEEDING SUPPORT GROUP, POSTPARTUM DEPRESSION SUPPORT, AND SAFE SLEEP CLASSES FOR NEW MOTHERS. ADDITIONALLY, CERTIFIED CO-WORKERS PROVIDE INFANT CAR SEAT SAFETY INSPECTIONS AND INSTRUCTION TO PARENTS AT VARIOUS COMMUNITY LOCATIONS THROUGHOUT THE YEAR TO SHOW THE CORRECT INSTALLATION AND USE OF CAR SEATS FOR THE PROMOTION OF CHILD SAFETY. MANY FAMILIES TOOK ADVANTAGE OF THIS TRAINING. ALTHOUGH THE DESIRE WOULD BE TO ADDRESS ALL TOP TEN HEALTH NEEDS, THE REALITY IS THAT PHYSICALLY AND FINANCIALLY, THAT IS NOT POSSIBLE. ASTHMA & COPD - BOTH ARE IN THE TOP TEN, BUT PARKVIEW WHITLEY HOSPITAL, INC. DID NOT CHOOSE TO FOCUS ON THESE AT THIS TIME. IN 2024, PARKVIEW WHITLEY ADDED A PROVIDER IN OUR SPECIALTY PHYSICIANS' SUITE WHO SPECIALIZES IN ASTHMA AND ALLERGIES.KIDNEY DISEASE AND DIABETES ARE IN THE TOP TEN; HOWEVER, THE HOSPITAL IS NOT ABLE TO FOCUS ON THIS AT THIS TIME DUE TO PHYSICAL AND FINANCIAL CONSTRAINTS. WE OFFER DIABETES EDUCATION CLASSES FOR PATIENTS WHO HAVE A PHYSICIAN ORDER FOR THEM AT BOTH LOCATIONS. PARKVIEW KOSCIUSKO'S PARTICIPATION IN THE KOSCIUSKO COMMUNITY WELLNESS FAIR INCLUDED DIETICIAN CONSULTS AND A1C TESTING TO THE PUBLIC, AS WELL AS SHARING OF EDUCATIONAL MATERIALS FOCUSED ON HEALTHY WEIGHT AND DIABETES CONTROL. STAFF ALSO PROVIDED WEIGHT AND BMI SCORES DURING THE EVENT. |
| PART V, SECTION B, LINE 3E: | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| PART V, SECTION B, LINE 7A: | HTTPS://WWW.PARKVIEW.COM/ABOUT-US/COMMUNITY-IMPACT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: HTTPS://WWW.PARKVIEW.COM/ABOUT-US/COMMUNITY-IMPACT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINES 16A, 16B, AND 16C: HTTPS://WWW.PARKVIEW.COM/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 20D: | WHILE THE HOSPITAL DOES NOT EMPLOY A PRESUMPTIVE ELIGIBILITY PROCESS, IT HAS TAKEN MEANINGFUL STEPS TO EXPAND ACCESS TO CARE AND SUPPORT PATIENTS FACING FINANCIAL HARDSHIP. IN 2024, THE HOSPITAL INCREASED ITS FINANCIAL ASSISTANCE POLICY ELIGIBILITY THRESHOLD FROM 250% TO 275% OF THE FEDERAL POVERTY GUIDELINES, ENSURING MORE FAMILIES QUALIFY FOR FREE OR DISCOUNTED CARE. TO FURTHER SUPPORT PATIENTS, THE HOSPITAL PARTNERS WITH A THIRD-PARTY VENDOR TO HELP INDIVIDUALS APPLY FOR MEDICAID AND OFFERS A ROBUST FINANCIAL COUNSELING PROGRAM WHERE TRAINED STAFF GUIDE PATIENTS THROUGH THE ASSISTANCE PROCESS. TOGETHER, THESE EFFORTS DEMONSTRATE THE HOSPITAL'S DEDICATION TO MEETING COMMUNITY NEEDS, MAINTAINING COMPLIANCE WITH SECTION 501(R), AND UPHOLDING ITS MISSION TO PROVIDE EQUITABLE ACCESS TO HEALTHCARE WHILE REFLECTING ITS COMMITMENT TO COMPASSIONATE BILLING PRACTICES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - PWH EMS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1250 E STATE ROAD 205 | AddressLine1Txt |
| City | COLUMBIA CITY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46725 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | AMBULANCE SERVICES | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295); PARK CENTER, INC. (EIN 35-1135451); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES. |
| PART I, LINE 7: | 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 7BWHITLEY MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE (INCLUDING HEALTHY INDIANA PLAN - HIP), 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 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GAMOUNTS PRESENTED DO NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, WHITLEY MEMORIAL HOSPITAL, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. |
| PART I, LN 7 COL(F): | PERCENT OF TOTAL EXPENSEWHITLEY MEMORIAL HOSPITAL, INC. EXCLUDED $8,609,867 OF PH CLINICAL SUPPORT 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.WORKFORCE DEVELOPMENT: WHITLEY MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., OFFERS INNOVATIVE LEARNING EXPERIENCES TO HIGH SCHOOL, UNIVERSITY, AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS AN OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 130 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH JOB SHADOWS AND OBSERVATIONS AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. |
| PART III, LINE 2: | FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. |
| PART III, LINE 4: | BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 24 - 27 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSWHITLEY MEMORIAL HOSPITAL, INC. BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE WHITLEY MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. EVEN IN YEARS WHEN THERE IS NO SHORTFALL, THE HOSPITAL'S WILLINGNESS TO SERVE ALL MEDICARE PATIENTS DEMONSTRATES ITS COMMITMENT TO COMMUNITY BENEFIT. |
| PART III, LINE 9B: | A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED. |
| PART VI, LINE 2: | DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B.IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, WHITLEY MEMORIAL HOSPITAL, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, COLLABORATION WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND FRONTLINE STAFF. WHITLEY MEMORIAL HOSPITAL, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:1. HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS2. OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)3. REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) 4. PARKVIEW LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS OF DIRECTORS IN THE COMMUNITY5. OTHER PUBLIC HEALTH DATABASES (E.G., COMMUNITY COMMONS, COUNTY HEALTH RANKINGS) KEY HOSPITAL REPRESENTATIVES MAINTAIN ONGOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. |
| PART VI, LINE 3: | DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW-UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHOM THEY CAN CONTACT FOR ASSISTANCE. TO FURTHER SUPPORT PATIENTS, THE HOSPITAL PARTNERS WITH A THIRD-PARTY VENDOR TO HELP INDIVIDUALS APPLY FOR MEDICAID AND OFFERS A ROBUST FINANCIAL COUNSELING PROGRAM WHERE TRAINED STAFF GUIDE PATIENTS THROUGH THE ASSISTANCE PROCESS. |
| PART VI, LINE 4: | DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.WHITLEY MEMORIAL HOSPITAL, INC., A MEMBER OF PARKVIEW HEALTH SYSTEM, INC., HAS TWO LOCATIONS. WHITLEY MEMORIAL HOSPITAL, INC. IS A FULL-SERVICE HOSPITAL WITH MEDICAL/SURGICAL AND CONSTANT CARE INPATIENT UNITS. PARKVIEW KOSCIUSKO CONVERTED FROM A HOSPITAL OUTPATIENT DEPARTMENT (HOD) TO A FULL-SERVICE REMOTE LOCATION UNDER THE WHITLEY MEMORIAL HOSPITAL, INC., TAX ID AND PROVIDER NUMBERS IN 2024, WHICH INCLUDES OBSTETRIC CARE AS WELL AS MEDICAL/SURGICAL AND CONSTANT CARE INPATIENT SERVICES. THESE FACILITIES PRIMARILY SERVICE WHITLEY AND KOSCIUSKO COUNTIES, INCLUDING THE COMMUNITIES OF COLUMBIA CITY, CHURUBUSCO, LARWILL, SOUTH WHITLEY, PIERCETON, WARSAW, AND WINONA LAKE. THE U.S. CENSUS BUREAU'S AMERICAN SURVEY DATABASE (2020) STATES THAT WHITLEY COUNTY IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 34,388. IN ADDITION, THEY REPORT THAT THE MEDIAN HOUSEHOLD INCOME OF WHITLEY COUNTY RESIDENTS IS APPROXIMATELY $75,790, AND 7.8% FACE ECONOMIC CHALLENGES, FALLING BELOW THE FEDERAL POVERTY LEVEL. APPROXIMATELY 92.2% OF WHITLEY COUNTY RESIDENTS HAVE HEALTH INSURANCE, WHILE 7.83% IS THE RATE OF UNINSURED IN WHITLEY COUNTY. 33.97% OF THE POPULATION IS COVERED BY PUBLIC INSURANCEACCORDING TO THE US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE, PARKVIEW KOSCIUSKO HOSPITAL IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 80,357 (2020). IN ADDITION, IT REPORTS THE MEDIAN HOUSEHOLD INCOME OF KOSCIUSKO COUNTY RESIDENTS IS $73,922, WITH 8.7% LIVING BELOW THE FEDERAL POVERTY LEVEL. 88.9% OF KOSCIUSKO COUNTY RESIDENTS HAVE HEALTH INSURANCE (2020), WHILE 11.06% IS THE UNINSURED RATE. THE PORTION OF THE COUNTY COVERED BY PUBLIC INSURANCE IS 33.32%.HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, DEVELOPS SHORTAGE DESIGNATION CRITERIA INTENDED TO IDENTIFY A GEOGRAPHIC AREA, POPULATION GROUP, OR FACILITY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). EACH HPSA DESIGNATION IS GIVEN A SCORE (RANGING FROM 0-26) THAT EXPRESSES THE PRIORITY LEVEL FOR CLINICIAN ASSIGNMENT. MEANING, THE HIGHER THE HPSS SCORE, THE HIGHER THE PRIORITY IS. HRSA HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS:1) DISCIPLINE: PRIMARY CAREHSPA ID: 1187177279 HPSA NAME: OTIS R BOWEN CENTER FOR HUMAN SERVICES, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: KOSCIUSKO COUNTYHPSA SCORE: 12 STATUS: DESIGNATEDRURAL STATUS: RURAL2) DISCIPLINE: MENTAL HEALTHHSPA ID: 7188376199HPSA NAME: OTIS R BOWEN CENTER FOR HUMAN SERVICES, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: KOSCIUSKO COUNTYHPSA SCORE: 14 STATUS: DESIGNATEDRURAL STATUS: RURAL3) DISCIPLINE: MENTAL HEALTHHSPA ID: 7186918305HPSA NAME: MENTAL HEALTH CATCHMENT AREA 28 - WARSAWDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: HUNTINGTON, KOSCIUSKO, MARSHALL, WABASH, AND WHITLEY COUNTIESHPSA SCORE: 17 STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL |
| PART VI, LINE 5: | PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).WHITLEY MEMORIAL HOSPITAL, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY PERSON, EVERY DAY. THE HOSPITAL HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES, AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR WHITLEY MEMORIAL HOSPITAL, INC. THAT IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS RESIDING WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA; EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY; AND COMMITTING A PERCENTAGE OF EACH HOSPITAL'S NET INCOME (SURPLUS FUNDS) TO SUPPORT COMMUNITY HEALTH EFFORTS ON AN ANNUAL BASIS. WHILE THESE THREE COMPONENTS ARE CENTRAL TO PROVIDING THE HOSPITAL WITH A STRONG FOUNDATION, IT TAKES A LOT MORE THAN THIS TO MEET THE HOSPITAL'S STANDARD OF DELIVERING EXCELLENT CARE TO EVERY PERSON, EVERY DAY. TO PARKVIEW HEALTH SYSTEM, ACHIEVING THIS STANDARD OF CARE REQUIRES PARTNERING WITH COMMUNITY ORGANIZATIONS THROUGH COMMUNITY HEALTH AT THE HOSPITAL LEVEL. AT THE SYSTEM LEVEL, WHITLEY MEMORIAL HOSPITAL, INC. CONTRIBUTES TO AND PARTICIPATES IN SYSTEM-WIDE INVESTMENTS THAT WORK TOWARD FURTHERING EDUCATION AND RESEARCH AND ADVANCING HEALTHCARE DELIVERY AND ACCESS.COMMUNITY HEALTH: WHITLEY MEMORIAL HOSPITAL, INC. IS COMMITTED TO INVESTING TIME AND RESOURCES IN THE PROCESS AND CHALLENGES OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM. THE GOAL OF THE CHI PROGRAM IS TO UTILIZE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, PARTICULARLY THE UNDERSERVED. WHITLEY MEMORIAL HOSPITAL, INC. SUPPORTS CHI EFFORTS BY COMMITTING A PERCENTAGE OF ITS NET INCOME ANNUALLY. WITH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE, CONSISTING OF COMMUNITY LEADERS, MEMBERS OF THE WHITLEY MEMORIAL HOSPITAL, INC. BOARD OF DIRECTORS, AND HOSPITAL MANAGEMENT, THESE SURPLUS FUNDS ARE USED TO STRATEGICALLY ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED BY THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS IS ACCOMPLISHED BY BUILDING INNOVATIVE INTERNAL AND EXTERNAL PROGRAMS IN COLLABORATION WITH COMMUNITY PARTNERS THAT ADDRESS IDENTIFIED HEALTH PRIORITIES. IN PARTNERING WITH OTHER ORGANIZATIONS TO IMPROVE THE HEALTH OF OUR COMMUNITY, THE CHI PROGRAM WORKS WITH SEVERAL COMMUNITY PARTNERS TO ADDRESS THE PRIORITIES OUTLINED BY WHITLEY COUNTY MEMORIAL HOSPITAL INC.'S MOST RECENT CHNA. MISSION 25 HEALTH, A CERTIFIED RECOVERY RESIDENCE, THE CENTER FOR WHITLEY COUNTY YOUTH, KOSCIUSKO COMMUNITY YMCA, TROY SCHOOL, BEDS AND BRITCHES ETC., ONE COMMUNITY, MULTI-COUNTY OUTREACH CLINIC, AND ST. ANTHONY'S CLINIC ARE SOME OF OUR PARTNER ORGANIZATIONS. PARKVIEW HEALTH SYSTEM, INC. ALSO OFFERS A MEDICATION ASSISTANCE PROGRAM FOR PATIENTS WHO STRUGGLE TO AFFORD THEIR MEDICATIONS. IN ADDITION TO CHI'S PARTNERSHIPS SEEKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, PARKVIEW ALSO VALUES AND MAINTAINS UPSTREAM ALLIANCES WITH LOCAL, STATE, AND FEDERAL GOVERNMENT LEADERS TO COLLABORATE ON PUBLIC POLICY THAT PROMOTES A HEALTHIER AND MORE VIBRANT COMMUNITY. PARKVIEW'S KEY ADVOCACY PILLARS INCLUDE REDUCING THE TOTAL COST OF CARE; PROTECTING AND EXPANDING ACCESS TO CARE; IMPROVING COMMUNITY HEALTH AND QUALITY OF PLACE; AND ADVANCING INFRASTRUCTURE, TALENT, RESEARCH, AND INNOVATION.EDUCATION:WHITLEY MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., OFFERS INNOVATIVE LEARNING EXPERIENCES TO K-12, UNIVERSITY, AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HEALTH SYSTEM, INC., HAS MORE THAN 130 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH HANDS-ON EXPERIENCES PROVIDED BY PARKVIEW AND CAREER EXPLORATION CENTERS AND THROUGH UNIQUE EVENTS OFFERED ONSITE AT PARKVIEW HEALTH SYSTEM, INC. FACILITIES. AS STUDENTS ADVANCE INTO HIGH SCHOOL AND COLLEGE, THEY CAN EXPERIENCE JOB SHADOWS AND OBSERVATIONS, AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. BEFORE LAUNCHING THEIR CAREER, STUDENTS CAN ACCESS PARKVIEW HEALTH SYSTEM, INC.'S SPECIALLY DESIGNED WORK-STUDY OPPORTUNITIES THAT HELP THEM BECOME PRACTICE-READY BY GRADUATION.THE PARKVIEW EDUCATION CENTER (PEC) OFFERS STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. THIS FACILITY RESULTS FROM A COLLABORATION BETWEEN PARKVIEW HEALTH SYSTEM, INC., AND FORT WAYNE COMMUNITY SCHOOLS (FWCS). TOGETHER, WE ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. THROUGH REGULAR COLLABORATION, THE PARTNERS ENSURE THE EDUCATION OFFERED AT THE PEC MEETS TODAY'S AND TOMORROW'S TALENT PIPELINE NEEDS. FURTHERMORE, PEC OFFERS BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS, WHICH PROVIDE PARTICIPANTS FROM ALL SKILL SETS AND BACKGROUNDS THE OPPORTUNITY TO GROW TOGETHER. THIS ENABLES HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, ALLOWS ADULTS TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND ALLOWS PARKVIEW CO-WORKERS TO ENHANCE THEIR SKILLS.WHITLEY MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH INNOVATIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES AND THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION, LOCATED ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS. IN 2024, PARKVIEW HEALTH SYSTEM, INC. HOSTED NEARLY 5,000 STUDENTS FOR HANDS-ON EXPERIENCES AT PARKVIEW HOSPITALS, OUTPATIENT FACILITIES, AND PARKVIEW PHYSICIANS GROUP OFFICES.(NARRATIVE CONTINUED AFTER PART VI, LINE 7 CONT'D) |
| 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., A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF COMMUNITY HOSPITALS AND WELLNESS CENTERS; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; PARKVIEW HOSPITAL, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES CUSTOMIZED TO MEET THE UNIQUE HEALTH NEEDS OF ITS RESPECTIVE COMMUNITY. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN NORTHEAST INDIANA AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES WITH A BOARD OF DIRECTORS THAT CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL ALWAYS BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE (IRS). THE HEALTH SYSTEM 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, THE HEALTH SYSTEM HELPS TO BENEFIT THE ECONOMY, QUALITY OF LIFE, AND HEALTH/WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE THE BEST CARE TO EVERY PERSON, EVERY DAY, WITHIN OUR FACILITIES, WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS TO IMPACT COMMUNITY HEALTH STATUS POSITIVELY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IN |
| PART VI, LINE 7 CONT'D: | A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH. |
| PART VI, SUPPLEMENTAL INFORMATION, LINE 5 CONT'D: | CONTINUED FROM ABOVE: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).RESEARCH:THE PARKVIEW RESEARCH CENTER (FOUNDED IN 1993) AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION HAS BROUGHT MORE THAN 800 CLINICAL TRIALS TO PATIENTS AND PROVIDERS FOR NOVEL AND POTENTIALLY LIFE-SAVING TREATMENTS, WITH AN AVERAGE OF 150 OPEN STUDIES AT ANY GIVEN TIME. THE PRIMARY FOCUS AT THE CENTER HAS BEEN PHASE II AND PHASE III SPONSORED CLINICAL TRIALS (CLINICAL TRIALS CONDUCTED PRIMARILY TO ADVANCE PATIENT CARE AND SCIENTIFIC KNOWLEDGE), WITH TWO-THIRDS OF PARKVIEW RESEARCH CENTER'S ACTIVE RESEARCH IN CANCER TREATMENTS. THE PARKVIEW RESEARCH CENTER ALSO PROVIDES ACCESS TO HUMANITARIAN USE DEVICES (HUD) AND EXPANDED ACCESS PROGRAMS THAT ALLOW OUR PATIENTS ACCESS TO INVESTIGATIONAL DRUGS AND DEVICES IN LIFE-THREATENING OR SPECIAL CIRCUMSTANCES. THE PARKVIEW RESEARCH CENTER IS UNIQUELY SITUATED TO COLLABORATE WITH LOCAL AND NATIONAL ACADEMIC PARTNERS. ONE OF THE RESEARCH CENTER'S OLDEST COLLABORATIONS IS WITH THE INDIANA UNIVERSITY SCHOOL OF MEDICINE ON THE STUDENT EDUCATION AND RESEARCH FELLOWSHIP (SERF) PROGRAM (FORMERLY THE MIDWEST ALLIANCE FOR HEALTH EDUCATION). THIS PROGRAM WAS ESTABLISHED OVER 30 YEARS AGO AND CONTINUES SERVING THE SURROUNDING REGIONS. WITHIN THIS FELLOWSHIP PROGRAM, STUDENTS ARE IN-RESIDENCE FOR NINE WEEKS, LEARNING ABOUT RESEARCH AND INTERACTING WITH PARKVIEW PHYSICIANS ON ONGOING RESEARCH STUDIES. STUDENTS GAIN FUNDAMENTAL SKILLS FOR CONDUCTING RESEARCH AND DISSEMINATING THEIR WORK THROUGH A POSTER OR PODIUM PRESENTATION AT THE END OF THE PROGRAM.IN ADDITION TO TRAINING AND EDUCATION, THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION ALSO HOUSES THE HEALTH SERVICES AND INFORMATICS RESEARCH GROUP, WHICH IS COMPRISED OF INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS, DATA/SOFTWARE ENGINEERS, AND USER-EXPERIENCE SPECIALISTS. THIS TEAM WORKS ON A BROAD ARRAY OF PROJECTS, INCLUDING INVESTIGATOR-INITIATED RESEARCH, PROGRAM EVALUATION, PILOT STUDIES, COMMUNITY SURVEYS, AND USER-EXPERIENCE PROJECTS THAT IMPROVE THE INTEGRATION AND USABILITY OF HEALTHCARE TECHNOLOGIES. EXAMPLES OF THEIR PROJECTS INCLUDE ACCESS TO HEALTH EVALUATION, IMPACTS OF TECHNOLOGY ON YOUTH MENTAL HEALTH RESEARCH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MUCH OF THIS TEAM'S WORK HAS LED TO PUBLICATION IN PEER-REVIEWED JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND DISSEMINATING FINDINGS TO LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFORM PUBLIC HEALTH POLICY.ADVANCING HEALTH CARE DELIVERY AND ACCESS:WHITLEY MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., CONTINUES TO ADVANCE INNOVATION IN PATIENT ACCESS TO HEALTHCARE SERVICES THROUGH ITS DIGITAL HEALTH AND VIRTUAL CARE TECHNOLOGY. PARKVIEW USES ELECTRONIC MEDICAL RECORDS (EMR), THIRD PARTIES, AND ADDITIONAL TOOLS TO FACILITATE VIRTUAL CONNECTIONS BETWEEN STAFF MEMBERS, PROVIDERS, AND PATIENTS. THESE CONNECTIONS ENSURE WE CAN CONNECT WITH COMMUNITY HOSPITALS, COMMUNITY PARTNERS, AND PATIENTS TO EXPEDITE CARE THAT MAY HAVE PREVIOUSLY REQUIRED ADDITIONAL STAFFING, PATIENT MOVEMENT, TRANSPORT, OR DELAYED CARE. ONE OF THE LARGEST PLATFORMS UTILIZED IS THE PATIENT PORTAL, BRANDED AS PARKVIEW'S MYCHART. PARKVIEW MYCHART IS AN EASY-TO-USE TOOL THAT ENABLES PATIENTS TO PLAY AN ACTIVE ROLE IN THEIR HEALTHCARE JOURNEY. IT OFFERS NOT ONLY CONVENIENT AND SECURE ACCESS TO MEDICAL RECORDS BUT ALSO A RANGE OF SERVICES, RESOURCES, AND FEATURES THAT ENHANCE THE PATIENT'S EXPERIENCE. PATIENTS WHO INTEGRATE MYCHART INTO THEIR EVERYDAY LIFE CAN SAVE TIME ORGANIZING HEALTH AND INSURANCE INFORMATION, COMMUNICATE WITH THEIR PROVIDER OFFICE, VIEW SCHEDULING OPTIONS, AND GAIN A BETTER UNDERSTANDING OF THEIR HEALTH AND WELL-BEING. OVER THE LAST 12 MONTHS, PARKVIEW HEALTH SYSTEM, INC. ENGAGED MORE THAN 570,000 PATIENTS WHO LOGGED INTO THEIR MYCHART ACCOUNT TO ACTIVELY MANAGE OR PARTICIPATE IN THEIR CARE. WHITLEY MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., ALSO OFFERS THE PARKVIEW HEALTH APP IN THE GOOGLE AND APPLE APP STORES. THIS APP CONNECTS USERS TO HELPFUL TOOLS DESIGNED TO ENHANCE THE PATIENT'S JOURNEY OR PROVIDE ACCESS TO HEALTH RECORDS. WITH THE APP, USERS CAN START A VIDEO VISIT, SCHEDULE A NEW PATIENT APPOINTMENT WITH A PRIMARY CARE PROVIDER, AND GET TURN-BY-TURN WAYFINDING INSIDE THE HEALTH SYSTEM'S FACILITIES, AMONG OTHER FEATURES. THE APP ALSO ALLOWS ACCESS TO THE USER'S PARKVIEW MYCHART ACCOUNT.WHITLEY MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., HAS FOCUSED ON LEVERAGING SOME OF THE HEALTH SYSTEM'S CONNECTIVITY OPTIONS TO CREATE VIRTUAL NURSING AND VIRTUAL SITTING OPTIONS. USING CAMERAS IN PATIENT ROOMS, A CAREGIVER CAN CONNECT BY VIDEO AND TALK TO THE PATIENT. THIS ALLOWS VIRTUAL NURSING STAFF TO DISCUSS ADMISSION OR DISCHARGE INSTRUCTIONS, MEDICATIONS, AND ADDRESS OTHER QUESTIONS THE PATIENTS MAY HAVE. FOR PATIENTS WHO HAVE MONITORING ORDERS AND REQUIRE CONSTANT SUPERVISION TO MAINTAIN THEIR SAFETY, A TEAM OF TRAINED STAFF MEMBERS CAN MONITOR PATIENTS ACROSS THE HEALTH SYSTEM THROUGH CAMERAS. THIS HELPS REDUCE FALLS, LEADS TO MORE IMMEDIATE INTERVENTION WHEN NECESSARY, AND ALLOWS FOR SCALABILITY OF EXISTING RESOURCES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| INTERFAITH MISSION INC | ||||||||
| 500 WEST BUSINESS 30 | COLUMBIA CITY | IN | 46725 | 352071824 | 501(C)(3) | $15,000 | $0 | PROGRAMS TO PROVIDE SHELTER AND ASSISTANCE TO THE HOMELESS |
| TROY CENTER INC | ||||||||
| 1911 EAST BUSINESS 30 | COLUMBIA CITY | IN | 46725 | 460656583 | 501(C)(3) | $10,000 | $0 | WELL-BEING AND MENTAL HEALTH SUPPORT |
| CENTER FOR WHITLEY COUNTY YOUTH INC | ||||||||
| 201 W MARKET STREET | COLUMBIA CITY | IN | 46725 | 205993971 | 501(C)(3) | $8,000 | $0 | AFTER-SCHOOL AND SUMMER PROGRAMMING FOR ADOLESCENTS INCLUDING PHYSICAL ACTIVITIES AND EDUCATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | COMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEANNE' WICKENS | ||||||||||||||
| PH CHIEF FINANCIAL OFFICER/PRTL YR | $0 | $991,526 | $0 | $492,356 | $0 | $163,321 | $0 | $186,966 | $0 | $30,994 | $0 | $1,865,163 | $0 | $125,575 |
| GREG JOHNSON | ||||||||||||||
| DIRECTOR/REGIONAL MARKET PRESIDENT | $0 | $760,582 | $0 | $263,340 | $0 | $496,124 | $0 | $37,950 | $0 | $37,134 | $0 | $1,595,130 | $0 | $357,700 |
| SCOTT GABRIEL | ||||||||||||||
| DIRECTOR/MARKET PRESIDENT | $278,491 | $0 | $102,504 | $0 | $65,784 | $0 | $86,761 | $0 | $43,154 | $0 | $576,694 | $0 | $62,552 | $0 |
| JEFFREY ROCKETT | ||||||||||||||
| WMHOS VP OUTPATIENT CARE SVCS | $162,840 | $59,766 | $62,011 | $0 | $19,802 | $289 | $22,061 | $5,415 | $25,509 | $6,262 | $292,223 | $71,732 | $0 | $0 |
| SVETLANA HAGAN | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | $0 | $232,643 | $0 | $38,121 | $0 | $30,919 | $0 | $27,282 | $0 | $30,935 | $0 | $359,900 | $0 | $0 |
| AMANDA KNOWLES | ||||||||||||||
| WMHOS PHARMACY MGR | $240,645 | $0 | $30,668 | $0 | $1,200 | $0 | $30,209 | $0 | $26,299 | $0 | $329,021 | $0 | $0 | $0 |
| ASHLEY WIRGES | ||||||||||||||
| WMHOS VP PATIENT CARE SVCS | $173,112 | $0 | $50,957 | $0 | $10,238 | $0 | $16,701 | $0 | $38,063 | $0 | $289,071 | $0 | $0 | $0 |
| STANTON RISSER | ||||||||||||||
| PH ASSOCIATE CHIEF FINANCIAL OFFICER | $0 | $190,916 | $0 | $25,000 | $0 | $2,829 | $0 | $35,417 | $0 | $13,426 | $0 | $267,588 | $0 | $0 |
| ANGELIA RAMIREZ | ||||||||||||||
| WMHOS NURSING SVCS MGR | $155,110 | $0 | $15,161 | $0 | $1,444 | $0 | $20,885 | $0 | $25,984 | $0 | $218,584 | $0 | $0 | $0 |
| BENJAMIN MAGGARD | ||||||||||||||
| WMHOS PHARMACIST | $165,019 | $0 | $0 | $0 | $1,180 | $0 | $15,403 | $0 | $36,004 | $0 | $217,606 | $0 | $0 | $0 |
| PETER TALATI | ||||||||||||||
| WMHOS REHAB MGR | $150,563 | $0 | $19,532 | $0 | $1,653 | $0 | $15,920 | $0 | $29,108 | $0 | $216,776 | $0 | $0 | $0 |
| STACY FRANK | ||||||||||||||
| WMHOS NURSING SVCS MGR | $152,583 | $0 | $19,497 | $0 | $1,307 | $0 | $9,755 | $0 | $19,060 | $0 | $202,202 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF WHITLEY MEMORIAL HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. |
| PART I, LINE 4B | SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFITS. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE AMOUNT OF THE BENEFITS MAY VARY YEARLY. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): SCOTT GABRIEL $62,552; GREG JOHNSON $488,600; JEANNE' WICKENS $125,575 THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME OUTLINED IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: SCOTT GABRIEL $48,811; STANTON RISSER $35,417; JEANNE' WICKENS $162,816 |
| PART I, LINE 7 | THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) IS AN ANNUAL INCENTIVE PROGRAM. THE COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENT FOR MICP. AT THE CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES THE FINAL PAYMENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 99, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | SERVICES OFFERED: THE HOSPITAL IN WHITLEY COUNTY FEATURES 30 PRIVATE ROOMS, INCLUDING 4 CONSTANT CARE BEDS, IN A 96,000 SQUARE FOOT FACILITY LOCATED ON 42 ACRES. A 60,000 SQUARE FOOT MEDICAL PLAZA IS CONNECTED, WHICH INCLUDES HOD DEPARTMENTS AS WELL AS PRIMARY CARE AND SPECIALTY PROVIDER CLINICS. IN ADDITION TO THE SERVICES BELOW, THERE IS A CHAPEL, A FULL-SERVICE CAFETERIA, A GIFT SHOP, AND A PUBLIC WALKING PATH AROUND THE CAMPUS. IN JANUARY 2024, THE OUTPATIENT FACILITY IN WARSAW (PARKVIEW WARSAW) EXPANDED TO A FULL-SERVICE HOSPITAL AND WAS RENAMED PARKVIEW KOSCIUSKO HOSPITAL. THE INPATIENT MEDICAL/SURGICAL UNIT HAS 24 PRIVATE ROOMS, INCLUDING 4 CONSTANT CARE BEDS. A 7-BED OBSTETRICS UNIT WAS ALSO OPENED IN SEPTEMBER 2024. THE KOSCIUSKO FACILITY IS NOW 175,000 SQUARE FEET SITUATED ON 11 ACRES. EMERGENCY MEDICAL CARE IS PROVIDED 24 HOURS A DAY, 365 DAYS A YEAR WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND NURSING STAFF THAT ARE TRAINED AND EXPERIENCED IN EMERGENCY CARE. THERE ARE 8 TREATMENT ROOMS, 1 TRIAGE ROOM, AND 2 THAT ARE EQUIPPED FOR TRAUMA PATIENTS AT WHITLEY MEMORIAL HOSPITAL, INC. PARKVIEW KOSCIUSKO HAS 10 TREATMENT ROOMS AND 2 TRAUMA BEDS. THERE WERE 14,671 PATIENTS TREATED IN THE WHITLEY EMERGENCY ROOM IN 2024 AND 17,409 AT KOSCIUSKO. NO PATIENT IS EVER DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY. EMS: WHITLEY MEMORIAL HOSPITAL, INC. PROVIDES EMERGENCY MEDICAL SERVICES IN WHITLEY COUNTY, AS WELL AS PROVIDES COVERAGE AS NEEDED FOR THE SURROUNDING COUNTIES WITH PARKVIEW HEALTH EMS SERVICES. TRANSFERS FROM WHITLEY MEMORIAL HOSPITAL, INC. ENTITIES TO OTHER HOSPITALS ARE ALSO COVERED BY THE DEPARTMENT. THERE WERE 5,210 AMBULANCE RUNS AND 4,252 PATIENT TRANSPORTS IN 2024. WHITLEY MEMORIAL HOSPITAL, INC. CONTRACTED WITH FULTON COUNTY TO MANAGE THEIR EMS SERVICES STARTING IN JULY 2024. THREE NEW AMBULANCES AND A SQUAD SUV WERE PURCHASED, AS WELL AS STATE-OF-THE-ART EQUIPMENT TO OUTFIT THE TRUCKS. THERE WERE 1,317 RUNS COMPLETED JULY THROUGH DECEMBER FOR THE COMMUNITIES IN THAT COUNTY. MEDICAL/SURGICAL ROOMS: THERE ARE 21 PRIVATE MED/SURG ROOMS AND 4 CCU ROOMS AT WHITLEY MEMORIAL HOSPITAL, INC., WITH A TOTAL OF 1,293 PATIENT DISCHARGES FOR 2024. IN JANUARY 2024, PARKVIEW KOSCIUSKO HOSPITAL ADDED 20 PRIVATE INPATIENT BEDS TO MEET THE NEEDS OF THE COMMUNITY. THEY ALSO ADDED 4 CCU ROOMS FOR THOSE IN NEED OF A HIGHER LEVEL OF CARE. THAT LOCATION CARED FOR 922 PATIENTS DURING THE YEAR. OBSTETRICS: THERE WERE FIVE PRIVATE LABOR/DELIVERY/RECOVERY AND POSTPARTUM (LDRP) ROOMS AT WHITLEY MEMORIAL HOSPITAL, INC., UNTIL SEPTEMBER 2024, WHICH PRODUCED 275 BIRTHS. DURING THAT MONTH, THE UNIT AT WHITLEY WAS CLOSED AND REOPENED AT PARKVIEW KOSCIUSKO TO BETTER SERVE THE REGION WITH A MORE CENTRAL LOCATION OF SERVICES. PARKVIEW KOSCIUSKO HOSPITAL'S FAMILY BIRTHING CENTER HAS A DEDICATED SURGERY SUITE IN THE OB UNIT FOR C-SECTIONS. THERE WERE 64 BIRTHS AT KOSCIUSKO FROM SEPTEMBER THROUGH DECEMBER. SURGERY: THE WHITLEY LOCATION OF WHITLEY MEMORIAL HOSPITAL, INC. HAS 3 LARGE SURGICAL SUITES WITH STATE-OF-THE-ART EQUIPMENT, INCLUDING DA VINCI MINIMALLY INVASIVE ROBOTIC TECHNOLOGY, AND TWO PROCEDURE ROOMS. THERE WERE 1271 SURGICAL CASES AND 855 ENDOSCOPY PROCEDURES AT THAT LOCATION IN 2024, OF WHICH 391 CASES USED ROBOTICS FOR GENERAL AND GYNECOLOGICAL SURGERIES. IN JANUARY 2024, PARKVIEW KOSCIUSKO ADDED 2 FULLY EQUIPPED SURGICAL SUITES AND 2 PROCEDURE ROOMS WITH SHELL SPACE FOR FUTURE EXPANSION. DA VINCI ROBOTIC TECHNOLOGY IS OFFERED AT THAT FACILITY AS WELL. THERE WERE 531 SURGERIES PERFORMED, INCLUDING 73 ROBOTIC CASES, PLUS 507 ENDOSCOPY PROCEDURES, IN 2024. SURGICAL SERVICES INCLUDED GENERAL, ORTHOPEDIC, GYNECOLOGICAL, PAIN MANAGEMENT, AND PODIATRY. DIAGNOSTIC IMAGING: ROUTINE DIAGNOSTIC, MRI, CT, ULTRASOUND, FLUOROSCOPY, ECHOCARDIOGRAPHY, AND DIGITAL 3D MAMMOGRAPHY ARE AVAILABLE AT BOTH WHITLEY MEMORIAL HOSPITAL, INC. LOCATIONS. NUCLEAR MEDICINE AND BONE DENSITY TESTING ARE SERVICES OFFERED AT WHITLEY ONLY. WHITLEY AND KOSCIUSKO PERFORMED 38,047 AND 32,657 PROCEDURES, RESPECTIVELY, IN 2024. SLEEP DISORDERS LAB: FOR THE DIAGNOSIS AND TREATMENT OF SLEEP-RELATED DISORDERS, THERE WERE 179 SLEEP STUDIES PERFORMED IN THE SLEEP LAB AT WHITLEY MEMORIAL HOSPITAL, INC., AND 521 HOME STUDIES ADMINISTERED IN 2024. OUTPATIENT LAB SERVICES: WHITLEY MEMORIAL HOSPITAL, INC. OFFERS IN-HOUSE TESTING OF COAGULATION, URINALYSIS, HEMATOLOGY, BLOOD GAS, AND CHEMISTRY TESTS. THERE ARE CERTIFIED CLINICAL LABORATORY SCIENTISTS ON STAFF 24 HOURS A DAY AT BOTH LOCATIONS, WHERE A TOTAL OF 393,349 LAB TESTS WERE PERFORMED DURING 2024 FOR BOTH LOCATIONS COMBINED. REHABILITATION SERVICES: PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY ARE OFFERED AT BOTH LOCATIONS AS WELL AS CARDIAC-PULMONARY REHAB. A TOTAL OF 28,087 VISITS WERE EXPERIENCED IN 2024. THE PARKVIEW PACKNETT FAMILY CANCER INSTITUTE EXTENSION AT PARKVIEW KOSCIUSKO HOSPITAL OPENED IN 2024. THIS SPACE INCLUDES SEVEN EXAM ROOMS AND NINE INFUSION BAYS. WITH A FOCUS ON A HEALING ENVIRONMENT FOR PATIENTS, SEVEN OF THE INFUSION BAYS ARE SITUATED ALONG WINDOWS WITH PRIVACY GLASS, ALLOWING PATIENTS TO VIEW OUR COURTYARD, KNOWN AS THE HEALING GARDEN, DURING TREATMENT. THERE WERE 1546 PATIENT ENCOUNTERS IN THIS SPACE IN 2024. OTHER: CARDIO-PULMONARY SERVICES, DIABETES EDUCATION, OUTPATIENT INFUSION, DIETITIAN APPOINTMENTS, AND ANTICOAGULATION CLINIC ARE ALSO OFFERED. THERE IS DEDICATED SPACE FOR PROVIDERS AT BOTH LOCATIONS TO PROVIDE CONVENIENT, EASY ACCESS FOR PATIENTS TO RECEIVE CARE FROM FAMILY AND AN ARRAY OF SPECIALTY PHYSICIANS. TWO IMPORTANT IMAGING TESTS ARE OFFERED TO THE PUBLIC FOR A REASONABLE OUT-OF-POCKET COST AT BOTH LOCATIONS. THE HEARTSMART CT SCAN IS A SIMPLE, NON-INVASIVE TEST THAT CAN DETECT CORONARY ARTERY DISEASE IN ITS EARLY STAGES. THERE WERE 1146 SCANS PERFORMED IN 2024. LUNG SCANS ARE AVAILABLE AT BOTH LOCATIONS FOR THOSE INDIVIDUALS CONSIDERED TO BE "AT-RISK". A TOTAL OF 598 INDIVIDUALS UTILIZED THIS SERVICE. THE TEST INVOLVES A LOW-DOSE CT TO ASSIST IN DIAGNOSING EARLY-STAGE LUNG CANCER. FINANCIAL POLICY: WHITLEY MEMORIAL HOSPITAL, INC. IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE TO THOSE WHO NEED IT, REGARDLESS OF THEIR HEALTH STATUS OR ABILITY TO PAY. WITH FINANCIAL ASSISTANCE, PATIENTS CAN RECEIVE THE PARKVIEW CARE THEY EXPECT - NO MATTER WHAT FINANCIAL OBSTACLES THEY MIGHT FACE. FINANCIAL ASSISTANCE SERVICES INCLUDE USING FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES, INCLUDING CHARITABLE CARE AND FINANCIAL ASSISTANCE POLICIES AND A STANDARD APPLICATION PROCESS; AND PROVIDING EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY. ANY PATIENT EXPERIENCING FINANCIAL HARDSHIP CAN REACH THE SINGLE BILLING OFFICE TO DISCUSS OPTIONS. COMMUNITY BENEFIT: WHITLEY MEMORIAL HOSPITAL, INC. COMMUNITY HEALTH IMPROVEMENT PROGRAM WAS ESTABLISHED TO HELP FUND COMMUNITY HEALTH IMPROVEMENT EFFORTS WITHIN WHITLEY MEMORIAL HOSPITAL, INC.'S SERVICE AREA. WHITLEY MEMORIAL HOSPITAL, INC. INVESTS IN KEY ORGANIZATIONS THAT PROMOTE THE HEALTH AND WELL-BEING OF FAMILIES, CHILDREN, AND INDIVIDUALS OF THE COMMUNITIES THAT IT SERVES. COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT OUR COMMUNITY. THROUGH PARKVIEW'S COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM, WHITLEY MEMORIAL HOSPITAL, INC. COLLABORATES WITH OTHERS INSIDE AND OUTSIDE THE HEALTH SYSTEM WHO SHARE PARKVIEW'S MISSION AND VALUES. FUNDED BY A PERCENTAGE OF WHITLEY MEMORIAL HOSPITAL, INC.'S NET OPERATING SURPLUS, CHI STRATEGICALLY REINVESTS DOLLARS INTO COMMUNITY ORGANIZATIONS AND INITIATIVES THAT ADDRESS THE GREATEST HEALTH NEEDS OUTLINED BY THE HOSPITAL'S MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THE 2022 CHNA RESULTS, THREE HEALTH CONCERNS FOR WHITLEY MEMORIAL HOSPITAL, INC. ARE BEING ADDRESSED. MENTAL HEALTH, SUBSTANCE ABUSE, AND OBESITY (FOOD INSECURITY) HAVE BEEN THE FOCUS IN 2024. DESIGNATIONS/ACHIEVEMENTS: WHITLEY MEMORIAL HOSPITAL, INC. WAS AWARDED A TOP PERFORMER BIRNBAUM QUALITY AND ACCOUNTABILITY AWARD, WHICH RECOGNIZES PARTICIPATING HEALTHCARE ORGANIZATIONS THROUGH THE VIZIENT QUALITY AND ACCOUNTABILITY STUDY THAT MEASURES QUALITY OF PATIENT CARE IN SAFETY, MORTALITY, EFFECTIVENESS, EFFICIENCY, PATIENT CENTEREDNESS, AND EQUITY. PARKVIEW KOSCIUSKO HOSPITAL WAS NAMED THE CHAMBER OF COMMERCE BUSINESS OF THE YEAR AWARD FOR 2024. WHITLEY MEMORIAL HOSPITAL, INC. RECEIVED A GRADE OF "A" IN BOTH SPRING AND FALL OF 2024. THE HOSPITAL SAFETY GRADE IS A PUBLIC SERVICE PROVIDED BY THE LEAPFROG GROUP, AN INDEPENDENT NONPROFIT ORGANIZATION COMMITTED TO DRIVING QUALITY, SAFETY, AND TRANSPARENCY IN HEALTHCARE. |
| 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, WHITLEY MEMORIAL HOSPITAL, INC., EIN 35-1967665. THEREFORE, PH REPORTS AND FILES ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2, AND W-3. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 703. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 18,730. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBERS REPORTED FOR THE WHITLEY MEMORIAL HOSPITAL, INC. WERE 35 AND 604, RESPECTIVELY. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CEO OF THE CORPORATE MEMBER OR HIS/HER DESIGNEE, 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. 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. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF WHITLEY MEMORIAL HOSPITAL, INC. WITH CERTAIN RESERVED POWERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A OR THE REQUIREMENT THAT ELECTED DIRECTORS BE REPRESENTATIVES OF WHITLEY COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF THESE BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A |
| FORM 990, PART VI, SECTION B, LINE 11B | PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. WHITLEY MEMORIAL HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING SUPPLEMENTAL SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 23, 2025, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE AND AUDIT COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." |
| FORM 990, PART VI, SECTION B, LINE 15 | LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., HAS A PROCESS IN PLACE FOR REVIEWING AND APPROVING COMPENSATION OF THE CEO & EVP LEVEL EXECUTIVES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2024, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL CEO & EVP LEVEL COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2024 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. IN ADDITION, AGGREGATE INFORMATION ON ALL OTHER EXECUTIVE ROLES (OUTSIDE OF THE CEO & EVPS) IS SHARED. THE COMPENSATION PACKAGE OF THE CEO AND EVPS WAS APPROVED BY A MAJORITY OF THE INDEPENDENT COMPENSATION COMMITTEE MEMBERS. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A SUMMARY OF THE EXECUTIVE COMPENSATION PROCESS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AND EVP LEVEL EXECUTIVES. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER: PROGRAM SERVICE EXPENSES 153,393. MANAGEMENT AND GENERAL EXPENSES 1,540,809. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,694,202. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,183,870. MANAGEMENT AND GENERAL EXPENSES 65,286. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,249,156. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 4,942,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,942,840. COLLECTION EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 172,271. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 172,271. |
| 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 80,184. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW HEALTH SYSTEM INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351972384 | HEALTH CARE | IN | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| PARKVIEW HEALTH FOUNDATION INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 921994990 | FUND MGMT | IN | 501(C)(3) | LINE 7 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW HOSPITAL INC | |||||||||||
| 11109 PARKVIEW PLAZA DR | FORT WAYNE | IN | 468451701 | 350868085 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| DEKALB MEMORIAL HOSPITAL INC | |||||||||||
| 1316 E 7TH ST | AUBURN | IN | 467062515 | 351064295 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| HUNTINGTON MEMORIAL HOSPITAL INC | |||||||||||
| 2001 STULTS RD | HUNTINGTON | IN | 467501291 | 351970706 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |||||||||||
| 207 N TOWNLINE RD | LAGRANGE | IN | 467611325 | 202401676 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |||||||||||
| 401 N SAWYER RD | KENDALLVILLE | IN | 467552568 | 352087092 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW WABASH HOSPITAL INC | |||||||||||
| 10 JOHN KISSINGER DR | WABASH | IN | 469921648 | 471753440 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS | |||||||||||
| 433 W HIGH ST | BRYAN | OH | 435061690 | 341048666 | HOSPITAL CARE | OH | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| SHARE FOUNDATION OF COMMUNITY HOSPITALS OF WILLIAMS COUNTY INC | |||||||||||
| 433 W HIGH ST | BRYAN | OH | 435061690 | 341596175 | FUND MGMT | OH | 501(C)(3) | LINE 12B, II | 0 | COMMUNITY HOSPITALS AND WELLNESS CENTERS | |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | |||||||||||
| 442 W HIGH ST | BRYAN | OH | 435061681 | 341045870 | PHYSICIANS | OH | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | |||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 352064353 | OCCUPATIONAL HEALTH | IN | 501(C)(3) | LINE 3 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| PARK CENTER INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 351135451 | COMPREHENSIVE MENTAL HEALTH CENTER | IN | 501(C)(3) | LINE 10 | 0 | PARKVIEW HEALTH SYSTEM INC | |
| OUABACHE VILLAGE INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 020731922 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| RICHARDVILLE APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 050543940 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| RICHARDVILLE APARTMENTS II INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 861077255 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| SEDDLEMEYER APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 352067590 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| WAYNEDALE APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 351972197 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| WAYNEDALE II APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 223972135 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
| WOODSIDE APARTMENTS INC | |||||||||||
| 909 E STATE BLVD | FORT WAYNE | IN | 468053404 | 351937426 | PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS | IN | 501(C)(3) | LINE 10 | 0 | PARK CENTER INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 260143823 | ORTHOPAEDIC HOSPITAL | IN | N/A | N/A | 0 | 0 |
| MANAGED CARE SERVICES LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351996535 | HEALTH PLAN ADMINISTRATION | IN | N/A | N/A | 0 | 0 |
| FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 201394120 | SURGICAL SERVICES | IN | N/A | N/A | 0 | 0 |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS PAIN MANAGEMENT LLC | ||||||||||
| 433 W HIGH ST | BRYAN | OH | 435061690 | 461084537 | MEDICAL SERVICES | OH | N/A | N/A | 0 | 0 |
| EXCEL SPORTS GROUP LLC | ||||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 921435049 | SPORTS CAMPS & LEAGUES | IN | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 351668888 | REFERENCE LAB | IN | N/A | C | 0 |
| WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC | |||||||||
| 202 W BERRY ST | FORT WAYNE | IN | 468022273 | 352058340 | PROPERTY OWNERS ASSOCIATION | IN | N/A | C | 0 |
| PARKVIEW HEALTH SYSTEM INC 457(B) PLAN | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 357048812 | TRUST - 457(B) PLAN 003 | IN | N/A | T | 0 |
| PARKVIEW HEALTH SYSTEM SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 357048813 | TRUST - SERP PLAN 004 | IN | N/A | T | 0 |
| PARKVIEW HEALTH SYSTEM INC 457(F) PLAN | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 357048810 | TRUST - 457(F) PLAN 005 | IN | N/A | T | 0 |
| PARKVIEW HEALTH SYSTEM SUPPLEMENTAL | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 996407150 | TRUST - SUPPLEMENTAL PLAN 008 | IN | N/A | T | 0 |
| PARKVIEW HEALTH SYSTEM EVPCEO | |||||||||
| 1450 PRODUCTION RD | FORT WAYNE | IN | 468081167 | 936856743 | TRUST - EVP/CEO PLAN 009 | IN | N/A | T | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |